Before surgery, advanced CT imaging is used to create a detailed 3D model of the shoulder joint. This allows Dr. Nashit S. Ansari to develop a personalised surgical plan tailored to each patient’s unique anatomy. During surgery, the robotic system provides real-time guidance, helping the surgeon achieve highly accurate implant placement while preserving healthy bone and surrounding tissues.
The robotic system does not perform the surgery independently. Every step is carried out by the orthopaedic surgeon, with robotic technology acting as an advanced precision guidance tool.
They address different problems. Robotic shoulder replacement uses CT-based 3D planning and real-time robotic guidance to replace a damaged joint with exceptional accuracy, and is suited to advanced arthritis and joint degeneration. Reverse shoulder replacement swaps the position of the ball and socket so the deltoid muscle can take over from the rotator cuff, and is specifically for arthritis combined with irreparable rotator cuff damage. Which one suits you is determined during consultation and imaging.
The CT scan is what makes the robotic planning possible. It is used to build a detailed 3D model of your shoulder, from which the surgeon evaluates implant size, implant positioning, joint alignment, bone quality, implant orientation and shoulder biomechanics before the operation begins. Digital X-rays are also standard, an MRI scan may be advised when required, and blood investigations are carried out before surgery.
The orthopaedic surgeon performs the complete procedure. The robotic platform provides real-time precision guidance while damaged cartilage and bone are removed and artificial shoulder implants are accurately positioned. Joint stability and shoulder movement are assessed before the surgery is completed, and healthy bone is preserved wherever possible.
Repetitive overhead activities and sports injuries are both recognised risk factors, alongside age above 55 years, osteoarthritis, previous shoulder injuries, rheumatoid arthritis, osteoporosis, previous shoulder surgery and a family history of arthritis. Risk factors are not a diagnosis - if shoulder pain is persistent or limiting your movement, it is worth having it assessed rather than working through it.
It may be recommended for advanced shoulder osteoarthritis, rheumatoid arthritis, post-traumatic shoulder arthritis, shoulder joint degeneration, avascular necrosis of the shoulder, complex shoulder fractures, failed previous shoulder replacement, chronic shoulder pain with joint damage, and severe cartilage loss of the shoulder.
Recovery generally includes pain management, shoulder support with a sling, guided physiotherapy, gentle range-of-motion exercises, progressive muscle strengthening and regular follow-up appointments. Most patients begin supervised rehabilitation shortly after surgery, with recovery progressing over the following weeks and months.
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