Knee Hip and Shoulder Center, Author at ScoopCloud

SEABROOK, N.H. /ScoopCloud/ -- Atlantic Coast Surgical Suites is an ambulatory surgery center designed for, and specializing in, outpatient joint replacement surgery. Today, Dr. Moby Parsons of The Knee, Hip and Shoulder Center performed the first outpatient reverse shoulder replacement here using the Exactech GPS (Guided Personalized Surgery) preoperative planning and navigation system.

According to Parsons, "There are very few centers around the country offering surgical navigation for shoulder replacement at an outpatient surgery center. This is the first such case in New England."

Dr. Parsons is one of the design surgeons for the Exactech GPS system. A preoperative CT scan provides a detailed 3D picture of the patient's arthritic shoulder. Images are then imported into a planning software that allows the surgeon to virtually perform the operation, selecting the right implants and their optimal position and orientation relative to the patient's individual anatomy. This plan can then be taken into the operating room where special instruments with trackers synced to a computer and camera system allow real time navigation of the surgical plan.

"Arthritis causes wear and erosion of the socket bone. Our goal during surgery is to restore patient anatomy as best we can. Planning and navigation substantially improve our accuracy compared to conventional instruments," Parsons notes.

Parsons, along with several other design surgeons and engineers, has done extensive research and development on surgical navigation in shoulder replacement and has been using this technology for almost 2 years since it became commercially available. Parsons was also the first surgeon in New Hampshire to perform a reverse shoulder replacement in 2004 and was recently inducted into the American Shoulder and Elbow surgeons, recognizing his expertise in shoulder surgery.

Advances in patient preparation, pain management, anesthetic techniques and surgical techniques now allow many patients to go home the same day as their joint replacement surgery. "Recovery in the comfort of home is both safe and highly satisfying for patients," Parsons notes.

"Our ambulatory surgery center specializes in orthopedic procedures with a highly dedicated staff who focus on same-day care day in and day out. Experience and expertise really matter to do this well. We are extremely fortunate to have a center like Atlantic Coast Surgical Suites where we can deliver high quality outpatient joint replacement."

Learn more at: https://www.orthopedicsnh.com/

Atlantic Coast Surgical Suites is an ambulatory surgery center designed for, and specializing in, outpatient joint replacement surgery. Today, Dr. Moby Parsons of The Knee, Hip and Shoulder Center performed the first outpatient reverse shoulder replacement here using the Exactech GPS (Guided Personalized Surgery) preoperative planning and navigation system.

Related link: https://www.orthopedicsnh.com/

PORTSMOUTH, N.H. /ScoopCloud/ -- Dr. Moby Parsons, a joint replacement specialist at the Knee, Hip and Shoulder Center in Portsmouth, N.H., helped to pioneer a surgical navigation tool that is now being widely used around the world to improve the results of shoulder replacement. Termed GPS for Guided Personalized Surgery, this technology allows the shoulder surgeon to preoperatively plan the operation on a computer system and then recreate that plan with great accuracy using intelligent surgical instruments that can link the patient's anatomy to the preoperative imaging.

The shoulder is a highly complex joint that undergoes wear and erosion from arthritis and tendon tears. Prior studies have demonstrated that when surgeons can better recreate a patient's native anatomy during reconstructive surgery, outcomes are improved in terms of range of motion, function and implant longevity.

"GPS effectively gives us 3-dimensional, x-ray vision and greatly improves our ability to restore normal anatomy," said Parsons, who has worked extensively with Exactech, Inc. in Gainesville, Fla. to bring this technology into the operating room.

Parsons, along with an international team of surgeons and engineers, helped to develop and validate the GPS system. Recently Parsons has worked with his team to research and refine standards in the preoperative planning process that may lead to better shoulder function, lower complications and improved implant durability.

"Comparing the way different surgeons approach the same case reveals that there is currently a lack on consensus about what is the ideal reconstruction for any given shoulder," Parsons notes. His research aims to narrow the range of acceptable solutions to achieve greater precision during shoulder replacement.

Parsons' research was recently selected for presentation at the International Congress for Shoulder and Elbow Surgery this September in Buenos Aires, Argentina. Hosted every 3 years, this is the largest gathering of shoulder experts in the world and provides an international stage for the team's work. "The acceptance of our study points to the widespread interest that surgeons have in these enabling technologies. We are honored to present our results and hope we can translate this work into improved standards for shoulder replacement in the future."

Parsons and the GPS Design Team continue to advance the capabilities of this system through ongoing research and development. "We have made a substantial leap forward over the last 3 years, but there is much left to learn and a tremendous opportunity to leverage technological innovations in the operating environment for the benefit of better surgical results."

Dr. Parsons performed a fellowship in shoulder surgery under famed, shoulder replacement pioneer Dr. Frederick Matsen. He is a founding member of the New England Shoulder and Elbow Surgeons where he recently hosted a panel discussion on computer-assisted preoperative planning. He is also a member of the American Shoulder and Elbow Surgeons. His prior research has won the prestigious Charles Neer Award for excellence in clinical outcomes studies. He will also be presenting results of clinical research on the reverse shoulder replacement at this year's American Academy of Orthopaedic Surgeons annual meeting in Las Vegas, Nev.

He currently operates at Portsmouth Regional Hospital in Portsmouth, N.H., Wentworth Douglass Hospital in Dover, N.H. and Atlantic Coast Surgical Suites in Seabrook, N.H.

Learn more about Dr. Parsons and The Knee, Hip and Shoulder Center at: https://www.orthopedicsnh.com/

Dr. Moby Parsons, a joint replacement specialist at the Knee, Hip and Shoulder Center in Portsmouth, N.H., helped to pioneer a surgical navigation tool that is now being widely used around the world to improve the results of shoulder replacement.

Related link: https://www.orthopedicsnh.com/

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