Final answer:
To minimize scapular notching in RTSA, it is important to focus on implant design, proper positioning of the implant, and employing advanced surgical techniques. These steps reduce the risk of implant impingement, which is critical for the procedure's longevity and success.
Step-by-step explanation:
Minimizing scapular notching in Reverse Total Shoulder Arthroplasty (RTSA) is essential for reducing the risk of implant impingement and improving the longevity of the procedure. Scapular notching is often associated with the prosthetic design, the positioning of the implant, and surgical technique. Several strategies can help in reducing the incidence of notching:
- Implant design: Using an implant with a bio-congruent design that mimics the natural anatomy can decrease the risk of notching.
- Proper positioning: Ensuring the correct version, height, and medialization of the glenoid component is critical.
- Surgical technique: Utilising less invasive approaches and modern techniques can alleviate soft tissue damage and result in a better outcome.
It's important to note that while minimization of scapular notching is a key goal, individual patient factors and surgical expertise also play a significant role in the overall success of the procedure.