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[Music] shoulder replacement is a great way to alleviate debilitating pain and dysfunction in your shoulder the GPS navigation helps improve the surgery because it allows us to better understand the patients anatomy and pathology preoperatively we all have different shapes and sizes and were able to recreate that for each individual patient first we get a CT scan of the patients shoulder and make a 3d reconstruction of their bony Anatomy Im able to decide which type of implant I want where I want to put it and position it to recreate the patients normal Anatomy we then take that information into the operating room receptors attached to the patients shoulder that a camera in the room sees the computer then knows where their shoulder is in space and then Im able to execute that preoperative plan this technique allows the surgery to be more effective I believe its more accurate its more precise Ive been very excited to use GPS navigation to provide patients with the best possibl