A Breakthrough Moment in Shoulder Surgery—Right Here at Beach Orthopaedics
On June 23, 2025, Dr. Raymond Klug made history at Beach Orthopaedic Specialty Institute by performing the first augmented reality (AR)–assisted shoulder replacement in California using the Medacta NextAR Shoulder system. This pioneering step signifies a new era in orthopedic surgery, combining cutting-edge technology with clinical expertise.
Precision Redefined: How AR Enhances Surgical Accuracy
The Medacta NextAR Shoulder platform transforms traditional procedures by overlaying a 3D virtual reconstruction of the patient’s shoulder—generated from preoperative CT scans—directly onto Dr. Klug’s real-time field of view via either a video monitor or VR glasses. This integration guides every surgical step with pinpoint accuracy:
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Smart optical trackers affixed to the patient’s bone and surgical tools feed live spatial data into the system without the use of an external camera
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Surgeons receive real-time feedback on instrument angles, locations, and alignment—without diverting gaze from the surgical site.
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With the support of 3D planning software, the surgical platform allows for highly accurate placement of shoulder implants—within just 1 degree of angulation and 1 millimeter of positioning. Compared to traditional shoulder replacement surgery, which is typically accurate to within 10 to 11 degrees, this level of precision is a major advancement. For key steps such as guidewire insertion and implant seating, average deviations with the platform are as low as 0.6° and 0.6 mm in angulation and distance, respectively.
In short: NextAR bridges the gap between preoperative 3D planning and actual surgical execution, enabling Dr. Klug to replicate the plan with surgical precision and consistency.
“This technology gives us real-time surgical navigation with incredible accuracy,” said Dr. Klug. “It allows me to perform complex shoulder replacements with a new level of control and customization for each patient.”
Patient Benefits: More Than Just Cool Tech
This advanced guidance means:
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Better implant alignment—enhanced durability and joint function
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Minimized tissue damage—potential for shorter surgeries and quicker recoveries
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Reduced variability—leading to more predictable outcomes, especially in complex cases
Increasing evidence shows AR-guided shoulder replacements lower malpositioning rates and improve implant accuracy—key factors in long-term success.
Leading the Way in Next-Generation Care
Dr. Klug’s achievement exemplifies Beach Orthopaedics’ dedication to innovation. As AR, robotics, and AI continue to redefine orthopedic surgery, we’re committed to ensuring our patients benefit from the latest technology and expertise available.
Learn More or Schedule a Consultation
Curious if AR-assisted shoulder replacement is right for you? We’d love to discuss how it may benefit your unique case.