¹Chan E, ²Movassaghi A, ³Childers J, ³Lack B, ⁴Fomunung C, ⁵Jackson G, ⁶Lubert J, ⁶Sabesan V
¹Campbell University Jerry M. Wallace School of Osteopathic Medicine, Holly Springs, NC, United states; ²Michigan State University College of Human Medicine, Grand Rapids, USA; ³FAU Charles E. Schmidt College of Medicine, Boca Raton, , USA; ⁴Houston Methodist, Houston, USA; ⁵University of Missouri School of Medicine, Columbia, , USA; ⁶Orthopaedic Center of Palm Beach County, Atlantis, USA

Introduction
As surgical technologies such as computer navigation and augmented reality become increasingly utilized in shoulder arthroplasty, questions remain about their value from the patient’s perspective. Despite increased usage in hip and knee arthroplasty, their role in shoulder procedures remains unclear. This study aimed to evaluate patient perceptions of innovative technologies (IT) in shoulder arthroplasty and assess whether preoperative education influences confidence, satisfaction, and expectations.

Methods
In this prospective observational study, 87 patients scheduled to undergo shoulder arthroplasty at a single institution completed a preoperative survey assessing demographics, baseline familiarity with surgical technologies, and perceptions of surgeon use of innovative tools. Patients then viewed a standardized educational video on technology’s role in shoulder arthroplasty. Post-video responses measured changes in confidence, satisfaction, and outcome expectations. Statistical analysis included paired t-tests and ANOVA to evaluate pre-post changes and demographic associations.

Results
Despite 60.9% reported increased confidence in surgeons using IT, 56.3% of patients were unfamiliar with IT at baseline. Most patients (66.7%) preferred the use of advanced planning technologies, though only 41.5% would choose a low-volume surgeon using these tools over a high-volume surgeon using conventional techniques. Confidence improvements were significantly correlated with higher education and income levels (r = 0.31, p = 0.003). After viewing an educational video, patient confidence in their surgeon increased (p = 0.03), and expectations for improved outcomes, fewer complications, less pain, and faster recovery significantly rose (all p<0.001). Despite favorable perceptions, 62.1% of patients were unwilling to pay more, travel further, or wait longer to receive care involving IT.

Conclusions
While most patients are unfamiliar with IT, preoperative education improves their confidence in their surgeon and optimism regarding outcomes. However, cost and logistical concerns remain key barriers to acceptance. Incorporating targeted education may improve patient expectations and engagement while supporting the value proposition of advanced surgical tools.