Research & Innovation

Dr. Schoch is recognized as an innovator in the shoulder community and regularly works with companies to design, modify, and improve implants in an effort to improve patient outcomes. He has been part of mulitiple design teams and has developed ground breaking implants. Dr. Schoch holds a patent for a retactor surface that minimizes soft tissue damange and has also developed surgical retractors designed to increase operative effiency.

• Laser Cage Glenoid
• Inlay Humerus
• Mustang Rotator Cuff Anchor
• Patent
• Implant Evaluation

Image Courtesy: https://www.exac.com/

The laser cage glenoid builds on the success of its previous version which highest implant survivorship in the Austrailian Shoudler Arthroplasty Registry. The new design utilizes a novel mechanism based on concrete construction to secure the glenoid plastic to the 3D printed metal posts that are all designed to allow bone ingrowth. This design is two times stronger in shear resistance and five times stronger in peg pull-off strength compared to prevous designs. Schoch has been using this new implant since 2022 in combination with computer navigated surgery to optimize patient outcomes.
(Shoulder Surgeons Perform First U.S. Surgeries Using Exactech’s Next Generation Cage Glenoid | Exactech)

Dr. Schoch is currently working to develop a new humeral stem system that allows for improved preservation of patients native bone. This system will allow surgeons to seemlessly transition between anatomic, onlay reverse, and inlay reverse designs to meet patients individual anatomy. ETA: 2027.

Dr. Schoch worked with Dr. Peter Chalmers at the University of Utah to improve the design of the Mustang rotator cuff anchor system. This system utilizes a unique patented locking mechanism which allows rotator cuff repair stiches to be individually tightend after anchors have been placed. The addition of a bone marrow venting system was added to improve the delivery of biologic healing elements to the repair site.

(Bradley S. SCHOCH Inventions, Patents and Patent Applications - Justia Patents Search)

Image Courtesy: https://www.businesswire.com/

Dr. Schoch is routintely invovled in evaluating new technolgies during the initial launch phase, where his feedback is used to modfiy and adjust implant design and delivery before release to surgeons all over the world. (Exactech Announces First Shoulder Surgeries with New Solution for Proximal Humeral Bone Loss | Business Wire). He also participates in the Equinoxe Database, which is a mutlinational shoulder arthroplasty study designed to evaluate the performance of new shoulder arthroplasty designs over time. He heads the Research Council which is associated with this database, from which hundreds of peer reviewed manuscripts have been published.

• Dr. Schoch has teamed with data scientists and shoulder arthroplasty engineers in the devleopment of clincial decision support tools designed to predict patients function after shoulder arthroplasty using only preoperatively available data. This techology using machine learning and artificial intelligence algorthims, similar to the way Netflix can predict which show you may like to watch next. This technology has been shown to improve a surgeons confidence in selecting the right operative for the right patient. (Simmons, Chelsey S., et al. "Surgeon confidence in planning total shoulder arthroplasty improves after consulting a clinical decision support tool." European Journal of Orthopaedic Surgery & Traumatology 33.6 (2023): 2385-2391.)
• Today, Dr. Schoch is continuing the work of advancing our ability to predict and optimize patient outcomes before ever entering the operating room. Work is currently being conducted to utilize minute information in preoperative CT scans (radiomic data – think individual pixels on a computer screen) to predict who will do best with which type of shoulder replacement. This data will eventually be incorportated into the previsouly developed clinical decision support tool and offers further promise in being able to educate patients on what they can resonably expect after sugery.

• Dr. Schoch is regularly invited to speak both nationally and internationally on shoulder surgery. He has presented research, expert option, and instructed on surgical techniques to surgeons from across the world. He is one of a handful of surgeons speaking and educating on the use of Artificial Intellinence in orthopedic shoulder surgery.

• List of Talks

  • Berlin Shoulder Course 2025
    • “Introducing Orthopedics First Machine Learning CT Planning Software”
    • “Muscle modeling – what deltoid radiomic measurements are relevant for outcome?”
    • “Reverse for fractures – When to indicate acutely, when to wait?”
    • Moderator – “How to manage complications in shoulder arthroplasty in 2025”
  • Paris Shoulder Course 2024
    • Humeral Bone Loss Reconstruction with Metal (HRP) - reLive Surgery
    • Reverse Shoulder Arthroplasty for complex fractures: acute vs. delayed treatment
    • Cement vs metal vs allograft for humeral reconstruction
    • Glenoid Loosening - Revision Techniques and Outcomes
    • Prosthetic Revision for Rotator Cuff Insufficiency and Instability
  • Congress of the European Society for Surgery of the Shoulder and the Elbow
    • 2024 – Munich, Germany
      • Pain Relief Survivorship: A Comparison Of Anatomic And Reverse Total Shoulder
      • Predictors Of Ability To Perform Internal Rotation-Dependent ADLs And Satisfaction Despite Loss Of Objective Internal Rotation After Reverse Shoulder Arthroplasty
    • 2022 – Dublin, Ireland
    • 2021 – Poznan, Poland
      • Clinical And Radiographic Outcomes Of Reverse Compared To Anatomic Total Shoulder Arthroplasty With An Intact Rotator Cuff And No Previous Surgery
    • 2020 – Virtual – COVID
      • Preoperative Planning For Shoulder Arthroplasty Does Not Consistently Result In Reproducible In-Vivo Execution
    • 2018 – Geneva, Switzerland
      • Outcomes of uncemented reverse shoulder arthroplasty for proximal humerus fractures compared to cemented stems
  • International Congress of Shoulder and Elbow Surgeons
    • 2023 – Rome, Italy
      • Medialized Glenoid / Lateralized Humerus: Minimizing Complications, Maximizing Outcomes
      • Do patients with poor early outcomes after anatomic and reverse total shoulder arthroplasty ultimately improve?
    • 2019 – Buenos Aires, Argentina
      • Clinical Outcomes of Augmented Total Shoulder Arthroplasty
      • Preoperative Parameters That Predict Postoperative Patient Reported Outcome Measures and Range of Motion with Anatomic and Reverse Total Shoulder Arthroplasty
  • American Shoulder and Elbow Society Annual Meeting
    • 2024 – San Francisco, CA, USA
      • What Threshold of Range of Motion Is Associated with Minimal Gain in Patient-Reported Outcome Scores after Total Shoulder Arthroplasty?
      • Pain Relief Survivorship: A Comparison of Anatomic and Reverse Total Shoulder Arthroplasty for Primary Osteoarthritis
    • 2022 – Atlanta, GA, USA
      • Early Outcomes of a Modular Reverse Proximal Humeral Reconstruction Prosthesis
    • 2021 – Virtual due to COVID
      • Clinical And Radiographic Outcomes Of Reverse Compared To Anatomic Total Shoulder Arthroplasty With An Intact Rotator Cuff And No Previous Surgery
    • 2020 – New York, NY, USA
      • Acute Reverse Total Shoulder Arthroplasty Treatment for Proximal Humerus Fracture Displays Equal or Superior Outcomes to Delayed Treatment
      • Outcomes of the Latarjet Procedure for the Treatment of Chronic Anterior Shoulder Instability Using Two Different Types of Fixation: Cortical Buttons Versus Screws
  • American Academy of Orthopedic Surgeons Annual Meeting
    • 2022 – Chicago, IL
    • 2020 – Orlando, FL
      • Preoperative Planning For Shoulder Arthroplasty Does Not Consistently Result In Reproducible In-Vivo Execution
    • 2019 – Las Vegas, NV, USA
      • Clinical Outcomes of Augmented Total Shoulder Arthroplasty
  • Equinoxe Masters Course
    • 2024 – Sicily, Italy
    • 2023 – Amsterdam, Netherlands
      • Computer Vision: Shoulder CT image Machine Learning Analysis
    • 2022 – New York, USA
      • Treating difficult glenoids
      • Is deltoid fatigue real? How aTSA and rTSA outcomes and ROM change over time
      • How I Use Predict+ in My Clinic
      • Risk Factors for aTSA and rTSA complications
      • Using Machine Learning to Predict Outcomes after Shoulder Arthroplasty
  • Mayo Clinic Comprehensive Shoulder and Elbow Course
    • 2020
    • 2022
    • 2023
    • 2024
• Interested in having Dr. Schoch speak at your event? contact me.