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Dr. Ben Service

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Orlando, FL
Dr. Ben Service

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Learning, teaching and connecting with people are some of my favorite parts of being an orthopedic surgeon.

03/29/2026

The best way for me to learn about complex orthopedic shoulder problems is from other leaders and with hands-on experience. Very thankful to work with and as co-chair for the Stryker Southeastern Shoulder Arthroplasty Symposium held at the Jewett Orthopedic Institute. I loved hearing the different perspectives from the faculty and attendees when discussing how to handle complex shoulder problems. I especially liked seeing the cases that highlighted the various techniques used by the faculty during shoulder arthroplasty (replacement) surgeries. We covered a ton of “classic” and cutting edge research on numerous shoulder arthroplasty topics including complex revision surgery, pyrocarbon hemiarthroplasty, 3D preoperative planning, management of severe shoulder deformities, Mako robotic-assisted RSA surgery, and the use of patient-specific (3D-printed) Shoulder iD implants. The surgeon attendees had an opportunity to simulate the Mako Robotic-assisted shoulder surgery system and also shoulder surgical techniques in the cadaver lab. I’m especially grateful for the .upperextremities, the Stryker Medical Education, and the Orlando Health Bioskills Lab teams that made it all possible!

02/13/2026

When hiking the wrong way, it’s best to restart the journey on the correct path. This surgery was just like that.

The patient presented after multiple prior failed surgeries including an infection with MRSA (previously revised/treated). The initial x-rays demonstrated a superiorly tilted baseplate and a proud stem. The patient had generally preserved function but had ongoing pain. Due to this pain, concern for polyethylene wear, and concern for indolent recurrent infection, surgery was recommended. I proceeded with a 2-stage revision plan. During surgery, the shoulder had inflammatory tissue that was concerning for infection and also polyethylene wear disease. A functional antibiotic spacer was placed because of the concern for recurrent infection. Surgical cultures were negative. The 2nd stage revision was 5 months after my first surgery. Severe glenoid bone loss was identified on the 3D revision preop plan seen here. The glenoid was revised with a 29 mm full wedge augmented baseplate with a central post in a more superior baseplate position because the host bone stock offered solid post fixation. A 42 mm eccentric inferior glenosphere was then used to optimize the center of rotation and avoid inferior bony impingement and scapular notching. I used a modular diaphyseal fixation stem with a proximal tuberosity replacing body to avoid stress on the overall humeral construct & optimize the deltoid wrapping effect. The patient is in early follow-up and is progressing well. Surgical cultures from the second stage surgery were also negative. When revising shoulders that have been treated with multiple prior surgeries, managing complex bone loss can be challenging both for the humerus and the glenoid reconstruction. 3D preoperative planning in the revision setting helps me plan viable reconstruction options and understand when bone grafting or augmented implants will be needed. How would you proceed with his reconstruction?

02/04/2026

How do you feel when you see a shoulder with 34 degrees of retroversion?

Treatment for a shoulder with severe arthritis and altered alignment may have limitations when using standard implants and approaches. There is a risk of limited baseplate fixation, excessive medialization with “high-side” reaming to correct the glenoid version, and a surgeon could consider reconstruction with posterior bone grafting—which can be challenging and time consuming to do.

This patient had a Walch B2 glenoid with 34 degrees of retroversion, rotator cuff weakness, and was > 70 years old. Research shows that RSA in patients >70 will likely offer similar patient reported outcomes to an anatomic TSA but without the risk of the polyethylene glenoid component loosening. RSA implants were chosen for the reconstruction.

3D preoperative planning demonstrated decentering of the humeral head relative to Friedman’s line and the extent of glenoid bone loss. A full wedge augmented baseplate was selected to address the severe retroversion and partially correct retroversion. The augmented component was bone preserving and avoided the need for bone graft. The glenoid side lateralization (8 mm) helped restore deltoid tension without excessive distalization or lateralization relative to the acromion. Other options include a 3D printed baseplate or posterior bone graft. The rehab program started right away with a focus on early passive ROM.

At six months postop, the patient achieved an excellent outcome with a SANE score above 95, excellent range of motion as seen in the photos, and high satisfaction.

The last image that highlights the location of the “wedge” of the glenoid baseplate—it helps compensate for the posterior bone loss and avoided the need for a posterior bone graft.

During fellowship at the Orlando Health Jewett Orthopedic Institute, fellows regularly see complex shoulder cases like this one which reinforce the importance of thoughtful planning, accurate surgery, quality PT, and regular exercises at home (or in the gym).

11/01/2025

Happy Halloween!

09/16/2025

Congratulations to Dr. Julie Bishop and Dr. Jay Keener for an incredible 2025 Masters Shoulder Symposium in Nashville, Tennessee! A special thanks to the entire Stryker Upper Extremities team, including Colleen Flesher, Jon Hebel, Matt Kuester, Mike Beck, Lauren Unger, Kevin Knox, Rob Moore, Anthony Dalaly, Travis Geels & the Med Education team with Andrew Shelton, Tim Stone, Yasmin Nairoukh, Kathryn Klundt, Nina Mundschenk, and Shari Mathewson for their hard work in making this an innovative and high-impact course. It was an honor to work with the world-class faculty team from around the globe.

A special highlight was learning from Dr. Gilles Walch, a true legend of shoulder replacement surgery. His innovations and research will continue to make an impact for many years to come.

09/12/2025

No two patients are the same — and that’s especially true in shoulder replacement surgery.

I use 3D preoperative planning to understand each patient’s unique anatomy and challenges. In some cases, I also use 3D-printed, patient-specific surgical guides. These are custom-made for one patient only, helping translate the digital plan directly into the operating room.

Patient-specific instrumentation (PSI) can improve accuracy in both total and reverse shoulder arthroplasty. While not always necessary, it’s a valuable tool. That said, as Dr. Matsen put it: “The surgeon is the method.”

Technology plays an important role in modern shoulder surgery, but it doesn’t replace surgical training, experience, and the patient-surgeon relationship.

References:
Raiss et al. J Shoulder Elbow Surg. 2020
Gauci et al. Bone Joint J. 2016
Walch et al. J Shoulder Elbow Surg. 2015
Hwang et al. J Shoulder Elbow Surg. 2023

12/25/2024

Merry Christmas!

🎄🕊️🍪

10/19/2024

And it’s a wrap! ASES 2024 is in the books! San Antonio was a great host city and a lot of fun.

This conference was a whirlwind of teaching, learning and connecting. It was great to see Dr. Jeremy Somerson who practices nearby in Texas! Should I get a cowboy hat for the next conference in Texas?

Congratulations to Dr. Jed Kuhn for his leadership and work as President of the ASES. As you can imagine, I loved that he said “Service and the ASES. It’s in our DNA.”

Another congratulations to new ASES President who is an incredible physician and leader!

$“The shouldler fracture healed, so everything will be perfect–right doc?”Patients may ask this type of question after ha...$

08/19/2024

“The shouldler fracture healed, so everything will be perfect–right doc?”

Patients may ask this type of question after having shoulder fractures that affect the proximal humerus or “ball” of the ball-and-socket joint. After the fracture is healed, the shoulder still will likely have limitations. We call these changes to shoulder movement, strength, alignment, and overall function “post-traumatic fracture sequelae.” These patients often will have decreased range of motion, but often can do very well. Some patients after treatment of a shoulder fracture can also go on to develop post-traumatic arthritis of the glenohumeral joint (a.k.a., the ball-and-socket joint) of the shoulder. That’s what happened to this patient.

This patient was injured in their 50s and had fixation of a complex proximal humerus fracture with a plate secured with multiple screws. Glenoid stabilization was also performed. Severe post-traumatic arthritis developed. The patient had 7/10 pain that was worsened with movement. Range-of-motion was markedly decreased. The patient had preop 3D preoperative planning for revision/complex primary shoulder replacement. RSA was chosen as the implant of choice.

At the time of surgery, biopsies were obtained to check for infection. These cultures were negative for growth; a short course of oral antibiotics was used while awaiting final results. The hardware was removed, and RSA components were placed with a full-wedge augmented baseplate. This was chosen to preserve glenoid bone stock, restore glenoid version, and offer 8 mm of lateralization. The glenoid side lateralization helped to decrease the risk of glenoid notching. The humeral side was reconstructed with a short-stem inlay component due to the humeral deformity.

Here we can see the result six months after surgery. The patient has good overhead motion and rotation as well.

Post-traumatic fracture sequelae can be challenging to manage whether done in a single episode or staged surgical treatment. What would you do differently? What would you do for post surgery PT?

03/17/2024

Happy St. Patrick’s Day! Feeling the luck of the Irish today!

03/10/2024

Volunteering at the is even better with great colleagues! It was great working with Dr. Andrew Carbone, our fellow Dr. Joe Wazen and Dr. George Eldayrie. Proud to work with many more awesome team members as part of the and medical team. What is your favorite part of the event?

12/25/2023

Christmas is a time to cherish the smaller wonders, the warmth of loved ones gathered around a crackling fire, the carols that fill the air, and the delicious aroma of festive treats wafting through the kitchen.

Beyond the twinkling lights and lively music, let's remember the true essence of Christmas: love, hope, joy and God's peace that we all need during what can be a stressful season. I pray you have a blessed time with loved ones and embrace the spirit of giving with open arms. Let's be the light that shines in the darkness, the melody that brings harmony, and the hope that whispers promise of a brighter tomorrow.

This Christmas, let's wrap ourselves in gratitude, not just for the gifts under the tree, but for the gift of life itself, the wonder of creation, and the precious connections that bind us together. I hope your holiday season is filled with laughter, heartwarming memories, and the comforting warmth of togetherness.

Wishing you a Merry Christmas filled with love, joy, and blessings galore! ✨

Address

7243 Della Drive, Floor 2
Orlando, FL
32819

Opening Hours

Monday	7:30am - 4:30pm
Thursday	7:30am - 4:30pm

Telephone

+13218420060

Website

https://www.orlandohealth.com/physician-finder/benjamin-c-service-md?hcmacid=a0bi000000HyCQ3AAN

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