What aspect of surgical technique is emphasized during the removal of the trunnion from the Apex stem?

The emphasis on careful manipulation during the removal of the trunnion from the Apex stem is significant because maintaining the structural integrity of the implant and surrounding bone is crucial for ensuring optimal outcomes in total shoulder arthroplasty. Proper technique minimizes the risk of damaging either the trunnion or the stem itself, which can lead to complications such as loosening, instability, or failure of the implant. Gentle handling during this step allows for a controlled and safe extraction, contributing to the overall success of the procedure and the longevity of the prosthesis. This careful approach aids in preserving the surrounding soft tissue as well, which is important for postoperative recovery and function.