Biomechanical analysis of the humeral tray positioning in reverse shoulder arthroplasty design View Full Text


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Article Info

DATE

2017-07-04

AUTHORS

Tommaso Ingrassia, Lorenzo Nalbone, Vincenzo Nigrelli, Vito Ricotta, Domenico Pisciotta

ABSTRACT

Despite the widespread use of reverse total shoulder arthroplasty, the fundamental effects of implant configuration on certain biomechanical outcomes have not been completely elucidated especially for the most innovative prostheses. Aim of this work is to investigate the behaviour of a new reverse shoulder prosthesis, characterized by a humeral tray with a variable offset, designed to increase the range of motion and to reduce the impingement. The purposes of this study were to evaluate the effect of reverse shoulder implant design parameters on the deltoid muscle forces, required to produce abduction, and on the shoulder range of motion, in order to provide a more systematic understanding of the fundamental effects of humeral component positioning on the implant performances. The study has been implemented using virtual prototypes of the shoulder-prosthesis assembly. The shape of the prosthesis has been digitally acquired via a 3D scanner and the CAD models of all the components have been created. Through CT images, 3-dimensional models of the shoulder bones have been reconstructed and assembled with the prosthesis components. Numerical FEM models have been set up in order to evaluate how the abduction force changes depending on the humeral tray offset. Using the virtual prototypes of the shoulder-prosthesis assembly, a range of motion analysis has been carried out by setting up a collision detection analysis in a 3D parametric modeling environment. Different humeral tray positions were investigated and four different motions of the arm were simulated. Obtained results have demonstrated that a suitable positioning of the humeral tray can offer significant biomechanical advantages in terms of range of motion and abduction force. More... »

PAGES

651-661

References to SciGraph publications

  • 2014-03-23. Optimal glenoid component inclination in reverse shoulder arthroplasty. How to improve implant stability in MUSCULOSKELETAL SURGERY
  • 2014-04-01. Numerical study of the components positioning influence on the stability of a reverse shoulder prosthesis in INTERNATIONAL JOURNAL ON INTERACTIVE DESIGN AND MANUFACTURING (IJIDEM)
  • 2015-08-27. Implant Design Variations in Reverse Total Shoulder Arthroplasty Influence the Required Deltoid Force and Resultant Joint Load in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2016-09-03. Influence of the metaphysis positioning in a new reverse shoulder prosthesis in ADVANCES ON MECHANICS, DESIGN ENGINEERING AND MANUFACTURING
  • 2008-07-11. Shoulder arthroplasty in EUROPEAN RADIOLOGY
  • 2001. Dynamic Modeling of Musculoskeletal Motion, A Vectorized Approach for Biomechanical Analysis in Three Dimensions in NONE
  • 2014-03-23. Reverse shoulder arthroplasty without subscapularis repair for the treatment of proximal humeral fractures in the elderly in MUSCULOSKELETAL SURGERY
  • 2013-03-31. Duocentric® reversed shoulder prosthesis and Personal Fit® templates: innovative strategies to optimize prosthesis positioning and prevent scapular notching in EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY
  • 2014-12-25. Reversed shoulder arthroplasty with inversed bearing materials: 2-year clinical and radiographic results in 101 patients in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2008-02-10. Hierarchy of Stability Factors in Reverse Shoulder Arthroplasty in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
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    http://scigraph.springernature.com/pub.10.1007/s12008-017-0418-8

    DOI

    http://dx.doi.org/10.1007/s12008-017-0418-8

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    https://app.dimensions.ai/details/publication/pub.1090347369


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