Influence of glenohumeral conformity on glenoid stresses after total shoulder arthroplasty
Details
Serval ID
serval:BIB_18F1328669F9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Influence of glenohumeral conformity on glenoid stresses after total shoulder arthroplasty
Journal
Journal of Shoulder and Elbow Surgery
ISSN
1058-2746 (Print)
Publication state
Published
Issued date
08/2006
Volume
15
Number
4
Pages
515-20
Notes
Journal Article --- Old month value: Jul-Aug
Abstract
Glenohumeral conformity has been reported to be one of the most critical implant-related features that may affect the occurrence of glenoid loosening. This study evaluated the mechanical effects of this parameter with a 3-dimensional finite element model of a prosthetic shoulder, which included the scapula, the humerus, and the rotator cuff muscles. Aequalis humeral and glenoid components were implanted numerically according to manufacturer's recommendations for 2 different orientations of the glenoid component (0 degrees and 15 degrees of retroversion). Different values of glenohumeral conformity (1-15 mm of radial mismatch) were tested by a progressive flattening of the glenoid surface. Free and countered rotation movements were simulated. Glenohumeral contact pressure, cement stress, shear stress, and micromotions at the bone-cement interface were calculated. At 0 degrees of retroversion, conformity had only a slight effect, whereas at 15 degrees of retroversion, all quantities increased by more than 200% and exceeded critical values above 10 mm of mismatch.
Keywords
*Arthroplasty, Replacement
Cadaver
Finite Element Analysis
Humans
*Joint Prosthesis
Shoulder Joint/*surgery
Stress, Mechanical
Pubmed
Web of science
Create date
28/01/2008 12:15
Last modification date
20/08/2019 12:49