A Robotic Glenohumeral Simulator for Investigating Prosthetic Implant Subluxation.

Détails

ID Serval
serval:BIB_93AEC8A97BB9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
A Robotic Glenohumeral Simulator for Investigating Prosthetic Implant Subluxation.
Périodique
Journal of biomechanical engineering
Auteur⸱e⸱s
Mancuso M., Arami A., Becce F., Farron A., Terrier A., Aminian K.
ISSN
1528-8951 (Electronic)
ISSN-L
0148-0731
Statut éditorial
Publié
Date de publication
01/01/2020
Peer-reviewed
Oui
Volume
142
Numéro
1
Pages
015001
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Total shoulder arthroplasty (TSA) is an effective treatment for glenohumeral (GH) osteoarthritis. However, it still suffers from a substantial rate of mechanical failure, which may be related to cyclic off-center loading of the humeral head on the glenoid. In this work, we present the design and evaluation of a GH joint robotic simulator developed to study GH translations. This five-degree-of-freedom robot was designed to replicate the rotations (±40 deg, accuracy 0.5 deg) and three-dimensional (3D) forces (up to 2 kN, with a 1% error settling time of 0.6 s) that the humeral implant exerts on the glenoid implant. We tested the performances of the simulator using force patterns measured in real patients. Moreover, we evaluated the effect of different orientations of the glenoid implant on joint stability. When simulating realistic dynamic forces and implant orientations, the simulator was able to reproduce stable behavior by measuring the translations of the humeral head of less than 24 mm with respect to the glenoid implant. Simulation with quasi-static forces showed dislocation in extreme ranges of implant orientation. The robotic GH simulator presented here was able to reproduce physiological GH forces and may therefore be used to further evaluate the effects of glenoid implant design and orientation on joint stability.
Mots-clé
Arthroplasty, Replacement, Humans, Humeral Head, Robotics, Scapula, Shoulder Joint
Pubmed
Web of science
Open Access
Oui
Création de la notice
18/08/2019 15:20
Dernière modification de la notice
09/03/2023 6:50
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