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
Author(s)
Terrier  A., Buchler  P., Farron  A.
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 13:15
Last modification date
20/08/2019 13:49
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