Reverse total shoulder glenoid baseplate stability with superior glenoid bone loss.
J Shoulder Elbow Surg
; 26(10): 1748-1755, 2017 Oct.
Article
in En
| MEDLINE
| ID: mdl-28689820
ABSTRACT
BACKGROUND:
Superior wear of the glenoid bone is common in patients with rotator cuff arthropathy. This can become a treatment challenge for patients who require shoulder arthroplasty. In reverse shoulder arthroplasty (RSA), glenoid bone loss may affect the stability of baseplate fixation. The primary purpose of this biomechanical laboratory study was to assess the initial fixation stability of RSA glenosphere baseplates in the presence of variable amounts of superior glenoid bone loss. MATERIALS ANDMETHODS:
High-density solid rigid polyurethane foam (30 pounds/cubic foot) was machined to model the glenoid with variable superior defects that provided different levels of support (100%, 90%, 75%, and 50%) for the glenosphere baseplate. The samples were cyclically loaded (0-750 N at 1 Hz for 5000 cycles) at a 60° glenohumeral angle. The micromotion and migration of the baseplate were calculated from displacement data captured during the loading tests with an array of 3 linear variable differential transformers mounted around the baseplate.RESULTS:
Micromotion was significantly greater in samples with 50% defects compared with those with smaller defects. Migration was significantly greater after testing for all defect sizes.CONCLUSIONS:
Initial fixation of RSA glenosphere baseplates was significantly reduced in models with 50% bone loss on the superior edge compared with models with less bone loss in this high-density bone foam model.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Scapula
/
Arthroplasty, Replacement, Shoulder
/
Joint Instability
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
J Shoulder Elbow Surg
Journal subject:
ORTOPEDIA
Year:
2017
Type:
Article
Affiliation country:
United States