Cargando…
Elliptical heads result in increased glenohumeral translation along with micro-motion of the glenoid component during axial rotation in total shoulder arthroplasty
INTRODUCTION: Elliptical-shaped humeral head prostheses have recently been proposed to reflect a more anatomic shoulder replacement. However, its subsequent effect on micro-motion of the glenoid component is still not understood. MATERIALS AND METHODS: Six fresh-frozen, cadaveric shoulders (mean age...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886581/ https://www.ncbi.nlm.nih.gov/pubmed/34216260 http://dx.doi.org/10.1007/s00402-021-04018-4 |
_version_ | 1784880161301200896 |
---|---|
author | Muench, Lukas N. Kia, Cameron Murphey, Matthew Obopilwe, Elifho Cote, Mark P. Imhoff, Andreas B. Mazzocca, Augustus D. Berthold, Daniel P. |
author_facet | Muench, Lukas N. Kia, Cameron Murphey, Matthew Obopilwe, Elifho Cote, Mark P. Imhoff, Andreas B. Mazzocca, Augustus D. Berthold, Daniel P. |
author_sort | Muench, Lukas N. |
collection | PubMed |
description | INTRODUCTION: Elliptical-shaped humeral head prostheses have recently been proposed to reflect a more anatomic shoulder replacement. However, its subsequent effect on micro-motion of the glenoid component is still not understood. MATERIALS AND METHODS: Six fresh-frozen, cadaveric shoulders (mean age: 62.7 ± 9.2 years) were used for the study. Each specimen underwent total shoulder arthroplasty using an anatomic stemless implant. At 15°, 30°, 45° and 60° of glenohumeral abduction, 50° of internal and external rotations in the axial plane were alternatingly applied to the humerus with both an elliptical and spherical humeral head design. Glenohumeral translation was assessed by means of a 3-dimensional digitizer. Micro-motion of the glenoid component was evaluated using four high-resolution differential variable reluctance transducer strain gauges, placed at the anterior, posterior, superior, and inferior aspect of the glenoid component. RESULTS: The elliptical head design showed significantly more micro-motion in total and at the superior aspect of glenoid component during external rotation at 15° (total: P = 0.004; superior: P = 0.004) and 30° (total: P = 0.045; superior: P = 0.033) of abduction when compared to the spherical design. However, during internal rotation, elliptical and spherical heads showed similar amounts of micro-motion at the glenoid component at all tested abduction angles. When looking at glenohumeral translation, elliptical and spherical heads showed similar anteroposterior and superoinferior translation as well as compound motion during external rotation at all tested abduction angles. During internal rotation, the elliptical design resulted in significantly more anteroposterior translation and compound motion at all abduction angles when compared to the spherical design (P < 0.05). CONCLUSION: In the setting of total shoulder arthroplasty, the elliptical head design demonstrated greater glenohumeral translation and micro-motion at the glenoid component during axial rotation when compared to the spherical design, potentially increasing the risk for glenoid loosening in the long term. LEVEL OF EVIDENCE: Controlled Laboratory Study |
format | Online Article Text |
id | pubmed-9886581 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-98865812023-02-01 Elliptical heads result in increased glenohumeral translation along with micro-motion of the glenoid component during axial rotation in total shoulder arthroplasty Muench, Lukas N. Kia, Cameron Murphey, Matthew Obopilwe, Elifho Cote, Mark P. Imhoff, Andreas B. Mazzocca, Augustus D. Berthold, Daniel P. Arch Orthop Trauma Surg Orthopaedic Surgery INTRODUCTION: Elliptical-shaped humeral head prostheses have recently been proposed to reflect a more anatomic shoulder replacement. However, its subsequent effect on micro-motion of the glenoid component is still not understood. MATERIALS AND METHODS: Six fresh-frozen, cadaveric shoulders (mean age: 62.7 ± 9.2 years) were used for the study. Each specimen underwent total shoulder arthroplasty using an anatomic stemless implant. At 15°, 30°, 45° and 60° of glenohumeral abduction, 50° of internal and external rotations in the axial plane were alternatingly applied to the humerus with both an elliptical and spherical humeral head design. Glenohumeral translation was assessed by means of a 3-dimensional digitizer. Micro-motion of the glenoid component was evaluated using four high-resolution differential variable reluctance transducer strain gauges, placed at the anterior, posterior, superior, and inferior aspect of the glenoid component. RESULTS: The elliptical head design showed significantly more micro-motion in total and at the superior aspect of glenoid component during external rotation at 15° (total: P = 0.004; superior: P = 0.004) and 30° (total: P = 0.045; superior: P = 0.033) of abduction when compared to the spherical design. However, during internal rotation, elliptical and spherical heads showed similar amounts of micro-motion at the glenoid component at all tested abduction angles. When looking at glenohumeral translation, elliptical and spherical heads showed similar anteroposterior and superoinferior translation as well as compound motion during external rotation at all tested abduction angles. During internal rotation, the elliptical design resulted in significantly more anteroposterior translation and compound motion at all abduction angles when compared to the spherical design (P < 0.05). CONCLUSION: In the setting of total shoulder arthroplasty, the elliptical head design demonstrated greater glenohumeral translation and micro-motion at the glenoid component during axial rotation when compared to the spherical design, potentially increasing the risk for glenoid loosening in the long term. LEVEL OF EVIDENCE: Controlled Laboratory Study Springer Berlin Heidelberg 2021-07-03 2023 /pmc/articles/PMC9886581/ /pubmed/34216260 http://dx.doi.org/10.1007/s00402-021-04018-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Orthopaedic Surgery Muench, Lukas N. Kia, Cameron Murphey, Matthew Obopilwe, Elifho Cote, Mark P. Imhoff, Andreas B. Mazzocca, Augustus D. Berthold, Daniel P. Elliptical heads result in increased glenohumeral translation along with micro-motion of the glenoid component during axial rotation in total shoulder arthroplasty |
title | Elliptical heads result in increased glenohumeral translation along with micro-motion of the glenoid component during axial rotation in total shoulder arthroplasty |
title_full | Elliptical heads result in increased glenohumeral translation along with micro-motion of the glenoid component during axial rotation in total shoulder arthroplasty |
title_fullStr | Elliptical heads result in increased glenohumeral translation along with micro-motion of the glenoid component during axial rotation in total shoulder arthroplasty |
title_full_unstemmed | Elliptical heads result in increased glenohumeral translation along with micro-motion of the glenoid component during axial rotation in total shoulder arthroplasty |
title_short | Elliptical heads result in increased glenohumeral translation along with micro-motion of the glenoid component during axial rotation in total shoulder arthroplasty |
title_sort | elliptical heads result in increased glenohumeral translation along with micro-motion of the glenoid component during axial rotation in total shoulder arthroplasty |
topic | Orthopaedic Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886581/ https://www.ncbi.nlm.nih.gov/pubmed/34216260 http://dx.doi.org/10.1007/s00402-021-04018-4 |
work_keys_str_mv | AT muenchlukasn ellipticalheadsresultinincreasedglenohumeraltranslationalongwithmicromotionoftheglenoidcomponentduringaxialrotationintotalshoulderarthroplasty AT kiacameron ellipticalheadsresultinincreasedglenohumeraltranslationalongwithmicromotionoftheglenoidcomponentduringaxialrotationintotalshoulderarthroplasty AT murpheymatthew ellipticalheadsresultinincreasedglenohumeraltranslationalongwithmicromotionoftheglenoidcomponentduringaxialrotationintotalshoulderarthroplasty AT obopilweelifho ellipticalheadsresultinincreasedglenohumeraltranslationalongwithmicromotionoftheglenoidcomponentduringaxialrotationintotalshoulderarthroplasty AT cotemarkp ellipticalheadsresultinincreasedglenohumeraltranslationalongwithmicromotionoftheglenoidcomponentduringaxialrotationintotalshoulderarthroplasty AT imhoffandreasb ellipticalheadsresultinincreasedglenohumeraltranslationalongwithmicromotionoftheglenoidcomponentduringaxialrotationintotalshoulderarthroplasty AT mazzoccaaugustusd ellipticalheadsresultinincreasedglenohumeraltranslationalongwithmicromotionoftheglenoidcomponentduringaxialrotationintotalshoulderarthroplasty AT bertholddanielp ellipticalheadsresultinincreasedglenohumeraltranslationalongwithmicromotionoftheglenoidcomponentduringaxialrotationintotalshoulderarthroplasty |