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Optimal insertion site of glenoid baseplate in reverse total shoulder arthroplasty: anatomical simulation using three dimensional image processing software

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A Correction to this article was published on 19 January 2022

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Abstract

Purpose

Conventionally, the central structure of the baseplate is inserted through the point where the vertical and horizontal axes of the glenoid intersect (conventional insertion site (CIS)). However, there is scanty theoretical evidence that CIS has the optimal bone stock. We evaluated the optimal insertion site for the glenoid baseplate through the three-dimensional volumetric measurement of the glenoid bone stock.

Methods

Pre-operative computed tomography (CT) images of 30 consecutive reverse total shoulder arthroplasty procedures were analyzed. Three-dimensional image processing software was used to reconstruct CT and volumetrically measure the glenoid bone stock according to the simulated central peg. A simulated central peg was inserted to the medial pole of the scapula from 49 points determined along with the intersect point of the vertical and horizontal axes of the glenoid CIS at 2-mm intervals. The overlapped volume between the simulated central peg and glenoid vault, representing the amount of glenoid bone stock along the passage of the central peg, was then automatically calculated.

Results

The depth of the glenoid vault was 25.5 ± 3.0 mm (range, 19.3–31.5), and the mean overlapped volume between the simulated central peg and the glenoid vault was 623.0 ± 185.8 ml. The optimal insertion site for the bony purchase of the central peg was 2 mm inferior and posterior from the CIS (765.3 ± 157.5).

Conclusion

The optimal insertion site of the baseplate is located slightly inferiorly and posteriorly to the CIS. This anatomical information may be used as a reference to determine the optimal insertion site of the baseplate according to an implant of a surgeon’s choice.

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References

  1. Ernstbrunner L, Andronic O, Grubhofer F, Camenzind RS, Wieser K, Gerber C (2019) Long-term results of reverse total shoulder arthroplasty for rotator cuff dysfunction: a systematic review of longitudinal outcomes. J Shoulder Elbow Surg 28:774–781. https://doi.org/10.1016/j.jse.2018.10.005

    Article  PubMed  Google Scholar 

  2. Favard L, Levigne C, Nerot C, Gerber C, De Wilde L, Mole D (2011) Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time? Clin Orthop Relat Res 469:2469–2475. https://doi.org/10.1007/s11999-011-1833-y

    Article  PubMed  PubMed Central  Google Scholar 

  3. Boileau P (2016) Complications and revision of reverse total shoulder arthroplasty. Orthop Traumatol Surg Res 102:S33-43. https://doi.org/10.1016/j.otsr.2015.06.031

    Article  CAS  PubMed  Google Scholar 

  4. Gutierrez S, Greiwe RM, Frankle MA, Siegal S, Lee WE 3rd (2007) Biomechanical comparison of component position and hardware failure in the reverse shoulder prosthesis. J Shoulder Elbow Surg 16:S9–S12. https://doi.org/10.1016/j.jse.2005.11.008

    Article  PubMed  Google Scholar 

  5. Codsi MJ, Bennetts C, Gordiev K, Boeck DM, Kwon Y, Brems J, Powell K, Iannotti JP (2008) Normal glenoid vault anatomy and validation of a novel glenoid implant shape. J Shoulder Elbow Surg 17:471–478. https://doi.org/10.1016/j.jse.2007.08.010

    Article  PubMed  Google Scholar 

  6. Hoenecke HR Jr, Hermida JC, Flores-Hernandez C, D’Lima DD (2010) Accuracy of CT-based measurements of glenoid version for total shoulder arthroplasty. J Shoulder Elbow Surg 19:166–171. https://doi.org/10.1016/j.jse.2009.08.009

    Article  PubMed  Google Scholar 

  7. Peltz CD, Divine G, Drake A, Ramo NL, Zauel R, Moutzouros V, Bey MJ (2015) Associations between in-vivo glenohumeral joint motion and morphology. J Biomech 48:3252–3257. https://doi.org/10.1016/j.jbiomech.2015.06.030

    Article  PubMed  PubMed Central  Google Scholar 

  8. Hoenecke HR Jr, Hermida JC, Dembitsky N, Patil S, D’Lima DD (2008) Optimizing glenoid component position using three-dimensional computed tomography reconstruction. J Shoulder Elbow Surg 17:637–641. https://doi.org/10.1016/j.jse.2007.11.021

    Article  PubMed  Google Scholar 

  9. Rispoli DM, Sperling JW, Athwal GS, Wenger DE, Cofield RH (2008) Projection of the glenoid center point within the glenoid vault. Clin Orthop Relat Res 466:573–578. https://doi.org/10.1007/s11999-007-0087-1

    Article  PubMed  PubMed Central  Google Scholar 

  10. Walch G, Badet R, Boulahia A, Khoury A (1999) Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty 14:756–760. https://doi.org/10.1016/s0883-5403(99)90232-2

    Article  CAS  PubMed  Google Scholar 

  11. Iannotti J, Baker J, Rodriguez E, Brems J, Ricchetti E, Mesiha M, Bryan J (2014) Three-dimensional preoperative planning software and a novel information transfer technology improve glenoid component positioning. J Bone Joint Surg Am 96:e71. https://doi.org/10.2106/jbjs.L.01346

    Article  PubMed  Google Scholar 

  12. Nashikkar PS, Scholes CJ, Haber MD (2019) Role of intraoperative navigation in the fixation of the glenoid component in reverse total shoulder arthroplasty: a clinical case-control study. J Shoulder Elbow Surg 28:1685–1691. https://doi.org/10.1016/j.jse.2019.03.013

    Article  PubMed  Google Scholar 

  13. Villatte G, Muller AS, Pereira B, Mulliez A, Reilly P, Emery R (2018) Use of patient-specific instrumentation (PSI) for glenoid component positioning in shoulder arthroplasty. A systematic review and meta-analysis. PLoS One 13:e0201759. https://doi.org/10.1371/journal.pone.0201759

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Kriechling P, Roner S, Liebmann F, Casari F, Furnstahl P, Wieser K (2020) Augmented reality for base plate component placement in reverse total shoulder arthroplasty: a feasibility study. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-020-03542-z

  15. Cabarcas BC, Cvetanovich GL, Gowd AK, Liu JN, Manderle BJ, Verma NN (2019) Accuracy of patient-specific instrumentation in shoulder arthroplasty: a systematic review and meta-analysis. JSES Open Access 3:117–129. https://doi.org/10.1016/j.jses.2019.07.002

    Article  PubMed  PubMed Central  Google Scholar 

  16. Barrett I, Ramakrishnan A, Cheung E (2019) Safety and efficacy of intraoperative computer-navigated versus non-navigated shoulder arthroplasty at a tertiary referral. Orthop Clin North Am 50:95–101. https://doi.org/10.1016/j.ocl.2018.08.004

    Article  PubMed  Google Scholar 

  17. Verborgt O, Vanhees M, Heylen S, Hardy P, Declercq G, Bicknell R (2014) Computer navigation and patient-specific instrumentation in shoulder arthroplasty. Sports Med Arthrosc Rev 22:e42-49. https://doi.org/10.1097/jsa.0000000000000045

    Article  PubMed  Google Scholar 

  18. Jung HJ, Nam T-S, Park D, Jeon I-H (2020) Three-dimensional morphometric analysis of penetrative depth and size of nonarthritic and degenerative arthritic glenoids: implications for glenoid replacement in shoulder arthroplasty. Clin Orthop Surg 12:224–231

    Article  Google Scholar 

  19. Matsuki K, Sugaya H, Hoshika S, Ueda Y, Takahashi N, Tokai M, Banks SA (2018) Three-dimensional measurement of glenoid dimensions and orientations. J Orthop Sci. https://doi.org/10.1016/j.jos.2018.11.019

  20. Cabezas AF, Krebes K, Hussey MM, Santoni BG, Kim HS, Frankle MA, Oh JH (2016) Morphologic variability of the shoulder between the populations of North American and East Asian. Clin Orthop Surg 8:280–287. https://doi.org/10.4055/cios.2016.8.3.280

    Article  PubMed  PubMed Central  Google Scholar 

  21. Dilisio MF, Warner JJ, Walch G (2016) Accuracy of the subchondral smile and surface referencing techniques in reverse shoulder arthroplasty. Orthopedics 39:e615-620. https://doi.org/10.3928/01477447-20160610-04

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 82, Gumi-Ro 173 Beon-Gil, Bundang-Gu, Seongnam-Si, Gyeonggi-Do, Republic of Korea

    Hyeon Jang Jeong, Myeong Gon Jeong, Sang Woo Kim, Jian Han, Bei Liu & Joo Han Oh

  2. Department of Orthopaedic Surgery, Kyung Hee University College of Medicine, Kyung Hee University Medical Center, 23, Kyungheedae-ro, Seoul, Dongdaemun-gu, Republic of Korea

    Sung-Min Rhee

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  1. Hyeon Jang Jeong
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  2. Myeong Gon Jeong
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  4. Jian Han
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Correspondence to Joo Han Oh.

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Level of evidence: IV, case series

The original version of this article was revised. The correct copyright should be “The Author(s) under exclusive licence to SICOT aisbl.”

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Jeong, H.J., Jeong, M.G., Kim, S.W. et al. Optimal insertion site of glenoid baseplate in reverse total shoulder arthroplasty: anatomical simulation using three dimensional image processing software. International Orthopaedics (SICOT) 45, 3171–3177 (2021). https://doi.org/10.1007/s00264-021-05235-7

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  • DOI: https://doi.org/10.1007/s00264-021-05235-7

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