Biomechanics of the Reverse Shoulder Arthroplasty

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Abstract

The reverse total shoulder arthroplasty (rTSA) was designed to address a relative deficiency in available treatment options for patients with glenohumeral arthritis and concomitant rotator cuff arthropathy. The basic principles of creating a fixed fulcrum prosthesis with a medialized center of rotation and distalized humerus are undoubtedly responsible for the prolonged success of this implant. As modifications to Paul Grammont’s original design emerge, these three principles have remained constant. With continued evolution of our understanding of the intricate biomechanics involved in the rTSA, new modifications will likely continue to develop. These innovations should further improve clinical outcomes and aid in meeting the expanding indications for use of this unique implant.

Keywords

Fixed fulcrum Distalization Medialization Biomechanics Principles Slight lateralization 
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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of OrthopaedicsNew York University-Hospital for Joint DiseasesNew YorkUSA
  2. 2.Department of Orthopaedic Surgery, Center for Musculoskeletal CareNew York University-Hospital for Joint DiseasesNew YorkUSA

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