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Biomechanics of Reverse Shoulder Arthroplasty: Contribution of Computer Modeling

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Abstract

Reverse shoulder arthroplasty is proposed when glenohumeral osteoarthritis is associated with rotator cuff deficiency. The non-anatomical design of the reverse prosthesis constrains the articular surfaces and displaces medially the joint rotation center. The gain in stability and muscle moment arms is counterbalanced by impingements that reduce the shoulder mobility. From a biomechanical perspective, reverse shoulder prostheses are thus deeply different from anatomical shoulder prostheses and healthy non-prosthetic shoulders. Computer modeling was used to study the potential of reverse shoulder arthroplasty and reduces its current limitations. In the first step, numerical simulations were used to analyze key biomechanical characteristics of reverse shoulder arthroplasty, by comparison with anatomical shoulder arthroplasty: muscle moment arms, joint reaction force, and contact patterns. In the second step, several design parameters of the reverse prosthesis were evaluated, such as the lateralization of the glenosphere. Computer modeling can be an effective tool to evaluate and improve joint prostheses, especially the reverse prosthesis, because of its non-anatomical design. Today, patient-specific computer modeling might be associated with three-dimensional surgical planning, to help explore the potential indications for reverse shoulder arthroplasty.

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References

  1. Terrier A, Reist A, Vogel A, Farron A. Effect of supraspinatus deficiency on humerus translation and glenohumeral contact force during abduction. Clin Biomech. 2007;22(6):645–51.

    Article  Google Scholar 

  2. Terrier A, Vogel A, Capezzali M, Farron A. An algorithm to allow humerus translation in the indeterminate problem of shoulder abduction. Med Eng Phys. 2008;30(6):710–6.

    Article  PubMed  Google Scholar 

  3. Terrier A, Larrea X, Malfroy Camine V, Pioletti DP, Farron A. Importance of the subscapularis muscle after total shoulder arthroplasty. Clin Biomech (Bristol, Avon). 2013.

    Google Scholar 

  4. Terrier A, Scheuber P, Pioletti DP, Farron A. Activities of daily living with reverse prostheses: importance of scapular compensation for functional mobility of the shoulder. J Shoulder Elbow Surg. 2013.

    Google Scholar 

  5. Terrier A, Brighenti V, Pioletti DP, Farron A. Importance of polyethylene thickness in total shoulder arthroplasty: a finite element analysis. Clin Biomech (Bristol, Avon). 2012.

    Google Scholar 

  6. Terrier A, Aeberhard M, Michellod Y, Mullhaupt P, Gillet D, Farron A, et al. A musculoskeletal shoulder model based on pseudo-inverse and null-space optimization. Med Eng Phys. 2010;32(9):1050–6.

    Article  PubMed  Google Scholar 

  7. Terrier A, Ramondetti S, Merlini F, Pioletti DD, Farron A. Biomechanical consequences of humeral component malpositioning after anatomical total shoulder arthroplasty. J Shoulder Elbow Surg. 2010;19(8):1184–90.

    Article  PubMed  Google Scholar 

  8. Terrier A, Merlini F, Pioletti DP, Farron A. Total shoulder arthroplasty: downward inclination of the glenoid component to balance supraspinatus deficiency. J Shoulder Elbow Surg. 2009;18(3):360–5.

    Article  PubMed  Google Scholar 

  9. Terrier A, Merlini F, Pioletti DP, Farron A. Comparison of polyethylene wear in anatomical and reversed shoulder prostheses. J Bone Joint Surg Br. 2009;91(7):977–82.

    Article  CAS  PubMed  Google Scholar 

  10. Terrier A, Reist A, Merlini F, Farron A. Simulated joint and muscle forces in reversed and anatomic shoulder prostheses. J Bone Joint Surg Br. 2008;90(6):751–6.

    Article  CAS  PubMed  Google Scholar 

  11. Engelhardt C, Malfroy Camine V, Ingram D, Mullhaupt P, Farron A, Pioletti PD, et al. Comparison of an EMG-based and a stress-based method to predict shoulder muscle forces. Comput Methods Biomech Biomed Eng. 2014 (Accepted for publication).

    Google Scholar 

  12. An KN, Browne AO, Korinek S, Tanaka S, Morrey BF. Three-dimensional kinematics of glenohumeral elevation. J Orthop Res. 1991;9(1):143–9.

    Article  CAS  PubMed  Google Scholar 

  13. McClure PW, Michener LA, Sennett BJ, Karduna AR. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001;10(3):269–77.

    Article  CAS  PubMed  Google Scholar 

  14. Johnson GR, Spalding D, Nowitzke A, Bogduk N. Modelling the muscles of the scapula morphometric and coordinate data and functional implications. J Biomech. 1996;29(8):1039–51.

    Article  CAS  PubMed  Google Scholar 

  15. Kronberg M, Nemeth G, Brostrom LA. Muscle activity and coordination in the normal shoulder. An electromyographic study. Clin Orthop Relat Res. 1990;257:76–85.

    PubMed  Google Scholar 

  16. van der Helm FC. Analysis of the kinematic and dynamic behavior of the shoulder mechanism. J Biomech. 1994;27(5):527–50.

    Article  PubMed  Google Scholar 

  17. Graichen H, Stammberger T, Bonel H, Karl-Hans E, Reiser M, Eckstein F. Glenohumeral translation during active and passive elevation of the shoulder—a 3D open-MRI study. J Biomech. 2000;33(5):609–13.

    Article  CAS  PubMed  Google Scholar 

  18. Kelkar R, Wang VM, Flatow EL, Newton PM, Ateshian GA, Bigliani LU, et al. Glenohumeral mechanics: a study of articular geometry, contact, and kinematics. J Shoulder Elbow Surg. 2001;10(1):73–84.

    Article  CAS  PubMed  Google Scholar 

  19. De Wilde LF, Audenaert EA, Berghs BM. Shoulder prostheses treating cuff tear arthropathy: a comparative biomechanical study. J Orthop Res. 2004;22(6):1222–30.

    Article  PubMed  Google Scholar 

  20. Kontaxis A, Johnson GR. Adaptation of scapula lateral rotation after reverse anatomy shoulder replacement. Comput Methods Biomech Biomed Eng. 2007:1.

    Google Scholar 

  21. Terrier A, Aeberhard M, Pioletti DP, Farron A. Effect of the scapulo-humeral rhythm on anatomical and reverse shoulder prostheses. In: 56th annual meeting of the Orthopaedic Research Society, New Orleans, 2010.

    Google Scholar 

  22. Saikko V. Effect of contact pressure on wear and friction of ultra-high molecular weight polyethylene in multidirectional sliding. Proc Inst Mech Eng [H]. 2006;220(7):723–31.

    Article  CAS  Google Scholar 

  23. Coley B, Jolles BM, Farron A, Aminian K. Arm position during daily activity. Gait Posture. 2008;28(4):581–7.

    Article  PubMed  Google Scholar 

  24. Nyffeler RW, Werner CM, Gerber C. Biomechanical relevance of glenoid component positioning in the reverse Delta III total shoulder prosthesis. J Shoulder Elbow Surg. 2005;14(5):524–8.

    Article  PubMed  Google Scholar 

  25. Boileau P, Watkinson DJ, Hatzidakis AM, Balg F. Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elbow Surg. 2005;14(1 Suppl S):147S–61S.

    Google Scholar 

  26. Terrier A, Farron A. Biomechanical rationale for BIO-RSA and metallic lateralization. In: Shoulder concept 2010, the glenoid. Sauramps Médical: Montpellier; 2010. p. 365–70.

    Google Scholar 

  27. Terrier A, Kochbeck S, Merlini F, Gortchacow M, Pioletti DP, Farron A. Tightening force and torque of nonlocking screws in a reverse shoulder prosthesis. Clin Biomech. 2010;25(5):517–22.

    Article  CAS  Google Scholar 

  28. Terrier A, Ston J, Larrea X, Farron A. Measurements of three-dimensional glenoid erosion when planning the prosthetic replacement of osteoarthritic shoulders. Bone Joint J. 2014;96-B(4):513–8.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Laboratory of Biomechanical Orthopedics, Ecole Polytechnique Federal de Lausanne, Station 19, 1015, Lausanne, Switzerland

    Alexandre Terrier

  2. Service of Orthopaedics and Traumatology, University Hospital Center and University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland

    Alain Farron

Authors
  1. Alexandre Terrier
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  2. Alain Farron
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Correspondence to Alexandre Terrier .

Editor information

Editors and Affiliations

  1. Florida Orthopedic Institute, Tampa, Florida, USA

    Mark Frankle

  2. Foundation for Orthopedic Research and Education, Tampa, Florida, USA

    Scott Marberry

  3. Foundation for Orthopedic Research and Education, Tampa, Florida, USA

    Derek Pupello

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© 2016 Springer International Publishing Switzerland

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Terrier, A., Farron, A. (2016). Biomechanics of Reverse Shoulder Arthroplasty: Contribution of Computer Modeling. In: Frankle, M., Marberry, S., Pupello, D. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-20840-4_10

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  • DOI: https://doi.org/10.1007/978-3-319-20840-4_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20839-8

  • Online ISBN: 978-3-319-20840-4

  • eBook Packages: MedicineMedicine (R0)

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