Characterizing the trade-off between range of motion and stability of reverse total shoulder arthroplasty

Elwell, Josie A.; Athwal, George S.; Willing, Ryan

doi:10.1016/j.jse.2021.05.002

Cited by 6 publications

(2 citation statements)

References 34 publications

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“…By using a two-dimensional model of the scapula showing a change in cup depth from 8 mm to 5 mm, range of motion increased by 12° in abduction [ 73 ]. Similarly, Elwell et al reported of a significant, however probably clinically irrelevant, increase in the overall range of motion by reducing the polyethylene cup depth from 8.1 mm to 6 mm [ 109 ]. Lädermann et al suggested that a polyethylene with a notch between 3 and 9 o’clock may have a positive effect on postoperative range of motion as well as a reduction in scapular notching [ 110 ].…”

Section: Implant Designmentioning

confidence: 99%

The Evolution of Reverse Total Shoulder Arthroplasty—From the First Steps to Novel Implant Designs and Surgical Techniques

Frank

Siegert

Plachel

et al. 2022

JCM

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Purpose of Review: The purpose of this review is to summarize recent literature regarding the latest design modifications and biomechanical evolutions of reverse total shoulder arthroplasty and their impact on postoperative outcomes. Recent findings: Over the past decade, worldwide implantation rates of reverse total shoulder arthroplasty have drastically increased for various shoulder pathologies. While Paul Grammont’s design principles first published in 1985 for reverse total shoulder arthroplasty remained unchanged, several adjustments were made to address postoperative clinical and biomechanical challenges such as implant glenoid loosening, scapular notching, or limited range of motion in order to maximize functional outcomes and increase the longevity of reverse total shoulder arthroplasty. However, the adequate and stable fixation of prosthetic components can be challenging, especially in massive osteoarthritis with concomitant bone loss. To overcome such issues, surgical navigation and patient-specific instruments may be a viable tool to improve accurate prosthetic component positioning. Nevertheless, larger clinical series on the accuracy and possible complications of this novel technique are still missing.

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Section: Implant Designmentioning

confidence: 99%

The Evolution of Reverse Total Shoulder Arthroplasty—From the First Steps to Novel Implant Designs and Surgical Techniques

Frank

Siegert

Plachel

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…There is potential for well-designed computer simulation methodologies like multiobjective design optimization techniques, which include normal and abnormal anatomical models to help us narrow down the parameters and positions of various implants as Elwell et al [4] did in their paper looking at the trade-off between ROM and stability in reverse shoulder prostheses.…”

Section: How Do We Get There?mentioning

confidence: 99%

CORR Insights®: Improved Clinical Outcomes After Lateralized Reverse Shoulder Arthroplasty: A Systematic Review

Warme

2022

Clin Orthop Relat Res

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What is the best design for reverse total shoulder arthroplasty in 2022?

Werthel

Valenti²

2021

Obere Extremität

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Characterizing the trade-off between range of motion and stability of reverse total shoulder arthroplasty

Cited by 6 publications

References 34 publications

The Evolution of Reverse Total Shoulder Arthroplasty—From the First Steps to Novel Implant Designs and Surgical Techniques

The Evolution of Reverse Total Shoulder Arthroplasty—From the First Steps to Novel Implant Designs and Surgical Techniques

CORR Insights®: Improved Clinical Outcomes After Lateralized Reverse Shoulder Arthroplasty: A Systematic Review

What is the best design for reverse total shoulder arthroplasty in 2022?

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