Contact mechanics of reverse total shoulder arthroplasty during abduction the effect of neck-shaft angle, humeral cup depth, and glenosphere diameter.pdfVIP

下载本文档

4
0
约3.22万字
约 9页
2017-03-16 发布于天津
举报
版权申诉

Contact mechanics of reverse total shoulder arthroplasty during abduction the effect of neck-shaft angle, humeral cup depth, and glenosphere diameter.pdf

1、本文档共9页，可阅读全部内容。
2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
5、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
6、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
7、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
8、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Contact mechanics of reverse total shoulder arthroplasty during abduction the effect of neck-shaft angle, humeral cup depth, and glenosphere diameter.pdf

J Shoulder Elbow Surg (2016) 25, 589-597 /locate/ymse Contact mechanics of reverse total shoulder arthroplasty during abduction: the effect of neck-shaft angle, humeral cup depth, and glenosphere diameter G. Daniel G. Langohr, MASc, Ryan Willing, PhD, John B. Medley, PhD, George S. Athwal, MD, FRCSC, James A. Johnson, BSc, BEng(Mech), PhD, PEng* Roth McFarlane Hand and Upper Limb Center, St. Joseph’s Health Care, University of Western Ontario, London, Ontario, Canada Background: Implant design parameters can be changed during reverse shoulder arthroplasty (RSA) to improve range of motion and stability; however, little is known regarding their impact on articular contact mechanics. The purpose of this ?nite element study was to investigate RSA contact mechanics during abduction for different neck-shaft angles, glenosphere sizes, and polyethylene cup depths. Methods: Finite element RSA models with varying neck-shaft angles (155, 145, 135), sizes (38 mm, 42 mm), and cup depths (deep, normal, shallow) were loaded with 400 N at physiological abduction angles. The contact area and maximum contact stress were computed. Results: The contact patch and the location of maximum contact stress were typically located inferomedially in the polyethylene cup. On average for all abduction angles investigated, reducing the neck-shaft angle reduced the contact area by 29% for 155 to 145 and by 59% for 155 to 135 and increased maximum contact stress by 71% for 155 to 145 and by 286% for 155 to 135. Increasing the glenosphere size increased the contact area by 12% but only decreased maximum contact stress by 2%. Decreasing the cup depth reduced the contact area by 40% and increased maximum contact stress by 81%, whereas increasing the depth produced the opposite effect (t52% and –36%, respectively). Discussion: The location of the contact patch and maximum contact stress in this study matches the area of damage seen frequently on clinical retrievals. This ?nding suggests that