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Clinical Orthopaedics and Related Research®

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01-03-2008 | Original Article

Hierarchy of Stability Factors in Reverse Shoulder Arthroplasty

Authors: Sergio Gutiérrez, MS, Tony S. Keller, PhD, Jonathan C. Levy, MD, William E. Lee III, PhD, Zong-Ping Luo, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 3/2008

Abstract

Reverse shoulder arthroplasty is being used more frequently to treat irreparable rotator cuff tears in the presence of glenohumeral arthritis and instability. To date, however, design features and functions of reverse shoulder arthroplasty, which may be associated with subluxation and dislocation of these implants, have been poorly understood. We asked: (1) what is the hierarchy of importance of joint compressive force, prosthetic socket depth, and glenosphere size in relation to stability, and (2) is this hierarchy defined by underlying and theoretically predictable joint contact characteristics? We examined the intrinsic stability in terms of the force required to dislocate the humerosocket from the glenosphere of eight commercially available reverse shoulder arthroplasty devices. The hierarchy of factors was led by compressive force followed by socket depth; glenosphere size played a much lesser role in stability of the reverse shoulder arthroplasty device. Similar results were predicted by a mathematical model, suggesting the stability was determined primarily by compressive forces generated by muscles.

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Title: Hierarchy of Stability Factors in Reverse Shoulder Arthroplasty
Authors: Sergio Gutiérrez, MS
Tony S. Keller, PhD
Jonathan C. Levy, MD
William E. Lee III, PhD
Zong-Ping Luo, PhD
Publication date: 01-03-2008
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 3/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-007-0096-0

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Hierarchy of Stability Factors in Reverse Shoulder Arthroplasty

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