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Published in: Surgical and Radiologic Anatomy 8/2013

01-10-2013 | Original Article

Three-dimensional templating arthroplasty of the humeral head

Authors: Sung Won Cho, Trambak K. Jharia, Young Lae Moon, Sung Woo Sim, Dong Sun Shin, Louis U. Bigliani

Published in: Surgical and Radiologic Anatomy | Issue 8/2013

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Abstract

Background

No anatomical study has been conducted over Asian population to design humeral head prosthesis for the population concerned. This study was done to evaluate the accuracy of commercially available humeral head prosthetic designs, in replicating the humeral head anatomy.

Methods

CT scan data of 48 patients were taken and their 3D CAD models were generated. Then, humeral head prosthetic design of a BF shoulder system produced by a standardized, commercially available company (Zimmer) was used for templating shoulder arthroplasty and the humeral head size having the perfect fit was assessed. These data were compared with the available data in the literature.

Results

All the humeral heads were perfectly matched by one of the sizes available. The average head size was 48.5 mm and the average head thickness was 23.5 mm. The results matched reasonably well with the available data in the literature.

Conclusions

The humeral head anatomy can be recreated reasonably well by the commercially available humeral head prosthetic designs and sizes. Their dimensions are similar to that of the published literature.
Literature
1.
go back to reference Banks SA (2009) Haptic robotics enable a systems approach to design of a minimally invasive modular knee arthroplasty. Am J Orthop (Belle Mead NJ) 38:23–27 Banks SA (2009) Haptic robotics enable a systems approach to design of a minimally invasive modular knee arthroplasty. Am J Orthop (Belle Mead NJ) 38:23–27
2.
go back to reference Boileau P, Walch G (1997) The three-dimensional geometry of the proximal humerus. Implications for surgical technique and prosthetic design. J Bone Joint Surg Br 79:857–865PubMedCrossRef Boileau P, Walch G (1997) The three-dimensional geometry of the proximal humerus. Implications for surgical technique and prosthetic design. J Bone Joint Surg Br 79:857–865PubMedCrossRef
3.
go back to reference Gravez P (2003) Surgical robotics, short state of the art and prospects. Cancer Radiother 7(Suppl 1):26s–32sPubMed Gravez P (2003) Surgical robotics, short state of the art and prospects. Cancer Radiother 7(Suppl 1):26s–32sPubMed
5.
go back to reference Hromadka R, Pokorny D, Popelka S, Jahoda D, Sosna A (2006) Three-dimensional geometry of the proximal humerus and rotator cuff attachment and its utilization in shoulder arthroplasty. Acta Chir Orthop Traumatol Cech 73:77–84PubMed Hromadka R, Pokorny D, Popelka S, Jahoda D, Sosna A (2006) Three-dimensional geometry of the proximal humerus and rotator cuff attachment and its utilization in shoulder arthroplasty. Acta Chir Orthop Traumatol Cech 73:77–84PubMed
6.
go back to reference Hromadka R, Pokorny D, Popelka S, Jahoda D, Sosna A (2010) Lesser tuberosity is more reliable than bicipital groove when determining orientation of humeral head in primary shoulder arthroplasty. Surg Radiol Anat 32(1):31–37PubMedCrossRef Hromadka R, Pokorny D, Popelka S, Jahoda D, Sosna A (2010) Lesser tuberosity is more reliable than bicipital groove when determining orientation of humeral head in primary shoulder arthroplasty. Surg Radiol Anat 32(1):31–37PubMedCrossRef
7.
go back to reference Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am 74:491–500PubMed Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am 74:491–500PubMed
Metadata
Title
Three-dimensional templating arthroplasty of the humeral head
Authors
Sung Won Cho
Trambak K. Jharia
Young Lae Moon
Sung Woo Sim
Dong Sun Shin
Louis U. Bigliani
Publication date
01-10-2013
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 8/2013
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-013-1090-8

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