Development of a test device for assessment of glenoid baseplates for reversed shoulder arthroplasty

Christoph Wenger
2012
Student project

When rotator cuff deficiency is present with gleno-humeral osteoarthritis, the current treatment is a reverse total shoulder arthroplasty. The reverse shoulder prosthesis has inverted articular surfaces: a metallic ball (glenosphere) is fixed on the scapula side, usually by means of a metallic base plate, screwed within the glenoid bone, and a polyethylene cup is inserted within a metallic humeral component. Although the clinical outcome is rather satisfactory, at least for elderly people, the optimal fixation of the base plate remains open. The goal of this project is to test the hypothesis that a new base plate prototype could improve the mechanical stability and the surgical technique, compared to a classical existing one. The ASTM F2028 testing protocol will be used to evaluate the prototypes vs. the classical designs. Measurement will be done on cadaveric scapulae.

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Christoph Wenger
2012
Student project

Abstract

Official source

https://infoscience.epfl.ch/record/175200?ln=en

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Related concepts (26)

Related publications (33)

Rotator cuff tear

Rotator cuff tendinopathy is a process of senescence. The pathophysiology is mucoid degeneration. Most people develop rotator cuff tendinopathy within their lifetime. As part of rotator cuff tendinopathy, the tendon can thin and develop a defect. This defect is often referred to as a rotator cuff tear. Acute, traumatic rupture of the rotator cuff tendons can also occur, but is less common. Traumatic rupture of the rotator cuff usually involves the tendons of more than one muscle.

Shoulder

The human shoulder is made up of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone) as well as associated muscles, ligaments and tendons. The articulations between the bones of the shoulder make up the shoulder joints. The shoulder joint, also known as the glenohumeral joint, is the major joint of the shoulder, but can more broadly include the acromioclavicular joint. In human anatomy, the shoulder joint comprises the part of the body where the humerus attaches to the scapula, and the head sits in the glenoid cavity.

Shoulder girdle

The shoulder girdle or pectoral girdle is the set of bones in the appendicular skeleton which connects to the arm on each side. In humans it consists of the clavicle and scapula; in those species with three bones in the shoulder, it consists of the clavicle, scapula, and coracoid. Some mammalian species (such as the dog and the horse) have only the scapula. The pectoral girdles are to the upper limbs as the pelvic girdle is to the lower limbs; the girdles are the parts of the appendicular skeleton that anchor the appendages to the axial skeleton.

Three-dimensional evaluation of the transverse rotator cuff muscle's resultant force angle in relation to scapulohumeral subluxation and glenoid vault morphology in nonpathological shoulders

Alexandre Terrier, Alain Farron, Patrick Goetti, Matthieu Boubat

Background: Static posterior subluxation of the humeral head (SPSH) results in glenohumeral osteoarthritis. Treatment strategies for SPSH with or without resulting osteoarthritis remain challenging. There is growing interest in evaluating the rotator cuff ...

Mosby-Elsevier2024

Comparison of the ALPS and PHILOS plating systems in proximal humeral fracture fixation - a retrospective study

Alexandre Terrier, Frédéric Vauclair, Antoine Dewarrat

BackgroundOpen reduction and plate osteosynthesis are considered as a successful technique for the treatment of proximal humerus fracture (PHF) despite high complication rates. The objective of our study was to review the clinical outcome and complications ...

BMC2023

Association of the Posterior Acromion Extension with Glenoid Retroversion: A CT Study in Normal and Osteoarthritic Shoulders

Alexandre Terrier, Alain Farron, Patrick Goetti, Frédéric Vauclair

Posterior eccentric glenoid wear is associated with higher complication rates after shoulder arthroplasty. The recently reported association between the acromion shape and glenoid retroversion in both normal and osteoarthritic shoulders remains controversi ...

MDPI2022