Glenoid Bone Quality: Predicting Cement Stress in Total Shoulder Arthroplasty

In course

Description

This lecture discusses the importance of glenoid bone quality in total shoulder arthroplasty, focusing on predicting cement stress through finite element models. The study includes methods for assessing bone quality, patient-specific parameters, and correlations between bone quality and cement stress. Results show a strong correlation between reamed subchondral bone quality and cement stress. The discussion covers the clinical relevance of the findings, including factors affecting bone quality and the impact on aseptic loosening rates. In conclusion, preserving glenoid bone quality is crucial for successful total shoulder arthroplasty, emphasizing the significance of preoperative planning and potential use of augmented glenoid implants.

Instructors (7)

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https://mediaspace.epfl.ch/media/0_bhq2go0a

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Related lectures (34)

Related concepts (23)

Arthroplasty

Arthroplasty (literally "[re-]forming of joint") is an orthopedic surgical procedure where the articular surface of a musculoskeletal joint is replaced, remodeled, or realigned by osteotomy or some other procedure. It is an elective procedure that is done to relieve pain and restore function to the joint after damage by arthritis or some other type of trauma. Joint replacement For the last 45 years, the most successful and common form of arthroplasty is the surgical replacement of arthritic or destructive or necrotic joint or joint surface with a prosthesis.

Shoulder problem

Shoulder problems including pain, are one of the more common reasons for physician visits for musculoskeletal symptoms. The shoulder is the most movable joint in the body. However, it is an unstable joint because of the range of motion allowed. This instability increases the likelihood of joint injury, often leading to a degenerative process in which tissues break down and no longer function well. Shoulder pain may be localized or may be referred to areas around the shoulder or down the arm.

Rotator cuff

The rotator cuff is a group of muscles and their tendons that act to stabilize the human shoulder and allow for its extensive range of motion. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles are: supraspinatus muscle infraspinatus muscle teres minor muscle subscapularis muscle. The supraspinatus muscle spreads out in a horizontal band to insert on the superior facet of the greater tubercle of the humerus. The greater tubercle projects as the most lateral structure of the humeral head.

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.

Correlation

In statistics, correlation or dependence is any statistical relationship, whether causal or not, between two random variables or bivariate data. Although in the broadest sense, "correlation" may indicate any type of association, in statistics it usually refers to the degree to which a pair of variables are linearly related. Familiar examples of dependent phenomena include the correlation between the height of parents and their offspring, and the correlation between the price of a good and the quantity the consumers are willing to purchase, as it is depicted in the so-called demand curve.