Journal of Shoulder and Elbow Surgery
Volume 16, Issue 5 , Pages 631-639 , September 2007

The influence of implant articular thickness and glenohumeral conformity on stability of an all-metal glenoid component

  • Ryan T. Bicknell, MD, MSc, FRCSC

      Affiliations

    • Department of Surgery, University of Western Ontario, Ontario, Canada
    • Corresponding Author InformationReprint requests: Ryan T. Bicknell, MD, MSc, FRCSC, Hand and Upper Limb Centre, St Joseph’s Health Centre, 268 Grosvenor St, London, Ontario, Canada, N6A 4L6.
    • ,
  • Allan S.L. Liew, MD, FRCSC

      Affiliations

    • Department of Surgery, University of Western Ontario, Ontario, Canada
    • ,
  • Matthew R. Danter, MD

      Affiliations

    • Hand and Upper Limb Centre, St Joseph’s Health Centre, London, Ontario, Canada
    • ,
  • Stuart D. Patterson, MBChB, FRCSC

      Affiliations

    • Central Florida Orthopaedic Surgery Associates, Lakeland, FL.
    • ,
  • Graham J.W. King, MD, MSc, FRCSC

      Affiliations

    • Department of Surgery, University of Western Ontario, Ontario, Canada
    • Department of Mechanical and Materials Engineering, University of Western Ontario, Ontario, Canada
    • Hand and Upper Limb Centre, St Joseph’s Health Centre, London, Ontario, Canada
    • Department of Medical Biophysics, University of Western Ontario, Ontario, Canada
    • ,
  • David G. Chess, MD, FRCSC

      Affiliations

    • Department of Surgery, University of Western Ontario, Ontario, Canada
    • Department of Mechanical and Materials Engineering, University of Western Ontario, Ontario, Canada
    • Hand and Upper Limb Centre, St Joseph’s Health Centre, London, Ontario, Canada
    • Department of Medical Biophysics, University of Western Ontario, Ontario, Canada
    • ,
  • James A. Johnson, PhD

      Affiliations

    • Department of Surgery, University of Western Ontario, Ontario, Canada
    • Department of Mechanical and Materials Engineering, University of Western Ontario, Ontario, Canada
    • Hand and Upper Limb Centre, St Joseph’s Health Centre, London, Ontario, Canada
    • Department of Medical Biophysics, University of Western Ontario, Ontario, Canada

References 

  1. Anglin C, Wyss UP, Pichora DR. Mechanical testing of shoulder prostheses and recommendations for glenoid design. J Shoulder Elbow Surg. 2000;9:323–331
  2. Barea C, Mansat P, Hobatho MC, Darmana R, Mansat M. Mechanical properties of the glenoid cancellous bone. Trans Orthop Res Soc. 1997;22:877
  3. Barrett WP, Franklin JL, Jackins SE, Wyss CR, Matsen FA. Total shoulder arthroplasty. J Bone Joint Surg Am. 1987;69:865–872
  4. Batte SWP, Johnson JA, Lee TY, Patterson SD, King GJW, Chess DG. Cancellous bone of the glenoid: relationship of quantitative CT density to mechanical strength. Presented at the 30th Annual Meeting of the Canadian Orthopaedic Research Society, Quebec City, Canada, May 1996.
  5. Bicknell RT, Danter MD, Bennett J, Patterson SD, King GJW, Johnson JA, et al. An anthropometric evaluation of the glenoid: implications in the design and fixation of a shoulder prosthesis. Trans Orthop Res Soc. 1998;23:270
  6. Bicknell RT, Liew A, Danter MR, Patterson SD, King GJW, Chess DG, et al. Does keel size, the use of screws, and the use of bone cement affect fixation of a metal glenoid implant?. J Shoulder Elbow Surg. 2003;2:268–275
  7. Boileau P, Avidor C, Krishnan SG, Walch G, Kempf JF, Mole D. Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Shoulder Elbow Surg. 2002;11:351–359
  8. Chess DG, Batte SWP, Patterson SD, Liew ASL, Danter M, King GJW, et al. Glenoid component design in shoulder arthroplasty: the effect of joint loading and a keel on intrinsic implant stability. Presented at the 31st Annual Meeting of the Canadian Orthopaedic Research Society, Hamilton, Canada, June 1997.
  9. Collins D, Tencer A, Sidles J, Matsen F. Edge displacement and deformation of glenoid components in response to eccentric loading. J Bone Joint Surg Am. 1992;74:501–507
  10. de Leest O, Rozing PM, Rozendaal LA, van der Helm FCT. Influence of glenohumeral prosthesis geometry and placement on shoulder muscle forces. Clin Orthop Relat Res. 1996;222–233
  11. Ellenbecker TS, Mattalino AJ. Glenohumeral joint range of motion and rotator cuff strength following arthroscopic anterior stabilization with thermal capsulorraphy. J Orthop Sports Phys Ther. 1999;29:160–167
  12. Flatow EL, Ateshian GA, Soslowsky LJ, et al. Computer simulation of glenohumeral and patellofemoral subluxation. Clin Orthop Relat Res. 1994;28–33
  13. Flatow EL, Miniaci A, Evans PJ, Simonian PT, Warren RF. Instability of the shoulder: complex problems and failed repairs. J Bone Joint Surg. 1998;80:284–298
  14. Franklin JL, Barrett WP, Jackins SE, Matsen FA. Glenoid loosening in total shoulder arthroplasty (Association with rotator cuff deficiency). J Arthroplasty. 1988;3:39–46
  15. Friedman RJ. Prospective analysis of total shoulder arthroplasty biomechanics. Am J Orthop. 1997;26:265–270
  16. Green A. Current concepts of shoulder arthroplasty. Instr Course Lect. 1998;47:127–133
  17. Horowitz P, Hill W. The art of electronics. In: 2nd ed.. New York: Cambridge University Press; 1990;p. 1001–1002
  18. Iannotti JP, Williams GR. Total shoulder arthroplasty: factors influencing prosthetic design. Orthop Clin North Am. 1998;29:377–391
  19. Jobe CM, Iannotti JP. Limits imposed on glenohumeral motion by joint geometry. J Shoulder Elbow Surg. 1995;4:281–285
  20. Karduna AR, Williams GR, Iannotti JP, Williams JL. Total shoulder arthroplasty biomechanics: a study of the forces and strains at the glenoid component. J Biomech Eng. 1998;120:92–99
  21. Karduna AR, Williams GR, Williams JL, Iannotti JP. Joint stability after total shoulder arthroplasty in a cadaver model. J Shoulder Elbow Surg. 1997;6:506–511
  22. Karduna AR, Williams GR, Williams JL, Iannotti JP. Glenohumeral joint translations before and after total shoulder arthroplasty. J Bone Joint Surg. 1997;79:1166–1174
  23. Lacroix D, Murphy LA, Prendergast PJ. Three-dimensional finite element analysis of glenoid replacement prostheses: a comparison of keeled and pegged anchorage systems. J Biomech Eng. 2000;122:430–436
  24. Lazarus MD, Jensen KL, Southworth C, Matsen FA. The radiographic evaluation of keeled and pegged glenoid component insertion. J Bone Joint Surg Am. 2002;84:1174–1182
  25. Liew A, Batte SWP, Patterson SD, King GJW, Johnson JA, Chess DG. Glenoid component thickness has a significant effect on implant-bone interface stability in total shoulder arthroplasty. Trans Orthop Res Soc. 1997;22:880
  26. Malicky DM, Soslowsky LJ, Blasier RB. Inferior glenohumeral subluxation: active and passive stabilization in a biomechanical model. Trans Orthop Res Soc. 1995;20:679
  27. Martin SD, Zurakowski D, Thornhill TS. Uncemented glenoid component in total shoulder arthroplasty (Survivorship and outcomes). J Bone Joint Surg Am. 2005;87:1284–1292
  28. McMahon PJ, Debski RE, Thompson WO, Warner JJ, Fu FH, Woo SL. Shoulder muscle forces and tendon excursions during glenohumeral abduction in the scapular plane. J Shoulder Elbow Surg. 1995;4:199–208
  29. McPherson EJ, Friedman RJ, An YH, Chokesi R, Dooley RL. Anthropometric study of normal glenohumeral relationships. J Shoulder Elbow Surg. 1997;6:105–112
  30. Mileti J, Boardman ND, Sperling JW, Cofield RH, Torchia ME, O’Driscoll SW, et al. Radiographic analysis of polyethylene glenoid components using modern cementing techniques. J Shoulder Elbow Surg. 2004;13:492–498
  31. Oosterom R, Rozing PM, Verdonschot N, Bersee HF. Effect of joint conformity on glenoid component fixation in total shoulder arthroplasty. Proc Inst Mech Eng [H]. 2004;218:339–347
  32. Orr TE, Carter DR, Schurman DJ. Stress analysis of glenoid component designs. Clin Orthop Relat Res. 1988;217–224
  33. Ozkaya N, Nordin M. Fundamentals of biomechanics: equilibrium, motion and deformation. In: New York: Van Nostrand Reinhold; 1991;p. 291–315
  34. Pearl ML, Volk AG. Coronal plane geometry of the proximal humerus relevant to prosthetic arthroplasty. J Shoulder Elbow Surg. 1996;5:320–326
  35. Poppen NK, Walker PS. Forces at the glenohumeral joint in abduction. Clin Orthop Relat Res. 1978;165–170
  36. Rahme H, Mattsson P, Larsson S. Stability of cemented all-polyethylene keeled glenoid components (A radiostereometric study with a two-year follow-up). J Bone Joint Surg Br. 2004;86:856–860
  37. Severt R, Thomas BJ, Tsenter MJ, Amstutz HC, Kabo JM. The influence of conformity and constraint on translational forces and frictional torque in total shoulder arthroplasty. Clin Orthop Relat Res. 1993;151–158
  38. Skirving AP. Total shoulder arthroplasty: current problems and possible solutions. J Orthop Sci. 1999;4:42–53
  39. Torchia ME, Cofield RH, Settergren CR. Total shoulder arthroplasty with the Neer prosthesis: long-term results. J Shoulder Elbow Surg. 1997;6:495–505
  40. Walch G, Edwards TB, Boulahia A, Boileau P, Mole D, Adeleine P. The influence of glenohumeral prosthetic mismatch on glenoid radiolucent lines: results of a multicenter study. J Bone Joint Surg Am. 2002;84:2186–2191
  41. Wallace AL, Phillips RL, MacDougal GA, Walsh WR, Sonnabend DH. Resurfacing of the glenoid in total shoulder arthroplasty. J Bone Joint Surg Am. 1999;81:510–519
  42. Wang VM, Krishnan R, Ugwonali OF, Flatow EL, Bigliani LU, Ateshian GA. Biomechanical evaluation of a novel glenoid design in total shoulder arthroplasty. J Shoulder Elbow Surg. 2005;14(Suppl S):129S–140S
  43. Williams GR, Abboud JA. Total shoulder arthroplasty: glenoid component design. J Shoulder Elbow Surg. 2005;14:122S–128S
  44. Wirth MA, Rockwood CA. Complications of total shoulder replacement arthroplasty. J Bone Joint Surg Am. 1996;78:603–616
  45. Wuelker N, Brewe F, Sperveslage C. Passive glenohumeral joint stabilization: a biomechanical study. J Shoulder Elbow Surg. 1994;3:129–134
  46. Yian EH, Werner CM, Nyffeler RW, Pfirrmann CW, Ramappa A, Sukthankar A, et al. Radiographic and computed tomography analysis of cemented pegged polyethylene glenoid components in total shoulder replacement. J Bone Joint Surg Am. 2005;87:1928–1936

PII: S1058-2746(07)00195-4

doi: 10.1016/j.jse.2006.10.014

Journal of Shoulder and Elbow Surgery
Volume 16, Issue 5 , Pages 631-639 , September 2007

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