Engineering Commons^™

Motion And Crosslinked Polyethylene Wear In Reverse Total Shoulder Arthroplasty, Christopher Millward

Electronic Thesis and Dissertation Repository

The reverse total shoulder arthroplasty (RTSA) has quickly grown to become the most commonly used shoulder arthroplasty design; however, reports have shown evidence of RTSA failures related to polyethylene wear and damage. Therefore, the present work investigated the wear of crosslinked polyethylene (XLPE) in environments similar to that of an in vivo RTSA. Additionally, a computational model was developed based on a previous study of the shoulder motions obtained from a selection of typical patients with RTSA. This model quantified the amount of glenohumeral motion that an RTSA may be subjected to in vivo and provided an approximate value for …

Acromial Insufficiency Fractures In Reverse Total Shoulder Arthroplasty: A Biomechanical Study, Alicia Kerrigan

Electronic Thesis and Dissertation Repository

Reverse total shoulder arthroplasty (RTSA) is increasingly utilized in the aging population, with a growing list of surgical indications including rotator cuff tear arthropathy, proximal humerus fractures, and revision arthroplasty. Acromial insufficiency fractures following RTSA are poorly understood, difficult to diagnose, and associated with inferior clinical outcomes. There is limited knowledge in the literature regarding the etiology of post-operative acromial fractures. The purpose of this study is to evaluate the role of implant parameters on acromial strain following RTSA.

Using a cadaveric model, a custom designed modular RTSA system was implanted that allowed for evaluation of modifiable parameters including glenoid …

Examining Reverse Total Shoulder Arthroplasty Baseplate Fixation In Patients With E2-Type Glenoid Erosion, Matthew D. Mahaffy

Electronic Thesis and Dissertation Repository

Superior glenoid erosion of the shoulder joint is a result of humeral subluxation caused by rotator cuff tears, and can be addressed using implants, specifically reverse total shoulder arthroplasty. This thesis examined the regional variations of bone present in superiorly eroded glenoids, established a baseline for regular RTSA baseplate fixation in patients with this defect, and compared the effect of geometric baseplate differences on implant fixation. The superiorly eroded glenoids demonstrated similar regional bone density variations as normal glenoids, and the superior and inferior regions of the glenoid demonstrated the densest and least dense cancellous bone, respectively. These regions also …

Influence Of Scapular Notching On Contact Mechanics And Simulator Wear Of Reverse Total Shoulder Arthroplasty Implants, Michael William Griffiths

Electronic Thesis and Dissertation Repository

Scapular notching is a common complication of reverse total shoulder arthroplasty (RTSA) wherein the predominant focus of current literature has been on changes in osseous anatomy. However, the implications on RTSA performance from the damaged humeral cup is largely unknown. Therefore the present work describes the effects of the initiation and propagation of the humeral cup defect resulting from scapular notching through the use of finite element modeling and wear simulation, in order to assess changes in RTSA contact mechanics and tribological properties. A significant decrease in articular contact area and increase in maximum contact stress values was found for …

Fundamentals Of The Biomechanical Characteristics Related To The Loading Of Reverse Total Shoulder Arthroplasty Implants And The Development Of A Wear Simulation Strategy, G Daniel G. Langohr

Electronic Thesis and Dissertation Repository

A greater understanding of reverse total shoulder arthroplasty (RTSA) in terms of articular contact mechanics and wear is essential for the optimization of current surgical technique and future implant design. Despite the prevalence of RTSA for shoulder reconstruction, there is little information in current literature regarding the effects of changes in implant parameters on articular contact mechanics and wear. The present work describes the use of in-vitro cadaveric studies, a computational model of the articular contact surfaces, and the development and implementation of a wear simulation strategy to assess RTSA contact mechanics and wear.

The articular loading characteristics of RTSA …