Engineering Commons^™

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 …

The Development Of A Temporomandibular Force Simulator To Study Craniofacial Strain In-Vitro, Kenneth Kc Ip

Electronic Thesis and Dissertation Repository

An in-vitro musculoskeletal loading simulator was developed to replicate the internal forces of mastication, and then employed in a comparison of clinically relevant facial fracture repairs. Muscle forces are simulated by pneumatic pistons via 3D printed mounts that are reverse-engineered from CT scan to match muscle attachment sites, which are adhered to bone in order to simulate native stress distributions. Bite force and bone strain pattern of the craniofacial structure under load were measured using a force sensor and strain gauges respectively. In a series of five fresh-frozen cadaveric heads, it was found that strain patterns of the craniofacial structure …

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 …