Biomedical Engineering and Bioengineering 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 …

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 …