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Primary Fixation of Glenoid Implants: An In Vitro Study

  • Conference paper
Shoulder Arthroplasty

Summary

We compared the different methods of primary fixation available within the glenoid components: cemented triangular keel, round backed and flat-backed, two cemented pegs, uncemented expansion screws. The implants were subjected to pull-out and eccentric load tests in a bone substitution material: a polyurethane foam loaded with aluminium. Experimental validation obtained from the measurements taken on the cadaveric specimens allowed us to make the following conclusions: (a) primary implant fixation was superior for the cemented implants during the tests, (b) the presence of cement beneath the tray added stability, (c) the cemented triangular keel had better fixation than the cemented pegs.

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References

  1. Boileau P, Walch G, Liotard JP (1992) Etude radiocinématographique de l’élévation active de l’épaule prothésée. Rev Chir Orthop 78:355–364

    PubMed  CAS  Google Scholar 

  2. Boyd AD Jr, Aliabadi P, Thornhill TS (1991) Postoperative proximal migration in total shoulder arthroplasty. Incidence and significance. J Arthroplasty 6:31–37

    Article  PubMed  Google Scholar 

  3. Brantschen R, Gerber C (1991) Possibilities of shoulder protheses in arthritis. Ther Umsch 48:645–57

    PubMed  CAS  Google Scholar 

  4. Cofield RH, Daly PJ (1992) Total shoulder arthroplasty with a tissue-ingrowth glenoid component. J Shoulder Elbow Surg 1:77–85

    Article  PubMed  CAS  Google Scholar 

  5. Cofield RH Frankle MA, Zuckerman JD (1993) Humeral head replacement in glenohumeral arthritis. J Shoulder Elbow Surg 2(2):S13

    Google Scholar 

  6. Cofield RH (1994) Uncemented total shoulder arthroplasty. Clin Orthop 307:86–93

    PubMed  Google Scholar 

  7. Collins D, Tencer A, Sidles J, Matsen F (1992) Edge displacement and deformation of glenoid components in response to eccentric loading. J Bone Joint Surg 74A:501–507

    Google Scholar 

  8. Cook SD, Barrack RL, Salkeld SL, Prewett AB, Edmunds JO Jr (1993) Bone ingrowth into a porous coated total shoulder component retrieved postmortem. J Arthroplasty 8:189–194

    Article  PubMed  CAS  Google Scholar 

  9. Franklin JL Barrett WP, Jackins SE, Matsen FA (1988) Glenoïd loosening in total shoulder arthroplasty (association with rotator cuff deficiency). J Arthroplasty 3:39–46

    Article  PubMed  CAS  Google Scholar 

  10. Friedman RJ (1992) Glenohumeral translation after total shoulder arthroplasty. J Shoulder Elbow Surg 1:312--316

    Article  PubMed  CAS  Google Scholar 

  11. Fukuda K, Chen CN, Cofield RH, Chao EY (1988) Biomechanical analysis of stability and fixation strength of total shoulder prostheses. Orthopaedics 11:141–149

    CAS  Google Scholar 

  12. Harryman DT, Sidles JA, Harris SL, Lippitt SB, Matsen FA (1995) The effect of articular conformity and the size of the humeral head component on laxity and motion after glenohumeral arthroplasty. J Bone Joint Surg 77A:555–563

    Google Scholar 

  13. Howell SM, Galinat BJ (1989) The glenoid-labral socket (A constrained articular surface). Clin Orthop 243:122–125

    PubMed  Google Scholar 

  14. Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships (An anatomical study of 140 shoulders). J Bone Joint Surg 74A:491–500

    Google Scholar 

  15. Lippitt SB, Vanderhooft JE, Harris SL, Sidles JA, Harry-man DT, Matsen FA (1993) Glenohumeral stability from concavity-compression: a quantitative analysis. J Shoulder Elbow Surg 2(1):27–35

    Article  PubMed  CAS  Google Scholar 

  16. Matsen FA, Tencer A (1991) Glenoid component stability is enhanced by accurate preparation of the bone surface. Presented at the 10th closed meeting of the American Shoulder and Elbow surgeons, Seattle

    Google Scholar 

  17. Neer CS II (1974) Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg 56A:1–13

    Google Scholar 

  18. Poppen NK, Walker PS (1978) Forces at the glenohumeral joint in abduction. Clin Orthop 16:165–170

    Google Scholar 

  19. Severt R, Thomas BJ, Tsenter MJ, Amstutz HC, Kabo JM (1993) The influence of conformity and constraint on translational forces and frictional torque in total shoulder arthroplasty. Clin Orthop 292:151–158

    PubMed  Google Scholar 

  20. Thomas BJ, Amstutz HC, Cracchiolo A (1991) Shoulder arthroplasty for rheumatoid arthritis. Clin Orthop 265:125–128

    PubMed  Google Scholar 

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Authors
  1. F. Lacaze
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  2. J. F. Kempf
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  3. F. Bonnomet
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  4. P. Boutemy
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  5. F. Colin
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Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery Hôpital de L’Archet, University of Lyon, 116, Rue Antoine Charial, 69003, Lyon, France

    Gilles Walch M.D.

  2. Department of Orthopaedic Surgery Hôpital de L’Archet, University of Nice, 151, Route de Saint-Antoine de Ginestière, 06200, Nice, France

    Pascal Boileau M.D.

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© 1999 Springer-Verlag Berlin Heidelberg

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Lacaze, F., Kempf, J.F., Bonnomet, F., Boutemy, P., Colin, F. (1999). Primary Fixation of Glenoid Implants: An In Vitro Study. In: Walch, G., Boileau, P. (eds) Shoulder Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58365-0_14

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  • DOI: https://doi.org/10.1007/978-3-642-58365-0_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63554-0

  • Online ISBN: 978-3-642-58365-0

  • eBook Packages: Springer Book Archive

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