Skip to main content
SpringerLink
Log in

Prosthetic Adaptability: A New Concept in Shoulder Arthroplasty

  • Conference paper
Shoulder Arthroplasty

Summary

The large variation in articular surface dimensions makes modularity a prerequisite for the design of a shoulder prosthesis. However, the variable shape of the proximal humerus, as observed in our anatomical study, has led us to develop a new generation of shoulder prosthesis which is not only modular but also adaptable to the individual anatomy. Prosthetic adaptability is a new concept which allows four geometrical parameters to be taken into account intraoperatively: inclination, retroversion, posterior offset and medial offset can be individualised for each shoulder, thanks to technological innovations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ballmer FT, Sidles JA, Lippitt SB, Matsen FA (1993) Humeral head prosthetic arthroplasty: surgically relevant geometric considerations. J Shoulder Elbow Surg 2:296–304

    Article  PubMed  CAS  Google Scholar 

  2. Boileau P, Walch G, Liotard JP (1992) Cineradiographic study of active elevation of the prosthetic shoulder. J Orthop Surg 6:351–359

    Google Scholar 

  3. Boileau P, Walch G, Mazzoleni N, Urien JP (1993) In vitro study of humeral retrotorsion. J Shoulder Elbow Surg 2:S12

    Google Scholar 

  4. Boileau P, Walch G (1994) The combined offset (medial and posterior) of the humeral sphere. J Shoulder Elbow Surg 3:21–6

    Google Scholar 

  5. Boileau P, Walch G (1995) Adaptability and modularity in shoulder arthroplasty. Acta Orthop Belgica 61 [Suppl I]:49–61

    Google Scholar 

  6. Boileau P, Walch G (1996) Varus shoulder prosthesis: error or necessity? J Shoulder Elbow Surg 62:186

    Google Scholar 

  7. Boileau P, Walch G (1997) Product design and development: humeral considerations in a shoulder prosthesis. Orthop Special Edition 3:63–66

    Google Scholar 

  8. Cofield RH (1984) Total shoulder replacement with the Neer prosthesis. J Bone Joint Surg Am 66:899–906

    PubMed  CAS  Google Scholar 

  9. Fenlin JM, Vacaro A, Andreichik D, Lin S (1990) Modular total shoulder: early experience and impressions. Sem Arthroplasty 2:102–111

    Google Scholar 

  10. Fisher LP, Garret JP, Gonon GP et al (1977) Etude cinématique des mouvements de l’articulation scapulo-huméral. Rev Chir Orthop 63 [Suppl II]:108–112

    Google Scholar 

  11. Friedman RJ (1990) Biomechanics of the shoulder following total shoulder replacement. In: Post M, Morrey BF, Hawkins RJ (eds) Surgery of the shoulder. Mosby-Year Book, St. Louis, pp 263–266

    Google Scholar 

  12. Jobe CM, Ianotti JP (1995) Limits imposed on glenohumeral motion by joint geometry. J Shoulder and Elbow Surg 4:281–285

    Article  CAS  Google Scholar 

  13. Hawkins RJ, Bell RH, Jallay B (1989) Total shoulder arthroplasty. Clin Orthop 242:188–194

    PubMed  Google Scholar 

  14. Iannotti JP, Gabriel JG, Shnecks L, Evans BG, Misra S (1992) The normal gleno-humeral relationships. J Bone Joint Surg Am 74:491–500

    PubMed  CAS  Google Scholar 

  15. Neer CS, Watson KC, Stanton FJ (1982) Recent experience in total shoulder replacement. J Bone Joint Surg Am 64:319–337

    PubMed  Google Scholar 

  16. Neer CS (1990) Glenohumeral arthroplasty design In: Shoulder reconstruction. Saunders, Philadelphia, pp 146–160

    Google Scholar 

  17. Pearl ML Volk AG (1995) Retroversion of the proximal humerus relevant to prosthetic replacement arthroplasty. J Shoulder Elbow Surg 8:151–162

    Google Scholar 

  18. Pearl ML Volk AG (1996) Coronal plane geometry of the proximal humerus relevant to prosthetic arthroplasty. J Shoulder Elbow Surg 5:320–326

    Article  PubMed  CAS  Google Scholar 

  19. Roberts SNJ, Foley APJ, Swallow HM, Wallace WA, Coughlan DP (1991) The geometry of humeral head and the design of prosthesis. J Bone Joint Surg Br 73:647–650

    PubMed  CAS  Google Scholar 

  20. Soslowsky LJ, Flatow EL, Bigliani LU, Mow VC (1992) Articular geometry of the glenohumeral joint. Clin Orthop 285:181–190

    PubMed  Google Scholar 

  21. Walch G, Boileau P (1992) Morphological study of the humeral proximal epiphysis. J Bone Joint Surg Br 74:14

    Google Scholar 

Download references

Authors
  1. P. Boileau
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Walch
    View author publications

    You can also search for this author in PubMed Google Scholar

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.

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Boileau, P., Walch, G. (1999). Prosthetic Adaptability: A New Concept in Shoulder Arthroplasty. In: Walch, G., Boileau, P. (eds) Shoulder Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58365-0_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-58365-0_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63554-0

  • Online ISBN: 978-3-642-58365-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation