Complications of Reverse Total Shoulder Arthroplasty: A Computational Modelling Perspective

Reverse total shoulder arthroplasty (RTSA) is an established treatment for elderly patients with irreparable rotator cuff tears, complex proximal humerus fractures, and revision arthroplasty; however, with the increasing indications for RTSA over the last decade and younger implant recipients, post-...

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Autores principales: Yichen Huang, Lukas Ernstbrunner, Dale L. Robinson, Peter Vee Sin Lee, David C. Ackland
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/4fff07c5cd884307abd1df6129cf34d9
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spelling oai:doaj.org-article:4fff07c5cd884307abd1df6129cf34d92021-11-25T18:01:50ZComplications of Reverse Total Shoulder Arthroplasty: A Computational Modelling Perspective10.3390/jcm102253362077-0383https://doaj.org/article/4fff07c5cd884307abd1df6129cf34d92021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5336https://doaj.org/toc/2077-0383Reverse total shoulder arthroplasty (RTSA) is an established treatment for elderly patients with irreparable rotator cuff tears, complex proximal humerus fractures, and revision arthroplasty; however, with the increasing indications for RTSA over the last decade and younger implant recipients, post-operative complications have become more frequent, which has driven advances in computational modeling and simulation of reverse shoulder biomechanics. The objective of this study was to provide a review of previously published studies that employed computational modeling to investigate complications associated with RTSA. Models and applications were reviewed and categorized into four possible complications that included scapular notching, component loosening, glenohumeral joint instability, and acromial and scapular spine fracture, all of which remain a common cause of significant functional impairment and revision surgery. The computational shoulder modeling studies reviewed were primarily used to investigate the effects of implant design, intraoperative component placement, and surgical technique on postoperative shoulder biomechanics after RTSA, with the findings ultimately used to elucidate and mitigate complications. The most significant challenge associated with the development of computational models is in the encapsulation of patient-specific anatomy and surgical planning. The findings of this review provide a basis for future direction in computational modeling of the reverse shoulder.Yichen HuangLukas ErnstbrunnerDale L. RobinsonPeter Vee Sin LeeDavid C. AcklandMDPI AGarticlereverse shoulder prosthesisfinite element modelbiomechanical modelscapular notchingjoint instabilitylooseningMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5336, p 5336 (2021)
institution DOAJ
collection DOAJ
language EN
topic reverse shoulder prosthesis
finite element model
biomechanical model
scapular notching
joint instability
loosening
Medicine
R
spellingShingle reverse shoulder prosthesis
finite element model
biomechanical model
scapular notching
joint instability
loosening
Medicine
R
Yichen Huang
Lukas Ernstbrunner
Dale L. Robinson
Peter Vee Sin Lee
David C. Ackland
Complications of Reverse Total Shoulder Arthroplasty: A Computational Modelling Perspective
description Reverse total shoulder arthroplasty (RTSA) is an established treatment for elderly patients with irreparable rotator cuff tears, complex proximal humerus fractures, and revision arthroplasty; however, with the increasing indications for RTSA over the last decade and younger implant recipients, post-operative complications have become more frequent, which has driven advances in computational modeling and simulation of reverse shoulder biomechanics. The objective of this study was to provide a review of previously published studies that employed computational modeling to investigate complications associated with RTSA. Models and applications were reviewed and categorized into four possible complications that included scapular notching, component loosening, glenohumeral joint instability, and acromial and scapular spine fracture, all of which remain a common cause of significant functional impairment and revision surgery. The computational shoulder modeling studies reviewed were primarily used to investigate the effects of implant design, intraoperative component placement, and surgical technique on postoperative shoulder biomechanics after RTSA, with the findings ultimately used to elucidate and mitigate complications. The most significant challenge associated with the development of computational models is in the encapsulation of patient-specific anatomy and surgical planning. The findings of this review provide a basis for future direction in computational modeling of the reverse shoulder.
format article
author Yichen Huang
Lukas Ernstbrunner
Dale L. Robinson
Peter Vee Sin Lee
David C. Ackland
author_facet Yichen Huang
Lukas Ernstbrunner
Dale L. Robinson
Peter Vee Sin Lee
David C. Ackland
author_sort Yichen Huang
title Complications of Reverse Total Shoulder Arthroplasty: A Computational Modelling Perspective
title_short Complications of Reverse Total Shoulder Arthroplasty: A Computational Modelling Perspective
title_full Complications of Reverse Total Shoulder Arthroplasty: A Computational Modelling Perspective
title_fullStr Complications of Reverse Total Shoulder Arthroplasty: A Computational Modelling Perspective
title_full_unstemmed Complications of Reverse Total Shoulder Arthroplasty: A Computational Modelling Perspective
title_sort complications of reverse total shoulder arthroplasty: a computational modelling perspective
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4fff07c5cd884307abd1df6129cf34d9
work_keys_str_mv AT yichenhuang complicationsofreversetotalshoulderarthroplastyacomputationalmodellingperspective
AT lukasernstbrunner complicationsofreversetotalshoulderarthroplastyacomputationalmodellingperspective
AT dalelrobinson complicationsofreversetotalshoulderarthroplastyacomputationalmodellingperspective
AT peterveesinlee complicationsofreversetotalshoulderarthroplastyacomputationalmodellingperspective
AT davidcackland complicationsofreversetotalshoulderarthroplastyacomputationalmodellingperspective
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