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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MDPI AG
2021
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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) |
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reverse shoulder prosthesis finite element model biomechanical model scapular notching joint instability loosening Medicine R |
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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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1718411678760042496 |