Redesign of a Reverse Shoulder Prosthesis: Kinematic and Mechanical Study

Abstract:

In this work a commercial reverse shoulder prosthesis has been redesigned to improve performances in terms of range of movements of the implant and stability to dislocation. A kinematic and mechanic study has been performed using a realistic solid model of the prothesised shoulder: in particular, all the components of the prosthesis have been acquired via a 3D laser scanner and inserted in a virtual humerus-glenoid system by reproducing the common surgical procedure. The final model has been used to measure the maximum angles of abduction and rotation of the arm and the shear forces that cause dislocation. Modifications proposed to the commercial prosthesis are: a different orientation of the cutting plane of the glenoid component and the interposition of a spacer to move the center of rotation of the arm.

• Periodical: Applied Mechanics and Materials (Volumes 670-671)
• Pages: 847-851
• DOI: https://doi.org/10.4028/www.scientific.net/AMM.670-671.847
• Online since: October 2014
• Authors: Davide Tumino*, Tommaso Ingrassia, Vincenzo Nigrelli, Giovan Battista Trinca
• Keywords: CAD Modeling, Digital Shape Acquisition, Reverse Shoulder Prosthesis

References

[1] Buck, F.M., Jost, B., Hodler, J. Shoulder arthroplasty (2008) European Radiology, 18 (12), pp.2937-2948.

DOI: 10.1007/s00330-008-1093-8

[2] McClure, P.W., Michener, L.A., Sennett, B.J., Karduna, A.R. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo (2001) Journal of Shoulder and Elbow Surgery, 10 (3), pp.269-277.

DOI: 10.1067/mse.2001.112954

[3] Masjedi, M., Johnson, G.R. Glenohumeral contact forces in reversed anatomy shoulder replacement (2010) Journal of Biomechanics, 43 (13), pp.2493-2500.

DOI: 10.1016/j.jbiomech.2010.05.024

[4] Ingrassia, T., Nalbone, L., Nigrelli, V., Tumino, D., Ricotta, V. Finite element analysis of two total knee joint prostheses (2013) International Journal on Interactive Design and Manufacturing, 7 (2), pp.91-101. DOI: 10. 1007/s12008-012-0167-7.

DOI: 10.1007/s12008-012-0167-7

[5] Cerniglia, D., Ingrassia, T., D'Acquisto, L., Saporito, M., Tumino, D. Contact between the components of a knee prosthesis: Numerical and experimental study (2012) Frattura ed Integrita Strutturale, 22, pp.56-68. DOI: 10. 3221/IGF-ESIS. 22. 07.

DOI: 10.3221/igf-esis.22.07

[6] Tumino, D., Zuccarello, B. Fatigue delamination experiments on GFRP and CFRP specimens under single and mixed fracture modes (2011) Procedia Engineering, 10, pp.1791-1796.

DOI: 10.1016/j.proeng.2011.04.298

[7] Pitarresi, G., Alessi, S., Tumino, D., Nowicki, A., Spadaro, G. Interlaminar fracture toughness behavior of electron-beam cured carbon-fiber reinforced epoxy-resin composites (2013) Polymer Composites. Article in Press. DOI: 10. 1002/pc. 22806.

DOI: 10.1002/pc.22806

[8] Spadaro, G., Alessi, S., Dispenza, C., Sabatino, M.A., Pitarresi, G., Tumino, D., Przbytniak, G. Radiation curing of carbon fibre composites (2014) Radiation Physics and Chemistry, 94 (1), pp.14-17. DOI: 10. 1016/j. radphyschem. 2013. 05. 052.

DOI: 10.1016/j.radphyschem.2013.05.052

[9] Nalbone, L., Adelfio, R., D'arienzo, M., Ingrassia, T., Nigrelli, V., Zabbara, F., Paladini, P., Campi, F., Pellegrini, A., Porcellini, G. Optimal positioning of the humeral component in the reverse shoulder prosthesis (2013).

DOI: 10.1007/s12306-013-0274-z

[10] Ingrassia, T., Mancuso, A. Virtual prototyping of a new intramedullary nail for tibial fractures, (2013) International Journal on Interactive Design and Manufacturing, 7 (3) pp.159-169.

DOI: 10.1007/s12008-012-0175-7

[11] Ingrassia, T., Mancuso, A., Nigrelli, V., Tumino, D. Numerical study of the components positioning influence on the stability of a reverse shoulder prosthesis (2014).

DOI: 10.1007/s12008-014-0215-6

[12] Ingrassia, T., Nigrelli, V., Buttitta, R. A comparison of simplex and simulated annealing for optimization of a new rear underrun protective device. (2013) Engineering with Computers, Vol 29 (3), pp.345-358.

DOI: 10.1007/s00366-012-0270-1

[13] Pennestrì, E., Stefanelli, R., Valentini, P.P., Vita, L. Virtual musculo-skeletal model for the biomechanical analysis of the upper limb (2007) Journal of Biomechanics, 40 (6), pp.1350-1361.

DOI: 10.1016/j.jbiomech.2006.05.013