Middernacht Bart, Van Tongel Alexander, De Wilde Lieven
University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
Biomed Res Int. 2016;2016:3256931. doi: 10.1155/2016/3256931. Epub 2016 Dec 25.
Reversed total shoulder arthroplasty is a popular treatment in rotator cuff arthropathy and in displaced proximal humeral fractures in elderly. In 2016, 29 models of commercially available designs express this popularity. This study describes all the different design parameters available on the market. Prosthetic differences are found for the baseplate, glenosphere, polyethylene, and humeral component and these differences need to be weighed out carefully for each patient knowing that a gain in one mechanical parameter can balance the loss of another. Patient specific implants may help in the future.
反式全肩关节置换术是治疗肩袖关节病和老年肱骨近端移位骨折的一种常用方法。2016年,29种市售设计型号体现了其受欢迎程度。本研究描述了市场上所有不同的设计参数。在基板、球窝、聚乙烯和肱骨组件方面发现了假体差异,鉴于一个力学参数的增加可能会平衡另一个参数的损失,因此需要为每位患者仔细权衡这些差异。定制植入物未来可能会有所帮助。