Document Detail


Evaluation of a reconstruction reverse shoulder for tumour surgery and tribological comparision with an anatomical shoulder arthroplasty.
MedLine Citation:
PMID:  23318938     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The functional results after reconstruction of the proximal humerus in tumour surgery are poor. Therefore, a reversed proximal humerus replacement was developed in our institution (MUTARS humerus inverse). A low degree of wear on the polyethylene is required because of the patients' youth and demands on shoulder function. A special type of polyethylene with shock-absorbing properties has been developed to minimise polyethylene wear in the MUTARS inverse proximal humerus replacement. We compared the tribological properties of an anatomical shoulder prosthesis (CAPICA) with the new reversed proximal humerus replacement (MUTARS humerus inverse).
METHODS: Both prostheses were tested up to 5 × 10(6) cycles. Every millionth cycle the surface was inspected and a gravimetric measurement was performed. A measurement of surface roughness was done before testing and after 5 × 10(6) cycles.
RESULTS: In both prostheses after 5 × 10(6) cycles there were no major defects, such as delamination, observed. In the reversed proximal humerus replacement abrasion of 28 mg/10(6) cycles was detected. The mean abrasion of the anatomical prosthesis was 9.28 mg/ 10(6) cycles.
CONCLUSION: The glenoid component of the first reversed humerus replacement (MUTARS humerus inverse) has wear properties comparable to those of normal reversed shoulder prostheses. This is important, as this type of prosthesis is used in young patients after resection of bone tumours, with a good functional outcome. It can, therefore, be expected that the revision rate due to wear will be as high as in patients with normal reversed shoulder prostheses.
Authors:
Ralf Dieckmann; Dennis Liem; Georg Gosheger; Marcel-Philipp Henrichs; Steffen Höll; Jendrik Hardes; Arne Streitbürger
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2013-01-15
Journal Detail:
Title:  International orthopaedics     Volume:  37     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-25     Completed Date:  2013-06-28     Revised Date:  2014-03-06    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  451-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Arthroplasty, Replacement / instrumentation*,  methods
Biocompatible Materials
Equipment Failure Analysis
Humans
Joint Prosthesis*
Polyethylene
Prosthesis Design
Shoulder Joint / surgery*
Chemical
Reg. No./Substance:
0/Biocompatible Materials; 9002-88-4/Polyethylene
Comments/Corrections

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