Influence of the metaphysis positioning in a new reverse shoulder prosthesis

Abstract

Aim of this work is to investigate the behaviour of a new reverse shoulder prosthesis, characterized by a humeral metaphysis with a variable offset, designed to increase the range of movements and to reduce the impingement. In particular, by means of virtual prototypes of the prosthesis, different offset values of the humeral metaphysis have been analysed in order to find the best positioning able to maximize the range of movements of the shoulder joint. The abduction force of the deltoid, at different offset values, has been also estimated. The study has been organized as follows. In the first step, the point clouds of the surfaces of the different components of the prosthesis have been acquired by a 3D scanner. This kind of scanner allows to convert camera images into three-dimensional models by analysing the moiré fringes. In the second step, the acquired point clouds have been post-processed and converted into CAD models. In the third step, all the 3D reconstructed models have been imported and assembled through a CAD system. After, a collision analysis has been performed to detect the maximum angular positions of the arm at different metaphysis offset values. In the last step, FEM models of shoulder joint with the new prosthesis have been created. Different analyses have been performed to estimate how the deltoid abduction force varies depending on the offset of the humeral tray. The study allowed to understand how the offset of the metaphysis affects the performances of the shoulder. The obtained results can be effectively used to give surgeons useful guidelines for the installation of these kinds of implants.