Computational optimization of graft tension in simulated superior capsule reconstructions

Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
Michael W HastJosh R Baxter

Abstract

Superior capsular reconstruction has received increased attention as a surgical technique to address massive "irreparable" rotator cuff tears; however, the functional limitations and surgical techniques associated with this repair have yet to be sufficiently explored. The goal of this study was to utilize a multidisciplinary approach to characterize the biomechanics of this repair by: (i) identifying activities of daily living that may overburden the graft; and (ii) optimizing surgical techniques used during implantation. This experiment was completed in three phases. First, graft failure mechanics were characterized by performing an in vitro experiment. Second, in vivo shoulder kinematics associated with various activities were recorded with 3-D motion capture techniques. Finally, an in silico model was used to assess graft strains. Results show that motions involving posterior shoulder rotation, such as back washing, lead to graft strains that may cause failure. Output from the optimization suggests that orienting the humerus in approximately 25° abduction, and 20° internal rotation during implantation will result in optimal graft performance. Clinical Significance: The novel paradigm used in this study demonstrates the utili...Continue Reading

References

May 1, 1995·Journal of Biomechanics·W M MurrayT S Buchanan
May 1, 1997·The Journal of Bone and Joint Surgery. American Volume·G M Gartsman
Feb 24, 2001·The Journal of Bone and Joint Surgery. American Volume·R H CofieldC M Rowland
Nov 15, 2003·Journal of Biomechanics·Zully M MaldonadoGeorg N Duda
Dec 16, 2003·Journal of Biomechanics·Lindsay J BhargavaFrank C Anderson
Feb 13, 2004·The Journal of Bone and Joint Surgery. American Volume·Leesa M GalatzKen Yamaguchi
Apr 28, 2004·Clinical Biomechanics·D J MagermansP M Rozing
Feb 24, 2005·Journal of Shoulder and Elbow Surgery·Joanne E LabriolaPatrick J McMahon
Aug 5, 2005·Annals of Biomedical Engineering·Katherine R S HolzbaurScott L Delp
Mar 31, 2007·Clinical Biomechanics·Christopher J GattiRichard E Hughes
Nov 21, 2007·IEEE Transactions on Bio-medical Engineering·Scott L DelpDarryl G Thelen
Mar 20, 2009·Journal of Athletic Training·Jason S ScibekRichard E Hughes
Mar 3, 2010·The American Journal of Sports Medicine·Scott G KaarAnthony Miniaci
Aug 6, 2010·The Journal of Bone and Joint Surgery. American Volume·Asheesh BediDavid M Dines
Nov 4, 2011·Journal of Shoulder and Elbow Surgery·Surena NamdariSamir Mehta
Feb 2, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Teruhisa MihataMitsuo Kinoshita
Jan 7, 2014·Journal of Shoulder and Elbow Surgery·Yoko IshiharaThay Q Lee
Mar 7, 2014·Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society·Bin LiuZongge Yue
Jul 6, 2014·Computer Methods in Biomechanics and Biomedical Engineering·Katherine R SaulWendy M Murray
Sep 19, 2015·International Orthopaedics·Alexandre LädermannGilles Walch
Nov 4, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Teruhisa MihataThay Q Lee
Feb 13, 2016·Arthroscopy Techniques·Alan M Hirahara, Christopher R Adams
Mar 8, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael J Rossi
Jun 11, 2016·Arthroscopy Techniques·Maximilian PetriPeter J Millett
Dec 6, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Christopher R AdamsStephen S Burkhart
Feb 6, 2017·Arthroscopy Techniques·Stephen S BurkhartRobert U Hartzler
Oct 19, 2017·Orthopedics·Robert U Hartzler, Stephen S Burkhart

❮ Previous
Next ❯

Citations

Sep 22, 2020·EFORT Open Reviews·Patrick GoettiAlexandre Lädermann
Feb 7, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Adrián Cuéllar, Ricardo Cuéllar

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomechanics

Biomechanics examines the generation of internal forces within the body and investigates the effects and control of forces that act on or are produced on tissues. Here are the latest discoveries.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Michael J Rossi
Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
R Matthew MillerRichard E Debski
© 2022 Meta ULC. All rights reserved