Evidence map›Paper›PMID 32490432›Full record

ArticleJSES international2020

Influence of reverse total shoulder arthroplasty baseplate design on torque and compression relationship.

Miguel A Diaz, Jason E Hsu, Eric T Ricchetti, Grant E Garrigues, Sergio Gutierrez, Mark A Frankle

Open access · goldAbstract read
In one paragraph

Article in JSES international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Miguel A DiazFoundation for Orthopaedic Research and Education, Tampa, FL, USA.
Jason E HsuDepartment of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA.
Eric T RicchettiDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Grant E GarriguesMidwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
Sergio GutierrezFoundation for Orthopaedic Research and Education, Tampa, FL, USA.
Mark A FrankleFlorida Orthopaedic Institute, Tampa, FL, USA.
Foundation for Orthopaedic Research and Education · USCleveland Clinic · USFlorida Orthopaedic Institute · USRush University Medical Center · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA linear relationship between baseplate insertion torque and compression force in reverse shoulder arthroplasty (RSA) baseplates with central screw design has been recently established. In this study, we evaluated 3 different baseplate designs and their influence on the torque-compression relationship.

methodsThree different RSA baseplate designs were evaluated through biomechanical testing using a glenoid vault, bone surrogate model. A digital torque gauge was used to measure insertion torque applied to the baseplate, whereas compression data were collected continuously from a load cell. Additionally, 2 predictive models were developed to predict the compression forces of each baseplate design at varying levels of torque.

resultsA linear relationship was found between baseplate compression and insertion torque for all 3 baseplate designs. Both the monoblock and 2-piece locking designs achieved the goal torque of 6.8 Nm, whereas the 2-piece nonlocking design did not due to material strip-out. No significant difference in maximum compression was found between the monoblock and 2-piece locking designs. However, the 2-piece nonlocking design achieved significantly higher compression. Both predictive models were shown to adequately predict compressive forces at different torque inputs for the monoblock and 2-piece locking designs but not the 2-piece nonlocking design.

conclusionThe torque-compression relationship of a central screw baseplate is significantly affected by baseplate design. A 2-piece nonlocking baseplate reaches higher compression levels and risks material strip-out at lower insertional torques compared with a monoblock and 2-piece locking design. This has implications both on component design and on surgeon tactile feedback during surgery.

Indexed as

baseplate compressionBaseplate designbaseplate micromotionRSA baseplatestability

Identifiers

PMID32490432
PMCPMC7256898
OpenAlexW3020894038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.