Evidence map›Paper›PMID 39309728›Full record

ArticleJournal of clinical orthopaedics and trauma2024

Eccentricity and greater size of the glenosphere increase impingement-free range of motion in glenoid lateralized reverse shoulder arthroplasty: A computational study.

Edoardo Franceschetti, Giovanni Perricone, Antonino De Rosa, Andrea Tanzilli, Pietro Gregori, Giancarlo Giurazza, Biagio Zampogna, Saseendar Shanmugasundaram, Rocco Papalia

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In one paragraph

Article in Journal of clinical orthopaedics and trauma, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Edoardo FranceschettiFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy.
Giovanni PerriconeFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy.
Antonino De RosaFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy.
Andrea TanzilliFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy.
Pietro GregoriFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy.
Giancarlo GiurazzaFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy.
Biagio ZampognaFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy.
Saseendar ShanmugasundaramSri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India.
Rocco PapaliaFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Increasing the impingement-free Range Of Movement (ROM) is crucial for improving patient's functional outcome and reducing the rate of scapular notching. The purpose of this study was to compare, in a virtual model of Reverse Shoulder Arthroplasty with glenoid lateralization (L-RSA): 1) the impingement-free range of movement (ROM) between 155° Grammont-style inlay stem and 135° flushlay stem; 2) the effect of glenosphere size and type (centered vs eccentric) on impingement-free range of movement (ROM) using a 135° Neck Shaft Angle (NSA) flushlay stem. Materials and methods: 200 CT-scans of patients undergoing shoulder replacement for Cuff tear Arthropathy were analyzed in the present study. Virtual implantation of L-RSA was performed using the same glenoid implant and two stems, 155° inlay Grammont-style stem and 135° flushlay stem. For 135° stem, three different glenoid size (36 mm, 39 mm and 42 mm) were tried, as well as two glenoid type (centered and eccentric glenoid), while for 155° stem were tried two different glenoid size (36 mm and 42 mm), as well as two glenoid type (centered and eccentric glenoid). For both stems, two different baseplates (25 mm e 29 mm) were used. Finally, impingement-free ROM for each configuration and each stem was then calculated by the software and collected. Results: Increasing the glenosphere size demonstrated an increase in impingement-free ROM in both 25 mm and 29 mm baseplate groups (p < 0.01). Similarly, using eccentric glenoid type improved impingement-free ROM in the two subgroups (p < 0.01). When comparing inlay and flushlay designs, flushlay shows better total impingement-free ROM as well as better impingement-free ROM in all movements apart from abduction (p < 0.01). Conclusions: This study demonstrated a correlation between glenoid size and glenoid type and impingement-free ROM using 135° flushlay stems. In particular, using a greater glenoid size and eccentric glenoid type allows for more mobility. When comparing 135° flushlay stem with 155° inlay stem, 135° stem allows greater mobility in all movements except for abduction.

Identifiers

PMID39309728
PMCPMC11413683

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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.