Evidence map›Paper›PMID 39728231›Full record

ArticleJournal of imaging2024

Volumetric Humeral Canal Fill Ratio Effects Primary Stability and Cortical Bone Loading in Short and Standard Stem Reverse Shoulder Arthroplasty: A Biomechanical and Computational Study.

Daniel Ritter, Patric Raiss, Patrick J Denard, Brian C Werner, Peter E Müller, Matthias Woiczinski, Coen A Wijdicks, Samuel Bachmaier

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In one paragraph

Article in Journal of imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

8 authors.

Daniel RitterDepartment of Orthopedic Research, Arthrex, 81249 Munich, Germany.
Patric RaissOCM Clinic, 81369 Munich, Germany.
Patrick J DenardSouthern Oregon Orthopedics, Medford, OR 97504, USA.ORCID 0000-0002-2641-5920
Brian C WernerDepartment of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA 22908, USA.ORCID 0000-0002-7956-2123
Peter E MüllerDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, 80336 Munich, Germany.
Matthias WoiczinskiDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, 80336 Munich, Germany.
Coen A WijdicksDepartment of Orthopedic Research, Arthrex, 81249 Munich, Germany.
Samuel BachmaierDepartment of Orthopedic Research, Arthrex, 81249 Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluated the effect of three-dimensional (3D) volumetric humeral canal fill ratios (VFR) of reverse shoulder arthroplasty (RSA) short and standard stems on biomechanical stability and bone deformations in the proximal humerus.

methodsForty cadaveric shoulder specimens were analyzed in a clinical computed tomography (CT) scanner allowing for segmentation of the humeral canal to calculate volumetric measures which were verified postoperatively with plain radiographs. Virtual implant positioning allowed for group assignment (VFR < 0.72): Standard stem with low (

resultsPlanned filling ratios based on 3D volumetric measures had a good-to-excellent correlation (ICC = 0.835;

conclusionsLower canal filling ratios maintain dynamic bone loading in the medial calcar of the humerus similar to the native situation in this biomechanical loading setup. Short stems implanted with a low filling ratio have an increased risk for implant tilt and subsidence compared to high filling ratios or standard stems.

Indexed as

biomechanicsbone deformationcanal fillCT imagingmicromotionreverse shoulder arthroplastyshort stemstandard stemstress shielding

Identifiers

PMID39728231
PMCPMC11727762

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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.