Evidence map›Paper›PMID 40180535›Full record

ArticleMedical engineering & physics2025

Surgical technique and implant design affect abduction kinematics and functional outcomes after reverse shoulder arthroplasty.

Gillian Kane, Clarissa LeVasseur, Ajinkya Rai, Maria Munsch, Alexandra S Gabrielli, Christopher J Como, Jonathan D Hughes, William Anderst, Albert Lin

Abstract read
In one paragraph

Article in Medical engineering & physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Glenosphere Tilt and Size Predict Shoulder Kinematics During the Hand-to-Back Motion After Reverse Shoulder Arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
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

9 authors.

Gillian KaneDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: GEK36@pitt.edu.
Clarissa LeVasseurDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Ajinkya RaiSchool of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Maria MunschDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Alexandra S GabrielliDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Christopher J ComoDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Jonathan D HughesDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
William AnderstDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Albert LinDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.

Funding

Effects of prosthesis design and placement on shoulder kinematics and strength after reverse shoulder arthroplastyR03AG064417 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ANDERST, WILLIAM J., LIN, ALBERT · 2019 to 2020
$157k
NIA NIH HHS R03 AG064417
6 · The paper itself

Abstract

The purpose of this study was to identify surgical techniques and implant geometries that influence in-vivo kinematics, functional outcomes, and clinical outcomes after reverse shoulder arthroplasty (RSA). Synchronized biplane radiographs imaged the operated shoulder during scapular plane abduction in 35 patients who received RSA within the past 2.5 ± 1.2 yrs. Shoulder kinematics and arthrokinematics (contact paths) were determined by matching subject-specific CT-based bone-plus-implant models to the radiographs using a validated tracking technique. Torque and total work done during abduction were measured using an isokinetic dynamometer. Implant characteristics and surgical techniques that were associated with kinematics/arthrokinematics, strength, or patient-reported outcomes were identified using multiple linear regression. Neck shaft angle, glenosphere size, and retroversion were associated with in-vivo kinematics and functional outcomes during abduction after RSA. These findings improve our understanding of how implant design and surgical technique impact kinematics and functional outcomes after RSA. The results highlight the necessity of in vivo data to validate cadaver-based research and computer simulations of joint function after RSA, emphasizing that those models do not account for the dynamic healing process and neuromuscular adaptations that occur after surgery.

Indexed as

Arthroplasty, Replacement, ShoulderMechanical PhenomenaProsthesis DesignShoulder JointAgedBiomechanical PhenomenaFemaleHumansMaleMiddle AgedTreatment OutcomeArthrokinematicsBiplane radiographyKinematicsShoulderStrength

Identifiers

PMID40180535
PMCPMC13377553

What OpenQuestion holds

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LicenceCC BY
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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.