The Influence of Component Design and Positioning on Soft-Ti... : JBJS Reviews

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A Review

Haase, Lucas MD1,a; Ina, Jason MD1; Harlow, Ethan MD1; Chen, Raymond MD1; Gillespie, Robert MD1; Calcei, Jacob MD1

Author Information

1University Hospitals of Cleveland, Cleveland, Ohio

aEmail for corresponding author: [email protected]

Investigation performed at University Hospitals, Cleveland, Ohio

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSREV/B73).

JBJS Reviews | DOI: 10.2106/JBJS.RVW.23.00238

Metrics Abstract » Reverse total shoulder arthroplasty was designed to function in the rotator cuff deficient shoulder by adjusting the glenohumeral center of rotation (COR) to maximize deltoid function. » Adjustments in the COR ultimately lead to changes in resting tension of the deltoid and remaining rotator cuff, which can affect implant stability and risk of stress fracture. » Soft-tissue balance and complication profiles can be affected by humeral component (version, neck shaft angle, and inlay vs. onlay) and glenoid component (sagittal placement, version, inclination, and lateralization) design and application. » A good understanding of the effects on soft-tissue balance and complication profile is critical for surgeons to best provide optimal patient outcomes. Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated Full Text Access for Subscribers:

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