Influence of the glenoid baseplate position on the direction and length of the superior and inferior locking screws
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- Miyatake Katsutoshi
- Department of Orthopaedic Surgery, Yoshinogawa Medical Center, Tokushima, Japan
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- Fukuta Shoji
- Department of Orthopaedic Surgery, Kochi National Hospital, Kochi, Japan
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- Tonogai Ichiro
- Department of Orthopaedic Surgery, Tokushima University, Tokushima, Japan
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- Wada Keizo
- Department of Orthopaedic Surgery, Tokushima University, Tokushima, Japan
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- Higashino Kosaku
- Department of Orthopaedic Surgery, Shikoku Medical Center for Children and Adults, Kagawa, Japan
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- Mikami Hiroshi
- Department of Orthopaedic Surgery, Yoshinogawa Medical Center, Tokushima, Japan
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- Yonezu Hiroshi
- Department of Orthopaedic Surgery, Yoshinogawa Medical Center, Tokushima, Japan
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- Sairyo Koichi
- Department of Orthopaedic Surgery, Tokushima University, Tokushima, Japan
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- Tsuruo Yoshihiro
- Department of Anatomy and Cell biology, Tokushima University, Tokushima, Japan
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説明
<p>Introduction : Superior screw insertion in reverse shoulder arthroplasty (RSA) carries the potential risk of suprascapular injury. The purpose of this study was to evaluate how the baseplate position affects the superior screw position and length in RSA. Methods : Three-dimensional (3D) computer simulation models of RSA were established using computed tomography data of baseplates with superior and inferior screws and 3D scapular models from 10 fresh cadavers. Superior screw position, the distance from the superior screw hole to the suprascapular notch, and the screw lengths were measured and compared among various baseplate positions with two inferior tilts (0 and 10 degrees) and three rotational patterns (11–5, 12–6, and 1–7 o’clock in the right shoulder). Results : For the 1–7 o’clock / inferior tilt 0 degrees baseplate, the superior screw located anterior to the SS notch in all shoulders, the distance to the SS notch was the longest (12.8 mm), and the inferior screw length was the shortest (23.1 mm). Conclusion : Although there is a concern of a short inferior screw length, initial fixation using a baseplate with 1–7 o’clock rotation and an inferior tilt of 0 degrees appears preferable for SS nerve injury prevention during superior screw insertion. J. Med. Invest. 69 : 185-190, August, 2022</p>
収録刊行物
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- The Journal of Medical Investigation
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The Journal of Medical Investigation 69 (3.4), 185-190, 2022
国立大学法人 徳島大学医学部