PMID- 33330176 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220419 IS - 2383-8337 (Print) IS - 2288-8721 (Electronic) IS - 1226-9344 (Linking) VI - 21 IP - 4 DP - 2018 Dec TI - Radiologic Comparison of Humeral Position according to the Implant Designs Following Reverse Shoulder Arthroplasty: Analysis between Medial Glenoid/Medial Humerus, Lateral Glenoid/Medial Humerus, and Medial Glenoid/Lateral Humerus Designs. PG - 192-199 LID - 10.5397/cise.2018.21.4.192 [doi] AB - BACKGROUND: The currently available reverse shoulder arthroplasty (RSA) designs can be classified into medial glenoid/medial humerus (MGMH), lateral glenoid/medial humerus (LGMH), and medial glenoid/lateral humerus (MGLH) prosthesis designs. The purpose of this study was to radiologically analyze the effect of different RSA designs on humeral position following RSA. METHODS: A total of 50 patients who underwent primary RSA were retrospectively analyzed. Among 50 patients, 33 patients (group A: MGMH) underwent RSA with Aequalis system (Wright, Inc, Bloomington, MN, USA), 6 (group B: LGMH) with Aequalis system using bony increased offset, and 11 (group C: MGLH) with Aequalis Ascend Flex system. The acromiohumeral distance, acromioepiphyseal distance (AED), lateral humeral offset (LHO), LHO from the center of rotation (LHO(COR)), and deltoid length were radiologically measured to quantify the distalization and lateralization of the humerus. RESULTS: The increment in postoperative AED was 19.92 +/- 3.93 mm in group A, 24.52 +/- 5.25 mm in group B, and 25.97 +/- 5.29 mm in group C, respectively (p=0.001). The increment in postoperative LHO was 0.13 +/- 6.30 mm, 8.00 +/- 12.14 mm, and 7.42 +/- 6.88 mm, respectively (p=0.005). The increment in postoperative LHO(COR) was 20.76 +/- 6.06 mm, 22.04 +/- 5.15 mm, and 28.11 +/- 4.14 mm, respectively (p=0.002). CONCLUSIONS: The radiologic analysis of the effect of different RSA designs on humeral position following RSA showed significant differences in the increment in postoperative AED, LHO, and LHO(COR) between the 3 groups. Therefore, MGLH design seems to be more effective for humeral distalization and lateralization compared to original Grammont design. CI - Copyright (c) 2018 Korean Shoulder and Elbow Society. FAU - Cho, Nam Su AU - Cho NS AUID- ORCID: 0000-0003-1643-1641 AD - Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. FAU - Nam, Ju Hyun AU - Nam JH AD - Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. FAU - Hong, Se Jung AU - Hong SJ AD - Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. FAU - Kim, Tae Wook AU - Kim TW AD - Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. FAU - Lee, Myeong Gu AU - Lee MG AD - Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. FAU - Ahn, Jung Tae AU - Ahn JT AD - Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. FAU - Rhee, Yong Girl AU - Rhee YG AD - Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. LA - eng PT - Journal Article DEP - 20181201 PL - Korea (South) TA - Clin Shoulder Elb JT - Clinics in shoulder and elbow JID - 101658558 PMC - PMC7726398 OTO - NOTNLM OT - Cuff tear arthropathy OT - Implant design OT - Massive rotator cuff tear OT - Reverse shoulder arthroplasty OT - Shoulder COIS- Conflict of interest None. EDAT- 2018/12/01 00:00 MHDA- 2018/12/01 00:01 PMCR- 2018/12/01 CRDT- 2020/12/17 05:53 PHST- 2018/06/10 00:00 [received] PHST- 2018/07/27 00:00 [revised] PHST- 2018/07/30 00:00 [accepted] PHST- 2020/12/17 05:53 [entrez] PHST- 2018/12/01 00:00 [pubmed] PHST- 2018/12/01 00:01 [medline] PHST- 2018/12/01 00:00 [pmc-release] AID - cise-2018-21-4-192 [pii] AID - 10.5397/cise.2018.21.4.192 [doi] PST - epublish SO - Clin Shoulder Elb. 2018 Dec 1;21(4):192-199. doi: 10.5397/cise.2018.21.4.192. eCollection 2018 Dec.