In-vitro evaluation of a polyurethane compliant-layer glenoid for use in shoulder arthroplasty

Proc Inst Mech Eng H. 2010;224(4):551-63. doi: 10.1243/09544119JEIM626.

Abstract

A polyurethane glenoid component has been designed and manufactured as part of a total shoulder arthroplasty (TSA) system based on compliant-layer (CL) technology. Compared with conventional TSA designs, this biomimetic approach offers reduced friction and wear and potentially improved longevity. In-vitro evaluation of the glenoid system has included loosening and stability tests, and wear measurement using a specially constructed wear simulator. The results obtained support the hypothesis that a CL glenoid design may provide improved resistance to dynamic loosening and rim erosion, and demonstrate superior wear performance over a standard ultra-high molecular weight polyethylene design. This study not only confirms the feasibility of a CL glenoid component but also highlights the potential to increase implant longevity, thereby allowing earlier surgical intervention before poor glenoid bone stock and soft tissue compromise the outcome of TSA.

MeSH terms

  • Elastic Modulus
  • Equipment Failure Analysis
  • Hardness
  • Humans
  • Joint Prosthesis*
  • Materials Testing
  • Polyethylenes / chemistry*
  • Prosthesis Design
  • Shoulder Joint / surgery*
  • Surface Properties

Substances

  • Polyethylenes
  • ultra-high molecular weight polyethylene