Personalized endoprostheses for the proximal humerus and scapulohumeral joint in dogs: Biomechanical study of the muscles' contributions during locomotion

PLoS One. 2022 Jan 24;17(1):e0262863. doi: 10.1371/journal.pone.0262863. eCollection 2022.

Abstract

Osteosarcoma represents one of the most common bone tumours in dogs. It commonly occurs in the proximal humerus, the most affected anatomic site. Until recently, amputation or limb-sparing surgery leading to an arthrodesis coupled with chemotherapy were the only available treatments, but they often lead to complications, reduced mobility and highly impact dog's quality of life. Prototypes of both articulated and monobloc (no mobility) patient-specific endoprostheses have been designed to spare the limb afflicted with osteosarcoma of the proximal humerus. This study focuses on the biomechanical effects of endoprostheses and shoulder muscle kinematics. For each of the endoprosthesis designs, a minimal number of muscles needed to ensure stability and a certain degree of joint movement during walking is sought. A quasi-static study based on an optimization method, the minimization of the sum of maximal muscle stresses, was carried out to assess the contribution of each muscle to the shoulder function. The identification of the most important muscles and their impact on the kinematics of the prosthetic joint lead to an improvement of the endoprosthesis design relevance and implantation feasibility.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biomechanical Phenomena
  • Bone Neoplasms* / physiopathology
  • Bone Neoplasms* / surgery
  • Dog Diseases* / physiopathology
  • Dog Diseases* / surgery
  • Dogs
  • Humerus* / physiopathology
  • Humerus* / surgery
  • Locomotion*
  • Male
  • Muscle, Skeletal* / physiopathology
  • Muscle, Skeletal* / surgery
  • Osteosarcoma* / physiopathology
  • Osteosarcoma* / surgery
  • Prostheses and Implants*
  • Prosthesis Design
  • Scapula* / physiopathology
  • Scapula* / surgery
  • Shoulder Joint* / physiopathology
  • Shoulder Joint* / surgery

Grants and funding

VB received the fundings Axelys (formerly Aligo) http://axelys.ca/en The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.