Glenoid articular conformity affects stress distributions in total shoulder arthroplasty

Jingzhou Zhang, Charlie Yongpravat, H. Mike Kim, William N. Levine, Louis U. Bigliani, Thomas R. Gardner, Christopher S. Ahmad

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Background: The stress applied to the glenoid component in total shoulder arthroplasty (TSA) remains an important concern because of the risk of wear and loosening. The purpose of this study was to determine the stress pattern in the glenoid component with 3 different surface designs. Methods: Computer models of 9 scapulae of patients scheduled for TSA were created from computerized tomography images. Each glenoid was virtually reamed, and 3 different glenoid component designs (conforming, nonconforming, and hybrid) were placed. Using finite element analysis, superior translation of the humeral head was modeled. Maximum stress and shear stress were measured at 3 different locations in the glenoid component: center, transition, and superior regions. Results: All 3 designs showed a similar level of maximum stress at the center and transition regions, while the maximum stress at the superior periphery was significantly higher in the conforming design than in the other 2 designs (P = .0017). The conforming design showed significantly higher shear stress at the superior periphery (P < .0001). Discussion: Stress from periphery loading is higher than from the center and transition region regardless of component design and is highest in the conforming design. The stress at the transition region of the hybrid design was not higher than the other 2 designs. The hybrid design has favorable characteristics based on its low stress at the periphery and greater contact area with the humeral head at the center.

Original languageEnglish (US)
Pages (from-to)350-356
Number of pages7
JournalJournal of Shoulder and Elbow Surgery
Issue number3
StatePublished - Mar 2013

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine


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