title: Evaluation of a reconstruction reverse shoulder for tumour surgery and tribological comparision with an anatomical shoulder arthroplasty.
abstract: OBJECTIVE
  The functional results after reconstruction of the proximal humerus in tumour surgery are poor. Therefore, a reversed proximal humerus replacement was developed in our institution (MUTARS humerus inverse). A low degree of wear on the polyethylene is required because of the patients' youth and demands on shoulder function. A special type of polyethylene with shock-absorbing properties has been developed to minimise polyethylene wear in the MUTARS inverse proximal humerus replacement. We compared the tribological properties of an anatomical shoulder prosthesis (CAPICA) with the new reversed proximal humerus replacement (MUTARS humerus inverse).
  
  
  METHODS
  Both prostheses were tested up to 5 × 10(6) cycles. Every millionth cycle the surface was inspected and a gravimetric measurement was performed. A measurement of surface roughness was done before testing and after 5 × 10(6) cycles.
  
  
  RESULTS
  In both prostheses after 5 × 10(6) cycles there were no major defects, such as delamination, observed. In the reversed proximal humerus replacement abrasion of 28 mg/10(6) cycles was detected. The mean abrasion of the anatomical prosthesis was 9.28 mg/ 10(6) cycles.
  
  
  CONCLUSIONS
  The glenoid component of the first reversed humerus replacement (MUTARS humerus inverse) has wear properties comparable to those of normal reversed shoulder prostheses. This is important, as this type of prosthesis is used in young patients after resection of bone tumours, with a good functional outcome. It can, therefore, be expected that the revision rate due to wear will be as high as in patients with normal reversed shoulder prostheses.
authors: Department of Orthopaedics and Tumor Orthopaedics, Münster University Hospital, Albert-Schweitzer-Campus 1, A1, 48149, Münster, Germany. Ralf.Dieckmann@ukmuenster.de
authors: Ralf
authors: R
authors: Dieckmann
authors: Dennis
authors: D
authors: Liem
authors: Georg
authors: G
authors: Gosheger
authors: Marcel-Philipp
authors: MP
authors: Henrichs
authors: Steffen
authors: S
authors: Höll
authors: Jendrik
authors: J
authors: Hardes
authors: Arne
authors: A
authors: Streitbürger
mesh_terms: D019643:Arthroplasty, Replacement / Q000295:instrumentation* / Q000379:methods; D001672:Biocompatible Materials; D019544:Equipment Failure Analysis; D006801:Humans; D007595:Joint Prosthesis; D020959:Polyethylene; D011474:Prosthesis Design; D012785:Shoulder Joint / Q000601:surgery*
chemical_list: D001672:Biocompatible Materials; D020959:Polyethylene