The biomechanical assessment of two stemless shoulder arthroplasty prostheses in uniformly poor-quality bone mineral density cadaveric specimens.
Ahmad Hedayatzadeh RazaviNazanin NafisiIsabella StewartMohammadreza AbbasianNadim KheirMohammad Javad ShariyateMohammad KhakKaveh MomenzadehDominic AsciuttoArun J RamappaGlen RossSarav ShahAra NazarianPublished in: Clinical biomechanics (Bristol, Avon) (2024)
Forces over 520 N (high postoperative rehabilitation force) could hinder bone integration with prostheses due to excessive micromotion. Conversely, forces around 220 N (preconditioning loading force) are considered safe for prosthesis stability even with low bone density. These insights may caution against using stemless implants when bone density is low, and help guide clinical decisions on the duration of rehabilitation and sling use after stemless arthroplasty.