JOEI The Journal

5-Min Summary: A Look at the Outliers: Optimal Placement for Reverse Total Shoulder Arthroplasty

6 min · 1 de jun de 2026
Portada del episodio 5-Min Summary: A Look at the Outliers: Optimal Placement for Reverse Total Shoulder Arthroplasty

Descripción

The purpose of this study was to identify pre- and post-operative radiographic measurements in patients who achieved excellent range of motion to optimize implant positioning in patients undergoing rTSA. We hypothesized that restoring the lateral humeral offset to closely align with the patient’s pre-operative anatomy, along with achieving optimal lateralization and distalization shoulder angles as outlined in the literature, would correlate with excellent clinical outcomes.

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Portada del episodio 5-Minute Summary: Custom PEKK Triflange Implant for Reconstruction of a Post-infectious Acetabular Defect: A Case Report

5-Minute Summary: Custom PEKK Triflange Implant for Reconstruction of a Post-infectious Acetabular Defect: A Case Report

Complex acetabular defects with associated infection as well as multiple revision procedures remain a significant reconstructive challenge due to compromised bone stock, altered anatomy, and increased risk of recurrent infection. Custom triflange implants have been used to restore pelvic stability in severe bone loss; however, conventional metallic constructs may present limitations in previously infected environments, including challenges with imaging assessment and biomechanical load transfer. Patient-specific implants manufactured from Poly Ether Ketone Ketone (PEKK), a high-performance polymer with mechanical properties closer to cortical bone, may offer an alternative reconstructive strategy.

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