Beach chair position with the shoulder positioned sufficiently lateral to allow full arm extension. Sep 20, 2016 cleared by the fda in 2015, the tornier simpliciti shoulder system is indicated for total shoulder replacement in patients who have a severely painful andor disabled joint as a result of osteoarthritis or traumatic arthritis. Radiologic assessment of reverse shoulder arthroplasty. As a total shoulder, the system consists of a metaphyseal metal humeral component, a metal humeral head and an ultrahigh molecular weight polyethylene glenoid. Deltopectoral approach an incision is made from the tip of the coracoid along the deltopectoral groove, slightly lateral to the axillary. Shoulder arthroplasty program reduced surgical steps education for the entire surgical team the simpliciti shoulder system simplifies the procedure for both the surgeon and staff by reducing the number of surgical steps and eliminating many of the variables associated with traditional implant designs. Unique stem shape designed from the inside out based upon ct data. Ct scan for the most accurate assessment of glenoid version. The shoulder joint, also known as the glenohumeral joint, is the major joint of the shoulder, but can more broadly include the. Tornier first introduced the key principles for anatomic shoulder reconstruction with the launch of the aequalis shoulder system nearly two decades ago. The tenolok is designed to provide strong tendontobone fixation, reduced tendon damage and tendon wrap as well as a fast, efficient technique. Medialization of the center of rotation inside the.
Additionally, both humeral head systems, in certain combinations, are compatible with the aequalis shoulder system and affiniti glenoid systems. Package inserts are also available by contacting wright. The shoulder must be mobile enough for the wide range actions of the arms and hands, but also stable enough to allow for actions such as lifting, pushing and pulling. A ct scan protocol for the detection of radiographic. Therefore, the purpose of the study was to investigate the early functional. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss of the normal biomechanical coupling of the shoulder.
Aequalis ascend flex reversed shoulder arthroplasty exposure. Compared to the traditional stem replacement device, which must be inserted deeply into the bone of the upper arm, surgeons can now capitalize on a more straightforward approach, with the benefit of simpler implantation. Food and drug administration fda for use in the united states. Aequalis ascend flex convertible shoulder system brochure caw5406. Aequalis ascend flex softtissue balancing stb humeral head. Shoulder replacement surgery, a procedure wherein damaged bones of the shoulder are replaced, is usually performed for reasons that include relieving patients of severe shoulder joint pain and restoring shoulder motion and function. A new addition to conmeds shoulder restoration system, the versatile new tenolok dual expanding tenodesis anchor is used for tenodesis procedures. Columbus community hospital tornier simpliciti shoulder system.
Faulty replacement implants from wright and tornier the. In a recent analysis that included 33 clinical studies and 2,540 shoulder arthroplasties from 1996 to 2005, the rate of aseptic loosening was reported to be 39%. This section will cover the anatomy of the shoulders and touch on the anatomy of the arms which we will cover more in depth in the anatomy of the arms and hands section. Reversed shoulder arthroplasty exposure technique using aequalis ascend flex convertible shoulder system.
Causes of shoulder pain and reduced shoulder function include. For more information on the cleared combinations, refer to simpliciti mismatch charts caw3185. Are there differences between stemless and conventional. The rad shoulder system brace is designed for arthroscopy, rotator cuff, labral repairs, total shoulder repair and other shoulder injuries. The aequalis ascend flex convertible shoulder system provides anatomic and reversed options within a single system offering precise intraoperative implantto. Preoperative planning four shoulder xrays are recommended. Planning software and patientspecific instruments in. The articulations between the bones of the shoulder make up the shoulder joints. Reduced surgical steps the simpliciti implant system simplifies the procedure for both the surgeon and staff by reducing the number of surgical steps and eliminating many of the variables. The simpliciti shoulder system simplifies the procedure for both the surgeon and staff by reducing the number of surgical steps and eliminating many of the variables associated with traditional implant designs. The aequalis shoulder system was born out of a landmark study of the proximal humerus performed by gilles walch, m. Adduction holding on to the end of the wand with the right hand, right elbow slightly flexed, left hand is on the mid shaft on the wand and pulls right shoulder across the body for exercising an involved right shoulder, reverse hands for an. A wide variety of arthroscopic suturing instruments facilitates multiple options to deal with most anatomical variations. Deltopectoral approach an incision is made from the tip of the coracoid along.
Aequalis perform surgical technique udtt144 7 system compatibility the aequalis perform glenoid has been designed to be compatible with the simpliciti, aequalis, and ascend humeral head systems in certain combinations. Aequalis ascend flex reversed shoulder arthroplasty. You should still have the blue handled screw driver from the tornier set for peace of mind. One of the immediate benefits i see is that when lying on the side with the bad shoulder the tapered wedge supporting the upper body elevates the area immediately below the shoulder joint and kind of suspends it in the molded trough, alleviating the weight on the point of the shoulder which is a. Shoulder positioning support system for shoulder pain. District court, district of colorado, the case had been brought on behalf of a plaintiff who received two. Simple conversion from anatomic to reverse without stem removal. Shoulder arthroplasty the shoulder is a ball and socket joint that enables you to raise, twist, bend and move your arms forward, to the sides and behind you. The rad shoulder system is also effective for shoulder instability repairs where the ability to maintain a particular degree of external rotation is necessary. Anatomic total shoulder arthroplasty is the treatment of choice for endstage glenohumeral primary osteoarthritis and has excellent surgical outcomes and survivorship.
The specially designed handle is contoured away from the surgeons field of view and working area. New advances in total shoulder implants allow for more flexibility from a primary to a reverse shoulder replacement. Total shoulder replacement protocol sports and ortho. The patient must be anatomically and structurally suited to receive the implants and a. The tornier press fit shoulder system does not use the screw in the back of the humeral neck to lock the humeral head. Aequalis ascend flex convertible shoulder arthroplasty. The nerotsirveaux system was used to classify scapular notching. Wright medicals shoulder, hand, forearm, and elbow products are chosen by surgeons around the world. Conventional stemmed anatomical shoulder prostheses are widely used in the treatment of glenohumeral osteoarthritis. Shoulder system is intended for use in total shoulder arthroplasty of the shoulder application. Arthrography with contrast to confirm integrity of the rotator cuff if there is a clinical question about the cuff integrity. The tornier aequalis ascend flex convertible shoulder system improves upon the traditional grammontstyle reverse total shoulder. At present, three reverse shoulder prosthesis designs have been approved by the u.
Tornier shoulder prostheses university of washington. The aequalis ascend flex shoulder system is to be used only in patients with an intact or reconstructable rotator cuff, where it is intended to provide increased mobility and stability and to relieve pain. Early dislocation after reverse total shoulder arthroplasty. The metaphyseal humeral stem, which is constructed of titanium alloy, is indicated for pressfit, uncemented use. Jan 25, 2016 the role of computerized planning software and patientspecific instruments and guides in shoulder arthroplasty has been a topic of interest recently in the literature. Titan total shoulder system for internal use only 10 pegged glenoids reference description height width spherical dia. Shoulder replacement becomes more indicated in complex fractures of the humeral head.
The aequalis ascend flex shoulder system is indicated for use as a replacement of shoulder joints disabled by. The tornier aequalis prosthesis is the first third generation shoulder prosthesis. The simpliciti implant system simplifies the procedure for both the surgeon and. Tournier shoulder replacement aequalis ascend flex simplicity. Simpliciti shoulder system joint replacement with the simpliciti shoulder system implant, there is no long stem as part of the humeral joint replacement, but rather a bone preserving nucleus which can potentially lead to decreased blood loss, bone loss, or and anesthesia time. It provides anatomic resurfacing of the glenohumeral articulation in an unconstrained fashion allowing the rotator cuff and deltoid to restore function.
The modifications made to the proposed aequalis shoulder system, addition of a new tomier glenoid. The aequalis ascend flex convertible shoulder system gives your surgeon the options needed to improve current shoulder function while addressing potential future considerations. Made of autoclavable radel material, the unit is nonconductive of current and resists the high temperatures associated with the use of electrocautery. Tornier surgical technique guide copy charlotte shoulder. The humeral entry point is located at the diaphyseal axis at the highest point of the humeral head.
The stemless shoulder prosthesis, in contrast, is a new concept, and fewer outcome studies are available. In current practice, patient evaluation after tsa is based on successive clinical and. Oct 02, 2016 shoulder replacement surgery, a procedure wherein damaged bones of the shoulder are replaced, is usually performed for reasons that include relieving patients of severe shoulder joint pain and restoring shoulder motion and function. Contact information can be found in this document and the package insert. Reverse shoulder prosthesis implant procedure duration. Cleared by the fda in 2015, the tornier simpliciti shoulder system is indicated for total shoulder replacement in patients who have a severely painful andor disabled joint as a result of osteoarthritis or traumatic arthritis. The approach technique is supported by a set of standardized retractors specifically designed for execution of the approach technique. The raw materials of the new components of the tornier glenoid are identical to the raw materials of predicates aequalis shoulder system k952928, k99439z, k060209 and k063081 and the affinitjm shoulder system 1060988, k103007.
Biomet comprehensive reverse shoulder products are indicated for. Tornier aequalis ascend flex convertible shoulder system. Tenotomy and excision of the long head of the biceps 6. Wikipedia introduction this section will cover the anatomy of the shoulders and touch on the anatomy of the arms which we will cover more. Request pdf tornier aequalis ascend flex convertible shoulder system the tornier aequalis ascend flex convertible shoulder system improves upon. Reverse total shoulder arthroplasty is indicated for the treatment of conditions that cannot be treated with conventional arthroplasty or other procedures.
The new simpliciti system uses a simple, clinically proven restoration approach that closely resembles a shoulder s natural anatomy. Columbus community hospital tornier simpliciti shoulder. For more information on the cleared combinations refer to the mismatch charts listed below. The shoulder repair set is a comprehensive selection of specialty instruments to facilitate arthroscopic shoulder repairs. From a populationbased implant design, a patented screwtoplate interface, and streamlined instrumentation, our focus was on creating a welldesigned plating system, giving you more time to focus on other things. Simpliciti shoulder system joint replacement with the simpliciti shoulder system implant, there is no long stem as part of the humeral joint replacement, but rather a bone preserving nucleus which can potentially lead to decreased blood loss, bone loss, or and. Indications depend on some factors especially age and fractures pattern. Glenoid loosening is the main complication of total shoulder arthroplasty tsa. The aim of our study is to compare the functional results of both reverse shoulder arthroplasty rsa and hemiarthroplasty ha in complex proximal humerus fractures. The new system provides a short stem designed to match the internal geometry of the proximal humerus providing metaphyseal pressfit. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss. The new simpliciti system uses a simple, clinically proven restoration approach that closely resembles a shoulders natural anatomy.
Four manual cannulated peripheral reamers are available according to the. The tornier shoulder prostheses are intended for replacement of the shoulder joint to reduce pain and improve shoulder mobility in comparison with preoperative status. Prior to use of any tornier implant system, the surgeon should refer to the product package insert for complete warnings, precautions, indications, contraindications, and adverse effects. Monoaxial locking plate system for treating proximal humerus fractures. This does look interesting as ive been dealing with nocturnal shoulder pain for a long time. Identification of the lesser and greater tuberosities and anterosuperior arthrotomy 5.
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