The surgeon is responsible for determining the appropriate devices and techniques for each individual patient. Food and drug administration fda for use in the united states. The new system provides a short stem designed to match the internal geometry of the proximal humerus providing metaphyseal pressfit. The modifications made to the proposed aequalis shoulder system, addition of a new tomier glenoid.
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. Tornier aequalis ascend flex convertible shoulder system. Reverse total shoulder arthroplasty is indicated for the treatment of conditions that cannot be treated with conventional arthroplasty or other procedures. The specially designed handle is contoured away from the surgeons field of view and working area. 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 patient must be anatomically and structurally suited to receive the implants and a. The tornier aequalis ascend flex convertible shoulder system improves upon the traditional grammontstyle reverse total shoulder.
Tenotomy and excision of the long head of the biceps 6. The metaphyseal humeral stem, which is constructed of titanium alloy, is indicated for pressfit, uncemented use. The head of the upper arm bone humerus is the ball and a circular depression glenoid in the shoulder bone scapula is the socket. The articulations between the bones of the shoulder make up the shoulder joints. Columbus community hospital tornier simpliciti shoulder system. 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. New advances in total shoulder implants allow for more flexibility from a primary to a reverse shoulder replacement. Reverse shoulder prosthesis implant procedure duration. Titan total shoulder system for internal use only 10 pegged glenoids reference description height width spherical dia. Reversed shoulder arthroplasty exposure technique using aequalis ascend flex convertible shoulder system.
Four manual cannulated peripheral reamers are available according to the. Tournier shoulder replacement aequalis ascend flex simplicity. 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. Ct scan for the most accurate assessment of glenoid version. 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. Are there differences between stemless and conventional. As a total shoulder, the system consists of a metaphyseal metal humeral component, a metal humeral head and an ultrahigh molecular weight polyethylene glenoid. Request pdf tornier aequalis ascend flex convertible shoulder system the tornier aequalis ascend flex convertible shoulder system improves upon. Aequalis ascend flex convertible shoulder arthroplasty. The rad shoulder system brace is designed for arthroscopy, rotator cuff, labral repairs, total shoulder repair and other shoulder injuries. 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.
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. The set contains the most popular instruments as determined by leading upper extremity surgeons. Shoulder positioning support system for shoulder pain. Beach chair position with the shoulder positioned sufficiently lateral to allow full arm extension. Additionally, both humeral head systems, in certain combinations, are compatible with the aequalis shoulder system and affiniti glenoid systems.
The new simpliciti system uses a simple, clinically proven restoration approach that closely resembles a shoulder s natural anatomy. Tornier surgical technique guide copy charlotte shoulder. 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. Aequalis ascend flex reversed shoulder arthroplasty exposure. Medialization of the center of rotation inside the. You should still have the blue handled screw driver from the tornier set for peace of mind. The tornier aequalis prosthesis is the first third generation shoulder prosthesis. Columbus community hospital tornier simpliciti shoulder. District court, district of colorado, the case had been brought on behalf of a plaintiff who received two. The aequalis ascend flex convertible shoulder system gives your surgeon the options needed to improve current shoulder function while addressing potential future considerations. Shoulder system is intended for use in total shoulder arthroplasty of the shoulder application. 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. The shoulder repair set is a comprehensive selection of specialty instruments to facilitate arthroscopic shoulder repairs. 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.
Monoaxial locking plate system for treating proximal humerus fractures. The tenolok is designed to provide strong tendontobone fixation, reduced tendon damage and tendon wrap as well as a fast, efficient technique. Aequalis ascend flex softtissue balancing stb humeral head. Package inserts are also available by contacting wright. For more information on the cleared combinations, refer to simpliciti mismatch charts caw3185.
For more information on the cleared combinations refer to the mismatch charts listed below. Total shoulder replacement protocol sports and ortho. The aequalis ascend flex convertible shoulder system provides anatomic and reversed options within a single system offering precise intraoperative implantto. Faulty replacement implants from wright and tornier the. Deltopectoral approach an incision is made from the tip of the coracoid along. Early dislocation after reverse total shoulder arthroplasty. A ct scan protocol for the detection of radiographic. 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. Therefore, the purpose of the study was to investigate the early functional. 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.
The new simpliciti system uses a simple, clinically proven restoration approach that closely resembles a shoulders natural anatomy. Contact information can be found in this document and the package insert. Tornier first introduced the key principles for anatomic shoulder reconstruction with the launch of the aequalis shoulder system nearly two decades ago. Causes of shoulder pain and reduced shoulder function include. 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. A wide variety of arthroscopic suturing instruments facilitates multiple options to deal with most anatomical variations. 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.
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. The simpliciti implant system simplifies the procedure for both the surgeon and. Deltopectoral approach an incision is made from the tip of the coracoid along the deltopectoral groove, slightly lateral to the axillary. Wright medicals shoulder, hand, forearm, and elbow products are chosen by surgeons around the world. Tornier shoulder prostheses university of washington. 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. Aequalis ascend flex convertible shoulder system aequalis rev ii threaded post baseplate aequalis perform glenoid system preservation. Quantification of b2 glenoid morphology in total shoulder arthroplasty. It provides anatomic resurfacing of the glenohumeral articulation in an unconstrained fashion allowing the rotator cuff and deltoid to restore function. Radiologic assessment of reverse shoulder arthroplasty. Indications depend on some factors especially age and fractures pattern. Preoperative planning four shoulder xrays are recommended.
Shoulder replacement becomes more indicated in complex fractures of the humeral head. The aequalis shoulder system was born out of a landmark study of the proximal humerus performed by gilles walch, m. 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. 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. 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%. At present, three reverse shoulder prosthesis designs have been approved by the u.
Simple conversion from anatomic to reverse without stem removal. Wikipedia introduction this section will cover the anatomy of the shoulders and touch on the anatomy of the arms which we will cover more. Anatomic total shoulder arthroplasty is the treatment of choice for endstage glenohumeral primary osteoarthritis and has excellent surgical outcomes and survivorship. The stemless shoulder prosthesis, in contrast, is a new concept, and fewer outcome studies are available. The aequalis ascend flex shoulder system is indicated for use as a replacement of shoulder joints disabled by. Made of autoclavable radel material, the unit is nonconductive of current and resists the high temperatures associated with the use of electrocautery. In current practice, patient evaluation after tsa is based on successive clinical and. 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 tornier press fit shoulder system does not use the screw in the back of the humeral neck to lock the humeral head. Glenoid loosening is the main complication of total shoulder arthroplasty tsa. The rad shoulder system is also effective for shoulder instability repairs where the ability to maintain a particular degree of external rotation is necessary. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss of the normal biomechanical coupling of the shoulder.
A new addition to conmeds shoulder restoration system, the versatile new tenolok dual expanding tenodesis anchor is used for tenodesis procedures. Arthrography with contrast to confirm integrity of the rotator cuff if there is a clinical question about the cuff integrity. The tornier shoulder prostheses are intended for replacement of the shoulder joint to reduce pain and improve shoulder mobility in comparison with preoperative status. 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.
Planning software and patientspecific instruments in. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss. Conventional stemmed anatomical shoulder prostheses are widely used in the treatment of glenohumeral osteoarthritis. 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. Aequalis ascend flex reversed shoulder arthroplasty. Identification of the lesser and greater tuberosities and anterosuperior arthrotomy 5. Aequalis ascend flex convertible shoulder system brochure caw5406. The shoulder joint, also known as the glenohumeral joint, is the major joint of the shoulder, but can more broadly include the. The humeral entry point is located at the diaphyseal axis at the highest point of the humeral head. The approach technique is supported by a set of standardized retractors specifically designed for execution of the approach technique. 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. This does look interesting as ive been dealing with nocturnal shoulder pain for a long time. The nerotsirveaux system was used to classify scapular notching. Biomet comprehensive reverse shoulder products are indicated for.319 844 404 1142 1469 704 607 1081 447 100 706 974 1087 832 1374 998 370 631 1105 1012 401 956 122 1187 16 1463 428 351 1056 565 318 951 1175 1062 145 813 116 1175 362 998 295 825 225 1371