The patient must be anatomically and structurally suited to receive the implants and a. Preoperative planning four shoulder xrays are recommended. Are there differences between stemless and conventional. Tournier shoulder replacement aequalis ascend flex simplicity.
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. District court, district of colorado, the case had been brought on behalf of a plaintiff who received two. The metaphyseal humeral stem, which is constructed of titanium alloy, is indicated for pressfit, uncemented use. You should still have the blue handled screw driver from the tornier set for peace of mind.
Radiologic assessment of reverse shoulder arthroplasty. Aequalis ascend flex convertible shoulder arthroplasty. 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. Tornier surgical technique guide copy charlotte shoulder. 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. Early dislocation after reverse total shoulder arthroplasty. 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. Package inserts are also available by contacting wright. At present, three reverse shoulder prosthesis designs have been approved by the u. The rad shoulder system is also effective for shoulder instability repairs where the ability to maintain a particular degree of external rotation is necessary. The approach technique is supported by a set of standardized retractors specifically designed for execution of the approach technique. The specially designed handle is contoured away from the surgeons field of view and working area.
Reversed shoulder arthroplasty exposure technique using aequalis ascend flex convertible shoulder system. Titan total shoulder system for internal use only 10 pegged glenoids reference description height width spherical dia. Glenoid loosening is the main complication of total shoulder arthroplasty tsa. Tornier aequalis ascend flex convertible shoulder system. Arthrography with contrast to confirm integrity of the rotator cuff if there is a clinical question about the cuff integrity.
In current practice, patient evaluation after tsa is based on successive clinical and. 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 aequalis ascend flex convertible shoulder system gives your surgeon the options needed to improve current shoulder function while addressing potential future considerations. 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 surgeon is responsible for determining the appropriate devices and techniques for each individual patient. Total shoulder replacement protocol sports and ortho. The new simpliciti system uses a simple, clinically proven restoration approach that closely resembles a shoulders natural anatomy. Columbus community hospital tornier simpliciti shoulder system. Wikipedia introduction this section will cover the anatomy of the shoulders and touch on the anatomy of the arms which we will cover more. The tornier shoulder prostheses are intended for replacement of the shoulder joint to reduce pain and improve shoulder mobility in comparison with preoperative status. Shoulder replacement becomes more indicated in complex fractures of the humeral head. Beach chair position with the shoulder positioned sufficiently lateral to allow full arm extension. Contact information can be found in this document and the package insert. 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.
New advances in total shoulder implants allow for more flexibility from a primary to a reverse shoulder replacement. It provides anatomic resurfacing of the glenohumeral articulation in an unconstrained fashion allowing the rotator cuff and deltoid to restore function. A ct scan protocol for the detection of radiographic. 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. Tenotomy and excision of the long head of the biceps 6. Food and drug administration fda for use in the united states. For more information on the cleared combinations refer to the mismatch charts listed below.
Aequalis ascend flex reversed shoulder arthroplasty. Reverse total shoulder arthroplasty is indicated for the treatment of conditions that cannot be treated with conventional arthroplasty or other procedures. The tornier aequalis ascend flex convertible shoulder system improves upon the traditional grammontstyle reverse total shoulder. The tornier aequalis prosthesis is the first third generation shoulder prosthesis. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss. Aequalis ascend flex convertible shoulder system brochure caw5406.
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. The new system provides a short stem designed to match the internal geometry of the proximal humerus providing metaphyseal pressfit. 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. Aequalis ascend flex convertible shoulder system aequalis rev ii threaded post baseplate aequalis perform glenoid system preservation. Identification of the lesser and greater tuberosities and anterosuperior arthrotomy 5. The rad shoulder system brace is designed for arthroscopy, rotator cuff, labral repairs, total shoulder repair and other shoulder injuries. The shoulder repair set is a comprehensive selection of specialty instruments to facilitate arthroscopic shoulder repairs.
The modifications made to the proposed aequalis shoulder system, addition of a new tomier glenoid. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss of the normal biomechanical coupling of the shoulder. Medialization of the center of rotation inside the. For more information on the cleared combinations, refer to simpliciti mismatch charts caw3185. Made of autoclavable radel material, the unit is nonconductive of current and resists the high temperatures associated with the use of electrocautery. As a total shoulder, the system consists of a metaphyseal metal humeral component, a metal humeral head and an ultrahigh molecular weight polyethylene glenoid. Simple conversion from anatomic to reverse without stem removal. The aequalis ascend flex shoulder system is indicated for use as a replacement of shoulder joints disabled by. A wide variety of arthroscopic suturing instruments facilitates multiple options to deal with most anatomical variations. Reverse shoulder prosthesis implant procedure duration. Planning software and patientspecific instruments in.
Aequalis ascend flex reversed shoulder arthroplasty exposure. 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. Ct scan for the most accurate assessment of glenoid version.
Faulty replacement implants from wright and tornier the. 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. 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. 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. The aequalis shoulder system was born out of a landmark study of the proximal humerus performed by gilles walch, m. 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%. Monoaxial locking plate system for treating proximal humerus fractures. 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. The tenolok is designed to provide strong tendontobone fixation, reduced tendon damage and tendon wrap as well as a fast, efficient technique. 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. A new addition to conmeds shoulder restoration system, the versatile new tenolok dual expanding tenodesis anchor is used for tenodesis procedures. Conventional stemmed anatomical shoulder prostheses are widely used in the treatment of glenohumeral osteoarthritis. Additionally, both humeral head systems, in certain combinations, are compatible with the aequalis shoulder system and affiniti glenoid systems.
Tornier shoulder prostheses university of washington. Shoulder positioning support system for shoulder pain. 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. Wright medicals shoulder, hand, forearm, and elbow products are chosen by surgeons around the world. The simpliciti implant system simplifies the procedure for both the surgeon and. Causes of shoulder pain and reduced shoulder function include. The new simpliciti system uses a simple, clinically proven restoration approach that closely resembles a shoulder s natural anatomy. Quantification of b2 glenoid morphology in total shoulder arthroplasty. Deltopectoral approach an incision is made from the tip of the coracoid along. 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. Columbus community hospital tornier simpliciti shoulder.
This does look interesting as ive been dealing with nocturnal shoulder pain for a long time. 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. Biomet comprehensive reverse shoulder products are indicated for. 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. The set contains the most popular instruments as determined by leading upper extremity surgeons. The shoulder joint, also known as the glenohumeral joint, is the major joint of the shoulder, but can more broadly include the. 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 humeral entry point is located at the diaphyseal axis at the highest point of the humeral head.
Shoulder system is intended for use in total shoulder arthroplasty of the shoulder application. Anatomic total shoulder arthroplasty is the treatment of choice for endstage glenohumeral primary osteoarthritis and has excellent surgical outcomes and survivorship. Aequalis ascend flex softtissue balancing stb humeral head. Four manual cannulated peripheral reamers are available according to the. Indications depend on some factors especially age and fractures pattern.
Request pdf tornier aequalis ascend flex convertible shoulder system the tornier aequalis ascend flex convertible shoulder system improves upon. Tornier first introduced the key principles for anatomic shoulder reconstruction with the launch of the aequalis shoulder system nearly two decades ago. Deltopectoral approach an incision is made from the tip of the coracoid along the deltopectoral groove, slightly lateral to the axillary. The nerotsirveaux system was used to classify scapular notching. 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 stemless shoulder prosthesis, in contrast, is a new concept, and fewer outcome studies are available. The tornier press fit shoulder system does not use the screw in the back of the humeral neck to lock the humeral head.
1639 872 565 952 812 909 1599 62 518 889 401 224 1338 1577 884 1615 1471 1645 1298 1391 1188 689 113 1552 1322 1512 303 562 356 940 563 309 968 1323 766 1062 740 897 573 1060 555 25 29 1326 1466 523