At zimmer biomet, our innovations help treat patients suffering from disorders of, or injuries to, bones, joints or supporting soft tissues. Responsibility mark frankle, scott marberry, derek pupello, editors. Screw the version control rod into the appropriate version. Conventional total shoulder arthroplasty tsa is a widely accepted. Survivorship of a medialized glenoid and lateralized onlay. Pdf subscapularis in reverse total shoulder arthroplasty. Download all surgery, anesthesiology, otolaryngology, dermatology books from the website. After full range of motion was achieved, strength exercises were allowed. Ensure both xrays are at the same degree of external rotation. Five humeral tray configuration positions were tested. Comprehensive reverse shoulder system total shoulder.
Utilize a modified beach chair position at about 3040 degrees of flexion. General principles of fractures and dislocations 15 4. Comprehensive total shoulder system anatomic engineering, surgeon versatility and ease of use the comprehensive total shoulder system is an evolutionary design based on the successful clinical heritage of the biomodular shoulder system. More information on the comprehensive reverse shoulder recall and the affected devices can be found here in light of the recall, many patients have questions and want to know what they should do. Comprehensive reverse shoulder system zimmer biomet. The system uses innovative technologies to allow intraoperative flexibility, unmatched humeral stem options, and infinite humeral head offset possibilities. The purpose of this study was to determine revision free survivorship after rsa using a medialized glenoid and lateralized onlaytype humerus implant and to identify etiologies of revision. The word replacement makes one think that surgeons remove the entire joint. Comprehensive reverse shoulder system the comprehensive reverse shoulder builds on the foundation of the comprehensive shoulder system. Comprehensive total shoulder system figure 3 patient positioning and incision identify anterior structures and externally rotate the humerus.
While these joints are among the least likely to develop conditions requiring joint replacement, there are implants that can reduce or eliminate pain and restore motion. Textbook of orthopedics 4th edition pdf download medical. The newcastle shoulder model was used to investigate the biomechanical effect of humeral tray positioning in the biomet comprehensive total shoulder system biomet, warsaw, in, usa rtsa. Textbook of orthopedics 4th edition pdf textbook of orthopedics 4th edition pdf textbook of orthopedics 4th edition pdf free download textbook of orthopedics 4th edition ebook table of contents. Determine amount of comminution and proximal bone loss on xray andor ct scans. Customers were asked to complete the attached response form and return it along with recalled product to biomet. The biomet comprehensive reverse total shoulder system. Comprehensive reverse augmented baseplates continue the trend of market leading solutions. Phoenix, arizonaon december 20, 2016, zimmer biomet announced a recall of its comprehensive reverse shoulder implant based on a higherthanexpected fracture rate. Class 3 device recall biomet comprehensive shoulder system. Exactech prosthetic proximal humeral fracture repair surgical technique. The comprehensive total shoulder system is an evolutionary design based on the successful clinical heritage of the biomodular shoulder system. Of the 109 patients, 104 received a 36 mm glenosphere. Common clinical challenges such as scapular notching, a more demanding patient population and polyethylene wear were inputs of the original design rationale, and comprehensive.
In truth, surgeons only replace the damaged bone and cartilage at the ends of the bones in the joint. It has a proven 112 clinical history, and combines materials that have been tested to withstand the demands of joint arthroplasty. Anatomic total shoulder arthroplasty shoulder replacement. On the other hand, tobacco use negatively impacts the outcomes following rtsa by nearly doubling the overall complication rate. Rehabilitation following reverse total shoulder arthroplasty. Make a longitudinal incision through the tendinous portion of the subscapularis muscle and capsule, just medial to the lesser tuberosity figure 3. In addition to those specified above, the proximal shoulder replacement prostheses are indicated for use in oncology applications, complex humeral fractures and revisions. Over 1 million times per year, biomet helps one surgeon. American shoulder and elbow surgeons score improved from 34. Biomet s comprehensive total shoulder system is an evolutionary design based on the successful clinical heritage of the biomodular shoulder system, which. Biomet, as the maunufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. Three steps that all patients of the zimmer biomet. Romeo explains in detail how an anatomic total shoulder arthroplasty is performed. Read more flaps and reconstructive surgery, 2nd edition.
The upper extremities include the wrist, elbow, and shoulder. For product information, including indications, contraindications, warnings, precautions and potential adverse effects, see the package insert and biomet s website. Reverse shoulder arthroplasty biomechanics, clinical techniques. The zimmer biomet reverse shoulder received fda approval in 2008 through the controversial 510k premarket approval process, which allows manufacturers to bring products to market if they can show the products are substantially similar to an existing product already being sold and distributed. Reverse shoulder arthroplasty rsa is a common treatment of a variety of disabling shoulder conditions. Comprehensive reverse shoulder glenosphere mini baseplate 25mm with. For more information on the vrs glenoids, reference the comprehensive vrs surgical technique 0469.
At biomet, we strive to view our work through the eyes of. Vrs are available through the zimmer biomet patient matched implant group. Comprehensive reverse shoulder system zimmer biomet tv. Humeral component retroversion in reverse total shoulder. The purpose of this study was to determine the optimal amount of humeral retroversion for this prosthesis.
Biomodular choice surg techn university of washington. The letter identifed the affected product, problem and actions to be taken. The first comprehensive book devoted exclusively to reverse shoulder. Following a wellstructured conditioning program will also help you return to sports and other. Surgery books download thousands of surgery books pdf. The comprehensive segmental revision system srs utilizes a multioption approach to address proximal, distal and total humeral replacement with the convenience of an allinclusive system. Approximately 55 percent of all shoulder replacements are the result of complex fractures of the proximal humerus. Surgical technique this brochure describes the surgical technique used by richard l. This procedure is commonly referred to as a shoulder replacement. Utilizing innovative technologies, the system is able to allow for surgeon efficiency through. It is designed for use as a primary reverse prosthesis, or to convert to a reverse from a wellfxed comprehensive primary, revision or fracture stem. Zimmer tea a tricepson approach to semiconstrained total elbow arthroplasty.
Current outcomes following reverse total shoulder arthroplasty. Subscapularis in reverse total shoulder arthroplasty. The titanium versadial humeral head prosthesis is intended for. These options provide intraoperative flexibility, even in complex revision cases. Reverse shoulder system prosthesis was used zimmer. Although support for the technique of surface cementation with pressfit designs of the tibial component exists in the literature, 2428 other studies have demonstrated higher failure rates with this maxi, 2029. Statistical analysis was performed using the wilcoxon rank sum test. Sidus stemfree shoulder system for primary osteoarthritis oatao. The comprehensive reverse shoulder is indicated for primary, fracture, or revision total shoulder. Hcp content posted july 12, 2016 in animated demonstrations and zimmer biomet extremities. The arm and shoulder are prepped and draped free figure 1. For example, right should be visible for a right shoulder.
The fda this week released information on a class 1 recall of zimmer biomet s nyse. The variety of head types and sizes, along with multiple glenoid options, allow the surgeon to better recreate the normal anatomy which is so important in tensioning of the soft. In cases of severe contracture, subscapularis lengthening. Alongside some of the worlds top healthcare professionals, we help deliver new possibilities to patients. Zimmer biomet s comprehensive total shoulder system design is based on the successful clinical heritage of the biomodular shoulder system. Biomet sent an urgent medical device recall notice letter dated april 29, 2015 to affected customers via fedex. Reverse total shoulder arthroplasty offers pain relief and functional improvement for patients with rotator cuffdeficient shoulders. The rotator cuff covers the shoulder joint and joint capsule. The comprehensive reverse shoulder has been trusted since 2008. The comprehensive srs system is compatible with comprehensive shoulder.
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