SHOULDER MODULAR REPLACEMENT
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1 SHOULDER MODULAR REPLACEMENT
2
3 DESIGNED FOR: THE INTRA-OPERATIVE VERSATILITY The comprehensive and fully modular system enables multiple combinations of components to meet the specific needs of each individual patient EFFICIENT MANAGEMENT OF THE EVOLUTION OF THE PATHOLOGY The use of modular solutions for the humeral and glenoid implants allows conversion from an anatomical to a reverse shoulder replacement prosthesis when the patient s conditions demand it
4 SHOULDER MODULAR REPLACEMENT The SMR system is available in multiple options, from resurfacing to revision surgery INTRA-OPERATIVE VERSATILITY Through a step-by-step assembly, the SMR Shoulder System lets you find the right stem (cemented or press-fit) and the right solution (anatomical or reverse) for the patient Variations in the medial offset are of paramount importance in the design of humeral prosthetic components ¹ The frontal radius of the head ranged between 21 and 26.5 mm 1 The SMR Shoulder System, with 8 head diameters and 25 eccentricity options, allows an accurate restoration of humeral anatomy In trauma cases, Malposition of the prosthesis, either in height and/or in retroversion, is significantly correlated with a poor functional result". 2 The SMR Trauma allows a choice of 3 humeral body sizes and permits choosing the retroversion intraoperatively, in order to facilitate attainment of the right implant height and version EASY CONVERSION Final tuberosity malposition occurred in 33 patients (50%) and correlated with an unsatisfactory result, superior migration of the prosthesis, stiffness or weakness, and persistent pain" 2 Shoulder pathology may evolve, so the SMR Shoulder System allows the change from anatomical to reverse leaving the stem and the metal back in situ: the stem and the metal back are the same for both anatomical and reverse Resurfacing Trauma Total anatomical Reverse with 36 mm eccentrical glenosphere CTA head with cementless revision stem
5 HUMERAL BODY Choose the option you need according to the surgery elective or trauma, anatomic or reverse reverse Elective Trauma With holes and medial polished groove for suture wires Anatomic Can be used with anatomical and CTA heads Elective With fins Trauma In 3 heights, with holes for suture wires
6 GLENOID AVAILABLE IN 4 SIZES WHICH, COMBINED WITH A PROVEN CLINICAL PERFORMANCE, 3,4,5 OFFER A COMPREHENSIVE SOLUTION FOR GLENOID IMPLANTS POLYETHYLENE LINER Is press fitted inside the metal back implant 36mm METAL GLENOSPHERE Choose between Standard and Eccentric versions STEM Multiple options available: primary implant and revision, cemented and not PRIMARY IMPLANT REVISION Cemented 80 mm length, 5 sizes Cemented 150, 180 and 210 mm length, 6 sizes CEMENTLESS 80 mm length, 11 sizes and mini stem option CEMENTLESS 150 or 180 mm length, 8 sizes
7 CLINICAL CASES Resurfacing Resurfacing implant on a 65 year old woman with osteoarthritis. Anatomical Total anatomic implant on a 68 year old man with osteoarthritis. REVERSE 36 mm eccentric reverse implant for 78 year old female with rotator cuff arthropathy. REVISION Revision for peri-prosthetic fracture 3 years after primary implant; insertion of uncemented revision stem mantaining the integrated reverse body on the proximal humerus.
8 Bibliography [1] Hertel R., Knothe U., Ballmer F. T. Geometry of the proximal humerus and implications for prosthetic design. JSES, 11: 331-8, 2002 [2] Boileau P., Krishnan S. G., Tinsi L., Walch G., Coste J. S., Mole D. Tuberosity malposition and migration: Reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. JSES, 11: , 2002 [3] A. Castagna, M. Randelli, R. Garofalo, L. Maradei, A. Giardella, M. Borroni. Mid-Term results of a metal-backed glenoid component in total shoulder replacement. J Bone Joint Surg [Br], 92(10): , 2010 [4] S.W. Young, N.M. Everts, C.M. Ball, T.M. Astley, P.C. Poon. The SMR reverse shoulder prosthesis in the treatment of cuff-deficient shoulder conditions. J Shoulder Elbow Surg, 18(4): , 2009 [5] P.C. Poon, J. Chou, D. Young, S. F. Malak, I.A. Anderson. Biomechanical evaluation of different designs of glenospheres in the SMR reverse shoulder prosthesis: micromotion of the baseplate and risk of loosening. Shoulder & Elbow, 2: 94 99, 2010 The people appearing in the photographs are models and used for illustrative purposes only. This publication is intended for distribution in the U.S. only. Limacorporate spa Via Nazionale, Villanova di San Daniele Udine - Italy Tel.: Fax: info@limacorporate.com Lima Implantes slu C/ Lluça 28, Barcelona - Spain t..: f.: e.: lima@limaimplantes.com Lima France sas Les Espaces de la Sainte Baume Parc d' Activité de Gemenos - Bât.A5 30 Avenue du Château de Jouques Gemenos - France t.: +33 (0) f.: +33 (0) e.: info@limafrance.com Lima O.I. doo Ante Kovacic Zagreb - Croatia t.: +385 (0) f.: +385 (0) e.: lima-oi@lima-oi.hr Lima Switzerland sa Birkenstrasse, 49 CH-6343 Rotkreuz - Zug Switzerland t.: +41 (0) f.: +41 (0) e.: info@lima-switzerland.ch Lima Japan kk Shinjuku Center Building, 29th floor , Nishi-shinjuku, Shinjuku, Tokyo - Japan t.: f.: Lima CZ sro Do Zahrádek I., 157/ Praha 5 Zličín Czech Republic t.: f.: e.: info@limacz.cz Lima Deutschland GmbH Kapstadtring Hamburg - Germany t.: f.: e.: info@lima-deutschland.com Lima Austria GmbH Ignaz Köck Strasse 10 / Top Wien - Austria t.: +43 (1) f.: +43 (1) e.: info@lima-austria.at Lima SK s.r.o. Zvolenská cesta Banská Bystrica - Slovakia t.: f.: e.: info@lima-sk.sk Lima Netherlands Havenstraat HD Schiedam The Netherlands t.: +31 (0) f.: +31 (0) e.: info@limanderland.nl Lima Implantes Portugal S.U. Lda Rua Olavo D Eça Leal Nº6 Loja Lisboa - Portugal t.: Lima Orthopaedics Australia Pty Ltd Unit 1, 40 Ricketts Rd Mt Waverley 3149 Victoria Australia t.: +61 (03) f.: +61 (03) Lima Orthopaedics New Zealand Ltd Zone 23, Unit 102, Edwin Street, Mt Eden Auckland, 1024 New Zealand t.: +64 (09) f.: +64 (09) Lima Orthopaedics UK Limited The Pavillon, Campus 5, Unit 1 Third Avenue Letchworth Garden City Hertfordshire SG6 2JF United Kingdom t.: f.: Lima USA Inc W. Pioneer Parkway, Suite 126 Arlington, TX t: / f: / Hit Medica spa Strada Borrana Serravalle - Republic of San Marino t.: f.: e.: info.trauma@limacorporate.com B
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