SMR. Always the Best Option
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1 SMR Always the Best Option
2 Shoulder Modular Replacement Always the Best Option 36 mm Eccentric Reverse CTA with Cementless Revision System CTA with Large Resection System
3 Always the Best Option All options available, from resurfacing to revision Easy Conversion Final tuberosity malposition occurred in 33 patients (50%) and was 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 an easy 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 Intraoperative Flexibility 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 mm and 26.5 mm 1 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 Shoulder System, thanks to 8 head diameters and 25 eccentricity options, allows an accurate restoration of humeral anatomy The SMR Trauma allows to choose between 3 humeral body sizes and permits to choose the retroversion intraoperatively, in order to facilitate the restoration of the right implant height and version Resurfacing Trauma Total Anatomic
4 REVERSE It can host poly and metal liners ANATOMIC It can be used with anatomical and CTA heads ELECTIVE With Hydroxyapatite coating TRAUMA With holes and medial polished groove for suture wires ELECTIVE With fins TRAUMA In 3 heights and with holes for suture wires FIRST IMPLANT REVISION CEMENTED 80 mm length, 5 sizes CEMENTLESS 80 mm length, 11 sizes and mini stems option CEMENTED 150, 180 or 210 mm length, 6 sizes CEMENTLESS 150 or 180 mm length, 8 sizes
5 Humeral Body Choose the option you need according to the surgery elective or trauma, anatomic or reverse Stem All options available: first implant and revision, cemented and not
6 Glenoid 4 sizes in combination with a proven clinical performance offer the best solutions for glenoid replacement POLYETHYLENE LINER X-Lima Crosslinked Polyethylene ensures low wear and longest survivorship of the implant 36 mm METAL GLENOSPHERE Choose between Standard and Eccentric version SMR Always the Best Option Welcome to the 4th generation of shoulder replacement A truly modular shoulder system to cover all indications, from resurfacing to reverse X-LIMA POLYETHYLENE GLENOSPHERE Large diameter ensures high stability and scapular notch prevention
7 Clinical Cases Resurfacing Anatomical resurfacing implant on a 65 years old woman with arthrosis. Anatomic Total anatomic implant on a 68 years old man with osteoarthritis. Reverse 44 mm reverse implant on a 78 years old woman with disabling shoulder with cuff tear arthropathy. Revision Revision for periprosthetic fracture 3 years after the first implant; implantation of reverese and cementless revision stem.
8 Bibliography 1. Geometry of the proximal humerus and implications for prosthetic design of Ralph Hertel, Ulf Knothe, and Franz T. Ballmer, JSES 2002;11: Tuberosity malposition and migration: Reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus of P. Boileau, S. G. Krishnan, L. Tinsi, G. Walch, J. S. Coste, and D. Mole, JSES 2002;11: B Lima-Lto spa Via Nazionale, Villanova di San Daniele Udine - Italy Tel.: Fax: info@lima.it Lima Implantes slu Entenza ª Barcelona - Spain Tel.: Fax: 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 Tel: +33 (0) Fax: +33 (0) info@limafrance.com Lima O.I. doo Maksimirska, Zagreb - Croatia Tel.: +385 (0) Fax: +385 (0) lima-oi@lima-oi.hr Lima Switzerland sa Birkenstrasse, 49 CH-6343 Rotkreuz - Zug Switzerland Tel: +41 (0) Fax: +41 (0) info@lima-switzerland.ch Lima Japan kk Koshin Building 8F Nishi-shinjyuku, Shinjyuku, Tokyo Japan Tel.: Fax: Lima CZ sro Do Zahrádek I., 157/ Praha 5 Zličín Czech Republic Tel.: Fax: info@limacz.cz Lima Deutschland GmbH Kapstadtring Hamburg - Germany Tel.: Fax: info@lima-deutschland.com Lima Austria GmbH Ignaz Köck Strasse 10 / Top Wien - Austria Tel.: +43 (1) Fax: +43 (1) info@lima-austria.at Lima SK s.r.o. Zvolenská cesta Banská Bystrica - Slovakia Tel.: Fax.: info@lima-sk.sk Lima Netherlands B.V. Bergweg 153 A Zeist - The Netherlands Tel.: Fax: Lima Implantes Portugal Lda Rua Antonio Albino Machado 35 I Lisbon Portugal Tel.: Lima Orthopaedics Australia Pty Ltd Unit 1, 40 Ricketts Rd Mt Waverley 3149 Victoria - Australia Phone: +61 (03) Fax: +61 (03) Lima Orthopaedics New Zealand Pty Ltd 300 Great South Road Greenlane Auckland - New Zealand Phone: +64 (09) Fax: +64 (09) Lima UK United Kingdom Hit Medica srl Via san Gregorio 11/ Rimini - Italy Tel.: / Fax: info@hitmedica.it
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