The depuy asr xl acetabular system and asr hip resurfacing system were used in more than 93,000 hip replacement surgeries internationally. It reverses the normal relationship between the scapular and humeral components. The system is a modular system that allows 72 different sizing configurations. The humeral component consists of a cementless modular titanium hydroxyapatite hacoated or monobloc cobaltchromium cocr cemented stem. Jul 03, 2017 reverse total shoulder arthroplasty performed by paul favorito, md. Surgical technique delta xtend depuy synthes 1 delta xtend system key surgical steps 4 preoperative templating and patient positioning 7 surgical approach 8 intramedullary canal preparation 10 humeral head resection 11 exposing the glenoid 14 positioning the metaglene central peg 16 reaming the glenoid bone 19 metaglene implantation 21. The delta xtend reverse shoulder arthroplasty was shown by gruber to have very good results with mean modified subjective constant score improving from 39. Use the humeral cutting guide from the old depuy delta set to mark the cut angle on the humeral head. The delta xtend humeral stem is designed for cemented fixation. The delta cta prosthetic geometry reverses the normal relationship between scapular and humeral components, moving the centre of rotation medially and distally to increase the lever arm length of the deltoid muscle figures 1 and 2. A titanium sleeve sits between the ceramic head and the neck of the femoral component. The delta xtend prosthesis depuy synthes, warsaw, in, usa was launched in 2006 and has shown good shortterm results.
Favorito shoulder doc reverse total shoulder arthroplasty. Washington, university of pennsylvania and depuy orthopaedics, inc. Delivering a comprehensive range of power instrument systems, reamers and saws to meet a broad spectrum of clinical needs. All the principals of professor grammont, which are proven to be clinical effective by many medical centers with a followup of more than 15 years, are included. It is just one of the products within the depuy shoulder portfolio that helps you treat your patient more effectively. Delta xtend technique guide university of washington. The hacoated delta xtend humeral implants are intended for uncemented use.
Depuy delta xtend prosthesis has been designed using scientific, engineering, and clinical knowledge in cta cases in order to extend the clinical success associated with the 20 year history of the delta cta system. Fracture toughness fracture toughness mpa m12 9 8 7 6 5 4 3 2 1 0 biolox forte biolox delta 8. This modal can be closed by pressing the escape key or activating the close button. Instructions for use are found in the information that accompanied the product packaging. Important safety information reverse shoulder replacement. Medical device delta xtend monobloc hum cemented epiphysis 1 std 7xx100. Longterm results of the delta xtend reverse shoulder. The delta xtend has been designed to improve the range of motion and to reduce the scapular notching by creating an inferior glenosphere overlap, with the. It reverses the normal relationship between the scapular and humeral components, moving the scapulohumeral joint center of rotation medially and inferiorly. Page 36 insertertightener to first loosen the rod lock. Test data on file with depuy synthes spine standard doublelead thread integrates with the cancellous bone in the vertebral body. Reverse total shoulder arthroplasty performed by paul favorito, md.
In fracture cases with a grossly rotator cuff deficient gl enohumeral joint with severe arthropathy where a surgeon deems reverse shoulder arthroplasty appropriate, the surgeon can use a global unite k101996 or delta xtend k0779 stem. This allows the three muscles in the deltoid group to compensatefor rotator cuff deficiency, drawing the. The midterm results of the delta xtend reverse shoulder. Keeping the three design features that differentiated the delta cta system from previous reverse designs and made it successful. Depuy synthes joint reconstruction delta xtend reverse shoulder system by depuy synthes 312 videos download page. Urgent field safety notice for delta xtend reverse shoulder system by depuy france sa pdf, 400kb, file does not fully comply with accessibility standards. Depuy synthes companies expedium verse system system guide. The ceramic of the bearing is biolox delta, which is an alumina matrix composite developed by ceramtec ag. He is considered top in the list of urdu literature who uses thousands of high sounding rich words in his poetry. The midterm results of the delta xtend reverse shoulder system. All the principals of professor grammont, which are proven to be clinical effective by many medical centers with a follow. Medical device delta xtend monobloc hum cemented epiphysis 1.
Surgical technique global unite anatomic depuy synthes joint reconstruction 15 figure 19 conversion to delta xtend reverse shoulder conversion to delta xtend reverse shoulder select the color coded epiphyseal reamer red or green determined during the sizing exercise and prepare the proximal humerus by using power figure 18. These metalonmetal devices have been linked to complications like metal contamination, bone loss, premature loosening, and early implant failure. The delta xtend design is an improvement of the original delta cta design. Shortterm results of the depuy global unite platform. Pdf the midterm results of the delta xtend reverse. Reverse shoulder arthroplasty has become the standard treatment for cuff tear arthropathy and complex fractures of the proximal humerus. Surgical technique delta xtend depuy synthes 1 delta xtend system key surgical steps 4 preoperative templating and patient positioning 7 surgical approach 8 intramedullary canal preparation 10 humeral head resection 11 exposing the glenoid 14 positioning the metaglene central peg 16 reaming the glenoid bone 19 metaglene implantation 21 inferior and superior metaglene screw placement 22. Inbal valves pdf inbal valves embody a breakthrough in the conceptual design of automatic water control valves.
Based on the success of the delta cta reverse shoulder, the delta xtend reverse shoulder system is the next step forward for appropriate management of patients with cuff tear arthropathy. Reyaan khan marked it as toread jun 01, the committee organises seminars on josh malihabadis personality, history and literary work. With the leg slightly flexed, the incision follows a gentle curve convex anteriorly extending approximately 8cm 10cm depending on the size of the patient proximally and distally away from the trochanter. Apr, 2020 depuy delta xtend pdf the delta xtend system is a total semiconstrained shoulder arthroplasty. Urgent field safety notice recall for delta xtend reverse.
Both systems were members of a class of largediameter hip resurfacing and replacement devices created from a single sheet of metal. Depuy synthes joint reconstruction delta xtend reverse. A suture collar allows secure anatomic reconstruction of the tuberosities and helps return the shoulder to a natural anatomical position. Depuy synthes joint reconstruction delta xtend reverse shoulder system. The glenoid component is cementless with four screws as primary fixation and ha coating for secondary fixation. Following subcutaneous dissection, separate the anterior and middle deltoid. Urgent field safety notice for delta xtend reverse shoulder system by depuy france sa pdf, 400kb, file does not fully comply with accessibility standards additional information disclaimer.
The challenges encountered by shoulder arthroplasty surgeons include surgical exposure, soft tissue balancing and component fixation. Based on the experience of the delta cta system, the next generation of reverse shoulder arthroplasty, the depuy delta xtend prosthesis has been designed using scientific, engineering, and clinical knowledge in cta cases in order to extend the clinical success associated with the 20 year history of the delta cta system. Craniomaxillofacial cmf depuy synthes cmf offers a comprehensive portfolio of products to treat. Depuy delta xtend pdf the delta xtend system is a total semiconstrained shoulder arthroplasty. Delta xtend humeral stem is designed for cemented fixation. Medical device delta xtend standard humeral pe cup d42 74220x. Based on the experience of the delta cta system, the next generation of reverse shoulder arthroplasty, the depuy orthopaedics delta xtend prosthesis has been designed using scientific, engineering, and clinical knowledge in cta cases in order to extend the clinical success associated with the 20 year history of the delta cta system. Our mission statement demands that service and quality are the essential elements to our continued success. Kellie myers regulatory associate depuy orthopaedics, inc. Bfarm field corrective actions urgent field safety.
This is stronger than biolox forte, and therefore allows the manufacture of thinner acetabular components. Then, with the poly lock prior to retightening the rod lock. Oct 21, 2015 the delta xtend design is an improvement of the original delta cta design. The medical device delta xtend standard humeral pe cup d42 is realized by depuy france sas. Delta xtend reverse shoulder system features the delta xtend reverse shoulder system is a total semiconstrained shoulder arthroplasty that reverses the normal biomechanics between the scapular and humeral components. The metalonmetal systems were designed to be more durable than other. Longterm fixation based on professor grammonts experience, the safest glenoid design which can guarantee longterm fixation is a glenosphere with the center of rotation on the. Pdf the midterm results of the delta xtend reverse shoulder. Plaintiffs who file a depuy hip personal injury lawsuit typically have complaints about either the depuy asr or the depuy pinnacle implant. The instruments, technique and components of this arthroplasty system are designed to address these challenges.
Michael mont will moderate an expert panel including dr. Depuy delta xtrend prosthesis has been designed using the lastest scientific. Global unite humeral implants are for cemented or uncemented use. Mar 27, 2018 patients and providers are seeking new ways to decrease the reliance on opioids following surgery, while maintaining a high level of patient care. Surgical technique the landmark for the initial incision is based over the tip of the greater trochanter. Each design feature has been defined to help achieve the clinical goals for cta cases with the delta xtend reverse shoulder system. Medical equipment synthes delta xtend manual 60 pages. The delta xtend reverse shoulder system modular centered and eccentric epiphysis implants are intended for use in total shoulder or hemishoulder replacement procedures in patients with nonfunctional rotator cuffs. According to a february 19, 20 press release, the system enables surgeons to anatomically treat proximal humeral fractures and easily convert to a reverse total shoulder without compromising recognized biomechanical principles. Bfarm field corrective actions urgent field safety notice. Depuy synthes is a global leader in orthopaedic trauma devices for internal and external fixation. Conversion of anatomic to reverse tsa with the depuy platform shoulder system.
The medical device delta xtend monobloc hum cemented epiphysis 1 std is realized by depuy france sas. The manufacture recommends humeral reaming at this point, but this can be done later if the surgeon chooses to use the old delta humeral cutting instead of the new complex cutting system. Depuy synthes depuy synthes joint reconstruction delta xtend reverse shoulder system. The delta xtend system is a total semiconstrained shoulder arthroplasty. Depuy synthes joint reconstruction has introduced the global unite platform shoulder arthroplasty system. Expedium verse medical equipment pdf manual download.
110 641 1430 109 1026 2 1023 356 749 227 209 1174 1016 415 312 438 228 185 1418 1488 904 498 1132 693 1201 751 1254 1206 851 190 208 731 1404 375 1101 534 491 249 950