Comprehensive® Reverse Shoulder System

Restoring Function One Patient at a Time

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Zimmer Biomet’s Comprehensive® Reverse Shoulder System minimizes the potential challenges of removing a well-fixed humeral stem by allowing conversion to a reverse shoulder using any of the existing Comprehensive Shoulder Stems. Comprehensive Shoulder Stems:

  • Use the same Comprehensive platform stems (micro, mini, standard, fracture, and revision)
  • Can be used as primary reverse or conversion
  • Can be used in cemented or uncemented applications
  • Incorporate RingLoc® ArComXL® and E1® technologies into the design of the humeral tray and bearing
  • Come with PPS® Porous Plasma Spray coating proximally to enhance biologic fixation (MacroBond® coating on fracture stem)
  • 45°/135° neck-shaft angle
  • Are available in 69 stem sizes

Offering unmatched intraoperative flexibility and clinically proven technologies, Zimmer Biomet’s Comprehensive Reverse Shoulder System provides a complete, seamless system based on the Comprehensive shoulder platform.

Recognizing the limitations of some reverse shoulders, innovation was engineered into each component of the Comprehensive® Reverse Shoulder System. Biomet’s exclusive RingLoc® ArComXL® and E1® technologies have been incorporated into the design of the humeral tray and bearing. This provides a true locking mechanism and also minimizes the potential for wear and oxidative degradation.1–8

 

Humeral Trays

  • Exclusive RingLoc® technology offers a true locking mechanism between the humeral tray and bearing
  • RingLoc technology allows for removal and exchange of the bearing without disruption of the humeral tray or stem
  • Available in standard, +5mm and +10mm
  • Six suture slots provide for additional attachment points in complex fractures or revisions
  • Compatible with all humeral bearings and glenospheres

Humeral Bearings

  • Clinically proven ArComXL® polyethylene bearing
  • Available in standard, +3mm and +3mm retentive
  • Includes 12° angle, making the neck-shaft angle 33°/147°
  • Anti-rotation tabs

Glenospheres

  • Versa-Dial® Glenosphere
    • Infinite offset options between 0.5 and 4.5mm and can be positioned in any direction*
    • Medialized or lateralized center of rotation (Standard, +3mm, +6mm)
    • Available in 36mm and 41mm
  • Fixed offset
    • Can be positioned in any direction
    • Medialized or lateralized center of rotation (Standard and +6mm)

Glenoid Baseplate

  • Modular design allows for proper orientation of peripheral screw holes prior to impaction
  • Low-profile 28mm diameter
  • Four identical peripheral locking screw holes
  • Central boss provides for potential of increased fixation and resistance to shear forces

Screw Options

  • Modular 6.5mm central screw allows for compression and increased fixation within the glenoid vault
  • Central screws are available in lengths of 20–50mm, in 5mm increments
  • 4.75mm fixed angle locking and non-locking screws are available
  • Non-locking peripheral screws provide for 12 degrees of flexibility

All peripheral screws are available in lengths of 15–45mm, in 5mm increments.

Additional Information

Surgical Techniques

*Offset range is limited to 1.5 to 3.5mm for 36mm standard glenosphere.

 

  1. Data on file at Biomet. Bench test results not necessarily indicative of clinical performance.
  2. Trodonsky, S. et al. Performance Characteristics of Two-piece Acetabular Cups Series II. Scientific Exhibit. 62nd Annual AAOS Meeting. Atlanta, GA. 1996.
  3. Fehring, T.K. et al. Motion at the Modular Acetabular Interface: A Comparative Study. Scientific Exhibit presented at the American Academy of Orthopaedic Surgeons. 62nd Annual Meeting. Atlanta, GA. 1996.
  4. Rosner, B.I. et al. Cup/Liner Incongruity of Two Piece Acetabular Designs: Implications in the Generation of Polyethylene Debris. Scientific Exhibit presented at the American Academy of Orthopaedic Surgeons. 60th Annual Meeting. New Orleans, LA. 1994.
  5. Trodonsky, S. et al. Performance Characteristics of Two-piece Acetabular Cups. Scientific Exhibit presented at the American Academy of Orthopaedic Surgeons. 59th Annual Meeting. San Francisco, CA. 1992.
  6. Kurtz, S., et al. The UHMWPE Handbook: Ultra High Molecular Weight Polyethylene in Total Joint Replacement (2nd ed.). Elsevier Academic Press. San Diego, CA. 2009.
  7. Teramura et al. Reduced biological response to wear particles from UHMWPE containing vitamin E. 55th Annual Meeting of the Orthopaedic Research Society; Poster No. 2377.
  8. Bladen, CL. et al. The Anti-Inflammatory Properties of Vitamin E Significantly Reduce TNF-α Release from Primary Human Monocytes after Stibulation with UHMWPE Wear Particles. International UHMWPE Meeting, Philadelphia, PA. 2011.

 

Legal Manufacturer:                      

Biomet Orthopedics
56 East Bell Drive
P.O. Box 587
Warsaw, Indiana 46581 USA


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