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About this product

Division: Shoulder Reconstruction
Category: Shoulder Reconstruction

The GLOBAL® ADVANTAGE® shoulder arthroplasty system is the leading proximal press-fit humeral stem offering Advanced Simplicity with an innovative design. The GLOBAL ADVANTAGE shoulder arthroplasty system has a well documented clinical history treating patients with degenerative arthritis of the shoulder highlighted by an 8-year follow-up study demonstrating 98.4% survivorship1, 2, 3.


GLOBAL ADVANTAGE+ Instrumentation System is designed to offer surgeons a straightforward surgical technique that prepares the proximal humerus, positions the trial, and places the definitive implant to achieve adequate joint mechanics and potential pain relief for patients. The instruments were designed for ease of use and Operating Room efficiency by incorporating features that enhance versatility, simplicity and precision throughout the surgical approach.
 

1. Matsen III, F.A., Iannotti, J.P., Rockwood Jr., C.A. “Humeral Fixation by Press-Fitting of a Tapered Metaphyseal Stem: A Prospective Radiographic Study.” Journal of Bone and Joint

Surgery Vol. 85, 2003.

2. Karduna, A.R., Williams, G.R., et. al. “Glenohumeral Joint Translatons before and after Total Shoulder Arthroplasty.” Journal of Bone and Joint Surgery Vol.

3. Wirth, M, Tapscott R., et al, “Treatment of Glenohumeral Arthritis with a Hemiarthroplasty: A minimum five-year follow-up outcome study.” J. Bone Joint Surg. Am.

88:964-973, 2006. 79, 1997.

 

Indications for Use

The DePuy Synthes Joint Reconstruction GLOBAL ADVANTAGE Shoulder System is indicated for use in total or hemi-shoulder replacement for the treatment of:
 

  1. A severely painful and/or disabled joint resulting from osteoarthritis, traumatic arthritis or rheumatoid arthritis;
  2. Fracture-dislocations of the proximal humerus where the articular surface is severely comminuted, separated from its blood supply or where the surgeon’s experience indicates that alternative methods of treatment are unsatisfactory;
  3. Other difficult clinical problems where shoulder arthrodesis or resection arthroplasty are not acceptable (e.g. revision of a failed primary component).


The DePuy Synthes Joint Reconstruction GLOBAL ADVANTAGE Shoulder System is also indicated for hemi-shoulder replacement for the treatment of:
 

  1. Ununited humeral head fractures;
  2. Avascular necrosis of the humeral head.


The DePuy Synthes Joint Reconstruction GLOBAL ADVANTAGE Humeral Stem, when used with a GLOBAL® ADVANTAGE® CTA Humeral Head, is indicated for hemi-shoulder replacement in patients with rotator cuff tears.


The DePuy Synthes Joint Reconstruction GLOBAL ADVANTAGE Shoulder System is indicated for the following fixation methods:
 

  • POROCOAT® Porous-Coated Components - Porocoat porous-coated humeral stem prostheses are indicated for cemented or uncemented use with fixation provided by biological tissue ingrowth into the porous coating.
  • Cemented Components - Humeral Stem and Glenoid components labeled “For cemented use only” are indicated only for use with bone cement.
  • Press-fit or Cemented Components - Humeral stem prostheses without porous coating and labeled “For press-fit or cemented use only” are indicated for press-fit uncemented use or for use with bone cement.


WARNING: This product has labeling limitations. See package insert for complete information.

Features & Benefits

GLOBAL ADVANTAGE Shoulder Arthroplasty System

 

  Features Benefits
GLOBAL ADVANTAGE Implants • Clinically proven proximal press-fit stem design based on 20 years of GLOBAL Shoulder clinical success.

• Recessed collar helps optimize glenohumeral contact area

• Low profile standard and eccentric humeral heads

 

 

 

GLOBAL ADVANTAGE +Instrumentation System

 

 

  Features Benefits
Impaction Stand • Version alignment holes verify orientation of humeral preparation

• Handle opens away from patient

• Smaller and lighter design

 

Broach Handle • Version alignment holes verify orientation of humeral preparation

• Handle opens away from patient

• Smaller and lighter design

 

Quick Clamp

• Clamp quickly and easily attaches to humeral reamers

• All fixation knobs removed to simplify function

• Allows for easier resection guide adjustments due to incorporation of ball plunger

 

Eccentric Head Trials

• New design allows rapid recording of eccentricity on humeral broach

• Minimizes chance of humeral head trial breakage during extraction

• New colors match GLOBAL® Shoulder APG+ design

 

Bullet Tip Reamers

• 1mm increment bullet tip reamers allow surgeon to precisely ream humerus to desired even diameter stem size

• Sizes 6-16mm

• Allows customization of proximal press-fit

 

Anatomic Resection Guide and Posterior Cuff Guide

• Contoured resection surface more closely matches humeral anatomy

• Posterior cuff guide identifies and protects the posterior rotator cuff insertion site

• Construct identifies anatomic humeral head height and retroversion

 

Box Osteotome

• Version alignment holes verify orientation of humeral preparation

• Laser lines on cutting surface provide depth guidance when using with or without osteotome collar

 

WEB‐S3
Please refer to the package insert for a complete list of indications, contraindications, precautions and warnings.
For further information on DePuy Synthes products, please contact your local DePuy Synthes representative.
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