Search DePuy Synthes

search

Products

 

About this product

Division: Shoulder Reconstruction
Category: Shoulder Reconstruction

Introducing the GLOBAL® UNITE® Platform Shoulder System, the Next-Generation Platform Shoulder System, offering surgeons Simplicity, Outcomes-Based Design, and Principled Adaptability.

The GLOBAL UNITE Platform Shoulder System offers surgeons Simplicity with a streamlined shoulder solution for the treatment of Anatomic, Reverse, and Fracture shoulder indications, utilizing advanced instrumentation to provide surgical process efficiency.

The GLOBAL Shoulder principles from DePuy Synthes Joint Reconstruction* represent the foundation of the GLOBAL UNITE System and provide surgeons a product featuring Outcomes-Based Design.  The GLOBAL® ADVANTAGE® System demonstrating 98.4% Survivorship at 8 Years and the GLOBAL® Anchor Peg Glenoid System showing 100% Survivorship at 34 Months reveal a philosophy supported by clinical success.1, 2 

The Fracture portion of the GLOBAL UNITE Platform Shoulder System offers modular proximal bodies that allow the surgeon to restore proper joint height and anatomic alignment utilizing a streamlined surgical procedure. Additional modularity, offered in the suture collar allows for anatomic reconstruction of the tuberosities.

 

If conversion from an Anatomic or Fracture to a Reverse Shoulder is needed, the system offers the surgeon Principled Adaptability through the ability to retain a well-fixed distal stem and replace the epiphyseal components at the proper height and version to optimize deltoidfunction.

The GLOBAL UNITE System truly is the Next-Generation Platform Shoulder System.

 

 

1.         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

2.         Groh, GI. Survival and Radiographic Analysis of a Glenoid Component with a Cementless Fluted Central Peg. Journal of Shoulder and Elbow Surgery, 2010;19(8) 1265-1268

© DePuy Synthes Joint Reconstruction, a division of DOI 2014. All rights reserved.

*DePuy Synthes Joint Reconstruction is a division of DePuy Orthopaedics, Inc. 

 

GLOBAL UNITE Shoulder System full view of each piece including stem, head, screw, ball and joint, and proximal bodies
 

Indications for Use

Total shoulder or hemi-shoulder replacement is indicated for:

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).

Hemi-shoulder replacement is also indicated for:

1. Ununited humeral head fractures;

2. Avascular necrosis of the humeral head;

3. Deformity and/or limited motion.

When used in a total shoulder replacement, the GLOBAL UNITE System Implants are to be used with DePuy Synthes Joint Reconstruction’s glenoids. The glenoids are for cemented use only.

When well-fixed, the GLOBAL UNITE System Humeral Stems, in conjunction with existing

DELTA XTENDTM Epiphyseal Components, are also indicated for conversion to a reverse, in

treatment of a grossly deficient rotator cuff joint with severe arthropathy or a previously

failed joint replacement with a grossly deficient rotator cuff joint. The patient’s joint must be

anatomically and structurally suited to receive the selected implant(s), and a functional

deltoid muscle is necessary. The DELTA XTEND System Metaglene is HA-coated and is

intended for uncemented use with the addition of screws for fixation. The DELTA XTEND

System Epiphyseal Components are HA-coated and are intended for uncemented use.

 

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

Features & Benefits

                                                                              GLOBAL UNITE Platform Shoulder System

                                                                                         Features and Benefits

 

                                                                                                  System Benefits

 

Simplicity                                                   • The GLOBAL UNITE Platform Shoulder System offers surgeons Simplicity through a
                                                                     streamlined shoulder solution for the treatment of Anatomic, Reverse, and Fracture
                                                                     shoulder indications, utilizing advanced instrumentation to provide surgical process
                                                                      efficiency

                                                                   • Instrumentation is designed to offer surgical process efficiency with innovative
                                                                      instrumentation, such as the brosteotome

 

Outcomes-Based Design                            • The GLOBAL UNITE Platform Shoulder System has been designed on the GLOBAL
                                                                      Shoulder philosophy which has demonstrated clinical success on both the humerus
                                                                      and the glenoid

                                                                      1. GLOBAL ADVANTAGE System - 98.4% Survivorship at 8 Years1

                                                                      2. GLOBAL Anchor Peg Glenoid System - 100% Survivorship at 34 Months2

 

 

Principled Adaptability                               • The GLOBAL UNITE Platform Shoulder System provides conversion at the height of a primary
                                                                     DELTA XTEND Reverse Shoulder and version correction of up to 30° to optimize
                                                                     patient range of motion requirements

                                                                     1. “Stack-on” adapters can overstretch the deltoid which can lead to complications and
                                                                          diminished elevation3,4

                                                                     2. Version adjustability allows the surgeon to place the epiphysis in the version that suits the
                                                                         patient’s range of motion requirements5

 

                                                                                            Anatomic Benefits

  Features Benefits
Distal Stem
  • Proximally POROCOAT® Porous-Coated titanium stems
  • Sizes 6 – 16mm
  • Standard and long lengths
Proximal Bodies
  • POROCOAT Porous-Coated Anatomic Proximal Bodies configured in a 135° neck shaft angle in 6/8, 10, 12, 14, and 16mm options to match stem sizing.

Conversion to Reverse Total Shoulder


  • GLOBAL UNITE Platform Shoulder System allows conversion to a Reverse Shoulder through the removal of the proximal body and use of DELTA XTEND System epiphyseal and glenoid components with version correction of up to 30° to optimize patient range of motion requirements
Streamlined Instrumentation
  • Instrumentation is designed to offer surgical process efficiency with innovative concepts like Brosteotomes
                       1. The Brosteotome provides one step proximal humeral bone preparation

 

                                                                                               Fracture Benefits

  Features Benefits
Distal Stem
  • Proximally POROCOAT® Porous-Coated titanium stems
  • Sizes 6 – 16mm
  • Standard and long lengths
Proximal Bodies
  • Porous-Coated bodies available in 4 sizes (10, 12, 14, 16) that can be mixed and matched across all stem sizes to allow the surgeon flexibility in treating the fracture
  • All body sizes are available in 3 height configurations (-5, -0, +5) to allow proper anatomic restoration of the tuberosities when the distal stem are used in a press-fit configuration

Modular Suture Collars

  • Modular suture collars allow the anatomic placement of the tuberosities and robust suture fixation
  • The suture collar is designed to lessen the chance of malpositioned placement and healing of the tuberosities via the following means:

        1. Acts as a mechanical buttress and reduces the chance of superior migration of the tuberosities

        2. The collars are size specific to the humeral head and reduces the chance of inward collapse of the tuberosities towards the stem

Conversion to Reverse Total Shoulder
  • GLOBAL UNITE Platform Shoulder System allows conversion to a Reverse Shoulder through the removal of the proximal body and use of DELTA XTEND System epiphyseal and glenoid components with version correction of up to 30° to optimize patient range of motion requirements

 

1. 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.
2. Groh, GI. Survival and Radiographic Analysis of a Glenoid Component with a Cementless Fluted Central Peg. Journal of Shoulder and Elbow Surgery, 2010;19(8) 1265-1268.
3. Whatley A, Fowler L, Warner J.P. “Postoperative rupture of the anterolateral deltoid muscle following reverse total shoulder arthroplasty in patients who have undergone open rotator cuff repair”. Journal of Shoulder and Elbow Surgery, 2011; 20, 114-122.
4. Wiater, B.P., et al. “The evaluation of the failed shoulder arthroplasty”. Journal of Shoulder and Elbow Surgery, 2014; 1-14.
5. Gulotta, L, et al. “Humeral component retroversion in reverse total shoulder arthroplasty: a biomechanical study”. Journal of Shoulder and Elbow Surgery, 2012;21(1) 1121-1127.

WEB‐S10

All medical devices have associated risks. Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings. For further information on DePuy Synthes Products, please contact your local DePuy Synthes Representative.
Back To Top