GLOBAL AP® Shoulder Arthroplasty System

Division: Shoulder
Category: Shoulder Reconstruction

DePuy Synthes Joint Reconstruction has combined innovative science and technology, and robust, user-friendly instrumentation with the GLOBAL® Shoulder's nearly two decades of clinical success to bring you the GLOBAL® AP® Shoulder System.

The Global AP or Adjustable Prosthesis is the next generation proximal press-fit humeral stem offering customers Advanced Flexibility.  The systems allows surgeons to select either a variable neck angle assembly for enhanced precision or a fixed neck angle construct for enhanced simplicity.

The GLOBAL® AP® System offers the surgeon a shoulder prosthesis that can restore anatomical function by incorporating variability of the humeral head's position relative to the humeral stem. 

Indications for Use

The DePuy Synthes Joint Reconstruction GLOBAL® AP® 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 AP 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.
  3. Deformity and/or limited motion.

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

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

  • POROCOAT® Porous-Coated Components - Porocoat porous-coated humeral stem prostheses are indicted 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.

Features & Benefits

  Features Benefits
Stem insert and ball taper assembly • Allows variability of + or -15 degrees in both neck angle and version via robust Morse Taper engagement
135-degree taper • Provides traditional 135-degree neck shaft angle configuration for simplified surgical procedure
Removed collar, medial and lateral fins • Re-distributes forces over a larger surface area of bone

• Fin removed to preserve more bone stock
Impaction block and orientation device assembly • Dials and records the orientation of the trial head relative to the broach, duplicates the same position to the implant, and assembles and locks the implant
Revision instrumentation • Enables simple revision of humeral head and taper assembly without affecting the fixed humeral stem

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.