The DELTA XTEND System is a total semi-constrained shoulder arthroplasty. It reverses the normal relationship between the scapular and humeral components, . DePuy Delta Xtrend prosthesis has been designed using the lastest scientific, . Delta Xtend Reverse Shoulder System: recovery, function, and survivorship. 1. DePuy Delta Xtend tools; From DePuy Delta set – “Delta Extras” set. Impactor handle with simulated wood grip; Ball impactor head; Cup impactor head; Humeral.
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All junction surfaces between the implant components should be clean and free of any tissue before impaction. Manual reaming dpeuy be carried out until the central part of the manual reamer is in full contact with the curved central glenoid surface. The surgeon may wish to use the cup impactor to set the trial. Biomechanics, Clinical Techniques, and Current Technologiesed.
Click here to visit http: Unless you are using a size 8 stem, which only comes with a number 1 head. Tighten until the scapula begins to rotate slightly in a clockwise direction, meaning that the glenoid bearing is closing on the taper of the metaglene. The Delta also has an anterior and posterior hemi circle notched out of humeral head. Identify the midline of the humerus and mark the humeral head so that it is centered over the humeral shaft.
Anterior glenohumeral dislocation Complications of Total Shoulder Arthroplasty. The glenoid component is cementless with four screws as primary fixation and HA coating for secondary fixation. For left shoulders, the postioner handle should be placed in the 10 o’clock hole. This product has labeling limitations. When a humeral spacer is needed, impact it first on the epiphysis and then impact the final cup on it.
Slide the glenosphere on the 1. The primary surgeon will mark the coracoid and a line from the coracoid down the deltopectoral interval.
The first set of gloves are removed and the second prep is performed in the same manner as the first. Prefill-out orders and setup pt in a beach chair position.
Screws can be angled in towards the central peg for patients deppuy narrow glenoid necks. Note – this is not the same pin used earlier to guide glenoid reaming.
It reverses the normal relationship between the scapular and humeral components, moving the scapulo-humeral joint center of rotation medially and inferiorly.
The reverse depjy moves the centre of rotation medially and inferiorly which increases the lever arm and tension of the deltoid to compensate for rotator cuff deficiency. Please note that information on this site was NOT authored by Dr. Use of the guide pin is optional and may or may not be used. Cement hardening takes about 10 minutes in the laminar airflow room and can be check by tapping on a test piece of cement.
Use a high speed burr to make your pilot hole. For right shoulders, the positioner handle should be placed in the 2 o’clock hole.
Reverse shoulder prosthesis / cementless – Delta XTEND™ – Depuy Synthes
The Delta Xtend humeral stem comes as either a cemented monbloc or a modular uncemented component. Tighten the screw to compress the plate.
Please note that information on this site was NOT authored by Dr. Interference screw Acetabular prosthesis Femoral stem Knee prosthesis Three-compartment knee prosthesis Suture anchor Cemented femoral stem Shoulder prosthesis Hip prosthesis Cemented knee prosthesis Cemented acetabular prosthesis Revision knee prosthesis Revision acetabular prosthesis Unicompartmental knee prosthesis Absorbable interference screw Reverse shoulder prosthesis Humeral head prosthesis Glenoid cavity prosthesis Humeral stem Revision hip prosthesis.
Biomechanics, Clinical Techniques, and Current Technologies. Push the holder horseshoe plate fully down. Use pulsatile lavage and a nylon brush to clear the humeral canal of debris and to open the interstices of the bone ready for the cement.
This ensures that the glenosphere will either be perpendicular to the plane of the glenoid face or have a slight inferior tilt which may reduce the risk of scapular notching. Free the subscapularis from the humerus and tag stitch it twice.
Emplace a drain over deltoid and exit skin a good 7. Drive the proximal reaming guide down until complete contact between the metal block and the resectioned bone surface is achieved.
The preferred position is usually chosen by palpating the anterior and posterior aspects of the scapula as well as examining the X-rays. This should go from the patient’s armpit to the patient’s neck. Please direct all other requests to one of the other DePuy Synthes Companies or career inquiries email addresses located on this page.
Depuy Synthes | Delta Xtend Reverse Shoulder System | Which Medical Device
Registration is quick and free. Remove the stop drill and the central guide pin. Cofield Smith stend Nephew Prostheses. Which Medical Device is a community of clinicians sharing knowledge and experience of the devices and procedures we use on a daily basis.
The trigger on the saw is configured for variable speed.
Delta Xtend Technique Guide
The guide plate should be held perpendicular to the plane of the glenoid face. The Tornier often has a nub on most posterior and superior part of humeral component.
Check that the trial restrictor is firmly seated in the canal, then remove trial.