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PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE Plate, Nail or Replace - All Solutions - One Portfolio 3.5MM LCP ® PROXIMAL HUMERUS PLATES THE GLOBAL UNITE ® PLATFORM SHOULDER SYSTEM 3.5MM LCP ® PERIARTICULAR PROXIMAL HUMERUS PLATES MultiLoc ® HUMERAL NAILS

PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE · proximal humerus fracture continuum of care plate, nail or replace - all solutions - one portfolio 3.5mm lcp® proximal humerus plates

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Page 1: PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE · proximal humerus fracture continuum of care plate, nail or replace - all solutions - one portfolio 3.5mm lcp® proximal humerus plates

PROXIMAL HUMERUS FRACTURE CONTINUUM OF CAREPlate, Nail or Replace - All Solutions - One Portfolio

3.5MM LCP® PROXIMALHUMERUS PLATES

THE GLOBAL UNITE® PLATFORM SHOULDER SYSTEM

3.5MM LCP® PERIARTICULAR PROXIMAL HUMERUS PLATES

MultiLoc® HUMERAL NAILS

Page 2: PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE · proximal humerus fracture continuum of care plate, nail or replace - all solutions - one portfolio 3.5mm lcp® proximal humerus plates

32

PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE

3.5MM LCP® PERIARTICULAR PROXIMAL HUMERUS PLATES

3.5MM LCP® PROXIMAL HUMERUS PLATES

UNIVERSAL ANATOMIC PLATES

• Anatomic design to better fit the natural anatomy of the patient

• Universal plate design fits both left and right humerus

CONVERGING PATTERN

A, B and D level screws for a “converging” screw pattern

POSTERIOR SWEEP

• Posterior sweep of the plate head buttresses the greater tuberosity

• Anatomically contoured left and right plates designed to better fit the natural anatomy of the patient

MULTIPLE FIXATION TRAJECTORIES

• 9 Proximal locking holes in the head of the plate allow for different constructs

• Permits multiple points of fixation to support humeral head in osteopenic bone

A

B

C

D

E

DIVERGING PATTERN

A, C, D and E level screws for a “diverging” screw pattern

DISTAL PLATE PLACEMENT

• Plate head sits 15mm distal to the rotator cuff to avoid acromial impingement• Plate shaft sits slightly anterior on the bone, lateral to the bicipital groove in order to reduce the need for deltoid elevation

CANNULATED SCREW FIXATION

• 3.7mm cannulated screws can be used in the head of the 3.5mm LCP Proximal Humerus Plate & 3.5mm LCP Pertiarticular Plate

• The screws are self-drilling & self tapping eliminating need for pre- drilling & tapping preserving much of the bone in the humeral head

• The screws can be inserted over the k-wire, holding the reduction and giving the surgeon control over the trajectory of the screw

Page 3: PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE · proximal humerus fracture continuum of care plate, nail or replace - all solutions - one portfolio 3.5mm lcp® proximal humerus plates

54

PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE

MultiLoc® HUMERAL NAILS

MultiLoc SHORT & MULTILOC LONG

ENTRY POINT

• Straight nail designed specifically for antegrade placement to anchor in strong subchondral bone and avoid potential insertion through fracture site

• Entry point designed to be medial to sulcus between head and greater tuberosity which preserves hypovascular region where the rotator cuff inserts

PROXIMAL FIXATION

• 4 MultiLoc screws featuring screw-in-screw technology allows multiple points of fixation and provides improved stability in osteopenic bone. The 3.5 mm locking screw can be inserted through the head of the MultiLoc screws and targets the posteromedial region with strong bone mineral density

• The ascending calcar screw & the 3.5mm screw-in-screw options are designed to increase resistance to head migration, varus deformation & greater tuberosity rotation

• Blunt screw tips designed to reduce the risk of secondary perforation

• 4 suture holes per MultiLoc screw head are designed to facilitate rotator cuff management

DISTAL LOCKING

• Short Nail - 2 targeted distal locking screws in multiple planes to reduce implant toggling

• Long Nail - All 3 distal screws designed to avoid vascular structures, located in two different planes designed to reduce implant toggling and increase stability of the osteosynthesis.

• Long Nail: 2 anatomic AP screws take into account retroversion of humeral head, designed to facilitate free hand locking and minimize the potential for malrotation of distal fragment

Page 4: PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE · proximal humerus fracture continuum of care plate, nail or replace - all solutions - one portfolio 3.5mm lcp® proximal humerus plates

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PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE

THE GLOBAL UNITE® PLATFORM SHOULDER SYSTEM

SUTURE COLLAR

• The GLOBAL UNITE Fracture Epiphysis suture collar has 12 suture holes to accommodate anatomic approximation of a wide range of proximal humeral fracture patterns.

LATERAL SUTURE HOLES

• Additional lateral fixation options to stabilize tuberosities and promote healing of the greater and lesser tuberosity fragments.

POROUS COATING

• Porous structure supports biological fixation of cancellous bone to support long term fixation between the interface of the implant and bone.

The GLOBAL UNITE® Platform Shoulder System provides treatment options for a wide range of shoulder pathologies. The Reverse Fracture device is specifically designed to provide a Reverse Shoulder Arthroplasty surgical option for a robust repair of complex proximal humeral fracture in patients with a grossly deficient rotator cuff to restore function of the joint by promoting healing of the tuberosity fragments to help unite the fracture.

The GLOBAL UNITE Fracture Epiphysis has features, such as a superior suture collar, additional lateral and cerclage suture options, and POROCOAT® Porous Coating, that may improve anatomical placement and healing of the proximal humeral fracture fragments.

Page 5: PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE · proximal humerus fracture continuum of care plate, nail or replace - all solutions - one portfolio 3.5mm lcp® proximal humerus plates

98

PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE

Stainless steel Titanium Shaft holes Length (mm) 241.901 441.901 3 90

241.903 441.903 5 114

ORDERING INFORMATION

3.5MM LCP PROXIMAL HUMERUS PLATE - STANDARD

Stainless steel Titanium Shaft holes Length (mm) 241.916 441.916 3 106

241.917 441.917 4 124

241.918 441.918 5 142

241.919 441.919 6 160

241.92 441.92 7 178

241.921 441.921 8 196

241.922 441.922 9 214

241.923 441.923 10 232

241.924 441.924 11 250

241.925 441.925 12 268

241.926 441.926 13 286

3.5MM LCP PROXIMAL HUMERUS PLATE - LONG

All plates are available nonsterile or sterile packed. Add suffix “S” to article number to order sterile product.

3.5MM LCP PERIARTICULAR PROXIMAL HUMERUS PLATE

Stainless steel Titanium Shaft holes Length (mm)

02.123.020 04.123.020 2 91 right

02.123.021 04.123.021 2 91 left

02.123.022 04.123.022 4 127 right

02.123.023 04.123.023 4 127 left

02.123.024 04.123.024 6 163 right

02.123.025 04.123.025 6 163 left

02.123.026 04.123.026 8 199 right

02.123.027 04.123.027 8 199 left

02.123.028S* 04.123.028S* 10 235 right

02.123.029S* 04.123.029S* 10 235 left

02.123.030S* 04.123.030S* 12 271 right

02.123.031S* 04.123.031S* 12 271 left

02.123.032S* 04.123.032S* 14 307 right

02.123.033S* 04.123.033S* 14 307 left

02.123.040 04.123.040 3 109 right

02.123.041 04.123.041 3 109 left

02.123.042 04.123.042 5 145 right

02.123.043 04.123.043 5 145 left

Implants marked with a * are only available sterile packed. The other implants are available nonsterile or sterile packed. Add suffix “S” to article number to order sterile product.

MultiLoc PROXIMAL HUMERAL NAIL - SHORT

Length ø 8.0 mm ø 8.0 mm ø 9.5 mm ø 9.5 mm160 04.016.034S 04.016.035S 04.016.038S 04.016.039S

Length (mm) ø 7.0 mm right ø 7.0 mm left ø 8.5 mm right ø 8.5 mm left180 04.016.180S 04.017.180S 04.018.180S 04.019.180S

195 04.016.195S 04.017.195S 04.018.195S 04.019.195S

210 04.016.210S 04.017.210S 04.018.210S 04.019.210S

225 04.016.225S 04.017.225S 04.018.225S 04.019.225S

240 04.016.240S 04.017.240S 04.018.240S 04.019.240S

255 04.016.255S 04.017.255S 04.018.255S 04.019.255S

270 04.016.270S 04.017.270S 04.018.270S 04.019.270S

285 04.016.285S 04.017.285S 04.018.285S 04.019.285S

300 04.016.300S 04.017.300S 04.018.300S 04.019.300S

315 04.016.315S 04.017.315S 04.018.315S 04.019.315S

MultiLoc HUMERAL NAIL - LONG

Implants only available in sterile.

GLOBAL UNITE FRACTURE EPIPHYSIS

Standard Humeral Stem Components1100-06-100 Standard Humeral Stem 6mm x 83mm

1100-08-100 Standard Humeral Stem 8mm x 107mm

1100-10-100 Standard Humeral Stem 10mm x 113mm

1100-12-100 Standard Humeral Stem 12mm x 121mm

1100-14-100 Standard Humeral Stem 14mm x 130mm

1100-16-100 Standard Humeral Stem 16mm x 138mm

Reverse Fracture Epiphysis Components1407-20-101 Reverse Fracture Epiphysis Center

1407-20-102 Reverse Fracture Epiphysis Left

1407-20-103 Reverse Fracture Epiphysis Right

Metaglene Components1307-60-000 Metaglene

1407-60-020 +10mm Long Peg Metaglene

1407-60-025 +15mm Long Peg Metaglene

Glenosphere Components1307-60-138 Glenosphere 38mm

1307-60-142 Glenosphere 42mm

1307-60-038 Glenosphere 38mm Eccentric

1307-60-042 Glenosphere 42mm Eccentric

Polyethylene Cups and Humeral Spacer1307-38-203 Humeral Polyethylene Cup 38mm +3mm

1307-38-206 Humeral Polyethylene Cup 38mm +6mm

1307-38-209 Humeral Polyethylene Cup 38mm +9mm

1307-42-203 Humeral Polyethylene Cup 42mm +3mm

1307-42-206 Humeral Polyethylene Cup 42mm +6mm

1307-42-209 Humeral Polyethylene Cup 42mm +9mm

1307-38-106 Humeral Polyethylene Cup 38mm +6mm Retentive

1307-42-106 Humeral Polyethylene Cup 42mm +6mm Retentive

1307-38-703High Mobility PREMIERON X-Linked Humeral Cup 38mm +3mm

1307-38-706High Mobility PREMIERON X-Linked Humeral Cup 38mm +6mm

1307-38-709High Mobility PREMIERON X-Linked Humeral Cup 38mm +9mm

1307-42-703High Mobility PREMIERON X-Linked Humeral Cup 42mm +3mm

1307-42-706High Mobility PREMIERON X-Linked Humeral Cup 42mm +6mm

1307-42-709High Mobility PREMIERON X-Linked Humeral Cup 42mm +9mm

1307-30-009 Humeral Spacer +9mm

Metaglene Screw Components1307-70-018 Non-Locking Metaglene Screw 4.5mm x 18mm

1307-70-024 Non-Locking Metaglene Screw 4.5mm x 24mm

1307-70-030 Non-Locking Metaglene Screw 4.5mm x 30mm

1307-70-036 Non-Locking Metaglene Screw 4.5mm x 36mm

1307-70-042 Non-Locking Metaglene Screw 4.5mm x 42mm

1307-90-024 Locking Metaglene Screw 4.5mm x 24mm

1307-90-030 Locking Metaglene Screw 4.5mm x 30mm

1307-90-036 Locking Metaglene Screw 4.5mm x 36mm

1307-90-042 Locking Metaglene Screw 4.5mm x 42mm

1307-90-048 Locking Metaglene Screw 4.5mm x 48mm

Page 6: PROXIMAL HUMERUS FRACTURE CONTINUUM OF CARE · proximal humerus fracture continuum of care plate, nail or replace - all solutions - one portfolio 3.5mm lcp® proximal humerus plates

Limited Warranty and Disclaimer: DePuy Synthes products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed.

Please also refer to the package insert(s) or other labeling associated with the devices identified in this surgical technique for additional information.

CAUTION: Federal Law restricts these devices to sale by or on the order of a physician.

Some devices listed in this surgical technique may not have been licensed in accordance with Canadian law and may not be for sale in Canada.Please contact your sales consultant for items approved for sale in Canada.

Not all products may currently be available in all markets.

Limited Warranty and Disclaimer: DePuy Synthes Joint Reconstruction products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed.

WARNING: In the USA, this product has labeling limitations. See package insert for complete information.

CAUTION: USA Law restricts these devices to sale by or on the order of a physician.

Not all products are currently available in all markets. The third party trademarks used herein are trademarks of their respective owners.

Manufactured or distribuited by:

Synthes USA Products, LLC Synthes USA, LLC DePuy Orthopaedics, Inc. DePuy (Ireland)1302 Wrights Lane East 1101 Synthes Avenue 700 Orthopaedic Drive Loughbeg, RingaskiddyWest Chester, PA 19380 Monument, CO 80132 Warsaw, IN 46582, USA Co. Cork, Ireland Tel.: +1 (800) 366-8143 Tel.: +353 (21) 491 4000To order (USA): 800-523-0322 Fax: +1 (800) 669-2530 Fax: +353 (21) 491 4199To order (Canada): 855-946-8999

Note: For recognized manufacturer, refer to the product label.

www.depuysynthes.com

©DePuy Synthes 2018. All rights reserved. DSUS/MOC/1017/0859 2/18