TORNIER

AEQUALIS REVERSED FXShoulder System

115ºReversed TSA

How should you treat a shoulder fracture?

AEQUALIS™ Reversed Fracture: A New Choice for Complex Fractures

Successful hemiarthroplasty for fracture highly depends on healing

of the tuberosities. When this doesn’t occur, results are often poor.

An alternate solution in patients at risk for tuberosity healing,

especially in the elderly, is the reversed prosthesis.4 A reversed

shoulder system in these specific cases can offer more predictable

results and deliver the best possible outcome for the patient.7

In one study of 38 patients, a greater level of predictability in results was demonstrated when Reversed Total Shoulder arthroplasty was used for proximal humeral fractures.

Average AAE when patients were treated for proximal humeral fractures with reversed total shoulder arthroplasty and tuberosities did not heal.6

4

3

2

1

0

10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160

Degrees of AAE

Nu

mb

er o

f pat

ien

ts (1

9) 4

3

2

1

0

10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160

Degrees of AAE

Nu

mb

er o

f pat

ien

ts (1

9)

Hemiarthroplasty for acute fractures can be a viable option; however, consistent

results are not always achieved.

More predictable and consistent results in AAE were achieved with reversed for fracture. Better results

were correlated with greater tuberosity healing.

Hemiarthroplasty for Fracture:Active Anterior Elevation (AAE) Achieved 7

(10 month follow up)

Reversed for Fracture:Active Anterior Elevation (AAE) Achieved 7

(10 month follow up)

A E Q U A L I S ™ R E V E R S E D F R A C T U R E

SHOULDER FRACTURES ARE THE

THIRD MOST COMMON FRACTURE

IN THE ELDERLY.2

D I D Y O U K N O W ?

Increasing Tuberosity Healing:A Key to Successful Patient OutcomesAs shoulder fracture treatments have improved, patients have been able to count on more mobility and less pain. A critical factor in achieving optimal results is tuberosity healing for three- and four-part fractures. The primary complication that leads to poor results is non-healing of the greater tuberosity. When tuberosity healing does not occur, patient outcomes can be compromised.1

Reversed Fracture: Driving Toward a Predictable, Positive OutcomeHemiarthroplasty for proximal humeral fractures has remained as a viable treatment choice for years. More recently, the Reversed Total Shoulder Arthroplasty procedure has rapidly gained acceptance for treating more complex humeral fractures. With the reversed approach, more consistent patient results have been observed.

A E Q U A L I S ™ R E V E R S E D F R A C T U R E

The AEQUALIS™ Reversed Fracture Shoulder Prosthesis is a reversed shoulder system designed specifically for three- and four-part humeral fractures.

Because successful patient outcomes rely on proper fracture healing, surgeons need to rely on a shoulder prosthesis that is specifically designed to address this clinical need. With the AEQUALIS Reversed Fracture prosthesis, patients can enjoy improved functional results through better tuberosity reduction, and fixation of the tuberosities, along with increased opportunity for osteointegration.

AEQUALIS™ Reversed Fracture Stem

• Low profile metaphysis facilitates anatomical positioning of the greater tuberosities

• Hydroxyapatite (HA) coating and proprietary grafting window combine to promote tuberosity bone healing

• Monobloc body eliminates potential for disassembly

Learn how you can maximize patient outcomes with the AEQUALIS™ Reversed Fracture Shoulder Prosthesis

Contact Wright at 1-888-867-6437 for more information.

LONG STEMS ALSO AVAILABLE

• Stem lengths range from 130 mm to 210 mm

• Star shape on distal stem counters rotational forces

Wright Defines Reversed Fracture Treatment

Treatment Options AEQUALIS Reversed Fracture can be adapted to a hemi-prosthesis when:

• During the primary surgery, the glenoid bone stock appears to be insufficient to bear the implant of the glenoid components

• Glenoid bone fracture occurs intraoperatively

The stem is also recommended for revision cases where bone quality is compromised.

Lateralized Spacer

• Optional 9 mm spacer allows increase in lateralization and height of the prosthesis

Polyethylene Insert

• Various humeral insert options allow for optimal deltoid tension and implant stability

Glenoid Sphere

• Two sphere diameters offer a taper lock assembly and a recessed locking screw for secure fixation

Glenoid Baseplate

• Press-fit central peg and the threaded post baseplate allow for optimal fixation

• Multidirectional screws allow for proper orientation

• Long post option addresses glenoid bone loss

D E L I V E R M A X I M U M F L E X I B I L I T Y WITH THE AEQUALIS ™ REVERSED FRACTURE SHOULDER PROSTHESIS

10801 Nesbitt Avenue SouthBloomington, MN 55437888 867 6437952 426 7600www.tornier.com

1023 Cherry RoadMemphis, TN 38117800 238 7117901 867 9971www.wright.com

™ and ® denote Trademarks and Registered Trademarks of Wright Medical Group N.V., or its affiliates.©2016 Wright Medical Group N.V. or its affiliates. All Rights Reserved.

CAW-1146 REV E ECN 160321 19-May-2016

References 1. Antuna S, Sperling J, Sanchez-Sotelo J, Cofield R. Shoulder arthroplasty for proximal humeral malunions: Long-term results.

J Shoulder Elbow Surg 2002;11:12201292. Palvanen M, Kannus P, Niemi S, Parkkari J. Update in the epidemiology of proximal humeral fractures. Clin Orthop 2006; 442:87-92.3. Sirveaux F, Navez G, Roche O, Mole D, Williams M. Reverse Prosthesis for Proximal Humerus Fracture, Technique and Results.

Techniques in Shoulder & Elbow Surgery 2008; 9(1):15-22.4. Edwards, T. Bradley MD, Fondren Orthopedic Group, 2009.5. Krishnan S, Boileau P, Burkhead W. Shoulder Arthroplasty for Fracture: Restoration of the “Gothic Arch.” Techniques in Shoulder

and Elbow Surgery (2005) 6(2): 57-66.6. Molé, D., Sirveaux, F. Acute humeral head fractures: Reversed shoulder arthroplasty, Nancy, France, 2004.7. Sebastiá-Forcada E, Cebrián-Gómez R, Lizaur-Utrilla A, Gil-Guillén V. Reverse shoulder arthroplasty versus hemiarthroplasty for acute

proximal humeral fractures. A blinded, randomized, controlled, prospective study. J Shoulder Elbow Surg. 2014 Oct;23(10):1419-26.

AEQUALIS™ Reversed Fracture Indications and Contraindications

A complete list of indications and contraindications can be found in the “Instructions For Use“ packaged with the implants.