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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The Delta also has an anterior and posterior hemi circle notched out of humeral head. Complete reaming is achieved when the external reamer flange is in full and complete contact withthe bone resection surface.
No space except if due to bone erosion should be depjy between the instrument and the glenoid surface.
Depuy Synthes | Delta Xtend Reverse Shoulder System | Which Medical Device
Impact the final humeral cup using the cup impactor. The arrow indicates the position of the eccentricity and should be positioned inferiorly, aligned with the scapular neck.
Push the holder horseshoe plate fully down. Excess cement will extrude from the canal and should be removed before curing is complete. A 6 mm medullary canal reamer on a T-Handle is used to make the first ream.
Depuy Synthes DELTA XTEND™
If unable to reduce the joint, the options include additional soft tissue releases and lowering the level of humeral resection. Have you used this device? View the catalog Go to the Depuy Synthes website for more information. The goal is to have a sufficiently long screw inferiorly, usually 36 mm or more. The superior screw should be directed at the base of the coracoid process and should have an anterior orientation to avoid the suprascapular nerve.
Prefill-out orders and setup pt in a beach chair position.
For eccentric glenospheres, the vertical laser mark on the trial glenosphere should be aligned with the base of the coracoid superiorly and the scapular neck inferiorly. Remove the trial cups and trial implants using the humeral implant driver. If possible, the drape should be tucked under the patient’s belt. The arrow marked on the orientation guide should be aligned with the base of the coracoid felta to position the eccentricity correctly.
Eelta the metaglene holder hex tip in the final metaglene implant central hole and tighten the assembly. Determine where the spine of the scapula is and stick the double Homan retractor there to mark your spot.
Select the appropriate proximal reamer for the monobloc implant, size 1 or 2, from the results of the previous trials. The first set of gloves are removed and the second prep is performed in the same manner as the first. Then stop drilling and push gently on the drill bit to make sure that the drill is contained in the bone. The guide plate should be held perpendicular to the plane eepuy the glenoid face. This interval can and should be palpated prior to marking.
The glenosphere implants are available in two diameters, 38 mm and 42 mm, and are either standard or eccentric spheres.
Please use this url to cite or link to this publication: Make an effort to preserve as much deltoid muscle as possible. Place the definitive cement restrictor at the appropriate depth and check that it is firmly seated in the canal.
By doing this, it increases the deltoid lever arm as well as the deltoid tension therefore allowing the muscles of the deltoid group to compensate for rotator cuff felta. Reduce the joint and carry out a final assessment of joint stability and range of motion.
The manufacture recommends humeral reaming at this point, but this can be done later if the surgeon chooses to use the old Delta humeral cutting instead of the new complex cutting system. For example, if the initial distal reaming was carried out using the 12 mm reamer and proximal reaming was carried out using the size 1 proximal reamer, select monobloc humeral trial epiphysis number drlta with diameter 12 mm.
If used, insert the 1. Complications of Total Shoulder Arthroplasty. This drill may not fit snuggly in the quick disconnect adapter and you may delya to use a regular chuck for our power drill.
Approach Prior to making an incision, a formal timeout will be performed by the attending circulating nurse, and anesthesia team. Check that the internal tightening screw is unlocked It should rotate freely. Please note that information on this site was NOT authored by Dr. Some surgeons may wish xtennd insert a one-inch gauze pre-soaked in an epinephrine 1: A scalpel should be used until the surgeon reaches muscle.
Delta Xtend Technique Guide
The screw depth gauge can also be used to assess optimal screw length. Failure of the glenoid baseplate Complications of Total Shoulder Arthroplasty. Altmetric View in Altmetric.