Descripción
The Affinis Architec system features 3D planning and patient specific instruments (PSI) for the anatomic as well as the reverse Mathys shoulder portfolio.
Clinical challenges
- Few reliable bony landmarks to identify exact size and orientation of the residual glenoid vault1
- Small surgical window and limited exposure
- Abnormal glenoid morphology in around 40 % of cases2
- Challenging glenoid component placement3 as malpositioning is linked to increased radiolucent lines and poor clinical performance4
Beneficios
- Adapt planning to your patients’ needs and individual morphology
- CT based 3D remodelling to visualise bony anatomy and preferred implant position
- Patented coracoid clip referencing reliable landmark and ensuring unique guide fit
- Small overall design allowing visibility on glenoid during guide use
- Accurate method in reproducing the surgical plan5
- Central pin guidance and indication of implant rotation
1 Lewis, G. S., Bryce, C. D., Davison, A. C., Hollenbeak, C. S., Piazza, S. J., & Armstrong, A. D. (2010). Location of the Optimized Centerline of the Glenoid Vault: A Comparison of Two Operative Techniques with Use of Three-Dimensional Computer Modeling. J Bone Joint Surg Am, 92(5): 1188-1194.
2 Frankle, M. A., Teramoto, A., Luo, Z., Levy, J. C., & Pupello, D. (2009). Glenoid morphology in reverse shoulder arthroplasty: Classification and surgical implications. J Shoulder Elbow Surg, 18(6): 874-885.
3 Dallalana, R., Mcmahon, R., East, B., & Geraghty, L. (2016). Accuracy of patient-specific instrumentation in anatomic and reverse total shoulder arthroplasty. Int J Shoulder Surg, 10(2): 59-66.
4 Gregory, T. M., Sankey, A., Augereau, B., Vandenbussche, E., Amis, A., Emery, R., & Hansen, U. (2013). Accuracy of Glenoid Component Placement in Total Shoulder Arthroplasty and Its Effect on Clinical and Radiological Outcome in a Retrospective, Longitudinal, Monocentric Open Study. PLoS ONE, 8(10): e75791.
5 Levy, J. C., Everding, N. G., Frankle, M. A., & Keppler, L. J. (2014). Accuracy of patient-specific guided glenoid baseplate positioning for reverse shoulder arthroplasty. J Shoulder Elbow Surg, 23(10): 1563-1567.