Questions and Answers
What does RSA stand for in shoulder surgery?
Reverse Shoulder Arthroplasty
Which of the following patients are typically suitable for Reverse Shoulder Arthroplasty?
The INHANCE™ Reverse Shoulder System requires multiple instrument trays regardless of construct.
False
What is a key focus of the INHANCE™ Reverse Shoulder System in terms of treatment options?
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Reverse shoulder arthroplasty alters the mechanics of the shoulder to better utilize the __________ muscle for lifting the arm.
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What significant increase in the volume of shoulder arthroplasty is projected from 2017 to 2025?
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What does the ONE STEP PREP refer to in the INHANCE™ Reverse Shoulder System?
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Match the components of the INHANCE™ Reverse Shoulder System with their descriptions:
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Which component of the INHANCE™ Reverse Shoulder System is attached to the glenoid?
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What is a crucial step in the surgical technique for implanting the INHANCE™ Reverse Shoulder System?
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Which instrument is essential for implanting the INHANCE™ Reverse Shoulder System?
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What is the projected increase in the volume of shoulder arthroplasty from 2017 to 2025?
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What muscles does the Reverse Shoulder Arthroplasty primarily utilize for arm lifting?
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Which condition is a primary indication for performing a Reverse Shoulder Arthroplasty?
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What is the key difference in mechanics between Reverse Shoulder Arthroplasty and traditional shoulder replacement?
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During the INHANCE™ Reverse Shoulder System procedure, which structure is modified to create a socket?
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What is a benefit of intraoperative construct selection optimization?
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Which of the following is a key advantage of using stemless approaches in surgery?
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What potential cost-saving benefit is associated with reduced operating room time?
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What complication is specifically associated with systems using onlay kinematics?
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Which statistic indicates a lower risk of fractures with inlay kinematics?
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Why is it advantageous to have common preparation for surgical instruments?
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What impact does the stemless first approach have on logistical aspects of surgery?
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What comparison demonstrates the effectiveness of inlay designs over onlay designs?
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What feature of the INHANCE™ Reverse Shoulder System enhances intraoperative efficiency?
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How many instrument trays are required for the INHANCE™ Reverse Shoulder System regardless of construct?
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What does the stemless-first approach in the INHANCE™ Shoulder System aim to eliminate?
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What trend is expected regarding the growth of Shoulder Arthroplasty compared to total Hip and Knee Arthroplasty?
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What aspect of the INHANCE™ Reverse Shoulder System is emphasized in terms of surgical technique?
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What is meant by ONE STEP PREP in the context of the INHANCE™ Reverse Shoulder System?
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What is a unique feature of the instrumentation of the INHANCE™ Reverse Shoulder System?
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In what way does the INHANCE™ Reverse Shoulder System align with surgeons' approaches to patient care?
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Study Notes
Course Overview
- Introduction to INHANCE™ Reverse Glenoid and Reverse Humeral implants.
- Duration of the course is 30 minutes with audio guidance.
- Includes knowledge check for assessment purposes.
- Important: Refer to device instructions for indications, contraindications, side effects, warnings, and precautions.
System Introduction
- Overview of the INHANCE™ Reverse Shoulder System and its relevance in shoulder surgery.
- Focus on Reverse Total Shoulder Arthroplasty (RSA) which reverses the anatomical structure of the shoulder joint.
- RSA attaches a metal ball to the glenoid and creates a socket at the humerus, changing shoulder mechanics to favor the deltoid muscle.
- Primarily used for patients with irreparable rotator cuff tears or severe cuff tear arthropathy.
Market Growth and Importance
- Significant projected increase (~235%) in shoulder arthroplasty procedures from 2017 to 2025.
- Expected growth of shoulder arthroplasty to outpace total hip and knee arthroplasties.
Key Selling Features
- Utilizes the latest technology and clinical research for optimal results.
- Aligns surgical practice with minimally invasive treatment options.
- ONE STEP PREP for glenoid preparation, allowing shared footprint and common prep for both anatomical and reverse glenoids.
- Streamlined surgical technique requiring only two instrument trays, regardless of construct.
- Onlay conversion and inlay kinematics simplify procedures.
Surgical Technique
- Step-by-step guide for the surgical implantation of the INHANCE™ Reverse Shoulder System.
- Identification of required instrumentation for effective implantation.
- Considerations for revision surgeries.
Case Studies and Outcomes
- Review of case studies showcasing clinical outcomes associated with the INHANCE™ Reverse Shoulder System.
- Summary of critical takeaways for future practices.
Certification
- Certification quiz to validate understanding and knowledge gained from the course content.
Cost Saving Opportunities
- Significant cost savings can arise from reduced operating room time and lower intra- and post-operative complications.
- Surgeons can optimize construct selection during surgery, enhancing efficiency without needing backup instruments.
- Fewer surgical trays needed, simplified techniques, and reduced time in the operating room contribute to cost efficiency.
Surgical Efficiency
- Common preparation for both stemless and stemmed constructs allows intraoperative conversions without backup systems.
- Stemless-first approach is intended to enhance efficiency, reducing the number of trays that need to be stored and setup.
Benefits of Inlay Kinematics
- Inlay designs minimize scapular notching and fractures compared to onlay designs.
- Systems with inlay kinematics show a fracture rate of 4.7%, compared to 11.9% in onlay systems (p=0.043).
- Higher rates of return to activity in patients without fractures (92.1% vs. 71.4%).
INHANCE™ Reverse Shoulder System Features
- Developed based on the latest technology and clinical evidence.
- Focuses on minimally invasive treatment options aligned with surgeon needs.
- ONE STEP PREP for glenoid preparation streamlines procedures.
- Shared footprint for anatomic and reverse glenoids, allowing for fewer instrument types.
Instrumentation and Surgical Technique
- Efficient instrumentation requires only two trays regardless of construct type.
- Simplified conversion process between onlay and inlay kinematics makes procedures more straightforward.
Clinical Context of Reverse Shoulder Arthroplasty (RSA)
- RSA reverses the ball-and-socket structure of the shoulder, allowing a metal ball on the glenoid and a socket on the humerus.
- This alteration enhances use of the deltoid muscle, which is beneficial for patients with irreparable rotator cuff tears.
- RSA is indicated for severe cuff tear arthropathy and complex shoulder fractures.
Growth in Shoulder Arthroplasty
- The volume of shoulder arthroplasty procedures is projected to increase by approximately 235% from 2017 to 2025.
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Description
This quiz provides an introduction to the INHANCE™ Reverse Shoulder System, focusing on its role in shoulder surgery and Reverse Total Shoulder Arthroplasty (RSA). The course highlights the device's functionality, its indications, and the importance of understanding patient requirements. Test your knowledge on the material presented throughout the course.