INHANCE™ Reverse Shoulder System Overview

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.