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Equinoxe® Primary Shoulder System

Data-driven shoulder arthroplasty designed to preserve bone, optimize fixation, and improve outcomes—powered by 20+ years of clinical use.

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Overview
Features & Benefits
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Anatomical.
Redefined.

With more than 20 years of clinical use,1-3 the Equinoxe Primary Shoulder System provides data-driven clinical solutions for anatomic shoulder arthroplasty designed for surgeons. From bone preserving stems to a variety of glenoid options to the latest surgical technologies, the portfolio provides a breadth of solutions to meet patients’ aTSA needs.

Equinoxe Primary Shoulder System Features and Benefits

aTSA Stem Options

Variety of options designed for straightforward and challenging anatomic shoulder cases

Equinoxe Primary Shoulder System aTSA Stem Options
Equinoxe Stemless Shoulder
  • Designed for bone conservation
  • Laser 3D-printed porous surface allows for biologic fixation

  • Unique central bone cage engineered to allow for bone-through growth

Equinoxe Preserve Stem
  • Shorter platform stem designed to preserve distal humeral bone
  • Plasma and grit blast coatings designed for initial fixation
  • Polished distal tip designed to facilitate stem removal if necessary
  • Full length fins designed for rotational stability

A retrospective study at two-years follow-up demonstrated a low revision rate and low prevalence of humeral stems at risk of radiographic loosening with the Preserve Stem in aTSA procedures.4

Equinoxe Platform Stem
  • Stem designed for use in anatomic and reverse applications without stem removal
  • Used with the humeral head and patented replicator plate; replicator plate allows for retroversion, neck angle, medial and posterior offset adjustments– without trialing or back table assembly.5-7

Glenoid Solutions

Variety of options designed for straightforward and challenging anatomic shoulder cases

Equinoxe Laser Cage Glenoid
Equinoxe Laser Cage Glenoid
  • Ultra-high molecular weight polyethylene is directly compression molded to the 3D-printed bone cage and peripheral pegs
  • Tested under extreme fatigue loading conditions –withstood 200,000 cycles at 225lbs11
  • 2x greater peg shear resistance and 5x higher peg pull-off strength vs. all-poly glenoids10-11
  • 4x reduction in radiolucent lines compared to all-poly glenoids10

  • 3D-printed pegs and central cage create porous regions that are optimized for pore size, count and porosity. This allows for initial and biologic fixation on the pegs and bone-through growth on the central cage. The Laser Cage Glenoid is intended for cemented fixation.

Augmented Options

  • 8° and 16° options available

Active Intelligence

Our dynamic ecosystem of enabling technologies and smart solutions empower you with data-rich, low-cost solutions to help improve patient outcomes.

Equinoxe Primary Shoulder System Active Intelligence Technology GPS Shoulder
Compatibility

The Primary Shoulder System is compatible with the:

Predict+ has not received FDA marketing authorization.

Equinoxe Primary Shoulder System Resources

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References:

  1. Roche CP, Jones R, Routman H, Marczuk Y, Flurin PH, Wright TW, Zuckerman JD. Longitudinal analysis of shoulder arthroplasty utilization, clinical outcomes, and value: a comparative assessment of changes in improvement over 15 years with a single platform shoulder prosthesis. J Shoulder Elbow Surg. 2023 Aug;32(8):1562-1573. doi: 10.1016/j.jse.2022.12.018. Epub 2023 Jan 18. PMID: 36681103.
  2. Friedman RJ, Boettcher ML, Grey S, Flurin PH, Wright TW, Zuckerman JD, Eichinger JK, Roche C. Comparison of long-term clinical and radiological outcomes for cemented keel, cemented peg, and hybrid cage glenoids with anatomical total shoulder arthroplasty using the same humeral component. Bone Joint J. 2023 Jun 1;105-B(6):668-678. doi: 10.1302/0301-620X.105B6.BJJ-2022-1033.R2. PMID: 37259565.
  3. Neel, G. et al. Prospective Observational Study of Anatomic and Reverse Total Shoulder Arthroplasty Utilizing a Single Implant System With Long-Term Follow-Up. Seminars in Arthroplasty: JSES. 2022.
  4. Larose G, Aibinder WR, Greene AT, Roche CP, Grey S, Faber KJ, Routman H, Antuña S, Wright T, Flurin PH, Zuckerman JD, Virk MS. Two-year minimum survivorship and radiographic analysis of a pressfit short humeral stem for total shoulder arthroplasty. JSES Int. 2023 Nov 22;8(1):191-196. doi: 10.1016/j.jseint.2023.10.011. PMID: 38312300; PMCID: PMC10837737.
  5. Roche, C. et al. Computer Assessment of Scapula Cortical and Cancellous Bone Removal when Correcting a Posterior Defect Using 3 Different Glenoid Prosthesis Designs. Trans. of the 59th Annual ORS Meeting. 2013.
  6. Roche, C. et al. Biomechanical Analysis of 3 Commercially Available Reverse Shoulder Designs in a Normal and Medially Eroded Scapula. Trans. of the 59th Annual ORS Meeting. 2013.
  7. Roche, C. et al. Impact of Scapular Notching on Reverse Shoulder Glenoid Fixation. Trans. of the 59th Annual ORS Meeting. 2013.
  8. Roche, C. et al. A Comparison of Glenoid Fixation using Two Different Reverse Shoulder Designs with an Equivalent Center of Rotation in a Low and High Density Bone Substitute. Trans. of the 59th Annual ORS Meeting. 2013.
  9. Flurin PH, Tams C, Simovitch RW, Knudsen C, Roche C, Wright TW, Zuckerman J, Schoch BS. Comparison of survivorship and performance of a platform shoulder system in anatomic and reverse total shoulder arthroplasty. JSES Int. 2020 Jul 27;4(4):923-928. doi: 10.1016/j.jseint.2020.07.001. PMID: 33345236; PMCID: PMC7738444.
  10. Vanasse, T. et al. Extreme Bending Fatigue Testing of a New Hybrid Anatomic Glenoid Implant. ORS Poster. 2023.
  11. Grey S. Use of a Caged, Bone Ingrowth, Glenoid Implant in Anatomic Total Shoulder Arthroplasty: Technique and Early Results. Bulletin of the Hospital for Joint Diseases. 71, S41-5. 2013.
  12. Roche, C. et al. Computer Assessment of Scapula Cortical and Cancellous Bone Removal when Correcting a Posterior Defect Using 3 Different Glenoid Prosthesis Designs. Trans. of the 59th Annual ORS Meeting. 2013.

* Predict+ has not received FDA marketing authorization.

GPS Shoulder is manufactured by Blue Ortho and distributed by Advita Ortho.

These products are manufactured by Exactech, Inc. and distributed by Advita Ortho, LLC.