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15 YEARS EQUINOXE REVERSE

Mastering the Art of Innovation and Science

The Equinoxe® system offers biomechanically designed solutions for straightforward to challenging cases – and everything in between.
Equinoxe Reverse Shoulder

Equinoxe® Humeral Solutions

Exactech is Mastering Humeral Solutions with the new Humeral Augmented Tray and the Humeral Reconstruction Prosthesis, as well as the new humeral planning features of the Equinoxe® Planning App.

The Equinoxe® Reverse

A masterpiece right from the start, solving unmet clinical challenges and generating many more “firsts” in shoulder arthroplasty.

FIRST

to offer reverse augments

ST

TO MARKET

with biomechanically designed humeral reconstruction system

ExactechGPS Shoulder Application is the first and onlyorthopaedic company to globally launch navigation for shoulder

orthopaedic company to globally launch navigation for shoulder

SOLUTIONS FOR 100%

of shoulder arthroplasty procedures, from straightforward to challenging

180+

PEER-REVIEWED JOURNAL ARTICLES

Reverse

0.5%

instability5

3X

IMPROVEMENT
in external rotation post-op7

98%
& 85%

improvement
in initial fixation10

1.5%

combined scapular and acromial fractures4

78%

convertibility
Platform Stem6

10%

notching3

15+Y

OF CLINICAL USE

RIGHT FROM THE START
and still innovating

The Equinoxe® Reverse

A masterpiece right from the start, solving unmet clinical challenges and generating many more “firsts” in shoulder arthroplasty.

FIRST

to offer reverse augments

ST

TO MARKET

with biomechanically designed humeral reconstruction system

ExactechGPS Shoulder Application is the first and onlyorthopaedic company to globally launch navigation for shoulder

orthopaedic company to globally launch navigation for shoulder

SOLUTIONS FOR 100%

of shoulder arthroplasty procedures, from straightforward to challenging

180+

PEER-REVIEWED JOURNAL ARTICLES

Reverse

0.5%

instability5

3X

IMPROVEMENT
in external rotation post-op7

98%
& 85%

improvement
in initial fixation10

1.5%

combined scapular and acromial fractures4

78%

convertibility
Platform Stem6

10%

notching3

15+Y

OF CLINICAL USE

RIGHT FROM THE START
and still innovating

What Surgeons Are Saying

Learn More about Reverse Biomechanics

  1. Greene, A. et al. Navigated vs. non-navigated results of a CT based computer assisted shoulder arthroplasty system in 30 cadavers. Presented at ISTA 2018.*
  2. Simovitch, R. et al. Effect of tuberosity healing on clinical outcomes in elderly patients treated with a reverse shoulder arthroplasty for 3- and 4-part proximal humerus fractures. J Orthop Trauma 33(2), e39-e45. 2019.
  3. Mollon, B. et al. Impact of scapular notching on clinical outcomes after reverse total shoulder arthroplasty: an analysis of 476 shoulders. J Shoulder Elbow Surg. 26(7), 1253–1261. 2017.
  4. King, J. et al. How common are acromial and scapular spine fractures after reverse shoulder arthroplasty? Bone Joint J 2019;101-B:627–634.
  5. Friedman, RJ. et al. Comparison of reverse total shoulder arthroplasty outcomes with and without subscapularis repair. J Shoulder Elbow Surg. Apr;26(4):662-668. 2017.
  6. Crosby, L. et al. Conversion to reverse total shoulder arthroplasty with and without humeral stem retention: the role of a convertible platform stem. J Bone Joint Surg Am. 2017 May 3;99(9):736-742.
  7. Friedman RJ. et al. Comparison of reverse total shoulder arthroplasty outcomes with and without subscapularis repair. J Shoulder Elbow Surg. 2017 Apr;26(4):662-668.
  8. Kersten, AD. et al. Posterior augmented glenoid designs preserve more bone in biconcave glenoids. J Shoulder Elbow Surg. 2015 Jul;24(7):1135-41. AND Roche, C. et al. Biomechanical impact of posterior glenoid wear on anatomic total shoulder arthroplasty. Bulletin for the Hospital for Joint Diseases. 71(2):S5-11. 2013.
  9. Friedman, RJ. et al. Clinical and radiographic comparison of a hybrid cage glenoid to a cemented polyethylene glenoid in anatomic total shoulder arthroplasty. Article in press. J Shoulder Elbow Surg (2019) -, 1-9.
  10. Stroud, N. et al. Initial glenoid fixation using two different reverse shoulder designs with an equivalent center of rotation in a low-density and high-density bone substitute. J Shoulder Elbow Surg (2013) 22, 1573-1579. AND Stroud, N. et al. Reverse shoulder glenoid loosening: an evaluation of the initial fixation associated with six different reverse shoulder designs. Bulletin of the Hospital for Joint Diseases 2013;71(Suppl 2):S12-7.*
  11. Simovitch, R. et al. Quantifying success after total shoulder arthroplasty: the minimal clinically important difference. J Shoulder Elbow Surg (2018) 27, 298–305.
  12. Nashikkar P., et al. Role of intraoperative navigation in the fixation of the glenoid component in reverse total shoulder arthroplasty: a clinical case-control study. J Shoulder Elbow Surg. 2019 Sept.;28(9):1685-1691.
  13. Nashikkar P., et al. Computer navigation re-creates planned glenoid placement and reduces correction variability in total shoulder arthroplasty: an in vivo case-control study. J Shoulder Elbow Surg. 2019 July 25. Article in press.
  14. Roche C., et al. Impact of screw length and screw quantity on rTSA glenoid fixation for two different sizes of glenoid baseplates. JSES Open Access (JSESOA-D-19-00048R1).*
  15. Greene A., et al. Clinical Use of a Computer Assisted Anatomic Total Shoulder Arthroplasty System: An Analysis of 574 Cases. Presented at CAOS 2019.
  16. Greene A., et al. Clinical Use of a Computer Assisted Reverse Total Shoulder Arthroplasty System: An Analysis of 1702 Cases. Presented at CAOS 2019.