shoulder endoprosthetics
Zum Inhalt springen

 Search Download

Shoulder endoprosthetics

Overview

Primary endoprosthics

AGILON® MI Metaphyseal Implant

The AGILON® MI Metaphyseal Implants complement the modular AGILON® Shoulder System with a stemless, cementless treatment option. The additively manufactured TiAl6V4 components are available in five sizes and feature a highly porous EPORE® structure.

The AGILON® MI Metaphyseal Implants feature a central, tapered stem with four longitudinal blades and a collar that rests on the resected bone surface. All anatomical and CTA humeral caps of the AGILON® System can be combined with the metaphyseal implants.

  • idiopathic osteoarthritis of the shoulder
  • post-traumatic osteoarthritis of the shoulder
  • rheumatoid arthritis
  • avascular humeral head necrosis
  • stemless, cementless treatment option
  • additively manufactured TiAl6V4 metaphyseal implants
  • highly porous EPORE® structure
  • central, tapered stem with four longitudinal blades
  • collar for support on the resected bone surface
  • 5 sizes of metaphyseal implants
  • compatible with all anatomical and CTA humeral caps of the AGILON® system
  • AGILON® system components used for treatment of the glenoid
  • EPORE®; TiAl6V4: metaphyseal implants
  • implatan®; TiAl6V4 according to ISO 5823-3: humeral caps and CTA caps
  • pure titanium (cpTi) according to ISO 5832-2: glenoid components
  • UHMWPE according to ISO 5834-2: PE glenoid inserts and cemented PE glenoids
  • TiN coating: on the articulating surfaces of the metal components
  • implaFix® HA; HA coating according to ISO 13779-2: on the cementless glenoids
  • 5 metaphyseal implants: sizes 1–5
  • 12 anatomical eccentric humeral caps: Ø 44 / 47 / 50 / 53 mm, each in heights of 14 / 17 / 20 mm
  • 12 CTA caps: Ø 44 / 47 / 50 / 53 mm, each in heights of 14 / 17 / 20 mm
  • cementless anatomical glenoids: sizes 2 and 3, as well as size 3 round
  • cementless anatomical revision glenoids: sizes 2 and 3 with a longer central peg
  • 3 PE glenoid inserts: sizes 2–4
  • 3 cemented PE glenoids: sizes 2–4
  • additional smaller dimensions for glenoids and humeral caps are available for the Asian market
  • CE Marking
  • FDA Approval

View the AGILON® flyer

ormathrose inverse
ormathrose anatomical

AGILON® Omarthrose

The AGILON® shoulder system offers a modular treatment concept for osteoarthritis and defect arthropathy of the shoulder. The system enables both anatomical and reverse shoulder arthroplasty and offers various options for adapting the implant to the individual anatomy.

Conversion from anatomical to reverse shoulder arthroplasty is possible while retaining the bone-anchored components (stem and glenoid). Retroversion can be adjusted via the serrated connection of the humeral components. Eccentric humeral caps in different heights and diameters allow fine adjustment of the medio-lateral offset.

  • Osteoarthritis of the shoulder joint
  • Defect arthropathy
  • Anatomical and reverse shoulder arthroplasty within one modular system
  • Conversion from anatomical to reverse shoulder arthroplasty while retaining the stem and glenoid
  • Adjustable retroversion via the serrated connection of the humeral components
  • Eccentric humeral caps for fine adjustment of the medio-lateral offset
  • Cementless glenoid components with freely pivoting locking screws
  • Eccentric PE glenospheres and metal reverse humeral caps
  • CTA caps and retentive reverse humeral caps available
  • implatan®; TiAl6V4 according to ISO 5832-3: metaphyseal components, extension sleeves, cementless stems, humeral caps, CTA caps, reverse humeral caps and retentive reverse humeral caps
  • implavit®; CoCrMo according to ISO 5832-4: cemented stems and screws
  • Pure titanium (cpTi) according to ISO 5832-2: glenoids
  • UHMWPE according to ISO 5834-2: PE glenoid inserts, PE glenoids and glenospheres
  • TiN coating: on the articulating surfaces and, upon request, on the cemented stems
  • implaFix® HA; HA coating according to ISO 13779-2: on the cementless glenoids
  • 2 metaphyseal angles: 135° and 155
  • 3 metaphyseal components: Primary 30 mm, Primary 40 mm and Trauma 30 mm
  • 5 extension sleeves: 7.5 / 10 / 12.5 / 15 / 17.5 mm
  • Cementless stems: Ø 9–18 mm in various lengths
  • Cemented stems: Ø 6–12 mm in lengths of 60 / 90 / 120 mm
  • 12 anatomical eccentric humeral caps: Ø 44 / 47 / 50 / 53 mm, each in heights of 14 / 17 / 20 mm12 CTA caps: Ø 44 / 47 / 50 / 53 mm, each in heights of 14 / 17 / 20 mm
  • Cementless anatomical glenoids: sizes 2 and 3, as well as size 3 round
  • Cementless anatomical revision glenoids: sizes 2 and 3 with a longer central peg
  • 3 PE glenoid inserts: sizes 2–43 cemented PE glenoids: sizes 2–4
  • 6 PE glenospheres: Ø 36 / 40 / 44 mm for both glenoid sizes
  • 9 reverse and 9 retentive reverse humeral caps: Ø 36 / 40 / 44 mm, each in neck lengths S / M / L
  • Additional smaller dimensions for glenoids and humeral caps are available for the Asian market
  • CE Marking
  • FDA Approval

View the AGILON® flyer

Trauma anatomical
Trauma inverse

AGILON® trauma prosthesis 

The AGILON® shoulder system offers a modular treatment concept for reconstruction of the traumatically damaged shoulder joint. The different components enable anatomical or inverse shoulder arthroplasty and offer various options for adapting the implant to the individual anatomy.

The proximal implant length can be adjusted using extension pieces. Retroversion can be adjusted via the serrated connection of the humeral components. Eccentric humeral caps in different heights and diameters allow fine adjustment of the medio-lateral offset.

  • 3- to 4-fragment humeral fracture
  • defect arthropathy
  • modular system for anatomical and reverse shoulder arthroplasty
  • adjustment of the proximal implant length using extension pieces
  • adjustable retroversion via the serrated connection of the humeral components
  • eccentric humeral caps for fine adjustment of the medio-lateral offset
  • cementless glenoid components with freely pivoting locking screws
  • eccentric PE glenospheres and metal reverse humeral caps
  • CTA caps and retentive reverse humeral caps available
  • implatan®; TiAl6V4 according to ISO 5832-3: metaphyseal components, extension pieces, cementless stems, humeral caps, CTA caps, reverse humeral caps and retentive reverse humeral caps
  • implavit®; CoCrMo according to ISO 5832-4: cemented stems and screws
  • pure titanium (cpTi) according to ISO 5832-2: glenoid components
  • UHMWPE according to ISO 5834-2: glenoid inserts, cemented PE glenoids and glenospheres
  • TiN coating: on the articulating surfaces of the metal components and, upon request, on the cemented stems
  • implaFix® HA; HA coating according to ISO 13779-2: on the cementless glenoids
  • 2 metaphyseal angles: 135° and 155°
  • 3 metaphyseal components: Trauma 30 mm; Primary 30 mm and Primary 40 mm can also be used as alternatives
  • 5 extension pieces: 7.5 / 10 / 12.5 / 15 / 17.5 mm
  • cementless stems: Ø 9–18 mm in various lengths
  • cemented stems: Ø 6–12 mm in lengths of 60 / 90 / 120 mm12 anatomical eccentric humeral caps: Ø 44 / 47 / 50 / 53 mm, each in heights of 14 / 17 /20 mm12 CTA caps: Ø 44 / 47 / 50 / 53 mm, each in heights of 14 / 17 / 20 mm
  • cementless anatomical glenoids: sizes 2 and 3, as well as size 3 round
  • cementless anatomical revision glenoids: sizes 2 and 3 with a longer central peg
  • 3 PE glenoid inserts: sizes 2–4
  • 3 cemented PE glenoids: sizes 2–4
  • 6 PE glenospheres: Ø 36 / 40 / 44 mm for both glenoid sizes
  • 9 reverse and 9 retentive reverse humeral caps: Ø 36 / 40 / 44 mm, each in neck lengths S / M / L
  • additional smaller dimensions for glenoids and humeral caps are available for the Asian market
  • reconstruction length ≥ 332 mm (femur length)
  • CE Marking
  • FDA Approval

View the AGILON® flyer

Tumour endoprosthetics

MUTARS® proximal humerus

The MUTARS® Proximal Humerus system is designed for the replacement of the proximal humerus and supports the functional restoration of the shoulder joint.

The modular humeral heads are available in three sizes and provide optimal contact with the glenoid to ensure stable and functional joint articulation. The slim head design combined with a slightly medializing geometry promotes improved soft tissue coverage and contributes to an anatomically appropriate reconstruction.

In addition to the anatomical heads, the MUTARS® Proximal Humerus system offers reverse heads and a glenosphere. Its use is possible in patients with an intact axillary nerve. The angled pairing of the humeral and scapular components provides additional stability, reduces the risk of dislocation, and improves range of motion (ROM).¹)

If required, the system can be expanded intraoperatively in a flexible manner: the proximal humeral replacement can be converted into a total humeral replacement. This modularity provides the surgeon with maximum flexibility and allows individual adaptation to the specific clinical situation.

The MUTARS® Proximal Humerus system is optionally available with a silver coating for infection prophylaxis in immunocompromised patients or for use in surgical environments with an increased risk of infection.

1) Streitbuerger A, Henrichs M, Gosheger G, Ahrens H, Nottrott M, Guder W, Dieckmann R, Hardes J. Improvement of the shoulder function after large segment resection of the proximal humerus with the use of an inverse tumour prosthesis. Int Orthop. 2015 Feb;39(2):355-61.

  • Tumour in the proximal humerus
  • massive bone loss
  • high modularity and compatibility
  • Rotation adjustment in 10° increments
  • Reconstruction length individually adjustable using extension pieces and a connecting part
  • simplified revision due to the connecting part
  • cemented, cementless and modular stem options
  • soft tissue reattachment possible
  • soft tissue reattachment possible via the attachment tube
  • implatan®; TiAl6V4 according to ISO 5832-3 (humeral cap, humerus head, extension pieces, connecting part, cementless stems)
  • implavit®; CoCrMo according to ISO 5832-4 (humeral stems cemented)
  • TiAl6V4 with EPORE® HA (EPORE® HA collar)

 

  • TiN coating (humeral cap, optional for cemented stems)
  • silver coating (optional for humerus head, extension pieces, connecting part)
  • implaFix® HA; HA coating according to ISO 13779-2 (optional for cementless humeral stems)
  • EPORE® HA; TCP coating (EPORE® HA collar)

 

  • 3 options for the MUTARS® humeral cap: small, medium, large
  • MUTARS® humerus head
  • 3 MUTARS® humeral extension pieces: 20 mm, 40 mm and 60 mm
  • MUTARS® humeral connecting part 80 mm
  • MUTARS® humeral stem type A modular with EPORE® HA collar
  • MUTARS® humeral stems
  • reconstruction length: ≥60mm

  • CE Marking

     

MUTARS® total humerus

The MUTARS® Total Humerus system enables complete modular reconstruction of the humerus. It has been developed to address complex oncological and reconstructive requirements. Thanks to the modular design of the MUTARS® system, both an anatomical proximal humerus and a reverse proximal humerus treatment can be selected intraoperatively for the MUTARS® Total Humerus, allowing flexible adaptation to the patient's individual clinical situation.

The straightforward intraoperative conversion from a distal or proximal humeral replacement to a total humeral replacement can simplify the surgical workflow and may help reduce operating time. Retention rings allow reliable reattachment of soft tissues via the attachment tube, thereby supporting the functional stability of the reconstruction.1),2),3)

The MUTARS® Total Humerus is also available in an HD version.

For more information, please follow this link:  HD Focus Page

1) Gosheger G, Hillmann A, Lindner N, Rödl R, Hoffmann C, Bürger H, Winkelmann W. Soft tissue reconstruction of megaprostheses using a trevira tube. Clin Orthop Relat Res. 2001 Dec;(393):264-71. doi: 10.1097/00003086-200112000-00030. PMID: 11764358.
2) Raiss P, Kinkel S, Sauter U, Bruckner T, Lehner B. Replacement of the proximal humerus with MUTARS tumor endoprostheses. Eur J Surg Oncol. 2010 Apr;36(4):371-7. doi: 10.1016/j.ejso.2009.11.001. Epub 2009 Nov 28. PMID: 19945819.
3) Rachbauer AM, Schneider KN, Gosheger G, Deventer N. Endoprosthetic Reconstruction of the Proximal Humerus with an Inverse Tumor Prosthesis. Cancers (Basel). 2023 Nov 8;15(22):5330. doi: 10.3390/cancers15225330. PMID: 38001590; PMCID: PMC10670134. 

Extensive tumours in the region of the humerus, with partial replacement of the shoulder joint and replacement of the humeroulnar joint.

  • high modularity and compatibility
  • Rotation adjustment in 10° increments
  • Reconstruction length individually adjustable using extension pieces and a connecting part
  • simplified revision due to the connecting part
  • cemented, cementless and modular stem options
  • cemented and cementless ulnar component options
  • soft tissue reattachment possible
  • soft tissue reattachment possible via the attachment tube
  • reversal of the materials used in the articulating components possible
  • lateralisation due to the size of the caps
  • implatan®; TiAl6V4 according to ISO 5832-3 (humeral cap, humerus head, extension pieces, connecting part, ulnar component cementless)
  • implavit®; CoCrMo according to ISO 5832-4 (HD ulnar component cemented, HD ulnar component cementles)
  • implavit®; CoCrMo according to ISO 5832-12 (axle (HD), ulna anchorage - bushing)
  • UHMWPE according to ISO 5834-2 (glenosphere, ulnar stop)
  • implacross® E; cross-linked UHMWPE with vitamin E (HD ulnar stop, PE bearing)
  • pure titanium, cpTi (glenoid)
  • TiN coating (humeral cap, optional for cemented stems)
  • silver coating (optional for humerus head, extension pieces, connecting part, dist. Humerus 50 mm)
  • implaFix® Duo; cpTi coating and HA coating according to ISO 13779-2 (optional for cementless ulnar component)
  • 3 options for the MUTARS® humeral cap: small, medium, large
  • 3 offset options for the MUTARS® humeral cap reverse: 0 mm, +5 mm, +10 mm
  • MUTARS® humerus head
  • 2 MUTARS® humeral reducer options: 20 mm and 100 mm
  • 3 MUTARS® humeral extension pieces: 20 mm, 40 mm and 60 mm
  • MUTARS® humeral connecting part 80 mm
  • MUTARS® (HD) distal humerus sz. 50 mm
  • ulnar stop (HD)
  • FC or SC PE bearings for HD
  • Axle for MUTARS® (HD) dist. humerus
  • ulnar component (HD)
  • reconstruction length ≥190mm

  • CE Marking

     

MUTARS® humeral diaphysis

The MUTARS® humeral diaphysis is used to replace the diaphyseal section of the humerus. The system supports limb-preserving treatment and is designed specifically for reconstructive and oncological indications.

The MUTARS® humerus diaphyseal implant is optionally available with a silver coating, which may help prevent infection in patients with a weakened immune system.

  • Tumour in the humeral diaphysis
  • Bone defects in the humeral diaphysis
  • Fracture in the humeral diaphysis
  • high modularity and compatibility
  • Rotation adjustment in 10° increments
  • Reconstruction length individually adjustable using extension pieces
  • cemented and cementless options, as well as modular stem options
  • implatan®; TiAl6V4 according to ISO 5832-3 (humerus diaphyseal implant, extension pieces, connecting part, cementless stems)
  • implavit®; CoCrMo according to ISO 5832-4 (cemented stems)
  • TiAl6V4 with EPORE® HA (EPORE® HA collar)
  • silver coating (optional for humerus diaphyseal implant, extension pieces, connecting part)
  • TiN coating (optional for cemented stems)
  • implaFix® HA; HA coating according to ISO 13779-2 (optional for cementless humeral stems)
  • EPORE® HA; TCP coating (EPORE® HA collar)

 

  • 2 options for the MUTARS® humeral diaphyseal implant
  • 3 MUTARS® humeral extension pieces: 20 mm, 40 mm and 60 mm
  • MUTARS® humeral connecting part sz. 80 mm
  • MUTARS® humeral stem type A modular with EPORE® HA collar
  • MUTARS® humeral stems
     

  • CE Marking

     

EPORE® diaphyseal implant

The state-of-the-art EPORE® diaphyseal implant is a fully additively manufactured implant system designed for the treatment of bone defects of various etiologies in the diaphyseal regions of the femur, tibia, and humerus. Implantation in combination with a standard intramedullary nail is easy to learn and requires only a limited number of instruments in the operating room.

EPORE® was developed to achieve high porosity combined with a low modulus of elasticity. The material closely mimics the structure of natural bone, thereby promoting bone ingrowth into the implant and supporting biological integration.

  • Fractures or comminuted fractures in the diaphysis of the femur, tibia, and humerus
  • metastasis-related bone loss in the diaphysis of the femur, tibia, and humerus
  • traumatic bone defects where an external fixator is not indicated for medical reasons
  • one-piece implant system
  • can be combined with commercially available intramedullary nails
  • EPORE®;  TiAl6V4: EPORE® diaphyseal implant
  • reconstruction length: 40 mm – 100 mm
  • diameter: 28 mm – 34 mm
  • inner diameter: 15.5 mm
  • CE Marking

Back to anatomical Overview