shoulder system - biomet tess... · 8 cementless metal-back glenoid baseplate • the glenoid...

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This publication and all content, artwork, photographs, names, logos and marks contained in it are protected by copyright, trademarks and other intellectual property rights owned by or licensed to Biomet Inc. or its affiliates. This brochure must not be used, copied or reproduced in whole or in part for any purposes other than marketing by Biomet Inc. or its authorised representatives. The use for any other purposes is prohibited. Biomet Inc. does not practice medicine and does not recommend any particular orthopaedic implant or surgical technique for use on a specific patient. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting prosthesis in each individual patient. All trademarks mentioned in this brochure are registered by Biomet Inc. and Biomet France. Availability of these products might vary from a given country or region to another, as a result of specific local regulatory approval or clearance requirements for sale in such country or region. ©2013 Biomet Orthopedics • Form No. BMET0292.0-ENG • REV011513 MED ISO 13485 0459 Responsible Manufacturer Biomet France plateau de lautagne 26903 Valence Cedex 9 France www.biomet.com One Surgeon. One Patient. ®

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Page 1: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

This publication and all content, artwork, photographs, names, logos and marks contained in it are protected by copyright, trademarks and other intellectual property rights owned by or licensed to Biomet Inc. or its affiliates.

This brochure must not be used, copied or reproduced in whole or in part for any purposes other than marketing by Biomet Inc. or its authorised representatives. The use for any other purposes is prohibited.

Biomet Inc. does not practice medicine and does not recommend any particular orthopaedic implant or surgical technique for use on a specific patient. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting prosthesis in each individual patient.

All trademarks mentioned in this brochure are registered by Biomet Inc. and Biomet France.

Availability of these products might vary from a given country or region to another, as a result of specific local regulatory approval or clearance requirements for sale in such country or region.

©2013 Biomet Orthopedics • Form No. BMET0292.0-ENG • REV011513

MED ISO 13485

0459

Responsible ManufacturerBiomet Franceplateau de lautagne26903 Valence Cedex 9France

www.biomet.com

One Surgeon. One Patient.®

Page 2: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

T.E.S.S.

Shoulder System

Page 3: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

T.E.S.S. Shoulder System

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Page 4: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

T.E.S.S. Shoulder System

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S H O U L D E R S Y S T E M

Biomet has developed the T.E.S.S. in collaboration

with 12 surgeons :

Laurent BEGUIN Saint-Etienne

Denis BOUTTENS Berck sur Mer

Charles COHN Nice

Geert DECLERCQ Anvers

Jean GRIMBERG Paris

Dominique HUGUET Nantes

Eric LESPRIT Bordeaux

Pierre MASSART Chambéry

Bruno RIO Nancy

Jacques TEISSIER Montpellier

Bruno TOUSSAINT Annecy

Bruno ZIPOLI Dax

The range of T.E.S.S. shoulder prostheses (modular and monoblock) are indicated in the following cases:

• Except in special cases, the «anatomic» type is indicated for:

- Centered osteoarthritis of the shoulder

- Humeral head fractures

- Rheumatoid arthritis (with intact rotator cuff)

- Avascular necrosis of the humeral head

• Except in special cases, the «reversed» type is indicated for:

- Offset osteoarthritis of the shoulder

- Massive and non-repairable rotator cuff tears

- Rheumatoid arthritis (with degenerative rotator cuff)

• Revision in cases of:

- Replacement of an «anatomic» prosthesis with a «reversed» prosthesis

- Conversion of a hemi-arthroplasty into a total arthroplasty

- Increasing the size of the stem (length and/or diameter)

- Replacing a glenoid prosthesis

- Replacing a glenoid insert

- Replacing a competitor’s prosthesis

- In rare cases, removing a «reversed» prosthesis and replacing it with an «anatomic» prosthesis

• Additional indications for the monoblock range:

- Massive loss of bone matter

- Proximal fracture of the humerus

- Destruction of the bone

- Local bone tumors

- Replacing a modular prosthesis

Page 5: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

T.E.S.S. Shoulder System

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T.E.S.S. Hemi T.E.S.S. Anatomic

with Full PE glenoid

T.E.S.S. Anatomic

with Metal-back glenoid

Modular system

Complete system

A unique set of instrum

Page 6: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

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T.E.S.S. Reverse T.E.S.S. Anatomic

with stem

T.E.S.S. Reverse

with stem

Modular system

Complete system

ents for a complete system

Optional

stem

Page 7: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

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T.E.S.S. Shoulder SystemAnatomic

Anatomical corolla

• The anatomic corolla is made of Cobalt Chrome with Porous T40 Titanium and Hydroxyapatite coating. It consists of 6 branches, and a taper to fix the anatomical heads.

• The corolla is impacted into the centre of the humerus, with a stem less fixation allowing minimal loss of bone stock.

• The corolla is implanted by referencing the patients natural anatomy so it is always positioned at the indi-vidual patients normal offset and inclination.

• Four sizing options.

Anatomic and bone preserving

Page 8: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

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Flat surface

PegsSpherical surface

T.E.S.S. Shoulder SystemAnatomic

Cemented Full PE glenoid

• Made from ArCom polyethylene with an anatomical shape and following design considerations :

- a flat periphery for improved stability

- a central convex section for bone stock preservation

- an original keel with 3 pegs for good cement fixation

• A minimal polyethylene thickness of 3 mm.

• 4 sizing options.

Anatomical heads

• Available in two versions :

- centred

- eccentric with 5 mm offset

• The head is fixed on the corolla with a taper.

• In 6 diameters for each version.

Centred and eccentric

Designed for a

good stability

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Cementless Metal-back

glenoid baseplate

• The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite.

• The glenoid baseplate can receive either an anatomical insert of polyethy-lene or a reverse head.

• The posterior surface of the baseplate includes :

- a flat peripheral surface to maximise stability

- a central convex section to preserve the bone stock

One baseplate for the two options : anatomic and reverse

- a central keel with a possibility of a compression screw 1 , or a extension keel 2 in case of revision or poor bone quality

- primary fixation from anterior and posterior screws and with 2 optional antero posterior spikes for medio lateral fixation, which can be replaced with locking screws for greater fixation 3

1

2

3

T.E.S.S. Shoulder SystemGlenoid Base Plate

Page 10: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

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• The locking screws, diameter 4.5 mm in 7 lengths are manufactured from TA6V Titanium Alloy.

• The glenoid preparation for both glenoid implants, cemented and cementless, is made with the same instrumentation.

• 4 sizing options.

12°

12°

Reverse version

Ajustable screws

Anatomical version

Flat surface

Spherical surface

One baseplate for the two options : anatomic and reverse

• For the anatomical version : 4 sizes of insert in ArCom polyethylene, with 4 fixation

points.

• The anatomical PE insert has a central peg for easy positioning into the base plate.

4 fixation points

Page 11: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

T.E.S.S. Shoulder SystemReversed

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Reverse corolla

• Cobalt Chrome with a Porous Titanium T40 and Hydroxyapatite coating. The PE insert is locked in the reversed corolla

with a RingLoc system.

• The corolla is impacted into the centre of the humerus. As the prosthesis is stemless there is no injury to the intramedullary canal.

• 4 sizing options.

Reverse head

• Cobalt Chrome, available in 2 diameters :

- Diameter 36 with the glenoid 0 and 1

- Diameter 41 with the glenoid 2 and 3

• Fixed on the baseplate with a central taper.

• Center of rotation lateralized by 3 mm.

3 mm

Bonepreserving

Lateralisation of the

center of rotation

Page 12: Shoulder System - Biomet TESS... · 8 Cementless Metal-back glenoid baseplate • The glenoid baseplate is made in Porous Titanium TA6V Macrobond and Hydroxyapatite. • The glenoid

T.E.S.S. Shoulder SystemReversed

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Reverse insert

• ArCom polyethylene available in 4 thicknesses : 6, 8, 10 and 12 mm.

- The sizes 0 and 1 are 36 mm in diameter.

- The size 2 is available in 36 mm and 41 mm options

- The size 3 is 41 mm in diameter

The stem

• The optional humeral stem can be used in cases of poor bone quality or when additional stability is required 1 .

• Cemented in proximal humeral fracture cases.

• In Cobalt Chrome, available in 5 lengths and 6 diameters .

• The stems can be implanted with or without cement.

• The proximal stem has a Titanium porous coating for bone ingrowth.

• The distal part of the stem is polished and has 2 anti-rotational flutes for a better fixation in cement.

• When the corolla is used without stem, it is advisable to use the “small stem” 2 .

ArCompolyethylene

2

1