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SMR Anatomic

Evolved Modularity

Enovis is a true pioneer in the modularity field: SMR has been the first to address multiple indications of shoulder replacement with a unique modular system, and its options keeps evolving towards the future, extending indications and improving outcomes.

Reliable Fixation

SMR can provide multiple fixation strategies –cement, press-fit, TT bone ingrowth both on humerus and on glenoid side and they are all proved to be reliable.

Proven Performance

Proven results make SMR having one of the widest clinical heritage among all the shoulder replacements worldwide.

About

SMR Anatomic Shoulder Implant is designed to provide a complete solution for orthopedic surgeons.

Modularity is the enabling feature for SMR, meaning it is able to support any type of anatomic shoulder arthroplasty, from bone sparing elective to trauma [2-8]. SMR was awarded with a 10A ODEP rating when coupled with cemented glenoid [1].

BIBLIOGRAPHY [1] 10A ODEP Rating for SMR  Cemented Glenoid / Uncemented Humeral Stem. Latest ODEP Ratings can be found at www.odep.org.uk  [2]    Kirsch JM, Khan M, Thornley P, Gichuru M, Freehill MT, Neviaser A, Moravek J, Miller BS, Bedi A. Platform shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2018;27(4):756-3.   [3]    Weber-Spickschen TS, Alfke D, Agneskirchner JD. The use of a modular system to convert an anatomical total shoulder arthroplasty to a reverse shoulder arthroplasty: Clinical and radiological results. Bone Joint J. 2015 Dec;97-B(12):1662-7   [4]    Castagna A, Delcogliano M, de Caro F, Ziveri G, Borroni M, Gumina S, Postacchini F, De Biase CF. Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular system. Int Orthop. 2013 Jul;37(7):1297-305.    [5]    Castagna A., Randelli M., Garofalo R., Maradei L., Giardella A., Borroni M. Mid-Term results of a metalbacked glenoid component in total shoulder replacement. J Bone Joint Surg [Br], 92(10): 1410-1415, 2010   [6]    Ross M, Hope B, Stokes A, Peters SE, McLeod I, Duke PF. Reverse shoulder arthroplasty for the treatment of three-part and four-part proximal humeral fractures in the elderly. J Shoulder Elbow Surg. 2014 Aug 26   [7]    Boyle MJ, Youn SM, Frampton CM, Ball CM. Functional outcomes of reverse shoulder arthroplasty compared with hemiarthroplasty for acute proximal humeral fractures. J Shoulder Elbow Surg. 2013 Jan;22(1):32-7.  [8] Martinez AA. Calvo A, Bejarano C, Carbonel I, Herrera A. The use of the Lima reverse shoulder arthroplasty for the treatment of fracture sequelae of the proximal humerus. J Orthop Sci. 2012 Mar;17(2):141–7.

Sizing and Options

All the SMR stems can be combined with metaphyseal components, which are available in elective and trauma versions.
Several humeral head sizes, available in different heights, allow for anatomic reconstruction and soft tissue management.
The adaptor connecting the humeral head is available in two heights and four eccentricities. SMR is fully dialable and aims to replicate a patients’ anatomy.
On the Glenoid side, three main options are available: all poly 3-pegs cemented glenoid, SMR TT Hybrid Glenoid or Metal Back coupled with poly liner.

Clinical Papers

Castagna A, Randelli M, Garofalo R, Maradei L, Giardella A, Borroni M.

Mid-term results of a metalbacked glenoid component in total shoulder replacement. J Bone Joint Surg Br. 2010 Oct;92(10):1410–5.

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Malhas A, Rashid A, Copas D, Bale S, Trail I.

Glenoid bone loss in primary and revision shoulder arthroplasty. Shoulder & Elbow. 2016;8(4):229-40.

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Sebastiá-Forcada E, Cebrián-Gómez R, Lizaur-Utrilla A, Gil-Guillén V.

Reverse shoulder arthroplasty versus hemiarthroplasty for acute proximal humeral fractures. A blinded, randomized, controlled, prospective study. J Shoulder Elbow Surg. 2014 Oct;23(10):1419-26.

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Singh J, Odak S, Neelakandan K, Walton MJ, Monga P, Bale S, Trail I.

Survivorship of autologous structural bone graft at a minimum of 2 years when used to address significant glenoid bone loss in primary and revision shoulder arthroplasty: a computed tomographic and clinical review. J Shoulder Elbow Surg. 2021 Mar;30(3):668-678.

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Weber-Spickschen TS, Alfke D, Agneskirchner JD.

The use of a modular system to convert an anatomical total shoulder arthroplasty to a reverse shoulder arthroplasty : Clinical and radiological results. Bone Joint J. 2015 Dec;97-B(12):1662-7.

Read the article