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SMR Trauma

Balanced by Design

Being a unique modular platform, SMR System offers different options for proximal humeral fractures treatment, both in anatomic and in reverse shoulder arthroplasty.

Evolved Modularity

LimaCorporate 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 keep evolving towards the future, extending indications and improving outcomes. Modularity allows for no additional instruments and just one different humeral component for trauma cases.

Reliable Fixation

SMR can provide multiple fixation strategies -cement, press-fit, TT bone ingrowth both on humerus and on glenoid side. 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 System offers excellent solutions to treat proximal humeral fractures with Hemi and Reverse arthroplasty [1-3].

SMR System’s true modularity enables the orthopedic surgeon to retain the features and the technique of SMR System [4-7], with a dedicated metaphyseal component and no extra instrumentation needed in the OR.

BIBLIOGRAPHY  [1]    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   [2]    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.  [3] 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.   [4]    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.   [5]    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 .  [6]    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.    [7]    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

Sizing and Options

All SMR System stems (cementless and cemented) can be combined with the trauma humeral bodies, which have suture holes dedicated to tuberosities reattachment. Trauma humeral bodies are available both for anatomic and reverse shoulder reconstruction.

Clinical Papers

Candela V, Gumina S.

Independent destiny of the two tuberosities in patients with complex humeral fractures treated with reverse shoulder arthroplasty and interposition autologous graft. Seminars in Arthroplasty: JSES. 2021; 31(1):72-80.

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Iacobellis C, Berizzi A, Biz C, Camporese A.

Treatment of proximal humeral fractures with reverse shoulder arthroplasty in elderly patients. Musculoskelet Surg. 2015 Apr;99(1):39-44.

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Luciani P, Farinelli L, Procaccini R, Verducci C, Gigante A.

Primary reverse shoulder arthroplasty for acute proximal humerus fractures: A 5-year long term retrospective study of elderly patients. Injury. 2019 Nov;50(11):1974-1977.

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Merolla G, Tartarone A, Sperling JW, Paladini P, Fabbri E, Porcellini G.

Early clinical and radiological outcomes of reverse shoulder arthroplasty with an eccentric all-polyethylene glenosphere to treat failed hemiarthroplasty and the sequelae of proximal humeral fractures. Int Orthop. 2017 Jan;41(1):141-8.

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