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Equinoxe Data-Driven Shoulder Solutions

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For 20 years, the Equinoxe® shoulder system has offered innovative, data-driven, surgeon-focused solutions for straightforward to challenging shoulder cases – and everything in between.

ANATOMIC SHOULDER

With 20 years of clinical use27-29, the Equinoxe anatomic system replicates a patient’s unique anatomy in situ.

97.3% rTSA and 96.0% aTSA clinical survivorship at 8-year follow-up1

300+ peer-reviewed journal articles

16,000 patients | 35 clinical sites

  1. Flurin, PH et al. Comparison of survivorship and performance of a platform shoulder system in anatomic and reverse total shoulder arthroplasty. JSES Int. 2020 Jul 27;4(4):923-928. doi: 10.1016/j.jseint.2020.07.001.

 

  1. Roche, C. et al. Longitudinal Analysis of Shoulder Arthroplasty Utilization, Clinical Outcomes, and Value: a Comparative Assessment of Changes in Improvement Over 15 Years with a Single Platform Shoulder Prosthesis. JSES. 2023. In press.
  2. Friedman, RJ. et al. Longitudinal Comparison of Long-term Clinical and Radiographic Outcomes for Cemented Keel, Cemented Peg, and Hybrid Cage Glenoids with Anatomic Total Shoulder Arthroplasty Using the Same Humeral Stem. Bone and Joint Journal. 2023. In press.
  3. Neel, G. et al. Prospective Observational Study of Anatomic and Reverse Total Shoulder Arthroplasty Utilizing a Single Implant System With Long-Term Follow-Up. Seminars in Arthroplasty: JSES. 2022.

HUMERAL RECONSTRUCTION PROSTHESIS

The first-to-market biomechanically designed humeral reconstruction system provides a unique and stable solution for complex and challenging cases with humeral bone loss.

2-year study: Significant improvements in range of motion, pain and outcome scores, with no cases of humeral component loosening.12

Exactech Shoulder Humeral Reconstruction Prosthesis
  1. Srinivasan, R. et al. Two-Year Outcomes of the Reverse Humeral Reconstruction Prosthesis. JSES online and In Press. February 2023.
Exactech Equinoxe Shoulder Preserve Stem

REVERSE SHOULDER

The groundbreaking reverse system addresses a myriad of surgical challenges, such as glenoid fixation, scapular notching and instability.

Low aseptic loosening rate: <0.75% after rTSA5

<1% instability after rTSA6

1.52% scapular /acromial fracture rate after rTSA7,8

  1. Schell, L. et al. Aseptic Glenoid Baseplate Loosening after Reverse Total Shoulder Arthroplasty with a Single Prosthesis. JSES. In press. 2023.
  2. Le, J. et al. Risk Factors for Instability After Reverse Shoulder Arthroplasty. Seminars in Arthroplasty: JSES. In press. 2022.
  3. Roche, C. et al. Impact of Accumulating Risk Factors on the Acromial and Scapular Fracture Rate after Reverse Total Shoulder Arthroplasty with a Medialized Glenoid/Lateralized Humerus Onlay Prosthesis. J. Shoulder Elbow Surg. January 2023. https://doi.org/10.1016/j.jse.2022.12.026.
  4. Routman, HD et al. Acromial and Scapular Fractures After Reverse Total Shoulder Arthroplasty with a Medialized Glenoid and Lateralized Humeral Implant: An Analysis of Outcomes and Risk Factors. J Bone Joint Surg. Article in press. 2020 Aug 26. DOI:10.2106/JBJS.19.00724.
Exactech Active Intelligence
Predict+ is a Data-driven, clinical decision support tool that uses machine learning to provide predictions of individual patient outcomes after surgery.

PREDICT+

Data-driven, clinical decision support tool that uses machine learning to provide predictions of individual patient outcomes after surgery.20-26

FIRST to market with machine learning tool

  1. Kumar, V. et al. What Is the Accuracy of Three Different Machine Learning Techniques to Predict Clinical Outcomes After Shoulder Arthroplasty? Clin Orthop Relat Res. 2020 Oct;478(10):2351-2363.
  2. Kumar, V. et al. Using Machine Learning to Predict Clinical Outcomes After Shoulder Arthroplasty with a Minimal Feature Set. J Shoulder Elbow Surg. 2021 May;30(5):e225-e236.
  3. Kumar, V. et al. Use of Machine Learning to Assess the Predictive Value of 3 Commonly Used Clinical Measures to Quantify Outcomes After Total Shoulder Arthroplasty. Seminars in Arthroplasty: JSES. 2021.
  4. Kumar, V. et al. Using Machine Learning to Predict Internal Rotation after Anatomic and Reverse Total Shoulder Arthroplasty. JSES. 2021. In press.
  5. Kumar, V. et al. Development of a Predictive Model for a Machine Learning Derived Shoulder Arthroplasty Clinical Outcome Score. Seminars in Arthroplasty: JSES. 2021. In press.
  6. Simmons, C. et al. Surgeon Confidence in Planning Total Shoulder Arthroplasty Improves After Consulting Clinical Decision Support Tool. European Journal of Orthopaedic Surgery & Traumatology. 2022.
  7. Allen C. et al. Evaluating the Fairness and Accuracy of Machine Learning Based Predictions of Clinical Outcomes after Anatomic and Reverse Total Shoulder Arthroplasty. JSES. 2023. In press.

EXACTECHGPS SHOULDER AND EQUINOXE PLANNING APP

Equinoxe Planning App and GPS Shoulder connect the preoperative plan with real-time intraoperative instrument guidance.

Better glenoid fixation17,18

Accuracy within 2 degrees/2mm of plan13,14,15

2-year study: Improved clinical outcomes, including improved range of motion, reduced postoperative complications, revision rates and adverse events.16,19

Equinoxe Planning App and ExactechGPS Shoulder connect the preoperative plan with real-time intraoperative instrument guidance.
  1. Kida, H. et al. Implications of navigation system use for glenoid component placement in reverse shoulder arthroplasty. Sci Rep. 2022 Dec 7;12(1):21190. doi: 10.1038/s41598-022-25833-8.
  2. Jones, R. et al. Accuracy and precision of placement of the glenoid baseplate in reverse total shoulder arthroplasty using a novel computer assisted navigation system combined with preoperative planning: A controlled cadaveric study. JSES Seminars in Arthroplasty. 2020 May;30(1):73-82.*
  3. 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.
  4. Larose, G. et al. High Intraoperative Accuracy and Low Complication Rate for Computer Assisted Navigation of the Glenoid in Total Shoulder Arthroplasty. J Shoulder Elbow Surg. 2023 Jun;32(6S):S39-S45.
  5. 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 Dec;28(12):e398-e409.
  6. 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. 2019 Nov 1;3(4):296JSES Open Access. 2019 Nov 1;3(4):296-303.*
  7. Youderian, A. et al. Two-year clinical outcomes and complication rates of glenoid components in anatomic and reverse shoulder arthroplasty implanted with intraoperative navigation. J Shoulder Elbow Surg. 2023. In press.

In vitro (bench) test results or laboratory testing may not necessarily be predictive of clinical performance.
Not all devices shown are available in every market. ExactechGPS, Equinoxe Planning App and Predict+ are developed by Blue Ortho, an Exactech subsidiary, and distributed by Exactech, Inc.

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