The use of the reverse shoulder to treat humeral fractures has increased in recent years. However, heat from cement used to secure the prosthesis can hinder healing of the bone, which negatively impacts patient outcomes.1 The Titan reverse is one of the few prostheses that does not require cement, due to its unique two-piece stem that achieves a direct implant-to-bone press-fit fixation below the fracture line in the humeral canal.
Stems that fixate in the humeral canal have a strong clinical heritage, with published literature showing comparable or better functional results in fracture scenarios compared to published studies of other stem designs.2
Matt Ramsey, M.D., of the Rothman Institute said, “This product has revolutionized my treatment of proximal humeral fractures. The Titan Press-Fit Reverse allows me to reliably obtain a solid fit in the canal without having to wait for the cement to dry, and the ability to adjust height and version independent of the stem means no fiddling with a jig or making sacrifices on the fit.”
The Titan Press-Fit Reverse for Fracture was developed in conjunction with Matthew Ramsey, M.D.; William Geissler, M.D.; Sanford Kunkel, M.D.; Jean-Marc Glasson, M.D.; Phillip Duke, MBBS, FRACS, FA(ORTH)A; and Mark Ross, MBBS, FRACS, FA(ORTH)A.
“The Titan Press-Fit Reverse for Fracture is a cornerstone of our shoulder portfolio. At Integra, we’re committed to creating products that enhance patient care and enrich the surgeon experience. Our shoulder franchise is poised to redefine expectations in shoulder arthroplasty with this and other products we have in the pipeline,” said Bob Davis, president of Integra’s Orthopedics & Tissue Technologies division.
Based in Plainsboro, N.J., Integra LifeSciences provides plastic and regenerative technologies in specialty surgical solutions, orthopedics and tissue technologies.
1. Formaini, NT, Everding, NG, Levy, JC, Rosas, S. Tuberosity healing after reverse shoulder arthroplasty for acute proximal humerus fractures: the “black and tan” technique. J Shoulder Elbow Surg 2015 Nov;24(11):e299-306. doi: 10.1016/j.jse.2015.04.014. Epub 2015 Jul 2.
2. Ross, M, Hope, B, Stokes, A, Peters, SE, McLeod, I, Duke, PFR. Reverse Shoulder Arthroplasty for the treatment of three-part and four-part proximal humeral fractures in the elderly. J Shoulder Elbow Surg 2015 Feb;24(2):215-22. doi: 10.1016/j.jse.2014.05.022. Epub 2014 Aug 29.