Updegrove Gary F, Nicholson Thema A, Namdari Surena, Williams Gerald R, Abboud Joseph A
Research performed at The Rothman Institute at Thomas Jefferson University, PA, USA.
The Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.
Arch Bone Jt Surg. 2018 Sep;6(5):353-358.
The Global Unite Shoulder System is the next generation of implant from the Depuy Global Shoulder line. The primary feature of the Global Unite is adaptability through the interchangeable modular bodies, modular suture collars, and stems. Short-term functional and radiographic outcomes of the Global Unite Platform Shoulder System were assessed as well as complication and revision rates.
95 subjects were enrolled prospectively between 2013 and 2015 that underwent anatomic or reverse shoulder arthroplasty utilizing the DePuy Global Unite Anatomic Platform Shoulder System. Functional outcome data (ASES and SANE) as well as radiographic data was collected on these patients pre-operatively, and at 6 months, 1 year and 2 years post-operatively.
The cohort consisted of 97 shoulders in 95 patients of which 54 (56.8%) are males and 41 (43.2%) are female. There were 55/97 (56.7%) were primary anatomic total shoulder arthroplasties, 37/97 (38.1%) primary reverse shoulder arthroplasties, and 3/97 (3.1%) revision procedures to a reverse shoulder arthroplasty. Outcome scores demonstrated an increase in ASES score from a mean of 33.00 to 79.56 and SANE score of 21.30 to 84.08.
The Depuy Global Unite shoulder system demonstrated very good short-term results in this two-year outcome study. Functional outcome scores are similar to current literature for anatomic and reverse primary cases. Radiographic measures at two years are promising with only 2 cases of grade 1 scapular notching and one case of grade 2 scapular notching. Overall the Depuy Global Unite is a versatile shoulder system with very good early outcomes.
全球联合肩部系统是Depuy全球肩部产品线的下一代植入物。全球联合系统的主要特点是通过可互换的模块化主体、模块化缝合环和柄部实现适应性。评估了全球联合平台肩部系统的短期功能和影像学结果以及并发症和翻修率。
前瞻性纳入了95名在2013年至2015年间接受解剖型或反置式肩关节置换术的受试者，他们使用的是DePuy全球联合解剖型平台肩部系统。收集了这些患者术前、术后6个月、1年和2年的功能结果数据（ASES和SANE）以及影像学数据。
该队列包括95名患者的97个肩部，其中男性54例（56.8%），女性41例（43.2%）。97个肩部中有55个（56.7%）是初次解剖型全肩关节置换术，37个（38.1%）是初次反置式肩关节置换术，3个（3.1%）是翻修为反置式肩关节置换术的手术。结果评分显示，ASES评分从平均33.00增加到79.56，SANE评分从21.30增加到84.08。
在这项为期两年的结果研究中，Depuy全球联合肩部系统显示出非常好的短期结果。功能结果评分与当前关于解剖型和反置式初次病例的文献相似。两年时的影像学测量结果很有前景，只有2例1级肩胛切迹和1例2级肩胛切迹。总体而言，Depuy全球联合系统是一种多功能肩部系统，早期结果非常好。
