GLOBAL® APG+ System

The patented GLOBAL® Anchor Peg Glenoid achieves immediate stability with the three cemented peripheral pegs, and provides a proven method of fixation through an interference fit of the central peg. A study by Wirth et al. showed that mean fixation strength increased significantly within three months and remained strong six months postoperatively in a weight-bearing animal study. Improved fixation was confirmed radiographically and histologically, and the central fluted peg achieved bone ingrowth in all cases.1

GLOBAL® APG+ Shoulder System is an advanced cannulated instrumentation system that is designed to provide accurate placement, orientation, and precise bone preparation for optimal implantation of the GLOBAL® Anchor Peg Glenoid Shoulder System. The instruments were designed for ease of use and heightened efficiency in the operating room by incorporating features that enhance versatility, simplicity, and precision through a streamlined surgical approach. GLOBAL® APG+ System is designed to be used with either the GLOBAL ADVANTAGE® Shoulder System or GLOBAL AP® Shoulder Arthroplasty Systems. Both arthroplasty systems combine innovative designs and durable materials with almost twenty years of clinical success.

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Instructions for Use
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Features & Benefits

APG FEATURES AND BENEFITS 1

GLOBAL Anchor Peg Glenoid System

  • Advanced Fixation - Immediate fixation achieved through fluted interference fit central peg and cemented peripheral pegs
  • Advanced Biomechanics – 6mm of diametric mismatch emulates anatomic biomechanics of a healthy shoulder
APG FEATURES AND BENEFITS 2

PREMIERON® X-Linked Polyethylene

  • 85% reduction in wear debris over conventionally manufactured and sterilized components2
  • GUR 1020 polyethylene resin
  • 5 Mrad of irradiation
  • Thermally treated to 155oοF to eliminate free radicals for an oxidatively stable material
  • Maintains mechanical integrity
GLOBAL APG+ PIC #3 FEATURES AND BENEFITS

Low Profile Central Reamer (40/44 or 48/52/56)

  • When used with the Low Profile Peripheral Reamer, allows for successful reaming in patients with challenging glenoid exposure
  • Halfmoon shape aids insertion past the humerus
  • Glenoid-friendly blunt leading edge reduces the risk of bone fracture and interference with retractors.
  • Cannulation and quick connect end allows for fast and easy use.
  • Color-coded banding matches corresponding Low Profile Peripheral Reamer, Central Drill Bit, and Trial.
GLOBAL APG+ PIC #4 FEATURES AND BENEFITS

Cannulated Instruments with Quick Connect Adapters

  • The quick connect end enables fast and easy connections between instruments.
  • Cannulation allows for fast insertion over guide pin
GLOBAL APG+ PIC #5 FEATURES AND BENEFITS

Fixed Pin Guide

  • Allows for placement of a guide pin without pre-operative planning by referencing the junction of the anterior glenoid neck and the scapular body regardless of glenoid version.
GLOBAL ENABLE APG+ - LOGO

References

1. Wirth MA, Korvick DL, Basamania CJ, et al. Radiologic, mechanical and histologic evaluation of 2 glenoid prosthesis designs in a canine model. Journal of Shoulder and Elbow Surgery. 2001;10(2) 140-148.

2. M. Wirth, C. Klotz, D. Deffenbaugh, D. McNulty, L. Richards, J. Tipper - Cross-Linked Glenoid Prosthesis: A Wear Comparison to Conventional Glenoid Prosthesis with Wear Particulate Analysis. J Shoulder Elbow Surg (2009).

Indication Statement

The GLOBAL® Anchor Peg Glenoid Shoulder is intended for use in total shoulder replacement surgery for patients suffering from:

  • A severely painful and/or disabled joint resulting from osteoarthritis, traumatic arthritis or rheumatoid arthritis.
  • Fracture-dislocations of the proximal humerus where the articular surface is severely communited, separated from its blood supply or where the surgeon's experience indicates that alternative methods of treatment are unsatisfactory.
  • Other difficult clinical problems where shoulder arthrodesis or resection arthroplasty are not acceptable (e.g. revision of a failed primary component).

Glenoid components are intended for cemented use only.

WARNING: This product has labeling limitations. See package insert for complete information.        

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