Exactech's Innovative Scapula Reconstruction System Receives FDA Approval for Acromial Stress Fractures

Exactech's New Solution for Acromial Stress Fractures



Exactech, known for its advancements in orthopedic technology, has unveiled its newly FDA-cleared Equinoxe® Scapula Reconstruction System. This innovative approach specifically addresses the often-overlooked issue of acromial and scapular spine fractures, marking a step forward in the realm of reverse total shoulder arthroplasty (rTSA) treatments.

Acromial and scapular fractures, although rare, present a significant complication in rTSA surgeries, with incidence rates varying greatly among patients. Reported cases indicate an average complication rate of approximately 2.8%, soaring to as high as 10.9% in some conditions. Despite the prevalence of these fractures, existing treatment options have been limited, leaving orthopedic surgeons in need of specialized solutions.

Recognizing this gap in available care, Exactech, in collaboration with leading surgeons, developed the Equinoxe Scapula Reconstruction System. This system is uniquely tailored to accommodate the complexities of scapular anatomies and rTSA biomechanics, providing a comprehensive solution that combines adept surgical instruments with innovative implant designs.

The design team, which included renowned orthopedic experts like Dr. Jonathan Levy and Dr. Joaquin Sanchez-Sotelo, worked meticulously to formulate a dual-plating system that not only respects the anatomical variability of the scapula but also addresses the distinct mechanical stresses exerted by rTSA devices. This collaboration illustrates a powerful synergy between clinical expertise and industry resources, aiming to enhance patient outcomes significantly.

The Technology Behind the System



The Equinoxe Scapula Reconstruction System features anatomically contoured plates that come in various lengths, ensuring precise positioning and stabilization during complex surgeries. An essential addition is the integral hooks incorporated into the design, which assist in supporting the scapula while countering forces exerted by the deltoid muscle and the rTSA prosthesis. Such design elements are crucial for maintaining structural integrity and facilitating recovery post-surgery.

Dr. Howard Routman, who played a pivotal role in the development of this system, emphasized its considerable impact. He underlined how it is designed not just to manage fractures but to actively respect the unique biomechanical challenges posed by rTSA. This innovative approach hopes to redefine the standard of care for managing acromial and scapular spine fractures, creating new paradigms in orthopedic surgical practice.

Furthermore, ongoing laboratory research has shown promise in the efficacy of the lateral hook techniques, suggesting that they significantly improve fracture fixation outcomes. These findings provide an optimistic outlook for orthopedic specialists considering the Equinoxe System as part of their surgical arsenal.

Future Perspectives



As the Equinoxe Scapula Reconstruction System begins its pilot launch with limited availability in the U.S. later this year, there is a palpable sense of anticipation surrounding its potential to transform the treatment landscape for acromial fractures. The innovation promises not only to enhance surgical techniques but also to elevate the overall patient experience and outcomes in shoulder replacement surgeries.

Exactech is set to provide further details and updates as the product rolls out, and medical professionals are encouraged to engage with the company for insights on implementing this pioneering solution into their practices. The future appears bright for orthopedic care, driven by commitment to innovation and collaboration.

Topics Health)

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