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Fracture Systems

FxBridge™ Tuberosity Repair System
FxBridge™ Tuberosity Repair System
Reproducible. Simple. Strong.
• Three distinct suture colors aid in suture management for a simple, reproducible repair
• FiberTape™ suture provides more resistance to tissue pull-through compared to round suture1
• FxBridge technique facilitates anatomic tuberosity reduction, which increases tuberosity healing and improves postoperative range of motion2
• 135° humeral inclination increases tuberosity healing rate and stability3-5
References
1. O'Sullivan J, Lädermann A, Parsons BO, Werner B, Steinbeck J, Tokish JM, Denard PJ. A systematic review of tuberosity healing and outcomes following reverse shoulder arthroplasty for fracture according to humeral inclination of the prosthesis. J Shoulder Elbow Surg. 2020 Sep;29(9):1938-1949. doi: 10.1016/j.jse.2020.03.032. Epub 2020 Jun 9. PMID: 32815808.
2. Erickson BJ, Shishani Y, Bishop ME, Romeo AA, Lederman E, Gobezie R. Tuberosity repair in reverse total shoulder arthroplasty for fracture using a stem-based double-row repair: a cadaveric biomechanical study. J Am Acad Orthop Surg. 2020;28(23):e1059-e1065. doi:10.5435/JAAOS-D-19-00667
3. Schmalzl J, Jessen M, Holschen M, et al. Tuberosity healing improves functional outcome following primary reverse shoulder arthroplasty for proximal humeral fractures with a 135° prosthesis. Eur J Orthop Surg Traumatol. 2020;30(5):909-916. doi:10.1007/s00590-020-02649-8
4. Jo O, Borbas P, Grubhofer F, et al. Prosthesis designs and tuberosity fixation techniques in reverse total shoulder arthroplasty: influence on tuberosity healing in proximal humerus fractures. J Clin Med. 2021;10(18):4146. doi:10.3390/jcm10184146
5. O’Sullivan J, Lädermann A, Parsons BO, et al. A systematic review of tuberosity healing and outcomes following reverse shoulder arthroplasty for fracture according to humeral inclination of the prosthesis. J Shoulder Elbow Surg. 2020;29(9):1938-1949. doi:10.1016/j.jse.2020.03.03
Arthrex Proximal Humeral Plating System
Arthrex Proximal Humeral Plating System
The Arthrex Proximal Humeral Plating System is designed to treat a variety of fractures of the proximal humerus. The system offers lateral proximal humerus plates in 3- to 17-hole configurations, corresponding to lengths from 91 to 309 mm and anatomic proximal humerus plates in 3- to 15-hole configurations, corresponding to lengths from 92 to 265 mm. All plates accept 3.5 mm reinforced variable-angle locking (VAL), 3.5 mm reinforced VAL KreuLock™ or cortical screws, and 4 mm cancellous screws. The anatomic plates accept 4.5 mm cortical and locking screws distally in 7-hole and longer configurations. Additionally, 3.5 mm FiberTape® cerclage buttons can be used in the shafts of both plates with 4.5 mm cerclage buttons available for distal fixation in 7- to 15-hole anatomic plates.
Humeral Nail System
Humeral Nail System
The Arthrex Humeral Nail System provides two distinct options for humeral nailing. The short nail is designed to quickly and efficiently treat proximal third humeral fractures and features a self-reaming trocar tip to further reduce operative time and four screw options proximally. The long nail has 3 proximal screw options and is available in diameters of 7 mm, 8 mm, and 9 mm with lengths from 20 cm to 30 cm. An internal compression screw in the long nail aids in fracture reduction and compression. Each nail includes screws that thread into the nail to prevent screw backout and create a locking construct for added stability. Simplified instrumentation helps make the process efficient and repeatable.
Humeral Plating System
Humeral Plating System
The Arthrex Humeral Plating System is a comprehensive solution for proximal humerus fracture management. Three plate options include a 95° greater tuberosity buttressing plate, a 130° PHP to limit subacromial impingement, and the anatomically designed ALPHA plate to preserve the deltoid insertion point. All plates accept 4.0 partial and fully threaded locking screws and 3.5 locking and nonlocking screws distally in the shaft. Color-coded instrumentation and a simplified tray layout allow quick and repeatable fixation of all types of fracture patterns.
Humeral SuturePlate™
Humeral SuturePlate™
The Humeral SuturePlate™ is an anatomically designed polyaxial locking plate and screw system designed for the treatment of proximal humeral fractures. These low profile plates with polyaxial bushings provide freedom to direct the locking screws within the anatomical template, based on the fracture pattern and bone quality for better fixation. Multiple chamfered suture eyelets along the margin of the plate allow the surgeon to pass FiberWire® suture after the plate is fixed to bone. FiberWire® Suture Kits which contain color-coded #2 or #5 FiberWire® sutures, with needles on each end, are available to facilitate suturing the soft tissue to the plate after it is in place.


Univers™ Fracture Stems and Hemi Systems
Univers™ Fracture Stems and Hemi Systems
Reconstruction of proximal humerus fractures is often complicated by the loss of anatomic orientation features and the inability to adequately reduce and securely fix the displaced tuberosity fragments. With its uniquely designed implant and instrumentation, the Univers Shoulder Fracture System addresses issues relating to stabilizing the humeral prosthesis and accurately positioning the humeral head. Accurately reduce and fix the tuberosities with this system's straightforward, reproducible protocol.
The system includes:
• An intraoperative adjustable humeral head prosthesis for secondary correction of the implant head height in situ.
• A preoperative and intraoperative measure guide to accurately set the humeral head height without need for technically demanding and complicated fracture jigs.
• Lateral fin positions with suture eyelets for anatomic reconstruction of the tuberosities.
• Multiple suture eyelets on the trunnion to prevent secondary displacement of the tuberosities.
• Smooth chamfered dimples in the medial aspect of the humeral stem to allow suture fixation of the tuberosity fragments without causing suture fraying and breakage.
• Variable eccentric adjustment of the humeral head for anatomic reconstruction.
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