Patient Tailored by Design
Combine components + Unlock more treatment options.
ProMade images depict custom implants and serve as examples; actual implants may vary based on each customer’s specific needs.
How might you pair products to optimize outcomes? Read these patient personas to find out.
Phoebe
Age 53
Phoebe, 53, is a former athlete, and previous injuries have culminated in a rotator cuff tear with osteoarthritis. Her surgeon chose to perform a reverse shoulder arthroplasty using components from both AltiVate Reverse® and PRIMA™ systems to build a construct tailored for Phoebe, based on the following factors:
Glenoid: CT scans uploaded into ASTRA™ Portal, showed that Phoebe has asymmetric glenoid wear. Her surgeon opted to use ASTRA™ Arvis® to accurately place an AltiVate Reverse® 15° wedge baseplate to correct for this glenoid deformity. Three different glenosphere offset options gave Phoebe’s surgeon multiple options to balance her soft tissues appropriately intraoperatively, to decrease the risk of instability while optimizing range of motion.
Humerus: Phoebe’s CT scans showed that her humeral head was quite small – only 40 mm! – and her surgeon wanted to make sure the porous ingrowth areas of the humeral stem would sit fully within the bone to maximize ingrowth potential, so the PRIMA™ stem was selected which has a minimum ring diameter of 28 mm and maximum of 36 mm.
ASC: Since Phoebe is otherwise healthy and had no other risk factors, her surgeon wanted to perform the shoulder arthroplasty in an outpatient setting and send Phoebe home the same day. Both the AltiVate Reverse® glenoid and PRIMA™ humeral instruments are single-tray solutions, allowing the surgeon to perform the case efficiently without needing to monopolize the ASC’s small sterilization facilities. The addition of ASTRA™ Arvis® allowed her surgeon to use enabling technology to accurately reproduce her surgical plan in the OR through an efficient and cost effective model built for the ASC.
Ross
Age 65
Ross, 65, previously had an anatomic total shoulder, but after a rotator cuff tear his surgeon deemed irreparable, he was indicated for a revision to a reverse total shoulder arthroplasty. His surgeon chose to use the AltiVate Reverse® system on both the glenoid and humeral sides for a variety of reasons:
Glenoid: Ross’s surgeon chose the neutral version of the modular AltiVate Reverse® baseplate for its bone-sparing boss, which was able to be fully contained between the existing holes in the glenoid. Multiple central screw lengths allowed Ross’s surgeon to achieve bicortical fixation within the vault through the use of a 40mm central screw. Since Ross is taller than average at 6’3”, his surgeon wanted the full range of 11 glenospheres with up to 10mm of lateral offset available to appropriately adjust Ross’s soft tissue tensioning and maximize his range of motion.
Humerus: Ross’s surgeon was fairly confident that the previous humeral implants wouldn’t be too difficult to remove, but chose AltiVate Reverse® for the humeral components so that both standard and revision-length stems would be on hand in case of unexpected complications intra-operatively. The decision to use the inlay designed AltiVate Reverse® system was chosen to help create an anatomically reconstructed reverse shoulder that would help Ross achieve the internal and external rotation needed for his lifestyle.
Rachel
Age 76
Rachel, 76, fell at home, resulting in a proximal humerus fracture. Her surgeon chose reverse shoulder arthroplasty to treat Rachel’s fracture, and selected AltiVate Reverse® in combination with SMR™ to create a prosthesis tailored to her:
Glenoid: Rachel’s glenoid showed little deformity and her surgeon decided to implant the RSP® monoblock baseplate. Her surgeon keeps up to date on the latest shoulder arthroplasty publications and likes using the RSP® monoblock because of its robust clinical data, including 10-year follow-up showing no baseplate failures.1
Humerus: Rachel’s surgeon prefers to avoid the use of bone cement whenever possible, so chose the SMR™ humeral components, which offer distal press-fit fixation. With fins for tuberosity repair and Vitamin E polyethylene liners, Rachel’s surgeon can give her a robust humeral repair with the best opportunity to avoid future reoperations.2,3
The patient personas depicted here are fictitious and any similarity to actual persons is purely coincidental
PRIMA™, ProMade™, and SMR™ are manufactured by LimaCorporate.
Individual results may vary. Encore Medical, LP is a manufacturer of orthopedic implants and does not practice medicine. Only an orthopedic surgeon can determine what treatment is appropriate. The contents of this document do not constitute medical, legal, or any other type of professional advice. This material is intended for the sole use and benefit of the sales force and physicians affiliated with Enovis Corporation or any of its subsidiaries. It is not to be redistributed, duplicated, or disclosed without the express written consent of Enovis Corporation or any of its subsidiaries. For more information on risks, warnings, and possible adverse side effects refer to the Instructions for Use provided with the device.
- Cuff et al. Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency: a concise follow-up, at a minimum of 10 years, of previous reports. Journal of Bone and Joint Surgery. 2017.
- Tej Joshi, Daniel Calem, Daniella Ogilvie, Tuckerman Jones, Akhil Katakam, Suleiman Y Sudah, Eitan M Kohan, Frank G Alberta. Proximal humerus fractures: national treatment trends with associated 30- and 90-day readmission rates. Injury, Volume 56, Issue 11, 2025. https://doi.org/10.1016/j.injury.2025.112690.
- Data on file at Encore Medical, LP. Laboratory testing does not necessarily indicate clinical performance.