AltiVate Reverse®

AltiVate - Side
AltiVate - Front
AltiVate - 3/4
AltiVate - Rear
AltiVate - Stems 3/4
AltiVate - Stems Side
AltiVate - Stems Back
AltiVate - Side
AltiVate - Front
AltiVate - 3/4
AltiVate - Rear
AltiVate - Stems 3/4
AltiVate - Stems Side
AltiVate - Stems Back

DJO Surgical®

AltiVate Reverse®

Reaching Higher by Design

The anatomically-based, data-driven AltiVate Reverse® system incorporates enhanced fixation technologies and precision instrumentation for exceptional fit in more of your patients.1

Proven Results

Elevating the 10-year clinical success of the RSP®2, the first reverse shoulder design to successfully incorporate a center of rotation (COR) lateral to the glenoid, DJO Surgical introduced the AltiVate Reverse in 2015, and the Small Shell version in 2017. The AltiVate Reverse system incorporates an optimized stem design based on anatomic studies with CT scans for determination of shell-to-stem position as well as the ability to match patient anatomy for anatomic total and reverse total shoulder constructs. The enhanced fixation technologies and precision instrumentation ensure the AltiVate Reverse stems will have an exceptional fit in more of your patients.

  • Overview
  • Videos
  • References

Features & Benefits

Anatomic Basis

The AltiVate Reverse stems were designed using anatomic studies to optimize the shell-to-stem position and to match patient anatomy for both anatomic and reverse total shoulders. This design features an anatomic humeral neck-shaft angle of 135°.

Biomechanical testing has shown that having a humeral neck-shaft angle in the range of normal anatomy reduces the potential for inferior scapular notching.1

 

Enhanced Fixation

Baseplate On both the glenoid and humeral side, expect short and long term fixation as a result of stable initial fixation as well as ideal conditions for bony ingrowth.

Our one piece, monolithic AltiVate Reverse glenoid baseplate design provides 2000N or 10X more compression than a pegged baseplate design,3 providing stable initial fixation. The coating options, P2™ and 3D Matrix with hydroxyapatite, create ideal conditions for bony ingrowth for long-term fixation.

P2, backed by the largest porous coating animal study in the world, creates instant micro-fractures in the trabeculae upon initial bite to the bone, which causes an instantaneous bone in-growth reaction.2

 

Clinical Application

The AltiVate Reverse is indicated for a variety of applications:

  • Anatomic total shoulder arthroplasty
  • Hemiarthroplasty
  • Reverse total shoulder arthroplasty
  • Hemiarthroplasty for fracture
  • Reverse total shoulder arthroplasty for fracture

For each of these applications, the stem can be cemented or press-fit.

 

Versatility for Complex Anatomy

Glenospheres

A great deal of variability can be experienced in rotator-cuff-deficient shoulders. The AltiVate Reverse system offers unmatched versatility, in size and offset, of glenospheres to manage complex anatomy and surgical outcomes.

Socket Inserts

Both traditional and +4mm inserts are available in 32, 36, 40 and 44mm in standard and semi-constrained providing various options of height, diameter, and constraint.

These options are also available in our highly-crosslinked, Vitamin E-blended e+™ poly. Learn more about it here.

Metal Spacers

This 8mm Spacer is screwed into the standard AltiVate Reverse Stem and with a traditional insert provides 8mm of humeral prothesis build-up.

The AltiVate Reverse Small Shell Stem has both 8mm and 12mm metal spacers for additional build-up options.

Hemi-Adapter

This Hemi-Adapter is screwed into the AltiVate Reverse Stem and with a Turon® or AltiVate® Anatomic

humeral head converts the reverse stem to a hemi-arthroplasty prosthesis.

This implant is available with both the Standard and Small Shell versions of the AltiVate Reverse stem.

 

Precision Instrumentation

The AltiVate Reverse instrumentation was designed for two different surgical approaches, catering to different surgical preferences. The instruments simplify prosthesis positioning and implantation, and specialized revision instruments allow for stem removal with minimal bony disruption.

Metaphyseal-Referenced

Implant position is based on the fit in the metaphysis.

Osteotomy
Create centered
pilot hole
Protect and
move to glenoid
Ream Socket
Ream Canal
Assemble trial
shell and broach
Impact trial assembly

Diaphyseal-Referenced

Implant position is based on the fit in the humeral canal.

Osteotomy
Ream Canal
Broach
Protect and move
to glenoid
Add reaming /
planing guide pin
Plane
Ream Socket
Insert socket trial

1. Gutierrez S, Comiskey CA, Luo ZP, Pupello DR, Frankle MA. Range of impingement-free abduction and adduction deficit after reverse shoulder arthroplasty. Hierarchy of surgical and implant-design-related factors. J Bone Joint Surg Am 2008;90:2606-15.
2. Beck, J.P. et al. Bone Response to Load Bearing Percutaneous Osseointegrated Implants for Amputees: A Sheep Amputation Model. 56th Annual Meeting of the Orthopaedic Research Society. Poster #2085. March 2010.
3. Frankle MA, Virani N, Pupello D, Gutierrez S. Rational and Biomechanics of the Reverse Shoulder Prosthesis: The American Experience in Rotator Cuff Deficiency of the Shoulder. Thieme. 2008.

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AltiVate Reverse Surgery

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AltiVate Reverse Surgical Tech Animation

  1. Data on file at DJO Surgical®
  2. Cuff DJ, Pupello DR, Santoni BG, Clark RE, Frankle, MA. Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency: a concise follow-up, at a minimum of 10 years, of previous reports. J Bone Joint Surg 2017; 1895-1899.