Software and Guides
Zimmer Biomet’s Signature™ONE Surgical Planning System provides a 3-D image-based approach to preoperative visualization, surgical planning and patient specific guide creation. Based on each patient’s unique anatomy, integrated with proprietary algorithms and known anatomical landmarks, Signature ONE offers a tailored approach to shoulder arthroplasty.
Beginning with a CT scan, Zimmer Biomet quickly provides back an initial surgical plan, combining surgeon surgical preferences and patient anatomical landmarks. Adjustments can easily be made based a quick review of the surgical plan. The software features all of Zimmer Biomet’s key shoulder arthroplasty systems including the Comprehensive™ Total, Reverse and Augmented options along with the Trabecular Metal Reverse Plus™ (TMR+) System and Alliance™ Glenoid.
Surgical planning consists of several adjustable attributes based on the presenting indications and surgical goals including:
Backside contact and 3D measurement tools
Lateralization reference points to assist in preserving glenoid bone
Quick changes from non-augmented to augmented components for maximum bone preservation
Ability to visualize inferior Glenosphere offset to improve ROM
Central screw length visualization
Once the surgical plan is approved by the submitting surgeon, guide creation begins and is provided for in-surgical use with several key supporting components:
Signature ONE Glenoid guide for accurate pin placement
Patient glenoid bone model for visual confirmation throughout the procedure
Depth control arm to assist is accurate glenoid depth reaming
Baseplate orientation guide and screw guide (TMR+ only)
The Signature ONE Guides add no additional steps to the surgical procedure and are placed on the glenoid to guide initial pin placement. A secondary superior pin is also inserted to provide for accurately controlled ream depth. The introduction of ream depth is unique to the system and highly important when wanting to achieve maximum bone preservation of the glenoid.
Literature
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