7
6
coNTENTs
Design Rationale .........................................................................................8
DELTA XTEND Reverse shoulder system Features .......................................................8
Surgical Technique ...................................................................................10
pre-operative Templating and patient positioning .....................................................10
surgical Approach ...................................................................................................11
intramedullary canal preparation .............................................................................13
humeral head Resection .........................................................................................14
Exposing the glenoid ..............................................................................................18
positioning the metaglene .......................................................................................19
Reaming the glenoid ...............................................................................................22
Drilling the central hole ..........................................................................................23
metaglene implantation ..........................................................................................24
inferior and superior metaglene screw placement ...................................................25
Anterior and posterior metaglene screw placement .................................................28
placement of the proximal humeral Reaming guide .................................................30
Cementless Modular Humeral Implants
proximal humeral Reaming ..................................................................................31
Distal humeral Broaching .....................................................................................33
humeral Trial stem and Epiphysis insertion ...........................................................34
Cemented Monobloc Humeral Implants
proximal humeral Reaming ..................................................................................36
humeral Trial implant insertion .............................................................................37
glenosphere Trial placement ....................................................................................38
cup Trials and Trial Reduction ..................................................................................39
