APEX Unit 1 – Respiratory- WITH COMPLETE SOLUTIONS
Which tendon must be addressed and repaired in every primary total shoulder surgery? - answer-
Subscapularis
Prior to the Apex, what did surgeons use to fix the subscapularis? - answer-bone tunnels, buttons, or
anchors
Why is the Apex the best solution for addressing the subscapularis problem? - answer-The apex short
stem has the ability to achieve a double row equivalent subscap repair through the suture holes in the
stem
What differentiates the Apex from competitive products? (4) - answer-1. Its the most anatomic primary
TSA stem out of the box
2. Easily revisable
3. Addresses the problem of repairing the subscap
4. The Apex and Univers II are the only primary total shoulder stems on the market that do not require
back table assembly. The stems are ready to implant out of the box
What are the benefits of a short stem prosthesis? - answer-1. Anatomic adaptability out of the box
(version, offset, inclination)
2. Revisable- with less metal, and a shorter stem, it allows for surgeons to convert the very best primary
total shoulder to a revers TSAa
> Removable trunion allows for easy humeral canal access for osteotomes
Is the Apex stem convertible (to a reverse)? - answer-No, however, the short stem makes it very easy to
revise
What is the philosophy behind the Apex? - answer-The philosophy behind the apex is to create the best
anatomic primary total shoulder on the market
Why is the proximal design of the Apex and Univers II stems significant? - answer-The stems match the
rectangular proximal shape of the revers stem, which makes removing the Apex and converting it to a
reverse much more simple.
Which tendon must be addressed and repaired in every primary total shoulder surgery? - answer-
Subscapularis
Prior to the Apex, what did surgeons use to fix the subscapularis? - answer-bone tunnels, buttons, or
anchors
Why is the Apex the best solution for addressing the subscapularis problem? - answer-The apex short
stem has the ability to achieve a double row equivalent subscap repair through the suture holes in the
stem
What differentiates the Apex from competitive products? (4) - answer-1. Its the most anatomic primary
TSA stem out of the box
2. Easily revisable
3. Addresses the problem of repairing the subscap
4. The Apex and Univers II are the only primary total shoulder stems on the market that do not require
back table assembly. The stems are ready to implant out of the box
What are the benefits of a short stem prosthesis? - answer-1. Anatomic adaptability out of the box
(version, offset, inclination)
2. Revisable- with less metal, and a shorter stem, it allows for surgeons to convert the very best primary
total shoulder to a revers TSAa
> Removable trunion allows for easy humeral canal access for osteotomes
Is the Apex stem convertible (to a reverse)? - answer-No, however, the short stem makes it very easy to
revise
What is the philosophy behind the Apex? - answer-The philosophy behind the apex is to create the best
anatomic primary total shoulder on the market
Why is the proximal design of the Apex and Univers II stems significant? - answer-The stems match the
rectangular proximal shape of the revers stem, which makes removing the Apex and converting it to a
reverse much more simple.
