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Using the clinically proven LimaCorporate SMR System, an orthopedic surgeon can choose implants according to the evolvement of encountered pathologies, whether it is fracture hemi, total shoulder reverse shoulder or revision  **[1-8]**.
LimaCorporate’s SMR Revision provides a series of long cemented and cementless stems to enable distal fixation in severe bone loss cases. The stems have a dual conicity to provide good press-fit in the humeral canal. The Large Resection System also supports orthopedic surgeons in case of severe bone loss. SMR Revision implants are compatible with SMR reverse or anatomical components, to achieve the optimal configuration according to the clinical situation.

smr revision 2

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[1] Castagna A, Delcogliano M, de Caro F, Ziveri G, Borroni M, Gumina S, Postacchini F, De Biase CF. Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular system. Int Orthop. 2013 Jul;37(7):1297-305.
[2] Kirsch JM, Khan M, Thornley P, Gichuru M, Freehill MT, Neviaser A, Moravek J, Miller BS, Bedi A. Platform shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2018 Apr;27(4):756-763. doi: 10.1016/j.jse.2017.08.020. Epub 2017 Oct 16.
[3] Malhas AM, Granville-Chapman J, Robinson PM, Brookes-Fazakerley S, Walton M, Monga P, Bale S, Trail I. Reconstruction of the glenoid using autologous bone-graft and the SMR Axioma TT metal-backed prosthesis: the first 45 sequential cases at a minimum of two years’ follow-up. Bone Joint J. 2018 Dec;100-B(12):1609-1617.
[4] Marco Martínez F, Patzer T, Petriccioli D, Viola EM, Lopiz Y, Bertone C, Marchi G, Rossi SMP, Bloch HR. Can modularity contribute in making shoulder arthroplasty revisions less demanding? In: Proceedings of the 26th Congress of the European Society for Surgery of the Shoulder and the Elbow (SECEC–ESSSE); 2015 Sep 16-9; Milan, Italy.
[5] Merolla G, Wagner E, Sperling JW, Paladini P, Fabbri E, Porcellini G. Revision of failed shoulder hemiarthroplasty to reverse total arthroplasty: analysis of 157 revision implants. J Shoulder Elbow Surg. 2018 Jan;27(1):75-81.
[6] Postacchini R, Castagna A, Borroni M, Cinotti G, Postacchini F, Gumina S. Total shoulder arthroplasty for the treatment of failed hemiarthroplasty in patients with fracture of the proximal humerus. J Shoulder Elbow Surg. 2012 Nov;21(11):1542-9.
[7] Weber-Spickschen S, Agneskirchner J. Clinical and radiological results after conversion from anatomic to reverse shoulder arthroplasty using a modular system. Knee Surg Sports Traumatol Arthrosc (2014) 22 (Suppl 1):S383.
[8] Weber-Spickschen TS, Alfke D, Agneskirchner JD. The use of a modular system to convert an anatomical total shoulder arthroplasty to a reverse shoulder arthroplasty : Clinical and radiological results. Bone Joint J. 2015 Dec;97-B(12):1662-7.