Page 96 - LIN JAN 1-51.indd

Eclipse:

the future is here

by Dr. Brian Wallace

otal shoulder arthroplasty has Eclipse offers a fast, simple, efficient and bone conserving method
become a popular and of performing shoulder replacement. Simplified instrumentation and
successful surgery to treat technique results in reduced operative time and therefore decreased
Tadvanced glenohumeral arthritis. blood loss and infection risk. Should the patient need the implant
Shoulder replacement surgery is usually revised in the future, the Eclipse allows simplified revision with
recommended for people who have severe maximized bone preservation.
pain in their shoulder and have found little The typical postoperative course after shoulder replacement is a
or no relief from more conservative sling for a period of 4 weeks. The return to activities of daily living
treatments. When a patient fails progresses after that with return to more active activities in the 4-6
conservative management such as: month range. A study in the World J Arthroplasty in 2016 looked at
physical therapy, activity modification, the return to sports after shoulder replacement. The rates of return to
cortisone injections- total shoulder arthroplasty is a great surgical sports following total shoulder arthroplasty (75%-100%) are slightly
treatment. higher than those reported for half shoulder replacement (67%-76%)
The shoulder is a ball and socket joint. The ball is the upper part and reverse total shoulder replacement (75%-85%). Patients under-
of the arm bone (humerus) and is called the humeral head. going total shoulder replacement, reverse total shoulder replacement,
The socket is smaller and is part of the shoulder blade (scapula). and half shoulder replacement should be counseled that there is a
The ball is held in the socket by ligaments and the rotator cuff high probability that they will be able to return to their preoperative
tendons. The rotator cuff muscles start on the shoulder blade and activity level within six months postoperatively. That is great news
turn into tendons which attach to the ball. for patients looking to stay active and enjoy the sports they love.
Today, about 53,000 people in the United States have shoulder The Eclipse total shoulder replacement is the next great
replacement surgery each year, according to the Agency for advancement in the technology for patients who need a shoulder
Healthcare Research and Quality. This compares to more than replacement. Its minimally invasive design will benefit both the
900,000 Americans a year who have knee and hip replacement patient and treating surgeon. It will quickly become the
surgery. Total shoulder replacement is a very successful operation gold standard in shoulder replacement surgery.
and the 10 year survival rate is up to 90 percent.
The US Food and Drug Administration announced clearance
of the new Arthrex shoulder replacement system named Eclipse in Dr. Brian Wallace is a sports medicine orthopedic surgeon at the Joint
July 2019. The Eclipse was developed with Dr Peter Habermeyer in Replacement Institute in Naples. He has worked extensively with athletes
Munich and Dr Anthony Romeo in NYC for treating osteoarthritis at the high school, college, and professional levels, including the Cincinnati
and post-traumatic arthritis. Reds Major League Baseball team, the USTA/ITF World Tennis Tour,
The implant was originally released in 2005 in Europe. It has and the QBE Shootout team golf event on the PGA Tour. Dr. Wallace
been available in Canada for the last 5 years. In Europe and Canada, currently serves as the head team physician for Ave Maria University,
there have been more than 20,000 successful implants of the system where he works with athletes to assure their quick return to sport.
during the past 14 years. Successful clinical trial performed in
accordance with the US Food and Drug Association requirements His interests in orthopedics include arthroscopic treatment of the shoulder,
prior to release in the United States. elbow, and knee as well as general orthopedic care. He also has extensive
Clinical success published in a 9 year postoperative study in training in joint reconstruction and fracture care and is expertly trained
the Journal of Shoulder and Elbow Surgery. in nonoperative treatments such as stem cell therapy and platelet-rich
The system is an alternative to a long-stem device that has to be plasma (PRP) therapy to help patients heal faster.
drilled into the bone with a much smaller, stemless implant that’s
fixed in place by a screw that promotes bone growth. The previous Contact Dr. Wallace at Joint Replacement Institute, (239) 261-2663
system involves a longer stem which means more bone loss to get or www.jointinstitutefl.com.
the implant fixed in place. The unique cage screw fixation method
allowing for bone ingrowth and compression of the trunnion plate
against the patient’s humeral cut.
96 Life in Naples | January 2020