LIMA SMR Total Shoulder Replacement System

Dr. Frank Schmidt of Bighorn Medical Center in Cody, Wy recently returned from an invitational only international Shoulder Arthroplasty Symposia in Lucern Switzerland with surgeons from all over the world. Hosted by LIMA Corporation, based out of Italy, the focus was on market leading approaches to Shoulder Arthroplasty (Total Shoulder Joint Replacement) and contemporary challenges not typically addressed by most current products on the market.

Additionally, Dr. Schmidt was invited to present his expertise and insight in Shoulder Arthroplasty by sharing difficult cases he has encountered in his 25 year career as an orthopedic surgeon.

LIMA has a long history of producing top end leading products. During Fararri’s earliest race dominating years LIMA produced leading edge products for Fararri formula one race cars. Today, LIMA has been producing Orthopedic Implants, with that same “Lead not Follow” mentality for over 60 years.

The LIMA SMR shoulder system, which Dr. Schmidt has recently adopted, offers the simplest total shoulder replacement system with the widest range of implant options on the market.

One challenge to shoulder joint replacement is the rotator cuff. The rotator cuff plays an essential role to keeping the Humeral head (top of the arm) in proper contact and alignment with the Glenoid (socket of the Scapula or “shoulder blade”)

If a patient’s rotator cuff is weak or worn out, then proper contact and alignment of the two bones cannot be accomplished effectively.

To overcome this, Reverse Shoulder Implants were developed. The Shoulder is a ball and socket joint with the ball found on the Humerus (arm) and the socket on the Scapula (shoulder blade). With a reverse shoulder, a “ball” or Humeral head is placed on the Scapula where the old original “socket” was and a “socket” or Glenoid is placed on the top of the Humerus. This reverses the structure of the shoulder forcing the Deltoid muscle to take over the role the failed rotator cuff once played.

A failed rotator cuff that is identified once dissection of the shoulder has occurred or, often times with an MRI before surgery, can be addressed with a Reverse Shoulder implant.

The challenge is that a patient’s rotator Cuff may be very healthy with an anatomic implant being the best solution today; however, 5-10+ years down the road this same patient’s rotator cuff may simply wear out requiring a conversion from an anatomic to a reverse shoulder. With nearly every other product on the market today this conversion requires splitting the Humerus to remove the entire implant. LIMA’s SMR Shoulder system is a modular design, which means that the base of both the Humerus and Glenoid implants are the same for Anatomic and Reverse.

If a patient requires a conversion from an Anatomic to a Reverse the LIMA SMR Shoulder system makes it about as simple as swapping out a couple parts without having to split the humerus and removing everything. This greatly reduces operating time, dissection, and trauma to the patient, which speeds up recovery time, and a return to activity sooner.

Dr. Schmidt and LIMA continue to offer patients the best orthopedic solutions for today and the future as demonstrated by their “Lead not Follow” approach to patient care.