Short-Term Results of the DePuy Global Unite Platform Shoulder System: A Two-Year Outcome Study.

Abstract

The Global Unite Shoulder System is the next generation of implant from the Depuy Global Shoulder line. The primary feature of the Global Unite is adaptability through the interchangeable modular bodies, modular suture collars, and stems. Short-term functional and radiographic outcomes of the Global Unite Platform Shoulder System were assessed as well as complication and revision rates. 95 subjects were enrolled prospectively between 2013 and 2015 that underwent anatomic or reverse shoulder arthroplasty utilizing the DePuy Global Unite Anatomic Platform Shoulder System. Functional outcome data (ASES and SANE) as well as radiographic data was collected on these patients pre-operatively, and at 6 months, 1 year and 2 years post-operatively. The cohort consisted of 97 shoulders in 95 patients of which 54 (56.8%) are males and 41 (43.2%) are female. There were 55/97 (56.7%) were primary anatomic total shoulder arthroplasties, 37/97 (38.1%) primary reverse shoulder arthroplasties, and 3/97 (3.1%) revision procedures to a reverse shoulder arthroplasty. Outcome scores demonstrated an increase in ASES score from a mean of 33.00 to 79.56 and SANE score of 21.30 to 84.08. The Depuy Global Unite shoulder system demonstrated very good short-term results in this two-year outcome study. Functional outcome scores are similar to current literature for anatomic and reverse primary cases. Radiographic measures at two years are promising with only 2 cases of grade 1 scapular notching and one case of grade 2 scapular notching. Overall the Depuy Global Unite is a versatile shoulder system with very good early outcomes.