AVANTEON. Operative Technique & Catalogue Information AVANTEON
|
|
- Kevin Stafford
- 5 years ago
- Views:
Transcription
1 AVANTEON Operative Technique & Catalogue Information AVANTEON H I P S Y S T E M
2 Pre-operative Planning The overall aim of pre-operative planning is to establish anatomical data from the patient to guide the surgeon towards the optimal size of the femoral stem and acetabular component and their ideal position after implantation. Anteroposterior and lateral X-rays with the hip in neutral position are overlaid with the template film for full pre-operative evaluation. PICTURE ARCHIVING AND COMMUNICATION SYSTEMS (PACS) templates are also available via your PACS software provider. The X-ray templates for the AVANTEON Hip system are set at 115% magnification. During pre-operative planning, the surgeon will normally establish the appropriate osteotomy level and estimate the femoral and acetabular implant size, allowing for adequate and continuous cement mantles. 1
3 Femoral Head Resection Resection cutouts Head centres Stem sizes Central axis of the stem The centre of rotation of the femoral head can also be established, which will help determine appropriate offset and neck length to achieve correct soft tissue tension and leg length.the appropriate level to make the femoral neck osteotomy can be identified using the osteotomy guide, and this should be used in conjunction with reference to the pre-operative templating. The AVANTEON osteotomy guide is placed over the exposed proximal femur and positioned so that the alignment guideline on the device aligns with the longitudinal femoral axis. The guide can then be moved along the longitudinal axis superiorly or inferiorly so that the centre of the femoral head matches the appropriate stem offset as determined by preoperative templating. AVANTEON H I P S Y S T E M 42
4 Acetabular Cup Implantation Acetabular Preparation The acetabular rim is fully exposed, identifying and removing all peripheral and medial osteophytes. Starting with the smallest reamer, the articular cartilage is progressiveley reamed until bleeding subchondral bone becomes visible. It is important not to over-ream the anterior and posterior walls. In order to achieve a 3mm thick cement mantle, the final implant is downsized by 6mm from the final reamer size used. Several holes are then made around the acetabulum using the acetabular step drill. These holes are created to aid keying and fixation of the bone cement. Care should be taken to place the holes where the bone is at its thickest and to avoid perforation medially and anteriorly where it is at its thinnest. 3
5 Acetabular Cup Insertion The rings on the flange are set 2mm apart. Present the cup to the prepared acetabulum to assess the amount of flange to remove, and trim the flange so that the periphery of the flange sits just inside the acetabular rim. The bone cement is mixed as per the manufacturer s instructions and guidelines. Pulsed lavage and drying of the bone bed are recommended prior to cementation. Bone cement is introduced into the acetabulum in the normal manner. An acetabular pressuriser should be used to intrude the bone cement into the prepared acetabular bony bed, ensuring good cement-bone interdigitation. (Bone cement and pressuriser are not supplied in the standard AVANTEON hip system). The acetabular cup is attached to the cup inserter by pressing the pins on the inserter into the holes on the inner rim of the cup. The acetabular cup is introduced once the bone cement has reached the stage when its viscosity is suitable. 64
6 Acetabular Cup Insertion 45 The acetabular cup is introducted so the shaft of the inserter is at 90 to the sagittal plane of the body. The cup will then be located with 45 of abduction. The acetabular cup pusher engages with the acetabular cup inserter, and pressure is applied to the cup directly in line with the cup face or 45 to the vertical of the acetabular inserter handle. The anteversion handle can be used to confirm the degree of anteversion relative to the coronal plane of the body. The degree of anteversion is at the discretion of the surgeon. Note: The pressure applied to the acetabular pusher should be in line with the anteversion handle. 5
7 Pressure is maintained on the acetabular cup with the AVANTEON cup pusher, which attaches onto the AVANTEON cup inserter. After satisfactory placement of the cup in the acetabulum and confirmation of correct alignment, the inserter is ejected from the cup by depressing the button on the end of the inserter. Once the inserter has been ejected, the acetabular cup pusher must be immediately reintroduced directly into the cup to maintain pressure on the cement. Any extruded bone cement is removed from the periphery of the cup, and pressure is removed until the bone cement is adequately polymerised. After polymerisation is complete, the acetabular cup pusher is removed. Any cement debris and further cement extrusions must be removed from around the cup. AVANTEON H I P S Y S T E M 86
8 Femoral Canal Preparation Note: Pre-operative planning and templating, by either PACS or hard-copy x-rays is essential when using a tapered, polished femoral stem to ensure correct leg length, soft tissue tension, and restoration of anatomy. Variations in patient anatomy mean that using the same anatomical reference points in the same way in every patient is inappropriate. Attach the box osteotome to the broach handle and open up the medullary canal by aligning the cut of the osteotome with the piriformis. The appropriate degree of anteversion should be determined at this point. In preparation for broaching and distal cement insertion, the femoral canal is enlarged using one or both of the straight reamers. The reamers are used sequentially, smallest first, to widen the femoral canal until the required diameter and depth are achieved while maintaining neutral axial alignment within the femur. It is recommended that there is a 1-2cm depth of cement between the distal tip of the stem centraliser and the top of the cement plug. Therefore, as a guide, the reamer should be introduced to a depth of 20cm measured to the tip of the greater trochanter. 7
9 Femoral Rasping The AVANTEON broaching system is designed to provide a uniform continuous cement mantle of at least 2mm. The medial cement mantle increases from 2mm at the distal tip of the stem to 4mm in the calcar region. 150mm Preoperative planning will enable the surgeon to identify the correct offset stem to use. The medial curve of the broach and the stem vary depending on the stem offset. It is essential to use the correct broach that corresponds to the stem offset determined in the preoperative planning. The smallest broach (CDH) is used first to prepare the proximal femur. Further broaches increasing in size sequentially are used until the broach corresponding to the templated stem size is reached. Maintaining neutral axial alignment within the medullary canal is essential. The anteversion rod may be attached to the broach handle to aid alignment and for additional guidance while broaching. 8
10 Trial Reduction Note: The CDH and 38mm offset stems use the same trial neck The two small holes and the flat on the rasp where the trial neck sits correspond to the three depth markings on the definitive stem. The rasp can be inserted to the desired depth as indicated preoperatively, taking note of the depth marking when rasping. The correct offset trial neck is attached to the spigot on the rasp. The trial neck must be seated properly on the rasp to ensure that the appropriate trial neck has been selected. The trial head with the neck length required to re-establish the femoral head centre as measured in pre-operative x-ray templating is selected. The hip is reduced, and joint stability, leg length, and range of motion are checked. Further adjustments can be made using different neck length trial heads. 9
11 Cement Plug Insertion Stem 10mm to 20mm cement gap Typical distal cement plug The JRI intramedullary cement plug system can be used in conjunction with the AVANTEON cemented hip system. The intramedullary cement plugs are available in a comprehensive range of sizes from 10mm to 20mm maximum diameter in 1mm increments. Made from UHMWPE, when sized and fitted correctly the plugs provide a secure barrier against the ingress of bone cement distally down the femoral canal, enabling pressurisation. The size of cement plug to be used should be determined by using the intramedullary trials to estimate the diameter of the femoral medullary canal at a depth 10-20mm beyond where the tip of the distal centraliser is intended to be. This is approximately 190mm - 200mm from the greater trochanter. As a guide, if only the small intramedullary reamer was used to start with, trial for the size 10mm cement plug initially. Trial for the 14mm cement plug if the large intramedullary reamer was used. Increase the size of the trial until resistance is felt at a depth of approximately 18cm from the greater trochanter. It is recommended that a cement plug 1mm greater than the trial is used to ensure a secure fit. AVANTEON H I P S Y S T E M 10
12 Stem Implantation In preparation for cementing, the medullary canal is cleared of debris and cleaned using pulsed lavage and then dried. The cement is then inserted using a cement gun and a retrograde filling technique until the canal is almost filled. A pressurisation seal is then added, before completion of filling of the canal, to enable optimum cement pressurisation. The optimum time for insertion of the femoral stem will depend upon the cement manufacturer s guidelines. (Bone cement, cement gun, and the femoral cement pressuriser are not supplied with the AVANTEON cemented hip system). A separately packed stem centraliser is attached to the distal tip of the stem. The distal tip of the introducer is inserted into the aperture on the lateral shoulder of the stem. 11
13 The pressurisation seal is removed, ensuring that the proximal cement is clean and dry. The femoral stem is inserted to the predetermined depth, referencing the depth indication markings on the stem while ensuring a neutral axial alignment of the stem is maintained. The depth to which the stem is inserted and the degree of anteversion are at the discretion of the surgeon. The stem is held in place with the stem introducer until the bone cement has polymerised. (Refer to the bone cement manufacturer s guidelines). The stem introducer is gently removed while applying counter pressure on the stem. It is recommended that a further trial reduction is performed with the trial femoral head at this stage. The neck of the stem should then be cleaned and dried before the definitive femoral head of choice is placed onto the taper and impacted. 12
14 The definitive femoral head with the desired neck length is placed carefully onto the clean taper of the femoral stem using a twisting motion. The definitive femoral head is impacted using the head impactor, with a single firm blow, ensuring the surface of the head is not scratched or damaged in any way. After ensuring that the cup and femoral head are clean and free from debris, the hip is reduced and closed. 13
15 AVANTEON and Furlong Compatibility Chart AVANTEON H I P S Y S T E M BIOLOX delta Cups AVANTEON Cup If using with CoCr Femoral Head, use ONLY AVANTEON CoCr Femoral Head. CSF, CSF Plus and Cemented Mueller type cup Hemiarthroplasty Heads Heads AVANTEON CoCr BIOLOX delta Furlong CoCr Bi-Polar Mono-Polar Stem AVANTEON H I P S Y S T E M AVANTEON H I P S Y S T E M 14
16 Implant Range Information CAT. NO STEM * CDH 36mm offset Size 0 38mm offset Size 1 38mm offset ISO Size 2 38mm offset Size 3 38mm offset Size 4 38mm offset Size 0 45mm offset Size 1 45mm offset Size 2 45mm offset Size 3 45mm offset Size 4 45mm offset * ATTENTION WARNING - AVANTEON cemented hip CDH stem has a weight limit of 56kg and must not be used with femoral heads of more than +4mm neck length Size 1 50mm offset Size 2 50mm offset Size 3 50mm offset DESCRIPTION CAT. NO Distal Centralizer with Tantulum bead Material Size 10-18mm PMMA DESCRIPTION CAT. NO DIAMETER Cement Plug mm mm mm mm mm mm mm mm mm mm mm 15
17 CAT. NO HEAD DIAMETER NECK LENGTH mm mm mm + 4 * mm + 8 * ATTENTION WARNING - AVANTEON cemented hip CDH has a weight limit of 56kg and must not be used with femoral heads of more than +4mm neck length. CAT. NO CUP SIZE STD 40mm STD 42mm STD 44mm STD 48mm STD 52mm Acetabular cups are available as Standard (STD) or Long Posterior Wall (LPW) STD 56mm STD 60mm LPW 40mm LPW 42mm LPW 44mm LPW 48mm LPW 52mm LPW 56mm LPW 60mm 16
18 Instrumentation DESCRIPTION CAT NO. 1 Osteotomy Guide Box Osteotome Small Large Acetabular Step Drill Acetabular Cup Inserter Acetabular Cup Pusher Anteversion Handle
19 DESCRIPTION 1 Intramedullary Reamer CAT NO. Small 10mm Large 14mm Broach CDH 36mm offset Size 0 38mm offset Size 1 38mm offset Size 2 38mm offset Size 3 38mm offset Size 4 38mm offset Size 0 45mm offset Size 1 45mm offset Size 2 45mm offset Size 3 45mm offset Size 4 45mm offset Size 1 50mm offset Size 2 50mm offset Size 3 50mm offset Broach Handle Trial Necks CDH and 38mm Offset mm offset mm offset Stem Inserter Femoral Head Impactor Trial Heads Neck Length 28mm - 3.5mm mm 0mm mm + 4mm mm + 8mm mm + 12mm AVANTEON H I P S Y S T E M 18
20 Mueller Cup Range DESCRIPTION PRODUCT NO. Cemented Acetabular Cup - UHMW polyethylene 28mm I/D 44mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D Cemented Acetabular Cup - UHMW polyethylene 32mm I/D 47mm O/D mm O/D mm O/D mm O/D mm O/D Cemented Acetabular Cup - CLP75 highly cross-linked UHMW polyethylene 36mm I/D 50mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D Furlong Hemiarthroplasty Heads 12/14 Taper DESCRIPTION PRODUCT NO. Bipolar Heads 40mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D Physiological Heads 39mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D mm O/D
21 Furlong THR Ceramic Femoral Head 12/14 Taper PRODUCT NUMBER HEAD DIAMETER NECK LENGTH c 28mm -4mm c 28mm 0mm c 28mm +4mm c 28mm +8mm c 32mm -4mm c 32mm 0mm c 32mm +4mm c 32mm +8mm c 36mm -4mm c 36mm 0mm c 36mm +4mm c 36mm +8mm c 40mm -4mm c 40mm 0mm c 40mm +4mm c 40mm +8mm Furlong THR CoCr Femoral Heads 12/14 Taper PRODUCT NUMBER HEAD DIAMETER NECK LENGTH mm -4mm mm 0mm mm +4mm mm +8mm mm +12mm mm +16mm mm -4mm mm 0mm mm +4mm mm +8mm mm +12mm mm +16mm mm -4mm mm 0mm mm +4mm mm +8mm mm +12mm mm +16mm 20
22 Polyethylene CLP75 Bearing Cup Range Standard Liners (I/D) Cup/Reamer size (O/D 44mm mm mm mm mm mm mm mm mm mm mm 32mm 36mm H-A.C. CSF Plus - Liner/ head size combination chart CLP75 Polyethylene Hooded Liners (I/D) 28mm 32mm 36mm
23 CSF Plus Ceramic Bearing Cup Range Cup/Reamer size (O/D 44mm mm mm mm mm mm mm mm mm mm mm 32mm 36mm 40mm H-A.C. CSF Plus - Liner/head size combination chart Biolox delta Ceramic AVANTEON H I P S Y S T E M 22
24 JRI Services/Education Nurse Training Factory Visits Basic, instructional, and advanced hip courses On demand loan sets In-service technical support Consignment stock audits Instrumentation checks and maintenance Digital PACS and hard-copy X-Ray templates JRI Orthopaedics is wholly owned by Orthopaedic Research UK Manufactured & Distributed by For further information and training resources visit 18 Churchill Way, 35A Business Park, Chapeltown, Sheffield S35 2PY T: F: W: AVANTEON/OPTEC/V1/06/2017
TaperFit. Cemented Total Hip Replacement Surgical technique
TaperFit Cemented Total Hip Replacement Surgical technique TaperFit Contents Operative summary 4 Pre-operative templating 5 Surgical exposure 5 Femoral neck resection 5 Acetabular preparation 5 Cenator
More informationCementless Tapered Femoral Stem Surgical technique
Cementless Tapered Femoral Stem Surgical technique Contents Operative summary 4 Pre-operative planning 5 Femoral neck osteotomy 5 Femoral canal preparation 5 Intra-medullary (IM) reamer 6 Sequential rasping
More informationCementless Tapered Femoral Stem Surgical technique
Cementless Tapered Femoral Stem Surgical technique Contents Operative summary 4 Pre-operative planning 5 Femoral neck osteotomy 5 Femoral canal preparation 5 Intra-medullary (IM) reamer 6 Sequential rasping
More informationManza Cup HA SURGICAL TECHNIQUE.
1 PRE-OPERATIVE PLANNING. Preoperative assessment of the appropriate size and position of the acetabular component will provide intraoperative guidance for acetabular reaming. To determine the acetabluar
More informationEncina Taper Stem. Stinson Orthopedics Inc. 303 Twin Dolphin Drive, Suite 600 Redwood City, CA
Stinson Orthopedics Inc. 303 Twin Dolphin Drive, Suite 600 Redwood City, CA 94065 info@stinsonortho.com www.stinsonortho.com Table of Contents Introduction 3 Features 4 Surgical Technique 5 Preoperative
More informationVerSys LD/Fx Cemented and Press-Fit Hip Prostheses. Surgical Technique IMAGE TO COME. Versatile solutions for total and partial hip replacement
VerSys LD/Fx Cemented and Press-Fit Hip Prostheses Surgical Technique IMAGE TO COME Versatile solutions for total and partial hip replacement VerSys LD/Fx Cemented and Press-Fit Hip Prostheses VerSys
More informationMetaFix. Cementless Total Hip Replacement Surgical technique
Cementless Total Hip Replacement Surgical technique Contents Operative summary Acetabular preparation Pre-operative templating Femoral neck osteotomy Femoral canal preparation Femoral punch Tapered IM
More informationSURGICAL TECHNIQUE. Alpine Cementless Hip Stem
SURGICAL TECHNIQUE Alpine Cementless Hip Stem The following technique is a general guide for the instrumentation of the Alpine Cementless Hip Stem. It is expected that the surgeon is already familiar with
More informationAUTOBLOQUANTE AUTOBLOQUANTE. Product Rationale Surgical Technique
AUTOBLOQUANTE AUTOBLOQUANTE Product Rationale Surgical Technique AUTOBLOQUANTE The Product of Long-Term Clinical Experience The AUTOBLOQUANTE femoral component is a direct descendant of the original straight
More informationSURGICAL TECHNIQUE. Alpine Cemented Hip Stem
SURGICAL TECHNIQUE Alpine Cemented Hip Stem The following technique is a general guide for the instrumentation of the Alpine Cemented Hip Stem. It is expected that the surgeon is already familiar with
More informationCAUTION: Ceramic liners are not approved for use in the United States.
Total Hip Prostheses, Self-Centering Hip Prostheses and Hemi-Hip Prostheses IMPORTANT: This essential product information sheet does not include all of the information necessary for selection and use of
More informationSURGICAL TECHNIQUE CEMENTED & PRESS-FIT UNIFIED INSTRUMENTATION INTRAOPERATIVE FLEXIBILITY PROVEN BIOMECHANICS
SURGICAL TECHNIQUE CEMENTED & PRESS-FIT UNIFIED INSTRUMENTATION INTRAOPERATIVE FLEXIBILITY PROVEN BIOMECHANICS INTRODUCTION The Summit Tapered Hip System s comprehensive set of implants and instruments
More informationBone Preservation Stem
TRI-LOCK Bone Preservation Stem Featuring GRIPTION Coating Surgical Technique Implant Geometry Extending the TRI-LOCK Stem heritage The original TRI-LOCK Stem was introduced in 1981. This implant was
More informationFLH /11
FLH 225 04/11 This publication has been issued by: European Central Marketing Waterton Industrial Estate Bridgend, South Wales CF31 3XA, United Kingdom Tel: +44 (0)1656 655221 Fax: +44 (0)1656 645454 www.biomet.com
More informationPreoperative Planning. The primary objectives of preoperative planning are to:
Preoperative Planning The primary objectives of preoperative planning are to: - Determine preoperative leg length discrepancy. - Assess acetabular component size and placement. - Determine femoral component
More informationFollowing a tradition of success. VerSys Heritage Primary Hip Prosthesis Surgical Technique
Following a tradition of success VerSys Heritage Primary Hip Prosthesis Surgical Technique VerSys Heritage Primary Hip Prosthesis 1 Surgical Technique For VerSys Heritage Primary Hip Prosthesis Dennis
More informationTrinity. Advanced Bearing Acetabular System Surgical technique
Advanced Bearing Acetabular System Surgical technique Contents Operative summary Introduction Pre-operative planning Acetabular preparation Acetabular reaming Reamer guide Acetabular shell trials Acetabular
More informationApproach Patients with Confidence
Surgical Technique Approach Patients with Confidence The ACTIS Total Hip System is the first DePuy Synthes stem specifically designed to be utilized with tissue sparing approaches, such as the anterior
More informationClinical Evaluation Surgical Technique
Clinical Evaluation Surgical Technique Table of Contents EMPERION Specifications 3 EMPERION Surgical Technique 9 EMPERION Catalog 18 Nota Bene: This technique description herein is made available to the
More informationDIRECT ANTERIOR APPROACH. Guide for use with the Furlong Evolution Femoral Stem & CSF Plus Acetabular Cup
DIRECT ANTERIOR APPROACH Guide for use with the Furlong Evolution Femoral Stem & CSF Plus Acetabular Cup Contents Introduction Patient set up Capsulotomy Femoral elevation and capsule release Preparation
More informationBi-Polar 22.2mm & 28mm System - Operative technique
Disclaimer Biomet UK Ltd, as the manufacturer of this device, does not practice medicine and does not recommend any particular surgical technique for use on a specific patient. The surgeon who performs
More informationAesculap Trilliance Triple Tapered Polished Hip Stem
Aesculap Trilliance Triple Tapered Polished Hip Stem Aesculap Orthopaedics Trilliance Triple Tapered Polished Hip Stem CONTENTS 2 Contents Page Trilliance Philosophy 4 Trilliance Design 6 Trilliance Implants
More informationExeter Contemporary Flanged Cup. Exeter. Providing Solutions
Exeter Contemporary Flanged Cup Exeter Providing Solutions Design Benefits Even Cement Mantle Four polymethylmethacrylate (PMMA) cement spacers are attached to the cup to maintain a minimum thickness of
More informationAML Hip System. Design Rationale/ Surgical Technique
AML Hip System Design Rationale/ Surgical Technique Design Rationale Evolution In 1977, DePuy Synthes Companies introduced the original cementless total hip. The AML Hip launched in order to solve one
More informationProgeny Hip Stem. Surgical Protocol and Product Specifications
Progeny Hip Stem Surgical Protocol and Product Specifications Progeny Hip Stem Introduction With emphasis on maximum stability and ease of use, the StelKast ProgenyTM Hip System provides the surgeon with
More informationHELIOS h i p s y s t e m
HELIOS h i p s y s t e m Design The Helios stem is a highly polished, High Nitrogen Stainless Steel (ISO5832-9) dual tapered cemented stem. The design of the stem is based on the clinically lly successful
More informationStinson Orthopedics Inc. 303 Twin Dolphin Drive, Suite 600 Redwood City, CA
Stinson Orthopedics Inc. 303 Twin Dolphin Drive, Suite 600 Redwood City, CA 94065 info@stinsonortho.com www.stinsonortho.com Encina HA Stem Table of Contents Introduction 3 Encina HA Stem Features 4 Surgical
More informationApproach Patients with Confidence
Approach Patients with Confidence The is the first stem specifically designed to be utilized with tissue sparing approaches, such as the anterior approach, as well as traditional approaches. The implant
More informationACETABULAR CUP SURGICAL TECHNIQUE
ACETABULAR CUP SURGICAL TECHNIQUE ACETABULAR CUP DEVICE INDICATIONS FOR USE The ICONACY I-Hip total hip replacement is indicated for the following conditions: 1. A severely painful and/or disabled hip
More informationOvation Hip System. Surgical Technique
Ovation Hip System Surgical Technique Ovation Hip System Surgical Technique Ovation Designing Surgeons: Andrew Petrella, M.D. Lecanto, FL Richard Vlasak, M.D. Gainesville, FL Ovation Tribute Designing
More informationoperative technique Kent Hip
operative technique Kent Hip The Kent Hip Operative Technique The Kent Hip was developed by Mr Cliff Stossel, FRCS in Maidstone, Kent, UK and first implanted in 1986. It was designed to deal with problems
More informationTHE NATURAL FIT. Surgical Technique. Hip Knee Spine Navigation
THE NATURAL FIT Surgical Technique Hip Knee Spine Navigation MiniMAX Surgical Technique Hip Knee Spine Navigation INTRODUCTION The MiniMAX TM is a cementless anatomic stem available in 9 right sizes and
More informationOptimum implant geometry
Surgical Technique Optimum implant geometry Extending proven Tri-Lock heritage The original Tri-Lock was introduced in 1981. This implant was the first proximally coated tapered-wedge hip stem available
More informationExeter V40 Femoral Stem
Exeter V40 Femoral Stem Table of Contents Indications and Contraindications... IFC Surgical Protocol Step 1 - Pre-Operative Planning and X-ray Evaluation... 1 Step 2 - Surgical Exposure... 2 Step 3 - Femoral
More informationExeter X3 RimFit Acetabular Cup
Exeter X3 RimFit Acetabular Cup Table of Contents Indications and Contraindications... IFC Introduction... 1 Surgical Protocol Step 1 Pre-Operative Planning... 2 Step 2 Acetabular Preparation... 3 Step
More informationSurgical Technique. Hip System
Surgical Technique Hip System INDICATIONS FOR USE The TaperSet Hip System is designed for total or partial hip arthroplasty and is intended to be used with compatible components of the Consensus Hip System.
More informationEfficacy Innovation ABG II. Brochure. Surgical Protocol. Cemented Stem
Efficacy Innovation ABG II Cemented Stem Brochure Surgical Protocol 2 The ABG Hip System The ABG hip implant range has been progressively extended and enhanced over the past years, harnessing extensive
More informationHIP SYSTEM SURGICAL TECHNIQUE
HIP SYSTEM SURGICAL TECHNIQUE Introduction...2 Preoperative Planning...3 Preoperative Planning...3 Templating and Radiographs...4 Determination of Leg Length Discrepancy...5 Determining Acetabular Cup
More informationAnterior Approach Surgical Technique. Paragon Stem System. enabling people to enjoy life
Anterior Approach Surgical Technique Paragon Stem System enabling people to enjoy life Contents Pre-Operative Planning... 2 Suggested Templating Method... 2 Surgical Technique... 3 Surgical Approach...
More informationCC TRIO VERSAFITCUP. Surgical Technique. each to their own. Hip Knee Spine Navigation
VERSAFITCUP CC TRIO each to their own Surgical Technique Hip Knee Spine Navigation Versafitcup CC TRIO Surgical Technique Hip Knee Spine Navigation EACH TO THEIR OWN The Versafitcup CC Trio is a range
More informationAbsolut TM Cemented Stem. Surgical Technique
Absolut TM Cemented Stem Surgical Technique Contents ABSOLUT Cemented Stem 2 Absolut Confidence 2 Absolut Reproducibility 2 Absolut Choice 2 Pre-Operative Planning 3 Suggested Templating Method 3 Surgical
More information21st Century Fracture Management ETS. Surgical Protocol
21st Century Fracture Management ETS Surgical Protocol ETS Operative Technique Step 1 Confirm that a cemented hemiarthroplasty is indicated. An X-ray template of the ETS is provided. This should be used
More informationTemplating and Pre Operative Planning 2. Preparation of the Acetabulum 4. Trial Sizing and Impaction of the Shell 5.
Surgical Technique Contents Templating and Pre Operative Planning 2 Preparation of the Acetabulum 4 Trial Sizing and Impaction of the Shell 5 Cup Positioning 6 Joint Stability 7 Trial sizing and Impaction
More informationRx90 Total Hip System Acetabular Series
Rx90 Total Hip System Acetabular Series The Rx90 Total Hip System was developed by Stanley Asnis, M.D., in conjunction with David Dines, M.D. and Micheal Errico M.D., Co-Section-Chiefs of the North Shore
More informationScan Bi-Polar 22/28. Operative Technique
Scan Bi-Polar 22/28 Operative Technique Disclaimer This publication and all content, artwork, photographs, names, logos and marks contained in it are protected by copyright, trademarks and other intellectual
More informationSurgical Technique. Cup System
Surgical Technique Cup System INDICATIONS AND USAGE Indications for the use of the CS2 ACETABULAR CUP SYSTEM must be carefully considered with respect to the patient s entire evaluation and alternative
More informationEC Certification. FULL QUALITY ASSURANCE SYSTEM Directive 93/42/EEC for Medical Devices, Annex II excluding (4)
EC Certification FULL QUALITY ASSURANCE SYSTEM Directive 93/42/EEC for Medical Devices, Annex II excluding (4) We hereby declare that an examination of the under mentioned full quality assurance system
More informationFLH183 04/08. Biomet UK Ltd Waterton Industrial Estate Bridgend, South Wales CF31 3XA, United Kingdom. Tel. +44 (0) Fax: +44 (0)
FLH183 04/08 Biomet UK Ltd Waterton Industrial Estate Bridgend, South Wales CF31 3XA, United Kingdom Tel. +44 (0)1656 655221 Fax: +44 (0)1656 645454 Exceed ABT Operative Technique The Exceed ABT TM acetabular
More informationPRODUCT SCHEDULE FOR CERTIFICATE CE JRI ORTHOPAEDICS LIMITED
HIP STEM (Class III) Active Stem Active H-AC Stem / 09mm - 16mm Cemented Hemiarthroplasty (formally LOL 127) Cemented Hemiarthroplasty Stem / X-X-Small - Large Cemented Hemiarthroplasty Stem - Long / Small
More informationVersys Advocate V-Lign and Non V-Lign Cemented Hip Prosthesis
Versys Advocate V-Lign and Non V-Lign Cemented Hip Prosthesis Surgical Technique Traditional Design. Innovative Features. Versys Advocate V-Lign and Non V-Lign Cemented Hip Prosthesis 1 Versys Advocate
More informationTaperloc Complete Hip System. Surgical Technique
Taperloc Complete Hip System Surgical Technique One Surgeon. One Patient. Over 1 million times per year, Biomet helps one surgeon provide personalized care to one patient. The science and art of medical
More informationRevision. Hip Stem. Surgical Protocol
U2 TM Revision Hip Stem Surgical Protocol U2 Revision Hip Stem Table of Contents Introduction... 1 Preoperative Planning... 2 Femoral Preparation... 3 Trial Reduction... 5 Implant Insertion... 6 Ordering
More informationIntegral 180 Surgical Technique
Integral 180 Surgical Technique The Integral 180 and 225 are part of the Alliance Family Total Hip System. The Integral 225 femoral component is marketed for use with bone cement in the United States.
More informationU2 PSA. Revision Knee. Surgical Protocol
U2 PSA TM Revision Knee Surgical Protocol Table of Contents 1 Component Removal... 1 2 Tibial Preparation... 1 2.1 Tibial Canal Preparation... 1 2.2 Proximal Tibial Resection... 2 2.3 Non Offset Tibial
More informationADEPT Extra Fixation Cup. Operative Technique. Delivering Results Through Performance
ADEPT Extra Fixation Cup Operative Technique Delivering Results Through Performance Contents Section 1 Introduction 3 Section 2 Preparation of the Acetabulum 4 Section 3 Preparation of the Extra Fixation
More informationSurgical procedure. METS Modular Proximal Femur
Surgical procedure METS Modular Proximal Femur Surgical Procedure Contents 1.0 2.0 3.0 4.0 5.0 Device information 2 3 1.1 Product overview 1.2 Indications 1.3 Absolute contra-indications 1.4 Relative
More informationS U R G I C A L T E C H N I Q U E
SURGICAL TECHNIQUE RECOVERY FUNCTION SURVIVORSHIP DePuy believes in an approach to total hip replacement that places equal importance on recovery, function and survivorship. The DePuy PROXIMA Hip System
More information9800 Metric Blvd. Austin, Texas
rev. A Encore Orthopedics, Inc. 1998 www.encoremed.com 9800 Metric Blvd. Austin, Texas 78758 512-832-9500 1 contents How to use the Foundation Hip 1 2 Plan your approach Select your hardware Preparing
More informationpact SYSTEM Surgical Technique HEMISPHERICAL CEMENTLESS CUP SYSTEM MULTI-HOLE & RIM-HOLE Hip Knee Spine Navigation
pact SYSTEM HEMISPHERICAL CEMENTLESS CUP SYSTEM MULTI-HOLE & RIM-HOLE Surgical Technique Hip Knee Spine Navigation Mpact Surgical Technique Hip Knee Spine Navigation PREFACE The Mpact Multi-hole and the
More informationEVOLVING OUR HERITAGE, MEETING YOUR NEEDS. Surgical Technique
EVOLVING OUR HERITAGE, MEETING YOUR NEEDS Surgical Technique Joint Spine Sports Med Mpact DM Surgical Technique Joint Spine Sports Med INTRODUCTION The Mpact DM is part of the Mpact Acetabular System and
More informationArcos Modular Femoral Revision System. Broach and Calcar Proximal Bodies Surgical Technique
Arcos Modular Femoral Revision System Broach and Calcar Proximal Bodies Surgical Technique Table of Contents Pre-operative Planning...2 Patient Positioning and Surgical Approach...2 Removal of a Cemented
More informationCemtA Stem. Surgery Manual. cemented femoral Stem. veterinary implants
CemtA Stem cemented femoral Stem Surgery Manual veterinary implants CemtA Stem use only with bonecement Size 1 Size 2 #4 #5 #6 #7 #8 Size Range 2 1: 1: veterinary implants Surgery Manual Guidelines for
More informationOPTIONAL/ADDITIONAL INSTRUMENTS
20 Elevated 6320-36-22 20 Elevated Rim Liner, 36mm OD x 22mm ID 6320-80-22 20 Elevated Rim Liner, 80mm OD x 22mm ID 6320-42-26 20 Elevated Rim Liner, 42mm OD x 26mm ID 6320-80-26 20 Elevated Rim Liner,
More informationThis publication is not intended for distribution in the USA. SURGICAL TECHNIQUE
This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE DePuy Synthes DURALOC Surgical Technique CONTENTS Templating and Pre Operative Planning 2 Preparation of the Acetabulum
More informationTriple Tapered Stabilised Hip C-STEM AMT. Surgical Technique
Triple Tapered Stabilised Hip C-STEM AMT Surgical Technique CONTENTS Pre-operative planning: X-ray templating 2 Step 1: Femoral Neck Resection 3 Step 2: Opening the Femoral Canal 4 Step 3: Metaphyseal
More informationCORAIL HIP SYSTEM SURGICAL TECHNIQUE
CORAIL HIP SYSTEM SURGICAL TECHNIQUE THE SCIENCE OF SIMPLICITY With 2,000,000 stems provided for patients worldwide 1 and thirty years of clinical history, the CORAIL Total Hip System now has a very extensive
More informationDual Mobility System Surgical technique
Trinity Dual Mobility System Surgical technique 2 Contents Operative summary 4 Overview 5 Operative technique 6 1. Acetabular reaming 6 Reamer guide 6 2. Acetabular shell trial 7 3. Acetabular shell implantation
More informationSURGICAL TECHNIQUE. Entrada Hip Stem
SURGICAL TECHNIQUE Entrada Hip Stem The following is a general technique guide for the Entrada Hip Stem. It is expected that the surgeon is already familiar with the fundamentals of Total Hip Arthroplasty
More informationPLR. Proximal Loading Revision Hip System
PLR Proximal Loading Revision Hip System The PLR splined revision stem is designed to recreate the natural stresses in the revised femur, where proximal bone may be compromised. PLR Hip System Design Considerations
More information*smith&nephew CONTOUR
Surgical Technique *smith&nephew CONTOUR Acetabular Rings CONTOUR Acetabular Rings Surgical technique completed in conjunction with Joseph Schatzker MD, BSc (Med.), FRCS (C) Allan E. Gross, MD, FRCS (C)
More informationZimmer M/L Taper Hip Prosthesis. Surgical Technique
Zimmer M/L Taper Hip Prosthesis Surgical Technique Zimmer M/L Taper Hip Prosthesis 1 Zimmer M/L Taper Hip Prosthesis Surgical Technique Table of Contents Preoperative Planning 2 Determination of Leg Length
More informationDistal Cut First Femoral Preparation
Surgical Technique Distal Cut First Femoral Preparation Primary Total Knee Arthroplasty LEGION Total Knee System Femoral preparation Contents Introduction...3 DCF femoral highlights...4 Preoperative planning...6
More informationDual Mobility System Evaluation surgical technique
Trinity Dual Mobility System Evaluation surgical technique Contents Operative summary 4 Overview 5 Operative technique 6 1. Acetabular reaming 6 Reamer guide 6 2. Acetabular shell trial 6 3. Acetabular
More informationMedial Rotation Knee. Forever Active. Landmark Operative Technique Supplement: No.1 All-Polyethylene Tibia (Cemented)
Medial Rotation Knee Landmark Operative Technique Supplement: No.1 All-Polyethylene Tibia (Cemented) Physiological Stability and Mobility for the Active Knee Without Compromise Forever Active Contents
More informationFMP Surgical Technique
Contents Design Rationale....3 Indications.... 4 Contraindications.... 4 Preoperative Planning.... 4 Surgical Snapshot.... 5 Surgical Technique.... 6 Sizing Chart.... 11 Instrument Guide.... 12 Individual
More informationUNDERSTANDING TRADITION, MASTERING INNOVATION. Surgical Technique
UNDERSTANDING TRADITION, MASTERING INNOVATION Surgical Technique Joint Spine Sports Med MasterLoc Surgical Technique Joint Spine Sports Med INTRODUCTION This document describes the Surgical Technique for
More informationSurgical Technique r5.indd 1 12/8/10 10:36 AM
Surgical Technique The science of simplicity With more than 700,000 implantations and two and a half decades of clinical success, the Corail Total Hip System now has the most extensive experience with
More informationasterloc Surgical Technique HIP SYSTEM UNDERSTANDING TRADITION, MASTERING INNOVATION Hip Knee Spine Navigation
asterloc HIP SYSTEM UNDERSTANDING TRADITION, MASTERING INNOVATION Surgical Technique Hip Knee Spine Navigation Masterloc Surgical Technique Hip Knee Spine Navigation INTRODUCTION This document describes
More informationTrilogy Acetabular System
Trilogy Acetabular System Surgical Technique Versatility in a proven design Trilogy Acetabular System 1 Trilogy Acetabular System Surgical Technique Table of Contents Acetabular Reaming 2 Component Sizing
More informationSurgical Technique CHARNLEY CHARNLEY, THE WORLD S MOST SUCCESSFUL HIP IMPLANT
Surgical Technique CHARNLEY CHARNLEY, THE WORLD S MOST SUCCESSFUL HIP IMPLANT The pre-operative preparation and surgical approach have been described by: Mr MH Stone M Phil FRCS (Ed), Mr D McDonald FRCS
More informationCPT 6 Stainless Steel Primary Hip System
CPT 6 Stainless Steel Primary Hip System Surgical Technique The proven, simple solution 1Osteotomy of the Femoral Neck Superimpose the Osteotomy Guide on the proximal femur. Position the guide over the
More informationTrilogy Acetabular System
Trilogy Acetabular System Surgical Technique Versatility in a proven design Trilogy Acetabular System 1 Trilogy Acetabular System Surgical Technique Table of Contents Acetabular Reaming 2 Component Sizing
More informationCemented femoral stem - type CSC
Cemented femoral stem - type CSC Cemented Femoral Hip Joint Components ARTHROPLASTY Implant Description Preface The cemented femoral stem type CSC with centralizer was designed using the latest knowledge
More informationTradition Hip Primary Surgical Technique
Design Rationale Many total hip designs in today s marketplace do not take advantage of the known forces present in the femur. Long term stability of a total hip prosthesis requires an implant design and
More informationArcos Interlocking Distal Stem. Surgical Technique Addendum to the Arcos Modular Femoral Revision System
Arcos Interlocking Distal Stem Surgical Technique Addendum to the Arcos Modular Femoral Revision System One Surgeon. One Patient. Over 1 million times per year, Biomet helps one surgeon provide personalized
More informationMetaFix. Cementless Total Hip Replacement Surgical technique
MetaFix Cementless Total Hip Replacement Surgical technique Contents Operative summary 4 Acetabular preparation 5 Pre-operative templating 5 Operative technique 6 Femoral neck osteotomy 6 Femoral canal
More informationRECOVERY. P r o t r u s i o
RECOVERY P r o t r u s i o TM C a g e RECOVERY P r o t r u s i o TM C a g e Design Features Revision acetabular surgery is a major challenge facing today s total joint revision surgeon. Failed endo/bi-polars,
More informationCHARNLEY MODULAR HIP SYSTEM SURGICAL TECHNIQUE. This publication is not intended for distribution in the USA.
CHARNLEY MODULAR HIP SYSTEM This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE CONTENTS Pre-operative Templating 4 Surgical Approaches 6 Anterolateral Approach 6 Surgical
More informationARTICUL/EZE Mini Taper. C-STEM AMT Hip. Design Rationale & Surgical Technique
ARTICUL/EZE Mini Taper C-STEM AMT Hip Design Rationale & Surgical Technique Table of Contents Design Rationale Original C-STEM Hip An Evolution 2 Cement Mantle Integrity 4 Preoperative Planning Preoperative
More informationCeramic Femoral Heads and Acetabular Cup Liners
Important Information: Please read prior to use in a clinical setting. The Surgeon should be familiar with the operative technique. Caution: Federal (U.S.A) law restricts this device to sale by or on the
More informationMako Total Hip Direct anterior approach
Mako Total Hip Direct anterior approach Mako Robotic-Arm Assisted Surgery Table of contents Implant compatibility...................... 4... 6 Acetabular shell planning... 6 Femoral stem planning... 8
More informationHip Resurfacing System
Hip Resurfacing System The Arthrosurface HemiCAP Hip Hemiarthroplasty System restores the articular surface geometry of the femoral head and preserves functional structures using an innovative 3 dimensional
More informationNatural-Hip System. Surgical Technique. Addressing surgical concerns comprehensively
Natural-Hip System Surgical Technique Addressing surgical concerns comprehensively Natural-Hip System Surgical Technique Natural-Hip System Surgical Technique Developed in conjunction with Aaron A. Hofmann,
More informationCPCS Collarless Polished Cemented Stem
Surgical Technique CPCS Collarless Polished Cemented Stem Surgical technique completed in conjunction with James B. Benjamin, MD Clinical Associate Professor of Surgery Department of Orthopaedic Surgery
More informationADDRESSING CLINICAL ISSUES OF CEMENTLESS HIP ARTHROPLASTY
E C H E L O N P R I M A R Y H I P S Y S T E M P R O D U C T R A T I O N A L E ADDRESSING CLINICAL ISSUES OF CEMENTLESS HIP ARTHROPLASTY Echelon Primary Total Hip System HIGH OFFSET STANDARD OFFSET Cementless
More informationTOTAL HIP REPLACEMENT:
THR Prosthesis Design TOTAL HIP REPLACEMENT: PROSTHESIS DESIGN FEATURES JESS JOHNSTON & MELINDA ZIETH History of Hip Prosthesis Joint Replacement Registry Implant Design Technology & Future History and
More informationRESTORATION MODULAR. Surgical Protocol REVISION HIP SYSTEM
RESTORATION MODULAR REVISION HIP SYSTEM Surgical Protocol Restoration Modular Calcar Body/Fluted & Plasma Distal Stem Femoral Components Using the Restoration Modular Instrument System Restoration Modular
More informationTaperFill. Surgical Technique
TaperFill Surgical Technique Table of Contents Indications and Contraindications 3 TaperFill Hip Size Charts 4-5 DJO Surgical 9800 Metric Boulevard Austin, TX (800) 456-8696 www.djosurgical.com Preoperative
More informationRESTORATION MODULAR. Surgical Protocol REVISION HIP SYSTEM
RESTORATION MODULAR REVISION HIP SYSTEM Surgical Protocol Restoration Modular Milled Body/Fluted & Plasma Distal Stem Femoral Components Using the Restoration Modular Instrument System Restoration Modular
More informationSurgical technique MkII instrumentation
MiniHip Surgical technique MkII instrumentation Contents Operative summary 4 Overview 5 Pre-operative templating 6 Operative technique 7 1. Intra-operative templating 7 2. Neck starter awl 7 3. Curved
More information