OSS Overview Biomet Oncology Salvage System Featuring the Finn Knee

Transcription

1 OSS Overview Biomet Oncology Salvage System Featuring the Finn Knee Biomet, Finn & Arcom are trademarks of Biomet Inc. 1

2 Table of Contents Overview...page 4 Introduction History of Hinged Knees Clinical Indications...page 5 Indications for Use Design Rationale...page 5 Design Rationale OSS Features and Clinical Benefits...page 6-8 OSS Implant Overview...page 9-26 OSS Provisional Overview...page OSS Instrumentation Overview...page OSS Family Groups...page OSS Implant Assembly Configurations...page Distal Femoral Assembly Tibial Assembly Proximal Femur / Total Femur Assembly 2

3 OSS Implant Specifications...page Resurfacing Distal Femoral Components 3cm / 5cm...page 66 Segmental Distal Femoral Components 7cm Elliptical / 7cm...page 67 Non-Modular Tibial Base Plate Short Stem...page 68 Non-Modular Tibial Base Plate Long Stem...page 69 Modular Tibial Base Plate...page 70 Non-Modular Proximal Tibial Component 3cm...page 71 Non-Modular Proximal Tibial Component 5cm...page 72 Non-Modular Proximal Tibial Component 7cm...page 73 Modular Proximal Tibial Component 9cm...page 74 Modular Proximal Femoral Components Finn / Letson...page 75 90mm Straight Cemented IM Stems...page 76 90mm Straight Porous IM Stems...page mm Straight Cemented IM Stems...page mm Straight Porous IM Stems...page mm Bowed Cemented IM Stems...page mm Bowed Porous IM Stems...page mm Bowed Cemented IM Stems...page mm Bowed Porous IM Stems...page mm Bowed Cemented IM Stems...page mm Bowed Porous IM Stems...page 85 Diaphyseal Segments...page 86 Total Femur Couplers...page 87 Resurfacing Distal Femoral Sleeve Augmentation...page 88 Tibial Base Plate Sleeve Augmentation...page 89 Tibial Base Plate Block Augmentation...page 90 Oncology Salvage System Parts Listing...page OSS Implant Part Listing...page OSS Provisional Part Listing...page OSS Instrumentation Part Listing...page Oncology Salvage System Loaner Sets...page OSS Implant Loaner Set Itemization...page OSS Provisional / Instrumention Loaner Set Itemization...page OSS Provisional / Instrumentation Tray Layouts...page Oncology Salvage System Family Photo...page Oncology Salvage System Family Schematic...page

4 OSS OVERVIEW Biomet Oncology Salvage System Featuring The Finn Knee Introduction We are pleased to introduce the Biomet Oncology Salvage System, featuring the Finn Knee. Offering the surgeon unparalleled modularity and surgical latitude, this system fills a viable niche within the Biomet reconstructive family. Developed to provide superior stability and complete reconstructive management for defects of the femur and tibia, the OSS is designed for, but not limited to, the following indications: Significant Bone Loss Ligamentous Deficiencies Bone Tumors Primary or Metastatic Trauma Multiple Revision Arthroplasties Connective Tissue Disorders The Finn Knee is classified by type as a Class III, or salvage knee prosthesis. If you are not already familiar with this market segment or, just as importantly, if you are not yet familiar with this system, invest a few minutes of your time the return on your investment will be very worthwhile. Until recently, a salvage reconstruction was just that. It literally meant that the surgeon was looking for some way to salvage what he/she expected to encounter in the operating room. Those days have changed. As you review the Biomet Oncology Salvage System, you will quickly recognize that the design rationale and product offering have come a long way since the earliest days of similar replacement surgeries. Your surgeon now expects contemporary design, proven biomaterials, precise instrumentation and, most importantly, complete modularity within the system. History of Hinged Knees In 1951, Waldius developed a constrained, hinged prosthesis that was initially made of an acrylic material and, later, metal. During the same decade, Shiers developed a uniaxial metal hinge, and Guepar followed with a design that featured an axis that was more posterior than the earlier designs, and offered femoral resurfacing for patellar articulation. Why the interest in hinged prostheses? They are technically similar to an intramedullary design from a technique-demand standpoint. The hinge design is self-aligning, and the ligament constraints can be sacrificed, as the prosthesis is self-stabilizing. 4

5 In 1989, Henry A. Finn, MD, Professor of Clinical Surgery, Medical Director - The University of Chicago Bone and Joint Reconstructive Center at Weiss Memorial Hospital, developed, in conjunction with Biomet, Inc., the Finn Rotating Hinged Knee. Now, with the advent of the twenty-first century, we are proud to introduce the Biomet Oncology Salvage System (OSS). Created around the original concept of the Finn Knee, the OSS focuses on expanded modularity, reduced implant profiles and system-specific instrumentation. Incorporating the ongoing design changes dictated by the difficult salvage and oncologic reconstructions performed by today s surgeons, the OSS will be the system of choice. Keep in mind, however, that the early designs were simple metal door hinges. Make certain that there is no comparative association made between those early offerings and the contemporary, rotating hinge Finn design found within the Biomet Oncology Salvage System. Capitalize on this opportunity to show and sell the differences. Clinical Indications The Biomet Oncology Salvage System is designed for, but not limited to, the following indications: Significant Bone loss Ligamentous deficiencies Bone Tumors Primary or Metastatic Trauma Multiple Revision Arthroplasties Connective Tissue Disorders Design Rationale The Finn Knee is a rotating hinge design. A distal femoral component articulates with a tibial component through an axle-and-yoke mechanism. Approximating the surface geometry of the distal femur, the femoral component allows your surgeon the choice of either a resurfacing or segmental replacement. The posterior femoral condyle of both styles accepts an axle that rotates within UHMWPE femoral bushings. All tibial components accept a reinforced yoke that rotates with an UHMWPE tibial bushing. A weight-bearing interface through a unique tibial bearing creates the articulation. Thoughtfully developed to accomplish both optimal patellofemoral kinematics and the distribution of contact forces throughout the entire prosthesis, the Finn Knee, along with the entire Biomet Oncology Salvage System, offers many unique design features unmatched by any competitor. Your Take-Away Message: The Biomet Oncology Salvage System, featuring the Finn Knee, delivers the most complete prosthetic offering for today s patient requiring salvage reconstruction. 5

6 OSS Features and Benefits 6

7 Feature: Benefit: Reduced A/P and M/L dimensions of the distal femur. Minimal resection of remaining bone stock. Smaller component size also helpful with wound closure especially for the patient who has had several revision surgeries. Feature: Benefit: Anatomical center of rotation. The center of the posterior-femoral condyle is the axis of flexion-extension. The result is a restoration of normal knee kinematics. Feature: Benefit: Deepened patellar groove in femoral component. Normalized patellofemoral tracking. Feature: Benefit: Uniform distribution of loading force. Weight-bearing is shared throughout the prosthetic assembly, not borne by the axle component alone. This greatly reduces any possibility of overloading the hinge mechanism. Feature: Benefit: Femoral contact with polyethylene between the femoral and tibial components throughout range of motion. Greatly minimizes the possibility of uneven pinpoint loading, which can lead to poly wear. Feature: Benefit: An anti-rotation stop (on the tibial component), and a ramped groove in the tibial bearing. Enhanced rotational stability postoperatively, providing (plus-minus) 20 degrees of internal/external rotation. Feature: Benefit: Ten (10) sizes of resurfacing tibial components 63, 67, 71mm short non-modular 63, 67mm long non-modular 67, 71, 75, 79m 83mm modular Precise coverage of the tibial plateau. 7

8 OSS Features and Benefits continued... Feature: Benefit: Four (4) sizes of reduced profile proximal tibial components 3cm, 5cm and 7cm non-modular 9cm modular (diaphyseal segments are connected for larger build-up) Precise reconstruction of the proximal tibia Feature: Benefit: Three (3) options for proximal femoral reconstruction Finn modular component w/ lateral soft tissue claw Letson modular component w/ lateral soft tissue claw 1 piece non-modular proximal femoral component Optimal prosthesis-to-patient reconstruction Feature: Benefit: Cemented and Porous Coated stems Complete intramedullary flexibility in the O.R. 8

9 OSS Implant Overview 9

10 Product Description 3cm Resurfacing Distal Femoral Component , The 3cm Resurfacing Distal Femoral Component is utilized for the most basic reconstruction of the distal femur. Similar to a traditional total knee replacement, this implant replaces 3cm of the distal femur, accepts any of the OSS IM stems and may be used in conjunction with any of the OSS tibial options. 5cm Resurfacing Distal Femoral Component , The 5cm Resurfacing Distal Femoral Component is utilized for larger defects of the distal femur when some portion of the distal condyles remain intact. Similar to the 3cm Resurfacing component, this implant replaces a total of 5cm of the distal femur, accepts any of the OSS IM stems and may be used in conjunction with any of the OSS tibial options. 10

11 7cm Elliptical Segmental Distal Femoral Component , The 7cm Elliptical Segmental Distal Femoral Component is utilized for complete replacement of the distal femur, but only when no additional external femoral shaft replacement is required. The elliptical collar of this implant is designed to contact the remaining flared portion of the distal femoral shaft. This implant replaces a total of 7cm of the distal femur, accepts any of the OSS IM stems and may be used in conjunction with any of the OSS tibial options. 7cm Segmental Distal Femoral Component , The 7cm Segmental Distal Femoral Component is utilized for complete replacement of the distal femur when more than 7cm of reconstruction is required. This implant is designed for use with any of the diaphyseal segments or total femur couplers; when used in conjunction with a diaphyseal segment, any of the OSS IM stem options may be employed. 11

12 Non-Modular Tibial Baseplate Short , , The Non-Modular Short Tibial Baseplate is used for those tibial reconstructions where a small tibial canal prohibits use of a modular baseplate. These non-modular baseplates are 63mm, 67mm and 71mm in the M/L plane, and have a 65mm boss stem length. No modular stem capability is available for these baseplates, and no tibial augmentation is typically suggested. Non-Modular Tibial Baseplate Long , The Non-Modular Long Tibial Baseplate is used for resurfacing tibial reconstructions where a small tibial canal prohibits use of a modular baseplate, but distal stem length is required. These nonmodular baseplates are 63mm and 67mm in the M/L plane, and have a 160mm x 10mm stem. OSS tibial sleeve augments and OSS tibial block augments may be used if necessary. Modular Tibial Baseplate , , , , The Modular Tibial Baseplate is used for resurfacing tibial reconstructions where a modular tibial stem may or may not be required. These baseplates are 67mm, 71mm, 75mm, 79mm and 83mm in the M/L plane, and have a 79mm modular stem boss. These baseplates will accept any of the OSS stems, OSS tibial sleeve augments and OSS tibial block augments. 12

13 3cm Non-Modular Proximal Tibial Component The 3cm Non-Modular Proximal Tibial Component is used for replacement of the proximal tibia. Suture holes are present in both the M/L and A/P planes for reattachment of the extensor mechanism; the non-modular stem is 240mm x 11mm. 5cm Non-Modular Proximal Tibial Component , , The 5cm Non-Modular Proximal Tibial Component is used for replacing 5cm of the proximal tibia. Suture holes are present in both the M/L and A/P planes for reattachment of the extensor mechanism; the non-modular stem is 150mm in length and is available with stem diameters of 9, 11, 13 and 15mm. 13

14 7cm Non- Modular Proximal Tibial Component , , , The 7cm Non-Modular Proximal Tibial Component is used for replacing 7cm of the proximal tibia. This implant has suture holes in both the M/L and A/P planes for reattaching the extensor mechanism; the non-modular stem is 150mm in length and is available with stem diameters of 9, 11, 13 and 15mm. 9cm Modular Proximal Tibial Component The 9cm Modular Proximal Tibial Component is used for replacing a minimum of 9cm of the proximal tibia. This implant may be coupled with any of the diaphyseal segments to reconstruct the proximal tibia. While any of the OSS I/M stems may be used with these configurations, the 150mm straight I/M stems may provide the most consistent fit. 14

15 Finn Modular Proximal Femoral Component 7cm , The Finn Modular Proximal Femoral Component may be used with either a diaphyseal segment (for reconstructing a proximal femur), or with a total femoral coupler when reconstructing a total femur. This implant offers a low-profile design, medial / lateral suture holes, an auxiliary soft tissue claw and, when coupled with a diaphyseal segment, may utilize any of the OSS IM stems. Letson Modular Proximal Femoral Component 7cm , Used in the same surgical setting as the Finn Proximal Femoral Component, the Letson offers the same design characteristics with the addition of a raised lateral flange. Soft Tissue Claw , , , , , , , Used in conjunction with either the Finn or Letson Proximal Femoral Component, the soft tissue claw provides an additional method for reattaching soft tissue. 15

16 90mm Cemented Straight IM Stem thru Designed for use with any of the modular tibial base plates, these stems may also be used with any of the following configurations: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component. 90mm Porous Straight IM Stem thru Designed for use with any of the modular tibial base plates, these stems may also be used with any of the following configurations: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component 16

17 150mm Cemented Straight IM Stem thru Designed for use with any of the modular tibial base plates, these stems may also be used with any of the following configurations: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component 150mm Porous Straight IM Stem thru Designed for use with any of the modular tibial base plates, these stems may also be used with any of the following configurations: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component 17

18 150mm Cemented Bowed IM Stem thru Designed for use with any of the distal femoral components or the proximal femoral components (see below), where a bowed stem meets the surgical protocol in a cemented application: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component 150mm Porous Bowed IM Stem thru Designed for use with any of the distal femoral components or the proximal femoral components (see below), where a bowed stem meets the surgical protocol in a cemented application: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component 18

19 225mm Cemented Bowed IM Stem thru Designed for use with any of the distal femoral components or the proximal femoral components (see below), where a bowed stem meets the surgical protocol in a cemented application: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component 225mm Porous Bowed IM Stem thru Designed for use with any of the distal femoral components or the proximal femoral components (see below), where a bowed stem meets the surgical protocol in a cemented application: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component 19

20 300mm Cemented Bowed IM Stem thru Designed for use with any of the distal femoral components or the proximal femoral components (see below), where a bowed stem meets the surgical protocol in a cemented application: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component 300mm Porous Bowed IM Stem thru Designed for use with any of the distal femoral components or the proximal femoral components (see below), where a bowed stem meets the surgical protocol in a cemented application: Direct Use 3cm / 5cm Resurfacing Distal Femoral component 7cm Elliptical Segmental Distal Femoral Component In Conjunction with A Diaphyseal Segment 7cm Segmental Distal Femoral Component Finn / Letson Proximal Femoral Component 9cm Modular Proximal Tibial Component 20

21 3cm Elliptical Diaphyseal Segment Used in conjunction with the 7cm Segmental Distal Femoral component, 9cm Modular Proximal Tibial component or either style of Modular Proximal Femoral implants to achieve extramedullary cortical seating at a flared resection. Diaphyseal Segments thru , The Diaphyseal Segments are designed in 2cm increments (beginning at 3cm) to add extramedullary length in either distal femoral, proximal tibial or proximal femoral applications. A 4cm Diaphyseal Segment is also available to provide 1cm incremental buildups when used alone or when coupled with another diaphyseal segment. Segmental Stacking Adapter The Segmental Stacking Adapter is utilized when a surgery demands segmental reconstruction in 1cm increments, and it is necessary to join two diaphyseal segments for the required replacement length. Take for instance a surgery requiring 13cm of distal femoral replacement: Example: (7cm Seg Distal Femur + 3cm Diaph Segment + 3cm Elliptical Diaph Seg) The Segmental Stacking Adapter is threaded into the diaphyseal segment that will be accepting the other diaphyseal segment; this permits the Small Head/Small Thread Locking Screw to connect the two diaphyseal segments. Total Femur Diaphyseal Coupler , For use in total femoral replacements with the 7cm Segmental Distal Femoral component and either style of the 7cm Modular Proximal Femoral implants (Finn or Letson). Available in 10cm and 30cm lengths, these implants are typically added to a single Diaphyseal Segment to achieve proper femoral length replacement. 21

22 Poly Lock Pin The compression molded lock pin engages the Reinforced Yoke and Axle. Poly Femoral Bushings The ArCom femoral Bushings provide a low-friction interface of the Axle and Reinforced Yoke. Poly Tibial Bushing This implant provides a low-friction interface for the distal portion of the Reinforced Yoke. Poly Tibial Bearings thru The ArCom bearing inserts provide a low-friction interface on any OSS tibial surface. 22

23 Axle This implant is used in conjunction with the Reinforced Yoke to establish a secure, low-friction interface with any of the OSS distal femoral components. Reinforced Yoke This implant is used in conjunction with the Axle to establish a secure, low-friction interface between any of the OSS distal femoral components and any of the OSS tibial components. OSS Locking Screws Left Large Head/ Small Thread Locking Screw *connects any stem directly to a femoral or tibial component; also used with total femur constructs (pkg contains one each of the following) Center Small Head/ Small Thread Locking Screw *connects any stem to any diaphyseal segment. Right Large Head/ Large Thread Locking Screw *connects any femoral or tibial component to any diaphyseal segment. 23

24 Resurfacing Femoral Anterior Flange Augment (3cm Resurfacing Distal Femur only) Designed to add 3.4mm of build-up to the anterior flange of the 3cm Resurfacing Distal Femoral component. Resurfacing Femoral Sleeve Augment (3cm Resurfacing Distal Femur only) , Designed for use with the 3cm Resurfacing Distal Femoral components; provides a conical build-up for canal deflicts at the level of resection. 24

25 10mm Tibial Block Augment Universal thru Universal 10mm tibial augments that are cemented directly to the underside of OSS tibial base plates. 20mm Tibial Block Augment thru Side-specific 20mm tibial augments that are cemented directly to the underside of OSS tibial base plates. Small Tibial Sleeve Augment Designed to fill canal deficits within the resected tibial canal, the small tibial sleeve augment must be cemented into place in conjunction with either a 10mm or 20mm tibial block augment. Large Tibial Sleeve Augment The large tibial augment is cemented to the underside of any OSS tibial base plate without the use of any tibial block augment. 25

26 26

27 OSS Provisional Overview 27

28 Provisionals Distal Femoral Trials Upper Left 3cm Resurfacing Femoral Trial ( , ) Upper Right 5cm Resurfacing Femoral Trial ( , ) Lower Left 7cm Elliptical Segmental Femoral Trial ( , ) Lower Right 7cm Segmental Femoral Trial ( , ) 28

29 Non-Modular Tibial Baseplates Short , , Non-Modular Tibial Baseplates Long , Modular Tibial Baseplates thru

30 Non-Modular Proximal Tibias Left 3cm Proximal Tibia ( ) Center - 5cm Proximal Tibia ( ) *uses , 76, 78, 80 straight 150mm trial stems Right 7cm Proximal Tibia ( ) * uses , 76, 78, 80 straight 150mm trial stems Modular Proximal Tibia 9cm Proximal Tibia ( ) 30

31 Modular Proximal Femorals Left 7cm Finn Proximal Femoral ( , ) Right 7cm Letson Proximal Femoral ( , ) Diaphyseal Segments 3cm thru 23cm Diaphyseal Trials ( , 93, thru 103 and ) Total Femur Couplers Top 10cm Total Femur Coupler Trial ( ) Bottom 30cm Total Femur Coupler Trial ( ) 31

32 90mm Porous Straight IM Stems ( thru ) 10mm thru 19mm diameter 90mm Cemented Straight IM Stems ( thru ) 9mm thru 17mm diameter 32

33 150mm Cemented Straight IM Stems 9mm, 11mm, 13mm, 15mm diameters ( thru ) 150mm Porous Straight IM Stems 10mm, 12mm, 14mm, 16mm diameters ( thru ) 33

34 150mm Porous Bowed IM Stems 12mm thru 22mm diameters ( thru ) 150mm Cemented Bowed IM Stems 11mm thru 18mm diameters ( thru ) 34

35 225mm Cemented Bowed IM Stems 11mm, 13mm, 15mm, 17mm diameters ( thru ) 225mm Porous Bowed IM Stems 12mm, 14mm, 16mm, 18mm diameters ( thru ) 35

36 300mm Cemented Bowed IM Stems 11mm, 13mm, 15mm, 17mm diameters ( thru ) 300mm Porous Bowed IM Stems 12mm, 14mm, 16mm, 18mm diameters ( thru ) 36

37 Tibial Bearings 12,14,16,18,20,22mm ( thru ) Patellar Buttons 31,34 and 37mm in diameter ( thru ) Femoral Bushing/Axle ( ) Used in conjunction with any of the actual distal femoral implants (without actual femoral bushing implants) for flexion / extension range of motion. Axle ( ) Used in conjunction with any of the distal femoral provisionals, or with any of the actual distal femoral implants (with actual femoral bushing implants) for flexion / extension range of motion. 37

38 Resurfacing Anterior Flange Augment ( ) Resurfacing Femoral Sleeve Augment ( ) Resurfacing Femoral Sleeve Broach Shaft ( ) 38

39 Tibial Block Augments ( thru ) Tibial Sleeve Augments Small & Large ( , ) Tibial Sleeve Broach Shaft ( ) 39

40 40

41 OSS Instrumentation Overview 41

42 Instrumentation Distal Femoral Resection Block - Single Slot ( ) Used in conjunction with the Distal Femoral Sliding Resection Gauge and the 5 Degree Distal Cut Brick to measure and resect the distal femur. Distal Femoral Sliding Resection Gauge ( ) Designed to allow proper resection measurement of the distal femur; may be set for either the 3cm Resurfacing or 5cm Resurfacing Distal Femoral component. 5 Degree Distal Cut Brick ( ) Used in conjunction with the Distal Femoral Resection Block and the Distal Femoral Sliding Resection Gauge for proper resection alignment of the distal femur. 5 Degree AP Femoral Cut Block ( ) Designed for both left and right anterior / posterior resections of the distal femoral. IM Tibial Resection Guide ( ) Designed for minimal resection of the proximal tibia. 42

43 Tibial Templates ( thru ) Provides tibial plateau sizing from 63mm thru 83mm. Tibial Punch Guide ( ) Designed to bolt directly to the tibial templates to allow tibial reamers and punches direct access to the tibial canal. Tibial Tower Reamer Sleeves ( , ) Inserted into the Tibial Punch Guide for precise reaming of the tibial canal when using Bullet Tip Reamers. Small sleeve is utilized for 8mm to 12.5mm bullet tip reamers, and large sleeve is utilized for 13mm to 20mm bullet tip reamers. 43

44 Tibial Starter Reamer ( ) Designed to be used through the Tibial Punch Guide as an initial starter reamer, prior to using the Spiral Reamers. Tibial Spiral Reamers Short Non Modular and Modular ( , ) Used through the Tibial Punch Guide for preparing the tibia to receive the tibial eminence. The Short Non-Modular reamer is used in preparing for a short non-modular tibial component. Tibial Spiral Reamer Long Stem ( ) Designed for use through the tibial punch guide when preparing to use a long non-modular tibial base plate. Tibial Tray Fin Punch ( ) The Tibial Tray Fin Punch is positioned through the tibial punch guide and tibial template, preparing the tibial plateau to receive the anti-rotation keels on the underside of the tibial base plate. 44

45 Tibial Tower Flare Reamers ( thru ) Designed to be used through the tibial punch guide and tibial template for proper flare preparation of all modular stems used with a modular tibial base plate (with the exception of the 90mm modular stems). Flare Reamers ( thru ) Designed for proper flare preparation of all modular stems (with the exception of the 90mm stems) used with any of the following: resurfacing distal femur, 7cm elliptical segmental femur and any stemmed diaphyseal segment configuration. 90mm Stem Reamers CP460474, 75, 76, 77 Designed to properly ream the unique taper flare junction of all 90mm IM stems (cemented and porous). Left 90mm Stem Flare Reamers Small flare reamer is utilized for 9mm to 12.5mm stems Large flare reamer is utilized for 13mm to 19.5mm stems Right 90mm Tibial Tower Flare Reamers Small tibial tower flare reamer is utilized with tibial punch guide for 9mm to 12.5mm stems Large tibial tower flare reamer is utilized with tibial punch guide for 13mm to 19.5mm stems Resection Planer & Stem Insert ( , ) Designed for use over the shaft of the final IM reamer, the Resection Planer creates an even resection surface. The Stem Insert may be placed within the resection planer and used with the inserted trial stem (in contrast with using the reamer shaft and resection planer). 45

46 Lock Pin Inserter ( ) The inserter is pushed into the polyethylene lock pin; the lock pin is then positioned, firmly secured within the anterior opening of the yoke / axle assembly, and the inserter removed. Patellar Drill Guide & Drill ( , ) Segmental Stem Reamer Guide ( ) For use with the Tibial Tower Flare Reamers when reaming for any of the following segmental replacements: distal femur, proximal tibia, proximal femur. 46

47 Quick-Release Drill Chuck ( ) For use with quick-release drill bits. Quick-Release Drill Bit ( ) drill bit.375 Diameter IM Drill ( ) Used as a starter drill prior to IM reaming of the distal femur. External Alignment Tower ( ) Used as an external guide for determining both mechanical and anatomical alignment. 47

48 Drill & Nail Extractor ( ) Used to remove both quick-release drills and bone nails. 103 Alignment Rod ( ) Used in conjunction with the external alignment tower. IM Reamer ( ) Used as the initial reamer for use with either the distal femoral resector or tibial resector. IM Rod ( ) For use with either the distal femoral resector or tibial resector. 48

49 Screwdrivers: slotted & hex head ( , CP460367, CP460366, ) The Axle Screwdriver tip engages the axle for proper alignment within the reinforced yoke for lock pin placement. The Large Hex Screwdriver engages all lockdown bolts on the IM tibial resector. The 3.5 Short Shaft Hex Screwdriver engages all locking screws for the distal femoral, proximal tibial and proximal femoral components. The 3.5 Long Shaft Hex Screwdriver engages all locking screws to secure stem diaphyseal segment combinations. EM Diaphyseal Taper Separator ( ) Designed to disengage diaphyseal segments from any of the following: segmental distal femoral components, proximal tibial components or proximal femoral components (removal of internal locking screw is mandated prior to separating components). 49

50 Stem Extractor ( ) Used in conjunction with the slide hammer, the tapered extractor is impacted over a stem taper and the locking screw reinserted. The slide hammer adapter is then threaded into the extractor and the slide hammer utilized for extracting the implanted stem. Slide Hammer w/ Threaded Tip ( ) Used with the stem extractor to remove implanted stems. Resurfacing Femoral / Tibial Baseplate Extractor ( ) Used for extracting both resurfacing femoral components and tibial base plates. Femoral / Tibial Impactor ( ) Designed for impacting both tibial and femoral stems to their respective tibial / femoral components. Also used for implanting both tibial and femoral implants into cemented / press-fit canals. 50

51 IM Stem Taper Separators Designed to disassociate the internal taper connection between an OSS IM stem and a diaphyseal segment; the Taper Separator Inserts are available in lengths to match the specific diaphyseal segment to be removed. Top Ratchet T-Handle ( ) Center OSS IM Stem Taper Separator T-Body ( ) Bottom OSS IM Stem Taper Separator Inserts ( thru ) *OSS Removal Instrumentation Kit is available as Item # Patellar Clamp ( ) Used for securing a patellar component onto a resected patellar surface. Universal Proximal Femoral Inserter (424456) Designed for rotational control and insertion of all proximal femoral replacements. T-Handle ( ) For use with all instrumentation with a Zimmer- Hudson style adapter. 51

52 IM Stem / Diaphyseal Segment Impactors Designed to aid impaction of IM stems and diaphyseal segments, these instruments are available in two group options: Upper Left Stem Impactor Handle (405053) Lower Left OSS Diaphyseal Taper Holder (CP460488) A diaphyseal segment is placed onto the Diaphyseal Taper Holder, and an IM stem positioned into the stationary diaphyseal segment. The Stem Impactor Handle is positioned onto the tip of the IM stem, and the male taper secured via vigorous impaction. 52 Upper Right OSS Diaphyseal Impactor Handle (CP460471) Lower Right Stem Holder (405055) An IM stem is placed (non-taper side down) onto the Stem Holder, and a diaphyseal segment positioned onto the stationary male taper of the IM stem. The Diaphyseal Impactor Handle is placed onto the exposed taper of the diaphyseal segment, and secured via vigorous impaction.

53 OSS Family Groups 53

54 Family Photos OSS Distal Femoral Components Upper Left 3cm Resurfacing Distal Femur Upper Right 5cm Resurfacing Distal Femur Lower Left 7cm Elliptical Segmental Distal Femur Lower Right 7cm Segmental Distal Femur 54

55 OSS Reinforced Yoke / Axle Top Reinforced Yoke Bottom - Axle OSS Polyethylene Implants Left Tibial Bushing Top Femoral Bushings Right Lock Pin Bottom Tibial Bearing OSS Locking Screws Left Large Head / Small Thread Locking Screw Center Small Hed / Small Thread Locking Screw Right Large Head / Large Thread Locking Screw 55

56 OSS Tibial Base Plate Implants Left Non Modular Base Plate Short Center Non Modular Base Plate Long Right Modular Base Plate 56

57 OSS Proximal Tibial Implants Starting from the left: 3cm Non-Modular Long 5cm Non-Modular 7cm Non-Modular 9cm Modular 57

58 30 OSS Diaphyseal Segment Implants Starting from the left: 3cm Elliptical Segment 3cm Segment 4cm Segment 5cm thru 23cm Segments (increments of 2cm) 58

59 OSS Cemented IM Stems Starting from the left: 90mm Straight 150mm Straight 150mm Bowed 225mm Bowed 300mm Bowed 59

60 OSS Porous IM Stems Starting from the left: 90mm Straight 150mm Straight 150mm Bowed 225mm Bowed 300mm Bowed 60

61 OSS Implant Assembly Configurations 61

62 62 Distal Femoral Assembly

63 Tibial Assembly 63

64 64 Proximal Femur/ Total Femur Assembly

65 OSS Implant Specifications 65

66 19.4mm 58.4mm 29.4mm 28.5mm 3cm Resurfacing Distal Femur Left (Reverse for Right) 19.4mm 58.4mm 29.2mm 5cm 5cm Resurfacing Distal Femur Left (Reverse for Right) 66

67 24.1mm 58.4mm 7cm 7cm Elliptical Segmental Distal Femur Left (Reverse for Right) 31.8mm 58.4mm 45.0mm 7cm 7cm Segmental Distal Femur Left (Reverse for Right) 67

68 60mm 22mm 20mm 18mm 16mm 14mm 12mm 71mm ONLY 20mm 60mm 71mm 67mm 63mm Short Non-Modular Tibial Base Plate 68

69 60mm 22mm 20mm 18mm 16mm 14mm 12mm 20mm 67mm 63mm 160mm 10mm Long Non-Modular Tibial Base Plate 69

70 60mm 22mm 20mm 18mm 16mm 14mm 12mm 20mm 19mm 79mm 83mm 79mm 75mm 71mm 67mm Modular Tibial Base Plate 70

71 22mm 20mm 18mm 16mm 14mm 12mm 63mm 60mm 3cm 19.5mm 240mm 11mm 3cm Non-Modular Proximal Tibia 71

72 22mm 20mm 18mm 16mm 14mm 12mm 63mm 60mm 5cm 9mm 11mm 13mm 15mm 150mm 5cm Non-Modular Proximal Tibia 72

73 22mm 20mm 18mm 16mm 14mm 12mm 63mm 60mm 7cm 9mm 11mm 13mm 15mm 150mm 7cm Non-Modular Proximal Tibia 73

74 22mm 20mm 18mm 16mm 14mm 12mm 63mm 60mm 9cm 9cm Modular Proximal Tibia 74

75 Left (Reverse for Right) X X X 7cm 7cm Finn Proximal Femur Left (Reverse for Right) X XX 7cm 7cm Letson Proximal Femur 75

76 9mm 10mm 11mm 12mm 13mm 15mm 17mm 90mm Cemented Straight IM Stems 76

77 10.5mm 11.5mm 12.5mm 13.5mm 14.5mm 15.5mm 16.5mm 17.5mm 18.5mm 19.5mm 90mm Porous Straight IM Stems Porous Coating 77

78 9mm 11mm 13mm 15mm 150mm Cemented Straight IM Stems 78

79 Porous Coating 10.5mm 12.5mm 14.5mm 16.5mm 150mm Porous Straight IM Stems 79

80 Start of Bend 15mm 16mm 17mm 11mm 12mm 13mm 14mm 18mm 150mm Cemented Bowed IM Stems 80

81 Start of Bend 12.5mm 13.5mm 14.5mm 15.5mm 16.5mm 17.5mm 18.5mm 19.5mm 20.5mm 21.5mm 22.5mm 150mm Porous Bowed IM Stems Porous Coating 81

82 Start of Bend 11mm 13mm 15mm 17mm 225mm Cemented Bowed IM Stems 82

83 Porous Coating Start of Bend 12.5mm 14.5mm 16.5mm 18.5mm 225mm Porous Bowed IM Stems 83

84 Start of Bend 11mm 13mm 15mm 17mm 300mm Cemented Bowed IM Stems 84

85 Start of Bend Porous Coating 12.5mm 14.5mm 16.5mm 18.5mm 300mm Porous Bowed IM Stems 85

86 35mm 25mm 3cm 3cm Elliptical 29mm 3cm 4cm 5cm Diaphyseal Segments 3cm Elliptical Segment / 3cm thru 23cm Segments 7cm 9cm 11cm 13cm 15cm 17cm 19cm 21cm 23cm 86

87 30cm Total Femur Couplers 10cm and 30cm 10cm 87

88 Resurfacing Femoral Left Sleeve Augment (Reverse for Right) 3.5mm Resurfacing Femur Anterior Flange Augment 88

89 10mm 79/83mm 71/75mm 63/67mm 20mm 79/83mm 71/75mm 63/67mm Tibial Block Augments 89

90 Small (use with 10mm tibial augument) Large (use with baseplate only) Tibial Sleeve Augments 90

91 OSS Implant Product Number Listing 91

92 OSS Implant Listing Distal Femoral Components Implant Description cm Resurfacing Femoral RT cm Resurfacing Femoral LT cm Resurfacing Femoral RT cm Resurfacing Femoral LT cm Segmental Femoral RT cm Segmental Femoral LT cm Segmental Elliptical Femoral RT cm Segmental Elliptical Femoral LT Tibial Baseplates Implant Description mm Non-Modular Tibial Baseplate Short mm Non-Modular Tibial Baseplate Short mm Non-Modular Tibial Baseplate Short mm Non-Modular Tibial Baseplate Long Stem mm Non-Modular Tibial Baseplate Long Stem mm Modular Tibial Baseplate mm Modular Tibial Baseplate mm Modular Tibial Baseplate mm Modular Tibial Baseplate mm Modular Tibial Baseplate 92

93 1-Pc Proximal Tibial Component Implant Description cm Proximal Tibial Component 11mm x 225mm cm Proximal Tibial Component 9mm x 150mm cm Proximal Tibial Component 11mm x 150mm cm Proximal Tibial Component 13mm x 150mm cm Proximal Tibial Component 15mm x 150mm cm Proximal Tibial Component 9mm x 150mm cm Proximal Tibial Component 11mm x 150mm cm Proximal Tibial Component 13mm x 150mm cm Proximal Tibial Component 15mm x 150mm Modular Proximal Tibial Component Implant Description cm Modular Proximal Tibial Component Tibial UHMWPE Bearing Inserts Implant Description mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing Tibial Block Augmentation Implant Description x 63/67 Tib Block Universal x 71/75 Tib Block Universal x 79/83 Tib Block Universal x 63/67 Tib Block MR/LL x 63/67 Tib Block ML/LR x 71/75 Tib Block MR/LL x 71/75 Tib Block ML/LR x 79/83 Tib Block MR/LL x 79/83 Tib Block ML/LR 93

94 Cemented IM Stems Implant Description mm x 9mm Straight Stem mm x 10mm Straight Stem mm x 11mm Straight Stem mm x 12mm Straight Stem mm x 13mm Straight Stem mm x 15mm Straight Stem mm x 17mm Straight Stem mm x 9mm Straight Stem mm x 11mm Straight Stem mm x 13mm Straight Stem mm x 15mm Straight Stem mm x 11mm Bowed Stem mm x 12mm Bowed Stem mm x 13mm Bowed Stem mm x 14mm Bowed Stem mm x 15mm Bowed Stem mm x 16mm Bowed Stem mm x 17mm Bowed Stem mm x 18mm Bowed Stem mm x 11mm Bowed Stem mm x 13mm Bowed Stem mm x 15mm Bowed Stem mm x 17mm Bowed Stem mm x 11mm Bowed Stem mm x 13mm Bowed Stem mm x 15mm Bowed Stem mm x 17mm Bowed Stem 94

95 Porous IM Stems Implant Description mm x 10.5mm Straight Stem mm x 11.5mm Straight Stem mm x 12.5mm Straight Stem mm x 13.5mm Straight Stem mm x 14.5mm Straight Stem mm x 15.5mm Straight Stem mm x 16.5mm Straight Stem mm x 17.5mm Straight Stem mm x 18.5mm Straight Stem mm x 19.5mm Straight Stem mm x 10.5mm Straight Stem mm x 12.5mm Straight Stem mm x 14.5mm Straight Stem mm x 16.5mm Straight Stem mm x 12.5mm Bowed Stem mm x 13.5mm Bowed Stem mm x 14.5mm Bowed Stem mm x 15.5mm Bowed Stem mm x 16.5mm Bowed Stem mm x 17.5mm Bowed Stem mm x 18.5mm Bowed Stem mm x 19.5mm Bowed Stem mm x 20.5mm Bowed Stem mm x 21.5mm Bowed Stem mm x 22.5mm Bowed Stem mm x 12.5mm Bowed Stem mm x 14.5mm Bowed Stem mm x 16.5mm Bowed Stem mm x 18.5mm Bowed Stem mm x 12.5mm Bowed Stem mm x 14.5mm Bowed Stem mm x 16.5mm Bowed Stem mm x 18.5mm Bowed Stem 95

96 Diaphyseal Segments Implant Description cm Elliptical Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Total Femur Diaphyseal Coupler cm Total Femur Diaphyseal Coupler Proximal Femoral Components Implant Description cm Finn Proximal Component RT cm Finn Proximal Component LT cm Letson Proximal Component RT cm Letson Proximal Component LT 96

97 Femoral / Tibial Sleeve Augmentation Implant Description Resurfacing Femoral Anterior Flange Augment* *(3cm Femoral Only) Resurfacing Femoral Sleeve Augment RT *(3cm Femoral Only) Resurfacing Femoral Sleeve Augment LT *(3cm Femoral Only) Tibial Sleeve Augment Small Tibial Sleeve Augment Large Auxiliary Components Implant Description OSS Stem Locking Screw (pkg of 1) OSS Poly Tibial Bushing OSS Poly Femoral Bushings (pkg of 2) OSS Poly Lock Pin OSS Reinforced Yoke OSS Axle OSS Diaphyseal Locking Screws (pkg of 2) OSS Segmental Stacking Adapter (8KG of 1) Biomet ArCom Patella 31mm 1-Peg Biomet ArCom Patella 34mm 1-Peg Biomet ArCom Patella 37mm 1-Peg Construct Suture Patella 31mm Construct Suture Patella 34mm Construct Suture Patella 37mm 97

98 98

99 OSS Provisional Product Number Listing 99

100 OSS PROVISIONAL LISTING Distal Femoral Trials Provisional Description cm Resurfacing Femoral RT cm Resurfacing Femoral LT cm Resurfacing Femoral RT cm Resurfacing Femoral LT cm Segmental Femoral RT cm Segmental Femoral LT cm Segmental Elliptical Femoral RT cm Segmental Elliptical Femoral LT Tibial Baseplates Provisional Description mm Non-Modular Tibial Baseplate Short mm Non-Modular Tibial Baseplate Short mm Non-Modular Tibial Baseplate Short mm Non-Modular Tibial Baseplate Long Stem mm Non-Modular Tibial Baseplate Long Stem mm Modular Tibial Baseplate mm Modular Tibial Baseplate mm Modular Tibial Baseplate mm Modular Tibial Baseplate mm Modular Tibial Baseplate 100

101 1-Pc Proximal Tibial Components Provisional Description cm Proximal Tibial Component 11mm x 240mm cm Proximal Tibial Component Trial cm Proximal Tibial Component Trial Modular Proximal Tibial Component Provisional Description cm Modular Proximal Tibial Component Tibial UHMWPE Bearing Inserts Provisional Description mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing Tibial Block Augmentation Provisional Description x 63/67 Tib Block Universal x 71/75 Tib Block Universal x 79/83 Tib Block Universal x 63/67 Tib Block MR/LL x 63/67 Tib Block ML/LR x 71/75 Tib Block MR/LL x 71/75 Tib Block ML/LR x 79/83 Tib Block MR/LL x 79/83 Tib Block ML/LR 101

102 Cemented I/M Stem Trials Provisional Description mm x 9mm Straight Stem mm x 10mm Straight Stem mm x 11mm Straight Stem mm x 12mm Straight Stem mm x 13mm Straight Stem mm x 15mm Straight Stem mm x 17mm Straight Stem mm x 9mm Straight Stem mm x 11mm Straight Stem mm x 13mm Straight Stem mm x 15mm Straight Stem mm x 11mm Bowed Stem mm x 12mm Bowed Stem mm x 13mm Bowed Stem mm x 14mm Bowed Stem mm x 15mm Bowed Stem mm x 16mm Bowed Stem mm x 17mm Bowed Stem mm x 18mm Bowed Stem mm x 11mm Bowed Stem mm x 13mm Bowed Stem mm x 15mm Bowed Stem mm x 17mm Bowed Stem mm x 11mm Bowed Stem mm x 13mm Bowed Stem mm x 15mm Bowed Stem mm x 17mm Bowed Stem 102

103 Porous I/M Stem Trials *Porous stem trials are undersized.5mm from corresponding implant. Provisional Description mm x 10.5mm Straight Stem mm x 11.5mm Straight Stem mm x 12.5mm Straight Stem mm x 13.5mm Straight Stem mm x 14.5mm Straight Stem mm x 15.5mm Straight Stem mm x 16.5mm Straight Stem mm x 17.5mm Straight Stem mm x 18.5mm Straight Stem mm x 19.5mm Straight Stem mm x 10.5mm Straight Stem mm x 12.5mm Straight Stem mm x 14.5mm Straight Stem mm x 16.5mm Straight Stem mm x 12.5mm Bowed Stem mm x 13.5mm Bowed Stem mm x 14.5mm Bowed Stem mm x 15.5mm Bowed Stem mm x 16.5mm Bowed Stem mm x 17.5mm Bowed Stem mm x 18.5mm Bowed Stem mm x 19.5mm Bowed Stem mm x 20.5mm Bowed Stem mm x 21.5mm Bowed Stem mm x 22.5mm Bowed Stem mm x 12.5mm Bowed Stem mm x 14.5mm Bowed Stem mm x 16.5mm Bowed Stem mm x 18.5mm Bowed Stem mm x 12.5mm Bowed Stem mm x 14.5mm Bowed Stem mm x 16.5mm Bowed Stem mm x 18.5mm Bowed Stem 103

104 Diaphyseal Segment Trials Provisional Description cm Elliptical Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Total Femur Diaphyseal Coupler cm Total Femur Diaphyseal Coupler Proximal Femoral Components Provisional Description cm Finn Proximal Component RT cm Finn Proximal Component LT cm Letson Proximal Component RT cm Letson Proximal Component LT 104

105 Femoral / Tibial Sleeve Augmentation Trials Provisional Description Resurfacing Femoral Anterior Flange Augment* *(3cm Femoral Only) Resurfacing Femoral Sleeve Augment Universal *(3cm Femoral Only) Resurfacing Femoral Sleeve Broach Shaft Tibial Sleeve Augment Small Tibial Sleeve Augment Large Tibial Sleeve Broach Shaft Auxiliary Components Provisional Description OSS Femoral Bushing/Axle Trial OSS Axle Trial Biomet ArCom Patella 31mm 1-Peg Biomet ArCom Patella 34mm 1-Peg Biomet ArCom Patella 37mm 1-Peg 105

106 106

107 OSS Instrumentation Product Number Listing 107

108 OSS Instrumentation Listing Item # Instrument Description Tapered Reamer T-Handle (Fits Zimmer-Hudson Style Adapter) Ratchet T-Handle (Fits Square Style Adapter) X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer X 380mm Bullet Tip Reamer 108

109 OSS Tibial Tower Flare Reamer, 9mm OSS Tibial Tower Flare Reamer, 10mm OSS Tibial Tower Flare Reamer, 11mm OSS Tibial Tower Flare Reamer, 12mm OSS Tibial Tower Flare Reamer, 13mm OSS Tibial Tower Flare Reamer, 14mm OSS Tibial Tower Flare Reamer, 15mm OSS Tibial Tower Flare Reamer, 16mm OSS Tibial Tower Flare Reamer, 17mm OSS Tibial Tower Flare Reamer, 18mm OSS Tibial Tower Flare Reamer, 19mm Degree Distal Cut Brick OSS Distal Femoral Sliding Resection Gauge OSS A/P Femoral Cut Block 5 Degree R/L OSS Distal Resection Block Single Slot Modular Impactor Head Modular Impactor Handle Axle Screw Driver Hex (long) Driver OSS Lock Pin Inserter OSS Tibial Plate Extractor Resurfacing Femoral Extractor Segmental Stem Reamer Guide OSS Tibial Spiral Reamer Short Non Modular OSS Tibial Spiral Reamer Modular OSS Tibial Spiral Reamer Long Stem OSS Tibial Tower Reamer Sleeve, 8 to OSS Tibial Tower Reamer Sleeve, 13 to OSS Resection Planer Trial Stem Insert OSS Resection Planer OSS Flare Reamer 9mm OSS Flare Reamer 10mm OSS Flare Reamer 11mm OSS Flare Reamer 12mm OSS Flare Reamer 13mm OSS Flare Reamer 14mm OSS Flare Reamer 15mm OSS Flare Reamer 16mm OSS Flare Reamer 17mm OSS Flare Reamer 18mm OSS Flare Reamer 19mm 109

110 External Alignment Tower I/M Reamer I/M Rod Quick-Release Drill Chuck Quick-Release Drill I/M Tibial Resection Guide Tibial Punch Guide Tibial Starter Reamer Tibial Tray Fin Punch Tibial Template 63mm Tibial Template 67mm Tibial Template 71mm Tibial Template 75mm Tibial Template 79mm Tibial Template 83mm Slide Hammer w/ Threaded Tip Drill & Nail Extractor Medium Bone Nails Big Hex Screwdriver Alignment Rod Patellar Clamp Patellar Drill w/ Stop Patellar Drill Guide I/M.375 Dia Drill OSS Stem Extractor OSS EM Diaphyseal Taper Separator OSS IM Stem Taper Separator T-Body Only OSS T-Body Adapter Only (Square Style) OSS T-Body Adapter Only (Zimmer-Hudson Style) OSS IM Stem Taper Separator Insert 3cm OSS IM Stem Taper Separator Insert 4cm OSS IM Stem Taper Separator Insert 5cm OSS IM Stem Taper Separator Insert 7cm OSS IM Stem Taper Separator Insert 9cm OSS IM Stem Taper Separator Insert 11cm OSS IM Stem Taper Separator Insert 13cm OSS IM Stem Taper Separator Insert 15cm OSS IM Stem Taper Separator Insert 17cm OSS IM Stem Taper Separator Insert 19cm OSS IM Stem Taper Separator Insert 21cm OSS IM Stem Taper Separator Insert 23cm OSS Removal Instrumentation Kit* * (contains thru 91, , , , , , , , ) OSS Template Set 110

111 OSS Implant Loaner Set Itemization 111

112 OSS Implant Loaner Sets Implant cases are available with sterile packaged implants. This OSS implants have been carefully organized to provide your surgeon with the most complete product offering available. Implant cases provide both left and right implant options, thereby eliminating the confusion of ordering inappropriate components. Loaner Set # Loaner Set # Loaner Set # Loaner Set # Loaner Set # OSS Distal / Femoral Implants OSS Tibial Implants OSS Cemented IM Stems OSS Porous IM Stems Oss Diaphyseal Segments / Total Femur Couplers/ Prox Fem Implants A complete listing of all OSS implants within their respective loaner sets is displayed on the following pages. 112

113 Loaner Set # OSS Distal / Femoral Implants Part No. Description cm Resurfacing Femoral RT cm Resurfacing Femoral LT cm Resurfacing Femoral RT cm Resurfacing Femoral LT cm Segmental Femoral RT cm Segmental Femoral LT cm Segmental Elliptical Femoral RT cm Segmental Elliptical Femoral LT mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing mm Tibial Bearing Resurfacing Femoral Anterior Flange Augment (3cm Femoral Only) Resurfacing Femoral Sleeve Augment RT Resurfacing Femoral Sleeve Augment - LT OSS Stem Locking Screw (pkg of 1) OSS Poly Tibial Bushing OSS Poly Femoral Bushings (set of 2) OSS Poly Lock Pin OSS Reinforced Yoke OSS Axle Biomet Arcom Patella 31mm 1-Peg Biomet Arcom Patella 34mm 1-Peg Biomet Arcom Patella 37mm 1-Peg Construct Suture Patella 31mm Construct Suture Patella 34mm Construct Suture Patella 37mm 113

114 Loaner Set # OSS Tibial Implants Part No. Description mm Non-Modular Tibial Baseplate Short mm Non-Modular Tibial Baseplate Short mm Non-Modular Tibial Baseplate Short mm Non-Modular Tibial Baseplate Long Stem mm Non-Modular Tibial Baseplate Long Stem mm Modular Tibial Baseplate mm Modular Tibial Baseplate mm Modular Tibial Baseplate mm Modular Tibial Baseplate mm Modular Tibial Baseplate x 63/67 Tib Block Universal x 71/75 Tib Block Universal x 79/83 Tib Block Universal x 63/67 Tib Block MR/LL x 63/67 Tib Block ML/LR x 71/75 Tib Block MR/LL x 71/75 Tib Block ML/LR x 79/83 Tib Block MR/LL x 79/83 Tib Block ML/LR Tibial Sleeve Augment Small Tibial Sleeve Augment Large cm Proximal Tibial Component 11mm x 225mm cm Proximal Tibial Component 9mm x 150mm cm Proximal Tibial Component 11mm x 150mm cm Proximal Tibial Component 13mm x 150mm cm Proximal Tibial Component 15mm x 150mm cm Proximal Tibial Component 9mm x 150mm cm Proximal Tibial Component 11mm x 150mm cm Proximal Tibial Component 13mm x 150mm cm Proximal Tibial Component 15mm x 150mm cm Modular Proximal Tibial Component 114

115 Loaner Set # OSS Cemented IM Stem Implants Part No. Description mm x 9mm Straight Cemented Stem mm x 10mm Straight Cemented Stem mm x 11mm Straight Cemented Stem mm x 12mm Straight Cemented Stem mm x 13mm Straight Cemented Stem mm x 15mm Straight Cemented Stem mm x 17mm Straight Cemented Stem mm x 9mm Straight Cemented Stem mm x 11mm Straight Cemented Stem mm x 13mm Straight Cemented Stem mm x 15mm Straight Cemented Stem mm x 11mm Bowed Cemented Stem mm x 12mm Bowed Cemented Stem mm x 13mm Bowed Cemented Stem mm x 14mm Bowed Cemented Stem mm x 15mm Bowed Cemented Stem mm x 16mm Bowed Cemented Stem mm x 17mm Bowed Cemented Stem mm x 18mm Bowed Cemented Stem mm x 11mm Bowed Cemented Stem mm x 13mm Bowed Cemented Stem mm x 15mm Bowed Cemented Stem mm x 17mm Bowed Cemented Stem mm x 11mm Bowed Cemented Stem mm x 13mm Bowed Cemented Stem mm x 15mm Bowed Cemented Stem mm x 17mm Bowed Cemented Stem 115

116 Loaner Set # OSS Porous IM Stem Implants Part No. Description mm x 10.5mm Straight Porous Stem mm x 11.5mm Straight Porous Stem mm x 12.5mm Straight Porous Stem mm x 13.5mm Straight Porous Stem mm x 14.5mm Straight Porous Stem mm x 15.5mm Straight Porous Stem mm x 16.5mm Straight Porous Stem mm x 17.5mm Straight Porous Stem mm x 18.5mm Straight Porous Stem mm x 19.5mm Straight Porous Stem mm x 10.5mm Straight Porous Stem mm x 12.5mm Straight Porous Stem mm x 14.5mm Straight Porous Stem mm x 16.5mm Straight Porous Stem mm x 12.5mm Bowed Porous Stem mm x 13.5mm Bowed Porous Stem mm x 14.5mm Bowed Porous Stem mm x 15.5mm Bowed Porous Stem mm x 16.5mm Bowed Porous Stem mm x 17.5mm Bowed Porous Stem mm x 18.5mm Bowed Porous Stem mm x 19.5mm Bowed Porous Stem mm x 20.5mm Bowed Porous Stem mm x 21.5mm Bowed Porous Stem mm x 22.5mm Bowed Porous Stem mm x 12.5mm Bowed Porous Stem mm x 14.5mm Bowed Porous Stem mm x 16.5mm Bowed Porous Stem mm x 18.5mm Bowed Porous Stem mm x 12.5mm Bowed Porous Stem mm x 14.5mm Bowed Porous Stem mm x 16.5mm Bowed Porous Stem mm x 18.5mm Bowed Porous Stem 116

117 Loaner Set # OSS Diaphyseal Segments / Total Femur Couplers Proximal Femoral Implants Part No. Description cm Elliptical Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Diaphyseal Segment cm Total Femur Diaphyseal Coupler cm Total Femur Diaphyseal Coupler cm Finn Proximal Component RT cm Finn Proximal Component LT cm Letson Proximal Component RT cm Letson Proximal Component LT Segmental Stacking Adapter 117

118 118

119 OSS Provisional / Instrumentation Loaner Set Itemization 119

120 OSS Provisional / Instrumentation Loaner Set Listings Two separate and distinct loaner sets are available with both provisionals and instruments. These items have been carefully organized to provide your surgeon with the instrumentation necessary for a successful surgery. Loaner Set # OSS Provisionals / Instrumentation This loaner set contains e-v-e-r-y-t-h-i-n-g: all cutting instruments, all trials. Loaner Set # OSS Proximal Femoral Provisionals / Instrumentation This loaner set contains everything your surgeon will require to prepare and trial for a proximal femoral replacement*. Trial implant options within Loaner Sets # & # (respectively) include both left and right distal femoral and proximal femoral provisionals, thereby eliminating the frustration and confusion associated with ordering inappropriate provisional components. A complete listing of the provisionals and instruments within this set is displayed on the following pages. *(Important Note:) If there is a possibility that a total femoral replacement may be necessary as a backup to a proximal femoral replacement, then order Loaner Set # rather than Loaner Set # Remember: it always pays to assess the pre-op films and order the appropriate loaner set for your surgery. 120

121 Loaner Set # OSS Provisionals Part No. Description cm Resurfacing Femoral Trial RT cm Resurfacing Femoral Trial LT cm Resurfacing Femoral Trial RT cm Resurfacing Femoral Trial LT cm Segmental Femoral Trial RT cm Segmental Femoral Trial LT cm Segmental Elliptical Femoral Trial RT cm Segmental Elliptical Femoral Trial - LT mm X 9mm Straight Cemented Stem Trial mm X 10mm Straight Cemented Stem Trial mm X 11mm Straight Cemented Stem Trial mm X 12mm Straight Cemented Stem Trial mm X 13mm Straight Cemented Stem Trial mm X 15mm Straight Cemented Stem Trial mm X 17mm Straight Cemented Stem Trial mm X 9mm Straight Cemented Stem Trial mm X 11mm Straight Cemented Stem Trial mm X 13mm Straight Cemented Stem Trial mm X 15mm Straight Cemented Stem Trial mm X 11mm Bowed Cemented Stem Trial mm X 12mm Bowed Cemented Stem Trial mm X 13mm Bowed Cemented Stem Trial mm X 14mm Bowed Cemented Stem Trial mm X 15mm Bowed Cemented Stem Trial mm X 16mm Bowed Cemented Stem Trial mm X 17mm Bowed Cemented Stem Trial mm X 18mm Bowed Cemented Stem Trial mm X 11mm Bowed Cemented Stem Trial mm X 13mm Bowed Cemented Stem Trial mm X 15mm Bowed Cemented Stem Trial mm X 17mm Bowed Cemented Stem Trial mm X 11mm Bowed Cemented Stem Trial mm X 13mm Bowed Cemented Stem Trial mm X 15mm Bowed Cemented Stem Trial mm X 17mm Bowed Cemented Stem Trial 121

122 *ALL TRIAL POROUS STEM DIAMETERS ARE ACTUAL SIZE; POROUS STEM IMPLANT DIAMETERS ARE.5MM LARGER THAN THE TRIAL SIZE (e.g., 10.5mm Porous Stem Implant uses a 10mm Porous Stem Trial) Part No. Description mm X 10mm Porous Straight Stem Trial mm X 11mm Porous Straight Stem Trial mm X 12mm Porous Straight Stem Trial mm X 13mm Porous Straight Stem Trial mm X 14mm Porous Straight Stem Trial mm X 15mm Porous Straight Stem Trial mm X 16mm Porous Straight Stem Trial mm X 17mm Porous Straight Stem Trial mm X 18mm Porous Straight Stem Trial mm X 19mm Porous Straight Stem Trial mm X 10mm Porous Straight Stem Trial mm X 12mm Porous Straight Stem Trial mm X 14mm Porous Straight Stem Trial mm X 16mm Porous Straight Stem Trial mm X 12mm Porous Bowed Stem Trial mm X 13mm Porous Bowed Stem Trial mm X 14mm Porous Bowed Stem Trial mm X 15mm Porous Bowed Stem Trial mm X 16mm Porous Bowed Stem Trial mm X 17mm Porous Bowed Stem Trial mm X 18mm Porous Bowed Stem Trial mm X 19mm Porous Bowed Stem Trial mm X 20mm Porous Bowed Stem Trial mm X 21mm Porous Bowed Stem Trial mm X 22mm Porous Bowed Stem Trial mm X 12mm Porous Bowed Stem Trial mm X 14mm Porous Bowed Stem Trial mm X 16mm Porous Bowed Stem Trial mm X 18mm Porous Bowed Stem Trial mm X 12mm Porous Bowed Stem Trial mm X 14mm Porous Bowed Stem Trial mm X 16mm Porous Bowed Stem Trial mm X 18mm Porous Bowed Stem Trial 122

123 Part No. Description mm Tibial Bearing Trial mm Tibial Bearing Trial mm Tibial Bearing Trial mm Tibial Bearing Trial mm Tibial Bearing Trial mm Tibial Bearing Trial mm Non-Modular Tibial Baseplate Trial Short mm Non-Modular Tibial Baseplate Trial Short mm Non-Modular Tibial Baseplate Trial Short mm Non-Modular Tibial Baseplate Trial Long Stem mm Non-Modular Tibial Baseplate Trial Long Stem mm Modular Tibial Baseplate Trial mm Modular Tibial Baseplate Trial mm Modular Tibial Baseplate Trial mm Modular Tibial Baseplate Trial mm Modular Tibial Baseplate Trial X 63/67 Tib Block Trial Universal X 71/75 Tib Block Trial Universal X 79/83 Tib Block Trial Universal X 63/67 Tib Block Trial MR/LL X 63/67 Tib Block Trial ML/LR X 71/75 Tib Block Trial MR/LL X 71/75 Tib Block Trial ML/LR X 79/83 Tib Block Trial MR/LL X 79/83 Tib Block Trial ML/LR cm Proximal Tibial Component Trial 11mm X 225mm cm Proximal Tibial Component Trial cm Proximal Tibial Component Trial cm Modular Proximal Tibial Component Trial Resurfacing Femoral Anterior Flange Augment Trial (3cm Femoral Only) Resurfacing Femoral Sleeve Augment Trial RT Tibial Sleeve Augment Trial Small Tibial Sleeve Augment Trial Large 123

124 OSS Instrumentation Item # Instrument Description Tapered Reamer T-Handle (Fits Zimmer-Hudson Style Adapter) Ratchet T-Handle (Fits Square Style Adapter) mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer 124

125 OSS Tibial Tower Flare Reamer, 9mm OSS Tibial Tower Flare Reamer, 10mm OSS Tibial Tower Flare Reamer, 11mm OSS Tibial Tower Flare Reamer, 12mm OSS Tibial Tower Flare Reamer, 13mm OSS Tibial Tower Flare Reamer, 14mm OSS Tibial Tower Flare Reamer, 15mm OSS Tibial Tower Flare Reamer, 16mm OSS Tibial Tower Flare Reamer, 17mm OSS Tibial Tower Flare Reamer, 18mm OSS Tibial Tower Flare Reamer, 19mm CP OSS 90mm Tower Flare Reamer 13+ CP OSS 90mm Tower Flare Reamer Degree Distal Cut Brick OSS Distal Femoral Sliding Resection Gauge OSS A/P Femoral Cut Block 5 degree R/L OSS Distal Resection Block Single Slot Modular Impactor Head Modular Impactor Handle OSS Axle Screw Driver OSS 3.5 Hex Screwdriver Long Shaft CP OSS 3.5 Hex Screwdriver Short Shaft CP OSS Large Hex Screwdriver OSS Lock Pin Inserter OSS Tibial Plate Extractor Resurfacing Femoral Extractor Segmental Stem Reamer Guide OSS Tibial Spiral Reamer Short Non Modular OSS Tibial Spiral Reamer Modular OSS Tibial Spiral Reamer Long Stem OSS Tibial Tower Reamer Sleeve, 8 to OSS Tibial Tower Reamer Sleeve, 13 to OSS Resection Planer Trial Stem Insert OSS Resection Planer Universal Proximal Femoral Inserter 125

126 OSS Flare Reamer 9mm OSS Flare Reamer 10mm OSS Flare Reamer 11mm OSS Flare Reamer 12mm OSS Flare Reamer 13mm OSS Flare Reamer 14mm OSS Flare Reamer 15mm OSS Flare Reamer 16mm OSS Flare Reamer 17mm OSS Flare Reamer 18mm OSS Flare Reamer 19mm CP OSS 90mm Flare Reamer 13+ CP OSS 90mm Flare Reamer External Alignment Tower I/M Reamer I/M Rod Quick-Release Drill Chuck Quick Release Drill I/M Tibial Resection Guide Tibial Punch Guide Tibial Starter Reamer Tibial Tray Fin Punch Tibial Template 63mm Tibial Template 67mm Tibial Template 71mm Tibial Template 75mm Tibial Template 79mm Tibial Template 83mm Slide Hammer w/ Threaded Tip Drill & Nail Extractor Medium Bone Nails Alignment Rod Patellar Clamp Patellar Drill w/ Stop Patellar Drill Guide I/M.375 Dia Drill OSS Stem Extractor OSS EM Diaphyseal Taper Separator OSS IM Stem Taper Separator T-Body Only OSS T-Body Adapter Only (Square Style) OSS T-Body Adapter Only (Zimmer-Hudson Style) OSS IM Stem Taper Separator Insert 3cm OSS IM Stem Taper Separator Insert 4cm OSS IM Stem Taper Separator Insert 5cm OSS IM Stem Taper Separator Insert 7cm OSS IM Stem Taper Separator Insert 9cm OSS IM Stem Taper Separator Insert 11cm

127 OSS IM Stem Taper Separator Insert 13cm OSS IM Stem Taper Separator Insert 15cm OSS IM Stem Taper Separator Insert 17cm OSS IM Stem Taper Separator Insert 19cm OSS IM Stem Taper Separator Insert 21cm OSS IM Stem Taper Separator Insert 23cm OSS Removal Instrumentation Kit* *(contains thru 91, , , , , , , , ) OSS Template Set 127

128 Loaner Set # OSS Proximal Femoral Provisionals / Instrumentation Part No. Description cm Finn Proximal Component Trial RT cm Finn Proximal Component Trial LT cm Letson Proximal Component Trial RT cm Letson Proximal Component Trial LT cm Elliptical Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial mm x 11mm Bowed Cemented Stem Trial mm x 12mm Bowed Cemented Stem Trial mm x 13mm Bowed Cemented Stem Trial mm x 14mm Bowed Cemented Stem Trial mm x 15mm Bowed Cemented Stem Trial mm x 16mm Bowed Cemented Stem Trial mm x 17mm Bowed Cemented Stem Trial mm x 18mm Bowed Cemented Stem Trial mm x 11mm Bowed Cemented Stem Trial mm x 13mm Bowed Cemented Stem Trial mm x 15mm Bowed Cemented Stem Trial mm x 17mm Bowed Cemented Stem Trial mm x 11mm Bowed Cemented Stem Trial mm x 13mm Bowed Cemented Stem Trial mm x 15mm Bowed Cemented Stem Trial mm x 17mm Bowed Cemented Stem Trial 128

129 Part No. Description mm x 12mm Porous Bowed Stem Trial mm x 13mm Porous Bowed Stem Trial mm x 14mm Porous Bowed Stem Trial mm x 15mm Porous Bowed Stem Trial mm x 16mm Porous Bowed Stem Trial mm x 17mm Porous Bowed Stem Trial mm x 18mm Porous Bowed Stem Trial mm x 19mm Porous Bowed Stem Trial mm x 20mm Porous Bowed Stem Trial mm x 21mm Porous Bowed Stem Trial mm x 22mm Porous Bowed Stem Trial mm x 12mm Porous Bowed Stem Trial mm x 14mm Porous Bowed Stem Trial mm x 16mm Porous Bowed Stem Trial mm x 18mm Porous Bowed Stem Trial mm x 12mm Porous Bowed Stem Trial mm x 14mm Porous Bowed Stem Trial mm x 16mm Porous Bowed Stem Trial mm x 18mm Porous Bowed Stem Trial OSS 3.5 Hex Screwdriver Long Shaft OSS Resection Planer Trial Stem Insert OSS Resection Planer Tapered Reamer T-Handle (fits Zimmer-Hudson style adapter) Universal Proximal Femoral Inserter OSS Flare Reamer 9mm OSS Flare Reamer 10mm OSS Flare Reamer 11mm OSS Flare Reamer 12mm OSS Flare Reamer 13mm OSS Flare Reamer 14mm OSS Flare Reamer 15mm OSS Flare Reamer 16mm OSS Flare Reamer 17mm OSS Flare Reamer 18mm OSS Flare Reamer 19mm 129

130 OSS Provisional / Instrumentation Tray Layouts 130

131 OSS Provisional/Instrumentation Tray Layouts Individual trays are available for all OSS provisionals and instruments. These trays have been carefully labeled and organized to promote ease of application within the O.R. These trays, when ordered from the Loaner Department, will be shipped out EMPTY. They may be filled with the corresponding provisionals and instruments either at the Distributors office or at the hospital prior to undergoing sterilization. Upon completion of the surgery, all provisional and instruments are to be removed form the individual trays prior to the return shipment to the Biomet Loaner Department. This regimen will prolong the life of each OSS tray, and provide your O.R. staff with an aesthetically functional instrument tray. Note: failure to comply with the mandated return shipping instructions will result in penalties issued by the Loaner Department. Tray # Tray # Tray # Tray # Tray # Tray # Tray # Tray # Tray # Tray # OSS Distal Femoral Provisional Tray OSS Diaphyseal Segments/Proximal Femoral Provisional Tray OSS Cemented IM Stems Provisional Tray OSS Porous IM Stems Provisional Tray OSS Tibial Provisional Tray OSS Tibial Tower Flare Reamer Instrument Tray OSS General Instrument Tray OSS Stem Prep Instrument Tray OSS Resurfacing Prep Instrument Tray Bullet Tip Reamer Tray An illustrated diagram of each provisional/instrument tray, along with a complete listing of all items in the corresponding tray, is displayed on the following pages. 131

132 132

133 Case # OSS Distal Femoral Provisional cm Resurfacing Femoral Trial RT cm Resurfacing Femoral Trial LT cm Resurfacing Femoral Trial RT cm Resurfacing Femoral Trial LT cm Segmental Femoral Trial RT cm Segmental Femoral Trial LT cm Segmental Elliptical Femoral Trial RT cm Segmental Elliptical Femoral Trial - LT mm Tibial Bearing Trial mm Tibial Bearing Trial mm Tibial Bearing Trial mm Tibial Bearing Trial mm Tibial Bearing Trial mm Tibial Bearing Trial Resurfacing Femoral Anterior Flange Augment Trial (3cm Femoral Only) Resurfacing Femoral Sleeve Augment Trial / Broach Universal Resurfacing Femoral Sleeve Broach Shaft OSS Femoral Bushing / Axle Trial (used w/ Implant Distal Femorals) OSS Axle Trial (used w/ Trial Distal Femorals) 133

134 134

135 Case # OSS Diaph Segments / Prox Fem Provisional cm Finn Proximal Component Trial - RT cm Finn Proximal Component Trial LT cm Letson Proximal Component Trial - RT cm Letson Proximal Component Trial LT cm Elliptical Diaphyseal Segment Trial cm Total Femur Diaphyseal Coupler Trial cm Total Femur Diaphyseal Coupler Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial cm Diaphyseal Segment Trial 135

136 136

137 Case # OSS Cemented IM Stems Provisional mm X 9mm Straight Cemented Stem Trial mm X 10mm Straight Cemented Stem Trial mm X 11mm Straight Cemented Stem Trial mm X 12mm Straight Cemented Stem Trial mm X 13mm Straight Cemented Stem Trial mm X 15mm Straight Cemented Stem Trial mm X 17mm Straight Cemented Stem Trial mm X 9mm Straight Cemented Stem Trial mm X 11mm Straight Cemented Stem Trial mm X 13mm Straight Cemented Stem Trial mm X 15mm Straight Cemented Stem Trial mm X 11mm Bowed Cemented Stem Trial mm X 12mm Bowed Cemented Stem Trial mm X 13mm Bowed Cemented Stem Trial mm X 14mm Bowed Cemented Stem Trial mm X 15mm Bowed Cemented Stem Trial mm X 16mm Bowed Cemented Stem Trial mm X 17mm Bowed Cemented Stem Trial mm X 18mm Bowed Cemented Stem Trial mm X 11mm Bowed Cemented Stem Trial mm X 13mm Bowed Cemented Stem Trial mm X 15mm Bowed Cemented Stem Trial mm X 17mm Bowed Cemented Stem Trial mm X 11mm Bowed Cemented Stem Trial mm X 13mm Bowed Cemented Stem Trial mm X 15mm Bowed Cemented Stem Trial mm X 17mm Bowed Cemented Stem Trial 137

138 138

139 Case # OSS Porous IM Stems Provisional mm X 10mm Porous Straight Stem Trial mm X 11mm Porous Straight Stem Trial mm X 12mm Porous Straight Stem Trial mm X 13mm Porous Straight Stem Trial mm X 14mm Porous Straight Stem Trial mm X 15mm Porous Straight Stem Trial mm X 16mm Porous Straight Stem Trial mm X 17mm Porous Straight Stem Trial mm X 18mm Porous Straight Stem Trial mm X 19mm Porous Straight Stem Trial mm X 10mm Porous Straight Stem Trial mm X 12mm Porous Straight Stem Trial mm X 14mm Porous Straight Stem Trial mm X 16mm Porous Straight Stem Trial mm X 12mm Porous Bowed Stem Trial mm X 13mm Porous Bowed Stem Trial mm X 14mm Porous Bowed Stem Trial mm X 15mm Porous Bowed Stem Trial mm X 16mm Porous Bowed Stem Trial mm X 17mm Porous Bowed Stem Trial mm X 18mm Porous Bowed Stem Trial mm X 19mm Porous Bowed Stem Trial mm X 20mm Porous Bowed Stem Trial mm X 21mm Porous Bowed Stem Trial mm X 22mm Porous Bowed Stem Trial mm X 12mm Porous Bowed Stem Trial mm X 14mm Porous Bowed Stem Trial mm X 16mm Porous Bowed Stem Trial mm X 18mm Porous Bowed Stem Trial mm X 12mm Porous Bowed Stem Trial mm X 14mm Porous Bowed Stem Trial mm X 16mm Porous Bowed Stem Trial mm X 18mm Porous Bowed Stem Trial 139

140 140

141 Tibial Provisional Case # mm Non-Modular Tibial Baseplate Trial Short mm Non-Modular Tibial Baseplate Trial Short mm Non-Modular Tibial Baseplate Trial Short mm Non-Modular Tibial Baseplate Trial Long Stem mm Non-Modular Tibial Baseplate Trial Long Stem mm Modular Tibial Baseplate Trial mm Modular Tibial Baseplate Trial mm Modular Tibial Baseplate Trial mm Modular Tibial Baseplate Trial mm Modular Tibial Baseplate Trial X 63/67 Tib Block Trial Universal X 71/75 Tib Block Trial Universal X 79/83 Tib Block Trial Universal X 63/67 Tib Block Trial MR/LL X 63/67 Tib Block Trial ML/LR X 71/75 Tib Block Trial MR/LL X 71/75 Tib Block Trial ML/LR X 79/83 Tib Block Trial MR/LL X 79/83 Tib Block Trial ML/LR cm Proximal Tibial Component Trial 11mm X 225mm cm Proximal Tibial Component Trial cm Proximal Tibial Component Trial cm Modular Proximal Tibial Component Trial Tibial Sleeve Augment Trial / Broach Small Tibial Sleeve Augment Trial / Broach Large Tibial Sleeve Broach Shaft 141

142 142

143 Case # OSS Tibial Tower Flare Reamers OSS Tibial Tower Flare Reamer, 9mm OSS Tibial Tower Flare Reamer, 10mm OSS Tibial Tower Flare Reamer, 11mm OSS Tibial Tower Flare Reamer, 12mm OSS Tibial Tower Flare Reamer, 13mm OSS Tibial Tower Flare Reamer, 14mm OSS Tibial Tower Flare Reamer, 15mm OSS Tibial Tower Flare Reamer, 16mm OSS Tibial Tower Flare Reamer, 17mm OSS Tibial Tower Flare Reamer, 18mm OSS Tibial Tower Flare Reamer, 19mm 143

144 144

145 Case # OSS General Instruments OSS Lock Pin Inserter External Alignement Tower I/M Reamer I/M Rod Quick-Release Drill Chuck Quick-Release Drill (qty. 2) OSS Stem Extractor OSS EM Diaphyseal Taper Separator Slide Hammer w/ Threaded Tip Drill & Nail Extractor Alignment Rod I/M.375 Dia Drill Axle Screwdriver Hex Screwdriver Long Shaft CP Hex Screwdriver Short Shaft CP Large Hex Screwdriver 145

146 146

147 Case # OSS Stem Prep Instruments Proximal Femoral Inserter / Impactor Tapered Reamer T-Handle (Fits Zimmer-Hudson Style Adapter) Tibial Punch Guide Tibial Starter Reamer Tibial Tray Fin Punch Segmental Stem Reamer Guide OSS Tibial Spiral Reamer Short Non Modular OSS Tibial Spiral Reamer Modular OSS Tibial Spiral Reamer Long Stem OSS Tibial Tower Reamer Sleeve, 8 to OSS Tibial Tower Reamer Sleeve, 13 to OSS Resection Planer Trial Stem Insert OSS Resection Planer 147

148 148

149 Case # OSS Resurfacing Prep Instruments Tibial Template 63mm Tibial Template 67mm Tibial Template 71mm Tibial Template 75mm Tibial Template 79mm Tibial Template 83mm Degree Distal Cut Brick OSS Distal Femoral Sliding Resection Gauge OSS A/P Femoral Cut Block 5 Degree R/L OSS Distal Resection Block Single Slot Modular Impactor Head Modular Impactor Handle Resurfacing Femoral Extractor Medium Bone Nails (qty. 2) Patellar Clamp Patellar Drill w/ Stop Patellar Drill Guide I/M Tibial Resection Guide 149

150 150 Tray

151 Case # Bullet Tip Reamers mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer mm x 380mm Bullet Tip Reamer 151

152 Biomet Oncology Salvage System Finn 10cm 30cm Total Femur Couplers Letson Proximal Femoral Components Diaphyseal Segments 7cm Segmental 3cm, 4cm, 5cm 23cm 7cm Elliptical Segmental IM Stems Cemented & Porous Femoral Sleeve 5cm Resurfacing Femoral Anterior Flange 90mm, 150mm, 225mm, 300mm 3cm Resurfacing 152

153 Biomet Oncology Salvage System Diaphyseal Segments Femoral Bushings Proximal Tibial Components 3cm, 4cm, 5cm 23cm Axle IM Stems Cemented & Porous 3cm, 5cm, 7cm, 9cm Lock Pin Tibial Baseplates Yoke Tibial Bearing 90mm, 150mm, 225mm, 300mm Tibial Augments Small 20mm Tibial Bushing Sleeves Blocks 10mm Large 153

154 Revison/Salvage/Oncologic Reconstruction Combining unparalleled modularity and surgical latitude, the Biomet Oncology Salvage System (featuring the Finn Rotating Hinge Knee) is a benchmark as the surgeon s choice when a patient exhibits significant bone loss, ligamentous deficiencies, primary or metastatic bone tumors, connective tissue disorders or has undergone multiple revision arthroplasties. Distal femoral reconstruction Proximal tibial reconstruction Proximal femoral reconstruction Total femoral replacement 154

155 155

156 156 P.O. Box 587, Warsaw, IN Biomet Orthopedics, Inc. All Rights Reserved web site: Form No. Y-BMT-000/000000/0

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