Trabecular Metal Primary Hip Prosthesis
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1 Trabecular Metal Primary Hip Prosthesis Quick-Reference Guide The Best Thing Next to Bone
2 Trabecular Metal Primary Hip Prosthesis Quick-Reference Guide Key Features & Benefits Proximal Trabecular Metal Material The initial scratch fit (75% greater than beads) helps to provide initial fixation, rotational stability, axial stability (and prevent subsidence) 2,5,7 The biologic ingrowth potential (double the pore volume of beads) helps to provide long-term fixation, proximal loading (avoiding negative stress shielding), and subsidence prevention 6,10,18 Load Applied to Stem 14 Proximal A/P Taper This geometry helps to provide initial fixation, rotational stability, proximal loading (avoiding negative stress shielding), and subsidence prevention (460% greater resistance to subsidence 6, 18 than typical stem geometries) 23.5 Neck Cut This bone sparing neckcut increases proximal bone support to the implant to provide enhanced 6, 18 initial fixation and rotational stability of TM Primary 14 of competition 3 A/P Relief The reduced A/P relief of the stem geometry in the diaphysis, helps avoid mid-stem loading, which promotes proximal loading (avoiding negative stress shielding) 14 Proximal Taper Forces are distributed to a greater area across the proximal bone with a 14 taper. Trapezoidal stem cross-section provides optimized fit within the proximal femur
3 Trabecular Metal Primary Stem Quick-Reference Guide Trabecular Metal Primary Hip Prosthsis Technology References and Hist Title of Article Publication 1. Biologic Performance of Tantalum Clinical Materials 16 (1994) Elsevier Science Limited 2. Biology of Grit Blasted Titanium Alloy Implants Clin Orthop. 1995; 319: Friction Coefficients of Porous Tantalum and Cancellous & Cortical Bone Presented at the 21st Annual American Society of Biomechanics, Clemson, SC Sept Flexural Rigidity of Laboratory and Surgical Substitutes for Human Journal of Musculoskeletal Research, Vol. 2, No. 4 (1998) Fibular Bone Grafts 5. The Osseous Response to Corundum Blasted Implant Surfaces in Clin Orthop. 1999; 364: Canine Total Hip Arthroplasty Model 6. Design Principles of a Proximal Locking Cementless Stem Proc Australian Orthopaedic Assoc., Brisbane, Australia, Interfacial Frictional Behavior: Cancellous Bone, Cortical Bone, and a Novel Porous Tantalum Biomaterial Journal of Musculoskeletal Research, Vol. 3, No. 4 (1999) Characteristics of bone ingrowth and interface mechanics of JBJS, Volume 81-B, No. 5, Sept 1999 a new porous tantalum biomaterial 9. Tissue Response to Porous Tantalum Acetabular Cups JOA, Vol. 14, No. 3, Characterization of a New Porous Tantalum Biomaterial for Scientific Exhibit, 1999 AAOS Annual Meeting, Anaheim, CA Reconstructive Orthopaedics 11. Fibrous Tissue Ingrowth and Attachment to Porous Tantalum 2000 John Wiley & Sons, Inc. 12. The Trabecular Metal Monoblock Acetabular Cup - Biomechanical Scientific Exhibit, 2001 AAOS Annual Meeting, San Francisco, CA Characterization & Hip Simulator Wear Results 13. Use of Porous Tantalum in Total Hip Arthroplasty Harvard Hip Course-Cambridge, MA Clinical experience with porous tantalum cervical interbody implants British Journal of Neurosurgery, October 2003; 17(5): in a prospective randomized controlled trial 15. Use of a Trabecular Metal Patella for Marked Patella Bone Loss During JOA, Vol. 18, No. 7, Suppl. 1, October 2003 Revision Total Knee Arthroplasty 16. Bone Loss in Revision Total Knee Arthroplasty JOA, Vol. 18, No. 3, Suppl. 1, April Monoblock Trabecular Metal Acetabulum - 2 to 5 Year Results Scientific Exhibit, 2003 AAOS Annual Meeting, New Orleans, LA 18. Proxilock Femoral Hip Stem - two to five year results. Poster 046, The 70th Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, LA, Modular Porous Metal Augments for Treatment of Severe Acetabular Bone Loss during Revision Hip Arthroplasty Clinical Orthopaedics & Related Research, Number 429, pp , December Revision and Salvage Patellar Arthroplasty Using a Porous Tantalum Implant JOA, Vol. 19, No. 5, August The Use of Porous Tantalum Components in Revision TKA - A 5 Year Follow-Up Study 22. Radiographic Evaluation of a Non-Modular Acetabular Cup - A 2 to 5 Year Multi-Center Study Scientific Exhibit, 2004 AAOS Annual Meeting, San Francisco, CA Scientific Exhibit, 2004 AAOS Annual Meeting, San Francisco, CA 23. Salvage Patellar Arthroplasty with a Porous Tantalum Implant - 2 to 4 Year Results 24. Stability Characteristics of a Cementless Monoblock Porous Tantalum Tibial Implant Without Ancillary Fixation 25. Radiographic Evaluation of a Monoblock Acetabular Component - A Multicenter Study with 2- to 5- Year Results Scientific Exhibit, 2004 AAOS Annual Meeting, San Francisco, CA Poster 1530, 50th Annual Meeting of the Orthopaedic Research Society, San Francisco, CA 2004 JOA, Vol. 20, No. 3, April 2005
4 1 ory - Chronological Order Authors Year Published Trabecular Metal Product Jonathan Black, Department of Bioengineering, Clemson University 1994 Markers, Clips, and Cranial Defects V.M. Goldberg, S. Stevenson, J. Feighan, et.al Non-Trabecular Metal Material Reprint / Order information order from publisher order from publisher D. Fitzpatrick, P. Ahn, T. Brown, and R. Poggie 1997 Blocks in lab test order from society Anneliese D. Heiner, Robert A. Poggie, and Thomas D. Brown 1998 Rods in lab test S.A. Hacking, J.D. Bobyn, K-K Toh, et.al Non-Trabecular Metal order from publisher Material T.J. O Keefe, R.C. Cohen, R.A. Averill, et.al Non-Trabecular Metal Material order from association Yongde Zhang, Peter B. Ahn, Daniel C. Fitzpatrick, Anneliese D. Heiner, Robert A. Poggie, and Thomas D. Brown 1999 Blocks in lab test order from publisher J.D. Bobyn, G.J. Stackpool, S.A. Hacking, M. Tanzer, J.J. Krygier 1999 Plugs in canine study J. Dennis Bobyn, Kai-Kai Toh, S. Adam Hacking, Michael Tanzer, and Jan J. Krygier 1999 Monoblock-cup J.D. Bobyn, S.A. Hacking, S.P. Chan, K-K Toh, J.J. Krygier, and M. Tanzer 1999 summary of many studies S.A. Hacking, J.D. Bobyn, K.-K.Toh, M. Tanzer, J.J. Krygier 2000 Plugs in canine study James B. Stiehl, Kenneth St. John, Richard Afflitto, and Robert A. Poggie 2001 Monoblock-cup order from association David G. Lewallen 2002 Monoblock-cup and augments order from institution C. Wigfield, J. Robertson, S. Gill & R. Nelson 2003 Cervical components order from publisher Charles L. Nelson, Jess H. Lonner, Ashkan Lahiji, Jane Kim, and Paul A. Lotke 2003 Patellar component S. David Stulberg 2003 Knee revision order from publisher Randall J. Lewis, Anthony S. Unger, Thomas J. O Keefe, and Thomas Gruen 2003 Monoblock-cup order from association T.J. O Keefe, R.J. Lewis, A.S. Unger 2003 ProxiLock Femoral Hip Stem Non-Trabecular Metal Material order from association Alexandre Nehme, David G. Lewallen, and Arlen D. Hanssen 2004 Revision shell and augments Sam Nasser and Robert A. Poggie 2004 Patellar component S. David Stulberg 2004 Knee revision order from association Thomas Gruen, Michael Christie, Vincent Eilers, Arlen Hanssen, David Lewallen, Randall Lewis, Thomas O Keefe, David Stulberg, Charles Sutherland, Anthony Unger, and Robert Poggie 2004 Monoblock-cup order from association Sam Nasser and Robert A. Poggie 2004 Patellar component order from association Florio, Poggie, Sidebotham, Lewallen, and Hanssen 2004 Monoblock-tibia order from society Thomas A. Gruen, Robert A. Poggie, David G. Lewallen, Arlen D. Hanssen, Randall J. Lewis, Thomas J. O Keefe, S. David Stulberg, and Charles J. Sutherland 2005 Monoblock-cup
5 Trabecular Metal Primary Hip Prosthesis Quick-Reference Guide Addressing Common Surgeon Concerns and/or Stem Philosophies 23.5 Neck Resection 40 Neck Resection Initial Fixation: Scratch fit of Trabecular Metal material Press-fit area of the 14 proximal A/P Taper Increased proximal bone support from the 23.5 neck cut Rotational Stability: Increased proximal bone support from the 23.5 neck cut Press-fit area of the 14 proximal A/P Taper Scratch fit of Trabecular Metal material Biologic ingrowth potential of Trabecular Metal material Subsidence Prevention: Press-fit of the 14 proximal A/P Taper Greater taper angle Scratch fit of Trabecular Metal material Biologic ingrowth potential of Trabecular Metal material Stress Shielding: Press-fit of the 14 proximal A/P Taper promotes proximal loading Biologic ingrowth potential of Trabecular Metal material promotes proximal loading The A/P Relief helps avoid mid-stem loading, which promotes proximal loading Basic stem geometry promotes proximal loading Long-term Fixation: Biologic ingrowth potential of Trabecular Metal material
6 Instrument Recommendations Stem Part Numbers Converting a non-versys Hip Surgeon Case #1 Core Instruments (Stem Sizes 11 16) Required Kit # for Rasps, Osteotomy Guides, & Cone Provisionals Case #2 Reamers (Stem Sizes 11 16) Required Kit # for Reamers Case #3 General Instruments Required Kit # General Instruments Required Kit # for 28 and 32mm Head Trials Optional kit # for 22 and 26 Head Trials - Limited Supply Case #4 Micro Sizes (Stems 9 & 10) Optional kit # for Rasps, Osteotomy Guides, & Cone Provisionals Limited Supply Case #5 Macro Sizes (Stems 17 & 18) Optional Kit # for Reamers, Rasps, Osteotomy Guides, & Cone Provisionals Limited Supply Converting a VerSys Hip Surgeon Case # 1 Core Instruments (Stem Sizes 11 16) Required Kit # for Rasps, Osteotomy Guides, & Cone Provisionals Case #2 Reamers (stem sizes 11 16) Required Kit # for Reamers Case #3 General Instruments Not Required. Use VerSys General Instruments Already Placed Case #4 Micro Sizes (Stems 9 & 10) Optional Kit # for Rasps, Osteotomy Guides, & Cone Provisionals Limited Supply Case #5 Macro Sizes (Stems 17 & 18) Optional Kit # for Reamers, Rasps, Osteotomy Guides, & Cone Provisionals Limited Supply Please refer to package insert for complete product information, including contraindications, warnings, precautions, and adverse effects. Standard Offset Size 9 Standard Offset Size 10 Standard Offset Size 11 Standard Offset Size 12 Standard Offset Size 13 Standard Offset Size 14 Standard Offset Size 15 Standard Offset Size 16 Standard Offset Size 17 Standard Offset Size 18 Standard Offset Extended Offset Size 11 Extended Offset Size 12 Extended Offset Size 13 Extended Offset Size 14 Extended Offset Size 15 Extended Offset Size 16 Extended Offset Size 17 Extended Offset Size 18 Extended Offset Templates/Collaterals Brochure Surgical Technique Neck Resection Overlay Multimedia Overview CD Templates ML Printed in USA 2006 Zimmer, Inc. Contact your Zimmer Representative or visit us at
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