Answer. Hip System Design Features:

Transcription

1 Table of Contents Alliance Revision Balance Stanmore Bio-Moore II Taperloc Mallory-Head P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: Form No. Y-BMT-812/051503/H

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3 Answer Design Features: Forged cobalt chrome approximately twice the fatigue strength of cast CoCr. Interlok finish enhances cement-to-implant bonding. 3 bi-planar taper to promote compressive loading vs. shear of the cement mantle. Integrated A/P spacers to centralize proximally to allow for uniform cement mantle. PMMA distal centralizer to guard against varus or valgus positioning. Lateralized option Morse taper is shifted 6mm medially without altering leg length. Duckbill collar stresses the medial calcar and helps prevent subsidence of the stem. Reduced medial aspect allows for a 3.5mm proximal/medial cement mantle. Alliance instrumentation. The Answer is marketed for use with bone cement in the United States. Answer, Alliance and Interlok are registered trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

4 Answer Answer Femoral Components Answer Distal Stem Positioners Lateralized x 125mm 11 x 135mm 13 x 145mm 15 x 155mm 17 x 165mm mm 10mm 11mm 12mm 13mm 14mm 15mm 16mm 17mm 18mm 19mm 20mm

5 Bi-Metric Head/Neck Design Features: Forged cobalt chrome approximately twice the fatigue strength of cast CoCr. Interlok finish enhances cement-to-implant bonding. 3 bi-planar taper to promote compressive loading vs. shear of the cement mantle. Lateral flange holes for reattachment of trochanter. PMMA distal centralizer guards against varus or valgus positioning. Medial keel for rotational stability. 34, 45, 55mm resection levels 9, 11, 13 and 15mm diameters. 150mm, 200mm and 250mm lengths. Alliance instrumentation. The Bi-Metric Head/Neck is marketed for use with bone cement in the United States. Bi-Metric, Interlok and Alliance are registered trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

6 Bi-Metric Head/Neck 150mm mm x 34 x 150mm 11 x 34 x 150mm 13 x 34 x 150mm 9 x 45 x 150mm 11 x 45 x 150mm 13 x 45 x 150mm 9 x 55 x 150mm 11 x 55 x 150mm 13 x 55 x 150mm 9 x 34 x 200mm 11 x 34 x 200mm 13 x 34 x 200mm 15 x 34 x 200mm 9 x 45 x 200mm 11 x 45 x 200mm 13 x 45 x 200mm 15 x 45 x 200mm 9 x 55 x 200mm 11 x 55 x 200mm 13 x 55 x 200mm 15 x 55 x 200mm 250mm Left PMMA Centering Sleeves mm Right 7mm 9mm 11mm 13mm 15mm 17mm x 34 x 250mm 11 x 34 x 250mm 13 x 34 x 250mm 15 x 34 x 250mm 9 x 45 x 250mm 11 x 45 x 250mm 13 x 45 x 250mm 15 x 45 x 250mm 9 x 55 x 250mm 11 x 55 x 250mm 13 x 55 x 250mm 15 x 55 x 250mm

7 Bi-Metric X-Series Porous Primary Design Features: Net-forged Ti alloy provides precise and consistent development of hip implants and related instrumentation. Proximal 1/3 PPS coated. 3 bi-planar taper. Collared in standard offset with neck angle of 140. Non-collared in standard offset with neck angle of 135 and 130 for lateralized option. Offset option increases proportionally based on stem size (5 9mm of additional offset). Medialized insertion hole. HA option over porous plasma spray. Use only with Exact Alliance Instrumentation. Bi-Metric, Alliance, Exact and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

8 Bi-Metric X-Series Porous Primary Non-Collared Part No. Collared Part No. Collarless Lat. Part No. HA* Standard HA* Lateralized X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X x 115mm 8 x 120mm 9 x 125mm 10 x 130mm 11 x 135mm 12 x 140mm 13 x 145mm 14 x 150mm 15 x 155mm 16 x 160mm 17 x 165mm 18 x 170mm 19 x 175mm 20 x 180mm 21 x 185mm X X X X X X X X X X X X X X X X X X X X X X X X X X X X X mm 8mm 9mm 10mm 11mm 12mm 13mm 14mm 15mm 16mm 17mm 18mm 19mm 20mm 21mm * HA offered in collarless option only.

9 Bio-Groove HA Design Features: Forged Ti alloy. Interlok finish enhances cement-to-implant bonding. Proximal 1/3 HA coated (Hydroxyapatite) promotes bony ingrowth in the HA coated grooved surface. 3 bi-planar taper. 50 micron coating of HA. Large V shaped grooves on proximal 1/3 promotes bony interdigitation. Collarless. Alliance instrumentation. Bio-Groove, Interlok and Alliance are registered trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

10 Bio-Groove HA x 115mm 8 x 120mm 9 x 125mm 10 x 130mm 11 x 135mm 12 x 140mm 13 x 145mm 14 x 150mm 15 x 155mm 16 x 160mm 17 x 165mm 18 x 170mm 19 x 175mm

11 Hip Fracture Design Features: Forged cobalt chrome approximately twice the fatigue strength of cast CoCr. Interlok finish enhances cement-to-implant bonding. 3 bi-planar taper to promote compressive loading vs. shear of the cement mantle. Duckbill collar stresses medial calcar and helps prevent subsidence. 140 neck angle. Can be cemented or press-fit. If press-fitting, special gold-nitrided Hip Fracture broaches must be used. Sizing is one-to-one. Example: If you template to a 10, ream and broach to a 10. If you are cementing, implant an 8mm stem. If you are press-fitting, implant a 10mm stem. PMMA centering sleeve centralizes stem within the canal. Alliance instrumentation. Interlok and Alliance are registered trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

12 Hip Fracture Hip Fracture Femoral Components Broach PMMA Centering Sleeve mm 10mm 12mm 14mm 16mm 18mm

13 Integral Centralizer* Design Features: Forged cobalt chrome approximately twice the fatigue strength of cast CoCr. Interlok finish enhances cement-to-implant bonding. 3 bi-planar taper to promote compressive loading vs. cylindrical designs. Integrated A/P and medial spacers allow for centralized placement and an even cement mantle. Cobra flare for cement pressurization. Duckbill collar stresses medial calcar and helps prevent subsidence of stem. PMMA distal centralizer for more consistent cement mantle. Alliance instrumentation. 99.3% survivorship at mean follow-up of 7 years (Bankston; Total Joint and Sports Medicine Symposium, 2001). *Also offered in a lateralized version where the Morse taper is shifted 6mm medially. When using the lateralized option, the offset is increased, thereby tightening soft tissues without affecting leg length. Integral, Interlok and Alliance are registered trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

14 Integral Centralizer Integral Femoral Components Distal Stem Positioners Lateralized x 125mm 11 x 135mm 13 x 145mm 15 x 155mm 17 x 165mm mm 10mm 11mm 12mm 13mm 14mm 15mm 16mm 17mm 18mm 19mm 20mm

15 Integral X-Series Porous Primary Design Features: Net-forged Ti alloy provides precise and consistent development of hip implants and related instrumentation. Extended level of PPS coating (tuxedo tail) creates a tight circumferential scratch-fit that provides initial stability. 3 bi-planar taper. 140 neck angle (both standard and lateralized). Broad lateral shoulder for rotational stability to promote compressive loading. Porous coated duckbill collar stresses the medial calcar and helps prevent subsidence of the stem. Also offered in a reduced proximal profile (RPP) option to fit the stove pipe femur. Exact RPP broaches (nitrided black) must be used. Use only with Exact Alliance Instrumentation. Integral, Alliance, Exact and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

16 Integral X-Series Porous Primary X X X X X X X X X X X X X X X Lateralized X X X X X X X X X X X X X X x 115mm 8 x 120mm 9 x 125mm 10 x 130mm 11 x 135mm 12 x 140mm 13 x 145mm 14 x 150mm 15 x 155mm 16 x 160mm 17 x 165mm 18 x 170mm 19 x 175mm 20 x 180mm 21 x 185mm

17 Osteocap rs Design Features: Forged Ti alloy. Circumferential PPS coating on proximal 1/3 and under conical collar. 30 proximal geometry for optimum physiological stress transfer coupled with a 3 bi-planar taper. Distal coronal slot to reduce stem stiffness and minimize distal point loading. Four distal flutes enhance rotational stability. 135 neck angle. rs (Reduced Stiffness). Alliance instrumentation. Must use cylindrical reamers, conical reamers, necks and reduced proximal profile (RPP) broaches. The Osteocap rs is marketed for noncemented use in skeletally mature patients undergoing primary hip replacement surgery as a result of noninflammatory degenerative joint disease. Osteocap rs, Alliance and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

18 Provisional Number Osteocap rs 9 x 145mm 10 x 150mm 11 x 150mm 12 x 155mm 13 x 155mm 14 x 160mm 15 x 160mm 17 x 165mm

19 Progressive Design Features: Forged Ti alloy. Proximal 40% circumferential PPS coating, while remainder of stem is polished. Bi-planar taper proximal 2/3 of implant. Cylindrical distally with multiple distal splines providing increased rotational stability. 130 neck angle. 10 anteverted neck to aid in replicating normal anatomies. Duckbill collar with porous coating on the bottom of the collar. Distal coronal slot on sizes 11 and above. Alliance instrumentation with combination reamers. Progressive, Alliance and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: Form No. Y-BMT-812/051503/H

20 Right Left Progressive 9 x 125mm 10 x 130mm 11 x 135mm 12 x 140mm 13 x 145mm 14 x 150mm 15 x 155mm 16 x 160mm 17 x 165mm

21 Rx 90 Smooth Design Features: Forged cobalt chrome approximately twice the fatigue strength of cast CoCr. Smooth satin finish (17 Ra). 3 bi-planar taper to promote compressive loading vs. shear of the cement mantle. Reduced medial collar provides optimal calcar support. Integrated PMMA proximal spacers located on the medial, anterior and posterior aspects. Large cement mantle 3.5mm proximal medially, 2.5mm proximal laterally. PMMA distal centralizers are available in 1.5mm (standard) or 2.5mm (large) sizes. 140 neck angle. Available in lateralized option Morse taper is shifted 6mm medially without altering leg length. Alliance instrumentation. The Rx 90 Primary is marketed for use with bone cement in the United States. Rx 90 and Alliance are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

22 Rx 90 Smooth Rx 90 Smooth Femoral Components Rx 90 Smooth Cement Spacers Standard Lateralized 1.5mm 2.5mm x 125mm 11 x 135mm 13 x 145mm 15 x 155mm 17 x 165mm mm 11mm 13mm 15mm 17mm

23 Balance Design Features: Forged Ti alloy. Proximal 40% PPS coating for enhanced bone ingrowth. 3 bi-planar taper promotes compressive loading. 5 proximal anterior build-up for maximum A/P fill. 5 anteverted neck, right and left specific, aids in replicating normal anatomies. 135 neck angle. Middle 1/3 Interlok finish and distal 1/3 is satin finish. Simple ream only surgical technique. The Balance is marketed for non-cemented use in skeletally mature patients undergoing primary hip replacement surgery as a result of noninflammatory degenerative joint disease. Balance, Interlok and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

24 Balance Provisional Number Provisional Number x 140mm Rt 7 x 140mm Lt 8 x 145mm Rt 8 x 145mm Lt 9 x 150mm Rt 9 x 150mm Lt 10 x 155mm Rt 10 x 155mm Lt 11 x 160mm Rt 11 x 160mm Lt 12 x 165mm Rt 12 x 165mm Lt 13 x 170mm Rt 13 x 170mm Lt 14 x 175mm Rt 14 x 175mm Lt 15 x 180mm Rt 15 x 180mm Lt 16 x 180mm Rt 16 x 180mm Lt 17 x 180mm Rt 17 x 180mm Lt 18 x 180mm Rt 18 x 180mm Lt Slots in distal portion of implant begin at size 16mm x 180mm Rt 19 x 180mm Lt 20 x 180mm Rt 20 x 180mm Lt

25 Bio-Moore II Design Features: Forged Ti alloy. Interlok finish enhances cement-to-implant bonding. Type I Morse taper. I-beam design for rotational stability. Incorporates a lateral fin for rotational stability. Offered in solid or fenestrated options. Can press-fit or cement solid components, and can ONLY press-fit fenestrated components. Needs taper inserts for use with Endo II heads (5 neck lengths: -6, -3, Std., +3, and +6mm). Compatible with all Biomet acetabular components. Bio-Moore, Interlok and Biomet are registered trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

26 Bio-Moore II Solid Fenestrated x 165mm 12 x 165mm 14 x 165mm 16 x 165mm

27 Mallory-Head Interlok Design Features: Forged cobalt chrome approximately twice the fatigue strength of cast CoCr. Interlok finish on proximal 1/3 of stem and the distal 2/3 of the stem is smooth. 3 bi-planar taper to promote compressive loading vs. cylindrical designs. Duckbill collar anchors the implant to the bone and directs the cement to the distal canal. Distal I-beam channel resists rotational forces. Two 20 ribs located proximally on the anterior and posterior sides force cement medially into compression. PMMA centering sleeve used distally for central alignment in the canal. Mallory-Head cemented instrumentation. The Mallory-Head Interlok is marketed for use with bone cement in the United States. Mallory-Head and Interlok are registered trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

28 Mallory-Head Interlok PMMA Centering Sleeve /7 x 135mm 7 x 140mm 9 x 150mm 11 x 160mm 13 x 170mm 15 x 180mm mm 9mm 11mm 13mm 15mm

29 Mallory-Head Porous Primary Design Features: Forged Ti alloy. PPS (Porous Plasma Spray) coating on proximal 1/3 of stem, middle 1/3 of stem is roughened Interlok finish, and distal 1/3 is smooth finish. Dual tapered geometry provides a lateral to medial taper and a 3 included taper from proximal to distal. Proximal finned geometry designed to minimize rotation due to torsional loads. Standard 136 neck angle; lateralized 131 neck angle. Offset option increases proportionately based on stem size (6 8mm of additional offset). Provides quadrilateral fixation via: Lateral fin, anterior fin, posterior fin, and medial contact. HA option over PPS coating. 99.5% survivorship at 11 years (Head, et al.; Orthopedics, 1999). Mallory-Head, Interlok and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

30 Mallory-Head Porous Primary Mallory-Head Porous Primary HA x 135mm 7 x 140mm 8 x 145mm 9 x 150mm 10 x 155mm 11 x 160mm 12 x 165mm 13 x 170mm 14 x 175mm 15 x 180mm 16 x 180mm 17 x 180mm 18 x 180mm 19 x 180mm Mallory-Head Lateralized Porous Primary HA x 150mm 10 x 155mm 11 x 160mm 12 x 165mm 13 x 170mm 14 x 175mm 15 x 180mm 16 x 180mm 17 x 180mm

31 Bi-Metric Long Stem Design Features: Forged Ti alloy. Proximal 1/3 of stem PPS coated, Interlok finish distally for enhanced stability. Collar design with 2 anterior bow. Available in 200mm, 250mm and 300mm lengths (all bowed). Alliance instrumentation. The Bi-Metric Revision is marketed for use with bone cement in the United States. Bi-Metric, Interlok, Alliance and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

32 Bi-Metric Long Stem Right Left x 200mm 11 x 200mm 13 x 200mm 15 x 200mm 17 x 200mm 9 x 250mm 11 x 250mm 13 x 250mm 15 x 250mm 17 x 250mm 9 x 300mm 11 x 300mm 13 x 300mm 15 x 300mm 17 x 300mm

33 Integral 180 Design Features: Forged Ti alloy. 70% PPS coated. 3 bi-planar taper proximally to promote compressive loading, cylindrical after 100mm. Distal coronal slot to reduce thigh pain. Porous coated duckbill collar stresses the calcar and prevents subsidence. 140 neck angle. Can be used as a primary or a short revision stem. Also offered in a reduced proximal profile (RPP) option to fit the stove pipe femur (RPP broaches must be used). Alliance instrumentation. Integral, Alliance and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

34 Integral Reduced Proximal Profile x 180mm 11 x 180mm 12 x 180mm 13 x 180mm 14 x 180mm 15 x 180mm 16 x 180mm 17 x 180mm 18 x 180mm 19 x 180mm

35 Mallory-Head Interlocking Calcar Design Features: Forged Ti alloy. Titanium PPS coating proximal 40% of stem for enhanced bone ingrowth. Proximal calcar loading implant with distal interlocking screws for added fixation. Distal targeting device for accurate screw placement. Bolt/claw for reattachment of trochanter. 45mm resection level only. Useful in most severe proximal femoral bone loss. Used in proximal femoral allograft procedures for additional rotational stability. Stem length 260mm bowed, with sizes 13 19mm in 2mm increments. Utilizes 5.0mm Kaesman screws. Mallory-Head and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: Form No. Y-BMT-812/051503/H

36 Mallory-Head Interlocking Calcar Right Left x 45 x 260mm 15 x 45 x 260mm 17 x 45 x 260mm 19 x 45 x 260mm

37 Mallory-Head Long Stem Design Features: Forged Ti alloy. Porous coated on proximal 1/3, with distal 2/3 Interlok finish over anti-rotational grooves. Features the same proximal finned geometry as the primary porous implants. Lengths of 250 and 300mm bowed stems needed lengths required to bridge distal cortical defects and provide increased stability and fixation. Used in revisions where there is minor reconstruction to be done proximally with intact calcar and very little osteolysis. Mallory-Head instrumentation. The Mallory-Head Revision is marketed for use with bone cement in the United States. Mallory-Head and Interlok are registered trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: Form No. Y-BMT-812/051503/H

38 Mallory-Head Long Stem Right Left x 250mm 11 x 250mm 13 x 250mm 15 x 250mm 17 x 250mm 9 x 300mm 11 x 300mm 13 x 300mm 15 x 300mm 17 x 300mm

39 Mallory-Head Modular Calcar Proximals Design Features: Trochanteric bolts/claws/plates provide additional stability. HA option over PPS coating. Used for large defects in the calcar region with severe bone loss. Modularity allows customization via Morse taper and segmental locking screw attachment. Offers 34, 45 and 55mm resection levels (A through E bodies) to compensate for bone loss in the proximal/medial portion of the femur. Version adjustment capability with Sundial. Roller-hardened technology provides 50% stronger taper than competitive tapers. 1 1 Data on file at Biomet. Mallory-Head and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

40 Mallory-Head Modular Calcar Proximals Mallory-Head Modular Metaphyseal Segment HA Size 34A 34B 34C 34D 34E 45A 45B 45C 45D 45E 55A 55B 55C 55D 55E 65A 75A Troch Bolt/Plates Part No Lat Claw Connector Part No. CoCr Trochanteric Claw Medium Large Trochanter Bolt w/poly Plug Oblong (Mod Calcar) mm 45 55mm 50 60mm 55 65mm 60 70mm

41 Mallory-Head Modular Calcar Distals Design Features: Used for large defects in the calcar region with severe bone loss. Modularity allows customization via Morse taper and segmental locking screw attachment. Several distal lengths available to bridge distal defects (75 300mm). Coronal slot to reduce thigh pain. Impact distal stems may be utilized with the system. HA option over PPS coating (220mm and 250mm options only). Roller-hardened technology provides 50% stronger taper than competitive tapers. 1 Various plasma spray porous coating levels available: 220mm (40% to 80%), 250mm (80%), and 300mm (60%). Version adjustment capability with Sundial. Macro sizes up to 23mm and stem lengths of 350mm. 1 Data on file at Biomet. Mallory-Head, Impact and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

42 Mallory-Head Modular Calcar Distals STS Diaphyseal Segments 200mm 240mm Size mm 15mm 16mm 17mm 18mm 19mm 20mm 165mm Diaphyseal Segments 100% Coated Straight Size mm 12mm 13mm 14mm 15mm 16mm 17mm 18mm 19mm 20mm 21mm 220mm Mallory-Head Modular Diaphyseal Segments w/locking Screw 250mm mm HA 220mm HA 250mm Size 11mm 13mm 15mm 17mm 19mm 11mm 13mm 15mm 17mm 19mm 11mm 13mm 15mm 17mm 19mm % Porous 40% Porous 40% Porous 40% Porous 40% Porous 40% Porous 80% Porous 80% Porous 80% Porous 80% Porous 80% Porous 60% Porous 60% Porous 60% Porous 60% Porous 60% Porous Spiralock Segmental Locking Screw

43 Mallory-Head One-Piece Calcar Design Features: Forged Ti alloy. PPS coated on proximal 40% of stem. Porous coated keel allows transfer of rotational load to the calcar region. Has 2mm wire passage holes for reattachment of trochanter. Can use with trochanteric bolts/plates/claws. 34, 45 and 55mm resection levels offered. Lengths include 170 (straight) and 220/260mm (bowed). The long stems have a distal anterior bow to provide better stability and more closely match the femur. 99.2% survivorship up to 13 years follow-up. Only 1.1% femoral complications out of 1,179 revision hips (Head, et al.; AAHKS Meeting, 2001). Used clinically since The Mallory-Head Calcar is marketed for use with bone cement in the United States. Mallory-Head and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

44 Mallory-Head One-Piece Calcar Right Left Resection Level 34mm 34mm 34mm 34mm Resection Level 34mm 34mm 34mm 34mm 34mm 34mm 45mm 45mm 45mm 45mm 45mm 45mm 55mm 55mm 55mm 55mm 55mm 55mm Straight Stem 9 x 170mm 11 x 170mm 13 x 170mm 15 x 170mm 9 x 220mm 11 x 220mm 13 x 220mm 15 x 220mm 17 x 220mm 19 x 220mm 9 x 220mm 11 x 220mm 13 x 220mm 15 x 220mm 17 x 220mm 19 x 220mm 9 x 220mm 11 x 220mm 13 x 220mm 15 x 220mm 17 x 220mm 19 x 220mm Troch Bolt/Plates Part No. Lat. Claw Connector Part No CoCr Trochanteric Claws Medium Large Trochanter Bolt w/poly Plug Round mm 45 55mm 50 60mm 55 65mm 60 70mm

45 Modular Reach Revision Design Features: Forged Ti alloy. Titanium PPS coating for enhanced bone ingrowth. 135 neck angle. Bi-planar taper geometry. Collar and collarless proximal body. Modular system allows precise fit and fill. Six proximal body sizes. Fully interchangeable with Modular Calcar System (used with all Mallory-Head modular distal stems including STS distals). HA option over porous plasma spray. Mallory-Head, Reach and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: Form No. Y-BMT-812/051503/H

46 Modular Reach Revision Collared Collarless HA Collared HA Collarless Proximal Size 1 Proximal Size 2 Proximal Size 3 Proximal Size 4 Proximal Size 5 Proximal Size Proximal Size 1 Proximal Size 2 Proximal Size 3 Proximal Size 4 Proximal Size 5

47 PLR Splined Design Features: Forged Ti alloy. Unique spline geometry reduces stem stiffness and risk of subsidence. Anatomic neck angle 135 for added offset. One piece 270mm straight tapered stem from neck resection. Lateral holes for soft tissue reattachment. 1.5 taper extends the stemʼs entire length. Spline depth 1.5mm 2.5mm provides rotational stability. 30 grit-blast surface finish for bone ingrowth. Simple, precise instruments and trials. PLR is a trademark of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

48 PLR Splined x 270mm 15 x 270mm 16 x 270mm 17 x 270mm 18 x 270mm 19 x 270mm 20 x 270mm 21 x 270mm 22 x 270mm 23 x 270mm 24 x 270mm

49 Reach Revision Design Features: Forged Ti alloy. Stem fully coated 100% PPS coating. 3 bi-planar taper proximally to promote compressive loading, cylindrical after 100mm. Neck extended 6mm to help restore offset. Duckbill collar stresses the medial calcar and helps prevent subsidence of the stem. Stem size includes distal porous coating Example: 13mm stem size = 13mm distal diameter with porous coating. Stem lengths: 200mm straight, 200mm bowed and 250mm bowed. Ream = 0.5mm 1mm overream distal. Reach and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

50 Reach Revision Reach 200mm Straight 100% Coated Reach 200mm Bowed 100% Coated Right Left x 200mm 13 x 200mm 15 x 200mm 17 x 200mm 19 x 200mm x 200mm 13 x 200mm 15 x 200mm 17 x 200mm 19 x 200mm Reach 250mm Bowed 100% Coated Right Left x 200mm 13 x 200mm 15 x 200mm 17 x 200mm 19 x 200mm

51 Rx 90 Revision Design Features: Cobalt chrome. Proximal 40% Interlok finish, smooth distally. 3 bi-planar taper proximally to promote compressive loading cylindrical after 100mm. Duckbill collar stresses the medial calcar and helps prevent subsidence of the stem. Lateral wire holes provide for reattachment of the trochanter. Available in 200 and 250mm lengths (bowed). Alliance instrumentation. The Rx 90 Revision is marketed for use with bone cement in the United States. Rx 90, Interlok and Alliance are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

52 Rx 90 Revision Right Left x 200mm 15 x 200mm 17 x 200mm 19 x 200mm 13 x 250mm 15 x 250mm 17 x 250mm 19 x 250mm

53 Stanmore Design Features: Forged cobalt chrome approximately twice the fatigue strength of cast CoCr. Smooth satin finish (17 Ra). Unchanged design with over 30 years of clinical use. Small collar for cement pressurization. 130 neck angle. Available in standard (increased offset = 8 9mm) and straight options. Slot in top of trunion allows for rotational control during insertion. Simple starter ream and fully toothed broach surgical technique. 92% survivorship at 22 years (Deutman, JBJS 2000). The Stanmore is marketed for use with bone cement in the United States. Stanmore is a trademark of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

54 Stanmore Standard Stem Straight Stem Size Size 1 Size 2 Size 3 Size 4 Size 5 8 x 123mm 10 x 132mm 12 x 140mm 14 x 149mm 16 x 158mm Stanmore PMMA Distal Stem Positioners Size 1 Size 2 Size 3 Size 4 Size 5

55 Taperloc Design Features: Forged Ti alloy. Proximal 50% PPS coated. Neck angle 138. Available in a lateralized version post is shifted 7.6mm medially so leg length is not affected, but tissues will be tightened. Flat tapered stem. HA option over porous plasma spray. Reduced distal option (Exact reduced distal rasps/provisionals are recommended). Simple starter reamer and fully toothed broach surgical technique. 99.6% survivorship at 12 year follow-up out of 4,750 patients (Rothman; Crucial Decisions in TJR and Sports Medicine, Bermuda, 1998). The Taperloc is marketed for non-cemented use in skeletally mature patients undergoing primary hip replacement surgery as a result of noninflammatory degenerative joint disease. Taperloc and PPS are trademarks of Biomet, Inc. P.O. Box 587, Warsaw, IN Biomet, Inc. All Rights Reserved web site: biomet@biomet.com Form No. Y-BMT-812/051503/H

56 Taperloc Modular Porous Taperloc Hip HA Taperloc Hip Lateralized x 135mm 9.0 x 137mm 10.0 x 140mm 11.0 x 142mm 12.5 x 145mm 13.5 x 147mm 15.0 x 150mm 17.5 x 155mm 20.0 x 160mm 22.5 x 165mm 25.0 x 170mm Lateralized x 135mm 9.0 x 137mm 10.0 x 140mm 11.0 x 142mm 12.5 x 145mm 13.5 x 147mm 15.0 x 150mm 17.5 x 155mm 20.0 x 160mm 22.5 x 165mm 25.0 x 170mm Reduced Distal Taperloc Hip Lateralized x 145mm 13.5 x 147mm 15.0 x 150mm 17.5 x 155mm 20.0 x 160mm 22.5 x 165mm 25.0 x 170mm