Section of Modular Hip Prostheses cemented. TMC-3 Modular Hip Prosthesis, cemented. TMC-3 Modular Hüftprothese, zementiert
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1 Section of Modular Hip Prostheses cemented TMC-3 Modular Hip Prosthesis, cemented TMC-3 Modular Hüftprothese, zementiert Prothèse de hanche modulaire TMC-3, cimentée Indication : The TMC-3 Modular hip prosthesis is a solution for total hip replacement namely with the concept of a hybrid system combined with distal centralizer. The form and the length of prostheses are ideal-together with distal centralizer in order to ensure self-centring. This prosthesis is design of conical wedge form with rounded edges in the proximal section corresponds with the anatomical and biomechanical requirements. These are, retention and utilisation of the morphology of the intertrochanteric region with resultant rotatory stability, self centering and a favourable zone for cementing. The main part of the cement mantle is subject to compressive forces. Tensile forces are restricted to the lateral shoulder where the cement merely has the function of a filling material. The implant does not have any sharp edges, as a result of which stress concentrations and resultant cement cracks are avoided. This prosthesis consist of an appropriate number of stem sizes which enable one to obtain the filling of the medullary canal. Furthermore, an optimum thickness of the cement layer can also be achieved. Tapered distal design helps reduce strains in the cement as compared to conventional stem. Also cutted edge at the end of the stem avoid the pain in the distal part of femur and permit wide range of motion.this stem is mostly indicated for all cases of primary implants and all cases in which there is a contraindication for an uncemented stem. Contraindications is revision cases with extensive proximal osseous defect. The prosthesis feature has a 35º degree stem/neck angle for an anatomic reconstruction. The neck has a taper 2/4 allowing standard metal heads to be used. Material : The TMC-3 modular hip prosthesis is manufactured from casting Co.Cr-alloy according to ASTM F.75 - ISO 532/4. This alloy is characterized by demonstrating excellent biocompatibility together with a high resistance of corrosion and superiormechanical strenght. Co.Cr-alloy K mm Length L mm Cone mm Neck Angle /4 2/4 2/4 2/4 2/4 35º 35º 35º 35º 35º A-
2 Section of Modular Hip Prostheses cemented TMC-4 Modular Hip Prosthesis with collar, cemented TMC-4 Modular Hüftprothese mit Kragen, zementiert Prothèse de hanche modulaire avec collerette TMC-4, cimentée Indication : The TMC-4 modular hip prosthesis with collar is a solution for total hip replacement namely with the concept of a hybrit system combined with distal centralizer. This prosthesis is designed to provide an anatomic precise fit.the presence of a broad medial collar together with a precise calcar preparation, allows excellent collar/calcar contact for load distribution and cement pressurization. A collarless version is also available (TMC-3) for clinical application where a collared prosthesis is inappropriate. Tapered distal design helps reduce strain in the cement as compared to conventional stem and cutted edge at the end of the stem avoid the pain at the distal part of the femur and permit wide range of motion. The form and the length of prosthesis are ideal - together with distal centralizer. This prosthesis is used for pirimary total hip arthroplasty when a collared design is preferred. Modular femoral heads available in diameters 2 mm with three different neck sizes S-M-L. Various stem size with interchangeable heads options enabling the surgeon to select the best combination for the long-term satisfactory result. The prosthesis feature has a 35º degree stem/neck angle for an anatomic reconstruction. The neck has a taper 2/4 allowing standard metal heads to be used. Material : The TMC-4 modular hip prosthesis is manufactured from casting Co.Cr-alloy according to ASTM F.75 - ISO 532/4. This alloy is characterized by demonstrating excellent biocompatibility together with a high resistance of corrosion and superiormechanical strenght. Co.Cr-alloy K mm Length L mm Cone mm Neck Angle /4 2/4 2/4 2/4 2/4 35º 35º 35º 35º 35º A-2
3 Cement Plug for TMC-3 / TMC-4 Indication : Reduced the potential for distal migration of bone cement within the medullary canal during prosthetic implantation, thus enhancing the chance for lateral displacement of bone cement and trabecular interstitial penetration. Firmly anchored at the desired depth within the medullary canal via the wedging action of 6-7 rows of circumferential fins. Material : UHMWPE Ultra Heavy Molecular Weight Polyethylyene meets ASTM F.64 and ISO 534/2 standards. Selected for its, high degree of purity, good biotolerance, good mechanical performance and friction properties Distal Centralizer for TMC-3 / TMC-4 Indication : The distal centralizer with a three point - star configuration, helps improve cortical diaphyseal contact and stem alignment. Material : PMMA Polymethylmethacrylate Combining 6 mm stem mm stem 0 mm stem 2 mm stem 4 mm stem A-3
4 TMC-3 / TMC-4 Modular Hip Prosthesis Complete Instrumentation Set : Ref.Number Description Pieces Ref.Number Description Pieces T-Handle Medullary Awl Reamer Plug for Introducing Rod Plug for Introducing Rod Plug for Introducing Rod Plug for Introducing Rod Introducing Rod for Medullary Plug Cement Pusher Ruler Test Head ø 2 mm 2/4 Test Head ø 2 mm 2/4 Test Head ø 2 mm 2/4 Repositioning Lever Repositioning Lever Synthetic Top Repositioning Top S M L ø Rasp Bar Modular Rasp Handle Rasps Rasps Rasps Rasps Rasps Handle for Setting Device Impactor Impactor & Extractor Femoral Head Extractor Curved Chisel Straight Chisel Gauge for Femoral Head A-4
5 Prosthesis Rasp Modular Rasp Handle Medullary Awl Reamer Test Heads Rasp Bar S M L Handle for Setting Device T-Handle Gauge For Femoral Head Straight Chisel Curved Chisel A-5
6 Impactor & Extractor Impactor Ruler Cement Pusher Repositioning Lever Repositioning Lever Synthetic Top Repositioning Top Plug for Introducing Rod Femoral Head Extractor Introducing Rod for Medullary Plug A-6
7 Section of Modular Hip Prostheses cemented TAU-2 Anatomical Modular, cemented TAU-2 Anatomische Modular Schaft, zementiert Tige anatomic modulaire TAU-2, cimentée Indication : The TAU-2 Anatomical modular cemented hip prosthesis system is designed to improve initial fixation stability and stress distribution at fixation interfaces, enchanging long-term fixation durability. The cervico-diapyseal angle of 35º is closed to resulting force of mechanical axis of the femur and limits varus stresses. Optimal fit and fill of metaphysis in all three planes ensures perfect rotational stability. Diaphyseal part with anatomic anterior curvature ensures proper centring of the stem in the medullary canal. sizes right & left femoral stem components are proportional to the physiological shape of the proximal femur to improve initial fixation stability and stress distribution at fixation interfaces. Three dimensional interlock grit blast on the proximal area of prosthesis improve mechanical properties of cement and stress distribution at the fixation interfaces. Material : It is manufactured from casting Co.Cr-alloy according to ASTM F.75 - ISO 532/4. This alloy is characterized by demonstrating excellent biocompatibility together with a high resistance of corrosion and superiormechanical strenght. Co.Cr-alloy K mm Length L mm Cone Side /4 2/4 2/4 2/4 2/4 2/4 2/4 2/4 Right Right Right Right Right Right Right Right /4 2/4 2/4 2/4 2/4 2/4 2/4 2/4 Left Left Left Left Left Left Left Left A-9
8 TAU Anatomical Modular Compete Instrumentation Set : Ref.Number Description Pieces Ref.Number Description Pieces Conical Test Head ø2 mm 2/ Conical Test Head ø2 mm 2/ Conical Test Head ø2 mm 2/ Bone Hook Blunt Hohmann Extractor Hohmann Extractor Curved Chisel Straight Chisel Guj Curette Curette Spoon Curette Femoral Head Extractor Femoral Head Impactor Impactor Gauge for Femoral Head S M L No. No Rasp Bar Modular Rasp Handle Anatomical Rasp (Right) Anatomical Rasp (Right) Anatomical Rasp (Right) Anatomical Rasp (Right) Anatomical Rasp (Right) Anatomical Rasp (Left) Anatomical Rasp (Left) Anatomical Rasp (Left) Anatomical Rasp (Left) Anatomical Rasp (Left) Medullary Awl Reamer A-0
9 Anatomical Rasp (Left) Anatomical Rasp (Right) Rasp Bar Modular Rasp Handle Bone Hook Blunt Gauge For Femoral Head Straight Chisel Curved Chisel A-
10 Guj Curette Femoral Head Impactor Spoon Curette Curette Hohmann Retractor Hohmann Retractor Femoral Head Extractor Impactor Medullary Awl Reamer Test Heads S M L A-2
11 Section of Modular Hip Prostheses cemented Leinbach Hip Prosthesis, cemented Leinbach Hüftprothese, zementiert Prothèse de Leinbach, cimentée Indication : The Leinbach hip prosthesis can be used as a salvage procedure when a collapse of bone neck structure has occured. It is a procedure in compensating for bone loss. A slightly thicker and longer stem affords stability. The proshesis feature has a 35º degree stem/neck angle for an anatomic reconstruction. The neck has a taper 2/4 to accept a variety of head components. Three different length of stem available. Material : The Leinbach hip prosthesis is manufactured from certified Stainless steel according to ASTM F.3 - ISO 532/. Co.Cr-alloy according to ASTM F.75 - ISO 532/4 Stainless Steel Co.Cr-alloy Cone Length L mm s /4 2/4 2/ Short Medium Long A-37
12 Leinbach Hip Prosthesis Complete Instrumentation Set : Ref.Number Description Pieces Ref.Number Description Pieces Bone Hook Blunt Hohmann Extractor Hohmann Extractor Curved Chisel Straight Chisel Guj Curette Curette Spoon Curette Impactor T-Handle Rasp Bar Femoral Head Extractor Shaft Wrench for No. No Monoblock Prosthesis Rasp Monoblock Prosthesis Rasp Cup Inserting Device Femoral Head Impactor Positioning Metal Top Positioning Metal Top Gauge for Femoral Head Short Long A-3
13 Rasp Gauge For Femoral Head Short Long Positioning Metal Cup Cup Inserting Device Rasp Bar Impactor Shaft Wrench for Bone Hook Blunt A-39
14 Spoon Curette Curette Guj Curette Femoral Head Impactor Femoral Head Extractor T-Handle Straight Chisel Curved Chisel Hohmann Retractor Hohmann Retractor A-40
15 Section of Modular Hip Prostheses cemented Modular Straight, cemented Modular Geradschaft, zementiert Tige droite modulaire, cimentée Indication : The modular straight stem hip prosthesis is designed to be used as a primary and revision total hip. The 4 stem sizes allow accurate matching of prosthesis to the medullary canal. The prosthesis offers dual fixation by combinig the locking effect of a stem to bone contact, plus minimal bone cement support. May be used in conjuction with modular head cone 2/4 and polyethylene acetabular components for total articular replacement. Material : Certified Stainless Steel according to ASTM F.3 ISO 532/. Available in titanium according to ASTM F.36 ISO 532/3 and Co.Cr-alloy according to ASTM F.75 - ISO 532/4 Stainless Steel Titanium Co.Cr-alloy K mm Cone mm Length L mm /4 2/4 2/4 2/ A-4
16 Section of Modular Hip Prostheses cemented Modular Long Straight, cemented Modular Lang Geradschaft, zementiert Tige droite modulaire long, cimentée Indication : The modular long straight stem hip prosthesis allows for an increase in cross-sectional stem dimensions to more proportionately fill the intra-medullary canal and ensure implant stability. The stem can be used in either primary or revision cases where bone dimensions are too large for the standard primary hip. May be used in conjuction with modular head and polyethylene acetabular components for total articular replacement. Material : Certified Stainless Steel according to ASTM F.3 ISO 532/. Available in titanium according to ASTM F.36 ISO 532/3 and Co.Cr-alloy according to ASTM F.75 - ISO 532/4 Stainless Steel Titanium Co.Cr-alloy K mm Cone mm Length L mm /4 2/4 2/4 2/ /4 2/4 2/4 2/ /4 2/4 2/4 2/ /4 2/4 2/4 2/ A-42
17 Modular Straight Complete Instrumentation Set : Ref.Number Description Pieces Ref.Number Description Pieces Bone Hook Blunt Bone Hook Sharp Hohmann Extractor Hohmann Extractor Curved Chisel Straight Chisel Guj Curette Curette Spoon Curette Impactor T-Handle Rasp Bar Femoral Head Extractor Shaft Wrench for No. No Monoblock Prosthesis Rasp Monoblock Prosthesis Rasp Monoblock Prosthesis Rasp Monoblock Prosthesis Rasp Cup Inserting Device Femoral Head Impactor Positioning Metal Top Positioning Metal Top Positioning Metal Top Gauge for Femoral Head A-43
18 Rasp Positioning Metal Cup Cup Inserting Device Rasp Bar Impactor Shaft Wrench for Bone Hook Sharp Bone Hook Blunt A-44
19 Spoon Curette Curette Guj Curette Femoral Head Impactor Femoral Head Extractor T-Handle Straight Chisel Curved Chisel Hohmann Retractor Hohmann Retractor Gauge for Femoral Head A-45
20 Section of Modular Hip Prostheses cemented CDH Modular Straight, cemented CDH Modular Geradschaft, zementiert Tige droite modulaire CDH, cimentée Indication : It is cemented total hip prosthesis. CDH prosthesis is adapted to the narrow condition in the proximal medullary canal. Fixation is achieved by self-locking of the largest possible stem into the medullary cavity and using bone cement. The modular CDH staight stem hip prosthesis is designed for using detachable head for total hip replacement as well. This prosthesis combines the self-locking feature with the versalitiy of detachable heads with ø22 mm - 2/4 cone. 3 size of heads available (S-M-L). Detachable heads mean different sizes may be fitted without removing entire unit and enabling the surgeon to select the most appropriate implants for each individual procedure.the CDH straight stem with modular head has been used in combination with a ultra-high molecular weight (U.H.M.W.P.E.) polyethylene acetabular cup provides for an exceptionally stable total hip replacement. Cups to be used : Polyethylene acetabular cup diam. 22 mm. See page A-64 Heads to be used : Metal stainless steel or Co.Cr-alloy heads diam. 22mm. See page A-62 Material : The modular CDH straight stem is manufactured from titanium Ti6AL4V Alloy according to ASTM F.36 - ISO 532/3 Titanium K mm Length L mm Cone mm /4 2/4 2/4 2/4 2/4 A-46
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