Exeter. Technical Guide
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1 Exeter Technical Guide
2 Exeter Hip System Anatomic Restoration The Exeter hip system allows interoperative changes in offset, leg length and version, all independent of one another. This flexibility facilitates true Anatomic Restoration providing improved function and outcomes. The Exeter hip has an infinite number of positions to allow a custom made fit for every patient.
3 History History
4 The Original Exeter Stem Monoblock stem Material EN58J Stainless steel 44mm offset only 29.75mm head Metal centraliser Polished finish
5 Exeter Matt Stem Monoblock stem Material 316L stainless steel Material Orthinox stainless steel mm offsets introduced Matt finish
6 Exeter Polished Stem Monoblock stem Material Orthinox stainless steel PMMA cement centraliser added Polished finish
7 Exeter Universal Stem Modular stem Material Orthinox stainless steel 5 40 spigot (non-v40 ) Heads available in Orthinox stainless steel only Polished finish
8 Exeter Universal Stem Orthinox heads are available for revisions: mm mm mm mm mm mm mm mm mm mm mm mm mm +5
9 V40 Implants V40 Implants
10 Exeter V40 Stem current Modular stem Material Orthinox stainless steel Stryker V40 spigot The benefits of the V40 spigot are: Increased range of motion Option of advance bearings
11 Exeter V40 Stem current Diameter of head Previous Exeter Stem Nominal Range of Motion (ROM) Exeter V40 Stem Increase in ROM 22.2mm mm mm mm
12 Stem length V40 Exeter general dimensions Neck angle 125 Stem length is measured from stem tip to shoulder Vertical height from centre of rotation of head to shoulder = 7.5mm Stem tips Neck length Offset Neck angle
13 V40 Exeter - offset & leg length tables Change in leg length/mm Head (neck length) Change in leg length Change in offset/mm Head (neck length) Change in offset from base offset As all Exeter stems have 125 neck angle, the combination of a V40 head makes the same change no matter which stem is used. The ability to change leg length and offset once the stem is cemented in situ gives intra operative flexibility to allow for Anatomic Restoration.
14 Exeter V40 Primary Standard Stem Range The Exeter Primary Standard stem range comprises of the 37.5, 44, 50 and 56mm offset stems. These stems are designed to allow for Anatomic Restoration for the majority of patients with all forms of arthritis.
15 Exeter V40 Primary Standard Stem Range - general dimensions Reference Description Stem length Offset Neck length EXETER V40. STEM MM N EXETER V40. STEM MM N EXETER V40. STEM MM N EXETER V40. STEM MM N EXETER V40. STEM MM N EXETER V40. STEM - 44MM N EXETER V40. STEM - 44MM N EXETER V40. STEM - 44MM N EXETER V40. STEM - 44MM N
16 Exeter V40 Primary Standard Stem Range - general dimensions Reference Description Stem length Offset Neck length EXETER V40. STEM - 44MM N EXETER V40. STEM - 44MM N EXETER V40. STEM - 44MM N EXETER V40. STEM - 50MM N EXETER V40. STEM - 50MM N EXETER V40. STEM - 50MM N EXETER V40. STEM - 50MM N EXETER V40. STEM - 50MM N EXETER V40. STEM - 56MM N EXETER V40. STEM - 56MM N
17
18 Exeter V40 DDH Stems The DDH stems have been designed to allow Anatomic Restoration during hip arthroplasty in patients with a small offset. DDH Asiatic Population Juvenile arthritis
19 Exeter V40 DDH Stems - general dimensions Reference Description Stem length Offset Neck length EXETER V40. STEM - 30MM EXETER V40. STEM - 33MM EXETER V40. STEM MM
20 Exeter V40 Short Revision Stem The short revision stem is a revision stem design to fit into an existing cement mantle with an uncompromised bone cement interface. The Exeter short revision stem can be used to: Improve acetabular exposure with stem revision Exchange a monoblock stem to give the benefits of modularity Change version to correct instability or leg length discrepancy
21 Exeter V40 Short Revision Stem - general dimensions Reference Description Stem length Offset Neck length EXETER V40 STEM - 44MM
22 Exeter V40 Long Revision Stems Available in fully tapered and distally cylindrical for use with impaction bone grafting or cement alone. The stems are designed to give bypass fixation in difficult revision cases.
23 Exeter V40 Long Revision Stem - general dimensions Reference Description Stem length Offset Neck length EXETER V40. STEM - 205MM TAPERED 37.5 N EXETER V40. STEM - 205MM TAPERED 44 N EXETER V40. STEM - 200MM 44N EXETER V40. STEM - 220MM 44N EXETER V40. STEM - 240MM 44N EXETER V40. STEM - 260MM 44N
24 Exeter V40 Stems Depth markings The iconic depth markings on the proximal part of the Exeter stem are spaced 4mm apart, when measured vertically to give a guide as the stem is inserted on the change in leg length. The markings are also on the instrumentation.
25 Exeter V40 Stems Centraliser Possibly the most important part of the Exeter total hip system. These centralisers allow the stem to subside within the cement mantle without end bearing, resulting in optimun load transfer. Available in wingless (for narrower canals) and winged variants. Made from PMMA.
26
27 Heads Heads
28 V40 Head options Orthinox Stainless steel heads. The original Exeter heads made from the same material. LFIT Cobalt chrome heads, treated with low friction ion treatment to improve smoothness, increase wetability and improve wear. The perfect bearing couple for X3.
29 V40 Head options Alumina ceramic The original ceramic offering, this can be used as a couple with the Trident ceramic liner. Delta ceramic Zirconia toughened alumina.
30 V40 Heads Stainless steel Alumina ceramic Cobalt chrome LFIT Delta ceramic 22mm (-2) (0) (0) (+3) (+3) (+8) (+8) 26mm (-3) (-3) (0) (0) (+4) (+4) (+8) (+8) 28mm (-3) (-2.7) (-4) (-4) (0) (0) (0) (-2.7) (+4) (+4) (+4) (0) (+6) (+8) (+4) (+8)
31 Stainless steel Alumina ceramic Cobalt chrome LFIT Delta ceramic 30mm (-4) (0) (+4) 32mm (-4) (-4) (-4) (-4) (0) (0) (0) (0) (+4) (+4) (+4) (+4) (+8) (+8) 36mm (-5) (-5) (-5) (-5) (-2.5) (0) (0) (0) (0) (2.5) (+5) (+5) (+5) (+5)
32 Stainless steel Alumina ceramic Cobalt chrome LFIT Delta ceramic 40mm (-4) (0) (+4) 44mm (-4) (0) (+4)
33
34 This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. The information presented is intended to demonstrate the breadth of Stryker product offerings. A surgeon must always refer to the package insert, product label and/or instructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Exeter, Orthinox, V40, X3. All other trademarks are trademarks of their respective owners or holders. Literature Number: MTXEXETG01 MTX/GS 06/09 Copyright 2009 Stryker Stryker SA Cité-Centre Grand-Rue Montreux Switzerland t : f :
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