Wright Medical Technology, Inc Airline Road Arlington, TN phone toll-free

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1 Trademarks and Registered marks of Wright Medical Technology, Inc. Wright Medical Technology, Inc Airline Road Arlington, TN phone toll-free Wright Medical EMEA Krijgsman 86 DM Amstelveen The Netherlands +3 (0) Stock images provided courtesy of Getty Images Wright Medical Technology, Inc. All Rights Reserved. EH E

2 why think modularity? Because no two patients are alike. There is no difference on either side. Luc, speaking about the balance, stability and function of his new hip Luc, 45 World champion, Team Skydiving The last two to three months before my surgery were horrible. At one point in my life, I could physically do anything I wanted. Then I was no longer able to walk. I had a lot of ups and downs with the hip pain, but after hip surgery I can do jumps again with no pain. I don t think about my hip any more. Evelyn, 50 Motorcross racer Larry, 44 Soccer enthusiast Sana, 57 Competitive martial artist Patients treated with come in all shapes and sizes and have different stature, gender, ethnicity, and activity level. Of course, individual results vary.

3 True Anatomical Reconstruction. Never compromise. Join your stem philosophy and cup preference. Your stem philosophy. Your cup preference. Wright provides solutions to fit your surgical philosophy. Solutions that fit your patients unique anatomical needs. Whether that be cup preference or stem philosophy. Once these are seated intraoperatively, select the modular neck of your choice to connect those two philosophies and complete an anatomically accurate reconstruction. Individual offset, version, and leg length issues that could never have been addressed by a fixed neck implant are now, easily resolved. With no compromise. Backed by more than 0 years of success. Your neck choice. Intraoperative flexibility. 3 4

4 Reconstruct anatomy accurately. Don t simply replace it. Personalize each hip reconstruction. series courtesy of Peter Aldinger, MD At the center of each surgery, there s the patient and there s you. And, whatever features and benefits and limitations that THR implants present to both of you. Wright has designed a solution to eliminate obstacles previously encountered by surgeons when armed only with fixed neck stem options. Because every patient is different, allows you, the surgeon, to design an individualized, stature-specific solution for every case. Surgery is fun again. Hip Replacement: Fixed Neck Stem can be challenging to reconstruct offset Hip Reconstruction: PROFEMUR Modular Neck & Stem designed to restore proper offset 5

5 Stature. Not gender. The philosophy behind STATURE Reconstruction. 3 The fixed neck stem. A solution that time and technology has passed by. The fixed neck (a dinosaur in our industry) a one-size-fits-all solution to leg length, offset and version, is a solution whose time has come and gone. Modularity is the natural solution for patients. The practical solution for surgeons. Providing complete intraoperative flexibility where once there was none. Because it s about stature. Not gender. 3 Every patient s anatomy is unique. There are definitive differences based on individual stature. Finding a THR system that accommodates individual stature is key to accurate hip reconstruction. As the photo to the left shows, anatomic difference is not based on ethnicity, nor is not based squarely on gender. After all, you can be a large-boned female, or a slight male. It s stature. Not gender. This is the philosophy behind the STATURE Modular Hip Reconstruction system. 7 8

6 Leg Length & Offset. A key to post-op function and patient satisfaction. Make perfect x-rays. series courtesy of Peter Aldinger, MD Adjust offset and limb length. Once the cup of your choice and stem of your choice are seated, it is now up to the modular neck to connect these two philosophies. By choosing the appropriate modular neck you take control over that connection allowing you to fine-tune the hip joint reconstruction leading to optimal patient satisfaction. Adjust leg length intraoperatively Adjust offset intraoperatively Our neck holds the key. Leg length can be adjusted, intraoperatively. The appropriate modular neck of your choice allows you to also adjust the amount of offset the patient s anatomy requires. Accurate offset adjustment is key to improved hip function and works hand-in-hand with your cup philosophy to minimize risk of dislocation, postoperatively. 9 0

7 Be flexible in surgery. Fixed Neck Implant Limited intra-op flexibility may result in ligament strain or laxity Modular Neck Implant Allows antomically accurate reconstruction with no compromise Hip Replacement Hip Reconstruction

8 Version. Take control of the connection between cup and stem. You have unprecedented intraoperative flexibility to restore natural anatomy, no matter what your patient s stature. Choose the appropriate modular neck of your choice and adjust for minor variations in stem and/or cup position. Straight Necks Allow for accurate leg length adjustment Varus / Valgus Necks Move the femur closer to, or farther from, the pelvis while choosing leg length 0 8 Market Differentiation: Stature Specific Physical stature determines the bone geometry of the femur. Anthropometric data shows distinct differences in head center location and version. These differences represent more than one prosthetic head/neck length or sizing. Each unique head/neck position can only be recreated using modular components. STATURE Modular Reconstruction provides the head/neck options necessary for restoring the natural anatomy. Small Stature Large Stature 3 4

9 The perfect complement to tissue-preserving surgical techniques. Without the tissue-sparing technique from Wright, I think I would have been on crutches for weeks. Small incisions. Precise stem insertion. No soft tissue impingement. Gary, 5 Able to walk.5 miles (.4 km), unassisted, just 3 days after hip replacement surgery. Able to cycle 60 minutes a day, just weeks after hip replacement surgery. Back on the racquetball court and running, six weeks after hip replacement surgery. It was a surprise when my physical therapist asked me, how can you do that? but the real surprise was hearing my friend ask me the same question, because she had a hip replacement months earlier. (Wright s tissue-sparing technique wasn t used on his friend.) I feel bad for those who do not have the opportunity to have this great tissue-preserving procedure. A fixed neck implant is more difficult to insert into a small incision. allows simple insertion, no matter the incision size, resulting in less soft tissue damage. Individual results vary. 5 6

10 Your stem philosophy. Your neck choice. 3 Your cup preference. PROFEMUR Stems a STATURE product PROFEMUR Plasma Z Stem PROFEMUR Z Stem PROFEMUR T Stem PROFEMUR RENAISSANCE Stem PROFEMUR R Stem PROFEMUR RAZ Stem PROFEMUR LX Stem PROFEMUR X m Stem PROFEMUR TL Stem PROFEMUR E / E+ Stem PROFEMUR L Stem (available outside the U.S.) PROFEMUR Modular Necks a STATURE product. Straight: Short, Long, X-Long allows for leg length correction. Varus/Valgus Short, Long, X-Long moves femur away from, or closer to, the pelvis 80mm / 50mm. Anteverted/Retroverted Short, Long, X-Long adapts for alternate center of rotation 80mm / 50mm. Anteverted/Retroverted + Varus/Valgus Short, Long combination of both functions 40mm / 60mm Multiple Cup Options DYNASTY Acetabular Cup System CONSERVE Total Hip System with BFH Technology (also available with A-CLASS Advanced Metal Cups) LINEAGE Acetabular Cup System GLADIATOR Bipolar Hip System PROCOTYL E Acetabular Cup System PROCOTYL L Acetabular Cup System (available outside the U.S.) PROCOTYL O Acetabular Cup System (available outside the U.S.) Technology you can trust... and use. Over 50,000 modular necks sold worldwide since 985.* *Data on file with Wright. 7 8