HIP CONTINUUM OF CARE. Trauma and Joint Reconstruction Hip Portfolio

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1 HIP CONTINUUM OF CARE Trauma and Joint Reconstruction Hip Portfolio

2 TABLE OF CONTENTS HIP CONTINUUM OF CARE Overview 4 Portfolio Highlight 6 PRODUCT SOLUTIONS Pelvic Fractures 10 Femoral Neck Fractures 12 Hip Fracture Stem 14 Proximal Femur Fractures 16 Primary Hip Systems 18 Revision Hip Systems 22 Periprosthetics 23

3 DEPUY SYNTHES THE HIP CONTINUUM OF CARE The formation of the DePuy Synthes Companies of Johnson & Johnson created an organization inspired to provide the broadest portfolio of patient care solutions worldwide. Our hip product offering provides a complete and robust continuum of care addressing the most demanding patient needs in trauma, primary and revision hip replacement. This symbiosis enables us to better serve clinicians and hospitals. We are inspired to help people return to living active and fulfilling lives. TRAUMA PRIMARY REVISION 4 DePuy Synthes Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio

4 TRAUMA PRIMARY REVISION Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio DePuy Synthes 5

5 TRAUMA PELVIS FEMORAL NECK 3.5mm Low profile Pelvic System 3.5mm Low Profile Reconstruction and Pubic Symphysis Plates Reduction Instruments Retraction Instruments 3.5 Quadrilateral Surface Plates Hip Preservation Surgery Set In-Situ Bending Instrument Set Collinear Reduction Clamp Large External Fixator-Pelvic Frame Cannulated Percutaneous Guiding System 6.5mm or 7.3mm Cannulated Screws 7.0mm Cannulated Screws Slipped Capital Femoral Epiphysis Screws Titanium Cannulated Adolescent Lateral Entry Femoral Nail Titanium Cannulated Lateral Entry Femoral Recon Nail- Ex Pediatric LCP Plate System LCP Dynamic Helical Hip System (DHHS) Universal locking Trochanteric Stabilization device (ULTSP) Dynamic Hip Screw System

6 FRACTURE STEM PROXIMAL FEMUR Titanium Trochanteric Fixation Nail System Titanium Cannulated Lateral Entry Femoral Recon Nail- Ex Reamer Irrigator Aspirator DHS Blade with TPS 4.5mm LCP System Femur Plate 4.5mm LCP System Femur Hook Plate 4.5mm or 6.5 Headless Compression Screw Cannulated Pediatric Osteotomy System

7 PRIMARY CEMENTED STEM PRIMARY STEM

8 REVISION REVISION STEM PERIPROSTHETICS Orthopeadic Cable System Trochanteric Reattachment Device 3.5mm Locking Plate Attachment

9 TRAUMA PELVIC FRACTURES 3.5mm LOW PROFILE PELVIC SYSTEM Wide range of low profile reconstruction and pubic symphysis precontoured plates Instruments for plate and screw fixation Retraction and reduction instruments 3.5 QUADRILATERAL SURFACE PLATES Plates and instruments for pelvic and acetabular surgery 11 DePuy Synthes Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio

10 PELVIC FRACTURES HIP PRESERVATION SURGERY SET Osteotomes, aluminum retractors and femoral head templates IN SITU BENDING INSTRUMENTS To adjust precontoured, reconstruction plates to match relevant patient anatomy Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio DePuy Synthes 11

11 TRAUMA FEMORAL NECK FRACTURES 6.5 / 7.0 / 7.3mm CANNULATED SCREWS Part of the cannulated screw system Fracture fixation of large bone and large bone fragments LCP DYNAMIC HELICAL HIP SYSTEM (DHHS) Single piece reamer Helix blade eliminates need for tap Helix blade assembly reduces operative time 11 DePuy Synthes Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio

12 FEMORAL NECK FRACTURES UNIVERSAL LOCKING TROCHANTERIC STABILIZATION DEVICE (ULTSP) For use with DCS/DHS and LCCP DHS Prevents rotation Provides angular stability and permits dynamization Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio DePuy Synthes 11

13 TRAUMA FRACTURE STEM SUMMIT BASIC HIP SYSTEM Press-fit and Cemented options provide intraoperative flexibility Unified instrumentation Constant neck offset Collared components help facilitate reproducible biomechanical restoration 11 DePuy Synthes Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio

14 MODULAR ENDO HEADS SELF-CENTERING BIPOLAR FEMORAL HEAD Clinical history since 1984 Ease of assembly Positive eccentricity Available for 28 or mm femoral heads Sizes ranging from 39-65mm* *39, 40, 63 and 65mm sizes are available by special order MODULAR CATHCART UNIPOLAR FEMORAL HEAD Clinical history since 1990 Neck length adjustment with tapered sleeves Ease of assembly Orthocentric design helps preserve acetabular cartilage Sizes ranging from 41-60mm Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio DePuy Synthes 11

15 TRAUMA PROXIMAL FEMUR FRACTURES 4.5mm LCP SYSTEM PROXIMAL FEMUR PLATE Anatomically contoured for lateral aspect of proximal femur Plates for left and right sides Plate length allows spanning entire diaphysis for segmental fractures TITANIUM TROCHANTERIC FIXATION NAIL SYSTEM Nailing System with Helical Blade Reduced varus collapse and bone removal due with blade option Screw option available for surgeon preference 11 DePuy Synthes Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio

16 PROXIMAL FEMUR FRACTURES REAMER IRRIGATOR ASPIRATOR Single pass reaming with reduced complication Allows for harvesting autogenous bone Removal of infected and nectrotic bone and tissue Reduces intramedullary pressure, potential for fat embolization and heat generated during reaming 4.5 / 6.5mm HEADLESS COMPRESSION SCREW Fixation of various bone and bone fragments such as: During fracture fixation Reconstruction Osteotomy Arthrodesis Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio DePuy Synthes 11

17 PRIMARY PRIMARY HIP SYSTEMS PINNACLE HIP METAL-ON-POLYETHYLENE More than 10 years of clinical history 1M+ provided for patients worldwide* Modular system allows for intraoperative flexibility based on patient need Multiple liner options allow for biomechanical restoration * Sales data on file at DePuy Orthopaedics, Inc. SUMMIT CEMENTED HIP SYSTEM Utilizes common SUMMIT system instrumentation for intraoperative flexibility Standard and High Offset options to treat wide range of patient anatomy Tapered stem design and collar provide for stability Designed to optimize cement mantle 11 DePuy Synthes Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio

18 ENDURANCE ALL-POLY ACETABULAR CUP SYSTEM PMMA cement spacers provide for a uniform cement mantle Available in sizes from 44mm to 60mm Compatible with 28mm and 32mm head options Simple surgical technique Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio DePuy Synthes 11

19 PRIMARY PRIMARY HIP SYSTEMS CERAMAX TOTAL HIP SYSTEM CERAMIC-ON-CERAMIC 28mm and 36mm head options Compatible with the PINNACLE Cup System TRI-LOCK BONE PRESERVATION STEM Standard and High offset stem options Available in 13 stem sizes to accommodate a wide range of patients GRIPTION Porous Coating provides a 3 dimensional fixation matrix Broach-only surgical technique 22 DePuy Synthes Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio

20 PINNACLE HIP & AltrX POLYETHYLENE CERAMIC-ON-POLYETHYLENE More than 10 years of clinical history 1M+ provided for patients worldwide* Modular system allows for intraoperative flexibility based on patient need Multiple liner options allow for biomechanical restoration CORAIL TAPERED HIP SYSTEM 1M+ provided for patients worldwide* Standard & High offset options Collared, collarless, and coxa vera versions 25+ years of worldwide clinical history * Sales data on file at DePuy Orthopaedics, Inc. Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio DePuy Synthes 22

21 REVISION REVISION HIP SYSTEMS PINNACLE HIP REVISION SHELLS Standard and Deep Profile options facilitate treatment of defects Dome and peripheral screw holes provide adjunct fixation Accommodates CoP and MoP bearing options addressing a wide array of patient activity levels Available sizes from 54mm to 80mm BIOLOX delta TS FEMORAL HEAD Titanium sleeve allows for primary and revision indications Available in 28, 32, 36, 40, and 44mm diameters Newest generation of ceramic material combines hardness and fracture toughness RECLAIM REVISION HIP SYSTEM Provides treatment options covering multiple Paprosky defect classifications Strengthened distal stem taper region with proprietary Low Plasticity Burnishing (LPB ) process 4 distal stem lengths in 16 diameters, combined with 4 proximal body lengths in 3 diameters to treat a wide range of patients 22 DePuy Synthes Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio

22 PERIPROSTHETICS GRIPTION TF POROUS COATING ACETABULAR AUGMENTS Multiple augment to cup fixation options Adjunct bony fixation using diverging locking screws Compatible with the PINNACLE Acetabular Cup System 3.5mm LOCKING ATTACHMENT PLATE Alternative to cerclage cables Low profile and anatomically contoured Arms can be cut to better fit patient anatomy Angled screw holes on each side of the plate avoid prosthesis stem 1.7mm ORTHOPAEDIC CABLE SYSTEM Cerclage solutions for general surgery Cable Tensioner with Pistol Grip Cable Cutter with Trigger Handle Cerclage Buttons, Cerclage Positioning Pins, and Crimp Positioning Pins available as cable anchoring devices for additional cable attachment options with various plates and screws Ergodynamic trigger handle instrumentation designed for one hand operation TROCHANTERIC REATTACHMENT DEVICE (TRD) Reattachment of the greater trochanter Large proximal hooks to grab the greater trochanter and secure location while resisting superiorly directed forces Small distal hooks to prevent rotation and migration Preassembled cables to aid in handling and insertion Hip Continuum Of Care Trauma and Joint Reconstruction Hip Portfolio DePuy Synthes 22

23 Limited Warranty and Disclaimer: DePuy Synthes Joint Reconstruction products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. WARNING: In the USA, this product has labeling limitations. See package insert for complete information. CAUTION: USA Law restricts these devices to sale by or on the order of a physician. Not all products are currently available in all markets. DePuy Orthopaedics, Inc. 700 Orthopaedic Drive Warsaw, IN T. +1 (800) DePuy Synthes Joint Reconstruction, a division of DOI All rights reserved. J12831A /14 2.5M

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