RECLAIM REVISION HIP SYSTEM
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1 RECLAIM REVISION HIP SYSTEM Where Strength and Modularity Connect DESIGN RATIONALE
2 System Overview RECLAIM Modular Revision Hip System WHERE STRENGTH & MODULARITY CONNECT 2 Offset Options Proximal Body in 3 Diameters and 4 Lengths Variable 360 Proximal Positioning Note: Proximal body and distal stem are made of Titanium Alloy with 20 grit-blast finish Locking Bolt for Supplemental Fixation Note: Locking bolt made of Cobalt Chrome Alloy Low Plasticity Burnishing (LPB ) process halts the propagation of failure inducing cracks that often inherently occur in midmodular revision hip implants due to the taper interfaces and increases the fretting fatigue resistance of the implant by applying residual compression to the distal stem locking taper. 1 2 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
3 Advanced Strength Over 600 million cycles of testing 2 Advanced Strength 2 Advanced Fixation Advanced Instrumentation Advanced Fixation True Wagner 2.5º Taper Advanced Instrumentation Reduced Back-Table Footprint 3 and Opportunity for Increased OR Efficiency Grit-Blast Surface on Proximal and Distal Implants allows for bony apposition 2 Distal Stem in 16 Diameters and 4 Lengths with Angled Option 2.5 Taper Anti-Subsidence Geometry Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 3
4 Possible Surgical Solutions by Defect Classification The RECLAIM Modular Revision Hip System combines advancements in strength, fixation, and instrumentation to optimize the clinical experience during moderate to complex hip revision surgery. Type 1 Minor cancellous bone loss exists anterior/posterior; the metaphysis is intact. Type 2 Cancellous/cortical structural bone is absent; the metaphysis is not intact. The diaphysis has minimal damage. S-ROM Modular Hip System SOLUTION SYSTEM RECLAIM Mo 4 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
5 The Paprosky Classification is the most widely used defect classification. 4 All femoral stems listed can be used for any defect classification and may be appropriate for the situations shown below. Type 3A The diaphysis is nonsupportive due to bone loss. Distal fixation over 4 cm can be achieved near the isthmus. Type 3B The diaphysis is not intact due to severe bone loss. Distal fixation over 4 cm can be achieved at the isthmus. Type 4 The cortices in the isthmus have been eroded. Alternative femoral fixation methods must be considered. dular Revision Hip System LPS (Limb Preservation System) Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 5
6 Advanced Strength Over 600 million cycles of fatigue testing has demonstrated a superior construct strength profile 2 RECLAIM Modular Revision Hip System was mechanically tested to specifically verify the strength at each of these locations. Robust Counter Bore 2 High Strength Neck 2 Proven Lateral Wall Thickness 2 Precision-Designed Undercut Low Stress Internal Threads 2 Fortified Taper 2 Optimized Taper Transition 2 Compression-Treated Barrel Proven Splines 2 6 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
7 Locking Bolt Assembly for supplemental taper fixation REPRODUCIBLE 2,000 lb Assembly Load for optimum and consistent Locking Taper performance coupled with a fortified design to provide a 50% increase in fatigue strength. 2 PROPRIETARY Low Plasticity Burnishing (LPB ) process halts the propagation of failure inducing cracks that often inherently occur in mid-modular revision hip implants due to the taper interfaces and increases the fretting fatigue resistance of the implant by applying residual compression to the distal stem locking taper. 1 Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 7
8 Advanced Fixation Built for stability to provide surgeons with confidence in restoring patients function. 2.5 BI-PLANAR TAPER True Wagner style Distal Stem design engineered for fixation, torsional stability, and resistance to subsidence. MECHANICAL STABILITY Afforded by Grit-Blast surface treatment that also provides opportunity for bony apposition. 2 8 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
9 AXIAL AND TORSIONAL STABILITY Plateau spline design intended to engage multiple bony contact points to resist torque and subsidence. Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 9
10 Advanced Instrumentation Designed to increase speed, efficiency, and effectiveness. 11 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
11 PATENT-PENDING VERSATILITY Trialing off the reamer technology allows validation of implant sizing and 360º of version. 1. Ream 2. Trial 3. Implant Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 11
12 Size Offerings Distal Stem Size Options Proximal Body Size Options Stem Lengths (B) Straight Stem Diameters (1 mm Increments) (A) 3º Angled Stem Diameters (1 mm Increments) (A) 140 mm 14 mm - 21 mm N/A 190 mm 14 mm - 21 mm 240 mm N/A 14 mm - 27 mm 29 mm, 31 mm 16 mm - 27 mm 29 mm, 31 mm Heights (C) 75 mm Blue 85 mm Green 95 mm Yellow 135º NECK ANGLE 12/14 Articul/eze Mini Taper 20 mm 24 mm 28 mm Diameter (D) Diameter (D) Diameter (D) 40 mm Offset (E) 45 mm Offset (E) 45 mm Offset (E) 290 mm N/A 18 mm - 21 mm 23 mm, 25 mm, 27 mm, 29 mm, 31 mm 105 mm Red 1.5mm head was used for offsets. E 14.5 mm Proximal Body seating height D C A B 11 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
13 Managing the Unexpected DePuy Synthes Joint Reconstruction offers a vast array of femoral and acetabular revision products for addressing the unknowns of revision surgery. Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 11
14 Hip Revision Solutions The RECLAIM Modular Revision Hip System is designed to integrate seamlessly into DePuy Synthes Joint Reconstruction s clinically proven portfolio of acetabular revision solutions. PINNACLE Hip Solutions provide the largest selection of advanced bearing technologies, biological and mechanical fixation alternatives while the GRIPTION TF Revision Augments provide advancements in fixation, material and instrumentation. RECLAIM Modular Revision Hip System combined with the PINNACLE Hip Solutions and GRIPTION TF Revision Augments provides a strong platform for treating moderate to severe revision hip defects. 11 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
15 RECLAIM Modular Revision Hip combined with PINNACLE Hip Solutions and GRIPTION TF Revision Augment. Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 11
16 References: 1. Hornbach, D, Prevey, P, Loftus, E. Application of low plasticity burnishing (LPB) to improve the fatigue performance of Ti-6Al-4V femoral hip stems. Symposium on Fatigue & Fracture of Medical Metallic Materials & Devices (LT Paper 263). Dallas, TX, Nov. 10, Data on file, DePuy Synthes Joint Reconstruction 3. Versus standard instrument kits. 4. Della Velle, Craig J., Paprosky, Wayne G. Classification and an Algorithmic Approach to the Reconstruction of Femoral Deficiency in Revision Total Hip Arthroplasty. J Bone Joint Surg Am. 2003; 85: 1-6. 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. The third party trademarks used herein are the trademarks of their respective owners. DePuy Orthopaedics, Inc. 700 Orthopaedic Drive Warsaw, IN T. +1 (800) DePuy Synthes Joint Reconstruction, a division of DOI All rights reserved (Rev. 4) 1M 11/13
Product Rationale. Where Strength and Modularity Connect
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