Dual Mobility Cups. Kris Govaers, MD, PhD Dendermonde Belgium
|
|
|
- Mark Lyons
- 5 years ago
- Views:
Transcription
1 Dual Mobility Cups Kris Govaers, MD, PhD Dendermonde Belgium
2 Introduction Indications Limitations Conclusions
3 All good things in life come from France
4 Gilles Bousquet Rambert (SERF)
5 Inventions Bousquet - Rambert
6 Inventions Bousquet - Rambert
7 those who denigrate us don t understand a thing and we are right.
8 The risk of revision due to dislocation after total hip arthroplasty depends on surgical approach, femoral head size, sex, and primary diagnosis. An analysis of 78,098 operations in the Swedish Hip Arthroplasty Register. Hailer, Acta Orthop 2012
9
10
11
12 An increased risk of revision due to dislocation was found for the diagnoses femoral neck fracture (RR = 3.9, CI: ) and osteonecrosis of the femoral head (RR = 3.7, CI:
13 Introduction Indications Limitations Conclusions
14 Indications for dual mobility Primary THA Low demand Non compliant Femoral Neck fractures (Isolated) acetabular Revisions Revision for instability
15 Non compliant patient
16
17 Low Rate of Dislocation of Dualmobility Cups in Primary Total Hip Arthroplasty. 22 dislocations ( = 0,88 %) 15 larger articulation 7 dislodgement smaller articulaion Combes, CORR 2013
18 Conversion ORIF to THA
19 Conversion ORIF to THA
20 62Y, neglected dislocation
21
22 Fracture dislocation
23 Fracture dislocation
24 Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly Three patients (1.4%), operated through a posterior approach, presented one postoperative dislocation, all of which were posterior. Adam, Orthop Trauma Surg Res 2012
25 Relevance of a press-fit dual mobility cup to deal with recurrent dislocation of conventional total hip arthroplasty: a 29- case series. 9 previous procedures for dislocation 1 redislocation ( 3,4 % ) Saragaglia Europ journal orthop surg 2013
26 A dual-mobility cup reduces risk of dislocation in isolated acetabular revisions. dual-mobility cup reduced the risk of dislocation without increasing loosening from 2 to 5 years. Civinini, CORR 2012
27 Isolated Cup Revision
28
29 Isolated Cup Revision
30 Revision total hip arthroplasty using a reconstruction cage device and a cemented dual mobility cup. cemented fixation of dual mobility cups in cages appears to be a reliable short-term option Schneider, Orthop Traumato Surg Res, 2011
31 Isolated Acetabular Cup Revision
32 Cementation of a dual-mobility acetabular component into a wellfixed metal shell during revision total hip arthroplasty: A biomechanical validation Wegrzin, J orthop research 2013
33 Cementing dual mobility liners In conclusion, a dual-mobility acetabular component cemented into a well-fixed metal shell could constitute a biomechanically acceptable alternative to acetabular shell removal or PE liner cementation
34 Isolated Acetabular Cup Revision
35 Surgery Bone reaming Removal of (non-functional) bone, precisely as planned With 3D visualisations in mind Using bone model of the pelvis
36 Surgery a view on the posterior column Bone reaming Check with prepared bone model and trial implant Superficial local reaming, shallow depth, small bone surface area.
37 Surgery Implant insertion Insert implant. Fit along full perimeter & depth. Hammering. Check surface contact on all flanges and in depth of acetabulum. OK. Good intimate bony contact established. Unique and very stable position obtained!
38 Surgery Personalised fixation Screw planning is based on the patient s bone quality.
39 Surgery Drill Guide
40 Surgery Screw fixation Cup screws: 6.5mm spongiosa screws Flange screws: 4.5mm bicortical screws
41 Drill guide accuracy Visualization: Postoperative CT scan, with contours of planned screws in overlay (Ilium) Is it accurate? Is it useful? Is it effective? Does it save time? Does it add confidence? even cup screws (e.g. pubic ramus) can be placed without any hesitation, correctly
42 Dual-mobility cups for revision due to instability are associated with a low rate of re-revisions due to dislocation 58 prior revisions 4 re-revisions for dislocation (2 % ) Hailer Acta Orthop 2012
43 Introduction Indications Limitations Conclusions
44 Limitations Wear and osteolysis Head- liner dislocation Surgical Technique Cup stability
45
46 15 year Survival
47 Limitations Wear and osteolysis Head- liner dislocation Surgical Technique Cup stability
48 Femoral head dislodgement complicating use of a dual mobility prosthesis for recurrent instability Dislodgement during closed reduction Banzhof Journal of arthroplasty 2013
49 VDA, Female 47 Y Dysplasia Primary THA age 20 Postop brace 12 months Increasing stifness and pain
50
51
52
53 6W after index operation
54 Intraop findings
55 Measuring
56
57 Trial after stem change
58 Final construct
59
60 Limitations Wear and osteolysis Head- liner dislocation Surgical Technique Cup stability
61 Surgical Technique Primary Press fit Cup orientation Mounting femoral head in liner
62 Fixation failures of dual mobility cups: a mid-term study of 2601 hip replacements. The 8-year survival rate of press-fit, gritblasted cups was lower than that for pressfit, grit-blasted cups fixed with screws (91% versus 100%) and for tripod fixation (98%). Massini, CORR 2012
63 Dual mobility and RSA
64 Dual mobility hip arthroplasty wear measurement: Experimental accuracy assessment using radiostereometric analysis (RSA). Pineau, orthop trauma surg res 2010
65 Introduction Indications Limitations Conclusions
66 Conclusions Here to stay Learning curve Outperformes constrained liners Excellent to prevent and treat dislocation Primary THA Revision THA Long term Wear???
67 For a perfect day
Product Information. *smith&nephew POLARCUP Dual Mobility System
APPLYING SCIENCE TO MOBILITY Combined with VERILAST Technology for unmatched performance Product Information *smith&nephew POLARCUP Dual Mobility System APPLYING SCIENCE TO MOBILITY Combined with VERILAST
RECOVERY. P r o t r u s i o
RECOVERY P r o t r u s i o TM C a g e RECOVERY P r o t r u s i o TM C a g e Design Features Revision acetabular surgery is a major challenge facing today s total joint revision surgeon. Failed endo/bi-polars,
COMMERCIAL LEAFLET. Inventor of dual mobility. in Novae. range
COMMERCIAL LEAFLET Inventor of dual mobility Novae range in 1975 Novae range Novae concept SUNFIT TH The dual mobility concept was invented in 1975 by Professor Gilles BOUSQUET and the engineer André RAMBERT,
Duraloc CONSTRAINED LINER
SURGICAL TECHNIQUE Duraloc CONSTRAINED LINER A COMPREHENSIVE ACETABULAR REVISION SYSTEM DURALOC CONSTRAINED LINER Introduction Dislocation is the most common postoperative complication in total hip reconstruction.
TOTAL HIP REPLACEMENT:
THR Prosthesis Design TOTAL HIP REPLACEMENT: PROSTHESIS DESIGN FEATURES JESS JOHNSTON & MELINDA ZIETH History of Hip Prosthesis Joint Replacement Registry Implant Design Technology & Future History and
Case report: Pain L THR [ post THR 2 years; with history of trivial fall] Your Diagnosis?
![Case report: Pain L THR [ post THR 2 years; with history of trivial fall] Your Diagnosis?](/thumbs/78/78456133.jpg "Case report: Pain L THR [ post THR 2 years; with history of trivial fall] Your Diagnosis?")
Case report: Pain L THR [ post THR 2 years; with history of trivial fall] Your Diagnosis? Diagnosis: Ceramic head fracture In the 1970 s, Boutin implemented ceramic in modern total hip arthroplasty (THA).
SURGICAL TECHNIQUE. Protrusio Cage A COMPREHENSIVE ACETABULAR REVISION SYSTEM
SURGICAL TECHNIQUE Protrusio Cage A COMPREHENSIVE ACETABULAR REVISION SYSTEM Important: This essential product information does not include all of the information necessary for selection and use of a device.
CLINICAL PAPER / ORTHOPEDIC
HIP LEG LENGTH AND OFFSET Kelley T.C. and Swank M.L. (2009) Using CAS leads to more accurate positioning within the safe zone (inclination between 30 and 50, anteversion between 5 and 25 ) CAS improves
DISCLOSURE FNFX ORIF OR ARTHROPLASTY? 11/21/2016 FEMORAL NECK FRACTURES: ORIF OR ARTHROPLASTY? ROYALTIES DEPUY, BIOMET
FEMORAL NECK FRACTURES: ORIF OR ARTHROPLASTY? GEORGE HAIDUKEWYCH, MD ORLANDO, FLORIDA DISCLOSURE ROYALTIES DEPUY, BIOMET CONSULTING DEPUY, SYNTHES, BIOMET, RESPONSIVE ORTHOPEDICS STOCK OWNERSHIP ORTHOPEDIATRICS
PLR. Proximal Loading Revision Hip System
PLR Proximal Loading Revision Hip System The PLR splined revision stem is designed to recreate the natural stresses in the revised femur, where proximal bone may be compromised. PLR Hip System Design Considerations
Bone Bangalore
Dr Suresh Annamalai MBBS, MRCS(Edn), FRCS( Tr & Orth)(Edn), FEBOT(European Board), Young Hip and Knee Fellowship(Harrogate, UK) Consultant Arthroplasty and Arthroscopic Surgeon Manipal Hospital, Whitefield,
Early complications after revision total hip arthroplasty with cemented dual-mobility socket and reinforcement ring
Acta Orthop. Belg., 2012, 78, 357-361 ORIGINAL STUDY Early complications after revision total hip arthroplasty with cemented dual-mobility socket and reinforcement ring Christophe PAttyn, Emmanuel AUDEnAErt
Enhanced Stability Constrained Liners. Design Rationale Surgical Technique
Enhanced Stability Constrained Liners Design Rationale Surgical Technique The Pinnacle Acetabular Cup System was designed to maximize the number of options available to the surgeon, and provide those options
CAUTION: Ceramic liners are not approved for use in the United States.
Total Hip Prostheses, Self-Centering Hip Prostheses and Hemi-Hip Prostheses IMPORTANT: This essential product information sheet does not include all of the information necessary for selection and use of
SURGICAL TECHNIQUE CEMENTED & PRESS-FIT UNIFIED INSTRUMENTATION INTRAOPERATIVE FLEXIBILITY PROVEN BIOMECHANICS
SURGICAL TECHNIQUE CEMENTED & PRESS-FIT UNIFIED INSTRUMENTATION INTRAOPERATIVE FLEXIBILITY PROVEN BIOMECHANICS INTRODUCTION The Summit Tapered Hip System s comprehensive set of implants and instruments
The Treatment of Pelvic Discontinuity During Acetabular Revision
The Journal of Arthroplasty Vol. 20 No. 4 Suppl. 2 2005 The Treatment of Pelvic Discontinuity During Acetabular Revision Scott M. Sporer, MD, MS,*y Michael O Rourke, MD,z and Wayne G. Paprosky, MD, FACS*y
76 F: Plays tennis, lives independently, told she has weak bone
Femoral Neck Fractures In the ELDERLY What to do, when and why Frank Liporace, MD Chairman & VP, Dept of Orthopaedics Chief of Trauma & Adult Reconstruction Jersey City Medical Center / RWJ Barnabas Health
Principles of acetabular fixation in primary and revision hip arthroplasty Piotr Wojciechowski, Damian Kusz, Anna WAGNER
Principles of acetabular fixation in primary and revision hip arthroplasty Piotr Wojciechowski, Damian Kusz, Anna WAGNER Department of Orthopedics and Traumatology Medical University of Silesia Head of
Templating and Pre Operative Planning 2. Preparation of the Acetabulum 4. Trial Sizing and Impaction of the Shell 5.
Surgical Technique Contents Templating and Pre Operative Planning 2 Preparation of the Acetabulum 4 Trial Sizing and Impaction of the Shell 5 Cup Positioning 6 Joint Stability 7 Trial sizing and Impaction
Primary total hip arthroplasty after acetabular fracture using intra-acetabular bended plates
Acta Orthop. Belg., 2017, 83, 93-97 ORIGINAL STUDY Primary total hip arthroplasty after acetabular fracture using intra-acetabular bended plates Valentinas Uvarovas, Igoris Šatkauskas, Giedrius Petryla,
Prevention of dislocation after hip replacement in elderly patients. Piotr WOJCIECHOWSKI, Damian KUSZ, Mariusz NOWAK, Konrad KOPEĆ
Prevention of dislocation after hip replacement in elderly patients. Piotr WOJCIECHOWSKI, Damian KUSZ, Mariusz NOWAK, Konrad KOPEĆ Department of Orthopedics and Traumatology Medical University of Silesia
CeramTec Medical Products. BIOLOX DUO Ceramic Bipolar System. Bone-sparing joint reconstruction with a maximum range of motion
CeramTec Medical Products BIOLOX DUO Ceramic Bipolar System Bone-sparing joint reconstruction with a maximum range of motion 2 BIOLOX DUO Ceramic Bipolar System Less is more BIOLOX DUO is an alternative
The Leader in Orthopaedic Innovation
The Leader in Orthopaedic Innovation Wright is a leading international manufacturer and distributor of superior, easy to use, and innovative orthopaedic implants and instrumentation. For over 50 years,
Optimum implant geometry
Surgical Technique Optimum implant geometry Extending proven Tri-Lock heritage The original Tri-Lock was introduced in 1981. This implant was the first proximally coated tapered-wedge hip stem available
This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE
This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE CONTENTS Introduction 2 Pre-operative Planning 4 Determining the Centre of Rotation 5 Surgical Technique 6 Acetabular Preparation
*smith&nephew CONTOUR
Surgical Technique *smith&nephew CONTOUR Acetabular Rings CONTOUR Acetabular Rings Surgical technique completed in conjunction with Joseph Schatzker MD, BSc (Med.), FRCS (C) Allan E. Gross, MD, FRCS (C)
DIRECT ANTERIOR APPROACH
DIRECT ANTERIOR APPROACH JOINT REPLACEMENT PROGRAM 2301 25TH STREET SOUTH FARGO ND 58103 CENTER FOR MINIMAL INVASIVE JOINT SURGERY (p) 701-241-9300 (tf) 866-887-9300 www.jointpain.md FARGO FERGUS FALLS
ACETABULAR CUP SURGICAL TECHNIQUE
ACETABULAR CUP SURGICAL TECHNIQUE ACETABULAR CUP DEVICE INDICATIONS FOR USE The ICONACY I-Hip total hip replacement is indicated for the following conditions: 1. A severely painful and/or disabled hip
Navigation for total hip arthroplasty
Interact Surg (2008) 3: 128 134 Springer 2008 DOI 10.1007/s11610-008-0084-4 ORIGINAL ARTICLE Navigation for total hip arthroplasty O. Guyen 1,V.Pibarot 1, J. Bejui-Hugues 2,SCORGroup 1 Service de chirurgie
ADDRESSING CLINICAL ISSUES OF CEMENTLESS HIP ARTHROPLASTY
E C H E L O N P R I M A R Y H I P S Y S T E M P R O D U C T R A T I O N A L E ADDRESSING CLINICAL ISSUES OF CEMENTLESS HIP ARTHROPLASTY Echelon Primary Total Hip System HIGH OFFSET STANDARD OFFSET Cementless
*smith&nephew POLARCUP Dual Mobility System. Product Information
Product Information *smith&nephew POLARCUP Dual Mobility System Dual Mobility 30 Years of Clinical Experience Concept combining an extended ROM, a low rate of dislocation and unexpectedly limited wear.
ESC. Enhanced Stability Liners. Design Rationale & Surgical Technique
ESC Enhanced Stability Liners Design Rationale & Surgical Technique Choice Without Compromise DePuy Synthes PINNACLE Hip Solutions are designed with a wide range of acetabular cup options, biological and
Dual Mobility System Surgical technique
Trinity Dual Mobility System Surgical technique 2 Contents Operative summary 4 Overview 5 Operative technique 6 1. Acetabular reaming 6 Reamer guide 6 2. Acetabular shell trial 7 3. Acetabular shell implantation
CONGENITAL HIP DISEASE IN YOUNG ADULTS CLASSIFICATION AND TREATMENT WITH THA. Th. KARACHALIOS, MD, DSc PROF IN ORTHOPAEDICS
CONGENITAL HIP DISEASE IN YOUNG ADULTS CLASSIFICATION AND TREATMENT WITH THA Th. KARACHALIOS, MD, DSc PROF IN ORTHOPAEDICS EDITOR IN CHIEF HIP INTERNATIONAL UNIVERSITY OF THESSALIA, LARISA HELLENIC REPUBLIC
Pelvic discontinuity
THE REVISION HIP Pelvic discontinuity CURRENT SOLUTIONS J. Petrie, A. Sassoon, G. J. Haidukewych From Orlando Regional Medical Center, Florida, United States Pelvic discontinuity represents a rare but
operative technique Kent Hip
operative technique Kent Hip The Kent Hip Operative Technique The Kent Hip was developed by Mr Cliff Stossel, FRCS in Maidstone, Kent, UK and first implanted in 1986. It was designed to deal with problems
R/F. Can T-smart Tomosynthesis Improve Diagnostic Accuracy on THA Component Stability? 1. Abstract
R/F Can T-smart Tomosynthesis Improve Diagnostic Accuracy on THA Component Stability? Professor and Chair Dept. of Adult Reconstructive Surgery Beijing Jishuitan Hospital, the 4th Clinical College of PKU
CC TRIO VERSAFITCUP. Surgical Technique. each to their own. Hip Knee Spine Navigation
VERSAFITCUP CC TRIO each to their own Surgical Technique Hip Knee Spine Navigation Versafitcup CC TRIO Surgical Technique Hip Knee Spine Navigation EACH TO THEIR OWN The Versafitcup CC Trio is a range
Comparative Study of Peripheral Rim Fixation Using Jumbo Cup in Revisional Hip Arthroplasty
ORIGINAL ARTICLE Hip Pelvis 29(1): 24-29, 2017 http://dx.doi.org/10.5371/hp.2017.29.1.24 Print ISSN 2287-3260 Online ISSN 2287-3279 Comparative Study of Peripheral Rim Fixation Using Jumbo Cup in Revisional
Medical Products Division. BIOLOX DUO Ceramic Bipolar System. Bone-sparing joint reconstruction with a maximum range of motion
Medical Products Division BIOLOX DUO Ceramic Bipolar System Bone-sparing joint reconstruction with a maximum range of motion 2 BIOLOX DUO Keramisches Bipolarsystem BIOLOX DUO Ceramic Bipolar System Less
Dual mobility acetabular component in revision total hip arthroplasty for persistent dislocation: no dislocations in 50 hips after 1 5 years
J Orthopaed Traumatol (2015) 16:15 20 DOI 10.1007/s10195-014-0318-7 ORIGINAL ARTICLE Dual mobility acetabular component in revision total hip arthroplasty for persistent dislocation: no dislocations in
DIRECT SUPERIOR HIP APPROACH IN TOTAL HIP ARTHROPLASTY. Anil Thomas, MD Adult Reconstruction Peachtree Orthopedics Atlanta, GA
DIRECT SUPERIOR HIP APPROACH IN TOTAL HIP ARTHROPLASTY Anil Thomas, MD Adult Reconstruction Peachtree Orthopedics Atlanta, GA Disclosures None Direct Superior Approach History and development of the approach
This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE
This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE DePuy Synthes DURALOC Surgical Technique CONTENTS Templating and Pre Operative Planning 2 Preparation of the Acetabulum
Are You Living with. Hip Pain? MAKOplasty may be the right treatment option for you.
Are You Living with Hip Pain? MAKOplasty may be the right treatment option for you. Hip pain shouldn t keep you from doing the things you love. Understanding Common Causes of Hip Pain If you are one of
Total Hip Replacement. Find out why the Anterior Approach may be right for you.
Total Hip Replacement Find out why the Anterior Approach may be right for you. UNDERSTANDING TOTAL HIP REPLACEMENT This brochure offers a brief overview of the Direct Anterior Approach to total hip arthroplasty.
Totally Hip Preservation to Revision. Gothenburg, Sweden 29 March - 1 April 2017 WEDNESDAY 29 MARCH. Arrivals THURSDAY 30 MARCH
Totally Hip 2017 Preservation to Revision Gothenburg, Sweden 29 March - 1 April 2017 WEDNESDAY 29 MARCH Arrivals THURSDAY 30 MARCH 08:00 08:30 Welcome from the Chairmen, Co Chairmen and technical intro
DUAL MOBILITY CUP, CEMENTED OR CEMENTLESS
HIP Documentation DUAL MOBILITY CUP, CEMENTED OR CEMENTLESS >>DUAL MOBILITY ACETABULAR CUPS Dual mobility acetabular cup P r Gilles Bousquet invented the concept of dual mobility more than thirty years
Evaluating and Treating Acetabular Bone Loss with Pelvic Discontinuity
Evaluating and Treating Acetabular Bone Loss with Pelvic Discontinuity Neil P. Sheth, MD Assistant Professor of Orthopaedic Surgery Kuala Lumpur MALAYSIA July 03, 2017 Consultant Zimmer PERSONA TKA evaluation
Dual Mobility System Evaluation surgical technique
Trinity Dual Mobility System Evaluation surgical technique Contents Operative summary 4 Overview 5 Operative technique 6 1. Acetabular reaming 6 Reamer guide 6 2. Acetabular shell trial 6 3. Acetabular
28 Surgical Technique
Surgical Technique 10 12 14 16 18 20 22 24 28 26 Technique described by James L. Guyton, MD Campbell Clinic Memphis, Tennessee James W. Harkess, MD Campbell Clinic Memphis, Tennessee David G. LaVelle,
Trilogy Acetabular System
Trilogy Acetabular System Surgical Technique Versatility in a proven design Trilogy Acetabular System 1 Trilogy Acetabular System Surgical Technique Table of Contents Acetabular Reaming 2 Component Sizing
RM Philosophy Innovation based on clinical evidence.
RM Philosophy Innovation based on clinical evidence RM Philosophy Innovation based on clinical evidence Design 1973 RM Classic Cup First uncoated RM Classic Cup out of Polyacetal was inserted by E. Morscher
Design Rationale. ECHELON Primary Hip System
Design Rationale ECHELON Primary Hip System ECHELON Primary Total Hip System Addressing clinical issues of cementless hip arthroplasty Cementless total hip arthroplasty has provided a proven method of
In Vivo Dissociation Of A Dual Articulation Bearing In Revision THA -Case Report-
Chagrin Falls, Ohio, USA In Vivo Dissociation Of A Dual Articulation Bearing In Revision THA -Case Report- Edward J. McPherson, MD, FACS*, Sherif Sherif, MD* Key Words: Dual Articulation, Dual Mobility,
Arcos Modular Femoral Revision System
Arcos Modular Femoral Revision System Arcos System Simplify the Complex The Arcos Modular Femoral Revision System meets the demands of complex hip revision surgery by offering surgeons and OR staff the
The optimal timing of baseline radiostereometric analysis of uncemented press fit cups
Scandinavian Journal of Surgery 99: 244 249, 2010 The optimal timing of baseline radiostereometric analysis of uncemented press fit cups O. Wolf, J. Milbrink, S. Larsson, P. Mattsson, H. Mallmin Department
Optimizing function Maximizing survivorship Accelerating recovery
Surgical Technique Optimizing Function Maximizing Survivorship Accelerating Recovery The company believes in an approach to patient treatment that places equal importance on: Optimizing function Maximizing
PRODUCT RATIONALE & SURGICAL TECHNIQUE
This publication is not intended for distribution in the USA. PRODUCT RATIONALE & SURGICAL TECHNIQUE THE PRODUCT OF LONG-TERM CLINICAL EXPERIENCE The TRILOC cemented UHMWPE cup is a direct descendant of
WHAT IS THE BEST BONE FIXATION TYPE? 2/11/2011
WHAT IS THE BEST BONE FIXATION TYPE? 2/11/2011 A Comparison of cement vs. bone ingrowth. Thomas P. Gross, M.D. At 2 years of follow-up cemented and uncemented femoral resurfacing is equivalent. Femoral
Understanding Hip Implant Options
Understanding Hip Implant Options Cup (Socket) Bearing (Liner) Head Stem (Femur) Modern Hip Implants (Ball) Metal Femoral Head on Marathon Cross-linked Polyethylene Liner Proven materials Polyethylene
1.1 Ceramic on Ceramic Bearings Used with Proximal Modular Stems in THA K. J. Keggi, J. M. Keggi, R. E. Kennon and T. McTighe
1.1 Ceramic on Ceramic Bearings Used with Proximal Modular Stems in THA K. J. Keggi, J. M. Keggi, R. E. Kennon and T. McTighe Abstract Introduction: Osteolysis generated by wear debris remains a problem
DePuy Orthopaedics, Inc. 700 Orthopaedic Drive Warsaw, IN USA Tel: +1 (800) Fax: +1 (574)
References 1. Sanchez-Sotelo J, Haidukewych GJ, Boberg CJ. Hospital Cost of Dislocation After Primary Total Hip Arthroplasty. J Bone Joint Surg. 2006;88A:290-294. 2. Brodner W, Grübl A, Jankovsky R, Meisinger
National Joint Replacement Registry. Lay Summary 2015 Annual Report Hip and Knee Replacement
National Joint Replacement Registry Lay Summary 2015 Annual Report Hip and Knee Replacement SUPPLEMENTARY REPORT 2015 TABLE OF CONTENTS Introduction... 1 A brief history of the Registry origins... 1 The
Rx90 Total Hip System Acetabular Series
Rx90 Total Hip System Acetabular Series The Rx90 Total Hip System was developed by Stanley Asnis, M.D., in conjunction with David Dines, M.D. and Micheal Errico M.D., Co-Section-Chiefs of the North Shore
HIP SYSTEM SURGICAL TECHNIQUE
HIP SYSTEM SURGICAL TECHNIQUE Introduction...2 Preoperative Planning...3 Preoperative Planning...3 Templating and Radiographs...4 Determination of Leg Length Discrepancy...5 Determining Acetabular Cup
Cementless Acetabular Fixation With and Without Screws
Cementless Acetabular Fixation With and Without Screws Analysis of Stability and Migration The Journal of Arthroplasty Vol. 25 No. 2 2010 Richard Iorio, MD,* Brian Puskas, MD,y William L. Healy, MD,* John
Impingement in THA. Georgi I. Wassilew. Orthopaedic Department, Centrum für Muskuloskeletale Chirurgie Univ.-Prof. Dr. med. C.
Georgi I. Wassilew Orthopaedic Department, Centrum für Muskuloskeletale Chirurgie Univ.-Prof. Dr. med. C. Perka Charité - Universitätsmedizin Berlin Orthoload club, Berlin Reasons for revision in THA Reason
Socket wall addition device in the treatment of recurrent hip prosthesis dislocation
Acta Orthopaedica 2006; 77 (1): 87 91 87 Socket wall addition device in the treatment of recurrent hip prosthesis dislocation Good outcome in 12 patients followed for 4.5 (1 9) years Anders G Enocson 1,
Trabecular Metal Acetabular Revision System Buttress and Shim Augments Surgical Technique
Trabecular Metal Acetabular Revision System Buttress and Shim Augments Surgical Technique Trabecular Metal Acetabular Revision System Buttress and Shim Augments 1 Trabecular Metal Acetabular Revision
Case Report Anterior Subluxation after Total Hip Replacement Confirmed by Radiographs: Report of Two Cases
SAGE-Hindawi Access to Research Advances in Orthopedics Volume 2011, Article ID 519254, 4 pages doi:10.4061/2011/519254 Case Report Anterior Subluxation after Total Hip Replacement Confirmed by Radiographs:
Hip Resurfacing.
Hip Resurfacing http://www.birminghamhipresurfacing.com/hipresurfacing/technology.cfm The end of the femur is capped somewhat like a tooth cap The hip socket receives a cupped implant to move together
Optimum implant geometry
Design Rationale Optimum implant geometry Extending proven Tri-Lock heritage The original Tri-Lock was introduced in 1981. This implant was the first proximally coated tapered-wedge hip stem available
Trilogy Acetabular System
Trilogy Acetabular System Surgical Technique Versatility in a proven design Trilogy Acetabular System 1 Trilogy Acetabular System Surgical Technique Table of Contents Acetabular Reaming 2 Component Sizing
National Joint Replacement Registry. Metal and Ceramic Bearing Surface in Total Conventional Hip Arthroplasty
National Joint Replacement Registry Metal and Ceramic Bearing Surface in Total Conventional Hip Arthroplasty SUPPLEMENTARY REPORT 2014 TABLE OF CONTENTS INTRODUCTION... 1 CERAMIC ON METAL OUTCOMES... 2
Increased Rate Of Dislocation Of Total Hip Arthroplasty With Cementless Implants: Accuracy Of Acetabular Inclination.
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 17 Number 1 Increased Rate Of Dislocation Of Total Hip Arthroplasty With Cementless Implants: Accuracy Of Acetabular Inclination. Roberts, Garlick
PMMA Spacer. X-ray Marker
Full TM Cup 2.5 mm cement thickness PMMA Spacer Uniform 2.5 mm cement thickness; the cement mantle is built within the outer dimension of acetabular cup. Cup O.D. 20 o lipped Prevent joint dislocation
Trilogy Acetabular System
Trilogy Acetabular System Surgical Technique Versatility in a proven design Trilogy Acetabular System 1 Trilogy Acetabular System Surgical Technique Table of Contents Acetabular Reaming 2 Component Sizing
New technique: practical procedure of robotic arm-assisted (MAKO) total hip arthroplasty
Surgical Technique Page 1 of 5 New technique: practical procedure of robotic arm-assisted (MAKO) total hip arthroplasty Jianghui Qin, Zhihong Xu, Jin Dai, Dongyang Chen, Xingquan Xu, Kai Song, Dongquan
CAUTION Federal law (USA) restricts this device to sale, by or on the order of a physician.
CAUTION Federal law (USA) restricts this device to sale, by or on the order of a physician. ENGLISH Mpact 3D Metal Implants and Augments 3D Metal INSTRUCTION FOR USE Important notice: the device(s) can
Stability without compromise. Epsilon Durasul Constrained Insert
Stability without compromise Epsilon Durasul Constrained Insert History of Dislocation and Constrained Acetabular Inserts The Need for a Better Solution The Problem Dislocation is the second most common
pact SYSTEM Surgical Technique HEMISPHERICAL CEMENTLESS CUP SYSTEM MULTI-HOLE & RIM-HOLE Hip Knee Spine Navigation
pact SYSTEM HEMISPHERICAL CEMENTLESS CUP SYSTEM MULTI-HOLE & RIM-HOLE Surgical Technique Hip Knee Spine Navigation Mpact Surgical Technique Hip Knee Spine Navigation PREFACE The Mpact Multi-hole and the
Department of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, OH, US.
ISSN: 2572-2964 Volume 2, Issue 1, 6 Pages Research Article Acetabular fractures can complicate hip arthroplasty and result in higher rates of intraoperative complications and worse long-term outcomes
Disclosure. Direct Anterior THA via Extension Table. History 11/3/2015
Direct Anterior THA via Extension Table J. Masonis, M.D. OrthoCarolina Hip & Knee Center Chief Adult Hip & Knee reconstruction Carolinas Medical Center Disclosure Consultant & Design Smith & Nephew Zimmer
A Proven Concept. Alloclassic Zweymüller Stem
A Proven Concept Alloclassic Zweymüller Stem Disclaimer This document is intended exclusively for experts in the field, i. e. physicians in particular, and is expressly not for the information of laypersons.
Developmental Dysplasia of the Hip Good Results of Later Total Hip Arthroplasty
The Journal of Arthroplasty Vol. 23 No. 2 2008 Developmental Dysplasia of the Hip Good Results of Later Total Hip Arthroplasty 7135 Primary Total Hip Arthroplasties after Developmental Dysplasia of the
Balgrist Shoulder Course 2017
My approach to failed hemiprosthesis Ernst Wiedemann OCM Clinic Munich Consultant to Arthrex Royalties from Arthrex Consultant to Zimmer Disclosures Pathways Hemi-prosthesis Anatomical prosthesis (HSA
DURALOC. Acetabular Cup System. Surgical Technique
DURALOC Acetabular Cup System Surgical Technique Table of Contents Surgical Technique Templating and Pre Operative Planning 2 Preparation of the Acetabulum 4 Trial Sizing and Impaction of the Shell 5
9/27/2016. When All Else Fails: Harrington Hip Reconstruction. Wheelchair bound Peri-acetabular lesion on MRI Anterior and posterior column defects
When All Else Fails: Harrington Hip Reconstruction Matthew J. Seidel, MD 24 September 2016 JA 84 M referred for L acetabulum lesion Hx of renal cell carcinoma Pain began one month ago Unable to bear weight
Manza Cup HA SURGICAL TECHNIQUE.
1 PRE-OPERATIVE PLANNING. Preoperative assessment of the appropriate size and position of the acetabular component will provide intraoperative guidance for acetabular reaming. To determine the acetabluar
Hip Revision. Masterclass. Programme. Chairman: Professor Carsten Perka (DE) Hotel Mövenpick, Berlin, Germany May 2016
Hip Revision Masterclass Programme Chairman: Professor Carsten Perka (DE) Hotel Mövenpick, Berlin, Germany 19-20 May 2016 Page 2 Description This masterclass is a highly focused Healthcare Professional
Surgical procedure. METS Coned Hemi-Pelvis
Surgical procedure METS Coned Hemi-Pelvis Surgical Procedure Contents 1.0 2.0 3.0 4.0 5.0 Product overview 2 1.1 Indications 1.2 Absolute contra-indications 1.3 Relative contra-indications 1.4 Capabilities
Cover Page. The handle holds various files of this Leiden University dissertation.
Cover Page The handle http://hdl.handle.net/1887/38039 holds various files of this Leiden University dissertation. Author: Embden, Daphne van Title: Facts and fiction in hip fracture treatment Issue Date:
Treatment of Periprosthetic Femoral Fractures Following Hip Arthroplasty
ORIGINAL ARTICLE Hip Pelvis 30(2): 78-85, 2018 http://dx.doi.org/10.5371/hp.2018.30.2.78 Print ISSN 2287-3260 Online ISSN 2287-3279 Treatment of Periprosthetic Femoral Fractures Following Hip Arthroplasty
Informed Consent for HRA
Updated March 09 Thomas P Gross MD Informed Consent for HRA Dr. Gross has now performed over 5500 Hip Resurfacing Arthroplasty (HRA) procedures over the last 8 years. Most failures occur during the first
Cement Polished Tapered Stems of 12/14 Taper. 96 mm 98 mm 104 mm 110 mm 116 mm 122 mm 128 mm. Ceramic Femoral Head. Outer Diameter
Design Philosophy Cementless Stems of 12/14 Taper Stem Length Neck shaft Angle STEM-N3 STEM-N4 STEM-N5 STEM-N6 STEM-N7 STEM-N8 STEM-N9 123 mm 125 mm 130 mm 135 mm 140 mm 145 mm 150 mm 132 Cement Polished
UTF Stem. reduced. Surgical Protocol
UTF Stem TM reduced Surgical Protocol Table of Contents Surgical Protocol Device... Preoperative Planning and Templating... Femoral Osteotomy... Femoral Canal Accessing... Canal Reaming... Canal Broaching...
The arc of pelvic motion has been shown to be as great as 70 through sit to stand activities 1 DiGioia CORR 2006
The arc of pelvic motion has been shown to be as great as 70 through sit to stand activities 1 DiGioia CORR 2006 Overview Every patient moves differently 1 and their total hip replacement should be optimised
MARATHON Cross-Linked Polyethylene
MARATHON Cross-Linked Polyethylene Fixation First... 1 Wear Reduction... 2 Oxidative Stability... 3 Mechanical Integrity... 4 Proven Technology...5-6 References... 7 Fixation First FIXATION FIRST Prodigy
Total Hip Arthroplasty Performed Using Conventional and Computer-Assisted, Tissue- Preserving Techniques 6
Total Hip Arthroplasty Performed Using Conventional and Computer-Assisted, Tissue- Preserving Techniques 6 Stephen B. Murphy, MD, Timo M. Ecker, MD and Moritz Tannast, MD Introduction Less invasive techniques
National Joint Replacement Registry. Outcomes of Classes No Longer Used Hip and Knee Arthroplasty SUPPLEMENTARY
National Joint Replacement Registry Outcomes of Classes No Longer Used Hip and Knee Arthroplasty SUPPLEMENTARY Report 2017 AOAnjrr 2016 supplementary report AOAnjrr 2016 supplementary report Contents SUMMARY...