Section of Modular Hip Prostheses cemented. TMC-3 Modular Hip Prosthesis, cemented. TMC-3 Modular Hüftprothese, zementiert

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Section of Modular Hip Prostheses cemented TMC-3 Modular Hip Prosthesis, cemented TMC-3 Modular Hüftprothese, zementiert Prothèse de hanche modulaire TMC-3, cimentée Indication : The TMC-3 Modular hip prosthesis is a solution for total hip replacement namely with the concept of a hybrid system combined with distal centralizer. The form and the length of prostheses are ideal-together with distal centralizer in order to ensure self-centring. This prosthesis is design of conical wedge form with rounded edges in the proximal section corresponds with the anatomical and biomechanical requirements. These are, retention and utilisation of the morphology of the intertrochanteric region with resultant rotatory stability, self centering and a favourable zone for cementing. The main part of the cement mantle is subject to compressive forces. Tensile forces are restricted to the lateral shoulder where the cement merely has the function of a filling material. The implant does not have any sharp edges, as a result of which stress concentrations and resultant cement cracks are avoided. This prosthesis consist of an appropriate number of stem sizes which enable one to obtain the filling of the medullary canal. Furthermore, an optimum thickness of the cement layer can also be achieved. Tapered distal design helps reduce strains in the cement as compared to conventional stem. Also cutted edge at the end of the stem avoid the pain in the distal part of femur and permit wide range of motion.this stem is mostly indicated for all cases of primary implants and all cases in which there is a contraindication for an uncemented stem. Contraindications is revision cases with extensive proximal osseous defect. The prosthesis feature has a 35º degree stem/neck angle for an anatomic reconstruction. The neck has a taper 2/4 allowing standard metal heads to be used. Material : The TMC-3 modular hip prosthesis is manufactured from casting Co.Cr-alloy according to ASTM F.75 - ISO 532/4. This alloy is characterized by demonstrating excellent biocompatibility together with a high resistance of corrosion and superiormechanical strenght. Co.Cr-alloy K mm Length L mm Cone mm Neck Angle 026303006 02630300 02630300 02630302 02630304 6.0.0 0.0 2.0 4.0 3.5 30.5 35.0 40.0 45.0 2/4 2/4 2/4 2/4 2/4 35º 35º 35º 35º 35º A-

Section of Modular Hip Prostheses cemented TMC-4 Modular Hip Prosthesis with collar, cemented TMC-4 Modular Hüftprothese mit Kragen, zementiert Prothèse de hanche modulaire avec collerette TMC-4, cimentée Indication : The TMC-4 modular hip prosthesis with collar is a solution for total hip replacement namely with the concept of a hybrit system combined with distal centralizer. This prosthesis is designed to provide an anatomic precise fit.the presence of a broad medial collar together with a precise calcar preparation, allows excellent collar/calcar contact for load distribution and cement pressurization. A collarless version is also available (TMC-3) for clinical application where a collared prosthesis is inappropriate. Tapered distal design helps reduce strain in the cement as compared to conventional stem and cutted edge at the end of the stem avoid the pain at the distal part of the femur and permit wide range of motion. The form and the length of prosthesis are ideal - together with distal centralizer. This prosthesis is used for pirimary total hip arthroplasty when a collared design is preferred. Modular femoral heads available in diameters 2 mm with three different neck sizes S-M-L. Various stem size with interchangeable heads options enabling the surgeon to select the best combination for the long-term satisfactory result. The prosthesis feature has a 35º degree stem/neck angle for an anatomic reconstruction. The neck has a taper 2/4 allowing standard metal heads to be used. Material : The TMC-4 modular hip prosthesis is manufactured from casting Co.Cr-alloy according to ASTM F.75 - ISO 532/4. This alloy is characterized by demonstrating excellent biocompatibility together with a high resistance of corrosion and superiormechanical strenght. Co.Cr-alloy K mm Length L mm Cone mm Neck Angle 026253006 02625300 02625300 02625302 02625304 6.0.0 0.0 2.0 4.0 3.5 30.5 35.0 40.0 45.0 2/4 2/4 2/4 2/4 2/4 35º 35º 35º 35º 35º A-2

Cement Plug for TMC-3 / TMC-4 Indication : Reduced the potential for distal migration of bone cement within the medullary canal during prosthetic implantation, thus enhancing the chance for lateral displacement of bone cement and trabecular interstitial penetration. Firmly anchored at the desired depth within the medullary canal via the wedging action of 6-7 rows of circumferential fins. Material : UHMWPE Ultra Heavy Molecular Weight Polyethylyene meets ASTM F.64 and ISO 534/2 standards. Selected for its, high degree of purity, good biotolerance, good mechanical performance and friction properties. 024700700 0247007002 0247007003 0247007004 0247007005 0247007006 0247007007 024700700 0247007009 02470070 024700703 9 0 2 3 4 5 6 7 9 2 Distal Centralizer for TMC-3 / TMC-4 Indication : The distal centralizer with a three point - star configuration, helps improve cortical diaphyseal contact and stem alignment. Material : PMMA Polymethylmethacrylate 024600700 0246007002 0246007003 0246007004 0246007005 0 2 4 6 Combining 6 mm stem mm stem 0 mm stem 2 mm stem 4 mm stem A-3

TMC-3 / TMC-4 Modular Hip Prosthesis Complete Instrumentation Set : 0034000 Ref.Number Description Pieces Ref.Number Description Pieces 0603300 06033003 060500 060500 060502 060504 0605020 0602300 060003 060200 0602002 0602003 060703330 060703332 060703335 T-Handle Medullary Awl Reamer Plug for Introducing Rod Plug for Introducing Rod Plug for Introducing Rod Plug for Introducing Rod Introducing Rod for Medullary Plug Cement Pusher Ruler Test Head ø 2 mm 2/4 Test Head ø 2 mm 2/4 Test Head ø 2 mm 2/4 Repositioning Lever Repositioning Lever Synthetic Top Repositioning Top 0 2 4 S M L ø 2 0600000 0600050 06033006 0603300 0603300 0603302 0603304 06033000 060703325 06070332 06060000 06052000 060520002 060020 Rasp Bar Modular Rasp Handle Rasps Rasps Rasps Rasps Rasps Handle for Setting Device Impactor Impactor & Extractor Femoral Head Extractor Curved Chisel Straight Chisel Gauge for Femoral Head 6 0 2 4 A-4

Prosthesis Rasp Modular Rasp Handle 06033006 0603300 0603300 0603302 0603304 6 0 2 4 Medullary Awl Reamer 0600050 Test Heads 06033003 Rasp Bar 060200 0602002 0602003 S M L Handle for Setting Device 0600000 T-Handle 06033000 Gauge For Femoral Head 06004000 Straight Chisel 060020 Curved Chisel 060520002 06052000 A-5

Impactor & Extractor Impactor Ruler 06070332 060703325 Cement Pusher 060003 Repositioning Lever 0602300 Repositioning Lever Synthetic Top 060703330 Repositioning Top 060703332 Plug for Introducing Rod 060703335 Femoral Head Extractor 060500 060500 060502 060504 0 2 4 Introducing Rod for Medullary Plug 06060000 0605020 A-6

Section of Modular Hip Prostheses cemented TAU-2 Anatomical Modular, cemented TAU-2 Anatomische Modular Schaft, zementiert Tige anatomic modulaire TAU-2, cimentée Indication : The TAU-2 Anatomical modular cemented hip prosthesis system is designed to improve initial fixation stability and stress distribution at fixation interfaces, enchanging long-term fixation durability. The cervico-diapyseal angle of 35º is closed to resulting force of mechanical axis of the femur and limits varus stresses. Optimal fit and fill of metaphysis in all three planes ensures perfect rotational stability. Diaphyseal part with anatomic anterior curvature ensures proper centring of the stem in the medullary canal. sizes right & left femoral stem components are proportional to the physiological shape of the proximal femur to improve initial fixation stability and stress distribution at fixation interfaces. Three dimensional interlock grit blast on the proximal area of prosthesis improve mechanical properties of cement and stress distribution at the fixation interfaces. Material : It is manufactured from casting Co.Cr-alloy according to ASTM F.75 - ISO 532/4. This alloy is characterized by demonstrating excellent biocompatibility together with a high resistance of corrosion and superiormechanical strenght. Co.Cr-alloy K mm Length L mm Cone Side 0233007 023300 0233009 023300 023302 023303 023305 023307 7 9 0 2 3 5 7 32.5 42.0 47.0 50.0 60.0 64.0 73.5 3.0 2/4 2/4 2/4 2/4 2/4 2/4 2/4 2/4 Right Right Right Right Right Right Right Right 02323007 0232300 02323009 0232300 0232302 0232303 0232305 0232307 7 9 0 2 3 5 7 32.5 42.0 47.0 50.0 60.0 64.0 73.5 3.0 2/4 2/4 2/4 2/4 2/4 2/4 2/4 2/4 Left Left Left Left Left Left Left Left A-9

TAU Anatomical Modular Compete Instrumentation Set : 0035000 Ref.Number Description Pieces Ref.Number Description Pieces 0236000 Conical Test Head ø2 mm 2/4 02360002 Conical Test Head ø2 mm 2/4 02360003 Conical Test Head ø2 mm 2/4 060204002 Bone Hook Blunt 060200 Hohmann Extractor 0602002 Hohmann Extractor 06052000 Curved Chisel 060520002 Straight Chisel 060520003 Guj Curette 060520004 Curette 060520005 Spoon Curette 06060000 Femoral Head Extractor 0607020003 Femoral Head Impactor 06070330 Impactor 060020 Gauge for Femoral Head S M L No. No.2 0600000 0600050 06030007 0603000 0603000 0603002 0603003 0603007 060300 060300 060302 060303 06033003 Rasp Bar Modular Rasp Handle Anatomical Rasp (Right) Anatomical Rasp (Right) Anatomical Rasp (Right) Anatomical Rasp (Right) Anatomical Rasp (Right) Anatomical Rasp (Left) Anatomical Rasp (Left) Anatomical Rasp (Left) Anatomical Rasp (Left) Anatomical Rasp (Left) Medullary Awl Reamer 7 0 2 3 7 0 2 3 A-0

Anatomical Rasp (Left) 0603007 060300 060300 060302 060303 7 0 2 3 Anatomical Rasp (Right) Rasp Bar 06030007 0603000 0603000 0603002 0603003 7 0 2 3 Modular Rasp Handle 0600000 Bone Hook Blunt 0600050 Gauge For Femoral Head 060204002 Straight Chisel 060020 Curved Chisel 060520002 06052000 A-

Guj Curette Femoral Head Impactor 060520003 Spoon Curette 0607020003 Curette 060520005 Hohmann Retractor 060520004 Hohmann Retractor 060200 Femoral Head Extractor 0602002 Impactor 06060000 Medullary Awl Reamer 06070330 Test Heads 06033003 0236000 02360002 02360003 S M L A-2

Section of Modular Hip Prostheses cemented Leinbach Hip Prosthesis, cemented Leinbach Hüftprothese, zementiert Prothèse de Leinbach, cimentée Indication : The Leinbach hip prosthesis can be used as a salvage procedure when a collapse of bone neck structure has occured. It is a procedure in compensating for bone loss. A slightly thicker and longer stem affords stability. The proshesis feature has a 35º degree stem/neck angle for an anatomic reconstruction. The neck has a taper 2/4 to accept a variety of head components. Three different length of stem available. Material : The Leinbach hip prosthesis is manufactured from certified Stainless steel according to ASTM F.3 - ISO 532/. Co.Cr-alloy according to ASTM F.75 - ISO 532/4 Stainless Steel Co.Cr-alloy Cone Length L mm s 020003 02000 020002 0203003 020300 0203002 2/4 2/4 2/4 50 70 200 Short Medium Long A-37

Leinbach Hip Prosthesis Complete Instrumentation Set : 00304000 Ref.Number Description Pieces Ref.Number Description Pieces 060204002 Bone Hook Blunt 060200 Hohmann Extractor 0602002 Hohmann Extractor 06052000 Curved Chisel 060520002 Straight Chisel 060520003 Guj Curette 060520004 Curette 060520005 Spoon Curette 06070330 Impactor 06004000 T-Handle 0600000 Rasp Bar 06060000 Femoral Head Extractor 060020 Shaft 0604000 Wrench for No. No.2 0600009 060000 060209000 0607020003 060209002 060209003 06002004 06002005 06002006 06002007 0600200 06002009 060020 Monoblock Prosthesis Rasp Monoblock Prosthesis Rasp Cup Inserting Device Femoral Head Impactor Positioning Metal Top Positioning Metal Top Gauge for Femoral Head Short Long 2 32 44 46 4 50 52 54 A-3

Rasp Gauge For Femoral Head 0600009 060000 Short Long Positioning Metal Cup 060020 Cup Inserting Device 060209002 060209003 Rasp Bar 2 32 060209000 Impactor 0600000 Shaft 06070330 Wrench for 060020 Bone Hook Blunt 0604000 060204002 06002004 06002005 06002006 06002007 0600200 06002009 44 46 4 50 52 54 A-39

Spoon Curette Curette 060520005 Guj Curette 060520004 Femoral Head Impactor 060520003 Femoral Head Extractor 0607020003 T-Handle 06060000 Straight Chisel 06004000 Curved Chisel 060520002 Hohmann Retractor 06052000 Hohmann Retractor 060200 0602002 A-40

Section of Modular Hip Prostheses cemented Modular Straight, cemented Modular Geradschaft, zementiert Tige droite modulaire, cimentée Indication : The modular straight stem hip prosthesis is designed to be used as a primary and revision total hip. The 4 stem sizes allow accurate matching of prosthesis to the medullary canal. The prosthesis offers dual fixation by combinig the locking effect of a stem to bone contact, plus minimal bone cement support. May be used in conjuction with modular head cone 2/4 and polyethylene acetabular components for total articular replacement. Material : Certified Stainless Steel according to ASTM F.3 ISO 532/. Available in titanium according to ASTM F.36 ISO 532/3 and Co.Cr-alloy according to ASTM F.75 - ISO 532/4 Stainless Steel Titanium Co.Cr-alloy K mm Cone mm Length L mm 0206000 02060002 02060003 02060004 02060200 020602002 020602003 020602004 02060300 020603002 020603003 020603004 7.5 0.0 2.5 5.0 2/4 2/4 2/4 2/4 37 42 47 52 A-4

Section of Modular Hip Prostheses cemented Modular Long Straight, cemented Modular Lang Geradschaft, zementiert Tige droite modulaire long, cimentée Indication : The modular long straight stem hip prosthesis allows for an increase in cross-sectional stem dimensions to more proportionately fill the intra-medullary canal and ensure implant stability. The stem can be used in either primary or revision cases where bone dimensions are too large for the standard primary hip. May be used in conjuction with modular head and polyethylene acetabular components for total articular replacement. Material : Certified Stainless Steel according to ASTM F.3 ISO 532/. Available in titanium according to ASTM F.36 ISO 532/3 and Co.Cr-alloy according to ASTM F.75 - ISO 532/4 Stainless Steel Titanium Co.Cr-alloy K mm Cone mm Length L mm 0207000 02070009 0207007 02070025 02070200 020702009 02070207 020702025 02070300 020703009 02070307 020703025 7.5 0.0 2.5 5.0 2/4 2/4 2/4 2/4 0 0 0 0 02070003 020700 0207009 02070027 020702003 0207020 02070209 020702027 020703003 0207030 02070309 020703027 7.5 0.0 2.5 5.0 2/4 2/4 2/4 2/4 200 200 200 200 02070005 0207003 0207002 02070029 020702005 02070203 02070202 020702029 020703005 02070303 02070302 020703029 7.5 0.0 2.5 5.0 2/4 2/4 2/4 2/4 220 220 220 220 02070007 0207005 02070023 0207003 020702007 02070205 020702023 02070203 020703007 02070305 020703023 02070303 7.5 0.0 2.5 5.0 2/4 2/4 2/4 2/4 240 240 240 240 A-42

Modular Straight Complete Instrumentation Set : 00305000 Ref.Number Description Pieces Ref.Number Description Pieces 060204002 Bone Hook Blunt 06020400 Bone Hook Sharp 060200 Hohmann Extractor 0602002 Hohmann Extractor 06052000 Curved Chisel 060520002 Straight Chisel 060520003 Guj Curette 060520004 Curette 060520005 Spoon Curette 06070330 Impactor 06004000 T-Handle 0600000 Rasp Bar 06060000 Femoral Head Extractor 060020 Shaft 0604000 Wrench for No. No.2 06002004 06002005 06002006 06002007 0600200 06002009 0600002 0600003 0600004 0600005 060209000 0607020003 06020900 060209002 060209003 060020 Monoblock Prosthesis Rasp Monoblock Prosthesis Rasp Monoblock Prosthesis Rasp Monoblock Prosthesis Rasp Cup Inserting Device Femoral Head Impactor Positioning Metal Top Positioning Metal Top Positioning Metal Top Gauge for Femoral Head 44 46 4 50 52 54 7.5 0.0 2.5 5.0 22 2 32 A-43

Rasp Positioning Metal Cup 0600002 0600003 0600004 0600005 7.5 0.0 2.5 5.0 Cup Inserting Device 06020900 060209002 060209003 Rasp Bar 22 2 32 060209000 Impactor 0600000 Shaft 06070330 Wrench for 060020 Bone Hook Sharp 0604000 06020400 Bone Hook Blunt 060204002 06002004 06002005 06002006 06002007 0600200 06002009 44 46 4 50 52 54 A-44

Spoon Curette Curette 060520005 Guj Curette 060520004 Femoral Head Impactor 060520003 Femoral Head Extractor 0607020003 T-Handle 06060000 Straight Chisel 06004000 Curved Chisel 060520002 Hohmann Retractor 06052000 Hohmann Retractor 060200 Gauge for Femoral Head 0602002 060020 A-45

Section of Modular Hip Prostheses cemented CDH Modular Straight, cemented CDH Modular Geradschaft, zementiert Tige droite modulaire CDH, cimentée Indication : It is cemented total hip prosthesis. CDH prosthesis is adapted to the narrow condition in the proximal medullary canal. Fixation is achieved by self-locking of the largest possible stem into the medullary cavity and using bone cement. The modular CDH staight stem hip prosthesis is designed for using detachable head for total hip replacement as well. This prosthesis combines the self-locking feature with the versalitiy of detachable heads with ø22 mm - 2/4 cone. 3 size of heads available (S-M-L). Detachable heads mean different sizes may be fitted without removing entire unit and enabling the surgeon to select the most appropriate implants for each individual procedure.the CDH straight stem with modular head has been used in combination with a ultra-high molecular weight (U.H.M.W.P.E.) polyethylene acetabular cup provides for an exceptionally stable total hip replacement. Cups to be used : Polyethylene acetabular cup diam. 22 mm. See page A-64 Heads to be used : Metal stainless steel or Co.Cr-alloy heads diam. 22mm. See page A-62 Material : The modular CDH straight stem is manufactured from titanium Ti6AL4V Alloy according to ASTM F.36 - ISO 532/3 Titanium K mm Length L mm Cone mm 02050200 020502002 020502003 020502004 020502005 5.0 7.5 0.0 2.5 5.0 2 26 3 36 4 2/4 2/4 2/4 2/4 2/4 A-46