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Product ReferenceEuropean Hip

TABLE OF CONTENTS

Cementless Hip Systems 1–22

Cemented Hip Systems 23– 46

Acetabular Component Systems 47–86

Revision Hip Systems 87– 100

Specialty Products 101– 112

Instrumentation Systems 113– 116

References 117–124

21

Benefits• Long lasting.• Pain free.• Easy to implant successfully.• Excellent primary stability - due to stem shape.• Secure secondary biological fixation for long-term stability. Hydroxyapatite

coating encourages bony ongrowth to stem. • Physiological loading – three dimensional conformity of stem with femur

ensures load transfer patterns imitate the natural distribution load.• Optimal bone conservation - due to ABG I implant, instrumentation and surgical

technique.

Specific Indications• Non-cemented applications.

Mode of fixation• Cementless use.

Tactics• Used extensively throughout the world.• Excellent long-term clinical results: excellent function and femoral bone

remodelling.• ABG I clinical results: French Study - 10 years (SICOT, Sydney 1999).

International Multi-centre Study - 7-9 years (Dr. Tonino, New York 2000).

ABG I Cement Free Heads (6° 14mm Taper) Product Information

CoCr (VITALLIUM®) HEADS ZIRCONIA CERAMIC HEADSCatalogue Neck Diameter Catalogue Neck DiameterNumber Length Number Length

4654-01 0 22.22mm – – –4653-01 0 28mm 4653-41 0 28mm4653-02 -5 28mm 4653-42 -3 28mm4653-03 +5 28mm 4653-43 +3 28mm4655-00 0 32mm 4655-40 0 32mm4655-01 -5 32mm 4655-41 -5 32mm4655-02 +5 32mm 4655-42 +5 32mm

ABG I HIP SYSTEMCement Free Femoral Stem

Features• Anatomical femoral shape with only

proximal fixation• Titanium (Ti6Al4V) Alloy• Hydroxyapatite coating (vacuum plasma

spray)• 9 stem sizes (left & right)• Neck angle 135°• Proximal surface scales• Uses unique 6° (14/16mm) Taper Heads

in CoCr or Zirconia• 5° anteversion of the neck and 7°

anteversion in the stem’s metaphysis

ABG I Cement Free Hip Stem Product Information

Catalogue Stem Neck Base Head Stem Number Size No. Length Offset Length

4841-101 1 right 28mm 36.0mm 110mm

4841-201 1 left 28mm 36.0mm 110mm

4841-102 2 right 30mm 38.2mm 110mm

4841-202 2 left 30mm 38.2mm 110mm

4841-103 3 right 34mm 41.1mm 120mm

4841-203 3 left 34mm 41.1mm 120mm

4841-104 4 right 34mm 41.5mm 125mm

4841-204 4 left 34mm 41.5mm 125mm

4841-105 5 right 34mm 42.2mm 130mm

4841-205 5 left 34mm 42.2mm 130mm

4841-106 6 right 38mm 47.2mm 135mm

4841-206 6 left 38mm 47.2mm 135mm

4841-116 6SN right 34mm 44.6mm 135mm

4841-216 6SN left 34mm 44.6mm 135mm

4841-107 7 right 38mm 48.8mm 145mm

4841-207 7 left 38mm 48.8mm 145mm

4841-108 8 right 42mm 52.4mm 155mm

4841-208 8 left 42mm 52.4mm 155mm

4841-109 9 right 42mm 55.6mm 165mm

4841-209 9 left 42mm 55.6mm 165mm

SN = short neck

43

ABG II HIP SYSTEMCement Free Femoral Stem

Features• Anatomical femoral shape with only

proximal fixation• TMZF® Titanium Alloy• Proximal hydroxyapatite coating• 8 stem sizes (left & right)• Neck angle 130°• Proximal surface scales• Polished distal stem• Uses V40™ Taper Heads in CoCr,

Zirconia & Alumina• 5° anteversion of the neck and 7°

anteversion in the stem’s metaphysis

ABG II Cement Free Hip Stem Product Information


4845-0-101 1 right 28mm 37.2mm 100mm

4845-0-201 1 left 28mm 37.2mm 100mm

4845-0-102 2 right 28mm 39.2mm 100mm

4845-0-202 2 left 28mm 39.2mm 100mm

4845-0-103 3 right 32mm 42.1mm 110mm

4845-0-203 3 left 32mm 42.1mm 110mm

4845-0-104 4 right 32mm 43.4mm 115mm

4845-0-204 4 left 32mm 43.4mm 115mm

4845-0-105 5 right 34mm 44.5mm 120mm

4845-0-205 5 left 34mm 44.5mm 120mm

4845-0-106 6 right 34mm 47.2mm 125mm

4845-0-206 6 left 34mm 47.2mm 125mm

4845-0-107 7 right 36mm 50.0mm 135mm

4845-0-207 7 left 36mm 50.0mm 135mm

4845-0-108 8 right 38mm 53.2mm 145mm

4845-0-208 8 left 38mm 53.2mm 145mm

Benefits• Excellent primary stability - due to stem shape.• Secure secondary biological fixation for long-term stability. Hydroxyapatite

coating encourages bony ongrowth to stem.• Physiological loading – three-dimensional conformity of stem with femur, TMZF®

alloy, and distal stem design ensure load transfer patterns imitate the naturaldistribution load.

• Optimal bone conservation - due to ABG II implant, instrumentation and surgicaltechnique.

• Proximal fixation only is ensured by the undersized, polished distal stem,designed to prevent bone ongrowth and prevent thigh-pain.

• Large head options: CoCr & Zirconia in 22, 26, 28 & 32mm, & Alumina in 28,32 & 36mm.


Mode of fixation• Cementless use.

Tactics• Proven design: ABG concept 10 year clinical results:• Discuss ceramic on ceramic options due to V40™ heads.• Discuss TMZF®, a proprietary BETA Titanium Alloy is 25% more flexible than

Ti6Al4V and is free of Aluminium and Vanadium.• Discuss V40™ Neck Lengths, provides increased R.O.M. and improved neck

length options.• Discuss Distal Polished Stem, preventing distal stress shielding.• Discuss HA, enhancing fixation and with long-term clinical results.

65

PARTNERSHIP® SYSTEMMeridian® TMZF® Femoral Component

Features• 132° Neck Angle

• Collarless Stem

• TMZF® (Forged BETA Titanium Alloy)

• Anthropometric Stem Sizing

• 18 Stem Sizes Ranging from 110 to 160mm

• Anatomical Offsets

• Circumferential Titanium Plasma Spray

• Unique Distal Slot and Grooves

• Polished Distal Stem

• Reduced Neck Diameter

• Uses V40™ Taper Heads

• 6 Different Modular Head Neck Lengths

Meridian® TMZF® Hip Stem Product Information


6265-1-001 00/9mm 26mm 28mm 110mm6265-1-002 0/10mm 31mm 4mm 115mm6265-1-003 1/11mm 31mm 34mm 115mm6265-1-004 2/10mm 32mm 36mm 130mm6265-1-005 2/12mm 32mm 36mm 130mm6265-1-006 3/11mm 34mm 40mm 130mm6265-1-007 3/13mm 34mm 40mm 130mm6265-1-008 4/12mm 35mm 44mm 140mm6265-1-009 4/14mm 35mm 44mm 140mm6265-1-010 5/13mm 37mm 47mm 140mm6265-1-011 5/15mm 37mm 47mm 140mm6265-1-012 6/14mm 37mm 50mm 150mm6265-1-013 6/16mm 37mm 50mm 150mm6265-1-014 7/15mm 39mm 52mm 150mm6265-1-015 7/17mm 39mm 52mm 150mm6265-1-016 8/16mm 42mm 55mm 160mm6265-1-017 8/18mm 42mm 55mm 160mm6265-1-018 9/19mm 42mm 55mm 160mm

Benefits• 132° Neck Angle is closer to anatomic than stems w/135° Neck Angle.

• TMZF® modulus of elasticity is closer to bone than Ti6Al4V.

• More sizing options allow surgeons to fit the stem to the patient.

• More sizing options allow surgeons to fit broader patient populations.

• Precise reproduction of joint line without adding excessive leg length.

• Circumferential titanium plasma spray can create a proximal seal inhibitingmigration of particulate debris.

• Distal slot and grooves reduces distal stiffness addressing the issue of thigh pain.

• Polished distal stem inhibits distal fixation.

• Reduced neck diameter increases R.O.M.

• CoCr & Zirconia V40™ Taper Heads available in 22, 26, 28, & 32mm,and Alumina in 28, 32, & 36mm.


Mode of Fixation• Press - Fit.

Tactics• Discuss ceramic on ceramic options.

• Discuss TMZF®, a proprietary BETA Titanium Alloy is 25% more flexible than Ti6Al4V and is free of Aluminum and Vanadium.

• Discuss Straight Stem Design, derived by somatyping an extensive collection of type A & B femora from Phil Noble’s extensive anthropometric database.

• Discuss 132-Degree Neck Angle, provides joint stability without adding excessive leg length.

• Discuss V40™ Neck Lengths, provides increased R.O.M. and improved necklength options.

• Discuss Distal Polish, provides distal fill not fit allowing more proximalstress distribution.

• Discuss Distal Slot and Grooves, reduces stem stiffness allowing more distal flexibility addressing the issue of thigh pain.

• Side-by-side competitive pre-operative x-ray templating session.• Discuss “Anatomical Basis of Femoral Component Design”,

Phil Noble, Ph.D.

87

PARTNERSHIP® SYSTEMMeridian® PA Femoral Component


• Collarless Stem

• Forged (G.A.D.S.) Vitallium® Alloy (CoCr)

• Anthropometric Stem Sizing

• 18 Stem Sizes Ranging from 110mm to 160mm

• Anatomical Offsets

• Circumferential HA Porous Coating

• Unique Distal Slot and Grooves

• Polished Distal Stem



• 6 Different Modular Head Neck Lengths

Meridian® PA Hip Stem Product Information


6261-0-001 00/9mm 26mm 28mm 110mm6261-0-002 0/10mm 31mm 34mm 115mm6261-0-003 1/11mm 31mm 34mm 115mm6261-0-004 2/10mm 32mm 36mm 130mm6261-0-005 2/12mm 32mm 36mm 130mm6261-0-006 3/11mm 34mm 40mm 130mm6261-0-007 3/13mm 34mm 40mm 130mm6261-0-008 4/12mm 35mm 44mm 140mm6261-0-009 4/14mm 35mm 44mm 140mm6261-0-010 5/13mm 37mm 47mm 140mm6261-0-011 5/15mm 37mm 47mm 140mm6261-0-012 6/14mm 37mm 50mm 150mm6261-0-013 6/16mm 37mm 50mm 150mm6261-0-014 7/15mm 39mm 52mm 150mm6261-0-015 7/17mm 39mm 52mm 150mm6261-0-016 8/16mm 42mm 55mm 160mm6261-0-017 8/18mm 42mm 55mm 160mm6261-0-018 9/19mm 42mm 55mm 160mm


• G.A.D.S. process strengthens the material characteristics of the CoCr Alloy.




• Circumferential porous coating allows for 3D coating and can create a proximal seal inhibiting migration of particulate debris. 3D Peri-Apatite HA applied to porous coating.

• Distal slot and grooves reduces distal stiffness addressing the issue ofthigh pain.


• CoCr & ZirconiaV40™ Taper Heads available in 22, 26, 28, & 32mm.

• Alumina head option to become available through sleeve concept.


Mode of Fixation• Press – Fit (HA).

Tactics• Discuss Peri-Apatite on Porous Coating, provides three-dimensional HA

coverage of the porous ingrowth area.


• Discuss 132-Degree Neck Angle, provides joint stability without addingexcessive leg length.




• Side-by-side competitive pre-operative x-ray templating session.

• Discuss “Anatomical Basis of Femoral Component Design”,Phil Noble, Ph.D.

109

PARTNERSHIP® SYSTEMMeridian® ST Femoral Stem

Features• 132° Neck Angle• Collarless Stem• Forged (G.A.D.S.) Vitallium® Alloy

(CoCr)• Anthropometric Stem Sizing • 18 Stem Sizes Ranging from

110mm to 160mm• Anatomical Offsets • Circumferential Porous Coating• Unique Distal Slot and Grooves • Polished Distal Stem• Reduced Neck Diameter• Uses V40™ Taper Heads• 6 Different Modular Head

Neck Lengths

Meridian ® ST Hip Stem Product Information


6265-0-001 00/9mm 26mm 28mm 110mm6265-0-002 0/10mm 31mm 34mm 115mm6265-0-003 1/11mm 31mm 34mm 115mm6265-0-004 2/10mm 32mm 36mm 130mm6265-0-005 2/12mm 32mm 36mm 130mm6265-0-006 3/11mm 34mm 40mm 130mm6265-0-007 3/13mm 34mm 40mm 130mm6265-0-008 4/12mm 35mm 44mm 140mm6265-0-009 4/14mm 35mm 44mm 140mm6265-0-010 5/13mm 37mm 47mm 140mm6265-0-011 5/115mm 37mm 47mm 140mm6265-0-012 6/14mm 37mm 50mm 150mm6265-0-013 6/16mm 37mm 50mm 150mm6265-0-014 7/15mm 39mm 52mm 150mm6265-0-015 7/17mm 39mm 52mm 150mm6265-0-016 8/16mm 42mm 55mm 160mm6265-0-017 8/18mm 42 mm 55mm 160mm6265-0-018 9/19mm 42mm 55mm 160mm


• Stem geometry provides an intermedullary collar.





• Circumferential porous coating can create a proximal seal inhibiting migration of particulate debris.




• CoCr & Zirconia V40™ Taper Heads available in 22, 26, 28, & 32mm.


Specific Indications• High Demand, Non-cemented applications.


Tactics• Discuss G.A.D.S. (Gas Atomized Dispersion Strengthened) provides a

stronger implant that allows for more neck length options and circumferential porous coating.







• Discuss “Anatomical Basis of Femoral Component Design”,Phil Noble, Ph.D.

1211

PARTNERSHIP® SYSTEMCitation® TMZF® Femoral Stem

Features• 132° neck angle• Anteverted neck and proximal body• Forged TMZF® Beta Titanium Alloy• PureFix™ HA coating• Anthropometric stem sizing• 20 stem sizes (10 left and 10 right)• Anatomical offsets• Unique distal slots and grooves• Polished distal stem• Polished neck and reduced trunnion diameter• Uses V40™ taper heads in CoCr, Zirconia or

Alumina• 6 different modular head neck lengths

Citation® TMZF™ Product Information

Catalogue Stem Neck Base Head Stem Number Size Length Offset Length

6265-5-100 # 0/9 mm L 26 mm 34 mm 110 mm6265-5-101 # 1/10 mm L 26 mm 34 mm 115 mm6265-5-102 # 2/11 mm L 26 mm 36 mm 120 mm6265-5-103 # 3/12 mm L 28 mm 40 mm 125 mm6265-5-104 # 4/13 mm L 30 mm 44 mm 130 mm6265-5-105 # 5/14 mm L 31 mm 47 mm 135 mm6265-5-106 # 6/15 mm L 32 mm 50 mm 140 mm6265-5-107 # 7/16 mm L 34 mm 52 mm 140 mm6265-5-108 # 8/17 mm L 39 mm 55 mm 145 mm6265-5-109 # 9/18 mm L 39 mm 55 mm 150 mm6265-5-110 # 0/9 mm R 26 mm 34 mm 110 mm6265-5-111 # 1/10 mm R 26 mm 34 mm 115 mm6265-5-112 # 2/11 mm R 26 mm 36 mm 120 mm6265-5-113 # 3/12 mm R 28 mm 40 mm 125 mm6265-5-114 # 4/13 mm R 30 mm 44 mm 130 mm6265-5-115 # 5/14 mm R 31 mm 47 mm 135 mm6265-5-116 # 6/15 mm R 32 mm 50 mm 140 mm6265-5-117 # 7/16 mm R 34 mm 52 mm 140 mm6265-5-118 # 8/17 mm R 39 mm 55 mm 145 mm6265-5-119 # 9/18 mm R 39 mm 55 mm 150 mm

For CoCr, Zirconia & Alumina Head Product Information See Pages 48-50

Benefits• 132° Neck Angle is closer to anatomic than stems with 135° angle.• Neck diameter is flattened on A/P sides for extra R.O.M.• Enhances proximal fit through increased cortical contact. • TMZF® modulus of elasticity is closer to bone than Ti-6Al-4V.• Circumferential Plasma Spray with PureFix™ HA provides an outgrowth surface. • More sizing options allow surgeons to fit the stem to the patient.• Distal slot and grooves reduces distal stiffness addressing the issue of thigh

pain; slot is rotated 30 degrees in direction of largest loading.• Polished distal stem inhibits distal fixation.• Polished neck potentially reduces polyethylene wear.


Mode of Fixation• Press-fit.

Tactics• Discuss ceramic-ceramic bearing.• Discuss TMZF®, a proprietary, BETA Titanium Alloy that is 25% more flexible

than Ti-6Al-4V and is free of Aluminium and Vanadium.• Discuss 10 year HA results on Omnifit®–HA by Capello/D’Antonio:

– 1% thigh pain, 0.3% MFR (1 stem) at avg. follow up over 8 years.– 95 HHS and 92% good-to excellent results at avg. F/U of over 8 years.– No intramedullary osteolysis.– 100% of stems stable with bony ingrowth.– Discuss AVN and patients under 50; 0.0% MFR at 6.7 years.

• Discuss 132° neck angle - provides joint stability without adding excessive leglength.

• Discuss anteverted neck and proximal body - enhances proximal fit throughincreased cortical contact without removal of the femoral helix.

• Discuss V40™ neck length options - provides joint stability without addingextensive leg length.

• Discuss polished neck - potentially reduces polyethylene wear.• Discuss distal polish - provides distal fill not fit allowing more proximal stress

distribution.• Discuss distal slot and grooves - reduces stem stiffness allowing more distal

flexibility addressing the issue of thigh pain.• Discuss rotated distal slot, maximizes flexibility where the greatest load exists.• “Anatomical Basis of Femoral Component Design”, Phil Noble Ph.D.• Discuss bone conserving design, which naturally finds the anteversion of the

femur with an excellent, highly stable fit.• Discuss Command® Instrumentation and how it is extremely easy to use and

includes the partial broach and lateral machining body which helps to neutralisestem position.

1413

PARTNERSHIP® SYSTEMCitation® AT Femoral Stem

Features• 132° Neck Angle• Anteverted Neck and Proximal Body• Forged (G.A.D.S.) Vitallium® Alloy (CoCr)• Anthropometric Stem Sizing• 18 Stem Sizes

(9 Right & 9 Left)• Anatomical Offsets • Circumferential Porous

Coating• Unique Distal Slot

and Grooves • Polished Distal Stem• Reduced Neck Diameter• Uses V40™ Taper Heads• 6 Different Modular Head

Neck Lengths

Citation® AT Hip Stem Product Information


6265-2-100 0/9mm L 26mm 34mm 110mm6265-2-101 1/10mm L 26mm 34mm 115mm6265-2-102 2/11mm L 26mm 36mm 120mm6265-2-103 3/12mm L 28mm 40mm 125mm6265-2-104 4/13mm L 30mm 44mm 130mm6265-2-105 5/14mm L 31mm 47mm 135mm6265-2-106 6/15mm L 32mm 50mm 140mm6265-2-107 7/16mm L 34mm 52mm 140mm6265-2-108 8/17mm L 39mm 55mm 145mm6265-2-110 0/9mm R 26mm 34mm 110mm6265-2-111 1/10 mm R 26mm 34mm 115mm6265-2-112 2/11mm R 26mm 36mm 120mm6265-2-113 3/12mm R 28mm 40mm 125mm6265-2-114 4/13mm R 30mm 44mm 130mm6265-2-115 5/14mm R 31mm 47mm 135mm6265-2-116 6/15mm R 32mm 50mm 140mm6265-2-117 7/16mm R 34mm 52mm 140mm6265-2-118 8/17mm R 39mm 55mm 145mm

Benefits• 132° Neck Angle is closer to anatomic than stems w/135° neck angle.

• Enhances proximal fit through increased cortical contact.





• Circumferential porous coating can create a proximal seal inhibitingmigration of particulate debris.




• CoCr & Zirconia V40™ Taper Heads available in 22, 26, 28, & 32mm.




Tactics• Discuss G.A.D.S. (Gas Atomised Dispersion Strengthened) provides

a stronger implant that allows for more neck length options and circumferential porous coating.

• Discuss Anteverted Neck and Proximal Body, enhances proximal fit through increased cortical contact without removal of the femoral helix.

• Discuss 132-Degree Neck Angle, provides joint stability without adding excessive leg length.

• Discuss V40™ Neck Lengths, provides increased R.O.M. and improved neck length options.


• Discuss Distal Slot and Grooves, reduces stem stiffness allowing moredistal flexibility addressing the issue of thigh pain.


• Discuss “Anatomical Basis of Femoral Component Design”, Phil Noble Ph.D.

1615

ACCOLADE® TMZF®

Femoral Stem

Benefits• A tapered wedge philosophy backed by clinical experience that provides firm

mediolateral stability within the femoral canal.• Relative to body geometry, neck lengths grow proportionally in size to

accommodate a wide population using a standard femoral head.• The narrow ovoid neck design optimises available range of motion while

maintaining strength.• TMZF® modulus of elasticity is closer to bone than Ti6Al4V.• TMZF® increases the stress transfer at the bone to implant interface.• Clinically successful 50 mm thick PureFix™ HA coating demonstrates

unprecedented clinical results in the Omnifit® stem multi-centre study followedfor more than 8 years.

• A large range of offsets and neck lengths made from forged Vitallium® alloy, andzirconia and alumina ceramics.

• Proximally, circumferential plasma spray assists with mechanical engagement inbone and provides an optimum interface for application of PureFix™ HA coating.

• Availability of V40™ Alumina Heads.


Mode of Fixation• Proximal wedge press-fit.

Tactics• Discuss TMZF®, a proprietary, BETA titanium Alloy that is 25% more flexible than

Ti6Al4V and is free of Aluminium and Vanadium.• Discuss 10 year HA results on Omnifit®–HA by Capello/D’Antonio:

• 1% thigh pain, 0.3% MFR (1 stem) at avg. follow up over 8 years.• 95 HHS and 92% good-to excellent results at avg. F/U of over 8 years.• No intramedullary osteolysis.• 100% of stems stable with bony ingrowth.• Discuss AVN and patients under 50; 0.0% MFR at 6.7 years.

• Focus on available range of motion and concerns with dislocation resulting fromthe bulky neck geometry and fixed neck angle/lengths with competitive systems.

• Discuss 132°-127° neck angle - provides joint stability without adding excessiveleg length.

• Discuss V40™ neck length options - provides joint stability without addingextensive leg length.

• Side-by-side competitive pre-operative x-ray templating session.• Discuss Accolade® Instrumentation and how it is extremely easy to use.• Discuss ceramic-ceramic options.

Features• 132° and 127° neck angles• Incremental neck lengths• Forged TMZF® Beta Titanium Alloy• PureFix™ HA coating• Proximal plasma surface• Reduced neck geometry• 8 taper sizes• Reduced trunnion diameter• Uses V40™ taper heads in CoCr, Zirconia or

Alumina• 6 different modular head neck lengths

Accolade® TMZF® Product Information

Catalogue Neck Stem Neck Base Head StemNumber Angle Size Length Offset Length

6020-0-130 132° 1 30 mm 34 mm 110 mm6020-0-230 132° 2 30 mm 35 mm 115 mm6020-0-335 132° 3 35 mm 39 mm 120 mm6020-0-435 132° 4 35 mm 40 mm 125 mm6020-0-537 132° 5 37 mm 44 mm 130 mm6020-0-637 132° 6 37 mm 45 mm 135 mm6020-0-740 132° 7 40 mm 48 mm 140 mm6020-0-840 132° 8 40 mm 49 mm 145 mm6021-0-130 127° 1 30 mm 38 mm 110 mm6021-0-230 127° 2 30 mm 39 mm 115 mm6021-0-335 127° 3 35 mm 43 mm 120 mm6021-0-435 127° 4 35 mm 44 mm 125 mm6021-0-537 127° 5 37 mm 48 mm 130 mm6021-0-637 127° 6 37 mm 49 mm 135 mm6021-0-740 127° 7 40 mm 53 mm 140 mm6021-0-840 127° 8 40 mm 54 mm 145 mm

For CoCr, Zirconia & Alumina Head Product Information See Pages 48-50

1817

OMNIFIT® -HA Cementless Femoral Stem


• Forged Ti6Al4V alloy

• 11 Proportional Stem Sizes

• Anterior/Posterior Normalisations

• Proximal PureFix™ HA (Hydroxylapatite)coating

• Grit blasted finish

• Threaded Drive Hole

• Use with Osteonics® C-Taper Heads (CoCr, Alumina, and Zirconia)

Osteonics® Omnifit®-HA Product Information

Catalogue Stem Distal Neck Base Head Stem Number Size Diameter Length Offset Length

(mm) (mm) (mm) (mm)

6017-0425A 4 8.1 25 28.6 100

6017-0525A 5 8.9 25 29.4 110

6017-0625A 6 9.6 25 30.3 120

6017-0730A 7 10.4 30 35.1 130

6017-0830A 8 11.2 30 36.0 140

6017-0935A 9 11.9 35 40.8 150

6017-1035A 10 12.7 35 41.6 160

6017-1140A 11 13.5 40 46.4 170

6017-1240A 12 14.7 40 47.3 170

6017-1340A 13 16.0 40 48.2 170

6017-1440A 14 17.2 40 49.0 170

Benefits• 10 years of documented successful clinical performance.

• 132° Neck Angle is more anatomic.

• Flexibility, increased strength of Ti alloy.

• Proportional sizing consistently fits a broader patient population.

• Proximal normalised, dual-wedge design converts shear stresses to compressive forces, enhances load distribution, minimises rotation and resists subsidence.

Specific Indications• Non cemented applications in primary THA.

Mode of Fixation• Proximal, Press-fit (HA).

Tactics• Osteonics’ first HA coated stem.

• Discuss 10-year HA results on Osteonics® Omnifit®-HA by Capello/D’Antonio:• 1% thigh pain, 0.3% MFR (1 stem) at avg. follow-up of over 8 years.• 95 HHS and 92% good-to-excellent results at avg. F/U of over 8 yrs.• No intramedullary osteolysis.• 100% of stems stable with bony ingrowth.• Discuss AVN and patients under 50; 0.0% MFR at 6.7 years.

• Discuss how HA coated implants typically see bony apposition rates greaterthan 60% as opposed to 4 – 45% for porous coated surfaces.

• Discuss proportionality, projected area, dual wedge, offsets, etc.

• Side-by-side competitive pre-operative x-ray templating session; showincreased canal fit-and-fill as opposed to competitive parallel-sided designs(especially in the ML dimension).

• Emphasize Cutting Edge™ Instrumentation, and how you can use one set of instruments to implant primary cemented, cementless, and revisioncementless stems.

• Discuss ceramic-ceramic options.

2019

SECUR-FIT™ -HA Cementless Femoral Stem

Features• 132° Neck Angle • Forged Ti6Al4V alloy

• Proportional Stem Sizing

• 11 Standard Offset Stem Sizes

• Anterior /Posterior Normalisations

• Polished neck

• Proximal PureFix™ HA (Hydroxylapatite)coating over CP Ti Arc-Deposition

• Threaded Drive Hole

• Use with Osteonics® C-Taper heads (CoCr, Alumina, and Zirconia)

Osteonics® Omnifit®-HA Product Information


(mm) (mm) (mm) (mm)

6051-0425A 4 8.1 25 28.6 100

6051-0525A 5 8.9 25 29.4 110

6051-0625A 6 9.6 25 30.3 120

6051-0730A 7 10.4 30 35.1 130

6051-0830A 8 11.2 30 36.0 140

6051-0935A 9 11.9 35 40.8 150

6051-1035A 10 12.7 35 41.6 160

6051-1140A 11 13.5 40 46.4 170

6051-1240A 12 14.7 40 47.3 170

6051-1340A 13 16.0 40 48.2 170

6051-1440A 14 17.2 40 49.0 170

Benefits• Proximal Arc Deposition coating adds interference fit.

• Flexibility, increased strength of Ti alloy.

• Proximal normalised, dual-wedge design converts shear stresses to compressive forces, enhances load distribution, minimises rotation and resists subsidence.

• Proportional sizing consistently fits a broader patient population.

Specific Indications• Non cemented applications in primary THA.

Mode of Fixation• Proximal, Press-fit, (HA & CP Ti Arc -Deposition).

Tactics• Discuss proportionality, projected area, dual wedge, offsets, etc.

• Position the Secur-Fit™ as an evolution of the Osteonics® Omnifit®-HAstem.

• Discuss 10-year HA results on Osteonics® Omnifit®-HA by Capello/D’Antonio:• 1% thigh pain, 0.3% MFR (1 stem) at avg. follow-up of over 8 years.• 95 HHS and 92% good-to-excellent results at avg. F/U of over 8 yrs.• No intramedullary osteolysis.• 100% of stems stable with bony ingrowth.• Discuss AVN and patients under 50; 0.0% MFR at 6.7 years.

• Discuss how proximal AD/HA coating adds interference – gives good initialfixation and builds on established results of proximal geometry.

• Discuss Hawkins canine chamber model study with CP Ti arc-deposition/HA-the AD/HA coated samples showed higher tensile strengths than any surface enhancement previously tested. See reference section…

• Discuss how HA coated implants typically see bony apposition rates greater than 60% as opposed to 4 – 45% for porous coated surfaces.

• Side-by-side competitive pre-operative x-ray templating session; show increased canal fit-and-fill as opposed to competitive parallel-sided designs(especially in the ML dimension).

• Emphasize Cutting Edge™ Instrumentation, and how you can use one set of instruments to implant primary cemented, cementless, and revisioncementless stems.

• Discuss ceramic-ceramic options.

2221

PRIMARY SECUR-FIT™ PLUS-HA Cementless Femoral Stem


• Forged Ti6Al4V alloy

• 8 Proportional Stem Sizes

• Anterior/Posterior Normalisations • 2- for-1 Distal Sizing• Polished Neck Region• Distal Tri-Slot• Threaded Drive Hole• Proximal PureFix™ HA (Hydroxylapatite)

coating over CP Ti Arc-Deposition• Use with Osteonics® C-Taper Heads

(CoCr, Alumina, and Zirconia)

Osteonics® Primary Secur-Fit™ Plus Product Information


(mm) (mm) (mm) (mm)

6054-0711A 7 11 30 38.6 130

6054-0713A 7 13 30 38.6 130

6054-0812A 8 12 30 39.5 140

6054-0814A 8 14 30 39.5 140

6054-0913A 9 13 35 44.8 150

6054-0915A 9 15 35 44.8 150

6054-1014A 10 14 35 45.7 160

6054-1016A 10 16 35 45.7 160

6054-1115A 11 15 40 50.9 170

6054-1117A 11 17 40 50.9 170

6054-1216A 12 16 40 51.9 170

6054-1218A 12 18 40 51.9 170

6054-1317A 13 17 40 52.9 170

6054-1319A 13 19 40 52.9 170

6054-1418A 14 18 40 53.8 170

6054-1420A 14 20 40 53.8 170

Benefits• 127° Neck Angle is more anatomic.• Proximal /Distal sizing options allow surgeons to fit broader patient

populations.• Flexibility, increased strength of Ti alloy.• Proportional sizing consistently fits a broader patient population.• Proximal normalised, dual-wedge design converts shear stresses to

compressive forces, enhances load distribution, enhances rotational stability, and resists subsidence.

Specific Indications• Non cemented applications in primary THA.• Non cemented applications in Type I revision THA.

Mode of Fixation• Proximal, Press-fit (HA & CP Ti Arc-Deposition).• Distal fit with distal tri-slot and flutes.

Tactics• Discuss proportionality, projected area, dual wedge, offsets, etc.• Discuss 10-year HA results on Osteonics® Omnifit®-HA by Capello/D’Antonio:

• 1% thigh pain, 0.3% MFR (1 stem) at avg. follow-up of over 8 years.• 95 HHS and 92% good-to-excellent results at avg. F/U of over 8 yrs.• No intramedullary osteolysis.• 100% of stems stable with bony ingrowth.• Discuss AVN and patients under 50; 0.0% MFR at 6.7 years.

• Discuss how HA coated implants typically see bony apposition rates greater than 60% as opposed to 4-45% for porous coated surfaces.

• Position Secur-Fit™ as an evolution of Osteonics® Omnifit®.• Position as an easy revision/ tough primary stem (“Get-in-the-door”).• Discuss increased flexibility offered by tri-slot over coronal single-slot

(250% more than coronal slot out of plane); decrease in potential forthigh pain.

• Discuss neck design: 127° neck, reduced poly impingement, increased ROM in flexion/ internal rotation.

• Discuss how distal flutes provide superior rotational stability.• Side-by-side competitive pre-operative x-ray templating session.• Discuss 2-for-1 distal sizing; 4 proximal sizes within 1mm of distal reaming.• Discuss ceramic-ceramic options.

2423

EXETER™ HIP SYSTEMExeter™ Femoral Stem (V40™)

Features• 125° Neck Angle• Collarless Stem• Double tapered (AP & ML)• Polished• Orthinox® stainless steel• Hollow PMMA Distal Centraliser• 11 Stem sizes in the Central Range with offsets of

35.5mm, 37.5mm, and 44mm• 8 Stem sizes in the Extended Range, with offsets of

30, 33, 37.5, 44, and 50mm• Primary stem length 158mm• 4 Long Stems (cylindrical) in lengths 200, 220, 240,

260mm• 1 Long Stem (fully tapered) length 205mm• Long Stems for revisions using cement or impaction bone grafting• Uses V40™ Taper Heads in Orthinox® & Zirconia in 22, 26, 28 & 32mm,

& Alumina in 28, 32 & 36mm.• Reduced neck diameter for greater ROM

Exeter™ Hip Stem (V40™) Product Information – Central Range


0580-1-351 35.5mm 1 37mm 35.5mm 134mm

0580-1-352 37.5mm 0 37mm 37.5mm 158mm

0580-1-371 37.5mm 1 37mm 37.5mm 158mm

0580-1-372 37.5mm 2 37mm 37.5mm 158mm

0580-1-373 37.5mm 3 37mm 37.5mm 158mm

0580-1-440 44mm 0 38mm 44.0mm 158mm

0580-1-441 44mm 1 38mm 44.0mm 158mm

0580-1-442 44mm 2 38mm 44.0mm 158mm

0580-1-443 44mm 3 38mm 44.0mm 158mm

0580-1-501 50mm 1 38.7mm 50.0mm 158mm

0580-1-502 50mm 2 38.7mm 50.0mm 158mm

Benefits• Double taper, polished, collarless design allows the stem to load cement in

compression.• Multiple offset choices replicate patient anatomy.• Forged Orthinox® shows better wear characteristics against PMMA.• More sizing options allow surgeons to fit the stem to the patient.• 205mm long stem is a true double tapered stem in keeping with the Exeter™

philosophy.• All other long stems have a cylindrical distal section more suited to conventional

cementing but may be used with impaction grafting when additional length isrequired.

• Leg length and stem offset are determined independently.• Hollow Centraliser protects against end bearing and provides an area for the

stem to subside without disrupting the cement mantle.• Hollow Centraliser aids in neutral alignment of the distal stem.• Reduced neck diameter increases R.O.M. Tactics• Discuss Tapered Stem Design, converts shear stresses to compressive forces.• Discuss Polished Surface, minimises wear debris at interfaces.• Discuss Collarless Design, permits the stem to engage the cement mantle

maintaining compressive forces at the cement interface.• Discuss Collarless Design, permits the surgeon to determine leg length based

on the depth that the stem is placed, independent of offset.• Discuss Offsets, multiple offsets aid replication of patient anatomy independent

of leg length issues.• Discuss Hollow Centraliser, protects the stem from being “end bearing”

allowing the stem to behave as a true taper.• Discuss 30 Year Clinical History.

Specific Indications• High demand cemented hip surgery.• Cancellous impaction bone grafting (revision THA).Mode of fixation• Cemented use only.

Exeter™ Hip Stem (V40™) Product Information – Extended Range


0580-1-300 30mm 32mm 30mm 104mm0580-1-330 33mm 36mm 33mm 124mm0580-1-444 44mm 4 38mm 44mm 158mm0580-1-445 44mm 5 38mm 44mm 158mm0580-1-446 44mm 6 38mm 44mm 158mm0580-1-503 50mm 3 38.7mm 50mm 158mm0580-1-504 50mm 4 38.7mm 50mm 158mm0580-1-505 50mm 5 38.7mm 50mm 158mm

0580-3-422 44mm 2 38mm 44mm 205mm0580-1-200 44mm 3 38mm 44mm 200mm0580-1-220 44mm 3 38mm 44mm 220mm0580-1-240 44mm 3 38mm 44mm 240mm0580-1-260 44mm 3 38mm 44mm 260mm

2625

ABG II CEMENTED HIP SYSTEM


• Collarless

• Forged Vitallium® Alloy (CoCr)

• 6 Anatomical Stem Sizes (Left and Right)

• Distal PMMA Centraliser


• Femoral Head Sizes 22, 26, 28 and 32mm

• Up to 6 Modular Head Neck Lengths


• Uses same Intrumentation as ABG IICementless Hip System

• Proximal vertical grooves

ABG II Cemented Product Information


4846-0-102 2 right 31mm 41mm 100mm

4846-0-202 2 left 31mm 41mm 100mm

4846-0-103 3 right 33mm 43mm 110mm

4846-0-203 3 left 33mm 43mm 110mm

4846-0-104 4 right 34mm 44mm 115mm

4846-0-204 4 left 34mm 44mm 115mm

4846-0-105 5 right 35mm 46mm 120mm

4846-0-205 5 left 35mm 46mm 120mm

4846-0-106 6 right 37mm 49mm 125mm

4846-0-206 6 left 37mm 49mm 125mm

4846-0-107 7 right 39mm 52mm 135mm

4846-0-207 7 left 39mm 52mm 135mm

Benefits• Anthropometric sizing to fit broad patent population.

• Vitallium® (CoCr) and Zirconia V40™ Taper Heads available in 22, 26, 28 and32mm and Alumina in 28, 32 and 36mm.


• May be changed to ABG II Cementless Hip System intra-operatively.

Specific Indications• High Demand Cemented Hip Surgery.

Mode of fixation• Cemented use only.

Tactics• Discuss Anatomical Stem Form, provides primary stability.

• Discuss Forged Vitallium® Alloy, gives high strengh, abrasion resistance anddurability.

• Discuss Flared Metaphyseal Portion, helps implant seat correctly in themetaphysis.

• Discuss V40™ Taper, allows multiple head options and high R.O.M.

• Discuss Compatibility with ABG II Cementless System, allows intra-operativeflexibility.

2827

KERBOULL® MKIII HIP SYSTEM


• Monobloc stem available with 22mm head

• Forged Stainless Steel 316L

• Polished

• 18 stem sizes in Central Range

• 6 stem sizes in Dysplasic Stem Range

• Reduced neck diameter

• Identical stem geometry to MKIII LegendV40™ Femoral Stem

Kerboull® MkIII Hip System Product Information Central Range


4500-101 1 24mm 37mm 110mm

4500-102 1 bis 28mm 38.5mm 120mm

4500-201 2 32mm 41mm 130mm

4500-202 2 bis 32mm 42mm 130mm

4500-203 2 ter 32mm 43mm 130mm

4500-301 3 36mm 48.5mm 140mm

4500-302 3 bis 36mm 50mm 140mm

4500-303 3 ter 36mm 51.5mm 140mm

4500-401 4 40mm 56mm 150mm

4500-402 4 bis 40mm 57.5mm 150mm

4500-403 4 ter 40mm 59mm 150mm

4500-404 4/4 40mm 61.5mm 150mm

4500-501 5 48mm 55mm 160mm

4500-502 5 bis 48mm 56.5mm 160mm

4500-503 5 ter 48mm 58mm 160mm

4500-601 6 56mm 59.8mm 160mm

4500-602 6 bis 56mm 61.3mm 160mm

4500-603 6 ter 56mm 62.8mm 160mm

Benefits• Polished surface finish minimises cement abrasion.

• Multiple sizing options enable surgeons to fit broad patent population.


Specific Indications• Cemented Hip Surgery.


Tactics• Unchanged design for 17 years.

• Discuss 26 years Clinical History of Kerboull® stem form.

• Discuss Polished Surface, minimises wear debris at interfaces.

• Discuss 10mm Neck Diameter, gives increased range of motion.

• Discuss Extensive Size Range, including Dysplasic Stem Range.

• Discuss Self Locking Cementing Philosophy, as used with Charnley-typeprostheses.

Key Papers• Long-term review of a homogeneous, consecutive series of 100 Charnley’s

total hip prostheses. Revue de Chirurgie Orthopédique, 1996, 82,pp 306-312.

• Long-term results of Charnley low friction arthroplasty in patients youngerthan 40. European Seminar on Orthopaedic Surgery and Traumatology,Springer-Verlag, 1996.

• L’arthroplastie totale de hanche Charnley Kerboull-Bases mécaniques ettechniques-Résultats à long terme-Maîtrise Orthopédique,No. 83-Avril, 1999.

Kerboull® MkIII Hip Product Information Dysplasic Stem Range


4502-101 1 28mm 32.5mm 120mm

4502-201 2 32mm 36.3mm 130mm

4502-301 3 36mm 38.8mm 140mm

4502-401 4 40mm 41.5mm 150mm

4502-501 5 48mm 47mm 160mm

4502-502 5 bis 48mm 48.5mm 160mm

3029


• Orthinox®

• Polished

• 18 stem sizes

• Uses V40™ Taper Heads in Orthinox® &Zirconia in 22, 26, 28 & 32mm, &Alumina in 28, 32 & 36mm



• Identical stem geometry to Kerboull®MkIII Hip System

MkIII - LEGEND V40™ Product Information


4401-0-101 1 24mm 37mm 110mm

4401-0-102 1 bis 28mm 38.5mm 120mm

4401-0-201 2 32mm 41mm 130mm

4401-0-202 2 bis 32mm 42mm 130mm

4401-0-203 2 ter 32mm 43mm 130mm

4401-0-301 3 36mm 48.5mm 140mm

4401-0-302 3 bis 36mm 50mm 140mm

4401-0-303 3 ter 36mm 51.5mm 140mm

4401-0-401 4 40mm 56mm 150mm

4401-0-402 4 bis 40mm 57.5mm 150mm

4401-0-403 4 ter 40mm 59mm 150mm

4401-0-404 4/4 40mm 61.5mm 150mm

4401-0-501 5 48mm 55mm 160mm

4401-0-502 5 bis 48mm 56.5mm 160mm

4401-0-503 5 ter 48mm 58mm 160mm

4401-0-601 6 56mm 59.8mm 160mm

4401-0-602 6 bis 56mm 61.3mm 160mm

4401-0-603 6 ter 56mm 62.8mm 160mm

MKIII - LEGEND HIP SYSTEMV40™ FEMORAL STEM


• Multiple sizing options enable surgeons to fit broad patient population.

• Orthinox® and Zirconia V40™ Taper Heads available in 22, 26, 28 and 32mm.

• Alumina V40™ taper Heads available in 28, 32 and 36mm.




Tactics• Discuss 24 year Clinical History of Kerboull® stem form.




• Discuss Extensive Size Range.


Key Papers• Long-term review of a homogeneous, consecutive series of 100 Charnley's

total hip prostheses. Revue de Chirurgie Orthopédique, 1996, 82,pp 306-312.

• Long-term results of Charnley low friction arthroplasty in patients youngerthan 40. European Seminar on Orthopaedic Surgery and Traumatology,Springer-Verlag, 1996.

• L’arthroplastie totale de hanche Charnley Kerboull-Bases mécaniques ettechniques-Résultats à long terme-Maîtrise Orthopédique,No. 83-Avril, 1999.

3231

DEDICACE HIP SYSTEM


• Orthinox®

• Polished

• 13 stem sizes in Central Range

• 11 stem sizes in Long Stem Range

• 2 stem sizes for dysplasia


• Femoral head sizes 22, 26, 28 and 32 mm



Dedicace Product Information Central Range


4900-1-090 9 28mm 34mm 120mm

4900-1-100 10 32mm 36mm 130mm

4900-1-111 11-1 36mm 39mm 140mm

4900-1-112 11-2 36mm 40mm 140mm

4900-1-113 11-3 36mm 41mm 140mm

4900-1-131 13-1 40mm 45mm 150mm

4900-1-132 13-2 40mm 47mm 150mm

4900-1-133 13-3 40mm 47mm 150mm

4900-1-151 15-1 44mm 49mm 150mm

4900-1-152 15-2 44mm 50mm 150mm

4900-1-171 17-1 48mm 51mm 160mm

4900-1-172 17-2 48mm 52mm 160mm

4900-1-190 19 52mm 55mm 170mm


• Multiple sizing options enable surgeons to fit broad patient population.

• Orthinox® and Zirconia V40™ Taper Heads available in 22, 26, 28 and 32mm.

• Alumina V40™ taper Heads available in 28, 32 and 36mm.


Specific Indications• Cemented Hip Surgery.


Tactics• Discuss Simple Sizing Logic.




• Discuss Extensive Size Range.


Dedicace Product Information Long Stem Range


4900-1-200 11-1-200 36mm 39mm 200mm

4900-1-250 11-1-250 36mm 39mm 250mm

4900-3-200 13-1-200 40mm 45mm 200mm

4900-3-250 13-1-250 40mm 45mm 250mm

4900-3-300 13-1-300 40mm 45mm 3000mm

4900-5-200 15-1-200 44mm 49mm 200mm

4900-5-250 15-1-250 44mm 49mm 250mm

4900-5-300 15-1-300 44mm 49mm 300mm

4900-7-200 17-1-200 48mm 51mm 200mm

4900-7-250 17-1-250 48mm 51mm 250mm

4900-7-300 17-1-300 48mm 51mm 300mm

3433

PARTNERSHIP® SYSTEMDefinition® PM Femoral Stem

Features• 132° Neck Angle• Collared Stem• Forged Vitallium® Alloy (CoCr)• Anthropometric Stem Sizing • 7 Stem Sizes Ranging from 100 to 135mm• Anatomical Offsets • Lateral Cobra Flare• Simplex ® Pre-Mantle• Proximal Grit Blast • Proximal Longitudinal Grooves• Distal Ring Centraliser • Reduced Neck Diameter• Uses V40™ Taper Heads• Femoral Head Sizes 22, 26, 28, and 32mm• 6 Different Modular Head Neck Lengths

Definition® PM Hip Stem Product Information


6265-3-101 1 31mm 34mm 100mm6265-3-102 2 32mm 36mm 115mm6265-3-103 3 34mm 40mm 115mm6265-3-104 4 35mm 44mm 125mm6265-3-105 5 37 mm 47mm 125mm6265-3-106 6 37mm 50mm 135mm6265-3-107 7 39mm 52mm 135mm

Benefits• 132° Neck Angle is closer to anatomic than stems w/135° Neck Angle.• Provides cortical calcar contact for proximal stress distribution.• Forging strengthens the material characteristics of the CoCr alloy.• Allows the surgeon to fit the stem to the patient.• More sizing options allow surgeons to fit broader patient populations. • Precise reproduction of joint line without adding excessive leg length.• Proximal longitudinal grooves convert shear stresses to compressive

forces, reduce peak stresses, enhance load distribution, minimise rotation, and resist subsidence.

• Pre-Mantle aligns, centralises, and pressurises the stem in one step.• Microtexturing to provide a mechanical interlock between cement

& implant.• Increases surface area converting shear stresses to compressive forces

enhancing load distribution and component stability.• Positions itself in a low stress area and minimises cement disturbances

during stem insertion. • Reduced neck diameter increases R.O.M.• CoCr & Zirconia V40™ Taper Heads available in 22, 26, 28, & 32mm.

Specific Indications• High Demand, Cemented applications.

Mode of Fixation• Cemented Use Only.

Tactics• Discuss Forging, providing a stronger implant that allows for more neck

length options.• Discuss Simplex® Pre-Mantle, 86-times stronger than hand-mixed cement.• Discuss 132-Degree Neck Angle, provides joint stability without adding

excessive leg length.• Discuss Tapered Stem Design, converts shear stresses to compressive

forces.• Discuss V40™ Neck Lengths, provides increased R.O.M. and improved neck

length options.• Side-by-side competitive pre-operative x-ray templating session.• Discuss “Pressurization and Centralization in Cemented Total Hip

Replacement”, Phil Noble Ph.D.

3635

PARTNERSHIP® SYSTEMReliance® CM Femoral Stem

Features• 132° Neck Angle• Collared Stem• Forged Vitallium® Alloy (CoCr)• Anthropometric Stem Sizing • 5 Stem Sizes Ranging from 100 to 125mm• Anatomical Offsets • Lateral Cobra Flare• Proximal Grit Blast • Proximal A/P Teardrop• Distal Centraliser • Reduced Neck Diameter• Uses V40™ Taper Heads• Femoral Head Sizes 22, 26, 28, and 32mm• 6 Different Modular Head Neck Lengths

Reliance® CM Hip Stem Product Information


6265-3-111 1 31mm 34.0mm 100mm6265-3-112 2 32mm 36.0mm 115mm6265-3-113 3 34mm 40.0mm 115mm6265-3-114 4 35mm 44.0mm 125mm6265-3-115 5 37mm 47.0mm 125mm


• Provides cortical calcar contact for proximal stress distribution.

• Forging strengthens the material characteristics of the CoCr alloy.

• Allows the surgeon to fit the stem to the patient.



• Proximal A/P Teardrop converts shear stresses to compressive forces,reduces peak stresses, enhances load distribution, minimises rotation andresists subsidence.

• Microtexturing to provide a mechanical interlock between cement andimplant.

• Proximal Teardrop converts shear stresses to compressive forces, enhancing load distribution.

• Distal Centraliser promotes neutral alignment minimising peak stresses.


• CoCr V40™ Taper Heads available in 22, 26, 28, & 32mm.

Specific Indications• Low Demand, Cemented applications.

Mode of Fixation• Cemented use only.


length options.

• Discuss Tapered Stem Design, converts shear stresses to compressiveforces.



• Discuss Proximal Teardrop, increased surface area and enhances loaddistribution.


• Discuss “Cemented Femoral Stem Design Biomechanical and AnatomicBasis”, Phil Noble Ph.D.

3837

PARTNERSHIP® SYSTEMReliance® PF Femoral Stem

Features• 132° Neck Angle• Collared Stem• Forged Vitallium® Alloy (CoCr)• Anthropometric Stem Sizing • 8 Stem Sizes Ranging from 115 to 150mm• Anatomical Offsets • Lateral Cobra Flare• Proximal Macrotexturing• Streamlined Distal Grooves• Distal Centraliser Option for Cemented Fixation• Reduced Neck Diameter• Uses V40™ Taper Heads• Femoral Head Sizes 22, 26, 28, and 32mm• 6 Different Modular Head Neck Lengths

Reliance® PF Hip Stem Product Information


6265-2-000 0 31mm 34.0mm 115mm6265-2-001 1 31mm 34.0mm 115mm6265-2-002 2 32mm 36.0mm 130mm6265-2-003 3 34mm 40.0mm 130mm6265-2-004 4 35mm 44.0mm 140mm6265-2-005 5 37mm 47.0mm 140mm6265-2-006 6 37mm 50.0mm 150mm6265-2-007 7 39mm 52.0mm 150mm


• Provides cortical calcar contact for proximal stress distribution.

• Forging strengthens the material characteristics of the CoCr alloy.

• Allows the surgeon to fit the stem to the patient.



• Converts shear stresses to compressive forces, reduces peak stresses,enhances load distribution, minimises rotation and resists subsidence.

• Macrotexturing to provide an interlock between bone and implant.

• Grooves reduce distal stiffness addressing the issue of thigh pain.

• Distal Centraliser promotes neutral alignment minimising peak stresses.


• CoCr V40™ Taper Heads available in 22, 26, 28, & 32mm.

Specific Indications• Low Demand, cemented applications.

Mode of Fixation• Primary, Press Fit.

• Secondary, Cement.


length options.• Discuss Straight Stem Design, derived by somatyping an extensive

collection of type A & B femora from Phil Noble’s extensive anthropometricdatabase.



• Discuss Deep Distal Grooves, removes more material to reduce the bendingstiffness of the distal portion of the stem.


• Discuss “Anatomical Basis of Femoral Component Design”, Phil Noble Ph.D.

4039

OMNIFIT® -CNormalised Cemented Femoral Stem

Features• 132° Neck Angle• HIP’ed, Cast F-75 CoCr Alloy• Proportional Stem Sizing • 8 Standard Offset Stem Sizes• Anterior/Posterior Normalisations • Proximal Medial PMMA Spacer (Optional)• 4.0mm Proximal Medial Cement Mantle• Collarless Stem Option (6003-XXXX)• Collared Stem Option (6004-XXXX)• Plasma Spray on Proximal Lateral Third• Distal Modular PMMA Spacers• Use with Osteonics® C-Taper CoCr Heads• Use with Osteonics® C-Taper Zirconia

Ceramic Heads

Osteonics® Omnifit ® -C Hip Stem Product Information


6003/4-0425 4 25mm 28.6mm 100mm6003/4-0525 5 25mm 29.4mm 110mm6003/4-0625 6 25mm 30.3mm 120mm6003/4-0730 7 30mm 35.1mm 130mm6003/4-0830 8 30mm 36.0mm 140mm6003/4-0935 9 35mm 40.8mm 150mm6003/4-1035 10 35mm 41.6mm 160mm6003/4-1140 11 40mm 46.4mm 170mm

Benefits• 132° Neck Angle is closer to anatomic than stems w/135° Neck Angle.• Hot Isostatic Pressing (HIP’ing) strengthens the material characteristics of

the CoCr alloy implants.• Consistently fits a wider range of anatomies – “allows the surgeon to fit the

stem to the patient”.• More sizing options allow surgeons to fit broader patient populations.

Benefits (cont.)• Normalisations function like “mini-cobra’s” spread over the A/P faces.

They are surface steps and walls that are perpendicular to the direction ofprincipal forces in the region of highest intended load transfer. They helpavoid the development of hoop stresses and reduce the load magnifyingeffect to be expected with an otherwise wedge-shaped stem. They convertshear stresses to compressive forces, reduce peak stresses, minimiserotation and resist subsidence.

• Geometry maintains medial and A/P cement mantle during insertion.• Increased cement mantle increases area and enhances load distribution.• Plasma spray achieves a micro-interlock between stem and cement which

improves the bond of stem/cement interface.• Distal spacer promotes a consistent cement mantle, thus minimising peak

stresses.• CoCr C-Taper Heads available in 22mm, 26 mm, 28mm & 32mm.• Zirconia C-Taper Heads available in 26mm, 28mm & 32mm.



Tactics• Discuss proportionality, projected area, dual wedge, offsets, etc.• Discuss normalisations in conjunction with projected area and dual

wedge design = better loading of cement as discussed above.• Discuss competitive sizing and offset arrays, most of which do not

allow them to cover as broad a patient spectrum as with Osteonics®

Omnifit®-C/Plus Stems.• Side-by-side competitive pre-operative x-ray templating session.• Discuss mechanical cement bond option with Osteonics® Omnifit® Geometry

which we know has 18 years of successful clinical history.• Discuss Jaffe Paper 1 – 96.4% survivorship @ 15 years (D’Aubigne & Postel).• Discuss Mayo Paper2 – 99.6% survivorship @ 5 years (Kaplan Meier).

Key Papers1 Normalised and Proportionalized Cemented Femoral Stem Designs.Jaffe W, Jarolem K; J. Arthroplasty, V10, pp.39s-43s, 1995.

2 Favorable Rough Surface Experience, the Normalised Stem.Berry, D.; Harris Hip Course, Boston, MA. Sep. 22, 1998.

Prosthesis Surface Design to Resist Loosening: Stress Normalization.Pugh J, Bartel D, Jaffe W, et al; Osteonics Technical Report, Lit. No. OTB07.

4241

OMNIFIT® PLUSNormalised Cemented Femoral Stem


• Forged F-799 CoCr Alloy


• 7 Extended Offset Stem Sizes

• Anterior /Posterior Normalisations

• Proximal Self Centreing Geometry

• 5mm Proximal Medial Cement Mantle

• Collared Stem Option (6082-XXXX)

• Grit Blasted Proximal Third

• Distal Modular PMMA Spacers

• Use with Osteonics® C-Taper CoCr Heads

• Use with Osteonics® C-Taper Zirconia Ceramic Heads


For Every 1° Decrease in Neck Angle, You Gain 1° of ROM in Flexionand Internal Rotation.

• Forging process allows for extended offset neck options.• Extended offset option for varus neck patients consistently fits a wider

range of anatomies – “allows the surgeon to fit the stem to the patient”.


Osteonics® Omnifit ® Plus Hip Stem Product Information


6082-0525 5 25mm 35.1mm 110mm6082-0625 6 25mm 36.0mm 120mm6082-0730 7 30mm 40.8mm 130mm6082-0830 8 30mm 41.6mm 140mm6082-0935 9 35mm 46.5mm 150mm6082-1035 10 35mm 47.3mm 150mm6082-1135 11 35mm 48.2mm 150mm

Benefits (cont.)• Normalisations function like “mini-cobra’s” spread over the A/P faces.

They are surface steps and walls that are perpendicular to the direction ofprincipal forces in the region of highest intended load transfer. They helpavoid the development of hoop stresses and reduce the load magnifyingeffect to be expected with an otherwise wedge-shaped stem. They convertshear stresses to compressive forces, reduce peak stresses, minimise rotation and resist subsidence.

• Proximal Self Centreing Geometry maintains medial and antero-posteriorcement mantle during insertion.

• A 5mm proximal /medial cement mantle enhances load distribution.• Grit blasting to achieve a micro-interlock with the cement which improves

the strength of stem/cement interface as well as cement mantle integrity.• Distal spacer promotes a consistent cement mantle, thus minimising peak

stresses.• CoCr C-Taper Heads available in 22mm, 26mm, 28mm & 32mm.• Zirconia C-Taper Heads available in 26mm, 28mm & 32mm.

Specific Indications• High Demand Cemented Hip Surgery.• Extended Offset Implant for patients with varus necks.


Tactics• Discuss proportionality, projected area, dual wedge, offsets, etc.• Discuss normalisations in conjunction with projected area and dual

wedge design = better loading of cement.• Discuss competitive sizing and offset arrays, most of which do not

allow them to cover as broad a patient spectrum as with Osteonics®

Omnifit®-C/Plus Stems.• Side-by-side competitive pre-operative x-ray templating session.• Discuss mechanical cement bond option with Osteonics® Omnifit®

Geometry which we know has 18 years of successful clinical history.• Discuss Jaffe Paper1 – 96.4% survivorship @ 15 years (D’Aubigne & Postel).• Discuss Mayo Paper2 – 99.6% survivorship @ 5 years (Kaplan Meier).

Key Papers1 Normalised and Proportionalized Cemented Femoral Stem Designs.Jaffe W, Jarolem K; J. Arthroplasty, V10, pp.39s-43s, 1995.

2Favorable Rough Surface Experience, the Normalised Stem.Berry, D.; Harris Hip Course, Boston, MA. Sep. 22, 1998.

Prosthesis Surface Design to Resist Loosening: Stress Normalization.Pugh J, Bartel D, Jaffe W, et al; Osteonics Technical Report, Lit. No. OTB07.

4443

ODC™ FEMORAL STEM


• HIP’ed, Cast F-75 CoCr Alloy



• 3.0mm Proximal Medial Cement Mantle





Osteonics® ODC™ Hip Stem Product Information


6070-0525 5 25mm 29.4mm 110mm6070-0625 6 25mm 30.3mm 120mm6070-0730 7 30mm 35.1mm 130mm6070-0830 8 30mm 36.0mm 140mm6070-0935 9 35mm 40.8mm 150mm6070-1035 10 35mm 41.6mm 160mm6070-1140 11 40mm 46.4mm 170mm


• Hot Isostatic Pressing (HIP’ing) strengthens the material characteristics of the CoCr alloy implants.

• Consistently fits a wider range of anatomies – “allows the surgeon to fitthe stem to the patient”.

• More sizing options allow surgeons to fit broader patient populations.• Collared option for those surgeons who prefer collar/calcar contact.

• Grit blasting to achieve a micro-interlock with the cement which improvesthe strength of stem/cement interface as well as cement mantle integrity.

• Distal spacer promotes a consistent cement mantle, thus minimisingpeak stresses.

• CoCr C-Taper Heads available in 22mm, 26mm, 28mm & 32mm.

Specific Indications• Low Demand Cemented Hip.

Mode of Fixation• Primary – Cemented.

• Secondary – Press Fit.


• Discuss projected area and dual wedge design = better loading of cement.

• Discuss competitive sizing and offset arrays, most of which do not allowthem to cover as broad a patient spectrum as with ODC & ODC Plus.


• FDA 510 (k) acceptance to market for cemented or cementless use.

• Discuss 12 years of successful clinical history – introduced 1986.• Discuss Bi-Polar and Uni-Polar options.

4645

ODC™ PLUS FEMORAL STEM


• Forged F-799 CoCr Alloy



• 3.0mm Proximal Medial Cement Mantle





Osteonics® ODC™ Plus Hip Stem Product Information


6076-0625 6 25mm 36.0mm 120mm6076-0730 7 30mm 40.8mm 130mm6076-0830 8 30mm 41.6mm 140mm6076-0935 9 35mm 46.5mm 150mm6076-1035 10 35mm 47.3mm 160mm


For Every 1° Decrease in Neck Angle, You Gain 1° of ROM in Flexion andInternal Rotation. See “Offset” benefits in the Osteonics Design Philosophysection.

• Forging process allows for extended offset neck options.

• Extended offset option for varus neck patients consistently fits a wider rangeof anatomies – “allows the surgeon to fit the stem to the patient”.


• Grit blasting achieves a micro-interlock with the cement which improves thestrength of stem/cement interface as well as cement mantle integrity.

• Distal spacer promotes a consistent cement mantle, thus minimising peakstresses.


Specific Indications• Low Demand Cemented Hip.

• Extended Offset Implant for patients with varus necks.

Mode of Fixation• Primary – Cemented.

• Secondary –Press Fit.


• Discuss projected area and dual wedge design = better loading of cement.

• Discuss competitive sizing and offset arrays, most of which do not allowthem to cover as broad a patient spectrum as with ODC™ & ODC™ Plus.


• FDA 510 (k) acceptance to market for cemented or cementless use.

• Discuss 12 years of successful clinical history – introduced 1986.

• Discuss Bi-Polar and Uni-Polar options.

47

V40™ HEADSOrthinox® Stainless Steel Femoral Heads

Features• V40™ Taper• Forged Orthinox• High sphericity tolerance• Increased Offsets• Increased R.O.M.• For use with Stainless Steel Stems only

Benefits• Provides Micro Level Polishing which produces a surface

finish of 5 Microns (Industry Standard is +6 Microns).• Reduces neck size and increases R.O.M. by reducing impingement.• Significantly increased hardness and surface finish over cast femoral heads.• Provides varied neck length options (-4, 0, 4mm).• All femoral heads provide complete coverage of the spigot removing any negative

affects on R.O.M. by an exposed spigot.

Orthinox® V40™ Femoral Head Product Information

Catalogue Head Size Neck Length TrialNumber Catalogue Number

6364-2-122 22.2mm 0mm 6264-8-1226364-2-222 22.2mm +3mm 6264-8-2226364-2-026 26mm -3mm 6264-8-0266364-2-126 26mm 0mm 6264-8-1266364-2-226 26mm +4mm 6264-8-2266364-2-028 28mm -4mm 6264-8-0286364-2-128 28mm 0mm 6264-8-1286364-2-228 28mm +4mm 6264-8-2286364-2-030 30mm -4mm 6264-8-0306364-2-130 30mm 0mm 6264-8-1306364-2-230 30mm +4mm 6264-8-2306364-2-032 32mm -4mm 6264-8-0326364-2-132 32mm 0mm 6264-8-1326364-2-232 32mm +4mm 6264-8-232

V40™ HEADSCo Cr Femoral Heads

Features• V40™ Taper• Forged CoCr• Increased Offsets• Increased R.O.M.

Benefits• Provides Micro Level Polishing which produces a surface finish of 2 Microns

(Industry Standard is +6 Microns).• Reduces neck size and increases R.O.M. by reducing impingement. • Significantly increases the hardness and surface finish over cast femoral

heads.• Provides the maximum neck length options available. (-4, 0, 4, 8, 12, 16mm).• V40™ Taper allows the O.D. of the skirted heads to be smaller, reducing

impingement and increasing R.O.M. (Skirts begin at 8mm and higher).

CoCr V40™ Femoral Head Product Information

Catalogue Head Neck Number Size Length

6260-4-122 22.2mm Standard (0)6260-4-222 22.2mm +3mm6260-4-322 22.2mm +8mm6260-5-026 26mm –3mm6260-5-226 26mm +4mm6260-5-326 26mm +8mm6260-5-426 26mm +1mm6260-5-526 26mm +16mm6260-5-028 28mm –4mm6260-5-128 28mm Standard (0)6260-5-228 28mm +4mm6260-5-628 28mm +6mm6260-5-328 28mm +8mm6260-5-428 28mm +12mm6260-5-528 28mm +16mm6260-5-032 32mm –4mm6260-5-132 32mm Standard (0)6260-5-232 32mm +4mm6260-5-332 32mm +8mm6260-5-432 32mm +12mm6260-5-532 32mm +16mm 48

5049

V40™ HEADSAlumina Ceramic Femoral Heads

Features• Medical grade Alumina ceramic• V40™ Taper• High mechanical strength• Increased R.O.M• For use with Alumina acetabular inserts• To be used on all TMZF®, Ti6Al4V, & Orthinox® stems

Benefits• Excellent wear rates and reduced risk of osteolysis• V40™ Taper allows the O.D. of the neck to be smaller

reducing impingement and increasing R.O.M.

V40™ HEADSZirconia Ceramic Femoral Heads

Zirconia Ceramic V40™ Femoral Head Product Information

Catalogue Head Neck Number Size Length

6364-4-122 22.2mm Standard (0)

6364-4-126 26mm Standard (0)

6364-4-226 26mm +4mm

6364-4-028 28mm –4mm

6364-4-128 28mm Standard (0)

6364-4-228 28mm +4mm

6364-4-032 32mm –4mm

6364-4-132 32mm Standard (0)

6364-4-232 32mm +4mm

Features• Low wear potential.

• V40™ Taper.

• High mechanical strength.

• Increased R.O.M.

Benefits• Reduces neck size and increases R.O.M. by reducing impingement.

• V40™ Taper allows the O.D. of the neck to be smaller reducing impingement and increasing R.O.M.

Alumina Ceramic V40™ Femoral Head Product Information

Catalogue Head Size Neck Length TrialNumber Catalogue Number

6364-0-028 28mm -4mm 6364-9-0286364-0-128 28mm 0mm 6364-9-1286364-0-228 28mm +4mm 6364-9-2286364-0-032 32mm -4mm 6364-9-0326364-0-132 32mm 0mm 6364-9-1326364-0-232 32mm +4mm 6364-9-2326364-0-036 36mm -5mm 6364-9-0366364-0-136 36mm 0mm 6364-9-1366364-0-236 36mm +5mm 6364-9-236

5251

ABG II CUPSDuration® Polyethylene

Features• Hemispherical design to preserve bone stock

and to encourage even transfer of loads to thesupporting bone

• HA coated to encourage strong biologicalsecondary fixation

• Made from forged Titanium Alloy

• Designed with circular grooves to provide forbone ingrowth

• Inserts made of Duration® UHMWPE whichreduces polyethylene wear

• Inserts available in Standard of Hooded version

• Ceramic inserts available for Ceramic-Ceramicversion of ABGII cup

ABG II 5-HOLE CUPIMPLANT OUTER CUP TRIAL

CAT. NO. DIAMETERCAT. NO.

4840-1-042 42MM 4849-0-0424840-1-044 44MM 4849-0-044 4840-1-046 46MM 4849-0-046 4840-1-048 48MM 4849-0-048 4840-1-050 50MM 4849-0-050 4840-1-052 52MM 4849-0-052 4840-1-054 54MM 4849-0-054 4840-1-056 56MM 4849-0-056 4840-1-058 58MM 4849-0-058 4840-1-060 60MM 4849-0-060 4840-1-062 62MM 4849-0-062 4840-1-064 64MM 4849-0-064 4840-1-066 66MM 4849-0-066 4840-1-068 68MM 4849-0-068 4840-1-070 70MM 4849-0-070 4840-1-072 72MM 4849-0-072 4840-1-074 74MM 4849-0-074

ABG II NO-HOLE CUP IMPLANT OUTER CUP TRIAL

CAT. NO. DIAMETERCAT. NO.

4840-2-042 42MM 4849-0-042 4840-2-044 44MM 4849-0-044 4840-2-046 46MM 4849-0-046 4840-2-048 48MM 4849-0-048 4840-2-050 50MM 4849-0-050 4840-2-052 52MM 4849-0-052 4840-2-054 54MM 4849-0-054 4840-2-056 56MM 4849-0-056 4840-2-058 58MM 4849-0-058 4840-2-060 60MM 4849-0-060 4840-2-062 62MM 4849-0-062 4840-2-064 64MM 4849-0-064 4840-2-066 66MM 4849-0-066 4840-2-068 68MM 4849-0-068 4840-2-070 70MM 4849-0-070

FOR USE WITH ABG II NO-HOLE CUPSCATALOGUE NUMBER

4840-2-008 ABG II NO-HOLE SPIKE

FOR USE WITH ABG II 5-HOLECUPSCATALOGUE NUMBER

4840-0-000 ABG OBTURATOR SCREW 4840-0-007 ABG CUP SPIKE 7MM 4840-0-009 ABG CUP SPIKE 9MM4840-6-512 ABG CUP SCREW 12MM 4840-6-515 ABG CUP SCREW 15MM 4840-6-520 ABG CUP SCREW 20MM 4840-6-525 ABG CUP SCREW 25MM 4840-6-530 ABG CUP SCREW 30MM 4840-6-535 ABG CUP SCREW 35MM 4840-6-540 ABG CUP SCREW 40MM 4840-6-545 ABG CUP SCREW 45MM 4840-6-550 ABG CUP SCREW 50MM 4840-6-555 ABG CUP SCREW 55MM

ABG II INSERTS, DURATION® STABILISED UHMWPE (Only for use with ABG II Cups)

22.2MM HOODED

IMPLANT OUTER CUP TRIAL CAT NO. DIAMETER CAT NO.

4845-2-242 42MM 4849-2-242 4845-2-244 44MM 4849-2-244 4845-2-246 46MM 4849-2-246 4845-2-248 48MM 4849-2-248 4845-2-250 50MM 4849-2-250 4845-2-252 52MM 4849-2-252 4845-2-254 54MM 4849-2-254 4845-2-256 56MM 4849-2-256 4845-2-258 58MM 4849-2-258 4845-2-260 60MM 4849-2-260 4845-2-262 62MM 4849-2-2624845-2-264 64MM 4849-2-264 4845-2-266 66MM 4849-2-266 4845-2-268 68MM 4849-2-268 4845-2-270 70MM 4849-2-270

28MM HOODED



32MM HOODED


4845-3-250 50MM 4849-3-250 4845-3-252 52MM 4849-3-252 4845-3-254 54MM 4849-3-254 4845-3-256 56MM 4849-3-256 4845-3-258 58MM 4849-3-258 4845-3-260 60MM 4849-3-260 4845-3-262 62MM 4849-3-262 4845-3-264 64MM 4849-3-264 4845-3-266 66MM 4849-3-266 4845-3-268 68MM 4849-3-268 4845-3-270 70MM 4849-3-270 4845-3-272 72MM 4849-3-272 4845-3-274 74MM 4849-3-274

22.2MM STANDARD



28MM STANDARD



32MM STANDARD


4844-3-250 50MM 4848-3-250 4844-3-252 52MM 4848-3-252 4844-3-254 54MM 4848-3-254 4844-3-256 56MM 4848-3-256 4844-3-258 58MM 4848-3-258 4844-3-260 60MM 4848-3-260 4844-3-262 62MM 4848-3-262 4844-3-264 64MM 4848-3-264 4844-3-266 66MM 4848-3-266 4844-3-268 68MM 4848-3-268 4844-3-270 70MM 4848-3-270 4844-3-272 72MM 4848-3-272 4844-3-274 74MM 4848-3-274

Benefits• Excellent snap-fit, locking mechanism between the shell and the insert.• No-hole cup option allows use of spikes and avoids polyethylene particle migration.• 5-hole cup allows the use of screws or spikes which are designed to ensure a

complete seal to polyethylene particles.• Maximum polyethylene thickness possible used in every size.• Exact-fit philosophy ensures primary stability.• Circular grooves provide primary mechanical stability and bone ingrowth.• HA coating encourages strong biological secondary fixation.

Specific Indications• Cementless primary or revision (use of the 5-hole cup) acetabular case.

Mode of fixation• Cementless.

Tactics• Use of the ABG 10-year excellent clinical results.• Ceramic-Ceramic system to gain new business.• Refer to Reference Section P.117-124.

5453

ABG II CUPSCeramic-Ceramic System

Features• Hemispherical cup design to preserve bone stock

and to encourage even transfer of loads to thesupporting bone

• HA coated to encourage strong biological secondaryfixation

• Made from forged Titanium Alloy• Designed with circular grooves to provide for bone

ingrowth• Medical grade Alumina ceramic inserts for

articulation on Alumina V40™ heads• Specific 5-Hole ABG II cup for ceramic insert• Excellent wear rates and reduced risk of osteolysis• Cup design prevents impingement of insert• Design and testing of components reduce any risk

of fracture

ABG II CERAMIC-CERAMIC Product Information

ABG II 5-HOLE CUP ABG II ALUMINA INSERTSFOR CERAMIC INSERTS 28MM

Catalogue Size Trial Catalogue For Shell TrialNumber Number Size

4930-0-046 46mm 4849-0-046 4930-7-037 46,48,50mm 4930-5-0374930-0-048 48mm 4849-0-048 4930-7-039 52,54mm 4930-5-0394930-0-050 50mm 4849-0-050 4930-7-041 56,58mm 4930-5-0414930-0-052 52mm 4849-0-052 4930-7-048 60,62mm 4930-5-0484930-0-054 54mm 4849-0-054 4930-7-052 64,66mm 4930-5-0524930-0-056 56mm 4849-0-0564930-0-058 58mm 4849-0-058 32MM4930-0-060 60mm 4849-0-0604930-0-062 62mm 4849-0-062 4930-6-041 56,58mm 4930-6-1414930-0-064 64mm 4849-0-064 4930-6-048 60,62mm 4849-6-1484930-0-066 66mm 4849-0-066 4930-6-052 64,66mm 4849-6-152

Benefits• ABG II Ceramic-Ceramic system is based on the well-established and clinically

effective ABG system giving confidence to the surgeon.• Decreased inflammatory response and risk of osteolysis optimises long-term

successful patient outcome.• Highest quality medical Alumina leads to minimal wear and excellent in-vivo

stability for long-term survivorship.• Cup and insert design maximise mechanical strength of the system and provide

maximum Range of Motion.• HA and cup design features ensure long-term implant stability.• 5-hole cup allows the use of screws or spikes to maximise cup fixation and seal

cup to stop debris migration.

Specific indications• High demand, active patients undergoing hip arthroplasty.

Mode of fixation• Cementless.• Exact-fit philosophy ensures primary stability.• Circular grooves provide primary mechanical stability and bone ingrowth.• HA coating encourages strong biological secondary fixation.

Tactics• Use of the ABG 10-year excellent clinical results.• Highlight excellent wear rates and clinical results of ceramic-ceramic bearing

hips.• Proven ABG cup design.• Refer to Reference Section P.117-124.

For Alumina Head Product Information See Page 50

For ABG II Spike and Screw Product InformationSee Page 51 (ABG cup w/ Polyethylene pages)

5655

Benefits• Minimises wear – least amount of wear of any bearing surfaces combination.• Choice of liner can be made intra-operatively.• Use with either V40™ heads or C-Taper heads.• Expanded range of head sizes – up to 36mm.• Ceramics increase wettability/reduced friction.• Ease of insertion, alignment and extraction.• Low profile impingement protective rim prevents impingement on the ceramic.• Alumina scratch resistance – can only be scratched by a diamond.• 1.8mm press-fit in peripheral lunate region (anatomic), line-to-line fit in dome –

makes under-reaming unnecessary.• Biocompatible materials (inserts & shell) and HA coating.• ArcDep – no possibility of bead shedding/great initial fit to reduce possibility of

micromotion and fibrous ongrowth.• PureFix™ HA – longest successful (U.S.) clinical history in business.• Trident™ Cup is based on the well-established and clinically effective Secur-Fit™

system giving confidence to the surgeon.• Highest quality medical Alumina leads to minimal wear and excellent in-vivo

stability for long-term survivorship.• Cup and insert design maximise mechanical strength of the system and provide

maximum Range of Motion.Specific Indications• Primary or revision THA with cementless cup.• For use with Trident™ Alumina or UHMWPE Inserts only.Mode of fixation• Peripheral rim press-fit (HA & CP Ti Arc Deposition).Tactics• Highlight excellent wear rates and clinical results of ceramic-ceramic bearings.• Rim protects alumina from impingement and possible damage.• Larger head sizes increase ROM and improve hip stability.• Alumina ceramic used for 30 years in Europe.• Bio-inert, no issues as metal-metal bearings (systemic particles, toxicity).• Osteonics® normalisations and PSL® geometry superior to pure spherical

geometry (J. Szivek, Orthopedics, 1997, 20:307).• Osteonics® PSL® design offers increased resistance to offset and protrusio

loading (M. Ries J. Arthroplasty, 1997, 12:207).

TRIDENT™ ACETABULAR SYSTEM

Features• Two piece component

• Unique multi-bearing shell

• Innerchange™ Locking Mechanism allowsuse of polyethylene or alumina ceramicinsert

• Exterior is similar to Secur-Fit™ HA

• Shells in 2mm increments 40mm – 72mm

• UHMWPE locked securely in shell via ringand anti-rotation barbs

• Alumina locked securely in shell via taper and anti-rotation barbs

• Cluster screw holes

• Peripheral Self-Locking (PSL®) Geometry to fix the shell in high qualitybone of lunate region

• Arc deposition gives 1.8mm rim press fit

• Circumferential normalisations for increased offset loading resistancecompared to spherical designs

• CP Ti Substrate/ CP Ti Arc Deposited Coating

• PureFix™ HA coating with 10+ years clinical success

• 18 Degree Screw Angulation

• 6.5mm Torx head screws (2030)

Trident™ Options Product Information

Shell Compatibility Ceramic 0° UHMWPE 10° UHMWPEO.D. Class Insert

40 A 22mm 22mm

42 B 22mm 22mm

44 C 28mm 22, 26mm 22, 26mm

46, 48 D 28mm 22, 26, 28mm 22, 26, 28mm

50, 52 E 32mm 22, 26, 28, 32mm 22, 26, 28, 32mm

54, 56 F 32mm 22, 26, 28, 32mm 22, 26, 28, 32mm

58, 60 G 36mm 22, 26, 28, 32mm 22, 26, 28, 32mm

62, 64 H 36mm 22, 26, 28, 32mm 22, 26, 28, 32mm

66, 68 I 36mm 22, 26, 28, 32mm 22, 26, 28, 32mm

70, 72 J 22, 26, 28, 32mm 22, 26, 28, 32mm

SOLID BACK 5-HOLEHA-Coated 540-11-XXY 542-11-XXY

Non-HA-Coated 540-01-XXY 542-01-XXYTHREADED CUP - HA COATED

Trident™ ARC 2F 558-10-44B / 70IXX= shell ØY= compatibility class

5857

SECUR-FIT™ HA SHELL

Features• Peripheral Self-Locking (PSL®) Geometry to fix the shell in high quality

bone of lunate region• Arc deposition provides a 1.8mm peripheral rim press fit• Circumferential normalisations for increased offset loading resistance

compared to spherical designs• CP Ti Substrate/CP Ti Arc Deposited Coating• PureFix™ HA coating with 10+ years clinical success • 18 Degree Screw Angulation

Catalogue Number 2051-20 2051-30

Configuration Cluster Screws Screwless

OD Size Range 40 –72mm 40 –72mm

Poly Thickness

42/44 46/48 50/52 54/56 58/60 (mm) (mm) (mm) (mm) (mm) (mm)

22mm 8.7mm 10.7mm 12.3mm 14.3mm 16.0mm

26mm NA 8.8mm 10.3mm 12.4mm 14.1mm

28mm NA 7.8mm 9.4mm 11.4mm 13.1mm

32mm NA NA 7.4mm 9.4mm 11.1mm

Peripheral Self-LockingRegion

Benefits• 1.8mm press-fit in peripheral lunate region (anatomic), line-to-line fit in

dome – makes under-reaming unnecessary.

• PSL® geometry effectively resists cup migration – extra material on periphery is harder to push through.

• Biocompatible material and coating may reduce incidence of fibrous ingrowth; roughened surface for macro interlock with bone.

• ArcDep – no possibility of bead shedding/great initial fit to reduce possibility of micromotion and fibrous ongrowth.

• Available with or without dome screw holes.

• PureFix™ HA – longest successful clinical history (U.S.) in business.

Specific Indications• For use with Osteonics® Series I and Series II Inserts only.

Mode of Fixation• Peripheral rim press-fit (HA & CP Ti Arc Deposition).

Tactics• Shell accommodates thickest poly in the industry+many liner options

including the eccentric and constrained liners (Use poly thickness chart).• Jasty et al. “Wear of Polyethylene Acetabular Components in Total Hip

Arthroplasty”, JBJS, 79A, No. 3, 3/97, p.349 – every 1mm decrease in poly thickness = 25% increase in wear.

• Benjamin et al. “The ability of various acetabular components to resist protrusio migration” – peripheral loading beats hemispherical design in resisting protrusion migration loads.

• Osteonics normalisations and PSL geometry superior to pure spherical geometry (J. Szivek, Orthopedics, 1997, 20:307).

• Osteonics® PSL® design offers increased resistance to offset and protrusio loading (M. Ries J. Arthroplasty, 1997, 12:207).

• This cup has the ability to sell itself if the surgeon can feel how well it locks in – “feels good going in”, “Can lift the patient off the table”– maybe sawbone demo.

6059

SECUR-FIT™ X’TRA SHELL

Features• Peripheral Self-Locking (PSL®) Geometry to fix the shell in high quality

bone of lunate region.• Peripheral outer diameter is 1.8mm larger than dome area. The idea is to

ream to cup size (not under-ream) – the press fit is built into the design.• Peripheral Screw Holes• Circumferential Normalisations for increased offset loading resistance

compared to spherical designs• CP Titanium Substrate• Arc Deposited CP Ti Coating• PureFix™ HA coating with 10+years clinical success • Full hemispherical profile (180 degrees)

Catalogue Number 2053-20 2053-30

OD Size Range 48– 80mm 48– 80mm

Screw Hole Configuration Cluster Screwless

Jumbo liners for cups 70–80mm

Peripheral Self-LockingRegion

Benefits• 1.8mm press-fit in peripheral lunate region (anatomic), line-to-line

fit in dome – makes under-reaming unnecessary.

• PSL geometry effectively resists cup migration – extra material on periphery is harder to push through.

• ArcDep – no possibility of bead shedding/great initial fit to reduce possibility of micromotion and fibrous ongrowth.

• Available with or without dome screw holes.

• Cluster screw hole pattern includes two inferior holes for column fixation.

• Does not require the removal of host bone compared to competitive oblong shell designs.

• PureFix™ HA – longest successful clinical history (U.S.) in business.

Specific Indications• For use with Osteonics® Series I and Series II Inserts only.

Mode of Fixation• Peripheral rim press-fit (HA & CP Ti Arc Deposition).

Tactics• Shell accommodates thickest poly in the industry and many liner options

including the eccentric and constrained liners (Use poly thickness chart).

• Jasty et al. “Wear of Polyethylene Acetabular Components in Total HipArthroplasty”, JBJS, 79A, No. 3, 3/97, p.349 – every 1mm decrease inpoly thickness = 25% increase in wear.

• Benjamin et al. “The ability of various acetabular components to resistprotrusio migration” – peripheral loading beats hemispherical design inresisting protrusion migration loads.

• Position against Arthropor’s high fiddle factor which requires screws or locking pins (need to be removed for revisions).

• Arthropor’s inserts must be refrigerated prior to use.

• Peripheral locking geometry + rim screws is ideal to prevent migration ofshell in protrusio situation.

• Osteonics® normalisations and PSL® geometry superior to pure sphericalgeometry (J. Szivek, Orthopedics, 1997, 20:307).

6261

STANDARD ACETABULAR SERIES II INSERT

Features• Many insert options including Series II (0°, 10°, 20°) (+2mm)

• Eccentric Liner (+6mm)

• Constrained Liner (-2mm)

• Insert rim & ID geometry provides increased range of motion

• Osteonics poly thickness

• N2Vac™ packaging

Osteonics® Series II Polyethylene Inserts

Catalogue Number 22 26 28 32

2041-xx40 X2041-xx42 X2041-xx44 X2041-xx46 X X X2041-xx48 X X X X2041-xx50 X X X X2041-xx52 X X X X2041-xx54 X X X X2041-xx56 X X X X2041-xx58 X X X X2041-xx60 X X X X2041-xx62 X X X X2041-xx64 X X X X2041-xx66 X X X X2041-xx68 X X X X2041-xx70 X X X X2041-xx72 X X X X

0° Insert 10° Insert

Benefits• Osteonics’ poly inserts are Gamma-irradiated and N2Vac™ packaged to

increase crosslinking and reduce oxidation.

• Our liner designs are fully conforming by Dr. Greenwald’s definition. He defines a gap as any space between the back of the insert and the inside of the metal shell greater than 0.2mm. Anything less is conforming.

• Osteonics® has the thickest poly in the industry. Roughly 2.5mm thicker than our competitors.

Specific Indications• Primary and Revision surgeries.

Mode of Fixation• Metal locking wire on insert snaps into mating barbs on shell for a

mechanical lock.

• Inserts can be cemented into the GAP™, GAP™ II, and the GAP™ Ring.

Tactics• Position Stryker® Howmedica as the leader in wear reduction.• First to develop LFIT™ which increases the wettability between the femoral

head and the insert thus potentially reducing wear.

• First to utilise N2Vac™ packaging and Gamma-irradiation for sterilisation of our poly.

• Utilise state-of-the-art machining to minimise “the gap” between the liner OD and the shell ID to have a conforming design.

• Poly thickness vs. the competition.

6463

OMNIFIT® 0° & 10° CUP INSERT – SERIES II

Features• 0 and 10 degree Insert Orientation• 28mm Inner Diameter• Series II liner design (2 shell OD for 1 insert)• Fits 46mm through 72mm Series II Shells• Elevated Levels of Molecular Crosslinking• N2Vac™ Packaging

Benefits• 90% less wear compared to standard poly in gravimetric studies.• 78% less wear in ‘abrasive’ conditions in gravimetric studies.• Meets or exceeds ASTM and ISO specifications for UHMWPE.• Maintains oxidation resistance of standard poly.• Debris particles are same size and shape as standard poly.

Key Points• Crossfire™ begins as ram-extruded Ticona 1050 resin (low stearate).• Gamma irradiation induces elevated levels of crosslinking.• Crosslinking: process that breaks molecular chains encouraging

reattachment to adjacent chains forming 3-D molecular network.• No reorientation of molecular structure nor increase of crystallinity.• Wear testing performed utilizing state of the art MTS Multi-Station Hip

Simulator (MTS Systems Corp, Eden Prairie, MN).• Wear test parameters: Load: 2500N (562 lbf), Wave Form: Paul load

curve; Total Cycles: 5 million at 1 Hz; anatomic cup orientation.• Elastic Modulus: property reflecting stiffness-moderately increased

compared to 250% increase with Hylamer®.

Specific Indications• High Demand Patients.

Mode of Fixation• Assembles with Osteonics® Series II Acetabular Shells.

Tactics• Discuss advantages of reduced polyethylene wear (reduces osteolysis

potential).

• Compare the material properties of Crossfire™ to Hylamer® 10 –15% increase in stiffness compared to Hylamer’s 250% increase).

• Cleared for U.S. Sale after cautious review of laboratory data.• Discuss the clinical experiences of Oonishi (0.06mm/yr over 17.3 years)

and Wroblewski (.022mm/yr over 6.4 years). Cost of total implant system (stem, head, shell, insert) increases approximately 4.5%.

• Position Crossfire™ as the next and most significant step in the development of Wear Reduction Technologies (poly thickness, LFIT™, N2Vac™).

10 Degree 0 Degree Inner Shell Poly Number Size Diameter Size Thickness

2041C-2846 2043C-2846 28mm 46/48mm 7.8mm

2041C-2850 2043C-2850 28mm 50/52mm 9.4mm

2041C-2854 2043C-2854 28mm 54/56mm 11.4mm

2041C-2858 2043C-2858 28mm 58/60mm 13.1mm

2041C-2862 2043C-2862 28mm 62/72mm 14.6mm

0° Insert 10° Insert

6665

ECCENTRIC LINER

Features• Inserts provide a 6mm offset for the femoral heads from the cup centre

(4mm off the Series II inserts). This provides the surgeon additional optionwhen joint stability is a concern.

• Both 10° and 20° liners are available in 26, 28 and 32mm inner diameters asspecials

• Available with shell Series I and II 46mm through 72mm

• Trials and loaner sets

Osteonics® Eccentric Liner Product Information

10° Insert 20° Insert Assy w/ Assy w/Catalogue Catalogue ID Series I Shell Series II ShellNumber Number OD’s OD’s

S-2301-2646 S-2302-2646 26mm 46mm 46 & 48mmS-2301-2648 S-2302-2648 26mm 48mm –S-2301-2650 S-2302-2650 26mm 50mm 50 & 52mmS-2301-2652 S-2302-2652 26mm 52mm –S-2301-2654 S-2302-2654 26mm 54mm 54 & 56mmS-2301-2656 S-2302-2656 26mm 56mm –S-2301-2658 S-2302-2658 26mm 58mm 58 & 60mmS-2301-2662 S-2302-2662 26mm 61–72mm 62–72mmS-2301-2846 S-2302-2846 28mm 46mm 46 & 48mmS-2301-2848 S-2302-2848 28mm 48mm –S-2301-2850 S-2302-2850 28mm 50mm 50 & 52mmS-2301-2852 S-2302-2852 28mm 52mm –S-2301-2854 S-2302-2854 28mm 54mm 54 & 56mmS-2301-2856 S-2302-2856 28mm 56mm –S-2301-2858 S-2302-2858 28mm 58mm 58 & 60mmS-2301-2862 S-2302-2862 28mm 61–72mm 62–72mmS-2301-3250 S-2302-3250 32mm 50mm 50 & 52mmS-2301-3252 S-2302-3252 32mm 52mm –S-2301-3254 S-2302-3254 32mm 54mm 54 & 56mmS-2301-3256 S-2302-3256 32mm 56mm –S-2301-3258 S-2302-3258 32mm 58mm 58 & 60mmS-2301-3262 S-2302-3262 32mm 61–72mm 62–72mm

Benefits• Increases lateralisation therefore tightening abductors.

• Useful if head is fixed or to avoid using+10 heads.

• Increases poly thickness and joint stability.

Specific Indications• Deep socket acetabulum primary or revisions surgeries.

• Assembles with Osteonics® Series I and Series II Acetabular Shells.

Mode of Fixation• Assembles with Osteonics® Series I and Series II Acetabular Shells.

Tactics• Gives the surgeon an option to lateralise on the acetabular component side.• Available in 10 or 20 degree versions.

• Last resort option prior to using a constrained liner.

6867

CONSTRAINED LINER

Features• Uniquely designed pre-assembled insert to

accept a UHR® bi-polar for chronic dislocators.• Fits into all Osteonics acetabular shell designs;

Series I, Series II, X’tra, and the GAP cup.• Available in 22, 26, 28mm ID’s • Minimum shell size is 50mm (22mm ID)• Jumbo sizes available for Secur-Fit™ X’tra • Dislocating key – special key for 50, 52 and

54 sizes• Head centres are medialised 2mm except the

50mm which is lateralised 4mm

Osteonics® Constrained Liner Product Information

Insert Bipolar Head Inner Outer TotalCatalogue OD Femoral Removal Bearing Bearing RangeNumber (mm) Head Size Key Catalogue Poly Thk Poly Thk of

(mm) Number (mm) (mm) Motion

2099-2250 50 22 HI-UHRK-3638* 5.2 7.3 72°2099-2252 52 22 HI-UHRK-3638* 5.2 4.8 72°2099-2254 54 22 HI-UHRK-3638* 5.2 5.8 72°2099-2256 56 22 HI-UHRK-22 7.7 4.3 82°2099-2258 58 22 HI-UHRK-22 7.7 4.4 84°2099-2261 61 22 HI-UHRK-22 7.7 5.9 84°2099-2266 66 22 HI-UHRK-22 7.7 7.4 84°2099-2270 70 22 HI-UHRK-22 7.7 8.9 84°2099-2274 74 22 HI-UHRK-22 7.7 10.4 84°2099-2656 56 26 HI-UHRK-26 5.8 4.3 84°2099-2658 58 26 HI-UHRK-26 5.8 4.4 84°2099-2661 61 26 HI-UHRK-26 5.8 5.9 84°2099-2666 66 26 HI-UHRK-26 5.8 7.4 84°2099-2670 70 26 HI-UHRK-26 5.8 8.9 84°2099-2674 74 26 HI-UHRK-26 5.8 10.4 84°2099-2858 58 28 HI-UHRK-28 5.3 4.4 84°2099-2861 61 28 HI-UHRK-28 5.3 5.9 84°2099-2866 66 28 HI-UHRK-28 5.3 7.4 84°2099-2870 70 28 HI-UHRK-28 5.3 8.9 84°2099-2874 74 28 HI-UHRK-28 5.3 10.4 84°

Benefits• Sizing availability has been expanded to include 22mm head size in

50, 66, 70 & 74mm shells and 26mm head size in 66, 70, & 74mm shells and 28mm head size in 66, 70, & 74mm shells.

• Bipolar is already assembled into the acetabular insert.

• The patented locking mechanism of the bipolar requires less than four pounds of force, yet disassembly requires more than 200 pounds distractive force without the removal key.

• Compatible with all current Osteonics® shells including GAP™ Cup.

• Increases flexibility of the surgeons’ choice in both primary and revision situations.

• Locking mechanism provides a higher distraction force than the J&J device.

Specific Indications• For use with Osteonics® Series II shells, including the GAP™, GAP™ II, and

GAP™ Ring.

Mode of Fixation• Metal Locking wire on insert snaps into mating barbs on shell for a

mechanical lock

• Inserts can be cemented into the GAP™, GAP™ II, and the GAP™ Ring.

Tactics• J & J Poly-Dial constrained liner consists of a poly insert and a metal

locking ring which must be precisely assembled intraoperatively to retain the femoral head after joint reduction.

• The Poly-Dial constrained liner also relies on the peripheral screws to lock in the shell which not only reduces poly thickness, since the shell must be thick to accommodate peripheral screws, but also adds extra surgery time and the uncertainty of the locking strength.

• Consider Osteonics® constrained insert as the part of the Osteonics®

Acetabular Insert System. 0°, 10°, 20° lip angle, lateralised inserts are all compatible with any Osteonics® Modular Acetabular Shells.

• Use this system as your advantage, which increases the flexibility of the surgeons’ choice in both primary, and revision situations.

• Only one of two companies with this offering approved via PMA.

*Note: Special Key for 2099-2250, 2099-2252 and 2099-2254 Only

7069

VITALOCK® SHELLSSolid Back & Cluster

Features• Full hemisphere design

• “True” solid back version

• Cluster screw locations based on P. Noble’s anatomic study

• Vitallium® Alloy (cobalt chromium alloy)

• Size range: 40mm – 76mm O.D.

• 22, 26, 28 32 ID’s/ 0°, 10° & 15° Hoods

• Accepts System 12® insert

• Robust locking mechanism

• Congruent liner

• 12 position hood indexing

• +4mm lateralising insert option

• 6.5mm diameter /3.5mm hex head screws

• Colour coded packaging of shells & inserts

Vitalock®

Solid Back

Vitalock®

Cluster

Benefits• Robust locking mechanism minimises deformation and wear.

• Duration® provides more crosslinking with less oxidation.

• Vitallium® beads provide three dimensional ingrowth surface.

• “True” solid back – no portals for debris egress.

• Liner can be repositioned without damage.

• Screw hole locations based on Phil Noble’s study of “safe” zones.

• Self- tapping, 4 flute screw tip design.

• Screw head allows angulation without contacting liner.

Specific Indications• Primary and revision total hip arthroplasty.


Tactics• Precision engineered liner /shell eliminates third body locking ring.

• “True” solid back design not offered by most competitors.

• Threaded apical plugs do not prevent debris migration – referencetechnical monograph # 6085-3-017-0.

• Discuss benefits of Duration® versus inert packaging.

• Expose competitors’ flimsy, outdated, locking mechanisms.

• Vitallium® beads have the longest published, successful, clinical history.

• +4mm lateralised insert option addresses difficult primary/revisionsituations.

Catalogue Number 6302-1-0XX 6302-2-0XX

Configuration Cluster Style Solid Back

OD Size Range 40 –76mm 40 – 76mm

7271

VITALOCK® TALON™Spiked Shell

Features• Full hemisphere design

• 3 fluted spikes

• Press fit apical plug

• Vitallium® Alloy (cobalt chromium alloy)

• Size range: 40mm–76mm O.D.

• 22, 26, 28, 32mm ID’s/ 0°, 10° & 15° Hoods



• Congruent liner• 12 position hood indexing



Catalogue Number 6302-2-2XX

Configuration Spiked

OD Size Range 40–76mm



• Vitallium® beads provide three dimensional ingrowth surface.

• Tight sealing, tapered, apical plug occludes visualisation hole to inhibit debris egress.

• Spikes are not porous coated. Fluted spikes facilitate easier insertion, reduces stress shielding and are bone conserving in case of revision.

• Spikes feature unique, double-stepped tips for easy insertion.

• Design provides benefit of adjunct fixation without the polyethylene pathways/ fretting of screws.


Specific Indications• Primary and revision hip arthroplasty.



• Threaded apical plugs do not prevent debris migration (reference technical monograph # 6085-3-017-0).

• Discuss benefits of Duration® versus inert packaging only.


• Vitallium® beads have the longest published, successful, clinical history.

• +4mm lateralised insert option addresses difficult primary/revision situations.

Depuy• Depuy spikes are porous coated and more difficult to insert.

• Depuy’s threaded apical plug does not seal as effectively as press fit plug.

• Depuy’s locking mechanism is inferior to System 12®

(Whiteside, 1995 AAOS).

• Depuy surgeons display fondness for cobalt chromium alloy. Link success of cobalt chromium AML / Solution/ Prodigy stems to Vitallium® Talon™.

Zimmer• No apical plug option (apical hole cannot be sealed).

7473

OSTEOLOCK® SHELLSNP (Solid Back) & Cluster

Features• Full hemisphere design• Solid back (NP) offers "plugable" apical hole

• Cluster screw locations based on P. Noble’s anatomic study

• Shell is titanium alloy

• Coating is CP titanium plasma spray

• Size range: 42mm –76mm O.D.

• 22, 26, 28, 32mm ID’s/0°, 10° & 15° Hoods



• Congruent liner

• 12 position hood indexing


• 6.5mm diameter /3.5mm hex head screws


Osteolock® Cluster

Osteolock® NP



• Plasma spray provides excellent “scratch fit” and initial stability.

• R&D testing (report #9645) concluded Howmedica plasma spray equivalent to Osteonics® and superior to Biomet (abrasion test).

• NP (North Pole hole) shell accepts tight sealing, tapered, apical plugto inhibit debris egress.

• Cluster features superior and inferior screw holes.

• Screw hole locations based on Phil Noble’s study of “safe” zones.


• Self-tapping, 4 flute screw tip design.

• Screw head allows angulation without contacting liner.

Specific Indications• Primary and revision hip arthroplasty.



• Threaded apical plugs do not prevent debris migration(ref. technical monograph # 6085-3-017-0).

• Discuss benefits of Duration® versus inert packaging only.


• Zimmer surgeons may use screws to counteract smoothness of fibermesh surface. Position plasma spray as a way to minimise the need ofscrews for initial stability.

• +4mm lateralised insert option addresses difficult primary/revisionsituations.

Catalogue Number 5260-4-0XX 5260-9-0XX

Configuration Cluster Style “NP” Solid Back

OD Size Range 42–76mm 40–76mm

7675

SYSTEM 12® INSERT

Features• Duration® Stabilised polyethylene

• Congruent design

• 12 position indexing

• 12 scallops provide anti - rotation

• Insert can be removed and repositioned

• 40 – 76mm O.D.

• 22, 26, 28, 32mm I.D.’s

• Neutral, 10 & 15 Degree hoods

• Colour coded packaging

• +4mm lateralising option

Neutral

A +4mm Lateralising Insert is available with a 10° Hood only

10° Hood



• Congruent design minimises stress, thereby potentially reducing wear.

• Precision engineered liner eliminates third body locking ring.

• Liner can be repositioned (once) without damage.

• 5 outer shell options (3 Vitalock® & 2 Osteolock®).

Specific Indications• High demand patients.

Mode of Fixation• Assembles with all System 12® shells (Vitalock® & Osteolock®).

Tactics• Target competitors’ lacking crosslinked poly (Depuy & Richards).


• Discuss extensive testing of Duration®.

• Target Depuy using Whiteside paper.

• +4mm lateralised insert addresses difficult primary & revision cases.

• Also provides thicker poly in small shell / large head situations.

Poly Thickness

42/44 46/48 50/52 54/56 58/60(mm) (mm) (mm) (mm) (mm)

22mm 6mm 8mm 10mm 11mm 13mm

26mm NA 6mm 8mm 9mm 11mm

28mm NA 5mm 7mm 8mm 10mm

32mm NA N A 5mm 6mm 8mm

System 12® Insert Product Information

HEAD 10° 15°DIA. Neutral Hooded Hooded

22 6302-5-00P 6302-5-01P 6302-5-02P26 6302-5-03P 6302-5-04P 6302-5-05P28 6302-5-06P 6302-5-07P 6302-5-08P32 6302-5-09P 6302-5-10P 6302-5-11P

P = Liner size

7877

SYSTEM 12® INSERTCrossfire™ Polyethylene

Features• Crossfire™ crosslinked polyethylene• Congruent design• 12 position indexing• 12 scallops provide anti-rotation• Insert can be removed and repositioned• 40 – 76mm O.D.• 22, 26, 28, 32mmd I.D.s• Neutral, 10 & 15 degree hoods• Colour coded packaging• +4mm lateralising option• Elevated Levels of Molecular Crosslinking• N2Vac™ Packaging

Benefits• Robust locking mechanism minimises deformation and wear.• Congruent design minimises stress, thereby potentially reducing wear.• Precision engineered liner eliminates third body locking ring.• Liner can be repositioned (once) without damage.• 5 outer shell options (3 Vitalock® & 2 Osteolock®).• 90% less wear compared to standard poly in gravimetric studies.• 78% less wear in ‘abrasive’ conditions in gravimetric studies.• Meets or exceeds ASTM and ISO specifications for UHMWPE.• Maintains oxidation resistance of standard poly.• Debris particles are same size and shape as standard poly.

Specific Indications• High demand patients.

Mode of Fixation• Assembles with all System 12® shells (Vitalock® & Osteolock®).

Key Points• Crossfire™ begins as ram-extruded Ticona 1050 resin (low stearate).• Gamma irradiation induces elevated levels of crosslinking.• No reorientation of molecular structure or increase of crystallinity.• Wear testing performed utilising state of the art MTS Multi-Station Hip Simulator

(MTS Systems Corp, Eden Prairie, MN).• Elastic Modulus: moderately increased.

Tactics• Discuss advantages of reduced polyethylene wear (reduces osteolysis potential).• Target competitors’ lacking cross-linked poly.• Discuss extensive testing of Crossfire™.• Target Depuy using Whiteside paper.• Compare the material properties of Crossfire™ to competition• Discuss the clinical experiences of Oonishi (0.06mm/ yr over 17.3 years) and

Wroblewski (.022mm/ yr over 6.4 years). Cost of total implant system (stem,head, shell, insert) increases approximately 4.5%.

• Position Crossfire™ as the next and most significant step in the development ofWear Reduction Technologies (poly thickness, LFIT™, N2Vac™).

• Expose competitors’ flimsy, outdated, locking mechanisms.• +4mm lateralised insert addresses difficult primary & revision cases.• Also provides thicker poly in small shell/large head situations.

System 12® Insert Product Information

10° Cat. 0° Cat. Inner Shell Size Poly Liner SizeNumber Number Diameter Thickness

6352-5-072 6352-5-062 28mm 46/48mm 5mm P26352-5-073 6352-5-063 28mm 50/52mm 7mm P36352-5-074 6352-5-064 28mm 54/46mm 8mm P46352-5-075 6352-5-065 28mm 58/60mm 10mm P56352-5-076 6352-5-066 28mm 62/64mm P66352-5-103 6352-5-093 32mm 50/52mm 5mm P36352-5-104 6352-5-094 32mm 54/46mm 6mm P46352-5-105 6352-5-095 32mm 58/60mm 8mm P56352-5-106 6352-5-096 32mm 62/64mm P66352-5-107 6352-5-097 32mm 66/68mm P76352-5-108 6352-5-098 32mm 70/72mm P8

8079

EXETER™ CUPS

Features• Tangential skirt geometry

• UHMWPE Duration® stabilisedpolyethylene

• 165° head coverage

• High and Low profile options

• 26mm, 28mm, and 30mm X-tra coveroption

• CDH cup option

Benefits• Different profile options allow to match the depth of the prepared acetabulum.

• Low and high profile allows the surgeon to recreate the anatomical geometrywhilst maintaning an optimum cement mantle.

• The skirt design together with the head coverage inhibit any captivity of thehead in case of impingement between stem and cup.

• With 165° of head coverage, the cup allows the maximum range of motion,and minimises impingement that may generate impact loads which cancontribute to late loosening.

• The 180° head coverage of the X-tra cover cup, used with the 30mm head,gives increased stability without compromising the range of motion.

Specific indications• None. All primary or revision acetabular cemented case.

Mode of fixation• Cemented.

• Circular grooves to ensure axial fixation.

• Polar grooves to provide for a good rotation stability.

Tactics• Sell the cup as part of the Exeter™ system.

• Use of the 30 year clinical results of the Exeter™ system.

• Prof R.S.M. Ling – “Clinical experience with primary cemented total hiparthroplasty”; Chir. Organi Mov., LXXVII 373-381 1992.

• Prof R.S.M. Ling – “The History and Development of the Exeter™ Hip”; 1997.

• A.J. Timperley – “The Long Term Results of THA”;Data on file.

Exeter™ Duration® Cup Product Information

Catalogue Head Outer CupNumber Size Diameter Type

0580-6-240 22mm 40mm CDH0580-6-640 26mm 40mm CDH0580-6-644 26mm 44mm Low Profile0580-6-648 26mm 48mm Low Profile0580-6-652 26mm 52mm Low Profile0580-6-656 26mm 56mm Low Profile0581-6-644 26mm 44mm High Profile0581-6-648 26mm 48mm High Profile0581-6-652 26mm 52mm High Profile0581-6-656 26mm 56mm High Profile0580-6-844 28mm 44mm Low Profile0580-6-848 28mm 48mm Low Profile0580-6-852 28mm 52mm Low Profile0580-6-856 28mm 56mm Low Profile0581-6-844 28mm 44mm High Profile0581-6-848 28mm 48mm High Profile0581-6-852 28mm 52mm High Profile0581-6-856 28mm 56mm High Profile0588-6-044 30mm 44mm X-tra Cover Low Profile0588-6-048 30mm 48mm X-tra Cover Low Profile0588-6-052 30mm 52mm X-tra Cover Low Profile0588-6-056 30mm 56mm X-tra Cover Low Profile0589-6-044 30mm 44mm X-tra Cover High Profile0589-6-048 30mm 48mm X-tra Cover High Profile0589-6-052 30mm 52mm X-tra Cover High Profile0589-6-056 30mm 56mm X-tra Cover High Profile

8281

KERBOULL CUPS

Features• Cylindro-spherical interior design to ensure

stability• Duration® low wear UHMWPE• Available in 22.2mm and 28mm internal

diameter• Chamfer ensuring optimum stability and

range of motion• Notched flange to allow good positioning

within the acetabulum and resist torsion

Kerboull® Cup Product Information

Catalogue Head Outer Collar TrialNumber Diameter Diameter Diameter Cat. No.

4500-040 22.2mm 37mm 40mm 4509-0-040

4500-042 22.2mm 38.5mm 42mm 4509-0-042

4500-044 22.2mm 40mm 44mm 4509-0-044

4500-046 22.2mm 41.5mm 46mm 4509-0-046

4500-048 22.2mm 43mm 48mm 4509-0-048

4500-050 22.2mm 44.5mm 50mm 4509-0-050

4500-052 22.2mm 46mm 52mm 4509-0-052

4500-054 22.2mm 47.5mm 54mm 4509-0-054

4500-056 22.2mm 49mm 56mm 4509-0-056

4500-058 22.2mm 51mm 58mm 4509-0-058

4500-060 22.2mm 53mm 60mm 4509-0-060

4516-2-848 28mm 43mm 48mm 4509-0-048

4516-2-850 28mm 44.5mm 50mm 4509-0-050

4516-2-852 28mm 46mm 52mm 4509-0-052

4516-2-854 28mm 47.5mm 54mm 4509-0-054

4516-2-856 28mm 49mm 56mm 4509-0-056

4516-2-858 28mm 51mm 58mm 4509-0-058

4516-2-860 28mm 53mm 60mm 4509-0-060

Benefits• Proven original Charnley Design

• Optimised Range Of Motion (R.O.M) and resistance to dislocation

Specific indications• Primary acetabular cases in combination with Kerboull cemented stems.

Mode of fixation• Cement fixation with circumferential grooves.

Tactics• Speak about unchanged original Charnley cup design

• Present benefits of Reduced Wear Duration® polyethylene

8483

KERBOULL® CROSS PLATE

Features• Hemispherical cross with four branches

• Manufactured from forged Stainless Steel

• Designed to guide and reinforce thereconstruction of a damaged acetabulum

• Use of fresh fragments of allograft fromfemoral heads

Benefits• Replace the prosthetic centre of rotation in an anatomical shape.

• Asymmetric plates to give a 10° anteversion.

• Right-hand and left-hand versions.

• Supplied sterile.

• Trials available.

Specific indications• Major acetabular protrusion with damage of the internal wall.

• Damaged or very osteoporotic acetabulae.

• Severely damaged acetabulae due to the failure of a total arthroplasty.

Mode of fixation• Cemented in the acetabulum.

Tactics• Use of the Kerboull® brand name.

Kerboull® Cross Plate Product Information

Catalogue Collar Diameter CatalogueNumber LEFT Diameter Number RIGHT

4501-0-240 40mm 4501-0-140

4501-0-244 44mm 4501-0-144

4501-0-248 48mm 4501-0-148

4501-0-252 52mm 4501-0-152

4501-0-256 56mm 4501-0-156

4501-0-260 60mm 4501-0-160

8685

CONTEMPORARY CUP

Features• Low profile cup allowing enough thickness of the

cement mantle and avoiding over-reaming

• Made of UHMWPE treated with Duration®

proprietary process

• 4 PMMA cement spacers provide for a miniumum,uninterrupted 3mm cement mantle

• Two circumferential grooves on the fixationsurface help to prevent component pull-out

• Polar channels combined with an acetabular rimfacilitate cement pressurisation

• Available in Original Hooded and Flanged cupversion for enhanced pressurisation of the cement

Benefits• "Easy cup" providing a minimum cement mantle and avoiding the cup to

bottom the back of the acetabulum.

• Updated complete instrumentation.

• Extensive range of design (hooded and flanged) and sizes available (Internaldiameter 22.2mm, 26mm, 28mm, 32mm).

Specific indications• All cemented acetabular cases.

Mode of fixation• Cemented in the acetabulum.

• Rotational fixation ensured by longitudinal channels on the outer cup design.

• Axial fixation ensured by polar grooves on the outer cup design.

• Enhanced cement fixation with the Flanged cup version.

Tactics• Use the early results of the Contemporary hooded cup, published at 2 years

on 150 patients: J.P. Waddell et al., Generic Total Hip Arthroplasty, CORR311,Feb 1995. Radiographic results showed satisfactory cement technique for theacetabular and femoral component. There was no evidence of early looseningin any patient and no evidence of implant failure of either the femoral oracetabular component.

• Flanged cup: Use of the literature on the benefits of flanged cups:

J Charnley, Low Friction Arthroplasty of the Hip, Theory and practice, 1979.

Experimental evaluation of the flanged cup, Oh et al., Clin. Orthop. & Rel.Res., 05/85.

Shelley&Wroblewski, JBJS(Br) 05/88, Clinical evaluation of a flanged cup.

Kobayashi&Tereyama, Arch Orthop Trauma Surg (1993).

Contemporary Cup Product Information

Standard Cup Flanged Cup Head O.D. with O.D. withoutCatalogue Catalogue Diameter spacers spacersNumber Number

6304-5-246 6304-4-246 22.2mm 46mm 40mm

6304-5-248 6304-4-248 22.2mm 48mm 42mm

6304-5-250 6304-4-250 22.2mm 50mm 44mm

6304-5-252 6304-4-252 22.2mm 52mm 46mm

6304-5-254 6304-4-254 22.2mm 54mm 48mm

6304-5-256 6304-4-256 22.2mm 56mm 50mm

6304-5-258 6304-4-258 22.2mm 58mm 52mm

6304-5-260 6304-4-260 22.2mm 60mm 54mm

6304-5-644 6304-4-644 26mm 44mm 38mm

6304-5-646 6304-4-646 26mm 46mm 40mm

6304-5-648 6304-4-648 26mm 48mm 42mm

6304-5-650 6304-4-650 26mm 50mm 44mm

6304-5-652 6304-4-652 26mm 52mm 46mm

6304-5-654 6304-4-654 26mm 54mm 48mm

6304-5-656 6304-4-656 26mm 56mm 50mm

6304-5-658 6304-4-658 26mm 58mm 52mm

6304-5-660 6304-4-660 26mm 60mm 54mm

6304-5-848 6304-4-848 28mm 48mm 42mm

6304-5-850 6304-4-850 28mm 50mm 44mm

6304-5-852 6304-4-852 28mm 52mm 46mm

6304-5-854 6304-4-854 28mm 54mm 48mm

6304-5-856 6304-4-856 28mm 56mm 50mm

6304-5-858 6304-4-858 28mm 58mm 52mm

6304-5-860 6304-4-860 28mm 60mm 54mm

6304-5-350 6304-4-350 32mm 50mm 44mm

6304-5-352 6304-4-352 32mm 52mm 46mm

6304-5-354 6304-4-354 32mm 54mm 48mm

6304-5-356 6304-4-356 32mm 56mm 50mm

6304-5-358 6304-4-358 32mm 58mm 52mm

6304-5-360 6304-4-360 32mm 60mm 54mm

8887

RESTORATION™ HACementless Revision Hip System

Features• 127° Neck Angle• 5mm Neck Length increase over primary stems• Forged Ti6Al4V alloy• 8 Proportional Normalised Stem Sizes• Straight, bowed, calcar-replacement stems• 8” 15mm (6018) & 30mm (6019) calcar

replacement stems• Anterior /Posterior Normalisations • 0.5mm distal taper• Fully coated with PureFix™ -HA hydroxylapatite • Chemically-etched substrate• Use with Osteonics® C-Taper Heads

Osteonics® Restoration™ -HA Product Information

6012- 6013- 6014- 6015- 6018/19-Stem Neck XXXX XXXX XXXX XXXX XXXX

XXXX Size Length 155mm 205mm 255mm 205mm 205mmStraight Straight Bowed* Bowed Calcar

15/30mm

-0711 7 35 X-0713 7 35 X-0812 8 35 X X X-0814 8 35 X X X X-0913 9 40 X X X-0915 9 40 X X X X-1014 10 40 X X X-1016 10 40 X X X X-1115 11 45 X X X-1117 11 45 X X X X-1216 12 45 X X X-1218 12 45 X X X X-1317 13 45 X X-1319 13 45 X X X-1418 14 45 X X-1420 14 45 X X X

Benefits• 127° Neck Angle is more anatomic.• 5mm Neck Length increase allows accurate reproduction of head centre in

revision cases, increased offset, and proper restoration of joint kinematics.• Flexibility, increased strength of Ti alloy.• Proportional sizing consistently fits a broader patient population.• Normalised, dual-wedge design converts shear stresses to compressive

forces, enhances load distribution, increases rotational stability and resists subsidence.

• Proximal geometry loads all available bone while getting good distal fixation.

Specific Indications• Non cemented applications in revision THA.• 6012/6013/6015: Type I / II revision femur.• 6014: Type II / III revision femur, bypass more distal defects.• 6018/19: Type II / III revision femur, deficient calcar.

Mode of Fixation• Press-fit, distal fixation, proximal filling (HA & Chemically Etched surface).

Tactics• Discuss 0.5mm distal taper and 35% reduction in stem insertion force

without giving up rotational stability; taper allows insertion of stem; without plowing away interference fit as a cylindrical stem might.

• Discuss 10-year HA results on Osteonics® Omnifit® -HA by Capello/D’Antonio:– 1% thigh pain, 0.3% MFR (1 stem) at avg. follow-up of over 8 years.– 95 HHS and 92% good-to-excellent results at avg. F /U of over 8 yrs.– No intramedullary osteolysis.– 100% of stems stable with bony ingrowth.

• Geesink paper on HA in revisions: HHS=92 at 6+ years F /U using Osteonics®

Omnifit®-HA (a primary stem!).• Position as a one-piece modular system because of 2-for-1 distal/proximal

sizing: 4 stems within 1mm of reaming.• Discuss purely-distally fixed competitors; emphasize how Restoration™ takes

advantage of proximal bone to share load rather than being a purely distally-fixed stem (less stress shielding).

• Emphasize Cutting Edge™ Instrumentation; same instruments are used for primary and revision cases.

9089

RESTORATION™ T3Cementless Modular Revision Hip SystemFeatures• 138° Neck Angle• Forged Ti6Al4V alloy• Modular system with different proximal and distal

components• Proximal body 18mm diameter available in 4 lengths• Distal body in 2 lengths (155 & 195mm) and 9 diameters

(18 in total)• Distal diameters: 14-20 (1mm increments), 22, & 24mm• Wagner-type distal stem with conical shape and flutes• Two components joined by morse taper & bolt with

SpiraLock® thread• Lateral shoulder holes for soft-tissue reattachment• Heavily grit-blasted surface• Distal stem is shot peened for added strength• Use with V40™ Heads in CoCr, Alumina or Zirconia

Restoration™ T3 Product Information

Catalogue Number Diameter Length

6260-3-000 18mm Standard6260-3-001 18mm +10mm6260-3-002 18mm +20mm6260-3-003 18mm +30mm

Benefits• Modularity allows accurate restoration of head centre and joint kinematics, and

stable fixation.• 4 proximal body options allow leg length to be restored.• Offset can be restored with different V40™ neck lengths.• Stem anteversion can be set as required due to two-piece design.• Distal component is based on the clinically proven Wagner design philosophy.• Distal stem impaction provides complete immediate axial and torsional stability.• 2° 52’ Morse taper and SpiraLock bolt ensure secure locking of two components.• Large range of components allows surgeon to select size required for immediate

stability.• Flexibility and increased strength of Ti alloy.• Instrumentation allows accurate implantation and has visual depth references.

Specific Indications• Non-cemented applications in revision THA.• Severe revisions: Type II and III femurs.

Mode of Fixation• Press-fit with distal fixation.

Tactics• Discuss benefits of modularity.• Discuss importance of leg length, offset, and biomechanics.• Discuss clinical success of Wagner-type designs.• Discuss benefits of no subsidence due to impaction of distal stem.• Discuss infinite Version ability – provides excellent R.O.M. adjustment.• Discuss 138° Neck Angle, allows better leg length adjustment.• Discuss V40™ Neck Lengths, provides increased R.O.M. and improved neck

length options.• Discuss 4 Proximal Body Options, allows optimum leg length adjustment.• Discuss simple Instrumentation, only two trays required.• Use unique sliding Templates to show flexibility length adjustment flexibility.

OVERALL FEMORALFEMORAL STEM LENGTHS STEM OFFSETS

Proximal With Short With Long Femoral Change in LateralBody Distal Stem Distal Stem Head Stem Length Offset

-4mm -3mm 38mmStandard 225mm 265mm Standard 0mm 42mm+10mm 235mm 275mm +4mm +3mm 45mm+20mm 245mm 285mm +8mm +6mm 48mm+30mm 255mm 295mm +12mm +9mm 50mm

+16mm +12mm 53mm

Proximal Body & Bolt

Restoration™ T3 Product Information

Catalogue Number Diameter Stem

6260-3-014 14mm 155mm6260-3-015 15mm 155mm6260-3-016 16mm 155mm6260-3-017 17mm 155mm6260-3-018 18mm 155mm6260-3-019 19mm 155mm6260-3-020 20mm 155mm6260-3-022 22mm 155mm6260-3-024 24mm 155mm6260-3-114 14mm 195mm6260-3-115 15mm 195mm6260-3-116 16mm 195mm6260-3-117 17mm 195mm6260-3-118 18mm 195mm6260-3-119 19mm 195mm6260-3-120 20mm 195mm6260-3-122 22mm 195mm6260-3-124 24mm 195mm

Distal Stem

For CoCr, Zirconia & Alumina Head Product Information see Pages 48 - 50

9291

RESTORATION™ DPMCementless Modular Revision Hip System

Features• 135° Neck Angle• Forged Ti6Al4V alloy• Modular system with Wagner-type stem and proximal sleeves• Stem options:

- straight 200mm,- curved (left & right) 270mm

• Stem diameters: 14 (only 200mm), 16, 18, 20, 22mm• Fluted conical distal stem • Lateral shoulder holes for soft-tissue reattachment• Curved stem has 7° anteversion• Sleeves are HA coated in 3 sizes• Grit-blasted surface• Use with V40™ Heads in CoCr, Alumina or Zirconia

Benefits• Stem is based on the clinically proven Wagner design philosophy.• Fluted, conical stem provides distally immediate axial and torsional stability.• Modularity allows surgeon to select size required for immediate stability.• Sleeve fills metaphysis and loads proximal bone.• Secondary biological fixation for long-term proximal stability provided by

Hydroxyapatite coating encouraging bony ongrowth to sleeve.• Grit blasted distal stem enhances bone ongrowth.• Flexibility and increased strength of Ti alloy.• 135° Neck Angle is close to anatomic.• Instrumentation allows accurate implantation.

Specific Indications• Non cemented applications in revision THA.• Type II and III revision femur.

Mode of Fixation• Initial distal fixation with conical flutes of stem.• Proximal filling and fixation by HA coated sleeve.

Tactics• Discuss how Restoration™ DPM takes advantage of proximal bone to share load

rather than being a purely distally-fixed stem (less stress shielding).• Discuss long-term clinical success of Wagner-type stem designs.• Discuss benefits of proximal fit and fill provided by 3 sleeves sizes to load &

restore proximal anatomy.• Geesink paper on HA in revisions: HHS=92 at 6+ years F/ U using Osteonics®

Omnifit®-HA (a primary stem!).• Discuss V40™ Neck Lengths, provides increased R.O.M. and improved neck

length options.• Discuss 135° Neck Angle, allows better leg length adjustment.• Discuss instrument system for accurate & reproducable implantation, with depth

references which focus on centre of femoral head.

For CoCr, Zirconia & Alumina Head Product Information see Pages 48 - 50

Restoration™ DPM Product Information

Catalogue Stem Stem Length TypeNumber Diameter

7701-0-140 14mm 200mm Straight7701-0-160 200mm Straight7701-0-161 16mm 270mm Curved Left7701-0-162 270mm Curved Right7701-0-180 200mm Straight7701-0-181 18mm 270mm Curved Left7701-0-182 270mm Curved Right7701-0-200 200mm Straight7701-0-201 20mm 270mm Curved Left7701-0-202 270mm Curved Right7701-0-220 200mm Straight7701-0-221 22mm 270mm Curved Left7701-0-222 270mm Curved Right

Stem

Sleeve

Catalogue Sleeve SizeNumber Diameter

7701-5-141 Small7701-5-142 14mm Medium7701-5-143 Large7701-5-161 Small7701-5-162 16mm Medium7701-5-163 Large7701-5-181 Small7701-5-182 18mm Medium7701-5-183 Large7701-5-201 Small7701-5-202 20mm Medium7701-5-203 Large7701-5-221 Small7701-5-222 22mm Medium7701-5-223 Large

9493

RESTORATION™ GAP™ IIAcetabular Cups

Features• Commercially pure forged Titanium shell• Inferior crimping hook• Multiple dome screw holes• Wide selection of modular UHMWPE insert• Patented superior/posterior lip• Threaded dome hole• Use 2080 series bone screw for all screw holes• Bone screw head acts as 2mm cement mantle spacer• Gap™ II Cup

• Two superior bone plates can be bent and trimmed• Size range: 48 72mm L/R, 4mm increment• Gap™ II Cat. No. 2082-00XX L/R

• Gap™ Ring Cup• One superior bone flange• Size range: 48-72mm, 4mm increment• Gap™ Ring Cat. No. 2083-00XX

XX = diameter

GAP™II Shell (mm) and Series II Insert (mm) Compatibility Chart

GAP™ II 48 52 56 60 64 68 72

Insert 46–48 50–52 54–56 58–60 62– 64 66–68 70–72

Benefits• Commercially pure titanium shell for superior biocompatibility.

• Large spherical geometry provides the dome loading.

• Cluster dome screw holes for illium, ischium and pubis fixation.

• Pre-formed superior plates can be bent and trimmed for additional fixation.

• Inferior hook to restore normal hip centre and further stabilise the cup.

• Superior /posterior lip to provide optimal support and allow for natural anteversion of the insert.

• Threaded dome hole for instrument attachment.

Specific Indications• AAOS Class I, II and III acetabular defects.

Mode of Fixation• Shell: L /L press fit or cemented with or without bone graft augmentation.

• Insert: Cemented.

Tactics• Burch-Schneider or Contour Reconstruction Ring: Lack of large sizes, lack

of spherical dome loading, flanges short and hard to bend and trim, no superior plate screw hole near the shell – less optimum screw locations for protrusio cases, difficult to use inferior ischium plate especially for anterior approach, no inferior hook-difficult to restore normal hip centre.

• Muller or Contour Reinforcement Ring: Only for protrusio cases with no inferior fixation, no superior plates therefore cannot address superior / posterior defects, shallow profile – less stable for insert fixation, no hook to restore normal hip centre.

• Ganz Ring: No superior /posterior hood – poor insert fixation, no superior plates therefore cannot address superior /posterior defects, no ischium and pubis inferior fixation, small hook can miss the bone.

• Link Cup: No dome holes; inferior hook hard to assemble. Lack of superior /posterior hood.

95 96

DALL-MILES CABLE SYSTEM

Features• Leading Cable System Worldwide• Most Comprehensive Cable System Available• Patented Trochanteric Grip System• Over 16 Years Clinical History• Applications for Reconstructive and Trauma• Innovative Single-Sided Tensioner and Beaded Cables• Available in both Vitallium® and Stainless Steel• More Implant Options

Dall-Miles Cable System Product Information

Catalogue Number Description

Vitallium®

6704-8-236 1.6mm Cable6704-8-240 2.0mm Cable6704-5-016 Small Grip Implant6704-6-020 Medium Grip Implant6704-7-020 Large Grip Implant6704-4-016 Small Cable Sleeve6704-4-020 Medium Cable Sleeve6704-6-110 Mini Cleat6704-6-110 Grooved Button

Stainless Steel0023-0-010 1.5mm Cable (750mm)0023-0-020 2.0mm Cable (750mm)0023-0-515 Small Cable Sleeve 1.6mm Hole0023-0-520 Medium Cable Sleeve 2.0mm Hole3704-3-100 5 Hole/6 Groove Compression Bone Plate3704-3-110 7 Hole/8 Groove Compression Bone Plate3704-3-120 9 Hole/10 Groove Compression Bone Plate3704-3-130 11 Hole/12 Groove Compression Bone Plate

Vitallium®–Sets6704-0-420 1.6mm Beaded Cable/Sleeve Set6704-0-520 2.0mm Beaded Cable/Sleeve Set6704-0-410 1.6mm Cable/Sleeve Set6704-0-510 2.0mm Cable/Sleeve Set6704-0-110 Small Grip Plus 2, 1.6mm Cables6704-0-210 Medium Grip Plus 2, 1.6mm Cables6704-0-310 Large Grip Plus 2, 1.6mm Cables

Stainless Steel–Sets3704-0-040 1.6mm Beaded Cable/Sleeve Set3704-0-050 2.0mm Beaded Cable/Sleeve Set3704-0-410 1.6mm Cable/Sleeve Set3704-0-510 2.0mm Cable/Sleeve Set

Clinical Applications• Reconstructive

Trochanteric Re-Attachment

Prophylactic Cerclage

• Trauma

Fracture Fixation

Allograft Fixation

Supplementary Fixation

Benefits• Superior Cable Fatigue Strength.

• Operating Room Versatility.

• Simplified Surgical Technique.

• Extensive Clinical History.

Tactics• Discuss and Upgrade current accounts to Single-Sided Tensioner and

Beaded Cables.

• Switch accounts to paired packaging for costs savings.

• Defend current Dall-Miles against Zimmer Cable-Ready™ Cable Grip System.

• Target high volume Dall-Miles accounts for new instrument upgrades based on volume and competitive threat.

97 98

X-CHANGE® REVISION INSTRUMENT SYSTEM – Acetabulum

X-change® Mesh and Screws

Catalogue Screw MeshNumber Size Description

0942-8-010 Curved0942-8-020 Medial wall Lg.0942-8-025 Medial wall Sm.0942-8-030 Flat0942-8-040 Rim Sm.0942-8-050 Rim Med.0942-8-060 Rim Lg.0942-8-070 Fem Ana.

0942-8-000 3.5 x 10mm0942-8-001 3.5 x 15mm0942-8-002 3.5 x 20mm0942-8-003 3.5 x 25mm0942-8-004 3.5 x 30mm0942-8-005 3.5 x 35mm

Features• One-piece acetabular impactors

• Acetabular impactors availablein sizes 42mm–58mm in 4mmincrements

• Full moon and half moonimpactors

• Full complement of X-change®

mesh

• Self-drilling, self-tapping screws

• 3.5mm dia. 10mm–35mm,5mm increments

• Self-retaining screwdriver andImpactor sieve

• Mesh bending pliers and cutters

Specific Indications• Revision Acetabular Surgery with protrusio and/or rim defect.

Mode of Fixation• Cemented Only.

Benefits• One-piece impactors easy to use.• Acetabular impactors prepare a graft bed to size for cemented all-poly

component.• Ancillary full and half moon impactors make impaction of graft in cysts

and tight areas more efficient.• Pre-formed mesh minimises time in the O.R. reconstructing defects.• Self-drilling, self-tapping screws negate the use of any power equipment.• Self-retaining screwdriver permits placement of screws at difficult angles.• Impactor sieve allows suction to be used without disturbing the graft.• Mesh benders and cutter make modification of the mesh simple and

efficient.

Tactics• Discuss the advantage of Graft stability with impaction compared to

reverse reaming.• Discuss the 20-year clinical history of Prof. Tom Slooff, Nijmegen, The

Netherlands.• Discuss X-change® mesh, and the ease of reconstructing the deficient

acetabulum.• Discuss simple and effective instrumentation.

X-change® Femoral Mesh X-change® Flat Mesh

X-change® Medial Wall Mesh

X-change® Femoral Anatomic Mesh

X-change® Rim Mesh

99 100

GRAY™ REVISION INSTRUMENTS Gray™ Revision Instrument Product Information

Catalogue Instrument Instrument DescriptionNumber Diameter Length

6210-0-100 6.4mm 120mm Straight Osteotome6210-0-300 6.4mm 120mm Curved Osteotome6210-0-200 6.4mm 210mm Straight Osteotome6210-0-400 6.4mm 210mm Curved Osteotome6210-0-500 12.7mm 120mm Straight Osteotome6210-0-600 12.7m 120mm Curved Osteotome6210-9-100 6.35mm - Cannulated Trephine6210-4-300 - - Blunt Nose Cement Splitter6210-0-720 6mm 67mm Flexible Osteotome6210-0-730 8mm 80mm Flexible Osteotome6210-0-740 12mm 93mm Flexible Osteotome6210-0-710 12mm 120mm Flexible Osteotome6210-5-100 26mm 140mm Cup Cutting Tip6210-5-200 32mm 140mm Cup Cutting Tip6210-9-040 9.5mm 254mm Cannulated End Mill6210-9-045 9.5mm 330mm Cannulated End Mill6210-9-030 12.7mm 254mm Cannulated End Mill6210-9-035 12.7mm 330mm Cannulated End Mill6210-3-450 1mm 300mm Flat Hook6210-3-100 2mm 300mm Hook6210-3-200 4mm 300mm Hook6210-3-300 6mm 250mm Hook6210-3-400 10mm 250mm Hook6210-0-810 40mm - Acetabular Curved Osteotome6210-0-815 46mm - Acetabular Curved Osteotome6210-0-820 56mm - Acetabular Curved Osteotome6210-0-825 66mm - Acetabular Curved Osteotome6210-1-100 6.4mm 120mm Inverted “V” Tip6210-1-200 6.4mm 250mm Inverted “V” Tip6210-2-200 6.4mm 180mm Offset Gouge6210-2-100 6.4mm 250mm _ Round Gouge6210-4-100 10mm 125mm T-Splitter6210-4-200 8mm 250mm T-Splitter6210-0-000 - - Handle Assembly6210-0-010 11.7mm 150mm Extension Sleeve6210-0-015 - 270mm Extension Sleeve Screw6210-9-400 - - Multi-Mallet6210-9-060 - - Locking Acetabular Pliers

Features• Large selection of instruments for cemented and cementless revisions• Replaceable cutting tips for each operation• Ergonomic instrument handles including sleeve extensions for deep

intramedullary access• Femoral and acetabular instrumentation• Cannulated femoral end mills for removal of cement from IM canal• Long & short osteotomes• Cannulated trephine for creating femoral windows• Punches for component removal• Curved acetabular osteotomes• Acetabular cup cutting tips• Locking cup pliers• Cement splitters, gouges, hooks, forceps, mallet

Benefits• Replaceable cutting tips ensure sharp cutting edge for fast and accurate use.• Flexible osteotomes have a unique axially radiused design to guide cutting edge

away from bone to avoid damage in component removal.• Cannulated end mills allow cement removal in many IM canal sizes.• Cannulated trephine creates a small controlled-access window in the femur to

assist component removal while limiting weakness in femur.• Punches assist in removal components and also bone graft packing, revision

component seating and positioning.• Curved acetabular osteotomes follow contour of cup to allow implant loosening

while protecting against acetabular rim and wall damage.• Locking pliers provide controlled firm grip on cups for forced extraction.• Cup sectioning guides and cutting tips allow wedges of all-plastic cups to be

removed to disrupt fixation aid in removal.

Specific Indications• Cemented and cementless revision surgery.• Hip and knee arthroplasty.

Tactics• Cost benefits of one case of instruments for all revision situations.• Discuss benefits of always having sharp tools – speed and ease.

101 102

BONESAVE™Synthetic Bone Substitute

Features• BoneSave™ is a two-phase Calcium Phosphate ceramic: 80% Tricalcium

Phosphate, 20% Hydroxyapatite• Hard granules capable of withstanding the complex loads experienced in

impaction grafting• Granule particle sizes: 2-4mm, 4-6mm• Pack size: 40g• Proven to be stable in animal studies• Clinically tested in the form of Ostilit

Benefits• Less need for expensive femoral heads or other allografts.• Increased stability & consisitency in subsidence compared to allograft.• Maintains volume with allograft to provide load bearing support and primary

stability.• Provides a framework until the bone substitute is remodeled or otherwise

incorporated into a stable graft.• Cost and time effective compared to autologous bone harvesting and allograft

preperation.

Specific Indications• Osteoconductive material for application as a bone graft substitute or expander.• For use in both large & small bone defects.• Designed to be mixed (50:50) with bone graft chips prepared for impaction

grafting.

Tactics• Discuss reduction in time and patient trauma by minimising or not using

autografts.• Discuss convenience of minimal preperation versus using either allograft or

autograft.• Discuss benefits of a biocompatible material vs allograft.• Discuss reduced dependancy on Bonestock.• Discuss material consistencey & stability versus allograft.• Discuss convenience of reduced preperation of granules versus blocks.• Discuss benefits of load bearing.

103 104

UNITRAX® UNIPOLAR

Features• 38 – 63mm O.D.

• 5 Neck Length sleeves: -4, 0, +4, +8, +12mm

• Compatible with V40™ Partnership® stems

• Taper lock – cold weld junctions

• Vitallium® alloy

• Sizes 47-63mm contain non-loaded poly spacer to minimise weight

• Utilises Centrax® trials with Unitrax® adapters

• Unique sleeve removal tool

Benefits• Independent sizing of the acetabulum & femur.

• Expansive size ranges & sleeve options to treat many anatomies.

• –4mm sleeve addresses smaller anatomies (elderly women).

• No polyethylene in taper regions.

• Metal trials provide accurate size assessment.

• Modular sleeves reduce overall inventory.

Specific Indications• Femoral neck fractures; hip screw revisions, etc.

Mode of Fixation• Cementless only.

Tactics• Unitrax® provides more sizing & neck length options than competitors.

• Position Unitrax® along with Centrax®, fixed head endos and trauma to capture all hip fracture business.

• Combine Unitrax® with premium features of Reliance® PF stem.

Outer Diameter Unitrax®

38mm •40mm – 55mm •

57mm •

60mm •

63mm •

1mm increments

106105

CENTRAX® BIPOLAR

Features• One piece design

• Simple assembly – depress locking ring

• Simple disassembly – no special tools required

• Wide range of motion

• 38 –72mm O.D.

• 22, 26, 28, & 32mm I.D.

• Vitallium® alloy

• Positive eccentricity

• 11 year clinical history

Benefits• Easy assembly/disassembly.

• Robust locking mechanism provides positive lock.

• Beveled rim provides wide range of motion.

• Design is free of notches or keyways at rim that could impinge onsoft tissue.

• Metal trials provide accurate size assessment.

• Long clinical history.

Specific Indications• Femoral neck fractures; hip screw revisions, etc.

Mode of Fixation• Cementless.

Tactics• Target competitors’ 2 piece designs which are technically challenging

to assemble.

• Position Centrax® along with Unitrax®, fixed head endos and trauma to capture all hip fracture business.

• Combine Centrax® with premium features of Reliance® PF stem.

Outer 22mm I.D. 26mm I.D. 28mm I.D. 32mm I.D.Diameter

38mm X

39mm X

40mm X

41mm X X

42mm X X

43mm X X

44mm X X X

45mm X X X

46mm X X X

47mm X X X

49mm X X X

50mm–55mm X X X X*1mm increments

57mm X X X X

60mm X X X X

63mm X X X X

66mm X X X X

69mm X X X X

72mm X X X X

108107

UNIPOLAR HEAD

Features• One-Piece Design

• CoCr Alloy

• No Polyethylene

• Compatibility

• Sizing

• Neck Length Options*

Osteonics® Unipolar Head Product Information

Outer Neck Length Neck Length Diameter +0mm +5mm

40mm 23-4000 23-4005

41mm 23-4100 23-4105

42mm 23-4200 23-4205

43mm 23-4300 23-4305

44mm 23-4400 23-4405

45mm 23-4500 23-4505

46mm 23-4600 23-4605

47mm 23-4700 23-4705

48mm 23-4800 23-4805

49mm 23-4900 23-4905

50mm 23-5000 23-5005

51mm 23-5100 23-5105

52mm 23-5200 23-5205

53mm 23-5300 23-5305

54mm 23-5400 23-5405

55mm 23-5500 23-5505

56mm 23-5600 23-5605

58mm 23-5800 23-5805

61mm 23-6100 23-6105

+5mm Neck Length +0mm Neck Length

Benefits• The all CoCr alloy head attaches directly to the femoral component without

additional modular connections.

• Highly polished CoCr is a proven bearing surface which allows for a smooth articulation within the acetabulum.

• The one piece design eliminates polyethylene, and the potential for polyethylene debris, from the system.

• The Unipolar Head is compatible with all Osteonics® femoral implants (cemented, cementless and revision) with C-Taper necks.

• A large array of sizes allows precise patient matching for optimal patient fit - sizing is available in one millimetre increments.

• The Unipolar Head is available in +0mm and +5mm neck lengths providing the surgeon greater flexibility over fixed head stem designs.

Specific Indications• Femoral Neck Fractures, Hip Screw Revisions, etc.

Mode of Fixation • Cementless.

Tactics• Discuss the flexibility of the Unipolar System over fixed head designs and

systems using polyethylene spacer/ filler material.

• Discuss Unipolar and Bi-Polar options along with patient demand matching.

• Discuss ease of assembly and disassembly.

110109

UHR® UNIVERSAL HEAD

Features• 20 Years of Clinical History• Dynamic Valgus Alignment• Patented Locking Ring

Mechanism• CoCr Alloy/Poly Combination• Beveled Lip• Removal Key• Optimal Fit• Use with Osteonics® C-Taper

CoCr Heads

Osteonics® UHR® Universal Head Product Information

Outer UHX-XX-22 UHX-XX-26 UHX-XX-28 UHX-XX-32Diameter 22mm I.D. 26mm I.D. 28mm I.D. 32mm I.D.

40mm X

41mm X X

42mm X X

43mm X X

44mm X X X

45mm X X X

46mm X X X

47mm X X X

48mm–56mm X X X X*1mm increments

58mm X X X X

61mm X X X X

64mm X X X

68mm X X X

72mm X X X

Benefits• Introduced in 1979. Osteonics’ first product …

• Dynamic Valgus Alignment– a 2mm shift of the head centre towards thepole of the shell. Neutral placement of the head under loading conditions mitigates against inner bearing articulation from occurring on the lockingmechanism.

• Patented positive locking mechanism is assembled by hand with less thanfour pounds of force, yet disassembly requires more than 200 pounds ofdistractive force.

• Highly polished CoCr is a proven bearing surface which allows for asmooth articulation within the acetabulum. Secondary articulation withinthe polyethylene insert and highly polished bearing head.

• Outer bevel decreases the likelihood of cup impingement on bony structuresthereby increasing the likelihood for successful closed reduction.

• Removal key simplifies disassembly in the event of revision.

• Sizing in one millimetre increments allows for better patient matching.


Specific Indications• Femoral Neck Fractures, Hip Screw Revisions, etc.

Mode of Fixation• Cementless.

Tactics• Discuss 20 year clinical history.

• Discuss Dynamic Valgus Alignment.

• Discuss patented locking ring mechanism.

• Discuss ease of assembly and disassembly.

• Discuss Bi-Polar and Uni-Polar options.

• Discuss patient demand matching.

112111

FIXED HEAD ENDOPROSTHESISAustin Moore & F.R. Thompson

Features• Vitallium® Alloy

• 38mm – 63mm O.D.

• Straight & curved styles

• Narrow or regular designs

• Cemented (solid) or Long Stem (fenestrated)

Benefits• 50 year clinical history.

• Fast, efficient surgical technique.

• Broad array of stem styles.

• Proven, low cost treatment of hip fractures.

Specific Indications• Femoral neck fractures.

Mode of Fixation• Fenestrated – Press-fit.

• Solid – Cemented.

Tactics• Impressive implant portfolio to fit a wide variety of patient needs.

• Position fixed heads along with Centrax ®, Unitrax ® and trauma to capture all hip fracture business.

• Highlight fact that fixed head endos were developed by Howmedicawith Moore & Thompson in the 1950’s.

114113

ACETABULAR INSTRUMENTATION System 12®

COMMAND® INSTRUMENT SYSTEM

Acetabular Reamers Features• Aggressive cutting tooth pattern• Debris retaining design• 1mm increments

Catalogue Numbers: Reamers 6176-3-0XX (38 – 76mm)

Acetabular Reamer HandleFeatures • Quick connect fitting with positive lock• Hudson or Hall drive connection for press-fit or cement applications.

Catalogue Numbers:Hudson style 6176-3-100Hall style 6176-3-000

Shell Positioner Features • Used to impact /extract all System 12® shells (Vitalock® & Osteolock®)• Alignment guide provides 40° Abduction & 20° Anteversion• Unique expanding collet design does not torque shell during removal

Catalogue Numbers:Positioning Handle 6302-7-000Alignment Clamp 6302-7-210 Alignment Rod 6302-5-110Positioning Flange 6302-7-099

Acetabular Window TrialsFeatures• Full hemisphere design• 1mm increments• Same size as implant• 38 –76mm size range

Catalogue Numbers:Window Trial 6302-8-2XXHandle 6302-7-300

The Command® Instrument System offers a range of options that allow the surgeon to choose a familiar technique or to custom design a new instrumentsequence. This system can organize the surgical procedure in the followingorder with clearly marked “kits” or instrument trays:

StartReam (5 Options)Broach (2 Options)Finish

Femoral BroachesFeatures• One set of 6-axis precision ground stainless steel broaches for press-fit or

cement applications

• Unique cutting teeth patterns are location specific:Lateral: Very aggressive; large diamond patternA/P: Slightly less aggressive; angled chevron pattern with chip breakersMedial: Less aggressive; wrapped single tooth pattern

• Broach is distally smooth and contains threads to fit modular bullet tips

• Femoral press-fit preparation for broach/ implant gives an interface pattern of 0.2mm (medial); 0.5mm (A/P corners); 1.0mm (lateral)

• Unique expanding collet design does not torque

Catalogue Numbers:Universal Broaches: 6266-0-101 through -111

Broach Tips: 6266-5-110 through -120

Cemented Broaches: 6266-3-111 through -117

Citation® Full Broaches (L): 6266-2-100 through -108

Citation® Full Broaches (R): 6266-2-110 through -118

Citation® Partial Broaches (L): 6266-2-358 through -366

Citation® Partial Broaches (R): 6266-2-368 through -376

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CUTTING EDGE™ TOTAL HIP INSTRUMENTATION

Acetabular ReamersFeatures• Aggressive cutting tooth pattern• Easy salvage of reamed bone stock• Size-for-size preparation yields:

– Secur-Fit™ – 1.8mm press-fit on periphery; line-to-line with dome– PSL® – 1.0mm press-fit on periphery; line-to-line with dome

Catalogue Numbers: 2102-04XX (36mm- 80mm).

Acetabular Reamer HandleFeatures• Quick-connect fitting with positive lock to the reamer heads• Provision for attachment of 45° abduction/20° anteversion alignment

guide

Catalogue Number: 2102-0410.

Universal Acetabular Shell Positioner/Impactorwith Alignment GuideFeatures• Used to impact /extract any Osteonics® Acetabular Shell with a threaded

dome hole• Alignment guide assists in positioning the acetabular cup in 45° abduction

and 20° anteversion

Catalogue Numbers:Positioner: 2101-0200Guide: 2101-0210

Acetabular Window TrialsFeatures• Spherical and Dual Geometry versions• Accommodates Series II Cup Insert Trials• Outside diameter is the same as acetabular reamer. Press-fit on periphery

is not violated

Catalogue numbers:Spherical Window Trial: 2208-10XX (40mm– 80mm).Dual Geometry Window Trial: 2209-00XX (40mm–72mm).

Femoral BroachesFeatures• One set of broaches for press-fit, cement, primary or revision cases

• Tapered and cylindrical extensions are available to replicate the distal end of the selected femoral stem

• Femoral press-fit preparation is slightly under-sized (0.7mm) to allow a mechanically tight fit between the Osteonics® Omnifit® implant and bone

• The Secur-Fit™ stems with arc-deposition are a nominal 0.8mm larger than the Osteonics® Omnifit® implant

• Femoral cement preparation allows for approximately 2 – 3mm of cement mantle

Catalogue Numbers:Broaches:

1126-0507, -0608, -0709, -0810, -0911, -1012, -1113, -1214

Tapered Extensions:1213-0507, -0608, -0709, -0810, -0911, -1012, -1113, -1214

Secur-Fit™ Plus Cylindrical Extensions:1212-4XX0 (11mm – 20mm)

Restoration™ Cylindrical Extensions:155mm Length: 1212-2XXX (9.5mm – 17.5mm)205mm Length: 1212-3XXX (10.5mm – 19.5mm)

ABG II ACETABULAR INSTRUMENTS

Acetabular ReamersFeatures• Aggressive cutting tooth pattern• Easy salvage of reamed boneCatalogue Numbers: 4839-0-0XX (38mm- 76mm)

Acetabular Reamer HandleFeatures• Quick-connect fitting with positive lock to the reamer headsCatalogue Numbers: 4839-0-100 (Hudson), 4839-0-110 (AO)

Acetabular Shell ImpactorFeatures• Used to impact /extract any Osteonics® Acetabular Shell with a threaded

dome hole• Alignment guide assists in positioning the acetabular cup• Specific additional instruments for Ceramic insertsCatalogue Numbers: Impactor: 4849-6-060, Guide: 4849-6-080

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REFERENCE PAPERSHowmedica

Acetabular Components:System 12™ Technical Monograph - Cat #6085-3-017-0. Liner Congruency Comparison toDepuy and Leak Test of Apical Plugs.

Fixation of Polyethylene Liners to Metal-Backed Acetabular Shells - Leo Whiteside, MD.1995 AAOS Exhibit. Favorable comparison of System 12 to Depuy and Zimmer.

Evaluation of Abrasion Characteristics of Biological Fixation Coatings - Howmedica R&DTest concludes Howmedica Plasma Spray equivalent to Osteonics Arc Depo and Superior toBiomet Plasma Spray.

Stability of Press Fit Acetabular Cups - E. Adler, MD et al - Journal of Arthroplasty Vol. 7,No.3, 1992. Paper concludes low profile designs (Depuy) are less stable than fullhemispheres.

Initial Stability of Press Fit Components and the Effects of Screws and SpikeAugmentation -W. Paprosky, MD et al. AAOS Exhibit - 1992 paper concludes three spikes provide moreuniform stability than screws.

Management of acetabular deficiency: long term results of bone grafting the acetabulumin total hip arthroplasty. Orthrop. Trans. 9-451, 1985.

Bone grafting in total hip replacement for acetabular protrusion.Acta. Orthop. Scan. 55(6): 593-596, 1984.

Bone-grafting in total hip replacement for acetabular protrusion. J. Bone Joint Surg. (AM). 62-A:1065-73, 1980.

Femoral Components - CementedTensile Bonding Strength of the Cement - Prosthesis Interface - J.P. Davies, MS, William H. Harris, MD; Orthopedics, February 1994, VOL 17, NO 2.

Factors Affecting Cement Strains Near the Tip of a Cemented Femoral Component -Daniel M. Estok II, MD, Tracy E Orr, Ph.D., William H. Harris, MD; The Journal ofArthroplasty, Vol. 12 No. 1, 1997.

Proximal and Distal Femoral Centralisers in Modern Cemented Hip Arthroplasty -Benjamin A. Goldberg, MD; Ghassan Al-Habbal, MD; Philip C. Noble, Ph.D.; Mirena Paravic,BBA; Thoralf R. Liebs, MD; and Hugh S. Tullos, MD; Clinical Orthopaedics, Volume 349, April1998.

Long term compressive creep deformation and damage in acrylic bone cements.J. Biomed. Materials. Res. 18:25-37, 1984.

Classification and management of acetabular abnormalities in total hip arthroplasty. Clin. Orthrop. 243:126-137, 1989.

Visco-elastic creep properties of PMMA surgical cement. Trans Third World Biomaterials Congress, Kyoto, Japan. P. 328, 1988.

The effect of femoral stem cross-sectional geometry on cement stresses in total hip reconstruction. Clin. Orthop. 146:71-7, 1980.

Creep of methylmethacrylate cement. J. Bone Joint Surg. (BR). 71-B:722, 1989.

The mechanical properties of cement and loosening of the femoral component of hip replacements. J. Bone Joint Surg. (BR). 69:558-564, 1987.

The relaxation of some acrylic bone cements. Acta. Orthop. Scand. 51:727-731, 1980.

An investigation into the effect of cyclic loading and frequency on the temperature ofPMMA bone cement in hip prostheses. J. Eng. Med. 203:167-170, 1989.

Stress relaxation and creep behavior of normal and carbon fiber reinforced acrylic bonecement. Biomaterials. 3:93-96, 1982.

Mechanical properties of bone cement. A review. J. Biomed. Mater. Res. 18:435-462, 1984.

Factors influencing the creep behavior of polymethylmethacrylate cements. J. Biomed Mater. Res. Symp. 6:81-88, 1975.

"Modes of failure" of cemented stem-type femoral components. Clin. Orthop. 141:17-27, 1979.

Experience with the Exeter total hip, replacement since 1970. Orthop. Clin. North Am. 19:477-89, 1988.

The long-term behavior of a totally collarless, polished femoral component in cemented totalhip arthroplasty. J. Bone Joint Surg. (Br). 72-B:935, 1990.

Time-dependent properties of polymethylmethacrylate bone cement. In: Older J, ed. Implantbone interface. London, etc: Springer-Verlag. 85-90, 1990.

The effect of the surface finish of the femoral component on load transmission in total hip replacement. J. Bone Joint Surg. (BR). 72-B:736, 1990.

The femoral component as a taper in cemented total hip arthroplasty.Proc. British Orthopaedic Association, London. September, 1992.

Loosening of well-cemented total-hip femoral prosthesis due to creep of the cement. In: Fraker AC, Griffin CD, eds. Corrosion and degradation of implant materials: secondsymposium. ASTM STP 859. Philadelphia: American Society for Testing and Materials. 373-99,1985.

The femoral stem/cement interface in total hip replacement.Clin. Orthop. 116:248-52, 1976.

Experience with the Exeter total hip, replacement since 1970.Orth. Clin. N. Amer. 19:477-89, 1988.

The production of acrylic cement and metal debris by the femoral component incemented total hip arthroplasty. J. Bone Joint Surg. (Br). 72-B:109072-B:1090, 1990.

FEMORAL COMPONENTS - Cement FreeShort-term results of Hydroxyapatite-coated primary total hip arthroplasty. Rossi P, et al. ClinicalOrthopaedics. 310: pp 98-102. 1995.

Hydroxyapatite-coated hip prostheses. Early results from an international study. Tonino A.J, etal. Clinical Orthopaedics 312: pp 211-225, 1995.

ABG Prosthesis - Results at 5 years. Nourissat C, et al. Cahiers d'Enseignement de la SOFCOT 50pp 208-219 (French) 1994 or Cahiers d'Enseignment de la SOFCOT 51: pp227-238 (English) 1995.

The histology of the interface between bone and Hydroxyapatite in the ABG hip prosthesis.Adrey J, et al. Cahiers d'Enseignment de la SOFCOT 50 pp 139-147 (French) or Cahiersd'Enseignment de la SOFCOT 51: pp 149-157 (English) 1995.

ABG Cement free hip international multicentre study – 5 year follow up. 1996 Howmedicapublication.

ABG Cement free hip – Clinical results at 7 years. 1997 Howmedica publication.

Hydroxyapatite treatment and properties. The P-factors. Doyle C. Cahiers d'Enseignment de laSOFCOT 50 pp 26-28 (French) 1994 or Cahiers d'Enseignment de la SOFCOT 51: pp 30-32(English) 1995.

TMZF™ A Beta Titanium Alloy for Orthopaedic Implants. Howmedica publication 1996.

DURATION® A stabilised UHMWPE with superior oxidation, creep and wear resistance -technical development and scientific evaluation. Howmedica publication 1996.

The Histology around Hydroxyapatite coated Total Hip Implants. Tonino A. Efort Barcelona 97abstract.

Histological analysis of the bone-prosthesis interface after implantation in humans ofprostheses coated with Hydroxyapatite. Frassinet P, et al. J Orthop Surg 7: pp246 - 253, 1993.

Bone remodelling around uncemented femoral hip implants with Hydroxyapatite coating.Massari L, et al. Howmedica publication 1998.

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Mechanical properties of bone cement. A review. J. Biomed. Mater. Res. 18:435-462, 1984.

Factors influencing the creep behavior of polymethylmethacrylate cements. J. Biomed Mater. Res. Symp. 6:81-88, 1975.

"Modes of failure" of cemented stem-type femoral components. Clin. Orthop. 141:17-27, 1979.

Experience with the Exeter total hip, replacement since 1970. Orthop. Clin. North Am. 19:477-89, 1988.

The long-term behavior of a totally collarless, polished femoral component in cementedtotal hip arthroplasty. J. Bone Joint Surg. (Br). 72-B:935, 1990.

Time-dependent properties of polymethylmethacrylate bone cement. In: Older J, ed.Implant bone interface. London, etc: Springer-Verlag. 85-90, 1990.

The effect of the surface finish of the femoral component on load transmission in total hip replacement. J. Bone Joint Surg. (BR). 72-B:736, 1990.

The femoral component as a taper in cemented total hip arthroplasty. Proc. British Orthopaedic Association, London. September, 1992.

Loosening of well-cemented total-hip femoral prosthesis due to creep of the cement. In: Fraker AC, Griffin CD, eds. Corrosion and degradation of implant materials: secondsymposium. ASTM STP 859. Philadelphia: American Society for Testing and Materials.373-99, 1985.

The femoral stem/cement interface in total hip replacement.Clin. Orthop. 116:248-52, 1976.

Experience with the Exeter total hip, replacement since 1970. Orth. Clin. N. Amer. 19:477-89, 1988.

The production of acrylic cement and metal debris by the femoral component incemented total hip arthroplasty. J. Bone Joint Surg. (Br). 72-B:109072-B:1090, 1990.

Femoral Components - RevisionImpaction cancellous grafting of the femur in cemented total hip revision arthroplasty. J. Bone Joint Surg. (BR). 73-B:S73, 1991.

Fractured stem in total hip replacement: A clinical review of 120 cases. Acta. Orthop. Scand. 53:279-84, 1982.

Results of revision of hip arthroplasty with cement. A five to fourteen year follow-up study.J. Bone Joint Surg. (Am). 72:346-354, 1990.

Revision total hip arthroplasty with osseous allograft reconstruction. Clin. Orthop. 225:37-61, 1987.

Impaction cancellous allografts and cement for revision total hip arthroplasty.J. Bone Joint Surg. {BR}. 75B:14-21, 1993.

Histological findings in a case of cemented femoral revision treated by endostealimpaction grafting. Acta. Orthop. Scand. Supplement 248:29, 1992.

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REFERENCE PAPERSOsteonics®

Femoral Components: GeneralSubsidence of the Femoral Prosthesis in Total Hip Replacement in Relation to the Designof the Stem Loudon J., Charnley J.; JBJS, V62-B, p.450, 1980.

The Anatomic Basis of Femoral Component Design Noble P, Tullos H, et al; CORR, No.235,pp.148-165, Oct 1988.

Prosthesis Surface Design to Resist Loosening: Stress Normalization. Pugh J, Bartel D,Jaffe W, et al; Osteonics Technical Report, Lit. No. OTB07.

A Basic Dimensional Analysis of Normal Human Proximal Femora. Averill R, Pachtman M,Jaffe W; Osteonics Technical Report, Lit. No. OTB05.

Femoral Components: CementlessHydroxyapatite Coated Implants - Total Hip Arthroplasty in the Young Patient and Patientswith Avascular Necrosis. J. D'Antonio, W. N. Capello, M.T. Manley, J. Feinberg; CORR, Nov. 1997.

Hydroxyapatite-Coated Total Hip Femoral Components in Patients Less Than Fifty YearsOld. J. D'Antonio, W. N. Capello, M.T. Manley, J. Feinberg; JBJS, July 1997.

Remodeling of Bone Around Hydroxyapatite-Coated Femoral Stems. J. D'Antonio, W. N.Capello, M.T. Manley, J. Feinberg; JBJS, July 1996.

Biomechanical and Histological Analysis of an HA Coated, Arc Deposited CPTi Canine HipProsthesis. M.T. Walenciak, M.C. Zimmerman, R.D. Harten, J.L. Ricci, and D.T. Stammer;Journal of Biomedical Materials Research. Vol. 31, 1996.

Arc Deposited CP Titanium With and Without Hydroxyapatite Coating PreclinicalEvaluations Using the Canine Implantable Chamber Model. M. Hawkins, J.L. Ricci, Paris,Expansion Scientifique Francaise, 1995, p. 90.

Hydroxyapatite-Coated Total Hip Replacements: Seven-Year Omnifit Results.R.G.T. Geesink, Expansion Scientifique Francaise.

Cost of Implanting a Cemented versus Cementless Femoral Stem. R. L. Barrack, F. Castro, S. Guinn; J. Arthroplasty, June 1996.

Current Concepts Review, Total Hip Arthroplasty with Hydroxyapatite-Coated Prostheses. W. L. Jaffe, D. F. Scott; JBJS, December 1996.

Revision Arthroplasty Using Hydroxyapatite Coated Implants. R. Geesink, Paris, Expansion Scientifique Francaise.

Dual Energy X-Ray Absorptiometry Analysis of Five-Year Femoral Remodeling ofUncemented Hip Prostheses. D.F. Scott, K.S. Stein, W. L. Jaffe, F. Jaffe; AAOS Poster.

Hydroxyapatite in Total Hip Arthroplasty.W. N. Capello, et al; CORR, Number 355, pp. 200-211, 1998.

An Indirect Comparison of Third-Body Wear in Retrieved Hydroxyapatite-Coated, Porous,and Cemented Femoral Components. T. Bauer, et. al. Clin. Ortho., No. 298, 1994.

Host-Bone Response to Porous-coated Cobalt-Chrome and Hydroxyapatite-coated TitaniumFemoral Components in Hip Arthroplasty. D. F. Scott, W. L. Jaffe; Journal of Arthroplasty,June 1996.

Dual-energy X-ray Absorptiometry Analysis of Paired Bilateral Cases at 5 to 7 Years. D. F. Scott, W. L. Jaffe; AAOS Poster.

Hydroxylapatite Coatings in Orthopaedic Surgery (Hard Cover Book). R. Geesink & M. Manley, eds. Raven Press, NY, 1993.

Femoral Components: CementedNormalised and Proportionalized Cemented Femoral Stem Designs.Jaffe W, Jarolem K; J. Arthroplasty, V10, pp.39s-43s, 1995.

Charnley Low Friction Arthroplasty in Young Patients with Osteoarthritis.Hartofilakidis G, Karachalios T, et al; CORR, No.341, pp. 51-54, 1997.

The Femoral Component in Low-Friction Arthroplasty After Ten Years.Munuera L, Garcia-Cimbrelo E; CORR, No. 279, pp. 163-175, Jun 1992.

The Cement Mantle in Total Hip Arthroplasty.Ebramzadeh E, Sarmiento A, et al; JBJS, V76-A, No.1, pp. 77-87, 1994.

Early Loosening Reported with Centralign Precoat Stem.Santore R; Orthopedics Today, V17, No.11, pp.46-47, Nov 1997.

Failure of the Cement-Bone Interface: A Consequence of Strengthening the CementProsthesis Interface. Gardiner R, Hozack W; JBJS(Br.), V76-B, pp.49-52, 1994.

Precoat Components: Another Look. Callaghan J; Orthopedics, V18, No.9, Sep 1995.

The Use of a Collar and Precoating on Cemented Stems is Unnecessary and Detrimental.Ling R; CORR, No. 285, pp.73-83, Dec 1992.

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TERMINOLOGY

Terminology (Osteonics® Reference Papers)Arc Deposition - An advanced metal application process that produces an abrasion resistant, biocompatible CP Titanium coating that enhances implant friction fit. Found on all Secur-Fit Stemsand Cups.

Chemical Etching - Method by which surface enhancement is achieved on the Restoration HA HipSystem. Process where the titanium surface is selectively etched to produce a random scalloped surface morphology.

Crossfire ™ - Highly Crosslinked Polyethylene.

GAP'™ - (Graft Augmentation Prosthesis) - Cage for acetabular revisions.

HA - Hydroxylapatite. A naturally occurring mineral and the predominant component of bone,hydroxylapatite coatings belong to the family of calcium phosphate ceramic substances.Literature indicates the excellent biocompatibility of HA and its favorable biologic profile whenused in apposition to living bone. Osteonics has coated press fit hips and cups with HA for over10 years.

HIP'ing - (Hot Isostatic Pressing) - A process in which the implant is subjected to equal pressurefrom all sides at a temperature high enough for internal porosity to be removed, thus increasingthe strength of the part.

LFIT ™ - (Low Friction Ion Treatment) - Nitrogen bombardment of CoCr to increase wettability forimproved wear.

MicroStructure® - Porous Coating with a bead size of 425 – 500 microns and a pore size ofapproximately 250 microns.

N2/Vac™ - Packaging flushed with Nitrogen to reduce shelf-life oxidation.

Normalisations - A surface enhancement spread over the anterior and posterior faces of thefemoral hip implant which enable the stem to carry higher loads by transmitting those loadsevenly to surrounding supporting structures. Convert shear stresses to compressive loads.

Offset - The perpendicular distance between the centre of the femoral head and the centre of thefemoral shaft axis.

Projected Area - The degree of the proximal femoral canal the implant will conform to. This is acritical factor in maximizing the area over which loads are transmitted.

Proportionality - The idea that as the femoral canal size increases or decreases, the neck length,canal length, and other femoral dimensions all increase or decrease proportionally.

PSL® - (Peripheral Self-Locking) - Cup design which is larger in rim by 1mm to lock in the lunateregion of the acetabulum.

PureFix™ HA - Osteonics' unique, high quality hydroxylapatite coating. Manufactured andapplied in-house using proprietary processes in order to meet specified criteria for purity, crystallinity, and porosity. Backed with over 10 years of excellent clinical results.

Terminology (Howmedica Reference Papers)

G.A.D.S. (Gas Atomized Dispersion Strengthened) - This process retains the fatigue strength ofCoCr stems after porous coating sintering through the dispersion of small oxide particles to helpprevent grain growth and loss of cold work. This technology permits extra and extra-extra smallporous coated stem sizes along with improved neck and distal stem strength.

Peri-Apatite™- Howmedica's trademark name for a precipitated hydroxylapatite coating applied to a3-D surface. This process utilises a low temperature aqueous crystallization process to apply theHA to the substrate.

Simplex® Pre-Mantle - A "pre-formed" Simplex cement Pre-Mantle which is injection molded on theproximal portion of the stem to ensure neutral stem alignment and an engineered cement mantle.

Somatypes - The range of femoral geometries may be represented by a finite set of somatypes. Thisis accomplished by categorizing each femora by referencing the medial and lateral endostealcontours relative to the proximal and distal section of each femur.

TMZF® (Titanium, Molybdenum, Zirconium, Ferrous) - A proprietary, biocompatible beta titaniumalloy that is free of aluminum and vanadium. This alloy offers a 25% lower modulus of elasticitythan Ti6Al-4V.

Vitallium® - Howmedica's trademark name for Cobalt Chromium (CoCr) alloy.

V40™ Taper - This denotes a 5 degrees 40 minutes taper on all of the Partnership Hip Stems. Thistaper allows the O.D. of skirted heads to be smaller, reducing impingement and R.O.M.

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NOTES NOTES

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NOTES

european hip - stryker · product reference european hip table of contents cementless hip systems...

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