modular universal tumor and revision system ® - accis b.v. , agilon ® - lbk hamburg, biolox® -...

Modular Universal Tumor and Revision System

©copyright information: MUTARS®, Aida®, ACS®, AJS®, Bicana® BethaLoc®, Capica®, CarpoFit®, Cepthar®, CCI®, DiaLoc®, EcoFit®, GenuX®, GIS®, LOAD SHIFT® , LUMiC®, MetaLic®,Polaric®, WinX®, implavit®, implaFix®, implacross® and

implatan® are registered trademarks of implantcast GmbH. The use and copy of the content of this brochure is only al-lowed with prior permit given by implantcast GmbH. Additional printed trademarks are registered as following:

ACCIS® - ACCIS B.V. , AGILON® - LBK Hamburg, Biolox® - Ceramtec AG, FITBONE® - WITTENSTEIN intens GmbH, PEEK Optima® - Invibio Inc.

11

Table of ContentsIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2MUTARS® Silver coating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4The ceramic TiN coating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5System Overview A-E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6A Femoral Implants A.1 Proximal Femoral Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 A.2 Distal Femoral Replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 A.3 Distal Femoral Replacement after extra-articular resection . . . . . . . . . . . . . . . . . . . . . . . . . 11 A.4 Total Femoral Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 A.5 Proximal Femoral Replacement with revision knee replacement . . . . . . . . . . . . . . . . . . . .12B Tibial Implants B.1 Total Knee Replacement with Distal Femur or with KRI. . . . . . . . . . . . . . . . . . . . . . . . . . . .13 B.2 Proximal Tibial Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13C Other Implants C.1 Diaphyseal Implant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 C.2 Arthrodesis Implant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 C.3 Attachment Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15D Humeral Implants D.1 Proximal and Inverse Humeral Replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 D.2 Distal Humeral Replacement and Distal Humeral Replacement 30mm . . . . . . . . . . . . . . .17 D.3 Total Humeral Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 D.4 Proximal Ulnar Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 D.5 Total Elbow Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18E Revision Implants E.1 MUTARS® RS Hip Revision System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 E.2 MUTARS® RS Arthrodesis Implant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 E.3 GenuX® Knee Revision System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 E.4 GenuX® Intramedullary Femoral Replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 E.5 Knee Reconstruction Implant (KRI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 E.6 Intramedullary Femoral Replacement with KRI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21F Growing Prostheses F.1 MUTARS® Xpand and BioXpand Growing Prostheses. . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 F.2 MUTARS® Customized Implants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24G Catalogue Information G.1 Implants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 G.2 Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Modular Universal Tumor and Revision SystemMUTARS® was developed in co-operation

with Prof. Dr. W. Winkelmann (former director) and Prof. Dr. G. Gosheger (director)

Department of General Orthopedics and Tumororthopedics

at the University Hospitalof Münster, Germany.

MUTARS® is in successful clinical use since 1992.

22

IntroductionThe treatment of major osseous defects in orthopedic oncology is dominated by surgical techniques which focus on preserving the affected limb. Ablative measures (amputations and rotation plasty) as well as arthrodeses of major joints are avoided as far as pos-sible, if reasonable from an oncologic point of view.Surgeons may choose between different standard procedures: Besides the option of using allogene and autologous graft material, a tumor prosthesis represents a proven solution for the reconstruction of osseous defects. A com-bined use of allograft and prosthesis is often chosen. During the past few years, modular replacement systems have become more and more popular, since they offer the opportunity to fi ll defects of varying extents with respect to each individual case. Since 1992, MUTARS® (Modular Universal Tumor And Revision System), has been successfully used for the treat-ment of major osseous defects of the lower and upper extremities.Its modular design was developed in co-operation with Prof. Dr. W. Winkelmann (former director) and Prof. Dr.G. Gosheger (director), Department of General Orthopedics and Tumororthopedics at the University Hospital of Mün-ster, Germany. The system shows good functional results and allows an individual solution for major osseous defects, including arthroplasties of the adjacent joints.Until 2009 more than 10,000 MUTARS® prostheses have been implanted successfully. The co-operation with lead-ing European clinics has enhanced continuous further development of the implants and instruments, resulting in the proven instruments available today.This close collaboration enables us to always remain up-to-date and continue further development by using the latest experience in the tumor prosthesis sector by modifying our products according to this latest standard of knowledge. Since March 2003 the new PEEK-OPTIMA® lock is in clinical use and has shown excellent outcome and it is replacing the former PE lock now. Alternatively the system offers M-O-M components which are coupled by the metal-on-metal connecting mechanism which is successfully used in the Proximal Tibial Replacement for more than 15 years. It is recommended to use the M-O-M components in case of extra-articular resection.The non-invasive MUTARS® Xpand Growing Prosthesis could be developed together with a partner company. The fi rst implantations of the biological Growing Prosthesis MUTARS® BioXpand have shown promising results. More detailed information about it can be found in chapter F.1 of this brochure.

Since 2004 the range of humeral components includes inverse humeral implants. Now it is enhanced by a new Glenoid and eccentric Glenosphere and self taping stable locked cancellous screws which can be used to enhance the primary fi xation of the Glenoid. With the new proximal Ulna Replacement and the shorter Distal Humerus 30 mm the variety of treatments in the area of the upper extremity is extended. The Attachment tube is now available in two different diameters. Further progress could be observed with the clinical use of the silver coated implants (MUTARS®Silver). The anti-infective coating for salvage and prophylaxis against infections is established. The CE cer-tifi ed MUTARS®Silver components are considered as standard implants for the treatment of tumor patients in several major tumor centers throughout Europe. So far more than 2,000 MUTARS®Silver implantations have been performed successfully.Based on the femoral and tibial MUTARS® joint components the modular MUTARS® GenuX® Knee Revision System is implanted. With the GenuX® connecting modules an intramedullary connection between the hip and the knee joint can be assembled and the so called Intramedullary Total Femoral Replacements can be build more precisely than before. The cementless stems of the MUTARS® RS Hip Revision System offers now a HA-coating. A special targeting device is available to improve the distal locking of the RS stems. Currently the new MUTARS® RS Arthrodesis is launched, which allows the cementless and cemented fusion of the knee joint. Actually the team of developers is working on modifi cation of the Proximal Tibia and the development of a new revision acetabular cup and a modular partial pelvic replacement called LUMiC®.

33

The modular MUTARS® system offers the opportunity of a functional replacement in cases of major osseous defects, independent of the reason of the defect, a tumor excision, fractures or an infection-related explantation of a prosthe-sis.

Joint replacements may be carried out using the constrained rotational knee components, the constrained hinge joint for the elbow joint and the inverse components for the shoulder joint. In combination with regular joint components the system allows the hemi arthroplasty and the total replacement of the hip joint. Depending on the type of prosthesis, fi xation is achieved with or without cement. There are two types of intramedullary stems available: one designed for a cementless fi xation (TiAl6V4) and one designed for cementation (CoCrMo). The cementless stem has a microporous surface and is also available with a hydroxylapatite coating (HA).

The stems have a hexagonal cross section (Fig. 1) to provide for an optimal intramedullary fi xation. In the femoral area, the stem was designed to correspond with the physiological antecurvation of the femur. Hexagonal rasps are used to achieve a primary stability of 70 Nm. For an alternative way of cementless fi xation there are special tapered stems and the RS stems and the RS coupling device available to meet special bone geometries and conditions.

The toothed connecting faces of all components allow a precise intraoperative adjustment of the rotational angle ac-cording to the implanted fi xation stem. Thus, rotational malalignments can be avoided or corrected subsequently. The toothing also allows an exact intraoperative adjustment in 5° increments of the femoral antetorsion angle (Fig. 2).

In order to provide the correct implant length in each individual case, variable extension pieces are available for the reconstruction of the bone defect. The MUTARS® system allows an intra-operative adjustment of the length in 20 mm increments (10 mm increments for the total femoral replacement). On special request a 30 mm extension piece is available to adjust the implant length for the lower extremity in increments of 10mm.The article number contains the necessary information for the correct MUTARS® article. The implant description is chosen according to the localization and dimension of the tumor.Soft tissue refi xation or capsular reconstruction is performed using the MUTARS® Attachment tube (made of PET polyethylene terephthalate), which is fi xed at the prosthesis by means of a non-absorbable suture material, providing an effective protection against luxation of the shoulder and hip joint. As an additional prevention against allergic reactions, all components, which are made of CoCrMo alloy, may option-ally be fi nished with a titanium nitrite coating (TiN).If individual cases require special component features, the modular MUTARS® system can be supplementedby implants which are manufactured to specifi cation with a short delivery period, thus providing an optimal solution for each individual case. Please also refer to chapter F.3, which contains more information about special components.

Introduction

Fig. 1: Hexagonales implant bed of a bone model

Fig. 2: Adjustment of the antetorsion angle

44

MUTARS®Silver coating

The Silver coatingEarly and late infections represent the most severe complications of tumor arthroplastic treatments. Although local and systemic antibiotic treatments are considered, the scientifi c literature reports of infection rates of 5 to 35 percent. Reasons for these high rates are i.e. the long surgery time, the large incisions and the immunosupression due to chemo therapy and radio therapy as well as the increasing resistance of the bacteria against antibiotic drugs.The anti-infective effect of silver ions is known for centuries i.e. the disinfection of potable water is based on this princi-ple. This special property of the silver is used for the silver coated components of MUTARS® to build an intelligent protection against bacteria. Created by Brownian motion of the electrons of the silver coating, silver ions emerge on the prosthetic surface binding to electronegative groups of proteins, enzymes and the DNA of the bacteria.Their scientifi c expertise at the University of Münster let the investigators state that the energy transport of the cell, the translation and the transcription within the cell are inhibited, the metabolism is shut down and an adequate contact of bacteria to silver will consequentially lead to cell death. Another special chemical property of silver ions is the fact that they dissolve in an oligodynamic way and can release by dropped pH value like in case of infl ammation. There are always suffi cient silver ions on the surfaces for even late infections. Hence the silver coating is representing an intelligent shield against infections. By pre-clinical tests and during successful clinical trials the effi cancy of the clinical function of silver is ensured. The members of the research team at the University of Münster believe that: “ The silver coating represents an intelligent, bactericidal protection shield”.

Ongoing tests are performed to prove the impact of silver ions to the osteointegration and investigate to what extend intramedullary cementless stems of primary and revisions arthroplasty can be. Until now only non-articulating sur-faces and surfaces without direct bony contact are coated with silver. Silver coated plates in the PE-plugs of the Distal Femur M-O-M (see Fig. 5) assure that suffi cient silver is provided also in the area of the distal femur. In the catalogue information of this brochure you can fi nd the supplement *S indicating which MUTARS® components are available in silver coated version. The eight digit REF number receives an addition after the last digit (i.e. 5220-0020S).

Fig. 3: Total Humerus & Distal Femur Silver coated

Fig. 4: The Silver effect Fig. 5: Dist. Femur & KRI M-O-M, with Silver coated plates on the PE plugs

membrane

Inhibition of energy-transport

Inhibitionof

transcription

Inhibition of

translation

55

The TiN coating for allergy prophylaxisAs the metallic components of total knee replacements, the articulating metallic parts of the MUTARS® system are made of casted CoCrMo alloy. In the late 70’s and 80’s of the last century, some of the Cobalt Chromium implants had a small Nickel content to add strength to the implant. Nickel is the primary cause for metal sensitivity, although some patients have shown to be hypersensitive to other metals such as Cobalt and Chromium. The use of titanium components can’t solve this problem, because the wear of the articulating polyethylene inlays will increase and so the survival time of the prosthesis is reduced. Since the end of the 1990’s TiN (Titanium Nitride coating) has been suc-cessfully applied to protect the body against metal ions that could cause allergic reactions. The metal ion release of TiN coated or TiNbN coated implants is reduced down to 10%. With the TiN coating the im-plants gain ceramic properties and show even better wear characteristics than CoCrMo components.Ceramic coatings have following properties: - increased hardness of the articulating surface - increased scratch resistance - lower friction coeffi cient - improved wettability - reduced wear of the counter surface - higher corrosion resistance - decreased metal ion release - enhanced bone ingrowth capacity - increased biocompatibility In order to prevent allergic reactions, certain parts of the prosthesis may be supplied with a ceramic coating (TiN). Since almost all components of the tumor system consist of titanium alloy, this only concerns those components, which are made of a cast CoCr alloy (CoCrMo). The REF-numbers of the TiN coated implants have the suffi x N after the last digit (i.e. 5720-0005N).

The ceramic TiN coating

Fig. 7: GenuX®, TiN coated Fig. 9: Distal Femur, TiN coated

Fig. 8: The properties of the TiN coating

wear test acc. to DIN ISO 14243

chromium ion release in NaCl boil test

mas

s re

duct

ion/

artic

ulat

ing

cycl

e [m

g/10

6 ]ch

rom

ium

ion

rele

ase

[mg/

l]

6

A.1

A.4

A.5

A.3

A.2

6

System Overview A

A Femoral ImplantsA.1 Proximal Femoral Replacement Replacement of the proximal femurA.2 Distal Femoral Replacement Replacement of the distal femur with knee jointA.3 Distal Femoral Replacement Replacement of the distal femur after extra-articular resectionA.4 Total Femoral Replacement Replacement of the entire femur with knee jointA.5 Prox. Femoral Replacement with knee Replacement of the proximal femur with connection to the knee

7

B.1 C.2B.2

C.1

C.3

7

System Overview B and C

B Tibial ImplantsB.1 Total Knee Replacement Knee arthroplasty with Proximal Tibia and Distal Femur or KRI.B.2 Proximal Tibial Replacement Replacement of the proximal tibia with resurfacing of the femurC Other ImplantsC.1 Diaphyseal Implant Diaphyseal reconstruction of femoral or tibial defect C.2 Arthrodesis Implant Articular fusion of the knee jointC.3 Attachment tube Soft tissue refi xation at the tibia, femur and humerus

8

D.1

D.3

D.2D.4

D.5

8

System Overview D

D Humeral ImplantsD.1 Proximal Humeral Replacement Replacement of the proximal humerus (hemi prosthesis and inverse)D.2 Distal Humeral Replacement Replacement of the distal humerus (60 mm or 30 mm resection)D.3 Total Humeral Replacement Replacement of the entire humerus including joint componentsD.4 Proximal Ulna Replacement Replacement of the proximal ulna with 30 mm Distal HumerusD.5 Total Elbow Replacement Replacement of the Elbow joint with humeral and ulnar components

9

E.1

E.4E.2

E.5

E.6

E.3

9

System Overview E

E Revision Implants E.1 MUTARS® RS hip system Modular revision of the hip jointE.2 MUTARS® RS Arthrodesis Implant Arthrodesis of the knee jointE.3 GenuX® knee system Modular revision arthroplasty of the knee jointE.4 GenuX® Intramedullary Tot. Femoral Repl. Combined replacement of the hip and knee joint (revision)E.5 Knee Reconstruction Implant (KRI) Replacement of the distal femur (short resections) E.6 Intramedullary Tot. Femoral Repl. with KRI Combined Replacement of hip and knee (loss of condyles)

1010

MUTARS® Proximal Femoral Replacement

A.1 Proximal Femoral ReplacementIndication:Tumors in the area of the proximal femur or other major bone defects including hip joint arthroplasty as hemi prosthesis or total hip replacement.System Components:Proximal Femur in two different lengths of 50 mm and 70 mm with taper (12/14), with retention rings for fi xation of the Attachment tube, curved femoral stem in different diameters, cemented (CoCrMo) and ce-mentless (TiAl6V4) with HA-coating. head: CoCrMo, ceramic (Al2O3) or TiN. The treatment can be adjusted with the use of the extension pieces of 20 mm increments. The Proximal Femur allows the adjustment of the antetorsion angles in 5° incre-ments. All components allow the rotational adjustment of 5° increments, too.Alternative fi xation to the bone: with Diaphyseal Implant and connecting part, RS coupling device (30mm) and tapered RS stem as well as tapered, cementless stems.Length of reconstruction: ≥ 80 mmMaterials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

ic-bipolar head CoCrMo44-60mm

ic-head CoCrMo28mm

Proximal Femur50mm70mm

extension piece 40mm60mm80mm100mm

femoral stemL:120mm

cementlessØ:12-18mmcemented

Ø:11-17mm

Proximal Femur with Diaphyseal Implant

Proximal Femur with RS coupling device and RS stem

1111

MUTARS® Distal FemoralReplacement

MUTARS® Distal Femoral Replace-ment after extra-articular resection

A.2 Distal Femoral ReplacementIndication:Tumors in the area of the distal femur with a con-strained knee arthroplasty. System Components:Distal Femur in two different lengths of 90 mm and 110 mm, PE-inlay (UHMW-PE), PEEK-lock , curved femoral stem (of different diameters) cemented (CoCrMo) and cementless (TiAl6V4) with HA-coat-ing, tibial joint cementless and cemented, (alternatively the modular tibial plateau can be used), cemented Patella replacement Length of reconstruction:≥ 100 mmMaterials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

A. 3 Distal Femoral Replacement after extra- articular resectionIndication:Tumors in the area of the distal femur after exten-ded extra-articular resections. System Components:Distal Femur M-O-M, PE-inlay (UHMW-PE), con-necting mechanism, curved femoral stem ce-mented (CoCrMo) and cementless (TiAl6V4) with HA-coating, tibial plateau M-O-M cemented, tibial stem for tibial plateau cementless and cemented, cemented patella replacement Length of reconstruction:≥ 100 mm Materials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

femoral stem

Distal Femur90mm (L&R)110mm (L&R)

patellareplacement

PEEK-lock LL/RMLM/RL

PE-inlaystandard

small

tibial jointcementless

standard Ø:12-18mm

smallØ:12,14mmcementedstandard

Ø:11-17mm small

Ø:11,13mm

femoral stem

Distal Femur M-O-M 90mm (L&R)110mm (L&R)

connecting mechanism

PE-inlay

tibial plateau M-O-Mlarge,

standard small,

cemented

tibial spacer5-50mm

stem for tibial plateauL:120-200mm cementless Ø:12-18mm,

cementedØ:11-15mm

1212

MUTARS® Total Femoral Replacement

MUTARS® Proximal Femoral Replacement with revision knee

A.4 Total Femoral ReplacementIndication:Tumors throughout the entire femoral bone with replacements of the hip and knee joint. The reconstruction length can be adjusted in 10 mm increments.System Components:Proximal Femur with taper (12/14), head: CoCrMo, ceramic (Al2O3) or TiN, Polaric head, ACCIS® cup cementless and cemented, Distal Femur M-O-M, PE-inlay (UHMW-PE), locking mechanism, connecting part, reducer, tibial plateau M-O-M cemented, tibial stem for tibial plateau cementless and cemented Length of reconstruction:≥ 260 mmMaterials:implatan®, forge titanium alloy (TiAl6V4) and implavit®, cast alloy (CoCrMo)

A.5 Proximal Femoral Replacement with a revision total knee replacementIndication:Tumors in the area of the proximal femoral bone intramedullary connected to a revision knee. System Components:Proximal Femur with taper (12/14), head: CoCrMo, ceramic (Al2O3) or TiN, ACCIS® big head, ACCIS® cup cementless and cemented, RS coupling device, intramedullary connecting module, femoral component cementless or ce-mented, PE-inlay (UHMW-PE), locking mecha-nism, tibial plateau M-O-M cemented, tibial stem for tibial plateau cementless and cemented Length of the Implant:≥ 260 mm (prox. reconstruction, ≥ 100mm)Materials:implatan®, forge titanium alloy (TiAl6V4) and implavit®, cast alloy (CoCrMo)

ACCIS® cup cementless

Polaric® head

ic-head TiN

Proximal Femur

extension piece

connecting part100mm

reducer20mm30mm

Distal Femur M-O-M

connectingmechanism

PE-inlay

tibial plateau M-O-Mcemented

stem for Tibial plateaucementlesscemented

ACCIS® cup cementless

ACCIS® big head

Proximal Femur

RS coupling device30mm

intramedullary connecting module

L:260-440mm

femoral component(L&R)

cementlesscemented

Sz.:3-5

connectingmechanism

PE-inlay


tibial spacer, unicondylar5-25mm

stem for tibial plateaucementlesscemented

1313

MUTARS® Total Knee Replacement with Distal Femur or KRI

MUTARS® Proximal TibialReplacement

B.1 Total Knee ReplacementIndication:Tumors in the area of the knee joint with major femoral and tibial bone loss. Constrained knee arthroplasty. System Components:femoral stem, Distal Femur M-O-M (KRI M-O-M), Proximal Tibia, PE-inlay XS (UHMW-PE) connecting part for Proximal Tibia, tibial stem cementless or cemented, cemented patella replacementLength of reconstruction:with Distal Femur ≥ 215 mm (femoral 100 mm, tibial 115 mm), with KRI ≥ 165 mm (femoral 50 mm, tibial 115 mm)Materials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

B.2 Proximal Tibial ReplacementIndication:Tumors in the area of the proximal Tibia with a constrained femoral resurfacing knee joint replacement.System Components:stem for femoral component, femoral component cementless or cemented, Proximal Tibia, PE-in-lay XS (UHMW-PE), connecting part for Proximal Tibia, tibial stem, cemented patella replacementLength of reconstruction:≥ 115 mmMaterials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

femoral stemor RS stem

Distal Femur M-O-Mor KRI M-O-M

lockingmechanism

Proximal Tibia

PE-inlay XS

connecting partfor

Proximal Tibia105mm125mm

tibial stemL:120mm


Ø:11-15mm

stem for femoralcomponent

L:160-240mm cementless Ø:12-18mm,

cementedØ:11-17mm


cementlesscemented

patellareplacement

lockingmechanism

Proximal Tibia

PE-inlay XS

connecting partfor Proximal Tibia

105mm125mm

tibial stemcementlesscemented

1414

MUTARS® DiaphysealImplant

MUTARS® ArthrodesisImplant

C.1 Diaphyseal ImplantIndication:Tumors in the area of the femoral or tibial diaphysis. The Diaphyseal Implant should be orientated always towards the nearest joint. An interlocking with screws is recommended. System Components:Diaphyseal Implant with stem (cemented), con-necting part for Diaphyseal Implant,femoral or tibial stems cemented or cementless-can be used cementedLength of reconstruction:≥ 100 mmMaterials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

C.2 Arthrodesis ImplantIndication:Tumors in the area of the knee joint. Arthodesis of the knee joint.System Components:femoral stem, Arthrodesis, tibial plate, tibial stem cementless or cementedLength of reconstruction:≥ 145 mmMaterials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

femoral stemcementlesscemented

connecting partfor

Diaphyseal Implant100mm120mm

Diaphyseal ImplantcementedL:100mm

Ø:13-17mm

femoral stemcementlesscemented

Arthrodesis

tibial plate

tibial stemcementlesscemented

1515

C.3 Attachment tubeIndication: The MUTARS® Attachment tube allows reconstruction of the capsule and refi xation ofmuscles and prevents dislocation thus it is used in proximal treatments of the humerus (rotator cuff) and femur. In cases of proximal tibial replacement, arthrodesis of the knee and total knee replacement, the tube allows attachment of muscle fl aps (i.e. gastrocnemius muscle), the extensor apparatus as well as the patella ligament.Length: 300 mmMaterial:Polyethylenterephtalat (PET), available in twodiameters of 35 mm and 55 mm

Fig.1: The retention rings of the MUTARS®

components allow a safe fi xation of theAttachment tube.It is recommended to start the fi xation of thetube always at the proximal part.

Fig. 2: Also the fi xation holes of the MUTARS® Proximal Tibia allow a safe fi xation of the Attach-ment tube.

Fig. 3: In order to provide for maximum tight stability, fi xation is applied under tension, using non-absorbable suture material.

Fig.4: The suture should be guided at least three times through the tube material and should fi nally be sutured applying several surgical knots. In order to achieve maximum stability, all retention rings can be provided with two fi xing-sutures, one above and one below the retention rings.

MUTARS® Attachment tube

length: 300mmØ:35mm + 55mm

1616

MUTARS® Proximal Humeral Replacement

MUTARS® Inverse Humeral Replacement

The MUTARS® Humeral ComponentsThe special system for the upper extremity offersthe opportunity of a proximal, distal or total humerus reconstruction. The modular humerus caps are available in three different sizes and allow an optimal glenoid contact. The small head piece and the slightly medialized geometry provide improved soft tissue coverage. As an intraoperative option there are inverse humeral components available including an inverse Hu-merus cap and glenoid replacement. The design of the extension pieces allows for an intraopera-tive adjustment in length of 20 mm increments. The modular construction allows the surgeon to treat the whole upper extremity with one universal system. If necessary, the implant may be extended intraoperatively to a total humerus prosthesis, thus providing an optimal solution to the individual requirements of each single case.

D.1 Proximal Humeral Replacement and Inverse Humeral ReplacementIndication:Tumors in the area of the proximal humerus or bone defects after fracture or revision surgery. With the inverse option in case of rotator cuff insuffi ciencies.System Components:Humerus head, Humerus cap, Humerus inverse cap, Humerus connecting part and Humerus extension piece, Glenoid and Glenosphere, cancellous screws 3,5 mm, stable lock screws 4,2 mm, Humerus stem cementless (TiAl6V4) and cemented (CoCrMo). Length of reconstruction:≥ 60 mmMaterials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

Humerus capsmall

mediumlarge

Humerus head50mm

Humerusextension piece

20mm40mm60mm

Humerusconnecting part

80mm

Humerus stemL: 75mm


Ø: 8-12mm

stable locked screws

L:20-40mm

glenosphere40mm symmetric40mm eccentric

glenoidcementless

Humerus capInverse

Humerus head


Humerus stemcementlesscemented

1717

MUTARS® Distal Humeral Replacement

MUTARS® TotalHumeral Replacement

D.2 Distal Humeral ReplacementIndication: Tumors in the area of the distal humerus with a constrained replacement of the humeroulnar joint. System Components:Distal Humerus 50 mm or 30 mm, Humerus and Agilon® stem cementless (TiAl6V4) and cemented (CoCrMo), Ulna anchorage: cementless (TiAl6V4) and cemented (CoCrMo), The combination with the Proximal Ulna is pos-sible and described in chapter D.4.Length of reconstruction:≥ 60 mm (30 mm if the Distal Humerus 30 mm is used)Materials:implatan®, forge titanium alloy (TiAl6V4) with cpTi and HA-coating and implavit®, cast alloy

(CoCrMo)

D.3 Total Humeral ReplacementIndication:Extensive tumors of the humerus, partial re-placement of the shoulder joint, constrained arthroplasty of the humeroulnar joint.System Components:Humerus cap, Humerus head, reducer, exten-sion piece and Humerus connecting part, Ulna anchorage: cementless (TiAl6V4) and cemented (CoCrMo), The combination with the Proximal Ulna is pos-sible and described in chapter D.5.Length of reconstruction:≥ 190mmMaterials:implatan®, forge titanium alloy (TiAl6V4) with cpTi and HA-coating and implavit®, cast alloy

(CoCrMo)

Humerus stemor Agilon® stem

cementlesscemented

Distal Humerus50mm

or Distal Humerus

30mm

Ulna anchorage(L&R)

cementlesscemented

Humerus cap

Humerus head

Humerusreducer10mm100mm


Humerusconnecting part

Distal Humerus

Ulna anchorage(L&R)

cementlesscemented

1818

MUTARS® Proximal Ulnar Replacement

MUTARS® Total Elbow Replacement

D.4 Proximal Ulnar ReplacementIndication:Tumors in the area of the proximal ulna with a constrained replacement of the humeroulnar joint.System Components:Distal Humerus 30mm, Proximal Ulna (TiAl6V4), Agilon® stem cemented, elongation piece, Humerus stem: cementless (TiAl6V4) and ce-mented (CoCrMo),Length of reconstruction:≥ 60 mm ulnarMaterials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

D.5 Total Elbow ReplacementIndication: Tumors in the area of the distal humerus and the proximal ulna with a constrained replacement of the humeroulnar joint.System Components:Distal Humerus, Proximal Ulna (TiAl6V4), Humerus stem: cementless (TiAl6V4) and cemented (CoCrMo), Length of reconstruction:≥ 60 mm (ulnar and humeral)Materials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

Agilon® stemcementlesscemented

Elongation piece5mm

7,5mm10mm

Distal Humerus30mm

ProximalUlna


humeral stemcementlesscemented

Distal Humerus50mm

ProximalUlna


1919

MUTARS® RSHip Revision System

MUTARS® RS ArthrodesisImplant

E.1 MUTARS® RS Revison Hip ReplacementIndication: Revision treatment of the hip joint. System Components:RS proximal component, RS metaphyseal component, RS extension piece 25 mm, RS stem cementless (TiAl6V4) with HA-coating and cemented (CoCrMo), alternatively the extra small RS stems can be used (direct combination to the proximal part without metaphyseal part). Implant length:≥ 220 mm, proximal reconstruction ≥ 72 mm (32 mm if a extra small RS stems is used)Materials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

E.2 MUTARS® RS Arthrodesis implantIndication: Arthordesis with possible cementless fusion of the knee joint. System Components:RS Arthodesis Implant femoral component (TiAl6V4), RS Arthodesis Implant tibial component (TiAl6V4), RS stem cementless (TiAl6V4) and ce-mented (CoCrMo), Length of reconstruction:≥ 90 mm (30 mm, if the stem connecting portions are inserted into the bone)Materials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

ACCIS® cup cementless,

Polaric® head,ic-head TiN

RS proximal component

32mm, 42mm127°,135°

RS metaphyseal component standard

small40mm50mm

RS extension piece25mm

RS femoral stemL:150, 200, 250mm


L:150, 200mmØ:12-18mm

RS femoral stemcementlesscemented

RS Arthrodesis Implant femoral component

(L&R)

RS Arthrodesis Implant tibial component

RS femoral stem cementlesscemented

2020

GenuX® KneeRevision system

GenuX® Intramedullary Total Femoral Replacement

E.3 GenuX® Revision Knee ReplacementIndication: Constrained revision knee replacement, huge bone defects can be augmented.System Components:femoral component cementless and cemented (for allergic patients also TiN coated), stem for femoral component cementless (TiAl6V4) and ce-mented (CoCrMo), tibial plateau M-O-M cement-ed, stem for tibial plateau cementless (TiAl6V4) and cemented (CoCrMo)length of the implant:≥ 120 mm tibial, ≥ 160 mm femoral, augmenta-tion: 5-25 mm tibial unicondylar, 25-50 mm full tibial, femoral 5 and 10 mm, Materials:implatan®, forge titanium alloy (TiAl6V4) and im-plavit®, cast alloy (CoCrMo)

E.4 Intramedullary Total Femoral Replace- ment with GenuX® Revision Knee SystemIndication: Combined revision joint replacement of the hip and knee joint using an intramedullary connec-tion. System Components:RS proximal component, RS metaphyseal com-ponent, RS extension piece 25 mm, intramedul-lary connecting module (TiAl6V4), femoral compo-nent cementless and cemented, tibial plateau M-O-M cemented, stem for tibial plateau cement-less (TiAl6V4) and cemented (CoCrMo)Length of reconstruction:≥ 332 mm (length of the femur)Materials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

stem for femoralcomponentcementless cemented

femoral spacercemented

distal 5 & 10mm, L-Spacer


cementlesscemented

patellareplacement

connecting mechanim

PE-inlay


large, standard

small,

tibial spacer5-50mm

stem for tibial plateaucementless cemented

ic-bipolar head

ic-head


RS metaphyseal component


for femoral componentØ:15mm

cementlessL:260-440mm


cementlesscemented


PE-inlay


tibial spacer


2121

Knee ReconstructionImplant (KRI)

Intramedullary Total Femoral Replacement with KRI

E.5 Revision treatment of the knee using the KRI ImplantIndication: Constrained revision knee replacement, huge bone defects can be augmented with loss of the distal femoral condyles.System Components:RS cementless (TiAl6V4) with HA and cemented (CoCrMo), KRI M-O-M (for allergic patients also TiN coated), RS extension piece 25mm, tibial plateau M-O-M cemented, stem for tibial plateau cementless (TiAl6V4) and cemented (CoCrMo) (also the KRI and PEEK-lock may be used with a modular tibial plateau or tibial plateau).Length of reconstruction:≥ 50 mmMaterials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

E.6 Intramedullary Total Femoral Replace- ment with the use of the KRI ImplantIndication: Combined revision joint replacement of the hip and knee joint using an intramedullary connec-tion with loss of the distal femoral condyles. System Components:RS proximal component, RS metaphyseal com-ponent, RS extension piece 25 mm, intramedul-lary connecting module (TiAl6V4), KRI M-O-M, tibial plateau M-O-M cemented, stem for tibial plateau cementless (TiAl6V4) and cemented (CoCrMo)Length of reconstruction:≥ 327 mm (length of the femur)Materials:implatan®, forge titanium alloy (TiAl6V4) with HA-coating and implavit®, cast alloy (CoCrMo)

RS femoral stemcementlesscemented

RS extension piece

KRI M-O-M(L&R)

patellareplacement


PE-inlay


tibial spacer


ACCIS® cup cemented

ACCIS® big head


RS metaphyseal component


for KRIØ:15mm

cementless L:180-360mm

KRI M-O-M(L&R)


PE-inlay

Tibial plateau M-O-Mcemented

Tibial spacer

stem for Tibial plateaucementless cemented

2222

MUTARS® Xpand mechanical Growing Prostheses

F.1 MUTARS® Xpand Growing ProsthesesThe endoprosthetic treatment of tumor patients of treatment of non adolescent tumor patients is a chal-lenging procedure for the surgeon as well as for the implant. The intramedullary fi xation of the prosthetic components leads to reduced growth of the treated extremity and i.e. leg length discrepancies. Most of the available systems include lengthening modules which are elongated mechanically during surgical proce-dures. In order to reduce the exposure of the patients to several surgeries and rising the risk of infection, theMUTARS® Growing Prostheses follow a new invention. Based on an idea of Prof. Dr. Baumgart (München) and in close collaboration with the company WITTENSTEIN intens GmbH (Igersheim) two new principles (mechanical and biological) of Growing Prostheses have been developed.The elongation of the Prosthesis, using the MUTARS® Xpand ProsthesisThe mechanical, non-invasive Growing Modules of the MUTARS® Xpand using a miniaturized, mechatronic actuator inside the prosthesis which is activated by a high frequency transmission (from Control Unit via transmitter head and receiver) from outside the skin. An additional surgery with opening of the skin is not necessary, the risk of infection is eliminated. After the lengthening procedure the Xpand components are replaced by regular MUTARS® components.

Remark: All components of the MUTARS® Xpand Growing Prostheses are customized implants which are planned, designed and manufactured for each patient based on a scaled x-ray.

femoral stem cementless

elongation

Xpand Distal Femur

(incl. actuator)

MUTARS® GrowingTibial plateau

XpandFemoral resurfacing

Xpand Proximal Tibia (incl. actuator)

elongation

tibial stemcementless

receiver

transmitterhead

control unit

receiver

2323

MUTARS® BioXpand biological Growing Prostheses

F.1 MUTARS® BioXpand Growing ProsthesesIn the “biological” MUTARS® BioXpand Growing Prosthesis the initially implanted stem is used as a dummy stem replaced by a lengthening nail (FITBONE®) at the time when lengthening should be initiated. In this type of Growing Prosthesis the electro magnetical technology is used to lengthen the bone of the patient and gain bone stock.

The lengthening of the remaining bone, using the MUTARS® BioXpand ProsthesisThe “biological”, non-invasive BioXpand Growing Prosthesis for the proximal and distal Femur as well as for the proximal Tibia are suitable to stimulate the growth of remaining bone after tumor resection. Using the principles of callus distraction (Fig. 1 and 2) the interim stem is replaced by a motorized lengthening nail (FITBONE® ), an osteotomy is performed and the remaining bone can be lengthened. After the lengthening procedure also the MUTARS® BioXpand components are replaced by regular MUTARS® components.

Remark: All components of the MUTARS® BioXpand Growing Prostheses are customized implants. For the procedure and the lengthening treatment Prof. Dr. Baumgart, ZEM München should be consulted.

©copyright information: All fi gures shown on this page are intellectual properties of Prof. Dr. Baumgart, ZEM, München, WITTENSTEIN intens GmbH and implantcast GmbH. The use of these information without prior written permission by the copyright owners is strictly forbidden.

BioXpand Proximal Femur

BioXpand Distal Femur

BioXpand Proximal

Tibia

Fig. 1: Steps of callus formation

Fig. 2: Leg lengthening of 3cm with the BioXpand Prosthesis

dummy stem

MUTARS®

BioXpandDistal Femur

PE-inlay

MUTARS® Growing Tibial plateau

Fitbone®

expandable nail as fi xation stem

2424

F.2 MUTARS® Customized Implants The modular features of the MUTARS® system en-able the surgeon to use standardized implants inmost cases. Patients with anatomical anomalies,as well as cases with particularly short or long re-sections or cases of revision surgeries often require special implant components.implantcast provides the special service of pre-operative digital planning of individual prosthesis. Bythis way, potential problems can be faced in ad-vance and appropriate implants may be manufac-tured considering the patient’s individual needs.

Planning information for customized implant– Detailed information on the type of reconstruction and on the reconstruction length– Radiographs (fi lms or digital), A/P and lateral views of the entire operative target area.– Positioning of the radiological scale on bone level of the intented to treat bone.Example 1: Planning Dist. Femoral Replacement

Preoperative x-rays and planning

Postoperative x-rays

Example 2: „Buxtehuder“ stem, cementlessIf the tumor is located close to the joint region a rigid fi xation of the prosthesis is diffi cult without affect-ing or replacing of the joint. In those delicate cases the use of standard stems may not be possible to avoid involving the joint. The special design of a cementless fi xation including the option for the use of interlocking screws is demanded. Those special cementless stems have been used in several cases in the proximal and distal femoral as well as in the proximal tibial bone region.

„Buxtehuder“ „Buxtehuder“ femoral stem tibial stem proximal proximal

Proximal femoral and proximal tibial treamentPostoperative x-rays

MUTARS® Customized Implants

2525

Example 3: Total Tibial ReplacementSpecial situations need special treatments. Toretain the extremity of a 32-year old patient sufferingfrom Ewing sarcoma of the whole tibia a specialimplant was developed. It consists of a MUTARS®

Proximal Tibia combined with a replacement ofthe entire tibial bone including a non-constrainedankle arthroplasty.

Prosthesis preoperative and intraoperative

Postoperative x-rays

Example 4: Partial Pelvic ReplacementAs an aid in limb-preserving tumor therapy in the pelvic area, implantcast offers the opportunity to manufacture an individual prosthesis according to the corresponding CT data. The MUTARS® partial pelvic replacement was designed with a particularly low volume. It provides a precise fi t and is easy to implant. implantcast would be pleased to send you further information on request.

MUTARS® Customized Implants

2626

MUTARS® Customized ImplantsExample 4: Revision with a special adapterThe following treatment shows a special implant for a 16-year old patient who underwent a revision after having a growing prosthesis of a competitive manufacturer. As the bony ingrowth of the stem was successful the stem was kept in place and a special revision adapter was used to combine the stem with the new MUTARS® prosthesis.Special revision adapter in various dimensions areavailable on request.

Preoperative planning

Intraoperative use of the special adapter

Postoperative x-ray

2727

MUTARS® Implants

Proximal Femur *Sincl. safety screwmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35710-0205 50 mm5710-0207 70 mm

extension piece *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35772-2504 40 mm5772-2506 60 mm5772-2508 80 mm5772-2510 100 mmA 30 mm extension piece is available on demand!

connecting part *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35730-0100 100 mm

reducer *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35730-0220 20 mm5730-0230 30 mm

screw, M10mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35792-1002 25 mm5792-1004 45 mm5792-1006 65 mm5792-1008 85 mm5792-1010 105 mm5792-1012 125 mm5792-1014 145 mm5792-1016 165 mm5792-1018 185 mm5792-1020 205 mm5792-1022 225 mm 5792-1024 245 mm

femoral stem cementless, length: 120 mmmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3with HA-coating5760-0012 12 mm5760-0113 13 mm5760-0014 14 mm5760-0115 15 mm5760-0016 16 mm5760-0117 17 mm5760-0018 18 mmAvailable without HA-coating on request!

femoral stem cemented, length: 120 mm *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45760-0011 11 mm5760-0013 13 mm5760-0015 15 mm5760-0017 17 mm

Distal Femur *Nincl. safety screwmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45720-0005 110 mm left *S5720-0010 110 mm right *S5720-0015 90 mm left5720-0020 90 mm right5720-0085 110 mm left XS *S5720-0080 110 mm right XS *S5720-0095 90 mm left XS5720-0090 90 mm right XS

G.1 MUTARS® Implants*S: For anti-infective treatment silver coated implants are available!*N: For anti-allergic treatment TiN coated implants are available!

PEEK-OPTIMA®-lock , 2-partmat.: PEEK-OPTIMA® and UHMW-PE acc. to DIN ISO 5834/25720-0905 left lat./right med.5720-0910 right lat./left med.5720-0915 left lat./right med., XS5720-0920 right lat./left med., XS

PE-inlaymat.: UHMW-PE acc. to DIN ISO 5834/25721-0000 XS5721-0002 small5721-0001 standard5721-0006 large

tibial joint, cementless *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45750-0012 12 mm5750-0014 14 mm5750-0016 16 mm5750-0018 18 mm5750-1012 12 mm small5750-1014 14 mm small

tibial joint, cemented *N mat.: implavit®, CoCrMo acc. to DIN ISO 5832/45750-0111 11 mm5750-0113 13 mm5750-0115 15 mm5750-0117 17 mm5750-1011 11 mm small5750-1013 13 mm small

tibial joint modular, cementless *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45755-0005 small5755-0010 std

tibial joint modular, cemented *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45755-0105 small5755-0110 std

screws for tibial joint modular (2 pcs.)mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35755-0514

stem for tibial joint, cementlessmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35756-1212 12 x 120 mm5756-1214 14 x 120 mm5756-1216 16 x 120 mm5756-1218 18 x 120 mm5756-1612 12 x 160 mm5756-1614 14 x 160 mm5756-1616 16 x 160 mm5756-1618 18 x 160 mm5756-2012 12 x 200 mm5756-2014 14 x 200 mm5756-2016 16 x 200 mm5756-2018 18 x 200 mm

stem for tibial joint, cemented *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45755-1211 11 x 120 mm5755-1213 13 x 120 mm5755-1215 15 x 120 mm5755-1611 11 x 160 mm5755-1613 13 x 160 mm5755-1615 15 x 160 mm5755-2011 11 x 200 mm5755-2013 13 x 200 mm5755-2015 15 x 200 mm

end piece *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35860-0001

2828

MUTARS® Implantstibial spacer unicondylar *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35810-0500 RL/LM small 5 mm 5810-1000 RL/LM small 10 mm 5810-1500 RL/LM small 15 mm 5810-2000 RL/LM small 20 mm 5810-2500 RL/LM small 25 mm 5805-0500 LL/RM small 5 mm5805-1000 LL/RM small 10 mm5805-1500 LL/RM small 15 mm5805-2000 LL/RM small 20 mm5805-2500 LL/RM small 25 mm

tibial spacer *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35800-2500 25 mm small right/left5800-3505 35 mm small left 5800-5005 50 mm small left 5800-3500 35 mm small right 5800-5000 50 mm small right

screws for tibial spacer (2 pcs.)mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35800-0505 5 mm Spacer5800-0510 10-50 mm Spacer

stem for femoral component, cementless mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35761-1612 12 x 160 mm5761-1614 14 x 160 mm5761-1616 16 x 160 mm5761-1618 18 x 160 mm5761-2012 12 x 200 mm5761-2014 14 x 200 mm5761-2016 16 x 200 mm5761-2018 18 x 200 mm5761-2412 12 x 240 mm5761-2414 14 x 240 mm5761-2416 16 x 240 mm5761-2418 18 x 240 mm

stem for femoral component, cemented *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45762-1611 11 x 160 mm 5762-1613 13 x 160 mm5762-1615 15 x 160 mm5762-1617 17 x 160 mm5762-2011 11 x 200 mm5762-2013 13 x 200 mm5762-2015 15 x 200 mm5762-2017 17 x 200 mm5762-2411 11 x 240 mm5762-2413 13 x 240 mm5762-2415 15 x 240 mm5762-2417 17 x 240 mm

MUTARS® femoral component, cementless *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45720-0210 right size 35720-0215 left size 35720-0220 right size 45720-0225 left size 45720-0230 right size 55720-0235 left size 5

MUTARS® femoral component, cemented *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45720-0310 right size 35720-0315 left size 35720-0320 right size 45720-0325 left size 45720-0330 right size 55720-0335 left size 5

offset adaptermat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35751-0100 0 mm5751-0125 2,5 mm5751-0150 5 mm5751-0175 7,5 mm

femoral spacer distalmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35722-0533 LL/RM size 3 15 mm 5722-0530 LL/RM size 3 10 mm5722-0535 LL/RM size 3 5 mm5722-0543 LL/RM size 4 15 mm 5722-0540 LL/RM size 4 10 mm5722-0545 LL/RM size 4 5 mm5722-0553 LL/RM size 5 15 mm 5722-0550 LL/RM size 5 10 mm5722-0555 LL/RM size 5 5 mm5722-1033 RL/LM size 3 15 mm5722-1030 RL/LM size 3 10 mm5722-1035 RL/LM size 3 5 mm5722-1043 RL/LM size 4 15 mm5722-1040 RL/LM size 4 10 mm5722-1045 RL/LM size 4 5 mm5722-1053 RL/LM size 5 15 mm5722-1050 RL/LM size 5 10 mm5722-1055 RL/LM size 5 5 mm

L-femoral spacer, distal and posterior *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35722-1535 LL/RM size 3 5 mm5722-1545 LL/RM size 4 5 mm5722-1555 LL/RM size 5 5 mm5722-2035 RL/LM size 3 5 mm5722-2045 RL/LM size 4 5 mm5722-2055 RL/LM size 5 5 mm 5722-1530 LL/RM size 3 10 mm5722-1540 LL/RM size 4 10 mm5722-1550 LL/RM size 5 10 mm5722-2030 RL/LM size 3 10 mm5722-2040 RL/LM size 4 10 mm5722-2050 RL/LM size 5 10 mm

screw for spacermat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/34208-0000

Proximal Tibia *S incl. locking mechanism (CoCrMo)mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 and implavit®, CoCrMo acc. to DIN ISO 5832/45750-0001 replaced in 2010 by 5750-0003

connecting part for Proximal Tibia *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35750-0105 105 mm5750-0125 125 mm

tibial stem cementless, length: 120 mmmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3with HA-coating5750-1512 12 mm5750-1513 13 mm5750-1514 14 mm5750-1515 15 mm5750-1516 16 mmAvailable without HA-coating on request!

tibial stem cemented, length: 120 mmmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45750-0511 11 mm5750-0513 13 mm5750-0515 15 mm

2929

MUTARS® Implantspatella replacement, cementedmat.: UHMW-PE acc. to DIN ISO 5834/25720-1000 std5720-1001 large

Diaphyseal implant, stem length: 100mm *S* Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45730-1015 15 mm5730-1017 17 mm5730-1019 19 mm

connecting part for Diaphyseal implant *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35730-1100 100 mm 5730-1120 120 mm

Arthrodesis *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35730-0162

tibial plate *S * Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45730-0164

Distal Femur M-O-M *S *Nincl. safety screwmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45720-0045 110 mm left5720-0040 110 mm right5720-0047 90 mm left5720-0042 90 mm right

locking mechanism M-O-M *Nincl. locking bolt (TiAl6V4)mat.: implavit®, CoCrMo acc. to DIN ISO 5832/12 and impla-tan®, TiAl6V4 acc. to DIN ISO 5832/35720-1200

tibial plateau M-O-M cemented *S *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45751-0300 small5751-0305 std5751-0310 large

screw for tibial plateau M-O-M (2 pcs.)mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35720-1205

screw for tibial spacer, M-O-M (2 pcs.)mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35720-1203 5 mm Spacer5720-1204 10-50 mm Spacer

KRI *N incl. safety screwmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45720-0008 right5720-0009 left

KRI M-O-M *S *Nincl. safety screwmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45720-0048 right5720-0043 left

screw for KRI, M8mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35720-2508 25 mm 5720-5008 50 mm

RS coupling device 30 mm *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35772-0030Special revision adapters for competitive systems are avail-able on demand!

RS proximal component *S incl. safety screwmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/36710-1527 127° 32 mm6710-1535 135° 32 mm 6710-1627 127° 42 mm 6710-1635 135° 42 mm

RS metaphyseal componentmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 with HA-coating6730-4121 40 mm6730-5121 50 mm6730-4221 40 mm small6730-5221 50 mm small

RS extension piece *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 with HA-coating6730-0125 25 mm

RS screw, M8mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 with HA-coating6720-4008 40 mm6720-5008 50 mm6720-6508 65 mm6720-7508 75 mm6720-9008 90 mm6720-1008 100 mm6720-1158 115 mm6720-1258 125 mm

RS stem** , cementlessmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 with HA-coating6762-1514 14 x 150 mm6762-1516 16 x 150 mm6762-1518 18 x 150 mm6762-1520 20 x 150 mm6762-2014 14 x 200 mm6762-2016** 16 x 200 mm6762-2018** 18 x 200 mm6762-2020** 20 x 200 mm6762-2516 16 x 250 mm6762-2518** 18 x 250 mm6762-2520** 20 x 250 mm** with locking holes for Ø 4,5mm screws

RS stem extra small, cementlessmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 with HA-coating6764-1514 14 x 150 mm 6764-2014 14 x 200 mm

RS stem, cemented *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/46760-1215 12 x 150 mm 6760-1415 14 x 150 mm 6760-1615 16 x 150 mm 6760-1815 18 x 150 mm 6761-1220 12 x 200 mm 6761-1420 14 x 200 mm 6761-1620 16 x 200 mm 6761-1820 18 x 200 mm

screw for RS coupling device, M8mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35792-0060 60 mm5792-0080 80 mm5792-0100 100 mm5792-0120 120 mm5792-0140 140 mm

3030

MUTARS® implantsattachment tube, length: 300 mmmat.: Polyethylenterephtalat (PET)5900-0300 Ø: 35mm5900-0310 Ø: 55mm

RS Arthrodesis implant femoral component *Sincl. safety screw mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/36770-0011 left6770-0021 right

RS Arthrodesis implant tibial component *Sincl. safety screw mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/36770-0131

cortical screw, Ø: 4,5 mmmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35792-4525 25 mm5792-4530 30 mm5792-4540 40 mm5792-4542 42 mm5792-4545 45 mm5792-4550 50 mm5792-4555 55 mm 5792-4560 60 mm

intramedullary connecting module for KRI, Ø: 15mm, cementlessmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35720-5180 180 mm5720-5200 200 mm5720-5220 220 mm5720-5240 240 mm 5720-5260 260 mm 5720-5280 280 mm 5720-5300 300 mm 5720-5320 320 mm5720-5340 340 mm5720-5360 360 mm

intramedullary connecting module for Femoral component, Ø: 15mm, cementlessmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35721-5260 260 mm5721-5280 280 mm5721-5300 300 mm5721-5320 320 mm5721-5340 340 mm5721-5360 360 mm5721-5380 380 mm5721-5400 400 mm5721-5420 420 mm5721-5440 440 mm

tapered stem, cementless, length: 130mmmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35760-2014 14 mm5760-2015 15 mm5760-2016 16 mm5760-2017 17 mm5760-2018 18 mm5760-2019 19 mm5760-2020 20 mm

ic-bipolar head CoCrMomat.: implavit®, CoCrMo acc. to DIN ISO 5832/12and DIN ISO 5832/4 and UHMW-PE (DIN ISO 5834/2)2151-0044 28/44 mm2151-0046 28/46 mm2151-0048 28/48 mm2151-0050 28/50 mm2151-0052 28/52 mm2151-0054 28/54 mm2151-0056 28/56 mm2151-0058 28/58 mm2151-0060 28/60 mm

ic-head CoCrMomat.: implavit®, CoCrMo acc. to DIN ISO 5832/122312-2200 22 mm, S2312-2205 22 mm, M2312-2210 22 mm, L2387-2800 28 mm, S2387-2805 28 mm, M2387-2810 28 mm, L2387-2815 28 mm, XL2387-3200 32 mm, S2387-3205 32 mm, M 2387-3210 32 mm, L2387-3215 32 mm, XLHeads with neck lengths of XXL to XXXL and taper 14/16 are available on request.

ic-head titaniummat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3with TiN coating2787-2800 28 mm, S2787-2805 28 mm, M2787-2810 28 mm, L2787-2815 28 mm, XL2787-3200 32 mm, S2787-3205 32 mm, M2787-3210 32 mm, L2787-3215 32 mm, XL2787-3600 36 mm, S2787-3605 36 mm, M2787-3610 36 mm, L2787-3615 36 mm, XLHeads with neck lengths of XXL to XXXL and taper 14/16 are available on request!

ic-head Biolox®fortemat.: Al2O3 acc. to DIN ISO 64742587-2800 28 mm, S2587-2805 28 mm, M2587-2810 28 mm, L2587-3200 32 mm, S2587-3205 32 mm, M2587-3210 32 mm, L2587-3600 36 mm, S2587-3605 36 mm, M2587-3610 36 mm, L

ic-head Biolox®deltamat.: Al2O3 and ZrO3 acc. to DIN ISO 64742586-2800 28 mm, S2586-2805 28 mm, M2586-2810 28 mm, L2586-3200 32 mm, S 2586-3205 32 mm, M 2586-3210 32 mm, L2586-3600 36 mm, S 2586-3605 36 mm, M 2586-3610 36 mm, L

ic-head Revision Biolox®deltamat.: Al2O3 and ZrO3 acc. to DIN ISO 6474 and TiAl6V4 acc. to DIN ISO 5832/32588-2800 28 mm, S 2588-2805 28 mm, M 2588-2810 28 mm, L 2588-2815 28 mm, XL 2588-3200 32 mm, S 2588-3205 32 mm, M 2588-3210 32 mm, L 2588-3215 32 mm, XL2588-3600 36 mm, S 2588-3605 36 mm, M 2588-3610 36 mm, L 2588-3615 36 mm, XL

3131

MUTARS® implantsACCIS® cup, cementlessmat.: implavit®, CoCrMo acc. to DIN ISO 5832/4 with TiNbNcoating and cpTi coating2912-3842 38/42 mm 2912-3844 38/44 mm2912-4246 42/46 mm 2912-4248 42/48 mm2912-4650 46/50 mm2912-4652 46/52 mm2912-5054 50/54 mm2912-5056 50/56 mm2912-5458 54/58 mm2912-5460 54/60 mm 2912-5862 58/62 mm 2912-5864 58/64 mm

ACCIS® cup, cementedmat.: implavit®, CoCrMo acc. to DIN ISO 5832/4 with TiNbN-Coating2923-3848 38/48 mm2923-3850 38/50 mm 2923-4252 42/52 mm 2923-4254 42/54 mm 2923-4656 46/56 mm 2923-4658 46/58 mm 2923-5060 50/60 mm 2923-5062 50/62 mm 2923-5464 54/64 mm

ACCIS® head, modularmat.: implavit®, CoCrMo acc. to DIN ISO 5832/4 with TiNbN-Coating2902-0038 38 mm 2902-0042 42 mm 2902-0046 46 mm2902-0050 50 mm 2902-0054 54 mm2902-0058 58 mm

neck adaptermat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/32938-4400 38-44 mm, S2938-4405 38-44 mm, M 2938-4410 38-44 mm, L2946-5000 46-50 mm, S 2946-5005 46-50 mm, M2946-5010 46-50 mm, L 2952-5800 52-58 mm, S2952-5805 52-58 mm, M 2952-5810 52-58 mm, LNeck adapters with lengths of XL to XXL and taper 14/16 are available on demand!

PE acetabular cup Muellermat.: UHMW-PE acc. to DIN ISO 5834/21021-2844 28/44 mm1021-2846 28/46 mm1021-2848 28/48 mm1021-2850 28/50 mm1021-2852 28/52 mm1021-2854 28/54 mm1021-2856 28/56 mm1021-2858 28/58 mm1021-3244 32/44 mm1021-3246 32/46 mm1021-3248 32/48 mm1021-3250 32/50 mm1021-3252 32/52 mm1021-3254 32/54 mm1021-3256 32/56 mm1021-3258 32/58 mmPE-cups with snap mechanism are available on demand!

Polaric® headmat.: UHMW-PE acc. to DIN ISO 5834/22900-2238 22/38 mm2900-2842 28/42 mm2900-2846 28/46 mm2900-2850 28/50 mm2900-2854 28/54 mm2900-2858 28/58 mm

ic-acetabular titanium ringmat.: cpTi pure titanium acc. to DIN ISO 5832/27000-1144 44 mm 7000-1146 46 mm 7000-1148 48 mm 7000-1150 50 mm 7000-1152 52 mm 7000-1154 54 mm 7000-1156 56 mm 7000-1158 58 mm

ic titanium reinforcement cagemat.: cpTi pure titanium acc. to DIN ISO 5832/27000-0144 44 mm right7000-0146 46 mm right7000-0148 48 mm right7000-0150 50 mm right7000-0152 52 mm right7000-0154 54 mm right7000-0156 56 mm right7000-0158 58 mm right7001-0144 44 mm left7001-0146 46 mm left7001-0148 48 mm left7001-0150 50 mm left7001-0152 52 mm left7001-0154 54 mm left7001-0156 56 mm left7001-0158 58 mm left

LUMiC® cup 60mmincl. safety screwmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35711-0060 (availability expected in 2010)

LUMiC® screw, M6 mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35711-1002 28 mm

LUMiC® stem, cementlessmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 with HA-coating5711-1065 65 mm5711-1075 75 mm5711-1085 85 mm

liner for LUMiC®

0223-3652 implacross® PE liner 0° 36/52 mm0224-3652 implacross® PE liner 10° 36/52 mm0280-4452 PE liner 0° 36/52 mm0280-4552 PE liner 10° 36/52 mm 0220-3652 Biolox® delta liner 36/52 mm0221-3652 ACCIS® liner 36/52 mm0281-3652 MetaLic® liner 36/52 mmFor the use of the ACCIS® or MetaLic® liners special ACCIS® or MetaLic® heads must be used!

intramedullary plugmat.: UHMW-PE acc. to DIN ISO 5834/20299-4000 small canal size ≥ Ø: 9 mm0299-4010 large canal size ≥ Ø: 14 mm

3232

MUTARS® ImplantsHumerus capmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3with TiN coating 5210-0000 small5210-0005 medium5210-0010 large

Humerus inverse capmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3with TiN coating 5210-1000

Humerus head 50 mm *Sincl. safety screwmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35200-0000

Humerus extension piece *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35220-0020 20 mm5220-0040 40 mm5220-0060 60 mm

Humerus connecting part *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35221-0080 80 mm

Humerus reducer *Smat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35221-0000 10 mm5221-0100 100 mm

Humerus screw, M8 mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35230-0015 15 mm5230-0035 35 mm5230-0055 55 mm5230-0075 75 mm

Humeral stem, cementlessmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 with HA-coating5240-0807 7 mm5240-0808 8 mm5240-0809 9 mm5240-0810 10 mm5240-0811 11 mm5240-0812 12 mm5240-0813 13 mmAvailable without HA-coating on request!

Humeral stem, cemented *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45240-0408 8 mm5240-0409 9 mm5240-0410 10 mm5240-0411 11 mm5240-0412 12 mm

Distal Humerus 50 mm *Sincl. axle, safety screw and 2 lock screwsmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 and impla-vit®, CoCrMo acc. to DIN ISO 5832/45250-0000

Ulna stopmat.: UHMW-PE acc. to DIN ISO 5834/2 5250-1100

Proximal Ulna *Sincl. safety screwmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35250-0030

cancellous screw, Ø 4,0 mmmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35793-4026 26 mm5793-4028 28 mm5793-4030 30 mm5793-4032 32 mm5793-4034 34 mm

ulna anchorage, cementlessmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 and implavit®, CoCrMo acc. to DIN ISO 5832/4with cpTi and HA-coating5250-1015 left 5250-1020 right

ulna anchorage, cementedmat.: implavit®, CoCrMo acc. to DIN ISO 5832/45250-1005 left5250-1010 right

glenoidmat.: cpTi pure titanium acc. to DIN ISO 5832/2 with HA-coating3800-4001

glenospheremat.: UHMW-PE acc. to DIN ISO 5834/25210-1002 40 mm symmetric3800-4040 40 mm eccentric

Distal Humerus 30 mm incl. axle, safety screw and 2 cover screwsmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/3 and implavit®, CoCrMo acc. to DIN ISO 5832/45250-0300

Agilon® elongation piecemat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/33800-0050 5 mm3800-0075 7,5 mm3800-0100 10 mm

Agilon® trauma shoulder stem, cementlessmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/33811-2010 120 mm 10 mm3811-2011 120 mm 11 mm3811-2012 120 mm 12 mm3811-2013 120 mm 13 mm3811-2014 120 mm 14 mm3811-2015 120 mm 15 mm 3811-2016 120 mm 16 mmCementless Agilon® stems in lengths 60, 180 and 240 mm are available on demand!

Agilon® trauma shoulder stem, cemented *Nmat.: implavit®, CoCrMo acc. to DIN ISO 5832/43800-9006 90 mm 6 mm3800-9008 90 mm 8 mm3800-9010 90 mm 10 mm3800-9012 90 mm 12 mm3801-2006 120 mm 6 mm3801-2008 120 mm 8 mm3801-2010 120 mm 10 mm3801-2012 120 mm 12 mm

screw for Distal Humerus 30mmmat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35230-0815 15 mm5230-0820 20 mm5230-0825 25 mm5230-0830 30 mm

cancellous screw, angle stable locked, Ø 4,2mm mat.: implatan®, TiAl6V4 acc. to DIN ISO 5832/35794-4220 20 mm 5794-4222 22 mm 5794-4224 24 mm 5794-4226 26 mm 5794-4228 28 mm 5794-4230 30 mm5794-4232 32 mm5794-4234 34 mm 5794-4236 36 mm 5794-4238 38 mm 5794-4240 40 mm

3333

MUTARS® InstrumentsG.2 MUTARS® Instruments

MUTARS® basic instrument tray cemented 7999-5711

MUTARS® trial componenttray7999-7701

MUTARS® Distal Femur instrument containerupper tray7999-5721

MUTARS® Modular Tibial instrument container I7999-5733

MUTARS® basic instrument tray cementless7999-5710

ic-bipolar instrumenttray7960-9999

MUTARS® Distal Femur instrument containerlower tray7999-5721

MUTARS® Modular Tibial instrumentcontainer II7999-5738

3434

MUTARS® rigid drillstray7999-5735

MUTARS® modular tibial trialcontainer7999-5736

MUTARS® femoral joint instrument (size 4-5)tray7999-5722

MUTARS® Prox. Tibia extension containerupper tray7999-5734

MUTARS® fl exible reamerstray (10,5-18,5mm)7999-7702

MUTARS® femoral joint instrumenttray7999-5723

MUTARS® tapered reamer instrumenttray (14-20mm)7999-5760

MUTARS® Prox. Tibia extension container lower tray7999-5734

MUTARS® Instruments

3535

MUTARS® RS instrumentcontainer 17999-6711

MUTARS® RS ES instrumentcontainer 37999-6716

KRI instrument KRI M-O-Mtray tray7999-5728 7999-5729

MUTARS® IMFR trialtray7999-7720

MUTARS® RS ES instrumentcontainer 27999-6715

MUTARS® RS instrumentcontainer 47999-6714

trial head tibial joint modulartray (28 and 32mm) trial tray7999-7960 7999-5737

MUTARS® Genux® IMFR trialcontainer7999-7721


3636


MUTARS® Humerus instrumenttray7999-5200

MUTARS® Humerus trial MUTARS® Prox. Ulnacontainer tray7999-5202 7999-5205

ACCIS® acetabular cup instrumenttray2950-1052

ACCIS® acetabular cup basic trayupper tray2950-1051

MUTARS® Humerus invers instrumenttray7999-5201

MUTARS® Distal Hum. MUTARS® Distal Hum.instrument tray left instrument tray right7999-5151 7999-5152

ACCIS® acetabular reamercontainer (42-64mm, 1mm increments)2950-1048

ACCIS® acetabular cup basic traylower tray2950-1051

3737


MUTARS® Xpand instrument containerupper tray7999-5780

MUTARS® partial pelvic replacement instrumenttray 7999-0008

MUTARS® LUMiC® instrument containerupper tray7999-7711

MUTARS® RS Arthrodesis instrumentcontainer7999-6770

MUTARS® Xpand instrument containerlower tray7999-5780

MUTARS® RS targeting instrumentcontainer 57999-6705

MUTARS® LUMiC® instrument containerlower tray7999-7711

available in 2010

Polaric® trial instrumentcontainer7999-7970

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your local distributor:

implantcast GmbHLüneburger Schanze 26

D-21614 Buxtehude Deutschland

phone: +49 4161 744-0 fax: +49 4161 744-200

e-mail: [email protected]: www.implantcast.de

modular universal tumor and revision system ® - accis b.v. , agilon ® - lbk hamburg, biolox® -...

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