Hip Prosthesis Catalog: Stems, Heads & Surgical Techniques

AL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR
ALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI PO
IS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT
AR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA
OLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROST
GHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
OTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPO
RT- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- B
ESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAI
NIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
M- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP
RAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI PO
IS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT
AR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA
OLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROST
GHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
M- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP
RAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI PO
IS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT
AR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA
OLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROST
GHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
M- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP
RAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
M- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP
RAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
OTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPO
RT- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- B
ESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAI
NIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
M- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP
RAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
M- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP
RAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
M- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP
RAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR
UPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
catalog
table of contents
Suprart 1
3
5
11
features
set detail
surgical technique
Straight Volumed Modular
21
23
27
features
set detail
surgical technique
Calcar
37
39
43
features
set detail
surgical technique
Arthrom
53
55
59
features
set detail
surgical technique
A. Unipolar Head
73
set detail
Bipolar Head
77
set detail
Total Hip Prosthesis
81
87
set detail
surgical technique
SUPRART 1
SUPRART 1
Made of CoCrMo
Cemented or cementless application
135º neck <ngle
Sterile packaging
12/14 tapering joint
6 mm to 16 mm, 1 mm diameter increment
11 different length options
Tapering distal part
Tapering structure and round distal end, ensure a proper replacement and
total hold to the medulla.
It can be applied as cemented or cementless with coated or uncoated options.
Supra Art Stem Porous coating, Hydroxyapatite coating or double (PC+HA)
coating options are available.
Body diameter options from 6 mm to 16 mm are available.
3
B
E
C
D
A
Diameter
(mm)
Stem
Length (mm)
(A)
Offset
(mm)
(B)
Neck
Length (mm)
(C)
Neck Shaft
Angle (º)
(D)
Neck Stem
Length (mm)
(E)
6
7
8
9
10
11
12
13
14
15
16
114.5
117
122.5
130
135
137
140
145
148
152
157
39.5
40.5
41.5
42
43
43.5
43.5
44
44
44.5
45
32
32
32
32
32
32
32
32
32
32
32
135
135
135
135
135
135
135
135
135
135
135
19
19
19
19
19
19
19
19
19
19
19
4
Instruments
tray 1
No Code
1
2
3
4
5
6
7
8
00000504200
01192200024
01192000005
01193001009
01015000000
01192000030
01192000003
01193000023
01170000013
5
5
3
Barcode
Description
8699931023992
8698673497450
8698673490390
8699931028140
8698673494480
8698673494268
8698673496231
8698673493780
8680858425303
1.DESIGN TRAY INSTRUMENT
NT RASP HOLDER
BOX CHISEL
BONE HAMMER - LARGE
ROTATION CONTROLLED STEM IMPACTOR
STEM IMPACTOR
ANTEVERSION ROD
T QUICK HANDLE
PLUG HOLDER FOR SUPRA ART-1 STEM
6
8
4
Qty.
2
1
1
1
1
1
1
1
1
1
1
7
tray 2
No Code
Cementless
Cemented
9
Barcode
Description
00000504400
01163000607
01163000809
01163001011
01163001213
01163001415
01163001600
8680858419081
8680858431397
8680858431403
8680858431410
8680858431427
8680858431434
8680858431441
4.DESIGN TRAY FOR SUPRA ART REAMERS
SUPRA ART-1 CEMENTED 6-7 MM REAMER
SUPRA ART-1 CEMENTED 8-9 MM REAMER
SUPRA ART-1 CEMENTED 10-11 MM REAMER
SUPRA ART-1 CEMENTED 12-13 MM REAMER
SUPRA ART-1 CEMENTED 14-15 MM REAMER
SUPRA ART-1 CEMENTED 16 MM REAMER
Qty.
1
1
1
1
1
1
01173000607
01173000809
01173001011
01173001213
01173001415
01173001600
8680858431762
8680858431779
8680858431786
8680858431793
8680858431809
8680858431816
SUPRA ART-1 PC&HA 6-7 MM REAMER
SUPRA ART-1 PC&HA 8-9 MM REAMER
SUPRA ART-1 PC&HA 10-11 MM REAMER
SUPRA ART-1 PC&HA 12-13 MM REAMER
SUPRA ART-1 PC&HA 14-15 MM REAMER
SUPRA ART-1 PC&HA 16 MM REAMER
1
1
1
1
1
1
9
6
tray 3
No Code
10
00000502300
01163700060
01163700070
01163700080
01163700090
01163700100
01163700110
01163700120
01163700130
01163700140
01163700150
01163700160
10
7
Barcode
8699931023985
8680858431540
8680858431557
8680858431564
8680858431571
8680858431588
8680858431595
8680858431601
8680858431618
8680858431625
8680858431632
8680858431649
Description
TRAY (545X255X40 MM) FOR SUPRA 2-STRAIGHT RASPS
RASP FOR SUPRA ART-1 CEMENTED Ø 6 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 7 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 8 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 9 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 10 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 11 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 12 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 13 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 14 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 15 MM
RASP FOR SUPRA ART-1 CEMENTED Ø 16 MM
Qty.
1
1
1
1
1
1
1
1
1
1
1
tray 4
No Code
11
00000504300
01163800060
01163800070
01163800080
01163800090
01163800100
01163800110
01163800120
01163800130
01163800140
01163800150
01163800160
Barcode
Description
8699931024005
8680858431656
8680858431663
8680858431670
8680858431687
8680858431694
8680858431700
8680858431717
8680858431724
8680858431731
8680858431748
8680858431755
5. DESIGN TRAY FOR SUPRA ART RASP
RASP FOR SUPRA ART-1 PC&HA 6 MM
RASP FOR SUPRA ART-1 PC&HA 7 MM
RASP FOR SUPRA ART-1 PC&HA 8 MM
RASP FOR SUPRA ART-1 PC&HA 9 MM
RASP FOR SUPRA ART-1 PC&HA 10 MM
RASP FOR SUPRA ART-1 PC&HA 11 MM
RASP FOR SUPRA ART-1 PC&HA 12 MM
RASP FOR SUPRA ART-1 PC&HA13 MM
RASP FOR SUPRA ART-1 PC&HA14 MM
RASP FOR SUPRA ART-1 PC&HA 15 MM
RASP FOR SUPRA ART-1 PC&HA 16 MM
Qty.
1
1
1
1
1
1
1
1
1
1
1
11
8
9
Code
Barcode
Description
Cemented Stem
11730101206
11730101207
11730101208
11730101209
11730101210
11730101211
11730101212
11730101213
11730101214
11730101215
11730101216
8680858427932
8680858427949
8680858427956
8680858427963
8680858427970
8680858427987
8680858427994
8680858428007
8680858428014
8680858428021
8680858428038
SUPRA ART-1 STEM SANDBLASTED 6 MM
SUPRA ART-1 STEM SANDBLASTED 7 MM
SUPRA ART-1 STEM SANDBLASTED 8 MM
SUPRA ART-1 STEM SANDBLASTED 9 MM
SUPRA ART-1 STEM SANDBLASTED 10 MM
SUPRA ART-1 STEM SANDBLASTED 11 MM
SUPRA ART-1 STEM SANDBLASTED 12 MM
SUPRA ART-1 STEM SANDBLASTED 13 MM
SUPRA ART-1 STEM SANDBLASTED 14 MM
SUPRA ART-1 STEM SANDBLASTED 15 MM
SUPRA ART-1 STEM SANDBLASTED 16 MM
PC&HA Stem
11730901206
11730901207
11730901208
11730901209
11730901210
11730901211
11730901212
11730901213
11730901214
11730901215
11730901216
8698673447424
8698673447431
8698673447448
8698673447455
8698673447462
8698673447479
8698673447486
8698673447493
8698673447509
8698673447516
8680858420711
SUPRA ART-1 STEM PC&HA 6 MM
SUPRA ART-1 STEM PC&HA 7 MM
SUPRA ART-1 STEM PC&HA 8 MM
SUPRA ART-1 STEM PC&HA 9 MM
SUPRA ART-1 STEM PC&HA 10 MM
SUPRA ART-1 STEM PC&HA 11 MM
SUPRA ART-1 STEM PC&HA 12 MM
SUPRA ART-1 STEM PC&HA 13 MM
SUPRA ART-1 STEM PC&HA 14 MM
SUPRA ART-1 STEM PC&HA 15 MM
SUPRA ART-1 STEM PC&HA 16 MM
Centraliser
11870000110
11870000125
11870000140
11870000155
11870000170
8698673432680
8698673432697
8698673432703
8698673432710
8698673432727
CENTRALISER 11 MM
CENTRALISER 12.5 MM
CENTRALISER 14 MM
CENTRALISER 15.5 MM
CENTRALISER 17 MM
Plug
X-Ray Ring
Implants
11770000015
11770000018
11770000029
8698673431515
8698673431522
8698673431508
PLUG X - RAY RING (7.5-11 MM STEMS)
PLUG X - RAY RING (11-13.5 MM STEMS)
PLUG X - RAY RING (13.5-15 MM STEMS)
10
Surgical Technique
1
FEMORAL HEAD OSTEOTOMY
Osteotomy is made over 1.5-2 cm of trochanter
minor to the femoral shaft with the angle of 45°.
Femoral head which is cut before is pulled out from
acetabulum by Femoral Head Extractor.
2
FEMORAL HEAD MEASUREMENT
The width of the cut femoral head is determined by
Femoral Head Measuring Device.
3
ACCESS TO MEDULLA CANAL
Access to the medullary cavity from osteotomy line
is obtained with Box Chiesel.
Note: Please pay attention to femoral head
anteversion.
11
4
CARVING OPERATION
FOR FEMORAL STEM
Entry is made from piriformis fossa to medulla by
the starting reamer.
It is carved until reaching to the proper canal width
by a Reamer which is assembled to T Quick Handle
from trochanteric tip to femoral shaft.
Note: To make the reamer choice, the smallest size
should be tried in the beginning and the size should
be increased gradually. The last reamer size
demonstrates the stem size.
5
RASPING
Rasping operation (considering anteversion) is
started with the smallest Rasp which is assembled
to NT Rasp Holder. The rasping operation is
performed until ending line on proximal area of the
rasp. The rasping operation is proceeded until
attaining sufficient bone strength by incremental
lengths. The recent used rasp determines the Body
(Stem) length.
Note: Different rasps are used for Cemented and
Cementless applications.
Please refer to pg 14 for application with A. Unipolar Head.
Please refer to pg 17 for application with Bipolar Head.
12
A. Unipolar Head Application
6
A. UNIPOLAR TRIAL
Width of A.Unipolar Trial is determined by femoral
head measurement (Section 2). Then A.Unipolar
Trial is fixed to A.Unipolar Trial Holder and the
suitability with acetabulum is tested.
7
RING SIZE DETERMINATION
After designating the size of A.Unipolar Trial, it is
placed onto A.Unipolar Ring Trial which is held to
the rasp in order to determine the suitability of the
ring size.
8
MOTION TEST
After the trial insertions, the leg motion is controlled
to test the size suitability.
13
9
REMOVING RING TRIAL
From the Rasp
The Ring Trial which is fixed to the Rasp is extracted
by Stem Ring Extractor as in the figure.
Rotate the instrument until trials are extracted.
From the A.Unipolar Trial
The Ring Trial which is fixed to A.Unipolar Trial is
extracted by A.Unipolar Ring Extractor as in the
figure.
Rotate the instrument until the ring is extracted.
10
PLACEMENT OF THE STEM
Stem is positioned considering anteversion angle by
Rotation Controlled Stem Impactor fixed rotation
controlled Anteversion Rod.
14
11
HAMMERING STEM
In cementless applications, the Stem Impactor
ensures an exact placement of the stem.
12
A. UNIPOLAR HEAD FIXING
A.Unipolar Head which is placed onto A.Unipolar
Ring is fixed by hammering the Femoral Head
Impactor.
15
Bipolar Head Application
6
BIPOLAR TRIAL
The width of Bipolar Trial Head is determined
(Section 2). It is fixed to Bipolar Trial Head Holder
and the suitability with acetabulum is tested.
7
MODULAR HEAD SIZE
DETERMINATION
After designating the size of Bipolar Trial Head, it is
placed onto Modular Trial Head which is held to the
rasp in order to determine the suitability of the ring
size.
8
MOTION TEST
After the trial insertions, the leg motion is controlled
to test the size suitability.
16
9
MODULAR TRIAL HEAD
EXTREACTION
Modular Trial Head which is fixed to rasp is
extracted by Modular Head Extractor as in the
figure.
Rotate the instrument until the trials are extracted.
10
PLACEMENT OF THE STEM
Stem is positioned considering anteversion angle by
Rotation Controlled Stem Impactor fixed rotation
controlled Anteversion Rod.
11
HAMMERING STEM
In cementless applications, the Stem Impactor
ensures an exact placement of the stem.
17
12
MODULAR HEAD FIXING
Size of the Modular Head is determined with the
help of trials. It is hammered by Modular Head
Impactor.
13
BIPOLAR HEAD PLACEMENT
The Segman is extracted from Bipolar Head by
Bipolar Insert Ring Forceps then Bipolar Head
placed into Modular Head and pushed until ‘click’
sound is heard. The extracted Segman is placed
again.
18
straight
VOLUMED MODULAR STEM
straight
VOLUMED MODULAR STEM
Made of CrNi
For cemented applications
135º neck angle
Sterile packaging
12/14 tapering joint
5 different diameter options
Tapering distal part
It has proven its reliability with many surgeries.
It is used in cemented applications.
Tapering structure ensures positionning on the neutral axis.
It settles into femur according to three point principle.
Diameter options are 7.5 mm, 10 mm, 11 mm, 12.5 mm and 15 mm.
21
B
E
C
D
A
F
Diameter
(mm)
Stem
Length (mm)
(A)
Offset
(mm)
(B)
Neck
Length (mm)
(C)
Neck Shaft
Angle (º)
(D)
Neck Stem
Length (mm)
(E)
Plug Set
Length (mm)
(F)
7.5
10
11
12.5
15
138
142
145
147
152
37
37
37
37
37
27
27
27
27
27
135
135
135
135
135
11
11
11
11
11
116
119.5
123
125
130
22
Instruments
tray 1
No Code
1
2
3
4
5
6
7
8
00000504200
01170000011
01192200024
01192000005
01193001009
01015000000
01192000030
01192000003
01193000023
6
23
5
Barcode
Description
8699931023992
8680858425280
8698673497450
8698673490390
8699931028140
8698673494480
8698673494268
8698673496231
8698673493780
1.DESIGN TRAY INSTRUMENT
PLUG HOLDER FOR STRAIGHT STEM
RASP HOLDER
BOX CHISEL
BONE HAMMER - LARGE
ROTATION CONTROLLED STEM IMPACTOR
STEM IMPACTOR
ANTEVERSION ROD
T QUICK HANDLE
1
7
4
Qty.
2
8
1
1
1
1
1
1
1
1
3
tray 2
No Code
00000504100
9 01025100750
01025101000
01025101100
01025101250
01025101500
10 01011300075
00580280150
9
Barcode
Description
8680858431229
8698673494213
8698673494251
8698673494244
8698673494237
8698673494220
8699931009750
8698673498174
2.DESIGN TRAY FOR STRAIGHT STEM RASP
RASP FOR STRAIGHT STEM 7.5 MM
RASP FOR STRAIGHT STEM 10 MM
RASP FOR STRAIGHT STEM 11 MM
RASP FOR STRAIGHT STEM 12.5 MM
RASP FOR STRAIGHT STEM 15 MM
REAMER FOR VOLUMED MODULAR STEM Ø 7.5 MM
CONTAINER 560X270X150 MM
Qty.
1
1
1
1
1
1
10
24
25
Code
Barcode
Description
Stem
10112221275
10112221210
10112221211
10112221212
10112221215
8698673434141
8698673434103
8698673434110
8698673434127
8698673434134
VOLUMED MODULAR STEM STAINLESS STEEL 7.5 MM
VOLUMED MODULAR STEM STAINLESS STEEL 10 MM
VOLUMED MODULAR STEM STAINLESS STEEL 11 MM
VOLUMED MODULAR STEM STAINLESS STEEL 12.5 MM
VOLUMED MODULAR STEM STAINLESS STEEL 15 MM
Centraliser
11870000110
11870000125
11870000140
11870000155
11870000170
8698673432680
8698673432697
8698673432703
8698673432710
8698673432727
CENTRALISER 11 MM
CENTRALISER 12.5 MM
CENTRALISER 14 MM
CENTRALISER 15.5 MM
CENTRALISER 17 MM
Plug
X-Ray Ring
Implants
11770000015
11770000018
11770000029
8698673431515
8698673431522
8698673431508
PLUG X - RAY RING (7.5-11 MM STEMS)
PLUG X - RAY RING (11-13.5 MM STEMS)
PLUG X - RAY RING (13.5-15 MM STEMS)
26
Surgical Technique
1
FEMORAL HEAD OSTEOTOMY
Osteotomy is made over 1.5-2 cm of trochanter
minor to the femoral shaft with 45° of angle.
The cut femoral head, is pulled out from
acetabulum by Femoral Head Extractor.
2
FEMORAL HEAD MEASUREMENT
The width of the femoral head is determined by
Femoral Head Measuring Device.
3
ACCESS TO MEDULLA CANAL
Access to the medullary cavity from osteotomy line
is obtained with Box Chiesel.
Note: Please pay attention to femoral head
anteversion.
27
4
CARVING OPERATION
FOR FEMORAL STEM
Entry is made from piriformis fossa to medulla by
the starting reamer.
It is carved until attaining proper canal width by a
Reamer which is fixed to T Quick Handle from
trochanteric tip to femoral shaft - until enough bone
resistance is detected-.
Note: To make the reamer choice, the smallest size
should be tried in the beginning and the size should
be increased gradually. The last reamer size
demonstrates the stem size.
5
RASPING
Rasping operation (considering anteversion) is
started with the smallest Rasp which is fixed to NT
Rasp Holder. The rasping operation is performed
until reaching to the ending line on proximal area of
the rasp. The rasping operation is proceeded until
attaining sufficient bone strength by increasing
lengths gradually. The recent used Rasp determines
the Body (Stem) length.
Please refer to pg 29 for application with A. Unipolar Head.
Please refer to pg 32 for application with Bipolar Head.
28
A. Unipolar Head Application
6
A. UNIPOLAR TRIAL
Width of A.Unipolar Trial is determined by femoral
head measurement (Section 2). Then A.Unipolar
Trial is fixed to A.Unipolar Trial Holder and the
suitability with acetabulum is tested.
7
RING SIZE DETERMINATION
After designating the size of A.Unipolar Head Trial, it
is placed onto A.Unipolar Ring Trial which is held to
the rasp in order to determine the suitable ring size.
8
MOTION TEST
After the trial insertions, the leg motion is controlled
to test the size suitability.
29
9
REMOVING RING TRIAL
From the Rasp
The Ring Trial which is fixed to the Rasp is extracted by
Stem Ring Extractor as in the figure.
Rotate the instrument until trials are extracted.
From the A.Unipolar Trial
The Ring Trial which is fixed to A.Unipolar Trial is
extracted by A.Unipolar Ring Extractor as in the figure.
Rotate the instrument until the ring is extracted.
10
PLUG PLACEMENT
Before the cement application, medulla is closed
with a Plug which is assembled to Plug Holder. Plug
Holder is pushed until marked part which indicates
the stem length.
30
11
STEM PLACEMENT
Centraliser placed to distal part of the Stem. The
Stem is positioned considering anteversion angle
using rotation controlled Stem Impactor which is
fixed to rotation controlled Anteversion Rod.
12
A. UNIPOLAR HEAD FIXING
After designating the width of A.Unipolar Ring by
using the trials, it is placed onto A.Unipolar Head.
Then A.Unipolar Head is fixed by hammering the
Femoral Head Impactor.
31
Bipolar Head Application
6
BIPOLAR TRIAL
The width of Bipolar Trial Head is determined
(Section 2). It is fixed to Bipolar Trial Head Holder
and the suitability with acetabulum is tested.
7
MODULAR HEAD SIZE
DETERMINATION
After designating the size of Bipolar Trial Head, it is
placed onto Modular Trial Head which is held to the
rasp in order to determine the suitability of the ring
size.
8
MOTION TEST
After the trial insertions, the leg motion is controlled
to test the size suitability.
32
9
MODULAR TRIAL HEAD
EXTRACTION
Modular Trial Head which is fixed to Rasp is extracted
by Modular Head Extractor as in the figure.
Rotate the instrument until the trials are extracted.
10
PLUG PLACEMENT
Before the cement application, medulla is closed
with a Plug which is assembled to Plug Holder. Plug
Holder is pushed until marked part which indicates
the stem length.
11
STEM PLACEMENT
Centraliser placed to distal part of the Stem. The
Stem is positioned considering anteversion angle
using rotation controlled Stem Impactor which is
fixed to rotation controlled Anteversion Rod.
33
12
MODULAR HEAD FIXING
After designating the size of Modular Head by using
the trials, it is hammered by Modular Head Impactor.
13
BIPOLAR HEAD PLACEMENT
The Segman is extracted from Bipolar Head by Bipolar
Insert Ring Forceps then Bipolar Head placed into
Modular Head and pushed until ‘click’ sound is heard.
The extracted Segman is placed again.
34
calcar
calcar
Made of CoCrMo
Cemented or cementless application
Double coating (PC+HA) as cementless stem
135º neck angle
Sterile packaging
12/14 tapering joint
Diameter options
from10 mm to 18 mm with 2 mm increment
3 length options
Tapering distal part
Designed to be used in cases of bone loss in the proximal femur,
unstable fractures and nonunion of the fracture.
It ensures rotational and axial stability by settling properly with its tapering structure.
Holes in the body enables passing of the cables, wires and sutures that
ensure safe and stable fixation.
Diameter options are 10 mm, 12 mm, 14 mm, 16 mm, 18 mm.
Length options are 25 mm, 35 mm, 45 mm.
It can be applied cementless with coated options.
Double coating options -Porous+Hydroxyapatite- are available for cementless applications.
37
B
E
C
G
D
A
F
Diameter
Stem
(mm)
Length (mm)
(A)
10x25
10x35
10x45
12x25
12x35
12x45
14x25
14x35
14x45
16x25
16x35
16x45
18x25
18x35
18x45
175
175
175
175
175
175
175
175
175
175
175
175
175
175
175
Offset
(mm)
(B)
39.5
39.5
39.5
41.3
41.3
41.3
43.6
43.6
43.6
43.1
43.1
43.1
43.4
43.4
43.4
Neck
Length (mm)
(C)
31.2
31.2
31.2
31.2
31.2
31.2
31.2
31.2
31.2
31.2
31.2
31.2
31.2
31.2
31.2
Neck Shaft
Angle (º)
(D)
Neck Stem
Length (mm)
(E)
Plug Set
Length (mm)
(F)
Calcar
Length (mm)
(G)
135
135
135
135
135
135
135
135
135
135
135
135
135
135
135
14.1
14.1
14.1
15.1
15.1
15.1
16.1
16.1
16.1
17
17
17
18.2
18.2
18.2
150
140
130
150
140
130
150
140
130
150
140
130
150
140
130
25
35
45
25
35
45
25
35
45
25
35
45
25
35
45
38
Instruments
tray 1
No Code
1
2
3
4
5
6
7
8
00000504200
01170000010
01192200024
01192000005
01193001009
01015000000
01192000030
01192000003
01193000023
6
39
4
Barcode
Description
8699931023992
8698673494787
8698673497450
8698673490390
8699931028140
8698673494480
8698673494268
8698673496231
8698673493780
1.DESIGN TRAY INSTRUMENT
PLUG HOLDER FOR CALCAR STEM
RASP HOLDER
BOX CHISEL
BONE HAMMER - LARGE
ROTATION CONTROLLED STEM IMPACTOR
STEM IMPACTOR
ANTEVERSION ROD
T QUICK HANDLE
1
7
5
Qty.
3
2
1
1
1
1
1
1
1
1
8
tray 2
No Code
9
501400
01095000010
01095000012
01095000014
01095000018
01095000018
Barcode
Description
8680858431182
8698673496576
8698673496583
8698673496590
8680858419760
8680858419760
2.DESIGN TRAY FOR CALCAR REAMERS
REAMER FOR CALCAR Ø 10 MM
REAMER FOR CALCAR Ø 12 MM
REAMER FOR CALCAR Ø 14 MM
REAMER FOR CALCAR Ø 16 MM
REAMER FOR CALCAR Ø 18 MM
Qty.
1
1
1
1
1
9
40
tray 3
Resection
Marker
Cementless
Cemented
No Code
10
00000501300
01091250010
01091250012
01091250014
01091250016
01091250018
Description
8699931023978
8698673495647
8698673495654
8698673495654
8698673496613
8680858419739
3.DESIGN TRAY FOR CALCAR RASP
RASP FOR CALCAR REP. STEM COCRMO 10X25 MM
RASP FOR CALCAR REP. STEM COCRMO 12X25 MM
RASP FOR CALCAR REP. STEM COCRMO 14X25 MM
RASP FOR CALCAR REP. STEM COCRMO 16X25 MM
RASP FOR CALCAR REP. STEM COCRMO 18X25 MM
Qty.
1
1
1
1
1
1
11
01091000110
01091000112
01091000114
01091000116
01091000118
8698673465091
8698673465107
8698673465114
8680858419722
8698673465121
RASP FOR CALCAR REP. STEM CEMENTLESS Ø 10 MM
RASP FOR CALCAR REP. STEM CEMENTLESS Ø 12 MM
RASP FOR CALCAR REP. STEM CEMENTLESS Ø 14 MM
RASP FOR CALCAR REP. STEM CEMENTLESS Ø 16 MM
RASP FOR CALCAR REP. STEM CEMENTLESS Ø 18 MM
1
1
1
1
1
12
01091100001
01091100002
8699931009682
8680858431366
CALCAR RESECTION MARKER 10-12
CALCAR RESECTION MARKER 14-16- 18
1
1
00580280150
8698673498174
CONTAINER 580X280X150 MM
12
41
Barcode
10
11
Implants
Description
10932501210
10933501210
10934501210
10932501212
10933501212
10934501212
10932501214
10933501214
10934501214
10932501216
10933501216
10934501216
10932501218
10933501218
10934501218
8698673434158
8698673434165
8698673434172
8698673434189
8698673434196
8698673434202
8698673434219
8698673434226
8698673434233
8698673434240
8698673434257
8698673434264
8680858408320
8680858408337
8680858408344
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 10X25
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 10X35
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 10X45
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 12X25
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 12X35
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 12X45
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 14X25
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 14X35
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 14X45
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 16X25
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 16X35
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 16X45
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 18X25
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 18X35
CALCAR REP. STEM COCRMO-CEMENTED-SANDBLASTED 18X45
10970000100
10970000120
10970000140
10970000160
10970000180
8698673434448
8698673434455
8698673434462
8698673434479
8680858428779
CENTRALISER FOR CALCAR COCRMO 10 MM
CENTRALISER FOR CALCAR COCRMO 12 MM
CENTRALISER FOR CALCAR COCRMO 14 MM
CENTRALISER FOR CALCAR COCRMO 16 MM
CENTRALISER FOR CALCAR COCRMO 18 MM
11770000015
11770000024
11770000029
8698673431515
8698673431522
8698673431508
PLUG X - RAY RING (7.5-11 MM STEMS)
PLUG X - RAY RING (11-13.5 MM STEMS)
PLUG X - RAY RING (13.5-15 MM STEMS)
CoCrMo Cemented Stem
CoCrMo Cementless Stem
CALCAR REP. STEM COCRMO PC+HA COATED 10X25 MM
CALCAR REP. STEM COCRMO PC+HA COATED 10X35 MM
CALCAR REP. STEM COCRMO PC+HA COATED 10X45 MM
CALCAR REP. STEM COCRMO PC+HA COATED 12X25 MM
CALCAR REP. STEM COCRMO PC+HA COATED 12X35 MM
CALCAR REP. STEM COCRMO PC+HA COATED 12X45 MM
CALCAR REP. STEM COCRMO PC+HA COATED 14X25 MM
CALCAR REP. STEM COCRMO PC+HA COATED 14X35 MM
CALCAR REP. STEM COCRMO PC+HA COATED 14X45 MM
CALCAR REP. STEM COCRMO PC+HA COATED 16X25 MM
CALCAR REP. STEM COCRMO PC+HA COATED 16X35 MM
CALCAR REP. STEM COCRMO PC+HA COATED 16X45 MM
CALCAR REP. STEM COCRMO PC+HA COATED 18X25 MM
CALCAR REP. STEM COCRMO PC+HA COATED 18X35 MM
CALCAR REP. STEM COCRMO PC+HA COATED 18X45 MM
Centraliser
Barcode
8698673443143
8698673443150
8698673443167
8698673443174
8698673443181
8698673443198
8698673443204
8698673443211
8698673443228
8698673443235
8698673443242
8698673443259
8680858424757
8680858424764
8680858424771
Plug
X-Ray Ring
Code
10932591210
10933591210
10934591210
10932591212
10933591212
10934591212
10932591214
10933591214
10934591214
10932591216
10933591216
10934591216
10932591218
10933591218
10934591218
42
Surgical Technique
1
FEMORAL HEAD OSTEOTOMY
1st osteotomy is made to the femoral shaft over
1.5-2 cm of trochanter minor with the angle of 90°.
If the trochanter exists, the 2nd osteotomy is made
endlong to the first cut from the trochanter tip.
The cut femoral head is removed from acetabulum
by Femoral Head Extractor.
2
FEMORAL HEAD MEASUREMENT
The width of the cut femural head is determined by
Femoral Head Measuring Device.
3
ACCESS TO MEDULLA CANAL
Access to the medullary cavity from osteotomy line
is obtained with Box Chiesel.
Note: Please pay attention to femoral head
anteversion.
43
4
CARVING OPERATION
FOR FEMORAL STEM
Entry is made from piriformis fossa to medulla by
the starting reamer.
It is carved until reaching to the proper canal width
by a Reamer which is assembled to T Quick Handle
from trochanteric tip to femoral shaft.
Note: To make the reamer choice, the smallest size
should be tried in the beginning and the size should
be increased gradually. The last reamer size
demonstrates the stem size.
5
RASPING
Rasping operation (considering anteversion) is
started with the smallest Rasp which is fixed to NT
Rasp Holder. Before rasping, the suitable Calcar
Resection Marker to the calcar length is fixed to the
rasp. The rasping operation is proceeded until
attaining sufficient bone strength by using
incremental lengths. The recent used Rasp
determines the Stem length.
Note: Different rasps are used for Cemented and
Cementless applications.
Please refer to pg 45 for application with A. Unipolar Head.
Please refer to pg 48 for application with Bipolar Head.
44
A. Unipolar Head Application
6
A. UNIPOLAR TRIAL
Width of A.Unipolar Trial is determined by femoral
head measurement (Section 2). Then A.Unipolar
Trial is fixed to A.Unipolar Trial Holder and the
suitability with acetabulum is tested.
7
RING SIZE DETERMINATION
After designating the size of A.Unipolar Trial, it is
placed onto A.Unipolar Ring Trial which is held to
the rasp in order to determine the suitability of the
ring size.
8
MOTION TEST
After the trial insertions, the leg motion is controlled to
test the size suitability.
45
9
REMOVING RING TRIAL
From the Rasp
The Ring Trial which is fixed to the Rasp is extracted by
Stem Ring Extractor as in the figure.
Please rotate the instrument until trials are extracted.
From the A.Unipolar Trial
The Ring Trial which is fixed to A.Unipolar Trial is
extracted by A.Unipolar Ring Extractor as in the figure.
Please rotate the instrument until the ring is extracted.
10
PLUG PLACEMENT
for Cemented Applications
Before the application of cement, the medulla is
closed by Plug which is assembled to the Plug
Holder. The Plug Holder is advanced until the
marked part that indicates stem length.
46
11
PLACEMENT OF THE STEM
Centraliser for Calcar fixed to distal part of the Stem.
The Stem is fixed to Rotation Controlled Stem
Impactor which is fixed to rotation controlled
Anteversion Rod and it is positioned considering
anteversion angle.
In cemented applications, position of the stem is
kept constant until the cement is solidified.
11
HAMMERING OF STEM
In cementless applications, the Stem Impactor
ensures an exact placement of the stem.
12
A. UNIPOLAR HEAD FIXING
A.Unipolar Head which is placed onto A.Unipolar
Ring -after designating the size by trials- is
hammered and fixed by Femoral Head Impactor.
47
Bipolar Head Application
6
BIPOLAR TRIAL
The width of Bipolar Trial Head is determined
(Section 2). It is fixed to Bipolar Trial Head Holder
and the suitability with acetabulum is tested.
7
MODULAR HEAD SIZE
DETERMINATION
After designating the size of Bipolar Trial Head, it is
placed onto Modular Trial Head which is held to the
rasp in order to determine the suitability of the
Modular Head size.
8
MOTION TEST
After the trial insertions, the leg motion is controlled to
test the size suitability.
48
9
MODULAR TRIAL HEAD
EXTRACTION
Modular Trial Head which is fixed to Rasp is
extracted by Modular Trial Head Extractor as in the
figure.
Please rotate the instrument until the trials are
extracted.
10
PLUG PLACEMENT
for Cemented Applications
Before the application of cement, the medulla is
closed by Plug which is assembled to the Plug
Holder. The Plug Holder is advanced until the
marked part that indicates stem length.
11
PLACEMENT OF THE STEM
Centraliser for Calcar fixed to distal part of the Stem.
The Stem is fixed to Rotation Controlled Stem
Impactor which is fixed to rotation controlled
Anteversion Rod and it is positioned considering
anteversion angle.
In cemented applications, position of the stem is
kept constant until the cement is solidified.
49
12
HAMMERING STEM
In cementless applications, the Stem Impactor
ensures an exact placement of the stem.
13
MODULAR HEAD FIXING
After designating the size of Modular Head by trials,
it is hammered by Modular Head Impactor.
14
BIPOLAR HEAD PLACEMENT
The Segman is extracted from Bipolar Head by
Bipolar Insert Ring Forceps then Bipolar Head
placed into Modular Head and pushed until ‘click’
sound is heard. The extracted Segman is placed
again.
APPLICATION WITH THE CABLE SYSTEM
By means of holes in proximal of the stem, the
trochanter fractures are fixed with a cable system.
50
ARTHROM
®
ARTHROM
®
Made of titanium alloy
Suitable design for femoral anterior anatomy
135˚ neck angle
14 different stem size
6 different body size
84 different combination
Antirotational stem shape
Application with cable system
Uncoated, Porous (PC), Hydroxyapatite (HA) and
double coated (PC+HA) stem options
It could be used safely even in cases with unstable trochanter.
Compatible distal design to femoral anterior anatomy.
3 different length options and 7 different diameter options for the stem; 2 different width options and
4 different length options exist for the body to ensure compatibility to different bone structures.
Star shaped stem ensures antirotational feature and total fit to the bone.
Cable system can be applied by means of holes in the body.
Uncoated, Porous (PC), Hydroxyapatite (HA) and double coating (PC+HA) options are available.
53
Implants
12029006045
12029006055
12029006065
12029007555
12029007565
12029007575
8680858416875
8680858416646
8680858416653
8680858416660
8680858416677
8680858416684
ARTHROM BODY POROUS SMALL 45
ARTHROM BODY POROUS SMALL 55
ARTHROM BODY POROUS SMALL 65
ARTHROM BODY POROUS STAND. 55
ARTHROM BODY POROUS STAND. 65
ARTHROM BODY POROUS STAND. 75
12021013100
12021013140
12021114100
12021114140
12021215100
12021215014
12021316100
12021316014
8680858412464
8680858412471
8680858412488
8680858412495
8680858412501
8680858412518
8680858412525
8680858412532
ARTHROM STEM NARROW JUNCTION PC+HA 13X100
ARTHROM STEM NARROW JUNCTION PC+HA 13X140
ARTHROM STEM NARROW JUNCTION PC+HA 14X100
ARTHROM STEM NARROW JUNCTION PC+HA 14X140
ARTHROM STEM NARROW JUNCTION PC+HA 15X100
ARTHROM STEM NARROW JUNCTION PC+HA 15X140
ARTHROM STEM NARROW JUNCTION PC+HA 16X100
ARTHROM STEM NARROW JUNCTION PC+HA 16X140
12021316180
12021417140
12021518140
12021518180
12021720140
12021720180
8680858412402
8680858412419
8680858412426
8680858412433
8680858412440
8680858412457
ARTHROM STEM LARGE JUNCTION PC+HA 16X180
ARTHROM STEM LARGE JUNCTION PC+HA 17X140
ARTHROM STEM LARGE JUNCTION PC+HA 18X140
ARTHROM STEM LARGE JUNCTION PC+HA 18X180
ARTHROM STEM LARGE JUNCTION PC+HA 20X140
ARTHROM STEM LARGE JUNCTION PC+HA 20X180
54
Instruments
tray 1
No Code
1
2
3
4
00000109100
01192000005
02061401310
02061401411
02061401512
02061401613
02061401714
02061801613
02061401815
02061402017
02061000200
02061000300
02010300045
01193000023
00560270180
Barcode
Description
8680858419197
8698673490390
8680858406531
8680858406296
8680858406319
8680858406333
8680858406357
8680858406340
8680858406364
8680858406371
8680858416301
8680858416318
8680858417315
8698673493780
8699931023152
ARTHROM 1. DESIGN TRAY
BOX CHISEL
REAMER ARTHROM STEM 13X140 MM
REAMER ARTHROM STEM 14X140 MM
REAMER ARTHROM STEM 15X140 MM
REAMER ARTHROM STEM 16X140 MM
REAMER ARTHROM STEM 17X140 MM
REAMER ARTHROM STEM 16X180 MM
REAMER ARTHROM STEM 18X180 MM
REAMER ARTHROM STEM 20X180 MM
ARTHROM BODY REAMER STANDART 55-65-75 MM
ARTHROM BODY REAMER SMALL 55-65 MM
ARTHROM BODY REAMER SMALL 45 MM
T QUICK HANDLE
CONTAINER 560X270X180 MM
3
55
2
Qty.
1
4
1
1
1
1
1
1
1
1
1
1
1
1
1
tray 2
No Code
5
6
7
8
00000109200
02062295575
02062296575
02062297575
02062394560
02062395560
02062396560
02050000110
01193001009
02050001011
12022000200
12022000245
8
Barcode
8680858419203
8680858406234
8680858406258
8680858406265
8680858416295
8680858406227
8680858406241
8680858416271
8699931028140
8680858416325
8680858416332
8680858416349
6
Description
ARTHROM 2.DESIGN TRAY
RASP ARTHROM BODY PC&HA STD. 55 MM
RASP ARTHROM BODY PC&HA STD. 65 MM
RASP ARTHROM BODY PC&HA STD. 75 MM
RASP ARTHROM BODY PC&HA SMALL 45 MM
RASP ARTHROM BODY PC&HA SMALL 55 MM
RASP ARTHROM BODY PC&HA SMALL 65 MM
ARTHROM RASP HOLDER
BONE HAMMER - LARGE
ARTHROM SCREW BOX
ARTHROM JUNCTION BOLT STANDARD
ARTHROM JUNCTION BOLD (45 MM BODY)
5
Qty.
1
1
1
1
1
1
1
1
1
3
3
7
56
tray 3
No Code
00000109300
9 02022394560
02022395560
02022396560
02022295575
02023296575
02023297575
10 02020910100
02020910140
02020911100
02020911140
02020912100
02020912140
02020913100
02020913140
01212016180
02020914100
02020915140
01212018180
02020917140
01212020180
Barcode
8680858419210
8680858416363
8680858405978
8680858405992
8680858405985
8680858406005
8680858406012
8680858416479
8680858416486
8680858416493
8680858416509
8680858416516
8680858416523
8680858416530
8680858416547
8680858430727
8680858416554
8680858416561
8680858430734
8680858416578
8680858430741
Description
ARTHROM 3.DESIGN TRAY
ARTHROM BODY TRIAL PC&HA SMALL 45 MM
ARTHROM BODY TRIAL PC&HA SMALL 55 MM
ARTHROM BODY TRIAL PC&HA SMALL 65 MM
ARTHROM BODY TRIAL PC&HA STD. 55 MM
ARTHROM BODY TRIAL PC&HA STD. 65 MM
ARTHROM BODY TRIAL PC&HA STD. 75 MM
ARTHROM TRIAL STEM PC&HA 13X100 MM
ARTHROM TRIAL STEM PC&HA 13X140 MM
ARTHROM TRIAL STEM PC&HA 14X100 MM
ARTHROM TRIAL STEM PC&HA 14X140 MM
ARTHROM TRIAL STEM PC&HA 15X100 MM
ARTHROM TRIAL STEM PC&HA 15X140 MM
ARTHROM TRIAL STEM PC&HA 16X100 MM
ARTHROM TRIAL STEM PC&HA 16X140 MM
ARTHROM TRIAL STEM PC&HA 16X180 MM
ARTHROM TRIAL STEM PC&HA 17X140 MM
ARTHROM TRIAL STEM PC&HA 18X140 MM
ARTHROM TRIAL STEM PC&HA 18X180 MM
ARTHROM TRIAL STEM PC&HA 20X140 MM
ARTHROM TRIAL STEM PC&HA 20X180 MM
9
57
10
Qty.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
tray 4
No Code
11
12
13
14
15
16
17
18
19
20
00000109400
02065000020
02065000030
02051000010
02062400001
02055010100
02050050012
02050010121
02050010212
02520000050
02055000105
16
15
Barcode
8680858419227
8680858406401
8680858406418
8680858416387
8680858416394
8680858416400
8680858416417
8680858416424
8680858416431
8680858417308
8680858416370
17
Description
ARTHROM 4.DESIGN TRAY
ARTHROM STEM INSERTER
ARTHROM BODY & STEM INSERTER
ARTHROM BODY & STEM INSERTER INNER PART
ARTHROM SYSTEM EXTRACTOR
ARTHROM STEM BODY SEPARATOR
TORQUE T HANDLE 5 MM 12 NM
TORQUE ANTI-ROTATION INSTRUMENT
ANTI ROTATION INSTRUMENT HANDLE
STEM IMPACTOR PIN
ARTHROM T SCREW DRIVER Ø 5 MM
Qty.
1
1
1
1
1
1
1
1
1
1
12 13 18 11 19 20 14
58
Surgical Technique
1
FEMORAL HEAD OSTEOTOMY
Osteotomy is made over 1.5-2 cm of trochanter
minor to the femoral shaft with the angle of 45°.
Femoral head which is cut before is removed from
acetabulum by Femoral Head Extractor.
2
FEMORAL HEAD MEASUREMENT
The width of the removed femoral head is
determined by Femoral Head Measuring Device.
3
ACCESS TO MEDULLA CANAL
Access to the medullary cavity from osteotomy line
is obtained with Box Chiesel.
Note: Please pay attention to femoral head
anteversion.
59
4
CARVING OPERATION
FOR FEMORAL STEM
Entry is made from piriformis fossa to medulla by
the starting reamer.
It is carved until attaining a proper canal width by a
Reamer which is fixed to T Quick Handle from
trochanteric tip to femoral shaft - until enough bone
resistance is detected-.
Note: To make the reamer choice, the smallest size
should be tried in the beginning and the size should
be increased gradually. The last reamer size
demonstrates the stem size.
5
DETERMINING STEM SIZE
AND BODY SIZE
A marked part behind the threaded part of the
reamer demonstrates the body size and the stem
size, in patients with trochanter major.
A marked part on the thread corresponding to the
trochanter minor, demonstrates the stem length in
patients with unstable trochanter major.
6
CARVING OPERATION
FOR ARTHROM BODY
It is carved until attaining a proper canal width by
Arthrom Body Reamer which is fixed to T Quick
Handle from trochanteric tip to femur shaft- until
enough bone resistance is detected-.
To make the reamer choice, the smallest size should
be tried at the beginning and the size should be
increased gradually. The last reamer size
demonstrates the stem size. The marked part
corresponding to the trochanter tip demonstrates
body size as in the figure (Because of a reamer
specific to 45 mm body, there is one mark on it).
60
7
RASPING
Rasping operation (considering anteversion) is
started with the smallest rasp (Rasp Arthrom Body)
which is fixed to Arthrom Rasp Holder. The rasping
operation is continued until enough bone
resistance is detected by increasing lengths
gradually. The recent tried Rasp determines the
Arthrom Body length.
8.a
PLACEMENT OF ARTHROM
TRIAL STEM
After designating the length of Arthrom Trial Stem
by the reamer, it is fixed to Arthrom Stem Inserter.
Arrow mark on the Arthrom Stem Inserter could be
adjusted to indicate cut part at distal of the stem. So,
the direction can be followed while the stem is in
the bone.
Note: The cut part should be adjusted to the anterior
part of the femoral shaft.
8.a
PLACEMENT OF THE BODY TRIAL
The Arthrom Body Trial which is fixed to Arthrom
Body&Stem Inserter is placed to Stem considering
anteversion then hammered and fixed with using
Arthrom Junction Bolt.
61
8.b
PLACEMENT OF THE BODY
TRIAL AND THE STEM
Cut part of Arthrom Trial Stem is adjusted towards
anterior, neck of Arthrom Body Trial is adjusted
considering anteversion. They are united and fixed
by screwing. Trials which are fixed to Body Stem
Inserter with an inner part are placed to the femur.
Separation of the Body and Stem
To separate the body and stem, Arthrom Stem Body
Separator is assembled to the body as in the figure
and rotated until separation.
Please refer to pg 63 for application with A. Unipolar Head.
Please refer to pg 66 for application with Bipolar Head.
62
A. Unipolar Head Application
9
A. UNIPOLAR TRIAL
Width of A.Unipolar Trial is determined by femoral
head measurement (Section 2). Then A.Unipolar
Trial is fixed to A.Unipolar Trial Holder and the
suitability with acetabulum is tested.
10
RING SIZE DETERMINATION
After designating the size of A.Unipolar Trial, it is
placed onto A.Unipolar Ring Trial which is held to
the Arthrom Body Trial in order to determine the
suitability of the ring size.
11
MOTION TEST
After the trial insertions, the leg motion is controlled
to test the size suitability.
63
12
REMOVING RING TRIAL
From the Body Trial
The Ring Trial which is fixed to the body trial is
extracted by Stem Ring Extractor as in the figure.
Please rotate the instrument until trials are extracted.
From the A. Unipolar Trial
The Ring Trial which is fixed to A.Unipolar Trial is
extracted by A.Unipolar Ring Extractor as in the figure.
Please rotate the instrument until the ring is extracted.
13.a
PLACEMENT OF THE STEM
The Arthrom Stem which its length is determined
by the trials is fixed to Arthrom Stem Inserter.
Arrow mark on the Stem Inserter can be
adjusted to indicate the cut part at distal of
the stem. So, the direction can be followed
while the stem is in the bone.
The cut part should be adjusted so as to
correspond anterior part of the femoral
shaft.
64
13.a
PLACEMENT OF THE BODY
Body which is fixed to Stem Body Inserter is placed
into stem considering anteversion and hammered.
The stem is fixed to the body with a Junction Bolt
using Antirotation Instrument Handle, Torque
Anti-Rotation Instrument and Torque T Handle 5
mm 12 Nm as in the figure and pushed until ‘click’
sound is heard.
Note: Junction bolt of 45 mm body is different.
13.b
PLACEMENT
OF BODY AND STEM
The cut part of Arthrom Stem which is adjusted
towards anterior, and the neck of Arthrom Body
which is adjusted considering anteversion are
combined. The stem is fixed to the body with
Arthrom Junction Bolt using Antirotation Instrument
Handle, Torque Anti-Rotation Instrument and Torque
T Handle 5 mm 12 Nm and the bolt is pushed until
‘click’ sound is heard. Arthrom Body&Stem Inserter
Part is fixed to Body Stem Inserter. Then the Arthrom
Body is fixed to Body Stem Inserter. The stem is
placed to the femur and hammered.
Note: Junction bolt of 45 mm body is different.
14
A.UNIPOLAR HEAD FIXING
A.Unipolar Head which is placed onto A.Unipolar
Ring is fixed to the Arhtrom Body by hammering the
Femoral Head Impactor.
65
Bipolar Head Application
9
BIPOLAR TRIAL
The width of Bipolar Trial Head is determined
(Section 2). It is fixed to Bipolar Trial Head Holder
and the suitability with acetabulum is tested.
10
MODULAR HEAD
SIZE DETERMINATION
After designating the size of Bipolar Trial Head, it is
placed onto Modular Trial Head which is held to the
Arthrom Body Trial in order to determine the
suitability of the ring size.
11
MOTION TEST
After the trial insertions, the leg motion is controlled
to test the size suitability.
66
12
MODULAR HEAD TRIAL
EXTRACTION
The Modular Trial Head which is fixed to the body
trial is extracted by Modular Trial Head Extractor as
in the figure.
Please rotate the instrument until the trials are
extracted.
13.a
PLACEMENT OF
THE ARTHROM STEM
The Arthrom Stem which its length is determined by
the trials is fixed to Arthrom Stem Inserter. Arrow
mark on the Stem Inserter can be adjusted to
indicate the cut part at distal of the stem. So, the
direction can be followed while the stem is in the
bone.
The cut part should be adjusted so as to correspond
anterior part of the femoral shaft.
13.a
PLACEMENT OF
THE ARTHROM BODY
Body which is fixed to Stem Body Inserter is placed
into stem considering anteversion and hammered.
The stem is fixed to the body with a Junction Bolt
using Antirotation Instrument Handle, Torque
Anti-Rotation Instrument and Torque T Handle 5
mm 12 Nm as in the figure and pushed until ‘click’
sound is heard.
Note: Junction bolt of 45 mm body is different.
67
13.b
PLACEMENT OF THE
ARTHROM BODY AND STEM
The cut part of Arthrom Stem which is adjusted
towards anterior and the neck of Arthrom Body
which is adjusted considering anteversion are
combined. The stem is fixed to the body with
Arthrom Junction Bolt using Antirotation Instrument
Handle, Torque Anti-Rotation Instrument and Torque
T Handle 5 mm 12 Nm and the bolt is pushed until
‘click’ sound is heard. Arthrom Body&Stem Inserter
Part is fixed to Body Stem Inserter. Then the Arthrom
Body is fixed to Body Stem Inserter. The stem is
placed to the femur and hammered.
Note: Junction bolt of 45 mm body is different.
14
MODULAR HEAD FIXING
After designating the size of Modular Head by using
the trials, it is fixed to Arthrom Body by Modular
Head Impactor.
15
BIPOLAR HEAD PLACEMENT
The Segman is extracted from Bipolar Head by
Bipolar Insert Ring Forceps then Bipolar Head placed
into Modular Head and pushed until ‘click’ sound is
heard. The extracted Segman is replaced again.
68
Application with the Cable System
By means of holes on the Arthrom Body, the
trochanter fractures can be fixed with a cable
system.
69
70
A. UNIPOLAR
HEAD
Instruments
No Code
1
2
3
4
5
6
7
8
9
00000501100
01192000010
01190000101
01195000010
01192000011
01192000039
01192000038
01191001416
01071160060
01071160030
01071160000
01071160003
01071160006
01071150040
01071150042
01071150044
01071150046
01071150048
01071150050
01071150052
01071150054
01071150056
8
73
6
Barcode
Description
8699931023954
8698673495401
8699931030990
8698673496262
8698673495395
8698673438484
8698673438408
8699931023237
8698673438446
8698673438415
8698673438422
8698673438439
8698673438453
8698673438316
8698673438323
8698673438330
8698673438347
8698673438354
8698673438361
8698673438378
8698673438385
8698673438392
1.DESIGN TRAY
FEMORAL HEAD EXTRACTOR
FEMORAL HEAD MEASUR.DEVICE
BIPOLAR INSERT RING FORCEPS
FEMORAL HEAD IMPACTOR
STEM RING EXTRACTOR
A. UNIPOLAR RING EXTRACTOR
A.UNIPOLAR TRIAL HOLDER (12\14-14\16)
A. UNIPOLAR RING TRIAL X LARGE
A. UNIPOLAR RING TRIAL LARGE
A. UNIPOLAR RING TRIAL MEDIUM
A. UNIPOLAR RING TRIAL SMALL
A. UNIPOLAR RING TRIAL X SMALL
A. UNIPOLAR TRIAL 40 MM
A. UNIPOLAR TRIAL 42 MM
A. UNIPOLAR TRIAL 44 MM
A. UNIPOLAR TRIAL 46 MM
A. UNIPOLAR TRIAL 48 MM
A. UNIPOLAR TRIAL 50 MM
A. UNIPOLAR TRIAL 52 MM
A. UNIPOLAR TRIAL 54 MM
A. UNIPOLAR TRIAL 56 MM
7
4 3
Qty.
5
2
9
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Code
Barcode
Description
A.Unipolar Head
Steel
10711501240
10711501242
10711501244
10711501246
10711501248
10711501250
10711501252
10711501254
10711501256
8698673437531
8698673437555
8698673437579
8698673437593
8698673437616
8698673437630
8698673437654
8698673437678
8698673437692
A. UNIPOLAR HEAD STEEL 40 MM 12-14
A. UNIPOLAR HEAD STEEL 42 MM 12-14
A. UNIPOLAR HEAD STEEL 44 MM 12-14
A. UNIPOLAR HEAD STEEL 46 MM 12-14
A. UNIPOLAR HEAD STEEL 48 MM 12-14
A. UNIPOLAR HEAD STEEL 50 MM 12-14
A. UNIPOLAR HEAD STEEL 52 MM 12-14
A. UNIPOLAR HEAD STEEL 54 MM 12-14
A. UNIPOLAR HEAD STEEL 56 MM 12-14
1
1
1
1
1
1
1
1
1
A.Unipolar
Ring Steel
10711600006
10711600003
10711600000
10711600030
10711600060
8698673437722
8698673437715
8698673437708
8698673437739
8698673437746
A. UNIPOLAR RING STEEL 12-14 X SMALL
A. UNIPOLAR RING STEEL 12-14 SMALL
A. UNIPOLAR RING STEEL 12-14 MEDIUM
A. UNIPOLAR RING STEEL 12-14 LARGE
A. UNIPOLAR RING STEEL 12-14 X LARGE
1
1
1
1
1
A.Unipolar Ring
Titanium
Implants
Qty.
10721600006
10721600003
10721600000
10721600030
10721600060
8698673437777
8698673437760
8698673437753
8698673437784
8698673437791
A. UNIPOLAR RING TITANIUM 12-14 X SMALL
A. UNIPOLAR RING TITANIUM 12-14 SMALL
A. UNIPOLAR RING TITANIUM 12-14 MEDIUM
A. UNIPOLAR RING TITANIUM 12-14 LARGE
A. UNIPOLAR RING TITANIUM 12-14 X LARGE
1
1
1
1
1
74
BIPOLAR HEAD
Instruments
No Code
1
2
3
4
5
6
7
8
9
00000501100
01192000010
01190000101
01195000010
01152000101
01152000102
01194000010
01194420040
01194440040
01194460040
01194480040
01194500040
01194520040
01194540040
01194560040
01194600000
01192800118
01192800218
01192800318
01192800418
01192800518
8 9
77
Barcode
8699931023954
8698673495401
8699931030990
8698673496262
8680858414895
8680858414901
8698673496378
8698673496286
8698673497689
8698673496293
8698673496309
8698673496316
8698673496323
8698673496330
8698673496347
8680858419791
8698673496385
8698673495517
8698673495500
8698673495494
8698673495524
4
6
3
Description
Qty.
1.DESIGN TRAY
FEMORAL HEAD EXTRACTOR
FEMORAL HEAD MEASUR.DEVICE
BIPOLAR INSERT RING FORCEPS
MODULAR HEAD IMPACTOR
MODULAR TRIAL HEAD EXTRACTOR
BIPOLAR TRIAL HEAD HOLDER
BIPOLAR TRIAL HEAD 42 MM
BIPOLAR TRIAL HEAD 44 MM
BIPOLAR TRIAL HEAD 46 MM
BIPOLAR TRIAL HEAD 48 MM
BIPOLAR TRIAL HEAD 50 MM
BIPOLAR TRIAL HEAD 52 MM
BIPOLAR TRIAL HEAD 54 MM
BIPOLAR TRIAL HEAD 56 MM
SEGMAN FOR BIPOLAR TRIAL HEAD
28 MM TRIAL HEAD X SMALL
28 MM TRIAL HEAD SMALL
28 MM TRIAL HEAD MEDIUM
28 MM TRIAL HEAD LONG
28 MM TRIAL HEAD X LONG
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
1
1
1
7
5
1
Code
Barcode
Description
CoCrMo
Bipolar Head
11137002840
11137002842
11137002844
11137002846
11137002848
11137002850
11137002852
11137002854
11137002856
11137002858
11137002860
8699931020793
8698673432734
8698673432741
8698673432758
8698673432765
8698673432772
8698673432789
8698673432796
8698673432802
8698673432819
8699931003932
BIPOLAR HEAD COCRMO 28X40 MM
BIPOLAR HEAD COCRMO 28X42 MM
BIPOLAR HEAD COCRMO 28X44 MM
BIPOLAR HEAD COCRMO 28X46 MM
BIPOLAR HEAD COCRMO 28X48 MM
BIPOLAR HEAD COCRMO 28X50 MM
BIPOLAR HEAD COCRMO 28X52 MM
BIPOLAR HEAD COCRMO 28X54 MM
BIPOLAR HEAD COCRMO 28X56 MM
BIPOLAR HEAD COCRMO 28X58 MM
BIPOLAR HEAD COCRMO 28X60 MM
CoCrMo
Modular Head
10730001228
10730051228
10730101228
10730151228
10730201228
8698673431058
8698673431041
8698673431034
8698673431065
8698673434042
MODULAR HEAD COCRMO 28 MM X SMALL 12-14
MODULAR HEAD COCRMO 28 MM SMALL 12-14
MODULAR HEAD COCRMO 28 MM MEDIUM 12-14
MODULAR HEAD COCRMO 28 MM LONG 12-14
MODULAR HEAD COCRMO 28 MM XLONG 12-14
CrNi
Bipolar Head
11117002840
11117002842
11117002844
11117002846
11117002848
11117002850
11117002852
11117002854
11117002856
11117002858
11117002860
8698673432826
8698673432833
8698673432840
8698673432857
8698673432864
8698673432871
8698673432888
8698673432895
8698673432901
8698673432918
8698673484818
BIPOLAR HEAD CRNI 28X40 MM
BIPOLAR HEAD CRNI 28X42 MM
BIPOLAR HEAD CRNI 28X44 MM
BIPOLAR HEAD CRNI 28X46 MM
BIPOLAR HEAD CRNI 28X48 MM
BIPOLAR HEAD CRNI 28X50 MM
BIPOLAR HEAD CRNI 28X52 MM
BIPOLAR HEAD CRNI 28X54 MM
BIPOLAR HEAD CRNI 28X56 MM
BIPOLAR HEAD CRNI 28X58 MM
BIPOLAR HEAD CRNI 28X60 MM
*
1
1
1
1
1
1
1
1
*
*
CrNi
Modular Head
Implants
Qty.
10710001228
10710051228
10710101228
10710151228
10710201228
8698673431171
8698673431157
8698673431140
8698673431133
8698673431164
MODULAR HEAD CRNI 28 MM X SMALL 12-14
MODULAR HEAD CRNI 28 MM SMALL 12-14
MODULAR HEAD CRNI 28 MM MEDIUM 12-14
MODULAR HEAD CRNI 28 MM LONG 12-14
MODULAR HEAD CRNI 28 MM X LARGE 12-14
1
1
1
1
1
*
1
1
1
1
1
1
1
1
*
*
1
1
1
1
1
*optional
78
total HIP
prOSTHESIS
Cemented
Instruments
81
Code
Barcode
Description
Qty.
00000505100
01193000144
01193000146
01193000148
01193000150
01193000152
01193000154
01193000156
01193000158
01193000160
01107002844
01107002846
01107002848
01107002850
01107002852
01107002854
01107002856
01107002858
01107002860
01152000109
01193000023
01192000110
8699931024012
8699931023268
8699931023275
8699931023282
8699931023299
8699931023305
8699931023312
8699931023329
8699931023336
8699931023343
8698673495890
8698673495906
8698673495913
8698673495920
8698673495937
8698673495944
8698673495951
8698673495968
8698673495975
8698673496019
8698673493780
8698673495982
TRAY 1 FOR PRESS FITS
ACETABULAR REAMER CEMENTED 44 MM
ACETABULAR REAMER CEMENTED 46 MM
ACETABULAR REAMER CEMENTED 48 MM
ACETABULAR REAMER CEMENTED 50 MM
ACETABULAR REAMER CEMENTED 52 MM
ACETABULAR REAMER CEMENTED 54 MM
ACETABULAR REAMER CEMENTED 56 MM
ACETABULAR REAMER CEMENTED 58 MM
ACETABULAR REAMER CEMENTED 60 MM
ACETABULAR CUP TRIAL 44 MM
ACETABULAR CUP TRIAL 46 MM
ACETABULAR CUP TRIAL 48 MM
ACETABULAR CUP TRIAL 50 MM
ACETABULAR CUP TRIAL 52 MM
ACETABULAR CUP TRIAL 54 MM
ACETABULAR CUP TRIAL 56 MM
ACETABULAR CUP TRIAL 58 MM
ACETABULAR CUP TRIAL 60 MM
ACETABULAR REAMER HOLDER
T QUICK HANDLE
ACETABULAR TRIAL HOLDER
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
00000501100
01212000111
01192000112
01192000010
01190000101
01152000101
01152000102
01192800118
01192800218
01192800318
01192800418
01192800518
8699931023954
8680858419098
8698673495869
8698673495401
8699931030990
8680858414895
8680858414901
8698673496385
8698673495517
8698673495500
8698673495494
8698673495524
TRAY (545X255X40 MM) FOR BIPOLAR HEADS
ACETABULAR CUP POSITIONING DEVICE
ACETABULAR CUP INSERTER
FEMORAL HEAD EXTRACTOR
FEMORAL HEAD MEASUR.DEVICE
MODULAR HEAD IMPACTOR
MODULAR TRIAL HEAD EXTRACTOR
28 MM TRIAL HEAD XSMALL
28 MM TRIAL HEAD SMALL
28 MM TRIAL HEAD MEDIUM
28 MM TRIAL HEAD LONG
28 MM TRIAL HEAD XLONG
1
1
1
1
1
1
1
1
1
1
1
1
00560270150
8699931010275
CONTAINER 560X270X150 MM
Cemented
Barcode
Description
011070002844
011070002846
011070002848
011070002850
011070002852
011070002854
011070002856
011070002858
011070002860
8698673432925
8698673432932
8698673432949
8698673432956
8698673432963
8698673432970
8698673432987
8698673432994
8698673433007
ACETABULAR CUP 0° 28X44 MM
ACETABULAR CUP 0° 28X46 MM
ACETABULAR CUP 0° 28X48 MM
ACETABULAR CUP 0° 28X50 MM
ACETABULAR CUP 0° 28X52 MM
ACETABULAR CUP 0° 28X54 MM
ACETABULAR CUP 0° 28X56 MM
ACETABULAR CUP 0° 28X58 MM
ACETABULAR CUP 0° 28X60 MM
1
1
1
1
1
1
1
1
1
Acetabular Cup 10°
011070102844
011070102846
011070102848
011070102850
011070102852
011070102854
011070102856
011070102858
011070102860
8698673433014
8698673433021
8698673433090
8698673433038
8698673433045
8698673433052
8698673433069
8698673433076
8698673433083
ACETABULAR CUP 10°28X44 MM
ACETABULAR CUP 10°28X46 MM
ACETABULAR CUP 10°28X48 MM
ACETABULAR CUP 10°28X50 MM
ACETABULAR CUP 10°28X52 MM
ACETABULAR CUP 10°28X54 MM
ACETABULAR CUP 10°28X56 MM
ACETABULAR CUP 10°28X58 MM
ACETABULAR CUP 10°28X60 MM
1
1
1
1
1
1
1
1
1
010730001228
010730051228
010730101228
010730151228
010730201228
8698673431058
8698673431041
8698673431034
8698673431065
8698673434042
MODULAR HEAD COCRMO 28 MM X SMALL 12-14
MODULAR HEAD COCRMO 28 MM SMALL 12-14
MODULAR HEAD COCRMO 28 MM MEDIUM 12-14
MODULAR HEAD COCRMO 28 MM LONG 12-14
MODULAR HEAD COCRMO 28 MM XLONG 12-14
1
1
1
1
1
Acetabular Cup 0°
Code
CoCrMo
Moduler Head
Implants
Qty.
82
Cementless
Instruments
No Code
1
2
3
4
00000505100
01193000044
01193000046
01193000048
01193000050
01193000052
01193000054
01193000056
01193000058
01193000060
01192440021
01192460021
01192480021
01192500021
01192520021
01192540021
01192560021
01192580021
01192600021
01152000109
01193000023
2
83
Barcode
Description
8699931024012
8698673496040
8698673496057
8698673496064
8698673496071
8698673496088
8698673496095
8698673496101
8698673497672
8698673496125
8698673494763
8698673494756
8698673494749
8698673494732
8698673494725
8698673494718
8698673494701
8698673494695
8698673494688
8698673496019
8698673493780
TRAY 1 FOR PRESS FITS
ACETABULAR REAMER CEMENTLESS 44 MM
ACETABULAR REAMER CEMENTLESS 46 MM
ACETABULAR REAMER CEMENTLESS 48 MM
ACETABULAR REAMER CEMENTLESS 50 MM
ACETABULAR REAMER CEMENTLESS 52 MM
ACETABULAR REAMER CEMENTLESS 54 MM
ACETABULAR REAMER CEMENTLESS 56 MM
ACETABULAR REAMER CEMENTLESS 58 MM
ACETABULAR REAMER CEMENTLESS 60 MM
PRESFIT TRIAL HEAD 44 MM
PRESFIT TRIAL HEAD 46 MM
PRESFIT TRIAL HEAD 48 MM
PRESFIT TRIAL HEAD 50 MM
PRESFIT TRIAL HEAD 52 MM
PRESFIT TRIAL HEAD 54 MM
PRESFIT TRIAL HEAD 56 MM
PRESFIT TRIAL HEAD 58 MM
PRESFIT TRIAL HEAD 60 MM
ACETABULAR REAMER HOLDER
T QUICK HANDLE
3
Qty.
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Cementless
Instruments
No Code
5
6
7
8
9
10
11
12
13
00000505200
00000507100
01135004460
01135104460
01135014460
01137004400
01137004650
01137005256
01137005860
01192800118
01192800218
01192800318
01192800418
01192800518
01192000010
01190000101
01152000102
01152000101
10
Barcode
Description
8699931024029
8680858433551
8680858433568
8680858433605
8680858433575
8680858433513
8680858433520
8680858433537
8680858433544
8698673496385
8698673495517
8698673495500
8698673495494
8698673495524
8698673495401
8699931030990
8680858414901
8680858414895
TRAY 2 FOR PRESS FITS
INSERT TRIAL BOX
0° INSERT HOLDER
10° INSERT HOLDER
INSERT TRIAL HOLDER
INSERT FOR ANAT. PRESS FIT CUP TRIAL
INSERT FOR ANAT. PRESS FIT CUP TRIAL
INSERT FOR ANAT. PRESS FIT CUP TRIAL
INSERT FOR ANAT. PRESS FIT CUP TRIAL
28 MM TRIAL HEAD XSMALL
28 MM TRIAL HEAD SMALL
28 MM TRIAL HEAD MEDIUM
28 MM TRIAL HEAD LONG
28 MM TRIAL HEAD XLONG
FEMORAL HEAD EXTRACTOR
FEMORAL HEAD MEASUR.DEVICE
MODULAR TRIAL HEAD EXTRACTOR
MODULAR HEAD IMPACTOR
7
8
13
Qty.
12
11
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
44 MM
46-48-50MM
52-54-56MM
58-60 MM
6
5
9
84
Cementless
Instruments
No Code
00000505300
14 01135024460
15 02231220025
02231225025
02231230025
02231235025
02231240025
02231245025
16 01192000013
17 01192000034
18 02020818035
19 02010101002
20 01212000112
21 02271011060
22 01192000008
23 01192000006
24 00000507200
25 21221200065
21221250065
21221300065
21221350065
21221400065
21221450065
26 03020000115
27 21221700000
00560270150
Barcode
Description
8699931024036
8680858433582
8698673473188
8698673473195
8698673473201
8698673473218
8698673473225
8698673473232
8698673495371
8698673493544
8680858427468
8698673493308
8680858419258
8680858431922
8698673495784
8698673495456
8680858433599
8698673433106
8698673433113
8698673433120
8698673433137
8698673433144
8698673433151
8698673493353
8698673433410
8699931010275
TRAY 3 FOR PRESS FITS
INSERT TRIAL EXTRACTOR
QUICK DRILL 20 MM
QUICK DRILL 25 MM
QUICK DRILL 30 MM
QUICK DRILL 35 MM
QUICK DRILL 40 MM
QUICK DRILL 45 MM
FLEXIBLE DRILL HOLDER
UNIVERSAL SCREW DRIVER 3.5
SCREW DRIVER QUICK TIP Ø3.5X8X180 MM
SOFT SCREW DRIVER QUICK LARGE
PRESS FIT CUP INSERTER
POSITIONING PIN
DRILL GUIDE
ACETABULAR DEPTH GAUGE
ACETABULUM SCREW BOX
ACETABULUM SCREW SELFT CANCEL. 20 MM
ACETABULUM SCREW SELFT CANCEL. 25 MM
ACETABULUM SCREW SELFT CANCEL. 30 MM
ACETABULUM SCREW SELFT CANCEL. 35 MM
ACETABULUM SCREW SELFT CANCEL. 40 MM
ACETABULUM SCREW SELFT CANCEL. 45 MM
PENSET
PRESS FIT CUP SCREW
CONTAINER 560X270X150 MM
14 22 17 18 16 23
85
15
Qty.
19
20 21 26 24 25 27
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
3
3
3
3
3
3
1
4
Cementless
Code
Barcode
Description
Insert
11370004400
11370004650
11370005256
11370005860
11370104400
11370104650
11370105256
11370105860
8680858420476
8680858420483
8680858420490
8680858420506
8680858420513
8680858420520
8680858420537
8680858420544
INSERT FOR ANAT. PRESS FIT CUP 0° 44 MM UHMWPE
INSERT FOR ANAT. PRESS FIT CUP 0° 46-48-50 MM UHMWPE
INSERT FOR ANAT. PRESS FIT CUP 0° 52-54-56 MM UHMWPE
INSERT FOR ANAT. PRESS FIT CUP 0° 58-60 MM UHMWPE
INSERT FOR ANAT. PRESS FIT CUP 10° 44 MM UHMWPE
INSERT FOR ANAT. PRESS FIT CUP 10° 46-48-50 MM UHMWPE
INSERT FOR ANAT. PRESS FIT CUP 10° 52-54-56 MM UHMWPE
INSERT FOR ANAT. PRESS FIT CUP 10° 58-60 MM UHMWPE
1
1
1
1
1
1
1
1
Press Fit Cup
11224000044
11224000046
11224000048
11224000050
11224000052
11224000054
11224000056
11224000058
11224000060
8680858420384
8680858420391
8680858420407
8680858420414
8680858420421
8680858420438
8680858420445
8680858420452
8680858420469
ANAT. PRESS FIT CUP PC & HA COATED 44 MM
ANAT. PRESS FIT CUP PC & HA COATED 46 MM
ANAT. PRESS FIT CUP PC & HA COATED 48 MM
ANAT. PRESS FIT CUP PC & HA COATED 50 MM
ANAT. PRESS FIT CUP PC & HA COATED 52 MM
ANAT. PRESS FIT CUP PC & HA COATED 54 MM
ANAT. PRESS FIT CUP PC & HA COATED 56 MM
ANAT. PRESS FIT CUP PC & HA COATED 58 MM
ANAT. PRESS FIT CUP PC & HA COATED 60 MM
1
1
1
1
1
1
1
1
1
CoCrMo
Moduler Head
10730001228
10730051228
10730101228
10730151228
10730201228
8698673431058
8698673431041
8698673431034
8698673431065
8698673434042
MODULAR HEAD COCRMO 28 MM X SMALL 12-14
MODULAR HEAD COCRMO 28 MM SMALL 12-14
MODULAR HEAD COCRMO 28 MM MEDIUM 12-14
MODULAR HEAD COCRMO 28 MM LONG 12-14
MODULAR HEAD COCRMO 28 MM XLONG 12-14
1
1
1
1
1
CrNi
Moduler Head
Implants
Qty.
10710001228
10710051228
10710101228
10710151228
10710201228
8698673431171
8698673431157
8698673431140
8698673431133
8698673431164
MODULAR HEAD CRNI 28 MM X SMALL 12-14
MODULAR HEAD CRNI 28 MM SMALL 12-14
MODULAR HEAD CRNI 28 MM MEDIUM 12-14
MODULAR HEAD CRNI 28 MM LONG 12-14
MODULAR HEAD CRNI 28 MM XLARGE 12-14
1
1
1
1
1
86
Surgical Technique
1
FEMORAL HEAD OSTEOTOMY
Osteotomy is made over 1.5-2 cm of trochanter
minor toward the femoral shaft with the angle of 45°.
Femoral head which is cut before, removed from
acetabulum by the Femoral Head Extractor.
2
RASPING
Acetabulum is started to reaming by the smallest
Acetabulum Reamer considering the anteversion.
Reaming is continued by increasing reamer sizes until
blood clots are seen on subchondral bone.
Rasps and trials of Acetabular Cup (Cemented System)
and Press Fit Cup (Cementless System) are in different
sizes.
3
TRIAL
After the carving operation, the size of the
acetabulum is controlled with the recent used of the
trial reamer size.
87
4.a
PLACEMENT OF ACETABULAR CUP
(Cemented)
Cement is dressed into the acetabulum until
ensuring the thickness of 2 mm. Positioning Pins are
fixed to the Acetabular Cup Inserter. Acetabular Cup
is positioned according to 45° of abduction.
45°
When upper Positioning Pin is vertical to the ground,
acetabular cup should be in 12° anterior flexion
position.
It is hold stable until the cement becomes harden.
The excessive cement spilled over from the edge is
cleaned.
Following drying of the cement, it is continued with
Modular Trial Head.
12°
4.b
45°
PLACEMENT OF PRESS FIT CUP
(Cementless)
Positioning Pins are assembled to Press Fit Cup
Inserter which is positioned according to 45°
abduction.
88
When the upper Positioning Pin becomes vertical to
the ground, Press Fit Cup should be in 12° flexion
position towards anterior.
12°
5
DRILLING
The screw way is opened using Flexible Drill with the
help of Drill Guide to fix Press Fit Cup which is already
in the proper position.
6
MEASUREMENT OF SCREW LENGTH
Screw length is determined by using the drill length
or Acetabular Depth Gauge.
7
LOCKING
The suitable screw is screwed by using Universal
Screw Driver 3.5.
The screw settlement should be done carefully to
the screw holes. In case of a disjointedness, Insert
for Anat. Pres Fit Cup will not settle to the Press Fit
Cup. Please pay attention to not to tighten screws
excessively.
Lastly, the hole in the middle is closed by using Press
Fit Cup Screw.
89
Press Fit Cup
Screw
8
INSERT AND MODULAR HEAD TRIAL
Proper modular head size is determined with the
help of Modular Trial Head by fixing the Insert Trial.
9
INSERT TRIAL EXTRACTION
After determination of modular head size, Insert Trial
is extracted by Insert Trial Extractor.
10
INSERT FIXATION
Insert Holder and Insert are fixed to Acetabular Cup.
Femoral stem is inserted according to the technique.
The femoral head is placed on the stem. After hip
reduction, the compatibility of the prosthesis is
tested through the range of joint motion. The
stability and leg lengths are examined as well.
90
Warning:
This descriptive catalog is not sufficient as being unaided for proper use of the products intraoperatively.
It is highly recommended that implantation and instrument sets must be used by a surgeon who is
trained-experienced about the product performances and usage.
RE V01/15. 01. 2018
ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- T
HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA AR
ARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTH
TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIP
ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- B
HESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STR
UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
ROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- CALCAR- STRAIGH
AR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPR
POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROS
GHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A
SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEAD
ROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL H
STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- CALCAR- SUPRA AR
ARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTH
TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIP
ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- B
HESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STR
UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
ROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL H
STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCA
SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEAD
ROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL H
STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- CALCAR- SUPRA AR
ARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTH
TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIP
ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- B
HESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STR
UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS
ROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL H
STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCA
SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEAD
ROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL H
STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCA
SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEAD
ROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- CALCAR- STRAIGH
AR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPR
POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROS
GHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A
SUPRA ART- CALCAR- A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTH
PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCAR- A UNIPOLAR HEADS
A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEAD
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STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEADS- SUPRA ART- CALCA
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A UNIPOLAR HEADS- STRAIGHT- TOTAL HIP PROSTHESSIS- ARTHROM- BI POLARHEAD
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