Hip Prosthesis - Treu

Transcription

11
Hip, Knee and Shoulder Prosthesis
11
TREU
Hip-Prosthesis
Austin Moore / Thompson
B%}::
11.2
;O!#OB#OG;*!UJJB+q*BJ;q+*+U+!;+#;O*!?+;++?
BJ;q¥+OG;*!UJJB+*U+!;¦+*!J
BJ;+*#+OG;*!UJJB+*!J
Austin Moore Hip Prosthesis
Regular Stem
Order No.:
Head ø mm
Stem Length mm
Seat Width mm
11-038
38
127
24.0
11-039
39
127
24.0
11-040
40
127
24.0
11-041
41
127
24.0
11-042
42
127
24.0
11-043
43
127
24.0
11-044
44
127
24.0
11-045
45
127
24.0
11-046
46
127
24.0
11-047
47
157
25.5
11-048
48
157
25.5
11-049
49
157
25.5
11-050
50
157
25.5
11-051
51
157
25.5
11-052
52
157
25.5
11-053
53
157
25.5
11-054
54
157
25.5
11-055
55
157
25.5
11-056
56
157
25.5
*%
The Standard Austin Moore hip prosthesis is designed to use for degenerated femoral head replacement. The designed of this applience approximates the anatomical shape of femur. The fenestrated stem permits packing of bone grafts and bony ingrowth for improved
?!XY!%/"%"!+%"""
!"?!!=+!!%!==X!=?!=!=
of stem is provided for extracting the stem. The prostesis feature has a 135° degree stem/neck angle for an anatomic reconstruction.
U
%
%;;""%_;&<?
11.3
;O!#OB#UJJB+q*BJ;q+*!OBBJ;+U+U+!;+#;O*!?+;++?
BJ;q¥+OG;*!UJJB+*U+!;¦+*!J
BJ;+*#+OG;*!UJJB+!OBBJ;+U*!J
Austin Moore Hip Prosthesis
Narrow Stem
Order No.:
Head ø mm
Stem Length mm
Seat Width mm
11-138
38
140
23.0
11-139
39
140
23.0
11-140
40
140
23.0
11-141
41
140
23.0
11-142
42
140
23.0
11-143
43
140
23.0
11-144
44
140
23.0
11-145
45
140
23.0
11-146
46
140
23.0
11-147
47
152
24.0
11-148
48
152
24.0
11-149
49
152
24.0
11-150
50
152
24.0
11-151
51
152
24.0
11-152
52
152
24.0
11-153
53
152
24.0
11-154
54
152
24.0
11-155
55
152
24.0
11-156
56
152
24.0
*%
The narrow stem Austin Moore hip prosthesis is designed to use when the medullary canal is to small to accept the standard Moore
hip prosthesis. This prosthesis has the same features as the standard stem but is narrower then the regular stem in the medial/lateral
direction. The designed of this applience approximates the anatomical shape of femur. The fenestrated stem permits packing of bone
%Y+!=X%
?!XY!%/"%"!
+%"""!"?!!=+!!%!==X
of the prosthesis. The loop at the top fo stem is provided for extracting the stem. The prosthesis feature has a 135° degree stem/neck
angle for an anatomic reconstruction.
U
%
%;;""%_;&<?
11.4
OG;*!UJJB+q*BJ;q+*
JU?+;+*!;BGU+!;O;*J!+;
]JB;O!#OB#O!#!OBBJ;+U
T11-100
Complete Instrumentation Set
Order No.:
Instrument:
11-076
1
Moore Rasp for Standard Stem
11-078
1
Moore Rasp for Narrow Stem
11-080
1
Mortesing chisel
11-082
1
Prosthesis Extractor
11-084
1
Femural Head extractor
11-086
1
Prosthesis Driver
9-704
1
Hammer 500 gr. Standard size
11.5
*!;BGU+!;O;*J!]JBOG;*!UJJB+q*BJ;q+*
11-076
11-078
Moore Rasp for Standard Stem
Moore Rasp for Narrow Stem
11-080
11-082
11-084
11-086
11-087
9-702
9-704
9-706
11.6
Mortising chisel
Prosthesis extractor
Femoral Head Extractor
Prosthesis Driver
Head Only
Wheight approx: 350 g
Wheight approx: 500 g ( Standard size)
Wheight approx: 700 g ( For Medullary Nailing)
;qJUJ!q*BJ;q+*+U+!;+#;O*!?+;++?
BJ;q¥+;qJUJ!*U+!;¦+*!J
BJ;+*#+;qJUJ!+!O+BJ+U+!;+#*!J
Order No.:
Head ø mm
Stem Length mm
Neck Length B mm
Neck Length B mm
Seat Width D mm
11-238
38
104
26
45
27
11-239
39
104
26
45
27
11-240
40
104
26
45
27
11-241
41
104
26
45
27
11-242
42
104
26
45
27
11-243
43
104
26
45
27
11-244
44
104
26
45
27
11-245
45
104
26
45
27
11-246
46
104
26
45
27
11-247
47
104
26
45
27
11-248
48
104
26
45
27
11-249
49
104
26
45
27
11-250
50
104
26
45
27
11-251
51
104
26
45
27
11-252
52
104
26
45
27
11-253
53
104
26
45
27
11-254
54
104
26
45
27
11-255
55
104
26
45
27
11-256
56
104
26
45
27
*%
Used for replacement of the degenerated femoral head. The wedge of the stem provides great resistance to rotation and its broad collar
gives excellent weight distribution on the calcar. The availability of head sizes in fractional and millimeter increments offers the surgeon
+%"""!"?!X%=/%;?!=!!
135° degree stem/neck angle for an anatomic reconstruction.
U
%
%;;""%_;&<?%[;£?
11.7
THOMPSON HIP PROSTHESIS
COMPLETE SET
T11-102
Complete Instrumentation Set
Order No.:
11.8
Instrument:
11-260
1
Thompson Rasp
11-084
1
11-086
1
Prosthesis Driver
11-4606
1
Lever for dislocation of Femoral head 265 mm
11-260
11-084
11-086
11-087
11-4506
Thompson Rasp
Prosthesis Driver
Head Only
Lever for dislocation of Femoral Head 265 mm
11.9
Notice:
11.10
Notice:
11.11
;B+G*!;BGU+!;+AU|q*!;+B!O;*J!O?;BOGUO;J?JAQJB;qJO+#*
O?;+!;O?;BO+)&:#Wj'(;G;;?*!A+!;+?+]J!:W})&$)&:
;+?+]O}W})&$WW')W*!;+B!+;%``
Straight Stem - Hip System
Mueller - Ritorno
ller
Mue
no
Ritor
B%&:&&:
11.14
UJ#G?OB;BO*Aq;;+U\+U+!;+#UG+??+Bp
;*A+#BJ*;+UJ#G?O*B+\*U+!;¥+
MUELLER
Straight Stem, cemented, Standard Steel ISO 5832/9 cone 12/14
Geradschaft, zementiert, Standard Implantatstahl ISO 5832/9, Konus 12/14
L
Der Mueller Geradschaft ist eine seit Jahrzehnten bewährte Hüftendoprothese zur zementierten Verankerung.
Die hohe Indikationsbreite und eine standardisierte OP
- Technik mit übersichtlichem Instrumentarium zeichnen
% ;"! ? @ ' $"! gute Zementanhaftung. Ein - und Ausschlagsenkungen
sorgen für ein einfaches Handling.
The Mueller straight stem is a hip arthroplasy compo "% ! ! =X decades.
The stem is distinguished by a broad range of indication
"! +! "Y % ? ! Y
grooved structure enables good cement adhesion. Depressions to facilitate insertion and removal ensure ease
of handling.
Cat. No.
J$
11-1000
J$|
11-1002
J$
Steril
Cat. No.
Dimensions K
11-2340
7,50 mm
Stem Length
137 mm
11-2341
10,00 mm
142 mm
11-2343
12,50 mm
147 mm
11-2345
15,00 mm
152 mm
K
11.15
B
MUELLER
Cat. No.
J$
11-2400
7,5 mm
11-2402
10,0 mm
11-2404
12,5 mm
11-2406
15,0 mm
11-108
Order No.:
11.16
Instrument:
J$
11-2400
1
Straight stem rasp „MUELLER“
7,5 mm
11-2402
1
10,0 mm
11-2404
1
12,5 mm
11-2406
1
15,0 mm
9-676
1
Hohmann Retractor
24,0 mm
9-086
1
Anterior Retractor
22,0 mm
Der Frakturkopf aus Implantatstahl
der Güte ISO 5832-9 ist kombinierbar mit den Schaftmaterialien
Implantatstahl ISO 5832-9, CoCrMo ISO 5832-4 und ISO 5832-12,
Ti6AI4V ISO 5832-3 sowie Ti6AI7Nb ISO 5832-11.
The fracture head is made of implant steel of ISO 5832-9 quality
and can be combinded with the
following stem materials: implant
steel ISO 5832-9, CoCrMo ISO
5832-4 and ISO 5832-12, Ti6AI4V
ISO 5832-3 and Ti6AI7Nb ISO
5832-11.
Femoral Head for Total Hip Prostesis
Implant Steel - ISO 5832/4 Cone 12/14
`!`%
Size
A
Neck
q
"
11-2540
28
S
11-2541
28
M
11-2542
28
L
11-2550
32
S
11-2551
32
M
11-2552
32
L
Femoral Head S
Femoral Head M
Femoral Head L
Femoral Head S
Femoral Head M
Femoral Head L
T/6A/4V ISO 5832-3
`!`%
Size
A
Neck
q
"
11-2540 TI
28
S
11-2541 TI
28
M
11-2542 TI
28
L
11-2550 TI
32
S
11-2551 TI
32
M
11-2552 TI
32
L
Modular and Unipolar Head
Implant Steel - ISO 5832/9
Cone 12/14
Der Frakturkopf eignet sich
besonders für die Versorgung
einer Schenkelhalsfraktur bei
Patienten im hohen Alter. Durch
die einfache Handhabung des
Frakturkopfes kommt es zu
einer niedrigen Belastung des
Patienten und zur Verkürzung
der Operationsdauer. Der große Durchmesser sorgt für eine
hohe Luxationssicherheit, die
für die schnelle Mobilisierung
des Patienten von zentraler
Bedeutung ist. Durch die hoch= &"! +%
das natürliche Acetabulum
besonders geschont.
`!`%
11-2600
Size
38 mm
Stainless Steel
`!`%
11-2611
Size
49
11-2601
39 mm
11-2612
50
11-2602
40 mm
11-2613
51
11-2603
41 mm
11-2614
52
11-2604
42 mm
11-2615
53
11-2605
43 mm
11-2616
54
11-2606
44 mm
11-2617
55
11-2607
45 mm
11-2618
56
11-2608
46 mm
11-2619
57
11-2609
47 mm
11-2620
58
11-2610
48 mm
The fracture head is suitable
particular for the management
of femoral head fractures in very
elderly patients. Because of the
ease of working with the femoral
head, the stress on the patient is
low and the operation duration
is shortened. The large diameter
safeguards against dislocation,
which is of crucial importance
for rapid mobilisation of the patient. The highly polished metal
surface is particularly gentle on
the natural acetabulum.
11.17
O+;O|G?OBG\cemented
]O!!+!\
J;Q?+\§
11.18
ø28
ø32
øD
øD
U
**]
U
**]
`!`%
Inner-ø
Innen-ø
Outer-ø
Ow
`!`%
Inner-ø
Innen-ø
Outer-ø
Ow
11-3070
28 mm
44 mm
11-3110
32 mm
44 mm
11-3071
28 mm
46 mm
11-3111
32 mm
46 mm
11-3072
28 mm
48 mm
11-3112
32 mm
48 mm
11-3073
28 mm
50 mm
11-3113
32 mm
50 mm
11-3074
28 mm
52 mm
11-3114
32 mm
52 mm
11-3075
28 mm
54 mm
11-3115
32 mm
54 mm
11-3076
28 mm
56 mm
11-3116
32 mm
56 mm
11-3077
28 mm
58 mm
11-3117
32 mm
58 mm
11-3078
28 mm
60 mm
11-3118
32 mm
60 mm
11-3079
28 mm
62 mm
11-3119
32 mm
62 mm
11-3080
28 mm
64 mm
11-3120
2 mm
32
64 mm
11-3081
28 mm
66 mm
3121
11-3121
32 mm
66 mm
11-3082
28 mm
68 mm
11-3122
32 mm
68 mm
UJ#G?OB|*J?OBG\uncemented
;¨;+UJ#G?O*B+|*J?O*B+\§
øD2
øD1
Bipolar Head
Sterile
`!`%
|
qU
#
Insert
11-2660
Bipolar Head
28
42
11-2661
Bipolar Head
28
43
11-2662
Bipolar Head
28
44
11-2663
Bipolar Head
28
45
11-2664
Bipolar Head
28
46
11-2665
Bipolar Head
28
47
11-2666
Bipolar Head
28
48
11-2667
Bipolar Head
28
49
11-2668
Bipolar Head
28
50
11-2669
Bipolar Head
28
51
11-2670
Bipolar Head
28
52
11-2671
Bipolar Head
28
53
11-2672
Bipolar Head
28
54
11-2673
Bipolar Head
28
55
11-2674
Bipolar Head
28
56
11-2675
Bipolar Head
28
57
11-2676
Bipolar Head
28
58
11-2677
Bipolar Head
28
59
11-2678
Bipolar Head
28
60
11-2679
Bipolar Head
28
61
Outer
11-2720
Indikation:
Placement of cup together with a femoral head on stem gives
an articulated partial prosthesis. The modular outher shell is
"% "% % % ! is manufactured from Ultra High Molecular Weight Polyetylene
UHMWPE.
Required of replace or remove the inner „C“
ring of the bipolar cup during operation.
Material:
UHMWPE meets ASTM F.648 and ISO 5834/2 standards. Selected
for its, high degree of purity, good biotolerance, good mechanical
="%"==?&=%"%
stainless steel meets ASTM F.138 - ISO 5832/1 standard.
11.19
PRESS FIT CUP, UNCEMENTED
J;Q?+B+]*;\!J!*U+!;¥+
Press-Fit-Cup, ISO 5834/3;
cementless, sterile
`!`%
#
Length mm
11-2730
Press-Fit-Cup
44
Material:
Surface:
11-2732
Press-Fit-Cup
46
11-2734
Press-Fit-Cup
48
11-2736
Press-Fit-Cup
50
11-2738
Press-Fit-Cup
52
11-2740
Press-Fit-Cup
54
11-2742
Press-Fit-Cup
56
`!`%
Length mm
11-2744
Press-Fit-Cup
58
11-2760
20 mm
11-2746
Press-Fit-Cup
60
11-2762
25 mm
11-2748
Press-Fit-Cup
62
11-2764
30 mm
11-2750
Press-Fit-Cup
64
11-2766
35 mm
11-2752
Press-Fit-Cup
66
11-2768
40 mm
11-2754
Press-Fit-Cup
68
11-2770
45 mm
Ti6AI4V (ISO 5834/3)
blasted
*]\
cementless
;
q
*]\
cementless
;
q
<<
*J'j(}$
Size 44 mm - 68 mm
<<
*J'j(}$
A}})j
Insert Standard 0°
11.20
Acetabulum Screw
Self tapping
Insert Dys. 10°
`!`%
Inner-ø
Outer-ø
Innen-ø
Ow
:
`!`%
Inner-ø
Outer-ø
Innen-ø
Ow
*
<#<`&:
11-2800
28 mm
44 mm
11-2860
28 mm
44 mm
11-2802
28 mm
46 mm
11-2862
28 mm
46 mm
11-2804
28 mm
48 mm
11-2864
28 mm
48 mm
11-2806
28 mm
50 mm
11-2866
28 mm
50 mm
11-2808
28 mm
52 mm
11-2868
28 mm
52 mm
11-2810
28 mm
54 mm
11-2870
28 mm
54 mm
11-2812
28 mm
56 mm
11-2872
28 mm
56 mm
11-2814
28 mm
58 mm
11-2874
28 mm
58 mm
11-2816
28 mm
60 mm
11-2876
28 mm
60 mm
11-2818
28 mm
62 mm
11-2878
28 mm
62 mm
11-2820
28 mm
64 mm
11-2880
28 mm
64 mm
11-2822
28 mm
66 mm
11-2882
28 mm
66 mm
11-2824
28 mm
68 mm
11-2884
28 mm
68 mm
14-410
Flexibler Schaft
Flexible shank
;=!Q
;"!
+@
!'
`!`%
14-420
2,5 x 35 mm
14-422
2,5 x 50 mm
14-424
2,5 x 60 mm
14-426
3,2 x 35 mm
14-428
3,2 x 50 mm
`!`%
ø
14-430
3,2 x 70 mm
14-440
1,5 mm
14-432
3,5 x 35 mm
14-442
2,5 mm
14-434
3,5 x 50 mm
14-444
3,5 mm
14-436
3,5 x 70 mm
14-446
4,0 mm
11.21
B+*!]JB+U+!;OA+
`!`%
Diam mm
Style
`!`%
Diam mm
Style
11-3370
44
Right
11-3380
44
Left
11-3371
46
Right
11-3381
46
Left
11-3373
48
Right
11-3383
48
Left
11-3372
50
Right
11-3382
50
Left
11-3375
52
Right
11-3385
52
Left
11-3374
54
Right
11-3384
54
Left
11-3376
56
Right
11-3386
56
Left
*%
The reinforcement cage is indicated for cup revision with considerable osseous defects or protrusion, if it is no longer possible to achieve adequate primary stability with any other implant. The intact, resistance bone is made usable again: forces acting on the bone are
spread over a large area. The reinforcement cage permits undisturbed incorporation of bone grafts. The reinforcement cage is implanted
+!"²!"XY
!"=!"?!X'"="Y%"%Y?
!%%%%Y?!!!X
!
pelvic wall. The distal nose is hammered through from the inside of the cup into the ischium. The reinforcement cage can be adapted to
!Y=XY%!?!"!"%%!!"=?!"=""%
into correct position.
U
%
%;;""%_;&<?%[;£?
11.22
O+;O|G?OBBJJ]B+*!]JB+U+!;B*!A
`!`%
Ring Size
11-3350
44 mm
11-3352
46 mm
11-3354
48 mm
11-3356
50 mm
11-3358
52 mm
11-3360
54 mm
11-3362
56 mm
11-3364
58 mm
*%
Acetabular ring is indicated in total hip replacement in cases of osteoporosis, rheumatoid arthritis, acetabular roof cysts, simultaneous
bone grafting, after arthrodeses and in socket revision. An acetabular reinforcement ring is also recommended in combination with polyethylene cups with low wall thickness. In revision cases with severe bone loss and protrusion, the usage of a acetabular reinforcement
cage is recommended. After the preparation of the acetabulum, and acetabular ring with diameter of 4 mm smaller than the last reamer
is normaly used. The implant is wedge into the acetabulum with the metal impactor. The ring is positioned correctly if its lateral rim lies
!%"?[=X!!!"+!%+%!!%!X"
""?!"
%+!|"""+?!=%!!%"!"
woint and are inclined approximately 20 medially and posteriorly in relation to the long axis of the body. The poyethylene cup has an
inclination of approximately 40 which corresponds in most cases with the position of the ring.
U
%
%;;""%_;&<?%[;£?
11.23
*!;BGU+!;O;*J!]JB#GJq+O#
11-106
11.24
Instrumentation for Duo-Heads
Cat. Number
11-5300
1
Instrument
@%%%;/|&|
11-5302
2
@%%%;/|&|
11-5304
3
@%%%;/||&|
11-5306
4
@%%%;/|&|
11-5308
5
@%%%;/|&|
11-5310
6
@%%%;/|&|
115312
7
@%%%;/|&|
11-5314
8
@%%%;/|&|
11-5316
9
@%%%;/&|
11-5318
10
@%%%;/&|
11-5320
11
@%%%;/&|
11-5322
12
@%%%;/&|
11-5324
13
@%%%;/|&|
11-5326
14
@%%%;/&|
11-5328
15
@%%%;/&|
11-5330
16
@%%%;/&|
11-5332
17
@%%%;/&|
11-5334
18
@%%%;/&|
11-5336
19
@%%%;/&|
11-5338
20
Duo-Head-Forceps universal for ring assembly
11-5340
21
Duo-Head-Tester handle (curved) M8
11-5342
22
Tray with holding devices for trial Duo-Heads
11-5344
23
Instrumentation Dou - Head complete
11-4200
11-4201
11-4202
11-4210
11-4212
Cup Positioning Guide antero-lateral
Cup Positioning Guide postero-lateral
Cup Introducer
32 mm Plastic Cap for Cup Introducer
28 mm Plastic Cap for Cup Introducer
11-4250
11-4252
C.D.H. Brim for Cup Introducer
32 mm Brim for Cup Introducer
28 mm Brim for Cup Introducer
9-708
11.25
O+;O|G?GU]B+BQ;+U
O+;O|G?GUB+OU+BQ;+U
11-3474
Set komplett
Set complete
||||
11.26

11-3472
1
11-3470
1
<'$=X||
Reamer 40 - 64 mm
T-Handgriff
Handle for Reamer
Fräserhalter mit AO Ansatz
Shaft for Acetabulum Reamer
O+;O|G?GU]B+BQ;+U
O+;O|G?GUB+OU+BQ;+U
Standard
AO Ansatz
Fräseraufsatz mit Schnellverschluss
Reamer with quick locking device
11-3440
11-3442
11-3444
11-3446
11-3448
11-3450
11-3452
11-3454
11-3456
11-3458
11-3460
11-3462
11-3464
ø 40 mm
ø 42 mm
ø 44 mm
ø 46 mm
ø 48 mm
ø 50 mm
ø 52 mm
ø 54 mm
ø 56 mm
ø 58 mm
ø 60 mm
ø 62 mm
ø 64 mm
11-3470
11-3472
Acetabulumfräser:
Die Fräseraufsätze werden schlüssellos mit dem
Fräserschaft gekuppelt. Es ist nur ein Schaft für das
Sytstem erforderlich.
Acetabulum reamer:
The reamer heads are coupled with shafts key. Only one shaft is necessary for the system.
11.27
?O;+OG!%*!;BGU+!;#+|O+
;BOQ!J`%|O**!;BGU+!;
11-110
Cat. Number
11.28
Instrument
11-4500
1
Curette small 9 mm, 280 mm length
11-4502
1
Curette medium 15 mm, 280 mm length
11-4504
1
Curette large 27 mm, 270 mm length
11-4520
1
Osteotome 16 mm, 310 mm length
11-4522
1
Osteotome 16 mm curved, 310 mm length
11-4528
1
Swan necked gouge 16 mm, 315 mm length
11-4512
1
Chisel for cut extraction 7,5 mm, 310 mm length
11-4506
1
Lever for dislocation of femoral
11-4538
1
Chisel for cement extraction 9 mm, 250 mm length
11-086
1
Prosthesis driver
11-4500
11-4502
11-4504
11-4506
Curette, small 9 mm / 280 mm
Curette, medium 15 mm / 280 mm
Curette, large 27 mm / 270 mm
Lever for dislocation of Femoral Head 265 mm
11.29
11-4510
Lexer Chisel 8 mm
200 mm length
11.30
11-4512
Chisel for cup extraction
7,5 mm 310 mm length
11-4514
Lexer Chisel 20 mm 315 mm
11-4518
Straight Chisel
3 mm / 310 mm length
11-4520
Osteotome 16 mm / 310 mm length
11-4522
Curved Chisel 16 mm / 310 mm length
11-4524
11-4526
Bone Chisel,
ground on one side only
12 mm / 260 mm
20 mm / 315 mm
11.31
11-4528
Swan necked Gouge
11.32
11-4530
Swan necked Gouge
11-4534
Chisel for extraction of cement
9 mm Angled 15° 330 mm
11-4536
Chisel for splitting the cement
11,5 mm / 280 mm
11-4538
Chisel for cement extraction
9 mm, negative / 280 mm
11.33
11-4540
9 mm negativ / 340 mm
11.34
11-4542
9 mm positiv / 400 mm
?O;+OG!&%+OB;+GB
;BOQ!J`&%B+;BO;JB
11-112
Cat. Number
Instrument
11-4604
1
Sharp Bone Hook
11-4608
1
Joint Capsule Scissors
11-4610
1
Weight 1250 6R for Mueller Femoral Retractor
9-676
1
Hohmann Retractor 24 mm
11-4650
1
Mueller Femoral Retractor 26 mm Wide
9-666
1
Hohmann Retractor 43 mm Wide
9-660
1
Hohmann Retractor 18 mm Narrow
11-4652
1
Anterior Retractor 22 mm 40 mm Wide
11-4656
1
Anterior Retractor 22 mm Wide
11-4654
1
Joint Capsule Clamp
11.35
11-4550
1
11-45
111-455
4 0
11-4552
11-4554
11.36
Trochanter
Tro
T
Tr
ocha
chanter Forceps
Hook for Extraction of Cement
Rongeur Forceps for Cement Extraction
Reamer with T-Handle for cement, 330 mm length
11-4570
11-4572
11-4574
11-4576
11-4578
11-4580
11-4582
11-4584
Hand Reamer 7 mm
Hand Reamer 8 mm
Hand Reamer 9 mm
Hand Reamer 10 mm
Hand Reamer 11 mm
Hand Reamer 12 mm
Hand Reamer 13 mm
Hand Reamer 14 mm
11-4600
11-4602
Langenbeck Retractor
Volkmann Skin Retractor 38 mm
11.37
11-4604
11-4608
11-4610
Joint Capsule Scissors
Weight (1250 gr) for Muller Femoral Retractor
9-676
11-4650
11.38
Sharp Bone Hook
Hohmann Retractor 24 mm
Muller Femoral Retractor 26 mm broad
9-666
9-660
Hohmann Retractor Wide 43 mm
Hohmann Retractor Narrow 18 mm
11-4652
11-4654
11-4656
11-4658
Anterior Retractor 40 mm
Joint Capsule Clamp
Anterior Retractor 22 mm
Anterior Retractor 22 mm with insert hole
11.39
11.40
J+BO;*J!UO!GO?
U
q
“
r
e
l
l
e
e
u
u
q
i
M
n
„
h
c
e
T
n
o
i
t
pera
O
„Mueller“ Operation Technique
Straight Stem Hip System
with Bipolar Head or Fracture Head
„Mueller“ Straight Stem Hip System
with cemented Acetabulum Cup
11.41
;BO*Aq;;+Uq*Q;+U
;Q+UG+??+Bp+U+!;+#
;;B+Gq<
Years of experience and excellent clinical results with the implantation of cemented straight stem prosthesis
led to the development of the TREU Straight Stem-Hip-Endoprosthesis-System. The System with its modular
concept, allows individual adjustment with the treatment of medial femoral neck fractures in elderly patients.
<%
- Straight Stem - Hip Endoprosthesis, Implantsteel, STD, cemented, Cone 1211 4
- Straight Stem - Hip Endoprosthesis, CoCrMo, STD, cemented, Cone 1211 4
- Straight Stem - Hip Endoprosthesis, CoCrMo, MT, cemented, Cone 12114
- Femoral Head, Implantsteel, 0 28 mm or 0 32 mm, six different necklength
- Femoral Head, CoCrMo, 0 28 mm or 0 32 mm, six different necklength
- Femoral Head, Ti6A14V coating TiN, 0 28 mm or 0 32 mm, six different necklength
- Acetabular Cup, PE, cemented for Head - 0 28 mm or 32 mm
- Bipolar Head, Outer Cup Implantsteel with PE-Insert, 0 28 mm
- Bipolar Head, Outer Cup CoCrMo with PE-Insert, 0 28 mm
- Fracture Head Implantsteel, one necklength
lndication
Medial femoral neck fractures, with or without coxarthrosis in elderly patients
Recommendation of treatment
- Patients with coxarthrosis: total replacement of the hip joint with cemented acetabular cup and stem
- Patients without coxarthrosis: duo-head with cemented stem
- Bedridden patients: large head with cemented stem
- Reliable calculation of duration of surgery.
11.42
;BO*Aq;;+Uq*Q;+U
*;q|*J?OBq+O#JB]BO;GB+q+O#
&`
The patient must be positioned supine with the affected side
slightly elevated. The approach is made by administering a
cuwed skin incision with the greater trochanter at the center.
This incision is then directed towards the anterior superior iliac
spine. Exposure of the gluteus medius muscle and splitting in
+!!"{<?~?*+!
retractors ventrally and dorsally of the femoral neck. Opening
of the capsule and resection of the ventral parts. Now the
fracture can be exposed.
2. Resection of the femoral neck
Change of the Hohmann retractors position by placing them
intraarticular. Depending on the type of fracture, the femoral
!%"+
%%%"%?&!!%
diameter with the gauge. Osteotomy of the femoral neck in a
line 1cm ventrally of the lesser trochanter reaching in a 45“
angle towards the greater trochanter. Next, the femoral head
is removed (Fig. 2).
11.43
;BO*Aq;;+Uq*Q;+U
(`
Adduction and external rotation of the femur. Opening of the
medullary cavity, with a sharp Spoon, directly at the medial
femoral cortex and removal of the bone marrow as far as
the femoral canal. Manual reaming of the medullary cavitiy
by using the reamers (Pos. 13) (Fig. 3), beginning with the
smallest size until the cranial end of the reamer can be
completely inserted into the intramedullary canal aligning the
femoral neck resection. lnserting the prosthesis and eventually
X" ! " = +! ! ?
Removal of the trial prosthesis.
}`*
Insert the medullary canal plug (PE) (cement stopper, Pos.
18) with the handle for the cement stopper (Pos. 5) into the
distal medullary canal. Instead of the PE-plug, cancellous
bone from the femoral head can be used as an alternative.
Preparation of the bone cement in vacuum technique and
placing an air escape tube in the medullary canal. lnjection
!"%!%=!!
appropriate marking (Fig. 4). While hardening, the cement
must be pressurized with slight pressure of the impactor
(Pos. 8) on the prosthesis. After irrigating the joint with large
amounts of Ringer’s solution, the capsule resection borders
Y"!"'%%?
11.44
;BO*Aq;;+Uq*Q;+U
'`*
|
q
Fracture Head
Placing the trial head (Pos. 2 and 16) (Duo-Head: middle neck
length of the trial head (Pos. 15)) in the previous chosen size
into the hip-joint (Fig. 5). If the measured size lies between
two sizes, the smaller one must be chosen.
%" % X" ! ! ! of motion and an eventual tendency for luxation. With
implantation of a Duo-Head, correction by changing to a head
with a different neck length might be necessary, eventually, by
using the wedge (Pos. 12) for femoral heads.
X!!%%=!%=
(Fig. 6) (Duo-Head: after placing the desired femoral head into
the Duo-Head with fhe Duo-Head-forceps, Pos. 1). Placement
of two Redon-drains dorsally and laterally. Finally, closure of
the wound one layer at a time.
11.45
;BO*Aq;;+Uq*Q;+U
*;q+U+!;+#O+;O|G?OB
&`
The patient must be positioned supine with the affected side
slightly elevated. The approach is made by administering a
curved skin incision with the greater trochanter at the center.
This incision is then directed towards the anterior superior
iliac spine. Exposure of the gluteus medius muscle and
=+!!"{<?~?*
two Hohmann retractors ventrally and dorsally of the femoral
neck. Opening of the
capsule and resection of the ventral park. Now the fracture
can be exposed.
2. Resection of the femoral neck
Change of the Hohmann retractors position by placing them
intraarticular. Depending on the type of fracture, the femoral
!%"+
%%%"%?&!!%
diameter with the gauge. Osteotomy of the femoral neck in a
line I cm ventrally of the lesser trochanter reaching in a 45“
angle towards the greater trochanter. Next, the femoral head
is removed (Fig. 8).
11.46
;BO*Aq;;+Uq*Q;+U
*;q+U+!;+#O+;O|G?OB
(`
Removal of the capsule in the cranial and caudal part. In order
to minimize the danger of bleeding, it is recommended to leave
the posterior part in place. Exposure of the acetabulum with
a shaped Hohmann-retractor, its tip placed behind the dorsal
rim, and a second retractor positioned on the anterior rim.
Then, resection of existing exophytes and cartilage of the
acetabulum with the reamer (Pos. 4 und 14) in the previously
selected size.
}`*
Placement of the acetabular trial cup (Pos. 3 und 17) in the
=XY"%/%%!%/
{<?~?<=
!""=%
two to three anchoring pivots for the bone cement cranially
and medially. Irrigation of the joint with Ringer’s solution.
Preparation of the bone cement and placement in
the acetabulum. Implantation of the PE-acetabular cup,
correctly angled, with the bent cup impactor (Pos. 6 and 7)
and hardening in the exact same postion (Fig. 11). Excess
cement must be cleaned off thoroughly before the final
hardening. Finally, place armed, wet gauze into the cavity of
the acetabular cup.
11.47
;BO*Aq;;+Uq*Q;+U
*;q+U+!;+#O+;O|G?OB
'`
Adduction and external rotation of the femur. Opening of the
medullary cavity, with a sharp Spoon, directly at the medial
femoral cortex and removal of the bone marrow as far as the
femoral canal. Automatic and manual reaming of the medullary
cavitiy by using the reamers (Pos. 13) (Fig. 12), beginning
with the smallest size until the cranial end of the reamer can
be completely inserted into the intramedullary canal aligning
the femoral neck resection. lnserting the prosthesis and
X"!
"=+!!?
)`*
Insert the medullary canal plug (PE) (cement stopper, Pos.
18) with the handle for the cement stopper (Pos. 5) into the
distal medullary canal. Instead of the PE-plug, cancellous
bone from the femoral head can be used as an alternative.
Preparation of the bone cement in vacuum technique and
placing an air escape tube in the medullary canal. lnjection
!"%!%=!!
appropriate marking (Fig. 13). While hardening, the cement
must be pressurized with slight pressure of the impactor
(Pos. 8) on the prosthesis. After irrigating the joint with large
amounts of Ringer’s solution, the capsule resections must be
Y"!"'%%?
11.48
;BO*Aq;;+Uq*Q;+U
*;q+U+!;+#O+;O|G?OB
W`*
Placing the trial head of middle neck length (Pos. 15) onto
the straight-stem-prosthesis. Reduction of the prosthesis into
! *# " "= % X" " !
and eventual tendency for luxation. Eventual correction by
changing to a head with a different neck length (Pos. 1 5).
X!!%%=!%=
(Fig. 14) using the femoral head impactor (Pos. 9 und 10).
After a last control of function, placement of two Redon-drains
dorsally and laterally. Finally, closure of the wound one layer
at a time.
11.49
Straight Stem - Hip System
„Ritorno“
11.50
UJ#G?OB;BO*Aq;;+UB*;JB!Jp\;*;O!
135
135°
“
O
N
R
O
T
RI
Dimensions (K)
Stem Length
11-2422
7,00 mm
139 mm
11-2423
8,00 mm
141 mm
11-2424
9,00 mm
143 mm
11-2425
10,00 mm
145 mm
11-2426
11,25 mm
148 mm
11-2427
12,50 mm
151 mm
L
Cat. No.
TI6A / 7NB iso 5832-11
K
BJ;q+*BO
Ref. Number
Size (ø)
11-5150
6,25 mm
11-5152
7,50 mm
11-5154
8,75 mm
11-5156
10,00 mm
11-5158
11,25 mm
11-5160
12,50 mm
UJ#G?OBBOqO!#?+
11-5100
11.51
UJ#G?OB;BO*Aq;;+UG!+U+!;+#
JU?+;+*!;BGU+!;O;*J!+;
B*;JB!Jp
11-118
Ref. No.:
Instrument:
Pieces
11-5150
Modular Prosthesis Rasp
6,25 mm
1
11-5152
7,50 mm
1
11-5154
8,75 mm
1
Ref. No.:
11-5156
10,0 mm
1
11-5307
11,25 mm
1
Repositioning Lever
Synthetic Top
1
11-5158
11-5160
12,50 mm
1
11-084
1
11-1902
Medullary Awl Reamer
1
11-4502
Spoon Curette
1
1
11-4504
Curette
1
1
Instrument:
Pieces
11-5100
Modular Rasp Handle
11-5301
Test Head ø 28 mm 12/14
S
1
11-4520
Straight Chisel
11-5303
M
1
11-4522
Curved Chisel
11-5305
L
1
11-088
Retractor MURPHY
No. 1
1
11-4512
1
9-666
HOHMANN Retractor
No. 2
1
11.52
1
B`!`%
Size
A
11-5301
S
11-5303
M
11-5305
L
11-5307
Repositioning Lever
synthetic top
11-084
11-086 Prosthesis Driver
11-087 Head Only
11-088 Murphy Lane Bone Skid
11-089 Repositioning Lever
11-1902 Curved AWL
Gebogene Öffnungsschale
11.53
11-4520
Osteotome 16 mm / 310 mm length
11-4522
Curved Chisel 16 mm / 310 mm length
11.54
11-4512
7,5 mm 310 mm length
9-666
with 43 mm narrow tip
Der Frakturkopf aus Implantatstahl
der Güte ISO 5832-9 ist kombinierbar mit den Schaftmaterialien
Implantatstahl ISO 5832-9, CoCrMo ISO 5832-4 und ISO 5832-12,
Ti6AI4V ISO 5832-3 sowie Ti6AI7Nb ISO 5832-11.
The fracture head is made of implant steel of ISO 5832-9 quality
and can be combinded with the
following stem materials: implant
steel ISO 5832-9, CoCrMo ISO
5832-4 and ISO 5832-12, Ti6AI4V
ISO 5832-3 and Ti6AI7Nb ISO
5832-11.
Implant Steel - ISO 5832/9 Cone 12/14
`!`%
Size
A
Neck
q
"
11-2540
28
S
11-2541
28
M
11-2542
28
L
11-2550
32
S
11-2551
32
M
11-2552
32
L
Femoral Head S
Femoral Head M
Femoral Head L
Femoral Head S
Femoral Head M
Femoral Head L
Ti6A / 4V ISO 5832-3
`!`%
Size
A
Neck
q
"
11-2540TI
28
S
11-2541TI
28
M
11-2542TI
28
L
11-2550TI
32
S
11-2551TI
32
M
11-2552TI
32
L
Modular and Unipolar Head
Implant Steel - ISO 5832/9
Cone 12/14
Der Frakturkopf eignet sich
besonders für die Versorgung
einer Schenkelhalsfraktur bei
Patienten im hohen Alter. Durch
die einfache Handhabung des
Frakturkopfes kommt es zu
einer niedrigen Belastung des
Patienten und zur Verkürzung
der Operationsdauer. Der große Durchmesser sorgt für eine
hohe Luxationssicherheit, die
für die schnelle Mobilisierung
des Patienten von zentraler
Bedeutung ist. Durch die hoch= &"! +%
das natürliche Acetabulum
besonders geschont.
`!`%
11-2600
Size
38 mm
Stainless Steel
`!`%
11-2611
Size
49
50
11-2601
39 mm
11-2612
11-2602
40 mm
11-2613
51
11-2603
41 mm
11-2614
52
11-2604
42 mm
11-2615
53
11-2605
43 mm
11-2616
54
11-2606
44 mm
11-2617
55
11-2607
45 mm
11-2618
56
11-2608
46 mm
11-2619
57
11-2609
47 mm
11-2620
58
11-2610
48 mm
The fracture head is suitable
particular for the management
of femoral head fractures in very
elderly patients. Because of the
ease of working with the femoral
head, the stress on the patient is
low and the operation duration
is shortened. The large diameter
safeguards against dislocation,
which is of crucial importance
for rapid mobilisation of the patient. The highly polished metal
surface is particularly gentle on
the natural acetabulum.
11.55
O+;O|G?OBG\cemented
]O!!+!\
J;Q?+\§
11.56
ø28
ø32
øD
øD
U
**]
U
**]
`!`%
Inner-ø
Innen-ø
Outer-ø
Ow
`!`%
Inner-ø
Innen-ø
Outer-ø
Ow
11-3070
28 mm
44 mm
11-3110
32 mm
44 mm
11-3071
28 mm
46 mm
11-3111
32 mm
46 mm
11-3072
28 mm
48 mm
11-3112
32 mm
48 mm
11-3073
28 mm
50 mm
11-3113
32 mm
50 mm
11-3074
28 mm
52 mm
11-3114
32 mm
52 mm
11-3075
28 mm
54 mm
11-3115
32 mm
54 mm
11-3076
28 mm
56 mm
11-3116
32 mm
56 mm
11-3077
28 mm
58 mm
11-3117
32 mm
58 mm
11-3078
28 mm
60 mm
11-3118
32 mm
60 mm
11-3079
28 mm
62 mm
11-3119
32 mm
2 mm
62
11-3080
28 mm
64 mm
11-3120
32 mm
64 mm
11-3081
28 mm
66 mm
121
11-3121
32 mm
66 mm
11-3082
28 mm
68 mm
11-3122
32 mm
68 mm
UJ#G?OB|*J?OBG, uncemented
;¨;+UJ#G?O*B+|*J?O*B+\§
øD2
øD1
Sterile
Bipolar Head
`!`%
|
qU
#
Insert
11-2660
Bipolar Head
28
42
11-2661
Bipolar Head
28
43
11-2662
Bipolar Head
28
44
11-2663
Bipolar Head
28
45
11-2664
Bipolar Head
28
46
11-2665
Bipolar Head
28
47
11-2666
Bipolar Head
28
48
11-2667
Bipolar Head
28
49
11-2668
Bipolar Head
28
50
11-2669
Bipolar Head
28
51
11-2670
Bipolar Head
28
52
11-2671
Bipolar Head
28
53
11-2672
Bipolar Head
28
54
11-2673
Bipolar Head
28
55
11-2674
Bipolar Head
28
56
11-2675
Bipolar Head
28
57
11-2676
Bipolar Head
28
58
11-2677
Bipolar Head
28
59
11-2678
Bipolar Head
28
60
11-2679
Bipolar Head
28
61
Outer
11-2720
Required of replace or remove the inner „C“
ring of the bipolar cup during operation.
Indikation:
Placement of cup together with a femoral head on stem gives
an articulated partial prosthesis. The modular outher shell is
"% "% % % ! is manufactured from Ultra High Molecular Weight Polyetylene
UHMWPE.
Material:
UHMWPE meets ASTM F.648 and ISO 5834/2 standards. Selected
for its, high degree of purity, good biotolerance, good mechanical
="%"==?&=%"%
stainless steel meets ASTM F.138 - ISO 5832/1 standard.
11.57
PRESS FIT CUP, UNCEMENTED
J;Q?+B+]*;\!J!*U+!;¥+
Press-Fit-Cup, ISO 5834/3;
cementless, sterile
`!`%
#
Length mm
11-2730
Press-Fit-Cup
44
Material:
Surface:
11-2732
Press-Fit-Cup
46
11-2734
Press-Fit-Cup
48
11-2736
Press-Fit-Cup
50
11-2738
Press-Fit-Cup
52
11-2740
Press-Fit-Cup
54
11-2742
Press-Fit-Cup
56
`!`%
Length mm
11-2744
Press-Fit-Cup
58
11-2760
20 mm
11-2746
Press-Fit-Cup
60
11-2762
25 mm
11-2748
Press-Fit-Cup
62
11-2764
30 mm
11-2750
Press-Fit-Cup
64
11-2766
35 mm
11-2752
Press-Fit-Cup
66
11-2768
40 mm
11-2754
Press-Fit-Cup
68
11-2770
45 mm
Ti6AI4V (ISO 5834/3)
blasted
*]\
cementless
;
q
*]\
cementless
;
q
<<
*J'j(}$
Size 44 mm - 68 mm
<<
*J'j(}$
A}})j
Insert Standard 0°
11.58
Acetabulum Screw
Self tapping
Insert Dys. 10°
`!`%
Inner-ø
Outer-ø
Innen-ø
Ow
:
`!`%
Inner-ø
Outer-ø
Innen-ø
Ow
*
<#<`&:
11-2800
28 mm
44 mm
11-2860
28 mm
44 mm
11-2802
28 mm
46 mm
11-2862
28 mm
46 mm
11-2804
28 mm
48 mm
11-2864
28 mm
48 mm
11-2806
28 mm
50 mm
11-2866
28 mm
50 mm
11-2808
28 mm
52 mm
11-2868
28 mm
52 mm
11-2810
28 mm
54 mm
11-2870
28 mm
54 mm
11-2812
28 mm
56 mm
11-2872
28 mm
56 mm
11-2814
28 mm
58 mm
11-2874
28 mm
58 mm
11-2816
28 mm
60 mm
11-2876
28 mm
60 mm
11-2818
28 mm
62 mm
11-2878
28 mm
62 mm
11-2820
28 mm
64 mm
11-2880
28 mm
64 mm
11-2822
28 mm
66 mm
11-2882
28 mm
66 mm
11-2824
28 mm
68 mm
11-2884
28 mm
68 mm
O+;O|G?OBBJJ]B+*!]JB+U+!;B*!A
`!`%
Ring Size
11-3350
44 mm
11-3352
46 mm
11-3354
48 mm
11-3356
50 mm
11-3358
52 mm
11-3360
54 mm
11-3362
56 mm
11-3364
58 mm
*%
Acetabular ring is indicated in total hip replacement in cases of osteoporosis, rheumatoid arthritis, acetabular roof cysts, simultaneous
bone grafting, after arthrodeses and in socket revision. An acetabular reinforcement ring is also recommended in combination with polyethylene cups with low wall thickness. In revision cases with severe bone loss and protrusion, the usage of a acetabular reinforcement
cage is recommended. After the preparation of the acetabulum, and acetabular ring with diameter of 4 mm smaller than the last reamer
is normaly used. The implant is wedge into the acetabulum with the metal impactor. The ring is positioned correctly if its lateral rim lies
!%"?[=X!!!"+!%+%!!%!X"
""?!"
%+!|"""+?!=%!!%"!"
woint and are inclined approximately 20 medially and posteriorly in relation to the long axis of the body. The poyethylene cup has an
inclination of approximately 40 which corresponds in most cases with the position of the ring.
U
%
%;;""%_;&<?%[;£?
11.59
B+*!]JB+U+!;OA+
`!`%
Diam mm
Style
`!`%
Diam mm
Style
11-3370
44
Right
11-3380
44
Left
11-3371
46
Right
11-3381
46
Left
11-3373
48
Right
11-3383
48
Left
11-3372
50
Right
11-3382
50
Left
11-3375
52
Right
11-3385
52
Left
11-3374
54
Right
11-3384
54
Left
11-3376
56
Right
11-3386
56
Left
*%
The reinforcement cage is indicated for cup revision with considerable osseous defects or protrusion, if it is no longer possible to achieve adequate primary stability with any other implant. The intact, resistance bone is made usable again: forces acting on the bone are
spread over a large area. The reinforcement cage permits undisturbed incorporation of bone grafts. The reinforcement cage is implanted
+!"²!"XY
!"=!"?!X'"="Y%"%Y?
!%%%%Y?!!!X
!
pelvic wall. The distal nose is hammered through from the inside of the cup into the ischium. The reinforcement cage can be adapted to
!Y=XY%!?!"!"%%!!"=?!"=""%
into correct position.
U
%
%;;""%_;&<?%[;£?
11.60
*!;BGU+!;O;*J!]JB#GJq+O#
11-106
Instrumentation for Duo-Heads
Cat. Number
11-5300
1
Instrument
@%%%;/|&|
11-5302
2
@%%%;/|&|
11-5304
3
@%%%;/||&|
11-5306
4
@%%%;/|&|
11-5308
5
@%%%;/|&|
11-5310
6
@%%%;/|&|
115312
7
@%%%;/|&|
11-5314
8
@%%%;/|&|
11-5316
9
@%%%;/&|
11-5318
10
@%%%;/&|
11-5320
11
@%%%;/&|
11-5322
12
@%%%;/&|
11-5324
13
@%%%;/|&|
11-5326
14
@%%%;/&|
11-5328
15
@%%%;/&|
11-5330
16
@%%%;/&|
11-5332
17
@%%%;/&|
11-5334
18
@%%%;/&|
11-5336
19
@%%%;/&|
11-5338
20
Duo-Head-Forceps universal for ring assembly
11-5340
21
Duo-Head-Tester handle (curved) M8
11-5342
22
Tray with holding devices for trial Duo-Heads
11-5344
23
Instrumentation Duo - Head complete
11.61
14-410
Flexibler Schaft
Flexible shank
;=!Q
;"!
+@
!'
`!`%
11.62
14-420
2,5 x 35 mm
14-422
2,5 x 50 mm
14-424
2,5 x 60 mm
14-426
3,2 x 35 mm
14-428
3,2 x 50 mm
`!`%
ø
14-430
3,2 x 70 mm
14-440
1,5 mm
14-432
3,5 x 35 mm
14-442
2,5 mm
14-434
3,5 x 50 mm
14-444
3,5 mm
14-436
3,5 x 70 mm
14-446
4,0 mm
B*;JB!Jp
HIP STEM CEMENTLESS
Introduction
Years of experience with outstanding clinical results in the implantation of Cementless straight stems led to the development of the Ritorno
hip stem cementiess. 13 sizes are available in various lengths with a CCD angle of 135°. The system is equipped with a 12/14 Eurocone,
"%!="%Y"+!""!%?&!%!;"/"
used. The Ritorno hip stem can be combinded with many cup systems and so can be adapted individually to the patient´s anatomy.
Indication
µ
µ
µ
µ
µ
Degenerative, post -traumatic or rheumatoid arthritis
Degenerative, post - traumatic or rheumatic arthrosis
Avascular necrosis or necrosis due to tumour
Arthrosis as a result of congenital or acquired intra - articular or extra - articular (axial) deformities
This system can also be indicated to salvage previously unsuccessful operation attempts
Contraindication
µ
µ
µ
µ
Acute or chronic, local or systemic infection
%"Y=
!=
Loss of the ligament apparatus
Hypersensitivity to the materials employed
“
O
N
R
O
T
I
„R
11.63
B+J+BO;*V+?O!!*!A
To estimate the subsequent implant size and determine the level of resection, preoperative planning with the aid of x-ray templates is
"%%{~?!"+!!=%"=Y%="="%!="!
assessed beforehand.
Ritorno Hip Stem cementless
X-ray template of Ritorno hip stem cementless size 7
11.64
Approach to the hip joint
#XY=="!!!=%%Y!=?!!%"Y
=%!!
surgeon has a good view of the anatomical structures and can work correctly with the instruments unobstructed.
Resection of the femoral neck
The resection of the femoral neck is comes out according to the preoperative planning at an angle of about 45° to the femoral axis
{~?
Femoral axis
45°
Resect
cttio
ion
n level
Diagr
gram
mm
m
mo
off resectio
resection
on lle
evel
11.65
Opening the medullary cavity
!%Y"XY=%!"XY{~?!!%==%Y%=Y?!"sequent insertion of the rasps in the direction of the femoral axis. Fracturing the greater trochanter should be avoided.
Opening the medullary cavity with the gouge
The gouge should be applied according to the desired anteversion of the stem. The medullary cavity opening can be widened with the
={|~?
Femoral rasp for widening the medularry cavity opening
11.66
_!%Y"XY!=%=!!"""{~?;+!!=/+!"!
"!%!=!%?!!=!%"%%/!/"!%?!=/
"=%!=/?!"'!!=""Y!%"?
Rasping the femur
If the planned rasp size or depth is not reached, this can be bewuse the rasp direction does not run parallel to the axis. In this case, space
can be created proximally with the femoral rasp and further rasping then becomes possible.
11.67
Trial reduction
The rasps are constructed so that they can also be used as a trial prosthesis. For reduction, the handle is removed from the rasp which
remains in the femur and the test cone is put on. Trial heads are available in sizes 28 and 32 with neck lengths S to XL for checking the
!%X{~?
Attaching the tast cone and a trial head to the rasp
11.68
The stem size to be implanted is selected according to the last rasp employed. The implant is inserted as far as possible into the femur by
!%?!=!!%%%=!+!!="%!+"!X%=
{~?
Implantation of the stem
After the stem cone has been cleaned and dried thotoughly. the original spherical head with the desired neck length is attached according
to the manufacturer’s instructions. This is followed by reduction by hand along with wound closure in layers in the way preferred by the
surgeon.
11.69
NOTICE
11.70
NOTICE
11.71
;B+G*!;BGU+!;+AU|q*!;+B!O;*J!O?;BOGUO;J?JAQJB;qJO+#*
O?;+!;O?;BO+)&:#Wj'(;G;;?*!A+!;+?+]J!:W})&$)&:
;+?+]O}W})&$WW')W*!;+B!+;%``
Synicem
Bone Cements
Cementos para huesos Ortopedia
Knochenzemente
Ciments Osseux
1
2
ZEMENTE SYNICEM
@;Y"%!%$=X{`;=!&Y'='!~_'YX%%/
Fixierung von Metall- oderPastischen Prothesen an das Knochengewebe verwendet werden.
BESCHEINIGTE QUALITÄT
Die Zemente Synicem besitzen das Zeichen CE (Conformité Européenne), im Einklang mit den Normen ISO 9001, ISO 13485 und ISO
5833 für Acrylzemente und Kunststoffe für chirurgische Implantate.
TYPEN
Es gibt 6 Typen von Zementen Synicem: 4 zur Handapplikation und zur Injektionsapplikation.
Synicem 1
<&A
+U+!;+GBqO!#O?*LO;*J!
=qV">
Q!*+U&A=A<>
Die Zemente Synicem zur Handappplikation sind mit
folgendem Bestreben formuliert worden:
- Leichtes Mischen und sofortige Homogenität der Masse.
- Lange Arbeitszeit und leichte Applikation der Masse.
- Verkürzte Endphase der Polimerization mit Herabsetzung
des Risikos.
- Homogene Radioopazität.
Synicem 1
`!`%&&''::
Die Beigabe des Antibiotikums beeinträchtigt weder die physischen Eigenschaften noch die Handhabung und die Applikation
des Zementes. Langfristige Freisetzung des Antibiotikums. Hohe
Gentamycinkonzentrationen im Kortikal- und Spongiobereich.
- Beide Zemente werden in Blisterpackungen mit 40 g
durch ETO-sterilisiertem Pulver und eine Ampulle
%"!<Q'
geliefert.
\*!
+%"!%
Zemente in Blisterpackungen mit 20 g durch
ETO-sterilisiertem Pulver und eine Ampulle mit 10 ml
%"!<Q'?
Jede Blisterpackung bietet eine dreifache Sterilitätsbarriere.
`!`%&&''&:
Synicem 3
<(A
+U+!;+GB*!+L;*J!O?*LO;*J!
=!V">
Q!*+U(A=A<>
Die Zemente Synicem niedrieger Viskosität sind speziell
zur Applikation mittels irgendein zugelassenes
Applikationssystem mit Spritze / Pistole entwickelt
worden, um folgende Vorteile anzubieten:
- Schnelle Mischung und sofortige Homogenität der
Masse
}"!_=='%'%!%X'$
Zustandes.
- Zuverlässige Retention der Prothese.
- Verkürzte Endphase der Polimerization mit,
Herabsetzung
des Risikos von Mikrobewegungen der Prothese.
- Homogene Radioopazität.
Die Beigabe des Antibiotikums beeinträchtigt weder die
physischen Eigenschaften noch die Handhabung und die
Applikation des Zementes.
Langfristige Freisetzung des Antibiotikums.
Hohe Gentamycinkonzentrationen im Kortikal- und
Spongiobereich.
Darreichungsform
Beide Zemente werden in Blisterpackungen mit 60 g
durch
ETO-sterilisiertem Pulver, und eine Ampulle mit 30 ml
durch
<Q'?
Jede Blisterpackung bietet eine dreifache
Sterilitätsbarriere.
`!`%&&'':
`!`%&&''&
3
SYNICEM CEMENTS
;Y"`%="Y""=%=%"%%
="=!!
live bone. Radiopacity is achieved by micro dispersed Barium Sulfate granules.
CERTIFIED QUALITY
;Y"`£¢##&#¢;#{#=~'%"=Y[;£[;£|%[;£=""
acrylic resin cements for surgical implants.
TYPES
There are 6 types of Synicem Bone Cements available: 4 to be manually applied and 2 for syringe application.
Synicem 1
<&A
UO!GO?O?*O;*J!+U+!;
(High Viscosity)
<&A=A>
Synicem Manual Application Cements were developed to
achieve:
- Effortless mixing: immediate homogenity of dough
- Uniform dough properties during a longer working period.
- Long working period with soft easy to use dough.
;!!%/=!"
movements during setting.
#
"%"!"?
- Homogeneous radiopacity.
Synicem 1
Addition of antibiotic does not affect physical, mixing,
handling or insertion properies of the bone cement.
Extended antibiotic release.
Remarkable Gentamicin concentration at spongy and
cortical bone levels.
Presentation
- Both cements are available in blisters, containing one pouch
with 40 g (ETO sterilised) powder, and one ampoule with 20 ml
{%~%?
_"%=!==!
"
="! +! { %~ % available.
Each blister provides a triple sterility barrier.
`!`%&&''::
`!`%&&''&:
Synicem 3
<(A
<O
=?<>
<(A=A>
Synicem Syringe Application Bone Cements were developed to be used with any approved available syringe / gun
system.
- Effortless mixing, providing immediate homogenity of
mixture
- Easy application due to an extended low viscosity
period.
=!="%
?
;!!%/=!"
movements during setting.
- Homogeneous radiopacity.
Addition of antibiotic does not affect the physical, mixing
handling or insertion properties of the bone cement.
Extended antibiotic release.
Remarkable Gentamicin concentration at spongy and
cortical bone levels.
Presentation
Both cements are available in blisters, containing one pouch
with 60 g (ETO sterilised) powder, and one ampoule with
{%~%?
Each blister provides a triple sterility barrier.
`!`%&&''&
Synicem 3
`!`%&&'':
4
CEMENTOS SYNICEM
};Y""="¶"%="%%""=¤=%"%=¤cas
=¤"%?}%="%%%"="%=¶"%;%`"%=%?
CALIDAD CERTIFICADA
Los Cementos Synicem cuentan con Marcado CE (Conformité Européenne), respondiendo a las normas ISO9001, ISO 13485 e ISO 5833
referida a cementos de resinas acrílicas para implantes quirúrgicos.
TIPOS
#
=%;Y"|==""%Y=="%?
Synicem 1
<&A
+U+!;;J#+O?*O*«!UO!GO?
=O
>
Q!*+U&A=A>
};Y"%_=""¶&!%
formulados para lograr:
- Fácil mezclado e inmediata homogenidad de la masa.
- Largo tiempo de trabajo con masa suave y fácil de
aplicar.
<%"%¤X%"%%
micro movimientos.
- Radiopacidad homogénea.
Synicem 1
`!`%&&''::
#%%""==%%
¶"="Y=""%"?
*%"%"?
Altas concentraciones de Gentamicina en Cortical y
Esponjosa.
¬
- Ambos cementos se proveen en blisters conteniendo
40 g de polvo esterilizado por ETO y una ampolla de 20 ml
%¶%/%="?
*"%=%%=X
envase conteniendo 20 g de polvo esterilizado por
ETO y una ampolla de 10 ml de líquido esterilizado por
"
Cada blister provee una triple barrera de esterilidad.
`!`%&&''&:
Synicem 3
<(A
+U+!;JOBOO?*O*«!J!+B*!AO
=|>
Q!*+U(A=A>
Los Cementos Synicem de Baja Viscodidad han sido especialmente desarrollados para ser aplicados mediante
cualquier sistema aprobado de jeringa / pistola, logrando:
- Rápido mezclado e inmediata homogenidad de la
masa.
<¤"="""=%=¶%
viscoso.
"%=?
<%"%¤X%"%
de micro movimientos.
- Radiopacidad homogénea
#%%""==%%
¶"="Y/"%"?
*%"%"?
Altas concentraciones de Gentamicina en Cortical y
Esponjosa.
¬
Ambos cementos se proveen en blisters conteniendo 60
g de polvo esterilizado por ETO y una ampolla de 30 ml
%¶%/%="?
Cada blister provee una triple barrera de esterilidad.
:`!`%&&''&
Synicem 3
`!`%&&'':
5
CIMENTS SYNICEM
"
;Y"%=%%=¤%"="==
de prothéses métalliques ou plastiques. Ils sont tous radio-opaques avac du sulfate de baryum, micro disperse
QUALITÉ CERTIFiÉE
Les ciments Synicem sont élaborés conformément aux normes ISO9001, ISO 13485 á la Directive Européene 93/42/CEE et ont obtenu
le marquage CE. Il existe 6 types de ciment Synicem: 4 pour application manuelle et 2 types de ciment Synicem pour application avec
seringue.
<&A
Synicem 1
?*A!+#+*U+!;JGBO?*O;*J!UO!G+??+
=q§>
Synicem 1:
Caractéristiques de manipulation excellentes. Pénétration
dans lós et tension mécanique excellentes.
`!`%&&''::
<&A
Incorporation dún antibiotique, la Gentamicine, sans quáucune
des propriétés physiques (mélange, manipulation, application et
insertion), ne soit modifiée. Libération prolongée de
lántibiotique.
Concentration remarquable de la Gentamicine au niveau de lós
spongieux et cortical.
§
- Deux ciments Synicem 1 sont présentés sous forme de
doses de 40 g de poudre stérilisée par oxyde déthyléne
%%%=?
*
%=!%%
=
sous forme de doses de 20 g de poudre stérilisée par oxyde
%!Y%%%=?
Ces doses sont conditionnées dans un étui contenant un
blister avec triple protection pour chacun de ces élements.
CIMENTS POUR APPLICATION AVEC SERINGUE
(Basse viscosité)
Les ciments Synicem pour application avec seringue sont
de basse viscosité et possédent donc déxcellentes propriétés de
%?[""%?
`!`%&&'&&:
Synicem 3
<(A
Il présente une phase de basse viscosité qui lui confére
%"===="X"
seringue et pistolet.
<(A
Incorporation dún antibiotique, la Gentamicine sans quáucune
des propriétés physiques (mélange, manipulation, application et
~%}=%
avec efficacité maximale dés les 15 premiers jours aprés
línsertion. Concentration remarquable de la Gentamicine au
niveau de lós spongieux et cortical.
`!`%&&'':
§
Les deux ciments Synicem 3 sont présentés sous forme de doses
de 60 g de poudre stérilisée par oxyde d´éthyléne et de 30 ml de
%=?
Ces doses sont conditionnées dans un étui contenant un
blister avec triple protection pour chacun de ces éléments.
`!`%&&''&
6