The Zimmer Hip System acetabular components include proven benefits of Zimmer Trabecular Metal Technology. A shank portion may extend distally from the anterior and posterior locking surfaces and converge at an . assess both the distal stem size and the body size on the A/P radiograph, and then check the stem size on the lateral radiograph. 2 Versys Advocate V-Lign and Non V-Lign Cemented Hip Prosthesis Design Philosophy The Advocate Cemented Hip stems enable optimal placement and fixation of the femoral stem. Knee. Prophylactic antibiotic were administered prior to skin incision and elastic stockings were used for one month Back. 1. alternative implants and surgical techniques. The website and its contents do not constitute medical, legal, or any other type of professional advice. The frequency range was set at 10 kHz, the resolution was set at 12.5 Hz, the sampling frequency was set at 20.6 kHz, and averaging was applied as . 1), and axial images of the femur perpendicular to the femoral stem axis (Fig. Versys™ (Zimmer, Warsaw, USA) stems were used in the cemented group (Figure 1) and Cone Prosthesis™ (Zimmer, Winterthur, Switzerland) femoral stems without cementing were used in the uncemented group (Figure 2). A hip prosthesis is provided for insertion into a femur. The seal integrity is provided by a stable, tight implant/abutment interface that can minimize abutment micromotion and reduce the The bearing surface for the metal acetabular component was a standard non-elevated liner made of high molecular-weight polyethyl-ene. South Marston Park Zimmer, Inc. South Marston Park Swindon, SN3 4FP 1800 West Center Swindon, SN3 4FP UK Warsaw, IN 46580 UK USA Carefully read all instructions and be familiar with the surgical technique prior to use. Prophylactic antibiotic were administered prior to skin incision and elastic stockings were used for one month These blocks are The choice of anesthesia was up to the anesthesiologist, with 47 receiving general anesthe-sia and 16 receiving spinal anesthesia. This stem may include anterior and posterior locking surfaces which diverge away from the longitudinal axis. In one exemplary embodiment, the hip prosthesis includes a stem having a proximal end, a distal end, and a longitudinal axis. It included five stems and three body options that could be implanted using three different types of surgical techniques. The top of the thighbone is replaced with a metal, or ceramic, ball that is then attached to a metal stem that fits down . Questions/purposes The purposes of this study were (1) to identify the frequency of surgical site complications and infection associated with the use of the Ice-Cream Cone prosthesis for reconstruction after hemipelvectomy for oncological indications; (2) to evaluate the Musculoskele- The total system includes: • 16 Implants • Size 4 and 5 in 132° offset only • Sizes 6-12, two anatomic offset angles of 132° and 127° The stem is designed for use with Stryker V40 femoral heads and their compatible acetabular components. Femoral stem utilization included: Versys (Zimmer) beaded fullcoat femoral stem (94%) and a Versys Epoch composite fullcoat stem (6%). The new company, Zimmer Biomet, became one of the leaders in the hip replacement market in 2016. pressure. This bone loss is a consequence of massive osteolysis, stress shielding, and multiple surgeries [1-4] . everyday activities, implants are subjected to dynamic loading. 5 2008 ZIMMER BIOMET CANADA INC. "The safety of patients has always been, and continues to be, Zimmer Biomet's top priority and it is our honor to be a leader in this industry for the past 90 years," Zimmer Biomet told ICIJ in a statement. Google's free service instantly translates words, phrases, and web pages between English and over 100 other languages. The VerSys Femoral Head replaces the ball of the femur. A liner, made of a medical grade plastic called polyethylene, fits inside the cup. The M/L Taper and M/L Taper with Kinectiv Technology are implanted into the top of the thighbone. Second-generation tapered, proximally coated femoral stems have addressed the shortcomings of earlier iterations by improving metallurgy, stem design, and incorporating a fully circumferential porous coating . A vision requires leadership to become reality. The VerSys Epoch FullCoat is the second generation hip stem utilizing Zimmer's unique Epoch Technology (Fig.1). AbstractThe Zimmer VerSys enhanced taper uncemented stem was tested in vitro for primary stability. substrate. Zimmer is initiating a lot specific recall of the versys hip system cemented revision/calcar femoral stem due to insufficient sample availability for testing necessary to ensure sterile barrier integrity with the established statistical confidence. Get a free case review. The Zimmer M/L The objectives in templating the Taper Hip System Templates (Fig. Please consult with your physician or other healthcare professional for medical advice and see the 'Legal Notice' link. Verify the chosen stem size also fits into the lateral plane and check for three point fixation (Figure 3). The future of medicine starts with you. parallel to the symmetry plane of the femoral stem (Figs. plating techniques. T3 Implant and surgical instrumentation are held to rigorous tolerances to provide a closely integrated implant-to-osteotomy fit, creating a dental implant system designed for primary stability. •Surgical diversity — multiple implants to support individual physician preference. If you experienced serious complications from your hip replacement device, you may be entitled to compensation. Figure 3: Three Point Fixation Design Rationale ®& Surgical Technique SUMMIT Tapered Hip System DePuy Synthes Companies 11 Adverse reaction to metal debris (ARMD) in arthroplasty surgery of the hip is a well-known problem and has resulted in several products being withdrawn from the marketplace [].Complications related to the release of metal ions can be devastating for patients and represent a significant surgical challenge. not recommended due to high wear rates. Previous limited cohort study indicated result comparable to tumor prosthesis. Herein, we evaluated, retrospectively, the effect of posterior capsular repair upon postoperative hip dislocation subsequent to total hip arthroplasty (THA) incorporating a posterolateral approach. From 1995 to 2000, 225 total hip arthroplasties (THA) were performed using this device. A hip stem centralizer datum guide and method are provided for positioning a proximal portion of a hip stem component within bone cement in an intramedullary canal of a femur. prolonged in vivo implantation >8yr. Our innovations help treat patients suffering from disorders of, or injuries to, bones, joints or supporting soft tissues. An uncemented, extensively porous coated, cylindrical stem (VerSys Beaded Fullcoat, Zimmer, Warsaw, IN) was used in patients with good metaphyseal and diaphy- seal femoral bone stock. After the operation, functional assessment and radiographic examination were performed at 3 weeks, 6 weeks, 3 months, 6 months, and 1 year, and yearly thereafter. Shoulder. From 2006 to 2009, we performed 96 LDH-MoM-THAs on 80 patients using an in situ head-neck assembly technique through a . The VerSys Epoch FullCoat Hip System is the first reduced-stiffness stem specifically designed to address all patient femoral anatomies to minimize implant-related complications such as thigh pain, stress shielding, and leg lengthening.1,2 The innovative flexible composite stem closely mimics the bending stiffness of bone. However, as case number and follow-up increase, we experienced more complications than anticipated. patients received a cemented femoral stem (Versys; Zimmer Inc, Warsaw, IN) and either cemented or press-fit acetabular component (Allofit; Zimmer Inc). DePuy Synthes launches BI-MENTUM TM Dual Mobility System! 23 No. In this study, we compared conventional templating with a digital templating system, developed by eFilm Medical (Merge Healthcare) in conjunction with Zimmer, specifically looking at planning size selection and femoral neck cut level in hip arthroplasty. An interactive learning environment for enhancing education and training. Femoral stem utilization included: Versys (Zimmer) beaded fullcoat femoral stem (94%) and a Versys Epoch composite fullcoat stem (6%). (B) The hip was revised using Versys™ (Zimmer, U.S.A.) 200 mm stem and impaction morselized allograft with wire mesh support.We used wire fixation for the extended trochanteric osteotomy area. Zimmer Biomet does not practice medicine and the content of this site is intended for general public interest. This stem may include anterior and posterior locking surfaces which diverge away from the stem. Alongside the CORAIL ® PINNACLE ® Family of Products, DePuy Synthes aims to achieve the perfect symphony in the Total Hip Replacement Market. During exploitation, i.e. Please note when booking more than one case of a specific type to ensure multiple sets are available. IMPORTANT NOTE * Zimmer has not tested the safety or effectiveness of these devices for use in In one exemplary embodiment, the hip prosthesis includes a stem having a proximal end, a distal end, and a longitudinal axis. Surgical time, wound length, and complications or technical diffi-culties encountered during the operation . As of April 2004, more than 500 surgeons have completed corporate-sponsored training (Zimmer Learning Institute, Warsaw, IN) on the techniques and instrumentation needed to do two-incision THR. The original Epoch Hip Prosthesis was the first stem that utilized the patented low-stiffness composite stem technology. All patients were evaluated clinically by the Harris Hip Score, and radiographically. Zimmer offered a $314 million settlement to resolve remaining Durom Cup lawsuits in 2016. $10.00 box of 1 - Zimmer Biomet # 7871-17-60 - Zimmer Hip VerSys Cemented Revision / Calcar (CRC): 17mm Stem Size, 190mm Length The round-the-corner technique is different from conventional surgical techniques and used to large trochanteric flare. The aggressive taper of the distal tip helps reduce the strains in 1 (A) 35-year-old female with Paprosky type IIIA bone defect in her left femur showed significant loosening of the primary cemented stem. The Zimmer Institute Surgical Technique. The poor clinical performance of early designs has been attributed to shortcomings in both implant design and surgical technique 2, 3, 4. 16,17,19,21 The posterior approach causes disruption of the posterior capsule and the short external rotators. Joining the HEALICOIL REGENESORB Suture Anchor, the HEALICOIL KNOTLESS Suture Anchor combines our proprietary open architecture design, REGENESORB material, and unique mechanism of action to help promote secure fixation, 3 pull . temperature. INTRODUCTION. Hammering sounds generated by impacting the stem using a hammer through an inserter (VerSys, Zimmer Biomet, IN, USA) were analyzed using a fast Fourier transform analyzer (DS-3000, ONOSOKKI, Japan) . The following implants were placed: Zimmer Trilogy Cluster-Holed Shell (OD 54 mm; Tivanium Alloy) acetabular cup, Zimmer Longevity Crosslinked Polyethylene acetabular liner (32 mm ID, Standard Lip), Zimmer Versys Cobalt-chromium femoral head (32 mm, +0 mm), and Zimmer ML Taper Standard Offset, size 12.5 mm, Tivanium Alloy femoral stem (Zimmer . VerSys Hip System Instrumentation utilizes a core set of instruments for a system approach to provide a simple, precise, and reproducible implantation. Dislocation after primary total hip arthroplasty is a relatively common complication. this study were manufactured by Zimmer, Inc (Versys® Fiber Metal Taper stem and Trilogy® acetabular system cup, Zimmer Inc, USA). Uncemented components (Zimmer VerSys system, Warsaw, Ind) were implanted in all hips, consisting of a hemispherical acetabular shell implanted without screws and a proximal porous-coated wedge-shaped femoral stem.</P>Data were reviewed at a mean follow-up of 30 months (range, 26-37 months) after surgery, with approval from our institutional . Boston, MA Steven F. Schutzer, M.D. The Zimmer Institute (2003). Total hip replacement implants are exposed to high influence of dynamic . At Zimmer Biomet, we pursue exceptional outcomes. Boston, MA Harry E. Rubash, M.D. (1) (2) has lower heat conductivity than alumina (joint temperature can reach 99oC for zirconia, and 50oC for alumina) Titanium on Polyethylene. Background . The aim of study is to analyse the midterm clinical and radiographic performance of a cohort of patients who underwent primary . Surgical Data The average operative time was 55 min (range 38-140 min), and the average fluoroscopic time was 10.7 s (range 2-109 s). Three femora were unintentionally damaged by cr. Elbow. the potential benefit or difficulties related to the surgical approach 2. Materials and Methods AregistrydatabaseofLDH-THAsperformedusingamod-ified Watson-Jones approach between 2006 and 2009 was reviewed after IRB approval (number 99-3737B). A retrospective review was conducted to evaluate the mid-term results (8.5 years follow-up) of the Versys ET stem (Zimmer, Warsaw, Indiana, USA). Triology cup (Zimmer, Warsaw, Indiana) and Fiber Metal Taper (FMT) stem (Versys; Zimmer, Warsaw, Indiana). The senior author (EAS) has implanted a modern, forged cobalt-chromium, polished, tapered cemented femoral stem, with proximal and distal centralisation (VerSys CT, Zimmer, Warsaw, IN) since December 1996 (Fig. The Zimmer VerSys 13 x 170 mm CRC stem with 10 mm calcar augment is assembled and tightened on the back table. It helps determine the technique for removal of the existing implant, the size A cemented stem with or without calcar replacement (VerSys CRC, Zimmer, Warsaw, IN) was used in patients with thin femoral cortex. replacements using the Triology cup (Zimmer, Warsaw, IN, U.S.A.) and the Fiber Metal Taper stem (Versys, Zimmer, Warsaw, IN, U.S.A.) were per-formed by the two-incision method. 10.1016/j.arth.2013.10.002 10.1016/j.arth.2013.10.002 2020-06-11 00:00:00 As the need for revision total hip arthroplasty increases, surgeons are forced to deal with extensive proximal femoral bone loss. The Secur-Fit Advanced Hip Stem is suitable for various surgical approaches. Six stems were implanted in six composite femora. With the exception of the planning and execution of femoral bone preparation by the robot, the 2 groups were treated in an identical manner. 1). of the femoral stem, and the limb-length discrepancy, as previouslydescribed[20-22].Theradiographicassessments were reviewed and analyzed by an independent surgeon (C) 68-month after revision surgery, it showed stable bony . The lateral Hardinge approach was modified according to Thomine et al [6]. The cement is then finger packed into the femoral canal. Highest stress states on . It was first implanted in 1994, with published results showing 100% survivorship at 4 year follow-up.1 Dental. (Fig. the location of the femoral neck osteotomy. View Products. We strive to alleviate pain and improve the quality of life for people around the world. Revision would affect joint capability to sustain load, which makes this procedure irreversible. Versys™ (Zimmer, Warsaw, USA) stems were used in the cemented group (Figure 1) and Cone Prosthesis™ (Zimmer, Winterthur, Switzerland) femoral stems without cementing were used in the uncemented group (Figure 2). Durom cup, Metasul LDH, and VerSys Fiber Metal Taper stem (Zimmer, Warsaw, IN, USA) were used with the . Zimmer has combined the world's best tech-nologies, diverse surgi- . As a condition of training, all surgeons were asked to report patient demographics, surgical details, and perioperative complications to the company on . Incavo, Stephen J., Beynnon, Bruce D., and Coughlin, Kathryn M. "Total Hip Arthroplasty with the Secur-Fit and Secur-Fit Plus Femoral Stem Design." The Journal of Arthroplasty Vol. Tapered Distal Tip Design helps reduce strains in the cement, compared to conventional stems with distal hole designs.2,3 The distal centralizer fits over the outside diameter of the stem tip. Whether the surgical approach may influence the survival of LDH-MoM-THA has not been reported. T3 Implant and surgical instrumentation are held to rigorous tolerances to provide a closely integrated implant-to-osteotomy fit, creating a dental implant system designed for primary stability. 9. . 1 VerSys Beaded FullCoat Revision Hip Prosthesis Surgical Technique Preoperative Planning Preoperative planning is of critical importance in femoral revision surgery. Metaphyseal Stature Base Offset Stem Diameters (mm) Small Stature 40 10.5 - 12.0 Small Stature 43 13.5 - 22.5 Large Stature 40 10.5 - 12.0 Large Stature 45 13.5 - 22.5 Large Stature 52 13.5 - 22.5 6 DePuy Synthes Companies AML® Hip System Design Rationale/Surgical Technique A "round-the-corner" technique was used for femoral broaching and implant insertion as described by Santori et al 11). The stem was successfully removed using the FLS procedure in 8 of the 10 hips. The stem is inserted in approximately 5 degrees of anteversion, impacted down onto the remaining medial calcar and any excess cement is removed. 1 and 2), lateral synthetic radiographs of the proximal femur perpendicular to the symmetry plane of the femoral stem (Fig. Stress-shielding signals were obtained by determining the change in strain energy per unit bone mass caused by the presence of the femoral hip implant stem and its ratio . The subject of this paper is numerical analysis of stress dis- tribution on modular stem 'Zimmer VerSys ® CRC', Fig. In Stock! Surgical Techniques. "We adhere to strict regulatory standards, and work closely with the FDA and all applicable regulatory . Surgical Data The average operative time was 55 min (range 38-140 min), and the average fluoroscopic time was 10.7 s (range 2-109 s). Introduction. The cup is made of metal and fits into the natural hip socket. As a calcar stem, the VerSys CRC Prosthesis provides an opportunity to add build-up blocks of 10, 20, or 30mm to compensate for bone deficiencies. Flashcards (2) THA Prosthesis Design bearing surfaces. Before the acquisition, Biomet's top hip replacement product was the Arcos Modular Femoral Revision System. A hip prosthesis for insertion into a femur. The diameter of the head of the femoral component used was 28 mm. The datum guide is positionable in a predetermined position relative to the intramedullary canal and is able to create a datum that records the predetermined hip stem component position relative to the intramedullary canal. Open architecture meets advanced healing Redefining healing potential in rotator cuff repair 1,2 with an additional fixation point 3 and superior bone resorption 4-6. 2,8,9,14 The posterior approach, the most popular approach, is technically simpler than other approaches, but it reportedly has an increased risk of postoperative dislocation. An uncemented, extensively porous coated, cylindrical stem (VerSys Beaded Fullcoat, Zimmer, Warsaw, IN) was used in patients with good metaphyseal and diaphyseal femoral bone stock. Zimmer's M/L Taper Hip, M/L Taper Hip with Kinectiv Technology, and VerSys Femoral Head are types of hip implants. Alongside some of the world's top healthcare professionals, we help deliver new possibilities to patients. Among various types of composite biological reconstruction, pasteurized autograft-prosthesis composite (PPC) is popular when allograft is unavailable. . selected stem provides the desired amount of leg length. Large-diameter head (LDH) metal-on-metal (MoM) total hip arthroplasty (THA) has lost popularity because of metal allergy or ALTRs (adverse local tissue reactions) in the past decade. Total hip replacement implants represent permanent implants and require large bone and cartilage removal during implantation. 1) femoral component include use standard 20 percent magnification, determining the anticipated size which is near the average magnifica- of the implant to be inserted and tion on most clinical radiographs. Ships Today! Reimplantation surgery was performed in 6 of the 12 hips with ARMD, periprosthetic infection, or metallosis. Zimmer Segmental System Proximal Femoral Component and Intercalary Segments Surgical Technique Introduction The Zimmer® Segmental System is designed to address significant bone loss resulting from oncology, trauma, and/or the salvage of previously failed arthroplasty. 3), using the ORTHODOC and the CT data. A shank portion may extend distally from the anterior and posterior locking surfaces and converge at an angle distally toward the . ventional manual techniques for THA. Zimmer® M/L Taper Hip Prosthesis Reduced Neck Length 5 Surgical Technique Osteotomy of the Femoral Neck Once neutral alignment has been determined, move the template proxi- After dislocating the joint, mally or distally to the correct height as Incision superimpose the Zimmer M/L Taper determined by preoperative planning. Hip. The anterior half of the gluteus medius and anterior third of the gluteus minimus tendons were elevated and . Total Joint Surgery Request Form - HIP ** Please ensure items requested are at the site you are going to, if not it is a Special Order and a NOTICE of 3 WORKING DAYS is REQUIRED.. This FLS technique may allow the easy removal of well-fixed extended porous-coated stems and become an alternative method for the removal of all stems. Zimmer® M/L Taper Hip Prosthesis Reduced Neck Length 5 Surgical Technique Osteotomy of the Femoral Neck Once neutral alignment has been determined, move the template proxi- After dislocating the joint, mally or distally to the correct height as Incision superimpose the Zimmer M/L Taper determined by preoperative planning. New hip lawsuits involve M/L Taper Hip implants used with the Versys Femoral Head. SURGICAL TECHNIQUE FOR VERSYS CRC (CEMENTED REVISION/CALCAR) HIP PROSTHESIS BY: Dennis W. Burke, M.D. A standard total hip replacement has four parts: a cup, liner, ball, and stem. Fig. METHODS We approached 18 consecutive patients with primary The stem of the femoral component should fill, or nearly fill, the medullary canal in the isthmus area on the A/P x-ray film. Superimpose the template on the isthmus and estimate the appropriate size of the femoral stem. increased with. The femoral neck was cut horizontally at a head-neck juncture to make a wider entrance for the stem. Thereby, these structures are prone to failure by fatigue. to the complete VerSys family of stems. Proximal Femoral Replacement Options The seal integrity is provided by a stable, tight implant/abutment interface that can minimize abutment micromotion and reduce the 1). The thighbone is called the femur. "Minimally invasive total hip arthroplasty: the 2-incision procedure with VerSys beaded fullcoat plus and trilogy acctabular system". Refer to published surgical technique prior to actual implantation of all VerSys Porous Hip Prostheses. In 2012, the FDA convened an advisory panel to discuss the need to monitor patients who had received metal-on-metal hip replacements due to adverse events associated with the implantation of such devices. Patients were implanted with the DePuy AML or Howmedica Osteolock stems in the first clinical trial, and with Zimmer VerSys FMT or Howmedica Zimmer returned the Durom Cup to the US market after the creation of a surgical training program that was made available on the Zimmer website. Zimmer Revision Systems include femoral and acetabular components which can accommodate a wide variety of bone conditions and patient sizes to provide individual solutions for better patient matching. Due to the multi-lattice designs, the maximum von Mises stress values on the hip implant stem were reduced from 289 to 189 MPa, as well as a weight reduction of up to 25.89%. These reconstructed CT images were created using A total of 181 patients undergoing 204 primary non-complicated THA surgical procedures in the period from January 2000 to October 2005 inclusively were included in this study. 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