Arcos Modular Femoral Revision System - Biomet Archos Glamour... · The Arcos Modular Femoral...

Arcos Modular Femoral Revision System

Arcos System

The Arcos Modular Femoral Revision

System meets the demands of complex

hip revision surgery by offering

surgeons and OR staff the ability to

customise both the hip implant and

its corresponding instruments in a way

that addresses patient and practice

needs.

The Arcos System’s three proximal

and five distal geometry options

provide surgeons 117 proximal/distal

combinations and multiple auxiliary

fixation options for various femoral

defects.

Simplify the Complex

Cone Proximal BodyOffset OptionStandard and high offset options reproduce various patient anatomies without lengthening the leg

Clinically Proven PPS Coating1-4

Allows for initial scratch-fit stability and bone fixation

BoneMaster CoatingDemonstrated significantly greater bone density in Gruen zone 1 compared to identical standard HA coated implants13

Trochanteric Reattachment Bolt HoleAllows for reattachment of the trochanteric fragment directly to the implant, increasing stability and aiding in bony repair

Version ControlProximal body design allows for intraoperative version adjustment independent of distal stem position

Conical DesignAllows for multiple surgical techniques and vertical offset options

STS (Splined Tapered Stem) Distal StemRoller HardeningRoller-hardened tapers provide up to three times more strength in cantilever beam testing than non-roller hardened tapers5

BoneMaster Coating Demonstrated significantly greater bone density in Gruen zone 1 compared to identical standard HA coated implants13

Splined Tapered 3 degree splined tapered design transfers load distally and provides rotational stability6

Grit BlastProvides for potential long-term stability through bone fixation

Stem Design and Length OptionsStraight stem available in 150 and 190mm lengths

Slotted Distal StemRoller HardeningRoller-hardened tapers provide up to three times more strength in cantilever beam testing than non-roller hardened tapers5


PPS Coating1-4


Anatomic BowMatches the natural anatomy of the femur

Coronal SlotDesigned to reduce the risk of anterior impingement, allow for extended distal fixation and reduce thigh pain

Stem Design and Length OptionsBowed stem available in 150, 200 and 250mm lengths

Calcar Proximal BodyOffset OptionStandard and high offset options reproduce various patient anatomies without lengthening the leg

Clinically Proven PPS Coating1–4



Trochanteric Reattachment Bolt HoleAllows for reattachment of the trochanteric fragment directly to the implant increasing stability and aiding in bony repair


Calcar ShelfThree resection options, for differing levels of bone loss, are designed to transfer load from proximal body to medial bone

3

Bullet-tip Distal StemRoller Hardening Roller-hardened tapers provide up to three times more strength in cantilever beam testing than non-roller hardened tapers5


PPS Coating1-4



Polished Bullet-shaped Distal TipA gradual separation from cortex provides for reduction in distal stresses

Stem Design and Length OptionsStraight stem available in 115mm length; bowed stem available in 150, 200 and 250mm lengths

ILS (Interlocking) Distal StemRoller Hardening Roller-hardened tapers provide up to three times more strength in cantilever beam testing than non-roller hardened tapers5


PPS Coating1-4



Polished Bullet-shaped Distal TipA gradual separation from cortex provides for reduction in distal stresses

Distal Locking Screw HolesProvide for initial rotational stability in complex femoral reconstruction

Stem Design and Length OptionsBowed stem available in 200, 250 and 300mm lengths

Cone

STS

Calcar

Slotted

Bullet-tip

Interlo

cking

1

Broached Proximal BodyOffset OptionStandard and high offset options reproduce various patient anatomies without lengthening the leg

Clinically Proven PPS Coating1–4



Trochanteric Reattachment Bolt HoleAllows for reattachment of the trochanteric fragment directly to the implant, increasing stability and aiding in bony repair


Fit and Fill DesignProvides initial stability and bone contact when deficiencies are minimal

Broach

edETO

The bolt and claw auxiliary implants

allow the surgeon to reattach the

trochanteric fragment in cases

where a trochanteric osteotomy

is necessary. This unique design

allows for the trochanteric fragment

to attach directly to the implant.

Bolt and Claw Auxiliary Option

ETO (Extended Trochanteric Osteotomy) Distal StemRoller HardeningRoller-hardened tapers provide up to three times more strength in cantilever beam testing than non-roller hardened tapers5

Splined Tapered3 degree splined tapered design transfers load distally and provides rotational stability6

PPS Coating1-4


Grit Blast Provides for potential long-term stability through bone attachment


Dual Mode FixationProvides biologic fixation for the trochanteric fragment and rotational stability for the intact portion of the femur when an ETO is necessary

Stem Design and Length OptionKinked stem available in 250mm length

Arcos Instrumentation

Instrumentation should not limit surgeons’

implant selection or preferred surgical

technique. The Arcos Modular Femoral

Revision System is designed to provide

the option to use any implant combination

with the surgical technique that is required

to address the needs of the patient.

Surgeon Preference

Modular Reamer

Trial

Implant

Arcos Instrumentation

Designed with common proximal implant and

instrument geometries, the Arcos Platform

design allows for intraoperative revision

efficiency by reducing the number of

instrument cases required to a number

comparable to a primary hip surgery.

Enhanced Intraoperative Efficiency

Biomet Competitor A Competitor B0

5

10

15

20

25

Num

ber

of

Inst

rum

ent

Cas

es

Modular Reamer

The proximal and distal reamer can be combined or used independently to prepare the proximal and distal portion of the femur, based on the desired surgical technique.

Common Implant and Instrument Geometry

Total Number of System Cases

Arcos System – Addressing Complex Situations

In specific cases revision hip surgery involves

both the femur and acetabulum. Biomet

offers implants designed for advanced

fixation, low wear and dislocation resistance

allowing surgeons to address the most

complex revision situations.

Fulfilling Patient Needs

Freedom Constrained Liner

Offers high level of constraint while maintaining optimal range of motion5,7,8

Maximum Range of Motion:114 Degrees

Average Lever-out Force:198 in. lbs.

Arcos System – Addressing Complex Situations

Trabecular Metal is a registered trademark of Zimmer Inc

Regenerex Porous Titanium Construct unites

the proven clinical history of titanium12 with

an enhanced interconnecting pore structure,

resulting in a revolutionary material that provides

for high levels of biologic fixation.5,10

Regenerex material provides for:• Averageporosityof67

percent5

• Optimalporesizerangefrom 100 to 600 microns (average of 300 microns)5

• Highstrengthandflexibility5

• Fixationinasearlyastwoweeks in animal studies5,10

Bone Integration in Similar Animal StudyTwo weeks after insertion, Regenerex implants displayed bony integration and vascularization

52 Weeks26 Weeks16 Weeks4 Weeks2 Weeks

Regenerex Material10

0

20

40

60

80

100

% B

one

In V

oid

Are

a

Bone Integration5,10

Trabecular Metal™11

No testing data available

Regenerex Porous Titanium Construct Provides for Rapid Fixation in Complex Situations

Regenerex Acetabular Augments

Designed to help maximize stability of components in complex reconstruction

Regenerex RingLoc+ Acetabular Shells

Provide high levels of biologic fixation combined with unparalleled locking technology8–10

Any time the liner is removed, it is recommended that the locking ring be removed and replaced with a new one. If the liner is damaged in any way, a new liner should be utilised.

Authorized Representative: Biomet U.K., Ltd. Waterton Industrial Estate Bridgend, South Wales CF31 3XA, U.K.

FLH

21

2

01

/11

This publication and all content, artwork, photographs, names, logos and marks contained in it are protected by copyright, trademarks and other intellectual property rights owned by or licensed to Biomet or its affiliates. This brochure must not be used, copied or reproduced in whole or in part for any purposes other than marketing by Biomet or its authorised representatives. The use for any other purposes is prohibited.

Biomet does not practice medicine and is not responsible nor does it recommend for the selection of any particular orthopaedic implant or surgical technique for use on a specific patient. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting prosthesis in each individual patient. © Biomet 2011

Arcos, PPS, STS, BoneMaster and Regenerex are registered trademarks from Biomet Inc.

References 1. McLaughlin, J. et al. Total Hip Arthroplasty with an Uncemented

Tapered Femoral Component. Journal of Bone and Joint Surgery. 6(90): 1290–6, 2008.

2. Rothman, R. et al. Cementless Femoral Fixation in the Rheumatoid Patient Undergoing Total Hip Arthroplasty: Minimum 5 Year Results. Journal of Arthroplasty. 16(4): 415–21, 2001.

3. Keisu, K.S. et al. Primary Cementless Total Hip Arthroplasty in Octogenarians: Two to Eleven-Year Follow Up. Journal of Bone and Joint Surgery. 83: 359, 2001.

4. Rothman, R. et al. Immediate Weight bearing after Uncemented Total Hip Arthroplasty. Clinical Orthopedics and Related Research. 349: 156–62, 1998.

5. Data on file at Biomet. Bench test results not necessarily indicative of clinical performance.

6. Wagner, H. et al. Cone prosthesis for the Hip Joint. Archives of Orthopaedic and Trauma Surgery. 120: 88–95, 2000.

7. Tradonsky, S. et al. Performance Characteristics of Two-piece Acetabular Cups Series II. Scientific Exhibit. 62nd Annual AAOS Meeting. 1996.

8. Mukesh, K. et al. Porous Ti6Al4V Foam Increases Bone Attachment Strength Over a Surface-rounded Ti6Al4V Treatment. Manuscript in preparation for submission for publication. Data on file at Biomet.

9. Fehring, T. et al. Biomet Study. Motion at the Modular Acetabular Shell and Liner Interface. Clinical Orthopaedics and Related Research. 367: 306–14, 1999.

10. Data on file at Biomet. Testing done on animal models.

11. Bobyn, J.D. et al. Characteristics of Bone Ingrowth and Interface Mechanics of a New Porous Tantalum Biomaterial. Journal of Bone and Joint Surgery (British). 81-B(5): 907, 1999.

12. Hahn, H. and Palich, W. Preliminary Evaluation of Porous Metal Surfaced Titanium for Orthopedic Implants. Journal of Biomedical Materials Research. 4(4): 571–7, 1970.

13. Bøe B, Heier T, Snorrason F, Nordsletten L (2006) Change in bone density and implantation AV Taperloc cementless hip prosthetic with two different hydroxyapatite coatings. A prospective randomized trial. Nordic Orthopaedic Federation 53rd Congress, Oslo, Norway

This publication has been created by Biomet European Central Marketing

Waterton Industrial Estate

Bridgend, South Wales

CF31 3XA, United Kingdom

Tel. 01656 655221Fax: 01656 645454

One Surgeon. One Patient.

Arcos Modular Femoral Revision System - Biomet Archos Glamour... · The Arcos Modular Femoral...

Documents

Transcript of Arcos Modular Femoral Revision System - Biomet Archos Glamour... · The Arcos Modular Femoral...