Prostheses used in 2012

Prostheses used in hip, knee, ankle,

elbow and shoulder replacement

procedures 2012

201310th Annual Report

ISSN 1745-1450 (Online)

HIPS

KNEES

ANKLES

ELBOWS

SHOULDERS

PROMs

National Joint Registry for England, Wales and Northern IrelandSurgical data to 31 December 2012

2 www.njrcentre.org.uk

Contents1 Prostheses used in hip procedures 2012 4

1.1 Femoral head material and size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41.2 Brand sales of conventional total hips and resurfacing prostheses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.3 Combinations of cups and stems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201.4 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

2 Prostheses used in knee procedures 2012 66

2.1 Prostheses entered into the NJR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 2.2 Usage of fixed versus mobile bearing tibial inserts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

3 Prostheses used in ankle procedures 2012 71

4 Prostheses used in elbow procedures 2012 72

5 Prostheses used in shoulder procedures 2012 73

6 Cement use 2012 76

7 Bone substitute use 2012 80

Tables

Table 1 Frequency of material chosen for femoral heads in procedures performed in 2012. . . . . . . . . . . . . . . . . . . . . . . 4 Table 2 Frequency of femoral head sizes for procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Table 3(a)� Cemented cup brands for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Table 3(b)� Cemented cup brands for revision hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Table 4(a)� Cementless cup brands for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . 8Table 4(b)� Cementless cup brands for revision hip procedures performed during 2012. . . . . . . . . . . . . . . . . . . . . . . . . 10Table 5(a)� Cemented stem brands for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . 12Table 5(b)� Cemented stem brands for revision hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . 14Table 6(a)� Cementless stem brands for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 15Table 6(b)� Cementless stem brands for revision hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 18Table 7 Brands of resurfacing head for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 20Table 8 Brands of resurfacing cup used with a conventional stem for primary hip procedures performed during 2012 . 20 Table 9(a)� Cup-stem brand combinations for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . 21Table 9(b)� Cup-stem brand combinations for revision hip procedures performed during 2012. . . . . . . . . . . . . . . . . . . . 48 Table 10(a)� Brands for total condylar knee primary procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 66Table 10(b)� Brands for total condylar knee revision procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 68Table 11 Brands for primary and revision unicondylar knee replacement procedures performed during 2012 . . . . . . . . . . 69Table 12 Brands for primary and revision patello-femoral joint replacement procedures performed during 2012 . . . . . . . . . . 69Table 13 Fixed and rotating hinged knee brands for primary and revision knee procedures performed during 2012 . . . 70Table 14 Tibial insert type for primary and revision knee procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . 70

National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report

3www.njrcentre.org.uk

Table 15(a)� Brands for primary ankle procedures performed in 2012. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71Table 15(b)� Brands for revision ankle procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71Table 16 Humeral elbow brands for primary and revision procedures performed in 2012. . . . . . . . . . . . . . . . . . . . . . . . 72Table 17 Elbow radial head brands for primary and revision procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . 72Table 18(a)� Shoulder brands for primary shoulder resurfacing procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . 73Table 18(b)� Shoulder brands for revision shoulder resurfacing procedures performed in 2012 . . . . . . . . . . . . . . . . . . . 73Table 19(a)� Shoulder humeral stem brands for primary shoulder procedures performed in 2012 . . . . . . . . . . . . . . . . . . 74Table 19(b)� Shoulder humeral stem brands for revision shoulder procedures performed in 2012 . . . . . . . . . . . . . . . . . 75Table 20 Type of cement used in hip, knee, ankle, elbow and shoulder replacement procedures performed in 2012 . . 76Table 21(a)� Brands of cement used in hip procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77Table 21(b)� Brands of cement used in knee procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78Table 21(c)� Brands of cement used in ankle procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78Table 21(d)� Brands of cement used in elbow procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79Table 21(e)� Brands of cement used in shoulder procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79Table 22(a)� Brands of synthetic bone substitute used in hip procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . 80Table 22(b)� Brands of synthetic bone substitute used in knee procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 81Table 22(c)� Brands of synthetic bone substitute used in ankle procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 81Table 22(d)� Brands of synthetic bone substitute used in elbow procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 81Table 22(e)� Brands of synthetic bone substitute used in shoulder procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . 81


This section reports the numbers of prostheses implanted between 1 January and 31 December 2012 and entered into the NJR by February 2013.

The procedure counts in this section of the report may vary to the procedure counts in Part Two of the Annual Report. This section counts only those procedures where the implants being described have been used. Therefore, if a procedure has been submitted with missing implant information this will cause numbers to be different from Part Two.

1.1 Femoral head material and sizeTable 1 shows the relative use of different modular heads. There has been a 2% decrease in the use of metallic heads and a 2% increase in the use of ceramic heads compared with 2011. Since 2008 there has been a 12% decrease in the use of metallic heads.

1 Prostheses used in hip procedures 2012

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Table 1 Frequency of material chosen for femoral heads in procedures performed in 2012.

MaterialNumber of

procedures

Number of modular femoral

heads used %85,814 83,725

Ceramic 32,411 39%

Metal 51,314 61%

Table 2 shows the frequency of the different femoral head sizes. The main change compared with 2011 is a decrease in the use of very large heads from 38mm

and above. This is a reversal of the trend from 2009 to 2011.



Table 3(a) Cemented cup brands for primary hip procedures performed during 2012.

Manufacturer BrandNumber of

procedures % ODEP rating 26,950

Stryker Contemporary 9,061 34% 5A

DePuy Elite Plus Ogee 3,024 11% 10A

Stryker Exeter Rimfit 2,998 11% Unclassified

DePuy Marathon 2,658 10% 3A

DePuy Elite Plus Cemented Cup 1,860 7% 10A

Stryker Exeter Duration 1,168 4% 10A

Zimmer ZCA 1,062 4% 10A

Smith & Nephew Opera 875 3% 7A

Zimmer Low Profile Muller 578 2% Unclassified

Biomet Stanmore-Arcom Cup 530 2% 10A

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1.2 Brand sales of conventional total hips and resurfacing prostheses

Tables 3 to 8 show the most frequently used brands in England and Wales during 2012, as assessed by

their rate of entry into the NJR database. The level of assessment according to ODEP criteria is given in the final column. The tables have been split into two to show brand usage in primary procedures and revision procedures separately.

Table 2 Frequency of femoral head sizes for procedures performed in 2012.

Ceramic acetabulum articulation

Ceramic acetabulum articulation

Metal acetabulum articulation

Metal acetabulum articulation

Polyethylene acetabulum articulation

Polyethylene acetabulum articulation

Number of procedures

with complete articulation

% of Procedures

Head Size (mm)

Ceramic Head Metal Head



18,284 77 69 1,369 13,630 48,933 82,362

22.25 <1% 0% 0% 1% 2% 2% 1,230 1%

26 0% 0% 0% 0% <1% 2% 945 1%

28 7% 68% 19% 10% 34% 47% 28,970 35%

30 0% 0% 0% 0% 0% <1% 41 <1%

32 28% 6% 0% 1% 35% 32% 25,417 31%

34 0% 0% 0% 0% 0% <1% 1 <1%

36 58% 26% 78% 7% 28% 16% 22,610 27%

38 0% 0% 0% <1% 0% <1% 11 <1%

40 6% 0% 3% <1% <1% 1% 1,709 2%

42 0% 0% 0% 1% 0% <1% 41 <1%

44 <1% 0% 0% 2% <1% <1% 289 <1%

46 0% 0% 0% 7% 0% <1% 109 <1%

48 <1% 0% 0% 13% 0% <1% 214 <1%

50 0% 0% 0% 24% 0% 0% 332 <1%

52 0% 0% 0% 17% 0% 0% 234 <1%

54+ 0% 0% 0% 15% 0% 0% 209 <1%

Total 100% 100% 100% 100% 100% 100% 100%

Continued >



procedures % ODEP ratingDePuy Charnley Ogee 521 2% 10A

DePuy Charnley Cemented Cup 417 2% 10A

DePuy Wroblewski Golf Ball 279 1% 5B

Mathys Orthopaedics Ltd CCB Mathys 249 <1% 10A

Smith & Nephew Reflection Cemented 209 <1% 10A

Zimmer Zimmer Cemented Cup 192 <1% 10A

Corin Cenator Cemented Cup 185 <1% 7A

Biomet Apollo 167 <1% 5A

Biomet SHP Cup 167 <1% 5A

B Braun / Aesculap Chirulen 141 <1% Unclassified

Sheffield Medical Products Limited

Aeon Cemented Cup 134 <1% Pre-Entry

Joint Replacement Instrumentation Ltd

JRI Cemented Cup 96 <1% 7A

Waldemar Link Interplanta 69 <1% Unclassified

Orthodynamics Novae Stick 60 <1% 3A

Zimmer Metasul-Muller 54 <1% Unclassified

Biomet Exceed ABT Cemented 50 <1% Pre-Entry

Waldemar Link Snap Fit 20 <1% Unclassified

Biomet CMK Cemented Cup 19 <1% 5A

Waldemar Link Link Flange Cup 18 <1% Unclassified

Biomet Avantage Cemented Cup 17 <1% Unclassified

Implants International Edinburgh Cup 16 <1% 3A

Smith & Nephew Polarcup Cemented 12 <1% Pre-Entry

Implants International CCB 9 <1% Unclassified

Biomet Freedom 8 <1% Unclassified

Zimmer Centerpulse Muller 8 <1% Unclassified

Stryker Restoration Gap2 7 <1% Unclassified

Wright Medical UK Ltd A Class 7 <1% Unclassified

Biomet Scan Cemented Cup 1 <1% Unclassified

Corin Hi-Nek Cemented Cup 1 <1% Unclassified

DePuy Ultima Cemented Cup 1 <1% Discontinued

Serf Dedienne sante Novae Stick 1 <1% 10B

Stryker Gap Ring 1 <1% Unclassified

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Table 3(a) continued



Table 3(b) Cemented cup brands for revision hip procedures performed during 2012.


procedures %1,752

Stryker Exeter Rimfit 377 22%

Stryker Contemporary 321 18%

DePuy Marathon 256 15%

DePuy Elite Plus Ogee 143 8%

DePuy Elite Plus Cemented Cup 112 6%

Orthodynamics Novae Stick 98 6%

Biomet Avantage Cemented Cup 58 3%

Stryker Restoration Gap2 40 2%

Smith & Nephew Opera 37 2%

Biomet Stanmore-Arcom Cup 36 2%

DePuy Wroblewski Golf Ball 34 2%

DePuy Charnley Cemented Cup 31 2%

Stryker Exeter Duration 28 2%

Centerpulse Low Profile Muller 26 1%

Corin Cenator Cemented Cup 24 1%

Zimmer ZCA 21 1%

B Braun / Aesculap Chirulen 17 <1%

Joint Replacement Instrumentation Ltd JRI Cemented Cup 13 <1%

Waldemar Link Snap Fit 13 <1%

DePuy Charnley Ogee 12 <1%

Zimmer Zimmer Cemented Cup 11 <1%

Smith & Nephew Reflection Cemented 8 <1%

Smith & Nephew Polarcup Cemented 7 <1%

Biomet Exceed ABT Cemented 4 <1%

Biomet Freedom 3 <1%

Biomet SHP Cup 3 <1%

Waldemar Link Interplanta 3 <1%

Biomet Apollo 2 <1%

Implants International Edinburgh Cup 2 <1%

Mathys Orthopaedics Ltd CCB Mathys 2 <1%

Serf Dedienne sante Novae Stick 2 <1%

Sheffield Medical Products Limited Aeon Cemented Cup 2 <1%

Zimmer Metasul-Muller 2 <1%

Corin CTI Cemented Cup 1 <1%

Corin Hi-Nek Cemented Cup 1 <1%

DePuy Elite Plus Flanged 1 <1%

Stryker Gap Ring 1 <1%

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procedures % ODEP rating47,631

DePuy Pinnacle 15,545 33% 10C

Stryker Trident 8,773 18% 7A

Biomet Exceed ABT 3,735 8% 5A

Zimmer Trilogy 3,295 7% 7A


CSF Plus 3,209 7% 3A

Corin Trinity 1,872 4% 3A

Smith & Nephew R3 Cementless 1,850 4% 3A

Zimmer Continuum 1,530 3% Pre-Entry


CSF 872 2% 10A

Wright Medical UK Ltd Procotyl 797 2% Pre-Entry

Lima Delta TT 607 1% Unclassified

Zimmer Trabecular Metal Cementless Cup 499 1% 5A

Zimmer Allofit 484 1% 10A

B Braun / Aesculap Plasmacup Cementless Cup 482 1% 7A

Stryker Tritanium 419 <1% 3A

DePuy DeltaMotion 380 <1% 3A

Zimmer FM IT 377 <1% Unclassified

Medacta UK Ltd Versafit 373 <1% 3A

Symbios SA April 340 <1% Unclassified

Zimmer Trilogy IT 303 <1% Unclassified

Smith & Nephew EP-Fit Plus 288 <1% 5A

Mathys Orthopaedics Ltd RM Mathys 217 <1% 10A

Biomet Exceed 149 <1% 3A

FH Orthopaedics Atlas IIIp 120 <1% 10A

Lima Delta PF 99 <1% 3A

Stryker ABG II Cementless Cup 93 <1% 7A

Smith & Nephew Reflection Cementless 90 <1% 7A

Orthodynamics Novae 80 <1% 5A

Biomet Avantage 77 <1% 7B

Active Implants Tribofit 76 <1% Unclassified

Zimmer CLS Cementless Cup 74 <1% 10A

Biomet Mallory-Head Cementless Cup 60 <1% 10A

Biomet Regenerex Ringloc+ 55 <1% Unclassified

Mathys Orthopaedics Ltd seleXys PC 54 <1% Pre-Entry

Smith & Nephew EPF-Plus 50 <1% 3A

Stryker Restoration ADM Cup 49 <1% Unclassified


Furlong Threaded 41 <1% 10A

Lima Delta One TT 35 <1% Unclassified

Table 4(a) Cementless cup brands for primary hip procedures performed during 2012.

Continued >




procedures % ODEP ratingWaldemar Link Beta Cup 24 <1% Unclassified

Exactech (UK)� Ltd Novation 23 <1% Unclassified

Smith & Nephew Bicon-Plus 23 <1% 10A

DePuy Gyros 19 <1% Unclassified

Amplitude Saturne 17 <1% Unacceptable

DePuy Duraloc Cementless Cup 17 <1% 10A

Zimmer Maxera 17 <1% Unclassified

Smith & Nephew Polarcup Cementless 9 <1% 5A

Stryker Secure Fit Cementless Cup 8 <1%Not ODEP

Rated Product

Zimmer Trabecular Metal Natural Cup 7 <1% 5A

Exactech (UK)� Ltd Acumatch Cup 6 <1% Unclassified

Zimmer Fitmore 4 <1% 7B

Biomet Regenerex Revision 2 <1%Not ODEP

Rated Product

Corin DC-Fit 2 <1% Unclassified

Serf Dedienne sante Sunfit 2 <1% Unclassified

DePuy J-Loc 1 <1% Unclassified

Lima Delta Revision TT 1 <1%Not ODEP

Rated Product

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Continued >


Table 4(b) Cementless cup brands for revision hip procedures performed during 2012.


procedures %5,494

Zimmer Trabecular Metal Cementless Cup 1,397 25%

DePuy Pinnacle 847 15%

Stryker Tritanium 554 10%

Stryker Trident 455 8%

Lima Delta One TT 421 8%

Lima Delta TT 357 6%

Zimmer Continuum 321 6%

Biomet Regenerex Ringloc+ 184 3%

Joint Replacement Instrumentation Ltd CSF Plus 161 3%

Zimmer Trilogy 140 3%

Smith & Nephew R3 Cementless 108 2%

Biomet Exceed ABT 100 2%

Corin Trinity 62 1%

Wright Medical UK Ltd Procotyl 42 <1%

Lima Delta Revision TT 37 <1%

B Braun / Aesculap Plasmacup Cementless Cup 32 <1%

Biomet Avantage 32 <1%

Orthodynamics Novae 31 <1%

Mathys Orthopaedics Ltd RM Mathys 27 <1%

Amplitude Saturne 24 <1%

Zimmer Trilogy IT 17 <1%

Joint Replacement Instrumentation Ltd CSF 16 <1%

Biomet Mallory-Head Cementless Cup 15 <1%

Zimmer FM IT 11 <1%

Stryker Restoration ADM Cup 10 <1%

Zimmer Trabecular Metal Natural Cup 10 <1%

Smith & Nephew Reflection Cementless 9 <1%

Smith & Nephew EP-Fit Plus 8 <1%

DePuy Gyros 7 <1%

Zimmer Allofit 7 <1%

Biomet Regenerex Revision 6 <1%

DePuy DeltaMotion 6 <1%

Medacta UK Ltd Versafit 6 <1%

Stryker Secure Fit Cementless Cup 6 <1%

Exactech (UK)� Ltd Acumatch Cup 4 <1%

Biomet Exceed 3 <1%

Joint Replacement Instrumentation Ltd Furlong Threaded 3 <1%

Symbios SA April 3 <1%

FH Orthopaedics Atlas IIIp 2 <1%

Serf Dedienne sante Sunfit 2 <1%

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Continued >




procedures %Smith & Nephew EPF-Plus 2 <1%

Smith & Nephew Polarcup Cementless 2 <1%

Active Implants Tribofit 1 <1%

Biomet Par-5 1 <1%

Corin Cerafit Cementless Cup 1 <1%

DePuy Duraloc Cementless Cup 1 <1%

Orthodynamics Hilock 1 <1%

Zimmer CLS Cementless Cup 1 <1%

Zimmer Fitmore 1 <1%

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Table 4(b) continued

Continued >


Table 5(a) Cemented stem brands for primary hip procedures performed during 2012.



Stryker Exeter V40 25,161 66% 10A

Zimmer CPT 4,666 12% 10A

DePuy C-Stem AMT Cemented Stem 1,921 5% 3A

DePuy C-Stem Cemented Stem 1,680 4% 10A

DePuy Charnley Cemented Stem 908 2% 10A

Biomet Stanmore Modular Stem 828 2% 10A

Zimmer MS-30 535 1% 10B

Biomet Muller-Biomet 343 <1% 5A

Smith & Nephew CPCS 341 <1% 5A

Corin Taperfit Cemented Stem 308 <1% 10A

Mathys Orthopaedics Ltd CCA Cemented Stem 207 <1% 10A

Zimmer Muller Straight Stem 190 <1% 10A


Aeon Cemented Stem 176 <1% Pre-Entry

Waldemar Link SP II Cemented Stem 156 <1% 10A

Biomet Olympia 137 <1% 5A

Biomet Taperloc Cemented Stem 121 <1% 3A

B Braun / Aesculap Excia Cemented 117 <1% Unclassified

DePuy Charnley Modular 82 <1% 7A


Furlong Cemented Stem 75 <1% 10C

Smith & Nephew Spectron 62 <1% 10A

B Braun / Aesculap Centrament 60 <1% 7B

Wright Medical UK Ltd Profemur Cemented Stem 54 <1% Pre-Entry

DePuy Corail Cemented 47 <1% Pre-Entry

Stryker Omnifit Cemented Stem 33 <1% 10A

Zimmer P10 Muller 26 <1% 10A

Biomet CMK Cemented Stem 19 <1% 3A

Biomet Bimetric Cemented (Ti)� 17 <1% 10A

Smith & Nephew CPS Plus 16 <1% 7A


Furlong Cemented Hemiarthroplasty 15 <1% Unclassified

Implants International Edinburgh 14 <1% 3A

Zimmer VerSys Heritage 11 <1% Discontinued

Waldemar Link SP II Cemented Revision 10 <1%Not ODEP

Rated Product

DePuy Summit Cemented Stem 7 <1% 3A

Stryker Exeter 7 <1% 10A

B Braun / Aesculap Trilliance 5 <1% Unclassified

Medacta UK Ltd AMI 5 <1% Pre-Entry

Stryker GMRS 5 <1% Unclassified

Smith & Nephew Echelon Cemented Stem 4 <1% Unclassified

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Continued >



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procedures % ODEP ratingStryker Restoration Cemented Stem 3 <1% Unclassified

B Braun / Aesculap Prevision Cemented Stem 2 <1% Unclassified

Stanmore Implants Worldwide

METS Cemented 2 <1%Not ODEP

Rated Product

B Braun / Aesculap Metha Cemented 1 <1% Unclassified

Biomet Bimetric Cemented (CoCr)� 1 <1% 5A

Biomet Stanmore Monobloc Stem 1 <1% 10A

Lima Friendly 1 <1% Unclassified

Orthodynamics Cannulok Cemented Stem 1 <1% Unclassified


Continued >


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Table 5(b) Cemented stem brands for revision hip procedures performed during 2012.


procedures %

Procedures using femoral

bone graft2,721 121

Stryker Exeter V40 1,751 64% 73

Zimmer CPT 371 14% 10

DePuy C-Stem Cemented Stem 240 9% 19

DePuy C-Stem AMT Cemented Stem 103 4% 6

Biomet Stanmore Modular Stem 33 1% 2

Waldemar Link SP II Cemented Revision 19 <1% 1

Biomet Muller-Biomet 15 <1% 0

Centerpulse MS-30 15 <1% 1

Waldemar Link SP II Cemented Stem 13 <1% 1

DePuy Charnley Cemented Stem 11 <1% 1

DePuy Corail Cemented 11 <1% 1

Stryker GMRS 11 <1% 0

B Braun / Aesculap Excia-Cemented 10 <1% 0

Corin Taperfit Cemented Stem 10 <1% 0

Biomet dyt 9 <1% 0

Stryker Restoration Cemented Stem 9 <1% 0

DePuy Charnley Modular 8 <1% 0

Biomet Bimetric Cemented (CoCr)� 7 <1% 0

DePuy Wroblewski Resection 7 <1% 3

Smith & Nephew CPCS 7 <1% 0

Smith & Nephew Echelon Cemented Stem 6 <1% 0

Smith & Nephew Spectron 6 <1% 0

Zimmer Muller Straight Stem 6 <1% 1

DePuy Elite Plus Cemented Stem 5 <1% 0Stanmore Implants Worldwide METS Cemented 5 <1% 1

B Braun / Aesculap Centrament 4 <1% 0Joint Replacement Instrumentation Ltd Furlong Cemented Stem 4 <1% 0

Wright Medical UK Ltd Profemur Cemented Stem 4 <1% 0Joint Replacement Instrumentation Ltd Furlong Cemented Hemiarthroplasty 3 <1% 1

DePuy Summit Cemented Stem 2 <1% 0

Implants International Edinburgh 2 <1% 0Sheffield Medical Products Limited Aeon Cemented Stem 2 <1% 0

Stryker Omnifit Cemented Stem 2 <1% 0

Zimmer MS-30 2 <1% 0

B Braun / Aesculap Prevision Cemented Stem 1 <1% 0

Biomet Arcos 1 <1% 0

Biomet Bimetric Cemented (Ti)� 1 <1% 0

Endo Plus (UK)� Limited CPS Plus 1 <1% 0

Implantcast GmbH Mutars 1 <1% 0

Mathys Orthopaedics Ltd CCA Cemented Stem 1 <1% 0

Zimmer P10 Muller 1 <1% 0

Zimmer VerSys Heritage 1 <1% 0



Table 6(a) Cementless stem brands for primary hip procedures performed during 2012.

Manufacturer Brand Number of procedures % ODEP rating

36,430DePuy Corail 16,819 46% 10AJoint Replacement Instrumentation Ltd

Furlong HAC Stem 3,477 10% 10A

Stryker Accolade 3,439 9% 7A

Biomet Taperloc Cementless Stem 3,220 9% 10A

Zimmer M/L Taper Cementless 958 3% 5A

Wright Medical UK Ltd Profemur Cementless Stem 783 2% Pre-Entry

DePuy Trilock BPS 780 2% Pre-Entry

Smith & Nephew Polarstem Cementless 620 2% 5A

Smith & Nephew SL-Plus Cementless Stem 497 1% 10A

Smith & Nephew Anthology 404 1% 3A

Corin miniHip 400 1% 3A

Corin Metafix Stem 393 1% 3A

Zimmer Versys Cementless Stem 385 1% 7A

Smith & Nephew Synergy Cementless Stem 363 1% 7A

Medacta UK Ltd Amis 361 <1% Pre-Entry

B Braun / Aesculap Excia Cementless Stem 349 <1% 7A

Biomet Bimetric Cementless Stem 305 <1% 10AJoint Replacement Instrumentation Ltd

Evolution Cementless 291 <1% Pre-Entry

Zimmer M/L Taper Kinectiv Cementless 275 <1% 5A

Zimmer CLS Cementless Stem 266 <1% 10A

Biomet Taperloc Complete Cementless Stem 233 <1% Pre-Entry

Symbios SA SPS Modular 179 <1% Unclassified

DePuy S-Rom Cementless Stem 176 <1% 10A

DePuy Summit Cementless Stem 138 <1% 7A

Lima H-Max S 134 <1% Unclassified

Stryker ABG II Monolithic Cementless Stem 108 <1% Unclassified

Wright Medical UK Ltd Ancafit Cementless Stem 81 <1% 7A

Symbios SA SPS Ha 80 <1% 10C

Stryker Restoration Cementless Stem 78 <1% Unclassified

Mathys Orthopaedics Ltd Twinsys Cementless Stem 70 <1% 5A

Symbios SA SPS Evolution 55 <1% Unclassified

Lima H-Max M 51 <1% Unclassified

Wright Medical UK Ltd Profemur Preserve 49 <1% Pre-Entry

Stryker Omnifit Cementless Stem 46 <1% 10AJoint Replacement Instrumentation Ltd

Furlong HAC Active Stem 43 <1% 7A

Zimmer Fitmore Stem 41 <1% Unclassified

Mathys Orthopaedics Ltd CBC 37 <1% 3A

Zimmer M/L Taper 36 <1% 5A

B Braun / Aesculap Metha 33 <1% 3A

B Braun / Aesculap Bicontact Cementless Stem 25 <1% 10A

DePuy Silent 24 <1% Pre-Entry

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Exactech (UK)� Ltd Novation Element Stem 24 <1% Pre-Entry

Smith & Nephew Birmingham Head Resection Stem 24 <1% Pre-Entry

Stryker Accolade II 22 <1% Unclassified

Zimmer Revitan Cementless Stem 17 <1% Unclassified

DePuy Kar 16 <1% Unclassified

Waldemar Link CFP 16 <1% 5B

Biomet Arcos Cone 12 <1% Unclassified

Orthodynamics Cannulok Cementless Stem 12 <1% Unclassified

Zimmer Zweymuller 12 <1% 10A

DePuy RECLAIM 11 <1%Not ODEP

Rated ProductDePuy Solution Cementless Stem 11 <1% Unclassified

Zimmer ZMR 11 <1% Unclassified

FH Orthopaedics FH Modular 10 <1% Unclassified

Lima Lima Revision Stem 10 <1%Not ODEP

Rated ProductSmith & Nephew Nanos 10 <1% 3AJoint Replacement Instrumentation Ltd

Furlong HAC Revision Stem 9 <1%Not ODEP

Rated ProductSmith & Nephew Profemur Cementless Stem 9 <1% Pre-Entry

DePuy DePuy Proxima 8 <1% Pre-Entry

Wright Medical UK Ltd Profemur Gladiator 7 <1% Pre-Entry

DePuy Reef 6 <1%Not ODEP

Rated ProductLima Modulus 6 <1% 5B

Smith & Nephew Echelon Cementless Stem 6 <1% Unclassified

Smith & Nephew SLR-Plus Cementless Stem 6 <1% Unclassified

Zimmer Trabecular Cementless Stem 6 <1% Pre-Entry

Biomet Mallory-Head Cementless Stem 4 <1% 10A

Symbios SA Harmony 4 <1% Unclassified

Waldemar Link MP Revision 4 <1%Not ODEP

Rated ProductExactech (UK)� Ltd Novation Stem 3 <1% Pre-Entry

Medacta UK Ltd Quadra Cementless 3 <1% 5A

Peter Brehm GmbH Peter Brehm Revision Stem 3 <1%Not ODEP

Rated ProductZimmer Alloclassic Cementless Stem 3 <1% 10A

Biomet Conelock 2 <1% Unclassified

DePuy Corail Revision Stem 2 <1%Not ODEP

Rated ProductJoint Replacement Instrumentation Ltd

Securus 2 <1% Unclassified

Mathys Orthopaedics Ltd Mathys Revision Stem 2 <1%Not ODEP

Rated ProductSmith & Nephew SMF 2 <1% Unacceptable

Waldemar Link MP Neck Cementless Stem 2 <1% Unclassified

Biomet CDH Stem 1 <1% Unclassified


Continued >



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Biomet Kent Hip 1 <1% Unclassified

CorinOxford Universal Hip (Corin)� Cementless Stem

1 <1% Unclassified

Corin Panatomic Cementless Stem 1 <1% Unclassified

Corin Trifit Cementless Stem 1 <1% Pre-Entry

Medacta UK Ltd AMI 1 <1% Unclassified

Smith & Nephew Image 1 <1% Unclassified

Stryker ABG I Cementless Stem 1 <1% Discontinued

Stryker ABG II Cementless Stem 1 <1% 10A

Wright Medical UK Ltd Profemur L 1 <1% 5A

Zimmer GMRS Cementless 1 <1% Unclassified

Continued >


Table 6(b) Cementless stem brands for revision hip procedures performed during 2012.


procedures %


bone graft2,864 287

Stryker Restoration Cementless Stem 739 26% 77

DePuy Corail 375 13% 15

Zimmer ZMR 186 6% 26

Zimmer Revitan Cementless Stem 142 5% 29

Lima Lima Revision Stem 127 4% 9

Biomet Arcos Cone 104 4% 19

DePuy S-Rom Cementless Stem 82 3% 1

Waldemar Link MP Revision 68 2% 11

Stryker Accolade 67 2% 1

DePuy Kar 66 2% 11


Furlong HAC Stem 65 2% 2

Orthodynamics Cannulok Cementless Stem 61 2% 10

Biomet Taperloc Cementless Stem 58 2% 1

Smith & Nephew Echelon Cementless Stem 51 2% 5

Zimmer M/L Taper Cementless 50 2% 1

DePuy Reef 48 2% 6


Securus 48 2% 11

Wright Medical UK Ltd Profemur Cementless Stem 48 2% 4

DePuy RECLAIM 45 2% 9

DePuy Corail Revision 43 2% 9

DePuy Solution Cementless Stem 36 1% 11

Smith & Nephew Synergy Cementless Stem 34 1% 1


Furlong HAC Revision Stem 29 1% 4

DePuy Trilock BPS 27 <1% 2

Smith & Nephew Anthology 19 <1% 0

Peter Brehm GmbH Peter Brehm Revision Stem 18 <1% 0

Zimmer M/L Taper Kinectiv Cementless 18 <1% 0

Corin Metafix Stem 17 <1% 1

Zimmer Versys Cementless Stem 17 <1% 0

Mathys Orthopaedics Ltd Twinsys Cementless Stem 15 <1% 1

Smith & Nephew Polarstem Cementless 15 <1% 0

Corin miniHip 10 <1% 0

Lima Modulus 10 <1% 2

Biomet Bimetric Cementless Stem 9 <1% 0

Smith & Nephew SLR-Plus Cementless Stem 9 <1% 0

Biomet Taperloc Complete Cementless Stem 7 <1% 0

Smith & Nephew SL-Plus Cementless Stem 7 <1% 1

Zimmer GMRS Cementless 7 <1% 0

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procedures %


bone graftBiomet Conelock 6 <1% 0Joint Replacement Instrumentation Ltd

Evolution Cementless 6 <1% 0

Medacta UK Ltd Amis 6 <1% 1

Zimmer CLS Cementless Stem 6 <1% 0

Biomet Reach 5 <1% 1

Lima H-Max S 5 <1% 2

Smith & Nephew MDF Modular 5 <1% 0

Symbios SA SPS Modular 5 <1% 0

Wright Medical UK Ltd Profemur Preserve 5 <1% 0

B Braun / Aesculap Bicontact Cementless Stem 3 <1% 1

B Braun / Aesculap Excia 3 <1% 1

CorinOxford Universal Hip (Corin)� Cementless Stem

3 <1% 1

Lima H-Max M 3 <1% 0

Wright Medical UK Ltd Profemur L 3 <1% 0

Biomet Kent Hip 2 <1% 0

DePuy LPS 2 <1% 0

DePuy Summit Cementless Stem 2 <1% 0

Medacta UK Ltd Quadra Cementless 2 <1% 0

Smith & Nephew SLR Cementless 2 <1% 0

Symbios SA SPS Evolution 2 <1% 0

Biomet Mallory-Head Cementless Stem 1 <1% 0

Corin C Fit 1 <1% 0

FH Orthopaedics FH Modular 1 <1% 0

Mathys Orthopaedics Ltd Mathys Revision Stem 1 <1% 0

Stryker Omnifit Cementless Stem 1 <1% 0

Waldemar Link CFP 1 <1% 0

Waldemar Link Mega C stem 1 <1% 0

Wright Medical UK Ltd Ancafit Cementless Stem 1 <1% 0

Wright Medical UK Ltd Guardian Cementless Stem 1 <1% 0

Zimmer M/L Taper 1 <1% 0

Zimmer ZMR Cementless Proximal Stem 1 <1% 0

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Continued >


Table 7 Brands of resurfacing head for primary hip procedures performed during 2012.



Smith & Nephew BHR Resurfacing Head 679 63% 10A

MATOrtho Limited Adept Resurfacing Head 131 12% 3A

Corin Cormet 2000 Resurfacing Head 106 10% 5A

Biomet Recap Resurfacing Head 51 5% 3A

Zimmer Durom Resurfacing Head 42 4% Pre-Entry

Implantcast GmbH Accis Resurfacing Head 39 4% Pre-Entry

Van Straten Medical Accis Resurfacing Head 16 1% Pre-Entry

Wright Medical UK Ltd Conserve 11 1% 5A

Table 8 provides a summary of procedures where brands of resurfacing acetabular cup were used in combination with a conventional stem and a large

diameter metal-on-metal femoral head. This type of combination has decreased from 2,494 procedures in 2009 to 35 procedures in 2012.

1.3 Combinations of cups and stems

Tables 9(a)� and 9(b)� detail the combinations of cup and stem brands used in primary and revision hip procedures respectively. Tables 9(a)� and 9(b)� also detail which combinations have a different stem and cup manufacturer – a practice known as ‘mixing and matching’. In previous years only conventional cup and stem combinations were listed but this year’s results show conventional cup and resurfacing cup and stem combinations. For 74,419 hip primary replacement procedures in the 2012 data, both the cup and

stem brand were known, and a total of 778 different combinations of cup and stem brands were recorded. The most common cup/stem combination was the Corail stem combined with the Pinnacle cup. Of the 74,419 primary procedures 12,112 (16%)� used ‘mixed and matched’ cup-stem combinations from different suppliers, approximately 1% less than in 2011. For revision hip procedures 521 cup-stem combinations were used. The most common cup/stem combination was the Stryker Exeter V40 stem combined with the Trabecular metal cementless cup from Zimmer.


procedures % ODEP rating35

Smith & Nephew BHR Resurfacing Cup 27 77% 10A

Biomet Recap Magnum 6 17% 3A

Implantcast GmbH Accis Resurfacing Cup 1 3% Pre-Entry

Zimmer Durom Resurfacing Cup 1 3% Pre-Entry

Table 8 Brands of resurfacing cup used with a conventional stem for primary hip procedures performed during 2012.

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Table 9(a) Cup-stem brand combinations for primary hip procedures performed during 2012.

Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %

Mix and

match

74,419

DePuy Pinnacle DePuy Corail 13,032 18% No

Stryker Contemporary Stryker Exeter V40 8,656 12% No

Stryker Trident Stryker Exeter V40 5,094 7% No

Stryker Trident Stryker Accolade 3,176 4% No

Biomet Exceed ABT BiometTaperloc Cementless Stem

2,936 4% No

Stryker Exeter Rimfit Stryker Exeter V40 2,780 4% No


CSF PlusJoint Replacement Instrumentation Ltd

Furlong HAC Stem 2,478 3% No

DePuy Elite Plus Ogee Stryker Exeter V40 1,745 2% Yes

Zimmer Trilogy Zimmer CPT 1,686 2% No

Stryker Exeter Duration Stryker Exeter V40 1,132 2% No

Zimmer Trilogy Stryker Exeter V40 1,056 1% Yes

Zimmer ZCA Zimmer CPT 1,033 1% No

DePuy Marathon DePuy Corail 1,022 1% No

DePuy Elite Plus Cemented Cup Stryker Exeter V40 930 1% Yes


CSFJoint Replacement Instrumentation Ltd

Furlong HAC Stem 806 1% No

DePuy Marathon DePuyC-Stem Cemented Stem

705 <1% No

DePuy Pinnacle DePuyC-Stem AMT Cemented Stem

648 <1% No

DePuy Pinnacle DePuy Trilock BPS 638 <1% No

DePuy Pinnacle Stryker Exeter V40 624 <1% Yes

Smith & Nephew R3 Cementless Smith & NephewPolarstem Cementless

571 <1% No

Zimmer Continuum ZimmerM/L Taper Cementless

560 <1% No

Wright Medical UK Ltd

ProcotylWright Medical UK Ltd

Profemur Cementless Stem

500 <1% No

Biomet Stanmore-Arcom Cup BiometStanmore Modular Stem

447 <1% No

Lima Delta TT DePuy Corail 425 <1% Yes

DePuy Marathon Stryker Exeter V40 421 <1% Yes

DePuy Elite Plus Cemented Cup DePuyC-Stem AMT Cemented Stem

411 <1% No

DePuy Charnley Ogee DePuyCharnley Cemented Stem

406 <1% No

DePuy Marathon DePuyC-Stem AMT Cemented Stem

406 <1% No

Smith & Nephew R3 Cementless Smith & Nephew Anthology 388 <1% No

Corin Trinity Corin Metafix Stem 384 <1% No

Zimmer Continuum Zimmer CPT 374 <1% No

Smith & Nephew Opera Stryker Exeter V40 373 <1% Yes

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Mix and

match

Corin Trinity Corin miniHip 370 <1% No

Corin Trinity DePuy Corail 364 <1% Yes

DePuy Charnley Cemented Cup DePuyCharnley Cemented Stem

360 <1% No

Medacta UK Ltd Versafit Medacta UK Ltd Amis 360 <1% No

Smith & Nephew R3 Cementless Smith & NephewSynergy Cementless Stem

351 <1% No

DePuy Elite Plus Ogee DePuyC-Stem Cemented Stem

343 <1% No

B Braun / AesculapPlasmacup Cementless Cup

B Braun / Aesculap Excia 338 <1% No

Stryker Tritanium Stryker Exeter V40 326 <1% No

DePuy Elite Plus Ogee Zimmer CPT 307 <1% Yes

DePuy Elite Plus Cemented Cup DePuy Corail 305 <1% No

DePuy Elite Plus Ogee DePuyC-Stem AMT Cemented Stem

284 <1% No

DePuy DeltaMotion DePuy Corail 275 <1% No



Evolution Cementless

271 <1% No

Biomet Exceed ABT BiometBimetric Cementless Stem

262 <1% No

Stryker Trident DePuy Corail 255 <1% Yes

Smith & Nephew EP-Fit Plus Smith & NephewSL-Plus Cementless Stem

243 <1% No

Centerpulse Low Profile Muller Centerpulse MS-30 240 <1% No

DePuy Elite Plus Ogee DePuy Corail 239 <1% No

Zimmer Trilogy IT Zimmer CPT 231 <1% No

Smith & Nephew Opera DePuyC-Stem Cemented Stem

223 <1% Yes

DePuy Wroblewski Golf Ball DePuyC-Stem Cemented Stem

216 <1% No

ZimmerTrabecular Metal Cementless Cup

Zimmer CPT 215 <1% No

Zimmer Trilogy DePuy Corail 214 <1% Yes

Biomet Exceed ABT Stryker Exeter V40 212 <1% Yes

Corin TrinityWright Medical UK Ltd


204 <1% Yes

Stryker Contemporary DePuy Corail 199 <1% Yes

Smith & Nephew R3 Cementless Stryker Exeter V40 189 <1% Yes

Mathys Orthopaedics Ltd

CCB MathysMathys Orthopaedics Ltd

CCA Cemented Stem

187 <1% No

Zimmer Continuum ZimmerM/L Taper Kinectiv Cementless

184 <1% No

Zimmer FM IT ZimmerM/L Taper Cementless

181 <1% No


CSF Plus Stryker Exeter V40 180 <1% Yes

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Continued >




Mix and

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Zimmer Continuum ZimmerVersys Cementless Stem

180 <1% No

Symbios SA April Symbios SA SPS Modular 171 <1% No

Smith & Nephew Opera Smith & Nephew CPCS 164 <1% No

Smith & Nephew R3 Cementless Smith & NephewSL-Plus Cementless Stem

162 <1% No

Biomet Apollo Biomet Muller-Biomet 161 <1% No

Corin Cenator Cemented Cup Stryker Exeter V40 156 <1% Yes

Biomet Exceed ABT BiometTaperloc Complete Cementless Stem

155 <1% No

Centerpulse Low Profile Muller Centerpulse Muller Str Stem 151 <1% No

Corin Trinity Stryker Exeter V40 132 <1% Yes


Aeon Cemented CupSheffield Medical Products Limited

Aeon Cemented Stem

132 <1% No

Biomet SHP Cup BiometStanmore Modular Stem

128 <1% No

DePuy Pinnacle DePuyS-Rom Cementless Stem

127 <1% No

Zimmer Trilogy ZimmerCLS Cementless Stem

118 <1% No

Corin Trinity CorinTaperfit Cemented Stem

113 <1% No


DePuy Corail 113 <1% Yes


Procotyl Stryker Exeter V40 109 <1% Yes

Zimmer Allofit Zimmer CPT 108 <1% No

Stryker Contemporary Zimmer CPT 107 <1% Yes

DePuy Pinnacle Zimmer CPT 102 <1% Yes


Stryker Exeter V40 100 <1% Yes

Zimmer Zimmer Cemented Cup Biomet Muller-Biomet 95 <1% Yes

B Braun / Aesculap Chirulen B Braun / Aesculap Excia-Cemented 93 <1% No

Biomet Exceed ABT BiometTaperloc Cemented Stem

88 <1% No

FH Orthopaedics Atlas IIIp CorinTaperfit Cemented Stem

86 <1% Yes

DePuy Charnley Ogee Stryker Exeter V40 85 <1% Yes


RM Mathys DePuy Corail 85 <1% Yes

Smith & Nephew R3 Cementless Stryker Accolade 85 <1% Yes

Smith & Nephew Reflection Cemented Stryker Exeter V40 85 <1% Yes

Zimmer Allofit ZimmerM/L Taper Cementless

83 <1% No

Lima Delta PF Lima H-Max S 80 <1% No



Ancafit Cementless Stem

80 <1% No

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Continued > Continued >



Mix and

match

Zimmer Allofit Zimmer MS-30 80 <1% No

Zimmer Low Profile Muller Biomet Muller-Biomet 77 <1% Yes

Active Implants TribofitJoint Replacement Instrumentation Ltd

Furlong HAC Stem 76 <1% Yes

Stryker Trident StrykerABG II Monolithic Cementless Stem

76 <1% No

Symbios SA April Symbios SA SPS Ha 76 <1% No

Centerpulse Allofit Centerpulse MS-30 75 <1% No

Smith & Nephew Reflection Cemented Smith & Nephew CPCS 75 <1% No

Zimmer CLS Cementless Cup ZimmerCLS Cementless Stem

74 <1% No

Stryker Tritanium Stryker Accolade 73 <1% No

Smith & Nephew Opera DePuyCharnley Cemented Stem

72 <1% Yes

DePuy Elite Plus Cemented Cup BiometStanmore Modular Stem

71 <1% Yes

DePuy Pinnacle DePuyC-Stem Cemented Stem

71 <1% No

DePuy Elite Plus Ogee DePuySummit Cementless Stem

70 <1% No

Smith & Nephew Reflection Cementless Stryker Exeter V40 70 <1% Yes

Biomet Stanmore-Arcom Cup BiometTaperloc Cementless Stem

68 <1% No

Stryker ABG II Cementless Cup Stryker Exeter V40 68 <1% No

Waldemar Link Interplanta Waldemar LinkSP II Cemented Stem

68 <1% No

Biomet Exceed Stryker Exeter V40 66 <1% Yes

DePuy Pinnacle DePuySummit Cementless Stem

65 <1% No

Stryker Exeter Rimfit CorinTaperfit Cemented Stem

64 <1% Yes

Corin Trinity ZimmerM/L Taper Cementless

63 <1% Yes

DePuy Wroblewski Golf Ball DePuyCharnley Cemented Stem

62 <1% No

Biomet Exceed BiometTaperloc Cementless Stem

58 <1% No


CSF Plus DePuy Corail 58 <1% Yes


JRI Cemented CupJoint Replacement Instrumentation Ltd

Furlong Cemented Stem

58 <1% No

Zimmer FM IT Zimmer CPT 58 <1% No


CCB Mathys DePuy Corail 56 <1% Yes

Zimmer FM IT ZimmerM/L Taper Kinectiv Cementless

56 <1% No

Zimmer FM IT ZimmerVersys Cementless Stem

55 <1% No

Symbios SA April Symbios SA SPS Evolution 54 <1% No

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Mix and

match

Zimmer Metasul-Muller Zimmer CPT 54 <1% No


RM MathysMathys Orthopaedics Ltd

Twinsys Cementless Stem

53 <1% No

DePuy Marathon BiometTaperloc Complete Cementless Stem

52 <1% Yes


CSF Plus Zimmer CPT 52 <1% Yes

Lima Delta TT Lima H-Max S 52 <1% No



Profemur Cemented Stem

52 <1% No

Corin Trinity Biomet Olympia 51 <1% Yes

Corin Trinity ZimmerVersys Cementless Stem

51 <1% Yes

Stryker Trident StrykerRestoration Cementless Stem

51 <1% No

Zimmer Continuum Biomet Olympia 51 <1% Yes

Zimmer Continuum Stryker Exeter V40 50 <1% Yes

DePuy Elite Plus Cemented Cup DePuy Charnley Modular 49 <1% No

DePuy Pinnacle BiometTaperloc Cementless Stem

49 <1% Yes

Zimmer Allofit ZimmerVersys Cementless Stem

49 <1% No

DePuy DeltaMotion DePuy Trilock BPS 48 <1% No

Stryker Exeter Rimfit Stryker Accolade 46 <1% No



Profemur Preserve 46 <1% No

DePuy DeltaMotion DePuyC-Stem AMT Cemented Stem

44 <1% No



Furlong HAC Active Stem

43 <1% No

Zimmer Trilogy ZimmerM/L Taper Cementless

43 <1% No

Smith & Nephew EPF-Plus Smith & NephewSL-Plus Cementless Stem

42 <1% No

Zimmer TrilogyJoint Replacement Instrumentation Ltd


DePuy Elite Plus Cemented Cup DePuyC-Stem Cemented Stem

41 <1% No


Furlong ThreadedJoint Replacement Instrumentation Ltd

Furlong HAC Stem 41 <1% No

Lima Delta TT Stryker Exeter V40 39 <1% Yes

Smith & Nephew R3 Cementless Smith & Nephew CPCS 39 <1% No

Stryker Exeter Rimfit DePuy Corail 39 <1% Yes

Zimmer Allofit Zimmer Fitmore Stem 39 <1% No

Corin Trinity Zimmer CPT 38 <1% Yes

BiometMallory-Head Cementless Cup

BiometBimetric Cementless Stem

37 <1% No

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Continued >

Continued >



Mix and

match

Corin Trinity DePuy Trilock BPS 37 <1% Yes

Lima Delta TT Lima H-Max M 37 <1% No

Stryker Trident StrykerOmnifit Cementless Stem

37 <1% No


seleXys PCMathys Orthopaedics Ltd

CBC 36 <1% No

Zimmer Low Profile Muller Zimmer MS-30 36 <1% No

Zimmer Trilogy ZimmerVersys Cementless Stem

36 <1% No

Zimmer Low Profile Muller Zimmer CPT 35 <1% No

Zimmer Allofit ZimmerCLS Cementless Stem

34 <1% No

Orthodynamics Novae Stryker Exeter V40 33 <1% Yes

Zimmer ContinuumWright Medical UK Ltd


32 <1% Yes

Zimmer Zimmer Cemented Cup Zimmer MS-30 32 <1% No

B Braun / Aesculap Chirulen B Braun / Aesculap Centrament 31 <1% No


B Braun / Aesculap Metha 31 <1% No

Smith & Nephew Reflection Cemented Smith & NephewPolarstem Cementless

31 <1% No

Stryker Exeter DurationSheffield Medical Products Limited

Aeon Cemented Stem

31 <1% Yes

DePuy Pinnacle DePuy Corail Cemented 29 <1% No

Orthodynamics Novae Stick Stryker Exeter V40 29 <1% Yes

Zimmer Continuum ZimmerCLS Cementless Stem

29 <1% No

Biomet Avantage DePuyC-Stem AMT Cemented Stem

28 <1% Yes

Biomet Regenerex Ringloc+ BiometTaperloc Cementless Stem

28 <1% No


RM Mathys Stryker Exeter V40 28 <1% Yes

Zimmer Zimmer Cemented Cup Zimmer Muller Str Stem 28 <1% No

Biomet Exceed ABT BiometStanmore Modular Stem

27 <1% No

Orthodynamics Novae Zimmer CPT 27 <1% Yes

Stryker Contemporary Stryker Accolade 27 <1% No

DePuy Charnley Ogee DePuyC-Stem Cemented Stem

26 <1% No


B Braun / AesculapBicontact Cementless Stem

25 <1% No


B Braun / Aesculap Centrament 25 <1% No

Biomet Exceed BiometStanmore Modular Stem

25 <1% No

Centerpulse Low Profile Muller Centerpulse P10 Muller 25 <1% No

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Mix and

match

Stryker ABG II Cementless Cup StrykerABG II Monolithic Cementless Stem

25 <1% No

Stryker Restoration ADM Cup Stryker Exeter V40 25 <1% No

Waldemar Link Beta Cup Waldemar LinkSP II Cemented Stem

25 <1% No

Zimmer Continuum Zimmer M/L Taper 25 <1% No

Smith & Nephew BHR Resurfacing Cup Smith & NephewBirmingham Head Resection Stem

24 <1% No

Biomet Exceed ABT Cemented BiometTaperloc Complete Cementless Stem

23 <1% No

DePuy Charnley Cemented Cup Stryker Exeter V40 23 <1% Yes

DePuy Pinnacle DePuy Silent 23 <1% No

Smith & Nephew Bicon-Plus Smith & NephewSL-Plus Cementless Stem

23 <1% No

Stryker Exeter Rimfit StrykerOmnifit Cemented Stem

23 <1% No


B Braun / Aesculap Excia-Cemented 22 <1% No

DePuy Pinnacle Smith & Nephew CPCS 22 <1% Yes

Stryker Trident BiometStanmore Modular Stem

22 <1% Yes

Zimmer Trilogy DePuy Charnley Modular 22 <1% Yes

DePuy Charnley Cemented Cup DePuyC-Stem Cemented Stem

21 <1% No

FH Orthopaedics Atlas IIIp Stryker Exeter V40 21 <1% Yes


RM Mathys Smith & NephewSL-Plus Cementless Stem

21 <1% Yes

Smith & Nephew R3 Cementless Smith & Nephew Spectron 21 <1% No

Stryker Exeter Rimfit Zimmer CPT 21 <1% Yes

Stryker Trident Corin miniHip 21 <1% Yes

Zimmer Trilogy Zimmer MS-30 21 <1% No


CSF Waldemar LinkSP II Cemented Stem

20 <1% Yes

Biomet Avantage BiometTaperloc Cementless Stem

19 <1% No

Biomet CMK Cemented Cup BiometCMK Cemented Stem

19 <1% No

Biomet Exceed ABT Biomet Olympia 19 <1% No

Biomet SHP Cup BiometTaperloc Cemented Stem

19 <1% No

Exactech (UK)� Ltd Novation Exactech (UK)� LtdNovation Element Stem

19 <1% No


CSF Plus DePuyC-Stem AMT Cemented Stem

18 <1% Yes

Lima Delta PF Lima H-Max M 18 <1% No

Biomet Exceed ABT Zimmer CPT 17 <1% Yes

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Mix and

matchJoint Replacement Instrumentation Ltd



17 <1% No

Zimmer Trilogy ITWright Medical UK Ltd


17 <1% Yes

Zimmer Zimmer Cemented Cup CorinTaperfit Cemented Stem

17 <1% Yes


DePuy Trilock BPS 16 <1% Yes

Biomet Exceed ABT Cemented BiometStanmore Modular Stem

16 <1% No




16 <1% No

Orthodynamics Novae Stick Zimmer CPT 16 <1% Yes

Zimmer Maxera ZimmerM/L Taper Kinectiv Cementless

16 <1% No

Zimmer Trilogy BiometStanmore Modular Stem

16 <1% Yes

Smith & Nephew EP-Fit Plus Stryker Exeter V40 15 <1% Yes

Corin Trinity ZimmerM/L Taper Kinectiv Cementless

14 <1% Yes

DePuy Duraloc Cementless Cup DePuy Corail 14 <1% No

DePuy Gyros DePuy Corail 14 <1% No

Implants International

Edinburgh Cup Implants International Edinburgh 14 <1% No


JRI Cemented Cup Zimmer MS-30 14 <1% Yes


RM Mathys Smith & Nephew Anthology 14 <1% Yes

Smith & Nephew EP-Fit Plus Smith & Nephew CPS Plus 14 <1% No

Smith & Nephew Opera Smith & Nephew Spectron 14 <1% No

Stryker Restoration ADM Cup DePuy Corail 14 <1% Yes

Zimmer FM IT Stryker Exeter V40 14 <1% Yes

Zimmer ZCA Stryker Exeter V40 14 <1% Yes


JRI Cemented Cup Stryker Exeter V40 13 <1% Yes

Smith & Nephew Reflection Cemented Smith & Nephew Spectron 13 <1% No

Waldemar Link Snap Fit Waldemar LinkSP II Cemented Stem

13 <1% No

Zimmer Trilogy IT Stryker Exeter V40 13 <1% Yes

Zimmer Zimmer Cemented Cup Stryker Exeter V40 13 <1% Yes

Biomet Avantage Cemented Cup Stryker Exeter V40 12 <1% Yes

Corin Cenator Cemented Cup Smith & Nephew CPCS 12 <1% Yes

Corin Cenator Cemented CupWright Medical UK Ltd


12 <1% Yes


CSF BiometStanmore Modular Stem

12 <1% Yes

Lima Delta TT DePuyS-Rom Cementless Stem

12 <1% Yes

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Mix and

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Zimmer Continuum Zimmer MS-30 12 <1% No


BiometBimetric Cemented (Ti)�

11 <1% No

Biomet Regenerex Ringloc+Joint Replacement Instrumentation Ltd


Corin Trinity Waldemar LinkSP II Cemented Stem

11 <1% Yes

DePuy Elite Plus Ogee BiometStanmore Modular Stem

11 <1% Yes

Smith & Nephew Polarcup Cemented Smith & Nephew CPCS 11 <1% No


Stryker Accolade 11 <1% Yes

Zimmer Trilogy IT Biomet Olympia 11 <1% Yes

DePuy Marathon BiometTaperloc Cementless Stem

10 <1% Yes



Furlong Cemented Hemiarthroplasty

10 <1% No


CSF Plus Zimmer MS-30 10 <1% Yes



CCA Cemented Stem

10 <1% No

Orthodynamics Novae DePuy Corail 10 <1% Yes

Smith & Nephew Opera DePuy Corail 10 <1% Yes

Stryker Contemporary DePuyC-Stem AMT Cemented Stem

10 <1% Yes

Waldemar Link Link Flange Cup Stryker Exeter V40 10 <1% Yes

Zimmer Trilogy IT ZimmerVersys Cementless Stem

10 <1% No

B Braun / Aesculap Chirulen B Braun / Aesculap Excia 9 <1% No

Biomet Avantage DePuy Corail 9 <1% Yes

Biomet Avantage Zimmer CPT 9 <1% Yes

Biomet SHP Cup Zimmer CPT 9 <1% Yes

DePuy Pinnacle BiometStanmore Modular Stem

9 <1% Yes

Smith & Nephew R3 Cementless Smith & NephewProfemur Cementless Stem

9 <1% No

Smith & Nephew Reflection Cementless Smith & Nephew Spectron 9 <1% No

Smith & Nephew Reflection Cementless Smith & NephewSynergy Cementless Stem

9 <1% No

Stryker Trident Stryker Accolade II 9 <1% No

Zimmer Continuum DePuy Corail 9 <1% Yes

Centerpulse Centerpulse Muller Centerpulse Muller Str Stem 8 <1% No

DePuy Charnley Cemented Cup Zimmer CPT 8 <1% Yes

DePuy Elite Plus Cemented Cup DePuy Corail Cemented 8 <1% No

DePuy Pinnacle DePuy Depuy Proxima 8 <1% No



Furlong HAC Revision Stem

8 <1% No

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Lima Delta TT DePuy Trilock BPS 8 <1% Yes

Stryker Contemporary ZimmerM/L Taper Cementless

8 <1% Yes

Waldemar Link Link Flange Cup Waldemar LinkSP II Cemented Stem

8 <1% No


ZimmerM/L Taper Cementless

8 <1% No

Amplitude Saturne DePuy RECLAIM 7 <1% Yes

DePuy Elite Plus Cemented Cup Stryker Accolade 7 <1% Yes

DePuy Pinnacle DePuy Kar 7 <1% No

DePuy Pinnacle Zimmer MS-30 7 <1% Yes

FH Orthopaedics Atlas IIIp FH Orthopaedics FH Modular 7 <1% No


CCBMathys Orthopaedics Ltd

CCA Cemented Stem

7 <1% Yes


CSF DePuy Corail 7 <1% Yes

Lima Delta TT Lima Lima Revision Stem 7 <1% No

Orthodynamics Novae Stick DePuyC-Stem Cemented Stem

7 <1% Yes

Smith & Nephew Polarcup Cementless Smith & Nephew CPCS 7 <1% No

Smith & Nephew R3 Cementless BiometTaperloc Cementless Stem

7 <1% Yes

Stryker ContemporaryWright Medical UK Ltd


7 <1% Yes

Stryker Trident DePuyC-Stem AMT Cemented Stem

7 <1% Yes

Stryker Trident DePuy Trilock BPS 7 <1% Yes

Stryker Tritanium Stryker Accolade II 7 <1% No

Symbios SA April Zimmer CPT 7 <1% Yes

Zimmer Trilogy Zimmer Zweymuller 7 <1% No

Zimmer Trilogy IT DePuy Corail 7 <1% Yes



Biomet Avantage Stryker Exeter V40 6 <1% Yes

Biomet SHP Cup BiometTaperloc Cementless Stem

6 <1% No

Corin Trinity DePuyS-Rom Cementless Stem

6 <1% Yes

DePuy Elite Plus Cemented CupSheffield Medical Products Limited

Aeon Cemented Stem

6 <1% Yes

DePuy Marathon DePuy Charnley Modular 6 <1% No

DePuy Pinnacle DePuySolution Cementless Stem

6 <1% No

DePuy Pinnacle DePuySummit Cemented Stem

6 <1% No

Smith & Nephew EP-Fit Plus Waldemar Link CFP 6 <1% Yes

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Mix and

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Smith & Nephew Opera DePuyC-Stem AMT Cemented Stem

6 <1% Yes

Stryker ContemporaryJoint Replacement Instrumentation Ltd


Stryker Restoration Gap2 Stryker Exeter V40 6 <1% No

Stryker Trident Smith & Nephew Nanos 6 <1% Yes


A Class Stryker Exeter V40 6 <1% Yes

Zimmer Allofit Zimmer M/L Taper 6 <1% No

Zimmer FM ITJoint Replacement Instrumentation Ltd



DePuyS-Rom Cementless Stem

6 <1% Yes

Amplitude Saturne DePuy Corail 5 <1% Yes


B Braun / Aesculap Trilliance 5 <1% No

Biomet Apollo DePuy Corail 5 <1% Yes

Biomet Exceed ABT Cemented Biomet Olympia 5 <1% No

Biomet Freedom Zimmer CPT 5 <1% Yes



Biomet Regenerex Ringloc+ BiometStanmore Modular Stem

5 <1% No


Profemur Gladiator 5 <1% Yes

Corin Trinity Zimmer VerSys Heritage 5 <1% Yes

DePuy Elite Plus Cemented Cup Zimmer CPT 5 <1% Yes

DePuy Elite Plus Ogee Stryker Accolade 5 <1% Yes

DePuy Marathon DePuy Trilock BPS 5 <1% No

DePuy Pinnacle Biomet Muller-Biomet 5 <1% Yes

Exactech (UK)� Ltd Acumatch Cup Exactech (UK)� LtdNovation Element Stem

5 <1% No

FH Orthopaedics Atlas IIIp Corin miniHip 5 <1% Yes




5 <1% No


CSF Plus DePuyS-Rom Cementless Stem

5 <1% Yes

Lima Delta One TT BiometTaperloc Cementless Stem

5 <1% Yes

Lima Delta One TT DePuy Corail 5 <1% Yes

Lima Delta TT BiometTaperloc Cementless Stem

5 <1% Yes

Medacta UK Ltd Versafit Medacta UK Ltd AMI 5 <1% No

Smith & Nephew EPF-Plus Smith & NephewPolarstem Cementless

5 <1% No

Smith & Nephew R3 Cementless Smith & NephewEchelon Cementless Stem

5 <1% No

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Stryker Contemporary BiometTaperloc Cementless Stem

5 <1% Yes

Stryker Exeter Rimfit StrykerOmnifit Cementless Stem

5 <1% No

Stryker Tritanium StrykerRestoration Cementless Stem

5 <1% No

Zimmer Continuum ZimmerTrabecular Cementless Stem

5 <1% No

Zimmer Trilogy Corin Metafix Stem 5 <1% Yes

Zimmer Trilogy IT Zimmer VerSys Heritage 5 <1% No

Zimmer ZCA DePuy Corail 5 <1% Yes



4 <1% Yes

Biomet Exceed ABT Biomet Arcos Cone 4 <1% No

Centerpulse Fitmore Centerpulse MS-30 4 <1% No

Corin Trinity Stryker Accolade II 4 <1% Yes

DePuy DeltaMotion DePuyS-Rom Cementless Stem

4 <1% No

DePuy Duraloc Cementless Cup Stryker Exeter V40 4 <1% Yes

DePuy Elite Plus Cemented Cup DePuy Trilock BPS 4 <1% No

DePuy Elite Plus Ogee BiometTaperloc Cementless Stem

4 <1% Yes

DePuy Elite Plus Ogee Smith & NephewSL-Plus Cementless Stem

4 <1% Yes


CSF Plus Stryker Accolade 4 <1% Yes

Lima Delta One TT Stryker Exeter V40 4 <1% Yes

Lima Delta One TT StrykerRestoration Cementless Stem

4 <1% Yes

Lima Delta TT Zimmer CPT 4 <1% Yes

Smith & Nephew EP-Fit Plus Smith & NephewPolarstem Cementless

4 <1% No

Stryker Contemporary StrykerOmnifit Cemented Stem

4 <1% No

Stryker Contemporary ZimmerVersys Cementless Stem

4 <1% Yes

Stryker Exeter Rimfit DePuyS-Rom Cementless Stem

4 <1% Yes

Stryker Trident Zimmer CPT 4 <1% Yes

Zimmer Low Profile Muller DePuy Corail 4 <1% Yes


CorinTaperfit Cemented Stem

4 <1% Yes

ZimmerTrabecular Metal Natural Cup

CorinTaperfit Cemented Stem

4 <1% Yes



4 <1% Yes

Zimmer TrilogyWright Medical UK Ltd


4 <1% Yes

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Mix and

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Zimmer Trilogy IT ZimmerM/L Taper Cementless

4 <1% No

B Braun / Aesculap Chirulen BiometTaperloc Cemented Stem

3 <1% Yes

Biomet Avantage Cemented Cup DePuyC-Stem AMT Cemented Stem

3 <1% Yes

Biomet Exceed ABT DePuy Corail 3 <1% Yes

Biomet Exceed ABT DePuyS-Rom Cementless Stem

3 <1% Yes

Biomet Exceed ABT Cemented StrykerOmnifit Cemented Stem

3 <1% Yes

Biomet Recap Magnum BiometTaperloc Cementless Stem

3 <1% No

Biomet Stanmore-Arcom Cup DePuyC-Stem Cemented Stem

3 <1% Yes

Biomet Stanmore-Arcom Cup StrykerOmnifit Cemented Stem

3 <1% Yes

Corin Trinity FH Orthopaedics FH Modular 3 <1% Yes

Corin Trinity Stryker Accolade 3 <1% Yes


Profemur Preserve 3 <1% Yes

DePuy Charnley Cemented Cup DePuyC-Stem AMT Cemented Stem

3 <1% No

DePuy Charnley Ogee DePuyC-Stem AMT Cemented Stem

3 <1% No

DePuy Elite Plus Cemented Cup BiometTaperloc Cementless Stem

3 <1% Yes

DePuy Elite Plus Ogee DePuy Charnley Modular 3 <1% No

DePuy Pinnacle DePuy RECLAIM 3 <1% No

DePuy Pinnacle StrykerRestoration Cementless Stem

3 <1% Yes

DePuy Pinnacle Waldemar Link CFP 3 <1% Yes

Exactech (UK)� Ltd Novation Exactech (UK)� Ltd Novation Stem 3 <1% No


CSF PlusSheffield Medical Products Limited

Aeon Cemented Stem

3 <1% Yes

Lima Delta One TT DePuyS-Rom Cementless Stem

3 <1% Yes

Lima Delta TT Corin miniHip 3 <1% Yes

Lima Delta TT Lima Modulus 3 <1% No


RM Mathys Smith & NephewSLR-Plus Cementless Stem

3 <1% Yes

Medacta UK Ltd Versafit Medacta UK Ltd Quadra Cementless 3 <1% No

Smith & Nephew EP-Fit Plus Waldemar LinkSP II Cemented Stem

3 <1% Yes

Smith & Nephew Opera Smith & NephewPolarstem Cementless

3 <1% No

Smith & Nephew R3 Cementless Smith & Nephew Nanos 3 <1% No

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Smith & Nephew R3 Cementless StrykerABG II Monolithic Cementless Stem

3 <1% Yes

Stryker Contemporary StrykerABG II Monolithic Cementless Stem

3 <1% No

Stryker Contemporary Stryker Exeter 3 <1% No

Stryker Contemporary StrykerRestoration Cementless Stem

3 <1% No

Stryker Contemporary ZimmerRevitan Cementless Stem

3 <1% Yes

Stryker Exeter DurationJoint Replacement Instrumentation Ltd


3 <1% Yes

Stryker Exeter Rimfit DePuyC-Stem AMT Cemented Stem

3 <1% Yes

Stryker Exeter Rimfit StrykerRestoration Cementless Stem

3 <1% No

Stryker Exeter Rimfit Waldemar LinkSP II Cemented Revision

3 <1% Yes

Stryker Secure Fit Cementless Cup BiometMallory-Head Cementless Stem

3 <1% Yes

Stryker Trident DePuyC-Stem Cemented Stem

3 <1% Yes

Stryker Trident DePuyS-Rom Cementless Stem

3 <1% Yes

Stryker Trident Symbios SA SPS Modular 3 <1% Yes

Stryker Tritanium Waldemar LinkSP II Cemented Stem

3 <1% Yes

Symbios SA April Symbios SA Harmony 3 <1% No

Waldemar Link Snap Fit Biomet Muller-Biomet 3 <1% Yes


Procotyl Zimmer CPT 3 <1% Yes

Zimmer Allofit DePuy Corail 3 <1% Yes

Zimmer Continuum DePuyC-Stem AMT Cemented Stem

3 <1% Yes

Zimmer Continuum ZimmerRevitan Cementless Stem

3 <1% No


BiometStanmore Modular Stem

3 <1% Yes


DePuyC-Stem Cemented Stem

3 <1% Yes




Smith & NephewPolarstem Cementless

3 <1% Yes


ZimmerRevitan Cementless Stem

3 <1% No

Zimmer Trilogy CorinTaperfit Cemented Stem

3 <1% Yes

Zimmer Trilogy DePuy Reef 3 <1% Yes

© N

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Mix and

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Zimmer Trilogy Smith & Nephew Spectron 3 <1% Yes

Zimmer Trilogy Zimmer ZMR 3 <1% No

Zimmer ZCA ZimmerM/L Taper Cementless

3 <1% No

Zimmer ZCA Zimmer Zweymuller 3 <1% No

Amplitude Saturne DePuyC-Stem AMT Cemented Stem

2 <1% Yes

Amplitude Saturne DePuy Trilock BPS 2 <1% Yes

Biomet Avantage DePuy Trilock BPS 2 <1% Yes

Biomet Exceed ABT BiometBimetric Cemented (Ti)�

2 <1% No

Biomet Exceed ABT Symbios SA SPS Evolution 2 <1% Yes

Biomet Exceed ABT Symbios SA SPS Ha 2 <1% Yes

Biomet Exceed ABT Cemented Stryker Exeter V40 2 <1% Yes


BiometMallory-Head Cementless Stem

2 <1% No

Biomet Regenerex Ringloc+ CorinTaperfit Cemented Stem

2 <1% Yes

Biomet SHP Cup BiometBimetric Cemented (Ti)�

2 <1% No

Biomet SHP Cup BiometBimetric Cementless Stem

2 <1% No

Corin Cenator Cemented Cup Smith & Nephew CPS Plus 2 <1% Yes

Corin Trinity DePuySummit Cementless Stem

2 <1% Yes

Corin Trinity Waldemar Link CFP 2 <1% Yes

DePuy DeltaMotion Stryker Exeter V40 2 <1% Yes

DePuy Elite Plus Cemented Cup DePuy Kar 2 <1% No

DePuy Elite Plus Cemented Cup Smith & NephewSL-Plus Cementless Stem

2 <1% Yes

DePuy Elite Plus Ogee StrykerOmnifit Cementless Stem

2 <1% Yes

DePuy Elite Plus Ogee Zimmer ZMR 2 <1% Yes

DePuy Marathon DePuyCharnley Cemented Stem

2 <1% No

DePuy Marathon DePuy Corail Cemented 2 <1% No

DePuy Pinnacle B Braun / Aesculap Centrament 2 <1% Yes

DePuy Pinnacle Biomet Arcos Cone 2 <1% Yes

DePuy Pinnacle BiometTaperloc Cemented Stem

2 <1% Yes

DePuy Pinnacle DePuy Corail Revision 2 <1% No

DePuy Pinnacle ZimmerCLS Cementless Stem

2 <1% Yes

DePuy Pinnacle Zimmer Fitmore Stem 2 <1% Yes


CCB DePuy Corail 2 <1% Yes

© N

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CSF Plus Corin miniHip 2 <1% Yes




2 <1% No


JRI Cemented Cup DePuy Corail 2 <1% Yes





JRI Cemented CupSheffield Medical Products Limited

Aeon Cemented Stem

2 <1% Yes

Lima Delta One TT Lima H-Max S 2 <1% No

Lima Delta One TT Lima Modulus 2 <1% No

Lima Delta PF DePuy Corail 2 <1% Yes

Lima Delta PF Zimmer CPT 2 <1% Yes

Lima Delta TT BiometTaperloc Cemented Stem

2 <1% Yes

Lima Delta TT DePuyC-Stem AMT Cemented Stem

2 <1% Yes

Lima Delta TTJoint Replacement Instrumentation Ltd


2 <1% Yes

Lima Delta TT Symbios SA SPS Modular 2 <1% Yes


CCB Mathys Smith & NephewSLR-Plus Cementless Stem

2 <1% Yes



Mathys Revision Stem

2 <1% No



CCA Cemented Stem

2 <1% No

Medacta UK Ltd Versafit DePuy Trilock BPS 2 <1% Yes

Orthodynamics NovaeJoint Replacement Instrumentation Ltd


Orthodynamics Novae Stick DePuy Corail 2 <1% Yes

Orthodynamics Novae Stick OrthodynamicsCannulok Cementless Stem

2 <1% No


Aeon Cemented Cup Stryker Exeter V40 2 <1% Yes

Smith & Nephew EPF-Plus DePuyC-Stem Cemented Stem

2 <1% Yes

Smith & Nephew Polarcup Cementless DePuy Corail 2 <1% Yes

Smith & Nephew R3 Cementless Smith & Nephew SMF 2 <1% No

Smith & Nephew Reflection Cementless Smith & Nephew Anthology 2 <1% No

Stryker ContemporaryJoint Replacement Instrumentation Ltd


2 <1% Yes

Stryker Contemporary OrthodynamicsCannulok Cementless Stem

2 <1% Yes

Stryker Contemporary Waldemar Link MP Revision 2 <1% Yes

Stryker Exeter Rimfit BiometTaperloc Cementless Stem

2 <1% Yes

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Mix and

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Stryker Exeter Rimfit StrykerRestoration Cemented Stem

2 <1% No

Stryker Exeter RimfitWright Medical UK Ltd


2 <1% Yes

Stryker Secure Fit Cementless Cup BiometTaperloc Cementless Stem

2 <1% Yes

Stryker Trident DePuy Kar 2 <1% Yes

Stryker Trident OrthodynamicsCannulok Cementless Stem

2 <1% Yes

Stryker Tritanium BiometStanmore Modular Stem

2 <1% Yes

Stryker Tritanium DePuy Corail 2 <1% Yes


Procotyl CorinTaperfit Cemented Stem

2 <1% Yes



Profemur Gladiator 2 <1% No

Zimmer Continuum DePuyS-Rom Cementless Stem

2 <1% Yes

Zimmer Durom Resurfacing Cup ZimmerCLS Cementless Stem

2 <1% No

Zimmer FM IT Zimmer M/L Taper 2 <1% No


Smith & Nephew CPCS 2 <1% Yes


ZimmerM/L Taper Kinectiv Cementless

2 <1% No


Zimmer ZMR 2 <1% No



Zimmer Trilogy DePuyC-Stem Cemented Stem

2 <1% Yes

Zimmer Trilogy ZimmerAlloclassic Cementless Stem

2 <1% No

Zimmer Trilogy IT ZimmerCLS Cementless Stem

2 <1% No

Zimmer ZCA BiometStanmore Modular Stem

2 <1% Yes

Zimmer ZCA ZimmerRevitan Cementless Stem

2 <1% No

Zimmer Zimmer Cemented Cup Waldemar Link CFP 2 <1% Yes

Amplitude Saturne Peter Brehm GmbHPeter Brehm Revision Stem

1 <1% Yes

B Braun / Aesculap Chirulen B Braun / AesculapPrevision Cemented Stem

1 <1% No

B Braun / Aesculap Chirulen DePuyC-Stem AMT Cemented Stem

1 <1% Yes

B Braun / Aesculap Chirulen ZimmerRevitan Cementless Stem

1 <1% Yes


B Braun / AesculapPrevision Cemented Stem

1 <1% No

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DePuy Reef 1 <1% Yes

Biomet Apollo BiometTaperloc Cementless Stem

1 <1% No

Biomet Avantage BiometTaperloc Cemented Stem

1 <1% No

Biomet Avantage BiometTaperloc Complete Cementless Stem

1 <1% No

Biomet AvantageJoint Replacement Instrumentation Ltd


Biomet Avantage Cemented Cup DePuy Corail 1 <1% Yes

Biomet Avantage Cemented Cup Zimmer CPT 1 <1% Yes

Biomet Exceed ABTJoint Replacement Instrumentation Ltd


Biomet Exceed ABT Symbios SA SPS Modular 1 <1% Yes

Biomet Exceed ABT Cemented BiometBimetric Cementless Stem

1 <1% No

Biomet Freedom Biomet Muller-Biomet 1 <1% No

Biomet Freedom BiometTaperloc Cementless Stem

1 <1% No

Biomet Freedom Peter Brehm GmbHPeter Brehm Revision Stem

1 <1% Yes


Biomet CDH Stem 1 <1% No


DePuyC-Stem AMT Cemented Stem

1 <1% Yes


Waldemar LinkSP II Cemented Stem

1 <1% Yes


Zimmer CPT 1 <1% Yes

Biomet Recap Magnum BiometTaperloc Cemented Stem

1 <1% No

Biomet Recap Magnum BiometTaperloc Complete Cementless Stem

1 <1% No

Biomet Regenerex Revision BiometTaperloc Cementless Stem

1 <1% No

Biomet Regenerex Revision Stryker Exeter V40 1 <1% Yes

Biomet Regenerex Ringloc+ BiometBimetric Cementless Stem

1 <1% No

Biomet Regenerex Ringloc+ BiometTaperloc Cemented Stem

1 <1% No

Biomet Regenerex Ringloc+ DePuy Corail 1 <1% Yes

Biomet Regenerex Ringloc+ DePuyS-Rom Cementless Stem

1 <1% Yes

Biomet Regenerex Ringloc+ Stryker Exeter V40 1 <1% Yes

Biomet Regenerex Ringloc+Wright Medical UK Ltd


1 <1% Yes

Biomet Regenerex Ringloc+ Zimmer CPT 1 <1% Yes

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Mix and

match

Biomet Scan Cemented Cup DePuyCharnley Cemented Stem

1 <1% Yes

Biomet SHP CupSheffield Medical Products Limited

Aeon Cemented Stem

1 <1% Yes

Biomet Stanmore-Arcom Cup BiometBimetric Cementless Stem

1 <1% No

Biomet Stanmore-Arcom Cup Biomet Conelock 1 <1% No

Biomet Stanmore-Arcom Cup BiometStanmore Monobloc Stem

1 <1% No

Biomet Stanmore-Arcom Cup BiometTaperloc Cemented Stem

1 <1% No

Biomet Stanmore-Arcom Cup DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Biomet Stanmore-Arcom Cup Stryker Exeter V40 1 <1% Yes

Centerpulse Allofit Centerpulse P10 Muller 1 <1% No

Centerpulse Low Profile Muller CenterpulseCLS Cementless Stem

1 <1% No

Corin Cenator Cemented Cup BiometTaperloc Cemented Stem

1 <1% Yes

Corin Cenator Cemented Cup Corin Metafix Stem 1 <1% No

Corin Cenator Cemented Cup ZimmerRevitan Cementless Stem

1 <1% Yes

Corin DC-Fit CorinPanatomic Cementless Stem

1 <1% No

Corin Hi-Nek Cemented Cup DePuyCharnley Cemented Stem

1 <1% Yes

Corin Hi-Nek Cemented Cup Zimmer CPT 1 <1% Yes

Corin Trinity DePuy RECLAIM 1 <1% Yes

Corin Trinity DePuy Silent 1 <1% Yes

Corin Trinity Peter Brehm GmbHPeter Brehm Revision Stem

1 <1% Yes

Corin Trinity Smith & NephewSL-Plus Cementless Stem

1 <1% Yes

Corin Trinity Zimmer M/L Taper 1 <1% Yes

DePuy Charnley Cemented Cup DePuy Charnley Modular 1 <1% No

DePuy Charnley Cemented Cup Zimmer Zweymuller 1 <1% Yes

DePuy DeltaMotion B Braun / Aesculap Metha 1 <1% Yes

DePuy DeltaMotion Stryker Accolade II 1 <1% Yes

DePuy DeltaMotion StrykerRestoration Cementless Stem

1 <1% Yes

DePuy DeltaMotion ZimmerM/L Taper Cementless

1 <1% Yes

DePuy DeltaMotion Zimmer MS-30 1 <1% Yes

DePuy Elite Plus Cemented Cup BiometTaperloc Cemented Stem

1 <1% Yes

DePuy Elite Plus Cemented Cup Stryker Exeter 1 <1% Yes

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DePuy Elite Plus Ogee BiometTaperloc Cemented Stem

1 <1% Yes

DePuy Elite Plus Ogee CorinTaperfit Cemented Stem

1 <1% Yes

DePuy Elite Plus Ogee DePuyCharnley Cemented Stem

1 <1% No

DePuy Elite Plus Ogee DePuyS-Rom Cementless Stem

1 <1% No

DePuy Elite Plus OgeeJoint Replacement Instrumentation Ltd


1 <1% Yes

DePuy Elite Plus OgeeSheffield Medical Products Limited

Aeon Cemented Stem

1 <1% Yes

DePuy Elite Plus Ogee Stryker Exeter 1 <1% Yes

DePuy Elite Plus Ogee ZimmerRevitan Cementless Stem

1 <1% Yes

DePuy Gyros DePuyC-Stem AMT Cemented Stem

1 <1% No

DePuy Gyros DePuyS-Rom Cementless Stem

1 <1% No

DePuy GyrosJoint Replacement Instrumentation Ltd


DePuy Gyros Zimmer CPT 1 <1% Yes

DePuy Marathon DePuy Kar 1 <1% No

DePuy Marathon DePuyS-Rom Cementless Stem

1 <1% No

DePuy Marathon OrthodynamicsCannulok Cementless Stem

1 <1% Yes

DePuy Marathon Smith & NephewPolarstem Cementless

1 <1% Yes

DePuy Marathon StrykerRestoration Cementless Stem

1 <1% Yes

DePuy Pinnacle CorinTrifit Cementless Stem

1 <1% Yes

DePuy PinnacleJoint Replacement Instrumentation Ltd


1 <1% Yes


Securus 1 <1% Yes

DePuy Pinnacle Lima H-Max S 1 <1% Yes

DePuy Pinnacle Lima Lima Revision Stem 1 <1% Yes

DePuy Pinnacle Smith & NephewEchelon Cementless Stem

1 <1% Yes

DePuy PinnacleStanmore Implants Worldwide

METS Cemented 1 <1% Yes

DePuy Pinnacle Stryker Accolade II 1 <1% Yes

DePuy Pinnacle Waldemar Link MP Revision 1 <1% Yes

DePuy Pinnacle Waldemar LinkSP II Cemented Revision

1 <1% Yes

DePuy PinnacleWright Medical UK Ltd


1 <1% Yes

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Mix and

match

DePuy PinnacleWright Medical UK Ltd


1 <1% Yes

DePuy Pinnacle Zimmer Muller Str Stem 1 <1% Yes

DePuy Ultima Cemented Cup DePuy Corail 1 <1% No

Exactech (UK)� Ltd Acumatch Cup CorinOxford Universal Hip (Corin)� Cementless Stem

1 <1% Yes

Exactech (UK)� Ltd Acumatch Cup Stryker Exeter V40 1 <1% Yes

FH Orthopaedics Atlas IIIp Waldemar Link CFP 1 <1% Yes

Implantcast GmbH Accis Resurfacing Cup CorinTaperfit Cemented Stem

1 <1% Yes


Edinburgh Cup Stryker Exeter V40 1 <1% Yes




1 <1% No


CSF Stryker Exeter V40 1 <1% Yes


CSF Plus B Braun / Aesculap Excia 1 <1% Yes


CSF Plus BiometTaperloc Cementless Stem

1 <1% Yes


CSF Plus DePuy Corail Cemented 1 <1% Yes


CSF Plus Lima Modulus 1 <1% Yes


CSF Plus OrthodynamicsCannulok Cementless Stem

1 <1% Yes


CSF Plus ZimmerM/L Taper Cementless

1 <1% Yes


CSF Plus Zimmer Muller Str Stem 1 <1% Yes


CSF Plus ZimmerRevitan Cementless Stem

1 <1% Yes


CSF Plus ZimmerVersys Cementless Stem

1 <1% Yes


JRI Cemented Cup DePuy Corail Cemented 1 <1% Yes


JRI Cemented Cup Zimmer CPT 1 <1% Yes


JRI Cemented Cup Zimmer Muller Str Stem 1 <1% Yes

Lima Delta One TT B Braun / Aesculap Centrament 1 <1% Yes

Lima Delta One TT Biomet Arcos Cone 1 <1% Yes

Lima Delta One TT DePuy Trilock BPS 1 <1% Yes

Lima Delta One TT Lima Friendly 1 <1% No

Lima Delta One TT Lima Lima Revision Stem 1 <1% No

Lima Delta One TT Stryker Accolade 1 <1% Yes

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Mix and

match

Lima Delta One TTWright Medical UK Ltd


1 <1% Yes

Lima Delta One TT ZimmerVersys Cementless Stem

1 <1% Yes

Lima Delta Revision TT DePuy Corail 1 <1% Yes

Lima Delta TT B Braun / Aesculap Excia 1 <1% Yes

Lima Delta TT Biomet Muller-Biomet 1 <1% Yes

Lima Delta TT CorinOxford Universal Hip (Corin)� Cementless Stem

1 <1% Yes

Lima Delta TT CorinTaperfit Cemented Stem

1 <1% Yes

Lima Delta TT DePuy Kar 1 <1% Yes

Lima Delta TT Smith & Nephew CPCS 1 <1% Yes

Lima Delta TT Stryker Accolade 1 <1% Yes

Lima Delta TT Symbios SA SPS Ha 1 <1% Yes

Lima Delta TT ZimmerM/L Taper Cementless

1 <1% Yes

Lima Delta TT Zimmer MS-30 1 <1% Yes


CCB MathysJoint Replacement Instrumentation Ltd



CCB Mathys Stryker Exeter V40 1 <1% Yes


CCB Mathys Zimmer MS-30 1 <1% Yes


CCB Mathys Zimmer Muller Str Stem 1 <1% Yes


RM MathysJoint Replacement Instrumentation Ltd



RM Mathys StrykerRestoration Cementless Stem

1 <1% Yes

Medacta UK Ltd Versafit Medacta UK Ltd AML 1 <1% No

Medacta UK Ltd Versafit Stryker Exeter V40 1 <1% Yes

Orthodynamics Novae Corin Metafix Stem 1 <1% Yes

Orthodynamics Novae DePuy Trilock BPS 1 <1% Yes

Orthodynamics NovaeJoint Replacement Instrumentation Ltd


1 <1% Yes

Orthodynamics Novae Stryker Accolade 1 <1% Yes

Orthodynamics Novae StrykerRestoration Cementless Stem

1 <1% Yes

Orthodynamics NovaeWright Medical UK Ltd


1 <1% Yes

Orthodynamics Novae Stick BiometStanmore Modular Stem

1 <1% Yes

Orthodynamics Novae Stick DePuySolution Cementless Stem

1 <1% Yes

Orthodynamics Novae StickJoint Replacement Instrumentation Ltd


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Mix and

matchSerf Dedienne sante

Novae Stick OrthodynamicsCannulok Cementless Stem

1 <1% Yes

Serf Dedienne sante

Sunfit Stryker Exeter V40 1 <1% Yes

Smith & Nephew BHR Resurfacing Cup Smith & Nephew Anthology 1 <1% No

Smith & Nephew BHR Resurfacing Cup Smith & NephewSynergy Cementless Stem

1 <1% No

Smith & Nephew EP-Fit Plus DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Smith & Nephew EP-Fit Plus Smith & NephewSLR-Plus Cementless Stem

1 <1% No

Smith & Nephew EPF-Plus Stryker GMRS 1 <1% Yes

Smith & Nephew Opera BiometBimetric Cementless Stem

1 <1% Yes

Smith & Nephew Opera CorinTaperfit Cemented Stem

1 <1% Yes

Smith & Nephew Opera DePuy Charnley Modular 1 <1% Yes

Smith & Nephew Opera DePuy Trilock BPS 1 <1% Yes

Smith & Nephew Opera Smith & NephewSL-Plus Cementless Stem

1 <1% No

Smith & Nephew Polarcup Cemented Smith & NephewPolarstem Cementless

1 <1% No

Smith & Nephew R3 Cementless BiometMallory-Head Cementless Stem

1 <1% Yes

Smith & Nephew R3 Cementless BiometStanmore Modular Stem

1 <1% Yes

Smith & Nephew R3 Cementless Smith & Nephew Image 1 <1% No

Smith & Nephew R3 Cementless StrykerOmnifit Cementless Stem

1 <1% Yes

Smith & Nephew R3 Cementless Zimmer CPT 1 <1% Yes

Smith & Nephew Reflection Cemented DePuy Corail 1 <1% Yes

Smith & Nephew Reflection CementedJoint Replacement Instrumentation Ltd


Smith & Nephew Reflection Cemented Smith & NephewSynergy Cementless Stem

1 <1% No

Stryker ABG II Cementless Cup Stryker Accolade 1 <1% No

Stryker Contemporary Biomet Arcos Cone 1 <1% Yes

Stryker Contemporary DePuyC-Stem Cemented Stem

1 <1% Yes

Stryker Contemporary DePuy Kar 1 <1% Yes

Stryker Contemporary DePuyS-Rom Cementless Stem

1 <1% Yes

Stryker Contemporary DePuySummit Cemented Stem

1 <1% Yes

Stryker ContemporaryMathys Orthopaedics Ltd

CBC 1 <1% Yes

Stryker Contemporary OrthodynamicsCannulok Cemented Stem

1 <1% Yes

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Stryker Contemporary Smith & NephewSynergy Cementless Stem

1 <1% Yes

Stryker Contemporary StrykerOmnifit Cementless Stem

1 <1% No

Stryker Contemporary Symbios SA SPS Ha 1 <1% Yes

Stryker Contemporary Symbios SA SPS Modular 1 <1% Yes

Stryker ContemporaryWright Medical UK Ltd

Profemur Preserve 1 <1% Yes

Stryker Exeter Duration Biomet Kent Hip 1 <1% Yes

Stryker Exeter Duration BiometTaperloc Cementless Stem

1 <1% Yes

Stryker Exeter Duration DePuy Corail 1 <1% Yes

Stryker Exeter Duration Zimmer CPT 1 <1% Yes

Stryker Exeter Rimfit BiometStanmore Modular Stem

1 <1% Yes

Stryker Exeter RimfitJoint Replacement Instrumentation Ltd


Stryker Exeter RimfitMathys Orthopaedics Ltd


1 <1% Yes

Stryker Exeter Rimfit StrykerABG II Monolithic Cementless Stem

1 <1% No

Stryker Exeter Rimfit Stryker Exeter 1 <1% No

Stryker Exeter Rimfit ZimmerM/L Taper Cementless

1 <1% Yes

Stryker Exeter Rimfit ZimmerM/L Taper Kinectiv Cementless

1 <1% Yes

Stryker Gap Ring Stryker Exeter V40 1 <1% No

Stryker Restoration ADM Cup B Braun / Aesculap Excia 1 <1% Yes

Stryker Restoration ADM Cup B Braun / Aesculap Excia-Cemented 1 <1% Yes

Stryker Restoration ADM Cup DePuy Trilock BPS 1 <1% Yes

Stryker Restoration ADM Cup Smith & Nephew Spectron 1 <1% Yes

Stryker Restoration ADM Cup Smith & NephewSynergy Cementless Stem

1 <1% Yes

Stryker Restoration ADM Cup Stryker Accolade 1 <1% No

Stryker Restoration ADM Cup Zimmer M/L Taper 1 <1% Yes

Stryker Restoration ADM Cup ZimmerM/L Taper Cementless

1 <1% Yes

Stryker Restoration ADM Cup ZimmerRevitan Cementless Stem

1 <1% Yes

Stryker Restoration ADM Cup ZimmerVersys Cementless Stem

1 <1% Yes

Stryker Restoration Gap2 Zimmer CPT 1 <1% Yes

Stryker Secure Fit Cementless Cup Biomet Arcos Cone 1 <1% Yes

Stryker Secure Fit Cementless Cup DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Stryker Secure Fit Cementless Cup Stryker Exeter V40 1 <1% No

Stryker Trident Biomet Arcos Cone 1 <1% Yes

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Mix and

match

Stryker Trident DePuy Reef 1 <1% Yes

Stryker TridentJoint Replacement Instrumentation Ltd

Securus 1 <1% Yes

Stryker Trident StrykerABG I Cementless Stem

1 <1% No

Stryker Trident StrykerABG II Cementless Stem

1 <1% No

Stryker Trident Waldemar Link MP Revision 1 <1% Yes

Stryker Trident Waldemar LinkSP II Cemented Stem

1 <1% Yes

Stryker Trident ZimmerM/L Taper Cementless

1 <1% Yes

Stryker Tritanium BiometTaperloc Cementless Stem

1 <1% Yes

Stryker Tritanium DePuyC-Stem Cemented Stem

1 <1% Yes

Stryker Tritanium StrykerRestoration Cemented Stem

1 <1% No

Waldemar Link Interplanta Zimmer CPT 1 <1% Yes

Waldemar Link Snap Fit Waldemar Link CFP 1 <1% No

Waldemar Link Snap Fit Waldemar LinkSP II Cemented Revision

1 <1% No


A ClassWright Medical UK Ltd


1 <1% No


Procotyl Corin Metafix Stem 1 <1% Yes

Zimmer Continuum BiometTaperloc Cementless Stem

1 <1% Yes

Zimmer Continuum DePuy Trilock BPS 1 <1% Yes

Zimmer ContinuumJoint Replacement Instrumentation Ltd


Zimmer Continuum OrthodynamicsCannulok Cementless Stem

1 <1% Yes

Zimmer Continuum StrykerRestoration Cementless Stem

1 <1% Yes

Zimmer Continuum Waldemar LinkSP II Cemented Stem

1 <1% Yes


Profemur L 1 <1% Yes

Zimmer Continuum Zimmer VerSys Heritage 1 <1% No

Zimmer Continuum Zimmer ZMR 1 <1% No

Zimmer Continuum Zimmer Zweymuller 1 <1% No

Zimmer FM ITWright Medical UK Ltd


1 <1% Yes

Zimmer FM IT ZimmerAlloclassic Cementless Stem

1 <1% No

Zimmer FM IT ZimmerCLS Cementless Stem

1 <1% No

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Zimmer Low Profile Muller DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Zimmer Low Profile MullerMathys Orthopaedics Ltd

CCA Cemented Stem

1 <1% Yes

Zimmer Low Profile Muller Stryker Exeter V40 1 <1% Yes

Zimmer Low Profile Muller Waldemar LinkMP Neck Cementless Stem

1 <1% Yes

Zimmer Low Profile Muller Waldemar LinkSP II Cemented Revision

1 <1% Yes

Zimmer Maxera Zimmer CPT 1 <1% No


Biomet Arcos Cone 1 <1% Yes


BiometBimetric Cementless Stem

1 <1% Yes


DePuyCharnley Cemented Stem

1 <1% Yes




1 <1% Yes


OrthodynamicsCannulok Cementless Stem

1 <1% Yes


Smith & NephewSynergy Cementless Stem

1 <1% Yes


StrykerRestoration Cementless Stem

1 <1% Yes


Symbios SA SPS Modular 1 <1% Yes


ZimmerCLS Cementless Stem

1 <1% No


Zimmer M/L Taper 1 <1% No


ZimmerTrabecular Cementless Stem

1 <1% No


ZimmerVersys Cementless Stem

1 <1% No


Waldemar Link CFP 1 <1% Yes

Zimmer Trilogy BiometTaperloc Complete Cementless Stem

1 <1% Yes



1 <1% Yes

Zimmer Trilogy Smith & Nephew Nanos 1 <1% Yes

Zimmer Trilogy Waldemar LinkSP II Cemented Stem

1 <1% Yes

Zimmer Trilogy ZimmerRevitan Cementless Stem

1 <1% No

Zimmer Trilogy IT Corin Metafix Stem 1 <1% Yes

Zimmer Trilogy IT ZimmerM/L Taper Kinectiv Cementless

1 <1% No

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Mix and

match

Zimmer ZCA Smith & NephewEchelon Cemented Stem

1 <1% Yes

Zimmer ZCA ZimmerCLS Cementless Stem

1 <1% No

Zimmer ZCA Zimmer ZMR 1 <1% No

Zimmer Zimmer Cemented Cup DePuy Corail 1 <1% Yes

Zimmer Zimmer Cemented Cup Waldemar LinkSP II Cemented Revision

1 <1% Yes

Zimmer Zimmer Cemented Cup Zimmer CPT 1 <1% No

Continued >


Table 9(b) Cup-stem brand combinations for revision hip procedures performed during 2012.


Mix and

match4,403


Stryker Exeter V40 226 5% Yes

Stryker Exeter Rimfit Stryker Exeter V40 196 4% No

Stryker Contemporary Stryker Exeter V40 193 4% No

DePuy Pinnacle DePuy Corail 178 4% No

Stryker Tritanium Stryker Exeter V40 170 4% No

Stryker Trident Stryker Exeter V40 164 4% No



141 3% Yes

Stryker Tritanium StrykerRestoration Cementless Stem

128 3% No


Zimmer CPT 121 3% No

Stryker Trident StrykerRestoration Cementless Stem

110 2% No


Zimmer ZMR 89 2% No

DePuy Marathon DePuyC-Stem Cemented Stem

86 2% No

DePuy Pinnacle Stryker Exeter V40 71 2% Yes


ZimmerRevitan Cementless Stem

67 2% No

DePuy Elite Plus Cemented Cup Stryker Exeter V40 62 1% Yes

Lima Delta One TT Lima Lima Revision Stem 48 1% No

Lima Delta TT DePuy Corail 44 1% Yes

Zimmer Continuum Zimmer CPT 44 1% No

Lima Delta One TT Stryker Exeter V40 42 <1% Yes

DePuy Pinnacle DePuyC-Stem AMT Cemented Stem

39 <1% No




DePuy Elite Plus Ogee Stryker Exeter V40 36 <1% Yes

Zimmer Trilogy Zimmer CPT 36 <1% No

Biomet Exceed ABT BiometTaperloc Cementless Stem

34 <1% No

Lima Delta TT Lima Lima Revision Stem 31 <1% No

Stryker Exeter Rimfit StrykerRestoration Cementless Stem

31 <1% No

Zimmer Continuum ZimmerM/L Taper Cementless

30 <1% No

DePuy Pinnacle DePuy Kar 29 <1% No

DePuy Pinnacle DePuyS-Rom Cementless Stem

27 <1% No

Zimmer Trilogy Stryker Exeter V40 27 <1% Yes

Lima Delta TT Stryker Exeter V40 26 <1% Yes

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Continued >



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Mix and

match

Stryker Contemporary StrykerRestoration Cementless Stem

26 <1% No

DePuy Elite Plus Ogee DePuyC-Stem Cemented Stem

25 <1% No

Lima Delta One TT DePuy Corail 25 <1% Yes

Smith & Nephew R3 Cementless Smith & NephewSynergy Cementless Stem

25 <1% No


DePuy Corail 25 <1% Yes

DePuy Pinnacle StrykerRestoration Cementless Stem

23 <1% Yes

DePuy Marathon Stryker Exeter V40 21 <1% Yes

DePuy Wroblewski Golf Ball DePuyC-Stem Cemented Stem

21 <1% No

DePuy Pinnacle DePuy Corail Revision 20 <1% No




19 <1% No


Waldemar Link MP Revision 19 <1% Yes

Biomet Regenerex Ringloc+ Biomet Arcos Cone 18 <1% No

DePuy Marathon DePuyC-Stem AMT Cemented Stem

18 <1% No

DePuy Pinnacle DePuyC-Stem Cemented Stem

18 <1% No

Stryker Tritanium Stryker Accolade 18 <1% No

Zimmer Continuum Stryker Exeter V40 18 <1% Yes




17 <1% No

Zimmer Continuum StrykerRestoration Cementless Stem

17 <1% Yes

Zimmer Continuum Zimmer ZMR 17 <1% No

Corin Cenator Cemented Cup Stryker Exeter V40 16 <1% Yes




16 <1% No

Stryker Trident Stryker Accolade 16 <1% No

Zimmer Continuum ZimmerRevitan Cementless Stem

16 <1% No

Biomet Regenerex Ringloc+ Stryker Exeter V40 15 <1% Yes

Orthodynamics Novae Stick Stryker Exeter V40 15 <1% Yes


DePuySolution Cementless Stem

14 <1% Yes

Biomet Exceed ABT Biomet Arcos Cone 14 <1% No

Corin Trinity Corin Metafix Stem 14 <1% No


Stryker Accolade 14 <1% Yes




14 <1% Yes





Mix and

matchDePuy Marathon DePuy Corail 13 <1% No

Lima Delta One TT StrykerRestoration Cementless Stem

13 <1% Yes

Orthodynamics Novae Stick DePuyC-Stem Cemented Stem

13 <1% Yes

Smith & Nephew Opera DePuyC-Stem Cemented Stem

13 <1% Yes

Smith & Nephew R3 Cementless Smith & Nephew Anthology 13 <1% No

Smith & Nephew R3 Cementless Smith & NephewPolarstem Cementless

13 <1% No

Smith & Nephew Opera Stryker Exeter V40 12 <1% Yes

Stryker Exeter Duration Stryker Exeter V40 12 <1% No


ZimmerM/L Taper Cementless

12 <1% No

DePuy Pinnacle DePuy RECLAIM 11 <1% No

DePuy Pinnacle DePuySolution Cementless Stem

11 <1% No

Smith & Nephew R3 Cementless Stryker Exeter V40 11 <1% Yes

Zimmer Continuum ZimmerM/L Taper Kinectiv Cementless

11 <1% No

Zimmer ZCA Zimmer CPT 11 <1% No

DePuy Marathon DePuy Corail Revision 10 <1% No

DePuy Pinnacle DePuy Trilock BPS 10 <1% No


Securus 10 <1% Yes



Securus 10 <1% No

Lima Delta One TT DePuyC-Stem Cemented Stem

10 <1% Yes

Lima Delta TT DePuy Trilock BPS 10 <1% Yes

Zimmer Trilogy IT Zimmer CPT 10 <1% No

Biomet Regenerex Ringloc+ BiometTaperloc Cementless Stem

9 <1% No

Corin Trinity DePuy Corail 9 <1% Yes

DePuy Pinnacle Biomet Arcos Cone 9 <1% Yes

DePuy Pinnacle DePuy Reef 9 <1% No

DePuy Pinnacle Smith & NephewEchelon Cementless Stem

9 <1% Yes

DePuy Pinnacle Zimmer CPT 9 <1% Yes

Lima Delta TT DePuyS-Rom Cementless Stem

9 <1% Yes

Smith & Nephew R3 Cementless Smith & NephewEchelon Cementless Stem

9 <1% No

Stryker Exeter Rimfit Waldemar LinkSP II Cemented Revision

9 <1% Yes

Biomet Avantage Cemented Cup Stryker Exeter V40 8 <1% Yes


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Continued >



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Mix and

matchCorin Trinity Stryker Exeter V40 8 <1% Yes

Stryker Tritanium DePuy Corail 8 <1% Yes

Zimmer Continuum ZimmerVersys Cementless Stem

8 <1% No


Biomet Arcos Cone 8 <1% Yes



Biomet Stanmore-Arcom Cup BiometStanmore Modular Stem

7 <1% No

Corin Trinity Corin miniHip 7 <1% No

DePuy Elite Plus Cemented Cup Waldemar Link MP Revision 7 <1% Yes

Lima Delta TT Stryker Accolade 7 <1% Yes

Lima Delta TT StrykerRestoration Cementless Stem

7 <1% Yes

Orthodynamics Novae Stryker Exeter V40 7 <1% Yes

Stryker Restoration Gap2 Stryker Exeter V40 7 <1% No


DePuyC-Stem AMT Cemented Stem

7 <1% Yes





7 <1% Yes



Securus 7 <1% Yes


ZimmerM/L Taper Kinectiv Cementless

7 <1% No

Biomet Avantage Cemented Cup Zimmer CPT 6 <1% Yes

Biomet Exceed ABT BiometBimetric Cementless Stem

6 <1% No

Biomet Regenerex Ringloc+ Peter Brehm GmbHPeter Brehm Revision Stem

6 <1% Yes

DePuy Elite Plus Ogee DePuyC-Stem AMT Cemented Stem

6 <1% No

DePuy Elite Plus Ogee Zimmer CPT 6 <1% Yes

DePuy Marathon StrykerRestoration Cementless Stem

6 <1% Yes

Exactech (UK)� Ltd Acumatch Cup CorinOxford Universal Hip (Corin)� Cementless Stem

6 <1% Yes

Lima Delta One TT Biomet Arcos Cone 6 <1% Yes

Lima Delta One TT Biomet Muller-Biomet 6 <1% Yes

Lima Delta One TT Zimmer CPT 6 <1% Yes

Stryker Trident DePuy Corail 6 <1% Yes

Stryker Tritanium OrthodynamicsCannulok Cementless Stem

6 <1% Yes

Zimmer Continuum DePuy Corail 6 <1% Yes




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Mix and

matchZimmer Continuum Zimmer MS-30 6 <1% No


DePuy Kar 6 <1% Yes


DePuy RECLAIM 6 <1% Yes

Amplitude Saturne DePuy RECLAIM 5 <1% Yes

B Braun / Aesculap Chirulen B Braun / Aesculap Excia-Cemented 5 <1% No

Biomet Avantage DePuy Corail 5 <1% Yes

Biomet Exceed ABT Stryker Exeter V40 5 <1% Yes

Biomet Regenerex Ringloc+ Zimmer CPT 5 <1% Yes

DePuy Charnley Cemented Cup DePuyCharnley Cemented Stem

5 <1% No



Evolution Cementless 5 <1% No

Lima Delta One TT DePuyS-Rom Cementless Stem

5 <1% Yes

Lima Delta One TT Lima Modulus 5 <1% No

Lima Delta Revision TT Lima Lima Revision Stem 5 <1% No

Medacta UK Ltd Versafit Medacta UK Ltd Amis 5 <1% No

Stryker Contemporary Waldemar Link MP Revision 5 <1% Yes

Zimmer Continuum DePuyS-Rom Cementless Stem

5 <1% Yes

Zimmer ContinuumJoint Replacement Instrumentation Ltd


Zimmer FM IT ZimmerM/L Taper Cementless

5 <1% No


ZimmerVersys Cementless Stem

5 <1% No

Zimmer Trilogy Smith & NephewEchelon Cementless Stem

5 <1% Yes

Zimmer Trilogy StrykerRestoration Cementless Stem

5 <1% Yes

Zimmer Trilogy Zimmer ZMR 5 <1% No

Biomet Regenerex Ringloc+ Biomet Reach 4 <1% No



4 <1% Yes

DePuy Elite Plus Ogee Biomet Arcos Cone 4 <1% Yes

DePuy Marathon DePuy Charnley Modular 4 <1% No

DePuy Marathon DePuy RECLAIM 4 <1% No

DePuy Pinnacle Lima Lima Revision Stem 4 <1% Yes

DePuy Pinnacle Zimmer ZMR 4 <1% Yes




Lima Delta TT BiometStanmore Modular Stem

4 <1% Yes

Continued >




Mix and

match

Lima Delta TT DePuyC-Stem Cemented Stem

4 <1% Yes

Orthodynamics Novae Zimmer CPT 4 <1% Yes

Orthodynamics Novae Stick StrykerRestoration Cementless Stem

4 <1% Yes

Smith & Nephew R3 Cementless Smith & Nephew MDF Modular 4 <1% No

Smith & Nephew R3 Cementless Smith & Nephew Spectron 4 <1% No

Stryker Contemporary DePuyS-Rom Cementless Stem

4 <1% Yes

Stryker Contemporary OrthodynamicsCannulok Cementless Stem

4 <1% Yes

Stryker Restoration ADM Cup Stryker Exeter V40 4 <1% No

Stryker Restoration Gap2 StrykerRestoration Cementless Stem

4 <1% No

Stryker Trident Waldemar Link MP Revision 4 <1% Yes

Stryker Tritanium DePuy RECLAIM 4 <1% Yes

Stryker Tritanium Zimmer ZMR 4 <1% Yes

Waldemar Link Snap Fit Waldemar Link SP II Cemented Stem 4 <1% No



Profemur Preserve 4 <1% No

Zimmer Continuum Biomet Arcos Cone 4 <1% Yes

Zimmer Low Profile Muller Zimmer Muller Str Stem 4 <1% No


Smith & NephewEchelon Cementless Stem

4 <1% Yes


StrykerRestoration Cemented Stem

4 <1% Yes


ZimmerCLS Cementless Stem

4 <1% No

Amplitude Saturne DePuyS-Rom Cementless Stem

3 <1% Yes

Biomet Avantage BiometTaperloc Cementless Stem

3 <1% No

Biomet Avantage Stryker Exeter V40 3 <1% Yes

Biomet Avantage Cemented Cup Biomet Arcos Cone 3 <1% No

Biomet Regenerex Ringloc+ BiometStanmore Modular Stem

3 <1% No

Biomet Regenerex Ringloc+Joint Replacement Instrumentation Ltd


Biomet Regenerex Ringloc+ StrykerRestoration Cementless Stem

3 <1% Yes

Corin Trinity StrykerRestoration Cementless Stem

3 <1% Yes

DePuy DeltaMotion DePuy Corail 3 <1% No

DePuy Elite Plus Cemented Cup DePuyC-Stem Cemented Stem

3 <1% No

DePuy Elite Plus Ogee Zimmer ZMR 3 <1% Yes

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Mix and

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DePuy Marathon BiometBimetric Cemented (CoCr)�

3 <1% Yes

DePuy Marathon DePuyWroblewski Resection

3 <1% No

DePuy Pinnacle Waldemar Link MP Revision 3 <1% Yes

DePuy Pinnacle ZimmerRevitan Cementless Stem

3 <1% Yes

Exactech (UK)� Ltd Acumatch CupJoint Replacement Instrumentation Ltd


3 <1% Yes

Exactech (UK)� Ltd Acumatch Cup Lima Lima Revision Stem 3 <1% Yes


JRI Cemented Cup DePuy Corail Cemented 3 <1% Yes


JRI Cemented Cup Zimmer CPT 3 <1% Yes

Lima Delta One TT BiometTaperloc Cementless Stem

3 <1% Yes

Lima Delta One TT DePuy Kar 3 <1% Yes

Lima Delta One TT DePuySolution Cementless Stem

3 <1% Yes

Lima Delta TT Biomet Arcos Cone 3 <1% Yes

Lima Delta TT Biomet Muller-Biomet 3 <1% Yes

Lima Delta TTJoint Replacement Instrumentation Ltd


Lima Delta TT Lima H-Max S 3 <1% No

Lima Delta TT Waldemar Link MP Revision 3 <1% Yes

Lima Delta TT Zimmer CPT 3 <1% Yes


RM Mathys Smith & NephewSLR-Plus Cementless Stem

3 <1% Yes

Orthodynamics Novae Stick Zimmer CPT 3 <1% Yes

Smith & Nephew Polarcup Cemented Smith & Nephew CPCS 3 <1% No

Smith & Nephew Polarcup Cemented Zimmer CPT 3 <1% Yes

Smith & Nephew R3 Cementless StrykerRestoration Cementless Stem

3 <1% Yes

Smith & Nephew Reflection Cemented Stryker Exeter V40 3 <1% Yes

Smith & Nephew Reflection Cementless Stryker Exeter V40 3 <1% Yes

Stryker Contemporary DePuy Kar 3 <1% Yes

Stryker Exeter Rimfit DePuyS-Rom Cementless Stem

3 <1% Yes

Stryker Trident Smith & NephewEchelon Cementless Stem

3 <1% Yes

Stryker TritaniumJoint Replacement Instrumentation Ltd



Procotyl Stryker Exeter V40 3 <1% Yes




3 <1% No

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Continued >




Mix and

match


DePuyC-Stem Cemented Stem

3 <1% Yes


OrthodynamicsCannulok Cementless Stem

3 <1% Yes


Smith & Nephew Anthology 3 <1% Yes


Symbios SA SPS Modular 3 <1% Yes



Profemur L 3 <1% Yes


Zimmer GMRS Cementless 3 <1% No

Zimmer ZCA ZimmerRevitan Cementless Stem

3 <1% No


B Braun / AesculapBicontact Cementless Stem

2 <1% No


B Braun / Aesculap Excia 2 <1% No



Biomet Avantage Biomet Arcos Cone 2 <1% No

Biomet Avantage Cemented CupWright Medical UK Ltd


2 <1% Yes

Biomet Exceed BiometTaperloc Cementless Stem

2 <1% No

Biomet Freedom Zimmer CPT 2 <1% Yes



2 <1% Yes

Biomet Regenerex Revision Stryker Exeter V40 2 <1% Yes

Biomet Regenerex Ringloc+ BiometBimetric Cementless Stem

2 <1% No

Biomet Regenerex Ringloc+ Biomet Conelock 2 <1% No

Biomet Regenerex Ringloc+ BiometTaperloc Cemented Stem

2 <1% No

Biomet Regenerex Ringloc+ Waldemar Link MP Revision 2 <1% Yes

Corin Cenator Cemented Cup ZimmerRevitan Cementless Stem

2 <1% Yes

Corin Trinity Zimmer CPT 2 <1% Yes

DePuy Charnley Cemented Cup Stryker Exeter V40 2 <1% Yes

DePuy Charnley Cemented Cup Zimmer CPT 2 <1% Yes

DePuy Charnley Ogee Stryker Exeter V40 2 <1% Yes

DePuy Elite Plus Cemented Cup Biomet Arcos Cone 2 <1% Yes

DePuy Elite Plus Cemented Cup DePuy Corail 2 <1% No

DePuy Elite Plus Cemented Cup DePuyElite Plus Cemented Stem

2 <1% No

DePuy Elite Plus Ogee DePuyWroblewski Resection

2 <1% No

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Mix and

match

DePuy Elite Plus Ogee OrthodynamicsCannulok Cementless Stem

2 <1% Yes

DePuy Elite Plus OgeeStanmore Implants Worldwide


DePuy Elite Plus Ogee StrykerRestoration Cementless Stem

2 <1% Yes

DePuy Marathon DePuyElite Plus Cemented Stem

2 <1% No

DePuy Marathon DePuy Kar 2 <1% No

DePuy Marathon OrthodynamicsCannulok Cementless Stem

2 <1% Yes

DePuy Marathon Zimmer ZMR 2 <1% Yes

DePuy Pinnacle BiometBimetric Cemented (CoCr)�

2 <1% Yes

DePuy Pinnacle Biomet Muller-Biomet 2 <1% Yes

DePuy Pinnacle BiometStanmore Modular Stem

2 <1% Yes

DePuy Pinnacle BiometTaperloc Complete Cementless Stem

2 <1% Yes

DePuy Pinnacle DePuy Corail Cemented 2 <1% No

DePuy Pinnacle DePuySummit Cemented Stem

2 <1% No

DePuy Pinnacle DePuySummit Cementless Stem

2 <1% No

DePuy Pinnacle OrthodynamicsCannulok Cementless Stem

2 <1% Yes


Edinburgh Cup Implants International Edinburgh 2 <1% No


CSF Plus DePuyC-Stem AMT Cemented Stem

2 <1% Yes


CSF Plus Stryker Exeter V40 2 <1% Yes


CSF Plus StrykerRestoration Cementless Stem

2 <1% Yes


Furlong ThreadedJoint Replacement Instrumentation Ltd


2 <1% No

Lima Delta One TT BiometStanmore Modular Stem

2 <1% Yes

Lima Delta One TT Lima H-Max S 2 <1% No

Lima Delta Revision TT DePuySolution Cementless Stem

2 <1% Yes

Lima Delta Revision TT Stryker Exeter V40 2 <1% Yes

Lima Delta TT DePuy Kar 2 <1% Yes

Lima Delta TT Lima H-Max M 2 <1% No

Orthodynamics Novae Stick OrthodynamicsCannulok Cementless Stem

2 <1% No

Orthodynamics Novae Stick Zimmer ZMR 2 <1% Yes

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Continued >




Mix and

match

Smith & Nephew R3 Cementless ZimmerRevitan Cementless Stem

2 <1% Yes

Stryker Contemporary Biomet Arcos Cone 2 <1% Yes

Stryker Contemporary CorinTaperfit Cemented Stem

2 <1% Yes

Stryker Contemporary Smith & NephewEchelon Cementless Stem

2 <1% Yes

Stryker Exeter Rimfit Biomet Arcos Cone 2 <1% Yes

Stryker Exeter Rimfit DePuy Corail 2 <1% Yes

Stryker Exeter Rimfit Peter Brehm GmbHPeter Brehm Revision Stem

2 <1% Yes

Stryker Exeter Rimfit Smith & NephewEchelon Cementless Stem

2 <1% Yes

Stryker Exeter Rimfit Stryker Accolade 2 <1% No

Stryker Exeter Rimfit Stryker GMRS 2 <1% No

Stryker Exeter Rimfit StrykerRestoration Cemented Stem

2 <1% No

Stryker Exeter Rimfit Waldemar Link MP Revision 2 <1% Yes

Stryker Exeter Rimfit Zimmer CPT 2 <1% Yes

Stryker Exeter Rimfit Zimmer ZMR 2 <1% Yes

Stryker Restoration ADM Cup ZimmerM/L Taper Cementless

2 <1% Yes

Stryker Trident Lima Lima Revision Stem 2 <1% Yes

Stryker Trident Zimmer CPT 2 <1% Yes

Stryker Tritanium DePuyC-Stem AMT Cemented Stem

2 <1% Yes

Stryker Tritanium Smith & Nephew Anthology 2 <1% Yes

Stryker Tritanium Zimmer CPT 2 <1% Yes

Stryker Tritanium Zimmer GMRS Cementless 2 <1% Yes

Symbios SA April Symbios SA SPS Evolution 2 <1% No

Waldemar Link Snap Fit Biomet Muller-Biomet 2 <1% Yes

Zimmer Continuum BiometStanmore Modular Stem

2 <1% Yes

Zimmer Continuum Smith & NephewSLR-Plus Cementless Stem

2 <1% Yes

Zimmer Continuum Waldemar Link MP Revision 2 <1% Yes

Zimmer Continuum ZimmerCLS Cementless Stem

2 <1% No

Zimmer FM IT Stryker Exeter V40 2 <1% Yes

Zimmer Low Profile Muller Zimmer CPT 2 <1% No

Zimmer Low Profile Muller Zimmer MS-30 2 <1% No

Zimmer Metasul-Muller Zimmer CPT 2 <1% No


B Braun / Aesculap Excia-Cemented 2 <1% Yes

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Mix and

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Smith & NephewPolarstem Cementless

2 <1% Yes


Waldemar Link SP II Cemented Stem 2 <1% Yes


Zimmer ZMR 2 <1% No

Zimmer Trilogy DePuy Reef 2 <1% Yes

Active Implants TribofitJoint Replacement Instrumentation Ltd


Amplitude Saturne Biomet Arcos Cone 1 <1% Yes

Amplitude Saturne Zimmer CPT 1 <1% Yes

B Braun / Aesculap Chirulen B Braun / AesculapPrevision Cemented Stem

1 <1% No

B Braun / Aesculap Chirulen ZimmerRevitan Cementless Stem

1 <1% Yes


B Braun / Aesculap Centrament 1 <1% No


B Braun / Aesculap Excia-Cemented 1 <1% No





Biomet Apollo Biomet Muller-Biomet 1 <1% No

Biomet Avantage BiometBimetric Cemented (CoCr)�

1 <1% No

Biomet Avantage DePuy Kar 1 <1% Yes

Biomet Avantage DePuy RECLAIM 1 <1% Yes

Biomet Avantage Cemented Cup DePuy Corail 1 <1% Yes

Biomet Avantage Cemented Cup DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Biomet Avantage Cemented Cup DePuy RECLAIM 1 <1% Yes

Biomet Avantage Cemented CupStanmore Implants Worldwide


Biomet Exceed Waldemar Link MP Revision 1 <1% Yes

Biomet Exceed ABT Biomet Kent Hip 1 <1% No

Biomet Exceed ABT BiometStanmore Modular Stem

1 <1% No

Biomet Exceed ABT BiometTaperloc Cemented Stem

1 <1% No

Biomet Exceed ABT BiometTaperloc Complete Cementless Stem

1 <1% No

Biomet Exceed ABT Smith & NephewSLR-Plus Cementless Stem

1 <1% Yes

Biomet Exceed ABT Zimmer CPT 1 <1% Yes

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Continued >




Mix and

match

Biomet Exceed ABT Cemented BiometStanmore Modular Stem

1 <1% No

Biomet Exceed ABT Cemented BiometTaperloc Complete Cementless Stem

1 <1% No

Biomet Exceed ABT Cemented Stryker Exeter V40 1 <1% Yes

Biomet Par-5 BiometTaperloc Complete Cementless Stem

1 <1% No

Biomet Par-5 Stryker Exeter V40 1 <1% Yes

Biomet Regenerex Revision BiometTaperloc Cementless Stem

1 <1% No

Biomet Regenerex Revision DePuy Kar 1 <1% Yes

Biomet Regenerex Revision StrykerRestoration Cementless Stem

1 <1% Yes

Biomet Regenerex Ringloc+ CorinTaperfit Cemented Stem

1 <1% Yes

Biomet Regenerex Ringloc+ DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Biomet Regenerex Ringloc+ Implantcast GmbH Mutars 1 <1% Yes

Biomet Stanmore-Arcom Cup Biomet Conelock 1 <1% No

Biomet Stanmore-Arcom Cup BiometTaperloc Cemented Stem

1 <1% No

Biomet Stanmore-Arcom Cup Corin C Fit 1 <1% Yes

Biomet Stanmore-Arcom Cup DePuyC-Stem Cemented Stem

1 <1% Yes

Biomet Stanmore-Arcom CupJoint Replacement Instrumentation Ltd


1 <1% Yes

Biomet Stanmore-Arcom Cup Lima H-Max M 1 <1% Yes

Corin Cenator Cemented CupWright Medical UK Ltd


1 <1% Yes

Corin Trinity CorinTaperfit Cemented Stem

1 <1% No

Corin Trinity Peter Brehm GmbHPeter Brehm Revision Stem

1 <1% Yes

Corin Trinity Waldemar Link MP Revision 1 <1% Yes

Corin Trinity Waldemar Link SP II Cemented Stem 1 <1% Yes

DePuy Charnley Cemented Cup DePuyC-Stem Cemented Stem

1 <1% No

DePuy Charnley Ogee DePuyC-Stem Cemented Stem

1 <1% No

DePuy DeltaMotion DePuyS-Rom Cementless Stem

1 <1% No

DePuy Elite Plus Cemented Cup DePuy Charnley Modular 1 <1% No

DePuy Elite Plus Cemented Cup DePuyS-Rom Cementless Stem

1 <1% No

DePuy Elite Plus FlangedJoint Replacement Instrumentation Ltd


1 <1% Yes

DePuy Elite Plus Ogee Biomet Arcos 1 <1% Yes

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Mix and

match

DePuy Elite Plus Ogee BiometStanmore Modular Stem

1 <1% Yes

DePuy Elite Plus Ogee BiometTaperloc Cemented Stem

1 <1% Yes

DePuy Elite Plus Ogee DePuy Charnley Modular 1 <1% No

DePuy Elite Plus Ogee DePuy Reef 1 <1% No

DePuy Elite Plus Ogee Lima Lima Revision Stem 1 <1% Yes

DePuy Elite Plus Ogee Smith & NephewEchelon Cementless Stem

1 <1% Yes

DePuy Elite Plus Ogee ZimmerRevitan Cementless Stem

1 <1% Yes

DePuy Gyros DePuy RECLAIM 1 <1% No

DePuy GyrosJoint Replacement Instrumentation Ltd


1 <1% Yes

DePuy Gyros Stryker Exeter V40 1 <1% Yes

DePuy Gyros StrykerRestoration Cementless Stem

1 <1% Yes

DePuy Marathon Biomet Arcos Cone 1 <1% Yes

DePuy Marathon BiometTaperloc Complete Cementless Stem

1 <1% Yes

DePuy Marathon DePuy Reef 1 <1% No

DePuy Marathon Lima Lima Revision Stem 1 <1% Yes

DePuy Pinnacle ZimmerM/L Taper Cementless

1 <1% Yes

DePuy Pinnacle Zimmer MS-30 1 <1% Yes

DePuy Pinnacle ZimmerVersys Cementless Stem

1 <1% Yes

FH Orthopaedics Atlas IIIp ZimmerRevitan Cementless Stem

1 <1% Yes




1 <1% No




1 <1% No


CSF Lima Lima Revision Stem 1 <1% Yes


CSF Plus CorinOxford Universal Hip (Corin)� Cementless Stem

1 <1% Yes


CSF Plus DePuy Corail Cemented 1 <1% Yes




1 <1% No


CSF Plus Waldemar Link MP Revision 1 <1% Yes


CSF Plus Zimmer CPT 1 <1% Yes


CSF Plus Zimmer Muller Str Stem 1 <1% Yes

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Continued >




Mix and


CSF Plus Zimmer ZMR 1 <1% Yes




1 <1% No

Lima Delta One TT B Braun / Aesculap Centrament 1 <1% Yes

Lima Delta One TT Biomet Reach 1 <1% Yes

Lima Delta One TT DePuy Charnley Modular 1 <1% Yes

Lima Delta One TT DePuy Trilock BPS 1 <1% Yes

Lima Delta One TT Stryker Accolade 1 <1% Yes

Lima Delta One TT Waldemar Link MP Revision 1 <1% Yes

Lima Delta One TT Waldemar LinkSP II Cemented Revision

1 <1% Yes

Lima Delta One TTWright Medical UK Ltd


1 <1% Yes

Lima Delta One TT Zimmer ZMR 1 <1% Yes

Lima Delta One TT ZimmerZMR Cementless Proximal Stem

1 <1% Yes

Lima Delta Revision TT Biomet Muller-Biomet 1 <1% Yes

Lima Delta Revision TT DePuyC-Stem Cemented Stem

1 <1% Yes

Lima Delta Revision TT Lima Modulus 1 <1% No

Lima Delta Revision TT StrykerRestoration Cemented Stem

1 <1% Yes

Lima Delta Revision TT StrykerRestoration Cementless Stem

1 <1% Yes

Lima Delta Revision TTWright Medical UK Ltd


1 <1% Yes

Lima Delta TT CorinOxford Universal Hip (Corin)� Cementless Stem

1 <1% Yes

Lima Delta TT DePuy Reef 1 <1% Yes

Lima Delta TT Lima Modulus 1 <1% No

Lima Delta TT Symbios SA SPS Modular 1 <1% Yes

Lima Delta TTWright Medical UK Ltd


1 <1% Yes

Lima Delta TT Zimmer GMRS Cementless 1 <1% Yes

Lima Delta TT Zimmer MS-30 1 <1% Yes


CCB MathysMathys Orthopaedics Ltd

CCA Cemented Stem 1 <1% No


RM Mathys DePuy Corail 1 <1% Yes


RM Mathys DePuy Kar 1 <1% Yes


RM Mathys StrykerRestoration Cementless Stem

1 <1% Yes

Medacta UK Ltd Versafit Medacta UK Ltd Quadra Cementless 1 <1% No

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Mix and

matchOrthodynamics Hilock Biomet Arcos Cone 1 <1% Yes

Orthodynamics Novae DePuySolution Cementless Stem

1 <1% Yes

Orthodynamics Novae OrthodynamicsCannulok Cementless Stem

1 <1% No

Orthodynamics Novae Zimmer ZMR 1 <1% Yes

Orthodynamics Novae Stick DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Orthodynamics Novae Stick DePuySolution Cementless Stem

1 <1% Yes

Orthodynamics Novae StickJoint Replacement Instrumentation Ltd

Securus 1 <1% Yes

Orthodynamics Novae StickStanmore Implants Worldwide


Serf Dedienne sante

Sunfit Stryker Exeter V40 1 <1% Yes


Aeon Cemented CupSheffield Medical Products Limited

Aeon Cemented Stem

1 <1% No

Smith & Nephew BHR Resurfacing Cup Stryker Accolade 1 <1% Yes

Smith & Nephew EP-Fit Plus Smith & Nephew CPS Plus 1 <1% No

Smith & Nephew EP-Fit Plus Smith & NephewSL-Plus Cementless Stem

1 <1% No

Smith & Nephew EP-Fit Plus Waldemar Link MP Revision 1 <1% Yes

Smith & Nephew EPF-Plus Smith & NephewSL-Plus Cementless Stem

1 <1% No

Smith & Nephew EPF-Plus Stryker Exeter V40 1 <1% Yes

Smith & Nephew Opera DePuy Corail 1 <1% Yes

Smith & Nephew Opera StrykerRestoration Cementless Stem

1 <1% Yes

Smith & Nephew Polarcup Cementless Zimmer ZMR 1 <1% Yes

Smith & Nephew R3 Cementless DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Smith & Nephew R3 Cementless Smith & Nephew CPCS 1 <1% No

Smith & Nephew R3 Cementless Stryker Accolade 1 <1% Yes

Smith & Nephew R3 Cementless Zimmer CPT 1 <1% Yes

Smith & Nephew Reflection Cemented DePuySolution Cementless Stem

1 <1% Yes

Stryker Contemporary DePuy Reef 1 <1% Yes

Stryker Contemporary Lima Lima Revision Stem 1 <1% Yes

Stryker Contemporary Stryker Accolade 1 <1% No

Stryker Contemporary StrykerOmnifit Cemented Stem

1 <1% No

Stryker Contemporary Zimmer ZMR 1 <1% Yes

Stryker Exeter Duration Waldemar Link MP Revision 1 <1% Yes

Stryker Exeter Rimfit CorinTaperfit Cemented Stem

1 <1% Yes

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Continued >




Mix and

matchStryker Exeter Rimfit Lima Lima Revision Stem 1 <1% Yes

Stryker Exeter Rimfit Smith & NephewPolarstem Cementless

1 <1% Yes

Stryker Exeter Rimfit Waldemar Link SP II Cemented Stem 1 <1% Yes

Stryker Exeter Rimfit Zimmer GMRS Cementless 1 <1% Yes

Stryker Restoration ADM Cup B Braun / Aesculap Excia-Cemented 1 <1% Yes

Stryker Restoration Gap2 DePuyS-Rom Cementless Stem

1 <1% Yes

Stryker Restoration Gap2 Zimmer ZMR 1 <1% Yes

StrykerSecure Fit Cementless Cup

BiometMallory-Head Cementless Stem

1 <1% Yes

StrykerSecure Fit Cementless Cup

Stryker GMRS 1 <1% No

Stryker Trident DePuyCharnley Cemented Stem

1 <1% Yes

Stryker Trident DePuyC-Stem Cemented Stem

1 <1% Yes

Stryker Trident DePuyS-Rom Cementless Stem

1 <1% Yes

Stryker Trident OrthodynamicsCannulok Cementless Stem

1 <1% Yes

Stryker Trident StrykerOmnifit Cementless Stem

1 <1% No

Stryker Trident StrykerRestoration Cemented Stem

1 <1% No

Stryker Trident Waldemar Link SP II Cemented Stem 1 <1% Yes

Stryker Trident ZimmerRevitan Cementless Stem

1 <1% Yes

Stryker Trident ZimmerVersys Cementless Stem

1 <1% Yes

Stryker Trident Zimmer ZMR 1 <1% Yes

Stryker Tritanium Biomet Arcos Cone 1 <1% Yes

Stryker Tritanium BiometStanmore Modular Stem

1 <1% Yes

Stryker TritaniumJoint Replacement Instrumentation Ltd


1 <1% Yes

Stryker Tritanium Smith & NephewSL-Plus Cementless Stem

1 <1% Yes

Stryker Tritanium Stryker GMRS 1 <1% No

Stryker Tritanium StrykerOmnifit Cemented Stem

1 <1% No

Stryker Tritanium StrykerOmnifit Cementless Stem

1 <1% No

Stryker Tritanium StrykerRestoration Cemented Stem

1 <1% No

Stryker Tritanium Waldemar Link MP Revision 1 <1% Yes

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Stryker Tritanium Waldemar LinkSP II Cemented Revision

1 <1% Yes

Stryker Tritanium Waldemar Link SP II Cemented Stem 1 <1% Yes

Stryker Tritanium Zimmer Muller Str Stem 1 <1% Yes

Stryker Tritanium ZimmerRevitan Cementless Stem

1 <1% Yes

Symbios SA April Symbios SA SPS Modular 1 <1% No

Waldemar Link Interplanta Waldemar Link SP II Cemented Stem 1 <1% No

Waldemar Link Snap Fit Waldemar Link MP Revision 1 <1% No


Procotyl StrykerRestoration Cementless Stem

1 <1% Yes




1 <1% No

Zimmer Allofit ZimmerCLS Cementless Stem

1 <1% No

Zimmer Allofit Zimmer MS-30 1 <1% No

Zimmer Continuum BiometTaperloc Cementless Stem

1 <1% Yes

Zimmer Continuum DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Zimmer Continuum DePuy Trilock BPS 1 <1% Yes

Zimmer Continuum Smith & NephewSL-Plus Cementless Stem

1 <1% Yes

Zimmer Continuum Waldemar LinkSP II Cemented Revision

1 <1% Yes



1 <1% Yes

Zimmer Continuum Zimmer M/L Taper 1 <1% No

Zimmer FM ITJoint Replacement Instrumentation Ltd


Zimmer FM IT ZimmerRevitan Cementless Stem

1 <1% No

Zimmer Low Profile MullerJoint Replacement Instrumentation Ltd

Securus 1 <1% Yes

Zimmer Low Profile Muller Waldemar Link Mega C stem 1 <1% Yes

Zimmer Low Profile Muller Waldemar Link MP Revision 1 <1% Yes

Zimmer Low Profile Muller Zimmer P10 Muller 1 <1% No


BiometBimetric Cemented (Ti)�

1 <1% Yes


BiometStanmore Modular Stem

1 <1% Yes


Corin C Fit 1 <1% Yes


DePuyElite Plus Cemented Stem

1 <1% Yes


DePuy LPS 1 <1% Yes

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Continued >




Mix and

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1 <1% Yes


Lima H-Max M 1 <1% Yes


Smith & NephewSL-Plus Cementless Stem

1 <1% Yes


Smith & Nephew Spectron 1 <1% Yes


Smith & NephewSynergy Cementless Stem

1 <1% Yes


Zimmer MS-30 1 <1% No


Corin Metafix Stem 1 <1% Yes


Corin miniHip 1 <1% Yes


DePuy RECLAIM 1 <1% Yes

Zimmer Trilogy OrthodynamicsCannulok Cementless Stem

1 <1% Yes

Zimmer Trilogy IT DePuy Corail 1 <1% Yes

Zimmer Trilogy IT Zimmer VerSys Heritage 1 <1% No

Zimmer Zimmer Cemented Cup Stryker Exeter V40 1 <1% Yes

Zimmer Zimmer Cemented Cup Zimmer Muller Str Stem 1 <1% No

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1.4 Summary

The total number of brands of acetabular cups and femoral stems used in procedures recorded in the NJR has increased significantly since its inception. There were 101 brands of acetabular cup (excluding resurfacing cups)� used in 2012, a decrease from 2011 when 127 brands were used. There were 146 brands of femoral stem used in 2012, also a decrease from 2011 (162)�. In addition to conventional hip resurfacing procedures, there were 35 procedures

entered into the NJR where a resurfacing cup was used in conjunction with a large diameter modular head and a conventional modular stem, compared with 217 in 2011. Material selection for femoral heads used between 2003 and 2007 remained constant (76% metal and 24% ceramic)�, however, since 2008 there has been an increase in the use of ceramic heads (61% metal and 39% ceramic in 2012)�. There has been a decrease in the use of very large sizes of femoral heads (greater than 36mm)�.

Continued >


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This section reports the numbers of prostheses implanted between 1 January and 31 December 2012 and entered into the NJR by 28 February 2013.

The procedure counts in this section of the report may vary to the procedure counts in Part Two of the Annual Report. This section counts only those procedures where the implants being described have been used. Therefore, if a procedure has been submitted with missing implant information this will cause a mismatch with Part Two.

2.1 Prostheses entered into the NJR

62 brands of total condylar knee prostheses were used in primary procedures and 40 used in revision procedures. In addition, there were 19 brands of unicondylar prostheses, 7 brands of patello-femoral replacements and 15 brands of hinged knees. The number of brands for each prosthesis type has increased for total condylar and unicondylar compared to 2011.

Tables 10(a)� and 10(b)� show the brands of primary and revision total condylar knee replacement prosthesis recorded in NJR for 2012.

Table 10(a) Brands for total condylar knee primary procedures performed during 2012.


procedures %75,921

DePuy PFC Sigma Bicondylar Knee 27,613 36%

Zimmer Nexgen 11,788 16%

Stryker Triathlon 8,426 11%

Smith & Nephew Genesis 2 6,451 8%

Biomet Vanguard 6,337 8%

Biomet AGC 4,808 6%

DePuy LCS Complete 2,122 3%

Stryker Scorpio 2,103 3%

B Braun / Aesculap Columbus 995 1%

Smith & Nephew Genesis 2 Oxinium 853 1%

Wright Medical UK Ltd Advance MP 772 1%

MATOrtho Limited MRK 661 <1%

Endo Plus (UK)� Limited Endoplus Bicondylar Knee 408 <1%

B Braun / Aesculap E-Motion Bicondylar Knee 301 <1%

Exactech (UK)� Ltd Optetrak 285 <1%

Centerpulse Natural Knee II 246 <1%

Wright Medical UK Ltd AMP Stature 162 <1%

Corin Rotaglide 155 <1%

Smith & Nephew Legion 127 <1%

Smith & Nephew Journey Oxinium 125 <1%

Implantcast GmbH ACS 120 <1%

Finsbury MRK 116 <1%

Biomet Maxim 115 <1%

DePuy Attune CR 92 <1%

2 Prostheses used in knee procedures 2012

Continued >




procedures %Smith & Nephew Profix 88 <1%

Medacta UK Ltd GMK 80 <1%

Mathys Orthopaedics Ltd Mathys Bicondylar Knee 78 <1%

Wright Medical UK Ltd Advance PS 75 <1%

Exactech (UK)� Ltd Logic 67 <1%

Zimmer Nexgen LCCK 53 <1%

Jointmedica Limited Joint Medica Bicondylar 37 <1%

Zimmer CR Flex 35 <1%

Biomet Alpina 33 <1%

Smith & Nephew Legion Oxinium 33 <1%

MATOrtho Limited Saiph 30 <1%

Zimmer LPS Knee 15 <1%

Stanmore Implants Worldwide Smiles Knee 14 <1%

DJO Surgical 3D 13 <1%

Smith & Nephew TC Plus 10 <1%

Finsbury Saiph 9 <1%

Euros Euros Bicondylar 8 <1%

Corin Unity 7 <1%

Wright Medical UK Ltd Insall-Burstein 2 7 <1%

ConforMIS iDuo G2 6 <1%

Smith & Nephew Profix Oxinium 6 <1%

Stanmore Implants Worldwide SMILES Bicondylar 6 <1%

DePuy Attune PS 4 <1%

Medacta UK Ltd Medacta Bicondylar 4 <1%

Implants International St Leger 3 <1%

Stryker NRG 3 <1%

Aequos Aequos G1 2 <1%

Corin Rotaglide + 2 <1%

Medacta UK Ltd sphere 2 <1%

Zimmer MBK 2 <1%

Biomet CKS 1 <1%

Corin AMC 1 <1%

DePuy LCS 1 <1%

MATOrtho Limited DBK 1 <1%

Sovereign Medical CCI 1 <1%

Stryker Kinemax 1 <1%

Wright Medical UK Ltd Advance CCK 1 <1%

Zimmer Natural Knee II 1 <1%


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Table 10(b) Brands for total condylar knee revision procedures performed during 2012.


procedures %3,261

DePuy PFC Sigma Bicondylar Knee 1,232 38%

Stryker Triathlon 344 11%

Zimmer Nexgen LCCK 316 10%

Smith & Nephew Legion Oxinium 248 8%

Biomet Vanguard 207 6%

Zimmer Nexgen 206 6%

Biomet AGC 179 5%

Smith & Nephew Genesis 2 124 4%

Biomet Maxim 84 3%

Stryker Scorpio 82 3%

Stanmore Implants Worldwide Smiles Knee 36 1%

Smith & Nephew Genesis 2 Oxinium 33 1%

MATOrtho Limited MRK 20 <1%

DePuy LCS Complete 17 <1%

Exactech (UK)� Ltd Optetrak 17 <1%

Smith & Nephew Legion 15 <1%

B Braun / Aesculap Columbus 13 <1%

Wright Medical UK Ltd Advance CCK 12 <1%

DePuy LPS Knee 11 <1%

Stanmore Implants Worldwide SMILES Bicondylar 10 <1%

Medacta UK Ltd GMK 7 <1%

Finsbury MRK 5 <1%

Smith & Nephew Profix 5 <1%

Corin Rotaglide 4 <1%

Wright Medical UK Ltd Advance MP 4 <1%

Wright Medical UK Ltd AMP Stature 4 <1%

B Braun / Aesculap E-Motion Bicondylar Knee 3 <1%

Centerpulse Natural Knee II 3 <1%

Endo Plus (UK)� Limited Endoplus Bicondylar Knee 3 <1%

Implantcast GmbH ACS 3 <1%

DePuy PFC Bicondylar Knee 2 <1%

DJO Surgical 3D 2 <1%

Euros Euros Bicondylar 2 <1%

Smith & Nephew Journey Oxinium 2 <1%

Corin Rotaglide + 1 <1%

Jointmedica Limited Joint Medica Bicondylar 1 <1%

Mathys Orthopaedics Ltd Mathys Bicondylar Knee 1 <1%

MATOrtho Limited Saiph 1 <1%

Smith & Nephew Profix Oxinium 1 <1%

Wright Medical UK Ltd Advance PS 1 <1%



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Table 11 Brands for primary and revision unicondylar knee replacement procedures performed during 2012.


procedures %7,101

Biomet Oxford Partial Knee 4,432 62%

Zimmer Zimmer Unicompartmental 1,069 15%

DePuy Sigma HP 964 14%

Corin AMC/Uniglide 319 4%

Stryker Triathlon Uni 113 2%

Smith & Nephew Genesis Uni Oxinium 44 <1%

Mathys Orthopaedics Ltd Mathys Unicondylar Knee 41 <1%

Waldemar Link Sled 28 <1%

Tornier Ukneetec 24 <1%

Smith & Nephew Journey Uni Oxinium 21 <1%

Exactech (UK)� Ltd Optetrak Unicondylar 13 <1%

Zimmer MG Uni 10 <1%

Smith & Nephew Genesis Uni 6 <1%

Endo Plus (UK)� Limited UC-Plus 4 <1%

Smith & Nephew iUni G2 4 <1%

Medacta UK Ltd GMK Uni 3 <1%

Tornier HLS Evolution 3 <1%

Euros Euros Unicondylar 2 <1%

ConforMIS iUni G2 1 <1%

Table 12 Brands for primary and revision patello-femoral joint replacement procedures performed during 2012.


procedures %1,222

Stryker Avon 392 32%

Zimmer Zimmer PFJ 248 20%

Wright Medical UK Ltd FPV 212 17%

DePuy Sigma HP 181 15%

Smith & Nephew Journey PFJ Oxinium 167 14%

Biomet Vanguard PF 20 2%

Wright Medical UK Ltd Evos 2 <1%


Table 13 Fixed and rotating hinged knee brands for primary and revision knee procedures performed during 2012.


procedures %977

Waldemar Link Endo Rotating Hinge 253 26%

Zimmer Nexgen Hinge Type 170 17%

Stanmore Implants Worldwide Smiles Knee 126 13%

DePuy Noiles 125 13%

Stryker MRH 111 11%

Endo Plus (UK)� Limited RT-Plus 62 6%

Biomet RHK 61 6%

Zimmer Zimmer Segmental System 20 2%

Biomet OSS 12 1%

Biomet Stanmore Hinge 11 1%

Waldemar Link Endo Hinge 9 <1%

Smith & Nephew RT-Plus 8 <1%

B Braun / Aesculap EnduRo Hinge 5 <1%

Wright Medical UK Ltd Guardian Hinged/Linked Knee 3 <1%

Implantcast GmbH Mutars Mom 1 <1%

Table 14 Tibial insert type for primary and revision knee procedures performed during 2012.

ConstraintNumber of

procedures %80,194

Constrained condylar 1,955 2%

Posterior stabilised, fixed 18,842 23%

Unconstrained, fixed 54,274 68%

Posterior stabilised, mobile 1,171 1%

Unconstrained, mobile 3,952 5%

2.2 Usage of fixed versus mobile bearing tibial inserts

Total condylar knee arthroplasties involving tibial inserts predominantly used fixed bearing inserts as shown in Table 14.,

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Table 15(a) Brands for primary ankle procedures performed in 2012.

Table 15(b) Brands for revision ankle procedures performed in 2012.


procedures %535

DePuy Mobility 274 51%

Corin Zenith 108 20%

Finsbury Box 45 8%

Tornier Salto 37 7%

Integra Hintegra 27 5%

Sbi Star 27 5%

Biomet Rebalance 14 3%

Wright Medical UK Ltd Inbone 2 <1%

Implantcast GmbH Taric 1 <1%


procedures %14

DePuy Mobility 10 71%

Corin Zenith 3 21%

Integra Hintegra 1 7%

This section reports the numbers of prostheses implanted between 1 January and 31 December 2012 and entered into the NJR by 28 February 2013.

3 Prostheses used in ankle procedures 2012

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Table 16 Humeral elbow brands for primary and revision procedures performed in 2012.

Table 17 Elbow radial head brands for primary and revision procedures performed in 2012.


procedures %273

Zimmer Coonrad Morrey 122 45%

Biomet Discovery 66 24%

Biomet Discovery one piece elbow 46 17%

Tornier Latitude Humeral 24 9%

Zimmer GSB 111 8 3%

Biomet IBP 3 1%

Biomet K Elbow 2 <1%

Biomet LRE 2 <1%


procedures %23

Acumed Anatomic Radial Head 9 39%

Biomet ExploR 4 17%

Wright Medical UK Ltd evolve 4 17%

Corin Corin radial head 2 9%

Sbi rHead 2 9%

Tornier RHS 2 9%

This section reports the numbers of prostheses implanted between 1 April and 31 December 2012 and entered into the NJR by 28 February 2013.

4 Prostheses used in elbow procedures 2012

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Table 18(a) Shoulder brands for primary shoulder resurfacing procedures performed in 2012.

Table 18(b) Shoulder brands for revision shoulder resurfacing procedures performed in 2012.


procedures %1,062

Biomet Copeland 291 27%

Tornier Aequalis head 143 13%

DePuy Global AP 128 12%

DePuy Global Advantage humeral head 125 12%

Mathys Orthopaedics Ltd Affinis 97 9%

DePuy Global CAP 94 9%

Synthes EPOCA Resurfacing 51 5%

Lima Lima SMR head 39 4%

Biomet TESS Head 24 2%

Joint Replacement Instrumentation Ltd Vaios Head 22 2%

DePuy Global 15 1%

Corin Oxford humeral head 12 1%

FH Orthopaedics Arrow Resurfacing Head 9 <1%

Zimmer Sidus 6 <1%

Tornier Ascend Humeral head 4 <1%

DePuy Global Unite head 2 <1%


procedures %43

DePuy Global Advantage humeral head 11 26%

Tornier Aequalis head 10 23%

DePuy Global AP 7 16%

Lima Lima SMR head 5 12%

Mathys Orthopaedics Ltd Affinis 4 9%

Biomet Copeland 3 7%

Biomet TESS Head 2 5%

Tornier Affinity humeral head 1 2%

This section reports the numbers of prostheses implanted between 1 April and 31 December 2012 and entered into the NJR by 28 February 2013.

5 Prostheses used in shoulder procedures 2012

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Table 19(a) Shoulder humeral stem brands for primary shoulder procedures performed in 2012.


procedures %1,325

DePuy Delta Xtend 285 22%

Tornier Aequalis stem 141 11%

DePuy Global AP humeral stem 133 10%

Exactech (UK)� Ltd Equinoxe 127 10%

Mathys Orthopaedics Ltd Affinis stem 123 9%

DePuy Global Advantage Stem 111 8%

Synthes EPOCA 68 5%

Zimmer anatomical shoulder 62 5%

Lima Lima SMR stem 54 4%

Biomet Comprehensive 52 4%

Joint Replacement Instrumentation Ltd Vaios stem 44 3%

Tornier SIMPLICITI 25 2%

FH Orthopaedics Arrow 16 1%

Biomet TESS 14 1%

DePuy Global FX 13 1%

Corin Oxford Modular 12 <1%

Zimmer B/F 10 <1%

Zimmer TM reverse 8 <1%

Biomet Biomodular shoulder 5 <1%

DJO Surgical RSP 5 <1%

Tornier Ascend 5 <1%

Biomet VERSO 4 <1%

DePuy Global Unite 3 <1%

Biomet Mosaic 2 <1%

Acumed POLARUS 1 <1%

Biomet Nottingham 1 <1%

Smith & Nephew PROMOS 1 <1%

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Table 19(b) Shoulder humeral stem brands for revision shoulder procedures performed in 2012.


procedures %131

DePuy Delta Xtend 31 24%

Tornier Aequalis stem 19 15%

Exactech (UK)� Ltd Equinoxe 16 12%

Joint Replacement Instrumentation Ltd Vaios stem 13 10%

Biomet Comprehensive 9 7%

Lima Lima SMR stem 7 5%

DePuy Global Advantage Stem 6 5%

DePuy Global AP humeral stem 6 5%

Synthes EPOCA 6 5%

Mathys Orthopaedics Ltd Affinis stem 5 4%

Zimmer anatomical shoulder 5 4%

FH Orthopaedics Arrow 2 2%

Tornier SIMPLICITI 2 2%

Biomet Biomodular shoulder 1 <1%

Biomet Nottingham 1 <1%

Biomet VERSO 1 <1%

Zimmer B/F 1 <1%

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The majority of procedures involving cement used antibiotic-loaded rather than non-antibiotic cement. 88% of hip procedures and 96% of knee procedures and all ankle procedures using cement used antibiotic-loaded cements. The brands of all cements used in hip (Table 21a)�, knee (Table 21b)�, ankle procedures (Table 21c)�, elbow (Table 21d)� and shoulders (Table 21e)�, are shown below.

The total number of procedures shown in Table 20 may differ to those in Tables 21(a)�–(e)�. In Tables 21(a)�–(e)� if a procedure has used more than one manufacturer or brand of cement a procedure will be counted for each manufacturer or brand of cement used.

6 Cement use 2012

Table 20 Type of cement used in hip, knee, ankle, elbow and shoulder replacement procedures performed in 2012.

Joint Cement TypeNumber of

procedures %133,480

Ankle 6

Ankle Antibiotic-loaded high viscosity 6 100%

Elbow 244

Elbow Antibiotic-loaded high viscosity 155 64%

Elbow Antibiotic-loaded medium viscosity 37 15%

Elbow Antibiotic-loaded low viscosity 15 6%

Elbow Medium viscosity 35 14%

Elbow Low viscosity 2 1%

Hip 47,615

Hip Antibiotic-loaded high viscosity 37,497 79%

Hip Antibiotic-loaded medium viscosity 4,711 10%

Hip Antibiotic-loaded low viscosity 509 1%

Hip High viscosity 1,106 2%

Hip Medium viscosity 3,787 8%

Hip Low viscosity 5 <1%

Knee 84,741

Knee Antibiotic-loaded high viscosity 80,467 95%

Knee Antibiotic-loaded medium viscosity 2,516 3%

Knee Antibiotic-loaded low viscosity 21 <1%

Knee High viscosity 494 <1%

Knee Medium viscosity 1,242 1%

Knee Low viscosity 1 <1%

Shoulder 874

Shoulder Antibiotic-loaded high viscosity 818 94%

Shoulder Antibiotic-loaded medium viscosity 16 2%

Shoulder Antibiotic-loaded low viscosity 2 <1%

Shoulder High viscosity 12 1%

Shoulder Medium viscosity 26 3%

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Table 21(a) Brands of cement used in hip procedures performed in 2012.

Manufacturer Brand Cement type

Number of procedures using brand %

50,062Heraeus Medical Palacos Antibiotic Antibiotic-loaded high viscosity 29,095 58%

Biomet Biomet Refobacin Antibiotic-loaded high viscosity 4,117 8%

Stryker Simplex AntibioticAntibiotic-loaded medium viscosity

4,076 8%

DePuy CMW2 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 3,794 8%

Stryker Simplex Antibiotic Medium viscosity 3,001 6%


DePuySmartset HV Antibiotic Loaded Cement

Antibiotic-loaded high viscosity 859 2%

DePuy CMW2 Plain Cement High viscosity 819 2%

Stryker Simplex Medium viscosity 785 2%

Heraeus Medical Palacos Antibiotic Antibiotic-loaded low viscosity 496 <1%

DePuy CMW3 Antibiotic Loaded CementAntibiotic-loaded medium viscosity

268 <1%

Heraeus Medical Copal Antibiotic LoadedAntibiotic-loaded medium viscosity

209 <1%

Biomet Copal Antibiotic Loaded Antibiotic-loaded high viscosity 133 <1%

Heraeus Medical Palacos High viscosity 124 <1%

Biomet Palacos High viscosity 85 <1%

Heraeus Medical Palacos AntibioticAntibiotic-loaded medium viscosity

85 <1%

DePuySmartset Endurance Antibiotic Loaded Cement

Antibiotic-loaded medium viscosity

71 <1%

Biomet Biomet Refobacin Revision Antibiotic-loaded high viscosity 70 <1%

DePuy CMW1 Plain Cement High viscosity 56 <1%

Biomet Biomet Refobacin Plus Antibiotic-loaded high viscosity 28 <1%

Heraeus Medical Palamed Antibiotic Antibiotic-loaded high viscosity 28 <1%

DePuy Smartset HV Plain Cement High viscosity 19 <1%

Tecres Medical VancogenX High viscosity 14 <1%

Biomet Osteopal Antibiotic Antibiotic-loaded low viscosity 13 <1%

Heraeus Medical Copal High viscosity 12 <1%

Heraeus Medical Palacos Low viscosity 5 <1%

Smith & Nephew Versabond AB Antibiotic-loaded high viscosity 3 <1%

DePuy CMW3 Plain Cement Medium viscosity 2 <1%

Heraeus Medical PalacosAntibiotic-loaded medium viscosity

2 <1%

Heraeus Medical Palamed AntibioticAntibiotic-loaded medium viscosity

2 <1%

Heraeus Medical Palacos Medium viscosity 1 <1%

Schering-Plough Palacos Antibiotic Antibiotic-loaded high viscosity 1 <1%

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Table 21(b) Brands of cement used in knee procedures performed in 2012.

Table 21(c) Brands of cement used in ankle procedures performed in 2012.



84,980Heraeus Medical Palacos Antibiotic Antibiotic-loaded high viscosity 61,905 73%

Biomet Biomet Refobacin Antibiotic-loaded high viscosity 10,307 12%


Antibiotic-loaded high viscosity 3,456 4%


Stryker Simplex Antibiotic Antibiotic-loaded medium viscosity 2,236 3%


Stryker Simplex Antibiotic Medium viscosity 1,086 1%

Heraeus Medical Palacos High viscosity 217 <1%


Heraeus Medical Copal Antibiotic Loaded Antibiotic-loaded medium viscosity 161 <1%

Stryker Simplex Medium viscosity 154 <1%

Biomet Biomet Refobacin Revision Antibiotic-loaded high viscosity 135 <1%



Heraeus Medical Palacos Antibiotic Antibiotic-loaded medium viscosity 96 <1%

Biomet Biomet Refobacin Plus Antibiotic-loaded high viscosity 63 <1%

DePuy Smartset HV Plain Cement High viscosity 36 <1%




DePuy CMW3 Antibiotic Loaded Cement Antibiotic-loaded medium viscosity 13 <1%

Heraeus Medical Palamed Antibiotic Antibiotic-loaded medium viscosity 7 <1%

Tecres Medical VancogenX High viscosity 5 <1%

DePuyCMW2000 Antibiotic Loaded Cement

Antibiotic-loaded high viscosity 3 <1%


Antibiotic-loaded medium viscosity 2 <1%

Heraeus Medical Palacos Antibiotic-loaded medium viscosity 2 <1%

Heraeus Medical Palacos Medium viscosity 2 <1%

Biomet Biomet Refobacin Plus High viscosity 1 <1%

Heraeus Medical Copal High viscosity 1 <1%




6Heraeus Medical Palacos Antibiotic Antibiotic-loaded high viscosity 5 83%

Biomet Biomet Refobacin Antibiotic-loaded high viscosity 1 17%

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Table 21(d) Brands of cement used in elbow procedures performed in 2012.

Table 21(e) Brands of cement used in shoulder procedures performed in 2012.





Stryker Simplex Antibiotic Medium viscosity 29 12%

Stryker Simplex AntibioticAntibiotic-loaded medium viscosity

15 6%

Heraeus Medical Palacos Antibiotic Antibiotic-loaded low viscosity 14 6%

Heraeus Medical Palacos AntibioticAntibiotic-loaded medium viscosity

13 5%

DePuy CMW1 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 11 5%

Stryker Simplex Medium viscosity 6 2%



DePuy CMW3 Antibiotic Loaded CementAntibiotic-loaded medium viscosity

4 2%

Heraeus Medical Copal Antibiotic LoadedAntibiotic-loaded medium viscosity

3 1%

DePuy CMW2 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 2 <1%


Antibiotic-loaded medium viscosity

2 <1%


Biomet Osteopal Antibiotic Antibiotic-loaded low viscosity 1 <1%







Stryker Simplex Antibiotic Medium viscosity 26 3%


Stryker Simplex Antibiotic Antibiotic-loaded medium viscosity 14 2%









Antibiotic-loaded medium viscosity 1 <1%

Heraeus Medical Copal Antibiotic Loaded Antibiotic-loaded medium viscosity 1 <1%

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7 Bone substitute use 2012Tables 22(a)�, 22(b)�, 22(c)�, 22(d)� and 22(e)� report the brand usage of bone substitute used in hip, knee, ankle, elbow and shoulder replacement procedures

during 2012. The vast majority of bone substitute is used in hip procedures.

Table 22(a) Brands of synthetic bone substitute used in hip procedures during 2012.


procedures %468

Synthes DBX 140 30%

DePuy Grafton 60 13%

Endo Plus (UK)� Limited Endoplus Bone Substitute 56 12%

Stryker Bonesave 47 10%

Finceramica Regenoss 40 9%

ApaTech Products Actifuse 25 5%

FH Orthopaedics Surgicraft 19 4%

Exactech (UK)� Ltd Opteform 18 4%

Osteotech Grafton 15 3%

Wright Medical UK Ltd Osteoset 14 3%

Quadrant Medical Ltd Vitoss 6 1%

ApaTech Products Apatech Bone Substitute 5 1%

Corin Biofuse 5 1%

Joint Replacement Instrumentation Ltd Repros 5 1%

Biocomposites Biocomposites 3 <1%

Finceramica Engipore 3 <1%

Synthes Chronos TCP 3 <1%

Finceramica Sintlife 2 <1%

Synthes Synthes Bone Substitute 2 <1%

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Table 22(c) Brands of synthetic bone substitute used in ankle procedures during 2012.

Table 22(d) Brands of synthetic bone substitute used in elbow procedures during 2012.


procedures %2

Synthes DBX 1 50%Wright Medical UK Ltd Osteoset 1 50%


procedures %3

ApaTech Products Actifuse 1 33%Osteotech Orthoblend 1 33%Wright Medical UK Ltd Osteoset 1 33%

Table 22(b) Brands of synthetic bone substitute used in knee procedures during 2012.

Table 22(e) Brands of synthetic bone substitute used in shoulder procedures during 2012.


procedures %18

Endo Plus (UK)� Limited Endoplus Bone Substitute 5 28%


Finceramica Engipore 2 11%

Stryker Bonesave 2 11%

Wright Medical UK Ltd Osteoset 2 11%

Biocomposites Biocomposites 1 6%

Exactech (UK)� Ltd Opteform 1 6%


Quadrant Medical Ltd Vitoss 1 6%

Synthes DBX 1 6%


procedures %7


DePuy Grafton 1 14%


Synthes Chronos TCP 1 14%

Synthes DBX 1 14%

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Prostheses used in 2012

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