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AESCULAP® CoreHip® SYSTEM

AESCULAP® CoreHip® SYSTEM
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AESCULAP® CoreHip® SYSTEM

Product catalog summary
Overview: The AESCULAP® CoreHip® System is designed for hip replacement surgeries, offering both cementless and cemented options. It features a universal rasp design and color-coded instruments for ease of use during surgery.
Specifications: The system includes various femur shapes and lines of indication, such as Standard, Valgus, Varus, and Dysplasia. The stems are made from titanium alloy with a PLASMAPORE® coating for cementless options and cobalt-chrome alloy for cemented options.
Procedures: The surgical technique allows for intraoperative decisions between cementless and cemented implantation. The system supports anatomical joint reconstruction with precise leg length and offset adjustments.
Design Features: The CoreHip® stems have a triple cone design for primary stability and are available in different medial curves and offset variants. The rasps are adaptable to various anatomical conditions and are marked for prosthesis shoulder height and femoral osteotomy.
Preoperative Planning: The system includes planning templates with color-coded outlines for different stem series, aiding in the selection of implant size and position based on anatomical conditions.
Key Data: Radiological evaluations show high accuracy in leg length and offset reconstruction. The system is based on extensive data from diverse ethnic sources, ensuring a wide range of indications.
Extended System: The CoreHip® Extended System is used for cementless revision procedures with increased stem length, supporting cases with low-grade bone loss.
Recommendations: The document emphasizes the importance of preoperative planning and intraoperative flexibility to achieve optimal outcomes. The use of color-coded instruments and implants aids in surgical orientation and decision-making.
CoreHip® System Overview: The CoreHip® System includes both Primary and Extended cementless stems, designed for hip replacement surgeries. The system utilizes ISOTAN® F titanium alloy with a PLASMAPORE® titanium surface coating for cementless implants, and ISODUR® F cobalt-chrome alloy for cemented implants.
Medullary Cavity Preparation: The CoreHip® Extended stems are implanted without cement, following preoperative planning. The medullary canal is opened using a box chisel, and the procedure allows for an intraoperative change from Primary to Extended stems.
Trial Prosthesis Heads: Various sizes of trial prosthesis heads are available, ranging from 22.2 mm to 40 mm, to accommodate different patient anatomies. These heads are used to determine the final prosthesis head size during trial reduction.
CoreHip® System Instruments: The system includes a variety of instruments such as trial prosthesis heads, stem impactors, and rasp handles. The instruments are designed for different surgical approaches, including posterior, antero-lateral, and direct anterior approaches.
Implant Materials and Sizes: The CoreHip® implants are available in various sizes and configurations, including Valgus, Standard, and Varus. The stem lengths range from 119.5 mm to 194.5 mm, depending on the size and type of implant.
Storage and Handling: The CoreHip® system is stored in AESCULAP® OrthoTray® containers, which are available in different sizes to accommodate the various components of the system.
Additional Information: The document includes references to literature on preclinical evaluations and biotribological assessments of implants. It also provides contact information for Aesculap AG, the manufacturer of the CoreHip® system.
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Catalog excerpts

AESCULAP® CoreHip® SYSTEM-1

ORTHOPAEDIC SURGERY AESCULAP® CoreHip® SYSTEM TEN LINES OF INDICATION. ONE INSTRUMENTATION. MORE INDIVIDUALITY.

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AESCULAP® CoreHip® SYSTEM-2

AESCULAP® CoreHip® PRIMARY TEN LINES OF INDICATION. ONE INSTRUMENTATION. MORE INDIVIDUALITY. GLOBAL PATENT

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AESCULAP® CoreHip® SYSTEM-3

R calcar = R VAR = R STD = R VLG ONE RADIUS ONE RASP DESIGN TEN INDICATION

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AESCULAP® CoreHip® SYSTEM-4

AESCULAP® CoreHip® PRIMARY CEMENTLESS VARIOUS FEMUR SHAPES. FOUR LINES OF INDICATION.

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AESCULAP® CoreHip® SYSTEM-5

PRIMARY – CEMENTLESS ❙ The cementless CoreHip® Primary System consists of the indication lines Standard, Valgus, Varus and Dysplasia. ❙ The four CoreHip® indication lines take into consideration different anatomical curvatures of the calcar femoris. ❙ The CoreHip® stem selection separates stem anchorage and reconstruction of the joint center. ❙ Each CoreHip® indication line has a fixed offset range in relation to the position of the head center in varus, valgus, standard or dysplastic situations and grows laterally. ❙ The patented CoreHip® system rasps allow implantation of all three indication...

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AESCULAP® CoreHip® SYSTEM-6

AESCULAP® CoreHip® PRIMARY CEMENTED VARIOUS FEMUR SHAPES. THREE LINES OF INDICATION.

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AESCULAP® CoreHip® SYSTEM-7

PRIMARY – CEMENTED ❙ The CoreHip® Primary stems can also be used with cement. ❙ The cemented CoreHip® system combines the same properties and advantages as the cementless stems, even with the cemented CoreHip® AS version. ❙ The CoreHip® surgical technique allows for intra-operative decision for cementless or cemented implantation. ❙ The CoreHip® stem selection therefore takes different anatomical curvatures of the calcar femoris into consideration even with the cemented technique. ❙ The cemented anchoring of the polished surface is based on a triple conical stem design. ❙ The CoreHip® Centralizer...

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AESCULAP® CoreHip® SYSTEM-8

AESCULAP® AS CoreHip® PRIMARY CEMENTED VARIOUS FEMUR SHAPES. THREE LINES OF INDICATION.

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AESCULAP® CoreHip® SYSTEM-9

THE AS CoreHip® STEMS PRIMARY – CEMENTED ❙ The AS CoreHip® stems show a high degree of reliability due to a reliable connection of the AS coating to the base material material (1, 2). ❙ The AS CoreHip® Primary stems combine the same properties and advantages as cemented stems. ❙ The AS CoreHip® stems show high resistance to metal ion release (1, 2). ❙ The AS CoreHip® stem selection takes into account different anatomical curves of the femoral calcar even with the cemented technique. ❙ The surface of the AS CoreHip® stems has similar properties to the polished surface of the CoreHip® stems. ❙...

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AESCULAP® CoreHip® SYSTEM-10

AESCULAP® CoreHip® PRIMARY STEM DESIGN. CHARACTERISTICS AND ANCHORING. NECK polished surface CONE CCD 122° to 142° SHOULDER Protection of greater trochanter intraoperative orientation PROXIMAL PLASMAPORE® coating triple cone design MEDIAL Calcar adjustment 4 anatomical shapes: Valgus – Standard – Varus – Dysplasia DISTAL axial femoral guidance raw surface 3° PROXIMAL triple taper ANCHOR bilateral cortical contact Primary stability via 7° cone

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AESCULAP® CoreHip® SYSTEM-11

NECK polished surface CONE CCD 122° to 142° SHOULDER Protection of greater trochanter intraoperative orientation MEDIAL Calcar adjustment 3 anatomical shapes: Valgus – Standard – Varus PROXIMAL triple taper PROXIMAL polished surface triple cone design DISTAL polished surface axial femorale guidance 7° ANCHOR bilateral cortical contact Primary stability via 7° cone CEMENT MANTLE ∆ Rasp and stem size CENTRALIZER for distal stem position

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AESCULAP® CoreHip® SYSTEM-12

AESCULAP® CoreHip® PRIMARY TEN LINES OF INDICATION. ONE IMPLANTATION RASP.

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AESCULAP® CoreHip® SYSTEM-13

THE RASPS ❙ The CoreHip® Implantation Rasps can be used universally for the three stem series in cementless or cemented techniques. ❙ Three CoreHip® neck adapters allow intraoperative selection of the stem best suited to the anatomical situation. ❙ The CoreHip® Rasp Curvature can be adapted to valgus, standard, varus or dysplasia conditions by a higher or lower position. ❙ The CoreHip® system rasps have different markers for the height of the prosthesis shoulder and femoral osteotomy. ❙ The CoreHip® rasp shoulder indicates the height of the head center. ❙ The CoreHip® osteotomy guide influences...

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AESCULAP® CoreHip® SYSTEM-14

AESCULAP® CoreHip® PRIMARY ONE SURGICAL TECHNIQUE. FOUR MEDIAL CURVES. THE CURVES ❙ The CoreHip® indication lines take into consideration the relationship between different medial curvatures and femoral rotation centers. ❙ The CoreHip® surgical technique is oriented to the medial curvatures by a higher or lower rasp position. ❙ The CoreHip® rasp position allows variation of the head center (valgus, standard, varus, dyspla

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AESCULAP® CoreHip® SYSTEM-15

ONE MEDIAL CURVE. THREE OFFSET VARIANTS. THE OFFSET ❙ The CoreHip® stems can cover three different offset ranges for a given medial contour, stem size and leg length. ❙ The CoreHip® surgical technique supports this procedure with different osteotomy levels and three neck adapters. ❙ The CoreHip® Offset characteristic is independent of the stem size per indication lin

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AESCULAP® CoreHip® SYSTEM-16

AESCULAP® CoreHip® DYSPLASIA ONE SURGICAL TECHNIQUE. FOUR MEDIAL CURVES. 142° Valgus & Dysplasia 132° Standard 122° Varus ❙ In preoperative planning, the CoreHip® indication lines show a high degree of correlation between leg length and offset reconstruction due to the variability of the four stem systems. ❙ The CoreHip® head centers are positioned with a femoral offset dependent on the medial resection point and a size growth dependent on the head center. ❙ The CoreHip® dysplasia indication line can achieve a leg length adjustment of 10 mm with the same valgus offset reconstruction and adaptation...

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AESCULAP® CoreHip® SYSTEM-17

ANATOMICAL JOINT RECONSTRUCTION. LEG LENGTH AND OFFSET. OFFSET 100 % Degree of achievement For the design of the CoreHip® system, both two- dimensional (ap- and lateral X-rays) and three- dimensional data (> 500) from most ethnic sources in the world were used. This allowed the diversity of the femur to be established as the basis for the systemic compilation of all possible indications. In an iterative planning process, the initial CoreHip® design was optimized on the basis of two or three-dimensional X-ray material (> 250 femoral examples). With this approach, the CoreHip® system was able to...

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*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.