VEGA

VEGA

VEGA

Product catalog summary
Introduction
The document outlines the surgical technique for the VEGA Revision Cementless Femoral Stem with Distal Fixation. This femoral stem is designed for use in hip prosthesis revisions, particularly when there is significant bone loss or fractures that prevent the use of conventional prostheses. The stem is made from titanium (Ti 6Al 4V – ELI) and features a sandblasted surface finish.

Specifications
The femoral stem is available in diameters of 14, 15, 16, 17, 19, and 21mm, and lengths of 225, 265, and 305mm, providing 18 different options. It includes eight conical longitudinal grooves for enhanced anchorage and rotational stability. The modular system allows for the use of femoral heads with diameters of Ø22.25, Ø26.0, and Ø28.0mm, with varying neck heights.

Indications for Use
The VEGA stem is indicated for primary total hip prosthesis revisions with extensive bone resorption, revisions after fractures or cortical wall defects, and comminuted fractures in the proximal femur of elderly patients.

Pre-operative Planning
Pre-operative planning is crucial to determine the appropriate stem diameter and length. Radiographic transparencies are used to match the stem to the femur, considering a 15% enlargement typically seen in hip radiographs. The optimal anchorage length is defined to ensure proper fixation.

Surgical Procedure
  • Access Way: The primary prosthesis and any obstructive materials must be removed from the medullary channel.
  • Guide String Placement: Insert the guide string into the medullary channel and verify placement with an image intensifier.
  • Channel Milling: Use flexible and straight milling cutters progressively to prepare the channel, ensuring the final diameter matches pre-operative planning.
  • Prosthesis Placement: Use a prosthesis impactor to insert the VEGA stem until the impactor mark aligns with the greater trochanter.
  • Test Head and Final Head Placement: Position a test head to determine neck height, then use an impactor for final head placement.

Prosthesis Extraction
If extraction is necessary, an EX.22 extractor is used.

Conclusion
The VEGA Revision Cementless Femoral Stem with Distal Fixation offers a versatile solution for complex hip prosthesis revisions, ensuring stability and proper fixation in challenging cases.
See more

Catalog excerpts

VEGA-1

REVISION CEMENTLESS FEMORAL STEM WITH DISTAL

 Open the catalog to page 1
VEGA-2

VEGA Revision Cementless Femoral Stem With Distal Fixation Surgical Techinique - 82.30 Revision Cementless Femoral Stem With Distal Fixation RAW-MATERIAL: TITANIUM (Ti 6Al 4V – ELI) ASTM F 136 SURFACE FiNISHING: Sand blasted Total hip prosthesis history and evolution is very well described in literature and at a first approach the majority of the results may be considered as satisfactory. However, a number of factors may contribute to restrain in a total hip prosthesis duration. Among the several reasons that may lead to ruin an implant, following ones may be pointed out: Aseptic component ruin,...

 Open the catalog to page 2
VEGA-3

VEGA Revision Cementless Femoral Stem With Distal Fixation Surgical Techinique - 82.30 Pre-operative Planning: To previously define the diameter and the length of the VEGA Revision Cementless Femoral Stem with Distal Fixation to use is the most important point of the pre-operative planning. The pre-operative planning is more reliable on what refers to determine the stem length to use, and less accurate on a\what refers to the stem diameter, due to the penetration deepness of the longitudinal stem grooves in the bony cortical. Diaphyseal milling cutters used in the medullar channel preparation...

 Open the catalog to page 3
VEGA-4

VEGA Revision Cementless Femoral Stem With Distal Fixation Surgical Techinique - 82.30 Check correct placement of guide string with image intensifier. VEGA Revision Cementless Femoral Stem With Distal Fixation may be implanted in the way that may the best please the surgeon. Warning: Remove primary prosthesis from medullar channel as well as cement fragments and other materials that may perturb the appropriate insertion and anchorage of the stem. 3. Channel milling Flexible milling cutter (optional) Mill medullar channel following guide string and with FR.9.ref. flexible milling cutters help...

 Open the catalog to page 4
VEGA-5

Greater diameter of flexible milling cutter used shall be 2mm less than the diameter of the definitive stem selected in pre-operative planning. Example: Should a Ø13,0mm stem be selected in pre-operative planning, flexible milling cutter diameter shall not exceed 11,0mm. VEGA Revision Cementless Femoral Stem With Distal Fixation Surgical Techinique - 82.30 4. Channel milling operation. Straight milling cutter Use FR.25.A.Ref. straight milling cutter to final mill medullar channel, use milling cutters progressively until the stem diameter determined in pre-operative planning. Insert the straight...

 Open the catalog to page 5
VEGA-6

VEGA Revision Cementless Femoral Stem With Distal Fixation Surgical Techinique - 82.30 Detail of milling cutter insertion level referred to greater trochanter. VEGA prosthesis shall be inserted until impactor mark matches greater trochanter. 5. VEGA prosthesis placement Use IP.78 / IP.78.A prosthesis impactor, to place VEGA prosthesis. Screw impactor in previously defined prosthesis. Assure that impactor is firmly fixed to Prosthesis. This is when VEGA prosthesis is placed in accordance with what established in pre-operative planning. Placed VEGA prosthesis detail.

 Open the catalog to page 6
VEGA-7

VEGA Revision Cementless Femoral Stem With Distal Fixation Surgical Techinique - 82.30 After having cleaned cone, femoral head previously selected and tested. Use 8280.A impactor for a final head impactation. Fill existent hollows with either natural or synthetic bony graft. When VEGA prosthesis should have been properly placed, TT.18.Ref. test head is positioned to determine the height of the neck TT.18.22.M/L, TT.18.26.S/M/L/ XL/XXL or TT.18.28.S/M/L/XL test head models may be used. Prosthesis extraction Use EX.22 extractor should a VEGA prosthesis extraction be required.

 Open the catalog to page 7
VEGA-8

VEGA Revision Cementless Femoral Stem With Distal Fixation Surgical Techinique - 82.30 Gi. Bi. S.a.s. Di Bisegna Tatiana Via Rodolfo Lanciani, 26 - 00019 - Tivoli - Roma - Italy P. IVA 05513281005 - 39 0774 33 3997 8 Av. Prefeito Antonio Tavares Leite, 181 • Parque da Empresa • P.O.Box 1081 • 13.803-330 • Mogi Mirim • SP • Phone: 55(11) 3670-0020 • Fax: 55(11) 3670-0053 www.baumer.com.br • e-mail: [email protected] Rev.2009.03

 Open the catalog to page 8
*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.