Advanced instrumentation Options for surgical approach with instrumentation supporting a lateral and a dorsal approach Ligament balancing technique using spacers or trials for optimum implant placement and freedom to move Sizing and templating instruments for prior assessment of native joint size Repeatable technique with measured and guided resections Designed to provide protection for the soft tissue structures Precise preparation instruments for immediate fixation stability and promotion of bone ingrowth to cementless interface PIPR™ Proximal Interphalangeal Replacement Product Brochure Lawrence et al. J Hand Surg (Br & Eur). 2004; 29B; 3: 242-247. Trail IA. Arthroplasty of the Hand and Wrist. 2010; Chapter 4: 83-110. Naylor A et al. Lubricants. 2015; 3: 244-255 Broadbent M et al. 2009; BSSH, Nottingham Harley O et al. 2012; BSSH, York Flannery O et al. 2015; BSSH, Bahamas Flannery O et al. J Hand Surg (Eur). 2016; 41(9): 910-916 Natural Function MatOrtho Limited | 13 Mole Business Park | Randalls Road | Leatherhead | Surrey | KT22 7BA | United Kingdom. T: +44 (0)1372 224 200 | [email protected] | For more information visit: www.MatOrtho.com Part No. ML-300-190 L | Issue 2

PIPR™ Proximal Interphalangeal Replacement The PIPR™ is unique in its protection of the bony support for the ligaments and allowance for the combined rotation and angulation in the coronal plane during flexion, where alternative devices have over simplified the PIP joint to a simple hinge. More natural function Anatomical fit and sizing Single radius design for optimum ROM with balanced soft tissues Joint space maintained for restoration of natural function Based on morphological study of normal PIPs [1] and in-depth study of the anatomy, soft-tissues and biomechanics of the PIP joint [2] Anatomical...