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Contents AMIS EXPERIENCE 6 SURGICAL TECHNIQUE 10 MEDICAL EDUCATION 12 DEDICATED IMPLANTS 16 ADVANCED INSTRUMENTATION 18 TOOLS & SERVICES 22 ECONOMIC BENEFITS 24 SURGEON TESTIMONIES 25 REFERENCE S 27

AMIS Experience The anterior approach is the only approach that follows both an intermuscular and internervous path, potentially reducing the risk of damage to periarticular structures, including muscles, tendons, vessels and nerves. Its use in Total Hip Replacement goes back many years1 and advantages have been extensively reported in the literature2. However, we recognise that it can be challenging to adopt3. Convinced of the value of the anterior approach for improving patient wellbeing, but at the same time acknowledging the potential challenges, an international group of expert surgeons...

When it was clear that the AMIS had the potential to deliver important clinical advantages, effective and comprehensive education of the technique became the goal. The M.O.R.E. (Medacta Orthopaedic Research and Education) Institute was created and, together with the AMIS Education Board, became responsible for the development and continuous improvement of the AMIS Education Program, with a mission to: • provide ongoing surgeon training and proctorship • encourage the sharing of experiences between surgeons • reduce challenges in the early phase of the learning curve as much as possible

Anterior Approach SURGICAL TECHNIQUE AMIS is an evolution of the anterior approach: simpler, more reproducible and less invasive4 MEDICAL EDUCATION The M.O.R.E. AMIS Education Program has proven to be of the highest standard of extensive medical education, capable of effectively easing the learning curve DEDICATED IMPLANTS Specifically designed to facilitate implantation through the anterior approach, with success evidenced by clinical outcomes and customer satisfaction ADVANCED INSTRUMENTATION Developed specifically to make the AMIS technique easier and more reproducible TOOLS & SERVICES Extras...

Surgical Technique The AMIS technique is a minimally invasive anterior approach, following an INTERMUSCULAR AND INTERNERVOUS pathway, protecting and preserving periarticular structures. Consequently, the AMIS technique potentially delivers the following advantages for the patient: • Significantly shortened rehabilitation5 • Faster return to daily activities4 • Decreased post-operative pain6 • Immediate post-operative muscle tone preservation7 • Decrease in blood loss7 • Shorter hospitalization7 • Reduced risk of dislocation4,6,7 These advantages are predominantly experienced by the patient in...

technique is seen as an evolution of the anterior approach It is quite different to other MIS anterior approaches. This unique procedure is differentiated by specific surgical steps: Avoidance of an excessive use of retractors Reduced risk of damaging soft tissue and less need for extra instruments Easier osteotomy of the femoral head No need to dislocate the hip or perform a double osteotomy Possible capsule preservation Patients may feel their hip is more stable Easier femoral exposure, with fewer releases Simplified surgical technique, with improved joint stability Experience allows the surgeon...

Medical Education The M.O.R.E. Institute offers effective and continuous education to surgeons, with an aim to improve patient outcomes and surgical proficiency. Close collaboration between Experts and the M.O.R.E. Institute has resulted in the on-going development and evolution of the Educational programme. The M.O.R.E. Institute was founded on, and encourages the concept of, sharing experiences across the international medical community. It has become a unique and global education platform, tailored to the individual’s needs.

M.O.R.E. Opportunities Reference Center Visits, Standard Learning Center, Proctoring, Fellowship, Young Surgeon Meetings, Nurse Courses, Intensive Week Revision Learning Center, Reference Center Visits, Proctoring Reference Center Visits, Advanced Learning Center, Proctoring, Product Club SCIENTIFIC LEVEL M.O.R.E. Symposia, Congress, Side Events, User Meetings, General Practitioner Meetings, Road Shows, Hospital Open Days, Webcast

Surgical Technique a network of Experts, with mentoring of initial cases Medacta Products/ Services with the M.O.R.E. continuous education program By taking advantage of Proctoring By visiting a Reference Centre the scientific knowledge of the Anterior Approach the technique during assisted cadaver workshops By attending a Learning Centre

your experience, improve your technique and widen patient selection By meeting with Experts the AMIS Surgical Technique and Medacta Products By focusing on Revision Cases

Dedicated Implants Medacta implants are designed to be AMIS friendly and reduce potential challenges during implantation. They are well established and their reliability is supported by clinical evidence and customer success.

AMIStem-H AMIStem-H AMIStem-C Collared survival rate for aseptic loosening at minimum 8 years. All cases done with AMIStem-H through AMIS approach11 of cases had no aseptic loosening after 10 years. All cases done with QUADRA-H through AMIS approach12 survival rate for aseptic loosening at minimum 5 years. All cases done through AMIS approach13 First stem specifically designed for AMIS More than 15 years of clinical success More than 10 years of clinical success Progressive triple offset with reduced distal geometry Follows the flat tapered wedge philosophy with a long history of clinical success14...

Advanced Instrumentation The AMIS specific instrumentation streamlines, simplifies and facilitates reproducibility of the anterior approach. AMIS MOBILE LEG POSITIONER THE NEVER SLEEPING ASSISTANT This orthopaedic table extension is the main facilitator of the AMIS technique: it provides for an easy and stable leg positioning, which allows a simple and reproducible procedure. Benefits: • Patented automatic traction release • NO additional costs • Easy connection to all operating tables • Radio transparency • Ease of use • Improved kinematics Deep hyperextension Optimal rotation centre Excellent...