REDEFINING THR: THE AMIS SYNERGY ■ One tray to implant Quadra-S, Quadra-H, Quadra-C*. ■ Both standard and lateralised trial necks fit on to the broaches for quick and precise trial reduction. ■ Reliable practical manual and motorised broach handles. ■ Offset broach handles available in left and right versions for motorised and manual use with 2 different inclinations: The anterior approach, consolidated by years of clinical experience, is the only technique that follows an intermuscular and internervous path and therefore lowers the risk of damaging periarticular structures such as muscles, tendons, vessels and nerves. Q U A D R A S Y S T E M A COMPLETE RANGE OF STRAIGHT STEMS Medacta International is the world leader for educating and supporting surgeons in their pursuit of Anterior Minimally Invasive Surgery (AMIS). Reference Centers around the world provide the necessary AMIS education experience and Medacta offers continuous support for surgeons, as well as constantly improving and developing the industry’s most specialised instrumentation platform. ■ High quality sharp broaches for precise preparation of the medullary cavity. ■ Monoblock motorised broaches option for use with femoral stem trials. ■ Dedicated AMIS instrumentation. When you use the Quadra System, you enter the Medacta International world of AMIS. ■ The definitive MIS approach: AMIS; ■ Dedicated AMIS instrumentation; ■ The AMIS Mobile Leg Positioner: the original extension table included as part of the instrumentation, which makes surgery easier and reproducible; * Quadra-R instrumentation requires a different tray for dedicated broaches and trial necks. ■ The AMIS Education Programme based on Medacta’s proven educational methods. The AMIS Mobile Leg Positioner will be supplied as part of the instrumentation to help ensure effective and reliable positioning of the leg during surgery. Traction, adduction and hyperextension have never been so easy. REFERENCES [1] Moreau P. Cementless HA coated Quadra® stem - 7 Years Clinical Outcomes. MORE Journal, 2012 Jan; 2:3-6. [2] Zweymüller K. 20 years of Zweymüller cement free hip endoprosthesis. Jatros Orthopädie 1999 Dez; 5:2-7. [3] Dorn U, Kiss H, Engelhardt C, Dohnalek C, Steindl M, Zweymüller K. Results of Femoral Revision THR using the SLR stem: Minimum 2 years follow-up. 20 years of Zweymüller hip endoprosthesis, 4th Vienna Symposium. Zweymüller K (ed) – Bern; Göttingen; Toronto; Seattle: Huber, 2002. [4] Bonnomet F, Delaunay C, Simon P, Lefebvre Y, Clavert P, Kapandji AI, Kempf JF. Comportement d’un tige fémoral droite en arthroplastie totale primaire non cimentée de la hance chez les patients de moins de 65 ans. Rev de Chir Orthop 2001; 87:802-814. [5] Lintner F, Böhm G, Brand G, Obenaus Ch, Klimann S. Tissue Reaction to Titanium Stems. 10 Jahre Zweymüller. Verlag Hans Huber, 1991. [6] Böhm G, Lintner F, Brand G, Obenaus Ch, Klimann S. Morphometrical findings on individual titanium stems. 10 Jahre Zweymüller. Verlag Hans Huber, 1991. [7] Lester DK, Campbell P. 100-year-old patient with pressfit prosthesis: a post-mortem retrieval study. Am J Orthop (Belle Mead NJ). 1996 Jan;25(1):30-4. [8]Hardy DC, Frayssinet P, Guilhem A, Lafontaine MA, Delince PE. Bonding of Hydroxyapatite Coated Femoral Prostheses. J Bone Joint Surg Br. 1991 Sep; 73(5):732-40. [9] Hardy DCR, Delince PE. Aspects Radiologiques de l’Arthroplastie Fémorale Revetue d’Hydroxyapatite et correspondence Histologiques Acta Orthop Belg. 1993; 59(1):229-334. [10] Hardy DCR, Frayssinet P, Delince PE. Projection d’Hydroxyapatite sur Prothèses Articulaires : Progrès ou Illusion ? Acta Orthop Belg. 1993; 59(1):98-103. [11] Fraissinet P, Hardy D, Conte P, Delince P, Guilhem A, Bonel G. Histological analysis of the bone-prosthesis interface after implantation in humans of prostheses coated with hydroxyapatite. The journal of Orthop Surg. 1993; 7(3):246-53. [12] Heidelberg Lab-Report. Orthopädische Universitätsklinik Heidelberg, 2005. Data on file: Medacta®. [13] Data on File: Medacta®. [14] Löhr JF, Schütz U, Drobny T, Munzinger U. Revision Arthroplasty with the SLR-Revision Shaft. 20 years of Zweymüller hip endoprosthesis, 4th Vienna Symposium. Zweymüller K (ed) – Bern; Göttingen; Toronto; Seattle: Huber, 2002. [15] Dora C, Müller DA, Zingg P. 5 year survival and radiological outcome of minimally invasive total hip replacements using a relatively new implant. 71th Congrès annuel de la Société Suisse d’Orthopédie et de Traumatologie, Lausanne, Palais de Beaulieu, 22 - 2011. medacta.com All trademarks and registered trademarks are the property of their respective owners. Medacta International Strada Regina - 6874 Castel San Pietro - Switzerland Phone +41 91 696 60 60 - Fax + 41 91 696 60 66 [email protected] -www.medacta.com Quadra System Leaflet ref: 99.1

A COMPLETE RANGE OF STRAIGHT STEMS QUADRA SYSTEM: MORE THAN 10 YEARS OF SUCCESS CEMENTLESS STEMS CEMENTLESS LONG STEM With a clinical history starting in 2003 and thousands of stems implanted every year worldwide, Quadra System stems have proved to be a reliable solution for hip arthroplasty.[1] In a clinical study by Balgrist University, a 100% survival rate at 5 years was reported on 109 patients, considering aseptic loosening as the endpoint.[15] Straight cementless femoral stems have demonstrated the ability to withstand biomechanical stress with an outstanding survival rate, through 20 years...