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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII
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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 1

Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII Surgical Technique

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 2

Explanation of Pictograms Manufacturer Item number Material (number) Product meets the applicable requirements, which are regulated in the EU harmonization legislation for the affixing of the CE marking.

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 3

Endo-Model Revision Stems XL Prosthesis Stems Lubinus SP II Description 02 System Description Surgical Technique 03 Preoperative Planning 04 Surgical Technique Implants 06 Endo-Model Revision Stems, anatomical 08 Endo-Model Revision Stems, straight 10 XL Prosthesis Stems Lubinus SP II, anatomical 12 XL Prosthesis Stems Lubinus SP II XL Neck 14 Prosthesis Heads Instruments 15 Colored Plastic Trial Heads 16 Instruments for Hip Implantation Accessories 22 X-ray Templates 22 Instructions of Cleaning and Maintenance 23 Literature 24 Indications/Contraindications Important Information

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 4

System Description System Description The number of primary hip prostheses implanted each year throughout the world continues to grow. Alongside these primary replacements, the number of revision operations is increasing at a percentage in double figures. It is clear that both the number and the complexity of revision operations will grow strongly in the short and medium term. A range of cementable revision hip prosthesis stems is available for this group of patients. They differ markedly from primary hip prostheses in their design and function and in the surgical techniques used for their...

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 5

Surgical Technique Cementable revision hip stems are often used after loosening of femoral hip implants, after sub- or periprosthetic fractures or after reconstruction to correct proximal bone defects. Preoperative Planning Measurement tables and X-ray templates are available to aid preoperative planning of hip stem revision. They allow the surgeon to plan precisely which implants are to be used. Exact preoperative planning is based on X-ray images which are either true to scale or supplied with precise details of the enlargement factor employed. LINK X-ray templates use a standard...

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 6

Surgical Technique Surgical Technique Any implants in situ must be completely removed before a revision stem can be implanted. This can be performed either with specific instruments for the implant system being removed or with the LINK revision instrument set, 130-698/01. Any bone cement residues must be completely removed. The femoral medullary cavity is drilled out with flexible intramedullary reamers or with ball reamers until the diameter is at least 2 mm greater than that of the chosen revision stem or the SPII stem. The chosen stem can then be inserted into the femur for trial...

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 7

Surgical Technique Fig. 5 The chosen stem is first inserted by hand. Fig. 6 The hip stem is then advanced to the predetermined position using a pusher. Note LINK revision stems must be adjusted manually to achieve the required anteversion as this is not integrated into the stem. Fig. 7 Any overflow of bone cement is removed. Fig. 8 The trial head is attached. Trial reduction is carried out. Fig. 9 After determining the final head neck length the head is implanted, the joint is reduced and leg length is checked again. Fig. 10 Closure of the wound concludes the operation.

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 8

Implants Endo-Model Revision Stems, anatomical CoCrMo, taper 12/14 mm Taper Each stems bears an identification mark on the upper side of the collar consisting of one letter and one number. right left extra large large normal

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 9

Implants Endo-Model Revision Stems, anatomical CoCrMo, taper 12/14 mm CCD 135° Stem size

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 10

Implants Endo-Model Revision Stems, straight CoCrMo, taper 12/14 mm Taper • straight stems • 6 stem lengths • 2 CCD angles

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 11

Implants Endo-Model Revision Stems, straight CoCrMo, taper 12/14 mm CCD 126° Measurements Version

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 12

Implants XL Prosthesis Stems Lubinus SP II, anatomical CoCrMo, taper 12/14 mm Taper

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 13

Implants XL Prosthesis Stems Lubinus SP II, anatomical CoCrMo, taper 12/14 mm • right and left version • 4 stem lengths • 3 stem sizes • 2 CCD angles Identification mark on collar Measurements Stem width extra large extra large extra large extra large extra large extra large extra large extra large

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 14

Implants XL Prosthesis Stems Lubinus SP II XL Neck CoCrMo, taper 12/14 mm Taper Ø12 mm Ø14 mm Each stems bears an identification mark on the upper side of the collar consisting of one letter and one number: R = right L = left 2 = medium 3 = large 4 = extra large

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 15

Implants XL Prosthesis Stems Lubinus SP II XL Neck CoCrMo, taper 12/14 mm CCD 126° Stem width Identification mark on collar extra large extra large extra large extra large extra large extra large extra large extra large

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 16

Implants Prosthesis Heads Prosthesis heads A - Ceramic BIOLOX forte* Prosthesis heads A - Ceramic BIOLOX delta* All BIOLOX forte* and BIOLOX delta* components are intercompatible. * BIOLOX delta and BIOLOX forte are made by Ceramtec GmbH, Plochingen, Germany Prosthesis heads B CoCrMo alloy

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 17

Instruments Colored Plastic Trial Heads Colored plastic trial heads, taper 12/14 mm Ø Neck length extra long extra long extra long

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 18

Instruments Instruments for Hip Implantation Dederich bone retractor with hollow handle The design makes it possible to hold the instrument comfortably for long periods. Soft tissue retractors with retrograde curved Hohmann retractor

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 19

Instruments Instruments for Hip Implantation 130-114 LINK bone retractor with fenestrated handle 30 mm wide, 260 mm long 130-115 Rake retractor 6 pronged, with T-handle, 210 mm 130-120 Bone hook single prong, with T-handle, 210 mm 130-150 Femoral head extractor, 270 mm

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Endo-Model Revision Stems & XL Prosthesis Stems Lubinus SPII - 20

Instruments Instruments for Hip Implantation 130-155 LINK Femoral head grasping forceps 285 mm The forceps have triangular jaw sections at the ends of the branches with sharpened pins at the corners. The jaw sections are mobile and adjust well to the rounded contours of the bone. The handle has supports for the surgeon‘s hand. The folding latch allows the instrument to be used either with or without locking. The robust construction means that forceful manipulations are no problem. 68-1475 Bircher meniscus/cartilage clamp with spiked jaws, 200 mm 50-2562 Cartilage scissors straight, 220 mm...

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