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Trabecular Metal Natural Cup System Surgical Technique

Trabecular Metal Natural Cup System Surgical Technique

Trabecular Metal Natural Cup System Surgical Technique

Product catalog summary
Trabecular Metal Natural Cup System Overview
The Trabecular Metal Natural Cup System is designed for acetabular cup implantation, featuring provisional shell sizes that match acetabular reamers. The system includes a provisional shell with 1mm teeth for stabilization and fenestrations for seating assessment. The elliptical cup provides a 2mm interference fit at its periphery.

Acetabular Reaming and Shell Sizing
Progressively larger reamers are used to prepare the acetabulum, maintaining a position of approximately 45° of abduction and 15° of anteversion. The provisional shell is inserted to check reaming accuracy.

Provisional Liner and Trial Range of Motion
A provisional liner matching the shell is selected for trial reduction. The appropriate face angle and position are determined, and a reference mark is made on the bone.

Instrument Assembly
The Bayonet Adapter and Handle are assembled, and the Version Guide is aligned perpendicular to the patient's longitudinal axis during impaction.

Cup Insertion
The Acetabular Cup is implanted, and the hip is reduced to assess range of motion, stability, and limb length. Adjustments are made using the Cup Rim Impactor if necessary.

Peripheral Screw Placement (Optional)
If additional fixation is needed, peripheral screws can be placed. Care is taken to avoid anteromedial screw placement to protect neurovascular structures.

Trabecular Metal Material Benefits
The Trabecular Metal material replicates natural bone properties, offering excellent initial fixation, high porosity for bone ingrowth, and improved gap filling. The flexible monoblock construct reduces stress shielding and eliminates pathways for debris.

Ordering Information
The document provides detailed product numbers and descriptions for various cup sizes, liners, and instruments, including non-holed and screw-holed cups with different liner angles.
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Catalog excerpts

Trabecular Metal Natural Cup System Surgical Technique-1

Surgical Technique Performance like nature intended... The Best Thing Next to BoneT Confidence in your hands"

 Open the catalog to page 1
Trabecular Metal Natural Cup System Surgical Technique-2

Trabecular Metal Natural Cup System Acetabular Reaming Use progressively larger reamers to prepare the acetabulum. Hold the reamer steady in the same position in which the cup will be implanted (approximately 45° of abduction and 15° of anteversion). To check reaming accuracy, insert the provisional shell into the acetabulum. Note: Gross oscillation of the reamer is not required. Shell Sizing and Positioning Provisional shell sizes match the outside dimensions of the acetabular reamers. The provisional shell has protruding 1mm teeth around the rim to stabilize the cup during trial reduction....

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Trabecular Metal Natural Cup System Surgical Technique-3

Instrument Assembly Assemble the Bayonet Adapter and the Bayonet Handle (A). Then, with the Bayonet Adapter positioned on the flat portion of the rim of the Acetabular Cup, turn the adapter until it locks into place (B). Place the Version Guide on the Bayonet Handle (C). During impaction, the Version Guide should again be aligned perpendicular to the longitudinal axis of the patient. A Bayonet Handle Bayonet Adapter Align the reference mark on the cup with the one previously made on the bone. Place the Medial Cup Impactor against the Bayonet Adapter. Note: Do not place the Medial Cup Impactor...

 Open the catalog to page 3
Trabecular Metal Natural Cup System Surgical Technique-4

Final Reduction With the Acetabular Cup implanted, reduce the hip and assess range of motion, stability, and limb length. If the cup needs to be repositioned, impact the rim of the cup using the Cup Rim Impactor to adjust the face angle. After the correct position has been achieved, it may be necessary Cup Rim Impactor to ensure that the cup is seated, using the Bayonet Handle (as in Step 5) or the Ball Impactor (Provisional Shell Impactor Handle assembled to Ball Impactor Acetabular Impactor Head). Peripheral Screw Placement (Optional) A Trabecular Metal Natural Cup with Peripheral Screws is...

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Trabecular Metal Natural Cup System Surgical Technique-5

Trabecular Metal Natural Cup System Trabecular Metal Material MIS Friendly & Time Saving Ten years of ongoing clinical success for Trabecular Metal material is attributed to its unique combination of characteristics. The material is designed to replicate the natural properties of bone, including the structure, porosity, elasticity, and weight-bearing characteristics. The benefits include: By eliminating steps in the procedure, the cup potentially saves OR time and is more MIS friendly. • An excellent scratch fit for proven initial fixation without screws 1-3 • A high porosity that yields enhanced...

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Trabecular Metal Natural Cup System Surgical Technique-6

Ordering Information Implants Description Core Instrument Set Provision Shells, 40mm (2mm increments) Through ↓ Provision Shells, 70mm (2mm increments) Bayonets, 40mm (2mm increments) Through ↓ Bayonets, 70mm (2mm increments) Cup Rim Impactor Cup Version Guide Provisional Liner Extractor Bayonet Handle & Plunger Provisional Shell Impactor Handle Medial Cup Impactor Acetabular Impactor Head – 22mm Acetabular Impactor Head – 28mm Acetabular Impactor Head – 32mm Instrument Case Assembly With each core set, order one of the following liner trial trays. – liner trial trays stack and assemble to core...

 Open the catalog to page 6

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*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.