Cementless cup – type SF
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Cementless femoral components of total hip joint replacement

Implant Description Surgical Technique ■ Preface The cementless cup of a total hip joint replacement type SF of the 2nd generation was designed using the latest knowledge and experience with cementless endoprostheses. It is made of titanium alloy and manufactured using latest technology by CNC-controlled machines for surfacing. Surface is conditioned with plasma coating of bioactive titanium oxide layer that ensures full biocompatibility of the implant. Instruments ensure easy implantation and thorough fixation. Wide size series available makes it possible to solve almost every case of...

■ Cementless total hip joint replacement type SF of the 2nd generation ■ Articulation surfaces: head - ceramics, liner - crosslinked UHMWPE - reduction of abrasive wear and osteolysis limitation ■ New PE-liner with twelve-edged profile - easy insertion of the liner into the covering in its whole circumference ■ Shorter stem, tapered in the proximal part - can be used also in MIS surgeries ■ Acetabular cup with fixation screws - possibility of rotation-proof fixation ■ Optimal set in price/performance ratio SOLUTION FOR BIOLOGICALLY YOUNGER PATIENTS

Implant Description Surgical Technique Surgical technique – cup 1. Preparation of the acetabulum Acetabulum is drilled to the dimension determined with aid of a transparent pattern and the pre-operative X-ray. Special acetabular reamers 1 are used clamped into adapter 11 (see Fig. 1). First, use a reamer of the same size as the original acetabulum. Gradually change to larger reamers at 2-mm intervals, until cartilage is completely removed. Hard subchondral bone underneath must be completely exposed. Upon preparing the acetabulum, remove remains of joint’s socket and large osteophytes. 2....

3. Implantation of the acetabular component - cup (Implantation of the socket coat) Firstly, prepare the set for insertion of the implant. The metal coat of non-cemented socket, which must be 2-mm larger in diameter than the largest reamer used, is inserted into the acetabulum 24 , by means of a holder, (see Fig. 3), with a horizontal 25 and vertical 26 shoulders and protractor. Coat is connected with guiding holder by setting oval end of the stem into the bottom of the coat and screwing the guiding holder into the threaded hole in the coat. Tighten connecting hexagonal screw in handle...

Implant Description Surgical Technique A uxiliary fixation with screws – par. 4 and 5 This part applies only if coats with holes are used (type B3, B10 and B12) 4. rilling of holes D If using coats with holes for screws, use a 3.2-mm drill with a flexible extension 30 , (see Fig. 4), and a drilling coat 27 set for the 3.2 hole. Using a special depth gauge 34 , measure the depth of holes – scale of the gauge will show the right length of screws. If a 3-hole coat is used, turn the holes towards the top of the acetabulum to make the fixation. 5. nsertion of screws I For cancellous screw L 20...

7. Insertion of the articulated insert Before final insertion of the polyethylene articulated insert, (see Fig. 7), make sure that the safety wire of metal coat is functioning properly. If the position is correct, insertion of articulated insert will be accompanied by the sound of a click. Check contact of both components with the aid of a small raspator. ■ Instrumentation set Instrumentation set is stored in three trays (order number of set 301020) with the possibility to add additional 2 sets (order numbers: - see page 12, 300020 - see page 14) allowing clear arrangement of instruments...

Implant Description Surgical Technique Instruments for application of cementless cup type SF LAY-OUT - TRAY I. The cassette lay out has only an informative character and may be amended depending on inovation changes carried out.

The set of instruments - 301020 Instruments for application of cementless cup type SF LAY-OUT - TRAY II. The cassette lay out has only an informative character and may be amended depending on inovation changes carried out.

Implant Description Surgical Technique Instruments for application of cementless cup type SF LAY-OUT - TRAY III.

Instruments for application of cementless cup type SF LAY-OUT - TRAY III.

Implant Description Surgical Technique Instruments for application head total hip joint replacement, diameter 36 mm L a y - o u t – T R AY I . Denomination Tray I. for application head total hip joint replac., diamet.36 mm Trial head 36 – S, cone 12/14, for rasp Trial head 36 – M, cone 12/14, for rasp Trial head 36 – L, cone 12/14, for rasp Trial head 36 – XL, cone 12/14, for rasp Trial head 36 – XXL, cone 12/14, for rasp Trial head 36 – S, cone 12/14, for rasp type CSC Trial head 36 – M, cone 12/14, for rasp type CSC Trial head 36 – L, cone 12/14, for rasp type CSC Trial head 36 – XL, cone...

Instruments for application head total hip joint replacement, diameter 36 mm LAY-OUT - TRAY I. The cassette lay out has only an informative character and may be amended depending on inovation changes carried out.

Implant Description Surgical Technique The cassette lay out has only an informative character and may be amended depending on inovation changes carried out. * SF - these are indicated for implantation SF.

Acetabular components - cups Cup of total endoprostheses intended for implantation without bone cement is in complete assembly, consist of a shell and articulated insert. Shells with slotted holes can be fixed to the bottom of acetabulum special screws. Cementless shell - type SF flat

Implant Description Surgical Technique ■ Shell of cementless cup - type SF/II/B 12 (a B 10) ■ Characteristics of the implant: ■ Cup SF/II/B 12 is based on standard cup SF/II and is intended primarily for revision surgery. Cup is equipped with 12 slots for size 52-72 mm holes. ■ Size 48-50 mm cups are equipped with a 10-hole to ensure a sufficiently large area between the holes covered with a porous titanium-coated for good contact with the bone to allow osteointegration. ■ Holes are located on two concentric circles. ■ Introduction of screws in the ceiling of acetabulum can be done from...