Reclaim组配式翻修股骨柄

1、s4UASAndwcl (DB血盟迤讎箭囲窟EV-lzBtrRE 匚 LAER V I S I O N H I R S Y T t M股骨侧翻修一体式：远端固定O近端匹配不佳，应力遮挡组配式：更好的远、近端匹配（适于处理股骨近端狭窄、骨缺损严重的情况）。柄体结合部断裂风险（微动磨损）Modular tapered titanium stems in revision arthroplasty of the hip: The Risk and Causes of Stem Fracture.Konan Sz Garbuz DS, Masri BA, Duncan CP. Bone Joint J

2、. 2016 Jan;98-B(l Suppl A):50-3.High survival of modular tapered stems for proximal femoral bone defects at 5 to 10 years follow up. Van Houwelingen AP, Duncan CP, Masri BA, Greidanus NVZ Garbuz DS. Clin Orthop Relat Res 2013;471:454-462.Fracture of cementless femoral stems at the mid-stem junction

3、in modular revision hip arthroplasty systems. Lakstein DI, Eliaz Nf Levi O, Backstein D, Kosashvili Yr Safir O, Gross AE.J Bone Joint Surg Am. 2011 Jan 5;93(l):57-65.a结合部断裂咼危因素TABLE 1 DwnogyapHc and Operative VartablMA 1BoJy MessType of BoreCom& (yr)SaxIndexWhght(9Deftcien*Bod/ TypeFemoral OffsetSte

4、m Tyoe181M341092SOOJtECenJcdPoccus2TABLE 1 (contirMtf)3SiemStemNeckSurRicaiTkno toLecgtn (mm)Diameter (mm)Length (mm)ApproechfFracture (ma)ReconstructionfRemarks t4522015+7ETO13ZMR XLiLJCTO fragmented at level of junctione* Classified.2201516.519t7+3.5TSOTSO8071ZMR and proxinuil fenwai allograft ZMR

5、 XLSevere CMOry borw Jeiciency Ucderwed modular bodyYZ你 XL hi|18515*3.5TSO44ZMR and strutSevere catury bone cofcioncy18516+0no32ZMR XLETO fragmented and resorbed17015+0TSO40ZMR XLNonunion of TSOBMI高活动量近端骨支撑不足ETOModular tapered titanium stems in revision arthroplasty of the hip: The Risk and Causes o

6、f Stem Fracture.Konan Sz Garbuz DS, MasriBA, Duncan CP. Bone Joint J. 2016 Jan;98-B(l Suppl A):50-3.DePuy SynthesRE 匚 LAER V I S I O N H I R S Y T t M断裂位置DePuy SynthesRE 匚 LAER V I S I O N H I R S Y T t MDePuy SynthesRE 匚 LAER V I S I O N H I R S Y T t M组配性与结构强度两者兼得？DePuy SynthesRE 匚 LAER V I S I O

7、N H I R S Y T t MDePuy SynthesReclaim组配式翻修股骨柄RE 匚 LAE卓越的强度先进的工具优秀的固定RE 匚 LAIITIDePuy SynthesRE 匚 LAER V I S I O N H I R S Y T t M卓越的强度DePuy SynthesRE 匚 LAER V I S I O N H I R S Y T t M卓越的强度DePuy SynthesRE 匚 LAER V I S I O N H I R S Y T t M卓越的强度超过6亿次循环测试,证实优异的结构强度DePuy SynthesRE 匚 LAER V I S I O N H

8、I R S Y T t M卓越的强度DePuy SynthesRE 匚 LAER V I S I O N H I R S Y T t M卓越的强度DePuy Synthes卓越的强度 2000磅恒定组装负荷”形成最佳 锁定锥度性能，使假体抗疲劳强 度增加50%锥度锁定+螺栓双重固定卓越的强度fl低塑性抛光防止假体裂纹,将残留应力传给远端柄” 增加抗微动疲劳能力RE 匚 LAIE”R V I S I O N H I R S Y T t M低塑性抛光喷丸处理DePuy Synthes先进的工具O 优化速度与效率的设计:三层式专用工具盒容纳远端钻充足型号的远端钻钻一W ,无需试模O 统一的色标参考J

9、05nim95 mm85 mm 75 mmFIE 匚 LAER V I S I O N H I R S Y T t M3“irr 4DePuy SynthesRE 匚 LAER C V I I O N X V T f M优秀的固定O完全的锥形柄2.5锥度抗下沉喷砂表面处理利于骨长上0平顶槽设计提供更多骨接触点抗旋稳定性完全的惟形柄不完全的锥形柄Patel PD1, Klika AK, Murray TG, Bsharkawy KA, Krebs VE, Barsoum WK. Influence of technique with distally fixed modular stems in revision total hip arthroplasty. J Arthroplasty. 2010 Sep;25(6):926-31.DePuy SynthesRE 匚 LAER V I S I O N H I R S Y T t MReclaim设计特点CQkTARlE5Qr-Reclaim临床应用上市以来全球应用4500+RE 匚 LAER V I S I O N H I R S