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*smith&nephew POLARCUP™Dual Mobility System
Product Information
APPLYING SCIENCE TO MOBILITYCombined with VERILAST™ Technology for unmatched performance
x
Low wear
Advanced bearing
technology
Low dislocation rates
Increased range of motion
Comprehensive product
portfolio
Accurate and efficient
instrumentation
DUAL MOBILITYInsert / cup articulation
Ball head / insert articulation
THIRD ARTICULATIONNeck / insert articulation
POLARCUP combined with a
polished neck stem without
any roughness is highly
recommended
ADVANTAGESof POLARCUP™ Dual Mobility System
APPLYING SCIENCE TO MOBILITYCombined with VERILAST™ Technology for unmatched performance
02 Product Information
LOW WEAR
THE FACTS…
NEUTRAL POSITIONThe insert is self-aligning,
allowing loading following the
path of least resistance
• The majorityof movement occurs in the ball head / insert articulation.
• The freely moving insert ensures that movement never occurs in the ball head / insert articulation and the insert / cup articulation at the same time.
• The optimized cup design prevents impingement with soft tissues and the neck of the stem.
• Transmission of tensions between the bone / cement cup construct are eliminated due to the freely moving insert.
POLARCUP in vitro wear at 5 million cycles vs Total Hip Arthroplasty
LOW LEVEL ACTIVITYPrimary movement occurs in the
ball head / insert articulation,
allowing the insert to sit in its
natural position
HIGH LEVEL ACTIVITYSecondary movement occurs in
the insert / cup articulation
16
12
8
4
0
Wear rate (mg/million cycles)
8.87
0.39 0.9
12.5
Conventional THA – cross-linked Polyethylene (XLPE)
Conventional THA – Standard Polyethylene
POLARCUP – cross-linked Polyethylene (XLPE)
POLARCUP – Standard Polyethylene
*Smith & Nephew internal test data
A BA BA B
APPLYING SCIENCE TO MOBILITYCombined with VERILAST™ Technology for unmatched performance
POLARCUP™
03
ADVANCED BEARING TECHNOLOGY
The perfect equation for hips.More than a decade ago, Smith & Nephew introduced
OXINIUM™ Oxidized Zirconium. Its combination of hardness,
smoothness and scratch-resistance makes it a superior
choice for hip implants.
The facts in black and white …
OXINIUM has a surface hardness that is
over twice that of cobalt-chrome.
OXINIUM may last longer than other
implants as it reduces implant wear
common to other hips based on lab
simulator studies.
OXINIUM avoids the risk of brittle fracture
that can occur with ceramic implants and
is 20% lighter than cobalt-chrome.
OXINIUM contains less than 0.0035%
detectable nickel, the leading cause of
adverse reactions in patients with metal
allergies.
04 Product Information
APPLYING SCIENCE TO MOBILITYCombined with VERILAST™ Technology for unmatched performance
FLEXION
118.5°
POLARCUP
ADDUCTION
66.4°TOTAL ROM
185.4° TOTAL ROM
126.9°
EXTENSION
66.9°
ABDUCTION
60.5°ADDUCTION
66.4°
ABDUCTION
60.5° 60.5°
FLEXION
118.5°
POLARCUP
ADDUCTION
66.4°TOTAL ROM
185.4° TOTAL ROM
126.9°
EXTENSION
66.9°
ABDUCTION
60.5°
ø 47 mm*
LOW DISLOCATION RATE
STANDARD HIP Ø 50 mm28 mm head
(28 mm diameter head)
Jump Distance = 3.8 mm**
POLARCUP™ Ø 53 mm28 mm head
(53 mm insert = 47 mm diameter head)
Jump Distance = 11.0 mm**
The insert acts as a large
head increasing the jump
distance and reducing the
risk of dislocation 1,2,3,4,5
and instability in the joint
The superior-posterior
6° skirt under the
equatorial rim increases
jump distance further
decreasing the risk of
dislocation ensuring
additional stability
ø 28 mm*
INCREASED RANGE OF MOTIONThe range of motion is significantly increased due to the high
head / neck ratio compared to conventional acetabular cups.
*Range of Motion (ROM) Evaluation has been performed in accordance to EN ISO 21535. The analysis has been done with a size 6 standard Polarstem, in accordance with 28 mm ball head, 55/28 mm Polarcup Insert and a 55 mm Polarcup.
* Smith & Nephew internal test data
*Cup placement at 45° inclination and 15° anteversion**Smith & Nephew internal test data
POLARCUP*
Flex – Ext 185.4º
Add – Abd 126.9º
Rot. Int – Ext 223.5º
APPLYING SCIENCE TO MOBILITYCombined with VERILAST™ Technology for unmatched performance
POLARCUP™
05
One cup, four combinations
The screws and pegs can
be used in combination with
the Ti Plasma / HA flanged
POLARCUP to provide
additional fixation
PRODUCT FEATURES
ADDITIONAL FIXATION
LOW WEARAll versions of the POLARCUP™ have a highly polished
internal surface allowing for minimal wear.
SELF-ALIGNING IMPLANTThe circular feature on the dome of the cup ensures correct
cup placement and optimal load transfer.
The self-aligning insert allows loading following the path of
least resistance.
SURFACEThe Ti-Plasma and Ti-Plasma / HA surfaces have a high
degree of surface roughness with good osteointergration.
STABILITYThe equatorial teeth and ribs prevent rotation and allow for
good primary stability.
CEMENTThe cemented POLARCUP can be used with previously
implanted reinforcement rings, providing increased stability
and reduced dislocation rates1 in complex acetabular
revisions5.
Flanges broken off using the flange cutter
Flanges bent over the acetabular rim fixed with 1 or 2 cortical screws
Flanges bent over the acetabulum fixed with 1 or 2 cortical screws and 2 impacted anchoring pegs
Flanges bent over the acetabular rim without cortical screws
06 Product Information
APPLYING SCIENCE TO MOBILITYCombined with VERILAST™ Technology for unmatched performance
PRODUCT OVERVIEW
Ti-Plasma / HA Cementless Cup with flanges
Ti-Plasma Cementless Cup
Stainless Steel Cup for use with cement only
Implant Overview
Sizesmm
Ti-plasma / HA cementless cup with flanges
Ti-Plasma cementless cup
Stainless steel cemented cup
PE Insertø 22 mm head
PE Insertø 28 mm head
XLPE Insertø 22 mm head
XLPE Insertø 28 mm head
43 75002056 75017181 75017194 • •
45 75002057 75017182 75017195 • •
47 75002058 75017183 75017196 • • •
49 75002059 75017184 75017197 • • •
51 75002060 75017185 75017198 • • •
53 75002061 75017186 75017199 • • •
55 75002062 75017187 75017200 • • •
57 75002063 75017188 75017201 • • •
59 75002064 75017189 75017202 • • •
61 75002065 75017190 75017203 • • •
63 75002066 75017191 75017204 • • •
65 75002067 75017192 • • •
67 75002068 75017193 • • •
Cortical Screw
(for use with the
Ti-Plasma/HA
flanged cup)
Peg (for use with
the Ti-Plasma/HA
flanged cup)
PE Insert
XLPE Insert
APPLYING SCIENCE TO MOBILITYCombined with VERILAST™ Technology for unmatched performance
POLARCUP™
07
Manufacturer
Smith & Nephew Orthopaedics AG
Oberneuhofstrasse 10d
6340 Baar
Switzerland
References
1 Hamadouche et al. The use of cemented dual mobility
socket to treat recurrent dislocation. Clin Orthop Relat Res
(2010) 468:3248-3254
2 Guyen et al. The use of Dual Mobility implants for primary
total hip replacements in patients at risk of dislocation.
Journees Lyonnaises de Chirurigie de la Hanche 2008
3 Hailer et al. Dual-mobility for revision due to instability
are associated with a low rate of re-revisions due to
dislocation. 288 patients from the Swedish Joint Register.
Acta Orthopaedica 2012;83 (6): 566-571
4 Civinini et al. A Dual-Mobility cup reduces the risk of
dislocation in isolated acetabular revisions. Clin Orthop
Relat Res (2012) 470:3542-3548
5 Vasukutty et al. The double-mobility acetabular component
in revision total hip replacement. The United Kingdom
experience. J bone Joint Surg Br. 2012;94-B: 603-8
™ Trademark of Smith & Nephew. Lit. No. 01098-en V2 Ed. 02/14 0 1 2 3
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