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April 2016
SPECIALIST ORTHOPAEDIC GROUPING SCHEME AND BENEFITS
**Suffixes legend and definitions are located at the end of this documentGroupings Benefits06 - Specialist Orthopaedic06.01 - ANKLE AND FOOT06.01.01 - Ankle joint component06.01.01.01 - Liner - fixed bearing
660
06.01.01.02 - Liner - mobile bearing622
06.01.02 - Sinus Tarsi Implant06.01.02.01 - Metal
1390
06.01.02.02 - Metal Poly1165
06.01.03 - Ankle joint06.01.03.01 - Talar component
2300
CS 2300
06.01.03.02 - Tibial component2000
06.01.03.03 - Tibial component, cemented/uncemented, fixed bearing
1724
06.01.03.04 - Stem extension757
06.01.04 - Replacement of other joints of the foot including articulations06.01.04.01 - Great toe, MTP, total, metatarsal component
800
06.01.04.02 - Great toe, MTP, total, phalangeal component790
06.01.04.03 - Great toe, MTP, total, articular insert or liner530
06.01.04.04 - Great toe, resurfacing hemi articulation, metatarsal
740
06.01.04.05 - Great toe, resurfacing hemi articulation, phalangeal
1205
06.01.04.06 - Great toe, non articulating articulation (for silastic implant replacement)
577
April 2016
Groupings Benefits06.02 - UPPER LIMB06.02.01 - Wrist06.02.01.01 - Carpal component
1800
06.02.01.02 - Radial component3275
06.02.01.03 - Carpal spacer2150
06.02.01.04 - Distal ulnar stem1120
06.02.01.05 - Distal ulnar head06.02 - UPPER LIMB06.02.01 - Wrist06.02.01.05 - Distal ulnar head
1120
06.02.01.06 - Tendon Spacer310
06.02.02 - Finger Joint Articulations06.02.02.05 - Thumb, carpometacarpal - proximal component
442
06.02.02.06 - Thumb, carpometacarpal - distal component442
06.02.02.07 - Thumb, interphalangeal - proximal component293
06.02.02.08 - Thumb, interphalangeal - distal component293
06.02.02.09 - Finger, metacarpophalangeal - proximal component
700
06.02.02.10 - Finger, metacarpophalangeal - distal component700
06.02.02.11 - Finger, interphalangeal - proximal component800
06.02.02.12 - Finger, interphalangeal - distal component800
06.02.02.13 - Interpositional Devices700
Total 1400
06.02.03 - Elbow06.02.03.01 - Distal humeral component/s
4618
April 2016
Groupings Benefits06.02.03.02 - Proximal radial stem
1325
06.02.03.03 - Proximal radial head/neck1334
06.02.03.04 - Proximal ulnar component3577
06.02.03.05 - Proximal ulnar spacer1339
06.02.03.06 - Elbow pin829
06.02.03.07 - Accessories - bushing / insert / spool1440
06.02.03.08 - Accessories - circlips74
06.02.03.09 - Accessories - washers138
06.02 - UPPER LIMB06.02.03 - Elbow06.02.03.10 - Accessories - cement restrictor
3783
06.02.04 - Shoulder - Humeral06.02.04.01 - Humeral component and head – monoblock, cemented
2740
06.02.04.02 - Humeral component - cemented3969
Reverse 6800
06.02.04.03 - Humeral component - uncemented3500
Reverse 6330
06.02.04.04 - Modular humeral component - metaphyseal, cemented
2436
06.02.04.05 - Modular humeral component - metaphyseal, uncemented
2580
Reverse 2580
06.02.04.06 - Modular humeral component - diaphyseal, cemented, Long (>220mm)
3000
06.02.04.07 - Modular humeral component - diaphyseal, uncemented, long (>220mm)
April 2016
Groupings Benefits3818
06.02.04.08 - Modular Humeral component - diaphyseal, cemented, short (≤220mm)
4000
06.02.04.09 - Modular Humeral component - diaphyseal, uncemented, short (≤220mm)
2800
06.02.04.10 - Bipolar humeral head1400
06.02.04.11 - Bipolar humeral shell1660
06.02.04.12 - Standard humeral head1327
Cer 1525
EL 5495
T 3680
06.02.04.13 - Resurfacing humeral head3200
EL 5495
06.02.04.14 - Humeral cup815
Reverse 2482
06.02.04.15 - Focal defect resurfacing - cap4035
06.02.04.16 - Focal defect resurfacing - screw06.02 - UPPER LIMB06.02.04 - Shoulder - Humeral06.02.04.16 - Focal defect resurfacing - screw
1545
06.02.04.17 - Special purpose/tumour prosthesis - resection system, tumour
36549
06.02.04.18 - Special purpose/tumour prosthesis - tumour section
12480
06.02.04.19 - Special purpose/tumour prosthesis - limb salvage system
67600
06.02.04.20 - Special purpose/tumour prosthesis - humeral system
68724
April 2016
Groupings Benefits06.02.04.21 - Necks/collar (modular)
1050
06.02.05 - Shoulder - Glenoid06.02.05.01 - Glenoid component, All poly
1995
06.02.05.02 - Glenoid component, Metal backed2220
06.02.05.03 - Glenoid component & insert4088
06.02.05.04 - Glenoid insert1960
06.02.05.05 - Reverse glenoid component, Base plate, uncemented
2096
06.02.05.06 - Glenosphere2290
06.02.05.07 - Reverse glenoid component7495
06.02.06 - Shoulder - Accessories06.02.06.01 - Humeral sleeve
950
06.02.06.02 - Humeral spacer1000
T 1900
06.02.06.03 - Articular insert470
06.02.06.04 - Taper assembly1118
06.02.06.05 - Eccentrical adaptor1220
06.02.06.06 - Definition screw / Locking Screw1220
06.02.06.07 - Reverse humeral tray873
06.03 - SKELETAL RECONSTRUCTION06.03.01 - Intramedullary Nails06.03.01.01 - Femoral, Proximal short (<220mm)
1063
06.03.01.02 - Femoral, Proximal long (≥220mm)1442
06.03.01.03 - Femoral, Distal
April 2016
Groupings Benefits1121
06.03.01.04 - Tibial/Fibular1335
06.03.01.05 - Humeral924
Gth 3524
06.03.01.06 - Arthrodesis knee4699
06.03.01.07 - Arthrodesis ankle4730
06.03.01.08 - Flexible/paediatric235
06.03.01.09 - Radial/Ulnar1559
06.03.01.10 - Dynamic distraction - electronic17622
06.03.01.11 - Arthrodesis Other577
06.03.01.12 - Clavicle1200
06.03.02 - Intramedullary Nail Accessories06.03.02.01 - Intramedullary nail lag screw
209
Com 497
Comp 256
06.03.02.02 - Reconstruction screw234
CN 278
06.03.02.03 - Set screw/Locking bolt150
06.03.02.04 - End caps and extension caps101
06.03.03 - Plates06.03.03.01 - Standard (screw size ≥4.5mm)(including blade) ≤ 6 holes
570
Com 970
Com, LK 124006.03 - SKELETAL RECONSTRUCTION06.03.03 - Plates06.03.03.01 - Standard (screw size ≥4.5mm)(including blade) ≤
April 2016
Groupings Benefits6 holes
Com,VAL 1550
LK 840
VAL 1170
06.03.03.02 - Standard (screw size ≥4.5mm)(including blade) ≥ 7 to ≤ 15 holes
710
Com 1110
Com, LK 1380
Com,VAL 1310
LK 980
06.03.03.03 - Standard (screw size ≥4.5mm)(including blade) ≥ 16 holes
780
Com 1180
Com, LK 1450
LK 1050
VAL 1380
06.03.03.04 - Small (screw size 2.71mm – 4.49mm)(including blade) ≤ 6 holes
225
Com 625
Com, LK 895
Com, VAL 1225
DT, LK 327
LK 495
VAL 825
06.03.03.05 - Small (screw size 2.71mm – 4.49mm)(including blade) ≥ 7 to ≤ 15 holes
294
Com 694
Com, LK 964
Com, VAL 1294
LK 564
VAL 894
06.03.03.06 - Small (screw size 2.71mm – 4.49mm)(including blade) ≥ 16 holes
801
April 2016
Groupings BenefitsCom 1201
Com, LK 1470
LK 1070
VAL 1401
06.03.03.07 - Mini (screw size ≤2.7mm)(including blade) ≤ 6 holes
66006.03 - SKELETAL RECONSTRUCTION06.03.03 - Plates06.03.03.07 - Mini (screw size ≤2.7mm)(including blade) ≤ 6 holes
Com 1060
Com, LK 1330
Com, VAL 1660
LK 930
VAL 1260
06.03.03.08 - Mini (screw size ≤2.7mm)(including blade) ≥ 7 to ≤ 15 holes
402
Com 802
Com, LK 1072
Com, VAL 1402
LK 672
VAL 1002
06.03.03.09 - Mini (screw size ≤2.7mm)(including blade) ≥ 16 holes
670
Com 1070
Com, LK 1340
Com, VAL 1670
LK 940
VAL 1270
06.03.03.10 - Dynamic - Hip ≤ 6 holes328
Com 528
Com, LK 528
06.03.03.11 - Dynamic - Hip ≥ 7 to ≤ 15 holes695
Com 895
April 2016
Groupings BenefitsCom, LK 895
06.03.03.12 - Dynamic - Hip ≥ 16 holes695
Com 895
Com, LK 895
06.03.03.13 - Dynamic - supracondylar ≤ 6 holes695
Com 895
Com, LK 895
06.03.03.14 - Dynamic - supracondylar ≥ 7 to ≤ 15 holes695
Com 89506.03 - SKELETAL RECONSTRUCTION06.03.03 - Plates06.03.03.14 - Dynamic - supracondylar ≥ 7 to ≤ 15 holes
Com, LK 895
06.03.03.15 - Dynamic - supracondylar ≥ 16 holes1214
06.03.03.16 - Periarticular anatomic - Clavicle/clavicle hook plate ≤ 6 holes
1150
LK 1420
VAL 1750
06.03.03.17 - Periarticular anatomic - Clavicle/clavicle hook plate ≥ 7 to ≤ 15 holes
1500
LK 1770
VAL 2100
06.03.03.18 - Periarticular anatomic - Clavicle/clavicle hook plate ≥ 16 holes
1150
LK 1420
06.03.03.19 - Periarticular anatomic - Humerus ≤ 6 holes1130
LK 1400
VAL 1730
06.03.03.20 - Periarticular anatomic - Humerus ≥ 7 to ≤ 15 holes
1130
LK 1400
April 2016
Groupings BenefitsVAL 1730
06.03.03.21 - Periarticular anatomic - Humerus ≥ 16 holes1130
LK 1400
VAL 1730
06.03.03.22 - Periarticular anatomic - Radius ≤ 6 holes915
LK 1185
VAL 1515
06.03.03.23 - Periarticular anatomic - Radius ≥ 7 to ≤ 15 holes915
LK 1185
VAL 1515
06.03.03.24 - Periarticular anatomic - Radius ≥ 16 holes1180
LK 1450
VAL 1780
06.03.03.25 - Periarticular anatomic - Ulna ≤ 6 holes06.03 - SKELETAL RECONSTRUCTION06.03.03 - Plates06.03.03.25 - Periarticular anatomic - Ulna ≤ 6 holes
915
LK 1185
VAL 1515
06.03.03.26 - Periarticular anatomic - Ulna ≥ 7 to ≤ 15 holes915
LK 1185
VAL 1515
06.03.03.27 - Periarticular anatomic - Ulna ≥ 16 holes950
LK 1220
VAL 1550
06.03.03.28 - Periarticular anatomic - Hand-phalangeal2092
VAL 2692
06.03.03.29 - Periarticular anatomic - Pelvis ≤ 6 holes800
06.03.03.30 - Periarticular anatomic - Pelvis ≥ 7 to ≤ 15 holes
April 2016
Groupings Benefits800
06.03.03.31 - Periarticular anatomic - Pelvis ≥ 16 holes800
06.03.03.32 - Periarticular anatomic - Femur ≤ 6 holes1200
LK 1470
VAL 1800
06.03.03.33 - Periarticular anatomic - Femur ≥ 7 to ≤ 15 holes1200
LK 1470
VAL 1800
06.03.03.34 - Periarticular anatomic - Femur ≥ 16 holes1854
LK 2124
VAL 2454
06.03.03.35 - Periarticular anatomic - Fibula ≤ 6 holes1130
LK 1400
VAL 1730
06.03.03.36 - Periarticular anatomic - Fibula ≥ 7 to ≤ 15 holes1130
LK 140006.03 - SKELETAL RECONSTRUCTION06.03.03 - Plates06.03.03.36 - Periarticular anatomic - Fibula ≥ 7 to ≤ 15 holes
VAL 1730
06.03.03.37 - Periarticular anatomic - Fibula ≥ 16 holes1130
LK 1400
VAL 1730
06.03.03.38 - Periarticular anatomic - Tibia ≤ 6 holes1219
LK 1489
VAL 1819
06.03.03.39 - Periarticular anatomic - Tibia ≥ 7 to ≤ 15 holes974
LK 1244
VAL 1574
06.03.03.40 - Periarticular anatomic - Tibia ≥ 16 holes
April 2016
Groupings Benefits1219
LK 1489
VAL 1819
06.03.03.41 - Periarticular anatomic - Calcaneal ≤ 6 holes939
LK 1209
06.03.03.42 - Periarticular anatomic - Calcaneal ≥ 7 to ≤ 15 holes
939
LK 1209
VAL 1539
06.03.03.43 - Periarticular anatomic - Calcaneal ≥ 16 holesVAL 1539
06.03.03.44 - Periarticular anatomic - Foot450
LK 730
VAL 1060
06.03.03.45 - Periarticular anatomic - Cable plate (hook/grip) ≤ 6 holes
670
06.03.03.46 - Periarticular anatomic - Cable plate (hook/grip) ≥ 7 to ≤ 15 holes
790
06.03.03.48 - Periarticular anatomic - Cable plate with integrated cables - 2 or less, ≤ 6 holes
1736
06.03.03.49 - Periarticular anatomic - Cable plate with integrated cables - > 2, ≤ 6 holes
2600
LK 2870
06.03.03.50 - Cable plate with 1 or more cables, ≤ 6 holes06.03 - SKELETAL RECONSTRUCTION06.03.03 - Plates06.03.03.50 - Cable plate with 1 or more cables, ≤ 6 holes
1034
06.03.03.51 - Cable plate with 1 or more cables, ≥ 7 holes to ≤ 15 holes
1103
06.03.04 - Screws06.03.04.01 - Standard ( ≥4.5mm)
72
April 2016
Groupings BenefitsCN 212
CN,DT 402
CN,DT,LK 472
CN,LK 282
DT 262
DT,LK 332
LK 142
06.03.04.02 - Small (2.71mm – 4.49mm)91
Breakoff 336
Breakoff, DT 526
CN 231
CN,DT 421
CN,DT,LK 491
CN,LK 301
DT 281
DT,LK 351
LK 161
06.03.04.03 - Mini (2.01 – 2.7 mm)93
Breakoff 338
Breakoff, CN 478
CN 233
CN,DT 423
CN,DT,LK 493
DT 283
DT,LK 353
LK 163
06.03.04.04 - Micro (≤ 2.0mm)67
Breakoff 312
Breakoff, DT 50206.03 - SKELETAL RECONSTRUCTION06.03.04 - Screws06.03.04.04 - Micro (≤ 2.0mm)
CN 207
CN,DT 397
April 2016
Groupings BenefitsCN,DT,LK 467
DT 257
DT,LK 327
LK 137
06.03.04.05 - Dynamic274
06.03.04.06 - Screw Washers103
06.03.04.07 - Screw post/peg140
06.03.04.08 - Screw Accessories - Nuts40
06.03.04.09 - Screw Accessories - Locking Nuts / Insert280
06.03.04.10 - Screw Accessories - Caps130
06.03.05 - Surgical Accessories06.03.05.01 - Wires
12
OL 166
06.03.05.02 - Pins30
AB 294
COM 338
OL 134
TH 30
06.03.05.03 - Cables379
06.03.05.04 - Cables - with in-built locking device539
06.03.05.05 - Cables - with >1 locking device539
06.03.05.06 - Wire forms (including washers/screws) - all sizes123
06.03.05.07 - Cerclage bands497
06.03.05.08 - Locking device for wires/cables116
06.03 - SKELETAL RECONSTRUCTION06.03.05 - Surgical Accessories
April 2016
Groupings Benefits06.03.05.09 - Hook/Grip for wires/cables
582
06.03.05.10 - Grooved Button for wires/cables195
06.03.05.11 - Wedges1681
06.03.05.12 - Rib Osteosynthesis Plate1919
Modified 2250
06.03.05.13 - Rib Osteosynthesis Plate Accessories1450
06.03.06 - Staples06.03.06.01 - Staples
134
COMP 417
MI 268
MM 534
06.03.06.04 - Plate staple577
06.03.07 - Soft Tissue Fixation Devices06.03.07.01 - No suture (including arrows)
246
AB 309
06.03.07.02 - Suture, Small anchors (≤2.3mm)310
AB 529
06.03.07.03 - Suture, Medium anchors (2.4 – 3.9mm)465
AB 527
06.03.07.04 - Suture, Large anchors (≥4mm)465
AB 527
06.03.07.05 - Button/thread/tape or Button/thread/button394
06.03.07.06 - Button394
06.03.07.07 - Interference Screw (± sleeve)190
AB 481
April 2016
Groupings BenefitsAB, HA 481
06.03.07.08 - Screw/Pin/Post06.03 - SKELETAL RECONSTRUCTION06.03.07 - Soft Tissue Fixation Devices06.03.07.08 - Screw/Pin/Post
475
AB 486
06.03.08 - Soft Tissue Substitute06.03.08.01 - Biological (human or animal tissue derived)
6339
06.03.08.02 - Non-biological4439
06.03.11 - External Fixateurs06.03.11.01 - Halo-thoracic device
3035
06.03.11.02 - Frame Complete - Monoplanar & Modular Frames
6500
CDD 9925
Mini 2055
Small 2150
Small, 3D, CDD 2900
Small, CDD 2900
06.03.11.03 - Frame Component - Monoplanar, Clamp1662
3D 1662
3D,CDD 2300
CDD 1662
Mini 328
Small 4800
06.03.11.04 - Frame Component - Monoplanar, Body2000
CDD 2650
Small 2485
Small, 3D 2485
Small, CDD 2485
06.03.11.05 - Frame Component - Monoplanar, Adaptor2000
06.03.11.06 - Frame Component - Full Circular Ring
April 2016
Groupings Benefits721
06.03.11.07 - Frame Component - Partial Circular Ring1105
06.03.11.08 - Frame Component - Circular Coupling Device360
06.03.11.09 - Frame Component - Circular Frame Strut Device1000
06.03 - SKELETAL RECONSTRUCTION06.03.11 - External Fixateurs06.03.11.09 - Frame Component - Circular Frame Strut Device
3D 1300
06.03.11.10 - Frame Component - Foot Plate3000
06.03.11.11 - Frame Component - Circular Frame, Nuts & Spacers
47
06.03.11.12 - Frame Component - Coupling Device770
3D 770
CDD 770
Mini 645
Small 655
06.03.11.13 - Frame Component - RodsMini 52
Small 144
Standard 155
06.03.11.14 - Frame Component - Pins149
06.03.11.15 - Frame Component - Pin Clamp Assembly1077
3D 3348
Mini 328
Small 695
06.03.11.16 - Frame Component - Pin Clamp Assembly Post111
Small 99
06.03.11.17 - Articulating Hinge451
3D 650
CDD 4070
April 2016
Groupings BenefitsMini 2460
06.03.11.18 - Upper body kit6366
06.03.11.19 - Lower body kit5681
06.03.14 - Bone Cement06.03.14.01 - Cement only
174
06.03.14.02 - Cement with Antibiotic184
06.03.14.03 - Cement with Complex Delivery System06.03 - SKELETAL RECONSTRUCTION06.03.14 - Bone Cement06.03.14.03 - Cement with Complex Delivery System
500
06.03.14.04 - Cement with Antibiotic and Complex Delivery System
500
06.03.14.05 - Accessories - Restrictors268
06.03.15 - Bone Graft Substitute06.03.15.01 - Ceramic, 0-5cc
760
AUG 1080
CDS 1250
06.03.15.02 - Ceramic, >5cc - 10cc1200
AUG 2300
CDS 1525
06.03.15.03 - Ceramic, >10cc - 20cc1500
AUG 4600
CDS 2150
06.03.15.04 - Ceramic, >20cc1560
AUG 6000
CDS 3980
06.03.15.05 - Demineralised Bone Matrix,< 2cc99
06.03.15.06 - Demineralised Bone Matrix, 2 – 5cc
April 2016
Groupings Benefits529
06.03.15.07 - Demineralised Bone Matrix, >5cc - 10cc1400
06.03.15.08 - Demineralised Bone Matrix, >10cc1800
06.03.15.09 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), 0 - 5cc
850
CDS 1200
06.03.15.10 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), >5cc - 10cc
1988
06.03.15.11 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), >10cc - 20cc
2256
06.03.15.12 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), >20cc
3000
06.03.15.13 - Biologically Active Bone Inductor, 0 - 2.5mg06.03 - SKELETAL RECONSTRUCTION06.03.15 - Bone Graft Substitute06.03.15.13 - Biologically Active Bone Inductor, 0 - 2.5mg
1500
06.03.15.14 - Biologically Active Bone Inductor, >2.5mg - 5mg3200
06.03.15.15 - Biologically Active Bone Inductor, >5mg - 10mg6000
06.03.15.16 - Biologically Active Bone Inductor, >10mg6400
06.03.15.17 - Metal Scaffold1283
06.03.16 - Meshes06.03.16.01 - Metallic
949
06.03.16.02 - Non Metallic288
06.03.17 - Tumour / Limb Deficiency06.03.17.01 - Nail
4322
06.03.17.02 - Spacer6571
06.03.17.03 - Sleeve
April 2016
Groupings Benefits3400
06.03.17.04 - Central Screw1860
06.03.17.05 - Healing Cylinder3150
06.03.17.06 - Healing Screw2460
06.03.17.07 - Fixture36900
06.03.17.08 - Abutment19250
06.03.17.09 - Abutment Screw5775
06.03.17.10 - Oncology Humeral Stem5775
06.03.17.11 - Humeral Ancharge Piece4778
06.03.17.12 - Humerus Extension Piece4393
06.03.17.13 - Distal Extension Piece5243
06.03.17.14 - Humerus Connection Piece06.03 - SKELETAL RECONSTRUCTION06.03.17 - Tumour / Limb Deficiency06.03.17.14 - Humerus Connection Piece
4580
06.03.17.15 - Oncology Humeral Body4122
06.03.17.16 - Wedge211
06.03.17.17 - Humerus Connecting Screw653
06.03.17.18 - Humerus Hex Socket Bolt565
06.03.17.19 - Plug Screw Axis217
06.03.17.20 - Bearing178
06.03.17.21 - Humeral Bearing175
06.03.17.22 - Humeral Head/Cap
April 2016
Groupings Benefits4260
06.03.17.23 - Distal Humerus Flange4347
06.03.17.24 - Humeral Collar Round Smooth2316
06.03.17.25 - Humeral Component for use with Hemi Head7042
06.03.17.26 - Humeral Head Fixation Screw565
06.03.17.27 - Humeral Component with Liner and re-attachment
8990
06.03.17.28 - Humeral Collar Round Coated4122
06.03.17.29 - Humeral Stem2723
06.03.17.30 - Humeral Shaft3243
06.03.17.31 - Humeral Intergral Shaft & Stem Coated7945
06.03.17.32 - Humeral Intergral Shaft & Stem Coated Uncoated4480
06.03.17.33 - Humeral Component with Liner7083
06.03.17.34 - Humeral Component with Reattachment for use with Hemi Head
9342
06.03.17.35 - Glenoid / Glensophere component06.03 - SKELETAL RECONSTRUCTION06.03.17 - Tumour / Limb Deficiency06.03.17.35 - Glenoid / Glensophere component
7485
06.03.17.36 - Humeral Hemi-Head3388
06.03.17.37 - Femoral Stem - Uncemented3920
06.03.17.39 - Tibial Stem - Uncemented6571
06.03.17.41 - Valgus Sleeve6571
06.03.17.42 - Tibial Sleeve6571
April 2016
Groupings Benefits06.03.17.43 - Taper assembly
4500
06.03.17.44 - Silicone Seal727
Suffixes:
3D Multiaxial – device features multi axes of rotational and or translational movement
AB Completely AbsorbableABT Antibiotic AdditiveBreak Off Break OffCDD Compression/Distraction/Dynamisation – device features intrinsic
capacity to apply compression &/or distraction force &/or controlled dynamic force
Cer Ceramic CN Cannulated – the screw can be introduced with a guide wireCom Complex – all plates other than simple ie straight, L and T platesComp Compression – device features intrinsic capacity to apply compression
forceCS Ceramitised surface DT Dual threaded – threads of different pitch, both threads providing
intrinsic compression within the boneHA Hydroxyapatite coatedLK Locking – must fix into device or boneMini Applies only to External Fixateurs used on the hand and footMM Memory MetalMultiple Multiple – applies only to Carpal componentOL Olive WireReverse Reverse Small Applies only to External Fixateurs used on the upper limbStandard Applies only to External Fixateurs used on any long bone and pelvisT TumourTL Telescopic – A threaded moveable rod within an outer rod that allows
for revolution and lengthening movementVAL Variable Angle Locking - applies only to plates
Definitions:
Articulating Hinge A device that features intrinsic capacity to allow a range of movement around a central articulation
Body Metaphyseal componentCannulated screw The cannulated screw can be introduced with a guide
wire Circular Frame Ring Fixation Circular Frame Strut Device A device used in combination with circular ring
fixation for limb angular and length reconstruction Complex Delivery System A delivery system that contains a mixing mill, with or
without vacuum, and a container that becomes part of
April 2016
the delivery system that maintains compression and does not result in voids.
Coupling Device A device that connects rods, pins and wires to Pin Clamps & Circular Rings
Dynamic Screw The large sliding screw that is specifically used with a dynamic hip or dynamic supracondylar plate
External Fixateur Mini Primarily used in hand and foot External Fixateur Small Primarily used in upper limb External Fixateur Standard Primarily used in tibia, femur and pelvis Frame Adaptor An adaptation device used to connect different frame
types Gth Growth Head Articulating component Locking screw The locking screw must thread into a fixation device. MI Multi Implant Modular Frame Individual coupling, pin clamp and rod fixation MRI Magnetic Resonance Imaging safe (to be included in
description) Neck Modular (including cone/sleeve) Periarticular anatomic plate One that is specifically designed to support and
reconstruct that joint surface. Pin Rigid Pin Clamp Assembly A device that connects multiple pins to coupling
devices & rods Revision A revision component must be clearly designed to be
used in revision and/or difficult primary arthroplasty situations. These components must be suitably different from a primary implant to justify a revision suffix. The very fact that an implant may be used in a revision situation does not necessarily mean that it will be granted a revision suffix
RL Radiolucent (to be included in description) Screw post/peg Predominantly smooth device with a terminal thread for
fixation Stem Diaphyseal component TH Threaded Rod (to be included in description) Total This subgroup is for finger joint articulations that cannot
be classified specifically as thumb/finger, carpometacarpal/interphalangeal, and proximal/distal.
Unilateral Frame A single sided one piece device Upper/or lower limb kit A completely self-standing product. Must contain all
instruments and devices for inserting the External Fixateurs for upper/and or lower limb.
Wire Malleable Metal
Glossary of terms – Bone Cements and Bone Graft Substitutes
Bone Cements (PMMA) Bone cements are composed of polymethylmethacrylate and may be used to: fill a space in bone and provide structural integrity and strength; fill a space and provide an adhesive function between a prosthesis and bone and more recently; to restore vertebral height and strength in osteoporotic vertebral fractures. They are non-
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osseous and are not resorbable. Bone cements are offered in two components of varying volumes which when mixed together form a solid bone cement.
Bone Cement Additives Bone cements may be provided with premixed antibiotic additive (usually but not restricted to aminoglycosides) of varying strengths.
Bone Cement Delivery Systems
Complex mixing or delivery systems are complex with respect to design, method of use and manufacture. They contain a mixing mill, with or without vacuum, and a container that becomes part of the delivery system that maintains compression and does not result in a void. They are integral to the delivery of the bone cement, e.g. some percutaneous vertebroplasty kits, and are disposable and single use. The complex system should provide a clinical benefit with use of the bone cement with increased efficacy and safety.
As a result of the HTA Review, Simple mixing or delivery systems do not warrant a higher benefit amount and therefore a Simple Delivery System (SDS) suffix is no longer available.
Bone Graft Substitutes
Surgeons involved in bone repair, reconstruction and fusion may encounter bone defects and or instability which are unlikely to heal with fixation alone. Autograft though considered the ‘gold standard’ has well recognized limitations and allograft may not provide the solution. Synthetic and or biologically active substances are increasingly used as substitutes alone or in combination with traditional bone graft material. Bone substitutes are described as osteoconductive if it promotes bone formation along their surface when placed in bone and osteoinductive if they induce new bone formation.
Bone substitutes are grouped according to their predominant composition.
1. Ceramics (eg Calcium phosphate and hydroxyapatite compounds), which are osteoconductive
2. Metal scaffolds, which are osteoconductive 3. Demineralised bone matrix, which are osteoconductive 4. Composite products which are Extracellular Collagen Matrix with ceramic or
demineralised bone matrix, which are osteoconductive 5. Biologically active bone inductors, such as bone growth factors (eg bone
morphogenetic proteins) which are osteoinductive.
Bone substitutes are presented as pastes, granules, pellets or as a block or preformed implant which may provide some structural integrity and in varying volumes which the grouping system recognizes.
Bone substitute may require a delivery system which can be classified as simple or complex. All delivery systems are considered simple unless their design, manufacture, composition or use is complex. The system should be disposable and provide a clear clinical benefit in safety, ease of use and efficacy of the product.
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