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Zimmer ® Trabecular MetalTM
Humeral Stem
Evolution Meets Revolution
97-4
309-
001-
00 R
ev.1
5M
L P
rint
ed in
the
USA
©20
05, 2
006
Zim
mer
, Inc
.
The Zimmer® Trabecular Metal™ Humeral Stem is the
harmony of a revolutionary porous fixation technology
and an advanced stem design that evolved from the clinically
proven Bigliani/Flatow® Complete Shoulder System. This
combination enabled the creation of an innovative shoulder
implant which addresses key surgeon needs and is
optimized for the patient’s anatomy. The incorporation
of Trabecular Metal Technology, the world’s premier porous
fixation biomaterial option, delivers an unsurpassed
scaffold for biological ingrowth potential. Designed in
collaboration with leading surgeons worldwide, the
Trabecular Metal Humeral Stem is a true evolution of the
Neer philosophy and provides options intended to help
the patient achieve an enhanced quality of life.
The Trabecular Metal™ Humeral Stem
Revision - postop
Revision - preop
Fracture - postop
Fracture - preop Primary – preop
Primary – postop
Non-Union - preop
Non-Union - postop
Radiographs courtesy of Drs. L. Bigliani, E. Flatow, G. McCluskey III, G. Nicholson.
Evolutionary Design
Radiographs courtesy of Drs. L. Bigliani, E. Flatow, G. McCluskey III, G. Nicholson.
Suture Holes for Enhanced Tuberosity Reattachment
Suture hole placement
enhances the ability for tuberosity
reattachment and circumferential
stem cerclaging, allowing for tight sinching
against the stem to treat 3 and 4-part
fractures and minimize soft tissue damage.
True Intraoperative Flexibility
Twelve diameters, two stem lengths,
and two neck angles, combined
with the Bigliani/Flatow Shoulder
System humeral head and glenoid
options, provide a broad range of
anatomic coverage and interoperative
flexibility and help to restore proper
joint kinematics through accurate
restoration of the center-of-rotation. 1, 2
Stem design allows for a press fit
or cemented configuration,
including a hybrid technique
for fractures.
Reproducible Instrumentation
Adoption of the Trabecular Metal
Humeral Stem is made easy
with the use of familiar and reproducible
instrumentation.
Revolutionary TechnologyTrabecular Metal Technology
Trabecular Metal Technology is the orthopaedic industry’s premier porous fixation biomaterial, featuring
a fully interconnected porous strut configuration similar to trabecular bone, approximating its physical and
mechanical properties more closely than other materials.3, 4 Since the introduction of this orthopaedic
material in 1997, it has been used successfully in a broad range of clinical applications as well
as the most difficult salvage and revision total joint replacements. 5
Tuberosity Reattachment with Trabecular Metal Technology
• Initial implant stability is provided by the inherently high friction of
Trabecular Metal material against bone and soft tissue.3, 4, 6
• Early biological fixation of bone and/or soft tissue is permitted by
the high porosity and osteoconductivity that is characteristic of
Trabecular Metal Technology.3, 4
• In human radiographic clinical studies, post-operative gaps have been
shown to reliably fill-in with bone. This phenomenon seals the effective join
space and may aid/prohibit loss of fixation caused by osteolysis.7
Biological Ingrowth
Coefficient of Friction
Trabecular Metal Technology construct
provides better friction in bone when
compared to alternative technologies,
which increases implant stability.3, 9
The high-volume porosity and
interconnected cellular structure of
Trabecular Metal Technology supports
rapid, soft tissue ingrowth.8
The majority of Trabecular Metal
Technology construct’s void space is
filled with bone at eight weeks postop.4
Contact your Zimmer representative or visit us at www.zimmer.com
97-4
309-
001-
00 R
ev.1
5M
L P
rint
ed in
the
USA
©20
05, 2
006
Zim
mer
, Inc
.
References:1. D Robertson, J Yuan, L Bigliani, E Flatow, K Yamaguchi, “Three-Dimensional Analysis of the Proximal Part of the Humerus:Relevance to Arthoplasty”, JBJS, 2000, pp 1594-1602.
2. M Pearl, S Kurtz, “Geometric Rationale to Anatomic Replacement of the Proximal Humerus: How Much Prosthetic Geometry is Necessary?” Presented at the ASES (American Shoulder and Elbow Surgeons) Closed Annual Meeting, Palm Beach, FL, November 9 - 12, 2005.
3. JD Bobyn, SA Hacking, SP Chan, et al. Characterization of new porous tantalum biomaterial for reconstructive orthopaedics. Scientific Exhibition: 66th Annual Meeting of the American Academy of Orthopaedic Surgeons; 1999; Anaheim, CA.) (Bobyn JD, Stackpool G, Toh K-K, et al. Characteristics of bone ingrowth and interface mechanics of a new porous tantalum biomaterial. JBJS 1999;81-B:907-914.
4. JD Bobyn, SA Hacking, JJ Krygier, SP Chan, KK Toh, M Tanzer, “Characterization of a New Porous Tantalum Biomaterial for Reconstructive Surgery”, 66th Annual AAOS, Anaheim, CA, Feb 4-8, 1999, Scientific Exhibit
5. A Nehme, DG Lewallen, AD Hansen, “Modular Porous Metal Augments for Treatment of Severe Acetabular Bone Loss During Revision Hip Arthoplasty”, Clinical Orthopaedics & Related Research, Vol 429, 2004, pp 201-208.
6. Y Zhang, PB Ahn, DC Fitzpatrick, AD Heiner, RA Poggie, TD Brown, “Interfacial frictional behavior: Cancellous bone, cortical bone, and a novel porous tantalum biomaterial”, Journal of Musculoskeletal Research, 3(4): 245-251, 1999.
7. T Gruen, A Hanssen, DG Lewallen, R Lewis, T O’Keefe, SD Stulberg, C Sutherland, RA Poggie, “Radiographic Evaluation of a Monoblock Acetabular Component – A Multi-Center Study With 2 To 5 Year Results”, The Journal of Arthroplasty, Vol. 20, No. 3, April 2005, pp 369-378.
8. SA Hacking, JD Bobyn, K Toh, M Tanzer, JJ Krygier, “Fibrous Tissue In-growth and Attachment to Porous Tantalum”, Journal Biomedical Material Research, Dec 15, 2000, 52(4), pp 631-638.
9. A Shirazi-Adl, M Dammak, G Paiement, “Experimental determination of friction characteristics at the Trabecular bone / porous-coated metal interface in cementless implants”, the J of Biomedical Research, Vol 27, 1993, pp 167-175.
Ordering Information Prod. No. Description Prod. No. Description
00-4348-114-17 TM Stem 48˚ 14mm x 170mm
00-4348-115-13 TM Stem 48˚ 15mm x 130mm
00-4348-116-13 TM Stem 48˚ 16mm x 130mm
00-4348-117-13 TM Stem 48˚ 17mm x 130mm
00-4348-118-13 TM Stem 48˚ 18mm x 130mm
00-4309-000-00 Trabecular Metal HumeralInstrumentSet
set includes the following:
00-4301-033-00 Wrench
00-4309-001-00 TM Humeral Cutting Guide 42˚
00-4309-001-06 TM Proximal Reamer 6mm
through (in increments of 2mm)
00-4309-001-18 TM Proximal Reamer 18mm
00-4309-002-00 TM Humeral Cutting Guide 48˚
00-4309-003-00 TM Humeral Silhouette 42˚
00-4309-004-00 TM Humeral Silhouette 48˚
00-4309-005-00 TM Humeral Counterbore 42˚
00-4309-006-00 TM Humeral Counterbore 48˚
00-4309-017-00 TM Humeral Inserter
00-4310-008-13 TM Distal Trial/Pilot 8mm x 130mm
through (in increments of 1mm)
00-4310-018-13 TM Distal Trial/Pilot 18mm x 130mm
00-4310-008-17 TM Distal Trial/Pilot 8mm x 170mm
through (in increments of 2mm)
00-4310 -014-17 TM Distal Trial/Pilot 14mm x 170mm
00-4309-012-06 TM Proximal Trial/Pilot 42˚ 6mm
through (in increments of 2mm)
00-4309-012-18 TM Proximal Trial/Pilot 42˚ 18mm
00-4309-018-06 TM Proximal Trial/Pilot 48˚ 6mm
through (in increments of 2mm)
00-4309-018-18 TM Proximal Trial/Pilot 48˚ 18mm
00-4309-009-00 Threaded Alignment Rods (2 each)
00-4309-051-15 Fracture Instrument Left 15
00-4309-051-18 Fracture Instrument Left 18
00-4309-051-21 Fracture Instrument Left 21
00-4309-052-15 Fracture Instrument Right 15
00-4309-052-18 Fracture Instrument Right 18
00-4309-052-21 Fracture Instrument Right 21
00-4309-095-00 TM Humeral Instrument Case
00-4309-007-00 Fracture Sleeves (1 packet of 4, covers all sizes)
00-4309-001-03 TM Humeral Replacement Hex Set Screws, 2ea
Bigliani/Flatow InstrumentSets
00-4300-000-10 Modular Heads Standard Implant Set
00-4300-000-13 Humeral General Instrument Set
00-4300-000-17 Std. Head Provisional Set
00-4300-000-18 Glenoid General Instrument Set
00-4300-000-19 Glenoid w/ Keel Instrument Set
00-4300-000-20 Glenoid w/ Pegs Instrument Set
00-4300-000-21 Glenoid w/ Keel Provisional Set
00-4300-000-22 Glenoid w/ Pegs Provisional Set
00-4300-000-23 Expanded Heads Implant Set
00-4300-000-24 Expanded Head Provisional Set
00-4300-000-25 17/18mm Humeral Instrument Set
00-4302-000-10 Modular Offset Heads Implant Set
00-4302-000-11 Offset Head Instrument Set
00-4302-000-12 Offset Head Provisional Set
00-4305-000-19 Shoulder Retractors Set
Trabecular MetalHumeralStemImplants
00-4342-106-13 TM Stem 42˚ 6mm x 130mm
00-4342-108-13 TM Stem 42˚ 8mm x 130mm
00-4342-108-17 TM Stem 42˚ 8mm x 170mm
00-4342-109-13 TM Stem 42˚ 9mm x 130mm
00-4342-110-13 TM Stem 42˚ 10mm x 130mm
00-4342-110-17 TM Stem 42˚ 10mm x 170mm
00-4342-111-13 TM Stem 42˚ 11mm x 130mm
00-4342-112-13 TM Stem 42˚ 12mm x 130mm
00-4342-112-17 TM Stem 42˚ 12mm x 170mm
00-4342-113-13 TM Stem 42˚ 13mm x 130mm
00-4342-114-13 TM Stem 42˚ 14mm x 130mm
00-4342-114-17 TM Stem 42˚ 14mm x 170mm
00-4342-115-13 TM Stem 42˚ 15mm x 130mm
00-4342-116-13 TM Stem 42˚ 16mm x 130mm
00-4342-117-13 TM Stem 42˚ 17mm x 130mm
00-4342-118-13 TM Stem 42˚ 18mm x 130mm
00-4348-106-13 TM Stem 48˚ 6mm x 130mm
00-4348-108-13 TM Stem 48˚ 8mm x 130mm
00-4348-108-17 TM Stem 48˚ 8mm x 170mm
00-4348-109-13 TM Stem 48˚ 9mm x 130mm
00-4348-110-13 TM Stem 48˚ 10mm x 130mm
00-4348-110-17 TM Stem 48˚ 10mm x 170mm
00-4348-111-13 TM Stem 48˚ 11mm x 130mm
00-4348-112-13 TM Stem 48˚ 12mm x 130mm
00-4348-112-17 TM Stem 48˚ 12mm x 170mm
00-4348-113-13 TM Stem 48˚ 13mm x 130mm
00-4348-114-13 TM Stem 48˚ 14mm x 130mm
Note: Bigliani/Flatow instruments are required for the Trabecular Metal Humeral Stem procedure.
Prod. No. Description