RECLAIM® REVISION HIP SYSTEMWhere Strength and Modularity Connect
DESIGN RATIONALE
RECLAIM® Modular Revision Hip System
WHERE STRENGTH & MODULARITY CONNECT
System Overview
Proximal Body in 3 Diameters and 4 Lengths
Variable 360° Proximal Positioning
Note: Proximal body and distal stem are made of Titanium Alloy with 20 grit-blast finish
2 Offset Options
Locking Bolt for Supplemental Fixation
Note: Locking bolt made of Cobalt Chrome Alloy
Low Plasticity Burnishing (LPB®) process halts the propagation of failure inducing cracks that often inherently occur in mid-modular revision hip implants due to the taper interfaces and increases the fretting fatigue resistance of the implant by applying residual compression to the distal stem locking taper.1
2 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
AdvancedStrength2
AdvancedFixation
AdvancedInstrumentation
Advanced StrengthOver 600 million cycles of testing2
Advanced FixationTrue Wagner 2.5º Taper
Advanced InstrumentationReduced Back-Table Footprint3 and Opportunity for Increased OR Efficiency
Grit-Blast Surface on Proximal and Distal Implants allows for bony apposition2
Distal Stem in 16 Diameters and 4 Lengths with Angled Option
2.5° Taper Anti-Subsidence Geometry
Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 3
The RECLAIM Modular Revision Hip System combines advancements in strength, fixation, and instrumentation to optimize the clinical experience during moderate to complex hip revision surgery.
Type 1
• Minor cancellous bone loss exists anterior/posterior; the metaphysis is intact.
Type 2
• Cancellous/cortical structural bone is absent; the metaphysis is not intact.
• The diaphysis has minimal damage.
S-ROM® Modular Hip System
SOLUTION SYSTEM®
RECLAIM® Modular Revision Hip System
Possible Surgical Solutions by Defect Classification
4 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
The Paprosky Classification is the most widely used defect classification.4 All femoral stems listed can be used for any defect classification and may be appropriate for the situations shown below.
Type 3B
• The diaphysis is not intact due to severe bone loss.
• Distal fixation over 4 cm can be achieved at the isthmus.
Type 4
• The cortices in the isthmus have been eroded.
• Alternative femoral fixation methods must be considered.
Type 3A
• The diaphysis is nonsupportive due to bone loss.
• Distal fixation over 4 cm can be achieved near the isthmus.
SOLUTION SYSTEM®
RECLAIM® Modular Revision Hip SystemLPS™
(Limb Preservation System)
Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 5
RECLAIM Modular Revision Hip System was mechanically tested to specifically verify the strength at each of these locations.
Over 600 million cycles of fatigue testing has demonstrated a superior construct strength profile2
Advanced Strength
Robust Counter Bore2
Proven Lateral Wall Thickness2
Fortified Taper2
Optimized Taper Transition2
Compression-Treated Barrel
Proven Splines2
Low Stress Internal Threads2
Precision-Designed Undercut
High Strength Neck2
6 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
REPRODUCIBLE2,000 lb Assembly Load for optimum and consistent Locking Taper performance coupled with a fortified design to provide a 50% increase in fatigue strength.2
PROPRIETARYLow Plasticity Burnishing (LPB®) process halts the propagation of failure inducing cracks that often inherently occur in mid-modular revision hip implantsdue to the taper interfaces and increases the fretting fatigue resistance of the implant by applying residual compression to the distal stem locking taper.1
Locking Bolt Assembly for supplemental taper fixation
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Built for stability to provide surgeons with confidence in restoring patients’ function.
2.5° BI-PLANAR TAPER True Wagner style Distal Stem design engineered for fixation, torsional stability, and resistance to subsidence.
Advanced Fixation
MECHANICAL STABILITY Afforded by Grit-Blast surface treatment that also provides opportunity for bony apposition.2
8 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
AXIAL AND TORSIONAL STABILITYPlateau spline design intended to engage multiple bony contact points to resist torque and subsidence.
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Advanced InstrumentationDesigned to increase speed, efficiency, and effectiveness.
11 DePuy Synthes Joint Reconstruction RECLAIM Modular Revision Hip System Design Rationale
PATENT-PENDING VERSATILITYTrialing off the reamer technology allows validation of implant sizing and 360º of version.
2. Trial 3. Implant
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1. Ream
Size Offerings
Proximal Body Size Options
135º NECK ANGLE 12/14 Articul/eze® Mini Taper
Heights (C) 20 mmDiameter (D)
24 mmDiameter (D)
28 mmDiameter (D)
75 mmBlue
40 mmOffset (E)
45 mmOffset (E)
45 mmOffset (E)
85 mmGreen
95 mmYellow
105 mmRed
Distal Stem Size Options
Stem Lengths
(B)
Straight Stem Diameters
(1 mm Increments) (A)
3º Angled Stem Diameters
(1 mm Increments) (A)
140 mm 14 mm - 21 mm N/A
190 mm 14 mm - 21 mm14 mm - 27 mm29 mm, 31 mm
240 mm N/A16 mm - 27 mm29 mm, 31 mm
290 mm N/A
18 mm - 21 mm23 mm, 25 mm, 27 mm, 29 mm,
31 mm
B
A
E
D
C
14.5 mmProximal Body seating height
B
A
E
D
C
1.5mm head was used for offsets.
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Managing the UnexpectedDePuy Synthes Joint Reconstruction offers a vast array of femoral and acetabular revision products for addressing the unknowns of revision surgery.
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The RECLAIM Modular Revision Hip System is designed to integrate seamlessly into DePuy Synthes Joint Reconstruction’s clinically proven portfolio of acetabular revision solutions.
Hip Revision Solutions
PINNACLE® Hip Solutions provide the largest selection of advanced bearing technologies, biological and mechanical fixation alternatives while the GRIPTION® TF Revision Augments provide advancements in fixation, material and instrumentation. RECLAIM Modular Revision Hip System combined with the PINNACLE Hip Solutions and GRIPTION TF Revision Augments provides a strong platform for treating moderate to severe revision hip defects.
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Design Rationale RECLAIM Modular Revision Hip System DePuy Synthes Joint Reconstruction 15
RECLAIM Modular Revision Hip combined with PINNACLE Hip Solutions and GRIPTION TF Revision Augment.
References:
1. Hornbach, D, Prevey, P, Loftus, E. “Application of low plasticity burnishing (LPB) to improve the fatigue performance of Ti-6Al-4V femoral hip stems.” Symposium on Fatigue & Fracture of Medical Metallic Materials & Devices (LT Paper 263). Dallas, TX, Nov. 10, 2005.
2. Data on file, DePuy Synthes Joint Reconstruction
3. Versus standard instrument kits.
4. Della Velle, Craig J., Paprosky, Wayne G. “Classification and an Algorithmic Approach to the Reconstruction of Femoral Deficiency in Revision Total Hip Arthroplasty.” J Bone Joint Surg Am. 2003; 85: 1-6.
© DePuy Synthes Joint Reconstruction, a division of DOI 2013. All rights reserved. 0612-50-511 (Rev. 4) 1M 11/13
www.depuysynthes.com
DePuy Orthopaedics, Inc.700 Orthopaedic DriveWarsaw, IN 46582T. +1 (800) 366-8143
Limited Warranty and Disclaimer: DePuy Synthes Joint Reconstruction products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed.
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