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Zimmer, Inc.

Système acétabulaire Continuum®

Description produit

Une vraie réponse aux besoins de chaque patient

Le système acétabulaire Continuum est conçu pour offrir une très grande flexibilité peropératoire aux chirurgiens orthopédistes traitant tous les cas cliniques, y compris les plus complexes. Il combine la fixation biologique prouvée1,2de la technologie Trabecular Metal™ avec un éventail de couples de frottement haute technologie Zimmer. Grâce à un système complet,les chirurgiens sont en mesure de répondre aux variations de l'anatomie et de la qualité osseuse ainsi que de choisir la technologie de couple de frottement qui s’adapte le mieux aux besoins individuels des patients.

Le matériau : Trabecular Metal™ haute porosité bénéficiant de plus de 11 ans de recul clinique.
  • Stabilité initiale3
  • Fixation biologique durable4,5
  • Expérience clinique prouvée1,2
Un éventail de couples de frottement haute technologie permettant de répondre aux besoins individuels des patients
  • Trois types d’insert sont disponibles.
  • Le polyéthylène hautement réticulé Longevity® est connu pour son excellente résistance à l’usure6 et au vieillissement7-15 et bénéficie de plus de 10 ans de succès clinique.16
  • Metasul® : très faible taux d’usure17 et plus de 20 ans de succès clinique.18-25
  • La céramique BIOLOX delta†: outre son très faible taux d’usure, possède des propriétés mécaniques supérieures à celles des céramiques traditionnelles.26

* BIOLOX® est une marque déposée de Ceramtech GmbH

Références

  1. Unger AS, et al., Evaluation of a porous tantalum uncemented acetabular cup in revision total hip arthroplasty: clinical and radiological results of 60 hips. J Arthroplasty. 20(8); 2005: 1002-1009
  2. Macheras GA et al., Eight to Ten-Year Clinical and Radiographic Outcome of a Porous Tantalum Monoblock Acetabular Component, JOA Vol. 00 No. 02008, In Press
  3. Zhang Y, et al., Interfacial frictional behavior: cancellous bone, cortical bone, and a novel porous tantalum biomaterial. J Musculoskeletal Res. 1999; 3(4): 245-251
  4. Levine B. A new era in porous metals: applications in orthopaedics. Advanced Engineering Materials. August 2008; 10(9): 788-792
  5. Barbella M. Materials marvels: titanium is a top choice for implants, but other materials are gaining popularity. Orthopaedic Design & Technology. September 1, 2008
  6. données disponibles auprès de Zimmer
  7. Wannomae KK, et al. In vivo oxidation of retrieved crosslinked ultra-high molecular-weight polyeth ylene acetabular components with residual free radicals. J Arthroplasty. 2006; 21(7): 1005-1011
  8. Medel FJ, Kurtz SM, MacDonald DW, et al. First-generation highly crosslinked polyethylene in THA: clinical and material performance. Las Vegas, 55th Meeting of the Orthopaedic Research Society, 2009
  9. Collier JP, et al. Comparison of crosslinked polyethylene materials for orthopaedic applications.Cl in Orthop. 2003; 414: 289-304
  10. Bhattacharyya S et al. Severe In Vivo Oxidation in a Limited Series of Retrieved Highly-Crosslinked UHMWPE Acetabluar Components with Residual Free Radicals, 50th Annual Meeting of the Orthopaedic Research Socieity, Paper 0276, Las Vegas, 2004
  11. Jibodh, SR, et al., Minimum Five Year Outcome and Wear Analysis of Large Diameter Femoral Heads on Highly-Cross-linked Polyethylene Liners, Poster No. 2445, 55th Annual Meeting of the Orthopaedic Research Society, Las Vegas, 2009
  12. Kärrholm, Digas G, J, Thanner J, Herberts P. Five to seven years experiences of highly crosslinked PE. SICOT Hong Kong, August 2008
  13. McCalden RW, MacDonald SJ, Rorabeck CH, Bourne RB, Chess DG, Charron KD, Wear Rate of Highly Crosslin ked Polyethylene in Total Hip Arthroplasty. A Randomized Controlled Study. J Bone Joint Surg Am. 2009; 91: 773-782
  14. Bragdon CR, et al., Minimum 6-year Follow up of Highly Crosslinked Polyethylene in THA, Clinical Orthop aedics and Related Research, 2007; Number 465: 122–127
  15. Digas et al., Crosslinked vs. Conventional Polyethylene in Bilateral Hybrid THR Randomised Radiostereo metric Study, 50th Annual Meeting of the Orthopaedic Research Society, Poster No. 0319, Las Vegas, 2004
  16. Bragdon, CR, et al., Seven to Ten Year Follow-Up of Highly Crosslinked Polyethylene Liners in Total Hip Arthroplasty, Poster No. 2444, 55th Annual Meeting of the Orthopaedic Research Society, Las Vegas, 2009
  17. Rieker CB, Schön R, Köttig P, et al. Development and validation of a second-generation Metal-on- Metal bearing: laboratory study and analysis of retrievals. J Arthroplasty. 2004;19 (8, suppl 3): 5-11

  18. Sharma S, et al., Metal-on-Metal total hip joint replacement: a minimum follow-up of five years. Hip Int, 2007; 17: 70–77
  19. Migaud H, et al., Cementless Metal-on-Metal hip arthroplasty in patients less than 50 years of age. Comp arison with a matched control group using ceramic-on-polyethylene after a minimum 5-year follow- up. J Art hroplasty 19 (8, suppl 3), 2004, 23–28
  20. Long WT, et al., An American experience with Metal-on-Metal total hip arthroplasties. A 7-year followup study. J Arthroplasty 19 (8, suppl 3), 2004: 29–34

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