Exeter Hip System - Orthopaedic Surgeon

1 Exeter Technical GuideAnatomic Restoration The Exeter hip System allows interoperative changes in offset, leg length and version, all independent of one another. This flexibility facilitates true Anatomic Restoration providing improved function and Exeter hip has an infinite number of positions to allow a custom made fit for every Hip SystemHistoryHistoryThe Original Exeter Stem 1970-1975 Monoblock stem Material EN58J Stainless steel 44mm offset only head Metal centraliser Polished finishExeter Matt Stem 1976-1985 Monoblock stem Material 316L stainless steel 1976-1983 Material Orthinox stainless steel 1983-1985 offsets introduced Matt finishExeter Polished Stem 1986-1987 Monoblock stem Material Orthinox stainless steel PMMA cement centraliser added Polished finishExeter Universal Stem 1988-2002 Modular stem Material Orthinox stainless steel 5 40 spigot (non-V40 )

2 Heads available in Orthinox stainless steel only Polished finishExeter Universal Stem 1988-2002 Orthinox heads are available for revisions:0586-0-02222mm +00586-0-32626mm -30586-0-02626mm +00586-5-02626mm +50586-0-32828mm -30586-0-02828mm +00586-5-02828mm +50586-0-33030mm -30586-0-03030mm +00586-5-03030mm +50586-0-33232mm -30586-0-03232mm +00586-5-03232mm +5V40 ImplantsV40 ImplantsExeter V40 Stem 2002 - current Modular stem Material Orthinox stainless steel Stryker V40 spigotThe benefits of the V40 spigot are: Increased range of motion Option of advance bearingsExeter V40 Stem 2002 - current Nominal Range of Motion (ROM)Diameter of headPrevious Exeter StemExeter V40 StemIncrease in 110 +12 26mm111 120 +9 28mm116 125 +9 32mm120 128 +8 V40 Exeter general dimensions Neck angle 125 Stem length is measured from stem tip to shoulder Vertical height from centre of rotation of head to shoulder = Stem tipsOffsetStem lengthNeck lengthNeck angleV40 Exeter - offset & leg length tablesChange in leg length/mmHead (neck length)-4-3-2023458 Change in leg in offset/mmHead (neck length)

3 -4-3-2023458 Change in offset from base all Exeter stems have 125 neck angle, the combination of a V40 head makes the same change no matter which stem is ability to change leg length and offset once the stem is cemented in situ gives intra operative flexibility to allow for Anatomic V40 Primary Standard Stem RangeThe Exeter Primary Standard stem range comprises of the , 44, 50 and 56mm offset stems are designed to allow for Anatomic Restoration for the majority of patients with all forms of V40 Primary Standard Stem Range - general dimensionsReferenceDescriptionStem lengthOffsetNeck length0580-1-352 Exeter V40. STEM - N V40. STEM - N V40. STEM - N V40. STEM - N V40. STEM - N V40. STEM - 44MM N V40. STEM - 44MM N V40. STEM - 44MM N V40. STEM - 44MM N lengthOffsetNeck length0580-1-444 Exeter V40. STEM - 44MM N V40. STEM - 44MM N V40. STEM - 44MM N V40.

4 STEM - 50MM N V40. STEM - 50MM N V40. STEM - 50MM N V40. STEM - 50MM N V40. STEM - 50MM N V40. STEM - 56MM N V40. STEM - 56MM N V40 Primary Standard Stem Range - general dimensionsExeter V40 DDH StemsThe DDH stems have been designed to allow Anatomic Restoration during hip arthroplasty in patients with a small offset. DDH Asiatic Population Juvenile arthritisReferenceDescriptionStem lengthOffsetNeck length0580-1-300 Exeter V40. STEM - V40. STEM - V40. STEM - V40 DDH Stems - general dimensionsExeter V40 Short Revision StemThe short revision stem is a revision stem design to fit into an existing cement mantle with an uncompromised bone cement Exeter short revision stem can be used to: Improve acetabular exposure with stem revision Exchange a monoblock stem to give the benefits of modularity Change version to correct instability or leg length discrepancyExeter V40 Short Revision Stem - general dimensionsReferenceDescriptionStem lengthOffsetNeck length0580-1-044 Exeter V40 STEM - 44MM V40 Long Revision StemsAvailable in fully tapered and distally cylindrical for use with impaction bone grafting or cement stems are designed to give bypass fixation in difficult revision V40 Long Revision Stem - general dimensionsReferenceDescriptionStem lengthOffsetNeck length0580-1-321 Exeter V40.

5 STEM - 205MM TAPERED N V40. STEM - 205MM TAPERED 44 N V40. STEM - 200MM 44N V40. STEM - 220MM 44N V40. STEM - 240MM 44N V40. STEM - 260MM 44N V40 StemsDepth markings The iconic depth markings on the proximal part of the Exeter stem are spaced 4mm apart, when measured vertically to give a guide as the stem is inserted on the change in leg markings are also on the V40 StemsCentraliser Possibly the most important part of the Exeter total hip System . These centralisers allow the stem to subside within the cement mantle without end bearing, resulting in optimun load transfer. Available in wingless (for narrower canals) and winged variants. Made from Head optionsOrthinox Stainless steel heads. The original Exeter heads made from the same Cobalt chrome heads, treated with low friction ion treatment to improve smoothness, increase wetability and improve wear. The perfect bearing couple for Head optionsAlumina ceramic The original ceramic offering, this can be used as a couple with the Trident ceramic ceramic Zirconia toughened HeadsStainless steelAlumina ceramicCobalt chrome LFITD elta (-2)6260-9-12222 (0)6364-2-12222 (0)6260-9-22222 (+3)6364-2-22222 (+3)6260-9-32222 (+8) (+8)26mm6364-2-02626 (-3)6260-9-02626 (-3)6364-2-12626 (0)6260-9-12626 (0)6364-2-22626 (+4)6260-9-22626 (+4)6364-2-32626 (+8)6260-9-32626 (+8)28mm6364-2-02828 (-3)6565-0-02828 ( )6260-9-02828 (-4)6570-0-02828(-4)6364-2-12828 (0)6565-0-12828 (0)6260-9-12828 (0)6570-0-32828( )6364-2-22828 (+4)6565-0-22828 (+4)6260-9-22828 (+4)6570-0-12828(0)6364-2-62828(+6)6260- 9-32828 (+8)6570-0-22828(+4)6364-2-32828 (+8)Stainless steelAlumina ceramicCobalt chrome LFITD elta ceramic30mm6364-2-03030 (-4)6364-2-13030 (0)6364-2-23030 (+4)32mm6364-2-03232 (-4)6565-0-03232 (-4)

6 6260-9-03232 (-4)6570-0-03232(-4)6364-2-13232 (0)6565-0-13232 (0)6260-9-13232 (0)6570-0-13232(0)6364-2-23232 (+4)6565-0-23232 (+4)6260-9-23232 (+4)6570-0-23232(+4)6364-2-33232 (+8)6260-9-33232 (+8)36mm6364-2-03636 (-5)6565-0-03636 (-5)6260-9-03636 (-5)6570-0-03636 (-5)6570-0-43636 ( )6364-2-13636 (0)6565-0-13636 (0)6260-9-13636 (0)6570-0-13636 (0)6570-0-53636 ( )6364-2-23636 (+5)6565-0-23636 (+5)6260-9-23636 (+5)6570-0-23636 (+5)Stainless steelAlumina ceramicCobalt chrome LFITD elta ceramic40mm6260-9-04040 (-4)6260-9-14040 (0)6260-9-24040 (+4)44mm6260-9-04444 (-4)6260-9-14444 (0)6260-9-24444 (+4)Stryker SACit -CentreGrand-Rue 901820 MontreuxSwitzerland t : +41 21 966 12 01f : +41 21 966 12 00 document is intended solely for the use of healthcare professionals. A Surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient.

7 Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. The information presented is intended to demonstrate the breadth of Stryker product offerings. A Surgeon must always refer to the package insert, product label and/or instructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Exeter , Orthinox , V40 , X3 . All other trademarks are trademarks of their respective owners or Number: MTXEXETG01 MTX/GS 06/09 Copyright 2009 Stryker