LIFELINX SURGIMED PVT. LTD.
LIFELINX SURGIMED PVT. LTD.
Ayanavaram, Chennai, Tamil Nadu
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ORTHOPAEDICS IMPLANTS, JOINTS AND BIOLOGICS

ORTHOPAEDICS IMPLANTS, JOINTS AND BIOLOGICS
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The Unic System
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The Unic System

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UNIC is a prosthetic modular system which unables, on the basis of a same humeral platform – primary, fracture or revision- to achieve either a CTA hemi, an anatomic total shoulder, or a reverse total shoulder arthroplasty.

HUMERAL PLATFORMS TO SUIT ANY PROSTHETIC SHOULDER INDICATIONS

Any type of UNIC humeral stem is a platform on which the surgeon can plan and build up to suit any indication:

  • cementless HA coated or shiny-polished cemented primary stems
  • slotted or distal locked cementless HA coated, or shiny-polished cemented revision stems
  • fracture stem soon available
  • very small sizes both primary and revision available on special request

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Unic Reverse
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Unic Reverse

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The reverse total shoulder (TSR) is indicated when both sides of the shoulder joint are worn out and associated to an extended and irreparable lesion of the rotator cuff. In this indication, the glenoid bone stock must allow the fixation of a prosthetic glenoid base.

The UNIC system is characterized by:

  • An orientation of the humeral cup increased by 8° compared to the humeral resection cut
  • A reduced cup diameter to sphere diameter ratio
  • A multiple position fine tuning of the cup on the stem unabling proper arm lateralization and deltoid muscle tension
  • A glenoid base bone anchoring based on an helical non-traumatic blade which is designed to resist sheer stresses

 


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Unic Anatomic
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Unic Anatomic

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The anatomic total shoulder arthroplasty (TSA) is indicated when both sides of the scapulo-humeral joint are worn out, and when the rotator cuff remains intact and with no sign of motricity defficiency. The TSA requires a good glenoid bone stock, and will be contra-indicated whenever there pre-exist a permanent instability in the joint.

The UNIC anatomic system is characterized by:

  • Compatible with all and any humeral base: primary, fracture or revision, cemented or cementless
  • Oval humeral heads available in 5 combinations of diameter/thickness
  • Efficient multi-position Head offset management based on twin crossed ratchets and twin taper modulus
  • Optionnal 6° angled modulus to fine tune for increased varus/valgus or ante/retroversion
  • Identical mismatch through the range unabling match of all heads with all sizes of glenoid
  • Low 2mm mismatch reduces sheer stresses on the glenoid component

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Unic Trauma
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Unic Trauma

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Humeral base adapted to the osteosynthesis of multiple fragment fractures of the proximal humerus.

The UNIC Trauma stem has the same characteristics as all the humeral bases of the UNIC system.

All the articular combinations of the UNIC system are adaptable to the UNIC “Trauma” base: hemi-arthroplasty, anatomic, reverse and CTA.

The instrumentation is the basic “2 trays” UNIC set: 1st tray is for the humeral preparation and for the reverse glenoid, 2nd tray is for the other articular options.

Indicated for fracture of the humeral epiphysis in the elderly.


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Unic Stemless
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Unic Stemless

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The STEMLESS version of the UNIC system is indicated for hemi or total degenerative or trauma shoulder arthroplasty where the rotator cuff is intact or repairable.

The metaphysealcementless fixation of the STEMLESS UNIC helps preserving the integrity of the intra-medullar humerux.

The UNIC STEMLESS implant is made with additive technology. This 3D metal printing technology enabled the design of a very fine honeycomb structure adapted in porosity and interconnectivity to the osteoblastic activity. The bone integration is facilitated by a layer of Hydroxyapatite coating on all the surfaces in contact with the bone.

The instrument set enables the placement of the prosthetic humeral head, selected from a choice of 8 diameters (35mm to 52mm) and 2 thicknesses begining diameter 41, in complete respect of the intra-articular space for retroversion, lateralization, varization…)


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Hemi Or Total Arthroplasty
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Hemi Or Total Arthroplasty

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The UNIC STEMLESS implant can be used alone or in association with the cemented glenoid implant of the standard UNIC range.
The anatomic glenoid implant is only available in cmeneted full polyethylene version. Available in 3 sizes, the glenoid implant can be combined to any STEMLESS size with a mean mismatch of 2mm.

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Just Unic
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Just Unic

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The “bilboquet” (cup-and-ball game) concept was imagined in 1989 in the concern to improve the stability and the ease of the anatomical reconstruction in the complex and displaced fractures of the superior extremity of the humerus (FSEH).

Such 3 or 4 fragments fractures on osteoporotic bone are characterized by the difficulty of maintaining the stability of the osteosynthesis and by the exposure to complications like avascular osteonecrosis of the humeral head.

The “bilboquet” concept is based on the implementation of a circular staple impacted in the cancellous bone of the humeral head, the staple so constitutes a solid platform which allows to support circumferentially the head and to reduce it anatomically.

The “JUST UNIC” shoulder fracture device brings to this concept a major innovation by differentiating the stability of the device in the huméral blunderbuss via the implementation of the “sleeve”, and the regulation in height of the humeral stem. Tjis innovation allows to facilitate the reduction and to maintain the space of reintegration of the tuberosities.

The preservation of the humeral head in contact with the tuberosities favors the consolidation of the fracture (1 ). Based on this principle, for the cases where the secondary osteonecrosis is a risk, the “JUST UNIC” system proposes an option of hollowed head hollow which allows to graft the osseous head in contact with the tuberosities, leading to the same principle that the “bilboquet” staple.

 


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Unic For Cta
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Unic For Cta

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Hemi-arthroplasty head with increased volume indicated in Cuff Tear Arthroplasty cases.

Whenever the glenoid bone highly worn out does not allow proper fixation of a glenoid base.

The increased volume/thickness of the CTA head enables the prosthesis to articulate with the sub-acromial surface.

A supero-lateral “cap” extends the articualr surface and prevents the rotator cuff from rubbing on the resected bone.


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Revision Glenoid Base
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Revision Glenoid Base

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CHARACTERISTICS OF THE REVISION GLENOID BASE

Suitable only with the articular components of the Reverse UNIC.

The Revision glenoid base is indicated whenever the glenoid bone stock is fragile and/or demineralized.

  • cementless and HA coated only version
  • upper screw plate can be bent and resected to adapt to the sub-acromial space
  • anatomic L or R design
  • up to 4 cancellous screws can be fixed in the basis of the coracoid
  • central anchoring peg available in 3 lengths
  • antero-distal “cap” enables graft stabilization and proper height positionning”

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Captiv Dm
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Captiv Dm

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Originally created in the mid 70’s by Professor Gilles BOUSQUET in St Etienne (France), the dual articulation acetabular socket rationale has kept improving since then, and offers nowadays a comprehensive solution to intra-prosthetic dislocation.

Indicated for primary arthritis patients above 70 years old, for femoral neck fractures whenever the patient is valid and active, for any patient presenting an important hip joint laxity, for patients with irrational behaviour, and for most hip revision cases, the dual mobility concept combines a high level of protection against dislocation and a controled and well documented polyethylene wear rate.

THE SOLUTION FOR ANY HIP ARTHROPLASTY WHEN POLYETHYLENE FRICTION IS CONSIDERED

CAPTIV DM is available in 2 versions :

  • press-fit only, including an equatorial over-sizing macrostructure with 3 sets of anchoring teeth
  • press-fit and dome spikes aimed at increasing the primary stability of the shell

Both versions have a dual coating of porous titanium and hydroxyapatite.

The liners, manufactured in mediumly crosslinked polyethylene (PEXEL), provide a positive excentration to the femoral head. This principle which consists in offseting the center of rotation of the femoral head from that of the liner, limit the contact and wear at the “third articulation” level: between the prosthetic neck and the inner lip of the liner. The positive excentration mechanism forces the liner to remain perpendicular to the femoral neck axis as soons as the body weight is applied through the joint and to the lower limb.

The liners are available for all sizes of cup in inner diameters 22.2 and 28mm. Optionally a ceramic sandwich liner, in clinical use for more than 5 years, is also available.


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Humeral Revision
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Humeral Revision

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The UNIC Revision humeral bases can be associated with any articular component of the UNIC system: anatomic, reverse or CTA.

With lengths of 180mm (size 0) and 200mm, the UNIC Revision bases are available in both shiny-polished cemented or cementless HA coated and optionnal antero-posterior distal locking versions.

A very small size of both types is available on special request.


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Captiv OTM
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Captiv OTM

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ACETABULAR CUP FOR POLYETHYLENE OR CERAMIC LINERS

Maximum security concept

The hard-on-hard friction couples require a thorough conception of the shell. The conical surface on which will be seated the liner, needs to be as smooth as possible and free of any peak stress inductors. The fitting of the liner into the shell need to be secured by a proper “taper entry” design, and the cup should prevent from micro-deformation under impaction stress, yet optimizing the head to cup diameter ratio.

On the contrary, the polyethylene liner will not be securely fixed based on a tapered connection alone. The polyethylene stability against rotation and pull-out stresses, need to be completed with mechanical devices such as ring locks and anti-rotational fins. In addition the liner needs to be protected from cold-flow deformation, and thus be perfectly adapted to the concavity of the cup.

Captiv OTM succeeds in combining both opposite requirements.

DESIGN RATIONALE

  • primary hip arthroplasty elliptic acetabular cup
  • moderately crosslinked PEXEL polyethylene or pure alumina or composite ceramic (Delta) choice of friction couple
  • mechanical devices for polyethylene locking dissociated from the taper connection
  • initial equatorial over-sizing increased by macrostructured design and 8 pairs of anchoring teeth
  • hydroxyapatite coating 155 µm
  • factory sealed screw holes to prevent wear particules migration
  • apex hole plug included in packaging

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Captiv Freeliner
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Captiv Freeliner

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Cementlessacetabular cup for total hip arthroplasty.

The Captiv FREELINER acetabular cup for Total Hip Arthroplasty is designed for cementless fixation to the bone, and enable 3 choices of friction bearing:

  • moderately crosslinked PEXEL polyethylene against a metal or a ceramic head,
  • highly-crosslinked polyethylene with vitamin-E (PEXEL -E) against a metal or a ceramic head,
  • ceramic composite against a ceramic composite head.

The Captiv FREELINER cup has been designed to ensure maximum safety during implantation and security for the patient when used with either polyethylene or ceramic liners. The cup is uncompromisingly adapted to the different characteristics of these 2 bearings:

  • the inner surface of the taper is smooth and free of asperities to facilitate and secure the insertion of the ceramic insert,
  • the stability of the polyethylene insert is secured by 10 anti-rotational spurs and a locking ring situated on the equator.
Friction couples:
  • Composite ceramic Ø32, 36 or 40
  • Conventionnal “PEXEL” UHMWPE Ø28
  • Highly Crosslinked “PEXEL-E” UHMWPE with vit-E(*) Ø32 or 36
Optimization of the diameters of the femoral heads:
  • Ø32 friction couple as soon as the Ø46 cup
  • Ø36 friction couple as soon as the Ø50 cup
  • Ø40 friction couple as soon as the Ø54 cup

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Captiv Dm
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Captiv Dm

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Originally created in the mid 70’s by Professor Gilles BOUSQUET in St Etienne (France), the dual articulation acetabular socket rationale has kept improving since then, and offers nowadays a comprehensive solution to intra-prosthetic dislocation.

Indicated for primary arthritis patients above 70 years old, for femoral neck fractures whenever the patient is valid and active, for any patient presenting an important hip joint laxity, for patients with irrational behaviour, and for most hip revision cases, the dual mobility concept combines a high level of protection against dislocation and a controled and well documented polyethylene wear rate.

THE SOLUTION FOR ANY HIP ARTHROPLASTY WHEN POLYETHYLENE FRICTION IS CONSIDERED

CAPTIV DM is available in 2 versions :

  • press-fit only, including an equatorial over-sizing macrostructure with 3 sets of anchoring teeth
  • press-fit and dome spikes aimed at increasing the primary stability of the shell

Both versions have a dual coating of porous titanium and hydroxyapatite.

The liners, manufactured in mediumly crosslinked polyethylene (PEXEL), provide a positive excentration to the femoral head. This principle which consists in offseting the center of rotation of the femoral head from that of the liner, limit the contact and wear at the “third articulation” level: between the prosthetic neck and the inner lip of the liner. The positive excentration mechanism forces the liner to remain perpendicular to the femoral neck axis as soons as the body weight is applied through the joint and to the lower limb.

The liners are available for all sizes of cup in inner diameters 22.2 and 28mm. Optionally a ceramic sandwich liner, in clinical use for more than 5 years, is also available.


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C  Cup & Cross-Shell
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C Cup & Cross-Shell

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The “C” is a dual mobility cup designed for cemented use. The cup is associated with a acetabular protrusio cross-shell meant to rebuild the acetabulum in revision cases and restore the physiological hip joint rotation center.

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Captiv Freeliner
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Captiv Freeliner

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Insertion and fixation of the ceramic insert fully secured:
  • Assembly and impaction of the insert in the cup made “on the instrument table” in a cly and dry environment
  • Choice of straight or curved impaction shaft
  • Conical seating of the ceramic insert in the cup without any asperity in order to limit any weakening of the ceramic integrity
  • Circumpherential edge preventing the the stem neck to impinge on the ceramic liner
  • Trials and implants matched with a clour code to ease and secure the intra-operative steps
Diameters and UHMWPE materials adapted to the indication:
  • Conventional “PEXEL” 28mm UHMWPE liners including a posterior wall for the indications of total hip arthroplasty at the elderly
  • Highly crosslinked E-vitamin “PEXEL-E” 32 and 36 UHMWPE liners(*) for the indications of total hip arthroplasty for the young and active patient

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Emergence
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Emergence

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The EMERGENCE cemented cup respects the fundamental of the LFA (low friction arthroplasty) described by Sir John Charnley in 1962:

  • ultra high molecular weight polyethylene arthroplasty
  • reduced bearing diameter of 22.2mm or 28mm
  • wide articulating chamfer in the lower quadrant of the cup favoring the ROM
  • deep concentric grooves for a long-term fixation to the bone cement
  • polar cylindrical contact allowing to preserve an even cement mantle around the cup
  • peripherical flange of diameter larger than the dome
  • peripheral crenels allowing the pressurization of the cement
  • circomferential radiloucent wire
  • holding and implantation instrument indexed to the cup
EVOLUTIS has brought 2 modifications to the original concept:
  • a version of the articular plan of 15 ° with regard to the equatorial plane of the cup
  • a PEXEL grade polyethylene (moderately crosslinked) which allows for a reduction of 50 % of the wear with compared with a conventional polyethylene

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Moonstone
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Moonstone

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MOONSTONE bipolar cups are mechanically assembled in clean room to guarantee a high level of cohesion between the polyethylene liner and the metal shell, and a perfect cleanliness of the assembly.

MOONSTONE cups are available:
  • in constrained version by deformation or with a locking ring,
  • in inner diameter 22.2 or 28mm (28mm from the outer diameter 43mm)
  • in "odd" outer diameter by bimillimetric increments in sizes 41 to 59 (43 to 59 in constrained version by deformation)
  • in "even" outer diameter by bimillimetric increments in sizes 42 to 56 only in version with a locking ring

The MOONSTONE cups are made of stainless steel according ISO 5832-1 (shell) and UHMWPE according ISO 5834-1 2


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Hactiv
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Hactiv

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PRIMARY OR REVISION INDICATIONS, CEMENTED OR CEMENTLESS, STANDARD OR VARUS CCD

The design rationale of the HACTIV implant is based on the self-blocking concept. The cementless versions are made of titanium alloy and coated hydroxyapatite. The cemented versions are made of high nitrogen content stainless steel and are fully polished.

The cementless self-blocking concept has been validated by over 25 years of clinical use. The main characteristics are an immediate primary stability and a long term biological secondary fixation.

HACTIV is designed and manufactured in France, and includes the complete EVOLUTIS know-how in the industrial fileds of conception and manufacture of cementless femoral implants: more than 30.000 stems implanted since 2001 in France, Europe et in the world, with outstanding clinical results.

SPECIFICATIONS

micro-grooved 12/14 taper
• cylindrical fully polished and reduced diameter neck
• NSA (neck-shaft angle) available in standard (135°) and “lengthened” lateralised (128°) versions
• single neck length
• choice of collared and collarless versions
• unique metaphyseal macrostructure oriented along the dynamic load axis
• choice of 2 surface finish (with and without cement)
• revision cementless stems available either with distal slots or distal tranverse locking


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The Stemsys Solution
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The Stemsys Solution

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PRIMARY OR REVISION, CEMENTED OR CEMENTLESS, STANDARD OR LATERALIZED

The design rationale of the STEMSYS implant is based on the self-blocking concept. The cementless versions are made of titanium alloy and coated with either single hydroxyapatite layer or dual coating of porous titanium and hydroxyapatite. The cemented versions are made of high nitrogen content stainless steel and are fully polished.

The cementless self-blocking concept has been validated by over 25 years of clinical use. The main characteristics are an immediate primary stability and a long term biological secondary fixation.

STEMSYS is designed and manufactured in France, and includes the complete EVOLUTIS know-how in the industrial fileds of conception and manufacture of cementless femoral implants: more than 30.000 stems implanted since 2001 in France, Europe et in the world, with outstanding clinical results.

SPECIFICATIONS
  • micro-grooved 12/14 taper
  • cylindrical fully polished and reduced diameter neck
  • NSA (neck-shaft angle) available in standard (135°) and “lengthened” lateralised (128°) versions
  • single neck length (except sizes 7 to 9: -3.5mm)
  • choice of collared and collarless versions
  • unique metaphyseal macrostructure oriented along the dynamic load axis
  • choice of 4 surface finish (with and without cement)
  • choice of 2 stem lengths in primary cementless stems: normal or -15mm (on average)
  • revision cementless stems available either with distal slots or distal tranverse locking
  • long and extra-long option (up to 320mm) in distal tranverse locking revision

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Prius
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Prius

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PROXIMAL RECONSTRUCTION IN ULTIMATE SITUATIONS

The PRIUS system (Proximal Reconstruction In Ultimate Situations) is adapted to the reconstruction and the osteosynthesis of the proximal femur in cases of important losses of bone stock, and cases of invasive ablation of the material to be revised.

Indicated for per-trochanteric fractures, revisions of SOFCOT stages 2 and 3, and for revisions associated with a trans-femoral approach, the PRIUS system is modular. The system articulates around a proximal component available in 4 lengthes and an intra-medullary component available in right or curved versions, and in several lengthes and diameters.

The femoral implant can be completed by a hook-plate meant to re-attach a trochanteric fragment, or to provide synthesis for a trans-femoral flap. The hook is planned to be directly secured to the proximal component.

The hook-plate can also be used alone for indications of pseudarthrosis of the greater trochanter or osteosynthesis of a sub-implant femoral fracture.

SPECIFICATIONS
  • 4 proximal components with same proximal volume, available in lengthes 65, 75, 85 or 95mm
  • proximal components coated with double layer of porous titanium and hydroxyapatite
  • intra-medullar components made of gritblasted only titanium alloy
  • 6 diameters of intra-medullar components, from 10 to 20mm by increment of 2mm
  • straight intra-medullar components available in 3 lengthes: 115, 145 and 175mm
  • finned intra-medullar components meant for stabilization in rotation and in subsidence
  • curved intra-medullar components available in length 205mm only
  • curved intra-medullar components with distal tranverse locking-pin option
  • trochanteric hook-plates available in 5 lengthes: from 100 to 280mm

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Rolflex Tonic
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Rolflex Tonic

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A SIMPLE TKA, YET FULLY DEDICATED TO PERFORMANCE

Without concession to the tribology of the knee joint, nor to the quality of materials used and their manufacture, the Universal ROLFLEX TKA proposes a simplified range of sizes:

  • Femoral Condyles and tibial baseplates made of Cobalt-Chromium
  • Reversible femoral Condyles right and left available in 6 sizes for cemented use only
  • A/P and M/L dimensions, and femoral resections identical to those of the Anatomic version
  • Accentuated and highly congruent trochlear groove identical to Anatomic version
  • Reversible tibial baseplate right and left available in 6 sizes, including the 3 smaller sizes with short keel
  • Center of rotation of tibial insert in the middle of the M/L dimension
  • The available tibial inserts, available in 5 thicknesses are made of polyethylene PEXEL moderately crosslinked and vacuum-packed.
  • Instrumentation set limited to 3 trays

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Fixion Ligamentoplasty
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Fixion Ligamentoplasty

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FIXION is a comprehensive system meant to facilitate both ACL and PCL plasties through Kenneth-Jones or semitendinous-gracilis autograft techniques.

The system is based on a unique and complete instrument set which includes a graft tensionning table, ACL and PCL guides, and strippers among others.

The FIXION implants can be combined with one another so as to adapt to the dedicated technique of the surgeon: interference screws, endo-button, ans staples.

THE FIXION IMPLANTS Interference screws:
  • composite of D L lactic acid, bioabsorbable and biocompatible
  • progressive resorption with no cristalline residues
  • diameters from 6 to 11mm, lengths 20 to 30mm, 13 sizes
  • soft thread armless to the graft and the sutures
  • canulated screws on nitinol wire supplied with the instrument set
  • “star” shaped screwdriver recess on 4/5 of the screw length
Endo-button:
  • loop made of PET and threads made of polyesther
  • 5 lengths of plate: from 15 to 35mm
  • titanium plate with rounded angles to prevent chaffing of the loop and threads
  • traction resistance validaded above 547N
Staples:
  • made of cobalt-chromium
  • 2 widths: 8 and 11mm
  • internal spikes for graft stability
  • direct impaction into bone, no necessary preparation

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