ldquoDesenvolvimento e Fundamentaccedilatildeordquo

Dr Carlos A Souza Macedo

Chefe do Grupo do Quadril do Adulto do HCPAChefe do Serviccedilo de Ortopedia e Traumatologia do HCPA

ACETABULO Ntilde CIMENTADO A-LOCK

Introduccedilatildeo

Osteointegraccedilatildeo eacute uma

alternativa agrave cimentaccedilatildeo

Teacutecnica reproduziacutevel

Permite uso de diferentes superfiacutecies

Introduccedilatildeo

A- Lock eacute fundamentado em

Caracteriacutesticas Conceituais

Caracteriacutesticas Conceituais

1 Forma

2 Material

3 Estabilidade Intriacutenseca

4 Transmissatildeo dos esforccedilos

Morscher EW Widmer KH Bereiter H Elke R Schenk R rdquo Cementless socket fixation based on thr ldquo press fit concept in THA Acta Chir Orthop Traumatol Cech 200269(1)8-15 German

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

1 Forma

Hemisfeacuterica Miacutenima remoccedilatildeo oacutessea

Weber D Schaper LA Pomeroy DL Badenhausen WE Jr Curry JI Smith MW Suthers KE

Cementless Hemispheic Acetabular Component in THA

Int Orthop 200024(3)130-3

Introduccedilatildeo

Osteointegraccedilatildeo eacute uma

alternativa agrave cimentaccedilatildeo

Teacutecnica reproduziacutevel

Permite uso de diferentes superfiacutecies

Introduccedilatildeo

A- Lock eacute fundamentado em

Caracteriacutesticas Conceituais

Caracteriacutesticas Conceituais

1 Forma

2 Material

3 Estabilidade Intriacutenseca

4 Transmissatildeo dos esforccedilos

Morscher EW Widmer KH Bereiter H Elke R Schenk R rdquo Cementless socket fixation based on thr ldquo press fit concept in THA Acta Chir Orthop Traumatol Cech 200269(1)8-15 German

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

1 Forma

Hemisfeacuterica Miacutenima remoccedilatildeo oacutessea

Weber D Schaper LA Pomeroy DL Badenhausen WE Jr Curry JI Smith MW Suthers KE

Cementless Hemispheic Acetabular Component in THA

Int Orthop 200024(3)130-3

Introduccedilatildeo

A- Lock eacute fundamentado em

Caracteriacutesticas Conceituais

Caracteriacutesticas Conceituais

1 Forma

2 Material

3 Estabilidade Intriacutenseca

4 Transmissatildeo dos esforccedilos

Morscher EW Widmer KH Bereiter H Elke R Schenk R rdquo Cementless socket fixation based on thr ldquo press fit concept in THA Acta Chir Orthop Traumatol Cech 200269(1)8-15 German

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

1 Forma

Hemisfeacuterica Miacutenima remoccedilatildeo oacutessea

Weber D Schaper LA Pomeroy DL Badenhausen WE Jr Curry JI Smith MW Suthers KE

Cementless Hemispheic Acetabular Component in THA

Int Orthop 200024(3)130-3

Caracteriacutesticas Conceituais

1 Forma

2 Material

3 Estabilidade Intriacutenseca

4 Transmissatildeo dos esforccedilos

Morscher EW Widmer KH Bereiter H Elke R Schenk R rdquo Cementless socket fixation based on thr ldquo press fit concept in THA Acta Chir Orthop Traumatol Cech 200269(1)8-15 German

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

1 Forma

Hemisfeacuterica Miacutenima remoccedilatildeo oacutessea

Weber D Schaper LA Pomeroy DL Badenhausen WE Jr Curry JI Smith MW Suthers KE

Cementless Hemispheic Acetabular Component in THA

Int Orthop 200024(3)130-3

Caracteriacutesticas Conceituais A-Lock

1 Forma

Hemisfeacuterica Miacutenima remoccedilatildeo oacutessea

Weber D Schaper LA Pomeroy DL Badenhausen WE Jr Curry JI Smith MW Suthers KE

Cementless Hemispheic Acetabular Component in THA

Int Orthop 200024(3)130-3

Caracteriacutesticas Conceituais A-Lock

2 Material

Liga de Titacircnio Biocompatiacutevel e Bioativo

Jafari SM Parvizi J Sharkey PF Hozack WJ Do Tantalum and Titanium Cups Show Similar Results in Revision Hip Clinic Orthop Relat Res 2009 Oct 7

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

Intriacutenseca Imediata

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

31 Traves radiais

Baleani M Fornani Toni A Initial Stability of a Cementless Acetabular Cup Experimental Investigation on the Effect of Adding Fins to the Rim of the Cup Artif Organs 2001 Aug25(8)664-9

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

32 Over-ring

Roth A Winzer T Sander K Anders JO Venbrocks RA Press fit fixation of cementless cups How much stability do we need indeed Arch Orthop Trauma Surg 2006 Mar126(2)77-81

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

33 Textura Superficial

osteintegraccedilatildeo

Uniforme

Raacutepida

Resistente

Duradoura

estabilidade 1ordf e 2ordfria

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

34 Parafusos

Accedilatildeo Defensiva

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

Fisioloacutegico

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

41 Over ring

Distribuiccedilatildeo Perifeacuterica

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

42 Textura Superficial

Osteointegraccedilatildeo Saudaacutevel

Chen CJ Xenos JS McAuley JP Young A Engh CA Sr Second-generation porous-coated cementless total hip arthroplasties have high survival Clin Orthop Relat Res 2006 Oct451121-7

Indicaccedilatildeo

Qualidade Oacutessea da Cavidade

Garantir a contensatildeo

Resistir agraves pressotildees

Realizar crescimento

Promover ldquoosteointegraccedilatildeordquo

Pieringer H Labek G Boumlhler N Cementless total hip arthroplasty in patient older than 80 years of age J Bone Joint Surg Br 2003 Jul85(5)641-5

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

31 Traves radiais

Baleani M Fornani Toni A Initial Stability of a Cementless Acetabular Cup Experimental Investigation on the Effect of Adding Fins to the Rim of the Cup Artif Organs 2001 Aug25(8)664-9

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

32 Over-ring

Roth A Winzer T Sander K Anders JO Venbrocks RA Press fit fixation of cementless cups How much stability do we need indeed Arch Orthop Trauma Surg 2006 Mar126(2)77-81

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

33 Textura Superficial

osteintegraccedilatildeo

Uniforme

Raacutepida

Resistente

Duradoura

estabilidade 1ordf e 2ordfria

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

34 Parafusos

Accedilatildeo Defensiva

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

Fisioloacutegico

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

41 Over ring

Distribuiccedilatildeo Perifeacuterica

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

42 Textura Superficial

Osteointegraccedilatildeo Saudaacutevel

Chen CJ Xenos JS McAuley JP Young A Engh CA Sr Second-generation porous-coated cementless total hip arthroplasties have high survival Clin Orthop Relat Res 2006 Oct451121-7

Indicaccedilatildeo

Qualidade Oacutessea da Cavidade

Garantir a contensatildeo

Resistir agraves pressotildees

Realizar crescimento

Promover ldquoosteointegraccedilatildeordquo

Pieringer H Labek G Boumlhler N Cementless total hip arthroplasty in patient older than 80 years of age J Bone Joint Surg Br 2003 Jul85(5)641-5

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

32 Over-ring

Roth A Winzer T Sander K Anders JO Venbrocks RA Press fit fixation of cementless cups How much stability do we need indeed Arch Orthop Trauma Surg 2006 Mar126(2)77-81

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

33 Textura Superficial

osteintegraccedilatildeo

Uniforme

Raacutepida

Resistente

Duradoura

estabilidade 1ordf e 2ordfria

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

34 Parafusos

Accedilatildeo Defensiva

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

Fisioloacutegico

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

41 Over ring

Distribuiccedilatildeo Perifeacuterica

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

42 Textura Superficial

Osteointegraccedilatildeo Saudaacutevel

Chen CJ Xenos JS McAuley JP Young A Engh CA Sr Second-generation porous-coated cementless total hip arthroplasties have high survival Clin Orthop Relat Res 2006 Oct451121-7

Indicaccedilatildeo

Qualidade Oacutessea da Cavidade

Garantir a contensatildeo

Resistir agraves pressotildees

Realizar crescimento

Promover ldquoosteointegraccedilatildeordquo

Pieringer H Labek G Boumlhler N Cementless total hip arthroplasty in patient older than 80 years of age J Bone Joint Surg Br 2003 Jul85(5)641-5

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

33 Textura Superficial

osteintegraccedilatildeo

Uniforme

Raacutepida

Resistente

Duradoura

estabilidade 1ordf e 2ordfria

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

34 Parafusos

Accedilatildeo Defensiva

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

Fisioloacutegico

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

41 Over ring

Distribuiccedilatildeo Perifeacuterica

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

42 Textura Superficial

Osteointegraccedilatildeo Saudaacutevel

Chen CJ Xenos JS McAuley JP Young A Engh CA Sr Second-generation porous-coated cementless total hip arthroplasties have high survival Clin Orthop Relat Res 2006 Oct451121-7

Indicaccedilatildeo

Qualidade Oacutessea da Cavidade

Garantir a contensatildeo

Resistir agraves pressotildees

Realizar crescimento

Promover ldquoosteointegraccedilatildeordquo

Pieringer H Labek G Boumlhler N Cementless total hip arthroplasty in patient older than 80 years of age J Bone Joint Surg Br 2003 Jul85(5)641-5

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Conceituais A-Lock

3 Estabilidade Mecacircnica

34 Parafusos

Accedilatildeo Defensiva

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

Fisioloacutegico

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

41 Over ring

Distribuiccedilatildeo Perifeacuterica

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

42 Textura Superficial

Osteointegraccedilatildeo Saudaacutevel

Chen CJ Xenos JS McAuley JP Young A Engh CA Sr Second-generation porous-coated cementless total hip arthroplasties have high survival Clin Orthop Relat Res 2006 Oct451121-7

Indicaccedilatildeo

Qualidade Oacutessea da Cavidade

Garantir a contensatildeo

Resistir agraves pressotildees

Realizar crescimento

Promover ldquoosteointegraccedilatildeordquo

Pieringer H Labek G Boumlhler N Cementless total hip arthroplasty in patient older than 80 years of age J Bone Joint Surg Br 2003 Jul85(5)641-5

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

Fisioloacutegico

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

41 Over ring

Distribuiccedilatildeo Perifeacuterica

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

42 Textura Superficial

Osteointegraccedilatildeo Saudaacutevel

Chen CJ Xenos JS McAuley JP Young A Engh CA Sr Second-generation porous-coated cementless total hip arthroplasties have high survival Clin Orthop Relat Res 2006 Oct451121-7

Indicaccedilatildeo

Qualidade Oacutessea da Cavidade

Garantir a contensatildeo

Resistir agraves pressotildees

Realizar crescimento

Promover ldquoosteointegraccedilatildeordquo

Pieringer H Labek G Boumlhler N Cementless total hip arthroplasty in patient older than 80 years of age J Bone Joint Surg Br 2003 Jul85(5)641-5

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

41 Over ring

Distribuiccedilatildeo Perifeacuterica

Morscher EW Current status of acetabular fixation in primary total hip arthroplasty Clin Orthop 1992274172-93

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

42 Textura Superficial

Osteointegraccedilatildeo Saudaacutevel

Chen CJ Xenos JS McAuley JP Young A Engh CA Sr Second-generation porous-coated cementless total hip arthroplasties have high survival Clin Orthop Relat Res 2006 Oct451121-7

Indicaccedilatildeo

Qualidade Oacutessea da Cavidade

Garantir a contensatildeo

Resistir agraves pressotildees

Realizar crescimento

Promover ldquoosteointegraccedilatildeordquo

Pieringer H Labek G Boumlhler N Cementless total hip arthroplasty in patient older than 80 years of age J Bone Joint Surg Br 2003 Jul85(5)641-5

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Conceituais A-Lock

4 Transferecircncia dos Esforccedilos

42 Textura Superficial

Osteointegraccedilatildeo Saudaacutevel

Chen CJ Xenos JS McAuley JP Young A Engh CA Sr Second-generation porous-coated cementless total hip arthroplasties have high survival Clin Orthop Relat Res 2006 Oct451121-7

Indicaccedilatildeo

Qualidade Oacutessea da Cavidade

Garantir a contensatildeo

Resistir agraves pressotildees

Realizar crescimento

Promover ldquoosteointegraccedilatildeordquo

Pieringer H Labek G Boumlhler N Cementless total hip arthroplasty in patient older than 80 years of age J Bone Joint Surg Br 2003 Jul85(5)641-5

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Indicaccedilatildeo

Qualidade Oacutessea da Cavidade

Garantir a contensatildeo

Resistir agraves pressotildees

Realizar crescimento

Promover ldquoosteointegraccedilatildeordquo

Pieringer H Labek G Boumlhler N Cementless total hip arthroplasty in patient older than 80 years of age J Bone Joint Surg Br 2003 Jul85(5)641-5

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Diferenciadas

1 Travamento eficaz do ldquolinerrdquo

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Diferenciadas

2 Bordo do rdquolinerldquo ltltlt bordo do ldquocuprdquo

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Diferenciadas

3 Menor espessura da parede do ldquocuprdquo

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Diferenciadas

4 Relaccedilatildeo Cup linerCabeccedila

ldquoCuprdquo 4446 Cabeccedila 22

Polietileno 7mm

Yamada H Henmi O Morita M Shiromoto Y Kawano T Kanaji A Ando K Nakagawa

Cementless total hip replacement past present and future J Orthop Sci 2009 Mar14(2)228-41

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Nieuwenhuis JJ Malefijt Jde W Hendriks JC Gosens T Bonnet M Unsatisfatory results with the cementless Omnifit acetabular component due to polyethylene Acta Orthop Belg 2005 Jun71(3)294-302

Caracteriacutesticas Diferenciadas

5 UHMWPE

5 UHMWPE

Passado Remoto

Poly 2 UHMWPE c fibras de carbonoRETIRADO do MERCADO

Hylamer UHMWPE crearranjo molecularp radiaccedilatildeo sob pressatildeo e calorRETIRADO do MERCADO

Caracteriacutesticas Diferenciadas

Caracteriacutesticas Diferenciadas

5 UHMWPE

J Bone Joint Surg Am 2011 Apr 2093(8)716-22

The seven-year wear of highly cross-linked polyethylene in total

hip arthroplasty a double-blind randomized controlled trial using

radiostereometric analysis

Thomas GER Simpson DJ Mehmood S Taylor A McLardy-Smith P

Gill HS Murray DW Glyn-Jones S

Passado

5 UHMWPE

Passado Remoto

Poly 2 UHMWPE c fibras de carbonoRETIRADO do MERCADO

Hylamer UHMWPE crearranjo molecularp radiaccedilatildeo sob pressatildeo e calorRETIRADO do MERCADO

Caracteriacutesticas Diferenciadas

Caracteriacutesticas Diferenciadas

5 UHMWPE

J Bone Joint Surg Am 2011 Apr 2093(8)716-22

The seven-year wear of highly cross-linked polyethylene in total

hip arthroplasty a double-blind randomized controlled trial using

radiostereometric analysis

Thomas GER Simpson DJ Mehmood S Taylor A McLardy-Smith P

Gill HS Murray DW Glyn-Jones S

Passado

Caracteriacutesticas Diferenciadas

5 UHMWPE

J Bone Joint Surg Am 2011 Apr 2093(8)716-22

The seven-year wear of highly cross-linked polyethylene in total

hip arthroplasty a double-blind randomized controlled trial using

radiostereometric analysis

Thomas GER Simpson DJ Mehmood S Taylor A McLardy-Smith P

Gill HS Murray DW Glyn-Jones S

Passado

Caracteriacutesticas Diferenciadas

Presente

Validaccedilatildeo da Qualidade

Testes ISO e ASTM conforme FDA

Mateacuteria prima

Estrutura

Propriedades do implante

Poacute de titacircnio

Camada porosa

Garantia da Qualidade

Projeto ConsistenteProcesso CuidadosoAplicaccedilatildeo de Excelecircncia

Validaccedilotildees Sistemaacuteticas

Muchas Gracias

Ajude o cego

Ajude o CegoEle natildeo pode ver aprimavera de Paris

Validaccedilatildeo da Qualidade

Testes ISO e ASTM conforme FDA

Mateacuteria prima

Estrutura

Propriedades do implante

Poacute de titacircnio

Camada porosa

Garantia da Qualidade

Projeto ConsistenteProcesso CuidadosoAplicaccedilatildeo de Excelecircncia

Validaccedilotildees Sistemaacuteticas

Muchas Gracias

Ajude o cego

Ajude o CegoEle natildeo pode ver aprimavera de Paris

Garantia da Qualidade

Projeto ConsistenteProcesso CuidadosoAplicaccedilatildeo de Excelecircncia

Validaccedilotildees Sistemaacuteticas

Muchas Gracias

Ajude o cego

Ajude o CegoEle natildeo pode ver aprimavera de Paris

Muchas Gracias

Ajude o cego

Ajude o CegoEle natildeo pode ver aprimavera de Paris

Ajude o cego

Ajude o CegoEle natildeo pode ver aprimavera de Paris

Ajude o CegoEle natildeo pode ver aprimavera de Paris