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

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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)

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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

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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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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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