zimmer trabecular metaltm humeral stem

Zimmer ® Trabecular MetalTM

Humeral Stem

Evolution Meets Revolution

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The Zimmer® Trabecular Metal™ Humeral Stem is the

harmony of a revolutionary porous fixation technology

and an advanced stem design that evolved from the clinically

proven Bigliani/Flatow® Complete Shoulder System. This

combination enabled the creation of an innovative shoulder

implant which addresses key surgeon needs and is

optimized for the patient’s anatomy. The incorporation

of Trabecular Metal Technology, the world’s premier porous

fixation biomaterial option, delivers an unsurpassed

scaffold for biological ingrowth potential. Designed in

collaboration with leading surgeons worldwide, the

Trabecular Metal Humeral Stem is a true evolution of the

Neer philosophy and provides options intended to help

the patient achieve an enhanced quality of life.

The Trabecular Metal™ Humeral Stem

Revision - postop

Revision - preop

Fracture - postop

Fracture - preop Primary – preop

Primary – postop

Non-Union - preop

Non-Union - postop

Radiographs courtesy of Drs. L. Bigliani, E. Flatow, G. McCluskey III, G. Nicholson.

Evolutionary Design

Radiographs courtesy of Drs. L. Bigliani, E. Flatow, G. McCluskey III, G. Nicholson.

Suture Holes for Enhanced Tuberosity Reattachment

Suture hole placement

enhances the ability for tuberosity

reattachment and circumferential

stem cerclaging, allowing for tight sinching

against the stem to treat 3 and 4-part

fractures and minimize soft tissue damage.

True Intraoperative Flexibility

Twelve diameters, two stem lengths,

and two neck angles, combined

with the Bigliani/Flatow Shoulder

System humeral head and glenoid

options, provide a broad range of

anatomic coverage and interoperative

flexibility and help to restore proper

joint kinematics through accurate

restoration of the center-of-rotation. 1, 2

Stem design allows for a press fit

or cemented configuration,

including a hybrid technique

for fractures.

Reproducible Instrumentation

Adoption of the Trabecular Metal

Humeral Stem is made easy

with the use of familiar and reproducible

instrumentation.

Revolutionary TechnologyTrabecular Metal Technology

Trabecular Metal Technology is the orthopaedic industry’s premier porous fixation biomaterial, featuring

a fully interconnected porous strut configuration similar to trabecular bone, approximating its physical and

mechanical properties more closely than other materials.3, 4 Since the introduction of this orthopaedic

material in 1997, it has been used successfully in a broad range of clinical applications as well

as the most difficult salvage and revision total joint replacements. 5

Tuberosity Reattachment with Trabecular Metal Technology

• Initial implant stability is provided by the inherently high friction of

Trabecular Metal material against bone and soft tissue.3, 4, 6

• Early biological fixation of bone and/or soft tissue is permitted by

the high porosity and osteoconductivity that is characteristic of

Trabecular Metal Technology.3, 4

• In human radiographic clinical studies, post-operative gaps have been

shown to reliably fill-in with bone. This phenomenon seals the effective join

space and may aid/prohibit loss of fixation caused by osteolysis.7

Biological Ingrowth

Coefficient of Friction

Trabecular Metal Technology construct

provides better friction in bone when

compared to alternative technologies,

which increases implant stability.3, 9

The high-volume porosity and

interconnected cellular structure of

Trabecular Metal Technology supports

rapid, soft tissue ingrowth.8

The majority of Trabecular Metal

Technology construct’s void space is

filled with bone at eight weeks postop.4

Contact your Zimmer representative or visit us at www.zimmer.com

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References:1. D Robertson, J Yuan, L Bigliani, E Flatow, K Yamaguchi, “Three-Dimensional Analysis of the Proximal Part of the Humerus:Relevance to Arthoplasty”, JBJS, 2000, pp 1594-1602.

2. M Pearl, S Kurtz, “Geometric Rationale to Anatomic Replacement of the Proximal Humerus: How Much Prosthetic Geometry is Necessary?” Presented at the ASES (American Shoulder and Elbow Surgeons) Closed Annual Meeting, Palm Beach, FL, November 9 - 12, 2005.

3. JD Bobyn, SA Hacking, SP Chan, et al. Characterization of new porous tantalum biomaterial for reconstructive orthopaedics. Scientific Exhibition: 66th Annual Meeting of the American Academy of Orthopaedic Surgeons; 1999; Anaheim, CA.) (Bobyn JD, Stackpool G, Toh K-K, et al. Characteristics of bone ingrowth and interface mechanics of a new porous tantalum biomaterial. JBJS 1999;81-B:907-914.

4. JD Bobyn, SA Hacking, JJ Krygier, SP Chan, KK Toh, M Tanzer, “Characterization of a New Porous Tantalum Biomaterial for Reconstructive Surgery”, 66th Annual AAOS, Anaheim, CA, Feb 4-8, 1999, Scientific Exhibit

5. A Nehme, DG Lewallen, AD Hansen, “Modular Porous Metal Augments for Treatment of Severe Acetabular Bone Loss During Revision Hip Arthoplasty”, Clinical Orthopaedics & Related Research, Vol 429, 2004, pp 201-208.

6. Y Zhang, PB Ahn, DC Fitzpatrick, AD Heiner, RA Poggie, TD Brown, “Interfacial frictional behavior: Cancellous bone, cortical bone, and a novel porous tantalum biomaterial”, Journal of Musculoskeletal Research, 3(4): 245-251, 1999.

7. T Gruen, A Hanssen, DG Lewallen, R Lewis, T O’Keefe, SD Stulberg, C Sutherland, RA Poggie, “Radiographic Evaluation of a Monoblock Acetabular Component – A Multi-Center Study With 2 To 5 Year Results”, The Journal of Arthroplasty, Vol. 20, No. 3, April 2005, pp 369-378.

8. SA Hacking, JD Bobyn, K Toh, M Tanzer, JJ Krygier, “Fibrous Tissue In-growth and Attachment to Porous Tantalum”, Journal Biomedical Material Research, Dec 15, 2000, 52(4), pp 631-638.

9. A Shirazi-Adl, M Dammak, G Paiement, “Experimental determination of friction characteristics at the Trabecular bone / porous-coated metal interface in cementless implants”, the J of Biomedical Research, Vol 27, 1993, pp 167-175.

Ordering Information Prod. No. Description Prod. No. Description

00-4348-114-17 TM Stem 48˚ 14mm x 170mm

00-4348-115-13 TM Stem 48˚ 15mm x 130mm

00-4348-116-13 TM Stem 48˚ 16mm x 130mm

00-4348-117-13 TM Stem 48˚ 17mm x 130mm

00-4348-118-13 TM Stem 48˚ 18mm x 130mm

00-4309-000-00 Trabecular Metal HumeralInstrumentSet

set includes the following:

00-4301-033-00 Wrench

00-4309-001-00 TM Humeral Cutting Guide 42˚

00-4309-001-06 TM Proximal Reamer 6mm

through (in increments of 2mm)

00-4309-001-18 TM Proximal Reamer 18mm

00-4309-002-00 TM Humeral Cutting Guide 48˚

00-4309-003-00 TM Humeral Silhouette 42˚

00-4309-004-00 TM Humeral Silhouette 48˚

00-4309-005-00 TM Humeral Counterbore 42˚

00-4309-006-00 TM Humeral Counterbore 48˚

00-4309-017-00 TM Humeral Inserter

00-4310-008-13 TM Distal Trial/Pilot 8mm x 130mm





00-4310 -014-17 TM Distal Trial/Pilot 14mm x 170mm

00-4309-012-06 TM Proximal Trial/Pilot 42˚ 6mm






00-4309-009-00 Threaded Alignment Rods (2 each)

00-4309-051-15 Fracture Instrument Left 15



00-4309-052-15 Fracture Instrument Right 15



00-4309-095-00 TM Humeral Instrument Case

00-4309-007-00 Fracture Sleeves (1 packet of 4, covers all sizes)

00-4309-001-03 TM Humeral Replacement Hex Set Screws, 2ea

Bigliani/Flatow InstrumentSets

00-4300-000-10 Modular Heads Standard Implant Set

00-4300-000-13 Humeral General Instrument Set

00-4300-000-17 Std. Head Provisional Set

00-4300-000-18 Glenoid General Instrument Set

00-4300-000-19 Glenoid w/ Keel Instrument Set

00-4300-000-20 Glenoid w/ Pegs Instrument Set

00-4300-000-21 Glenoid w/ Keel Provisional Set

00-4300-000-22 Glenoid w/ Pegs Provisional Set

00-4300-000-23 Expanded Heads Implant Set

00-4300-000-24 Expanded Head Provisional Set

00-4300-000-25 17/18mm Humeral Instrument Set

00-4302-000-10 Modular Offset Heads Implant Set

00-4302-000-11 Offset Head Instrument Set

00-4302-000-12 Offset Head Provisional Set

00-4305-000-19 Shoulder Retractors Set

Trabecular MetalHumeralStemImplants

00-4342-106-13 TM Stem 42˚ 6mm x 130mm

00-4342-108-13 TM Stem 42˚ 8mm x 130mm

00-4342-108-17 TM Stem 42˚ 8mm x 170mm

00-4342-109-13 TM Stem 42˚ 9mm x 130mm

00-4342-110-13 TM Stem 42˚ 10mm x 130mm

00-4342-110-17 TM Stem 42˚ 10mm x 170mm

00-4342-111-13 TM Stem 42˚ 11mm x 130mm

00-4342-112-13 TM Stem 42˚ 12mm x 130mm

00-4342-112-17 TM Stem 42˚ 12mm x 170mm

00-4342-113-13 TM Stem 42˚ 13mm x 130mm

00-4342-114-13 TM Stem 42˚ 14mm x 130mm

00-4342-114-17 TM Stem 42˚ 14mm x 170mm

00-4342-115-13 TM Stem 42˚ 15mm x 130mm

00-4342-116-13 TM Stem 42˚ 16mm x 130mm

00-4342-117-13 TM Stem 42˚ 17mm x 130mm

00-4342-118-13 TM Stem 42˚ 18mm x 130mm

00-4348-106-13 TM Stem 48˚ 6mm x 130mm

00-4348-108-13 TM Stem 48˚ 8mm x 130mm

00-4348-108-17 TM Stem 48˚ 8mm x 170mm

00-4348-109-13 TM Stem 48˚ 9mm x 130mm

00-4348-110-13 TM Stem 48˚ 10mm x 130mm

00-4348-110-17 TM Stem 48˚ 10mm x 170mm

00-4348-111-13 TM Stem 48˚ 11mm x 130mm

00-4348-112-13 TM Stem 48˚ 12mm x 130mm

00-4348-112-17 TM Stem 48˚ 12mm x 170mm

00-4348-113-13 TM Stem 48˚ 13mm x 130mm

00-4348-114-13 TM Stem 48˚ 14mm x 130mm

Note: Bigliani/Flatow instruments are required for the Trabecular Metal Humeral Stem procedure.

Prod. No. Description

zimmer trabecular metaltm humeral stem

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