Transcription
UNITED Knee SalesTraining Module
Knee PortfolioU2 Total Knee SystemU2 PSA Revision KneeUSTARII Primary and RevisionHinge KneeUSTARII Limb Salvage SystemInternal use only. Do not distribute.
UOC Knee Franchise Overview“An advanced knee arthroplasty portfolio”The consistent design philosophy allows a platform-based approach to provide surgeonsflexibility for a wide range of procedures.Primary – Complex Primary – Revision – Complex Revision – Limb SalvageIncludes a wide range of product options for demand-matching to optimize solutions based onpatient need.Builds on proven design philosophies with advanced surgical technologies to help deliverreproducible clinical outcomes and a streamlined procedure.3
Platform-based approach. To provide surgeons flexibility for a wide range ofprocedures.On the femur. Matching AP, ML, chamfer resections and same box width.1On the tibia. Matching resection angle, tibial baseplate profile on the primary and revision systems.U2 PrimaryPosterior-Stabilized(PS) Total KneeSystem1 Note.PSA RevisionKnee The PS box widths are constant for the U2 PS Primary PS, PSA Revision and USTARII Hinge Knee systems. The PS box depth and heights vary.USTARII Primary andRevision HingeKnee
Platform-based approach. To provide surgeons flexibility for a wide range ofprocedures.PrimaryU2 TotalKnee SystemComplex PrimaryU2 withCMA BaseplateRevision & Complex RevisionUSTARII Primary HingeKneeU2 PSA RevisionKnee5Limb SalvageUSTARII RevisionHinge KneeUSTARII Limb SalvageSystem
Demand-Matching. To optimize solutions based on patient need.U2 Total CRKnee SystemU2 PSA Revision KneeU2 Total PSKnee SystemSystem Options5 and 10 mm tibial augmentsfor CMA and PSA baseplates(plus 15 mm for PSA)4, 8,12 and 16 mm distal and 4and 8 mm posterior femoralaugment thicknesses for thePSA femoral componentCR InsertXUC InsertPS InsertPS Plus InsertPSA Insert2, 4 and 6 mm offset options forPSA baseplate and femoralcomponents30 mm stem extension for theCMA and PSA baseplates(plus up to 300 mm for PSA)U2 CMA Baseplate withaugment and stem extensionoptions6U2 PSA Baseplate withoptional augments, stemextensions and offset adaptors
Advanced technologies. To help deliver reproducible clinical outcomes and astreamlined procedure.Designed to facilitate a reduced number of instrument trays without giving upfunctionality or performance.U2 AiO All-in-OneFemoral Sizer andResection Block SystemMDT ModularDisposable single-useTrials 7
Advanced technologies. To help deliver reproducible clinical outcomes and astreamlined procedure.To support CAS surgery. The U2 Total Knee System features an expandedrange of 14 femoral component sizes in 2 mm increments, 7 tibial sizes, and full CR andPS femoral and tibial upsizing-downsizing flexibility.1When combined with the single-use, United’s Modular Disposable Trial (MDT) Systemallows for precise preoperative planning and minimal reusable instrumentation.2 mm2 mmSource – OrthoSpine News; August n-agreement/18Important Note. There is full upsizing and downsizing compatibility with the standard CR and PS (size 1, 1.5, 2, 2.5 -7) femoral components and standard (size 1-7) tibial inserts. The XUC, pediatric and XScomponents have limited upsizing and downsizing compatibility.
Knee PortfolioU2 Total Knee SystemU2 PSA Revision KneeUSTARII Primary and RevisionHinge KneeUSTARII Limb Salvage System9Internal use only. Do not distribute.The U2 Knee is acomprehensive TotalKnee Replacement(TKR) system offering afull range ofinterchangeable primaryand revision options.
The U2 Total KneeSystemThe femoral coronal shape is designedto offer optimal conformity withoutconstraint14 femoral sizes offer 2mm/AP and MLsizing increments for optimal sizingand balancing Matched with 7 sizes ofsymmetrical tibial baseplatesA Novel PS box designOffered with modern materialsincluding Vitamin E Highly CrosslinkedPolyethylene10
U2 Knee System. Features a novelfemoral sizing methodology.14 femoral sizes allowing 2mm AP and ML sizing increments. For optimal sizing and balancing.U2 Total Knee System femoralcomponent.
U2 Knee System. Features an extendedpatellar groove.An extended patellar groove. Designed to increase patellofemoral contact area for improved patella tracking.The patellar groove isextended to distalcondyleU2 Total Knee System femoralcomponent. The PS femur isshown.
U2 Knee System. Features a novelPS box design.A 3-Step surgical technique to prepare a ‘round’ shaped box profile. Designed to reducethe potential for condylar fracture.3-Step SurgicalTechnique1. Ream2. Punch3. Impact13Provides novel ‘round’ shapebone preparationDesigned to reduce the potential forcondylar fracture
Internal use only. Do not distribute.U2 Knee System. Features a novelProductsPS Box Resection VolumeU2 8.2(UOC)NexGen LPS-FlexPS box design.cm3 20 %P.F.C.Sigma 13.5 cm3(DePuy Synthes) 40 %Triathlon 17.9(Stryker)Vanguard (Zimmer Biomet)Size 3,2016; UOC-RD-TR16018Size C,AP 57.5 mm and ML 64 mmSize 2.5,AP 59 mm and ML 63 mmcm3Size 3,AP 59 mm and ML 65 mm 54 %11.0 16.1ReferenceAP 60 mm and ML 64 mm10.2 cm3(Zimmer Biomet)Femoral Sizecm3AP 55mm 75 mm(2.5 mm increments)Haas et al., Knee.2000;7:25-29Haas et al., Knee.2000;7:25-29Delasotta et al., JOrthop Surg (HongKong).2015;23:202-4.Indelli et al., J OrthopSurg Res. 2014;9:54-8
U2 Knee System. Features a roundedanterior post design.Round-to-round contact. Designed to reduce the potential for post wear and allow for rotational freedom.Allows for 12 Internal/External (I/E) rotationalfreedom for optimized movement during activities ofdaily living (walking, stair climbing, sitting).Provides larger contact area during anterior post-camimpingement during the heel-strike phase to reducethe potential for post wear.External ( )U2 PS Total KneeSystem in extension15Internal (-)
U2 Knee System. Intra-operative flexibility with unlimitedCR and PS femoral-tibial upsizing and downsizing.Consistent condylar curvature.Combined with a standard intercondylar box width (in PS) allows fullinterchangeability between standard CR and PS femoral and tibial components.1U2 Total Knee System femoralcomponent. The CR femur isshown.1Important Note. There is full upsizing and downsizing compatibility with the standard CR and PS (size 1, 1.5, 2, 2.5 -7) femoral components and standard (size 1-7) tibial inserts. The XUC, pediatric and XScomponents have limited upsizing and downsizing compatibility.
U2 Knee System. Offered with modernPolyethylenematerials including Vitamin E Highly CrosslinkedOptional E-XPE Vitamin E Highly Crosslinked Polyethylene. Designed tooffer advanced wear performance characteristics.17
Primary Knee System. Competitive Comparison – Femoral Component.UNITEDORTHOPEDICU2 KNEEZIMMER-Biomet PERSONA ZIMMER-BIOMET NEXGEN ZIMMER-BIOMET VANGUARD DEPUY ATTUNE DEPUY SIGMA STRYKER TRIATHLON SMITH &NEPHEW GENESIS II SMITH &NEPHEW JOURNEYII SMITH &NEPHEW LEGION TYPE OFFEMURCR & PSCR & PSCR & PSCR & PSCR & PSCR & PSCR & PSCR & PSCR, BCS, XRCR & obaltChromiumOxidized hromiumOxidizedZirconium,Cobalt-Chromium# Sizes141371014888108ROM155 155 155 145 150 N/A150 155 155 155 (PS) I/EROTATION 1 12.5 N/A 12.0 15.0 N/AN/A 20.0 N/AN/ADoes notengage(PS) BOX RESVOL CM3Cm3 8.2Size 6AP 72ML 76N/A10.2 cm311.0 16,1 cm3( 33% Average)Cm3 15Size 8AP 70.8ML 75.8Cm3 17.4Size 5AP 69.8ML 73.017.9 cm3( 54% )N/AN/AN/A(PS) I.C.PREPReam, Punch &impactSaw BladeCutSaw BladeCutSaw BladeCutSaw BladeCutSaw BladeCutSaw BladeCutReam &PunchReam &PunchReam &Punch(AP/ML RATIO)0.94STD 0.91NAR: 0.940.91N/ACR .91PS .93CR .95PS .950.910.890.93N/AN/A Information Not Available l ROM Range-Of-Motion l I/E Internal/External l RES Resection l VOL Volume l I.C. Intercondylar l PREP Preparation l A/P Anterior/Posterior l M/L Medial/Lateral l STD Standard l NAR Narrow l BCS Bi-Cruciate Stabilized l XR Bi-Cruciate Retaining1Dimensionsfor standard PS insert with PS femur.
Primary Knee System. Competitive Comparison – Femoral Component.UNITEDORTHOPEDICU2 KNEEMEDACTA GMK MEDACTA GMK SPHEREEXACTECH TRULIANT MICROPORT EVOLUTION CORIN UNITY ORTHODEVELOPMENT BKS TRIMAX TOTAL JOINTORTHOPEDICS KLASSIC DONJOYAESCULAP IMPLANTORTHOPEDICS (DJO) SYSTEMS COLUMBUSEMPOWR KNEE KNEETYPE OFFEMURCR & PSCR & PSCRCR & PSCR & PSCR & PSCR & PSCR & PS3D, CR, PS,CR & onCobaltChromiumCobaltChromium,Titanium NiobiumNitride obaltChromiumCobaltChromium,CobaltChromium with ASCoating Option# Sizes147131189871018ROM155 N/AN/AN/AN/AN/A150 N/A150 N/A(PS) I/EROTATION 1 12.5 N/AN/ADoes notengageN/AN/AN/AN/AN/AVaries 10 to 20 (PS) BOX RESVOL CM3Cm3 8.2Size 6AP 72ML 76N/AN/AN/AN/AN/AN/AN/AN/AN/A(PS) I.C.PREPReam, Punch &impactN/AN/AReam, SawBlade CutN/AReam &Chisel orSaw BladeSaw BladeCutReam, Saw BladeCutN/AReam &Punch(AP/ML RATIO)0.94.0960.96N/AN/A0.910.940.910.930.94N/A Information Not Available l I/E Internal/External l RES Resection l VOL Volume l I.C. Intercondylar l PREP Preparation l A/P Anterior/Posterior l M/L Medial/Lateral l STD Standard l NAR Narrowl 3D Asymmetric Femoral Component l AS-Coating Specialty coating with Zirconium Nitride/Chromium Nitride/Chromium Carbon Nitride/Chromium layers1Dimensionsfor standard PS insert with PS femur.
Primary Knee System. Competitive Comparison- Tibial Insert Component.UNITEDORTHOPEDICU2 KNEEZIMMERBiomet PERSONA ZIMMERBIOMET NEXGEN (IncludingBaseplate)9, 10, 11, 12,13,15,18mm (10,12mm are optional)MATERIALSMITH &NEPHEW GENESIS II SMITH &NEPHEW JOURNEY II SMITH &NEPHEW LEGION PS,CR,UCPSHF, PS, PSPlus CRHF, CR,CRDDCR, BCS, XRPS, DD, Cons,PSHF,CRHFVaried based onConfiguration9,11,13,16,19, 22,25mm9,11,13,15,18,21,25,30mmVaries basedonconfiguration9,11,13,15,18,21mmPlus add sizesin some typesAOX AntioxidantPolyethyleneUHMWPE (XLKand GVF)UHMWPE,HXLPE (X3)UHMWPE,XLPEUHMWPE,XLPEUHMWPE,XLPECR: 3 0 (Built intoBaseplate)3 (Built intoBaseplate)PS:0 CR: 3 CRDD:3 ,CR:4 , PSHF:4 ,PS:4 ,PS Plus;4 ,CRHF:5 Varies basedonconfigurationVaries fordifferent inserttypes3 N/AN/ADepend onsurgeon3 3 3 ZIMMER-BIOMET VANGUARD DEPUY ATTUNE DEPUY SIGMA STRYKER TRIATHLON PS,CR,UCPS,PS Plus,CR,CR Lipped, UCPS,CRPS,CR10,11,12,13,14,16, 18mm( 20 mmPS,UC ONLY)10, 12, 14, 17, 20,23mm10, 12, 14, 16,18mm9, 10, 11, 12,14, 14, 16, 18,20mm (22and 24mm inPS Only)UHMWPE,Highly Cross-linkedPoly(XPE),Vitamin- E Poly(EXPE)UHMWPE,Vitamin-E Poly(Vivacit-E )UHMWPE,Highly Cross-linkedPoly,Vitamin- E Poly(Vivacit-E )UHMWPE(ArCom ),Vitamin- E Poly(E1)INSERT SLOPE5 0 0 RESSLOPE0 PS: 3 CR: 7 7 N/A Information Not Available l PS Plus Constrained PS Liner XLPE Highly Crosslinked Polyethylene l Insert Slope Built-in Posterior Slope in Tibial Insert l RES Slope Proximal Tibial Resection AnglePS Standard posterior stabilized l DD Deep Dish l Con Constrained l PSHF Posterior stabilized high flex l CRHF Cruciate retaining high flex l l BCS Bi-Cruciate Stabilized l XR Bi-Cruciate Retaining
Primary Knee System. Competitive Comparison- Tibial Insert Component.UNITEDORTHOPEDICU2 KNEEMEDACTA GMK MEDACTA GMK SPHEREEXACTECH TRULIANT MICROPORT EVOLUTION CORIN UNITY ORTHODEVELOPMENT BKS TRIMAX TOTAL JOINTORTHOPEDICS KLASSIC DONJOY ORTHOPEDICS (DJO)EMPOWR KNEE AESCULAP IMPLANTSYSTEMS COLUMBUSKNEEINSERTOPTIONSPS,CR,UCPS, CR,UCCR, FixedCR, CR Slope ,CR Slope ,CRC1, PSMedial Pivot CR,PS and XUCCR, PS, CSPS, CR, UCPS, CR, Congruent,Ultra-PS3D, PS, CR, VVCPS, UC, 18mm ( 10,12 mm*Optional )10, 12 ,14,17, 20 mm10, 11, 12, 13,14, 17, 20 mmin Fixed9, 10, 11, 12, 13,15, 17, 19 mmN/A9, 10, 11, 12,14, 16, 18,20mm7, 8, 9, 10, 11, 12, 13,14, 16, 18, 20 mm(Excluding Baseplate)10, 11, 12, 14, 16 mmfor PS10, 12, 14, 16 mm for 3DN/A10, 12, 14, 16, 18 mmfor CR, Congruent andUltra-PS10, 11, 12, 13,14 mm in CR10, 11, 12, 13, 14, 16, 19mm for PS and CR10, 12, 14, 16, 19, 22, 25mm for VVC10, 12, 14, 16 mm forAPT optionsMATERIALUHMWPE,Highly CrosslinkedPoly(XPE),Vitamin- E Poly(EXPE)HXLPEHXLPEHXLPEN/AHXLPEHXLPE,Vitamin- E PolyUnirradiatedUHMWPE,E-LINK VITAMIN ESTABILIZED POLYE POLYETHYLENEVitamin E PolyN/AINSERTSLOPE5 N/AN/A0, 3, 6 dependingon insert choice3 (Built intoBaseplate)N/A5 (Built into Baseplate)4 (Built into Baseplate)N/AN/ARESSLOPE0 N/AN/ARecommended0 to 3 N/A3 0 or 5 Recommend varybased on anatomyN/AN/AN/A Information Not Available l PS Plus Constrained PS Liner XLPE Highly Crosslinked Polyethylene l Insert Slope Built-in Posterior Slope in Tibial Insert l RES Slope Proximal Tibial Resection Angle l PS Standard posterior stabilized l DD Deep Dish l Con Constrained l PSHF Posterior stabilized high flex l CRHF Cruciate retaining high flex l CR Slope 3 degrees of Posterior Slope l CR Slope 6degrees of Posterior Slope l CRC Cruciate Retaining Constrained l Ultra-PS Deep dished PS insert l Congruent Ultra-Congruent l 3D Dual-Pivot Articulation with built in distal femoral surface with higherlateral lipped offset l VVC PS poly with increased Varus/Valgus and Internal/External Rotational constraint l UC Ultra-Congruent l DD Deep-Dish
Primary Knee System. Competitive Comparison – Tibial Baseplate Component.UNITEDORTHOPEDICU2 KNEEZIMMERBiomet PERSONA ZIMMERBIOMET NEXGEN ZIMMERBIOMET VANGUARD DEPUY ATTUNE DEPUY SIGMA STRYKER TRIATHLON SMITH & NEPHEW GENESIS II SMITH &NEPHEW JOURNEY II SMITH &NEPHEW LEGION TIBIAL SIZES896( 4 *Optional )91078898INTERCHANGEABLE(FEMUR&TIBIA )Fullyinterchangeablewith Adult tedLimitedLimitedLimitedLimitedALL POLY iO & DisposableTrial: 1.5 TraysDisposableinstrumentswith PSIDisposableinstruments with PSIDisposableinstruments withPSIDisposableinstrumentswith PSI,Single UseOptionswithSOLO SystemDisposableinstruments withPSISingle-UseInstrumentation:2 TraysDisposableinstruments withPSIDisposableinstruments withPSIDisposableinstruments withPSIN/A Information Not Available
Primary Knee System. Competitive Comparison – Tibial Baseplate Component.UNITEDORTHOPEDICU2 KNEEMEDACTA GMK MEDACTA GMK SPHEREEXACTECH TRULIANT MICROPORT EVOLUTION CORIN UNITY KNEEORTHODEVELOPMENT BKS TRIMAX TOTAL JOINTORTHOPEDICS KLASSIC DONJOYORTHOPEDICS (DJO)EMPOWR KNEE AESCULAP IMPLANTSYSTEMS COLUMBUSKNEETIBIAL SIZES878311NA96621110 to 11 based onbaseplate typeINTERCHANGEABLE(FEMUR&TIBIA )Fullyinterchangeable with edLimitedLimitedLimitedALL POLY OSABLEINSTRUMENTSOptionsAiO &DisposableTrial: 1.5 TraysPSI withMyKnee and SingleUse Optionswith MyEfficiency PSI withMyKnee andSingle UseOptions with MyEfficiency NoPSI withProphecy guidesNoNoNoNoNoN/A Information Not Available1 There are a high number of tibial baseplate sizes because the Truliant uses baseplate options to address femoral-tibial upsizing and downsizing issues.
Knee PortfolioU2 Total Knee SystemU2 PSA Revision KneeUSTARII Primary and RevisionHinge KneeUSTARII Limb Salvage System24Internal use only. Do not distribute.The U2 PSA (Posterior StabilizedAugmentable) Revision Kneesystem can be used with variousaugments and extension stems torestore joint stability and addressbone loss, allowing surgeons thepossibility for an optimal solutionfor each individual patient.
The U2 PSA Revision KneeSystemOffers a wide range of revisioncomponent options.Designed for improved in jointstability with an increasedconstrained geometry design.Features a patented screwlocking mechanism.25
PSA Knee System. Novel low-profile tibial baseplate design.Reduced 18 mm tibial stem length. Designed to allow use of the offset adaptor with a stem extension without cortex impingment.PSA RevisionKnee Systemtibial baseplate.18mmOther tibialbaseplates canhave longerlength. This couldpotentially lead tocorteximpingementPSA Revision Knee Systemtibial baseplate with offsetadaptor.Generic kneesystem tibialbaseplate.
PSA Knee System. Novel C-Ring locking screw for a ‘NoBack-out’ Screw Design.Built-in reinforced metal ring. Designed to reduce the potential for shear on thetibial insert.Built- inscrewReinforcedmetal ringCentralrecessPSA Revision Knee System.Cutaway of Tibial Insert andTibial baseplate.Patent No. US9044327Anthony et al , Journals of the Mechanical Behavior of Biomedical Materials( 2 0 1 4 ) 1 – 5Cutaway of PSATibial insert andbaseplate construct.
PSA Knee System. Platform approach for additional Intra-operativeRevision Options.Consistent implant design. Designed to provide improved flexibility to convertintra-operatively to and from PSA Revision Knee and USTARII Hinge Knee system.Matching AP, ML and chamfer resections.Consistent box width.PSA RevisionKneePSA RevisionKneeUSTARIIPrimary andRevision HingeKneeUSTARIIPrimary andRevision HingeKnee1 Note.The PS box widths are constant for the U2 PS Primary PS, PSA Revision and USTARII Hinge Knee systems. The PS box depth and heights vary.
Revision Knee System. Competitive Comparison – Femoral Component.UNITEDORTHOPEDICPSA REVISIONKNEEZIMMERBIOMET PERSONA REVISION KNEEZIMMER-BIOMET NEXGEN LEGACY LCCKREVISION KNEEZIMMER-BIOMET VANGUARD 360REVISION KNEEDEPUY ATTUNE REVISION KNEEDEPUY LCS COMPLETEREVISION KNEESTRYKER TRIATHLON REVISION KNEESMITH &NEPHEW LEGION REVISIONKNEEMEDACTA GMK REVISIONKNEEEXACTECH TRULIANT tChromiumCobaltChromiumOxidized ating OptionCobaltChromium# SIZES6137101078865ROM155 155 120 NANAN/AN/A155 N/AN/A(PS) I/EROTATION 3.7 N/A 2.0 15 2, 0.5 3 4.0 4, Zeroconstraint5N/AVaries based oninsertVaries based on insertVaries basedon insert 4 7, 28(PS) VARUS/VALGUSCONSTRAINT 1.4 N/A 1.25 Zero constraint2, 1.0. 31.25 4,51.25 6Varies based oninsertVaries based on insertVaries basedon insert 3 7, 1.58FEMORAL OFFSETADAPTOR OPTIONS2, 4 and 6 mm3 and 6 mm4.5 mm2.5, 5 and 7.5 mm2, 4, and 6 mmN/A2, 4, 6 and 8 mm2, 4, and 6 mm3, 5 mm2, 4, 6, or 8mmFEMORAL AUGMENTOPTIONSDistal in 4, 8, 12, and16 mm, Posterior in 4and 8 mmDistal and Posteriorin 5, 10 and 15mm1Posterior, Distal,Posterior/Distal, AnteriorPosterior, Distal,Posterior/Distal,AnteriorDistal andPosteriorDistal in 5, 10 and 15mm, Posterior in 5 and10 mmDistal in 5, 10and 15 mm,Posterior in 5 and10 mmDistal in 5, 10 and 15mm, Posterior in 5 and10 mmDistal in 4,8and 12 mm,Posterior in 5and 10 mmDistal andPosterior in 5to 30 mm in5mm options9N/A Information Not Available l ROM Range-Of-Motion l I/E Internal/External l VVC Varus Valgus Constraint1Not in smaller sizes l 2With Standard Vanguard SSK PS Bearing l 3With SSK PSC Bearing l 4Fixed Bearing l 5Rotating Platform l 6VVC l 7PSC Posterior Stabilized Constrained l 8CC Condylar Constrained9Augments are stackable
Revision Knee System. Competitive Comparison – Femoral Component.UNITEDORTHOPEDICPSA REVISIONKNEEMICROPORT EVOLUTION REVISION KNEECORIN APEX REVISIONKNEEORTHODEVELOPMENT BKS REVISIONKNEEAESCULAP IMPLANT SYSTEMSCOLUMBUS ASREVISION tChromiumCobaltChromiumCobaltChromium,AST coating Option3# SIZES66N/A77ROM155 N/AN/AN/A130 (PS) I/EROTATION 3.7 4.0 1NA2N/AN/A 2.2 4 1.2 5(PS) VARUS/VALGUSCONSTRAINT 1.4 2.0 1NA2N/AN/ANo Stability4 1.0 / 0.4 5FEMORAL OFFSETADAPTOR OPTIONS2, 4 and 6 mm4 and 8 mmN/AN/AUp to 4mm Posteriorlyor AnteriorlyFEMORAL AUGMENTOPTIONSDistal in 4, 8, 12, and16 mm, Posterior in 4and 8 mmDistal and Posteriorin 4, 8 and 12 mmDistal and Posteriorin 5, 10 and 15 mmDistal in 4, 8 and 12mm, Posterior in 4and 8 mmDistal and Posterior in5, 10 mm (And 15 mmin some sizes)N/A Information Not Available l ROM Range-Of-Motion l I/E Internal/External l VVC Varus Valgus ConstraintCCK Constrained Condylar Knee l 2 CS Condylar Stabilizing Not Applicable (NA) for I/E Rotation and Varus/Valgus Constraint, has unique ‘toroid’ path allowing 15.0 of axial rotation l 3 AST Advanced coatingoption l 4 PS CS PS Condylar Stabilizing Medium Constrained l 5 PS CK High Constrained1
Revision Knee System. Competitive Comparison - Tibial Insert Component.UNITEDORTHOPEDICPSA REVISIONKNEEZIMMERBIOMET PERSONA REVISION KNEEINSERT OPTIONSStandardConstrained IALZIMMER-BIOMET NEXGEN LEGACYLCCK REVISION KNEEZIMMER-BIOMET VANGUARD REVISIONKNEEDEPUY ATTUNE REVISIONKNEEDEPUY LCS COMPLETEREVISION KNEESTRYKER TRIATHLON REVISION KNEESMITH &NEPHEW LEGION REVISIONKNEEMEDACTA GMK REVISIONKNEEEXACTECH TRULIANT REVISION KNEEPersona RevisionCCK, PersonaCPS or PersonaPS BearingCCK, Legacy PSoptionsVanguard 360 SSKPS Bearing or SSKPSCFB and RP2,3RP PS and VVCPS, PSR, TSPS High-flex, PSConstrained, PSUltra-CongruentFixed, PS Fixed,Semi-ConstrainedFixed, Mobile,Ultra-CongruentMobilePS, PCS. CC9,11,13,15,18, 21, 25,30 mm10 thru 26 mmoptionsNA10 up to 24 mm in 2mm incrementsVaries depending oninsert typeVaries dependingon insert type9, 11, 13, 16, 19,22, 25, 28, 31mmVariesdepending oninsert typeVaries dependingon insert typeVaries dependingon insert typeUHMWPE,Highly Cross-linkedPoly(XPE),Vitamin- E Poly(EXPE)Vitamin-E andConventional(HXLPE)NAVivacit-E Vitamin Eand HXLPETechnology,Conventional(HXLPE)1Vivacit-E Vitamin Eand y,Conventional(HXLPE)1Conventional(HXLPE) andAdvanced (X3)UHMWPE,XLPEUHMWPENCM (UHMWPE)N/A Information Not Available l CCK Constrained Condylar Knee l CPS Constrained Posterior Stabilized l HXLPE Highly Cross-Lined Polyethylene l PSC Posterior Stabilized Constrained l FB Fixed Bearing lRP Rotating Platform l VVC Varus Valgus Constraint MB Mobile Bearing l PSR Posterior Stabilized Reinforced l TS Total Stabilizer l PSC Posterior Stabilized Constrained Stabilized l PCS PosteriorCondylar Stabilized l CC Condylar Constrained1Estimate only l 2FB Fixed Bearing l 3MB Mobile Bearing
Revision Knee System. Competitive Comparison - Tibial Insert Component.UNITEDORTHOPEDICPSA REVISIONKNEEMICROPORT EVOLUTION REVISION KNEECORIN APEX REVISIONKNEEORTHODEVELOPMENT BKS REVISIONKNEEAESCULAP IMPLANT SYSTEMSCOLUMBUS ASREVISION KNEEINSERT OPTIONSStandardConstrained PSInsertCCK and CSN/APS and CKPS MC and PS 18, 21, 25,30 mm10, 12, 14, 17, 20,22, and 24mmN/A8, 10, 12, 14, 16, 18,20, 22, 24, 26, 28 and30110 to 32 mmMATERIALUHMWPE,Highly Cross-linkedPoly(XPE),Vitamin- E Poly(EXPE)UHMWPEN/AUHMWPE,Vitamin- E Poly (EVitalize )BETA SterilizedPolyethyleneN/A Information Not Available l CCK Constrained Condylar Knee l PS CS PS Condylar Stabilizing l PS CK Constrained1 CKInsert Options l MC Medium Constrained l HC High Constrained
Revision Knee System. Competitive Comparison– Tibial Baseplate Component.UNITEDORTHOPEDICPSA REVISIONKNEEZIMMER-BIOMET PERSONA REVISION KNEEZIMMER-BIOMET NEXGEN LEGACY LCCKREVISION KNEEZIMMER-BIOMET VANGUARD REVISION KNEEDEPUY ATTUNE REVISION KNEEDEPUY LCS COMPLETEREVISION KNEE3STRYKER TRIATHLON REVISION KNEESMITH &NEPHEW LEGION REVISIONKNEEMEDACTA GMK REVISIONKNEEEXACTECH TRULIANT REVISION KNEETIBIAL SIZES8991910928865INTERCHANGEABLE(FEMUR&TIBIA )Fullyinterchangeablewith Adult sizesLimited basedon Tibial InsertTypeLimited based on TibialInsert TypeComplete tibialfemoralinterchangeabilityLimited based onTibial Insert TypeLimited based onTibial Insert Type1 Size up, 1 SizedownLimited based onTibial Insert TypeLimited based onTibial Insert TypeLimited based on TibialInsert TypeTIBIALOFFSET ADAPTOROPTIONS2, 4 and 6 mm3 and 6 mmUp to 4.5mm2.5, 5 and 7.5 mmAvailableN/A2, 4, 6 and 8 mm2, 4, and 6 mm3, 5 mm2, 4, 6, or 8mmTIBIALAUGMENTOPTIONS5, 10, and 15 mm5, 10 and 15mm5, 10, 15 and 20mmand 30mm inTrabecular MetalVariousAvailable5,10 and 15 mm25 and 10 mm5, 10, and 15mm invarious angleoptions5 and 10 mm5, 10 and 15 mm 4N/A Information Not Available1Estimate only l 2M.B.T Revision Tray Option l 3LCS Complete Revision Knee shown with optional Sleeves implant component l 4 Augments are stackable
Revision Knee System. Competitive Comparison– Tibial Baseplate Component.UNITEDORTHOPEDICPSA REVISIONKNEEMICROPORT EVOLUTION REVISION KNEECORIN APEX REVISIONKNEEORTHODEVELOPMENT BKS REVISIONKNEEAESCULAP IMPLANT SYSTEMSCOLUMBUS ASREVISION KNEETIBIAL SIZES8Size 3 to 8 2N/A67INTERCHANGEABLE(FEMUR&TIBIA )Fullyinterchangeablewith Adult sizesN/AN/A1 Size up, 1 SizedownN/ATIBIALOFFSET ADAPTOROPTIONS2, 4 and 6 mmN/AN/AN/AUp to 6 mm Mediallyor LaterallyTIBIALAUGMENTOPTIONS5, 10, and 15 mm5, 10, and 15mmN/A5, 10, and 15mmin various angleoptions5, 10 and 15 mmN/A Information Not Available1Estimate only l 2 Includes Modular Keel with Medium and Large sizes
Knee PortfolioU2 Total Knee SystemU2 PSA Revision KneeUSTARII Primary and RevisionHinge KneeUSTARII Limb Salvage System35Internal use only. Do not distribute.The USTARII is a next-generationhinge knee system designed so thetechnique for the surgeon and thefunction for the patient is more like aprimary TKA than classic hingedesigns.
The USTARII Primary andRevision Hinge Knee SystemA next-generation, rotating-platform, hinge knee system.Designed to have an optimal condylar loading design.Features a small profile, pre-assembled hinge mechanismcentered on the femur and tibia.Connected intra-operatively by a single screw.The system has a reduced femoral profile to preservebone.USTARII Primaryand Revision HingeKnee36
USTARII Hinge Knee System. With a next-generation rotatingRotating Platform. Designed with a built-in tibial rotation stopper allowsplatform design. 25 Deg. 25 of tibial insert rotation for improved movement.USTARII Primary andRevision Hinge Knee
USTARII Hinge Knee System. Minimum Load Transmission throughMechanism.the HingeCondylar Loading design. Designed to transfer 95% of the load thru the range of motion to the central portion of thetibial condyles to reduce the potential for component loosening and hinge mechanism failure.USTARII Hinge System with weightbearing through condylesUSTARII Primary andRevision Hinge KneeHinge System with weight bearingthrough hinge.Early generationSystem
USTARII Hinge Knee System. With a novelhinge mechanism.Small profile, pre-assembled hinge mechanism. The hinge mechanism is pre-assembled insidethe femoral component to reduce surgical time and potential for wear and cement debris.USTARII Primary andRevision Hinged femoralcomponent.Cutaway of USTARII Primaryand Revision Hinged femoralcomponent.
USTARII Hinge Knee System. With a novelhinge mechanism.Hinge mechanism centered on the femur and tibia. Designed toprovide a femoral-tibial engagement point more comparable to a primary PS knee vs.a traditional ‘book-end’ engagement design.CompetitiveHinge KneeSystem.Expanded view of the USTARIIPrimary and Revision HingeKnee
USTARII Hinge Knee System. With a single-stephinge connection.Connected Intra-operatively by a Single Screw. The Spiralock set screw is pre-positionedin the tibial insert to reduce surgical time and designed to prevent back-out.Close-up image of wedgeramp Spiralock assembly.Standard male threadWedge ramp Spiralock Cutaway of USTARII Primary andRevision Hinged Knee System.Close-up cutaway of the femoral andtibial hinge assemblyClose-up image ofsmooth male connectionengaged in the femoralhinge assembly.
USTARII Hinge Knee System. With a reducedfemoral profile.Smaller profile for a smaller resection. Designed with the AP, ML and chamfer resectionsas the U2 Primary and PSA revision knee to preserve bone.Matching AP, ML and chamfer resections.Consistent box width.PSA RevisionKneePSA RevisionKneeUSTARIIPrimary andRevision HingeKneeUSTARIIPrimary andRevision HingeKnee
Hinge System. Competitive Comparison – Femoral Component.UNITEDORTHOPEDICUSTARII HINGEKNEEZIMMER-BIOMET NEXGEN ROTATING HINGEKNEEDEPUY S-ROM NOILES ROTATING HINGEKNEESTRYKER MODULARROTATING HINGEKNEESMITH &NEPHEW LEGIONHINGE KNEEMEDACTA GMK HINGEKNEEONKOS ELEOS REVISION HINGELINK BIOCORPENDO-MODELSLLINK BIOCORPENDO-MODEL(M & W Version)AESCULAP ENDURO ChromiumCobalt-ChromiumCobalt-ChromiumOxidized Zirconium,Cobalt-ChromiumCobaltChromium,SensiTiN hromium,TiNbN coatingoptionCobaltChromium,AST coatingOption3ROTATINGPLATFORM 25 25 YesUnrestrictedYesYes 15 orUnrestrictedRotational andFixed Options2Rotational andFixed Options 12 % CONDYLARLOADING95% orgreater95%N/AN/A96%N/AN/AN/AN/AN/A# SIZES71535463343FEMORAL semblyrequiredFEMORAL nteredFEMORALOFFSETADAPTOR2, 4 and 6mmOffsets built into StemoptionsN/A4 mm2, 4 and 6 mm3 , 5 mmNo Femoral OffsetOptionN/ANo Femoral OffsetOptionUp to 3mm ofdistractionFEMORALAUGMENTOPTIONSDistal in 4, 8, 12, and16 mm, Posterior in 4and 8 mmDistal in 5, 10, 15 and20 mm, Posterior in 5and 10 mmDistal in 5 and 10 mmDistal 10 mmDistal in 5, 10, 15 and20 mmDistal in 4, 8, 12, 16,20 mm, Posterior in 5and 10 mmNot Applicable,femoral condylesfully resected17, 18 and 19 mmNot Tibial OffsetOptionDistal andPosteri
UOC Knee Franchise Overview 3 "An advanced knee arthroplasty portfolio" The consistent design philosophy allows a platform-based approach to provide surgeons flexibility for a wide range of procedures. Primary -Complex Primary -Revision -Complex Revision -Limb Salvage Includes a wide range of product options for demand-matching to optimize solutions based on
