DESIGNED TO ADDRESS THE UNPREDICTABLE

The ZMR ™ Hip System is designed to provide exceptional

intraoperative flexibility to meet the unpredictable demands

of revision hip arthroplasty. The modular mid-stem junction

allows the selection of a distal stem design independent of

the proximal body design. This accommodates a wide variety

of bone conditions that are often not revealed until the time

of surgery.

The system also accommodates a number of fixation

philosophies, including distal fixation, proximal

porous fixation, and extensive porous fixation. It

also allows for proximal/distal sizing mismatches.

And with the innovative modular design, this

extraordinary level of flexibility is available

with minimal inventory.

Four Body OptionsThe ZMR Hip System includes three distinctPorous Body styles and one roughened TaperBody style.

Modular D e s i g nO U T S T A N D I N G I N T R A O P E R A T I V E F L E X I B I L I T Y

V e r s i o nThe Cone and Taper Body designs provide the opportunity for infinite version adjustment.

The proximal bodycan be placed inany position relative tothe distal stem toaddress various anatomic distortions that may

T Y P E T Y P E T Y P E T Y P E1

I I I I I I I V

Greater Trochanter ReattachmentThe Cable-Ready ® Cable Grip System GreaterTrochanter Reattachment (GTR) Device cradles the greater trochanter without piercing it, while providing secure fixation. The long GTR device shown is for more complex reconstruction.

S p o u t C o n eS p l i n e

C a l c a r T a p e r

6mm

10mm

10mm

Porous Stem OptionsThe Porous Stems are coated withplasma-sprayedTivanium Alloy toallow for biological fixation.

Taper Stem OptionsThe corundumized, splined TaperStem is designed to provide distalfixation that transmits axial, torsional, and bending loads to the adjacent bone.

Ti-Nidium SurfaceThe Ti-Nidium® Surface Hardening Process**helps protect against wear at the modular taperjunction of the implant.

** U.S. Patents 5,192,323; 5,326,362

Spline Stem OptionsThe polished Tivanium ® Ti-6Al-4V AlloySpline Stems have positive-cuttingsplines along the length of the implant.The splines are designed to helpachieve rotational stability, while maintaining insertional ease.

Taper Lock and Compression NutThe mid-stem junction uses a Morse-type taperconnection to assure locking of the body and stemcomponents. The Compression Nut, torqued to15N-m (130 in.-lbs.), provides additional security.The features of the Compression Nut* aredesigned to allow for settling of the mid-stem junction without the nut becoming loose or backing out.

* U.S. Patent Pending

Leg LengthGraduated body heights in 10mm incrementsallow for intraoperative flexibility in adjustingleg length.

O f f s e tExtended offset body optionsprovide for increased offsetwithout changing the componentneck angle or length.

T a p e rP o r o u s

Revision InstrumentationZMR Instrumentation is simple, precise,and designed with femoral revisionsurgery in mind. The ZMR Taper andPorous Hip Systems have distinctive instrumentation.

The ZMR Porous Revision Components offer a choice of

proximal or extensive porous fixation options. These implants

address varying degrees of bone loss and mismatch between

the metaphyseal and diaphyseal regions. A variety of proximal

body and distal stem combinations are available to address

these issues while focusing on the goals of secure fixation

and kinematic restoration.

The porous proximal and distal implant combinations are

designed to transfer all load types to the bone. Initial stability

is accomplished through intimate bone/prosthesis apposition.

The plasma-sprayed surfaces then provide for bone ingrowth,

so that fixation of the implant can be achieved biologically.2,3

Spline Stem OptionsStraight and bowed Spline Stems are available in up tothree stem lengths, in six diameters, to optimize patientfit. The coronal slot makes the distal stem more flexibleallowing for easier stem insertion.

Porous Stem OptionsStraight and bowed PorousStems are available in up tothree stem lengths, in eightdiameters, to optimize patientfit. The Porous Stems arecoated with plasma-sprayedTivanium Alloy to allow forbiological fixation.

P o rous R e v i s i o nP R O X I M A L O R E X T E N S I V E P O R O U S F I X A T I O N

Spline Stem DistalCross SectionDistal splines provide a diametric press-fit of up to0.5mm to give rigid rotationalcontrol by engaging bone in the femoral canal.

Ti-Nidium SurfaceThe Ti-Nidium SurfaceHardening Process* helpsprotect against wear at themodular taper junction ofthe implant.

* U.S. Patents 5,192,323; 5,326,362

P l a s m a - S p r a y e dTivanium SurfaceAll Porous Body optionsare plasma-sprayed withTivanium Alloy, whichallows for bone ingrowthto aid implant stability.

V e r s i o nAlthough all proximal bodies allow forversion adjustment independent ofthe femoral bow, the Cone Bodydesign provides the opportunity for infinite version adjustment.

Calcar BodyThe Calcar Body has a medial collar to helpresist subsidence.

Spout BodyThe Spout Body helpsachieve medial fill in thefemur, contributing toinitial rotational stability.

Cone BodyThe Cone Bodyaddresses situationswhere the medial spoutgeometry is not desired.

Taper Lock and Compression NutThe mid-stem junction uses a Morse-type taperconnection to assure locking of the body and stemcomponents. The Compression Nut, torqued to15N-m (130 in.-lbs.), provides additional security.The features of the Compression Nut** aredesigned to allow for settling of the mid-stem junction without the nut becoming loose or backing out.

** U.S. Patent Pending

6mm

10mm

10mm

Leg LengthGraduated body heights in 10mm incrementsallow for intraoperative flexibility in adjustingleg length.

O f f s e tExtended offset body optionsprovide for increased offsetwithout changing the componentneck angle or length.

Simple and Precise Instrumentation Instrumentation is designed to be versatile, simple, andprecise. Femoral preparation consists of only two, orthree steps, depending on the body options chosen.Following distal canal preparation, the metaphysis is prepared for the proximal body by reaming witha Conical Reamer. If the Spout Body is used, theSpout Mill Assembly will prepare the medialcalcar area. The Junction Assembly Tool provides a calibrated method to lock the modular mid-stem junction.

Distal Stem Profil eThe 3.5˚distal stem taper

geometry allows for axial loadtransfer and consistent seating.

Stem OptionsThree stem lengths

and eight diameters areavailable to optimize patient

fit and bypass bone defects.

Taper Stem DistalCross SectionDistal stem splines with a .75mm press-fit per splineprovide rigid rotational control by engaging bone in the femoral canal.

The ZMR Revision Taper Hip Prosthesis is designed to achieve

secure distal fixation in the femur using a sharply splined and

tapered distal stem with a roughened Tivanium Alloy surface.

The tapered distal stem is designed to wedge into the femoral

medullary canal, transferring axial and bending forces, while the

splines are press-fit into bone to provide rotational stability. The

roughened Tivanium Alloy surface allows bone ongrowth.4-6 The

modular proximal bodies and distal stems provide many sizing

options to help achieve anatomic restoration.

Published clinical results of other stems using this design

philosophy (tapered, splined, with a roughened titanium alloy

surface) in femoral revision surgery have been impressive.

These results show the favorable remodeling of proximal femoral

bone stock when extensive bone loss was present.7,8

R e v i s i o nTa p e rS E C U R E D I S T A L F I X A T I O N

C o r u n d u m i z e dS u r f a c eThe roughened (Ra=4-7µm/160-280µin.) implant surfacefinish maintains the highstrength of the TivaniumTi-6Al-4V Alloy substrate andallows for bone ongrowth toaid implant stability.

Simple and Precise InstrumentationThe Distal Taper Reamer and theProximal Body Reamer help to simplify the two-step reamingprocess. The JunctionAssembly Tool provides a calibrated method to lock the modularmid-stem junction.

V e r s i o nThe bone-conserving proximal bodydesign provides the opportunity for infinite version adjustment. The proximal

body can be placed in anyposition relative to thedistal stem to addressanatomic distortions thatmay be encountered.

Ti-Nidium SurfaceTheTi-Nidium Surface HardeningProcess*helps protect againstwear at the modular taper junction of the implant.

* U.S. Patents 5,192,323; 5,326,362

Anterior BevelThe anterior bevel is designedto make stem insertion easierby accommodating the naturalbow of the femur, and to helpprevent impingement of theanterior cortex with long stems.

Taper Lock and Compression NutThe mid-stem junction uses a Morse-type taperconnection to assure locking of the body and stemcomponents. The Compression Nut, torqued to15N-m (130 in.-lbs.), provides additional security.The features of the Compression Nut** aredesigned to allow for settling of the mid-stem junction without the nut becoming loose or backing out.

** U.S. Patent Pending

5mm

10mm

10mm

O f f s e tExtended offset body options provide for increased offset without changing the componentneck angle or leg length.

Leg LengthGraduated body heights in 10mm incrementsallow for intraoperative flexibility in adjusting leg length.

A

C

B

G

A

C

B

G

+0 Head Center +0 Head CenterSpout Bodies

ZMR POROUS REVISIONCone Bodies Calcar Bodies

Spout Bodies A B C GB o d y C a l c a r O ffset (mm) When Head/Neck Body Size

L e n g t h H e i g h t Component Selected is: w / P l a s m aP rod. No. D e s c r i p t i o n ( m m ) ( m m ) - 3 . 5 + 0 + 3 . 5 + 7 + 1 0 . 5 ( m m )9 9 9 0 - 1 7 - 4 0 Spout A Body, 40 X 35mm Neck 8 0 3 5 3 7 . 5 4 0 4 2 . 5 4 5 4 7 . 5 1 7 . 79 9 9 0 - 1 7 - 4 6 Spout A Body, 46 X 35mm Neck 8 0 3 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 7 . 79 9 9 0 - 1 8 - 4 0 Spout B Body, 40 X 35mm Neck 8 0 3 5 3 7 . 5 4 0 4 2 . 5 4 5 4 7 . 5 1 8 . 99 9 9 0 - 1 8 - 4 6 Spout B Body, 46 X 35mm Neck 8 0 3 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 8 . 99 9 9 0 - 1 9 - 4 0 Spout C Body, 40 X 35mm Neck 8 0 3 5 3 7 . 5 4 0 4 2 . 5 4 5 4 7 . 5 2 0 . 09 9 9 0 - 1 9 - 4 6 Spout C Body, 46 X 35mm Neck 8 0 3 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 0 . 09 9 9 0 - 2 0 - 4 0 Spout D Body, 40 X 35mm Neck 8 0 3 5 3 7 . 5 4 0 4 2 . 5 4 5 4 7 . 5 2 1 . 29 9 9 0 - 2 0 - 4 6 Spout D Body, 46 X 35mm Neck 8 0 3 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 1 . 29 9 9 0 - 2 1 - 4 0 Spout E Body, 40 X 35mm Neck 8 0 3 5 3 7 . 5 4 0 4 2 . 5 4 5 4 7 . 5 2 2 . 59 9 9 0 - 2 1 - 4 6 Spout E Body, 46 X 35mm Neck 8 0 3 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 2 . 59 9 9 0 - 2 3 - 4 0 Spout F Body, 40 X 35mm Neck 8 0 3 5 3 7 . 5 4 0 4 2 . 5 4 5 4 7 . 5 2 3 . 79 9 9 0 - 2 3 - 4 6 Spout F Body, 46 X 35mm Neck 8 0 3 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 3 . 7

9 9 9 1 - 1 7 - 4 5 Spout A Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 7 . 79 9 9 1 - 1 7 - 5 5 Spout A Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 7 . 79 9 9 1 - 1 8 - 4 5 Spout B Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 8 . 99 9 9 1 - 1 8 - 5 5 Spout B Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 8 . 99 9 9 1 - 1 9 - 4 5 Spout C Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 0 . 09 9 9 1 - 1 9 - 5 5 Spout C Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 0 . 09 9 9 1 - 2 0 - 4 5 Spout D Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 1 . 29 9 9 1 - 2 0 - 5 5 Spout D Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 1 . 29 9 9 1 - 2 1 - 4 5 Spout E Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 2 . 59 9 9 1 - 2 1 - 5 5 Spout E Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 2 . 59 9 9 1 - 2 3 - 4 5 Spout F Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 3 . 79 9 9 1 - 2 3 - 5 5 Spout F Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 3 . 7

Cone Bodies A B C GB o d y C a l c a r O ffset (mm) When Head/Neck Body Size

L e n g t h H e i g h t Component Selected is: w / P l a s m aP rod. No. D e s c r i p t i o n ( m m ) ( m m ) - 3 . 5 + 0 + 3 . 5 + 7 + 1 0 . 5 ( m m )9 9 9 3 - 1 7 - 4 5 Cone A Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 7 . 79 9 9 3 - 1 7 - 5 5 Cone A Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 7 . 79 9 9 3 - 1 8 - 4 5 Cone B Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 8 . 99 9 9 3 - 1 8 - 5 5 Cone B Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 8 . 99 9 9 3 - 1 9 - 4 5 Cone C Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 0 . 09 9 9 3 - 1 9 - 5 5 Cone C Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 0 . 09 9 9 3 - 2 0 - 4 5 Cone D Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 1 . 29 9 9 3 - 2 0 - 5 5 Cone D Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 1 . 29 9 9 3 - 2 1 - 4 5 Cone E Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 2 . 59 9 9 3 - 2 1 - 5 5 Cone E Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 2 . 59 9 9 3 - 2 3 - 4 5 Cone F Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 3 . 79 9 9 3 - 2 3 - 5 5 Cone F Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 3 . 7

Calcar Bodies A B C GB o d y C a l c a r O ffset (mm) When Head/Neck Body Size

L e n g t h H e i g h t Component Selected is: w / P l a s m aP rod. No. D e s c r i p t i o n ( m m ) ( m m ) - 3 . 5 + 0 + 3 . 5 + 7 + 1 0 . 5 ( m m )9 9 9 4 - 1 7 - 4 5 Calcar A Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 7 . 79 9 9 4 - 1 7 - 5 5 Calcar A Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 7 . 79 9 9 4 - 1 8 - 4 5 Calcar B Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 8 . 99 9 9 4 - 1 8 - 5 5 Calcar B Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 1 8 . 99 9 9 4 - 1 9 - 4 5 Calcar C Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 0 . 09 9 9 4 - 1 9 - 5 5 Calcar C Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 0 . 09 9 9 4 - 2 0 - 4 5 Calcar D Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 1 . 29 9 9 4 - 2 0 - 5 5 Calcar D Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 1 . 29 9 9 4 - 2 1 - 4 5 Calcar E Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 2 . 59 9 9 4 - 2 1 - 5 5 Calcar E Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 2 . 59 9 9 4 - 2 3 - 4 5 Calcar F Body, 46 X 45mm Neck 9 0 4 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 3 . 79 9 9 4 - 2 3 - 5 5 Calcar F Body, 46 X 55mm Neck 1 0 0 5 5 4 3 . 5 4 6 4 8 . 5 5 1 5 3 . 5 2 3 . 7

A

C

B

G

+0 Head Center

Assembled Implant LengthA + E = F

Body Stem I m p l a n tL e n g t h L e n g t h L e n g t h( m m ) ( m m ) ( m m )

8 0 1 1 5 1 9 58 0 1 7 0 2 5 08 0 2 2 0 3 0 09 0 1 1 5 2 0 59 0 1 7 0 2 6 09 0 2 2 0 3 1 01 0 0 1 1 5 2 1 51 0 0 1 7 0 2 7 01 0 0 2 2 0 3 2 0

Spline Stems D ES t e m S t e m

D i a m e t e r L e n g t hP rod. No D e s c r i p t i o n ( m m ) ( m m )9 9 8 0 - 1 2 0 - 2 1 Spline Stem, 12.0 X 115mm, Straight 1 2 . 0 1 1 59 9 8 0 - 1 2 0 - 2 2 Spline Stem, 12.0 X 170mm, Straight 1 2 . 0 1 7 09 9 8 0 - 1 2 0 - 3 2 Spline Stem, 12.0 X 170mm, Bow 1 2 . 0 1 7 09 9 8 0 - 1 3 5 - 2 1 Spline Stem, 13.5 X 115mm, Straight 1 3 . 5 1 1 59 9 8 0 - 1 3 5 - 2 2 Spline Stem, 13.5 X 170mm, Straight 1 3 . 5 1 7 09 9 8 0 - 1 3 5 - 3 2 Spline Stem, 13.5 X 170mm, Bow 1 3 . 5 1 7 09 9 8 0 - 1 3 5 - 3 3 Spline Stem, 13.5 X 220mm, Bow 1 3 . 5 2 2 09 9 8 0 - 1 5 0 - 2 1 Spline Stem, 15.0 X 115mm, Straight 1 5 . 0 1 1 59 9 8 0 - 1 5 0 - 2 2 Spline Stem, 15.0 X 170mm, Straight 1 5 . 0 1 7 09 9 8 0 - 1 5 0 - 3 2 Spline Stem, 15.0 X 170mm, Bow 1 5 . 0 1 7 09 9 8 0 - 1 5 0 - 3 3 Spline Stem, 15.0 X 220mm, Bow 1 5 . 0 2 2 09 9 8 0 - 1 6 5 - 2 1 Spline Stem, 16.5 X 115mm, Straight 1 6 . 5 1 1 59 9 8 0 - 1 6 5 - 2 2 Spline Stem, 16.5 X 170mm, Straight 1 6 . 5 1 7 09 9 8 0 - 1 6 5 - 3 2 Spline Stem, 16.5 X 170mm, Bow 1 6 . 5 1 7 09 9 8 0 - 1 6 5 - 3 3 Spline Stem, 16.5 X 220mm, Bow 1 6 . 5 2 2 09 9 8 0 - 1 8 0 - 2 1 Spline Stem, 18.0 X 115mm, Straight 1 8 . 0 1 1 59 9 8 0 - 1 8 0 - 2 2 Spline Stem, 18.0 X 170mm, Straight 1 8 . 0 1 7 09 9 8 0 - 1 8 0 - 3 2 Spline Stem, 18.0 X 170mm, Bow 1 8 . 0 1 7 09 9 8 0 - 1 8 0 - 3 3 Spline Stem, 18.0 X 220mm, Bow 1 8 . 0 2 2 09 9 8 0 - 1 9 5 - 2 1 Spline Stem, 19.5 X 115mm, Straight 1 9 . 5 1 1 59 9 8 0 - 1 9 5 - 2 2 Spline Stem, 19.5 X 170mm, Straight 1 9 . 5 1 7 09 9 8 0 - 1 9 5 - 3 2 Spline Stem, 19.5 X 170mm, Bow 1 9 . 5 1 7 09 9 8 0 - 1 9 5 - 3 3 Spline Stem, 19.5 X 220mm, Bow 1 9 . 5 2 2 0

Porous Stems D ES t e m S t e m

D i a m e t e r L e n g t hP rod. No D e s c r i p t i o n ( m m ) ( m m )9 9 8 1 - 1 2 0 - 2 1 P o rous Stem, 12.0 X 115mm, Straight 1 2 . 0 1 1 59 9 8 1 - 1 2 0 - 2 2 P o rous Stem, 12.0 X 170mm, Straight 1 2 . 0 1 7 09 9 8 1 - 1 2 0 - 3 2 P o rous Stem, 12.0 X 170mm, Bow 1 2 . 0 1 7 09 9 8 1 - 1 3 5 - 2 1 P o rous Stem, 13.5 X 115mm, Straight 1 3 . 5 1 1 59 9 8 1 - 1 3 5 - 2 2 P o rous Stem, 13.5 X 170mm, Straight 1 3 . 5 1 7 09 9 8 1 - 1 3 5 - 3 2 P o rous Stem, 13.5 X 170mm, Bow 1 3 . 5 1 7 09 9 8 1 - 1 3 5 - 3 3 P o rous Stem, 13.5 X 220mm, Bow 1 3 . 5 2 2 09 9 8 1 - 1 5 0 - 2 1 P o rous Stem, 15.0 X 115mm, Straight 1 5 . 0 1 1 59 9 8 1 - 1 5 0 - 2 2 P o rous Stem, 15.0 X 170mm, Straight 1 5 . 0 1 7 09 9 8 1 - 1 5 0 - 3 2 P o rous Stem, 15.0 X 170mm, Bow 1 5 . 0 1 7 09 9 8 1 - 1 5 0 - 3 3 P o rous Stem, 15.0 X 220mm, Bow 1 5 . 0 2 2 09 9 8 1 - 1 6 5 - 2 1 P o rous Stem, 16.5 X 115mm, Straight 1 6 . 5 1 1 59 9 8 1 - 1 6 5 - 2 2 P o rous Stem, 16.5 X 170mm, Straight 1 6 . 5 1 7 09 9 8 1 - 1 6 5 - 3 2 P o rous Stem, 16.5 X 170mm, Bow 1 6 . 5 1 7 09 9 8 1 - 1 6 5 - 3 3 P o rous Stem, 16.5 X 220mm, Bow 1 6 . 5 2 2 09 9 8 1 - 1 8 0 - 2 1 P o rous Stem, 18.0 X 115mm, Straight 1 8 . 0 1 1 59 9 8 1 - 1 8 0 - 2 2 P o rous Stem, 18.0 X 170mm, Straight 1 8 . 0 1 7 09 9 8 1 - 1 8 0 - 3 2 P o rous Stem, 18.0 X 170mm, Bow 1 8 . 0 1 7 09 9 8 1 - 1 8 0 - 3 3 P o rous Stem, 18.0 X 220mm, Bow 1 8 . 0 2 2 09 9 8 1 - 1 9 5 - 2 1 P o rous Stem, 19.5 X 115mm, Straight 1 9 . 5 1 1 59 9 8 1 - 1 9 5 - 2 2 P o rous Stem, 19.5 X 170mm, Straight 1 9 . 5 1 7 09 9 8 1 - 1 9 5 - 3 2 P o rous Stem, 19.5 X 170mm, Bow 1 9 . 5 1 7 09 9 8 1 - 1 9 5 - 3 3 P o rous Stem, 19.5 X 220mm, Bow 1 9 . 5 2 2 09 9 8 1 - 2 1 0 - 3 3 P o rous Stem, 21.0 X 220mm, Bow 2 1 . 0 2 2 09 9 8 1 - 2 2 5 - 3 3 P o rous Stem, 22.5 X 220mm, Bow 2 2 . 5 2 2 0

I n s t r u m e n t a t i o n *P rod. No. D e s c r i p t i o n9 9 6 1 - 0 0 - 0 0 P o rous Stem Provisional Set*9 9 7 0 - 0 0 - 0 0 P o rous Body Provisional Set*9 9 7 5 - 0 0 - 0 5 Straight Reamer Set*9 9 7 5 - 0 0 - 1 0 Flexible Reamer Set*9 9 7 5 - 0 0 - 2 0 P roximal Preparation Instrument Set*9 9 7 5 - 0 0 - 3 5 P o rous General Instrument Set*9 9 7 5 - 9 9 - 0 0 Case Lid

* Set includes case and contents without the 9975-99-00 Case Lid.The Case Lid must be ord e red separately.

Compression Nut* *P rod. No. D e s c r i p t i o n

9 9 8 2 - 9 9 - 0 2 L a rge Junction Nut* *C o m p ression Nuts are also packed with Distal Stems.

E ED

E

D C

F

A

D

+0 Head Center

Taper Stems C BS t e m S t e m

D i a m e t e r L e n g t hP rod. No D e s c r i p t i o n ( m m ) ( m m )

9 9 8 2 - 1 4 - 1 3 Taper Stem, 14mm x 135mm 1 4 1 3 59 9 8 2 - 1 4 - 1 8 Taper Stem, 14mm x 185mm 1 4 1 8 59 9 8 2 - 1 5 - 1 3 Taper Stem, 15mm x 135mm 1 5 1 3 59 9 8 2 - 1 5 - 1 8 Taper Stem, 15mm x 185mm 1 5 1 8 59 9 8 2 - 1 6 - 1 3 Taper Stem, 16mm x 135mm 1 6 1 3 59 9 8 2 - 1 6 - 1 8 Taper Stem, 16mm x 185mm 1 6 1 8 59 9 8 2 - 1 6 - 2 3 Taper Stem, 16mm x 235mm 1 6 2 3 59 9 8 2 - 1 7 - 1 3 Taper Stem, 17mm x 135mm 1 7 1 3 59 9 8 2 - 1 7 - 1 8 Taper Stem, 17mm x 185mm 1 7 1 8 59 9 8 2 - 1 7 - 2 3 Taper Stem, 17mm x 235mm 1 7 2 3 59 9 8 2 - 1 8 - 1 3 Taper Stem, 18mm x 135mm 1 8 1 3 59 9 8 2 - 1 8 - 1 8 Taper Stem, 18mm x 185mm 1 8 1 8 59 9 8 2 - 1 8 - 2 3 Taper Stem, 18mm x 235mm 1 8 2 3 59 9 8 2 - 1 9 - 1 3 Taper Stem, 19mm x 135mm 1 9 1 3 59 9 8 2 - 1 9 - 1 8 Taper Stem, 19mm x 185mm 1 9 1 8 59 9 8 2 - 1 9 - 2 3 Taper Stem, 19mm x 235mm 1 9 2 3 59 9 8 2 - 2 0 - 1 8 Taper Stem, 20mm x 185mm 2 0 1 8 59 9 8 2 - 2 0 - 2 3 Taper Stem, 20mm x 235mm 2 0 2 3 59 9 8 2 - 2 2 - 1 8 Taper Stem, 22mm x 185mm 2 2 1 8 59 9 8 2 - 2 2 - 2 3 Taper Stem, 22mm x 235mm 2 2 2 3 5

I n s t r u m e n t a t i o n *P rod. No. D e s c r i p t i o n9 9 7 2 - 0 0 - 0 0 Taper Provisional Set*9 9 7 5 - 0 0 - 1 5 Taper Reamer Set*9 9 7 5 - 0 0 - 3 0 Taper Assembly Instrument Set*9 9 7 5 - 9 9 - 0 0 Case Lid

* Set includes case and contents without the 9975-99-00 Case Lid.The Case Lid must be ord e red separately.

Assembled Implant Length

A + B = EBody Stem I m p l a n t

L e n g t h L e n g t h L e n g t h( m m ) ( m m ) ( m m )

7 5 1 3 5 2 1 07 5 1 8 5 2 6 07 5 2 3 5 3 1 08 5 1 3 5 2 2 08 5 1 8 5 2 7 08 5 2 3 5 3 2 09 5 1 3 5 2 3 09 5 1 8 5 2 8 09 5 2 3 5 3 3 0

Compression Nut** P rod. No. D e s c r i p t i o n

9 9 8 2 - 9 9 - 0 2 L a rge Junction Nut* *C o m p ression Nuts are also packed with Distal Stems.

Taper BodiesD

A O ffset (mm)Body Length When Head/Neck Component Selected is:

P rod. No. D e s c r i p t i o n ( m m ) - 3 . 5 + 0 + 3 . 5 + 7 + 1 0 . 5

9 9 9 2 - 7 5 - 4 0 7 5 m m, Taper Body, Standard Off s e t 7 5 3 6 . 5 3 9 4 1 . 5 4 4 4 6 . 59 9 9 2 - 7 5 - 4 5 75mm, Taper Body, Extended Off s e t 7 5 4 1 . 5 4 4 4 6 . 5 4 9 5 1 . 59 9 9 2 - 8 5 - 4 0 85mm, Taper Body, Standard Off s e t 8 5 3 6 . 5 3 9 4 1 . 5 4 4 4 6 . 59 9 9 2 - 8 5 - 4 5 85mm, Taper Body, Extended Off s e t 8 5 4 1 . 5 4 4 4 6 . 5 4 9 5 1 . 59 9 9 2 - 9 5 - 4 0 95mm, Taper Body, Standard Off s e t 9 5 3 6 . 5 3 9 4 1 . 5 4 4 4 6 . 59 9 9 2 - 9 5 - 4 5 95mm, Taper Body, Extended Off s e t 9 5 4 1 . 5 4 4 4 6 . 5 4 9 5 1 . 5

A

+0 Head Center

B

C

E

D

ZMR REVISION TAPER

Spout Spout Cone Calcar Taperw/Build-up

Bodies Body

Stems Stems

Spline Porous Taper

ZMR HIP SYSTEM

ZMR HIP SYSTEM

For more information re g a rding the Z M R H i pSystem, contact your Zimmer re p re s e n t a t i v e .

1 Saleh KJ, Gross AF, Gafni A, et al. Radiographic classification for failedhip art h ro p l a s t y. 53rd Annual Meeting, Canadian Ort h ro p a e d i cAssociation, Ottawa, Ontario, June 1998.

2 Emerson RH, Sanders SB, Head WC, et al. Effect of circ u m f e re n t i a lplasma-spray porous coating on the femoral osteolysis after total hipa rt h o p l a s t y. J Bone Joint Surg. 1 9 9 9 ; 8 1 - A ; 9 : 1 2 9 1 - 1 2 9 8 .

3 B o u rne RB, Rorabeck CH, Burkart BC, et al. Ingrowth surfaces –plasma spray coating to titanium alloy hip replacements. Clin Ort h o pRel Res. 1994;298:37-46.

4 Feighan JE, Goldberg VM, Davy D, et al. The influence of surf a c e -blasting in the incorporation of titanium-alloy implants in a rabbiti n t r a m e d u l l a ry model. J Bone Joint Surg . 1 9 9 5 ; 7 7 - A ; 9 : 1 3 8 0 - 1 3 9 5 .

5 Zweymuller KA, Lintner FK, Semlitsch MF. Biologic fixation of a pre s s - fittitanium hip joint endoprosthesis. Clin Ort h o p . 1 9 8 8 ; 2 3 5 : 1 9 5 - 2 0 6 .

6 Lintner F, Zweymuller, Brand G. Tissue reactions to titanium endo-p rosthesis. J Art h ro p l a s t y. 1986;1;3:183-195.

7 Michelinakis E, Papapolychroniou T, Va fiadis J. The use of a cement-less femoral component for the management of bone loss in re v i s i o nhip art h ro p l a s t y. Hosp for Joint Diseases. 1996;55;1:28-32.

8 H a rtwig CH, Bohm P, Czech U, et al. The Wagner revision stem ina l l o a rt h roplasty of the hip. A rch Ort h rop Trauma Surg. 1 9 9 6 ; 1 1 5 : 5 - 9 .

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