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Advantages
Why
Big Heads?
Dislocation following primary and revision total hip arthroplasty
continues to be one of the primary factors of early implant failure.
Early dislocation still remains a significant problem despite
improvements in surgical technique, joint alignment, and implant design.
Reported occurrence ranges from 2% to 10% for primary replacement and
10% to 20% for revision arthroplasty.1-4, 8 The introduction
of the large diameter CONSERVE® Total
Hip femoral heads increases range of
motion. This reduces the chance for impingement and subsequent
dislocation. Additionally, the CONSERVE® Total
Hip system has no skirts thus
creating better range of motion. All of these factors coupled with the
low wear metal on metal articulation make CONSERVE® Total
Hip a great choice
for today’s orthopaedic surgeon.
DESIGN RATIONALE
The CONSERVE® Total Hip System with BFH® Technology is designed to
eliminate dislocation. Because the human femoral head is large in
nature, it therefore makes sense to implant a large, anatomic
replacement. This was not possible in the past due to the necessity for
polyethylene liners, which decreased the viability of large, anatomic
femoral heads. However, with the introduction of metal-on-metal
articulation we can now eliminate liners. This not only eliminates the
metal liner/metal cup interface, but it allows surgeons to utilize large
femoral heads. In fact, the BFH® system has heads ranging from
36-54mm in diameter.
The largest head (54mm) coupled with a -3.5mm head length actually
produces 167° range of motion. Along with this incredible range of
motion, the CONSERVE® Total Hip System has a theoretical jumping distance
of up to 24mm. This means that the femoral head must travel 24mm before
it will dislocate, once it impinges.
The BFH® femoral head design gives surgeons the benefits of both large head
sizes and low wear implants.
ANATOMIC SIZE FEMORAL HEADS
Forget worrying about reaching the largest acetabular size possible
just to reach a 36mm femoral head. With the CONSERVE® Total
Hip, anatomically
sized femoral heads are available for every acetabular size. Femoral
heads range from 36-54mm in the CONSERVE® Total
Hip system.
SIZE
RANGES
HEAD
Outside
Diameter |
CUP
Outside
Diameter |
% INCREASE IN
HEAD
SIZE vs. 28MM |
|
36mm |
46mm |
28 % |
|
38mm |
48mm |
36 % |
|
40mm |
50mm |
43 % |
|
42mm |
52mm |
50 % |
| 44mm |
54mm |
57 % |
| 46mm |
56mm |
64 % |
| 48mm |
58mm |
72 % |
| 50mm |
60mm |
79 % |
| 52mm |
62mm |
86 % |
| 54mm |
64mm |
92 % |
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There is always a 10mm difference between the head and cup.
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JUMP DISTANCE
The result of this increased femoral head diameter is an
anatomically sized femoral head with a significantly larger dislocation
height. With BFH® Technology, dislocation “jump height” reaches 24mm as
compared to 16mm for more traditional size femoral heads.5
CONSERVE®
Total Hip System “Jump Distance” and Range of Motion (ROM)
with PERFECTA®
Slim Neck Stem (3904-1050)
| HEAD
DIAMETER |
JUMP
DISTANCE |
-3.5 mm NECK ROM |
+0
mm NECK ROM |
+3.5
mm NECK ROM |
|
36mm |
16.0mm |
147 |
151 |
155 |
|
38mm |
17.0mm |
148 |
152 |
156 |
|
40mm |
17.9mm |
150 |
153 |
157 |
|
42mm |
18.8mm |
151 |
154 |
157 |
| 44mm |
19.7mm |
152 |
155 |
155 |
| 46mm |
20.7mm |
154 |
156 |
158 |
| 48mm |
21.6mm |
157 |
156 |
159 |
| 50mm |
22.5mm |
161 |
157 |
159 |
| 52mm |
23.4mm |
164 |
158 |
160 |
| 54mm |
24.4mm |
167 |
159 |
160 |
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