For Instructions for Cleaning, Sterilization, Inspection and Maintenance of Orthopaedic Medical Devices, refer to LSTPI_B.
CONTRAINDICATIONS
• activeinfectionorsuspectedlatentinfectioninoraboutthe
hip joint;
• bonestockthatisinadequateforsupportorxationofthe
prosthesis;
• skeletalimmaturitypatients;and,
• anymentalorneuromusculardisorderthatwouldcreatean
unacceptableriskofinstability,prosthesisxationfailureor
complicationsinpostoperativecare.
WARNINGS AND PRECAUTIONS
Seepackageinsertforwarnings,precautions,adverseeffects
andotheressentialproductinformation.BeforeusingSecur-Fit
AdvancedSteminstrumentation,verify:
• Instrumentshavebeenproperlydisassembledpriortocleaning
and sterilization;
• Instrumentshavebeenproperlyassembledpost-sterilization;
• Instrumentshavemaintaineddesignintegrity;and,
• Propersizecongurationsareavailable.
TABLE OF CONTENTS
Pre-OperativePlanning .................................2
FemoralNeckResection ................................3
PreparingtheFemoralCanal ............................4
TrochantericReaming ..................................6
Broaching ...........................................8
TrialReduction ......................................10
ImplantingtheStem ..................................12
FinalReduction ......................................14
Extraction ..........................................15
ImplantandInstrumentInformation. . . . . . . . . . . . . . . . . . . . . . .16
INDICATIONS
Indicationsforuseinclude:
• Noninammatorydegenerativejointdiseaseincluding
osteoarthritisandavascularnecrosis;
• Rheumatoidarthritis;
• Correctionoffunctionaldeformity;
• Revisionprocedureswhereothertreatmentsordeviceshave
failed; and,
• Nonunions,femoralneckandtrochantericfracturesofthe
proximalfemurwithheadinvolvementthatareunmanageable
usingothertechniques.
AdditionalindicationspecictouseofSecur-FitAdvancedHip
StemswithcompatibleHowmedicaOsteonicsConstrainedLiners:
• WhenthestemistobeusedwithcompatibleHowmedica
OsteonicsConstrainedLiners,thedeviceisintendedforusein
primaryorrevisionpatientsathighriskofhipdislocationdue
toahistoryofpriordislocation,boneloss,softtissuelaxity,
neuromusculardisease,orintra-operativeinstability.
Secur-FitAdvancedHipStemsareintendedforcementlessuse
onlyandareintendedfortotalandhemiarthroplastyprocedures.