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1 The information contained in this document is intended for healthcare professionals only.
2 UHR Universal Head Bipolar System
3 T he Stryker Orthopaedics UHR Universal Head is a leader among bipolar component designs. Released in 1979 and patented in 1980, the UHR Universal Head introduced two important design concepts to the field of orthopaedics. The first was dynamic valgus, a neutral alignment of the head during component loading that minimized wear on the locking mechanism. The second was the development of a one-piece, positive locking mechanism that provided enhanced security against component disassembly. Both of these developments revolutionized bipolar designs. Today, the UHR Universal Head retains all the same design features and benefits, and has established effectiveness with 20+ years of positive clinical use. 1,2,3,4,5,6 No other bipolar design can make that claim. Time proven design, easy-to-use instrumentation and versatility regarding femoral component selection make the UHR Universal Head the logical choice for your hemiarthroplasty requirements. Dynamic Valgus Alignment The concept of dynamic valgus alignment was introduced by Stryker Orthopaedics to provide increased head coverage during component loading. A two millimeter displacement toward the dome of the UHR Universal Head minimizes inner bearing articulation from occurring on the locking mechanism, thus sparing the mechanism from undue wear.* Optimal Fit A large array of component sizes allows precise patient matching for optimal patient fit. Outer diameters from 41 to 72 millimeters allow the surgeon to meet the unique challenges posed in revision. UHR Universal Heads are available in an arrayment of sizes, 41 to 72mm, allowing for precise patient matching. One-Piece Locking Mechanism Patented in 1980, this positive-locking design is easy to use, yet provides enhanced security against component disassembly. Laboratory tests show that the UHR Universal Head can be assembled by hand with less than four pounds of force, while disassembly requires more than 200 pounds of extraction force without the patented key.** UHR Universal Head requires less than 4 lbs. of hand pressure for assembly. UHR Key Bipolar without dynamic valgus alignment. UHR Universal Head with dynamic valgus alignment. Disassembly of UHR Universal Head using the patented key. 200 lbs. of force is required without its use. * Perez, Fausto - Technical assessment, explanation of dynamic valgus concept. ** R&D Internal Tech Report - RD830624, Technical Report - MT 00035, 00083
4 Beveled Lip The outer bevel decreases the likelihood of cup impingement on bony structures thereby increasing the likelihood for successful closed reduction (Figure 1). A B Figure 2. The UHR component features a reduced corner angle A and reduced step B. The probability of cup impingement occurring is a function of the natural geometry of the pelvis and the geometry of the bipolar prosthesis. The UHR Universal Head incorporates both a reduced step and a smoother corner angle (Figure 2). Together, these criteria provide a component that is less likely to lock onto the bony rim of the pelvis and less difficult to unlock should it become unavoidable. Clinical History Over 20 years of clinical use have made the Stryker Orthopaedics UHR Universal Head the premier bipolar system available today. 1,2,3,4,5,6 The UHR Universal Head shows superior results when compared to traditional endoprosthetic devices. 5,7,8 Compatibility The UHR Universal Head component will mate with any Stryker Orthopaedics femoral component and bearing head of comparable OD. An extensive implant matrix enables the surgeon to precisely match patient demand with the appropriate implant style.
5 UHT Universal Bipolar & Unipolar Instrument System Top Tray Bipolar/Unipolar Trial, 38mm Bipolar/Unipolar Trial, 40mm Bipolar/Unipolar Trial, 41mm Bipolar/Unipolar Trial, 42mm Bipolar/Unipolar Trial, 43mm Bipolar/Unipolar Trial, 44mm Bipolar/Unipolar Trial, 45mm Bipolar/Unipolar Trial, 46mm Bipolar/Unipolar Trial, 47mm Bipolar/Unipolar Trial, 48mm Bipolar/Unipolar Trial, 49mm Bipolar/Unipolar Trial, 50mm Bipolar/Unipolar Trial, 51mm Bipolar/Unipolar Trial, 52mm Bipolar/Unipolar Trial, 53mm Bipolar/Unipolar Trial, 54mm Bipolar/Unipolar Trial, 55mm Bipolar/Unipolar Trial, 56mm Bipolar/Unipolar Trial, 58mm Bipolar/Unipolar Trial, 61mm Bipolar/Unipolar Trial, 64mm Bipolar/Unipolar Trial, 68mm Bipolar/Unipolar Trial, 72mm Trial Head, V40-4mm Trial Head, V40-3mm Trial Head, V40 STD Trial Head, V40 +4mm Trial Head, V40 +8mm Trial Head, V40 +12mm Trial Head, V40 +16mm A Trial Head, C-Taper -2.5mm A Trial Head, C-Taper -3mm A Trial Head, C-Taper STD A Trial Head, C-Taper +2.5mm A Trial Head, C-Taper +5mm A Trial Head, C-Taper +7.5mm A Trial Head, C-Taper +10mm Uni Adapter Sleeve UHR Bipolar Existing Instruments HI-UHRK-26 HI-UHRK-28 26mm UHR Head Removal Key 28mm UHR Head Removal Key UHT Universal Bipolar & Unipolar Instrument System Bottom Level Instrument Case and Lid Trial Head Handle Cork Screw Femoral Head Caliper Unitrax Bipolar Existing Instruments Sleeve to Head Disassembly Tool V40 Sleeve Removal Chuck C-Taper Sleeve Removal Chuck Sleeve to Trunion Disassembly Tool Unitrax Sleeve Impactor UHR Universal Head System Comprehensive Size Array Outer Inner Diameters Diameters 26mm 28mm 41mm UH mm UH mm UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH mm UH UH References 1. Green S, Moore T, Proano F. Bipolar prosthetic replacement for the management of unstable intertrochanteric hip fractures in the elderly. Clinical Orthopaedics and Related Research. November 1987; 224: Bowman AJ Jr, Walker MW, Kilfoyle RM, O Brien PI, McConville JF. Experience with the bipolar prosthesis in hip arthroplasty: A clinical study. Orthopedics. April 1985; 8(4): Nottingham RL. Treatment of a femoral neck fracture with a Universal Hip Replacement: A case report. Osteonics Clinical Case Reports Bernasek TL. Prosthetic replacement for extracapsular fractures of the hip. Techniques in Orthopaedics. 1989; 4(2): Takaoka, K, et al. Bipolar prosthetic replacement for the treatment of avascular necrosis of the femoral head. Clinical Orthopaedics and Related Research. April 1992; 277: Bochner RM, Pellicci PM, Lyden JP. Bipolar hemiarthroplasty for fracture of the femoral neck: Clinical review with special emphasis on prosthetic motion. Journal of Bone and Joint Surgery. August 1988; 70A(7): Sarmiento A, Gerarard F. Total hip arthroplasty for failed endoprostheses Clinical Orthopaedics and Related Research. Nov/Dec. 1978; 137: Austin-Moore Good results in femoral neck fractures. Orthopaedic Review. July 1983 Vol. XlI No.7: 84. Refer UHT Bipolar & Unipolar Instrument System Technique (Lit. No. LSP45) for protocol. Note: The UHT Bipolar & Unipolar Instrument System accommodates: - C-taper or V-40 trial heads - C-taper or V-40 Unitrax sleeve removal chucks - 26mm or 28mm UHR head removal keys The information presented in this brochure is intended to demonstrate the breadth of Stryker product offerings. Always refer to the package insert, product label and/or user instructions before using any Stryker product. Surgeons must always rely on their own clinical judgment when deciding which treatments and procedures to use with patients. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. The marks bearing the symbol are trademarks of Stryker. The marks bearing the symbol are registered trademarks of Stryker. Literature Number: LUHRB MS/GS 1.5m 08/05 Copyright 2005 Stryker Printed in USA 325 Corporate Drive Mahwah, NJ t:
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