Prostheses used in hip, knee and ankle replacement procedures, th Annual Report. National Joint Registry for England and Wales

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1 ISSN (Online) Prostheses used in hip, knee ankle replacement, 2010 for Engl Wales 8 th Annual Report 2011

2 Contents 1 Prostheses used in hip, Femoral head material size Br sales of conventional total hips resurfacing prostheses Combinations of cups stems Summary Prostheses used in knee, Prostheses entered into the NJR Usage of fixed versus mobile bearing tibial inserts Prostheses used in ankle, Cement use, Bone substitute use, Tables Table 1 Frequency of material chosen for femoral heads in performed in Table 2 Frequency of femoral head sizes for performed in Table 3(a) Cemented cup brs for primary hip performed during Table 3(b) Cemented cup brs for revision hip performed during Table 4(a) Cementless cup brs for primary hip performed during Table 4(b) Cementless cup brs for revision hip performed during Table 5(a) Cemented stem brs for primary hip performed during Table 5(b) Cemented stem brs for revision hip performed during Table 6(a) Cementless stem brs for primary hip performed during Table 6(b) Cementless stem brs for revision hip performed during Table 7 Brs of resurfacing heads for primary hip performed during Table 8 Brs of resurfacing cup used with a conventional stem for primary hip performed during Table 9(a) Cup-stem br combinations for primary hip performed during Table 9(b) Cup-stem br combinations for revision hip performed during Table 10(a) Total condylar knee brs for primary total knee performed during Table 10(b) Total condylar knee brs for revision knee performed during Table 11 Unicondylar knee brs for primary revision unicondylar knee replacement performed during Table 12 Patello-femoral joint brs for primary revision patello-femoral joint replacement performed during Table 13 Fixed rotating hinged knee brs for primary revision knee performed during Table 14 Tibial insert type for primary revision knee performed during Table 15(a) Ankle brs for primary ankle performed during Table 15(b) Ankle brs for revision ankle performed during Table 16 Type of cement used in hip, knee ankle replacement performed during Table 17(a) Brs of regular or high viscosity antibiotic bone cement used in hip performed during Table 17(b) Brs of regular or high viscosity antibiotic bone cement used in knee performed during Table 17(c) Brs of regular or high viscosity antibiotic bone cement used in ankle performed during Table 17(d) Brs of low viscosity antibiotic bone cement used in hip performed during Table 17(e) Brs of low viscosity antibiotic bone cement used in knee performed during Table 17(f) Brs of low viscosity antibiotic bone cement used in ankle performed during Table 18(a) Brs of regular or high viscosity non-antibiotic bone cement used in hip performed during Table 18(b) Brs of regular or high viscosity non-antibiotic bone cement used in knee performed during Table 18(c) Brs of regular or high viscosity non-antibiotic bone cement used in ankle performed during Table 18(d) Brs of low viscosity non-antibiotic bone cement used in hip performed during Table 18(e) Brs of low viscosity non-antibiotic bone cement used in knee performed during Table 18(f) Brs of low viscosity non-antibiotic bone cement used in ankle performed during Table 19 Brs of synthetic bone substitute used during

3 for Engl Wales 8 th Annual Report 1 Prostheses used in hip, 2010 This section reports the numbers of prostheses implanted reported to the NJR between 1st January 31st December The procedure counts in this section of the report may vary to the procedure counts in Part 2 of the Annual Report. This section counts the where the implants being described have been used. If a procedure has been submitted with missing implants then this will cause a mis. 1.1 Femoral head material size Table 1 shows the relative usage of different femoral heads. There has been a 5% decrease in the use of metallic heads a 5% increase in the use of alumina heads compared with Since 2008 there has been a 10% decrease in the use of metallic heads. Table 1 Frequency of material chosen for femoral heads in performed in Material Number of Number of femoral heads used 76,194 69,042 metallic 43,352 63% alumina 25,543 37% zirconia 147 <1% % Table 2 Frequency of femoral head sizes for performed in Head size (mm) Number of Number of femoral heads used 76,194 69, ,168 2% 26 1,114 2% 28 29,623 43% 32 16,709 24% ,441 30% 1.2 Br sales of conventional total hips resurfacing prostheses Tables 3 to 8 show the most frequently used brs in Engl Wales during 2010, as assessed by their rate of entry into the NJR database. The level of assessment according to ODEP criteria is given in the final column. The tables have been split into two to show br usage in primary revision separately. % Table 2 shows the frequency of the different femoral head sizes. The main changes compared with 2009 are a 3% increase in the use of large heads classified as 36+ size a 3% increase in the use of 32mm heads. 3

4 Table 3(a) Cemented cup brs for primary hip performed during Manufacturer Br Number of 22,296 % ODEP rating Stryker CONTEMPORARY 7,772 35% 5A ELITE PLUS OGEE 2,770 12% 10A ELITE PLUS CEMENTED 1,832 8% 10A MARATHON 1,496 7% Pre-entry Stryker EXETER DURATION 1,433 6% 10A OPERA 1,199 5% 5B ZCA 998 4% 10A LOW PROFILE MULLER 933 4% Unclassified CHARNLEY OGEE 802 4% 10A CHARNLEY CEMENTED 696 3% 10A STANMORE-ARCOM 390 2% 10A Corin CENATOR CEMENTED 361 2% 3A APOLLO 283 1% Pre-entry Mathys Orthopaedics CCB MATHYS 264 1% 10A WROBLEWSKI GOLF BALL 168 1% 5B ARCOM SHP 146 1% 5A FURLONG CEMENTED 138 1% 10B Stryker EXETER RIMFIT 109 <1% 10A REFLECTION CEMENTED 78 <1% 7A Waldemar Link INTERPLANTA 64 <1% Unclassified Waldemar Link LINK FLANGE 60 <1% Unclassified Waldemar Link SNAP FIT 56 <1% Unclassified B Braun / Aesculap CHIRULEN 55 <1% Unclassified CMK CEMENTED 48 <1% Unclassified ULTIMA CEMENTED 42 <1% Discontinued JRI CEMENTED 24 <1% Unclassified Implants International EDINBURGH 22 <1% Unclassified Implants International CCB 13 <1% Unclassified Stryker DURATION 12 <1% Unclassified Finsbury SLF CEMENTED (FINSBURY) 8 <1% 10C WROBLEWSKI ANGLE BORE SOCKET 5 <1% 7B ELITE PLUS FLANGED 4 <1% 10A 4

5 for Engl Wales 8 th Annual Report Manufacturer Br Number of % ODEP rating BIOMET BI-POLAR CEMENTED 3 <1% Not ODEP Rated Product Orthodynamics ORTHODYNAMICS 3 <1% Unclassified B Braun / Aesculap ALFA CEMENTED 2 <1% Unclassified FREEDOM 2 <1% Unclassified METASUL-MULLER 2 <1% Unclassified ASR <1% Unclassified CHARNLEY KS 1 <1% Unclassified SOLUTION CEMENTED 1 <1% Unclassified 5

6 Table 3(b) Cemented cup brs for revision hip performed during Manufacturer Br Number of 1,328 Stryker CONTEMPORARY % MARATHON % ELITE PLUS OGEE % ELITE PLUS CEMENTED % OPERA 68 5% Stryker EXETER DURATION 48 4% CHARNLEY CEMENTED 42 3% Corin CENATOR CEMENTED 40 3% LOW PROFILE MULLER 40 3% ZCA 23 2% STANMORE-ARCOM 22 2% CHARNLEY OGEE 22 2% Stryker EXETER RIMFIT 19 1% WROBLEWSKI GOLF BALL 13 1% % FURLONG CEMENTED 13 1% REFLECTION CEMENTED 12 1% B Braun / Aesculap CHIRULEN 11 1% Waldemar Link SNAP FIT 9 1% JRI CEMENTED 8 1% ELITE PLUS FLANGED 6 <1% Waldemar Link INTERPLANTA 6 <1% APOLLO 5 <1% ARCOM SHP 5 <1% WROBLEWSKI ANGLE BORE SOCKET 5 <1% Implants International EDINBURGH 5 <1% HI-WALL 3 <1% ULTIMA CEMENTED 3 <1% Mathys Orthopaedics CCB MATHYS 3 <1% BIOMET BI-POLAR CEMENTED 2 <1% BIOMET MULLER 1 <1% CMK CEMENTED 1 <1% Corin CTI CEMENTED 1 <1% Corin HI-NEK CEMENTED 1 <1% CHARNLEY KS 1 <1% 6

7 for Engl Wales 8 th Annual Report Manufacturer Br Number of % SOLUTION CEMENTED 1 <1% Finsbury SLF CEMENTED (FINSBURY) 1 <1% CUSTOM HC 1 <1% Stryker DURATION 1 <1% Stryker ODC 1 <1% Waldemar Link LINK FLANGE 1 <1% 7

8 Table 4(a) Cementless cup brs for primary hip performed during Manufacturer Br Number of % ODEP Rating 42,312 PINNACLE 14,246 34% 7A Stryker TRIDENT 7,995 19% 5A TRILOGY 3,305 8% 7A CSF PLUS 3,114 7% Unclassified EXCEED 2,705 6% 5A CSF 1,123 3% 10A REFLECTION 1,087 3% 7A CONTINUUM 836 2% Pre-entry Wright Medical UK PROCOTYL 750 2% Pre-entry EPF-PLUS 743 2% 3A ALLOFIT 635 2% 5A DURALOC 626 1% 10A Finsbury DELTA MOTION 626 1% Pre-entry 493 1% 5A Corin TRINITY 457 1% Pre-entry B Braun / Aesculap PLASMA 376 1% 5A Stryker TRITANIUM 238 1% Pre-entry SP3 HA 218 1% Unclassified Medacta UK VERSAFIT 209 <1% Unclassified Stryker ABG II 206 <1% 5A Lima WG Healthcare DELTA TT 204 <1% Unclassified FH Newtech Ortho ATLAS IIIP 178 <1% Unclassified Lima WG Healthcare LIMA/WG REVISION 175 <1% Unclassified POLAR 173 <1% 5A Symbios SA APRIL 153 <1% Unclassified MALLORY-HEAD 151 <1% 5A M2A 131 <1% Unclassified DURALOC OPTION 124 <1% 10A Mathys Orthopaedics RM (MATHYS) 115 <1% 10A BICON-PLUS 107 <1% 10A Mathys Orthopaedics SELEXYS TH 88 <1% Pre-entry MMC 75 <1% Unclassified 8

9 for Engl Wales 8 th Annual Report Manufacturer Br Number of % ODEP Rating AVANTAGE 57 <1% 10C MONOBLOCK 55 <1% 5A Implantcast GmbH IMPLANTCAST 42 <1% Unclassified TRILOGY IT 37 <1% 7A FURLONG THREADED 36 <1% 10A ZIMMER DELTA 35 <1% Unclassified Orthodynamics NOVAE STICK 34 <1% 10B LOW PROFILE MULLER 34 <1% Unclassified CLS 33 <1% 10A REGENEREX 29 <1% Unclassified Mathys Orthopaedics SELEXYS PC 27 <1% Pre-entry GYROS 25 <1% Unclassified REVISION SHELL 25 <1% Pre-entry Orthodynamics NOVAE SF 22 <1% 10B Stryker SECURE FIT 22 <1% 5A Implants International RM (IMPLANT INTERNATIONAL) 15 <1% Unclassified Waldemar Link TOP 15 <1% Unclassified Amplitude SATURNE 12 <1% 3B R3 12 <1% Pre-entry FITMORE 12 <1% 7B UNIVERSAL II 11 <1% 5A Corin DC-FIT 10 <1% Unclassified Stryker RESTORATION GAP2 10 <1% Unclassified TRIBOFIT 6 <1% Unclassified J-LOC 5 <1% Unclassified Exactech (UK) NOVATION 5 <1% Unclassified Wright Medical UK CONSERVE-PLUS 4 <1% Pre-entry Lima WG Healthcare LIMA DELTA REVISION 3 <1% Unclassified Orthodynamics NOVAE 3 <1% 10B CUSTOM t Applicable Surgicraft SPLIT 2 <1% Unclassified Amplitude HORIZON 1 <1% 3A 9

10 Manufacturer Br Number of % ODEP Rating BIHAPRO 1 <1% 7B PAR 5 RINOWL 1 <1% Unclassified RANAWAT/BURSTEIN 1 <1% Unclassified ESKA/TriMed TRICON 1 <1% Unclassified Exactech (UK) ACUMATCH 1 <1% Unclassified Orthodynamics SUNFIT 1 <1% Unclassified Stryker GAP RING 1 <1% Unclassified Waldemar Link PROCOTYL 1 <1% Unclassified Wright Medical UK CUSTOM t Applicable 10

11 for Engl Wales 8 th Annual Report Table 4(b) Cementless cup brs for revision hip performed during Manufacturer Br Number of % 4, % PINNACLE % Stryker TRIDENT % Stryker TRITANIUM % TRILOGY 246 6% REVISION SHELL 211 5% REGENEREX 156 4% CONTINUUM 148 3% CSF PLUS 138 3% REFLECTION 89 2% Lima WG Healthcare LIMA/WG REVISION 86 2% EXCEED 78 2% Lima WG Healthcare DELTA TT 62 1% Orthodynamics NOVAE STICK 57 1% B Braun / Aesculap PLASMA 42 1% MALLORY-HEAD 41 1% CSF 39 1% Wright Medical UK PROCOTYL 36 1% Stryker RESTORATION GAP2 33 1% Finsbury DELTA MOTION 29 1% Amplitude SATURNE 27 1% DURALOC 27 1% Stryker SECURE FIT 20 <1% POLAR 17 <1% AVANTAGE 16 <1% Lima WG Healthcare LIMA DELTA REVISION 13 <1% MONOBLOCK 12 <1% EPF-PLUS 9 <1% ALLOFIT 9 <1% Corin TRINITY 7 <1% Orthodynamics NOVAE 7 <1% 11

12 Manufacturer Br Number of % Orthodynamics NOVAE SF 7 <1% FH Newtech Ortho ATLAS IIIP 6 <1% DURALOC OPTION 5 <1% GYROS 5 <1% Mathys Orthopaedics RM (MATHYS) 4 <1% FURLONG THREADED 3 <1% Medacta UK VERSAFIT 3 <1% SP3 HA 3 <1% TRILOGY IT 3 <1% M2A 2 <1% PAR 5 RINOWL 2 <1% S-ROM 2 <1% ZIMMER DELTA 2 <1% ROMANUS II 1 <1% OCTOPUS 1 <1% Exactech (UK) ACUMATCH 1 <1% BOFOR 1 <1% R3 1 <1% Stryker ABG II 1 <1% Stryker GAP RING 1 <1% LOW PROFILE MULLER 1 <1% 12

13 for Engl Wales 8 th Annual Report Table 5(a) Cemented stem brs for primary hip performed during Manufacturer Br Number of % ODEP Rating 32,076 Stryker EXETER V40 20,186 63% 10A CPT 3,422 11% 10A CHARNLEY CEMENTED 1,446 5% 10A C- CEMENTED 1,393 4% 10B C- AMT CEMENTED 1,023 3% 3A STANMORE MODULAR 857 3% 10A CPCS 557 2% 3A MS % 10B MULLER-BIOMET 367 1% 5B MULLER STR 313 <1% 10A Mathys Orthopaedics CCA CEMENTED 214 <1% 10A CPS-PLUS 204 <1% 7A Waldemar Link SP II CEMENTED 179 <1% 10A CHARNLEY MODULAR 164 <1% 7A OLYMPIA 162 <1% 5B FURLONG CEMENTED 105 <1% 10C SPECTRON 98 <1% 10A TAPERLOC CEMENTED 92 <1% Pre-entry Corin TAPERFIT CEMENTED 86 <1% 7B Stryker RESTORATION CEMENTED 80 <1% Unclassified SL-PLUS CEMENTED 75 <1% Unclassified CMK CEMENTED 49 <1% 10C B Braun / Aesculap EXCIA-CEMENTED 46 <1% Unclassified P10 MULLER 46 <1% 10A Stryker OMNIFIT CEMENTED 42 <1% 10A Finsbury LPR CEMENTED 39 <1% Unclassified Wright Medical UK PROFEMUR CEMENTED 32 <1% Pre-entry BIMETRIC CEMENTED 30 <1% 10A CORAIL CEMENTED 25 <1% Pre-entry Lima WG Healthcare LIMA/WG REVISION 24 <1% Unclassified VERSYS HERITAGE 19 <1% 5A B Braun / Aesculap CENTRAMENT 17 <1% Unclassified Stryker EXETER 14 <1% 10A Implants International EDINBURGH 13 <1% Unclassified 13

14 Manufacturer Br Number of % ODEP Rating MONOBLOC STANMORE 12 <1% 10A Waldemar Link SP <1% 10A Peter Brehm GmbH Corin PETER BREHM REVISION 9 <1% Unclassified SUMMIT CEMENTED 7 <1% 3A CPS 7 <1% Unclassified Waldemar Link MP NECK CEMENTED 7 <1% Unclassified Corin CTI CEMENTED 6 <1% Unclassified LOL CEMENTED 6 <1% Unclassified VERSYS CEMENTED 6 <1% 5A ELITE PLUS CEMENTED 5 <1% 10A Finsbury FREEMAN CEMENTED FINSBURY 5 <1% 10C FURLONG LOL 5 <1% Unclassified Implantcast GmbH IMPLANTCAST CEMENTED 4 <1% Unclassified ECHELON CEMENTED 4 <1% Unclassified Waldemar Link WAGNER REVISION 4 <1% Unclassified MALLORY-HEAD CEMENTED 3 <1% Unclassified SHP 3 <1% Unclassified LPS 3 <1% Unclassified SLR-PLUS CEMENTED 3 <1% Unclassified Stryker GMRS 3 <1% Unclassified Corin OXFORD UNIVERSAL HIP (CORIN) CEMENTED 2 <1% Unclassified Mathys Orthopaedics MATHYS REVISION 2 <1% Unclassified Stanmore Implants Worldwide METS 2 <1% Unclassified Waldemar Link MEGA SY 2 <1% Unclassified MAYO CEMENTED 2 <1% Unclassified B Braun / Aesculap BICONTACT CEMENTED 1 <1% 10C B Braun / Aesculap PREVISION CEMENTED 1 <1% Unclassified WROBLEWSKI RESECTION 1 <1% Unclassified Exactech (UK) ACUMATCH M-SERIES 1 <1% Unclassified Implantcast GmbH IMPLANTCAST CEMENTED 1 <1% Unclassified Jointmedica Limited LOL CEMENTED 1 <1% Unclassified Orthodynamics CANNULOK CEMENTED 1 <1% Unclassified Stanmore Implants Worldwide CUSTOM DEVICE t Applicable ZMR CEMENTED 1 <1% Unclassified 14

15 for Engl Wales 8 th Annual Report Table 5(b) Cemented stem brs for revision hip performed during Manufacturer Br Number of % Procedures using femoral bone graft 3, Stryker EXETER V40 1,372 43% 80 Stryker RESTORATION CEMENTED % 78 CPT 303 9% 11 C- CEMENTED 188 6% 16 Waldemar Link MP NECK CEMENTED 79 2% 15 C- AMT CEMENTED 68 2% 2 Lima WG Healthcare LIMA/WG REVISION 62 2% 13 STANMORE MODULAR 44 1% 1 OXFORD UNIVERSAL HIP (BIOMET) CEMENTED 41 1% 9 Peter Brehm GmbH Corin PETER BREHM REVISION 35 1% 3 B Braun / Aesculap PREVISION CEMENTED 26 <1% 12 Stryker GMRS 23 <1% 0 CHARNLEY CEMENTED 21 <1% 1 Waldemar Link SP II CEMENTED 19 <1% 0 MULLER-BIOMET 18 <1% 0 Stanmore Implants Worldwide FURLONG CEMENTED 14 <1% 0 METS 14 <1% 0 MS <1% 0 ZMR CEMENTED 13 <1% 5 CPCS 11 <1% 0 TAPERLOC CEMENTED 10 <1% 0 WROBLEWSKI RESECTION 10 <1% 6 Corin TAPERFIT CEMENTED 8 <1% 0 ELITE PLUS CEMENTED 8 <1% 6 LPS 8 <1% 0 SPECTRON 8 <1% 0 MALLORY-HEAD CEMENTED 6 <1% 1 MULLER STR 6 <1% 0 CHARNLEY MODULAR 5 <1% 0 Finsbury FREEMAN CEMENTED FINSBURY 5 <1% 0 CPS-PLUS 5 <1% 0 Stanmore Implants Worldwide CUSTOM DEVICE 5 <1% 0 15

16 Manufacturer Br Number of % Procedures using femoral bone graft B Braun / Aesculap EXCIA-CEMENTED 4 <1% 0 Corin OXFORD UNIVERSAL HIP (CORIN) CEMENTED 4 <1% 4 CORAIL CEMENTED 4 <1% 0 Implants International EDINBURGH 4 <1% 0 Mathys Orthopaedics MATHYS REVISION 4 <1% 1 B Braun / Aesculap BICONTACT CEMENTED 3 <1% 0 ECHELON CEMENTED 3 <1% 1 Stryker EXETER 3 <1% 0 Wright Medical UK PROFEMUR CEMENTED 3 <1% 0 P10 MULLER 3 <1% 0 OLYMPIA 2 <1% 0 B Braun / Aesculap CENTRAMENT 1 <1% 0 BIMETRIC CEMENTED 1 <1% 0 Corin CTI CEMENTED 1 <1% 0 SUMMIT CEMENTED 1 <1% 0 Finsbury LPR CEMENTED 1 <1% 0 Implantcast GmbH MUTARS 1 <1% 0 LOL CEMENTED 1 <1% 0 Mathys Orthopaedics CCA CEMENTED 1 <1% 0 Orthodynamics CANNULOK CEMENTED 1 <1% 0 MDF MODULAR 1 <1% 0 SL-PLUS CEMENTED 1 <1% 0 Stryker OMNIFIT CEMENTED 1 <1% 0 VERSYS CEMENTED 1 <1% 0 16

17 for Engl Wales 8 th Annual Report Table 6(a) Cementless stem brs for primary hip performed during Manufacturer Br Number of % ODEP Rating 32,292 CORAIL 15,239 47% 10A FURLONG HAC 3,931 12% 10A Stryker ACCOLADE 3,307 10% 5A TAPERLOC 2,384 7% 10A Wright Medical UK PROFEMUR 781 2% Pre-entry SL-PLUS 671 2% 10A SYNERGY 623 2% 5A BIMETRIC 600 2% 10A CLS 538 2% 10A M/L TAPER 488 2% Pre-entry S-ROM 258 <1% 10A Stryker ABG II 251 <1% 5B Corin METAFIX 238 <1% Pre-entry B Braun / Aesculap EXCIA 237 <1% 5A VERSYS 193 <1% various ANTHOLOGY 192 <1% Pre-entry Finsbury FINSBURY TYPE C 171 <1% Pre-entry TRILOCK BPS 153 <1% Unclassified Lima WG Healthcare H MAX 149 <1% Unclassified Medacta UK AMIS 139 <1% Unclassified POLAR 130 <1% Pre-entry BIRMINGHAM HEAD RESECTION 124 <1% Pre-entry M/L TAPER KINECTIV 117 <1% Pre-entry Corin MINIHIP 112 <1% Pre-entry Wright Medical UK ANCAFIT 99 <1% 3A Symbios SA SPS 94 <1% 7B SILENT 92 <1% Pre-entry Mathys Orthopaedics TWINSYS 90 <1% Pre-entry TRABECULAR 87 <1% Pre-entry SUMMIT 78 <1% 5A DEPUY PROXIMA 75 <1% Pre-entry Stryker OMNIFIT 75 <1% 10A Medacta UK QUADRA 67 <1% Unclassified ZWEYMULLER 56 <1% 10A Mathys Orthopaedics CBC 52 <1% Pre-entry FITMORE 52 <1% Unclassified Lima WG Healthcare LIMA SL 37 <1% Unclassified 17

18 Manufacturer Br Number of % ODEP Rating B Braun / Aesculap BICONTACT 34 <1% 10A CORAIL REVISION 25 <1% Not Applicable FH Newtech Ortho FH MODULAR 24 <1% Unclassified Finsbury FREEMAN 24 <1% 10C KAR 21 <1% Unclassified Symbios SA HARMONY 21 <1% Unclassified MICRO TAPERLOC 19 <1% Unclassified ALLOCLASSIC 17 <1% 10A Orthodynamics CANNULOK 13 <1% Unclassified REVITAN PROXIMAL 12 <1% Unclassified Corin PANATOMIC 11 <1% Unclassified B Braun / Aesculap METHA 8 <1% 3A Waldemar Link CFP 8 <1% Unclassified SOLUTION 7 <1% Unclassified ASIAN 6 <1% Unclassified REEF 6 <1% Unclassified Finsbury FTS 6 <1% Pre-entry EXCEPTION 5 <1% Unclassified Exactech (UK) NOVATION 5 <1% Pre-entry ZMR PROXIMAL 5 <1% Unclassified SYNERGY 4 <1% Unclassified AURA II 3 <1% 7A CONELOCK 3 <1% Unclassified Corin CERAFIT 3 <1% Unclassified Finsbury ADEPT 3 <1% Unclassified ECHELON 3 <1% Unclassified Corin C FIT 2 <1% Unclassified Implantcast GmbH IMPLANTCAST 2 <1% Unclassified SECURUS 2 <1% Unclassified Stryker RESTORATION 2 <1% Unclassified Symbios SA ARCAD 2 <1% Unclassified AML 1 <1% 10A PRODIGY 1 <1% Unclassified REPLICA 1 <1% Unclassified ESKA/TriMed QUADRA 1 <1% Unclassified TAPERFIT S&N 1 <1% Unclassified Wright Medical UK GLADIATOR 1 <1% Unclassified 18

19 for Engl Wales 8 th Annual Report Table 6(b) Cementless stem brs for revision hip performed during Manufacturer Br Number of % Procedures using femoral bone graft 1, CORAIL % 12 ZMR PROXIMAL 134 9% 19 FURLONG HAC 98 7% 2 REVITAN PROXIMAL 90 6% 19 CORAIL REVISION 84 6% 11 KAR 83 6% 16 REEF 78 5% 12 Orthodynamics CANNULOK 73 5% 20 S-ROM 63 4% 2 Stryker ACCOLADE 57 4% 3 SYNERGY 41 3% 0 TAPERLOC 40 3% 1 ECHELON 39 3% 3 M/L TAPER 39 3% 0 SOLUTION 34 2% 11 REACH 33 2% 8 Wright Medical UK PROFEMUR 26 2% 2 SECURUS 23 2% 5 Corin METAFIX 15 1% 0 M/L TAPER KINECTIV 14 <1% 0 Stryker RESTORATION 13 <1% 5 BIMETRIC 11 <1% 2 SL-PLUS 10 <1% 2 CLS 9 <1% 0 ANTHOLOGY 8 <1% 0 SUMMIT 7 <1% 0 VERSYS 6 <1% 0 TRILOCK BPS 5 <1% 0 Lima WG Healthcare H MAX 5 <1% 0 CONELOCK 4 <1% 2 19

20 Manufacturer Br Number of % Procedures using femoral bone graft Corin MINIHIP 4 <1% 0 Finsbury FINSBURY TYPE C 3 <1% 1 Finsbury FREEMAN 3 <1% 1 MICRO TAPERLOC 2 <1% 1 DEPUY PROXIMA 2 <1% 0 FH Newtech Ortho FH MODULAR 2 <1% 0 Mathys Orthopaedics TWINSYS 2 <1% 2 Medacta UK QUADRA 2 <1% 0 POLAR 2 <1% 0 TRABECULAR 2 <1% 0 B Braun / Aesculap BICONTACT 1 <1% 0 B Braun / Aesculap EXCIA 1 <1% 1 Medacta UK AMIS 1 <1% 0 Stryker ABG II 1 <1% 0 Stryker CALCAR REP 1 <1% 0 Wright Medical UK ANCAFIT 1 <1% 0 Wright Medical UK ULTIMA 1 <1% 1 ZWEYMULLER 1 <1% 0 Table 7 Brs of resurfacing heads for primary hip performed during Manufacturer Br Number of % ODEP rating 2,580 BHR RESURFACING HEAD 1,323 51% 10A Finsbury ADEPT RESURFACING HEAD % 3A Corin CORMET 2000 RESURFACING HEAD % 5B RECAP RESURFACING HEAD 208 8% 3A Wright Medical UK CONSERVE 122 5% 5A DUROM RESURFACING HEAD 99 4% Pre-entry ASR RESURFACING HEAD 41 2% 3A Implantcast GmbH ACCIS RESURFACING HEAD 33 <1% Unclassified Stryker MITCH TRH 29 1% Pre-entry MIHR 4 <1% Pre-entry 20

21 for Engl Wales 8 th Annual Report Table 8 provides a summary of where brs of resurfacing acetabular cups were used in combination with a conventional stem a large diameter metal-on-metal femoral head. This type of combination has decreased from 2,494 in 2009 to 999 in Table 8 Brs of resurfacing cup used with a conventional stem for primary hip performed during Manufacturer Br Number of % ODEP rating 999 RECAP RESURFACING % 3A BHR RESURFACING % 10A Finsbury ADEPT RESURFACING % 3A Stryker MITCH TRH 61 6% Pre-entry DUROM RESURFACING 30 3% Pre-entry ASR RESURFACING 28 3% 3A Corin CORMET 2000 RESURFACING 26 3% 5B MIHR 16 2% Unclassified Implantcast GmbH ACCIS RESURFACING 14 1% Unclassified Wright Medical UK CONSERVE PLUS RESURFACING 12 1% 5A Corin CORMET PRIME 8 1% Pre-entry MMC RESURFACING 3 <1% Unclassified Symbios SA SYMBIOS 2 <1% Unclassified 1.3 Combinations of cups stems Tables 9(a) 9(b) detail the combinations of cup stem brs used in primary revision hip respectively. Tables 9(a) 9(b) also detail which combinations have a different stem cup manufacturer a practice known as mixing ing. In previous years only conventional cup stem combinations were listed but this year s results show conventional cup resurfacing cup stem combinations. stem brs were recorded. The most common cupstem combination was the Corail stem combined with the Pinnacle cup. Of the 65,039 primary 12,127 (19%) used mixed ed cup-stem combinations from different suppliers, approximately 1% more than in For revision hip 510 cup-stem combinations were used. The most common cupstem combination was the Exeter V40 stem combined with the Contemporary cup. For 65,039 hip primary replacement in the 2010 data, both the cup stem br were known, a total of 882 different combinations of cup 21

22 Table 9(a) Cup-stem br combinations for primary hip performed during Cup manufacturer Cup br Stem manufacturer Stem br Number of 65,039 PINNACLE CORAIL 12,065 19% No Stryker CONTEMPORARY Stryker EXETER V40 7,400 11% No Stryker TRIDENT Stryker EXETER V40 4,265 7% No Stryker TRIDENT Stryker ACCOLADE 3,214 5% No CSF PLUS FURLONG HAC 2,800 4% No EXCEED TAPERLOC 1,930 3% No ELITE PLUS OGEE Stryker EXETER V40 1,836 3% Yes TRILOGY Stryker EXETER V40 1,452 2% Yes Stryker EXETER DURATION Stryker EXETER V40 1,435 2% No CSF FURLONG HAC 981 2% No ZCA CPT 918 1% No TRILOGY CPT 834 1% No ELITE PLUS CEMENTED Stryker EXETER V % Yes CHARNLEY OGEE CHARNLEY CEMENTED CHARNLEY CEMENTED CHARNLEY CEMENTED 645 1% No 610 1% No MARATHON CORAIL 595 1% No Wright Medical UK PROCOTYL Wright Medical UK PROFEMUR 559 1% No PINNACLE Stryker EXETER V % Yes PINNACLE CPT 494 1% Yes EPF-PLUS SL-PLUS MARATHON C- CEMENTED 455 1% No 408 1% No ELITE PLUS CEMENTED CORAIL 389 1% No STANMORE-ARCOM STANMORE 384 1% No MODULAR TRILOGY CORAIL 356 1% Yes 22

23 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of DURALOC REFLECTION CORAIL 355 1% No SYNERGY 347 1% No EXCEED BIMETRIC 328 1% No LOW PROFILE MULLER MS % No OPERA CPCS 325 <1% No PINNACLE C- AMT CEMENTED 313 <1% No MARATHON Stryker EXETER V40 31 RECAP RESURFACING TAPERLOC LOW PROFILE MULLER MULLER STR 295 <1% No 294 <1% No OPERA Stryker EXETER V <1% Yes EXCEED Stryker EXETER V <1% Yes ELITE PLUS OGEE C- CEMENTED 250 <1% No APOLLO MULLER-BIOMET 245 <1% No ELITE PLUS CEMENTED C- AMT CEMENTED 245 <1% No OPERA C- 245 <1% Yes CEMENTED CONTINUUM CPT 24 ALLOFIT CLS 240 <1% No Corin CENATOR CEMENTED Stryker EXETER V <1% Yes B Braun / Aesculap PLASMA B Braun / Aesculap EXCIA 235 <1% No Finsbury DELTA MOTION CORAIL 227 <1% No ELITE PLUS OGEE CPT 225 <1% Yes REFLECTION Stryker EXETER V <1% Yes ELITE PLUS OGEE C- AMT CEMENTED 21 Mathys Orthopaedics CCB MATHYS Mathys Orthopaedics CCA CEMENTED 194 <1% No 23

24 Cup manufacturer Cup br Stem manufacturer Stem br Number of Corin TRINITY Corin METAFIX 18 Stryker TRIDENT Stryker ABG II CONTINUUM M/L TAPER OPERA CHARNLEY CEMENTED <1% Yes Stryker CONTEMPORARY CORAIL 163 <1% Yes MARATHON C- AMT 159 <1% No CEMENTED Finsbury DELTA MOTION Finsbury FINSBURY TYPE C 147 <1% No CPT 147 <1% No PINNACLE S-ROM 145 <1% No REFLECTION ANTHOLOGY 144 <1% No Stryker TRITANIUM Stryker EXETER V40 14 WROBLEWSKI GOLF BALL C- 140 <1% No CEMENTED ELITE PLUS OGEE CORAIL 138 <1% No Lima WG Healthcare DELTA TT CORAIL 138 <1% Yes Medacta UK VERSAFIT Medacta UK AMIS 137 <1% No Lima WG Healthcare DELTA TT Lima WG Healthcare H MAX 135 <1% No Stryker TRIDENT CORAIL 134 <1% Yes DURALOC Stryker EXETER V <1% Yes LOW PROFILE MULLER CPT 130 <1% No DURALOC OPTION CORAIL 129 <1% No Stryker ABG II Stryker EXETER V <1% No ALLOFIT MS <1% No M2A BIMETRIC BHR RESURFACING BIRMINGHAM HEAD RESECTION 123 <1% No 120 <1% No 24

25 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of POLAR CPCS 120 <1% No REFLECTION POLAR SP3 HA SYNERGY ELITE PLUS CEMENTED STANMORE MODULAR 120 <1% No 120 <1% No 119 <1% Yes CSF PLUS Stryker EXETER V <1% Yes LOW PROFILE MULLER MULLER-BIOMET 116 <1% Yes EPF-PLUS CPS-PLUS 113 <1% No TRILOGY CLS 105 <1% No Stryker EXETER RIMFIT Stryker EXETER V40 10 Wright Medical UK PROCOTYL Wright Medical UK ANCAFIT 98 <1% No ALLOFIT CPT 97 <1% No ELITE PLUS CEMENTED FURLONG CEMENTED C- CEMENTED FURLONG CEMENTED 94 <1% No 93 <1% No CORAIL 9 Symbios SA APRIL Symbios SA SPS 9 BICON-PLUS SL-PLUS 89 <1% No PINNACLE SILENT 88 <1% No REFLECTION SL-PLUS 88 <1% No Corin TRINITY CORAIL 87 <1% Yes CSF PLUS CORAIL 86 <1% Yes SP3 HA Stryker EXETER V40 86 <1% Yes TRILOGY VERSYS ALLOFIT M/L TAPER 86 <1% No 85 <1% No 25

26 Cup manufacturer Cup br Stem manufacturer Stem br Number of Corin TRINITY M/L TAPER 8 Stryker EXETER V40 8 OPERA CPT 8 ARCOM SHP STANMORE MODULAR 79 <1% No CSF CORAIL 79 <1% Yes CHARNLEY OGEE C- 78 <1% No CEMENTED PINNACLE TRILOCK BPS 78 <1% No MALLORY-HEAD BIMETRIC 77 <1% No Stryker TRIDENT Stryker OMNIFIT 76 <1% No BHR RESURFACING SYNERGY 75 <1% No REFLECTION SPECTRON 75 <1% No CHARNLEY OGEE Stryker EXETER V40 74 <1% Yes ELITE PLUS CEMENTED CHARNLEY MODULAR Stryker ABG II Stryker ABG II CONTINUUM VERSYS Medacta UK VERSAFIT Medacta UK QUADRA 74 <1% No 74 <1% No 7 70 <1% No TRILOGY FURLONG HAC 70 <1% Yes PINNACLE DEPUY PROXIMA 69 <1% No TRILOGY M/L TAPER 67 <1% No Mathys Orthopaedics CCB MATHYS CORAIL 66 <1% Yes Finsbury ADEPT RESURFACING CLS 65 <1% Yes Stryker CONTEMPORARY CPT 65 <1% Yes 26

27 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of Finsbury DELTA MOTION TRILOCK BPS 64 <1% Yes PINNACLE S-ROM 6 Lima WG Healthcare LIMA/WG REVISION Lima WG Healthcare H MAX 60 <1% No CONTINUUM M/L TAPER 60 <1% No KINECTIV Corin CENATOR CEMENTED CPS-PLUS 59 <1% Yes TRILOGY CHARNLEY MODULAR Mathys Orthopaedics RM (MATHYS) CONTINUUM Wright Medical UK 59 <1% Yes CORAIL 58 <1% Yes PROFEMUR EXCEED STANMORE MODULAR 58 <1% Yes 57 <1% No CHARNLEY CEMENTED Stryker EXETER V40 56 <1% Yes Waldemar Link INTERPLANTA Waldemar Link SP II CEMENTED 56 <1% No Stryker TRITANIUM Stryker ACCOLADE 55 <1% No DURALOC OLYMPIA 54 <1% Yes Stryker TRIDENT Stryker RESTORATION CEMENTED 53 <1% No OPERA CORAIL 5 RECAP RESURFACING BIMETRIC 5 EPF-PLUS CPCS 5 ALLOFIT FITMORE 50 <1% No Mathys Orthopaedics SELEXYS TH Mathys Orthopaedics CMK CEMENTED CMK CEMENTED CBC 49 <1% No 48 <1% No PINNACLE TAPERLOC 47 <1% Yes REFLECTION CEMENTED CPCS 47 <1% No 27

28 Cup manufacturer Cup br Stem manufacturer Stem br Number of FH Newtech Ortho ATLAS IIIP Corin TAPERFIT CEMENTED 45 <1% Yes CONTINUUM OLYMPIA 45 <1% Yes LOW PROFILE MULLER P10 MULLER 45 <1% No PINNACLE SUMMIT 44 <1% No Wright Medical UK PROCOTYL Stryker EXETER V40 44 <1% Yes Corin TRINITY Corin MINIHIP 43 <1% No PINNACLE C- CEMENTED 43 <1% No B Braun / Aesculap PLASMA Stryker EXETER V40 4 DURALOC C- CEMENTED 4 FH Newtech Ortho ATLAS IIIP Stryker EXETER V40 4 CONTINUUM CORAIL 4 TRILOGY C- CEMENTED 4 TRILOGY TRABECULAR 4 Lima WG Healthcare LIMA/WG REVISION CORAIL 40 <1% Yes Waldemar Link LINK FLANGE Waldemar Link SP II CEMENTED EXCEED TAPERLOC CEMENTED 40 <1% No 39 <1% No Mathys Orthopaedics Corin Lima WG Healthcare DURALOC SELEXYS TH CENATOR CEMENTED Wright Medical UK Mathys Orthopaedics Wright Medical UK PROFEMUR TWINSYS PROFEMUR 39 <1% Yes 39 <1% No 37 <1% Yes LIMA/WG REVISION Lima WG Healthcare LIMA SL 37 <1% No TRILOGY Wright Medical UK PROFEMUR 37 <1% Yes 28

29 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of AVANTAGE TAPERLOC FURLONG THREADED Stryker TRIDENT STANMORE MODULAR B Braun / Aesculap PLASMA B Braun / Aesculap 36 <1% No FURLONG HAC 36 <1% No BICONTACT 36 <1% Yes 34 <1% No EXCEED CPT 34 <1% Yes B Braun / Aesculap CHIRULEN B Braun / Aesculap EXCIA-CEMENTED 33 <1% No Finsbury DELTA MOTION Finsbury LPR CEMENTED 33 <1% No CLS CLS 33 <1% No Wright Medical UK MALLORY-HEAD PROCOTYL Stryker EXETER V40 3 Wright Medical UK PROFEMUR CEMENTED 3 CHARNLEY CEMENTED C- CEMENTED 30 <1% No EPF-PLUS Stryker EXETER V40 30 <1% Yes Waldemar Link SNAP FIT Waldemar Link SP II CEMENTED 30 <1% No LOW PROFILE MULLER CPT 30 <1% No ULTIMA CEMENTED Stryker EXETER V40 29 <1% Yes FURLONG CEMENTED Stryker EXETER V40 29 <1% Yes ARCOM SHP TAPERLOC CEMENTED 28 <1% No BHR RESURFACING ANTHOLOGY 28 <1% No EPF-PLUS SL-PLUS CEMENTED 28 <1% No TRILOGY OLYMPIA 28 <1% Yes FH Newtech Ortho ATLAS IIIP Corin MINIHIP 27 <1% Yes Mathys Orthopaedics SELEXYS PC Mathys Orthopaedics TWINSYS 27 <1% No REFLECTION SL-PLUS CEMENTED 27 <1% No ZCA Stryker EXETER V40 27 <1% Yes 29

30 Cup manufacturer Cup br Stem manufacturer Stem br Number of Finsbury DELTA MOTION Wright Medical UK PROFEMUR 26 <1% Yes Stryker CONTEMPORARY Stryker ACCOLADE 25 <1% No CONTINUUM TRABECULAR M/L TAPER 25 <1% No 25 <1% No CONTINUUM Stryker EXETER V40 24 <1% Yes RECAP RESURFACING STANMORE MODULAR 23 <1% No ASR RESURFACING CORAIL 23 <1% No ELITE PLUS OGEE SUMMIT 23 <1% No Orthodynamics NOVAE STICK Stryker EXETER V40 23 <1% Yes OPERA CPS-PLUS 23 <1% No ZWEYMULLER 23 <1% No C- CEMENTED 2 ZIMMER DELTA Corin METAFIX 2 FH Newtech Ortho Mathys Orthopaedics ATLAS IIIP CPT 2 RM (MATHYS) SL-PLUS 2 TRILOGY M/L TAPER 2 KINECTIV TRILOGY ZWEYMULLER 2 Corin CORMET 2000 RESURFACING Corin METAFIX 20 <1% No WROBLEWSKI GOLF BALL CHARNLEY CEMENTED Finsbury DELTA MOTION CLS 20 <1% No 20 <1% Yes POLAR SL-PLUS 20 <1% No Stryker CONTEMPORARY Corin METAFIX 20 <1% Yes 30

31 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of Stryker CONTEMPORARY C- AMT CEMENTED 20 <1% Yes Symbios SA APRIL Symbios SA HARMONY 20 <1% No EXCEED MICRO TAPERLOC 19 <1% No FH Newtech Ortho ATLAS IIIP FH Newtech Ortho FH MODULAR 19 <1% No Wright Medical UK CONSERVE PLUS RESURFACING Wright Medical UK PROFEMUR 19 <1% No DUROM RESURFACING CLS 19 <1% No MALLORY-HEAD BIMETRIC CEMENTED 18 <1% No GYROS C- AMT CEMENTED OPERA C- AMT CEMENTED PINNACLE STANMORE MODULAR 18 <1% No 18 <1% Yes 17 <1% Yes PINNACLE CORAIL REVISION 17 <1% No POLAR SYNERGY 17 <1% No APOLLO OLYMPIA 16 <1% No TRIBOFIT FURLONG HAC 16 <1% No Lima WG Healthcare LIMA/WG REVISION Lima WG Healthcare LIMA/WG REVISION 16 <1% No EPF-PLUS SYNERGY 16 <1% No REFLECTION CEMENTED Stryker EXETER V40 16 <1% Yes Waldemar Link LINK FLANGE Stryker EXETER V40 16 <1% Yes JRI CEMENTED MULLER STR 15 <1% Yes Stryker CONTEMPORARY Stryker OMNIFIT CEMENTED Stryker TRITANIUM Stryker ABG II CLS 15 <1% No 15 <1% No 15 <1% No 31

32 Cup manufacturer Cup br Stem manufacturer Stem br Number of TRILOGY STANMORE MODULAR 15 <1% Yes TRILOGY IT VERSYS 15 <1% No ARCOM SHP CPT 14 <1% Yes ELITE PLUS CEMENTED CPT 14 <1% Yes PINNACLE CHARNLEY MODULAR 14 <1% No Implantcast GmbH IMPLANTCAST CORAIL 14 <1% Yes Mathys Orthopaedics CSF PLUS S-ROM RM (MATHYS) Mathys Orthopaedics TWINSYS 14 <1% Yes 14 <1% No EPF-PLUS ANTHOLOGY 14 <1% No Stryker MITCH TRH Stryker ACCOLADE 14 <1% No APOLLO CORAIL 13 <1% Yes Corin MALLORY-HEAD CENATOR CEMENTED TAPERLOC 13 <1% No CORAIL 13 <1% Yes Corin TRINITY Waldemar Link SP II CEMENTED 13 <1% Yes Finsbury ADEPT RESURFACING MS <1% Yes Finsbury DELTA MOTION S-ROM 13 <1% Yes Implants International EDINBURGH Implants International EDINBURGH 13 <1% No CSF Waldemar Link SP II CEMENTED 13 <1% Yes EPF-PLUS Waldemar Link SP II CEMENTED 13 <1% Yes CONTINUUM VERSYS HERITAGE 13 <1% No MMC CLS 13 <1% No RECAP RESURFACING TAPERLOC CEMENTED 1 32

33 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of ELITE PLUS CEMENTED Finsbury FINSBURY TYPE C 1 Finsbury DELTA MOTION Finsbury FREEMAN 1 Implants International CCB Mathys Orthopaedics CCA CEMENTED 1 Lima WG Healthcare MIHR FURLONG HAC 1 DELTA TT Lima WG Healthcare LIMA/WG 1 REVISION BHR RESURFACING CPCS 1 Stryker DURATION Stryker EXETER V40 1 Stryker TRIDENT Corin MINIHIP 1 CONTINUUM ZWEYMULLER 1 FITMORE MS-30 1 MONOBLOCK REVISION SHELL Corin MINIHIP 1 Stryker EXETER V40 1 B Braun / Aesculap B Braun / Aesculap PLASMA PLASMA REGENEREX B Braun / Aesculap EXCIA-CEMENTED 1 B Braun / Aesculap METHA 1 TAPERLOC Corin TRINITY M/L TAPER KINECTIV ELITE PLUS OGEE STANMORE MODULAR CSF CORAIL CEMENTED ALLOFIT Stryker EXETER V40 1 MONOBLOCK Corin TAPERFIT CEMENTED 1 TRILOGY MS-30 1 B Braun / Aesculap CHIRULEN B Braun / Aesculap EXCIA 10 <1% No Corin DC-FIT Corin PANATOMIC Corin TRINITY VERSYS 10 <1% No 10 <1% Yes 33

34 Cup manufacturer Cup br Stem manufacturer Stem br Number of DURALOC S-ROM ELITE PLUS OGEE Corin TAPERFIT CEMENTED 10 <1% No 10 <1% Yes PINNACLE CORAIL CEMENTED PINNACLE Wright Medical UK PROFEMUR ULTIMA CEMENTED C- AMT CEMENTED 10 <1% No 10 <1% Yes 10 <1% No CSF Stryker EXETER V40 10 <1% Yes FURLONG CEMENTED FURLONG HAC 10 <1% No Orthodynamics NOVAE SF Stryker EXETER V40 10 <1% Yes Wright Medical UK PROCOTYL OLYMPIA 10 <1% Yes MONOBLOCK Stryker EXETER V40 10 <1% Yes TRILOGY IT CLS 10 <1% No B Braun / Aesculap CHIRULEN B Braun / Aesculap CENTRAMENT 9 <1% No ARCOM SHP BIMETRIC 9 <1% No CEMENTED ARCOM SHP TAPERLOC 9 <1% No AVANTAGE CPCS 9 <1% Yes UNIVERSAL II BIMETRIC 9 <1% No PINNACLE KAR 9 <1% No Finsbury ADEPT RESURFACING FURLONG HAC 9 <1% Yes BICON-PLUS SL-PLUS CEMENTED 9 <1% No Stryker SECURE FIT Stryker EXETER V40 9 <1% No Stryker TRIDENT TAPERLOC 9 <1% Yes 34

35 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of Stryker ACCOLADE 9 <1% Yes TRILOGY ALLOCLASSIC 9 <1% No ZCA CORAIL 9 <1% Yes Corin TRINITY Wright Medical UK PROFEMUR 8 <1% Yes ELITE PLUS CEMENTED ELITE PLUS CEMENTED TAPERLOC SL-PLUS ELITE PLUS OGEE CHARNLEY MODULAR 8 <1% Yes 8 <1% Yes 8 <1% No Finsbury Finsbury ADEPT RESURFACING ADEPT RESURFACING CORAIL 8 <1% Yes Finsbury FINSBURY TYPE C 8 <1% No Implants International Lima WG Healthcare RM (IMPLANT INTERNATIONAL) CSF PLUS CORAIL 8 <1% Yes FURLONG CEMENTED 8 <1% No DELTA TT Stryker EXETER V40 8 <1% Yes Orthodynamics NOVAE STICK CPT 8 <1% Yes Stryker ABG II Stryker ACCOLADE 8 <1% No Stryker CONTEMPORARY CPS-PLUS 8 <1% Yes Waldemar Link SNAP FIT Waldemar Link SP112 8 <1% No DUROM RESURFACING TRABECULAR M/L TAPER KINECTIV TRABECULAR 8 <1% No 8 <1% No 8 <1% No TRILOGY Stryker ACCOLADE 8 <1% Yes TRILOGY IT M/L TAPER 8 <1% No ZIMMER DELTA Corin MINIHIP 8 <1% Yes 35

36 Cup manufacturer Cup br Stem manufacturer Stem br Number of B Braun / Aesculap PLASMA B Braun / Aesculap CENTRAMENT 7 <1% No EXCEED CORAIL 7 <1% Yes Implantcast GmbH ACCIS RESURFACING CORAIL 7 <1% Yes Implants International Lima WG Healthcare RM (IMPLANT INTERNATIONAL) Mathys Orthopaedics TWINSYS 7 <1% Yes LIMA/WG REVISION Stryker EXETER V40 7 <1% Yes Mathys Orthopaedics RM (MATHYS) Mathys Orthopaedics CCA CEMENTED 7 <1% No Orthodynamics NOVAE SF CPT 7 <1% Yes OPERA SPECTRON 7 <1% No Stryker EXETER DURATION CORAIL 7 <1% Yes Stryker TRIDENT Stryker OMNIFIT CEMENTED 7 <1% No Stryker TRIDENT CPT 7 <1% Yes Stryker TRITANIUM Stryker RESTORATION CEMENTED CONTINUUM CLS 7 <1% No 7 <1% No CONTINUUM MS-30 7 <1% No S-ROM TRILOGY SYNERGY TRILOGY IT M/L TAPER KINECTIV ZCA Stryker OMNIFIT CEMENTED 7 <1% Yes 7 <1% Yes 7 <1% No 7 <1% Yes Amplitude SATURNE Peter Brehm GmbH Corin PETER BREHM REVISION 6 <1% Yes APOLLO TAPERLOC 6 <1% No Corin TRINITY TRABECULAR 6 <1% Yes ELITE PLUS CEMENTED Stryker ACCOLADE 6 <1% Yes 36

37 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of GYROS CORAIL 6 <1% No Finsbury DELTA MOTION C- AMT CEMENTED Finsbury DELTA MOTION SUMMIT Finsbury SLF CEMENTED (FINSBURY) Finsbury FREEMAN 6 <1% Yes 6 <1% Yes 6 <1% No POLAR Stryker EXETER V40 6 <1% Yes Stryker CONTEMPORARY FURLONG HAC 6 <1% Yes Stryker EXETER RIMFIT CORAIL 6 <1% Yes Stryker RESTORATION GAP2 Stryker EXETER V40 6 <1% No Stryker TRIDENT Stryker EXETER 6 <1% No Waldemar Link TOP Waldemar Link SP II CEMENTED 6 <1% No MONOBLOCK CORAIL 6 <1% Yes TRILOGY VERSYS HERITAGE 6 <1% No ZCA OLYMPIA 6 <1% Yes ZCA TAPERLOC CEMENTED 6 <1% Yes ZCA C- AMT 6 <1% Yes CEMENTED EXCEED EXCEPTION 5 <1% No MALLORY-HEAD CPT 5 <1% Yes Corin CORMET PRIME Corin METAFIX 5 <1% No Corin TRINITY Corin TAPERFIT 5 <1% No CEMENTED MARATHON CHARNLEY 5 <1% No MODULAR PINNACLE OLYMPIA 5 <1% Yes PINNACLE Stryker OMNIFIT CEMENTED 5 <1% Yes WROBLEWSKI ANGLE BORE SOCKET CHARNLEY CEMENTED 5 <1% No WROBLEWSKI GOLF BALL CHARNLEY MODULAR 5 <1% No Exactech (UK) NOVATION Exactech (UK) NOVATION 5 <1% No Finsbury DELTA MOTION DEPUY PROXIMA 5 <1% Yes 37

38 Cup manufacturer Cup br Stem manufacturer Stem br Number of Implants International EDINBURGH Stryker EXETER V40 5 <1% Yes CSF M/L TAPER 5 <1% Yes CSF PLUS FURLONG LOL 5 <1% No JRI CEMENTED MS-30 5 <1% Yes Mathys Orthopaedics RM (MATHYS) FURLONG HAC 5 <1% Yes Mathys Orthopaedics RM (MATHYS) Stryker EXETER V40 5 <1% Yes BHR RESURFACING CORAIL 5 <1% Yes BHR RESURFACING SL-PLUS 5 <1% No POLAR CORAIL 5 <1% Yes POLAR CPS-PLUS 5 <1% No SP3 HA SPECTRON 5 <1% No Wright Medical UK PROCOTYL CPT 5 <1% Yes LOW PROFILE MULLER Stryker EXETER V40 5 <1% Yes MMC M/L TAPER Stryker RESTORATION CEMENTED 5 <1% No 5 <1% Yes B Braun / Aesculap PLASMA REVITAN PROXIMAL 5 <1% No TRILOCK BPS 4 <1% Yes APOLLO BIMETRIC CEMENTED AVANTAGE M/L TAPER 4 <1% No 4 <1% Yes REGENEREX Peter Brehm GmbH Corin PETER BREHM REVISION 4 <1% Yes REGENEREX CPT 4 <1% Yes STANMORE-ARCOM BIMETRIC 4 <1% No 38

39 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of Corin TRINITY SUMMIT ELITE PLUS CEMENTED SL-PLUS CEMENTED 4 <1% Yes 4 <1% Yes PINNACLE MULLER-BIOMET 4 <1% Yes PINNACLE Corin METAFIX 4 <1% Yes PINNACLE FURLONG HAC 4 <1% Yes PINNACLE M/L TAPER 4 <1% Yes FH Newtech Ortho Finsbury ATLAS IIIP M/L TAPER KINECTIV 4 <1% Yes ADEPT RESURFACING Finsbury LPR CEMENTED 4 <1% No Finsbury DELTA MOTION SILENT 4 <1% Yes Finsbury DELTA MOTION Finsbury FTS 4 <1% No Finsbury DELTA MOTION SL-PLUS 4 <1% Yes Finsbury DELTA MOTION CPT 4 <1% Yes Finsbury DELTA MOTION M/L TAPER FURLONG CEMENTED 4 <1% Yes CORAIL 4 <1% Yes Mathys Orthopaedics RM (MATHYS) C- CEMENTED 4 <1% Yes OPERA SL-PLUS 4 <1% No REFLECTION CORAIL 4 <1% Yes REFLECTION CPCS 4 <1% No SP3 HA ANTHOLOGY 4 <1% No Stryker CONTEMPORARY Orthodynamics CANNULOK Stryker CONTEMPORARY Stryker RESTORATION CEMENTED Stryker CONTEMPORARY Wright Medical UK PROFEMUR 4 <1% Yes 4 <1% No 4 <1% Yes 39

40 Cup manufacturer Cup br Stem manufacturer Stem br Number of Stryker SECURE FIT CPT 4 <1% Yes Stryker TRIDENT S-ROM 4 <1% Yes Waldemar Link TOP Waldemar Link CFP 4 <1% No CONTINUUM VERSYS CEMENTED LOW PROFILE MULLER C- AMT CEMENTED 4 <1% No 4 <1% Yes LOW PROFILE MULLER MONOBLOCK MS-30 4 <1% No CPT 4 <1% No ALLOCLASSIC 4 <1% No TRILOGY ASIAN 4 <1% Yes TRILOGY Corin METAFIX 4 <1% Yes TRILOGY S-ROM ZIMMER DELTA M/L TAPER 4 <1% Yes 4 <1% No Amplitude SATURNE CORAIL 3 <1% Yes ARCOM SHP BIMETRIC AVANTAGE TAPERLOC CEMENTED EXCEED AURA II EXCEED M/L TAPER KINECTIV M2A TAPERLOC MALLORY-HEAD C- AMT CEMENTED 3 <1% No 3 <1% No 3 <1% No 3 <1% Yes 3 <1% No 3 <1% Yes REGENEREX Stryker EXETER V40 3 <1% Yes 40

41 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of STANMORE-ARCOM TAPERLOC Corin CENATOR CEMENTED Corin TAPERFIT CEMENTED 3 <1% No 3 <1% No Corin TRINITY Stryker ACCOLADE 3 <1% Yes ELITE PLUS CEMENTED TAPERLOC CEMENTED 3 <1% Yes ELITE PLUS CEMENTED FURLONG HAC 3 <1% Yes ELITE PLUS OGEE TAPERLOC 3 <1% Yes ELITE PLUS OGEE Lima WG Healthcare H MAX 3 <1% Yes MARATHON Waldemar Link SP II CEMENTED 3 <1% Yes PINNACLE SOLUTION PINNACLE SUMMIT CEMENTED 3 <1% No 3 <1% No PINNACLE Orthodynamics CANNULOK 3 <1% Yes PINNACLE CPCS 3 <1% Yes PINNACLE CLS 3 <1% Yes Finsbury Finsbury ADEPT RESURFACING ADEPT RESURFACING Finsbury ADEPT 3 <1% No CPT 3 <1% Yes Finsbury DELTA MOTION VERSYS Implantcast GmbH ACCIS RESURFACING FH Newtech Ortho 3 <1% Yes FH MODULAR 3 <1% Yes Lima WG Healthcare Lima WG Healthcare Lima WG Healthcare LIMA/WG REVISION S-ROM 3 <1% Yes LIMA/WG REVISION TRILOCK BPS 3 <1% Yes LIMA/WG REVISION Finsbury FINSBURY TYPE C 3 <1% Yes 41

42 Cup manufacturer Cup br Stem manufacturer Stem br Number of Lima WG Healthcare LIMA/WG REVISION CPT 3 <1% Yes Orthodynamics NOVAE Stryker EXETER V40 3 <1% Yes Orthodynamics NOVAE SF Stryker ACCOLADE 3 <1% Yes BHR RESURFACING FURLONG HAC 3 <1% Yes BHR RESURFACING SL-PLUS CEMENTED 3 <1% No BHR RESURFACING M/L TAPER 3 <1% Yes KINECTIV EPF-PLUS Corin CERAFIT 3 <1% Yes EPF-PLUS Corin CTI CEMENTED 3 <1% Yes OPERA CPS 3 <1% No POLAR C- AMT CEMENTED 3 <1% Yes R3 SL-PLUS 3 <1% No REFLECTION CEMENTED POLAR 3 <1% No REFLECTION CEMENTED SPECTRON 3 <1% No Stryker CONTEMPORARY TAPERLOC 3 <1% Yes Stryker CONTEMPORARY Stryker EXETER 3 <1% No Stryker EXETER DURATION CPT 3 <1% Yes Stryker MITCH TRH Stryker EXETER V40 3 <1% No Stryker SECURE FIT TAPERLOC 3 <1% Yes Stryker TRITANIUM CORAIL 3 <1% Yes Stryker TRITANIUM Peter Brehm GmbH Corin PETER BREHM REVISION 3 <1% Yes Waldemar Link SNAP FIT MULLER-BIOMET 3 <1% Yes Waldemar Link SNAP FIT Waldemar Link WAGNER REVISION Waldemar Link SNAP FIT MULLER STR 3 <1% No 3 <1% Yes 42

43 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of CONTINUUM ALLOCLASSIC DUROM RESURFACING VERSYS 3 <1% No 3 <1% No TRILOGY LPS 3 <1% Yes ZCA FURLONG HAC 3 <1% Yes Amplitude SATURNE C- AMT CEMENTED Amplitude SATURNE DEPUY PROXIMA B Braun / Aesculap PLASMA FURLONG HAC AVANTAGE CORAIL AVANTAGE Stryker EXETER V40 BIOMET BI-POLAR CEMENTED Stanmore Implants Worldwide METS EXCEED BIMETRIC CEMENTED EXCEED SHP EXCEED C- AMT CEMENTED EXCEED ANTHOLOGY EXCEED Waldemar Link MP NECK CEMENTED FREEDOM Peter Brehm GmbH Corin PETER BREHM REVISION MALLORY-HEAD MALLORY-HEAD CEMENTED MALLORY-HEAD MULLER-BIOMET MALLORY-HEAD CHARNLEY CEMENTED MALLORY-HEAD CORAIL MALLORY-HEAD Waldemar Link SP II CEMENTED PAR 5 RINOWL REGENEREX TAPERLOC CONELOCK REGENEREX STANMORE MODULAR 43

44 Cup manufacturer Cup br Stem manufacturer Stem br Number of REGENEREX Waldemar Link MP NECK CEMENTED UNIVERSAL II BIMETRIC CEMENTED Corin CENATOR CEMENTED CHARNLEY CEMENTED Corin CENATOR CEMENTED Orthodynamics CANNULOK Corin CENATOR CEMENTED ECHELON CEMENTED Corin CORMET 2000 RESURFACING Corin MINIHIP Corin CORMET PRIME Corin MINIHIP ASR RESURFACING S-ROM DURALOC Corin METAFIX DURALOC ELITE PLUS CEMENTED Corin TAPERFIT CEMENTED B Braun / Aesculap EXCIA-CEMENTED ELITE PLUS CEMENTED KAR ELITE PLUS FLANGED C- AMT CEMENTED ELITE PLUS FLANGED Stryker EXETER V40 ELITE PLUS OGEE ELITE PLUS CEMENTED ELITE PLUS OGEE S-ROM ELITE PLUS OGEE REVITAN PROXIMAL MARATHON CHARNLEY CEMENTED MARATHON CORAIL CEMENTED MARATHON CORAIL REVISION MARATHON REEF PINNACLE ELITE PLUS CEMENTED 44

45 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of PINNACLE Stryker RESTORATION CEMENTED PINNACLE Waldemar Link MP NECK CEMENTED PINNACLE Waldemar Link SP II CEMENTED PINNACLE ZMR PROXIMAL ULTIMA CEMENTED CORAIL FH Newtech Ortho ATLAS IIIP M/L TAPER Finsbury ADEPT RESURFACING Finsbury FREEMAN Finsbury ADEPT RESURFACING Finsbury FTS Finsbury Finsbury ADEPT RESURFACING ADEPT RESURFACING ECHELON SYNERGY Finsbury DELTA MOTION Corin MINIHIP Finsbury DELTA MOTION FURLONG HAC Finsbury DELTA MOTION CPCS Finsbury DELTA MOTION MS-30 Implantcast GmbH IMPLANTCAST Implantcast GmbH IMPLANTCAST CSF FURLONG CEMENTED CSF PLUS S-ROM CSF PLUS CPT CSF PLUS MS-30 CSF PLUS MULLER STR CUSTOM TAPERLOC 45

46 Cup manufacturer Cup br Stem manufacturer Stem br Number of Lima WG Healthcare JRI CEMENTED FURLONG HAC MIHR TAPERLOC LIMA/WG REVISION M/L TAPER Mathys Orthopaedics CCB MATHYS Lima WG Healthcare H MAX Orthodynamics NOVAE STICK C- CEMENTED Orthodynamics ORTHODYNAMICS KAR EPF-PLUS STANMORE MODULAR EPF-PLUS POLAR EPF-PLUS Waldemar Link CFP OPERA BIMETRIC OPERA SL-PLUS CEMENTED R3 Corin CTI CEMENTED R3 SYNERGY REFLECTION CEMENTED CORAIL REFLECTION BIRMINGHAM HEAD RESECTION SP3 HA POLAR Stryker CONTEMPORARY ASIAN Stryker CONTEMPORARY Corin TAPERFIT CEMENTED Stryker CONTEMPORARY SUMMIT CEMENTED Stryker CONTEMPORARY LOL CEMENTED 46

47 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of Stryker CONTEMPORARY Mathys Orthopaedics CBC Stryker CONTEMPORARY CPS Stryker CONTEMPORARY Stryker ABG II Stryker MITCH TRH Stryker ABG II Stryker RESTORATION GAP2 Stryker ACCOLADE Stryker SECURE FIT Stryker OMNIFIT Stryker TRIDENT CORAIL REVISION Stryker TRIDENT C- CEMENTED Stryker TRIDENT KAR Stryker TRIDENT REEF Stryker TRIDENT Implantcast GmbH IMPLANTCAST CEMENTED Stryker TRIDENT Symbios SA APRIL Symbios SA ARCAD FURLONG HAC Symbios SA SYMBIOS Symbios SA SPS Van Straten Medical ACCIS RESURFACING Wright Medical UK CORAIL PROCOTYL Corin TAPERFIT CEMENTED ALLOFIT Stryker OMNIFIT CEMENTED CONTINUUM FURLONG HAC CONTINUUM FITMORE CONTINUUM REVITAN PROXIMAL MMC SYNERGY MMC VERSYS MMC RESURFACING CLS 47

48 Cup manufacturer Cup br Stem manufacturer Stem br Number of MONOBLOCK C- CEMENTED MONOBLOCK REVISION SHELL Peter Brehm GmbH Corin PETER BREHM REVISION SYNERGY MS-30 VERSYS ZMR PROXIMAL CPT TRILOGY TAPERLOC TRILOGY S-ROM TRILOGY TRILOCK BPS TRILOGY SPECTRON TRILOGY Stryker EXETER TRILOGY Stryker OMNIFIT CEMENTED TRILOGY Stryker RESTORATION CEMENTED ZCA Stryker ACCOLADE ZCA Stryker RESTORATION CEMENTED ZCA CLS ZCA M/L TAPER Amplitude HORIZON Corin MINIHIP Amplitude SATURNE Stryker ACCOLADE B Braun / Aesculap ALFA CEMENTED CPCS B Braun / Aesculap ALFA CEMENTED SL-PLUS 48

49 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of B Braun / Aesculap CHIRULEN B Braun / Aesculap PREVISION CEMENTED B Braun / Aesculap PLASMA B Braun / Aesculap BICONTACT CEMENTED APOLLO Corin C FIT ARCOM SHP Stryker OMNIFIT CEMENTED ARCOM SHP M/L TAPER AVANTAGE Stryker ACCOLADE BIHAPRO TAPERLOC BIOMET BI-POLAR CEMENTED Stryker EXETER V40 BIOMET BI-POLAR CEMENTED Waldemar Link MP NECK CEMENTED EXCEED CONELOCK EXCEED MULLER-BIOMET EXCEED OLYMPIA EXCEED Corin MINIHIP EXCEED Corin OXFORD UNIVERSAL HIP (CORIN) CEMENTED EXCEED C- CEMENTED EXCEED SOLUTION EXCEED Stryker ACCOLADE EXCEED M/L TAPER FREEDOM CPT M2A STANMORE MODULAR M2A Corin MINIHIP M2A PRODIGY MALLORY-HEAD TAPERLOC CEMENTED MALLORY-HEAD Corin C FIT 49

50 Cup manufacturer Cup br Stem manufacturer Stem br Number of MALLORY-HEAD MALLORY-HEAD Corin OXFORD UNIVERSAL HIP (CORIN) CEMENTED M/L TAPER RECAP RESURFACING CONELOCK RECAP RESURFACING Stanmore Implants Worldwide METS REGENEREX REGENEREX BIMETRIC CPCS STANMORE-ARCOM CONELOCK STANMORE-ARCOM C- CEMENTED Corin CENATOR CEMENTED FURLONG CEMENTED Corin CORMET 2000 RESURFACING Corin CORMET 2000 RESURFACING Corin CORMET 2000 RESURFACING CORAIL SL-PLUS CEMENTED SL-PLUS Corin TRINITY CPT ASR 300 CORAIL ASR RESURFACING DEPUY PROXIMA ASR RESURFACING FURLONG HAC CHARNLEY CEMENTED CHARNLEY CEMENTED CHARNLEY CEMENTED CORAIL S-ROM CPT CHARNLEY KS Stryker EXETER V40 DURALOC SUMMIT 50

51 for Engl Wales 8 th Annual Report Cup manufacturer Cup br Stem manufacturer Stem br Number of DURALOC FURLONG HAC DURALOC OPTION Stryker EXETER V40 ELITE PLUS CEMENTED CORAIL REVISION ELITE PLUS CEMENTED SOLUTION ELITE PLUS CEMENTED SYNERGY ELITE PLUS CEMENTED Waldemar Link MP NECK CEMENTED ELITE PLUS OGEE BIMETRIC ELITE PLUS OGEE OLYMPIA ELITE PLUS OGEE Corin MINIHIP ELITE PLUS OGEE KAR ELITE PLUS OGEE LOL CEMENTED ELITE PLUS OGEE CPS-PLUS ELITE PLUS OGEE SL-PLUS ELITE PLUS OGEE SYNERGY ELITE PLUS OGEE Stryker RESTORATION ELITE PLUS OGEE Waldemar Link SP II CEMENTED ELITE PLUS OGEE Wright Medical UK PROFEMUR ELITE PLUS OGEE CLS GYROS C- CEMENTED GYROS TRILOCK BPS HYLAMER OGEE CHARNLEY CEMENTED MARATHON Corin C FIT 51

52 Cup manufacturer Cup br Stem manufacturer Stem br Number of MARATHON Corin METAFIX MARATHON SILENT MARATHON WROBLEWSKI RESECTION MARATHON FURLONG HAC MARATHON Orthodynamics CANNULOK CEMENTED MARATHON ECHELON CEMENTED MARATHON Stryker RESTORATION CEMENTED MARATHON CPT PINNACLE B Braun / Aesculap CENTRAMENT PINNACLE CMK CEMENTED PINNACLE MALLORY-HEAD CEMENTED PINNACLE MICRO TAPERLOC PINNACLE Corin MINIHIP PINNACLE LPS PINNACLE REEF PINNACLE Finsbury FINSBURY TYPE C PINNACLE FURLONG CEMENTED PINNACLE Lima WG Healthcare LIMA/WG REVISION PINNACLE Medacta UK QUADRA PINNACLE SL-PLUS PINNACLE SYNERGY PINNACLE Stryker ACCOLADE PINNACLE Symbios SA HARMONY PINNACLE MS-30 PINNACLE VERSYS 52