Know-how brings motion back to life. BICON-PLUS. Non-cemented Acetabular System Author: Prof. Dr. med. K. Zweymüller. Product Information
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1 Know-how brings motion back to life. SM BICON-PLUS Non-cemented Acetabular System Author: Prof. Dr. med. K. Zweymüller Product Information
2 Clinically Proven for over 10 Years For over 10 years the BICON-PLUS cup has proven to be an ecellent biconical screw cup in more than implantations all over the world. Stable anchoring The principle of biconical cup anchoring provides the best conditions for maimum stability and the best protection against cup migration. The unique action of the biconical design that is easy on the bone and the self-tapping thread ensure ecellent primary stability. Individualised management The STANDARD and POROUS variants of the BICON-PLUS cup allow optimum management in primary and revision interventions in hard and porotic bones as well as in dysplastic hips. Perfect system The BICON-PLUS cup forms a unique, precision-adjusted hip prosthetic system in combination with the non-cemented SL-PLUS stem.
3 BICON-PLUS Double cone principle The anatomical approimation to the acetabulum requires less bone resection, increases the bone contact and ensures etremely high tilt stability. Optimum thread and tooth profile The thread and tooth profile is anatomically adapted for all cup sizes. Suitable for any bone quality Choice of STANDARD or POROUS cup. The tooth form of the STANDARD cup type is designed for normal and sclerotic bone and that of the POROUS cup type for soft and porotic bone. Cup inlays All inserts are available in standard and antiluation versions. Articulation pairings Depending on the requirement of the situation, the surgeon can select from hard/soft (metal/pe or ceramic/pe) and hard/hard pairings (ceramic/ceramic or metal/metal). Surgical instrumentation The instruments in the EasyTray TM system are user-friendly, clearly presented and safe. Implantation Conventional or navigated with PiGalileo NAV.
4 BICON-PLUS System The 7 PLUS Points The double cone Anatomic approimation to the spherical form of the acetabulum Less bone resection in the area of cup floor while ensuring optimal primary and tilt stability Broad seating in the acetabulum, especially at the front end of the cup Possibility to fully screw into the previously reamed bony bed, thanks to the optimal tooth and thread form Tooth Surface mm 2 Tooth Surfaces Porous/Standard 6000 Porous +46% Standard The tooth form Tooth size, tooth thickness and tooth height matched to cup size Thread and tooth size increase with increasing cup size: smaller cup smaller thread and tooth form larger cup larger thread and tooth form Cup Diameter mm The surface roughness The average roughness of the titanium shells is 4 to 6 µm The macrostructure of the thread teeth and the microstructure of the rough surface combine to ensure reliable primary stability and thus long-term osteointegration.
5 The closed rim A direct PE-bone contact can be fully avoided (also in the rim area) Implantation easy on soft tissue and bone
6 The sector closure Open sectors allow full view during the implantation procedure Spongiosaplasty can be performed through these openings, if necessary After screwing in the cup shell, the sectors are closed with an instrument to avoid any polyethylene-bone contact The articulation pairings PE standard and antiluation version for ball heads 22, 28 and 32 mm REXPOL (highly cross-linked PE) standard and antiluation version for ball heads 28 and 32 mm Standard and antiluation version ceramic/pe insert 28 mm for ceramic/ceramic pairing Standard and antiluation version metal/pe insert 28 mm for metal/metal pairing PE retention inlay for ball heads 28 and 32 mm Anchoring of the PE insert in the titanium cup by means of four conus connections TITANIUM CUP / PE INSERT More information on articulation pairings: Lit. No BICON-PLUS cup with ceramic/ceramic pairing Lit. No Highly latticed polyethylene REXPOL Lit. No Metal/metal pairing for BICON-PLUS cup Aial form closure due to snap lock TITANIUM CUP / PE CERAMIC-CERAMIC INSERT The cup duo Two versions with different thread tooth profiles are available for various qualities of bone: BICON-PLUS STANDARD for hard and sclerotic bone BICON-PLUS POROUS for soft and porotic bone
7 BICON-PLUS System The Range of Nine Standard and Two Special Sizes Optimally Covers All Size Requirements. BICON-PLUS Standard PE-/REXPOL Standard PE-/REXPOL Antilu PE-/retention insert MATERIALS BICON-PLUS cup shell high-grade-forged pure titanium according to ISO Standard PE inserts UHMW polyethylene according to ISO standard /2 Metal Standard (S, M, L, XL) BIOLOX forte (S, M, L) REXPOL PE inserts highly cross-linked polyethylene made of form-pressed GUR-1020 UHMW-PE according to ISO SHELLS Ceramic/PE inserts high-grade aluminium-oide-sintered ceramic (AI203) BIOLOX forte according to ISO standard 6474 Size / Ø mm 01 /37 Standard Porous Metal/PE inserts CoCrMo-forged alloy PLUSMET according to ASTM F / 40 1 / 43 2 / 46 3 / 49 4 / 52 5 / 56 6 / 59 7 / 63 8 / 68 9 / 72 BICON-PLUS, PLUSMET, REXPOL and SL-PLUS are trademarks of Plus Orthopedics AG, Switzerland, registered in Switzerland and other selected countries.
8 BICON-PLUS Porous BIOLOX forte Standard BIOLOX forte Antilu PLUSMET Standard PLUSMET Antilu PLUSMET (S, M, L, XL) BIOLOX OPTION (S, M, L, XL) INSERTS Ball head Ø / Size in mm Material Standard PE insert Antilu insert REXPOL standard insert 1 9 REXPOL antilu insert 1 9 BIOLOX forte/pe standard insert BIOLOX forte/pe antilu insert PLUSMET /PE standard insert 1 28 PLUSMET /PE antilu insert 1 28 PE retention insert 1 9 EasyTray and PiGalileo are trademarks of Plus Orthopedics AG, Switzerland. BIOLOX forte and BIOLOX OPTION are trademarks of CeramTec AG, Germany.
9 Clinical Results Between January 1993 and May 1994, 348 of these cups were implanted. The articulating surfaces were ceramic and polyethylene. 215 were reviewed after 10.0 to 11.1 (mean 10.2) years. In the interval 3 cups needed revision (1 for aseptic loosening, 1 for lowgrade infection and 1 for cup breakage). Survival Function With revision as end point, the Kaplan-Meier surviv- al rate was 98.8 % (CI ). On follow-up radiography, 3 cups of 215 were rated as loose. All others showed good bony consolidation. Gaps between the cup floor and the bone tended to be spontaneously obliterated by newly formed bone. Complete obliteration was observed even in those cases with incomplete cranial implant coverage due to hip dysplasia. The results show the cup to be universally applicable in primary arthroplasties irrespective of the diagnosis and any acetabular deformities. Cumulative Proportion Surviving Survival Time (Months) Zweymüller K, Steindl M. Cup fiation. Minimum 10-year results vs. 5-year data. What difference? In: Friederich NF, Santore RF, editors. 25 years of biologic fiation anniversary symposium. Munich: Urban & Fischer; In Press. Kaplan-Meier survival rate with revision of the cup shell because of aseptic loosening as the end point was 99.6 % (CI: 97.0 to 99.9) (n = 216). Fleibility also in instrumentation Optimal cutting reamers for processing the bone New modular setting device for conventional and navigated cup shell implantations Sector-closing instrument for simple closure of cup floor Complete trial system
10 AURA Medical s.r.o. K Verneráku Praha 4 Tel.: aura@aura-group.cz
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