Prostheses used in hip, knee, ankle, elbow and shoulder

Prostheses used in hip, knee, ankle,

elbow and shoulder replacement

procedures 2013

201411th Annual Report

ISSN 1745-1450 (Online)

HIPS

KNEES

ANKLES

ELBOWS

SHOULDERS

PROMs

National Joint Registry for England, Wales and Northern IrelandSurgical data to 31 December 2013

2 www.njrcentre.org.uk

Contents1 Prostheses used in hip procedures 2013 4

1.1 Femoral head material and size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41.2 Brand sales of conventional total hips and resurfacing prostheses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.3 Combinations of cups and stems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191.4 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

2 Prostheses used in knee procedures 2013 67

2.1 Prostheses entered into the NJR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 672.2 Usage of fixed versus mobile bearing tibial inserts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

3 Prostheses used in ankle procedures 2013 72

4 Prostheses used in elbow procedures 2013 73

5 Prostheses used in shoulder procedures 2013 74

6 Cement use 2013 77

7 Bone substitute use 2013 82

Tables

Table 1 Frequency of material chosen for femoral heads in procedures performed in 2013. . . . . . . . . . . . . . . . . . . . . . . 4 Table 2 Frequency of femoral head sizes for procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Table 3 (a)� Cemented cup brands for primary hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Table 3 (b)� Cemented cup brands for revision hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . 7Table 4 (a)� Cementless cup brands for primary hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . . . . . . . 8Table 4 (b)� Cementless cup brands for revision hip procedures performed during 2013. . . . . . . . . . . . . . . . . . . . . . . . . 10Table 5 (a)� Cemented stem brands for primary hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . . . . . . 12Table 5 (b)� Cemented stem brands for revision hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . . . . . . 14Table 6 (a)� Cementless stem brands for primary hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . . . . . 15Table 6 (b)� Cementless stem brands for revision hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . . . . . 17Table 7 Brands of resurfacing head for primary hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . . . . . . 19Table 8 (a)� Cup-stem brand combinations for primary hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . 20 Table 8 (b)� Cup-stem brand combinations for revision hip procedures performed during 2013 . . . . . . . . . . . . . . . . . . . 48Table 9 (a)� Brands for total condylar knee primary procedures performed during 2013. . . . . . . . . . . . . . . . . . . . . . . . . 68Table 9 (b)� Brands for total condylar knee revision procedures performed during 2013. . . . . . . . . . . . . . . . . . . . . . . . . 70 Table 10 Brands for primary and revision unicondylar knee replacement procedures performed during 2013 . . . . . . . . 71Table 11 Brands for primary and revision patello-femoral joint replacement procedures performed during 2013 . . . . . . . . 71Table 12 Fixed and rotating hinged knee brands for primary and revision knee procedures performed during 2013 . . . . . . . 72Table 13 Tibial insert type for primary and revision knee procedures during 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72Table 14 (a)� Brands for primary ankle procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

National Joint Registry for England, Wales and Northern Ireland | 11th Annual Report

3www.njrcentre.org.uk

Table 14 (b)� Brands for revision ankle procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73Table 15 Brands for humeral elbow primary and revision procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . 74Table 16 Brands for radial head elbow primary and revision procedures performed in 2013 . . . . . . . . . . . . . . . . . . 74Table 17 (a)� Brands for primary shoulder resurfacing procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . 75Table 17 (b)� Brands for revision shoulder resurfacing procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . 76Table 18 (a)� Shoulder humeral stem brands for primary shoulder procedures performed in 2013 . . . . . . . . . . . . . . . . . 76Table 18 (b)� Shoulder humeral stem brands for revision shoulder procedures performed in 2013 . . . . . . . . . . . . . . . . . 77Table 19 Type of cement used in hip, knee, ankle, elbow and shoulder replacement procedures in 2013 . . . . . . . . . . . 78Table 20 (a)� Brands of cement used in hip procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79Table 20 (b)� Brands of cement used in knee procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80Table 20 (c)� Brands of cement used in ankle procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81Table 20 (d)� Brands of cement used in elbow procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81Table 20 (e)� Brands of cement used in shoulder procedures performed in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82Table 21 (a)� Brands of synthetic bone substitute used in hip procedures during 2013 . . . . . . . . . . . . . . . . . . . . . . . . . 83Table 21 (b)� Brands of synthetic bone substitute used in knee procedures during 2013 . . . . . . . . . . . . . . . . . . . . . . . . 83Table 21 (c)� Brands of synthetic bone substitute used in ankle procedures during 2013 . . . . . . . . . . . . . . . . . . . . . . . . 84Table 21 (d)� Brands of synthetic bone substitute used in elbow procedures during 2013 . . . . . . . . . . . . . . . . . . . . . . . 84Table 21 (e)� Brands of synthetic bone substitute used in shoulder procedures during 2013 . . . . . . . . . . . . . . . . . . . . . 84


This section reports the numbers of prostheses implanted and reported to the NJR between 1 January and 31 December 2013.

The procedure counts in this section of the report may vary from the procedure counts detailed elsewhere as this section will only count those procedures where the implants have been used. Therefore, if a procedure has been submitted with missing implant information this will cause numbers to differ.

1.1 Femoral head material and sizeTable 1 shows the relative use of different modular heads. There has been a 1% increase in the use of metallic heads compared with 2012. Since 2008, there has been a 11% decrease in the use of metallic heads.

1 Prostheses used in hip procedures 2013

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Table 1 Frequency of material chosen for femoral heads in procedures performed in 2013.

MaterialNumber of

procedures

Number of modular femoral

heads usedPercentage

(%)89,252 87,399

Ceramic 33,570 38%

Metal 53,829 62%

Table 2 shows the frequency of the different femoral head sizes. The main change compared with 2012 is the 5% increase in the use of 32mm heads. This increase is at the expense of all other head sizes.



Table 3 (a) Cemented cup brands for primary hip procedures performed during 2013.

Manufacturer BrandNumber of

procedures Percentage (%) ODEP rating 28,441

Stryker Contemporary 9,976 35% 10A

Stryker Exeter Rimfit 4,112 14% Pre entry

DePuy Elite Plus Ogee 3,205 11% 10A

DePuy Marathon 3,174 11% 3A

DePuy Elite Plus Cemented Cup 1,642 6% 10A

Stryker Exeter Duration 984 3% 10A

Zimmer ZCA 874 3% 10A

Smith & Nephew Opera 632 2% 7A

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1.2 Brand sales of conventional total hips and resurfacing prostheses

Tables 3 to 8 show the most frequently used brands in England, Wales and Northern Ireland during 2013, 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 and refer to those ratings which applied on 1 June 2014 (See www.odep.org.uk for up to date ratings)�. The tables have been split into two to show brand usage in primary procedures and revision procedures separately.

Table 2 Frequency of femoral head sizes for procedures performed in 2013.

Ceramic acetabulum articulation

Ceramic acetabulum articulation

Metal acetabulum articulation

Metal acetabulum articulation

Polyethylene acetabulum articulation

Polyethylene acetabulum articulation

Number of procedures

with complete articulation

Percentage (%) of

Procedures

Head Size (mm) Ceramic head Metal head Ceramic head Metal head Ceramic head Metal head

16,211 87 97 377 16,802 51,461 85,035

22.25 0% 1% 0% 3% 1% 2% 1,183 1%

26 <1% 0% 0% <1% 0% 2% 812 <1%

28 6% 89% 74% <1% 29% 44% 28,514 34%

30 0% 0% 0% <1% 0% 0% 108 <1%

32 29% 3% 1% 1% 39% 37% 30,316 36%

34 0% 0% 0% 0% 0% 0% 0 0%

36 59% 7% 25% 4% 31% 15% 22,556 27%

38 0% 0% 0% 7% 0% <1% 116 <1%

40 5% 0% 0% 19% <1% <1% 1,387 2%

42 0% 0% 0% 11% 0% <1% 187 <1%

44 <1% 0% 0% 10% <1% <1% 371 <1%

46 0% 0% 0% 1% 0% <1% 26 <1%

48 <1% 0% 0% <1% 0% <1% 45 <1%

50 0% 0% 0% 19% 0% <1% 313 <1%

52 <1% 0% 0% 11% 0% 0% 177 <1%

54+ 0% 0% 0% 12% 0% 0% 205 <1%

Continued >



procedures Percentage (%) ODEP ratingCenterpulse Low Profile Muller 552 2% Unclassified

Biomet Stanmore-Arcom Cup 439 2% 10A

DePuy Charnley Ogee 398 1% 10A

DePuy Charnley Cemented Cup 381 1% 10A

Smith & Nephew Reflection Cemented 281 <1% 10A

Mathys Orthopaedics Ltd CCB Mathys 214 <1% 10A

DePuy Wroblewski Golf Ball 198 <1% 5B

Biomet Apollo 157 <1% 5A

B Braun / Aesculap Chirulen 143 <1% Unclassified

Corin Cenator Cemented Cup 135 <1% 7A

Zimmer Zimmer Cemented Cup 132 <1% 10A

Sheffield Medical Products Limited

Aeon Cemented Cup 128 <1% Unclassified

Biomet SHP Cup 102 <1% 7A

Orthodynamics Novae Stick 95 <1% 3A

Waldemar Link Interplanta 90 <1% Unclassified

Biomet Exceed ABT Cemented 64 <1% Unclassified

JRI Orthopaedics Ltd JRI Cemented Cup 52 <1% 7A

Zimmer Metasul-Muller 49 <1% Unclassified

Biomet Avantage Cemented Cup 37 <1% Unclassified

Stryker Trident Constrained Cup 33 <1% Unclassified

Waldemar Link Snap Fit 26 <1% Unclassified

Waldemar Link Link Flange Cup 17 <1% 5B

Centerpulse Centerpulse Muller 13 <1% Unclassified

Implants International Edinburgh Cup 12 <1% 3A

Stryker Restoration Gap2 12 <1% Unclassified

Serf Dedienne sante Novae Stick 10 <1% 3A

Smith & Nephew Polarcup Cemented 9 <1% Pre-Entry

MicroPort Orthopedics A Class 8 <1% Unclassified

Implants International CCB 7 <1% Unclassified

Biomet CMK Cemented Cup 5 <1% 7A

Biomet Freedom 3 <1% Unclassified

Evolutis Cementedd DM cup 3 <1% Unclassified

Stryker Gap Ring 2 <1% Unclassified

Zimmer Longevity 2 <1% Unclassified

Comis Orthopaedics Mitre Cup 1 <1% Unclassified

Endo Plus (UK)� Limited Polarcup Cemented 1 <1% Pre-Entry

Stryker Arden 1 <1% Unclassified

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Table 3 (a) continued



Table 3 (b) Cemented cup brands for revision hip procedures performed during 2013.


procedures Percentage (%)1,875

Stryker Exeter Rimfit 371 20%

Stryker Contemporary 356 19%

DePuy Marathon 261 14%

DePuy Elite Plus Ogee 143 8%

Orthodynamics Novae Stick 139 7%

Biomet Avantage Cemented Cup 86 5%

DePuy Elite Plus Cemented Cup 84 4%

Stryker Trident Constrained Cup 77 4%

Biomet Stanmore-Arcom Cup 30 2%

Stryker Restoration Gap2 29 2%

Zimmer ZCA 27 1%

Centerpulse Low Profile Muller 25 1%

Biomet Exceed ABT Cemented 22 1%

DePuy Charnley Cemented Cup 22 1%

Smith & Nephew Opera 22 1%

Stryker Exeter Duration 22 1%

DePuy Wroblewski Golf Ball 21 1%

Waldemar Link Snap Fit 20 1%

DePuy Charnley Ogee 19 1%

JRI Orthopaedics Ltd JRI Cemented Cup 15 <1%

Serf Dedienne sante Novae Stick 15 <1%

Smith & Nephew Polarcup Cemented 14 <1%

B Braun / Aesculap Chirulen 10 <1%

Zimmer Zimmer Cemented Cup 8 <1%

Evolutis Cementedd DM cup 5 <1%

Sheffield Medical Products Limited Aeon Cemented Cup 5 <1%

Smith & Nephew Reflection Cemented 5 <1%

Waldemar Link Interplanta 5 <1%

Biomet SHP Cup 4 <1%

Corin Cenator Cemented Cup 4 <1%

Biomet Freedom 3 <1%

Mathys Orthopaedics Ltd CCB Mathys 3 <1%

Implants International Edinburgh Cup 1 <1%

Medacta UK Ltd Versacem 1 <1%

Zimmer Metasul-Muller 1 <1%

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procedures Percentage (%) ODEP rating50,329

DePuy Pinnacle 15,783 31.36% 10A

Stryker Trident 9,694 19.26% 7A

JRI Orthopaedics Ltd CSF Plus 3,568 7.09% 3A

Biomet Exceed ABT 3,564 7.08% 5A

Zimmer Trilogy 3,285 6.53% 10A

Smith & Nephew R3 Cementless 2,885 5.73% 3A

Corin Trinity 1,998 3.97% 3A

Zimmer Continuum 1,527 3.03% Pre-Entry

JRI Orthopaedics Ltd CSF 831 1.65% 10A

Lima Delta TT 776 1.54% Unclassified

Zimmer FM IT 632 1.26% Unclassified

Zimmer Trilogy IT 595 1.18% Unclassified

Stryker Tritanium 580 1.15% 3A

Zimmer Trabecular Metal Cementless Cup 531 1.06% Pre-Entry

MicroPort Orthopedics Procotyl 499 <1% Pre-Entry

B Braun / Aesculap Plasmacup Cementless Cup 458 <1% 7A

Symbios SA April 387 <1% Unclassified

Centerpulse Allofit 350 <1% 10A

DePuy DeltaMotion 340 <1% 3A

Medacta UK Ltd Versafit 257 <1% 3A

Endo Plus (UK)� Limited EP-Fit Plus 181 <1% 5A

Mathys Orthopaedics Ltd RM Classic 164 <1% 10A

Zimmer Allofit 152 <1% 10A

FH Orthopaedics Atlas IIIp 132 <1% 10A

Stryker ABG II Cementless Cup 126 <1% 7A

Orthodynamics Novae 120 <1% 10B

Biomet Exceed 101 <1% 7A

Mathys Orthopaedics Ltd RM Pressfit 91 <1% 5A

Biomet Avantage 78 <1% 7B

Biomet Mallory-Head Cementless Cup 77 <1% 10A

Mathys Orthopaedics Ltd seleXys PC 76 <1% Pre-Entry

Lima Delta PF 60 <1% 3A

Lima Delta One TT 53 <1% Unclassified

Biomet Regenerex Ringloc+ 52 <1% Unclassified

Zimmer CLS Cementless Cup 52 <1% 10A

Smith & Nephew Reflection Cementless 50 <1% 7A

Active Implants Tribofit 37 <1% Pre-Entry

Stryker Restoration ADM Cup 34 <1% Unclassified

Endo Plus (UK)� Limited Bicon-Plus 25 <1% 10A

Zimmer Trabecular Metal Natural Cup 21 <1% 5A

Table 4 (a) Cementless cup brands for primary hip procedures performed during 2013.

Continued >




procedures Percentage (%) ODEP ratingDePuy Gyros 20 <1% Unclassified

Exactech (UK)� Ltd Novation 19 <1% Unclassified

Evolutis Captiv DM 13 <1% 3B

Amplitude Saturne 10 <1% 3B

Zimmer Maxera 9 <1% Unclassified

Smith & Nephew EPF-Plus 8 <1% 3A

JRI Orthopaedics Ltd Furlong Threaded 5 <1% 10A

Waldemar Link Beta Cup 5 <1% Unclassified

DePuy J-Loc 2 <1% Unclassified

Endo Plus (UK)� Limited Polarcup Cementless 2 <1% 7A

Exactech (UK)� Ltd Acumatch Cup 2 <1% Unclassified

Lima Delta Revision TT 2 <1% Unclassified

Biomet Ranawat/Burstein 1 <1% Unclassified

Biomet Regenerex Revision 1 <1% Unclassified

Corin Cerafit Cementless Cup 1 <1% Unclassified

Evolutis Moonstone 1 <1% Unclassified

Implants International RM Cementless Cup (Implant International)� 1 <1% Unclassified

JRI Orthopaedics Ltd Tribofit 1 <1% Pre-Entry

Lima 2M dual mobility 1 <1% Unclassified

Medacta UK Ltd MPACT 1 <1% Unclassified

Smith & Nephew Polarcup Cementless 1 <1% 7A

Stryker Secure Fit Cementless Cup 1 <1%Not ODEP

Rated Product

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Continued >


Table 4 (b) Cementless cup brands for revision hip procedures performed during 2013.


procedures Percentage (%)5,024

Zimmer Trabecular Metal Cementless Cup 1,203 24%

DePuy Pinnacle 869 17%

Stryker Tritanium 542 11%

Stryker Trident 420 8%

Lima Delta TT 352 7%

Lima Delta One TT 330 7%

Zimmer Continuum 299 6%

Zimmer Trilogy 148 3%

JRI Orthopaedics Ltd CSF Plus 143 3%

Biomet Regenerex Ringloc+ 140 3%

Smith & Nephew R3 Cementless 121 2%

Biomet Exceed ABT 55 1%

Zimmer Trilogy IT 48 <1%

Corin Trinity 44 <1%

Lima Delta Revision TT 40 <1%

Orthodynamics Novae 29 <1%

Zimmer FM IT 24 <1%

Biomet Avantage 22 <1%

JRI Orthopaedics Ltd CSF 21 <1%

MicroPort Orthopedics Procotyl 21 <1%

B Braun / Aesculap Plasmacup Cementless Cup 20 <1%

Amplitude Saturne 17 <1%

Zimmer Trabecular Metal Natural Cup 17 <1%

Mathys Orthopaedics Ltd RM Classic 12 <1%

DePuy Gyros 11 <1%

Evolutis Captiv DM 8 <1%

DePuy DeltaMotion 7 <1%

Symbios SA April 7 <1%

Stryker Secure Fit Cementless Cup 6 <1%

Biomet Mallory-Head Cementless Cup 5 <1%

Endo Plus (UK)� Limited EP-Fit Plus 5 <1%

Exactech (UK)� Ltd Acumatch Cup 5 <1%

Smith & Nephew Reflection Cementless 5 <1%

Zimmer Allofit 5 <1%

Medacta UK Ltd Versafit 4 <1%

Biomet Exceed 3 <1%

Biomet Regenerex Revision 2 <1%

Evolutis Moonstone 2 <1%

Stryker ABG II Cementless Cup 2 <1%

Stryker Restoration Gap2 2 <1%

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Continued >




procedures Percentage (%)Zimmer CLS Cementless Cup 2 <1%

Evolutis Capitole 1 1 <1%

FH Orthopaedics Atlas IIIp 1 <1%

JRI Orthopaedics Ltd Furlong Threaded 1 <1%

Mathys Orthopaedics Ltd seleXys TPS 1 <1%

Orthodynamics Hilock 1 <1%

Stryker Restoration ADM Cup 1 <1%

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Table 4 (b) continued

Continued >


Table 5 (a) Cemented stem brands for primary hip procedures performed during 2013.


procedures Percentage (%) ODEP rating42,533

Stryker Exeter V40 28,523 67% 10A

Zimmer CPT 5,152 12% 10A

DePuy C-Stem AMT Cemented Stem 2,414 6% 7B

DePuy C-Stem Cemented Stem 1,657 4% 10A

DePuy Charnley Cemented Stem 651 1.531% 10A

Biomet Stanmore Modular Stem 624 1.467% 10A

Smith & Nephew CPCS 606 1.425% 5A

Centerpulse MS-30 403 <1% 10A

Corin Taperfit Cemented Stem 369 <1% 10A

Biomet Muller-Biomet 306 <1% 5A

Mathys Orthopaedics Ltd CCA Cemented Stem 214 <1% 10A

Waldemar Link SP II Cemented Stem 184 <1% 10A

B Braun / Aesculap Excia Cemented 155 <1% Unclassified

Centerpulse Muller Straight Stem 147 <1% 10A


Aeon Cemented Stem 147 <1% Pre-Entry

Biomet Taperloc Cemented Stem 141 <1% 5A

Biomet Olympia 124 <1% 5A

Zimmer MS-30 99 <1% 10A

Centerpulse P10 Muller 79 <1% 10A

Stryker Omnifit Cemented Stem 74 <1% 10A

MicroPort Orthopedics Profemur Cemented Stem 63 <1% Pre-Entry

DePuy Corail Cemented 56 <1% Pre-Entry

Smith & Nephew Spectron 55 <1% 10A

JRI Orthopaedics Ltd Furlong Cemented Stem 40 <1% 10C

Stryker Exeter 36 <1% 10A

B Braun / Aesculap Trilliance 32 <1% Unclassified

Medacta UK Ltd AMIStem Cemented 27 <1% Pre-Entry

DePuy Charnley Modular 25 <1% 7A

Zimmer VerSys Heritage 20 <1% Discontinued

B Braun / Aesculap Centrament 17 <1% 7B

Biomet Bimetric Cemented (Ti)� 17 <1% 10A

JRI Orthopaedics Ltd Furlong Cemented Hemiarthroplasty 12 <1% Unclassified

Stanmore Implants Worldwide

METS Cemented 11 <1%Not ODEP

Rated Product

Stryker Restoration Cemented Stem 11 <1% Unclassified

DePuy Summit Cemented Stem 10 <1% 3A

Implants International Edinburgh 9 <1% 3A

Waldemar Link SP II Cemented Revision 8 <1%Not ODEP

Rated Product

Biomet CMK Cemented Stem 5 <1% 7A

Biomet Bimetric Cemented (CoCr)� 3 <1% 5A

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Continued >



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14Manufacturer BrandNumber of

procedures Percentage (%) ODEP ratingSmith & Nephew Echelon Cemented Stem 2 <1% Unclassified

DePuy Endurance Cemented Stem 1 <1% Unclassified

DePuy G2 Cemented Stem 1 <1% Unclassified

Endo Plus (UK)� Limited Endoplus Cemented 1 <1% Unclassified

JRI Orthopaedics Ltd Furlong LOL 1 <1% Unclassified

Orthodynamics Cannulok Cemented Stem 1 <1% Unclassified


Continued >


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Table 5 (b) Cemented stem brands for revision hip procedures performed during 2013.


procedures Percentage (%)

Procedures using femoral

bone graft2,915 123

Stryker Exeter V40 1,883 65% 74

Zimmer CPT 376 13% 12

DePuy C-Stem Cemented Stem 238 8% 31

DePuy C-Stem AMT Cemented Stem 150 5% 2

Biomet Stanmore Modular Stem 40 1% 0Stanmore Implants Worldwide METS Cemented 27 <1% 0

Waldemar Link SP II Cemented Revision 25 <1% 0

Stryker Restoration Cemented Stem 24 <1% 0

Biomet Muller-Biomet 15 <1% 0

DePuy Corail Cemented 14 <1% 0

Centerpulse MS-30 11 <1% 0

Corin Taperfit Cemented Stem 11 <1% 0

Smith & Nephew Echelon Cemented Stem 11 <1% 0

Biomet Taperloc Cemented Stem 10 <1% 0

Smith & Nephew CPCS 10 <1% 1

JRI Orthopaedics Ltd Furlong Cemented Stem 8 <1% 0

DePuy Charnley Cemented Stem 6 <1% 3Sheffield Medical Products Limited Aeon Cemented Stem 6 <1% 0

Smith & Nephew Spectron 6 <1% 0

Waldemar Link SP II Cemented Stem 6 <1% 0

Zimmer Segmental 5 <1% 0

B Braun / Aesculap Excia Cemented 4 <1% 0

Centerpulse P10 Muller 4 <1% 0

DePuy Charnley Modular 4 <1% 0

Biomet Olympia 2 <1% 0

Centerpulse Muller Straight Stem 2 <1% 0

DePuy Summit Cemented Stem 2 <1% 0

Mathys Orthopaedics Ltd CCA Cemented Stem 2 <1% 0

Stryker Omnifit Cemented Stem 2 <1% 0

B Braun / Aesculap Centrament 1 <1% 0

B Braun / Aesculap Prevision Cemented Stem 1 <1% 0

Biomet Bimetric Cemented (CoCr)� 1 <1% 0

DePuy Titan 1 <1% 0

Implantcast GmbH Mutars 1 <1% 0

Implants International Edinburgh 1 <1% 0

MicroPort Orthopedics Profemur Cemented Stem 1 <1% 0

Orthodynamics Cannulok Cemented Stem 1 <1% 0

Stryker Exeter 1 <1% 0

Stryker GMRS 1 <1% 0

Zimmer VerSys Heritage 1 <1% 0



Table 6 (a) Cementless stem brands for primary hip procedures performed during 2013.

Manufacturer Brand Number of procedures Percentage (%) ODEP rating

36,281DePuy Corail 16,894 47% 10A

JRI Orthopaedics Ltd Furlong HAC Stem 3,425 9% 10A

Biomet Taperloc Cementless Stem 3,251 9% 10A

Stryker Accolade 2,817 8% 7A

Zimmer M/L Taper Cementless 1,268 3% 5A

Smith & Nephew Polarstem Cementless 885 2% 5A

DePuy Trilock BPS 695 2% Pre-Entry

Smith & Nephew Synergy Cementless Stem 645 2% 7A

Smith & Nephew Anthology 592 2% 5B

JRI Orthopaedics Ltd Evolution Cementless 494 1% Unclassified

Corin Metafix Stem 468 1% 3A

MicroPort Orthopedics Profemur Cementless Stem 454 1% Pre-Entry

Corin miniHip 314 <1% 3A

B Braun / Aesculap Excia Cementless 312 <1% 7A

Zimmer Versys Cementless Stem 305 <1% 7A

Endo Plus (UK)� Limited SL-Plus Cementless Stem 303 <1% 10A

Biomet Taperloc Complete Cementless Stem 213 <1% 10A

Zimmer CLS Cementless Stem 196 <1% 10A

Stryker Accolade II 185 <1% Unclassified

Medacta UK Ltd AMIStem Cementless 183 <1% Pre-Entry

Biomet Bimetric Cementless Stem 179 <1% 10A

DePuy S-Rom Cementless Stem 179 <1% 10A

Symbios SA SPS Evolution 174 <1% Unclassified

Zimmer M/L Taper Kinectiv Cementless 142 <1% Pre-Entry

DePuy Summit Cementless Stem 129 <1% 7A

Stryker ABG II Monolithic Cementless Stem 124 <1% Unclassified

Lima H-Max S Monoblock Stem 118 <1% Unclassified

Mathys Orthopaedics Ltd Twinsys Cementless Stem 111 <1% 5A

Symbios SA SPS Modular 107 <1% Unclassified

Smith & Nephew SL-Plus Cementless Stem 88 <1% 10A

Stryker Restoration Cementless Stem 86 <1% Unclassified

Stryker Omnifit Cementless Stem 83 <1% 10A

MicroPort Orthopedics Ancafit Cementless Stem 62 <1% 7A

Symbios SA SPS Ha 58 <1% 10C

MicroPort Orthopedics Profemur Preserve 54 <1% Pre-Entry

Medacta UK Ltd Quadra Cementless 51 <1% 5A

Zimmer M/L Taper 49 <1% 5A

B Braun / Aesculap Metha Monoblock Stem 41 <1% Pre-Entry

JRI Orthopaedics Ltd Furlong HAC Active Stem 39 <1% 10A

Corin Trifit Cementless Stem 33 <1% Unclassified

B Braun / Aesculap Bicontact Cementless Stem 30 <1% 10A

Biomet Arcos Cone 27 <1% Unclassified

DePuy Silent 24 <1% Pre-Entry

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Continued >



Mathys Orthopaedics Ltd CBC 21 <1% 3A

Zimmer ZMR 21 <1% Unclassified

Centerpulse CLS Cementless Stem 20 <1% 10A

Exactech (UK)� Ltd Novation Element Stem 20 <1% Pre-Entry

MicroPort Orthopedics Profemur Gladiator 20 <1% Pre-Entry

Centerpulse Revitan Cementless Stem 18 <1% Unclassified

Lima Lima Revision Stem 18 <1% Unclassified

Waldemar Link CFP 18 <1% 5B

Zimmer Fitmore Stem 18 <1% Unclassified

DePuy Kar 17 <1% Unclassified

Smith & Nephew Nanos 16 <1% 3A

Implantcast GmbH Implantcast Cementless Stem 15 <1% Unclassified

Smith & Nephew Birmingham Head Resection Stem 15 <1% 3B

Mathys Orthopaedics Ltd CBC Evolution 14 <1% Pre-Entry

DePuy Corail Revision Stem 12 <1%Not ODEP

Rated ProductOrthodynamics Cannulok Cementless Stem 12 <1% Unclassified

DePuy RECLAIM 11 <1%Not ODEP

Rated Product

Waldemar Link MP Revision 11 <1%Not ODEP

Rated ProductStanmore Implants Worldwide

METS Cementless 10 <1%Not ODEP

Rated ProductCenterpulse Zweymuller 9 <1% 10A

Zimmer Alloclassic Cementless Stem 9 <1% 10A

Lima H-Max M Modular Stem 8 <1% Unclassified

Symbios SA Harmony 8 <1% Unclassified

Zimmer Trabecular Cementless Stem 7 <1% Pre-Entry

JRI Orthopaedics Ltd Furlong HAC Revision Stem 6 <1%Not ODEP

Rated ProductJRI Orthopaedics Ltd Securus 6 <1% Unclassified

Lima Modulus 6 <1% 5B

DePuy Reef 4 <1% Unclassified

FH Orthopaedics ESOP 4 <1% Unclassified

DePuy DePuy Proxima 3 <1% Pre-Entry

Biomet Conelock 2 <1% Unclassified

Endo Plus (UK)� Limited SLR-Plus Cementless Stem 2 <1% Unclassified

Exactech (UK)� Ltd Novation Stem 2 <1% Pre-Entry

FH Orthopaedics FH Modular 2 <1% Unclassified

DePuy LPS 1 <1% Unclassified

Exactech (UK)� Ltd Acumatch M-Series Cementless 1 <1% Unclassified

Lima Master SL 1 <1% Unclassified

Medacta UK Ltd miniMax 1 <1% Pre-Entry

MicroPort Orthopedics Profemur L 1 <1% 5A

Smith & Nephew Echelon Cementless Stem 1 <1% Unclassified


Continued >

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Waldemar Link MP Neck Cementless Stem 1 <1% Unclassified

Zimmer Wagner Cone 1 <1% 7B

Zimmer ZMR Cementless Proximal Stem 1 <1% Unclassified

Continued > Continued >

Table 6 (b) Cementless stem brands for revision hip procedures performed during 2013.




bone graft2,571 42

Stryker Restoration Cementless Stem 639 25% 10

DePuy Corail 307 12% 4

Zimmer ZMR 210 8% 1

Biomet Arcos Cone 162 6% 4

Lima Lima Revision Stem 123 5% 5

Centerpulse Revitan Cementless Stem 112 4% 1

DePuy RECLAIM 87 3% 1

Waldemar Link MP Revision 80 3% 1

JRI Orthopaedics Ltd Furlong HAC Stem 61 2% 1

Orthodynamics Cannulok Cementless Stem 61 2% 2

DePuy Kar 57 2% 1

DePuy S-Rom Cementless Stem 57 2% 0

DePuy Reef 54 2% 1

Stryker Accolade 49 2% 0

Zimmer M/L Taper Cementless 46 2% 0

Biomet Taperloc Cementless Stem 40 2% 1

JRI Orthopaedics Ltd Furlong HAC Revision Stem 38 1% 2

Smith & Nephew Synergy Cementless Stem 36 1% 0

DePuy Corail Revision Stem 33 1% 0

Smith & Nephew Echelon Cementless Stem 32 1% 0

MicroPort Orthopedics Profemur Cementless Stem 28 1% 0

DePuy Solution Cementless Stem 25 <1% 1

JRI Orthopaedics Ltd Securus 25 <1% 0

DePuy Trilock BPS 19 <1% 0

Smith & Nephew Anthology 15 <1% 1

Corin Metafix Stem 14 <1% 1

Smith & Nephew Polarstem Cementless 12 <1% 1

JRI Orthopaedics Ltd Evolution Cementless 11 <1% 0

Zimmer ZMR Cementless Proximal Stem 9 <1% 1

Biomet Conelock 7 <1% 0

Symbios SA SPS Modular 7 <1% 0

Biomet Bimetric Cementless Stem 6 <1% 0





bone graftBiomet Reach 6 <1% 0

Mathys Orthopaedics Ltd Twinsys Cementless Stem 6 <1% 0

MicroPort Orthopedics Profemur L 6 <1% 0


METS Cementless 6 <1% 0

Zimmer Versys Cementless Stem 6 <1% 0

B Braun / Aesculap Excia Cementless 5 <1% 1

Stryker Accolade II 5 <1% 0

CorinOxford Universal Hip (Corin)� Cementless Stem

4 <1% 0

Lima H-Max S Monoblock Stem 4 <1% 0

MicroPort Orthopedics Profemur Preserve 4 <1% 0

Smith & Nephew SL-Plus Cementless Stem 4 <1% 1

Symbios SA SPS Evolution 4 <1% 0

B Braun / Aesculap Metha Monoblock Stem 3 <1% 0

DePuy LPS 3 <1% 0

Lima Modulus 3 <1% 0

Mathys Orthopaedics Ltd Mathys Revision Stem 3 <1% 0

Waldemar Link CFP 3 <1% 0

Zimmer M/L Taper 3 <1% 0

Amplitude Integrale 2 <1% 0

Corin miniHip 2 <1% 0

DePuy Summit Cementless Stem 2 <1% 0

Endo Plus (UK)� Limited SL-Plus Cementless Stem 2 <1% 0

Endo Plus (UK)� Limited SLR-Plus Cementless Stem 2 <1% 0

Medacta UK Ltd AMIStem Cementless 2 <1% 0

Smith & Nephew MDF Modular 2 <1% 0

Zimmer M/L Taper Kinectiv Cementless 2 <1% 0

B Braun / Aesculap Bicontact Cementless Stem 1 <1% 0

Biomet Kent Hip 1 <1% 0

Biomet Mallory-Head Cementless Stem 1 <1% 0

Biomet Taperloc Complete Cementless Stem 1 <1% 0

Corin C Fit 1 <1% 0

Mathys Orthopaedics Ltd CBK 1 <1% 0

Medacta UK Ltd Quadra Cementless 1 <1% 0

Peter Brehm GmbH Peter Brehm Revision Stem 1 <1% 0

Smith & Nephew Birmingham Head Resection Stem 1 <1% 0

Stryker Omnifit Cementless Stem 1 <1% 0

Symbios SA SPS Ha 1 <1% 0

Waldemar Link MP Neck Cementless Stem 1 <1% 0

Zimmer CLS Cementless Stem 1 <1% 0

Zimmer Mayo Cementless Stem 1 <1% 0

Zimmer Trabecular Cementless Stem 1 <1% 0


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Table 7 Brands of resurfacing head for primary hip procedures performed during 2013.


procedures Percentage (%) ODEP rating913

Smith & Nephew BHR Resurfacing Head 656 72% 10A

MATOrtho Limited Adept Resurfacing Head 88 10% 3A

Corin Cormet 2000 Resurfacing Head 56 6% 3A

Implantcast GmbH Accis Resurfacing Head 35 4% Discontinued

Biomet Recap Resurfacing Head 29 3% 3A

Centerpulse Durom Resurfacing Head 26 3% Pre-Entry

Van Straten Medical Accis Resurfacing Head 21 2% Discontinued

MicroPort Orthopedics Conserve 2 <1% Unclassified

Previous NJR Annual Reports listed the brands of resurfacing cups used with stemmed large metal heads. During 2013 there were no procedures of this type performed and submitted to the NJR.

1.3 Combinations of cups and stems

Tables 8 (a)� and 8 (b)� detail the combinations of cup and stem brands used in primary and revision hip procedures respectively. Tables 8 (a)� and 8 (b)� also detail which combinations have a different stem and cup manufacturer – a practice known as ‘mix and match’. For 78,479 hip primary replacement procedures in the 2013 data, both the cup and stem brand were known and a total of 807 different combinations of cup and stem brands were recorded.

The most common cup-stem combination for primary procedures was the Corail stem combined with the Pinnacle cup. Of the 78,479 primary procedures 11,496 (15%)� used ‘mix and match’ cup-stem combinations from different suppliers, approximately 1% less than in 2012. Of the 4,287 revision hip procedures where both the cup and stem were replaced, 531 cup-stem combinations were used. The most common cup-stem combination was the Exeter V40 stem combined with the Exeter Rimfit cup both from Stryker.

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Table 8 (a) Cup-stem brand combinations for primary hip procedures performed during 2013.

Cup manufacturer Cup brand

Stem manufacturer Stem brand


Percentage (%)

Mix and

match

78,479

DePuy Pinnacle DePuy Corail 13,070 17% No

Stryker Contemporary Stryker Exeter V40 9,678 12% No

Stryker Trident Stryker Exeter V40 6,463 8% No

Stryker Exeter Rimfit Stryker Exeter V40 3,934 5% No

Biomet Exceed ABT BiometTaperloc Cementless Stem

2,999 4% No

JRI Orthopaedics Ltd

CSF PlusJRI Orthopaedics Ltd

Furlong HAC Stem 2,606 3% No

Stryker Trident Stryker Accolade 2,597 3% No

Zimmer Trilogy Zimmer CPT 1,994 3% No

DePuy Elite Plus Ogee Stryker Exeter V40 1,815 2% Yes

DePuy Marathon DePuy Corail 1,203 2% No

Stryker Exeter Duration Stryker Exeter V40 976 1% No

Zimmer Trilogy Stryker Exeter V40 874 1% Yes

Smith & Nephew R3 CementlessSmith & Nephew

Polarstem Cementless 844 1% No

Zimmer ZCA Zimmer CPT 836 1% No

DePuy Pinnacle DePuyC-Stem AMT Cemented Stem

816 1% No

DePuyElite Plus Cemented Cup

Stryker Exeter V40 729 <1% Yes


CSFJRI Orthopaedics Ltd

Furlong HAC Stem 721 <1% No

DePuy Pinnacle Stryker Exeter V40 706 <1% Yes

DePuy Marathon DePuy C-Stem Cemented Stem 694 <1% No


Synergy Cementless Stem 639 <1% No

DePuy Marathon DePuyC-Stem AMT Cemented Stem

617 <1% No

DePuy Pinnacle DePuy Trilock BPS 606 <1% No

DePuy Marathon Stryker Exeter V40 601 <1% Yes


Anthology 590 <1% No

Zimmer Continuum Zimmer M/L Taper Cementless 573 <1% No

Lima Delta TT DePuy Corail 524 <1% Yes

Zimmer Continuum Zimmer CPT 510 <1% No


DePuyC-Stem AMT Cemented Stem

459 <1% No

Corin Trinity Corin Metafix Stem 449 <1% No



Evolution Cementless 437 <1% No

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Continued >



Continued >




Percentage (%)

Mix and

match

Stryker Tritanium Stryker Exeter V40 418 <1% No

DePuy Elite Plus Ogee DePuyC-Stem AMT Cemented Stem

407 <1% No

Zimmer Trilogy IT Zimmer CPT 386 <1% No

DePuy Elite Plus Ogee DePuy C-Stem Cemented Stem 358 <1% No

Biomet Stanmore-Arcom Cup Biomet Stanmore Modular Stem 348 <1% No

Zimmer FM IT Zimmer M/L Taper Cementless 346 <1% No

Corin Trinity DePuy Corail 339 <1% Yes


DePuy Corail 311 <1% No

Corin Trinity Corin miniHip 309 <1% No

Smith & Nephew R3 Cementless Stryker Exeter V40 306 <1% Yes

DePuyCharnley Cemented Cup

DePuy Charnley Cemented Stem 298 <1% No

DePuy Elite Plus Ogee Zimmer CPT 295 <1% Yes

B Braun / Aesculap

Plasmacup Cementless Cup

B Braun / Aesculap

Excia Cementless 294 <1% No

Zimmer Low Profile Muller Zimmer MS-30 272 <1% No


CSF Plus Stryker Exeter V40 267 <1% Yes

MicroPort Orthopedics

ProcotylMicroPort Orthopedics

Profemur Cementless Stem

261 <1% No

Stryker Trident DePuy Corail 250 <1% Yes

DePuy DeltaMotion DePuy Corail 243 <1% No

Smith & Nephew Opera Stryker Exeter V40 243 <1% Yes

ZimmerTrabecular Metal Cementless Cup

Zimmer CPT 233 <1% No

DePuy Charnley Ogee DePuy Charnley Cemented Stem 224 <1% No

Corin Trinity Corin Taperfit Cemented Stem 208 <1% No

DePuy Elite Plus Ogee DePuy Corail 200 <1% No

Smith & Nephew Opera DePuy C-Stem Cemented Stem 200 <1% Yes

Smith & Nephew Reflection CementedSmith & Nephew

CPCS 198 <1% No


CPCS 195 <1% No

Biomet Exceed ABT BiometTaperloc Complete Cementless Stem

186 <1% No

Mathys Orthopaedics Ltd

CCB MathysMathys Orthopaedics Ltd

CCA Cemented Stem 182 <1% No

Corin TrinityMicroPort Orthopedics


181 <1% Yes

Medacta UK Ltd VersafitMedacta UK Ltd

AMIStem Cementless 181 <1% No

Zimmer FM IT Zimmer CPT 172 <1% No

Symbios SA April Symbios SA SPS Evolution 169 <1% No

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Continued >





Percentage (%)

Mix and

match

Smith & Nephew EP-Fit PlusSmith & Nephew

SL-Plus Cementless Stem 168 <1% No



Zimmer Trilogy DePuy Corail 159 <1% Yes

Zimmer Continuum Zimmer Versys Cementless Stem 153 <1% No

Zimmer Allofit Zimmer CPT 147 <1% No

Zimmer Allofit Zimmer MS-30 147 <1% No

Biomet Apollo Biomet Muller-Biomet 146 <1% No

Stryker Contemporary DePuy Corail 130 <1% Yes

DePuy Pinnacle DePuy S-Rom Cementless Stem 127 <1% No


Aeon Cemented Cup


Aeon Cemented Stem 123 <1% No

Biomet Exceed ABT Biomet Bimetric Cementless Stem 117 <1% No

Smith & Nephew OperaSmith & Nephew

CPCS 117 <1% No

CorinCenator Cemented Cup


DePuy Wroblewski Golf Ball DePuy C-Stem Cemented Stem 114 <1% No

Zimmer Low Profile Muller Zimmer Muller Straight Stem 112 <1% No

Biomet Exceed ABT Biomet Taperloc Cemented Stem 109 <1% No


DePuy Corail 109 <1% Yes

DePuy Charnley Ogee DePuy C-Stem Cemented Stem 107 <1% No

Symbios SA April Symbios SA SPS Modular 106 <1% No

Biomet Exceed ABT Stryker Exeter V40 104 <1% Yes

StrykerABG II Cementless Cup

Stryker Exeter V40 103 <1% No

Zimmer Continuum ZimmerM/L Taper Kinectiv Cementless

103 <1% No

B Braun / Aesculap

ChirulenB Braun / Aesculap

Excia Cemented 102 <1% No

Stryker Trident StrykerABG II Monolithic Cementless Stem

101 <1% No

Lima Delta TT Stryker Exeter V40 97 <1% Yes

Corin Trinity Zimmer M/L Taper Cementless 96 <1% Yes



Stryker Trident Stryker Accolade II 91 <1% No

Corin Trinity Biomet Olympia 90 <1% Yes

Waldemar Link Interplanta Waldemar Link SP II Cemented Stem 90 <1% No

Zimmer Allofit Zimmer M/L Taper Cementless 87 <1% No

FH Orthopaedics Atlas IIIp Corin Taperfit Cemented Stem 86 <1% Yes

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Continued >



Continued >




Percentage (%)

Mix and

match

Biomet SHP Cup Biomet Stanmore Modular Stem 85 <1% No

Stryker Contemporary Zimmer CPT 85 <1% Yes

Corin Trinity Stryker Exeter V40 84 <1% Yes

DePuy Wroblewski Golf Ball DePuy Charnley Cemented Stem 82 <1% No

DePuy Pinnacle DePuy C-Stem Cemented Stem 79 <1% No


Procotyl Stryker Exeter V40 77 <1% Yes

Stryker Tritanium Stryker Accolade II 77 <1% No

Zimmer Trilogy Zimmer M/L Taper Cementless 75 <1% No

Biomet Stanmore-Arcom Cup BiometTaperloc Cementless Stem

74 <1% No


CSF Plus Zimmer CPT 71 <1% Yes

Zimmer Trilogy Zimmer CLS Cementless Stem 71 <1% No


RM ClassicMathys Orthopaedics Ltd

Twinsys Cementless Stem 70 <1% No

Stryker Trident Stryker Omnifit Cementless Stem 69 <1% No

Zimmer Low Profile Muller Zimmer P10 Muller 67 <1% No

DePuy Charnley Ogee Stryker Exeter V40 65 <1% Yes

DePuy Elite Plus Ogee DePuy Summit Cementless Stem 63 <1% No


RM Pressfit Stryker Exeter V40 62 <1% Yes



Ancafit Cementless Stem 62 <1% No

Zimmer Continuum Stryker Exeter V40 62 <1% Yes

ZimmerZimmer Cemented Cup

Biomet Muller-Biomet 61 <1% Yes

DePuy Pinnacle DePuy Summit Cementless Stem 60 <1% No

Lima Delta TT Lima H-Max S Monoblock Stem 60 <1% No

Smith & Nephew R3 Cementless Stryker Accolade 60 <1% Yes

Symbios SA April Symbios SA SPS Ha 58 <1% No

BiometMallory-Head Cementless Cup

Biomet Bimetric Cementless Stem 56 <1% No



Profemur Cemented Stem 56 <1% No

Zimmer Trilogy IT Zimmer M/L Taper Cementless 56 <1% No

Corin Trinity Zimmer CPT 55 <1% Yes

Lima Delta PF Lima H-Max S Monoblock Stem 55 <1% No

Zimmer Low Profile Muller Biomet Muller-Biomet 55 <1% Yes

Stryker Tritanium Stryker Accolade 54 <1% No

Zimmer CLS Cementless Cup Zimmer CLS Cementless Stem 52 <1% No



Evolution Cementless 51 <1% No

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Percentage (%)

Mix and

match

Smith & Nephew Reflection Cemented Stryker Exeter V40 51 <1% Yes

DePuy PinnacleSmith & Nephew

CPCS 48 <1% Yes


Quadra Cementless 48 <1% No

Zimmer Metasul-Muller Zimmer CPT 48 <1% No


DePuy C-Stem Cemented Stem 47 <1% No

Smith & Nephew Opera DePuy Charnley Cemented Stem 47 <1% Yes

Stryker Exeter Rimfit Stryker Omnifit Cemented Stem 47 <1% No

Zimmer Trilogy IT Stryker Exeter V40 47 <1% Yes


CSF Plus DePuy Corail 46 <1% Yes

Biomet Exceed Stryker Exeter V40 44 <1% Yes

Biomet Exceed BiometTaperloc Cementless Stem

43 <1% No

DePuy DeltaMotion DePuyC-Stem AMT Cemented Stem

43 <1% No


RM Classic DePuy Corail 42 <1% Yes

Orthodynamics Novae Zimmer CPT 42 <1% Yes

Smith & Nephew Reflection Cementless Stryker Exeter V40 42 <1% Yes

Zimmer Allofit Zimmer Versys Cementless Stem 42 <1% No

DePuy Pinnacle DePuy Corail Cemented 41 <1% No

B Braun / Aesculap


B Braun / Aesculap

Excia Cemented 40 <1% No



Furlong HAC Active Stem 39 <1% No



Profemur Preserve 39 <1% No

Orthodynamics Novae DePuy Corail 39 <1% Yes

Stryker Trident StrykerRestoration Cementless Stem

39 <1% No

B Braun / Aesculap


B Braun / Aesculap

Metha Monoblock Stem 38 <1% No


CSF Waldemar Link SP II Cemented Stem 38 <1% Yes

Orthodynamics Novae Stick Stryker Exeter V40 38 <1% Yes

Stryker Exeter Rimfit DePuy Corail 38 <1% Yes

Active Implants TribofitJRI Orthopaedics Ltd

Furlong HAC Stem 36 <1% Yes


JRI Cemented CupJRI Orthopaedics Ltd

Furlong Cemented Stem 36 <1% No


Continued >

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Percentage (%)

Mix and

match


seleXys PCMathys Orthopaedics Ltd


Stryker Exeter Rimfit Stryker Accolade 35 <1% No

Zimmer Trilogy IT DePuy Corail 35 <1% Yes


Spectron 34 <1% No

Corin Trinity DePuy Trilock BPS 33 <1% Yes

Orthodynamics Novae Stick Zimmer CPT 33 <1% Yes

Zimmer TrilogyJRI Orthopaedics Ltd


Corin Trinity Corin Trifit Cementless Stem 32 <1% No

DePuy DeltaMotion DePuy Trilock BPS 32 <1% No

DePuy Pinnacle BiometTaperloc Cementless Stem

32 <1% Yes

Orthodynamics Novae Stryker Exeter V40 32 <1% Yes

Corin Trinity Zimmer Versys Cementless Stem 31 <1% Yes

Zimmer Allofit Zimmer CLS Cementless Stem 31 <1% No

B Braun / Aesculap


B Braun / Aesculap

Bicontact Cementless Stem

30 <1% No

B Braun / Aesculap


B Braun / Aesculap

Trilliance 30 <1% No


CSF Plus Stryker Accolade 30 <1% Yes

Zimmer FM IT ZimmerM/L Taper Kinectiv Cementless

30 <1% No




Zimmer CPT 29 <1% Yes

Zimmer Continuum Zimmer CLS Cementless Stem 28 <1% No

Zimmer Trilogy IT Zimmer Versys Cementless Stem 28 <1% No

Stryker Trident Biomet Stanmore Modular Stem 27 <1% Yes

StrykerTrident Constrained Cup



Biomet Stanmore Modular Stem 26 <1% Yes


AMIStem Cemented 26 <1% No

Zimmer Trilogy Zimmer Versys Cementless Stem 26 <1% No

Biomet Exceed ABT Biomet Stanmore Modular Stem 25 <1% No


DePuy C-Stem Cemented Stem 25 <1% No

Lima Delta TT Biomet Muller-Biomet 25 <1% Yes


Continued >





Percentage (%)

Mix and

match

Smith & Nephew Bicon-PlusSmith & Nephew


Zimmer Continuum Zimmer M/L Taper 25 <1% No

Biomet Avantage DePuyC-Stem AMT Cemented Stem

24 <1% Yes

Zimmer FM IT Stryker Exeter V40 24 <1% Yes

Zimmer Low Profile Muller Zimmer CPT 24 <1% No

BiometAvantage Cemented Cup


Biomet Regenerex Ringloc+ BiometTaperloc Cementless Stem

23 <1% No

Corin Trinity Waldemar Link SP II Cemented Stem 23 <1% Yes


CCB Mathys DePuy Corail 23 <1% Yes

BiometExceed ABT Cemented

Biomet Stanmore Modular Stem 22 <1% No


Zimmer MS-30 22 <1% No

B Braun / Aesculap


Excia Cementless 21 <1% No



CBC 21 <1% No

Waldemar Link Snap Fit Waldemar Link SP II Cemented Stem 21 <1% No

Biomet Avantage BiometTaperloc Cementless Stem

20 <1% No


Biomet Olympia 20 <1% No

DePuy Elite Plus Ogee Biomet Stanmore Modular Stem 20 <1% Yes

Stryker Contemporary Stryker Exeter 20 <1% No

DePuy Pinnacle Zimmer CPT 19 <1% Yes

FH Orthopaedics Atlas IIIp Stryker Exeter V40 19 <1% Yes


RM ClassicSmith & Nephew

SL-Plus Cementless Stem 19 <1% Yes



Aeon Cemented Stem 17 <1% Yes

Exactech (UK)� Ltd NovationExactech (UK)� Ltd

Novation Element Stem 17 <1% No




Zimmer Allofit Zimmer Fitmore Stem 17 <1% No

Zimmer FM IT Zimmer Versys Cementless Stem 17 <1% No


Spectron 16 <1% No

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Continued >




Percentage (%)

Mix and

match


StrykerABG II Monolithic Cementless Stem

16 <1% No


Zimmer CPT 16 <1% No

Biomet Avantage DePuy Corail 15 <1% Yes


Profemur Gladiator 15 <1% Yes

Smith & Nephew BHR Resurfacing CupSmith & Nephew

Birmingham Head Resection Stem

15 <1% No


Profemur Preserve 14 <1% Yes

DePuy Marathon BiometTaperloc Complete Cementless Stem

14 <1% Yes

FH Orthopaedics Atlas IIIpImplantcast GmbH

Implantcast Cementless Stem

14 <1% Yes



CBC Evolution 14 <1% No

Stryker Restoration ADM Cup Stryker Exeter V40 14 <1% No

Zimmer Continuum DePuy Corail 14 <1% Yes

ZimmerTrabecular Metal Natural Cup

Corin Taperfit Cemented Stem 14 <1% Yes

B Braun / Aesculap


Centrament 13 <1% No

Biomet Exceed ABT Zimmer CPT 13 <1% Yes


Biomet Bimetric Cemented (Ti)� 13 <1% No

DePuy Pinnacle Biomet Stanmore Modular Stem 13 <1% Yes


RM Pressfit DePuy Corail 13 <1% Yes


Nanos 13 <1% No


Polarstem Cementless 13 <1% No

Symbios SA April Stryker Exeter V40 13 <1% Yes

Waldemar Link Link Flange Cup Stryker Exeter V40 13 <1% Yes


BiometTaperloc Complete Cementless Stem

12 <1% No

DePuy Elite Plus OgeeB Braun / Aesculap

Excia Cemented 12 <1% Yes

DePuy Pinnacle DePuy Silent 12 <1% No

Lima Delta TT Zimmer CPT 12 <1% Yes

Orthodynamics Novae Stick DePuy C-Stem Cemented Stem 12 <1% Yes



12 <1% No

Stryker Exeter Rimfit StrykerRestoration Cementless Stem

12 <1% No

Zimmer Allofit Zimmer M/L Taper 12 <1% No

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Percentage (%)

Mix and

match

Zimmer FM IT Zimmer CLS Cementless Stem 12 <1% No

Zimmer Trilogy DePuy Charnley Modular 12 <1% Yes

Biomet Avantage Stryker Exeter V40 11 <1% Yes


DePuy Charnley Modular 11 <1% No


DePuy Corail Cemented 11 <1% No



Smith & Nephew Opera DePuy Corail 11 <1% Yes

Stryker Contemporary Stryker Accolade 11 <1% No

Biomet Exceed Biomet Stanmore Modular Stem 10 <1% No

Corin Trinity Zimmer VerSys Heritage 10 <1% Yes

DePuy DeltaMotion DePuy Silent 10 <1% No

DePuy Gyros DePuy Corail 10 <1% No

Evolutis Captiv DM Corin Taperfit Cemented Stem 10 <1% Yes

Lima Delta TT Lima Lima Revision Stem 10 <1% No


RM Classic Stryker Exeter V40 10 <1% Yes


RM Pressfit Zimmer MS-30 10 <1% Yes

Zimmer Centerpulse Muller Zimmer Muller Straight Stem 10 <1% No

Zimmer FM IT Zimmer CLS Cementless Stem 10 <1% No




Corin Taperfit Cemented Stem 9 <1% No

DePuy Pinnacle DePuy Corail Revision Stem 9 <1% No

Implants International

Edinburgh CupImplants International

Edinburgh 9 <1% No

Lima Delta TT DePuy S-Rom Cementless Stem 9 <1% Yes

Stryker Tritanium StrykerRestoration Cementless Stem

9 <1% No

Zimmer Continuum Zimmer MS-30 9 <1% No


Zimmer M/L Taper Cementless 9 <1% No

Zimmer Trilogy IT Zimmer VerSys Heritage 9 <1% No

Zimmer ZCA Stryker Exeter V40 9 <1% Yes

Zimmer ZCA Stryker Omnifit Cemented Stem 9 <1% Yes

Biomet SHP Cup Biomet Taperloc Cemented Stem 8 <1% No

DePuy Pinnacle Biomet Muller-Biomet 8 <1% Yes

DePuy Pinnacle DePuy Summit Cemented Stem 8 <1% No


CSF DePuy Corail 8 <1% Yes

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Continued >



Continued >




Percentage (%)

Mix and

matchJRI Orthopaedics Ltd

CSF Plus DePuyC-Stem AMT Cemented Stem

8 <1% Yes

Lima Delta One TT DePuy Corail 8 <1% Yes

Smith & Nephew R3 Cementless BiometTaperloc Cementless Stem

8 <1% Yes

Stryker Contemporary StrykerRestoration Cementless Stem

8 <1% No

Stryker Exeter Rimfit Stryker Omnifit Cementless Stem 8 <1% No

Stryker Restoration ADM Cup Stryker Accolade 8 <1% No

Symbios SA April Symbios SA Harmony 8 <1% No

Zimmer Continuum DePuy S-Rom Cementless Stem 8 <1% Yes

Zimmer Trilogy Zimmer MS-30 8 <1% No

Zimmer Trilogy IT Biomet Olympia 8 <1% Yes

Corin Trinity Stryker Accolade II 7 <1% Yes

DePuy Pinnacle Zimmer MS-30 7 <1% Yes


CCBMathys Orthopaedics Ltd

CCA Cemented Stem 7 <1% Yes

Lima Delta One TT Stryker Exeter V40 7 <1% Yes


A ClassMicroPort Orthopedics

Profemur Cemented Stem 7 <1% No

Smith & Nephew EPF-PlusSmith & Nephew


Stryker Contemporary DePuyC-Stem AMT Cemented Stem

7 <1% Yes

Stryker Exeter Rimfit Stryker Exeter 7 <1% No

Symbios SA April Zimmer CPT 7 <1% Yes

Zimmer Continuum Corin Metafix Stem 7 <1% Yes




Stryker Accolade 7 <1% Yes


Zimmer ZMR 7 <1% No

Zimmer Trilogy Biomet Stanmore Modular Stem 7 <1% Yes

Zimmer Trilogy IT Zimmer CLS Cementless Stem 7 <1% No

Biomet Exceed ABT Biomet Arcos Cone 6 <1% No

Biomet Stanmore-Arcom Cup Biomet Taperloc Cemented Stem 6 <1% No

Corin Trinity DePuy Summit Cementless Stem 6 <1% Yes

DePuy Elite Plus Ogee DePuy Trilock BPS 6 <1% No

DePuy Marathon DePuy Trilock BPS 6 <1% No

DePuy MarathonSmith & Nephew

Polarstem Cementless 6 <1% Yes

DePuy Pinnacle DePuy Kar 6 <1% No

DePuy Pinnacle Waldemar Link CFP 6 <1% Yes

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Percentage (%)

Mix and

match

DePuy Pinnacle Zimmer M/L Taper Cementless 6 <1% Yes




Lima Delta One TT BiometTaperloc Cementless Stem

6 <1% Yes


RM PressfitMathys Orthopaedics Ltd


Serf Dedienne sante

Novae Stick Zimmer CPT 6 <1% Yes

Smith & Nephew EP-Fit Plus Waldemar Link CFP 6 <1% Yes

Stryker Exeter Duration



Stryker Restoration Gap2 Stryker Exeter V40 6 <1% No

Stryker Tritanium DePuy Corail 6 <1% Yes

Zimmer Allofit Zimmer P10 Muller 6 <1% No

Zimmer Continuum ZimmerTrabecular Cementless Stem

6 <1% No


DePuy S-Rom Cementless Stem 6 <1% Yes

Zimmer Trilogy Zimmer ZMR 6 <1% No

Amplitude Saturne DePuy Corail 5 <1% Yes

Biomet CMK Cemented Cup Biomet CMK Cemented Stem 5 <1% No






5 <1% Yes

Corin Trinity DePuy S-Rom Cementless Stem 5 <1% Yes

Corin Trinity Zimmer M/L Taper 5 <1% Yes


BiometTaperloc Cementless Stem

5 <1% Yes

DePuy Gyros Stryker Exeter V40 5 <1% Yes

DePuy Pinnacle StrykerRestoration Cementless Stem

5 <1% Yes


CSF Biomet Stanmore Modular Stem 5 <1% Yes


CSF Plus DePuy S-Rom Cementless Stem 5 <1% Yes


CSF Plus Zimmer MS-30 5 <1% Yes


Furlong ThreadedJRI Orthopaedics Ltd


Lima Delta One TT Biomet Taperloc Cemented Stem 5 <1% Yes

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Continued >




Percentage (%)

Mix and

match

Lima Delta One TT DePuy S-Rom Cementless Stem 5 <1% Yes

Lima Delta One TT Lima Lima Revision Stem 5 <1% No

Lima Delta PF Lima H-Max M Modular Stem 5 <1% No

Smith & Nephew EP-Fit Plus Stryker Exeter V40 5 <1% Yes

Smith & Nephew R3 Cementless Biomet Stanmore Modular Stem 5 <1% Yes


Stryker Accolade 5 <1% No

Stryker Contemporary Zimmer M/L Taper Cementless 5 <1% Yes

Stryker Restoration ADM Cup DePuy Corail 5 <1% Yes

Stryker Tritanium Biomet Stanmore Modular Stem 5 <1% Yes

Waldemar Link Beta Cup Waldemar Link SP II Cemented Stem 5 <1% No

Zimmer FM IT ZimmerAlloclassic Cementless Stem

5 <1% No


DePuy C-Stem Cemented Stem 5 <1% Yes


Smith & Nephew

CPCS 5 <1% Yes

Zimmer Trilogy Stryker Omnifit Cemented Stem 5 <1% Yes

Zimmer Trilogy IT Zimmer MS-30 5 <1% No

Amplitude Saturne DePuy RECLAIM 4 <1% Yes

B Braun / Aesculap


B Braun / Aesculap

Centrament 4 <1% No

B Braun / Aesculap



Biomet Apollo BiometTaperloc Cementless Stem

4 <1% No

Biomet Avantage Zimmer CPT 4 <1% Yes

Biomet Exceed ABT DePuy S-Rom Cementless Stem 4 <1% Yes



Biomet Regenerex Ringloc+ Biomet Stanmore Modular Stem 4 <1% No

Biomet Regenerex Ringloc+ Biomet Taperloc Cemented Stem 4 <1% No

Biomet Regenerex Ringloc+JRI Orthopaedics Ltd


Biomet SHP Cup Biomet Bimetric Cemented (Ti)� 4 <1% No

DePuy Elite Plus OgeeSmith & Nephew


DePuy Marathon DePuy Kar 4 <1% No

DePuy Pinnacle DePuy RECLAIM 4 <1% No

DePuy Pinnacle OrthodynamicsCannulok Cementless Stem

4 <1% Yes



Furlong Cemented Hemiarthroplasty

4 <1% No

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Percentage (%)

Mix and


JRI Cemented Cup Zimmer MS-30 4 <1% Yes

Lima Delta TT BiometTaperloc Cementless Stem

4 <1% Yes

Lima Delta TT DePuyC-Stem AMT Cemented Stem

4 <1% Yes

Lima Delta TT Lima H-Max M Modular Stem 4 <1% No

Lima Delta TT Lima Modulus 4 <1% No


CCB Mathys BiometTaperloc Cementless Stem

4 <1% Yes





Aeon Cemented Cup Stryker Exeter V40 4 <1% Yes

Stryker Exeter Rimfit Corin Taperfit Cemented Stem 4 <1% Yes

Stryker Exeter Rimfit Zimmer CPT 4 <1% Yes

Stryker Exeter Rimfit Zimmer M/L Taper Cementless 4 <1% Yes

Stryker Trident DePuyC-Stem AMT Cemented Stem

4 <1% Yes

Stryker Trident OrthodynamicsCannulok Cementless Stem

4 <1% Yes

Stryker Trident Stryker Exeter 4 <1% No

Stryker Trident StrykerRestoration Cemented Stem

4 <1% No

Stryker Trident Zimmer CPT 4 <1% Yes

Waldemar Link Link Flange Cup Waldemar Link SP II Cemented Stem 4 <1% No

Zimmer Continuum Zimmer Revitan Cementless Stem 4 <1% No

Zimmer FM IT Stryker Omnifit Cemented Stem 4 <1% Yes

Zimmer Maxera Zimmer M/L Taper Cementless 4 <1% No

Zimmer Maxera ZimmerM/L Taper Kinectiv Cementless

4 <1% No


Zimmer Revitan Cementless Stem 4 <1% No

Zimmer Trilogy IT Corin Metafix Stem 4 <1% Yes

Zimmer Trilogy IT ZimmerAlloclassic Cementless Stem

4 <1% No


Zimmer P10 Muller 4 <1% No

Biomet Apollo DePuy Corail 3 <1% Yes

Biomet Exceed Waldemar Link MP Revision 3 <1% Yes



3 <1% No

Biomet Freedom Zimmer CPT 3 <1% Yes



3 <1% Yes

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Continued >



Continued >




Percentage (%)

Mix and

match

Biomet Regenerex Ringloc+ Stryker Accolade 3 <1% Yes

Biomet SHP Cup BiometTaperloc Cementless Stem

3 <1% No


Zimmer Revitan Cementless Stem 3 <1% Yes

DePuy DeltaMotion Stryker Accolade II 3 <1% Yes

DePuy Elite Plus Ogee Biomet Arcos Cone 3 <1% Yes

DePuy Elite Plus Ogee Stryker Accolade 3 <1% Yes

DePuy Elite Plus Ogee Stryker Omnifit Cementless Stem 3 <1% Yes

DePuy Marathon Biomet Bimetric Cemented (CoCr)� 3 <1% Yes

DePuy Marathon Zimmer CPT 3 <1% Yes

DePuy Pinnacle DePuy DePuy Proxima 3 <1% No

DePuy Pinnacle Lima Lima Revision Stem 3 <1% Yes

Evolutis Cementedd DM cup Corin Taperfit Cemented Stem 3 <1% Yes


CSF Zimmer CPT 3 <1% Yes


CSF Plus BiometTaperloc Cementless Stem

3 <1% Yes



Furlong HAC Revision Stem

3 <1% No



Securus 3 <1% No

Lima Delta One TT Waldemar Link MP Revision 3 <1% Yes

Lima Delta TT Biomet Taperloc Cemented Stem 3 <1% Yes

Lima Delta TT DePuy Trilock BPS 3 <1% Yes

Lima Delta TT Stryker Accolade 3 <1% Yes

Lima Delta TT Zimmer MS-30 3 <1% Yes


RM Classic Zimmer MS-30 3 <1% Yes

Orthodynamics Novae Stick StrykerRestoration Cementless Stem

3 <1% Yes

Smith & Nephew Opera BiometTaperloc Cementless Stem

3 <1% Yes


Spectron 3 <1% No

Smith & Nephew R3 CementlessMathys Orthopaedics Ltd


Smith & Nephew R3 Cementless StrykerABG II Monolithic Cementless Stem

3 <1% Yes

Smith & Nephew R3 Cementless StrykerRestoration Cementless Stem

3 <1% Yes

Smith & Nephew Reflection CementlessSmith & Nephew

Synergy Cementless Stem 3 <1% No

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Percentage (%)

Mix and

match

Stryker ContemporaryJRI Orthopaedics Ltd


Stryker ContemporaryMicroPort Orthopedics


3 <1% Yes

Stryker Exeter Rimfit DePuyC-Stem AMT Cemented Stem

3 <1% Yes

Stryker Restoration ADM CupMicroPort Orthopedics


Stryker Trident Biomet Arcos Cone 3 <1% Yes

Stryker Trident DePuy Trilock BPS 3 <1% Yes

Zimmer Allofit Zimmer Muller Straight Stem 3 <1% No

Zimmer Continuum Zimmer Muller Straight Stem 3 <1% No

Zimmer FM IT Zimmer M/L Taper 3 <1% No

Zimmer FM IT Zimmer Zweymuller 3 <1% No


Biomet Arcos Cone 3 <1% Yes


Corin Metafix Stem 3 <1% Yes


Zimmer Versys Cementless Stem 3 <1% No

Zimmer Trilogy Corin Metafix Stem 3 <1% Yes

Zimmer Trilogy Zimmer Zweymuller 3 <1% No

Zimmer ZCA Corin Taperfit Cemented Stem 3 <1% Yes



B Braun / Aesculap



Biomet Avantage Biomet Arcos Cone 2 <1% No


Biomet Arcos Cone 2 <1% No



2 <1% No



Biomet Regenerex Ringloc+ Biomet Arcos Cone 2 <1% No

Biomet Regenerex Ringloc+ Corin Taperfit Cemented Stem 2 <1% Yes

Biomet Regenerex Ringloc+ Stryker Exeter V40 2 <1% Yes

Biomet Stanmore-Arcom Cup Waldemar Link SP II Cemented Stem 2 <1% Yes

Corin Trinity DePuy Silent 2 <1% Yes

Corin TrinitySmith & Nephew

Nanos 2 <1% Yes

DePuy Charnley Ogee DePuyC-Stem AMT Cemented Stem

2 <1% No

DePuy DeltaMotion Stryker Exeter V40 2 <1% Yes


Biomet Taperloc Cemented Stem 2 <1% Yes

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Continued >




Percentage (%)

Mix and

match


DePuy Kar 2 <1% No


Smith & Nephew


DePuy Elite Plus Ogee Biomet Olympia 2 <1% Yes

DePuy Elite Plus Ogee BiometTaperloc Cementless Stem

2 <1% Yes

DePuy Gyros DePuyC-Stem AMT Cemented Stem

2 <1% No

DePuy Gyros DePuy Trilock BPS 2 <1% No

DePuy GyrosJRI Orthopaedics Ltd


DePuy Marathon Biomet Arcos Cone 2 <1% Yes

DePuy Marathon Biomet Bimetric Cementless Stem 2 <1% Yes

DePuy Pinnacle BiometTaperloc Complete Cementless Stem

2 <1% Yes

DePuy Pinnacle DePuy Reef 2 <1% No

DePuy PinnacleJRI Orthopaedics Ltd


DePuy PinnacleMicroPort Orthopedics


2 <1% Yes


Anthology 2 <1% Yes

DePuy Pinnacle Symbios SA SPS Evolution 2 <1% Yes

Exactech (UK)� Ltd Acumatch CupExactech (UK)� Ltd

Novation Element Stem 2 <1% No

Exactech (UK)� Ltd NovationExactech (UK)� Ltd

Novation Stem 2 <1% No

FH Orthopaedics Atlas IIIp Corin miniHip 2 <1% Yes

FH Orthopaedics Atlas IIIpFH Orthopaedics

ESOP 2 <1% No

FH Orthopaedics Atlas IIIpFH Orthopaedics

FH Modular 2 <1% No

FH Orthopaedics Atlas IIIp Waldemar Link CFP 2 <1% Yes

FH Orthopaedics Atlas IIIp Zimmer CPT 2 <1% Yes





JRI Cemented Cup Zimmer Muller Straight Stem 2 <1% Yes

Lima Delta One TT Lima H-Max S Monoblock Stem 2 <1% No

Lima Delta One TTSmith & Nephew

CPCS 2 <1% Yes

Lima Delta TTSmith & Nephew

CPCS 2 <1% Yes

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Percentage (%)

Mix and

match

Lima Delta TTSmith & Nephew


Orthodynamics Novae Stryker Omnifit Cemented Stem 2 <1% Yes

Orthodynamics Novae Stick BiometTaperloc Cementless Stem

2 <1% Yes

Orthodynamics Novae Stick DePuy Corail 2 <1% Yes

Orthodynamics Novae StickJRI Orthopaedics Ltd


Serf Dedienne sante

Novae Stick Stryker Exeter V40 2 <1% Yes

Smith & Nephew Opera DePuyC-Stem AMT Cemented Stem

2 <1% Yes

Smith & Nephew Opera Zimmer ZMR 2 <1% Yes

Smith & Nephew Polarcup CementedSmith & Nephew

CPCS 2 <1% No

Smith & Nephew Polarcup Cemented Stryker Exeter V40 2 <1% Yes

Smith & Nephew Polarcup CementlessSmith & Nephew

CPCS 2 <1% No

Smith & Nephew R3 Cementless DePuy Corail 2 <1% Yes

Smith & Nephew R3 Cementless DePuy S-Rom Cementless Stem 2 <1% Yes

Smith & Nephew R3 Cementless Stryker Omnifit Cementless Stem 2 <1% Yes

Smith & Nephew Reflection Cemented DePuy Corail 2 <1% Yes


CPCS 2 <1% No


Spectron 2 <1% No

Stryker Contemporary Corin Taperfit Cemented Stem 2 <1% Yes

Stryker Contemporary DePuy C-Stem Cemented Stem 2 <1% Yes

Stryker Contemporary StrykerABG II Monolithic Cementless Stem

2 <1% No

Stryker Exeter RimfitMicroPort Orthopedics


2 <1% Yes

Stryker Exeter Rimfit Stryker Accolade II 2 <1% No

Stryker Gap Ring Stryker Exeter V40 2 <1% No

Stryker Trident DePuy Kar 2 <1% Yes

Stryker TridentSmith & Nephew





Smith & Nephew

Echelon Cemented Stem 2 <1% Yes


StrykerRestoration Cemented Stem

2 <1% No

Waldemar Link Snap Fit Biomet Muller-Biomet 2 <1% Yes

Waldemar Link Snap Fit Waldemar Link SP II Cemented Revision 2 <1% No

Zimmer Continuum Biomet Olympia 2 <1% Yes

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Continued >



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Percentage (%)

Mix and

match

Zimmer Continuum StrykerRestoration Cementless Stem

2 <1% Yes

Zimmer Continuum Zimmer Zweymuller 2 <1% No

Zimmer Longevity Zimmer CPT 2 <1% No

Zimmer Low Profile Muller Waldemar Link SP II Cemented Revision 2 <1% Yes



2 <1% Yes


Smith & Nephew

Synergy Cementless Stem 2 <1% Yes


StrykerRestoration Cementless Stem

2 <1% Yes


Zimmer CLS Cementless Stem 2 <1% No



Zimmer Trilogy IT Zimmer M/L Taper 2 <1% No

Zimmer Trilogy IT ZimmerM/L Taper Kinectiv Cementless

2 <1% No

Zimmer ZCA DePuy Corail 2 <1% Yes

Zimmer ZCA Zimmer CLS Cementless Stem 2 <1% No

Zimmer ZCA Zimmer Revitan Cementless Stem 2 <1% No





Amplitude Saturne DePuyC-Stem AMT Cemented Stem

1 <1% Yes

B Braun / Aesculap


Metha Monoblock Stem 1 <1% No

B Braun / Aesculap

Chirulen Biomet Stanmore Modular Stem 1 <1% Yes

B Braun / Aesculap

ChirulenJRI Orthopaedics Ltd

Furlong LOL 1 <1% Yes

B Braun / Aesculap



B Braun / Aesculap


DePuy S-Rom Cementless Stem 1 <1% Yes

B Braun / Aesculap



Evolution Cementless 1 <1% Yes

Biomet Apollo Biomet Taperloc Cemented Stem 1 <1% No

Biomet Apollo Waldemar Link SP II Cemented Revision 1 <1% Yes

Biomet Apollo Zimmer Muller Straight Stem 1 <1% Yes

Biomet Avantage Biomet Taperloc Cemented Stem 1 <1% No

Biomet AvantageStanmore Implants Worldwide

METS Cemented 1 <1% Yes




Continued >




Percentage (%)

Mix and

match


Biomet Taperloc Cemented Stem 1 <1% No



1 <1% Yes




1 <1% Yes






METS Cementless 1 <1% Yes


Stryker Omnifit Cemented Stem 1 <1% Yes


Waldemar Link SP II Cemented Revision 1 <1% Yes



Biomet Exceed Biomet Taperloc Cemented Stem 1 <1% No

Biomet Exceed ABT Biomet Olympia 1 <1% No

Biomet Exceed ABTJRI Orthopaedics Ltd





Stryker Omnifit Cemented Stem 1 <1% Yes


Zimmer Revitan Cementless Stem 1 <1% Yes

Biomet Ranawat/Burstein BiometTaperloc Cementless Stem

1 <1% No

Biomet Regenerex Revision Stryker Exeter V40 1 <1% Yes

Biomet Regenerex Ringloc+ Biomet Bimetric Cementless Stem 1 <1% No

Biomet Regenerex Ringloc+ Biomet Conelock 1 <1% No

Biomet Regenerex Ringloc+ Waldemar Link CFP 1 <1% Yes

Biomet Regenerex Ringloc+ Zimmer CPT 1 <1% Yes

Biomet SHP Cup Corin Taperfit Cemented Stem 1 <1% Yes

Biomet SHP Cup Zimmer CPT 1 <1% Yes

Biomet Stanmore-Arcom Cup DePuy C-Stem Cemented Stem 1 <1% Yes

Biomet Stanmore-Arcom CupJRI Orthopaedics Ltd

Furlong Cemented Stem 1 <1% Yes

Biomet Stanmore-Arcom Cup Stryker Omnifit Cemented Stem 1 <1% Yes

Comis Orthopaedics

Mitre Cup Zimmer MS-30 1 <1% Yes



1 <1% Yes


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Percentage (%)

Mix and

match


Symbios SA SPS Evolution 1 <1% Yes

CorinCerafit Cementless Cup


1 <1% Yes

Corin Trinity Biomet Arcos Cone 1 <1% Yes

Corin Trinity DePuy Kar 1 <1% Yes

Corin TrinitySmith & Nephew

Synergy Cementless Stem 1 <1% Yes

Corin Trinity Waldemar Link MP Revision 1 <1% Yes

Corin Trinity ZimmerM/L Taper Kinectiv Cementless

1 <1% Yes

DePuy Charnley Ogee Stryker Exeter 1 <1% Yes

DePuy DeltaMotion DePuy C-Stem Cemented Stem 1 <1% No

DePuy DeltaMotionJRI Orthopaedics Ltd


DePuy DeltaMotion Zimmer M/L Taper Cementless 1 <1% Yes


DePuy Corail Revision Stem 1 <1% No


DePuy Trilock BPS 1 <1% No


Medacta UK Ltd

AMIStem Cementless 1 <1% Yes




Stryker Exeter 1 <1% Yes


Waldemar Link MP Revision 1 <1% Yes

DePuy Elite Plus Ogee DePuyEndurance Cemented Stem

1 <1% No

DePuy Elite Plus Ogee DePuy Reef 1 <1% No

DePuy Elite Plus Ogee DePuy S-Rom Cementless Stem 1 <1% No

DePuy Elite Plus Ogee DePuy Summit Cemented Stem 1 <1% No

DePuy Elite Plus OgeeJRI Orthopaedics Ltd


1 <1% Yes




Securus 1 <1% Yes

DePuy Elite Plus Ogee Stryker Exeter 1 <1% Yes

DePuy Elite Plus Ogee StrykerRestoration Cementless Stem

1 <1% Yes

DePuy Elite Plus Ogee Waldemar Link SP II Cemented Revision 1 <1% Yes


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Continued >




Percentage (%)

Mix and

match

DePuy J-Loc DePuyC-Stem AMT Cemented Stem

1 <1% No

DePuy Marathon Biomet Stanmore Modular Stem 1 <1% Yes

DePuy Marathon DePuy Corail Revision Stem 1 <1% No

DePuy Marathon DePuy RECLAIM 1 <1% No

DePuy Marathon DePuy S-Rom Cementless Stem 1 <1% No

DePuy MarathonJRI Orthopaedics Ltd


1 <1% Yes

DePuy MarathonJRI Orthopaedics Ltd


DePuy Pinnacle Biomet Arcos Cone 1 <1% Yes

DePuy Pinnacle Biomet Olympia 1 <1% Yes

DePuy Pinnacle Corin Metafix Stem 1 <1% Yes

DePuy Pinnacle DePuy Charnley Modular 1 <1% No




Securus 1 <1% Yes

DePuy Pinnacle Lima H-Max S Monoblock Stem 1 <1% Yes

DePuy PinnacleMedacta UK Ltd

Quadra Cementless 1 <1% Yes

DePuy PinnacleMicroPort Orthopedics

Profemur Preserve 1 <1% Yes



DePuy Pinnacle StrykerRestoration Cemented Stem

1 <1% Yes

DePuy Pinnacle Zimmer CLS Cementless Stem 1 <1% Yes

DePuy Pinnacle Zimmer Revitan Cementless Stem 1 <1% Yes

DePuy Wroblewski Golf Ball Stryker Exeter V40 1 <1% Yes

Evolutis Captiv DM Corin Metafix Stem 1 <1% Yes

Evolutis Captiv DM Zimmer ZMR 1 <1% Yes

Evolutis Moonstone Corin Taperfit Cemented Stem 1 <1% Yes

FH Orthopaedics Atlas IIIp Zimmer ZMR 1 <1% Yes

Implantcast GmbH

Accis Resurfacing Cup Corin miniHip 1 <1% Yes

Implantcast GmbH

Accis Resurfacing Cup Waldemar Link CFP 1 <1% Yes


Edinburgh Cup Stryker Exeter V40 1 <1% Yes


RM Cementless Cup (Implant International)�



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Continued >




Percentage (%)

Mix and


CSF DePuyC-Stem AMT Cemented Stem

1 <1% Yes




1 <1% No





CSF Zimmer Versys Cementless Stem 1 <1% Yes


CSF PlusB Braun / Aesculap

Metha Monoblock Stem 1 <1% Yes


CSF Plus Biomet Arcos Cone 1 <1% Yes


CSF Plus DePuy C-Stem Cemented Stem 1 <1% Yes


CSF Plus Lima Lima Revision Stem 1 <1% Yes


CSF Plus




JRI Cemented Cup BiometTaperloc Cementless Stem

1 <1% Yes


JRI Cemented Cup DePuy Corail Cemented 1 <1% Yes



Securus 1 <1% No


JRI Cemented Cup Zimmer CPT 1 <1% Yes


TribofitJRI Orthopaedics Ltd


Lima 2M dual mobility Zimmer MS-30 1 <1% Yes

Lima Delta One TT Biomet Muller-Biomet 1 <1% Yes

Lima Delta One TT DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Lima Delta One TT DePuy LPS 1 <1% Yes

Lima Delta One TT Lima Modulus 1 <1% No

Lima Delta One TTSmith & Nephew


Lima Delta One TT Stryker Accolade 1 <1% Yes

Lima Delta One TT Symbios SA SPS Evolution 1 <1% Yes

Lima Delta PF DePuy Corail 1 <1% Yes

Lima Delta PFMedacta UK Ltd

Quadra Cementless 1 <1% Yes

Lima Delta Revision TT DePuy Corail 1 <1% Yes


Continued >

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Percentage (%)

Mix and

match

Lima Delta Revision TT Stryker Exeter V40 1 <1% Yes

Lima Delta TTB Braun / Aesculap

Metha Monoblock Stem 1 <1% Yes

Lima Delta TT Biomet Arcos Cone 1 <1% Yes

Lima Delta TT Biomet Stanmore Modular Stem 1 <1% Yes

Lima Delta TT Corin Taperfit Cemented Stem 1 <1% Yes

Lima Delta TT Lima Master SL 1 <1% No

Lima Delta TTStanmore Implants Worldwide


Lima Delta TT Waldemar Link MP Revision 1 <1% Yes

Lima Delta TT Zimmer Muller Straight Stem 1 <1% Yes


CCB MathysSmith & Nephew



CCB MathysSmith & Nephew

SLR-Plus Cementless Stem

1 <1% Yes


CCB Mathys Zimmer MS-30 1 <1% Yes


CCB Mathys Zimmer Muller Straight Stem 1 <1% Yes






SLR-Plus Cementless Stem

1 <1% Yes


seleXys PC Stryker Exeter V40 1 <1% Yes

Medacta UK Ltd MPACTMedacta UK Ltd

Quadra Cementless 1 <1% No


miniMax 1 <1% No

Medacta UK Ltd Versafit Symbios SA SPS Evolution 1 <1% Yes


A ClassMicroPort Orthopedics


1 <1% No



Profemur Gladiator 1 <1% No


Procotyl Zimmer CPT 1 <1% Yes

Orthodynamics Novae DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Orthodynamics Novae DePuy Trilock BPS 1 <1% Yes

Orthodynamics NovaeJRI Orthopaedics Ltd


1 <1% Yes

Orthodynamics NovaeJRI Orthopaedics Ltd


Orthodynamics Novae Stick Biomet Stanmore Modular Stem 1 <1% Yes


Continued >

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Percentage (%)

Mix and

match

Orthodynamics Novae Stick DePuy Corail Cemented 1 <1% Yes

Orthodynamics Novae StickStanmore Implants Worldwide


Orthodynamics Novae Stick StrykerRestoration Cemented Stem

1 <1% Yes

Serf Dedienne sante

Novae Stick OrthodynamicsCannulok Cementless Stem

1 <1% Yes

Serf Dedienne sante

Novae Stick Stryker Accolade 1 <1% Yes


Aeon Cemented CupSmith & Nephew


Smith & Nephew EPF-Plus DePuy C-Stem Cemented Stem 1 <1% Yes



Smith & Nephew Polarcup CementedB Braun / Aesculap


Smith & Nephew Polarcup CementedB Braun / Aesculap

Excia Cementless 1 <1% Yes

Smith & Nephew Polarcup Cemented DePuy Corail 1 <1% Yes

Smith & Nephew Polarcup Cemented DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Smith & Nephew Polarcup Cemented DePuy C-Stem Cemented Stem 1 <1% Yes

Smith & Nephew Polarcup CementedSmith & Nephew


Smith & Nephew Polarcup CementlessStanmore Implants Worldwide


Smith & Nephew R3 Cementless Zimmer CPT 1 <1% Yes

Smith & Nephew R3 Cementless Zimmer Revitan Cementless Stem 1 <1% Yes

Smith & Nephew Reflection Cementless BiometTaperloc Cementless Stem

1 <1% Yes

Stryker Arden Zimmer MS-30 1 <1% Yes

Stryker Contemporary Biomet Stanmore Modular Stem 1 <1% Yes

Stryker Contemporary BiometTaperloc Cementless Stem

1 <1% Yes

Stryker Contemporary DePuy Charnley Cemented Stem 1 <1% Yes

Stryker Contemporary DePuy Kar 1 <1% Yes

Stryker Contemporary DePuy S-Rom Cementless Stem 1 <1% Yes

Stryker Contemporary DePuy Summit Cemented Stem 1 <1% Yes

Stryker Contemporary OrthodynamicsCannulok Cementless Stem

1 <1% Yes

Stryker Contemporary Stryker Accolade II 1 <1% No

Stryker Contemporary Stryker Omnifit Cementless Stem 1 <1% No

Stryker Contemporary Waldemar Link MP Revision 1 <1% Yes

Stryker Contemporary Waldemar Link SP II Cemented Stem 1 <1% Yes



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Percentage (%)

Mix and

match

Stryker Contemporary Zimmer M/L Taper 1 <1% Yes

Stryker Contemporary Zimmer Versys Cementless Stem 1 <1% Yes

Stryker Exeter Duration StrykerRestoration Cementless Stem

1 <1% No

Stryker Exeter Duration Zimmer CPT 1 <1% Yes

Stryker Exeter Rimfit BiometTaperloc Cementless Stem

1 <1% Yes

Stryker Exeter Rimfit DePuy Trilock BPS 1 <1% Yes

Stryker Exeter Rimfit Orthodynamics Cannulok Cemented Stem 1 <1% Yes

Stryker Exeter RimfitSmith & Nephew


Stryker Exeter Rimfit StrykerABG II Monolithic Cementless Stem

1 <1% No

Stryker Exeter Rimfit StrykerRestoration Cemented Stem

1 <1% No

Stryker Exeter Rimfit Waldemar Link SP II Cemented Revision 1 <1% Yes

Stryker Exeter Rimfit Zimmer Versys Cementless Stem 1 <1% Yes

Stryker Restoration ADM Cup Stryker Accolade II 1 <1% No

Stryker Restoration ADM Cup Zimmer CPT 1 <1% Yes

Stryker Restoration ADM Cup Zimmer M/L Taper Cementless 1 <1% Yes

Stryker Restoration Gap2 DePuy S-Rom Cementless Stem 1 <1% Yes

Stryker Restoration Gap2JRI Orthopaedics Ltd


Stryker Restoration Gap2Stanmore Implants Worldwide


Stryker Restoration Gap2 StrykerRestoration Cementless Stem

1 <1% No

Stryker Restoration Gap2 Zimmer CPT 1 <1% Yes

Stryker Restoration Gap2 Zimmer Muller Straight Stem 1 <1% Yes

StrykerSecure Fit Cementless Cup


1 <1% Yes

Stryker Trident Corin Metafix Stem 1 <1% Yes

Stryker Trident DePuy Corail Revision Stem 1 <1% Yes

Stryker Trident DePuy S-Rom Cementless Stem 1 <1% Yes

Stryker TridentJRI Orthopaedics Ltd




1 <1% Yes



Stryker Trident Lima Modulus 1 <1% Yes


Continued >

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Percentage (%)

Mix and

match

Stryker TridentMedacta UK Ltd

AMIStem Cemented 1 <1% Yes

Stryker TridentMicroPort Orthopedics



Nanos 1 <1% Yes

Stryker TridentStanmore Implants Worldwide


Stryker Trident Waldemar Link MP Revision 1 <1% Yes

Stryker Trident Waldemar Link SP II Cemented Stem 1 <1% Yes

Stryker Trident Zimmer Wagner Cone 1 <1% Yes




Zimmer ZMR 1 <1% Yes

Stryker TritaniumB Braun / Aesculap


Stryker Tritanium DePuy S-Rom Cementless Stem 1 <1% Yes

Stryker Tritanium StrykerABG II Monolithic Cementless Stem

1 <1% No

Stryker Tritanium Zimmer CPT 1 <1% Yes

Stryker Tritanium Zimmer ZMR 1 <1% Yes

Symbios SA April Biomet Stanmore Modular Stem 1 <1% Yes

Symbios SA April DePuy Corail 1 <1% Yes

Symbios SA April StrykerRestoration Cementless Stem

1 <1% Yes

Waldemar Link Interplanta Zimmer CPT 1 <1% Yes

Waldemar Link Snap Fit Waldemar Link CFP 1 <1% No

Zimmer Allofit DePuy Corail 1 <1% Yes

Zimmer Allofit Stryker Exeter V40 1 <1% Yes

Zimmer Centerpulse Muller Stryker Exeter V40 1 <1% Yes

Zimmer Centerpulse Muller Zimmer CPT 1 <1% No

Zimmer Centerpulse Muller Zimmer MS-30 1 <1% No

Zimmer Continuum Biomet Bimetric Cementless Stem 1 <1% Yes

Zimmer Continuum Corin miniHip 1 <1% Yes

Zimmer Continuum DePuy Charnley Modular 1 <1% Yes

Zimmer ContinuumJRI Orthopaedics Ltd


Zimmer ContinuumMicroPort Orthopedics

Profemur L 1 <1% Yes

Zimmer Continuum OrthodynamicsCannulok Cementless Stem

1 <1% Yes

Zimmer Continuum Zimmer Fitmore Stem 1 <1% No



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Percentage (%)

Mix and

match

Zimmer Continuum Zimmer VerSys Heritage 1 <1% No

Zimmer Continuum Zimmer ZMR 1 <1% No

Zimmer FM ITJRI Orthopaedics Ltd


Zimmer FM IT ZimmerZMR Cementless Proximal Stem

1 <1% No

Zimmer Low Profile Muller DePuy Corail 1 <1% Yes

Zimmer Low Profile Muller DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Zimmer Low Profile MullerJRI Orthopaedics Ltd


Zimmer Low Profile Muller Stryker Exeter V40 1 <1% Yes

Zimmer Low Profile Muller Stryker Omnifit Cemented Stem 1 <1% Yes

Zimmer Low Profile Muller Zimmer M/L Taper Cementless 1 <1% No

Zimmer Maxera Zimmer Versys Cementless Stem 1 <1% No

Zimmer Metasul-Muller Zimmer Revitan Cementless Stem 1 <1% No


Biomet Bimetric Cementless Stem 1 <1% Yes


Biomet Stanmore Modular Stem 1 <1% Yes



1 <1% Yes


DePuy RECLAIM 1 <1% Yes


DePuy Reef 1 <1% Yes








OrthodynamicsCannulok Cementless Stem

1 <1% Yes


Smith & Nephew

Anthology 1 <1% Yes


Smith & Nephew

Echelon Cementless Stem 1 <1% Yes





Symbios SA SPS Modular 1 <1% Yes


ZimmerM/L Taper Kinectiv Cementless

1 <1% No


Continued >

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Percentage (%)

Mix and

match




Zimmer Muller Straight Stem 1 <1% No


ZimmerTrabecular Cementless Stem

1 <1% No




Corin miniHip 1 <1% Yes


FH Orthopaedics

ESOP 1 <1% Yes


Implantcast GmbH

Implantcast Cementless Stem

1 <1% Yes


Waldemar Link CFP 1 <1% Yes

Zimmer TrilogyB Braun / Aesculap

Trilliance 1 <1% Yes

Zimmer Trilogy DePuy C-Stem Cemented Stem 1 <1% Yes

Zimmer Trilogy DePuy Trilock BPS 1 <1% Yes

Zimmer Trilogy Zimmer M/L Taper 1 <1% No

Zimmer Trilogy Zimmer Revitan Cementless Stem 1 <1% No

Zimmer Trilogy IT StrykerRestoration Cementless Stem

1 <1% Yes

Zimmer Trilogy IT Zimmer Zweymuller 1 <1% No

Zimmer ZCA Zimmer Muller Straight Stem 1 <1% No

Zimmer ZCA Zimmer P10 Muller 1 <1% No


Continued >

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Table 8 (b) Cup-stem brand combinations for revision hip procedures performed during 2013.

Continued >

Cup manufacturer Cup brand Stem manufacturer Stem brand


Percentage (%)

Mix and

match

4,287

Stryker Exeter Rimfit Stryker Exeter V40 223 5% No

Stryker Tritanium Stryker Exeter V40 210 5% No

Stryker Contemporary Stryker Exeter V40 209 5% No


Stryker Exeter V40 202 5% Yes

Stryker Trident Stryker Exeter V40 194 5% No

DePuy Pinnacle DePuy Corail 162 4% No

Stryker Tritanium StrykerRestoration Cementless Stem

109 3% No


Zimmer CPT 103 2% No



99 2% Yes


Zimmer ZMR 81 2% No

DePuy Marathon DePuyC-Stem Cemented Stem

78 2% No

DePuy Pinnacle Stryker Exeter V40 71 2% Yes

Zimmer Continuum Zimmer CPT 64 1% No

DePuy Pinnacle DePuyC-Stem AMT Cemented Stem

61 1% No

Lima Delta One TT Stryker Exeter V40 60 1% Yes

Stryker Trident StrykerRestoration Cementless Stem

60 1% No

Lima Delta One TT Lima Lima Revision Stem 49 1% No

Lima Delta TT Stryker Exeter V40 44 1% Yes


ZimmerRevitan Cementless Stem

44 1% No

DePuy Elite Plus Ogee Stryker Exeter V40 43 1% Yes

Zimmer Trilogy Zimmer CPT 41 <1% No




CSF Plus JRI Orthopaedics Ltd Furlong HAC Stem 38 <1% No

DePuy Marathon Stryker Exeter V40 37 <1% Yes

Lima Delta TT Lima Lima Revision Stem 34 <1% No

Zimmer Continuum Stryker Exeter V40 33 <1% Yes

DePuy Pinnacle DePuy RECLAIM 32 <1% No

Lima Delta TT DePuy Corail 32 <1% Yes

Smith & Nephew

R3 Cementless Smith & NephewSynergy Cementless Stem

31 <1% No



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Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures

Percentage (%)

Mix and

match



Continued >


Continued >



Percentage (%)

Mix and

match

Stryker Exeter Rimfit StrykerRestoration Cementless Stem

30 <1% No

Stryker Contemporary StrykerRestoration Cementless Stem

28 <1% No

DePuy Pinnacle DePuyC-Stem Cemented Stem

27 <1% No

Zimmer Trilogy Stryker Exeter V40 27 <1% Yes

DePuy Marathon DePuyC-Stem AMT Cemented Stem

26 <1% No





Zimmer Continuum Zimmer ZMR 22 <1% No

DePuy Pinnacle DePuy Corail Revision Stem 20 <1% No

Biomet Regenerex Ringloc+ Biomet Arcos Cone 19 <1% No

Zimmer Continuum ZimmerRevitan Cementless Stem

19 <1% No



Zimmer Trilogy IT Zimmer CPT 19 <1% No



Orthodynamics Novae Stick Stryker Exeter V40 18 <1% Yes

Biomet Exceed ABT BiometTaperloc Cementless Stem

17 <1% No

DePuy Pinnacle Biomet Arcos Cone 17 <1% Yes

DePuy Pinnacle StrykerRestoration Cementless Stem

17 <1% Yes

DePuy Elite Plus Ogee DePuyC-Stem Cemented Stem

16 <1% No

DePuy Pinnacle DePuy Kar 16 <1% No

DePuy Pinnacle DePuyS-Rom Cementless Stem

16 <1% No

Exactech (UK)� Ltd

Acumatch Cup CorinOxford Universal Hip (Corin)� Cementless Stem

16 <1% Yes

Lima Delta One TT DePuy Corail 16 <1% Yes

Smith & Nephew

R3 Cementless Stryker Exeter V40 16 <1% Yes


MicroPort OrthopedicsProfemur Cementless Stem

16 <1% Yes

Zimmer Trilogy Zimmer ZMR 16 <1% No


CSF Plus JRI Orthopaedics LtdFurlong HAC Revision Stem

15 <1% No

Stryker Tritanium Stryker Accolade 15 <1% No

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Continued >



Percentage (%)

Mix and

match

DePuy Pinnacle DePuy Trilock BPS 14 <1% No

Zimmer ZCA Zimmer CPT 14 <1% No

DePuy Marathon DePuy Corail 13 <1% No

Lima Delta TT StrykerRestoration Cementless Stem

13 <1% Yes

Orthodynamics Novae Stick DePuyC-Stem Cemented Stem

13 <1% Yes

Zimmer Continuum Zimmer M/L Taper Cementless 13 <1% No


Zimmer M/L Taper Cementless 13 <1% No


CSF Plus JRI Orthopaedics Ltd Securus 12 <1% No

Biomet Regenerex Ringloc+ Stryker Exeter V40 11 <1% Yes

Stryker Exeter Duration Stryker Exeter V40 11 <1% No

Stryker Trident Smith & NephewEchelon Cementless Stem

11 <1% Yes

Stryker Trident Stryker Accolade 11 <1% No



11 <1% Yes



Lima Delta One TT StrykerRestoration Cementless Stem

10 <1% Yes

Lima Delta TT Zimmer CPT 10 <1% Yes

Smith & Nephew

Opera DePuyC-Stem Cemented Stem

10 <1% Yes

Smith & Nephew

R3 Cementless Smith & Nephew Anthology 10 <1% No

Zimmer FM IT Zimmer M/L Taper Cementless 10 <1% No

Biomet Exceed ABT Biomet Arcos Cone 9 <1% No

Corin Trinity Corin Metafix Stem 9 <1% No

DePuy Charnley Ogee DePuyC-Stem Cemented Stem

9 <1% No

DePuy Elite Plus Ogee Zimmer CPT 9 <1% Yes

DePuy Marathon StrykerRestoration Cementless Stem

9 <1% Yes

DePuy Wroblewski Golf Ball DePuyC-Stem Cemented Stem

9 <1% No


CSF Plus JRI Orthopaedics Ltd Evolution Cementless 9 <1% No

Lima Delta One TT Waldemar Link MP Revision 9 <1% Yes

Lima Delta TT Waldemar Link MP Revision 9 <1% Yes

Stryker Restoration Gap2 Stryker Exeter V40 9 <1% No

Lima Delta Revision TT Lima Lima Revision Stem 8 <1% No



Continued >



Percentage (%)

Mix and

matchSmith & Nephew

R3 Cementless Smith & Nephew Polarstem Cementless 8 <1% No


Smith & NephewEchelon Cemented Stem

8 <1% Yes

Stryker Tritanium DePuy Corail 8 <1% Yes

Zimmer Continuum StrykerRestoration Cementless Stem

8 <1% Yes


DePuy Kar 8 <1% Yes



8 <1% Yes

Biomet Regenerex Ringloc+ StrykerRestoration Cementless Stem

7 <1% Yes

Zimmer Continuum DePuyS-Rom Cementless Stem

7 <1% Yes


DePuyS-Rom Cementless Stem

7 <1% Yes






DePuy Marathon DePuy RECLAIM 6 <1% No

DePuy Pinnacle DePuy Reef 6 <1% No


CSF Plus Stryker Exeter V40 6 <1% Yes



Twinsys Cementless Stem

6 <1% No


Procotyl MicroPort OrthopedicsProfemur Cementless Stem

6 <1% No

Orthodynamics Novae Stick Zimmer CPT 6 <1% Yes

Smith & Nephew

R3 Cementless DePuySolution Cementless Stem

6 <1% Yes

Stryker Contemporary Waldemar Link MP Revision 6 <1% Yes

Stryker Exeter Rimfit Waldemar LinkSP II Cemented Revision

6 <1% Yes

Stryker Restoration Gap2 StrykerRestoration Cementless Stem

6 <1% No

Stryker Tritanium OrthodynamicsCannulok Cementless Stem

6 <1% Yes


MicroPort Orthopedics Profemur L 6 <1% Yes

Amplitude Saturne DePuy RECLAIM 5 <1% Yes

Biomet Regenerex Ringloc+ BiometTaperloc Cementless Stem

5 <1% No

Corin Trinity Stryker Exeter V40 5 <1% Yes



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Continued >




Percentage (%)

Mix and

match

DePuy Elite Plus Ogee Biomet Arcos Cone 5 <1% Yes

DePuy Pinnacle JRI Orthopaedics Ltd Securus 5 <1% Yes

DePuy Pinnacle Lima Lima Revision Stem 5 <1% Yes

DePuy Pinnacle Waldemar Link MP Revision 5 <1% Yes


CSF JRI Orthopaedics Ltd Furlong HAC Stem 5 <1% No

Lima Delta One TT Biomet Muller-Biomet 5 <1% Yes

Lima Delta One TT DePuyC-Stem Cemented Stem

5 <1% Yes

Lima Delta One TT DePuySolution Cementless Stem

5 <1% Yes

Lima Delta One TT Zimmer CPT 5 <1% Yes

Lima Delta Revision TT Stryker Exeter V40 5 <1% Yes

Lima Delta TT Biomet Arcos Cone 5 <1% Yes

Lima Delta TT Biomet Muller-Biomet 5 <1% Yes

Orthodynamics Novae Stryker Exeter V40 5 <1% Yes

Smith & Nephew

R3 Cementless StrykerRestoration Cementless Stem

5 <1% Yes

Stryker Contemporary Zimmer CPT 5 <1% Yes

Stryker Exeter Rimfit DePuyS-Rom Cementless Stem

5 <1% Yes

Symbios SA April Symbios SA SPS Modular 5 <1% No

Waldemar Link Snap Fit Waldemar LinkSP II Cemented Revision

5 <1% No

Zimmer FM IT Zimmer CPT 5 <1% No

B Braun / Aesculap


DePuySolution Cementless Stem

4 <1% Yes




BiometStanmore Modular Stem

4 <1% No

BiometStanmore-Arcom Cup


4 <1% No


DePuyCharnley Cemented Stem

4 <1% No

DePuy DeltaMotion DePuy Corail 4 <1% No

DePuy Elite Plus Ogee StrykerRestoration Cementless Stem

4 <1% Yes

DePuy Marathon DePuy Reef 4 <1% No

Lima Delta One TT Biomet Arcos Cone 4 <1% Yes

Lima Delta One TT DePuyS-Rom Cementless Stem

4 <1% Yes

Lima Delta TT Amplitude Integrale 4 <1% Yes

Lima Delta TT BiometStanmore Modular Stem

4 <1% Yes


Continued >

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Continued >



Percentage (%)

Mix and

match

Lima Delta TT LimaH-Max S Monoblock Stem

4 <1% No

Orthodynamics Novae Stick OrthodynamicsCannulok Cementless Stem

4 <1% No

Orthodynamics Novae Stick StrykerRestoration Cementless Stem

4 <1% Yes


Aeon Cemented CupSheffield Medical Products Limited

Aeon Cemented Stem 4 <1% No

Smith & Nephew

Opera Stryker Exeter V40 4 <1% Yes

Smith & Nephew

Polarcup Cemented Stryker Exeter V40 4 <1% Yes

Smith & Nephew

R3 Cementless Smith & NephewEchelon Cementless Stem

4 <1% No

Stryker Exeter Rimfit Waldemar Link MP Revision 4 <1% Yes

Stryker Trident Biomet Arcos Cone 4 <1% Yes

Stryker Trident Waldemar Link MP Revision 4 <1% Yes

Zimmer Continuum DePuy Kar 4 <1% Yes

Zimmer Continuum ZimmerVersys Cementless Stem

4 <1% No

Zimmer Continuum ZimmerZMR Cementless Proximal Stem

4 <1% No

Zimmer Low Profile Muller Zimmer MS-30 4 <1% No


Corin Metafix Stem 4 <1% Yes


DePuy Reef 4 <1% Yes






Amplitude Saturne DePuyS-Rom Cementless Stem

3 <1% Yes

B Braun / Aesculap


B Braun / Aesculap Excia Cementless 3 <1% No



Biomet Exceed ABT BiometBimetric Cementless Stem

3 <1% No

Biomet Freedom Zimmer CPT 3 <1% Yes



Biomet Regenerex Ringloc+ BiometBimetric Cementless Stem

3 <1% No

Biomet Regenerex Ringloc+ Biomet Reach 3 <1% No

Corin Trinity StrykerRestoration Cementless Stem

3 <1% Yes


Continued >

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Percentage (%)

Mix and

match

DePuy DeltaMotion DePuyC-Stem AMT Cemented Stem

3 <1% No

DePuy Elite Plus Ogee DePuy Corail 3 <1% No

DePuy Elite Plus Ogee DePuyC-Stem AMT Cemented Stem

3 <1% No

DePuy Pinnacle DePuy Corail Cemented 3 <1% No

DePuy Pinnacle DePuySolution Cementless Stem

3 <1% No

Evolutis Cementedd DM cup Biomet Arcos Cone 3 <1% Yes

Lima Delta Revision TT StrykerRestoration Cementless Stem

3 <1% Yes

Lima Delta TT BiometTaperloc Cementless Stem

3 <1% Yes

Lima Delta TT DePuyS-Rom Cementless Stem

3 <1% Yes

Lima Delta TT JRI Orthopaedics Ltd Furlong HAC Stem 3 <1% Yes


Procotyl MicroPort Orthopedics Profemur Preserve 3 <1% No

Serf Dedienne sante

Novae Stick Zimmer CPT 3 <1% Yes

Smith & Nephew

R3 Cementless Smith & NephewSL-Plus Cementless Stem

3 <1% No

Stryker Exeter Rimfit DePuy Reef 3 <1% Yes

Stryker Trident OrthodynamicsCannulok Cementless Stem

3 <1% Yes

Stryker Tritanium Zimmer CPT 3 <1% Yes

Waldemar Link Snap Fit Waldemar Link SP II Cemented Stem 3 <1% No

Zimmer Continuum BiometTaperloc Cementless Stem

3 <1% Yes

Zimmer Continuum Zimmer M/L Taper 3 <1% No


DePuyC-Stem Cemented Stem

3 <1% Yes




Smith & Nephew CPCS 3 <1% Yes


Smith & NephewSynergy Cementless Stem

3 <1% Yes



3 <1% Yes

B Braun / Aesculap

Chirulen B Braun / AesculapMetha Monoblock Stem

2 <1% No

Biomet Avantage DePuyC-Stem AMT Cemented Stem

2 <1% Yes

Biomet Avantage DePuy RECLAIM 2 <1% Yes

Biomet Exceed BiometTaperloc Cementless Stem

2 <1% No


Continued >

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Continued >



Percentage (%)

Mix and

match

Biomet Exceed ABT BiometTaperloc Cemented Stem

2 <1% No

Biomet Regenerex Ringloc+ Biomet Conelock 2 <1% No

Biomet Regenerex Ringloc+ BiometTaperloc Cemented Stem

2 <1% No

Biomet Regenerex Ringloc+ DePuy RECLAIM 2 <1% Yes

Biomet Regenerex Ringloc+ JRI Orthopaedics Ltd Furlong HAC Stem 2 <1% Yes

Biomet SHP Cup Zimmer CPT 2 <1% Yes


Biomet Conelock 2 <1% No


JRI Orthopaedics LtdFurlong Cemented Stem

2 <1% Yes

Corin Trinity Biomet Arcos Cone 2 <1% Yes

Corin Trinity Corin miniHip 2 <1% No

Corin Trinity DePuy Corail 2 <1% Yes

DePuy Charnley Ogee Stryker Exeter V40 2 <1% Yes




DePuy Corail 2 <1% No



2 <1% No


DePuyC-Stem Cemented Stem

2 <1% No

DePuy Elite Plus Ogee B Braun / Aesculap Excia Cemented 2 <1% Yes

DePuy Elite Plus Ogee BiometStanmore Modular Stem

2 <1% Yes

DePuy Elite Plus Ogee Lima Lima Revision Stem 2 <1% Yes

DePuy Elite Plus Ogee Zimmer ZMR 2 <1% Yes

DePuy Marathon DePuy Corail Revision Stem 2 <1% No

DePuy Marathon Lima Lima Revision Stem 2 <1% Yes

DePuy Marathon Waldemar Link MP Revision 2 <1% Yes

DePuy Pinnacle DePuySummit Cementless Stem

2 <1% No

DePuy Pinnacle JRI Orthopaedics Ltd Furlong HAC Stem 2 <1% Yes

DePuy Pinnacle Smith & NephewEchelon Cementless Stem

2 <1% Yes

DePuy Pinnacle Waldemar LinkSP II Cemented Revision

2 <1% Yes

DePuy Pinnacle Zimmer M/L Taper Cementless 2 <1% Yes

Evolutis Captiv DM CorinTaperfit Cemented Stem

2 <1% Yes


CSF JRI Orthopaedics LtdFurlong HAC Revision Stem

2 <1% No


Continued >

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Percentage (%)

Mix and


CSF Plus Biomet Arcos Cone 2 <1% Yes


JRI Cemented Cup DePuy Corail Cemented 2 <1% Yes


JRI Cemented Cup JRI Orthopaedics LtdFurlong Cemented Stem

2 <1% No


JRI Cemented Cup Zimmer CPT 2 <1% Yes

Lima Delta One TT DePuyC-Stem AMT Cemented Stem

2 <1% Yes

Lima Delta One TT JRI Orthopaedics LtdFurlong HAC Revision Stem

2 <1% Yes

Lima Delta TT DePuyC-Stem Cemented Stem

2 <1% Yes

Lima Delta TT Stryker Accolade 2 <1% Yes

Medacta UK Ltd

Versafit Medacta UK Ltd AMIStem Cementless 2 <1% No


Procotyl Stryker Exeter V40 2 <1% Yes

Orthodynamics Novae OrthodynamicsCannulok Cementless Stem

2 <1% No

Orthodynamics Novae StickStanmore Implants Worldwide


Orthodynamics Novae Stick Stryker Exeter 2 <1% Yes

Orthodynamics Novae Stick StrykerRestoration Cemented Stem

2 <1% Yes

Orthodynamics Novae Stick Zimmer ZMR 2 <1% Yes

Serf Dedienne sante

Novae Stick Stryker Exeter V40 2 <1% Yes

Smith & Nephew

EP-Fit Plus Waldemar Link MP Revision 2 <1% Yes

Smith & Nephew

Polarcup Cemented StrykerRestoration Cementless Stem

2 <1% Yes

Smith & Nephew

R3 Cementless Smith & Nephew CPCS 2 <1% No

Stryker Contemporary DePuy Kar 2 <1% Yes

Stryker Contemporary DePuy Reef 2 <1% Yes

Stryker Contemporary OrthodynamicsCannulok Cementless Stem

2 <1% Yes

Stryker Contemporary Smith & NephewEchelon Cementless Stem

2 <1% Yes

Stryker Contemporary Zimmer ZMR 2 <1% Yes

Stryker Exeter Rimfit Stryker Accolade 2 <1% No

Stryker Restoration Gap2 DePuy RECLAIM 2 <1% Yes


Continued >

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Continued >




Percentage (%)

Mix and

match

Stryker Trident DePuyC-Stem AMT Cemented Stem

2 <1% Yes

Stryker Trident DePuy Reef 2 <1% Yes

Stryker TridentStanmore Implants Worldwide


Stryker Trident Zimmer CPT 2 <1% Yes



2 <1% No

Stryker Tritanium DePuyC-Stem AMT Cemented Stem

2 <1% Yes

Stryker TritaniumStanmore Implants Worldwide


Stryker Tritanium StrykerRestoration Cemented Stem

2 <1% No

Waldemar Link Snap Fit Biomet Muller-Biomet 2 <1% Yes

Waldemar Link Snap Fit Stryker Exeter V40 2 <1% Yes

Zimmer Allofit Zimmer P10 Muller 2 <1% No

Zimmer Continuum DePuy Reef 2 <1% Yes

Zimmer Continuum Zimmer MS-30 2 <1% No

Zimmer Low Profile Muller Stryker Exeter V40 2 <1% Yes

Zimmer Low Profile Muller Zimmer Muller Straight Stem 2 <1% No


DePuy Corail Cemented 2 <1% Yes


DePuy LPS 2 <1% Yes


Smith & NephewEchelon Cementless Stem

2 <1% Yes


Smith & Nephew Polarstem Cementless 2 <1% Yes


Zimmer Segmental 2 <1% No


ZimmerZMR Cementless Proximal Stem

2 <1% No


Zimmer ZMR 2 <1% No

Zimmer Trilogy StrykerRestoration Cementless Stem

2 <1% Yes

Zimmer Trilogy ZimmerRevitan Cementless Stem

2 <1% No

Zimmer ZCA ZimmerRevitan Cementless Stem

2 <1% No



Amplitude Saturne DePuy Trilock BPS 1 <1% Yes

B Braun / Aesculap

Chirulen B Braun / Aesculap Excia Cemented 1 <1% No

B Braun / Aesculap

Chirulen B Braun / Aesculap Excia Cementless 1 <1% No

Continued >

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Continued >



Percentage (%)

Mix and

matchB Braun / Aesculap

Chirulen B Braun / AesculapPrevision Cemented Stem

1 <1% No

B Braun / Aesculap

Chirulen BiometStanmore Modular Stem

1 <1% Yes

B Braun / Aesculap


B Braun / Aesculap Centrament 1 <1% No

B Braun / Aesculap


B Braun / Aesculap Excia Cemented 1 <1% No

B Braun / Aesculap


B Braun / AesculapMetha Monoblock Stem

1 <1% No

B Braun / Aesculap



Biomet Avantage Biomet Arcos Cone 1 <1% No

Biomet Avantage BiometTaperloc Cementless Stem

1 <1% No

Biomet Avantage DePuy Corail 1 <1% Yes


BiometTaperloc Cemented Stem

1 <1% No





1 <1% Yes


JRI Orthopaedics Ltd Furlong HAC Stem 1 <1% Yes





Smith & NephewSynergy Cementless Stem

1 <1% Yes



1 <1% Yes


Waldemar LinkSP II Cemented Revision

1 <1% Yes

Biomet Exceed Waldemar Link MP Revision 1 <1% Yes

Biomet Exceed ABT BiometTaperloc Complete Cementless Stem

1 <1% No

Biomet Exceed ABT CorinOxford Universal Hip (Corin)� Cementless Stem

1 <1% Yes


Biomet Reach 1 <1% No





Biomet Regenerex Revision Stryker Exeter V40 1 <1% Yes

Biomet Regenerex Ringloc+ BiometStanmore Modular Stem

1 <1% No

Biomet Regenerex Ringloc+ CorinTaperfit Cemented Stem

1 <1% Yes


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Continued >


Continued >



Percentage (%)

Mix and

match

Biomet Regenerex Ringloc+ Implantcast GmbH Mutars 1 <1% Yes

Biomet Regenerex Ringloc+ Zimmer ZMR 1 <1% Yes

Biomet SHP Cup BiometTaperloc Cemented Stem

1 <1% No




Biomet Reach 1 <1% No







ZimmerRevitan Cementless Stem

1 <1% Yes

Corin Trinity MicroPort OrthopedicsProfemur Cementless Stem

1 <1% Yes

Corin Trinity Waldemar Link CFP 1 <1% Yes

Corin Trinity Zimmer CPT 1 <1% Yes

Corin Trinity Zimmer M/L Taper Cementless 1 <1% Yes






DePuy Kar 1 <1% No



1 <1% Yes




DePuy Elite Plus Ogee DePuyCharnley Cemented Stem

1 <1% No

DePuy Elite Plus Ogee DePuy Reef 1 <1% No

DePuy Elite Plus Ogee JRI Orthopaedics Ltd Furlong HAC Stem 1 <1% Yes

DePuy Elite Plus Ogee Smith & Nephew Anthology 1 <1% Yes

DePuy Elite Plus Ogee Smith & NephewEchelon Cemented Stem

1 <1% Yes

DePuy Elite Plus Ogee Smith & NephewEchelon Cementless Stem

1 <1% Yes

DePuy Elite Plus OgeeStanmore Implants Worldwide


DePuy Elite Plus Ogee StrykerOmnifit Cemented Stem

1 <1% Yes

DePuy Elite Plus Ogee StrykerRestoration Cemented Stem

1 <1% Yes

DePuy Gyros DePuyC-Stem AMT Cemented Stem

1 <1% No

DePuy Gyros DePuy RECLAIM 1 <1% No

DePuy Marathon DePuy Corail Cemented 1 <1% No

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Continued >



Percentage (%)

Mix and

match

DePuy Marathon DePuyS-Rom Cementless Stem

1 <1% No

DePuy MarathonStanmore Implants Worldwide


DePuy Marathon Zimmer CPT 1 <1% Yes

DePuy Pinnacle BiometStanmore Modular Stem

1 <1% Yes

DePuy Pinnacle BiometTaperloc Cementless Stem

1 <1% Yes

DePuy Pinnacle DePuySummit Cemented Stem

1 <1% No

DePuy Pinnacle MicroPort OrthopedicsProfemur Cementless Stem

1 <1% Yes

DePuy Pinnacle OrthodynamicsCannulok Cementless Stem

1 <1% Yes

DePuy Pinnacle Smith & Nephew Anthology 1 <1% Yes

DePuy PinnacleStanmore Implants Worldwide


DePuy PinnacleStanmore Implants Worldwide


DePuy Pinnacle Zimmer CPT 1 <1% Yes

DePuy Pinnacle ZimmerRevitan Cementless Stem

1 <1% Yes

Evolutis Captiv DM Stryker Exeter V40 1 <1% Yes

Evolutis Captiv DM Zimmer ZMR 1 <1% Yes


Acumatch Cup Biomet Arcos Cone 1 <1% Yes


Acumatch Cup BiometTaperloc Complete Cementless Stem

1 <1% Yes

FH Orthopaedics

Atlas IIIp Waldemar Link CFP 1 <1% Yes


Edinburgh Cup Implants International Edinburgh 1 <1% No


CSF DePuyC-Stem AMT Cemented Stem

1 <1% Yes


CSF JRI Orthopaedics LtdFurlong Cemented Stem

1 <1% No


CSF Waldemar Link SP II Cemented Stem 1 <1% Yes


CSF Plus DePuy Corail Cemented 1 <1% Yes


CSF Plus Smith & NephewEchelon Cementless Stem

1 <1% Yes

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Continued >


Continued >



Percentage (%)

Mix and


CSF Plus StrykerRestoration Cementless Stem

1 <1% Yes


JRI Cemented Cup JRI Orthopaedics Ltd Furlong HAC Stem 1 <1% No


JRI Cemented Cup JRI Orthopaedics Ltd Securus 1 <1% No


JRI Cemented Cup Stryker Exeter V40 1 <1% Yes

Lima Delta One TT BiometStanmore Modular Stem

1 <1% Yes

Lima Delta One TT BiometTaperloc Cementless Stem

1 <1% Yes

Lima Delta One TT DePuy Corail Revision Stem 1 <1% Yes

Lima Delta One TT DePuy Kar 1 <1% Yes

Lima Delta One TT Lima Modulus 1 <1% No

Lima Delta One TT OrthodynamicsCannulok Cementless Stem

1 <1% Yes

Lima Delta One TT Smith & Nephew CPCS 1 <1% Yes

Lima Delta One TT Smith & Nephew Polarstem Cementless 1 <1% Yes

Lima Delta One TTStanmore Implants Worldwide


Lima Delta One TT Waldemar LinkSP II Cemented Revision

1 <1% Yes

Lima Delta Revision TT BiometStanmore Modular Stem

1 <1% Yes

Lima Delta Revision TT BiometTaperloc Cementless Stem

1 <1% Yes

Lima Delta Revision TT DePuy Corail 1 <1% Yes

Lima Delta Revision TT DePuy Kar 1 <1% Yes

Lima Delta Revision TT DePuy Reef 1 <1% Yes

Lima Delta Revision TT DePuyS-Rom Cementless Stem

1 <1% Yes

Lima Delta Revision TT Waldemar Link MP Revision 1 <1% Yes

Lima Delta TT BiometTaperloc Cemented Stem

1 <1% Yes

Lima Delta TT CorinTaperfit Cemented Stem

1 <1% Yes

Lima Delta TT DePuy Charnley Modular 1 <1% Yes

Lima Delta TT DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Lima Delta TT DePuy Kar 1 <1% Yes

Lima Delta TT DePuySolution Cementless Stem

1 <1% Yes

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Continued >



Percentage (%)

Mix and

match

Lima Delta TT DePuySummit Cemented Stem

1 <1% Yes

Lima Delta TT DePuy Trilock BPS 1 <1% Yes

Lima Delta TT JRI Orthopaedics LtdFurlong HAC Revision Stem

1 <1% Yes

Lima Delta TT Lima Modulus 1 <1% No

Lima Delta TT Smith & Nephew Polarstem Cementless 1 <1% Yes

Lima Delta TT Symbios SA SPS Evolution 1 <1% Yes

Lima Delta TT Symbios SA SPS Ha 1 <1% Yes

Lima Delta TT Waldemar LinkSP II Cemented Revision

1 <1% Yes

Lima Delta TT Zimmer MS-30 1 <1% Yes

Lima Delta TT ZimmerRevitan Cementless Stem

1 <1% Yes


CCB MathysMathys Orthopaedics Ltd



CCB Mathys Stryker Exeter V40 1 <1% Yes


RM Classic DePuy Kar 1 <1% Yes



Mathys Revision Stem 1 <1% No


RM Classic Smith & NephewSLR-Plus Cementless Stem

1 <1% Yes

Medacta UK Ltd

Versacem Stryker Exeter V40 1 <1% Yes

Medacta UK Ltd

Versafit Medacta UK Ltd Quadra Cementless 1 <1% No

Orthodynamics Novae DePuy Corail 1 <1% Yes

Orthodynamics Novae DePuyC-Stem Cemented Stem

1 <1% Yes

Orthodynamics Novae JRI Orthopaedics LtdFurlong HAC Revision Stem

1 <1% Yes

Orthodynamics Novae StrykerRestoration Cementless Stem

1 <1% Yes

Orthodynamics Novae Zimmer CPT 1 <1% Yes

Orthodynamics Novae Stick Biomet Olympia 1 <1% Yes

Orthodynamics Novae Stick BiometTaperloc Cementless Stem

1 <1% Yes

Orthodynamics Novae Stick DePuy Corail 1 <1% Yes

Orthodynamics Novae Stick JRI Orthopaedics Ltd Securus 1 <1% Yes

Orthodynamics Novae Stick Stryker Accolade 1 <1% Yes

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Continued >


Continued >



Percentage (%)

Mix and

matchSerf Dedienne sante

Novae Stick DePuyC-Stem Cemented Stem

1 <1% Yes

Serf Dedienne sante

Novae Stick StrykerRestoration Cementless Stem

1 <1% Yes


Aeon Cemented Cup Stryker Exeter V40 1 <1% Yes

Smith & Nephew

BHR Resurfacing Cup

Smith & NephewBirmingham Head Resection Stem

1 <1% No

Smith & Nephew

Opera StrykerRestoration Cementless Stem

1 <1% Yes

Smith & Nephew

Polarcup Cemented DePuySolution Cementless Stem

1 <1% Yes

Smith & Nephew

Polarcup Cemented Smith & Nephew CPCS 1 <1% No

Smith & Nephew

Polarcup Cemented Zimmer ZMR 1 <1% Yes

Smith & Nephew

R3 Cementless Smith & Nephew MDF Modular 1 <1% No

Smith & Nephew

R3 Cementless Zimmer CPT 1 <1% Yes

Smith & Nephew

Reflection Cemented Lima Lima Revision Stem 1 <1% Yes

Smith & Nephew

Reflection Cemented Smith & NephewSL-Plus Cementless Stem

1 <1% No

Smith & Nephew

Reflection Cemented Smith & Nephew Spectron 1 <1% No

Smith & Nephew

Reflection Cementless




Stryker Contemporary BiometStanmore Modular Stem

1 <1% Yes

Stryker Contemporary CorinTaperfit Cemented Stem

1 <1% Yes

Stryker Contemporary DePuy Corail 1 <1% Yes

Stryker Contemporary DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Stryker Contemporary DePuy RECLAIM 1 <1% Yes

Stryker Contemporary JRI Orthopaedics LtdFurlong HAC Revision Stem

1 <1% Yes

Stryker Contemporary ZimmerRevitan Cementless Stem

1 <1% Yes

Stryker Exeter Duration OrthodynamicsCannulok Cementless Stem

1 <1% Yes

Stryker Exeter Rimfit Biomet Arcos Cone 1 <1% Yes

Stryker Exeter Rimfit CorinTaperfit Cemented Stem

1 <1% Yes

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Continued >



Percentage (%)

Mix and

match

Stryker Exeter Rimfit DePuy Corail 1 <1% Yes

Stryker Exeter Rimfit OrthodynamicsCannulok Cemented Stem

1 <1% Yes

Stryker Exeter Rimfit Smith & NephewEchelon Cementless Stem

1 <1% Yes

Stryker Exeter Rimfit Stryker Accolade II 1 <1% No

Stryker Exeter Rimfit Zimmer CPT 1 <1% Yes

Stryker Exeter Rimfit ZimmerRevitan Cementless Stem

1 <1% Yes

Stryker Restoration Gap2 DePuy Corail 1 <1% Yes

Stryker Restoration Gap2 DePuy Trilock BPS 1 <1% Yes





1 <1% No

Stryker Trident BiometStanmore Modular Stem

1 <1% Yes

Stryker Trident DePuy RECLAIM 1 <1% Yes

Stryker Trident JRI Orthopaedics LtdFurlong HAC Revision Stem

1 <1% Yes

Stryker Trident Lima Lima Revision Stem 1 <1% Yes

Stryker Trident StrykerRestoration Cemented Stem

1 <1% No

Stryker Trident Waldemar LinkSP II Cemented Revision

1 <1% Yes


Smith & NephewEchelon Cementless Stem

1 <1% Yes





Waldemar LinkMP Neck Cementless Stem

1 <1% Yes


Zimmer MS-30 1 <1% Yes

Stryker Tritanium Biomet Arcos Cone 1 <1% Yes

Stryker Tritanium DePuy Corail Cemented 1 <1% Yes

Stryker Tritanium DePuy LPS 1 <1% Yes

Stryker Tritanium Smith & Nephew Anthology 1 <1% Yes

Stryker TritaniumStanmore Implants Worldwide


Stryker Tritanium Stryker Accolade II 1 <1% No

Stryker Tritanium Stryker GMRS 1 <1% No

Stryker Tritanium Waldemar Link MP Revision 1 <1% Yes

Stryker Tritanium Waldemar LinkSP II Cemented Revision

1 <1% Yes

Stryker Tritanium ZimmerRevitan Cementless Stem

1 <1% Yes

Waldemar Link Interplanta Waldemar Link SP II Cemented Stem 1 <1% No

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Continued >




Percentage (%)

Mix and

match

Waldemar Link Snap Fit DePuy Charnley Modular 1 <1% Yes

Zimmer Allofit Zimmer MS-30 1 <1% No

Zimmer Allofit Zimmer ZMR 1 <1% No

Zimmer Continuum Biomet Arcos Cone 1 <1% Yes

Zimmer Continuum Biomet Olympia 1 <1% Yes

Zimmer Continuum DePuy Corail 1 <1% Yes

Zimmer Continuum DePuyC-Stem AMT Cemented Stem

1 <1% Yes

Zimmer Continuum DePuy LPS 1 <1% Yes

Zimmer Continuum JRI Orthopaedics Ltd Securus 1 <1% Yes

Zimmer ContinuumMathys Orthopaedics Ltd


Zimmer Continuum ZimmerMayo Cementless Stem

1 <1% No

Zimmer Continuum Zimmer Segmental 1 <1% No

Zimmer Continuum Zimmer VerSys Heritage 1 <1% No

Zimmer FM IT ZimmerM/L Taper Kinectiv Cementless

1 <1% No

Zimmer Low Profile Muller Waldemar LinkSP II Cemented Revision

1 <1% Yes

Zimmer Low Profile Muller Zimmer P10 Muller 1 <1% No

Zimmer Metasul-Muller Zimmer CPT 1 <1% No


B Braun / AesculapBicontact Cementless Stem

1 <1% Yes


Biomet Olympia 1 <1% Yes



1 <1% Yes


Corin C Fit 1 <1% Yes


CorinTaperfit Cemented Stem

1 <1% Yes


DePuy Corail Revision Stem 1 <1% Yes


JRI Orthopaedics Ltd Evolution Cementless 1 <1% Yes


Lima Lima Revision Stem 1 <1% Yes



CBK 1 <1% Yes


MicroPort Orthopedics Profemur Preserve 1 <1% Yes


Smith & Nephew Anthology 1 <1% Yes


Smith & Nephew Spectron 1 <1% Yes




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Percentage (%)

Mix and

match


Symbios SA SPS Evolution 1 <1% Yes


Symbios SA SPS Modular 1 <1% Yes


Waldemar Link SP II Cemented Stem 1 <1% Yes


ZimmerM/L Taper Kinectiv Cementless

1 <1% No


ZimmerTrabecular Cementless Stem

1 <1% No


ZimmerVersys Cementless Stem

1 <1% No


Waldemar Link CFP 1 <1% Yes

Zimmer Trilogy Biomet Arcos Cone 1 <1% Yes

Zimmer Trilogy Smith & NephewEchelon Cementless Stem

1 <1% Yes

Zimmer Trilogy Waldemar Link MP Revision 1 <1% Yes

Zimmer Trilogy Zimmer Segmental 1 <1% No

Zimmer Trilogy IT Corin Metafix Stem 1 <1% Yes

Zimmer Trilogy IT DePuy Corail 1 <1% Yes

Zimmer Trilogy IT DePuy Corail Revision Stem 1 <1% Yes

Zimmer Trilogy IT DePuy Kar 1 <1% Yes

Zimmer Trilogy IT JRI Orthopaedics LtdFurlong HAC Revision Stem

1 <1% Yes

Zimmer Trilogy IT JRI Orthopaedics Ltd Securus 1 <1% Yes

Zimmer Trilogy IT Stryker Exeter V40 1 <1% Yes

Zimmer Trilogy IT StrykerRestoration Cementless Stem

1 <1% Yes

Zimmer Trilogy IT Zimmer M/L Taper Cementless 1 <1% No

Zimmer ZCA Zimmer M/L Taper Cementless 1 <1% No


Biomet Muller-Biomet 1 <1% Yes








Zimmer P10 Muller 1 <1% No

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1.4 Summary

The total number of brands of acetabular cups and femoral stems used in procedures recorded in the NJR has increased significantly since its inception. There were 111 brands of acetabular cups (excluding resurfacing cups)� used in 2013, an increase from 2012 when 101 brands were used. There were 145 brands of femoral stems used in 2013, a decrease of one from

2012. There were no procedures where a resurfacing cup was used in conjunction with a large diameter modular head and a conventional modular stem. Material selection for femoral heads used between 2003 and 2007 remained constant (76% metal and 24% ceramic)� and in 2013, 38% of modular heads used were ceramic. There has been a large increase in the use of 32mm heads at the expense of all other sizes.


Table 9 (a) Brands for total condylar knee primary procedures performed during 2013.

Continued >


proceduresPercentage

(%)77,153

DePuy PFC Sigma Bicondylar Knee 25,812 33%

Zimmer Nexgen 12,929 17%

Stryker Triathlon 10,275 13%

Biomet Vanguard 7,406 10%

Smith & Nephew Genesis 2 6,597 9%

Biomet AGC 3,956 5%

DePuy LCS Complete 1,875 2%

B Braun / Aesculap Columbus 1,369 2%

Stryker NRG 1,191 2%

MATOrtho Limited MRK 1,001 1%

Smith & Nephew Genesis 2 Oxinium 767 <1%

MicroPort Orthopedics Advance MP 660 <1%

B Braun / Aesculap E-Motion Bicondylar Knee 290 <1%

Endo Plus (UK)� Limited Endoplus Bicondylar Knee 277 <1%

Smith & Nephew Legion 256 <1%

DePuy Attune PS 224 <1%

MicroPort Orthopedics AMP Stature 222 <1%

Stryker Scorpio 213 <1%

Centerpulse Natural Knee II 190 <1%

DePuy Attune CR 149 <1%

2 Prostheses used in knee procedures 2013 This section reports the numbers of prostheses implanted and reported to the NJR between 1 January and 31 December 2013.

The procedure counts in this section of the report may vary from the procedure counts detailed elsewhere as this section will only count those procedures where the implants have been used. Therefore, if a procedure has been submitted with missing implant information this will cause a mismatch with Part Two of the Annual Report (at www.njrreports.org.uk)�.

2.1 Prostheses entered into the NJR

60 brands of total condylar knee prostheses were used in primary procedures and 36 used in revision procedures. In addition, there were 17 brands of unicondylar prostheses, seven brands of patello-femoral replacements and 16 brands of hinged knees. The number of brands for each prosthesis type has decreased for total condylar and unicondylar compared to 2012.

Table 9 (a)� and 9 (b)� show the brands of primary and revision total condylar knee replacement prosthesis recorded in NJR for 2013.

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Continued >



(%)Exactech (UK)� Ltd Optetrak 123 <1%

Implantcast GmbH ACS 122 <1%

Exactech (UK)� Ltd Logic 120 <1%

Medacta UK Ltd GMK 116 <1%

Jointmedica Limited Joint Medica Bicondylar 108 <1%

Corin Rotaglide 103 <1%

Smith & Nephew Journey Oxinium 101 <1%

Zimmer Nexgen LCCK 75 <1%

MicroPort Orthopedics Advance PS 71 <1%

Stryker Scorpio NRG 64 <1%

Zimmer Persona PS 57 <1%

Mathys Orthopaedics Ltd Mathys Bicondylar Knee 55 <1%

MATOrtho Limited Saiph 46 <1%

Biomet Maxim 42 <1%

Smith & Nephew Legion Oxinium 36 <1%

Stanmore Implants Worldwide SMILES Bicondylar 33 <1%

Corin Unity 31 <1%

Smith & Nephew Profix 29 <1%

MicroPort Orthopedics Advance Bicondylar Knee 22 <1%

Biomet Alpina 20 <1%

Stanmore Implants Worldwide Smiles Knee 17 <1%

Zimmer CR Flex 16 <1%

DePuy PFC Bicondylar Knee 12 <1%

Medacta UK Ltd sphere 10 <1%

Zimmer LPS Knee 10 <1%

DJO Surgical 3D 8 <1%

ConforMIS iDuo G2 7 <1%

MicroPort Orthopedics Advance CCK 6 <1%

MicroPort Orthopedics EvolutionMP 6 <1%

JRI Orthopaedics Ltd Trecking Knee 5 <1%

Smith & Nephew Profix Oxinium 4 <1%

Smith & Nephew TC Plus 4 <1%

Zimmer Persona CR 4 <1%

DePuy LPS Knee 3 <1%

Implants International SLK Evo 2 <1%

Zimmer MBK 2 <1%

Aequos Aequos G1 1 <1%

Centerpulse SAL 1 <1%

Symbios SA FIRST 1 <1%

Zimmer Innex 1 <1%


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Table 9 (b) Brands for total condylar knee revision procedures performed during 2013.



(%)3,167

DePuy PFC Sigma Bicondylar Knee 1,164 37%

Stryker Triathlon 369 12%

Zimmer Nexgen LCCK 333 11%

Smith & Nephew Legion Oxinium 273 9%

Biomet Vanguard 230 7%

Zimmer Nexgen 214 7%

Smith & Nephew Genesis 2 110 3%

Biomet AGC 81 3%

Stanmore Implants Worldwide SMILES Bicondylar 67 2%

Biomet Maxim 49 2%

Stryker Scorpio 38 1%

Smith & Nephew Legion 34 1%

MATOrtho Limited MRK 26 <1%

Stanmore Implants Worldwide Smiles Knee 24 <1%

B Braun / Aesculap Columbus 20 <1%

Smith & Nephew Genesis 2 Oxinium 19 <1%

MicroPort Orthopedics Advance CCK 18 <1%

Exactech (UK)� Ltd Optetrak 16 <1%

DePuy LCS Complete 15 <1%

Stryker NRG 14 <1%

DePuy LPS Knee 12 <1%

MicroPort Orthopedics Advance MP 9 <1%

Implantcast GmbH ACS 4 <1%

Medacta UK Ltd GMK 4 <1%

MicroPort Orthopedics AMP Stature 4 <1%

Zimmer Persona PS 4 <1%

Corin Rotaglide 3 <1%

DePuy Attune PS 3 <1%

B Braun / Aesculap E-Motion Bicondylar Knee 2 <1%

Mathys Orthopaedics Ltd Mathys Bicondylar Knee 2 <1%

DePuy Attune CR 1 <1%

Endo Plus (UK)� Limited Endoplus Bicondylar Knee 1 <1%

MATOrtho Limited Saiph 1 <1%

Medacta UK Ltd sphere 1 <1%

Smith & Nephew Journey Oxinium 1 <1%

Smith & Nephew Profix 1 <1%

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Table 10 Brands for primary and revision unicondylar knee replacement procedures performed during 2013.

Table 11 Brands for primary and revision patello-femoral joint replacement procedures performed during 2013.



(%)7,026

Biomet Oxford Partial Knee 4,220 60%

Zimmer Zimmer Unicompartmental 1,295 18%

DePuy Sigma HP 1,059 15%

Corin AMC/Uniglide 146 2%

Stryker Triathlon Uni 84 1%

Smith & Nephew Journey Uni Oxinium 67 <1%

Smith & Nephew Genesis Uni Oxinium 52 <1%

Exactech (UK)� Ltd Optetrak Unicondylar 33 <1%

Waldemar Link Sled 32 <1%

Mathys Orthopaedics Ltd Mathys Unicondylar Knee 24 <1%

Medacta UK Ltd GMK Uni 4 <1%

Tornier Ukneetec 3 <1%

Arthrex iBalance 2 <1%

Smith & Nephew Genesis Uni 2 <1%

Biomet Repicci 1 <1%

ConforMIS iUni G2 1 <1%

DePuy Robert Brigham Unicondylar 1 <1%



(%)1,081

Stryker Avon 339 31%

Zimmer Zimmer PFJ 268 25%

DePuy Sigma HP 177 16%

MicroPort Orthopedics FPV 138 13%

Smith & Nephew Journey PFJ Oxinium 131 12%

Biomet Vanguard PF 22 2%

MicroPort Orthopedics Evos 6 <1%


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Table 12 Fixed and rotating hinged knee brands for primary and revision knee procedures performed during 2013.

Table 13 Tibial insert type for primary and revision knee procedures performed during 2013.



(%)960

Waldemar Link Endo Rotating Hinge 267 28%

DePuy Noiles 165 17%

Zimmer Nexgen Hinge Type 148 15%

Stryker MRH 95 10%

Biomet RHK 78 8%

Stanmore Implants Worldwide Smiles Knee 77 8%

Endo Plus (UK)� Limited RT-Plus 49 5%

Biomet OSS 16 2%

Smith & Nephew RT-Plus 13 1%

Waldemar Link Endo Hinge 12 1%

MicroPort Orthopedics Guardian Hinged/Linked Knee 11 1%

B Braun / Aesculap EnduRo Hinge 10 1%

Implantcast GmbH Mutars Mom 9 <1%

Zimmer Zimmer Segmental System 8 <1%

Biomet Stanmore Hinge 1 <1%

Waldemar Link Mega System C 1 <1%

2.2 Usage of fixed versus mobile bearing tibial inserts

Total condylar knee arthroplasties involving tibial inserts predominantly used fixed bearing inserts as shown in Table 13.

ConstraintNumber of


(%)81,286

Unconstrained, fixed 55,027 68%

Posterior stabilised, fixed 19,251 24%

Unconstrained, mobile 3,436 4%

Constrained condylar 2,351 3%

Posterior stabilised, mobile 1,221 2%



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Table 14 (a) Brands for primary ankle procedures performed in 2013.

Table 14 (b) Brands for revision ankle procedures performed in 2013.



(%)529

DePuy Mobility 189 36%

Corin Zenith 133 25%

Integra Hintegra 65 12%

MATOrtho Limited Box 50 9%

Tornier Salto 46 9%

Sbi Star 32 6%

Biomet Rebalance 13 2%

Wright Medical UK Ltd Inbone 1 <1%



(%)8

DePuy Mobility 5 63%

Corin Zenith 2 25%

Integra Hintegra 1 13%

3 Prostheses used in ankle procedures 2013This section reports the numbers of prostheses implanted and reported to the NJR between 1 January and 31 December 2013.

Table 14 (b)� shows three different brands used in eight revision procedures. The NJR brands only the

talar component and therefore the procedures where the talar component is replaced will be included in these counts. There were 68 conversion and revision procedures performed in 2013.


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4 Prostheses used in elbow procedures 2013This section reports the numbers of prostheses implanted and reported to the NJR between 1 April and 31 December 2013.

Table 15 Brands for humeral elbow primary and revision procedures performed in 2013.

Table 16 Brands for radial head elbow primary and revision procedures performed in 2013.



(%)409

Zimmer Coonrad Morrey 228 56%

Biomet Discovery 136 33%

Tornier Latitude Humeral 30 7%

Zimmer GSB 111 8 2%

Biomet IBP 3 <1%

Biomet K Elbow 2 <1%

Biomet LRE 2 <1%



(%)34

Acumed Anatomic radial head 18 53%

Biomet ExploR 7 21%

Tornier RHS 3 9%

Wright Medical UK Ltd Evolve 3 9%

Corin Corin radial head 2 6%

Tornier Latitude 1 3%

Biomet LRE 2 <1%



5 Prostheses used in shoulder procedures 2013This section reports the numbers of prostheses implanted and reported to the NJR between 1 April and 31 December 2013.

Table 17 (a) Brands for primary shoulder resurfacing procedures performed in 2013.



(%)1,728

Biomet Copeland 409 24%

DePuy Global AP 266 15%

DePuy Global Advantage Humeral head 211 12%

Tornier Aequalis head 202 12%

Mathys Orthopaedics Ltd Affinis 192 11%

DePuy Global CAP 133 8%

Synthes EPOCA Resurfacing 111 6%

Lima Lima SMR head 73 4%

JRI Orthopaedics Ltd Vaios head 40 2%

Zimmer Sidus 23 1%

Corin Oxford Humeral head 19 1%

Tornier Ascend Humeral head 18 1%

DePuy Global Unite head 13 <1%

FH Orthopaedics Arrow Resurfacing head 13 <1%

Evolutis CTA Humeral head 3 <1%

DePuy DT Global 1 <1%

Tornier Affinity Humeral head 1 <1%

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Table 17 (b) Brands for revision shoulder resurfacing procedures performed in 2013.

Table 18 (a) Shoulder humeral stem brands for primary shoulder procedures performed in 2013.



(%)60

Mathys Orthopaedics Ltd Affinis 11 18%

Lima Lima SMR head 11 18%

Tornier Aequalis head 9 15%

DePuy Global AP 9 15%

DePuy Global Advantage Humeral head 9 15%

JRI Orthopaedics Ltd Vaios Head 4 7%

DePuy Global CAP 2 3%

Biomet Copeland 2 3%

Tornier Ascend Humeral head 1 2%

Synthes EPOCA Resurfacing 1 2%

DePuy Delta 1 2%



(%)2,885

DePuy Delta Xtend 500 17%

Tornier Aequalis stem 294 10%

DePuy Global AP Humeral stem 283 10%

Exactech (UK)� Ltd Equinoxe 268 9%

Biomet Comprehensive 265 9%

Mathys Orthopaedics Ltd Affinis stem 236 8%

DePuy Global Advantage stem 160 6%

Zimmer Anatomical shoulder 156 5%

Lima Lima SMR stem 131 5%

Synthes EPOCA 108 4%

JRI Orthopaedics Ltd Vaios stem 99 3%

Tornier SIMPLICITI 59 2%

DePuy Global FX 51 2%

Zimmer B/F 45 2%

FH Orthopaedics Arrow 43 1%

Tornier Ascend Flex 37 1%

Zimmer TM reverse 34 1%

Biomet TESS 22 <1%

Corin Oxford Modular 19 <1%

Tornier Ascend 18 <1%

DePuy Global Unite 15 <1%

Biomet Nottingham 13 <1%

DJO Surgical RSP 9 <1%

Continued >



Continued >

Table 18 (b) Shoulder humeral stem brands for revision shoulder procedures performed in 2013.

Table 18 (a) continued.



(%)233

DePuy Delta Xtend 51 22%

Biomet Comprehensive 25 11%

JRI Orthopaedics Ltd Vaios stem 24 10%

Tornier Aequalis stem 23 10%

Mathys Orthopaedics Ltd Affinis stem 19 8%

Lima Lima SMR stem 17 7%

Exactech (UK)� Ltd Equinoxe 14 6%

DePuy Global AP humeral stem 11 5%

DePuy Global Advantage Stem 9 4%

Zimmer anatomical shoulder 8 3%

FH Orthopaedics Arrow 7 3%

DJO Surgical RSP 4 2%

Zimmer TM reverse 3 1%

Tornier SIMPLICITI 3 1%

Synthes EPOCA 3 1%

Stanmore Implants Worldwide METS Shoulder 3 1%

Biomet TESS 3 1%

Zimmer B/F 1 <1%

Tornier Ascend 1 <1%

DePuy Global Unite 1 <1%

Biomet VERSO 1 <1%

Biomet Nottingham 1 <1%

Biomet Mosaic 1 <1%



(%)Evolutis CTA Humeral stem 5 <1%

Stanmore Implants Worldwide METS Shoulder 4 <1%

Arthrex Univers 2 3 <1%

Smith & Nephew PROMOS 3 <1%

Biomet Biomodular should 2 <1%

Arthrex Ascend 1 <1%

Biomet VERSO 1 <1%

Tornier Affinity Stem 1 <1%

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Table 19 Type of cement used in hip, knee, ankle, elbow and shoulder replacement procedures performed in 2013.

The majority of procedures involving cement used antibiotic-loaded rather than non-antibiotic cement. 88% of hip procedures and 96% of knee procedures and all ankle procedures using cement used antibiotic-

loaded cements. Tables 20 (a)�-(e)� overleaf, show brands of cement used in hip, knee, ankle, elbow and shoulder procedures respectively.

6 Cement use 2013

Cement type Number of procedures Percentage (%)140,471

Ankle 11

Antibiotic - loaded high viscosity 9 82%

Antibiotic - loaded medium viscosity 2 18%

Elbow 436



Antibiotic - loaded low viscosity 37 8%

Low viscosity 2 <1%

Medium viscosity 60 14%

Hip 52,055

Antibiotic - loaded high viscosity 40,861 78%

Antibiotic - loaded medium viscosity 5,272 10%

Antibiotic - loaded low viscosity 602 1%

High viscosity 1,354 3%

Low viscosity 9 <1%

Medium viscosity 3,957 8%

Knee 85,955


Antibiotic - loaded medium viscosity 2,664 3%

Antibiotic - loaded low viscosity 33 <1%

High viscosity 475 1%

Medium viscosity 1,032 1%

Shoulder 2,014



Antibiotic - loaded low viscosity 18 <1%

High viscosity 29 1%

Medium viscosity 79 4%

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Table 20 (a) Brands of cement used in hip procedures performed in 2013.

Manufacturer Brand Cement type

Number of procedures using brand

Percentage (%)

54,325Heraeus Medical Palacos Antibiotic Antibiotic - loaded high viscosity 32,305 59%

Biomet Biomet Refobacin Antibiotic - loaded high viscosity 4,536 8%

Stryker Simplex AntibioticAntibiotic - loaded medium viscosity

4,507 8%

DePuyCMW2 Antibiotic Loaded Cement


Stryker Simplex Antibiotic Medium viscosity 3,250 6%



DePuy CMW2 Plain Cement High viscosity 925 2%

DePuySmartset HV Antibiotic Loaded Cement


Stryker Simplex Medium viscosity 704 1%

Heraeus Medical Palacos Antibiotic Antibiotic - loaded low viscosity 586 1%

Heraeus Medical Copal G+CAntibiotic - loaded medium viscosity

323 <1%


Antibiotic - loaded medium Viscosity

260 <1%

Heraeus Medical Palacos High viscosity 123 <1%

Heraeus Medical Palacos AntibioticAntibiotic - loaded medium viscosity

97 <1%

DePuySmartset Endurance Antibiotic Loaded Cement

Antibiotic - loaded medium viscosity

76 <1%

Biomet Biomet Refobacin RevisionAntibiotic - loaded high viscosity

72 <1%

DePuy CMW1 Plain Cement High viscosity 72 <1%

Heraeus Medical Copal G+V High viscosity 35 <1%

Tecres Medical VancogenX High viscosity 28 <1%

Biomet Biomet Refobacin Plus Antibiotic loaded high viscosity 26 <1%

Biomet Osteopal Antibiotic Antibiotic loaded low viscosity 15 <1%

Heraeus Medical PalacosAntibiotic loaded medium viscosity

14 <1%

Heraeus Medical Palacos Low viscosity 9 <1%

DePuy Smartset HV Plain Cement High viscosity 8 <1%

Heraeus Medical Palacos Medium viscosity 4 <1%Midland Medical Technologies Ltd

Wright Medical Bone Cement Antibiotic - loaded low viscosity 1 <1%

Tecres Medical Cemex Regular High viscosity 1 <1%

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Table 20 (b) Brands of cement used in knee procedures performed in 2013.



Percentage (%)

85,954

Heraeus Medical Palacos Antibiotic Antibiotic - loaded high viscosity

63,261 73%

Biomet Biomet Refobacin Antibiotic - loaded high viscosity

10,636 12%


Antibiotic - loaded high viscosity

3,348 4%

DePuy CMW1 Antibiotic Loaded Cement Antibiotic - loaded high viscosity

2,809 3%


2,111

2%

DePuy CMW2 Antibiotic Loaded Cement Antibiotic - loaded high viscosity

1,703 2%

Stryker Simplex Antibiotic Medium viscosity

890 1%

Heraeus Medical Palacos AntibioticAntibiotic - loaded medium Viscosity

263

<1%

Heraeus Medical Copal G+CAntibiotic - loaded medium viscosity

211 <1%

Heraeus Medical Palacos High viscosity 144 <1%

Stryker Simplex Medium viscosity 137 <1%

Biomet Biomet Refobacin Revision Antibiotic - loaded high viscosity 110 <1%


Heraeus Medical PalacosAntibiotic - loaded medium viscosity

55 <1%

Biomet Biomet Refobacin Plus Antibiotic - loaded high viscosity 39 <1%


Heraeus Medical Copal G+V High viscosity 34 <1%

Heraeus Medical Palacos Antibiotic Antibiotic - loaded low viscosity 30 <1%

Tecres Medical VancogenX High viscosity 25 <1%

DePuy CMW3 Antibiotic Loaded CementAntibiotic - loaded medium viscosity

12 <1%

Heraeus Medical Palamed AntibioticAntibiotic - loaded medium viscosity

8 <1%

Heraeus Medical Palacos Medium viscosity 4 <1%Midland Medical Technologies Ltd

Wright Medical Bone Cement Antibiotic loaded low viscosity 3 <1%

DePuySmartset Endurance Antibiotic Loaded Cement

Antibiotic loaded medium viscosity 2 <1%


Antibiotic loaded high viscosity 1 <1%

DePuy CMW3 Plain Cement Medium viscosity 1 <1%

DePuy Smartset HV Plain Cement High viscosity 1 <1%

DePuySmartset MV Antibiotic Loaded Cement

Antibiotic - loaded medium viscosity

1 <1%

Tornier Tornier Bone Cement AntibioticAntibiotic - loaded medium viscosity

1 <1%

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Table 20 (c) Brands of cement used in ankle procedures performed in 2013.

Table 20 (d) Brands of cement used in elbow procedures performed in 2013.



Percentage (%)

11Heraeus Medical Palacos Antibiotic Antibiotic - loaded high viscosity 8 73%


2 18%

DePuy CMW2 Antibiotic Loaded Cement Antibiotic - loaded high viscosity 1 9%



Percentage (%)

437Heraeus Medical Palacos Antibiotic Antibiotic loaded high viscosity 191 44%

Biomet Biomet Refobacin Antibiotic loaded high viscosity 52 12%

Stryker Simplex Antibiotic Medium viscosity 45 10%

Stryker Simplex Antibiotic Antibiotic loaded medium viscosity 34 8%

Heraeus Medical Palacos Antibiotic Antibiotic loaded low viscosity 24 5%

DePuy CMW1 Antibiotic - loaded cement Antibiotic loaded high viscosity 15 3%

Heraeus Medical Palacos Antibiotic Antibiotic loaded medium viscosity 14 3%

Stryker Simplex Medium viscosity 14 3%

Biomet Osteopal Antibiotic Antibiotic loaded low viscosity 13 3%

DePuy CMW3 Antibiotic - loaded cement Antibiotic loaded medium viscosity 10 2%

DePuySmartset HV Antibiotic - loaded cement

Antibiotic loaded high viscosity 8 2%

Heraeus Medical Copal G+C Antibiotic loaded medium viscosity 8 2%

DePuySmartset Endurance Antibiotic - loaded cement

Antibiotic loaded medium viscosity 3 <1%

Heraeus Medical Palacos Low viscosity 2 <1%

Biomet Biomet Refobacin Revision Antibiotic loaded high viscosity 1 <1%

DePuy CMW2 Antibiotic - loaded cement Antibiotic loaded high viscosity 1 <1%

Heraeus Medical Palacos Antibiotic loaded medium viscosity 1 <1%

Heraeus Medical Palacos Medium viscosity 1 <1%


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Table 20 (e) Brands of cement used in shoulder procedures performed in 2013.



Percentage (%)

2,011Heraeus Medical Palacos Antibiotic Antibiotic - loaded high viscosity 1,423 70%

Biomet Biomet Refobacin Antibiotic - loaded high viscosity 286 14%

Stryker Simplex Antibiotic Medium viscosity 74 4%



53 3%




Heraeus Medical Palacos Antibiotic Antibiotic - loaded low viscosity 17 <1%


Stryker Simplex Medium viscosity 5 <1%

Heraeus Medical Copal G+CAntibiotic - loaded medium Viscosity

4 <1%

Biomet Osteopal Antibiotic Antibiotic - loaded low viscosity 1 <1%

Heraeus Medical PalacosAntibiotic - loaded medium viscosity

1 <1%

Heraeus Medical Palacos AntibioticAntibiotic - loaded medium viscosity

1 <1%



7 Bone substitute use 2013Tables 21 (a)�-(e)� report the brand usage of bone substitute used in hip, knee, ankle, elbow and shoulder replacement procedures during 2013. The vast majority of bone substitute is used in hip procedures.

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Table 21 (a) Brands of synthetic bone substitute used in hip procedures during 2013.

Table 21 (b) Brands of synthetic bone substitute used in knee procedures during 2013.



(%)328

Synthes DBX 80 24%

Stryker Bonesave 57 17%

DePuy Grafton 44 13%

Endo Plus (UK)� Limited Endoplus Bone Substitute 36 11%

Finceramica Regenoss 36 11%

FH Orthopaedics Surgicraft 18 5%

Exactech (UK)� Ltd Opteform 14 4%

Wright Medical UK Ltd Osteoset 12 4%

ApaTech Products Actifuse 9 3%

JRI Orthopaedics Ltd Repros 6 2%

Quadrant Medical Ltd Vitoss 5 2%

Biocomposites Biocomposites 4 1%

Synthes Synthes Bone Substitute 2 <1%

Corin Biofuse 1 <1%

Finceramica Engipore 1 <1%

Finceramica Sintlife 1 <1%

Osteotech Grafton 1 <1%

Synthes Chronos TCP 1 <1%



(%)26

Finceramica Engipore 5 19%



Endo Plus (UK)� Limited Endoplus Bone Substitute 3 12%



Corin Biofuse 1 4%

FH Orthopaedics Surgicraft 1 4%

Quadrant Medical Ltd Vitoss 1 4%

Synthes DBX 1 4%


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Table 21 (c) Brands of synthetic bone substitute used in ankle procedures during 2013.

Table 21 (d) Brands of synthetic bone substitute used in elbow procedures during 2013.

Table 21 (e) Brands of synthetic bone substitute used in shoulder procedures during 2013.



(%)2





(%)2





(%)13




Finceramica Engipore 1 8%

Synthes DBX 1 8%

Documents

Prostheses used in hip, knee, ankle, elbow and shoulder