Smith & Nephew Oxinium Heads / XLPE

Transcription

1 Implant Bespoke Report for: Smith & Nephew Comprising PRIMARY hips implanted up to: 05 March 2018 NJR Database extract: 04 May 2018 Produced on: Licenced for use until: 15 May May 2019 Contents Recorded Usage in NJR Patient and Procedure Details Revision and Survivorship APPENDICES A-D: Component Lists This report has been produced by the National Joint Registry of England, Wales and Northern Ireland (NJR). It summarises usage and outcomes associated with Cups, based on data collected by the NJR up to the specified date, for the following combinations of products: Femoral components Smith & Nephew stems with Oxinium head Acetabular Components XLPE acetabular components manufactured by Smith & Nephew Appendices A-D list details of all All Smith & Nephew stem, head, liner, and cup/shell components included in this report. This report is subject to the National Joint Registry Supplier Feedback Terms and Conditions Use. In particular, this analysis must not be released to any third party, unless directly employed by the Supplier, without written permission of the the Healthcare Quality Improvement Partnership, with the exception of submissions to regulatory bodies Page 1

2 Bespoke Report for: Implant Usage Date of first recorded usage in the NJR: Date of last recorded usage in this dataset: Maximum implantation time: Mean implantation time: 10 February March years 3.1 years NJR Recorded Usage Totals Recorded in NJR Procedures Cumulative Total 14,318 Patients 13,047 Centres 112 Consultants 248 Implanting Surgeons Cumulative Procedures Cumulative Surgeons and Centres Procedures Centres Consultants Implanting Surgeons Current Outcome Pre Year of implantation Total % Death % Revised % Unrevised % Total % Page 2

3 Bespoke Report for: Patient / Procedure Details Patient Details All THR in NJR Total Procedures 14,318 1,008,218 Total Patients 13, ,534 Demographics Mean age < % 6.0% % 13.7% % 29.4% % 34.5% % 16.4% Median BMI % BMI information available 75.0% 58.4% Underweight ( BMI < 18.5) 0.7% 0.9% Normal (18.5 BMI < 25) 18.7% 20.9% Overweight (25 BMI < 30) 39.4% 39.8% Obese I (30 BMI < 35) 26.8% 25.6% Obese II (35 BMI < 40) 10.7% 9.6% Obese III (BMI 40) 3.8% 3.3% % Male 43.7% 40.2% ASA Grades P1 - Fit and healthy 18.8% 16.6% P2 - Mild disease not incapacitating 68.2% 67.6% P3 - Incapacitating systemic disease 12.8% 15.3% P4 / P5 0.2% 0.6% Indications Osteoarthritis 91.95% 91.87% Rheumatoid Arthritis 1.64% 1.32% Avascular Necrosis 2.35% 2.50% Fractured Neck of Femur 2.45% 3.04% CDH/DDH 2.41% 1.55% Other 1.48% 2.14% Total of indications may exceed total number of implants, since more than one indication can be listed per case. Page 3

4 Bespoke Report for: Reasons for Revision - All bearing types Reasons for revision of primary procedures in which the implant was used. Revision and Survivorship Reason for Revision Revised Expected Revisions * p value Pain <0.001 Dislocation / Subluxation Adverse Soft Tissue Reaction <0.001 Infection Aseptic Loosening - Stem Aseptic Loosening - Socket <0.001 Periprosthetic Fracture Stem Periprosthetic Fracture Socket Malalignment Stem Malalignment Socket Wear Of Acetabular Component Lysis Stem Lysis Socket Implant Fracture Stem Implant Fracture Socket Implant Fracture Head Dissociation of Liner Other / reason not recorded Total Revised <0.001 * Based on All THR in NJR adjusted for agegroup, gender, multiple reasons may be listed for one revision procedure and indications Significantly better, p < Significantly better, p < 0.05 Significantly worse p < 0.05 Significantly worse p < Components Revised Number of procedures Oxinium Heads / XLPE All other THR in NJR Femoral only 60 36% 20% Acetabular only 28 17% 26% Both femoral and acetabular 39 23% 46% Neither femoral nor acetabular revision recorded * 40 24% 8% * includes isolated head and/or liner exchange Page 4

5 Bespoke Report for: Reasons for Revision - excluding Metal on Metal Reasons for revision of non-mom primary procedures in which the implant was used. Revision and Survivorship Reason for Revision Revised Expected Revisions * p value Pain Dislocation / Subluxation Adverse Soft Tissue Reaction Infection Aseptic Loosening - Stem Aseptic Loosening - Socket <0.001 Periprosthetic Fracture Stem Periprosthetic Fracture Socket Malalignment Stem Malalignment Socket Wear Of Acetabular Component Lysis Stem Lysis Socket Implant Fracture Stem Implant Fracture Socket Implant Fracture Head Dissociation of Liner Other / reason not recorded Total Revised * Based on All THR in NJR (excluding metal on metal), multiple reasons may be listed for one revision procedure adjusted for agegroup, gender, and indications Significantly better, p < Significantly better, p < 0.05 Significantly worse p < 0.05 Significantly worse p < Components Revised Number of procedures Oxinium Heads / XLPE All other THR in NJR Femoral only 60 36% 25% Acetabular only 28 17% 25% Both femoral and acetabular 39 23% 41% Neither femoral nor acetabular revision recorded * 40 24% 9% Page 5

6 Cumulative Revision Rate Bespoke Report for: Revision and Survivorship Cumulative Revision Rate 8.0% Endpoint: All reasons for revision. All Bearing types 7.0% 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% Implantation time / years 95% confidence interval 95% confidence interval All other THR in NJR Cox Proportional Hazards model for revision risk ratio of vs. All other THR in NJR, with endpoint as any revision. Adjustment Hazard Ratio (95% CI) p- value All bearings. Unadjusted ( ) <0.001 All bearings. Adjusted for age, gender, 0.74 year cohort and indications. ( ) <0.001 Hazard ratio varies with time Page 6

7 Cumulative Revision Rate Bespoke Report for: Revision and Survivorship Cumulative Revision Rate 6.0% Endpoint: All reasons for revision. Excluding Metal-on-Metal 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% Implantation time / years 95% confidence interval 95% confidence interval All other THR in NJR Cox Proportional Hazards model for revision risk ratio of vs. All other THR in NJR, with endpoint as any revision. Adjustment Hazard Ratio (95% CI) p- value Excluding MoM, Unadjusted ( ) Excluding MoM. Adjusted for age, 0.83 gender, year cohort and indications. ( ) Page 7

8 Bespoke Report for: Revision and Survivorship Cumulative Revision Rate Endpoint: All revisions All Bearing types Excluding Metal on Metal Bearings Period /years At Risk All THR in NJR At Risk All THR in NJR 0 14, , , % (0.7% - 1.0%) 0.8% (0.8% - 0.8%) 11, % (0.7% - 1.0%) 0.8% (0.7% - 0.8%) 2 8, % (0.9% - 1.3%) 1.2% (1.2% - 1.2%) 8, % (0.9% - 1.3%) 1.1% (1.1% - 1.1%) 3 6, % (1.0% - 1.4%) 1.5% (1.5% - 1.6%) 6, % (1.0% - 1.4%) 1.4% (1.4% - 1.4%) 4 4, % (1.2% - 1.6%) 1.9% (1.9% - 1.9%) 4, % (1.2% - 1.6%) 1.6% (1.6% - 1.7%) 5 2, % (1.3% - 1.7%) 2.3% (2.3% - 2.4%) 2, % (1.3% - 1.7%) 1.9% (1.8% - 1.9%) 6 1, % (1.3% - 1.8%) 2.8% (2.8% - 2.8%) 1, % (1.3% - 1.8%) 2.1% (2.1% - 2.2%) % (1.4% - 2.2%) 3.3% (3.2% - 3.3%) % (1.4% - 2.2%) 2.4% (2.4% - 2.4%) % (1.4% - 2.3%) 3.8% (3.8% - 3.9%) % (1.4% - 2.3%) 2.7% (2.7% - 2.8%) % (1.6% - 2.7%) 4.4% (4.3% - 4.5%) % (1.6% - 2.7%) 3.0% (3.0% - 3.1%) % (1.6% - 2.9%) 5.0% (4.9% - 5.0%) % (1.6% - 2.9%) 3.4% (3.4% - 3.5%) % (1.6% - 3.1%) 5.5% (5.5% - 5.6%) % (1.6% - 3.1%) 3.9% (3.8% - 3.9%) % (1.6% - 3.4%) 6.1% (6.0% - 6.2%) % (1.6% - 3.4%) 4.3% (4.2% - 4.4%) 13 ( - ) 6.7% (6.6% - 6.8%) ( - ) 4.8% (4.7% - 4.9%) 14 ( - ) 7.2% (7.1% - 7.4%) ( - ) 5.3% (5.1% - 5.5%) 15 ( - ) ( - ) ( - ) ( - ) Cumulative revision rate with 95% confidence intervals Rate is only reported for times where more than 40 remain at risk Page 8

9 Bespoke Report for: Disclaimer Disclaimer The National Joint Registry (NJR) produces this report through its contractor, Northgate Public Services (UK) Limited (NPS) using data collected, collated and provided by third parties. As a result, neither NJR or NPS takes any responsibility for the accuracy, currency, reliability and correctness of any data used or referred to in this report, and disclaims all warranties in relation to such data, in each case to the maximum extent permitted by legislation. To the maximum extent permitted by law, neither the NJR or NPS shall have any liability (including but not limited to liability by reason of negligence) for any loss, damage, cost or expense incurred or arising by reason of any person using or relying on the data within this report and whether caused by reason of any error, omission or misrepresentation in the report or otherwise. This report is not to be taken as advice. Third parties using or relying on the data in this report do so at their own risk and will be responsible for making their own assessment and should verify all relevant representations, statements and information with their own professional advisers. Page 9

10 Appendix A: Stems standard stem POLARSTEM Stand Offset Ti/HA Stem Sz S SL-PLUS Stand Offset Ti Stem Size CPS-PLUS Stem Sz CPS-PLUS Stem Sz S SL-PLUS Cementless stem Sz SL-PLUS Cementless stem Sz S SL-PLUS Stand Offset Ti Stem Size SL-PLUS Stem CCD 131 Standard Stem Size S SL-PLUS Stand Offset Ti Stem Size SL-PLUS Cementless stem Sz SL-PLUS Cementless stem Sz s SL-PLUS Stand Offset Ti Stem Size SL-PLUS Cementless stem Sz s SL-PLUS Standard Stem 6 non-cemented S SL-PLUS Standard Stem 7 non-cemented SL-PLUS Cementless stem Sz S SL-PLUS Cementless stem Sz Standard Stem with Ti/HA S SL-PLUS Lat High Offset Ti Stem Sz S SL-PLUS Lat High Offset Ti Stem Sz SL-Plus Stem Lateralised Sz S SL-PLUS Lat High Offset Ti Stem Sz SL-Plus Stem Lateralised Sz S SL-PLUS Lat High Offset Ti Stem Sz S SL-PLUS Lat High Offset Ti Stem Sz S SL-Plus Stem Lateralised Sz7 2 3L92511 Corail Collarless Stem K11S 145mm SYNERGY POR HIGH OFFSET FEM CO SYNERGY POR HIGH OFFSET FEM CO SYN POROUS FEM COMP SZ SYN POROUS FEM COMP SZ SYN POROUS FEM COMP SZ IMAGE HIP STEM SZ 11 LEFT SYN HA ON POR STAND SZ SYN HA ON POR STAND SZ SYN HA ON POR STAND SZ SYN HA ON POR STAND SZ SYN HA ON POR STAND SZ SYN HA ON POR STAND SZ SYN HA ON POR STAND SZ SYN HA ON POR STAND SZ SYN HA ON POR STAND SZ SYN HA ON POR STAND SZ SYN HA ON POR HO SZ SYN HA ON POR HO SZ Page 10

11 Appendix A: Stems SYN HA ON POR HO SZ SYN HA ON POR HO SZ SYN HA ON POR HO SZ SYN HA ON POR HO SZ SYN HA ON POR HO SZ SYN HA ON POR HO SZ SYN HA ON POR HO SZ SYN HA ON POR HO SZ SPEC EF PRI STD OFS 12/14 FEM SZ SPEC EF PRI STD OFS 12/14 FEM SZ SPEC EF PRI STD OFS 12/14 FEM SZ SPEC EF PRI STD OFS 12/14 FEM SZ SPEC EF PRI STD OFS 12/14 FEM SZ SPEC EF PRI HIGH OFS 12/14 FEM SZ SPEC EF PRI HIGH OFS 12/14 FEM SZ SPEC EF PRI HIGH OFS 12/14 FEM SZ SPEC EF PRI HIGH OFS 12/14 FEMSZ SPEC EF PRI HIGH OFS 12/14 FEM SZ SPEC 12/14 REV LNG STR 225MM S CPCS COCR Prim SO 12/14 Tpr Sz CPCS COCR Prim SO 12/14 Tpr Sz CPCS COCR Prim SO 12/14 Tpr Sz CPCS COCR Prim SO 12/14 Tpr Sz CPCS COCR Prim SO 12/14 Tpr Sz CPCS COCR Prim SO 12/14 Tpr Sz CPCS COCR Prim HO 12/14 Tpr Sz CPCS COCR Prim HO 12/14 Tpr Sz CPCS COCR Prim HO 12/14 Tpr Sz CPCS COCR Prim HO 12/14 Tpr Sz CPCS COCR Prim HO 12/14 Tpr Sz CPCS COCR Prim HO 12/14 Tpr Sz CPCS SS Prim SO 12/14 Tpr Sz ECHELON POROUS HA 190MM SZ ECHELON POROUS HA 190MM SZ ECHELON POROUS HA 190MM SZ ECHELON POROUS HA 190MM SZ ECHELON POROUS HA 190MM SZ ECHELON POROUS HA 190MM SZ SMF STEM WITH STIKTITE SZ SMF STEM WITH STIKTITE SZ SMF STEM WITH STIKTITE SZ SMF STEM WITH STIKTITE SZ SMF STEM WITH STIKTITE SMF STEM WITH STIKTITE SZ SMF STEM FIXED NECK WITH STIKTITE SIZE 1 SO SMF STEM FIXED NECK WITH STIKTITE SIZE 2 SO 2 Page 11

12 Appendix A: Stems SMF STEM FIXED NECK SIZE 2 HO SMF STEM FIXED NECK SIZE 3 HO SMF STEM FIXED NECK WITH STIKTITE SIZE 4 SO MDF MOD SLEEVE SMALL ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY Standard Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size ANTHOLOGY High Offset Porous Plus HA Stem Size CPCS STEM COCR SO SIZE 00 - Cemented POLARSTEM cementless standard stem size POLARSTEM cementless standard stem size POLARSTEM cementless standard stem size POLARSTEM cementless standard stem size POLARSTEM cementless standard stem size POLARSTEM cementless standard stem size POLARSTEM cementless standard stem size POLARSTEM cementless standard stem size POLARSTEM cementless lateralised stem size POLARSTEM cementless lateralised stem size POLARSTEM cementless lateralised stem size POLARSTEM cementless lateralised stem size POLARSTEM Cementless Stem Std 135 degree Ti.HA Size SL-PLUS Stand Offset Ti Stem Size SL-PLUS Stand Offset Ti Stem Size SL-PLUS Stand Offset Ti Stem Size SL-PLUS Stand Offset Ti Stem Size 6 1 Page 12

13 Appendix A: Stems SL-PLUS Lat High Offset Ti Stem Sz NANOS Neck Preserving Stem Size NANOS Neck Preserving Stem Size NANOS Neck Preserving Stem Size NANOS Neck Preserving Stem Size NANOS Neck Preserving Stem Size NANOS Neck Preserving Stem Size PLUS POLARSTEM Titanium Stem Std Ti.HA POLARSTEM Collar standard Ti/HA POLARSTEM Collar standard Ti/HA POLARSTEM Collar standard Ti/HA POLARSTEM Collar standard Ti/HA POLARSTEM Collar standard Ti/HA POLARSTEM Collar standard Ti/HA POLARSTEM Collar standard Ti/HA POLARSTEM Collar standard Ti/HA POLARSTEM Collar standard Ti/HA POLARSTEM Collar lateral Ti/HA POLARSTEM Collar lateral Ti/HA POLARSTEM Collar lateral Ti/HA POLARSTEM Collar lateral Ti/HA POLARSTEM Collar lateral Ti/HA POLARSTEM Collar lateral Ti/HA POLARSTEM Collar lateral Ti/HA Stem Standard with Ti/HA Cone 12/14 Size Smith and Nephew polar stem R stem standard with ti/ha Size POLARSTEM Cementless Stem Std Ti.HA Smith and Nephew polar stem R stem standard with ti/ha Size 2 1, Smith and Nephew polar stem R stem standard with ti/ha Size POLARSTEM Cementless Stem Std Ti.HA POLARSTEM Cementless Stem Std Ti.HA POLARSTEM Cementless Stem Std Ti.HA Smith and Nephew polar stem R stem standard with ti/ha Size Smith and Nephew polar stem R stem standard with ti/ha Size Smith and Nephew polar stem R stem standard with ti/ha Size Smith and Nephew polar stem R stem standard with ti/ha Size POLARSTEM SIZE 1 LATERAL POLARSTEM SIZE 2 LATERAL POLARSTEM Cementless Stem Lat Ti.HA POLARSTEM Cementless Stem Lat Ti.HA POLARSTEM LATERAL WITH TI/HA SIZE POLARSTEM lateral with Ti.HA POLARSTEM LATERAL WITH TI/HA POLARSTEM LATERAL WITH TI/HA SIZE 8 LATERAL POLARSTEM Cementless Stem Lat Ti.HA 9 11 J11406 SL-PLUS (Asian stem) Sz 6 1 Page 13

14 Appendix A: Stems J11607 SL-PLUS (Asian stem) Sz 03 2 Page 14

15 Appendix B: Heads OXI FEM HEAD 12/14 TPR 22MM OXI FEM HEAD 12/14 TPR 22MM MM OXINIUM MODULAR HEAD MM OXINIUM MODULAR HEAD OXI FEM HEAD 12/14 TPR 28MM OXI FEM HEAD 12/14 TPR 28MM OXI FEM HEAD 12/14 TPR 28MM OXI FEM HEAD 12/14 TPR 28MM OXI FEM HEAD 12/14 TPR 28MM OXI FEM HEAD 12/14 TPR 32mm +0 3, OXI FEM HEAD 12/14 TPR 32mm - 1, OXI FEM HEAD 12/14 TPR 32mm +4 2, OXI FEM HEAD 12/14 TPR 32mm OXI FEM HEAD 12/14 TPR 32mm OXI FEM HEAD 12/14 TPR 32mm OXI FEM HEAD 12/14 TPR 36mm +0 2, OXI FEM HEAD 12/14 TPR 36mm -3 1, OXI FEM HEAD 12/14 TPR 36mm +4 1, OXI FEM HEAD 12/14 TPR 36mm OXI FEM HEAD 12/14 TPR 36mm Page 15

16 Appendix C: Liners POLARCUP XLPE INSERT 22MM SZ 43 NON CEMENTED POLARCUP XLPE INSERT 22MM SZ 45 NON CEMENTED POLARCUP XLPE Insert 47/28 non-cem xlpe insert size 49/ polarcup insert size 51/ POLARCUP XLPE Insert 53/28 non-cem polarcup insert size 57/ R3 XLPE 0degrees Acetabular Liner 36 mm 66-70mmOD R3 20 DEG XLPE LNR 44MM ID X 60 OD R3 20 DEG XLPE ACET LNR 44ID X 62 OD R3 20 DEG XLPE LNR 44MM ID X 66-70MM OD MM I.D R3 XLPE MICROSTABLE ACETABULAR LINER R3 0 DEG XLPE ACET LNR 36MM X 54MM R3 Microstable Acetabular liner 36mm i.d 56mm o.d Microstable Acetabular Liner UHMWPE 36MM I.D 58MM O.D R3 XLPE liner 36mm 0 deg R3 XLPE liner 36mm 0 deg R3 XLPE liner 36mm 0 deg R3 XLPE liner 36mm 0 deg 66/ REF XLPE DEG D REF XLPE DEG E REF XLPE DEG F REF XLPE DEG G REF XLPE DEG H REF XLPE DEG E REF XLPE DEG F REF XLPE DEG G REF XLPE DEG H REF XLPE DEG F REF XLPE DEG G REF XLPE DEG H REF XLPE 28 0 DEG SZ D REF XLPE 28 0 DEG SZ E REF XLPE 28 0 DEG SZ F REF XLPE 28 0 DEG SZ G REF XLPE 32 0 DEG SZ E REF XLPE 32 0 DEG SZ F REF XLPE 32 0 DEG SZ G REF XLPE 32 0 DEG SZ H REF XLPE 36 0 DEG SZ F REF XLPE 36 0 DEG SZ G REF XLPE 36 0 DEG SZ H R3 0 DEG XLPE ACET LNR 22MM X 40MM R3 0 DEG XLPE ACET LNR 22MM X 44MM R3 20 DEG XLPE ACET LNR 22MM X 40MM R3 20 DEG XLPE ACET LNR 22MM X 42MM 2 Page 16

17 Appendix C: Liners R3 20 DEG XLPE ACET LNR 22MM X 44MM R3 20 DEG XLPE ACET LNR 28MM X 46MM R3 20 DEG XLPE ACET LNR 28MM X 48MM R3 20 DEG XLPE ACET LNR 28MM X 50MM R3 20 DEG XLPE ACET LNR 28MM X 52MM R3 20 DEG XLPE ACET LNR 28MM X 54MM R3 20 DEG XLPE ACET LNR 28MM X 56MM R3 20 DEG XLPE ACET LNR 28MM X 58MM R3 20 DEG XLPE ACET LNR 28MM X 60MM R3 20 DEG XLPE ACET LNR 36MM X 52MM R3 20 DEG XLPE ACET LNR 36MM X 54MM R3 20 DEG XLPE ACET LNR 36MM X 56MM R3 20 DEG XLPE ACET LNR 36MM X 58MM R3 20 DEG XLPE ACET LNR 36MM X 60MM R3 20 DEG XLPE ACET LNR 36MM X 62MM R3 20 DEG XLPE ACET LNR 36MM X 64MM R3 20 DEG XLPE ACET LNR 36MM X 66/68MM R3 XLPE liner 0 deg+ 4 32mmx 52mm R3 XLPE liner 28mm 0 deg R3 XLPE liner 28mm 0 deg R3 XLPE liner 28mm 0 deg R3 XLPE liner 28mm 0 deg R3 XLPE liner 28mm 0 deg R3 XLPE liner 28mm 0 deg R3 XLPE liner 28mm 0 deg R3 20 DEG XLPE ACET LNR 32MM X 48MM R3 20 DEG XLPE ACET LNR 32MM X 50MM 1, R3 20 DEG XLPE ACET LNR 32MM X 52MM 1, R3 20 DEG XLPE ACET LNR 32MM X 54MM R3 20 DEG XLPE ACET LNR 32MM X 56MM R3 20 DEG XLPE ACET LNR 32MM X 58MM R3 20 DEG XLPE ACET LNR 32MM X 60MM R3 20 DEG XLPE ACET LNR 32MM X 62MM R3 +4 XLPE lateralised liner 28mm 20 deg R3 +4 XLPE lateralised liner 28mm 20 deg R3 +4 XLPE lateralised liner 32mm 20 deg R3 +4 XLPE lateralised liner 32mm 20 deg R3 +4 XLPE lateralised liner 32mm 20 deg R3 +4 XLPE lateralised liner 32mm 20 deg R3 +4 XLPE lateralised liner 32mm 20 deg R3 +4 XLPE lateralised liner 36mm 20 deg R3 0 DEG XLPE ACET LNR 40MM X 64MM R3 0 DEG XLPE ACET LNR 40MM X 62MM R3 20 DEG XLPE LNR 40MM ID X 56OD R3 20 DEG XLPE LNR 40MM ID X 58OD R3 20 DEG XLPE LNR 40MM ID X 60OD 1 Page 17

18 Appendix C: Liners R3 20 XLPE Acetabular Liner 40x62mm R3 20 XLPE Acetabular Liner 40x64mm R3 XLPE liner 32mm 0 deg R3 XLPE liner 32mm 0 deg R3 XLPE liner 32mm 0 deg R3 XLPE liner 32mm 0 deg R3 XLPE liner 32mm 0 deg R3 XLPE liner 32mm 0 deg R3 XLPE liner 32mm 0 deg R3 XLPE liner 32mm 0 deg PolarCup XLPE Liner size 43 22mm PolarCup XLPE Liner size 51 22mm POLARCUP XLPE Insert 47/28 non-cem PolarCup XLPE Liner size 49 /28 non-cem POLARCUP XLPE Insert 53/28 non-cem Page 18

19 Appendix D: Cups/Shells POLARCUP Shell Ti/HA POLARCUP Shell Ti/HA POLARCUP Shell Ti/HA POLARCUP Shell Ti/HA POLARCUP Shell Ti/HA POLARCUP SHELL CEMENTED SZ POLARCUP SHELL CEMENTED SZ POLARCUP SHELL CEMENTED SZ POLARCUP SHELL CEMENTED SZ POLARCUP SHELL CEMENTED SZ REFL FSO 9 ACET SHELLS 50MM OD R3 3 hole HA shell 40mm R3 3 hole HA shell 42mm R3 3 hole HA shell 44mm R3 3 hole HA shell 46mm R3 3 hole HA shell 48mm 1, R3 3 hole HA shell 50mm 2, R3 3 hole HA shell 52mm 2, R3 3 hole HA shell 54mm 2, R3 3 hole HA shell 56mm 1, R3 3 hole HA shell 58mm R3 3 hole HA shell 60mm R3 3 hole HA shell 62mm R3 3 hole HA shell 64mm R3 3 hole HA shell 66mm R3 3 hole HA shell 68mm R3 no hole HA shell 46mm R3 no hole HA shell 48mm R3 no hole HA shell 50mm R3 no hole HA shell 52mm R3 no hole HA shell 54mm R3 no hole HA shell 56mm R3 no hole HA shell 58mm R3 no hole HA shell 60mm R3 no hole HA shell 62mm R3 no hole HA shell 64mm REF NO HOLE SHELL SZ 46MM REF NO HOLE SHELL SZ 48MM REF NO HOLE SHELL SZ 50MM REF NO HOLE SHELL SZ 52MM REF NO HOLE SHELL SZ 54MM REF NO HOLE SHELL SZ 56MM REF NO HOLE SHELL SZ 58MM REF NO HOLE SHELL SZ 60MM REF NO HOLE SHELL SZ 62MM REFL NH HA SZ 50MM 5 Page 19

20 Appendix D: Cups/Shells REFL NH HA SZ 52MM REFL NH HA SZ 54MM REFL NH HA SZ 56MM REFL NH HA SZ 58MM REFL NH HA SZ 60MM REFL NH HA SZ 62MM REFL NH HA SZ 64MM RF ACET MH SZ RF ACET MH SZ RF ACET MH SZ Reflection Multi-Hole Porous Acetabular Shell HA Coated 58mm R3 3 HOLE ACET SHELL MM REF RC3 SZ 56MM REF SP3 HA THREE HOLE SHELL REF SP3 HA THREE HOLE SHELL REF SP3 HA THREE HOLE SHELL REF SP3 HA THREE HOLE SHELL REF SP3 HA THREE HOLE SHELL REF SP3 HA THREE HOLE SHELL REF SP3 HA THREE HOLE SHELL REF SP3 HA THREE HOLE SHELL REF SP3 HA THREE HOLE SHELL REFL SPIKED SHELL SZ 50MM REFL SPIKED SHELL SZ 52MM REFL SPIKED SHELL SZ 54MM REFL SPIKED SHELL SZ 56MM REFL SPIKED SHELL SZ 58MM Ref SP3 Three Hole Shell 46mm Ref SP3 Three Hole Shell 48mm Ref SP3 Three Hole Shell 50mm Ref SP3 Three Hole Shell 52mm Ref SP3 Three Hole Shell 54mm Ref SP3 Three Hole Shell 56mm Ref SP3 Three Hole Shell 58mm Ref SP3 Three Hole Shell 60mm Ref SP3 Three Hole Shell 62mm Ref SP3 Three Hole Shell 64mm R3 MULTI HOLE ACETABULAR SHELL 48MM R3 MULTI HOLE ACETABULAR SHELL 50MM R3 MULTI HOLE ACETABULAR SHELL 52MM R3 MULTI HOLE ACETABULAR SHELL 54MM R3 MULTI HOLE ACETABULAR SHELL 56MM R3 MULTI HOLE ACETABULAR SHELL 58MM R3 MULTI HOLE ACETABULAR SHELL 60MM R3 MULTI HOLE ACETABULAR SHELL 62MM R3 HA MULTI-HOLE ACET SHELL 48MM 4 Page 20

21 Appendix D: Cups/Shells R3 HA MULTI-HOLE ACET SHELL 50MM R3 HA MULTI-HOLE ACET SHELL 52MM R3 HA MULTI-HOLE ACET SHELL 54MM R3 HA MULTI-HOLE ACET SHELL 56MM R3 HA MULTI-HOLE ACET SHELL 58MM R3 HA MULTI-HOLE ACET SHELL 60MM R3 HA MULTI-HOLE ACET SHELL 62MM R3 HA MULTI-HOLE ACET SHELL 64MM R3 HA MULTI-HOLE ACET SHELL 66MM Reflection all poly cup 22ID 43OD XLP Reflection all poly cup 28ID 46OD XLP Reflection all poly cup 28ID 49OD XLP Reflection all poly cup 28ID 52OD XLP Reflection all poly cup 28ID 55OD XLP Reflection all poly cup 28ID 58OD XLP Reflection all poly cup 32ID 49OD XLP Reflection all poly cup 32ID 52OD XLP Reflection all poly cup 32ID 55OD XLP Reflection all poly cup 32ID 58OD XLP Reflection all poly cup 32ID 61OD XLP Reflection all poly cup 32ID 64OD XLP Reflection all poly cup 36ID 52OD XLP Reflection all poly cup 36ID 55OD XLP Reflection all poly cup 36ID 58OD XLP Polarcup shell cemented size PolarCup Ti HA Coated with Flanges Cementless 49mm PolarCup Ti/HA with flanges (non cemented) Sz PolarCup Ti/HA with flanges (non cemented) Sz PolarCup Ti/HA with flanges (non cemented) Sz PolarCup Stainless steel uncoated polished Cemented Sz PolarCup Stainless steel uncoated polished Cemented Sz PolarCup Stainless steel uncoated polished Cemented Sz 47 1 PC51 Polar Cup Shell cementless with HA 51mm 2 PC53 Polar Cup Shell cementless with HA 53mm 1 Page 21