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*smith&nephew; EP-FIT PLUS™

*smith&nephew; EP-FIT PLUS™

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Implantation of the titanium shell using<br />

the shell inserter (US version)<br />

The shell inserter (130987) can be used<br />

instead of the trial shell inserter.<br />

Verification of position in the acetabulum<br />

The distance (1–2 mm) between the implant<br />

and the acetabulum is measured using<br />

the depth gauge for shell (130731) through<br />

the apex hole.<br />

Note<br />

Additional fixation of the <strong>EP</strong>-<strong>FIT</strong> PLUS press-fit<br />

shell by screws is not routinely necessary,<br />

but may be required routinely in certain circumstances.<br />

Fixation of the shell with screws<br />

The procedure is the same as for “Implantation<br />

of the titanium shell using the shell inserter”<br />

above, but the screw holes should be aligned<br />

in a superolateral position upon insertion of<br />

the shell.<br />

Drill the intended holes using the drill guide<br />

(130847) and flexible drill shaft (130490).<br />

Insert the screws into the pelvis with the screwdriver<br />

(130710). An anterior or central position<br />

of the screws must at all times be avoided as<br />

this could result in damage to the large pelvic<br />

vessels and nerves.<br />

Note<br />

Only Smith&Nephew Orthopaedics cancellous<br />

bone screws (25281–25286) with a low<br />

head profile are to be used.<br />

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