*smith&nephew; EP-FIT PLUS™

Note
To ensure that the BIOLOX ® forte ceramic insert is inserted correctly, it is supplied with a
premounted CeraLock ® insertion aid.
If the patients anatomy does not allow or limit the use of the CeraLock ® to a certain degree,
the ceramic insert can be carefully placed in the cup by hand or with help of the Impactor
for Insert Octoplus (1150126) and pressed home.
Prevention of fracture of a ceramic component
If a ceramic component damage is discovered intraoperatively or a damage is suspected for
good reasons, a ceramic insert must not be used. If already implanted, it must be removed.
A new ceramic inlay must only be used if the internal cone of the shell is free of damage.
Revision involving a broken ceramic insert
In case of acetabular cup revision in which a broken conically fixed ceramic insert is
removed a ceramic insert must not be used again. The cone of the cup may have been
damaged during the reoperation and would then no longer satisfy the requirements
placed on plug connections for conically fixed ceramic inserts. The risk of a fracture is
above average.
A polyethylene insert should be used as an alternative.
Revision of a broken ceramic femoral head
On a femoral prosthesis left in situ after revision of a ceramic femoral head, Smith&Nephew
Orthopaedics recommends the use of a BIOLOX ® OPTION (material: BIOLOX ® delta) femoral
head with metal sleeve (material: TiAl6V4) to be inserted. The BIOLOX ® OPTION system can
be used with any acetabular insert of the BIOLOX ® family as well as with Smith&Nephew
Orthopaedics Polyethylen/Rexpol inserts.
If both components (ball head and insert) are made of ceramic, in case of revision following
a fracture of one of the two components both the insert and the ball head have to be
replaced.
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