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General Sports Medicine Brochure - Biomet

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<strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong>, a wholly owned subsidiary of <strong>Biomet</strong>, Inc., entered the<br />

arthroscopy market in 1990 when it purchased the assets of Arrow Surgical Technologies,<br />

Inc. of San Dimas, California. Today the product line offering includes more than 3,000<br />

products to address the $1.2 billion worldwide market. Working in conjunction with the<br />

industry’s most innovative surgeons, <strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong> is now focusing its research<br />

and development efforts on technique-specific instruments and implants for anterior<br />

cruciate ligament (ACL) reconstruction and arthroscopic shoulder repairs.<br />

Along with the development of new products for the<br />

arthroscopic industry, <strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong> invests heavily<br />

in surgeon education, providing them hands-on learning<br />

opportunities to keep them current in modern arthroscopic<br />

surgical procedures. The <strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong> Sales Force is<br />

likewise educated to become an informational asset for surgeons.<br />

Training takes place in two state-of-the-art cadaver labs, one in<br />

Warsaw, Indiana and the other in Ontario, California.<br />

Warsaw, Indiana<br />

<strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong> is headquartered in Warsaw, Indiana within the <strong>Biomet</strong>, Inc.<br />

home office. California is the home of <strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong>’s instruments and implants<br />

manufacturing site in Ontario and capital equipment in Redding. Shipping of finished<br />

goods comes from each of these three locations specific to the products that are<br />

produced there.<br />

<strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong> is pleased to offer the most advanced arthroscopic products<br />

available today. Should you have questions regarding the product line or would like<br />

to have a Sales Representative contact you, please call the Corporate Headquarters at<br />

800.348.9500 ext. 1501 for information.


Howell 65˚ Tibial Guide<br />

• Aids in the prevention of<br />

PCL impingement<br />

• Aids in the prevention of roof<br />

impingement without<br />

performing a roofplasty<br />

• Allows for replication of the<br />

tension pattern of the intact ACL<br />

Autogenous Bone Coring System<br />

• Allows for the harvesting of bone<br />

plugs from both the tibial and<br />

transverse tunnels for later<br />

implantation in ACL surgery<br />

• Positions autogenous bone in<br />

femoral and tibial tunnels near<br />

the joint aperture<br />

• Increases the strength and<br />

stiffness of fixation in soft tissue<br />

ACL reconstruction<br />

• Harvest a bone plug that can be<br />

used to replace the patella and tibial<br />

defects in Bone-Patellar Tendon-Bone<br />

ACL reconstructions<br />

Fanelli PCL/ACL Guide<br />

• Adjustable guide facilitates<br />

accurate and reproducible tunnel<br />

placement for PCL and ACL<br />

reconstruction<br />

• One guide used for both tibial<br />

and femoral tunnels in PCL<br />

reconstruction<br />

Fanelli System Instruments<br />

• Unique instruments protect the<br />

neurovascular structures at the<br />

posterior aspect of the knee.


KNEES<br />

Graft Tensioning Boot<br />

• Self retaining tensioner eliminates<br />

manual tensioning<br />

• Allows surgeon to use both hands<br />

for tibial fixation<br />

• Tension grafts up to 20 lbs.<br />

Tendon Strippers<br />

• Closed-Ended stripper easily<br />

separates hamstring tendons from<br />

muscle attachments when grafts are<br />

detached from the distal tibia<br />

• Open-Ended stripper bluntly strips<br />

hamstring tendons from muscle<br />

attachments when grafts are left<br />

attached to the distal tibia<br />

acl/pcl instrumentation<br />

Bone-Tendon-Bone<br />

Instrument System<br />

• Complete with graft harvest, tunnel<br />

and fixation instrumentation<br />

• Accommodates either the Howell <br />

65˚ Tibial Guide, Modular Guide or the<br />

Fanelli PCL/ACL Guide<br />

• Instrumentation for titanium TunneLoc ®<br />

interference screws or LactoSorb ®<br />

Gentle Threads interference screws<br />

ACL/PCL Disposables<br />

• Disposable guide wire kits<br />

that are unique to each<br />

fixation system<br />

• Bone-tendon-bone blade<br />

kits for various capital<br />

equipment saws


Bone Mulch Screw<br />

• Only femoral tunnel fixation that<br />

allows visualization of<br />

graft passage<br />

• Cannulation allows compaction<br />

of bone into femoral tunnel<br />

around ACL graft<br />

• Bone graft fills voids, promoting<br />

rapid healing of ACL graft<br />

to tunnel<br />

• Strength: 1126 N (1)<br />

• Stiffness: 225 N/mm (1)<br />

EZLoc Femoral<br />

Fixation Device<br />

• Titanium implant that has<br />

optimal strength properties and<br />

captures cortical bone<br />

• Surgical technique that has<br />

minimal steps with reliable and<br />

reproducible deployment<br />

• Device captures the cortical<br />

bone of the femur, preventing<br />

movement under cyclic loading<br />

• Strength: 1427 N (2)<br />

Allograft Cross Pin<br />

• Non-cannulated for<br />

maximum strength<br />

• Allograft Cross Pin has a<br />

failure load of 889 N (2)<br />

AXL Cross Pin<br />

• Made of titanium or<br />

LactoSorb ® L15<br />

resorbable copolymer<br />

• Simplified graft passage with<br />

the use of the graft pusher<br />

• Reliable implant placement by<br />

implanting over a rigid wire<br />

• U-guide aids in accurate<br />

transverse tunnel placement<br />

• Ti Strength: 1780 N (2)<br />

• L15 Strength: 1031 N (2)<br />

Gentle Threads <br />

Interference Screws<br />

• Blunt thread design assists in<br />

protecting the graft<br />

• Driver design distributes<br />

torque evenly throughout the<br />

entire screw to help prevent<br />

the screw from breaking or<br />

stripping<br />

• Screws are compatible with<br />

1.5mm Nitinol guide wires<br />

• Easy-out screw remover<br />

virtually eliminates the<br />

difficulty of removing screws<br />

• Round head and fully threaded<br />

designs both available


KNEES<br />

Bio-Core <br />

Interference Screw<br />

• Resorbable interference screw<br />

made of LactoSorb ® L15<br />

resorbable copolymer<br />

• Fenestrations allow screw<br />

contents to be in contact with<br />

tendon/tunnel wall<br />

• Ability to be filled with<br />

osteoconductive material to<br />

allow for bone growth<br />

• Screw insertion is no different<br />

than other interference screws<br />

• Nothing else like it on the market<br />

ToggleLoc Femoral<br />

Fixation Device<br />

• Femoral fixation device that<br />

captures the cortical bone<br />

of the femur<br />

• Designed with a simple surgical<br />

technique with few steps and no<br />

need for a U-guide<br />

• Loop is made of polyethylene,<br />

designed for strength and stiffness<br />

• Packaged pre-loaded with Max-<br />

Braid PE passing suture on<br />

a unique card, allowing simple<br />

loading of the graft<br />

• Requires only simple instruments,<br />

a depth gauge and a 4.5mm<br />

drill bit<br />

ToggleLoc Femoral<br />

Fixation Device with<br />

ZipLoop Technology<br />

• ZipLoop Technology maximizes<br />

soft tissue graft-to-tunnel<br />

interface<br />

• One implant for varying tunnel<br />

lengths—eliminates the need for<br />

multiple sizes<br />

• Tension can be applied from<br />

femoral side after tibial fixation is<br />

achieved<br />

• Uniquely woven polyethylene<br />

construct is gentle to graft and is<br />

slippage resistant<br />

acl/pcl fixation<br />

TunneLoc Round Head<br />

Interference Screw<br />

• Round head reduces the possibility<br />

of graft damage during or after<br />

graft implantation<br />

• Standard 2.5mm and 3.5mm<br />

hex for easier insertion and removal<br />

• Cannulated for use with a<br />

guide wire<br />

• Less aggressive middle<br />

threads reduce the possibility<br />

of graft damage<br />

• Tapered tip for easier starts<br />

and straighter tracking<br />

TunneLoc Fully Threaded<br />

Interference Screw<br />

• Universal screw for either<br />

tibial or femoral applications<br />

• Designed to reduce the<br />

possibility of bone plug<br />

migration during placement<br />

• Cannulated for use with a<br />

guide wire<br />

• Standard 3.5mm hex for easy<br />

insertion and removal<br />

• Tapered tip for easier starts<br />

and straighter tracking<br />

Poly Suture Button<br />

• Solid fixation for either<br />

primary or auxiliary<br />

fixation in ACL or PCL<br />

reconstruction<br />

• Distal fixation allows<br />

circumferential healing<br />

of the ACL graft to the<br />

tunnel wall


WasherLoc Tibial<br />

Fixation Device<br />

• Bi-cortical fixation with either<br />

cortical or cancellous screws<br />

• Countersunk to avoid<br />

hardware prominence and<br />

patient discomfort<br />

• Distal fixation allows<br />

circumferential healing of<br />

graft to the tunnel wall<br />

• Strength: 905 N (3)<br />

• Stiffness: 273 N/mm (3)<br />

No-Profile Screw<br />

and Washer<br />

• Designed to be the lowest profile<br />

screw and washer on the market<br />

• 14, 18 and 20mm washers<br />

maximize soft tissue fixation<br />

• Cruciate screwdriver reduces<br />

strippage that results from high<br />

torque used in screw insertion<br />

and removal<br />

• Tapping and self-tapping screws<br />

available in 30–60mm in 2mm<br />

increments<br />

CentraLoc Tibial<br />

Fixation Device<br />

• Made of LactoSorb ® L15<br />

resorbable copolymer<br />

• Smooth post increases<br />

tunnel-to-graft interface<br />

assisting circumferential healing<br />

• Insertion is as easy as an<br />

interference screw, but without<br />

the need for a guide wire<br />

or dilator<br />

• Strength: 1176 N (2)<br />

• Stiffness: 240 N/mm (2)<br />

Resorbable No-Profile<br />

Screw and Washer<br />

• LactoSorb ® L15 resorbable copolymer<br />

with 80% strength in eight months (2)<br />

• Versatile soft tissue applications<br />

• Simple technique<br />

• Strength: 712N (2)


KNEES<br />

Meniscus Staple<br />

• Two-pronged implant for optimal<br />

pullout and strength retention<br />

throughout the healing process<br />

• U-shape helps to prevent implant<br />

from migrating through the tear<br />

during insertion<br />

• No head to contact condylar<br />

surface<br />

• Small curved instrumentation<br />

provides access to all zones<br />

• Implant placement is more<br />

versatile due to the width of two<br />

pronged implant.<br />

• 11 and 13mm lengths<br />

Meniscus Screw<br />

• Countersunk implant will<br />

assist in preventing femoral<br />

condyle damage<br />

• Tapered implant can be<br />

removed for repositioning<br />

• Greater tactile feel than<br />

pushing or malleting<br />

the implant<br />

• Implant packaged pre-loaded<br />

on disposable driver<br />

MENISCUS REPAIR<br />

CARTILAGE REPAIR<br />

OCD Microfracture System<br />

• Pick designed to stimulate<br />

healing of osteochondral<br />

defects—safer than drilling<br />

• Instrumentation designed<br />

to access difficult regions of<br />

the intraarticular space for<br />

debridement<br />

LactoNail ® Bone Fixation<br />

• Various lengths and diameters<br />

to meet surgeon’s preference<br />

• Compression head<br />

• Barbed shaft to maintain<br />

compression<br />

• Easy insertion<br />

• Instruments may be<br />

used during an open or<br />

arthroscopic procedure<br />

• Strength: 87 lbs. (2)


CurvTek ® Bone Tunneling System<br />

• Consistent tunnels regardless of<br />

bone quality<br />

• Creates a strong bone bridge for each<br />

suture tie down<br />

• Fast and easy to use<br />

Charlotte Shoulder System<br />

• Complements all open, mini-open<br />

and arthroscopic procedures<br />

• Time-saving instrumentation<br />

• Modular system<br />

Nordt Knot Tightener<br />

• Allows both pushing and tightening<br />

of knots<br />

• Statistically as secure as hand-tied knots (10)<br />

• Most secure arthroscopic knots compared<br />

to a single hole and cannulated doublediameter<br />

knot pushers (10)<br />

• Allows tying of any type or size of suture


SHOULDERS<br />

BiPass Suture Punch<br />

• Dual purpose instrument that<br />

passes and retrieves suture<br />

simultaneously reducing O.R. time<br />

• Unique “trap door” captures<br />

suture—reducing suture<br />

management steps<br />

• Nitinol pusher maintains suture<br />

integrity<br />

• One hand operation for<br />

arthroscopic rotator cuff repair<br />

• Ergonomic, low profile design<br />

• Large tissue bite—up to 16mm for<br />

double row rotator cuff repair<br />

SpeedPass <br />

Suture Retrievers<br />

• Various tip curvatures<br />

for arthroscopic Bankart,<br />

SLAP and rotator cuff<br />

repairs<br />

• Sharp tip allows easy<br />

penetration through<br />

tissue<br />

• Simple thumb slide<br />

deployment system<br />

utilizing Nitinol loop for<br />

retrieving or passing any<br />

type of suture<br />

• Pigtail 70˚ curvature is<br />

ideal for reaching the low<br />

five o’clock position for<br />

anterior labral repair or<br />

capsular tissue plication<br />

SpeedPass <br />

Suture Lariat<br />

• Various tip curvatures<br />

for arthroscopic Bankart,<br />

SLAP and rotator cuff<br />

repairs<br />

• Sharp tip allows easy<br />

penetration through<br />

tissue<br />

• Accomplishes a simple<br />

shuttle step to pass suture<br />

through tissue<br />

• Passes suture outside the<br />

joint utilizing shuttle relay<br />

technique with Nitinol or<br />

monofilament<br />

MaxBraid PE Suture<br />

SHOULDER SYSTEMS<br />

• Made from 100% polyethylene<br />

• Unique braid which allows the suture to lie flat and<br />

improves knot security<br />

• Silky smooth feel is gentle on tissue and gloves<br />

Strength Comparison (lbs.)<br />

Ethibond <br />

Excell #2 4<br />

Fiberwire <br />

Suture 5<br />

MaxBraid <br />

Suture 2<br />

Tensile 27.01 60.96 69.18<br />

Knot 12.61 29.83 39.45


LactoScrew ® Suture Anchor<br />

• Allows the ability to reposition if unsatisfied<br />

with initial position<br />

• Simple insertion technique—<br />

tap only<br />

• Pullout strength (5.5mm): 87 lbs. (2)<br />

• 2.8mm, 3.5mm, 5.5mm and 6.8mm sizes<br />

• LactoSorb ® L15 copolymer resorbs<br />

in approximately two years (2)<br />

AutoKnot Pre-Tied Knot<br />

• Duncan Loop chosen for its great strength,<br />

efficiency, and gentleness to suture<br />

• MaxBraid Suture braided with<br />

Dyneema ® Purity fiber<br />

• LactoSorb ® L15 copolymer resorbs<br />

in approximately two years (2)<br />

• Available on 3.5mm, 5.5mm and 6.8mm<br />

LactoScrew ® Suture Anchors<br />

Harpoon ® Suture Anchor<br />

• Expanding wings for<br />

superior fixation<br />

• Stainless steel<br />

ALLthread <br />

Suture Anchor<br />

Ti-Screw Suture Anchor<br />

with EasySlide <br />

Surface Treatment<br />

• Easy sliding sutures<br />

• Allows the ability to reposition<br />

• Simple insertion technique<br />

• Pullout strength (5.0mm):<br />

120 lbs. (2)<br />

• Available in titanium,<br />

LactoSorb ® L15 copolymer<br />

and PEEK-Opitma ® polymer<br />

• Fully threaded<br />

• Cortical bone purchase<br />

• Double-loaded, double eyelet<br />

• Titanium anchor is offered in<br />

a triple eyelet version


Cannulated ArthroRivet Tack<br />

• Eliminates knot tying and suture<br />

management problems<br />

• Strong tissue fixation<br />

• Easy tissue grasping<br />

• Small implant size allows for multiple<br />

implant placement<br />

• Cannulated to align tack with drill hole<br />

• Strength: 44 lbs. (2)<br />

Rotator Cuff Buttress<br />

• Reduces suture cutting through bone<br />

during bone tunnel repair<br />

• No special instruments required<br />

• Universal size fits left and<br />

right tuberosities<br />

• Resorbs in 9–15 months (2)<br />

SHOULDERS<br />

Hitch Suture Anchor<br />

SHOULDER SYSTEMS<br />

MicroMax <br />

Suture Anchor<br />

• Easy deployment system<br />

• Mechanical fixation<br />

• Loaded with<br />

MaxBraid Suture<br />

• Material resorbs in<br />

approximately two years (2)<br />

• Small implant size allows for<br />

multiple implant placement<br />

• Available in PEEK-Optima ®<br />

polymer and LactoSorb ® L15<br />

copolymer<br />

• Available in 2.4mm for<br />

labral repair<br />

• Offset suture loop eyelet<br />

• Loaded with #2<br />

MaxBraid Suture<br />

• Small implant size allows for<br />

multiple implant placement<br />

SportMesh Soft Tissue<br />

Reinforcement<br />

• Soft tissue scaffold<br />

• Easy to cut and shape to soft tissue<br />

• Easy to handle<br />

• Controlled, intermediate<br />

resorption process<br />

• The degradation process causes a<br />

lack of an inflammatory response<br />

because the material is non-crystalline<br />

and has a low pH<br />

• High porosity which acts as a<br />

wick to soak and hold blood.


Precision Series Hand Instruments<br />

• Ergonomically designed handle gives<br />

surgeons the strength, durability and<br />

“feel” they desire<br />

• Teflon bushing in handle reduces the<br />

possibility of metal-on-metal wear and<br />

allows for smoother instrument function<br />

• The solid stainless steel design allows<br />

the hand and instrument to move as one,<br />

providing more comfort<br />

• Can result in less hand fatigue during<br />

lengthy surgical procedures<br />

• Designed to be the strongest handle<br />

and tube configuration available in a<br />

hand instrument<br />

hand instruments<br />

• Tapered tube design creates increased<br />

stability and strength to both actuator<br />

and the tube<br />

• Precision made cutters provide smooth<br />

and clean cuts even with the most<br />

difficult tissue<br />

• Low-profile jaws for easier entry into<br />

tight joint space<br />

• Multiple styles and tip configuration allow<br />

access into all areas


Absorb-O-Mat O.R. Floor Mat<br />

• Outstanding wicking, absorption<br />

and retention capabilities<br />

• Does not release fluids when<br />

stepped on<br />

• O.R. floor mat, prevents the mat from<br />

slipping, providing additional safety<br />

and peace of mind<br />

• Various sizes and shapes let you<br />

choose the best configuration suited<br />

to your application<br />

• One square foot absorbs one<br />

liter of fluid<br />

ArthroSorb Super Solidifier<br />

• Designed to quickly gel blood<br />

and body fluids<br />

• Guards against spills and<br />

leaks facilitating safer handling<br />

and trasport of potentially<br />

infectious fluids<br />

• 2 oz. gels up to 2,000 cc<br />

• Chlorine-free formula eliminates the<br />

risk of toxicity during incineration<br />

• Unlike competitive solidifiers,<br />

ArthroSorb Super Solidifier does not<br />

cause fluid expansion<br />

HAND INSTRUMENTS<br />

FLUID MANAGEMENT<br />

Fluid Management<br />

Five Gallon Disposable Container<br />

• Packaged collapsed, minimizes shelf<br />

space<br />

• Universal port fits most waste lines<br />

• Open/close valve to minimize spillage<br />

• Convenient carrying handle


ReUnite ® Small Screw System<br />

• Limited-torque compression head<br />

• Maximizes surgical options<br />

• Color-coded drill bits/taps<br />

• Drill guides for precise placement<br />

• Can be used with ReUnite ® plates<br />

ReUnite ® Orthopedic<br />

Plating System<br />

• Maximize surgical options<br />

• Geometric plates<br />

• Water activated heat packs for<br />

easy bending and forming<br />

• Able to be trimmed for<br />

desired shape<br />

• Precise pick-ups for handling<br />

• To be used with the ReUnite ®<br />

Screw System<br />

ReUnite ® Large<br />

Screw System<br />

• 3.5mm diameter fully<br />

threaded screws<br />

• 4.0mm diameter fully<br />

threaded screws<br />

• 5.0mm diameter fully and<br />

partially threaded screws<br />

• Cannulated or solid<br />

• Maximizes surgical options<br />

• Easy screw removal,<br />

if necessary


ReUnite ® Orthopedic<br />

Pin System<br />

• Diameters: 1.5mm x 3.2mm<br />

• Lengths: 20 – 70mm<br />

• Length-adjustable inserters<br />

• Combination depth/K-wire gauge<br />

and family of K-wires to aid in<br />

preparation of optimal hole for<br />

pin placement<br />

• Disposable kit available<br />

Weil-Carver Hammertoe System<br />

• Partially threaded for maximum stability<br />

• Partially barbed to help prevent<br />

pistoning<br />

• Completely internal to eliminate risk of<br />

pin tract infections<br />

• Patient-friendly— no external hardware<br />

small bone & joint<br />

Rattler Interference Screw<br />

• Designed for use in soft tissue<br />

reattachment procedures<br />

in the shoulder, wrist/hand,<br />

ankle/foot, elbow and knee<br />

• Retains 80% of its strength at<br />

eight weeks while being fully<br />

resorbed in 9–15 months (2)<br />

• Provides lasting strength<br />

throughout the healing<br />

process while resorbing in a<br />

timely fashion (2)<br />

Propeller Head <br />

Screw System<br />

• Self-drilling<br />

• Self-tapping<br />

• Self-countersinking<br />

• Low-profile head<br />

• Titanium alloy — greater torque<br />

strength, MRI & CT compatible<br />

• Partial thread lengths<br />

• Cor-cellous threads for use in<br />

cortical and cancellous bone<br />

• Cannulated for precise placement<br />

• Minimal instrumentation<br />

simplifies procedure, reduces<br />

O.R. time<br />

SMALL BONE & JOINT


PowerTek HR<br />

Digitial Video Camera<br />

• 3-chip all digital camera with<br />

programmable buttons on compact<br />

camera head<br />

• Unique software enhances depth<br />

perception for a natural color<br />

reproduction<br />

capital equipment<br />

PowerTek II Plus<br />

High Speed Shaver System<br />

• Capable of speeds up to 12,000<br />

RPM for efficient bone removal and<br />

meniscal cutting<br />

PowerPump ® LT<br />

Arthroscopy Pump<br />

• Provides constant visualization by<br />

maintaining dilation monitored by<br />

two pressure sensors to provide<br />

consistent joint pressure


• For use in a diagnostic environment<br />

• Can be used in addition to MRI or alone<br />

to determine the next plan of action<br />

for each patient<br />

• The InnerVue System is comprised of:<br />

• The system hardware, software<br />

and hand piece<br />

• A disposable scope<br />

• Reusable instrumentation (cannula, trocar,<br />

blunt obturator and cannula plug)<br />

• A procedural kit is also available that<br />

includes many sterile items such as tubing,<br />

skin prep, drapes (including the incise<br />

drape, stand drape, etc.), scalpel, 3-way<br />

valve, syringe, etc.<br />

diagnostic scope<br />

InnerVue Scope Hand Piece<br />

• Diameter of 1.2mm (about the size<br />

of an 18 gauge needle) and requires<br />

one portal<br />

INNERVUE SYSTEM C APITAL EQUIPMENT


B-One XR Bone Substitute<br />

• Animal studies jave demonstrated the<br />

material ban be 50% replaced with bone<br />

at six months 2<br />

• B-One XR Bone Substitute is a mixture<br />

of ceramic calcium sodium phosphate<br />

(CaNaPO 4O) powder and sodium citrate<br />

dihydrate (Na 3C 6H 5O 72H 2O)<br />

CuffPatch Soft Tissue Reinforcement<br />

• Purified—to remove undesired<br />

proteins, cellular debris and lipids<br />

• Laminated—eight layers provide<br />

optimal fixation<br />

• Crosslinked to help strengthen<br />

device for rotator cuff repair<br />

• Hydrated implant for fast and easy<br />

implantation—no wait time<br />

biomaterials<br />

• Non-refrigerated—the CuffPatch <br />

implant does not need to be<br />

refrigerated but should be stored<br />

at temperatures below 120˚<br />

• The 6.5cm x 9cm implant can be<br />

trimmed to desired size without<br />

weakening or changing integrity<br />

of implant


The Strength of Resorbable Fixation<br />

Introduction<br />

Surgeons are increasingly recognizing the benefits of resorbable<br />

technology as an internal fixation option for their patients.<br />

Elimination of future implant removal surgery, clearer radiographs<br />

and more physiological load sharing between the implants and<br />

the surrounding tissues have the potential to positively impact<br />

both the outcomes and economics of surgery. Recent advances<br />

in biomaterials science have produced new resorbable polymers.<br />

Coupled with the introduction of new implant configurations<br />

similar in form and function to those of traditional metal systems,<br />

resorbable internal fixation is a dominant treatment modality.<br />

Resorbable Fixation Dynamics<br />

The LactoSorb ® copolymer is a unique chemical combination of<br />

L-lactic acid (82%) and glycolic acid (18%). This formulation<br />

provides a perfect balance of properties, i.e., strength retention/<br />

loss timed to complement healing, complete mass loss in<br />

9–15 months and enhanced biocompatibility during degradation,<br />

principally due to the lack of crystallinity.<br />

The ReUnite ® system includes pins, screws, plates, sheets and mesh<br />

panels, providing the “building blocks” to suit a wide variety of<br />

clinical needs. Innovations such as cannulated resorbable screws<br />

and plates, sheets and mesh panels that can be heated, cut and<br />

shaped, enhance the versatility of the system.<br />

Initially, 100% of the strength of the repair site is provided by the<br />

resorbable implants. When the implants lose all strength, then<br />

100% of the fixation should be provided by the biological union.<br />

At intermediate times, the load is shared between the resorbable<br />

implants and the partially healed union. Ideally, the loss of strength<br />

of the resorbable fixation should mirror the increase in strength<br />

of the biological union over a six to eight week period so that<br />

substantial strength of repair exists through all phases of healing. 6,7<br />

The LactoSorb ® L15 copolymer is a unique chemical combination<br />

of L-lactic acid (85%) and glycolic acid (15%). This composition<br />

possesses the initial strength similar to that of LactoSorb. ® In vitro<br />

studies show this material to hold about 70% of initial strength<br />

for over ten months. In addition, based on viscosity profile, the<br />

polymer is expected to fully degrade in just under 1.5 years. The<br />

material is thus suitable for applications where strength retention<br />

for over nine months is demanded. 9<br />

BIOMATERIALS


References<br />

1. To JT, Howell SM, Hull ML: “Contributions of femoral fixation methods to the stiffness of anterior cruciate<br />

ligament replacements at implantation. Journal of Arthroscopic and Related Surgery, 15:379–387, 1999.<br />

2. Data on file at <strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong>. Bench test results are not necessarily indicative of clinical<br />

performance<br />

3. Magen HE, Howell SM, Hull ML: “Structural properties of six tibial fixation methods for anterior cruciate<br />

ligament soft-tissue grafts.” American Journal of <strong>Sports</strong> <strong>Medicine</strong>, 27:35–43, 1999.<br />

4. Data supplied by DSM Dyneema.<br />

5. Testing performed by Arthrex, Oct. 2000.<br />

6. An YH, et al.: Clinical Orthopedics, 355: 330–311; 1998.<br />

7. Pietrzak WS, et al.: “Bioresorbable implants—practical considerations.” Bone, 19(1); 109S–119S.<br />

8. Pietrzak WS, et al.: “Effect of stimulated intraoperative heating and shaping on mechanical properties of a<br />

bioabsorbable fracture plate material.” Applied Biomaterials, 38(1): 17–24; 1997.<br />

9. Kumar M: “A novel engineered material: In vitro properties for 85L-Lactide 15 Glycolide.” Biomaterials Division,<br />

<strong>Biomet</strong>, Inc.<br />

10. Milia M, Peindl R, Connor P; “Arthroscopic Knot Tying: The role of instrumentation in achieving knot security.”<br />

Arthroscopy, Vol. 21, Issue 1 pp. 69 – 76, January 2005.<br />

Dyneema ® is a registered trademark of DSM Dyneema B.V. or an affiliate of Koninklijke DSM N.V.<br />

Fiberwire is a trademark of Arthrex.<br />

Ethibond is a trademark of Ethicon. Inc.<br />

LactoSorb ® is a trademark of <strong>Biomet</strong> Manufacturing Corp.<br />

All others are trademarks of <strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong>, Inc.


Should you have questions regarding the product line or would like to<br />

have a Sales Representative contact you, please call the Corporate Headquarters<br />

at 800.348.9500 ext. 1501 for information.<br />

Corporate Headquarters:<br />

<strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong><br />

56 East Bell Drive<br />

Warsaw, IN 46582<br />

800.348.9500<br />

Manufacturing Location:<br />

<strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong><br />

4861 East Airport Drive<br />

Ontario, CA 91761<br />

800.535.8692<br />

Capital Equipment Location:<br />

<strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong><br />

6704 Lockheed Drive<br />

Redding, CA 96002


This material is intended for the <strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong> Sales Force<br />

and surgeons only. It is not intended to be redistributed without<br />

the express written consent of <strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong>.<br />

P.O. Box 587, Warsaw, IN 46581-0587 • 800.348.9500 ext. 1501 • ©2005, 2006, 2007 <strong>Biomet</strong> <strong>Sports</strong> <strong>Medicine</strong>, Inc. All Rights Reserved<br />

web site: www.biometsportsmedicine.com<br />

Form No. Y-BMT-1046/013107/K

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