RIO ® MAKOplasty Total Hip Arthroplasty Brochure - MAKO Surgical ...

D e f i n e s Confidence in THA OutcomesRobotic Arm Accuracy Combined With Advanced Implant Performance

®MAKOplastyMore Accurate Cup Placement Compared withManual ProceduresReduces potential for impingement, wear, and dislocation 1• 6 times more accurate inclination 2• 3 times more reproducible inclination 2• Cup placement within ± 2mm of plan 3Intimate Acetabular Cup Fit and Stability• The porous structured technology of RESTORIS ® PST Acetabular Shell is highly frictional and offers outerstruts designed to interlock with boneTotal Hip ArthroplastyThe Confidence of Accurate, Reproducible Surgical ResultsAccurate Leg Length RestorationReduces potential for patient discomfort, walkingcomplications, and lawsuits 4• Enables leg length restoration accuracy within ± 3mm 3Helps Avoid Impingement with MoreAccurate Combined AnteversionCompared with Manual ProceduresProvides the greatest protection againstimpingement, the #1 cause of failure in THA 5• 4 times more accurate cup anteversion 2• 4 times more reproducible cup anteversion 2• Femoral stem anteversion within ± 3˚ 3Optimal Restoration of Joint Kinematics• RESTORIS ® Tapered Femoral Stem offers modularheads and fixed 130˚ neck angle, with standardand extended offset options, enabling optimizationof soft-tissue tension to establish proper restorationof joint kinematicsA New Level of Versatility• Facilitates surgical approach of choice– Direct anterior– Postero-lateral– Antero-lateralRIO ® Robotic Arm InteractiveOrthopedic System• Uniquely enables combined anteversion of the femoralstem and acetabular cup to help avoid mechanicalimpingement and optimize range of motion• Range of motion is enhanced by RESTORIS ® TaperedFemoral Stem’s reduced A/P neck geometry and intimatemedial-lateral fit and locking

®MAKOplastyPatient-specific Pre-operative Planning• 3-D model of patient anatomy from CT scan• Pre-operative implant planning for size, orientation,and center of rotation of cup and stemReal-time Intra-operative Adjustments• Guided femoral neck resection• Real-time confirmation– Femoral stem version– Predicted hip length– Predicted combined offsetSurgeon-controlled Robotic ArmAssisted Reaming and Cup Impaction• Tactile feedback, 3-D visualization, and auditoryguidance facilitate controlled reaming– Assures accurate center of rotation placement– Maximize cup fixation with hemispherical reaming• Robotic arm constrained cup impaction– Optimizes acetabular cup alignment within5˚ of plan 3Results Summary• Summary screen confirms results are accurateand according to plan before you leave the OR– Cup inclination and version– Combined hip version– Hip length and combined offset

RESTORIS ® TaperedFemoral Stem andRESTORIS ® PST AcetabularCup Hip Implant SystemRESTORIS ® MetaFix ® andRESTORIS ® Trinity ® HipImplant SystemRESTORIS ® ZHip Implant SystemDiverse Family of RESTORIS ® Hip Implant Systems• 3 clinically proven stem design philosophies• B road range of stem sizes to ensure maximum fit and fill,with standard and extended offset options• Broad range of acetabular shell sizes to maximize optimalfit and fixation• Acetabular liner options that include: multiple face andoffset configurations, and highly cross-linked polyethylenewith vitamin E

The Confidence of Accurately PlacedAdvanced ImplantsRESTORIS ® PST Acetabular CupRESTORIS ® PST Acetabular Shell is engineered with cutting-edgetechnology, PST (Porous Structured Technology), designed forstrength and biologic fixation.Decreased Potential for Liner Micromotion• Tightly toleranced locking taper to achievemaximum shell-to-liner contact• Acetabular shell mating grooves andrim-locking liner increase stabilityIntimate Fit• Outer struts and highly frictional PST are designedto interlock with bone for an intimate fit• Initial stability is further enhanced from the highlyfrictional PST bone-interfacing surfaceDesigned for Long-term Fixation• Provides up to 70% fully interconnected porosityfor long-term biologic fixation potentialVersatile Modular Design• 5 liner face and offset configurations providesurgeon optionsWear Resistance and Oxidative Stability• RESTORIS ® XLVE vitamin E polyethyleneliners are highly cross-linked for increasedresistance to oxidative degradation and wearRESTORIS ® Tapered Femoral StemA stem design philosophy you can trust. Tapered wedge design femoral stems haveover 30 years of clinical experience and have demonstrated a 99% survivorship. 6Bone Conserving• Flat tapered geometry withreduced A/P widthOptimized Range of Motion• Reduced anterior/posterior neckgeometry• Highly polished tapered neck minimizespotential for wear debris generationJoint Kinematics Restoration• Modular heads and fixed 130˚ neckangle, with standard and extendedoffset options, enable optimization ofsoft-tissue tension to establish properrestoration of joint kinematicsSecure Bone Interfaceand Stability• Proximal Ti-Plasma coating enables a secureinterlocking press fit• The feathered, gradual coating transitiondistally reduces potential for mid-stemhang-up on implantationVersatility• 11 stem sizes, each with a standard andextended offset optionPromotes Proximal Locking• Contoured distal tip avoids distal wedging andensures proper proximal and mid-stem seating