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Primary Hip Replacement
 
Solution System®: For Use in Revision Hip Surgery
When considering having hip replacement surgery for the second or third time (hip revision surgery) concerns arise about the outcome of the surgery. The Solution System® implant was designed especially to meet these challenges for patients and physicians.  The SOLUTION SYSTEM offers a range of cementless implants, designed to match the form and function of the natural hip joint

With the SOLUTION SYSTEM, surgeons have many implant sizes and shapes to choose from, so they can create the best fit for each individual.

There are several key benefits of the SOLUTION SYSTEM:
  • Launched in 1989 and has 15 years of successful use
     
  • Uses the same stem design as the AML® hip; which has 25 years of successful use.
     
  • Predictable results that have yet to be matched by any other cementless revision hip implant
     
  • Technology that leads to less likelihood of pain after surgery
     
  • Patented Porocoat® porous coating allows for tissue ingrowth and enhanced stability
How do Cementless Implants Work?
The SOLUTION SYSTEM implant is cementless - instead of relying on bone cement to hold the new hip in place, it uses the body's own tissue growth and holding powers.  To understand how this works, it helps to first understand the structure of the hip.Terstand how this works, it helps to first understand the structure of the hip.
The hip joint is like a ball that fits into a socket.  The socket part of the hip is called the acetabulum.  The ball is called the femoral head, because it sits at the top of the femur - the long bone that runs from the hip down through the thigh.  In an artificial hip, the femoral head is on top of a femoral stem.  This stem is inserted inside the femur bone, connecting the leg to the hip.With cementless surgery, the surface of the femoral stem is rough and porous (has many small holes and spaces in it).  This roughness encourages new tissue from the femur to grow right into the
implant surface, holding it securely in place.  This process is called tissue ingrowth.  Ingrowth may provide a better, more reliable bond than cement.
Why Choose the SOLUTION SYSTEM for Cementless Hip Revision Surgery?
The SOLUTION SYSTEM offers advantages for active people who want long-lasting results with minimal pain.
  • Proven POROCOAT porous coating
    SOLUTION SYSTEM implants are covered with a patented POROCOAT porous coating - the most successful implant technology in use today.
    Click here to learn more about POROCOAT.

    The POROCOAT porous coating along the entire femoral stem allows for a strong, long-lasting bond.  This is especially important for revision surgery, when bone near the top of the femur may be missing or weak.  The POROCOAT porous coating along the full length of the implant stem allows stronger bone in the center of the femur (thigh bone) to bond with the implant.
     
  • A machined bone fit
    The precision tools in the SOLUTION SYSTEM let surgeons match the shape and size of the opening to the shape and size of the implant that's best for the individual.

    A tight fit of the femoral implant inside the femur, combined with ingrowth of new tissue, leads to fewer problems with pain after surgery.

The SOLUTION SYSTEM can also be used in conjunction with the Pinnacle™ Acetabular Cup System. The PINNACLE Acetabular Cup System is made up of a metal component and a polyethylene or metal liner. The PINNACLE Acetabular Cup System is designed to replace the socket portion (acetabulum) of the pelvis.

What are the Results with the SOLUTION SYSTEM?
A study was conducted with 170 patients who were followed for a minimum of 10 years after receiving a SOLUTION SYSTEM revision hip implant. Some patients were followed for as long as 16 years after surgery. Their ages ranged from 28 to 85
  • Over 95% of patients showed a lasting bond ("stable biologic fixation") of the implant, with each patient studied for an average of 13.2 years.
     
  • After recovery, 91% of patients reported either no thigh pain at all or only minimal pain that did not limit activity or require pain medication.
Who is a Candidate for Revision Hip Surgery with the SOLUTION SYSTEM?
The SOLUTION SYSTEM is designed for people who had an earlier hip replacement that is now causing pain or restricting movement.  This may occur when:
  • The original implant has loosened or cracked
     
  • Continuing disease and bone loss interfere with the fit of the original implant

The SOLUTION SYSTEM can meet the special needs of people with existing hip implants who have suffered additional bone loss in the hip, ranging from mild to severe.

Ask your MBO Specialist if the S-ROM Modular Hip System is right for you.

Warnings and Precautions:
The following conditions tend to adversely affect hip replacement implants: excessive patient weight, high levels of patient activity, likelihood of falls, poor bone stock, metabolic disorders, disabilities of other joints.
Adverse Events:
The following are the most frequent adverse events after hip arthroplasty: change in position of the components, loosening of components, fracture of components, dislocation, infection, tissue reaction.

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