(0)1656 655221 Fax. +44 (0)1656 - Biomet

FLH 155 01/09Biomet UK LtdWaterton Industrial EstateBridgend, South WalesCF31 3XA, United KingdomTel. +44 (0)1656 655221Fax. +44 (0)1656 645454

ReCapProduct Rationale

A complete resurfacing system designed on soundengineering principles, tried and tested materialsand clinically proven fixation methods

Bone PreservationOptimal Wear Characteristics/TribologyClinically Proven Fixation MethodsIntra Operative FlexibilityPrecise & Reproducible Instrumentation

Anti Rotational Fins -Additional primary fixation3mm Wall Thickness -Greater bone preservationPorous Plasma Spray (PPS) -Twice the rotational stability ofbeads and clinically proven as abone friendly in-growth surface 1-4(HA Coated Options also available).Oversized Shell Options (+2mm) -Addresses femoral and acetabularmismatchHemispherical Shell Design -Maximises head coveragewhilst providing a securepress fitLarge Implant Range -44mm – 68mmin 2 mm incrementsIntroductionAccumulated experience has shown that wear particles of polyethylene are the principle cause of interface failure. This isparticularly important in young, high activity individuals where long term fixation is needed. The time has come when the use ofMetal on Metal bearings, with virtually no generation of wear debris, should be considered in such patients.Biomet’s commitment to manufacturing Gold Standard Metal on Metal implants date back to 1961 with Stanmore Total HipSystem. This was followed by the McKee Farrar Total Hip System and more recently with the M 2 a Hip System.In response to this Biomet, alongside Key Development Centres world-wide, have developed the ReCap Total ResurfacingSystem.1. Bourne, et al.: “Titanium Porous Plasma Spray Coating.” CORR, No. 298, January 1994.2. Burt, C.F; et al.: “A Femoral Component Inserted Without Cement in Total Hip Arthroplasty.” JBJS, July 1998.3. Coathup, M.J.; et al.: “A Comparison of Bone Remodeling Around Hydroxyapatite Coated, Porous-Coated and Grit-Blasted Hip Replacements Retrieved at Post-Mortem.” JBJS, January 2001.4. Markel, D.C.; et al.: “Initial Scratch Fit Stability of Acetabular Cups: Comparison of Three Porous Coating Systems.” ISTA, San Diego, CA, 1997.

The ReCap SystemM2a Precision Manufacture -100 % checked by Zygo Machine, noteTolerance levels “as cast” cobalt chrome head23 degrees Head Coverage -Allowing greater range of motionUnique Internal Spherical Geometry -Allowing for more natural femoralloading patternsInterlok Surface -Clinically proven cemented surfaceLarge Implant Range -12 sizes (38mm-60mm) 2mm IncrementsBone PreservationThe ReCap Total Resurfacing System resects minimalbone both from the femur and acetabulum. This isattributed to the thin components and 2mm incrementcomponent sizing. The unique spherical femoral reamingtechnique employed by the system, offers some distinctadvantages:The acetabular component is no different. With a wallthickness of only 3mm and again a 2mm incrementcomponent sizing, it allows minimal reaming to achieveoptimal fixation.• Reduces Risk of Notching• Normal Femoral Loading• Restoration of Normal Anatomy• Reduced Risk of Dislocation

Optimal Wear Characteristics and TribologyBiomet had a vast understanding of what is needed to produce the optimal Metal on Metal Implant, focusing efforts on optimalmaterials, manufacturing tolerances and processes.“As-cast materials were determined to have greater abrasive wear resistance when compared to single or multipleheat treated materials”“A tribological study of cobalt chromium molybdenum alloys used in metal-on-metal resurfacing hip arthroplasty”, J. Cawley, J.E.P. Metcalf, A.H. Jones, T.J. Bandand D.S. Skupien, Wear 255 (2003), 999-1006

Clinically Proven Fixation MethodsIn determining which implant and surface coating is best forpatients, many issues should be considered, including:• How are initial stability and fixation achieved?• To what degree will osseointegration occur, and when?• Will the coating successfully inhibit debris migration?By addressing these three critical issues, Biomet’s PorousPlasma Spray has achieved outstanding clinical results sinceits introduction in1981. At follow up, surgeons are observingresults of nearly 100% Survivorship at over 10 years withimplants such as the Bimetric Hip System, Taperloc HipSystem. Hydroxyapatite increases the amount of in growthand attachment of bone, and will further aid in initial stabilitywhen applied on top of our clinically proven Porous PlasmaSpray. 1BiMetric Stem: • 99.5% Survivorship 12 years 2• 100% Survivorship 10.4 years 3Taperloc Stem: • 99.6% Survivorship 12 years 4• 98% Survivorship 12 Years 51. Blunn, et. al. JBJS Vol. 83-B, No 1, January 20012. Eskeline et. al. Acta Orthopeadica 2006; 77 (1): 57-703. Meding et. al. JBJS (A) 2004;86-A: 92-974. McLaughlin et. al. JBJS(A) 2008;90:1290-12965. Parvizi et. al. Journal of Arhtroplasty 2004;19:No. 2:151-156

“As-cast materials were determined to have greater abrasive wearresistance when compared to single or multiple heat treated materials”Intraoperative FlexibilityIn an unpredictable situation like surgery, it is comfortingto know you have a number of options to deal with difficultsituations. ReCap is one of the most comprehensive Systemson the Market, offering:Large Implant Range38mm-60mm Femoral Head 2mm Increments44mm-66mm Acetabular Cup 2mm IncrementsCan be used with any Biomet Stem2mm Oversized Acetabular CupsOversized Outer Diameter of acetabular shell To offer femoraland acetabular size mismatching.Porous Coating & HA CoatingFemoral and Acetabular Components available as cementedor uncemented with HA.Modular Revision HeadsDesigned for easy revision to THR.

Precise & Reproducable InstrumentationDedicated InstrumentationMachined to exact tolerances enabling reproducible results time after time.Sequential Surgical TechniqueLogical stepped surgical procedure giving the surgeon intra operative flexibilityReliable, Accuracy, Advanced SimplicityThe validated KS alignment device is an efficient reproducible and reliable 1,2 tool which makes femoral pin positioning easyDesigned to be used with MicroPlastyInstruments designed to be used through a minimal incision, allowing Rapid Recovery for the patient.1. Validation of Femoral Resurfacing alignment device using computer aided navigationA Phadnis*, K Singhal, V Pitkänen, A Turner, Poster presented at the Biomet Hip Symposium 20062. Femoral Resurfacing Component position using an alignment device vs CANA Phadnis*, K Singhal, V Pitkänen, A Turner

Ordering InformationImplantsReCap Resurfacing HeadsReCap Femoral Instrument TrayCatalogue Number 31-600206Cat. No. Description157238 ReCap Resurfacing Head Sz 38mm157240 ReCap Resurfacing Head Sz 40mm157242 ReCap Resurfacing Head Sz 42mm157244 ReCap Resurfacing Head Sz 44mm157246 ReCap Resurfacing Head Sz 46mm157248 ReCap Resurfacing Head Sz 48mm157250 ReCap Resurfacing Head Sz 50mm157252 ReCap Resurfacing Head Sz 52mm157254 ReCap Resurfacing Head Sz 54mm157256 ReCap Resurfacing Head Sz 56mm157258 ReCap Resurfacing Head Sz 58mm157260 ReCap Resurfacing Head Sz 60mmReCap HA/Porous Coated Acetabular ComponentsReCap General Instrument TrayCatalogue Number 31-600201ReCap Cylindrical Reamer TrayCatalogue Number 31-600203Cat. No. Description157944 ReCap PF HA/PC Acetabular Comp Ø 44/38mm157946 ReCap PF HA/PC Acetabular Comp Ø 46/40mm157948 ReCap PF HA/PC Acetabular Comp Ø 48/42mm157950 ReCap PF HA/PC Acetabular Comp Ø 50/44mm157952 ReCap PF HA/PC Acetabular Comp Ø 52/46mm157954 ReCap PF HA/PC Acetabular Comp Ø 54/48mm157956 ReCap PF HA/PC Acetabular Comp Ø 56/50mm157958 ReCap PF HA/PC Acetabular Comp Ø 58/52mm157960 ReCap PF HA/PC Acetabular Comp Ø 60/54mm157962 ReCap PF HA/PC Acetabular Comp Ø 62/56mm157964 ReCap PF HA/PC Acetabular Comp Ø 64/58mm157966 ReCap PF HA/PC Acetabular Comp Ø 66/60mmReCap Spherical Reamer TrayCatalogue Number 31-600204ReCap Impaction Instrument TrayCatalogue Number 31-600597ReCap Porous Coated Acetabular ComponentsCat. No. Description157844 ReCap PF PC Acetabular Comp Ø 44/38mm157846 ReCap PF PC Acetabular Comp Ø 46/40mm157848 ReCap PF PC Acetabular Comp Ø 48/42mm157850 ReCap PF PC Acetabular Comp Ø 50/44mm157852 ReCap PF PC Acetabular Comp Ø 52/46mm157854 ReCap PF PC Acetabular Comp Ø 54/48mm157856 ReCap PF PC Acetabular Comp Ø 56/50mm157858 ReCap PF PC Acetabular Comp Ø 58/52mm157860 ReCap PF PC Acetabular Comp Ø 60/54mm157862 ReCap PF PC Acetabular Comp Ø 62/56mm157864 ReCap PF PC Acetabular Comp Ø 64/58mm157866 ReCap PF PC Acetabular Comp Ø 66/60mmReCap Auxiliary Tray AssemblyCatalogue Number 31-601075ReCap Acetabular Grater Reamer TrayCatalogue Number 31-600055

Cementless Over-Size PC AcetabularComponentsCat. No.Descriptioners130846 ReCap OS PC Acetabular Comp 38/46mm130848 ReCap OS PC Acetabular Comp 40/48mm130850 ReCap OS PC Acetabular Comp 42/50mm130852 ReCap OS PC Acetabular Comp 44/52mm130854 ReCap OS PC Acetabular Comp 46/54mm130856 ReCap OS PC Acetabular Comp 48/56mm130858 ReCap OS PC Acetabular Comp 50/58mm130860 ReCap OS PC Acetabular Comp 52/60mm130862 ReCap OS PC Acetabular Comp 54/62mm130864 ReCap OS PC Acetabular Comp 56/64mm130866 ReCap OS PC Acetabular Comp 58/66mm130868 ReCap OS PC Acetabular Comp 60/68mmCementless Over-Size HA/PC AcetabularComponentsCat. No.Descriptioners130846HA ReCap OS HA/PC Acetabular Comp 38/46mm130848HA ReCap OS HA/PC Acetabular Comp 40/48mm130850HA ReCap OS HA/PC Acetabular Comp 42/50mm130852HA ReCap OS HA/PC Acetabular Comp 44/52mm130854HA ReCap OS HA/PC Acetabular Comp 46/54mm130856HA ReCap OS HA/PC Acetabular Comp 48/56mm130858HA ReCap OS HA/PC Acetabular Comp 50/58mm130860HA ReCap OS HA/PC Acetabular Comp 52/60mm130862HA ReCap OS HA/PC Acetabular Comp 54/62mm130864HA ReCap OS HA/PC Acetabular Comp 56/64mm130866HA ReCap OS HA/PC Acetabular Comp 58/66mm130868HA ReCap OS HA/PC Acetabular Comp 60/68mmM2a-Magnum Modular HeadsCat. No.Description157438 M2a-Magnum Modular Head Sz 38mm157440 M2a-Magnum Modular Head Sz 40mm157442 M2a-Magnum Modular Head Sz 42mm157444 M2a-Magnum Modular Head Sz 44mm157446 M2a-Magnum Modular Head Sz 46mm157448 M2a-Magnum Modular Head Sz 48mm157450 M2a-Magnum Modular Head Sz 50mm157452 M2a-Magnum Modular Head Sz 52mm157454 M2a-Magnum Modular Head Sz 54mm157456 M2a-Magnum Modular Head Sz 56mm157458 M2a-Magnum Modular Head Sz 58mm157460 M2a-Magnum Modular Head Sz 60mmM2a-Magnum Modular Head12/14 Taper AdaptorsCat. No.Descriptioners130824 M2a-Magnum Tpr Adptr 38-40mm –2mm 12/14130825 M2a-Magnum Tpr Adptr 38-40mm STD 12/14130826 M2a-Magnum Tpr Adptr 38-40mm +4mm 12/14130827 M2a-Magnum Tpr Adptr 38-40mm +8mm 12/14130829 M2a-Magnum Tpr Adptr 42-50mm –2mm 12/14130830 M2a-Magnum Tpr Adptr 42-50mm STD 12/14130831 M2a-Magnum Tpr Adptr 42-50mm +4mm 12/14130832 M2a-Magnum Tpr Adptr 42-50mm +8mm 12/14130834 M2a-Magnum Tpr Adptr 52-60mm –2mm 12/14130835 M2a-Magnum Tpr Adptr 52-60mm STD 12/14130836 M2a-Magnum Tpr Adptr 52-60mm +4mm 12/14130837 M2a-Magnum Tpr Adptr 52-60mm +8mm 12/14M2a-Magnum Modular HeadType1 Taper AdaptorsCat. No. Description130818 M2a-Magnum Tpr Adptr 38-40mm –6mm (T1)130819 M2a-Magnum Tpr Adptr 38-40mm –3mm (T1)130820 M2a-Magnum Tpr Adptr 38-40mm STD (T1)130821 M2a-Magnum Tpr Adptr 38-40mm +3mm (T1)130822 M2a-Magnum Tpr Adptr 38-40mm +6mm (T1)130823 M2a-Magnum Tpr Adptr 38-40mm +9mm (T1)139252 M2a-Magnum Tpr Adptr 42-50mm –6mm (T1)139254 M2a-Magnum Tpr Adptr 42-50mm –3mm (T1)139256 M2a-Magnum Tpr Adptr 42-50mm STD (T1)139258 M2a-Magnum Tpr Adptr 42-50mm +3mm (T1)139260 M2a-Magnum Tpr Adptr 42-50mm +6mm (T1)139262 M2a-Magnum Tpr Adptr 42-50mm +9mm (T1)139264 M2a-Magnum Tpr Adptr 52-60mm –6mm (T1)139266 M2a-Magnum Tpr Adptr 52-60mm –3mm (T1)139268 M2a-Magnum Tpr Adptr 52-60mm STD (T1)139270 M2a-Magnum Tpr Adptr 52-60mm +3mm (T1)139272 M2a-Magnum Tpr Adptr 52-60mm +6mm (T1)139274 M2a-Magnum Tpr Adptr 52-60mm +9mm (T1)InstrumentationReCap/M2a-Magnum Modular HeadTray - Catalogue Number 31-600199(note: when ordering catalogue no. 31-600199 pleasealso order either 31-600386 or 31-600388)M2a-Magnum Mod Head Trial TaperAdaptor Set (12-14)Catalogue Number 31-600388M2a-Magnum Mod Head Trial TaperAdaptor Set (T1)Catalogue Number 31-600386