1 Zimmer VerSys Trial Head ® ® Surgical Technique 2 Zimmer® VerSys® Trial Head Surgical Technique Introduction The VerSys® Trial Head and the MIS Trial Head utilize a 12/14 taper, and are available in a variety of diameters and neck lengths for use in total hip arthroplasty. Step 2: Seating the Trial Head There are two styles of trial necks utilizing either a taper press fit or a C-ring for interference fit (Figure 1). The trial necks are only compatible with the respective stem systems. This technique will cover the four steps for using either Trial Head. General Information Trial reduction can be accomplished by either leaving the rasp in the femoral canal and attaching an appropriate trial neck to the rasp or by trialing off the implant neck. Step 1: Selecting the Trial Head Optimal femoral component height and offset can be evaluated through preoperative radiographic analysis. Preoperative planning also allows the surgeon to have the appropriate implants available at surgery. Fig. 1 Taper press fit (left image) and C-ring interference fit (right image) The objectives of preoperative planning include: 1. Determination of leg length Note: If using an MIS trial head, it is recommended that a suture be placed through the holes of the provisional head to aid in retrieval of the trial head if it becomes dislodged into the surrounding tissues (Figure 2). 2. Establishment of appropriate abductor muscle tension and femoral offset 3. Determination of the anticipated component sizes Visually inspect the trial heads for damage prior to use. Fig. 2 Suture holes in MIS Head Zimmer® VerSys® Trial Head Surgical Technique Ensure that the provisional head is placed on the trial neck or onto the implant trunnion sufficiently to be retained during trial reduction (Figure 3). 3 Step 3: Trial Reduction Perform a trial reduction, and check leg length and offset. Repeat as necessary until optimal offset and leg length are established. When satisfactory leg length, offset, range of motion and stability have been achieved, dislocate the hip. Step 4: Removing Trial Head Firmly grasp the trial head and remove from the surgical site. Fig. 3 VerSys Trial Head on Trial Neck on Rasp Verify that the rasp, trial neck and trial head are fully seated. NOTE: Although relatively rare, the provisional head may dissociate from the trial neck or stem trunnion. Due to the size, shape and texture of the provisional head, a separated head is at risk of being introduced into the wound. Once in the wound, the head may become difficult to visually locate if it migrates deep in the wound or medial to the iliopsoas tendon. The provisional head is radio-opaque. Should the surgeon need to visualize the head radiographically, Computed Tomography, plane X-ray using an A/P and lateral views and ultrasound may be used.* * Zimmer Technical Report ZTR_WA_0100_12 4 Zimmer® VerSys® Trial Head Surgical Technique VerSys Femoral Head Provisionals. Item Number Product Description 00-7895-022-20 VerSys Femoral Head Provisional 22mm -2 00-7895-022-02 VerSys Femoral Head Provisional 22mm +0 00-7895-022-30 VerSys Femoral Head Provisional 22mm +3 00-7895-026-01 VerSys Femoral Head Provisional 26mm -3.5 00-7895-026-02 VerSys Femoral Head Provisional 26mm +0 00-7895-026-03 VerSys Femoral Head Provisional 26mm +3.5 00-7895-026-04 VerSys Femoral Head Provisional 26mm +7 00-7895-026-05 VerSys Femoral Head Provisional 26mm +10.5 00-7895-028-01 VerSys Femoral Head Provisional 28mm -3.5 00-7895-028-02 VerSys Femoral Head Provisional 28mm +0 00-7895-028-03 VerSys Femoral Head Provisional 28mm +3.5 00-7895-028-04 VerSys Femoral Head Provisional 28mm +7 00-7895-028-05 VerSys Femoral Head Provisional 28mm +10.5 00-7895-032-01 VerSys Femoral Head Provisional 32mm -3.5 00-7895-032-02 VerSys Femoral Head Provisional 32mm +0 00-7895-032-03 VerSys Femoral Head Provisional 32mm +3.5 00-7895-032-04 VerSys Femoral Head Provisional 32mm +7 00-7895-032-05 VerSys Femoral Head Provisional 32mm +10.5 00-7895-036-01 VerSys Femoral Head Provisional 36mm -3.5 00-7895-036-02 VerSys Femoral Head Provisional 36mm +0 00-7895-036-03 VerSys Femoral Head Provisional 36mm +3.5 00-7895-036-04 VerSys Femoral Head Provisional 36mm +7 00-7895-036-05 VerSys Femoral Head Provisional 36mm +10.5 00-7895-040-01 VerSys Femoral Head Provisional 40mm -3.5 00-7895-040-02 VerSys Femoral Head Provisional 40mm +0 00-7895-040-03 VerSys Femoral Head Provisional 40mm +3.5 00-7895-040-04 VerSys Femoral Head Provisional 40mm +7 00-7895-040-05 VerSys Femoral Head Provisional 40mm +10.5 VerSys Provisional Head Kits. Item Number Product Description 00-7897-046-00 VerSys Femoral Head Provisional Half Tray KT-HEAD-36&-40 VerSys Head Provisionals Zimmer® VerSys® Trial Head Surgical Technique MIS Trial Heads. Item Number Product Description 00-7803-022-01 MIS 12/14 Slotted Femoral Head Provisional 22mm -2 00-7803-022-02 MIS 12/14 Slotted Femoral Head Provisional 22mm +0 00-7803-022-03 MIS 12/14 Slotted Femoral Head Provisional 22mm +3.5 00-7803-026-01 MIS 12/14 Slotted Femoral Head Provisional 26mm -3.5 00-7803-026-02 MIS 12/14 Slotted Femoral Head Provisional 26mm +0 00-7803-026-03 MIS 12/14 Slotted Femoral Head Provisional 26mm +3.5 00-7803-026-04 MIS 12/14 Slotted Femoral Head Provisional 26mm +7 00-7803-026-05 MIS 12/14 Slotted Femoral Head Provisional 26mm +10.5 00-7803-028-01 MIS 12/14 Slotted Femoral Head Provisional 28mm -3.5 00-7803-028-02 MIS 12/14 Slotted Femoral Head Provisional 28mm +0 00-7803-028-03 MIS 12/14 Slotted Femoral Head Provisional 28mm +3.5 00-7803-028-14 MIS 12/14 Slotted Femoral Head Provisional 28mm +7 00-7803-028-05 MIS 12/14 Slotted Femoral Head Provisional 28mm +10.5 00-7803-032-01 MIS 12/14 Slotted Femoral Head Provisional 32mm -3.5 00-7803-032-02 MIS 12/14 Slotted Femoral Head Provisional 32mm +0 00-7803-032-03 MIS 12/14 Slotted Femoral Head Provisional 32mm +3.5 00-7803-032-14 MIS 12/14 Slotted Femoral Head Provisional 32mm +7 00-7803-032-05 MIS 12/14 Slotted Femoral Head Provisional 32mm +10.5 00-7803-036-01 MIS 12/14 Slotted Femoral Head Provisional 36mm -3.5 00-7803-036-02 MIS 12/14 Slotted Femoral Head Provisional 36mm +0 00-7803-036-03 MIS 12/14 Slotted Femoral Head Provisional 36mm +3.5 00-7803-036-04 MIS 12/14 Slotted Femoral Head Provisional 36mm +7 00-7803-036-05 MIS 12/14 Slotted Femoral Head Provisional 36mm +10.5 00-7803-040-01 MIS 12/14 Slotted Femoral Head Provisional 40mm -3.5 00-7803-040-02 MIS 12/14 Slotted Femoral Head Provisional 40mm +0 00-7803-040-03 MIS 12/14 Slotted Femoral Head Provisional 40mm +3.5 00-7803-040-04 MIS 12/14 Slotted Femoral Head Provisional 40mm +7 00-7803-040-05 MIS 12/14 Slotted Femoral Head Provisional 40mm +10.5 MIS Femoral Head Tray. Item Number Product Description 00-7806-099-20 MIS Slotted Femoral Head Provisional Mini Tray 5 This documentation is intended exclusively for physicians and is not intended for laypersons. Information on the products and procedures contained in this document is of a general nature and does not represent and does not constitute medical advice or recommendations. Because this information does not purport to constitute any diagnostic or therapeutic statement with regard to any individual medical case, each patient must be examined and advised individually, and this document does not replace the need for such examination and/or advice in whole or in part. Please refer to the package inserts for important product information, including, but not limited to, contraindications, warnings, precautions, and adverse effects. Contact your Zimmer representative or visit us at www.zimmer.com 97-8018-001-00 12-13-12 Printed in USA ©2012 Zimmer, Inc.
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