Surgical technique
Quartz
®
®
Quartz ®
CEMENTLESS PRESSFIT CUP
The range
Shells and alumina liners
Size
Shell
Liner
Al2O3
Ø45
QUARTZ 45 B
/
Ø47
QUARTZ 47 C
Ø49
QUARTZ 49 C
Ø51
QUARTZ 51 D
Ø53
QUARTZ 53 D
Ø55
QUARTZ 55 E
Ø57
QUARTZ 57 E
Ø59
QUARTZ 59 F
Ø61
QUARTZ 61 F
Ø63
QUARTZ 63 F
28
32
36
36
Cups and poly liners - standard and lipped options
Size
Shell
Ø45
QUARTZ 45 B
Ø47
QUARTZ 47 C
Ø49
QUARTZ 49 C
Ø51
QUARTZ 51 D
Ø53
QUARTZ 53 D
Ø55
QUARTZ 55 E
Ø57
QUARTZ 57 E
Ø59
QUARTZ 59 F
Ø61
QUARTZ 61 F
Ø63
QUARTZ 63 F
PE Liner
22.2
/
22.2
/
22.2
28
22.2
28
22.2
28
Self tapping 6,5 mm screws - Apical plug
Length
Apical plug
20
Standard (x4)
25
30
35
40
45
2
SURGICAL TECHNIQUE
The instrumentation
N°
Name
Description
1
FG 45 ..
Snap fit reamers size 45 to 63
2
TFE2
Reamer handle
3
MAE001
Shell gauge handle
4
GQ001 45 ..
Shell gauge size 45 to 63
5
5
IQ 45-49/22,2
22.2 PE Trial liner, size 45 to 49
3
6
IQ 51-63 /22,2 PE
22.2 PE Trial liner, size 51 to 63
7
IQ 51-63/28 PE
28 PE Trial liner, size 51 to 63
N°
Name
1
MIP001
Shell impactor handle
9
OR001
Acetabular alignment device
10
EI013 22 ...
Acetabular liner pusher 22.2, 28, 32, 36
11
EE001
Removal instrument for ceramic liner
12
EE002
Suction cup
13
IQ AL 36
36 ceramic trial liner
15
TE604-36
IQ AL 32
6
7
4
Description
8
14
2
36 trial femoral head
11
8
13
EXTIQZ
Trial liner snap fit handle
17
TE604-32
32 ceramic trial head
18
IQ AL 28
28 trial head
19
JA001
Depth gauge
20
GM 5
3.2 – 4.5 mm drill guide
21
FF 3.2
3.2 flexible drill
22
FF 4.5
4.5 flexible drill
23
PV001
Screw forceps
24
TF 3.5
Hexagonal flexible screwdriver
25
TC 3.5
Hexagonal joint screwdriver
10
14
32 ceramic trial liner
16
12
9
13
16
17
24
18
15
19
20
21
23
22
25
3
Quartz ®
CEMENTLESS PRESSFIT CUP
Preparation of the acetabulum
Reaming
•
The true bottom of the acetbulum is exposed by initially reaming
vertically with a small reamer.
• Reaming at 45° is then undertaken using a reamer at least 2 mm
smaller than the diameter of the femoral head.
• The last size reamer is the same diameter as the implant chosen.
(The definitive implant is slightly larger around the equator to
ensure press fit).
°
45
Trials
A trial of the same size as the reamer allows to asses the fit and
position of the cup.
A positioning device allows vertical axis.
Polyethylen on metal bearings
Trial polyethylene liners are
assembled to the shell gauge.
Connect the snapfit handle to the trial liner ( a quarter turn bayonet
connection)
If a lipped liner is to be used, take note of the lip position.
Shell gauge
45
47
49
51
53
55
57
59
61
63
Trial poly liner
22.2
22.2
28
22.2
22.2
28
Lipped trial poly liner
4
SURGICAL TECHNIQUE
Implanting the cup
Implanting the shell
OPTION : If the metal-back is installed without fixing screws, it’s
possible to add sealing plugs. On the table and with the metal-back in
the hand, use a hexagonal screwdriver.
Use the hexagonal joint screwdriver if a sealing plug needs to be
taken out of the metalback when in situ.
Affixing the shell to the shell impactor
The notch allows visualising the position of the implant so that the
indicator is placed in the superior part of the acetabulum.
Incline the cup at 45°.
Check the required anteversion before impaction.
Impact the shell.
It is not recommended to correct the orientation after impaction.
Ceramic on ceramic bearings
Trial within the definitive shell.
Connect the snapfit handle to the trial liner (a quarter turn bayonet
connection).
The trial liner can be trialled with either definitive or trial femoral
components in order to test for correct stability and neck length.
The assembly can then be reduced and tested.
The definitive head can then be chosen.
47
49
51
53
55
57
59
61
63
Definitive Shell
C
C
D
D
E
E
F
F
F
Alumina trial liner
28
32
36
36
Trial head
28
32
36
5
Quartz ®
CEMENTLESS PRESSFIT CUP
Preparation for acetabular screws
Choose a 3.2 mm drill bit. A drill guide is used to allow the drill to be
centered in the screw hole.
The pivot angle of the 6.5 mm screws is 15°.
Drilling is carried out with a 3.2 mm flexible drill shaft.
If the bone is sclerotic, a 4.5 mm drill may be selected.
A depth gauge is used to determine the length of the screws.
The range of 6.5 mm self tapping screws is 20 to 45 mm length.
The screws are inserted using a cardan-jointed screwdriver, screw
holding forceps may be used for additional stability when inserting
screws.
Polyethylen liner insertion
Impaction of the liner is accomplishes by one liner pusher head onto the
end of the acetabular shell handle.
After the appropriate liner has been impacted firmly against the
acetabular shell, only lipped liner is protruding over the shell.
6
SURGICAL TECHNIQUE
Ceramic liner insertion
Check to ensure that no soft tissue or bone particles are present in
the inner diameter of the shell to allow for a maximum ceramic liner
interface.
The suction holder, in combination with the Quartz impactor, allows
secure handling of the ceramic insert, and its accurate positioning
within the Quartz shell.
Insert the ceramic liner only after ensuring the inner taper of the shell
is clean and dry.
The liner must be checked to make sure that it is oriented properly.
Impaction of the liner is accomplishes by one liner pusher head onto the
end of the acetabular shell handle. Only a gentle tap is required.
Repeated impaction may be avoided by assuring the liner is correctly
seated in, and flush with, the shell by running a finger around the
circumference of the liner/shell interface. The liner/shell interface
should be even without either component protruding over the other.
Ceramic liner extraction
Place the suction cup onto the inner surface of the liner and stretch
slightly above.
Place the prong on the removal tool successively in one of the three
dimples on the face of the shell.
Firm tapping on the removal tool handle will cause the taper connection
to loosen, and the suction cup will remove the liner.
Do not strike the liner !
Polyethylen liner extraction
Drill a 3.2 mm diameter hole in vertical axis.
Screw a 4.5 cortical screw through the liner.
7
www.serf-dediennesante.com
ISO 13485
CE 0459 - QUARTZ ® - EN - Edition N°3-2014 - SFRADT250002B
- 85 avenue des Bruyères - 69153 Décines Cedex - FRANCE
Tél. +33 4 72 05 60 10 - Fax. +33 4 72 02 19 18 - [email protected]