Surgical technique
Novae
®
Dual mobility acetabular cup
inventor of
dual mobility
®
in 1975
Novae® TH range
ACETABULAR CUPS WITH DUAL MOBILITY INSERT
Indications and contra-indications
Indications
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-
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46/'*55)/07"&®&5)BOE$015045)BSFJOUFOEFEGPSQSFTTmUVTF
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Contra-indications and conditions presenting increased risk of failure
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t 4FWFSFNVTDVMBSOFVSPMPHJDBMPSWBTDVMBSEFmDJFODJFTBGGFDUJOHUIFJOWPMWFEMJNC
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Potential adverse effects and complications
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t 5JTTVFSFBDUJPOTUPUIFJNQMBOUBOEPSTVSHJDBMJOTUSVNFOUBUJPONBUFSJBMTQBSUJDVMBSMZNFUBMTFOTJUJWJUZSFBDUJPOT
t 4FWFSFNVTDVMBSOFVSPMPHJDBMPSWBTDVMBSEFmDJFODJFTBGGFDUJOHUIFJOWPMWFEMJNC
t 4JHOJmDBOUCPOFEFTUSVDUJPOCPOFMPTTPSQPPSCPOFRVBMJUZUIVTDPNQSPNJTJOHUIFJNQMBOUMPOHUFSNTUBCJMJUZ
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EFFQWFJOUISPNCPTJTBOEQVMNPOBSZFNCPMJTNDBSEJPWBTDVMBSEJTPSEFST
t 3FEVDFESBOHFPGNPUJPOXIFOVTJOHBTLJSUFEQSPTUIFUJDIFBE
t "OZBSUJDVMBSQSPTUIFTJTNBZCFTVCKFDUUPDPNQPOFOUXFBSUIVTSFRVJSJOHSFWJTJPOTVSHFSZUPSFQMBDFUIFXPSOQSPTUIFUJDDPNQPOFOUT
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Interactions
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NOVAE® is a registered trademark.
2
SURGICAL TECHNIQUE
Summary
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3
Novae® TH range
ACETABULAR CUPS WITH DUAL MOBILITY INSERT
The Novae® TH range (Cups, acetabular rings and Polyethylene inserts)
Novae® SunFit TH
Novae® E TH
Novae® Coptos TH
Size
Shell
Size
Shell
Size
Shell
“
46/'*55)
“
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46/'*55)
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*On request and with specific instrumentation kit
4
SURGICAL TECHNIQUE
Novae® Stick
Polyethylene inserts
Self tapping 5mm
cortical screws
Size
Shell
Inserts 22,2
Inserts 28
Screw
“
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$*&
“
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$*&
“
NOVAE 45*$,
$*&
“
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7$*Y
7$*Y
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7$*Y
7$*Y
7$*Y
7$*Y
7$*Y
7$*Y
7$*Y
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Novae® TH range
ACETABULAR CUPS WITH DUAL MOBILITY INSERT
The instrumentation kit (cups size 45 to 65)
A specific instrumentation kit exists for sizes 41, 43 and from sizes 67 to 73 (Only up to 69 for SUNFIT TH).
Box NZ
$PEF
N°
Description
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4
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Box NY (On request for COPTOS TH and NOVAE E TH cups)
N°
6
Code
Description
&1.1
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2
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2
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4
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8
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SURGICAL TECHNIQUE
13
1
5
7
10
11
6
12
2
8
9
3
4
4
1
2
6
4
5
8
3
7
Novae® TH range
1
ACETABULAR CUPS WITH DUAL MOBILITY INSERT
Preparation of the acetabulum
Reaming
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GFNPSBMIFBE
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45°
MIS prehension handle
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PSJFOUBUFBOEJNQBDUUIFmOBMJNQMBOU
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1
2
3
1
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2
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3
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Plate installation
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1
2
Positioning marking.
8
SURGICAL TECHNIQUE
Trial cup installation
1VU UIF USJBM DVQ JOUP QMBDF UIFO MPDL UIF TIBGU CZ DMPTJOH UIF
IBOEMF 3 2
3
Trials
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Trial cup characteristics:
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UIFIBOEMF
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QPTJUJPOJOHGPSUIF$015045)PQUJPO5IFNBSLJOHBUUIF
CPUUPNTIPXTUIFIPPLTQPTJUJPOJOH
1
2
3
4
5
Novae® TH range
ACETABULAR CUPS WITH DUAL MOBILITY INSERT
Trials in trial cup
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5IFUFTUTJOUIFUSJBMDVQTBSFDBSSJFEPVUPOUIFmOBMIFBEPSPO
BUSJBMIFBE
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2
Cementless cup installation /PWBF®4VO'JU5)
The Novae® SunFit TH shell is positioned face to the acetabular
cavity.
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Final impaction
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It is recommended to place a swab between the end piece and
polished surface of the shell.
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SURGICAL TECHNIQUE
3
Cementless cup with flanges installation /PWBF®&5)BOE/PWBF¥$PQUPT5)
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Metal-back
shaft.
installation
on
the
3
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Novae® TH range
ACETABULAR CUPS WITH DUAL MOBILITY INSERT
Impacting the studs
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It is important to check that the
stand proud of the inner surface of the shell.
studs
do
not
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Implanting
screw
the
superior
cortical
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The studs must be re-impacted after screwing the cortical screws.
Trial reduction
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UFTUT
SURGICAL TECHNIQUE
4
Novae® Stick installation
Cementing the cup in place
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SJOH
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Positioning the shell:
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PS
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Trial reduction
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DPNQPOFOUTJOPSEFSUPUFTUGPSDPSSFDUTUBCJMJUZBOEOFDLMFOHUI
*UTIPVMECFQJDLFEVQVTJOHUIFTBNFHSBTQJOHGPSDFQTBTGPSUIF
TUVET BOE QPTJUJPOFE PWFS UIF IFBE 5IF BTTFNCMZ DBO UIFO CF
SFEVDFEBOEUFTUFE
3FNPWFUIFUSJBMJOTFSUXJUIUIFGPSDFQT
5IFEFmOJUJWFIFBEDBOUIFOCFDIPTFO
Novae® TH range
5
ACETABULAR CUPS WITH DUAL MOBILITY INSERT
Impaction of the insert over the head
Head alone (on the table)
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Option
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NN
NN
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Impaction in situ (head on stem)
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Removing the impactor
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Important: In both cases remove any liquid from inside the insert
at the moment of impaction, as this may render the snap fit over
the head impossible.
Before reduction ensure that the head moves freely within the insert. Residual air may prevent this from happening, in which case
re-compress to chase out any trapped air.
SERF cannot take responsibility for use of inappropriate implant
association.
#SBLF
SURGICAL TECHNIQUE
Removal of the mobile insert
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'PMMPXUIFJOTUSVDUJPOTPGUIFQJDUVSFCFMPX
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BE CAREFUL : The insert cannot be re-used after extraction.
6
Extraction of Novae® studs /PWBF®&5)BOE/PWBF¥$PQUPT5)
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,FFQUVSOJOHUIFFYUSBDUPSXJMMQVMMUIFTUVEPVU
1
2
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Novae® TH - US - Edition N°1-2012 - SFRADT100014A
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www.serf-dediennesante.com