This next generation system of trochanteric grips and cable-plates utilizes the clinically proven SuperCable® polymer cerclage system while also providing the unique option for use of either compression or locking bone screws*. Locking screws offer improved construct rigidity, improved fixation in osteopenic bone, and the ability to place effective unicortical screws. Every screw hole in all plate or grip sizes allow for placement of either a compression or locking screw for maximum flexibility and effectiveness in reconstructing complex fractures and osteotomies.

Features of the SuperCable® Grips and Cable-Plates include:

• Ability to utilize locking or compression screws in any screw-hole.
• Ability to place a short locking screw directly into the trochanteric fragment or adjacent to implant components.
• Ability to preserve periosteal blood supply via use of locking screws.
• Polymer cables with fatigue strength superior to both wire and metal cables, thereby reducing complications due to cable fretting and breakage.
• Provision of long-term dynamic compressive loading across bone fragments, via the Iso-Elastic™ property of the polymer cables, to offer the possibility for better healing and increased construct strength.
• Cables can be easily retightened to adjust cable tension, both saving time and reducing the number of cables required.

*Featuring Agilock® Technology

• Contoured proximal anatomic fit.
• Sharp proximal hooks to penetrate musculature and secure trochanter.
• Small distal anti-rotation hooks.
• Option for placement of short locking screws in trochanteric fragment, or anywhere adjacent to medullary implant.
• Cable holes optimized for use with polymer SuperCable.
• Curved Cable-Plate in long sizes to match femoral bow.
• Choose locking or compression screws.
• Either screw type can be placed in either end of oval screw-hole for more placement options.
• Bi-directional screw holes allow dynamic compression to be applied in either direction.
• Screw-holes offset from centerline for increased flexibility in obtaining optimal bone purchase.
• Compression screws can be angled up to 57º and 16º to make best use of available bone stock.

Cable made from UHMWPe and Nylon. US Pat. No. 6,589,246 and 7,207,090. Additional US & World Patents Pending.

The task of removing PMMA bone cement during revision arthroplasty has always posed a challenge to the surgical team. Difficulty with visualization, ambiguity in discriminating between cement and bone and unpredictable scheduling all add to unnecessary complications and in the worst cases severely compromised bone stock and the need for expensive prosthetics and other reconstructive materials. Removing these unpredictable problems requires a device that can be relied upon to restore a planned schedule and outcome. Ultrasound when applied correctly can make the cement removal part of the operation predictable, safe and by definition more efficient and quicker.

Arrow indicates probe’s point of contact with bone. Arc indicates depth of cell damage

PMMA bone cement responds instantly to a vibrating wave-guide. The putty-like consistency of the cement following contact with the wave guide (probe) allows it to be easily removed from the endosteum through the novel design of the probes, the softened cement being transferred as the probe moves. Cortical bone does not absorb ultrasound as readily as the cement and therefore the surgeon will have awareness of the position of the probe within the bone through both audible and tactile feedback. By always transferring the softened cement as the probe moves, heat build-up is not a issue.

The OSCAR system has been designed to provide even more opportunity for the surgeon to check the quality of the bone through an optional dedicated endoscope, camera and flat screen monitor. The surgeon can observe the cement removal process to ensure all cement is removed.

OSCAR for Prosthesis Extraction both Cemented and Cement-less

• Removal of well integrated cement-less acetabular cups
• Loosening and Extraction of proximally coated press-fit stems
• Loosening and removal of both tibial and femoral components in cement and cement-less TKR

No living cells visible to a depth of 500 microns from the endoseal surface due to thermal damage following cement insertion

When using the OSCAR ‘s new flat osteotomes, coupled with the new bone cutting handset, accurate cutting of the cancellous bone interface surrounding the implant component makes prosthesis extraction easier. Implants are effectively isolated from the host bone, with greater bone preservation. In cases where cancellous bone is limited and it may be necessary to cut cortical bone, the new low impedance handsets provide this new cutting facility.

The CarboJet CO2 Lavage System, in clinical use since 1993, has been used safely on thousands of joint replacement patients. Compressed CO2 gas has been employed as an insufflation medium in laparoscopic procedures for many years and is readily available at all hospitals.

“I have made gas jet lavage with CarboJet the critical last step in bone preparation in all my cemented arthroplasty cases. The removal of additional marrow elements that could otherwise form embolic debris during cement pressurization is important to patient safety.”

H.M. “Mac” Reynolds, MD, Oakland, California, In Memorium

CarboJet Lavage provides the opportunity for complete “whiteout” of the cement mantle in the hip and increased cement penetration under the tibial component in the knee.  (X-rays courtesy of H.M. Reynolds, Oakland, CA, In Memorium)

CarboJet® and Reduced Debris Arthroplasty™ are trademarks of Kinamed®, Inc.

Komet Medical offer a comprehensive range of knee blades to fit all established power tool manufacturers and perfectly match all the various knee prosthetic systems used internationally.

Komet Medical’s vast range of blades includes blades to cover the following specialties:

• Knee Arthroplasty
• Hip Arthroplasty
• Upper Limb Surgery
• Hand Surgery
• Foot and Ankle Surgery
• Trauma
• Maxillofacial
• Plastic Surgery

Made in Germany

Komet is dedicated to it’s location in Germany, where highly qualified staff and state-of-the-art machines use all their expertise to come up to your expectations regarding top-quality instruments.

Quality

In order to meet the constantly growing requirements of the users and to ensure the provision of top quality products, Komet invests in the latest technologies, innovative materials and qualified personnel. Combined with expert know-how gained through many years of experience, this allows the company to manufacture to the tightest tolerances and to guarantee compatibility of all connections in our range.

Komet Medical’s range of burs includes burs to cover the following specialties:

• Spinal Surgery
• Hip Arthroplasty
• Upper Limb Surgery
• Hand Surgery
• Foot and Ankle Surgery
• Trauma
• ENT
• Maxillofacial
• Plastic Surgery

Komet offers a comprehensive range of high speed stainless steel, tungsten carbide and diamond burs to fit all established power tool manufacturers.

Made in Germany

Komet is dedicated to it’s location in Germany, where highly qualified staff and state-of-the-art machines use all their expertise to come up to your expectations regarding top-quality instruments.

Quality

In order to meet the constantly growing requirements of the users and to ensure the provision of top quality products, Komet invests in the latest technologies, innovative materials and qualified personnel. Combined with expert know-how gained through many years of experience, this allows the company to manufacture to the tightest tolerances and to guarantee compatibility of all connections in our range.