Smith & Nephew REDAPT User manual

Surgical Technique

Smith & Nephew would like to acknowledge the contributions of the following
surgeons with whom we designed the REDAPT Revision Femoral System:
Mathias Bostrom, MD
New York, NY
Fares S. Haddad, BSc MCh, FRCS
London, NW United Kingdom
Stephen Incavo, MD
Houston, TX
John Masonis, MD
Charlotte, NC
Ari Pressman, MD
Pittsburgh, PA
Nota Bene The technique description herein is made available to the healthcare
professional to illustrate the suggested treatment for the uncomplicated procedure.
In the nal analysis, the preferred treatment is that which addresses the needs
of the patient.
REDAPT™ Revision Femoral System
Surgical Technique
This surgical technique is for informational and educational purposes only. It is
not intended to serve as medical advice. It is the responsibility of the treating
physicians to determine and utilize the appropriate products and techniques
according to their own clinical judgment for each of their patients. For more
information on the products shown in this surgical technique, including indications
for use, contraindications, effects, precautions and warnings, please consult the
Instructions for Use (IFU) for the product.

2
The REDAPT™ Revision Femoral System by Smith & Nephew is uniquely designed to
address the challenges in today’s revision hip arthroplasty: xation in various bone
types, achievement of joint stability, predictable stem position and surgical eciency.
It all starts with ROCKTITE™ utes which are intended to provide rock-solid distal
xation in all bone types.
Surgeons have shown that REDAPT oers reproducible stem position which is
achieved by the combination of ROCKTITE xation and highly ecient, easy to use
instrumentation. The adaptable design of the Sleeved Stem allows the surgeon to
customize the proximal/distal mismatch for the best stem t without compromising
stem strength.
Indications
Hip components are indicated for individuals undergoing primary and revision surgery
where other treatments or devices have failed in rehabilitating hips damaged as a
result of trauma or noninammatory degenerative joint disease (NIDJD) or any of its
composite diagnoses of osteoarthritis, avascular necrosis, traumatic arthritis, slipped
capital epiphysis, fused hip, fracture of the pelvis and diastrophic variant.
Hip components are also indicated for inammatory degenerative joint disease
including rheumatoid arthritis, arthritis secondary to a variety of diseases and
anomalies and congenital dysplasia; treatments of nonunion, femoral neck fracture
and trochanteric fractures of the proximal femur with head involvement that are
unmanageable using other techniques; endoprosthesis, femoral osteotomy or
Girdlestone resection; fracture-dislocation of the hip; and correction of deformity.
REDAPT Revision Femoral System components are intended for single use only and
are to be implanted without bone cement.
Implants
REDAPT is a tapered, forged titanium stem with proprietary ROCKTITE distal utes
for improved diaphyseal xation.
The 190mm Sleeveless stem (Figure 1) is available in sizes 12-21 (in 1mm increments).
The 240mm and 300mm Sleeveless stems are available in sizes 12-27 (in 1mm
increments). The Sleeved stem (Figure 2) is available in sizes 12-27 (in 1mm
increments) in lengths of 240mm and 300mm.
REDAPT modular sleeves are designed to provide secondary proximal support to the
distal xation and enhance implant stability. The titanium conical sleeves are coated
with Smith & Nephew STIKTITE™ and hydroxyapatite (HA). Sleeves are available in
small, medium, and large sizes. An extra small sleeve is available with grit blast nish
and HA coating. Implanting the Sleeved stem without a sleeve is not recommended.

3
REDAPT™ Sleeveless Stem
12/14 Head taper
• Compatible with all 12/14 Smith & Nephew heads
Neck
• Circulotrapezoidal shape for increased range
of motion
• 2 Oset options; Standard and High
Stem
• Forged Titanium tapered, uted design with
proprietary ROCKTITE™ utes
• Diameters: 12 – 27mm (1mm increments)
(190mm available 12 – 21mm)
• Lengths: 190mm, 240mm and 300mm
– Stem length is measured from +0 head center
at the top of the stem to distal tip of the stem
Figure 1
REDAPT Sleeved Stem
12/14 Head taper
• Compatible with all 12/14 Smith & Nephew heads
Neck
• Circulotrapezoidal shape for increased range of motion
• 2 Oset options; Standard and High
Titanium Sleeve
• Extra Small - HA on grit blast
• Small, Medium, and Large - HA on STIKTITE
Stem
• Forged Titanium tapered, uted design with
proprietary ROCKTITE™ utes
• Diameters: 12 – 27mm (1mm increments)
• Lengths: 240mm and 300mm
– Stem length is measured from +0 head center
at the top of the stem to distal tip of the stem
Figure 2

4
Oset options
Each neck is made with a 12/14 taper for use with compatible cobalt chrome, ceramic and
OXINIUM™ heads. The circulotrapezoidal neck is designed for increased range of motion. The
following table and illustrations show the total oset and height for each REDAPT™ stem.
Sizing options
Sizes 12 – 21mm
Standard and high oset
190mm
Sizes 12 – 27mm
Standard and high oset
240mm
Sizes 12 – 27mm
Standard and high oset
300mm
Oset
Height
Oset
Height
Oset option (standard is +0 head center)
Size (mm)
SO Neck (131º) HO Neck (125º)
Height (mm) Oset (mm) Height (mm) Oset (mm)
12-15 35 37 35 45
16-27 35 42 35 50
High Oset head center
difference from Standard Oset
Head length Height dierence
-3 +0.2 mm
+0 0 mm
+4 -0.3 mm
+8 -0.7 mm
+12 -1.0 mm
+16 -1.3 mm

5
Instruments
REDAPT™ instruments are designed to maximize surgical eciency and improve
accuracy and reproducibility of implant position during the procedure. This is
accomplished by reaming and trialing “over the top” of the distal reamers. Distal and
proximal reamers are color-coded to provide easy identication of implant sizes and
reduce unnecessary instruments.
Distal reamers are intended to allow the surgeon to prepare and size the canal for
optimal t of the tapered, uted, distally xed stem. When used in conjunction with
trial bodies and necks, the distal reamers function as intramedullary trials which
should provide the surgeon with an accurate assessment of implant positioning
while reducing the number of instruments and trial components. Distal reamers are
available in diameters of 10mm to 21mm in 1.0mm increments in lengths of 190mm
and diameters of 10mm to 27mm in lengths of 240mm and 300mm.
The proximal reamers are uniquely designed to be used over the distal reamers. By
reaming “over the top”, the surgeon is preparing for the proximal aspect of the stem
based on the location of the distal reamer. During canal preparation, “over the top”
reaming allows the surgeon to maintain the relative position of the proximal and
distal reamed cavities to accept the implant of choice. Proximal reamers are available
in sizes which correspond to the Sleeveless stem size and the Extra Small, Small,
Medium and Large sleeve for each Sleeved stem size.
Proximal reamer color code chart
Distal
reamer/
implant size
Color of
reamer/
implant
Proximal Reamers by number*
Starter 1 2 3 4 56 7 8 9 10 11 12
12 Purple PF 12/13XS 12/13S 12/13M 12/13L
13 Purple PF 12/13XS 12/13S 12/13M 12/13L
14 Black PF 14/15XS 14/15S 14/15M 14/15L
15 Black PF 14/15XS 14/15S 14/15M 14/15L
16 Blue PF 16/17XS 16/17S 16/17M 16/17L
17 Blue PF 16/17XS 16/17S 16/17M 16/17L
18 Red PF 18/19XS 18/19S 18/19M 18/19L
19 Red PF 18/19XS 18/19S 18/19M 18/19L
20 Copper PF 20/21XS 20/21S 20/21M 20/21L
21 Copper PF 20/21XS 20/21S 20/21M 20/21L
22 Gray PF 22/23XS 22/23S 22/23M 22/23L
23 Gray PF 22/23XS 22/23S 22/23M 22/23L
24 Brown PF 24/25XS 24/25S 24/25M 24/25L
25 Brown PF 24/25XS 24/25S 24/25M 24/25L
26 White PF 26/27XS 26/27S 26/27M 26/27L
27 White PF 26/27XS 26/27S 26/27M 26/27L
* PF = Sleeveless Stem

6
Preoperative planning and templating
Templating
Preoperative templating accomplishes several goals. The primary goal is to determine
the intended diameter and length of the revision stem and the remaining femoral
bone to support the conical, uted stem. While all revision situations are unique, in
general, 5-7cm of conical reaming of distal cortical bone is desired.
Preoperative planning for a revision total hip arthroplasty requires at a minimum a
standard set of radiographs, which includes an antero-posterior (A-P) radiograph of
the pelvis and a lateral radiograph of the aected hip. Depending on the length of
the existing femoral component several additional radiographs may be necessary.
Specically, the A-P and lateral radiographs should include the entire femoral
component. On occasion a full-length A-P radiograph of the entire femur may be
necessary. As part of the preoperative work-up, the surgeon may consider other
imaging modalities such as bone scans and computerized tomography (CT). However,
these are not typically necessary for preoperative templating.
Determine the appropriate classication for the femoral revision, for example the
Paprosky Revision Classication.1This will aid in determining the appropriate type,
size and position of the revision stem you will need.
An important goal of templating is achieving the optimal leg length and oset. As
with primary THA preoperative planning, establishing proper leg length requires
assessment of a number of clinical and radiographic parameters. Establishing the
proper reference lines requires using a horizontal line between the inferior portion of
the teardrop as well as a horizontal line between the inferior margin of the obtruator
foramen and ischial tuberosity. Due to the often distorted anatomy in revision cases,
utilizing all three reference lines may be necessary.
Similarly, due to bony defects on the femoral side, a combination of anatomic
landmarks such as the superior margin of the greater trochanter and inferior margin
of the lesser trochanter must be utilized. These obviously need to be compared to
similar points in the contralateral side using the A-P radiograph. Any pelvic obliquities
and/or spinal deformity must also be taken into account based on radiographic
and clinical assessments. The consideration of all relevant factors is necessary to
successfully restore the patient’s proper leg length.
Surgeon tip The use of simple wooden blocks during the preoperative physical
examination of the patient is very useful, as is a discussion of the patient’s perceived
length elicited during their preoperative interview.

7
Standardized A-P radiographs are also critical
in assessing proper femoral oset. If there is a
native hip on the contralateral side, the proper
oset can be determined by the horizontal
distance between the center of rotation of the
head and anatomic axis of the femur. If there
is a well functioning total hip prosthesis on the
contralateral side, a similar assessment can be
made using the REDAPT™ templates.
Diculties sometimes arise when the
contralateral hip is deformed or has a
malfunctioning THA. Additional problems may
be encountered if the ipsilateral acetabulum
has failed or has a protrusio deformity. In these
cases, it is up to the surgeon to determine
intraoperatively what the proper oset should
be so as to achieve a hip that is stable without
impingement in all physiological positions.
Once the bone stock has been assessed
and proper leg length and oset have been
determined, the surgeon should template
the femur to determine the appropriate
stem size. If there is any compromise in the
diaphyseal femoral bone, it is recommended
that the implant bypass the decient bone by
approximately 5-7cm and that it engages in
good diaphsyeal bone.
REDAPT templates are available in digital and
acetate formats (Figure 3). Consult your Smith
& Nephew representative for assistance in
obtaining templates.
Surgeon tip After the preliminary femoral stem
size is determined, physically draw these on
the A-P radiograph in proper position. Drawing
is valuable when selecting the proper implant in
conjunction with the intraoperative ndings so
as to establish the proper implant position.
Figure 3

8
Abbreviated Surgical Technique
Trial ImplantDistal ream Proximal reamStarter ream

9
The following technique should be used when
implanting REDAPT Sleeveless or Sleeved
monolithic implants. Before surgery, review
instrument sets to ensure all instruments are
present and working properly.
Removal of a well xed femoral stem
The removal of a well xed femoral stem can at
times be accomplished using thin osteotomes
starting at the proximal portion of the implant.
If the ingrowth region of the implant is not
abutting cortical bone, this is more likely to be
successful. Often, however, the ingrowth region
of the stem is more distal and abuts the cortical
bone and advancing an osteotome may fracture
the femur. A proximal opening osteotomy,
typically an extended trochanteric osteotomy
(ETO), greatly facilitates stem removal. Once
the stem is exposed over the lateral surface,
a saw or burring device can be used to disrupt
the anterior and posterior surfaces. The medial
surface can then be disrupted using a Gigli
saw. This maneuver may be tedious and require
multiple saws. Once this is accomplished, the
ETO is replaced to its original position and held
in place with cerclage wires or cables.
Templating is useful in determining the length
of the ETO, identifying angular deformities which
may require corrective osteotomy, or planning
removal of other retained hardware.
Surgeon tip Before performing an ETO,
reaming, trialing and inserting a new stem,
place a cable or cerclage wire slightly distal
to the osteotomy or the existing stem before
reaming, trialing and inserting the stem to
minimize risk of propagating a crack or fracture.
Surgical Technique

10
Neck resection technique when using the stem in a
challenging primary application
The femoral neck resection may need to be modied in
some challenging primary applications such as angular and
rotational deformity. The conical, uted design is particularly
well-suited for these cases due to the stability that is possible
with this design. The shoulder of the implant is intended to
match the center of the femoral head for average anatomy,
and this should correspond to the tip of the greater trochanter.
Templating will determine the proper level of the prosthesis
with respect to the greater trochanter. Individual adjustments
should be made as necessary.
Causes of proximal femoral deformity or dysplasia may require
trochanteric osteotomy or femoral osteotomy. The nal level
of the shoulder of the prosthesis may have to be adjusted in
these cases. Placement of the box osteotome and insertion of
the canal nder may have to be modied in these cases.
Femoral preparation
The starter reamer can be used to open the proximal aspect
of the femur to remove bone from the greater trochanteric or
medial calcar regions. The presence of this bone will be largely
dependent on the stem previously implanted and the stem
removal process. Use the starter reamer to remove lateral bone
as shown in (Figure 4). Removing lateral bone is important for
maintaining neutral stem placement.
Caution Align etched depth mark on starter reamer to greater
trochanter to ensure proper proximal t of, while taking care not
to fracture potentially compromised bone.
Figure 4
Surgical Technique continued

11
Figure 5
Figure 6
Black line on quick connect
indicates alignment of
greater trochanter or other
predetermined landmark
Distal reaming
Select the appropriate reamer for the length of
stem chosen: 190mm reamers should be used for
190mm stems, 240mm reamers should be used
for 240mm stems and 300mm reamers should
be used for 300mm stems.
Attach the quick connect to the appropriate
distal reamer (Figure 5).
Set power in forward position and ream the
distal femoral canal until desired distal t is
achieved. Begin reaming with a distal reamer
that is at least 2mm smaller than the templated
size or a reamer that has little or no resistance.
To minimize potential risk of reaming through
the anterior cortex, direct the reamer from
anterior to posterior. Care should be taken to
avoid bone or surrounding soft tissue when
introducing reamers.
Note Do not strike the quick connect or
distal reamers.
Surgeon tip Ream until you hear cortical chatter,
the reamer contains cortical bone debris and
the reamer does not advance under rm axial
pressure. The reaming technique may be more
aggressive than with a cylindrical porous stem.
Caution Take care when handling reamers as
they are sharp and may damage surgical gloves
and soft tissue.
Progressively ream in 1mm increments. Note the
color code marked on the shaft of select distal
reamers. This color will identify available implant
sizes and appropriate instrumentation
for subsequent steps.
The size of a REDAPT™ stem is 0.25mm greater
than the equivalently sized reamer, providing
a press t of 0.25mm.
The depth of the reamer is determined by
aligning the mark on the quick connect, which
represents the +0 head center, with the greater
trochanter (Figure 6). If the greater trochanter
is not available then an alternative anatomical
reference must be made. A ruler can be used to
measure from the distal end of the osteotomy to
the previous location of the greater trochanter.
(Ruler not included in instrument set.) Ream
consistently to the determined land mark.

12
Figure 7 Figure 8
Color coding corresponds
to the reamer and stem size
Upon achieving desired distal t, disengage the quick connect
and power, apply a T-handle and ensure the reamer does not
rotate or translate axially. Leave nal distal reamer in the canal
and note the size.
Proximal reaming
Select a proximal reamer that oers little or no resistance when
placed over the shaft of the nal distal reamer. Commence
proximal reaming. The proximal reamer will rotate, however
the distal reamer will act as a guide and should not advance.
If the distal reamer advances during proximal reaming, re-ream
distally with successively larger distal reamers until desired
distal t is achieved. The distal reamer provides a positive
depth stop for the proximal reamer, the surgeon may hear a
click or observe that the etched depth mark is aligned to the
greater trochanter or other predetermined reference location
indicating the proximal reamer has bottomed out (Figure 7).
During progressive reaming, pulse lavage may be used to
remove bone debris from the canal so it will not impede the
proximal reamer from bottoming out on the distal reamer.
Proximal and distal reamers with the same color code represent
compatible and available implant options. For example, if the
nal distal reamer is 17 (blue), the corresponding 17 PF
(Sleeveless), 16/17XS, 16/17S, 16/17M or 16/17L proximal reamers
are identied by a blue band located near the chuck end
(Figure 8). Refer to Proximal Reamer Color Code chart for
available options. The following chart shows the proximal and
distal width dimensions of the REDAPT sleeves for each size
stem as noted on the Sleeve sizing chart.
Surgical Technique continued
Proximal reamer color code chart
Distal
reamer/
implant size
Color of
reamer/
implant
Proximal Reamers by number*
Starter 1 2 3 4 56 7 8 9 10 11 12
12 Purple PF 12/13XS 12/13S 12/13M 12/13L
13 Purple PF 12/13XS 12/13S 12/13M 12/13L
14 Black PF 14/15XS 14/15S 14/15M 14/15L
15 Black PF 14/15XS 14/15S 14/15M 14/15L
16 Blue PF 16/17XS 16/17S 16/17M 16/17L
17 Blue PF 16/17XS 16/17S 16/17M 16/17L
18 Red PF 18/19XS 18/19S 18/19M 18/19L
19 Red PF 18/19XS 18/19S 18/19M 18/19L
20 Copper PF 20/21XS 20/21S 20/21M 20/21L
21 Copper PF 20/21XS 20/21S 20/21M 20/21L
22 Gray PF 22/23XS 22/23S 22/23M 22/23L
23 Gray PF 22/23XS 22/23S 22/23M 22/23L
24 Brown PF 24/25XS 24/25S 24/25M 24/25L
25 Brown PF 24/25XS 24/25S 24/25M 24/25L
26 White PF 26/27XS 26/27S 26/27M 26/27L
27 White PF 26/27XS 26/27S 26/27M 26/27L
* PF = Sleeveless Stem

13
Sleeveless Stem
Color A dimension
12/13 17.5
14/15 17.5
16/17 19.5
18/19 21.5
20/21 23.5
22/23 25.5
24/25 25.5
26 26.5
27 27.5
The following tables illustrate the approximate proximal size of each Sleeveless stem as well
as sleeve dimensions for each Sleeved stem.
Sleeve sizing chart
Sleeve size corresponding to stem diameter and package/reamer color
STIKTITE™ sleeve
dimensions
Grit blasted sleeve
dimensions
Color code Purple Black Blue Red Copper Gray Brown White
Proximal
(mm)
Distal
(mm)
Proximal
(mm)
Distal
(mm)
Stem diameter
(mm)
12/13 14/15 16/17 18/19 20/21 22/23 24/25 26/27 B CBC
Sleeve options 12/13 XS 19.9 16.2
12/13S 14/15XS 21.2 17.5 21.9 18.2
12/13M 14/15S 16/17XS 23.2 19.5 23.9 20.2
12/13L 14/15M 16/17S 18/19XS 25.2 21.5 25.9 22.2
14/15L 16/17M 18/19S 20/21XS 27.2 23.5 27.9 24.2
16/17L 18/19M 20/21S 22/23XS 29.2 25.5 29.9 26.2
18/19L 20/21M 22/23S 25XS 31.2 27.5 31.9 28.2
20/21L 22/23M 24/25S 26/27XS 33.2 29.5 33.9 30.2
22/23L 24/25M 26/27S 35.2 31.5 — —
24/25L 26/27M 37.2 33.5 — —
26/27L 39.2 35.5 — —
B
C
Modular sleeve
The following chart shows the proximal and distal width dimensions of the
REDAPT sleeves for each size stem as noted on the Sleeve sizing chart.

14
Screw pops up when seated on proximal spacer
Figure 10 Figure 12
Figure 11
Trial body assemblies have been designed so that when
the teeth on the underside of the trial body mate with the
teeth on the proximal spacer when initially placed. When the
components are properly mated the screw on the top of the
trial body pops up. See Figure 10.
Secure the trial components together by tightening the screw
of the trial body with the trial assembly instrument. Advance
the trial body screw until it is ush with the top of the trial
body (Figure 11 and 12).
Once the trial body assembly is tightly secured, place the
desired trial neck (Standard or High oset) on the trial body.
Attach the selected trial head to the trial neck. Perform trial
reduction and range of motion (ROM) exercise to conrm
proper seating of implant, assess joint tension and ensure
there is no impingement to the hip.
Adjust trial components and position of trial neck to achieve
desired neck oset and neck version. (see gure 13) For version
adjustment, loosen trial body screw and rotate trial body to
desired position. Use a cautery pen to mark desired position
of the implant. Retighten screw and perform trial reduction
again to conrm position.
Press button
to release
Figure 13
Surgical Technique continued
Trial neck
Trial body
assembly
Distal reamer
Figure 9
Trialing
Assemble trial components over the proximal end of the distal
reamer starting with the trial body assembly and nally with
neck trials (Figure 9). At this point, establish correct femoral
anteversion. Check the trial body assembly for soft tissue
and/or bone debris that may impede the components from
seating properly.

15
Figure 15 Figure 16
Position of reamer
removal cap
Figure 14
Trial/Reamer removal
Attach trial handle to trial removal hook (Figure 14).
To remove the assembled trial components insert
the trial removal hook through the cross hole of
the trial body assembly (Figure 15). Using gentle
force, extract the trial components superiorly,
to avoid damage to surrounding tissue. If the
removal cross hole is not accessible, the trial
body assembly may be removed and the reamer
extracted using the reamer removal cap.
Important Reamers and trials are not
implantable devices and must be removed
prior to implant insertion.
If trialing was not performed, then the distal
reamer component can be removed using the
reamer removal cap. Screw the reamer removal
cap completely onto the threads of the distal
reamer, then place the trial removal hook
assembled onto the trial handle through the
cross hole in the reamer removal tool and use
gentle force to extract superiorly (Figure 16).
If resistance occurs when removing the reamer,
unscrew the distal reamer removal cap and
assemble the quick connect. Use the T-handle
to reverse the reamer out of the canal.
Note Do not use other devices or instruments to
remove reamer as these may damage the threads.

16
Figure 17
Surgical Technique continued
Implant assembly and insertion
Attach the threaded end of the stem inserter to the proximal
end of the stem implant (Figure 17). To attach, stand the stem
inserter upright so that the threaded tip is pointed up.Ensure
that the lever handle is open on the stem inserter and screw
the threaded tip into the implant as far as possible. Flip
the assembly over so that the stem tip is now pointing
down. Engage the frame tines into the slots adjacent to the
threaded hole on the stem. Rotate the pommel until the
assembly is secure.
Caution Prior to use, inspect the inserter to ensure that the
threads are not damaged and the tip is not bent. Do not over
tighten the pommel as this may cause it to lock up during
repeated impacting. Close the lever handle to lock the pommel.
Note Take care to protect the taper during the attachment of
the stem inserter.
If using a Sleeved stem, assemble the appropriate size
proximal sleeve onto the distal stem by hand (Figure 18). Take
care to ensure that all taper surfaces are protected, clean and
dry prior to assembling the sleeve. In one hand, rmly hold
the stem inserter, then use the other hand to place the sleeve
onto the stem. Now rmly hold the sleeve and strike the stem
inserter with three surgical hammer blows to lock the sleeve
to the stem.
Orient the stem to achieve the desired version. Insert the
stem into the femoral canal using hand pressure. Once the
stem is in the desired position, use a mallet to seat the stem.
Once the stem is implanted, release the lever on the inserter
and unscrew the pommel to release the instrument from
the stem. Trialing may be repeated with a trial head on the
implant if desired.
Ensure the stem taper is clean and dry before placing the
desired femoral head implant on the trunnion. Impact head
implant component with the head impaction tool. Correct
selection of the head length, cup and stem positioning are
important. Muscle looseness and/or mal-positioning of
components may result in loosening, subluxation, dislocation
and/or fracture of the component and/or bone. Perform nal
ROM with implants in position.
Figure 18

17
Proximal support
Once the nal components are implanted,
the osteotomy is reduced and secured with
cables. In order to reduce the osteotomized
bone fragment in its anatomic position, it may
be necessary to shape the endosteal surface
of the bone fragment with a curette or burr
to t against the lateral position of the
femoral component.
Caution The implant must contact bone, bone
ller, or secured allograft to provide adequate
secondary support.
Reattach the trochanteric segment using
ACCORD™ Cables (Figure 18) or other
appropriate proximal support.
Caution To gain adequate proximal support
and reduce the risk of implant failure, the use
of adjunctive devices such as cables, cerclage
wires, struts, etc. is recommended.
Figure 19

18
Catalog information
REDAPT™ Sleeveless Revision Stems
190Mm 240Mm 300Mm
Size Std Oset Hi Oset Std Oset Hi Oset Std Oset Hi Oset
12 7135-4461 7135-4478 7135-4701 7135-4718 7135-4736 7135-4754
13 7135-4462 7135-4479 7135-4702 7135-4719 7135-4737 7135-4755
14 7135-4463 7135-4481 7135-4703 7135-4721 7135-4738 7135-4756
15 7135-4464 7135-4482 7135-4704 7135-4722 7135-4739 7135-4757
16 7135-4465 7135-4483 7135-4705 7135-4723 7135-4741 7135-4758
17 7135-4466 7135-4484 7135-4706 7135-4724 7135-4742 7135-4759
18 7135-4467 7135-4485 7135-4707 7135-4725 7135-4743 7135-4761
19 7135-4468 7135-4486 7135-4708 7135-4726 7135-4744 7135-4762
20 7135-4469 7135-4487 7135-4709 7135-4727 7135-4745 7135-4763
21 7135-4471 7135-4488 7135-4711 7135-4728 7135-4746 7135-4764
22 - - 7135-4712 7135-4729 7135-4747 7135-4765
23 - - 7135-4713 7135-4731 7135-4748 7135-4766
24 - - 7135-4714 7135-4732 7135-4749 7135-4767
25 - - 7135-4715 7135-4733 7135-4751 7135-4768
26 - - 7135-4716 7135-4734 7135-4752 7135-4769
27 - - 7135-4717 7135-4735 7135-4753 7135-4771
240mm
REDAPT Sleeved Revision Stems
240mm 300mm
Size Std Oset Hi Oset Std Oset Hi Oset
12 7135-4801 7135-4818 7135-4836 7135-4854
13 7135-4802 7135-4819 7135-4837 7135-4855
14 7135-4803 7135-4821 7135-4838 7135-4856
15 7135-4804 7135-4822 7135-4839 7135-4857
16 7135-4805 7135-4823 7135-4841 7135-4858
17 7135-4806 7135-4824 7135-4842 7135-4859
18 7135-4807 7135-4825 7135-4843 7135-4861
19 7135-4808 7135-4826 7135-4844 7135-4862
20 7135-4809 7135-4827 7135-4845 7135-4863
21 7135-4811 7135-4828 7135-4846 7135-4864
22 7135-4812 7135-4829 7135-4847 7135-4865
23 7135-4813 7135-4831 7135-4848 7135-4866
24 7135-4814 7135-4832 7135-4849 7135-4867
25 7135-4815 7135-4833 7135-4851 7135-4868
26 7135-4816 7135-4834 7135-4852 7135-4869
27 7135-4817 7135-4835 7135-4853 7135-4871
240mm