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H-MAX

H-MAX builds on a trusted design with extra features and an optimised coating for enhanced biological fixation and natural offset distribution. Uncemented (H-MAX S) and cemented (H-MAX C) versions are available.

Clinically proven promise of long-term survivorship

Full biological fixation enhanced by secondary stability

Real intraoperative versatility

About

H-MAX stem covers all surgical approaches from the most traditional to modern tissue-sparing techniques.

The low profile lateral shoulder design enables easy insertion in reduced incision techniques, especially the anterior approach. The H-MAX stem develops the principles of ‘Corail’ Philosophy: straight stem with rectangular cross section and with HA coting for an effective osteointegration. If the patient needs the support of a cemented stem, H-MAX C can be used instead of the uncemented H-MAX S without changing the instrument set.
BIBLIOGRAFIA [1] Müller M, Tohtz S, Springer I, Dewey M, Perka C. Randomized controlled trial of abductor muscle damage in relation to the surgical approach for primary total hip replacement: minimally invasive anterolateral versus modifi ed direct lateral approach. Arch Orthop Trauma Surg. 2011;131(2):179-89. [2] D’Arrigo C, Speranza A, Monaco E, Carcangiu A, Ferretti A. Learning curve in tissue sparing total hip replacement: comparison between different approaches. J Orthop Traumatol. 2009;10(1):47-54. [3] Pfl üger G, Junk-Jantsch S, Schöll V. Minimally invasive total hip replacement via the anterolateral approach in the supine position. Int Orthop. 2007;31(Suppl 1):7–11. [4] Søballe K., Overgaard S. The current status of hydroxyapatite coating of prostheses. J Bone Joint Surg Br; 1996;78(5):689-91. [5] Lima Internal Report n° 2012. [6] Røkkum M, Reigstad A, Johansson CB. HA particles can be released from well-fi xed HA-coated stems. Acta Orthopaedica Scandinavica. 2002;73(3):298-306. [7] Dumbleton J, Manley MT. Hydroxyapatite-Coated Prostheses in Total Hip and Knee Arthroplasty. J Bone Joint Surg Am. 2004;86(11):2526-40. [8] Capello WN, D’Antonio JA, Jaffe WL, Geesink RG, Manley MT, Feinberg JR. Hydroxyapatite-coated Femoral Components. 15-Year Minimum Follow-up. Clinical Orthopaedic and Related Research. 2006;453:75–80. [9] Charles MN, Bourne RB, Roderick Davey J, Greenwald A S, Morrey B F, Rorabeck CH. Soft Tissue balancing of the hip - The role of femoral offset restoration. J Bone Joint Surg Am. 2004;86(5): 1078-88. [10] Sakai T, Sugano N, Nishii T, Haraguchi K, Ochi T, Ohzono K. Optimizing femoral anteversion and offset after total hip arthroplasty, using a modular femoral neck system: an experimental study. Journal of Orthopaedic Science. 2000;5(5):489-94. [11] Fusi S, Paris D, Dalla Pria P, Bloch HR, Pressacco M. L’evoluzione del disegno protesico dei colli modulari: lo stelo H-MAX M. Sphera Medical Journal. 2009 ;10:60-3. [12] Lima Internal Report n° 2008-03.

Sizing and Options

H-MAX-S

H-MAX-S HA coated primary hip stem
Uncemented
Ti6Al4V + HA
Sizes 8 to 18
Std offset 134°
Lateralized offset 131°

H-MAX C

H-MAX C Highly polished cemented stem
FeCrNiMnMoNbN
Sizes 9 to 18
Std offset 134°
Lateralized offset 131°

Clinical Papers

Lakhani K, Mimendia I, Porcel JA, Martín-Domínguez LA, Guerra-Farfán E, Barro V.

Direct anterior approach provides better functional outcomes when compared to direct lateral approach in hip hemiarthroplasty following femoral neck fracture. Eur J Orthop Surg Traumatol. 2021 Mar 24.

Medetti M, Padolino A, Benazzo F.

H-MAX stem in restoring femoral offset in hip arthroplasty: our experience. Hip Int. 2015;25(Suppl 1):S111

West S, Mussa M, Parakambalath S.

Minimum 3-year follow-up results of the H-MAX stem and DELTA-PF cup in the management of primary osteoarthritis of the hip from a single surgelo in England. Hip Int. 2015;25(Suppl 1):S84.

Santori N, Falez F, Potestio D, Santori FS.

Fourteen-year experience with short cemented stems in total hip replacement. Int Orthop. 2019 Jan;43(1):55-61. doi: 10.1007/s00264-018-4205-3.

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