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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.

Resources

Product manufactured by Limacorporate S.p.A.
Please note that not all products are compatible with each other. Please refer to IFU for further indications.
Please note that not all products are available and registered in every market. Please contact your Enovis’ Sales Representative for any further information.
Mathys Ltd Bettlach and Limacorporate S.p.A. are affiliates of Enovis Corporation.

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