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Multigen Plus Revision

Multigen Plus Total Knee system provides surgeons with a complete system to meet patients’ needs from primary to revision cases. Modular, versatile, and intuitive have been in Enovis' portfolio for more than 20 years.

High Stability

The physical link between the femoral component and the tibial plate limits A/P and M/L translations. It allows flexions and internal-external rotations between the femur and the tibia.

High Modularity

The components combine with the entire system, from primary to revision. They adapt to the orthopedic surgeon’s operating style and technique.

Bone Stock Design

The hinged mechanism integrated into the intercondylar box requires extremely sparing femoral resection. The hinge version retains the posterior condyles.

About

Enovis' Multigen Plus CCK suits patients with instability or inadequate ligament function.

This total knee arthroplasty system applies to complex primary or revision procedures, being modular and condylar constrained. It provides different combinations through its wide range of components. The tibial tray is compatible with the Multigen Plus primary components (fixed bearing only).
Enovis' Multigen Plus CCK has the same internal femoral bone cuts as the primary knees. This allows intra-operative versatility, with the coupling of standard or offset stems and augments. The cemented Multigen Plus CCK femoral component is available in 5 sizes. Its use in combination with primary implants can provide extra flexibility. The same symmetric and cemented fixed plate is available for the entire Multigen Plus system. The 6° of posterior slope aim to improve quadriceps function and patient mobility.

Enovis' Multigen Plus H Knee is an optimal treatment for global instability following weakness or absence of collateral ligaments or severe bone loss around the knee. 

The rotating-hinge arthroplasty offers stability and allows an intrinsic rotation that simulates the biomechanical reply of a normal knee, reducing the stress produced by an elevated constriction.
Enovis' Multigen Plus H Knee internal geometry is consistent with the system’s basic bone cuts. This ensures compatibility and bone stock preservation. The femoral and tibial bushing are made of an innovative material, Carbon Fiber Reinforced (CFR)-PEEK, which aims to extend implants’ lifespan, reducing wear and deformation. The Multigen Plus H knee allows a flexion angle of at least 135° and a hyperextension up to 2°. It also provides a rotating platform for about 20° of internal/external rotation around to the vertical axis.

Sizing and Options

5 Femoral sizes
CCK and H: Symmetric and cemented version
Coupling with CCK/H Distal or Posterior Femoral Augments (2 sizes) available

5 Tibial sizes
CCK: symmetric and cemented version.
Compatible for complex primary cases.
Same fixed plate for CR, PS, CCK
Tibial tray compatible with the Multigen Plus Primary components.
H: symmetric and cemented version.
Coupling with CCK or H Tibial Augments (2 sizes) available

5 liner sizes
5 thicknesses for CCK
6 thicknesses for H
CCK and H: symmetric version only
CCK Fixed bearing design
H Mobile bearing design
UHMWPE

CCK/H Femoral Offset Modules: short & long, R/L, 3 AP offsets
CCK Tibial Offset Modules: short & long, 3 offsets, 360° radial positioning
H Tibial Offset Modules: short & long, 3 offsets, 360° radial

CCK/H Tibial/Femoral Stems: 3 lenghts, 6 diameters, cementless press-fit fixation
To be used with modules only

Clinical Papers

Lizaur-Utrilla A, Collados-Maestre I, Miralles-Muñoz FA, Lopez-Prats FA.

Total Knee Arthroplasty for Osteoarthritis Secondary to Fracture of the Tibial Plateau. A Prospective Matched Cohort Study. J Arthroplasty. 2015 Aug;30(8):1328-32.

Lizaur-Utrilla A, Asensio-Pascual A, Gonzalez-Parreño S, Miralles-Muñoz FA, Lopez-Prats FA.

Negative impact of prior debridement on functional outcome of subsequent two-stage revision for early knee periprosthetic infection. Knee Surg Sports Traumatol Arthrosc. 2019 Jul;27(7):2309-2315.

Sosio C, Gatti R, Corti M.

Motion analysis after total knee arthroplasty. Sport Sci Health. 2008; 4:1–6.

Touzopoulos P, Drosos GI, Ververidis A, Kazakos K.

Constrained Implants in Total Knee Replacement. Surg Technol Int. 2015 May;26:307-16. Constrained Implants in Total Knee Replacement. Surg Technol Int. 2015 May;26:307-16.

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