This publication is not intended for distribution in the USA.

SURGICAL TECHNIQUE
CONTENTS

Introduction

Device Compatibility 2
Sleeve Offsets 2
Overview of Implant Sizing 4

Cup Positioning 5

Pre-Operative Planning

X-ray Templating 6

Surgical Technique

Step 1. Surgical approach 8

Step 2. Preparing the acetabulum 9
Step 3. Reaming the acetabulum 10
Step 4. Acetabular cup trialling and positioning 11
Step 5. Implanting the definitive cup 13
Step 6. Assessing cup orientation 16
Step 7. Removing the impaction cap 17
Step 8. Preparing the femur 18
Step 9. Trial reduction 18
Step 10. Repositioning of the acetabular cup 19
Step 11. Implanting the definitive femoral stem 21
Step 12. Attaching the definitive femoral head 22

Appendices

Training and Support 24

Instrument Assembly Instructions 25

Ordering Information

Implants 27

DELTAMOTION® Sizing Chart 28

 INTRODUCTION: DEVICE COMPATIBILITY

Note DELTAMOTION Cups can be used in combination with either DELTAMOTION Modular heads,
BIOLOX® delta heads or BIOLOX delta TS heads where an appropriate bore size is available.
DELTAMOTION
shell and taper
sleeve are DELTAMOTION Modular Heads and Modular Sleeves should only be used with approved
manufactured DePuy Synthes 12/14 ARTICUL/EZE® femoral stems (see product labelling for details).
from Titanium
Alloy (Ti6AL4V)
to eliminate The DELTAMOTION system can be used with DePuy Synthes 12/14 ARTICUL/EZE femoral
the presence of
Cobalt. stems including: CORAIL® Hip System, S-ROM® 12/14, C-STEM™ AMT Triple Taper Stabilised
Hip, SUMMIT®, TRI-LOCK® Bone Preservation Stem, DePuy Synthes PROXIMA™ ZTT
and SILENT™.

2
Sleeve Offsets
DELTAMOTION Sleeves provide neck length offsets in S, M, L & XL.

DePuy Synthes BIOLOX delta Heads DELTAMOTION

+1.5 S (-3 mm)

+5 M (0 mm)

+8.5 L (+4 mm)

+12 XL (+7 mm)

Head Compatibility

Head Diameter DELTAMOTION BIOLOX delta BIOLOX delta TS

32 mm ✓ ✓ ✓

36 mm ✓ ✓ ✓

40 mm ✓ ✓

44 mm ✓ ✓

48 mm ✓

3
 IMPLANT SIZING: RELATIONSHIP BETWEEN
TRIAL AND IMPLANT SIZE
Note

It is
recommended
to template
every patient
to ascertain
the correct
orientation and
give an indication
of cup size.
Trial diameter =
Cups are labelled Implant diameter - 1 mm
with their
definitive outer Trial diameter =
diameter, i.e., a Implant diameter - 1 mm
cup size 46 mm
has an external
Trial height =
diameter of
Implant height - 0.5 mm
46 mm.
Trial height =
A press-fit of Implant height - 0.5 mm
2 mm will be
achieved by
using a final
reamer 2 mm
smaller than the
implant selected.
Similarly a
1 mm press fit
will be achieved
It is important to understand that all Soft bone will more readily accommodate a
by using a reamer
1 mm smaller DELTAMOTION Acetabular Cup implants are greater press-fit of the acetabular component
than the chosen marked with true dimensions. A single trial is than sclerotic bone. In some patients, line-to-line
implant.
available for each cup size. The height of the reaming may be sufficient to achieve stability.
Note trial is less than the height of the implant by Where the acetablum is reamed often determines
0.5 mm and the diameter is 1 mm smaller than where the cup will sit, it is important to ream
DELTAMOTION
trials are the implant, ie, a 46 mm trial is actually 45 mm where the final cup is to be positioned.
provided in in diameter. The graters, cup trials and actual
2 mm increments
(even numbered DELTAMOTION Cups are all a full hemisphere of
only). Trials are 180˚.
hemispheres.

Under-reaming of the acetabulum is dependent

on bone quality and the size of the acetabular
component. Varying degrees of bone quality will
require different levels of press-fit.

4
CUP POSITIONING

Peer reviewed publications highlight the

importance of acetabular component positioning
in relation to short and long term outcomes during
total hip arthroplasty for all types of bearing
materials.1-8

Cup positioning should be varied to optimise

fixation, range of motion and dislocation resistance
and minimise the likelihood of subluxation,
impingement and edge loading. This may be
assessed during pre-operative planning, acetabular
preparation and cup trialling. Sub-optimal
component positioning may lead to edge loading,
dislocation, increased wear, elevated metal ion
release, ceramic squeaking and polyethylene
fracture.1-8

The target cup inclination (as measured on

radiographs) should be 40-45° taking into
account local soft tissue and anatomic landmarks.
The target cup anteversion (as measured on
radiographs) should be 15-20° taking into account
local soft tissue and anatomic landmarks.

An alignment guide is provided to assist with

cup positioning; however, cup orientation in
the patient depends on patient position. The
alignment guide does not allow for variation in
patient position with respect to the operating table
and it should be noted that patient orientation can
vary throughout the procedure.

Please Note
The DELTAMOTION Cup has
a target INTRAOPERATIVE
cup inclination of 35°, with
the intent of achieving a
RADIOGRAPHIC cup position
as described above.

5
PRE-OPERATIVE PLANNING X-RAY TEMPLATING

The primary goal of total hip arthroplasty is the

anatomic reconstruction of the hip joint, resulting
in favourable prosthetic joint load and function.

Mechanically, the goals are to create a stable

articulation with optimised range of motion,
restored biomechanics for muscular efficiency
and equalised limb lengths.Meeting these goals
begins with a thorough analysis of the hip
with comparison to the contralateral side in
anterior/posterior (A/P) and lateral projections.
DELTAMOTION templates are available in 100%,
115% and 120% magnifications. Magnification
markers taped to the patient’s leg at the level of
the trochanter will assist in determining actual
x-ray magnification.

For the A/P projection, place both extremities

in 15° of internal rotation to position the head
and neck parallel to the coronal plane. Centre
the beam on the symphysis pubis and ensure
the proximal femoral shaft is included in the
radiograph. The radiographs should clearly
demonstrate the acetabular configuration and the
endosteal and periosteal contours of the femoral
head, neck and proximal femur.

Frequently, the affected hip is fixed in external

rotation, which leads one to underestimate the
amount of offset present. In this situation it may
be helpful to template the normal hip. Take into
consideration any anatomical anomaly, dysplasia,
previous fracture or leg length discrepancy.

Using the A/P radiograph, position the template

with the correct magnification 40°-45° to
the inter-teardrop or interischial line so that
the inferomedial aspect of the cup abuts the
teardrop and the superior-lateral cup is not
excessively uncovered.

Implanting the cup at an intraoperative

inclination angle of 35° and an anteversion
angle of 15° to 20° is appropriate for most
patients.

6
 Note

It is
recommended
to template
every patient
to ascertain
the correct
orientation and
give an indication
of cup size.

Using the templates provided at the correct Before progressing with surgery, the surgeon can
magnification, assess the X-ray to approximate the familiarise himself by carrying out the following
most suitable cup size and position. The landmarks steps:
for acetabular component positioning are the
medial wall of the acetabulum (radiographic tear • Familiarise yourself with the weight of the
drop) and the superolateral rim of the acetabulum. mallet, as the force can vary dependent on the
The neck length can be adjusted as required, by size and material.
moving the head/cup template in relation to the
stem template to overlay in one of the four head • It is helpful to get a ‘feel’ for the strength of
offset positions. the spring in the cup introducer and impactor,
prior to clinical usage, as well as the weight
It is important to note that the template is a of the impactor. The straight and curved
guide only. The final implant size and position introducer have a different ‘feel’ to them.
will be determined intra-operatively.

7
STEP 1: SURGICAL APPROACH

All standard approaches that provide adequate access for Total Hip Replacement are acceptable.
This document illustrates the patient lying on their contra-lateral side.

8
STEP 2: PREPARING THE ACETABULUM

Expose the Acetabulum Note

The approach undertaken to prepare the acetabulum is based on the surgeon’s specific technique and
Start by
philosophy, but here are some considerations of approach: under-reaming
by 2 mm, trial
• Must have good visualisation (not recommended with minimally invasive approaches). and if necessary
go to 1 mm

• If not already done, excise the labrum and, if necessary, remove extensive osteophytes to visualise Note
the entire acetabular rim. Clear soft tissue and cartilage as required to access other landmarks of the
Use of worn or
acetabulum, such as the true floor and the transverse acetabular ligament. blunt reamers
could cause
inaccuracy in
• Ream carefully to maintain acetabular offset whilst avoiding excessive medialisation. reaming

• Start reaming close to the transverse acetabular ligament as this will compensate for the drift
superiorly that can occur.

• Ream to the teardrop and then expand.

• Ream until a circumferential grip is achieved with the reamer (the assessment of the reamed cavity
should always be made with the trials, since variation between reamers is too great to use them as a
reliable indicator of press-fit).

• Ensure no out of axis reaming is performed.

• It is recommended to ream to 2 mm under the anticipated size to begin trialling.

• Hard (sclerotic) bone is likely to lead to a requirement for ‘line to line’ reaming (please remember there
is no additional fixation option available with this device).

9
STEP 3: REAMING THE ACETABULUM

Ream the Acetabulum

Use successively sized
DELTAMOTION reamers (reaming
in 1 mm increments) to ream to
the ideal acetabular size, without
excessive thinning of the walls.
35˚
Correct assessment of the
reamed size can only be
made with the sizing trials,
which are 1 mm diametrically
smaller than the definitive
cups. This must be a firm
fit when fully seated in
the acetabulum.

Under normal circumstances

initial trialing should be
attempted at 2 mm of
under reaming, however
this is dependent on bone
density. Under-reaming of the
acetabulum is dependent on
bone quality and the size of the
acetabular component.
UNDER REAM 2 MM

A 1 mm under-ream is usually
sufficient in smaller sockets,
TRIAL
while a larger socket may require
1-2 mm under-ream. Likewise,
soft bone will more readily
FIT ACHIEVED? YES IMPLANT CUP accommodate a greater press-fit
of the acetabular component
NO than sclerotic bone. In some
patients, line-to-line reaming
UNDER REAM 1 MM may be sufficient to achieve
stability.

TRIAL

FIT ACHIEVED? YES IMPLANT CUP

NO

LINE-TO-LINE

10
STEP 4: ACETABULAR CUP TRIALLING
AND POSITIONING
Note

New users should

familiarise
themselves with
the difference in
height between
the impaction
cap and the face
of the acetabular
implant. This
Trial diameter = will help identify
Implant diameter - 1 mm where acetabular
landmarks will
Trial diameter = sit relative
Implant diameter - 1 mm to the overall
construct.
Trial height =
Implant height - 0.5 mm
Trial height =
Implant height - 0.5 mm

Trialing is essential prior to insertion of the definitive device. The trial is smaller than the definitive cup
implant and a good guide for cup positioning, marking the cup depth and the first step to making sure
the definitive component will achieve stability.

• Whilst trialing deal with osteophytes that could inhibit straight shot entry into the acetabulum
(typically on the anterior rim).

• The height/depth of the trial in relation to the definitive implant is 0.5 mm smaller and is therefore
1 mm smaller in diameter

• Mark position of final cup using diathermy to mark depth, version and abduction to help
with definitive cup placement.

• To avoid damaging the press fit aperture, attach a slap hammer and remove the trial on the same axis
as you plan to introduce the definitive cup.

11
 ACETABULAR CUP TRIALLING
AND POSITIONING
Note

Correct cup
alignment is
essential in order
to benefit from
the long-term
wear properties
possible with
BIOLOX
delta ceramic
bearings.9 As
with other large
bearings, the
increased range
of motion (ROM)
and stability
offered by
DELTAMOTION
could mask
the effect of
an imperfectly
aligned cup. it 35˚
is essential that
the provided
cup alignment
instrumentation
is used.

Note

Studies have
shown that
incorrect
acetabular
component
positioning can
lead to edge
loading and
undesireable
effects across all
bearings, such
as dislocation,
increased wear, Select either the Straight or Curved Acetabular Trial Assess the fit by letting go of the sizing
component Handle, screw fully into the selected sizing trial, trial-handle assembly to see if it holds in the
impingement,
ceramic position carefully and impact into the acetabulum. acetabulum. Also try to move the trial (it should be
squeaking, Check that the trial achieves a stable press-fit. A firm whilst fully seated). Remove the trial along the
elevated metal
ion release and
degree of exposure of the superolateral edge may same axis used to insert it, taking care to record
polyethylene be considered acceptable, if a stable press-fit is the size used; this will be the size of the definitive
fractures.1-8 achieved. Visually confirm the trial is fully seated cup.
through the holes in the cup trial.

12
STEP 5: IMPLANTING THE DEFINITIVE CUP

Note

Particular
attention should
be paid to the
mechanism
through which
inserter and
cup attach.

• The Surgeon
Backwards (not nursing
staff) should
test the
tension of the
attachment
prior to
inserting the
device.
Forwards
• Ensure the
cup is lined
up with
attachment
lever facing
away from
the front of
the surgeon.

• The three fins

on the device
should then
be positioned
at 6, 10 and
2 o’clock to
engage all
three pelvic
bones (this
may not be
achievable
in practice,
dependent on
the patient’s
anatomy).
Prepare the Cup for Implantation Note
To mount the cup on the Cup Introducer;
New users
should
• Open the jaws by pulling the latch and raising the lever away from the Cup Introducer until it is familiarise
perpendicular to the body of the instrument. themselves with
the difference in
height between
• Slide the dovetail section of the Impaction Cap into the open jaws on the Cup Introducer. the impaction
cap and the face
of the acetabular
• Close the jaws by lifting the latch away from the introducer body and pulling the lever back towards implant. This
will help
the handle until it lies parallel to the instrument body and the latch drops back into the locking recess. identify where
acetabular
• Adjust the rotational position of the three fins as required, before tightening fully. landmarks will
sit relative to the
overall construct.

Warning

Do not attempt
to remove the
preassembled
ceramic liner
which is
locked into the
shell’s cavity.

13
 IMPLANTING THE DEFINITIVE CUP

Note

The Straight Cup

Introducer (Cat.
No. 271-014F)
uses an
Alignment Aerial
which is fixed at
45° and cannot
be adjusted.

Please ask
your rep for
the adjustable
version if your
set only has the
fixed version.

Cup Alignment Aerial

The Cup Alignment Aerial can be used to provide verification of the cup inclination and anteversion.
To use:

• Assemble the Alignment Aerial Location Clamp and Alignment Aerial Adjustable Arm and attach to
the Cup Introducer using a No. 8 Screw and tighten using the Knob Tightener.

• Adjust the arm to the required abduction angle (35° is recommended), and tighten the Ratchet
Locking Screw using the Knob Tightener.

• Insert the Aerial Alignment Rod in the correct hole for either a left or right hip, and for the desired
anteversion (15º-20º is recomended) as indicated and secure using a No. 8 Screw HAND TIGHTENING
ONLY.

14
 35˚

Position and Impact the Cup Remove the Cup Introducer

Position the cup in the acetabulum. When using Remove the Cup Introducer by once again pulling
the Alignment Aerial, with the pelvis orientated in the latch backwards and raising the lever until it
the true lateral position, the Alignment Rod should is perpendicular to the body of the instrument.
be horizontal and in line with the trunk. A gentle twisting motion will release the
Cup Introducer.
Place the fins in each bone of the pelvis (ilium,
ischium and pubis). It is essential that the cables are not cut until
the surgeon is completely satisfied with final
Impact the cup with several firm hammer blows abduction and version, as the monobloc design
until fully seated. A change in impact tone should limits adjustment once the impaction cup is
be heard when the cup is fully seated. Check detached.
that the implant achieves a stable press-fit. A
degree of exposure of the superolateral edge may Assess orientation by observing the cup face
be considered acceptable, if a stable press-fit is in relation to the acetabular rim. If necessary,
achieved. Test the firmness of the cup fit by trying re-attach the Cup Introducer to remove and
to gently rock the pelvis with the Cup Introducer. reposition the cup.

15
 STEP 6: ASSESSING CUP ORIENTATION
AND STABILITY
Note

Do not separate
the cap without
first assessing
cup orientation.

Stability is the most

important outcome

Assessing Cup Orientation

• If the posterior osteophytes do not impinge acetabular access leave them in place to assist as
additional bone scaffold.

• With increased experience with this device, you may be able to detect an audible pitch change during
the definitive cup impaction to help you understand when the cup is fully seated.

• Ensure definitive cup is positioned as was observed with the cup trial.

• Line up with previously made electrocautery marks made during trialling if carried out.

16
STEP 7: REMOVING THE IMPACTION CAP

Assemble the Modular Cap Remover Note

Fit the Modular Cap Remover over the end of the
Do not separate
Straight Acetabular Trial Handle and tighten fully. the cap without
first assessing
cup orientation.

Note

Check all
1 cables are fully
removed from
the cup.

35˚

3
2

Remove Impaction Cap After removal of the impaction cap, thoroughly

Locate the assembled instrument over the clean the entire site to ensure the removal of
hexagonal nut of the impaction cap. Holding the any bone fragments and debris. On occasion,
instrument perpendicular to the implant. Strike the impaction cap wire may be present and obscured
end of the handle  with two firm hammer blows by soft tissue. You may wish to perform a digital
to cut the cables. examination around the cup to confirm removal,
or use another suitable method.
Check cables are fully cut.

Turn the handle clockwise  one full turn to

withdraw the cables and release the Impaction
Cap from the cup (more than one rotation may be
needed on large sizes). If the handle will not turn,
strike again, to ensure that the cable is cut fully,
taking care to release twisting pressure on the
handle whilst impacting.

Remove the impaction cap .

17
 STEP 8: PREPARING THE FEMUR

Prepare the femur for the chosen DePuy Synthes femoral stem as described in the relevant surgical
technique. Do not implant the final stem but leave the trial stem/rasp in its final position for the trial
reduction and cup alignment procedures, described in the following sections.

STEP 9: TRIAL REDUCTION

Note
Insert the Femoral Stem Trial Neck
Always check With the stem trial/rasp in its final position in the
for impingment prepared femur, attach the desired trial neck, if
during reduction
and reposition applicable, with reference to the appropriate stem
the cup where surgical technique manual.
necessary.

Assemble the Head Trial components

Select the appropriate head trial matching the cup
bore size (see sizing chart on page 27) and insert
the trial neck length collar fully into the head.
Place the assembled Head Trial on the Trial Neck.

Trial Reduction
Reduce the hip. Assess ROM, stability and leg
length. Change the Neck Trial Sleeve if required to
achieve correct soft tissue tension and repeat the
procedure. Record the offset marked on the final
Neck Trial Sleeve used (S, M, L or XL); this will be
the offset of the definitive head.

18
STEP 10: REPOSITIONING THE ACETABULAR CUP

Should it become necessary to re-align or Note

reposition a cup after the Impaction Cap has been Warning
Reassess
removed the following procedure may be used. If cup stability
attempting this procedure the clinician should be NEVER attempt to following
repositioning
aware that in some circumstances it may result in reposition the cup without (Step 6).
loss of fixation and careful re-impaction may be
required. Using your hand, manually re-assess cup
the impaction cap in Note
stability following repositioning. place. The metal shell Care should
must not be directly be taken not
Carefully place the removed Impaction Cap over to damage the
the face of the implanted cup, ensuring that the
impacted. This could lead bearing surface
when using the
hub on the underside of the cap locates in the to liner disassociation or Punch.
cup liner and that the cap is fully seated against damage.
the cup rim. If necessary use the Modular Cap
Remover and Straight Handle to wind the cables
further into the cap to prevent cable ends fouling
the cup rim.

Assemble the Impaction Cap Punch

Fit the Impaction Cap Punch over the end of the
Straight Acetabular Trial Handle and tighten fully.

19
REPOSITIONING THE ACETABULAR CUP

Assemble the Cap Remover

Fit the Modular Cap Remover over the end of the Curved Acetabular
Trial Handle and tighten fully. Locate the socket of the Cap Remover
over the hexagonal nut in the centre of the Impaction Cap and apply
light pressure on the Impaction Cap.

Position and Impact the Punch

Position the spiked end of the Impaction Cap Punch at the selected location on the surface of the plastic
Impaction Cap and as close as possible to the cap’s edge. Hold the handle perpendicular to the cup face
and impact firmly using a hammer.

Assess cup position and fixation and if necessary repeat the procedure, checking before each blow that
the Impaction Cap is firmly seated on the cup rim.

20
STEP 10: IMPLANTING THE DEFINITIVE
FEMORAL STEM

Remove all trial components and implant the The DELTAMOTION system can be used with
definitive stem implant as described in the DePuy Synthes 12/14 ARTICUL/EZE femoral stems
appropriate operative technique. including: CORAIL Hip System, S-ROM 12/14,
C-STEM AMT Triple Taper Stabilised Hip, SUMMIT,
TRI-LOCK Bone Preservation Stem, DePuy Synthes
PROXIMA ZTT and SILENT.

21
 STEP 12: ATTACHING THE DEFINITIVE
FEMORAL HEAD
Warning

Do not handle
either the
head taper or
sleeve prior
to assembly
and ensure all
mating surfaces
are kept clean
and dry. The
presence of
foreign material
on any mating
surface can
increase the
load on ceramic
components
resulting in
failure or taper
lock corrosion.

Assemble the DELTAMOTION Modular Head and DELTAMOTION Sleeve

Select the correct diameter DELTAMOTION Modular Head and the DELTAMOTION Sleeve with the correct
offset matching the last Neck Length Collar used.

Remove all outer packaging and assemble the head and sleeve using the plastic tray provided with the
component. Check both the outer surface of the sleeve, and inner taper in the head are clean
and free from any packaging material or other debris. Carefully place the head over the sleeve and
press down firmly until resistance is felt. It is essential that the head is not tilted or placed at an
angle on the sleeve to ensure proper seating.

22
Attach the Head
Care must be taken when placing the assembled
head and sleeve on the femoral stem: Mating
surfaces must be thoroughly dry and free of
any foreign matter (e.g. blood, bone or other
body tissue, metal or cement particles).

Place the head and sleeve on the femoral stem

taper by twisting lightly whilst applying manual
pressure. Without using excessive force, impact the
head firmly using the plastic Head Impactor.

Final Hip Reduction

Flush out the entire joint with saline, cleaning and inspecting the ceramic articulating surfaces.

Reduce the hip, taking great care to avoid either scraping the head along the cup rim, or allowing impact
between the ceramic components: The plastic Hip Slider provided may be used to ease the head into the
ceramic cup liner.

Finally re-assess ROM, stability and leg length.

23
APPENDIX A: TRAINING AND SUPPORT

Recommended Training and Support Tool considerations prior to utilising the

DELTAMOTION system

Sales representative support Professional Education Surgeon to surgeon

Ensure you have the latest Courses instruction
version of the product rationale / Attend a DELTAMOTION DePuy Where practical and possible,
surgical technique. Synthes Cadaver lab to learn ask your DePuy Synthes
from our core surgeon faculty. representative to indicate which
Request the attendance of Dates are available on request. are the official visitation training
your DePuy Synthes sales sites for DELTAMOTION. Here
representatives who have a you will be able to observe cases
detailed understanding of the and will be trained in a KOL’s
product and the procedural theatre.
steps.

Ensure access/visibility to the

surgical technique during the
first surgical procedures.

Ensure you have completed

a saw bones session through
DePuy Synthes to familiarise
yourself with the instruments
and their correct order of use
(a step by step walk through
of the procedure to facilitate
your understanding of the
insertion locking mechanism
and instrumentation).

General Guidance
Do not change your surgical approach at the same time as trialling this product for the first time. Be
comfortable with your preferred approach before introducing a new implant system.

24
APPENDIX B: INSTRUMENT ASSEMBLY INSTRUCTIONS

Lift

Pull back
Release Cup

Unscrew to clean
spring inside
Pull out then push forward to clean
obstructed areas

Open for cleaning

Cup Latch - LOCKED Cup Latch - UNLOCKED

25
 INSTRUMENT ASSEMBLY INSTRUCTIONS

Note

Hand tighten
Screw No. 8
where indicated

Use Knob
Tightener to
tighten ALL
other screws
Screw No. 8
(Hand tighten only)
299-033F

Aerial Alignment Rod

271-119F

Alignment Aerial Adjustable Arm

271-118F

Screw No. 8
(Hand tighten only)
299-033F

Alignment Aerial Location Clamp

271-117F Ratchet Locking Screw
299-034F

26
ORDERING INFORMATION: IMPLANTS

Pre-assembled Ceramic Bearing Cups Ti and HA Coated

Cat. No. Description

168-102F DELTAMOTION Acetabular Cup 42 mm for 32 mm Head
168-104F DELTAMOTION Acetabular Cup 44 mm for 32 mm Head
168-106F DELTAMOTION Acetabular Cup 46 mm for 36 mm Head
168-108F DELTAMOTION Acetabular Cup 48 mm for 36 mm Head
168-110F DELTAMOTION Acetabular Cup 50 mm for 40 mm Head
168-112F DELTAMOTION Acetabular Cup 52 mm for 40 mm Head
168-114F DELTAMOTION Acetabular Cup 54 mm for 44 mm Head
168-116F DELTAMOTION Acetabular Cup 56 mm for 44 mm Head
168-128F DELTAMOTION Acetabular Cup 58 mm for 48 mm Head
168-130F DELTAMOTION Acetabular Cup 60 mm for 48 mm Head
168-132F DELTAMOTION Acetabular Cup 62 mm for 48 mm Head
168-134F DELTAMOTION Acetabular Cup 64 mm for 48 mm Head
168-136F DELTAMOTION Acetabular Cup 66 mm for 48 mm Head

DELTAMOTION Modular Heads

Cat. No. Description

167-132F DELTAMOTION Modular Head 32 mm
167-136F DELTAMOTION Modular Head 36 mm
167-140F DELTAMOTION Modular Head 40 mm
167-144F DELTAMOTION Modular Head 44 mm
167-148F DELTAMOTION Modular Head 48 mm

DELTAMOTION Modular Sleeves

Cat. No. Size

167-060F Small
167-061F Medium
167-062F Large
167-063F Xlarge

27
 DELTAMOTION SIZING CHART

DELTAMOTION DELTAMOTION DELTAMOTION

Sleeves Modular Acetabular
Heads Cups

42 Cup
Turquoise 32 Head
44 Cup

46 Cup
Beige 36 Head
DePuy Synthes
DELTAMOTION 48 Cup
BIOLOX delta HEADS

+1.5 S (-3 mm) 50 Cup

+5 M (0 mm) Pink 40 Head
+8.5 L (+4 mm) 52 Cup
+12 XL (+7 mm)
54 Cup
Purple 44 Head
56 Cup

58 Cup
Dark brown 48 Head
60 Cup

62 Cup

64 Cup

66 Cup

28
References

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