MINIMIZE COMPLEXITY, MAXIMIZE VERSATILITY

Brochure
Joint Spine Sports Med
 M I N I M I Z E C O M P L E X I T Y, M A X I M I Z E V E R S A T I L I T Y

Medacta’s GMK Revision System offers a modular approach designed to efficiently tackle revision TIBIAL OPTIONS
knee surgeries and complex primary cases. This comprehensive system reduces complexity while
enhancing versatility.
The GMK Revision System includes:
DISCOVER
• GMK Revision (condylar constrained knee) MORE
• GMK Hinge (fixed-bearing rotating hinge)

BONE PRESERVING DESIGN

When managing unexpected complications in complex TKA cases, it is critical to use a system that allows for the
greatest amount of safe bone preservation.

GMK Revison and GMK Hinge feature a reduced intercondylar GMK Revision and GMK Hinge have the same tibial keel length GMK REVISION INSERTS
box and allow for minimal condylar resections. as GMK Primary and GMK Sphere, as well as the same anatomic (SEMI-CONSTRAINED)
tibial baseplate. thickness from 10 mm to 26 mm

23 mm 23 mm TIBIAL BASEPLATES
6 sizes (left and right)
The anatomic tibial baseplate provides
more solid support on the cortical
GMK PRIMARY GMK REVISION GMK HINGE bone and optimized tibial coverage.
GMK REVISION GMK HINGE GMK SPHERE

TIBIAL AUGMENTS
5, 10, 15, 20 mm

COMPREHENSIVE RANGE OF OPTIONS

Even the most challenging cases can be efficiently addressed using the comprehensive range of revision options
available with the GMK Revision System. All the options are compatible with both GMK Revision and GMK Hinge,
providing maximum versatility with minimum inventory.

ADDRESSING SEVERE BONE LOSS 3D METAL TIBIAL CONES

Height: 20, 25 mm
Centered - sizes: XS, S, M, L
Eccentric - sizes: S, M, L
3D Metal is a state-of-the-art advanced biomaterial structure finely engineered for bone. 3D Metal is made of 360° OFFSET COUPLERS
Titanium alloy and is obtained by means of 3D printing technology. 3, 5 mm

0
3D Metal Tibial and Femoral cones can be used to fill and reconstruct cavitary bone defects to efficiently manage 20 40

even the most complex scenarios.[1,2]

3
280

80
120
0
24
160
200

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MORE EXTENSION STEMS
Cementless - Diameters from 10 to 22 mm
Lengths: 65, 105, 150 mm
Cemented - Diameters: 11, 13, 16 mm
Lengths: 65, 105 mm

GMK REVISION
 M I N I M I Z E C O M P L E X I T Y, M A X I M I Z E V E R S A T I L I T Y

FEMORAL OPTIONS
EXTENSION STEMS
Cementless - Diameters from 10 to 22 mm
Lengths: 65, 105, 150 mm
Cemented - Diameters: 11, 13, 16 mm
Lengths: 65, 105 mm

THE MODERN DESIGN OF GMK HINGE

Functionality is often perceived as the strictest limitation for

0 totally constrained implants. GMK Hinge, with its modern
360° OFFSET COUPLER 20 40
design, has shown remarkable clinical results, particularly
3 mm

3
The modular 360° offset in terms of functionality.[3]

280

80
allows for easier restoration of
GMK Hinge is a fixed-bearing, yet rotating, hinged implant:

120
0
the anterior flange location and

24
balancing of the flexion gap.
• the fixed-bearing feature provides high stability in full
160
200
DISCOVER
knee extension; MORE
• the ability to rotate about the pivot allows for tibial
rotation during flexion, which is crucial for knee
functionality.
3D METAL FEMORAL CONES
S (Height 20 mm) Moreover, the hinge mechanism is preassembled, thereby
M (Height 25 mm) reducing the number of steps in the O.R.
L, XL (Height 30 mm)

ANATOMIC RESURFACING
AND ROUND INSET PATELLAE
The deep and extended trochlear groove
helps to reduce the stress on the patella
for better accommodating the patellar
MODULAR AND INTUITIVE INSTRUMENTATION
tracking in the full range of motion.
Both the GMK Revision and GMK Hinge systems use the same general instrumentation with implant-specific trial
DISTAL AUGMENTS trays, making it easy to intraoperatively switch to a more constrained implant.
4, 8, 12, 16, 20 mm
POSTERIOR AUGMENTS
5, 10 mm

GMK REVISION SPECIFIC TRAYS

GMK HINGE INSERTS

FEMORAL COMPONENTS
(STANDARD AND ULTRA-CONGRUENT)
6 sizes (left and right)
thickness from 10 mm to 26 mm
GMK HINGE SPECIFIC TRAYS

GENERAL REVISION TRAYS

GMK HINGE
 M I N I M I Z E C O M P L E X I T Y, M A X I M I Z E V E R S A T I L I T Y

FULL COMPATIBILITY ACROSS THE GMK SYSTEM REDUCING METAL ION RELEASE
The GMK Revision System is part of the GMK System, a complete portfolio that also includes implants for primary
knee replacement. Medacta’s knee replacement implants are also available
with SensiTiN coating. SensiTiN is a ceramic-like coating
The GMK System allows for a smooth transition throughout the product portfolio, thanks to the same internal femoral
of titanium nitride, designed to reduce the release of
profile across all the implants, providing various levels of incremental constraint according to each patient’s need
metal ions.
(e.g., ultra-congruent, posterior-stabilized, semi- and totally constrained).
This property makes SensiTiN coating the preferred choice DISCOVER
Moreover, GMK Sphere and GMK Primary can be used in combination with all the tibial revision options to manage MORE
of most orthopaedic surgeons for treating patients with
cases of tibial bone loss.
metal hypersensitivity.[4,5,6]
The crossover technique leverages the full compatibility across the GMK System, allowing for an easy intraoperative
transition from primary implants (i.e., GMK Sphere and GMK Primary) to more constrained implants (i.e., GMK Revision
and GMK Hinge) by adding just one tray and the trial revison implants to primary instruments.

GMK SPHERE GMK PRIMARY GMK REVISION GMK HINGE

 M I N I M I Z E C O M P L E X I T Y, M A X I M I Z E V E R S A T I L I T Y

The GMK Revision System can benefit from the proven accuracy of the MyKnee Patient-Matched
Technology to provide the surgeon with preoperative information that can be crucial for a DISCOVER THE KEY FEATURES
successful surgery.[7, 8]
The MyKnee technology combines multiple features to provide benefits for patients, surgeons, and
healthcare facilities.

THE MYKNEE TECHNOLOGY

MyKnee is a set of 3D-printed patient-matched guides that allow for accurate and reproducible implant placement INTERACTIVE 3D WEB PLANNER
based on the preoperative 3D planning. The ability to accurately evaluate each case and create
a surgical planning with the advanced 3D MyKnee web
The MyKnee process is kept entirely in-house. Beginning with a CT scan of the patient’s leg, bone models of planner can make the difference, even for highly experienced
the joint are created to perform the preoperative planning (3D, interactive, web-based), with direct support and surgeons. This improves the prediction capability with
communication between the surgeon and a dedicated MyKnee engineer, who develops a detailed understanding respect to unexpected complications, for a more simplified
and awareness of the surgeon’s preferences (e.g., cutting and alignment parameters). and streamlined workflow.[9]

The surgeon can check, evaluate, modify, and validate the planning on the MyKnee web-based platform. Once the
planning is validated by the surgeon, the MyKnee engineer designs the patient-matched guides, which are then
produced via the in-house 3D printing manufacturing process and then delivered to the hospital. ACCURATE IMPLANT POSITIONING
With the patient-matched cutting guides or pin-positioning
guides, it is possible to accurately replicate the preoperative
planning. This results in an optimized implant positioning
compared to the standard conventional approach.[8] When used
during revision surgeries, the guides also allow for maintaining
CT OR MRI SCAN OF THE the reference for bone landmarks even after removal of the
PATIENT’S KNEE primary implant.[9]

REDUCED SURGICAL STEPS, TIME, AND COSTS

The MyKnee technology allows for a less invasive
approach for the patient, reduced intraoperative steps,
KNEE 3D RECONSTRUCTION fewer instrument trays, and shorter O.R. time. This offers
AND PLANNING IN LINE WITH
THE SURGEON’S PREFERENCES
unparalleled advantages in all surgical scenarios, including
knee revision cases, and also presents clinical and economic
benefits for healthcare facilities.

WEB-BASED 3D PLANNING
EVALUATION AND VALIDATION

MYKNEE OPTIONS FOR THE MOST CHALLENGING SCENARIOS

• MyKnee Crossover for complex primary TKA cases requiring a more constrained implant
• MyKnee R for total knee revision surgeries

MYKNEE GUIDES PRODUCTION IN

LINE WITH THE SET PARAMETERS

MYKNEE CROSSOVER MYKNEE R

ACCURATE IMPLANT POSITION

ACCORDING TO THE PLANNING
 M I N I M I Z E C O M P L E X I T Y, M A X I M I Z E V E R S A T I L I T Y

C RO S S O V E R

THE PERFECT TOOL FOR CHALLENGING PRIMARY TKA CASES THE GAME CHANGER IN REVISION TKA
MyKnee Crossover can be used in challenging primary TKA scenarios, such as during revisions of unicompartmental MyKnee R is the unique-on-the-market patient-matched advanced technology for streamlining and guiding total
knee implants, in the presence of hardware (e.g., plates, screws), or when a more constrained implant is required. knee revision surgeries where even highly experienced surgeons can face complex and time-consuming procedures.
• The main bone resections (e.g., tibial cut, femoral distal cut) are performed with the MyKnee cutting blocks MyKnee R provides personalized 3D interactive preoperative planning to accurately evaluate the implants’ size
according to the planning. and position, which is particularly useful for optimizing femoral and tibial internal/external rotation. Extension
• The MyKnee Crossover adapters allow for coupling the MyKnee cutting blocks with instruments of the GMK stems and other revision components are also planned (e.g., offsets, augments, 3D Metal Cones).
Revision System for guiding the finishing of the femur and tibia.
A set of 3D-printed pin-positioning guides are positioned directly on the implant in situ (both fixed and mobile
bearing) to guide the implant removal. The guides also allow for proper placement of reference pins for the revision
instrument to guide the position of the final implants according to the preoperative planning, thus facilitating the
MYKNEE CROSSOVER REVISION management of the case in a straightforward manner.

CUTTING GUIDES ADAPTER INSTRUMENTS

The patient-matched MyKnee The MyKnee Crossover The revision instruments are
cutting guides are positioned adapters provide a simple then used to perform the next
on the bone to guide the transition from primary to steps of the surgery (e.g.,
resections and to position the GMK Revision and GMK Hinge resections for the augments,
pins for the crossover adapter. instrumentation. finishing of both femur and tibia).

SIMPLIFIED AND STREAMLINED REVISION KNEE WORKFLOWS

Main advantages with MyKnee R:[9]

• Conservative bone cuts and easier restoration of the joint line.
REFERENCES
[1] L. Dall’Ava, H. Hothi, A. Di Laura, J. Henckel, A. Hart.3D Printed Acetabular Cups for Total Hip Arthroplasty: A Review Article. Metals 2019, 9, 729. [2] L. Dall’Ava, H. Hothi, J. Henckel, A. Di Laura, • Optimized alignment of revision implant components by means DISCOVER
P. Shearing, A. Hart. Comparative analysis of current 3D printed acetabular titanium implants. 3D Printing in Medicine 2019; 5:15. [3] A. Hecker et al., “Indications, clinical outcome and survival
of the 3D web planner. MORE
of rotating hinge total knee arthroplasty in a retrospective study of 63 primary and revision cases”, Eur J Orthop Surg Traumatol (2022). [4] Bader R. et al., «Alternative materials and solutions in
total knee arthroplasty for patients with metal allergy [article in German]», Orthopade, vol. 37, n. 2, pp. 136-142, 2008. [5] Thomsen M. et al., «Pain in a chromium-allergic patient with total knee
arthroplasty: disappearance of symptoms after revision with a special surface coated TKA: a case report», Acta Orthop., vol. 82, n. 3, pp. 386-388, 2011.[6] Thomsen M. et al., «Use of allergy
implants in Germany: results of a survey [article in German]», Orthopade, vol. 42, n. 8, pp. 597-601, 2013. [7] W. Anderl et al., «Patient-specific instrumentation improved three-dimensional accuracy
• Improved prediction capability and reduction of unexpected
in total knee arthroplasty: a comparative radiographic analysis of 1257 total knee arthroplasties.», J. Orthop. Surg. Res., 14, 437 (2019). [8] P. Koch et al., «CT-based patient-specific instrumentation
for total knee arthroplasty in over 700 cases: single-use instruments are as accurate as standard instruments.», Knee Surg. Sports. Traumatol. Arthrosc., 30, 447–455 (2022). [9] Vicente J. León-
complications thanks to the patient-matched approach.
Muñoz et al., «Revision of total knee arthroplasty with the use of patient-specific instruments: an alternative surgical technique», Expert Review of Medical Devices, 2020. [10] León, V.J. et al., “Use
of patient-specific cutting blocks reduces blood loss after total knee arthroplasty”, Eur J Orthop Surg Traumatol 27, 273–277 (2017).
Medacta International SA
Strada Regina, 34 - 6874 Castel San Pietro - Switzerland
Phone +41 91 696 60 60 - Fax +41 91 696 60 66
info@medacta.ch GMK® Revision System
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This document is not intended for the US market.
Please verify approval of the devices described in this document with your local Medacta representative. Last update: June 2024