F E M O R A L S T E M

SURGICAL
SURGICAL TECHNIQUE
TECHNIQUE
 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Index

Indications and Contraindications page >> 5

Stem Sizes page >> 7

SURGICAL TECHNIQUE

Pre-Operative Planning page >> 9

Neck Resection page >> 10
Femoral Canal Preparation page >> 11
Femoral Reaming page >> 12
Stem Trial page >> 13
Neck Site Preparation page >> 14
Trial Reduction page >> 16
Stem Insertion page >> 17
Neck Insertion page >> 18
Femoral Head Insertion page >> 19
Components Removal page >> 20

INSTRUMENT SET page >> 22

PRODUCT CODES page >> 24

Limacorporate S.p.A., as manufacturer of prosthetic devices, does not practice medicine. This surgical technique
has been developed in consultation with an experienced surgeon team and provides the surgeon with general
guidance when implanting the MODULUS stem. Proper surgical procedures and techniques are necessarily the
responsibility of the medical professional. Each surgeon must evaluate the appropriateness of the surgical technique
used based on personal medical training, experience and clinical evaluation of each individual patient.
 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Indications and Contraindications

€ INDICATIONS € RISK FACTORS

MODULUS is indicated for use in partial or total hip The following risk factors may result in poor results with
arthroplasty for reduction or relief of pain and/or improved this prosthesis:
hip function in skeletally mature patients with following
conditions: • overweight (BMI > 25 Kg/m2);
• heavy physical activities in which the prosthesis can
• non-inflammatory degenerative joint disease such as be excessively overloaded (i.e. physical labor, heavy
osteoarthritis, avascular necrosis and hip dysplasia; work, active sports, etc);
• rheumatoid arthritis; • fretting on modular junctions;
• osteoarthritis after femoral heads fractures; • incorrect implant positioning (e.g.:varus positioning);
• correction of functional deformity; • wrong size of components;
• revision in cases of good remaining femoral bone • medical disabilities which can lead to an unnatural gait
stock. and loading of the hip joint;
• muscle deficiencies;
• multiple joint disabilities;
Please follow the instructions for use enclosed in
• refusal to modify postoperative physical activities;
the product packaging.
• patient’s history of infections or falls;
• systemic diseases and metabolic disorders;
• local or disseminated neoplastic diseases;
€ CONTRAINDICATIONS • drug therapies that adversely affect bone quality,
healing, or resistance to infection;
Absolute contraindications include: • drug addiction and/or drug, alcohol or medicine abuse;
• local or systemic infection; • marked osteoporosis or osteomalacia;
• septicaemia; • patient’s resistance to disease generally weakened
• persistent acute or chronic osteomyelitis; (HIV, tumour, infections);
• confirmed nerve or muscle lesion compromising hip • severe deformity leading to impaired anchorage or
joint function. improper positioning of implants.
• errors of operative technique.
Absolute contraindications for MODULUS Taper A
femoral stems include:
• patients with mass higher than 48Kg.

Relative contraindications include:

• vascular or nerve diseases affecting the concerned
limb;
• poor bone stock (for example due to osteoporosis)
compromising the stability of the implant;
• metabolic disorders which may impair fixation and
stability of the implant;
• any concomitant disease and dependence that might
affect the implanted prosthesis;
• metal hypersensitivity to implant materials.

MODULUS FEMORAL STEM Surgical Technique 5

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Indications and Contraindications

€ PRE-OPERATIVE PLANNING € COMBINATIONS ALLOWED/NOT ALLOWED

Pre-operative planning, through radiographic templates in Allowed combination between Limacorporate femoral head
different formats, provides essential information regarding and femoral necks:
the type and size of components to be used and the correct • only the head sizes S, M and L can be coupled with
combination of devices required based on the anatomy and Modulus femoral necks (125° and 135°).
on the specific conditions of each patient. Inadequate pre- Use of femoral heads with greater neck lengths may result in
operative planning can lead to improper selection of the failure of the hip stem (e.g.: breakage due to fatigue).
implants and/or incorrect implant positioning.
Allowed combination between MODULUS stems and femoral
Surgeon should carefully plan the surgery considering the necks:
following: • combine only “taper A” stems with “taper A” femoral
necks;
1. small sized stems (i.e. Taper A components, not • combine only “taper B” stems with “taper B” femoral
available in US) are designed for patients with a small necks;
intramedullary canal and/or metaphyseal region of • The use of Taper B LARGE necks is suggested for
the femur. The reduced size (diameter) of these stems stems with a diameter equal or greater than 21 mm.
results in a corresponding reduction in the fatigue
strength of the implant; LimaCorporate components must not be used with com-
2. complications or failures of the total hip replacement ponents from other systems or other manufacturers with
may occur in heavy and highly active patients and high exception of the following possible combination:
offset combinations. For MODULUS, femoral Heads manufactured by LimaCor-
porate made of
The surgeon should perform a careful evaluation of the • Biolox Delta dia. 28mm taper 12/14 (S, M & L);
patient’s clinical condition and level of physical activity • CoCrMo dia. 28mm taper 12/14 (S, M & L);
before performing hip replacement. • AISI 316/L dia. 28mm taper 12/14 (S, M & L);
Patients who are overweight and/or have high activity • FeCrNiMnMoNbN dia. 22mm (-2, 0 & +4);
levels may not be candidates for hip replacement with • FeCrNiMnMoNbN dia. 28mm taper 12/14 (S, M & L);
modular stems. • Revision Biolox Delta dia. 28mm taper 12/14 (S, M & L).
Alternative devices, such as monoblock hip stems, should Can be also coupled with Ø44 to 68 Symbol Cup (DM
be used, when possible, in these patients. CEM, DM HA, DMR HA) in combination with dual mobility
PE Liner (for Ø22.2 head: Ø44 to 68; for Ø28 head: Ø46 to
68) manufactured by Dedienne Santé.
The cup/liner assemblies come in corresponding sizes;
the liner/head assemblies come in corresponding sizes,
considering the internal diameter of the liner. The surgeon
must consult also SYMBOL CUP DM surgical technique
before using the mixed allowed coupling between Lima-
Corporate and Dedienne Santé components.

6 Surgical Technique MODULUS FEMORAL STEM

 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Stem Sizes

€ STEM SIZES

MODULUS is comprised of 14 sizes distal components.

Stems diameter increases by 1 mm per incrementing size.

Stems #13 - #15 are compatible with Taper A modular necks.

Stems #16 - #26 are compatible with taper B modular necks.

Suggested combinations:
• stems #16 - #20 are coupled with B modular necks;
• stems #21 - #26 are coupled with B-Large modular
necks.

€ MODULUS STEMS
Diameter
SIZE (Ø) LENGTH TAPER MODULAR NECKS

13 mm 89 mm A A
14 mm 100 mm A A
15 mm 100 mm A A
16 mm 100 mm B B
17 mm 100 mm B B
18 mm 100 mm B B
19 mm 100 mm B B
20 mm 100 mm B B
Length

21 mm 100 mm B B – Large
22 mm 100 mm B B – Large
23 mm 100 mm B B – Large
24 mm 100 mm B B – Large
25 mm 100 mm B B – Large
26 mm 100 mm B B – Large

MODULUS FEMORAL STEM Surgical Technique 7

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Stem Sizes

€ MODULUS NECKS

The standard version modular necks, short and long, has

neck-shaft angle of 135°, while the lateralizing version has
neck-shaft angle of 125° (+5 mm offset).

STANDARD – 135° :

• Taper A – with Head M (+0 mm)

CODE SIZE Ø OFFSET HEIGHT

Offset
7595.15.010 S 16 mm 23,3 mm 38 mm
7595.15.020 L 16 mm 30,8 mm 44 mm

• Taper B – with Head M (+0 mm)

CODE SIZE Ø OFFSET HEIGHT

Height
7595.15.030 S 19 mm 28,4 mm 41,6 mm
7595.15.040 L 19 mm 35,7 mm 47,4 mm
7595.15.050 Large S 23 mm 28,4 mm 41,6 mm
7595.15.060 Large L 23 mm 35,7 mm 47,4 mm

Diameter

LATERALIZED – 125° : CCD 135°

• Taper A – with Head M (+0 mm)

CODE SIZE Ø OFFSET HEIGHT

7590.15.010 S 16 mm 27,2 mm 38 mm Offset

7590.15.020 L 16 mm 35,8 mm 44 mm

• Taper B – with Head M (+0 mm)

CODE SIZE Ø OFFSET HEIGHT

Height

7590.15.030 S 19 mm 32,2 mm 41,6 mm

7590.15.040 L 19 mm 40,8 mm 47,6 mm
7590.15.050 Large S 23 mm 32,2 mm 41,6 mm
7590.15.060 Large L 23 mm 40,8 mm 47,6 mm

Diameter

CCD 125°

8 Surgical Technique MODULUS FEMORAL STEM

 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Pre-Operative Planning

€ PRE-OPERATIVE PLANNING

IMPORTANT. Pre-operative planning provides useful

information for determining probable implant size and for
identifying accurately femoral neck osteotomy level.
The level of osteotomy should be carefully planned
especially in the outcomes of previous osteotomy.

Note. The final and correct stem size must be determined

during surgery.
Where it is possible to match the size planned, the height of
the positioning has to consider the soft tissue tension during
trial reduction, and the quality of the bone.

To achieve the best results, pre-operative planning using

special templates (showing 15% larger profiles) is always
advisable.
Figure 1
Good quality frontal and an axial X-Ray with adequate
contrast should be used; it should cover the entire length
of the pre-operative clear films of the stem profile (Fig.1).
Instead of conventional templates, a digital version
compatible with most surgical planning software is also
available.

When suitable determine the neck resection level by

matching the apex of the greater trochanter to the centre
of the medium femoral head (Fig. 2).
However, the main feature of the conical modular stem is the
possibility to create the location for the stem itself, distally
or proximally in the femoral shaft according to the needs
of the anatomy of the case addressed, specifically in the
dysplastic hip, where either a shortening or a lengthening
of the limb could be advised. In the planning, the location
can be decided.
Figure 2
Note. Templates are used to identify the resection plane in
the pre-operative planning stage.

MODULUS FEMORAL STEM Surgical Technique 9

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Neck Resection

€ NECK RESECTION

After dislocating the femur, femoral head resection (Fig.3)

is made by using the anatomical landmarks referenced
during pre – operative planning.

Figure 3

10 Surgical Technique MODULUS FEMORAL STEM

 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Femoral Canal Preparation

€ FEMORAL CANAL PREPARATION

Star t opening the medullar y cavity with the box

osteotome (Fig. 4).

Figure 4

MODULUS FEMORAL STEM Surgical Technique 11

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Femoral Reaming

€ FEMORAL REAMING

Assemble the smallest reamer, size 14, to the T-wrench

(Fig.5a) and start reaming (Fig.5b).
Widen the medullary canal with incrementing size reamers
until noticeable resistance is felt.

Check for etch/witness marks alignment corresponding to

Figure 5a
the apex of the greater trochanter (Fig.6).

Note. If the greater trochanter is damaged please select a

different reference point in the anatomy.

Note. Etch/witness marks on the reamer allow size

(diameter) adjustment of 1 mm depending on the depth of
the final seated reamer (Fig.7).

Figure 5b

Figure 6 Figure 7

12 Surgical Technique MODULUS FEMORAL STEM

 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Stem Trial

€ STEM TRIAL

When reaming is complete, select the stem trial of the

same diameter as indicated by the etch mark on the reamer
handle.
Figure 8
Note. Remove the sliding hammer from the manual impactor
(Fig.8).

Thread the manual impactor into the stem trial (Fig.9). Insert
the stem trial into the femur (Fig.10) until the depth mark ‘0’
is aligned to the apex of the greater trochanter (Fig.11a).
Hammer blows should be of moderate strength .

Check for axial and rotational (clockwise) stability.

Figure 9
Note. The under-dimensioned fins and the polished finish
render the stem trial less stable than the definitive stem.

If the stem trial is not stable, use the next size up trial
(equivalent to the +10 mark on the handle). If needed ream
again. +15, +5, -15 and -5 are reference marks, not related
to implant sizes. (Fig.11b)

Note. Due to local anatomical anomalies, the tip of the

greater trochanter may stick out interfering medially with
the insertion. Check for correct femoral/medullary canal
Figure 10 alignment, avoiding tilting in varus. The apex of the GT can
be violated for the diameter of the reamer/stem, without
any consequence.

Figure 11a
Figure 11b

MODULUS FEMORAL STEM Surgical Technique 13

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Neck Site Preparation

€ NECK SITE PREPARATION

Unthread the manual impactor. Thread the neck guide rod

into the trial stem to properly ream over the taper junction.
(Fig.12a, b)
Figure 12a

The reamer guide sets the trajectory and depth for neck
reaming. Select the neck reamer based on the stem taper
(Fig.13a, b, c).

Figure 12b

FIGS. SIZE (Ø) MODULAR NECK VISUAL LEGEND

13a 13 – 15 A No grooves

13b 16 – 20 B Single groove

13c 21 – 26 B – Large Double groove

Figure 13a

Figure 13b Figure 13c

14 Surgical Technique MODULUS FEMORAL STEM

 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Neck Site Preparation

Assemble the selected reamer with the T-Handle (Fig.14)

and start reaming the metaphysis (Fig.15) until it no longer
advances. For B-Large necks, B reaming can precede the
Figure 14
B-Large reaming.
To verify that the reamer is fully seated and the proper
reaming depth is obtained insert a Kirschner wire through
the proximal (pin) hole:
a) if it does go through continue reaming (Fig.16a),
b) if it does not go through stop reaming (Fig.16b).

Figure 15

Figure 16a: WRONG, need to ream more.

Figure 16b: CORRECT

MODULUS FEMORAL STEM Surgical Technique 15

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Trial Reduction

€ TRIAL REDUCTION

After accurately washing the stem taper junction to remove

any bone debris left over from the previous stage, fit the
Trial Neck on it choosing the size that was read previously
on the Stem Impactor gauge (Fig. 17).

Carefully select the neck anteversion with the aid of the

Figure 17 Neck Stopper; then tighten the neck locking screw using the
T handle (Fig. 18a and 18b).

Utilizing modular head trials, perform a trial reduction

(Fig.19). Component position, joint stability, range of motion
and leg length are checked. Assess what adjustments, if
any, are required to ensure stability through a full range of
motion check. When stability is achieved, use the neck trial
reference mark to mark the bone, to achieve exact definitive
Figure 18a neck positioning.

Remove neck and stem trials.

Note. All the modular necks can be coupled only with

modular femoral heads of lenght not over “L”.

Figure 18b

Figure 19

16 Surgical Technique MODULUS FEMORAL STEM

 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Stem Insertion

€ STEM INSERTION

Select the stem size that corresponds to the stem trial.

Thread the impactor onto the MODULUS distal component

(Fig.20). Insert the stem into the femur (Fig.21) until the depth
Figure 20 mark ‘0’ is aligned to the apex of the greater trochanter
(or to the anatomical point selected as reference), complete
seating and appropriate primary stability of the stem are
achieved (Fig.22). Hammer blows should be of moderate
strength.

Check stem trial axial and rotational stability (clockwise).

Further trial reduction, with the neck and head trials, can be
performed following the same procedure described before.

Figure 21

Figure 22

MODULUS FEMORAL STEM Surgical Technique 17

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Neck Insertion

€ NECK INSERTION

IMPORTANT. Carefully clean and dry the taper junction of

the distal stem ensuring it is free of debris.

Take the definitive MODULUS neck of the selected size in

Figure 23 the previous stage out of the sterile package.

IMPORTANT. The neck package also contains the locking

screw.

Thread the neck guide rod onto the MODULUS stem

(Fig.23).

Place the MODULUS neck, through the guide, onto the

stem taper junction carefully cleaned (Fig.24).
Neck position, especially anteversion, should follow the
previously marked anatomical landmark.
Figure 24 Achieve a steady neck-stem coupling by hammering the
definitive neck with the apposite impactor (Fig.25), slid onto
the neck guide.

Note. The correct position of the neck impactor is with the

reduced part of the impactor tip in correspondence with
the medial part of the neck.

Remove the neck guide rod by turning the hex key counter-
clockwise.

To grant an accurate Morse taper coupling, reducing

Figure 25
possible occurrence of fretting phenomena and minimizing
the risk of improper safety screw tightening, a Torque
Wrench must be used. Connect the Torque Wrench
T-handle to the Allen Wrech via the Zimmer connection
(Fig.26).

Figure 26

18 Surgical Technique MODULUS FEMORAL STEM

 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Femoral Head Insertion

Lock the safety screw turning the T-handle of the

Torque Wrench clockwise, while maintaining the desired
anteversion with the aid of the neck stopper, until the
T-handle clicks (Fig.27).

This ensures that the appropriate torque has been applied

and the safety screw has been fully seated.
Repeat the torque application until a second click can be
heard.

Note. Before using the Torque Wrench make sure that

the calibration date has not expired. The calibration date
expiration is marked on the Torque Wrench T-handle.
Figure 27

The combined actions of the torque wrench and of the

neck stopper keep any torque load from being transmitted
to the femur.

€ FEMORAL HEAD INSERTION

Clean and dry the taper thoroughly, ensuring it is free of

debris. Place the appropriate femoral head onto the taper;
engage it by pushing and twisting (Fig.28).

Then strike the definitive head with the apposite impactor

(Fig.29).

Figure 28 Note: The head impactor has an internal double concavity,

allowing its use with all head diameters (28, 32, 36 and
40 mm).

Clean the bearing surfaces and reduce the hip (Fig.30).

Figure 29 Figure 30

MODULUS FEMORAL STEM Surgical Technique 19

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Components Removal

€ COMPONENTS REMOVAL

If necessary the various prosthetic components can be

removed. The femoral head can be removed by simply
tapping the base of the head axially using an impactor.

IMPORTANT. If only the head needs removing and replacing

Figure 31
with a new ceramic head, always use ceramic revision
heads (on request only) which have a Titanium safety sleeve.

DISENGAGING THE TAPER JUNCTION

1. Unscrew the safety screw (Fig.31).

2. Disassemble the neck extractor’s two components
Figure 32
(Fig.32).
3. Thread and tighten the outer sleeve into the Modulus
neck (Fig.33).
4. With the aid of the T- wrench, screw the pushing rod
(of the neck extractor) into the outer sleeve (Fig.34),
holding in place the latter.

Figure 33

Figure 34

20 Surgical Technique MODULUS FEMORAL STEM

 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Components Removal

REMOVING THE MODULUS DISTAL COMPONENT

Make sure the slap hammer is mounted on the manual
impactor (Fig.35).

Thread the manual impactor onto the MODULUS distal

component and, with upward movements of the slap
hammer, extract the stem (Fig.36).

IMPORTANT. This method may be used in cases where

biological fixation is absent or weak; otherwise it is
necessary to separate the integrated surfaces of the bone
using suitable small scalpels or Kirschner wires. In some
cases a Wagner femoral osteotomy may be required.

Figure 35

Figure 36

MODULUS FEMORAL STEM Surgical Technique 21

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Instrument Set

€ 9043.20.000 Instrument set for MODULUS femoral stem Ref. CODE DESCRIPTION Qty.

A 9043.10.140 Reamer Dia. 14mm 1

A 9043.10.160 Reamer Dia. 16mm 1
A 9043.10.180 Reamer Dia. 18mm 1
A 9043.10.200 Reamer Dia. 20mm 1
A 9043.10.220 Reamer Dia. 22mm 1
A 9043.10.240 Reamer Dia. 24mm 1
A 9043.10.260 Reamer Dia. 26mm 1
B 9095.10.131 H210 Wrench for Zimmer Connection 1
C 9043.10.310 Manual Impactor 1
D 9043.10.315 Neck Reamer Guide 1
E 9043.10.320 Allen Wrench 1
F 9043.10.330 Neck Reamer A 1
F 9043.10.340 Neck Reamer B 1
F 9043.10.345 Large Neck Reamer B 1
G 9043.10.350 Neck Impactor 1
H 9043.10.360 Neck Extractor 1
I 9043.10.370 Neck Stopper 1
J 9043.10.380 Canal Chisel 1
K 9043.10.390 Dia. 16mm Wrench 1
L 9043.10.400 Trial Locking Screw for Neck-Stem 2
M 9043.10.410 Trial Neck Short 125° Taper A 1
M 9043.10.420 Trial Neck Long 125° Taper A 1
M 9043.10.500 Trial Neck Short 135° Taper A 1
M 9043.10.510 Trial Neck Long 135° Taper A 1
N 9043.10.430 Trial Neck Short 125° Taper B 1
N 9043.10.440 Trial Neck Long 125° Taper B 1
N 9043.10.520 Trial Neck Short 135° Taper B 1
N 9043.10.530 Trial Neck Long 135° Taper B 1
O 9043.10.450 Trial Neck Short 125° Large Taper B 1
O 9043.10.460 Trial Neck Long125° Large Taper B 1
O 9043.10.540 Trial Neck Short 135° Large Taper B 1
O 9043.10.550 Trial Neck Long 135° Large Taper B 1
P 9043.10.600 Trial Stem Dia. 13mm Taper A 1
P 9043.10.610 Trial Stem Dia. 14mm Taper A 1
P 9043.10.620 Trial Stem Dia. 15mm Taper A 1
P 9043.10.650 Trial Stem Dia. 16mm Taper B 1
P 9043.10.660 Trial Stem Dia. 17mm Taper B 1
P 9043.10.670 Trial Stem Dia. 18mm Taper B 1
P 9043.10.680 Trial Stem Dia. 19mm Taper B 1
P 9043.10.690 Trial Stem Dia. 20mm Taper B 1
P 9043.10.700 Trial Stem Dia. 21mm Taper B 1
P 9043.10.710 Trial Stem Dia. 22mm Taper B 1
P 9043.10.720 Trial Stem Dia. 23mm Taper B 1
P 9043.10.730 Trial Stem Dia. 24mm Taper B 1
P 9043.10.740 Trial Stem Dia. 25mm Taper B 1
P 9043.10.750 Trial Stem Dia. 26mm Taper B 1
Q 9095.10.134 Allen Wrench for Zimmer Connection 1
R 9095.10.711 Trial Head Taper 12/14 Dia. 28mm S 1
R 9095.10.712 Trial Head Taper 12/14 Dia. 28mm M 1
R 9095.10.713 Trial Head Taper 12/14 Dia. 28mm L 1
9043.20.950 Sterilizable Box 1

22 Surgical Technique MODULUS FEMORAL STEM

 MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Additional Instrument Set

€ 9095.11.753 Torque Wrench T-Handle CODE DESCRIPTION

9095.11.753 Torque Wrench T-Handle

€ 9095.50.000 Instrument set for trial heads Ref. CODE DESCRIPTION Qty.

A 9095.10.711 Trial Head Dia. 28mm S 1

A 9095.10.712 Trial Head Dia. 28mm M 1
A 9095.10.713 Trial Head Dia. 28mm L 1
A 9095.10.714 Trial Head Dia. 28mm XL 1
B 9095.10.721 Trial Head Dia. 32mm S 1
B 9095.10.722 Trial Head Dia. 32mm M 1
B 9095.10.723 Trial Head Dia. 32mm L 1
B 9095.10.724 Trial Head Dia. 32mm XL 1
C 9095.10.731 Trial Head Dia. 36mm S 1
C 9095.10.732 Trial Head Dia. 36mm M 1
C 9095.10.733 Trial Head Dia. 36mm L 1
C 9095.10.734 Trial Head Dia. 36mm XL 1
D 9095.10.741 Trial Head Dia. 40mm S 1
D 9095.10.742 Trial Head Dia. 40mm M 1
D 9095.10.743 Trial Head Dia. 40mm L 1
D 9095.10.744 Trial Head Dia. 40mm XL 1
E 9095.11.110 Femoral Head Impactor 1
9095.50.950 Sterilizable Box 1

MODULUS FEMORAL STEM Surgical Technique 23

MODULUS FEMORAL STEM SURGICAL TECHNIQUE
Product Codes

 MODULUS STEMS

CODE SIZE (Ø) TAPER NECKS

4310.15.010 13 mm A A
4310.15.020 14 mm A A
4310.15.030 15 mm A A
4310.15.045 16 mm B B
4310.15.050 17 mm B B
4310.15.060 18 mm B B
4310.15.070 19 mm B B
4310.15.080 20 mm B B
4310.15.090 21 mm B B – Large
4310.15.100 22 mm B B – Large
4310.15.110 23 mm B B – Large
4310.15.120 24 mm B B – Large
4310.15.130 25 mm B B – Large
4310.15.140 26 mm B B – Large

MODULUS Stem - Size (Ø) 20 mm

 MODULUS NECKS

STANDARD – 135°

CODE TAPER NECK SIZE

7595.15.010 A A S
7595.15.020 A A L
7595.15.030 B B S
7595.15.040 B B L
7595.15.050 B B-Large S
7595.15.060 B B-Large L

Neck Taper B – CCD 135° short/ long

LATERALIZED – 125°

CODE TAPER NECK SIZE

7590.15.010 A A S
7590.15.020 A A L
7590.15.030 B B S
7590.15.040 B B L
7590.15.050 B B-Large S
7590.15.060 B B-Large L
Neck Taper B – CCD 125° short/long

Note. In order to better identify correspondence between stem and neck a colored green label ( ) will identify the Taper A, a
coloured pink label ( ) will identify the taper B and a white label ( ) will identify the B-Large necks.

24 Surgical Technique MODULUS FEMORAL STEM

Limacorporate S.p.A. Lima SK s.r.o. Lima Korea Co. Ltd

Copyright © Limacorporate S.p.A. - All rights reserved.

Via Nazionale, 52 Cesta na štadión 7 11 FL., Zero Bldg.
33038 Villanova di San Daniele del Friuli 974 04 Banská Bystrica - Slovakia 14 Teheran Road 84 GLL
Udine - Italy T +421 484 161 126 Gangnam Gu, Seoul 135-845, South Korea
T +39 0432 945511 F +421 484 161 138 T +82 2 538 4212
F +39 0432 945512 info@lima-sk.sk F +82 2 538 0706
info@limacorporate.com
limacorporate.com Lima Netherlands Lima do Brasil EIRELI
Havenstraat 30 Alameda Campinas, 728, 2nd and 3rd floors,
Lima Implantes S.l.u. 3115 HD Schiedam rooms 201, 202, 203, 204 and 302,
Calle Manuel Tovar, 33-35 Piso 1 The Netherlands Edifício Engenheiro Antonio Silva,
28034 Madrid - Spain T +31 (0) 10 246 26 60 Jardim Paulistano,
T +34 91 088 53 83 F +31 (0) 10 246 26 61 Zip Code 01404-001, City of São Paulo,
F +34 91 088 51 78 info@limanederland.nl State of São Paulo
limacorporate.com limanederland.nl Brasil

Lima France sas Lima Implantes Portugal S.U. Lda Lima Belgium srl
1, Allée des Alisiers Rua Olavo D’Eça Leal Nº6 Loja-1 Chaussée de Wavre 504, boîte 5A
Immeuble le Galilée 1600-306 Lisboa - Portugal 1390 Grez-Doiceau - Belgium
69500 Bron T +35 121 727 233 7 T +32 (0) 10 888 804
France F +35 121 296 119 2 info@limabelgium.be
T +33 4 87 25 84 30 lima@limaportugal.com
F +33 4 42 04 17 25 Lima Denmark ApS
info@limafrance.com Lima Orthopaedics Australia Pty Ltd Lyngebækgårds Allé 2
Unit 1, 40 Ricketts Rd 2990 Nivå - Denmark
Lima O.I. doo Mt Waverley 3149 T +45 45860028
Ante Kovacica, 3 Victoria Australia F +45 4586 0068
10000 Zagreb - Croatia T +61 (03) 9550 0200 mail@Lima-Denmark.dk
T +385 (0) 1 2361 740 F +61 (03) 9543 4003
F +385 (0) 1 2361 745 limaortho.com.au Lima Turkey Ortopedi A.S.
lima-oi@lima-oi.hr Serifali Mah. Hendem CD. Canan
Lima Orthopaedics New Zealand Ltd Residence No: 54/C D:2 OFIS-A2,
Lima Switzerland sa 20 Crummer Road 34775 Umraniye / Istanbul
Birkenstrasse, 49 Auckland 1021 Turkey
CH-6343 Rotkreuz - Zug New Zealand T +90 (216) 693 1373
Switzerland T +64 93606010 F +90 (216) 693 2212
T +41 (0) 41 747 06 60 F +64 93606080 info@lima-turkey.com.tr

Limacorporate S.p.A. reserves the right to make changes.

F +41 (0) 41 747 06 69
info@lima-switzerland.ch Lima Orthopaedics UK Limited Lima Orthopaedics South Africa
Unit 1, Campus 5 Northlands Deco Park, Stand 326
Lima Japan K.K. Third Avenue 10 New Market street
Tokyo Front Terrace 13F Letchworth Garden City Design Boulevard
2-3-14 Higashi-shinagawa, Shinagawa, Herts, SG6 2JF Northriding
Tokyo 140-0002 United Kingdom 2189
Japan T +44 (0) 844 332 0661
F +44 (0) 844 332 0662 Lima Polska Sp. z o.o.
Lima CZ sro Ul. Łopuszańska 95
Do Zahrádek I., 157/5 Lima USA Inc. 02-457 Warszawa
155 21 Praha 5 - Zličín 2001 NE Green Oaks Blvd., Suite 100 Poland
Czech Republic Arlington, TX 76006 T 0048 22 6312786
T +420 222 720 011 T +1 817-385-0777 F 0048 22 6312604
F +420 222 723 568 F +1 817-385-0377 biuro@limapolska.pl
info@limacz.cz
Lima Sweden AB 励玛（北京）医疗器械有限公司
Lima Deutschland GmbH Företagsallén 14 B Lima (Beijing) Medical Devices Co., Ltd.
Kapstadtring 10 SE-184 40 ÅKERSBERGA 中国北京市朝阳区利泽中二路1号中辰大厦6层 616室
22297 Hamburg - Germany Sweden Room 616, 6/F Zhongchen Building, No.1 Lize Zhong 2 Road
T +49 40 6378 4640 T +46 8 544 103 80 Chaoyang District,
F +49 40 6378 4649 F +46 8 540 862 68 Beijing - PR China
info@lima-deutschland.com www.linksweden.se limachinaoffice@limacorporate.com

Lima Austria GmbH Lima Italy

Seestadtstrasse 27 / Top 6-7 Centro Direzionale Milanofiori
1220 Wien - Austria Strada 1 - Palazzo F9
T +43 (1) 2712469 20057 Assago - Milano - Italy
F +43 (1) 2712469101 T +39 02 57791301
office@lima-austria.at

Prescription use only: sold only or by order of a physician.

This publication is not intended for distribution in the U.S.

B.4310.23.030.1092100

limacorporate.com