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We are proud of it

A strong partner in knee arthroplasty

It is our pleasure and our ambition to give a deeper insight in the reasons for us to be proud of our AESCULAP® knee portfolio.

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Young woman manufacturing a knee arthroplasty implant
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    Survival rate after 10 years [1]

AS Advanced Surface – multilayer coating for knee arthroplasty
Two surgeons with OrthoPilot® Elite navigation support in the OR

Knee Arthoplasty

Columbus®

The interchangeable and anatomically-designed Columbus® Knee prosthesis offers proper physician choice and patient specificity. Columbus® has comprehensive options to cover all bicondylar indications and intraoperative situations. Discover universality – Discover individualityImplant to conserve or sacrifice the posterior cruciate ligamentFixed or rotating platformCemented or cementless with Plasmapore® (for AS version, the Plasmapore® coating is only available as custom made implant)Tibial Augmentation options and tibial stemsPE heights up to 20 mmExtensive size options with 14 femur sizes and 11 tibia sizesAS coated version for optimized wear and patients with metal allergy Discover mobility – Discover stabilityROM up to 140°Improved stability even in difficult ligament situationsTrochlea design supports natural patella tracking Discover quality – Discover innovationsGood clinical performanceNavigated or manual operating techniqueMinimally invasive or conventional operating techniqueWear results down to below 1 mg per million cycles acc. to ISO 14243Two decades of successWith over 650,000 implantations in 43 countries all over the world, Columbus® is our most established knee system. Well proven in 54 publications with 98% survival rate after 10 years in studies.[1] Fantastic results in the English, Australian and German national joint registry.[2-4]20 years Columbus®. 20 years of excellent outcomes. We are proud of it.

Columbus® Revision

Today revision surgery represents already around 15 percent of knee replacement surgeries. Due to more and more earlier implantations and more severe bone defects, the numbers continuously rise. Based on the very successful design of the Columbus® knee endoprostheses, the development of the Columbus® Revision System was just a logic consequence.The new developed revision system is characterized by:Small production tolerancesPrecision of the cutsDemand-oriented implant portfolioLow PE wearManual or OrthoPilot navigated CT-free surgical techniqueImplants in CoCr or also as Advanced Surface (AS) version available

Advanced Surface Technology

Advanced Surface is an innovative coating for knee implants to improve mechanical properties and biocompatibility of knee systems.The zirconium nitride top coat yields superior surface hardness that is unmatched in the market place. The wear rate is reduced by up to 65% compared to standard implants. This ceramic surface layer stands for improved scratch resistance, good wettability and for better articulation between bearing surfaces.Unlike monolayer coatings, the AS 7-layer coating has a buffer zone which compensates the changes in surface hardness and results in more resilientelastic properties. Additionally the transition layers act as an effective metal ion barrier, thus ideal for patients with metal hypersensitivity.A powerful bond coating between the base material and subsequent layers ensure strong adhesion. Beta-PE All Aesculap knee system’s polyethylenes are sterilized under Beta radiation which uses higher concentrated, lower penetrating radiation levels for reduced oxidation yielding better wear results.Sharkey et al: “Improved Polyethylene or alternative bearing surfaces can certainly diminish the failure rate after knee arthroplasty.” Better long term results The AS coating in combination with Beta-PE yields superior performance. Better long term results can be expected.

e.motion®

The e.motion® product family: flexible, compatible, homogenous: Flexible The e.motion® knee endoprosthesis system offers the surgeon a number of implant options depending on the soft-tissue conditions and the extent of the bone defect – a system for many indications. This modularity is achieved through compatibility among the e.motion® products. The mobile platform offers high congruency with all its advantages for wear and kinematics.[1] Compatible The navigated e.motion® offers improved implant alignment in combination with the 20 years experienced OrthoPilot® computer aided operating techniques.[2] Homogenous The IQ instrument platform has been designed to facilitate the workflow not only for the surgeon, but the operation room team as a whole, by enhancing ergonomics and operative efficiency.[3]

MIOS®

Early results of minimally invasive total knee arthroplasty show that the procedure is less painful and recovery time is shorter. However, the challenge is to maintain the required standard precision with limited exposure. Therefore it is necessary to ensure that the requirement accuracy is maintained despite limited surgical exposure.Aesculap offers computer-based technologies that achieve better functional results, especially with minimally invasive approaches in terms of total knee arthroplasty.In collaboration with experienced orthopaedic surgeons, the so-called MIOS® technology has been developed – minimally invasive and computer assisted surgery.By integrating the best aspects of both techniques, we improve the process of care associated with total knee arthroplasty.

univation® Unicondylar Knee System

Minimally invasive and bone sparingMinimally invasive – YES – but above all safe. Minimally invasive instruments in conjunction with the OrthoPilot® provide for a safe, minimally invasive surgical technique. The navigation procedure is integrated in the operation in a user-friendly manner. The exact implant alignment is documented reproducibly during ongoing surgery with the OrthoPilot®. The univation® system with its bone sparing design provides high primary stability. Only minimal bone resections of the femur and tibia are needed for ensuring secure anchorage. Form and position of the primary fixation elements on the metal components as well as the sturdy yet slim design of the implants make this possible. Minimum bone resection also allows for easier revision surgeries.Long term stability through unique coating The main reason for revisions is implant loosening supported by shear forces and lift-off effects. A special developed PMMA-nanobond coating creates a chemical connection between cement and implant material. As a result a 40% higher cement adhesion is achieved and helps to avoid implant loosening.Restoration of the natural knee functionImplantation of the unicondylar univation® prosthesis in an early disease stage can prevent the spread of arthrosis to other regions of the joint, and can achieve long-term relief of complaints. The natural function is underlined with a design allowing for 150° flexion.Pain-free mobilityWith the univation® F (fixed) and M (mobile) components, patients’ individual needs can be addressed. A comprehensive range of products and instrumentation provides for free choice without compromise.

IQ Instruments

Intuitive & Quick – under this theme, the new IQ instrument platform for Aesculap knee systems was developed by Aesculap. The IQ platform offers functionality, precision, ergonomy and efficiency in the OR.

TOTAL pathway

Interdisciplinary approach for pre-, intra- and postoperative process analysis and personalized optimization measures aimed at improving surgical results, patient satisfaction and process efficiency.

Discover TOTAL pathway consulting solution

[1] Lützner J, Beyer F, Lützner C, Tille E, Postler AE. A Novel Multilayer-Coating for Total Knee Arthroplasty Implants is Safe – 10-Year Results from a Randomized-Controlled Trial. J Arthroplasty. 2022 Jul 31.

[2] Schäfer T, Böhler E, Ruhdorfer S, Weigl L, Wessner D, Filipiak B, Wichmann HE, Ring J. Epidemiology of contact allergy in adults.Allergy. 2001 Dec;5 (12):1192-6.

[3] Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Insall Award paper. Why are total knee arthroplasties failingtoday? Clin Orthop Relat Res. 2002 Nov;(404):7-13.

[4] Reich J, Hovy L, Lindenmaier HL, Zeller R, Schwiesau J, Thomas P, Grupp TM. Präklinische Ergebnisse beschichteter Knieimplantate für Allergiker. Orthopäde. 2010 Mai;39(5):495-02.

[5] Data on file.

[6] Lim, MH., Tallay, A. & Bartlett, J. Comparative study of the use of computer assisted navigation system for axial correction in medial unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 17, 341–346 (2009). https://doi.org/10.1007/s00167-008-0655-2