Companies smith nephew orthopedic products. Choosing a knee joint endoprosthesis: term of service, materials, prices

Endoprostheses hip joint Smith Nephew has a wide range of products that allow you to get the necessary implant for a skin patient. The price is that durable product, which can be certified by the technology of manufacturing and materials. It is sold in rich countries and is recommended by doctors as an efficient, effective and safe way to replace poor sugular articulation.

Characteristics of Smith Nephew endoprostheses

Assigned for such functions:

• take a chance on a kulshovy swamp;
• speed up the process of traditional therapy;
• stop pain syndrome;
• restore the fragility of the tip;
• improve the comfort of the patient's life;
• zupiniti deformation and development of ailments.

Stegnovі endoprostheses of Smith Nephew create conductors of the circle of the sphere. With their systematic wear, the risk of injury to the loam is reduced and turn the frivolity to the patient. We are connoisseur of materials, certified by a safety certificate, I will constantly improve the technology of preparation. The stench is rotten, it is high-pitched and light.

Assortment

POLARSTEM endoprosthesis manufactured by Smith & Nephew.

Stegnovy endoprosthesis manufactured by "Smith and Neph" is produced in the following way:

• OXINIUM;
• XLPE;
• Birmingham Hip;
• LEGION;
• ANTHOLOGY;
• REDAP.

Choose the type of endorotesis slіd priming on the recommendations of the lіkarya, and chi not cіnі product. All Smith Nephew products are subject to quality assurance certifications, which should be checked prior to purchase.

Virib OXINIUM

Preparation of zirconium and niobium oxidized alloy. Vіn nadіynіshiy i mіtsnіshiy, nizh cobalt-chromium metal and lighter. Rozrobka allows you to change the indicator of the coefficient of friction and increase it for people who are allergic to nickel or hypersensitive to this material. The head, legs and acetabulum are made from the same material.

Implant XLPE

The main material is polyethylene cross-link. Yogo is won for the help of the process of prominence. Vіn may be medically confirmed that the products of wear are viroblyayutsya in a smaller number. When combined with cobalt, the knee and hip implants are called VERILAST. Recommendations by doctors for patients with deformation of the limb.

SMF implant

Prosthetic head of the quilt for help OXINIUM.

This is a short variant, which is 20% less than in the old one compared to similar implants. May shear without cement installation. For a successful form brush fabric the pelvis that stegna is saved and less exposed. With this, resection of the neck of the stem can be allowed. After wearing the SMF prosthesis, there is a greater chance to perform a larger surgical operation in the distance.

Birmingham Hip

Zastosovuєtsya for superficial prosthetics of traumatized suglob. Through this technology, its own head of the stilt brush is saved and does not change on the implant, afterward, it is turned into a shell. Patients who wear the Birmingham Hip can boldly pick up on the vantage of different folds. The new one has a low rizik vipadannya ta high display to save the bone tissue. The material for the preparation of all parts is a high-carbonaceous cobalt-chromium-molybdenum alloy.

Endoprosthesis of a kulsha suglob is a serious orthopedic operation due to the replacement of a damaged joint with an implant. As a substitute for the surgical intervention, the increased wear of the slush, as well as the clogged months and injuries in the area of ​​the wound, as a result of which there is a functional impairment, serve as a substitute. How much is the cost of endoprosthetics and what is the best way to buy an implant? For the sake of this recommendation, specialists in orthopedics will help to develop a nutritional selection of optimal types of current endoprostheses.

If you are planning to buy your own implant, do not varto priming less on equal yogo vartosti. Indeed, the number of zeros on the price is very large, far from being a guarantee of long-term and careless service to the endoprosthesis. Yogo price to lie in the different models of the main diagnosis. For example, an implant for operational jubilation coxarthrosis is more expensive than a substitute, necessary for a fracture of the neck of the leg.

The rise of a high vartosity with a distinguished quality in traumatology is far from always looking good. The shards of endoprosthesis of the kulshovy loam are considered a folding operation, the main one is a high rіven її vikonannya, and not a road implant. The medical pardon can be negatively marked on the basis of the material. Bude correctly, as if the right to choose a prosthesis for a patient is entrusted to a qualified surgeon. This is the main factor of successful endoprosthesis. Dosvіdcheny fahivets can be virіshity, which kind of piece replacement is more likely to prevail in a specific skin type.

The most popular models of piece bunkers are produced by international companies DePuy and Zimmer. In addition, active participants in the current market are Stryker, Smith&Nephew, Biomet, Aesculap, B. Braun. The Zimmer company produces high-grade cups of the Zimmer Trilogy type. The DePuy brand is more than a leader in the launch of the Pinnacle line of endoprostheses. For recognition, the quality of the products of Zimmer and DePuy is practically identical, so you can choose the shortest version of the drug-professional.

Showing that exchange

The operation for the implementation of a piece organ should be prescribed for the presence of certain types of illness and negative states of TBS:

• fracture of the neck of the stegna and traces of traumatic ears;
• coxarthrosis (deforming osteoarthritis) and other types of arthritis that caused degenerative-dystrophic changes;
• dysplasia;
• damage to the blood supply of the head of the stem;
• congenital anomalies;
• deyaki see pukhlin;
• aseptic necrosis.

The presence of a listing sign is not an obov'yazkovy indicator of surgical intervention. In a skin-smooth type of condition, the nutrition of an arthroplasty of a sick person is broken by a doctor after a deep obstezhennia. Zocrema, with coxarthrosis, surgery is prescribed only for 2-3 stages of illness. Also, the endoprosthesis is installed with unbearable crippling pains of the hip joint, which does not respond to the treatment with a protracted pivroku.

Contraindications before surgery to replace the humus with an endoprosthesis may be the following:

1. dermatological ailments and damage to the outer coverings of the fur coat;

2. problems with peripheral vessels of the lower limbs;

3. paralysis of chotirigologo m'yaz;

4. oncological disease;

5. severe mental disorders;

6. overweight body weight (over 120 kg).

Virishuyuchi nutrition about the need to install the endoprosthesis, obov'yazkovo taken to respect vikta hot mill healthy patient. Orthopedic surgery is not recommended for young people in depressions, if it is possible to save / restore functions with the help of medical treatment.

What to protect when buying?

The sound of a piece of swamp may be very similar to today. AT classical vikonanna vіn is folded from the pin (lower), cups and heads. The endoprosthesis takes on itself physical adventure and vikonuє themselves diї, like a healthy organ. The operation to replace a stubborn hip joint with an implant is called the primary endoprosthesis. If there is a need for a revision of the endoprosthesis, it may be necessary to remove the replacement of the articulation that was inserted earlier.

For sale, there are a lot of different prostheses, which are classified as decal signs.

1. Type of construction.

• Single-pole - which replaces the head of the pitcher.
• Bipolar - prostheses, as a replacement for the head of the quilt and the acetabulum. Such endoprosthesis is called total. Yoga is often used in orthopedics and traumatology.

2. Main material (cup and bottom).

• Metal and metal is a wear-resistant combination, built to last no less than two decades. Metal endoprostheses are the best to install for people, so that they can lead an active way of life. Zavdyaki great heads of suglobіv mozhliva wide amplitude ruhіv. For women who plan to have vaginess, prostheses are not recommended due to the high level of penetration of metal ions in the plaid. Up to a short time, a high price for an endoprosthesis is expected. In addition, as a result of rubbing the piece surfaces, toxic products are dissolved. Behind the advice of orthopedists, metal swamps are rarely practi- cally vicorous, and in some countries the stench is filled with fences.
• Metal and plastic is an inexpensive option due to the moderate toxicity of washing products. The combination of materials is considered to be more recent (10-15 years). Such a prosthesis can be fitted to people of an unsportsmanlike nature with a calm and peaceful way of life. Low-grade implants are available to patients of the pension age.
• Ceramics and ceramics - pieced loam, however, are good for patients, no matter what the state of the art. Long-term and long-term toxicity are considered. The main step for attaching a ceramic endoprosthesis is a high variance. In addition, the implants can squeak under the hour, which creates considerable discomfort for patients.
• Ceramics and plastic are the found type of prostheses. The combination is characterized by low wear and tear, which is more suitable for patients of the frail age of both articles.

3. Method of fixation.

• Cement-free/mechanical - installation of endoprosthesis elements in the bone tissue using the method of wedge-in or transfer. The place of shipment is covered by a special warehouse. Zavdyaks of this covering of the cystic tissue "grow" with the material of the endoprosthesis (sound titanium), surprisingly fixing yoga. Non-cemented prostheses are good for young patients. Tse easing nadal it is possible to revise the endoprosthesis of the kulsha loam.
• Cementation of all parts of prostheses are fixed for additional special biological design. Such a way of z'ednannya secures the best fixation for osteoporosis. Cementation of endoprostheses is the best way to install older patients and people with reduced physical activity.
• Hybrid-surface - the surrounding parts of the prosthesis can be prepared from different types of materials. The cup is fixed in a cementless way. Pieces of bottoms are fastened for additional rozchiny. Hybrid endoprostheses are best recommended for patients of the middle age.

Price overview

In fact, veneers for endoprosthetics are made up of two parts. The price of the health of the implant and the cost of the operation at once from the transfer to the inpatient hospital. Fallow in view of the type of endoprosthesis cost 60,000-80,000 to 220,000-300,000 rubles. The average implant cost is 130,000 - 150,000.

The average cost of the operation to replace the pelvic slough in the clinics of Russia is 170,000-250,000. At the same time, endoprosthetics at once from rest at the hospital cost the average 350,000–370,000 (30,000–220,000 for a single-pole prosthesis, 400,000–600,000 rubles for a total). AT different lands it is estimated at a sum of 8,000 to 40,000 dollars.

Smith&Nephew– a global corporation with a staff of 15,000 specialists from all over the world, who specialize in the production of medical materials and translating materials, which may have local representation in more than 100 countries.

Indicators of activity

2018: Zrostannia vitorga by 3% to $4.9 billion

In 2018, Smith & Nephew earned $4.9 billion in revenue, while just before, it generated $4.77 billion.

Most of the company's business, like before, is connected with products in the sports medicine hall and after injuries. In 2018, the annual turnover brought Smith & Nephew a turnover of $2 billion, which is 4% more than the previous year. Income directly from sports medicine was $ 697 million, an increase of 11% on par with the previous year.

Technologies for arthroscopic surgery (minimally invasive surgical manipulation, which is based on the method of diagnostics and examination of the internal part of the suglom) provided the company with a profit of $600 million.

It is noteworthy that in 2018 Smith & Nephew bought 29 companies and spent close to $1 billion on it.

History

2019

Roland Diggelmann - CEO of Smith & Nephew

On the eve of 2019, the Smith & Nephew company, which is engaged in the distribution and sale of medical equipment, has announced that Roland Diggelmann will become the new CEO in 1 leaf fall. More details.

Buying a retailer of cameras for surgical robots Atracsys Sarl

In the middle of March 2019, Smith & Nephew announced the purchase of Atracsys Sarl, a camera retailer for robotic surgeons. More details.

Purchasing a retailer for the destruction of soft tissues Leaf Healthcare

At the beginning of April 2019, Smith & Nephew announced about the addition of a retailer for the destruction of soft tissue Leaf Healthcare. More details.

Purchase of a Brainlab child, which is engaged in orthopedic reconstruction of joints

On March 12, 2019, Smith & Nephew announced the purchase of a subsidiary of the company Brainlab, which is engaged in orthopedic reconstruction of joints. In addition, the companies made a big deal about the development of additional software for a fully developed automation platform. More details.

Purchase of Osiris Therapeutics bone-cartilage implant manufacturer for $660 million.

On March 12, 2019, Smith & Nephew voted on the sale of Osiris Therapeutics, a bone-cartilage implant manufacturer, for $660 million More details.

2018: Purchase of a retailer of surgical instruments for restoration of the meniscus Ceterix Orthopedics for $105 million

December 18, 2018 Smith & Nephew voted about the purchase of a retailer of surgical instruments for meniscus reconstruction

Smith & Nephew- one of the largest international pharmaceutical companies, founded in 1856, headquartered in London.

The company borrows first from the world for the development and distribution of products for arthroscopy (invasive surgical manipulation, which depends on the method of diagnosis and examination of the internal part of the snow). Another place in the world for the significance of directly rozrobki zasobiv likuvannya and healing of wounds. I third month in the world of research and development of rehabilitation after serious injuries and a quarter of the development of orthopedic structures and prostheses. The company's products are represented in over 90 countries of the world. To be included in the list of 100 largest companies that are represented on the London Stock Exchange.
Directly "The treatment of wounds" is one of the priority directives in the company, which dynamically develops and promotes the leading edge of the treatment of important wounds.

In 1928 roci The company has developed a product under the name Elastoplast, and this product has been victorious in the world and dosі under the name Leukoplastir.

Z 2000 roku Smith & Nephew, after purchase from Knoll AG BASF Pharma patent for collagenase, begins active development of all good known drug Iruxol (Iruxol) and other enzyme preparations.

Smith & Nephew can in its order a wide range of products for the treatment of all types of wounds - bandage dressing (Allevyn bandages - No. medical care Iruxol (iruxol) and high-tech medical equipment (VersaJet - hydrosurgical system, V1STA - vacuum system). The market of vacuum systems is the most visible segment in the market of products for the treatment of wounds.

Smith & Nephew has a great history of developing and introducing innovative products to the market:

• 70 years of the last century - the introduction to the market of the first dressing room for wound care OpSite;
• 1973 FLAMAZIN (sulfadiazine sribla);
• 2000 S&N purchase of COLLAGENAZA (Iruxol) from BASF Pharma;
• 2001 DERMAGRAFT - Human replacement for shkiri, removal of fibroblasts by genetic engineering methods;
• 2004 rights and commercialization of VERSAJET (hydrosurgical system);
• 2007 - Acquisition of a private American company BlueSky - a manufacturer of a high-tech vacuum system for treating important wounds.

Report about Smith & Nephew:

Smith & Nephew was founded in 1856 as one of the leading orthopedic companies in the world. The company operates in 33 countries of the world, providing over 11,000 jobs and over 5 billion US dollars of river turnover.

As part of one of the most important areas of activity - the orthopedic implant - Smith & Nephew is providing patients and doctors with one of the best endoprosthesis systems of the great knees.

Family of endoprostheses kolіnnogo sglob Genesis is a complete set of instruments and implants for all possible clinical situations, from primary prosthetics to saving a cross-like ligament, to complex revision situations that require special attention.

The systems of prosthesis of the pelvic joint with cement fixation and cement-free fixation allow the doctor to effectively and simply achieve excellent clinical results with various hand-held multi-functional instruments, short-term operation and shortening the duration of the operation.

Smith & Nephew attaches great importance to the research and development of innovative high-tech techniques and materials in various endoprosthesis systems. For the development of OXINIUM material, the company in 2005 was awarded the honor of the International Scientific Research Fellowship ASM International. Among the companies that took the city, DuPont is known for the production of Kevlar fiber, the General Electric company, as well, took the city for the technology of cutting piece diamonds. Using the OXINIUM material, the steno components of the knee endoprostheses and the steno heads of the pelvic prostheses are being prepared. Material OXINIUM is 2 times harder and more resistant to cracking, lower cobalt-chromium, may be 2 times less rub coefficient, lower cobalt-chromium, practically does not avenge third-party houses, which allows you to stop yoga in patients with allergic reactions on metal. Endoprosthetics with vicarious material OXINIUM allow to evaluate the shortness of reoperations in the mid-linear and early-linear periods.

In addition, Smith & Nephew is proposing an endoprosthesis of loam for surface restoration - the BHR system. This implant is a pair of rubbing "metal-metal" and appointments for young and active patients, which will require the maximum amount of exercise and yakі pragvat vіdnovlennya povnotsіnnoї shchennoї activity, including sports. The great diameter of the head in this system practically excludes the vivuh ability. After the end of the term of service for the BHR implant, the revision operation is performed according to the standard technique and does not require folding revision implants.

Smith & Nephew is rightfully respected as an innovative company in the world and helping patients turn to an active full-time life.

Acquisition of the largest Swiss company Plus Orthopedics AG to Smith & Nephew from Cherry 2007 The idea has expanded the ability of the company to provide high-tech support and create comfortable minds for robotic surgeons.

As a result of the merger of the distribution base and the successor databases of both Smith & Nephew products, they also denied access to unique information resources, primary centers in the USA, Great Britain, Austria, Switzerland, Belgium.

Vyrobniki rozroblyayut іmplantatі vikhodyachі z averaging razmіrіv. Tse sound vibrate up to 2-3 types of prostheses. However, the activities of the company, for example, Zimmer and Biomet, vary models that are distinguished by the sign of the article. Behind their words, the products allow you to heal and correct the anatomical features between men and women.

The butt of the "female" implant of the company's knee joint [email protected] Visual vіdmіnnost vіd zvichaynogo do not know.

There is no evidence of greater effectiveness of gender endoprostheses. A lot of experts upevnenі, scho such a pіdhіd - no more, less marketing hіd, clicks to increase sales.

Features of outbuildings and their pickers

According to WHO data, less than 10% of patients are eligible for partial endoprosthetics. Decisions about the optimal method of treatment are taken by the surgeon.

Officials who determine the correct choice of implant:

• available range of ruhіv (maximum expansion, expansion);
• mood (size, form, state of authority);
• stability;
• The level of activity of the patient

Discuss important functions with the surgeon, clarify which type I will attach to the maximum according to the needs, anatomy, type of illness. The main factors are the success of the endoprosthesis, the validity of its operation in medical practice and the term victory.

A different type of implant for partial endoprosthetics of the knee joint.

The most popular models and vibrators

totalne	mobile bearing	Zimmer: The NexGen® LPS-Flex Mobile and LPS-Mobile Bearing Knees	Offenses of the system allow the pieced drift to curl up and wrap around freely. The metal components are beaten up: they come to the end of the stalk brush, which replaces the upper part of the gomelka. Endoprostheses include a plastic sugular surface, freely attached to the base plate, which plays the role of piece cartilage. Protects 155⁰ of active curl and 25 degrees of seamless inner/outer wrap. For fixation, vicorating cement is used
		The Zimmer Gender Solutions® Patello-Femoral Joint	Appointments for active patients, positioned as an option for early admission. Allows you to save a large lot of brushes, requiring a smaller cut. The choice of this implant requires the surgeon to use special instruments, knowledge of minimally invasive techniques. In the endoprosthesis, there is a guarantee of gender identity, a special form of its components more precisely reflects the peculiarities of a woman and a human anatomy. Transferring 35 different sizing options
		DePuy Sigma® Rotating Platform Knees	May be equipped with the installation of a fluffy bearing, which spirals onto a turntable, which allows you to simulate the natural fluctuations of the knee. The design ensures a decrease in internal stress and wear and tear, which is used in older, lower analogues. According to statistics, close to 1 million similar endoprostheses have been implanted in the world, 97% of which are victorious over 20 years.
	Unbreakable support	DePuy Sigma® Fixed-Bearing Knees	The wear-resistant polyethylene and advanced metal components are victorious, which does not lead to 99.6% failures after 5 years of operation.
		Smith & Nephew OXINIUM®	Prosthesis h high level wear resistance. It is prepared with metal zirconium, which makes it more resistant to erasing that rubbish. Under the hour of testing, it was noted that the change in the rate of polyethylene by 85% was matched with cobalt-chromium materials, which are found in other implants.
		Stryker Triathlon® Total Knee Replacement System	Tsei type of pieced suglob of appointments to work with body. Give good results of rotation of the rukhovo activity after the operation. The design of the attachment allows the implant to bend, expand, wrap similarly to a natural collar.
		Biomet Vanguard® Complete Knee System	Attachment is based on specific features of the anatomy of the patient. Transmission high foot (about 145⁰), available in 90 sizes, 10 sizes of stilt brush
Chastkov		BioMet Oxford® Knee	Prescribing for patients with intermediary (medial) arthritis. The prosthesis has ruhom plastic bearings, which are implanted only from one side. Allows you to see 75% less bones and cartilage, so the procedure of this insertion is less painful, and the speed of restoration is greater. Clinical trials show 98% success after 10 years of wear and 95% after 15 years of wear.
		DuPuy Sigma® High Performance Partial Knee	Appointments for active patients, for those who need a high cost of death, even if the hour of re-arthroplasty has not yet come. Allowing you to stand on your knees, sit down, sit with crossed legs. Surgeon vikoristovu whether any of the components of the okremo to replace the required water column. Take the maximum of the non-shocked area of ​​the right column.

Service term for endoprosthesis

The term of exploitation of a piece-shaped knee slough is to become 10-30 years. To lay down faults according to the quality of vicorous material, type of prosthesis, established technique, period, until the patient's care of the rules of operation and order of the doctor, the presence of repeated injuries, the patient's vag. The best winds took off titanium alloys; the warranty term for such prostheses is 15-20 years.

75% of patients coryst with a piece prosthesis for a long life without the need for replacement.

Oncological endoprosthesis

Stegnova and the great gomilk's cyst often become a place for the development of downy, oncological diseases. Previously, such a diagnosis was considered by unambiguous contraindications before the procedure of endoprosthesis, but the specialists developed oncological endoprostheses, which ensured the primary results for the manifestation of great cystic defects.

The essence of oncological endoprostheses is a more wide-ranging method of fixation in the cysts, which stinks more volume.

The cysts were made to undergo resections, replaced by piece implants. As if the patient's illness may have an evil character, the attachments allow saving his life, turning the fragility.

Vitchiznyan prostheses

Speaking about the Russian practice of endoprosthetics, it is evident that there are low centers with the knowledge of surgeons, who have to carry out over 1000 operations on the river. Such a breakthrough in the security of the federal program of financing operations. To that firmness, that good surgeons can be known only behind the cordon, without evidence of action.

Unfortunately, you can't say the same about the implants. Irrespective of the distribution, vitchiznyan, endoprostheses are supplied by imports for quality, superiority, even if they are in one of them, the price segment.

To choose a suitable implant, check the information about the available models, and in general, select the appropriate look. Protect the mind of the surgeon, who is operating, I have power of activity,