ENDO’S

Austin-Moore & Thompson

Endoprosthesis Systems

Surgical
Technique
Austin-Moore & Thompson Endoprosthesis
Surgical Technique

Table of Contents

Indications and Contraindications.................................................. 2

Warnings and Precautions................................................................ 2

Introduction......................................................................................... 3

Operative Technique.......................................................................... 4

Instrument and Implant Listing....................................................... 6

Indications Conditions presenting increased risk of failure

include:
The Stryker Orthopaedics Endoprostheses are used as a
hemiarthroplasty for the following indications: 1. uncooperative patient or patient with neurological disorders
• Femoral neck fractures who is incapable of following instructions;
• Idiopathic avascular necrosis 2. osteoporosis;
• Nonunions 3. metabolic disorders which may impair bone formation;
The patient’s acetabular bone stock must be adequate to support 4. osteomalacia.
articulation with the head of the endoprosthesis.

Relative contraindications include:

Contraindications
1. youth hemiarthroplasty will provide young, active patients a
Absolute contrindications include:
variable period of pain relief, but symptoms may or are likely
1. overt infection; to recur;
2. distant foci of infections (which may cause hematogenous 2. Parkinson’s disease;
spread to the implant site);
3. Suboptimal bone stock, especially of the acetabulum.
3. rapid disease progression as manifested by joint destruction
or bone absorption apparent on roentgenogram;
Warnings and Precautions
4. skeletally immature patients;
See package insert for warnings, precautions, adverse
5. cases where there is a loss of abductor musculature, poor effects, information for patients and other essential product
bone stock or poor skin coverage around the hip joint which information.
would make the procedure unjustifiable.
Before using Austin-Moore and Thompson Endoprostheses
instrumentation, verify:
• Instruments have been properly disassembled prior to
cleaning and sterilization;
• Instruments have been properly assembled post-sterilization;
• Instruments have maintained design integrity; and,
• Proper size configurations are available.
For Instructions for Cleaning, Sterilization, Inspection and
Maintenance of Orthopaedic Medical Devices, refer to LSTPI-B.

This publication sets forth detailed recommended procedures for using Stryker Orthopaedics devices and instruments. It offers guidance that you should heed,
but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required.
INTRODUCTION

The Austin-Moore and Thompson Endoprosthesis systems

make up part of a comprehensive product offering from
Stryker aimed solely at the treatment of proximal femoral
fractures.
Manufactured from Vitallium alloy, a wide range of head
sizes and stem designs are available to accommodate the
needs of individual patient anatomy.

1. Thompson 2. Austin-Moore / 3. Austin-Moore /

Endoprostheses Fenestrated Fenestrated
Regular Curved Narrow Curved
Stems Stems

4. Austin-Moore / 5. Austin-Moore /
Fenestrated Fenestrated
Regular Straight Narrow Straight
Stems Stems

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 1/2/3/4/5/6
OPERATIVE TECHNIQUE (AUSTIN-MOORE & THOMPSON)

STEP 1 STEP 3
Confirm that a hemi-arthroplasty Following exposure of the hip, cut the
is indicated. femoral neck. In most individuals an
appropriate level of neck resection
lies along a line drawn from a point
STEP 2 medially mid-way between the upper
margin of the lesser trochanter and
The patient is positioned and prepared
inferior aspect of the head, to a point
on the operating table in the usual
laterally at the base of the neck.
manner. Expose the hip joint using
your preferred surgical approach for If the neck is cut too long, the leg will
hemi-arthroplasty. be lengthened, and the hip will be tight
and difficult to reduce. The converse
will be the case if the cut is too low,
and the hip may be unstable. The neck
cut may need to be modified a little
higher or lower in valgus or varus hips,
respectively.
Remove and measure the femoral head
or alternatively use an appropriate
instrument to measure the size of the
acetabulum. Select an implant with a
femoral head of the same size.

STEP 4 STEP 5 STEP 6

Ensuring the gluteus maximus tendon Proximal femur preparation is made Following rasping, insert the definitive
is retracted and protected, a box chisel with the femoral rasp. This should stem to ensure correct fit, seating and
is used to open the proximal femur. be done by hand unless the bone is alignment can be achieved. Trim the
This should be positioned laterally and unusually hard, as using a hammer neck if required to allow the collar of
posteriorly to gain exposure in line risks fracturing a fragile osteopenic the prosthesis to sit flush. Confirm
with the femoral canal. femur. version is correct (see step 5). A
trial reduction can be performed if
The rasp should be inserted with
required.
the required amount of anteversion:
typically this is between 0° and 20° NB If performing a trial reduction,
depending on the preferred approach. take great care when re-dislocating the
hip. A swab around the neck of the
The rasp should be inserted to a depth
prosthesis or a bone hook should be
where the top cutting teeth line up with
used to help dislocate and deliver the
the neck resection line.
femoral head out of the acetabulum.
Undue torsional force applied through
the leg can fracture an osteoporotic
femur.

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7/8
OPERATIVE TECHNIQUE (THOMPSON ONLY)

STEP 7 STEP 8 (Thompson)

(Stem Insertion – Thompson)
Remove any excess cement from
Proceed with the preferred around the neck of the prosthesis
method of cementing technique. and take care to ensure that the
(Modern cementing techniques are acetabulum is clear of any cement,
recommended, including the use of a bone fragments of soft tissue before
distal cement plug, thorough lavage reducing the hip. Confirm stability and
and drying of the canal and retrograde a concentric reduction before layered
filling with a cement gun). wound closure.
The stem is inserted by hand until The general post-operative
the collar of the prosthesis reaches management of the patient should
the neck resection line on the medial follow the normal protocols of the
calcar. The surgeon must hold the operating surgeon and the institution
stem in position with the Femoral in which the surgery was performed.
Head Driver until the bone cement is
fully polymerised.

7/8
OPERATIVE TECHNIQUE (AUSTIN-MOORE ONLY)

STEP 7 STEP 8 (Austin-Moore)

(Stem Insertion –
Ensure that the acetabulum is clear
Austin-Moore)
of any bone fragments or soft tissue
The stem (corresponding to the before reducing the hip. Confirm
measured size in Step 3) is inserted stability and a concentric reduction
with the Femoral Head Driver until before layered wound closure.
the collar of the prosthesis reaches
The general post-operative
the neck resection line on the medial
management of the patient should
calcar.
follow the normal protocols of the
operating surgeon and the institution
in which the surgery was performed.

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 IMPLANT & INSTRUMENT LISTINGS

Implant Listing
Thompson Endoprosthesis Fenestrated Regular Straight Stems Fenestrated Regular Curved Stems
Catalogue Number Head Stem Catalogue Number Head Stem Catalogue Number Head Stem
Diameter Length Diameter Length Diameter Length
6936-0-380 38mm 105mm 6940-0-380 38mm 165mm 6939-0-380 38mm 130mm
6936-0-400 40mm 105mm 6940-0-400 40mm 165mm 6939-0-400 40mm 130mm
6936-0-410 41mm 105mm 6940-0-410 41mm 165mm 6939-0-410 41mm 130mm
6936-0-420 42mm 105mm 6940-0-420 42mm 165mm 6939-0-420 42mm 130mm
6936-0-430 43mm 105mm 6940-0-430 43mm 165mm 6939-0-430 43mm 130mm
6936-0-440 44mm 105mm 6940-0-440 44mm 165mm 6939-0-440 44mm 130mm
6936-0-450 45mm 105mm 6940-0-450 45mm 165mm
6939-0-450 45mm 140mm
6936-0-460 46mm 105mm 6940-0-460 46mm 165mm
6939-0-460 46mm 140mm
6936-0-470 47mm 105mm 6940-0-470 47mm 165mm
6939-0-470 47mm 140mm
6936-0-480 48mm 105mm 6940-0-480 48mm 165mm
6939-0-480 48mm 140mm
6936-0-490 49mm 105mm 6940-0-490 49mm 165mm
6939-0-490 49mm 140mm
6936-0-500 50mm 105mm
6940-0-500 50mm 190mm
6936-0-510 51mm 105mm 6939-0-500 50mm 150mm
6940-0-510 51mm 190mm
6936-0-520 52mm 105mm 6939-0-510 51mm 150mm
6940-0-520 52mm 190mm
6936-0-530 53mm 105mm 6939-0-520 52mm 150mm
6940-0-530 53mm 190mm
6936-0-540 54mm 105mm 6939-0-530 53mm 150mm
6940-0-540 54mm 190mm
6936-0-550 55mm 105mm 6939-0-540 54mm 150mm
6940-0-550 55mm 190mm
6936-0-560 56mm 105mm 6939-0-550 55mm 150mm
6940-0-560 56mm 190mm
6936-0-570 57mm 105mm 6939-0-560 56mm 150mm
6940-0-570 57mm 190mm
6939-0-570 57mm 150mm
6940-0-600 60mm 190mm
6939-0-600 60mm 150mm
6940-0-630 63mm 190mm
6939-0-630 63mm 150mm

Fenestrated Narrow Straight Stems Fenestrated Narrow Curved Stems

Catalogue Number Head Stem Catalogue Number Head Stem
Diameter Length Diameter Length
6940-1-380 38mm 135mm 6939-1-380 38mm 135mm
6940-1-400 40mm 135mm 6939-1-400 40mm 135mm
6940-1-410 41mm 135mm 6939-1-410 41mm 135mm
6940-1-420 42mm 135mm 6939-1-420 42mm 135mm
6940-1-430 43mm 135mm 6939-1-430 43mm 135mm
6940-1-440 44mm 135mm 6939-1-440 44mm 135mm
6940-1-450 45mm 135mm 6939-1-450 45mm 135mm
6940-1-460 46mm 135mm 6939-1-460 46mm 135mm
6940-1-470 47mm 135mm 6939-1-470 47mm 135mm
6940-1-480 48mm 135mm 6939-1-480 48mm 135mm
6940-1-490 49mm 135mm 6939-1-490 49mm 135mm
6940-1-500 50mm 135mm 6939-1-500 50mm 135mm
6940-1-510 51mm 135mm 6939-1-510 51mm 135mm

Instrument Listing
Austin-Moore Instrumentation Thompson Instrumentation
Catalogue Number Description Catalogue Number Description
6873-2-100 Straight Moore Rasp, 1 Piece 6836-0-000 Thompson Rasp, 1 Piece
6873-3-000 Straight Narrow Moore Rasp, 1 Piece 6859-0-003 Moore Gouge – Small
6839-0-000 Curved Moore Rasp, 1 Piece 6859-0-002 Moore Gouge – Medium
6839-4-000 Narrow Curved Moore Rasp, 1 Piece 6859-0-001 Moore Gouge – Large
6859-0-003 Moore Gouge – Small 6839-2-060 Moore T-Extractor 150mm
6859-0-002 Moore Gouge – Medium 6839-2-080 Moore T-Extractor 200mm
6859-0-001 Moore Gouge – Large 6839-3-000 Moore Hollow Chisel
6839-2-060 Moore T-Extractor 150mm 6266-0-140 Femoral Head Driver Complete
6839-2-080 Moore T-Extractor 200mm 6266-0-145 Plastic Replacement Head
6839-3-000 Moore Hollow Chisel 6791-7-100 Metric Femoral Head Gauges, Set of three
6266-0-140 Femoral Head Driver Complete 6839-9-300 Endoprosthesis Instrument Case
6266-0-145 Plastic Replacement Head
6791-7-100 Metric Femoral Head Gauges, Set of three
6839-9-300 Endoprosthesis Instrument Case

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 Stryker
325 Corporate Drive
Mahwah, NJ 07430
t: 201 831 5000

www.stryker.com

A surgeon must always rely on his or her own professional clinical judgment when deciding whether to
use a particular product when treating a particular patient. Stryker does not dispense medical advice and
recommends that surgeons be trained in the use of any particular product before using it in surgery.

The information presented is intended to demonstrate the breadth of Stryker product offerings. A surgeon
must always refer to the package insert, product label and/or instructions for use before using any Stryker
product. The products depicted are CE marked according to the Medical Device Directive 93/42/EEC.
Products may not be available in all markets because product availability is subject to the regulatory and/
or medical practices in individual markets. Please contact your Stryker representative if you have questions
about the availability of Stryker products in your area.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the
following trademarks or service marks: Austin-Moore, Endo’s, Stryker, Stryker Orthopaedics, Thompson.
All other trademarks are trademarks of their respective owners or holders.

ENDO-SP-1
MT/TC 10/14

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