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BioBall® System
The BioBall® Adapter System is a simple and sophisticated system that allows intra-operative correction of neck length as well as antetorsion/retrotorsion and lateralisation/medialisation on in-situ stems.
Benefits
01
Minimization of surgical complexity (the stem is retained) and duration.
02
Possibility to correct retro-/antetorsion and lateralisation/medialization intraoperatively in case of well-fixed in-situ stems.
03
Possibility to correct the neck length intraoperatively and adjust leg length discrepancy.
Images
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About
The BioBall® Adapter System is a simple and sophisticated system that allows intra-operative correction of neck length as well as antetorsion/retrotorsion and lateralisation/medialisation on in-situ stems.
The BioBall® Adapter, consisting of titanium alloy, allows intra-operative correction of neck length as well as antetorsion/retrotorsion and lateralisation/medialisation on in-situ stems, which might improve gait and might reduce the dislocation risk.
With its offset components and special tapers, the system ought to be available in every hospital as a solution for unexpected situations in primary endoprosthetic care as well.
When it comes to revision surgeries, the BioBall® System offers an important feature: With stems left in-situ with previously used tapers, the BioBall® Adapter compensates mild deformation of the taper surface.
See bibliography
BIBLIOGRAPHY
[1] Emilie C. Dickinson, Kay Sellenschloh, Michael M. Morlock (2019). „Impact of stem taper damage on the fracture strength of ceramic heads with adapter sleeves“ Clinical Biomechanics, 63, 193–200.
[2] P. Weber, A. Steinbrück, A. C. Paulus, M.Woiczinski, F. Schmidtz, A. Fottner, V. Jansson (2017). „Gelenkteilwechsel in der Hüftarthroplastik. Was dürfen wir kombinieren?“ Orthopäde DOI 10.1007/s00132-016-3380-4
[3] Kock, H. J., Cho, C., Buhl, K., Hillmeier, J., Huber, FX. “Long-term outcome of a modular head adapter system in revision hip arthroplasty for multimorbid patients” Abstract Nr. 52, Vortrag EHS 2016 – München
[4] Bloch, B. and S. West (2015). Early results of the BioBall Taper Adaptor in revision total hip arthroplasty. British Hip Society Annual Meeting. London.
[5] Kock, H. J., C. Cho, F.-X. Huber and J. Hillmeier (2015). 10-year-results After Treatment Of Dislocating Total Hip Arthroplasty Using A Novel Head Adapter System. AAOS.
[6] Hoberg, M., C. Konrads, S. Huber, S. Reppenhagen, M. Walcher, A. Steinert, T. Barthel and M. Rudert (2015). „Outcome of a modular head-neck adapter system in revision hip arthroplasty.“ Arch Orthop Trauma Surg.
[7] Friedrich, M. J., S. Gravius, J. Schmolders, M. D. Wimmer and D. C. Wirtz (2014). „Biologisch azetabuläre Defektrekonstruktion beim Hüftendoprothesenwechsel mittels „Impaction Grafting“ und azetabulärem Rekonstruktionsring.“ Operative Orthopädie und Traumatologie 26(2): 126-140.
[8] Weber, P. and V. Jansson (2014). Teilwechsel an der Hüft. Was dürfen wir kombinieren? Orthopädische Nachrichten. Köln, Biermann Verlag GmbH. 01.2014.
[9]Helwig, P., L. Konstantinidis, A. Hirschmüller, A. Bernstein, O. Hauschild, N. P. Südkamp and B. G. Ochs (2013). „Modular sleeves with ceramic heads in isolated acetabular cup revision in younger patients-laboratory and experimental analysis of suitability and clinical outcomes.“ Int Orthop 37(1): 15-19.
[10] Jack, C. M., D. O. Molloy, W. L. Walter, B. A. Zicat and W. K. Walter (2013). „The use of ceramic-on-ceramic bearings in isolated revision of the acetabular component.“ Bone Joint J 95-B(3): 333-338.
[11] Vaishya, R., M. Sharma and R. R. Chaudhary (2013). „Bioball universal modular neck adapter as a salvage for failed revision total hip arthroplasty.“ Indian Journal of Orthopaedics 47(5): 519.
[12] Woelfle, J. V., C. R. Fraitzl, H. Reichel and D. Wernerus (2013). „Significantly Reduced Leg Length Discrepancy and Increased Femoral Offset by Application of a Head-Neck Adapter in Revision Total Hip Arthroplasty.“ J Arthroplasty.
[13] Perka, C., B. Fink, M. Millrose, U. Sentürk, M. Wagner, J. Schröder, H. Bail, R. Ascherl, A. Pruss, K. Thiele and C. Götze (2012). Revisionsendoprothetik. AE-Manual der Endoprothetik. L. Claes, P. Kirschner, C. Perka and M. Rudert, Springer Berlin Heidelberg: 441-587.
[14] Croce, A., M. Ometti and P. Dworschak (2011). „A580. Minimal Invasive Revision Surgery with Modular Neck Adaptors (Bioball).“ Journal of Bone & Joint Surgery, British Volume 93-B(SUPP IV): 422-422.
[15] Kretzer, J. P., R. Sonntag, J. Reinders, E. Jakubowitz, M. Thomsen and C. Heisel (2010). Fretting and Metal Release of Modular Neck Total Hip Arthroplasty. 56th Annual Meeting of the Orthopaedic Research Society. New Orleans.
[16] Dürr, H. R. (2009). „[The problem of fractures of ceramic heads. What should be done?].“ Orthopade 38(8): 698-703.
[17] Kretzer, J. P., E. Jakubowitz, M. Krachler, M. Thomsen and C. Heisel (2009). „Metal release and cor¬rosion effects of modular neck total hip arthroplasty.“ International Orthopaedics 33(6): 1531-1536.
[18] Fink, B. and A. Grossmann (2008). „[Technique of implantation of a cementless press-fit cup in revisions with severe bone defects].“ Oper Orthop Traumatol 20(2): 157-167.
[19] Kleffner, B., M. Morlock and R. Schröder (2008). Werkstoff-und designrelevante Aspekte von Pfannenrevisionsimplantaten. Revisionsendoprothetik der Hüftpfanne. D. Wirtz, C. Rader and H. Reichel, Springer Berlin Heidelberg: 201-229.
[20] Kircher, J., P. Bergschmidt, R. Bader, D. Kluess, E. Besser-Mahuzir, A. Leder and W. Mittelmeier (2007). „Die Bedeutung der Gleitpaarung beim jüngeren Endoprothesenpatienten.“ Der Orthopäde 36(4): 337-346.
[21] Bader, R., R. Barbano and W. Mittelmeier (2005). „Treatment of recurrent dislocation associated with impingement after revision total hip arthroplasty.“ Acta Orthop Belg 71(1): 98-101.
[22] Gradinger, R., R. Burkart and M. Goebel (2005). MML-System (ESKA-Implants). Modulare Revisions-endoprothetik des Hüftgelenks. P. Thümler, R. Forst and G. Zeiler. Heidelberg, Springer Medizin Verlag: 258-263.
[23] Kock, H. J., C. Niewöhner, J. Hillmeier and P. J. Meeder (2004). Frühergebnisse der Behandlung von Hüftprothesenluxationen mit einem modularen Steckkopfsystem bei multimorbiden Patienten. 171. Jahrestagu
[1] Emilie C. Dickinson, Kay Sellenschloh, Michael M. Morlock (2019). „Impact of stem taper damage on the fracture strength of ceramic heads with adapter sleeves“ Clinical Biomechanics, 63, 193–200.
[2] P. Weber, A. Steinbrück, A. C. Paulus, M.Woiczinski, F. Schmidtz, A. Fottner, V. Jansson (2017). „Gelenkteilwechsel in der Hüftarthroplastik. Was dürfen wir kombinieren?“ Orthopäde DOI 10.1007/s00132-016-3380-4
[3] Kock, H. J., Cho, C., Buhl, K., Hillmeier, J., Huber, FX. “Long-term outcome of a modular head adapter system in revision hip arthroplasty for multimorbid patients” Abstract Nr. 52, Vortrag EHS 2016 – München
[4] Bloch, B. and S. West (2015). Early results of the BioBall Taper Adaptor in revision total hip arthroplasty. British Hip Society Annual Meeting. London.
[5] Kock, H. J., C. Cho, F.-X. Huber and J. Hillmeier (2015). 10-year-results After Treatment Of Dislocating Total Hip Arthroplasty Using A Novel Head Adapter System. AAOS.
[6] Hoberg, M., C. Konrads, S. Huber, S. Reppenhagen, M. Walcher, A. Steinert, T. Barthel and M. Rudert (2015). „Outcome of a modular head-neck adapter system in revision hip arthroplasty.“ Arch Orthop Trauma Surg.
[7] Friedrich, M. J., S. Gravius, J. Schmolders, M. D. Wimmer and D. C. Wirtz (2014). „Biologisch azetabuläre Defektrekonstruktion beim Hüftendoprothesenwechsel mittels „Impaction Grafting“ und azetabulärem Rekonstruktionsring.“ Operative Orthopädie und Traumatologie 26(2): 126-140.
[8] Weber, P. and V. Jansson (2014). Teilwechsel an der Hüft. Was dürfen wir kombinieren? Orthopädische Nachrichten. Köln, Biermann Verlag GmbH. 01.2014.
[9]Helwig, P., L. Konstantinidis, A. Hirschmüller, A. Bernstein, O. Hauschild, N. P. Südkamp and B. G. Ochs (2013). „Modular sleeves with ceramic heads in isolated acetabular cup revision in younger patients-laboratory and experimental analysis of suitability and clinical outcomes.“ Int Orthop 37(1): 15-19.
[10] Jack, C. M., D. O. Molloy, W. L. Walter, B. A. Zicat and W. K. Walter (2013). „The use of ceramic-on-ceramic bearings in isolated revision of the acetabular component.“ Bone Joint J 95-B(3): 333-338.
[11] Vaishya, R., M. Sharma and R. R. Chaudhary (2013). „Bioball universal modular neck adapter as a salvage for failed revision total hip arthroplasty.“ Indian Journal of Orthopaedics 47(5): 519.
[12] Woelfle, J. V., C. R. Fraitzl, H. Reichel and D. Wernerus (2013). „Significantly Reduced Leg Length Discrepancy and Increased Femoral Offset by Application of a Head-Neck Adapter in Revision Total Hip Arthroplasty.“ J Arthroplasty.
[13] Perka, C., B. Fink, M. Millrose, U. Sentürk, M. Wagner, J. Schröder, H. Bail, R. Ascherl, A. Pruss, K. Thiele and C. Götze (2012). Revisionsendoprothetik. AE-Manual der Endoprothetik. L. Claes, P. Kirschner, C. Perka and M. Rudert, Springer Berlin Heidelberg: 441-587.
[14] Croce, A., M. Ometti and P. Dworschak (2011). „A580. Minimal Invasive Revision Surgery with Modular Neck Adaptors (Bioball).“ Journal of Bone & Joint Surgery, British Volume 93-B(SUPP IV): 422-422.
[15] Kretzer, J. P., R. Sonntag, J. Reinders, E. Jakubowitz, M. Thomsen and C. Heisel (2010). Fretting and Metal Release of Modular Neck Total Hip Arthroplasty. 56th Annual Meeting of the Orthopaedic Research Society. New Orleans.
[16] Dürr, H. R. (2009). „[The problem of fractures of ceramic heads. What should be done?].“ Orthopade 38(8): 698-703.
[17] Kretzer, J. P., E. Jakubowitz, M. Krachler, M. Thomsen and C. Heisel (2009). „Metal release and cor¬rosion effects of modular neck total hip arthroplasty.“ International Orthopaedics 33(6): 1531-1536.
[18] Fink, B. and A. Grossmann (2008). „[Technique of implantation of a cementless press-fit cup in revisions with severe bone defects].“ Oper Orthop Traumatol 20(2): 157-167.
[19] Kleffner, B., M. Morlock and R. Schröder (2008). Werkstoff-und designrelevante Aspekte von Pfannenrevisionsimplantaten. Revisionsendoprothetik der Hüftpfanne. D. Wirtz, C. Rader and H. Reichel, Springer Berlin Heidelberg: 201-229.
[20] Kircher, J., P. Bergschmidt, R. Bader, D. Kluess, E. Besser-Mahuzir, A. Leder and W. Mittelmeier (2007). „Die Bedeutung der Gleitpaarung beim jüngeren Endoprothesenpatienten.“ Der Orthopäde 36(4): 337-346.
[21] Bader, R., R. Barbano and W. Mittelmeier (2005). „Treatment of recurrent dislocation associated with impingement after revision total hip arthroplasty.“ Acta Orthop Belg 71(1): 98-101.
[22] Gradinger, R., R. Burkart and M. Goebel (2005). MML-System (ESKA-Implants). Modulare Revisions-endoprothetik des Hüftgelenks. P. Thümler, R. Forst and G. Zeiler. Heidelberg, Springer Medizin Verlag: 258-263.
[23] Kock, H. J., C. Niewöhner, J. Hillmeier and P. J. Meeder (2004). Frühergebnisse der Behandlung von Hüftprothesenluxationen mit einem modularen Steckkopfsystem bei multimorbiden Patienten. 171. Jahrestagu
Sizing
& Options
Depending on the specific model, BioBall® Adapters are available in sizes ranging from S - 5XL, as standard or offset versions, for 12/14 and 14/16 tapers. Special adapters for additional tapers as well as custom-made adapters are available on request.
Disclaimer
Please note that not all products are available and registered in every market. Please contact your LimaCorporate Sales Representative for any further information.
BioBall® System is manufactured by Merete GmbH and distributed by Lima France sas.
DiPHOS Nail is manufactured by LSM-MED S.r.l. and distributed by Lima France sas.
BIOLOX® / BIOLOX®delta / BIOLOX OPTION® is a registered trademark of a company of the CeramTec Group, Germany.
BioBall® System is manufactured by Merete GmbH and distributed by Lima France sas.
DiPHOS Nail is manufactured by LSM-MED S.r.l. and distributed by Lima France sas.
BIOLOX® / BIOLOX®delta / BIOLOX OPTION® is a registered trademark of a company of the CeramTec Group, Germany.