# Permedica S.p.A.
> Disegniamo, produciamo e commercializziamo in tutto il mondo protesi ortopediche per ogni tipo di paziente.
> Generated by All in One SEO Pro v5.0.3, this is an llms-full.txt file, used by LLMs to index the site.
## Articoli
### [Sistema JUMP TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/RM-1-1.jpg "RM 1")
**Gama de productos:** 10 tamaños (50 a 68 mm) + 3 tamaños bajo pedido (72-76-80)
**Sistema JUMP TRASER® RM (Modular de Revisión)**
es un sistema de copas de revisión impreso en 3D con tecnología TRASER®, desarrollado por Permedica en colaboración con un equipo de cirujanos diseñadores con muchos años de experiencia clínica. La amplia gama incluye copas que pueden combinarse con**aumentos** para rellenar defectos óseos en la región craneal, **insertos VITAL-B® con doble movilidad** e insertos **VITAL-B® adaptadores reorientadores** para insertos de polietileno VITAL-E, y **una versión RM PLUS**, con la adición de una **brida craneal** y un **gancho modular** en la región isquiática.
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-System-Traser-RM-Immagine-1-def.jpg "Jump System Traser RM Immagine 1 def")
**Gran estabilidad primaria**
Geometría hemisférica con aplanamiento polar y configuración multiagujero que aumenta las posibilidades de posicionamiento de los tornillos de fijación. La estructura trabecular aleatoria TRASER® garantiza un excelente anclaje primario y favorece la integración biológica.
El cotilo TRASER® RM del sistema JUMP tiene 10 orificios para fijar tornillos, así como 3 orificios para fijar aumentos craneales TRASER® no cementados.
[](https://www.permedica.it/wp-content/uploads/2020/01/jump-system-traser-rm-sez.2.jpg "jump system traser rm sez.2")
**Aumentos en TRASER®**
La página **aumentos craneales** permiten compensar la presencia de cualquier defecto óseo. Pueden utilizarse tanto en versión estándar como PLUS. Están disponibles en dos alturas (12 y 16 mm) para cada tamaño de copa. También pueden utilizarse como solución independiente, como rellenos que se fijan directamente al hueso para la posterior cementación de un cotilo interior.
**Versión RM PLUS**
La copa **RM PLUS** permite el uso de una **Garra caudal** modular, disponible en 3 longitudes, que puede montarse mediante encaje a presión en las ranuras en cola de milano de la región isquiática de la cazoleta. El gancho puede orientarse en 3 posiciones. La brida craneal puede equiparse con **Aumentos embridados** que pueden moldearse para permitir la realización de la fijación en la región ilíaca.
T**ornillos** de compresión y tornillos de estabilidad angular Cotile Todos los orificios internos del cotilo acetabular son compatibles tanto con tornillos de compresión como con tornillos de estabilidad angular.
Augment
Augment sólo es compatible con tornillos de compresión de cabeza plana.
**Múltiples soluciones conjuntas**
Los insertos del Sistema JUMP TRASER® RM permiten múltiples soluciones articulares. Además de los insertos de la gama del Sistema JUMP, están disponibles los siguientes **Insertos RM de doble movilidad** específicos (compatibles con los insertos de doble movilidad ACORN de UHMWPE o VITAL-E) **Adaptadores**
que permiten lateralizar el centro de rotación de la cadera y modificar su ángulo de cobertura. Pueden orientarse en 5 posiciones y son compatibles con las plantillas articulares del Sistema JUMP.
****
**MATERIALES**
Copas y aumentos: Aleación de titanio-aluminio-vanadio (Ti6Al4V – ASTM F 2924). Insertos/adaptadores/tornillos de doble movilidad: Aleación de titanio-aluminio-vanadio (Ti6Al4V – ISO5832/3).
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/RM-1-1.jpg "RM 1")
**Product range:** 10 sizes (from 50 to 68mm) + 3 sizes on demand (72-76-80)
**JUMP System TRASER® RM (Revision Modular)**
is a system of 3D-printed revision acetabular cups created with TRASER® technology, developed by Permedica together with a team of designer surgeons with many years of clinical experience.
The wide product range includes cups that can be combined with **augments** to fill bone defects in the cranial region, **VITAL-B® inserts with dual mobility** and **VITAL-B® inserts reorienting adapters** for VITAL-E polyethylene inserts, and a **RM PLUS version,** with the addition of a **cranial flange** and a **modular hook** in the ischial region.
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-System-Traser-RM-Immagine-1-def.jpg "Jump System Traser RM Immagine 1 def")
**Enhanced primary stability**
Hemispherical geometry with polar deflection and multi-hole configuration allowing multiple positioning possibilities of the fixation screws.
The TRASER® random trabecular structure ensure strong grip for primary fixation thus favouring bone ingrowth and biological integration.
JUMP System TRASER® RM has 10 holes for fixation screws, in addition to 3 holes for fixation of cranial augments in TRASER®, uncemented.
[](https://www.permedica.it/wp-content/uploads/2020/01/jump-system-traser-rm-sez.2.jpg "jump system traser rm sez.2")
**TRASER® Augments**
The **Cranial Augments** allow to compensate for the presence of any bone defects. They can be assembled on both standard and PLUS versions.
They are available in two heights (12 and 16 mm) for each cup size.
They can also be used as a «stand alone» solution as fillers to be fixed directly to the bone for the subsequent cementation of a cup inside.
**RM PLUS version**
The **RM PLUS** version allows the use of a modular **Caudal Hook**, available in 3 lengths, assembled by snapping it into the dovetail slots in the ischial region of the cup. The hook can be oriented in 3 positions.
The cranial flange can be equipped with moldable **Flanged Augments** that allow to extend screws fixation in the iliac region.
**Angle-stable compression screws**
Acetabular shell
All internal holes of the acetabular cup are compatible with both compression screws and angular stability screws.
Augment
The augment is compatible only with flat head compression screws.
**Multiple joint solutions**
The JUMP System TRASER® RM cups allow for multiple joint solutions. In addition to the JUMP System joint inserts range, the following options are available:
Specific **RM Dual Mobility Inserts** (compatible with the ACORN Dual Mobility inserts in UHMWPE or VITAL-E).
**Adapters** that allow lateralization of the hip rotation center and modification of its coverage angle (“face changing”). They can be oriented in 5 positions and are compatible with JUMP System joint inserts.
****
**MATERIALS**
Cups and augments: Titanium Alluminium Vanadium alloy (Ti6Al4V – ASTM F 2924).
Dual mobility insert/adapters/screws: Titanium Alluminium Vanadium alloy (Ti6Al4V – ISO5832/3).
[Hüfte Produkte](https://www.permedica.it/de/jump-system-traser-rm/)
**Categorie:** Anca, Cotili
---
### [JUMP System TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/RM-1-1.jpg "RM 1")
**Product range:** 10 sizes (from 50 to 68mm) + 3 sizes on demand (72-76-80)
**JUMP System TRASER® RM (Revision Modular)**
is a system of 3D-printed revision acetabular cups created with TRASER® technology, developed by Permedica together with a team of designer surgeons with many years of clinical experience.
The wide product range includes cups that can be combined with **augments** to fill bone defects in the cranial region, **VITAL-B® inserts with dual mobility** and **VITAL-B® inserts reorienting adapters** for VITAL-E polyethylene inserts, and a **RM PLUS version,** with the addition of a **cranial flange** and a **modular hook** in the ischial region.
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-System-Traser-RM-Immagine-1-def.jpg "Jump System Traser RM Immagine 1 def")
**Enhanced primary stability**
Hemispherical geometry with polar deflection and multi-hole configuration allowing multiple positioning possibilities of the fixation screws.
The TRASER® random trabecular structure ensure strong grip for primary fixation thus favouring bone ingrowth and biological integration.
JUMP System TRASER® RM has 10 holes for fixation screws, in addition to 3 holes for fixation of cranial augments in TRASER®, uncemented.
[](https://www.permedica.it/wp-content/uploads/2020/01/jump-system-traser-rm-sez.2.jpg "jump system traser rm sez.2")
**TRASER® Augments**
The **Cranial Augments** allow to compensate for the presence of any bone defects. They can be assembled on both standard and PLUS versions.
They are available in two heights (12 and 16 mm) for each cup size.
They can also be used as a «stand alone» solution as fillers to be fixed directly to the bone for the subsequent cementation of a cup inside.
**RM PLUS version**
The **RM PLUS** version allows the use of a modular **Caudal Hook**, available in 3 lengths, assembled by snapping it into the dovetail slots in the ischial region of the cup. The hook can be oriented in 3 positions.
The cranial flange can be equipped with moldable **Flanged Augments** that allow to extend screws fixation in the iliac region.
**Angle-stable compression screws**
Acetabular shell
All internal holes of the acetabular cup are compatible with both compression screws and angular stability screws.
Augment
The augment is compatible only with flat head compression screws.
**Multiple joint solutions**
The JUMP System TRASER® RM cups allow for multiple joint solutions. In addition to the JUMP System joint inserts range, the following options are available:
Specific **RM Dual Mobility Inserts** (compatible with the ACORN Dual Mobility inserts in UHMWPE or VITAL-E).
**Adapters** that allow lateralization of the hip rotation center and modification of its coverage angle (“face changing”). They can be oriented in 5 positions and are compatible with JUMP System joint inserts.
****
**MATERIALS**
Cups and augments: Titanium Alluminium Vanadium alloy (Ti6Al4V – ASTM F 2924).
Dual mobility insert/adapters/screws: Titanium Alluminium Vanadium alloy (Ti6Al4V – ISO5832/3).
[Produits de la Hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/)
**Categorie:** Anca, Cotili
---
### [JUMP System TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/RM-1-1.jpg "RM 1")
**Product range:** 10 sizes (from 50 to 68mm) + 3 sizes on demand (72-76-80)
**JUMP System TRASER® RM (Revision Modular)**
is a system of 3D-printed revision acetabular cups created with TRASER® technology, developed by Permedica together with a team of designer surgeons with many years of clinical experience.
The wide product range includes cups that can be combined with **augments** to fill bone defects in the cranial region, **VITAL-B® inserts with dual mobility** and **VITAL-B® inserts reorienting adapters** for VITAL-E polyethylene inserts, and a **RM PLUS version,** with the addition of a **cranial flange** and a **modular hook** in the ischial region.
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-System-Traser-RM-Immagine-1-def.jpg "Jump System Traser RM Immagine 1 def")
**Enhanced primary stability**
Hemispherical geometry with polar deflection and multi-hole configuration allowing multiple positioning possibilities of the fixation screws.
The TRASER® random trabecular structure ensure strong grip for primary fixation thus favouring bone ingrowth and biological integration.
JUMP System TRASER® RM has 10 holes for fixation screws, in addition to 3 holes for fixation of cranial augments in TRASER®, uncemented.
[](https://www.permedica.it/wp-content/uploads/2020/01/jump-system-traser-rm-sez.2.jpg "jump system traser rm sez.2")
**TRASER® Augments**
The **Cranial Augments** allow to compensate for the presence of any bone defects. They can be assembled on both standard and PLUS versions.
They are available in two heights (12 and 16 mm) for each cup size.
They can also be used as a «stand alone» solution as fillers to be fixed directly to the bone for the subsequent cementation of a cup inside.
**RM PLUS version**
The **RM PLUS** version allows the use of a modular **Caudal Hook**, available in 3 lengths, assembled by snapping it into the dovetail slots in the ischial region of the cup. The hook can be oriented in 3 positions.
The cranial flange can be equipped with moldable **Flanged Augments** that allow to extend screws fixation in the iliac region.
**Angle-stable compression screws**
Acetabular shell
All internal holes of the acetabular cup are compatible with both compression screws and angular stability screws.
Augment
The augment is compatible only with flat head compression screws.
**Multiple joint solutions**
The JUMP System TRASER® RM cups allow for multiple joint solutions. In addition to the JUMP System joint inserts range, the following options are available:
Specific **RM Dual Mobility Inserts** (compatible with the ACORN Dual Mobility inserts in UHMWPE or VITAL-E).
**Adapters** that allow lateralization of the hip rotation center and modification of its coverage angle (“face changing”). They can be oriented in 5 positions and are compatible with JUMP System joint inserts..
****
**MATERIALS**
Cups and augments: Titanium Alluminium Vanadium alloy (Ti6Al4V – ASTM F 2924).
Dual mobility insert/adapters/screws: Titanium Alluminium Vanadium alloy (Ti6Al4V – ISO5832/3).
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/)
**Categorie:** Cotili, Anca
---
### [JUMP System TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/RM-1-1.jpg "RM 1")
**Product range:** 10 taglie (da 50 a 68mm) + 3 taglie on demand (72-76-80)
**JUMP System TRASER® RM (Revision Modular)**
è un sistema di cotili da revisione 3D-printed con tecnologia TRASER® , sviluppato da Permedica in collaborazione con un team di chirurghi designer di pluriennale esperienza clinica.
L’ampia gamma include cotili combinabili con **augments** per il riempimento di difetti ossei nella regione craniale, **inserti VITAL-B® a doppia mobilità** e **inserti VITAL-B® adattatori riorientanti** per inserti in polietilene VITAL-E, e **una versione RM PLUS**, con l’aggiunta di una **flangia craniale** e di un **uncino modulare** nella regione ischiatica.
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-System-Traser-RM-Immagine-1-def.jpg "Jump System Traser RM Immagine 1 def")
**Elevata stabilità primaria**
Geometria emisferica con schiacciamento polare e configurazione multi-foro che aumenta le possibilità di
posizionamento delle viti di fissaggio.
La struttura trabecolare randomizzata TRASER® assicura un ottimo ancoraggio primario e favorisce l’integrazione biologica.
Il cotile JUMP System TRASER® RM presenta 10 fori per viti di fissaggio, oltre a 3 fori per il fissaggio di augment craniali in TRASER®, non cementati.
[](https://www.permedica.it/wp-content/uploads/2020/01/jump-system-traser-rm-sez.2.jpg "jump system traser rm sez.2")
**Augments in TRASER®**
Gli **augments craniali** permettono di compensare alla presenza di eventuali difetti ossei. Sono utilizzabili sia nella versione standard che PLUS.
Sono disponibili in due altezze (12 e 16mm) per ogni taglia di cotile.
Possono anche essere utilizzati come soluzione «stand alone» come riempitivi da fissare direttamente all’osso per la successiva cementazione di un cotile all’interno.
**Versione RM PLUS**
Il cotile **RM PLUS** permette l’utilizzo di un **Uncino Caudale** modulare, disponibile in 3 lunghezze, assemblabile mediante incastro a pressione negli appositi alloggiamenti a coda di rondine presenti nella regione ischiatica della coppa. L’uncino può essere orientato in 3 posizioni.
La flangia craniale può essere equipaggiata con **Augments Flangiati** modellabili che permettono di implementare la fissazione nella regione iliaca.
**Viti compressive e viti a stabilità angolare**
Cotile
Tutti i fori interni della coppa acetabolare sono compatibili sia con viti compressive che con viti a stabilità angolare.
Augment
L’augment è compatibile solo con viti compressive a testa piatta.
**Molteplici soluzioni articolari**
I cotili JUMP System TRASER® RM permettono molteplici soluzioni articolari.
Oltre agli inserti della gamma JUMP System, sono disponibili:
**Inserti RM a Doppia Mobilità** specifici (compatitili con inserti ACORN a doppia mobilità in UHMWPE o VITAL-E)
**Adattatori** che consentono di lateralizzare il centro di rotazione dell’anca e modificarne l’angolo di copertura.
Possono essere orientati in 5 posizioni e sono compatibili con gli inserti articolari JUMP System.
****
**MATERIALI**
Cotili e augment: lega di Titanio Alluminio Vanadio (Ti6Al4V – ASTM F 2924).
Inserto Dual Mobility/Adattori/Viti: Lega di Titanio Alluminio Vanadio (Ti6Al4V – ISO5832/3).
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-1.jpg "BUTTERFLY 1")
**Gama de productos:** Versión estándar y Antilussante
La prótesis de rodilla **GKS BUTTERFLY** es una artroplastia de rodilla tricompartimental deslizante, modular y anatómica, fabricada en versión derecha e izquierda. Semiencolada y estabilizada en todos los planos, está indicada como primer implante en correcciones de varo/valgo axial y para cirugía de revisión.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-2-1.jpg "BUTTERFLY 2")
Una elección natural
Un eje de rotación (a) que pasa a nivel de la espina tibial interna, paralelo pero no coincidente con el eje mecánico (b) y perpendicular pero no incidente con el eje de flexión-extensión (posterior, c) fue el preferido por ingenieros y cirujanos, ya que permite un movimiento más natural y, al mismo tiempo, una mejor “armonía” mecánica entre todos los componentes del implante.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-3-1.jpg "BUTTERFLY 3")
Flexión y rotación
Se ha tenido especial cuidado con la conformación de la tróclea, optimizada en el laboratorio tras el diseño asistido por ordenador, para evitar la luxación de la rótula incluso en el grado máximo de flexión (130-140°). El grado de rotación aumenta con el incremento del grado de flexión; con la extremidad en extensión máxima, no se permite la rotación. En la versión Antilux, el inserto de polietileno une el componente femoral al componente tibial, evitando la luxación.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-4-1.jpg "BUTTERFLY 4")
Componente tibial
Los compensadores tibiales y los hemicompensadores están disponibles en distintos grosores para cada tamaño de implante y se fijan a la parte inferior del componente tibial mediante tornillos especiales.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-5-2-scaled.jpg "BUTTERFLY 5")
Machos de rosca intramedulares modulares
Los machos de rosca intramedulares están disponibles en versiones cementadas y no cementadas, y se ensamblan a los componentes femoral y tibial mediante un doble acoplamiento cónico Morse y atornillado. Para los machos de rosca cementados de 105 y 160 mm, se proporcionan dispositivos de centrado distal para encajar a presión en el macho de rosca.
[](https://www.permedica.it/wp-content/uploads/2020/02/Butterfly-Ossion-3.jpg "Butterfly T_products")
La prótesis GKS BUTTERFLY puede combinarse con componentes modulares Design Your Own para abordar situaciones anatómicas complejas (por ejemplo, aplicaciones tumorales).
****
**MATERIALES**
Componentes femorales y tibiales de aleación de cromo-cobalto ISO5832/4. Inserto articular, casquillo femoral, compensadores femorales, centradores rotulianos y distales de UHMWPE ISO5834/1/2.
Vástagos intramedulares cementados y casquillos GKS Butterfly MICROLOY de aleación de cromo-cobalto ISO5832/12. Vástagos intramedulares a presión, vástagos sin níquel y tornillos compensadores tibiales de aleación de titanio-aluminio-vanadio ISO5832/3. Compensadores tibiales y hemicompensadores de aleación forjada PM734, ISO5832/9 o aleación de titanio-aluminio-vanadio ISO5832/3 (versión sin níquel).
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-1.jpg "BUTTERFLY 1")
**Produktauswahl:** Standard Version
und gekoppelte Version
Die **GKS BUTTERFLY**-Prothese ist eine modulare, anatomisch achsgeführte Knieendoprothese, die in der anatomischen Version Links/Rechts hergestellt wird. In allen Ebenen stabilisiert, wird es als erstes Implantat bei axialen Varus / Valgus-Korrekturen und für Revisionseingriffe angewendet.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-2-1.jpg "BUTTERFLY 2")
Eine natürliche Wahl
Eine Rotationsachse (a), die auf der Ebene des inneren Tibia-Zapfens und parallel zur mechanichalen Achse (b) verläuft, aber nicht mit dieser zusammenfällt und senkrecht, aber nicht mit der (posteriorisierten) Flexions-Extensions-Achse (c) zusammenfällt, wurde von Ingenieuren und Chirurgen bevorzugt, da es die natürliche Bewegung sowie die größte mechanische „Harmonie“ zwischen den Implantatkomponenten ermöglicht.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-3-1.jpg "BUTTERFLY 3")
Flexion und Rotation
Besonderes Augenmerk wurde auf die Trochleaform gelegt, die nach der Computerverarbeitung im Labor optimiert wurde, um eine Patellaluxation auch bei maximalem Flexionsgrad (130-140°) zu vermeiden. Der Rotationsgrad verbessert sich mit zunehmendem Flexionsgrad und bei voll ausgestrecktem Bein ist keine Drehung zulässig.
In der gekoppelten Version verbindet der Polyethyleneinsatz die femorale Komponente mit der Tibia, wodurch eine Luxation vermieden wird.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-4-1.jpg "BUTTERFLY 4")
Tibiale Komponente
Total- und Hemi-Tibia-Augmente sind für jede Größe in unterschiedlichen Höhen erhältlich und können mit geeigneten Schrauben an der Unterseite der Tibiakomponente befestigt werden.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-5-2-scaled.jpg "BUTTERFLY 5")
Modulare intramedulläre Schäfte
Die intramedullären Schäfte sind sowohl in zementierter als auch in zementfreier Version erhältlich und werden über eine Morse-Konus-Verbindung auf die femoralen und tibialen Komponenten fixiert und zusätzlich verschraubt.
Distale Zentralisierer sind für zementierte Schäfte mit einer Länge von 105 mm und 160 mm vorgesehen.
[](https://www.permedica.it/wp-content/uploads/2020/02/Butterfly-Ossion-3.jpg "Butterfly T_products")
Die GKS BUTTERFLY-Prothese kann mit maßgeschneiderten modularen Komponenten kombiniert werden, um komplexe anatomische Situationen zu bewältigen (z.B. bei Tumorerkrankungen).
****
**MATERIALIEN**
Femur- und Tibiakomponente bestehen aus einer Kobaltchromlegierung ISO5832/4. Inlay, Femur Lager, Femur spacer, Patella und distale Centraliser bestehen aus Polyethylen mit ultrahohem Molekulargewicht (UHMWPE) ISO5834/1/2. Zementierte Schäfte und MICROLOY®-Oberschenkelbuchse bestehen aus einer Kobaltchromlegierung ISO5832/12.
Press-Fit Schäfte, nickelfreie Schäfte und Tibia-Augmente, Schrauben für Tibia-Augmente bestehen aus einer Titan-Aluminium-Vanadium-Legierung ISO5832/3.
Tibial Augments: PM734 geschmiedete Edelstahllegierung ISO5832/9 oder Titan-Aluminium-Vanadium-Legierung ISO5832/3 (nickelfreie Version).
[Knie Produkte](https://www.permedica.it/de/medizinische-fachkraefte/knie/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-1.jpg "BUTTERFLY 1")
**Gamme de produits:** version standard
et Antiluxante
**GKS BUTTERFLY** est une prothèse de genou, glissante, à trois compartiments, modulaire et anatomique, disponible en version droite et gauche.
Semi-contrainte et stabilisée dans tous les plans, elle est indiqué pour le remplacement primaire dans les corrections axiales varus / valgus; et pour les cas de révision.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-2-1.jpg "BUTTERFLY 2")
Un choix naturel
Les ingénieurs et les chirurgiens ont préféré un axe de rotation (a) passant au niveau de la colonne vertébrale tibiale interne, parallèle à l’axe mécanique (b) et perpendiculaire à celui-ci mais non incident avec l’axe de flexion-extension (postéro) (c). car il permet le mouvement le plus naturel ainsi que la plus grande “harmonie” mécanique entre les composants de l’implant.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-3-1.jpg "BUTTERFLY 3")
Flexion et Rotation
Un soin particulier a été apporté à la forme de la trochlée, optimisée en laboratoire après traitement informatique, afin d’éviter la luxation de la rotule même au degré de flexion maximal (130-140 ° C). Le degré de rotation s’améliore à mesure que le degré de flexion augmente. la rotation n’est pas autorisée avec la jambe complètement étendue.
Dans la version Antiluxation, l’insert en polyéthylène lie le composant fémoral sur le tibia en évitant la luxation.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-4-1.jpg "BUTTERFLY 4")
Composant tibial
Les augmentations totales et hémi-tibiales sont disponibles dans différentes épaisseurs pour chaque taille et peuvent être fixées à la face inférieure de la composante tibiale au moyen de vis appropriées.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-5-2-scaled.jpg "BUTTERFLY 5")
Tiges intramedullaires modulaires
Des tiges intramédullaires sont disponibles en version cimentée ou non cimentée, à visser sur les composants fémoral et tibial par une connexion à cône Morse.
Des centralisateurs distaux sont disponibles pour les tiges cimentées de 105 et 160 mm de long.
[](https://www.permedica.it/wp-content/uploads/2020/02/Butterfly-Ossion-3.jpg "Butterfly T_products")
La prothèse GKS BUTTERFLY peut être combinée avec des composants modulaires Design Your Own pour faire face à des situations anatomiques complexes (par exemple, des applications tumorales).
****
**MATERIAUX**
Les composants fémoral et tibial sont fabriqués en alliage de chrome et de cobalt ISO5832/4. Les inserts articulaires, la douille fémorale, l’entretoise fémorale, la rotule et les centraliseurs distaux sont fabriqués en polyéthylène de poids moléculaire ultra élevé (UHMWPE) ISO5834/1/2. Les tiges cimentées et la douille fémorale MICROLOY® sont fabriquées en alliage chrome-cobalt ISO5832/12.
Les tiges non-cimmentées, les tiges sans nickel et les tiges tibiales, les vis pour les augmentations tibiales sont en alliage titane-aluminium-vanadium ISO5832/3.
Augmentations tibiales: PM734 alliage forgé en acier inoxydable hautement azoté ISO5832/9 ou alliage titane aluminium vanadium ISO5832/3 (version sans nickel).
[Produits pour le Genou](https://www.permedica.it/fr/professionnels-medicaux/genou/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-1.jpg "BUTTERFLY 1")
**Product range:** Standard
and Antiluxation version
**GKS BUTTERFLY** is a three-compartimental gliding knee prosthesis, modular and anatomic, available in Right and Left version.
Semi-constrained and stabilized in all planes it is indicated for primary replacement in varus/valgus axial corrections;
and for revision cases.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-2-1.jpg "BUTTERFLY 2")
A natural choice
A rotational axis (a) passing at the internal tibial spine level, parallel to but not coincident with the mechanichal axis (b) and perpendicular but not incident with the (posteriorized) flexion-extension axis (c) has been preferred by engineers and Surgeons since it allows the most natural movement as well as the greatest mechanical “harmony” between implant components.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-3-1.jpg "BUTTERFLY 3")
Flexion and Rotation
Particular care has been given to the trochlear shape, optimized in the laboratory after computer processing, in order to avoid patellar dislocation even at maximum flexion degree (130-140°). The degree of rotation improves as the degree of flexion increases; rotation is not allowed with the leg fully extended.
In the Antiluxation version the polyethylene insert binds the femoral component on the tibia avoiding dislocation.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-4-1.jpg "BUTTERFLY 4")
Tibial component
Total and hemi tibial augments are available in different thicknesses for each size and can be fixed to the inferior face of the tibial component by means of proper screws.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-5-2-scaled.jpg "BUTTERFLY 5")
Modular intramedullary stems
The intramedullary stems are available both in cemented and cementless version, to be screwed onto the femoral and tibial components through Morse-taper connection.
Distal centralizers are foreseen for 105 and 160mm length cemented stems.
[](https://www.permedica.it/wp-content/uploads/2020/02/Butterfly-Ossion-3.jpg "Butterfly T_products")
The GKS BUTTERFLY prosthesis can be combined with Design Your Own modular components to face complex anatomical situations (e.g. tumoral applications).
****
**MATERIALS**
Femoral and tibial components: Cobalt Chromium alloy ISO5832/4. Articular insert, femoral bush, femoral spacer, patella and distal centralizers: ultra high molecular weight polyethylene (UHMWPE) ISO5834/1/2. Cemented stems and MICROLOY® femoral bush: Cobalt Chromium alloy ISO5832/12.
Press-fit stems, Nickel Free stems and Tibial Augments, screws for tibial augments: Titanium Aluminium Vanadium alloy ISO5832/3.
Tibial Augments:PM734 highly nitrogenized stainless steel forged alloy ISO5832/9 or Titanium Aluminium Vanadium alloy ISO5832/3 (Nickel Free version).
[Knee Products ](https://www.permedica.it/en/medical-professionals/knee/)
**Categorie:** Ginocchio
---
### [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-1.jpg "BUTTERFLY 1")
**Product range:** versione Standard
e Antilussante
La protesi **GKS BUTTERFLY** è un’artroprotesi di ginocchio tricompartimentale a scivolamento, modulare, anatomica, realizzata in una versione destra e una sinistra.
Semivincolata e stabilizzata in tutti i piani è indicata come primo impianto nelle correzioni assiali di varismo/valgismo e per interventi di revisione.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-2-1.jpg "BUTTERFLY 2")
Una scelta naturale
Un asse di rotazione (a) passante a livello della spina tibiale interna, parallelo ma non coincidente con l’asse meccanico (b) e perpendicolare ma non incidente con l’asse di flesso-estensione (posteriorizzato, c) è stato preferito dagli ingegneri e dai chirurghi in quanto consente un più naturale movimento e, al contempo, una migliore “armonia” meccanica tra tutti i componenti dell’impianto.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-3-1.jpg "BUTTERFLY 3")
Flessione e Rotazione
Particolare cura è stata riservata alla conformazione della troclea, ottimizzata in laboratorio dopo progettazione a computer, al fine di evitare la lussazione della rotula anche al massimo grado di flessione (130-140°). Il grado di rotazione aumenta con l’incremento del grado di flessione; con l’arto in massima estensione la rotazione non è consentita.
Nella versione Antilussante l’inserto in polietilene vincola la componente femorale a quella tibiale impendendone la lussazione.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-4-1.jpg "BUTTERFLY 4")
Componente tibiale
I compensatori e gli emi-compensatori tibiali sono disponibili in diversi spessori per ogni taglia di impianto e vengono applicati alla parte inferiore del componente tibiale mediante apposite viti.
[](https://www.permedica.it/wp-content/uploads/2020/02/BUTTERFLY-5-2-scaled.jpg "BUTTERFLY 5")
Fittoni endomidollari modulari
I fittoni endomidollari sono disponibili in versione cementata e senza cemento, si assemblano ai componenti femorali e tibiali mediante doppio aggancio cono Morse e avvitamento.
Per i fittoni cementati da 105 e 160mm sono previsti centratori distali da inserire a pressione sul fittone.
[](https://www.permedica.it/wp-content/uploads/2020/02/Butterfly-Ossion-3.jpg "Butterfly T_products")
La protesi GKS BUTTERFLY può essere combinata con componenti modulari Design Your Own per affrontare situazioni anatomiche complesse (ad esempio, applicazioni tumorali).
****
**MATERIALI**
Componenti femorale e tibiale in lega di Cromo Cobalto ISO5832/4. Inserto articolare, boccola femorale, compensatori femorali, rotula e centratori distali in UHMWPE ISO5834/1/2. Fittoni endomidollari cementati e boccola GKS Butterfly MICROLOY in lega di Cromo Cobalto ISO5832/12.
Fittoni endomidollari press-fit, fittoni Nickel Free e viti per compensatori tibiali in lega di Titanio Alluminio Vanadio ISO5832/3.
Compensatori ed emi-compensatori tibiali in lega forgiata PM734, ISO5832/9 o lega di Titanio Alluminio Vanadio ISO5832/3 (versione Nickel Free).
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [
Sistema Mirai Inverso](https://www.permedica.it/mirai-shoulder-system-inversa/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai significa Futuro
El futuro de la artroplastia de hombro. Mirai es un **sistema completo, modular y convertible** para la artroplastia anatómica e inversa del hombro.
El sistema de hombro Mirai® de Permedica se concibió y desarrolló aplicando el **concepto de modularidad tanto en el lado glenoideo como en el humeral** para ofrecer soluciones a un amplio espectro de indicaciones típicas en la cirugía de artroplastia de hombro. Mirai® ofrece una solución para la artroplastia de hombro **anatómica** o **invertida** utilizando el **mismo núcleo humeral sin vástago** que no necesita sustituirse durante la cirugía de revisión si es estable y está osteointegrado.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy.jpg "MIRAI_1_2021_def copy")
**Un Sistema. Siempre hay 2 posibilidades.**
- 2 configuraciones: anatómica e invertida
- 2 anclajes humerales: sin vástago o con vástago
- 2 anclajes glenoideos: clavija central a presión o tornillo central de compresión
- 2 tipos de fijación: a presión o cementada
- 2 materiales: Ti6Al4V y VITAL-E®.
- 2 tecnologías: TRASER® y VITAL-B®.
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
La prótesis de hombro que reproduce **la anatomía del paciente**. El sistema Mirai® pretende reproducir la anatomía del paciente gracias al diseño exclusivo del inserto glenoideo anatómico y la cabeza humeral. Ambos componentes protésicos **respetan la doble curvatura de la glenoides y la cabeza humeral naturales al presentar dos radios de curvatura distintos:** un radio de perfil en la sección anteroposterior y un radio de perfil en la sección inferior.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**REDUCCIÓN** DEL DESGASTE \[1\] El uso de una **cabeza humeral no esférica** con un componente articular glenoideo más flexible puede reducir el riesgo de desgaste glenoideo al permitir el movimiento de **traslación glenohumeral** y aumentar la superficie de contacto.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Comportamiento ante el desgaste de las rodamientos en la artroplastia total de hombro anatómica. Hombro y codo. ](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**MEJORA DE LA ESTABILIDAD Y LA CIN** EMÁTICA Al imitar la anatomía de la cabeza nativa, el componente humeral reproduce con precisión la **forma elíptica de la cabeza del húmero**, la articularidad rotacional y la cinemática de la articulación glenohumeral, además de aumentar la estabilidad articular.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
Inversión del **material** El sistema Mirai® proporciona la inversión del material de los componentes de la articulación en la configuración anatómica e inversa:
- Cabeza humeral anatómica y glenosfera de **VITAL-E®** - UHMWPE con 0,1% de Vitamina E añadida, esterilizada Eto.
- Inserto glenoideo y humeral de aleación Ti6Al4V recubierto de PVD en TiNbN - **VITAL-B®**.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
Esto se traduce en múltiples ventajas: REDUCCIÓN DEL RIESGO DE **SOBRESUFRIMIENTO** A diferencia de un inserto glenoideo de polietileno convencional, **un inserto metálico puede hacerse más delgado**, reduciendo así el riesgo de sobresufrimiento del hombro. MENOR PESO DE LOS **COMPONENTES** PRÓTESIS La eliminación de las aleaciones de CrCo y el acero de los materiales de articulación en favor del UHMWPE y la aleación Ti6Al4V permite un menor peso de los componentes protésicos. **COMPONENTES** PRÓTESICOS **HIPOALERGÉNICOS** La eliminación de las aleaciones de CrCo y el acero de los materiales hace que el **sistema Mirai® no contenga cobalto, níquel ni cromo** y, por tanto, sea hipoalergénico.
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-400x1388.jpg "conversione")
**Un único sistema modular y convertible**
- De lo anatómico a lo inverso sin sustituir componentes osteointegrados
- De sin tallo a con tallo
Núcleo humeral con derivación distal excéntrica.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
El componente metafisario humeral está disponible en **7 tamaños diferentes** (3 ángulos CCD, 3 desplazamientos).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Soluciones para** **casos de revisión** Para abordar casos primarios con defectos glenoideos complejos, como defectos glenoideos B2/B2 según la clasificación de Walch, o casos de revisión con una pérdida ósea importante en el lado glenoideo, **hay disponibles cuñas glenoideas para corregir la versión glenoidea**.Hay disponibles**vástagos humerales largos cementados y no cementados** de hasta 180 mm de longitud **para reconstruir fracturas metadiafisarias del húmero y/o abordar casos de revisión.**
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Materiales de tecnología avanzada** El Sistema Mirai® se fabrica utilizando las tecnologías de fabricación y los materiales más avanzados en el campo protésico.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**Núcleo MIRAI® Trauma Humeral** Una nueva solución para la reconstrucción de la región metaepifisaria. El **núcleo humeral MIRAI® Trauma** es una nueva solución para la reconstrucción de la región metaepifisaria utilizando un único componente de una pieza. Está disponible con dos ángulos CCD (140° y 150°) y dos tamaños de núcleo humeral (S y M). Si se necesita un núcleo humeral de un tamaño o ángulo CCD diferente para proporcionar una mejor reconstrucción anatómica del hombro, está indicada la solución modular (núcleo metafisario y humeral). El núcleo humeral traumático puede utilizarse como alternativa a la solución modular con las mismas indicaciones:
- Fracturas de la región metaepifisaria.
- Prótesis Total Anatómica o Inversa en el Tratamiento de la Artrosis Glenohumeral.
****
**MATERIALES**
La prótesis Mirai está fabricada con los siguientes materiales: Aleación de titanio-aluminio-vanadio ISO5832/3; VITAL-E® (UHMWPE + 0,1% en peso de Vitamina-E); revestimiento VITAL-B® en TiNbN.
****
**INSTRUMENTAL**
Sólo **cuatro cestas para todas las soluciones**: anatómica, inversa, sin vástago, con vástago. Hay una quinta cesta disponible bajo pedido si se utilizan vástagos de revisión.
[Productos para el hombro](https://www.permedica.it/area-chirurgo/spalla/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai System
Inversa](https://www.permedica.it/mirai-shoulder-system-inversa/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai significa Futuro
Il futuro dell’artroplastica di spalla.
Mirai è un **sistema completo, modulare e convertibile** per artroprotesi di spalla anatomica e inversa.
Il sistema di spalla Mirai® di Permedica è stato concepito e sviluppato applicando il **concetto di modularità su entrambi i lati glenoideo e omerale**, in modo da fornire soluzioni per un ampio spettro delle tipiche indicazioni in chirurgia di artroprotesi di spalla.
Mirai® offre una soluzione per artroprotesi di spalla **anatomica** o **inversa** utilizzando lo **stesso core omerale stemless** che non necessita di essere sostituito in caso di revisione chirurgica se risultasse stabile ed osteointegrato.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy.jpg "MIRAI_1_2021_def copy")
**Un Sistema. Sempre 2 possibilità.**
- 2 configurazioni: anatomica e inversa
- 2 ancoraggi omerali: senza o con stelo
- 2 ancoraggi glenoidei: peg centrale a press-fit o vite centrale a compressione
- 2 tipologie di fissazione: press-fit o cementato
- 2 materiali: Ti6Al4V e VITAL-E®
- 2 tecnologie: TRASER® e VITAL-B®
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
La protesi di spalla che **riproduce l’anatomia del paziente.**
Il sistema Mirai® ha come obiettivo la riproduzione dell’anatomia del paziente grazie al design unico dell’inserto glenoideo e della testa omerale anatomici.
Entrambi i componenti protesici **rispettano la doppia curvatura della glena e della testa omerale naturali presentando due raggi di curvatura distinti:** un raggio del profilo in sezione antero-posteriore e un raggio del profilo in sezione inferosuperiore.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**RIDUZIONE DELL’USURA** \[1\]
L' utilizzo di una **testa omerale non sferica** con una componente glenoidea
articolare più conforme può ridurre il rischio di usura della glena consentendo il
movimento di **traslazione gleno-omerale** e aumentandone l'area di contatto.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Wear performance of inverted non-conforming
bearings in anatomic total shoulder arthroplasty. Shoulder & Elbow.](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**MIGLIORE STABILITÀ E CINEMATICA**
Imitando l'anatomia della testa nativa, la componente omerale replica in
maniera precisa la **forma ellittica della testa dell’omero**, l'articolarità rotazionale
e la cinematica dell'articolazione gleno-omerale, oltre ad incrementare la
stabilità dell’articolazione.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
**Inversione dei materiali**
Il sistema Mirai® prevede l’inversione dei materiali delle componenti articolari
nella configurazione anatomica ed inversa:
- Testa omerale anatomica e glenosfera in **VITAL-E®** - UHMWPE addizionato con 0.1% di Vitamina E, sterilizzato Eto.
- Inserto glenoideo e inserto omerale in lega Ti6Al4V rivestito PVD in TiNbN - **VITAL-B®**.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
Questo si traduce in molteplici vantaggi:
**RIDOTTO RISCHIO DI OVERSTUFFING**
A differenza di un inserto glenoideo convenzionale in polietilene, **un inserto in metallo può essere realizzato con un minore spessore**, riducendo così il rischio di overstuffing della spalla.
**RIDOTTO PESO DELLE COMPONENTI PROTESICHE**
L’ eliminazione delle leghe CrCo e acciaio dai materiali in articolazione a favore dell’UHMWPE e della lega Ti6Al4V consente un minore peso delle componenti protesiche.
**COMPONENTI PROTESICHE IPOALLERGENICHE**
L’ eliminazione delle leghe CrCo e acciaio dai materiali rende il **sistema Mirai® privo di cobalto, nichel, cromo** e quindi ipoallergenico.
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-400x1388.jpg "conversione")
**Un unico sistema modulare e convertibile**
- Da anatomico a inverso senza sostituire i componenti osteointegrati
- Da stemless a stemmed
Core omerale con fittoncino distale eccentrico.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
Il componente omerale metafisario è disponibile in **7 taglie diverse**
(3 angoli CCD, 3 offset).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Soluzioni per casi di revisione**
Per affrontare casi primari con difetti glenoidei complessi come ad esempio difetti glenoidei B2/B2 secondo la classificazione di Walch, oppure casi di revisione con una perdita ossea importante sul versante glenoideo, sono disponibili **wedge glenoidei per correggere la versione della glena.**
**Steli omerali lunghi, cementati e non cementati**, sono disponibili fino a 180mm di lunghezza **per ricostruire fratture omerali meta-diafisarie e/o affrontare casi di revisione.**
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Materiali di tecnologia avanzata**
Il Sistema Mirai® è realizzato sfruttando le più avanzate tecnologie di
fabbricazione e i materiali più avanzati in campo protesico.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**MIRAI® Core omerale Trauma**
Una nuova soluzione per la ricostruzione della regione meta-epifisaria.
Il **Core omerale Trauma MIRAI®** è una nuova soluzione per ricostruzione della regione meta-epifisaria utilizzando un singolo componente monoblocco.
È disponibile con due angoli CCD (140° e 150°) e due taglie di Core omerale
(S e M).
Qualora fosse necessario un Core omerale di taglia o angolo CCD diverso per provvedere ad una migliore ricostruzione anatomica della spalla, è indicata la soluzione modulare (Metafisi e Core omerale).
Il Core omerale Trauma può essere utilizzato come alternativa alla soluzione modulare con le medesime indicazioni:
- Fratture della regione meta-epifisaria.
- Protesi Totale Anatomica o Inversa nel trattamento delle osteoartrosi gleno-omerali.
****
**MATERIALI**
La protesi Mirai è realizzata con i seguenti materiali: lega di Titanio Alluminio Vanadio ISO5832/3; VITAL-E® (UHMWPE + 0,1% in peso di Vitamina-E); Rivestimento VITAL-B® in TiNbN.
****
**STRUMENTARIO**
Solamente **4 cestelli per tutte le soluzioni**: anatomica, inversa, stemless, stemmed.
Un quinto cestello è disponibile su richiesta in caso di utilizzo di steli da revisione.
[Prodotti Spalla](https://www.permedica.it/area-chirurgo/spalla/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai System
Inverse](https://www.permedica.it/mirai-shoulder-system-inversa/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai bedeutet Die Zukunft
Die Zukunft in der Schulterarthroplastik
Das Mirai Schulterprothesensysem ist **vollständig konvertierbar von der anatomischen in die inverse Konfiguration;** von der schaftfreien in die schaftgeführte Version.
Das Permedica Mirai® Schulterprothesensystem wurde auf dem Grundsatz der vollständigen, **glenoid- und humerusseitigen Modularität** und Konvertierbarkeit entwickelt. Damit steht es für das grosse Spektrum der Indikationen für eine Schulterprothese zur Verfügung.
Das Mirai® Schulterprothesensystem geht humeralseits vom **gleichen meta-epiphysären Teil (Core)** aus sowohl in der anatomischen wie auch in der inversen Kombination; bei einer Konversion muss somit nur der gelenktragende Anteil ausgewechselt werden bei stabil osteointegriertem Core.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy.jpg "MIRAI_1_2021_def copy")
**Ein System. Immer 2 Möglichkeiten.**
- 2 konfigurationen: Anatomisch und Invers
- 2 humerusfixationen: Schaftfrei und Schaftgeführt
- 2 glenoidverankerungen: Press-fit mit zentralem Zapfen oder Bikortikale Kompression mit zentraler Kompressionschraube
- 2 fixationtypen: Zementfrei order Zementiert
- 2 materialien: Ti6Al4V und VITAL-E®
- 2 technologien: TRASER® e VITAL-B®
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
**Anatomische nachbildung**
Aufgrund des speziellen Designs deranatomischen Glenoidkomponente und des anatomischen Humerusprothesenkopfes kann mit dem modularen Mirai® Schulterprothesensystem die individuelle Anatomie des Patienten nachgebildet werden.
B**eide Komponenten zeigen eine doppelte, verschiedene Krümmung in der antero-posterioren und der superior-inferioren Ausrichtung** und respektieren somit die normale Anatomie des Schultergelenkes.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**REDUZIERTER ABRIEB** \[1\]
Durch die Möglichkeit der vermehrten Querverschiebung (Translation) in der Bewegung des **elliptischen Humeruskopfes** gegen das bikonkave Glenoid wird die Kontaktzone erweitert und somit der Polyethylenabrieb vermindert.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Wear performance of inverted non-conforming
bearings in anatomic total shoulder arthroplasty. Shoulder & Elbow.](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**VERBESSERTE BEWEGLICHKEIT UND STABILITÄT**
Die **elliptische Humeruskopfprothese** erlaubt durch ihre Form eine verbesserte Beweglichkeit des gleno-humeralen Gelenkes zusammen mit einer erhöhten Stabilität
durch eine Verminderung der Differenz der radialen Werte zwischen prothetischem Humerskopf und Glenoidauflagefläche.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
**Umkehr der gleitpaarung**
Das Mirai® Schulterprothesensystem verwirklicht die Umkehr der Gleitpaarung sowohl in der anatomischen wie auch in der inversen Zusammensetzung:
- Der anatomische elliptische Humeruskopf und die Glenosphäre aus
**VITAL-E®** UHMWPE mit C28 Vitamin E C29, ETO sterilisiert.
- IDer Glenoideinsatz und der humerale Einsatz aus **VITAL-B®**-beschichtetem Ti6Al4V.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
Diese Kombination zeigt verschiedene Vorteile:
**VERMINDERTES RISIKO DER GELENKÜBERDEHNUNG**
**Durch die Herstellung in Metall des Glenoid-Liners kann die Komponenten-Dicke stark vermindert werden.** Damit wird das Risiko einer Ueberdehnung des Gelenkes durch eine zu starke Lateralisierung vermieden.
**LEICHTGEWICHTIGE METALLKOMPONENTEN**
Leichtgewichtigere Metallkomponenten aus Titaniumverbindungen und Polyethylen werden benutzt an Stelle von CrCo und Stahllegierungen.
**ANALLERGISCHES KOMPONENTENMATERIAL**
Die Prothesenkomponenten **enthalten allesamt weder Kobalt, Nickel noch Chromverbindungen.**
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-400x1388.jpg "conversione")
**Ein an modularität einzigartiges system**
- Wechsel von anatomisch auf invers ohne dabei die knöchern eingewachsenen Basiskomponenten entfernen zu müssen
- Wechsel von schaftfrei auf schaftgeführte Implantate
Humerus-Core mit exzentrischer distaler Hülse.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
Methaphysäre Humeruskomponente in **sieben verschiedenen Ausführungen** erhältlich
(3 CCD-Winkel ,3 Offsetmöglichkeiten).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Für revisionsfälle**
Zur Rekonstruktion schwieriger Glenoidpathologien wie zum Beispiel in der Primärversorgung ausgedehnte B2- oder B3- Glenoidvarianten oder grosse Knochenverluste in der Revisionschirurgie, stehen **sämtliche Aufbaumöglichkeiten (Keile) der Glenoidkomponente zur Verfügung.**
**Zur Humerusschaftrekonstruktion (Frakturen, Prothesenwechsel) stehen Revisionsschäfte** bis zu einer Länge von 180 mm zur Verfügung, zementiert oder unzementiert.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Modernste herstellungsverfahren**
Das Mirai® Schulterprothesensystem wird mit den modernsten Materialien und den neuesten Herstellungsverfahren produziert.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**MIRAI® Trauma Core**
Eine neue Lösung für die Rekonstruktion der meta-epiphysären Region.
Der **MIRAI® Trauma Core** ist eine neue Lösung für das Rekonstruktionsverfahren der meta-epiphysären Humerusregion mit einer einzigen Komponente.
Er ist in zwei CCD-Winkeln (140° und 150°) und zwei Core-Größen
(S und M) erhältlich.
Sollte ein anderer CCD-Winkel und/oder eine andere Core-Größe notwendig sein, um eine anatomische Rekonstruktion der Schulter zu erreichen, ist die modulare Lösung (durch Zusammenfügen von Metaphyse und Humeruskern) indiziert.
Der Trauma Core kann als Alternative zur modularen Lösung mit der gleichen Indikation verwendet werden:
- Meta-epiphysäre Fraktur des Oberarmknochens.
- Anatomische oder umgekehrte Schultertotalendoprothese bei Osteoarthritis.
****
**MATERIALIEN**
Das Mirai® Schulterprothesensystem enthält Titanio Aluminium Vanadium Verbindung ISO5832/3; VITAL-E® (UHMWPE + 0,1% wg Vitamin-E); VITAL-B® Beschichtung aus TiNbN.
****
**INSTRUMENTE**
In den **vier Instrumentenbehälter befinden sich alle Instrumente** um eine anatomische, eine inverse, eine schaftfreie oder eine schaftgeführte Prothesenimplantation durchzuführen.
Ein fünfter Instrumentenbehälter ist vorhanden für die Revisionsschäfte.
[Schulterprodukte](https://www.permedica.it/de/medizinische-fachkraefte/schulter/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai System
Inverse](https://www.permedica.it/mirai-shoulder-system-inversa/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## MIRAI signifie l’Avenir
L’avenir de l’arthroplastie de l’épaule.
Mirai est un **système complet, modulair et convertible** pour l’arthroplastie anatomique et inversée de l’épaule.
Le système d’épaule Permedica Mirai® a été conçu et développé en maintenant le **concept de modularité sur les côtés glénoïdien et huméral,** fournissant des solutions pour un large éventail d’indications typiques en chirurgie de l’arthroplastie de l’épaule.
Mirai® offre une solution pour l’arthroplastie **anatomique** ou **inversée** de l’épaule en utilisant le **même “Core” stemless** qui n’a pas besoin d’être remplacé en cas de révision chirurgicale s’il est stable et ostéointégré.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy.jpg "MIRAI_1_2021_def copy")
**Un systhème. Toujours 2 possibilités.**
- 2 configurations: anatomique et inverse
- 2 fixations humérales : sans tige et avec tige
- 2 fixations Glénoïdiennes : pivot central en “press fit” ou vis de compression centrale
- 2 Types de fixation : sans ciment ou cimentée
- 2 matériaux: Ti6Al4V et VITAL-E®
- 2 technologies: TRASER® et VITAL-B®
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
Reproduisant l’anatomie du patient
Le système d’épaule modulaire Mirai® vise à reproduire l’anatomie du patient grâce à la conception unique de l’insert glénoïdien anatomique et de la tête humérale anatomique.
Les deux composants prothétiques **respectent la double courbure de la glène naturelle et de la tête humérale, qui présentent deux rayons de courbure différents:** un rayon dans la section antéro-postérieure et un rayon dans la section inféro-supérieure.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**USURE RÉDUITE** \[1\]
L'utilisation d'une **tête non sphérique** avec un composant glénoïdien plus congruent peut réduire le risque d'usure en permettant le mouvement de **translation gléno-humérale** et augmenter sa zone de contact.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Wear performance of inverted non-conforming
bearings in anatomic total shoulder arthroplasty. Shoulder & Elbow.](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**CINEMATIQUE ET STABILITÉ AMÉLIORÉES**
Une tête prothétique non sphérique, imitant l'anatomie de la tête humérale d'origine, reproduit avec précision la **forme de la tête elliptique de l'humérus,** le mouvement de rotation
et la cinématique de l'articulation gléno-humérale et augmente la stabilité de l'articulation gléno-humérale d'origine.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
**Inversion des matériaux du couple de frottement**
Le système Mirai® propose une inversion des matériaux du couple de frottement en configuration anatomique et inversée:
- Tête humérale anatomique et glénosphère en **VITAL-E®** - UHMWPE mélangé avec 0,1% de vitamine E, stérilisé à l'Eto.
- Insert glénoïdal et insert huméral en alliage PVD Ti6Al4V revêtu de TiNbN - **VITAL-B®**.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
Cela offre plusieurs avantages:
**RISQUE RÉDUIT DE BOURRAGE DE L'ARTICULATION (OVERSTUFFING)**
**Un insert glénoïdal en métal peut avoir une épaisseur réduite** par rapport à un insert glénoïdal en polyéthylène conventionnel, minimisant ainsi les complications de bourrage excessif dans l'épaule remplacée.
**COMPOSANTS PROTHÉTIQUES LÉGERS**
Des composants prothétiques plus légers, évitant les alliages cobalt-chrome et acier inoxydable des matériaux prothétiques, au profit de l'alliage de titane et de l'UHMWPE.
**COMPOSANTS PROTHÉTIQUES HYPOALLERGÉNIQUES**
Composants prothétiques hypoallergéniques **sans cobalt, nickel et chrome,** évitant les alliages cobalt-chrome et acier inoxydable des matériaux prothétiques.
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-400x1388.jpg "conversione")
**Un système unique modulair et convertible**
- De l'anatomique à l'inversé sans remplacement des composants ostéo intégrés
- D’implant sans tige à implant avec tige
Corolle humérale avec cheville distale excentrique.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
Composant huméral métaphysaire disponible en **7 tailles différentes**
(3 angles CCD, 3 offsets).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Solutions pour les cas de révision**
Pour traiter les défauts glénoïdiens primaires difficiles comme par exemple les défauts glénoïdiens de classification Walch B2/B3 ou des cas de révision avec une perte osseuse importante du côté glénoïdal, **il existe des cales glénoïdales correctives.**
**Pour la reconstruction des fractures méta-diaphysaires humérales et/ou des cas de révision, de longues tiges humérales, cimentées et non cimentées** sont disponibles jusqu'à 180 mm de long.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Matériaux technologiques avancés**
Le système d'épaule Mirai® est fabriqué en utilisant les technologies de fabrication les plus avancées et les matériaux les plus avancés disponibles dans le domaine prothétique.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**MIRAI® Core huméral Trauma**
Une nouvelle solution pour la reconstruction de la région méta-épiphysaire.
Le **Core Huméral Trauma MIRAI®** est une nouvelle solution de reconstruction de la région métaépiphysaire à l'aide d'un seul composant monobloc.
Il est disponible avec deux angles CCD (140 ° et 150 °) et deux tailles de core huméral
(S et M).
Si un core huméral de taille ou d'angle CCD différent est nécessaire pour permettre une meilleure reconstruction anatomique de l'épaule, la solution modulaire (métaphyse et core huméral) est indiquée.
Le Core humeral Trauma peut être utilisé comme alternative à la solution modulaire avec les mêmes indications:
- Fractures de la région métaépiphysaire.
- Prothèse totale anatomique ou inversée dans le traitement de l'arthrose gléno-humérale.
****
**MATÉRIAUX**
Mirai est composé des matériaux suivants: Alliage Titanio Aluminium Vanadium ISO5832/3; VITAL-E® (UHMWPE + 0,1% wg de vitamine-E);
VITAL-B® revêtement en TiNbN.
****
**ANCILLAIRE**
Seulement **4 plateaux pour toutes les solutions:** anatomique, inversé, sans tige, avec tige.
Un cinquième plateau est disponible sur demande en cas d'utilisation des tiges de révision.
[Produits d'épaule](https://www.permedica.it/fr/professionnels-medicaux/epaule/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai System
Reverse](https://www.permedica.it/mirai-shoulder-system-inversa/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai means «the future»
The future of Shoulder Replacement.
Mirai is a **complete, modular and convertible** system for anatomic and reverse shoulder arthroplasty.
Permedica Mirai® Shoulder System has been conceived and developed by maintaining the **concept of modularity on both glenoid and humeral sides,** providing solutions for a broad spectrum of typical indications in shoulder arthroplasty surgery.
Mirai® offers a solution for **anatomical or reverse** shoulder arthroplasty using the **same humeral stemless core** that does not need to be replaced in case of surgical revision if it is stable and osteointegrated.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy.jpg "MIRAI_1_2021_def copy")
**One system. Always 2 possibilities**
- 2 2 configurations: anatomic and reverse
- 2 humeral fixations: stemless and stemmed
- 2 glenoid fixations: press-fit central peg or compression central screw
- 2 fixation types: cementless or cemented
- 2 materials: Ti6Al4V and VITAL-E®
- 2 technologies: TRASER® and VITAL-B®
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
**Reproducing patient anatomy**
The Mirai® Modular Shoulder System aims to reproduce patient’s anatomy due to the unique design of the anatomic glenoid insert and anatomic humeral head.
Both prosthetic components **respect the double curvature of the natural glena and humerus, presenting two different curvature radii:** one radius in the antero-posterior section and one radius in the infero-superior section.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**REDUCED WEAR** \[1\]
The use of a **non-spherical head** with a more conformable glenoid component may reduce the risk of wear by allowing the **gleno-humeral translation** movement and increasing its contact area.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Wear performance of inverted non-conforming
bearings in anatomic total shoulder arthroplasty. Shoulder & Elbow.](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**IMPROVED ARTICULATION AND STABILITY**
A non-spherical prosthetic head, imitating the anatomy of the original humeral head, accurately replicates the **shape of the elliptical head of the humerus,** the rotational movement and kinematic of the gleno-humeral joint and increases the stability of the original gleno-humeral joint.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
**Bearing materials inversion**
The Mirai® System proposes bearing materials inversion both in anatomic and reverse configuration:
- Anatomic humeral head and glenosphere in **VITAL-E®** - UHMWPE blended with 0.1% of Vitamin E, Eto sterilized.
- Glenoid insert and humeral insert in Ti6Al4V alloy PVD coated with TiNbN - **VITAL-B®**.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
This offers several advantages:
**REDUCED RISK OF OVERSTUFFING**
**A metal glenoid liner can have a reduced thickness** compared to a conventional polyethylene glenoid liner, thus minimizing overstuffing complication in the replaced shoulder.
**LIGHTWEIGHT PROSTHETIC COMPONENTS**
More lightweight prosthetic components avoiding cobalt-chromium and stainless steel alloys from the prosthetic materials in favour of titanium alloy and UHMWPE.
**HYPOALLERGENIC PROSTHETIC COMPONENTS**
Hypoallergenic prosthetic components **without cobalt, nickel, chromium**, avoiding cobalt-chromium and stainless steel alloys from prosthetic materials.
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-400x1388.jpg "conversione")
**A unique modular and convertible system**
- from anatomic to reverse without replacing the osseointegrated components
- from stemless to stemmed
Humeral core with eccentric distal peg.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
The methaphyseal humeral component is available with **7 different sizes** (3 CCD angles, 3 offset).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Solutions for revision cases**
To address difficult primary glenoid defects as for example glenoid defects Walch classification B2/B3 or revision cases with important bone loss on the glenoid side there are available **glenoid wedges correcting glenoid version.**
**Reconstructing humeral meta-diaphyseal fractures and/or addressing revision cases, long humeral stems, cemented and not cemented** are available until 180mm length.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Advanced material technologies**
Mirai® Shoulder System is made using the most advanced manufacturing technologies and the most advanced materials available in prosthetic field.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**MIRAI® Trauma Core**
A new solution for the reconstruction of the meta-epiphyseal region.
The **MIRAI® Trauma Core** is a new solution for the reconstruction procedure of the meta-epiphyseal humeral region with a single component.
It is available in two CCD angles (140° and 150°) and two Core sizes
(S and M).
In case a different CCD angle and/or Core size should be necessary to achieve an anatomic reconstruction of the shoulder, the modular solution (by assembling Metaphysis and Humeral Core) is indicated.
The Trauma Core can be used as an alternative to the modular solution with the same indication:
- Meta-epiphyseal fracture of the humerus.
- Anatomic or Reverse Total Shoulder Arthroplasty in osteoarthritis.
****
**MATERIALS**
Mirai is composed of the following materials:
Titanio Aluminium Vanadium alloy ISO5832/3;
VITAL-E® (UHMWPE + 0,1% wg Vitamin-E);
VITAL-B® coating in TiNbN.
****
**STRUMENTARIO**
Only **4 trays for all the solutions:** anatomic, reverse, stemless, stemmed.
A fifth tray is availanle on request in case of revision stems usage.
[Shoulder Products](https://www.permedica.it/en/medical-professionals/shoulder/#prodotti_spalla)
**Categorie:** Spalla
---
### [Sistema Mirai Anatómico](https://www.permedica.it/mirai-shoulder-system-anatomica/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai significa Futuro
El futuro de la artroplastia de hombro. Mirai es un **sistema completo, modular y convertible** para la artroplastia anatómica e inversa del hombro.
El sistema de hombro Mirai® de Permedica se concibió y desarrolló aplicando el **concepto de modularidad tanto en el lado glenoideo como en el humeral** para ofrecer soluciones a un amplio espectro de indicaciones típicas en la cirugía de artroplastia de hombro. Mirai® ofrece una solución para la artroplastia de hombro **anatómica** o **invertida** utilizando el **mismo núcleo humeral sin vástago** que no necesita sustituirse durante la cirugía de revisión si es estable y está osteointegrado.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy-600x589.jpg "MIRAI_1_2021_def copy")
**Un Sistema. Siempre hay 2 posibilidades.**
- 2 configuraciones: anatómica e invertida
- 2 anclajes humerales: sin vástago o con vástago
- 2 anclajes glenoideos: clavija central a presión o tornillo central de compresión
- 2 tipos de fijación: a presión o cementada
- 2 materiales: Ti6Al4V y VITAL-E®.
- 2 tecnologías: TRASER® y VITAL-B®.
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
La prótesis de hombro que reproduce **la anatomía del paciente**.
El sistema Mirai® pretende reproducir la anatomía del paciente gracias al diseño exclusivo del inserto glenoideo anatómico y la cabeza humeral. Ambos componentes protésicos **respetan la doble curvatura de la glenoides y la cabeza humeral naturales al presentar dos radios de curvatura distintos:** un radio de perfil en la sección anteroposterior y un radio de perfil en la sección inferior.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**REDUCCIÓN** DEL DESGASTE \[1\] El uso de una **cabeza humeral no esférica** con un componente articular glenoideo más flexible puede reducir el riesgo de desgaste glenoideo al permitir el movimiento de **traslación glenohumeral** y aumentar la superficie de contacto.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Comportamiento ante el desgaste de los cojinetes no conformados invertidos en la artroplastia total de hombro anatómica. Hombro y codo. ](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**MEJORA DE LA ESTABILIDAD Y LA CINEMÁTICA**
Al imitar la anatomía de la cabeza nativa, el componente humeral reproduce con precisión la **forma elíptica de la cabeza del húmero**, la articularidad rotacional y la cinemática de la articulación glenohumeral, además de aumentar la estabilidad articular.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
Inversión del **material** El sistema Mirai® proporciona la inversión del material de los componentes de la articulación en la configuración anatómica e inversa:
- Cabeza humeral anatómica y glenosfera de **VITAL-E®** - UHMWPE con 0,1% de Vitamina E añadida, esterilizada Eto.
- Inserto glenoideo y humeral de aleación Ti6Al4V recubierto de PVD en TiNbN - **VITAL-B®**.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
Esto se traduce en múltiples ventajas: REDUCCIÓN DEL RIESGO DE **SOBRESUFRIMIENTO**
A diferencia de un inserto glenoideo de polietileno convencional, **un inserto metálico puede hacerse más delgado**, reduciendo así el riesgo de sobresufrimiento del hombro. MENOR PESO DE LOS **COMPONENTES** PRÓTESIS La eliminación de las aleaciones de CrCo y el acero de los materiales de articulación en favor del UHMWPE y la aleación Ti6Al4V permite un menor peso de los componentes protésicos. **COMPONENTES** PRÓTESICOS **HIPOALERGÉNICOS** La eliminación de las aleaciones de CrCo y el acero de los materiales hace que el **sistema Mirai® no contenga cobalto, níquel ni cromo** y, por tanto, sea hipoalergénico.
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-600x2081.jpg "conversione")
**Un único sistema modular y convertible**
- De lo anatómico a lo inverso sin sustituir componentes osteointegrados
- De sin tallo a con tallo
Núcleo humeral con derivación distal excéntrica.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
El componente metafisario humeral está disponible en **7 tamaños diferentes** (3 ángulos CCD, 3 desplazamientos).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Soluciones para** **casos de revisión**
Para abordar casos primarios con defectos glenoideos complejos, como defectos glenoideos B2/B2 según la clasificación de Walch, o casos de revisión con una pérdida ósea importante en el lado glenoideo, **hay disponibles cuñas glenoideas para corregir la versión glenoidea**. Hay disponibles**vástagos humerales largos cementados y no cementados** de hasta 180 mm de longitud **para reconstruir fracturas metadiafisarias del húmero y/o abordar casos de revisión.**
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Materiales de tecnología avanzada** El Sistema Mirai® se fabrica utilizando las tecnologías de fabricación y los materiales más avanzados en el campo protésico.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**Núcleo MIRAI® Trauma Humeral**
Una nueva solución para la reconstrucción de la región metaepifisaria. El **núcleo humeral MIRAI® Trauma** es una nueva solución para la reconstrucción de la región metaepifisaria utilizando un único componente de una pieza. Está disponible con dos ángulos CCD (140° y 150°) y dos tamaños de núcleo humeral (S y M). Si se necesita un núcleo humeral de un tamaño o ángulo CCD diferente para proporcionar una mejor reconstrucción anatómica del hombro, está indicada la solución modular (núcleo metafisario y humeral). El núcleo humeral traumático puede utilizarse como alternativa a la solución modular con las mismas indicaciones:
- Fracturas de la región metaepifisaria.
- Prótesis Total Anatómica o Inversa en el Tratamiento de la Artrosis Glenohumeral.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_8.png "MIRAI_8")
**MIRAI® Cabeza Humeral CTA**
Una opción adicional para el tratamiento protésico de lesiones graves del manguito rotador. La **Cabeza Humeral CTA** (disponible en 4 tamaños: 40, 44, 48, 52 mm) ofrece una solución adicional en el tratamiento de casos con lesiones/artropatías graves por desgarro del manguito rotador. Al dejar inalterado el compartimento glenoideo, el uso de la Cabeza Humeral CTA está especialmente indicado en todos los casos en los que no es posible su reconstrucción. La Cabeza Humeral MIRAI® CTA está indicada en casos de:
- Lesión del manguito en pacientes ancianos con dolor importante y necesidades funcionales limitadas;
- Lesiones del manguito/artropatía por rotura en pacientes ancianos con incapacidad para reconstruir la glenoides e implantar una prótesis total inversa;
- Fracturas multifragmentadas de la cabeza humeral en la artropatía por rotura y/o lesión irreparable del manguito de los rotadores cuando no es posible la implantación de una prótesis total inversa;
- intervenciones de revisión
****
**MATERIALES**
La prótesis Mirai está fabricada con los siguientes materiales:
Aleación de titanio-aluminio-vanadio ISO5832/3;
VITAL-E® (UHMWPE + 0,1% en peso de Vitamina-E);
Revestimiento VITAL-B® en TiNbN.
La cabeza humeral CTA está fabricada con aleación de acero inoxidable de alto contenido en nitrógeno PM734 (ISO5832/9).
****
**INSTRUMENTAL**
Sólo **cuatro cestas para todas las soluciones**: anatómica, inversa, sin vástago, con vástago. Hay una quinta cesta disponible bajo pedido si se utilizan vástagos de revisión.
[Productos para el hombro](https://www.permedica.it/area-chirurgo/spalla/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai System
Anatomisch](https://www.permedica.it/mirai-shoulder-system-anatomica/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai bedeutet “Die Zukunft”
Die Zukunft in der Schulterarthroplastik.
Das Mirai ® Schulterprothesensysem ist **vollständig konvertierbar von der anatomischen in die inverse Konfiguration;** von der schaftfreien in die schaftgeführte Version.
Das Permedica Mirai ® Schulterprothesensystem wurde auf dem Grundsatz der vollständigen, **glenoid- und humerusseitigen Modularität** und Konvertierbarkeit entwickelt. Damit steht es für das grosse Spektrum der Indikationen für eine Schulterprothese zur Verfügung.
Das Mirai® Schulterprothesensystem geht humeralseits vom **gleichen meta-epiphysären Teil (Core)** aus sowohl in der anatomischen wie auch in der inversen Kombination; bei einer Konversion muss somit nur der gelenktragende Anteil ausgewechselt werden bei stabil osteointegriertem Core.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy-600x589.jpg "MIRAI_1_2021_def copy")
**Ein System. Immer 2 Möglichkeiten.**
- 2 konfigurationen: Anatomisch und Invers
- 2 humerusfixationen: Schaftfrei und Schaftgeführt
- 2 glenoidverankerungen: Press-fit mit zentralem Zapfen oder Bikortikale Kompression mit zentraler Kompressionschraube
- 2 fixationtypen: Zementfrei order Zementiert
- 2 materialien: Ti6Al4V und VITAL-E®
- 2 technologien: TRASER® e VITAL-B®
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
**Anatomische nachbildung**
Aufgrund des speziellen Designs deranatomischen Glenoidkomponente und des anatomischen Humerusprothesenkopfes kann mit dem modularen Mirai ® Schulterprothesensystem die individuelle Anatomie des Patienten nachgebildet werden. **Beide Komponenten zeigen eine doppelte, verschiedene Krümmung in der antero-posterioren und der superior-inferioren Ausrichtung** und respektieren somit die normale Anatomie des Schultergelenkes.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**REDUZIERTER ABRIEB** \[1\]
Durch die Möglichkeit der vermehrten Querverschiebung (Translation) in der Bewegung des **elliptischen Humeruskopfes** gegen das bikonkave Glenoid wird die Kontaktzone erweitert und somit der Polyethylenabrieb vermindert.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Wear performance of inverted non-conforming
bearings in anatomic total shoulder arthroplasty. Shoulder & Elbow.](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**VERBESSERTE BEWEGLICHKEIT UND STABILITÄT**
Die **elliptische Humeruskopfprothese** erlaubt durch ihre Form eine verbesserte Beweglichkeit des gleno-humeralen Gelenkes zusammen mit einer erhöhten Stabilität durch eine Verminderung der Differenz der radialen Werte zwischen prothetischem Humerskopf und Glenoidauflagefläche.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
**Umkehr der gleitpaarung**
Das Mirai ® Schulterprothesensystem verwirklicht die Umkehr der Gleitpaarung sowohl in der anatomischen wie auch in der inversen Zusammensetzung:
- Der anatomische elliptische Humeruskopf und die Glenosphäre
aus **VITAL-E®** UHMWPE mit C28 Vitamin E C29, ETO sterilisiert.
- Der Glenoideinsatz und der humerale Einsatz aus **VITAL-B®**-beschichtetem Ti6Al4V.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
Diese Kombination zeigt verschiedene Vorteile:
**VERMINDERTES RISIKO DER GELENKÜBERDEHNUNG**
Durch die Herstellung in Metall des Glenoid-Liners kann die Komponenten-Dicke stark vermindert werden. Damit wird das Risiko einer Ueberdehnung des Gelenkes durch eine zu starke Lateralisierung vermieden.
**LEICHTGEWICHTIGE METALLKOMPONENTEN**
Leichtgewichtigere Metallkomponenten aus Titaniumverbindungen und Polyethylen werden benutzt an Stelle von CrCo und Stahllegierungen.
**ANALLERGISCHES KOMPONENTENMATERIAL**
Die Prothesenkomponenten **enthalten allesamt weder Kobalt, Nickel noch Chromverbindungen.**
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-600x2081.jpg "conversione")
**Ein an Modularität einzigartiges System**
- Wechsel von anatomisch auf invers ohne dabei die knöchern eingewachsenen Basiskomponenten entfernen zu müssen
- Wechsel von schaftfrei auf schaftgeführte Implantate
Humerus-Core mit exzentrischer distaler Hülse.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
Methaphysäre Humeruskomponente in sieben verschiedenen Ausführungen erhältlich
(3 CCD-Winkel , 3 Offsetmöglichkeiten).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Für revisionsfälle**
Zur Rekonstruktion schwieriger Glenoidpathologien wie zum Beispiel in der Primärversorgung ausgedehnte B2- oder B3- Glenoidvarianten oder grosse Knochenverluste in der Revisionschirurgie, stehen **sämtliche Aufbaumöglichkeiten (Keile) der Glenoidkomponente zur Verfügung.**
**Zur Humerusschaftrekonstruktion (Frakturen, Prothesenwechsel) stehen Revisionsschäfte** bis zu einer Länge von 180 mm zur Verfügung, zementiert oder unzementiert.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Modernste herstellungsverfahren**
Das Mirai® Schulterprothesensystem wird mit den modernsten Materialien und den neuesten Herstellungsverfahren produziert.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**MIRAI® Trauma Core**
Eine neue Lösung für die Rekonstruktion der meta-epiphysären Region.
Der **MIRAI® Trauma Core** ist eine neue Lösung für das Rekonstruktionsverfahren der meta-epiphysären Humerusregion mit einer einzigen Komponente.
Er ist in zwei CCD-Winkeln (140° und 150°) und zwei Core-Größen
(S und M) erhältlich.
Sollte ein anderer CCD-Winkel und/oder eine andere Core-Größe notwendig sein, um eine anatomische Rekonstruktion der Schulter zu erreichen, ist die modulare Lösung (durch Zusammenfügen von Metaphyse und Humeruskern) indiziert.
Der Trauma Core kann als Alternative zur modularen Lösung mit der gleichen Indikation verwendet werden:
- Meta-epiphysäre Fraktur des Oberarmknochens.
- Anatomische oder umgekehrte Schultertotalendoprothese bei Osteoarthritis.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_8.png "MIRAI_8")
**MIRAI® CTA Humerus Kopf**
Eine weitere Möglichkeit zur prothetischen Versorgung bei bei schweren Verletzungen der Rotatorenmanschette.
Der **CTA-Humeruskopf** (erhältlich in 4 Größen: 40, 44, 48, 52 mm) bietet eine weitere Lösung zur Behandlung von Schultern mit schweren Manschettenrissläsionen / Manschettenrissarthropathie.
Unter Belassung des Glenoidkompartiments ist die Verwendung des CTA-Humeruskopfes insbesondere in all jenen Fällen indiziert, in denen eine Rekonstruktion des Glenoidkompartiments nicht vorgesehen werden kann.
Der MIRAI® CTA Humeruskopf ist indiziert bei:
- Manschettenverletzungen bei älteren Patienten mit starken Schmerzen und eingeschränkten funktionellen Bedürfnissen;
- Manschettenverletzungen / Manschettenrissarthropathie bei älteren Patienten mit Unmöglichkeit der Rekonstruktion des Glenoids und Implantation einer reversen Totalprothese;
- plurifragmentale Humeruskopffraktur bei Manschettenrissarthropathie und/oder nicht rekonstruierbarer Manschettenläsion bei Unmöglichkeit der Implantation einer totalen Umkehrprothese;
- Revisionseingriffe.
****
**MATERIALIEN**
Das Mirai ® Schulterprothesensystem enthält:
Titanio Aluminium Vanadium Verbindung ISO5832/3;
VITAL-E® ( (UHMWPE + 0,1% wg Vitamin-E);
VITAL-B® Beschichtung aus TiNbN.
****
**INSTRUMENTE**
In den **vier Instrumentenbehälter befinden sich alle Instrumente** um eine anatomische, eine inverse, eine schaftfreie oder eine schaftgeführte Prothesenimplantation durchzuführen.
Ein fünfter Instrumentenbehälter ist vorhanden für die Revisionsschäfte.
[Schulterprodukte](https://www.permedica.it/de/medizinische-fachkraefte/schulter/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai System
Anatomique](https://www.permedica.it/mirai-shoulder-system-anatomica/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## MIRAI signifie l’Avenir
L’avenir de l’arthroplastie de l’épaule.
Mirai est un **système complet, modulair et convertible** pour l’arthroplastie anatomique et inversée de l’épaule.
Le système d’épaule Permedica Mirai® été conçu et développé en maintenant le **concept de modularité sur les côtés glénoïdien et huméral,** fournissant des solutions pour un large éventail d’indications typiques en chirurgie de l’arthroplastie de l’épaule.
Mirai® offre une solution pour l’arthroplastie **anatomique** ou **inversée** de l’épaule en utilisant le **même “Core” stemless** qui n’a pas besoin d’être remplacé en cas de révision chirurgicale s’il est stable et ostéointégré.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy-600x589.jpg "MIRAI_1_2021_def copy")
**Un systhème. Toujours 2 possibilités.**
- 2 configurations: anatomique et inverse
- 2 fixations humérales: sans tige et avec tige
- 2 fixations Glénoïdiennes: pivot central en “press fit” ou vis de compression centrale
- 2 types de fixation : sans ciment ou cimentée
- 2 matériaux: Ti6Al4V et VITAL-E®
- 2 technologies: TRASER® e VITAL-B®
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
**Reproduisant l’anatomie du patient**
Le système d’épaule modulaire Mirai® vise à reproduire l’anatomie du patient grâce à la conception unique de l’insert glénoïdien anatomique et de la tête humérale anatomique. Les deux composants prothétiques **respectent la double courbure de la glène naturelle et de la tête humérale, qui présentent deux rayons de courbure différents:** un rayon dans la section antéro-postérieure et un rayon dans la section inféro-supérieure.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**USURE RÉDUITE** \[1\]
L'utilisation d'une **tête non sphérique** avec un composant glénoïdien plus congruent peut réduire le risque d'usure en permettant le mouvement de **translation gléno-humérale** et augmenter sa zone de contact.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Wear performance of inverted non-conforming
bearings in anatomic total shoulder arthroplasty. Shoulder & Elbow.](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**CINEMATIQUE ET STABILITÉ AMÉLIORÉES**
Une tête prothétique non sphérique, imitant l'anatomie de la tête humérale d'origine, reproduit avec précision la **forme de la tête elliptique de l'humérus,** le mouvement de rotation et la cinématique de l'articulation gléno-humérale et augmente la stabilité de l'articulation gléno-humérale d'origine .
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
**Inversion des matériaux du couple de frottement**
Le système Mirai® propose une inversion des matériaux du couple de frottement en configuration anatomique et inversée:
- Tête humérale anatomique et glénosphère en **VITAL-E®** - UHMWPE mélangé avec 0,1% de vitamine E, stérilisé à l'Eto.
- Insert glénoïdal et insert huméral en alliage PVD Ti6Al4V revêtu de TiNbN - **VITAL-B®.**
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
Cela offre plusieurs avantages:
**RISQUE RÉDUIT DE BOURRAGE DE L'ARTICULATION (OVERSTUFFING)**
Un insert glénoïdal en métal peut avoir une épaisseur réduite par rapport à un insert glénoïdal en polyéthylène conventionnel, minimisant ainsi les complications de bourrage excessif dans l'épaule remplacée.
**COMPOSANTS PROTHÉTIQUES LÉGERS**
Des composants prothétiques plus légers, évitant les alliages cobalt-chrome et acier inoxydable des matériaux prothétiques, au profit de l'alliage de titane et de l'UHMWPE.
**COMPOSANTS PROTHÉTIQUES HYPOALLERGÉNIQUES**
Composants prothétiques hypoallergéniques **sans cobalt, nickel et chrome,** évitant les alliages cobalt-chrome et acier inoxydable des matériaux prothétiques.
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-600x2081.jpg "conversione")
**Un système unique modulair et convertible**
- De l'anatomique à l'inversé sans remplacement des composants ostéo intégrés
- D’implant sans tige à implant avec tige
Corolle humérale avec cheville distale excentrique.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
Composant huméral métaphysaire disponible en **7 tailles différentes**
(3 angles CCD, 3 offsets).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Solutions pour les cas de révision**
Pour traiter les défauts glénoïdiens primaires difficiles comme par exemple les défauts glénoïdiens de classification Walch B2/B3 ou des cas de révision avec une perte osseuse importante du côté glénoïdal, il **existe des cales glénoïdales correctives.**
**Pour la reconstruction des fractures méta-diaphysaires humérales et/ou des cas de révision, de longues tiges humérales, cimentées et non cimentées** sont disponibles jusqu'à 180 mm de long.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Matériaux technologiques avancés**
Le système d'épaule Mirai® est fabriqué en utilisant les technologies de fabrication
les plus avancées et les matériaux les plus avancés disponibles dans le domaine prothétique.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**MIRAI® Core huméral Trauma**
Une nouvelle solution pour la reconstruction de la région méta-épiphysaire.
Le **Core Huméral Trauma MIRAI®** est une nouvelle solution de reconstruction de la région métaépiphysaire à l'aide d'un seul composant monobloc.
Il est disponible avec deux angles CCD (140 ° et 150 °) et deux tailles de core huméral
(S et M).
Si un core huméral de taille ou d'angle CCD différent est nécessaire pour permettre une meilleure reconstruction anatomique de l'épaule, la solution modulaire (métaphyse et core huméral) est indiquée.
Le Core humeral Trauma peut être utilisé comme alternative à la solution modulaire avec les mêmes indications:
- Fractures de la région métaépiphysaire.
- Prothèse totale anatomique ou inversée dans le traitement de l'arthrose gléno-humérale.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_8.png "MIRAI_8")
**MIRAI® Tête humérale CTA**
Une autre possibilité de traitement prothétique en présence de blessures graves de la coiffe des rotateurs.
La **tête humérale CTA** (disponible en 4 tailles: 40, 44, 48, 52 mm) offre une solution supplémentaire dans le traitement des cas de lésions graves de la coiffe des rotateurs / arthropathie.
Laissant le compartiment glénoïdien intact, l'utilisation de la tête humérale CTA est particulièrement indiquée dans tous les cas où il n'est pas possible de prévoir sa reconstruction.
La tête humérale CTA MIRAI® est indiquée en cas de:
- lesions de la coiffe chez les patients âgés souffrant de douleurs intenses et de besoins fonctionnels limités;
- lésions de la coiffe / arthropathie de déchirure de la coiffe chez les patients âgés avec impossibilité de reconstruire la glène et implantation de prothèse inversée totale;
- fracture plurifragmentaire de la tête humérale dans l'arthropathie de la déchirure de la coiffe et / ou lésion non reconstructible de la coiffe en cas d'impossibilité d'implanter une prothèse inversée totale;
- es chirurgies de révision.
****
**MATÉRIAUX**
Mirai est composé des matériaux suivants:
Alliage Titanio Aluminium Vanadium ISO5832/3;
VITAL-E® (UHMWPE + 0,1% wg de vitamine-E);
VITAL-B® revêtement en TiNbN.
****
**ANCILLAIRE**
Seulement **4 plateaux pour toutes les solutions:** anatomique, inversé, sans tige, avec tige. Un cinquième plateau est disponible sur demande en cas d'utilisation des tiges de révision.
[Produits d'épaule](https://www.permedica.it/fr/professionnels-medicaux/epaule/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai System
Anatomica](https://www.permedica.it/mirai-shoulder-system-anatomica/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai significa Futuro
Il futuro dell’artroplastica di spalla.
Mirai è un **sistema completo, modulare e convertibile** per artroprotesi di spalla anatomica e inversa.
Il sistema di spalla Mirai® di Permedica è stato concepito e sviluppato applicando il **concetto di modularità su entrambi i lati glenoideo e omerale**, in modo da fornire soluzioni per un ampio spettro delle tipiche indicazioni in chirurgia di artroprotesi di spalla.
Mirai® offre una soluzione per artroprotesi di spalla **anatomica** o **inversa** utilizzando lo **stesso core omerale stemless** che non necessita di essere sostituito in caso di revisione chirurgica se risultasse stabile ed osteointegrato.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy-600x589.jpg "MIRAI_1_2021_def copy")
**Un Sistema. Sempre 2 possibilità.**
- 2 configurazioni: anatomica e inversa
- 2 ancoraggi omerali: senza o con stelo
- 2 ancoraggi glenoidei: peg centrale a press-fit o vite centrale a compressione
- 2 tipologie di fissazione: press-fit o cementato
- 2 materiali: Ti6Al4V e VITAL-E®
- 2 tecnologie: TRASER® e VITAL-B®
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
La protesi di spalla che **riproduce l’anatomia del paziente.**
Il sistema Mirai® ha come obiettivo la riproduzione dell’anatomia del paziente grazie al design unico dell’inserto glenoideo e della testa omerale anatomici.
Entrambi i componenti protesici **rispettano la doppia curvatura della glena e della testa omerale naturali presentando due raggi di curvatura distinti:** un raggio del profilo in sezione antero-posteriore e un raggio del profilo in sezione inferosuperiore.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**RIDUZIONE DELL’USURA** \[1\]
L' utilizzo di una **testa omerale non sferica** con una componente glenoidea
articolare più conforme può ridurre il rischio di usura della glena consentendo il
movimento di **traslazione gleno-omerale** e aumentandone l'area di contatto.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Wear performance of inverted non-conforming
bearings in anatomic total shoulder arthroplasty. Shoulder & Elbow.](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**MIGLIORE STABILITÀ E CINEMATICA**
Imitando l'anatomia della testa nativa, la componente omerale replica in
maniera precisa la **forma ellittica della testa dell’omero**, l'articolarità rotazionale
e la cinematica dell'articolazione gleno-omerale, oltre ad incrementare la
stabilità dell’articolazione.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
**Inversione dei materiali**
Il sistema Mirai® prevede l’inversione dei materiali delle componenti articolari
nella configurazione anatomica ed inversa:
- Testa omerale anatomica e glenosfera in **VITAL-E®** - UHMWPE addizionato con 0.1% di Vitamina E, sterilizzato Eto.
- Inserto glenoideo e inserto omerale in lega Ti6Al4V rivestito PVD in TiNbN - **VITAL-B®**.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
Questo si traduce in molteplici vantaggi:
**RIDOTTO RISCHIO DI OVERSTUFFING**
A differenza di un inserto glenoideo convenzionale in polietilene, **un inserto in metallo può essere realizzato con un minore spessore**, riducendo così il rischio di overstuffing della spalla.
**RIDOTTO PESO DELLE COMPONENTI PROTESICHE**
L’ eliminazione delle leghe CrCo e acciaio dai materiali in articolazione a favore dell’UHMWPE e della lega Ti6Al4V consente un minore peso delle componenti protesiche.
**COMPONENTI PROTESICHE IPOALLERGENICHE**
L’ eliminazione delle leghe CrCo e acciaio dai materiali rende il **sistema Mirai® privo di cobalto, nichel, cromo** e quindi ipoallergenico.
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-600x2081.jpg "conversione")
**Un unico sistema modulare e convertibile**
- Da anatomico a inverso senza sostituire i componenti osteointegrati
- Da stemless a stemmed
Core omerale con fittoncino distale eccentrico.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
Il componente omerale metafisario è disponibile in **7 taglie diverse**
(3 angoli CCD, 3 offset).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Soluzioni per casi di revisione**
Per affrontare casi primari con difetti glenoidei complessi come ad esempio difetti glenoidei B2/B2 secondo la classificazione di Walch, oppure casi di revisione con una perdita ossea importante sul versante glenoideo, sono disponibili **wedge glenoidei per correggere la versione della glena.**
**Steli omerali lunghi, cementati e non cementati**, sono disponibili fino a 180mm di lunghezza **per ricostruire fratture omerali meta-diafisarie e/o affrontare casi di revisione.**
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Materiali di tecnologia avanzata**
Il Sistema Mirai® è realizzato sfruttando le più avanzate tecnologie di
fabbricazione e i materiali più avanzati in campo protesico.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**MIRAI® Core omerale Trauma**
Una nuova soluzione per la ricostruzione della regione meta-epifisaria.
Il **Core omerale Trauma MIRAI®** è una nuova soluzione per ricostruzione della regione meta-epifisaria utilizzando un singolo componente monoblocco.
È disponibile con due angoli CCD (140° e 150°) e due taglie di Core omerale
(S e M).
Qualora fosse necessario un Core omerale di taglia o angolo CCD diverso per provvedere ad una migliore ricostruzione anatomica della spalla, è indicata la soluzione modulare (Metafisi e Core omerale).
Il Core omerale Trauma può essere utilizzato come alternativa alla soluzione modulare con le medesime indicazioni:
- Fratture della regione meta-epifisaria.
- Protesi Totale Anatomica o Inversa nel trattamento delle osteoartrosi gleno-omerali.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_8.png "MIRAI_8")
**MIRAI® Testa Omerale CTA**
Un’ulteriore possibilità per il trattamento protesico in presenza di gravi lesioni della cuffia dei rotatori.
La **Testa omerale CTA** (disponibile in 4 taglie: 40, 44, 48, 52 mm) offre una ulteriore soluzione nel trattamento di casi con gravi lesioni / artropatia da rottura della cuffia dei rotatori.
Lasciando inalterato il comparto glenoideo, l’utilizzo della Testa omerale CTA risulta particolarmente indicato in tutti quei casi in cui non sia possibile provvedere alla sua ricostruzione.
La Testa omerale CTA MIRAI® è indicata nei casi di:
- lesione della Cuffia in pazienti anziani con dolore importante e limitate esigenze funzionali;
- lesioni della Cuffia / artropatia da rottura della Cuffia in pazienti anziani con impossibilità di ricostruzione della glena e impianto di protesi totale Inversa;
- fratture pluriframmentate della testa omerale in Artropatia da rottura e / o lesione irreparabile della Cuffia dei rotatori in caso di impossibilità di impiantare una protesi totale inversa;
- interventi di revisione
****
**MATERIALI**
La protesi Mirai è realizzata con i seguenti materiali: lega di Titanio Alluminio Vanadio ISO5832/3; VITAL-E® (UHMWPE + 0,1% in peso di Vitamina-E); Rivestimento VITAL-B® in TiNbN.
La testa omerale CTA è realizzata in lega PM734 di acciaio inossidabile ad elevato tenore di azoto (ISO5832/9).
****
**STRUMENTARIO**
Solamente **4 cestelli per tutte le soluzioni**: anatomica, inversa, stemless, stemmed.
Un quinto cestello è disponibile su richiesta in caso di utilizzo di steli da revisione.
[Prodotti Spalla](https://www.permedica.it/area-chirurgo/spalla/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai System
Anatomical](https://www.permedica.it/mirai-shoulder-system-anatomica/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai means Future
The future of shoulder arthroplasty.
Mirai is a **complete, modular and convertible** system for anatomic and reverse shoulder arthroplasty.
Permedica Mirai®Shoulder System has been conceived and developed by maintaining the **concept of modularity on both glenoid and humeral sides,** providing solutions for a broad spectrum of typical indications in shoulder arthroplasty surgery.
Mirai® offers a solution for **anatomical** or **reverse** shoulder arthroplasty using the **same humeral stemless core** that does not need to be replaced in case of surgical revision if it is stable and osteointegrated.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_1_2021_def-copy-600x589.jpg "MIRAI_1_2021_def copy")
**One system. Always 2 possibilities**
- 2 2 configurations: anatomic and reverse
- 2 humeral fixations: stemless and stemmed
- 2 glenoid fixations: press-fit central peg or compression central screw
- 2 fixation types: cementless or cemented
- 2 materials: Ti6Al4V and VITAL-E®
- 2 technologies: TRASER® and VITAL-B®
[](https://www.permedica.it/wp-content/uploads/2020/02/mirai_anatomic_stemless-scaled.png "mirai_anatomic_stemless")
**Reproducing patient anatomy**
The Mirai® Modular Shoulder System aims to reproduce patient’s anatomy due to the unique design of the anatomic glenoid insert and anatomic humeral head.
Both prosthetic components **respect the double curvature of the natural glena and homerus, preseting two different curvature radii:** one radius in the antero-posterior section and one radius in the infero-superior section.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2b_1.jpg "MIRAI_2b_1")
**REDUCED WEAR** \[1\]
The use of a **non-spherical head** with a more conformable glenoid component may reduce the risk of wear by allowing the **gleno-humeral translation** movement and increasing its contact area.
###### [\[1\] Banci L., Meoli A., Hintner, M., Bloch H. R. (2019). Wear performance of inverted non-conforming
bearings in anatomic total shoulder arthroplasty. Shoulder & Elbow.](https://journals.sagepub.com/doi/10.1177/1758573219826531)
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_2c.jpg "MIRAI_2c")
**IMPROVED ARTICULATION AND STABILITY**
A non-spherical prosthetic head, imitating the anatomy of the original humeral head, accurately replicates the **shape of the elliptical head of the humerus,** the rotational movement and kinematic of the gleno-humeral joint and increases the stability of the original gleno-humeral joint.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-5-scaled.png "Mirai Anatomic immagine 5")
**Bearing materials inversion**
The Mirai® System proposes bearing materials inversion both in anatomic and reverse configuration:
- Anatomic humeral head and glenosphere in **VITAL-E®** - UHMWPE blended with 0.1% of Vitamin E, Eto sterilized.
- Glenoid insert and humeral insert in Ti6Al4V alloy PVD coated with TiNbN - **VITAL-B®**.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_3b.jpg "MIRAI_3b")
This offers several advantages:
**REDUCED RISK OF OVERSTUFFING**
**A metal glenoid liner can have a reduced thickness** compared to a conventional polyethylene glenoid liner, thus minimizing overstuffing complication in the replaced shoulder.
**LIGHTWEIGHT PROSTHETIC COMPONENTS**
More lightweight prosthetic components avoiding cobalt-chromium and stainless steel alloys from the prosthetic materials in favour of titanium alloy and UHMWPE.
**HYPOALLERGENIC PROSTHETIC COMPONENTS**
Hypoallergenic prosthetic components **without cobalt, nickel, chromium**, avoiding cobalt-chromium and stainless steel alloys from prosthetic materials.
[](https://www.permedica.it/wp-content/uploads/2020/02/conversione-600x2081.jpg "conversione")
**A unique modular and convertible system**
- from anatomic to reverse without replacing the osseointegrated components
- from stemless to stemmed
Humeral core with eccentric distal peg.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_4b_2.jpg "MIRAI_4b_2")
The methaphyseal humeral component is available with **7 different sizes** (3 CCD angles, 3 offset).
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_5.jpg "MIRAI_5")
**Solutions for revision cases**
To address difficult primary glenoid defects as for example glenoid defects Walch classification B2/B3 or revision cases with important bone loss on the glenoid side there are available **glenoid wedges correcting glenoid version.**
**Reconstructing humeral meta-diaphyseal fractures and/or addressing revision cases, long humeral stems, cemented and not cemented** are available until 180mm length.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai-Anatomic-immagine-10-scaled.png "Mirai Anatomic immagine 10")
**Advanced material technologies**
Mirai® Shoulder System is made using the most advanced manufacturing technologies and the most advanced materials available in prosthetic field.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_7-intera-copia.png "MIRAI_7 intera")
**MIRAI® Trauma Core**
A new solution for the reconstruction of the meta-epiphyseal region.
The **MIRAI® Trauma Core** is a new solution for the reconstruction procedure of the meta-epiphyseal humeral region with a single component.
It is available in two CCD angles (140° and 150°) and two Core sizes
(S and M).
In case a different CCD angle and/or Core size should be necessary to achieve an anatomic reconstruction of the shoulder, the modular solution (by assembling Metaphysis and Humeral Core) is indicated.
The Trauma Core can be used as an alternative to the modular solution with the same indication:
- Meta-epiphyseal fracture of the humerus.
- Anatomic or Reverse Total Shoulder Arthroplasty in osteoarthritis.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_8.png "MIRAI_8")
**MIRAI® CTA Humeral head**
A further possibility for the prosthetic treatment in the presence of severe rotator cuff injuries.
The **CTA Humeral Head** (available in 4 sizes: 40, 44, 48, 52 mm) offers a further solution to treat shoulders with severe cuff tear lesions / cuff tear arthropathy.
Leaving the glenoid compartment unaltered, the use of the CTA Humeral Head is particularly indicated in all those cases where it is not possible to provide for its reconstruction.
The MIRAI® CTA Humeral Head is indicated in case of:
- cuff injuries in elderly patients with severe pain and limited functional needs;
- cuff injuries / cuff tear arthropathy in elderly patients with impossibility to reconstruct the glenoid and implantation of total reverse prosthesis;
- plurifragmental humeral head fracture in cuff tear arthropathy and/or non reconstructable cuff lesion in case of impossibility to implant a total reverse prosthesis;
- revision surgeries.
****
**MATERIALS**
Mirai is composed of the following materials:
Titanio Aluminium Vanadium alloy ISO5832/3;
VITAL-E® (UHMWPE + 0,1% wg Vitamin-E);
VITAL-B® coating in TiNbN.
****
**INSTRUMENTS**
Only **4 trays for all the solutions:** anatomic, reverse, stemless, stemmed.
A fifth tray is availanle on request in case of revision stems usage.
[Prodotti Spalla](https://www.permedica.it/en/medical-professionals/shoulder/#prodotti_spalla)
Prodotti Spalla
**Categorie:** Spalla
---
### [EXACTA S](https://www.permedica.it/exacta-s/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Sencillo.
Fiable
Exacta.
Doble revestimiento poroso para optimizar la estabilidad primaria y la osteointegración
**Gama de productos:** 12 tamaños (estándar y laterales) encajados a presión y cementados
El vástago **EXACTA S** es la versión acortada del vástago **EXACTA**, con una **longitud reducida en un 30%** para permitir un uso sencillo y fácil incluso con técnicas mínimamente invasivas, como el acceso anterior a la cadera. Los vástagos para aplicación sin cemento están recubiertos con el revestimiento **HaX-Pore ®**: 300 µm de titanio puro y 50 µm de hidroxiapatita aplicada con una técnica de pulverización de plasma para conseguir una buena estabilización primaria y favorecer la colonización de osteoblastos para una integración biológica óptima.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-1-1-226x300.png "Exacta S 1")
Estándar y Lateral
Dos opciones con diferentes desplazamientos (135° y 127°) para reproducir exactamente la biomecánica de la cadera.
Fácil acceso quirúrgico
El diseño de perfil lateral y la corta longitud permiten una fácil inserción incluso a través de vías de acceso mínimamente invasivas, como la vía de acceso anterior.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-2-1-300x288.png "Exacta S 2")
Estabilidad
Las ranuras verticales y horizontales proporcionan estabilidad rotacional y axial.
Cono 12/14
Agujero para introductor y extractor
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-3-1-204x300.png "Exacta S 3")
Pulido espejo
Los vástagos **EXACTA S Plus** para aplicaciones cementadas tienen una superficie pulida espejo y perfiles con bordes biselados para evitar una tensión excesiva en el cemento que rodea la prótesis.
Fácil colocación
Bobinas de hundimiento para facilitar la colocación del vástago.
****
**MATERIALES**
Tallos **EXACTA S** para aplicación no cementada están fabricados con una aleación de titanio, aluminio y niobio conforme a la norma ISO5832/11. Los vástagos **EXACTA S Plus** para aplicación cementada están hechos de una aleación de acero con alto contenido en nitrógeno conforme a la norma ISO5832/9.
****
**INSTRUMENTAL**
Tallos EXACTA y EXACTA S **comparten el mismo equipo** con la respectiva versión cementada EXACTA Plus y EXACTA S Plus. Esto no sólo permite la **elección intraoperatoria entre la versión cementada y la no cementada**, sino que también reduce el tamaño del instrumental. Los mangos de escofina del sistema EXACTA tienen una fijación sencilla y segura y están disponibles en distintos diseños en función del acceso quirúrgico utilizado (postero-lateral, lateral, anterior).
[Productos Anca](https://www.permedica.it/es/profesionales-medicos/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA S](https://www.permedica.it/exacta-s/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Einfache Handhabung.
Vertrautes System.
Exacta.
Doppelte Beschichtung für eine gute primäre Stabilität und Osteointegration
**Produktauswahl:** 12 Grössen (Standard- und lateralisierende Variante);
press-fit oder zementiert
**EXACTA S** ist die **um 30% in der Länge verkürzte** Version des **EXACTA** Schaftes. Eine einfache und leichte Implantation auch mit minimal-invasiven Techniken wie dem anterioren Zugang zur Hüfte werden dadurch möglich.
Die Schäfte für die zementfreie Press-Fit Anwendung haben eine doppelte **HaX-Pore®** Beschichtung: 300 Micrometer Titan und 50 Mikrometer Hydroxylapatit, aufgetragen mittels Plasma-Spray Technik. Die Beschichtung soll für eine gute Primärstabilität sorgen und das Wachstum von Osteoblasten fördern.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-1-1-226x300.png "Exacta S 1")
Standard und Lateral
Zwei Optionen mit unterschiedlichen Off-Set ( 135° und 127°) um die Biomechanik der Hüfte zu reproduzieren.
Einfacher operativer Zugang
Das flache laterale Schulterdesign und die reduzierte Länge ermöglichen ein einfaches Einführen auch bei minimal invasiven chirurgischen Eingriffen wie dem anterioren Zugang zur Hüfte.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-2-1-300x288.png "Exacta S 2")
Stabilität
Vertikale und horizontale Rippen ermöglichen Rotationsstabilität und axiale Stabilität.
Konus 12/14
Loch für Einführer und Extraktor
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-3-1-204x300.png "Exacta S 3")
Spiegelglatte Oberfläche
Die **EXACTA S Plus** Schäfte für die zementierte Anwendung haben eine spiegelglatt polierte Oberfläche und abgerunderte Ecken um übermäßige Belastung auf den umgebenden Knochenzementmantel zu vermeiden.
Einfache Positionierung
Das Sinken bleibt erhalten, um die Positionierung des Stiels zu erleichtern.
****
**MATERIALIEN**
Die **EXACTA S** Schäfte für die zementfreie Press-fit Anwendung werden aus Titan-Aluminium-Niob Legierung, die der ISO 5832-11 entspricht, hergestellt.
Die **EXACTA S Plus** Schäfte für die zementierte Anwendung werden aus rostfreier Edelstahllegierung gemäß ISO 5832-9 hergestellt.
****
**INSTRUMENTEN SET**
EXACTA und EXACTA S Schäfte **haben die gleichen Grund-Instrumente** wie die entsprechenden zementierten Versionen EXACTA PLUS und EXACTA S PLUS. In Ergänzung mit der **intra-operativen Auswahlmöglichkeit zwischen zementierten und nicht zementierten Versionen** wird der Umfang an erforderlichen Instrumenten reduziert. Es ermöglicht auch intraoperativ von einer langen auf eine kurze Version zu wechseln, besonders bei anatomischer Krümmung des Femurs. Sie sind weiterhin erhältlich in verschiedenen Designs in Abhängigkeit von der Art des Zugangs (postero-lateral, lateral, anterior).
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA S](https://www.permedica.it/exacta-s/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Facile.
Fiable.
Exacta.
Double revêtement poreux pour optimiser la stabilité primaire et l’ostéointégration
**Gamme de produits:** 12 tailles (standard et latéralisées)
press-fit et cimenté
**EXACTA S** est la version raccourcie de la tige **EXACTA,** avec une **longueur réduite de 30%** pour permettre une insertion simple et facile, même par des techniques peu invasives, telles que l’accès antérieur à la hanche.
Les tiges pour application press-fit sans ciment présentent un double revêtement **HaX-Pore®**: 300 microns de titane pur et poreux et 50 microns d’hydroxyapatite, appliqués avec la technique du plasma-spray afin d’obtenir une bonne stabilité primaire et d’encourager la croissance des ostéoblastes.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-1-1-226x300.png "Exacta S 1")
Standard et Latéralisée
Deux options avec différents offsets (135° 127°) pour reproduire exactement la biomécanique de la hanche.
Accès chirurgical facile
La conception de l’épaule latérale à profil bas et la longueur réduite permettent une insertion facile même par des approches chirurgicales peu invasives, telles que l’accès antérieur à la hanche.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-2-1-300x288.png "Exacta S 2")
Stabilité
Les rainures verticales et horizontales offrent une stabilité en rotation et axiale.
Cône 12/14
Trou fileté pour l’introduction/extraction
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-3-1-204x300.png "Exacta S 3")
Surface polie miroir
Les tiges **EXACTA S Plus** pour application cimentée présentent une surface polie miroir et des bords lissés pour éviter le transfert excessif de contraintes au manteau de ciment osseux entourant la prothèse.
Positionnement facile
Des références d’enfoncement pour permettre un positionnement précis de la tige.
****
**MATÉRIAUX**
Les tiges **EXACTA S** pour les applications de press-fit sans ciment sont en alliage forgé titane-aluminium-niobium, conformément aux normes ISO5832/11.
Les tiges **EXACTA S Plus** pour application cimentée sont en alliage forgé en acier inoxydable hautement azoté, conformément aux normes ISO5832/9.
****
**ANCILLAIRE**
Les Tiges EXACTA et EXACTA S **partagent les mêmes instruments** avec les versions respectives cimentées EXACTA Plus et EXACTA S Plus. Ceci, en plus de permettre le **choix peropératoire entre la version avec et sans ciment,** réduit l’encombrement des instruments. Les porte-râpes du système EXACTA sont dotées d’un couplage simple et sûr et sont disponibles dans différentes versions en fonction de l’accès chirurgical utilisé (postéro-latéral, latéral, antérieur).
[Produits de la Hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA S](https://www.permedica.it/exacta-s/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Simple.
Reliable.
Exacta.
Double porous coating to optimize primary
stability and osseointegration
**Product range:** 12 sizes (standard and lateral)
press-fit and cement
**EXACTA S** is the shortened version of the **EXACTA** stem, with a **length reduced by 30%** to allow a simple and easy insertion even with minimally invasive techniques, such as the anterior access to the hip.
The stems for cementless press-fit application presents a double **HaX-Pore®** coating:
300 microns of pure porous Titanium and
50 microns of hydroxyapatite, applied
with plasma-spray technique in order to obtain good primary stability and encourage osteoblast growth.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-1-1-226x300.png "Exacta S 1")
Standard and Lateral
Two options with different offest (135° and 127°) to reproduce exactly the biomechanics of the hip.
Easy surgical access
The Low-profile lateral shoulder design and the reduced length enables easy insertion even in minimally invasive surgical approaches, such as the anterior access to the hip.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-2-1-300x288.png "Exacta S 2")
Stability
Vertical and horizontal grooves provide rotational and axial stability.
Taper 12/14
Threaded hole for posisioning/extraction
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-3-1-204x300.png "Exacta S 3")
Mirror polished surface
The **EXACTA S** **Plus** stems for cemented application presents a mirror polished surface and smoothed edges to avoid excessive stress transfer to the bone cement mantle surrounding the prosthesis.
Easy positioning
Sinking references to allow a precise stem positioning.
****
**MATERIALS**
The **EXACTA S** stems for cementless press-fit application are made of Titanium Aluminium Niobium forged alloy in compliance with ISO5832/11 Standards.
The **EXACTA S Plus** stems for cemented application are made of highly Nitrogenized Stainless Steel forged alloy in compliance with ISO5832/9 Standards.
****
**INSTRUMENTS SET**
EXACTA and EXACTA S stems **share the same instruments** with the respective cemented version EXACTA Plus and EXACTA S Plus. This, in addition to allowing the **intraoperative choice between the version with and without cement,** reduces the overall dimensions of the instruments. The rasps handles of the EXACTA system are provided with a simple and safe coupling and are available in different designs depending on the surgical access used (posterolateral, lateral, anterior).
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA S](https://www.permedica.it/exacta-s/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Semplice.
Affidabile.
Exacta.
Doppio rivestimento poroso per ottimizzare stabilità primaria e osteointegrazione
**Product range:** 12 taglie (standard e lateral)
press-fit e cementate
Lo stelo **EXACTA S** è la versione accorciata dello stelo **EXACTA**, con una **lunghezza ridotta del 30%** per permetterne un semplice ed agevole utilizzo anche con tecniche mini-invasive, come la via d’accesso anteriore all’anca.
Gli steli per applicazione senza cemento sono rivestiti con rivestimento **HaX-Pore®** : 300 µm di Titanio puro e 50 µm di idrossiapatite applicati con tecnica plasma-spray al fine di ottenere una buona stabilizzazione primaria e di favorire la colonizzazione degli osteoblasti per una ottimale integrazione biologica.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-1-1-226x300.png "Exacta S 1")
Standard e Lateral
Due opzioni con offset differenti (135° e 127°) per riprodurre esattamente la biomeccanica dell’anca.
Agevole accesso chirurgico
Il design del profilo laterale e la lunghezza ridotta permettono un inserimento semplice ed agevole anche tramite vie d’accesso mini-invasive, come la via d’accesso anteriore.
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-2-1-300x288.png "Exacta S 2")
Stabilità
Solcature verticali e orizzontali conferiscono stabilità rotazionale e assiale.
Cono 12/14
Foro per introduttore ed estrattore
[](https://www.permedica.it/wp-content/uploads/2020/01/Exacta-S-3-1-204x300.png "Exacta S 3")
Lucidatura a specchio
Gli steli **EXACTA S Plus** per applicazione cementata presentano una superficie lucidata a specchio e profili con spigoli smussati per evitare eccessivi stress a carico del cemento che circonda la protesi.
Agevole posizionamento
Reperi di affondamento per agevolare il posizionamento dello stelo.
****
**MATERIALI**
Gli steli **EXACTA S** per applicazione senza cemento sono realizzati in lega di Titanio Alluminio Niobio conforme alla normativa ISO5832/11.
Gli steli **EXACTA S Plus** per applicazione cementata sono realizzati in lega di acciaio ad elevato tenore di azoto, conforme alla normativa ISO5832/9.
****
**STRUMENTARIO**
Gli steli EXACTA ed EXACTA S **condividono lo stesso strumentario** con la rispettiva versione cementata EXACTA Plus ed EXACTA S Plus. Questo, oltre a permettere la **scelta intraoperatoria tra la versione con e senza cemento**, riduce gli ingombri dello strumentario. I manici porta-raspe del sistema EXACTA sono provvisti di un aggancio semplice e sicuro e sono disponibili in diversi design a seconda dell’accesso chirurgico utilizzato (postero-laterale, laterale, anteriore).
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PM ProMotion](https://www.permedica.it/promotion/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Modularidad en tus manos
Vástago modular de revisión
Anclaje estable
Orientación libre
**PM ProMotion** es un vástago femoral modular diseñado para ofrecer una valiosa herramienta en los procedimientos de reconstrucción de cadera tras la retirada de componentes protésicos por fallo.
El sistema está diseñado para simplificar al máximo la técnica de revisión y optimizar la fijación de los implantes al hueso. En la cirugía de revisión, el estado del hueso tras la retirada de la prótesis puede dificultar la reconstrucción de la geometría anatómica correcta. Gracias a la modularidad de sus componentes, el vástago ProMotion permite encontrar la solución adecuada para restablecer una situación ideal.
[](https://www.permedica.it/wp-content/uploads/2020/01/PM-Promotion-insieme-2.jpg "PM Promotion insieme")
Una amplia gama de vástagos diafisarios de diferentes longitudes y diámetros, para aplicación a presión o cementada, permite la máxima adaptabilidad anatómica y el restablecimiento de la geometría correcta de la articulación.
CONO 12/14 – aprobado BIOLOX®
A – B
Vástagos Diafisarios RECTOS (140 mm) o CURVOS (200 mm) en diferentes diámetros\* con incremento milimétrico de revisión con aplicación sin cemento.
C
Vástagos diafisarios RECTIFICADOS (140 y 200 mm) en diámetros de 12, 14 y 16 mm para revisión con aplicación cementada.
D
Vástagos Diafisarios DISPLASY (100 mm) en diferentes diámetros\* para implante primario con aplicación sin cemento.
E – F
Torretas Metafisarias ESTÁNDAR (130°) y LATERALIZANTES (127° con offset 5 mm) en longitudes de 50, 60 y 70 mm.
G
El Módulo de Alargamiento permite incrementar la longitud total del implante en 30 mm.
H – I
Tornillos de Apriete con tratamiento TiN: garantizan el apriete óptimo de los componentes mediante tensionado controlado por un limitador dinamométrico. La versión LARGA se utiliza con los Módulos de Alargamiento.
J
Un Módulo Trocantérico para ensamblar en la Torreta Metafisaria permite el uso de hilos de sutura para la reinserción tendinosa.
L
Tapones de Cierre para sellar el alojamiento del Tornillo de Apriete (incluidos en el envase de las Torretas Metafisarias).
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-2-1.jpg "ProMotion 2")
Estabilidad primaria óptima Fijación del implante estable a las fuerzas de cizallamiento y torsión.
Introductor graduado Indica la longitud de los módulos metafisarios que deben utilizarse y permite la máxima precisión en la restauración de la longitud de la extremidad.
Orientación libre El módulo metafisario puede orientarse libremente más de 360°, independientemente de la posición del vástago.
Máxima adaptabilidad
Gracias a la modularidad de los componentes es posible obtener una longitud variable de 190 a 300 mm. Una vez definido el vástago diafisario ideal se obtiene una excursión proximal de 50 a 100 mm combinando el módulo metafisario y un eventual módulo de alargamiento.
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-3-1-scaled.jpg "ProMotion 3")
Anclaje estable
La geometría cónica del vástago y la sección transversal en forma de estrella de las aletas garantizan un anclaje seguro y rotacionalmente estable en la diáfisis femoral, reduciendo el riesgo de hundimiento. El vástago curvado tiene un radio de curvatura de aproximadamente 900 mm con un desplazamiento de 10 mm.
Conexión segura La conexión entre los componentes está garantizada por un acoplamiento cónico, con tensado controlado por un limitador de par y asegurado por un tornillo de bloqueo.
Flexibilidad intraoperatoria
Incluso en los casos más complicados, el diseño “lógico” de las herramientas y la estructura modular del sistema permiten retraer pasos en cualquier momento . Además, el número mínimo de componentes y la instrumentación fácil de usar permiten reducir al mínimo el tiempo quirúrgico, reduciendo así los costes de la cirugía.
Cono 12/14
[](https://www.permedica.it/wp-content/uploads/2020/01/PM_ProMotion-Tumorale-scaled.jpg "PM_ProMotion Tumorale")
Los componentes proximales modulares del vástago ProMotion pueden diseñarse a medida para abordar situaciones anatómicas complejas (por ejemplo, aplicaciones tumorales).
****
**MATERIALES**
Todos los componentes del sistema PM ProMotion son de aleación forjada de titanio-aluminio-niobio (Ti6Al7Nb) conforme a la norma ISO5832/11.
[Productos Anca](https://www.permedica.it/es/profesionales-medicos/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PM ProMotion](https://www.permedica.it/promotion/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Modularität
in Ihren Händen
Modularer Revisionsschaft
Stabile Verankerung
Freie Orientierung
**PM ProMotion** ist ein modularer Femurschaft, der als wertvolles Instrument bei Hüftrekonstruktionen nach der Explantation von Prothesenkomponenten aufgrund von Versagen konzipiert wurde. Das System wurde entwickelt, um die Revisionstechnik so weit wie möglich zu vereinfachen und die Fixation der Implantate im Knochen zu optimieren.
Bei Revisionsoperationen können die Knochenverhältnisse nach der Entfernung der Prothese die Wiederherstellung der korrekten anatomischen Geometrie erschweren.
Dank der Modularität seiner Komponenten ermöglicht der ProMotion-Schaft die richtige Lösung zur Wiederherstellung einer idealen Situation.
[](https://www.permedica.it/wp-content/uploads/2020/01/PM-Promotion-insieme-2.jpg "PM Promotion insieme")
Ein breites Sortiment an diaphysären Schäften in verschiedenen Längen und Durchmessern, für die Press-Fit- oder zementierte Anwendung, ermöglicht maximale anatomische Anpassungsfähigkeit und die Wiederherstellung der korrekten Gelenkgeometrie.
KONUS 12/14 – BIOLOX®-zugelassen
A – B
GERADE (140 mm) oder GEBOGENE (200 mm) diaphysäre Schäfte in verschiedenen Durchmessern\* mit millimeterweiser Steigerung für die zementfreie Revision.
C
GERADE diaphysäre Schäfte (140 und 200 mm) in den Durchmessern 12, 14 und 16 mm für die zementierte Revision.
D
DYSPLASIE-Diaphysenschäfte (100 mm) in verschiedenen Durchmessern\* für die Primärimplantation bei zementfreier Anwendung.
E – F
Metaphysäre Standardmodule (130°) und lateralisierende Module (127° mit 5 mm Offset) in den Längen 50, 60 und 70 mm.
G
Das Verlängerungsmodul ermöglicht es, die Gesamtlänge des Implantats um 30 mm zu erhöhen.
H – I
Spannschrauben mit TiN-Beschichtung: Sie gewährleisten eine optimale Klemmung der Komponenten durch eine mittels Drehmomentbegrenzer kontrollierte Spannung. Die LANGE Version wird mit den Verlängerungsmodulen verwendet.
J
Ein Trochantermodul zur Montage auf dem metaphysären Modul ermöglicht die Verwendung von Nahtmaterial zur Sehnenreinsertion.
L
Verschlusskappen zum Versiegeln des Spannschraubensitzes (im Lieferumfang der metaphysären Module enthalten).
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-2-1.jpg "ProMotion 2")
Optimale Primärstabilität
Stabile Fixation des Implantats gegenüber Scher- und Torsionskräften.
Graduiertes Einführinstrument
Gibt die Länge der zu verwendenden metaphysären Module an und ermöglicht maximale Präzision bei der Wiederherstellung der Beinlänge.
Freie Orientierung
Das metaphysäre Modul kann unabhängig von der Positionierung des Schafts frei um 360° ausgerichtet werden.
Maximale Anpassungsfähigkeit
Dank der Modularität der Komponenten kann eine variable Länge von 190 bis 300 mm erreicht werden. Sobald der ideale diaphysäre Schaft festgelegt ist, kann durch Kombination des metaphysären Moduls und eines eventuellen Verlängerungsmoduls ein proximaler Bereich von 50 bis 100 mm erzielt werden.
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-3-1-scaled.jpg "ProMotion 3")
Stabile Verankerung
Die konische Geometrie des Schafts und der sternförmige Querschnitt der Rippen gewährleisten eine sichere und rotationsstabile Verankerung in der Femurdiaphyse und reduzieren das Risiko des Einsinkens. Der gebogene Schaft hat einen Krümmungsradius von ca. 900 mm mit einem Offset von 10 mm.
Sichere Verbindung
Die Verbindung zwischen den Komponenten wird durch eine konische Kopplung sichergestellt, deren Spannung durch einen Drehmomentbegrenzer kontrolliert und durch eine Sicherungsschraube gewährleistet wird.
Intraoperative Flexibilität
Selbst in kompliziertesten Fällen ermöglichen das „logische“ Design der Instrumente und der modulare Aufbau des Systems, die Schritte jederzeit zu revidieren. Zudem ermöglichen die minimale Anzahl an Komponenten und das einfach zu bedienende Instrumentarium eine Minimierung der Operationszeiten, was folglich die Kosten des Eingriffs senkt.
Konus 12/14
[](https://www.permedica.it/wp-content/uploads/2020/01/PM_ProMotion-Tumorale-scaled.jpg "PM_ProMotion Tumorale")
Die modularen proximalen Komponenten des ProMotion-Schafts können maßgefertigt werden, um komplexen anatomischen Situationen (z. B. Tumoranwendungen) gerecht zu werden.
****
**MATERIALIEN**
Alle Komponenten des PM ProMotion-Systems bestehen aus einer geschmiedeten Titan-Aluminium-Niob-Legierung (Ti6Al7Nb) gemäß der Norm ISO 5832/11.
[Hip Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PM ProMotion](https://www.permedica.it/promotion/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## La modularité
entre vos mains
Tige modulaire de révision
Ancrage stable
Orientation libre
**PM ProMotion** est une tige fémorale modulaire conçue pour offrir un outil efficace dans les interventions de reconstruction de la hanche consécutives à l’explantation de composants prothétiques en raison d’un échec. Le système est conçu pour simplifier au maximum la technique de révision et optimiser la fixation osseuse des implants.
Lors des interventions de révision, l’état de l’os après le retrait de la prothèse peut rendre difficile la reconstruction de la géométrie anatomique correcte.
Grâce à la modularité de ses composants, la tige ProMotion permet de trouver la solution appropriée pour rétablir une situation idéale.
[](https://www.permedica.it/wp-content/uploads/2020/01/PM-Promotion-insieme-2.jpg "PM Promotion insieme")
Une large gamme de tiges diaphysaires de longueurs et diamètres différents, pour application press-fit ou cimentée, permet une adaptabilité anatomique maximale et le rétablissement de la géométrie articulaire correcte.
CÔNE 12/14 – approuvé BIOLOX®
A – B
Tiges diaphysaires DROITES (140 mm) ou COURBES (200 mm) de différents diamètres\* avec incrément millimétrique de révision avec application sans ciment.
C
Tiges diaphysaires DROITES (140 et 200 mm) de diamètres 12, 14 et 16 mm de révision avec application cimentée.
D
Tiges diaphysaires DISPLASY (100 mm) de différents diamètres\* pour implant primaire avec application sans ciment.
E – F
Tourelles métaphysaires STANDARD (130°) et LATÉRALISANTES (127° avec offset de 5 mm) de longueurs 50, 60 et 70 mm.
G
Le module d’allongement permet d’augmenter la longueur totale de l’implant de 30 mm.
H – I
Vis de serrage avec traitement TiN : garantissent le serrage optimal des composants au moyen d’un tensionnement contrôlé par un limiteur dynamométrique. La version LONGUE est utilisée avec les modules d’allongement.
J
Un module trochantérien à assembler sur la tourelle métaphysaire permet l’utilisation de fils de suture pour la réinsertion tendineuse.
L
Bouchons de fermeture pour sceller le logement de la vis de serrage (inclus dans l’emballage des tourelles métaphysaires).
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-2-1.jpg "ProMotion 2")
Stabilité primaire optimale
Fixation de l’implant stable aux forces de cisaillement et de torsion.
Introducteur gradué
Indique la longueur des modules métaphysaires à utiliser et permet une précision maximale dans le rétablissement de la longueur du membre.
Orientation libre
Le module métaphysaire peut être orienté librement sur 360° indépendamment du positionnement de la tige.
Adaptabilité maximale
Grâce à la modularité des composants, il est possible d’obtenir une longueur variable de 190 à 300 mm. Une fois la tige diaphysaire idéale définie, une excursion proximale de 50 à 100 mm est possible en combinant le module métaphysaire et un éventuel module d’allongement.
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-3-1-scaled.jpg "ProMotion 3")
Ancrage stable
La géométrie conique de la tige et la section en étoile des ailettes garantissent un ancrage sûr et stable en rotation dans la diaphyse fémorale, réduisant les risques d’affaissement. La tige courbe a un rayon de courbure d’environ 900 mm avec un offset de 10 mm.
Connexion sûre
La connexion entre les composants est assurée par un accouplement conique, avec tensionnement contrôlé par un limiteur dynamométrique et garantie par une vis de blocage.
Flexibilité peropératoire
Même dans les cas les plus complexes, la conception « logique » des instruments et la structure modulaire du système permettent de revenir sur les étapes à tout moment. De plus, le nombre minimal de composants et l’instrumentation d’utilisation simple permettent de réduire au minimum les temps chirurgicaux, réduisant par conséquent les coûts de l’intervention.
Cône 12/14
[](https://www.permedica.it/wp-content/uploads/2020/01/PM_ProMotion-Tumorale-scaled.jpg "PM_ProMotion Tumorale")
Les composants proximaux modulaires de la tige ProMotion peuvent être conçus sur mesure pour faire face à des situations anatomiques complexes (par exemple, applications tumorales).
****
**MATÉRIAUX**
Tous les composants du système PM ProMotion sont réalisés en alliage forgé de titane aluminium niobium (Ti6Al7Nb) conforme à la norme ISO 5832/11.
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PM ProMotion](https://www.permedica.it/promotion/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Modularity
in your hands
Modular revision stem
Stable anchoring
Free orientation
**PM ProMotion** is a modular femoral stem designed to provide an effective tool for hip reconstruction surgeries following the removal of prosthetic components due to failure. The system is designed to simplify the revision technique as much as possible and optimize the fixation of implants to the bone.
In revision surgeries, the condition of the bone after prosthesis removal can make it difficult to reconstruct the correct anatomical geometry.
Thanks to the modularity of its components, the ProMotion stem allows for the right solution to restore an ideal situation.
[](https://www.permedica.it/wp-content/uploads/2020/01/PM-Promotion-insieme-2.jpg "PM Promotion insieme")
A wide range of diaphyseal stems in different lengths and diameters, for press-fit or cemented applications, allows for maximum anatomical adaptability and the restoration of correct joint geometry.
12/14 CONE – BIOLOX® approved
A – B
STRAIGHT (140 mm) or CURVED (200 mm) Diaphyseal Stems in various diameters\* with millimetric increments for cementless revision applications.
C
STRAIGHT Diaphyseal Stems (140 and 200 mm) in 12, 14, and 16 mm diameters for cemented revision applications.
D
DYSPLASIA Diaphyseal Stems (100 mm) in various diameters\* for cementless primary implants.
E – F
STANDARD (130°) and LATERALIZING (127° with 5 mm offset) Metaphyseal Necks in lengths of 50, 60, and 70 mm.
G
The Extension Module allows for a 30 mm increase in the total length of the implant.
H – I
Locking Screws with TiN treatment: ensure optimal tightening of components through tensioning controlled by a torque limiter. The LONG version is used with Extension Modules.
J
A Trochanteric Module to be assembled on the Metaphyseal Neck allows for the use of sutures for tendon re-insertion.
L
Closing Caps to seal the Locking Screw housing (included in the Metaphyseal Neck packaging).
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-2-1.jpg "ProMotion 2")
Optimal primary stability
Stable implant fixation against shear and torsional forces.
Graduated introducer
Indicates the length of the metaphyseal modules to be used and allows for maximum precision in restoring limb length.
Free orientation
The metaphyseal module can be freely oriented 360° independently of the stem positioning.
Maximum adaptability
Thanks to the modularity of the components, a variable length from 190 to 300 mm can be achieved. Once the ideal diaphyseal stem is defined, a proximal range from 50 to 100 mm is obtainable by combining the metaphyseal module and an optional extension module.
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-3-1-scaled.jpg "ProMotion 3")
Stable anchoring
The conical geometry of the stem and the star-shaped section of the fins guarantee secure and rotationally stable anchoring in the femoral diaphysis, reducing the risk of subsidence. The curved stem has a radius of curvature of approximately 900 mm with a 10 mm offset.
Secure connection
The connection between components is ensured by a conical coupling, with tensioning controlled by a torque limiter and guaranteed by a locking screw.
Intraoperative flexibility
Even in the most complicated cases, the ‘logical’ design of the instruments and the modular structure of the system allow for steps to be retraced at any time. Furthermore, the minimal number of components and the easy-to-use instrumentation allow for surgical times to be minimized, consequently reducing procedure costs.
12/14 Cone
[](https://www.permedica.it/wp-content/uploads/2020/01/PM_ProMotion-Tumorale-scaled.jpg "PM_ProMotion Tumorale")
The modular proximal components of the ProMotion stem can be custom-designed to address complex anatomical situations (e.g., tumor applications).
****
**MATERIALS**
All components of the PM ProMotion system are made of forged Titanium Aluminum Niobium alloy (Ti6Al7Nb) in compliance with ISO 5832/11 standards.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PM ProMotion](https://www.permedica.it/promotion/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## La modularità
nelle tue mani
Stelo modulare da revisione
Ancoraggio stabile
Orientamento libero
**PM ProMotion** è uno stelo femorale modulare progettato per offrire un valido strumento negli interventi di ricostruzione dell’anca susseguenti all’espianto di componenti protesiche dovuto a fallimento. Il sistema è studiato per semplificare il più possibile la tecnica di revisione e ottimizzare la fissazione all’osso degli impianti.
Negli interventi di revisione le condizioni dell’osso dopo la rimozione della protesi possono rendere difficile la ricostruzione della corretta geometria anatomica.
Grazie alla modularità delle sue componenti, lo stelo ProMotion permette di trovare la giusta soluzione per ripristinare una situazione ideale.
[](https://www.permedica.it/wp-content/uploads/2020/01/PM-Promotion-insieme-2.jpg "PM Promotion insieme")
Un’ ampia gamma di steli diafisari in lunghezze e diametri diversi, per applicazione press-fit o cementata, permette la massima adattabilità anatomica e il ripristino della corretta geometria articolare.
CONO 12/14 – approvato BIOLOX®
A – B
Steli Diafisari RETTI (140mm) o CURVI (200mm) in diversi diametri\* con incremento millimetrico da revisione con applicazione senza cemento.
C
Steli Diafisari RETTI (140 e 200mm) in diametri da 12,14 e 16mm da revisione con applicazione cementata.
D
Steli Diafisari DISPLASY (100mm) in diversi diametri\* per impianto primario con applicazione senza cemento.
E – F
Torrette Metafisarie STANDARD (130°) e LATERALIZZANTI (127° con offset 5mm) nelle lunghezze 50, 60 e 70mm.
G
Il Modulo di Allungamento permette di incrementare la lunghezza totale dell’impianto di 30mm.
H – I
Viti di Serraggio con trattamento TiN: garantiscono il serraggio ottimale dei componenti mediante tensionamento controllato da un limitatore dinamometrico. La versione LUNGA è utilizzata con i Moduli di Allungamento.
J
Un Modulo Trocanterico da assemblare sulla Torretta Metafisaria permette l’utilizzo di fili di sutura per la re-inserzione tendinea.
L
Tappi di Chiusura per sigillare l’alloggiamento della Vite di Serraggio (inclusi nella confezione delle Torrette Metafisarie).
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-2-1.jpg "ProMotion 2")
Stabilità primaria ottimale
Fissazione dell’impianto stabile alle forze di taglio e di torsione.
Introduttore graduato
Indica la lunghezza dei moduli metafisari da utilizzare e consente la massima precisione nel ripristino della lunghezza dell’arto.
Libero orientamento
Il modulo metafisario può essere orientato liberamente su 360° indipendentemente dal posizionamento dello stelo.
Massima adattabilità
Grazie alla modularità dei componenti è possibile ottenere una lunghezza variabile da 190 a 300mm. Una volta definito lo stelo diafisario ideale è ottenibile un’ escursione prossimale da 50 a 100mm abbinando il modulo metafisario e un eventuale modulo di allungamento.
[](https://www.permedica.it/wp-content/uploads/2020/01/ProMotion-3-1-scaled.jpg "ProMotion 3")
Ancoraggio stabile
La geometria conica dello stelo e la sezione a stella delle alette garantiscono un ancoraggio sicuro e rotazionalmente stabile nella diafisi femorale, riducendo i rischi di affondamento. Lo stelo curvo ha un raggio di curvatura di circa 900mm con offset di 10mm.
Connessione sicura
La connessione tra le componenti è assicurata da un accoppiamento conico, con tensionamento controllato da un limitatore dinamometrico e garantita da una vite di bloccaggio.
Flessibilità intraoperatoria
Anche nei casi più complicati il design ‘logico’ degli strumenti e la struttura modulare del sistema consentono di ritrattare i passaggi in qualsiasi momento . Inoltre il minimo numero di componenti e lo strumentario di semplice utilizzo consentono di ridurre al minimo i tempi chirurgici, riducendo conseguentemente i costi dell’intervento.
Cono 12/14
[](https://www.permedica.it/wp-content/uploads/2020/01/PM_ProMotion-Tumorale-scaled.jpg "PM_ProMotion Tumorale")
Le componenti prossimali modulari dello stelo ProMotion possono essere progettate su misura per affrontare situazioni anatomiche complesse (ad esempio, applicazioni tumorali).
****
**MATERIALI**
Tutti i componenti del sistema PM ProMotion sono realizzati in lega forgiata di Titanio Alluminio Niobio (Ti6Al7Nb) conforme alla normativa ISO5832/11.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
## Prótesis monocompartimental de rodilla
Versión cementada y encajada a presión Revestimiento VITAL-B® en TiNbN
**Gama de productos:** 6 tamaños anatómicos de fémur en 3 versiones diferentes; tibia con dorso metálico en 6 tamaños mediales y 4 laterales; tibia totalmente poli en 7 tamaños.
**GKS ONE Evo** es un sistema completo de prótesis de rodilla monocompartimental que proporciona un “recubrimiento” de las superficies articulares de sólo el compartimento afectado por la patología, indicado en pacientes con daño articular limitado como alternativa a la sustitución total de rodilla.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_1a-2.png "GKS ONE Evo_1a_knee")
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_1b-300x275.png "GKS ONE Evo_1b")
El componente femoral, de aleación de cromo-cobalto con revestimiento **VITAL-B®** , está disponible en **6 tamaños anatómicos** que pueden utilizarse en ambos cóndilos (medial derecho sobre lateral izquierdo y viceversa) en versiones cementada y no cementada y 3 opciones diferentes:
- **R3** (grosor distal 3 mm) y **R5** (grosor distal 5 mm) son de superficie y tienen un perfil interno que reproduce la curvatura del cóndilo femoral, lo que permite limitar las resecciones rectas únicamente al cóndilo posterior, preservando el stock óseo.
- **La CH**, en cambio, tiene un perfil interno con resecciones angulares (bisel distal y posterior).
La curvatura sagital del componente femoral tiene tres arcos de carga con centros distintos, cuyos radios varían según el tamaño.
La estabilidad del componente femoral está garantizada por dos pasadores cilíndricos que se alinean con el eje mecánico del fémur, así como por un reborde longitudinal (no presente en la versión CH).
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_2_-1.png "GKS ONE Evo_2_tibia")
El componente tibial de aleación de titanio con dorso metálico está disponible en 6 tamaños en la versión de media placa medial y 4 tamaños en la versión de media placa lateral, tanto para cementar como para no cementar. Tiene 2 clavijas estabilizadoras en el cuadrante anterior y un reborde medial.
Los insertos articulares de UHMWPE encajan entre sí y están disponibles en 6 grosores, también en versión **VITAL-E®** (polietileno con vitamina E añadida, un antioxidante natural con función antienvejecimiento). Cada tamaño de inserto es compatible con 2 tamaños de tibia y la correspondencia está codificada por colores.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_3-300x227.png "GKS ONE Evo_3")
El componente tibial totalmente de poliéster está diseñado con el objetivo de recrear una estructura capaz de distribuir uniformemente las tensiones estáticas y dinámicas resultantes de la actividad normal a la que está sometida la articulación de la rodilla. Su superficie articular está diseñada para permitir una funcionalidad y amplitud de movimiento óptimas en presencia del ligamento cruzado posterior. Está disponible en 7 tamaños con 6 grosores cada uno, también en la versión **VITAL-E®**. La superficie inferior de la meseta tibial tiene ranuras especiales para mejorar el fraguado del cemento y la estabilidad del implante.
****
**MATERIALES**
Componente femoral de aleación de cromo-cobalto ISO 5832/4. Placa tibial metal-back de aleación de titanio-aluminio-vanadio ISO 5832/3 – ASTM 2924. Placa tibial totalmente de poliéster e inserto de placa metal-back de UHMWPE ISO 5834/1/2 y VITAL-E ®.
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
## Unikondyläre
Knieprothese
Zementiert und Press-Fit Version
VITAL-B® TiNbN Beschichtung
**Produktauswahl:** 6 anatomische Femurgrössen
in 3 verschiedenen Versionen;
Tibia metal-back in 6 medialen und 4 lateralen Grössen;
Tibia all-poly in 7 Grössen.
**GKS ONE Evo** ist ein komplettes unikondyläres Knieprothesensystem, das die Gelenkflächen des einzelnen von der Pathologie betroffenen Kompartiments wiederherstellt und bei Patienten mit begrenzten Gelenkschäden als Alternative zum totalen Knieersatz angezeigt ist.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_1a-2.png "GKS ONE Evo_1a_knee")
Die Femurkomponente aus einer Chrom-Kobalt-Legierung mit **VITAL-B®**-Beschichtung ist in **6 anatomischen Grössen** erhältlich, die an beiden Kondylen (von rechts medial nach links lateral und umgekehrt) in zementierter und zementfreier Version und 3 verschiedenen Optionen verwendet werden können:
- **R3** (distale Dicke 3 mm) und **R5** (distale Dicke 5 mm) sind wiederherstellende Implantate und haben ein Innenprofil, das die Krümmung des Femurkondylus nachbildet, so dass gerade Resektionen auf den hinteren Kondylus beschränkt werden können, wodurch das Knochenangebot erhalten bleibt.
- **CH** hingegen hat ein internes Profil mit winkelförmigen Resektionen (distale und posteriore Abschrägung).
Die sagittale Krümmung der Femurkomponente weist drei Belastungsbögen mit unterschiedlichen Zentren auf, deren Radius je nach Grösse variiert.
Die Stabilität der Femurkomponente wird durch zwei zylindrische Zapfen gewährleistet, die sich an der mechanischen Achse des Femurs ausrichten, sowie durch einen Längsflansch (bei der CH-Version nicht vorhanden).
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_2_-1.png "GKS ONE Evo_2_tibia")
Die metallische Tibiakomponente aus Titanlegierung ist in 6 Grössen für die mediale Komponente und 4 Grössen für die laterale Komponente erhältlich, sowohl zementiert als auch zementfrei. Sie verfügt über 2 im vorderen Quadranten angeordnete Stabilisierungszapfen und einen medialen Flansch.
Die entsprechenden UHMWPE-Einsätze werden durch Einrasten befestigt und sind in 6 Stärken erhältlich, auch in der **VITAL-E®**-Version (mit Vitamin E als natürlichem Antioxidans mit Anti-Age-Funktion). Jede Grösse des Einsatzes ist mit 2 Grössen der Tibia kompatibel und die Implantatepaarung wird durch einen Farbcode gekennzeichnet.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_3-300x227.png "GKS ONE Evo_3")
Die all-poly Tibiakomponente wurde mit dem Ziel entwickelt, eine Struktur zu schaffen, die in der Lage ist, statische und dynamische Belastungen bei normaler Kniegelenkstätigkeit gleichmässig zu verteilen. Die Gelenkfläche ist so konzipiert, dass eine optimale Funktionalität und ein optimaler Bewegungsumfang bei Vorhandensein des hinteren Kreuzbandes gewährleistet sind. Sie ist in 7 Grössen und 6 Stärken erhältlich, auch in der Version **VITAL-E®**, die mit dem natürlichen Antioxidans Vitamin E angereichert ist.
Die Unterseite der Tibiabasisplatte weist Rillen auf, um die Zementverankerung und die Stabilität des Implantats zu verbessern.
****
**MATERIALIEN**
Femur Komponente in CoCr Legierung ISO 5832/4.
Tibia Metall Back in Titanium Aluminium Vanadium ISO 5832/3.
All-poly Tibia Komponente und Inlay der Metal-Back Platte in UHMWPE ISO 5834/1/2 und VITAL-E®.
[Knieprodukte](https://www.permedica.it/de/medizinische-fachkraefte/knie/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
## Prothèse de genou
unicompartimentale
Version cimentée et sans ciment.
Traitement de surface VITAL-B® TiNbN
**Gamme de produits:** 6 tailles fémorales
anatomiques en 3 versions différentes;
Tibial metal-back en 6 tailles médiales et 4 tailles latérales;
Tibia all-poly en 7 tailles.
**GKS ONE Evo** est un système complet de prothèse de genou unicompartimentale qui assure le resurfaçage des surfaces articulaires du compartiment affecté par la maladie , indiqué chez les patients présentant des lésions articulaires limitées comme alternative à la prothèse totale.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_1a-2.png "GKS ONE Evo_1a_knee")
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_1b-300x275.png "GKS ONE Evo_1b")
Le composant fémoral, en alliage cobalt chrome avec revêtement **VITAL-B®**, est disponible en **6 tailles anatomiques** utilisables sur les deux condyles (médial droit sur latéral gauche et inversement) en version cimentée et sans ciment et 3 options différentes:
- **R3** (épaisseur distale 3mm) et **R5** (épaisseur distale 5mm) sont de type « resurfaçage » et ont un profil interne qui reproduit la courbure du condyle fémoral, permettant de limiter les résections rectilignes uniquement au condyle postérieur, tout en préservant le capital osseux .
- **CH** a au contraire un profil interne qui permet des résections angulaires (biseau distal et postérieur).
La courbure sagittale du composant fémoral a trois arcs de charge avec des centres distincts, avec un rayon variable selon la taille.
La stabilité du composant fémoral est garantie par deux goupilles cylindriques qui s’alignent avec l’axe mécanique du fémur, ainsi que par une bride longitudinale (non présente dans la version CH).
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_2_-1.png "GKS ONE Evo_2_tibia")
Le composant tibial metal-back en alliage de titane est disponible en 6 tailles dans la version pour hémi-plaque médiale et 4 tailles dans la version pour hémi-plaque latérale, à cimenter et sans ciment. Il possède 2 broches de stabilisation dans le quadrant antérieur et une collerette médiale.
Les inserts UHMWPE correspondants s’enclenchent et sont disponibles en 6 épaisseurs, également en version **VITAL-E®** (ajouté de vitamine E antioxydante naturelle avec fonction anti-âge). Chaque taille d’insert est compatible avec 2 tailles de tibia et sont guidés par un code couleur.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_3-300x227.png "GKS ONE Evo_3")
Le composant tibial all-poly est conçu dans le but de recréer une structure capable de répartir uniformément les contraintes statiques et dynamiques dérivant de l’activité normale à laquelle l’articulation du genou est soumise. Sa surface articulaire est conçue de manière à permettre l’obtention d’une fonctionnalité et d’une amplitude de mouvement optimales en présence du ligament croisé postérieur. Il est disponible en 7 tailles avec chacune 6 épaisseurs, également dans la version **VITAL-E®**.
La surface inférieure du plateau tibial est équipée de rainures pour améliorer l’adhérence du ciment et la stabilité de l’implant.
****
**MATÉRIAUX**
Composant fémoral en alliage cobalt chrome ISO 5832/4.
Metal-back tibial en alliage Titane Aluminium Vanadium ISO 5832/3-ASTM 2924.
Plateau tibiale all-poly et insert pour métal-back en UHMWPE ISO 5834/1/2 et VITAL-E®.
[Produits pour le Genou](https://www.permedica.it/fr/professionnels-medicaux/genou/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
## Unicondylar knee
solution
Cemented and press-fit version
VITAL-B® TiNbN coating
**Product range:** 6 anatomical femoral
sizes in 3 different versions;
Tibial metal-back in 6 medial and 4 lateral sizes;
Tibia all-poly in 7 sizes.
**GKS ONE Evo** is an unicondylar knee replacement that substitutes the articular surfaces of single section of the knee affected by disease, indicated in patients with limited joint damage as an alternative to a total prosthesis.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_1a-2.png "GKS ONE Evo_1a_knee")
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_1b-300x275.png "GKS ONE Evo_1b")
The femoral component, made of chrome cobalt alloy with **VITAL-B®** coating, it is available in **6 anatomical sizes** usable on both condyles (right medial to left lateral and vice versa) in cemented and cementless version (CH VITAL-B**®** with TRASER**®** trabecular bone-contact surface) and 3 different options:
- **R3** (distal thickness 3mm) and **R5** (distal thickness 5mm) are ‘resurfacing’ type and have an internal profile that reproduces the curvature of the femoral condyle, allowing straight resections to be limited to the posterior condyle only, thus preserving bone stock.
- **CH**, on the other hand, has an internal profile with angular resections (distal and posterior bevel).
The sagittal curvature of the femoral component has three load arcs with distinct centers, with varying radius depending on the size.
The stability of the femoral component is guaranteed by two cylindrical pegs that align with the mechanical axis of the femur, as well as by a longitudinal flange (not present in the CH version).
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_2_-1.png "GKS ONE Evo_2_tibia")
The titanium alloy metal-back tibial component is available in 6 sizes for the medial hemiplate and 4 sizes for the lateral hemiplate, both cemented and cementless version (with TRASER**®** trabecular bone-contact surface); It has 2 stabilizing pegs arranged in the anterior quadrant and a medial flange.
The relative UHMWPE inserts fit by snap-in and are available in 6 thicknesses, also in **VITAL-E®** version (added with Vitamin E natural antioxidant with anti-age function). Each size of insert is compatible with 2 sizes of tibia and the coupling is guided by a colour code.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_3-300x227.png "GKS ONE Evo_3")
The all-poly tibial component is designed with the aim of recreating a structure capable of evenly distributing static and dynamic stresses involving normal knee joint activity. It’s articular surface is conceived to allow optimal functionality and range of movement in the presence of the posterior cruciate ligament. It comes available in 7 sizes and 6 thicknesses, also in **VITAL-E®** version, added with Vitamin E natural antioxidant.
****
**MATERIALS**
Femoral component in Chrome Cobalt alloy ISO 5832/4.
Metal-back tibial in Titanium-Aluminium Vanadium alloy ISO 5832/3 – ASTM 2924.
All-poly tibial plate and metal-back plate insert made of UHMWPE ISO 5834/1/2 and VITAL-E®.
[Products Knee](https://www.permedica.it/en/medical-professionals/knee/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
## Protesi monocompartimentale
di ginocchio
Versione cementata e press-fit,
Rivestimento VITAL-B® in TiNbN
**Product range:** 6 taglie femorali
anatomiche in 3 differenti versioni;
Metal-back tibiale in 6 taglie mediali e 4 laterali;
Tibia all-poly in 7 taglie.
**GKS ONE Evo** è un sistema completo di protesi di ginocchio monocompartimentale che provvede al “rivestimento” delle superfici articolari del solo comparto interessato dalla patologia, indicata in pazienti con danno articolare limitato come alternativa alla protesi totale.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_1a-2.png "GKS ONE Evo_1a_knee")
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_1b-300x275.png "GKS ONE Evo_1b")
La componente femorale, in lega di cromo cobalto con rivestimento **VITAL-B®** è disponibile in **6 taglie anatomiche** utilizzabili su entrambi i condili (mediale destro su laterale sinistro e viceversa) in versione da cementare e senza cemento (solo in versione CH VITAL-B**®** con superficie di contatto con l’osso a trabecolatura TRASER**®**)e 3 diverse opzioni:
- **R3** (spessore distale 3mm) e **R5** (spessore distale 5mm) sono di tipo “resurfacing” e presentano un profilo interno che riproduce la curvatura del condilo femorale, consentendo di limitare le resezioni rette solo al condilo posteriore, preservando stock osseo.
- **CH** presenta invece un profilo interno che prevede resezioni angolari (distale e smusso posteriore).
La curvatura sagittale del componente femorale presenta tre archi di carico con centri distinti, con raggio variabile a seconda della taglia.
La stabilità della componente femorale è garantita da due perni cilindrici che si allineano all’asse meccanico del femore, nonché da una flangia longitudinale (non presente nella versione CH).
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_2_-1.png "GKS ONE Evo_2_tibia")
La componente tibiale metal-back in lega di titanio è disponibile in 6 taglie nella versione per emipiatto mediale e 4 taglie nella versione per emipiatto laterale, sia da cementare che senza cemento (con superficie di contatto con l’osso a trabecolatura TRASER**®**). Dispone di 2 perni di stabilizzazione nel quadrante anteriore ed una flangia mediale.
I relativi inserti articolari in UHMWPE si alloggiano ad incastro e sono disponibili in 6 spessori anche in versione **VITAL-E®** (polietiliene addizionato con vitamina E, antiossidante naturale con funzione anti-invecchiamento). Ogni taglia di inserto è compatibile con 2 taglie di tibia e l’accoppiamento è guidato da un codice colore.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-ONE-Evo_3.png "GKS ONE Evo_3")
La componente tibiale all-poly è disegnata con l’obiettivo di ricreare una struttura in grado di distribuire uniformemente le sollecitazioni statiche e dinamiche derivanti dalla normale attività cui è sottoposta l’articolazione del ginocchio. La sua superficie articolare è studiata in maniera tale da permettere il conseguimento di un’ottimale funzionalità e ampiezza di movimento in presenza del legamento crociato posteriore. È disponibile in 7 taglie ognuna con 6 spessori, anche nella versione **VITAL-E®**.
La superficie inferiore del piatto tibiale è dotata di apposite scanalature per migliorare la presa del cemento e la stabilità dell’impianto.
****
**MATERIALI**
Componente femorale in lega di Cromo Cobalto ISO 5832/4.
Metal-back tibiale in lega di Titanio Alluminio Vanadio ISO 5832/3 – ASTM 2924.
Piatto tibiale all-poly e inserto del piatto metal-back in UHMWPE ISO 5834/1/2 e VITAL-E®.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [Conical Humeral Core](https://www.permedica.it/core-omerale-conico/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
**Content:**
## Conical humeral core
**Product range:** 4 sizes (XS, S, M, L) with 140° CCD angle
[](https://www.permedica.it/wp-content/uploads/2025/10/icona_stelo_corto-copia-200x200.png "icona_stelo_corto copia")
Mirai® conical humeral core offers a further option as an **intermediate** **choice** between classic stemless and stemmed version.
[](https://www.permedica.it/wp-content/uploads/2025/10/Immagine_Core-omerale-conico.jpg "Immagine_Core omerale conico")
## **Conical humeral core**
Mirai® conical humeral core represents a solution in those cases where an optimal fixation through a stemless core cage is not achieved, remaining **bone preserving** with respect to the traditional stemmed configuration.
Mirai® conical humeral core is **suitable for both anatomic and reverse configuration,** with or without additional diaphyseal stem.
[](https://www.permedica.it/wp-content/uploads/2025/10/secondo-prodotto.png "secondo prodotto")
## **Stand-alone configuration**
It enhances primary and secondary stability due to a larger bone-implant contact surface.
## **Stemmed configuration**
A diaphyseal stem can be easily connected for distal fixation.
[](https://www.permedica.it/wp-content/uploads/2025/10/terzo-prodotto-def.png "terzo prodotto def")
## **Design**
**TRASER porous trabecular structure** to increase osseointegration.
**Symmetric anti-rotational wings** both on the medial and the lateral surface increase stability.
**Ø1,5 mm holes** on anti-rotational wings for suture.
**Dovetail connection for fillers** to enhance fixation in case of bone defects or poor bone quality.
[Shoulder Products](https://www.permedica.it/en/medical-professionals/shoulder/#prodotti_spalla)
**Categorie:** Spalla
---
### [Núcleo humeral cónico](https://www.permedica.it/core-omerale-conico/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
**Content:**
## Núcleo humeral cónico
**Gama de productos:** 4 tallas (XS, S, M, L) con ángulo CCD de 140
[](https://www.permedica.it/wp-content/uploads/2025/10/icona_stelo_corto-copia-200x200.png "icona_stelo_corto copia")
El núcleo humeral cónico Mirai® ofrece otra opción **intermedia** entre las versiones clásica sin vástago y con vástago.
[](https://www.permedica.it/wp-content/uploads/2025/10/Immagine_Core-omerale-conico.jpg "Immagine_Core omerale conico")
## **Núcleo humeral cónico**
El núcleo humeral cónico Mirai® es una solución en los casos en los que no es posible una fijación óptima mediante jaula con núcleo sin vástago, ya que ofrece **un mayor ahorro de hueso** que la configuración de vástago tradicional.
El núcleo humeral cónico Mirai® es adecuado **tanto para configuraciones anatómicas como invertidas,** con o sin vástago diafisario adicional.
[](https://www.permedica.it/wp-content/uploads/2025/10/secondo-prodotto.png "secondo prodotto")
## **Configuración autónoma**
Mejora la estabilidad primaria y secundaria al aumentar la superficie de contacto hueso-implante.
## **Configuración con tallo**
Se puede conectar fácilmente un vástago diafisario para la fijación distal.
[](https://www.permedica.it/wp-content/uploads/2025/10/terzo-prodotto-def.png "terzo prodotto def")
## **Diseño**
**Estructura porosa trabecular TRASER** para mejorar la osteointegración.
**Aletas antigiro simétricas en las superficies medial y lateral** para aumentar la estabilidad.
**Orificios de Ø1,5 mm en las aletas antirrotación** para los hilos de sutura.
**Conexión de cola de milano para rellenos** para mejorar la fijación en caso de defectos óseos o hueso de mala calidad.
[Productos para el hombro](https://www.permedica.it/es/profesionales-medicos/hombro/#prodotti_spalla)
**Categorie:** Spalla
---
### [Core omerale conico](https://www.permedica.it/core-omerale-conico/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
**Content:**
## Konischer Humeruskern
**Produktpalette:** 4 Größen (XS, S, M, L) mit 140° CCD-Winkel
[](https://www.permedica.it/wp-content/uploads/2025/10/icona_stelo_corto-copia-200x200.png "icona_stelo_corto copia")
Mirai® konischer Humeruskern bietet eine weitere Option als **Zwischenlösung** zwischen der klassischen schaftlosen und der Version mit Schaft.
[](https://www.permedica.it/wp-content/uploads/2025/10/Immagine_Core-omerale-conico.jpg "Immagine_Core omerale conico")
## **Konischer Humeruskern**
Der konische Mirai®-Humeruskern stellt eine Lösung für die Fälle dar, in denen eine optimale Fixierung durch einen schaftlosen Kerncage nicht erreicht werden kann, wobei **der Knochen** im Vergleich zur traditionellen Konfiguration mit Schaft **erhalten** bleibt.
Der konische Mirai® Humeruskern ist **sowohl für die anatomische als auch für die umgekehrte Konfiguration geeignet,** mit oder ohne zusätzlichen diaphysären Schaft.
[](https://www.permedica.it/wp-content/uploads/2025/10/secondo-prodotto.png "secondo prodotto")
## **Eigenständige Konfiguration**
Sie verbessert die Primär- und Sekundärstabilität durch eine größere Kontaktfläche zwischen Knochen und Implantat.
## **Gestielte Konfiguration**
Ein diaphysärer Schaft kann zur distalen Fixierung einfach angeschlossen werden.
[](https://www.permedica.it/wp-content/uploads/2025/10/terzo-prodotto-def.png "terzo prodotto def")
## **Entwurf**
**TRASER poröse Trabekelstruktur** zur Verbesserung der Osseointegration.
**Symmetrische Anti-Rotations-Flügel** sowohl auf der medialen als auch auf der lateralen Oberfläche erhöhen die Stabilität.
**Ø1,5 mm Löcher** auf den Anti-Rotationsflügeln für die Naht.
**Schwalbenschwanzverbindung für Füller** zur Verbesserung der Fixierung bei Knochendefekten oder schlechter Knochenqualität.
[Schulter Produkte](https://www.permedica.it/de/medizinische-fachkraefte/schulter/#prodotti_spalla)
**Categorie:** Spalla
---
### [Core omerale conico](https://www.permedica.it/core-omerale-conico/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
**Content:**
## Noyau huméral conique
**Gamme de produits :** 4 tailles (XS, S, M, L) avec un angle CCD de 140
[](https://www.permedica.it/wp-content/uploads/2025/10/icona_stelo_corto-copia-200x200.png "icona_stelo_corto copia")
Le noyau huméral conique Mirai® offre une option supplémentaire comme **choix** **intermédiaire** entre la version classique sans tige et la version avec tige.
[](https://www.permedica.it/wp-content/uploads/2025/10/Immagine_Core-omerale-conico.jpg "Immagine_Core omerale conico")
## **Noyau huméral conique**
Le noyau huméral conique Mirai® représente une solution dans les cas où une fixation optimale par le biais d’une cage sans tige n’est pas possible, tout en **préservant l’os** par rapport à la configuration traditionnelle avec tige.
Le noyau huméral conique Mirai® **convient à la fois à la configuration anatomique et à la configuration inversée,** avec ou sans tige diaphysaire supplémentaire.
[](https://www.permedica.it/wp-content/uploads/2025/10/secondo-prodotto.png "secondo prodotto")
## **Configuration autonome**
Il améliore la stabilité primaire et secondaire grâce à une plus grande surface de contact entre l’os et l’implant.
## **Configuration à tiges**
Une tige diaphysaire peut être facilement connectée pour une fixation distale.
[](https://www.permedica.it/wp-content/uploads/2025/10/terzo-prodotto-def.png "terzo prodotto def")
## **Conception**
**Structure trabéculaire poreuse TRASER** pour augmenter l’ostéointégration.
Les **ailettes anti-rotation symétriques** sur les surfaces médiales et latérales augmentent la stabilité.
**Trous de Ø1,5 mm** sur les ailes antirotationnelles pour la suture.
**Connexion en queue d’aronde pour les matériaux de remplissage** afin d’améliorer la fixation en cas de défauts osseux ou de mauvaise qualité osseuse.
[Produits pour l’épaule](https://www.permedica.it/fr/professionnels-medicaux/epaule/#prodotti_spalla)
**Categorie:** Spalla
---
### [Core omerale conico](https://www.permedica.it/core-omerale-conico/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
**Content:**
## Core omerale conico
**Product range:** 4 taglie (XS, S, M, L) con angolo CCD 140°
[](https://www.permedica.it/wp-content/uploads/2025/10/icona_stelo_corto-copia-200x200.png "icona_stelo_corto copia")
Il core omerale conico Mirai® offre un’ulteriore opzione come **scelta intermedia** tra le versioni classiche stemless e stemmed.
[](https://www.permedica.it/wp-content/uploads/2025/10/Immagine_Core-omerale-conico.jpg "Immagine_Core omerale conico")
## **Core omerale conico**
Il core omerale conico Mirai® rappresenta una soluzione nei casi in cui non è possibile ottenere una fissazione ottimale mediante core cage stemless, offrendo un **risparmio osseo maggiore** rispetto alla configurazione tradizionale con stelo.
Il core omerale conico Mirai® è adatto **sia per la configurazione anatomica che inversa,** con o senza stelo diafisario aggiuntivo.
[](https://www.permedica.it/wp-content/uploads/2025/10/secondo-prodotto.png "secondo prodotto")
## **Configurazione stand-alone**
Migliora la stabilità primaria e secondaria grazie a una maggiore superficie di contatto osso-impianto.
## **Configurazione stemmed**
E’ possibile connettere facilmente uno stelo diafisario per il fissaggio distale.
[](https://www.permedica.it/wp-content/uploads/2025/10/terzo-prodotto-def.png "terzo prodotto def")
## **Design**
**Struttura porosa trabecolare TRASER** per incrementare l’osteointegrazione.
**Alette simmetriche anti-rotazione sia sulla superficie mediale che laterale** per aumentare la stabilità.
**Fori da Ø1,5 mm sulle alette anti-rotazione** per fili di sutura.
**Connessione a nido di rondine per riempitivi** per migliorare la fissazione in caso di difetti ossei o osso di scarsa qualità.
[Prodotti Spalla](https://www.permedica.it/area-chirurgo/spalla/#prodotti_spalla)
**Categorie:** Spalla
---
### [Placa base glenoidea Mirai R](https://www.permedica.it/mirai-r-glenoid-baseplate/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai significa futuro
El futuro de la artroplastia de hombro.
Mirai es un **sistema completo, modular y convertible** para la artroplastia anatómica e inversa del hombro.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_Icona_inversa_def-copy-150x150.png "MIRAI_Icona_inversa_def copy")
La base glenoidea Mirai R ofrece una solución versátil para la artroplastia de hombro en configuración inversa, tanto en el primer implante como en la revisión.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai_R_baseplate-3-scaled.jpg "Mirai_R_baseplate")
## **Baseplate Mirai R**
La base glenoidea Mirai R ofrece una solución versátil para la artroplastia de hombro en configuración inversa.
La **forma circular** se adapta fácilmente a cada tipo de glena y proporciona una solución inmediata para el tratamiento de **defectos óseos glenoideos,** sin necesidad de injertos, además de permitir la **regulación de la lateralización.**
[](https://www.permedica.it/wp-content/uploads/2020/02/Design_baseplate-copia.jpg "Design_baseplate copia")
## **Diseño**
Baseplate de diseño circular con
- Orificio central para PEG o tornillo de fijación
- 4 orificios para tornillos óseos periféricos
Disponible en
- **2 diámetros** (25 y 27 mm)
- **3 configuraciones\*** (0°, 10°, 20°)
\* Configuración de 20° disponible mediante DYO Design Your Own
[](https://www.permedica.it/wp-content/uploads/2020/02/Offset_solution-copia.jpg "Offset_solution copia")
## **Soluciones para el offset**
La base glenoidea Mirai R ofrece **3 offsets** **diferentes,** mediante adaptadores dedicados, proporcionando las siguientes opciones de lateralización para regular el centro de rotación:
- 0 mm
- +2 mm
- +4 mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Central_fixation-copia.jpg "Central_fixation copia")
## **Fijación central**
La base glenoidea Mirai R incluye un **orificio central** compatible con:
- PEG central en TRASER (18, 25, 30mm)
- Tornillo central Ø 6.5mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Peripheral_fixation-copia.jpg "Peripheral_fixation copia")
## **Fijación periférica**
La base glenoidea Mirai R ofrece **4 orificios** compatibles con:
- Tornillos estándar Ø 4.5 mm
- Tornillos bloqueados de estabilidad angular Ø 4.5 mm
[Productos para el hombro](https://www.permedica.it/es/profesionales-medicos/hombro/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai R Glenoid Grundplatte](https://www.permedica.it/mirai-r-glenoid-baseplate/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai bedeutet Die Zukunft
Die Zukunft in der Schulterarthroplastik
Das Mirai Schulterprothesensysem ist **vollständig konvertierbar von der anatomischen in die inverse Konfiguration;** von der schaftfreien in die schaftgeführte Version.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_Icona_inversa_def-copy-150x150.png "MIRAI_Icona_inversa_def copy")
Die Glenoidbasis Mirai R bietet eine vielseitige Lösung für die inverse Schulterendoprothetik, sowohl bei der Erstimplantation als auch bei Revisionseingriffen.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai_R_baseplate-3-scaled.jpg "Mirai_R_baseplate")
## **Basisplatte Mirai R**
Die Glenoidbasis Mirai R stellt eine vielseitige Lösung für die inverse Schultertotalendoprothese dar.
Die **zirkuläre Form** ermöglicht eine einfache Anpassung an verschiedene Glenoidtypen und bietet eine unmittelbare Option zur Behandlung von **glenoidalen Knochendefekten**, ohne die Notwendigkeit von Knochentransplantaten. Zudem erlaubt sie die **Einstellung der Lateralisation.**
[](https://www.permedica.it/wp-content/uploads/2020/02/Design_baseplate-copia.jpg "Design_baseplate copia")
## **Design**
Zirkulär gestaltete Basisplatte mit
- Zentralem Loch für PEG oder Fixationsschraube
- 4 Bohrungen für periphere Knochenschrauben
Verfügbar in
- **2 Durchmessern** (25 und 27 mm)
- **3 Konfigurationen\*** (0°, 10°, 20°)
\* 20°-Konfiguration erhältlich über DYO Design Your Own
[](https://www.permedica.it/wp-content/uploads/2020/02/Offset_solution-copia.jpg "Offset_solution copia")
## **Lösungen für das Offset**
Die glenoidale Basisplatte Mirai R bietet **3 unterschiedliche Offsets** durch spezielle Adapter und ermöglicht damit folgende Optionen zur **Lateralisation** zur Anpassung des Rotationszentrums:
- 0 mm
- +2 mm
- +4 mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Central_fixation-copia.jpg "Central_fixation copia")
## **Zentrale Fixation**
Die glenoidale Basisplatte Mirai R verfügt über ein **zentrales Loch**, kompatibel mit:
- Zentralem PEG aus TRASER (18, 25, 30 mm)
- Zentrale Schraube Ø 6,5 mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Peripheral_fixation-copia.jpg "Peripheral_fixation copia")
## **Periphere Fixation**
Die glenoidale Basisplatte Mirai R verfügt über **4 Bohrungen**, kompatibel mit:
- Standardschrauben Ø 4,5 mm
- Winkelstabile Locking-Schrauben Ø 4,5 mm
[Schulter Produkte](https://www.permedica.it/de/medizinische-fachkraefte/schulter/#prodotti_spalla)
**Categorie:** Spalla
---
### [Plaque de base glénoïde Mirai R](https://www.permedica.it/mirai-r-glenoid-baseplate/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai signifie l’Avenir
L’avenir de l’arthroplastie de l’épaule.
Mirai est un **système complet, modulair et convertible** pour l’arthroplastie anatomique et inversée de l’épaule.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_Icona_inversa_def-copy-150x150.png "MIRAI_Icona_inversa_def copy")
La base glénoïdienne Mirai R offre une solution polyvalente pour l’arthroplastie de l’épaule en configuration inversée, aussi bien en première implantation qu’en révision.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai_R_baseplate-3-scaled.jpg "Mirai_R_baseplate")
## **Base glénoïdienne Mirai R**
La base glénoïdienne Mirai R offre une solution polyvalente pour l’arthroplastie de l’épaule en configuration inversée.
La **forme circulaire** s’adapte facilement à tout type de glène et fournit une solution immédiate pour le traitement des **défauts osseux glénoïdiens**, sans recourir à des greffes, ainsi que pour la **régulation de la latéralisation.**
[](https://www.permedica.it/wp-content/uploads/2020/02/Design_baseplate-copia.jpg "Design_baseplate copia")
## **Design**
Base glénoïdienne au design circulaire avec
- Orifice central pour PEG ou vis de fixation
- 4 logements pour vis osseuses périphériques
Disponible en
- **2 diamètres** (25 et 27 mm)
- **3 configurations\*** (0°, 10°, 20°)
\\* La configuration à 20° est disponible via DYO Concevez le vôtre
[](https://www.permedica.it/wp-content/uploads/2020/02/Offset_solution-copia.jpg "Offset_solution copia")
## **Solutions pour le décalage**
La base glénoïdienne Mirai R propose **3 décalages** **différents**, grâce à des adaptateurs dédiés, proposant les options de latéralisation suivantes afin de régler le centre de rotation :
- 0 mm
- +2 mm
- +4 mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Central_fixation-copia.jpg "Central_fixation copia")
## **Fixation centrale**
La base glénoïdienne Mirai R comprend un **trou central** compatible avec :
- PEG central en TRASER (18, 25, 30mm)
- Vis centrale Ø 6,5mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Peripheral_fixation-copia.jpg "Peripheral_fixation copia")
## **Fixation périphérique**
La base glénoïdienne Mirai R offre **4 trous** compatibles avec :
- Vis standard Ø 4,5 mm
- Vis verrouillables à stabilité angulaire Ø 4,5 mm
[Produits pour l’épaule](https://www.permedica.it/fr/professionnels-medicaux/epaule/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai R Glenoid Baseplate](https://www.permedica.it/mirai-r-glenoid-baseplate/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai means «the future»
The future of Shoulder Replacement.
Mirai is a **complete, modular and convertible** system for anatomic and reverse shoulder arthroplasty.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_Icona_inversa_def-copy-150x150.png "MIRAI_Icona_inversa_def copy")
The Mirai R glenoid baseplate provides a versatile solution for reverse total shoulder arthroplasty, for both primary and revision surgery.
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai_R_baseplate-3-scaled.jpg "Mirai_R_baseplate")
## **Mirai R baseplate**
The Mirai R glenoid baseplate provides a versatile solution for reverse total shoulder arthroplasty.
Its **circular shape** easily fits any type of glenoid and offers a straightforward solution to treat **glenoid bone defects,** avoiding use of bone grafts, together with **lateralization adjustment.**
[](https://www.permedica.it/wp-content/uploads/2020/02/Design_baseplate-copia.jpg "Design_baseplate copia")
## **Design**
Circular shape baseplate with
- Central hole for PEG or fixation screw
- 4 holes for peripheral bone screws
Available in
- **2 diameters** (25 and 27 mm)
- **3 configurations\*** (0°, 10°,20°)
\* 20° configuration available in DYO Design Your Own
[](https://www.permedica.it/wp-content/uploads/2020/02/Offset_solution-copia.jpg "Offset_solution copia")
## **Offset solutions**
The Mirai R glenoid baseplate offers **3 different offset**, through dedicated adapters, providing the following lateralization options, to adjust the center of rotation:
- 0 mm
- +2 mm
- +4 mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Central_fixation-copia.jpg "Central_fixation copia")
## **Central fixation**
The Mirai R glenoid baseplate includes **a central hole** compatible with both:
- Central PEG in TRASER (18, 25, 30 mm)
- Central fixation screw Ø 6.5 mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Peripheral_fixation-copia.jpg "Peripheral_fixation copia")
## **Peripheral fixation**
The Mirai R glenoid baseplate offers **4 holes** compatible both with:
- Standard screws Ø 4.5 mm
- Locking screws Ø 4.5 mm
[Shoulder Products](https://www.permedica.it/en/medical-professionals/shoulder/#prodotti_spalla)
**Categorie:** Spalla
---
### [Mirai R Glenoid Baseplate](https://www.permedica.it/mirai-r-glenoid-baseplate/)
**Published:** Febbraio 5, 2020
**Author:** pm_ema
**Content:**
## Mirai R baseplate
Il futuro dell’artroplastica di spalla.
Mirai è un **sistema completo, modulare e convertibile** per artroprotesi di spalla anatomica e inversa.
[](https://www.permedica.it/wp-content/uploads/2020/02/MIRAI_Icona_inversa_def-copy-150x150.png "MIRAI_Icona_inversa_def copy")
Il baseplate glenoideo Mirai R offre una soluzione versatile per artroplastica di spalla in configurazione inversa, sia da primo impianto che da revisione
[](https://www.permedica.it/wp-content/uploads/2020/02/Mirai_R_baseplate-3-scaled.jpg "Mirai_R_baseplate")
## **Baseplate Mirai R**
Il baseplate glenoideo Mirai R offre una soluzione versatile per artroplastica di spalla in configurazione inversa.
La **forma circolare** si adatta facilmente ad ogni tipologia di glena e fornisce una soluzione immediata per il trattamento di **difetti ossei glenoidei,** senza ricorrere ad innesti, oltre che per la **regolazione della lateralizzazione.**
[](https://www.permedica.it/wp-content/uploads/2020/02/Design_baseplate-copia.jpg "Design_baseplate copia")
## **Design**
Baseplate dal design circolare con
- Foro centrale per PEG o vite di fissazione
- 4 viti per viti ossei periferiche
Disponibile in
- **2 diametri** (25 e 27mm)
- **3 configurazioni\*** (0°, 10°,20°)
\* Configurazione 20° disponibile mediante DYO Design Your Own
[](https://www.permedica.it/wp-content/uploads/2020/02/Offset_solution-copia.jpg "Offset_solution copia")
## **Soluzioni per l’offset**
Il baseplate glenoideo Mirai R offre **3 offset** **differenti,** attraverso adattatori dedicati, fornendo le seguenti opzioni di lateralizzazione per regolare il centro di rotazione:
- 0 mm
- +2 mm
- +4 mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Central_fixation-copia.jpg "Central_fixation copia")
## **Fissazione centrale**
Il baseplate glenoideo Mirai R include un **foro centrale** compatibile con:
- PEG centrale in TRASER (18, 25, 30mm)
- Vite centrale Ø 6.5mm
[](https://www.permedica.it/wp-content/uploads/2020/02/Peripheral_fixation-copia.jpg "Peripheral_fixation copia")
## **Fissazione periferica**
Il baseplate glenoideo Mirai R offre **4 fori** compatibili con:
- Viti standard Ø 4.5 mm
- Viti Locking a stabilità angolare Ø 4.5 mm
[Prodotti Spalla](https://www.permedica.it/area-chirurgo/spalla/#prodotti_spalla)
**Categorie:** Spalla
---
### [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Verticale-GKS-RK-2-200x300.jpg "Verticale – GKS RK")
**Product range:** 8 femural sizes, 10 tibial sizes
The **GKS PRIME FLEX RK** system by permedica has been specifically designed for the treatment of knee prosthesis revision cases. The modularity and intercompatibility of the components allows for different implant configurations, offering the surgeon the possibility of choosing the most appropriate solution for the complexity of the case to be addressed.
[](https://www.permedica.it/wp-content/uploads/2020/02/Femore-RK.png "Femore RK")
[](https://www.permedica.it/wp-content/uploads/2020/02/Modulo-Offset-RK-def-600x600.png "Modulo Offset RK def")
RK Femur
Made of Cobalt-Chrome alloy, available in **MICROLOY®** and **VITAL-B®** finishing surface versions. It has an open-bottom intercondylar BOX with a boss for connecting Intramedullary Stems and Offset Module. Particular attention was paid to the design of the posterior stabilization mechanism, in order to allow a “soft” contact and reduce the stress between the post of the articular insert and the cam of the femoral component.
Offset Module
Usable on both the femoral and tibial components to allow for offset positioning with respect to the diaphyseal axis. Available with 3 or 5mm offset.
[](https://www.permedica.it/wp-content/uploads/2020/02/Dettaglio-Wedges-RK.png "Dettaglio Wedges RK")
Femoral Wedges
To be fixed to the femoral condyles by means of special screws to compensate for bone defects. Available for the distal condyles (4, 8 and 12mm) and posterior condyles (5 and 10mm) for the various femur sizes.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-SS-def-800x800.png "Inserto SS def")
Joint Insert
Manufactured with Ultra high molecular weight polyethylene (UHMWPE) also available in **VITAL-E** version (polyethylene added with antioxidant Vitamin E).
**PS** (Posterior-Stabilized) version and **SS** (Super-Stabilized) version, featuring a larger post to limit the varus-valgus tilting and axial rotation, thus improving the stability when inserted into the femoral intercondylar box.
It is designed to allow a wide Femur/Tibia pairing guaranteeing for each femoral size the coupling with 6 tibial sizes. Each size of insert fit with 2 sizes of Tibial Plate and is available in 9 thicknesses Colour coding for correct coupling of the liner with Femoral and Tibial components.
[](https://www.permedica.it/wp-content/uploads/2020/02/Tibia-RKWedge-def-600x600.png "Tibia RK+Wedge def")
RK Tibia
The **RK** tibial component is made of titanium alloy and characterized by a symmetrical baseplate with a keel consisting of a cylindrical boss with two stabilizing fins to which the Intramedullary Stems and the eventual Offset Module are connected.
The lower face of the plate has 4 holes for the assembly of Tibial **Wedges** (FULL and HALF) that allow for compensation of eventual bone defects. The joint insert snaps into place by engaging in the niches present in the rear part of the plate.
[](https://www.permedica.it/wp-content/uploads/2020/02/RK_Augments-Tibiali-def-600x600.png "RK_Augments Tibiali def")
Tibial Wedges
To be fixed to the Tibial baseplate using special screws to compensate for bone defects. Available in FULL and HALF
versions with thicknesses of 5, 10 and 15mm.
[](https://www.permedica.it/wp-content/uploads/2020/02/Fittone-RK-def2-800x800.png "Fittone RK def2")
Diaphyseal Stems
Usable on both the femoral and tibial components.
Available in different lengths and diameters in cemented and cementless pressfit versions.
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_def2-800x800.jpg "Coni-traser_def2")
TRASER Revision Cones
Femoral and Tibial Cones are UNIVERSAL devices to be used in knee prosthesis revision surgeries in the presence of severe bone defects in order to provide reinforcement/support to the bone structure thus allowing the positioning of cemented prosthetic components inside them.
****
**MATERIALIEN**
PS/RK FEMUR: Cobalt Chromium Molybdenum alloy – ISO5832/4.
RK TIBIA / OFFSET Module / WEDGES / Intramedullary Stems: Titanium Aluminium Vanadium alloy – ISO5832/3.
TRASER CONES: Titanium Aluminium Vanadium alloy – ASTM F 2924.
INSERTS / PATELLA: UHMWPE without Calcium Stearate – ISO5834/1/2, also available in VITAL-E Version (UHMWPE added with
AlphaTocopherol Vitamin E) – ISO5834/1.
[Knie Produkte](https://www.permedica.it/de/medizinische-fachkraefte/knie/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Verticale-GKS-RK-2-200x300.jpg "Verticale – GKS RK")
**Gama de productos:** 8 tallas femorales, 10 tallas tibiales
El sistema **GKS PRIME FLEX RK** de Permedica ha sido diseñado específicamente para el tratamiento de casos de revisión de prótesis de rodilla. La modularidad e intercompatibilidad de los componentes permite diferentes configuraciones de implante, ofreciendo al cirujano la posibilidad de elegir la solución más adecuada a la complejidad del caso a tratar.
[](https://www.permedica.it/wp-content/uploads/2020/02/Femore-RK.png "Femore RK")
[](https://www.permedica.it/wp-content/uploads/2020/02/Modulo-Offset-RK-def-600x600.png "Modulo Offset RK def")
Fémur RK
Fabricado en aleación de cobalto-cromo, está disponible en las versiones **MICROLOY®** y **VITAL-B®** con superficie de acabado ultradura.
Dispone de un BOX intercondíleo de fondo abierto con boss para la conexión de Vástagos Endomedulares y Módulo Offset. Se ha prestado especial atención al diseño del mecanismo de estabilización posterior, con el fin de permitir un contacto “suave” y reducir las tensiones entre el poste del inserto articular y la leva del componente femoral.
Módulo Offset
Utilizable tanto en el componente femoral como en el tibial para permitir su posicionamiento descentrado respecto al eje diafisario. Disponibles con offset de 3 o 5 mm.
[](https://www.permedica.it/wp-content/uploads/2020/02/Dettaglio-Wedges-RK.png "Dettaglio Wedges RK")
Wedges Femorales
Aplicables a los cóndilos femorales mediante tornillos específicos para compensar defectos óseos. Disponibles para los cóndilos distales (4, 8 y 12 mm) y posteriores (5 y 10 mm) para las distintas tallas de fémur.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-SS-def-800x800.png "Inserto SS def")
Insertos Articulares
Fabricados con polietileno de peso molecular ultraalto (UHMWPE), están disponibles también en la versión **VITAL-E** (polietileno con vitamina E antioxidante).
Versión **PS** (Posteroestabilizada) y **SS** (Superestabilizada) con poste de dimensiones mayores para limitar el “tilt” en varo-valgo y la rotación axial, mejorando así la estabilidad una vez insertado en la caja intercondílea femoral.
El sistema está diseñado para permitir un amplio acoplamiento fémur/tibia garantizando para cada talla femoral el acoplamiento con 6 tallas tibiales.
[](https://www.permedica.it/wp-content/uploads/2020/02/Tibia-RKWedge-def-600x600.png "Tibia RK+Wedge def")
Tibia RK
El componente tibial **RK** está fabricado en aleación de titanio y se caracteriza por un platillo simétrico con una quilla constituida por un casquillo cilíndrico con dos aletas estabilizadoras al cual se conectan los Vástagos Endomedulares y eventual Módulo Offset.
La cara inferior del platillo presenta 4 orificios para el ensamblaje de **Wedges** Tibiales (totales y parciales) que permiten compensar eventuales pérdidas de sustancia. El inserto articular se encaja a presión mediante enganche en los nichos presentes en la parte posterior del platillo.
[](https://www.permedica.it/wp-content/uploads/2020/02/RK_Augments-Tibiali-def-600x600.png "RK_Augments Tibiali def")
Wedges Tibiales
Aplicables al baseplate Tibial mediante tornillos específicos para compensar defectos óseos. Disponibles en versión FULL y HALF con espesores de 5, 10 y 15 mm.
[](https://www.permedica.it/wp-content/uploads/2020/02/Fittone-RK-def2-800x800.png "Fittone RK def2")
Vástagos Diafisarios
Utilizables tanto en el componente femoral como en el tibial.
Disponibles en diferentes longitudes y diámetros en versión cementada y pressfit.
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_def2-800x800.jpg "Coni-traser_def2")
Conos de Revisión TRASER
Los conos femorales y tibiales son dispositivos UNIVERSALES para utilizar en intervenciones de revisión de rodilla en presencia de defectos óseos graves, con el fin de proporcionar un refuerzo/soporte a la estructura ósea, permitiendo el posicionamiento de componentes protésicos cementados en su interior.
****
**MATERIALES**
FÉMUR RK: aleación de Cobalto Cromo Molibdeno – ISO5832/4.
TIBIA RK / MÓDULO OFFSET / WEDGES Tibiales y Femorales / Vástagos endomedulares: Aleación de titanio aluminio vanadio – ISO5832/3.
CONOS TRASER: Aleación de Titanio Aluminio Vanadio – ASTM F 2924.
INSERTOS / RÓTULA: UHMWPE sin estearato de calcio – ISO5834/1/2; también en versión VITAL-E (UHMWPE con vitamina E) – ISO5834/.
[Productos Rodilla](https://www.permedica.it/es/profesionales-medicos/rodilla/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Verticale-GKS-RK-2-200x300.jpg "Verticale – GKS RK")
**Product range:** 8 femural sizes, 10 tibial sizes
The **GKS PRIME FLEX RK** system by permedica has been specifically designed for the treatment of knee prosthesis revision cases. The modularity and intercompatibility of the components allows for different implant configurations, offering the surgeon the possibility of choosing the most appropriate solution for the complexity of the case to be addressed.
[](https://www.permedica.it/wp-content/uploads/2020/02/Femore-RK.png "Femore RK")
[](https://www.permedica.it/wp-content/uploads/2020/02/Modulo-Offset-RK-def-600x600.png "Modulo Offset RK def")
RK Femur
Made of Cobalt-Chrome alloy, available in **MICROLOY®** and **VITAL-B®** finishing surface versions. It has an open-bottom intercondylar BOX with a boss for connecting Intramedullary Stems and Offset Module. Particular attention was paid to the design of the posterior stabilization mechanism, in order to allow a “soft” contact and reduce the stress between the post of the articular insert and the cam of the femoral component.
Offset Module
Usable on both the femoral and tibial components to allow for offset positioning with respect to the diaphyseal axis. Available with 3 or 5mm offset.
[](https://www.permedica.it/wp-content/uploads/2020/02/Dettaglio-Wedges-RK.png "Dettaglio Wedges RK")
Femoral Wedges
To be fixed to the femoral condyles by means of special screws to compensate for bone defects. Available for the distal condyles (4, 8 and 12mm) and posterior condyles (5 and 10mm) for the various femur sizes.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-SS-def-800x800.png "Inserto SS def")
Joint Insert
Manufactured with Ultra high molecular weight polyethylene (UHMWPE) also available in **VITAL-E** version (polyethylene added with antioxidant Vitamin E).
**PS** (Posterior-Stabilized) version and **SS** (Super-Stabilized) version, featuring a larger post to limit the varus-valgus tilting and axial rotation, thus improving the stability when inserted into the femoral intercondylar box.
It is designed to allow a wide Femur/Tibia pairing guaranteeing for each femoral size the coupling with 6 tibial sizes. Each size of insert fit with 2 sizes of Tibial Plate and is available in 9 thicknesses Colour coding for correct coupling of the liner with Femoral and Tibial components.
[](https://www.permedica.it/wp-content/uploads/2020/02/Tibia-RKWedge-def-600x600.png "Tibia RK+Wedge def")
RK Tibia
The **RK** tibial component is made of titanium alloy and characterized by a symmetrical baseplate with a keel consisting of a cylindrical boss with two stabilizing fins to which the Intramedullary Stems and the eventual Offset Module are connected.
The lower face of the plate has 4 holes for the assembly of Tibial **Wedges** (FULL and HALF) that allow for compensation of eventual bone defects. The joint insert snaps into place by engaging in the niches present in the rear part of the plate.
[](https://www.permedica.it/wp-content/uploads/2020/02/RK_Augments-Tibiali-def-600x600.png "RK_Augments Tibiali def")
Tibial Wedges
To be fixed to the Tibial baseplate using special screws to compensate for bone defects. Available in FULL and HALF
versions with thicknesses of 5, 10 and 15mm.
[](https://www.permedica.it/wp-content/uploads/2020/02/Fittone-RK-def2-800x800.png "Fittone RK def2")
Diaphyseal Stems
Usable on both the femoral and tibial components.
Available in different lengths and diameters in cemented and cementless pressfit versions.
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_def2-800x800.jpg "Coni-traser_def2")
TRASER Revision Cones
Femoral and Tibial Cones are UNIVERSAL devices to be used in knee prosthesis revision surgeries in the presence of severe bone defects in order to provide reinforcement/support to the bone structure thus allowing the positioning of cemented prosthetic components inside them.
****
**MATERIAUX**
PS/RK FEMUR: Cobalt Chromium Molybdenum alloy – ISO5832/4.
RK TIBIA / OFFSET Module / WEDGES / Intramedullary Stems: Titanium Aluminium Vanadium alloy – ISO5832/3.
TRASER CONES: Titanium Aluminium Vanadium alloy – ASTM F 2924.
INSERTS / PATELLA: UHMWPE without Calcium Stearate – ISO5834/1/2, also available in VITAL-E Version (UHMWPE added with
AlphaTocopherol Vitamin E) – ISO5834/1.
[Produits pour le genou](https://www.permedica.it/fr/professionnels-medicaux/genou/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Verticale-GKS-RK-2-200x300.jpg "Verticale – GKS RK")
**Product range:** 8 femural sizes, 10 tibial sizes
The **GKS PRIME FLEX RK** system by permedica has been specifically designed for the treatment of knee prosthesis revision cases. The modularity and intercompatibility of the components allows for different implant configurations, offering the surgeon the possibility of choosing the most appropriate solution for the complexity of the case to be addressed.
[](https://www.permedica.it/wp-content/uploads/2020/02/Femore-RK.png "Femore RK")
[](https://www.permedica.it/wp-content/uploads/2020/02/Modulo-Offset-RK-def-600x600.png "Modulo Offset RK def")
RK Femur
Made of Cobalt-Chrome alloy, available in **MICROLOY®** and **VITAL-B®** finishing surface versions. It has an open-bottom intercondylar BOX with a boss for connecting Intramedullary Stems and Offset Module. Particular attention was paid to the design of the posterior stabilization mechanism, in order to allow a “soft” contact and reduce the stress between the post of the articular insert and the cam of the femoral component.
Offset Module
Usable on both the femoral and tibial components to allow for offset positioning with respect to the diaphyseal axis. Available with 3 or 5mm offset.
[](https://www.permedica.it/wp-content/uploads/2020/02/Dettaglio-Wedges-RK.png "Dettaglio Wedges RK")
Femoral Wedges
To be fixed to the femoral condyles by means of special screws to compensate for bone defects. Available for the distal condyles (4, 8 and 12mm) and posterior condyles (5 and 10mm) for the various femur sizes.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-SS-def-800x800.png "Inserto SS def")
Joint Insert
Manufactured with Ultra high molecular weight polyethylene (UHMWPE) also available in **VITAL-E** version (polyethylene added with antioxidant Vitamin E).
**PS** (Posterior-Stabilized) version and **SS** (Super-Stabilized) version, featuring a larger post to limit the varus-valgus tilting and axial rotation, thus improving the stability when inserted into the femoral intercondylar box.
It is designed to allow a wide Femur/Tibia pairing guaranteeing for each femoral size the coupling with 6 tibial sizes. Each size of insert fit with 2 sizes of Tibial Plate and is available in 9 thicknesses Colour coding for correct coupling of the liner with Femoral and Tibial components.
[](https://www.permedica.it/wp-content/uploads/2020/02/Tibia-RKWedge-def-600x600.png "Tibia RK+Wedge def")
RK Tibia
The **RK** tibial component is made of titanium alloy and characterized by a symmetrical baseplate with a keel consisting of a cylindrical boss with two stabilizing fins to which the Intramedullary Stems and the eventual Offset Module are connected.
The lower face of the plate has 4 holes for the assembly of Tibial **Wedges** (FULL and HALF) that allow for compensation of eventual bone defects. The joint insert snaps into place by engaging in the niches present in the rear part of the plate.
[](https://www.permedica.it/wp-content/uploads/2020/02/RK_Augments-Tibiali-def-600x600.png "RK_Augments Tibiali def")
Tibial Wedges
To be fixed to the Tibial baseplate using special screws to compensate for bone defects. Available in FULL and HALF
versions with thicknesses of 5, 10 and 15mm.
[](https://www.permedica.it/wp-content/uploads/2020/02/Fittone-RK-def2-800x800.png "Fittone RK def2")
Diaphyseal Stems
Usable on both the femoral and tibial components.
Available in different lengths and diameters in cemented and cementless pressfit versions.
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_def2-800x800.jpg "Coni-traser_def2")
TRASER Revision Cones
Femoral and Tibial Cones are UNIVERSAL devices to be used in knee prosthesis revision surgeries in the presence of severe bone defects in order to provide reinforcement/support to the bone structure thus allowing the positioning of cemented prosthetic components inside them.
****
**MATERIALS**
PS/RK FEMUR: Cobalt Chromium Molybdenum alloy – ISO5832/4.
RK TIBIA / OFFSET Module / WEDGES / Intramedullary Stems: Titanium Aluminium Vanadium alloy – ISO5832/3.
TRASER CONES: Titanium Aluminium Vanadium alloy – ASTM F 2924.
INSERTS / PATELLA: UHMWPE without Calcium Stearate – ISO5834/1/2, also available in VITAL-E Version (UHMWPE added with
AlphaTocopherol Vitamin E) – ISO5834/1.
[Knee Products ](https://www.permedica.it/en/medical-professionals/knee/)
**Categorie:** Ginocchio
---
### [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Verticale-GKS-RK-2-200x300.jpg "Verticale – GKS RK")
**Product range:** 8 taglie femorali, 10 taglie tibiali
Il sistema **GKS PRIME FLEX RK** di Permedica è stato progettato specificamente per il trattamento dei casi di revisione delle protesi di ginocchio. La modularità e intercompatibilità delle componenti permette diverse configurazioni di impianto, offrendo al chirurgo la possibilità di scelta della soluzione più adeguata alla complessità del caso da affrontare.
[](https://www.permedica.it/wp-content/uploads/2020/02/Femore-RK.png "Femore RK")
[](https://www.permedica.it/wp-content/uploads/2020/02/Modulo-Offset-RK-def-600x600.png "Modulo Offset RK def")
Femore RK
Realizzato in lega di cobalto-cromo, è disponibile nelle versioni **MICROLOY®** e **VITAL-B®** con superficie di finitura ultradura.
Dispone di un BOX intercondilico a fondo aperto con boss per la connessione di Fittoni Endomidollari e Modulo Offset. Particolare attenzione è stata posta nella progettazione del meccanismo di stabilizzazione posteriore, al fine di consentire un contatto “morbido” e ridurre le sollecitazioni tra il post dell’inserto articolare e la camma della componente femorale.
Modulo Offset
Utilizzabile sia sul componente femorale che su quello tibiale per permetterne il posizionamento decentrato rispetto all’asse diafisario. Disponibili con offset di 3 o 5 mm.
[](https://www.permedica.it/wp-content/uploads/2020/02/Dettaglio-Wedges-RK.png "Dettaglio Wedges RK")
Wedges Femorali
Applicabili ai condili femorali mediante apposite viti per compensare a difetti ossei. Disponibili per i condili distali (4, 8 e 12mm) e posteriori (5 e 10mm) per le varie taglie di femore.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-SS-def-800x800.png "Inserto SS def")
Inserti Articolari
Realizzati con polietilene ad altissimo peso molecolare (UHMWPE) sono disponibili anche nella versione **VITAL-E** (polietilene addizionato con vitamina E antiossidante).
Versione **PS** (Postero-Stabilizzata) e **SS** (Super-Stabilizzata) con perno di dimensioni maggiori per limitare il “tilt” in varo-valgo e la rotazione assiale, migliorando così la stabilità una volta inserito nella scatola intercondilica femorale.
Il sistema è progettato per consentire un ampio accoppiamento femore/tibia garantendo per ogni taglia femorale l’accoppiamento con 6 taglie tibiali.
[](https://www.permedica.it/wp-content/uploads/2020/02/Tibia-RKWedge-def-600x600.png "Tibia RK+Wedge def")
Tibia RK
La componente tibiale **RK** è realizzata in lega di titanio ed è caratterizzata da un piatto simmetrico con una chiglia costituita da un canotto cilindrico con due alette stabilizzatrici al quale si connettono i Fittoni Endomidollari e eventuale Modulo Offset.
La facciata inferiore del piatto presenta 4 fori per l’assemblaggio di **Wedges** Tibiali (totali e parziali) che permettono di compensare eventuali perdite di sostanza. L’inserto articolare si innesta a scatto mediante ingaggio nelle nicchie presenti nella parte posteriore del piatto.
[](https://www.permedica.it/wp-content/uploads/2020/02/RK_Augments-Tibiali-def-600x600.png "RK_Augments Tibiali def")
Wedges Tibiali
Applicabili al baseplate Tibiale mediante apposite viti per compensare a difetti ossei. Disponibili in versione FULL e HALF con spessori di 5, 10 e 15mm.
[](https://www.permedica.it/wp-content/uploads/2020/02/Fittone-RK-def2-800x800.png "Fittone RK def2")
Fittoni Diafisari
Utilizzabili sia sul componente femorale che su quello tibiale.
Disponibili in diverse lunghezze e diametri in versione cementata e pressfit.
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_def2-800x800.jpg "Coni-traser_def2")
Coni da Revisione TRASER
I coni femorali e tibiali sono dispositivi UNIVERSALI da utilizzare negli interventi di revisione di ginocchio in presenza di gravi difetti ossei, al fine di fornire un rinforzo/supporto alla struttura ossea, consentendo il posizionamento di componenti protesici cementati al loro interno.
****
**MATERIALI**
FEMORE RK: lega di Cobalto Cromo Molibdeno – ISO5832/4.
TIBIA RK / MODULO OFFSET / WEDGES Tibiali e Femorali / Fittoni endomidollari: Lega di titanio alluminio vanadio – ISO5832/3.
CONI TRASER: Lega di Titanio Alluminio Vanadio – ASTM F 2924.
INSERTI / ROTULA: UHMWPE senza stearato di calcio – ISO5834/1/2; anche in versione VITAL-E (UHMWPE addizionato con vitamina E) – ISO5834/.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/prime_flex_traser-DEFF.jpg "prime_flex_traser DEFF")
**Gama de productos:** 10 tamaños de fémur, 10 tamaños de tibia, 2 versiones (CR/AS) y 5 grosores de inserto\*.
**GKS PRIME Flex TRASER** es una prótesis de rodilla sin cemento totalmente revolucionaria. Los **componentes femoral y tibial** se fabrican mediante un **proceso de impresión 3D** (fabricación aditiva), que permite producir objetos sólidos a partir de modelos digitales 3D-CAD aplicando la materia prima (polvo de Ti6Al4V) en capas sucesivas. El tamaño y la forma geométrica aleatorios de la **superficie trabecular porosa en contacto con el hueso** proporcionan una estructura óptima para el **recrecimiento óseo**, favoreciendo **la estabilización biológica secundaria** del implante. GKS PRIME Flex TRASER es una **solución hipoalergénica** gracias al uso exclusivo de la aleación de titanio, que además presenta un **peso reducido de los componentes** TRASER.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-TRASER-immagine-2.png "GKS Prime Flex TRASER immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/componente-femorale-traser-profili-def.jpg "componente femorale traser profili def")
Componente femoral **TRASER**
El componente femoral **TRASER® está totalmente impreso en 3D, es** de aleación de Titanio y compatible con las versiones de placa móvil y placa fija del sistema GKS PRIME FLEX.
Su diseño se ha estudiado para optimizar el rendimiento de la prótesis durante la flexión: el mayor grosor de los cóndilos posteriores y el radio de curvatura permiten una gran superficie de contacto incluso a altos grados de flexión. La elevada dureza que confiere el recubrimiento **VITAL-B®** mejora las propiedades tribológicas de la superficie articular al reducir el coeficiente de desgaste del cojinete de polietileno.
Cóndilos traseros de grosor optimizado
Perfil troclear estrecho y alargado
Extremos redondeados
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
Inserto de articulación CR y AS
El inserto articular está disponible en 5 tamaños (cada uno compatible con 2 tamaños de tibia) y 5 grosores\*. Se refiere al componente tibial e incluye dos tipos:
La versión **CR** está diseñada para garantizar un rendimiento óptimo cuando se conservan las funciones del LCP.
La opción **AS** (Anteroestabilizado) tiene una forma anatómica con un labio anterior elevado medialmente que limita el deslizamiento anterior del fémur si la función del LCP se ve comprometida.
Un **código de colores** facilita el ajuste correcto entre la meseta tibial y el inserto.
\*Algunos grosores pueden ser bajo pedido.
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser-1.jpg "tibia traser 1")
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser.jpg "tibia traser")
Componente tibial **TRASER**
El componente tibial **TRASER® está totalmente impreso en 3D,** fabricado en aleación de Titanio y caracterizado por **una meseta de forma anatómica** que tiene un cuerpo central cilíndrico con una pestaña antirrotacional (excepto en los 4 primeros tamaños) y 4 pernos de anclaje.
La raíz distal pulida puede sustituirse por análogos con superficie trabecular. Está disponible en 10 tamaños, divididos en 5 pares, cada uno de los cuales admite un tamaño de inserto, y también es compatible con los insertos GKS PRIME FLEX PS.
****
**MATERIALES**
Componentes femoral y tibial de aleación de titanio-aluminio-vanadio ISO5832/3. Inserto articular de UHMWPE ISO5834/1/2 también disponible en versión VITAL-E® (polietileno con antioxidante añadido Vitamina E).
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/prime_flex_traser-DEFF.jpg "prime_flex_traser DEFF")
**Produktpalette:** 10 Femurgrößen; 10 Tibiagrößen,
2 Versionen (CR/AS) und 5 Inlay Höhen\*
**GKS PRIME Flex TRASER** ist eine revolutionäre zementfreie Knieprothese.
**Sowohl die femorale als auch die tibiale Komponente werden im 3D-Druckverfahren (additive Fertigung) hergestellt,** bei dem das Rohmaterial (Ti6Al4V-Pulver) durch schichtweises Auftragen von 3D-CAD-Digitalmodellen zu festen Objekten verarbeitet wird. Rohmaterial (Ti6Al4V-Pulver) Schicht für Schicht bis zur Fertigstellung.
Die zufällige Größe und geometrische Form der trabekulären porösen Oberfläche in Kontakt mit dem Knochen bietet eine optimale Struktur für das **Einwachsen von Knochen** und die sekundäre biologische Fixierung des Implantats.
GKS PRIME Flex TRASER stellt eine **hypoallergene** Lösung dar, da nur Titanpulver verwendet wird. Außerdem sind die TRASER-Komponenten **sehr leicht.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-TRASER-immagine-2.png "GKS Prime Flex TRASER immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/componente-femorale-traser-profili-def.jpg "componente femorale traser profili def")
**TRASER** femorale Komponente
Die **TRASER® Femurkomponente ist vollständig 3D-gedruckt,** bestehend aus einer Titanlegierung und ist sowohl mit den den mobilen und fix Inlayoptionen der GKS PRIME FLEX-Reihe kompatibel.
Aufgrund von Nachuntersuchungen verschiedener Studien wurde dieses Design gewählt, um die Leistung der Prothese bei der Beugung zu optimieren: die erhöhte Dicke der posterioren Kondylen und der Krümmungsradius ermöglichen eine große Kontaktfläche auch bei hohen Beugungsgraden.
Der hohe Härtegrad der **VITAL-B®** verbessert die tribologischen Eigenschaften der Verbindungsoberfläche indem sie den Verschleißkoeffizienten der Verbindung mit Polyethylen reduziert.
Optimierte posteriore Kondylendicke
Schmales und längliches Trochlearprofil
Abgerundete Kanten
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
CR und AS Inlays
Das Inlay ist in 5 Größen (jede Größe passt zu 2 Tibiagrößen) und in 5 Höhen\* für jede Größe erhältlich. Sie bezieht sich auf die Tibiakomponente und ist in zwei Ausführungen erhältlich:
Die Option **CR** soll eine optimale Funktion gewährleisten, wenn die PCL-Funktionen erhalten sind.
Die **AS** (Anterior Stabilized) ist anatomisch geformt und hat eine hohe mediale anteriore Lippe, die eine posteriore Luxation der Tibia verhindert, wenn die PCL-Funktionen beeinträchtigt sind.
Ein **Farbcode** erleichtert die korrekte Kopplung zwischen Tibiaplatte und Einsatz.
\* Einige Höhen sind auf Anfrage möglich.
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser-1.jpg "tibia traser 1")
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser.jpg "tibia traser")
**TRASER** tibia Komponente
Die **TRASER® Tibiakomponente ist vollständig 3D-gedruckt,** aus einer Titanlegierung gefertigt und zeichnet sich durch **eine anatomisch geformte** Grundplatte aus, die einen zylindrischen Zentralkörper mit Anti-Rotationsflansch (mit Ausnahme der ersten 4 Größen) und 4 Verankerungsstifte aufweist.
Der polierte distale Schaft kann durch eine Version mit einer trabekulären Oberfläche ersetzt werden.
Die Tibia Komponente ist in 10 Größen erhältlich, welche in 5 Paare unterteilt sind, wobei jedes Paar für eine Größe des Inlays und zusätzlich mit den GKS PRIME FLEX PS System Inlays kompatibel ist.
****
**MATERIALIEN**
Femur- und Tibiakomponenten: Titan-Aluminium-Vanadium-Legierung ISO5832/3.
Inlays: UHMWPE ISO5834/1/2, auch in der Version VITAL-E® (UHMWPE mit Zusatz von antioxidativem Vitamin E).
[Knie Produkte](https://www.permedica.it/de/medizinische-fachkraefte/knie/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/prime_flex_traser-DEFF.jpg "prime_flex_traser DEFF")
**Gamme de produits:** 10 tailles fémorales ; 10 tailles tibiales,
2 versions (CR/AS) et 5 épaisseurs\* d’inserts
**GKS PRIME Flex TRASER** est une prothèse de genou sans ciment révolutionnaire.
**Les composants fémoraux et tibiaux sont créés par impression 3D** (fabrication additive) qui permet d’obtenir des objets solides à partir de modèles numériques 3D-CAD en ajoutant la matière première (poudre Ti6Al4V) couche sur couche jusqu’à achèvement.
La taille aléatoire et la forme géométrique de la surface poreuse trabéculaire en contact avec l’os offre une structure optimale pour **la croissance osseuse et la fixation biologique secondaire** de l’implant.
GKS PRIME Flex TRASER représente une solution **hypoallergénique** grâce à l’utilisation de poudre de titane uniquement. De plus, les composants TRASER sont **ultra-légers.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-TRASER-immagine-2.png "GKS Prime Flex TRASER immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/componente-femorale-traser-profili-def.jpg "componente femorale traser profili def")
Composant fémoral **TRASER**
Le composant fémoral **TRASER® est entièrement imprimé en 3D,** en alliage de titane et il est compatible avec les options de surfaces articulaires mobiles et fixes du GKS PRIME Gamme FLEX.
Sa conception a été étudiée pour optimiser la performance de la prothèse en flexion : l’augmentation de l’épaisseur des condyles postérieurs et le rayon de La courbure permet une grande surface de contact même à des degrés de flexion élevés.
La grande dureté conférée par le revêtement **VITAL-B®** améliore les propriétés tribologiques de la surface articulaire en réduisant le coefficient d’usure de l’insert en polyéthylène.
Épaisseur optimisée des condyles postérieurs
Profil trochléaire étroit et allongé
Des bords arrondis
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
Inserts articulaires CR et AS
L’insert articulaire est disponible en 5 tailles (chaque taille correspondant à 2 tailles de Tibia) et en 5 épaisseurs\* pour chaque taille. Il fait référence au composant tibial et se décline en deux types:
L’option **CR** est conçue pour assurer un comportement optimal lorsque les fonctions PCL sont préservées.
L’option **AS** (stabilisation antérieure) est de forme anatomique avec une lèvre antérieure médiale haute qui inhibe le glissement postérieur du tibia lorsque les fonctions PCL sont compromises.
Un **code couleur** facilite le couplage correct entre le plateau tibial et l’insert.
\* Certaines épaisseurs peuvent être demandées.
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser-1.jpg "tibia traser 1")
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser.jpg "tibia traser")
Composant tibial **TRASER**
Le composant tibial **TRASER® est entièrement imprimé en 3D,** fabriqué en alliage de Titane et caractérisé par **une embase de forme anatomique** qui possède un corps central cylindrique avec collerette anti-rotation (à l’exception des 4 premières tailles) et 4 plots d’ancrage.
La tige distale polie peut être remplacée par une version présentant une surface trabéculaire.
Il est disponible en 10 tailles réparties en 5 couples, chacun acceptant une taille d’insert et compatible également avec les Inserts du système GKS PRIME FLEX PS.
****
**MATÉRIAUX**
Composants fémoraux et tibiaux: Alliage titane aluminium vanadium ISO5832/3.
Insert articulaire : UHMWPE ISO5834/1/2 disponible également en version VITAL-E® (UHMWPE additionné de Vitamine E antioxydante).
[Produits pour le Genou](https://www.permedica.it/fr/professionnels-medicaux/genou/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/prime_flex_traser-DEFF.jpg "prime_flex_traser DEFF")
**Product range:** 10 taglie femorali, 10 taglie tibiali,
2 versioni (CR/AS) e 5 spessori\* d’inserto
**GKS PRIME Flex TRASER** è una protesi di ginocchio non cementata, completamente rivoluzionaria.
Le **componenti femorale e tibiale** sono realizzate mediante **processo di stampa 3D** (additive manufacturing) che permette di ottenere oggetti solidi partendo da modelli digitali 3D-CAD mediante apposizione della materia prima (polvere di Ti6Al4V) in strati successivi.
Dimensione e forma geometrica randomizzata della **superficie trabecolare porosa a contatto con l’osso** forniscono una struttura ottimale per la **ricrescita ossea**, promuovendo la **stabilizzazione secondaria di tipo biologico** dell’impianto.
GKS PRIME Flex TRASER è una **soluzione ipoallergenica** grazie all’impiego della sola lega di titanio, che presenta inoltre un **peso ridotto delle componenti** realizzate in TRASER.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-TRASER-immagine-2.png "GKS Prime Flex TRASER immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/componente-femorale-traser-profili-def.jpg "componente femorale traser profili def")
Componente femorale **TRASER**
Il componente femorale **TRASER® è interamente stampato in 3D,** realizzato in lega di Titanio e compatibile con le versioni a piatto mobile e a piatto fisso del sistema GKS PRIME FLEX.
Il suo design è stato studiato per ottimizzare le prestazioni della protesi durante la flessione: lo spessore maggiorato dei condili posteriori e il raggio di curvatura permettono un’ampia area di contatto anche ad elevati gradi di flessione.
L’elevata durezza conferita dal rivestimento **VITAL-B®** migliora le proprietà tribologiche della superficie articolare riducendo il coefficiente di usura dell’accoppiamento con polietilene.
Condili posteriori con spessore ottimizzato
Profilo trocleare stretto e allungato
Estremità arrotondate
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
lnserto articolare CR e AS
L’ inserto articolare è disponibile in 5 taglie (ognuna compatibile con 2 taglie di Tibia) e 5 spessori\*. Fa riferimento al componente tibiale e prevede due tipologie:
La versione **CR** è disegnata per assicurare prestazioni ottimali quando le funzioni del LCP vengono preservate.
L’ opzione **AS** (Antero Stabilizzata) presenta una forma anatomica con un labbro anteriore elevato medialmente che limita lo scivolamento anteriore del femore qualora le funzioni del LCP siano compromesse.
Un **codice colore** agevola il corretto accoppiamento tra Piatto Tibiale e Inserto.
\*Alcuni spessori potrebbero essere su richiesta.
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser-1.jpg "tibia traser 1")
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser.jpg "tibia traser")
Componente tibiale **TRASER**
La componente tibiale **TRASER® è interamente stampata in 3D,** realizzata in lega di Titanio e caratterizzata da **un piatto a conformazione anatomica** che dispone di un corpo centrale cilindrico con flangia antirotazionale (con eccezione delle prime 4 taglie) e 4 perni di ancoraggio.
Il fittoncino distale lucido può essere sostituito con analoghi a superficie trabecolare.
È disponibile in 10 taglie, suddivise in 5 coppie ognuna delle quali accetta una taglia di inserto ed è compatibile anche con gli inserti GKS PRIME FLEX PS.
****
**MATERIALI**
Componenti femorale e tibiale in lega di Titanio Alluminio Vanadio ISO5832/3.
Inserto articolare in UHMWPE ISO5834/1/2 disponibile anche in versione VITAL-E® (polietilene addizionato con Vitamina E antiossidante).
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/prime_flex_traser-DEFF.jpg "prime_flex_traser DEFF")
**Product range:** 10 femoral sizes; 10 tibial sizes,
2 versions (CR/AS) and 5 insert thicknesses\*
**GKS PRIME Flex TRASER** is a revolutionary cementless knee prosthesis.
**Both femoral and tibial components are created by 3D printing** (additive manufacturing) which allows to obtain solid objects from 3D-CAD digital models by adding the raw material (Ti6Al4V powder) layer over layer up to completion.
The randomized size and geometrical shape of the **trabecular porous surface in contact with the bone** provides an optimal structure for **bone in-growth** and **secondary biological fixation of the implant.**
GKS PRIME Flex TRASER represents a **hypoallergenic solution** due to use of titanium powder only. Moreover, TRASER components are **super-lightweight.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-TRASER-immagine-2.png "GKS Prime Flex TRASER immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/componente-femorale-traser-profili-def.jpg "componente femorale traser profili def")
**TRASER** femoral component
The **TRASER® femoral component is entirely 3D printed,** made of Titanium alloy and it is compatible with both the mobile and fixed bearing options of the GKS PRIME FLEX range.
Its design has been studied to optimize the prosthesis performance during flexion: the increased thickness of the posterior condyles and the radius of curvature allow a large contact area even at high degrees of flexion.
The high hardness conferred by the **VITAL-B®** coating improves the tribological properties of the joint surface by reducing the wear coefficient of the coupling with polyethylene.
Optimized posterior condyles thickness
Narrow and elongated trochlear profile
Rounded edges
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
CR and AS articular inserts
The articular insert is available in 5 sizes (each size matching with 2 sizes of Tibia) and in 5 thicknesses\* for each size. It refers to the tibial component and comes in two types:
The **CR** option is designed to ensure optimal behaviour when the PCL functions are preserved.
The **AS** (Anterior Stabilized) option is anatomically shaped with a high medial anterior lip that inhibits posterior slipping of the tibia when the PCL functions are compromised.
A **colour code** facilitates the correct coupling between tibial plate and insert.
\* Some thicknesses may be on request.
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser-1.jpg "tibia traser 1")
[](https://www.permedica.it/wp-content/uploads/2020/02/tibia-traser.jpg "tibia traser")
**TRASER** tibial component
The **TRASER® tibial component is entirely 3D printed,** manufactured in Titanium alloy and characterized by an **anatomically shaped baseplate** which has a cylindrical central body with anti-rotation flange (with the exception of the first 4 sizes) and 4 anchoring pegs.
The polished distal stem can be replaced with a version presenting a trabecular surface.
It is available in 10 sizes divided in 5 couples, each one accepting one size of joint liner and compatible also with GKS PRIME FLEX PS System inserts.
****
**MATERIALS**
Femoral and tibial components: Titanium Aluminium Vanadium alloy ISO5832/3.
Articular insert: UHMWPE ISO5834/1/2 available also in VITAL-E® version (UHMWPE added with antioxidizing Vitamin E).
[Knee Products ](https://www.permedica.it/en/medical-professionals/knee/)
**Categorie:** Ginocchio
---
### [ACORN](https://www.permedica.it/acorn/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Die Sicherheit
Doppelte Mobilität
Stabilität
Beweglichkeit
**Produktauswahl:** 14 Grössen;
press-fit oder zementiert (Durchmesser 38-64mm)
**ACORN** ist eine Hüftgelenkpfanne mit **Double Mobility** für Primärfälle, die sowohl als Press-fit (zementfrei) als auch als zementierte Version erhältlich ist.
Das Konzept der Double Mobility beinhaltet die Verwendung einer Metallhülle, in der ein mobiles Inlay mit einem perfekt kompatiblen Durchmesser artikuliert ist, wobei auch der Femurkugelkopf artikuliert. Diese Art von Implantat wurde erstmals in den 70er Jahren von Prof. Bousquet eingeführt und hat im klinischen Einsatz selbst in den kritischsten Fällen eine hohe Gelenkstabilität gezeigt.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-HaX-Pore_profilo.png "ACORN HaX-Pore_profilo")
Hohe Primärstabilität
Die Pfanne hat eine halbkugelförmige Geometrie mit polarer Deflektion und radialen Umfangsnuten, um einen optimalen Press-fit im äquatorialen Bereich zu gewährleisten.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-DUO_scritta-HAXPORE.jpg "Acorn DUO_HAXPORE")
Oberflachenbeschichtung
Die ACORN-Pfanne ist in zementfreier Ausführung mit **HaX-Pore®**-Doppelplasmaspritzbeschichtung (500 μm Titan + 40 μm Hydroxylapatit) und in zementierter Ausführung (korundsandgestrahlte matte Oberfläche) erhältlich. Beide sind auch mit einer antiallergischen BIOLOY® TiNbN-Beschichtung erhältlich.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN_4-1-300x266.jpg "ACORN_4")
Double Mobility Inlays
Doublel Mobility-Einsätze mit einem Innendurchmesser von 22 und 28 mm sind für eine perfekte Kopplung mit der Innenfläche jeder Pfannengröße ausgelegt und bieten höchste Gelenkstabilität.
Sie bestehen aus UHWMPE (GUR1020) ohne Calciumstearat und sind auch mit Vitamin E (**VITAL-E®**) erhältlich.
****
**MATERIALIEN**
ACORN-Pfannen bestehen aus einer hochstickstoffhaltigen Edelstahllegierung PM734 – ISO5832/9. Die Inlays bestehen aus UHMWPE ohne Calciumstearat – ISO5834/1/2, auch mit Vitamin E erhältlich (VITAL-E®).
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [ACORN](https://www.permedica.it/acorn/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## La sécurité d’abord
Cupule à double mobilité
Stabilité
Amplitude de mouvement
**Gamme de produits:** 14 tailles press-fit et cimenté (Ø 38-64mm)
**ACORN** est une cupule acétabulaire à **double mobilité** pour les cas primaires, disponible en version press-fit (sans ciment) et cimentée.
Le concept de double mobilité implique l’utilisation d’une coque (cupule) en métal dans laquelle est articulé un insert mobile, d’un diamètre parfaitement compatible, où s’articule également la tête femorale. Introduit pour la première fois dans les années 70 par le Professeur Bousquet, ce type d’implant a démontré, en utilisation clinique, une stabilité articulaire élevée, même dans les cas les plus critiques.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-HaX-Pore_profilo.png "ACORN HaX-Pore_profilo")
Bonne stabilité primaire
La cupule a une géométrie hémisphérique avec déviation polaire et rainures radiales circonférentielles afin de garantir un ajustement serré optimal dans la région équatoriale.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-DUO_scritta-HAXPORE.jpg "Acorn DUO_HAXPORE")
Revêtement de surface
La version sans ciment ACORN présente un double revêtement plasma **HaX-Pore®**(500μm Titane + 40μm Hydroxyapatite) afin d’obtenir une bonne fixation primaire et favoriser la colonisation des ostéoblastes.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN_4-1-300x266.jpg "ACORN_4")
Inserts à double mobilité
Les inserts à double mobilité, disponibles avec un diamètre intérieur de 22 et 28 mm, sont conçus pour un couplage parfait avec la surface intérieure de toutes les tailles de cupule , offrant la plus grande stabilité articulaire.
Ils sont fabriqués en UHWMPE (GUR1020) sans stéarate de calcium, également disponibles avec de la vitamine E (**VITAL-E®**).
****
**MATÉRIAUX**
Les cupules ACORN sont fabriquées en alliage d’acier inoxydable PM734 hautement azoté – ISO5832 / 9. Les inserts mobiles sont en UHMWPE sans stéarate de calcium – ISO5834/1/2 également disponible avec de la vitamine E (VITAL-E®).
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [ACORN](https://www.permedica.it/acorn/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## La seguridad ante todo
Vaso de doble movilidad Estabilidad Amplitud de movimiento
**Gama de productos:** 14 tamaños encajados a presión y cementados (Ø 38-64 mm)
**ACORN** es un cotilo acetabular **de doble movilidad** para operaciones primarias, disponible en versión press-fit (sin cemento) y cementada. El concepto de doble movilidad implica el uso de un cotilo metálico en cuyo interior un inserto móvil de diámetro perfectamente compatible articula la cabeza del vástago femoral. Introducido en los años 70 por el Prof. Bousquet, este tipo de implante ha demostrado en uso clínico una gran estabilidad articular, incluso en los casos más críticos.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-HaX-Pore_profilo.png "ACORN HaX-Pore_profilo")
Gran estabilidad primaria
El cotilo tiene una geometría semiesférica con aplanamiento polar y una ranura circunferencial y radial que garantiza un ajuste a presión óptimo en la zona ecuatorial.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-DUO_scritta-HAXPORE.jpg "Acorn DUO_HAXPORE")
Revestimiento poroso
En la versión sin cemento, la superficie de contacto con el hueso tiene un revestimiento **HaX-Pore®** de Titanio poroso e Hidroxiapatita (500 ± 50 µm de Ti y 40 ± 10 µm de HA) aplicado con una técnica de pulverización de plasma para lograr una buena estabilización primaria y favorecer la colonización de los osteoblastos.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN_4-1-300x266.jpg "ACORN_4")
Insertos de doble movilidad
Los insertos articulares, disponibles con un diámetro interior de 22 mm y 28 mm, están diseñados para un acoplamiento perfecto con el interior de cada tamaño de copa, proporcionando la máxima estabilidad articular. Están fabricados con polietileno de alto peso molecular de última generación (GUR1020) sin estearato de calcio, también en versión con vitamina E antioxidante **VITAL-E®**.
****
**MATERIALES**
Los vasos ACORN son de aleación de acero forjado PM734 de alto contenido en nitrógeno – lSO5832/9. Los insertos de las juntas son de polietileno de peso molecular ultraalto sin estearato de calcio – ISO5834/1/2 también en versión con el antioxidante **VITAL-E**® Vitamina E (Alfa-Tocoferol).
[Productos Anca](https://www.permedica.it/es/profesionales-medicos/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [ACORN](https://www.permedica.it/acorn/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## La sicurezza prima di tutto
Cotile a doppia mobilità
Stabilità
Range of Motion
**Product range:** 14 taglie
press-fit e cementate (Ø 38-64mm)
**ACORN** è una coppa acetabolare a **doppia mobilità** per interventi primari disponibile in versione press-fit (senza cemento) e cementata.
Il concetto della doppia mobilità prevede l’utilizzo di una coppa metallica all’interno della quale si articola un inserto mobile, di diametro perfettamente compatibile, ove a sua volta si articola la testina dello stelo femorale.
Introdotto negli anni ’70 dal Prof. Bousquet, questo tipo di impianto ha dimostrato nell’utilizzo clinico doti di elevata stabilità articolare anche nei casi più critici.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-HaX-Pore_profilo.png "ACORN HaX-Pore_profilo")
Elevata stabilità primaria
Il cotile presenta geometria emisferica con schiacciamento polare e una solcatura circonferenziale e radiale che garantisce un press-fit ottimale nella zona equatoriale.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-DUO_scritta-HAXPORE.jpg "Acorn DUO_HAXPORE")
Rivestimento poroso
Nella versione senza cemento la superficie di contatto con l’osso presenta un rivestimento **HaX-Pore®** in Titanio poroso e Idrossiapatite (500 ± 50 µm Ti e
40 ± 10 µm HA) applicato con tecnica plasma-spray per ottenere una buona stabilizzazione primaria e favorire la colonizzazione degli osteoblasti.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN_4-1-300x266.jpg "ACORN_4")
Inserti Doppia Mobilità
Gli inserti articolari, disponibili con diametro interno 22mm e 28mm, sono disegnati per il perfetto accoppiamento con l’interno di ogni singola taglia di cotile, conferendo la massima stabilità articolare.
Sono realizzati con polietilene ad elevato peso molecolare di ultima generazione (GUR1020) privo di stearato di calcio, anche in versione addizionata con Vitamina E antiossidante **VITAL-E®.**
****
**MATERIALI**
I cotili ACORN sono realizzati in lega forgiata PM734 di acciaio ad alto contenuto di azoto – lSO5832/9.
Gli inserti articolari sono realizzati in Polietilene ad altissimo peso molecolare senza stearato di calcio – ISO5834/1/2 anche in versione addizionata con Vitamina E (Alfa-Tocoferolo) antiossidante VITAL-E®.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [ACORN](https://www.permedica.it/acorn/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Safety first
Double mobility cup
Stability
Range of Motion
**Product range:** 14 sizes
press-fit and cemented (Ø 38-64mm)
**ACORN** is a **Dual Mobility** acetabular cup for primary cases, available both in press-fit (cementless) and cemented version.
The concept of dual mobility involves the use of a metal shell within which articulates a mobile insert, of a diameter perfectly compatible, where the femaral ball head articulates as well.
First introduced in the ‘70s by Prof. Bousquet, this type of implant has demonstrated in clinical use high joint stability even in the most critical cases.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-HaX-Pore_profilo.png "ACORN HaX-Pore_profilo")
High primary stability
The cup has an hemispherical geometry with polar deflection and circumferential radial grooves to guarantee optimal press-fit in the equatorial region.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-DUO_scritta-HAXPORE.jpg "Acorn DUO_HAXPORE")
Porous Coating
The ACORN cementless version presents a **HaX-Pore®** double plasma-sprayed coating (500μm Titanium + 40μm Hydroxyapatite) in order to obtain a good primary fixation and promote osteoblast colonization.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN_4-1-300x266.jpg "ACORN_4")
Dual Mobility inserts
Dual Mobility inserts, available with 22 and 28mm inner diameter, are designed for a perfect coupling with the inner surface of every cup sizes, providing the highest articular stability.
They are made of UHWMPE (GUR1020) without calcium stearate, available also with Vitamin E **VITAL-E®**.
****
**MATERIALS**
ACORN cups are made of PM734 highly nitrogenized stainless steel alloy – ISO5832/9.
The articular inserts are made of UHMWPE without calcium stearate – ISO5834/1/2 also available with Vitamin E
(VITAL-E®)
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Cotili, Anca
---
### [Universal Cup Removal System](https://www.permedica.it/universal-cup-removal-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/def-immagine-cup.jpg "def immagine cup")
Compatibile sia con cotili cementati che non cementati.
Efficace grazie all’utilizzo di lame modulari iniziatrici e rifinitrici.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [SL - AUTOBLOQUEO](https://www.permedica.it/sl/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Barra recta con geometría cónica
Ahorro óseo Versión High offset Versión press-fit con revestimiento de titanio poroso
**Gama de productos:** 10 tamaños (estándar y laterales) press-fit y cementados
El vástago femoral **SL X-Pore** es un vástago recto, para aplicación sin cemento, que deriva del concepto del vástago cementado **SELF-LOCKING**. El diseño de sección fina facilita la inserción de la prótesis en el canal medular femoral y garantiza un apoyo estable en las corticales medial y lateral.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-1_nuova-3.jpg "Stem angle_SelfLocking_Duo")
Estándar y lateral
Existen dos opciones con diferentes desplazamientos para reproducir exactamente la biomecánica de la cadera.
La versión lateralizada, con el mismo ángulo CCD, aumenta el Offset en 6 mm en tamaños hasta 13,75 (incluido); en tamaños de 15 a 20, el Offset lateral es de 7 mm.
Recubrimiento **X-Pore** Los vástagos**SL X-Pore** están recubiertos en la zona metafisaria con 500 µm de titanio puro aplicado mediante la técnica de pulverización de plasma para conseguir una buena estabilización primaria.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-2_nuova.jpg "SelfLocking_Offset_6mm")
Versión cementada
En el tallo **AUTOBLOQUEO** las superficies anterior y posterior presentan estrías longitudinales que favorecen el anclaje del cemento tanto en la zona metafisaria como en la diafisaria, lo que confiere al implante una excelente estabilidad primaria.
[](https://www.permedica.it/wp-content/uploads/2020/01/Dettaglio_Sede-x-introduttore-scaled.jpg "Dettaglio_Sede per introduttore")
Cono 12/14
Asiento para introductor
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-nuova_2025-_apice-4-scaled.jpg "Stem detail_SelfLocking_Duo")
Bisel del ápice distal
La conicidad distal evita la concentración de tensiones en la zona diafisaria.
****
**MATERIALES**
El tallo **SL X-Pore** es de aleación forjada de titanio-aluminio-vanadio conforme a la norma ISO5832/3. El vástago **AUTOBLOCANTE** está hecho de una aleación de acero inoxidable con alto contenido en nitrógeno conforme a la norma ISO5832/9.
****
**INSTRUMENTAL**
SL X-Pore / Vástagos AUTOBLOCANTES **comparten el mismo equipo**. Questo, oltre a permettere la scelta intraoperatoria tra la versione con e senza cemento, riduce gli ingombri dello strumentario.
I manici porta-raspe del sistema SL X-Pore / AUTOBLOCCANTE sono provvisti di un aggancio semplice e sicuro e sono disponibili in diversi design a seconda dell’accesso chirurgico utilizzato (postero-laterale, laterale, anteriore).
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [SL - SelfLocking](https://www.permedica.it/sl/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Gradschaft mit
konischer Geometrie
Knochensparend
Variante mit grossem Offset
Variante press-fit mit
Beschichtung mit porösem Titanium
**Produktauswahl:** 10 Grössen (Standard- und lateralisierte Variante)
press-fit oder zementiert
Der **SL X-Pore** Schaft für die zementfreie Anwendung ist eine Weiterentwicklung, basierend auf dem Konzept des **SelfLocking** Schaftes.
Die schmale Formgebung ermöglich die Prothesenverankerung im Markraumkanal und gewährleistet eine stabile Verankerung am medialen und lateralen Kortex.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-1_nuova-3.jpg "Stem angle_SelfLocking_Duo")
Standard und Lateral
Es existieren zwei Optionen mit verschiedenen Offsets um die Biomechanik der Hüfte abzubilden.
Die lateralisierte Version mit den gleichen CCD Winkeln, erhöht den Offset um 6 mm in den Größen bis einschließlich 13,75; in den Größen 15-20 beträgt der seitliche Offset 7 mm.
**X-Pore** Beschichtung
Die **SL X-Pore** Schäfte sind in der metaphysären Region mit 500 Mikrometer mittels Plasma-Spray-Verfahren aufgebrachtem Titan beschicktet, um damit eine gute Primärstabilität zu ermöglichen.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-2_nuova.jpg "SelfLocking_Offset_6mm")
Zementierte Version
Auf dem **SelfLocking** Schaft befinden sich anterior und posterior längsverlaufende Rippen, die unterstützen, dass sich der Zement im metaphysären und diaphysären Bereich verankern kann, so dass das Implantat eine ausgezeichnete Primärstabilität erhält.
[](https://www.permedica.it/wp-content/uploads/2020/01/Dettaglio_Sede-x-introduttore-scaled.jpg "Dettaglio_Sede per introduttore")
Konus 12/14
Schlitz für Impaktor
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-nuova_2025-_apice-4-scaled.jpg "Stem detail_SelfLocking_Duo")
Abgerundete distales Spitze
Der distale zulaufende Konus vermeidet eine Stresskonzentration im diaphysären Bereich.
****
**MATERIALIEN**
Die **SL X-Pore** Schäfte für die zementfreie Press-Fit Implantation werden aus Titan-Aluminum-Vanadium Legierung, entsprechend ISO 5832-3, hergestellt. Die **SelfLocking** Schäfte für die zementierte Anwendung werden aus rostfreier Edelstahllegierung gemäß ISO 5832-9 hergestellt.
****
**INSTRUMENTEN SET**
SL X-Pore und Selflocking Schäfte **haben die gleichen Instrumente.**
In Ergänzung mit der intra-operativen Auswahlmöglichkeit zwischen zementierten und nicht zementierten Versionen wird der Umfang an erforderlichen Instrumenten reduziert.
Die Handgriffe der Raspeln des SLX-Pore/ Selflocking Systems werden mit einfachen und sicheren Kupplungen geliefert. Sie sind weiterhin erhältlich in verschiedenen Designs in Abhängigkeit von der Art des Zugangs (postero- lateral, lateral, anterior).
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [SL - SelfLocking](https://www.permedica.it/sl/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Tige droite
à géométrie conique
Economie du stock osseux
Version à grand offset
Version press-fit avec
Revêtement en titane poreux
**Gamme de produits:** 10 tailles (standard et latéralisées)
press-fit et cimenté
La **SL X-Pore** est une tige fémorale droite pour application sans ciment qui découle du concept de la tige cimentée **SelfLocking**.
La conception de la section mince favorise l’insertion de la prothèse dans le canal médullaire fémoral et assure un support stable sur le cortex médial et latéral.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-1_nuova-3.jpg "Stem angle_SelfLocking_Duo")
Standard et latéralisées
Deux options sont disponibles, avec différentes offsets pour reproduire exactement la biomécanique de la hanche.
La version latéralisée, avec le même angle CCD, augmente l’offset de 6 mm dans les tailles jusqu’à 13,75 (inclus); dans les tailles 15-20, l’offset latéral est de 7 mm.
Revêtement **X-Pore**
Les tiges **SL X-Pore** sont recouvertes dans la région métaphysaire de 500 microns de titane poreux pulvérisé par “plasma-spray” afin d’assurer une bonne stabilisation primaire.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-2_nuova.jpg "SelfLocking_Offset_6mm")
Version cimentée
Sur la tige **SelfLocking,** les surfaces antérieure et postérieure présentent des rainures longitudinales qui favorisent l’ancrage du ciment à la fois dans la région métaphysaire et dans la région diaphysaire, ce qui confère à l’implant une excellente stabilité primaire.
[](https://www.permedica.it/wp-content/uploads/2020/01/Dettaglio_Sede-x-introduttore-scaled.jpg "Dettaglio_Sede per introduttore")
Cône 12/14
Emplacement pour l’impacteur
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-nuova_2025-_apice-4-scaled.jpg "Stem detail_SelfLocking_Duo")
Pointe distale lissée
La conicité distale évite la concentration de contraintes dans la région diaphysaire.
****
**MATÉRIAUX**
Les tiges SL X-Pore pour applications en Press-fit sont fabriquées en alliage forgé titane-aluminium-vanadium, conformément aux normes ISO5832/3.
Les tiges SelfLocking pour application cimentée sont en alliage forgé en acier inoxydable hautement azoté, conformément aux normes ISO5832/9.
****
**ANCILLAIRE**
Les tiges SL X-Pore et SelfLocking **partagent le même ensemble d’instruments.** Ceci, en plus de permettre le choix peropératoire entre la version avec et sans ciment, réduit l’encombrement des instruments. Les porte-râpes du système SL X-Pore / SelfLocking sont fournies avec un couplage simple et sûr et sont disponibles dans différentes versions en fonction de l’accès chirurgical utilisé (postéro-latéral, latéral, antérieur).
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [SL - SELFLOCKING](https://www.permedica.it/sl/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Straight tapered
wedge stem
Bone sparing
High offset version
Press-fit with titanium porous coating
**Product range:** 10 sizes (standard and lateral)
press-fit and cement
The **SL X-Pore** is a straight femoral stem for cementless application which derives from the concept of the **SelfLocking** cemented stem.
The thin section design promotes the prosthesis wedging itself into the medullary femoral canal and ensures stable support on the medial and lateral cortex.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-1_nuova-3.jpg "Stem angle_SelfLocking_Duo")
Standard and Lateral
Two options are available, with different offsets to exactly reproduce the hip biomechanics.
The lateralized version, with the same CCD angle, increases the offset by 6mm in sizes up to 13.75 (included); in sizes 15-20, the lateral offset is 7mm.
**X-Pore** coating
The **SL X-Pore** stems are coated in the metaphyseal region with 500 micron of plasma-sprayed porous Titanium or applied using plasma-spray technology to ensure a good primary stabilization.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-2_nuova-200x384.jpg "SelfLocking_Offset_6mm")
Cemented version
On the **SelfLocking** stem, the anterior and posterior surfaces present longitudinal grooves that favor cement anchoring both in the metaphyseal area and in the diaphyseal area, giving the implant excellent primary stability.
[](https://www.permedica.it/wp-content/uploads/2020/01/Dettaglio_Sede-x-introduttore-scaled.jpg "Dettaglio_Sede per introduttore")
Taper 12/14
Slot for impactor
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-nuova_2025-_apice-4-scaled.jpg "Stem detail_SelfLocking_Duo")
Smoothed distal tip
The distal taper avoids the concentration of stresses in the diaphyseal area.
****
**MATERIALS**
The **SL X-Pore** stems for cementless press-fit application are made of Titanium Aluminium Vanadium forged alloy in compliance with ISO5832/3 Standards. The **SelfLocking** stems for cemented application are made of highly Nitrogenized Stainless Steel forged alloy in compliance with ISO5832/9 Standards.
****
**INSTRUMENTS SET**
SL X-Pore and SelfLocking stems **share the same instruments set.** This, in addition to allowing the intraoperative choice between the version with and without cement, reduces the overall dimensions of the instruments. The rasps handles of the SL X-Pore / SelfLocking system are provided with a simple and safe coupling and are available in different designs depending on the surgical access used (posterolateral, lateral, anterior).
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [SL - AUTOBLOCCANTE](https://www.permedica.it/sl/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Stelo retto
a geometria conica
Risparmio osseo
Versione high offset
Versione press-fit con
rivestimento in titanio poroso
**Product range:** 10 taglie (standard e lateral)
press-fit e cementate
Lo stelo femorale **SL X-Pore** è uno stelo retto, per applicazione senza cemento, che deriva dal concetto dello stelo **AUTOBLOCCANTE** cementato.
Il design dalla sezione sottile favorisce l’incunearsi della protesi nel canale midollare femorale e assicura un appoggio stabile sulle corticali mediale e laterale.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-1_nuova-3.jpg "Stem angle_SelfLocking_Duo")
Standard e Lateral
Sono disponibili due opzioni con offset differenti per riprodurre esattamente la biomeccanica dell’anca.
La versione lateralizzante, a parità di angolo cervico diafisario, incrementa l’offset di 6mm nelle taglie fino alle 13.75 (inclusa); nelle taglie 15-20 l’offset laterale è di 7mm.
Rivestimento **X-Pore**
Gli steli **SL X-Pore** sono rivestiti nella zona metafisaria con 500 µm di Titanio puro applicati con tecnica plasma-spray al fine di ottenere una buona stabilizzazione primaria.
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-2_nuova.jpg "SelfLocking_Offset_6mm")
Versione cementata
Sullo stelo **AUTOBLOCCANTE** le superfici anteriore e posteriore presentano solchi longitudinali che favoriscono l’ancoraggio del cemento sia nella zona metafisaria che nella zona diafisaria, conferendo all’impianto un’ottima stabilità primaria.
[](https://www.permedica.it/wp-content/uploads/2020/01/Dettaglio_Sede-x-introduttore-scaled.jpg "Dettaglio_Sede per introduttore")
Cono 12/14
Sede per introduttore
[](https://www.permedica.it/wp-content/uploads/2020/01/SL-nuova_2025-_apice-4-scaled.jpg "Stem detail_SelfLocking_Duo")
Apice distale smusso
La rastrematura distale evita la concentrazione di sollecitazioni nella zona diafisaria.
****
**MATERIALI**
Lo stelo **SL X-Pore** è realizzato in lega forgiata di Titanio Alluminio Vanadio conforme alla normativa ISO5832/3.
Lo stelo **AUTOBLOCCANTE** è realizzato in lega di acciaio inossidabile ad alto contenuto di azoto conforme alla normativa ISO5832/9.
****
**STRUMENTARIO**
Gli steli SL X-Pore / AUTOBLOCCANTE **condividono lo stesso strumentario**. Questo, oltre a permettere la scelta intraoperatoria tra la versione con e senza cemento, riduce gli ingombri dello strumentario.
I manici porta-raspe del sistema SL X-Pore / AUTOBLOCCANTE sono provvisti di un aggancio semplice e sicuro e sono disponibili in diversi design a seconda dell’accesso chirurgico utilizzato (postero-laterale, laterale, anteriore).
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [ORTHALIGN](https://www.permedica.it/orthalign/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Categorie:** Non categorizzato
---
### [ORTHALIGN](https://www.permedica.it/orthalign/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Categorie:** Non categorizzato
---
### [ORTHALIGN](https://www.permedica.it/orthalign/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Categorie:** Non categorizzato
---
### [TRASER CONES](https://www.permedica.it/traser-cones/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-imm1-1.jpg "Revision Cones – imm1")
GKS Prime Flex RK TRASER® **Revision Cones** are obtained through **3D printed** Selective Laser Melting additive manufacturing process, which allows to obtain solid objects from 3D-CAD digital models by adding the raw material (Ti6Al4V powder) layer over layer.
The randomized size and geometrical shape of the **trabecular porous surface in contact with the bone** provides **optimal structure for bone in-growth** and biological type secondary fixation of the implant.
Femoral and Tibial cones are **UNIVERSAL** devices to be used in knee prosthesis revision surgeries in the presence of serious bone defects in order to provide reinforcement/support to the bone structure thus allowing the positioning, within them, of cemented prosthetic components.
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-femorali-1.jpg "Revision Cones – femorali")
## FEMORAL CONES
To be used to fill any bone defects at the femoral metaphysis
Conical Design
Available in 4 sizes:
XS, S, M and L
Version pour combler les défauts métaphysaires du fémur, disponible en 6 tailles: taille S en versions droite et gauche ; taille M en versions droite et gauche, chacune en deux dimensions de cône (S et M).
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_3-copia.jpg "Coni traser_3 copia")
## TIBIAL CONES
To be used to fill any bone defects at the tibial metaphysis
Available in “Stepped” version, for asymmetrical bone defects, an in Cylindrical and Conical designs
**Sizes**
Cylindrical: 2 Diameters (25mm and 29 mm);
Conical: 3 Sizes (S, M, L);
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-Riempitivi.jpg "Revision Cones – Riempitivi")
## FILLERS
To be used to fill bone defects
Available in 2 sizes:
20x15mm and 20x20mm
Compatible with optional ø 6.5 mm fixing screw
****
**MATERIALS**
**Titanium alloy Ti6Al4V – ISO 5832/3; ASTM F 2924**
The device DOES NOT CONTAIN any ferromagnetic materials.
[ Produits pour le Genou](https://www.permedica.it/fr/professionnels-medicaux/genou/)
**Categorie:** Ginocchio
---
### [CONOS TRASER](https://www.permedica.it/traser-cones/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-imm1-1.jpg "Revision Cones – imm1")
Los **Conos de revisión** GKS Prime Flex RK TRASER® se obtienen mediante el proceso de fabricación aditiva Fusión Selectiva por Láser **(impresión 3D)**, que permite obtener objetos sólidos a partir de modelos digitales 3D-CAD añadiendo la materia prima (polvo de Ti6Al4V) capa a capa.
El tamaño aleatorio y la forma geométrica de la **superficie porosa trabecular en contacto con el hueso** proporcionan una **estructura óptima para el crecimiento óseo y la fijación biológica secundaria del implante.**
Los conos femorales y tibiales son dispositivos **UNIVERSALES** que se utilizan en las prótesis de rodilla de revisión en presencia de defectos óseos graves, con el fin de proporcionar refuerzo/soporte a la estructura ósea permitiendo la colocación de componentes protésicos cementados en su interior.
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-femorali-1.jpg "Revision Cones – femorali")
## CONOS FEMORALES
Se utiliza para rellenar defectos óseos de la metáfisis femoral
Diseño cónico
Disponible en 4 tallas: XS, S, M y L
Versión para rellenar defectos óseos femorales metafisarios disponible en 6 tamaños:
tamaño S en versiones derecha e izquierda; tamaño M en versiones derecha e izquierda, cada una en dos dimensiones de cono (S y M).
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_3-copia.jpg "Coni traser_3 copia")
## CONOS TIBAL
Se utiliza para rellenar defectos óseos de la metáfisis tibial
Disponible en versiones “Escalonadas”, para defectos óseos asimétricos, y en diseños Cilíndrico y Cónico.
T**amaños** Cilíndrico: 2 Diámetros (25 mm y 29 mm); Cónico: 3 Tamaños (S, M, L);
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-Riempitivi.jpg "Revision Cones – Riempitivi")
## RELLENOS
Utilizados para rellenar defectos óseos
Disponibles en 2 tamaños:
20×15 mm y 20×20 mm
Compatibles con un tornillo de fijación opcional de ø 6,5 mm
****
**MATERIALES**
**Aleación de titanio Ti6Al4V – ISO 5832/3; ASTM F 2924**
El aparato NO CONTIENE materiales ferromagnéticos
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [TRASER CONES](https://www.permedica.it/traser-cones/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-imm1-1.jpg "Revision Cones – imm1")
GKS Prime Flex RK TRASER® **Revision Cones** are obtained through **3D printed** Selective Laser Melting additive manufacturing process, which allows to obtain solid objects from 3D-CAD digital models by adding the raw material (Ti6Al4V powder) layer over layer.
The randomized size and geometrical shape of the **trabecular porous surface in contact with the bone** provides **optimal structure for bone in-growth** and biological type secondary fixation of the implant.
Femoral and Tibial cones are **UNIVERSAL** devices to be used in knee prosthesis revision surgeries in the presence of serious bone defects in order to provide reinforcement/support to the bone structure thus allowing the positioning, within them, of cemented prosthetic components.
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-femorali-1.jpg "Revision Cones – femorali")
## FEMORAL CONES
To be used to fill any bone defects at the femoral metaphysis
Conical Design
Available in 4 sizes:
XS, S, M and L
Version zum Füllen metaphysärer Femurdefekte, erhältlich in 6 Größen:
Größe S in rechter und linker Ausführung; Größe M in rechter und linker Ausführung, jeweils in zwei Konusgrößen (S und M).
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_3-copia.jpg "Coni traser_3 copia")
## TIBIAL CONES
To be used to fill any bone defects at the tibial metaphysis
Available in “Stepped” version, for asymmetrical bone defects, an in Cylindrical and Conical designs
**Sizes**
Cylindrical: 2 Diameters (25mm and 29 mm);
Conical: 3 Sizes (S, M, L);
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-Riempitivi.jpg "Revision Cones – Riempitivi")
## FILLERS
To be used to fill bone defects
Available in 2 sizes:
20x15mm and 20x20mm
Compatible with optional ø 6.5 mm fixing screw
****
**MATERIALS**
**Titanium alloy Ti6Al4V – ISO 5832/3; ASTM F 2924**
The device DOES NOT CONTAIN any ferromagnetic materials.
[Knie Produkte](https://www.permedica.it/de/medizinische-fachkraefte/knie/)
**Categorie:** Ginocchio
---
### [TRASER CONES](https://www.permedica.it/traser-cones/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-imm1-1.jpg "Revision Cones – imm1")
GKS Prime Flex RK TRASER® **Revision Cones** are obtained through **3D printed** Selective Laser Melting additive manufacturing process, which allows to obtain solid objects from 3D-CAD digital models by adding the raw material (Ti6Al4V powder) layer over layer.
The randomized size and geometrical shape of the **trabecular porous surface in contact with the bone** provides **optimal structure for bone in-growth** and biological type secondary fixation of the implant.
Femoral and Tibial cones are **UNIVERSAL** devices to be used in knee prosthesis revision surgeries in the presence of serious bone defects in order to provide reinforcement/support to the bone structure thus allowing the positioning, within them, of cemented prosthetic components.
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-femorali-1.jpg "Revision Cones – femorali")
## FEMORAL CONES
To be used to fill any bone defects at the femoral metaphysis
Conical Design
Available in 4 sizes:
XS, S, M and L
Version to fill metaphyseal femoral bone defects available in 6 sizes:
size S in right and left versions; size M in right and left versions, each in two cone dimensions (S and M).
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_3-copia.jpg "Coni traser_3 copia")
## TIBIAL CONES
To be used to fill any bone defects at the tibial metaphysis
Available in “Stepped” version, for asymmetrical bone defects, an in Cylindrical and Conical designs
**Sizes**
Cylindrical: 2 Diameters (25mm and 29 mm);
Conical: 3 Sizes (S, M, L);
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-Riempitivi.jpg "Revision Cones – Riempitivi")
## FILLERS
To be used to fill bone defects
Available in 2 sizes:
20x15mm and 20x20mm
Compatible with optional ø 6.5 mm fixing screw
****
**MATERIALS**
**Titanium alloy Ti6Al4V – ISO 5832/3; ASTM F 2924**
The device DOES NOT CONTAIN any ferromagnetic materials.
[Knee Products](https://www.permedica.it/en/medical-professionals/knee/)
**Categorie:** Ginocchio
---
### [TRASER CONES](https://www.permedica.it/traser-cones/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-imm1-1-1200x1169.jpg "Revision Cones – imm1")
I **Coni da Revisione** GKS Prime Flex RK TRASER® sono ottenuti attraverso il processo di fabbricazione additiva Selective Laser Melting **(stampa 3D)**, che consente di ottenere oggetti solidi da modelli digitali 3D-CAD aggiungendo la materia prima (polvere di Ti6Al4V) strato su strato.
Le dimensioni randomizzate e la forma geometrica della **superficie porosa trabecolare a contatto con l’osso** forniscono una **struttura ottimale per la crescita ossea e la fissazione secondaria di tipo biologico dell’impianto.**
I coni femorali e tibiali sono dispositivi **UNIVERSALI** da utilizzare negli interventi di revisione delle protesi di ginocchio in presenza di gravi difetti ossei, al fine di fornire un rinforzo/supporto alla struttura ossea permettendo così il posizionamento, al suo interno, di componenti protesici cementati.
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-femorali-1.jpg "Revision Cones – femorali")
## CONI FEMORALI
Utilizzati per riempire i difetti ossei della metafisi femorale
Design Conico
Disponibili in 4 taglie:
XS, S, M e L
Versione per riempimento di difetti ossei femorali meta-diafisari disponibile in 6 taglie:
taglia S in versione destra e sinistra; taglia M in versione destra e sinistra, ciascuna in 2 dimensioni di cono (S e M).
[](https://www.permedica.it/wp-content/uploads/2020/02/Coni-traser_3-copia.jpg "Coni traser_3 copia")
## CONI TIBIALI
Utilizzati per riempire i difetti ossei della metafisi tibiale
Disponibili in versione “Stepped”, per difetti ossei asimmetrici, e in nei design Cilindrico e Conico.
**Taglie**
Cilindrico: 2 Diametri (25mm and 29 mm);
Conico: 3 Taglie (S, M, L);
[](https://www.permedica.it/wp-content/uploads/2020/02/Revision-Cones-Riempitivi.jpg "Revision Cones – Riempitivi")
## RIEMPITIVI
Utilizzati per riempire difetti ossei
Disponibili in 2 taglie:
20x15mm e 20x20mm
Compatibili con vite opzionale di fissazione da ø 6,5 mm
****
**MATERIALI**
**Lega di Titanio Ti6Al4V – ISO 5832/3; ASTM F 2924**
Il dispositivo NON CONTIENE materiali ferromagnetici
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_1_ombra-one-1.png "GKS Prime Flex modulo_1_ombra one")
**Gama de productos:** 10 tamaños femorales, 10 tamaños tibiales, 10 grosores de inserto PS y SS\*, 4 tamaños de módulos femorales, 2 longitudes de vástagos femorales y 4 tamaños de vástagos tibiales.
**GKS PRIME FLEX SMART REVISION** es una solución para **las ATR primarias complejas** o los casos **de revisión sencillos**. El módulo femoral ofrece la posibilidad de combinar vástagos femorales cementados con el fémur PS.
**GKS PRIME FLEX SMART REVISION** forma parte del sistema RK, que amplía las indicaciones para los casos de revisión. Se puede utilizar con **los conos TRASER femorales y tibiales** del sistema RK.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Module-immagine-2-1-scaled.png "GKS Prime Flex Module immagine 2")
Vástagos femorales cementados
Están disponibles en dos longitudes diferentes (30 ó 50 mm) y pueden combinarse entre sí para alcanzar una longitud total de 80 mm. El anclaje de los vástagos se realiza mediante cemento.
Módulo femoral **VITAL-B®** Permite la conexión de los vástagos intramedulares al componente femoral PS mediante tornillos especiales incluidos en el mismo paquete. Está disponible en 4 tamaños en versiones derecha e izquierda, y tiene un revestimiento superficial **VITAL-B®**.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Module-immagine-3.png "GKS Prime Flex PS Module immagine 3")
Componente femoral
El componente femoral se ha diseñado para minimizar el sacrificio óseo gracias a su reducido grosor y a los incrementos de tamaño (2 mm), así como al tamaño reducido de la caja intercondilar (fondo abierto) y a la ausencia de pernos femorales.Está disponible en 10 tamaños en versión **MICROLOY®** y con revestimiento superficial **VITAL-B®**, ambos para aplicación cementada. Se ha prestado especial atención al mecanismo de estabilización posterior, para reducir la tensión y garantizar **un retroceso gradual** con un contacto “suave” entre el poste y la leva.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_4_riflesso-tree-2-1200x1200.png "GKS Prime Flex modulo_4_riflesso tree")
Inserto de unión PS y SS:
El inserto articular está diseñado para permitir un **amplio** acoplamiento **FEMOR/TIBIA**, garantizando **que cada tamaño femoral pueda acoplarse con hasta 6 tamaños tibiales**. Cada tamaño de inserto se ajusta a 2 tamaños de placa tibial y está disponible en 9 **grosores\***, tanto en UHMWPE como en VITAL-E®. Un **código de colores** guía el correcto acoplamiento del inserto con los componentes femoral y tibial.
El inserto PS permite una estabilidad óptima incluso en ausencia del ligamento cruzado posterior.
**El inserto SS** (superestabilizado) tiene un **poste más grande** para **mejorar la estabilidad medio-lateral**.
**\***Algunos grosores pueden ser bajo pedido.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_5_riflesso-part1-800x800.png "GKS Prime Flex modulo_5_riflesso part1")
Componente tibial
El componente tibial **TOP** cementado presenta una meseta con un cuerpo central cónico y aletas laterales dispuestas en forma de delta. Está disponible en 10 tamaños, divididos en 5 pares, cada uno de los cuales acepta un tamaño de inserto.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_6_riflesso-parte2-1-800x1091.png "GKS Prime Flex modulo_6_riflesso parte2")
Barras tibiales cementadas Están disponibles en cuatro tamaños diferentes (L=40 mm:**Ø 8 mm** o **Ø 10 mm**; L= 60 mm; L= 80 mm). El anclaje de las barras se realiza mediante cemento.
****
**MATERIALES**
Componentes femorales: Aleación de cromo-cobalto-molibdeno ISO5832/4. Inserto articular:
UHMWPE ISO5834/1/2 también disponible en versión VITAL-E® (polietileno con antioxidante añadido Vitamina E). Componente tibial – Macho: Aleación de titanio-aluminio-vanadio ISO5832/3. Módulo femoral: Aleación de titanio-aluminio-vanadio ASTM F 2924 Tornillos de fijación del módulo: Aleación de cromo-cobalto-molibdeno ISO5832/12.
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio, Non categorizzato
---
### [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_1_ombra-one-1.png "GKS Prime Flex modulo_1_ombra one")
**Product range:** 10 femoral sizes, 10 tibial sizes, 9 PS and SS insert thicknesses\*, 4 sizes of femoral modules, 2 lengths of femoral stems and 4 sizes of tibial stems.
**GKS PRIME FLEX SMART REVISION** is a solution for **complex primary** or **simple revision TKA cases**. The femoral module offers the possibility of combining cemented femoral stems with the PS femur.
**GKS PRIME FLEX SMART REVISION** is part of the RK system that extends the indication for revision cases.
The system can be used with the **femoral and tibial TRASER cones** of the RK system.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Module-immagine-2-1-scaled.png "GKS Prime Flex Module immagine 2")
Cemented femoral stems
They are available in two different lengths (30 or 50 mm) and can be combined together to achieve a total length of 80 mm. The anchoring of the rods is done using cement.
**VITAL-B®** Femoral Module
Allows the connection of the endomedullary stems to the PS femoral component by means of special screws included in the same package.
It is available in 4 sizes in right and left versions and has a **VITAL-B®** surface coating.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Module-immagine-3.png "GKS Prime Flex PS Module immagine 3")
Femoral component
The femoral component has been designed to minimise bone sacrifice due to its reduced thickness and size increments (2mm) as well as the reduced size of the interchondylar box (open bottom) and the absence of femoral pegs.It is available in 10 sizes in **MICROLOY®** and **VITAL-B®** surface-coated versions, both for cemented application.Particular attention has been paid to the posterior stabilisation mechanism, in order to reduce stress and ensure a **gradual roll-back** with ‘soft’ contact between post and cam.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_4_riflesso-tree-2-1200x1200.png "GKS Prime Flex modulo_4_riflesso tree")
PS and SS joint insert:
The articular insert is designed to allow **a wide FEMOR/TIBIA** coupling **by ensuring that each femoral size can be matched with as many as 6 tibial sizes.**
Each insert size fits 2 Tibial Plate sizes and is available in 9 thicknesses\*, both in UHMWPE and VITAL-E®.
The correct coupling of the joint liner with the femoral and tibial components is guided by a **colour code**.
The PS insert provides optimal stability even in the absence of the posterior cruciate ligament.
**The SS** (super stabilised) **insert** has **a larger post size to provide better mediolateral stability.**
**\***Some thicknesses may be on request.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_5_riflesso-part1-800x800.png "GKS Prime Flex modulo_5_riflesso part1")
Tibial component
The cemented **TOP** tibial component has a plateau with a conical central body and lateral fins arranged in a delta pattern.
It is available in 10 sizes, divided into 5 pairs, each accepts one insert size.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_6_riflesso-parte2-1-800x1091.png "GKS Prime Flex modulo_6_riflesso parte2")
Cemented tibial stems
They are available in four different sizes (L=40 mm: **Ø 8 mm** or **Ø 10 mm**; L= 60 mm; L= 80 mm).
The anchorage of the stems is done using cement.
****
**MATERIALS**
Femoral component: Chrome Cobalt Molybdenum alloy ISO5832/4.
Articular insert: UHMWPE ISO5834/1/2 also available in VITAL-E® version (polyethylene with added antioxidant Vitamin E).
Tibial component – Stems: Titanium-Aluminium Vanadium alloy ISO5832/3.
Femoral module: Titanium Aluminium Vanadium ASTM F 2924
Module fixing screws: Chrome Cobalt Molybdenum alloy ISO5832/12.
[ Knie Produkte](https://www.permedica.it/de/medizinische-fachkraefte/knie/)
**Categorie:** Ginocchio, Non categorizzato
---
### [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_1_ombra-one-1.png "GKS Prime Flex modulo_1_ombra one")
**Product range:** 10 femoral sizes, 10 tibial sizes, 9 PS and SS insert thicknesses\*, 4 sizes of femoral modules, 2 lengths of femoral stems and 4 sizes of tibial stems.
**GKS PRIME FLEX SMART REVISION** is a solution for **complex primary** or **simple revision TKA cases**. The femoral module offers the possibility of combining cemented femoral stems with the PS femur.
**GKS PRIME FLEX SMART REVISION** is part of the RK system that extends the indication for revision cases.
The system can be used with the **femoral and tibial TRASER cones** of the RK system.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Module-immagine-2-1-scaled.png "GKS Prime Flex Module immagine 2")
Cemented femoral stems
They are available in two different lengths (30 or 50 mm) and can be combined together to achieve a total length of 80 mm. The anchoring of the rods is done using cement.
**VITAL-B®** Femoral Module
Allows the connection of the endomedullary stems to the PS femoral component by means of special screws included in the same package.
It is available in 4 sizes in right and left versions and has a **VITAL-B®** surface coating.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Module-immagine-3.png "GKS Prime Flex PS Module immagine 3")
Femoral component
The femoral component has been designed to minimise bone sacrifice due to its reduced thickness and size increments (2mm) as well as the reduced size of the interchondylar box (open bottom) and the absence of femoral pegs.It is available in 10 sizes in **MICROLOY®** and **VITAL-B®** surface-coated versions, both for cemented application.Particular attention has been paid to the posterior stabilisation mechanism, in order to reduce stress and ensure a **gradual roll-back** with ‘soft’ contact between post and cam.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_4_riflesso-tree-2-1200x1200.png "GKS Prime Flex modulo_4_riflesso tree")
PS and SS joint insert:
The articular insert is designed to allow **a wide FEMOR/TIBIA** coupling **by ensuring that each femoral size can be matched with as many as 6 tibial sizes.**
Each insert size fits 2 Tibial Plate sizes and is available in 9 thicknesses\*, both in UHMWPE and VITAL-E®.
The correct coupling of the joint liner with the femoral and tibial components is guided by a **colour code**.
The PS insert provides optimal stability even in the absence of the posterior cruciate ligament.
**The SS** (super stabilised) **insert** has **a larger post size to provide better mediolateral stability.**
**\***Some thicknesses may be on request.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_5_riflesso-part1-800x800.png "GKS Prime Flex modulo_5_riflesso part1")
Tibial component
The cemented **TOP** tibial component has a plateau with a conical central body and lateral fins arranged in a delta pattern.
It is available in 10 sizes, divided into 5 pairs, each accepts one insert size.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_6_riflesso-parte2-1-800x1091.png "GKS Prime Flex modulo_6_riflesso parte2")
Cemented tibial stems
They are available in four different sizes (L=40 mm: **Ø 8 mm** or **Ø 10 mm**; L= 60 mm; L= 80 mm).
The anchorage of the stems is done using cement.
****
**MATERIALS**
Femoral component: Chrome Cobalt Molybdenum alloy ISO5832/4.
Articular insert: UHMWPE ISO5834/1/2 also available in VITAL-E® version (polyethylene with added antioxidant Vitamin E).
Tibial component – Stems: Titanium-Aluminium Vanadium alloy ISO5832/3.
Femoral module: Titanium Aluminium Vanadium ASTM F 2924
Module fixing screws: Chrome Cobalt Molybdenum alloy ISO5832/12.
[ Produits pour le Genou](https://www.permedica.it/fr/professionnels-medicaux/genou/)
**Categorie:** Ginocchio, Non categorizzato
---
### [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_1_ombra-one-1.png "GKS Prime Flex modulo_1_ombra one")
**Product range:** 10 femoral sizes, 10 tibial sizes, 9 PS and SS insert thicknesses\*, 4 sizes of femoral modules, 2 lengths of femoral stems and 4 sizes of tibial stems.
**GKS PRIME FLEX SMART REVISION** is a solution for **complex primary** or **simple revision TKA cases**. The femoral module offers the possibility of combining cemented femoral stems with the PS femur.
**GKS PRIME FLEX SMART REVISION** is part of the RK system that extends the indication for revision cases.
The system can be used with the **femoral and tibial TRASER cones** of the RK system.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Module-immagine-2-1-scaled.png "GKS Prime Flex Module immagine 2")
Cemented femoral stems
They are available in two different lengths (30 or 50 mm) and can be combined together to achieve a total length of 80 mm. The anchoring of the rods is done using cement.
**VITAL-B®** Femoral Module
Allows the connection of the endomedullary stems to the PS femoral component by means of special screws included in the same package.
It is available in 4 sizes in right and left versions and has a **VITAL-B®** surface coating.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Module-immagine-3.png "GKS Prime Flex PS Module immagine 3")
Femoral component
The femoral component has been designed to minimise bone sacrifice due to its reduced thickness and size increments (2mm) as well as the reduced size of the interchondylar box (open bottom) and the absence of femoral pegs.It is available in 10 sizes in **MICROLOY®** and **VITAL-B®** surface-coated versions, both for cemented application.Particular attention has been paid to the posterior stabilisation mechanism, in order to reduce stress and ensure a **gradual roll-back** with ‘soft’ contact between post and cam.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_4_riflesso-tree-2-1200x1200.png "GKS Prime Flex modulo_4_riflesso tree")
PS and SS joint insert:
The articular insert is designed to allow **a wide FEMOR/TIBIA** coupling **by ensuring that each femoral size can be matched with as many as 6 tibial sizes.**
Each insert size fits 2 Tibial Plate sizes and is available in 9 thicknesses\*, both in UHMWPE and VITAL-E®.
The correct coupling of the joint liner with the femoral and tibial components is guided by a **colour code**.
The PS insert provides optimal stability even in the absence of the posterior cruciate ligament.
**The SS** (super stabilised) **insert** has **a larger post size to provide better mediolateral stability.**
**\***Some thicknesses may be on request.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_5_riflesso-part1-800x800.png "GKS Prime Flex modulo_5_riflesso part1")
Tibial component
The cemented **TOP** tibial component has a plateau with a conical central body and lateral fins arranged in a delta pattern.
It is available in 10 sizes, divided into 5 pairs, each accepts one insert size.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_6_riflesso-parte2-1-800x1091.png "GKS Prime Flex modulo_6_riflesso parte2")
Cemented tibial stems
They are available in four different sizes (L=40 mm: **Ø 8 mm** or **Ø 10 mm**; L= 60 mm; L= 80 mm).
The anchorage of the stems is done using cement.
****
**MATERIALS**
Femoral component: Chrome Cobalt Molybdenum alloy ISO5832/4.
Articular insert: UHMWPE ISO5834/1/2 also available in VITAL-E® version (polyethylene with added antioxidant Vitamin E).
Tibial component – Stems: Titanium-Aluminium Vanadium alloy ISO5832/3.
Femoral module: Titanium Aluminium Vanadium ASTM F 2924
Module fixing screws: Chrome Cobalt Molybdenum alloy ISO5832/12.
[ Knee Products](https://www.permedica.it/en/medical-professionals/knee/)
**Categorie:** Ginocchio, Non categorizzato
---
### [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_1_ombra-one-1.png "GKS Prime Flex modulo_1_ombra one")
**Product range:** 10 taglie femorali, 10 taglie tibiali, 10 spessori\* d’inserto PS e SS, 4 taglie di moduli femorali, 2 lunghezze di steli femorali e 4 taglie di steli tibiali.
**GKS PRIME FLEX SMART REVISION** è una soluzione per i casi di **TKA primari complessi** o di **revisione semplice**. Il modulo femorale offre la possibilità di combinare steli femorali cementati al femore PS.
**GKS PRIME FLEX SMART REVISION** fa parte del sistema RK che estende l’indicazione anche per casi di revisione.
Il sistema può essere utilizzato con **i coni TRASER femorali e tibiali** del sistema RK.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Module-immagine-2-1-scaled.png "GKS Prime Flex Module immagine 2")
Steli femorali cementati
Sono disponibili in due lunghezze differenti (30 o 50 mm) e possono essere combinati insieme per ottenere una lunghezza totale di 80 mm. L’ancoraggio dei fittoni avviene mediante l’utilizzo di cemento.
Modulo femorale **VITAL-B®**
Permette la connessione dei fittoni endomidollari alla componente femorale PS mediante apposite viti incluse nella medesima confezione.
È disponibile in 4 taglie previste in versione destra e sinistra, ed ha un rivestimento superficiale in **VITAL-B®**.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Module-immagine-3.png "GKS Prime Flex PS Module immagine 3")
Componente femorale
La componente femorale è stata disegnata per ridurre al minimo il sacrificio osseo grazie allo spessore contenuto e gli incrementi di taglia ridotti (2mm) oltre che al ridotto ingombro del box intercondilico (a fondo aperto) e all’assenza dei perni femorali.È disponibile in 10 taglie in versione **MICROLOY®** e con rivestimento superficiale **VITAL-B®**, entrambe per applicazione cementata.Particolare attenzione è stata riservata al meccanismo di stabilizzazione posteriore, in modo da ridurne le sollecitazioni e garantire un **roll-back graduale** con un contatto «soft» tra post e cam.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_4_riflesso-tree-2-1200x1200.png "GKS Prime Flex modulo_4_riflesso tree")
Inserto articolare PS e SS:
L’ inserto articolare è progettato per permettere un **ampio accoppiamento FEMORE/TIBIA** garantendo **per ogni taglia femorale l’abbinamento con ben 6 taglie tibiali.**
Ogni taglia di inserto si adatta a 2 taglie di Piatto Tibiale ed è disponibile in 9 spessori**\***, sia in UHMWPE che VITAL-E®.
Un **codice colore** guida nel corretto accoppiamento dell’inserto con le componenti Femorale e Tibiale.
L’inserto PS permette un’ottimale stabilità anche in assenza del legamento crociato posteriore.
**L’inserto SS** (super stabilizzato) presenta un **post di dimensioni maggiori** per garantire una **migliore stabilità medio-laterale.**
**\***Alcuni spessori potrebbero essere su richiesta.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_5_riflesso-part1-800x800.png "GKS Prime Flex modulo_5_riflesso part1")
Componente tibiale
La componente tibiale **TOP** cementata è caratterizzata da un piatto che dispone di un corpo centrale conico con alette laterali disposte a delta.
È disponibile in 10 taglie, suddivise in 5 coppie ognuna delle quali accetta una taglia di inserto.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-modulo_6_riflesso-parte2-1-800x1091.png "GKS Prime Flex modulo_6_riflesso parte2")
Steli tibiali cementati
Sono disponibili in quattro taglie differenti (L=40 mm: **Ø 8 mm** o **Ø 10 mm**; L= 60 mm; L= 80 mm).
L’ancoraggio dei fittoni avviene mediante l’utilizzo di cemento.
****
**MATERIALI**
Componenti femorali: lega di Cromo Cobalto Molibdeno ISO5832/4.
Inserto articolare: UHMWPE ISO5834/1/2 disponibile anche in versione VITAL-E® (polietilene addizionato con Vitamina E antiossidante).
Componente tibiale – Fittoni: lega di Titanio Alluminio Vanadio ISO5832/3.
Modulo femorale: Titanio Alluminio Vanadio ASTM F 2924
Viti fissaggio modulo: lega di Cromo Cobalto Molibdeno ISO5832/12.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio, Non categorizzato
---
### [ORTHALIGN](https://www.permedica.it/orthalign/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Categorie:** Non categorizzato
---
### [ORTHALIGN](https://www.permedica.it/orthalign/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Categorie:** Non categorizzato
---
### [Abordaje anterior](https://www.permedica.it/anterior-approach/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
#### FORMACIÓN PROFESIONAL PERMEDICA
El programa de formación de Permedica está diseñado **para estar cerca de los cirujanos** que abordan la vía anterior.
La DAA suele ir asociada a una curva de aprendizaje, por lo que el **apoyo y la formación** son esenciales en esta fase.
Para proporcionar **un servicio de alto nivel adaptado a las necesidades de cada persona,** Permedica ofrece un programa de Formación Profesional para **acompañar al cirujano desde la fase inicial** y más allá.
Permedica ha desarrollado una amplia gama de actividades **para promover la educación** y la **interacción entre iguales.**
- Visitas a Centros de Referencia
- Visitas entre cirujanos
- Wetlabs
- [Simposios de la Academia Permedica](https://www.permedica.it/es/formacion-profesional/)
- Semanas intensivas
#### INSTALACIONES
Basándose en muchos años de experiencia clínica, en colaboración con un grupo de cirujanos experimentados, Permedica ha desarrollado **una gama de implantes adecuados para el abordaje anterior.**
**¡EXACTA RS es lo último!**
- Ahorro de hueso
- Diseñado para abordajes mínimamente invasivos
- Curvatura anatómica y crecimiento progresivo
**Más información sobre la gama de productos de vástago Permedica:**
- [EXACTA](https://www.permedica.it/es/exacta/)
- [EXACTA S](https://www.permedica.it/es/exacta-s/)
- [PROMESA S](https://www.permedica.it/es/promesa-s/)
#### INSTRUMENTOS Y SISTEMA DE POSICIONAMIENTO DE PIERNAS
Basándose en la experiencia de numerosos expertos, Permedica ha desarrollado **un conjunto de herramientas para el abordaje anterior.**
Existen instrumentos con un diseño ad hoc para **simplificar los pasos cruciales de la técnica quirúrgica** y mejorar **la eficacia** del procedimiento, **preservando al mismo tiempo los tejidos blandos.**
- Sistema de posicionamiento de las piernas
- Retractores
- Mangos de escofina desplazados
- Mango impactador curvado para vaso
#### SISTEMA PURISTA
En colaboración con IOT, Permedica ofrece una de las mejores soluciones para el posicionamiento del paciente, el **sistema PURIST**.
Este sistema de posicionamiento de última generación está diseñado para **fomentar la eficacia y el control del cirujano** durante la intervención.
Fácil de maniobrar, fácil de usar y preciso, el PURIST ofrece varias ventajas **clínicas y operativas**.
Combina el PURIST con cualquier mesa de operaciones para crear un sistema de posicionamiento superior.
**Categorie:** Anca, Teste Articolari
---
### [Anterior Approach](https://www.permedica.it/anterior-approach/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA PROFESSIONAL EDUCATION
Das Permedica-Ausbildungsprogramm wurde so konzipiert, den **Chirurgen beim anterioren Zugang zu unterstützen.**
Der DAA Zugang ist oft mit einer Lernkurve verbunden, daher sind **Unterstützung und Ausbildung** während dieser Phase unerlässlich.
Um einen **fortschrittlichen und maßgeschneiderten Service** zu bieten, bietet Permedica ein professionelles Ausbildungsprogramm an, das **den Chirurgen von der Anfangsphase an und sogar noch weiter begleitet.**
Permedica hat ein breites Spektrum von Aktivitäten eingerichtet, um **die Erfahrung der Chirurgen zu verbessern** und die Interaktion untereinander mit gleichgesinnten Ärzten zu fördern.
- Besuche von Referenzzentren
- Surgeon-to-surgeon Hospitationen
- Wetlabs
- [Permedica Akademie Symposien](https://www.permedica.it/de/professional-education/)
- Intensiv Wochen
#### IMPLANTATE
Mit mehreren Jahren klinischer Erfahrung hat Permedica in Zusammenarbeit mit einer Gruppe von erfahrenen Chirurgen **eine Reihe von Implantaten entwickelt, die für den anterioren Zugang** geeignet sind.
**EXACTA RS die jüngste Neuigkeit!**
- Knochensparend
- Konzipiert für MIS-Ansätze
- Anatomische Krümmung und progressives Wachstum
**Erfahren Sie mehr über die Produktpalette der Permedica-Schäfte:**
- [EXACTA](https://www.permedica.it/de/exacta/)
- [EXACTA S](https://www.permedica.it/de/exacta-s/)
- [PROMISE S](https://www.permedica.it/de/promise-s/)
#### INSTRUMENTE UND LEG POSITIONING SYSTEM
Basierend auf dem Fachwissen mehrerer DAA-Experten hat Permedica ein **Instrumentarium für den direkten anterioren Zugang** entwickelt.
Es stehen Instrumente mit ad-hoc-Designmerkmalen zur Verfügung, um **entscheidende Schritte der Operationstechnik zu vereinfachen** und die Wirksamkeit zu verbessern und gleichzeitig weichteilschonend zu sein.
- Leg positioning system
- Wundretraktoren
- Abgewinkelte Schafthandgriffe
- Abgewinkelte Pfannenfräser
#### PURIST SYSTEM
In Partnerschaft mit der IOT bietet Permedica eine der klassenbesten Lösungen für die Patientenpositionierung, den **PURIST system.**
Dieses Positionierungssystem der neuen Generation wurde entwickelt, um **die Kontrolle des Chirurgen** während des gesamten Eingriffs zu verbessern.
Der PURIST ist leicht zu bewegen, benutzerfreundlich und präzise und bietet viele **klinische und operative Vorteile.**
Kombinieren Sie den PURIST mit jedem Standard-OP-Tisch, um ein überlegenes Beinpositionierungssystem aufzubauen.
**Categorie:** Teste Articolari, Anca
---
### [Anterior Approach](https://www.permedica.it/anterior-approach/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
#### FORMATION PROFESSIONNELLE PERMEDICA
Le programme de formation de Permedica a été conçu pour **rester proche des chirurgiens** qui abordent l’approche antérieure.
Le DAA est souvent associé à une courbe d’apprentissage, le **soutien et la formation** sont donc essentiels à ce stade.
Afin de fournir **un service de haut niveau et sur mesure,** Permedica propose un programme de formation professionnelle pour **accompagner le chirurgien dès la phase initiale** et au-delà.
Permedica a mis en place un large éventail d’activités pour **améliorer l’expérience du chirurgien et favoriser l’interaction entre pairs.**
- Visites des centres de référence
- Visites de chirurgien à chirurgien
- Wetlabs
- [Académie Permedica Simposia](https://www.permedica.it/fr/education-professionnelle/)
- Semaines intensives
#### SOLUTIONS D’IMPLANTS
Fort de plusieurs années d’expérience clinique, en coopération avec un groupe de chirurgiens experts, Permedica a développé **une gamme d’implants adaptés à l’approche antérieure.**
**EXACTA RS est la dernière nouveauté!**
- Économie d’os
- Conçue pour les approches MIS
- Courbure anatomique et croissance progressive
**En savoir plus sur la gamme de tiges Permedica:**
- [EXACTA](https://www.permedica.it/fr/exacta/)
- [EXACTA S](https://www.permedica.it/fr/exacta-s/)
- [PROMISE S](https://www.permedica.it/fr/promise-s/)
#### ANCILLAIRE ET LEG POSITIONING SYSTEM
Sur la base de l’expertise de plusieurs experts de DAA, Permedica a mis au point un **ensemble d’instruments pour l’approche directe antérieure.**
Des instruments avec des caractéristiques de conception ad hoc sont disponibles pour **simplifier les étapes cruciales de la technique chirurgicale** et améliorer **l’efficacité** tout en **préservant les tissus mous.**
- Leg positioning system
- Rétracteurs
- Portes-râpes décalés
- Positionneur-impacteur de cotyle courbé
#### PURIST SYSTEM
En partenariat avec IOT, Permedica propose l’une des meilleures solutions pour le positionnement du patient, le **PURIST system**.****
Ce système de positionnement de nouvelle génération est conçu pour **favoriser l’efficacité et le contrôle du chirurgien** pendant la procédure.
Facile à manœuvrer, convivial et précis, le PURIST offre plusieurs **avantages cliniques et opérationnels.**
Combinez le PURIST avec n’importe quelle table d’opération pour créer un système de positionnement de qualité supérieure.
**Categorie:** Anca, Teste Articolari
---
### [Anterior Approach](https://www.permedica.it/anterior-approach/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA PROFESSIONAL EDUCATION
Permedica training program has been designed to **stand next to surgeons** moving towards the anterior approach.
DAA is often related with a learning curve, thus **support and training** during this phase are essential.
In order to provide **an advanced and tailored service,** Permedica offers a professional education program to **accompany the surgeon from the initial phase** and even further.
Permedica has set up a wide range of activities to **enhance surgeon’s experience** and **promote peers’ interaction.**
- Reference Centers visits
- Surgeon-to-surgeon visits
- Wetlabs
- [Permedica Academy Simposia](https://www.permedica.it/en/professional-education/)
- Intensive weeks
#### IMPLANT SOLUTIONS
With several years of clinical experience, in cooperation with a group of expert surgeons, Permedica has developed **a range of implants suitable for the anterior approach.**
**EXACTA RS is the latest born!**
- Bone sparing
- Designed for MIS approaches
- Anatomical curvature and progressive growth
**Find out more on Permedica stems product range:**
- [EXACTA](https://www.permedica.it/en/exacta/)
- [EXACTA S](https://www.permedica.it/en/exacta-s/)
- [PROMISE S](https://www.permedica.it/en/promise-s/)
#### INSTRUMENTS & LEG POSITIONING SYSTEM
Based on the expertise of several DAA experts, Permedica has developed **a set of instruments for the Direct Anterior Approach.**
Instruments with ad-hoc design features are available to **simplify crucial steps of the surgical technique** and improve **effectiveness** while being **soft-tissues sparing.**
- Leg positioning system
- Retractors
- Offset broach handles
- Curved cup positioner
#### PURIST SYSTEM
In partnership with IOT, Permedica offers one of the best-in-class solutions for patient positioning, the **PURIST system.**
This next generation positioning system is designed to **boost efficiency and surgeon control** throughout the procedure.
Easy to move, user-friendly and precise, the PURIST offers many **clinical and operational advantages.**
Combine the PURIST with any standard OR table to build a superior leg positioning system.
**Categorie:** Anca, Teste Articolari
---
### [Anterior Approach](https://www.permedica.it/anterior-approach/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA PROFESSIONAL EDUCATION
Il programma formativo di Permedica è stato concepito **per stare vicino ai chirurghi** che si accostano all’approccio anteriore.
Il DAA è spesso associato ad una curva di apprendimento, quindi **supporto e formazione** sono essenziali in questa fase.
Per fornire **un servizio di alto livello e in base alle esigenze del singolo,** Permedica offre un programma di Professional Education per **accompagnare il chirurgo dalla fase iniziale** e oltre.
Permedica ha messo a punto un ampio range di attività **per promuovere la formazione** e **l’interazione tra pari.**
- Visite a Centri di Riferimento
- Visite Surgeon-to-Surgeon
- Wetlabs
- [Simposi Permedica Academy](https://www.permedica.it/professional-education/)
- Intensive weeks
#### IMPIANTI
Sulla base di numerosi anni di esperienza clinica, in collaborazione con un gruppo di chirurghi esperti, Permedica ha sviluppato **un range di impianti adatti all’approccio anteriore.**
**EXACTA RS è l’ultima novità!**
- Risparmio osseo
- Disegnato per approcci mininvasivi
- Curvatura anatomica e crescita progressiva
**Scopri di più sul product range degli steli Permedica:**
- [EXACTA](https://www.permedica.it/exacta/)
- [EXACTA S](https://www.permedica.it/exacta-s/)
- [PROMISE S](https://www.permedica.it/promise/)
#### STRUMENTI & LEG POSITIONING SYSTEM
Sulla base della competenza di numerosi esperti, Permedica ha sviluppato **un set di strumenti per l’approccio anteriore.**
Strumenti con un design ad-hoc sono disponibili per **semplificare gli step cruciali della tecnica chirurgica** e migliorare **l’efficacia** della procedura, **preservando al contempo i tessuti molli.**
- Leg positioning system
- Retrattori
- Manici porta-raspa offsettati
- Manico impattatore curvo per cotile
#### PURIST SYSTEM
In partnership con IOT, Permedica offre una delle migliori soluzioni per il posizionamento del paziente, il **PURIST system.**
Questo sistema di positioning di ultima generazione è progettato per **promuovere l’efficienza e il controllo del chirurgo** durante la procedura.
Facile da manovrare, user-friendly e preciso, il PURIST offre diversi vantaggi **clinici e operativi.**
Combina il PURIST con qualsiasi tavolo operatorio per realizzare un sistema di posizionamento di qualità superiore.
**Categorie:** Anca, Teste Articolari
---
### [GELENKABSTANDSHALTER LINIE](https://www.permedica.it/spaziatori-articolari-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-1-icona-permedica.jpg "cemento 1 icona permedica")
**HIGH VISCOSITY BONE CEMENT
mit GENTAMYCIN (SYNIMED)**
**VORTEILE:**
- Einfaches Mischen: sofortige Homogenität der Mischung
- Eine lange Verarbeitungszeit mit einem gleichmäßigen, weichen und leichten Teig
- Kurze finale Aushärtungsphase, die Mikrobewegungen der Prothese während des Abbindens minimiert
- Ausgezeichnete Knochenfüllung und mechanische Retention
- Homogene Röntgenopazität
- Der Zusatz des Antibiotikums hat keinen Einfluss auf die physikalischen Eigenschaften, das Mischen, die Handhabung oder das Einbringen des Knochenzements.
- Verlängerte Freisetzung des Antibiotikums
- Signifikante Konzentration von Antibiotika in der Spongiosa und der Kortikalis
****
**MATERIALIEN**
Pulver auf PMMA-Basis mit Antibiotikum
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-2-icona-permedica.jpg "cemento 2 icona permedica")
**HOCHVISKOSER KNOCHENZEMENT (SYNIMED)**
**VORTEILE:**
- Einfaches Mischen: sofortige Homogenität der Mischung
- Eine lange Verarbeitungszeit mit einem gleichmäßigen, weichen und leichten Teig
- Kurze finale Aushärtungsphase, die Mikrobewegungen der Prothese während des Abbindens minimiert
- Ausgezeichnete Knochenfüllung und mechanische Retention
- Homogene Röntgenopazität
****
**MATERIALIEN**
Pulver auf PMMA-Basis
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-3-icona-permedica.jpg "cemento 3 icona permedica")
**KNOCHENZEMENT MIT NIEDRIGER VISKOSITÄT
mit GENTAMYCIN (SYNIMED)**
**VORTEILE:**
- Einfaches Mischen mit perfekter Homogenität
- Eine verlängerte Fließphase mit niedriger Viskosität, die eine einfache Anwendung mit einer Spritze ermöglicht
- Zuverlässige Prothesenpositionierung und lang anhaltende Fixierung
- Eine lange Verarbeitungszeit mit einem weichen und leichten Teig
- Kurze finale Aushärtungsphase, die das Risiko von Mikrobewegungen der Prothese während der Wartezeit reduziert
- Homogene Röntgenopazität
- Der Zusatz des Antibiotikums hat keinen Einfluss auf die physikalischen Eigenschaften, das Mischen, die Handhabung oder das Einbringen des Knochenzements.
- Verlängerte Freisetzung des Antibiotikums
- Signifikante Konzentration von Antibiotika in der Spongiosa und der Kortikalis
****
**MATERIALIEN**
Pulver auf PMMA-Basis mit Antibiotikum
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-4-icona-permedica.jpg "cemento 4 icona permedica")
**KNOCHENZEMENT MIT NIEDRIGER VISKOSITÄT (SYNIMED)**
**VORTEILE:**
- Einfaches Mischen mit perfekter Homogenität
- Eine verlängerte Fließphase mit niedriger Viskosität, die eine einfache Anwendung mit einer Spritze ermöglicht
- Zuverlässige Prothesenpositionierung und lang anhaltende Fixierung
- Eine lange Verarbeitungszeit mit einem weichen und leichten Teig
- Kurze finale Aushärtungsphase, die das Risiko von Mikrobewegungen der Prothese während der Wartezeit reduziert
- Homogene Röntgenopazität
****
**MATERIALIEN**
Pulver auf PMMA-Basis
**Categorie:** Non categorizzato
---
### [LÍNEA DE SEPARADORES DE JUNTAS](https://www.permedica.it/spaziatori-articolari-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-1-icona-permedica.jpg "cemento 1 icona permedica")
**CEMENTO ÓSEO DE ALTA VISCOSIDAD
con GENTAMICINA (SYNIMED)**
**VENTAJAS:**
- Mezcla fácil: homogeneidad inmediata de la mezcla
- Un largo tiempo de trabajo con una masa uniforme, suave y fácil
- Fase de endurecimiento final corta, que minimiza los micromovimientos de la prótesis durante el fraguado
- Excelente relleno óseo y retención mecánica
- Radiopacidad homogénea
- La adición de antibiótico no afecta a las propiedades físicas, de mezcla, manipulación o inserción del cemento óseo
- Liberación prolongada del antibiótico
- Concentración significativa de antibióticos en la esponjosa y el hueso cortical
****
**MATERIALES**
Polvo a base de PMMA con antibiótico
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-2-icona-permedica.jpg "cemento 2 icona permedica")
**CEMENTO ÓSEO DE ALTA VISCOSIDAD (SYNIMED)**
**VENTAJAS:**
- Mezcla fácil: homogeneidad inmediata de la mezcla
- Un largo tiempo de trabajo con una masa uniforme, suave y fácil
- Fase de endurecimiento final corta, que minimiza los micromovimientos de la prótesis durante el fraguado
- Excelente relleno óseo y retención mecánica
- Radiopacidad homogénea
****
**MATERIALES**
Polvo a base de PMMA
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-3-icona-permedica.jpg "cemento 3 icona permedica")
**CEMENTO ÓSEO DE BAJA VISCOSIDAD
con GENTAMICINA (SYNIMED)**
**VENTAJAS:**
- Mezcla fácil con una homogeneidad perfecta
- Una fase de flujo prolongado con baja viscosidad, que permite una fácil aplicación con jeringa
- Posicionamiento fiable de la prótesis y fijación duradera
- Un largo tiempo de trabajo con una masa suave y fácil
- Breve fase de endurecimiento final, que reduce el riesgo de micromovimientos de la prótesis durante el tiempo de espera
- Radiopacidad homogénea
- La adición de antibiótico no afecta a las propiedades físicas, de mezcla, manipulación o inserción del cemento óseo
- Liberación prolongada del antibiótico
- Concentración significativa de antibióticos en la esponjosa y el hueso cortical
****
**MATERIALES**
Polvo a base de PMMA con antibiótico
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-4-icona-permedica.jpg "cemento 4 icona permedica")
**CEMENTO ÓSEO DE BAJA VISCOSIDAD (SYNIMED)**
**VENTAJAS:**
- Mezcla fácil con una homogeneidad perfecta
- Una fase de flujo prolongado con baja viscosidad, que permite una fácil aplicación con jeringa
- Posicionamiento fiable de la prótesis y fijación duradera
- Un largo tiempo de trabajo con una masa suave y fácil
- Breve fase de endurecimiento final, que reduce el riesgo de micromovimientos de la prótesis durante el tiempo de espera
- Radiopacidad homogénea
****
**MATERIALES**
Polvo a base de PMMA
**Categorie:** Non categorizzato
---
### [JOINT SPACERS LINE](https://www.permedica.it/spaziatori-articolari-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-1-icona-permedica.jpg "cemento 1 icona permedica")
**Ciment osseux à haute viscosité
avec GENTAMYCINE (SYNIMED)**
**AVANTAGES :**
- Mélange facile : homogénéité immédiate du mélange
- Une longue durée de travail avec une pâte homogène, souple et facile à travailler
- Phase de durcissement final courte, qui minimise les micro-mouvements de la prothèse lors de la prise.
- Excellent remplissage osseux et rétention mécanique
- Radiopacité homogène
- L’ajout d’un antibiotique n’affecte pas les propriétés physiques, de mélange, de manipulation ou d’insertion du ciment osseux.
- Libération prolongée de l’antibiotique
- Concentration importante d’antibiotiques dans la spongieuse et l’os cortical
****
**MATÉRIAUX**
Poudre à base de PMMA avec antibiotique
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-2-icona-permedica.jpg "cemento 2 icona permedica")
**CIMENT OSSEUX À HAUTE VISCOSITÉ (SYNIMED)**
**AVANTAGES :**
- Mélange facile : homogénéité immédiate du mélange
- Une longue durée de travail avec une pâte homogène, souple et facile à travailler
- Phase de durcissement final courte, qui minimise les micro-mouvements de la prothèse lors de la prise.
- Excellent remplissage osseux et rétention mécanique
- Radiopacité homogène
****
**MATÉRIAUX**
Poudre à base de PMMA
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-3-icona-permedica.jpg "cemento 3 icona permedica")
**Ciment osseux à faible viscosité
avec GENTAMYCINE (SYNIMED)**
**AVANTAGES :**
- Mélange facile avec une parfaite homogénéité
- Phase d’écoulement prolongé à faible viscosité, permettant une application facile à l’aide d’une seringue.
- Positionnement fiable de la prothèse et fixation durable
- Une longue durée de travail avec une pâte souple et facile à travailler
- Courte phase de durcissement final, ce qui réduit le risque de micro-mouvements de la prothèse pendant le temps d’attente.
- Radiopacité homogène
- L’ajout d’un antibiotique n’affecte pas les propriétés physiques, de mélange, de manipulation ou d’insertion du ciment osseux.
- Libération prolongée de l’antibiotique
- Concentration importante d’antibiotiques dans la spongieuse et l’os cortical
****
**MATÉRIAUX**
Poudre à base de PMMA avec antibiotique
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-4-icona-permedica.jpg "cemento 4 icona permedica")
**CIMENT OSSEUX À FAIBLE VISCOSITÉ (SYNIMED)**
**AVANTAGES :**
- Mélange facile avec une parfaite homogénéité
- Phase d’écoulement prolongé à faible viscosité, permettant une application facile à l’aide d’une seringue.
- Positionnement fiable de la prothèse et fixation durable
- Une longue durée de travail avec une pâte souple et facile à travailler
- Courte phase de durcissement final, ce qui réduit le risque de micro-mouvements de la prothèse pendant le temps d’attente.
- Radiopacité homogène
****
**MATÉRIAUX**
Poudre à base de PMMA
**Categorie:** Non categorizzato
---
### [JOINT SPACERS LINE](https://www.permedica.it/spaziatori-articolari-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-1-icona-permedica.jpg "cemento 1 icona permedica")
**HIGH VISCOSITY BONE CEMENT
with GENTAMYCIN (SYNIMED)**
**ADVANTAGES:**
- Easy mixing: immediate homogeneity of the dough
- A long working period with an even, soft and easy-to-use dough
- Short final curing phase, which minimizes micromovements of the prosthesis during setting
- Excellent bone filling and mechanical retention
- Homogeneous radiopacity
- Addition of antibiotic does not affect the physical, mixing, handling or insertion properties of bone cement
- Sustained release of antibiotic
- Significant concentration of antibiotics at the level of the spongiosa and cortical bone
****
**MATERIALS**
PMMA-based powder with antibiotic
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-2-icona-permedica.jpg "cemento 2 icona permedica")
**HIGH VISCOSITY BONE CEMENT (SYNIMED)**
**ADVANTAGES:**
- Easy mixing: immediate homogeneity of the dough
- A long work period with an even, soft and easy-to-use dough
- Short final curing phase, which minimizes micromovements of the prosthesis during setting
- Excellent bone filling and mechanical retention
- Homogeneous radiopacity
****
**MATERIALS**
PMMA-based powder
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-3-icona-permedica.jpg "cemento 3 icona permedica")
**LOW VISCOSITY BONE CEMENT
with GENTAMYCIN (SYNIMED)**
**ADVANTAGES:**
- Easy mixing with perfect homogeneity
- A prolonged flow phase with low viscosity, allowing easy application with a syringe
- Reliable prosthesis placement and long-lasting fixation
- A long work period with a soft, easy-to-use dough
- Short final curing phase, which reduces the risk of micromovement of the prosthesis during the waiting time
- Homogeneous radiopacity
- Addition of antibiotic does not affect the physical, mixing, handling or insertion properties of bone cement
- Sustained release of antibiotic
- Significant concentration of antibiotics at the level of the spongiosa and cortical bone
****
**MATERIALS**
PMMA-based powder with antibiotic
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-4-icona-permedica.jpg "cemento 4 icona permedica")
**LOW VISCOSITY BONE CEMENT (SYNIMED)**
**ADVANTAGES:**
- Easy mixing with perfect homogeneity
- A prolonged flow phase with low viscosity, allowing easy application with a syringe
- Reliable prosthesis placement and long-lasting fixation
- A long work period with a soft, easy-to-use dough
- Short final curing phase, which reduces the risk of micromovement of the prosthesis during the waiting time
- Homogeneous radiopacity
****
**MATERIALS**
PMMA-based powder
**Categorie:** Non categorizzato
---
### [SPAZIATORI ARTICOLARI LINE](https://www.permedica.it/spaziatori-articolari-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-1-icona-permedica.jpg "cemento 1 icona permedica")
**CEMENTO per ossa ad ALTA VISCOSITÀ
con GENTAMICINA (SYNIMED)**
**VANTAGGI:**
- Miscelazione agevole: omogeneità immediata dell’impasto
- Un lungo periodo di lavoro con un impasto uniforme, morbido e facile da usare
- Breve fase di indurimento finale, che riduce al minimo i micromovimenti della protesi durante la presa
- Eccellente riempimento osseo e ritenzione meccanica
- Radiopacità omogenea
- L’aggiunta di antibiotico non influisce sulle proprietà fisiche, di miscelazione, manipolazione o inserimento del cemento osseo
- Rilascio prolungato di antibiotico
- Notevole concentrazione di antibiotici a livello dell’osso spongioso e corticale
****
**MATERIALI**
Polvere a base di PMMA con antibiotico
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-2-icona-permedica.jpg "cemento 2 icona permedica")
**CEMENTO per ossa ad ALTA VISCOSITÀ (SYNIMED)**
**VANTAGGI:**
- Miscelazione agevole: omogeneità immediata dell’impasto
- Un lungo periodo di lavoro con un impasto uniforme, morbido e facile da usare
- Breve fase di indurimento finale, che riduce al minimo i micromovimenti della protesi durante la presa
- Eccellente riempimento osseo e ritenzione meccanica
- Radiopacità omogenea
****
**MATERIALI**
Polvere a base di PMMA
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-3-icona-permedica.jpg "cemento 3 icona permedica")
**CEMENTO per ossa a BASSA VISCOSITÀ
con GENTAMICINA (SYNIMED)**
**VANTAGGI:**
- Facile miscelazione con perfetta omogeneità
- Una fase di fluidità prolungata con bassa viscosità, che consente una facile applicazione con una siringa
- Posizionamento affidabile della protesi e fissaggio di lunga durata
- Un lungo periodo di lavoro con un impasto morbido e facile da usare
- Breve fase di indurimento finale, che riduce il rischio di micromovimenti della protesi durante il tempo di attesa
- Radiopacità omogenea
- L’aggiunta di antibiotico non influisce sulle proprietà fisiche, di miscelazione, manipolazione o inserimento del cemento osseo
- Rilascio prolungato di antibiotico
- Notevole concentrazione di antibiotici a livello dell’osso spongioso e corticale
****
**MATERIALI**
Polvere a base di PMMA con antibiotico
[](https://www.permedica.it/wp-content/uploads/2020/01/cemento-4-icona-permedica.jpg "cemento 4 icona permedica")
**CEMENTO per ossa a BASSA VISCOSITÀ (SYNIMED)**
**VANTAGGI:**
- Facile miscelazione con perfetta omogeneità
- Una fase di fluidità prolungata con bassa viscosità, che consente una facile applicazione con una siringa
- Posizionamento affidabile della protesi e fissaggio di lunga durata
- Un lungo periodo di lavoro con un impasto morbido e facile da usare
- Breve fase di indurimento finale, che riduce il rischio di micromovimenti della protesi durante il tempo di attesa
- Radiopacità omogenea
****
**MATERIALI**
Polvere a base di PMMA
**Categorie:** Non categorizzato
---
### [GKS AM](https://www.permedica.it/gks-am/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
**GKS AM** es un **modular**
para la artrodesis de la articulación de la rodilla. Este tipo de implante ofrece una opción adicional para la conservación del miembro inferior. La inserción de la prótesis en el hueso puede realizarse de dos formas distintas:
- Encaje a presión
- Cementación
Está indicado en el caso de:
- Resultados de una prótesis de rodilla o de una prótesis de rodilla postraumática cuando no es aconsejable una prótesis de rodilla de revisión
- Artrodesis cuando se requiere una carga inmediata de la pierna
- Pérdida o daño del aparato muscular
- Patologías neuromusculares
**GKS AM** es un **modular** compuesto por
Raíz femoral
Tornillos de rosca:
Útiles para conectar los vástagos a los componentes tibial y femoral.
Están disponibles en dos longitudes diferentes.
Raíz tibial
**Cuerpo central** dividido a su vez en
Componente tibial
Componente femoral
Tornillos de bloqueo del módulo central
El módulo central se concibió como un elemento de conjugación entre la raíz primaria tibial y la femoral.
Los tornillos de fijación impiden el movimiento relativo de traslación y rotación en todos los planos principales.
Para respetar la configuración anatómica de la rodilla, además de una flexión de 7° hay 3 inclinaciones diferentes posibles:
- 6º derecha
- 0° neutro
- 6º izquierda
****
**MATERIALES**
Componente femoral y tibial del cuerpo central de aleación de Ti – ISO 5832/11. Tornillos de fijación para la conexión del cuerpo central de aleación de Ti – ISO 5832/11 con revestimiento de TiNbN. Módulo intramedular y de extensión de aleación de Ti – ISO 5832/11. Tornillos de fijación para la conexión del cuerpo central de aleación de Ti – ISO 5832/11 con revestimiento de TiNbN.
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS AM](https://www.permedica.it/gks-am/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
**GKS AM** is a **modular** system for knee joint arthrodesis.
This type of implant offers an additional option for preservation of the lower limb.
Insertion of the prosthesis into the bone can be done in two different ways
- Press-fit
- Cementation
It is indicated in the case of:
- Outcomes of a knee replacement explant or post traumatic knee replacement when a revision prosthesis is not advisable
- Arthrodesis where immediate loading of the leg is required
- Loss or damage to the muscular system
- Neuromuscular pathologies
**GKS AM** is a **modular** system composed of:
Femoral stem
Stem screws:
Useful to connect the stems to the two components tibial and femoral.
They are available in two different lengths.
Tibial stem
**Central body** divided into:
Tibial component
Femoral component
Locking screws for the central module
The central module was designed as a conjugation element between the tibial and femoral stem.
Fixation screws prevent both translational and rotational relative motion in all major planes.
To respect the **anatomical configuration** of the knee, in addition to a **flexion of 7°** there are 3 different possible inclinations:
- 6° right
- 0° neutral
- 6° left
****
**MATERIALI**
Femoral and tibial component of the central body made of Ti alloy – ISO 5832/11.
Locking screws of the central module in Ti Alloy – ISO 5832/11 with TiNbN coating.
Intramedullary stems and elongation module in Ti Alloy – ISO 5832/11.
Fixation screws for connecting the stems with the central body in Ti Alloy – ISO 5832/11 and TiNbN coating.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS AM](https://www.permedica.it/gks-am/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
**GKS AM** is a **modular** system for knee joint arthrodesis.
This type of implant offers an additional option for preservation of the lower limb.
Insertion of the prosthesis into the bone can be done in two different ways
- Press-fit
- Cementation
It is indicated in the case of:
- Outcomes of a knee replacement explant or post traumatic knee replacement when a revision prosthesis is not advisable
- Arthrodesis where immediate loading of the leg is required
- Loss or damage to the muscular system
- Neuromuscular pathologies
**GKS AM** is a **modular** system composed of:
Femoral stem
Stem screws:
Useful to connect the stems to the two components tibial and femoral.
They are available in two different lengths.
Tibial stem
**Central body** divided into:
Tibial component
Femoral component
Locking screws for the central module
The central module was designed as a conjugation element between the tibial and femoral stem.
Fixation screws prevent both translational and rotational relative motion in all major planes.
To respect the **anatomical configuration** of the knee, in addition to a **flexion of 7°** there are 3 different possible inclinations:
- 6° right
- 0° neutral
- 6° left
****
**MATERIALI**
Femoral and tibial component of the central body made of Ti alloy – ISO 5832/11.
Locking screws of the central module in Ti Alloy – ISO 5832/11 with TiNbN coating.
Intramedullary stems and elongation module in Ti Alloy – ISO 5832/11.
Fixation screws for connecting the stems with the central body in Ti Alloy – ISO 5832/11 and TiNbN coating.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS AM](https://www.permedica.it/gks-am/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
**GKS AM** is a **modular** system for knee joint arthrodesis.
This type of implant offers an additional option for preservation of the lower limb.
Insertion of the prosthesis into the bone can be done in two different ways
- Press-fit
- Cementation
It is indicated in the case of:
- Outcomes of a knee replacement explant or post traumatic knee replacement when a revision prosthesis is not advisable
- Arthrodesis where immediate loading of the leg is required
- Loss or damage to the muscular system
- Neuromuscular pathologies
**GKS AM** is a **modular** system composed of:
Femoral stem
Stem screws:
Useful to connect the stems to the two components tibial and femoral.
They are available in two different lengths.
Tibial stem
**Central body** divided into:
Tibial component
Femoral component
Locking screws for the central module
The central module was designed as a conjugation element between the tibial and femoral stem.
Fixation screws prevent both translational and rotational relative motion in all major planes.
To respect the **anatomical configuration** of the knee, in addition to a **flexion of 7°** there are 3 different possible inclinations:
- 6° right
- 0° neutral
- 6° left
****
**MATERIALI**
Femoral and tibial component of the central body made of Ti alloy – ISO 5832/11.
Locking screws of the central module in Ti Alloy – ISO 5832/11 with TiNbN coating.
Intramedullary stems and elongation module in Ti Alloy – ISO 5832/11.
Fixation screws for connecting the stems with the central body in Ti Alloy – ISO 5832/11 and TiNbN coating.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS AM](https://www.permedica.it/gks-am/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
**GKS AM** è un sistema **modulare** per l’artrodesi dell’articolazione del ginocchio.
Questa tipologia di impianto offre un’opzione aggiuntiva per la preservazione dell’arto inferiore.
L’inserimento della protesi nell’osso può avvenire con due modalità differenti:
- Press-fit
- Cementazione
È indicato nel caso di:
- Esiti di un espianto di una protesi di ginocchio o post traumatiche quando non è consigliabile una protesi da revisione
- Artrodesi in cui sia necessario un carico immediato della gamba
- Perdita o danneggiamento dell’apparato muscolare
- Patologie neuromuscolari
**GKS AM** è un sistema **modulare** composto da:
Fittone femorale
Viti per fittone:
Utili a connettere gli steli alle due componenti tibiale e femorale.
Sono disponibili in due lunghezze differenti.
Fittone tibiale
**Corpo centrale** suddiviso a sua volta in:
Componente tibiale
Componente femorale
Viti di bloccaggio del modulo centrale
Il modulo centrale è stato concepito come elemento di coniugazione fra il fittone tibiale e quello femorale.
Le viti di fissaggio impediscono il movimento relativo sia traslazionale che rotazionale in tutti i piani principali.
Per rispettare la configurazione anatomica del ginocchio, oltre ad una flessione di 7° ci sono 3 diverse inclinazioni possibili:
- 6° destro
- 0° neutro
- 6° sinistro
****
**MATERIALI**
Componente femorale e tibiale del corpo centrale in Lega di Ti – ISO 5832/11.
Viti di fissaggio del modulo centrale in Lega di Ti – ISO 5832/11 con rivestimento in TiNbN.
Fittoni intra-midollari e modulo di allungamento in Lega di Ti – ISO 5832/11.
Viti di fissaggio per la connessione dei fittoni con il corpo centrale in Lega di Ti – ISO 5832/11 e rivestimento in TiNbN.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [LÍNEA MAXILOFACIAL](https://www.permedica.it/maxillofacial-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon.png "Teca cranica icon")
**TECLA CRANEAL**
Puede ser necesario reconstruir o reparar partes del cráneo que han sido dañadas o extirpadas como consecuencia de un traumatismo, una enfermedad o una intervención quirúrgica. El procedimiento reconstructivo de la teca craneal tiene por objeto restablecer su anatomía y función, proporcionando protección al cerebro y un aspecto estético satisfactorio.
****
**MATERIALES**
Dos opciones posibles: PEEK Aleación de titanio Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/temporo-mandibolare-def.png "temporo-mandibolare def")
**TEMPOROMANDIBULAR**
La articulación temporomandibular actúa como unión entre la mandíbula y el cráneo. Las enfermedades o problemas de la articulación pueden causar dolor, dificultades para masticar y otros trastornos relacionados con el mal funcionamiento de la mandíbula. La reconstrucción tiene por objeto recuperar y restablecer la función de la articulación temporomandibular.
****
**MATERIALES**
Componentes condilares: Aleación de titanio Ti6Al4V Dorso metálico glene: Aleación de titanio Ti6Al4V Insertos o glene: Polietileno completo (UHMWPE)
[](https://www.permedica.it/wp-content/uploads/2023/10/Placche-def.png "Placche def")
**LUGARES**
Las placas son dispositivos utilizados en cirugía maxilofacial, principalmente tras traumatismos y/o fracturas. Su función es estabilizar y sostener los huesos circundantes y facilitar la cicatrización. Existen distintos tipos de placas con formas diferentes según su función y ubicación.
****
**MATERIALES**
Aleación de titanio Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/placche-mandibolari-def.png "placche mandibolari def")
**PLACAS MANDIBULARES**
Las placas mandibulares se utilizan para estabilizar y sostener la mandíbula. Existen distintas variantes de este tipo de placa que pueden integrar o no el cóndilo mandibular. Las placas mandibulares son útiles para restablecer o mantener la función articular natural.
****
**MATERIALES**
Aleación de titanio Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/Ricostruzioni-zigomatiche-def.png "Ricostruzioni zigomatiche def")
**RECONSTRUCCIONES CIGOMÁTICAS**
La reconstrucción se realiza tras deformidades faciales congénitas, fracturas óseas graves debidas a traumatismos, extirpación de tumores u otras patologías. La finalidad de esta reconstrucción es restablecer la función y la estética en pacientes que han perdido parte del hueso cigomático.
****
**MATERIALES**
PEEK
[](https://www.permedica.it/wp-content/uploads/2023/10/pavimenti-orbitali-copia.png "pavimenti orbitali copia")
**PISOS ORBITARIOS**
Se trata de dispositivos que afectan al suelo de la órbita, la zona ósea de la cuenca del ojo. Este tipo de implante está diseñado para restaurar la forma y la función de la órbita en caso de traumatismo, deformidades congénitas u otras condiciones patológicas.
****
**MATERIALES**
Aleación de titanio Ti6Al4V
**Categorie:** Non categorizzato
---
### [SKIPPER](https://www.permedica.it/skipper/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/board-screw-immagine-numerata-DEFINITIVA.jpg "board screw immagine numerata DEFINITIVA")
**BOARD SCREW**
Self-breaking screw available in two different diameters
( 2 mm or 2.7 mm).
Indicated in diaphyseal fractures of the phalanges and for Weil’s osteotomy.
Tip: self-breaking and self-drilling
Quick and easy insertion using minimal instruments (power drill)
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Peak-immagine-numerata-vert-896x1024.jpg "Peak immagine numerata vert")
**PEAK**
Headless cannulated screw with variable section from cylindrical to conical, available in two diameters (2.5 mm or 3 mm) full thread or double thread respectively.
Indicated for small bone fractures, osteotomies (metatarsals) and arthrodesis.
Tip: self-tapping and self-drilling
Thread with different pitch between the cylindrical and conical part
Conical part has 45° milling to reduce screw protrusion in case of oblique insertion
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Vang-immagine-numerata-2.jpg "Vang immagine numerata 2")
**VANG**
Double-threaded cannulated screw without head, indicated for various applications of foot surgery.
Available in 4 different diameters:
- 3 mm
- 3.5 mm
- 4.5 mm
- 6.5 mm
Tip: self-drilling
Tip: self-tapping (only in 4.5 mm and 6.5 mm diameter screws)
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/stick-immagine-numerata-DEFINITIVA.jpg "stick immagine numerata DEFINITIVA")
**STICK**
STICK is the set of burrs and screws that offer the ability to be used for various surgical techniques.
Advantages of using minimally invasive surgery such as that provided by the STICK package:
- Tissue savings
- Minimal scarring
- Decreased infections
- Rapid functional recovery
Screws: double-threaded to guarantee the best endurance
Burrs: designed to create precise and mini-invasive osteotomies
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Bowline-immagine-numerata-definitiva.jpg "Bowline immagine numerata definitiva")
**BOWLINE**
Cannulated screw for flat foot treatment.
It is available in 3 lengths and has a diameter of 7mm.
Head: with conical geometry positioned eccentrically to the thread axis
Tip: self-tapping and self-drilling
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/strop-immagine-con-scritte_agg-1.jpg "strop immagine con scritte_agg")
**STROP**
Lateral teeth provide excellent anchorage within the bone
Easy-to-use instrumentation:
- Guiding templates allow correct placement of cambers
- The compressor is able to hold the bone fragments in the correct positions until the cambers are placed
****
**MATERIALS**
Stainless Steel AISI316L
[](https://www.permedica.it/wp-content/uploads/2020/01/endortesis-immagine-numerata-_def.jpg "endortesis immagine numerata _def")
**EXPANSION ENDORTHESIS**
The expansion endorthesis is a device used in the treatment of flat foot.
It is indicated in typically developing children between 8 and 12 years of age.
The device is available in 4 different diameters and 4 different lengths and consists of two components:
Screw
Spacer
****
**MATERIALS**
Screw: Ti6Al4V
Spacer: UHMWPE
**Categorie:** Piede
---
### [SKIPPER](https://www.permedica.it/skipper/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/board-screw-immagine-numerata-DEFINITIVA.jpg "board screw immagine numerata DEFINITIVA")
**BOARD SCREW**
Self-breaking screw available in two different diameters
( 2 mm or 2.7 mm).
Indicated in diaphyseal fractures of the phalanges and for Weil’s osteotomy.
Tip: self-breaking and self-drilling
Quick and easy insertion using minimal instruments (power drill)
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Peak-immagine-numerata-vert-896x1024.jpg "Peak immagine numerata vert")
**PEAK**
Headless cannulated screw with variable section from cylindrical to conical, available in two diameters (2.5 mm or 3 mm) full thread or double thread respectively.
Indicated for small bone fractures, osteotomies (metatarsals) and arthrodesis.
Tip: self-tapping and self-drilling
Thread with different pitch between the cylindrical and conical part
Conical part has 45° milling to reduce screw protrusion in case of oblique insertion
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Vang-immagine-numerata-2.jpg "Vang immagine numerata 2")
**VANG**
Double-threaded cannulated screw without head, indicated for various applications of foot surgery.
Available in 4 different diameters:
- 3 mm
- 3.5 mm
- 4.5 mm
- 6.5 mm
Tip: self-drilling
Tip: self-tapping (only in 4.5 mm and 6.5 mm diameter screws)
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/stick-immagine-numerata-DEFINITIVA.jpg "stick immagine numerata DEFINITIVA")
**STICK**
STICK is the set of burrs and screws that offer the ability to be used for various surgical techniques.
Advantages of using minimally invasive surgery such as that provided by the STICK package:
- Tissue savings
- Minimal scarring
- Decreased infections
- Rapid functional recovery
Screws: double-threaded to guarantee the best endurance
Burrs: designed to create precise and mini-invasive osteotomies
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Bowline-immagine-numerata-definitiva.jpg "Bowline immagine numerata definitiva")
**BOWLINE**
Cannulated screw for flat foot treatment.
It is available in 3 lengths and has a diameter of 7mm.
Head: with conical geometry positioned eccentrically to the thread axis
Tip: self-tapping and self-drilling
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/strop-immagine-con-scritte_agg-1.jpg "strop immagine con scritte_agg")
**STROP**
Lateral teeth provide excellent anchorage within the bone
Easy-to-use instrumentation:
- Guiding templates allow correct placement of cambers
- The compressor is able to hold the bone fragments in the correct positions until the cambers are placed
****
**MATERIALS**
Stainless Steel AISI316L
[](https://www.permedica.it/wp-content/uploads/2020/01/endortesis-immagine-numerata-_def.jpg "endortesis immagine numerata _def")
**EXPANSION ENDORTHESIS**
The expansion endorthesis is a device used in the treatment of flat foot.
It is indicated in typically developing children between 8 and 12 years of age.
The device is available in 4 different diameters and 4 different lengths and consists of two components:
Screw
Spacer
****
**MATERIALS**
Screw: Ti6Al4V
Spacer: UHMWPE
**Categorie:** Piede
---
### [SKIPPER](https://www.permedica.it/skipper/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/board-screw-immagine-numerata-DEFINITIVA.jpg "board screw immagine numerata DEFINITIVA")
**BOARD SCREW**
Self-breaking screw available in two different diameters
( 2 mm or 2.7 mm).
Indicated in diaphyseal fractures of the phalanges and for Weil’s osteotomy.
Tip: self-breaking and self-drilling
Quick and easy insertion using minimal instruments (power drill)
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Peak-immagine-numerata-vert-896x1024.jpg "Peak immagine numerata vert")
**PEAK**
Headless cannulated screw with variable section from cylindrical to conical, available in two diameters (2.5 mm or 3 mm) full thread or double thread respectively.
Indicated for small bone fractures, osteotomies (metatarsals) and arthrodesis.
Tip: self-tapping and self-drilling
Thread with different pitch between the cylindrical and conical part
Conical part has 45° milling to reduce screw protrusion in case of oblique insertion
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Vang-immagine-numerata-2.jpg "Vang immagine numerata 2")
**VANG**
Double-threaded cannulated screw without head, indicated for various applications of foot surgery.
Available in 4 different diameters:
- 3 mm
- 3.5 mm
- 4.5 mm
- 6.5 mm
Tip: self-drilling
Tip: self-tapping (only in 4.5 mm and 6.5 mm diameter screws)
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/stick-immagine-numerata-DEFINITIVA.jpg "stick immagine numerata DEFINITIVA")
**STICK**
STICK is the set of burrs and screws that offer the ability to be used for various surgical techniques.
Advantages of using minimally invasive surgery such as that provided by the STICK package:
- Tissue savings
- Minimal scarring
- Decreased infections
- Rapid functional recovery
Screws: double-threaded to guarantee the best endurance
Burrs: designed to create precise and mini-invasive osteotomies
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Bowline-immagine-numerata-definitiva.jpg "Bowline immagine numerata definitiva")
**BOWLINE**
Cannulated screw for flat foot treatment.
It is available in 3 lengths and has a diameter of 7mm.
Head: with conical geometry positioned eccentrically to the thread axis
Tip: self-tapping and self-drilling
****
**MATERIALS**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/strop-immagine-con-scritte_agg-1.jpg "strop immagine con scritte_agg")
**STROP**
Lateral teeth provide excellent anchorage within the bone
Easy-to-use instrumentation:
- Guiding templates allow correct placement of cambers
- The compressor is able to hold the bone fragments in the correct positions until the cambers are placed
****
**MATERIALS**
Stainless Steel AISI316L
[](https://www.permedica.it/wp-content/uploads/2020/01/endortesis-immagine-numerata-_def.jpg "endortesis immagine numerata _def")
**EXPANSION ENDORTHESIS**
The expansion endorthesis is a device used in the treatment of flat foot.
It is indicated in typically developing children between 8 and 12 years of age.
The device is available in 4 different diameters and 4 different lengths and consists of two components:
Screw
Spacer
****
**MATERIALS**
Screw: Ti6Al4V
Spacer: UHMWPE
**Categorie:** Piede
---
### [SKIPPER](https://www.permedica.it/skipper/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/board-screw-immagine-numerata-DEFINITIVA.jpg "board screw immagine numerata DEFINITIVA")
**TORNILLO DE TABLA**
Tornillo autorrompible disponible en dos diámetros diferentes ( 2 mm o 2,7 mm). Indicado en fracturas diafisarias de las falanges y para la osteotomía de Weil.
Broca: autorroscante y autoperforante
Inserción rápida y fácil utilizando un instrumental mínimo (taladro motorizado)
****
**MATERIALES**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Peak-immagine-numerata-vert-896x1024.jpg "Peak immagine numerata vert")
**PICO**
Tornillo canulado sin cabeza de sección variable de cilíndrica a cónica, disponible en dos diámetros (2,5 mm o 3 mm) con rosca completa o doble rosca respectivamente. Adecuado para fracturas de huesos pequeños, osteotomías (metatarsianas) y artrodesis.
Broca: autorroscante y autoperforante
Roscas con diferente paso entre la parte cilíndrica y la cónica
La parte cónica tiene un fresado de 45° para reducir el saliente del tornillo en caso de inserción oblicua
****
**MATERIALES**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Vang-immagine-numerata-2.jpg "Vang immagine numerata 2")
**VANG**
Tornillo canulado de doble rosca sin cabeza, adecuado para diversas aplicaciones de cirugía del pie. Disponible en 4 Ø diferentes:
- 3 mm
- 3,5 mm
- 4,5 mm
- 6,5 mm
Consejo: autoenhebrado
Broca: autoperforante (sólo tornillos de 4,5 y 6,5 mm de diámetro)
****
**MATERIALES**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/stick-immagine-numerata-DEFINITIVA.jpg "stick immagine numerata DEFINITIVA")
**STICK**
STICK es un conjunto de brocas y tornillos que pueden utilizarse para diversas técnicas quirúrgicas. Ventajas de utilizar la cirugía mínimamente invasiva como la que proporciona el conjunto STICK:
- Ahorrar tejidos
- Cicatrices mínimas
- Disminución de las infecciones
- Rápida recuperación funcional
Tornillos: de doble rosca para garantizar una excelente estanqueidad
Fresas: diseñadas para crear osteotomías precisas y miniinvasivas
****
**MATERIALES**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Bowline-immagine-numerata-definitiva.jpg "Bowline immagine numerata definitiva")
**BOWLINE**
Tornillo canulado para el tratamiento del pie plano. Está disponible en 3 longitudes y tiene un diámetro de 7 mm.
Cabeza: geometría cónica colocada excéntricamente respecto al eje de la rosca
Broca: autorroscante y autoperforante
****
**MATERIALES**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/strop-immagine-con-scritte_agg-1.jpg "strop immagine con scritte_agg")
**STROP**
Los dientes laterales proporcionan un excelente anclaje en el hueso
Instrumentación fácil de usar:
- Las plantillas guía permiten colocar correctamente los peraltes
- El compresor es capaz de mantener los fragmentos óseos en las posiciones correctas hasta que se colocan los cambers
****
**MATERIALES**
Acero inoxidable AISI316L
[](https://www.permedica.it/wp-content/uploads/2020/01/endortesis-immagine-numerata-_def.jpg "endortesis immagine numerata _def")
**Expansión ENDORTS**
La endortesis de expansión es un dispositivo utilizado en el tratamiento del pie plano. Está indicada en niños con un desarrollo típico de entre 8 y 12 años.
El dispositivo está disponible en 4 diámetros y 4 longitudes diferentes y consta de dos componentes:
Tornillo
Espaciador
****
**MATERIALES**
Tornillo: Ti6Al4V Espaciador: UHMWPE
**Categorie:** Non categorizzato
---
### [CEMENTO ÓSEO](https://www.permedica.it/cemento-osseo/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/es/linea-de-separadores-de-juntas/#gentacimina)[](https://www.permedica.it/es/linea-de-separadores-de-juntas/#gentacimina)
CEMENTO ÓSEO DE ALTA VISCOSIDAD CON GENTAMICINA
[](https://www.permedica.it/es/linea-de-separadores-de-juntas/#ALTAVISCOSIDAD)[](https://www.permedica.it/es/linea-de-separadores-de-juntas/#ALTAVISCOSIDAD)
CEMENTO ÓSEO ALTA VISCOSIDAD
[](https://www.permedica.it/es/linea-de-separadores-de-juntas/#SYNIMED)[](https://www.permedica.it/es/linea-de-separadores-de-juntas/#SYNIMED)
CEMENTO ÓSEO DE BAJA VISCOSIDAD CON GENTAMICINA
[](https://www.permedica.it/es/linea-de-separadores-de-juntas/#VISCOSIDAD)[](https://www.permedica.it/es/linea-de-separadores-de-juntas/#VISCOSIDAD)
CEMENTO ÓSEO BAJA VISCOSIDAD
**Categorie:** Anca, Spalla, Teste Articolari, Ginocchio
---
### [SUSTITUTOS ÓSEOS](https://www.permedica.it/advancore-by-artur-salgado-sa/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
Sorry, your browser doesn't support embedded videos.
#### SUSTITUTOS ÓSEOS ADVANCORE
AdvanCore, fabricado por Artur Salgado Sa, es un **sustituto óseo** altamente poroso.
Se desarrolló para **reducir los defectos óseos** mecánicos, patológicos o **traumáticos causados por cirugía o traumatismos.**
Su composición de Fosfato Beta-Tricálcico permite a AdvanCore **favorecer la remodelación ósea**.
#### DIFERENTES SOLUCIONES
Los sustitutos óseos AdvanCore están disponibles en **cuatro formatos:**
- **Bloques** AdvanCore
- **Cuñas** AdvanCore
- AdvanCore **Granulado en ampollas de vidrio**
- AdvanCore **Granulado en jeringa**
**Categorie:** Anca, Spalla, Teste Articolari, Ginocchio
---
### [PROMESA S](https://www.permedica.it/promise/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Respeta la anatomía
Curvatura anatómica
Ahorro de hueso
Soporte de carga fisiológica
**Gama de productos:** 7 tamaños anatómicos
a presión y cementados
El vástago **PROMISE S** se caracteriza por una forma anatómica y unas dimensiones reducidas que permiten un acceso mínimamente invasivo, la conservación del cuello femoral y una extracción mínima de hueso en la región metafisaria.
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-1.jpg "PROMISE 1")
Soporte de carga fisiológica
La anatomía del cuello femoral y la aparición de las líneas de fuerza en la región del calcar muestran estructuras muy fuertes con una gran capacidad de carga. Además, debido a la posición angulada del cuello femoral, su conservación estabiliza el vástago al impedir los movimientos de torsión \[1\].
###### \[1\] Tobin WJ (1955): La arquitectura interna del fémur y su significado clínico. J Bone Joing Surg Am 37:41-57 .
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-2.jpg "PROMISE 2")
Mantener la circulación sanguínea
Con el cuello femoral intacto, se conservan las ramas de la arteria circunfleja, que aseguran el riego sanguíneo a la parte proximal del fémur, salvaguardando las estructuras óseas que sirven de soporte al implante.
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-3.jpg "PROMISE 3")
Recubrimiento superficial
La versión no cementada está recubierta de **HaX-Pore**Titanio puro de 500 µm
y 40 µm de hidroxiapatita aplicada con una técnica de pulverización de plasma, para conseguir una buena estabilización primaria y favorecer la colonización de los osteoblastos.
Nicho para impactador
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-4.jpg "PROMISE 4")
Versión cementada **PROMISE S Plus**
Presenta una superficie pulida a espejo.
Cono 12/14
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-5.jpg "PROMISE 5")
Orificio de inserción/extracción en el vértice del cono
Curvatura anatómica
Surco longitudinal antirrotacional
****
**MATERIAL** El vástago PROMISE S, tanto en su versión a presión como cementada, está fabricado con la aleación
Titanio Aluminio Niobio conforme a la norma ISO5832/11.
[Productos Anca](https://www.permedica.it/es/profesionales-medicos/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-1.jpg "PS 1")
**Gama de productos:** 10 tamaños de fémur, 10 tamaños de tibia, 9 grosores de inserto\*.
**GKS PRIME FLEX PS** es la versión posteroestabilizada y de placa fija del sistema. El componente femoral sólo está disponible en versión cementada, mientras que el **componente** tibial utiliza el **mismo componente compatible con TOP que laversión CR.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Componente femoral
El componente femoral se ha diseñado para minimizar el sacrificio óseo gracias a su reducido grosor y a los incrementos de tamaño (2 mm), así como al tamaño reducido de la caja intercondilar (fondo abierto) y a la ausencia de pernos femorales.
Está disponible en 10 tamaños en versión **MICROLOY ®** y con revestimiento superficial **VITAL-B®**, ambos para aplicación cementada. Se ha prestado especial atención al mecanismo de estabilización posterior, para reducir la tensión y garantizar **un retroceso gradual** con un contacto “suave” entre el poste y la leva.
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-3_logo.jpg "PS 3_logo")
Inserto articular PS El inserto articular está diseñado para permitir un **amplio** acoplamiento **FEMOR/TIBIA**, garantizando **que cada tamaño de fémur pueda emparejarse con hasta 6 tamaños de tibia**. Cada tamaño de inserto se ajusta a 2 tamaños de placa tibial y está disponible en 9 grosores\*, tanto en UHMWPE como en VITAL-E**®. Un**código de colores** guía el correcto acoplamiento del inserto con los componentes femoral y tibial. \*Algunos grosores pueden ser bajo pedido.**
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-4_Duo_logo.jpg "PS 4_Duo_logo")
Componente tibial
El componente tibial **TOP** está disponible en versión cementada y no cementada con revestimiento HaX-Pore**®**. Presenta una meseta con cuerpo central cónico y aletas laterales dispuestas en forma de delta. Está disponible en 10 tamaños, divididos en 5 pares, cada uno de los cuales admite un tamaño de inserto y es **compatible con el sistema GKS PRIME FLEX CR.**
****
**MATERIALES**
Componentes femorales de aleación de Cromo Cobalto ISO5832/4. Inserto articular de UHMWPE ISO5834/1/2 también disponible en VITAL-E® (polietileno con antioxidante añadido Vitamina E). Componente tibial de aleación de Titanio Aluminio Vanadio ISO5832/3.
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-1.jpg "PS 1")
**Produktauswahl:** 10 verschiedene Grössen auf der femoralen Seite,
10 auf der tibialen Seite und 9 Höhen\* des tibialen Einsatzes
**GKS PRIME FLEX PS** ist die posterior stabilisierte Option des Systems mit fixem Gleitlager/Inlay.
Die femorale Komponente ist nur in der zementierten Version erhältlich und **die tibiale Komponente ist dieselbe Tibia-TOP, die mit der CR-Version kompatibel ist.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Femorale Komponente
Die femorale Komponente wurde aufgrund der begrenzten Dicke und der reduzierten Größenabstufung (2 mm) sowie des reduzierten Volumens der sowie des reduzierten Volumens der interkondylären Box (offener Boden) und des Fehlens der femoralen Zapfen, für einen minimalen Knochenverlust, entwickelt.
Die Femurkomponente ist in 10 Größen in der **MICROLOY®**-Version und mit **VITAL-B®**-Oberflächenbeschichtung erhältlich, beide für die zementierte Anwendungen.
Besonderes Augenmerk wurde auf den posterioren Stabilisierungsmechanismus gelegt, um die Spannungen zu reduzieren und ein **schrittweises Zurückrollen** mit einem “weichen” Kontakt zwischen Zapfen und Steg zu gewährleisten.
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-3_logo.jpg "PS 3_logo")
PS Inlay
Die Inlays bestehen aus UHMWPE, das auch in der VITAL-E®-Version erhältlich ist (UHMW-Polyethylen mit Antioxidans Vitamin E). **Es ist so konzipiert, dass eine breite FEMUR / TIBIA-Paarung möglich ist, die für jede Femurgröße die Zuordnung mit 6 Tibiagrößen garantiert.**
Jede Einsatzgröße passt zu 2 Größen der Tibiaplatte und ist in 9 Höhen\*.
Die korrekte Zuordnung des Gelenkinlays mit den femoralen und tibialen Komponenten wird durch einen **Farbcode** gesteuert.
\* Einige Höhen sind auf Anfrage möglich.
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-4_Duo_logo.jpg "PS 4_Duo_logo")
Tibiale Komponente
Die **TOP** Tibia-Komponente ist in einer zementierten und zementfreien **HaX-Pore®**-beschichteten Version erhältlich.
Es zeichnet sich durch eine Grundplatte mit konischem Mittelkörper und Delta-versetzten Seitenflügeln aus.
Es ist in 10 Größen erhältlich, die in 5 farbcodierte Gruppen unterteilt sind, von denen jede mit einer Einsatzgröße ausgestattet ist. **Es ist mit der Option GKS PRIME FLEX CR kompatibel.**
****
**MATERIALIEN**
Femurkomponenten: CoCr-Legierung ISO5832/4.
Inlays: UHMWPE ISO5834 / 1/2 erhältlich auch in der VITAL-E®-Version (UHMWPE mit antioxidativem Vitamin E).
Tibiakomponente: Titan-Aluminium-Vanadium-Legierung ISO5832/3.
[Knie Produkte](https://www.permedica.it/de/medizinische-fachkraefte/knie/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-1.jpg "PS 1")
**Gamme de produits:** 10 tailles fémorales;
10 tailles tibiales; 9 épaisseurs\* d’insert
**GKS PRIME FLEX PS** est l’option postérieurement stabilisée du système.
**Le composant fémoral n’est disponible que dans la version cimentée et le composant tibial est le même tibia TOP compatible avec**
**la version CR.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Composant fémoral
Le composant fémoral a été conçu pour réduire au maximum les sacrifices osseux, en raison de son épaisseur limitée et de ses incréments de taille réduits (2 mm), ainsi que de l’encombrement réduit de la boîte intercondylienne (fond ouvert) et de l’absence des chevilles fémorales.
Il est disponible en 10 tailles dans la version **MICROLOY®** et avec le revêtement de surface **VITAL-B®**, tous deux pour une application cimentée.
Une attention particulière a été accordée au mécanisme de stabilisation postérieure, afin de réduire les contraintes et de garantir un **retour progressif** avec un contact “doux” entre le post et le came.
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-3_logo.jpg "PS 3_logo")
Insert articulair PS
L’insert articulair est en UHMWPE, également disponible en version VITAL-E® (polyéthylène UHMW additionné d’antioxydant Vitamine E). **Il est conçu pour permettre un large couplage FEMUR / TIBIA en garantissant pour chaque taille fémorale le couplage avec 6 tailles tibiales.**
Chaque taille d’insert est compatible avec 2 tailles de plateau tibial et il est disponible en 9 épaisseurs\*.
Le couplage correct de l’insert articulair avec les composants fémoral et tibial est guidé par un **code de couleur.**
\* Certaines épaisseurs peuvent être demandées.
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-4_Duo_logo.jpg "PS 4_Duo_logo")
Composant tibial
Le composant Tibial **TOP** est fabriqué en alliage titane-aluminium-vanadium et est disponible en version, cimentée et sans ciment **HaX-Pore®** (revêtement).
Il est caractérisé par un plateau de base avec un corps central conique et des ailes latérales déplacées en delta.
Il existe en 10 tailles divisées en 5 groupes de couleurs différentes, chacun avec une taille d’insert. **Il est compatible avec l’option GKS PRIME FLEX CR.**
****
**MATERIAUX**
Composants fémoraux: alliage CoCr ISO5832/4.
Insert articulaire: UHMWPE ISO5834/1/2 disponible également en version VITAL-E® (UHMWPE ajouté avec de la vitamine E antioxydante).
Composant tibial: alliage titane aluminium vanadium ISO5832/3.
[Produits pour le genou](https://www.permedica.it/fr/professionnels-medicaux/genou/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-1.jpg "PS 1")
**Product range:** 10 femoral sizes; 10 tibial sizes;
9 insert thicknesses\*
**GKS PRIME FLEX PS** is the fixed bearing posterior-stabilized option of the system.
The femoral component is available in the cemented version only and the tibial component is **the same tibia TOP compatible with**
**the CR version.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Femoral component
The femoral component was designed for minimal bone sacrifice thanks to the limited thickness and reduced size increments (2mm) as well as the reduced bulk of the intercondylar box (open bottom) and the absence of the femoral pegs.
It is available in 10 sizes in **MICROLOY®** version and with **VITAL-B®** surface coating, both for cemented application.
Particular attention has been given to the posterior stabilization mechanism, in order to reduce the stresses and guarantee a **gradual roll-back** with a “soft” contact between post and cam.
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-3_logo.jpg "PS 3_logo")
Articular insert PS
The articular insert is designed to **allow a wide FEMUR/TIBIA pairing guaranteeing for each femoral size the coupling with 6 tibial sizes.**
Each size of insert fits with 2 sizes of Tibial Plate and is available in 9 thicknesses\*, both in UHMWPE and VITAL-E®.
The correct coupling of the joint liner with the femoral and tibial components is guided by a **colour code.**
\* Some thicknesses may be on request.
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-4_Duo_logo.jpg "PS 4_Duo_logo")
Tibial component
The **TOP** Tibial Component is available in cemented and cementless **HaX-Pore®** coated version.
It is characterized by a baseplate with a conical central body and delta displaced lateral wings.
It comes in 10 sizes divided into 5 colour coded groups, each one fitting with 1 insert size and it is **compatible with the GKS PRIME FLEX CR option.**
****
**MATERIALS**
Femoral components: CoCr alloy ISO5832/4.
Articular insert: UHMWPE ISO5834/1/2 available also in VITAL-E® version (UHMWPE added with antioxidizing Vitamin E).
Tibial component: Titanium Aluminium Vanadium alloy ISO5832/3.
[Knee Products ](https://www.permedica.it/en/medical-professionals/knee/)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-1.jpg "PS 1")
**Product range:** 10 taglie femorali,
10 taglie tibiali, 9 spessori\* d’inserto
**GKS PRIME FLEX PS** è la versione
postero-stabilizzata a piatto fisso del sistema.
La componente femorale è disponibile esclusivamente in versione cementata, mentre per il comparto tibiale utilizza la **stessa componente TOP compatibile con la**
**versione CR.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Componente femorale
La componente femorale è stata disegnata per ridurre al minimo il sacrificio osseo grazie allo spessore contenuto e gli incrementi di taglia ridotti (2mm) oltre che al ridotto ingombro del box intercondilico (a fondo aperto) e all’assenza dei perni femorali.
È disponibile in 10 taglie in versione **MICROLOY®** e con rivestimento superficiale **VITAL-B®**, entrambe per applicazione cementata.
Particolare attenzione è stata riservata al meccanismo di stabilizzazione posteriore, in modo da ridurne le sollecitazioni e garantire un **roll-back graduale** con un contatto «soft» tra post e cam.
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-3_logo.jpg "PS 3_logo")
Inserto articolare PS
L’ inserto articolare è progettato per permettere un **ampio accoppiamento FEMORE/TIBIA** garantendo **per ogni taglia femorale l’abbinamento con ben 6 taglie tibiali.** Ogni taglia di inserto si adatta a 2 taglie di Piatto Tibiale ed è disponibile in 9 spessori\*, sia in UHMWPE che VITAL-E®.
Un **codice colore** guida nel corretto accoppiamento dell’inserto con le componenti Femorale e Tibiale.
\*Alcuni spessori potrebbero essere su richiesta.
[](https://www.permedica.it/wp-content/uploads/2020/02/PS-4_Duo_logo.jpg "PS 4_Duo_logo")
Componente tibiale
La componente tibiale **TOP** è prevista in versione cementata e senza cemento con rivestimento **HaX-Pore®**.
È caratterizzata da un piatto che dispone di un corpo centrale conico con alette laterali disposte a delta.
È disponibile in 10 taglie, suddivise in 5 coppie ognuna delle quali accetta una taglia di inserto ed è **compatibile con il sistema GKS PRIME FLEX CR.**
****
**MATERIALI**
Componenti femorale in lega di Cromo Cobalto ISO5832/4.
Inserto articolare in UHMWPE ISO5834/1/2 disponibile anche in versione VITAL-E® (polietilene addizionato con Vitamina E antiossidante).
Componente tibiale in lega di Titanio Alluminio Vanadio ISO5832/3.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-1.jpg "CR 1")
**Gama de productos:** 10 tamaños de fémur, 10 tamaños de tibia, 2 versiones y 9 grosores de inserto\*.
**GKS PRIME FLEX CR** está disponible en versiones cementada y no cementada. En la versión cementada, la superficie en contacto con el hueso de los componentes femoral y tibial permite una distribución uniforme del manto de cemento y una distribución óptima de la carga, lo que confiere estabilidad al implante.
En la versión no cementada, la superficie en contacto con el hueso con revestimiento **HaX-Pore®** (300 µm de titanio puro y 50 µm de hidroxiapatita aplicada con una técnica de pulverización de plasma) permite una buena estabilidad primaria y favorece la colonización de osteoblastos para la integración biológica.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-3-1.jpg "CR 3")
Componente femoral
El componente femoral es **común para las versiones de placa móvil y placa fija** del sistema **GKS PRIME FLEX**. Su diseño está pensado para optimizar el rendimiento de la prótesis durante la flexión: el grosor optimizado de los cóndilos posteriores y el radio de curvatura permiten una gran superficie de contacto incluso a altos grados de flexión. Está disponible en 9 tamaños en versiones cementada y no cementada con revestimiento **HaX-Pore®**, ambas también con revestimiento superficial **VITAL-B®** TiNbN.
Cóndilos traseros de grosor optimizado
Perfil troclear estrecho y alargado
Extremos redondeados
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
Inserto de articulación CR y AS
El inserto articular está disponible en 5 tamaños (cada uno compatible con 2 tamaños de tibia) y 9 grosores\*. Se refiere al componente tibial e incluye dos tipos:
La versión **CR** está diseñada para garantizar un rendimiento óptimo cuando se conservan las funciones del LCP.
La opción **AS** (Anteroestabilizado) tiene una forma anatómica con un labio anterior elevado medialmente que limita el deslizamiento anterior del fémur si la función del LCP se ve comprometida.
Un **código de colores** facilita el ajuste correcto entre la meseta tibial y el inserto.
\*Algunos grosores pueden ser bajo pedido.
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-5_Duo_logo.jpg "CR 5_Duo_logo")
Componente tibial
El componente tibial **TOP** se suministra en versiones cementada y no cementada con revestimiento **HaX-Pore®**.
Se caracteriza por una placa que tiene un cuerpo central cónico con aletas laterales en forma de delta. Está disponible en 10 tamaños, divididos en 5 pares, cada uno de los cuales admite un tamaño de plaquita y es **compatible con el sistema GKS PRIME FLEX PS.**
****
**MATERIALES**
Componentes femorales de aleación de Cromo Cobalto ISO5832/4. Inserto articular de UHMWPE ISO5834/1/2 también disponible en VITAL-E® (polietileno con antioxidante añadido Vitamina E). Componente tibial de aleación de Titanio Aluminio Vanadio ISO5832/3.
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-1.jpg "CR 1")
**Produktauswahl:** 10 verschiedene Grössen auf der femoralen Seite, 10 auf der tibialen Seite; zwei Versionen des Einsatzes (CR und AS) mit 9 Höhen\*
**GKS PRIME FLEX CR** ist sowohl in zementierter als auch in zementfreier Version erhältlich.
In der zementierten Version weist die Oberfläche, die mit dem Knochen der femoralen und tibialen Komponenten in Kontakt steht, Vertiefungen für eine gleichmäßige Verteilung des Zementmantels und eine optimale Verteilung der Belastungen auf, wodurch das Implantat stabilisiert wird.
In der zementfreien Version ermöglicht die Oberfläche in Kontakt mit dem Knochen mit **HaX-Pore®**-Beschichtung (300 μm reines Titan + 50 μm Hydroxylapatit-Plasma gesprüht) eine gute Primärstabilität und fördert das Wachstum von Osteoblasten für die biologische Integration.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-3-1.jpg "CR 3")
Femorale Komponente
Die femorale Komponente ist **sowohl für mobile Inlays** als auch für fixierte Inlays vorgesehen.
Ihr Design wurde optimiert, um das prothetische Verhalten während der Flexion zu optimieren: Die Dicke der hinteren Kondylen und der Krümmungsradius ermöglichen eine große Kontaktfläche auch bei hohen Flexionsgraden.
Es ist in 9 Größen erhältlich, in zementierter und zementfreier **HaX-Pore®**-beschichteter Version, beide auch mit **VITAL-B®** TiNbN-Oberflächenbeschichtung.
Erhöhte posteriore Kondylendicke
Schmales und langgestrecktes Trochlea-Profil
Abgerundeten Kanten
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
CR und AS Inlays
Die Inlays sind in 5 Größen (jede Größe passt zu 2 Tibia-Größen) und in 9 Höhen\* für jede Größe erhältlich. Es bezieht sich auf die Tibia-Komponente und ist in zwei Typen erhältlich:
Die **CR-Option** soll eine optimale Funktion gewährleisten, wenn das hintere Kreuzband erhalten bleibt.
Die **AS-Option** (Anterior Stabilized) ist anatomisch geformt und verfügt über eine hohe mediale Vorderlippe, die das Verrutschen der Tibia nach hinten verhindert, wenn das hintere Kreuzband leicht beeinträchtigt ist.
Ein **Farbcode** erleichtert die korrekte Zuordnung zwischen Tibiaplatte und Inlay.
\* Einige Höhen sind auf Anfrage möglich.
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-5_Duo_logo.jpg "CR 5_Duo_logo")
Tibiale Komponente
Die **TOP** Tibia-Komponente ist in einer zementierten und zementfreien **HaX-Pore®**-beschichteten Version erhältlich. Es zeichnet sich durch eine Grundplatte mit konischem Mittelkörper und versetzten Seitenflügeln aus.
Sie ist in 10 Größen erhältlich, die in 5 farbcodierten Gruppen unterteilt sind, von denen jede mit einer Einsatzgröße ausgestattet ist. **Die Tibiakomponente ist mit der Option GKS PRIME FLEX PS kompatibel.**
****
**MATERIALIEN**
Femurkomponenten: CoCr-Legierung ISO5832/4.
Inlays: UHMWPE ISO5834/1/2 erhältlich auch in der VITAL-E®-Version (UHMWPE mit antioxidativem Vitamin E).
Tibiakomponente:Titan-Aluminium-Vanadium-Legierung ISO5832/3.
[Knie Produkte](https://www.permedica.it/de/medizinische-fachkraefte/knie/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-1.jpg "CR 1")
**Gamme de produits:** 10 tailles fémorales; 10 tailles tibiales;
2 versions (CR / AS) et 9 épaisseurs\* d’insert
**GKS PRIME FLEX CR** est disponible en version cimentée ou non cimentée.
Dans la version cimentée, la surface en contact avec l’os des composants fémoral et tibial présente des dépressions pour une répartition uniforme du manteau en ciment et une répartition optimale des charges, assurant ainsi la stabilité de l’implant.
Dans la version sans ciment, la surface en contact avec l’os revêtue d’**HaX-Pore®** (plasma projeté de 300 µm en titane pur + Hydroxyapatite de 50 µm) permet une bonne stabilité primaire et favorise la croissance des ostéoblastes en vue d’une intégration biologique.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-3-1.jpg "CR 3")
Composant fémoral
Le composant fémoral est **commun aux plateaux fixes et mobiles** et sa conception a été étudiée pour optimiser le comportement prothétique lors de la flexion.
L’épaisseur du condyle postérieur et le rayon de courbure permettent une grande surface de contact même à des degrés de flexion élevés.
Il est disponible en 9 tailles, en version cimentée et sans ciment **HaX-Pore®** (revêtement), les deux également avec le traitement de surface **VITAL-B®** TiNbN.
Epaisseur accrue des condyles postérieurs
Epaisseur accrue des condyles postérieurs
Des bords arrondis
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
Inserts articulaires CR et AS
L’insert articulair est disponible en 5 tailles (chaque taille correspondant à 2 tailles de Tibia) et en 9 épaisseurs\* pour chaque taille. Il fait référence au composant TIBIAL et se décline en deux types:
L’option **CR** est conçue pour assurer un comportement optimal lorsque les fonctions PCL sont préservées.
L’option **AS** (stabilisé antérieur) est de forme anatomique et présente une lèvre antérieure médiale supérieure qui empêche le glissement postérieur du tibia lorsque les fonctions du PCL sont compromises.
Un **code de couleur** facilite le couplage correct entre le plateau tibial et l’insert.
\* Certaines épaisseurs peuvent être demandées.
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-5_Duo_logo.jpg "CR 5_Duo_logo")
Composant tibial
Le composant Tibial **TOP** est disponible en version cimentée et sans ciment **HaX-Pore®**,(revêtement).
Il est caractérisé par un plateau de base avec un corps central conique et des ailes latérales déplacées en delta.
Il est disponible en 10 tailles divisées en 5 groupes de couleurs différentes, chacun correspondant à une taille d’insert. Il **est compatible avec l’option GKS PRIME FLEX PS.**
****
**MATERIAUX**
Composants fémoraux: alliage CoCr ISO5832/4.
Insert articulaire: UHMWPE ISO5834/1/2 disponible également en version VITAL-E® (UHMWPE ajouté avec de la vitamine E antioxydante).
Composant tibial: alliage titane aluminium vanadium ISO5832/3.
[Produits pour le Genou](https://www.permedica.it/fr/professionnels-medicaux/genou/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-1.jpg "CR 1")
**Product range:** Product range: 10 femoral sizes; 10 tibial sizes; 2 versions (CR/AS) and
9 insert thicknesses\*
**GKS PRIME FLEX CR** is available in both cemented and cementless version.
In the cemented version the surface in contact with the bone of the femoral and tibial components has depressions for an even distribution of the cement mantle and an optimal distribution of the loads, giving stability to the implant.
In the cementless version, the surface in contact with the bone with **HaX-Pore®** coating (300μm pure titanium + 50μm Hydroxyapatite plasma sprayed) allows for good primary stability and and encourage osteoblasts growth for biological integration.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-3-1.jpg "CR 3")
Femoral component
The femoral component is **common for both mobile and fix bearing options** of the **GKS PRIME FLEX** System.
Its design was studied to optimize prosthetic the prosthesis behaviour during flexion: the posterior condyles thickness and the curvature radius allows a wide contact area even at high flexion degrees.
It is available in 9 sizes, in cemented and cementless **HaX-Pore®** coated version, both also with **VITAL-B®** TiNbN surface coating.
Optimized posterior condyles thickness
Narrow and elongated trochlear profile
Rounded edges
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
CR and AS articular inserts
The articular insert is available in 5 sizes (each size matching with 2 sizes of Tibia) and in 9 thicknesses\* for each size. It refers to the tibial component and comes in two types:
The **CR** option is designed to ensure optimal behaviour when the PCL functions are preserved.
The **AS** (Anterior Stabilized) option is anatomically shaped with a high medial anterior lip that inhibits posterior slipping of the tibia when the PCL functions are compromised.
A **colour code** facilitates the correct coupling between tibial plate and insert.
\* Some thicknesses may be on request.
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-5_Duo_logo.jpg "CR 5_Duo_logo")
Tibial component
The **TOP** Tibial Component is available in cemented and cementless **HaX-Pore®** coated version.
It is characterized by a baseplate with a conical central body and delta displaced lateral wings.
It comes in 10 sizes divided into 5 colour coded groups, each one fitting with 1 insert size, and it is **compatible with the GKS PRIME FLEX PS** option.
****
**MATERIALS**
Femoral components: CoCr alloy ISO5832/4.
Articular insert: UHMWPE ISO5834/1/2 available also in VITAL-E® version (UHMWPE added with antioxidizing Vitamin E).
Tibial component: Titanium Aluminium Vanadium alloy ISO5832/3.
[Knee Products ](https://www.permedica.it/en/medical-professionals/knee/)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-1.jpg "CR 1")
**Product range:** 10 taglie femorali, 10 taglie tibiali,
2 versioni e 9 spessori\* d’inserto
**GKS PRIME FLEX CR** è disponibile in versione cementata e non cementata.
Nella versione cementata la superficie a contatto con l’osso delle componenti femorale e tibiale consente una distribuzione uniforme del manto di cemento e una ripartizione ottimale dei carichi, conferendo stabilità all’impianto.
Nella versione non cementata la superficie di contatto con l’osso con rivestimento
**HaX-Pore®** (300 µm di Titanio puro e 50 µm di idrossiapatite applicati con tecnica plasma spray) permette di ottenere una buona stabilità primaria e favorire la colonizzazione degli osteoblasti per un’integrazione biologica.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-3-1.jpg "CR 3")
Componente femorale
Il componente femorale è **comune per entrambe le versioni a piatto mobile e a piatto fisso** del sistema **GKS PRIME FLEX**.
Il suo design è stato studiato per ottimizzare le prestazioni della protesi durante la flessione: lo spessore ottimizzato dei condili posteriori e il raggio di curvatura permettono un’ ampia area di contatto anche ad elevati gradi di flessione.
È disponibile in 9 taglie in versione cementata e senza cemento con rivestimento **HaX-Pore®**, entrambe anche in versione con rivestimento superficiale **VITAL-B®** TiNbN.
Condili posteriori con spessore ottimizzato
Profilo trocleare stretto e allungato
Estremità arrotondate
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-4_logo.jpg "CR 4_logo")
lnserto articolare CR e AS
L’ inserto articolare è disponibile in 5 taglie (ognuna compatibile con 2 taglie di Tibia) e 9 spessori\*. Fa riferimento al componente tibiale e prevede due tipologie:
La versione **CR** è disegnata per assicurare prestazioni ottimali quando le funzioni del LCP vengono preservate.
L’ opzione **AS** (Antero Stabilizzata) presenta una forma anatomica con un labbro anteriore elevato medialmente che limita lo scivolamento anteriore del femore qualora le funzioni del LCP siano compromesse.
Un **codice colore** agevola il corretto accoppiamento tra Piatto Tibiale e Inserto.
\*Alcuni spessori potrebbero essere su richiesta.
[](https://www.permedica.it/wp-content/uploads/2020/02/CR-5_Duo_logo.jpg "CR 5_Duo_logo")
Componente tibiale
La componente tibiale **TOP** è prevista in versione cementata e senza cemento con rivestimento **HaX-Pore®** . E’ caratterizzata da un piatto che dispone di un corpo centrale conico con alette laterali disposte a delta.
È disponibile in 10 taglie, suddivise in 5 coppie ognuna delle quali accetta una taglia di inserto ed è **compatibile con il sistema GKS PRIME FLEX PS.**
****
**MATERIALI**
Componenti femorale in lega di Cromo Cobalto ISO5832/4.
Inserto articolare in UHMWPE ISO5834/1/2 disponibile anche in versione VITAL-E® (polietilene addizionato con Vitamina E antiossidante).
Componente tibiale in lega di Titanio Alluminio Vanadio ISO5832/3.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex PS Móvil](https://www.permedica.it/gks-prime-flex-ps-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-PS_Mobile_esploso-VITAL-E_sito-copia.png "PRIME FLEX PS_Mobile_esploso VITAL-E_sito copia")
**Gama de productos:** 10 tamaños de fémur, 10 tamaños de tibia, 10 grosores de inserto\*.
**GKS PRIME FLEX PS MOBILE** es la versión de placa móvil posteroestabilizada del sistema. El componente femoral PS sólo está disponible en versión cementada, mientras que **el componente tibial utiliza el mismo componente que la versión Mobile.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Componente femoral
El componente femoral se ha diseñado para minimizar el sacrificio óseo gracias a su reducido grosor y a los incrementos de tamaño (2 mm), así como al tamaño reducido de la caja intercondilar (fondo abierto) y a la ausencia de pernos femorales.
Está disponible en 10 tamaños en versión **MICROLOY®** y con revestimiento superficial **VITAL-B®**, ambos para aplicación cementada. Se ha prestado especial atención al mecanismo de estabilización posterior, para reducir la tensión y garantizar **un retroceso gradual** con un contacto “suave” entre el poste y la leva.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-PS-Mobile.jpg "Inserto PS Mobile")
Inserto giratorio PS Móvil
El inserto giratorio PS tiene un “poste” que se articula con la leva del componente femoral y realiza la función del LCP. Combinado con la conformación ultracongruente, proporciona una gran estabilidad al tiempo que ofrece un ROM óptimo. Está fabricado con polietileno de peso molecular ultra alto y también está disponible en la versión VITAL-E ®, con vitamina E antioxidante añadida. \*Algunos grosores pueden ser bajo pedido.
Inserto con perfil ultracongruente
Encaje deslizante del tendón rotuliano
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Componente tibial
El diseño del componente tibial proporciona una quilla rebordeada para un anclaje metafisario que se opone a los movimientos de inclinación anteroposterior y a las fuerzas de torsión. El componente tibial está disponible en 10 tamaños, en versiones cementada y no cementada con revestimiento **HaX-Pore®**.
****
**MATERIALES**
Componentes femorales de aleación de Cromo-Cobalto ISO5832/4. Inserto articular de UHMWPE ISO5834/1/2 también disponible en versión VITAL-E® (polietileno con antioxidante añadido Vitamina E). Componentes tibiales de aleación de Titanio-Aluminio-Vanadio ISO5832/3 o aleación de Cromo-Cobalto ISO5832/4.
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex PS Mobile](https://www.permedica.it/gks-prime-flex-ps-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-PS_Mobile_esploso-VITAL-E_sito-copia.png "PRIME FLEX PS_Mobile_esploso VITAL-E_sito copia")
**Produktauswahl:** 10 verschiedene Grössen auf der femoralen Seite,
10 auf der tibialen Seite und 10 Höhen\* des tibialen Einsatzes
**GKS PRIME FLEX PS MOBILE** ist die posterior stabilisierte Option des Mobile Bearing Systems.
Die femorale PS Komponente ist nur in der zementierten Version erhältlich, **die Tibia Komponente ist dieselbe Tibia, welche auch in der CR Mobile-Version kompatibel ist.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Femorale Komponente
Die femorale Komponente wurde aufgrund der begrenzten Dicke und der reduzierten Größenabstufung (2 mm) sowie des reduzierten Volumens der interkondylären Box (offener Boden) und der fehlenden femoralen Fixationspegs, für einen minimalen Knochenverlust entwickelt. Die Femurkomponenten sind in 10 Größen in der **MICROLOY®**-Version und mit **VITAL-B®**-Oberflächenbeschichtung erhältlich, beide für die zementierte Anwendung.
Besonderes Augenmerk wurde auf den posterioren Stabilisierungsmechanismus gelegt, um die Spannungen zu reduzieren und ein **schrittweises Zurückrollen** mit einem “weichen” Kontakt zwischen Zapfen und Steg zu gewährleisten.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-PS-Mobile.jpg "Inserto PS Mobile")
PS Mobile Inlay
Der Gelenkeinsatz PS Mobile verfügt über einen “Zapfen”, der in Verbindung mit dem Steg der Femurkomponente die Funktion der PCL übernimmt und durch das ultrakongruente Design eine hohe Stabilität bietet und gleichzeitig wird dadurch ein optimaler ROM ermöglicht
Das Inlay besteht aus UHMWPE und ist auch in der Version VITAL-E® mit antioxidativem Vitamin E erhältlich.
\* Einige Höhen sind auf Anfrage möglich.
Ultrakongruentes Inlay Profil
Vertiefung zum Gleiten der Patellasehne
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Tibia Komponente
Das Design der Tibiakomponente bietet einen angeflanschten Kiel für die metaphysäre Verankerung, der den anterior-posterioren Kippbewegungen und Drehmomentkräften entgegenwirkt.
Die Tibiakomponenten sind in 10 Größen erhältlich, in zementierter und zementfreier **HaX-Pore®**-beschichteter Version.
****
**MATERIAL**
Femurkomponenten: CoCr-Legierung ISO5832/4.
Inlays: UHMWPE ISO5834/1/2 erhältlich auch in der VITAL-E®-Version (UHMWPE mit antioxidativem Vitamin E).
Tibiakomponenten: Titan-Aluminium-Vanadium-Legierung ISO5832/3 oder CoCr-Legierung ISO5832/4.
[Knieprodukte](https://www.permedica.it/de/medizinische-fachkraefte/knie/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex PS Mobile](https://www.permedica.it/gks-prime-flex-ps-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-PS_Mobile_esploso-VITAL-E_sito-copia.png "PRIME FLEX PS_Mobile_esploso VITAL-E_sito copia")
**Gamme de produits:** 10 tailles fémorales;
10 tailles tibiales; 10 épaisseurs\* d’insert
**GKS PRIME FLEX PS MOBILE** est l’option mobile postérieurement stabilisée du système.
Le composant fémoral PS n’est disponible que dans la version cimentée et **le composant tibial est le même tibia Mobile compatible avec la version mobile.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Composant fémoral
Le composant fémoral a été conçu pour réduire au maximum les sacrifices osseux, en raison de son épaisseur limitée et de ses incréments de taille réduits (2 mm), ainsi que de l’encombrement réduit de la boîte intercondylienne (fond ouvert) et de l’absence des chevilles fémorales.
Il est disponible en 10 tailles dans la version **MICROLOY®** et avec le revêtement de surface **VITAL-B®**, tous deux pour une application cimentée.
Une attention particulière a été accordée au mécanisme de stabilisation postérieure, afin de réduire les contraintes et de garantir un **retour progressif** avec un contact “doux” entre le post et le came.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-PS-Mobile.jpg "Inserto PS Mobile")
Insert articulair PS Mobile
L’insert articulaire PS Mobile a un “post” qui s’articulant avec la came du composant fémoral remplit la fonction du PCL et en raison de la conception ultracongruente offre une stabilité élevée, offrant en attendant une ROM optimale.
Il est composé d’UHMWPE, également disponible en version VITAL-E® avec de la Vitamine E anti-oxydante.
\* Certaines épaisseurs peuvent être demandées.
Profil de l’insert articulair ultracongruent
Encoche pour coulissement du tendon rotulien
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Composant tibial
La conception du composant tibial fournit une quille à bride pour ancrage métaphysaire qui s’oppose aux mouvements de basculement antéro-postérieur et aux forces de couple.
Le composant tibial est disponible en 10 tailles, en version cimentée et sans ciment **HaX-Pore®** (revêtement).
****
**MATERIAUX**
Composants fémoraux: alliage CoCr ISO5832/4.
Insert articulaire: Inserts articulaires: UHMWPE ISO5834 / 1/2 disponible également en version VITAL-E® (UHMWPE ajouté avec de la vitamine E antioxydante).
Composants tibiaux: alliage titane aluminium vanadium ISO5832/3 ou alliage CoCr ISO5832/4.
[Produits pour le genou](https://www.permedica.it/fr/professionnels-medicaux/genou/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex PS Mobile](https://www.permedica.it/gks-prime-flex-ps-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-PS_Mobile_esploso-VITAL-E_sito-copia.png "PRIME FLEX PS_Mobile_esploso VITAL-E_sito copia")
**Product range:** 10 femoral sizes;
10 tibial sizes; 10 insert thicknesses\*
**GKS PRIME FLEX PS MOBILE** is the mobile bearing posterior-stabilized option of the system.
The femoral component PS is available in the cemented version only and the tibial component is **the same tibia of the Mobile version.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Femoral component
The femoral component was designed for minimal bone sacrifice thanks to the limited thickness and reduced size increments (2mm) as well as the reduced bulk of the intercondylar box (open bottom) and the absence of the femoral pegs.
It is available in 10 sizes in **MICROLOY®** version and with **VITAL-B®** surface coating, both for cemented application.
Particular attention has been given to the posterior stabilization mechanism, in order to reduce the stresses and guarantee a **gradual roll-back** with a “soft” contact between post and cam.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-PS-Mobile.jpg "Inserto PS Mobile")
Articular insert PS Mobile
The articular insert PS Mobile has a “post” that articulating with the cam of the femoral component performs the function of the PCL and due to the ultracongruent design provides high stability, offering in the meantime an optimal ROM.
It is composed of UHMWPE, also available in VITAL-E® version with anti-oxidizing Vitamin E.
\* Some thicknesses may be on request.
Ultracongruent insert profile
Socket for patellar tendon sliding
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Tibial component
The design of the tibial component provides a flanged keel for metaphyseal anchorage which opposes the anterior-posterior tilting movements and torsion forces.
The tibial component is available in 10 sizes, both in cemented and cementless version with HaX-Pore® coating.
****
**MATERIALS**
Femoral components: CoCr alloy ISO5832/4.
Articular insert: UHMWPE ISO5834/1/2 available also in VITAL-E® version (UHMWPE added with antioxidizing Vitamin E).
Tibial component in Titanium Aluminium Vanadium alloy ISO5832/3 or CoCr alloy ISO5832/4.
[Products Knee](https://www.permedica.it/en/medical-professionals/knee/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex PS Mobile](https://www.permedica.it/gks-prime-flex-ps-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-PS_Mobile_esploso-VITAL-E_sito-copia.png "PRIME FLEX PS_Mobile_esploso VITAL-E_sito copia")
**Product range:** 10 taglie femorali,
10 taglie tibiali, 10 spessori\* d’inserto
**GKS PRIME FLEX PS MOBILE** è la versione
postero-stabilizzata a piatto mobile del sistema.
La componente femorale PS è disponibile esclusivamente in versione cementata, mentre per **il comparto tibiale utilizza la stessa componente della versione Mobile.**
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-PS-Mobile-immagine-2.png "GKS Prime Flex PS Mobile immagine 2")
Componente femorale
La componente femorale è stata disegnata per ridurre al minimo il sacrificio osseo grazie allo spessore contenuto e gli incrementi di taglia ridotti (2mm) oltre che al ridotto ingombro del box intercondilico (a fondo aperto) e all’assenza dei perni femorali.
È disponibile in 10 taglie in versione **MICROLOY®** e con rivestimento superficiale **VITAL-B®**, entrambe per applicazione cementata.
Particolare attenzione è stata riservata al meccanismo di stabilizzazione posteriore, in modo da ridurne le sollecitazioni e garantire un **roll-back graduale** con un contatto «soft» tra post e cam.
[](https://www.permedica.it/wp-content/uploads/2020/02/Inserto-PS-Mobile.jpg "Inserto PS Mobile")
Inserto rotante PS Mobile
L’inserto rotante PS dispone di un “post” che articolandosi con la camma del componente femorale svolge la funzione del LCP ed associato alla conformazione ultracongruente conferisce una elevata stabilità, offrendo al contempo un ROM ottimale.
È realizzato con polietilene ad altissimo peso molecolare e disponibile anche nella versione VITAL-E®, addizionato con vitamina-E antiossidante.
\*Alcuni spessori potrebbero essere su richiesta.
Inserto con profilo ultracongruente
Incavo per scorrimento del tendine rotuleo
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Componente tibiale
Il design della componente tibiale prevede una chiglia flangiata per un ancoraggio metafisario che si oppone ai movimenti di tilting antero-posteriori e alle forze torcenti.
La componente tibiale è disponibile in 10 taglie, in versione cementata e senza cemento con rivestimento **HaX-Pore®**.
****
**MATERIALI**
Componenti femorali in lega di Cromo Cobalto ISO5832/4.
Inserto articolare in UHMWPE ISO5834/1/2 disponibile anche in versione VITAL-E® (polietilene addizionato con Vitamina E antiossidante).
Componenti tibiali in lega di Titanio Alluminio Vanadio ISO5832/3 o lega di Cromo Cobalto ISO5832/4.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex Móvil](https://www.permedica.it/gks-prime-flex-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-1-1.jpg "PRIME FLEX Mobile 1")
**Gama de productos:** 10 tamaños de fémur, 10 tamaños de tibia, 10 grosores de inserto\*.
**GKS PRIME FLEX Mobile** está disponible en versiones cementada y no cementada. En la versión cementada, la superficie en contacto con el hueso de los componentes femoral y tibial permite una distribución uniforme del manto de cemento y un reparto óptimo de la carga, lo que confiere estabilidad al implante.
En la versión no cementada, la superficie en contacto con el hueso con revestimiento **HaX-Pore®** (300 µm de titanio puro y 50 µm de hidroxiapatita aplicada con técnica de pulverización de plasma) permite obtener una buena estabilidad primaria y favorece la colonización de osteoblastos para la integración biológica.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-3-1.jpg "PRIME FLEX Mobile 3")
Componente femoral
El componente femoral es**común para las versiones de placa móvil y placa fija** del sistema **GKS PRIME FLEX**. Su diseño está pensado para **optimizar el comportamiento de la prótesis en flexión**: el grosor de los cóndilos posteriores y su radio de curvatura permiten una gran superficie de contacto incluso a alta flexión. Está disponible en 8 tamaños en versiones cementada y no cementada con recubrimiento **HaX-Pore®**, ambas también en versión con recubrimiento superficial **VITAL-B®** TiNbN.
Cóndilos traseros de grosor optimizado
Perfil troclear estrecho y alargado
Extremos redondeados
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-4_logo.jpg "PRIME FLEX Mobile 4_logo")
Inserto ultracongruente
El inserto giratorio UC está diseñado para un contacto ultracongruente con el componente femoral, con el fin de proporcionar una gran estabilidad incluso en ausencia del LCP. Está disponible en 10 grosores\*, también en la versión **VITAL-E®**, polietileno de peso molecular ultraalto con vitamina E antioxidante añadida. \*Algunos grosores pueden ser bajo pedido.
Inserto con perfil ultracongruente
Encaje deslizante del tendón rotuliano
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Componente tibial
El diseño del componente tibial proporciona una quilla rebordeada para un anclaje metafisario que se opone a los movimientos de inclinación anteroposterior y a las fuerzas de torsión. El componente tibial está disponible en 7 tamaños, en versiones cementada y no cementada con revestimiento **HaX-Pore®**.
****
**MATERIALES**
Componentes femorales de aleación de cromo-cobalto ISO5832/4.
Inserto de junta de UHMWPE ISO5834/1/2 también disponible en **VITAL-E**® (polietileno con vitamina E antioxidante añadida).
Componente tibial de aleación de titanio-aluminio-vanadio ISO5832/3 o de aleación de cromo-cobalto ISO5832/4.
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex Mobile](https://www.permedica.it/gks-prime-flex-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-1-1.jpg "PRIME FLEX Mobile 1")
**Produktauswahl:** 10 verschiedene Grössen auf der femoralen Seite, 10 auf der tibialen Seite und
10 Höhen\* des tibialen Einsatzes
**GKS PRIME FLEX Mobile** ist sowohl in zementierter als auch in zementfreier Version erhältlich.
In der zementierten Version weist die Oberfläche, die mit dem Knochen der femoralen und tibialen Komponenten in Kontakt steht, Vertiefungen für eine gleichmäßige Verteilung des Zementmantels und eine optimale Verteilung der Belastungen auf, wodurch das Implantat stabilisiert wird.
In der zementfreien Version ermöglicht die Oberfläche in Kontakt mit dem Knochen mit **HaX-Pore®**-Beschichtung (300 μm reines Titan + 50 μm Hydroxylapatit-Plasma gesprüht) eine gute Primärstabilität und fördert das Wachstum von Osteoblasten für die biologische Integration.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-3-1.jpg "PRIME FLEX Mobile 3")
Femur Komponente
Die femorale Komponente ist **sowohl für mobile als auch für feste Inlayoptionen des GKS PRIME FLEX** – Systems gleich.
Das Design der femoralen Komponente wurde optimiert, **um das prothetische Verhalten während der Flexion zu optimieren:** Die Dicke des hinteren Kondylus und der Krümmungsradius ermöglichen eine große Kontaktfläche auch bei hohen Flexionsgraden.
Es ist in 8 Größen erhältlich, in zementierter und zementfreier **HaX-Pore®**-beschichteter Version, beide auch mit **VITAL-B®** TiNbN-Oberflächenbeschichtung.
Erhöhte posteriore Kondylendicke
Schmales und langgestrecktes Trochlea-Profil
Abgerundeten Kanten
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-4_logo.jpg "PRIME FLEX Mobile 4_logo")
Ultrakongruentes Implantat
Das UC-Rotationsgelenk Inlay ist für einen ultrakongruenten Kontakt mit der Femurkomponente ausgelegt und bietet somit auch ohne PCL eine hohe Stabilität.
Es besteht aus Polyethylen mit ultrahohem Molekulargewicht und ist in 10 Höhen\* erhältlich, auch in der **VITAL-E®**-Version, die mit antioxidativem Vitamin E versetzt ist.
\*Einige Höhen sind auf Anfrage möglich.
Ultrakongruentes Gleitlager Profil
Sockel zum Gleiten der Patellasehne
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Tibiale Komponente
Das Design der Tibiakomponente bietet einen angeflanschten Kiel für die metaphysäre Verankerung, der den anterior-posterioren Kippbewegungen und Drehmomentkräften entgegenwirkt. Die Tibiakomponente ist in 7 Größen erhältlich, in zementierter und zementfreier **HaX-Pore®**-beschichteter Version.
****
**MATERIALIEN**
Femurkomponenten: CoCr-Legierung ISO5832 / 4. Inlays: UHMWPE ISO5834 / 1/2 erhältlich auch in der VITAL-E®-Version (UHMWPE mit antioxidativem Vitamin E). Tibiakomponenten: Titan-Aluminium-Vanadium-Legierung ISO5832/3 oder CoCr-Legierung ISO5832/4.
[Knie Produkte](https://www.permedica.it/de/medizinische-fachkraefte/knie/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex Mobile](https://www.permedica.it/gks-prime-flex-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-1-1.jpg "PRIME FLEX Mobile 1")
**Gamme de produits:** 10 tailles fémorales; 10 tailles tibiales;
10 épaisseurs\* d’insert
**GKS PRIME FLEX Mobile** est disponible en version cimentée ou non cimentée.
Dans la version cimentée, la surface en contact avec l’os des composants fémoral et tibial présente des dépressions pour une répartition uniforme du manteau en ciment et une répartition optimale des charges, assurant ainsi la stabilité de l’implant.
Dans la version sans ciment, la surface en contact avec l’os revêtue d’**HaX-Pore®** (plasma projeté de 300 µm en titane pur + Hydroxyapatite de 50 µm) permet une bonne stabilité primaire et favorise la croissance des ostéoblastes en vue d’une intégration biologique.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-3-1.jpg "PRIME FLEX Mobile 3")
Composante Fémorale
Le composant fémoral est **commun pour les options de plateaux mobiles et fixes du système GKS PRIME FLEX.**
La conception du composant fémoral a été étudiée pour **optimiser le comportement prothétique lors de la flexion:** l’épaisseur du condyle postérieur et le rayon de courbure permettent une grande surface de contact même à des degrés de flexion élevés.
Il est disponible en 8 tailles, en version cimentée et sans ciment **HaX-Pore®** (revêtement), les deux également avec le traitement de surface **VITAL-B®** TiNbN.
Epaisseur accrue des condyles postérieurs
Profil trochléaire étroit et allongé
Des bords arrondis
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-4_logo.jpg "PRIME FLEX Mobile 4_logo")
Insert articulaire ultracongruent
L’insert articulair mobile UC est conçu pour un contact ultracongruent avec le composant fémoral, offrant ainsi une stabilité élevée, même en l’absence de PCL.
Fabriqué en polyéthylène, ultra haut poids moléculaire , il est disponible en 10 épaisseurs\*, également en version **VITAL-E®**, additionné de vitamine E antioxydante.
\*Certaines épaisseurs peuvent être demandées.
Profil de l’insert articulair ultracongruent
Encoche pour coulissement du tendon rotulien
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Composant tibial
La conception du composant tibial fournit une quille à bride pour ancrage métaphysaire qui s’oppose aux mouvements de basculement antéro-postérieur et aux forces de couple. Le composant tibial est disponible en 7 tailles, en version cimentée et sans ciment **HaX-Pore®** (revêtement).
****
**MATERIAUX**
Composants fémoraux: alliage CoCr ISO5832/4. Inserts articulaires: UHMWPE ISO5834/1/2 disponible également en version VITAL-E® (UHMWPE ajouté avec de la vitamine E antioxydante).
Composants tibiaux: alliage titane aluminium vanadium ISO5832/3 ou alliage CoCr ISO5832/4.
[Produits pour le Genou](https://www.permedica.it/fr/professionnels-medicaux/genou/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex Mobile](https://www.permedica.it/gks-prime-flex-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-1-1.jpg "PRIME FLEX Mobile 1")
**Product range:** 10 femoral sizes; 10 tibial sizes;
10 insert thicknesses\*
**GKS PRIME FLEX Mobile** is available in both cemented and cementless version.
In the cemented version the surface in contact with the bone of the femoral and tibial components has depressions for an even distribution of the cement mantle and an optimal distribution of the loads, giving stability to the implant.
In the cementless version, the surface in contact with the bone with **HaX-Pore®** coating (300μm pure titanium + 50μm Hydroxyapatite plasma sprayed) allows for good primary stability and and encourage osteoblasts growth for biological integration.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-3-1.jpg "PRIME FLEX Mobile 3")
Femoral component
The femoral **component is common for both mobile and fix bearing options** of the **GKS PRIME FLEX** System.
Its design has been studied to **optimise the behaviour of the prosthesis in flexion**: the thickness of the posterior condyles and their radius of curvature allows a large contact area even at high flexion.
It is available in 8 sizes in cemented and cementless versions with **HaX-Pore**® coating, both also in surface-coated versions
**VITAL-B**® TiNbN surface coating.
Optimized posterior condyles thickness
Narrow and elongated trochlear profile
Rounded edges
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-4_logo.jpg "PRIME FLEX Mobile 4_logo")
Ultracongruent articular insert
The UC rotating tibial insert is designed for an ultracongruent contact with the femoral component thus providing high stability even in the absence of the PCL.
It is available in 10 thicknesses\*, also in **VITAL-E®**, UHMWPE added with antioxidizing Vitamin E.
\*Some thicknesses may be on request.
Ultracongruent insert profile
Socket for patellar tendon sliding
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Tibial component
The design of the tibial component provides a flanged keel for metaphyseal anchorage which opposes the anterior-posterior tilting movements and torsion forces.The tibial component is available in 7 sizes, both in cemented and cementless version with **HaX-Pore®.**
****
**MATERIALS**
Femoral component in CoCr alloy ISO5832/4.
Articular inserts in UHMWPE ISO5834/1/2 available also in VITAL-E® version (UHMWPE added with antioxidizing Vitamin E).
Tibial component in Titanium Aluminium Vanadium alloy ISO5832/3 or CoCr alloy ISO5832/4.
[Knee Products](https://www.permedica.it/en/medical-professionals/knee/)
**Categorie:** Ginocchio
---
### [GKS PRIME Flex Mobile](https://www.permedica.it/gks-prime-flex-mobile/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-1-1.jpg "PRIME FLEX Mobile 1")
**Product range:** 10 taglie femorali, 10 taglie tibiali,
10 spessori\* d’inserto
**GKS PRIME FLEX Mobile** è disponibile in versione cementata e non cementata.
Nella versione cementata la superficie a contatto con l’osso delle componenti femorale e tibiale consente una distribuzione uniforme del manto di cemento e una ripartizione ottimale dei carichi, conferendo stabilità all’impianto.
Nella versione non cementata la superficie di contatto con l’osso con rivestimento **HaX-Pore®** (300 µm di Titanio puro e 50 µm di idrossiapatite applicati con tecnica plasma spray) permette di ottenere una buona stabilità primaria e favorire la colonizzazione degli osteoblasti per un’integrazione biologica.
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-2.png "GKS Prime Flex Mobile immagine 2")
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-3-1.jpg "PRIME FLEX Mobile 3")
Componente femorale
Il componente femorale è **comune per entrambe le versioni a piatto mobile e a piatto fisso** del sistema **GKS PRIME FLEX**.
Il suo design è stato studiato per **ottimizzare il comportamento della protesi in flessione**: lo spessore dei condili posteriori e il loro raggio di curvatura consente un’ampia area di contatto anche ad elevate flessioni.
È disponibile in 8 taglie in versione cementata e senza cemento con rivestimento **HaX-Pore®**, entrambe anche in versione con rivestimento superficiale
**VITAL-B®** TiNbN.
Condili posteriori con spessore ottimizzato
Profilo trocleare stretto e allungato
Estremità arrotondate
[](https://www.permedica.it/wp-content/uploads/2020/02/PRIME-FLEX-Mobile-4_logo.jpg "PRIME FLEX Mobile 4_logo")
Inserto Ultracongruente
L’inserto rotante UC è conformato per un contatto ultracongruente con la componente femorale, al fine di conferire elevata stabilità anche in assenza del LCP.
È disponibile in 10 spessori\*, anche nella versione **VITAL-E®**, polietilene ad elevatissimo peso molecolare addizionato con Vitamina E antiossidante.
\*Alcuni spessori potrebbero essere su richiesta.
Inserto con profilo ultracongruente
Incavo per scorrimento del tendine rotuleo
[](https://www.permedica.it/wp-content/uploads/2020/02/GKS-Prime-Flex-Mobile-immagine-5.png "GKS Prime Flex Mobile immagine 5")
Componente tibiale
Il design della componente tibiale prevede una chiglia flangiata per un ancoraggio metafisario che si oppone ai movimenti di tilting antero-posteriori e alle forze torcenti. La componente tibiale è disponibile in 7 taglie, in versione cementata e senza cemento con rivestimento **HaX-Pore®.**
****
**MATERIALI**
Componenti femorale in lega di Cromo Cobalto ISO5832/4.
Inserto articolare in UHMWPE ISO5834/1/2 disponibile anche in versione VITAL-E® (polietilene addizionato con Vitamina E antiossidante).
Componente tibiale in lega di Titanio Alluminio Vanadio ISO5832/3 o lega di Cromo Cobalto ISO5832/4.
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [Insertos](https://www.permedica.it/inserti-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Una gama de soluciones
Con o sin Vitamina-E Cerámica Opción Doble Movilidad
La gama de plantillas articulares **del Sistema JUMP®** incluye plantillas de UHMWPE, VITAL-XE® (ambas disponibles en neutro, con hombrera antiluxación y retención), cerámica *delta* BIOLOX® y Dual Mobility.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-1-1.jpg "JS_Inserti 1")
Insertos **de UHMWPE** disponibles en neutro y con hombro antivuelco de 10° y 20°.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-2_logo.jpg "JS_Inserti 2_logo")
Insertos de polietileno de peso molecular ultraalto **VITAL-XE®** con vitamina E antioxidante añadida (alfa-tocoferol). Disponibles en versión neutra y antiluxación 10° y 20°.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-3_logo.jpg "JS_Inserti 3_logo")
Los insertos ***delta* BIOLOX®** permiten rodamientos de cerámica a cerámica de baja fricción.
[](https://www.permedica.it/wp-content/uploads/2020/01/Inserto-immagine-4.png "Inserto immagine 4")
Los **insertos de Movilidad Dual del** Sistema JUMP® son una solución eficaz para los casos con alta posibilidad de luxación (pacientes con poco tono muscular o escaso control neuromotor), ya que permiten aplicar al cotilo del Sistema JUMP® las ventajas de una articulación artificial de Movilidad Dual.
Un **código de colores** en las etiquetas de los insertos y los cotilos facilita el reconocimiento del acoplamiento entre los componentes. ATENCIÓN: para la compatibilidad cotilo-inserto, consulta la técnica operatoria del cotilo que te interese.
****
**MATERIALES**
UHMWPE: polietileno de peso molecular ultra alto sin estearato de calcio – ISO5834/1/2 también disponible con el antioxidante Vitamina E (Alfa-Tocoferol) VITAL-E® y VITAL-XE® (reticulado).
BIOLOX® *delta*: mezcla de óxidos de alúmina y circonio – ISO6474/2.
VITAL-B®: aleación forjada de CrCo – ISO5832/12 o aleación forjada PM734 de acero con alto contenido en nitrógeno – ISO5832/9 con revestimiento de TiNbN.
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [Pfanneneinsätze Inlays](https://www.permedica.it/inserti-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Viele Möglichkeiten
Mit oder ohne Zusatz von Vitamin E
Keramik
Möglichkeit des Einsatzes mit der doppelten Mobilität
Das Sortiment des Permedica **JUMP® System** umfasst UHMWPE, VITAL-XE® (beide in neutral, 10 ° und 20 ° Überhöhung erhältlich), BIOLOX® *delta*-Keramik- und Double Mobility Inlays.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-1-1.jpg "JS_Inserti 1")
**UHWMPE**-Einsätze in Neutral- und Überhöhungversion, sowohl 10 ° als auch 20°.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-2_logo.jpg "JS_Inserti 2_logo")
**VITAL-XE®**-Einsätze zugesetzt mit Vitamin E mit Anti-Oxid-Eigenschaften. Erhältlich in Neutral- und Überhöhungversion, 10 ° und 20 °.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-3_logo.jpg "JS_Inserti 3_logo")
**BIOLOX® *delta***-Einsätze – Keramik/Keramik Artikulation – minimieren den Abrieb.
[](https://www.permedica.it/wp-content/uploads/2020/01/Inserto-immagine-4.png "Inserto immagine 4")
Das **JUMP® Double Mobility** Inlay ist eine zuverlässige Lösung für Fälle, in denen eine hohe Wahrscheinlichkeit einer Luxation zu erwarten ist (Patienten mit schlechtem Muskeltonus oder schlechter neuromotorischer Kontrolle), sodass die Vorteile eines Double Mobility-Gelenks auf das JUMP® System angewendet werden können.
Ein **Farbcode** auf den Verpackungsetiketten der beiden Pfannen und der Beilagen ermöglicht eine schnelle und einfache Identifizierung der richtigen Größenbestimmung.
WARNUNG: Informationen zur Kompatibilität zwischen Pfanne und Einsatz finden Sie in der Operationstechnik oder im Produktblatt des jeweiligen Pfannensystems.
****
**MATERIALIEN**
Polyethylen mit sehr hohem Molekulargewicht ohne Calciumstearat – ISO5834/1/2 auch in der Version mit Vitamin E (Alpha-Tocopherol) Antioxidans VITAL-E® und VITAL-XE® (vernetzt).
BIOLOX® *delta*: Mischung aus Aluminiumoxid und Zirkonoxid – ISO6474/2.
VITAL-B®: geschmiedete CrCo-Legierung – ISO5832/12 oder PM734 geschmiedete Legierung aus Stahl mit hohem Stickstoffgehalt – ISO5832/9 mit TiNbN-Beschichtung.
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [Inserts Articularires](https://www.permedica.it/inserti-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Gamme de solutions
UHMWPE avec ou sans vitamine E
Céramique
Option double mobilité
La gamme du **système JUMP®** comprend les inserts en UHMWPE, VITAL-XE (tous deux disponibles en version neutre, avec débord de 10 ° et 20 ° et de rétention), les inserts en céramique BIOLOX® *delta* et de Double Mobilité.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-1-1.jpg "JS_Inserti 1")
Inserts **UHMWPE** en version neutre et à débord disponibles en 10 ° et 20 °.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-2_logo.jpg "JS_Inserti 2_logo")
Inserts **VITAL-XE®** mélangés à de la vitamine E aux propriétés anti-oxydantes. Disponible en version neutre et à débord, 10 ° et 20 °.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-3_logo.jpg "JS_Inserti 3_logo")
Les inserts **BIOLOX® *delta*** permettent un couplage à friction lente céramique-céramique.
[](https://www.permedica.it/wp-content/uploads/2020/01/Inserto-immagine-4.png "Inserto immagine 4")
Le s**ystème JUMP® Double Mobilité** représente une solution fiable dans les cas où une possibilité de luxation est attendue (patients avec tonus musculaire faible ou contrôle neuromoteur déficient), ce qui permet d’appliquer aux cupules du système JUMP® les avantages d’une articulation à double mobilité.
Un **code de couleur** indiqué sur les étiquettes des emballages des cupules acétabulaires et des inserts permettant d’identifier rapidement et facilement la bonne correspondance.
AVERTISSEMENT: pour la compatibilité entre la cupule et l’insert, veuillez vous référer à la technique chirurgicale de la cupule spécifique.
****
**MATÉRIAUX**
Polyéthylène de très haut poids moléculaire sans stéarate de calcium – ISO5834/1/2 également dans la version ajoutée avec la vitamine E (alpha-tocophérol) antioxydant VITAL-E® et VITAL-XE® (réticulé).
BIOLOX® delta: mélange d’alumine et d’oxydes de zirconium – ISO6474/2.
VITAL-B®: alliage forgé CrCo – alliage forgé ISO5832/12 ou PM734 en acier à haute teneur en azote – ISO5832/9 avec revêtement TiNbN
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [Articular Inserts](https://www.permedica.it/inserti-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Range of solutions
With or without Vitamin-E
Ceramic
Double Mobility option
The range of **JUMP® System** joint liners includes UHMWPE, VITAL-XE® (both available in neutral, 10° and 20° hooded and retentive version), BIOLOX® *delta* ceramic and Dual Mobility joint liners.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-1-1.jpg "JS_Inserti 1")
**UHMWPE** inserts in neutral and hooded version, both 10° and 20°.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-2_logo.jpg "JS_Inserti 2_logo")
**VITAL-XE®** inserts blended with Vitamin E with anti-oxydand properties. Available both in neutral and hooded version, 10° and 20°.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-3_logo.jpg "JS_Inserti 3_logo")
**BIOLOX® *delta*** inserts allow ceramic-on-ceramic slow friction coupling.
[](https://www.permedica.it/wp-content/uploads/2020/01/Inserto-immagine-4.png "Inserto immagine 4")
The **JUMP® System Dual Mobility** represents a reliable solution for those cases where a high possibility of dislocation can be expected (patients with poor muscle tone or neuromotor control) allowing to apply to the JUMP® System cups the advantages of a Dual Mobility joint.
**A colour code** reported on the packaging labels of the both cups and the inserts allows for quick and easy identification of the correct matching.
WARNING: for the compatibility between cup and insert please refer to the Surgical Technique of the specific cup.
****
**MATERIALS**
UHMWPE: Ultra high molecular weight polyethylene without calcium stearate – ISO5834 / 1/2 also in the version added
with Vitamin E (Alpha-Tocopherol) antioxidant VITAL-E® and VITAL-XE® (cross-linked).
BIOLOX® delta: mixture of alumina and zirconium oxides – ISO6474 / 2.
VITAL-B®: CrCo forged alloy – ISO5832 / 12 or PM734 forged alloy of high nitrogen steel – ISO5832 / 9 with TiNbN coating.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Cotili, Anca
---
### [Inserti Articolari](https://www.permedica.it/inserti-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Un ventaglio di soluzioni
Con o senza Vitamina-E
Ceramica
Opzione Doppia Mobilità
La gamma di inserti articolari **JUMP® System** include inserti in UHMWPE, VITAL-XE® (entrambi disponibili in versione neutra, con spalletta antilussante e ritentivi), ceramica BIOLOX® *delta* e Dual Mobility.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-1-1.jpg "JS_Inserti 1")
Inserti in **UHMWPE** disponibili in versione neutra e con spalletta antilussante di 10° e 20°.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-2_logo.jpg "JS_Inserti 2_logo")
Inserti in **VITAL-XE®** polietilene ad altissimo peso molecolare addizionato con vitamina E (alfatocoferolo) antiossidante. Disponibili in versione neutra e con spalletta antilussante di 10° e 20°.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Inserti-3_logo.jpg "JS_Inserti 3_logo")
Inserti **BIOLOX® *delta*** consentono accoppiamenti a basso livello di attrito ceramica-ceramica.
[](https://www.permedica.it/wp-content/uploads/2020/01/Inserto-immagine-4.png "Inserto immagine 4")
Gli **inserti JUMP® System Dual Mobility** rappresentano una efficace soluzione per quei casi che presentano elevata possibilità di lussazione (pazienti con scarso tono muscolare o scarso controllo neuromotorio) permettendo di applicare al cotile JUMP® System i vantaggi di una articolazione artificiale a Doppia Mobilità.
Un **codice colore** riportato sulle etichette delle confezioni di inserti e cotili agevola il riconoscimento degli accoppiamenti tra i componenti.
ATTENZIONE: per le compatibilità cotile-inserto fare riferimento alla tecnica operatoria del cotile di interesse.
****
**MATERIALI**
UHMWPE: Polietilene ad altissimo peso molecolare senza stearato di calcio – ISO5834/1/2 anche in versione addizionata con Vitamina E (Alfa-Tocoferolo) antiossidante VITAL-E® e VITAL-XE® (cross-linked).
BIOLOX® *delta*: miscela di ossidi di Allumina e Zirconio – ISO6474/2.
VITAL-B®: lega forgiata di CrCo – ISO5832/12 o lega forgiata PM734 di acciaio ad alto contenuto di azoto – ISO5832/9 con rivestimento TiNbN.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [ACORN TRASER](https://www.permedica.it/acorn-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Un exclusivo cotilo de doble movilidad: estructura de titanio totalmente trabecular para una gran estabilidad y una solución hipoalergénica
**Gama de productos:** 14 tamaños a presión (Ø 38-64 mm)
El cotilo ACORN TRASER® es una solución única de doble movilidad. Fabricado**íntegramente en aleación de titanio mediante impresión 3D,** combina dos tecnologías innovadoras desarrolladas por Permedica – TRASER® y VITAL-B® – para favorecer **un anclaje primario estable mediante press-fit** y una **tribología óptima** para el acoplamiento con el liner articular. El cotilo ACORN TRASER® es también una **solución hipoalergénica**.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img1-200x411.png "ACORN TRASER_img1")
Alta estabilidad primaria
El cotilo tiene **una geometría semiesférica con aplanamiento polar** y **ranuras circunferenciales y radiales** que aseguran un ajuste a presión eficaz en la región ecuatorial. La presencia de un **borde ecuatorial sobresaliente de 2 mm** proporciona más cobertura en la región craneal, aumentando la estabilidad.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-TRASER-immagine-2.png "Acorn TRASER immagine 2")
**Estructura TRASER**®
La superficie **aleatorizada de la estructura trabecular TRASER®** en contacto con el hueso favorece un excelente anclaje primario a presión y favorece la osteointegración \[1\].
###### \[1\] Ragone, V., Canciani, E., Arosio, M. et al. Osteointegración in vivo de una estructura trabecular aleatoria de titanio obtenida mediante una técnica de fabricación aditiva. J Mater Sci: Mater Med 31, 17 (2020).
Recubrimiento **VITAL-B®** en la superficie interior
El **recubrimiento VITAL-B®** TiNbN en la superficie interior de la copa garantiza una tribología óptima para la camisa articulada.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img3-600x274.png "ACORN TRASER_img3")
Superficie trabecular
El tamaño aleatorio y la forma geométrica de la superficie trabecular, muy similar a la del hueso esponjoso, proporcionan una estructura ideal para el recrecimiento óseo, garantizando la estabilización biológica secundaria del implante.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img4a-256x300.jpg "ACORN TRASER_img4a")
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img4b-400x352.png "ACORN TRASER_img4b")
Insertos de doble movilidad
Los insertos articulares, disponibles con un diámetro interior de 22 mm y 28 mm, están diseñados para un acoplamiento perfecto con el interior de cada tamaño de vaso, proporcionando la máxima estabilidad articular. Están fabricados con polietileno de alto peso molecular de última generación (GUR1020) sin estearato de calcio, también en versión con vitamina E antioxidante VITAL-E **®** y VITAL-XE**®** (reticulado).
****
**MATERIALES**
Los vasos ACORN son de aleación de Titanio-Aluminio-Vanadio en polvo. Los insertos de unión son de Polietileno de peso molecular ultra alto sin estearato de calcio – ISO5834/1/2 también en versión con antioxidante añadido Vitamina E (Alfa-Tocoferol) VITAL-E ® y VITAL-XE® (reticulado). Recubrimiento VITAL-B® en TiNbN.
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [ACORN TRASER](https://www.permedica.it/acorn-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Eine einzigartige DM Pfanne: komplett aus trabekulärem Titan für höchste Primärstabilität und hypoallergener Lösung hergestellt
**Produktauswahl:** 14 Grössen; press-fit
(Durchmesser 38-64mm)
Die ACORN TRASER®-Pfanne ist eine neuartige Lösung für die Double Mobility Verwendung.
**Vollständig aus einer Titanlegierung mittels 3D-Drucktechnologie hergestellt,** kombiniert es zwei innovative, von Permedica entwickelte Technologien – TRASER® und VITAL-B®, um eine **stabile primäre Pressfit-Verankerung** und eine optimale Tribologie für die Kopplung mit dem Gelenkeinsatz zu fördern.
Die ACORN TRASER® Pfanne ist **hypoallergen.**
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img1-200x411.png "ACORN TRASER_img1")
Hohe Primärstabilität
Die hohe Primärstabilität der Pfanne wird durch das flache Profil und die polare Auslenkung gewährleistet, die die äquatoriale Verteilung der Lastkräfte fördern, während die Porosität der Trabekeloberfläche mit zufälliger Geometrie eine optimale Struktur für das Einwachsen des Knochens bietet und die biologische Stabilisierung des Implantats mittels **Press-fit** gewährleistet.
Das Design der Pfanne mit dem **2 mm überstehenden äquatorialen Rand** ermöglicht eine bessere Abdeckung im kranialen Bereich und erhöht die Stabilität.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-TRASER-immagine-2.png "Acorn TRASER immagine 2")
TRASER® Struktur
Die **TRASER® – randomisierte trabekuläre Strukturoberfläche** in Kontakt mit dem Knochen fördert eine hervorragende primäre Pressfit-Verankerung und Osseointegration \[1\].
###### \[1\] Ragone, V., Canciani, E., Arosio, M. et al. In vivo osseointegration of a randomized trabecular titanium structure obtained by an additive manufacturing technique.
J Mater Sci: Mater Med 31, 17 (2020).
Innenflächen VITAL-B® – Beschichtung
Die **VITAL-B® TiNbN-Beschichtung** auf der Innenseite der Pfanne garantiert eine optimale Tribologie für die Kopplung mit dem Gelenkeinsatz.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img3-400x183.png "ACORN TRASER_img3")
Trabekeloberfläche
Die Abmessung und zufällige geometrische Form der Trabekeloberfläche, die dem natürlichen Trabekelknochen sehr ähnlich ist, bietet eine hervorragende Struktur für das Einwachsen von Knochen und gewährleistet die sekundäre Fixierung des Implantats.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img4a-256x300.jpg "ACORN TRASER_img4a")
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img4b-300x264.png "ACORN TRASER_img4b")
Double Mobility Inlays
Double Mobility-Einsätze mit einem Innendurchmesser von 22 und 28 mm sind für eine perfekte Kopplung mit der Innenfläche jeder Pfannengröße ausgelegt und bieten höchste Gelenkstabilität.
Sie bestehen aus UHWMPE (GUR1020) ohne Calciumstearat und sind auch mit Vitamin E **(VITAL-E®**-und **VITAL-XE®** -vernetzte Version) erhältlich.
****
**MATERIALIEN**
ACORN TRASER®-Pfannen bestehen aus einer geschmiedeten Titan-Aluminium-Vanadium-Legierung. Die Inlays bestehen aus UHMWPE ohne Calciumstearat – ISO5834/1/2, auch mit Vitamin E erhältlich (VITAL-E® und VITAL-XE® vernetzte Version). VITAL-B®-Beschichtung in TiNbN.
[Hip Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [ACORN TRASER](https://www.permedica.it/acorn-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Une cupule à double mobilité unique: entièrement en titane trabéculaire pour une stabilité primaire élevée et une solution hypoallergénique
**Gamme de produits:** 14 tailles press-fit
(Ø 38-64mm)
La cupule ACORN TRASER® est une solution de double mobilité unique.
**Entièrement fabriquée en alliage de titane par technologie d’impression 3D,** elle combine deux technologies innovantes développées par Permedica – TRASER® et VITAL-B® pour **favoriser un ancrage primaire press-fit stable et une tribologie optimale** pour le couplage avec l’insert articulaire.
La cupule ACORN TRASER® est également une **solution hypoallergénique.**
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img1-200x411.png "ACORN TRASER_img1")
Bonne stabilité primaire
La cupule a une **géométrie hémisphérique avec déviation polaire** et **rainures radiales circonférentielles** afin de garantir un ajustement press-fit efficace dans la région équatoriale.
La présence d’une **casquette équatoriale de 2 mm** permet une meilleure couverture dans la région crânienne, améliorant la stabilité.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-TRASER-immagine-2.png "Acorn TRASER immagine 2")
Structure TRASER®
La surface de la **structure trabéculaire randomisée TRASER®** en contact avec l’os favorise un excellent ancrage primaire par press-fit et une ostéointégration \[1\].
###### \[1\] Ragone, V., Canciani, E., Arosio, M. et al. In vivo osseointegration of a randomized trabecular titanium structure obtained by an additive manufacturing technique.
J Mater Sci: Mater Med 31, 17 (2020).
Revêtement intérieur VITAL-B®
Le **revêtement VITAL-B® TiNbN** sur la surface intérieure de la cupule garantit une tribologie optimale pour le couplage avec l’insert articulaire.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img3-600x274.png "ACORN TRASER_img3")
Surface trabéculaire
La dimension et la forme géométrique aléatoire de la surface trabéculaire, très similaire à l’os trabéculaire, fournissent une structure idéale pour la croissance osseuse, assurant la fixation secondaire de l’implant.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img4a-256x300.jpg "ACORN TRASER_img4a")
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN_4-1.jpg "ACORN_4")
Inserts à double mobilité
Les inserts à double mobilité, disponibles avec un diamètre intérieur de 22 et 28 mm, sont conçus pour un couplage parfait avec la surface intérieure de toutes les tailles de cupule , offrant la plus grande stabilité articulaire.
Ils sont fabriqués en UHWMPE (GUR1020) sans stéarate de calcium, également disponibles avec de la vitamine E (**VITAL-E®** et **VITAL-XE®** version réticulée).
****
**MATÉRIAUX**
Les cupules ACORN TRASER® sont fabriqués à partir de poudres d’alliage titane aluminium vanadium. Les inserts mobiles sont en UHMWPE sans stéarate de calcium – ISO5834/1/2 également disponible avec de la vitamine E (version réticulée VITAL-E® et VITAL-XE®). Revêtement VITAL-B® en TiNbN.
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [ACORN TRASER](https://www.permedica.it/acorn-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## A unique double mobility cup: completely in trabecular titanium
for an high primary stability and
an hypoallergenic solution
**Product range:** 14 sizes press-fit
(Ø 38-64mm)
The ACORN TRASER® cup is a unique dual mobility solution.
**Entirely made of titanium alloy by 3D printing technology,** it combines two innovative technologies developed by Permedica – TRASER® and VITAL-B® to promote **a stable primary press-fit anchorage** and **an optimal tribology** for the coupling with the joint insert.
The ACORN TRASER® cup is also a **hypoallergenic solution.**
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img1-200x411.png "ACORN TRASER_img1")
High primary stability
The cup has an **hemispherical geometry with polar deflection** and **circumferential radial grooves** to guarantee an effective press-fit in the equatorial region.
The presence of a **2mm protruded equatorial rim** allows for a better coverage in the cranial region, enhancing stability.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-TRASER-immagine-2.png "Acorn TRASER immagine 2")
TRASER® structure
The **TRASER® randomized trabecular structure** surface in contact with the bone promotes an excellent primary press-fit anchorage and osseointegration \[1\].
###### \[1\] Ragone, V., Canciani, E., Arosio, M. et al. In vivo osseointegration of a randomized trabecular titanium structure obtained by an additive manufacturing technique.
J Mater Sci: Mater Med 31, 17 (2020).
Inner surface VITAL-B® coating
The **VITAL-B® TiNbN coating** on the inner surface of the cup guarantees an optimal tribology for the coupling with the joint insert.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img3-600x274.png "ACORN TRASER_img3")
Trabecular surface
The dimension and randomized geometric shape of the trabecular surface, very similar to trabecular bone, offers an ideal structure for bone ingrowth, ensuring the secondary fixation of the implant.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img4a-256x300.jpg "ACORN TRASER_img4a")
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img4b-400x352.png "ACORN TRASER_img4b")
Dual Mobility inserts
Dual Mobility inserts, available with 22 and 28mm inner diameter, are designed for a perfect coupling with the inner surface of every cup sizes, providing the highest articular stability.
They are made of UHWMPE (GUR1020) without calcium stearate, available also with Vitamin E **VITAL-E®** and **VITAL-XE®** version (cross linked).
****
**MATERIALS**
ACORN TRASER® cups are made of Titanium Aluminium Vanadium alloy powders.
The articular inserts are made of UHMWPE without calcium stearate – ISO5834/1/2 also available with Vitamin E
(VITAL-E® and VITAL-XE® crosslinked version). VITAL-B® coating in TiNbN.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Cotili, Anca
---
### [ACORN TRASER](https://www.permedica.it/acorn-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Un cotile a doppia mobilità unico nel suo genere: struttura completamente in titanio trabecolare, per un’elevata stabilità e una soluzione ipoallergenica
**Product range:** 14 taglie press-fit
(Ø 38-64mm)
Il cotile ACORN TRASER® è una soluzione a doppia mobilità unica nel suo genere.
Realizzato **completamente in lega di titanio mediante stampa 3D,** coniuga due tecnologie innovative sviluppate da Permedica – TRASER® e VITAL-B® per favorire un **ancoraggio primario stabile mediante press-fit** e una **tribologia ottimale** per l’accoppiamento con l’inserto articolare.
Il cotile ACORN TRASER® è inoltre una **soluzione ipoallergenica.**
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img1-200x411.png "ACORN TRASER_img1")
Elevata stabilità primaria
Il cotile presenta **geometria emisferica con schiacciamento polare** e **solcature circonferenziali e radiali** che garantiscono un press-fit efficace nella zona equatoriale.
La presenza di un **bordo equatoriale protruso di 2mm** conferisce maggiore copertura nella regione craniale, aumentando la stabilità.
[](https://www.permedica.it/wp-content/uploads/2020/01/Acorn-TRASER-immagine-2.png "Acorn TRASER immagine 2")
Struttura TRASER®
La superficie a **struttura trabecolare randomizzata TRASER®** a contatto con l’osso promuove un ottimo ancoraggio primario a press-fit e favorisce l’osteointegrazione \[1\].
###### \[1\] Ragone, V., Canciani, E., Arosio, M. et al. In vivo osseointegration of a randomized trabecular titanium structure obtained by an additive manufacturing technique.
J Mater Sci: Mater Med 31, 17 (2020).
Rivestimento VITAL-B® sulla superficie interna
Il **rivestimento VITAL-B®** in TiNbN sulla superficie interna del cotile garantisce una tribologia ottimale per l’accoppiamento con l’inserto articolare.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img3-600x274.png "ACORN TRASER_img3")
Superficie trabecolare
La dimensione e la forma geometrica randomizzata della superficie trabecolare, molto simile a quella dell’osso spongioso, fornisce una struttura ideale per la ricrescita ossea assicurando all’impianto la stabilizzazione secondaria di tipo biologico.
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img4a-256x300.jpg "ACORN TRASER_img4a")
[](https://www.permedica.it/wp-content/uploads/2020/01/ACORN-TRASER_img4b-400x352.png "ACORN TRASER_img4b")
Inserti Doppia Mobilità
Gli inserti articolari, disponibili con diametro interno 22mm e 28mm, sono disegnati per il perfetto accoppiamento con l’interno di ogni singola taglia di cotile, conferendo la massima stabilità articolare.
Sono realizzati con polietilene ad elevato peso molecolare di ultima generazione (GUR1020) privo di stearato di calcio, anche in versione addizionata con Vitamina E antiossidante **VITAL-E®** e **VITAL-XE®** (cross-linked).
****
**MATERIALI**
I cotili ACORN sono realizzati con polveri di lega di Titanio Alluminio Vanadio.
Gli inserti articolari sono realizzati in Polietilene ad altissimo peso molecolare senza stearato di calcio – ISO5834/1/2 anche in versione addizionata con Vitamina E (Alfa-Tocoferolo) antiossidante VITAL-E® e VITAL-XE® (cross-linked). Rivestimento VITAL-B® in TiNbN.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System TRASER Acetabular Cage](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-system-TRASER-Cage-Acetabolare-con-ACORN.jpg "Jump system TRASER Cage Acetabolare con ACORN")
**Produktpalette:** 10 anatomische Größen
(rechts und links)
Der **JUMP® System TRASER® Acetabular Cage®** wird durch 3D-gedruckten additiven, selektiven Laser Melting Fertigungsverfahren hergestellt, dass es ermöglicht, feste Objekte aus digitalen 3D-CAD-Modellen durch schichtweises Hinzufügen des Rohmaterials (Ti6Al4V-Pulver) Schicht für Schicht herzustellen.
Die zufällige Größe und geometrische Form der **trabekulären porösen Oberfläche in Kontakt mit dem Knochen** bietet eine **optimale Struktur für das Einwachsen des Knochens** und die sekundäre biologische Fixierung des Implantats.
Acetabular Cage aus einer Titanlegierung zur Verstärkung der knöchernen Struktur des Acetabulums, um eine zementierte Acetabulum-Komponente einzubringen.
Optimiertes anatomisches Design, dass auf der Grundlage der morphologischen Analyse mehrerer Becken beider Geschlechter entwickelt wurde.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cage-TRASER_landing_page-copia_def.jpg--800x800.jpg "Cage-TRASER_landing_page-copia_def.jpg")
**Kranialer Flange,** der auf dem Darmbeinknochen aufliegt und auch zur Fixierung eventueller Knochentransplantate verwendet werden kann.
Die strong>Löcher im kranialen Bereich ermöglichen eine Schraubeneinbringung bis zu einem Winkel von 15°.
Oberfläche in Kontakt mit dem Knochen mit **offenzelliger 3D-Trabekelstruktur** auch an dem Flange ohne Unterbrechung vorhanden.
**Ischial Flange** mit Loch für die Fixierung der Knochenkompressionsschraube.
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-system-TRASER-Cage-Acetabolare-con-ACORN-senza-traser.jpg "Jump system TRASER Cage Acetabolare con ACORN senza traser")
Die Größe bezieht sich auf den Innendurchmesser des Cages, der zur Aufnahme der zu zementierenden Hüftpfannenkomponente dient. Der Außendurchmesser wird um 6 mm vergrößert.
Mit zunehmender Größe verschiebt sich das Zentrum der Zementierkugel nach lateral, um die mediale Protrusion zu begrenzen.
****
**MATERIALIEN**
Cage: Titan-Aluminium-Vanadium-Legierung (Ti6Al4V – ASTM F 2924).
Schrauben: Titan-Aluminium-Vanadium-Legierung (Ti6Al4V – ISO5832/3).
[Hufte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System TRASER Cage Acetabolare](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-system-TRASER-Cage-Acetabolare-con-ACORN.jpg "Jump system TRASER Cage Acetabolare con ACORN")
**Gamme de produits:** 10 tailles anatomiques
(droite et gauche)
**La cage acétabulaire JUMP® System TRASER®** est fabriquée grâce au procédé **d’impression 3D**, est fabriquée grâce au procédé d’impression 3D, la fabrication additive Selective Laser Melting, qui permet d’obtenir des objets solides à partir de modèles numériques 3D-CAD en appliquant la matière première (poudre Ti6Al4V) en couches successives.
La taille et la forme géométriques aléatoires de la **surface trabéculaire poreuse en contact avec l’os** offre un **cadre optimal pour la repousse osseuse,** favorisant la stabilisation biologique secondaire de l’implant.
Cage acétabulaire en alliage de titane à utiliser comme renforcement de la structure osseuse acétabulaire pour loger un composant prothétique cimenté. Une conformation anatomique optimisée développée sur base de l’analyse morphologique des différents bassins des deux sexes.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cage-TRASER_landing_page-copia_def.jpg--800x800.jpg "Cage-TRASER_landing_page-copia_def.jpg")
**Collerette crânienne** reposant sur l’épine iliaque, peut également être utilisée pour la fixation de greffons osseux.
Des **trous dans la région crânienne**et sur la collerette de fixation iliaque permettent l’insertion de vis jusqu’à 15° d’angulation.
Surface en contact avec l’os avec **structure trabéculaire 3D** à cellules ouvertes également présente sur les rebords sans interruption.
**Pate ischiatique** avec trou pour fixation par vis à os en compression.
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-system-TRASER-Cage-Acetabolare-con-ACORN-senza-traser.jpg "Jump system TRASER Cage Acetabolare con ACORN senza traser")
La taille se réfère au diamètre INTERNE de la cage utile pour loger le composant acétabulaire à cimenter. Le diamètre EXTERNE est augmenté de 6 mm.
Au fur et à mesure que la taille augmente, le centre de la sphère de cimentation se déplace latéralement afin de limiter la protrusion médiale.
****
**MATÉRIAUX**
Cage : Alliage Titane Aluminium Vanadium (Ti6Al4V – ASTM F 2924).
Vis : Alliage Titane Aluminium Vanadium (Ti6Al4V – ISO5832/3).
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System TRASER Acetabular Cage](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-system-TRASER-Cage-Acetabolare-con-ACORN.jpg "Jump system TRASER Cage Acetabolare con ACORN")
**Product range:** 10 anatomical sizes
(right and left)
**The JUMP® System TRASER® Acetabular Cage** is obtained through **3D printed** Selective Laser Melting additive manufacturing process, which allows to obtain solid objects from 3D-CAD digital models by adding the raw material (Ti6Al4V powder) layer over layer.
The randomized size and geometrical shape of the **trabecular porous surface in contact with the bone** provides **optimal structure for bone in-growth** and biological type secondary fixation of the implant.
Titanium alloy Acetabular Cage to be used as a reinforcement of the acetabular bony structure in order to lodge a cemented acetabular component.
Optimized anatomical design developed on the basis of morphological analysis of several pelvis from both genders.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cage-TRASER_landing_page-copia_def.jpg--800x800.jpg "Cage-TRASER_landing_page-copia_def.jpg")
**Cranial flange** resting on the iliac spine, also utilizable for eventual bone grafts fixation.
**The holes in the cranial region** and on the iliac flange allows for screw insertion up to 15° angle.
Surface in contact with the bone with **open cell 3D trabecular structure** also present on the flanges without interruption.
**Ischial flange** with hole for bone compression screw fixation.
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-system-TRASER-Cage-Acetabolare-con-ACORN-senza-traser.jpg "Jump system TRASER Cage Acetabolare con ACORN senza traser")
The size refers to the INTERNAL diameter of the Cage, useful to host the cemented acetabular component: the EXTERNAL diameter is 6 mm
larger.
By increasing of the size, the center of the cementing sphere moves laterally in order to limit the medial protrusion.
****
**MATERIALS**
Cage: Titanium Alluminium Vanadium alloy (Ti6Al4V – ASTM F 2924).
Screws: Titanium Alluminium Vanadium alloy (Ti6Al4V – ISO5832/3).
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Cotili, Anca
---
### [JUMP System TRASER Cage Acetabolare](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-system-TRASER-Cage-Acetabolare-con-ACORN.jpg "Jump system TRASER Cage Acetabolare con ACORN")
**Product range:** 10 taglie anatomiche
(destre e sinistre)
**La Cage Acetabolare JUMP® System TRASER®** è realizzata mediante processo di **stampa 3D**, manifattura additiva Selective Laser Melting, che permette di ottenere oggetti solidi partendo da modelli digitali 3D-CAD mediante apposizione della materia prima (polvere di Ti6Al4V) in strati successivi.
La dimensione e la forma geometrica randomizzata della **superficie trabecolare porosa a contatto con l’osso** forniscono una **struttura ottimale per la ricrescita ossea,** promuovendo la stabilizzazione secondaria di tipo biologico dell’impianto.
Cage Acetabolare in lega di Titanio da utilizzarsi come rinforzo della struttura ossea acetabolare per l’alloggiamento di una componente protesica cementata. Conformazione anatomica ottimizzata sviluppata sulla base dell’analisi morfologica di diverse pelvi di entrambe i sessi.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cage-TRASER_landing_page-copia_def.jpg--800x800.jpg "Cage-TRASER_landing_page-copia_def.jpg")
**Flangia craniale** in appoggio sulla colonna iliaca, utilizzabile anche per la fissazione di innesti ossei.
**I fori nella regione craniale** e sulla flangia a fissazione iliaca consentono l’inserimento di viti con angolazione fino 15°.
Superficie a contatto con l’osso con **struttura trabecolare 3D** a celle aperte presente anche sulle flange senza soluzione di continuità.
**Flangia ischiatica** con foro per fissazione con vite ossea in compressione.
[](https://www.permedica.it/wp-content/uploads/2020/01/Jump-system-TRASER-Cage-Acetabolare-con-ACORN-senza-traser.jpg "Jump system TRASER Cage Acetabolare con ACORN senza traser")
La taglia si riferisce al diametro INTERNO della Cage utile per l’alloggiamento della componente acetabolare da cementare. Il diametro ESTERNO è maggiorato di 6mm.
Al crescere della taglia il centro della sfera di cementazione si sposta lateralmente in modo da limitare la sporgenza mediale.
****
**MATERIALI**
Cage: lega di Titanio Alluminio Vanadio (Ti6Al4V – ASTM F 2924).
Viti: Lega di Titanio Alluminio Vanadio (Ti6Al4V – ISO5832/3).
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [EXACTA](https://www.permedica.it/exacta/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Sencillo.
Fiable.
Exacta.
Doble revestimiento poroso para optimizar la estabilidad primaria y la osteointegración
**Gama de productos:** 12 tamaños (estándar y laterales) encajados a presión y cementados
La familia de vástagos **EXACTA** incluye vástagos rectos no cementados y cementados (versión Plus) para primera implantación. Los vástagos para aplicación no cementada están doblemente recubiertos con **HaX-Pore ®**: 300 µm de titanio puro y 50 µm de hidroxiapatita aplicada con una técnica de pulverización de plasma para conseguir una buena estabilización primaria y favorecer la colonización de osteoblastos para una integración biológica óptima.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-1-new-191x300.png "EXACTA 1 new")
Estándar y Lateral
Dos opciones con diferentes desplazamientos (135° y 127°) para reproducir exactamente la biomecánica de la cadera.
Fácil acceso quirúrgico
El diseño del perfil lateral no sólo evita un sacrificio óseo excesivo en la región trocantérica, sino que también permite una inserción sencilla y fácil a través de vías de acceso mínimamente invasivas, como la vía de acceso anterior.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-2-new-300x238.png "EXACTA 2 new")
Estabilidad
Las ranuras verticales y horizontales proporcionan estabilidad rotacional y axial.
Cono 12/14
Agujero para introductor y extractor
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-3-new-176x300.png "EXACTA 3 new")
Pulido espejo
Los vástagos **EXACTA** Plus para aplicaciones cementadas tienen una superficie pulida espejo y perfiles con bordes biselados para evitar una tensión excesiva en el cemento que rodea la prótesis.
Fácil colocación
Bobinas de hundimiento para facilitar la colocación del vástago.
Centrado distal
****
**MATERIALES**
Los vástagos **EXACTA** para aplicación no cementada están hechos de una aleación de titanio, aluminio y niobio conforme a la norma ISO5832/11.
Los vástagos **EXACTA** Plus para aplicación cementada están hechos de una aleación de acero con alto contenido en nitrógeno conforme a la norma ISO5832/9.
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA RS](https://www.permedica.it/exacta-rs/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Sencillo.
Fiable.
Exacta.
Diseñado para abordajes mínimamente invasivos. Ahorro óseo. Curvatura anatómica.
**Gama de productos:** 12 tamaños a presión (estándar y laterales)
EXACTA RS es el nuevo vástago de la familia EXACTA. EXACTA RS combina un **diseño único de triple conicidad** con un doble revestimiento poroso HaX-Pore® en la región metafisaria (300 µm de titanio puro y 50 µm de hidroxiapatita aplicada mediante técnica de pulverización de plasma) para **optimizar la estabilidad primaria y la osteointegración**.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img1-2-600x704.png "EXACTA_RS_img1")
Diseño
El diseño del vástago **de triple conicidad** (frontal, coronal y sagital) favorece la estabilidad axial y rotacional al favorecer la distribución de las cargas en la región metafisaria. El **crecimiento progresivo del cuello** en proporción al tamaño del vástago permite una mejor reproducción de la anatomía. La **curvatura anatómica** y las **dimensiones optimizadas** permiten una fácil introducción incluso con técnicas mínimamente invasivas o con acceso anterior, así como **un sacrificio óseo limitado**.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img2-600x993.png "EXACTA_RS_img2")
Estándar y Lateral 12 tamaños de implante
ESTÁNDAR y LATERAL, con el mismo ángulo CCD de 132° y desplazamiento de 6 ó 7 mm en la versión lateral, según el tamaño.
Cono 12/14 (ángulo de vértice 5°42’30”) homologado BIOLOX.
Cuello
**Sección reducida** para optimizar el ROM. **Acabado pulido** para minimizar el desgaste del inserto articular.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img3-600x474.png "EXACTA_RS_img3")
Estabilidad
Las ranuras horizontales de la porción proximal proporcionan estabilidad axial.
Superficie bioactiva
El doble revestimiento **HaX-Pore** ® de Titanio puro e Hidroxiapatita aplicado mediante la técnica de pulverización de plasma en la **región metafisaria** garantiza una buena estabilización primaria y favorece la colonización de osteoblastos para una integración biológica óptima.
Extremo distal
El **diseño cónico** y el **acabado pulido** evitan la concentración de carga en la cortical femoral previniendo el dolor postoperatorio en el muslo.
****
**MATERIALES**
Los vástagos **EXACTA RS** para aplicación sin cemento están fabricados con una aleación de titanio, aluminio y niobio conforme a la norma ISO5832/11.
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [Soluciones a medida](https://www.permedica.it/soluzioni-custom-made-spalla/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
#### LIBERTAD DE DISEÑO PARA SATISFACER LAS NECESIDADES DEL PACIENTE Y DEL CIRUJANO
Gracias a su extrema versatilidad, **la tecnología de fabricación aditiva ofrece la posibilidad de realizar soluciones incluso para las situaciones más complejas** que no pueden abordarse con equipos estándar.
A lo largo de muchos años de experiencia clínica, **Permedica ha desarrollado un importante know-how interno en impresión 3D** para ofrecer a los cirujanos soluciones ad-hoc para el tratamiento de casos complejos.
La tecnología [**TRASER®** (titanio fundido por láser trabecular)](https://www.permedica.it/es/sistemas-de-innovacion/traser/) permite fabricar **implantes de cualquier forma y diseño** para adaptarlos mejor al caso clínico de interés.
#### CICLO DE PRODUCCIÓN
A partir de imágenes de TAC, **nuestro departamento de I+D analiza el caso con el cirujano** para determinar la solución más adecuada.
Una vez que el cirujano aprueba el diseño, **los componentes se fabrican mediante una impresora 3D** a partir de polvo de titanio.
**La fusión** selectiva **por láser es una tecnología de fabricación aditiva** que funde selectivamente porciones específicas de una fina capa de polvo de titanio mediante un rayo láser para crear objetos sólidos.
Al final del proceso de SLM, las piezas obtenidas se separan del sustrato, se **someten a tratamiento térmico** y **chorro de arena**, y se someten a **un posterior procesamiento mecánico tradicional** para obtener el sistema acabado.
#### SOLUCIONES PARA CADERA, RODILLA Y HOMBRO
Las soluciones a medida desempeñan un papel cada vez más importante, tanto para fabricar **componentes con un diseño específico** para un escenario clínico concreton **(pérdida ósea, anatomía compleja, fracturas o complicaciones postraumáticas, herrajes in situ**) como para **producir implantes más pequeños**, por ejemplo para el tratamiento de pacientes con enanismo.
#### CASO CLÍNICO \[1\]
#### HISTORIAL CLÍNICO
Paciente varón de 32 años, que padece **enanismo**.
Altura de 1,08 metros y peso de 30 kg. Antecedentes de dolor continuo diario en la cadera derecha con reducción de la articularidad. Limitaciones clínicas importantes. Dependiente de analgésicos.
EXAMEN CLÍNICO
Marcha: **cojera lado derecho**.
Signo de Duchenne/Trendelemburg negativo. Articularidad: flexión-extensión 30-10-0°, rotación externa-interna 20-0-10°, abducción-aducción 10-0-20°. Examen radiográfico:**coxartrosis de la cadera derecha secundaria a displasia** (DDH, Crowe II, Paprosky IIb).
#### INTERVENCIÓN
Se sometió a la paciente a una artroplastia total de cadera utilizando un aloinjerto óseo de cabeza femoral procedente de un banco de huesos fijado con unos tornillos para reconstruir el reborde acetabular lateral.
A continuación se implantó un **cotilo a medida de 30 mm de diámetro fabricado** **con tecnología TRASER** **en titanio trabecular** sin utilizar cemento y fijado con unos tornillos esponjosos adicionales. En el lado femoral se implantó un**vástago a medida fabricado con la misma tecnología TRASER** con una cabeza metálica que se articulaba con un inserto de UHMWPE.
#### RESULTADOS
El resultado final es un **implante protésico estable con una cobertura óptima** y un posicionamiento central del componente acetabular TRASER.
#### CONTROL
**4 meses después de la operación,** **la paciente volvió a caminar perfectamente.** ****Sin muletas** desde el segundo mes postoperatorio.**
**No hay cojera.** Función articular: flexión-extensión 120-0-20°, rotación este-int 90° 40-0-30°. Radiográficamente, el implante protésico y el injerto óseo son estables, el cotilo está osteointegrado.
###### [\[1\] Memminger M, Banci L, Meoli A. Sustitución total bilateral de cadera en enanismo con una coquilla acetabular trabecular personalizada impresa con láser. Ortopedia. 2019 Sep 1;42(5):e477-e479. ](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Spalla
---
### [INSTRUMENTACIÓN SMART](https://www.permedica.it/strumentario-smart/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
Tras la **evolución continua de las técnicas quirúrgicas** y las **preferencias de los cirujanos** en prótesis de rodilla, Permedica ha desarrollado un instrumental innovador.
La instrumentación SMART está diseñada para optimizar **dos aspectos principales** la **técnica** relacionados con el procedimiento quirúrgico, y el **logístico** relacionado con su gestión y manipulación.
## ¿Por qué “SMART”?
## Beneficios para todas las partes interesadas
### ‘El instrumental se adapta a las preferencias del cirujano, no al revés’
## **Aspecto técnico**
Alineación femoral con referencia **extramedular**:
- mantener la integridad del canal diafisario
- Reducción de la hemorragia
- Reducir el riesgo embólico
**Una guía femoral** para múltiples funciones:
- alineación en valgo
- acotación
- orientación rotacional
**Dos opciones de alineación**
Alineación **MECÁNICA** **(MA)**
: es el método de alineación clásico, el más utilizado, cuyo objetivo es obtener una rima articular perpendicular al Eje Mecánico y, en consecuencia, una distribución equitativa de la carga del miembro inferior en el compartimento medial y lateral.
En extensión, la Rima Articularis (Línea Articular), es decir, el plano que contiene los puntos de apoyo de los cóndilos femorales en los platillos tibiales, está inclinada una media de 3º en varo.
La **resección tibial** se realiza perpendicular al Eje Mecánico del miembro inferior, que coincide con el Eje Tibial Anatómico. El plano de resección tibial es de 3º en valgo con respecto al plano de la Rima Articular.
El **resección femoral distal** distal también debe realizarse perpendicular al Eje Mecánico, que normalmente tiene aproximadamente 5°-7° de valgo con respecto al Eje Femoral Anatómico; el plano de resección tiene aproximadamente 3° de varo con respecto al plano de la Rima Articularis.
Estas desviaciones angulares de 3º entre las resecciones femoral y tibial se compensan entre sí, por lo que parece que las superficies de resección son paralelas y ambas son también paralelas al Eje Epicondilar.
Alineación **CINEMÁTICA** **(KA)**
: este método de alineación pretende obtener una rima articular que mantenga las características morfológicas y funcionales del paciente individual.
El **resección femoral distal** se realiza con el simple objetivo de eliminar la misma cantidad de hueso que será sustituida por la prótesis, sin ninguna corrección axial.
En consecuencia, la **resección tibial** se realiza paralela a la femoral para obtener un espacio simétrico.
## **Aspecto logístico**
**Instrumental compacto,** optimizado en número de piezas y configuración: **Conjunto básico** con los tamaños más utilizados:
- Fémur 7 a 10
- Tibie B a G
- Insertos B-C, D-E, F-G grosor 10, 12 y 14 mm
**Conjunto Integración** con tamaños extremos:
- Fémures 5-6 y 11-12
- Tibia XS y A con sus correspondientes insertos
- Insertos B-C, D-E, F-G 17 y 20 mm de grosor
[Productos para la rodilla](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [Sistema universal de extracción de tallos](https://www.permedica.it/universal-cup-removal-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/def-immagine-cup.jpg "def immagine cup")
Compatible con vasos cementados y no cementados. Eficaz gracias al uso de cuchillas modulares de iniciación y acabado.
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [Jaula Acetabular JUMP System TRASER](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/Cage-TRASER_1_logo.jpg "Cage TRASER_1_logo")
**Gama de productos:** 10 tallas anatómicas (derecha e izquierda)
**La Jaula Acetabular TRASER® del Sistema JUMP** se fabrica mediante un proceso de **impresión 3D** fabricación aditiva Fusión Selectiva por Láser, que permite obtener objetos sólidos a partir de modelos digitales 3D-CAD aplicando la materia prima (polvo de Ti6Al4V) en capas sucesivas.
El tamaño y la forma geométrica aleatorios de la **superficie trabecular porosa en contacto con el hueso** proporcionan una **estructura óptima para el recrecimiento óseo** favoreciendo la estabilización biológica secundaria del implante.
Jaula acetabular de aleación de titanio que se utiliza como refuerzo de la estructura ósea acetabular para alojar un componente protésico cementado. Conformación anatómica optimizada desarrollada a partir del análisis morfológico de diferentes pelvis de ambos sexos.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cage-TRASER_landing_page-copia_def.jpg--800x800.jpg "Cage-TRASER_landing_page-copia_def.jpg")
**Brida craneal** apoyada en la espina ilíaca, que también puede utilizarse para la fijación de injertos óseos.
**Los orificios en la región craneal** y en la brida de fijación ilíaca permiten la inserción de tornillos con un ángulo de hasta 15°.
Superficie de contacto óseo con **estructura trabecular 3D** con células abiertas también presentes en los rebordes sin soldadura.
**Brida isquiática** con orificio para fijación con tornillo óseo en compresión.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cage-TRASER_1_griglia-copia_def-800x800.jpg "Cage TRASER_1_griglia copia_def")
El tamaño se refiere al diámetro INTERNO de la Jaula útil para alojar el componente acetabular que se va a cementar. El diámetro EXTERIOR aumenta 6 mm.
A medida que aumenta el tamaño, el centro de la bola de cementación se desplaza lateralmente para limitar la proyección medial.
****
**MATERIALES**
Jaula: Aleación de titanio-aluminio-vanadio (Ti6Al4V – ASTM F 2924).
Tornillos: Aleación de titanio aluminio vanadio (Ti6Al4V – ISO5832/3).
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System Cementado](https://www.permedica.it/jump-cemented/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Versión cementada
Neutro
Con hombrera
Retentivo
**Gama de productos:**12 tallas neutras y con hombrera, 11 tallas retentivas.
**El Sistema JUMP® Cementado** es un cotilo acetabular para implantes primarios y/o de revisión que utiliza cemento óseo.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_1-2-3-1.jpg "JS_Cemented_1-2-3")
Neutro y con hombro antiluz
JUMP ® System Cementado está disponible en neutro y con hombro antiluz de 20°.
Asiento de la junta ∅ 28 – 32 – 36mm
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4-1.jpg "JS_Cemented_4")
Ranuras radiales y circunferenciales
La superficie exterior del cotilo tiene una geometría semiesférica con anchas ranuras circunferenciales y radiales para facilitar la distribución homogénea y el anclaje del cemento. Dos anillos metálicos de acero, uno polar y otro ecuatorial, sirven como hallazgos radiográficos.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4b.jpg "JS_Cemented_4b")
También está disponible una **versión de retención**, adecuada para pacientes con poco tono muscular, cuyo riesgo de luxación frecuente es elevado. El anillo de retención especial, del mismo tipo que los utilizados para las cúpulas móviles, garantiza la retención de la cabeza articular en el cotilo.
****
**MATERIALES**
El cotilo acetabular JUMP ® System CEMENTED está fabricado con UHWMPE de alta resistencia, sin estearato de calcio, conforme a la norma ISO5834/1/2.
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [SOLUCIONES ESPECÍFICAS PARA EL PACIENTE](https://www.permedica.it/soluzioni-patient-specific/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### Instrumentos específicos para pacientes impresos en 3D
Desarrollado en colaboración con cirujanos con experiencia clínica, **el sistema de instrumental específico para el paciente impreso en 3D DYO** de Permedica Orthopaedics permite **fabricar guías a medida para la artroplastia total de rodilla**.
Este sistema de **guías específicas para el paciente, es decir, diseñadas ad hoc para la anatomía individual del paciente**, permite al cirujano una **reproducción fiel de la planificación preoperatoria** y un **posicionamiento preciso de los componentes protésicos**, así como una serie de posibles ventajas adicionales.
- Precisión en la colocación de los componentes protésicos
- Cirugía conservadora que preserva la integridad del canal medular
- Procedimiento quirúrgico optimizado y reducción de costes
- Planificación preoperatoria 3D en línea
#### FLUJO DE TRABAJO
1\. TOMOGRAFIA ASSIALE COMPUTERIZZATA
El paciente se somete a una **tomografía axial computarizada** (TAC). 2. CARGA DE LAS IMÁGENES EN LA WEB El cirujano carga las **imágenes de TC en el portal online** de Permedica **.** 3. EVALUACIÓN DE LA CALIDAD DE LAS IMÁGENES **Se analizan las imágenes** para evaluar su compatibilidad con las normas de calidad. 4. RECONSTRUCCIÓN 3D A partir de las imágenes, **se construyen modelos 3D de la tibia y el fémur** y se hace una **propuesta inicial de planificación preoperatoria** al cirujano. El cirujano tiene la **posibilidad de modificar la planificación desde el portal online en cualquier momento.** 5. VALIDACIÓN DE LA **PLANIFICACIÓN** Y PRODUCCIÓN DE LA GUÍA Una vez satisfecho con la planificación 3D, el cirujano **valida la planificación**. En este momento **puede iniciar la producción de las guías** (femoral y tibial). 6. ENVÍO DE LAS GUÍAS En cuanto están listas, las guías se **embalan, se esterilizan y se envían al hospital** listas para su uso.
**Categorie:** Ginocchio
---
### [SOLUCIONES A MEDIDA](https://www.permedica.it/soluzioni-custom-made/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
#### LIBERTAD DE DISEÑO PARA SATISFACER LAS NECESIDADES DEL PACIENTE Y DEL CIRUJANO
Gracias a su extrema versatilidad, **la tecnología de fabricación aditiva ofrece la posibilidad de realizar soluciones incluso para las situaciones más complejas** que no pueden abordarse con equipos estándar.
A lo largo de muchos años de experiencia clínica, **Permedica ha desarrollado un importante know-how interno en impresión 3D** para ofrecer a los cirujanos soluciones ad-hoc para el tratamiento de casos complejos.
La tecnología [**TRASER®** (titanio fundido por láser trabecular)](https://www.permedica.it/es/sistemas-de-innovacion/traser/) permite fabricar **implantes de cualquier forma y diseño** para adaptarlos mejor al caso clínico de interés.
#### CICLO DE PRODUCCIÓN
A partir de imágenes de TAC, **nuestro departamento de I+D analiza el caso con el cirujano** para determinar la solución más adecuada.
Una vez que el cirujano aprueba el diseño, **los componentes se fabrican mediante una impresora 3D** a partir de polvo de titanio.
**La fusión** selectiva **por láser es una tecnología de fabricación aditiva** que funde selectivamente porciones específicas de una fina capa de polvo de titanio mediante un rayo láser para crear objetos sólidos.
Al final del proceso de SLM, las piezas obtenidas se separan del sustrato, se **someten a tratamiento térmico** y **chorro de arena**, y se someten a **un posterior procesamiento mecánico tradicional** para obtener el sistema acabado.
#### SOLUCIONES PARA CADERA, RODILLA Y HOMBRO
Las soluciones a medida desempeñan un papel cada vez más importante, tanto para fabricar **componentes con un diseño específico** para un escenario clínico concreto**(pérdida ósea, anatomía compleja, fracturas o complicaciones postraumáticas, herrajes in situ**) como para **producir implantes más pequeños**, por ejemplo para el tratamiento de pacientes con enanismo.
#### CASO CLÍNICO \[1\]
#### HISTORIAL CLÍNICO
Paciente varón de 32 años, que padece **enanismo**.
Altura de 1,08 metros y peso de 30 kg. Antecedentes de dolor continuo diario en la cadera derecha con reducción de la articularidad. Limitaciones clínicas importantes. Dependiente de analgésicos.
EXAMEN CLÍNICO
Marcha: **cojera lado derecho**.
Signo de Duchenne/Trendelemburg negativo. Articularidad: flexión-extensión 30-10-0°, rotación externa-interna 20-0-10°, abducción-aducción 10-0-20°. Examen radiográfico:**coxartrosis de la cadera derecha secundaria a displasia** (DDH, Crowe II, Paprosky IIb).
#### INTERVENCIÓN
Se sometió a la paciente a una artroplastia total de cadera utilizando un aloinjerto óseo de cabeza femoral procedente de un banco de huesos fijado con unos tornillos para reconstruir el reborde acetabular lateral.
A continuación se implantó un **cotilo a medida de 30 mm de diámetro fabricado** **con tecnología TRASER** **en titanio trabecular** sin utilizar cemento y fijado con unos tornillos esponjosos adicionales. En el lado femoral se implantó un**vástago a medida fabricado con la misma tecnología TRASER** con una cabeza metálica que se articulaba con un inserto de UHMWPE.
#### RESULTADOS
El resultado final es un **implante protésico estable con una cobertura óptima** y un posicionamiento central del componente acetabular TRASER.
#### CONTROL
**4 meses después de la operación,** **la paciente volvió a caminar perfectamente.** ****Sin muletas** desde el segundo mes postoperatorio.**
N **o hay cojera.** Función articular: flexión-extensión 120-0-20°, rotación este-int 90° 40-0-30°. Radiográficamente, el implante protésico y el injerto óseo son estables, el cotilo está osteointegrado.
###### [\[1\] Memminger M, Banci L, Meoli A. Sustitución total bilateral de cadera en enanismo con una coquilla acetabular trabecular personalizada impresa con láser. Ortopedia. 2019 Sep 1;42(5):e477-e479. ](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Ginocchio
---
### [JUMP System TRASER](https://www.permedica.it/jump-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Lo que le gusta al hueso
Estructura de titanio trabecular que imita la naturaleza del hueso
**Gama de productos:** 14 tamaños (Ø 44-70 mm), 17 tamaños Revisión (Ø 48-80 mm)
**El Sistema JUMP® TRASER®** es una prótesis acetabular indicada para cirugías primarias de sustitución fabricada con fabricación aditiva **Fusión Selectiva por Láser**, que permite obtener objetos sólidos a partir de modelos digitales 3D-CAD mediante la fijación de la materia prima (polvo de Ti6Al4V) en capas sucesivas hasta completar el objeto.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-2_logo.jpg "JS_TRASER 2_logo")
Alta estabilidad primaria
La alta estabilidad primaria la proporcionan el perfil bajo y el aplanamiento polar, que favorecen la distribución ecuatorial de las fuerzas de carga, mientras que la porosidad aleatoria de la superficie trabecular proporciona una estructura óptima para el recrecimiento óseo, al tiempo que garantiza la estabilización biológica secundaria del implante.
[](https://www.permedica.it/wp-content/uploads/2020/01/Trabecolatura.jpg "Trabecolatura")
Superficie trabecular
El tamaño aleatorio y la forma geométrica de la superficie trabecular, muy similar a la del hueso esponjoso, proporcionan una estructura óptima para el recrecimiento óseo, garantizando la estabilización biológica secundaria del implante.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-4-1.jpg "JS_TRASER 4")
Versión con varios orificios
La versión **TRASER® Revisión** tiene más orificios para casos de revisión moderada.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-3.jpg "JUMP System_5")
Insertos articulares
El cotilo TRASER® dispone de todas las opciones articulares que ofrece el Sistema JUMP ®: insertos de **UHMWPE**, VITAL-XE **® y** **cerámica *delta BIOLOX*®** que permiten el acoplamiento con cabezas articulares de varios diámetros, así como insertos de Doble Movilidad que son una solución eficaz para los casos en los que existe una elevada posibilidad de luxación.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-5-1.jpg "JS_TRASER 5")
Movilidad Dual
El inserto **de Movilidad Dual del Sistema JUMP** ® es una solución eficaz para aquellos casos en los que existe una alta posibilidad de luxación (pacientes con poco tono muscular o déficit neuromotor), ya que permite aplicar a los vasos del Sistema JUMP® las ventajas de una articulación de Movilidad Dual. Un inserto metálico permite utilizar los insertos de Movilidad Dual ACORN de UHMWPE o VITAL-E®.
****
**MATERIALES**
Los vasos del sistema JUMP® TRASER® están fabricados con polvos de aleación de titanio, aluminio y vanadio – ISO5832/3.
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System](https://www.permedica.it/jump-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Un salto adelante
Doble revestimiento poroso
Geometría hemisférica con
trituración polar
**Gama de productos:** 14 tamaños (Ø 44-70 mm), 2 tamaños PE (Ø 48-50 mm).
El JUMP® SYSTEM es un sistema compuesto por copas acetabulares con diferentes modos de fijación que ofrecen al especialista en ortopedia diferentes soluciones para hacer frente a una gran variedad de situaciones. El JUMP® SYSTEM Press-Fit es una prótesis acetabular para operaciones primarias sin utilizar cemento.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_2-1.jpg "JUMP System_2")
Gran estabilidad primaria Garantizada por el perfil bajo y el aplanamiento polar, que favorecen la distribución ecuatorial de las fuerzas de carga, así como por la corona ecuatorial moleteada especial, que proporciona una sobremedida media de 1.000 µm (incluido el recubrimiento) en la región ecuatorial.
Anclaje de insertos patentado
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_3_logo.jpg "JUMP System_3_logo")
Revestimiento poroso
La superficie recubierta con materiales bioactivos, como el titanio puro y la hidroxiapatita, mejora la estabilidad primaria y favorece la integración biológica.
Hay tres versiones de recubrimiento disponibles:
- **H**aX-Pore®**:** doble revestimiento poroso de titanio e hidroxiapatita (500 ± 50 µm de Ti y 40 ± 10 µm de HA) aplicado mediante técnica de pulverización de plasma para lograr una buena estabilización primaria y promover la colonización de osteoblastos
- **X-Pore**: revestimiento de titanio poroso simple (500 ± 50 µm)
- **HA**: recubrimiento simple de hidroxiapatita (40 ± 10 µm)
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_4-1.jpg "JUMP System_4")
**JUMP SYSTEM ® PE**
La versión **PE del JUMP® SYSTEM** permite utilizar insertos de polietileno (UHMWPE y VITAL-XE®) que admiten cabezas de Ø 36 mm en tamaños de vaso pequeños (48 y 50 mm).
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-2.jpg "JUMP System_5")
Insertos articulares
Los vasos del JUMP**®** SYSTEM disponen de una gama de insertos articulares de **UHMWPE**, **cerámicaVITAL-XE®** y **BIOLOX® *delta*** que permiten el acoplamiento con cabezas articulares de varios diámetros, así como insertos de Doble Movilidad que son una solución eficaz para los casos en los que existe una alta posibilidad de luxación.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_6-1.jpg "JUMP System_6")
Movilidad Dual
El inserto **de Movilidad Dual del JUMP ® SYSTEM** es una solución eficaz para aquellos casos en los que existe una alta posibilidad de luxación (pacientes con poco tono muscular o déficit neuromotor), ya que permite aplicar a los vasos del JUMP® SYSTEM las ventajas de una articulación de Movilidad Dual. Un inserto metálico permite utilizar los insertos de Movilidad Dual ACORN de UHMWPE o VITAL-E®.
****
**MATERIALES**
Las cazoletas del JUMP® SYSTEMestán fabricadas con una aleación de Aluminio Vanadio Titanio – ISO5832/3.
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [KONE](https://www.permedica.it/kone/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## La versatilidad está aquí
Especialmente indicado para displasia, osteotomía o resultados de fracturas **KONE** es un sistema protésico polivalente y alternativo que responde a todas las necesidades y es capaz de satisfacer numerosas indicaciones de artroplastia.
**Gama de productos:** 14 tamaños a presión y cementados
El vástago **KONE** está disponible en versión no cementada y cementada (KONE Plus). La versión no cementada, aunque también se utiliza para fémures con morfología normal, está especialmente indicada para displasias, osteotomías y resultados de fracturas. La facilidad de uso de la versión cementada**KONE** Plus la hace especialmente adecuada en casos de fracturas pertrocantéricas o subtrocantéricas, posiblemente en combinación con placas y alambres de cerclaje.
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-1-1.jpg "KONE 1")
Sección circular La sección circular permite ajustar libremente el ángulo de anteversión. Esta característica hace que el vástago KONE sea adecuado para pacientes con deformidades óseas, en los que la rotación forzada del vástago puede causar peligrosas concentraciones de carga en la interfaz ósea.
Superficie arenada Superficies acabadas con un doble chorro corindón para garantizar una rugosidad óptima para la osteointegración.
Aletas longitudinales Las aletas longitudinales del vástago están diseñadas para penetrar ligeramente en el hueso, proporcionando un alto grado de estabilidad rotacional.
Bisel del ápice distal
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-2-1.jpg "KONE 2")
Diámetro de cuello reducido
Cono 12/14
Orificio roscado para introductor y extractor
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-3-1.jpg "KONE 3")
Versión cementada **KONE** Plus Con centrador proximal y distal.
****
**MATERIALES**
Los vástagos de pistón **KONE** para aplicaciones no cementadas están fabricados en aleación de Titanio Aluminio Niobio de acuerdo con la norma ISO5832/11. Los vástagos de pistón**KONE Plus** para aplicaciones cementadas están fabricados en aleación de acero con alto contenido en nitrógeno de acuerdo con la norma ISO5832/9.
****
**INSTRUMENTAL**
El instrumental está equipado con un juego de escariadores cónicos graduados y un juego de vástagos de prueba para la preparación precisa del canal femoral.
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [SYNTHESIS](https://www.permedica.it/synthesis/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Un concepto probado
Diseño cónico triple
Sección rectangular
Desplazamiento triple
**Gama de productos:** 13 tamaños (3 compensaciones)
**SYNTHESIS** es un vástago femoral que combina un concepto de anclaje ampliamente probado con un diseño cónico tridimensional y sección transversal rectangular con una gama de vástagos diseñados para permitir la máxima reproducibilidad de la geometría anatómica articular, gracias a la disponibilidad de vástagos con 3 desplazamientos diferentes.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-1.jpg "SYNTHESIS 1")
3 desplazamientos diferentes 3 desplazamientos disponibles para cada tamaño de vástago (CCD 127°; 131,5°; 136°), en incrementos de 5 mm sin afectar a la longitud del vástago.
Estabilidad El diseño cónico tridimensional y la sección transversal rectangular proporcionan una estabilidad adecuada al implante.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-2.jpg "SYNTHESIS 2")
Zona metafisaria La gran sección metafisaria favorece el apoyo sobre el calcar; las aletas longitudinales penetran en la esponjosa metafisaria y aumentan la estabilidad primaria.
Cuello Cuello de sección reducida para optimizar la amplitud de movimiento.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-3.jpg "SYNTHESIS 3")
Cono 12/14
Agujero para introductor y extractor
Diseño optimizado de las aletas La geometría elíptica de las aletas está diseñada para una adaptación óptima a la sección transversal del fémur proximal.
****
**MATERIALES**
Expresamente diseñados para una fijación sin cemento, los vástagos **SÍNTESIS** son de aleación forjada de titanio, aluminio y niobio, conforme a la norma ISO5832/11. El acabado superficial presenta una microestructura con rugosidad optimizada para favorecer la osteointegración.
****
**INSTRUMENTAL**
Los mangos de las escofinas del sistema SYNTHESIS están equipados con un **acoplamiento sencillo y seguro** y están disponibles en diferentes diseños según el acceso quirúrgico utilizado (postero-lateral, lateral, anterior).
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [3DMirai Planificación e ISP](https://www.permedica.it/3dmirai-planning-psi/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### PLANIFICACIÓN 3D MIRAI
Una nueva forma de mirar al futuro.
La planificación de la operación mediante tecnología 3D hace que la implantación de las prótesis Mirai sea aún más eficaz.
#### INSTRUMENTOS ESPECÍFICOS PARA EL PACIENTE IMPRESOS EN 3D
3Dmirai es una **plataforma desarrollada para simplificar la planificación preoperatoria** con tecnología 3D y **mejorar la precisión de la** colocación de implantes. El sistema proporciona una propuesta de planificación al cirujano, que puede modificarla en cualquier momento y luego validarla. Se proporcionan guías específicas para el paciente (PSI) para la colocación precisa de los componentes protésicos glenoideos según lo planificado.
3Dmirai permite **una planificación sencilla y directa de las prótesis de hombro** con las siguientes ventajas:
- Sistema **basado en la web** y **fácil de usar**
- Basado en **imágenes de TC**
- **Zonas de contacto implante-hueso** precisas y **visualizadas** en el lado glenoideo
- Visualización de los componentes del implante superpuestos en imágenes de TC
- **Herramientas específicas para el paciente (ISP)**
#### CÓMO FUNCIONA
1\.
Tomografía **computarizada** El paciente se somete a una**tomografía axial computarizada** (TAC). 2.
**LAS IMÁGENES** SE CARGAN EN LA WEB **Las imágenesDICOM se cargan** en la plataforma online de Permedica. 3.
**PROPUESTA DE PLANIFICACIÓNEl** cirujano **recibe una notificación cuando la propuesta de planificación está lista.** 4.
REVISIÓN Y VALIDACIÓN DE LA PLANIFICACIÓN El cirujano**puede revisar y perfeccionar la planificación** según sus preferencias. 5.
**HERRAMIENTAS ESPECÍFICAS PARA EL PACIENTE** (PSI) Una vez que el cirujano ha validado la planificación,**se producen y entregan las herramientas específicas para el paciente.**
**Categorie:** Spalla, Non categorizzato
---
### [Soluciones a medida](https://www.permedica.it/custom-made/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
#### LIBERTAD DE DISEÑO PARA SATISFACER LAS NECESIDADES DEL PACIENTE Y DEL CIRUJANO
Gracias a su extrema versatilidad, **la tecnología de fabricación aditiva ofrece la posibilidad de realizar soluciones incluso para las situaciones más complejas** que no pueden abordarse con equipos estándar.
A lo largo de muchos años de experiencia clínica, **Permedica ha desarrollado un importante know-how interno en impresión 3D** para ofrecer a los cirujanos soluciones ad-hoc para el tratamiento de casos complejos.
La tecnología [**TRASER®** (titanio fundido por láser trabecular)](https://www.permedica.it/innovation-systems/traser/) permite fabricar **implantes de cualquier forma y diseño** para adaptarlos mejor al caso clínico de interés.
#### CICLO DE PRODUCCIÓN
A partir de imágenes de TAC, **nuestro departamento de I+D analiza el caso con el cirujano** para determinar la solución más adecuada.
Una vez que el cirujano aprueba el diseño, **los componentes se fabrican mediante una impresora 3D** a partir de polvo de titanio.
**La fusión** selectiva **por láser es una tecnología de fabricación aditiva** que funde selectivamente porciones específicas de una fina capa de polvo de titanio mediante un rayo láser para crear objetos sólidos.
Al final del proceso de SLM, las piezas obtenidas se separan del sustrato, se **someten a tratamiento térmico** y **chorro de arena**, y se someten a **un posterior procesamiento mecánico tradicional** para obtener el sistema acabado.
#### SOLUCIONES PARA CADERA, RODILLA Y HOMBRO
Las soluciones a medida desempeñan un papel cada vez más importante, tanto para fabricar **componentes con un diseño específico** para un escenario clínico concreto**(pérdida ósea, anatomía compleja, fracturas o complicaciones postraumáticas, herrajes in situ**) como para **producir implantes más pequeños**, por ejemplo para el tratamiento de pacientes con enanismo.
#### CASO CLÍNICO \[1\]
#### HISTORIAL CLÍNICO
Paciente varón de 32 años, que padece **enanismo**.
Altura de 1,08 metros y peso de 30 kg. Antecedentes de dolor continuo diario en la cadera derecha con reducción de la articularidad. Limitaciones clínicas importantes. Dependiente de analgésicos.
EXAMEN CLÍNICO
Marcha: **cojera lado derecho**.
Signo de Duchenne/Trendelenburg negativo. Articularidad: flexión-extensión 30-10-0°, rotación externa-interna 20-0-10°, abducción-aducción 10-0-20°. Examen radiográfico:**coxartrosis cadera derecha secundaria a displasia** (DDH, Crowe II, Paprosky IIb).
#### INTERVENCIÓN
Se sometió a la paciente a una artroplastia total de cadera utilizando un aloinjerto óseo de cabeza femoral procedente de un banco de huesos fijado con unos tornillos para reconstruir el reborde acetabular lateral.
A continuación se implantó un **cotilo a medida de 30 mm de diámetro fabricado** **con tecnología TRASER** **en titanio trabecular** sin utilizar cemento y fijado con unos tornillos esponjosos adicionales. En el lado femoral se implantó un**vástago a medida fabricado con la misma tecnología TRASER** con una cabeza metálica que se articulaba con un inserto de UHMWPE.
#### RESULTADOS
El resultado final es un **implante protésico estable con una cobertura óptima** y un posicionamiento central del componente acetabular TRASER.
#### CONTROL
**4 meses después de la operación,** **la paciente volvió a caminar perfectamente.** ****Sin muletas** desde el segundo mes postoperatorio.**
N **o hay cojera.** Función articular: flexión-extensión 120-0-20°, rotación este-int 90° 40-0-30°. Radiográficamente, el implante protésico y el injerto óseo son estables, el cotilo está osteointegrado.
###### [\[1\] Memminger M, Banci L, Meoli A. Sustitución total bilateral de cadera en enanismo con una coquilla acetabular trabecular personalizada impresa con láser. Ortopedia. 2019 Sep 1;42(5):e477-e479. ](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Anca, Cotili
---
### [Jefes conjuntos](https://www.permedica.it/teste-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Una gama completa
Metal Cerámica Cúpulas biarticulares Cabezas de endoprótesis
Todas las cabezas de articulación tienen un cono**12/14** y son compatibles con todos los vástagos femorales Permedica. También hay disponibles cabezas de articulación con cono 10/12 y 14/16 bajo pedido especial.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-1_New-def.png "Teste 1_New def")
CABEZAS FEMORALES Permedica fabrica una gama completa de cabezas articulares de diferentes diámetros (22, 28, 32, 36 y 40 mm) y longitudes de cuello (S, M, L, XL). Hay disponibles cabezas metálicas (aleación de acero forjado PM734 con alto contenido en nitrógeno o cromo-cobalto-molibdeno) y cabezas cerámicasBIOLOX® *delta*.
Las cabezas esféricas de cerámica BIOLOX® están disponibles para cirugías de revisión parciales en las que es necesario sustituir la cabeza articular conservando el vástago.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cupola-Mobile-def-400x600.png "Cupola Mobile def")
CÚPULA MÓVIL BI-ARTICULAR Existe una amplia gama de cúpulas móviles biarticulares para cirugías de hemiartroplastia de cadera, en versión modular (de 39 a 60 mm) para acoplamiento con cabezas articulares de 28 mm de diámetro. Las cúpulas móviles biarticulares Permedica constan de una carcasa exterior de aleación de acero forjado PM734 con alto contenido en nitrógeno y un núcleo interior de UHMWPE.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-3-1.jpg "Teste 3")
CABEZAS DE ENDOPRÓTESIS Existen cabezas de endoprótesis de una pieza de 40 a 63 mm de diámetro, fabricadas con aleación PM734 de acero inoxidable de alto contenido en nitrógeno (ISO5832/9).
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Teste Articolari
---
### [PBF](https://www.permedica.it/pbf/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## El clásico establece las reglas
Eje recto cónico doble
Sección rectangular
Excelente estabilidad primaria
G**ama de productos:** 14 tamaños estándar y 12 tamaños laterales
Los vástagos **PBF** son vástagos rectos con un perfil cónico en los planos frontal y sagital para garantizar un llenado óptimo del canal femoral. La sección transversal rectangular confiere al implante una importante estabilidad primaria.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-1-1.jpg "PBF 1")
Los vástagos estándar y lateralizadores PBF están disponibles en versiones estándar (131°) y lateralizadores con un ángulo de 123°, con desplazamientos que oscilan entre +6 y +7,8 mm respecto al tamaño de vástago estándar correspondiente.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-2-1-scaled.jpg "PBF 2")
Acabado de la superficie La superficie de contacto hueso-prótesis se microestructura mediante granallado con corindón de doble colada para favorecer la osteointegración.
Ápice distal cónico El extremo distal de los vástagos PBF es cónico para evitar los fenómenos de apantallamiento de tensiones y “efecto punta” .
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-3-1.jpg "PBF 3")
Cono 12/14
Cuello Cuello de sección reducida para optimizar la amplitud de movimiento.
****
**MATERIALES**
Expresamente diseñados para una fijación sin cemento, los vástagos **PBF** son de aleación forjada de titanio, aluminio y niobio, conforme a la norma ISO5832/11. El acabado superficial presenta una microestructura con rugosidad optimizada para favorecer la osteointegración.
****
**INSTRUMENTAL**
Los mangos de las escofinas del sistema PBF están equipados con un **acoplamiento sencillo y seguro** y están disponibles en diferentes diseños según el acceso quirúrgico utilizado (postero-lateral, lateral, anterior).
[Productos Anca](https://www.permedica.it/area-chirurgo/anca/)
**Categorie:** Anca, Stelo
---
### [Universal Cup Removal System](https://www.permedica.it/universal-cup-removal-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/def-immagine-cup.jpg "def immagine cup")
Compatible with both cemented and cementless acetabular cups.
Effective due to modular starter and finisher blades.
[Hufte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [Universal Cup Removal System](https://www.permedica.it/universal-cup-removal-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/def-immagine-cup.jpg "def immagine cup")
Compatible with both cemented and cementless acetabular cups.
Effective due to modular starter and finisher blades.
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [Universal Cup Removal System](https://www.permedica.it/universal-cup-removal-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/def-immagine-cup.jpg "def immagine cup")
Compatible with both cemented and cementless acetabular cups.
Effective due to modular starter and finisher blades.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Cotili, Anca
---
### [JUMP System](https://www.permedica.it/jump-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Press-Fit Pfanne
Doppelte poröse Beschichtung
Halbkugelförmige Geometrie
mit polarer Abflachung
**Produkteauswahl:** 14 Grössen (Durchmesser 44-70mm);
2 Grössen in PE (Durchmesser 48-50mm).
Das **JUMP® Press-Fit System** ist eine Reihe von Hüftgelenkpfannen mit unterschiedlichen Fixierungsmethoden, die dem Orthopäden Lösungen für verschiedene Indikationen bieten.
Das JUMP® System Press-Fit ist eine Hüftgelenkpfanne für den primären zementfreien Hüftersatz.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_2-1.jpg "JUMP System_2")
Hohe Primärstabilität
Die hohe Primärstabilität der Pfanne wird durch das flache Profil und die polare Auslenkung gewährleistet, die die äquatoriale Verteilung der Lastkräfte fördern, sowie durch das spezielle gerändelte Äquatorialkrone, das eine durchschnittliche Übergröße von 1.000 Mikrometern (einschließlich Beschichtung) in der Äquator Region ergibt.
Patentierte Inlay-Verriegelung
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_3_logo.jpg "JUMP System_3_logo")
Oberflächenbeschichtung
Die Pfannenoberfläche ist mit bioaktiven Materialien wie reinem Titan und Hydroxylapatit beschichtet, die die Primärstabilität und die biologische Fixierung verbessern.
Es stehen 3 Arten von Beschichtungen zur Verfügung:
- **HaX-Pore®**: doppelt plasmagesprühte poröse Titan- und Hydroxylapatit-Beschichtung
(500 +/- 50 Mikron Ti und 40 +/- 10 Mikron HA), um eine gute Primärstabilität zu erzielen und das Wachstum von Osteoblasten zu fördern
- **X-Pore**: mit plasmagesprühter poröser Titanbeschichtung (500 +/- 50 Mikron)
- **HA**: mit plasmagesprühter Hydroxylapatitbeschichtung (40 +/- 10 Mikron)
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_4-1.jpg "JUMP System_4")
JUMP® System PE
Das **JUMP® System PE** ist für die Größen 48 und 50 erhältlich und erlaubt ausschließlich Polyethylen-Liner (UHMWPE oder VITAL-XE). Es ist möglich, einen 36mm Hüftkopf ab einer Pfannengröße Ø48 zu verwenden.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-2.jpg "JUMP System_5")
Pfanneneinsätze/Inlays
Die JUMP® System Pfannen bieten eine Reihe von Inlays aus **UHMWPE-, VVITAL-XE®– und BIOLOX® *delta*-Keramik,** die die Verwendung mit Hüftköpfen von unterschiedlichen Durchmessern ermöglichen, einschließlich Double Mobility Inlays, die eine zuverlässige Lösung für Fälle darstellen, in denen ein hohes Luxationsrisiko zu erwarten ist .
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_6-1.jpg "JUMP System_6")
Double Mobility
Das **JUMP® Double Mobility Inlay** ist eine zuverlässige Lösung für Fälle, in denen eine hohe Wahrscheinlichkeit einer Luxation zu erwarten ist (Patienten mit schlechtem Muskeltonus oder schlechter neuromotorischer Kontrolle), damit die Vorteile eines Double Mobility-Gelenks auf das JUMP® System angewendet werden können.
Ein Metalleinsatz ermöglicht die Verwendung von ACORN Dual Mobility-Einsätzen aus UHMWPE oder VITAL-E®.
****
**MATERIALIEN**
JUMP® System Pfannen bestehen aus einer geschmiedeten Titan-Aluminium-Vanadium-Legierung gemäß den ISO5832 / 3-Standards
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System](https://www.permedica.it/jump-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Une longueur d’avance
Revêtement poreux double
Géométrie hémisphérique
avec déflexion polaire
**Gamme de produits:** 14 tailles (Ø 44-70mm),
2 tailles PE (Ø 48-50mm).
Le **système JUMP®** comprend une gamme de cupules acétabulaires avec différentes méthodes de fixation qui offrent au spécialiste en orthopédie différentes solutions pour faire face à de multiples situations.
JUMP® SYSTEM Press-Fit est une prothèse acétabulaire pour le remplacement primaire de la hanche sans ciment.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_2-1.jpg "JUMP System_2")
Bonne stabilité primaire
La bonne stabilité primaire de la cupule est assurée par le profilé et la déflexion polaire, qui favorisent la répartition équatoriale des forces de charge, ainsi que par la spéciale couronne équatoriale moletée qui donne une surdimension moyenne de 1.000 microns (revêtement compris) dans la région équatoriale.
Blocage breveté de l’insert
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_3_logo.jpg "JUMP System_3_logo")
Finition de surface poreuse
La surface de la cupule est recouverte de matériaux bioactifs tels que le titane pur et l’hydroxyapatite qui améliorent la stabilité primaire et améliorent la fixation biologique.
3 types de revêtement sont disponibles:
- **HaX-Pore®**: double couche de titane et d’hydroxyapatite poreuse pulvérisée au plasma (500 ± 50 microns de Ti et 40 ± 10 microns de HA) afin d’obtenir une bonne stabilité primaire et de favoriser la croissance des ostéoblastes
- **X-Pore**: avec un revêtement de titane poreux pulvérisé au plasma (500 +/- 50 microns)
- **HA**: avec revêtement d’hydroxyapatite pulvérisé au plasma (40 +/- 10 microns)
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_4-1.jpg "JUMP System_4")
JUMP® System PE
**JUMP® System PE** est disponible pour les tailles 48mm et 50mm acceptant exclusivement les inserts en polyéthylène (UHMWPE e VITAL-XE®). Il est possible d’utiliser une tête de 36 mm à partir d’une taille de cupule de 48mm.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-2.jpg "JUMP System_5")
Inserts
Le Systeme de cupules JUMP® fournit une gamme d’inserts en **UHMWPE, VITAL-XE® et céramique BIOLOX® *delta*** permettant un couplage avec des têtes articulaires de différents diamètres, y compris les inserts de Double Mobilité, ce qui représente une solution fiable dans les cas où un risque élevé de dislocation est prévisible. .
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_6-1.jpg "JUMP System_6")
Double Mobilité
**Le système JUMP® Double Mobilité** représente une solution fiable dans les cas où une possibilité de luxation est attendue (patients avec tonus musculaire faible ou contrôle neuromoteur déficient), ce qui permet d’appliquer aux cupules du système JUMP® les avantages d’une articulation à double mobilité.
Un insert métallique permet l’utilisation d’inserts ACORN Dual Mobility en UHMWPE ou VITAL-E®.
****
**MATERIAUX**
Les Cupules JUMP® System sont fabriquées en alliage forgé titane-aluminium-vanadium, conformément aux normes ISO5832/3.
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System](https://www.permedica.it/jump-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## One jump ahead
Double porous coating
Hemispherical geometry with polar
deflection
**Product range:** 14 sizes (Ø 44-70mm),
2 sizes PE (Ø 48-50mm).
**JUMP®System** includes a range of acetabular cups with different fixation methods that offer the orthopedic specialist different solutions to face multiple situations.
Jump System Press-Fit is an acetabular prosthesis for primary cementless hip replacement.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_2-1.jpg "JUMP System_2")
High primary stability
The high primary stability of the cup is ensured by the low profile and polar deflection, which promote the equatorial distribution of load forces, as well as by the particular ribbed equatorial rim which gives an average oversizing of
1,000 microns (including coating) in the equatorial region.
Liner patented locking system
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_3_logo.jpg "JUMP System_3_logo")
Porous coating
The cup surface is coated with bioactive materials such as pure Titanium and Hydroxyapatite which improve primary stability and enhance biologic fixation.
3 types of coating are available:
- **HaX-Pore®**: double plasma-sprayed porous Titanium and Hydroxyapatite
(500 ± 50 µm Ti e 40 ± 10 µm HA) in order to obtain good primary stability and encourage osteoblasts growth;
- **X-Pore**: with plasma-sprayed porous Titanium coating (500 ± 50 µm)
- **HA**: with plasma-sprayed Hydroxyapatite coating (40 ± 10 µm)
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_4-1.jpg "JUMP System_4")
JUMP® System PE
**JUMP® System PE** allows to use polyethylene liners (UHMWPE or VITAL-XE) accepting 36mm ball heads starting from small cup sizes (48 and 50mm).
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-2.jpg "JUMP System_5")
Inserts
The JUMP® System cups provides a range of joint liners in **UHMWPE,
VITAL-XE® and BIOLOX® *delta*** ceramic allowing coupling with articular heads of different diameters, including Dual Mobility inserts which represents a reliable solution for those cases where a high risk of dislocation is expectable.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_6-1.jpg "JUMP System_6")
Dual mobility
The **JUMP® System Dual Mobility** represents a reliable solution for those cases where a high possibility of dislocation can be expected (patients with poor muscle tone or neuromotor control) allowing to apply to the JUMP® System cups the advantages of a Dual Mobility joint.
A metal insert allows the use of ACORN Dual Mobility inserts made of UHMWPE or VITAL-E®.
****
**MATERIALS**
JUMP® System cups are made of Titanium Aluminium Vanadium forged alloy in compliance with ISO5832/3 Standards.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Cotili, Anca
---
### [JUMP System](https://www.permedica.it/jump-system/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Un salto in avanti
Doppio rivestimento poroso
Geometria emisferica con
schiacciamento polare
**Product range:** 14 taglie (Ø 44-70mm),
2 taglie PE (Ø 48-50mm).
**JUMP® System** è un sistema che comprende coppe acetabolari con diverse modalità di fissazione che offrono allo specialista ortopedico diverse soluzioni per fronteggiare molteplici situazioni.
JUMP® System Press-Fit è una protesi acetabolare per interventi primari senza utilizzo di cemento.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_2-1.jpg "JUMP System_2")
Elevata stabilità primaria
Assicurata dal basso profilo e dallo schiacciamento polare, che promuovono la distribuzione equatoriale delle forze di carico, oltre che dalla speciale corona equatoriale zigrinata che conferisce un sovradimensionamento medio di 1.000 µm (rivestimento incluso) nella regione equatoriale.
Ancoraggio dell’inserto brevettato
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_3_logo.jpg "JUMP System_3_logo")
Rivestimento poroso
La superficie rivestita con materiali bioattivi come il Titanio puro e l’Idrossiapatite migliorano la stabilità primaria e promuovono l’integrazione biologica.
Sono disponibili 3 versioni di rivestimento:
- **HaX-Pore®**: doppio rivestimento in Titanio poroso e Idrossiapatite
(500 ± 50 µm Ti e 40 ± 10 µm HA) applicato con tecnica plasma-spray per ottenere una buona stabilizzazione primaria e favorire la colonizzazione degli osteoblasti
- **X-Pore**: rivestimento singolo in Titanio poroso (500 ± 50 µm)
- **HA**: rivestimento singolo in Idrossiapatite (40 ± 10 µm)
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_4-1.jpg "JUMP System_4")
JUMP® System PE
La versione **JUMP® System PE** permette l’utilizzo di inserti in polietilene (UHMWPE e VITAL-XE®) che accettano teste Ø 36mm nei cotili di taglia piccola (48 e 50mm).
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-2.jpg "JUMP System_5")
Inserti articolari
I cotili JUMP System dispongono di una gamma di inserti articolari in **UHMWPE**, **VITAL-XE®** e **ceramica BIOLOX® *delta*** che permettono l’accoppiamento con testine articolari di vario diametro, nonché gli inserti a Doppia Mobilità che rappresentano una efficace soluzione per quei casi in cui esiste una elevata possibilità di lussazione.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_6-1.jpg "JUMP System_6")
Doppia mobilità
L’ **inserto JUMP® System Dual Mobility** rappresenta una efficace soluzione per quei casi in cui esiste una elevata possibilità di lussazione (pazienti con scarso tono muscolare o deficit neuromotorio), permettendo di applicare ai cotili JUMP® System i vantaggi di un’articolazione a Doppia Mobilità.
Un inserto metallico permette l’utilizzo di inserti ACORN a doppia mobilità in UHMWPE o VITAL-E®.
****
**MATERIALI**
I cotili JUMP® System sono realizzati in lega di Titanio Alluminio Vanadio – ISO5832/3.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [BONE CEMENT](https://www.permedica.it/cemento-osseo/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/de/spaziatori-articolari-line/#ALTAVISCOSITÀCONGENTAMICINA)
HIGH VISCOSITY BONE CEMENT
WITH GENTAMICIN
[](https://www.permedica.it/de/spaziatori-articolari-line/#ALTAVISCOSITÀ)
HIGH VISCOSITY
BONE CEMENT
[](https://www.permedica.it/de/spaziatori-articolari-line/#BASSAVISCOSITÀCONGENTAMICINA)
LOW VISCOSITY BONE CEMENT
WITH GENTAMICIN
[](https://www.permedica.it/de/spaziatori-articolari-line/#BASSAVISCOSITÀ)
LOW VISCOSITY
BONE CEMENT
**Categorie:** Teste Articolari, Anca, Ginocchio, Spalla
---
### [BONE CEMENT](https://www.permedica.it/cemento-osseo/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/fr/spaziatori-articolari-line/#ALTAVISCOSITÀCONGENTAMICINA)
HIGH VISCOSITY BONE CEMENT
WITH GENTAMICIN
[](https://www.permedica.it/fr/spaziatori-articolari-line/#ALTAVISCOSITÀ)
HIGH VISCOSITY
BONE CEMENT
[](https://www.permedica.it/fr/spaziatori-articolari-line/#BASSAVISCOSITÀCONGENTAMICINA)
LOW VISCOSITY BONE CEMENT
WITH GENTAMICIN
[](https://www.permedica.it/fr/spaziatori-articolari-line/#BASSAVISCOSITÀ)
LOW VISCOSITY
BONE CEMENT
**Categorie:** Spalla, Ginocchio, Anca, Teste Articolari
---
### [BONE CEMENT](https://www.permedica.it/cemento-osseo/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/en/spaziatori-articolari-line/#ALTAVISCOSITÀCONGENTAMICINA)[](https://www.permedica.it/maxillofacial-line/#placchemandibolari)
HIGH VISCOSITY BONE CEMENT
WITH GENTAMICIN
[](https://www.permedica.it/en/spaziatori-articolari-line/#ALTAVISCOSITÀ)[](https://www.permedica.it/maxillofacial-line/#ricostruzionizigomatiche)
HIGH VISCOSITY
BONE CEMENT
[](https://www.permedica.it/en/spaziatori-articolari-line/#BASSAVISCOSITÀCONGENTAMICINA)[](https://www.permedica.it/maxillofacial-line/#pavimentiorbitali)
LOW VISCOSITY BONE CEMENT
WITH GENTAMICIN
[](https://www.permedica.it/en/spaziatori-articolari-line/#BASSAVISCOSITÀ)[](https://www.permedica.it/maxillofacial-line/#pavimentiorbitali)
LOW VISCOSITY
BONE CEMENT
**Categorie:** Anca, Teste Articolari, Ginocchio, Spalla
---
### [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/spaziatori-articolari-line/#ALTAVISCOSITÀCONGENTAMICINA)[](https://www.permedica.it/maxillofacial-line/#placchemandibolari)
CEMENTO OSSEO AD ALTA VISCOSITÀ
CON GENTAMICINA
[](https://www.permedica.it/spaziatori-articolari-line/#ALTAVISCOSITÀ)[](https://www.permedica.it/maxillofacial-line/#ricostruzionizigomatiche)
CEMENTO OSSEO
AD ALTA VISCOSITÀ
[](https://www.permedica.it/spaziatori-articolari-line/#BASSAVISCOSITÀCONGENTAMICINA)[](https://www.permedica.it/maxillofacial-line/#pavimentiorbitali)
CEMENTO OSSEO A BASSA VISCOSITÀ
CON GENTAMICINA
[](https://www.permedica.it/spaziatori-articolari-line/#BASSAVISCOSITÀ)[](https://www.permedica.it/maxillofacial-line/#pavimentiorbitali)
CEMENTO OSSEO
A BASSA VISCOSITÀ
**Categorie:** Anca, Ginocchio, Spalla, Teste Articolari
---
### [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
Sorry, your browser doesn't support embedded videos.
#### ADVANCORE BONE SUBSTITUTES
AdvanCore, produced by Artur Salgado Sa, is a **bone substitute** with high porosity.
It was developed to **reduce** mechanically unaffected, pathologic or traumatic **bone defects caused by surgery or trauma.**
Its Beta-Tricacium Phosphate composition allows AdvanCore to **support bone remodelling.**
#### DIFFERENT SOLUTIONS
AdvanCore bone substitutes come in **four formats:**
- AdvanCore **Blocks**
- AdvanCore **Wedges**
- AdvanCore **Granules in glass vials**
- AdvanCore **Granules in syringe**
**Categorie:** Teste Articolari, Anca, Ginocchio, Spalla
---
### [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
Sorry, your browser doesn't support embedded videos.
#### ADVANCORE BONE SUBSTITUTES
AdvanCore, produced by Artur Salgado Sa, is a **bone substitute** with high porosity.
It was developed to **reduce** mechanically unaffected, pathologic or traumatic **bone defects caused by surgery or trauma.**
Its Beta-Tricacium Phosphate composition allows AdvanCore to **support bone remodelling.**
#### DIFFERENT SOLUTIONS
AdvanCore bone substitutes come in **four formats:**
- AdvanCore **Blocks**
- AdvanCore **Wedges**
- AdvanCore **Granules in glass vials**
- AdvanCore **Granules in syringe**
**Categorie:** Spalla, Ginocchio, Anca, Teste Articolari
---
### [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
Sorry, your browser doesn't support embedded videos.
#### ADVANCORE BONE SUBSTITUTES
AdvanCore, produced by Artur Salgado Sa, is a **bone substitute** with high porosity.
It was developed to **reduce** mechanically unaffected, pathologic or traumatic **bone defects caused by surgery or trauma.**
Its Beta-Tricacium Phosphate composition allows AdvanCore to **support bone remodelling.**
#### DIFFERENT SOLUTIONS
AdvanCore bone substitutes come in **four formats:**
- AdvanCore **Blocks**
- AdvanCore **Wedges**
- AdvanCore **Granules in glass vials**
- AdvanCore **Granules in syringe**
**Categorie:** Anca, Teste Articolari, Ginocchio, Spalla
---
### [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
Sorry, your browser doesn't support embedded videos.
#### ADVANCORE SOSTITUTI OSSEI
AdvanCore, prodotto da Artur Salgado Sa, è un **sostituto osseo** ad alta porosità.
È stato sviluppato per **ridurre difetti ossei** meccanici, patologici o traumatici **causati da interventi chirurgici o traumi.**
La sua composizione a base di Beta-Tricalcium Fosfato permette ad AdvanCore di **sostenere il rimodellamento osseo**.
#### DIVERSE SOLUZIONI
I sostituti ossei AdvanCore sono disponibili in **quattro formati:**
- AdvanCore **Blocchi**
- AdvanCore **Cunei**
- AdvanCore **Granuli in fiale di vetro**
- AdvanCore **Granuli in siringa**
**Categorie:** Anca, Ginocchio, Spalla, Teste Articolari
---
### [STRUMENTARIO SMART](https://www.permedica.it/strumentario-smart/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
Seguendo la **continua evoluzione delle tecniche chirurgiche** e **delle preferenze dei chirurghi** nella protesica di ginocchio, Permedica ha sviluppato uno strumentario innovativo.
Lo strumentario SMART è concepito nell’ottica di ottimizzare **due aspetti principali**: quello **tecnico**, relativo alla procedura chirurgica, e quello **logistico**, relativo alla gestione e movimentazione dello stesso.
## Perché ‘SMART’?
## Vantaggi per tutti gli stakeholders
### ‘Lo strumentario si adatta alle preferenze del chirurgo, non viceversa’
## **Aspetto tecnico**
Allineamento femorale a riferimento **extramidollare**:
- mantenimento della integrità del canale diafisario
- Riduzione sanguinamento
- Riduzione rischio embolico
**Un’unica Guida Femorale** per molteplici funzioni:
- allineamento in valgo
- dimensionamento
- orientamento rotazionale
**Due opzioni di allineamento**
Allineamento **MECCANICO** **(MA)**:
è il metodo di allineamento classico, più comunemente utilizzato, che si propone di ottenere una rima articolare perpendicolare all’Asse Meccanico e conseguentemente una equa distribuzione del carico dell’arto inferiore sul comparto mediale e laterale.
In estensione, la Rima Articolare (Joint Line), cioè il piano che contiene i punti d’appoggio dei condili femorali sui piatti tibiali, è inclinata mediamente di 3° in varo.
La **resezione tibiale** viene effettuata perpendicolarmente all’Asse Meccanico dell’arto inferiore, che coincide all’Asse Anatomico tibiale. Il piano di resezione tibiale ha 3° di valgo rispetto al piano della Rima Articolare.
La **resezione femorale** distale deve essere effettuata anch’essa perpendicolare all’Asse Meccanico, che normalmente ha circa 5°-7° di valgo rispetto all’Asse Anatomico femorale; Il piano di resezione ha circa 3° di varo rispetto al piano della Rima Articolare.
Questi scostamenti angolari di 3° tra le resezioni femorali e tibiali si compensano reciprocamente e quindi risulta che le superfici di resezione sono parallele e risultano entrambe parallele anche all’Asse Epicondilare.
Allineamento **CINEMATICO** **(KA)**:
questa metodica di allineamento si propone di ottenere una rima articolare che mantenga inalterate le caratteristiche morfologiche e funzionali del singolo paziente.
La **resezione femorale distale** viene effettuata con il semplice obiettivo di rimuovere la stessa quantità di osso che verrà sostituita dalla protesi, senza alcuna correzione assiale.
Conseguentemente la **resezione tibiale** viene effettuata parallelamente a quella femorale allo scopo di ottenere uno spazio simmetrico.
## **Aspetto Logistico**
**Strumentario compatto,** ottimizzato in numero di pezzi e configurazione:
**Set Base** con taglie maggiormente utilizzate:
- Femori da 7 a 10
- Tibie da B a G
- Inserti B-C, D-E, F-G spessore 10, 12 e 14 mm
**Set Integrazione** con taglie estreme:
- Femori 5-6 e 11-12
- Tibia XS e A con relativi inserti
- Inserti B-C, D-E, F-G spessore 17 e 20mm
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [SMART INSTRUMENTS](https://www.permedica.it/strumentario-smart/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
Following the **continuous evolution of surgical techniques** and **surgeons’ preferences** in knee replacement, Permedica has developed an innovative, completely redesigned instrument set.
SMART instruments set is conceived with a view to optimizing **two main aspects:** the **technical** one, relating to the surgical procedure, and the **logistical** one, relating to its management and movement.
## Why ‘SMART’?
## Advantages for all the stakeholders
### ‘The instruments that adapt to the surgeon’s preferences, not vice versa’
## **Technical aspect**
Femoral alignment with **Extramedullary** reference:
- Non violation of the diaphyseal canal
- Reduction of bleeding
- Reduction of embolic risk
**A Single Femoral Guide** for multiple functions:
- valgus alignment
- femoral sizing
- rotational orientation
**Two alignment options:**
**MECHANICAL** alignment **(MA)**:
it is the classic alignment method, most commonly used, which aims to obtain a joint line perpendicular to the Mechanical Axis and consequently an equal distribution of the load of the lower limb on the medial and lateral compartment.
In extension, the Joint Line, i.e. the plane that contains the support points of the femoral condyles on the tibial plateaus, is inclined on average by 3° in varus.
The **tibial resection** is carried out perpendicular to the Mechanical Axis of the lower limb, which coincides with the Anatomical Tibial Axis. The tibial resection plane has 3° of valgus with respect to the joint line.
The **distal femoral resection** must also be carried out perpendicular to the Mechanical Axis, which normally has approximately 5°-7° of valgus with respect to the femoral Anatomical Axis; The resection plane has approximately 3° of varus compared to the joint line.
These 3° angular deviations between the femoral and tibial resections compensate each other and therefore the resection surfaces are parallel to each other and to the Epicondylar Axis.
KINEMATIC alignment **(KA)**:
this alignment method aims to obtain a Joint Line that keeps the morphological and functional characteristics of the individual patient unchanged.
The **distal femoral resection** is performed with the simple aim of removing the same amount of bone that will be replaced by the prosthesis, without any axial correction.
Consequently, the **tibial resection** is carried out parallel to the femoral one in order to obtain a symmetrical space.
## **Logistical aspect**
**Compact Instruments Set,** optimized in number of components and configuration:
**Basic Set** with the most commonly used sizes:
- Femurs from 7 to 10
- Tibia from B to G
- Inserts B-C, D-E, F-G – thickness 10, 12 e 14 mm
**Integration Set** with extreme sizes:
- Femurs size 5-6 and 11-12
- Tibia XS and A with related inserts
- Inserts B-C, D-E, F-G – thickness 17 and 20 mm
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [SMART INSTRUMENTS](https://www.permedica.it/strumentario-smart/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
Following the **continuous evolution of surgical techniques** and **surgeons’ preferences** in knee replacement, Permedica has developed an innovative, completely redesigned instrument set.
SMART instruments set is conceived with a view to optimizing **two main aspects:** the **technical** one, relating to the surgical procedure, and the **logistical** one, relating to its management and movement.
## Why ‘SMART’?
## Advantages for all the stakeholders
### ‘The instruments that adapt to the surgeon’s preferences, not vice versa’
## **Technical aspect**
Femoral alignment with **Extramedullary** reference:
- Non violation of the diaphyseal canal
- Reduction of bleeding
- Reduction of embolic risk
**A Single Femoral Guide** for multiple functions:
- valgus alignment
- femoral sizing
- rotational orientation
**Two alignment options:**
**MECHANICAL** alignment **(MA)**:
it is the classic alignment method, most commonly used, which aims to obtain a joint line perpendicular to the Mechanical Axis and consequently an equal distribution of the load of the lower limb on the medial and lateral compartment.
In extension, the Joint Line, i.e. the plane that contains the support points of the femoral condyles on the tibial plateaus, is inclined on average by 3° in varus.
The **tibial resection** is carried out perpendicular to the Mechanical Axis of the lower limb, which coincides with the Anatomical Tibial Axis. The tibial resection plane has 3° of valgus with respect to the joint line.
The **distal femoral resection** must also be carried out perpendicular to the Mechanical Axis, which normally has approximately 5°-7° of valgus with respect to the femoral Anatomical Axis; The resection plane has approximately 3° of varus compared to the joint line.
These 3° angular deviations between the femoral and tibial resections compensate each other and therefore the resection surfaces are parallel to each other and to the Epicondylar Axis.
KINEMATIC alignment **(KA)**:
this alignment method aims to obtain a Joint Line that keeps the morphological and functional characteristics of the individual patient unchanged.
The **distal femoral resection** is performed with the simple aim of removing the same amount of bone that will be replaced by the prosthesis, without any axial correction.
Consequently, the **tibial resection** is carried out parallel to the femoral one in order to obtain a symmetrical space.
## **Logistical aspect**
**Compact Instruments Set,** optimized in number of components and configuration:
**Basic Set** with the most commonly used sizes:
- Femurs from 7 to 10
- Tibia from B to G
- Inserts B-C, D-E, F-G – thickness 10, 12 e 14 mm
**Integration Set** with extreme sizes:
- Femurs size 5-6 and 11-12
- Tibia XS and A with related inserts
- Inserts B-C, D-E, F-G – thickness 17 and 20 mm
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [SMART INSTRUMENTS](https://www.permedica.it/strumentario-smart/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
Following the **continuous evolution of surgical techniques** and **surgeons’ preferences** in knee replacement, Permedica has developed an innovative, completely redesigned instrument set.
SMART instruments set is conceived with a view to optimizing **two main aspects:** the **technical** one, relating to the surgical procedure, and the **logistical** one, relating to its management and movement.
## Why ‘SMART’?
## Advantages for all the stakeholders
### ‘The instruments that adapt to the surgeon’s preferences, not vice versa’
## **Technical aspect**
Femoral alignment with **Extramedullary** reference:
- Non violation of the diaphyseal canal
- Reduction of bleeding
- Reduction of embolic risk
**A Single Femoral Guide** for multiple functions:
- valgus alignment
- femoral sizing
- rotational orientation
**Two alignment options:**
**MECHANICAL** alignment **(MA)**:
it is the classic alignment method, most commonly used, which aims to obtain a joint line perpendicular to the Mechanical Axis and consequently an equal distribution of the load of the lower limb on the medial and lateral compartment.
In extension, the Joint Line, i.e. the plane that contains the support points of the femoral condyles on the tibial plateaus, is inclined on average by 3° in varus.
The **tibial resection** is carried out perpendicular to the Mechanical Axis of the lower limb, which coincides with the Anatomical Tibial Axis. The tibial resection plane has 3° of valgus with respect to the joint line.
The **distal femoral resection** must also be carried out perpendicular to the Mechanical Axis, which normally has approximately 5°-7° of valgus with respect to the femoral Anatomical Axis; The resection plane has approximately 3° of varus compared to the joint line.
These 3° angular deviations between the femoral and tibial resections compensate each other and therefore the resection surfaces are parallel to each other and to the Epicondylar Axis.
KINEMATIC alignment **(KA)**:
this alignment method aims to obtain a Joint Line that keeps the morphological and functional characteristics of the individual patient unchanged.
The **distal femoral resection** is performed with the simple aim of removing the same amount of bone that will be replaced by the prosthesis, without any axial correction.
Consequently, the **tibial resection** is carried out parallel to the femoral one in order to obtain a symmetrical space.
## **Logistical aspect**
**Compact Instruments Set,** optimized in number of components and configuration:
**Basic Set** with the most commonly used sizes:
- Femurs from 7 to 10
- Tibia from B to G
- Inserts B-C, D-E, F-G – thickness 10, 12 e 14 mm
**Integration Set** with extreme sizes:
- Femurs size 5-6 and 11-12
- Tibia XS and A with related inserts
- Inserts B-C, D-E, F-G – thickness 17 and 20 mm
[Prodotti Ginocchio](https://www.permedica.it/area-chirurgo/ginocchio/#prodotti_ginocchio)
**Categorie:** Ginocchio
---
### [EXACTA](https://www.permedica.it/exacta/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Einfache Handhabung.
Vertrautes System.
Exacta.
Doppelte Beschichtung für eine gute primäre Stabilität und Osteointegration
**Produktauswahl:** 12 Grössen (Standard- und lateralisierende Variante); press-fit oder zementiert
Die **EXACTA** Hüftschäfte umfassen zementfreie und zementierte gerade Schäfte für die Erstimplantation.
Die Schäfte für die zementfreie Press-Fit Anwendung haben eine doppelte **HaX-Pore®** Beschichtung: 300 Micrometer Titan und 50 Mikrometer Hydroxylapatit, aufgetragen mittels Plasma-Spray Technik. Die Beschichtung soll für eine gute Primärstabilität sorgen und das Wachstum von Osteoblasten fördern.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-1-new-191x300.png "EXACTA 1 new")
Standard und Lateral
Es gibt zwei Optionen mit unterschiedlichem Offset ( 135° und 127°) um die Biomechanik der Hüfte abzubilden.
Einfacher operativer Zugang
Das Schulter-Design mit niedrigem Profil soll exzessive Knochenverluste in der Trochanterregion verhindern und eine einfache Implantation auch in minimal-invasiver Technik ermöglichen, wie etwa über einen anterioren Zugang zur Hüfte.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-2-new-300x238.png "EXACTA 2 new")
Stabilität
Vertikale und horizontale Nuten geben Rotations- und Axialstabilität.
Konus 12/14
Gewindeloch für Positionierung/Extraktion
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-3-new-176x300.png "EXACTA 3 new")
Spiegelglatte Oberfläche
Die **EXACTA Plus** Schäfte für die zementierte Anwendung haben eine spiegelglatt polierte Oberfläche und abgerundete Ecken um übermäßige Belastungen auf den die Prothese umgebenden Knochenzementmantel zu vermeiden.
Einfache Positionierung
Abstufende Markierungen für eine exakte Schaftpositionierung
Distales Zentrierelement
****
**MATERIALIEN**
Die EXACTA Schäfte für die zementfreie Press-Fit Implantation werden aus Titan- Aluminium- Niob- Legierung gemäß ISO5832-11 gefertigt.
Die EXACTA Plus Schäfte für die zementierte Anwendung werden aus rostfreier Edelstahllegierung gemäß ISO5832-9 gefertigt.
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA](https://www.permedica.it/exacta/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Facile.
Fiable.
Exacta.
Double revêtement poreux pour optimiser la stabilité primaire et l’ostéointégration
**Gamme de produits:** 12 tailles (standard et latéralisées)
press-fit et cimenté
La famille de tiges EXACTA comprend des tiges droites sans ciment et cimentées (version Plus) pour implant primaire.
Les tiges pour application press-fit sans ciment présentent un double revêtement **HaX-Pore®**: 300 microns de titane pur et poreux et 50 microns d’hydroxyapatite, appliqués avec la technique du plasma-spray afin d’obtenir une bonne stabilité primaire et d’encourager la croissance des ostéoblastes.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-1-new-191x300.png "EXACTA 1 new")
Standard et latéralisées
Deux options avec différents offsets (135 ° 127 °) pour reproduire exactement la biomécanique de la hanche.
Accès chirurgical facile
La conception latérale de l’épaule à profil bas évite un sacrifice excessif de l’os dans la région trochantérienne et, en plus, permet une insertion facile même dans les approches chirurgicales peu invasives, telles que l’accès antérieur à la hanche.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-2-new-300x238.png "EXACTA 2 new")
Stabilité
Les rainures verticales et horizontales offrent une stabilité en rotation et axiale.
Cône 12/14
Trou fileté pour l’introduction/extraction
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-3-new-176x300.png "EXACTA 3 new")
Surface polie miroir
Les tiges **EXACTA Plus** pour application cimentée présentent une surface polie miroir et des bords lissés pour éviter le transfert excessif de contraintes au manteau de ciment osseux entourant la prothèse.
Positionnement facile
Des références d’enfoncement pour permettre un positionnement précis de la tige.
Centralisateur distal
****
**MATÉRIAUX**
Les tiges **EXACTA** pour les applications en press-fit sans ciment sont en alliage forgé titane-aluminium-niobium, conformément aux normes ISO5832/11.
Les tiges **EXACTA Plus** pour application cimentée sont en alliage forgé en acier inoxydable hautement azoté, conformément aux normes ISO5832/9.
[Produits de la Hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA](https://www.permedica.it/exacta/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Simple.
Reliable.
Exacta.
Double porous coating to optimize primary
stability and osseointegration
**Product range:** 12 sizes (standard and lateral)
press-fit and cement
The **EXACTA** stem’s family includes cementless and cemented straight stems (Plus version) for primary implant.
The stems for cementless press-fit application presents a double **HaX-Pore®** coating:
300 microns of pure porous Titanium and
50 microns of hydroxyapatite, applied
with plasma-spray technique in order to obtain good primary stability and encourage osteoblast growth.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-1-new-191x300.png "EXACTA 1 new")
Standard and Lateral
Two options with different offest (135° e 127°) to reproduce exactly the biomechanics of the hip.
Easy surgical access
The low-profile lateral shoulder design, more than avoid excessive bone sacrifice in the trochanteric region, enables easy insertion even in minimally invasive surgical approaches, such as the anterior access to the hip.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-2-new-300x238.png "EXACTA 2 new")
Stability
Vertical and horizontal grooves provide rotational and axial stability.
Taper 12/14
Threaded hole for posisioning/extraction
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-3-new-176x300.png "EXACTA 3 new")
Mirror polished surface
The **EXACTA Plus** stems for cemented application presents a mirror polished surface and smoothed edges to avoid excessive stress transfer to the bone cement mantle surrounding the prosthesis.
Easy positioning
Sinking references to allow a precise stem positioning.
Distal centralizer
****
**MATERIALS**
The **EXACTA** stems for cementless press-fit application are made of Titanium Aluminium Niobium forged alloy in compliance with ISO5832/11 Standards. The **EXACTA Plus** stems for cemented application are made of highly Nitrogenized Stainless Steel forged alloy in compliance with ISO5832/9 Standards.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA](https://www.permedica.it/exacta/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Semplice.
Affidabile.
Exacta.
Doppio rivestimento poroso per ottimizzare stabilità primaria e osteointegrazione
**Product range:** 12 taglie (standard e lateral)
press-fit e cementate
La famiglia di steli **EXACTA** include steli retti da primo impianto non cementati e cementati (versione Plus).
Gli steli per applicazione senza cemento sono rivestiti con doppio rivestimento **HaX-Pore®**: 300 µm di Titanio puro e 50 µm di idrossiapatite applicati con tecnica plasma-spray al fine di ottenere una buona stabilizzazione primaria e favorire la colonizzazione degli osteoblasti per una ottimale integrazione biologica.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-1-new-191x300.png "EXACTA 1 new")
Standard e Lateral
Due opzioni con offset differenti (135° e 127°) per riprodurre esattamente la biomeccanica dell’anca.
Agevole accesso chirurgico
Il design del profilo laterale, oltre ad evitare eccessivo sacrificio osseo nella regione trocanterica, permette un inserimento semplice ed agevole anche tramite vie d’accesso mini-invasive, come la via d’accesso anteriore.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-2-new-300x238.png "EXACTA 2 new")
Stabilità
Solcature verticali e orizzontali conferiscono stabilità rotazionale e assiale.
Cono 12/14
Foro per introduttore ed estrattore
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA-3-new-176x300.png "EXACTA 3 new")
Lucidatura a specchio
Gli steli **EXACTA Plus** per applicazione cementata presentano una superficie lucidata a specchio e profili con spigoli smussati per evitare eccessivi stress a carico del cemento che circonda la protesi.
Agevole posizionamento
Reperi di affondamento per agevolare il posizionamento dello stelo.
Centratore distale
****
**MATERIALI**
Gli steli **EXACTA** per applicazione senza cemento sono realizzati in lega di Titanio Alluminio Niobio conforme alla normativa ISO5832/11.
Gli steli **EXACTA Plus** per applicazione cementata sono realizzati in lega di acciaio ad elevato tenore di azoto, conforme alla normativa ISO5832/9.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [MAXILLOFACIAL LINE](https://www.permedica.it/maxillofacial-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon.png "Teca cranica icon")
**CRANIAL THECA**
It may be necessary to reconstruct or repair parts of the skull that have been damaged or removed as a result of trauma, disease or surgery.
The cranial reconstructive procedure aims to restore the skull’s anatomy and function, providing protection for the brain and a satisfactory aesthetic appearance.
****
**MATERIALS**
Two possible options:
PEEK
Titanium alloy Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/temporo-mandibolare-def.png "temporo-mandibolare def")
**TEMPORO-MANDIBULAR**
The temporo-mandibular joint acts as the junction between the jaw and the skull. Diseases or problems with the joint can cause pain, chewing difficulties and other disorders related to malfunctioning of the jaw.
Reconstruction is aimed at recovering and restoring function to the temporo-mandibular joint.
****
**MATERIALS**
Condylar components: Titanium alloy Ti6Al4V
Glene metal back: Titanium alloy Ti6Al4V
Inserts or glene: full poly (UHMWPE)
[](https://www.permedica.it/wp-content/uploads/2023/10/Placche-def.png "Placche def")
**PLATES**
Plates are devices used in maxillofacial surgery mainly following trauma and/or fractures. Their function is to stabilise and support the surrounding bones and facilitate healing.
There are different types of plates with different shapes depending on their function and location.
****
**MATERIALS**
Titanium alloy Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/placche-mandibolari-def.png "placche mandibolari def")
**MANDIBULAR PLATES**
Mandibular plates are used to stabilise and support the mandible. There are different variants of this type of plate that may or may not integrate the mandibular condyle.
Mandibular plates are useful for restoring or maintaining natural joint function.
****
**MATERIALS**
Titanium alloy Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/Ricostruzioni-zigomatiche-def.png "Ricostruzioni zigomatiche def")
**ZIGOMATIC RECONSTRUCTIONS**
Reconstruction is performed following congenital facial deformities, severe bone fractures due to trauma, removal of tumours or other pathologies.
The purpose of this reconstruction is to restore function and aesthetics in patients who have lost part of their zygomatic bone.
****
**MATERIALS**
PEEK
[](https://www.permedica.it/wp-content/uploads/2023/10/pavimenti-orbitali-copia.png "pavimenti orbitali copia")
**ORBITAL FLOORS**
These are devices that involve the floor of the orbit, the bony area of the eye socket.
This type of implant is designed to restore the shape and function of the orbit in the event of trauma, congenital deformities or other pathological conditions.
****
**MATERIALS**
Titanium alloy Ti6Al4V
**Categorie:** Maxillo
---
### [MAXILLOFACIAL LINE](https://www.permedica.it/maxillofacial-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon.png "Teca cranica icon")
**CRANIAL THECA**
It may be necessary to reconstruct or repair parts of the skull that have been damaged or removed as a result of trauma, disease or surgery.
The cranial reconstructive procedure aims to restore the skull’s anatomy and function, providing protection for the brain and a satisfactory aesthetic appearance.
****
**MATERIALS**
Two possible options:
PEEK
Titanium alloy Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/temporo-mandibolare-def.png "temporo-mandibolare def")
**TEMPORO-MANDIBULAR**
The temporo-mandibular joint acts as the junction between the jaw and the skull. Diseases or problems with the joint can cause pain, chewing difficulties and other disorders related to malfunctioning of the jaw.
Reconstruction is aimed at recovering and restoring function to the temporo-mandibular joint.
****
**MATERIALS**
Condylar components: Titanium alloy Ti6Al4V
Glene metal back: Titanium alloy Ti6Al4V
Inserts or glene: full poly (UHMWPE)
[](https://www.permedica.it/wp-content/uploads/2023/10/Placche-def.png "Placche def")
**PLATES**
Plates are devices used in maxillofacial surgery mainly following trauma and/or fractures. Their function is to stabilise and support the surrounding bones and facilitate healing.
There are different types of plates with different shapes depending on their function and location.
****
**MATERIALS**
Titanium alloy Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/placche-mandibolari-def.png "placche mandibolari def")
**MANDIBULAR PLATES**
Mandibular plates are used to stabilise and support the mandible. There are different variants of this type of plate that may or may not integrate the mandibular condyle.
Mandibular plates are useful for restoring or maintaining natural joint function.
****
**MATERIALS**
Titanium alloy Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/Ricostruzioni-zigomatiche-def.png "Ricostruzioni zigomatiche def")
**ZIGOMATIC RECONSTRUCTIONS**
Reconstruction is performed following congenital facial deformities, severe bone fractures due to trauma, removal of tumours or other pathologies.
The purpose of this reconstruction is to restore function and aesthetics in patients who have lost part of their zygomatic bone.
****
**MATERIALS**
PEEK
[](https://www.permedica.it/wp-content/uploads/2023/10/pavimenti-orbitali-copia.png "pavimenti orbitali copia")
**ORBITAL FLOORS**
These are devices that involve the floor of the orbit, the bony area of the eye socket.
This type of implant is designed to restore the shape and function of the orbit in the event of trauma, congenital deformities or other pathological conditions.
****
**MATERIALS**
Titanium alloy Ti6Al4V
**Categorie:** Maxillo
---
### [MAXILLOFACIAL LINE](https://www.permedica.it/maxillofacial-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon.png "Teca cranica icon")
**CRANIAL THECA**
It may be necessary to reconstruct or repair parts of the skull that have been damaged or removed as a result of trauma, disease or surgery.
The cranial reconstructive procedure aims to restore the skull’s anatomy and function, providing protection for the brain and a satisfactory aesthetic appearance.
****
**MATERIALS**
Two possible options:
PEEK
Titanium alloy Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/temporo-mandibolare-def.png "temporo-mandibolare def")
**TEMPORO-MANDIBULAR**
The temporo-mandibular joint acts as the junction between the jaw and the skull. Diseases or problems with the joint can cause pain, chewing difficulties and other disorders related to malfunctioning of the jaw.
Reconstruction is aimed at recovering and restoring function to the temporo-mandibular joint.
****
**MATERIALS**
Condylar components: Titanium alloy Ti6Al4V
Glene metal back: Titanium alloy Ti6Al4V
Inserts or glene: full poly (UHMWPE)
[](https://www.permedica.it/wp-content/uploads/2023/10/Placche-def.png "Placche def")
**PLATES**
Plates are devices used in maxillofacial surgery mainly following trauma and/or fractures. Their function is to stabilise and support the surrounding bones and facilitate healing.
There are different types of plates with different shapes depending on their function and location.
****
**MATERIALS**
Titanium alloy Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/placche-mandibolari-def.png "placche mandibolari def")
**MANDIBULAR PLATES**
Mandibular plates are used to stabilise and support the mandible. There are different variants of this type of plate that may or may not integrate the mandibular condyle.
Mandibular plates are useful for restoring or maintaining natural joint function.
****
**MATERIALS**
Titanium alloy Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/Ricostruzioni-zigomatiche-def.png "Ricostruzioni zigomatiche def")
**ZIGOMATIC RECONSTRUCTIONS**
Reconstruction is performed following congenital facial deformities, severe bone fractures due to trauma, removal of tumours or other pathologies.
The purpose of this reconstruction is to restore function and aesthetics in patients who have lost part of their zygomatic bone.
****
**MATERIALS**
PEEK
[](https://www.permedica.it/wp-content/uploads/2023/10/pavimenti-orbitali-copia.png "pavimenti orbitali copia")
**ORBITAL FLOORS**
These are devices that involve the floor of the orbit, the bony area of the eye socket.
This type of implant is designed to restore the shape and function of the orbit in the event of trauma, congenital deformities or other pathological conditions.
****
**MATERIALS**
Titanium alloy Ti6Al4V
**Categorie:** Maxillo
---
### [MAXILLOFACIAL LINE](https://www.permedica.it/maxillofacial-line/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon.png "Teca cranica icon")
**TECA CRANICA**
Può essere necessario ricostruire o riparare alcune parti del cranio che sono state danneggiate o rimosse a seguito di traumi, malattie o interventi chirurgici.
La procedura ricostruttiva della teca cranica ha lo scopo di ripristinarne l’anatomia e la funzione, fornendo protezione al cervello ed un aspetto estetico soddisfacente.
****
**MATERIALI**
Due possibili opzioni:
PEEK
Lega di Titanio Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/temporo-mandibolare-def.png "temporo-mandibolare def")
**TEMPORO-MANDIBOLARE**
L’articolazione temporo-mandibolare funge da giunzione tra la mandibola ed il cranio. Malattie o problemi dell’articolazione possono causare dolore, difficoltà nella masticazione ed altri disturbi collegati al malfunzionamento della mandibola.
La ricostruzione è finalizzata al recupero e al ripristino della funzionalità dell’articolazione temporo-mandibolare.
****
**MATERIALI**
Componenti condilari: Lega di Titanio Ti6Al4V
Glene metal back: Lega di Titanio Ti6Al4V
Inserti o glene: full poly (UHMWPE)
[](https://www.permedica.it/wp-content/uploads/2023/10/Placche-def.png "Placche def")
**PLACCHE**
Le placche sono dispositivi utilizzati in chirurgia maxillo-facciale principalmente a seguito di traumi e/o fratture. Hanno la funzione di stabilizzare e supportare le ossa circostanti e facilitarne la guarigione.
Ci sono diverse tipologie di placche con differenti forme a seconda della loro funzione e locazione.
****
**MATERIALI**
Lega di Titanio Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/placche-mandibolari-def.png "placche mandibolari def")
**PLACCHE MANDIBOLARI**
Le placche mandibolari sono utilizzate al fine di stabilizzare e supportare la mandibola. Esistono diverse varianti di questa tipologia di placche che possono o meno integrare il condilo mandibolare.
Le placche mandibolari sono utili per ripristinare o mantenere la funzione articolare naturale.
****
**MATERIALI**
Lega di Titanio Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2023/10/Ricostruzioni-zigomatiche-def.png "Ricostruzioni zigomatiche def")
**RICOSTRUZIONI ZIGOMATICHE**
La ricostruzione viene eseguita a seguito di deformità facciali congenite, fratture gravi dell’osso dovute a traumi, rimozione di tumori o altre patologie.
Lo scopo di questa ricostruzione è quello di ripristinare la funzione e l’estetica in pazienti che hanno perso parte dell’osso zigomatico.
****
**MATERIALI**
PEEK
[](https://www.permedica.it/wp-content/uploads/2023/10/pavimenti-orbitali-copia.png "pavimenti orbitali copia")
**PAVIMENTI ORBITALI**
Sono dispositivi che coinvolgono il pavimento dell’orbita, l’area ossea della cavità dell’occhio.
Questa tipologia di impianti è stata progettata al fine di ripristinare la forma e la funzione dell’orbita in caso di trauma, deformità congenite o altre condizioni patologiche
****
**MATERIALI**
Lega di Titanio Ti6Al4V
**Categorie:** Maxillo
---
### [SKIPPER](https://www.permedica.it/skipper/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/wp-content/uploads/2020/01/board-screw-immagine-numerata-DEFINITIVA.jpg "board screw immagine numerata DEFINITIVA")
**BOARD SCREW**
Vite auto- rompente disponibile in due diametri differenti
( 2 mm o 2.7 mm).
Indicata in fratture diafisarie delle falangi e per l’osteotomia di Weil.
Punta: auto-rompente e auto-perforante
Inserimento semplice e rapido mediante l’utilizzo di uno strumentario minimo (trapano a motore)
****
**MATERIALI**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Peak-immagine-numerata-vert-896x1024.jpg "Peak immagine numerata vert")
**PEAK**
Vite cannulata senza testa con sezione variabile da cilindrica a conica, disponibile in due diametri (2.5 mm o 3 mm) a filettatura completa o a doppia filettatura rispettivamente.
Indicate per piccole fratture ossee, osteotomie (metatarsali) e artrodesi.
Punta: auto-filettante e auto-perforante
Filettatura con passo differente tra la parte cilindrica e conica
La parte conica ha fresatura a 45° per ridurre la sporgenza della vite in caso di inserimento obliquo
****
**MATERIALI**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Vang-immagine-numerata-2.jpg "Vang immagine numerata 2")
**VANG**
Vite cannulata a doppia filettatura senza testa , indicata per diverse applicazioni di chirurgia del piede.
Disponibile in 4 Ø differenti:
- 3 mm
- 3.5 mm
- 4.5 mm
- 6.5 mm
Punta: auto-filettante
Punta: auto-perforante (solo nelle viti con diametro 4.5 e 6.5 mm)
****
**MATERIALI**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/stick-immagine-numerata-DEFINITIVA.jpg "stick immagine numerata DEFINITIVA")
**STICK**
STICK è l’insieme di frese e viti che offrono la possibilità di essere utilizzate per diverse tecniche chirurgiche.
Vantaggi dell’utilizzo di una chirurgia mini-invasiva come quella garantita dal pacchetto STICK:
- Risparmio di tessuti
- Cicatrici minime
- Diminuzione di infezioni
- Rapido recupero funzionale
Viti: a doppia filettatura per garantire un’ottima tenuta
Frese: progettate per creare osteotomie precise e mini- invasive
****
**MATERIALI**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/Bowline-immagine-numerata-definitiva.jpg "Bowline immagine numerata definitiva")
**BOWLINE**
Vite cannulata per il trattamento del piede piatto.
E’ disponibile in 3 lunghezze ed ha diametro di 7mm.
Testa: a geometria conica posizionata eccentricamente rispetto all’asse della filettatura
Punta: auto-filettante e auto-perforante
****
**MATERIALI**
Ti6Al4V
[](https://www.permedica.it/wp-content/uploads/2020/01/strop-immagine-con-scritte_agg-1.jpg "strop immagine con scritte_agg")
**STROP**
Le dentature laterali garantiscono un ottimo ancoraggio all’interno dell’osso
Strumentario di semplice utilizzo:
- Le mascherine guida permettono un corretto posizionamento delle cambre
- Il compressore è in grado di trattenere i frammenti ossei nelle posizioni corrette fino al posizionamento delle cambre
****
**MATERIALI**
Acciaio Inossidabile AISI316L
[](https://www.permedica.it/wp-content/uploads/2020/01/endortesis-immagine-numerata-_def.jpg "endortesis immagine numerata _def")
**ENDORTESI ad espansione**
L’endortesi ad espansione è un dispositivo utilizzato nel trattamento del piede piatto.
E’ indicato nei bambini in fase di sviluppo tra gli 8 e i 12 anni.
Il dispositivo è disponibile in 4 diametri e 4 lunghezze differenti ed è costituito da due componenti:
Vite
Spaziatore
****
**MATERIALI**
Vite: Ti6Al4V
Spaziatore: UHMWPE
**Categorie:** Piede
---
### [Orthokey](https://www.permedica.it/fr/orthokey/)
**Published:** Febbraio 24, 2020
**Author:** pm_ema
**Content:**
NAVIGATION FOR EVERYONE
FAST SIMPLE ACCURATE
Always focused towards innovation and technological support, Permedica partners with Orthokey to provide a smart navigation system which is fast, simple and accurate.
Based on surgeons’ experience and requirements, **BLU-IGS by Orthokey** is the only navigation software with dedicated research module.
It integrates anatomical data, surgical workflows and biomechanical models in order to support the surgeon during surgery.
**BLU-IGS** features an ergonomic and effective user interface, designed to adapt to surgeon’s needs.
The system is available in two versions: compact and light.
#### A SOLUTION FOR ANY NEED
Solutions provided by Orthokey cover major intervention of the lower limb prosthetics.
Software of **BLU-IGS** platform includes the main procedures for lower-limb surgery.
- **Monet** is an effective and fast software for Uni compartmental knee surgery
- **Mirò** is the state of the art software for total knee surgery
- **Hopper** introduces new concepts in total hip surgery with less morbidity and greater efficacy
- **Dalì** is a dedicated software for Osteotomy
- **Rho** is a valuable help during complex cases like Revision of total knee implants;
- For the centres involved in high level research; **Klee** is a flexible research tool, that can be integrated with the other applications.
##### [Contact us to start the trial period](https://www.permedica.it/fr/contacts/)
#### UNI-COMPARTMENTAL KNEE REPLACEMENT
**MONET-UKA** is the software dedicated to uni-compartmental knee implants.
Our approach allow to optimize tibial bone preservation and knee stability during range of motion.
**MONET-UKA**, with few and simple steps, guides the surgeon to find the best patient specific implant positioning.
##### Main key features of MONET
- Accurate planning based on pre-operative limb deformation and gap balance.
- Precise slope determination and bone preserving.
- Optimized software interface.
- Suitable for minimal invasive approach.
- Optimized surgical tool compatible with all conventional surgical instruments.
- Possibility to evaluate knee kinematics and stability with the **KLEE** module.
#### TOTAL KNEE REPLACEMENT
Mirò is the software for Total Knee implants, part of the BLU-IGS navigation system family.
Developed by Orthokey in cooperation with Rizzoli Institute in Italy, the software allows to perform surgery keeping all the key phases under control, ensuring a perfect result.
In few steps it is possible to plan and control optimal resections for femur and tibia, based on bone morphology and a correct ligament balance in extension and in flexion.
##### Effective interface
- To show in an efficient way only the requested information
- To navigate only the necessary steps
##### Optimal resections
- Planning of the optimal resection level on tibia and femur, based on the desired final alignment
- Evaluation of extension and flexion joint gaps before femoral resections
##### Ergonomic
- Reduced morbidity of the tools
- Competitive cost
- Surgical time comparable to conventional surgery
- Possibility to operate with minimal skin incision
- Integration with the conventional surgical tools
- Reduced number of disposables
##### [Contact us to discover Mirò and start your trial](https://www.permedica.it/fr/contacts/)
#### Main key features of MIRÒ
- Implant positioning based on limb alignment and ligament balancing
- Optimized software interface
- Personalized workflow
- Optimized surgical tools compatible with all conventional surgical instruments
- No pre-operative images required
- Possibility to evaluate knee kinematics and stability with the **KLEE** module
#### TOTAL HIP REPLACEMENT
**HOPPER-THA** is the software dedicated to navigation of hip implants. An accurate positioning of acetabular cup and the preservation of leg length and offset are the keys to restore a good articular function and a long implant survivorship.
**HOPPER-THA**, with four independent modules, satisfies all surgical needing with no time waste and improved accuracy.
#### ##### Main key features of HOPPER
- Accurate cup position and orientation
- Virtual planning of offset and length variation for each implant combination without the use of invasive navigated tools
- Pinless intraoperative evaluation of offset and length variation
- Pinless femoral component simulation
#### Orthokey is an effective system!
Orthokey’s effort in designing effective solutions for computer aided surgery yields the best clinical results with less stress for the surgeon.
The evaluation of Orthokey navigation system has shown that improves not only the clinical result, with more accurate resections and more repeatable results, but is able provide comparable surgical time with respect to conventional surgery.
##### [Contact us to join the Orthokey world](https://www.permedica.it/fr/contacts/)
**Categorie:** Non categorizzato
---
### [Custom Made](https://www.permedica.it/soluzioni-custom-made-spalla/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
GESTALTUNGSFREIHEIT, DIE ANFORDERUNGEN VON PATIENTEN
UND CHIRURGEN ERFÜLLEN
Die äusserst vielseitige additive Fertigungstechnologie erlaubt uns, Ihnen, ergänzend zu unseren Standardimplantaten, **patientenspezifische Produkte für höchst komplexe Situationen anzubieten** – einsetzbar überall dort, wo individuelle Lösungen gefragt sind.
**Permedica hat sich in den letzten Jahren eine grosse Erfahrung im Bereich der “3D Druck-Implantate”** angeeignet. Dies, um Ihnen als Operateur eine kompetente, auf den entsprechenden Fall zugeschnittene Lösung für die Versorgung von schwierigen klinischen Fällen anbieten zu können.
**Die** [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/de/traser/) Technologie erlaubt es, ein **spezifisches Implantat anzufertigen, welches den speziellen anatomisch-pathologischen Veränderungen Ihres Patienten Rechnung trägt.**
#### DER HERSTELLUNGSPROZESS
Anhand Ihrer diagnostischen Bilder (Computertomographie) **analysieren unsere R&D Spezialisten in Kooperation mit Ihnen den Fall,** um die bestmögliche Lösung für ihren Patienten zu finden und anschliessend die Prothese entsprechend zu produzieren.
Sobald Sie mit dem Vorschlag einverstanden sind, werden die **TRASER® Komponenten in unseren 3D** **Druckern** aus reinem Titanium Pulver produziert.
**TRASER® (Selective Laser Melting) ist ein Herstellungsverfahren von Permedica,** welches aus dünnen Titanpulverschichten mit Hilfe eines oder mehreren Laserstrahlen ein kompaktes Implantat produziert.
Nach Beendigung des 3D-Druckvorgangs werden die Komponenten **mit Hitze gehärtet und zusätzlich sandgestrahlt;** weitere, klassische Prozessmethoden erlauben es uns, Ihr gewünschtes Endprodukt sofort versandfertig zu machen.
#### LÖSUNGSMÖGLICHKEITEN IM HÜFT-, KNIE- UND SCHULTERGELENKSBEREICH
Maßgeschneiderte Lösungen spielen eine immer wichtigere Rolle, entweder für die Erstellung von **Spezialkomponenten zur Implantation bei Knochenverlusten, komplexen anatomisch-pathologischen Veränderungen, Frakturen oder posttraumatischen Komplikationen; letzteres auch mit in- liegenden Materialien;** oder um Implantate mit speziellen Grössenverhältnissen herzustellen, wie zum Beispiel zur Behandlung von Patienten mit Zwergwuchs.
#### KLINISCHES FALLBEISPIEL \[1\]
#### ANAMNESE
Paziente maschio, 32 anni, affetto da **nanismo**. Altezza 1,08 metri e peso 30 Kg.
In anamnesi dolore quotidiano continuo all’anca destra con ridotta articolarità.
Importanti limitazioni cliniche. Dipendente da analgesici.
KLINISCHE UNTERSUCHUNG
Cammino: **zoppia lato destro**. Segno di Duchenne/Trendelemburg negativo.
Articolarità: flesso-estensione 30-10-0°, rotazione esterna-interna 20-0-10°, abduzione-adduzione 10-0-20°.
Esame radiografico: **coxartrosi anca destra secondaria a displasia** (DDH, Crowe II, Paprosky IIb).
#### OPERATION
Il paziente è stato sottoposto ad intervento di artroprotesi totale d’anca utilizzando un allograft d’osso di teste femorale da banca dell’osso fissato con alcune viti per ricostruire il bordo acetabolare laterale.
Quindi un **cotile custom made di diametro 30mm realizzato con tecnologia TRASER in titanio trabecolare** è stato impiantato senza l’utilizzo di cemento e fissato con alcune viti da spongiosa aggiuntive.
Sul lato femorale è stato impiantato uno **stelo custom made realizzato con la stessa tecnologia TRASER** con una testina in metallo che si articolava con un inserto in UHMWPE.
#### ERGEBNIS
**Die Rekonstruktion ist stabil und zeigt radiologisch einen perfekten, zentralen Sitz der patientenspezifischen TRASER-Pfanne.**
#### FOLLOW-UP
**Bei der 4 Monate postop Kontrolle zeigt sich ein perfektes Gangbild.**
**Keine Krücken** seit dem zweiten postoperativen Monat; **kein Hinken.**
Gelenksfunktionen: F/E 120-0-20°, AR/Ir bei 90° Flexion 40-0-30°.
Radiologisch ist das Implantat stabil, das Knochentransplantat ist eingewachsen, die Pfanne ist osseointegriert.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Spalla
---
### [Solutions Sur Mesure](https://www.permedica.it/soluzioni-custom-made-spalla/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
#### LIBERTÉ DE CONCEPTION POUR RÉPONDRE AUX BESOINS DES PATIENTS ET DES CHIRURGIENS
Grâce à l’extrême polyvalence, **la technologie de fabrication additive offre la possibilité de créer des solutions personnslisées pour faire face aux situations, les plus complexes,** qui ne peuvent être confrontées à des systhèmes standard.
Au cours de nombreuses années d’expérience clinique, **Permedica a développé un savoir-faire important dans la fabrication d’implants par impression 3D** afin de pouvoir proposer aux chirurgiens des solutions sur mesure pour le traitement des scénarios cliniques particulliers.
Notre technologie unique [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/fr/traser/) vous permet de créer le **modèle spécifique qui s’adapte le mieux à l’anatomie spécifique** de votre patient.
#### PROCESSUS DE FABRICATION
À l’aide de vos images diagnostiques **CT Scan, nos spécialistes R&D travaillent avec vous pour analyser le cas** afin de trouver la meilleure solution possible pour votre patient puis la mettre en œuvre.
Une fois l’étude approuvée par le chirurgien, **les composants TRASER® sont réalisés par une imprimante 3D** à partir de poudre de titane.
**TRASER® (Selective Laser Melting) est une technologie de fabrication additive** qui fusionne sélectivement des parties spécifiques d’une fine couche de poudre de titane à l’aide d’un faisceau laser pour créer des objets solides.
À la fin du processus d’impression, les composants sont retirés du support, soumis à un **traitement thermique** et à un **sablage,** puis à un **traitement mécanique traditionnel** ultérieur pour obtenir l’implant fini.
#### SOLUTIONS POSSIBLES POUR LES ARTICULATIONS DE LA HANCHE, DU GENOU ET DE L’EPAULE
Les solutions sur mesure jouent un rôle crucial croissant soit pour la création de **composants avec une conception spécifique** afin de répondre à des scénarios cliniques particuliers **(pertes osseuses, anatomies complexes, fractures ou complications post-traumatiques, matériel in situ)** et pour produire des implants de petites dimensions , par exemple pour le traitement des patients atteints de nanisme.
#### CAS CLINIQUE \[1\]
#### HISTOIRE CLINIQUE
Paziente maschio, 32 anni, affetto da **nanismo**. Altezza 1,08 metri e peso 30 Kg.
In anamnesi dolore quotidiano continuo all’anca destra con ridotta articolarità.
Importanti limitazioni cliniche. Dipendente da analgesici.
EXAMENS CLINIQUES
Cammino: **zoppia lato destro**. Segno di Duchenne/Trendelemburg negativo.
Articolarità: flesso-estensione 30-10-0°, rotazione esterna-interna 20-0-10°, abduzione-adduzione 10-0-20°.
Esame radiografico: **coxartrosi anca destra secondaria a displasia** (DDH, Crowe II, Paprosky IIb).
#### CHIRURGIE
Il paziente è stato sottoposto ad intervento di artroprotesi totale d’anca utilizzando un allograft d’osso di teste femorale da banca dell’osso fissato con alcune viti per ricostruire il bordo acetabolare laterale.
Quindi un **cotile custom made di diametro 30mm realizzato con tecnologia TRASER in titanio trabecolare** è stato impiantato senza l’utilizzo di cemento e fissato con alcune viti da spongiosa aggiuntive.
Sul lato femorale è stato impiantato uno **stelo custom made realizzato con la stessa tecnologia TRASER** con una testina in metallo che si articolava con un inserto in UHMWPE.
#### RESULTAT
**Le résultat final est stable avec une couverture parfaite** ainsi qu’ une assise centrale de l’implant cotyloïdien sur mesure TRASER.
#### SUIVI
Marche parfaite 4 mois après la chirurgie.
Fonction articulaire: F/E 120-0-20, ER/IR dans 90 ° de flexion 40-0-30.
**Pas de béquilles** depuis le deuxième mois postopératoire; **pas de boiterie.**
Radiologiquement, l’implant est stable; la greffe osseuse est stable, la cupule est intégrée.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Spalla
---
### [Custom Made Solutions](https://www.permedica.it/soluzioni-custom-made-spalla/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
#### FREEDOM OF DESIGN TO MEET PATIENTS’ AND SURGEONS’ REQUIREMENTS
Thanks to the extreme versatility **the additive manufacturing technology offers the**
**possibility of creating customized solutions** to cope with the most complex
situations, which cannot be faced with standard systems.
In many years of clinical experience, **Permedica has developed an important know-how**
**in 3D printing** to offer the surgeon ad-hoc solutions for the treatment of
particular clinical scenarios.
Technology [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/traser/) makes it possible to create **systems of any shape and design** to best adapt to the clinical case of interest.
#### MANUFACTURING PROCESS
Starting from the diagnostic images CT-Scan **our R&D department analyzes the case in collaboration with the surgeon** to determine the most suitable solution.
Once the study is approved by the surgeon, **the components are realized by a 3D printer** from titanium powder.
**TRASER® (Selective Laser Melting) is an additive manufacturing technology** that selectively fuses together specific portions of a thin layer of titanium powder using a laser beam to create solid objects.
At the end of the printing process the components are removed from the support, subjected to **heat treatment** and **sandblasting,** then to subsequent **traditional mechanical processing** to obtain the finished implant.
#### SOLUTIONS FOR HIP, KNEE AND SHOULDER
Custom made solutions play an increasing crucial role either for the creation of **components with a specific design** in order to address particular clinical scenarios (**bone losses, complex anatomies, fractures or post-traumatic complications, hardware in situ**) and to produce implants of small dimensions, for example for treatment of patients with dwarfism.
#### CLINICAL CASE \[1\]
#### CLINICAL HISTORY
Paziente maschio, 32 anni, affetto da **nanismo**. Altezza 1,08 metri e peso 30 Kg.
In anamnesi dolore quotidiano continuo all’anca destra con ridotta articolarità.
Importanti limitazioni cliniche. Dipendente da analgesici.
CLINICAL EXAMS
Cammino: **zoppia lato destro**. Segno di Duchenne/Trendelemburg negativo.
Articolarità: flesso-estensione 30-10-0°, rotazione esterna-interna 20-0-10°, abduzione-adduzione 10-0-20°.
Esame radiografico: **coxartrosi anca destra secondaria a displasia** (DDH, Crowe II, Paprosky IIb).
#### SURGERY
Il paziente è stato sottoposto ad intervento di artroprotesi totale d’anca utilizzando un allograft d’osso di teste femorale da banca dell’osso fissato con alcune viti per ricostruire il bordo acetabolare laterale.
Quindi un **cotile custom made di diametro 30mm realizzato con tecnologia TRASER in titanio trabecolare** è stato impiantato senza l’utilizzo di cemento e fissato con alcune viti da spongiosa aggiuntive.
Sul lato femorale è stato impiantato uno **stelo custom made realizzato con la stessa tecnologia TRASER** con una testina in metallo che si articolava con un inserto in UHMWPE.
#### RESULT
**The final result is stable with a perfect covering of the cup implant** and central seating of the TRASER custom made cup.
#### FOLLOW-UP
**4 months after surgery perfect walk.**
**No crutches** since the second month postoperatively; no limping.
Joint function : F/E 120-0-20, ER/IR in 90° of flexion 40-0-30.
Radiologically the implant is stable; bone graft is stable, the cup is integrated.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Spalla
---
### [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made-spalla/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
LIBERTÀ DI DESIGN PER SODDISFARE LE NECESSITÀ
DI PAZIENTE E CHIRURGO
Grazie all’estrema versatilità, **la tecnologia dell’additive manufacturing offre la possibilità di realizzare soluzioni anche per le situazioni più complesse**, che non possono essere affrontate con impianti standard.
Nel corso di numerosi anni di esperienza clinica, **Permedica ha sviluppato internamente un importante know-how nell’ambito della stampa 3D** per offrire al chirurgo soluzioni ad-hoc per il trattamento di casi complessi.
La tecnologia [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/traser/) consente di produrre **impianti di qualsiasi forma e design** per adattarsi al meglio al caso clinico d’interesse.
#### CICLO PRODUTTIVO
Partendo da immagini TAC **il nostro reparto di Ricerca & Sviluppo analizza il caso con il chirurgo** per determinarne la soluzione più adatta.
Una volta che il design è approvato dal chirurgo, **le componenti sono realizzate da una stampante 3D** a partire da polvere di titanio.
**La fusione laser selettiva (Selective Laser Melting) è una tecnologia di manifattura additiva** che in maniera selettiva fonde tra loro specifiche porzioni di uno strato sottile di polvere di titanio per mezzo di un fascio laser per creare oggetti solidi.
Al termine del processo SLM i pezzi ottenuti vengono staccati dal supporto, sottoposti a **trattamento termico** e **sabbiatura** quindi sottoposti a **successive lavorazioni meccaniche tradizionali** per ottenere l’impianto finito.
#### SOLUZIONI PER ANCA, GINOCCHIO E SPALLA
Le soluzioni custom made ricoprono sempre più un ruolo fondamentale sia per realizzare **componenti dal design specifico** per un particolare scenario clinico (**perdite ossee, anatomie complesse, fratture o complicanze post-traumatiche, hardware in situ**), sia per **produrre impianti di dimensioni ridotte**, ad esempio per il trattamento di pazienti affetti da nanismo.
#### CASO CLINICO \[1\]
#### STORIA CLINICA
Paziente maschio, 32 anni, affetto da **nanismo**. Altezza 1,08 metri e peso 30 Kg.
In anamnesi dolore quotidiano continuo all’anca destra con ridotta articolarità.
Importanti limitazioni cliniche. Dipendente da analgesici.
ESAME CLINICO
Cammino: **zoppia lato destro**. Segno di Duchenne/Trendelemburg negativo.
Articolarità: flesso-estensione 30-10-0°, rotazione esterna-interna 20-0-10°, abduzione-adduzione 10-0-20°.
Esame radiografico: **coxartrosi anca destra secondaria a displasia** (DDH, Crowe II, Paprosky IIb).
#### INTERVENTO
Il paziente è stato sottoposto ad intervento di artroprotesi totale d’anca utilizzando un allograft d’osso di teste femorale da banca dell’osso fissato con alcune viti per ricostruire il bordo acetabolare laterale.
Quindi un **cotile custom made di diametro 30mm realizzato con tecnologia TRASER in titanio trabecolare** è stato impiantato senza l’utilizzo di cemento e fissato con alcune viti da spongiosa aggiuntive.
Sul lato femorale è stato impiantato uno **stelo custom made realizzato con la stessa tecnologia TRASER** con una testina in metallo che si articolava con un inserto in UHMWPE.
#### RISULTATI
Il risultato finale è un **impianto protesico stabile con una copertura ottimale** e un posizionamento centrale della componente acetabolare TRASER.
#### CONTROLLO
A 4 mesi dall’intervento **il paziente ha ripreso a camminare perfettamente. Nessuna stampella** dal secondo mese post-op. **Nessuna zoppia.**
Funzionalità articolare: flesso-estensione 120-0-20°, rotazione est-int a 90° 40-0-30°.
Radiograficamente l’impianto protesico e l’innesto osseo risultano stabili, la coppa risulta osteointegrata.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Spalla
---
### [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
LIBERTÀ DI DESIGN PER SODDISFARE LE NECESSITÀ
DI PAZIENTE E CHIRURGO
Grazie all’estrema versatilità, **la tecnologia dell’additive manufacturing offre la possibilità di realizzare soluzioni anche per le situazioni più complesse**, che non possono essere affrontate con impianti standard.
Nel corso di numerosi anni di esperienza clinica, **Permedica ha sviluppato internamente un importante know-how nell’ambito della stampa 3D** per offrire al chirurgo soluzioni ad-hoc per il trattamento di casi complessi.
La tecnologia [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/traser/) consente di produrre **impianti di qualsiasi forma e design** per adattarsi al meglio al caso clinico d’interesse.
#### CICLO PRODUTTIVO
Partendo da immagini TAC **il nostro reparto di Ricerca & Sviluppo analizza il caso con il chirurgo** per determinarne la soluzione più adatta.
Una volta che il design è approvato dal chirurgo, **le componenti sono realizzate da una stampante 3D** a partire da polvere di titanio.
**La fusione laser selettiva (Selective Laser Melting) è una tecnologia di manifattura additiva** che in maniera selettiva fonde tra loro specifiche porzioni di uno strato sottile di polvere di titanio per mezzo di un fascio laser per creare oggetti solidi.
Al termine del processo SLM i pezzi ottenuti vengono staccati dal supporto, sottoposti a **trattamento termico** e **sabbiatura** quindi sottoposti a **successive lavorazioni meccaniche tradizionali** per ottenere l’impianto finito.
#### SOLUZIONI PER ANCA, GINOCCHIO E SPALLA
Le soluzioni custom made ricoprono sempre più un ruolo fondamentale sia per realizzare **componenti dal design specifico** per un particolare scenario clinico (**perdite ossee, anatomie complesse, fratture o complicanze post-traumatiche, hardware in situ**), sia per **produrre impianti di dimensioni ridotte**, ad esempio per il trattamento di pazienti affetti da nanismo.
#### CASO CLINICO \[1\]
#### STORIA CLINICA
Paziente maschio, 32 anni, affetto da **nanismo**. Altezza 1,08 metri e peso 30 Kg.
In anamnesi dolore quotidiano continuo all’anca destra con ridotta articolarità.
Importanti limitazioni cliniche. Dipendente da analgesici.
ESAME CLINICO
Cammino: **zoppia lato destro**. Segno di Duchenne/Trendelemburg negativo.
Articolarità: flesso-estensione 30-10-0°, rotazione esterna-interna 20-0-10°, abduzione-adduzione 10-0-20°.
Esame radiografico: **coxartrosi anca destra secondaria a displasia** (DDH, Crowe II, Paprosky IIb).
#### INTERVENTO
Il paziente è stato sottoposto ad intervento di artroprotesi totale d’anca utilizzando un allograft d’osso di teste femorale da banca dell’osso fissato con alcune viti per ricostruire il bordo acetabolare laterale.
Quindi un **cotile custom made di diametro 30mm realizzato con tecnologia TRASER in titanio trabecolare** è stato impiantato senza l’utilizzo di cemento e fissato con alcune viti da spongiosa aggiuntive.
Sul lato femorale è stato impiantato uno **stelo custom made realizzato con la stessa tecnologia TRASER** con una testina in metallo che si articolava con un inserto in UHMWPE.
#### RISULTATI
Il risultato finale è un **impianto protesico stabile con una copertura ottimale** e un posizionamento centrale della componente acetabolare TRASER.
#### CONTROLLO
A 4 mesi dall’intervento **il paziente ha ripreso a camminare perfettamente. Nessuna stampella** dal secondo mese post-op. **Nessuna zoppia.**
Funzionalità articolare: flesso-estensione 120-0-20°, rotazione est-int a 90° 40-0-30°.
Radiograficamente l’impianto protesico e l’innesto osseo risultano stabili, la coppa risulta osteointegrata.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Ginocchio
---
### [Custom Made](https://www.permedica.it/soluzioni-custom-made/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
GESTALTUNGSFREIHEIT, DIE ANFORDERUNGEN VON PATIENTEN
UND CHIRURGEN ERFÜLLEN
Die äusserst vielseitige additive Fertigungstechnologie erlaubt uns, Ihnen, ergänzend zu unseren Standardimplantaten, **patientenspezifische Produkte für höchst komplexe Situationen anzubieten** – einsetzbar überall dort, wo individuelle Lösungen gefragt sind.
**Permedica hat sich in den letzten Jahren zusammen mit osteobionix eine grosse Erfahrung im Bereich der “3D Druck-Implantate”** angeeignet. Dies, um Ihnen als Operateur eine kompetente, auf den entsprechenden Fall zugeschnittene Lösung für die Versorgung von einzigartigen und unerwarteten klinischen Fällen anbieten zu können.
**Die** [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/de/innovations-system/traser/) Technologie erlaubt es, ein **spezifisches Implantat anzufertigen, welches den speziellen anatomisch-pathologischen Veränderungen Ihres Patienten Rechnung trägt.**
#### DER HERSTELLUNGSPROZESS
Anhand Ihrer diagnostischen Bilder (Computertomographie) **analysieren unsere R&D Spezialisten in Kooperation mit Ihnen den Fall,** um die bestmögliche Lösung für ihren Patienten zu finden und anschliessend die Prothese entsprechend zu produzieren.
Sobald Sie mit dem Vorschlag einverstanden sind, werden die **TRASER® Komponenten in unseren 3D** **Druckern** aus reinem Titanium Pulver produziert.
**TRASER® (Selective Laser Melting) ist ein Herstellungsverfahren von Permedica,** welches aus dünnen Titanpulverschichten mit Hilfe eines oder mehreren Laserstrahlen ein kompaktes Implantat produziert.
Nach Beendigung des 3D-Druckvorgangs werden die Komponenten **mit Hitze gehärtet und zusätzlich sandgestrahlt;** weitere, klassische Prozessmethoden erlauben es uns, Ihr gewünschtes Endprodukt sofort versandfertig zu machen.
#### LÖSUNGEN FÜR UNERWARTETE SITUATIONEN
Maßgeschneiderte Lösungen spielen eine immer wichtigere Rolle, entweder für die Erstellung von **Spezialkomponenten zur Implantation bei Knochenverlusten, komplexen anatomisch-pathologischen Veränderungen, Frakturen oder posttraumatischen Komplikationen; letzteres auch mit in- liegenden Materialien;** oder um Implantate mit speziellen Grössenverhältnissen herzustellen, wie zum Beispiel zur Behandlung von Patienten mit Zwergwuchs.
#### KLINISCHES FALLBEISPIEL \[1\]
#### ANAMNESE
Männlicher Patient, 32 Jahre, 1.08m/30kg, **Zwergwuchs.**
In der Anamnese anhaltende tägliche Schmerzen in der rechten Hüfte mit eingeschränktem Bewegungsumfang. Einschränkung in der Lebensqualität.
Abhängig vom Gebrauch von Schmerzmitteln.
KLINISCHE UNTERSUCHUNG
Gehen: Hinken auf der rechten Seite; Duchenne/Trendelenburg negativ.
ROM: F/E 30-10-0°, IR/AR 20-0-10°, ABD/ADD 10-0-20°.
Radiologisch: **sekundäre Dysplasiekoxarthrose** (DDH; Crowe II, Paprosky IIb).
#### OPERATION
Die Operation wird unter Verwendung eines Allotransplantats aus dem Femurkopf durchgeführt, das mit mehreren Schrauben zum Aufbau des seitlichen Hüftgelenksrandes fixiert wird.
Anschließend wird eine **TRASER® Trabecular Titanium Pfanne mit einem Durchmesser von 30 mm** ohne Knochenzement eingesetzt und mit einigen Spongiosaschrauben befestigt.
Auf der **femoralen Seite wird ein patientenspezifischer Schaft implantiert, der mit derselben TRASER-Technologie hergestellt wurde.**
Reposition mit einem Metall-Femurkopf welcher mit dem UHMWPE-Einsatz in der Pfanne artikuliert.
#### ERGEBNIS
**Die Rekonstruktion ist stabil und zeigt radiologisch einen perfekten, zentralen Sitz der patientenspezifischen TRASER-Pfanne.**
#### FOLLOW-UP
**Bei der 4 Monate postop Kontrolle zeigt sich ein perfektes Gangbild.**
**Keine Krücken** seit dem zweiten postoperativen Monat; **kein Hinken.**
Gelenksfunktionen: F/E 120-0-20°, AR/Ir bei 90° Flexion 40-0-30°.
Radiologisch ist das Implantat stabil, das Knochentransplantat ist eingewachsen, die Pfanne ist osseointegriert.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Ginocchio
---
### [Solutions Sur Mesure](https://www.permedica.it/soluzioni-custom-made/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
#### LIBERTÉ DE CONCEPTION POUR RÉPONDRE AUX BESOINS DES PATIENTS ET DES CHIRURGIENS
Grâce à l’extrême polyvalence, **la technologie de fabrication additive offre la possibilité de créer des solutions personnslisées pour faire face aux situations, les plus complexes,** qui ne peuvent être confrontées à des systhèmes standard.
Au cours de nombreuses années d’expérience clinique, **Permedica a développé avec osteobionix un savoir-faire important dans la fabrication d’implants par impression 3D** afin de pouvoir proposer aux chirurgiens des solutions sur mesure pour le traitement des scénarios cliniques uniques et inattendus.
Notre technologie unique [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/fr/traser/) vous permet de créer le **modèle spécifique qui s’adapte le mieux à l’anatomie spécifique** de votre patient.
#### PROCESSUS DE FABRICATION
À l’aide de vos images diagnostiques **CT Scan, nos spécialistes R&D travaillent avec vous pour analyser le cas** afin de trouver la meilleure solution possible pour votre patient puis la mettre en œuvre.
Une fois l’étude approuvée par le chirurgien, **les composants TRASER® sont réalisés par une imprimante 3D** à partir de poudre de titane.
**TRASER® (Selective Laser Melting) est une technologie de fabrication additive** qui fusionne sélectivement des parties spécifiques d’une fine couche de poudre de titane à l’aide d’un faisceau laser pour créer des objets solides.
À la fin du processus d’impression, les composants sont retirés du support, soumis à un **traitement thermique** et à un **sablage,** puis à un **traitement mécanique traditionnel** ultérieur pour obtenir l’implant fini.
#### SOLUTIONS POUR DES SITUATIONS INATTENDUES
Les solutions sur mesure jouent un rôle crucial croissant soit pour la création de **composants avec une conception spécifique** afin de répondre à des scénarios cliniques particuliers **(pertes osseuses, anatomies complexes, fractures ou complications post-traumatiques, matériel in situ)** et pour produire des implants de petites dimensions , par exemple pour le traitement des patients atteints de nanisme.
#### CAS CLINIQUE \[1\]
#### HISTOIRE CLINIQUE
Patient masculin, 32 ans; **nanisme;** 1,08 m/30 kg de poids corporel. Dans l’anamnèse, une douleur quotidienne continue dans la hanche droite avec une amplitude de mouvement restreinte.
Limitations cliniques importantes. Dépendant des analgésiques.
EXAMENS CLINIQUES
Marche: boitant du côté droit; Duchenne / Trendelenburg négatif.
ROM: F/E 30-10-0 °, ER/IR 20-0-10 °, ABD/ADD 10-0-20 °.
Radiologiquement: **arthrose secondaire de la hanche droite** (DDH, Crowe II, Paprosky IIb).
#### CHIRURGIE
Le remplacement total de la hanche est effectué à l’aide d’une allogreffe prise dans la tête fémorale, fixée avec plusieurs vis pour construire le rebord cotyloïdien latéral.
Ensuite, une **cupule TRASER Trabecular Titanium sur mesure de 30 mm de diamètre** est insérée sans utiliser de ciment osseux et fixée avec des vis spongieux.
Du Côté fémoral, **une tige fémorale** sur mesure fondue au laser selectif **est implantée, créée avec la même technologie TRASER;** reduction avec une tête fémorale métallique dans un insert UHMWPE.
#### RESULTAT
**Le résultat final est stable avec une couverture parfaite** ainsi qu’ une assise centrale de l’implant cotyloïdien sur mesure TRASER.
#### SUIVI
Marche parfaite 4 mois après la chirurgie.
Fonction articulaire: F/E 120-0-20, ER/IR dans 90 ° de flexion 40-0-30.
**Pas de béquilles** depuis le deuxième mois postopératoire; **pas de boiterie.**
Radiologiquement, l’implant est stable; la greffe osseuse est stable, la cupule est intégrée.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Ginocchio
---
### [Custom Made Solutions](https://www.permedica.it/soluzioni-custom-made/)
**Published:** Gennaio 30, 2020
**Author:** pm_ema
**Content:**
#### FREEDOM OF DESIGN TO MEET PATIENTS’ AND SURGEONS’ REQUIREMENTS
Thanks to the extreme versatility **the additive manufacturing technology offers the**
**possibility of creating customized solutions** to cope with the most complex
situations, which cannot be faced with standard systems.
In many years of clinical experience, **Permedica has developed together with osteobionix an important know-how**
**in 3D printing** to offer the surgeon ad-hoc solutions for the treatment of
unique and unexpected clinical scenarios.
Technology [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/en/innovation-systems/traser/) makes it possible to create **systems of any shape and design** to best adapt to the clinical case of interest.
#### MANUFACTURING PROCESS
Starting from the diagnostic images CT-Scan **our R&D department analyzes the case in collaboration with the surgeon** to determine the most suitable solution.
Once the study is approved by the surgeon, **the components are realized by a 3D printer** from titanium powder.
**TRASER® (Selective Laser Melting) is an additive manufacturing technology** that selectively fuses together specific portions of a thin layer of titanium powder using a laser beam to create solid objects.
At the end of the printing process the components are removed from the support, subjected to **heat treatment** and **sandblasting,** then to subsequent **traditional mechanical processing** to obtain the finished implant.
#### SOLUTIONS FOR UNEXPECTED SITUATIONS
Custom made solutions play an increasing crucial role either for the creation of **components with a specific design** in order to address particular clinical scenarios (**bone losses, complex anatomies, fractures or post-traumatic complications, hardware in situ**) and to produce implants of small dimensions, for example for treatment of patients with dwarfism.
#### CLINICAL CASE \[1\]
#### CLINICAL HISTORY
Male patient, 32y old; **dwarfism**; 1.08m/30 kg of bodyweight.
In the anamnesis continuous daily pain in the right hip with restricted range of movement. Important clinical limitations. Pain killers dependent.
CLINICAL EXAMS
Walk: **limping right side**; Duchenne/Trendelenburg negative.
ROM : F/E 30-10-0°, ER/IR 20-0-10°, ABD/ADD 10-0-20°.
Radiologically: DDH: developmental dysplasia of the hip with **secondary osteoarthritis** (Crowe II, Paprosky IIb).
#### SURGERY
Total hip replacement is performed, using an allograft out of the femoral head, fixed with several screws to build up the lateral acetabular rim.
Then a **TRASER Trabecular Titanium custom made cup of 30mm diameter** is inserted without using bone cement and fixed with some trabecular bone screws.
On the femoral side, a customized selective laser melted **femoral stem is implanted, created with the same TRASER technology;** reposition with a metal femoral head on a UHMWPE insert.
#### RESULT
**The final result is stable with a perfect covering of the cup implant** and central seating of the TRASER custom made cup.
#### FOLLOW-UP
**4 months after surgery perfect walk.**
**No crutches** since the second month postoperatively; no limping.
Joint function : F/E 120-0-20, ER/IR in 90° of flexion 40-0-30.
Radiologically the implant is stable; bone graft is stable, the cup is integrated.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Ginocchio
---
### [JUMP System CEMENTED](https://www.permedica.it/jump-cemented/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Zementierte Variante
Neutral
mit Schulter-Aufbau
Retentiv
**Produktauswahl:** 112 Grössen neutral oder mit Schulter;
11 Grössen retentiv
**JUMP® System Zementiert** es handelt sich um eine Hüftgelenkpfanne für Primär- und / oder Revisionsimplantate, für die Knochenzement erforderlich ist.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_1-2-3-1.jpg "JS_Cemented_1-2-3")
Neutral und mit Überhöhung
Das JUMP® System CEMENTED ist sowohl als Neutral als auch mit 20° Überhöhung erhältlich.
28mm / 32mm / 36mm Pfannen
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4-1.jpg "JS_Cemented_4")
Radial- und Umfangsnuten
Die Außenfläche hat eine halbkugelförmige Form mit großen Umfangs- und Radialnuten für die gleichmäßige Verteilung und Verankerung des Knochenzements.
Zwei Metallringe (polar und äquatorial) ermöglichen die radiologische Sichtbarkeit.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4b.jpg "JS_Cemented_4b")
Es ist auch eine überhöhte **Version erhältlich,** die für Patienten mit schlechtem Muskeltonus indiziert ist, hier ist das Risiko einer häufigen Luxation sehr hoch.
Der spezielle Sicherungsring des gleichen Typs wie die für die Bipolare Version verwendeten, sorgt für die Sicherung des Gelenkkopfes in der Acetabulum Pfanne.
****
**MATERIALIEN**
JUMP® System CEMENTED ist eine Hüftgelenkpfanne für zementierten Hüftersatz aus UHWMPE ohne Calciumstearat gemäß den ISO5834/1/2-Standards.
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System CEMENTED](https://www.permedica.it/jump-cemented/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Option cimentée
Neutre
Hémisphérique avec “casquette”
Retentive
**Gamme de produits:**
12 tailles neutres ou à capuche, 11 tailles rétentives.
**Le système JUMP® CEMENTED** est une cupule acétabulaire cimentée pour la chirurgie primaire et/ou de révision.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_1-2-3-1.jpg "JS_Cemented_1-2-3")
Neutre et à débord
Le système JUMP® CEMENTED est disponible en version neutre et à débord de 20°.
∅ 28 – 32 – 36mm tête articulaire
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4-1.jpg "JS_Cemented_4")
Rainures radiales et circonférentielles
La surface externe a une forme hémisphérique, avec de grandes rainures circonférentielles et radiales pour une distribution et un ancrage uniformes du ciment osseux.
Deux anneaux métalliques (polaire et équatorial) permettent une traçabilité radiographique.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4b.jpg "JS_Cemented_4b")
Une **version retentive** est également disponible pour les patients présentant un tonus musculaire faible, où le risque de luxation récurrente est élevé.
La bague de rétention spéciale, similaire à celle utilisée pour la cupule bipolaire, assure la rétention de la tête fémorale dans la cupule.
****
**MATERIAUX**
Le système JUMP® CEMENTED est une cupule acétabulaire pour prothèse de hanche cimentée en UHWMPE sans stéarate de calcium, conforme aux normes ISO5834/1/2.
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System CEMENTED](https://www.permedica.it/jump-cemented/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Cemented option
Neutral
Hooded
Retentive
**Product range:** 12 sizes neutral or hooded,
11 sizes retentive.
**JUMP® System CEMENTED** is an acetabular cemented cup for primary and/or revision surgery.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_1-2-3-1.jpg "JS_Cemented_1-2-3")
Neutral and hooded
JUMP® System CEMENTED is available both in neutral and 20° hooded version.
∅ 28 – 32 – 36mm articular socket
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4-1.jpg "JS_Cemented_4")
Radial and circumferential grooves
The external surface has an hemispherical shape, with large circumferential and radial grooves for the even distribution and anchorage of the bone cement.
Two metal rings (polar and equatorial) allows for radiographic traceability.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4b.jpg "JS_Cemented_4b")
A **retentive version** is also available for patients with scarse muscle tone, where the risk of recurrent luxation is high. The special retention ring, similiar to that used for the Bipolar cup, ensures retention of the femoral head within the cup.
****
**MATERIALS**
JUMP® System CEMENTED is an acetabular cup for cemented hip replacement made of UHWMPE without calcium stearate,
in compliance with ISO5834/1/2 Standards.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Cotili, Anca
---
### [JUMP System CEMENTED](https://www.permedica.it/jump-cemented/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Versione cementata
Neutro
Con spalletta
Ritentivo
**Product range:** 12 taglie neutro e con spalletta,
11 taglie ritentivo.
**JUMP® System CEMENTED** è una coppa acetabolare per impianti primari e/o di revisione che prevedono l’utilizzo di cemento osseo.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_1-2-3-1.jpg "JS_Cemented_1-2-3")
Neutro e con spalletta antilussante
JUMP® System CEMENTED è disponibile in versione neutra e con spalletta antilussante di 20°.
Sede articolare ∅ 28 – 32 – 36mm
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4-1.jpg "JS_Cemented_4")
Solcature radiali e circonferenziali
La superficie esterna del cotile presenta una geometria emisferica con larghe scanalature circonferenziali e radiali per favorire la distribuzione omogenea e l’ancoraggio del cemento.
Due anelli metallici in acciaio, uno polare e uno equatoriale, fungono da reperi radiografici.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_Cemented_4b.jpg "JS_Cemented_4b")
E’ disponibile anche una **versione ritentiva** indicata per pazienti con scarso tono muscolare, il cui rischio di lussazione frequente è elevato.
L’ apposito anello di ritenzione, della stessa tipologia di quelli usati per le cupole mobili, assicura la ritenzione della testa articolare nella coppa.
****
**MATERIALI**
La coppa acetabolare JUMP® System CEMENTED è realizzata in UHWMPE ad elevata resistenza,
privo di stearato di calcio, conforme alla normativa ISO5834/1/2.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System TRASER](https://www.permedica.it/jump-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Ein Schritt voraus
Die trabekuläre Knochenspongiosa ähnliche Titaniumstruktur
**Produktauswahl:** 14 Grössen (Durchmesser 44-70mm);
17 Grössen in der Revisionsvariante (Durchmesser 48-80mm)
Das **JUMP® System TRASER®** ist eine Hüftgelenkpfanne für den primären zementfreien Hüftersatz. Diese wird mit Titanlegierungspulver mittels **selektiver Laserschmelzadditivtechnik** hergestellt. Dies ermöglicht es, feste Objekte ausgehend von digitalen 3D-CAD-Modellen zu erhalten, indem das Rohmaterial (Ti6Al4V-Pulver) in aufeinanderfolgenden Schichten angebracht wird, bis das Objekt fertig ist.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-2_logo.jpg "JS_TRASER 2_logo")
Hohe Primärstabilität
Die hohe Primärstabilität der Pfanne wird durch das flache Profil und die polare Auslenkung gewährleistet, die die äquatoriale Verteilung der Lastkräfte fördern, während die Porosität der Trabekeloberfläche mit zufälliger Geometrie eine optimale Struktur für das Einwachsen des Knochens bietet und die biologische Stabilisierung des Implantats gewährleistet.
[](https://www.permedica.it/wp-content/uploads/2020/01/Trabecolatura.jpg "Trabecolatura")
Trabekeloberfläche
Die Abmessung und zufällige geometrische Form der Trabekeloberfläche, die dem Trabekelknochen sehr ähnlich ist, bietet eine hervorragende Struktur für das Einwachsen von Knochen und gewährleistet die sekundäre Fixierung des Implantats.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-4-1.jpg "JS_TRASER 4")
Mehrlochversion
**TRASER® Revision** hat eine höhere Anzahl von Löchern, um mittelschwere Revisionsfälle zu behandeln.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-3.jpg "JUMP System_5")
Pfanneneinsätze/Inlays
Die JUMP® System Pfannen bieten eine Reihe von Inlays aus **UHMWPE-, VITAL-XE®– und BIOLOX® *delta***-Keramik, die die Verwendung mit Hüftköpfen von unterschiedlichen Durchmessern ermöglichen, einschließlich Double Mobility Inlays, die eine zuverlässige Lösung für Fälle darstellen, in denen ein hohes Luxationsrisiko zu erwarten ist .
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-5-1.jpg "JS_TRASER 5")
Double Mobility
Das **JUMP® Double Mobility** Inlay ist eine zuverlässige Lösung für Fälle, in denen eine hohe Wahrscheinlichkeit einer Luxation zu erwarten ist (Patienten mit schlechtem Muskeltonus oder schlechter neuromotorischer Kontrolle), damit die Vorteile eines Double Mobility-Gelenks auf das JUMP® System angewendet werden können.
Ein Metalleinsatz ermöglicht die Verwendung von ACORN Dual Mobility-Einsätzen aus UHMWPE oder VITAL-E®.
****
**MATERIALIEN**
JUMP® System TRASER®-Pfannen bestehen aus einer geschmiedeten Titan-Aluminium-Vanadium-Legierung gemäß den ISO5832/3-Standards.
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System TRASER](https://www.permedica.it/jump-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Celui qui aime l’os
Structure en titane trabéculaire
reproduisant la nature osseuse
**Gamme de produits:** 14 tailles (Ø 44-70mm), 17 tailles Révision (Ø 48-80mm).
Le **système JUMP® TRASER®** est une prothèse cotyloïdienne pour prothèse primaire de hanche sans ciment réalisée avec de la poudre d’alliage de titane par la technique additive **Selective Laser Melting.** Ce procédé permet d’obtenir des objets solides à partir de modèles numériques de CAO 3D par apposition de matériau en ligne (poudre Ti6Al4V) couche par couche, jusqu’à ce que le composant soit terminé.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-2_logo.jpg "JS_TRASER 2_logo")
Bonne stabilité primaire
La grande stabilité primaire de la cupule est assurée par le profil bas et la déviation polaire, qui favorisent la répartition équatoriale des forces de charge, tandis que la porosité géométrique aléatoire de la surface trabéculaire fournit une structure optimale pour la repousse osseuse, assurant ainsi la stabilisation biologique de l’implant.
[](https://www.permedica.it/wp-content/uploads/2020/01/Trabecolatura.jpg "Trabecolatura")
Surface trabéculaire
La dimension et la forme géométrique aléatoire de la surface trabéculaire, très similaire à l’os trabéculaire, offre une très bonne structure pour la croissance osseuse, assurant la fixation secondaire de l’implant.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-4-1.jpg "JS_TRASER 4")
Version multi-trous
**TRASER® Revision** a un plus grand nombre de trous permettant ainsi le traitement des cas de révision modérés.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-3.jpg "JUMP System_5")
Inserts
Les Systeme de cupules JUMP® fournit une gamme d’inserts en **UHMWPE, VITAL-XE® et céramique BIOLOX® *delta*** permettant un couplage avec des têtes articulaires de différents diamètres, y compris les inserts de Double Mobilité, ce qui représente une solution fiable dans les cas où un risque élevé de dislocation est prévisible.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-5-1.jpg "JS_TRASER 5")
Double Mobilité
Le **système JUMP® Double Mobilité** représente une solution fiable dans les cas où une possibilité de luxation est attendue (patients avec tonus musculaire faible ou contrôle neuromoteur déficient), ce qui permet d’appliquer aux cupules du système JUMP® les avantages d’une articulation à double mobilité.
Un insert métallique permet l’utilisation d’inserts mobiles ACORN Dual Mobility en UHMWPE ou VITAL-E®.
****
**MATERIAUX**
Les cupules JUMP® System TRASER® sont fabriqués à partir de poudres d’alliage titane aluminium vanadium conformes aux normes ISO5832/3.
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [JUMP System TRASER](https://www.permedica.it/jump-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## What bone likes
Trabecular titanium structure reproducing bone nature.
**Product range:** 14 sizes (Ø 44-70mm),
17 sizes Revision (Ø 48-80mm).
**JUMP® System TRASER®** is an acetabular prosthesis for cementless primary hip replacement realized with titanium alloy powder by **Selective Laser Melting** additive technique. This process allows to obtain solid objects starting from digital 3D-CAD models by row material apposition (Ti6Al4V powder) layer by layer, until the component is completed.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-2_logo.jpg "JS_TRASER 2_logo")
High primary stability
The high primary stability of the cup is ensured by the low profile and polar deflection, which promote the equatorial distribution of load forces, while the randomized geometry porosity of the trabecular surface provides an optimal structure for bone regrowth, ensuring the biological stabilization of the implant.
[](https://www.permedica.it/wp-content/uploads/2020/01/Trabecolatura.jpg "Trabecolatura")
Trabecular surface
The dimension and randomized geometric shape of the trabecular surface, very similar to trabecular bone, offers a very good structure for bone ingrowth, ensuring the secondary fixation of the implant.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-4-1.jpg "JS_TRASER 4")
Multi-hole version
**TRASER® Revision** has an higher number of holes to address moderate revision cases.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-3.jpg "JUMP System_5")
Inserts
The JUMP® System cups provides a range of joint liners in **UHMWPE,**
**VITAL-XE® and BIOLOX®** **delta ceramic** allowing coupling with articular heads of different diameters, including Dual Mobility inserts which represents a reliable solution for those cases where a high risk of dislocation is expectable.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-5-1.jpg "JS_TRASER 5")
Dual mobility
The **JUMP® System Dual Mobility** represents a reliable solution for those cases where a high possibility of dislocation can be expected (patients with poor muscle tone or neuromotor control) allowing to apply to the JUMP® System cups the advantages of a Dual Mobility joint.
A metal insert allows the use of ACORN Dual Mobility inserts made of UHMWPE or VITAL-E®.
****
**MATERIALS**
JUMP® System TRASER® cups are made of Titanium Aluminium Vanadium alloy powders in compliance with ISO5832/3 Standards.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Cotili, Anca
---
### [JUMP System TRASER](https://www.permedica.it/jump-traser/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Quello che piace all’osso
Struttura in titanio trabecolare che riproduce la natura dell’osso
**Product range:** 14 taglie (Ø 44-70mm),
17 taglie Revision (Ø 48-80mm).
**JUMP® System TRASER®** è una protesi acetabolare indicata per interventi di sostituzione primaria realizzata con manifattura additiva **Selective Laser Melting**, che permette di ottenere oggetti solidi partendo da modelli digitali 3D-CAD mediante apposizione della materia prima (polvere di Ti6Al4V) in strati successivi fino al completamento dell’oggetto.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-2_logo.jpg "JS_TRASER 2_logo")
Elevata stabilità primaria
L’ elevata stabilità primaria è assicurata dal basso profilo e dallo schiacciamento polare, che promuovono la distribuzione equatoriale delle forze di carico, mentre la porosità a geometria randomizzata della superficie trabecolare fornisce una struttura ottimale per la ricrescita ossea assicurando all’impianto la stabilizzazione secondaria di tipo biologico.
[](https://www.permedica.it/wp-content/uploads/2020/01/Trabecolatura.jpg "Trabecolatura")
Superficie trabecolare
La dimensione e la forma geometrica randomizzata della superficie trabecolare, molto simile a quella dell’osso spongioso, fornisce una struttura ottimale per la ricrescita ossea assicurando all’impianto la stabilizzazione secondaria di tipo biologico.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-4-1.jpg "JS_TRASER 4")
Versione multiforo
La versione **TRASER® Revision** dispone di un maggior numero di fori per casi di moderata revisione.
[](https://www.permedica.it/wp-content/uploads/2020/01/JUMP-System_5-3.jpg "JUMP System_5")
Inserti articolari
Il cotile TRASER® dispone di tutte le opzioni articolari previste dal sistema JUMP® System: inserti in **UHMWPE**, **VITAL-XE®** e **ceramica BIOLOX® *delta*** che permettono l’accoppiamento con testine articolari di vario diametro, nonché gli inserti a Doppia Mobilità che rappresentano una efficace soluzione per quei casi in cui esiste una elevata possibilità di lussazione.
[](https://www.permedica.it/wp-content/uploads/2020/01/JS_TRASER-5-1.jpg "JS_TRASER 5")
Doppia mobilità
L’ **inserto JUMP® System Dual Mobility** rappresenta una efficace soluzione per quei casi in cui esiste una elevata possibilità di lussazione (pazienti con scarso tono muscolare o deficit neuromotorio), permettendo di applicare ai cotili JUMP® System i vantaggi di un’articolazione a Doppia Mobilità.
Un inserto metallico permette l’utilizzo di inserti ACORN a doppia mobilità in UHMWPE o VITAL-E®.
****
**MATERIALI**
I cotili JUMP® System TRASER® sono realizzati con polveri di lega di Titanio Alluminio Vanadio – ISO5832/3.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Cotili
---
### [FEMURKÖPFE](https://www.permedica.it/teste-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Die komplette Auswahl
In Metall
In Keramik
Mono-Polar / Bi-Polar
Verwendung in der Endoprothese
Alle Hüftköpfe haben einen **12/14 Konus** und sind kompatibel mit allen Hüftschäften von Permedica. Auf Anfrage sind Hüftköpfe mit einem Konus 10/12 oder 14/16 erhältlich.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-1_New-def-1-600x552.png "Teste 1_New def")
FEMUR KÖPFE
Permedica bietet eine komplette Palette von Hüftköpfen mit unterschiedlichen Durchmessern an (22, 28, 32, 36, und 40 mm) sowie verschiedenen Halslängen (S, M, L, XL). Es sind sowohl Metallköpfe erhältlich (PM734 rostfreiem Edelstahl oder aus CoCrMo-Legierung) erhältlich als auch Keramikköpfe aus BIOLOX® *delta* Keramik.
Keramikköpfe BIOLOX® option sind für Teilrevisionsfälle erhältlich, bei denen der Femurkopf ersetzt wird, wobei der Schaft an Ort und Stelle bleibt.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cupola-Mobile-def-400x600.png "Cupola Mobile def")
BIPOLAR-KÖPFEN
Ein breites Spektrum an Bipolar-Köpfen für den partiellen Hüftgelenkersatz ist erhältlich als modulare Version (Durchmesser von 39 bis 60 mm) mit 28 mm Köpfen erhältlich.
Die Bipolar- Köpfe bestehen außen aus PM734 rostfreiem Edelstahl und im Inneren aus UHMWPE.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-3-1.jpg "Teste 3")
ENDO-KÖPFE
Metallköpfe für den partiellen Hüftgelenksersatz sind in Durchmessern von 40 bis 63 mm, hergestellt aus PM734 rostfreiem Edelstahl gemäß ISO5832-9 erhältlich.
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Teste Articolari, Anca
---
### [TÊTES ARTICULAIRES](https://www.permedica.it/teste-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Une gamme complète
Métal
Céramique
Bi-articulaire
Têtes d’endoprothèse
Toutes les têtes fémorales présentent **une conicité de 12/14** compatible avec n’importe quelle tige fémorale de Permedica.
Sur demande, des têtes fémorales avec cônes 10/12 et 14/16 sont également disponibles.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-1_New-def-1-600x552.png "Teste 1_New def")
TÊTES FEMORALES
Permedica propose une gamme complète de têtes articulaires de différents diamètres (22, 28, 32, 36 et 40 mm) et de longueurs de cols (S, M, L, XL).
Des têtes métalliques (alliage d’acier inoxydable fortement azoté PM734 ou alliage CrCoMo) et des têtes en céramique BIOLOX® *delta* sont disponibles.
Les têtes en céramique BIOLOX® option sont disponibles pour les cas de révision partielle où la tête fémorale est remplacée en maintenant la tige en place.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cupola-Mobile-def-400x600.png "Cupola Mobile def")
TÊTES BIPOLAIRES
Une large gamme de têtes bipolaires est disponible pour le remplacement partiel de la hanche, en version modulaire (diamètres de 39 à 60 mm) avec une cavité de 28 mm.
Les têtes bipolaires sont constituées d’une enveloppe extérieure en alliage d’acier inoxydable très azoté PM734 et d’un noyau intérieur en UHMWPE.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-3-1.jpg "Teste 3")
TÊTES MONOPOLAIRES MONOBLOC
Têtes métalliques pour les arthroplasties partielles de la hanche disponibles en diamètres de 40 à 63 mm en alliage d’acier inoxydable PM734 à forte teneur en azote (ISO5832/9).
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Teste Articolari
---
### [Articular Heads](https://www.permedica.it/teste-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## A complete range
Metal
Ceramic
Bi-articular
Endo Heads
All joint heads presents a **12/14 taper** compatible with any femoral stem of Permedica.
On special request, joint heads with 10/12 and 14/16 taper are also available.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-1_New-def-1-600x552.png "Teste 1_New def")
FEMORAL BALL HEADS
Permedica produces a complete range of joint heads in different diameters (22, 28, 32, 36 and 40mm) and neck lengths (S, M, L, XL).
Metal heads (PM734 highly nitrogenized Stainless Steel alloy or CrCoMo alloy) and BIOLOX® *delta* ceramic heads are available.
Ceramic heads BIOLOX® option are available for partial revision cases where the femoral head is replaced maintaining the stem in place.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cupola-Mobile-def-400x600.png "Cupola Mobile def")
BI-POLAR HEADS
A wide range of Bi-polar Heads is available for partial hip replacements, in modular version (diameters from 39 to 60mm) with 28 mm socket.
The Bi-polar Heads consists of a PM734 highly nitrogenized Stainless Steel alloy outer shell with UHMWPE inner core.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-3-1.jpg "Teste 3")
ENDO-HEADS
Metal heads for partial hip replacements available in diametrs from 40 to 63mm, made of PM734 highly nitrogenized Stainless Steel alloy (ISO5832/9).
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Teste Articolari
---
### [Teste Articolari](https://www.permedica.it/teste-articolari/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Un range completo
Metallo
Ceramica
Cupole bi-articolari
Teste da endoprotesi
Tutte le teste articolari presentano un
**cono 12/14** e sono compatibili con tutti gli steli femorali di Permedica.
Su speciale richiesta sono disponibili anche teste articolari con cono 10/12 e 14/16.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-1_New-def.png "Teste 1_New def")
TESTINE FEMORALI
Permedica realizza una gamma completa di teste articolari in diversi diametri (22, 28, 32, 36 e 40mm) e lunghezze di collo (S, M, L, XL).
Sono disponibili testine in metallo (lega forgiata di acciaio PM734 ad elevato tenore di Azoto o Cromo Cobalto Molibdeno) e in ceramica BIOLOX® *delta*.
Testine in ceramica BIOLOX® option sono disponibili per interventi di revisione parziale in cui sia necessaria la sostituzione della testa articolare mantenendo
lo stelo.
[](https://www.permedica.it/wp-content/uploads/2020/01/Cupola-Mobile-def-400x600.png "Cupola Mobile def")
CUPOLE MOBILI BI-ARTICOLARI
Un’ ampia gamma di cupole mobili bi-articolari è disponibile per interventi di
emi-artroplastica dell’anca, in versione modulare (da 39 a 60mm) per accoppiamento con teste articolari di diametro 28mm.
Le cupole mobili bi-articolari di Permedica sono costituite da una calotta esterna in lega forgiata di acciaio PM734 ad elevato tenore di Azoto e da un nucleo interno in UHMWPE.
[](https://www.permedica.it/wp-content/uploads/2020/01/Teste-3-1.jpg "Teste 3")
TESTE DA ENDOPROTESI
Teste monoblocco da endoprostesi sono disponibili da 40 a 63mm di diametro, in lega PM734 di acciaio inossidabile ad elevato tenore di azoto (ISO5832/9).
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Teste Articolari
---
### [KONE](https://www.permedica.it/kone/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Die Vielseitigkeit
Einsatzgebiete sind die Dysplasieerkrankungen,
Versorgungen nach Osteotomien oder frakturbedingten Fehlstellungen
**KONE** ist ein multifunktionales und alternatives System, das alle Anforderungen erfüllen kann und ist angezeigt als Lösung für zahlreiche Indikationen in der Hüftarthroplastie.
**Produktauswahl:** 14 Grössen
press-fit oder zementiert
Der **KONE** Schaft ist erhältlich als zementfreie Press-Fit Variante und als zementierte Variante (KONE PLUS).
Die zementfreie Variante, wird auch bei Hüften mit normaler Morphologie eingesetzt, besonders indiziert für Patienten mit Dysplasie, bei Osteotomien und Frakturen.
Die Anwenderfreundlichkeit der zementierten **KONE Plus** macht diese besonders geeignet bei pertrochantären oder subtrochantären Frakturen, gegebenenfalls z. B. in Kombination mit Platten und Cerclage Drähten.
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-1-1.jpg "KONE 1")
Kreisquerschnitt
Die Kreis-Querschnitt erlaubt eine freie Einstellung des Anterversions-Winkels.
Somit ist der KONE-Schaft auch für Patienten geeignet, die durch Knochenverlust oder Deformitäten eine gute Rotationsstabilität im Femur benötigen. Durch die Krafteinleitung wird die Stress-Konzentration Knochen/Implantat minimiert.
Sandgestrahlte Oberfläche
Oberfächen erhalten ihre abschließende Behandlung mit einen zweifachen Sandstrahlen mittels Korund, um damit eine hohe Porosität zu erhalten für eine optimale Osteointegration.
Längsverlaufende Rippen
Die längsverlaufenden Rippen wurden entworfen, um in den kortikalen Knochen einzudringen und damit zu einer hohen Rotationsstabilität beizutragen.
Konisch zulaufende distale Spitze
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-2-1.jpg "KONE 2")
Reduzierter Halsdurchmesser
Konus 12/14
Gewindeloch für Positionierung/Extraktion
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-3-1.jpg "KONE 3")
Zementierte Version **KONE Plus**
Mit proximalem und distalem Zentrierer.
****
**MATERIALIEN**
**KONE** Schäfte für die zementfreie Press-Fit Anwendung werden gefertigt aus Titan-Aluminium-Niob-Legierung gemäß ISO5832-11.
Die **KONE Plus** Schäfte für die zementierte Anwendung werden gefertigt aus rostfreiem Edelstahl gemäß ISO5832-9.
****
**INSTRUMENTARIUM**
Die Instrumente beinhalten ein Set von graduierten Reibahlen für die präzise Präparation des Femurkanals sowie ein Set von Probeschäften.
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [KONE](https://www.permedica.it/kone/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## La polyvalence est là
Indiquée surtout pour la dysplasie,
les consequences d’ostéotomies
ou de fractures
**KONE** est un système multifonctionnel et alternatif qui répond à tous les besoins et est indiqué comme une réponse à de nombreuses indications pour une arthroplastie de la hanche.
**Gamme de produits:** 14 tailles press-fit et cimenté
La Tige **KONE** est disponible dans les versions Press-Fit et cimentée (KONE Plus).
La version sans ciment, bien qu’utilisée aussi pour les fémurs de morphologie normale, est particulièrement indiquée pour les dysplasies, les ostéotomies et les fractures.
La simplicité d’utilisation de la version cimentée **KONE Plus** la rend particulièrement adaptée aux fractures pertrochantériennes ou subtrochantériennes, éventuellement en combinaison avec des plaques et des fils de cerclage.
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-1-1.jpg "KONE 1")
Section circulaire
La section circulaire permet un ajustement libre de l’angle d’antéversion.
Cette caractéristique rend la tige KONE adaptée aux patients présentant des déformations osseuses, dans lesquelles une rotation forcée de la tige pourrait entraîner une concentration de stress dangereuse à l’interface de l’os.
Surface sablée
Les surfaces sont finies avec un double sablage au corindon, garantissant ainsi une rugosité élevée pour une ostéointégration optimale.
Rainures longitudinales
Les rainures longitudinales de la tige sont conçues pour pénétrer légèrement dans l’os cortical, ce qui confère une grande stabilité en rotation.
Extrémité distale effilée
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-2-1.jpg "KONE 2")
Col à diamètre réduit
Cône 12/14
Trou fileté pour l’introduction / extraction
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-3-1.jpg "KONE 3")
Version cimentée **KONE Plus**
Avec centralisateur proximal et distal.
****
**MATÉRIAUX**
Les tiges **KONE** Press-Fit sont en alliage forgé titane-aluminium-niobium, conformément aux normes ISO5832/11.
Les tiges **KONE Plus** cimenté sont constituées d’un alliage forgé en acier inoxydable hautement azoté, conforme aux normes ISO5832/9.
****
**ANCILLAIRE**
L’ancillaire fournit un jeu d’alésoirs coniques gradués pour une préparation précise du canal fémoral et un jeu de tiges d’essai.
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [KONE](https://www.permedica.it/kone/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Versatility is here
Mostly indicated for dysplasy,
osteotomy and fracture outcomes
**KONE** is a multifunctional and alternative system that satisfies all needs and is indicated as a response to numerous indications for hip arthroplasty.
**Product range:** 14 sizes
press-fit and cemented
The **KONE** stem is available in both cementless press-fit and cemented version (KONE Plus).
The cementless version, although also used for femurs with normal morphology, is especially indicated for dysplasias, osteotomy and fracture outcomes.
The simplicity of use of the **KONE Plus** cemented version makes it particularly suitable in cases of pertrochanteric or subtrochanteric fractures, possibly in combination with plaques and cerclage wires
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-1-1.jpg "KONE 1")
Circular cross-section
The circular section allows free adjustment of the anteversion angle. This characteristic makes the KONE stem suitable for patients with bone deformaties, in which forced rotation of the stem could cause dangerous stress concentration at the bone interface.
Sandblasted surface
Surfaces are finished with double corundum sandblasting thereby guaranting high roughness for optimal osseointegration.
Longitudinal fins
The stem’s longitudinal fins are designed to slightly penetrate into the cortical bone, conferring a high degree of rotational stability.
Tapered distal tip
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-2-1.jpg "KONE 2")
Reduced diameter neck
Taper 12/14
Threaded hole for posisioning/extraction
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-3-1.jpg "KONE 3")
Cemented version **KONE Plus**
With proximal and distal centralizer
****
**MATERIALS**
The **KONE** stems for cementless press-fit application are made of Titanium Aluminium Niobium forged alloy in compliance with ISO5832/11 Standards.
The **KONE Plus** stems for cemented application are made of highly Nitrogenized Stainless Steel forged alloy in compliance with ISO5832/9 Standards.
****
**INSTRUMENTS**
The instruments set provides a set of graduated conical reamers for precise preparation of the femoral canal and a set of trial stems.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [KONE](https://www.permedica.it/kone/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## La versatilità è qui
Indicata soprattutto per displasia,
esiti di osteotomie o di fratture
**KONE** è un sistema protesico polivalente e alternativo che soddisfa ogni esigenza, in grado di dare una risposta a numerose indicazioni per l’artroprotesi.
**Product range:** 14 taglie
press-fit e cementate
Lo stelo **KONE** è disponibile sia in versione press-fit che in versione cementata (KONE Plus).
La versione non cementata, sebbene utilizzata anche per femori con normale morfologia, è indicata soprattutto per displasie, esiti di osteotomie e di fratture.
La semplicità di utilizzo della versione cementata **KONE Plus** lo rende particolarmente adatto in casi di fratture pertrocanteriche o sottotrocanteriche, eventualmente in abbinamento a placche e fili di cerchiaggio.
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-1-1.jpg "KONE 1")
Sezione circolare
La sezione circolare permette la libera regolazione dell’angolo di antiversione.
Questa caratteristica rende lo stelo KONE adatto per pazienti con deformità ossee, in cui rotazioni forzate dello stelo possono causare pericolose concentrazioni di carico sull’interfaccia ossea.
Superficie sabbiata
Superfici finite a doppio getto corundico per garantire una rugosità ottimale all’osteintegrazione.
Alette longitudinali
Le alette longitudinali dello stelo sono studiate per penetrare leggermente nell’osso, fornendo un alto grado di stabilità rotazionale.
Apice distale smusso
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-2-1.jpg "KONE 2")
Collo di diametro ridotto
Cono 12/14
Foro filettato per introduttore ed estrattore
[](https://www.permedica.it/wp-content/uploads/2020/01/KONE-3-1.jpg "KONE 3")
Versione cementata **KONE Plus**
Con centratore prossimale e centratore distale.
****
**MATERIALI**
Gli steli **KONE** per applicazione senza cemento sono realizzati in lega di Titanio Alluminio Niobio conforme alla normativa ISO5832/11.
Gli steli **KONE Plus** per applicazione cementata sono realizzati in lega di acciaio ad elevato tenore di azoto, conforme alla normativa ISO5832/9.
****
**STRUMENTARIO**
Lo strumentario è dotato di un set di alesatori conici graduati e da una serie di steli di prova per una precisa preparazione del canale femorale.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PBF](https://www.permedica.it/pbf/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Widerspiegelt die klassischen Regeln
Gradschaft mit zweifachem
Verjüngungs-Design
Rechteckiger Querschnitt
Ausgezeichnete primäre Stabilität
**Produktauswahl:** 14 Standard
und 12 lateralisierende Varianten
Die **PBF** Schäfte sind gerade Femurschäfte mit einem konischen Profil sowohl in der frontalen als auch der sagitalen Ebene, um dadurch eine optimale Ausfüllung des Femurkanals zu ermöglichen. Der rechteckige Querschnitt verleiht dem Implantat Primärstabilität.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-1-1.jpg "PBF 1")
Standard und Lateral
Die PBF Schäfte sind erhältlich als Standard Version (CCD 131 Grad) sowie als lateralisierte Version (CCD 123 Grad) und mit einem variablen Offset von +6 bis +7,8 mm verglichen mit der entsprechenden Größe des Standard Schaftes.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-2-1-scaled.jpg "PBF 2")
Oberflächenbearbeitung
Die Kontaktfläche der Prothese zum Knochen ist mikrostrukturiert durch doppelte Korundstrahlung, um damit eine Osteointegration zu unterstützen.
Konisch zulaufende distale Spitze
Die distale Spitze des PBF Schaftes ist abgerundet und konisch, um Belastungsspitzen in der diaphysären Region zu vermeiden.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-3-1.jpg "PBF 3")
Konus 12/14
Hals
Das minimierte Hals-Profil und der kurze Konus erlauben eine optimale Bewegungsfreiheit.
****
**MATERIALIEN**
Die **PBF** Schäfte wurden konzipiert für den zementfreien Einbau, sie bestehen aus Titan-Aluminium-Niob-Legierung gemäß ISO5832-11. Die Oberflächenbearbeitung zeigt eine Mikrostruktur mit optimierter Rauigkeit um die Osteointegration zu unterstützen.
****
**INSTRUMENTEN SET**
Die Handgriffe der Raspeln des PBF Systems sind ausgestattet mit einer **einfachen und sicheren Kupplung** und sind erhältlich in verschiedenen Designs in Abhängigkeit vom verwendeten Zugang (posteolateral, lateral, anterior).
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PBF](https://www.permedica.it/pbf/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Le classique dicte les règles
Tige droite à double cône
Section rectangulaire
Excellente stabilité primaire
**Gamme de produits:** 14 tailles standard
et 12 tailles latéralisées
Les **PBF** sont des tiges droites avec un profil conique à la fois dans le plan frontal et dans le plan sagittal afin d’assurer un remplissage optimal du canal fémoral.
La section rectangulaire confère à l’implant une stabilité primaire importante.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-1-1.jpg "PBF 1")
Standard et latéralisées
Les tiges PBF sont disponibles en version standard (CCD 131 °) et version latéralisée avec CCD 123 ° et variable d’offset de +6 à + 7.8 mm par rapport à la taille de tige correspondante de la version standard.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-2-1-scaled.jpg "PBF 2")
Finition de surface
La surface de contact os-prothèse est microstructurée par sablage à double jet de corindon afin de favoriser l’ostéointégration.
Extrémité distale effilée
L’extrémité distale de la tige en PBF est arrondie et effilée pour éviter la concentration de stress dans la région diaphysaire.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-3-1.jpg "PBF 3")
Cône 12/14
Col
Section transversale du col réduite et cône court pour une amplitude de mouvement optimisée (ROM).
****
**MATÉRIAUX**
Conçues expressément pour une fixation sans ciment, les tiges **PBF** sont fabriquées en alliage forgé titane-aluminium-niobium, conformément aux normes ISO5832/11. La finition de surface présente une microstructure à la rugosité optimisée pour favoriser l’ostéointégration.
****
**ANCILLAIRE**
Les porte-râpes du système PBF sont pourvues d’un **couplage simple et sûr** et sont disponibles dans différentes versions en fonction de l’accès chirurgical utilisé (postérolatéral, latéral, antérieur).
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PBF](https://www.permedica.it/pbf/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Classics rules
Straight double tapered stem
Rectangular cross section
Excellent primary stability
**Product range:** 14 sizes standard
and 12 sizes lateral
The **PBF** are straight stems with a conical profile both in the frontal and in the sagittal plane in order to ensure an optimal filling of the femoral canal.
The rectangular section gives the implant an important primary stability.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-1-1.jpg "PBF 1")
Standard and Lateral
The PBF stems are availabloe in Standard version (CCD 131°) and Lateralized version with CCD 123° and offset variable from +6 to +7.8mm compared to the corresponding Standard version stem size.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-2-1-scaled.jpg "PBF 2")
Surface finishing
The bone-prosthesis contact surface is microstructured by shot blasting with double corundum jet in order to favor osseointegration.
Tapered distal tip
The distal tip of the PBF stem is rounded and tapered to avoid stress concentration in the diaphyseal region.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-3-1.jpg "PBF 3")
Taper 12/14
Neck
Reduced neck cross-section and short taper for
optimized range of motion (ROM).
****
**MATERIALS**
Expressly conceived for a cementless fixation, the **PBF** stems are made of Titanium Aluminum Niobium forged alloy in compliance with ISO5832 / 11 Standards. The surface finish presents a microstructure with optimized roughness to favor osseointegration.
****
**INSTRUMENTS SET**
The rasps handles of the PBF system are provided with a **simple and safe coupling** and are available in different designs depending on the surgical access used (posterolateral, lateral, anterior).
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PBF](https://www.permedica.it/pbf/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Il classico detta le regole
Stelo retto a doppia conicità
Sezione rettangolare
Ottima stabilità primaria
**Product range:** 14 taglie standard
e 12 taglie lateral
Gli steli **PBF** sono steli retti con profilo conico sia nel piano frontale sia in quello sagittale in modo da assicurare un ottimale riempimento del canale femorale.
La sezione rettangolare conferisce all’impianto un’importante stabilità primaria.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-1-1.jpg "PBF 1")
Standard e Lateral
Gli steli PBF sono disponibili in versione standard (131°) e lateralizzante con un angolo di 123° con offset che varia da +6 a +7.8mm rispetto alla corrispondente taglia di stelo standard.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-2-1-scaled.jpg "PBF 2")
Finitura superficiale
La superficie di contatto osso-protesi è microstrutturata mediante pallinatura con doppio getto di corindone al fine di favorire l’osteointegrazione.
Apice distale rastremato
L’ estremità distale degli steli PBF è rastremata per evitare fenomeni
di stress-shielding ed “effetto punta”.
[](https://www.permedica.it/wp-content/uploads/2020/01/PBF-3-1.jpg "PBF 3")
Cono 12/14
Collo
Collo a sezione ridotta per ottimizzare l’ampiezza del movimento.
****
**MATERIALI**
Espressamente concepiti per una fissazione senza cemento, gli steli **PBF** sono realizzati in lega forgiata di Titanio Alluminio Niobio conforme alla normativa ISO5832/11. La finitura superficiale presenta una microstruttura con rugosità ottimizzata per favorire l’osteointegrazione.
****
**STRUMENTARIO**
I manici porta-raspe del sistema PBF sono provvisti di un **aggancio semplice e sicuro** e sono disponibili in diversi design a seconda dell’accesso chirurgico utilizzato (postero-laterale, laterale, anteriore).
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/)
**Categorie:** Anca, Stelo
---
### [SYNTHESIS](https://www.permedica.it/synthesis/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Ein ausgewogenes Konzept
Konus mit dreifachem Verjüngungs-Design
Rechteckiger Querschnitt
Dreifaches Offset
**Produktauswahl:** 13 Grössen mit 3 Offset
**SYNTHESIS** ist ein Femurschaft, der das bewährte Verankerungskonzept des dreidimensionalen konischen Designs und eines rechteckigen Querschnitts, mit einem (weiten) Spektrum an Schäften kombiniert, die eine Abbildung der anatomischen Gelenkgeometrie ermöglichen sollen, basierend auf einem Schaft-System mit 3 verschiedenen Offsets.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-1.jpg "SYNTHESIS 1")
3 verschiedene Off-Sets
3 Off-Sets, verfügbar für jede Schaftgröße (CCD 127°; 131,5°; 136°), mit einem ansteigen von 5mm ohne die Beinlänge zu beeinflussen.
Stabilität
Das konische dreidimensionale Design und der rechteckige Querschnitt verhelfen dem System zu adäquater Stabilität.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-2.jpg "SYNTHESIS 2")
Metaphysärer Bereich
Der weite metaphysäre Bereich ermöglicht eine Einpassung in der Kalkarregion, die längsveraufenden Rippen durchdringen den spongiösen Knochen und verbessern die Primärstabilität.
Hals
Das minimierte Hals-Profil und der kurze Konus erlauben eine optimale Bewegungsfreiheit.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-3.jpg "SYNTHESIS 3")
Konus 12/14
Gewindeloch für Positionierung/Extraktion
Optimiertes Rippen-Design
Die elliptische Rippengeometrie wurde so entworfen, dass eine optimale Anpassung an den proximalen Femurquerschnitt möglich ist.
****
**MATERIALIEN**
Die **SYNTHESIS** Schäfte wurden konzipiert für den zementfreien Einbau, sie bestehen aus Titan-Aluminium-Niob-Legierung gemäß ISO5832-11. Die Oberflächenbearbeitung zeigt eine Mikrostruktur mit optimierter Rauigkeit um die Osteointegration zu unterstützen.
****
**INSTRUMENTEN SET**
Die Raspel-Handgriffe des SYNTHESIS System sind mit einer **einfachen und sicheren Kupplung** ausgestattet. Diese sind in verschiedenen Ausführungen erhältlich, abhängig von dem gewählten Zugang (posterior-lateral, lateral, anterior).
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [SYNTHESIS](https://www.permedica.it/synthesis/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Un concept éprouvé
Conception à triple cône
Section rectangulaire
Triple offset
**Gamme de produits:** 13 tailles (3 offset)
**SYNTHESIS** est une tige fémorale combinant un concept d’ancrage largement éprouvé de conception conique tridimensionnelle et de section rectangulaire avec une gamme de tiges conçues pour permettre une reproductibilité maximale de la géométrie articulaire anatomique, grâce à la disponibilité de tiges avec 3 offsets différents.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-1.jpg "SYNTHESIS 1")
3 offsets au choix
3 offsets disponibles pour chaque taille de tige (CCD 127°; 131,5°; 136°), avec une augmentation de 5 mm sans affecter la longueur du membre.
Stabilité
La conception tridimensionnelle conique et la section rectangulaire confèrent au système une stabilité adéquate.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-2.jpg "SYNTHESIS 2")
Région métaphysaire
La section métaphysaire large permet un ajustement sur la région calcaire; les nervures longitudinales pénètrent dans l’os spongieux en augmentant la stabilité primaire.
Col
Section transversale du col réduite et cône court pour une amplitude de mouvement optimisée (ROM).
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-3.jpg "SYNTHESIS 3")
Cône 12/14
Trou fileté pour l’introduction / extraction
Conception optimisée des nervures
La géométrie elliptique des nervures a été conçue pour permettre un ajustement optimal à la section transversale du fémur proximal.
****
**MATÉRIAUX**
Conçues expressément pour une fixation sans ciment, les tiges **SYNTHESIS** sont fabriquées en alliage forgé titane-aluminium-niobium, conformément aux normes ISO5832/11. La finition de surface présente une microstructure à la rugosité optimisée pour favoriser l’ostéointégration.
****
**ANCILLAIRE**
Les porte-râpes du système SYNTHESIS sont pourvues d’un **couplage simple et sûr** et sont disponibles en différentes versions en fonction de l’accès chirurgical utilisé (postérolatéral, latéral, antérieur).
[Produits de la hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [SYNTHESIS](https://www.permedica.it/synthesis/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## A proven concept
Triple tapered design
Rectangular cross section
Triple offset
**Product range:** 13 sizes (3 offset)
**SYNTHESIS** is a femoral stem that combines a widely tested anchoring concept of the three-dimensional conical design and rectangular section with a range of stems designed to allow maximum reproducibility of anatomical joint geometry, thanks to the availability of stems with 3 different offsets.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-1.jpg "SYNTHESIS 1")
3 different offsets
3 offsets available for each stem size (CCD 127°; 131,5°; 136°), with an increase of 5mm without affecting the limb length.
Stability
The conical three-dimensional design and the rectangular section give the system adequate stability.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-2.jpg "SYNTHESIS 2")
Metaphyseal region
The wide metaphyseal section allows fitting on the calcar region; the longitudinal ribs penetrate the cancellous bone increasing primary stability.
Neck
Reduced neck cross-section and short taper for optimized range of motion (ROM).
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-3.jpg "SYNTHESIS 3")
Taper 12/14
Threaded hole for positioning/extraction
Optimized ribs design
The ribs elliptical geometry was designed to allow optimal fitting to the proximal femur cross-section.
****
**MATERIALS**
Expressly conceived for a cementless fixation, the **SYNTHESIS** stems are made of Titanium Aluminum Niobium forged alloy in compliance with ISO5832 / 11 Standards. The surface finish presents a microstructure with optimized roughness to favor osseointegration.
****
**INSTRUMENTS SET**
The rasps handles of the SYNTHESIS system are provided with a **simple and safe coupling** and are available in different designs depending on the surgical access used (posterolateral, lateral, anterior).
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [SYNTHESIS](https://www.permedica.it/synthesis/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Un concetto comprovato
Design a tripla conicità
Sezione rettangolare
Triplo offset
**Product range:** 13 taglie (3 offset)
**SYNTHESIS** è uno stelo femorale che unisce un concetto di ancoraggio ampiamente testato dal design conico tridimensionale e sezione rettangolare ad una gamma di steli studiati per consentire la massima riproducibilità della geometria articolare anatomica, grazie alla disponibilità di steli con 3 diversi offset.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-1.jpg "SYNTHESIS 1")
3 offset differenti
3 offset disponibili per ogni taglia di stelo (CCD 127°; 131,5°; 136°), con incremento di 5mm senza influenzare la lunghezza dell’arto.
Stabilità
Il design conico tridimensionale e la sezione rettangolare conferiscono l’adeguata stabilità dell’impianto.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-2.jpg "SYNTHESIS 2")
Zona metafisaria
L’ ampia sezione metafisaria favorisce l’appoggio sul calcar; le alette longitudinali penetrano nella spongiosa metafisaria aumentando la stabilità primaria.
Collo
Collo a sezione ridotta per ottimizzare l’ampiezza del movimento.
[](https://www.permedica.it/wp-content/uploads/2020/01/SYNTHESIS-3.jpg "SYNTHESIS 3")
Cono 12/14
Foro per introduttore ed estrattore
Alette dal design ottimizzato
La geometria ellittica delle alette è studiata per un adattamento ottimale alla sezione del femore prossimale.
****
**MATERIALI**
Espressamente concepiti per una fissazione senza cemento, gli steli **SYNTHESIS** sono realizzati in lega forgiata di Titanio Alluminio Niobio conforme alla normativa ISO5832/11. La finitura superficiale presenta una microstruttura con rugosità ottimizzata per favorire l’osteointegrazione.
****
**STRUMENTARIO**
I manici porta-raspe del sistema SYNTHESIS sono provvisti di un **aggancio semplice e sicuro** e sono disponibili in diversi design a seconda dell’accesso chirurgico utilizzato (postero-laterale, laterale, anteriore).
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA RS](https://www.permedica.it/exacta-rs/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## konzipiert für
MIS-Ansätze knochensparend
anatomische Krümmung
**Produktauswahl:** 12 Grössen press-fit
(Standard- und lateralisierende Variante).
EXACTA RS ist der neue Schaft der
EXACTA Familie.
EXACTA RS kombiniert **ein einzigartiges dreifach konisches Design** mit einer doppelten Plasmasprühbeschichtung im mataphysären Bereich (300 µm reines Titan und 50 µm HA, aufgetragen mit Plasmasprühtechnik), **um die Primärstabilität und Osseointegration zu optimieren.**
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img1-2-600x704.png "EXACTA_RS_img1")
Design
Das **dreifach verjüngte Design** (frontal, koronal und sagittal) unterstützt die axiale und rotatorische Stabilität und begünstigt die Lastverteilung im metaphysären Bereich.
Das **progressive Wachstum des Halses** proportional zur Schaftgrösse ermöglicht eine bessere Wiederherstellung der natürlichen Anatomie.
Die **anatomische Krümmung** und die **optimierten Dimensionen** erlauben eine einfache Einführung auch mit minimal-invasiven Techniken oder mit anteriorem Zugang mit **limitiertem Knochenverlust.**
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img2-600x993.png "EXACTA_RS_img2")
Standard und Lateral
12 Grössen STANDARD und LATERAL, mit dem gleichen CCD-Winkel von 132 ° und einem Versatz von 6 oder 7 mm in der seitlichen Version, je nach Grösse.
Konus
12/14 (Winkel 5°42’30”) BIOLOX zugelassen.
Hals
**Reduzierter Abschnitt** zur Optimierung des ROM.
**Hochglanzpolierter Hals** zur Minimierung des UHMWPE-Abriebs.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img3-600x474.png "EXACTA_RS_img3")
Stabilität
Horizontale Rillen im proximalen Teil für verbesserte axiale Stabilität.
Bio-aktive Beschichtung
Die **HaX-Pore®**-Doppelbeschichtung aus porösem Titan und Hydroxyapatit aufgebracht mit Plasmaspritztechnik in der **Metaphysenregion,** garantiert eine optimale primäre Fixierung und fördert das Osteoblastenwachstum und damit die biologische Integration.
Distales Ende
Das **konisch zulaufende Design** und die **glänzende Oberfläche** vermeiden Belastungen und Stress auf die Kortikalis und damit verbundenem postoperativen Oberschenkelschmerz.
****
**MATERIALIEN**
Die **EXACTA RS** Schäfte für die zementfreie Press-Fit Implantation werden aus Titan- Aluminium- Niob- Legierung gemäß ISO5832-11 gefertigt.
[Hip Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA RS](https://www.permedica.it/exacta-rs/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Conçue pour les approches MIS.
Économie d’os.
Courbure anatomique.
**Gamme de produits:** 12 tailles press-fit
(standard et latérales)
EXACTA RS est la nouvelle tige de la famille
EXACTA
EXACTA RS combine une **conception triple conique** unique avec un double revêtement appliqué avec la technique du plasma-spray dans la région mataphysaire (300 µm de titane pur et 50 µm de HA) afin **d’optimiser la stabilité primaire et l’ostéintégration.**
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img1-1-600x704.png "EXACTA_RS_img1")
Conception
La **conception triple conique** (frontale, coronale et sagittale) soutient la stabilité axiale et rotationnelle favorisant la répartition de la charge dans la région métaphysaire.
La **croissance progressive du col,** proportionnelle à la taille de la tige, permet une meilleure restauration de l’anatomie naturelle.
La **courbure anatomique** et les **dimensions optimisées** permettent une introduction facile même avec des techniques mini-invasives ou par une voie d’abbord antérieure, ainsi qu’un **sacrifice osseux limité.**
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img2-600x993.png "EXACTA_RS_img2")
Standard et latéralisées
12 tailles STANDARD et LATERAL, avec le même angle 132° CCD et un offset de 6 ou 7mm dans la version latérale, selon la taille.
Cone
12/14 (angle supérieur 5°42’30”) approuvé BIOLOX.
Col
**Section réduite** pour optimiser le ROM.
Finition en **Miroir poli** pour minimiser l’usure de l’insert en UHMWPE en cas de comflit.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img3-600x474.png "EXACTA_RS_img3")
Stabilité
Rainures horizontales dans la partie proximale pour stabilité axiale améliorée.
Revêtement BIO-ACTIVE
Le double revêtement **HaX-Pore®** de titane poreux et hydroxyaopatite, appliqué avec la technique de projection plasma, dans la **région métaphysaire,** garantit une fixation primaire optimale et favorise la colonisation des ostéoblastes favorisant ainsi l’intégration biologique.
Pointe distale
La conception conique et la finition brillante évitent la concentration des charges sur le cortex fémoral évitant ainsi une douleur à la cuisse postopératoire
****
**MATÉRIAUX**
Les tiges **EXACTA RS** pour les applications en press-fit sans ciment sont en alliage forgé titane-aluminium-niobium, conformément aux normes ISO5832/11.
[Produits de la Hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA RS](https://www.permedica.it/exacta-rs/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Designed for MIS approaches.
Bone sparing.
Anatomical curvature.
**Product range:** 12 sizes press-fit
(standard e lateral)
EXACTA RS is the new stem of the
EXACTA family.
EXACTA RS combines a **unique triple tapered design** with a double plasma spray coating HaX-Pore® in the mataphyseal region (300 µm pure Titanium and 50 µm HA applied with plasma spray technique) in order **optimize primary stability and osseintegration.**
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img1-2-600x704.png "EXACTA_RS_img1")
Design
The **triple tapered design** (frontal, coronal and sagittal) supports axial and rotational stability favouring load distribution in the metaphyseal region.
The **progressive growth of the neck** proportional to the stem size allows for a better restoration of the natural anatomy.
The **anatomical curvature** and the **optimized dimensions** allow an easy introduction even with minimally invasive techniques or with anterior approach, as well as a **limited bone sacrifice.**
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img2-600x993.png "EXACTA_RS_img2")
Standard e Lateral
12 sizes STANDARD and LATERAL, with the same 132° CCD angle and 6 or 7mm offset in the lateral version, accordingto the size.
Taper
12/14 (top angle 5°42’30”) BIOLOX approved.
Neck
**Reduced section** to optimize ROM.
**Mirror polished** finishing to minimize wear on UHMWPE joint liner.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img3-600x474.png "EXACTA_RS_img3")
Stability
Horizontal grooves in the proximal portion for improved axial stability.
Bio-active coating
The **HaX-Pore®** double coating of porous Titanium and hydroxyaopatite applied with plasma spray technique in the **metaphyseal region** guarantees an optimal primary fixation and encourages osteoblast colonization thus promoting biological integration.
Distal tip
The **tapered design** and the **glossy finishing** avoid load concentration on the femoral cortex thus postoperative thigh pain.
****
**MATERIALS**
The **EXACTA RS** stems for cementless press-fit application are made of Titanium Aluminium Niobium forged alloy in compliance with ISO5832/11 Standards.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [EXACTA RS](https://www.permedica.it/exacta-rs/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Disegnata per approcci mininvasivi.
Risparmio osseo.
Curvatura anatomica.
**Product range:** 12 taglie press-fit
(standard e lateral)
EXACTA RS è il nuovo stelo della famiglia
EXACTA.
EXACTA RS combina un **design unico a tripla conicità** con un doppio rivestimento poroso HaX-Pore® nella regione metafisaria (300 µm di Titanio puro e 50 µm di idrossiapatite applicati con tecnica plasma-spray) per **ottimizzare stabilità primaria e osteointegrazione.**
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img1-2-600x704.png "EXACTA_RS_img1")
Design
Il design dello stelo a **tripla conicità** (frontale, coronale e sagittale) supporta la stabilità assiale e rotazionale favorendo la distribuzione dei carichi nella regione metafisaria.
La **crescita progressiva del collo** proporzionalmente alla taglia dello stelo permette una migliore riproduzione dell’anatomia.
La **curvatura anatomica** e le **dimensioni ottimizzate** permettono una agevole introduzione anche con tecniche minimamente invasive o con accesso anteriore, nonché un **limitato sacrificio osseo.**
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img2-600x993.png "EXACTA_RS_img2")
Standard e Lateral
12 taglie d’impianto STANDARD e LATERAL, con il medesimo CCD angle di 132° e offset di 6 o 7mm nella versione lateral in base alla taglia.
Cono
12/14 (angolo al vertice 5°42’30”) approvato BIOLOX.
Collo
**Sezione ridotta** per ROM ottimizzato.
**Finitura lucida** per minimizzare l’usura dell’inserto articolare.
[](https://www.permedica.it/wp-content/uploads/2020/01/EXACTA_RS_img3-600x474.png "EXACTA_RS_img3")
Stabilità
Solcature orizzontali nella porzione prossimale conferiscono stabilità assiale.
Superficie bioattiva
Il doppio rivestimento **HaX-Pore®** in Titanio puro e Idrossiapatite applicati con tecnica plasma-spray nella **regione metafisaria** garantisce una buona stabilizzazione primaria e favorisce la colonizzazione degli osteoblasti per una ottimale integrazione biologica.
Estremità distale
Il **design rastremato** e la **finitura lucida** evitano la concentrazione del carico sulla corticale femorale evitando il dolore di coscia post-operatorio.
****
**MATERIALI**
Gli steli **EXACTA RS** per applicazione senza cemento sono realizzati in lega di Titanio Alluminio Niobio conforme alla normativa ISO5832/11.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PROMISE S](https://www.permedica.it/promise/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Die anatomische Prothese
Der Anatomie nachempfundener
Biegungswinkel
Knochensparend
Physiologische Kraftübertragung
**Produktauswahl:** 7 anatomische Grössen
press-fit und zementierte Version
Der **PROMISE S** Schaft ist gekennzeichnet durch eine anatomische Form und schlanker Dimensionen, dies ermöglicht daher einen minimal-invasiven Zugang, (weitgehender Erhalt des Femurhalses sowie minimaler Knochenverluste in der metaphysären Region).
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-1.jpg "PROMISE 1")
Unterstützung der physiologischen Lastverteilung
Die Anatomie des Femurhalses und das Aussehen der Kraftlinie in der Kalkar Region zeigen die extrem widerstandsfähige Struktur mit der erhöhten Tragfähigkeit.
Darüber hinaus, Dank der angewinkelten Position des Femurhalses und seiner Erhaltung, fixiert sich der Schaft stabil. Somit werden Dreh-Bewegungen vermieden \[1\].
###### \[1\] Tobin WJ (1955): The internal architecture of thefemur and its clinica/ significance. J Bone Joing Surg Am 37:41-57 .
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-2.jpg "PROMISE 2")
Erhalt der Blutversorgung
Durch den Erhalt des Femurhalses werden die umgebenden arteriellen Blutgefäße erhalten und ermöglichen die Blutversorgung der proximalen Femurregion und erhalten die Knochenstruktur, die der Einbettung des Implantates dienen.
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-3.jpg "PROMISE 3")
Oberflächenbeschichtung
Die zementfreie Prothese hat eine poröse **HaX-Pore®** Oberflächenbeschichtung von 500 Mikrometer porösem Titan und 40 Mikrometer Hydroxylapatit, aufgebracht mittels Plasma-Spray Technik. Die Beschichtung soll für eine gute Primärstabilität sorgen und das Wachstum von Osteoblasten fördern.
Ansatz für den Impaktor
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-4.jpg "PROMISE 4")
Zementierte Variante **PROMISE S Plus**
Die Oberfläche ist spiegelglatt poliert.
Konus 12/14
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-5.jpg "PROMISE 5")
Gewindeloch für Positionierung/Extraktion
Anatomische Kurvatur
Rotationsstabiler Längsschlitz
****
**MATERIALIEN** Der PROMISE S Schaft in der zementfreien und zementierten Version besteht aus Titan- Aluminium- Niob- Legierung entsprechend ISO5332-11.
[Hüfte Produkte](https://www.permedica.it/de/medizinische-fachkraefte/huefte/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PROMISE S](https://www.permedica.it/promise/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Respect de l’anatomie
Courbure anatomique
Economie du stock osseux
Support de charge physiologique
**Gamme de produits:** 7 tailles anatomiques
press-fit et cimenté
La tige **PROMISE S** se caractérise par une forme anatomique et des dimensions réduites permettant ainsi une approche peu invasive, la préservation du col fémoral
et un sacrifice osseux minimal dans la région métaphysaire.
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-1.jpg "PROMISE 1")
Support de la charge physiologique
L’anatomie du col fémoral et l’aspect des lignes de force dans la région du calcar démontrent une structure extrêmement résistante avec une capacité de charge élevée. De plus, grâce à la position inclinée du col fémoral, sa conservation stabilise la tige, évitant ainsi les mouvements de torsion \[1\].
###### \[1\] Tobin WJ (1955): The internal architecture of thefemur and its clinica/ significance. J Bone Joing Surg Am 37:41-57 .
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-2.jpg "PROMISE 2")
Conservation de l’apport sanguin
En préservant intact le col fémoral, les branches artérielles environnantes sont également préservées, garantissant ainsi l’apport de sang à la région proximale fémorale et préservant la structure osseuse utilisée pour soutenir l’implant.
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-3.jpg "PROMISE 3")
Revêtement de surface
La version sans ciment a une surface **HaX-Pore®** recouverte de 500 microns de titane pur et poreux et de 40 microns d’hydroxyapatite, appliquée par pulvérisation, “plasma-spray”, afin d’obtenir une bonne stabilité primaire et favoriser la croissance des ostéoblastes.
Niche pour impacteur
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-4.jpg "PROMISE 4")
Version cimentée **PROMISE S Plus**
Avec une surface polie miroir.
Cône 12/14
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-5.jpg "PROMISE 5")
Trou fileté pour l’introduction / extraction
Courbure anatomique
Rainure longitudinale antirotatoire
****
**MATÉRIAUX** La Tige PROMISE S, version non cimentée ou cimentée, est fabriquée en alliage forgé titane-aluminium-niobium, conforme aux normes ISO5832/11.
[Produits de la Hanche](https://www.permedica.it/fr/professionnels-medicaux/hanche/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PROMISE S](https://www.permedica.it/promise/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Respecting the anatomy
Anatomical curvature
Bone sparing
Physiological load support
**Product range:** 7 sizes anatomic
press-fit and cemented
The **PROMISE S** stem is characterized by an anatomical shape and reduced dimensions thus allowing a minimally invasive approach, preservation of the femoral neck and minimal bone sacrifice in the metaphyseal region.
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-1.jpg "PROMISE 1")
Physiological load bearing support
The anatomy of the femoral neck and the aspect of the force lines in the calcar region demonstrate an extremely resistant structure with an elevated load bearing capacity. Moreover, thanks to the angled position of the femoral neck, its preservation stabilizes the stem thus avoiding torsion movements \[1\].
###### \[1\] Tobin WJ (1955): The internal architecture of thefemur and its clinica/ significance. J Bone Joing Surg Am 37:41-57 .
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-2.jpg "PROMISE 2")
Maintaining of the blood supply
By preserving the femoral neck intact, the surrounding arterial branches are preserved as well, thus guaranteeing blood supply to the femoral proximal region and safeguarding the bone structure used for supporting the implant.
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-3.jpg "PROMISE 3")
Surface coating
The cementless version provides an **HaX-Pore®** surface coated with 500 microns of pure porous Titanium and 40 microns of hydroxyapatite, applied with plasma-spray technique in order to obtain good primary stability and encourage osteoblast growth.
Niche for impactor
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-4.jpg "PROMISE 4")
Cemented version **PROMISE S Plus**
Presenting a mirror polished surface.
Taper 12/14
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-5.jpg "PROMISE 5")
Threaded hole for posisioning/extraction
Anatomical curvature
Antirotational longitudinal groove
****
**MATERIALS** The PROMISE S stem, both in the cementless and cemented version, is made
of Titanium Aluminium Niobium forged alloy in compliance with ISO5832/11 Standards.
[Hip Products](https://www.permedica.it/en/medical-professionals/hip/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [PROMISE S](https://www.permedica.it/promise/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
## Rispetta l’anatomia
Curvatura anatomica
Risparmio osseo
Supporto fisiologico del carico
**Product range:** 7 taglie anatomiche
press-fit e cementate
Lo stelo **PROMISE S** è caratterizzato da una forma anatomica e da dimensioni ridotte tali da consentire un accesso mini-invasivo, la conservazione del collo femorale e
un’ asportazione ossea minima nella regione metafisaria.
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-1.jpg "PROMISE 1")
Sostegno del carico fisiologico
L’ anatomia del collo femorale e l’ aspetto delle linee di forza nella regione del calcar mostrano strutture molto resistenti con una capacità elevata di sostegno del carico. Inoltre, grazie alla posizione angolata del collo femorale, la sua conservazione stabilizza lo stelo evitando movimenti di torsione \[1\].
###### \[1\] Tobin WJ (1955): The internal architecture of thefemur and its clinica/ significance. J Bone Joing Surg Am 37:41-57 .
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-2.jpg "PROMISE 2")
Mantenimento dell’irrorazione sanguigna
Con il collo femorale intatto sono preservate le ramificazioni dell’arteria circonflessa che garantiscono l’irrorazione sanguigna della parte prossimale del femore, salvaguardando le strutture ossee adibite al sostegno dell’impianto.
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-3.jpg "PROMISE 3")
Rivestimento superficiale
La versione non cementata è rivestita in **HaX-Pore®**, 500 µm di Titanio puro
e 40 µm di idrossiapatite applicati con tecnica plasma-spray, al fine di ottenere una buona stabilizzazione primaria e di favorire la colonizzazione degli osteoblasti.
Nicchia per impattatore
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-4.jpg "PROMISE 4")
Versione cementata **PROMISE S Plus**
Presenta una superficie lucidata a specchio.
Cono 12/14
[](https://www.permedica.it/wp-content/uploads/2020/01/PROMISE-5.jpg "PROMISE 5")
Foro per introduzione/estrazione sull’apice del cono
Curvatura anatomica
Solco longitudinale antirotazionale
****
**MATERIALI** Lo stelo PROMISE S, sia nella versione press-fit che nella versione da cementare, è realizzato in lega
di Titanio Alluminio Niobio conforme alla normativa ISO5832/11.
[Prodotti Anca](https://www.permedica.it/area-chirurgo/anca/#prodotti_anca)
**Categorie:** Anca, Stelo
---
### [3DMirai Planning & PSI](https://www.permedica.it/3dmirai-planning-psi/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### 3D MIRAI PLANNING
Un nuovo modo per guardare al futuro.
Pianificare l’operazione utilizzando la tecnologia 3D rende l’impianto delle protesi Mirai ancora più efficiente.
#### STRUMENTI SPECIFICI PER IL PAZIENTE STAMPATI IN 3D
3Dmirai è una **piattaforma sviluppata per semplificare la pianificazione pre operatoria** con la tecnologia 3D e **migliorare l’accuratezza** del posizionamento dell’impianto.
Il sistema fornisce una proposta di planning al chirurgo, che ha la possibilità di modificarla in qualsiasi momento e quindi di convalidarla.
Le guide specifiche per il paziente (PSI) sono fornite per l’accurato posizionamento delle componenti protesiche
glenoidee come da pianificazione.
3Dmirai consente **una pianificazione semplice e diretta degli interventi di sostituzione della spalla** con i seguenti vantaggi:
- Sistema **web-based** e **user-friendly**
- Basato su **immagini TAC**
- Accurata e con **visualizzazione delle aree di contatto impianto-osso** sul versante glenoideo
- Visualizzazione delle componenti dell’impianto sovrapposte alle immagini TAC
- **Strumenti specifici per il paziente (PSI)**
#### COME FUNZIONA
1\. TAC
Il paziente viene sottoposto ad una **tomografia assiale computerizzata** (TAC).
2\. LE IMMAGINI VENGONO CARICATE SUL SITO
Le **immagini DICOM vengono caricate** sulla piattaforma online di Permedica.
3\. PROPOSTA DI PLANNING
Il chirurgo **riceve una notifica quando la proposta di planning è pronta.**
4\. REVISIONE E CONVALIDA DEL PLANNING
Il chirurgo **può revisionare e affinare la pianificazione** a seconda delle sue preferenze.
5\. STRUMENTI SPECIFICI PER IL PAZIENTE (PSI)
Una volta che la pianificazione è stata convalidata dal chirurgo, **gli strumenti specifici per il paziente vengono prodotti e consegnati.**
**Categorie:** Non categorizzato, Spalla
---
### [3DMirai Planning & PSI](https://www.permedica.it/3dmirai-planning-psi/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### 3D MIRAI PLANNING
Eine neue Art, in die Zukunft zu blicken.
Die Planung der Operation mit Hilfe der 3D-Technologie macht die Implantation von Mirai-Prothesen noch effizienter.
#### 3D-GEDRUCKTE PATIENTENSPEZIFISCHE INSTRUMENTE
3Dmirai **ist eine Plattform, die die präoperative Planung mit 3D-Technologie vereinfacht und die Genauigkeit** der Implantation **verbessert.**
Das System bietet dem Chirurgen einen Planungsvorschlag an, den er jederzeit ändern und anschließend validieren kann.
Patientenspezifische Instrumente (PSI) werden für die genaue Positionierung der Glenoidprothesenkomponenten wie geplant geliefert.
3Dmirai ermöglicht eine **einfache und unkomplizierte Planung von Schultergelenkersatzoperationen** mit den folgenden Vorteilen:
- **Web-basierte** und **benutzerfreundliche** Software
- Basierend auf **CT-Bildern**
- Präzise und mit **Visualisierung der Implantat-Knochen-Kontaktbereiche** auf der Glenoidseite
- Visualisierung von Implantatkomponenten, die auf CT-Bildern überlagert werden
- **(PSI) Patienten-spezifische Instrumente**
#### WIE ES FUNKTIONIERT
1\. CT SCAN
Der Patient wird einer **axialen Computertomographie** (CT) unterzogen.
2\. BILDER WERDEN AUF DIE WEBSITE GELADEN
Die **DICOM-Bilder werden** auf die Online-Plattform von Permedica **hochgeladen.**
3\. PLANUNGSVORSCHLAG
Der Chirurg **erhält eine Benachrichtigung, wenn der Planungsvorschlag fertig ist.**
4\. ÜBERPRÜFUNG UND VALIDIERUNG DER PLANUNG
Der Chirurg **kann die Planung** nach seinen Wünschen **überprüfen und abändern.**
5\. PATIENTEN-SPEZIFISCHE INSTRUMENTE (PSI)
Sobald die Planung vom Chirurgen validiert wurde, werden **patientenspezifische Instrumente hergestellt und geliefert.**
**Categorie:** Spalla
---
### [3DMirai Planning & PSI](https://www.permedica.it/3dmirai-planning-psi/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### 3D MIRAI PLANNING
Une nouvelle façon d’envisager l’avenir.
La planification de l’opération à l’aide de la technologie 3D rend l’implantation des prothèses Mirai encore plus efficace.
#### OUTILS SPÉCIFIQUES AUX PATIENTS IMPRIMÉS EN 3D
3Dmirai est **une plate-forme conçue pour simplifier la planification préopératoire** avec la technologie 3D et **améliorer la précision** du placement des implants.
Le système suggère une planification au chirurgien qui a la possibilité de la modifier à tout moment et de la valider ultérieurement.
Des guides spécifiques au patient (PSI) sont fournis pour un positionnement précis des composants prothétiques glénoïdiens comme validés par le chirurgien.
3Dmirai permet **une planification simple et directe des chirurgies de remplacement d’épaule** avec les avantages suivants :
- Logiciel **basé sur le Web** et **convivial**
- Basé sur des **images CT**
- Précise et avec **visualisation des zones de contact implant-os** côté glène
- Visualisation des composants de l’implant superposés aux images CT
- **(PSI) Instruments spécifiques au patient**
#### COMMENT ÇA MARCHE
1\. CT SCAN
Le patient subit une **tomodensitométrie axiale** (TDM).
2\. LES IMAGES SONT TÉLÉCHARGÉES SUR LE SITE
Les **images DICOM sont téléchargées** sur la plateforme en ligne Permedica.
3\. PROPOSITION DE PLANIFICATION
Le chirurgien **reçoit une notification lorsque la proposition de planification est prête.**
4\. REVISION ET VALIDATION DE LA PLANIFICATION
Le chirurgien **peut revoir et affiner la planification** en fonction de ses préférences.
5\. INSTRUMENTS SPÉCIFIQUES AU PATIENT (PSI)
Une fois la planification validée par le chirurgien, **les instruments spécifiques au patient sont produits et livrés.**
**Categorie:** Spalla
---
### [3DMirai Planning & PSI](https://www.permedica.it/3dmirai-planning-psi/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### 3D MIRAI PLANNING
A new way to look to the future.
Planning the operation using 3D technology makes the implantation of Mirai prostheses even more efficient.
#### 3D PRINTED PATIENT SPECIFIC TOOLS
3Dmirai is **a platform designed to simplify pre-operative planning** with 3D technology and **improve the accuracy** of implant placement.
The system offers a planning proposal to the surgeon who has the possibility to modify it at any time and subsequently to validate it.
Patient Specific Guides (PSI) are supplied for accurate positioning of the glenoid prosthetic components as
planned.
3Dmirai allows an easy and **straightforward planning of shoulder replacement surgeries** with the following advantages:
- **Web-based** and **user-friendly** software
- Based on **CT images**
- Accurate and with **visualization of the implant-bone contact areas** on the glenoid side
- Visualization of implant components superimposed on CT images
- **Patient Specific Instruments**
#### HOW IT WORKS
1\. CT SCAN
The patient undergoes a **computerized axial tomography** (CT) scan.
2\. IMAGES ARE LOADED ON THE WEBSITE
The **DICOM images are uploaded** on Permedica online platform.
3\. PLANNING PROPOSAL
The surgeon **receives a notification when the planning proposal is ready.**
4\. PLANNING REVIEW AND VALIDATION
The surgeon **can review and fine tune the planning** according to his/her preferences.
5\. PATIENT SPECIFIC INSTRUMENTS (PSI)
Once the planning has been validated by the surgeon, **patient specific instruments are produced and delivered.**
**Categorie:** Spalla
---
### [Soluzioni Custom Made](https://www.permedica.it/custom-made/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
LIBERTÀ DI DESIGN PER SODDISFARE LE NECESSITÀ
DI PAZIENTE E CHIRURGO
Grazie all’estrema versatilità, **la tecnologia dell’additive manufacturing offre la possibilità di realizzare soluzioni anche per le situazioni più complesse**, che non possono essere affrontate con impianti standard.
Nel corso di numerosi anni di esperienza clinica, **Permedica ha sviluppato internamente un importante know-how nell’ambito della stampa 3D** per offrire al chirurgo soluzioni ad-hoc per il trattamento di casi complessi.
La tecnologia [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/traser/) consente di produrre **impianti di qualsiasi forma e design** per adattarsi al meglio al caso clinico d’interesse.
#### CICLO PRODUTTIVO
Partendo da immagini TAC **il nostro reparto di Ricerca & Sviluppo analizza il caso con il chirurgo** per determinarne la soluzione più adatta.
Una volta che il design è approvato dal chirurgo, **le componenti sono realizzate da una stampante 3D** a partire da polvere di titanio.
**La fusione laser selettiva (Selective Laser Melting) è una tecnologia di manifattura additiva** che in maniera selettiva fonde tra loro specifiche porzioni di uno strato sottile di polvere di titanio per mezzo di un fascio laser per creare oggetti solidi.
Al termine del processo SLM i pezzi ottenuti vengono staccati dal supporto, sottoposti a **trattamento termico** e **sabbiatura** quindi sottoposti a **successive lavorazioni meccaniche tradizionali** per ottenere l’impianto finito.
#### SOLUZIONI PER ANCA, GINOCCHIO E SPALLA
Le soluzioni custom made ricoprono sempre più un ruolo fondamentale sia per realizzare **componenti dal design specifico** per un particolare scenario clinico (**perdite ossee, anatomie complesse, fratture o complicanze post-traumatiche, hardware in situ**), sia per **produrre impianti di dimensioni ridotte**, ad esempio per il trattamento di pazienti affetti da nanismo.
#### CASO CLINICO \[1\]
#### STORIA CLINICA
Paziente maschio, 32 anni, affetto da **nanismo**. Altezza 1,08 metri e peso 30 Kg.
In anamnesi dolore quotidiano continuo all’anca destra con ridotta articolarità.
Importanti limitazioni cliniche. Dipendente da analgesici.
ESAME CLINICO
Cammino: **zoppia lato destro**. Segno di Duchenne/Trendelenburg negativo.
Articolarità: flesso-estensione 30-10-0°, rotazione esterna-interna 20-0-10°, abduzione-adduzione 10-0-20°.
Esame radiografico: **coxartrosi anca destra secondaria a displasia** (DDH, Crowe II, Paprosky IIb).
#### INTERVENTO
Il paziente è stato sottoposto ad intervento di artroprotesi totale d’anca utilizzando un allograft d’osso di teste femorale da banca dell’osso fissato con alcune viti per ricostruire il bordo acetabolare laterale.
Quindi un **cotile custom made di diametro 30mm realizzato con tecnologia TRASER in titanio trabecolare** è stato impiantato senza l’utilizzo di cemento e fissato con alcune viti da spongiosa aggiuntive.
Sul lato femorale è stato impiantato uno **stelo custom made realizzato con la stessa tecnologia TRASER** con una testina in metallo che si articolava con un inserto in UHMWPE.
#### RISULTATI
Il risultato finale è un **impianto protesico stabile con una copertura ottimale** e un posizionamento centrale della componente acetabolare TRASER.
#### CONTROLLO
A 4 mesi dall’intervento **il paziente ha ripreso a camminare perfettamente. Nessuna stampella** dal secondo mese post-op. **Nessuna zoppia.**
Funzionalità articolare: flesso-estensione 120-0-20°, rotazione est-int a 90° 40-0-30°.
Radiograficamente l’impianto protesico e l’innesto osseo risultano stabili, la coppa risulta osteointegrata.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Anca, Cotili
---
### [Custom Made](https://www.permedica.it/custom-made/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
GESTALTUNGSFREIHEIT, DIE ANFORDERUNGEN VON PATIENTEN
UND CHIRURGEN ERFÜLLEN
Die äusserst vielseitige additive Fertigungstechnologie erlaubt uns, Ihnen, ergänzend zu unseren Standardimplantaten, **patientenspezifische Produkte für höchst komplexe Situationen anzubieten** einsetzbar überall dort, wo individuelle Lösungen gefragt sind.
**Permedica hat sich in den letzten Jahren zusammen mit osteobionix eine grosse Erfahrung im Bereich der “3D Druck-Implantate”** angeeignet. Dies, um Ihnen als Operateur eine kompetente, auf den entsprechenden Fall zugeschnittene Lösung für die Versorgung von einzigartigen und unerwarteten klinischen Fällen anbieten zu können.
**Die** [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/de/innovations-system/traser/) Technologie erlaubt es, ein **spezifisches Implantat anzufertigen, welches den speziellen anatomisch-pathologischen Veränderungen Ihres Patienten Rechnung trägt.**
#### DER HERSTELLUNGSPROZESS
Anhand Ihrer diagnostischen Bilder (Computertomographie) **analysieren unsere R&D Spezialisten in Kooperation mit Ihnen den Fall,** um die bestmögliche Lösung für ihren Patienten zu finden und anschliessend die Prothese entsprechend zu produzieren.
Sobald Sie mit dem Vorschlag einverstanden sind, werden die **TRASER® Komponenten in unseren 3D** **Druckern** aus reinem Titanium Pulver produziert.
**TRASER® (Selective Laser Melting) ist ein Herstellungsverfahren von Permedica,** welches aus dünnen Titanpulverschichten mit Hilfe eines oder mehreren Laserstrahlen ein kompaktes Implantat produziert.
Nach Beendigung des 3D-Druckvorgangs werden die Komponenten **mit Hitze gehärtet und zusätzlich sandgestrahlt;** weitere, klassische Prozessmethoden erlauben es uns, Ihr gewünschtes Endprodukt sofort versandfertig zu machen.
#### LÖSUNGEN FÜR UNERWARTETE SITUATIONEN
Maßgeschneiderte Lösungen spielen eine immer wichtigere Rolle, entweder für die Erstellung von **Spezialkomponenten zur Implantation bei Knochenverlusten, komplexen anatomisch-pathologischen Veränderungen, Frakturen oder posttraumatischen Komplikationen; letzteres auch mit in- liegenden Materialien;** oder um Implantate mit speziellen Grössenverhältnissen herzustellen, wie zum Beispiel zur Behandlung von Patienten mit Zwergwuchs.
#### KLINISCHES FALLBEISPIEL \[1\]
#### ANAMNESE
Männlicher Patient, 32 Jahre, 1.08m/30kg, **Zwergwuchs.**
In der Anamnese anhaltende tägliche Schmerzen in der rechten Hüfte mit eingeschränktem Bewegungsumfang.
Einschränkung in der Lebensqualität. Abhängig vom Gebrauch von Schmerzmitteln.
KLINISCHE UNTERSUCHUNG
Gehen: Hinken auf der rechten Seite; Duchenne/Trendelenburg negativ.
ROM: F/E 30-10-0°, IR/AR 20-0-10°, ABD/ADD 10-0-20°.
Radiologisch: **sekundäre Dysplasiekoxarthrose** (DDH; Crowe II, Paprosky IIb).
#### OPERATION
Die Operation wird unter Verwendung eines Allotransplantats aus dem Femurkopf durchgeführt, das mit mehreren Schrauben zum Aufbau des seitlichen Hüftgelenksrandes fixiert wird.
Anschließend wird eine **TRASER® Trabecular Titanium Pfanne mit einem Durchmesser von 30 mm** ohne Knochenzement eingesetzt und mit einigen Spongiosaschrauben befestigt.
Auf der **femoralen Seite wird ein patientenspezifischer Schaft implantiert, der mit derselben TRASER-Technologie hergestellt wurde.** Reposition mit einem Metall-Femurkopf welcher mit dem UHMWPE-Einsatz in der Pfanne artikuliert.
#### ERGEBNIS
**Die Rekonstruktion ist stabil und zeigt radiologisch einen perfekten, zentralen Sitz der patientenspezifischen TRASER-Pfanne.**
#### FOLLOW-UP
**Bei der 4 Monate postop Kontrolle zeigt sich ein perfektes Gangbild.**
**Keine Krücken** seit dem zweiten postoperativen Monat; **kein Hinken.**
Gelenksfunktionen: F/E 120-0-20°, AR/Ir bei 90° Flexion 40-0-30°.
Radiologisch ist das Implantat stabil, das Knochentransplantat ist eingewachsen, die Pfanne ist osseointegriert.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Anca, Cotili
---
### [Custom Made Solutions](https://www.permedica.it/custom-made/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
#### FREEDOM OF DESIGN TO MEET PATIENTS’ AND SURGEONS’ REQUIREMENTS
Thanks to the extreme versatility **the additive manufacturing technology offers the** **possibility of creating customized solutions** to cope with the most complex situations, which cannot be faced with standard systems.
In many years of clinical experience, **Permedica has developed together with osteobionix an important know-how in 3D printing** to offer the surgeon ad-hoc solutions for the treatment of unique and unexpected clinical scenarios.
Technology [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/en/innovation-systems/traser/) makes it possible to create **systems of any shape and design** to best adapt to the clinical case of interest.
#### MANUFACTURING PROCESS
Starting from the diagnostic images CT-Scan **our R&D department analyzes the case in collaboration with the surgeon** to determine the most suitable solution.
Once the study is approved by the surgeon, **the components are realized by a 3D printer** from titanium powder.
**TRASER® (Selective Laser Melting) is an additive manufacturing technology** that selectively fuses together specific portions of a thin layer of titanium powder using a laser beam to create solid objects.
At the end of the printing process the components are removed from the support, subjected to **heat treatment** and **sandblasting,** then to subsequent **traditional mechanical processing** to obtain the finished implant.
#### SOLUTIONS FOR UNEXPECTED SITUATIONS
Custom made solutions play an increasing crucial role either for the creation of **components with a specific design** in order to address particular clinical scenarios (**bone losses, complex anatomies, fractures or post-traumatic complications, hardware in situ**) and to produce implants of small dimensions, for example for treatment of patients with dwarfism.
#### CLINICAL CASE \[1\]
#### CLINICAL HISTORY
Male patient, 32y old; **dwarfism**; 1.08m/30 kg of bodyweight.
In the anamnesis continuous daily pain in the right hip with restricted range of movement. Important clinical limitations. Pain killers dependent.
CLINICAL EXAMS
Walk: **limping right side**; Duchenne/Trendelenburg negative.
ROM : F/E 30-10-0°, ER/IR 20-0-10°, ABD/ADD 10-0-20°.
Radiologically: **DDH: developmental dysplasia of the hip with secondary osteoarthritis** (Crowe II, Paprosky IIb).
#### SURGERY
Total hip replacement is performed, using an allograft out of the femoral head, fixed with
several screws to build up the lateral acetabular rim.
Then a **TRASER® Trabecular Titanium custom made cup of 30mm diameter** is inserted without using bone cement and fixed with some trabecular bone screws.
On the femoral side, a customized selective laser melted **femoral stem is implanted, created with the same TRASER technology;** reposition with a metal femoral head on a UHMWPE insert.
#### RESULT
**The final result is stable with a perfect covering of the cup implant** and central seating of the TRASER custom made cup.
#### FOLLOW-UP
**4 months after surgery perfect walk.**
**No crutches** since the second month postoperatively; no limping.
Joint function : F/E 120-0-20, ER/IR in 90° of flexion 40-0-30.
Radiologically the implant is stable; bone graft is stable, the cup is integrated.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Cotili, Anca
---
### [Solutions Sur Mesure](https://www.permedica.it/custom-made/)
**Published:** Gennaio 1, 2020
**Author:** pm_ema
**Content:**
#### LIBERTÉ DE CONCEPTION POUR RÉPONDRE AUX BESOINS DES PATIENTS ET DES CHIRURGIENS
Grâce à l’extrême polyvalence, **la technologie de fabrication additive offre la possibilité de créer des solutions personnalisées pour faire face aux situations, les plus complexes,** qui ne peuvent être confrontées à des systhèmes standard.
Au cours de nombreuses années d’expérience clinique, **Permedica a développé avec osteobionix un savoir-faire important dans la fabrication d’implants par impression 3D** afin de pouvoir proposer aux chirurgiens des solutions sur mesure pour le traitement des scénarios cliniques uniques et inattendus.
Notre technologie unique [**TRASER®** (Trabecular Laser Melted Titanium)](https://www.permedica.it/fr/traser/) vous permet de créer le **modèle spécifique qui s’adapte le mieux à l’anatomie spécifique** de votre patient.
#### CYCLE DE FABRICATION
À l’aide de vos images diagnostiques **CT Scan, nos spécialistes R&D travaillent avec vous pour analyser le cas** afin de trouver la meilleure solution possible pour votre patient puis la mettre en œuvre.
Une fois l’étude approuvée par le chirurgien, **les composants TRASER® sont réalisés par une imprimante 3D** à partir de poudre de titane.
**TRASER® (Selective Laser Melting) est une technologie de fabrication additive** qui fusionne sélectivement des parties spécifiques d’une fine couche de poudre de titane à l’aide d’un faisceau laser pour créer des objets solides.
À la fin du processus d’impression, les composants sont retirés du support, soumis à un **traitement thermique** et à un **sablage,** puis à un **traitement mécanique traditionnel** ultérieur pour obtenir l’implant fini.
#### SSOLUTIONS POUR DES SITUATIONS INATTENDUES
Les solutions sur mesure jouent un rôle crucial croissant soit pour la création de **composants avec une conception spécifique** afin de répondre à des scénarios cliniques particuliers **(pertes osseuses, anatomies complexes, fractures ou complications post-traumatiques, matériel in situ)** et pour produire des implants de petites dimensions , par exemple pour le traitement des patients atteints de nanisme.
#### CAS CLINIQUE \[1\]
#### HISTOIRE CLINIQUE
Patient masculin, 32 ans; **nanisme;** 1,08 m / 30 kg de poids corporel.
Dans l’anamnèse, une douleur quotidienne continue dans la hanche droite avec une amplitude de mouvement restreinte.
Limitations cliniques importantes. Dépendant des analgésiques.
EXAMENS CLINIQUES
Marche: boitant du côté droit; Duchenne / Trendelenburg négatif.
ROM: F/E 30-10-0°, ER/IR 20-0-10°, ABD/ADD 10-0-20°.
Radiologiquement: **arthrose secondaire de la hanche droite** (DDH, Crowe II, Paprosky IIb).
#### CHIRURGIE
Le remplacement total de la hanche est effectué à l’aide d’une allogreffe prise dans la tête fémorale, fixée avec plusieurs vis pour construire le rebord cotyloïdien latéral.
Ensuite, une cupule **TRASER Trabecular Titanium sur mesure de 30 mm de diamètre** est insérée sans utiliser de ciment osseux et fixée avec des vis spongieux.
Du Côté fémoral, **une tige fémorale** sur mesure fondue au laser selectif **est implantée, créée avec la même technologie TRASER;** reduction avec une tête fémorale métallique dans un insert UHMWPE.
#### RESULTAT
**Le résultat final est stable avec une couverture parfaite** ainsi qu’ une assise centrale de l’implant cotyloïdien sur mesure TRASER.
#### SUIVI
**Marche parfaite 4 mois après la chirurgie.**
Fonction articulaire: F/E 120-0-20, ER/IR dans 90 ° de flexion 40-0-30.
**Pas de béquilles** depuis le deuxième mois postopératoire; **pas de boiterie.**
Radiologiquement, l’implant est stable; la greffe osseuse est stable, la cupule est intégrée.
###### [\[1\] Memminger M, Banci L, Meoli A. Bilateral Total Hip Replacement in Dwarfism With a Custom Laser-Printed Trabecular Acetabular Shell. Orthopedics. 2019 Sep 1;42(5):e477-e479.](https://www.ncbi.nlm.nih.gov/pubmed/31269219)
**Categorie:** Anca, Cotili
---
### [Soluzioni
Patient Specific](https://www.permedica.it/soluzioni-patient-specific/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### Strumenti Patient Specific stampati in 3D
Sviluppato in collaborazione con chirurghi di grande esperienza clinica, **il sistema DYO 3D Printed Patient Specific instruments** di Permedica Orthopaedics consente di realizzare **guide custom made per artroplastica totale di ginocchio**.
Questo sistema di **guide patient-specific, cioè disegnate ad-hoc per l’anatomia del singolo paziente**, consente al chirurgo una **riproduzione fedele del planning pre-operatorio** e un **posizionamento accurato delle componenti protesiche**, oltre ad una serie di potenziali ulteriori vantaggi.
- Accuratezza nel posizionamento delle componenti protesiche
- Chirurgia conservativa che preserva l’integrità del canale midollare
- Procedura chirurgica ottimizzata e riduzione dei costi
- Planning preoperatorio 3D online
#### WORKFLOW
1\. TOMOGRAFIA ASSIALE COMPUTERIZZATA
Il paziente si sottopone ad una **tomografia assiale computerizzata** (TAC).
2\. CARICAMENTO DELLE IMMAGINI SUL SITO
Il chirurgo carica le **immagini TAC sul portale online** di Permedica.
3\. VALUTAZIONE DELLA QUALITÀ DELLE IMMAGINI
Le **immagini vengono analizzate** per valutarne la compatibilità con gli standard qualitativi.
4\. RICOSTRUZIONE 3D
A partire dalle immagini, **vengono costruiti i modelli 3D di tibia e femore** e si procede ad una **prima proposta di planning preoperatorio** per il chirurgo. Il chirurgo ha la **possibilità di modificare il planning dal portale online in qualsiasi momento.**
5\. VALIDAZIONE DEL PLANNING E PRODUZIONE DELLE GUIDE
Una volta soddisfatto della pianificazione 3D, **il chirurgo valida il planning.**
A questo punto **può iniziare la produzione delle guide** (femorale e tibiale).
6\. INVIO DELLE GUIDE
Appena pronte, le guide vengono **confezionate, sterilizzate e inviate in ospedale** pronte all’uso.
**Categorie:** Ginocchio
---
### [Solutions
Specifiques Aux Patients](https://www.permedica.it/soluzioni-patient-specific/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### Outils spécifiques aux patients imprimés en 3D
Développé en collaboration avec des chirurgiens d’une grande expérience clinique, le **DYO 3D Printed Patient Specific instruments system** par Permedica Orthopedics offre la possibilité de créer des **guides sur mesure pour l’arthroplastie totale du genou.**
Ce **système de guides spécifiques au patient,** c’est-à-dire spécifiquement conçus pour l’anatomie du patient individuel, permet au chirurgien de **reproduire fidèlement la planification préopératoire** avec **un positionnement précis des composants prothétiques,** ainsi qu’une série d’autres avantages.
- PRÉCISION DANS LE POSITIONNEMENT DES COMPOSANTS PROTHÉTIQUES
- CHIRURGIE MINIMALEMENT INVASIVE EN L’ABSENCE DE VIOLATION INTRAMÉDULAIRE DU CANAL
- RÉDUCTION DES DURÉES ET DES COÛTS DE LA CHIRURGIE
- PLANIFICATION PRÉOPÉRATOIRE 3D EN LIGNE
#### DEROULEMENT DU PROCESSUS
1\. CT SCAN
Le patient subit une **tomodensitométrie axiale** informatisée (CT) Scan.
2\. LES IMAGES SONT CHARGÉES SUR LE SITE WEB
Le chirurgien **télécharge des images CT** sur le portail en ligne Permedica.
3\. ÉVALUATION DE LA QUALITÉ D’IMAGE
Les **images sont analysées** pour évaluer leur compatibilité avec les normes de qualité.
4\. RECONSTRUCTION 3D
À partir des images, **les modèles 3D du tibia et du fémur sont construits** et une **première proposition de planification** **préopératoire** pour le chirurgien est faite. Le chirurgien a la **possibilité de modifier la planification proposée depuis la plateforme en ligne et à tout moment.**
5\. VALIDATION DE LA PLANIFICATION ET PRODUCTION DES GUIDES
Une fois satisfait de la planification 3D, **le chirurgien valide la planification.**
À ce stade, **la production des guides** (fémoraux et tibiaux) **peut commencer.**
6\. LIVRAISON DES GUIDES
Dès qu’ils sont prêts, les guides sont **emballés, stérilisés et envoyés à l’hôpital** prêts à l’emploi.
**Categorie:** Ginocchio
---
### [Patienten
Spezifische Lösungen](https://www.permedica.it/soluzioni-patient-specific/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### 3D-gedruckte patientenspezifische Werkzeuge
Das **Design-Your-Own (DYO) System** von Permedica, ein **3D-Drucker, patientenspezifisches Instrumentenherstellungsprogramm** wurde gemeinsam mit erfahrenen Operateuren entwickelt, um **custom-made-Schnittblöcke für totale Knieendoprothesen** zu produzieren.
**Die patientenspezifischen Schnittblöcke ermöglichen** dem Operateur eine **genaue** intraoperative Reproduktion der präoperativen Planung mit **einer genauen Ausrichtung und Positionierung** der Implantate, **neben weiteren anderen Vorteilen.**
- GENAUIGKEIT IN DER POSITIONIERUNG DER IMPLANTATE
- MINIMAL INVASIVE OPERATIONSTECHNIK OHNE DEN INTRAMEDULLÄREN KANAL ZU ERÖFFNEN
- REDUZIERUNG DER OP-DAUER UND DER KOSTEN
- ONLINE 3D PRÄOPERATIVE PLANUNG
#### ABLAUF
1\. CT SCAN
Der Patient wird einem **axialen CT-Scan** unterzogen.
2\. BILDER WERDEN AUF DER WEBSITE HOCHGELADEN
Der Operateur **lädt die CT-Bilder** auf dem Permedica-Online-Portal hoch.
3\. EVALUATION DER QUALITÄT DER BILDER
Die **CT-Bilder werden in Hinblick auf ihre Kompatibilität** mit den Qualitätsstandards **analysiert.**
4\. 3D REKONSTRUKTION
Basierend auf den Bildern **werden 3D-Modelle von Tibia und Femur hergestellt** mit einem **ersten Planungsvorschlag** für den Operateur. **Dieser hat jederzeit die Möglichkeit online diesen zu ändern.**
5\. VALIDIERUNGSPLANUNG UND PRODUKTION DER SCHNITTBLÖCKE
Ist der Operateur mit der 3D-Planung einverstanden, **akzeptiert er den Planungsvorschlag.**
Anschliessend **kann die Produktion der Schnittlehren** (femoral und tibial) **begonnen werden.**
6\. LIEFERUNG DER SCHNITTLEHREN
Sobald die Schnittlehren produziert sind, werden diese **verpackt, sterilisiert und an das Krankenhaus versandt.**
**Categorie:** Ginocchio
---
### [Patient Specific
Solutions](https://www.permedica.it/soluzioni-patient-specific/)
**Published:** Febbraio 1, 2020
**Author:** pm_ema
**Content:**
#### 3D printed Patient Specific tools
Developed together with surgeons of great clinical experience, the **DYO 3D Printed Patient Specific instruments system** by Permedica Orthopaedics offers the possibility to create **custom made guides for total knee arthroplasty.**
This **system of patient-specific guides,** i.e. specifically designed for the anatomy of the individual patient, allows the surgeon to **faithfull reproduce the pre-operative planning** with an **accurate positioning of the prosthetic components**, as well as a series of further potential advantages.
- Accuracy in the positioning of the prosthetic components
- Conservative surgery preserving the medullary canal
- Optimized surgical workflow and cost effective procedure
- Online 3D preoperative planning
#### WORKFLOW
1\. CT SCAN
The patient undergoes a **computerized axial tomography** (CT) scan.
2\. IMAGES ARE LOADED ON THE WEBSITE
The surgeon **uploads CT images** to the Permedica online portal.
3\. EVALUATION OF IMAGE QUALITY
The **images are analyzed** to assess their compatibility with quality standards.
4\. 3D RECONSTRUCTION
Starting from the images, t**he 3D models of the tibia and femur are constructed** and a **first pre-operative planning proposal** for the surgeon is made. The surgeon has the **option to change the planning from the online platform at any time.**
5\. PLANNING VALIDATION AND GUIDES PRODUCTION
Once satisfied with the 3D planning, **the surgeon validates the planning.**
At this point the **production of the guides** (femoral and tibial) **can begin.**
6\. GUIDES DELIVERY
As soon as they are ready, the guides are **packaged,** **sterilized and sent to the hospital** ready for use.
**Categorie:** Ginocchio
---
## Pagine
### [Home](https://www.permedica.it/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
---
### [CAREERS](https://www.permedica.it/corporate/careers/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## WORK WITH US.
## *People are our best opportunity*
#### If you would like to join our team, please visit our open positions or send us a spontaneous application using the dedicated form.
## Open Positions
## Spontaneous Application
[Turner – Milling Machine](https://www.permedica.it/en/turner-milling-machine/)
[R&D Senior Engineer](https://www.permedica.it/en/rd-senior-engineer/)
[Senior QA&RA FDA](https://www.permedica.it/en/senior-qara-fda/)
[QA&RA Regulatory Specialist](https://www.permedica.it/en/qara-regulatory-specialist/)
[Order Fulfillment & Production Planning Coordinator (Medical Devices)](https://www.permedica.it/en/order-fulfillment-production-planning-coordinator/)
[Quality Control Inspector](https://www.permedica.it/en/quality-control-inspector/)
[Legal & Labour Affairs Specialist](https://www.permedica.it/en/legal-labour-affairs-specialist/)
[R&D Design Engineer](https://www.permedica.it/en/rd-design-engineer/)
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [R&D Design Engineer](https://www.permedica.it/en/rd-design-engineer/)
**Published:** Agosto 3, 2026
**Author:** lucrezia damiani
**Content:**
R&D Design Engineer
**Position**
The successful candidate will join the **R&D Shoulder & Extremities team** and will be responsible for the design and development of implantable medical devices and related instrumentation.
**Key Responsibilities**
- **CAD Design:** Advanced 3D modelling of components and complex surfaces.
- **Technical Drawings:** Creation and revision of 2D drawings and related tolerances.
- **FEM Analysis:** Finite Element Method simulations for the mechanical validation of medical devices.
- **Regulatory Documentation:** Preparation of Technical Files and Risk Analyses in compliance with **EU MDR 2017/745** requirements.
- **Quality Standards:** Application of relevant international ISO/ASTM standards applicable to the medical device industry.
**Skills & Requirements**
- **Education:** Degree in Biomedical Engineering (Mechanical specialization), Mechanical Engineering, or related disciplines.
- **CAD Skills:** Excellent knowledge of leading 3D modelling software; experience with **Siemens NX** is considered a strong advantage.
- **Technical Skills:** Strong knowledge of technical drawing, surface modelling, and FEM analysis.
- **Regulatory Knowledge:** Understanding of the **European Medical Device Regulation (EU MDR 2017/745)** and applicable ISO/ASTM standards.
- **Soft Skills:** Ability to work effectively within cross-functional teams, strong attention to detail, and innovation-oriented mindset.
**Compensation** Salary will be commensurate with the candidate’s experience (Annual Gross Salary: €25,000–€35,000).
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [CAREERS](https://www.permedica.it/corporate/careers/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## LAVORA CON NOI
## *Le persone sono la nostra migliore opportunità*
#### Se desideri entrare a far parte del nostro team, visita le posizioni aperte
o inviaci una candidatura spontanea tramite l’apposito form.
## Posizioni Aperte
## Candidatura Spontanea
[Tornitore – Fresatore](https://www.permedica.it/tornitore-fresatore/)
[Ingegnere R&D SENIOR](https://www.permedica.it/ingegnere-rd-senior/)
[Senior QA&RA FDA](https://www.permedica.it/senior-qara-fda/)
[QA&RA Regulatory Specialist](https://www.permedica.it/qara-specialist/)
[Order Fulfillment & Production Planning Coordinator (Medical Devices)](https://www.permedica.it/order-fulfillment-production-planning-coordinator/)
[Addetto/a al controllo qualità](https://www.permedica.it/addetto-al-controllo-qualita/)
[Legal & Labour Affairs Specialist](https://www.permedica.it/legal-labour-affairs-specialist/)
[Ingegnere R&D progettista](https://www.permedica.it/ingegnere-rd-progettista/)
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Ingegnere R&D progettista](https://www.permedica.it/ingegnere-rd-progettista/)
**Published:** Agosto 3, 2026
**Author:** lucrezia damiani
**Content:**
#### Ingegnere R&D progettista
**Posizione**
La risorsa sarà inserita all’interno del team R&D Shoulder & Extremities e si occuperà della progettazione e dello sviluppo di dispositivi medici impiantabili e dello strumentario associato.
Le mansioni principali includono:
- Progettazione CAD: Modellazione 3D avanzata di componenti e superfici complesse.
- Disegno Tecnico: Redazione e revisione di tavole bidimensionali e relative tolleranze.
- Analisi FEM: Simulazioni strutturali ad elementi finiti per la verifica meccanica dei dispositivi.
- Documentazione Regolatoria: Redazione di Technical File e Risk Analysis in conformità alla normativa EU MDR 2017/745.
- Standard di Qualità: Applicazione delle normative internazionali ISO/ASTM di riferimento del settore
**Competenze e Requisiti**
- **Titolo di studio:** Laurea in Ingegneria Biomedica (ad indirizzo meccanico) o Ingegneria Meccanica / affini.
- **Competenze CAD:** Ottima conoscenza dei principali software di modellazione 3D (la conoscenza di **Siemens NX** costituisce un forte plus).
- **Competenze Tecniche:** Solide basi di disegno tecnico, modellazione di superfici e analisi FEM.
- **Competenze Regolatorie:** Conoscenza della European Medical Device Regulation (EU MDR 2017/745) e degli standard ISO/ASTM applicabili.
- **Soft Skills:** Attitudine al lavoro in team interfunzionali, precisione e forte orientamento all’innovazione.
**Retribuzione** Commisurata all’esperienza del candidato (RAL €25.000 – €35.000)
**Luogo di Lavoro** Merate (LC), Full Time lunedì-venerdì.
**Chi è Permedica S.p.A.** Permedica Spa è una società italiana leader nel settore ortopedico che sviluppa, produce e commercializza protesi articolari e soluzioni custom made per i casi più complessi, l’ortopedia oncologica e gli amputati. Dalla sede principale di Merate (LC) si producono e distribuiscono in tutto il mondo prodotti all’avanguardia, grazie alle filiali e ai collaboratori presenti nei cinque continenti.
### Invia la tua candidatura!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Addetto/a al controllo qualità](https://www.permedica.it/addetto-al-controllo-qualita/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Addetto/a al controllo qualità
**Posizione**
La risorsa, riportando direttamente al Responsabile Controllo Qualità, verrà inserita nel reparto di controllo qualità e si occuperà dei controlli sui prodotti finiti e sui semilavorati sia attraverso strumenti di base che attraverso macchine a 3D.
A supporto del responsabile del reparto Controllo Qualità, l’addetto si occuperà di:
- Eseguire i controlli di qualità dei prodotti.
- Contribuire ove possibile a taratura/calibrazione/manutenzione degli strumenti di controllo.
- Segnalare al Responsabile di Reparto eventuali Non Conformità riscontrate durante i controlli sul prodotto e collaborare nella gestione delle stesse.
- Rispettare le prescrizioni per il mantenimento delle condizioni di sicurezza sul lavoro e ambientali.
- Informare il Responsabile di Reparto di qualsiasi problema sopraggiunto.
**Competenze e Requisiti**
- Comprensione degli aspetti tecnici e qualitativi relativi alla fabbricazione e controllo di componenti per dispositivi medicali ad alta tecnologia e affidabilità.
- Conoscenza degli aspetti legati controllo qualità dei prodotti.
- Conoscenza delle metodiche di misura.
- Lettura disegno meccanico
- Utilizzo strumenti di misura da banco: calibro, micrometro, comparatore, ecc.
- Costituisce titolo preferenziale la conoscenza di: proiettore di profili, Rotondimetro, Rugosimetro, macchina per il controllo 3D e la conoscenza dei processi meccanici di tornitura e fresatura a controllo numerico
**Istruzione ed Esperienza:**
- Titolo ad indirizzo tecnico industriale.
- Esperienza maturata per almeno 2/4 anni in ambito controllo prodotti.
**Retribuzione** Commisurata all’esperienza del candidato (RAL €25.000 – €30.000)
**Luogo di Lavoro** Merate (LC), Full Time lunedì-venerdì.
**Chi è Permedica S.p.A.** Permedica Spa è una società italiana leader nel settore ortopedico che sviluppa, produce e commercializza protesi articolari e soluzioni custom made per i casi più complessi, l’ortopedia oncologica e gli amputati. Dalla sede principale di Merate (LC) si producono e distribuiscono in tutto il mondo prodotti all’avanguardia, grazie alle filiali e ai collaboratori presenti nei cinque continenti.
### Invia la tua candidatura!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Legal & Labour Affairs Specialist](https://www.permedica.it/en/legal-labour-affairs-specialist/)
**Published:** Agosto 3, 2026
**Author:** lucrezia damiani
**Content:**
Legal & Labour Affairs Specialist
**Position**
We are looking for a legal professional with a strong background in employment law to serve as the company’s internal point of reference for legal, contractual, and labour law matters. The successful candidate will work closely with Management, Human Resources, and Administration to ensure regulatory compliance and provide legal support across the organization.
**Key Responsibilities**
**Employment Law**
- Support Management and the Human Resources team in the application of employment legislation.
- Assist in managing employment contracts and all documentation related to the employment relationship.
- Provide legal support in disciplinary procedures, employment disputes, labour relations, and organizational restructuring.
- Advise on employment law and industrial relations matters.
**Legal & Contract Management**
- Draft, review, and negotiate commercial agreements, Non-Disclosure Agreements (NDAs), supply agreements, consultancy contracts, and service agreements, including those in an international context.
- Support the Administration Department in managing day-to-day legal matters.
- Liaise with external legal advisors, law firms, and notaries.
- Manage corporate and contractual documentation, ensuring accuracy and proper maintenance.
- Provide legal advice to the various business functions on a broad range of legal issues.
**Compliance & Corporate Governance**
- Support corporate compliance activities and the updating of internal policies and procedures.
- Assist with privacy compliance, delegations of authority, powers of attorney, and corporate documentation.
- Promote a culture of regulatory compliance throughout the organization.
**Education and Experience**
- Degree in Law.
- Qualified lawyer (admitted to the Bar).
- At least **5 years of experience** in employment law gained within a company, law firm, or labour consultancy firm.
- Experience in commercial contracts and/or corporate law.
- Excellent knowledge of employment legislation and the ability to interpret and address cross-functional legal issues.
- Strong knowledge of civil law, commercial law, and civil procedure.
- Basic knowledge of debt recovery, enforcement proceedings, insolvency procedures, and related litigation.
**Skills & Competencies**
- High level of accuracy, professionalism, discretion, and ability to work independently.
- Strong interpersonal skills with the ability to collaborate effectively across different business functions.
- Problem-solving mindset and a proactive approach.
**What We Offer**
- A strategic, cross-functional role reporting directly to Senior Management.
- Close collaboration with the Human Resources, Administration, and Management teams.
- A high level of autonomy and the opportunity to contribute to the company’s organizational development.
**Compensation** Salary will be commensurate with the candidate’s experience (Annual Gross Salary: €35.000–€45.000).
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Quality Control Inspector](https://www.permedica.it/en/quality-control-inspector/)
**Published:** Agosto 3, 2026
**Author:** lucrezia damiani
**Content:**
Quality Control Inspector
**Position**
Reporting directly to the **Quality Control Manager**, the successful candidate will join the Quality Control Department and will be responsible for inspecting finished products and semi-finished components using both standard measuring instruments and 3D measuring machines.
Supporting the Quality Control Manager, the candidate will:
- Perform quality inspections on finished products and semi-finished components.
- Assist, where possible, with the calibration, verification, and maintenance of quality control equipment.
- Report any product non-conformities identified during inspections to the Quality Control Manager and support their investigation and resolution.
- Comply with health, safety, and environmental regulations and procedures.
- Promptly inform the Quality Control Manager of any issues or abnormalities encountered during daily activities.
**Skills & Requirements**
- Understanding of the technical and quality aspects related to the manufacturing and inspection of high-tech, high-reliability medical device components.
- Knowledge of quality control principles and product inspection processes.
- Knowledge of dimensional measurement techniques.
- Ability to read and interpret mechanical drawings.
- Proficiency in the use of standard measuring instruments, including calipers, micrometers, dial indicators, and similar tools.
- Previous experience with profile projectors, roundness measuring instruments, surface roughness testers, 3D coordinate measuring machines (CMM), and CNC turning and milling processes will be considered an advantage.
**Education and Experience**
- Technical diploma in an industrial or mechanical field.
- **2–4 years of experience** in product quality control.
-
**Compensation** Salary will be commensurate with the candidate’s experience (Annual Gross Salary: €25.000–€30.000).
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Order Fulfillment & Production Planning Coordinator](https://www.permedica.it/en/order-fulfillment-production-planning-coordinator/)
**Published:** Agosto 3, 2026
**Author:** lucrezia damiani
**Content:**
Order Fulfillment & Production Planning Coordinator
**Position**
The successful candidate will be responsible for ensuring effective coordination between the Sales, Production, Purchasing, and Warehouse departments by continuously monitoring the order portfolio, setting operational priorities, and providing accurate delivery dates. The role aims to reduce order backlog (BO), improve customer service levels, and support the company’s growth.
The main activities are:
- Manage and monitor the customer order portfolio, identifying potential issues and delays.
- Coordinate the flow of information between Sales, Production, Purchasing, Quality, and Logistics.
- Define and update production priorities in collaboration with department managers.
- Verify order feasibility based on production capacity, material availability, and lead times.
- Monitor production progress and work orders on a daily basis.
- Analyze the root causes of delays and promote corrective actions.
- Provide the Sales team with reliable and regularly updated delivery dates.
- Prepare reports and KPIs related to backlog, OTIF (On Time In Full), lead time, and service level.
- Support continuous improvement initiatives for production planning and order management processes.
- Participate in regular operational meetings to review performance and monitor key metrics.ì
**Education and Experience**
- Bachelor’s or Master’s degree in Management Engineering, Economics, Supply Chain Management, or a related field.
- Candidates with a technical diploma and significant relevant experience will also be considered.
**Experience:**
- **3–8 years of experience** in one or more of the following areas:
- Production Planning
- Supply Chain Coordination
- Order Fulfillment
- Advanced Industrial Customer Service
- Material Planning
- Previous experience in manufacturing companies, preferably within:
- Medical Devices
- Automotive
- Precision Engineering
- Aerospace
- Industrial Manufacturing
**Technical Skills**
- Strong understanding of manufacturing and logistics processes.
- Experience managing customer order portfolios and order backlog.
- Proficiency with ERP/MRP systems.
- Ability to analyze operational data and KPIs.
- Advanced knowledge of Microsoft Excel.
- Familiarity with production planning and material management processes.
**Soft Skills**
- Strong organizational and coordination skills.
- Pragmatic, results-oriented approach.
- Ability to work under pressure and effectively manage competing priorities.
**Compensation** Salary will be commensurate with the candidate’s experience (Annual Gross Salary: €30.000–€40.000).
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [QA&RA Regulatory Specialist](https://www.permedica.it/en/qara-regulatory-specialist/)
**Published:** Agosto 3, 2026
**Author:** lucrezia damiani
**Content:**
#### QA&RA Regulatory Specialist
**Position**
The successful candidate will join the **Quality Assurance & Regulatory Affairs Department** and will have the opportunity to support departmental activities across different product types and risk classes. The role also requires proactive collaboration with all company departments.
The main activities are:
- Prepare, in collaboration with suppliers, technical documentation and related files for the registration of supplied medical devices (arthroscopy devices), and manage communications with the Notified Body (Class IIa and IIb devices).
- Ensure the Quality Management System is updated to include the management of these medical devices.
- Ensure the execution of periodic controls required for sterilization processes.
- Ensure the proper management of supplier qualification activities.
- Review acceptance documentation for raw materials and semi-finished products.
- Manage non-conformities and CAPA activities.
- Participate in Notified Body, customer, and internal audits.
- Review batch records and approve the release of finished products and semi-finished product batches within the company’s IT systems, ensuring compliance with established timelines. Prepare and verify the accuracy of the related release documentation.
- Review sterilization process documentation, including parametric and documentary release.
- Support complaint handling and incident reporting activities.
**Education and Experience**
- Bachelor’s or Master’s degree in Chemical, Mechanical, or Biomedical Engineering, or another scientific discipline.
- Excellent written and spoken English.
- At least **3 years of experience** in a Quality Assurance role within the medical device industry.
**Skills and competencies:**
- Knowledge of the main regulations and standards applicable to the medical device industry, particularly:
- ISO 13485 and ISO 14971
- Medical Devices Directive 93/42/EEC
- EU Medical Device Regulation (MDR) 2017/745
- Proficiency in Microsoft Office.
- Knowledge of technical documentation management.
- Understanding of mechanical drawing principles.
- Knowledge of project and planning management principles.
- Proactive attitude with excellent organizational skills and the ability to work both independently and as part of a team.
**Compensation** Salary will be commensurate with the candidate’s experience (Annual Gross Salary: €28,000–€35,000).
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Senior QA&RA FDA](https://www.permedica.it/senior-qara-fda/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Senior QA&RA FDA
**Position**
The candidate will be part of the Quality Assurance and Regulatory Affairs department and will primarily perform activities related to device registration with the FDA for access to the United States market. They will also need to interact proactively with all company departments.
The main activities are:
- Define and implement the regulatory strategy for medical device registration in the United States (FDA)
- Identify the appropriate regulatory pathway (e.g., 510K)
- Interface with the FDA for document submission and any requests
- Independently prepare, review, and submit regulatory dossiers (medical devices of all classes – III, IIb, IIa, I)
- Manage technical documentation according to FDA requirements
- Supervise risk management activities
- Coordinate the collection of necessary clinical and preclinical data by interfacing with the clinical office
- Manage establishment registration and device listing with the FDA
- Ensure compliance with quality management system requirements and prepare the company for FDA inspections
- Support internal and external audits
- Verify the company’s quality management system and update it if necessary to ensure compliance with specific requirements, ensuring alignment with the ISO 13485 standard
- Manage CAPAs, non-conformities, and change controls in collaboration with the involved company functions
- Monitor FDA regulatory updates
- Manage any post-market reports
- Provide support for device certification in accordance with the MDR 2017/745 regulation
**Education and Experience**
- Technical degree in chemical, mechanical or biomedical engineering, or other scientific disciplines.
- Excellent knowledge of spoken and written English.
- At least 5 years of previous experience in Quality Assurance within the medical device sector and experience in the management and registration of medical devices in the United States.
**Skills and competencies:**
Knowledge of the main standards and laws applicable to the medical device sector; specifically, knowledge of the following standards and regulations is mandatory:
- ISO 13485
- ISO 14971
- Directive 93/42/EEC
- Regulation (EU) 2017/745
- 510K procedure
- 21 CFR part 820, 801, 807, 803, etc.
- Knowledge of the Office suite.
- Knowledge of technical documentation management.
- Knowledge of mechanical drawing rules.
- Knowledge of project and planning management principles.
- Proactivity, excellent organizational skills, and the ability to work independently and in a team.
**Compensation** Salary commensurate with experience (Gross Annual Salary: €35.000–€45.000).
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [R&D Senior Engineer](https://www.permedica.it/ingegnere-rd-senior/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Senior Hip R&D Engineer
**Position**
The main responsibilities will be:
- Collaborate in the development of new products and the implementation of production technologies
- Design of implantable medical devices and associated instruments
- Product drafting and their preliminary industrialization
- Preparation of feasibility studies and product development budgets
- collaborate in the creation and maintenance of Project Files in compliance with quality standards
- Proceed with the advancement of assigned development projects within the required timeframes
- Cooperate with departments in identifying improvement actions for their area of responsibility
**Skills and Requirements**
Minimum requirements:
- Master’s degree in industrial engineering (mechanical, aerospace, biomedical…)
- Previous experience in the R&D or UT sector of companies operating in the field of orthopedic medical devices for fixation or joint prostheses, of at least 5-10 years
- Understanding of mechanical drawing
- 2D/3D CAD
- At least theoretical knowledge of 3D printing processes and mechanical machining
- Knowledge of English (B1 minimum)
Preferred requirements:
- Knowledge of Siemens NX CAD/CAM
- Previous experience in the medical device sector
-
**Compensation** Salary commensurate with experience (Gross Annual Salary: €28.000–€38.000).
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Turner - Milling Machine](https://www.permedica.it/tornitore-fresatore/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Turner – Milling Machine
**Position**
- - Mechanical Processing
- Milling and/or turning operations on components/products using 3/5-axis CNC machining centers.
**Skills and Requirements**
- Mechanical engineering diploma (or at least 2 years of experience as a CNC machining center operator. Knowledge of FANUC and SIEMENS numerical controls will be considered a preferential qualification (and possibly experience with wire and sinker EDM))
- Good knowledge of technical drawing and use of main measuring instruments
- Good foundation in ISO programming
- Autonomy in managing assigned work
- Precision, attention to detail, flexibility, and teamwork skills
- Experience in work environments operating under a certified Quality System is a preferential qualification
**Compensation** Salary commensurate with experience (Gross Annual Salary: €25,000–€30,000).
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Quality & Regulatory Specialist](https://www.permedica.it/qara-specialist/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Quality and Regulatory Specialist
**Posizione**
La risorsa è inserita all’interno del dipartimento di assicurazione qualità e regolatorio e avrà la possibilità di seguire le attività del dipartimento svolgendo funzioni su differenti tipi di prodotto e differenti classi di rischio. Dovrà inoltre interagire proattivamente con tutti i reparti aziendali.
Le principali attività sono:
- Predisporre, in collaborazione con il fornitore, i fascicoli tecnici e i documenti associati per la registrazione dei dispositivi medici forniti (dispositivi per artroscopia) e gestire le comunicazioni con l’Ente Notificato (classe IIa, IIb)
- Assicurare l’aggiornamento del sistema di gestione qualità per includere la gestione di tali dispositivi
- Assicurare l’esecuzione dei controlli periodici previsti per i processi di sterilizzazione
- Assicurare la corretta gestione delle attività legate alla qualifica dei fornitori
- Eseguire la revisione dei documenti di accettazione per materie prime e semilavorati
- Assicurare la gestione dei rapporti di non conformità e delle CAPA
- Partecipare alle verifiche ispettive di Ente Notificato, Clienti e interne
- Eseguire la revisione dei batch record e l’approvazione del rilascio dei lotti di prodotto finito e semilavorato nei sistemi informatici, nel rispetto delle tempistiche aziendali. Preparare e verificare la correttezza della relativa documentazione di rilascio
- Eseguire la revisione dei documenti di processo di sterilizzazione (rilascio parametrico e documentale)
- Supportare la gestione dei reclami e le segnalazioni di incidente
**Grado di Istruzione ed Esperienza**
- Laurea tecnica in ingegneria chimica, meccanica o biomedica, o altre discipline scientifiche.
- Ottima conoscenza della lingua inglese parlata e scritta.
- Esperienza pregressa di almeno 3 anni nella funzione Assicurazione Qualità nel settore dei dispositivi medici.
**Capacità e competenze:**
Conoscenza delle principali norme e leggi applicabili al settore dei dispositivi medici, in particolare
- norma ISO 13485 e 14971, della Direttiva 93/42/CEE e del Regolamento UE 2017/745
- Conoscenza del pacchetto Office.
- Conoscenza della gestione della documentazione tecnica.
- Conoscenza delle regole del disegno meccanico.
- Conoscenza dei principi di project e planning management.
- Proattività, ottime capacità organizzative e di gestione del lavoro in autonomia ed in team.
**Retribuzione** Commisurata all’esperienza del candidato (RAL €28.000 – €35.000)
**Luogo di Lavoro**
Merate (LC), Full Time lunedì-venerdì.
**Chi è Permedica S.p.A.**
Permedica Spa è una società italiana leader nel settore ortopedico che sviluppa, produce e commercializza protesi articolari e soluzioni custom made per i casi più complessi, l’ortopedia oncologica e gli amputati. Dalla sede principale di Merate (LC) si producono e distribuiscono in tutto il mondo prodotti all’avanguardia, grazie alle filiali e ai collaboratori presenti nei cinque continenti.
### Invia la tua candidatura!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Legal & Labour Affairs Specialist](https://www.permedica.it/legal-labour-affairs-specialist/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Legal & Labour Affairs Specialist
**Posizione**
Siamo alla ricerca di una figura con formazione giuridica e una solida esperienza in diritto del lavoro, che diventi il punto di riferimento interno per le tematiche legali, contrattuali e giuslavoristiche, collaborando trasversalmente con Direzione, HR e Amministrazione.
La persona contribuirà a garantire la conformità normativa dell’azienda e supporterà le diverse funzioni nella gestione delle principali questioni giuridiche e contrattuali.
**Principali responsabilità**
Area Diritto del Lavoro
- Supportare la Direzione e la funzione HR nell’applicazione della normativa giuslavoristica.
- Collaborare nella gestione della contrattualistica del personale e la documentazione relativa al
rapporto di lavoro.
- Fornire supporto su procedimenti disciplinari, contenziosi, relazioni sindacali e riorganizzazioni.
- Consulenza in materia di diritto del lavoro e relazioni industriali
Area Legale e Contrattuale
- Predisporre, revisionare e negoziare contratti commerciali, accordi di riservatezza (NDA),
contratti di fornitura, consulenza e servizi, anche in contesti internazionali.
- Supportare l’ufficio amministrativo nella gestione delle problematiche legali ordinarie.
- Collaborare con consulenti legali esterni, studi professionali e notai.
- Gestire la documentazione societaria e contrattuale, garantendone correttezza e
aggiornamento.
- Fornire consulenza interna alle diverse funzioni aziendali sulle principali questioni giuridiche.
Compliance e Governance
- Supportare le attività di compliance aziendale e l’aggiornamento delle procedure interne.
- Collaborare nella gestione degli adempimenti relativi a privacy, deleghe, procure e documentazione societaria.
- Contribuire alla diffusione della cultura della conformità normativa all’interno dell’organizzazione.
**Competenze e Requisiti**
- Laurea in Giurisprudenza e Abilitazione all’esercizio della professione forense
- Esperienza di almeno 5 anni in diritto del lavoro maturata in azienda, studio legale o studio di consulenza del lavoro.
- Esperienza anche in ambito contrattualistica commerciale o diritto societario.
- Ottima conoscenza della normativa giuslavoristica e capacità di interpretare problematiche giuridiche trasversali.
- Solida conoscenza di diritto civile, commerciale, nonché di procedura civile
- Competenze di base nella gestione di recupero credito, esecuzioni, procedure concorsuali e contenzioso connesso
- Precisione, autorevolezza, riservatezza e capacità di lavorare in autonomia.
- Attitudine alla collaborazione con funzioni aziendali diverse e orientamento alla soluzione dei problemi.
**Cosa offriamo**
- Un ruolo trasversale e strategico a diretto riporto della Direzione.
- Collaborazione con HR, Amministrazione e management.
- Ampia autonomia operativa e possibilità di contribuire allo sviluppo organizzativo dell’azienda.
**Retribuzione** Commisurata all’esperienza del candidato (RAL €35.000 – €45.000)
**Luogo di Lavoro** Merate (LC), Full Time lunedì-venerdì.
**Chi è Permedica S.p.A.** Permedica Spa è una società italiana leader nel settore ortopedico che sviluppa, produce e commercializza protesi articolari e soluzioni custom made per i casi più complessi, l’ortopedia oncologica e gli amputati. Dalla sede principale di Merate (LC) si producono e distribuiscono in tutto il mondo prodotti all’avanguardia, grazie alle filiali e ai collaboratori presenti nei cinque continenti.
### Invia la tua candidatura!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Order Fulfillment & Production Planning Coordinator (Medical Devices)](https://www.permedica.it/order-fulfillment-production-planning-coordinator/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Order Fulfillment & Production Planning Coordinator
**Posizione**
La risorsa dovrà garantire il corretto coordinamento tra area Commerciale, Produzione, Acquisti e Magazzino, assicurando il monitoraggio continuo del portafoglio ordini, la definizione delle priorità operative e la comunicazione puntuale delle date di consegna, con l’obiettivo di ridurre il backlog ordini (BO), migliorare il livello di servizio al cliente e supportare la crescita aziendale.
Le principali attività sono:
- Gestire e monitorare il portafoglio ordini clienti, identificando criticità e ritardi.
- Coordinare il flusso informativo tra Commerciale, Produzione, Acquisti, Qualità e Logistica.
- Definire e aggiornare le priorità produttive in collaborazione con i responsabili di funzione.
- Verificare la fattibilità degli ordini in termini di capacità produttiva, disponibilità materiali e lead time.
- Monitorare quotidianamente l’avanzamento delle lavorazioni e delle commesse.
- Analizzare le cause dei ritardi e promuovere azioni correttive.
- Fornire al team commerciale date di consegna affidabili e costantemente aggiornate.
- Preparare report e KPI relativi a backlog, OTIF (On Time In Full), lead time e livello di servizio.
- Supportare il miglioramento continuo dei processi di pianificazione e gestione ordini.
- Partecipare alle riunioni operative periodiche per il monitoraggio delle performance.
**Grado di Istruzione ed Esperienza**
- Laurea in Ingegneria Gestionale, Economia, Supply Chain Management o discipline equivalenti.
- Valutabili anche candidati diplomati con significativa esperienza nel ruolo.
**Esperienza:**
3-8 anni di esperienza in ruoli di:
- Production Planning
- Supply Chain Coordination
- Order Fulfillment
- Customer Service Industriale evoluto
- Material Planning
Provenienza preferenziale da aziende manifatturiere:
- Medical Device
- Automotive
- Meccanica di precisione
- Aerospace
- Industrial Manufacturing
**Competenze tecniche:**
- Ottima conoscenza dei processi produttivi e logistici;
- Esperienza nella gestione del portafoglio ordini e backlog.
- Utilizzo di sistemi ERP/MRP.
- Capacità di analisi dati e KPI operativi.
- Buona conoscenza di Excel.
- Familiarità con processi di pianificazione della produzione e gestione materiali.
**Soft Skills:**
- Forte capacità organizzativa.
- Pragmatismo e orientamento al risultato.
- Capacità di lavorare sotto pressione e gestire priorità concorrenti.
**Retribuzione** Commisurata all’esperienza del candidato (RAL €30.000 – €40.000)
**Luogo di Lavoro**
Merate (LC), Full Time lunedì-venerdì.
**Chi è Permedica S.p.A.**
Permedica Spa è una società italiana leader nel settore ortopedico che sviluppa, produce e commercializza protesi articolari e soluzioni custom made per i casi più complessi, l’ortopedia oncologica e gli amputati. Dalla sede principale di Merate (LC) si producono e distribuiscono in tutto il mondo prodotti all’avanguardia, grazie alle filiali e ai collaboratori presenti nei cinque continenti.
### Invia la tua candidatura!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Senior QA&RA FDA](https://www.permedica.it/senior-qara-fda/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Senior QA&RA FDA
**Posizione**
La risorsa è inserita all’interno del dipartimento di assicurazione qualità e regolatorio e svolgerà principalmente attività legate alla registrazione dei dispositivi presso l’FDA per l’accesso al mercato degli Stati Uniti. Dovrà inoltre interagire proattivamente con tutti i reparti aziendali.
Le principali attività sono:
- Definire e implementare la strategia regolatoria per la registrazione dei dispositivi medici negli Stati Uniti (FDA)
- Identificare il percorso regolatorio appropriato (es. 510K)
- Interfacciarsi con FDA per la sottomissione dei documenti e eventuali richieste
- Preparare, revisionare e sottomettere in autonomia i dossier regolatori (dispositivi medici di tutte le classi – III, IIb, IIa, I)
- Gestire la documentazione tecnica secondo requisiti FDA
- Supervisionare le attività di gestione del rischio
- Coordinare la raccolta di dati clinici e preclinici necessari interfacciandosi con l’ufficio clinico
- Gestire la registrazione dello stabilimento e l’elenco dei dispositivi presso FDA
- Garantire la conformità ai requisiti del sistema di gestione qualità e preparare l’azienda per le ispezioni FDA
- Supportare audit interni ed esterni
- Verificare il sistema di gestione qualità aziendale ed eventualmente aggiornarlo per garantire il rispetto di requisiti specifici, assicurando l’allineamento con la norma ISO 13485
- Gestire CAPA, non conformità, change control in collaborazione con le funzioni aziendali coinvolte
- Monitorare gli aggiornamenti normativi FDA
- Gestire eventuali segnalazioni post-market
- Fornire supporto per la certificazione dei dispositivi in accordo al regolamento MDR 2017/745
**Grado di Istruzione ed Esperienza**
- Laurea tecnica in ingegneria chimica, meccanica o biomedica, o altre discipline scientifiche.
- Ottima conoscenza della lingua inglese parlata e scritta.
- Esperienza pregressa di almeno 5 anni nella funzione Assicurazione Qualità nel settore dei dispositivi medici ed esperienza nella gestione e registrazione dei dispositivi medici negli Stati Uniti.
**Capacità e competenze:**
Conoscenza delle principali norme e leggi applicabili al settore dei dispositivi medici, in particolare è mandatoria la conoscenza delle seguenti norme e regolamenti:
- ISO 13485
- ISO 14971
- Direttiva 93/42/CEE
- Regolamento UE 2017/745
- Procedura 510K,
- 21 CFR part 820, 801, 807, 803, ecc.
- Conoscenza del pacchetto Office.
- Conoscenza della gestione della documentazione tecnica.
- Conoscenza delle regole del disegno meccanico.
- Conoscenza dei principi di project e planning management.
- Proattività, ottime capacità organizzative e di gestione del lavoro in autonomia ed in team.
**Retribuzione** Commisurata all’esperienza del candidato (RAL €35.000 – €45.000)
**Luogo di Lavoro**
Merate (LC), Full Time lunedì-venerdì.
**Chi è Permedica S.p.A.**
Permedica Spa è una società italiana leader nel settore ortopedico che sviluppa, produce e commercializza protesi articolari e soluzioni custom made per i casi più complessi, l’ortopedia oncologica e gli amputati. Dalla sede principale di Merate (LC) si producono e distribuiscono in tutto il mondo prodotti all’avanguardia, grazie alle filiali e ai collaboratori presenti nei cinque continenti.
### Invia la tua candidatura!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Ingegnere R&D SENIOR](https://www.permedica.it/ingegnere-rd-senior/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Ingegnere R&D ANCA SENIOR
**Posizione**
Collaborando con il responsabile, le sue principali mansioni saranno:
- Collaborare nella realizzazione di nuovi prodotti e l’implementazione delle tecnologie produttive
- Progettazione di dispositivi medici impiantabili e strumenti associati
- Messa in tavola dei prodotti e loro industrializzazione di massima
- Predisposizione di studi di fattibilità e budget di sviluppo prodotto
- collaborare alla realizzazione e mantenimento dei Carnet di Progetto nel rispetto degli standard di qualità
- Procedere con avanzamento dei progetti di sviluppo a lui/lei assegnati nel rispetto dei tempi richiesti
- Cooperare con i reparti nell’individuazione di azioni migliorative per la propria area di competenza
**Competenze e Requisiti**
Requisiti minimi:
- Laurea specialistica in ingegneria dell’albo industriale (meccanica, aerospaziale, biomedica…)
- Pregressa esperienza nel settore R&D o UT di aziende operanti nel settore dei dispositivi medici ortopedici per fissazione o protesi articolari, di almeno 5 anni
- Comprensione del disegno meccanico
- CAD 2D/3D
- Conoscenza almeno teorica dei processi di stampa 3D e lavorazioni meccaniche
- Conoscenza della lingua inglese (B1 minimo)
Requisiti preferenziali:
- Conoscenza del CAD/CAM Siemens NX
- Pregressa esperienza nel settore dispositivi medici
-
**Retribuzione** Commisurata all’esperienza del candidato (RAL €28.000 – €38.000)
**Luogo di Lavoro**
Merate (LC), Full Time lunedì-venerdì.
**Chi è Permedica S.p.A.**
Permedica Spa è una società italiana leader nel settore ortopedico che sviluppa, produce e commercializza protesi articolari e soluzioni custom made per i casi più complessi, l’ortopedia oncologica e gli amputati. Dalla sede principale di Merate (LC) si producono e distribuiscono in tutto il mondo prodotti all’avanguardia, grazie alle filiali e ai collaboratori presenti nei cinque continenti.
### Invia la tua candidatura!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Tornitore - Fresatore](https://www.permedica.it/tornitore-fresatore/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Tornitore – Fresatore
**Posizione**
- - Lavorazioni meccaniche
- Attività di fresatura e/o tornitura su componenti/prodotti attraverso l’utilizzo di centri di lavoro CNC 3/5 assi.
**Competenze e Requisiti**
- Diploma di perito meccanico (o con esperienza di almeno 2 anni nella mansione di operatore su Centri di lavoro CNC. Costituirà titolo preferenziale la conoscenza dei controlli numerici FANUC e SIEMENS (ed eventualmente esperienza sull’utilizzo di elettroerosione a filo e tufo)
- Buona conoscenza del disegno tecnico e dell’utilizzo dei principali strumenti di misura
- Buone basi di programmazione ISO
- Autonomia nella gestione del lavoro assegnato
- Doti di precisione, attenzione, flessibilità e propensione al lavoro di gruppo
- Costituisce titolo preferenziale l’esperienza in contesti lavorativi operanti in regime di Sistema Qualità certificato
**Retribuzione**
Retribuzione da commisurare all’esperienza (RAL €25.000 – €30-000)
**Luogo di Lavoro**
Merate (LC), Full Time lunedì-venerdì.
**Chi è Permedica S.p.A.**
Permedica Spa è una società italiana leader nel settore ortopedico che sviluppa, produce e commercializza protesi articolari e soluzioni custom made per i casi più complessi, l’ortopedia oncologica e gli amputati. Dalla sede principale di Merate (LC) si producono e distribuiscono in tutto il mondo prodotti all’avanguardia, grazie alle filiali e ai collaboratori presenti nei cinque continenti.
### Invia la tua candidatura!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [ANCA](https://www.permedica.it/area-chirurgo/anca/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/promise/)
## [PROMISE S](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
## [EXACTA RS](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
## [EXACTA](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
## [EXACTA S](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
## [SL – AUTOBLOCCANTE](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
## [SYNTHESIS](https://www.permedica.it/synthesis/)
- [  ](https://www.permedica.it/pbf/)
## [PBF](https://www.permedica.it/pbf/)
- [  ](https://www.permedica.it/kone/)
## [KONE](https://www.permedica.it/kone/)
- [  ](https://www.permedica.it/promotion/)
## [PM ProMotion](https://www.permedica.it/promotion/)
- [  ](https://www.permedica.it/teste-articolari/)
## [Teste Articolari](https://www.permedica.it/teste-articolari/)
- [  ](https://www.permedica.it/anterior-approach/)
## [Anterior Approach](https://www.permedica.it/anterior-approach/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
- [  ](https://www.permedica.it/jump-system/)
## [JUMP System](https://www.permedica.it/jump-system/)
- [  ](https://www.permedica.it/jump-traser/)
## [JUMP System TRASER](https://www.permedica.it/jump-traser/)
- [  ](https://www.permedica.it/acorn-traser/)
## [ACORN TRASER](https://www.permedica.it/acorn-traser/)
- [  ](https://www.permedica.it/acorn/)
## [ACORN](https://www.permedica.it/acorn/)
- [  ](https://www.permedica.it/jump-cemented/)
## [JUMP System CEMENTED](https://www.permedica.it/jump-cemented/)
- [  ](https://www.permedica.it/inserti-articolari/)
## [Inserti Articolari](https://www.permedica.it/inserti-articolari/)
- [  ](https://www.permedica.it/jump-system-traser-rm/)
## [JUMP System TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
- [  ](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
## [JUMP System TRASER Cage Acetabolare](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
- [  ](https://www.permedica.it/custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/custom-made/)
- [  ](https://www.permedica.it/universal-cup-removal-system/)
## [Universal Cup Removal System](https://www.permedica.it/universal-cup-removal-system/)
---
### [ANCA](https://www.permedica.it/area-chirurgo/anca/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/promise/)
## [PROMISE S](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
## [EXACTA RS](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
## [EXACTA](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
## [EXACTA S](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
## [SL – AUTOBLOCCANTE](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
## [SYNTHESIS](https://www.permedica.it/synthesis/)
- [  ](https://www.permedica.it/pbf/)
## [PBF](https://www.permedica.it/pbf/)
- [  ](https://www.permedica.it/kone/)
## [KONE](https://www.permedica.it/kone/)
- [  ](https://www.permedica.it/promotion/)
## [PM ProMotion](https://www.permedica.it/promotion/)
- [  ](https://www.permedica.it/teste-articolari/)
## [Teste Articolari](https://www.permedica.it/teste-articolari/)
- [  ](https://www.permedica.it/anterior-approach/)
## [Anterior Approach](https://www.permedica.it/anterior-approach/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
- [  ](https://www.permedica.it/jump-system/)
## [JUMP System](https://www.permedica.it/jump-system/)
- [  ](https://www.permedica.it/jump-traser/)
## [JUMP System TRASER](https://www.permedica.it/jump-traser/)
- [  ](https://www.permedica.it/acorn-traser/)
## [ACORN TRASER](https://www.permedica.it/acorn-traser/)
- [  ](https://www.permedica.it/acorn/)
## [ACORN](https://www.permedica.it/acorn/)
- [  ](https://www.permedica.it/jump-cemented/)
## [JUMP System CEMENTED](https://www.permedica.it/jump-cemented/)
- [  ](https://www.permedica.it/inserti-articolari/)
## [Inserti Articolari](https://www.permedica.it/inserti-articolari/)
- [  ](https://www.permedica.it/jump-system-traser-rm/)
## [JUMP System TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
- [  ](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
## [JUMP System TRASER Cage Acetabolare](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
- [  ](https://www.permedica.it/custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/custom-made/)
- [  ](https://www.permedica.it/universal-cup-removal-system/)
## [Universal Cup Removal System](https://www.permedica.it/universal-cup-removal-system/)
---
### [HOJA DE INFORMACIÓN AL PACIENTE](https://www.permedica.it/area-paziente/osseointegration-foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### HOJA DE INFORMACIÓN AL PACIENTE
- **Italiano –** [PILO000IT rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000IT-rev.-01.1_07-2026.pdf)
- **Español –** [PILO000EN rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000EN-rev.-01.1_07-2026.pdf)
---
### [OSSEOINTEGRATION PATIENT INFORMATION LEAFLET](https://www.permedica.it/area-paziente/osseointegration-foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### PATIENT INFORMATION LEAFLET
- **English –** [PILO000EN rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000EN-rev.-01.1_07-2026.pdf)
- **Italiano –** [PILO000IT rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000IT-rev.-01.1_07-2026.pdf)
---
### [OSSEOINTEGRATION BROCHURE D'INFORMATION AUX PATIENTS](https://www.permedica.it/area-paziente/osseointegration-foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### BROCHURE D’INFORMATION AUX PATIENTS
- **English –** [PILO000EN rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000EN-rev.-01.1_07-2026.pdf)
- **Italiano –** [PILO000IT rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000IT-rev.-01.1_07-2026.pdf)
---
### [OSSEOINTEGRATION PATIENT INFORMATION LEAFLET](https://www.permedica.it/area-paziente/osseointegration-foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### PATIENT INFORMATION LEAFLET
- **English –** [PILO000EN rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000EN-rev.-01.1_07-2026.pdf)
- **Italiano –** [PILO000IT rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000IT-rev.-01.1_07-2026.pdf)
---
### [OSSEOINTEGRATION FOGLIO INFORMATIVO PER IL PAZIENTE](https://www.permedica.it/area-paziente/osseointegration-foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### FOGLIO INFORMATIVO PER IL PAZIENTE
- **Italiano –** [PILO000IT rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000IT-rev.-01.1_07-2026.pdf)
- **English –** [PILO000EN rev. 01.1](https://www.permedica.it/wp-content/uploads/2026/07/PILO000EN-rev.-01.1_07-2026.pdf)
---
### [HOJA DE INFORMACIÓN AL PACIENTE](https://www.permedica.it/area-paziente/spalla-paziente/foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### HOJA DE INFORMACIÓN AL PACIENTE
- **Italiano –** [PILS000IT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000IT-rev.-03.0-01-2026.pdf)
- **Español –** [PILS000ES rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000ES-rev.-03.0-01-2026.pdf)
- **Français** [PILS000FR rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000FR-rev.-03.0-01-2026.pdf)
- **Deutsch –** [PILS000DE rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000DE-rev.-03.0-01-2026.pdf)
- **English –** [PILS000EN rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000EN-rev.-03.0-01-2026.pdf)
- **Português –** [PILS000PT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000PT-rev.-03.0-01-2026.pdf)
- **Український** **–** [PILS000UA rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000UA-rev.-03.0-01-2026.pdf)
---
### [PATIENT INFORMATION LEAFLET](https://www.permedica.it/area-paziente/spalla-paziente/foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### PATIENT INFORMATION LEAFLET
- **Deutsch –** [PILS000DE rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000DE-rev.-03.0-01-2026.pdf)
- **Italiano –** [PILS000IT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000IT-rev.-03.0-01-2026.pdf)
- **English –** [PILS000EN rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000EN-rev.-03.0-01-2026.pdf)
- **Français –** [PILS000FR rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000FR-rev.-03.0-01-2026.pdf)
- **Español –** [PILS000ES rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000ES-rev.-03.0-01-2026.pdf)
- **Português –** [PILS000PT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000PT-rev.-03.0-01-2026.pdf)
- **Український** **–** [PILS000UA rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000UA-rev.-03.0-01-2026.pdf)
---
### [BROCHURE D'INFORMATION AUX PATIENTS](https://www.permedica.it/area-paziente/spalla-paziente/foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### BROCHURE D’INFORMATION AUX PATIENTS
- **Français –** [PILS000FR rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000FR-rev.-03.0-01-2026.pdf)
- **Italiano –** [PILS000IT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000IT-rev.-03.0-01-2026.pdf)
- **English –** [PILS000EN rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000EN-rev.-03.0-01-2026.pdf)
- **Deutsch –** [PILS000DE rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000DE-rev.-03.0-01-2026.pdf)
- **Español –** [PILS000ES rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000ES-rev.-03.0-01-2026.pdf)
- **Português –** [PILS000PT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000PT-rev.-03.0-01-2026.pdf)
- **Український** **–** [PILS000UA rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000UA-rev.-03.0-01-2026.pdf)
---
### [PATIENT INFORMATION LEAFLET](https://www.permedica.it/area-paziente/spalla-paziente/foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### PATIENT INFORMATION LEAFLET
- **English –** [PILS000EN rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000EN-rev.-03.0-01-2026.pdf)
- **Italiano –** [PILS000IT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000IT-rev.-03.0-01-2026.pdf)
- **Français –** [PILS000FR rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000FR-rev.-03.0-01-2026.pdf)
- **Deutsch –** [PILS000DE rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000DE-rev.-03.0-01-2026.pdf)
- **Español –** [PILS000ES rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000ES-rev.-03.0-01-2026.pdf)
- **Português –** [PILS000PT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000PT-rev.-03.0-01-2026.pdf)
- **Український** **–** [PILS000UA rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000UA-rev.-03.0-01-2026.pdf)
---
### [FOGLIO INFORMATIVO PER IL PAZIENTE](https://www.permedica.it/area-paziente/spalla-paziente/foglio-informativo-per-il-paziente/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### FOGLIO INFORMATIVO PER IL PAZIENTE
- **Italiano –** [PILS000IT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000IT-rev.-03.0-01-2026.pdf)
- **English –** [PILS000EN rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000EN-rev.-03.0-01-2026.pdf)
- **Français –** [PILS000FR rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000FR-rev.-03.0-01-2026.pdf)
- **Deutsch –** [PILS000DE rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000DE-rev.-03.0-01-2026.pdf)
- **Español –** [PILS000ES rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000ES-rev.-03.0-01-2026.pdf)
- **Português –** [PILS000PT rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000PT-rev.-03.0-01-2026.pdf)
- **Український** **–** [PILS000UA rev. 03.0 01-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILS000UA-rev.-03.0-01-2026.pdf)
---
### [HOJA DE INFORMACIÓN AL PACIENTE](https://www.permedica.it/area-paziente/ginocchio-paziente/foglio-informativo-per-il-paziente-ginocchio/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### HOJA DE INFORMACIÓN AL PACIENTE
- **Italiano –** [PILG000IT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000IT-rev.-03.0-07-2026.pdf)
- **Español –** [PILG000ES rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000ES-rev.-03.0-07-2026.pdf)
- **Français** [PILG000FR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000FR-rev.-03.0-07-2026.pdf)
- **Deutsch –** [PILG000DE rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000DE-rev.-03.0-07-2026.pdf)
- **English –** [PILG000ES rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000ES-rev.-03.0-07-2026.pdf)
- **Português –** [PILG000PT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000PT-rev.-03.0-07-2026.pdf)
- **한국인 –** [PILG000KR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000KR-rev.-03.0-07-2026.pdf)
- **日本語 –** [PILG000JP rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000JP-rev.-03.0-07-2026.pdf)
- **中文 –** [PILG000CN(t) rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000CNt-rev.-03.0-07-2026.pdf)
- **Український** **–** [PILG000UA rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000UA-rev.-03.0-07-2026.pdf)
---
### [PATIENT INFORMATION LEAFLET](https://www.permedica.it/area-paziente/ginocchio-paziente/foglio-informativo-per-il-paziente-ginocchio/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### PATIENT INFORMATION LEAFLET
- **Deutsch –** [PILG000DE rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000DE-rev.-03.0-07-2026.pdf)
- **Italiano –** [PILG000IT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000IT-rev.-03.0-07-2026.pdf)
- **English –** [PILG000EN rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000EN-rev.-03.0-07-2026.pdf)
- **Français –** [PILG000FR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000FR-rev.-03.0-07-2026.pdf)
- **Español –** [PILG000ES rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000ES-rev.-03.0-07-2026.pdf)
- **Português –** [PILG000PT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000PT-rev.-03.0-07-2026.pdf)
- **한국인 –** [PILG000KR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000KR-rev.-03.0-07-2026.pdf)
- **日本語 –** [PILG000JP rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000JP-rev.-03.0-07-2026.pdf)
- **中文** **–** [PILG000CN(t) rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000CNt-rev.-03.0-07-2026.pdf)
- **Український** **–** [PILG000UA rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000UA-rev.-03.0-07-2026.pdf)
---
### [BROCHURE D'INFORMATION AUX PATIENTS](https://www.permedica.it/area-paziente/ginocchio-paziente/foglio-informativo-per-il-paziente-ginocchio/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### BROCHURE D’INFORMATION AUX PATIENTS
- **Français –** [PILG000FR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000FR-rev.-03.0-07-2026.pdf)
- **Italiano –** [PILG000IT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000IT-rev.-03.0-07-2026.pdf)
- **English –** [PILG000EN rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000EN-rev.-03.0-07-2026.pdf)
- **Deutsch –** [PILG000DE rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000DE-rev.-03.0-07-2026.pdf)
- **Español –** [PILG000ES rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000ES-rev.-03.0-07-2026.pdf)
- **Português –** [PILG000PT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000PT-rev.-03.0-07-2026.pdf)
- **한국인 –** [PILG000KR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000KR-rev.-03.0-07-2026.pdf)
- **日本語 –** [PILG000JP rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000JP-rev.-03.0-07-2026.pdf)
- **中文** **–** [PILG000CN(t) rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000CNt-rev.-03.0-07-2026.pdf)
- **Український** **–** [PILG000UA rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000UA-rev.-03.0-07-2026.pdf)
---
### [PATIENT INFORMATION LEAFLET](https://www.permedica.it/area-paziente/ginocchio-paziente/foglio-informativo-per-il-paziente-ginocchio/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### PATIENT INFORMATION LEAFLET
- **English –** [PILG000EN rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000EN-rev.-03.0-07-2026-1.pdf)
- **Italiano –** [PILG000IT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000IT-rev.-03.0-07-2026-1.pdf)
- **Français –** [PILG000FR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000FR-rev.-03.0-07-2026-1.pdf)
- **Deutsch –** [PILG000DE rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000DE-rev.-03.0-07-2026-2.pdf)
- **Español –** [PILG000ES rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000ES-rev.-03.0-07-2026-1.pdf)
- **Português –** [PILG000PT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000PT-rev.-03.0-07-2026-1.pdf)
- **한국인 –** [PILG000KR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000KR-rev.-03.0-07-2026-1.pdf)
- **日本語 –** [PILG000JP rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000JP-rev.-03.0-07-2026-1.pdf)
- **中文 –** [PILG000CN(t) rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000CNt-rev.-03.0-07-2026-1.pdf)
- **Український** **–** [PILG000UA rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000UA-rev.-03.0-07-2026-1.pdf)
---
### [FOGLIO INFORMATIVO PER IL PAZIENTE](https://www.permedica.it/area-paziente/ginocchio-paziente/foglio-informativo-per-il-paziente-ginocchio/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### FOGLIO INFORMATIVO PER IL PAZIENTE
- **Italiano –** [PILG000IT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000IT-rev.-03.0-07-2026-1.pdf)
- **English –** [PILG000EN rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000EN-rev.-03.0-07-2026-1.pdf)
- **Français –** [PILG000FR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000FR-rev.-03.0-07-2026-1.pdf)
- **Deutsch –** [PILG000DE rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000DE-rev.-03.0-07-2026-2.pdf)
- **Español –** [PILG000ES rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000ES-rev.-03.0-07-2026-1.pdf)
- **Português –** [PILG000PT rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000PT-rev.-03.0-07-2026-1.pdf)
- **한국인 –** [PILG000KR rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000KR-rev.-03.0-07-2026-1.pdf)
- **日本語 –** [PILG000JP rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000JP-rev.-03.0-07-2026-1.pdf)
- **中文 –** [PILG000CN(t) rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000CNt-rev.-03.0-07-2026-2.pdf)
- **Український** **–** [PILG000UA rev. 03.0 07-2026](https://www.permedica.it/wp-content/uploads/2026/07/PILG000UA-rev.-03.0-07-2026-1.pdf)
---
### [SILVER-PORE](https://www.permedica.it/innovation-systems/silver-pore/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### SILVER-PORE
Silver-Pore is an owner technology of surface engineering projected to integrate the silver ions in the implant’s surface.
Silver ions are released in a controlled and gradually way, contributing to decrease the bacterial colonization and the biofilm formation, without modify the mechanical characteristics of the implant.
Advanced protection, integrated in the surface.
#### KEY CONCEPTS OF SILVER-PORE
- Owner technologies of **surface engineering**
- Controlled release of **silver ions (Ag+)**
- Helps to **prevent the colonization and the biofilm formation**
- Integration of **silver ions on the implant’s surface**
- Industrial process **repeatable** and **controlled**
- Developed with **years of research** and experimental evaluation
#### MECHANISM OF ACTION
Silver-Pore surface is designed to **allow the release of silver ions (Ag+)**
1. Silver ions are integrated in the surface
2. Silver ions are released in a controlled and active way over time
3. Bacterial colonization and biofilm formation are reducted
ENGINEERED SURFACE TECHNOLOGY
Silver-Pore is an owner process that integrates silver ions (Ag +) directly on the implant’s surface, without additive coatings
- Surface integration of ions Ag+
- Controlled and prolonged release
- Preservation of mechanical properties of the implant
- Repeatable and industrialise process
#### REFERENCES
**A Silver Ion-doped Calcium Phosphate-based Ceramic Nanopowder-coated Prosthesis Increased Infection Resistance** – Kose, Nusret ; Otuzbir, Ali ; Pekşen, Ceren ; Kiremitçi, Abdurrahman ; Doğan, Aydın Clinical Orthopaedics and Related Research®, 2013, Vol.471(8), pp.2532-2539 \[Peer Reviewed Journal\]
**Silver Nanocoating Technology in the Prevention of Prosthetic Joint Infection** – Gallo. Jiri; Panacek, Ales; Prucek, Robert; Kriegova, Eva; Hradilova, Sarka; Hobza, Martin; Holinka, Martin Materials, Vol.9(5), p.337 \[Peer Reviewed Journal\].
**Development of a hydroxyapatite coating containing silver for the prevention of peri‐prosthetic infection** – Ghani, Yaser ; Coathup, Melanie J. ; Hing, Karin A. ; Blunn, Gordon W. Journal of Orthopaedic Research, March 2012, Vol.30(3), pp.356-363 \[Peer Reviewed Journal\]
**Silver ion doped ceramic nano-powder coated nails prevent infection in open fractures: In vivo study** – Kose, Nusret ; Çaylak, Remzi ; Pekşen, Ceren ; Kiremitçi, Abdurrahman ; Burukoglu, Dilek ; Koparal, Savaş ; Doğan, Aydın Injury, February 2016, Vol.47(2), pp.320-324 \[Peer Reviewed Journal\]
**Reduction of periprosthetic infection with silver‐coated megaprostheses in patients with bone sarcoma** – Hardes, Jendrik ; Von Eiff, Christof ; Streitbuerger, Arne ; Balke, Maurice Budny, Tymoteus ; Henrichs, Marcel P. ; Hauschild, Gregor ; Ahrens, Helmut Journal of Surgical Oncology, 01 April 2010, Vol.101(5), pp.389-395 \[Peer Reviewed Journal\]
**Silver-coated megaendoprostheses in a rabbit model—an analysis of the infection rate and toxicological side effects** – Gosheger, Georg ; Hardes, Jendrik ; Ahrens, Helmut ; Streitburger, Arne ; Buerger, Horst ; Erren, Michael ; Gunsel, Andreas ; Kemper, Fritz H ; Winkelmann, Winfried ; Von Eiff, Christof Biomaterials, 2004, Vol.25(24), pp.5547-5556 \[Peer Reviewed Journal\]
**Silver-coated endoprosthetic replacement of the proximal humerus in case of tumour—is there an increased risk of periprosthetic infection by using a trevira tube?** – Schmolders, Jan ; Koob, Sebastian ; Schepers, Paul ; Kehrer, Michael ; Frey, Sönke ; Wirtz, Dieter ; Pennekamp, Peter ; Strauss, Andreas International Orthopaedics, 2017, Vol.41(2), pp.423-428 \[Peer Reviewed Journal\]
**Lower limb reconstruction in tumor patients using modular silver-coated megaprostheses with regard to perimegaprosthetic joint infection: a case series, including 100 patients and review of the literature –** Schmolders, J. ; Koob, S. ; Schepers, P. ; Pennekamp, P. ; Gravius, S. ; Wirtz, D. ; Placzek, R. ; Strauss, A. Archives of Orthopaedic and Trauma Surgery, 2017, Vol.137(2), pp.149-153 \[Peer Reviewed Journal\]
**Silver-coated (Agluna®) tumour prostheses can be a protective factor against infection in high risk failure patients** – Parry, Michael C ; Laitinen, Minna K ; Albergo, Jose I ; Gaston, Czar L ; Stevenson, Jonathan D ; Grimer, Robert J ; Jeys, Lee M European Journal of Surgical Oncology, April 2019, Vol.45(4), pp.704-710 \[Peer Reviewed Journal\]
---
### [SILVER-PORE](https://www.permedica.it/innovation-systems/silver-pore/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### SILVER-PORE
**“Ogni impianto è progettato per durare. Silver-Pore è progettato per proteggerlo.’’**
Silver-Pore è una tecnologia proprietaria di ingegnerizzazione superficiale progettata per integrare ioni d’argento (Ag+) all’interno della superficie dell’impianto.
Gli ioni d’argento vengono rilasciati in modo graduale e controllato, contribuendo a ridurre la colonizzazione batterica e la formazione del biofilm, senza alterare le caratteristiche meccaniche dell’impianto.
Una protezione avanzata, integrata nella superficie.
KEY CONCEPTS OF SILVER-PORE
- Tecnologia proprietaria di **ingegnerizzazione superficiale**
- Rilascio controllato di **ioni d’argento (Ag+)**
- Aiuta a **prevenire la colonizzazione** e la **formazione del biofilm**
- Integra gli **ioni d’argento nella superficie** dell’impianto
- Processo industriale **ripetibile e controllato**
- Sviluppato attraverso **anni di ricerca** e validazione sperimentale
#### MECCANISMO DI AZIONE
La superficie Silver-Pore è progettata per favorire il **rilascio controllato di ioni d’argento (Ag+)**
1. Gli ioni d’argento sono integrati nella superficie
2. Gli Ioni Ag+ vengono rilasciati in modo controllato e attivo nel tempo
3. La colonizzazione batterica e la formazione dei biofilm vengono ridotte
TECNOLOGIA DI SUPERFICIE INGEGNERIZZATA
Silver-Pore è un processo proprietario che integra gli ioni d’argento (Ag+) direttamente nella superficie dell’impianto, senza rivestimenti aggiuntivi.
- Integrazione superficiale degli ioni Ag+
- Rilascio controllato e prolungato
- Preservazione delle proprietà meccaniche dell’impianto
- Processo industriale ripetibile
#### BIBLIOGRAFIA
**A Silver Ion-doped Calcium Phosphate-based Ceramic Nanopowder-coated Prosthesis Increased Infection Resistance** – Kose, Nusret ; Otuzbir, Ali ; Pekşen, Ceren ; Kiremitçi, Abdurrahman ; Doğan, Aydın Clinical Orthopaedics and Related Research®, 2013, Vol.471(8), pp.2532-2539 \[Peer Reviewed Journal\]
**Silver Nanocoating Technology in the Prevention of Prosthetic Joint Infection** – Gallo. Jiri; Panacek, Ales; Prucek, Robert; Kriegova, Eva; Hradilova, Sarka; Hobza, Martin; Holinka, Martin Materials, Vol.9(5), p.337 \[Peer Reviewed Journal\].
**Development of a hydroxyapatite coating containing silver for the prevention of peri‐prosthetic infection** – Ghani, Yaser ; Coathup, Melanie J. ; Hing, Karin A. ; Blunn, Gordon W. Journal of Orthopaedic Research, March 2012, Vol.30(3), pp.356-363 \[Peer Reviewed Journal\]
**Silver ion doped ceramic nano-powder coated nails prevent infection in open fractures: In vivo study** – Kose, Nusret ; Çaylak, Remzi ; Pekşen, Ceren ; Kiremitçi, Abdurrahman ; Burukoglu, Dilek ; Koparal, Savaş ; Doğan, Aydın Injury, February 2016, Vol.47(2), pp.320-324 \[Peer Reviewed Journal\]
**Reduction of periprosthetic infection with silver‐coated megaprostheses in patients with bone sarcoma** – Hardes, Jendrik ; Von Eiff, Christof ; Streitbuerger, Arne ; Balke, Maurice Budny, Tymoteus ; Henrichs, Marcel P. ; Hauschild, Gregor ; Ahrens, Helmut Journal of Surgical Oncology, 01 April 2010, Vol.101(5), pp.389-395 \[Peer Reviewed Journal\]
**Silver-coated megaendoprostheses in a rabbit model—an analysis of the infection rate and toxicological side effects** – Gosheger, Georg ; Hardes, Jendrik ; Ahrens, Helmut ; Streitburger, Arne ; Buerger, Horst ; Erren, Michael ; Gunsel, Andreas ; Kemper, Fritz H ; Winkelmann, Winfried ; Von Eiff, Christof Biomaterials, 2004, Vol.25(24), pp.5547-5556 \[Peer Reviewed Journal\]
**Silver-coated endoprosthetic replacement of the proximal humerus in case of tumour—is there an increased risk of periprosthetic infection by using a trevira tube?** – Schmolders, Jan ; Koob, Sebastian ; Schepers, Paul ; Kehrer, Michael ; Frey, Sönke ; Wirtz, Dieter ; Pennekamp, Peter ; Strauss, Andreas International Orthopaedics, 2017, Vol.41(2), pp.423-428 \[Peer Reviewed Journal\]
**Lower limb reconstruction in tumor patients using modular silver-coated megaprostheses with regard to perimegaprosthetic joint infection: a case series, including 100 patients and review of the literature –** Schmolders, J. ; Koob, S. ; Schepers, P. ; Pennekamp, P. ; Gravius, S. ; Wirtz, D. ; Placzek, R. ; Strauss, A. Archives of Orthopaedic and Trauma Surgery, 2017, Vol.137(2), pp.149-153 \[Peer Reviewed Journal\]
**Silver-coated (Agluna®) tumour prostheses can be a protective factor against infection in high risk failure patients** – Parry, Michael C ; Laitinen, Minna K ; Albergo, Jose I ; Gaston, Czar L ; Stevenson, Jonathan D ; Grimer, Robert J ; Jeys, Lee M European Journal of Surgical Oncology, April 2019, Vol.45(4), pp.704-710 \[Peer Reviewed Journal\]
---
### [DOCUMENTOS INFORMATIVOS](https://www.permedica.it/documenti-informativi/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### DOCUMENTOS INFORMATIVOS
#### Aquí puedes descargar las Instrucciones de uso de nuestros productos en formato electrónico:
[](https://permedica.eifu-service.com/)
**\**NOTA: transición a la IFU electrónica en curso. Si el documento no está disponible en el enlace indicado, consulta la sección siguiente.***
**Instrucciones para rellenar la “Tarjeta portadora del implante”:**
- [IC000EN Rev. 01.0 Permedica Implant Card – Instruction for use](https://www.permedica.it/wp-content/uploads/2021/07/IC000EN-rev.01.0-Implant_Card-Instruction-for-Use.pdf)
- [IC000IT Rev. 01.0 Permedica Tessera per il Portatore di Impianto – Istruzioni per l’uso](https://www.permedica.it/wp-content/uploads/2021/07/IC000IT-rev.01.0-Implant_Card-Istruzioni-per-utilizzo.pdf)
**Instrucciones de uso de “Productos sanitarios implantables”:**
- [IFUP001 rev. 5.2 – Prótesis de cadera y rodilla – Instrucciones de uso](https://www.permedica.it/wp-content/uploads/2026/07/IFUP001-Rev.-05.2-Endoprotesi-articolari_900x490.pdf)
- [IFUS001 rev. 4.1 – Prótesis de hombro – Instrucciones de uso](https://www.permedica.it/wp-content/uploads/2026/07/IFUS001-Rev.-4.1-Protesi-spalla-MIRAI-720x490_Print.pdf)
- [IFUO002 Rev. 02.0 – Dispositivos de osteosíntesis – Instrucciones de uso](https://www.permedica.it/wp-content/uploads/2021/09/IFUO002-Rev.-02.0-Prodotti-Osteosintesi-490x450_Print.pdf)
- [IFUO001 Rev. 03.1 – Sistema de osteointegración de prótesis de miembro – Instrucciones de uso](https://www.permedica.it/wp-content/uploads/2026/07/IFUO001-Rev.-03.1-Sistema-OPL_490x720.pdf)
**Instrucciones de uso del “Instrumental quirúrgico**
- **Español –** [IFUI001ES Rev. 02.0 Instrucciones para el cuidado, limpieza, desinfección y esterilización de instrumental quirúrgico](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001ES-Rev.-02.0-Instrucciones-para-el-cuidado-limpieza-desinfección-y-esterilización-de-instrumental-quirúrgico.pdf)
- **Português –** [IFUI001PT Rev. 02.0 Instruções para o cuidado, limpeza, desinfecção e esterilização de instrumentos cirúrgicos](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PT-Rev.-02.0-Instruções-para-o-cuidado-limpeza-desinfecção-e-esterilização-de-instrumentos-cirúrgicos.pdf)
- **Hrvatski –** [IFUI001HR Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001HR-Rev.-02.0-Instructions-for-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Polski –** [IFUI001PL Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PL-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Український –** [IFUI001UA Rev. 02.0 Instrucciones para el cuidado, limpieza, desinfección y esterilización del instrumental quirúrgico](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001UA-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Deutsch –** [IFUI001DE Rev. 02.0 Hinweise zur Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001DE-Rev.-02.0-Hinweise-zur-Pflege-Reinigung-Desinfektion-und-Sterilisation-von-chirurgischen-Instrumenten.pdf)
- **English –** [IFUI001EN Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001EN-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Français –** [IFUI001FR Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001FR-Rev.-02.0-Instructions-pour-lentretien-le-nettoyage-la-désinfection-et-la-stérilisation-des-instruments-chirurgicaux.pdf)
- **Italiano –** [IFUI001IT Rev. 02.0 Istruzioni pulizia Disinfezione e Sterilizzazione Strumentari](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001IT-Rev.-02.0-Istruzioni-Pulizia-disinfezione-e-Sterilizzazione-Strumentari.pdf)
-
- **Ελληνική –** [IFUI001GR Rev. 02.0 Instrucciones para el cuidado, limpieza, desinfección y esterilización del instrumental quirúrgico](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001GR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **日本語 –** [IFUI001JP Rev. 02.0 Instrucciones para el cuidado, limpieza, desinfección y esterilización del instrumental quirúrgico](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001JP-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **한국인 –** [IFUI001KR Rev. 02.0 Instrucciones para el cuidado, limpieza, desinfección y esterilización del instrumental quirúrgico](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001KR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
#### CLOUD
#### Utilizando tus credenciales, aquí puedes acceder al [CLOUD Permedica](https://permedica.owncloud.online/login).
---
### [DOCUMENTS D'INFORMATION](https://www.permedica.it/documenti-informativi/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### DOCUMENTS D’INFORMATION
#### Vous pouvez télécharger ici les modes d’emploi de nos produits en format électronique :
[](https://permedica.eifu-service.com/)
**\**NOTE : le passage à l’IFU électronique est en cours. Si le document n’est pas disponible au lien indiqué, veuillez consulter la section ci-dessous.***
**Instructions pour remplir la “carte de porteur d’implant” :**
- [IC000EN Rev. 01.0 Carte d’implant Permedica – Mode d’emploi](https://www.permedica.it/wp-content/uploads/2021/07/IC000EN-rev.01.0-Implant_Card-Instruction-for-Use.pdf)
- [IC000IT Rev. 01.0 Carte de porte-implant Permedica – Mode d’emploi](https://www.permedica.it/wp-content/uploads/2021/07/IC000IT-rev.01.0-Implant_Card-Istruzioni-per-utilizzo.pdf)
**Mode d’emploi des “dispositifs médicaux implantables” :**
- [IFUP001 rev. 5.2 – Prothèse de hanche et de genou – Mode d’emploi](https://www.permedica.it/wp-content/uploads/2026/07/IFUP001-Rev.-05.2-Endoprotesi-articolari_900x490.pdf)
- [IFUS001 rev. 4.1 – Prothèse d’épaule – Mode d’emploi](https://www.permedica.it/wp-content/uploads/2026/07/IFUS001-Rev.-4.1-Protesi-spalla-MIRAI-720x490_Print.pdf)
- [IFUO002 Rev. 02.0 – Dispositifs d’ostéosynthèse – Instructions d’utilisation](https://www.permedica.it/wp-content/uploads/2021/09/IFUO002-Rev.-02.0-Prodotti-Osteosintesi-490x450_Print.pdf)
- [IFUO001 Rev. 03.1 – Système d’ostéointégration de prothèse de membre – Mode d’emploi](https://www.permedica.it/wp-content/uploads/2026/07/IFUO001-Rev.-03.1-Sistema-OPL_490x720.pdf "IFUO001 rev.3.1 - Système d'ostéointégration de prothèse de membre - Mode d'emploi")
**Instructions pour l’utilisation de l’instrumentation chirurgicale**
- **Italien –** [IFUI001EN Rev. 02.0 Instructions de nettoyage Désinfection et stérilisation des instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001IT-Rev.-02.0-Istruzioni-Pulizia-disinfezione-e-Sterilizzazione-Strumentari.pdf)
- **Anglais –** [IFUI001FR Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001EN-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Français –** [IFUI001FR Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001FR-Rev.-02.0-Instructions-pour-lentretien-le-nettoyage-la-désinfection-et-la-stérilisation-des-instruments-chirurgicaux.pdf)
- **Deutsch –** [IFUI001DE Rev. 02.0 Hinweise zur Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001DE-Rev.-02.0-Hinweise-zur-Pflege-Reinigung-Desinfektion-und-Sterilisation-von-chirurgischen-Instrumenten.pdf)
- **English –** [IFUI001ES Rev. 02.0 Instrucciones para el cuidado, limpieza, desinfección y esterilización de instrumental quirúrgico](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001ES-Rev.-02.0-Instrucciones-para-el-cuidado-limpieza-desinfección-y-esterilización-de-instrumental-quirúrgico.pdf)
- **Português –** [IFUI001PT Rev. 02.0 Instruções para o cuidado, limpeza, desinfecção e esterilização de instrumentos cirúrgicos](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PT-Rev.-02.0-Instruções-para-o-cuidado-limpeza-desinfecção-e-esterilização-de-instrumentos-cirúrgicos.pdf)
- **Hrvatski –** [IFUI001HR Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001HR-Rev.-02.0-Instructions-for-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Polski –** [IFUI001PL Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PL-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Український –** [IFUI001UA Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001UA-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Ελληνική –** [IFUI001GR Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001GR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **日本語 –** [IFUI001JP Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001JP-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **한국인 – – –** [IFUI001KR Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001KR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
#### CLOUD
#### A l’aide de vos identifiants, vous pouvez accéder ici à l’application [Permedica Cloud](https://permedica.owncloud.online/login).
---
### [INFORMATIONSDOKUMENTE](https://www.permedica.it/documenti-informativi/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### INFORMATIONSDOKUMENTE
#### Hier können Sie die Bedienungsanleitungen für unsere Produkte in elektronischer Form herunterladen:
[](https://permedica.eifu-service.com/)
**\**HINWEIS: Der Übergang zur elektronischen IFU ist im Gange. Wenn das Dokument unter dem angegebenen Link nicht verfügbar ist, konsultieren Sie bitte den unten stehenden Abschnitt.***
**Anleitung zum Ausfüllen der ‘Implantat-Trägerkarte’:**
- [IC000EN Rev. 01.0 Permedica Implantatkarte – Gebrauchsanweisung](https://www.permedica.it/wp-content/uploads/2021/07/IC000EN-rev.01.0-Implant_Card-Instruction-for-Use.pdf)
- [IC000IT Rev. 01.0 Permedica Implantat-Trägerkarte – Gebrauchsanweisung](https://www.permedica.it/wp-content/uploads/2021/07/IC000IT-rev.01.0-Implant_Card-Istruzioni-per-utilizzo.pdf)
**Gebrauchsanweisung für ‘Implantierbare medizinische Geräte’:**
- [IFUP001 rev. 5.2 – Hüft- und Knieprothese – Gebrauchsanweisung](https://www.permedica.it/wp-content/uploads/2026/07/IFUP001-Rev.-05.2-Endoprotesi-articolari_900x490.pdf)
- [IFUS001 rev. 4.1 – Schulterprothese – Gebrauchsanweisung](https://www.permedica.it/wp-content/uploads/2026/07/IFUS001-Rev.-4.1-Protesi-spalla-MIRAI-720x490_Print.pdf)
- [IFUO002 Rev. 02.0 – Osteosynthesegeräte – Gebrauchsanweisung](https://www.permedica.it/wp-content/uploads/2021/09/IFUO002-Rev.-02.0-Prodotti-Osteosintesi-490x450_Print.pdf)
- [IFUO001 Rev. 03.1 – Osseointegrationssystem für prothetische Gliedmaßen – Gebrauchsanweisung](https://www.permedica.it/wp-content/uploads/2026/07/IFUO001-Rev.-03.1-Sistema-OPL_490x720.pdf)
**Gebrauchsanweisung für ‘Chirurgisches Instrumentarium**
- **Italienisch –** [IFUI001DE Rev. 02.0 Reinigungsanleitung Instrumentendesinfektion und Sterilisation](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001IT-Rev.-02.0-Istruzioni-Pulizia-disinfezione-e-Sterilizzazione-Strumentari.pdf)
- **Englisch –** [IFUI001DE Rev. 02.0 Anleitung für die Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001EN-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Französisch –** [IFUI001FR Rev. 02.0 Anleitung für die Wartung, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001FR-Rev.-02.0-Instructions-pour-lentretien-le-nettoyage-la-de%CC%81sinfection-et-la-ste%CC%81rilisation-des-instruments-chirurgicaux.pdf)
- **Deutsch –** [IFUI001DE Rev. 02.0 Hinweise zur Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001DE-Rev.-02.0-Hinweise-zur-Pflege-Reinigung-Desinfektion-und-Sterilisation-von-chirurgischen-Instrumenten.pdf)
- **Español –** [IFUI001ES Rev. 02.0 Anleitung für die Pflege, Reinigung, Desinfektion und Sterilisation von Quirúrgico-Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001ES-Rev.-02.0-Instrucciones-para-el-cuidado-limpieza-desinfeccio%CC%81n-y-esterilizacio%CC%81n-de-instrumental-quiru%CC%81rgico.pdf)
- **Português –** [IFUI001PT Rev. 02.0 Anleitung für Pflege, Reinigung, Desinfektion und Sterilisation von Herzinstrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PT-Rev.-02.0-Instruc%CC%A7o%CC%83es-para-o-cuidado-limpeza-desinfecc%CC%A7a%CC%83o-e-esterilizac%CC%A7a%CC%83o-de-instrumentos-ciru%CC%81rgicos.pdf)
- **Hrvatski –** [IFUI001HR Rev. 02.0 Anleitung für die Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001HR-Rev.-02.0-Instructions-for-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Polski –** [IFUI001PL Rev. 02.0 Anleitung für die Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PL-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Український –** [IFUI001UA Rev. 02.0 Anleitung für die Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001UA-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Ελληνική –** [IFUI001GR Rev. 02.0 Anleitung für die Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001GR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **日本語 –** [IFUI001JP Rev. 02.0 Anleitung für die Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001JP-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **한국인 –** [IFUI001KR Rev. 02.0 Anleitung für die Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001KR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
#### CLOUD
#### Hier können Sie mit Ihren Anmeldedaten auf die [Permedica Cloud](https://permedica.owncloud.online/login).
---
### [BRIEFING PAPERS](https://www.permedica.it/documenti-informativi/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### INFORMATION DOCUMENTS
#### Here you can download the Instructions for Use of our products in electronic format:
[](https://permedica.eifu-service.com/)
**\**NOTE: Transition to electronic IFU in progress. If the document is not available at the link provided, please refer to the section below.***
**Instructions for filling out the “Implant Carrier Card.”**
- [IC000EN Rev. 01.0 Permedica Implant Card – Instruction for use](https://www.permedica.it/wp-content/uploads/2021/07/IC000EN-rev.01.0-Implant_Card-Instruction-for-Use.pdf)
- [IC000IT Rev. 01.0 Permedica Implant Carrier Card – Instructions for Use](https://www.permedica.it/wp-content/uploads/2021/07/IC000IT-rev.01.0-Implant_Card-Istruzioni-per-utilizzo.pdf)
**Instructions for use of “Implantable Medical Devices:**
- [IFUP001 rev. 5.2 – Hip & Knee Prosthesis – Instructions for Use](https://www.permedica.it/wp-content/uploads/2026/07/IFUP001-Rev.-05.2-Endoprotesi-articolari_900x490.pdf)
- [IFUS001 rev. 4.1 – Shoulder Prosthesis – Instructions for Use](https://www.permedica.it/wp-content/uploads/2026/07/IFUS001-Rev.-4.1-Protesi-spalla-MIRAI-720x490_Print.pdf)
- [IFUO002 Rev. 02.0 – Osteosynthesis devices – Instructions for use.](https://www.permedica.it/wp-content/uploads/2021/09/IFUO002-Rev.-02.0-Prodotti-Osteosintesi-490x450_Print.pdf "IFUO001 Rev. 03.1 - Osseointegration Prosthetic Limb Osseointegration System - Instructions for Use")
- [IFUO001 Rev. 03.1 – Osseointegration Prosthetic Limb Osseointegration System – Instructions for Use](https://www.permedica.it/wp-content/uploads/2021/09/IFUO001-Rev.-03.0-Sistema-OPL_A3_Print.pdf)
**Instructions for the use of “Surgical Instrumentation:**
- **Italian –** [IFUI001EN Rev. 02.0 Cleaning Instructions Disinfection and Sterilization Instrumentation](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001IT-Rev.-02.0-Istruzioni-Pulizia-disinfezione-e-Sterilizzazione-Strumentari.pdf)
- **English –** [IFUI001EN Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001EN-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Français –** [IFUI001FR Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001FR-Rev.-02.0-Instructions-pour-lentretien-le-nettoyage-la-de%CC%81sinfection-et-la-ste%CC%81rilisation-des-instruments-chirurgicaux.pdf)
- **Deutsch –** [IFUI001DE Rev. 02.0 Hinweise zur Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001DE-Rev.-02.0-Hinweise-zur-Pflege-Reinigung-Desinfektion-und-Sterilisation-von-chirurgischen-Instrumenten.pdf)
- **Español –** [IFUI001ES Rev. 02.0 Instrucciones para el cuidado, limpieza, desinfección y esterilización de instrumental quirúrgico](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001ES-Rev.-02.0-Instrucciones-para-el-cuidado-limpieza-desinfeccio%CC%81n-y-esterilizacio%CC%81n-de-instrumental-quiru%CC%81rgico.pdf)
- **Português –** [IFUI001PT Rev. 02.0 Instruções para o cuidado, limpeza, desinfecção e esterilização de instrumentos cirúrgicos](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PT-Rev.-02.0-Instruc%CC%A7o%CC%83es-para-o-cuidado-limpeza-desinfecc%CC%A7a%CC%83o-e-esterilizac%CC%A7a%CC%83o-de-instrumentos-ciru%CC%81rgicos.pdf)
- **Hrvatski –** [IFUI001HR Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001HR-Rev.-02.0-Instructions-for-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Polski –** [IFUI001PL Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PL-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Український –** [IFUI001UA Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001UA-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Ελληνική –** [IFUI001GR Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001GR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **日本語 –** [IFUI001JP Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001JP-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **한국인 –** [IFUI001KR Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001KR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
#### CLOUD
#### Using your credentials, here you can access the [Permedica cloud](https://permedica.owncloud.online/login).
---
### [DOCUMENTI INFORMATIVI](https://www.permedica.it/documenti-informativi/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### DOCUMENTI INFORMATIVI
#### Qui è possibile scaricare in formato elettronico le Istruzioni per l’uso dei nostri prodotti:
[](https://permedica.eifu-service.com/)
**\**NOTA: transizione ad IFU elettroniche in corso. In caso di non disponibilità del documento al link indicato, consultare la sezione sottostante.***
**Istruzioni per la compilazione della “Tessera per il portatore di impianto”:**
- [IC000EN Rev. 01.0 Permedica Implant Card – Instruction for use](https://www.permedica.it/wp-content/uploads/2021/07/IC000EN-rev.01.0-Implant_Card-Instruction-for-Use.pdf)
- [IC000IT Rev. 01.0 Permedica Tessera per il Portatore di Impianto – Istruzioni per l’uso](https://www.permedica.it/wp-content/uploads/2021/07/IC000IT-rev.01.0-Implant_Card-Istruzioni-per-utilizzo.pdf)
**Istruzioni per l’uso dei “Dispositivi Medici Impiantabili”:**
- [IFUP001 rev. 5.2 – Hip & Knee Prosthesis – Istruzioni per l’uso](https://www.permedica.it/wp-content/uploads/2026/07/IFUP001-Rev.-05.2-Endoprotesi-articolari_900x490.pdf)
- [IFUS001 rev. 4.1 – Shoulder Prosthesis – Istruzioni per l’uso](https://www.permedica.it/wp-content/uploads/2026/07/IFUS001-Rev.-4.1-Protesi-spalla-MIRAI-720x490_Print.pdf)
- [IFUO002 Rev. 02.0 – Dispositivi per osteosintesi – Istruzioni per l’uso](https://www.permedica.it/wp-content/uploads/2021/09/IFUO002-Rev.-02.0-Prodotti-Osteosintesi-490x450_Print.pdf)
- [IFUO001 Rev. 03.1 – Sistema OPL Osseointegration Prosthetic Limb – Istruzioni per l’uso](https://www.permedica.it/wp-content/uploads/2026/07/IFUO001-Rev.-03.1-Sistema-OPL_490x720.pdf "IFUO001 rev.3.1 – Sistema OPL Osseointegration Prosthetic Limb – Istruzioni per l’uso")
**Istruzioni per l’uso dello “Strumentario Chirurgico”:**
- **Italiano –** [IFUI001IT Rev. 02.0 Istruzioni pulizia Disinfezione e Sterilizzazione Strumentari](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001IT-Rev.-02.0-Istruzioni-Pulizia-disinfezione-e-Sterilizzazione-Strumentari.pdf)
- **English –** [IFUI001EN Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001EN-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Français –** [IFUI001FR Rev. 02.0 Instructions pour l’entretien, le nettoyage, la désinfection et la stérilisation des instruments chirurgicaux](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001FR-Rev.-02.0-Instructions-pour-lentretien-le-nettoyage-la-désinfection-et-la-stérilisation-des-instruments-chirurgicaux.pdf)
- **Deutsch –** [IFUI001DE Rev. 02.0 Hinweise zur Pflege, Reinigung, Desinfektion und Sterilisation von chirurgischen Instrumenten](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001DE-Rev.-02.0-Hinweise-zur-Pflege-Reinigung-Desinfektion-und-Sterilisation-von-chirurgischen-Instrumenten.pdf)
- **Español –** [IFUI001ES Rev. 02.0 Instrucciones para el cuidado, limpieza, desinfección y esterilización de instrumental quirúrgico](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001ES-Rev.-02.0-Instrucciones-para-el-cuidado-limpieza-desinfección-y-esterilización-de-instrumental-quirúrgico.pdf)
- **Português –** [IFUI001PT Rev. 02.0 Instruções para o cuidado, limpeza, desinfecção e esterilização de instrumentos cirúrgicos](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PT-Rev.-02.0-Instruções-para-o-cuidado-limpeza-desinfecção-e-esterilização-de-instrumentos-cirúrgicos.pdf)
- **Hrvatski –** [IFUI001HR Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001HR-Rev.-02.0-Instructions-for-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Polski –** [IFUI001PL Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001PL-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Український –** [IFUI001UA Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001UA-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **Ελληνική –** [IFUI001GR Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001GR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **日本語 –** [IFUI001JP Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001JP-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
- **한국인 –** [IFUI001KR Rev. 02.0 Instructions for the care, cleaning, disinfection and sterilization of surgical instruments](https://www.permedica.it/wp-content/uploads/2022/06/IFUI001KR-Rev.-02.0-Instructions-for-the-care-cleaning-disinfection-and-sterilization-of-surgical-instruments.pdf)
#### CLOUD
#### Utilizzando le proprie credenziali, qui è possibile accedere al [Cloud di Permedica](https://permedica.owncloud.online/login).
---
### [CODE D'ÉTHIQUE](https://www.permedica.it/corporate/codice-etico/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CODE D’ÉTHIQUE
Le 30 avril 2009, l’assemblée générale des actionnaires de Permedica S.p.A. a approuvé son code d’éthique.
Ce document établit les **principes de l’éthique d’entreprise et les règles de conduite** que l’entreprise reconnaît comme le fondement de sa politique commerciale, principes et règles inhérents aux différentes activités de l’entreprise et dont elle exige le strict respect de la part des organes de l’entreprise, de ses employés et de tous ceux qui collaborent à **la réalisation des objectifs de l’entreprise.**
L’objectif du code est de recommander, de promouvoir ou d’interdire certains comportements, au-delà et indépendamment de ce qui est prévu par la loi.
Pour tout rapport sur cette question, veuillez contacter l’organe de surveillance à l’adresse : Permedica S.p.A. via Como 38, Merate (LC) 23807
##### [CODE D’ÉTHIQUE](https://www.permedica.it/wp-content/uploads/2025/11/per-12.11.20-Codice-Etico_ITA.pdf)
##### [RÈGLEMENT DE L’ORGANE DE SURVEILLANCE](https://www.permedica.it/wp-content/uploads/2025/11/per-RegolamentoOdv-2022.pdf)
##### [MODÈLE ORGANISATIONNEL](https://www.permedica.it/wp-content/uploads/2025/11/per-22.05.31-Permedica-REV_Modello231-2022-1.pdf)
Publication de données dans le cadre des obligations de transparence prévues par le code d’éthique de la Confindustria Dispositivi Medici :
##### [TRANSFERTS DE VALEUR 2025](https://www.permedica.it/wp-content/uploads/2026/06/2025_All._1_Modello_trasparenza.pdf)
##### [NOTE MÉTHODOLOGIQUE](https://www.permedica.it/wp-content/uploads/2025/06/nota-metodologica.pdf)
##### [TRANSFERTS DE VALEUR 2024](https://www.permedica.it/wp-content/uploads/2025/06/2024_All._1_Modello_trasparenza.pdf)
##### [NOTE MÉTHODOLOGIQUE](https://www.permedica.it/wp-content/uploads/2025/06/nota-metodologica.pdf)
##### [TRANSFERTS DE VALEUR 2023](https://www.permedica.it/wp-content/uploads/2024/06/TRASFERIMENTI-DI-VALORE-2023.pdf)
##### [NOTE MÉTHODOLOGIQUE](https://www.permedica.it/wp-content/uploads/2024/06/nota-metodologica-firmata.pdf)
##### [TRANSFERTS DE VALEUR 2022](https://www.permedica.it/wp-content/uploads/2023/06/TRASFERIMENTI-DI-VALORE-2022.pdf)
##### [NOTE MÉTHODOLOGIQUE](https://www.permedica.it/wp-content/uploads/2023/06/NOTA-METODOLOGICA.pdf)
##### [TRANSFERTS DE VALEUR 2021 ](https://www.permedica.it/wp-content/uploads/2022/06/TRASFERIMENTI-DI-VALORE-2021-1.pdf)
##### [NOTE MÉTHODOLOGIQUE ](https://www.permedica.it/wp-content/uploads/2022/06/NOTA-METODOLOGICA.pdf)
##### [TRANSFERTS DE VALEUR 2020 ](https://www.permedica.it/wp-content/uploads/2021/06/MODELLO-TRASPARENZA_PERMEDICA-2020.pdf)
##### [NOTE MÉTHODOLOGIQUE ](https://www.permedica.it/wp-content/uploads/2021/06/Nota-riepilogativa-compilazione-modello-di-trasparenza-2020.pdf)
---
### [CÓDIGO ÉTICO](https://www.permedica.it/corporate/codice-etico/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CÓDIGO ÉTICO
El 30-04-2009, la Junta General de Accionistas de Permedica S.p.A. aprobó su Código Ético.
Este documento establece **los principios de Deontología Empresarial y las normas de comportamiento** que la Sociedad reconoce como fundamento de su política empresarial, principios y normas inherentes a las diversas actividades de la empresa y de los cuales exige el cumplimiento puntual por parte de los órganos sociales, de sus empleados y de todos aquellos que colaboran **para alcanzar los objetivos empresariales.**
El objetivo del código es recomendar, promover o prohibir determinados comportamientos, más allá e independientemente de lo previsto a nivel normativo.
Para cualquier comunicación al respecto, puedes ponerte en contacto con el Organismo de Vigilancia en la dirección: Permedica S.p.A. via Como 38, Merate (LC) 23807
##### [CÓDIGO ÉTICO](https://www.permedica.it/wp-content/uploads/2025/11/per-12.11.20-Codice-Etico_ITA.pdf)
##### [REGLAMENTO DEL ORGANISMO DE VIGILANCIA](https://www.permedica.it/wp-content/uploads/2025/11/per-RegolamentoOdv-2022.pdf)
##### [MODELO ORGANIZATIVO](https://www.permedica.it/wp-content/uploads/2025/11/per-22.05.31-Permedica-REV_Modello231-2022-1.pdf)
Publicación de datos en cumplimiento de las obligaciones de transparencia previstas por el Código Ético de Confindustria Dispositivi Medici:
##### [TRANSFERENCIAS DE VALOR 2025](https://www.permedica.it/wp-content/uploads/2026/06/2025_All._1_Modello_trasparenza.pdf)
##### [NOTA METODOLÓGICA](https://www.permedica.it/wp-content/uploads/2026/06/Nota-metodologica.pdf)
##### [TRANSFERENCIAS DE VALOR 2024](https://www.permedica.it/wp-content/uploads/2025/06/2024_All._1_Modello_trasparenza.pdf)
##### [NOTA METODOLÓGICA](https://www.permedica.it/wp-content/uploads/2025/06/nota-metodologica.pdf)
##### [TRANSFERENCIAS DE VALOR 2023](https://www.permedica.it/wp-content/uploads/2024/06/TRASFERIMENTI-DI-VALORE-2023.pdf)
##### [NOTA METODOLÓGICA](https://www.permedica.it/wp-content/uploads/2024/06/nota-metodologica-firmata.pdf)
##### [TRANSFERENCIAS DE VALOR 2022](https://www.permedica.it/wp-content/uploads/2023/06/TRASFERIMENTI-DI-VALORE-2022.pdf)
##### [NOTA METODOLÓGICA](https://www.permedica.it/wp-content/uploads/2023/06/NOTA-METODOLOGICA.pdf)
##### [TRANSFERENCIAS DE VALOR 2021 ](https://www.permedica.it/wp-content/uploads/2022/06/TRASFERIMENTI-DI-VALORE-2021-1.pdf)
##### [NOTA METODOLÓGICA ](https://www.permedica.it/wp-content/uploads/2022/06/NOTA-METODOLOGICA.pdf)
##### [TRANSFERENCIAS DE VALOR 2020 ](https://www.permedica.it/wp-content/uploads/2021/06/MODELLO-TRASPARENZA_PERMEDICA-2020.pdf)
##### [NOTA METODOLÓGICA ](https://www.permedica.it/wp-content/uploads/2021/06/Nota-riepilogativa-compilazione-modello-di-trasparenza-2020.pdf)
---
### [KODEX DER ETHIK](https://www.permedica.it/corporate/codice-etico/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### KODEX DER ETHIK
Am 30. April 2009 genehmigte die Hauptversammlung der Permedica S.p.A. ihren Ethikkodex.
Dieses Dokument legt **die Grundsätze der Unternehmensethik und die Verhaltensregeln** fest, die das Unternehmen als Grundlage seiner Geschäftspolitik anerkennt. Es handelt sich um Grundsätze und Regeln, die den verschiedenen Aktivitäten des Unternehmens inhärent sind und deren strikte Einhaltung es von den Organen des Unternehmens, seinen Mitarbeitern und all jenen verlangt, die **an der Erreichung der Unternehmensziele mitwirken .**
Der Zweck des Kodex ist es, bestimmte Verhaltensweisen zu empfehlen, zu fördern oder zu verbieten, und zwar über die gesetzlichen Bestimmungen hinaus und unabhängig von diesen.
Per qualsiasi segnalazione in materia è possibile contattare l’ Organismo di Vigilanza all’indirizzo: Permedica S.p.A. via Como 38, Merate (LC) 23807
##### [KODEX DER ETHIK](https://www.permedica.it/wp-content/uploads/2025/11/per-12.11.20-Codice-Etico_ITA.pdf)
##### [VERORDNUNG DER AUFSICHTSBEHÖRDE](https://www.permedica.it/wp-content/uploads/2025/11/per-RegolamentoOdv-2022.pdf)
##### [ORGANISATIONSMODELL](https://www.permedica.it/wp-content/uploads/2025/11/per-22.05.31-Permedica-REV_Modello231-2022-1.pdf)
Veröffentlichung von Daten in Erfüllung der Transparenzverpflichtungen gemäß dem Ethikkodex der Confindustria Dispositivi Medici:
##### [WERTÜBERTRAGUNGEN 2025](https://www.permedica.it/wp-content/uploads/2026/06/2025_All._1_Modello_trasparenza.pdf)
##### [ANMERKUNG ZUR METHODIK](https://www.permedica.it/wp-content/uploads/2026/06/Nota-metodologica.pdf)
##### [WERTÜBERTRAGUNGEN 2024](https://www.permedica.it/wp-content/uploads/2025/06/2024_All._1_Modello_trasparenza.pdf)
##### [ANMERKUNG ZUR METHODIK](https://www.permedica.it/wp-content/uploads/2025/06/nota-metodologica.pdf)
##### [WERTÜBERTRAGUNGEN 2023](https://www.permedica.it/wp-content/uploads/2024/06/TRASFERIMENTI-DI-VALORE-2023.pdf)
##### [ANMERKUNG ZUR METHODIK](https://www.permedica.it/wp-content/uploads/2024/06/nota-metodologica-firmata.pdf)
##### [WERTÜBERTRAGUNGEN 2022](https://www.permedica.it/wp-content/uploads/2023/06/TRASFERIMENTI-DI-VALORE-2022.pdf)
##### [ANMERKUNG ZUR METHODIK](https://www.permedica.it/wp-content/uploads/2023/06/NOTA-METODOLOGICA.pdf)
##### [WERTÜBERTRAGUNGEN 2021 ](https://www.permedica.it/wp-content/uploads/2022/06/TRASFERIMENTI-DI-VALORE-2021-1.pdf)
##### [ANMERKUNG ZUR METHODIK ](https://www.permedica.it/wp-content/uploads/2022/06/NOTA-METODOLOGICA.pdf)
##### [WERTÜBERTRAGUNGEN 2020 ](https://www.permedica.it/wp-content/uploads/2021/06/MODELLO-TRASPARENZA_PERMEDICA-2020.pdf)
##### [ANMERKUNG ZUR METHODIK ](https://www.permedica.it/wp-content/uploads/2021/06/Nota-riepilogativa-compilazione-modello-di-trasparenza-2020.pdf)
---
### [ETHICAL CODE](https://www.permedica.it/corporate/codice-etico/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ETHICAL CODE
On 04/30/2009, the Shareholders’ Meeting of Permedica S.p.A. approved its Code of Ethics.
This document establishes **the principles of Corporate Deontology and norms of behavior** that the Company recognizes as the foundation of its business policy, principles and norms inherent in the various business activities and of which it demands timely compliance by corporate bodies, its employees and all those who collaborate **to achieve the company’s objectives.**
The ‘objective of the code is to recommend, promote or prohibit certain behaviors, above and beyond and independent of what is provided at the regulatory level.
Per qualsiasi segnalazione in materia è possibile contattare l’ Organismo di Vigilanza all’indirizzo: Permedica S.p.A. via Como 38, Merate (LC) 23807
##### [ETHICAL CODE](https://www.permedica.it/wp-content/uploads/2025/11/per-12.11.20-Codice-Etico_ITA.pdf)
##### [SUPERVISORY BODY REGULATION](https://www.permedica.it/wp-content/uploads/2025/11/per-RegolamentoOdv-2022.pdf)
##### [ORGANIZATIONAL MODEL](https://www.permedica.it/wp-content/uploads/2025/11/per-22.05.31-Permedica-REV_Modello231-2022-1.pdf)
Publication of data in fulfillment of transparency obligations under the Confindustria Medical Devices Code of Ethics:
##### [TRANSFERS OF VALUE 2025](https://www.permedica.it/wp-content/uploads/2026/06/2025_All._1_Modello_trasparenza.pdf)
##### [METHODOLOGICAL NOTE](https://www.permedica.it/wp-content/uploads/2026/06/Nota-metodologica.pdf)
##### [TRANSFERS OF VALUE 2024](https://www.permedica.it/wp-content/uploads/2025/06/2024_All._1_Modello_trasparenza.pdf)
##### [METHODOLOGICAL NOTE](https://www.permedica.it/wp-content/uploads/2025/06/nota-metodologica.pdf)
##### [TRANSFERS OF VALUE 2023](https://www.permedica.it/wp-content/uploads/2024/06/TRASFERIMENTI-DI-VALORE-2023.pdf)
##### [METHODOLOGICAL NOTE](https://www.permedica.it/wp-content/uploads/2024/06/nota-metodologica-firmata.pdf)
##### [TRANSFERS OF VALUE 2022](https://www.permedica.it/wp-content/uploads/2023/06/TRASFERIMENTI-DI-VALORE-2022.pdf)
##### [METHODOLOGICAL NOTE](https://www.permedica.it/wp-content/uploads/2023/06/NOTA-METODOLOGICA.pdf)
##### [TRANSFERS OF VALUE 2021 ](https://www.permedica.it/wp-content/uploads/2022/06/TRASFERIMENTI-DI-VALORE-2021-1.pdf)
##### [METHODOLOGICAL NOTE ](https://www.permedica.it/wp-content/uploads/2022/06/NOTA-METODOLOGICA.pdf)
##### [2020 VALUE TRANSFERS ](https://www.permedica.it/wp-content/uploads/2021/06/MODELLO-TRASPARENZA_PERMEDICA-2020.pdf)
##### [METHODOLOGICAL NOTE ](https://www.permedica.it/wp-content/uploads/2021/06/Nota-riepilogativa-compilazione-modello-di-trasparenza-2020.pdf)
---
### [CODICE ETICO](https://www.permedica.it/corporate/codice-etico/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CODICE ETICO
In data 30.04.2009, l’ Assemblea dei Soci di Permedica S.p.A. ha approvato il proprio Codice Etico.
Tale documento stabilisce **i principi di Deontologia Aziendale e le norme di comportamento** che la Società riconosce come fondamento della propria politica imprenditoriale, principi e norme inerenti le diverse attività aziendali e dei quali esige il puntuale rispetto da parte degli organi societari, dei propri dipendenti e di tutti coloro che collaborano **per il raggiungimento degli obiettivi aziendali.**
L’ obiettivo del codice è quello di raccomandare, promuovere o vietare determinati comportamenti, al di là ed indipendentemente da quanto previsto a livello normativo.
Per qualsiasi segnalazione in materia è possibile contattare l’ Organismo di Vigilanza all’indirizzo: Permedica S.p.A. via Como 38, Merate (LC) 23807
##### [CODICE ETICO](https://www.permedica.it/wp-content/uploads/2025/11/per-12.11.20-Codice-Etico_ITA.pdf)
##### [REGOLAMENTO ORGANISMO DI VIGILANZA](https://www.permedica.it/wp-content/uploads/2025/11/per-RegolamentoOdv-2022.pdf)
##### [MODELLO ORGANIZZATIVO](https://www.permedica.it/wp-content/uploads/2025/11/per-22.05.31-Permedica-REV_Modello231-2022-1.pdf)
Pubblicazione dei dati in adempimento agli obblighi di trasparenza previsti dal Codice Etico Confindustria Dispositivi Medici:
##### [TRASFERIMENTI DI VALORE 2025](https://www.permedica.it/wp-content/uploads/2026/06/2025_All._1_Modello_trasparenza.pdf)
##### [NOTA METODOLOGICA](https://www.permedica.it/wp-content/uploads/2026/06/Nota-metodologica.pdf)
##### [TRASFERIMENTI DI VALORE 2024](https://www.permedica.it/wp-content/uploads/2025/06/2024_All._1_Modello_trasparenza.pdf)
##### [NOTA METODOLOGICA](https://www.permedica.it/wp-content/uploads/2025/06/nota-metodologica.pdf)
##### [TRASFERIMENTI DI VALORE 2023](https://www.permedica.it/wp-content/uploads/2024/06/TRASFERIMENTI-DI-VALORE-2023.pdf)
##### [NOTA METODOLOGICA](https://www.permedica.it/wp-content/uploads/2024/06/nota-metodologica-firmata.pdf)
##### [TRASFERIMENTI DI VALORE 2022](https://www.permedica.it/wp-content/uploads/2023/06/TRASFERIMENTI-DI-VALORE-2022.pdf)
##### [NOTA METODOLOGICA](https://www.permedica.it/wp-content/uploads/2023/06/NOTA-METODOLOGICA.pdf)
##### [TRASFERIMENTI DI VALORE 2021 ](https://www.permedica.it/wp-content/uploads/2022/06/TRASFERIMENTI-DI-VALORE-2021-1.pdf)
##### [NOTA METODOLOGICA ](https://www.permedica.it/wp-content/uploads/2022/06/NOTA-METODOLOGICA.pdf)
##### [TRASFERIMENTI DI VALORE 2020 ](https://www.permedica.it/wp-content/uploads/2021/06/MODELLO-TRASPARENZA_PERMEDICA-2020.pdf)
##### [NOTA METODOLOGICA ](https://www.permedica.it/wp-content/uploads/2021/06/Nota-riepilogativa-compilazione-modello-di-trasparenza-2020.pdf)
---
### [RODILLA](https://www.permedica.it/area-chirurgo/ginocchio/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/gks-one-evo/)
## [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
- [  ](https://www.permedica.it/gks-prime-flex-mobile/)
## [GKS PRIME Flex Mobile](https://www.permedica.it/gks-prime-flex-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-ps-mobile/)
## [GKS PRIME Flex PS Mobile](https://www.permedica.it/gks-prime-flex-ps-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-cr/)
## [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
- [  ](https://www.permedica.it/gks-prime-flex-traser/)
## [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
- [  ](https://www.permedica.it/gks-prime-flex-ps/)
## [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
- [  ](https://www.permedica.it/gks-prime-flex-smart-revision/)
## [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
- [  ](https://www.permedica.it/gks-prime-flex-rk-new/)
## [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
- [  ](https://www.permedica.it/gks-butterfly/)
## [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
- [  ](https://www.permedica.it/traser-cones/)
## [TRASER CONES](https://www.permedica.it/traser-cones/)
- [  ](https://www.permedica.it/strumentario-smart/)
## [STRUMENTARIO SMART](https://www.permedica.it/strumentario-smart/)
- [  ](https://www.permedica.it/gks-am/)
## [GKS AM](https://www.permedica.it/gks-am/)
- [  ](https://www.permedica.it/soluzioni-patient-specific/)
## [Soluzioni
Patient Specific](https://www.permedica.it/soluzioni-patient-specific/)
- [  ](https://www.permedica.it/soluzioni-custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [KNIE](https://www.permedica.it/area-chirurgo/ginocchio/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/gks-one-evo/)
## [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
- [  ](https://www.permedica.it/gks-prime-flex-mobile/)
## [GKS PRIME Flex Mobile](https://www.permedica.it/gks-prime-flex-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-ps-mobile/)
## [GKS PRIME Flex PS Mobile](https://www.permedica.it/gks-prime-flex-ps-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-cr/)
## [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
- [  ](https://www.permedica.it/gks-prime-flex-traser/)
## [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
- [  ](https://www.permedica.it/gks-prime-flex-ps/)
## [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
- [  ](https://www.permedica.it/gks-prime-flex-smart-revision/)
## [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
- [  ](https://www.permedica.it/gks-prime-flex-rk-new/)
## [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
- [  ](https://www.permedica.it/gks-butterfly/)
## [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
- [  ](https://www.permedica.it/traser-cones/)
## [TRASER CONES](https://www.permedica.it/traser-cones/)
- [  ](https://www.permedica.it/strumentario-smart/)
## [STRUMENTARIO SMART](https://www.permedica.it/strumentario-smart/)
- [  ](https://www.permedica.it/gks-am/)
## [GKS AM](https://www.permedica.it/gks-am/)
- [  ](https://www.permedica.it/soluzioni-patient-specific/)
## [Soluzioni
Patient Specific](https://www.permedica.it/soluzioni-patient-specific/)
- [  ](https://www.permedica.it/soluzioni-custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [GINOCCHIO](https://www.permedica.it/area-chirurgo/ginocchio/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/gks-one-evo/)
## [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
- [  ](https://www.permedica.it/gks-prime-flex-mobile/)
## [GKS PRIME Flex Mobile](https://www.permedica.it/gks-prime-flex-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-ps-mobile/)
## [GKS PRIME Flex PS Mobile](https://www.permedica.it/gks-prime-flex-ps-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-cr/)
## [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
- [  ](https://www.permedica.it/gks-prime-flex-traser/)
## [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
- [  ](https://www.permedica.it/gks-prime-flex-ps/)
## [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
- [  ](https://www.permedica.it/gks-prime-flex-smart-revision/)
## [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
- [  ](https://www.permedica.it/gks-prime-flex-rk-new/)
## [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
- [  ](https://www.permedica.it/gks-butterfly/)
## [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
- [  ](https://www.permedica.it/traser-cones/)
## [TRASER CONES](https://www.permedica.it/traser-cones/)
- [  ](https://www.permedica.it/strumentario-smart/)
## [STRUMENTARIO SMART](https://www.permedica.it/strumentario-smart/)
- [  ](https://www.permedica.it/gks-am/)
## [GKS AM](https://www.permedica.it/gks-am/)
- [  ](https://www.permedica.it/soluzioni-patient-specific/)
## [Soluzioni
Patient Specific](https://www.permedica.it/soluzioni-patient-specific/)
- [  ](https://www.permedica.it/soluzioni-custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [S'AGENOUILLER](https://www.permedica.it/area-chirurgo/ginocchio/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/gks-one-evo/)
## [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
- [  ](https://www.permedica.it/gks-prime-flex-mobile/)
## [GKS PRIME Flex Mobile](https://www.permedica.it/gks-prime-flex-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-ps-mobile/)
## [GKS PRIME Flex PS Mobile](https://www.permedica.it/gks-prime-flex-ps-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-cr/)
## [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
- [  ](https://www.permedica.it/gks-prime-flex-traser/)
## [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
- [  ](https://www.permedica.it/gks-prime-flex-ps/)
## [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
- [  ](https://www.permedica.it/gks-prime-flex-smart-revision/)
## [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
- [  ](https://www.permedica.it/gks-prime-flex-rk-new/)
## [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
- [  ](https://www.permedica.it/gks-butterfly/)
## [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
- [  ](https://www.permedica.it/traser-cones/)
## [TRASER CONES](https://www.permedica.it/traser-cones/)
- [  ](https://www.permedica.it/strumentario-smart/)
## [STRUMENTARIO SMART](https://www.permedica.it/strumentario-smart/)
- [  ](https://www.permedica.it/gks-am/)
## [GKS AM](https://www.permedica.it/gks-am/)
- [  ](https://www.permedica.it/soluzioni-patient-specific/)
## [Soluzioni
Patient Specific](https://www.permedica.it/soluzioni-patient-specific/)
- [  ](https://www.permedica.it/soluzioni-custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [ANCA](https://www.permedica.it/area-chirurgo/anca/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/promise/)
## [PROMISE S](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
## [EXACTA RS](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
## [EXACTA](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
## [EXACTA S](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
## [SL – AUTOBLOCCANTE](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
## [SYNTHESIS](https://www.permedica.it/synthesis/)
- [  ](https://www.permedica.it/pbf/)
## [PBF](https://www.permedica.it/pbf/)
- [  ](https://www.permedica.it/kone/)
## [KONE](https://www.permedica.it/kone/)
- [  ](https://www.permedica.it/promotion/)
## [PM ProMotion](https://www.permedica.it/promotion/)
- [  ](https://www.permedica.it/teste-articolari/)
## [Teste Articolari](https://www.permedica.it/teste-articolari/)
- [  ](https://www.permedica.it/anterior-approach/)
## [Anterior Approach](https://www.permedica.it/anterior-approach/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
- [  ](https://www.permedica.it/jump-system/)
## [JUMP System](https://www.permedica.it/jump-system/)
- [  ](https://www.permedica.it/jump-traser/)
## [JUMP System TRASER](https://www.permedica.it/jump-traser/)
- [  ](https://www.permedica.it/acorn-traser/)
## [ACORN TRASER](https://www.permedica.it/acorn-traser/)
- [  ](https://www.permedica.it/acorn/)
## [ACORN](https://www.permedica.it/acorn/)
- [  ](https://www.permedica.it/jump-cemented/)
## [JUMP System CEMENTED](https://www.permedica.it/jump-cemented/)
- [  ](https://www.permedica.it/inserti-articolari/)
## [Inserti Articolari](https://www.permedica.it/inserti-articolari/)
- [  ](https://www.permedica.it/jump-system-traser-rm/)
## [JUMP System TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
- [  ](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
## [JUMP System TRASER Cage Acetabolare](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
- [  ](https://www.permedica.it/custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/custom-made/)
- [  ](https://www.permedica.it/universal-cup-removal-system/)
## [Universal Cup Removal System](https://www.permedica.it/universal-cup-removal-system/)
---
### [ANCA](https://www.permedica.it/area-chirurgo/anca/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/promise/)
## [PROMISE S](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
## [EXACTA RS](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
## [EXACTA](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
## [EXACTA S](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
## [SL – AUTOBLOCCANTE](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
## [SYNTHESIS](https://www.permedica.it/synthesis/)
- [  ](https://www.permedica.it/pbf/)
## [PBF](https://www.permedica.it/pbf/)
- [  ](https://www.permedica.it/kone/)
## [KONE](https://www.permedica.it/kone/)
- [  ](https://www.permedica.it/promotion/)
## [PM ProMotion](https://www.permedica.it/promotion/)
- [  ](https://www.permedica.it/teste-articolari/)
## [Teste Articolari](https://www.permedica.it/teste-articolari/)
- [  ](https://www.permedica.it/anterior-approach/)
## [Anterior Approach](https://www.permedica.it/anterior-approach/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
- [  ](https://www.permedica.it/jump-system/)
## [JUMP System](https://www.permedica.it/jump-system/)
- [  ](https://www.permedica.it/jump-traser/)
## [JUMP System TRASER](https://www.permedica.it/jump-traser/)
- [  ](https://www.permedica.it/acorn-traser/)
## [ACORN TRASER](https://www.permedica.it/acorn-traser/)
- [  ](https://www.permedica.it/acorn/)
## [ACORN](https://www.permedica.it/acorn/)
- [  ](https://www.permedica.it/jump-cemented/)
## [JUMP System CEMENTED](https://www.permedica.it/jump-cemented/)
- [  ](https://www.permedica.it/inserti-articolari/)
## [Inserti Articolari](https://www.permedica.it/inserti-articolari/)
- [  ](https://www.permedica.it/jump-system-traser-rm/)
## [JUMP System TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
- [  ](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
## [JUMP System TRASER Cage Acetabolare](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
- [  ](https://www.permedica.it/custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/custom-made/)
- [  ](https://www.permedica.it/universal-cup-removal-system/)
## [Universal Cup Removal System](https://www.permedica.it/universal-cup-removal-system/)
---
### [KNEE](https://www.permedica.it/area-chirurgo/ginocchio/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/gks-one-evo/)
## [GKS ONE Evo](https://www.permedica.it/gks-one-evo/)
- [  ](https://www.permedica.it/gks-prime-flex-mobile/)
## [GKS PRIME Flex Mobile](https://www.permedica.it/gks-prime-flex-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-ps-mobile/)
## [GKS PRIME Flex PS Mobile](https://www.permedica.it/gks-prime-flex-ps-mobile/)
- [  ](https://www.permedica.it/gks-prime-flex-cr/)
## [GKS PRIME Flex CR](https://www.permedica.it/gks-prime-flex-cr/)
- [  ](https://www.permedica.it/gks-prime-flex-traser/)
## [GKS PRIME Flex TRASER](https://www.permedica.it/gks-prime-flex-traser/)
- [  ](https://www.permedica.it/gks-prime-flex-ps/)
## [GKS PRIME Flex PS](https://www.permedica.it/gks-prime-flex-ps/)
- [  ](https://www.permedica.it/gks-prime-flex-smart-revision/)
## [GKS PRIME FLEX SMART REVISION](https://www.permedica.it/gks-prime-flex-smart-revision/)
- [  ](https://www.permedica.it/gks-prime-flex-rk-new/)
## [GKS PRIME FLEX RK](https://www.permedica.it/gks-prime-flex-rk-new/)
- [  ](https://www.permedica.it/gks-butterfly/)
## [GKS BUTTERFLY](https://www.permedica.it/gks-butterfly/)
- [  ](https://www.permedica.it/traser-cones/)
## [TRASER CONES](https://www.permedica.it/traser-cones/)
- [  ](https://www.permedica.it/strumentario-smart/)
## [STRUMENTARIO SMART](https://www.permedica.it/strumentario-smart/)
- [  ](https://www.permedica.it/gks-am/)
## [GKS AM](https://www.permedica.it/gks-am/)
- [  ](https://www.permedica.it/soluzioni-patient-specific/)
## [Soluzioni
Patient Specific](https://www.permedica.it/soluzioni-patient-specific/)
- [  ](https://www.permedica.it/soluzioni-custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [VIDEOS PERMEDICA](https://www.permedica.it/permedica-videos-2/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## BIENVENIDO A PERMEDICA ORTHOPAEDICS
#### ## TECNOLOGÍA PERMEDICA TRASER
#### ## PROCEDIMIENTO DE FORJA PERMEDICA
#### ## TECNOLOGÍA PERMEDICA HAX PORE
---
### [PRODUKTIONSZYKLUS](https://www.permedica.it/permedica-videos-2/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## WILLKOMMEN BEI PERMEDICA ORTHOPAEDICS
#### ## PERMEDICA TRASER® TECHNOLOGIE
#### ## PERMEDICA SCHMIEDEVERFAHREN
#### ## PERMEDICA HAX PORE® TECHNOLOGIE
---
### [CYCLE DE PRODUCTION](https://www.permedica.it/permedica-videos-2/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## BIENVENUE CHEZ PERMEDICA ORTHOPAEDICS
#### ## TECHNOLOGIE PERMEDICA TRASER
#### ## PROCÉDURE DE FORGEAGE PERMEDICA
#### ## PERMEDICA HAX PORE® TECHNOLOGY
---
### [PERMEDICA VIDEOS](https://www.permedica.it/permedica-videos-2/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## WELCOME TO PERMEDICA ORTHOPAEDICS
#### ## PERMEDICA TRASER® TECHNOLOGY
#### ## PERMEDICA FORGING PROCEDURE
#### ## PERMEDICA HAX PORE® TECHNOLOGY
---
### [PERMEDICA VIDEOS](https://www.permedica.it/permedica-videos-2/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## WELCOME IN PERMEDICA ORTHOPAEDICS
#### ## PERMEDICA TRASER® TECHNOLOGY
#### ## PERMEDICA FORGING PROCEDURE
#### ## PERMEDICA HAX PORE® TECHNOLOGY
---
### [CARRERAS](https://www.permedica.it/corporate/careers/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## TRABAJA CON NOSOTROS
## *Las personas son nuestra mejor oportunidad*
#### Si quieres formar parte de nuestro equipo, consulta las vacantes
o envíanos una candidatura espontánea a través del formulario correspondiente.
## Vacantes
## Candidatura espontánea
[Tornero – Fresador](https://www.permedica.it/es/tornero-fresador/)
[Especialista en Marketing Técnico](https://www.permedica.it/es/especialista-en-marketing-tecnico/)
[Ingeniero de I+D ANCA SENIOR](https://www.permedica.it/es/ingeniero-de-id-anca-senior/)
[Administrador de sistemas IT ](https://www.permedica.it/es/administrador-de-sistemas-it/)
[Atención al cliente](https://www.permedica.it/customer-service/)
[Senior QA&RA FDA](https://www.permedica.it/es/senior-qara-fda/)
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Tornero - Fresador](https://www.permedica.it/tornitore-fresatore/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Tornero – Fresador
**Ubicación**
- - Mecanizados
- Actividades de fresado y/o torneado sobre componentes/productos mediante el uso de centros de mecanizado CNC de 3/5 ejes.
**Habilidades y requisitos**
- Título de técnico mecánico (o con experiencia de al menos 2 años en el puesto de operador en centros de mecanizado CNC. Se valorará preferentemente el conocimiento de los controles numéricos FANUC y SIEMENS (y eventualmente experiencia en el uso de electroerosión por hilo y penetración)
- Buen conocimiento del dibujo técnico y del uso de los principales instrumentos de medida
- Buenas bases de programación ISO
- Autonomía en la gestión del trabajo asignado
- Dotes de precisión, atención, flexibilidad y predisposición al trabajo en equipo
- Se valorará preferentemente la experiencia en contextos laborales que operen bajo un Sistema de Calidad certificado
**Lugar de trabajo**
Merate (LC), jornada completa de lunes a viernes.
**Acerca de Permedica S.p.A.**
Permedica Spa es una empresa italiana líder en el sector ortopédico que desarrolla, produce y comercializa prótesis articulares y soluciones a medida para los casos más complejos, ortopedia oncológica y amputaciones. Desde la sede central de Merate (LC), se fabrican y distribuyen productos de vanguardia en todo el mundo, gracias a filiales y colaboradores en los cinco continentes.
### ¡Envía tu solicitud!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [KARRIERE](https://www.permedica.it/corporate/careers/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## MIT UNS ARBEITEN
## *Menschen sind unsere beste Chance*
#### Wenn Sie unser Team verstärken möchten, besuchen Sie bitte die offenen Stellen
oder senden Sie uns eine Initiativbewerbung über das Bewerbungsformular.
## Offene Stellen
## Spontane Anwendung
[Drechsler – Fräsmaschine](https://www.permedica.it/de/drechsler-fraesmaschine/)
[Spezialist für technisches Marketing](https://www.permedica.it/de/spezialist-fuer-technisches-marketing/)
[Senior R&D-Ingenieur ANCA](https://www.permedica.it/de/senior-rd-ingenieur-anca/)
[IT-Systemadministrator ](https://www.permedica.it/de/it-systemadministrator/)
[Kundenservice](https://www.permedica.it/customer-service/)
[Senior QA&RA FDA](https://www.permedica.it/de/senior-qara-fda/)
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Drechsler - Fräsmaschine](https://www.permedica.it/tornitore-fresatore/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Drechsler – Fräsmaschine
**Position**
- - Mechanische Bearbeitung
- Fräs- und/oder Dreharbeiten an Komponenten/Produkten unter Verwendung von 3/5-Achsen-CNC-Bearbeitungszentren.
**Kompetenzen und Anforderungen**
- Abschluss als Maschinenbautechniker (oder mindestens 2 Jahre Erfahrung in der Tätigkeit als Bediener von CNC-Bearbeitungszentren). Kenntnisse der numerischen Steuerungen FANUC und SIEMENS (sowie eventuelle Erfahrung in der Anwendung von Drahterodieren und Senkerodieren) sind von Vorteil.
- Gute Kenntnisse im technischen Zeichnen und im Umgang mit den wichtigsten Messgeräten
- Gute Grundlagen in der ISO-Programmierung
- Eigenständigkeit bei der Verwaltung der zugewiesenen Aufgaben
- Präzision, Aufmerksamkeit, Flexibilität und Teamfähigkeit
- Erfahrung in Arbeitsumfeldern, die nach einem zertifizierten Qualitätssicherungssystem arbeiten, ist von Vorteil
**Arbeitsort**
Merate (LC), Vollzeit Montag–Freitag.
**Über Permedica S.p.A.**
Permedica Spa ist ein führendes italienisches Unternehmen im orthopädischen Sektor, das Gelenkprothesen sowie maßgeschneiderte Lösungen für komplexeste Fälle, die onkologische Orthopädie und Amputierte entwickelt, produziert und vermarktet. Vom Hauptsitz in Merate (LC) aus werden dank der Niederlassungen und Partner auf fünf Kontinenten hochmoderne Produkte weltweit hergestellt und vertrieben.
### Senden Sie Ihre Bewerbung!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [CARRIÈRES](https://www.permedica.it/corporate/careers/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## TRAVAILLER AVEC NOUS
## *Les personnes sont notre meilleure chance*
#### Si vous souhaitez rejoindre notre équipe, veuillez consulter les postes vacants
ou envoyez-nous une candidature spontanée via le formulaire de candidature.
## Postes à pourvoir
## Application spontanée
[Tournevis – Fraiseuse](https://www.permedica.it/fr/tournevis-fraiseuse/)
[Spécialiste du marketing technique](https://www.permedica.it/fr/specialiste-du-marketing-technique/)
[Ingénieur R&D HANCHE SENIOR](https://www.permedica.it/fr/ingenieur-rd-hanche-senior/)
[Administrateur Systèmes IT ](https://www.permedica.it/fr/administrateur-systemes-it/)
[Service Client](https://www.permedica.it/customer-service/)
[Senior QA&RA FDA](https://www.permedica.it/fr/senior-qara-fda/)
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Tournevis - Fraiseuse](https://www.permedica.it/tornitore-fresatore/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Tournevis – Fraiseuse
**Poste**
- - Usinages mécaniques
- Activités de fraisage et/ou de tournage sur composants/produits par l’utilisation de centres d’usinage CNC 3/5 axes.
**Compétences et Exigences**
- Diplôme de technicien en mécanique (ou expérience d’au moins 2 ans dans la fonction d’opérateur sur centres d’usinage CNC. La connaissance des commandes numériques FANUC et SIEMENS constituera un titre préférentiel (ainsi qu’une éventuelle expérience dans l’utilisation de l’électroérosion à fil et par enfonçage))
- Bonne connaissance du dessin technique et de l’utilisation des principaux instruments de mesure
- Bonnes bases de programmation ISO
- Autonomie dans la gestion du travail assigné
- Qualités de précision, attention, flexibilité et aptitude au travail en équipe
- L’expérience dans des contextes de travail opérant sous un système qualité certifié constitue un titre préférentiel
**Lieu de Travail**
Merate (LC), temps plein du lundi au vendredi.
**Qui est Permedica S.p.A.**
Permedica Spa est une société italienne leader dans le secteur orthopédique qui développe, produit et commercialise des prothèses articulaires et des solutions sur mesure pour les cas les plus complexes, l’orthopédie oncologique et les amputés. Depuis le siège principal de Merate (LC), des produits de pointe sont fabriqués et distribués dans le monde entier, grâce aux filiales et aux collaborateurs présents sur les cinq continents.
### Envoyez votre candidature !
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Especialista en Marketing Técnico](https://www.permedica.it/es/especialista-en-marketing-tecnico/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Especialista en Marketing Técnico
**Ubicación**
La persona seleccionada, integrada en el equipo de Marketing y Ventas, se encargará de la gestión de productos existentes y del apoyo al lanzamiento de nuevas líneas de producto estratégicas, integrando las acciones de diferentes departamentos de la empresa, además de participar en actividades de Formación Profesional y Training.
- Gestión de productos existentes en colaboración con Atención al Cliente, Asuntos Clínicos e I+D
- Apoyo a las actividades de lanzamiento de nuevas líneas de producto
- Gestión/realización de documentación de marketing (p. ej. presentaciones, justificación del diseño, vídeos)
- Redacción de material informativo para licitaciones
- Análisis de mercado y redacción de documentación comparativa frente a la competencia (análisis DAFO)
- Apoyo a las actividades de Formación Profesional en el territorio y de formación interna
- Gestión y previsión del muestrario de productos
**Habilidades y requisitos**
- Titulación técnica, preferiblemente con orientación técnico-comercial (especialmente en el sector biomédico)
- Experiencia en el ámbito de los dispositivos médicos
- Conocimiento de los aspectos/reglamentos relativos a las prótesis implantables
- Excelente nivel de inglés
- Comprender las relaciones relacionadas con el desarrollo, la venta y la comercialización de productos implantables
- Capacidad demostrada para transferir información al usuario cliente a través de la formación
- Conocimiento de las técnicas de comunicación
- Conocimientos de software básico (WINDOWS, aplicaciones de Office)
- Se prefiere el conocimiento de UNI EN ISO 13485 y/o UNI EN ISO 9001
**Retribución** Acorde a la experiencia del candidato
**Lugar de trabajo**
Merate (LC), jornada completa de lunes a viernes.
**Acerca de Permedica S.p.A.**
Permedica Spa es una empresa italiana líder en el sector ortopédico que desarrolla, produce y comercializa prótesis articulares y soluciones a medida para los casos más complejos, ortopedia oncológica y amputaciones. Desde la sede central de Merate (LC), se fabrican y distribuyen productos de vanguardia en todo el mundo, gracias a filiales y colaboradores en los cinco continentes.
### ¡Envía tu solicitud!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Spezialist für technisches Marketing](https://www.permedica.it/de/spezialist-fuer-technisches-marketing/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Spezialist für technisches Marketing
**Position**
Die Person wird in das Marketing- und Vertriebsteam integriert und ist für die Verwaltung bestehender Produkte sowie die Unterstützung bei der Einführung neuer strategischer Produktlinien verantwortlich. Dabei koordiniert sie die Maßnahmen verschiedener Fachabteilungen und nimmt an Aktivitäten im Bereich Professional Education und Training teil.
- Verwaltung bestehender Produkte in Zusammenarbeit mit dem Customer Service, Clinical Affairs sowie Forschung und Entwicklung
- Unterstützung bei der Einführung neuer Produktlinien
- Erstellung und Verwaltung von Marketingunterlagen (z. B. Präsentationen, Design Rationale, Videos)
- Erstellung von Informationsmaterial für Ausschreibungen
- Marktanalyse und Erstellung von Vergleichsdokumentationen gegenüber dem Wettbewerb (SWOT-Analyse)
- Unterstützung von Professional-Education-Aktivitäten vor Ort sowie interner Schulungen
- Verwaltung und Prognose von Produktmustern
**Kompetenzen und Anforderungen**
- Technischer Hochschulabschluss oder eine kaufmännisch-technische Qualifikation (vorzugsweise im biomedizinischen Bereich)
- Erfahrung im Bereich Medizinprodukte
- Kenntnis der Aspekte und Vorschriften im Zusammenhang mit implantierbaren Prothesen
- Sehr gute Englischkenntnisse
- Verständnis der Zusammenhänge in Bezug auf Entwicklung, Vertrieb und Vermarktung von implantierbaren Produkten
- Nachgewiesene Fähigkeit zur Informationsvermittlung an den Endkunden durch Schulungen
- Kenntnis von Kommunikationstechniken
- Kenntnisse der gängigen Software (WINDOWS, Office-Anwendungen)
- Vorzugsweise Kenntnisse der Normen UNI EN ISO 13485 und / oder UNI EN ISO 9001
**Vergütung** Entsprechend der Erfahrung des Kandidaten
**Arbeitsort**
Merate (LC), Vollzeit Montag–Freitag.
**Über Permedica S.p.A.**
Permedica Spa ist ein führendes italienisches Unternehmen im orthopädischen Sektor, das Gelenkprothesen sowie maßgeschneiderte Lösungen für komplexeste Fälle, die onkologische Orthopädie und Amputierte entwickelt, produziert und vermarktet. Vom Hauptsitz in Merate (LC) aus werden dank der Niederlassungen und Partner auf fünf Kontinenten hochmoderne Produkte weltweit hergestellt und vertrieben.
### Senden Sie Ihre Bewerbung!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Spécialiste du marketing technique](https://www.permedica.it/fr/specialiste-du-marketing-technique/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Spécialiste du marketing technique
**Poste**
La ressource, intégrée à l’équipe Marketing et Ventes, sera chargée de la gestion de produits existants et du soutien au lancement de nouvelles lignes de produits stratégiques, en coordonnant les actions de différents services de l’entreprise, ainsi que de participer aux activités de formation professionnelle et de formation continue.
- Gestion de produits existants en collaboration avec le Service Client, les Affaires Cliniques, la Recherche et Développement
- Soutien aux activités de lancement de nouvelles lignes de produits
- Gestion/réalisation de documentation marketing (ex. présentations, justification de conception, vidéos)
- Rédaction de matériel informatif pour les appels d’offres
- Analyse de marché et rédaction de documentation comparative par rapport à la concurrence (analyse SWOT)
- Soutien aux activités de formation professionnelle sur le terrain et de formation interne
- Gestion et prévision des échantillons de produits
**Compétences et Exigences**
- Diplôme technique, titre à orientation technico-commerciale (de préférence dans le secteur biomédical)
- Expérience dans le domaine des dispositifs médicaux
- Connaissance des aspects/réglementations relatifs aux prothèses implantables
- Excellente maîtrise de la langue anglaise
- Compréhension des relations liées au développement, à la vente et à la commercialisation de produits implantables
- Capacité avérée à transmettre les informations au client utilisateur par le biais de la formation
- Connaissance des techniques de communication
- Connaissance des logiciels de base (WINDOWS, applications Office)
- De préférence connaissance des normes UNI EN ISO 13485 et/ou UNI EN ISO 9001
**Rémunération** Proportionnelle à l’expérience du candidat
**Lieu de Travail**
Merate (LC), temps plein du lundi au vendredi.
**Qui est Permedica S.p.A.**
Permedica Spa est une société italienne leader dans le secteur orthopédique qui développe, produit et commercialise des prothèses articulaires et des solutions sur mesure pour les cas les plus complexes, l’orthopédie oncologique et les amputés. Depuis le siège principal de Merate (LC), des produits de pointe sont fabriqués et distribués dans le monde entier, grâce aux filiales et aux collaborateurs présents sur les cinq continents.
### Envoyez votre candidature !
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Technical Marketing Specialist](https://www.permedica.it/en/technical-marketing-specialist/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Technical Marketing Specialist
**Position**
The resource, part of the Marketing and Sales team, will manage existing products and support the launch of strategic new product lines, integrating actions across different company departments, as well as participate in Professional Education and Training activities.
- Management of existing products in collaboration with Customer Service, Clinical Affairs, Research and Development
- Support for new product line launch activities
- Management/creation of marketing documentation (e.g., presentations, design rationales, videos)
- Preparation of informational materials for tenders
- Market analysis and preparation of comparative documentation vs. competition (SWOT analysis)
- Support for Professional Education activities in the field and internal training
- Management and forecasting of product sampling
**Skills and Requirements**
- Technical degree, technical-commercial qualification (preferably in the biomedical sector)
- Experience in the field of medical devices
- Knowledge of aspects/regulations related to implantable prostheses
- Excellent knowledge of English
- Understanding of relationships related to the development, sale, and commercialization of implantable products
- Proven ability to transfer information to end-user customers through training
- Knowledge of communication techniques
- Knowledge of basic software (WINDOWS, Office applications)
- Preferably knowledge of UNI EN ISO 13485 and/or UNI EN ISO 9001 standards
**Compensation** Commensurate with candidate’s experience
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Administrador de sistemas IT](https://www.permedica.it/es/administrador-de-sistemas-it/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Administrador de Sistemas IT – Windows Server, Redes, Virtualización y Seguridad M365
**Ubicación**
Tus principales funciones serán:
- Gestión y mantenimiento de Windows Server, tanto en entornos físicos como virtuales, Domain Controller (usuarios, políticas, actualizaciones…).
- Gestión de Microsoft 365, niveles de permisos y seguridad relacionados (Conditional Access, MFA, Defender, Identity Protection)
- Monitorización y gestión de la infraestructura de red y soluciones de seguridad relacionadas.
- Soporte técnico de nivel 2/3 a usuarios internos.
- Redacción de documentación técnica y procedimientos operativos.
**Habilidades y requisitos**
Requisitos:
- Experiencia previa en el puesto (al menos 3-5 años).
- Competencias en Windows Server, Active Directory, MS 365
- Competencias en redes: TCP/IP, VLAN, VPN, firewall, switch, router.
- Experiencia con entornos de virtualización VMware
- Buen conocimiento del idioma inglés.
- Diploma técnico o licenciatura en Informática o disciplinas afines.
Habilidades blandas:
- La seriedad y la confidencialidad son requisitos fundamentales, así como excelentes capacidades de comunicación y actitud para colaborar eficazmente con el equipo.
- Capacidad de resolución de problemas y gestión de la presión.
- Capacidad de comunicarse de forma clara con usuarios y compañeros.
- Atención al detalle y enfoque orientado a la seguridad.
**Retribución** Acorde a la experiencia del candidato
**Lugar de trabajo**
Merate (LC), jornada completa de lunes a viernes.
**Acerca de Permedica S.p.A.**
Permedica Spa es una empresa italiana líder en el sector ortopédico que desarrolla, produce y comercializa prótesis articulares y soluciones a medida para los casos más complejos, ortopedia oncológica y amputaciones. Desde la sede central de Merate (LC), se fabrican y distribuyen productos de vanguardia en todo el mundo, gracias a filiales y colaboradores en los cinco continentes.
### ¡Envía tu solicitud!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [IT-Systemadministrator](https://www.permedica.it/de/it-systemadministrator/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### IT-Systemadministrator – Windows Server, Netzwerke, Virtualisierung & M365-Sicherheit
**Position**
Ihre Hauptaufgaben sind:
- Verwaltung und Wartung von Windows Server, sowohl in physischen als auch in virtuellen Umgebungen, Domain Controller (Benutzerkonten, Richtlinien, Updates usw.).
- Verwaltung von Microsoft 365, entsprechende Berechtigungsstufen und Sicherheit (Conditional Access, MFA, Defender, Identity Protection)
- Überwachung und Verwaltung der Netzwerkinfrastruktur und entsprechender Sicherheitslösungen.
- Technischer Support der Stufe 2/3 für interne Benutzer.
- Erstellung technischer Dokumentationen und Betriebsabläufe.
**Kompetenzen und Anforderungen**
Anforderungen:
- Einschlägige Berufserfahrung in dieser Position (mindestens 3–5 Jahre).
- Kenntnisse in Windows Server, Active Directory, MS 365
- Netzwerkkenntnisse: TCP/IP, VLAN, VPN, Firewall, Switch, Router.
- Erfahrung mit VMware-Virtualisierungsumgebungen
- Gute Englischkenntnisse.
- Technisches Diplom oder Hochschulabschluss in Informatik oder verwandten Fachrichtungen.
Soft Skills:
- Seriosität und Diskretion sind grundlegende Anforderungen, ebenso wie ausgezeichnete Kommunikationsfähigkeiten und die Fähigkeit zur effektiven Zusammenarbeit im Team.
- Problemlösungskompetenz und Belastbarkeit.
- Fähigkeit zur klaren Kommunikation mit Benutzern und Kollegen.
- Detailgenauigkeit und sicherheitsorientierte Arbeitsweise.
**Vergütung** Entsprechend der Erfahrung des Kandidaten
**Arbeitsort**
Merate (LC), Vollzeit Montag–Freitag.
**Über Permedica S.p.A.**
Permedica Spa ist ein führendes italienisches Unternehmen im orthopädischen Sektor, das Gelenkprothesen sowie maßgeschneiderte Lösungen für komplexeste Fälle, die onkologische Orthopädie und Amputierte entwickelt, produziert und vermarktet. Vom Hauptsitz in Merate (LC) aus werden dank der Niederlassungen und Partner auf fünf Kontinenten hochmoderne Produkte weltweit hergestellt und vertrieben.
### Senden Sie Ihre Bewerbung!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Administrateur Systèmes IT](https://www.permedica.it/fr/administrateur-systemes-it/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Administrateur système IT – Windows Server, réseau, virtualisation et sécurité M365
**Poste**
Vos principales missions seront :
- Gestion et maintenance de Windows Server, dans des environnements physiques et virtuels, contrôleurs de domaine (comptes utilisateurs, stratégies, mises à jour, etc.).
- Gestion de Microsoft 365, niveaux d’autorisation et de sécurité associés (accès conditionnel, MFA, Defender, Identity Protection)
- Surveillance et gestion de l’infrastructure réseau et des solutions de sécurité associées.
- Support technique de niveau 2/3 aux utilisateurs internes.
- Rédaction de documentation technique et de procédures opérationnelles.
**Compétences et Exigences**
Exigences :
- Expérience préalable dans le poste (au moins 3 à 5 ans).
- Compétences en Windows Server, Active Directory, MS 365
- Compétences en réseau : TCP/IP, VLAN, VPN, pare-feu, commutateurs, routeurs.
- Expérience avec les environnements de virtualisation VMware
- Bonne maîtrise de la langue anglaise.
- Diplôme technique ou licence en informatique ou disciplines connexes.
Compétences comportementales :
- Le sérieux et la discrétion sont des exigences fondamentales, tout comme d’excellentes capacités de communication et une aptitude à collaborer efficacement avec l’équipe.
- Capacité de résolution de problèmes et de gestion de la pression.
- Capacité à communiquer clairement avec les utilisateurs et les collègues.
- Attention aux détails et approche axée sur la sécurité.
**Rémunération** Proportionnelle à l’expérience du candidat
**Lieu de Travail**
Merate (LC), temps plein du lundi au vendredi.
**Qui est Permedica S.p.A.**
Permedica Spa est une société italienne leader dans le secteur orthopédique qui développe, produit et commercialise des prothèses articulaires et des solutions sur mesure pour les cas les plus complexes, l’orthopédie oncologique et les amputés. Depuis le siège principal de Merate (LC), des produits de pointe sont fabriqués et distribués dans le monde entier, grâce aux filiales et aux collaborateurs présents sur les cinq continents.
### Envoyez votre candidature !
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [IT Systems Administrator](https://www.permedica.it/en/it-systems-administrator/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### IT System Administrator – Windows Server, Networking, Virtualization & M365 Security
**Position**
The main responsibilities will be:
- Management and maintenance of Windows Server, in both physical and virtual environments, Domain Controller (users, policies, updates, etc.).
- Management of Microsoft 365, related permission levels and security (Conditional Access, MFA, Defender, Identity Protection)
- Monitoring and management of network infrastructure and related security solutions.
- Level 2/3 technical support for internal users.
- Preparation of technical documentation and operating procedures.
**Skills and Requirements**
Requirements:
- Previous experience in the role (at least 3–5 years).
- Skills in Windows Server, Active Directory, MS 365
- Networking skills: TCP/IP, VLAN, VPN, firewall, switch, router.
- Experience with VMware virtualization environments
- Good knowledge of English.
- Technical diploma or degree in Computer Science or related fields.
Soft Skills:
- Professionalism and confidentiality are fundamental requirements, as well as excellent communication skills and the ability to collaborate effectively with the team.
- Problem-solving skills and ability to work under pressure.
- Ability to communicate clearly with users and colleagues.
- Attention to detail and security-oriented approach.
**Compensation** Commensurate with candidate’s experience
**Work Location**
Merate (LC), Full Time Monday-Friday.
**Who is Permedica S.p.A.**
Permedica Spa is a leading Italian company in the orthopedic sector that develops, manufactures and markets joint prostheses and custom made solutions for the most complex cases, oncological orthopedics and amputees. From the main headquarters in Merate (LC), cutting-edge products are manufactured and distributed worldwide, thanks to subsidiaries and collaborators present on five continents.
### Submit your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Senior QA&RA FDA](https://www.permedica.it/senior-qara-fda/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Senior QA&RA FDA
**Ubicación**
La persona seleccionada se integrará en el departamento de garantía de calidad y regulatorio y desempeñará principalmente actividades vinculadas al registro de dispositivos ante la FDA para el acceso al mercado de los Estados Unidos. Además, deberá interactuar de forma proactiva con todos los departamentos de la empresa.
Las principales actividades son:
- Definir e implementar la estrategia regulatoria para el registro de productos sanitarios en los Estados Unidos (FDA).
- Identificar la vía regulatoria adecuada (p. ej., 510K).
- Interactuar con la FDA para la presentación de documentos y posibles solicitudes.
- Preparar, revisar y presentar de forma autónoma los expedientes regulatorios (productos sanitarios de todas las clases: III, IIb, IIa, I).
- Gestionar la documentación técnica según los requisitos de la FDA.
- Supervisar las actividades de gestión de riesgos.
- Coordinar la recopilación de datos clínicos y preclínicos necesarios, colaborando con el departamento clínico.
- Gestionar el registro del establecimiento y el listado de dispositivos ante la FDA.
- Garantizar el cumplimiento de los requisitos del sistema de gestión de calidad y preparar a la empresa para las inspecciones de la FDA.
- Prestar apoyo en auditorías internas y externas.
- Verificar el sistema de gestión de calidad de la empresa y actualizarlo si es necesario para garantizar el cumplimiento de requisitos específicos, asegurando la alineación con la norma ISO 13485.
- Gestionar CAPA, no conformidades y control de cambios en colaboración con las funciones corporativas implicadas.
- Monitorizar las actualizaciones normativas de la FDA.
- Gestionar posibles notificaciones post-comercialización.
- Brindar apoyo para la certificación de dispositivos de acuerdo con el reglamento MDR 2017/745.
**Nivel de formación y experiencia**
- Grado técnico en ingeniería química, mecánica o biomédica, u otras disciplinas científicas.
- Excelente conocimiento del idioma inglés, tanto hablado como escrito.
- Experiencia previa de al menos 5 años en la función de Garantía de Calidad en el sector de los productos sanitarios y experiencia en la gestión y registro de productos sanitarios en los Estados Unidos.
**Capacidades y competencias:**
Conocimiento de las principales normas y leyes aplicables al sector de los productos sanitarios; en particular, es obligatorio el conocimiento de las siguientes normas y reglamentos:
- ISO 13485
- ISO 14971
- Directiva 93/42/CEE
- Reglamento UE 2017/745
- Procedimiento 510K,
- 21 CFR part 820, 801, 807, 803, etc.
- Conocimiento del paquete Office.
- Conocimiento de la gestión de documentación técnica.
- Conocimiento de las reglas de dibujo mecánico.
- Conocimiento de los principios de gestión de proyectos y planificación.
- Proactividad, excelentes capacidades organizativas y de gestión del trabajo de forma autónoma y en equipo.
**Retribución** Acorde a la experiencia del candidato
**Lugar de trabajo**
Merate (LC), jornada completa de lunes a viernes.
**Acerca de Permedica S.p.A.**
Permedica Spa es una empresa italiana líder en el sector ortopédico que desarrolla, produce y comercializa prótesis articulares y soluciones a medida para los casos más complejos, ortopedia oncológica y amputaciones. Desde la sede central de Merate (LC), se fabrican y distribuyen productos de vanguardia en todo el mundo, gracias a filiales y colaboradores en los cinco continentes.
### ¡Envía tu solicitud!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Senior QA&RA FDA](https://www.permedica.it/senior-qara-fda/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Senior QA&RA FDA
**Position**
Die Stelle ist im Bereich Qualitätssicherung und Regulatory Affairs angesiedelt und umfasst hauptsächlich Tätigkeiten im Zusammenhang mit der Registrierung von Medizinprodukten bei der FDA für den Zugang zum US-Markt. Darüber hinaus ist eine proaktive Zusammenarbeit mit allen Unternehmensbereichen erforderlich.
Die Hauptaufgaben umfassen:
- Definition und Umsetzung der Zulassungsstrategie für Medizinprodukte in den Vereinigten Staaten (FDA)
- Ermittlung des geeigneten Zulassungswegs (z. B. 510K)
- Kommunikation mit der FDA zur Einreichung von Unterlagen und bei eventuellen Anfragen
- Eigenständige Erstellung, Prüfung und Einreichung von Zulassungsdossiers (Medizinprodukte aller Klassen – III, IIb, IIa, I)
- Verwaltung der technischen Dokumentation gemäß FDA-Anforderungen
- Überwachung der Risikomanagement-Aktivitäten
- Koordinierung der Erfassung erforderlicher klinischer und präklinischer Daten in Abstimmung mit der klinischen Abteilung
- Verwaltung der Betriebsstättenregistrierung und der Produktliste bei der FDA
- Sicherstellung der Konformität mit den Anforderungen des Qualitätsmanagementsystems und Vorbereitung des Unternehmens auf FDA-Inspektionen
- Unterstützung bei internen und externen Audits
- Überprüfung des unternehmensinternen Qualitätsmanagementsystems und gegebenenfalls Aktualisierung zur Gewährleistung der Einhaltung spezifischer Anforderungen unter Sicherstellung der Übereinstimmung mit der Norm ISO 13485
- Verwaltung von CAPA, Nichtkonformitäten und Änderungsmanagement in Zusammenarbeit mit den beteiligten Unternehmensfunktionen
- Überwachung regulatorischer FDA-Updates
- Bearbeitung eventueller Post-Market-Meldungen
- Unterstützung bei der Zertifizierung von Medizinprodukten gemäß MDR 2017/745
**Ausbildung und Erfahrung**
- Technisches Studium in Chemieingenieurwesen, Maschinenbau oder Biomedizintechnik oder anderen naturwissenschaftlichen Fachrichtungen.
- Sehr gute Englischkenntnisse in Wort und Schrift.
- Mindestens 5 Jahre Berufserfahrung im Bereich Qualitätssicherung in der Medizinproduktebranche sowie Erfahrung in der Verwaltung und Registrierung von Medizinprodukten in den Vereinigten Staaten.
**Fähigkeiten und Kompetenzen:**
Kenntnisse der wichtigsten Normen und Gesetze für die Medizinproduktebranche, insbesondere sind Kenntnisse der folgenden Normen und Vorschriften zwingend erforderlich:
- ISO 13485
- ISO 14971
- Richtlinie 93/42/EWG
- Verordnung EU 2017/745
- 510K-Verfahren,
- 21 CFR part 820, 801, 807, 803, etc.
- Kenntnisse der Office-Anwendungen.
- Kenntnisse im Umgang mit technischer Dokumentation.
- Kenntnisse der Regeln der technischen Zeichnung.
- Kenntnisse der Grundlagen des Projekt- und Planungsmanagements.
- Proaktivität, ausgezeichnete organisatorische Fähigkeiten und Fähigkeit zur selbstständigen Arbeit sowie zur Teamarbeit.
**Vergütung** Entsprechend der Erfahrung des Kandidaten
**Arbeitsort**
Merate (LC), Vollzeit Montag–Freitag.
**Über Permedica S.p.A.**
Permedica Spa ist ein führendes italienisches Unternehmen im orthopädischen Sektor, das Gelenkprothesen sowie maßgeschneiderte Lösungen für komplexeste Fälle, die onkologische Orthopädie und Amputierte entwickelt, produziert und vermarktet. Vom Hauptsitz in Merate (LC) aus werden dank der Niederlassungen und Partner auf fünf Kontinenten hochmoderne Produkte weltweit hergestellt und vertrieben.
### Senden Sie Ihre Bewerbung!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Senior QA&RA FDA](https://www.permedica.it/senior-qara-fda/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Senior QA&RA FDA
**Poste**
La personne retenue sera intégrée au sein du département assurance qualité et affaires réglementaires et exercera principalement des activités liées à l'enregistrement des dispositifs auprès de la FDA pour l'accès au marché des États-Unis. Elle devra également interagir de manière proactive avec tous les services de l'entreprise.
Les principales activités sont :
- Définir et mettre en œuvre la stratégie réglementaire pour l'enregistrement des dispositifs médicaux aux États-Unis (FDA)
- Identifier le parcours réglementaire approprié (par ex. 510K)
- Assurer l'interface avec la FDA pour la soumission des documents et les éventuelles demandes
- Préparer, réviser et soumettre en toute autonomie les dossiers réglementaires (dispositifs médicaux de toutes classes – III, IIb, IIa, I)
- Gérer la documentation technique selon les exigences de la FDA
- Superviser les activités de gestion des risques
- Coordonner la collecte des données cliniques et précliniques nécessaires en lien avec le bureau clinique
- Gérer l'enregistrement de l'établissement et la liste des dispositifs auprès de la FDA
- Garantir la conformité aux exigences du système de gestion de la qualité et préparer l'entreprise aux inspections de la FDA
- Soutenir les audits internes et externes
- Vérifier le système de gestion de la qualité de l'entreprise et l'actualiser si nécessaire pour garantir le respect des exigences spécifiques, en assurant l'alignement avec la norme ISO 13485
- Gérer les CAPA, les non-conformités et le contrôle des changements en collaboration avec les fonctions de l'entreprise concernées
- Surveiller les mises à jour réglementaires de la FDA
- Gérer les éventuels signalements post-marché
- Fournir un soutien pour la certification des dispositifs conformément au règlement MDR 2017/745
**Niveau d'études et expérience**
- Diplôme technique en génie chimique, mécanique ou biomédical, ou autres disciplines scientifiques.
- Excellente connaissance de la langue anglaise, parlée et écrite.
- Expérience préalable d'au moins 5 ans dans la fonction Assurance Qualité au sein du secteur des dispositifs médicaux et expérience dans la gestion et l'enregistrement des dispositifs médicaux aux États-Unis.
**Aptitudes et compétences :**
Connaissance des principales normes et lois applicables au secteur des dispositifs médicaux ; la connaissance des normes et règlements suivants est impérative :
- ISO 13485
- ISO 14971
- Directive 93/42/CEE
- Règlement UE 2017/745
- Procédure 510K,
- 21 CFR part 820, 801, 807, 803, etc.
- Connaissance du pack Office.
- Connaissance de la gestion de la documentation technique.
- Connaissance des règles du dessin mécanique.
- Connaissance des principes de gestion de projet et de planification.
- Proactivité, excellentes capacités d'organisation et de gestion du travail en autonomie et en équipe.
**Rémunération** Proportionnelle à l'expérience du candidat
**Lieu de Travail**
Merate (LC), temps plein du lundi au vendredi.
**Qui est Permedica S.p.A.**
Permedica Spa est une société italienne leader dans le secteur orthopédique qui développe, produit et commercialise des prothèses articulaires et des solutions sur mesure pour les cas les plus complexes, l'orthopédie oncologique et les amputés. Depuis le siège principal de Merate (LC), des produits de pointe sont fabriqués et distribués dans le monde entier, grâce aux filiales et aux collaborateurs présents sur les cinq continents.
### Envoyez votre candidature !
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Ingeniero de I+D ANCA SENIOR](https://www.permedica.it/ingegnere-rd-senior/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Ingeniero de I+D ANCA SENIOR
**Ubicación**
Tus principales funciones serán:
- Colaborar en la realización de nuevos productos y en la implementación de tecnologías productivas
- Diseño de dispositivos médicos implantables e instrumentos asociados
- Elaboración de planos de los productos y su industrialización general
- Preparación de estudios de viabilidad y presupuestos de desarrollo de producto
- Colaborar en la creación y mantenimiento de los expedientes de proyecto cumpliendo los estándares de calidad
- Proceder con el avance de los proyectos de desarrollo asignados cumpliendo con los plazos requeridos
- Cooperar con los departamentos en la identificación de acciones de mejora para su área de competencia
**Habilidades y requisitos**
Requisitos mínimos:
- Máster en ingeniería de la rama industrial (mecánica, aeroespacial, biomédica…)
- Experiencia previa de al menos 5-10 años en el sector de I+D o en la oficina técnica de empresas del sector de dispositivos médicos ortopédicos para fijación o prótesis articulares
- Comprensión de dibujo mecánico
- CAD 2D/3D
- Conocimiento, al menos teórico, de los procesos de impresión 3D y mecanizado
- Conocimiento de inglés (mínimo B1)
Requisitos preferentes:
- Conocimiento de CAD/CAM Siemens NX
- Experiencia previa en el sector de los dispositivos médicos
-
**Retribución** Acorde a la experiencia del candidato
**Lugar de trabajo**
Merate (LC), jornada completa de lunes a viernes.
**Acerca de Permedica S.p.A.**
Permedica Spa es una empresa italiana líder en el sector ortopédico que desarrolla, produce y comercializa prótesis articulares y soluciones a medida para los casos más complejos, ortopedia oncológica y amputaciones. Desde la sede central de Merate (LC), se fabrican y distribuyen productos de vanguardia en todo el mundo, gracias a filiales y colaboradores en los cinco continentes.
### ¡Envía tu solicitud!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Senior R&D-Ingenieur ANCA](https://www.permedica.it/ingegnere-rd-senior/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Senior R&D-Ingenieur ANCA
**Position**
Ihre Hauptaufgaben sind:
- Mitarbeit bei der Realisierung neuer Produkte und der Implementierung von Produktionstechnologien
- Entwicklung von implantierbaren Medizinprodukten und zugehörigen Instrumenten
- Erstellung von technischen Zeichnungen der Produkte und deren grobe Industrialisierung
- Erstellung von Machbarkeitsstudien und Budgets für die Produktentwicklung
- Mitarbeit bei der Erstellung und Pflege von Projektdokumentationen unter Einhaltung der Qualitätsstandards
- Fortführung der zugewiesenen Entwicklungsprojekte unter Einhaltung der geforderten Zeitvorgaben
- Zusammenarbeit mit den Abteilungen bei der Identifizierung von Verbesserungsmaßnahmen für den eigenen Kompetenzbereich
**Kompetenzen und Anforderungen**
Mindestanforderungen:
- Master-Abschluss in Ingenieurwissenschaften (Maschinenbau, Luft- und Raumfahrt, Biomedizin…)
- Mindestens 5–10 Jahre Berufserfahrung im Bereich F&E oder in der technischen Abteilung von Unternehmen, die im Sektor der orthopädischen Medizinprodukte für Fixierung oder Gelenkprothesen tätig sind
- Verständnis von mechanischen Zeichnungen
- CAD 2D/3D
- Zumindest theoretische Kenntnisse von 3D-Druckverfahren und mechanischen Bearbeitungen
- Englischkenntnisse (mindestens B1)
Wünschenswerte Anforderungen:
- Kenntnisse in CAD/CAM Siemens NX
- Vorerfahrung im Bereich Medizinprodukte
-
**Vergütung** Entsprechend der Erfahrung des Kandidaten
**Arbeitsort**
Merate (LC), Vollzeit Montag–Freitag.
**Über Permedica S.p.A.**
Permedica Spa ist ein führendes italienisches Unternehmen im orthopädischen Sektor, das Gelenkprothesen sowie maßgeschneiderte Lösungen für komplexeste Fälle, die onkologische Orthopädie und Amputierte entwickelt, produziert und vermarktet. Vom Hauptsitz in Merate (LC) aus werden dank der Niederlassungen und Partner auf fünf Kontinenten hochmoderne Produkte weltweit hergestellt und vertrieben.
### Senden Sie Ihre Bewerbung!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Ingénieur R&D HANCHE SENIOR](https://www.permedica.it/ingegnere-rd-senior/)
**Published:** Marzo 11, 2020
**Author:** lucrezia damiani
**Content:**
#### Ingénieur R&D HANCHE SENIOR
**Poste**
Vos principales missions seront :
- Collaborer à la réalisation de nouveaux produits et à l’implémentation des technologies de production
- Conception de dispositifs médicaux implantables et d’instruments associés
- Mise en plan des produits et leur industrialisation générale
- Préparation d’études de faisabilité et de budgets de développement produit
- collaborer à la réalisation et au maintien des Carnets de Projet dans le respect des normes de qualité
- Assurer l’avancement des projets de développement qui lui sont assignés dans le respect des délais requis
- Coopérer avec les départements dans l’identification d’actions d’amélioration pour son domaine de compétence
**Compétences et Exigences**
Exigences minimales :
- Diplôme d’ingénieur spécialisé du secteur industriel (mécanique, aérospatiale, biomédicale…)
- Expérience préalable dans le secteur R&D ou UT d’entreprises opérant dans le domaine des dispositifs médicaux orthopédiques pour fixation ou prothèses articulaires, d’au moins 5 à 10 ans
- Compréhension du dessin mécanique
- CAO 2D/3D
- Connaissance au moins théorique des procédés d’impression 3D et d’usinage mécanique
- Connaissance de la langue anglaise (B1 minimum)
Exigences préférentielles :
- Connaissance de la CAO/FAO Siemens NX
- Expérience préalable dans le secteur des dispositifs médicaux
-
**Rémunération** Proportionnelle à l’expérience du candidat
**Lieu de Travail**
Merate (LC), temps plein du lundi au vendredi.
**Qui est Permedica S.p.A.**
Permedica Spa est une société italienne leader dans le secteur orthopédique qui développe, produit et commercialise des prothèses articulaires et des solutions sur mesure pour les cas les plus complexes, l’orthopédie oncologique et les amputés. Depuis le siège principal de Merate (LC), des produits de pointe sont fabriqués et distribués dans le monde entier, grâce aux filiales et aux collaborateurs présents sur les cinq continents.
### Envoyez votre candidature !
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [FUSS](https://www.permedica.it/area-chirurgo/piede/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/de/skipper/#board)[](https://www.permedica.it/de/skipper/#board)
BOARD-SCHRAUBE
[](https://www.permedica.it/de/skipper/#peak)[](https://www.permedica.it/de/skipper/#peak)
PEAK
[](https://www.permedica.it/de/skipper/#vang)[](https://www.permedica.it/de/skipper/#vang)
BAUMNIEDERHOLER
[](https://www.permedica.it/de/skipper/#stick)[](https://www.permedica.it/de/skipper/#stick)
STICK
[](https://www.permedica.it/de/skipper/#bowline)[](https://www.permedica.it/de/skipper/#bowline)
PALSTEK
[](https://www.permedica.it/de/skipper/#strop)[](https://www.permedica.it/de/skipper/#strop)
STROPP
[](https://www.permedica.it/de/skipper/#endortesi)[](https://www.permedica.it/de/skipper/#endortesi)
ENDORTHESE
zur Expansion
---
### [PIEDE](https://www.permedica.it/area-chirurgo/piede/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/fr/skipper/#board)[](https://www.permedica.it/fr/skipper/#board)
VIS DE FIXATION
[](https://www.permedica.it/fr/skipper/#peak)[](https://www.permedica.it/fr/skipper/#peak)
PEAK
[](https://www.permedica.it/fr/skipper/#vang)[](https://www.permedica.it/fr/skipper/#vang)
VANG
[](https://www.permedica.it/fr/skipper/#stick)[](https://www.permedica.it/fr/skipper/#stick)
BÂTON
[](https://www.permedica.it/fr/skipper/#bowline)[](https://www.permedica.it/fr/skipper/#bowline)
BOWLINE
[](https://www.permedica.it/fr/skipper/#strop)[](https://www.permedica.it/fr/skipper/#strop)
STROP
[](https://www.permedica.it/fr/skipper/#endortesi)[](https://www.permedica.it/fr/skipper/#endortesi)
ENDORTESI
expansion
---
### [FOOT](https://www.permedica.it/area-chirurgo/piede/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/en/skipper/#board)[](https://www.permedica.it/en/skipper/#board)
BOARD SCREW
[](https://www.permedica.it/en/skipper/#peak)[](https://www.permedica.it/en/skipper/#peak)
PEAK
[](https://www.permedica.it/en/skipper/#vang)[](https://www.permedica.it/en/skipper/#vang)
VANG
[](https://www.permedica.it/en/skipper/#stick)[](https://www.permedica.it/en/skipper/#stick)
STICK
[](https://www.permedica.it/en/skipper/#bowline)[](https://www.permedica.it/en/skipper/#bowline)
BOWLINE
[](https://www.permedica.it/en/skipper/#strop)[](https://www.permedica.it/en/skipper/#strop)
STROP
[](https://www.permedica.it/en/skipper/#endortesi)[](https://www.permedica.it/en/skipper/#endortesi)
ENDORTHESI
expansion
---
### [OSSEOINTEGRATION](https://www.permedica.it/area-chirurgo/osseointegration/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### OSSEOINTEGRATION – PROTHETIK NEU DEFINIERT
Osseointegration bietet eine **direkte Verankerung am amputierten Gliedmaß für die externe Prothesenkomponente durch die Implantation eines intramedullären Implantats.**
Es handelt sich um eine revolutionäre Technologie für Patienten **mit Amputationen der unteren oder oberen Extremität,** die eine alternative Lösung für die **Probleme bietet, die durch die Verwendung herkömmlicher externer Prothesen entstehen.**
Osseointegration-Lösungen sind für die Behandlung von Amputationen oberhalb des Knies, unterhalb des Knies und auf Humerusebene verfügbar.
Für weitere Informationen zu Osseointegration besuchen Sie bitte
<https://www.osseointegration.org/it/>
#### WIE DAS OSSEOINTEGRATION-SYSTEM FUNKTIONIERT
Dieses Video zeigt, wie das Osseointegration-System funktioniert!
Das Metallimplantat wird eingesetzt und integriert sich mit dem Knochengewebe des Stumpfes.
Diesem Verfahren folgt die Behandlung der Muskulatur und der Haut.
Eine kleine Hautinzision wird angelegt, um das Implantat mit der externen Prothese zu verbinden.
Sorry, your browser doesn't support embedded videos.
#### OPL – OSSEOINTEGRATION PROSTHETIC LIMB
**Permedica Orthopaedics** ist der **autorisierte Hersteller** des Osseointegration Prosthetic Limb (OPL) Systems.
Das Implantat besteht aus einer Titanlegierung mit einer porösen Titanbeschichtung, die die anfängliche Stabilität und Osseointegration fördert. **Die einzigartigen Eigenschaften der Titanbeschichtung ermöglichen es dem Knochen, auf der Oberfläche der Prothese zu wachsen** und eine stabile Knochen-Implantat-Struktur zu bilden.
**Ein Doppelkonus-Verbinder verbindet das interne Implantat mit der externen Prothese.** Diese Komponente zeichnet sich durch eine polierte und mit VITAL-B beschichtete Oberfläche aus, um die Reibung mit dem Weichgewebe zu minimieren.
Diese Komponente verläuft durch eine kleine Hautinzision, das sogenannte Stoma. Außen ist der Doppelkonus-Adapter an einem Drehmomentbegrenzungsgerät befestigt, dem sogenannten Konnektor. Der Konnektor besteht aus mehreren Teilen, die ein einfaches An- und Abkoppeln der externen Prothese ermöglichen und dabei das Implantat und den Knochen vor übermäßigen Torsionsbelastungen schützen.
Es gibt verschiedene Konnektor-Optionen, jede mit unterschiedlichen Eigenschaften, die jedoch alle mit den auf dem Markt erhältlichen externen Prothesen kompatibel sind.
#### OSSEOPERZEPTION
Der Begriff Osseoperzeption beschreibt die Fähigkeit von Patienten mit einer osseointegrierten Prothese, **sensorische Schwellenwerte zu identifizieren, die durch die Prothese übertragen werden.** Es wird angenommen, dass dieses Phänomen **dazu beiträgt, die Wahrnehmung des Patienten zu verstärken, dass die Prothese ein natürlicher Teil des eigenen Körpers ist.**
Nach dem Osseointegration-Eingriff **erlangt der Patient auch ein Gefühl der Propriozeption,** das in der unbewussten Wahrnehmung der Körperposition im Raum, der Bewegung und der Orientierung in Bezug auf die äußere Umgebung besteht.
Dies bedeutet, dass Patienten **die Fähigkeit wiedererlangen können, den Boden beim Gehen wahrzunehmen** und den Unterschied zwischen verschiedenen Oberflächen wie Gras, Teppichen, Fliesen, unebenem Gelände und Kies zu spüren. Dies führt zu **sichereren Bewegungen, auch auf unebenen Untergründen oder in Umgebungen mit schlechter Beleuchtung.**
Sorry, your browser doesn't support embedded videos.
#### VORTEILE
Der eigentliche Vorteil des OPL-Systems ist die **Durchführung der Anwendung in einem einzigen chirurgischen Eingriff, im Gegensatz zum früheren zweistufigen Verfahren.**
Weitere Vorteile des OPL-Systems gegenüber herkömmlichen Prothesen umfassen:
- Das Fehlen des herkömmlichen Schafts gewährleistet, dass die Prothese bequem und präzise verbunden ist;
- Einfaches und schnelles Verfahren zum An- und Abkoppeln der Prothese;
- Verbesserte Mobilität und Komfort im Vergleich zum herkömmlichen Schaft;
- Erhöhte Muskelaktivität, die zu einem natürlicheren Gangzyklus führt;
- Natürlichere Belastung.
Die meisten amputierten Patienten beschreiben das Leben mit einer osseointegrierten Prothese als **revolutionäre Veränderung,** **mit drastischen funktionellen Veränderungen und der Fähigkeit, bequem zu sitzen,** was erheblich zur Verbesserung der Lebensqualität beiträgt.
#### IST MEINE AMPUTATION FÜR DAS VERFAHREN GEEIGNET?
Viele Patienten fragen sich, ob die Ursache ihrer Amputation die Möglichkeit einer Behandlung mit Osseointegration einschränkt.
Bisher wurden die meisten Osseointegration-Verfahren bei amputierten Patienten durchgeführt, die ihre Gliedmaße infolge eines Traumas verloren haben.
Die zweithäufigste Ursache für Amputationen ist eine Infektion, häufig nach einer Arthroplastik.
Folgen onkologischer Erkrankungen stehen an dritter Stelle, es muss jedoch sichergestellt werden, dass die Amputationsregion keiner Strahlentherapie unterzogen wurde, die die Ergebnisse des Verfahrens beeinflussen könnte.
---
### [OSTÉOINTÉGRATION](https://www.permedica.it/area-chirurgo/osseointegration/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### L’OSTÉOINTÉGRATION – LA PROTHÈSE REDÉFINIE
L’ostéo-intégration offre une **fixation directe au membre amputé du composant prothétique externe, grâce à l’implantation d’un dispositif intramédullaire.**
Il s’agit d’une technologie révolutionnaire pour les patients **amputés d’un membre inférieur ou supérieur,** offrant une solution alternative aux **problèmes causés par l’utilisation des prothèses externes traditionnelles.**
Des solutions d’ostéointégration sont disponibles pour le traitement des amputations au-dessus du genou, au-dessous du genou et de l’humérus.
Pour plus d’informations sur l’ostéo-intégration, veuillez consulter le site suivant
<https://www.osseointegration.org/it/>
#### COMMENT FONCTIONNE LE SYSTÈME D’OSTÉO-INTÉGRATION
Cette vidéo montre comment fonctionne le système d’ostéointégration !
L’implant métallique est inséré et intégré au tissu osseux du pilier.
Cette procédure est suivie d’une gestion des muscles et de la peau.
Une petite incision cutanée est pratiquée pour relier l’implant à la prothèse externe.
Sorry, your browser doesn't support embedded videos.
#### OPL – MEMBRE PROTHÉTIQUE À OSTÉOINTÉGRATION
**Permedica Orthopaedics** est le **fabricant agréé** du système OPL (Osseointegration Prosthetic Limb).
L’implant est constitué d’un alliage de titane avec un revêtement poreux en titane qui favorise la stabilité initiale et l’ostéo-intégration. **Les propriétés uniques du revêtement en titane permettent à l’os de se développer sur la surface de la prothèse,** formant une structure os-implant stable.
**Un double connecteur conique relie l’implant interne à la prothèse externe.** Ce composant a une surface polie et est recouvert de VITAL-B pour minimiser la friction avec les tissus mous.
Ce composant passe à travers une petite incision cutanée, appelée stomie. À l’extérieur, l’adaptateur à double cône est fixé à un dispositif de limitation du couple, appelé connecteur. Le connecteur se compose de plusieurs parties qui permettent de fixer et de détacher facilement la prothèse externe, en préservant l’implant et l’os d’une contrainte de torsion excessive.
Il existe plusieurs options de connecteurs, chacune avec des caractéristiques différentes, mais toutes compatibles avec les prothèses externes disponibles sur le marché.
#### OSSÉOPERCEPTION
Le terme d’ostéoperception décrit la capacité des patients portant une prothèse ostéointégrée à **identifier les seuils sensoriels transmis par la prothèse**. On pense que ce phénomène **contribue à accroître la perception du patient que la prothèse est une partie naturelle de son corps.**
Après une intervention chirurgicale avec ostéointégration, **le patient acquiert également un sens de la proprioception,** qui consiste en la perception inconsciente de la position du corps dans l’espace, du mouvement et de l’orientation par rapport à l’environnement extérieur.
Cela signifie que les patients peuvent **retrouver la capacité de percevoir le sol lorsqu’ils marchent, en** ressentant la différence entre différentes surfaces telles que l’herbe, la moquette, le carrelage, le sol irrégulier et le gravier. Les **mouvements sont ainsi plus sûrs, même sur un sol irrégulier ou dans un environnement mal éclairé**.
Sorry, your browser doesn't support embedded videos.
#### AVANTAGES
Le véritable avantage du système OPL est la **réalisation de l’application en une seule opération, contrairement à la procédure précédente en deux étapes.**
Le système OPL présente d’autres avantages par rapport aux prothèses traditionnelles :
- L’absence d’emboîture traditionnelle garantit une connexion confortable et précise de la prothèse ;
- Procédure de mise en place et de retrait de la prothèse rapide et facile ;
- Amélioration de la mobilité et du confort par rapport à l’empotage traditionnel ;
- Augmentation de l’activité musculaire, d’où un cycle de marche plus naturel ;
- Plus de charge naturelle.
La plupart des patients amputés décrivent la vie avec une prothèse ostéo-intégrée comme un **changement révolutionnaire** **, avec des changements fonctionnels spectaculaires et la possibilité de s’asseoir confortablement,** ce qui contribue de manière significative à l’amélioration de la qualité de vie **.**
#### MON AMPUTATION SE PRÊTE-T-ELLE À LA PROCÉDURE ?
De nombreux patients demandent si la cause de leur amputation limitera la possibilité d’un traitement par ostéo-intégration.
À ce jour, la majorité des procédures d’ostéo-intégration ont été réalisées chez des amputés ayant perdu leur membre à la suite d’un traumatisme.
La deuxième cause d’amputation est due à une infection, généralement à la suite d’une arthroplastie.
Les pathologies oncologiques viennent en troisième position, mais il est nécessaire de s’assurer que la région d’amputation n’a pas été soumise à une radiothérapie, ce qui pourrait influencer les résultats de la procédure.
---
### [ANCA](https://www.permedica.it/area-chirurgo/anca/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/promise/)
## [PROMISE S](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
## [EXACTA RS](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
## [EXACTA](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
## [EXACTA S](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
## [SL – AUTOBLOCCANTE](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
## [SYNTHESIS](https://www.permedica.it/synthesis/)
- [  ](https://www.permedica.it/pbf/)
## [PBF](https://www.permedica.it/pbf/)
- [  ](https://www.permedica.it/kone/)
## [KONE](https://www.permedica.it/kone/)
- [  ](https://www.permedica.it/promotion/)
## [PM ProMotion](https://www.permedica.it/promotion/)
- [  ](https://www.permedica.it/teste-articolari/)
## [Teste Articolari](https://www.permedica.it/teste-articolari/)
- [  ](https://www.permedica.it/anterior-approach/)
## [Anterior Approach](https://www.permedica.it/anterior-approach/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
- [  ](https://www.permedica.it/jump-system/)
## [JUMP System](https://www.permedica.it/jump-system/)
- [  ](https://www.permedica.it/jump-traser/)
## [JUMP System TRASER](https://www.permedica.it/jump-traser/)
- [  ](https://www.permedica.it/acorn-traser/)
## [ACORN TRASER](https://www.permedica.it/acorn-traser/)
- [  ](https://www.permedica.it/acorn/)
## [ACORN](https://www.permedica.it/acorn/)
- [  ](https://www.permedica.it/jump-cemented/)
## [JUMP System CEMENTED](https://www.permedica.it/jump-cemented/)
- [  ](https://www.permedica.it/inserti-articolari/)
## [Inserti Articolari](https://www.permedica.it/inserti-articolari/)
- [  ](https://www.permedica.it/jump-system-traser-rm/)
## [JUMP System TRASER RM](https://www.permedica.it/jump-system-traser-rm/)
- [  ](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
## [JUMP System TRASER Cage Acetabolare](https://www.permedica.it/jump-system-traser-cage-acetabolare/)
- [  ](https://www.permedica.it/custom-made/)
## [Soluzioni Custom Made](https://www.permedica.it/custom-made/)
- [  ](https://www.permedica.it/universal-cup-removal-system/)
## [Universal Cup Removal System](https://www.permedica.it/universal-cup-removal-system/)
---
### [VITAL-E & VITAL-XE](https://www.permedica.it/innovation-systems/vital-e-vital-xe/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-E & VITAL-XE®
##### Vitamin E cross-linked polyethylene
VITAL-XE® is a **polyethylene (UHMWPE) fortified with 0.1 percent by weight of Vitamin E** (alpha-tocopherol) used to make joint inserts.
The Vitamin E is mixed with the polyethylene powder from the outset before the raw material rods are formed.
**VITAL-XE® is cross-linked polyethylene** as it is irradiated with beta rays by a dose of 60 kGy and then sterilized in ethylene oxide.
VITAL-XE® is used to make **joint inserts used in total hip arthroplasty**.
**VITAL-E® is the non-irradiated, thus non-cross-linked version** of Vitamin E-supplemented polyethylene, sterilized by ethylene oxide.
VITAL-E® is used to make **non-cross-linked joint inserts of knee prostheses as well as humeral and glenosphere heads for shoulder prostheses**.
#### OXIDATION.
The degradation of UHMWPE and polymers in general is that process such that there is an alteration of the chemical structure of the material with a decrease in molecular weight. **Degradation decreases the mechanical properties of polyethylene and, therefore, causes premature wear.**
The degradation of a polymer occurs with the breaking of certain chemical bonds and the creation of new free radicals when, for example, the material is exposed to more energy than the chemical bonds themselves of which the molecular chains of the polymer are made. This process in the presence of oxygen is called oxidative degeneration or more simply oxidation.
Once triggered, the oxidative process is irreversible. As new radicals are formed and react with oxygen, they trigger breaks in other chemical bonds that generate other radicals and so on, creating a chain reaction that is self-perpetuating at increasing speed. The rate of oxidation depends on the number of radicals present and the amount of oxygen that may be present in the atmosphere during polyethylene processing and sterilization processes into which it may penetrate by diffusion during product storage or once implanted in the patient.
Polyethylenes used in arthroplasty are typically subjected to high doses of energy in the form of gamma or beta irradiation to sterilize or to increase the degree of cross-linking of the polyethylene. Such irradiation produces the formation of active free radicals within the material. Most free radicals recombine to form new cross-links in the amorphous phase of polyethylene, cross-linking precisely. Instead, free radicals that have formed within the crystalline phase of polyethylene remain trapped for a long time without recombining into new bonds. Such radicals in the presence of oxygen are responsible for the progressive breakdown of polymer chains through oxidation cascade reactions and consequently, are responsible for the reduction of the mechanical properties of polyethylene.
**Oxidation results in the degradation of the molecular structure of polyethylene and thus over time causes its mechanical and tribological properties to progressively decay.**
#### VITAMIN “E” AS A STABILIZING ADDITIVE
Polymer stabilization is mainly based on reducing the oxygen concentration or reducing the number of free radicals or their reactivity to reduce or theoretically eliminate the problem of polyethylene oxidation. In the case of polyethylene (UHMWPE), sterilizing in vacuum or modified atmosphere brings advantages, but oxygen is still present within the material by penetrating through diffusion during the production process; therefore, it is materially impossible to completely eliminate oxygen from polyethylene.
There are many additives on the market that can limit radical reactivity; unfortunately, almost all of them have problems with biocompatibility, which is absolutely necessary for a product to be implanted in the human body.
**One biocompatible dopant that has long been studied in the literature for medical polyethylene stabilization is vitamin E** (alpha-tocopherol). Vitamin E is present in many vegetables and is an essential vitamin nutrient for metabolism in humans.
**Stabilization of UHMWPE by vitamin E was introduced as an alternative method to provide oxidation resistance without sacrificing the mechanical properties of UHMWPE.** There are two methods to introduce low concentrations (0.05%-1%) of vitamin E within UHMWPE. The first consists of mixing vitamin E in liquid form to UHMWPE powder before the rod extrusion process and irradiation for cross-linking. The second method, on the other hand, involves diffusing vitamin E within the already consolidated and cross-linked UHMWPE.
**The addition of minute concentrations of vitamin E in polyethylene eliminates the problem of oxidation and consequently increases its longevity.**
#### BIBLIOGRAPHY
Torre M, Brach Del Prever E, Costa L, Romanini E, Masciocchi M, Manno V. Innovative materials in orthopedics: cross-linked polyethylene.
Ann Ig 2011;23:81-90.
---
### [VITAL-E & VITAL-XE](https://www.permedica.it/innovation-systems/vital-e-vital-xe/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-E & VITAL-XE®
##### Vitamin E-vernetztes Polyethylen
VITAL-XE® ist ein **Polyethylen (UHMWPE) mit einem Zusatz von 0,1 Gewichtsprozent Vitamin E** (Alpha-Tocopherol) **und** wird zur Herstellung von Gelenkeinlagen verwendet.
Das Vitamin E wird mit dem Polyethylenpulver gemischt, bevor die Rohmaterialstangen geformt werden.
**VITAL-XE® ist ein vernetztes Polyethylen**, da es mit Betastrahlen in einer Dosis von 60 kGy bestrahlt und anschließend in Ethylenoxid sterilisiert wird.
VITAL-XE® wird für die Herstellung von **Gelenkeinsätzen in der Hüft-Totalendoprothetik** verwendet.
**VITAL-E® ist die unbestrahlte,** d.h. unvernetzte **Version** von Polyethylen mit zugesetztem Vitamin E, sterilisiert durch Ethylenoxid.
VITAL-E® wird zur Herstellung von **unvernetzten Gelenkeinsätzen für Knieprothesen sowie Oberarm- und Glenosphärenköpfen für Schulterprothesen** verwendet.
#### OXIDATION
Der Abbau von UHMWPE und Polymeren im Allgemeinen ist der Prozess, bei dem sich die chemische Struktur des Materials mit einer Abnahme des Molekulargewichts verändert. **Die Degradation verschlechtert die mechanischen Eigenschaften von Polyethylen und führt so zu vorzeitigem Verschleiß.**
Der Abbau eines Polymers erfolgt durch das Aufbrechen bestimmter chemischer Bindungen und die Bildung neuer freier Radikale, wenn das Material beispielsweise einer höheren Energie ausgesetzt wird als die chemischen Bindungen, aus denen die Molekülketten des Polymers aufgebaut sind. Dieser Prozess in Gegenwart von Sauerstoff wird als oxidative Degeneration oder einfach als Oxidation bezeichnet.
Einmal ausgelöst, ist der oxidative Prozess unumkehrbar. Die Bildung neuer Radikale, die mit Sauerstoff reagieren, löst das Aufbrechen anderer chemischer Bindungen aus, die wiederum andere Radikale erzeugen, und so weiter, so dass eine Kettenreaktion entsteht, die sich mit zunehmender Geschwindigkeit selbst ernährt. Die Geschwindigkeit der Oxidation hängt von der Anzahl der vorhandenen Radikale und der Menge an Sauerstoff ab, die während der Verarbeitung und Sterilisation des Polyethylens in der Atmosphäre vorhanden ist, in die sie während der Lagerung des Produkts oder nach der Implantation in den Patienten durch Diffusion eindringen kann.
Die in der Endoprothetik verwendeten Polyethylene werden in der Regel hohen Energiedosen in Form von Gamma- oder Betabestrahlung ausgesetzt, um sie zu sterilisieren oder den Vernetzungsgrad des Polyethylens zu erhöhen. Diese Bestrahlung führt zur Bildung von aktiven freien Radikalen im Material. Die meisten freien Radikale rekombinieren und bilden neue Vernetzungen in der amorphen Phase des Polyethylens, der Vernetzung. Im Gegensatz dazu bleiben freie Radikale, die sich in der kristallinen Phase von Polyethylen bilden, lange Zeit eingeschlossen, ohne sich zu neuen Bindungen zu rekombinieren. Diese Radikale sind in Gegenwart von Sauerstoff für den fortschreitenden Bruch der Polymerketten durch Oxidationskaskadenreaktionen verantwortlich und damit für die Verringerung der mechanischen Eigenschaften von Polyethylen.
**Die Oxidation führt zum Abbau der Molekularstruktur von Polyethylen und damit im Laufe der Zeit zu einer schrittweisen Verschlechterung seiner mechanischen und tribologischen Eigenschaften.**
#### VITAMIN ‘E’ ALS STABILISIERENDER ZUSATZSTOFF
Die Stabilisierung von Polymeren basiert hauptsächlich auf der Verringerung der Sauerstoffkonzentration oder der Reduzierung der Anzahl freier Radikale oder ihrer Reaktivität, um das Problem der Polyethylenoxidation zu verringern oder theoretisch zu beseitigen. Im Falle von Polyethylen (UHMWPE) bringt die Sterilisation unter Vakuum oder modifizierter Atmosphäre Vorteile mit sich, aber Sauerstoff ist durch Diffusion während des Produktionsprozesses immer noch im Material vorhanden; es ist daher praktisch unmöglich, Sauerstoff vollständig aus Polyethylen zu entfernen.
Es gibt viele Zusatzstoffe auf dem Markt, die die Reaktivität von Radikalen begrenzen können. Leider haben fast alle von ihnen Probleme mit der Biokompatibilität, die für ein Produkt, das in den menschlichen Körper implantiert werden soll, unbedingt erforderlich ist.
**Ein biokompatibles Dotiermittel, das in der Literatur seit langem für die Stabilisierung von medizinischem Polyethylen untersucht wird, ist Vitamin E** (Alpha-Tocopherol). Vitamin E ist in vielen Gemüsesorten enthalten und ist ein essentieller Vitamin-Nährstoff für den Stoffwechsel des Menschen.
**Die Stabilisierung von UHMWPE mit Vitamin E wurde als alternative Methode eingeführt, um die Oxidationsbeständigkeit sicherzustellen, ohne die mechanischen Eigenschaften von UHMWPE zu beeinträchtigen.** Es gibt zwei Methoden, um geringe Konzentrationen (0,05%-1%) von Vitamin E in UHMWPE einzubringen. Die erste besteht darin, Vitamin E in flüssiger Form mit UHMWPE-Pulver zu mischen, bevor der Stabextrusionsprozess und die Bestrahlung zur Vernetzung erfolgen. Die zweite Methode besteht darin, das Vitamin E in das bereits verfestigte und vernetzte UHMWPE zu diffundieren.
**Die Zugabe von winzigen Konzentrationen von Vitamin E in Polyethylen beseitigt das Problem der Oxidation und erhöht folglich seine Langlebigkeit.**
#### BIBLIOGRAPHIE
Torre M, Brach Del Prever E, Costa L, Romanini E, Masciocchi M, Manno V. Innovative Materialien in der Orthopädie: vernetztes Polyethylen.
Ann Ig 2011;23:81-90.
---
### [VITAL-E & VITAL-XE](https://www.permedica.it/innovation-systems/vital-e-vital-xe/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-E & VITAL-XE®
##### Polyéthylène réticulé avec ajout de vitamine E
VITAL-XE® est un **polyéthylène (UHMWPE) additionné de 0,1 % en poids de vitamine E** (alpha-tocophérol) utilisé pour fabriquer des inserts articulaires.
La vitamine E est mélangée à la poudre de polyéthylène dès le départ, avant la formation des barres de matière première.
**VITAL-XE® est un polyéthylène réticulé** car il est irradié par des rayons bêta à une dose de 60 kGy, puis stérilisé à l’oxyde d’éthylène.
VITAL-XE® est utilisé pour réaliser des **inserts articulaires employés dans l’arthroplastie totale de la hanche.**
**VITAL-E® est la version non irradiée,** donc sans réticulation du polyéthylène additionné de vitamine E, stérilisée à l’oxyde d’éthylène.
VITAL-E® est utilisé pour réaliser des **inserts articulaires non réticulés pour les prothèses de genou, ainsi que des têtes humérales et des glénosphères pour les prothèses d’épaule.**
#### L’OXYDATION
La dégradation de l’UHMWPE et des polymères en général est le processus par lequel se produit une altération de la structure chimique du matériau, avec une diminution du poids moléculaire. **La dégradation diminue les caractéristiques mécaniques du polyéthylène et provoque ainsi une usure précoce.**
La dégradation d’un polymère se produit avec la rupture de certaines liaisons chimiques et la création de nouveaux radicaux libres lorsque, par exemple, le matériau est exposé à une quantité d’énergie supérieure à celle des liaisons chimiques elles-mêmes qui constituent les chaînes moléculaires du polymère. Ce processus, en présence d’oxygène, est appelé dégénérescence oxydative ou plus simplement oxydation.
Une fois amorcé, le processus d’oxydation est irréversible. Avec la formation de nouveaux radicaux qui réagissent avec l’oxygène, des ruptures d’autres liaisons chimiques sont déclenchées, générant d’autres radicaux et ainsi de suite, créant une réaction en chaîne qui s’auto-alimente à une vitesse croissante. La vitesse de l’oxydation dépend du nombre de radicaux présents et de la quantité d’oxygène pouvant être présente dans l’atmosphère lors des processus de transformation et de stérilisation du polyéthylène, dans lequel il peut pénétrer par diffusion pendant le stockage du produit ou une fois implanté chez le patient.
Les polyéthylènes utilisés en arthroplastie sont généralement soumis à des doses élevées d’énergie sous forme d’irradiation par rayons gamma ou bêta pour stériliser ou pour augmenter le degré de réticulation du polyéthylène. Cette irradiation produit la formation de radicaux libres actifs à l’intérieur du matériau. La plupart des radicaux libres se recombinent en formant de nouvelles liaisons transversales dans la phase amorphe du polyéthylène, c’est-à-dire la réticulation. En revanche, les radicaux libres qui se sont formés à l’intérieur de la phase cristalline du polyéthylène restent piégés longtemps sans se recombiner en de nouvelles liaisons. Ces radicaux, en présence d’oxygène, sont responsables de la rupture progressive des chaînes polymères par les réactions en cascade de l’oxydation et, par conséquent, sont responsables de la réduction des propriétés mécaniques du polyéthylène.
**L’oxydation détermine la dégradation de la structure moléculaire du polyéthylène et entraîne donc, au fil du temps, une dégradation progressive de ses propriétés mécaniques et tribologiques.**
#### LA VITAMINE « E » COMME ADDITIF STABILISANT
La stabilisation des polymères repose principalement sur la réduction de la concentration d’oxygène ou sur la réduction du nombre de radicaux libres ou de leur réactivité afin de réduire ou, théoriquement, d’éliminer le problème de l’oxydation du polyéthylène. Dans le cas du polyéthylène (UHMWPE), la stérilisation sous vide ou en atmosphère modifiée apporte des avantages, mais l’oxygène reste présent à l’intérieur du matériau en y pénétrant par diffusion lors du processus de production ; il est donc matériellement impossible d’éliminer complètement l’oxygène du polyéthylène.
Il existe sur le marché de nombreux additifs capables de limiter la réactivité des radicaux, mais malheureusement la quasi-totalité d’entre eux présente des problèmes de biocompatibilité, pourtant absolument nécessaire pour un produit destiné à être implanté dans le corps humain.
**Un dopant biocompatible étudié depuis longtemps dans la littérature pour la stabilisation du polyéthylène à usage médical est la vitamine E** (alpha-tocophérol). La vitamine E est présente dans de nombreux végétaux et représente un nutriment vitaminique essentiel pour le métabolisme humain.
**La stabilisation de l’UHMWPE par la vitamine E a été introduite comme méthode alternative pour garantir la résistance à l’oxydation sans sacrifier les propriétés mécaniques de l’UHMWPE.** Il existe deux méthodes pour introduire de faibles concentrations (0,05 % à 1 %) de vitamine E à l’intérieur de l’UHMWPE. La première consiste à mélanger la vitamine E sous forme liquide à la poudre d’UHMWPE avant le processus d’extrusion des barres et l’irradiation pour la réticulation. La seconde méthode consiste au contraire à diffuser la vitamine E à l’intérieur de l’UHMWPE déjà consolidé et réticulé.
**L’ajout de concentrations minimales de vitamine E dans le polyéthylène élimine le problème de l’oxydation et augmente par conséquent sa longévité.**
#### BIBLIOGRAPHIE
Torre M, Brach Del Prever E, Costa L, Romanini E, Masciocchi M, Manno V. Materiali innovativi in ortopedia: il polietilene reticolato.
Ann Ig 2011;23:81-90.
---
### [CORPORATIVO](https://www.permedica.it/corporate/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CORPORATIVO
Fundada en 1986 como sociedad comercial, hoy Permedica S.p.A. se ha convertido en una **empresa líder en la producción y distribución de productos para artroplastia de cadera, rodilla y hombro.**
En la sede central de Merate, inmersa en las verdes colinas de la Brianza, Permedica dispone de una de las instalaciones de producción más amplias y modernas de Europa, con las **tecnologías más actuales e innovadoras disponibles hoy en día** en el sector ortopédico.
Jóvenes ingenieros y técnicos con talento permiten a Permedica responder rápidamente a las necesidades del mercado ortopédico y dental, adaptándose con prontitud a los continuos cambios que se producen en este ámbito.
El compromiso de destacar en la **Investigación, Desarrollo, Producción y Marketing** de productos de alta gama para la **sustitución articular** representa la base de la continua expansión de la empresa.
**Calidad, precio y servicio son los elementos clave** que garantizan la dedicación de nuestra empresa a la mejora constante.
**¡Agradecemos a todos los que colaboran con nosotros en este proyecto**, permitiéndonos crecer!
Somos una empresa familiar que opera en todo el mundo, gracias al apoyo de varias filiales y a una consolidada red de distribuidores.
La producción totalmente interna y la integración vertical de los procesos hacen que cada pieza nazca en nuestra propia sede.
La unión entre el saber hacer de nuestra gente y la experiencia de los profesionales médicos da vida a prótesis innovadoras y de calidad.
---
### [CORPORATE](https://www.permedica.it/corporate/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CORPORATE
Das 1986 als Handelsunternehmen gegründete Unternehmen Permedica S.p.A. ist heute ein **führender Hersteller und Vertreiber von Produkten für die Hüft-, Knie- und Schulterendoprothetik.**
An seinem Hauptsitz in Merate, eingebettet in die grünen Hügel von Brianza, verfügt Permedica über eine der größten und modernsten Produktionsstätten Europas mit den **aktuellsten und innovativsten Technologien, die heute** im orthopädischen Sektor **verfügbar sind**.
Dank talentierter junger Ingenieure und Techniker ist Permedica in der Lage, schnell auf die Bedürfnisse des orthopädischen und zahnmedizinischen Marktes zu reagieren und sich an die ständigen Veränderungen in diesem Bereich anzupassen.
Das Engagement für Spitzenleistungen in **Forschung & Entwicklung, Produktion und Marketing** von hochwertigen **Gelenkersatzprodukten** ist die Grundlage für die kontinuierliche Expansion des Unternehmens.
**Qualität, Preis und Service sind die Schlüsselelemente**, die das Streben unseres Unternehmens nach ständiger Verbesserung garantieren.
**Wir danken allen, die mit uns zusammenarbeiten** und es uns ermöglichen zu wachsen!
Wir sind ein weltweit tätiges Familienunternehmen, das von mehreren Tochtergesellschaften und einem etablierten Händlernetz unterstützt wird.
Die vollständig interne Produktion und vertikale Integration der Bearbeitung bedeutet, dass jedes einzelne Teil im eigenen Haus entsteht.
Die Kombination aus dem Know-how unserer Mitarbeiter und dem Fachwissen der Mediziner führt zu innovativen, qualitativ hochwertigen Prothesen.
---
### [SOCIÉTÉ](https://www.permedica.it/corporate/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### SOCIÉTÉ
Fondée en 1986 en tant que société commerciale, Permedica S.p.A. est aujourd’hui devenue un **fabricant et un distributeur de premier plan de produits d’arthroplastie de la hanche, du genou et de l’épaule.**
Au siège de Merate, niché dans les collines verdoyantes de la Brianza, Permedica dispose de l’un des sites de production les plus grands et les plus modernes d’Europe, doté des **technologies les plus récentes et les plus innovantes disponibles aujourd’hui** dans le secteur de l’orthopédie.
De jeunes ingénieurs et techniciens talentueux permettent à Permedica de répondre rapidement aux besoins du marché orthopédique et dentaire, en s’adaptant rapidement aux changements constants dans ce domaine.
L’engagement en faveur de l’excellence dans la **recherche et le développement, la production et la commercialisation** de produits de **remplacement articulaire** haut de gamme est à la base de l’expansion continue de l’entreprise.
**La qualité, le prix et le service sont les éléments clés** qui garantissent l’engagement de notre entreprise à s’améliorer constamment.
**Nous remercions tous ceux qui collaborent avec nous dans cette entreprise**, nous permettant ainsi de grandir !
Nous sommes une entreprise familiale opérant dans le monde entier, soutenue par plusieurs filiales et un réseau établi de distributeurs.
La production entièrement interne et l’intégration verticale de l’usinage signifient que chaque pièce est née en interne.
La combinaison du savoir-faire de nos collaborateurs et de l’expertise des professionnels de la santé aboutit à des prothèses innovantes et de qualité.
---
### [CORPORATE](https://www.permedica.it/corporate/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CORPORATE
Founded in 1986 as a medical supplies distributor, today Permedica S.p.A. has become a leading producer and provider of orthopaedic surgical products for hip, knee and shoulder arthroplasty.
Located in Merate near the hills of the Brianza district of Northern Italy, Permedica occupies one of the largest and most modern production facilities in Europe, dedicated to promoting **continuous growth and innovation within the orthopaedic sector**.
Talented young engineers and technicians enable Permedica to respond rapidly to market changes and requirements within the orthopaedic and dental community.
Commitment to excel in **Research & Development, Manufacturing** and Marketing of leading edge joint replacement products are the basis for the company’s continuous expansion.
**Quality, price and service are key elements** that guarantee our company’s dedication to constant improvement.
**We wish to thank all those partners who stand by us in this challenge** and help us to grow!
We are a family business operating worldwide, supported by multiple branches and an accomplished network of distributors.
Complete in-house production and vertical integration of manufacturing means that every single piece is created in-house.
The combination of our people’s know-how and the expertise of medical professionals results in high-quality, innovative prostheses.
---
### [UBICACIONES](https://www.permedica.it/corporate/locations/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
## UBICACIONES
[](https://www.google.com/maps/place/Permedica+S.P.A./@45.69117,9.406662,17z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
#### Sede central
Permedica S.p.A.
Via Como, 38
23807 – Merate (LC)
Italia
t: +39 039 95 14 811
[](https://www.google.it/maps/place/Via+al+Molino+31,+6926+Collina+d'Oro,+Svizzera/@45.9736296,8.9223603,17z/data=!3m1!4b1!4m5!3m4!1s0x47842cff861f8577:0xf23df07bf858c153!8m2!3d45.9736296!4d8.924549)
#### Sucursales
Permedica Switzerland s.a.
Via Al Molino 31
CH-6926 Scairolo di Collina d’Oro
Suiza
t: +41 91 960 90 80
[](https://www.google.it/maps/place/GmbH+Permedica+Deutschland/@52.4591634,13.3778521,15.16z/data=!4m8!1m2!2m1!1sPermedica+Deutschland+GmbH!3m4!1s0x0:0x41f1a26c4f557bb5!8m2!3d52.4621284!4d13.3814335)
####
Permedica Deutschland GmbH
Goerzallee 311
14167 Berlín
Alemania
t:+49 (030) 32590822
[](https://www.google.it/maps/place/20,+12,+8th+St,+C+Block,+Annanagar+East,+Chennai,+Tamil+Nadu+600030,+India/@13.0834004,80.2234044,17.37z/data=!4m5!3m4!1s0x3a52642908638cf5:0xb5014c34bc11c68a!8m2!3d13.0835552!4d80.2244393)
####
Permedica India (P) Ltd
M- 20/12, 8th Street
Anna Nagar East
Chennai – 600102, INDIA
t: +91 44 42105112
[](https://www.google.it/maps/place/56+Godeok-ro,+Gangdong-gu,+Seoul,+Corea+del+Sud/@37.5545412,127.127013,17z/data=!3m1!4b1!4m5!3m4!1s0x357cb00c815898b3:0x85eb45a0a96adf02!8m2!3d37.554537!4d127.1314977)
####
Permedica Corea del Sur
56, Godeok-Ro, Gangdong-Gu
05252, Seúl
Corea del Sur
[](https://www.google.it/maps/place/1+Richardson+Pl,+North+Ryde+NSW+2113,+Australia/@-33.7967048,151.1407245,17z/data=!3m1!4b1!4m5!3m4!1s0x6b12af56a5a72c3f:0x4a7c001933405c78!8m2!3d-33.7967093!4d151.1452092)
####
Permedica Australia
1 Richardson Place
2113, North Ryde-NSW
Australia
[](https://www.google.it/maps/place/Q985%2BF9F+Mahfuza+Tower,+Ring+Rd,+Dhaka+1207,+Bangladesh/@23.7661475,90.356263,17z/data=!3m1!4b1!4m5!3m4!1s0x3755c0a10754df7b:0x42c633bf259c6fab!8m2!3d23.7661426!4d90.3584517)
####
Permedica Bangladesh
36/37, Probal Housing, Mahfuza Tower, Ring Road
1207, Daca – Adabor, Mohammadpur
Bangladesh
[](https://maps.app.goo.gl/F23ncRn3cNnPT1vv8)
####
Permedica Uzbekistán
Distrito de Yunusobod, Bloque 5,
Edificio St. Ettichinor 100009
Ciudad de Taskent
Uzbekistán
[](https://maps.app.goo.gl/mawPpdKpqDbSfEoD8)
####
Permedica México
Tepic 139, Oficina 402,
Col. Roma Sur – Alcaldía Cuauhtémoc
06760 CDMX,
México
[](https://maps.app.goo.gl/h6sQgsXZs4Y5N32BA)
####
Oriente Medio – Reino Unido,
ORTHOHOUSE SOLUTIONS LTD
2 Kingdom Street, 6.ª planta,
W2 6BD Paddington
Londres
---
### [STANDORTE](https://www.permedica.it/corporate/locations/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
## STANDORTE
[](https://www.google.com/maps/place/Permedica+S.P.A./@45.69117,9.406662,17z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
#### Hauptsitz
Permedica S.p.A.
Via Como, 38
23807 – Merate (LC)
Italien
t: +39 039 95 14 811
[](https://www.google.it/maps/place/Via+al+Molino+31,+6926+Collina+d'Oro,+Svizzera/@45.9736296,8.9223603,17z/data=!3m1!4b1!4m5!3m4!1s0x47842cff861f8577:0xf23df07bf858c153!8m2!3d45.9736296!4d8.924549)
#### Zweige
Permedica Schweiz s.a.
Via Al Molino 31
CH-6926 Scairolo di Collina d’Oro
Schweiz
t: +41 91 960 90 80
[](https://www.google.it/maps/place/GmbH+Permedica+Deutschland/@52.4591634,13.3778521,15.16z/data=!4m8!1m2!2m1!1sPermedica+Deutschland+GmbH!3m4!1s0x0:0x41f1a26c4f557bb5!8m2!3d52.4621284!4d13.3814335)
####
Permedica Deutschland GmbH
Goerzallee 311
14167 Berlin
Deutschland
T: +49 (030) 32590822
[](https://www.google.it/maps/place/20,+12,+8th+St,+C+Block,+Annanagar+East,+Chennai,+Tamil+Nadu+600030,+India/@13.0834004,80.2234044,17.37z/data=!4m5!3m4!1s0x3a52642908638cf5:0xb5014c34bc11c68a!8m2!3d13.0835552!4d80.2244393)
####
Permedica Indien (P) Ltd
M- 20/12, 8th Street
Anna Nagar East
Chennai – 600102, INDIA
t: +91 44 42105112
[](https://www.google.it/maps/place/56+Godeok-ro,+Gangdong-gu,+Seoul,+Corea+del+Sud/@37.5545412,127.127013,17z/data=!3m1!4b1!4m5!3m4!1s0x357cb00c815898b3:0x85eb45a0a96adf02!8m2!3d37.554537!4d127.1314977)
####
Permedica Südkorea
56, Godeok-Ro, Gangdong-Gu
05252, Seoul
Südkorea
[](https://www.google.it/maps/place/1+Richardson+Pl,+North+Ryde+NSW+2113,+Australia/@-33.7967048,151.1407245,17z/data=!3m1!4b1!4m5!3m4!1s0x6b12af56a5a72c3f:0x4a7c001933405c78!8m2!3d-33.7967093!4d151.1452092)
####
Permedica Australien
1 Richardson Place
2113, North Ryde-NSW
Australien
[](https://www.google.it/maps/place/Q985%2BF9F+Mahfuza+Tower,+Ring+Rd,+Dhaka+1207,+Bangladesh/@23.7661475,90.356263,17z/data=!3m1!4b1!4m5!3m4!1s0x3755c0a10754df7b:0x42c633bf259c6fab!8m2!3d23.7661426!4d90.3584517)
####
Permedica Bangladesch
36/37, Probal Housing, Mahfuza Tower, Ring Road
1207, Dhaka – Adabor, Mohammadpur
Bangladesch
[](https://maps.app.goo.gl/F23ncRn3cNnPT1vv8)
####
Permedica Usbekistan
Yunusobod Bezirk, Block 5 ,
100009 St. Ettichinor Gebäude
Taschkent Stadt
Usbekistan
[](https://maps.app.goo.gl/mawPpdKpqDbSfEoD8)
####
Permedica Mexiko
Tepic 139, Büro 402,
Col. Roma Sur – Alcaldia Cuauhtemoc
06760 CDMX,
Mexiko
[](https://maps.app.goo.gl/h6sQgsXZs4Y5N32BA)
####
Naher Osten – Großbritannien,
ORTHOHOUSE SOLUTIONS LTD
6\. Stockwerk 2 Kingdom Street,
W2 6BD Paddington
London
---
### [LOCATIONS](https://www.permedica.it/corporate/locations/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
## LOCATIONS
[](https://www.google.com/maps/place/Permedica+S.P.A./@45.69117,9.406662,17z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
#### Headquarters
Permedica S.p.A.
Via Como, 38
23807 – Merate (LC)
Italy
t: +39 039 95 14 811
[](https://www.google.it/maps/place/Via+al+Molino+31,+6926+Collina+d'Oro,+Svizzera/@45.9736296,8.9223603,17z/data=!3m1!4b1!4m5!3m4!1s0x47842cff861f8577:0xf23df07bf858c153!8m2!3d45.9736296!4d8.924549)
#### Branches
Permedica Switzerland s.a.
Via Al Molino 31
CH-6926 Scairolo di Collina d’Oro
Switzerland
t: +41 91 960 90 80
[](https://www.google.it/maps/place/GmbH+Permedica+Deutschland/@52.4591634,13.3778521,15.16z/data=!4m8!1m2!2m1!1sPermedica+Deutschland+GmbH!3m4!1s0x0:0x41f1a26c4f557bb5!8m2!3d52.4621284!4d13.3814335)
####
Permedica Deutschland GmbH
Goerzallee 311
14167 Berlin
Germany
t:+49 (030) 32590822
[](https://www.google.it/maps/place/20,+12,+8th+St,+C+Block,+Annanagar+East,+Chennai,+Tamil+Nadu+600030,+India/@13.0834004,80.2234044,17.37z/data=!4m5!3m4!1s0x3a52642908638cf5:0xb5014c34bc11c68a!8m2!3d13.0835552!4d80.2244393)
####
Permedica India (P) Ltd
M- 20/12, 8th Street
Anna Nagar East
Chennai – 600102, INDIA
t: +91 44 42105112
[](https://www.google.it/maps/place/56+Godeok-ro,+Gangdong-gu,+Seoul,+Corea+del+Sud/@37.5545412,127.127013,17z/data=!3m1!4b1!4m5!3m4!1s0x357cb00c815898b3:0x85eb45a0a96adf02!8m2!3d37.554537!4d127.1314977)
####
Permedica South Korea
56, Godeok-Ro, Gangdong-Gu
05252, Seoul
South Korea
[](https://www.google.it/maps/place/1+Richardson+Pl,+North+Ryde+NSW+2113,+Australia/@-33.7967048,151.1407245,17z/data=!3m1!4b1!4m5!3m4!1s0x6b12af56a5a72c3f:0x4a7c001933405c78!8m2!3d-33.7967093!4d151.1452092)
####
Permedica Australia
1 Richardson Place
2113, North Ryde-NSW
Australia
[](https://www.google.it/maps/place/Q985%2BF9F+Mahfuza+Tower,+Ring+Rd,+Dhaka+1207,+Bangladesh/@23.7661475,90.356263,17z/data=!3m1!4b1!4m5!3m4!1s0x3755c0a10754df7b:0x42c633bf259c6fab!8m2!3d23.7661426!4d90.3584517)
####
Permedica Bangladesh
36/37, Probal Housing, Mahfuza Tower, Ring Road
1207, Dhaka – Adabor, Mohammadpur
Bangladesh
[](https://maps.app.goo.gl/F23ncRn3cNnPT1vv8)
####
Permedica Uzbekistan
Yunusobod district, Block 5 ,
100009 St. Ettichinor Building
Tashkent city
Uzbekistan
[](https://maps.app.goo.gl/mawPpdKpqDbSfEoD8)
####
Permedica Mexico
Tepic 139, Office 402,
Col. Roma Sur – Alcaldia Cuauhtemoc
06760 CDMX,
Mexico
[](https://maps.app.goo.gl/h6sQgsXZs4Y5N32BA)
####
Middle East – UK,
ORTHOHOUSE SOLUTIONS LTD
6th Floor 2 Kingdom Street,
W2 6BD Paddington
London
---
### [LIEUX](https://www.permedica.it/corporate/locations/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
## LIEUX
[](https://www.google.com/maps/place/Permedica+S.P.A./@45.69117,9.406662,17z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
#### Siège social
Permedica S.p.A.
Via Como, 38
23807 – Merate (LC)
Italie
t : +39 039 95 14 811
[](https://www.google.it/maps/place/Via+al+Molino+31,+6926+Collina+d'Oro,+Svizzera/@45.9736296,8.9223603,17z/data=!3m1!4b1!4m5!3m4!1s0x47842cff861f8577:0xf23df07bf858c153!8m2!3d45.9736296!4d8.924549)
#### Branches
Permedica Suisse s.a.
Via Al Molino 31
CH-6926 Scairolo di Collina d’Oro
Suisse
t : +41 91 960 90 80
[](https://www.google.it/maps/place/GmbH+Permedica+Deutschland/@52.4591634,13.3778521,15.16z/data=!4m8!1m2!2m1!1sPermedica+Deutschland+GmbH!3m4!1s0x0:0x41f1a26c4f557bb5!8m2!3d52.4621284!4d13.3814335)
####
Permedica Deutschland GmbH
Goerzallee 311
14167 Berlin
Allemagne
t : +49 (030) 32590822
[](https://www.google.it/maps/place/20,+12,+8th+St,+C+Block,+Annanagar+East,+Chennai,+Tamil+Nadu+600030,+India/@13.0834004,80.2234044,17.37z/data=!4m5!3m4!1s0x3a52642908638cf5:0xb5014c34bc11c68a!8m2!3d13.0835552!4d80.2244393)
####
Permedica India (P) Ltd
M- 20/12, 8th Street
Anna Nagar East
Chennai – 600102, INDIA
t : +91 44 42105112
[](https://www.google.it/maps/place/56+Godeok-ro,+Gangdong-gu,+Seoul,+Corea+del+Sud/@37.5545412,127.127013,17z/data=!3m1!4b1!4m5!3m4!1s0x357cb00c815898b3:0x85eb45a0a96adf02!8m2!3d37.554537!4d127.1314977)
####
Permedica Corée du Sud
56, Godeok-Ro, Gangdong-Gu
05252, Seoul
Corée du Sud
[](https://www.google.it/maps/place/1+Richardson+Pl,+North+Ryde+NSW+2113,+Australia/@-33.7967048,151.1407245,17z/data=!3m1!4b1!4m5!3m4!1s0x6b12af56a5a72c3f:0x4a7c001933405c78!8m2!3d-33.7967093!4d151.1452092)
####
Permedica Australie
1 Richardson Place
2113, North Ryde-NSW
Australie
[](https://www.google.it/maps/place/Q985%2BF9F+Mahfuza+Tower,+Ring+Rd,+Dhaka+1207,+Bangladesh/@23.7661475,90.356263,17z/data=!3m1!4b1!4m5!3m4!1s0x3755c0a10754df7b:0x42c633bf259c6fab!8m2!3d23.7661426!4d90.3584517)
####
Permedica Bangladesh
36/37, Probal Housing, Mahfuza Tower, Ring Road
1207, Dhaka – Adabor, Mohammadpur
Bangladesh
[](https://maps.app.goo.gl/F23ncRn3cNnPT1vv8)
####
Permedica Ouzbékistan
Yunusobod district, Block 5 ,
100009 St. Ettichinor Building
Tashkent city
Uzbekistan
[](https://maps.app.goo.gl/mawPpdKpqDbSfEoD8)
####
Permedica Mexique
Tepic 139, Office 402,
Col. Roma Sur – Alcaldia Cuauhtemoc
06760 CDMX,
Mexique
[](https://maps.app.goo.gl/h6sQgsXZs4Y5N32BA)
####
Moyen-Orient – Royaume-Uni,
ORTHOHOUSE SOLUTIONS LTD
6th Floor 2 Kingdom Street,
W2 6BD Paddington
Londres
---
### [LOCATIONS](https://www.permedica.it/corporate/locations/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
## LOCATIONS
[](https://www.google.com/maps/place/Permedica+S.P.A./@45.69117,9.406662,17z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
#### Headquarter
Permedica S.p.A.
Via Como, 38
23807 – Merate (LC)
Italy
t: +39 039 95 14 811
[](https://www.google.it/maps/place/Via+al+Molino+31,+6926+Collina+d'Oro,+Svizzera/@45.9736296,8.9223603,17z/data=!3m1!4b1!4m5!3m4!1s0x47842cff861f8577:0xf23df07bf858c153!8m2!3d45.9736296!4d8.924549)
#### Branches
Permedica Switzerland s.a.
Via Al Molino 31
CH-6926 Scairolo di Collina d’Oro
Switzerland
t: +41 91 960 90 80
[](https://www.google.it/maps/place/GmbH+Permedica+Deutschland/@52.4591634,13.3778521,15.16z/data=!4m8!1m2!2m1!1sPermedica+Deutschland+GmbH!3m4!1s0x0:0x41f1a26c4f557bb5!8m2!3d52.4621284!4d13.3814335)
####
Permedica Deutschland GmbH
Goerzallee 311
14167 Berlin
Deutschland
t:+49 (030) 32590822
[](https://www.google.it/maps/place/20,+12,+8th+St,+C+Block,+Annanagar+East,+Chennai,+Tamil+Nadu+600030,+India/@13.0834004,80.2234044,17.37z/data=!4m5!3m4!1s0x3a52642908638cf5:0xb5014c34bc11c68a!8m2!3d13.0835552!4d80.2244393)
####
Permedica India (P) Ltd
M- 20/12, 8th Street
Anna Nagar East
Chennai – 600102, INDIA
t: +91 44 42105112
[](https://www.google.it/maps/place/56+Godeok-ro,+Gangdong-gu,+Seoul,+Corea+del+Sud/@37.5545412,127.127013,17z/data=!3m1!4b1!4m5!3m4!1s0x357cb00c815898b3:0x85eb45a0a96adf02!8m2!3d37.554537!4d127.1314977)
####
Permedica South Korea
56, Godeok-Ro, Gangdong-Gu
05252, Seoul
South Korea
[](https://www.google.it/maps/place/1+Richardson+Pl,+North+Ryde+NSW+2113,+Australia/@-33.7967048,151.1407245,17z/data=!3m1!4b1!4m5!3m4!1s0x6b12af56a5a72c3f:0x4a7c001933405c78!8m2!3d-33.7967093!4d151.1452092)
####
Permedica Australia
1 Richardson Place
2113, North Ryde-NSW
Australia
[](https://www.google.it/maps/place/Q985%2BF9F+Mahfuza+Tower,+Ring+Rd,+Dhaka+1207,+Bangladesh/@23.7661475,90.356263,17z/data=!3m1!4b1!4m5!3m4!1s0x3755c0a10754df7b:0x42c633bf259c6fab!8m2!3d23.7661426!4d90.3584517)
####
Permedica Bangladesh
36/37, Probal Housing, Mahfuza Tower, Ring Road
1207, Dhaka – Adabor, Mohammadpur
Bangladesh
[](https://maps.app.goo.gl/F23ncRn3cNnPT1vv8)
####
Permedica Uzbekistan
Yunusobod district, Block 5 ,
100009 St. Ettichinor Building
Tashkent city
Uzbekistan
[](https://maps.app.goo.gl/mawPpdKpqDbSfEoD8)
####
Permedica Mexico
Tepic 139, Office 402,
Col. Roma Sur – Alcaldia Cuauhtemoc
06760 CDMX,
Mexico
[](https://maps.app.goo.gl/h6sQgsXZs4Y5N32BA)
####
Middle East – UK,
ORTHOHOUSE SOLUTIONS LTD
6th Floor 2 Kingdom Street,
W2 6BD Paddington
London
---
### [HISTORIE](https://www.permedica.it/corporate/storia/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### HISTORIE
- **1986:** Permedica S.p.A wurde von Marco Perego gegründet. Der Fokus des Unternehmens liegt bei orthopädischen **Implantaten für den Bereich Hüfte** 1986: **und Knie.**
- **1992:** Die erste von Permedica hergestellte Prothese wird auf dem Markt vorgestellt. Es ist der **Jump Femur-Schaft.**
- **1997:** **Das Unternehmen wächst ständig** und muss erweitert werden. Die Produktionsstätte in Merate wird eingeweiht.
- **2015:** Die Marke **Permedica Orthopaedics** wird geboren.
- **2016:** Die **internationale Erweiterung** des Unternehmens beginnt mit der Eröffnung der ersten Niederlassung: **Permedica Switzerland.**
- **2017:** Die erste Implantation der **Mirai Schulter Prothese** findet erfolgreich statt. Permedica nimmt **Lösungen für die Schulter Arthroplasty** mit in das Portfolio auf.
- Die Eröffnung von **Permedica Deutschland** GmbH verstärkt das internationale Unternehmenswachstum.
- **2018**: Permedica **stärkt die internationale Präsenz** in den neuen Märkten mit 2 Niederlassungen und über 20 Distributoren **weltweit.**
- **2019: Permedica India** wird gegründet. Eine entscheidende Präsenz, die dem Unternehmen die Position in Asien stärkt.
- **2020:** Das Wachstum des Unternehmens hört nicht auf und manifestiert sich mit der Einführung von **Permedica Südkorea,** wodurch die Präsenz des
Marktes in Asien konsolidiert wird.
- Das Unternehmen **ist nun in 25+ Ländern weltweit vertreten.**
- **2021:** Die Expansion wird fortgesetzt und dank der Eröffnung der Tochtergesellschaft **Permedica Australia** ein sehr strategischer Meilenstein erreicht.
- Mit 6 Niederlassungen und mehr als 30 Distributoren ist Permedica **auf fünf Kontinenten** präsent.
- **2023**: Die Konsolidierung in Europa wird mit der Gründung der Tochtergesellschaft **Permedica France** abgeschlossen, die einen wichtigen Meilenstein darstellt.
- Ein weiterer Schritt in diese Richtung ist die Eröffnung der Niederlassung von **Permedica UK**
- **2025**: Die globale Expansion wird mit der Eröffnung der Niederlassung **Permedica Mexiko** und **Permedica Uruguay** fortgesetzt, die einen wichtigen Meilenstein für den Eintritt in den nordamerikanischen Markt darstellt.
- **2026**: Die Wachstumsentwicklung des Unternehmens setzt sich mit der Gründung von **Permedica Polen** fort. Dies stellt einen weiteren wichtigen Meilenstein zur Stärkung der Präsenz in Europa dar und unterstreicht die internationale Expansionsstrategie von Permedica.
- Die kontinuierliche Entwicklung hat auch zu mehr als **40 internationalen Vertriebsstellen** geführt.
---
### [HISTORIA](https://www.permedica.it/corporate/storia/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### HISTORIA
- **1986:** Marco Perego funda Permedica S.p.A.. La empresa se centra en **los implantes ortopédicos de cadera y rodilla**.
- **1992:** Se introduce en el mercado el primer implante producido por Permedica. Se trata del **vástago femoral Jump**.
- **1997:** La empresa **sigue creciendo** y necesita expandirse. Se inaugura el centro de **Merate**.
- **2015:** Nace la marca **Permedica Orthopaedics**.
- **2016:** Comienza la**expansión internacional** de la empresa con la apertura de su primera filial: **Permedica Suiza**.
- **2017:** Primer implante de la **prótesis de hombro Mirai**. Permedica añade soluciones de**artroplastia de** hombro a su cartera de productos.
- La apertura de Permedica Alemania consolida el crecimiento internacional de la empresa.
- **2018:** Permedica **refuerza su presencia internacional** en nuevos mercados, con 2 filiales y más de 20 distribuidores **en todo el mundo**.
- **2019:** Se establece **Permedica India**, una presencia crucial que refuerza la presencia de la empresa en el continente asiático.
- **2020:** El crecimiento de la empresa continúa y se manifiesta con la introducción de **Permedica Corea del Sur**, consolidando así su presencia en el mercado asiático.
- En la actualidad, la empresa **está presente en más de 25 países de todo el mundo**.
- **2021:** Continúa la expansión, alcanzando un hito altamente estratégico con la apertura de la filial **Permedica Australia**.
- Con 6 filiales y más de 30 distribuidores, Permedica está presente y activa en **los cinco continentes**.
- **2023**: Se realiza la consolidación europea con el lanzamiento de la filial **Permedica Francia**, que constituye un hito clave.
- Un paso más en esta dirección es la apertura de la sucursal **de Permedica en el Reino Unido**.
- **2025**: Continúa la expansión global con la apertura de la filial **Permedica México** y **Permedica Uruguay**, que marca un hito importante en la entrada en el mercado norteamericano.
- **2026**: La trayectoria de crecimiento de la empresa continúa con la creación de **Permedica Polonia**, representando un nuevo hito en el fortalecimiento de su presencia en Europa y consolidando aún más la estrategia de expansión internacional de Permedica.
- El desarrollo constante también ha dado lugar a más de **40 socios internacionales**.
---
### [HISTORIE](https://www.permedica.it/corporate/storia/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### HISTORIE
- **1986:** Création de Permedica S.p.A. par Marco Perego. L’entreprise se concentre sur les **implants orthopédiques pour la hanche et le genou.**
- **1992:** La première prothèse produite par Permedica est introduite sur le marché. C’est la **Tige Fémorale Jump.**
- **1997:** La société est en **croissance constante** et doit être développée. L’installation de **Merate** est inaugurée.
- **2015:** La marque **Permedica Orthopaedics** est née.
- **2016:** L’ **expansion internationale** de l’entreprise commence avec l’ouverture de la première succursale: **Permedica Switzerland.**
- **2017:** Première implantation de la **prothèse d’épaule Mirai.** Permedica ajoute des **solutions d’arthroplastie de l’épaule** à son portefeuille de produits.
- L’ouverture de **Permedica Germany** consolide la croissance internationale de l’entreprise.
- **2018:** Permedica **renforce sa présence internationale** sur de nouveaux marchés, avec 2 succursales et plus de 20 distributeurs **dans le monde.**
- **2019:** Naissance de **Permedica India,** une présence cruciale qui renforce la position de l’entreprise en Asie.
- **2020:** La croissance de l’entreprise ne s’arrête pas et se manifeste avec l’introduction de **Permedica South Korea,** consolidant ainsi la présence du
marché en Asie.
- L’ entreprise est désormais **présente dans plus de 25 pays à travers le monde.**
- **2021:** L’ expansion se poursuit, franchissant une étape hautement stratégique grâce à l’ouverture de la succursale **Permedica Australia.**
- Avec 6 succursales et plus de 30 distributeurs, Permedica est présent et opère sur les **cinq continents.**
- **2023:** La consolidation européenne se concrétise avec le lancement de la filiale **Permedica France**, qui constitue une étape clé.
- L’ ouverture de la succursale **Permedica UK** constitue un pas supplémentaire dans cette direction
- **2025**: L’expansion mondiale se poursuit avec l’ouverture de la filiale **Permedica Mexico** et **Permedica Uruguay**, qui marque une étape importante dans l’entrée sur le marché nord-américain.
- **2026**: Le parcours de croissance de l’entreprise se poursuit avec la création de **Permedica Pologne**, représentant une nouvelle étape clé dans le renforcement de sa présence en Europe et consolidant davantage la stratégie d’expansion internationale de Permedica.
- Un développement constant a également conduit à plus de **40 partners internationaux.**
---
### [HISTORY](https://www.permedica.it/corporate/storia/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### HISTORY
- **1986:** Permedica S.p.A. is founded by Marco Perego. The company’s focus is on **orthopedic implants for hip and knee.**
- **1992:** The first prosthesis produced by Permedica is introduced on the market. This is the **Jump Femoral Stem.**
- **1997:** The company is **constantly growing** and needs to be expanded. The facility in **Merate** is inaugurated.
- **2015:** the **Permedica Orthopaedics** brand is born.
- **2016:** The **international expansion** of the company begins with the opening of the first branch: **Permedica Switzerland.**
- **2017:** First implantation of the **Mirai shoulder prosthesis.** Permedica adds **shoulder arthroplasty** solutions to its product portfolio.
- The opening of **Permedica Germany** consolidates the company’s international growth.
- **2018:** Permedica **strengthens its international presence** in new markets, with 2 branches and over 20 distributors **worldwide.**
- **2019: Permedica India** is born, a crucial presence which strengthens the Company position in Asia.
- **2020:** The corporate growth doesn’t stop and it is shown with the introduction of **Permedica South Korea,** strenghtening the market oversee in Asia.
- The company is **now present in 25 countries worldwide.**
- **2021:** The expansion goes on reaching a highly strategic goal thanks to the opening of the branch **Permedica Australia.**
- With 6 branches and more than 30 distributors, Permedica is present and operates in **five continents.**
- **2023**: Consolidation in Europe is realised with the launch of the subsidiary **Permedica France**, which is a key milestone.
- A further step in this direction is the opening of the **Permedica UK** branch.
- **2025**: Global expansion continues with the opening of the **Permedica Mexico** and **Permedica Uruguay** subsidiary, marking an important milestone in the entry into the North American market.
- **2026**: The growth journey is further strengthened by the opening of the **Permedica Poland** subsidiary, marking another step forward in reinforcing our presence in Europe and confirming Permedica’s international expansion strategy.
- Constant development has also led to more than **40 international partners**.
---
### [STORIA](https://www.permedica.it/corporate/storia/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### STORIA
- **1986:** Permedica S.p.A. viene fondata da Marco Perego. **Impianti ortopedici per anca e ginocchio** sono il focus dell’azienda.
- **1992:** Il primo impianto prodotto da Permedica viene introdotto sul mercato. Si tratta dello **stelo femorale Jump**.
- **1997:** L’ azienda è in **continua crescita** e necessita di ampliamento. Viene inaugurata la sede di **Merate**.
- **2015:** Nasce il brand **Permedica Orthopaedics**.
- **2016:** Inizia l’**espansione internazionale** dell’azienda con l’apertura della prima filiale: **Permedica Switzerland**.
- **2017:** Primo impianto della **protesi di spalla Mirai**. Permedica aggiunge soluzioni per l’**artroplastica di spalla** al suo portfolio prodotti.
- L’ apertura di Permedica Germany consolida la crescita internazionale dell’azienda.
- **2018:** Permedica **rafforza la sua presenza internazionale** in nuovi mercati, con 2 filiali e oltre 20 distributori **in tutto il mondo**.
- **2019:** Nasce **Permedica India**, una presenza cruciale che rafforza la presenza dell’azienda nel continente asiatico.
- **2020:** La crescita aziendale non si ferma e si manifesta con l’introduzione di **Permedica South Korea**, consolidando così il presidio del mercato in Asia.
- L’ azienda conta ora la **presenza in più di 25 Paesi nel mondo**.
- **2021:** L’ espansione continua, raggiungendo un traguardo altamente strategico grazie all’apertura della filiale **Permedica Australia.**
- Con 6 filiali e più di 30 distributori, Permedica è presente e opera in **cinque continenti.**
- **2023**: Il consolidamento europeo si concretizza con il lancio della filiale **Permedica France**, che rappresenta uno snodo fondamentale.
- Un ulteriore passo avanti in questa direzione è costituito dell’apertura della filiale **Permedica UK**.
- **2025**: L’espansione globale continua con l’apertura della filiale **Permedica Mexico** e **Permedica Uruguay**, segnando un’importante tappa nell’ingresso nel mercato nordamericano.
- **2026**: Il percorso di crescita si arricchisce con l’apertura della filiale Permedica Poland, segnando un ulteriore sviluppo nel rafforzamento della presenza in Europa e confermando la strategia di espansione internazionale di Permedica.
- Lo sviluppo costante ha inoltre portato a superare i **40 partner internazionali**.
---
### [HOJA DE INFORMACIÓN AL PACIENTE](https://www.permedica.it/area-paziente/anca-paziente/foglio-informativo-per-il-paziente-anca/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### HOJA DE INFORMACIÓN AL PACIENTE
- **Italiano –**[PILA000IT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000IT-rev.-02.1-03-2026.pdf)
- **English –** [PILA000EN-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000EN-rev.-02.1-03-2026.pdf)
- **Français –** [PILA000FR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000FR-rev.-02.1-03-2026.pdf)
- **Deutsch –** [PILA000DE-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000DE-rev.-02.1-03-2026.pdf)
- **Español –** [PILA000ES-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000ES-rev.-02.1-03-2026.pdf)
- **Português –** [PILA000PT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000PT-rev.-02.1-03-2026.pdf)
- **한국인 –** [PILA000KR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000KR-rev.-02.1-03-2026.pdf)
- **日本語 –** [PILA000JP-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000JP-rev.-02.1-03-2026.pdf)
- **中文** **–** [PILA000CNt-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000CNt-rev.-02.1-03-2026.pdf)
- **Український** **–** [PILA000UA-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000UA-rev.-02.1-03-2026.pdf)
---
### [PATIENT INFORMATION LEAFLET](https://www.permedica.it/area-paziente/anca-paziente/foglio-informativo-per-il-paziente-anca/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### PATIENT INFORMATION LEAFLET
- **Deutsch –** [PILA000DE-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000DE-rev.-02.1-03-2026.pdf)
- **Italiano –** [PILA000IT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000IT-rev.-02.1-03-2026.pdf)
- **English –** [PILA000EN-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000EN-rev.-02.1-03-2026.pdf)
- **Français –** [PILA000FR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000FR-rev.-02.1-03-2026.pdf)
- **Español –** [PILA000ES-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000ES-rev.-02.1-03-2026.pdf)
- **Português –** [PILA000PT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000PT-rev.-02.1-03-2026.pdf)
- **한국인 –** [PILA000KR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000KR-rev.-02.1-03-2026.pdf)
- **日本語 –** [PILA000JP-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000JP-rev.-02.1-03-2026.pdf)
- **中文** **–** [PILA000CNt-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000CNt-rev.-02.1-03-2026.pdf)
- **Український** **–** [PILA000UA-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000UA-rev.-02.1-03-2026.pdf)
---
### [BROCHURE D'INFORMATION AUX PATIENTS](https://www.permedica.it/area-paziente/anca-paziente/foglio-informativo-per-il-paziente-anca/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### BROCHURE D’INFORMATION AUX PATIENTS
- **Français –** [PILA000FR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000FR-rev.-02.1-03-2026.pdf)
- **Italiano –** [PILA000IT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000IT-rev.-02.1-03-2026.pdf)
- **English –** [PILA000EN-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000EN-rev.-02.1-03-2026.pdf)
- **Deutsch –** [PILA000DE-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000DE-rev.-02.1-03-2026.pdf)
- **Español –** [PILA000ES-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000ES-rev.-02.1-03-2026.pdf)
- **Português –** [PILA000PT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000PT-rev.-02.1-03-2026.pdf)
- **한국인 –** [PILA000KR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000KR-rev.-02.1-03-2026.pdf)
- **日本語 –** [PILA000JP-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000JP-rev.-02.1-03-2026.pdf)
- **中文** **–** [PILA000CNt-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000CNt-rev.-02.1-03-2026.pdf)
- **Український** **–** [PILA000UA-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000UA-rev.-02.1-03-2026.pdf)
---
### [PATIENT INFORMATION LEAFLET](https://www.permedica.it/area-paziente/anca-paziente/foglio-informativo-per-il-paziente-anca/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### PATIENT INFORMATION LEAFLET
- **English –** [PILA000EN-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000EN-rev.-02.1-03-2026.pdf)
- **Italiano –** [PILA000IT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000IT-rev.-02.1-03-2026.pdf)
- **Français –** [PILA000FR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000FR-rev.-02.1-03-2026.pdf)
- **Deutsch –** [PILA000DE-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000DE-rev.-02.1-03-2026.pdf)
- **Español –** [PILA000ES-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000ES-rev.-02.1-03-2026.pdf)
- **Português –** [PILA000PT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000PT-rev.-02.1-03-2026.pdf)
- **한국인 –** [PILA000KR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000KR-rev.-02.1-03-2026.pdf)
- **日本語 –** [PILA000JP-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000JP-rev.-02.1-03-2026.pdf)
- **中文** **–** [PILA000CNt-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000CNt-rev.-02.1-03-2026.pdf)
- **Український** **–** [PILA000UA-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000UA-rev.-02.1-03-2026.pdf)
---
### [FOGLIO INFORMATIVO PER IL PAZIENTE](https://www.permedica.it/area-paziente/anca-paziente/foglio-informativo-per-il-paziente-anca/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### FOGLIO INFORMATIVO PER IL PAZIENTE
- **Italiano –**[PILA000IT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000IT-rev.-02.1-03-2026.pdf)
- **English –** [PILA000EN-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000EN-rev.-02.1-03-2026.pdf)
- **Français –** [PILA000FR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000FR-rev.-02.1-03-2026.pdf)
- **Deutsch –** [PILA000DE-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000DE-rev.-02.1-03-2026.pdf)
- **Español –** [PILA000ES-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000ES-rev.-02.1-03-2026.pdf)
- **Português –** [PILA000PT-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000PT-rev.-02.1-03-2026.pdf)
- **한국인 –** [PILA000KR-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000KR-rev.-02.1-03-2026.pdf)
- **日本語 –** [PILA000JP-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000JP-rev.-02.1-03-2026.pdf)
- **中文** **–** [PILA000CNt-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000CNt-rev.-02.1-03-2026.pdf)
- **Український** **–** [PILA000UA-rev.-02.1-03-2026](https://www.permedica.it/wp-content/uploads/2026/03/PILA000UA-rev.-02.1-03-2026.pdf)
---
### [GALERÍA DE EDUCACIÓN](https://www.permedica.it/education-gallery/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
---
### [BILDUNGS-GALERIE](https://www.permedica.it/education-gallery/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
---
### [GALERIE DE L'ÉDUCATION](https://www.permedica.it/education-gallery/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
---
### [EDUCATION GALLERY](https://www.permedica.it/education-gallery/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
---
### [Home](https://www.permedica.it/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
---
### [EDUCATION GALLERY](https://www.permedica.it/education-gallery/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
---
### [CORPORATE](https://www.permedica.it/corporate/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CORPORATE
Fondata nel 1986 come società commerciale, oggi Permedica S.p.A. è diventata una **azienda leader nella produzione e distribuzione di prodotti per artroplastica di anca, ginocchio e spalla.**
Nell’headquarter di Merate, immerso nelle verdi colline della Brianza, Permedica dispone di una delle più ampie e moderne strutture produttive in Europa, con le **tecnologie più attuali ed innovative ad oggi disponibili** nell’ambito del settore ortopedico.
Talentuosi giovani ingegneri e tecnici permettono a Permedica di rispondere rapidamente alle necessità del mercato ortopedico e dentale, adeguandosi prontamente ai continui cambiamenti che avvengono in questo ambito.
L’impegno ad eccellere nella **Ricerca & Sviluppo, Produzione e Marketing** di prodotti di alta gamma per **sostituzione articolare** rappresenta la base della continua espansione aziendale.
**Qualità, prezzo e servizio sono gli elementi chiave** che garantiscono la dedizione della nostra azienda al miglioramento costante.
**Ringraziamo tutti coloro che collaborano con noi in questa impresa**, permettendoci di crescere!
Siamo un’azienda familiare che opera in tutto il mondo, grazie al supporto di diverse filiali e una consolidata rete di distributori.
La produzione completamente interna e l’integrazione verticale delle lavorazioni fanno sì che ogni singolo pezzo nasca all’interno della nostra sede.
Il connubio tra il know how delle nostre persone e l’expertise dei professionisti medici dà vita a protesi innovative e di qualità.
---
### [Sales Representative – Dental Sector](https://www.permedica.it/en/sales-representative-dental-sector/)
**Published:** Maggio 15, 2025
**Author:** lucrezia damiani
**Content:**
#### Sales Representative – Dental Sector
**Sales Representative – Dental Sector**
**Role and Responsibilities**
- Plan and execute commercial activities in the assigned territory
- Manage and develop existing customer relationships
- Identify new clients and expand the customer portfolio in the assigned area
- Participate in company events nationwide
**Skills and Requirements**
- Excellent communication and interpersonal skills
- Strong organizational skills, results-oriented, and strategic mindset
- High motivation for field sales activities
- Willingness to travel and visit clients in the assigned territory
**Compensation**
- Freelance, commission-based (VAT-registered)
**Workplace**
Merate (LC), Full-time Monday to Friday.
**About Permedica S.p.A.**
Permedica SPA is a privately owned, Orthopaedic Implant technology company focused on the design, manufacturing, marketing and commercialisation of implants and instrumentation for orthopaedic joints and movement preservation. The Company is headquartered in Greater Milan, Italy. More information at www.permedica.it
### Send your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Lathe Operator – Mobile Fixtures](https://www.permedica.it/en/lathe-operator-mobile-fixtures/)
**Published:** Novembre 13, 2025
**Author:** lucrezia damiani
**Content:**
#### Lathe Operator – Mobile Fixtures
**Lathe Operator – Mobile Fixtures**
**Role and Responsibilities**
- Modify programs (pre-set or provided by the technical office)
- Change tools and prepare machining cycles
- Set machine parameters and zero points
- Monitor machining cycle KPIs
- Perform quality checks on first articles and random samples
- Use traditional and electronic measuring instruments
**Skills and Requirements**
- Technical Diploma in Mechanical Engineering (or at least 3–5 years of experience as a CNC machine operator). Knowledge of FANUC and SIEMENS CNC controls is a plus; experience with wire and sinker EDM is advantageous
- Good understanding of technical drawings and measuring instruments
- Basic knowledge of ISO programming
- Ability to work independently
- Precision, attention to detail, flexibility, and a team-oriented attitude
Preferred Qualifications:
- Experience in companies operating under a certified Quality System
**Workplace**
Merate (LC), Full-time Monday to Friday.
**About Permedica S.p.A.**
Permedica SPA is a privately owned, Orthopaedic Implant technology company focused on the design, manufacturing, marketing and commercialisation of implants and instrumentation for orthopaedic joints and movement preservation. The Company is headquartered in Greater Milan, Italy. More information at www.permedica.it
### Send your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [R&D Engineer – Hip](https://www.permedica.it/en/rd-engineer-hip/)
**Published:** Novembre 13, 2025
**Author:** lucrezia damiani
**Content:**
**R&D Engineer – Hip**
**R&D Engineer – Hip**
**Role and Responsibilities**
- Collaborating in the development of new products and implementation of production technologies
- Designing implantable medical devices and associated instruments
- Creating technical drawings and preliminary industrialization of products
- Preparing feasibility studies and product development budgets
- Contributing to the creation and maintenance of Project Notebooks in compliance with quality standards
- Advancing assigned development projects within the required timelines
**Skills and Requirements**
- Master’s degree in Industrial Engineering (Mechanical, Aerospace, Biomedical, or related fields)
- Previous experience in R&D or prototyping departments of companies in the orthopedic medical devices sector (fixation devices or joint prostheses)
- Understanding of mechanical drawings
- 2D/3D CAD skills
- Basic knowledge of 3D printing processes and mechanical machining
- Fluent in English (at least B1)
Preferred Qualifications:
- Experience with CAD/CAM Siemens NX
- Prior experience in the medical devices industry
**Workplace**
Merate (LC), Full-time Monday to Friday.
**About Permedica S.p.A.**
Permedica SPA is a privately owned, Orthopaedic Implant technology company focused on the design, manufacturing, marketing and commercialisation of implants and instrumentation for orthopaedic joints and movement preservation. The Company is headquartered in Greater Milan, Italy. More information at www.permedica.it
### Send your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Time & Methods Analyst](https://www.permedica.it/en/time-methods-analyst/)
**Published:** Maggio 15, 2025
**Author:** lucrezia damiani
**Content:**
#### Time & Methods Analyst
**Time & Methods Analyst**
**Role and Responsibilities**
Reporting to the Continuous Improvement Manager, the role will include:
- Analysis of direct and indirect work (recording operational times and defining standard times)
- Study and definition of production methods, both automated and manual
- Analyze and propose optimal line balancing in production
- Periodic review and updating of production cycle data in the ERP system
- Analysis of plant KPIs: Productivity and OEE
- Prepare periodic (or project-based) reports and/or technical documentation
**Skills and Requirements**
Minimum Requirements:
- Technical-Industrial Diploma (High School technical qualification)
- Knowledge of Lean Production principles and Visual Management
- Ability to read technical drawings
- Strong IT skills, including Microsoft Office
- Good knowledge of ERP and MES production software
- Good command of English
- Strong observational, analytical, and critical thinking skills
- Proactive, with problem-solving abilities and capacity to work independently and in a team
- Ability to present and communicate results clearly and effectively
Preferred Qualifications:
- Degree in Management Engineering or related Technical-Industrial specialization
- 3–4 years of prior experience in a structured company with a certified Quality System
- Certified Lean training
- Knowledge of AutoCAD or similar software
- Understanding of technical and quality aspects related to medical device production
- Knowledge of technologies and methods related to Industry 4.0
**Workplace**
Merate (LC), Full-time Monday to Friday.
**About Permedica S.p.A.**
Permedica SPA is a privately owned, Orthopaedic Implant technology company focused on the design, manufacturing, marketing and commercialisation of implants and instrumentation for orthopaedic joints and movement preservation. The Company is headquartered in Greater Milan, Italy. More information at www.permedica.it
### Send your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Lathe & Grinding – Mobile Fixtures Department Manager](https://www.permedica.it/en/lathe-grinding-mobile-fixtures-department-manager/)
**Published:** Maggio 15, 2025
**Author:** lucrezia damiani
**Content:**
#### Lathe & Grinding – Mobile Fixtures Department Manager
**Lathe & Grinding – Mobile Fixtures Department Manager**
**Role and Responsibilities**
- Optimize production workflows
- Supervise product quality
- Maintain machinery and equipment
- Collaborate with other departments to maximize productivity
- Ensure compliance with safety and quality standards
**Skills and Requirements**
- **Technical Diploma in Mechanical Engineering** (or at least 3–5 years of experience as a CNC machine operator). Knowledge of FANUC and SIEMENS CNC controls is a plus, as well as experience with wire and sinker EDM.
- Experience in supervising and improving production processes
- Strong technical understanding of lathe and grinding machinery
- Leadership and personnel management skills
- Good knowledge of technical drawings and measuring instruments
- Basic ISO programming skills
- Ability to work independently
- Precision, attention to detail, flexibility, and a team-oriented mindset
**Workplace**
Merate (LC), Full-time Monday to Friday.
**About Permedica S.p.A.**
Permedica SPA is a privately owned, Orthopaedic Implant technology company focused on the design, manufacturing, marketing and commercialisation of implants and instrumentation for orthopaedic joints and movement preservation. The Company is headquartered in Greater Milan, Italy. More information at www.permedica.it
### Send your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [test](https://www.permedica.it/test/)
**Published:** Febbraio 6, 2020
**Author:** pm_ema
**Content:**
test
Il tuo nome
La tua email
Oggetto
Il tuo messaggio (facoltativo)
Inserisci qui la condizione per il consenso.
Questo modulo utilizza Akismet per ridurre lo spam. [Scopri come vengono elaborati i tuoi dati.](https://akismet.com/privacy/)
×
---
### [CUVIS](https://www.permedica.it/area-chirurgo/cuvis-surgical-planning/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
---
### [CUVIS](https://www.permedica.it/area-chirurgo/cuvis-surgical-planning/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
---
### [CUVIS](https://www.permedica.it/area-chirurgo/cuvis-surgical-planning/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
---
### [CUVIS](https://www.permedica.it/area-chirurgo/cuvis-surgical-planning/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
---
### [CUVIS](https://www.permedica.it/area-chirurgo/cuvis-surgical-planning/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
---
### [CIRUGÍA](https://www.permedica.it/area-paziente/anca-paziente/intervento-anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ANTES DE LA CIRUGÍA
Antes de operarte, tu médico te prescribirá **exámenes preliminares.** Estos exámenes (análisis de sangre, electrocardiograma, radiografías) son necesarios para evaluar tu estado general de salud y determinar si eres apto para la operación y el postoperatorio. En caso de enfermedades crónicas (por ejemplo, cardíacas, respiratorias, renales) puede ser necesaria una visita a un especialista.
También es aconsejable **preparar el entorno doméstico para tu vuelta a casa**, a fin de minimizar el riesgo de caídas o accidentes.
#### EN EL HOSPITAL
**Acuérdate de llevar todo lo que necesites y que te exija tu médico: una** lista de los medicamentos que tomas habitualmente, documentación clínica (informes de las investigaciones preoperatorias, radiografías), documento de identidad, tarjeta sanitaria y cualquier dispositivo como aparatos ortopédicos o muletas.
La intervención será de duración variable y el personal médico y de enfermería cuidará de ti.
#### DESPUÉS DE LA CIRUGÍA
La estancia hospitalaria varía en función del paciente y del tipo de intervención.
Tras la operación, tendrás que **contar con el apoyo de alguien que te asista en casa** o, en su defecto, se puede organizar una breve estancia en un centro de rehabilitación.
Puedes necesitar ciertos dispositivos, como muletas o aparatos ortopédicos, que te prescribirá y recomendará tu cirujano ortopédico.
#### TU NUEVA ARTICULACIÓN
Durante el postoperatorio **, consulta siempre a tu traumatólogo y a tu médico de cabecera.**
Sigue las instrucciones de tu cirujano y, si tienes alguna duda, no dudes en ponerte en contacto con él.
Recuerda que **un estilo de vida sano y activo contribuirá a una recuperación más rápida** y no olvides hacerte revisiones periódicas.
---
### [FORMACIÓN PROFESIONAL](https://www.permedica.it/professional-education/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### FORMACIÓN PROFESIONAL PERMEDICA
Siempre hemos creído que los productos de calidad y el diseño innovador, en manos de profesionales, pueden mejorar la calidad de vida de las personas.
**El objetivo de Permedica es devolver el movimiento con un estilo de vida activo**, ayudando a diseñar un futuro mejor para los pacientes.
Para transmitir eficazmente nuestra innovación y maximizar su utilidad, **Permedica desarrolla e invierte en programas de Formación Profesional** para todos los cirujanos interesados en nuestros productos.
Nuestros **programas de Formación Profesional están dirigidos a todos aquellos que quieran profundizar en sus conocimientos o debatir sobre nuevas soluciones** para la artroplastia de cadera, rodilla y hombro, ofreciendo la oportunidad de: – Comparar y debatir con colegas – Compartir experiencias – Visitar y asistir en quirófano – Participar en eventos científicos
En términos más concretos, esta idea se traduce en un **programa estructurado a lo largo del año**, consistente en actos de diversa índole, todos ellos con el objetivo de **promover la interacción cirujano-cirujano y fomentar el intercambio mutuo de información.**
## # [**Descubre la nueva Escuela Permedica de Articulaciones**](https://www.permedica.it/es/escuela-de-articulaciones/)
Visitas entre cirujanos
Durante estas visitas, ofrecemos la posibilidad de **asistir a operaciones en quirófano o recibir asistencia** de uno de nuestros Centros de Referencia.
[**SOLICITA UNA VISITA**](https://www.permedica.it/es/contactos/#contatti)
Visitas a nuestra sede
Te ofrecemos **la oportunidad de visitar nuestras instalaciones**, ver y tocar todo el proceso de producción de nuestras plantas, desde el diseño hasta el mecanizado especial.
[**SOLICITA UNA VISITA**](https://www.permedica.it/es/contactos/#contatti)
#### Simposio de la Academia Permedica
Estos eventos pretenden **fomentar la interacción entre cirujanos y expertos en la materia**, proporcionando un amplio espacio para el debate y el intercambio de opiniones dentro de un programa científico centrado en los principales temas del estado actual de la técnica en prótesis de cadera, rodilla y hombro.
[**CONTACTA CON NOSOTROS PARA MÁS INFORMACIÓN**](https://www.permedica.it/es/contactos/#contatti)
#### Wetlabs
Nuestros laboratorios húmedos suelen durar 2 medias jornadas. La **sesión científica de la tarde del primer día va seguida de la sesión práctica sobre preparaciones** anatómicas de la mañana siguiente.
[**CONTACTA CON NOSOTROS PARA MÁS INFORMACIÓN**](https://www.permedica.it/es/contactos/#contatti)
#### Semanas intensivas
Este formato está **dirigido principalmente a profesionales al principio de su carrera**, y ofrece la posibilidad de concentrar varias visitas a Centros de Referencia, en Italia o en el extranjero, durante un periodo aproximado de una semana.
[**CONTACTA CON NOSOTROS PARA MÁS INFORMACIÓN**](https://www.permedica.it/es/contactos/#contatti)
#### Congresos nacionales e internacionales
Fuertemente centrados en el crecimiento y la expansión internacionales, **cada año participamos en varios eventos clave en el mundo de la ortopedia**.
[**CALENDARIO DEL CONGRESO**](https:www.permedica.itevents)
---
### [PIE](https://www.permedica.it/area-chirurgo/piede/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/es/skipper-2/#board)[](https://www.permedica.it/es/skipper-2/#board)
TORNILLO DEL TABLERO
[](https://www.permedica.it/es/skipper-2/#peak)[](https://www.permedica.it/es/skipper-2/#peak)
PICO
[](https://www.permedica.it/es/skipper-2/#vang)[](https://www.permedica.it/es/skipper-2/#vang)
VANG
[](https://www.permedica.it/es/skipper-2/#stick)[](https://www.permedica.it/es/skipper-2/#stick)
STICK
[](https://www.permedica.it/es/skipper-2/#bowline)[](https://www.permedica.it/es/skipper-2/#bowline)
LÍNEA DE ARCO
[](https://www.permedica.it/es/skipper-2/#strop)[](https://www.permedica.it/es/skipper-2/#strop)
STROP
[](https://www.permedica.it/es/skipper-2/#endortesi)[](https://www.permedica.it/es/skipper-2/#endortesi)
Expansión ENDORTESI
---
### [OSTEOINTEGRACIÓN](https://www.permedica.it/area-chirurgo/osseointegration/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### OSTEOINTEGRACIÓN – PRÓTESIS REDEFINIDAS
La osteointegración ofrece una **fijación directa al miembro amputado para el componente protésico externo, mediante la implantación de un dispositivo intramedular.**
Es una tecnología revolucionaria para pacientes con **amputaciones de miembros inferiores o superiores,** que ofrece una solución alternativa a los **problemas causados por el uso de prótesis externas tradicionales**.
Existen soluciones de osteointegración para el tratamiento de amputaciones por encima de la rodilla, por debajo de la rodilla y del húmero.
Para más información sobre la osteointegración, visita
<https://www.osseointegration.org/it/>
#### CÓMO FUNCIONA EL SISTEMA DE OSTEOINTEGRACIÓN
Este vídeo muestra cómo funciona el sistema de Osteointegración!
Se inserta el implante metálico y se integra en el tejido óseo del pilar.
A continuación se realiza un tratamiento muscular y cutáneo.
Se realiza una pequeña incisión cutánea para conectar el implante a la prótesis externa.
Sorry, your browser doesn't support embedded videos.
#### OPL – PRÓTESIS DE OSTEOINTEGRACIÓN
**Permedica Orthopaedics** es el **fabricante autorizado** del sistema de miembro protésico de osteointegración (OPL).
El implante está hecho de una aleación de titanio con un recubrimiento poroso de titanio que favorece la estabilidad inicial y la osteointegración. **Las propiedades únicas del recubrimiento de titanio permiten que el hueso crezca en la superficie de la prótesis,** formando una estructura hueso-implante estable.
**Un conector cónico doble conecta el implante interno a la prótesis externa.** Este componente tiene una superficie pulida y está recubierto de VITAL-B para minimizar la fricción con el tejido blando.
Este componente pasa a través de una pequeña incisión cutánea, llamada estoma. Externamente, el adaptador cónico doble está unido a un dispositivo limitador de la torsión, denominado conector. El conector consta de varias piezas que permiten acoplar y desacoplar fácilmente la prótesis externa, preservando el implante y el hueso de un esfuerzo de torsión excesivo.
Existen varias opciones de conectores, cada una con características diferentes, pero todas compatibles con las prótesis externas disponibles en el mercado.
#### OSEOPERCEPCIÓN
El término oseopercepción describe la capacidad de los pacientes que llevan una prótesis osteointegrada de **identificar los umbrales sensoriales transmitidos a través de la prótesis**. Se cree que este fenómeno **contribuye a aumentar la percepción del paciente de que la prótesis es una parte natural de su cuerpo.**
Tras la cirugía de osteointegración, **el paciente también adquiere un sentido de propiocepción,** que consiste en la percepción inconsciente de la posición del cuerpo en el espacio, el movimiento y la orientación en relación con el entorno externo.
Esto significa que los pacientes pueden **recuperar la capacidad de percibir el suelo al caminar,** sintiendo la diferencia entre distintas superficies como hierba, moqueta, baldosas, terreno irregular y grava. El resultado son **movimientos más seguros, incluso en terrenos irregulares o en entornos con poca iluminación.**
Sorry, your browser doesn't support embedded videos.
#### VENTAJAS
La verdadera ventaja del sistema OPL es la **realización de la aplicación en una sola intervención quirúrgica, a diferencia del anterior procedimiento en dos fases.**
Otras ventajas del sistema OPL frente a las prótesis tradicionales son:
- La ausencia del encaje tradicional garantiza una conexión cómoda y precisa de la prótesis;
- Procedimiento de colocación y retirada de prótesis rápido y sencillo;
- Mayor movilidad y comodidad en comparación con el encapsulado tradicional;
- Aumento de la actividad muscular, lo que da lugar a un ciclo de la marcha más natural;
- Más carga natural.
La mayoría de los amputados describen la vida con una prótesis osteointegrada como **un cambio revolucionario,** **con cambios funcionales drásticos y la capacidad de sentarse cómodamente,** lo que contribuye significativamente a mejorar su calidad de vida.
#### ¿ES MI AMPUTACIÓN ADECUADA PARA EL PROCEDIMIENTO?
Muchos pacientes preguntan si la causa de su amputación limitará la posibilidad de tratamiento con Osteointegración.
Hasta la fecha, la mayoría de los procedimientos de osteointegración se han realizado en amputados que han perdido el miembro como consecuencia de un traumatismo.
La segunda causa de amputación se debe a una infección, normalmente tras una artroplastia.
Las patologías oncológicas ocupan el tercer lugar, pero es necesario asegurarse de que la región de amputación no ha sido sometida a radioterapia, lo que podría influir en los resultados del procedimiento.
---
### [HOMBRO](https://www.permedica.it/area-chirurgo/spalla/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/mirai-shoulder-system-anatomica/)
## [Mirai System
Anatomica](https://www.permedica.it/mirai-shoulder-system-anatomica/)
- [  ](https://www.permedica.it/mirai-shoulder-system-inversa/)
## [Mirai System
Inversa](https://www.permedica.it/mirai-shoulder-system-inversa/)
- [  ](https://www.permedica.it/mirai-r-glenoid-baseplate/)
## [Mirai R Glenoid Baseplate](https://www.permedica.it/mirai-r-glenoid-baseplate/)
- [  ](https://www.permedica.it/core-omerale-conico/)
## [Core omerale conico](https://www.permedica.it/core-omerale-conico/)
- [  ](https://www.permedica.it/3dmirai-planning-psi/)
## [3DMirai Planning & PSI](https://www.permedica.it/3dmirai-planning-psi/)
- [  ](https://www.permedica.it/soluzioni-custom-made-spalla/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made-spalla/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [MICROLOY](https://www.permedica.it/innovation-systems/microloy/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### MICROLOY
##### Acabado de superficies de juntas metálicas
El acabado de las superficies de las articulaciones protésicas de aleación de cobalto se realiza mediante la tecnología MICROLOY®, un proceso de máquina herramienta CNC que somete a los componentes semiacabados a **varios procesos sucesivos de rectificado y pulido para conseguir grados muy altos de precisión geométrica y bajos niveles de rugosidad con el fin de reducir el desgaste del polietileno.**
#### FUNCIÓN DEL TRATAMIENTO MICROLOY
El tratamiento de acabado superficial MICROLOY® se utiliza para conseguir **grados muy elevados de precisión geométrica y bajos valores de rugosidad de las superficies metálicas que deben articularse con componentes de polietileno.**
El tratamiento MICROLOY® en los cóndilos femorales de las prótesis totales de rodilla permite **reducir en un 48% el desgaste del revestimiento de polietileno** en comparación con un tratamiento de acabado convencional \[Gigante et al., 2013\].
Permedica utiliza el proceso tecnológico MICROLOY® para el acabado superficial de las superficies articulares metálicas de las siguientes prótesis:
– GKS Prime: componentes femoral y tibial – GKS Prime Flex Mobile VITAL-B: componentes femoral y tibial – GKS Prime Flex: componente femoral – GKS One: componente femoral – GKS Butterfly: pivote tibial y casquillo femoral – Cabezas articulares CrCo – Inserto Jump System de doble movilidad
#### TECNOLOGÍA
El acabado superficial tradicional de los componentes protésicos articulares metálicos (cóndilos femorales y placas tibiales de las prótesis de rodilla y cabezas e insertos metálicos de las prótesis de cadera) consiste en el rectificado superficial mediante máquinas-herramienta multieje de control numérico por ordenador (CNC; error aproximado de 50-100 μm), seguido de un pulido manual hasta alcanzar una rugosidad superficial de aproximadamente Ra = 0,04 μm.
La principal limitación de este tratamiento tradicional es el error de forma que se genera con respecto a la forma geométrica teórica del componente protésico.
La tecnología MICROLOY® de Permedica consiste en el rectificado con **rectificadoras multieje CNC de alta precisión** que permiten el rectificado de la pieza seguido del pulido espejo de la superficie metálica **para obtener valores de rugosidad similares a los de las superficies cerámicas** (aprox. Ra = 0,01 μm), eliminando por completo cualquier operación de pulido manual y, en consecuencia, cualquier error de forma superior a 0,05 μm.
#### BIBLIOGRAFÍA
[Gigante A, Cigna V, Manzotti S, Villa T, Salvolini E, Mattioli-Belmonte M. Reducción del desgaste del polietileno de las prótesis totales de rodilla mediante un nuevo método de acabado de las piezas metálicas. ](https://journals.sagepub.com/doi/abs/10.5301/JABFM.5000153)
---
### [MICROLOY](https://www.permedica.it/innovation-systems/microloy/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### MICROLOY®
##### Oberflächenbehandlung von metallenen Gelenksersatzkomponenten
Die Oberflächenbearbeitung von Cobaltchrom-Gelenkendoprothesen wird mittels MICROLOY®-Technologie durchgeführt, bei der die halbfertigen Komponenten verschiedenen Fertigungsprozessen der CNC-Bearbeitung **mit anschließendenden Schleif- und Polierprozessen unterzogen werden, bis ein extrem hohes Maß an geometrischer Präzision und Oberflächenbeschaffenheit erreicht wird um den Polyethylenverschleiss zu reduzieren.**
#### GRUNDLAGEN DER MICROLOY® BEHANDLUNG
Durch die MICROLOY®-Oberflächenbehandlung erreicht man **ein sehr hohes Maß an geometrischer Präzision und niedrigen Rauheitswerte der mit den Polyethylenkomponenten artikulierenden Metalloberflächen, um den Polyethylenverschleiß zu verringern.**
Das MICROLOY®-Behandlung der Femurkondylen der Knieendoprothese ermöglicht eine **48% ige Reduktion des Polyethylenabriebs** im Vergleich zu herkömmlichen Herstellungen. \[Gigante et al., 2013\]
Permedica verwendet die MICROLOY®-Technologie für die Oberflächenbehandlung folgender Gelenksendoprothesen:
• GKS Prime: Femurkomponente (Kondylen) und Tibiakomponente (Basisplatte)
• GKS Prime Flex Mobile VITAL-B: Femurkomponente (Kondylen) und Tibiakomponente (Basisplatte)
• GKS Prime Flex: Femurkomponente (Kondylen)
• GKS One: Femurkomponente (Kondylen)
• GKS Butterfly: Tibia- und Femurkomponentenanteile
• Femurköpfe
• Jump System Doppelte Mobilität
#### TECHNOLOGIE
Traditionelle Oberflächenbearbeitungen von Gelenksendoprothesen-Komponenten (Knie-Femurkondylen und Tibiaplatten, Hüft-Femurköpfe und Metalleinsätze) bestehen aus dem Schleifen von Oberflächen mit multiaxialen CNC-Maschinen (CNC; Fehlermöglichkeit ca. 50-100 μm), gefolgt von einem manuellen Polieren bis zu einer Oberflächenrauheit von Ra = 0,04 μm.
Die Grenzen dieser traditionellen Behandlung ergibt sich durch die Verformung, welche in Bezug auf die theoretische Form der prothetischen Komponente erzeugt wird.
Die Permedica MICROLOY®-Technologie besteht aus einem **hochpräzisen multiaxialen CNC-Schleifen,** das das Schleifen der Komponente und anschliessend das Spiegelpolieren der Metalloberfläche ermöglicht, **bis Rauheitswerte ähnlich denen von Keramik (Ra = 0,01 μm) erreicht werden,** bei denen jegliches manuelles Polieren vollständig entfällt und damit Formfehler über 0,05 μm vermieden werden.
#### BIBLIOGRAPHIE
[Gigante A, Cigna V, Manzotti S, Villa T, Salvolini E, Mattioli-Belmonte M. Total knee prosthesis polyethylene wear reduction by a new metal part finishing method. J Appl Biomater Funct Mater. 2013 Sep 13;11(2):e99-e105.](https://journals.sagepub.com/doi/abs/10.5301/JABFM.5000153)
---
### [MICROLOY](https://www.permedica.it/innovation-systems/microloy/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### MICROLOY®
##### Traitement de surface des composants métalliques de remplacement des articulations
Le traitement de surface des prothèses articulaires en métal chromo-cobalt est réalisé grâce à la technologie MICROLOY®, qui soumet les composants semi-finis à divers processus d’élaboration de l’usinage CNC, des **processus ultérieurs de meulage et de polissage jusqu’à obtenir un degré extrêmement élevé de précision géométrique et de rugosité afin de réduire l’usure du polyéthylène.**
#### LA FONCTION DU TRAITEMENT MICROLOY®
Le traitement de surface des prothèses articulaires en métal chromo-cobalt est réalisé grâce à la technologie MICROLOY®, **permet d’obtenir une précision géométrique très élevée et des valeurs de rugosité faibles pour les surfaces métalliques articulées avec des composants en polyéthylène, dans le but de réduire l’usure du polyéthylène.**
La finition MICROLOY® sur les condyles fémoraux de la prothèse totale du genou permet une **réduction de 48% de l’usure des inserts en polyéthylène** par rapport aux traitements de finition traditionnels \[Gigante et al., 2013\].
Permedica utilise la technologie MICROLOY® pour le traitement de surface des prothèses articulaires métalliques suivantes:
• GKS Prime: composants fémoraux (condyles) et composants tibiaux (plateau tibial)
• GKS Prime Flex Mobile VITAL-B : composants fémoraux (condyles) et composants tibiaux (plateau tibial)
• GKS Prime Flex: composants fémoraux (condyles)
• GKS One: composants fémoraux (condyles)
• GKS Butterfly: pivot tibial et écrou fémoral
• Têtes fémorales en alliage CrCo
• Insert double mobilité Jump System
#### LA TECHNOLOGIE
Les finitions de surface traditionnelles des composants prothétiques articulaires métalliques (condyles fémoraux et plateaux tibiaux, têtes fémorales de hanche et inserts métalliques) consistent à obtenir une rugosité de surface de Ra = 0,04 µm.
Les principales limites de ce traitement traditionnel sont les erreurs de forme générées par rapport à la forme théorique du composant prothétique.
La technologie Permedica MICROLOY® consiste en **un meulage CNC multiaxial de haute précision** qui permet un meulage du composant suivi d’un polissage miroir de la surface du métal, **jusqu’à l’obtention de valeurs de rugosité similaires à celles de la céramique** (Ra = 0,01 μm) en éliminant complètement toutes les opérations de polissage manuel et donc les erreurs de forme supérieures à 0,05 μm.
#### BIBLIOGRAPHIE
[Gigante A, Cigna V, Manzotti S, Villa T, Salvolini E, Mattioli-Belmonte M. Total knee prosthesis polyethylene wear reduction by a new metal part finishing method. J Appl Biomater Funct Mater. 2013 Sep 13;11(2):e99-e105.](https://journals.sagepub.com/doi/abs/10.5301/JABFM.5000153)
---
### [MICROLOY](https://www.permedica.it/innovation-systems/microloy/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### MICROLOY®
##### Surface finish of metal joint replacement components
The surface finish of cobalt chrome metal joint prostheses is realized through MICROLOY®technology, which subjects the semi-finished components to various elaboration processes of CNC machining, **subsequent processes of grinding and polishing until obtaining an extremely high degree of geometrical precision and roughness in order to reduce polyethylene wear.**
#### THE FUNCTION OF MICROLOY® TREATMENT
The MICROLOY® surface treatment achieves **very high degrees of geometric precision and low roughness values of metal surfaces which articulate with polyethylene components, with the aim of reducing polyethylene wear.**
MICROLOY® finishing on the femoral condyles of the total knee prosthesis allows a **48% reduction of the polyethylene insert wear** compared to traditional finishing treatments. \[Gigante et al., 2013\]
Permedica utilizes MICROLOY® technology for the surface finish of the following metal joint prostheses:
• GKS Prime – femoral components (condyles) and tibial components (tibial plate)
• GKS Prime Flex Mobile VITAL-B – femoral components (condyles) and tibial components (tibial plate)
• GKS Prime Flex – femoral components (condyles)
• GKS One – femoral components (condyles)
• GKS Butterfly – tibial pivot and femoral bushnut
• Femoral heads in CrCo alloy
• Jump System double mobility insert
#### TECHNOLOGY
Traditional surface finishes of metal joint prosthetic components (knee femoral condyles and tibial plates, hip femoral heads and metal inserts) consist of surface grinding using multi-axial CNC machines (CNC; error ca. 50-100 μm), followed by manual polishing to obtain a surface roughness of Ra = 0,04 μm.
The principle limits of this traditional treatment is a shape error that is generated in respect to the theoretical shape of the prosthetic component.
Permedica MICROLOY® technology consists of **high precision multi-axial CNC grinding** which allows grinding of the component followed by mirror polishing of the metal surface, **until obtaining roughness values similar to those of ceramic** (Ra = 0,01 μm) completely eliminating all manual polishing operations and therefore any shape errors over 0,05 μm.
#### BIBLIOGRAPHY
[Gigante A, Cigna V, Manzotti S, Villa T, Salvolini E, Mattioli-Belmonte M. Total knee prosthesis polyethylene wear reduction by a new metal part finishing method. J Appl Biomater Funct Mater. 2013 Sep 13;11(2):e99-e105.](https://journals.sagepub.com/doi/abs/10.5301/JABFM.5000153)
---
### [MICROLOY](https://www.permedica.it/innovation-systems/microloy/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### MICROLOY®
##### Finitura superficiale di superfici articolari metalliche
La finitura delle superfici articolari protesiche in lega di cobalto è realizzata mediante tecnologia MICROLOY®, un processo di lavorazione alle macchine utensili a controllo numerico che sottopone i componenti semilavorati a **vari e successivi processi di rettifica e lucidatura sino ad ottenere elevatissimi gradi di precisione geometrica e bassi livelli di rugosità al fine di ridurre l’usura del polietilene.**
#### FUNZIONE DEL TRATTAMENTO MICROLOY®
Il trattamento di finitura superficiale MICROLOY® serve per ottenere **elevatissimi gradi di precisione geometrica e bassi valori di rugosità di superfici metalliche che devono articolarsi con componenti in polietilene, con lo scopo di ridurre l’usura del polietilene.**
Il trattamento MICROLOY® sui condili femorali di protesi totale di ginocchio consente di **ridurre del 48% l’usura dell’inserto in polietilene** rispetto ad un trattamento tradizionale di finitura \[Gigante et al., 2013\]
Permedica utilizza il processo tecnologico MICROLOY® per la finitura superficiale delle superfici articolari metalliche dei seguenti dispositivi protesici:
• GKS Prime: componenti femorale e tibiale
• GKS Prime Flex Mobile VITAL-B: componenti femorale e tibiale
• GKS Prime Flex: componente femorale
• GKS One: componente femorale
• GKS Butterfly: perno tibiale e boccola femorale
• Teste articolari in CrCo
• Inserto Jump System a doppia mobilità
#### TECNOLOGIA
La finitura superficiale tradizionale di componenti protesiche articolari metalliche (condili femorali e piatti tibiali di protesi di ginocchio e testine e inserti in metallo di protesi d’anca) consiste nella rettifica delle superfici mediante macchine utensili multiassiali a controllo numerico computerizzato (CNC; errore ca. 50-100 μm), seguita da una lucidatura manuale fino ad ottenere una rugosità superficiale di ca. Ra = 0,04 μm.
Il limite principale di tale trattamento tradizionale è l’errore di forma che si genera rispetto alla forma geometrica teorica della componente protesica.
La tecnologia MICROLOY® di Permedica consiste nella rettifica con macchine **rettificatrici multiassiali CNC ad alta precisione** che consentono una rettifica del pezzo seguita da una lucidatura a specchio della superficie metallica, **fino ad ottenere valori di rugosità simili a quelli di superfici in ceramica** (ca. Ra = 0,01 μm) eliminando completamente qualunque operazione manuale di lucidatura e di conseguenza qualsiasi errore di forma superiore a 0,05 μm.
#### BIBLIOGRAFIA
[Gigante A, Cigna V, Manzotti S, Villa T, Salvolini E, Mattioli-Belmonte M. Total knee prosthesis polyethylene wear reduction by a new metal part finishing method. J Appl Biomater Funct Mater. 2013 Sep 13;11(2):e99-e105.](https://journals.sagepub.com/doi/abs/10.5301/JABFM.5000153)
---
### [OSSEOINTEGRATION](https://www.permedica.it/area-chirurgo/osseointegration/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### OSSEOINTEGRATION – PROSTHETICS REDEFINED
Osseointegration allows for the **direct attachment of an external prosthesis to an amputated limb through the surgical implantation of an intramedullary device.**
It is a **revolutionary technology** for both **upper and lower limb amputees,** offering an alternate solution for patients **experiencing problems with a traditional socket mounted prosthesis.**
Osseointegration solutions are available for the treatment of amputations above the knee, below the knee and of the humeral side
For further information on Osseointegration, please visit
<https://www.osseointegration.org/>
#### HOW OSSEOINTEGRATION WORKS
This video shows how Osseointegration works!
The metal implant is inserted and becomes integrated with the bone in your stump.
This is followed by the management of the muscles and skin.
A small opening on the skin is created to connect the implant to your external prosthesis through a transcutaneous.
Sorry, your browser doesn't support embedded videos.
#### OSSEOINTEGRATION PROSTHETIC LIMB
**Permedica Orthopaedics** is the **authorized manufacturer** of the Osseointegration Prosthetic Limb System (OPL). The OPL system is made up of multiple components. The core implant is made of high tensile strength titanium with a highly porous titanium coating, providing both initial stability as well as long-term bone integration (in-growth). **The unique properties of the titanium coating allows the bone to grow into the surface of the prosthesis,** which makes the bone-implant structure one solid unit.
**A dual cone adaptor component connects the internal implant to the external prosthesis.** This extension features a highly polished surface coated with VITAL-B coating to minimize soft tissue friction. This component passes through a small opening on the skin called the stoma. Externally, the dual cone adaptor is fixed to a torque limiting safety device called the Connector. The Connector consists of a several components to allow users to quickly attach and detach the prosthesis while protecting the implant and the bone from excessive torsional forces.
There are several Connector options available, each with different features, yet all are compatible with prosthetic componentry commercially available in the market.
#### OSSEOPERCEPTION
Osseoperception describes the ability of patients with an osseointegrated prosthesis to **identify sensory thresholds transmitted through their prostheses,** and it is believed that this phenomenon **contributes to the enhancement of the patients’ subjective sense of their prosthesis as part of their natural body.**
Following Osseointegration surgery, **the patient also regains their sense of proprioception,** which is the unconscious perception of the position of the body, movement, and spatial orientation in relation to the external environment.
This means that patients can **regain the ability to feel the ground beneath them** as they walk and can differentiate between different surfaces such as grass, carpet, tile, uneven ground, and gravel. This directly translates towards **safer and more confident movements, even in non-uniform terrains or in environments with dim light.**
Sorry, your browser doesn't support embedded videos.
#### MAJOR ADVANTAGES
The real advantage of the OPL System is the **completion of the treatment in a single surgical setting as opposed to the older two-stage process.**
Other advantages of the OPL System over the traditional socket prostheses include:
- Absence of a socket ensures that the prosthesis fits comfortably and accurately
- Convenient and fast process of taking the prosthesis on and off
- Improved mobility and comfort compared to socket prosthesis
- Increased muscle use and resulting in a more natural walking gait.
- Enabling natural loading of the normal human anatomy
Most amputees describe living with an osseointegrated prosthesis **as a revolutionary change in their lives with drastic functional changes and being able to sit comfortably,** which contributes to a significant improvement in their quality of life.
#### IS MY AMPUTATION SUITABLE?
A lot of patients ask if the cause for amputation will limit their suitability for Osseointegration.
The majority of Osseointegration procedures performed to date have been performed on amputees who lost their limbs through trauma. The second biggest cause of amputation among our cohort is infection, commonly an infected joint replacement. Cancer is the third largest reason. However, we must ensure that the bony residuum has not been exposed to radiation therapy as this will affect the level Osseointegration that we are able to achieve.
---
### [OSSEOINTEGRATION](https://www.permedica.it/area-chirurgo/osseointegration/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### OSSEOINTEGRATION – PROSTHETICS REDEFINED
Osseintegration offre un **aggancio diretto all’arto amputato per la componente protesica esterna, attraverso l’impianto di un dispositivo intramidollare.**
È una tecnologia rivoluzionaria per i pazienti **amputati all’arto inferiore o all’arto superiore,** che offre una soluzione alternativa alle **problematiche dovute all’impiego delle protesi esterne tradizionali.**
Le soluzioni Osseointegration sono disponibili per il trattamento di amputazioni sopra il ginocchio, sotto il ginocchio e a livello dell’omero.
Per ulteriori informazioni su Osseointegration, si prega di visitare
<https://www.osseointegration.org/it/>
#### COME FUNZIONA IL SISTEMA OSSEOINTEGRATION
Questo video mostra come funziona il sistema Osseointegration!
L’impianto metallico è inserito e si integra con il tessuto osseo del moncone.
Questa procedura è seguita dalla gestione dei muscoli e della cute.
Una incisione cutanea di dimensioni ridotte è creata per connettere l’impianto alla protesi esterna.
Sorry, your browser doesn't support embedded videos.
#### OPL – OSSEOINTEGRATION PROSTHETIC LIMB
**Permedica Orthopaedics** è il **produttore autorizzato** del sistema Osseointegration Prosthetic Limb (OPL).
L’impianto è realizzato in lega di titanio con un rivestimento in titanio poroso che ne promuove la stabilità iniziale e l’osseointegrazione. **Le proprietà uniche del rivestimento in titanio permettono all’osso di crescere sulla superficie della protesi,** formando una struttura stabile osso-impianto.
**Un connettore a doppia conicità collega l’impianto interno alla protesi esterna.** Questa componente è caratterizzata da una superficie lucidata e rivestita in VITAL-B per minimizzare l’attrito con i tessuti molli.
Questa componente passa attraverso una incisione cutanea di dimensioni ridotte, chiamata stoma. Esternamente, l’adattatore a doppia conicità è fissato ad un dispositivo a limitazione di coppia, chiamato connettore. Il connettore è composto da diverse parti che consentono di agganciare e sganciare agevolmente la protesi esterna, preservando l’impianto e l’osso da eccessive sollecitazioni di torsione.
Esistono diverse opzioni di connettore, ognuna con caratteristiche differenti, ma tutte compatibili con le protesi esterne disponibili sul mercato.
#### OSSEOPERCEZIONE
Il termine osseopercezione descrive la capacità dei pazienti portatori di una protesi osteointegrata di **identificare le soglie sensoriali trasmesse attraverso la protesi.** Si ritiene che tale fenomeno **contribuisca ad aumentare la percezione del paziente che la protesi sia una parte naturale del proprio corpo.**
In seguito all’intervento con Osseointegration, **il paziente acquisisce anche un senso di propriocezione,** che consiste nella percezione inconscia della posizione del corpo nello spazio, del movimento e dell’orientamento rispetto all’ambiente esterno.
Questo significa che i pazienti possono **riacquistare la capacità di percepire il suolo in fase di deambulazione,** avvertendo la differenza tra superfici diverse come erba, tappeti, piastrelle, terreno irregolare e ghiaia. Ciò si traduce in **movimenti più sicuri, anche su terreni non uniformi o in ambienti con scarsa illuminazione.**
Sorry, your browser doesn't support embedded videos.
#### VANTAGGI
Il vantaggio reale del sistema OPL è il **completamento dell’applicazione in un unico intervento chirurgico, a differenza della precedente procedura a due stadi.**
Ulteriori vantaggi del sistema OPL rispetto alle protesi tradizionali includono:
- L’assenza dell’invasatura tradizionale assicura che la protesi sia connessa in modo comodo e accurato;
- Procedura agevolata e veloce di aggancio e sgancio della protesi;
- Migliore mobilità e comfort rispetto all’invasatura tradizionale;
- Aumento di attività muscolare, risultante in un ciclo del passo più naturale;
- Carico più naturale.
La maggior parte dei pazienti amputati descrive la vita con una protesi osteointegrata come **un cambiamento rivoluzionario,** **con cambiamenti funzionali drastici e l’abilità di sedersi comodamente,** il che contribuisce significativamente al miglioramento della qualità della vita.
#### LA MIA AMPUTAZIONE E’ ADATTA ALLA PROCEDURA?
Molti pazienti chiedono se la causa della propria amputazione limiterà la possibilità del trattamento con Osseointegration.
Ad oggi la maggior parte delle procedure con Osseointegration è stata eseguita in soggetti amputati che hanno perso l’arto in seguito a trauma.
La seconda maggior causa di amputazione è invece per infezione, comunemente a seguito di artroplastica.
Esiti di patologie oncologiche seguono in terza posizione, tuttavia è necessario assicurarsi che la regione dell’amputazione non sia stata sottoposta a radioterapia, che potrebbe influenzare i risultati della procedura.
---
### [VITAL-B](https://www.permedica.it/innovation-systems/vital-b/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-B
##### Recubrimiento PVD en TiNbN
**El revestimiento de TiNbN es un revestimiento cerámico** aplicado mediante la técnica PVD (deposición física de vapor) sobre un sustrato de material metálico, normalmente aleación de cobalto, aleaciones de titanio o aceros.
El revestimiento de TiNbN, denominado “VITAL-B®” por Permedica, se utiliza para revestir los **componentes metálicos de los sistemas de prótesis de rodilla y determinados componentes de los sistemas de prótesis de cadera y hombro** fabricados por Permedica.
#### FUNCIONES DE RECUBRIMIENTO
Es bien sabido que cualquier material metálico, excepto los nobles, dentro de un organismo biológico está sujeto al proceso de corrosión y, por tanto, a la liberación de iones metálicos. Muchos metales pesados pueden desencadenar una reacción de hipersensibilización en el organismo. Los metales conocidos como sensibilizantes son el berilio, el níquel, el cobalto, el cromo y, ocasionalmente, el tantalio, el titanio y el vanadio. El níquel es el alérgeno metálico más frecuente, seguido del cobalto y el cromo.
Aunque los iones metálicos no son alérgenos en sí mismos, pueden activar el sistema inmunitario al formar complejos con proteínas ya presentes en el organismo. Estos complejos proteínicos son alérgenos potenciales responsables de desencadenar respuestas de hipersensibilidad retardada mediada por células. El fenómeno de las alergias entre los pacientes que llevan prótesis metálicas implantables aumenta constantemente, al igual que la sensibilidad de la comunidad ortopédica ante este problema. En consecuencia, aumenta la necesidad de tipos de prótesis “hipoalergénicas”.
**\[1,2\] El objetivo del revestimiento VITAL-B® es formar una capa inerte y aislante que actúe como interfaz entre el paciente** (es decir, tejidos y fluidos) **y el componente metálico de la prótesis**, impidiendo así el paso de iones metálicos de la prótesis al paciente. La función principal es, de hecho, **crear una barrera física entre el sustrato metálico y el entorno orgánico circundante, impidiendo la liberación de iones metá** licos del sustrato: esto reduce en gran medida el riesgo de desencadenar o desarrollar reacciones alérgicas causadas por los elementos de aleación metálica del dispositivo (es decir, Ni, Co, Cr).
El revestimiento VITAL-B® permite así
1\.
P **ara poder implantar prótesis metálicas en pacientes con alergia conocida** a uno o varios de los metales de los que están hechas las aleaciones de los dispositivos. 2. **Reducir el riesgo de desarrollar una alergia en un paciente** al que se hayan implantado uno o varios componentes metálicos.
El revestimiento VITAL-B® **también mejora el rendimiento tribológico de las superficies articulares de las aleaciones metálicas** de las que están hechas las prótesis **, gracias a su gran dureza y resistencia a la abrasión** **, reduciendo así el desgaste del polietileno.**
#### TECNOLOGÍA
La deposición física en fase vapor o deposición física en fase vapor **(PVD)** es un método habitual para la deposición atómica de películas finas (unas pocas micras) al vacío.
La deposición de la película sobre el sustrato (la pieza a recubrir) se produce a nivel atómico o molecular mediante el crecimiento de la película átomo a átomo. La capa resultante puede variar de monocristalina a amorfa, más o menos compacta, pura o impura, fina o gruesa.
La deposición física en fase vapor (PVD) son procesos de deposición atómica en los que el material de revestimiento se evapora a partir de una fuente sólida o líquida en forma de átomos o moléculas y se transporta en forma de vapor a través de un entorno de vacío o plasma hasta el sustrato, donde se condensa. En estos procesos, los compuestos se forman mediante una reacción química que tiene lugar entre el material que se evapora y el entorno gaseoso creado en la cámara mediante, por ejemplo, la introducción de nitrógeno, si se van a crear nitruros, o de oxígeno, en el caso de la deposición de óxidos.
El revestimiento de Permedica, denominado VITAL-B®, explota la tecnología de revestimiento PVD mediante un método de evaporación por arco catódico al vacío para crear un revestimiento de TiNbN (nitruro de titanio y niobio) extremadamente duro, fino y adherente sobre sustratos metálicos, normalmente aleaciones de titanio, aleaciones de cobalto y aceros.
**El proceso de recubrimiento VITAL-B® se realiza íntegramente en Permedica.**
###### [\[1\] Ragone, V., Canciani, E., Biffi, C.A. et al. Comportamiento de liberación de iones de aleaciones de CoCrMo mediante recubrimiento de TiNbN: un estudio in vitro. Biomed Microdevices 21, 61 (2019). ](https://link.springer.com/article/10.1007%2Fs10544-019-0417-6)
###### [\[2\] Bidossi A, Bottagisio M, De Grandi R, De Vecchi E. Capacidad de adhesión y formación de biopelículas de patógenos de infecciones articulares periprotésicas sobre revestimientos cerámicos de nitruro de titanio y niobio (TiNbN). J Orthop Surg Res. 2020;15(1):90. ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057644/)
#### CARACTERÍSTICAS TÉCNICAS
El revestimiento de TiNbN es un revestimiento superficial monocapa que estéticamente confiere un color dorado al sustrato revestido.
**>Los requisitos que debe cumplir el revestimiento VITAL-B® son una** **dureza del revestimiento de 2000 HV (Vickers),** un **espesor de 3÷6 µm y una adherencia caracterizada por la ausencia de deslaminación** del revestimiento.
---
### [VITAL-B](https://www.permedica.it/innovation-systems/vital-b/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-B
##### TiNbN PVD Beschichtung
**TiNbN ist eine keramische Beschichtung,** welche mittels PVD-Verfahren (Physical Vapor Deposition) auf einem Metall angewandt wird – meist Cobalt, Titan oder Stahllegierungen.
Die TiNbN-Beschichtung von Permedica wird “VITAL-B®” genannt. **Diese wird bei einigen metallischen Endoprothesenkomponenten eingesetzt – bei Knie, Hüfte und Schulter.**
#### FUNKTION DER BESCHICHTUNG
Es ist bekannt, dass Materialien aus Metall, mit Ausnahme von Edelmetallen, in einem biologischen Organismus zu korrodieren beginnen und deshalb Metallionen abgeben. Einige dieser Metalle können eine Sensibilisierungsreaktion des Körpers auslösen. Als potenziell allergene Metalle gelten Beryllium, Nickel, Cobalt, Chrom und seltener Tantalum, Titan und Vanadium. Am häufigsten genannt werden Nickel, Cobalt und Chrom.
Metallionen, selbst wenn sie selbst nicht allergen sind, können das Immunsystem aktivieren, indem sie mit den bereits im Organismus vorhandenen Proteinen Komplexe bilden. Diese Proteinkomplexe sind potenziell allergen und verantwortlich für ein späteres Auslösen einer allergischen Reaktion mit einer zellulären Immunantwort. Die Zahl allergener Reaktionen bei Patienten mit Metallimplantaten wächst, und damit auch das Bewusstsein der orthopädischen Gemeinschaft für diese Problematik. Der Bedarf an Prothesen frei von allergieauslösenden Materialien wächst deshalb stetig.
**VITAL-B® hat die Aufgabe, eine inerte und isolierende\[1,2\] Schicht darzustellen, die als Schranke zwischen dem Patienten** (den Weichteilen und den Flüssigkeiten) **und dem Metall der Prothese** wirken soll, indem sie konsequent den Fluss der Metallionen von der Prothese in den Patienten verhindert. Die Hauptfunktion ist also das **Bilden einer physikalischen Barriere zwischen dem Metalsubstrat und dem umgebenden organischen Gewebe, indem die Freigabe der Metallionen verhindert** wird: das Risiko einer Sensibilisierung oder einer metallbedingten allergischen Reaktion (z.B. Nickel, Cobalt oder Chrom) wird deutlich reduziert (i.e. Ni, Co, Cr).
Die VITAL-B® Beschichtung erlaubt folglich:
1\. **Die Implantation einer Prothese bei Patienten, welche eine Metallallergie** gegen Cr, Co, Ni aufweisen; d.h. die Grundmetalle aus welchen die Prothese hergestellt wird;
2\. **Die Verminderung des Risikos einer allergischen Reaktion bei Patienten,** welche bereits eine oder mehrere metallene Prothesen implantiert haben.
**Aufgrund der erhöhten Härte und der Widerstandsfähigkeit** gegen Abrieb verbessert VITAL-B® ausserdem **die tribologische Leistung der metallenen Gelenksoberfläche und reduziert somit auch den Polyethylenabrieb.**
#### TECHNOLOGIE
**Physical Vapor Deposition (PVD)** ist eine gängige Form der vakuumbasierten Beschichtungsverfahren bzw. Dünnschichttechnologien (Microns).
Die Abscheidung der Beschichtung auf dem Substrat (das zu behandelnde Material) erfolgt auf einem atomaren oder molekularen Level indem der Film Atom für Atom gebildet wird. Die Beschichtung variiert von monokristallin zu amorph, von verschiedener Dichte, rein oder gemischt, dünn oder dick.
Physical Vapor Deposition (PVD) ist ein Beschichtungsverfahren bei dem das feste oder flüssige Beschichtungsmaterial unter Vakuumbedingungen in die Gasphase überführt wird um anschliessend auf der Oberfläche des Substrats zu kondensieren und die Zielschicht bildet. Bei diesem Prozess bildet sich der Aufbau aufgrund einer chemischen Reaktion zwischen dem vaporisierten Material und dem Gas in der Kammer, z.B. Stickstoffgas bei Nitridbeschichtungen oder Sauerstoffgas bei Oxidbeschichtungen.
Das von Permedica genutzte vakuumbasierte Beschichtungsverfahren mit Lichtbogenverdampfens bildet eine extrem harte, dünne und adhärente Beschichtung aus TiNbN (Titannitrit und Niobium) auf dem Substrat welches typischerweise aus Titan, Cobalt oder Stahllegierungen besteht.
**Der gesamte VITAL-B®-Beschichtungsprozess wird ausschliesslich von Permedica ausgeführt.**
###### [\[1\] Ragone, V., Canciani, E., Biffi, C.A. et al. CoCrMo alloys ions release behavior by TiNbN coating: an in vitro study. Biomed Microdevices 21, 61 (2019).](https://link.springer.com/article/10.1007%2Fs10544-019-0417-6)
###### [\[2\] Bidossi A, Bottagisio M, De Grandi R, De Vecchi E. Ability of adhesion and biofilm formation of pathogens of periprosthetic joint infections on titanium-niobium nitride (TiNbN) ceramic coatings. J Orthop Surg Res. 2020;15(1):90.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057644/)
#### TECHNISCHE CHARAKTERISTIKA
Die TiNbN-Beschichtung ist eine einschichtige, einzelne Oberflächenbeschichtung, die dem Substrat eine goldene Farbe verleiht.
Die Anforderungen, die VITAL-B® erfüllen muss, sind eine **Mikrohärte von >2000 HV (Vickers),** eine **Dicke von 3÷6 µm und eine Adhäsion ohne die Gefahr einer Delamination.**
---
### [VITAL-B](https://www.permedica.it/innovation-systems/vital-b/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-B
##### Rivestimento PVD in TiNbN
Il rivestimento **TiNbN è un rivestimento ceramico** applicato mediante la tecnica PVD (Physical Vapour Deposition) su un substrato di materiale metallico, tipicamente lega di cobalto, leghe di titanio o acciai.
Il rivestimento TiNbN, denominato da Permedica “VITAL-B®“, viene utilizzato per rivestire le **componenti metalliche dei sistemi di protesi di ginocchio e alcune componenti dei sistemi di protesi d’anca e di spalla** realizzati da Permedica.
#### FUNZIONI DEL RIVESTIMENTO
È ben noto che qualsiasi materiale metallico, tranne quelli nobili, all’interno di un organismo biologico è sottoposto al processo di corrosione e quindi al rilascio di ioni metallici. Molti metalli pesanti possono scatenare nell’organismo una reazione di ipersensibilizzazione. Metalli noti come sensibilizzatori sono berillio, nichel, cobalto, cromo e, occasionalmente tantalio, titanio e vanadio. Il nichel è il più comune allergene tra i metalli, seguito dal cobalto e dal cromo.
Gli ioni metallici, pur non essendo loro stessi degli allergeni, possono attivare il sistema immunitario formando complessi con le proteine già presenti nell’organismo. Questi complessi proteici sono potenziali allergeni responsabili di innescare risposte di ipersensibilità ritardata, cellulo-mediata. Il fenomeno delle allergie fra i pazienti portatori di protesi metalliche impiantabili è in continuo aumento come è in aumento anche la sensibilità da parte della comunità ortopedica verso tale problematica. L’esigenza di tipologie di protesi “anallergiche” di conseguenza è in continuo aumento.
**Il rivestimento VITAL-B® ha lo scopo di formare uno strato inerte e isolante \[1,2\] che faccia da interfaccia fra il paziente** (ovvero i tessuti ed i liquidi) **ed il metallo costituente la protesi**, impedendo di conseguenza il passaggio di ioni metallici dalla protesi verso il paziente. La funzione principale è infatti quella di **creare una barriera fisica tra il substrato metallico e l’ambiente organico circostante impedendo il rilascio degli ioni metallici** dal substrato: ciò permette di ridurre notevolmente il rischio di scatenare o sviluppare reazioni allergiche causate dagli elementi metallici di lega del dispositivo (i.e. Ni, Co, Cr).
Il rivestimento **VITAL-B®** permette quindi di:
1\. **Poter impiantare dispositivi protesici metallici in pazienti con nota allergia** ad uno o più metalli di cui sono costituite le leghe dei dispositivi;
2\. **Ridurre il rischio di sviluppare un’allergia in un paziente** a cui sono state impiantate una o più componenti metalliche.
Il rivestimento **VITAL-B®**, inoltre, **grazie alla sua elevata durezza e resistenza all’abrasione, migliora anche le prestazioni tribologiche delle superfici articolari delle leghe metalliche** di cui sono costituite le protesi **diminuendo così l’usura del polietilene.**
#### TECNOLOGIA
La deposizione fisica da vapore o **Physical Vapor Deposition (PVD)** è un metodo comune per la deposizione atomica di film sottili (qualche micron) sottovuoto.
La deposizione del film sopra il substrato (il pezzo da rivestire) avviene a livello atomico o molecolare mediante una crescita atomo per atomo del film. Lo strato risultante può variare da monocristallo ad amorfo, più o meno compatto, puro o impuro, sottile o spesso.
I Physical Vapor Deposition (PVD) sono processi di deposizione atomica nei quali il materiale costituente il rivestimento viene evaporato da una sorgente solida o liquida in forma di atomi o molecole e trasportato in forma di vapore attraverso un ambiente sottovuoto o plasma fino al substrato dove si condensa. In tali processi i composti si formano attraverso una reazione chimica che avviene tra materiale che andiamo ad evaporare e l’ambiente gassoso creato in camera ad esempio con l’immissione di azoto, se si vogliono creare dei nitruri, od ossigeno, nel caso di deposizioni di ossidi.
Il rivestimento di Permedica, denominato **VITAL-B®**, sfrutta la tecnologia di rivestimento PVD con metodo di evaporazione ad arco catodico in vuoto per creare un rivestimento estremamente duro sottile e aderente in TiNbN (nitruro di titanio e niobio) sopra substrati metallici, tipicamente leghe di titanio, leghe di cobalto e acciai.
**Il processo di rivestimento VITAL-B® viene realizzato interamente presso Permedica.**
###### [\[1\] Ragone, V., Canciani, E., Biffi, C.A. et al. CoCrMo alloys ions release behavior by TiNbN coating: an in vitro study. Biomed Microdevices 21, 61 (2019).](https://link.springer.com/article/10.1007%2Fs10544-019-0417-6)
###### [\[2\] Bidossi A, Bottagisio M, De Grandi R, De Vecchi E. Ability of adhesion and biofilm formation of pathogens of periprosthetic joint infections on titanium-niobium nitride (TiNbN) ceramic coatings. J Orthop Surg Res. 2020;15(1):90.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057644/)
#### CARATTERISTICHE TECNICHE
Il rivestimento TiNbN è una copertura superficiale monostrato che esteticamente conferisce una colorazione dorata al substrato rivestito.
I requisiti che deve soddisfare il rivestimento **VITAL-B®** sono una **durezza del rivestimento >2000 HV (Vickers),** uno **spessore di 3÷6 µm e un’adesione caratterizzata da nessuna delaminazione** del rivestimento.
---
### [VITAL-B](https://www.permedica.it/innovation-systems/vital-b/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-B
##### Revêtement TiNbN PVD
Un revêtement **TiNbN est un revêtement céramique** appliqué avec la technique de PVD (dépôt physique en phase vapeur) sur un substrat métallique, généralement du cobalt, du titane ou des alliages d’acier.
Le revêtement TiNbN, appelé «VITAL-B®» de Permedica, est utilisé pour recouvrir le **système prothétique du genou et certains composants métalliques du système de la hanche et de l’épaule** fabriqués par Permedica.
#### FONCTIONS DU REVÊTEMENT
Il est bien connu que les matériaux métalliques, à l’exception des matériaux nobles, subissent un processus de corrosion à l’intérieur d’un organisme biologique et libèrent par conséquent des ions métalliques. De nombreux métaux lourds peuvent induire une réaction d’hypersensibilité. Les métaux considérés comme des allergènes potentiels sont le béryllium, le nickel, le cobalt, le chrome et, à l’occasion, le titane et le vanadium au tantale. Le nickel est l’allergène le plus commun de ces métaux, suivi du cobalt et du chrome.
Les ions métalliques, même s’ils ne sont pas eux-mêmes des allergènes, peuvent activer le système immunitaire en créant des complexes avec les protéines déjà présentes dans l’organisme. Ces complexes protéiques sont des allergènes potentiels responsables ultérieurement de réactions d’hypersensibilité; immunité à médiation cellulaire. Le phénomène allergénique chez les patients porteurs de dispositifs métalliques implantés augmente ainsi que la prise de conscience de la communauté orthopédique vis-à-vis de ce problème. Le besoin d’un type de prothèse anti-allergène est donc de plus en plus important.
**Le revêtement VITAL-B® a pour objectif de créer une couche inerte et une barrière qui sert d’interface entre le patient** (en réalité, entre les tissus mous et les liquides) **et le métal de la prothèse,** empêchant ainsi le passage des ions métalliques de la prothèse au patient. La fonction principale est en effet de **créer une barrière physique entre le substrat métallique et le milieu organique environnant empêchant la libération des ions métalliques** du substrat: permettant ainsi une réduction notable du risque de provoquer un risque d’hypersensibilité ou de développer une réaction allergique causés par les éléments métalliques des alliages des dispositifs (c.-à-d. Ni, Co, Cr).
Le revêtement VITAL-B® permet donc:
1\. **Possibilité d’implanter des prothèses métalliques chez des patients qui ont observé des allergies** à un ou plusieurs métaux dont ils sont fabriqués;
2\. **Réduction du risque de développer une réaction allergique chez un patient** dans lequel un ou plusieurs dispositifs métalliques sont implantés.
De plus, un revêtement VITAL-B®, **grâce à sa dureté et à sa résistance à l’abrasion améliorées, améliore les performances tribologiques de la surface en alliage métallique de l’articulation, réduisant ainsi l’usure du polyéthylène.**
#### LA TECHNOLOGIE
Le **Dépôt Physique en phase Vapeur (PVD)** est une méthode courante pour le dépôt atomique sous vide de couches minces (microns).
Le dépôt de ce film sur le substrat (dispositif à revêtir) se fait au niveau atomique ou moléculaire, atome par atome, en creant ainsi ce revêtement. Les résultats de la couche peuvent varier du monocristal au amorphe, plus ou moins compacts, purs ou impurs, minces ou épais.
Le dépôt physique en phase vapeur (PVD) est un processus de dépôt atomique dans lequel le matériau de revêtement est évaporé d’une source solide ou liquide sous forme atomique ou moléculaire et transféré sous vide sur une surface de substrat où il se condense. Dans ce type de processus, la composition est formée par une réaction chimique qui a lieu entre le matériau vaporisé et le gaz à l’intérieur de la chambre, c’est-à-dire par l’azote gazeux dans le cas de revêtements de nitrure ou de l’oxygène gazeux dans le cas de revêtements d’oxyde.
Le revêtement Permedica VITAL-B® utilise la technologie de revêtement PVD avec une méthode d’évaporation par arc cathodique sous vide pour créer un revêtement extrêmement dur, mince et adhérent de TiNbN (nitrure de titane et niobium) sur le substrat métallique, généralement du titane, du cobalt et des alliages d’acier.
**Le procédé de revêtement VITAL-B® est entièrement réalisé par Permedica.**
###### [\[1\] Ragone, V., Canciani, E., Biffi, C.A. et al. CoCrMo alloys ions release behavior by TiNbN coating: an in vitro study. Biomed Microdevices 21, 61 (2019).](https://link.springer.com/article/10.1007%2Fs10544-019-0417-6)
###### [\[2\] Bidossi A, Bottagisio M, De Grandi R, De Vecchi E. Ability of adhesion and biofilm formation of pathogens of periprosthetic joint infections on titanium-niobium nitride (TiNbN) ceramic coatings. J Orthop Surg Res. 2020;15(1):90.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057644/)
#### CARACTÉRISTIQUES TECHNIQUES
Le revêtement TiNbN est un revêtement de surface monocouche qui donne une couleur dorée à la surface revêtue.
Les exigences qui doivent satisfaire à un revêtement VITAL-B® sont une **dureté de revêtement supérieure à 2000 HV (Vickers),** une **épaisseur de 3÷6 µm** et une **adhérence caractérisée par un délaminage nul** du revêtement.
---
### [VITAL-B](https://www.permedica.it/innovation-systems/vital-b/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-B
##### TiNbN PVD Coating
**A TiNbN coating is a ceramic coating** applied with the PVD (Physical Vapor Deposition) technique onto a metal substrate, typically cobalt, titanium or steel alloys.
The TiNbN coating, denominated “VITAL-B®“ by Permedica, is utilized to coat **prosthetic knee system and some hip and shoulder system metal components** manufactured by Permedica.
#### COATING FUNCTIONS
It is well known that metal materials, except for noble ones, undergo a process of corrosion when inside a biological organism and therefore, release metal ions. Many heavy metals can induce a hypersensitive reaction. Metals noted as potential allergenics are beryllium, nickel, cobalt, chrome and, occasionally tantalum titanium and vanadium. Nickel is the most common allergen of these metals, followed by cobalt and chrome.
Metal ions, even though they themselves are not allergens, can activate the immune system creating complexes with the proteins already present in the organism. These protein complexes are potential allergens responsible for later provoking hypersensitive responses; cell-mediated immunity. Allergenic phenomenon in patients with implanted metal devices is growing as well as awareness of the orthopedic community towards this problem. The need for a type of anti-allergenic prostheses is therefore continually increasing.
**VITAL-B® coating has the objective of creating an inert layer and barrier\[1,2\] that acts as an interface between the patient** (in reality between the tissues and liquids) **and the metal of the prosthesis,** consequently impeding the passage of metal ions from the prosthesis to the patient. The principle function is in fact, to **create a physical barrier between the metal substrate and the surrounding organic environment impeding the release of metal ions** from the substrate: thus permitting a notable reduction of the risk of provoking a hypersensitivity risk or to develop an allergic reaction caused by metal elements from device alloys (i.e. Ni, Co, Cr).
VITAL-B® coating therefore allows the:
1\. **Possibility of implanting metal prosthetic devices in patients who have noted allergies** to one or more metals of which the devices are manufactured;
2\. **Reduction of the risk of developing an allergic reaction in a patient** in which one or more metallic devices is implanted.
A VITAL-B® coating, moreover, **thanks to the elevated hardness and resistance to abrasion, improves the tribological performance of the metal alloy’s joint surface thereby reducing polyethylene wear.**
#### TECHNOLOGY
**Physical Vapor Deposition (PVD)** is a common method for the atomic deposition under vacuum of thin layers (microns).
The deposition of this film over the substrate (device to be coated) comes at an atomic or molecular level through an atom by atom creation of the film. The layer results can vary from mono-crystal to amorphous, more or less compact, pure or impure, thin or thick.
Physical Vapor Deposition (PVD) is an atomic deposition process where the coating material is evaporated from a solid or liquid source in atomic or molecular form and transferred under vacuum conditions onto a substrate surface where it condenses. In this type of process, the composition is formed through a chemical reaction that takes place between the vaporized material and the gas inside the chamber, i.e. by nitrogen gas in case of nitride coatings or oxygen gas in case of oxide coatings.
The Permedica VITAL-B® coating exploits PVD coating technology with an in vacuum cathodic arc method of evaporation to create an extremely hard, thin and adherent coating of TiNbN (titanium nitride and niobium) over the metal substrate, typically titanium, cobalt and steel alloys.
**The VITAL-B® coating process is entirely carried out by Permedica.**
###### [\[1\] Ragone, V., Canciani, E., Biffi, C.A. et al. CoCrMo alloys ions release behavior by TiNbN coating: an in vitro study. Biomed Microdevices 21, 61 (2019).](https://link.springer.com/article/10.1007%2Fs10544-019-0417-6)
###### [\[2\] Bidossi A, Bottagisio M, De Grandi R, De Vecchi E. Ability of adhesion and biofilm formation of pathogens of periprosthetic joint infections on titanium-niobium nitride (TiNbN) ceramic coatings. J Orthop Surg Res. 2020;15(1):90.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057644/)
#### TECHNICAL CHARACTERISTICS
The TiNbN coating is a single layer surface coating that esthetically gives a gold color to the surface that is coated.
IThe requirements that must satisfy a VITAL-B® **coating are a coating hardness of >2000 HV (Vickers), a thickness of 3÷6 µm and an adhesion characterized by no coating delamination.**
---
### [CALIDAD](https://www.permedica.it/corporate/qualita/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CALIDAD
Nuestra estrategia para apoyar el desarrollo y el fuerte crecimiento es la **mejora continua del nivel de nuestras actividades, productos y servicios.**
La Política de Calidad de la empresa está orientada a no comprometer **la seguridad y la calidad**: nuestros procesos están sujetos a actualizaciones e innovaciones continuas con el fin de lograr una **mejora constante.**
Permedica cuenta con un **Sistema de Gestión de Calidad conforme a lo previsto por la Directiva Europea 93/42/EEC** (y sus modificaciones y adiciones posteriores) relativo a los dispositivos médicos, y está certificado de acuerdo con la norma internacional ISO 13485.
El Sistema de Gestión de Calidad de la empresa presta especial atención a la aplicación de la directiva y las normativas específicas de los dispositivos médicos para garantizar el **control absoluto sobre todas las fases de diseño, producción y venta.**
- [Certificado del Sistema de Calidad](https://www.permedica.it/wp-content/uploads/2025/05/375DM09-ISO-13485-Permedica_-20250516-2.pdf)
- [“MDR – Certificado UE del Sistema de Gestión de Calidad-
Dispositivos médicos implantables a medida”](https://www.permedica.it/wp-content/uploads/2022/07/002-00-00-MDR-Custom-Made-Devices-Permedica_20220707.pdf)
##### CERTIFICADOS DE MARCADO CE:
- [Prótesis de Cadera](https://www.permedica.it/wp-content/uploads/2021/05/071-03-00-DM_CE-Certificate-Hip-Prosthesis_20211705.pdf)
- [Prótesis de Cadera – examen CE del diseño](https://www.permedica.it/wp-content/uploads/2021/05/076-03-00-DM_CE-Design-Examination-Certificate-Hip-Prosthesis-Class-III_20211705.pdf)
- [Prótesis de Rodilla](https://www.permedica.it/wp-content/uploads/2021/05/070-03-00-DM_CE-Certificate-Knee-Prosthesis_20211705.pdf)
- [Prótesis de Rodilla – examen CE del diseño](https://www.permedica.it/wp-content/uploads/2021/05/077-03-00-DM_CE-Design-Examination-Certificate-Knee-Prosthesis-Class-III_20211705.pdf)
- [Prótesis de Hombro](https://www.permedica.it/wp-content/uploads/2021/05/372-01-00-DM_CE-Certificate-Shoulder-Prosthesis_20211705.pdf)
- [Prótesis de Hombro – examen CE del diseño](https://www.permedica.it/wp-content/uploads/2021/05/373-01-00-DM__CE-Design-Examination-Certificate-Shoulder-Prosthesis-Class-III_20211705.pdf)
- [Dispositivos para Osteosíntesis](https://www.permedica.it/wp-content/uploads/2021/05/069-03-00-DM_CE-Certificate-Osteosynthesis_20211705.pdf)
- [Tornillos para Implantología Dental](https://www.permedica.it/wp-content/uploads/2021/05/068-03-00-DM_CE-Certificate-Dental-Implantology_20211705.pdf)
---
### [QUALITÄT](https://www.permedica.it/corporate/qualita/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### QUALITÄT
Unsere Strategie zur Unterstützung der Entwicklung und des starken Wachstums ist die **kontinuierliche Verbesserung des Niveaus unserer Aktivitäten, Produkte und Dienstleistungen.**
Die Qualitätssicherungspolitik zielt daher darauf ab, die Tatsache hervorzuheben, dass wir bei **Sicherheit und Qualität** keine Kompromisse eingehen: Unsere Prozesse unterliegen ständigen Aktualisierungen und Innovationen, um **kontinuierliche Verbesserungen** zu erzielen.
Permedica s.p.a. verfügt über ein **Qualitätsmanagementsystem gemäß der europäischen Richtlinie 93/42/EWG** (und nachfolgenden Änderungen und Integrationen), das Medizinprodukten eigen ist und gemäß der internationalen Norm ISO 13485 zertifiziert ist.
Das Qualitätsmanagementsystem des Unternehmens achtet besonders auf die Richtlinien und Standards für Medizinprodukte, die eine **absolute Kontrolle über alle Phasen von Design, Produktion und Vertrieb gewährleisten.**
- [Quality System Zertifikat](https://www.permedica.it/wp-content/uploads/2025/05/375DM09-ISO-13485-Permedica_-20250516-2.pdf)
- [“MDR – EU Quality Management System Certificate –
Custom Made Devices”](https://www.permedica.it/wp-content/uploads/2022/07/002-00-00-MDR-Custom-Made-Devices-Permedica_20220707.pdf)
##### EC ZERTIFIKAT:
- [Hüft Prothesen](https://www.permedica.it/wp-content/uploads/2021/05/071-03-00-DM_CE-Certificate-Hip-Prosthesis_20211705.pdf)
- [Hüft Prothesen – EC Design Zertifikat](https://www.permedica.it/wp-content/uploads/2021/05/076-03-00-DM_CE-Design-Examination-Certificate-Hip-Prosthesis-Class-III_20211705.pdf)
- [Knie Prothesen](https://www.permedica.it/wp-content/uploads/2021/05/070-03-00-DM_CE-Certificate-Knee-Prosthesis_20211705.pdf)
- [Knie Prothesen – EC Design Zertifikat](https://www.permedica.it/wp-content/uploads/2021/05/077-03-00-DM_CE-Design-Examination-Certificate-Knee-Prosthesis-Class-III_20211705.pdf)
- [Schulter Prothesen](https://www.permedica.it/wp-content/uploads/2021/05/372-01-00-DM_CE-Certificate-Shoulder-Prosthesis_20211705.pdf)
- [Schulter Prothesen – EC Design Zertifikat](https://www.permedica.it/wp-content/uploads/2021/05/373-01-00-DM__CE-Design-Examination-Certificate-Shoulder-Prosthesis-Class-III_20211705.pdf)
- [Osteosynthese](https://www.permedica.it/wp-content/uploads/2021/05/069-03-00-DM_CE-Certificate-Osteosynthesis_20211705.pdf)
- [Dental Implantate](https://www.permedica.it/wp-content/uploads/2021/05/068-03-00-DM_CE-Certificate-Dental-Implantology_20211705.pdf)
---
### [QUALITÉ](https://www.permedica.it/corporate/qualita/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### QUALITÉ
Notre stratégie d’appui au développement et à la forte croissance est l’**amélioration continue du niveau de nos activités, produits et services.**
La politique d’assurance qualité vise donc à souligner le fait que nous ne faisons aucun compromis sur la **sécurité** et la **qualité**: nos processus sont soumis à des mises à jour continues et à des innovations permettant une **amélioration continue.**
Permedica s.p.a. dispose d’un **système de gestion de la qualité conforme à la directive européenne 93/42/CEE** (et à ses modifications et intégrations successives) inhérent aux dispositifs médicaux et certifié conforme à la norme internationale ISO 13485.
Le système de gestion de la qualité de la société accorde une attention particulière aux directives et normes spécifiques aux dispositifs médicaux, garantissant ainsi un **contrôle absolu de toutes les phases de la conception, de la production et de la vente.**
- [Certificat de System de Qualité](https://www.permedica.it/wp-content/uploads/2025/05/375DM09-ISO-13485-Permedica_-20250516-2.pdf)
- [“MDR – EU Quality Management System Certificate –
Custom Made Devices”](https://www.permedica.it/wp-content/uploads/2022/07/002-00-00-MDR-Custom-Made-Devices-Permedica_20220707.pdf)
##### CERTIFICAT EC:
- [Hip Prostheses](https://www.permedica.it/wp-content/uploads/2021/05/071-03-00-DM_CE-Certificate-Hip-Prosthesis_20211705.pdf)
- [Hip Prostheses – EC design examination certificate](https://www.permedica.it/wp-content/uploads/2021/05/076-03-00-DM_CE-Design-Examination-Certificate-Hip-Prosthesis-Class-III_20211705.pdf)
- [Knee Prostheses](https://www.permedica.it/wp-content/uploads/2021/05/070-03-00-DM_CE-Certificate-Knee-Prosthesis_20211705.pdf)
- [Knee Prostheses – EC design examination certificate](https://www.permedica.it/wp-content/uploads/2021/05/077-03-00-DM_CE-Design-Examination-Certificate-Knee-Prosthesis-Class-III_20211705.pdf)
- [Shoulder Prostheses](https://www.permedica.it/wp-content/uploads/2021/05/372-01-00-DM_CE-Certificate-Shoulder-Prosthesis_20211705.pdf)
- [Shoulder Prostheses – EC design examination certificate](https://www.permedica.it/wp-content/uploads/2021/05/373-01-00-DM__CE-Design-Examination-Certificate-Shoulder-Prosthesis-Class-III_20211705.pdf)
- [Osteosynthesis](https://www.permedica.it/wp-content/uploads/2021/05/069-03-00-DM_CE-Certificate-Osteosynthesis_20211705.pdf)
- [Dental Implantology](https://www.permedica.it/wp-content/uploads/2021/05/068-03-00-DM_CE-Certificate-Dental-Implantology_20211705.pdf)
---
### [QUALITY](https://www.permedica.it/corporate/qualita/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### QUALITY
Our strategy for supporting development and strong growth is the **continuous improvement in the level of our activities, products and services.**
Quality Assurance Policy is therefore aimed at emphasizing the fact that we do not compromise on **safety** and **quality**: our processes are subject to continuous updates and innovation achieving **continuous improvement.**
Permedica s.p.a. has a **Quality Management System according to European** **Directive 93/42/EEC** (and successive amendments and integrations) inherent to medical devices and certified according to International Standard ISO 13485.
The company Quality Management System pays particular attention to the Directives and Standards specific to medical devices guaranteeing **absolute control over all phases of design, production and sales.**
- [Quality system certifcate](https://www.permedica.it/wp-content/uploads/2025/05/375DM09-ISO-13485-Permedica_-20250516-2.pdf)
- [“MDR – EU Quality Management System Certificate –
Custom Made Devices”](https://www.permedica.it/wp-content/uploads/2022/07/002-00-00-MDR-Custom-Made-Devices-Permedica_20220707.pdf)
##### EC CERTIFICATE:
- [Hip Prostheses](https://www.permedica.it/wp-content/uploads/2021/05/071-03-00-DM_CE-Certificate-Hip-Prosthesis_20211705.pdf)
- [Hip Prostheses – EC design examination certificate](https://www.permedica.it/wp-content/uploads/2021/05/076-03-00-DM_CE-Design-Examination-Certificate-Hip-Prosthesis-Class-III_20211705.pdf)
- [Knee Prostheses](https://www.permedica.it/wp-content/uploads/2021/05/070-03-00-DM_CE-Certificate-Knee-Prosthesis_20211705.pdf)
- [Knee Prostheses – EC design examination certificate](https://www.permedica.it/wp-content/uploads/2021/05/077-03-00-DM_CE-Design-Examination-Certificate-Knee-Prosthesis-Class-III_20211705.pdf)
- [Shoulder Prostheses](https://www.permedica.it/wp-content/uploads/2021/05/372-01-00-DM_CE-Certificate-Shoulder-Prosthesis_20211705.pdf)
- [Shoulder Prostheses – EC design examination certificate](https://www.permedica.it/wp-content/uploads/2021/05/373-01-00-DM__CE-Design-Examination-Certificate-Shoulder-Prosthesis-Class-III_20211705.pdf)
- [Osteosynthesis](https://www.permedica.it/wp-content/uploads/2021/05/069-03-00-DM_CE-Certificate-Osteosynthesis_20211705.pdf)
- [Dental Implantology](https://www.permedica.it/wp-content/uploads/2021/05/068-03-00-DM_CE-Certificate-Dental-Implantology_20211705.pdf)
---
### [QUALITÀ](https://www.permedica.it/corporate/qualita/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### QUALITÀ
La nostra strategia per sostenere sviluppo e forte crescita è il **continuo miglioramento del livello delle nostre attività, prodotti e servizi.**
La Politica per la Qualità aziendale è rivolta a non scendere a compromessi su **sicurezza e qualità**: i nostri processi sono soggetti a continui aggiornamenti ed innovazioni al fine di ottenere un **miglioramento costante.**
Permedica dispone di un **Sistema di Gestione per la Qualità conforme a quanto previsto dalla Direttiva Europea 93/42/EEC** (e successive modifiche ed integrazioni) inerente ai dispositivi medici e certificato a fronte della norma internazionale ISO 13485.
Il Sistema di Gestione per la Qualità aziendale pone particolare attenzione all’applicazione della direttiva e delle normative specifiche dei dispositivi medici a garanzia del **controllo assoluto su tutte le fasi di progettazione, produzione e vendita.**
- [Certificato Sistema di Qualità](https://www.permedica.it/wp-content/uploads/2025/05/375DM09-ISO-13485-Permedica_-20250516-2.pdf)
- [“MDR – Certificato UE di Sistema di Gestione della Qualità –
Dispositivi medici impiantabili su Misura”](https://www.permedica.it/wp-content/uploads/2022/07/002-00-00-MDR-Custom-Made-Devices-Permedica_20220707.pdf)
##### CERTIFICATI MARCATURA CE:
- [Protesi d’Anca](https://www.permedica.it/wp-content/uploads/2021/05/071-03-00-DM_CE-Certificate-Hip-Prosthesis_20211705.pdf)
- [Protesi d’Anca – esame CE della progettazione](https://www.permedica.it/wp-content/uploads/2021/05/076-03-00-DM_CE-Design-Examination-Certificate-Hip-Prosthesis-Class-III_20211705.pdf)
- [Protesi Ginocchio](https://www.permedica.it/wp-content/uploads/2021/05/070-03-00-DM_CE-Certificate-Knee-Prosthesis_20211705.pdf)
- [Protesi Ginocchio – esame CE della progettazione](https://www.permedica.it/wp-content/uploads/2021/05/077-03-00-DM_CE-Design-Examination-Certificate-Knee-Prosthesis-Class-III_20211705.pdf)
- [Protesi Spalla](https://www.permedica.it/wp-content/uploads/2021/05/372-01-00-DM_CE-Certificate-Shoulder-Prosthesis_20211705.pdf)
- [Protesi Spalla – esame CE della progettazione](https://www.permedica.it/wp-content/uploads/2021/05/373-01-00-DM__CE-Design-Examination-Certificate-Shoulder-Prosthesis-Class-III_20211705.pdf)
- [Dispositivi per Osteosintesi](https://www.permedica.it/wp-content/uploads/2021/05/069-03-00-DM_CE-Certificate-Osteosynthesis_20211705.pdf)
- [Viti per Implantologia Dentale](https://www.permedica.it/wp-content/uploads/2021/05/068-03-00-DM_CE-Certificate-Dental-Implantology_20211705.pdf)
---
### [Mobile Spindles Department Manager](https://www.permedica.it/fr/mobile-spindles-department-manager/)
**Published:** Maggio 15, 2025
**Author:** lucrezia damiani
**Content:**
#### Mobile Spindles Department Manager
**Mobile Spindles Department Manager**
**Role and Responsibilities**
- Coordination of the Mobile Spindles Department
- Proven hands-on experience with mobile spindle machines
- Program modification (pre-set or uploaded by the Technical Office)
- Tool changes and preparation of machining cycles
- Machine zeroing and parameter setup
- Monitoring of machining cycle KPIs
- First-piece and sample quality control
- Use of traditional and electronic measuring instruments
**Skills and Requirements**
- Diploma in Mechanical Engineering (or at least 3–5 years of experience as an operator on CNC machining centers)
- Knowledge of FANUC and SIEMENS numerical controls will be considered a plus (as well as experience with wire and sinker EDM machines)
- Good understanding of technical drawings and use of main measuring instruments
- Solid foundation in ISO programming
- Ability to work independently and manage assigned tasks
- Strong attention to detail, accuracy, flexibility, and teamwork skills
**Workplace**
Merate (LC), Full-time Monday to Friday.
**About Permedica S.p.A.**
Permedica SPA is a privately owned, Orthopaedic Implant technology company focused on the design, manufacturing, marketing and commercialisation of implants and instrumentation for orthopaedic joints and movement preservation. The Company is headquartered in Greater Milan, Italy. More information at www.permedica.it
### Send your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Quality Control Operator](https://www.permedica.it/fr/quality-control-operator/)
**Published:** Maggio 15, 2025
**Author:** lucrezia damiani
**Content:**
#### Quality Control Operator
**Quality Control Operator**
**Role and Responsibilities**
The resource will be placed in the Quality Control department, reporting directly to the Quality Control Manager, and will be responsible for:
- Performing quality checks on finished products and semi-finished goods using both basic tools and 3D measuring machines
- Contributing, where possible, to the calibration, maintenance, and adjustment of inspection instruments
- Reporting any Non-Conformities identified during product inspections to the Department Manager and supporting their management
- Complying with regulations for maintaining workplace safety and environmental conditions
- Informing the Department Manager of any issues that may arise
- Salary will be commensurate with the candidate’s experience
**Skills and Requirements**
- Technical diploma with an industrial focus
- At least 2 to 4 years of experience in product quality control
- Understanding of the technical and quality aspects related to the manufacturing and inspection of components for high-tech, high-reliability medical devices
- Knowledge of quality control procedures and standards
- Familiarity with measurement methodologies
- Ability to read mechanical drawings
- Proficient in using basic measuring instruments: caliper, micrometer, dial gauge, etc.
- Preferred qualifications include knowledge of: profile projector, roundness tester, surface roughness tester, 3D measuring machine, and familiarity with CNC turning and milling processes
**Workplace**
Merate (LC), Full-time Monday to Friday.
**About Permedica S.p.A.**
Permedica SPA is a privately owned, Orthopaedic Implant technology company focused on the design, manufacturing, marketing and commercialisation of implants and instrumentation for orthopaedic joints and movement preservation. The Company is headquartered in Greater Milan, Italy. More information at www.permedica.it
### Send your application!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [Inicio](https://www.permedica.it/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
---
### [Startseite](https://www.permedica.it/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
---
### [Accueil](https://www.permedica.it/)
**Published:** Febbraio 4, 2020
**Author:** pm_ema
---
### [CIRUGÍA](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ANTES DE LA CIRUGÍA
Antes de someterte a la operación, tu médico te prescribirá **exámenes preliminares.** Estas investigaciones (análisis de sangre, electrocardiograma, radiografías) son necesarias para evaluar tu estado general de salud y determinar si eres apto para la operación y el postoperatorio. En caso de enfermedades crónicas (p. ej., cardíacas, respiratorias, renales) puede ser necesaria una visita a un especialista.
También es aconsejable **preparar el entorno doméstico para tu vuelta a casa**, a fin de minimizar el riesgo de caídas o accidentes.
#### EN EL HOSPITAL
**Acuérdate de llevar todo lo que necesites y que te exija tu médico: una** lista de los medicamentos que tomas habitualmente, documentación clínica (informes de las investigaciones preoperatorias, radiografías), documento de identidad, tarjeta sanitaria y cualquier dispositivo como aparatos ortopédicos o muletas.
La intervención será de duración variable y **el personal médico y de enfermería cuidará de ti.**
#### DESPUÉS DE LA CIRUGÍA
La estancia hospitalaria varía en función del paciente y del tipo de intervención.
Tras la operación, tendrás que **contar con el apoyo de alguien que te asista en casa** o, en su defecto, se puede organizar una breve estancia en un centro de rehabilitación.
**Puedes necesitar ciertos dispositivos, como muletas o aparatos ortopédicos**, que te prescribirá y recomendará tu cirujano ortopédico.
#### TU NUEVA ARTICULACIÓN
Durante el postoperatorio **, consulta siempre a tu traumatólogo y a tu médico de cabecera.**
Sigue las instrucciones de tu cirujano y, si tienes alguna duda, no dudes en ponerte en contacto con él.
Recuerda que **un estilo de vida sano y activo contribuirá a una recuperación más rápida** y no olvides hacerte **revisiones periódicas.**
---
### [CIRUGÍA](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ANTES DE LA CIRUGÍA
Antes de someterte a la operación, tu médico te prescribirá **exámenes preliminares.** Estas investigaciones (análisis de sangre, electrocardiograma, radiografías) son necesarias para evaluar tu estado general de salud y determinar si eres apto para la operación y el postoperatorio. En caso de enfermedades crónicas (p. ej., cardíacas, respiratorias, renales) puede ser necesaria una visita a un especialista.
También es aconsejable **preparar el entorno doméstico para tu vuelta a casa,** a fin de minimizar el riesgo de caídas o accidentes.
#### EN EL HOSPITAL
**Acuérdate de llevar todo lo que necesites y que te exija tu médico: una** lista de los medicamentos que tomas habitualmente, documentación clínica (informes de las investigaciones preoperatorias, radiografías), documento de identidad, tarjeta sanitaria y cualquier dispositivo como aparatos ortopédicos o muletas.
La intervención será de duración variable y **el personal médico y de enfermería cuidará de ti.**
#### DESPUÉS DE LA CIRUGÍA
La estancia hospitalaria varía en función del paciente y del tipo de intervención.
Tras la operación, tendrás que **contar con el apoyo de alguien que te asista en casa** o, en su defecto, se puede organizar una breve estancia en un centro de rehabilitación.
**Puedes necesitar ciertos dispositivos, como muletas o aparatos ortopédicos**, que te prescribirá y recomendará tu cirujano ortopédico.
#### TU NUEVA ARTICULACIÓN
Durante el postoperatorio **, consulta siempre a tu traumatólogo y a tu médico de cabecera.**
Sigue las instrucciones de tu cirujano y, si tienes alguna duda, no dudes en ponerte en contacto con él.
Recuerda que **un estilo de vida sano y activo contribuirá a una recuperación más rápida** y no olvides hacerte **revisiones periódicas.**
---
### [CADERA](https://www.permedica.it/area-paziente/anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTICULACIÓN DE CADERA
La articulación de la cadera está formada por **la cabeza del fémur** (similar a una esfera) y la **cavidad acetabular de la pelvis** (similar a una copa), rodeadas por una cápsula articular de tejido cartilaginoso. Otros tejidos blandos, como los ligamentos, también intervienen en la biomecánica de la articulación y contribuyen a estabilizarla limitando su movimiento.
**El cartílago que recubre las superficies articulares protege a los huesos del roce directo** y facilita su deslizamiento relativo durante los movimientos cotidianos.
La aparición de ciertas enfermedades degenerativas puede provocar **daños en el cartílago** (artrosis, artritis) y una reducción de su grosor: las superficies óseas entran entonces en contacto directo, provocando **dolor**.
[](https://www.permedica.it/es/pacientes/anca/patologias-de-cadera/)
#### ##### [PATOLOGÍAS DE CADERA](https://www.permedica.it/es/pacientes/anca/patologias-de-cadera/)
[](https://www.permedica.it/es/pacientes/anca/artroplastia-de-cadera/)
#### ##### [ARTROPLASTIA DE CADERA](https://www.permedica.it/es/pacientes/anca/artroplastia-de-cadera/)
#### ##### [LA INTERVENCIÓN](https://www.permedica.it/es/pacientes/anca/intervencion/)
[](https://www.permedica.it/es/pacientes/anca/intervencion/#nuova-articolazione)
#### ##### [TU NUEVA ARTICULACIÓN](https://www.permedica.it/es/pacientes/anca/intervencion/#nuova-articolazione)
---
### [VISION](https://www.permedica.it/corporate/vision/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### VISION
*“Creemos que la evolución tecnológica de las prótesis no ha terminado. Somos expertos en esta área y continuamos colaborando con nuestros clientes para transformar sus ideas en productos de calidad.*
*Queremos dar a los pacientes una nueva oportunidad de vida a través de prótesis que se olvidan y, en casos críticos, a través de soluciones únicas que permitan la movilidad.*
*Creamos redes con los expertos en nuevas tecnologías que se combinan con nuestras prótesis para ofrecer soluciones que superen las expectativas de nuestros clientes.”*
Marco Perego Presidente y CEO
#### MISIÓN
Diseñamos, producimos y comercializamos prótesis ortopédicas en todo el mundo para todo tipo de pacientes.
Somos reactivos a las solicitudes de los clientes, flexibles a las necesidades del mercado y cumplimos con nuestros compromisos porque tenemos una cadena de toma de decisiones corta y una integración vertical única en el panorama ortopédico.
Esto permite a nuestro personal tener una visión completa de los procesos, lo que se traduce en una competencia diferenciadora.
## **“**Challenging** **Excellence in Technology**!”**
---
### [CONTACTENOS](https://www.permedica.it/contatti/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
## PERMEDICA S.p.A.
## [Contactos Filiales](https://www.permedica.it/es/corporate/ubicaciones/)[ Permedica](https://www.permedica.it/es/corporate/ubicaciones/)
[](https://www.google.it/maps/place/Permedica+S.P.A./@45.69117,9.407759,18z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
Via Como, 38 Merate (LC) 23807
Atención al Cliente: +39 039 95 14 899
Teléfono: +39 039 95 14 811
Fax: +39 039 99 03 078
Para comunicarte con nosotros, completa el formulario a continuación.
Nombre y apellidos (obligatorio)
Correo electrónico (obligatorio)
Objeto
Mensaje
Declaro que he leído y acepto el contenido de [la política de privacidad](https://www.permedica.it/informativa-sulla-privacy/)
Autorizo el tratamiento de mis datos personales con fines de marketing y/o suscripción al boletín SíNo
×
---
### [HAX-PORE](https://www.permedica.it/innovation-systems/hax-pore/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### HaX-Pore®
##### Double plasma sprayed coating of porous Titanium and Hydroxyapatite
1\. **Effective press-fit** thanks to friction due to high surface roughness.
2\. **Fast osseointegration** in the short term.
3\. **Stable anchorage between bone and porous titanium coating** in the long term.
**HaX-Pore® is a double plasma sprayed coating of porous titanium and Hydroxyapatite.**
The coating HaX-Pore® is sed on Permedica prosthetic devices intended for press-fit implantation for which direct anchoring with bone occurs through osseointegration. .
The **HaX-Pore® coating has been developed to optimize prosthetic osseointegration.**
The rationale of HaX-Pore® coating is to use a double coating consisting of:
#### First layer
**Pure porous titanium coating, applied by plasma spray in air (APS),** deposited with a high thickness (300 µm / 500 µm) in order to obtain a high degree of roughness and porosity.
This surface morphology with an open porosity three-dimensional structure increases the surface in contact with the bone, ensures **adequate bone ingrowth and increases friction with the bone, improving resistance to shear stresses** between the bone and the prosthesis.
#### Second layer
**HA coating, always applied by plasma spray in air (APS),** deposited with reduced thickness (50 µm) in order to maintain, or slightly reduce, the roughness and surface porosity of the titanium coating.
The outer layer of **HA serves as a bioactive surface to increase bone ongrowth.**
The HA acts in fact only as an osteoconductive means to accelerate and increase the osseointegration of the prosthesis, without providing any mechanical support. Once the HA layer is reabsorbed, the long-term mechanical anchoring of the prosthesis is ensured by direct contact between the bone and the porous titanium coating.
#### APS Coating
Before carrying out the APS coating process, **the surface to be coated is blasted** with an abrasive consisting of pure alumina (corundum) until a surface roughness is obtained such as to ensure mechanical adhesion (resistance to shear and tensile stress) of the coating to the substrate, exceeding certain requirements set by the FDA regulations and guides.
The thin layer of HA above the thicker layer of porous titanium, both deposited by plasma spray, determine a **high porosity and roughness of the coating,** thus allowing a high mechanical bond (resistance to cutting and traction) both at the coating interface / bone than at the coating / substrate interface.
---
### [MEDICAL PROFESSIONALS](https://www.permedica.it/medical-professionals/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [HYPERTECH](https://www.permedica.it/innovation-systems/hypertech/)
**Published:** Novembre 23, 2024
**Author:** pm_ema
**Content:**
#### Personalización y excelencia Made in Italy
Con Hypertech puedes realizar tu **proyecto personalizado** y contar con un servicio y una asistencia profesionales, **tecnologías de producción innovadoras y materiales de última generación.**
Las excepcionales propiedades de los metales, y del titanio en particular, nos permiten fabricar componentes resistentes y ligeros, ideales para equipamientos deportivos utilizados en diversos sectores, como el ciclismo, el esquí y los deportes de invierno, los deportes acuáticos, etc.
Tenemos altos estándares de calidad, **nuestro proceso de producción está totalmente gestionado internamente** y nuestros **productos** son **100% Made in Italy.**
Mediante el uso de técnicas de producción que van desde **forja, mecanizado CNC** (fresado, torneado, rectificado, electroerosión), acabado de superficies y tratamientos de recubrimiento, hasta la avanzada **SLM – Fusión Láser Selectiva – tecnología de impresión 3D.** cada producto toma forma y es único.
#### Especialistas en componentes para bicicletas
A todos los que trabajamos en Hypertech nos mueve **pasión por la ingeniería y la tecnología** por la calidad y por la búsqueda de la perfección.
**El primer campo de especialización es el ciclismo:** Hypertech es capaz de fabricar bieletas, punteras, apéndices y muchos otros componentes utilizando sus propias tecnologías.
Además, gracias a la posibilidad de crear proyectos a medida, podemos realizar **una amplia variedad de productos,** que respondan a las necesidades de diversos sectores.
#### Antecedentes médicos
Todos los productos Hypertech se crean con los más altos **normas de calidad derivadas de la producción en el ámbito médico.**
En **excelentes niveles de calidad** están garantizados por la estructura del Sistema de Gestión de Calidad que orienta hacia el uso de materiales certificados y controlados, un alto grado de control de los procesos de producción y la **trazabilidad del historial de producción de cada pieza individual,** desde su nacimiento hasta su salida al mercado.
Esto representa el principal valor añadido de Hypertech.
#### Proyectos personalizados para tus componentes deportivos
La actividad principal de Hypertech es la **realización de proyectos a medida.**
Ingenieros y diseñadores experimentados trabajan codo con codo con cada cliente, **desde la idea hasta el producto acabado**, desarrollando cada pieza para **para cumplir los requisitos de diseño, seguridad** e **rendimiento** exigidos por el sector del ciclismo y más allá.
Sorry, your browser doesn't support embedded videos.
#### Diseño rápido y eficaz
**Tras una evaluación inicial** de viabilidad, se perfecciona el diseño y se **eligen las técnicas de producción más adecuadas**.
En poco tiempo **se fabrican prototipos**, seguidos de **productos acabados** para su entrega y uso como componentes por parte del cliente.
#### Colnago, una colaboración de éxito
[**Colnago**](https://www.colnago.com/it-it)un histórico fabricante de bicicletas de carreras **fue uno de los primeros en confiar en Hypertech.**
Decidieron confiar en la startup para producir juntas de cuadro y otros componentes en aleación de titanio Ti6Al4V para su modelo **Colnago C68 Road Ti.**
[CONTÁCTANOS](https://www.permedica.it/es/contactos/)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-017.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-015.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-016.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-019.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-018.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-011.jpg)
---
### [Form spalla](https://www.permedica.it/form-spalla/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
Mirai System AnatomicaMirai System InversaMirai R Baseplate GlenoideoCore Omerale conico
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [Form spalla](https://www.permedica.it/form-spalla/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
Mirai System AnatomicaMirai System InversaMirai R Baseplate GlenoideoCore Omerale conico
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [Shoulder form](https://www.permedica.it/form-spalla/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Information sheetSurgical technique
Mirai System AnatomicalMirai System ReverseMirai R Glenoid BaseplateConical Humeral core
I declare that I have read and accept the content of [the privacy policy](https://www.permedica.it/en/privacy-policy/)
I authorize the treatment of my personal data for marketing purposes and/or to subscribe to the newsletter YesNo
We will provide the requested material as soon as possible
×
---
### [Form spalla](https://www.permedica.it/form-spalla/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
**Errore:** Modulo di contatto non trovato.
---
### [Form spalla](https://www.permedica.it/form-spalla/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
Mirai System AnatomicaMirai System InversaMirai R Baseplate GlenoideoCore Omerale conico
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [Form ginocchio](https://www.permedica.it/form-ginocchio/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
**Errore:** Modulo di contatto non trovato.
---
### [PROFESIONALES MÉDICOS](https://www.permedica.it/area-chirurgo/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [LOMBARDÍA APOYO ERDF](https://www.permedica.it/sostegno-lombardia-fesr/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### LOMBARDÍA APOYO ERDF
#### Aquí puedes descargar las Instrucciones de uso de nuestros productos en formato electrónico.
- [Ayuda FEDER Lombardía](https://www.permedica.it/wp-content/uploads/2020/04/FESR_WEB-2.pdf)
---
### [ESCUELA DE ARTICULACIONES](https://www.permedica.it/school-of-joints/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ESCUELA PERMEDICA DE ARTICULACIONES
La Escuela Permedica de Articulaciones es una de las herramientas que se ofrecen a los cirujanos **dentro del programa de Formación Profesional** que ofrece Permedica.
Entre los principales objetivos de la Escuela de Articulación está la **promoción del conocimiento mediante el intercambio de experiencias** a nivel nacional e internacional.
#### UNA OPORTUNIDAD ÚNICA DE FORMACIÓN
El programa permitirá a los cirujanos ortopédicos participantes **aprender de forma fluida las técnicas quirúrgicas en este campo** y familiarizarse y adquirir confianza con los implantes e instrumentos Permedica.
La Escuela de Articulaciones está dirigida principalmente a **jóvenes cirujanos ortopédicos motivados que deseen mejorar sus habilidades** a través de una experiencia única, con la oportunidad de compartir puntos de vista y opiniones con sus compañeros, viajando y entrando en contacto con nuevas realidades, enriqueciendo su bagaje profesional.
#### **ANCA**
Podrás obtener más **información sobre nuestra gama de productos para la cadera en centros especializados** con muchos años de experiencia en el uso de implantes Permedica.
#### **RODILLA**
El innovador **sistema de rodilla GKS** combina el uso de nuestras tecnologías más avanzadas. A través de nuestro SoJ podrás **dominar la técnica quirúrgica** pertinente.
#### **HOMBRO**
Mirai, el **sistema de hombros completo, modular y convertible**, es único. Los cirujanos que asistan a SoJ podrán obtener más información sobre este producto **en centros internacionales cualificados.**
#### **A MEDIDA Y AMPUTADOS**
SoJ ofrece la oportunidad de entrar en contacto con **casos complejos de prótesis a medida** y aprender más sobre **la técnica de osteointegración** para pacientes amputados.
#### SOLICÍTALO AHORA
Rellena el formulario con tus datos y adjunta tu Curriculum Vitae y una carta en la que incluyas tu motivación para participar en el programa de la Escuela de Articulaciones. Las solicitudes se evaluarán en un plazo de dos semanas, tras lo cual se enviará una respuesta y se organizará la beca si es necesario.
---
### [Cumplimiento de las responsabilidades del paciente](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
**Published:** Marzo 11, 2020
**Author:** pm_ema
**Content:**
#### Asunción de responsabilidades por el paciente
Este sitio contiene descripciones breves y no exhaustivas de conceptos generales relativos a la anatomía de las articulaciones, determinadas patologías y procedimientos de artroplastia.
La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos. No aceptamos responsabilidad alguna por los errores e inexactitudes de este sitio web. Si tienes dudas y/o preguntas, ponte en contacto con tu médico de cabecera o cirujano ortopédico.
---
### [MAXILLOFACIAL](https://www.permedica.it/area-chirurgo/maxillofacial/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/es/linea-maxilofacial/#tecacranica)[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon-400x400.png "Teca cranica icon")
CRANIC TECA
[](https://www.permedica.it/es/linea-maxilofacial/#tecacranica)
[](https://www.permedica.it/es/linea-maxilofacial/#temporomandibolare)[](https://www.permedica.it/es/linea-maxilofacial/#temporomandibolare)
TEMPORO MANDIBULAR
[](https://www.permedica.it/es/linea-maxilofacial/#placche)[](https://www.permedica.it/es/linea-maxilofacial/#placche)
LUGARES
[](https://www.permedica.it/es/linea-maxilofacial/#placchemandibolari)[](https://www.permedica.it/es/linea-maxilofacial/#placchemandibolari)
PLACAS MANDIBULARES
[](https://www.permedica.it/es/linea-maxilofacial/#ricostruzionizigomatiche)[](https://www.permedica.it/es/linea-maxilofacial/#ricostruzionizigomatiche)
RECONSTRUCCIONES CIGOMÁTICAS
[](https://www.permedica.it/es/linea-maxilofacial/#pavimentiorbitali)[](https://www.permedica.it/es/linea-maxilofacial/#pavimentiorbitali)
PISOS ORBITALES
---
### [Especialista en productos ortopédicos Tirol-Austria](https://www.permedica.it/es/especialista-en-productos-ortopedicos-tirol-austria/)
**Published:** Marzo 11, 2020
**Author:** pm_ema
**Content:**
#### Especialista en productos ortopédicos Tirol-Austria
**Especialista en productos ortopédicos Tirol-Austria**
**Ubicación**
El recurso, situado en el equipo de Marketing y Ventas, será responsable de:
- Garantizar la correcta formación de médicos y terapeutas sobre los productos de la zona asignada, ayudando a las ventas a alcanzar los objetivos de la empresa.
- Contribuir al desarrollo y aplicación de estrategias y planes de venta mediante demostraciones sobre el uso correcto de los productos a clientes y médicos y garantizando la correcta atención en el bloque quirúrgico.
- Actuar proactivamente para apoyar a los clientes en los informes y reclamaciones de acuerdo con los requisitos de la normativa y el sistema de calidad de la empresa
- Supervisar los productos y las actividades de marketing de los competidores
- Apoyar y sugerir mejoras y mejores prácticas para la mejora continua de los procesos
**Habilidades y requisitos**
- Titulación técnica, licenciatura o diplomatura en enfermería acompañada de 5 años de experiencia en quirófano (preferiblemente en el sector ortopédico)
- Al menos 3 años de experiencia en la práctica del desarrollo protésico
- Conocimiento de los aspectos/reglamentos relativos a las prótesis implantables
- Comprender las relaciones relacionadas con el desarrollo, la venta y la comercialización de productos implantables
- Capacidad demostrada para transferir información al usuario cliente a través de la formación
- Capacidad para actuar según una estrategia clara apoyando las competiciones de ventas
- Conocimiento de las técnicas de comunicación
- Conocimientos de software básico (WINDOWS, aplicaciones de Office)
- Se prefiere el conocimiento de UNI EN ISO 13485 y/o UNI EN ISO 9001
- Conocimientos de inglés y alemán
**Acerca de Permedica S.p.A.**
Permedica Spa es una empresa italiana líder en el sector ortopédico que desarrolla, produce y comercializa prótesis articulares y soluciones a medida para los casos más complejos, ortopedia oncológica y amputaciones. Desde la sede central de Merate (LC), se fabrican y distribuyen productos de vanguardia en todo el mundo, gracias a filiales y colaboradores en los cinco continentes.
### ¡Envía tu solicitud!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [POLÍTICA DE PRIVACIDAD](https://www.permedica.it/informativa-sulla-privacy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# POLÍTICA DE PRIVACIDAD 679/2016/EU – GDPR
**Información de conformidad con el artículo 13 del Reglamento UE 2016/679**
**Información del sitio web** [https://www.permedica.it/](https://www.permedica.it/es/)
En virtud del Art. 13 del Decreto Legislativo 196/2003 y de conformidad con el Art. 13 del GDPR 679/2016 Reglamento Europeo sobre Privacidad, te informamos de que los datos personales que voluntariamente pongas a disposición de ***Permedica S.p.A.*** serán tratados de conformidad con la normativa vigente.
Esta página describe cómo se gestiona el sitio con respecto al tratamiento y protección de tus datos personales.
Esta información también se proporciona de conformidad con la Recomendación nº 2/2001 adoptada por el Grupo de Trabajo establecido por el art. 29 de la Directiva nº 95/46/CE. a quienes interactúan con los servicios web de este sitio, con el fin de proteger los datos personales, accesible telemáticamente desde la dirección. Al aceptar el contenido de esta Política consientes la recogida y uso de tus Datos Personales tal y como se describe a continuación.
Esta Política describe ampliamente las prácticas que hemos adoptado.
**Información personal que recopilamos al realizar solicitudes de contacto/información**
En el sitio web <https://www.permedica.it/contatti/>, recogemos los datos personales y la información necesaria para completar el formulario de inscripción. Esta información personal incluye los siguientes datos de contacto: *nombre, apellidos, correo electrónico, asunto (de la solicitud) y texto del mensaje que deseas enviar.*
*Este formulario solicita el consentimiento para el tratamiento de datos y la posibilidad de utilizar los datos para actividades de marketing y/o envío de boletines informativos (consentimiento opcional).*
**Datos personales que recogemos cuando te presentas a una selección en curso y/o a una manifestación de interés**
En el sitio web [https://www.permedica.it/careers/](https://www.permedica.it/corporate/careers/), recogemos datos personales e información necesaria para rellenar el formulario de solicitud. Esta información personal incluye los siguientes datos de contacto: *Nombre, Apellidos, correo electrónico, asunto (de la solicitud) y texto del mensaje que deseas enviar junto con uno o más archivos que contengan tu CV y/o carta de presentación.*
**Datos personales que recogemos al solicitar documentación**
En el sitio web[ https://www.permedica.it](https://www.permedica.it/es/), en la sección de productos, recogemos los datos personales y la información necesaria para rellenar el formulario técnico de solicitud de productos. Los datos personales solicitados son: *Nombre, Apellidos, correo electrónico, profesión, país de origen.*
*Este formulario solicita el consentimiento para el tratamiento de datos y la posibilidad de utilizar los datos para actividades de marketing y/o envío de boletines informativos (consentimiento opcional).*
**Finalidad del tratamiento**
Te informamos de que los datos recogidos mediante el registro de tu nombre u obtenidos por nosotros a través de la consulta de registros, listas o documentos públicos a los que pueda acceder cualquier persona, serán tratados en cumplimiento de las disposiciones anteriormente citadas y de las obligaciones de confidencialidad que inspiran la actividad de ***Permedica S.p.A.***
Los tratamientos realizados por ***Permedica S.p.A.*** se basarán en los principios de corrección, legalidad y transparencia, así como en la protección de tu confidencialidad y tus derechos.
Los datos se utilizarán, por ejemplo, para:
- responder a las solicitudes de información y documentación técnica
- registrar los datos de contacto y procesar los informes de gestión y las estadísticas
- hacer selecciones de personal
Además de estos tratamientos (que son necesarios para poder proceder con las solicitudes realizadas), ***Permedica S.p.A.*** pretende, con tu consentimiento explícito, tratar dichos datos para:
- fines comerciales, promocionales y publicitarios (fines de marketing).
- suscripción al boletín de noticias de ***Permedica S.p.A.***
Los datos pueden ser comunicados por nosotros a nuestra red de ventas, a asesores en el ámbito administrativo/comercial, a transportistas para la entrega de mercancías/material ilustrativo, y a empresas matrices, filiales y afiliadas.
**Otros objetivos**
Los sistemas informáticos y los procedimientos de software utilizados para hacer funcionar este sitio web adquieren, durante su funcionamiento normal, algunos datos personales cuya transmisión está implícita en el uso de los protocolos de comunicación de Internet. Esta información no se recoge para ser asociada a interesados identificados, sino que por su propia naturaleza podría, mediante su tratamiento y asociación con datos en poder de terceros, permitir la identificación de los usuarios.
Esta categoría de datos incluye las direcciones IP o los nombres de dominio de los ordenadores utilizados por los usuarios que se conectan al sitio, las direcciones URI (Uniform Resource Identifier) de los recursos solicitados, la hora de la solicitud, el método utilizado para enviar la solicitud al servidor, el tamaño del archivo obtenido como respuesta, el código numérico que indica el estado de la respuesta dada por el servidor (correcto, error, etc.) y otros parámetros relativos al sistema operativo y al entorno informático del usuario.
Estos datos se utilizan con el único fin de obtener información estadística anónima sobre el uso del sitio y para comprobar su correcto funcionamiento, y se eliminan inmediatamente después de su procesamiento.
Los datos también podrían utilizarse para determinar la responsabilidad en caso de hipotéticos delitos informáticos contra el sitio.
**Responsable del tratamiento**
El Responsable del tratamiento de tus datos es **PERMEDICA S.p.A.**, via Como, 38 – 23807 Merate (LC) Tel +39 039 9514 811 – Fax +39 039 99 03 078 – mail: info@permedica.it, en la persona de su representante legal.
El responsable del tratamiento garantiza la seguridad, confidencialidad y protección en cualquier fase del tratamiento.
Los datos recogidos se utilizan de acuerdo con la legislación aplicable en materia de privacidad (Decreto Legislativo 196/2003 y GDPR 679/2016).
**Lugar de tratamiento**
Los datos serán tratados por el responsable del tratamiento en su domicilio social y en su oficina administrativa de Merate.
**Negativa a facilitar datos**
Puedes negarte a facilitar al Responsable del Tratamiento tus datos introducidos en los formularios, pero ello impediría la consecución de los fines descritos anteriormente, en cuanto a la imposibilidad de enviar documentación y solicitudes y de participar en las selecciones de personal que se realicen.
Si, por el contrario, no das tu consentimiento a las actividades de marketing y/o a la suscripción al boletín informativo, podrás seguir recibiendo la información y/o documentación solicitada.
**Destinatarios de los datos**
No se revelará ni difundirá ningún dato recogido (salvo a los órganos judiciales o policiales si fuera necesario) más allá de lo descrito en este aviso.
Los datos son tratados por personal específicamente designado por escrito para tratarlos (personal administrativo y de relaciones públicas también ajeno a la Empresa, personal de gestión de sistemas de información también ajeno a la Empresa que también puede desempeñar la función de administrador del sistema y que en ese caso es designado como tal, personal de marketing también ajeno a la Empresa, becarios, encargados del tratamiento y sus colaboradores, responsables del sector específico al que se dirige una solicitud, personal de gestión del sitio web también ajeno a la Empresa) sólo si el tratamiento es necesario para el desempeño de sus funciones, realizando únicamente las operaciones necesarias para el desempeño de dichas funciones.
También pueden ser procesados por procesadores de datos (incluidas empresas externas a la empresa que realizan actividades de marketing y de gestión y almacenamiento de servidores). Las empresas externas también pueden procesar datos a través de personas especialmente designadas que pueden llevar a cabo las mismas actividades y procesar datos para los mismos fines, para los que los procesadores de datos han sido designados por ***Permedica S.p.A.***
Tus datos pueden ser comunicados a personas para las que exista una obligación de comunicación en virtud de la ley o una necesidad de comunicación para hacer valer un derecho justo de la empresa ante los organismos competentes.
Para suscribirte (con tu consentimiento) al boletín de noticias, tus datos de contacto se transmitirán a Rocket Science Group LLC, con sede en Georgia (EE.UU.), para que utilice el servicio “mailchimp”. Por lo tanto, tus datos de contacto (nombre y dirección de correo electrónico) se transmitirán fuera de la Comunidad Europea, con un contrato regular que lo regule.
**NB: https: [//mailchimp.com](https://mailchimp.com) contiene la información ampliada del controlador de datos Rocket Science Group LLC, que opera el servicio Mailchimp.**
El responsable del tratamiento **Permedica S.p.A.** garantiza la seguridad, confidencialidad y protección que posee, en cualquier fase del proceso.
**Tiempos de almacenamiento**
Los datos se tratan durante el tiempo necesario para alcanzar los fines para los que se tratan. En este sentido, los datos recogidos para unirte/suscribirte al boletín informativo se conservarán mientras decidas que deseas seguir inscrito en él.
Puedes solicitar en cualquier momento la interrupción del Tratamiento o la supresión y/o limitación de los Datos.
En aras de una total transparencia, está disponible en la sede de ***Permedica S.p.A.*** el documento “Política de Conservación de Datos”, parte integrante del Sistema de Gestión de Protección de Datos de la empresa, y tienes derecho a solicitar una copia poniéndote en contacto con la empresa en la siguiente dirección de correo electrónico: [info@permedica.it.](mailto:info@permedica.it) En el mismo documento también encontrarás indicaciones sobre los criterios utilizados para determinar este periodo.
**Transferencia de datos**
El responsable del tratamiento no transfiere datos personales a partes no autorizadas residentes en terceros países ni a organizaciones internacionales.
**Modificación de la información y/o de las finalidades y/o del tratamiento**
El Responsable del Tratamiento se reserva el derecho a modificar esta nota informativa y las finalidades del tratamiento de los datos (que se detallarán en la nota informativa publicada en [https://www.permedica.it/).](https://www.permedica.it/es/)
En caso de tratamiento distinto al especificado en esta nota informativa, se te podrá solicitar un nuevo consentimiento. También puedes revocar tu consentimiento (véase el apartado siguiente).
**Retirada del consentimiento**
Con referencia al Artículo 23 del Decreto Legislativo 196/2003 y al Artículo 6 del GDPR 679/16, puedes revocar tu consentimiento en cualquier momento.
**Derechos de los interesados**
Con referencia al art.7 del Decreto Legislativo 196/2003 y al art. 15 “derecho de acceso”, art. 16 “derecho de rectificación”, art. 17 “derecho de cancelación”, art. 18 “derecho de limitación del tratamiento”, art. 20 “derecho de portabilidad”, art.21 “derecho de oposición a la toma de decisiones automatizada” del GDPR 679/2016, puedes ejercer tus derechos escribiendo al Responsable del Tratamiento a la siguiente dirección: PERMEDICA S.p.A., Via Como, 38 – 23807 Merate (LC) Tel +39 039 95 14 811 – Fax +39 039 99 03 078 – mail: <info@permedica.it>
**Presentar una denuncia**
Tienes derecho a presentar una reclamación ante la autoridad supervisora de tu Estado de residencia.
**Procesos automatizados de toma de decisiones**
El Responsable del Tratamiento no lleva a cabo ningún tratamiento consistente en procesos automatizados de toma de decisiones.
El Controlador de Datos – ***Permedica S.p.A.***
---
### [PATOLOGÍAS DEL HOMBRO](https://www.permedica.it/area-paziente/spalla-paziente/patologie-della-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PATOLOGÍAS DEL HOMBRO
L **as** superficies de los huesos de nuestro esqueleto interactúan entre sí a través de **las articulaciones.** Las articulaciones pueden ser de distintos tipos según el movimiento relativo entre los huesos que las componen:**en algunos casos están formadas por dos o más huesos con una movilidad extrema, como los de la cadera, la rodilla y el hombro;** en otros casos unen huesos poco móviles, como los de la columna vertebral; en otros casos unen huesos absolutamente inmóviles, como los del cráneo.
Las articulaciones, sobre todo las sometidas a carga y más implicadas en el movimiento, pueden sufrir patologías que pueden llevar a la necesidad de una cirugía de sustitución articular.
**Estas patologías son múltiples, pueden ser de distinta naturaleza** (degenerativas, traumáticas, congénitas) **y muy invalidantes**.
- [ARTROSIS](#artrosi)
- [ARTRITIS REUMATOIDE](#artrite)
- [FRACTURA DE LA CABEZA DEL HÚMERO](#spalla_omerale)
- [OSTEOPOROSIS](#osteoporosi)
- [ARTROPATÍA DEL MANGUITO ROTADOR](#artropatia)
#### ARTROSIS
La artrosis es un **proceso patológico degenerativo de las superficies articulares** que afecta a toda la articulación (hueso, cartílago, cápsula articular).
Es una enfermedad muy frecuente que suele aparecer entre los 50 y los 60 años, aunque también puede aparecer a una edad más temprana. Se clasifica como **artrosis “primaria” cuando se desconoce el origen**, o como **“secundaria” cuando surge como consecuencia de procesos inflamatorios** (artritis), endocrinos (diabetes o gota), congénitos (displasia) o traumáticos que alteran la morfología y la función articulares.
La patología artrósica **se manifiesta con desgaste y reabsorción gradual del cartílago articular**, adelgazamiento del espacio articular, producción anormal de hueso (osteofitos), deformación de las cabezas articulares, engrosamiento de la cápsula con formación de calcificaciones, lo que provoca **dolor agudo y grave limitación del movimiento.**
El diagnóstico se reconoce fácilmente sobre la base de la sintomatología y de un simple examen radiográfico. La terapia se planifica según el estadio de avance.
**Las articulaciones más comúnmente afectadas son las de la cadera** (coxartrosis), la **rodilla** (gonartrosis) y **el hombro** (homartrosis).
El tratamiento más eficaz de la artrosis es la cirugía, con sustitución protésica de las cabezas articulares afectadas. Las terapias farmacológicas, los tratamientos de fisioterapia, las infiltraciones de cortisona o lo que sea pueden aliviar temporalmente el dolor, pero no son una solución definitiva.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
[Link to #top](#top)
#### ARTRITIS REUMATOIDE
La artritis reumatoide es una **poliartritis inflamatoria crónica y progresiva con una patogenia autoinmune** en las articulaciones sinoviales.
Se diferencia de la artrosis en que afecta inicialmente a la membrana sinovial y no al cartílago, y ataca con menos frecuencia y a una edad más temprana que la artrosis. Las mujeres se ven más afectadas (proporción 3:1). Afecta al 1-2% de la población y el número de casos aumenta con la edad; de hecho, el 5% de las mujeres mayores de 55 años están afectadas. **El inicio se observa principalmente al final de la adolescencia o entre la 4ª y 5ª década de la vida**; un segundo pico se observa entre los 60 y los 70 años.
Una variante precoz de la AR es la artritis reumatoide de la infancia.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### FRACTURA DE LA CABEZA DEL HÚMERO
La fractura de la cabeza del húmero es **una de las causas más frecuentes de cirugía del hombro.** En los pacientes ancianos, sobre todo los que padecen osteoporosis, suele estar causada por una caída trivial, mientras que en los pacientes más jóvenes suele ser consecuencia de traumatismos violentos, accidentes de tráfico o lesiones deportivas. Los**síntomas son dolor intenso e incapacidad inmediata para moverse.** Según el tipo de fractura, se puede recurrir a un tratamiento conservador (ortesis, inmovilización y reposo) o a la cirugía en situaciones más complejas.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### OSTEOPOROSIS
La osteoporosis es una **enfermedad sistémica y metabólica del sistema óseo**, que se da en personas mayores y **con mayor incidencia en las mujeres**. Se caracteriza por una baja densidad mineral y el deterioro de la estructura del tejido óseo, lo que provoca **un aumento de la fragilidad ósea, más propensa a las fracturas**.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### ARTROPATÍA DEL MANGUITO ROTADOR
Se trata de una **forma grave y compleja de artrosis que afecta a la articulación del hombro**. En este caso, la alteración del movimiento articular se debe a una**disfunción del músculo rotador**, que a largo plazo provoca un desgaste del cartílago articular con aparición de dolor, pérdida de fuerza y dificultad de movimiento.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
---
### [TU NUEVA ARTICULACIÓN](https://www.permedica.it/area-paziente/spalla-paziente/la-tua-nuova-articolazione-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# TU NUEVA ARTICULACIÓN
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
Durante el postoperatorio , consulta siempre a tu traumatólogo y a tu médico de cabecera.
Sigue las instrucciones de tu cirujano y, si tienes alguna duda, no dudes en ponerte en contacto con él.
Recuerda que un estilo de vida sano y activo contribuirá a una recuperación más rápida y no olvides hacerte revisiones periódicas.
---
### [ARTROPLASTIA DE HOMBRO](https://www.permedica.it/area-paziente/spalla-paziente/artroplastica-di-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
ARTROPLASTIA DE HOMBRO
La artroplastia total de hombro pretende **restaurar la función de la articulación perdida** a consecuencia de una lesión o enfermedad incapacitante.
Un implante artificial compuesto de varios componentes tiene como objetivo **reduce el dolor, recupera la movilidad perdida** e **mejora** la calidad de vida del paciente.
Existen dos configuraciones diferentes de prótesis de hombro, la anatómica y la invertida, ambas formadas generalmente por 3 componentes fabricados con materiales altamente biocompatibles.
A**natómico** 1.
C **omponente humeral** (metal) 2.
C **abeza** humeral (metal o polietileno) 3.**Componente glenoideo** (metal o polietileno) y posible inserto (metal o polietileno)
R**everso** 1.
C **omponente** humeral (metal) 2.
I **nserto** humeral (metal o polietileno) 3.**Glenosfera** (metal o polietileno)
La configuración inversa suele estar indicada en casos de patologías del manguito de los rotadores. La fijación de la prótesis al hueso puede ser sin uso de cemento (fijación biológica) o mediante el uso de cemento.
---
### [HOMBRO](https://www.permedica.it/area-paziente/spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTICULACIÓN DEL HOMBRO
La articulación del hombro está formada por la **cabeza del húmero** y la **escápula**. Es un sistema funcionalmente complejo que comprende no menos de cinco articulaciones separadas.
**El cartílago que recubre las superficies articulares protege a los huesos del roce directo** y facilita su deslizamiento relativo durante los movimientos cotidianos.
La aparición de ciertas enfermedades degenerativas puede provocar **daños en el cartílago** (artrosis, artritis) y una reducción de su grosor: las superficies óseas entran entonces en contacto directo, provocando **dolor.** Un grupo de 4 músculos y sus tendones, llamado manguito de los rotadores, rodea la articulación, dándole estabilidad.
[](https://www.permedica.it/area-paziente/spalla-paziente/patologie-della-spalla/)
#### ##### [PATOLOGÍAS DEL HOMBRO](https://www.permedica.it/area-paziente/spalla-paziente/patologie-della-spalla/)
[](https://www.permedica.it/area-paziente/spalla-paziente/artroplastica-di-spalla/)
#### ##### [ARTROPLASTIA DE HOMBRO](https://www.permedica.it/area-paziente/spalla-paziente/artroplastica-di-spalla/)
#### ##### [LA INTERVENCIÓN](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/)
[](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/#nuova-articolazione)
#### ##### [TU NUEVA ARTICULACIÓN](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/#nuova-articolazione)
---
### [PATOLOGÍAS DE RODILLA](https://www.permedica.it/area-paziente/ginocchio-paziente/patologie-del-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PATOLOGÍAS DE RODILLA
L **as** superficies de los huesos de nuestro esqueleto interactúan entre sí a través de **las articulaciones.** Las articulaciones pueden ser de distintos tipos según el movimiento relativo entre los huesos que las componen:**en algunos casos están formadas por dos o más huesos con una movilidad extrema, como los de la cadera, la rodilla y el hombro;** en otros casos unen huesos poco móviles, como los de la columna vertebral; en otros casos unen huesos absolutamente inmóviles, como los del cráneo.
Las articulaciones, sobre todo las sometidas a carga y más implicadas en el movimiento, pueden sufrir patologías que pueden llevar a la necesidad de una cirugía de sustitución articular.
**Estas patologías son múltiples, pueden ser de distinta naturaleza** (degenerativas, traumáticas, congénitas) **y muy invalidantes**.
- [ARTROSIS](#artrosi)
- [ARTRITIS REUMATOIDE](#artrite)
- [OSTEOPOROSIS](#osteoporosi)
- [RODILLA VARO/VALGO](#ginocchio_varo)
#### ARTROSIS
La artrosis es un **proceso patológico degenerativo de las superficies articulares** que afecta a toda la articulación (hueso, cartílago, cápsula articular).
Es una enfermedad muy frecuente que suele aparecer entre los 50 y los 60 años, aunque también puede aparecer a una edad más temprana. Se clasifica como **artrosis “primaria” cuando se desconoce su origen**, o como **“secundaria” cuando surge como consecuencia de procesos inflamatorios** (artritis), endocrinos (diabetes o gota), congénitos (displasia) o traumáticos que alteran la morfología y la función articulares.
La patología artrósica **se manifiesta con desgaste y reabsorción gradual del cartílago articular**, adelgazamiento del espacio articular, producción anormal de hueso (osteofitos), deformación de las cabezas articulares, engrosamiento de la cápsula con formación de calcificaciones, lo que provoca **dolor agudo y limitación grave del movimiento.**
El diagnóstico se reconoce fácilmente sobre la base de la sintomatología y de un simple examen radiográfico.
La terapia se planifica según la fase de avance. Las**articulaciones más comúnmente afectadas son las de la cadera** (coxartrosis), la **rodilla** (gonartrosis) y **el hombro** (homartrosis).
El tratamiento más eficaz de la artrosis es la cirugía, con sustitución protésica de las cabezas articulares afectadas. Las terapias farmacológicas, los tratamientos de fisioterapia, las infiltraciones de cortisona o lo que sea pueden aliviar temporalmente el dolor, pero no son una solución definitiva.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
[Link to #top](#top)
#### ARTRITIS REUMATOIDE
La artritis reumatoide es una **poliartritis inflamatoria crónica y progresiva con una patogenia autoinmune** en las articulaciones sinoviales.
Se diferencia de la artrosis en que afecta inicialmente a la membrana sinovial y no al cartílago, y ataca con menos frecuencia y a una edad más temprana que la artrosis. Las mujeres se ven más afectadas (proporción 3:1). Afecta al 1-2% de la población y el número de casos aumenta con la edad; de hecho, el 5% de las mujeres mayores de 55 años están afectadas. **El inicio se observa principalmente al final de la adolescencia o entre la 4ª y 5ª década de la vida**; un segundo pico se observa entre los 60 y los 70 años.
Una variante precoz de la AR es la artritis reumatoide de la infancia.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### OSTEOPOROSIS
La osteoporosis es una **enfermedad sistémica y metabólica del sistema óseo**, que se da en personas mayores y **con mayor incidencia en las mujeres**. Se caracteriza por una baja densidad mineral y el deterioro de la estructura del tejido óseo, lo que provoca **un aumento de la fragilidad ósea, más propensa a las fracturas**.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### RODILLA VARO/VALGO
En una situación normal, **las articulaciones de la extremidad inferior** (cadera, rodilla y tobillo) **están alineadas sobre un eje común conocido como eje mecánico** o eje de carga. Este eje en la tibia se corresponde con el eje diafisario (eje anatómico), mientras que en el fémur el eje anatómico se desvía del eje mecánico, formando un ángulo de aproximadamente 6 grados (ángulo valgo fisiológico).
**Si se altera esta alineación, se produce una situación patológica con desviación axial**, que da lugar a **una alteración de la biomecánica articular, que con el tiempo conduce al desgaste del cartílago** en las zonas cargadas.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
---
### [TU NUEVA ARTICULACIÓN](https://www.permedica.it/area-paziente/ginocchio-paziente/la-tua-nuova-articolazione-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# TU NUEVA ARTICULACIÓN
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
Durante el postoperatorio , consulta siempre a tu traumatólogo y a tu médico de cabecera.
Sigue las instrucciones de tu cirujano y, si tienes alguna duda, no dudes en ponerte en contacto con él.
Recuerda que un estilo de vida sano y activo contribuirá a una recuperación más rápida y no olvides hacerte revisiones periódicas.
---
### [ARTROPLASTIA DE RODILLA](https://www.permedica.it/area-paziente/ginocchio-paziente/ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTROPLASTIA DE RODILLA
La artroplastia total de rodilla pretende **restaurar la función perdida de la articulación** a consecuencia de una lesión o enfermedad incapacitante.
La implantación de una articulación artificial pretende **reducir el dolor, recuperar la movilidad perdida** y **mejorar la calidad de vida del** paciente.
Una prótesis de rodilla suele constar de **tres componentes** fabricados con materiales altamente biocompatibles:
1\. **Componente tibiale** (in metallo)
2\. **Inserto** articolare (in polietilene)
3\. **Componente femorale** (in metallo) ed eventuale componente rotulea (in polietilene)
La fijación de la prótesis al hueso puede hacerse sin utilizar cemento (fijación biológica) o utilizando cemento.
---
### [PATOLOGÍAS DE CADERA](https://www.permedica.it/area-paziente/anca-paziente/patologie-dellanca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PATOLOGÍAS DE CADERA
L **as** superficies de los huesos de nuestro esqueleto interactúan entre sí a través de **las articulaciones.** Las articulaciones pueden ser de distintos tipos según el movimiento relativo entre los huesos que las componen:**en algunos casos están formadas por dos o más huesos con una movilidad extrema, como los de la cadera, la rodilla y el hombro;** en otros casos unen huesos poco móviles, como los de la columna vertebral; en otros casos unen huesos absolutamente inmóviles, como los del cráneo.
Las articulaciones, sobre todo las sometidas a carga y más implicadas en el movimiento, pueden sufrir patologías que pueden llevar a la necesidad de una cirugía de sustitución articular.
**Estas patologías son múltiples, pueden ser de distinta naturaleza** (degenerativas, traumáticas, congénitas) **y muy invalidantes**.
- [ARTROSIS](#artrosi)
- [ARTRITIS REUMATOIDE](#artrite)
- [FRACTURAS DEL CUELLO FEMORAL](#frattura_femore)
- [OSTEONECROSIS CEFÁLICA](#osteonecrosi)
- [OSTEOPOROSIS](#osteoporosi)
- [DISPLASIA HIP](#displasia)
#### ARTROSIS
La artrosis es un **proceso patológico degenerativo de las superficies articulares** que afecta a toda la articulación (hueso, cartílago, cápsula articular). Es una patología muy frecuente que suele aparecer entre los 50 y los 60 años, aunque también puede aparecer a una edad más temprana. Se clasifica como **artrosis “primaria” cuando se desconoce su origen**, o como **“secundaria” cuando surge como consecuencia de procesos inflamatorios** (artritis), endocrinos (diabetes o gota), congénitos (displasia) o traumáticos que alteran la morfología y la función articulares.
La patología artrósica **se manifiesta con desgaste y reabsorción gradual del cartílago articular**, adelgazamiento del espacio articular, producción anormal de hueso (osteofitos), deformación de las cabezas articulares, engrosamiento de la cápsula con formación de calcificaciones, lo que da lugar a **dolor agudo y grave limitación del movimiento**. El diagnóstico se reconoce fácilmente a partir de los síntomas y de un simple examen radiográfico. La terapia se planifica según el estadio de avance.**Las articulaciones más comúnmente afectadas son las de la cadera** (coxartrosis), la **rodilla** (gonartrosis) y **el hombro** (homartrosis). El tratamiento más eficaz de la artrosis es la cirugía, con sustitución protésica de las articulaciones afectadas. Las terapias farmacológicas, la fisioterapia, las infiltraciones de cortisona o cualquier otra cosa pueden aliviar temporalmente el dolor, pero no son una solución definitiva.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
[Link to #top](#top)
#### ARTRITIS REUMATOIDE
La artritis reumatoide es una **poliartritis inflamatoria crónica y progresiva de patogenia autoinmune** que afecta a las articulaciones sinoviales. Se diferencia de la artrosis en que afecta inicialmente a la membrana sinovial y no al cartílago, afecta con menos frecuencia y a una edad más temprana que la artrosis. Afecta más a las mujeres (proporción 3:1). Afecta al 1-2% de la población y el número de casos aumenta con la edad, con un 5% de mujeres mayores de 55 años afectadas. **El inicio se observa principalmente al final de la adolescencia o entre la 4ª y 5ª década de la vida**; un segundo pico se observa entre los 60 y 70 años. Una variante precoz de la AR es la artritis reumatoide de la infancia.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### FRACTURAS DEL CUELLO FEMORAL
La fractura del cuello femoral es frecuente en los ancianos, ya que, como es bien sabido, **con el paso de los años se produce una disminución de las características de resistencia mecánica del hueso**, especialmente en esta zona anatómica. La fractura **suele producirse como consecuencia de un esfuerzo de rotación, más que por un traumatismo directo en la cadera,** hasta el punto de que el sujeto, al resbalar o apoyarse incorrectamente en el miembro inferior, lo hace girar bruscamente, lo que conduce a una fractura del cuello y, sólo más tarde, a una caída por falta de apoyo. Debido a las peculiares características de vascularización de la cabeza femoral (terminal, es decir, que recibe su riego sanguíneo sólo del cuello, y una fractura del cuello puede interrumpir el flujo sanguíneo a la cabeza), estas fracturas suelen provocar pseudoartrosis, es decir, falta de consolidación. Por eso se prefiere tratar a los pacientes mayores (de más de 70-75 años) directamente con una prótesis, para evitar largos y peligrosos periodos de reposo en cama sin una garantía válida de éxito.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### OSTEONECROSIS CEFÁLICA
La osteonecrosis cefálica (es decir, la muerte celular del tejido óseo de la cabeza femoral) puede ser **a menudo idiopática** (de causa desconocida), **a veces inducida por el abuso de fármacos** (cortisona) o **postraumática**. Independientemente de la causa, un factor común es la vascularización insuficiente de la cabeza femoral y la consiguiente necrosis (normalmente en la región de mayor carga), que debilita la estructura, lo que provoca el colapso del hueso subcondral (situado inmediatamente debajo del cartílago) tras la carga, con la consiguiente aparición de artrosis secundaria. Los **primeros síntomas son dolor inguinal directamente relacionado con la carga**, que se irradia a la rodilla en una fase posterior. También puede producirse una limitación de la movilidad de la cadera causada por el dolor.
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### OSTEOPOROSIS
La osteoporosis es una **enfermedad sistémica y metabólica del sistema esquelético**, que se presenta en personas mayores y **con mayor incidencia en las mujeres**. Se caracteriza por una baja densidad mineral y el deterioro de la estructura del tejido óseo. El resultado es una **mayor fragilidad de los huesos, que son más propensos a las fracturas.**
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### DISPLASIA HIP
La displasia de cadera está representada por una**formación incompleta o falta de formación de la cavidad acetabular** que no permite una articulación normal con la cabeza femoral, que a su vez sufre una alteración morfológica.**Suele estar asociada o ser consecuencia de una luxación congénita de cadera** (cuando la cabeza femoral no queda retenida dentro de su asiento anatómico).
###### [La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
---
### [RODILLA](https://www.permedica.it/area-paziente/ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTICULACIÓN DE LA RODILLA
La articulación de la rodilla está formada por el**extremo distal del fémur**, el**extremo proximal de la tibia** y la **rótula**, rodeados por una serie de tejidos blandos que rodean la articulación (ligamentos, cápsula articular y meniscos interarticulares).
Es una de las articulaciones más complejas del cuerpo humano.**El cartílago que recubre las superficies articulares protege a los huesos del roce directo** y facilita su deslizamiento relativo durante los movimientos cotidianos.
Durante los movimientos de flexión-extensión de la pierna, la acción de los músculos del muslo hace que el fémur se deslice sobre la tibia y la rótula a lo largo del extremo distal del fémur. La aparición de ciertas enfermedades degenerativas puede provocar**daños en el cartílago** (artrosis, artritis) y una reducción de su grosor: las superficies óseas entran entonces en contacto directo, provocando **dolor**.
[](https://www.permedica.it/area-paziente/ginocchio-paziente/patologie-del-ginocchio/)
#### ##### [PATOLOGÍAS DE RODILLA](https://www.permedica.it/area-paziente/ginocchio-paziente/patologie-del-ginocchio/)
[](https://www.permedica.it/area-paziente/ginocchio-paziente/ginocchio/)
#### ##### [ARTROPLASTIA DE RODILLA](https://www.permedica.it/area-paziente/ginocchio-paziente/ginocchio/)
#### ##### [LA INTERVENCIÓN](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/)
[](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/#nuova-articolazione)
#### ##### [TU NUEVA ARTICULACIÓN](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/#nuova-articolazione)
---
### [TU NUEVA ARTICULACIÓN](https://www.permedica.it/area-paziente/anca-paziente/la-tua-nuova-articolazione-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# TU NUEVA ARTICULACIÓN
Durante el postoperatorio , consulta siempre a tu traumatólogo y a tu médico de cabecera.
Sigue las instrucciones de tu cirujano y, si tienes alguna duda, no dudes en ponerte en contacto con él.
Recuerda que un estilo de vida sano y activo contribuirá a una recuperación más rápida y no olvides hacerte revisiones periódicas.
---
### [ARTROPLASTIA DE CADERA](https://www.permedica.it/area-paziente/anca-paziente/artroplastica-di-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTROPLASTIA DE CADERA
La cirugía de artroplastia total de cadera pretende **restaurar la función perdida de la articulación** tras una lesión o enfermedad incapacitante.
La implantación de una articulación artificial pretende **reducir el dolor, recuperar la movilidad perdida** y **mejorar la calidad de vida del** paciente.
Una prótesis de cadera suele constar de **tres componentes** fabricados con materiales altamente biocompatibles:
1\. **Stelo** femorale (in metallo)
2\. **Testina** articolare (in metallo o ceramica)
3\. **Coppa** acetabolare composta da un cotile in metallo con inserto in polietilene o ceramica (non cementata) oppure totalmente in polietilene (cementata).
La fijación de la prótesis al hueso puede hacerse sin utilizar cemento (fijación biológica) o utilizando cemento.
---
### [CIRUGÍA A MEDIDA](https://www.permedica.it/area-paziente/chirurgia-personalizzata/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### CIRUGÍA A MEDIDA
**La cirugía personalizada o PSI** (Instrumental Específico para el Paciente) es una **solución innovadora y cada vez más popular.** Hoy en día es una de las ayudas más eficaces para la elección y el trabajo del cirujano ortopédico especializado en enfermedades de degeneración articular.
Gracias a la **planificación** 3D y partiendo de un modelo tridimensional creado mediante imágenes de TAC, es posible fabricar **instrumentos diseñados específicamente según la anatomía de cada paciente** y **mejorar así los resultados de la cirugía protésica** a corto plazo. El abordaje PSI permite un corte óseo extremadamente preciso y la consiguiente reducción de los errores de posicionamiento de la prótesis, que se coloca en el asiento correcto y se equilibra a la perfección.
Otras ventajas a tener en cuenta son las siguientes
– Equilibrio correcto de los ligamentos;
– Reducción de la incisión quirúrgica;
– Menos tiempo quirúrgico.
Mediante la cirugía personalizada, **se pueden minimizar los errores manuales**, ya que las guías PSI preformadas y de un solo uso permiten **reproducir en el paciente lo que el cirujano ha planificado** con precisión en el navegador junto con los ingenieros de programación de la empresa antes de entrar en quirófano.
La tecnología PSI ya está madura y es apreciada en todo el mundo. Además de las ventajas mencionadas, permite una planificación dinámica basada en la anatomía real de cada paciente, teniendo así en cuenta la cinemática articular y realizando una alineación protésica muy precisa.
---
### [Operador de Máquina-Herramienta Junior](https://www.permedica.it/es/operador-de-maquina-herramienta-junior/)
**Published:** Marzo 11, 2020
**Author:** pm_ema
**Content:**
#### Operador de Máquina-Herramienta Junior
**Operador de Máquina-Herramienta Junior**
**Ubicación**
- Realizar las tareas asignadas por el jefe de departamento de acuerdo con la norma de calidad de la empresa
- Sugerir iniciativas para mejorar los procesos
- Cumplir los requisitos para mantener unas condiciones laborales y ambientales seguras
- Contribuir al mantenimiento de las instalaciones
- Informar al jefe de departamento de cualquier problema que surja
- Empleo en la planta de Merate (LC)
**Habilidades y requisitos**
- Diplomado en Ingeniería Mecánica y/o 2-4 años de experiencia en centros de mecanizado CNC
- Conocimientos de controles numéricos FANUC y SIEMENS aplicados a centros de mecanizado de fresado de 3/5 ejes
- Conocimiento de la normativa sobre seguridad laboral y medio ambiente
- Conocimiento del dibujo técnico y de los principales instrumentos de medida
- Conocimientos básicos del lenguaje de programación ISO
- Conocimiento del Sistema de Calidad Certificado, preferiblemente en el sector médico
- Requisitos preferentes: conocimiento de los centros de mecanizado por electroerosión (electroerosión por hilo y por penetración); conocimientos básicos de los aspectos técnicos de la fabricación de prótesis de implantes y componentes de instrumentos.
- Precisión, atención, flexibilidad y aptitud para el trabajo en equipo
**Acerca de Permedica S.p.A.**
Permedica Spa es una empresa italiana líder en el sector ortopédico que desarrolla, produce y comercializa prótesis articulares y soluciones a medida para los casos más complejos, ortopedia oncológica y amputaciones. Desde la sede central de Merate (LC), se fabrican y distribuyen productos de vanguardia en todo el mundo, gracias a filiales y colaboradores en los cinco continentes.
### ¡Envía tu solicitud!
Nome e cognome
Email
Oggetto
Il tuo messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
×
---
### [NOTAS LEGALES](https://www.permedica.it/note-legali/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# NOTAS LEGALES
**1. Normas de uso**. La información de este sitio web está destinada exclusivamente al uso personal del usuario y no a fines comerciales. El Sitio Web, incluidos todos los derechos de propiedad intelectual contenidos en el mismo, es propiedad de Permedica Spa y no puede ser utilizado fuera de las disposiciones de estos términos y condiciones de uso, sin el consentimiento previo por escrito de Permedica Spa. El Sitio Web y sus actualizaciones o partes, incluido el software incorporado en el mismo, no pueden ser copiados, modificados o reutilizados de ninguna manera ni ser objeto de alquiler, venta, préstamo, concesión o licencia. También está prohibido desactivar, sobrecargar, dañar o deteriorar el Sitio Web, o interferir con cualquier otro uso del Sitio Web o intentar interferir de cualquier otro modo en el correcto funcionamiento del Sitio Web. Queda terminantemente prohibido llevar a cabo procesos destinados a monitorizar o copiar el material publicado en el Sitio Web, o llevar a cabo procedimientos no autorizados sin haber obtenido el consentimiento previo por escrito de Permedica Spa, o hacer uso de arañas, robots u otros dispositivos, procesos o medios automáticos para acceder al Sitio Web con cualquier fin, incluidos los fines de análisis, extracción de datos o monitorización del material del Sitio Web. Cualquier incumplimiento podrá ser perseguido conforme a la ley.
**2. Aviso para usuarios no profesionales**. Este sitio contiene descripciones breves y no exhaustivas de conceptos generales relativos a la anatomía de las articulaciones, determinadas patologías y procedimientos de artroplastia. La información facilitada tiene únicamente fines informativos generales y no pretende en modo alguno sustituir la orientación y el asesoramiento expertos de los profesionales médicos. No se acepta ninguna responsabilidad por los errores e inexactitudes del sitio web ni por las consecuencias de las acciones realizadas u omitidas basándose en la información del sitio web. Si tienes dudas y/o preguntas, dirígete a tu médico de cabecera o a tu cirujano ortopédico.
**3. Aviso para usuarios profesionales**. Algunas secciones de este sitio web contienen información destinada exclusivamente a médicos y otros profesionales de la salud. El acceso a los contenidos de estas áreas está prohibido a los usuarios no profesionales; las secciones para uso especializado contienen material confidencial, cuyo acceso puede estar restringido de acuerdo con las normas, leyes, directivas y reglamentos aplicables.
**4. Contenidos y actualizaciones**. Permedica Spa se dedica con pasión a publicar en el Sitio información lo más actualizada y precisa posible, pero no acepta ninguna responsabilidad en relación con posibles errores u omisiones en el contenido ilustrado. La empresa no garantiza la ausencia de virus o componentes dañinos en el sitio web.
**5. Disponibilidad de los productos**. Los productos descritos en el sitio pueden no estar disponibles en determinados países o pueden estar disponibles con marcas diferentes, ya que están sujetos a las aprobaciones o autorizaciones necesarias por parte de las autoridades territoriales pertinentes.
**6. Información de terceros.** Permedica Spa no se hace responsable de los contenidos de terceros visibles en el sitio web o accesibles desde el mismo, ni de los daños que dichos sitios o contenidos puedan causar a los usuarios.
**7. Exclusión de responsabilidad.** Permedica Spa declina expresamente cualquier responsabilidad y/o garantía por reclamaciones, pérdidas, daños y perjuicios de toda naturaleza que puedan deberse a: 1) el uso de este sitio o el uso de cualquier equipo o software en relación con el sitio; 2) cualquier error u omisión en este sitio y su contenido; 3) los sitios de terceros o sus contenidos accesibles a través de enlaces en este sitio; 4) falta de accesibilidad del sitio o de partes del mismo;
**8. Medidas para actividades ilegales**. El usuario no puede utilizar este sitio con fines o actividades ilícitas. Permedica Spa se reserva el derecho a emprender las acciones legales que considere oportunas en caso de infracción de las Condiciones de Uso, incluido el derecho a bloquear el acceso a los sitios Web de Permedica Spa desde una dirección de Internet concreta.
**9. Política de privacidad**. El uso del sitio está sujeto a la Política de Privacidad del sitio web de Permedica Spa.
**10. Modificaciones de las Condiciones de Uso**. Permedica Spa se reserva el derecho de modificar estas Condiciones de Uso en cualquier momento. Las versiones actualizadas de las Condiciones de uso podrán publicarse en este sitio y entrarán en vigor inmediatamente. El uso del Sitio Web por parte del usuario tras la publicación de una nueva versión de las Condiciones de Uso constituye la aceptación de los cambios. Del mismo modo, el usuario está obligado a comprobar cualquier cambio en los contenidos y condiciones relativas al acceso y uso del Sitio Web.
---
### [VITAL-E Y VITAL-XE](https://www.permedica.it/innovation-systems/vital-e-vital-xe/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-E Y VITAL-XE
##### Polietileno reticulado con vitamina E
VITAL-XE® es un **polietileno (UHMWPE) al que se ha añadido un 0,1% en peso de Vitamina E** (alfa-tocoferol) **y que** se utiliza para fabricar insertos para juntas. La Vitamina E se mezcla con el polvo de polietileno antes de formar las varillas de materia prima.
El VITAL-XE® **es un polietileno reticulado**, ya que se irradia con rayos beta a una dosis de 60 kGy y luego se esteriliza en óxido de etileno. ElVITAL-XE® se utiliza para fabricar **insertos articulares utilizados en la artroplastia total de cadera**.
VITAL-E® **es la versión no irradiada,** es decir, no reticulada, del polietileno con vitamina E añadida, esterilizado por óxido de etileno.VITAL-E® se utiliza para fabricar **insertos articulares no reticulados para prótesis de rodilla, así como cabezas humerales y glenosferas para prótesis de hombro**.
#### OXIDACIÓN
La degradación del UHMWPE y de los polímeros en general es aquel proceso por el que se produce una alteración de la estructura química del material con una disminución del peso molecular. **La degradación disminuye las propiedades mecánicas del polietileno y, por tanto, provoca un desgaste prematuro.**
La degradación de un polímero se produce con la ruptura de determinados enlaces químicos y la creación de nuevos radicales libres cuando, por ejemplo, el material se expone a más energía que los enlaces químicos de los que están compuestas las cadenas moleculares del polímero. Este proceso en presencia de oxígeno se denomina degeneración oxidativa o, más sencillamente, oxidación.
Una vez desencadenado, el proceso oxidativo es irreversible. La formación de nuevos radicales que reaccionan con el oxígeno desencadena la ruptura de otros enlaces químicos que generan otros radicales y así sucesivamente, creando una reacción en cadena que se alimenta de sí misma a una velocidad cada vez mayor. La velocidad de oxidación depende del número de radicales presentes y de la cantidad de oxígeno que pueda haber en la atmósfera durante el procesado y la esterilización del polietileno, en el que puede penetrar por difusión durante el almacenamiento del producto o una vez implantado en el paciente.
Los polietilenos utilizados en artroplastia suelen someterse a altas dosis de energía en forma de irradiación gamma o beta para esterilizar o aumentar el grado de reticulación del polietileno. Dicha irradiación produce la formación de radicales libres activos dentro del material. La mayoría de los radicales libres se recombinan para formar nuevos enlaces cruzados en la fase amorfa del polietileno, la reticulación. En cambio, los radicales libres formados dentro de la fase cristalina del polietileno permanecen atrapados durante mucho tiempo sin recombinarse en nuevos enlaces. Estos radicales, en presencia de oxígeno, son responsables de la rotura progresiva de las cadenas poliméricas mediante reacciones de oxidación en cascada y, en consecuencia, son responsables de la reducción de las propiedades mecánicas del polietileno.
**La oxidación provoca la degradación de la estructura molecular del polietileno y, por tanto, con el tiempo, hace que sus propiedades mecánicas y tribológicas decaigan progresivamente.**
#### VITAMINA “E” COMO ADITIVO ESTABILIZADOR
La estabilización de polímeros se basa principalmente en reducir la concentración de oxígeno o reducir el número de radicales libres o su reactividad para reducir o eliminar teóricamente el problema de la oxidación del polietileno. En el caso del polietileno (UHMWPE), la esterilización al vacío o en atmósfera modificada aporta ventajas, pero el oxígeno sigue presente en el interior del material por difusión durante el proceso de producción; por tanto, es materialmente imposible eliminar por completo el oxígeno del polietileno.
Existen muchos aditivos en el mercado que pueden limitar la reactividad de los radicales, por desgracia casi todos tienen problemas de biocompatibilidad, que es absolutamente necesaria para que un producto pueda implantarse en el cuerpo humano.
**Un dopante biocompatible estudiado desde hace tiempo en la literatura para la estabilización del polietileno médico es la vitamina E** (alfa-tocoferol). La vitamina E está presente en muchos vegetales y es un nutriente vitamínico esencial para el metabolismo humano.
**La estabilización del UHMWPE con vitamina E se introdujo como método alternativo para garantizar la resistencia a la oxidación sin sacrificar las propiedades mecánicas del UHMWPE.** %-1% Existen dos métodos para introducir concentraciones bajas (0,05 ) de vitamina E en el UHMWPE. La primera consiste en mezclar la vitamina E en forma líquida con el polvo de UHMWPE antes del proceso de extrusión de la varilla y la irradiación para la reticulación. El segundo método consiste en difundir la vitamina E dentro del UHMWPE ya consolidado y reticulado.
**La adición de concentraciones mínimas de vitamina E en el polietileno elimina el problema de la oxidación y, en consecuencia, aumenta su longevidad.**
#### BIBLIOGRAFÍA
Torre M, Brach Del Prever E, Costa L, Romanini E, Masciocchi M, Manno V.
Materiales innovadores en ortopedia: polietileno reticulado Ann Ig 2011;23:81-90.
---
### [TRASER](https://www.permedica.it/innovation-systems/traser/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### TRASER
##### Titanio fundido por láser trabecular
TRASER® es una **estructura trabecular** fabricada mediante un proceso de **fabricación aditiva por impresión 3D**, una tecnología innovadora que permite producir objetos sólidos tridimensionales a partir de un modelo digital utilizando material metálico en polvo como materia prima.
#### CARACTERÍSTICAS ESTRUCTURALES
TRASER® no es un revestimiento poroso. La parte sólida y la porosa del producto acabado se fabrican en un proceso continuo, de modo que se crea una pieza sin costuras entre la parte sólida y la porosa exterior.
Esto elimina las fuerzas de cizallamiento presentes en la interfaz y el riesgo de desprendimiento típico de un revestimiento.
La **estructura trabecular** **de alta porosidad** se caracteriza por **poros irregulares abiertos** y totalmente interconectados para favorecer **el rápido crecimiento del hueso** en su interior.
Imita la naturaleza del hueso para permitir **el recrecimiento óseo** y la**osteointegración \[1\]** para una estabilidad a largo plazo.
– **Porosidad**: 70% – Poros aleatorios de forma irregular – Permeabilidad completa –**Interconexión de poros**: 100% – Rango de tamaño de poros: 100-2000 µm
###### [\[1\] Ragone, V., Canciani, E., Arosio, M. et al. Osteointegración in vivo de una estructura trabecular aleatoria de titanio obtenida mediante una técnica de fabricación aditiva.
J Mater Sci: Mater Med 31, 17 (2020). ](https://link.springer.com/article/10.1007%2Fs10856-019-6357-0)
#### CICLO DE PRODUCCIÓN
Los componentes se fabrican añadiendo material en capas sucesivas, una sobre otra, hasta que la pieza está completa, a diferencia de la fabricación tradicional con máquinas-herramienta que construyen los componentes retirando material de la materia prima.
**La fusión** selectiva **por láser** es una tecnología de fabricación aditiva que funde selectivamente porciones específicas de una fina capa de polvo de titanio mediante un rayo láser para crear objetos sólidos.
La fusión selectiva por láser tiene lugar en una atmósfera inerte (Argón) para evitar la oxidación del polvo de titanio durante el proceso.
Al final del proceso de SLM, las piezas obtenidas se separan del sustrato, se someten a tratamiento térmico y chorro de arena, y se someten a un posterior tratamiento mecánico tradicional para obtener el producto acabado.
#### VERSATILIDAD
La tecnología **de impresión 3D** ofrece la posibilidad de producir **construcciones porosas** con diseños complejos y las formas más variadas.
**Permedica utiliza la tecnología TRASER para fabricar componentes protésicos para diversas articulaciones: cadera, hombro y soluciones a medida.**
---
### [HAX-PORE](https://www.permedica.it/innovation-systems/hax-pore/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### HaX-Pore
##### Doble recubrimiento por pulverización de plasma de titanio poroso e hidroxiapatita
1\. **Encaje a presión eficaz** gracias a la elevada rugosidad de la superficie.
2\. **Osteointegración rápida** a corto plazo.
3\. **Anclaje estable entre el hueso y el revestimiento** poroso de titanio a largo plazo.
**HaX-Pore® es un doble revestimiento de titanio poroso e hidroxiapatita** aplicado mediante pulverización de plasma.
El revestimiento HaX-Pore® se utiliza en las prótesis de Permedica destinadas a la implantación a presión, en las que el anclaje directo con el hueso se realiza mediante osteointegración.
El revestimiento **HaX-Pore® se desarrolló para optimizar la osteointegración protésica**.
El fundamento del revestimiento HaX-Pore® consiste en utilizar un doble revestimiento formado por:
#### Primera capa
Revestimiento de **titanio poroso puro, aplicado mediante pulverización de plasma en aire (APS)**, depositado con un elevado espesor (300 µm / 500 µm) para conseguir un alto grado de rugosidad y porosidad.
Esta morfología superficial con una estructura tridimensional de porosidad abierta aumenta la superficie en contacto con el hueso, garantiza **un crecimiento óseo adecuado y aumenta la fricción con el hueso incrementando la resistencia a las tensiones de cizallamiento** entre el hueso y la prótesis.
#### Segunda capa
Recubrimiento de **HA, aplicado de nuevo mediante pulverización de plasma con aire (APS),** depositado con espesor reducido (50 µm) para mantener, o disminuir ligeramente, la rugosidad superficial y la porosidad del recubrimiento de titanio.
La capa externa **de HA sirve como superficie bioactiva para aumentar el crecimiento óseo.**
El AH actúa sólo como medio osteoconductor para acelerar y aumentar la osteointegración de la prótesis, sin proporcionar ningún soporte mecánico. Una vez reabsorbida la capa de HA, el anclaje mecánico a largo plazo de la prótesis queda garantizado por el contacto directo entre el hueso y el revestimiento poroso de titanio.
#### Revestimiento APS
Antes de llevar a cabo el proceso de recubrimiento APS, **la superficie que se va a recubrir se granalla** con un abrasivo consistente en alúmina pura (corindón) hasta obtener una rugosidad superficial que garantice una unión mecánica (resistencia al cizallamiento y a la tracción) del recubrimiento al sustrato que supere determinados requisitos de las normativas y directrices de la FDA. La fina capa de HA sobre la capa más gruesa de titanio poroso, ambas depositadas por pulverización de plasma, da lugar a una**elevada porosidad y rugosidad del revestimiento**, lo que permite una elevada unión mecánica (resistencia al cizallamiento y a la tracción) tanto en la interfaz revestimiento/hueso como en la interfaz revestimiento/sustrato.
---
### [Forma de la cadera](https://www.permedica.it/form-anca/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
PROMISE SEXACTA RSEXACTAEXACTA SSL-AUTOBLOCCANTESYNTHESISPBFKONEPM ProMotionTeste ArticolariJUMP SystemJUMP System TRASERACORN TRASERACORNJUMP System CEMENTEDInserti ArticolariJUMP System TRASER Cage AcetabolareJump System TRASER RMUniversal cup removal system
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [POLÍTICA DE COOKIES](https://www.permedica.it/cookie-policy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# POLÍTICA DE COOKIES (DECRETO LEGISLATIVO 196/2003)
De conformidad con el artículo 13 del Código de Protección de Datos Personales (Decreto Legislativo 196/2003)
**Qué son las cookies**
Las cookies son fragmentos de información que se colocan en tu navegador cuando visitas un sitio web o utilizas una red social con tu ordenador, smartphone o tableta. En la práctica, las cookies son fragmentos cortos de texto (letras y/o números) que permiten al servidor web almacenar información sobre el cliente (el navegador) para reutilizarla durante la misma visita al sitio (cookies de sesión) o más tarde, incluso días después (cookies persistentes). Las cookies son almacenadas, según las preferencias del usuario, por el navegador individual en el dispositivo específico utilizado (ordenador, tableta, smartphone). Las cookies se pueden utilizar para realizar un seguimiento de las sesiones, para autenticar a un usuario de modo que pueda acceder a un sitio sin tener que escribir su nombre y contraseña cada vez, y para almacenar sus preferencias. Los usuarios, si lo desean, pueden configurar su navegador para que rechace las cookies y pueden eliminarlas cuando lo deseen.
**Qué cookies utiliza nuestro sitio web**
Nuestro sitio sólo utiliza las llamadas cookies técnicas, que sirven para la navegación y para facilitar al usuario el acceso y el uso del sitio. Las cookies técnicas son imprescindibles, por ejemplo, para acceder al área reservada sin tener que iniciar todas las sesiones.
**¿Las cookies analíticas son cookies técnicas?**
El Garante declaró que estas cookies sólo pueden considerarse técnicas si “se utilizan con fines de optimización del sitio directamente por el propietario del sitio, que puede recopilar información de forma agregada sobre el número de usuarios y cómo visitan el sitio. En estas condiciones, se aplican a las cookies analíticas las mismas normas sobre información y consentimiento que a las cookies técnicas.” Nuestro sitio puede utilizar cookies técnicas por los siguientes motivos:
- ofrecen acceso a zonas restringidas del sitio a las que se puede acceder previa autenticación;
- procesar análisis estadísticos agregados (analytics) sobre el uso del sitio y/o de los servicios incorporados al mismo;
- realizar investigaciones para mejorar el contenido, los productos y los servicios del sitio.
**Nuestro sitio no utiliza directamente ninguna cookie de elaboración de perfiles.**
**Google Analytics**
Nuestro sitio también incluye ciertos componentes transmitidos por Google Analytics, un servicio de análisis de tráfico web prestado por Google, Inc. (“Google”). Se trata de cookies de terceros recopiladas y gestionadas de forma anónima para supervisar y mejorar el rendimiento del sitio anfitrión (cookies de rendimiento). Google Analytics utiliza “cookies” para recopilar y analizar de forma anónima información sobre el comportamiento de uso de este sitio web. Esta información es recopilada por Google Analytics, que la procesa con el fin de elaborar informes sobre la actividad del sitio web. Google podrá transmitir dicha información a terceros cuando así se lo requiera la legislación, o cuando dichos terceros procesen la información por cuenta de Google. Para más información, consulta el siguiente enlace: [Privacidad de Google](http://www.google.com/intl/it_ALL/analytics/learn/privacy.html). Puedes inhabilitar selectivamente la acción de Google Analytics instalando en tu navegador el componente de inhabilitación proporcionado por Google. Para inhabilitar la acción de Google Analytics, consulta el siguiente enlace: [Inhabilitación de Google Analytics](https://tools.google.com/dlpage/gaoptout).
**Desactivar las cookies**
Puedes configurar tu navegador para que acepte o rechace todas las cookies o determinados tipos de cookies (por ejemplo, cookies de terceros) o puedes elegir que se te notifique cada vez que se instale una cookie en tu ordenador. Es importante que sepas que rechazar todas las cookies puede impedirte utilizar servicios que requieren cookies para funcionar correctamente y, en consecuencia, bloquear las cookies hará que no puedas utilizarlos. Para obtener información más detallada sobre las opciones para desactivar las cookies, aquí tienes una lista de enlaces para configurar los navegadores:
- [Firefox](https://support.mozilla.org/it/kb/Attivare%20e%20disattivare%20i%20cookie)
- [Cromo](https://support.google.com/chrome/answer/95647?hl=it&topic=14666&ctx=topic)
- [Internet Explorer](http://windows.microsoft.com/it-it/internet-explorer/delete-manage-cookies#ie=ie-11)
- [Safari](https://support.apple.com/it-it/HT201265)
- [Ópera](http://help.opera.com/Mac/12.10/it/cookies.html)
Haz clic aquí para ver la [Política Europea de Cookies.](http://ec.europa.eu/ipg/basics/legal/cookies/index_en.htm)
**LEGISLACIÓN DE REFERENCIA**
[Normativa garante de la privacidad. ](https://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/9677876)
[Normativa garante de la privacidad. ](http://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/3118884)
---
### [HYPERTECH](https://www.permedica.it/innovation-systems/hypertech/)
**Published:** Novembre 23, 2024
**Author:** pm_ema
**Content:**
#### Customization and Excellence
Made in Italy
With Hypertech, you can create your **customized project** and rely on professional service and support, **innovative production technologies, and cutting-edge materials.**
The exceptional properties of metals, titanium in particular, allow us to manufacture durable and lightweight components, ideal for sports equipment used in various fields such as cycling, skiing and winter sports, water sports, and more.
We maintain high-quality standards; **our production process is entirely managed in-house**, and our **products** are **100% Made in Italy.**
Using production techniques ranging from **forging to CNC machining** (milling, turning, grinding, EDM), surface finishing and coating treatments, up to the advanced **3D printing SLM – Selective Laser Melting** technology, each product takes shape and is unique in its kind.
#### Specialists in Bicycle Components
At Hypertech, everyone is driven by a **passion for engineering and technology,** as well as for quality and the pursuit of perfection.
**Cycling is our primary area of expertise:** Hypertech can produce joints, dropouts, extensions, and many other components by leveraging its technologies.
Furthermore, thanks to the ability to create customized projects, we can manufacture **a wide variety of products** tailored to meet the needs of various industries.
#### Medical background
Every Hypertech product is created following the **highest quality standards derived from medical field production.**
The **excellent quality levels** are ensured by the structure of the Quality Management System, which drives the use of certified and controlled materials, ensures a high degree of control over production processes, and guarantees **the traceability of each individual piece’s production history,** from its inception to its market release.
This is the key added value of Hypertech.
Customized Projects for
Your Sports Components
The core activity of Hypertech is the **development of customized projects.**
Expert engineers and designers work side by side with each client, **from concept to finished product**, crafting each component to **meet design, safety,** and **performance** requirements in the cycling sector and beyond.
Sorry, your browser doesn't support embedded videos.
#### Fast and efficient design
**After an initial feasibility assessment,** the project is refined, and **the most suitable production techniques are selected.**
In a short time, **prototypes are created**, followed by **finished products**, ready for delivery and use as components by the client.
#### Colnago: A successful collaboration
[**Colnago**](https://www.colnago.com/it-it), the renowned manufacturer of racing bicycles, **was one of the first to place their trust in Hypertech.**
They chose to rely on the startup for the production of frame joints and other components in Ti6Al4V titanium alloy for their **Colnago C68 Road Ti** model.
[CONTACT US](https://www.permedica.it/en/contacts/)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-017.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-015.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-016.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-019.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-018.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-011.jpg)
---
### [HYPERTECH](https://www.permedica.it/innovation-systems/hypertech/)
**Published:** Novembre 23, 2024
**Author:** pm_ema
**Content:**
#### Personalisierung und Exzellenz
Hergestellt in Italien
Mit Hypertech können Sie Ihr **maßgeschneidertes Projekt** verwirklichen und von professionellem Service und Unterstützung sowie **modernsten Produktionstechnologien und fortschrittlichen Materialien** profitieren.
Die außergewöhnlichen Eigenschaften von Metallen, insbesondere Titan, ermöglichen es uns, robuste und leichte Komponenten herzustellen, die ideal für Sportgeräte in verschiedenen Bereichen wie Radfahren, Skifahren, Wintersport, Wassersport und mehr sind.
Wir erfüllen die höchsten Qualitätsstandards; **unser Produktionsprozess wird vollständig intern gesteuert**, und unsere **Produkte** sind stolz **100% Made in Italy.**
Durch den Einsatz von Produktionstechniken, die von **Schmieden bis hin zu CNC-Bearbeitung** (Fräsen, Drehen, Schleifen, EDM), Oberflächenbehandlung und Beschichtung bis hin zu der fortschrittlichen Technologie der **3D-Drucktechnologie SLM – Selective Laser Melting** reichen, wird jedes Produkt einzigartig gestaltet.
#### Spezialisten für Fahrradkomponenten
Bei Hypertech wird jeder von einer **Leidenschaft für Ingenieurwesen und Technologie** angetrieben, sowie von einem Engagement für Qualität und dem Streben nach Perfektion.
**Der Radsport ist unser Hauptfachgebiet:** Hypertech kann Verbindungen, Ausfallenden, Verlängerungen und viele weitere Komponenten unter Nutzung seiner fortschrittlichen Technologien herstellen.
Darüber hinaus sind wir dank unserer Fähigkeit, maßgeschneiderte Projekte zu entwickeln, in der Lage, **eine breite Palette von Produkten** herzustellen, die auf die Bedürfnisse verschiedener Branchen zugeschnitten sind.
#### Medizinische vorgeschichte
Jedes Hypertech-Produkt wird nach den **höchsten Qualitätsstandards aus der Produktion im medizinischen Bereich** gefertigt.
Die **hervorragenden Qualitätsniveaus** werden durch die Struktur des Qualitätsmanagementsystems sichergestellt, das die Verwendung von zertifizierten und kontrollierten Materialien fördert, eine strenge Kontrolle der Produktionsprozesse gewährleistet und **die Rückverfolgbarkeit der Produktionshistorie jedes einzelnen Teils**, von der Entwicklung bis zur Markteinführung, garantiert.
Das ist der Hauptwert von Hypertech.
Maßgeschneiderte Projekte für
Ihre Sportkomponenten
Die Haupttätigkeit von Hypertech ist die **Entwicklung maßgeschneiderter Projekte.**
Erfahrene Ingenieure und Designer arbeiten eng mit jedem Kunden zusammen, **von der Konzeption bis zum fertigen Produkt**, und entwerfen jede Komponente so, dass sie den Anforderungen an **Design, Sicherheit** und **Leistung** im Radsportbereich und darüber hinaus entspricht.
Sorry, your browser doesn't support embedded videos.
#### Schnelles und effizientes Design
**Nach einer ersten Machbarkeitsbewertung** wird das Projekt verfeinert und **die am besten geeigneten Produktionstechniken werden ausgewählt.**
In kurzer Zeit **werden Prototypen erstellt**, gefolgt von **fertigen Produkten**, die bereit zur Lieferung und Verwendung als Komponenten durch den Kunden sind.
#### Colnago: Una colaboración exitosa
[**Colnago**](https://www.colnago.com/it-it), der renommierte Hersteller von Rennrädern, **war einer der ersten, der Hypertech sein Vertrauen schenkte.**
Sie entschieden sich, auf das Startup zu setzen, um Rahmenverbindungen und andere Komponenten aus Ti6Al4V-Titanlegierung für ihr Modell **Colnago C68 Road Ti** zu produzieren.
[KONTAKTIERE UNS](https://www.permedica.it/de/kontakte/)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-017.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-015.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-016.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-019.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-018.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-011.jpg)
---
### [HYPERTECH](https://www.permedica.it/innovation-systems/hypertech/)
**Published:** Novembre 23, 2024
**Author:** pm_ema
**Content:**
Personnalisation et Excellence
Fabriqué en Italie
Avec Hypertech, vous pouvez donner vie à votre **projet personnalisé** et bénéficier d’un service et d’un support professionnels, ainsi que de **technologies de production de pointe et de matériaux avancés.**
Les propriétés exceptionnelles des métaux, en particulier du titane, nous permettent de créer des composants solides et légers, parfaits pour l’équipement sportif dans divers secteurs, tels que le cyclisme, le ski, les sports d’hiver, les sports nautiques, et bien d’autres.
Nous respectons les normes de qualité les plus élevées ; **notre processus de production est entièrement géré en interne**, et nos **produits** sont fièrement **100% Made in Italy.**
Grâce à des techniques de production allant de **la forge à l’usinage CNC** (fraisage, tournage, rectification, EDM), aux traitements de finition et de revêtement de surface, jusqu’à la technologie avancée de **l’impression 3D SLM – Selective Laser Melting**, chaque produit est conçu pour être véritablement unique.
#### Spécialistes des Composants pour Vélos
Chez Hypertech, tout le monde est animé par une **passion pour l’ingénierie et la technologie,** ainsi que par un engagement envers la qualité et la quête de la perfection.
**Le cyclisme est notre principal domaine d’expertise :** Hypertech peut produire des raccords, des pattes de dérailleur, des extensions et de nombreux autres composants en exploitant ses technologies avancées.
De plus, grâce à notre capacité à créer des projets personnalisés, nous sommes en mesure de fabriquer **une large variété de produits** adaptés aux besoins de divers secteurs.
#### Contexte médical
Chaque produit Hypertech est conçu selon les **normes de qualité les plus élevées issues de la production dans le domaine médical.**
Les **excellents niveaux de qualité** sont garantis par la structure du Système de Gestion de la Qualité, qui favorise l’utilisation de matériaux certifiés et contrôlés, assure un contrôle rigoureux des processus de production, et garantit **la traçabilité de l’historique de production de chaque pièce,** depuis sa conception jusqu’à sa mise sur le marché.
C’est la principale valeur ajoutée d’Hypertech.
Projets Personnalisés pour
Vos Composants Sportifs
L’activité principale de Hypertech est le **développement de projets personnalisés.**
Des ingénieurs et designers experts travaillent en étroite collaboration avec chaque client, **de la conception au produit fini**, en concevant chaque composant pour répondre aux exigences de **design, de sécurité** et de **performance** dans le secteur du cyclisme et au-delà.
Sorry, your browser doesn't support embedded videos.
#### Conception rapide et efficace
**Après une première évaluation de faisabilité,** le projet est affiné et **les techniques de production les plus adaptées sont sélectionnées.**
En peu de temps, **les prototypes sont créés**, suivis des **produits finis**, prêts à être livrés et utilisés comme composants par le client.
#### Colnago : Une collaboration réussie
[**Colnago**](https://www.colnago.com/it-it), le célèbre fabricant de vélos de course, **a été l’un des premiers à faire confiance à Hypertech.**
Ils ont choisi de s’appuyer sur la startup pour la production de raccords de cadre et d’autres composants en alliage de titane Ti6Al4V pour leur modèle **Colnago C68 Road Ti**.
[CONTACTEZ-NOUS](https://www.permedica.it/fr/contacts/)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-017.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-015.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-016.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-019.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-018.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-011.jpg)
---
### [HYPERTECH](https://www.permedica.it/innovation-systems/hypertech/)
**Published:** Novembre 23, 2024
**Author:** pm_ema
**Content:**
Personalizzazione ed Eccellenza
Made in Italy
Con Hypertech puoi realizzare il tuo **progetto personalizzato** e contare su un servizio ed un supporto professionale, **tecnologie di produzione innovative e materiali all’avanguardia.**
Le eccezionali proprietà dei metalli, del titanio in particolare, ci permettono di realizzare componenti resistenti e leggeri, ideali per attrezzature sportive utilizzate in diversi settori come il ciclismo, lo sci e gli sport invernali, gli sport nautici e non solo.
Abbiamo alti standard qualitativi, **il nostro processo produttivo è interamente gestito in-house** ed i nostri **prodotti** sono **100% Made in Italy.**
Attraverso l’utilizzo di tecniche di produzione che spaziano dalla **forgiatura, alle lavorazioni CNC** (fresatura, tornitura, rettifica, elettroerosione), ai trattamenti di finitura e rivestimento superficiale, fino ad arrivare alla avanzata tecnologia di **stampa 3D SLM – Selective Laser Melting –** ogni prodotto prende forma ed è unico nel suo genere.
#### Specialisti in componenti per biciclette
Tutti in Hypertech sono guidati dalla **passione per l’ingegneria e per la tecnologia,** per la qualità e per la ricerca della perfezione.
**Il primo campo di specializzazione è il ciclismo:** Hypertech è in grado di realizzare congiunzioni, forcellini, appendici e moltissimi altri componenti, sfruttando le proprie tecnologie.
Inoltre, grazie alla possibilità di creare progetti personalizzati, siamo in grado di realizzare **un’ampia varietà di prodotti,** che vanno incontro alle esigenze di vari settori.
#### Background medicale
Ogni prodotto Hypertech è creato rispettando i più **alti standard qualitativi derivanti dalla produzione in campo medicale.**
Gli **eccellenti livelli di qualità** sono garantiti dalla struttura del Sistema Di Gestione per la Qualità che guida verso l’utilizzo di materiali certificati e controllati, verso l’ottenimento di un elevato grado di controllo dei processi produttivi e verso la **tracciabilità della storia produttiva di ogni singolo pezzo,** dalla nascita al rilascio sul mercato.
Questo rappresenta il principale valore aggiunto di Hypertech.
Progetti personalizzati per i
tuoi componenti sportivi
L’attività principale di Hypertech è la **realizzazione di progetti personalizzati.**
Ingegneri e progettisti esperti lavorano fianco a fianco di ogni cliente, **dall’idea al prodotto finito**, sviluppando ogni singolo pezzo per **rispettare le esigenze di design, sicurezza** e **prestazione** richieste dal settore cycling e non solo.
Sorry, your browser doesn't support embedded videos.
#### Progettazione rapida ed efficiente
**Dopo una prima valutazione** di fattibilità, il progetto viene perfezionato e **vengono scelte le tecniche di produzione più idonee.**
In poco tempo **vengono realizzati i prototipi** e, a seguire, **i prodotti finiti** per la consegna e utilizzo come componenti da parte del cliente.
#### Colnago, una collaborazione di successo
[**Colnago**](https://www.colnago.com/it-it), storica azienda produttrice di bici da corsa, **è stata tra i primi ad avere fiducia in Hypertech.**
Ha deciso di affidarsi alla startup per la realizzazione di congiunzioni per telaio e altri componenti in lega di titanio Ti6Al4V per il loro modello **Colnago C68 Road Ti.**
[CONTATTACI](https://www.permedica.it/contatti/)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-017.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-015.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-016.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-019.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-018.jpg)
[](https://www.permedica.it/wp-content/uploads/2024/11/Hypertech-MERATE-011.jpg)
---
### [VITAL-E & VITAL-XE](https://www.permedica.it/innovation-systems/vital-e-vital-xe/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VITAL-E & VITAL-XE®
##### Polietilene addizionato con Vitamina E reticolato
VITAL-XE® è un **polietilene (UHMWPE) addizionato con lo 0,1% in peso di Vitamina E** (alpha-tocoferolo) utilizzato per realizzare inserti articolari.
La vitamina E viene fin da subito miscelata alla polvere del polietilene prima della formazione delle barre di materia prima.
**VITAL-XE® è un polietilene reticolato** poiché viene irradiato con raggi beta mediante una dose di 60 kGy e quindi sterilizzato in ossido di etilene.
VITAL-XE® viene impiegato per realizzare **inserti articolari impiegati in artroprotesi totale d’anca.**
**VITAL-E® è la versione non irradiata,** quindi senza reticolazione del polietilene addizionato con Vitamina E, sterilizzata mediante ossido di etilene.
VITAL-E® viene impiegato per realizzare **inserti articolari non cross-linkati di protesi di ginocchio oltre a teste omerali e glenosfere per le protesi di spalla.**
#### L’OSSIDAZIONE
La degradazione del UHMWPE e dei polimeri in generale è quel processo tale per cui si ha un’alterazione della struttura chimica del materiale con una diminuzione del peso molecolare. **La degradazione diminuisce le caratteristiche meccaniche del polietilene e, quindi, causa un’usura precoce.**
La degradazione di un polimero avviene con la rottura di alcuni legami chimici e la creazione di nuovi radicali liberi quando ad esempio il materiale viene esposto ad una quantità di energia superiore a quella dei legami chimici stessi di cui sono costituite le catene molecolari del polimero. Tale processo in presenza di ossigeno viene chiamato degenerazione ossidativa o più semplicemente ossidazione.
Una volta innescato, il processo ossidativo è irreversibile. Con la formazione di nuovi radicali che reagiscono con l’ossigeno si innescano rotture di altri legami chimici che generano altri radicali e così via, creando una reazione a catena che si autoalimenta a velocità crescente. La velocità dell’ossidazione dipende dal numero di radicali presenti e dalla quantità di ossigeno che può essere presente nell’atmosfera durante i processi di lavorazione e sterilizzazione del polietilene nel quale può penetrare per diffusione durante l’immagazzinamento del prodotto o una volta impiantato nel paziente.
I polietileni impiegati in artroprotesi vengono tipicamente sottoposti a dosi elevate di energia sotto forma di irraggiamento a raggi gamma o beta per sterilizzare o per aumentare il grado di reticolazione del polietilene. Tale irraggiamento produce la formazione di radicali liberi attivi all’interno del materiale. La maggior parte dei radicali liberi si ricombina formando nuovi legami trasversali nella fase amorfa del polietilene, la reticolazione appunto. I radicali liberi invece che si sono formati all’interno della fase cristallina del polietilene rimangono a lungo intrappolati senza ricombinarsi in nuovi legami. Tali radicali in presenza di ossigeno sono responsabili della progressiva rottura delle catene polimeriche attraverso le reazioni a cascata dell’ossidazione e di conseguenza, sono responsabili della riduzione delle proprietà meccaniche del polietilene.
**L’ossidazione determina la degradazione della struttura molecolare del polietilene e quindi nel tempo ne causa un progressivo decadimento delle proprietà meccaniche e tribologiche.**
#### LA VITAMINA “E” COME ADDITIVO STABILIZZANTE
La stabilizzazione dei polimeri si basa principalmente sulla riduzione della concentrazione di ossigeno o sulla riduzione del numero di radicali liberi o della loro reattività per ridurre o teoricamente eliminare il problema dell’ossidazione del polietilene. Nel caso del polietilene (UHMWPE), sterilizzare in vuoto o in atmosfera modificata porta dei vantaggi ma l’ossigeno è comunque presente all’interno del materiale penetrando per diffusione durante il processo produttivo; è quindi materialmente impossibile eliminare completamente l’ossigeno dal polietilene.
Sul mercato esistono molti additivi in grado di limitare la reattività dei radicali, purtroppo la quasi totalità ha problemi di biocompatibilità, assolutamente necessaria per un prodotto da impianto nel corpo umano.
**Un dopante biocompatibile che in letteratura è da tempo studiato per la stabilizzazione del polietilene per uso medicale è la vitamina E** (alpha-tocoferolo). La vitamina E è presente in molti vegetali e rappresenta un nutriente vitaminico essenziale per il metabolismo nell’uomo.
**La stabilizzazione del UHMWPE mediante vitamina E è stata introdotta come metodo alternativo per garantire resistenza all’ossidazione senza sacrificare le proprietà meccaniche del UHMWPE.** Due sono le metodiche per introdurre basse concentrazioni (0.05%-1%) di vitamina E all’interno del UHMWPE. La prima consiste nella miscelazione della vitamina E in forma liquida alla polvere di UHMWPE prima del processo di estrusione delle barre e dell’irraggiamento per il cross-linkaggio. La seconda metodica consiste invece nel diffondere la vitamina E all’interno del UHMWPE già consolidato e cross-linkato.
**L’aggiunta di minime concentrazioni di vitamina E nel polietilene elimina il problema dell’ossidazione e di conseguenza aumenta la sua longevità.**
#### BIBLIOGRAFIA
Torre M, Brach Del Prever E, Costa L, Romanini E, Masciocchi M, Manno V. Materiali innovativi in ortopedia: il polietilene reticolato.
Ann Ig 2011;23:81-90.
---
### [Kontakte](https://www.permedica.it/contatti/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
## PERMEDICA S.p.A.
## [Permedica Niederlassungen Kontakte](https://www.permedica.it/de/corporate/standorte#Permedica%20Niederlassungen%20Kontakte)
[](https://www.google.it/maps/place/Permedica+S.P.A./@45.69117,9.407759,18z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
Via Como, 38 Merate (LC) 23807
Customer Service: +39 039 95 14 899
Telefon: +39 039 95 14 811
Fax: +39 039 99 03 078
Um mit uns zu kommunizieren, füllen Sie das folgende Formular aus.
Nome e cognome (richiesto)
Email (richiesto)
Oggetto
Messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
×
---
### [CONTACTS](https://www.permedica.it/contatti/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
## PERMEDICA S.p.A.
## [Permedica Succursales Contacts](https://www.permedica.it/fr/entreprise/emplacements#Permedica%20Succursales%20Contacts)
[](https://www.google.it/maps/place/Permedica+S.P.A./@45.69117,9.407759,18z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
Via Como, 38 Merate (LC) 23807
Service clients: +39 039 95 14 899
Téléphone: +39 039 95 14 811
Fax: +39 039 99 03 078
Pour communiquer avec nous, remplissez le formulaire ci-dessous.
Nome e cognome (richiesto)
Email (richiesto)
Oggetto
Messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
×
---
### [CONTACTS](https://www.permedica.it/contatti/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
## PERMEDICA S.p.A.
## [Permedica Branches Contacts](https://www.permedica.it/en/corporate/locations#Permedica%20Branches%20Contacts)
[](https://www.google.it/maps/place/Permedica+S.P.A./@45.69117,9.407759,18z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
Via Como, 38 Merate (LC) 23807
Customer Service: +39 039 95 14 899
Phone number: +39 039 95 14 811
Fax: +39 039 99 03 078
To communicate with us complete the form below.
Nome e cognome (richiesto)
Email (richiesto)
Oggetto
Messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
×
---
### [CONTATTI](https://www.permedica.it/contatti/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
## PERMEDICA S.p.A.
## [Contatti Filiali](https://www.permedica.it/corporate/locations#Contatti_Filiali_Permedica)[ Permedica](https://www.permedica.it/corporate/locations#Contatti_Filiali_Permedica)
[](https://www.google.it/maps/place/Permedica+S.P.A./@45.69117,9.407759,18z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
Via Como, 38 Merate (LC) 23807
Customer Service: +39 039 95 14 899
Telefono: +39 039 95 14 811
Fax: +39 039 99 03 078
Per comunicare con noi completa il form sottostante.
Nome e cognome (richiesto)
Email (richiesto)
Oggetto
Messaggio
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
×
---
### [CICLO PRODUCTIVO](https://www.permedica.it/corporate/ciclo-produttivo/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CICLO PRODUCTIVO COMPLETAMENTE IN-HOUSE
*Desde la materia prima hasta el producto final*
**Cada producto nace y se desarrolla íntegramente dentro de la empresa.** La materia prima se transforma en producto final, pasando por las diferentes fases de producción, todas monitoreadas por un riguroso control de calidad.
Todas las fases de producción en Permedica se realizan con **equipos tecnológicos de última generación**, lo que permite altos niveles de calidad. Procedimientos simulados de diseño, desarrollo y prototipado rápido con modelos de resina nos permiten ofrecer un servicio completo y oportuno.
La gestión interna y autónoma de todos los pasos de producción nos permite ser extremadamente **versátiles, eficientes y garantizar altos estándares de calidad en todos nuestros productos.**
---
### [PRODUKTIONSZYKLUS](https://www.permedica.it/corporate/ciclo-produttivo/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### KOMPLETTER IN-HOUSE PRODUKTIONSZYKLUS
*Vom Rohmaterial bis zum fertigen Produkt*
**Jedes Produkt wird in der Firma entwickelt und produziert.**
Das Rohmaterial durchläuft die verschiedenen Produktionsphasen und wird zum fertigen Produkt verarbeitet. Jeder Prozessschritt wird überwacht und sorgfältig auf Qualität überprüft.
Alle Produktionsphasen bei Permedica unterliegen **den neuesten Technologie-Standards** und erlauben eine Ausführung in höchster Qualität. Computersimuliertes Design, Entwicklung und Rapid Prototyping mit Kunstharz-Modellen erlauben uns einen vollständingen und zeitnahen Service.
Unser betriebsinternes und eigenständiges Management in allen Produktionsstufen ermöglicht es uns, **äußerst vielseitig und effizient zu sein und hohe Qualitätsstandards für alle unsere Produkte zu gewährleisten.**
---
### [CYCLE DE PRODUCTION](https://www.permedica.it/corporate/ciclo-produttivo/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CYCLE DE PRODUCTION COMPLÈTEMENT INTERNE
*De la matière première aux produits finis*
**Chaque produit est né et développé entièrement au sein de l’entreprise.**
La matière première est transformée en un produit fini au cours des différentes phases de traitement, le tout étant contrôlé par un contrôle de qualité minutieux.
Toutes les phases de production chez Permedica sont réalisées avec des **systèmes technologiques de dernière génération** permettant des performances de haute qualité. Des procédures simulées pour la conception, le développement et le prototypage rapide avec des modèles en résine nous permettent de fournir un service complet et en temps voulu.
La gestion interne et autonome de toutes les étapes de la production nous permet d’être extrêmement **polyvalents, efficaces et de garantir des standards de qualité élevés pour tous nos produits.**
---
### [PRODUCTION CYCLE](https://www.permedica.it/corporate/ciclo-produttivo/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### COMPLETELY IN-HOUSE PRODUCTION CYCLE
*From raw material to finished products*
***Each product is born and developed entirely within the company.**
The raw material is transformed into a finished product through the various processing phases, all monitored by careful quality control.*
All production phases at Permedica are carried out with **latest-generation technological systems** that allow high quality performances. Simulated procedures for design, development and rapid prototyping with resin models allow us to provide a complete and timely service.
The internal and autonomous management of all the production steps allows us to be extremely **versatile, efficient and to guarantee high quality standards for all our products.**
---
### [CICLO PRODUTTIVO](https://www.permedica.it/corporate/ciclo-produttivo/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### CICLO PRODUTTIVO COMPLETAMENTE IN-HOUSE
*Dalla materia prima al prodotto finito*
**Ogni prodotto nasce e si sviluppa interamente all’interno dell’Azienda.**
La materia prima viene trasformata in prodotto finito passando per le varie fasi di lavorazione tutte monitorate da un attento controllo qualità.
Tutte le fasi di produzione presso Permedica sono realizzate con **impianti tecnologici di ultima generazione** che consentono elevate prestazioni qualitative. Procedure simulate di progettazione, sviluppo e prototipazione rapida con modelli in resina, ci consentono di fornire un servizio completo e tempestivo.
La gestione interna e autonoma di tutti gli step di produzione ci permette di essere estremamente **versatili, efficienti e di garantire elevati standard qualitativi per tutti i nostri prodotti.**
---
### [VISION](https://www.permedica.it/corporate/vision/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### VISION
*“Wir glauben, dass die technologische Entwicklung von Prothesen noch nicht abgeschlossen ist.
Wir sind Experten auf diesem Gebiet und arbeiten weiterhin mit unseren Kunden zusammen, um ihre Vorschläge in Qualitätsprodukte zu verwandeln*
*Wir wollen unseren Patienten wieder ein gutes Lebensgefühl zurückgeben durch einen Gelenksersatz, welcher sich perfekt integriert; und in schwierigen Fällen durch spezielle, auf den Patienten zugeschnittene Lösungen, die wiederum eine komplette Mobilität ermöglichen.*
*Wir vernetzen uns mit neuen Technologieexperten, die in Kombination mit unserer Prothetik Lösungen bieten, die die Erwartungen unserer Kunden übertreffen.”*
Marco Perego
Präsident und CEO
#### MISSION
Wir entwickeln, produzieren und vermarkten orthopädische Prothesen für alle Arten von Patienten auf der ganzen Welt.
Wir gehen auf Kundenwünsche ein, sind flexibel auf Marktbedürfnisse und halten unsere Verpflichtungen ein, weil wir eine kurze Entscheidungswege und eine, einzigartig in ihrer Art, vertikale Integration in die orthopädische Landschaft haben.
Dies ermöglicht unseren Mitarbeitern, einen vollständigen Überblick über die Prozesse zu erreichen, was sich in einer differenzierten Kompetenz widerspiegelt.
## “Challenging Excellence in Technology”!
---
### [VISION](https://www.permedica.it/corporate/vision/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### VISION
*“Nous pensons que l’évolution technologique des prothèses est un processus continu et continu.
Nous sommes des experts dans ce domaine et collaborons continuellement avec nos clients pour traduire leurs idées en produits de qualité.*
*Nous visons à donner une nouvelle vie aux patients grâce à des prothèses qu’ils peuvent oublier, même là, et dans les cas critiques, grâce à des solutions personnalisées qui permettent la mobilité.*
*Nous collaborons avec des experts pour intégrer leur technologie de pointe spécialisée à nos prothèses afin de proposer des solutions qui dépassent de loin les attentes de nos clients.”*
Marco Perego
Président CEO
#### MISSION
Nous concevons, fabriquons et commercialisons des prothèses orthopédiques pour tous types de patients du monde entier.
Nous sommes réactifs aux demandes des clients, flexibles aux besoins du marché et nous pouvons tenir nos engagements car nous avons une chaîne de prise de décision courte ainsi qu’un processus de production tout-en-un intégré verticalement qui est unique dans le paysage orthopédique.
Cela permet à notre personnel d’avoir une vue complète de l’ensemble du processus, permettant l’incorporation de différentes compétences.
## **“Challenging Excellence in Technology”!**
---
### [VISION](https://www.permedica.it/corporate/vision/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### VISION
*“We believe that the technological evolution of prostheses is a continual, on-going process.
We are experts in this area and continually collaborate with our customers to translate their ideas into quality products.*
*We aim to give patients a new lease of life through prostheses they can forget are even there, and in critical cases, through customised solutions that allow mobility.*
*We collaborate with experts to integrate their specialist, cutting-edge technology with our prosthetics to come up with solutions that far exceed our customer’s expectations.”*
Marco Perego
President and CEO
#### MISSION
We design, manufacture and market orthopaedic prostheses for all types of patients from all over the world.
We are responsive to customer requests, flexible to market needs and we can keep our commitments because we have a short decision-making chain as well as a vertically integrated, all-in-one-spot production process which is unique in the orthopaedic landscape.
This enables our staff to have a complete overview of the entire process, enabling the incorporation of different competencies.
## **“Challenging Excellence in Technology”!**
---
### [VISION](https://www.permedica.it/corporate/vision/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### VISION
*“Crediamo che l’evoluzione tecnologica delle protesi non sia conclusa.
Siamo esperti in questa area e continuiamo a collaborare con i nostri clienti per trasformare le loro intuizioni in prodotti di qualità.*
*Vogliamo dare ai pazienti una nuova possibilità di vita attraverso protesi che si dimenticano e in casi critici attraverso delle soluzioni uniche che consentano la mobilità.*
*Creiamo network con gli esperti delle nuove tecnologie che si combinano alle nostre protesi per fornire soluzioni che superano le aspettative dei nostri clienti.”*
Marco Perego
Presidente e CEO
#### MISSION
Disegniamo, produciamo e commercializziamo in tutto il mondo protesi ortopediche per ogni tipo di paziente.
Siamo reattivi alle richieste del cliente, flessibili alle necessità del mercato e manteniamo i nostri impegni perché abbiamo una catena decisionale corta ed un’integrazione verticale unica nel panorama ortopedico.
Questo consente al nostro personale di avere una visione completa dei processi che si trasforma in una competenza differenziante.
## **“Challenging Excellence in Technology”!**
---
### [OSSEOINTEGRATION INTERVENTO](https://www.permedica.it/area-paziente/osseointegration-intervento/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
---
### [OSSEOINTEGRATION INTERVENTO](https://www.permedica.it/area-paziente/osseointegration-intervento/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
---
### [OSSEOINTEGRATION INTERVENTO](https://www.permedica.it/area-paziente/osseointegration-intervento/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
---
### [OSSEOINTEGRATION INTERVENTO](https://www.permedica.it/area-paziente/osseointegration-intervento/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
---
### [CONTATTI_GIO](https://www.permedica.it/contatti_gio/)
**Published:** Gennaio 23, 2020
**Author:** Giovanni
**Content:**
## PERMEDICA S.p.A.
## [Contatti Filiali](https://www.permedica.it/corporate/locations#Contatti_Filiali_Permedica)[ Permedica](https://www.permedica.it/corporate/locations#Contatti_Filiali_Permedica)
[](https://www.google.it/maps/place/Permedica+S.P.A./@45.69117,9.407759,18z/data=!3m1!4b1!4m5!3m4!1s0x4786ae48962d90b1:0x52b9f982febe3a24!8m2!3d45.69117!4d9.408856)
Via Como, 38 Merate (LC) 23807
Customer Service: +39 039 95 14 899
Telefono: +39 039 95 14 811
Fax: +39 039 99 03 078
Per comunicare con noi completa il form sottostante.
Il tuo nome
La tua email
Oggetto
Il tuo messaggio
×
---
### [provaprova](https://www.permedica.it/provaprova/)
**Published:** Settembre 11, 2024
**Author:** Giovanni
**Content:**
Il tuo nome
La tua email
Oggetto
Il tuo messaggio (facoltativo)
Inserisci qui la condizione per il consenso.
Questo modulo utilizza Akismet per ridurre lo spam. [Scopri come vengono elaborati i tuoi dati.](https://akismet.com/privacy/)
×
---
### [SCHULTER](https://www.permedica.it/area-chirurgo/spalla/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/mirai-shoulder-system-anatomica/)
## [Mirai System
Anatomica](https://www.permedica.it/mirai-shoulder-system-anatomica/)
- [  ](https://www.permedica.it/mirai-shoulder-system-inversa/)
## [Mirai System
Inversa](https://www.permedica.it/mirai-shoulder-system-inversa/)
- [  ](https://www.permedica.it/mirai-r-glenoid-baseplate/)
## [Mirai R Glenoid Baseplate](https://www.permedica.it/mirai-r-glenoid-baseplate/)
- [  ](https://www.permedica.it/core-omerale-conico/)
## [Core omerale conico](https://www.permedica.it/core-omerale-conico/)
- [  ](https://www.permedica.it/3dmirai-planning-psi/)
## [3DMirai Planning & PSI](https://www.permedica.it/3dmirai-planning-psi/)
- [  ](https://www.permedica.it/soluzioni-custom-made-spalla/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made-spalla/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [ÉPAULE](https://www.permedica.it/area-chirurgo/spalla/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/mirai-shoulder-system-anatomica/)
## [Mirai System
Anatomica](https://www.permedica.it/mirai-shoulder-system-anatomica/)
- [  ](https://www.permedica.it/mirai-shoulder-system-inversa/)
## [Mirai System
Inversa](https://www.permedica.it/mirai-shoulder-system-inversa/)
- [  ](https://www.permedica.it/mirai-r-glenoid-baseplate/)
## [Mirai R Glenoid Baseplate](https://www.permedica.it/mirai-r-glenoid-baseplate/)
- [  ](https://www.permedica.it/core-omerale-conico/)
## [Core omerale conico](https://www.permedica.it/core-omerale-conico/)
- [  ](https://www.permedica.it/3dmirai-planning-psi/)
## [3DMirai Planning & PSI](https://www.permedica.it/3dmirai-planning-psi/)
- [  ](https://www.permedica.it/soluzioni-custom-made-spalla/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made-spalla/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [SHOULDER](https://www.permedica.it/area-chirurgo/spalla/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/mirai-shoulder-system-anatomica/)
## [Mirai System
Anatomica](https://www.permedica.it/mirai-shoulder-system-anatomica/)
- [  ](https://www.permedica.it/mirai-shoulder-system-inversa/)
## [Mirai System
Inversa](https://www.permedica.it/mirai-shoulder-system-inversa/)
- [  ](https://www.permedica.it/mirai-r-glenoid-baseplate/)
## [Mirai R Glenoid Baseplate](https://www.permedica.it/mirai-r-glenoid-baseplate/)
- [  ](https://www.permedica.it/core-omerale-conico/)
## [Core omerale conico](https://www.permedica.it/core-omerale-conico/)
- [  ](https://www.permedica.it/3dmirai-planning-psi/)
## [3DMirai Planning & PSI](https://www.permedica.it/3dmirai-planning-psi/)
- [  ](https://www.permedica.it/soluzioni-custom-made-spalla/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made-spalla/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [SPALLA](https://www.permedica.it/area-chirurgo/spalla/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
- [  ](https://www.permedica.it/mirai-shoulder-system-anatomica/)
## [Mirai System
Anatomica](https://www.permedica.it/mirai-shoulder-system-anatomica/)
- [  ](https://www.permedica.it/mirai-shoulder-system-inversa/)
## [Mirai System
Inversa](https://www.permedica.it/mirai-shoulder-system-inversa/)
- [  ](https://www.permedica.it/mirai-r-glenoid-baseplate/)
## [Mirai R Glenoid Baseplate](https://www.permedica.it/mirai-r-glenoid-baseplate/)
- [  ](https://www.permedica.it/core-omerale-conico/)
## [Core omerale conico](https://www.permedica.it/core-omerale-conico/)
- [  ](https://www.permedica.it/3dmirai-planning-psi/)
## [3DMirai Planning & PSI](https://www.permedica.it/3dmirai-planning-psi/)
- [  ](https://www.permedica.it/soluzioni-custom-made-spalla/)
## [Soluzioni Custom Made](https://www.permedica.it/soluzioni-custom-made-spalla/)
- [  ](https://www.permedica.it/advancore-by-artur-salgado-sa/)
## [AdvanCore BY ARTUR SALGADO SA](https://www.permedica.it/advancore-by-artur-salgado-sa/)
- [  ](https://www.permedica.it/cemento-osseo/)
## [CEMENTO OSSEO](https://www.permedica.it/cemento-osseo/)
---
### [PIEDE](https://www.permedica.it/area-chirurgo/piede/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/skipper/#board)[](https://www.permedica.it/skipper/#board)
BOARD SCREW
[](https://www.permedica.it/skipper/#peak)[](https://www.permedica.it/skipper/#peak)
PEAK
[](https://www.permedica.it/skipper/#vang)[](https://www.permedica.it/skipper/#vang)
VANG
[](https://www.permedica.it/skipper/#stick)[](https://www.permedica.it/skipper/#stick)
STICK
[](https://www.permedica.it/skipper/#bowline)[](https://www.permedica.it/skipper/#bowline)
BOWLINE
[](https://www.permedica.it/skipper/#strop)[](https://www.permedica.it/skipper/#strop)
STROP
[](https://www.permedica.it/skipper/#endortesi)[](https://www.permedica.it/skipper/#endortesi)
ENDORTESI
ad espansione
---
### [MAXILLOFACIAL](https://www.permedica.it/area-chirurgo/maxillofacial/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/de/maxillofacial-line/#tecacranica)[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon-400x400.png "Teca cranica icon")
CRANIAL THECA
[](https://www.permedica.it/de/maxillofacial-line/#temporomandibolare)[](https://www.permedica.it/de/maxillofacial-line/#temporomandibolare)
TEMPORO
MANDIBULAR
[](https://www.permedica.it/de/maxillofacial-line/#placche)[](https://www.permedica.it/de/maxillofacial-line/#placche)
PLATES
[](https://www.permedica.it/de/maxillofacial-line/#placchemandibolari)[](https://www.permedica.it/de/maxillofacial-line/#placchemandibolari)
MANDIBULAR PLATES
[](https://www.permedica.it/de/maxillofacial-line/#ricostruzionizigomatiche)[](https://www.permedica.it/de/maxillofacial-line/#ricostruzionizigomatiche)
ZIGOMATIC RECONSTRUCTIONS
[](https://www.permedica.it/de/maxillofacial-line/#pavimentiorbitali)[](https://www.permedica.it/de/maxillofacial-line/#pavimentiorbitali)
ORBITAL FLOORS
---
### [MAXILLOFACIAL](https://www.permedica.it/area-chirurgo/maxillofacial/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/fr/maxillofacial-line/#tecacranica)[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon-400x400.png "Teca cranica icon")
CRANIAL THECA
[](https://www.permedica.it/fr/maxillofacial-line/#temporomandibolare)[](https://www.permedica.it/fr/maxillofacial-line/#temporomandibolare)
TEMPORO
MANDIBULAR
[](https://www.permedica.it/fr/maxillofacial-line/#placche)[](https://www.permedica.it/fr/maxillofacial-line/#placche)
PLATES
[](https://www.permedica.it/fr/maxillofacial-line/#placchemandibolari)[](https://www.permedica.it/fr/maxillofacial-line/#placchemandibolari)
MANDIBULAR PLATES
[](https://www.permedica.it/fr/maxillofacial-line/#ricostruzionizigomatiche)[](https://www.permedica.it/fr/maxillofacial-line/#ricostruzionizigomatiche)
ZIGOMATIC RECONSTRUCTIONS
[](https://www.permedica.it/fr/maxillofacial-line/#pavimentiorbitali)[](https://www.permedica.it/fr/maxillofacial-line/#pavimentiorbitali)
ORBITAL FLOORS
---
### [MAXILLOFACIAL](https://www.permedica.it/area-chirurgo/maxillofacial/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/en/maxillofacial-line/#tecacranica)[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon-400x400.png "Teca cranica icon")
CRANIAL THECA
[](https://www.permedica.it/en/maxillofacial-line/#temporomandibolare)[](https://www.permedica.it/en/maxillofacial-line/#temporomandibolare)
TEMPORO
MANDIBULAR
[](https://www.permedica.it/en/maxillofacial-line/#placche)[](https://www.permedica.it/en/maxillofacial-line/#placche)
PLATES
[](https://www.permedica.it/en/maxillofacial-line/#placchemandibolari)[](https://www.permedica.it/en/maxillofacial-line/#placchemandibolari)
MANDIBULAR PLATES
[](https://www.permedica.it/en/maxillofacial-line/#ricostruzionizigomatiche)[](https://www.permedica.it/en/maxillofacial-line/#ricostruzionizigomatiche)
ZIGOMATIC RECONSTRUCTIONS
[](https://www.permedica.it/en/maxillofacial-line/#pavimentiorbitali)[](https://www.permedica.it/en/maxillofacial-line/#pavimentiorbitali)
ORBITAL FLOORS
---
### [MAXILLOFACIAL](https://www.permedica.it/area-chirurgo/maxillofacial/)
**Published:** Gennaio 14, 2020
**Author:** pm_ema
**Content:**
[](https://www.permedica.it/maxillofacial-line/#tecacranica)[](https://www.permedica.it/wp-content/uploads/2023/10/Teca-cranica-icon-400x400.png "Teca cranica icon")
TECA CRANICA
[](https://www.permedica.it/maxillofacial-line/#tecacranica)
[](https://www.permedica.it/maxillofacial-line/#temporomandibolare)[](https://www.permedica.it/maxillofacial-line/#temporomandibolare)
TEMPORO
MANDIBOLARE
[](https://www.permedica.it/maxillofacial-line/#placche)[](https://www.permedica.it/maxillofacial-line/#placche)
PLACCHE
[](https://www.permedica.it/maxillofacial-line/#placchemandibolari)[](https://www.permedica.it/maxillofacial-line/#placchemandibolari)
PLACCHE MANDIBOLARI
[](https://www.permedica.it/maxillofacial-line/#ricostruzionizigomatiche)[](https://www.permedica.it/maxillofacial-line/#ricostruzionizigomatiche)
RICOSTRUZIONI ZIGOMATICHE
[](https://www.permedica.it/maxillofacial-line/#pavimentiorbitali)[](https://www.permedica.it/maxillofacial-line/#pavimentiorbitali)
PAVIMENTI ORBITALI
---
### [PROFESSIONAL EDUCATION](https://www.permedica.it/professional-education/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA PROFESSIONAL EDUCATION
Wir glauben daran, dass Qualitätsprodukte mit innovativem Design in professionellen Händen die Lebensqualität der Menschen verbessert.
**Das Ziel von Permedica ist es, einen aktiven Lebensstil durch die Wiederherstellung von genügend Bewegung zu erreichen** und zu helfen, Patienten einen Weg in eine aktive Zukunft zu ermöglichen.
Um unsere Innovationen effektiv und sicher zu handhaben, **entwickelte und investiert Permedica in ein professionelles Ausbildungsprogramm.** Dieses steht allen Ärzten, die sich für unsere Produkte interessieren, zur Verfügung.
Unser **Ausbildungsprogramm ist an alle gerichtet, die ihr Wissen vertiefen möchten oder neue Lösungen für den Bereich Hüft-, Knie- und Schulter-Arthroplastie erörtern möchten** und bietet die Möglichkeit:
• Treffen und Diskussionen mit Kollegen
• Erfahrungsaustausch
• Hospitationen in Referenz-Kliniken
• Teilnahme an wissenschaftlichen Veranstaltungen
In konkreten Fällen können diese Ideen für **ein strukturiertes Jahresprogramm** adaptiert werden. Dieses ist aufgeteilt in verschiedene Veranstaltungen, alle mit dem Ziel die **Arzt-zu-Arzt-Interakton zu fördern und den gegenseitigen Informationsaustausch zu begünstigen.**
## ## [**Discover the new Permedica School of Joints**](https://www.permedica.it/de/school-of-joints/)
#### Hospitation
Während dieser Besuche bietet sich die Möglichkeit, **an Operationen teilzunehmen oder Unterstützung** von unseren Referenz Kliniken zu erhalten.
**[HOSPITATIONSANFRAGE](https://www.permedica.it/de/kontakte/)**
#### Besuch im Haupstitz
Wir bieten **die Möglichkeit, unseren Hauptsitz in Merate zu besuchen.** Sie erhalten einen Einblick in den gesamten Produktionsprozess unserer Implantate. Dies fängt mit der Entwicklung an und schliesst mit Sonderanfertigungen ab.
**[ANFRAGE FÜR EINE FIRMENBESICHTIGUNG](https://www.permedica.it/de/kontakte/)**
#### Permedica Academy Symposium
Diese Symposien haben das Ziel, **die Interaktion zwischen Ärzten und Experten ihres Bereiches zu fördern.** Hier ist Raum für Diskussionen und Meinungsaustausch. Das Wissenschaftliche Programm ist auf aktuelle Themen fokusiert und “state of the art” für Hüft-, Knie- und Schulter- Arthroplastie.
**[KONTAKTEN SIE UNS FÜR WEITERE INFORMATIONEN](https://www.permedica.it/de/kontakte/)**
#### Wetlab
Generell setzt sich unser Wetlab aus zwei halben Tagen zusammen. **Auf die am Nachmittag stattfindende wissenschaftliche Sitzung folgt** am nächsten Morgen der praktische Teil im Wetlab.
**[KONTAKTEN SIE UNS FÜR WEITERE INFORMATIONEN](https://www.permedica.it/de/kontakte/)**
#### Intensive Trainingswoche
Diese Fortbildung richtet sich **an Ärzte, die sich am Beginn der Ausbildung in einem neuen Bereich befinden.** Sie erhalten die Möglichkeit, sich für ca. eine Woche konzentriert in unseren Referenz-Kliniken in Italien oder in einem entsprechend Land mit Referenz-Kliniken, weiterzubilden.
**[KONTAKTEN SIE UNS FÜR WEITERE INFORMATIONEN](https://www.permedica.it/de/kontakte/)**
#### Nationale und Internationale Kongresse
Durch Fokusierung auf internationale Expansion und Wachstum nimmt Permedica jedes Jahr weltweit an verschiedenen wichtigen Veranstaltungen im Bereich der.
**[KONGRESSKALENDER](https://www.permedica.it/de/events/)**
---
### [ÉDUCATION PROFESSIONNELLE](https://www.permedica.it/professional-education/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA ÉDUCATION PROFESSIONNELLE
Nous avons toujours cru que des produits de qualité au design innovant, entre les mains de professionnels, pouvaient améliorer la qualité de vie des gens.
**L’objectif de Permedica est de ramener le mouvement avec un style de vie actif,** aidant à dessiner un meilleur avenir pour les patients.
Pour transmettre efficacement notre innovation et maximiser sa facilité d’utilisation, **Permedica développe et investit dans des programmes de formation professionnelle** destinés à tous les chirurgiens intéressés par nos produits.
Nos **programmes de formation professionnelle s’adressent à tous ceux qui souhaitent approfondir leurs connaissances ou discuter de nouvelles solutions** pour l’arthroplastie de la hanche, du genou et de l’épaule, offrant la possibilité de:
• Confrontation et discussion avec des collègues
• Partager des expériences
• Visites et assistance en salle d’opération
• Participation à des événements scientifiques
Plus concrètement, cette idée se traduit par un **programme structuré au cours de l’année,** qui se décompose en événements de toutes sortes, le tout dans le but de **favoriser l’interaction chirurgien à chirurgien et de favoriser l’échange mutuel d’informations.**
## ## [**Discover the new Permedica School of Joints**](https://www.permedica.it/fr/school-of-joints/)
#### Visites de chirurgien à chirurgien
Au cours de ces visites, nous offrons la possibilité **d’assister aux opérations en salle d’opération ou de recevoir l’aide** de l’un de nos centres de référence.
**[DEMANDER UNE VISITE](https://www.permedica.it/fr/contacts/)**
#### Visites à notre siège
Nous offrons **la possibilité de visiter notre siège social,** de voir et de toucher l’ensemble du processus de production de nos implants, de la conception aux processus spéciaux.
**[DEMANDER UNE VISITE](https://www.permedica.it/fr/contacts/)**
#### Permedica Academy Simposia
Ces événements visent à **promouvoir l’interaction entre les chirurgiens et les experts du secteur,** en offrant un large espace de discussions et d’échange d’opinions au sein d’un programme scientifique axé sur les principaux sujets de l’état actuel de l’art de l’arthroplastie de la hanche, du genou et de l’épaule.
**[CONTACTEZ-NOUS POUR PLUS D’INFORMATIONS](https://www.permedica.it/fr/contacts/)**
#### Wetlabs
Nos wetlabs se composent généralement de 2 demi-journées. **La séance scientifique de l’après-midi du premier jour est suivie de la séance pratique** sur les préparations anatomiques le lendemain matin.
**[CONTACTEZ-NOUS POUR PLUS D’INFORMATIONS](https://www.permedica.it/fr/contacts/)**
#### Semaines intensives
Ce format **s’adresse principalement aux professionnels en début de carrière,** offrant la possibilité de concentrer plusieurs visites dans des centres de référence, en Italie ou à l’étranger, pendant une durée d’environ une semaine.
**[CONTACTEZ-NOUS POUR PLUS D’INFORMATIONS](https://www.permedica.it/fr/contacts/)**
#### Congrès nationaux et internationaux
Fortement tournée vers l’expansion et la croissance au niveau international, **Permedica participe chaque année à différents événements clés du monde de l’orthopédie.**
**[CALENDRIER DES CONGRES](https://www.permedica.it/fr/events/)**
---
### [PROFESSIONAL EDUCATION](https://www.permedica.it/professional-education/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA PROFESSIONAL EDUCATION
We have always believed that quality products with innovative design, in the hands of professionals, can improve people’s quality of life.
**Permedica’s goal is to bring back movement with an active lifestyle,** helping to draw a better future for patients.
To convey our innovation effectively and maximize its usability, **Permedica develops and invests in Professional Education programs** aimed at all surgeons interested in our products.
Our **Professional Education programs are aimed at all those who want to deepen their knowledge or discuss new solutions** for hip, knee and shoulder arthroplasty, offering the possibility of:
• Confrontation and discussion with colleagues
• Sharing experiences
• Visits and assistance in the operating room
• Participation in scientific events
In more concrete terms, this idea translates into a **structured program during the course of the year,** which is divided into events of various kinds, all with the aim of **promoting surgeon-to-surgeon interaction and promoting the mutual exchange of information.**
## # [**Discover the new Permedica School of Joints**](https://www.permedica.it/en/school-of-joints/)
#### Surgeon-to-Surgeon visits
During these visits we offer the opportunity to **attend operations in the operating room or to receive assistance** from one of our Reference Centers.
[**REQUEST A VISIT**](https://www.permedica.it/en/contacts/#contacts)
#### Visits to our headquarters
We offer **the opportunity to visit our headquarters,** to see and touch the entire production process of our implants, from design to special processes.
[**REQUEST A VISIT**](https://www.permedica.it/en/contacts/#contacts)
Permedica Academy Simposia
These events aim to **promote the interaction between surgeons and experts in the sector,** giving ample space for discussions and exchange of opinions within a scientific program focused on dealing with the main topics of the current state of the art of hip, knee and shoulder arthroplasty.
[CONTACT US FOR MORE INFORMATION](https://www.permedica.it/en/contacts/#contacts)
Wetlabs
Our wetlabs generally consist of 2 half days. **The afternoon scientific session on the first day is followed by the practical session** on anatomical preparations the following morning.
[CONTACT US FOR MORE INFORMATION](https://www.permedica.it/en/contacts/#contacts)
Intensive Weeks
This format **is aimed primarily at professionals at the beginning of their career,** offering the possibility of concentrating several visits to reference centers, in Italy or abroad, during a period of approximately one week.
[CONTACT US FOR MORE INFORMATION](https://www.permedica.it/en/contacts/#contacts)
National and International Congresses
Strongly focussed towards expansion and growth at international level, **every year Permedica participates to different key events in the orthopaedics world.**
CONGRESS CALENDAR
---
### [PROFESSIONAL EDUCATION](https://www.permedica.it/professional-education/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA PROFESSIONAL EDUCATION
Da sempre riteniamo che prodotti di qualità e dal design innovativo, nelle mani di professionisti, possano migliorare la qualità della vita delle persone.
**L’ obiettivo di Permedica è riportare movimento con uno stile di vita attivo**, contribuendo a disegnare un futuro migliore per i pazienti.
Per veicolare la nostra innovazione in modo efficace e massimizzarne la fruibilità, **Permedica sviluppa e investe in programmi di Professional Education** rivolti a tutti i chirurghi interessati ai nostri prodotti.
I nostri **programmi di Professional Education sono rivolti a tutti coloro i quali vogliano approfondire la conoscenza o discutere di nuove soluzioni** per l’artroplastica di anca, ginocchio e spalla, offrendo la possibilità di:
• Confronto e discussione con colleghi
• Condivisione di esperienze
• Visite e assistenza in sala operatoria
• Partecipazione ad eventi scientifici
In termini più concreti, questa idea si traduce in un **programma strutturato durante il corso dell’anno**, che si articola in eventi di vario genere, tutti con l’obiettivo di **promuovere l’interazione chirurgo-chirurgo e favorire lo scambio reciproco di informazioni.**
## # [**Scopri la nuova Permedica School of Joints**](https://www.permedica.it/school-of-joints/)
Visite Surgeon-to-Surgeon
Durante queste visite offriamo la possibilità di **assistere ad interventi in sala operatoria o di ricevere assistenza** da uno dei nostri Centri di Referenza.
[**RICHIEDI UNA VISITA**](https://www.permedica.it/contatti/#contatti)
Visite presso i nostri headquarters
Offriamo **l’opportunità di visitare la nostra sede**, per vedere e toccare con mano l’intero processo di produzione dei nostri impianti, dalla progettazione alle lavorazioni speciali.
[**RICHIEDI UNA VISITA**](https://www.permedica.it/contatti/#contatti)
#### Permedica Academy Simposia
Questi eventi hanno l’obiettivo di **promuovere l’interazione tra chirurghi ed esperti del settore**, dando ampio spazio alle discussioni e allo scambio di opinioni all’interno di un programma scientifico focalizzato a trattare gli argomenti principali dell’attuale stato dell’arte della protesica di anca, ginocchio e spalla.
[**CONTATTACI PER MAGGIORI INFORMAZIONI**](https://www.permedica.it/contatti/#contatti)
#### Wetlabs
I nostri wetlab si articolano generalmente su 2 mezze giornate. La **sessione scientifica pomeridiana del primo giorno è seguita dalla sessione pratica su preparati** anatomici la mattina seguente.
[**CONTATTACI PER MAGGIORI INFORMAZIONI**](https://www.permedica.it/contatti/#contatti)
#### Intensive Weeks
Questo formato **si rivolge soprattutto ai professionisti all’inizio della propria carriera**, offrendo la possibilità di concentrare diverse visite a Centri di Referenza, in Italia o all’estero, durante un periodo pari a circa una settimana.
[**CONTATTACI PER MAGGIORI INFORMAZIONI**](https://www.permedica.it/contatti/#contatti)
#### Congressi nazionali e internazionali
Fortemente orientati alla crescita e all’espansione a livello internazionale, **ogni anno partecipiamo a diversi appuntamenti chiave nel mondo dell’ortopedia**.
[**CALENDARIO CONGRESSI**](https:%5C%5Cwww.permedica.it%5Cevents)
---
### [SCHOOL OF JOINTS](https://www.permedica.it/school-of-joints/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA SCHOOL OF JOINTS
Permedica School of Joints is one of the tools offered to surgeons as **part of the Professional Education programme** provided by Permedica.
Among the main objectives of the School of Joints is the **promotion of knowledge through the sharing of experiences** on a national and international level.
#### A UNIQUE TRAINING OPPORTUNITY
The programme will enable participating orthopaedic surgeons to **learn surgical techniques in the field in a fluid way** and become familiar and confident with Permedica implants and instruments.
The School of Joints is primarily aimed at **motivated young orthopaedic surgeons who want to improve their skills** through a unique experience, with the opportunity to share opinions and points of view with their peers, travel and come into contact with new realities, enriching their professional background.
#### **HIP**
It will be possible to learn more about **our range of hip products at specialised centres** with many years of experience in the use of Permedica implants.
#### **KNEE**
The innovative **GKS knee system** combines the use of our most advanced technologies. Through our SoJ you will **master the related surgical technique.**
#### **SHOULDER**
Mirai, the **complete, modular and convertible shoulder system** is one of a kind. Surgeons attending SoJ will be able to learn more about this product at **qualified international centres.**
#### **CUSTOM MADE & AMPUTEES**
La SoJ offre la possibilità di entrare in contatto con **casi complessi che prevedono l’uso di protesi custom made** e conoscere meglio **la tecnica di Osteointegrazione** per pazienti amputati.
#### APPLY NOW!
Fill in the form with your details and attach your Curriculum Vitae and a letter in which you include your motivation to participate in the School of Joints programme.
Applications will be assessed within two weeks, after which feedback and the possible organisation of the fellowship will follow.
---
### [SCHOOL OF JOINTS](https://www.permedica.it/school-of-joints/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA SCHOOL OF JOINTS
Permedica School of Joints is one of the tools offered to surgeons as **part of the Professional Education programme** provided by Permedica.
Among the main objectives of the School of Joints is the **promotion of knowledge through the sharing of experiences** on a national and international level.
#### A UNIQUE TRAINING OPPORTUNITY
The programme will enable participating orthopaedic surgeons to **learn surgical techniques in the field in a fluid way** and become familiar and confident with Permedica implants and instruments.
The School of Joints is primarily aimed at **motivated young orthopaedic surgeons who want to improve their skills** through a unique experience, with the opportunity to share opinions and points of view with their peers, travel and come into contact with new realities, enriching their professional background.
#### **HIP**
It will be possible to learn more about **our range of hip products at specialised centres** with many years of experience in the use of Permedica implants.
#### **KNEE**
The innovative **GKS knee system** combines the use of our most advanced technologies. Through our SoJ you will **master the related surgical technique.**
#### **SHOULDER**
Mirai, the **complete, modular and convertible shoulder system** is one of a kind. Surgeons attending SoJ will be able to learn more about this product at **qualified international centres.**
#### **CUSTOM MADE & AMPUTEES**
La SoJ offre la possibilità di entrare in contatto con **casi complessi che prevedono l’uso di protesi custom made** e conoscere meglio **la tecnica di Osteointegrazione** per pazienti amputati.
#### APPLY NOW!
Fill in the form with your details and attach your Curriculum Vitae and a letter in which you include your motivation to participate in the School of Joints programme.
Applications will be assessed within two weeks, after which feedback and the possible organisation of the fellowship will follow.
---
### [SCHOOL OF JOINTS](https://www.permedica.it/school-of-joints/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA SCHOOL OF JOINTS
Permedica School of Joints is one of the tools offered to surgeons as **part of the Professional Education programme** provided by Permedica.
Among the main objectives of the School of Joints is the **promotion of knowledge through the sharing of experiences** on a national and international level.
#### A UNIQUE TRAINING OPPORTUNITY
The programme will enable participating orthopaedic surgeons to **learn surgical techniques in the field in a fluid way** and become familiar and confident with Permedica implants and instruments.
The School of Joints is primarily aimed at **motivated young orthopaedic surgeons who want to improve their skills** through a unique experience, with the opportunity to share opinions and points of view with their peers, travel and come into contact with new realities, enriching their professional background.
#### **HIP**
It will be possible to learn more about **our range of hip products at specialised centres** with many years of experience in the use of Permedica implants.
#### **KNEE**
The innovative **GKS knee system** combines the use of our most advanced technologies. Through our SoJ you will **master the related surgical technique.**
#### **SHOULDER**
Mirai, the **complete, modular and convertible shoulder system** is one of a kind. Surgeons attending SoJ will be able to learn more about this product at **qualified international centres.**
#### **CUSTOM MADE & AMPUTEES**
La SoJ offre la possibilità di entrare in contatto con **casi complessi che prevedono l’uso di protesi custom made** e conoscere meglio **la tecnica di Osteointegrazione** per pazienti amputati.
#### APPLY NOW!
Fill in the form with your details and attach your Curriculum Vitae and a letter in which you include your motivation to participate in the School of Joints programme.
Applications will be assessed within two weeks, after which feedback and the possible organisation of the fellowship will follow.
---
### [SCHOOL OF JOINTS](https://www.permedica.it/school-of-joints/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERMEDICA SCHOOL OF JOINTS
Permedica School of Joints è uno degli strumenti offerti ai chirurghi **all’interno del programma di Professional Education** proposto da Permedica.
Tra gli obiettivi principali della School of Joints c’è la **promozione della conoscenza attraverso la condivisione di esperienze** a livello nazionale ed internazionale.
#### UN’OCCASIONE UNICA DI FORMAZIONE
Il programma permetterà agli ortopedici partecipanti di **apprendere tecniche chirurgiche sul campo in modo fluido** e acquisire familiarità e sicurezza con gli impianti e gli strumentari Permedica.
La School of Joints è rivolta principalmente a **giovani chirurghi ortopedici motivati che vogliono migliorare le loro competenze** attraverso un’esperienza unica, con la possibilità di condividere opinioni e punti di vista con i propri pari, viaggiando ed entrando in contatto con nuove realtà, arricchendo il proprio bagaglio professionale.
#### **ANCA**
Sarà possibile approfondire **la nostra gamma di prodotti di anca presso Centri specializzati** con esperienza pluriennale nell’utilizzo di impianti Permedica.
#### **GINOCCHIO**
L’innovativo **sistema di ginocchio GKS** combina l’utilizzo delle nostre tecnologie più all’avanguardia. Attraverso la nostra SoJ si potrà **padroneggiare la tecnica chirurgica** relativa.
#### **SPALLA**
Mirai, il **sistema di spalla completo, modulare e convertibile** è unico nel suo genere. I chirurghi che parteciperanno alla SoJ potranno conoscere meglio questo prodotto **presso Centri internazionali qualificati.**
#### **CUSTOM MADE E AMPUTATI**
La SoJ offre la possibilità di entrare in contatto con **casi complessi che prevedono l’uso di protesi custom made** e conoscere meglio **la tecnica di Osteointegrazione** per pazienti amputati.
#### CANDIDATI ORA!
Compila il form con i tuoi dati e allega il tuo Curriculum Vitae e una lettera nella quale includere le proprie motivazioni a partecipare al programma di School of Joints.
Le richieste verranno valutate entro due settimane, dopo le quali seguirà un feedback e l’eventuale organizzazione della fellowship.
---
### [COOKIE POLICY](https://www.permedica.it/cookie-policy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# COOKIES POLICY (D.LGS. 196/2003)
In accordance with art. 13 of the Code regarding the protection of personal data (Legislative Decree 196/2003)
**What are cookies.**
Cookies are information entered in your browser when you visit a website or use a social network with your computer, smartphone or tablet. In practice, cookies are short fragments of text (letters and / or numbers) that allow the web server to store information on the client (the browser) to be reused during the same visit to the site (session cookies) or later, also days later (persistent cookies). Cookies are stored, based on user preferences, by the single browser on the specific device used (computer, tablet, smartphone). Cookies can be used to monitor sessions, to authenticate a user so that he can access a site without typing his name and password each time and to store his preferences. Users, if they want, can set their browser to refuse cookies and can delete them whenever they want.
**Cookies used by our website**
Our site only uses so-called technical cookies, which are used for navigation and to facilitate access and use of the site by the user. Technical cookies are essential for example to access the reserved area without having to log in to all sessions.
**Are Analytics cookies technical cookies?**
The Data Protection Authority stated that these cookies can be considered technical only if “used for the purpose of optimizing the site directly by the owner of the site, who will be able to collect information in aggregate form on the number of users and how they visit the site. Under these conditions, the same rules apply to cookies analytics, as regards information and consent, provided for technical cookies.”
Our site may use technical cookies for the following reasons:
- offer access to restricted areas of the site and accessible after authentication;
- develop aggregate statistical analysis (analytics) about the use of the site and / or the services incorporated therein;
- conduct research to improve the content, products and services of the site itself.
**Our site does not directly use any profiling cookies.**
**Google Analytics**
Our site also includes certain components transmitted by Google Analytics, a web traffic analysis service provided by Google, Inc. (“Google”). In this case, these are third-party cookies collected and managed anonymously to monitor and improve the performance of the host site (performance cookie). Google Analytics uses “cookies” to collect and analyze anonymous information on the behavior of use of this site. This information is collected by Google Analytics, which processes it for the purpose of drawing up reports regarding the activities on the websites themselves. Google can also communicate this information to third parties where this is required by law or where such third parties process the aforementioned information on behalf of Google. For more information, please refer to the link below: [Privacy Google](https://policies.google.com/?hl=en). The user can selectively disable the action of Google Analytics by installing the opt-out component provided by Google on his browser. To disable the action of Google Analytics, please refer to the link below: [Disable Google Analytics](https://tools.google.com/dlpage/gaoptout).
**Disabling cookies**
You can configure your browser to accept or reject all cookies or particular types of cookies (for example, third-party cookies) or you can choose to be warned every time a cookie is set on your computer.
It is important to know that the refusal of all cookies could prevent you from using the services that require cookies in order to function properly and, consequently, the possible blocking of cookies would make it impossible to use.
For more detailed information regarding the options for disabling cookies, here is the list of links for configuring the browsers:
- [Firefox](https://support.mozilla.org/it/kb/Attivare%20e%20disattivare%20i%20cookie)
- [Chrome](https://support.google.com/chrome/answer/95647?hl=it&topic=14666&ctx=topic)
- [Internet Explorer](http://windows.microsoft.com/it-it/internet-explorer/delete-manage-cookies#ie=ie-11)
- [Safari](https://support.apple.com/it-it/HT201265)
- [Opera](http://help.opera.com/Mac/12.10/it/cookies.html)
Click here to see the [European information regarding cookies](http://ec.europa.eu/ipg/basics/legal/cookies/index_en.htm).
**REFERENCE REGULATIONS**
[Privacy guarantee legislation. Use of cookies](https://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/9677876)
[Privacy guarantee legislation. Use of cookies: consent and simplified procedure](http://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/3118884)
---
### [COOKIE POLICY](https://www.permedica.it/cookie-policy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# COOKIES POLICY (D.LGS. 196/2003)
In accordance with art. 13 of the Code regarding the protection of personal data (Legislative Decree 196/2003)
**What are cookies.**
Cookies are information entered in your browser when you visit a website or use a social network with your computer, smartphone or tablet. In practice, cookies are short fragments of text (letters and / or numbers) that allow the web server to store information on the client (the browser) to be reused during the same visit to the site (session cookies) or later, also days later (persistent cookies). Cookies are stored, based on user preferences, by the single browser on the specific device used (computer, tablet, smartphone). Cookies can be used to monitor sessions, to authenticate a user so that he can access a site without typing his name and password each time and to store his preferences. Users, if they want, can set their browser to refuse cookies and can delete them whenever they want.
**Cookies used by our website**
Our site only uses so-called technical cookies, which are used for navigation and to facilitate access and use of the site by the user. Technical cookies are essential for example to access the reserved area without having to log in to all sessions.
**Are Analytics cookies technical cookies?**
The Data Protection Authority stated that these cookies can be considered technical only if “used for the purpose of optimizing the site directly by the owner of the site, who will be able to collect information in aggregate form on the number of users and how they visit the site. Under these conditions, the same rules apply to cookies analytics, as regards information and consent, provided for technical cookies.”
Our site may use technical cookies for the following reasons:
- offer access to restricted areas of the site and accessible after authentication;
- develop aggregate statistical analysis (analytics) about the use of the site and / or the services incorporated therein;
- conduct research to improve the content, products and services of the site itself.
**Our site does not directly use any profiling cookies.**
**Google Analytics**
Our site also includes certain components transmitted by Google Analytics, a web traffic analysis service provided by Google, Inc. (“Google”). In this case, these are third-party cookies collected and managed anonymously to monitor and improve the performance of the host site (performance cookie). Google Analytics uses “cookies” to collect and analyze anonymous information on the behavior of use of this site. This information is collected by Google Analytics, which processes it for the purpose of drawing up reports regarding the activities on the websites themselves. Google can also communicate this information to third parties where this is required by law or where such third parties process the aforementioned information on behalf of Google. For more information, please refer to the link below: [Privacy Google](https://policies.google.com/?hl=en). The user can selectively disable the action of Google Analytics by installing the opt-out component provided by Google on his browser. To disable the action of Google Analytics, please refer to the link below: [Disable Google Analytics](https://tools.google.com/dlpage/gaoptout).
**Disabling cookies**
You can configure your browser to accept or reject all cookies or particular types of cookies (for example, third-party cookies) or you can choose to be warned every time a cookie is set on your computer.
It is important to know that the refusal of all cookies could prevent you from using the services that require cookies in order to function properly and, consequently, the possible blocking of cookies would make it impossible to use.
For more detailed information regarding the options for disabling cookies, here is the list of links for configuring the browsers:
- [Firefox](https://support.mozilla.org/it/kb/Attivare%20e%20disattivare%20i%20cookie)
- [Chrome](https://support.google.com/chrome/answer/95647?hl=it&topic=14666&ctx=topic)
- [Internet Explorer](http://windows.microsoft.com/it-it/internet-explorer/delete-manage-cookies#ie=ie-11)
- [Safari](https://support.apple.com/it-it/HT201265)
- [Opera](http://help.opera.com/Mac/12.10/it/cookies.html)
Click here to see the [European information regarding cookies](http://ec.europa.eu/ipg/basics/legal/cookies/index_en.htm).
**REFERENCE REGULATIONS**
[Privacy guarantee legislation. Use of cookies](https://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/9677876)
[Privacy guarantee legislation. Use of cookies: consent and simplified procedure](http://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/3118884)
---
### [COOKIE POLICY](https://www.permedica.it/cookie-policy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# COOKIES POLICY (D.LGS. 196/2003)
In accordance with art. 13 of the Code regarding the protection of personal data (Legislative Decree 196/2003)
**What are cookies.**
Cookies are information entered in your browser when you visit a website or use a social network with your computer, smartphone or tablet. In practice, cookies are short fragments of text (letters and / or numbers) that allow the web server to store information on the client (the browser) to be reused during the same visit to the site (session cookies) or later, also days later (persistent cookies). Cookies are stored, based on user preferences, by the single browser on the specific device used (computer, tablet, smartphone). Cookies can be used to monitor sessions, to authenticate a user so that he can access a site without typing his name and password each time and to store his preferences. Users, if they want, can set their browser to refuse cookies and can delete them whenever they want.
**Cookies used by our website**
Our site only uses so-called technical cookies, which are used for navigation and to facilitate access and use of the site by the user. Technical cookies are essential for example to access the reserved area without having to log in to all sessions.
**Are Analytics cookies technical cookies?**
The Data Protection Authority stated that these cookies can be considered technical only if “used for the purpose of optimizing the site directly by the owner of the site, who will be able to collect information in aggregate form on the number of users and how they visit the site. Under these conditions, the same rules apply to cookies analytics, as regards information and consent, provided for technical cookies.”
Our site may use technical cookies for the following reasons:
- offer access to restricted areas of the site and accessible after authentication;
- develop aggregate statistical analysis (analytics) about the use of the site and / or the services incorporated therein;
- conduct research to improve the content, products and services of the site itself.
**Our site does not directly use any profiling cookies.**
**Google Analytics**
Our site also includes certain components transmitted by Google Analytics, a web traffic analysis service provided by Google, Inc. (“Google”). In this case, these are third-party cookies collected and managed anonymously to monitor and improve the performance of the host site (performance cookie). Google Analytics uses “cookies” to collect and analyze anonymous information on the behavior of use of this site. This information is collected by Google Analytics, which processes it for the purpose of drawing up reports regarding the activities on the websites themselves. Google can also communicate this information to third parties where this is required by law or where such third parties process the aforementioned information on behalf of Google. For more information, please refer to the link below: [Privacy Google](https://policies.google.com/?hl=en). The user can selectively disable the action of Google Analytics by installing the opt-out component provided by Google on his browser. To disable the action of Google Analytics, please refer to the link below: [Disable Google Analytics](https://tools.google.com/dlpage/gaoptout).
**Disabling cookies**
You can configure your browser to accept or reject all cookies or particular types of cookies (for example, third-party cookies) or you can choose to be warned every time a cookie is set on your computer.
It is important to know that the refusal of all cookies could prevent you from using the services that require cookies in order to function properly and, consequently, the possible blocking of cookies would make it impossible to use.
For more detailed information regarding the options for disabling cookies, here is the list of links for configuring the browsers:
- [Firefox](https://support.mozilla.org/it/kb/Attivare%20e%20disattivare%20i%20cookie)
- [Chrome](https://support.google.com/chrome/answer/95647?hl=it&topic=14666&ctx=topic)
- [Internet Explorer](http://windows.microsoft.com/it-it/internet-explorer/delete-manage-cookies#ie=ie-11)
- [Safari](https://support.apple.com/it-it/HT201265)
- [Opera](http://help.opera.com/Mac/12.10/it/cookies.html)
Click here to see the [European information regarding cookies](http://ec.europa.eu/ipg/basics/legal/cookies/index_en.htm).
**REFERENCE REGULATIONS**
[Privacy guarantee legislation. Use of cookies](https://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/9677876)
[Privacy guarantee legislation. Use of cookies: consent and simplified procedure](http://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/3118884)
---
### [COOKIE POLICY](https://www.permedica.it/cookie-policy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# COOKIES POLICY (D.LGS. 196/2003)
In conformità all’art. 13 del Codice in materia di protezione dei dati personali (D.lgs. 196/2003)
**Cosa sono i cookie**
I cookie sono informazioni immesse nel tuo browser quando visiti un sito web o utilizzi un social network con il tuo computer, smartphone o tablet. In pratica, i cookie sono brevi frammenti di testo (lettere e/o numeri) che permettono al server web di memorizzare sul client (il browser) informazioni da riutilizzare nel corso della medesima visita al sito (cookie di sessione) o in seguito, anche a distanza di giorni (cookie persistenti). I cookie vengono memorizzati, in base alle preferenze dell’utente, dal singolo browser sullo specifico dispositivo utilizzato (computer, tablet, smartphone). I cookie possono essere usati per monitorare le sessioni, per autenticare un utente in modo che possa accedere a un sito senza digitare ogni volta nome e password e per memorizzare le sue preferenze. Gli utenti, se vogliono, possono impostare il proprio browser per rifiutare i cookie e possono eliminarli ogni volta che vogliono.
**Il nostro sito che cookie utilizza**
Il nostro sito utilizza unicamente i cookie cosiddetti tecnici, che servono per la navigazione e per facilitare l’accesso e la fruizione del sito da parte dell’utente.
I cookie tecnici sono essenziali per esempio per accedere all’area riservata senza doversi loggare a tutte le sessioni.
**I cookie Analytics sono cookie tecnici?**
Il Garante ha affermato che questi cookie possono essere ritenuti tecnici solo se “utilizzati a fini di ottimizzazione del sito direttamente dal titolare del sito stesso, che potrà raccogliere informazioni in forma aggregata sul numero degli utenti e su come questi visitano il sito. A queste condizioni, per i cookie analytics valgono le stesse regole, in tema di informativa e consenso, previste per i cookie tecnici.”
Il nostro sito potrebbe utilizzare i cookie tecnici per le seguenti ragioni:
- offrire accesso ad aree riservate del sito ed accedibili dietro autenticazione;
- elaborare analisi statistiche aggregate (analytics) circa l’utilizzo del sito e/o dei servizi in esso incorporati;
- condurre ricerche per migliorare i contenuti, i prodotti e i servizi del sito stesso.
**Il nostro sito non utilizza direttamente alcun cookie di profilazione.**
**Google Analytics**
Il nostro sito include anche talune componenti trasmesse da Google Analytics, un servizio di analisi del traffico web fornito da Google, Inc. (“Google”). In questo caso si tratta di cookie di terze parti raccolti e gestiti in modo anonimo per monitorare e migliorare le prestazioni del sito ospite (performance cookie). Google Analytics utilizza i “cookie” per raccogliere e analizzare in forma anonima le informazioni sui comportamenti di utilizzo di questo sito. Tali informazioni vengono raccolte da Google Analytics, che le elabora allo scopo di redigere report riguardanti le attività sui siti web stessi. Google può anche comunicare queste informazioni a terzi ove ciò sia imposto dalla legge o laddove tali terzi trattino le suddette informazioni per conto di Google. Per ulteriori informazioni, si rinvia al link di seguito indicato: [Privacy Google](http://www.google.com/intl/it_ALL/analytics/learn/privacy.html). L’utente può disabilitare in modo selettivo l’azione di Google Analytics installando sul proprio browser la componente di opt-out fornito da Google. Per disabilitare l’azione di Google Analytics, si rinvia al link di seguito indicato: [Disabilitare Google Analytics](https://tools.google.com/dlpage/gaoptout).
**Disabilitazione dei cookie**
Puoi configurare il tuo browser in modo da accettare o rifiutare tutti i cookie o particolari tipologie di cookie (ad esempio i cookie di terze parti) oppure puoi scegliere di essere avvertito ogni qualvolta un cookie viene impostato all’interno del tuo computer.
È importante sapere che il rifiuto di tutti i cookie potrebbe impedirti di usufruire dei servizi che richiedono i cookie per poter funzionare correttamente e, di conseguenza, l’eventuale blocco dei cookie ne renderebbe impossibile l’utilizzo.
Per informazioni più dettagliate in riferimento alle opzioni di disabilitazione dei cookies ecco l’elenco dei link per la configurazione dei browser:
- [Firefox](https://support.mozilla.org/it/kb/Attivare%20e%20disattivare%20i%20cookie)
- [Chrome](https://support.google.com/chrome/answer/95647?hl=it&topic=14666&ctx=topic)
- [Internet Explorer](http://windows.microsoft.com/it-it/internet-explorer/delete-manage-cookies#ie=ie-11)
- [Safari](https://support.apple.com/it-it/HT201265)
- [Opera](http://help.opera.com/Mac/12.10/it/cookies.html)
Clicca qui per vedere la [Informativa Europea riguardante i cookie.](http://ec.europa.eu/ipg/basics/legal/cookies/index_en.htm)
**NORMATIVA DI RIFERIMENTO**
[Normativa garante privacy. Uso dei cookie](https://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/9677876)
[Normativa garante privacy. Uso dei cookie: consenso e modalità semplificata](http://www.garanteprivacy.it/web/guest/home/docweb/-/docweb-display/docweb/3118884)
---
### [SURGEY](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### BEFORE THE SURGERY
Before you undergo surgery, your doctor will prescribe **preliminary examinations.**
These investigations (blood tests, electrocardiograms, radiographs) are necessary to assess your general health state and to determine whether you are eligible to withstand the surgery and the post-operative course.
In case of chronic diseases (for example cardiac, respiratory, renal) a specialist consulting may be necessary.
It is also recommended to **prepare the home environment for your return home,** so as to minimize the risk of falls or accidents.
#### IN HOSPITAL
**Remember to bring with you everything you need and what is required by your doctor:** list of medicines normally taken, clinical documentation (preoperative research reports, x-rays), identity document, health card and any devices such as braces or crutches.
The surgery will have a variable duration and **the medical and nursing staff will take care of you.**
#### AFTER SURGERY
Hospital stay varies depending on the patient and the type of surgery.
Following the intervention, you will need to **rely on the support of someone who will assist you at home** or, if not available, you can organize a short stay at a rehabilitation facility.
**You may need some devices like crutches or braces,** which will be prescribed and recommended by your orthopedic surgeon.
#### YOUR NEW JOINT
During the post-operative course, **always refer to your orthopedic surgeon and your primary care physician.**
Follow your surgeon’s instructions and in case of any doubt, don’t hesitate to contact him.
Remember that **a healthy and active lifestyle will contribute to a faster recovery** and do not forget to undergo **regular checks.**
---
### [SHOULDER](https://www.permedica.it/area-paziente/spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### SHOULDER JOINT
The shoulder joint consists of the **humeral head** and the **scapula.** It is a complex system that, from the functional point of view, includes 5 distinct articulations.
**The cartilage that covers the articular surfaces protects the bones from direct friction** and facilitates the relative sliding during the movements of everyday life.
The onset of some degenerative pathologies (arthrosis, arthritis) can lead to **damage to the cartilage** and to the reduction of its thickness: the bone surfaces therefore enter in direct contact causing **pain.**
A group of 4 muscles and respective tendons, called the Rotator Cuff, surrounds the joint giving it stability.
[](https://www.permedica.it/en/patients/shoulder/shoulder-pathologies/)
#### ##### [SHOULDER PATHOLOGIES](https://www.permedica.it/en/patients/shoulder/shoulder-pathologies/)
[](https://www.permedica.it/en/patients/shoulder/total-shoulder-arthroplasty/)
#### ##### [SHOULDER ARTHROPLASTY](https://www.permedica.it/en/patients/shoulder/total-shoulder-arthroplasty/)
#### ##### [SURGERY](https://www.permedica.it/en/patients/shoulder/surgey/)
[](https://www.permedica.it/en/patients/knee/surgey/#nuova-articolazione)
#### ##### [YOUR NEW JOINT](https://www.permedica.it/en/patients/knee/surgey/#nuova-articolazione)
---
### [SCHULTER](https://www.permedica.it/area-paziente/spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### DAS SCHULTERGELENK
Das Schultergelenk besteht aus dem **Oberarmkopf** und dem **Schulterblatt,** wobei nur die Schulterblattpfanne gelenktragend ist.
Der Schultergürtel besteht aus verschiedenen Gelenken, dem eigentlichen Schultergelenk zwischen Oberarmkopf und Pfanne, dem Gelenk zwischen Brustbein und Schlüsselbein, zwischen Schlüsselbein und Acromion und zwischen dem Schulterblatt und dem Brustkorb
**Die Gelenksflächen werden von Knorpel überzogen, was die Bewegung zweier Knochen gegeneinander ermöglicht.** Gewisse Abnützungserkrankungen wie die Arthrose oder Arthritis können diese Knorpel schädigen, was zu einem Knorpelverschleiss und damit zu einem Knochen auf Knochen Kontakt führt. Dies ist **äusserst schmerzhaft.**
Das Schultergelenk wird durch fünf Muskeln bewegt, den Deltoidmuskel als Hauptmuskel sowie die vier Muskeln der Rotatorenmanschette, welche dem Gelenk auch, zusammen mit den Gelenkkapselstrukturen, die Stabilität verleihen.
[](https://www.permedica.it/de/patienten/schulter/schultergelenkserkrankungen/)
#### ##### [SCHULTERGELENKSERKRANKUNGEN](https://www.permedica.it/de/patienten/schulter/schultergelenkserkrankungen/)
[](https://www.permedica.it/de/patienten/schulter/die-schulterprothese/)
#### ##### [SCHULTER SCHULTERPROTHESE](https://www.permedica.it/de/patienten/schulter/die-schulterprothese/)
#### ##### [OPERATION](https://www.permedica.it/de/patienten/schulter/operation/)
[](https://www.permedica.it/de/patienten/schulter/operation/#nuova-articolazione)
#### ##### [IHR NEUES GELENK](https://www.permedica.it/de/patienten/schulter/operation/#nuova-articolazione)
---
### [ÉPAULE](https://www.permedica.it/area-paziente/spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTICULATION DE L’ÉPAULE
L’articulation de l’épaule comprend **l’extrémité supérieure de l’humérus** et l’**omoplate.** C’est un système complexe qui, du point de vue fonctionnel, comprend 5 articulations distinctes.
**Le cartilage qui recouvre les surfaces articulaires protège les os du frottement direct** et facilite le glissement relatif lors des mouvements de la vie quotidienne.
L’apparition de certaines pathologies dégénératives (arthrose, arthrite) peut **endommager le cartilage** et en réduire l’épaisseur: les surfaces osseuses entrent donc en contact direct, provoquant une **douleur.**
Un groupe de 4 muscles et tendons respectifs, appelé coiffe des rotateurs, entoure l’articulation pour lui donner une stabilité.
[](https://www.permedica.it/fr/les-patients/epaule/pathologies-de-lepaule/)
#### ##### [PATHOLOGIES DE L’EPAULE](https://www.permedica.it/fr/les-patients/epaule/pathologies-de-lepaule/)
[](https://www.permedica.it/fr/les-patients/epaule/arthroplastie-de-lepaule/)
#### ##### [ARTHROPLASTIE DE L’ÉPAULE](https://www.permedica.it/fr/les-patients/epaule/arthroplastie-de-lepaule/)
#### ##### [CHIRURGIE](https://www.permedica.it/fr/les-patients/epaule/chirurgie/)
[](https://www.permedica.it/fr/les-patients/epaule/chirurgie/#nuova-articolazione)
#### ##### [VOTRE NOUVELLE ARTICULATION](https://www.permedica.it/fr/les-patients/epaule/chirurgie/#nuova-articolazione)
---
### [SPALLA](https://www.permedica.it/area-paziente/spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTICOLAZIONE DELLA SPALLA
L’articolazione della spalla è costituita dalla **testa dell’omero** e dalla **scapola**. È un sistema complesso dal punto di vista funzionale che comprende ben 5 articolazioni distinte.
**La cartilagine che ricopre le superfici articolari protegge le ossa dallo sfregamento diretto** e ne agevola lo scorrimento relativo durante i movimenti della vita quotidiana.
L’insorgere di alcune patologie degenerative può portare al **danneggiamento della cartilagine** (artrosi, artrite) e alla riduzione del suo spessore: le superfici ossee entrano quindi in diretto contatto provocando **dolore.**
Un gruppo di 4 muscoli e rispettivi tendini, chiamato Cuffia dei Rotatori, circonda l’articolazione conferendole stabilità.
[](https://www.permedica.it/area-paziente/spalla-paziente/patologie-della-spalla/)
#### ##### [PATOLOGIE DELLA SPALLA](https://www.permedica.it/area-paziente/spalla-paziente/patologie-della-spalla/)
[](https://www.permedica.it/area-paziente/spalla-paziente/artroplastica-di-spalla/)
#### ##### [ARTROPLASTICA DI SPALLA](https://www.permedica.it/area-paziente/spalla-paziente/artroplastica-di-spalla/)
#### ##### [L’INTERVENTO](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/)
[](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/#nuova-articolazione)
#### ##### [LA TUA NUOVA ARTICOLAZIONE](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/#nuova-articolazione)
---
### [KNIE](https://www.permedica.it/area-paziente/ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### DAS KNIEGELENK
Das Kniegelenk besteht aus dem unteren **Ende des Oberschenkels** (Femur), dem **oberen Ende des Unterschenkels** (Tibia) und der Kniescheibe (Patella), umschlossen von einer Vielzahl an Weichteilen, welche das Gelenk umgeben (Bänder, Gelenkskapsel und Meniski).
Es ist eines der komplexesten Gelenke des menschlichen Körpers.
**Der die artikulierenden Oberflächen überziehende Knorpel schützt den Knochen vor Reibung** und erleichtert das Gleiten während der natürlichen Bewegungen des Alltags.
Während der Streck- und Beugebewegungen sind es die Oberschenkelmuskel, die bewirken, dass das Femur über die Tibia und die Patella in der sog. Patellagrube des Oberschenkel gleiten.
Degenerative Veränderungen (Arthrose oder Arthritis) können den **Knorpel beschädigen** und dessen Dicke reduzieren: die knöchernen Oberflächen treffen aufeinander und dies verursacht **Schmerzen.**
[](https://www.permedica.it/de/patienten/knie/kniegelenkserkrankungen/)
#### ##### [KNIEGELENKSERKRANKUNGEN](https://www.permedica.it/de/patienten/knie/kniegelenkserkrankungen/)
[](https://www.permedica.it/de/patienten/knie/knieprothese/)
#### ##### [TOTALE KNIEPROTHESE](https://www.permedica.it/de/patienten/knie/knieprothese/)
#### ##### [OPERATION](https://www.permedica.it/de/patienten/knie/operation/)
[](https://www.permedica.it/de/patienten/knie/operation/#nuova-articolazione)
#### ##### [IHR NEUES GELENK](https://www.permedica.it/de/patienten/knie/operation/#nuova-articolazione)
---
### [GENOU](https://www.permedica.it/area-paziente/ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTICULATION DU GENOU
L’articulation du genou se compose de **l’extrémité distale du fémur,** de l’**extrémité proximale du tibia** et de la **patella**, enfermée dans une série de tissus mous entourant l’articulation (ligaments, capsule articulaire et ménisques interarticulaires).
C’est l’une des articulations les plus complexes du corps humain.
**Le cartilage qui recouvre les surfaces articulaires protège les os du frottement direct** et facilite le glissement relatif lors des mouvements de la vie quotidienne.
Lors des mouvements de flexion-extension de la jambe, l’action des muscles de la cuisse fait glisser le fémur sur le tibia et la rotule le long de l’extrémité distale du fémur.
L’apparition de certaines pathologies dégénératives (arthrose, arthrite) peut **endommager le cartilage** et en réduire l’épaisseur: les surfaces osseuses entrent donc en contact direct, provoquant une **douleur.**
[](https://www.permedica.it/fr/les-patients/genou/pathologies-du-genou)
#### ##### [PATHOLOGIES DU GENOU](https://www.permedica.it/fr/les-patients/genou/pathologies-du-genou/)
[](https://www.permedica.it/fr/les-patients/genou/arthroplastie-du-genou/)
#### ##### [ARTHROPLASTIE TOTALE DU GENOU](https://www.permedica.it/fr/les-patients/genou/arthroplastie-du-genou/)
#### ##### [CHIRURGIE](https://www.permedica.it/fr/les-patients/genou/chirurgie/)
[](https://www.permedica.it/fr/les-patients/genou/chirurgie/#nuova-articolazione)
#### ##### [VOTRE NOUVELLE ARTICULATION](https://www.permedica.it/fr/les-patients/genou/chirurgie/#nuova-articolazione)
---
### [KNEE](https://www.permedica.it/area-paziente/ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### KNEE JOINT
The knee joint consists of the **distal end of the femur,** the **proximal end of the tibia** and the **patella,** enclosed by a series of soft tissues surrounding the joint (ligaments, joint capsule and inter-articular menisci).It is one of the most complex joints in the human body.
**The cartilage that covers the articular surfaces protects the bones from direct friction** and facilitates the relative sliding during the movements of everyday life.
During flexion-extension movements of the leg, the action of the thigh muscles causes the femur to slide over the tibia and the patella to slide along the distal end of the femur.
The onset of some degenerative pathologies (arthrosis, arthritis) can lead to **damage to the cartilage** and to the reduction of its thickness: the bone surfaces therefore enter in direct contact causing **pain.**
[](https://www.permedica.it/en/patients/knee/knee-joint-pathologies/)
#### ##### [KNEE JOINT PATHOLOGIES](https://www.permedica.it/en/patients/knee/knee-joint-pathologies/)
[](https://www.permedica.it/en/patients/knee/total-knee-arthroplasty/)
#### ##### [TOTAL KNEE ARTHROPLASTY](https://www.permedica.it/en/patients/knee/total-knee-arthroplasty/)
#### ##### [SURGERY](https://www.permedica.it/en/patients/knee/surgey/)
[](https://www.permedica.it/en/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/#nuova-articolazione)
#### ##### [YOUR NEW JOINT](https://www.permedica.it/en/patients/knee/surgey/#nuova-articolazione)
---
### [GINOCCHIO](https://www.permedica.it/area-paziente/ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTICOLAZIONE DEL GINOCCHIO
L’articolazione del ginocchio è costituita dall’**estremità distale del femore**, dall’**estremità prossimale della tibia** e dalla **rotula**, racchiuse da una serie di tessuti molli circostanti l’articolazione (legamenti, capsula articolare e menischi interarticolari).
È una delle articolazioni più complesse del corpo umano.
**La cartilagine che ricopre le superfici articolari protegge le ossa dallo sfregamento diretto** e ne agevola lo scorrimento relativo durante i movimenti della vita quotidiana.
Durante i movimenti di flesso-estensione della gamba, l’azione dei muscoli della coscia fa sì che il femore scorra sulla tibia e la rotula lungo l’estremità distale del femore.
L’insorgere di alcune patologie degenerative può portare al **danneggiamento della cartilagine** (artrosi, artrite) e alla riduzione del suo spessore: le superfici ossee entrano quindi in diretto contatto provocando **dolore.**
[](https://www.permedica.it/area-paziente/ginocchio-paziente/patologie-del-ginocchio/)
#### ##### [PATOLOGIE DEL GINOCCHIO](https://www.permedica.it/area-paziente/ginocchio-paziente/patologie-del-ginocchio/)
[](https://www.permedica.it/area-paziente/ginocchio-paziente/ginocchio/)
#### ##### [ARTROPLASTICA DI GINOCCHIO](https://www.permedica.it/area-paziente/ginocchio-paziente/ginocchio/)
#### ##### [L’ INTERVENTO](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/)
[](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/#nuova-articolazione)
#### ##### [LA TUA NUOVA ARTICOLAZIONE](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/#nuova-articolazione)
---
### [HÜFTE](https://www.permedica.it/area-paziente/anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### DAS HÜFTGELENK
Das menschliche Hüftgelenk besteht aus dem **Oberschenkelkopf** (Femurkopf) und der **Hüftpfanne,** welche von einer Gelenkskapsel umgeben werden. Die Biomechanik des Hüftgelenks wird durch Weichteile wie z.B. Bändern unterstützt, welche der Stabilität und Beweglichkeit dienen.
**Der die artikulierenden Oberflächen überziehende Knorpel schützt den Knochen vor Reibung** und erleichtert das Gleiten während der natürlichen Bewegungen des Alltags.
Degenerative Veränderungen (Arthrose oder Arthritis) können den **Knorpel beschädigen** und dessen Dicke reduzieren: die knöchernen Oberflächen treffen aufeinander und dies verursacht **Schmerzen.**
[](https://www.permedica.it/de/patienten/huefte/hueftgelenkserkrankungen/)
#### ##### [HÜFTGELENKSERKRANKUNGEN](https://www.permedica.it/de/patienten/huefte/hueftgelenkserkrankungen/)
[](https://www.permedica.it/de/patienten/huefte/huefttotalendoprothese/)
#### ##### [HÜFTTOTALENDOPROTHESE](https://www.permedica.it/de/patienten/huefte/huefttotalendoprothese/)
#### ##### [DIE OPERATION](https://www.permedica.it/de/patienten/huefte/operation/)
[](https://www.permedica.it/de/patienten/huefte/operation/#nuova-articolazione)
#### ##### [IHR NEUES GELENK](https://www.permedica.it/de/patienten/huefte/operation/#nuova-articolazione)
---
### [HIP](https://www.permedica.it/area-paziente/anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### HIP JOINT
The hip joint consists of the **femoral head** (similar to a sphere) and the **acetabular cavity of the pelvis** (similar to a cup) enclosed by a joint capsule of cartilaginous tissue. The biomechanics of the joint involves also other soft tissues such as ligaments, which help stabilize it by limiting its movements.
**The cartilage that covers the articular surfaces protects the bones from direct friction** and facilitates the relative sliding during the movements of everyday life.
The onset of some degenerative pathologies (arthrosis, arthritis) can lead to **damage to the cartilage** and to the reduction of its thickness: the bone surfaces therefore enter in direct contact causing **pain.**
[](https://www.permedica.it/en/patients/hip/hip-joint-pathologies/)
#### ##### [HIP JOINT PATHOLOGIES](https://www.permedica.it/en/patients/hip/hip-joint-pathologies/)
[](https://www.permedica.it/en/patients/hip/total-hip-arthroplasty/)
#### ##### [HIP ARTHROPLASTY](https://www.permedica.it/en/patients/hip/total-hip-arthroplasty/)
#### ##### [SURGERY](https://www.permedica.it/en/patients/hip/surgery/)
[](https://www.permedica.it/en/patients/hip/surgery/#nuova-articolazione)
#### ##### [YOUR NEW JOINT](https://www.permedica.it/en/patients/hip/surgery/#nuova-articolazione)
---
### [HANCHE](https://www.permedica.it/area-paziente/anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTICULATION DE LA HANCHE
L’articulation de la hanche comprend la **tête fémorale** (semblable à une sphère) et la **cavité acétabulaire du pelvis** (semblable à une cupule) entourée d’une capsule articulaire en tissu cartilagineux. La biomécanique de l’articulation implique également d’autres tissus mous, tels que les ligaments, qui aident à la stabiliser en limitant ses mouvements.
**Le cartilage qui recouvre les surfaces articulaires protège les os du frottement direct** et facilite le glissement relatif lors des mouvements de la vie quotidienne.
L’apparition de certaines pathologies dégénératives (arthrose, arthrite) peut **endommager le cartilage** et en réduire l’épaisseur: les surfaces osseuses entrent donc en contact direct, provoquant une **douleur**.
[](https://www.permedica.it/fr/les-patients/hanche/pathologies-de-la-hanche/)
#### ##### [PATHOLOGIES DE LA HANCHE](https://www.permedica.it/fr/les-patients/hanche/pathologies-de-la-hanche/)
[](https://www.permedica.it/fr/les-patients/hanche/arthroplastique-de-la-hanche/)
#### ##### [ARTHROPLASTIE DE LA HANCHE](https://www.permedica.it/fr/les-patients/hanche/arthroplastique-de-la-hanche/)
#### ##### [CHIRURGIE](https://www.permedica.it/fr/les-patients/hanche/chirurgie/)
[](https://www.permedica.it/fr/les-patients/hanche/chirurgie/#nuova-articolazione)
#### ##### [VOTRE NOUVELLE ARTICULATION](https://www.permedica.it/fr/les-patients/hanche/chirurgie/#nuova-articolazione)
---
### [ANCA](https://www.permedica.it/area-paziente/anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTICOLAZIONE DELL’ ANCA
L’ articolazione dell’anca è costituita **dalla testa del femore** (assimilabile ad una sfera) e dalla **cavità acetabolare del bacino** (assimilabile ad una coppa) racchiuse da una capsula articolare di tessuto cartilagineo. Nella biomeccanica dell’ articolazione intervengono anche altri tessuti molli quali i legamenti, che contribuiscono a stabilizzarla limitandone i movimenti.
**La cartilagine che ricopre le superfici articolari protegge le ossa dallo sfregamento diretto** e ne agevola lo scorrimento relativo durante i movimenti della vita quotidiana.
L’ insorgere di alcune patologie degenerative può portare al **danneggiamento della cartilagine** (artrosi, artrite) e alla riduzione del suo spessore: le superfici ossee entrano quindi in diretto contatto provocando **dolore**.
[](https://www.permedica.it/area-paziente/anca-paziente/patologie-dellanca/)
#### ##### [PATOLOGIE DELL’ ANCA](https://www.permedica.it/area-paziente/anca-paziente/patologie-dellanca/)
[](https://www.permedica.it/area-paziente/anca-paziente/artroplastica-di-anca/)
#### ##### [ARTROPLASTICA DI ANCA](https://www.permedica.it/area-paziente/anca-paziente/artroplastica-di-anca/)
#### ##### [L’ INTERVENTO](https://www.permedica.it/area-paziente/anca-paziente/intervento-anca-paziente/)
[](https://www.permedica.it/area-paziente/anca-paziente/intervento-anca-paziente/#nuova-articolazione)
#### ##### [LA TUA NUOVA ARTICOLAZIONE](https://www.permedica.it/area-paziente/anca-paziente/intervento-anca-paziente/#nuova-articolazione)
---
### [TRASER](https://www.permedica.it/innovation-systems/traser/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### TRASER
##### Trabecular Laser Melted Titanium
TRASER® ist ein durch ein **3D-Druckverfahren** hergestelltes **trabekuläres Gittersystem,** eine innovative Technologie, bei der als Rohmaterial Metallpulver verwendet wird. Aus diesem wird anhand eines digitalen Modells ein dreidimensionales Produkt hergestellt.
#### STRUKTUELLE CHARAKTERISTIKA
TRASER® ist keine Beschichtung. Die stabilen und porösen Anteile der Pfanne werden in einem kontinuierlichen Prozess einheitlich hergestellt. Es sind somit nicht einzelne Schichten vorhanden, die bei hervorgerufen Scherkräften zu einer Trennung und Ablederung von Metallteilen führen könnten.
Das **offene, unregelmässige,** hochporöse und untereinander vernetzte **Trabekel-Gitter** unterstützt ein rasches Einwachsen des Knochens.
Das Nachahmen der natürlichen Knochenstruktur begünstigt das **Einwachsverhalten des Knochen sowie die Osteointegration\[1\]** für eine langfristige Implantatsstabilität.
– **Porosität**: 70%.
– Randomisierte irreguläre offene Poren
– Komplette Permeabilität
– **Poreninterconnection**: 100%
– Porengrösse von: 100-2000 µm
###### [\[1\] Ragone, V., Canciani, E., Arosio, M. et al. In vivo osseointegration of a randomized trabecular titanium structure obtained by an additive manufacturing technique.
J Mater Sci: Mater Med 31, 17 (2020). ](https://link.springer.com/article/10.1007%2Fs10856-019-6357-0)
#### HERSTELLUNGSPROZESS
Die Komponenten werden durch ein schichtweises Hinzufügen von Titanium hergestellt bis zur Vervollständigung des Produktes. Dies ist ein markanter Unterschied zu traditionellen maschinellen Prozessen, bei denen das Endprodukt durch Formung aus dem Rohmaterial gebildet werden.
**“Selective Laser Melting” ist eine 3D-Druck-Technologie,** bei der aus einem Laserstrahl spezifische Titanpulverschichten zu stabilen 3D-Produkten selektiv geschmolzen und gesintert werden.
Der Selective Laser Melting-Prozess findet in einer inerten Atmosphäre (Argon) statt, um jegliche Oxidation des Titanpulver zu vermeiden.
Im Anschluss an den SLM-Prozess werden die fertigen Komponenten von der Plattform genommen und durchlaufen eine thermische Behandlung und eine Sandstrahlung. Danach erfolgt eine traditionelle mechanische Bearbeitung um das endgültige implantierbare Produkt zu erhalten.
#### VIELSEITIGKEIT
Die **3D-Drucktechnologie erlaubt es, poröse Strukturen** in komplexem Design und unterschiedlichen Formen herzustellen.
**Permedica verwendet die TRASER-Technologie um Prothesenkomponenten für unterschiedliche Gelenke herstellen zu können: Hüfte, Schulter und custom-made-Produkte.**
---
### [TRASER](https://www.permedica.it/innovation-systems/traser/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### TRASER
##### Titane trabéculaire fondu au laser
TRASER® est une **structure trabéculaire** réalisée par un **procédé de fabrication additive,** une technologie innovante qui permet de produire des objets solides en trois dimensions à partir d’un modèle numérique en utilisant comme matière première une poudre de métal.
#### LES CARACTÉRISTIQUES
TRASER® n’est pas un revêtement poreux. Le solide et les parties poreuses de la cupule sont construits de manière continue, créant ainsi une pièce unique sans couches d’interface entre les différentes parties et.
Par conséquent, sans forces de cisaillement, évitant ainsi tout risque de détachement.
La **structure trabéculaire hautement poreuse** est caractérisée par des **pores irréguliers ouverts,** entièrement interconnectés pour favoriser la **croissance rapide de l’os.**
Imitant la nature de l’os pour favoriser la croissance et l’ostéointégration\[1\] de l’os pour une stabilité à long terme des implants.
– **Porosité**: 70%.
– Pores aléatoires de forme irrégulière
– Perméabilité complète
– **Interconnectivité des pores**: 100%
– Gamme de taille de pores: 100-2000 µm
###### [\[1\] Ragone, V., Canciani, E., Arosio, M. et al. In vivo osseointegration of a randomized trabecular titanium structure obtained by an additive manufacturing technique.
J Mater Sci: Mater Med 31, 17 (2020). ](https://link.springer.com/article/10.1007%2Fs10856-019-6357-0)
#### CYCLE DE FABRICATION
Les objets sont créés en ajoutant le matériau en couches successives jusqu’à la fin de l’objet, ce qui diffère du processus d’usinage traditionnel avec des machines-outils, dans lequel l’objet est obtenu en soustrayant un matériau du matériau brut.
**La fusion sélective au laser est une technologie de fabrication additive** qui de manière sélective ( progressivement et localement) et au moyen d’un faisceau laser, fusionne des parties spécifiques d’une couche de poudre de titane pour créer des parties solides en 3D.
Le procédé de fusion sélective au laser a lieu dans une atmosphère inerte (Argon) afin d’éviter toute oxydation de la poudre de titane.
Après le processus SLM, les composants obtenus sont détachés de la plate-forme de support et subissent un traitement thermique et un sablage au jet, puis un usinage mécanique traditionnel pour obtenir le produit implantable final.
#### POLYVALENCE
**La technologie d’impression 3D offre la possibilité de créer des structures poreuses** au design complexe et aux formes variées.
**Permedica adopte la technologie TRASER pour produire des composants prothétiques pour de multiples articulations: solutions pour la hanche, l’épaule et sur mesure.**
---
### [TRASER](https://www.permedica.it/innovation-systems/traser/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### TRASER
##### Trabecular Laser Melted Titanium
TRASER® is a **trabecular lattice** realized by **additive manufacturing process,** an innovative technology that allows to produce three-dimensional solid objects from a digital model using as a raw material metal powder.
#### CHARACTERISTICS
TRASER® is not a porous coating. The solid and the porous portions of the cup are built up in a continuous process, thus creating a single piece without interface layers between different portions and, consequently.
Without shear forces thus avoiding any risk of detachment.
The **highly porous trabecular network** characterized by open **irregular pores,** fully interconnected to promote **fast bone ingrowth.**
Mimicking the nature of bone to provide **bone ingrowth** and **osseointegration\[1\]** for long-term implant stability.
– **Porosity**: 70%.
– Random irregular shaped pores.
– Complete permeability.
– **Pore interconnection**: 100%
– Pore size range: 100-2000 µm
###### [\[1\] Ragone, V., Canciani, E., Arosio, M. et al. In vivo osseointegration of a randomized trabecular titanium structure obtained by an additive manufacturing technique.
J Mater Sci: Mater Med 31, 17 (2020). ](https://link.springer.com/article/10.1007%2Fs10856-019-6357-0)
#### MANUFACTURING PROCESS
The objects are created by adding the material in successive layers one over the other up to completion of the object, this differs from traditional machining process with machine tools, in which the object is obtained by subtracting material from the raw material.
**Selective Laser Melting is an additive** manufacturing technology that selectively melts and sinterizes by means of a laser beam specific portions of titanium powder layer to create 3D solid parts.
Selective Laser Melting process take place in an inert atmosphere (Argon) in order to avoid any titanium powder oxidation.
Following to the SLM process the achieved components are detached from the support platform and undergo to thermal treatment and sandblasting, then to traditional mechanical machining to obtain the final implantable product.
#### VERSATILITY
**3D printing technology offer the possibility to create porous structures** with complex design and various shapes.
**Permedica adopts the TRASER technology to produce prosthetic components for multiple joints: hip, shoulder and custom-made solutions.**
---
### [TOTAL KNEE ARTHROPLASTY](https://www.permedica.it/area-paziente/ginocchio-paziente/ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### TOTAL KNEE ARTHROPLASTY
A Total Knee Arthroplasty aims to **restore the functionality of the joint** lost following traumas or invalidating pathologies.
Implantation of an artificial joint aims to **reduce pain, regain lost mobility** and **improve the patient’s quality of life.**
A knee prosthesis is generally composed of 3 components made of highly biocompatible materials
1\. **Tibial component** (metal)
2\. **Joint** liner (polyethylene)
3\. **Femoral component** (metal) and eventual patellar component (polyethylene)
FIxation of the prosthesis to the bone can be cementless (biological fixation) or cemented.
---
### [KNEE JOINT PATHOLOGIES](https://www.permedica.it/area-paziente/ginocchio-paziente/patologie-del-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### KNEE JOINT PATHOLOGIES
The bone surfaces of our skeleton interface with each other through the **joints.**
The joints can be of different types depending on the relative movement between the bones that compose them: **in some cases they connect two or more bones with extreme mobility, such as the hip, the knee, the shoulder;** in other cases they joins together bones with limited mobility, such as the bones of the spine; in other cases they join absolutely immobile bones, such as those of the skull.
The joints, especially those subject to load and more involved in the movement, can be afflicted by pathologies that can lead to the need for joint replacement surgery.
**These pathologies are multiple, they can be of different nature** (degenerative, traumatic, congenital) **and highly disabling.**
- [OSTEOARTHRITIS](#artrosi)
- [RHEUMATOID ARTHRITIS](#artrite)
- [OSTEOPOROSIS](#osteoporosi)
- [VARUS/VALGUS KNEE](#ginocchio_varo)
#### OSTEOARTHRITIS
Osteoarthritis is a **degenerative pathological process of the articular surfaces** that involves the entire joint (bone, cartilage, joint capsule).
It is a very common condition that usually occurs between the ages of 50 and 60, but can also occur at a younger age. It is classified as **“primary” osteoarthritis when the origin is not known,** or as **“secondary” when it arises as a result of inflammatory processes** (arthritis), endocrine (diabetes or gout), congenital (dysplasia) or traumatic, which alter morphology and joint function.
The arthritic pathology **manifests itself with the wear and the gradual reabsorption of the articular cartilage,** thinning of the articular space, anomalous production of bone (osteophytes), deformation of the articular edges, thickening of the capsule with formation of calcifications, resulting in **acute pain and severe limitation in the movement.**
The diagnosis is easily recognizable based on the symptoms and a simple radiographic examination. Therapy is planned based on the stage of progress.
The **most affected joints are those of the hip** (coxarthrosis), of **the knee** (gonarthrosis) and **of** **the shoulder** (omarthrosis).
The most effective therapy for the treatment of osteoarthrosis is surgery, with the prosthetic replacement of the articular edges involved. Pharmacological therapies, physiotherapy treatments, cortisone infiltrations or anything else can temporarily relieve pain but do not constitute a definitive solution.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
[Link to #top](#top)
#### RHEUMATOID ARTHRITIS
Rheumatoid arthritis is a **chronic and progressive inflammatory polyarthritis with autoimmune pathogenesis** of the synovial joints.
It differs from arthritis because it initially affects the synovial membrane and not the cartilage, it affects with less frequency and at a more youthful age compared to osteoarthritis. Women are more affected (3: 1 ratio). It affects 1-2% of the population and the number of cases increases with age, in fact 5% of women over 55 are affected. **Onset is mainly observed at the end of adolescence or between the 4th and 5th decade of life;** a second peak is observed between 60 and 70 years.
An early variant of RA consists of rheumatoid arthritis of childhood.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
#### OSTEOPOROSIS
Osteoporosis is a **systemic and metabolic disease of the skeletal system,** which occurs in the elderly and **with greater incidence in women.**
The result is an **increase in the fragility of bones that are more easily subject to fractures.**
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
#### VARUS/VALGUS KNEE
In a normal situation, **the joints of the lower limb** (hip, knee and ankle) **appear to be aligned on a common axis called the mechanical axis** or load axis.
This axis in the tibia corresponds to the diaphyseal axis (anatomical axis) while in the femur the anatomical axis differs from the mechanical one, forming an angle of about 6 degrees (angle of physiological valgus).
**If this alignment is modified there is a pathological situation with axial deviation,** with consequent **alteration of the articular biomechanics which over time leads to wear of the cartilage** of the areas subjected to load bearing.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
---
### [TOTAL HIP ARTHROPLASTY](https://www.permedica.it/area-paziente/anca-paziente/artroplastica-di-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### TOTAL HIP ARTHROPLASTY
A Total Hip Arthroplasty aims to **restore the functionality of the joint** lost following traumas or invalidating pathologies.
Implantation of an artificial joint aims to **reduce pain, regain lost mobility** and **improve the patient’s quality of life.**
A hip prosthesis is generally composed of **3 components** made of highly biocompatible materials:
1\. Femoral **Stem** (metal)
2\. Articular **Head** (metal or ceramic)
3\. 3. Acetabular **Cup** composed by a metal shell with a Polyethylene or ceramic inner liner (cementless) or totally made of Polyethylene (cemented).
FIxation of the prosthesis to the bone can be cementless (biological fixation) or cemented.
---
### [HIP JOINT PATHOLOGIES](https://www.permedica.it/area-paziente/anca-paziente/patologie-dellanca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### HIP JOINT PATHOLOGIES
The bone surfaces of our skeleton interface with each other through the **joints.**
The joints can be of different types depending on the relative movement between the bones that compose them: **in some cases they connect two or more bones with extreme mobility, such as the hip, the knee, the shoulder;** in other cases they joins together bones with limited mobility, such as the bones of the spine; in other cases they join absolutely immobile bones, such as those of the skull.
The joints, especially those subject to load and more involved in the movement, can be afflicted by pathologies that can lead to the need for joint replacement surgery.
**These pathologies are multiple, they can be of different nature** (degenerative, traumatic, congenital) **and highly disabling.**
- [OSTEOARTHRITIS](#artrosi)
- [RHEUMATOID ARTHRITIS](#artrite)
- [FEMORAL NECK FRACTURES](#frattura_femore)
- [CEPHALIC NECROSIS](#osteonecrosi)
- [OSTEOPOROSIS](#osteoporosi)
- [HIP DISPLASIA](#displasia)
#### OSTEOARTHRITIS
Osteoarthritis is a **degenerative pathological process of the articular surfaces** that involves the entire joint (bone, cartilage, joint capsule).
It is a very common condition that usually occurs between the ages of 50 and 60, but can also occur at a younger age. It is classified as **“primary” osteoarthritis when the origin is not known,** or as **“secondary” when it arises as a result of inflammatory processes** (arthritis), endocrine (diabetes or gout), congenital (dysplasia) or traumatic, which alter morphology and joint function.
The arthritic pathology **manifests itself with the wear and the gradual reabsorption of the articular cartilage,** thinning of the articular space, anomalous production of bone (osteophytes), deformation of the articular edges, thickening of the capsule with formation of calcifications, resulting in **acute pain and severe limitation in the movement.**
The diagnosis is easily recognizable based on the symptoms and a simple radiographic examination. Therapy is planned based on the stage of progress.
The **most affected joints are those of the hip** (coxarthrosis), **of the knee** (gonarthrosis) and **of the shoulder** (omarthrosis).
The most effective therapy for the treatment of osteoarthrosis is surgery, with the prosthetic replacement of the articular edges involved. Pharmacological therapies, physiotherapy treatments, cortisone infiltrations or anything else can temporarily relieve pain but do not constitute a definitive solution.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
[Link to #top](#top)
#### RHEUMATOID ARTHRITIS
Rheumatoid arthritis is a **chronic and progressive inflammatory polyarthritis with autoimmune pathogenesis** of the synovial joints.
It differs from arthritis because it initially affects the synovial membrane and not the cartilage, it affects with less frequency and at a more youthful age compared to osteoarthritis. Women are more affected (3: 1 ratio). It affects 1-2% of the population and the number of cases increases with age, in fact 5% of women over 55 are affected. **Onset is mainly observed at the end of adolescence or between the 4th and 5th decade of life;** a second peak is observed between 60 and 70 years.
An early variant of RA consists of rheumatoid arthritis of childhood.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
#### FEMORAL NECK FRACTURES
The fracture of the femoral neck is frequent in the elderly, since, as is known, **over the years there is a decrease in the characteristics of mechanical strength of the bone,** especially in this anatomical district.
**The fracture usually occurs due to rotational stress, rather than due to direct traumas to the hip,** so that the subject, sliding or supporting the lower limb incorrectly determines a sharp rotation, which results in the fracture of the neck and, only afterwards, the fall due to lack of support.
Because of the peculiar vascularization characteristics of the femoral head (that receives the spraying only through the neck and a fracture of this can interrupt the blood flow to the head) these fractures often undergo pseudoarthrosis, or failure to consolidate.
For this reason it is preferable to treat older patients (over 70-75 years) directly with a prosthesis, in order to avoid long and dangerous periods in bed without a valid guarantee of success.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
#### CEPHALIC NECROSIS
Cephalic osteonecrosis (i.e. cell death of bone tissue of the femoral head) can often **be idiopathic** (from unknown causes), **sometimes induced by drug abuse** (cortisone) or **post-traumatic.** Regardless of the cause, a common factor it concerns an insufficient vascularization of the femoral head and consequent necrosis (usually in the region of greatest load) which weakens the structure leading to the collapse of the subchondral bone (which is immediately below the cartilage) following to load bearing, with subsequent appearance of secondary arthrosis.
The **first symptoms are groing pain directly related to the load**, which radiate to the knee at a later stage. A limitation of hip mobility caused by pain may also arise.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
#### OSTEOPOROSIS
Osteoporosis is a **systemic and metabolic disease of the skeletal system**, which occurs in the elderly and **with greater incidence in women.** It is characterized by low mineral density and deterioration of the structure of bone tissue.
The result is an **increase in the fragility of bones that are more easily subject to fractures.**
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
#### HIP DISPLASIA
Hip dysplasia is represented by an **incomplete or failed formation of the acetabular cavity** that does not allow normal articulation with the femoral head, which consequently undergoes a morphological alteration.
**It is often associated with or deriving from congenital dislocation of the hip** (when the femoral head is not retained within its anatomical site).
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
---
### [TRASER](https://www.permedica.it/innovation-systems/traser/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### TRASER
##### Trabecular Laser Melted Titanium
TRASER® è una **struttura trabecolare** realizzata mediante processo di **manifattura additiva di stampa 3D**, una tecnologia innovativa che permette di realizzare oggetti solidi tridimensionali partendo da un modello digitale utilizzando come materia prima polvere di materiale metallico.
#### CARATTERISTICHE STRUTTURALI
TRASER® non è un rivestimento poroso. La porzione piena e la porzione porosa del prodotto finito sono costruiti in un unico processo continuo, in maniera tale da creare un unico pezzo senza soluzione di continuità tra la parte piena e la parte porosa esterna.
In questo modo sono eliminate le forze di taglio presenti all’interfaccia e il rischio di distacco tipici di un rivestimento.
La **struttura trabecolare** ad **elevata porosità** è caratterizzata da **pori irregolari aperti** e completamente interconnessi per promuovere una **veloce ricrescita dell’osso** al suo interno.
Imita la natura dell’osso per consentire la **ricrescita ossea** e l’**osteointegrazione \[1\]** per una stabilità a lungo termine.
– **Porosità**: 70%.
– Pori di forma irregolare random
– Completa permeabilità
– **Interconnessione dei pori**: 100%
– Range dimensione dei pori: 100-2000 µm
###### [\[1\] Ragone, V., Canciani, E., Arosio, M. et al. In vivo osseointegration of a randomized trabecular titanium structure obtained by an additive manufacturing technique.
J Mater Sci: Mater Med 31, 17 (2020). ](https://link.springer.com/article/10.1007%2Fs10856-019-6357-0)
#### CICLO PRODUTTIVO
Le componenti sono realizzate aggiungendo materiale in strati successivi, uno sopra l’altro, fino al completamento del pezzo, a differenza della manifattura tradizionale con macchine utensili le quali costruiscono le componenti asportando materiale dalla materia prima.
La **fusione laser selettiva (Selective Laser Melting)** è una tecnologia di manifattura additiva che in maniera selettiva fonde tra loro specifiche porzioni di uno strato sottile di polvere di titanio per mezzo di un fascio laser per creare oggetti solidi.
La fusione laser selettiva avviene in atmosfera inerte (Argon) per prevenire l’ossidazione della polvere di titanio durante il processo.
Al termine del processo SLM i pezzi ottenuti vengono staccati dal supporto, sottoposti a trattamento termico e sabbiatura quindi sottoposti a successive lavorazioni meccaniche tradizionali per ottenere il prodotto finito.
#### VERSATILITÀ
La tecnologia della **stampa 3D** offre la possibilità di realizzare **costrutti porosi** dal design complesso e dalle forme più varie.
**Permedica utilizza la tecnologia TRASER per realizzare componenti protesiche per diverse articolazioni: anca, spalla e soluzioni custom-made.**
---
### [DIE SCHULTERPROTHESE](https://www.permedica.it/area-paziente/spalla-paziente/artroplastica-di-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
DIE SCHULTERPROTHESE
Das Einsetzen einer Schulterprothese hat zum Ziel, die durch eine Trauma oder eine Abnützung irgendwelcher Art **verlorene Gelenksfunktion wieder herzustellen.**
Dies durch eine **Herabsetzung des Schmerzes, ein Wiedererlangen der Beweglichkeit und damit eine Verbesserung der Lebenqualität.**
Es gibt zwei Arten von Schulterprothesen, bestehend aus je indestens **drei Komponenten.**
**Die anatomische Schulterprothese besteht aus**
1\. Einem **Anteil des Oberarmes**
2\. Einem **künstlichen Oberarmkopf**
3\. Und einer **Gelenkpfanne**
**Die inverse Schulterprothese ebenfalls aus**
1\. Einem **Oberarmanteil**
2\. Einem **Gelenksanteil**
3\. Sowie einer in die Gelenkpfanne **geschraubte Glenosphäre**
Erstere, anatomische, wird vorallem eingesetzt bei der primären Arthrose mit erhaltener Rotatorenmanschette, leztere, inverse, bei ausgedehnten Gelenkszerstörungen und Rotatorenmanschettendefekten.
Beide Prothesen könne sowohl in einer biologischen Variante (Einwachsen den bestehenden Knochen) sowie in einer zementierten Variante (Fixierung der Prothese im Knochen durch Knochenzement) verwendet werden.
---
### [ARTHROPLASTIE DE L’ÉPAULE](https://www.permedica.it/area-paziente/spalla-paziente/artroplastica-di-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### *ARTHROPLASTIE DE L’ÉPAULE*
Une arthroplastie totale de l’épaule a pour objectif de **restaurer la fonctionnalité de l’articulation** perdue à la suite de traumatismes ou de pathologies invalidantes.
L’implantation d’une articulation artificielle vise à **réduire la douleur,** à **retrouver la mobilité** perdue et à **améliorer la qualité de vie** du patient.
Il existe deux configurations différentes de prothèse d’épaule, anatomique et inversée, toutes deux généralement composées de **3 composants** en matériaux hautement biocompatibles.
**Anatomique**
1\. **Composant huméral** (métal)
2\. **Tête humérale** (métal ou polyéthylène)
3\. **Composant glénoïdien** (métal ou polyéthylène) et éventuellement insert (métal ou polyéthylène)
**Inversée**
1\. **Composant huméral** (métal)
2\. **Insert huméral** (métal ou polyéthylène)
3\. **Glénosphère** (métal ou polyéthylène)
La configuration inversée est généralement indiquée en cas de maladie de la coiffe des rotateurs.
La fixation de la prothèse sur l’os peut être sans ciment (fixation biologique) ou cimentée.
---
### [TOTAL SHOULDER ARTHROPLASTY](https://www.permedica.it/area-paziente/spalla-paziente/artroplastica-di-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### TOTAL SHOULDER ARTHROPLASTY
A Total Shoulder Arthroplasty aims to **restore the functionality of the joint** lost following traumas or invalidating pathologies.
Implantation of an artificial joint aims to **reduce pain, regain lost mobility** and **improve the patient’s quality of life.**
There are two different configurations of shoulder prosthesis, anatomical and reverse, both generally composed of 3 components made of highly biocompatible materials.
**Anatomic**
1\. **Humeral component** (metal)
2\. **Humeral** head (metal or polyethylene)
3\. **Glenoid component** (metal or polyethylene) and eventual joint liner (metal or polyethylene)
**Reverse**
1\. **Humeral component** (metal)
2\. **Humeral** liner (metal or polyethylene)
3\. **Glenosphere** (metal or polyethylene)
The inverse configuration is generally indicated in case of rotator cuff diseases.
FIxation of the prosthesis to the bone can be cementless (biological fixation) or cemented.
---
### [ARTROPLASTICA DI SPALLA](https://www.permedica.it/area-paziente/spalla-paziente/artroplastica-di-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
ARTROPLASTICA DI SPALLA
L’intervento di artroplastica totale di spalla ha l’obiettivo di **ripristinare la funzionalità perduta dell’articolazione** in seguito di traumi o patologie invalidanti.
Un impianto artificiale composto da più componenti mira a **ridurre il dolore, recuperare la mobilità perduta** e **migliorare** la qualità della vita del paziente.
Esistono due diverse configurazioni di protesi di spalla, anatomica e inversa, entrambe generalmente composte da 3 componenti realizzati con materiali altamente biocompatibili.
**Anatomica**
1\. **Componente omerale** (in metallo)
2\. **Testa** omerale (in metallo o polietilene)
3\. **Componente glenoideo** (in metallo o polietilene) ed eventuale inserto (in metallo o polietilene)
**Inversa**
1\. **Componente omerale** (in metallo)
2\. **Inserto** omerale (in metallo o polietilene)
3\. **Glenosfera** (in metallo o polietilene)
La configurazione inversa è generalmente indicata in caso di patologie della cuffia dei rotatori.
La fissazione della protesi all’osso può essere senza utilizzo di cemento (fissazione biologica) o mediante utilizzo di cemento.
---
### [MEDICAL PROFESSIONALS](https://www.permedica.it/area-chirurgo/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [Presentazione](https://www.permedica.it/presentazione/)
**Published:** Aprile 1, 2021
**Author:** pm_ema
**Content:**
---
### [Webinar Video](https://www.permedica.it/webinar-video/)
**Published:** Aprile 1, 2021
**Author:** pm_ema
**Content:**
---
### [gio](https://www.permedica.it/gio/)
**Published:** Aprile 1, 2021
**Author:** Giovanni
**Content:**
---
### [PERMEDICA VIDEOS test](https://www.permedica.it/permedica-videos/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### ## WELCOME IN PERMEDICA ORTHOPAEDICS
#### ## PERMEDICA TRASER TECHNOLOGY
#### ## PERMEDICA BIOLOGY TECHNOLOGY
#### ## PERMEDICA FORGING PROCEDURE
#### ## PERMEDICA HAX PORE TECHNOLOGY
---
### [SCHULTERGELENKSERKRANKUNGEN](https://www.permedica.it/area-paziente/spalla-paziente/patologie-della-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### SCHULTERGELENKSERKRANKUNGEN
Die Gelenksoberflächen unseres Skelettes bewegen sich gegeneinander.
Wir haben damit **Gelenke an unserem Körper,** die eine ausgeprägte Beweglichkeit zeigen wie das **Hüftgelenk,** das **Kniegelenk** und das **Schultergelenk;**andere hingegen, wie zum Beispiel die Wirbelsäule zeigen eingeschränktere Bewegungsmuster.Vorallem die Gelenke, welche durch die Bewegung stärker belastet sind, zeigen eine höhere Abnützungsrate und damit sind sie eher vom künstlichen Gelenksersatz betroffen.
**Die Ursachen, welche dazu führen sind verschiedenartig;** sie können **abnützungsbedingt, traumatisch oder auch anlagebedingt sein.**
Sie führen zu einer ausgeprägten Verschlechterung der Beweglichkeit des entsprechenden Gelenkes.
- [SCHULTERGELENKSARTHROSE](#artrosi)
- [ARTRITE REUMATOIDE](#artrite)
- [OBERARMKOPFBRÜCHE](#spalla_omerale)
- [OSTEOPOROSE](#osteoporosi)
- [ARTHROSE AUFGRUND EINES ROTATORENMANSCHETTENRISSES](#artropatia)
#### SCHULTERGELENKSARTHROSE
Die Schultergelenkarthrose ist **eine Abnützungserkrankung welche vorallem den Gelenkknorpel,** aber auch die Kapselstrukturen und letztendlich den Knochen betreffen können.
Betroffen sind eher ältere Personen; je nach Ursache der Erkrankung kölnnen aber auch junge menschen befallen sein. Die Arthrose wird als **primäre Arthrose bezeichnet bei unbekanntem Ursprung;** als **sekundäre Arthrose wenn sie aufgrund eines entzündlichen, traumatischen, hormonbedingten oder angeborenen Leiden entsteht.**
Das arthrotische Gelenk zeigt **eine Gelenksverschmälerung mit Knorpel- und Knochenzerstörung;** pathologische Knochenanlagerung, Gelenkkapselverdickung mit Kalkablagerungen. Dies führt zu **starken Schmerzen und einer eingeschränkten Beweglichkeit** des Gelenkes.
Die Diagnosestellung erfolgt aufgrund der Beschwerdezeichen zusammen mit der röntgenologischen Abklärung wie traditionelles Röntgenbild und eine Magnetresonanz- ode Computertomographieuntersuchung. Je nach Ausdehnung der Erkrankung wird eine entsprechende Therapie eingeleitet.
Das Schultergelenk mit der **Schultergelenksarthrose** gehört zusammen mit **der Hüfte (Hüftgelenksarthrose)** und **dem Kniegelenk (Kniegelenksarthrose)** zu den am häufigsten betroffenen Gelenke.
In einem fortgeschrittenen Stadium der Gelenkserkrankung wird die prothetische Versorgung des Gelenkes in betracht gzogen; dies nachdem Physiotherapie, medikamentöse Therapien wie entzündungshemmende Medikamente und/oder Kortsoninjektionen keine besserung erbracht haben.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
[Link to #top](#top)
#### DIE RHEUMATISCHE ARTHRITIS
Die rheumatische Arthritis ist **eine chonische entzndliche Gelenkserkrankung, welche in einer Autoimmunerkrankung der Gelenksinnenhaut gründet.**
Die Erkrankung betrifft in erster Linie die Gelenksinnenhaut und geht anschliessend in eine Knorpel- und Knochenzerstörung über. Die Erkrankung ist weniger häufig als die Arthrose und kann auch eher jüngere Menschen betreffen; 1-2 % der Gesamtbevölkerung; im 3:1 Verhältnis mehr Frauen; und hier 5% der über 55-jährigen. **Die am meisten betroffene Altersgruppe liegt zwischen 40 und 50 Jahre;** eine zweite Häufung der Erkrankung zwischen 60 und 70 Jahren.
Es sind aber auch kindliche Formen dieser Erkrankung bekannt.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
#### OBERARMKOPFBRÜCHE
Der Oberarmkopfbruch ist **einer der häufigsten Knochenbrüche welche zu einer Operation an der Schulter führen.**
Bei älteren Menschen, vorallem bei Patienten mit Osteoporose, kann bereits ein einfacher Sturz einen Bruch bewirken; bei einem jüngern Menschen braucht es dazu ein grösseres Trauma wie einen Verkehrs- oer Sportunfall.
**Die Zeichen eines bruches sind starke Schmerzen und Bewegungsunfähigkeit des Schultergelenkes.** Diese Frakturen können, je nach dem Typ der Fraktur, ohne oder mit einer Operation versorgt werden. Bei einer Operationen stehen verschioedene Möglichkeiten zur Wahl; es sind dies die Osteosynthese mit Platten / Nagel oder eine Schultergelenksprothese.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
#### OSTEOPOROSE
Die Osteoporose ist eine **Gesamtkörpererkrankung des Knochens;** vorkommend vorallem bei älteren Menschen **mit einer Bevorzugung des weiblichen Geschlechtes.**
Es zeigt sich eine Verminderung des Kalkgehaltes und Veränderung der Knochenstruktur.
Das Ergebnis ist eine **vermehrte Knochenbrüchigkeit.**
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
#### ARTHROSE AUFGRUND EINES ROTATORENMANSCHETTENRISSES
Der ausgedehnte Riss der Rotatorenmanschette führt zu einer **muskulären Schwäche des gerissenen Muskels und damit zu einer Aufhebung des zentrierten Gelenkmechanismus der Schulter.**
Die Folge ist eine Knorpel- und anschliessend Knochenzerstörung (Gelenks-Arthrose) mit zunehmenden Schmerzen, Bewegungs- und Belastungsunfähigkeit.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
---
### [KNIEGELENKSERKRANKUNGEN](https://www.permedica.it/area-paziente/ginocchio-paziente/patologie-del-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### KNIEGELENKSERKRANKUNGEN
Die Gelenksoberflächen unseres Skelettes bewegen sich gegeneinander.
Wir haben damit **Gelenke an unserem Körper,** die eine ausgeprägte Beweglichkeit zeigen wie das **Hüftgelenk,** das **Kniegelenk** und das **Schultergelenk;** andere hingegen, wie zum Beispiel die Wirbelsäule zeigen eingeschränktere Bewegungsmuster.Vorallem die Gelenke, welche durch die Bewegung stärker belastet sind, zeigen eine höhere Abnützungsrate und damit sind sie eher vom künstlichen Gelenksersatz betroffen.
**Die Ursachen, welche dazu führen sind verschiedenartig;** sie können **abnützungsbedingt, traumatisch oder auch anlagebedingt sein.**
Sie führen zu einer ausgeprägten Verschlechterung der Beweglichkeit des entsprechenden Gelenkes.
- [KNIEGELENKSARTHROSE](#artrosi)
- [RHEUMATOIDE ARTHRITIS](#artrite)
- [OSTEOPOROSE](#osteoporosi)
- [VARUS/VALGUS KNIE](#ginocchio_varo)
#### KNIEGELENKSARTHROSE
Die Kniegelenkarthrose ist **eine Abnützungserkrankung welche vorallem den Gelenkknorpel,** aber auch die Kapselstrukturen und letztendlich den Knochen betreffen können.
Betroffen sind eher ältere Personen; je nach Ursache der Erkrankung kölnnen aber auch junge menschen befallen sein. Die Arthrose wird als **primäre Arthrose bezeichnet bei unbekanntem Ursprung;** als **sekundäre Arthrose wenn sie aufgrund eines entzündlichen, traumatischen, hormonbedingten oder angeborenen Leiden entsteht.**
Das arthrotische Gelenk zeigt **eine Gelenksverschmälerung mit Knorpel- und Knochenzerstörung;** pathologische Knochenanlagerung, Gelenkkapselverdickung mit Kalkablagerungen. Dies führt zu **starken Schmerzen und einer eingeschränkten Beweglichkeit** des Gelenkes.
Die Diagnosestellung erfolgt aufgrund der Beschwerdezeichen zusammen mit der röntgenologischen Abklärung wie traditionelles Röntgenbild und eine Magnetresonanz- ode Computertomographieuntersuchung. Je nach Ausdehnung der Erkrankung wird eine entsprechende Therapie eingeleitet.
Das Kniegelenk mit der **Kniegelenksarthrose** gehört zusammen mit **der Schulter (Schultergelenksarthrose)** und **dem Hüftgelenk (Hüftgelenksarthrose)** zu den am häufigsten betroffenen Gelenke.
In einem fortgeschrittenen Stadium der Gelenkserkrankung wird die prothetische Versorgung des Gelenkes in betracht gzogen; dies nachdem Physiotherapie, medikamentöse Therapien wie entzündungshemmende Medikamente und/oder Kortsoninjektionen keine besserung erbracht haben.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
[Link to #top](#top)
#### RHEUMATOIDE ARTHRITIS
Die rheumatische Arthritis ist **eine chonische entzndliche Gelenkserkrankung, welche in einer Autoimmunerkrankung der Gelenksinnenhaut gründet.**
Die Erkrankung betrifft in erster Linie die Gelenksinnenhaut und geht anschliessend in eine Knorpel- und Knochenzerstörung über. Die Erkrankung ist weniger häufig als die Arthrose und kann auch eher jüngere Menschen betreffen; 1-2 % der Gesamtbevölkerung; im 3:1 Verhältnis mehr Frauen; und hier 5% der über 55-jährigen. **Die am meisten betroffene Altersgruppe liegt zwischen 40 und 50 Jahre;** eine zweite Häufung der Erkrankung zwischen 60 und 70 Jahren.
Es sind aber auch kindliche Formen dieser Erkrankung bekannt.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
#### OSTEOPOROSE
Die Osteoporose ist eine **Gesamtkörpererkrankung des Knochens;** vorkommend vorallem bei älteren Menschen **mit einer Bevorzugung des weiblichen Geschlechtes.**
Es zeigt sich eine Verminderung des Kalkgehaltes und Veränderung der Knochenstruktur.
Das Ergebnis ist eine **vermehrte Knochenbrüchigkeit.**
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
#### VARUS/VALGUS KNIE
Beim gesunden Menschen befinden sich die **Gelenke der unteren Extremität** (Hüfte, Knie, Sprunggelenk) **in einer gemeinsamen Achse,** welche **mechanische Achse** oder Belastungsachse genannt wird.
Im Unterschenkel entspricht diese der anatomischen Achse, im Oberschenkel jedoch weicht die anatomische Achse von der mechanischen Achse um etwa 6° ab (man nennt dies den physiologischen Valguswinkel).
**Kommt es nun aufgrund einer krankhaften Veränderung zu einer etwaigen Achsabweichung,** führt dies nachhaltig zu einer **Änderung der Biomechanik, welche mit Fortdauer den Knorpelabrieb in den Belastungszonen deutlich erhöht.**
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
---
### [Avis de non-responsabilité au patient ](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
**Published:** Marzo 11, 2020
**Author:** pm_ema
**Content:**
#### Avis de non-responsabilité au patient
Sur ce site, il y a des descriptions courtes et non exhaustives des concepts généraux concernant l’anatomie des articulations, certaines pathologies et les procédures d’arthroplastie.
Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.
Nous déclinons toute responsabilité pour les erreurs et inexactitudes contenues sur le site.
En cas de doute et / ou de question, veuillez-vous contacter votre médecin généraliste ou chirurgien orthopédiste.
---
### [HAFTUNGSAUSSCHLUSS](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
**Published:** Marzo 11, 2020
**Author:** pm_ema
**Content:**
#### Haftungsausschluss
Im folgenden sehen Sie eine kurze und womöglich nicht vollständige Beschreibungen von allgemeinen Vorstellungen der Anatomie, der krankhaften Gelenksveränderungen sowie der prothetischen Versorgungsmöglichkeiten.
Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.
Wir lehnen jede Haftung für jegliche Fehler und ungenauen Beschreibungen auf dieser Seite ab.
Sollten Sie weiterführende Fragen haben, so stellen Sie diese bitte Ihrem Hausarzt oder Ihrem orthopädischen Chirurgen.
---
### [Patient disclaimer ](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
**Published:** Marzo 11, 2020
**Author:** pm_ema
**Content:**
#### Patient disclaimer
This website reports brief and non-exhaustive descriptions of general concepts on joints anatomy, some pathologies and joint arthroplasty procedures.
The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.
We decline any responsibility for any errors and inaccuracies contained on the site.
Should you have any questions or concerns, please address them either to your general practitioner or to your orthopaedic surgeon.
---
### [Scarico delle responsabilità paziente](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
**Published:** Marzo 11, 2020
**Author:** pm_ema
**Content:**
#### Scarico delle responsabilità per il paziente
Su questo sito sono presenti descrizioni brevi e non esaustive di concetti generali riguardanti l’anatomia delle articolazioni, alcune patologie e procedure di artroplastica.
Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.
Si declina ogni responsabilità per eventuali errori ed imprecisioni contenuti nel sito.
In caso di dubbi e/o domande si prega di rivolgersi al proprio medico di base o al proprio chirurgo ortopedico.
---
### [Form test](https://www.permedica.it/form-test/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Il tuo nome (obbligatorio)
La tua email (obbligatorio)
Oggetto
Il tuo messaggio
Opzione 1Opzione 2
Opzione 1Opzione 2
Inserisci qui la condizione per il consenso.
×
---
### [Form anca](https://www.permedica.it/form-anca/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Produkt InformationOperationstechnik
PROMISE SEXACTA RSEXACTAEXACTA SSL-AUTOBLOCCANTESYNTHESISPBFKONEPM ProMotionFemurköpfeJUMP SystemJUMP System TRASERACORN TRASERACORNJUMP System CEMENTEDInlaysJUMP System TRASER Acetabular CageJump System TRASER RMUniversal cup removal system
Ich erkläre, dass ich den Inhalt [der Datenschutzrichtlinie](https://www.permedica.it/de/privacy-policy/) gelesen und akzeptiert habe
Ich ermächtige die Behandlung meiner persönlichen Daten zu Marketingzwecken und / oder zum Abonnieren des Newsletters JaNein
Wir werden das angeforderte Material so schnell wie möglich zur Verfügung stellen
×
---
### [Form anca](https://www.permedica.it/form-anca/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
PROMISE SEXACTA RSEXACTAEXACTA SSL-AUTOBLOCCANTESYNTHESISPBFKONEPM ProMotionTeste ArticolariJUMP SystemJUMP System TRASERACORN TRASERACORNJUMP System CEMENTEDInserti ArticolariJUMP System TRASER Cage AcetabolareJump System TRASER RMUniversal cup removal system
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [Anca form](https://www.permedica.it/form-anca/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
PROMISE SEXACTA RSEXACTAEXACTA SSL-AUTOBLOCCANTESYNTHESISPBFKONEPM ProMotionTeste ArticolariJUMP SystemJUMP System TRASERACORN TRASERACORNJUMP System CEMENTEDInserti ArticolariJUMP System TRASER Cage AcetabolareJump System TRASER RMUniversal cup removal system
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [PATHOLOGIES DE LA HANCHE](https://www.permedica.it/area-paziente/anca-paziente/patologie-dellanca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PATHOLOGIES DE LA HANCHE
Les surfaces osseuses de notre squelette se connectent par les **articulations.**
Les articulations peuvent être de différents types en fonction du mouvement relatif entre les os qui les composent: **dans certains cas, elles relient deux os ou plus à mobilité extrême, tels que la hanche, le genou, l’épaule;** dans d’autres cas, elles réunissent des os à mobilité réduite, tels que les os de la colonne vertébrale; dans d’autres cas, elles rejoignent des os absolument immobiles, tels que ceux du crâne.
Les articulations, en particulier celles qui sont sollicitées et davantage impliquées dans le mouvement, peuvent être atteintes de pathologies pouvant nécessiter une intervention chirurgicale.
**Ces pathologies sont multiples,** elles peuvent être de nature différente (dégénératives, traumatiques, congénitales) **et fortement invalidantes.**
- [OSTEOARTHROSE](#OSTEOARTHROSE)
- [LA POLYARTHRITE RHUMATOÏDE](#artrite)
- [FRACTURES DE LA TÊTE FÉMORALE](#frattura_femore)
- [NÉCROSE CÉPHALIQUE](#osteonecrosi)
- [OSTEOPOROSE](#osteoporosi)
- [DYSPLASIE DE LA HANCHE](#displasia)
#### OSTEOARTHROSE
L’arthrose est un **processus pathologique dégénératif des surfaces** articulaires qui touche toute l’articulation (os, cartilage, capsule articulaire).
Il s’agit d’une affection très courante qui survient généralement entre 50 et 60 ans, mais peut également survenir à un âge plus précoce. Elle est classée comme **arthrose “primaire” lorsque l’origine n’est pas connue** ou **“secondaire” lorsqu’elle résulte de processus inflammatoires** (arthrite), endocriniens (diabète ou goutte), congénitaux (dysplasie) ou traumatiques, qui altèrent la morphologie et fonction de l’articulation.
La pathologie arthrosique **se manifeste par l’usure et la réabsorption progressive du cartilage articulaire,** l’amincissement de l’espace articulaire, la production anormale d’os (ostéophytes), la déformation des bords articulaires, l’épaississement de la capsule avec formation de calcifications, entraînant une **douleur aiguë et limitation sévère dans le mouvement.**
Le diagnostic est facilement reconnaissable grâce aux symptômes et à un simple examen radiographique. Le traitement est planifié en fonction du stade d’avancement.
Les **articulations les plus touchées sont celles de la hanche** (coxarthrose), **du genou** (gonarthrose) et **de l’épaule** (omarthrose).
Le traitement le plus efficace dans le traitement de l’ostéoarthrose est la chirurgie, avec remplacement prothétique des bords articulaires impliqués. Les thérapies pharmacologiques, les traitements de physiothérapie, les infiltrations de cortisone ou toute autre chose peuvent soulager temporairement la douleur mais ne constituent pas une solution définitive.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
[Link to #top](#top)
#### LA POLYARTHRITE RHUMATOÏDE
La polyarthrite rhumatoïde est **une polyarthrite inflammatoire chronique et progressive caractérisée par une pathogenèse auto-immune** des articulations synoviales.
Elle diffère de l’arthrose car elle affecte initialement la membrane synoviale et non le cartilage; elle affecte moins fréquemment et à un plus jeune âge par rapport à l’arthrose. Les femmes sont plus touchées (ratio 3: 1). Elle touche 1 à 2% de la population et le nombre de cas augmente avec l’âge. En effet, 5% des femmes de plus de 55 ans sont touchées. **Les débuts sont observés principalement à la fin de l’adolescence ou entre la 4ème et la 5ème décennie de la vie;** un second pic est observé entre 60 et 70 ans.
Une variante précoce de la PR consiste en une polyarthrite rhumatoïde de l’enfance.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
#### FRACTURES DE LA TÊTE FÉMORALE
La fracture du col du fémur est fréquente chez les personnes âgées car, comme on le sait, **les caractéristiques de résistance mécanique de l’os ont diminué au fil des ans,** en particulier dans cette région anatomique.
**La fracture est généralement due à un stress de rotation et non à un traumatisme direct de la hanche,** de sorte que le sujet, en glissant ou en soutenant le membre inférieur, détermine de manière incorrecte une rotation abrupte, ce qui entraîne une fracture du col et, ensuite, une chute par manque de soutien.
En raison des caractéristiques particulières de vascularisation de la tête fémorale (qui est uniquement vascularisée par le col) et une fracture pouvant interrompre le flux sanguin vers la tête, ces fractures subissent souvent une pseudarthrose ou un manque de consolidation.
Pour cette raison, il est préférable de traiter les patients âgés (de plus de 70 à 75 ans) directement avec une prothèse, afin d’éviter des périodes longues et dangereuses au lit sans garantie valable de succès.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
#### NÉCROSE CÉPHALIQUE
L’ostéonécrose céphalique (c’est-à-dire la mort cellulaire du tissu osseux de la tête fémorale) peut souvent être **idiopathique** (de cause inconnue), **parfois induite par un abus de drogues** (cortisone) ou **post-traumatique.** Indépendamment de la cause, un facteur commun est une vascularisation insuffisante de la tête fémorale et une nécrose conséquente (généralement dans la région de plus forte charge) qui affaiblit la structure conduisant à l’effondrement de l’os sous-chondral (qui est immédiatement sous le cartilage) suite à la charge, avec l’apparition ultérieure d’arthrose secondaire.
Les **premiers symptômes sont des douleurs à l’aine liées directement à la charge,** qui irradient vers le genou à un stade ultérieur. Une limitation de la mobilité de la hanche causée par la douleur peut également survenir.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
#### OSTEOPOROSE
L’ostéoporose est une **maladie systémique et métabolique du système squelettique** qui survient chez les personnes âgées et dont **l’incidence est plus grande chez les femmes.** Elle se caractérise par une faible densité minérale et une détérioration de la structure du tissu osseux.
Le résultat est une **augmentation de la fragilité des os qui sont plus facilement sujets aux fractures.**
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
#### DYSPLASIE DE LA HANCHE
La dysplasie de la hanche est représentée par **une formation incomplète ou défaillante de la cavité acétabulaire** ne permettant pas une articulation normale avec la tête fémorale, qui subit par conséquent une altération morphologique.
**Elle est souvent associée ou consequence d’une luxation congénitale de la hanche** (lorsque la tête fémorale n’est pas retenue dans son site anatomique).
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
---
### [KNIEPROTHESE](https://www.permedica.it/area-paziente/ginocchio-paziente/ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### KNIEPROTHESE
Eine totale Knieprothese (K-TP) dient der **Wiederherstellung der Gelenksfunktionalität,** welche durch ein Trauma oder eine Vorerkrankung verloren gegangen ist.
Die Implantation eines künstlichen Gelenks dient drei Zielen: der **Schmerzlinderung, erhöhter Beweglichkeit** und **einer deutlichen Verbesserung der Lebensqualität.**
Im Allgemeinen werden bei einer K-TP **drei Komponenten** verwendet, welche eine äusserst hohe Biokompatibilität aufweisen:
1\. **Tibiakomponente** (Metall, zementiert oder zementfrei)
2\. **Inlay** (Polyethylen)
3\. **Femurkomponente** (Metall, zementiert oder zementfrei)
Eventuell wird auch eine Patellakomponente implantiert (Polyethylen).
Die Fixation der Prothesen am Knochen kann durch Zement erfolgen oder zementfrei (durch Einwachsen des Knochens in die Prothese).
---
### [HÜFTTOTALENDOPROTHESE](https://www.permedica.it/area-paziente/anca-paziente/artroplastica-di-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### HÜFTTOTALENDOPROTHESE
Eine totale Hüftendoprothese (H-TP) dient der **Wiederherstellung der Gelenksfunktionalität,** welche durch ein Trauma oder eine Vorerkrankung verloren gegangen ist.
Die Implantation eines künstlichen Gelenks dient drei Zielen: **der Schmerzlinderung, erhöhter Beweglichkeit und einer deutlichen Verbesserung der Lebensqualität.**
Im Allgemeinen werden bei einer H-TP drei Komponenten verwendet, welche eine äusserst hohe Biokompatibilität aufweisen:
1\. ein **Femurschaft** (Metall) – kann entweder zementfrei oder zementiert implantiert werden
2\. Ein **Schaftkopf** (Metall oder Keramik)
3\. Eine **Pfanne** aus Metall mit einem Polyethylen- oder einem Keramik-Inlay (zementfreie Versorgung) oder einem in die Hüftpfanne zementierten Polyethylen.
Die Fixierung der Prothese am Knochen kann ohne Verwendung von Zement (biologische Fixierung) oder unter Verwendung von Zement erfolgen.
---
### [ARTHROPLASTIQUE DE LA HANCHE](https://www.permedica.it/area-paziente/anca-paziente/artroplastica-di-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTHROPLASTIQUE DE LA HANCHE
Une arthroplastie totale de la hanche vise à **restaurer la fonctionnalité de l’articulation** perdue à la suite de traumatismes ou de pathologies invalidantes.
L’implantation d’une articulation artificielle vise à **réduire la douleur,** à **retrouver la mobilité perdue et à améliorer la qualité de vie** du patient.
Une prothèse de hanche est généralement composée de **3 composants** en matériaux hautement biocompatibles:
1\. **Tige** fémorale (métal)
2\. **Tête** articulaire (métal ou céramique)
3\. **Cupule** acétabulaire composée d’une coque en métal avec doublure interne en polyéthylène ou en céramique (sans ciment) ou entièrement en polyéthylène (cimenté).
La fixation de la prothèse sur l’os peut être sans ciment (fixation biologique) ou cimentée.
---
### [ARTHROPLASTIE DU GENOU](https://www.permedica.it/area-paziente/ginocchio-paziente/ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTHROPLASTIE DU GENOU
Une arthroplastie totale du genou a pour objectif de **restaurer la fonctionnalité de l’articulation** perdue à la suite de traumatismes ou de pathologies invalidantes.
L’implantation d’une articulation artificielle vise à **réduire la douleur**, à **retrouver la mobilité perdue** et à **améliorer la qualité de vie** du patient.
Une prothèse de genou est généralement composée de **3 composants** en matériaux hautement biocompatibles:
1\. **Composant tibial** (métal)
2\. **Insert articulair** (polyéthylène)
3\. **Composant fémoral** (métal) et éventuellement composant patellaire (polyéthylène)
La fixation de la prothèse sur l’os peut être sans ciment (fixation biologique) ou cimentée.
---
### [PERSONALISIERTE OPERATION](https://www.permedica.it/area-paziente/chirurgia-personalizzata/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERSONALISIERTE OPERATION
**Personalisierte, patientenspezifische Operationstechniken oder PSI** (patientenspezifische Instrumente) stellen eine innovative und rasch wachsende Möglichkeit in der orthopädischen Chirurgie da.
Dank einer **3D Planungssoftware** und dreidimensionalen, auf CT-bilderbasierenden Modellen ist es nun möglich, **spezifische Instrumente** zu entwickeln, welche **der individuellen Anatomie jedes Patienten entsprechen und die langfristigen Behandlungsergebnisse verbessern.** PSI ermöglicht einerseits äusserst präzise Knochenschnitte als auch eine konsequente Reduktion von Fehlpositionierungen der Implantate, insbesondere was den Sitz der Prothese als auch das Weichteilmanagement anbelangt.
Weitere Vorteile von PSI sind:
• Korrektes Weichteilbalancing;
• Kleinere Hautschnitte;
• Kürzere Operationsdauer.
Der Einsatz von patientenspezifischen Operationstechniken reduziert **das Risiko etwaiger Fehler,** da die dabei verwendeten patientenspezifischen Instrumente **digital präzise vom Operateur** mit Unterstützung von Firmenspezialisten bereits vor der Operation **geplant** und entwickelt werden.
Diese Technologie ist ausgereift und wird mittlerweile weltweit eingesetzt. Ergänzend zu den bereits erwähnten Vorteilen erlaubt PSI eine dynamische Planung, welche auf der aktuellen Anatomie und Kinematik des Patienten basiert und somit eine genaue Ausrichtung der Prothese garantiert.
---
### [Form anca](https://www.permedica.it/form-anca/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
PROMISE SEXACTA RSEXACTAEXACTA SSL-AUTOBLOCCANTESYNTHESISPBFKONEPM ProMotionTeste ArticolariJUMP SystemJUMP System TRASERACORN TRASERACORNJUMP System CEMENTEDInserti ArticolariJUMP System TRASER Cage AcetabolareJump System TRASER RMUniversal cup removal system
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [Form ginocchio](https://www.permedica.it/form-ginocchio/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
GKS One EvoGKS PRIME Flex MobileGKS PRIME Flex PS MobileGKS PRIME Flex CRGKS PRIME Flex TRASERGKS PRIME Flex PSGKS BUTTERFLYGKS Prime Flex SMART REVISIONGKS PRIME Flex RKTRASER ConesGKS AMSMART
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [Form ginocchio](https://www.permedica.it/form-ginocchio/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
GKS One EvoGKS PRIME Flex MobileGKS PRIME Flex PS MobileGKS PRIME Flex CRGKS PRIME Flex TRASERGKS PRIME Flex PSGKS BUTTERFLYGKS Prime Flex SMART REVISIONGKS PRIME Flex RKTRASER ConesGKS AMSMART
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [IHR NEUES GELENK](https://www.permedica.it/area-paziente/spalla-paziente/la-tua-nuova-articolazione-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# IHR NEUES GELENK
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
Während der Rehabilitation ist eine **stete Kommunikation mit ihrem Orthopäden und ihrem Physiotherapeuten von grosser Bedeutung.**
Folgen Sie den Anweisungen und Empfehlungen Ihres Arztes und kontaktieren Sie ihn umgehend, falls Sie Zweifel haben.
Bitte beachten Sie, dass **ein gesunder und aktiver Lebensstil eine schnellere Genesung** garantieren und vergessen Sie nicht, die **regelmässigen Kontrolluntersuchungen einzuhalten.**
---
### [VOTRE NOUVELLE ARTICULATION](https://www.permedica.it/area-paziente/spalla-paziente/la-tua-nuova-articolazione-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# VOTRE NOUVELLE ARTICULATION
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
Au cours du traitement postopératoire, **consultez toujours votre chirurgien orthopédique et votre médecin généraliste.**
Suivez les instructions de votre chirurgien et en cas de doute, n’hésitez pas à le contacter.
N’oubliez pas qu’**un mode de vie sain et actif contribuera à une récupération plus rapide** et n’oubliez pas de vous soumettre à des **contrôles réguliers.**
---
### [OPERATION](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VOR DER OPERATION
Vor der Operation werden einige **Voruntersuchungen** durchgeführt.
Diese Untersuchungen (Bluttests, Herzuntersuchungen, Röntgenbilder etc.) sind notwendig, um ihren Allgemeinzustand zu evaluieren und ihre OP-Tauglichkeit sicher zu stellen. Sollten Sie an chronischen Vorerkrankungen leiden (z.B. am Herzen, den Lungen oder den Nieren) ist eventuell die Konsultation eines Fachspezialisten ratsam.
Ebenso empfiehlt es sich, **ihr Zuhause entsprechend zu adaptieren,** um bei ihrer Rückkehr nach der Operation Stürze und Unfälle jeglicher Art zu vermeiden.
#### IM SPITAL
Bitte vergewissern Sie sich, dass Sie **alles Notwendige für sich mitnehmen und alles, was Ihr Arzt benötigt:**
liste der einzunehmenden Medikamente, klinische Dokumentationen (Röntgenbilder, präoperative Reports), ihre ID, Ihre Versicherungskarte sowie Gehbehelfe jeglicher Art.
Die Dauer der Operation kann variieren, das **medizinische Personal und das Pflegepersonal werden sie gewissenhaft umsorgen.**
#### NACH DER OPERATION
Die Dauer des Spitalaufenthalts hängt sowohl vom Patienten als auch von der Art der Operation ab.
Abhängig von der Art des operativen Eingriffs werden Sie **auf eine persönliche Unterstützung zuhause angewiesen sein.** Eventuell wird ein kurzes Aufenthalt in einem Rehabilitationszentrum nötig sein.
Bitte beachten Sie, dass **sie vielleicht auf Krücken oder andere Gehhilfen angewiesen sein werden,** welche Ihnen von Ihrem orthopädischen Chirurgen empfohlen werden.
#### IHR NEUES GELENK
Während der Rehabilitation ist eine **stete Kommunikation mit ihrem Orthopäden und ihrem Physiotherapeuten von grosser Bedeutung.**
Folgen Sie den Anweisungen und Empfehlungen Ihres Arztes und kontaktieren Sie ihn umgehend, falls Sie Zweifel haben.
Bitte beachten Sie, dass **ein gesunder und aktiver Lebensstil eine schnellere Genesung** garantieren und vergessen Sie nicht, die **regelmässigen Kontrolluntersuchungen einzuhalten.**
---
### [CHIRURGIE](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### AVANT LA CHIRURGIE
Avant de vous faire opérer, votre médecin vous prescrira des examens **préliminaires.**
Ces examens (analyses de sang, électrocardiogrammes, radiographies) sont nécessaires pour évaluer votre état de santé général et déterminer si vous êtes admissible à subir l’opération et le cycle postopératoire. En cas de maladies chroniques (par exemple cardiaques, respiratoires, rénales), une consultation spécialisée peut être nécessaire.
Il est également recommandé de **préparer l’environnement de votre domicile pour votre retour à la maison,** afin de minimiser les risques de chute ou d’accident.
#### À L’HÔPITAL
**N’oubliez pas d’emporter avec vous tout ce dont vous avez besoin et ce qu’exige votre médecin:** liste des médicaments normalement administrés, documentation clinique (rapports de recherche préopératoire, radiographies), document d’identité, carte de santé et tout dispositif tel que des appareils orthodontiques ou des béquilles.
La chirurgie aura une durée variable et **le personnel médical et infirmier s’occupera de vous.**
#### APRÈS L’OPÉRATION
Le séjour à l’hôpital varie selon le patient et le type de chirurgie.
Après l’intervention, vous devrez **compter sur l’aide de quelqu’un qui vous assistera à domicile** ou, s’il n’est pas disponible, vous pourrez organiser un court séjour dans un établissement de réadaptation.
**Vous aurez peut-être besoin de dispositifs comme des béquilles ou des attelles,** qui seront prescrits et recommandés par votre chirurgien orthopédiste.
#### VOTRE NOUVELLE ARTICULATION
Au cours du traitement postopératoire, **consultez toujours votre chirurgien orthopédique et votre médecin généraliste.**
Suivez les instructions de votre chirurgien et en cas de doute, n’hésitez pas à le contacter.
N’oubliez pas qu’**un mode de vie sain et actif contribuera à une récupération plus rapide** et n’oubliez pas de vous soumettre à des **contrôles réguliers.**
---
### [PATHOLOGIES DU GENOU](https://www.permedica.it/area-paziente/ginocchio-paziente/patologie-del-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PATHOLOGIES DU GENOU
Les surfaces osseuses de notre squelette se connectent par les **articulations.**
Les articulations peuvent être de différents types en fonction du mouvement relatif entre les os qui les composent: **dans certains cas, elles relient deux os ou plus à mobilité extrême, tels que la hanche, le genou, l’épaule;** dans d’autres cas, elles réunissent des os à mobilité réduite, tels que les os de la colonne vertébrale; dans d’autres cas, elles rejoignent des os absolument immobiles, tels que ceux du crâne.
Les articulations, en particulier celles qui sont sollicitées et davantage impliquées dans le mouvement, peuvent être atteintes de pathologies pouvant nécessiter une intervention chirurgicale.
**Ces pathologies sont multiples, elles peuvent être de nature différente** (dégénératives, traumatiques, congénitales) **et fortement invalidantes.**
- [OSTEOARTHROSE](#artrosi)
- [LA POLYARTHRITE RHUMATOÏDE](#artrite)
- [OSTEOPOROSE](#osteoporosi)
- [GENOU VARUS/VALGUS](#ginocchio_varo)
#### OSTEOARTHROSE
L’arthrose est un **processus pathologique dégénératif des surfaces** articulaires qui touche toute l’articulation (os, cartilage, capsule articulaire).
Il s’agit d’une affection très courante qui survient généralement entre 50 et 60 ans, mais peut également survenir à un âge plus précoce. Elle est classée comme **arthrose “primaire” lorsque l’origine n’est pas connue** ou **“secondaire” lorsqu’elle résulte de processus inflammatoires** (arthrite), endocriniens (diabète ou goutte), congénitaux (dysplasie) ou traumatiques, qui altèrent la morphologie et fonction de l’articulation.
La pathologie arthrosique **se manifeste par l’usure et la réabsorption progressive du cartilage articulaire,** l’amincissement de l’espace articulaire, la production anormale d’os (ostéophytes), la déformation des bords articulaires, l’épaississement de la capsule avec formation de calcifications, entraînant une **douleur aiguë et limitation sévère dans le mouvement.**
Le diagnostic est facilement reconnaissable grâce aux symptômes et à un simple examen radiographique. Le traitement est planifié en fonction du stade d’avancement.
Les **articulations les plus touchées sont celles de la hanche** (coxarthrose), **du genou** (gonarthrose) et **de l’épaule** (omarthrose).
Le traitement le plus efficace dans le traitement de l’ostéoarthrose est la chirurgie, avec remplacement prothétique des bords articulaires impliqués. Les thérapies pharmacologiques, les traitements de physiothérapie, les infiltrations de cortisone ou toute autre chose peuvent soulager temporairement la douleur mais ne constituent pas une solution définitive.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
[Link to #top](#top)
#### LA POLYARTHRITE RHUMATOÏDE
La polyarthrite rhumatoïde est **une polyarthrite inflammatoire chronique et progressive caractérisée par une pathogenèse auto-immune** des articulations synoviales.
Elle diffère de l’arthrose car elle affecte initialement la membrane synoviale et non le cartilage; elle affecte moins fréquemment et à un plus jeune âge par rapport à l’arthrose. Les femmes sont plus touchées (ratio 3: 1). Elle touche 1 à 2% de la population et le nombre de cas augmente avec l’âge. En effet, 5% des femmes de plus de 55 ans sont touchées. **Les débuts sont observés principalement à la fin de l’adolescence ou entre la 4ème et la 5ème décennie de la vie;** un second pic est observé entre 60 et 70 ans.
Une variante précoce de la PR consiste en une polyarthrite rhumatoïde de l’enfance.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
#### OSTEOPOROSE
L’ostéoporose est une **maladie systémique et métabolique du système squelettique** qui survient chez les personnes âgées et dont **l’incidence est plus grande chez les femmes.**
Elle se caractérise par une faible densité minérale et une détérioration de la structure du tissu osseux.
Le résultat est une **augmentation de la fragilité des os qui sont plus facilement sujets aux fractures.**
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
#### GENOU VARUS/VALGUS
En situation normale, **les articulations du membre inférieur** (hanche, genou et cheville) **doivent être alignées sur un axe commun appelé axe mécanique** ou axe de charge.
Cet axe dans le tibia correspond à l’axe diaphysaire (axe anatomique), tandis que dans le fémur, l’axe anatomique est différent de l’axe mécanique et forme un angle d’environ 6 degrés (angle du valgus physiologique).
**Si cet alignement est modifié, il existe une situation pathologique avec déviation axiale,** avec pour conséquence une **modification de la biomécanique articulaire qui, au fil du temps, entraîne une usure du cartilage** des zones soumises à la charge.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
---
### [IHR NEUES GELENK](https://www.permedica.it/area-paziente/ginocchio-paziente/la-tua-nuova-articolazione-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# IHR NEUES GELENK
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
Während der Rehabilitation ist eine **stete Kommunikation mit ihrem Orthopäden und ihrem Physiotherapeuten von grosser Bedeutung.**
Folgen Sie den Anweisungen und Empfehlungen Ihres Arztes und kontaktieren Sie ihn umgehend, falls Sie Zweifel haben.
Bitte beachten Sie, dass **ein gesunder und aktiver Lebensstil eine schnellere Genesung** garantieren und vergessen Sie nicht, die **regelmässigen Kontrolluntersuchungen einzuhalten.**
---
### [VOTRE NOUVELLE ARTICULATION](https://www.permedica.it/area-paziente/ginocchio-paziente/la-tua-nuova-articolazione-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# VOTRE NOUVELLE ARTICULATION
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
Au cours du traitement postopératoire, **consultez toujours votre chirurgien orthopédique et votre médecin généraliste.**
Suivez les instructions de votre chirurgien et en cas de doute, n’hésitez pas à le contacter.
N’oubliez pas qu’**un mode de vie sain et actif contribuera à une récupération plus rapide** et n’oubliez pas de vous soumettre à des **contrôles réguliers.**
---
### [IHR NEUES GELENK](https://www.permedica.it/area-paziente/anca-paziente/la-tua-nuova-articolazione-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# IHR NEUES GELENK
Während der Rehabilitation ist eine **stete Kommunikation mit ihrem Orthopäden und ihrem Physiotherapeuten von grosser Bedeutung.**
Folgen Sie den Anweisungen und Empfehlungen Ihres Arztes und kontaktieren Sie ihn umgehend, falls Sie Zweifel haben.
.
Bitte beachten Sie, dass **ein gesunder und aktiver Lebensstil eine schnellere Genesung** garantieren und vergessen Sie nicht, die **regelmässigen Kontrolluntersuchungen einzuhalten.**
---
### [VOTRE NOUVELLE ARTICULATION](https://www.permedica.it/area-paziente/anca-paziente/la-tua-nuova-articolazione-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# VOTRE NOUVELLE ARTICULATION
Au cours du traitement postopératoire, **consultez toujours votre chirurgien orthopédique et votre médecin généraliste.**
Suivez les instructions de votre chirurgien et en cas de doute, n’hésitez pas à le contacter.
N’oubliez pas qu’**un mode de vie sain et actif contribuera à une récupération plus rapide** et n’oubliez pas de vous soumettre à des **contrôles réguliers.**
---
### [OPERATION](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VOR DER OPERATION
Vor der Operation werden einige **Voruntersuchungen** durchgeführt.
Diese Untersuchungen (Bluttests, Herzuntersuchungen, Röntgenbilder etc.) sind notwendig, um ihren Allgemeinzustand zu evaluieren und ihre OP-Tauglichkeit sicher zu stellen.
Sollten Sie an chronischen Vorerkrankungen leiden (z.B. am Herzen, den Lungen oder den Nieren) ist eventuell die Konsultation eines Fachspezialisten ratsam.
Ebenso empfiehlt es sich, **ihr Zuhause entsprechend zu adaptieren,** um bei ihrer Rückkehr nach der Operation Stürze und Unfälle jeglicher Art zu vermeiden.
#### IM SPITAL
Bitte vergewissern Sie sich, dass Sie **alles Notwendige für sich mitnehmen und alles, was Ihr Arzt benötigt:** liste der einzunehmenden Medikamente, klinische Dokumentationen (Röntgenbilder, präoperative Reports), ihre ID, Ihre Versicherungskarte sowie Gehbehelfe jeglicher Art.
Die Dauer der Operation kann variieren, das **medizinische Personal und das Pflegepersonal werden sie gewissenhaft umsorgen.**
#### NACH DER OPERATION
Die Dauer des Spitalaufenthalts hängt sowohl vom Patienten als auch von der Art der Operation ab.
Abhängig von der Art des operativen Eingriffs werden Sie **auf eine persönliche Unterstützung zuhause angewiesen sein.** Eventuell wird ein kurzes Aufenthalt in einem Rehabilitationszentrum nötig sein.
Bitte beachten Sie, dass **sie vielleicht auf Krücken oder andere Gehhilfen angewiesen sein werden,** welche Ihnen von Ihrem orthopädischen Chirurgen empfohlen werden.
#### IHR NEUES GELENK
Während der Rehabilitation ist eine **stete Kommunikation mit ihrem Orthopäden und ihrem Physiotherapeuten von grosser Bedeutung.**
Folgen Sie den Anweisungen und Empfehlungen Ihres Arztes und kontaktieren Sie ihn umgehend, falls Sie Zweifel haben.
Bitte beachten Sie, dass **ein gesunder und aktiver Lebensstil eine schnellere Genesung** garantieren und vergessen Sie nicht, die **regelmässigen Kontrolluntersuchungen einzuhalten.**
---
### [OPERATION](https://www.permedica.it/area-paziente/anca-paziente/intervento-anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### VOR DER OPERATION
Vor der Operation werden einige **Voruntersuchungen** durchgeführt.
Diese Untersuchungen (Bluttests, Herzuntersuchungen, Röntgenbilder etc.) sind notwendig, um ihren Allgemeinzustand zu evaluieren und ihre OP-Tauglichkeit sicher zu stellen.
Sollten Sie an chronischen Vorerkrankungen leiden (z.B. am Herzen, den Lungen oder den Nieren) ist eventuell die Konsultation eines Fachspezialisten ratsam.
Ebenso empfiehlt es sich, **ihr Zuhause entsprechend zu adaptieren,** um bei ihrer Rückkehr nach der Operation Stürze und Unfälle jeglicher Art zu vermeiden.
#### IM SPITAL
Bitte vergewissern Sie sich, dass Sie **alles Notwendige für sich mitnehmen und alles, was Ihr Arzt benötigt:** Liste der einzunehmenden Medikamente, klinische Dokumentationen (Röntgenbilder, präoperative Reports), ihre ID, Ihre Versicherungskarte sowie Gehbehelfe jeglicher Art.
Die Dauer der Operation kann variieren, das **medizinische Personal und das Pflegepersonal werden sie gewissenhaft umsorgen.**
#### NACH DER OPERATION
Die Dauer des Spitalaufenthalts hängt sowohl vom Patienten als auch von der Art der Operation ab.
Abhängig von der Art des operativen Eingriffs werden Sie **auf eine persönliche Unterstützung zuhause angewiesen sein.** Eventuell wird ein kurzes Aufenthalt in einem Rehabilitationszentrum nötig sein.
Bitte beachten Sie, dass **sie vielleicht auf Krücken oder andere Gehhilfen angewiesen sein werden,** welche Ihnen von Ihrem orthopädischen Chirurgen empfohlen werden.
#### IHR NEUES GELENK
Während der Rehabilitation ist eine **stete Kommunikation mit ihrem Orthopäden und ihrem Physiotherapeuten von grosser Bedeutung.**
Folgen Sie den Anweisungen und Empfehlungen Ihres Arztes und kontaktieren Sie ihn umgehend, falls Sie Zweifel haben.
Bitte beachten Sie, dass **ein gesunder und aktiver Lebensstil eine schnellere Genesung** garantieren und vergessen Sie nicht, die **regelmässigen Kontrolluntersuchungen einzuhalten.**
---
### [CHIRURGIE](https://www.permedica.it/area-paziente/anca-paziente/intervento-anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### AVANT LA CHIRURGIE
Avant de vous faire opérer, votre médecin vous prescrira des **examens préliminaires.**
Ces examens (analyses de sang, électrocardiogrammes, radiographies) sont nécessaires pour évaluer votre état de santé général et déterminer si vous êtes admissible à subir l’opération et le cycle postopératoire. En cas de maladies chroniques (par exemple cardiaques, respiratoires, rénales), une consultation spécialisée peut être nécessaire.
Il est également recommandé de **préparer l’environnement de votre domicile pour votre retour à la maison,** afin de minimiser les risques de chute ou d’accident.
#### À L’HÔPITAL
**N’oubliez pas d’emporter avec vous tout ce dont vous avez besoin et ce qu’exige votre médecin:** liste des médicaments normalement administrés, documentation clinique (rapports de recherche préopératoire, radiographies), document d’identité, carte de santé et tout dispositif tel que des appareils orthodontiques ou des béquilles.
La chirurgie aura une durée variable et **le personnel médical et infirmier s’occupera de vous.**
#### APRÈS L’OPÉRATION
Le séjour à l’hôpital varie selon le patient et le type de chirurgie.
Après l’intervention, vous devrez **compter sur l’aide de quelqu’un qui vous assistera à domicile** ou, s’il n’est pas disponible, vous pourrez organiser un court séjour dans un établissement de réadaptation.
**Vous aurez peut-être besoin de dispositifs comme des béquilles ou des attelles,** qui seront prescrits et recommandés par votre chirurgien orthopédiste.
#### VOTRE NOUVELLE ARTICULATION
Au cours du traitement postopératoire, **consultez toujours votre chirurgien orthopédique et votre médecin généraliste.**
Suivez les instructions de votre chirurgien et en cas de doute, n’hésitez pas à le contacter.
N’oubliez pas qu’**un mode de vie sain et actif contribuera à une récupération plus rapide** et n’oubliez pas de vous soumettre à des **contrôles réguliers.**
---
### [CHIRURGIE](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### AVANT LA CHIRURGIE
Avant de vous faire opérer, votre médecin vous prescrira des **examens préliminaires.**
Ces examens (analyses de sang, électrocardiogrammes, radiographies) sont nécessaires pour évaluer votre état de santé général et déterminer si vous êtes admissible à subir l’opération et le cycle postopératoire. En cas de maladies chroniques (par exemple cardiaques, respiratoires, rénales), une consultation spécialisée peut être nécessaire.
Il est également recommandé de **préparer l’environnement de votre domicile pour votre retour à la maison,** afin de minimiser les risques de chute ou d’accident.
#### À L’HÔPITAL
**N’oubliez pas d’emporter avec vous tout ce dont vous avez besoin et ce qu’exige votre médecin:** liste des médicaments normalement administrés, documentation clinique (rapports de recherche préopératoire, radiographies), document d’identité, carte de santé et tout dispositif tel que des appareils orthodontiques ou des béquilles.
La chirurgie aura une durée variable et **le personnel médical et infirmier s’occupera de vous.**
#### APRÈS L’OPÉRATION
Le séjour à l’hôpital varie selon le patient et le type de chirurgie.
Après l’intervention, vous devrez **compter sur l’aide de quelqu’un qui vous assistera à domicile** ou, s’il n’est pas disponible, vous pourrez organiser un court séjour dans un établissement de réadaptation.
**Vous aurez peut-être besoin de dispositifs comme des béquilles ou des attelles,** qui seront prescrits et recommandés par votre chirurgien orthopédiste.
#### VOTRE NOUVELLE ARTICULATION
Au cours du traitement postopératoire, **consultez toujours votre chirurgien orthopédique et votre médecin généraliste.**
Suivez les instructions de votre chirurgien et en cas de doute, n’hésitez pas à le contacter.
N’oubliez pas qu’**un mode de vie sain et actif contribuera à une récupération plus rapide** et n’oubliez pas de vous soumettre à des **contrôles réguliers.**
---
### [PATIENTS](https://www.permedica.it/area-paziente/)
**Published:** Gennaio 20, 2020
**Author:** pm_ema
---
### [CHIRURGIE PERSONNALISÉE](https://www.permedica.it/area-paziente/chirurgia-personalizzata/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### CHIRURGIE PERSONNALISÉE
**La chirurgie personnalisée ou PSI** (Patient Specific Instruments) est une **solution innovante et de plus en plus répandue.** Aujourd’hui, il représente l’un des supports les plus efficaces pour les choix et le travail du chirurgien orthopédiste spécialiste des pathologies de la dégénérescence des articulations.
Grâce à la **planification 3D** et à partir d’un modèle tridimensionnel créé à l’aide d’images CT-Scan, il est possible de créer des **instruments spécifiquement conçus en fonction de l’anatomie du patient, améliorant ainsi les résultats d’une chirurgie prothétique** à long terme. L’approche PSI permet une précision extrême de la coupe osseuse et une réduction conséquente des erreurs de positionnement prothétique, placés au bon endroit et parfaitement équilibrées.
Les autres avantages à considérer sont les suivants:
• Equilibrer les ligaments;
• Incision chirurgicale réduite;
• Temps chirurgicaux plus courts.
En utilisant une chirurgie personnalisée, il est possible de **minimiser les erreurs manuelles,** car les guides jetables préformés PSI permettent de **reproduire sur le patient ce que le chirurgien a planifié avec précision** sur le navigateur avec les techniciens en programmation de la société avant d’entrer en salle d’opération.
La technologie PSI est maintenant mature et appréciée dans le monde entier. Outre les avantages mentionnés ci-dessus, il permet d’apprécier une planification dynamique basée sur l’anatomie réelle du patient, prenant ainsi en compte la cinématique articulaire et créant un alignement prothétique très précis.
---
### [PATHOLOGIES DE L’EPAULE](https://www.permedica.it/area-paziente/spalla-paziente/patologie-della-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PATHOLOGIES DE L’EPAULE
Les surfaces osseuses de notre squelette se connectent par les **articulations.**
Les articulations peuvent être de différents types en fonction du mouvement relatif entre les os qui les composent:
**dans certains cas, elles relient deux os ou plus à mobilité extrême, tels que la hanche, le genou, l’épaule;** dans d’autres cas, elles réunissent des os à mobilité réduite, tels que les os de la colonne vertébrale; dans d’autres cas, elles rejoignent des os absolument immobiles, tels que ceux du crâne.
Les articulations, en particulier celles qui sont sollicitées et davantage impliquées dans le mouvement, peuvent être atteintes de pathologies pouvant nécessiter une intervention chirurgicale.
**Ces pathologies sont multiples, elles peuvent être de nature différente** (dégénératives, traumatiques, congénitales) **et fortement invalidantes.**
- [OSTEOARTHROSE](#artrosi)
- [LA POLYARTHRITE RHUMATOÏDE](#artrite)
- [FRACTURE DE LA TETE HUMERALE](#spalla_omerale)
- [OSTEOPOROSE](#osteoporosi)
- [ARTHROPATHIE DE LA COIFFE DES ROTATEURS](#artropatia)
#### OSTEOARTHROSE
L’arthrose est un **processus pathologique dégénératif des surfaces** articulaires qui touche toute l’articulation (os, cartilage, capsule articulaire).
Il s’agit d’une affection très courante qui survient généralement entre 50 et 60 ans, mais peut également survenir à un âge plus précoce. Elle est classée comme **arthrose “primaire” lorsque l’origine n’est pas connue** ou **“secondaire” lorsqu’elle résulte de processus inflammatoires** (arthrite), endocriniens (diabète ou goutte), congénitaux (dysplasie) ou traumatiques, qui altèrent la morphologie et fonction de l’articulation.
La pathologie arthrosique **se manifeste par l’usure et la réabsorption progressive du cartilage articulaire,** l’amincissement de l’espace articulaire, la production anormale d’os (ostéophytes), la déformation des bords articulaires, l’épaississement de la capsule avec formation de calcifications, entraînant une **douleur aiguë et limitation sévère dans le mouvement.**
Le diagnostic est facilement reconnaissable grâce aux symptômes et à un simple examen radiographique. Le traitement est planifié en fonction du stade d’avancement.
Les **articulations les plus touchées sont celles de la hanche** (coxarthrose), **du genou** (gonarthrose) et **de l’épaule** (omarthrose).
Le traitement le plus efficace dans le traitement de l’ostéoarthrose est la chirurgie, avec remplacement prothétique des bords articulaires impliqués. Les thérapies pharmacologiques, les traitements de physiothérapie, les infiltrations de cortisone ou toute autre chose peuvent soulager temporairement la douleur mais ne constituent pas une solution définitive.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
[Link to #top](#top)
#### LA POLYARTHRITE RHUMATOÏDE
La polyarthrite rhumatoïde est **une polyarthrite inflammatoire chronique et progressive caractérisée par une pathogenèse auto-immune** des articulations synoviales.
Elle diffère de l’arthrose car elle affecte initialement la membrane synoviale et non le cartilage; elle affecte moins fréquemment et à un plus jeune âge par rapport à l’arthrose. Les femmes sont plus touchées (ratio 3: 1). Elle touche 1 à 2% de la population et le nombre de cas augmente avec l’âge. En effet, 5% des femmes de plus de 55 ans sont touchées. **Les débuts sont observés principalement à la fin de l’adolescence ou entre la 4ème et la 5ème décennie de la vie;** un second pic est observé entre 60 et 70 ans.
Une variante précoce de la PR consiste en une polyarthrite rhumatoïde de l’enfance.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
#### FRACTURE DE LA TETE HUMERALE
La fracture de la tête humérale est l’**une des causes les plus fréquentes de la chirurgie de l’épaule.**
Chez les patients âgés, en particulier ceux souffrant d’ostéoporose, elle est souvent causée par une chute insignifiante, tandis que chez les patients plus jeunes, elle résulte principalement d’un traumatisme violent, d’un accident de la route ou de blessures sportives.
**Les symptômes sont une douleur intense et une incapacité immédiate de bouger.** Selon le type de fracture, les traitements possibles pourraient être conservateurs (orthèse, immobilisation et repos) ou chirurgicaux dans la plupart des situations complexes.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
#### OSTEOPOROSE
L’ostéoporose est une **maladie systémique et métabolique du système squelettique** qui survient chez les personnes âgées et dont **l’incidence est plus grande chez les femmes.**
Elle se caractérise par une faible densité minérale et une détérioration de la structure du tissu osseux.
Le résultat est une **augmentation de la fragilité des os qui sont plus facilement sujets aux fractures**.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
#### ARTHROPATHIE DE LA COIFFE DES ROTATEURS
C’est une **forme d’arthrose grave et complexe qui affecte l’articulation de l’épaule.**
Dans ce cas, l’altération du mouvement de l’articulation est causée par un **dysfonctionnement musculaire des rotateurs** qui, à long terme, provoque l’usure du cartilage articulaire avec l’apparition de douleur, perte de force et difficulté de mouvements.
###### [Les informations communiquées sont à titre informatif uniquement et ne visent pas à remplacer les conseils d’experts et la consultation des professionnels de santé.](https://www.permedica.it/fr/avis-de-non-responsabilite-au-patient/)
---
### [HÜFTGELENKSERKRANKUNGEN](https://www.permedica.it/area-paziente/anca-paziente/patologie-dellanca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### HÜFTGELENKSERKRANKUNGEN
Die Gelenksoberflächen unseres Skelettes bewegen sich gegeneinander.
Wir haben damit **Gelenke an unserem Körper,** die eine ausgeprägte Beweglichkeit zeigen wie das **Hüftgelenk,** das **Kniegelenk** und das **Schultergelenk;** andere hingegen, wie zum Beispiel die Wirbelsäule zeigen eingeschränktere Bewegungsmuster. Vorallem die Gelenke, welche durch die Bewegung stärker belastet sind, zeigen eine höhere Abnützungsrate und damit sind sie eher vom künstlichen Gelenksersatz betroffen.
**Die Ursachen, welche dazu führen sind verschiedenartig;** sie können **abnützungsbedingt, traumatisch oder auch anlagebedingt sein.**
Sie führen zu einer ausgeprägten Verschlechterung der Beweglichkeit des entsprechenden Gelenkes.
- [HÜFTGELENKSARTHROSE](#HÜFTGELENKSARTHROSE%20)
- [RHEUMATOIDE ARTHRITIS](#artrite)
- [FRAKTUREN DES SCHENKELHALSES](#frattura_femore)
- [FEMURKOPFNEKROSE](#osteonecrosi)
- [OSTEOPOROSE](#osteoporosi)
- [HÜFTDYSPLASIE](#dysplasie)
#### HÜFTGELENKSARTHROSE
Die Hüftgelenkarthrose ist **eine Abnützungserkrankung welche vorallem den Gelenkknorpel,** aber auch die Kapselstrukturen und letztendlich den Knochen betreffen können.
Betroffen sind eher ältere Personen; je nach Ursache der Erkrankung kölnnen aber auch junge menschen befallen sein. Die Arthrose wird als **primäre Arthrose bezeichnet bei unbekanntem Ursprung; als sekundäre Arthrose wenn sie aufgrund eines entzündlichen, traumatischen, hormonbedingten oder angeborenen Leiden entsteht.**
Das arthrotische Gelenk zeigt **eine Gelenksverschmälerung mit Knorpel- und Knochenzerstörung;** pathologische Knochenanlagerung, Gelenkkapselverdickung mit Kalkablagerungen. Dies führt zu **starken Schmerzen und einer eingeschränkten Beweglichkeit** des Gelenkes.
Die Diagnosestellung erfolgt aufgrund der Beschwerdezeichen zusammen mit der röntgenologischen Abklärung wie traditionelles Röntgenbild und eine Magnetresonanz- ode Computertomographieuntersuchung. Je nach Ausdehnung der Erkrankung wird eine entsprechende Therapie eingeleitet.
Das Hüftgelenk mit der **Hüftgelenksarthrose** gehört zusammen mit **der Schulter (Schultergelenksarthrose)** und **dem Kniegelenk (Kniegelenksarthrose)** zu den am häufigsten betroffenen Gelenke.
In einem fortgeschrittenen Stadium der Gelenkserkrankung wird die prothetische Versorgung des Gelenkes in betracht gzogen; dies nachdem Physiotherapie, medikamentöse Therapien wie entzündungshemmende Medikamente und/oder Kortsoninjektionen keine besserung erbracht haben.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
[Link to #top](#top)
#### RHEUMATOIDE ARTHRITIS
Die rheumatische Arthritis ist **eine chonische entzndliche Gelenkserkrankung, welche in einer Autoimmunerkrankung der Gelenksinnenhaut gründet.**
Die Erkrankung betrifft in erster Linie die Gelenksinnenhaut und geht anschliessend in eine Knorpel- und Knochenzerstörung über. Die Erkrankung ist weniger häufig als die Arthrose und kann auch eher jüngere Menschen betreffen; 1-2 % der Gesamtbevölkerung; im 3:1 Verhältnis mehr Frauen; und hier 5% der über 55-jährigen. **Die am meisten betroffene Altersgruppe liegt zwischen 40 und 50 Jahre;** eine zweite Häufung der Erkrankung zwischen 60 und 70 Jahren.
Es sind aber auch kindliche Formen dieser Erkrankung bekannt.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
#### FRAKTUREN DES SCHENKELHALSES
Frakturen des Oberschenkelhalses treten besonders bei älteren Patienten auf. Es wurde erkannt, dass **mit dem Alter die mechanische Belastbarkeit des Knochens generell abnimmt,** und dies gilt ganz besonders für die Region unterhalb des Oberschenkelkopfes und des Oberschenkelhalses.
**Oberschenkelhalsbrüche sind oft Folgen einer unbeabsichtigten starken Drehbewegung mit dem Bein,** wie zum Beispiel bei einer Ausrutschbewegung welche, nach dem Bruch des ohnehin wenig belastbaren Knochens, anschliessend zu einem Sturz führt; nur in zweiter Linie werden diese Brüche durch einen direkten Sturz auf die Hüfte verursacht.
Diese hüftkopfnahen Oberschenkelbrüche haben aufgrund der besonderen Blutversorgung des Oberschenkelkopfes eine Unterbrechung der Blutzufuhr zum Knochen zur Folge, was eine stark verminderte Heilungstendenz zur Folge hat (Falschgelenkbildung im Knochenbruch).
Aus diesem Grund werden solche Frakturen bei älteren Menschen meist mit einer Hüftgelenkstotalprothese versorgt, um längere und im Ausgang unsichere Heiliungsverläufe zu vermeiden.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
#### FEMURKOPFNEKROSE
Femurkopfnekrosen (z.B. Zelltod von Knochengewebe im Kopf des Oberschenkels) **können häufig idiopathisch** (also aus unbekannten Gründen) begründet sein, durch **Übergebrauch von Medikamenten** (Cortison) oder **posttraumatisch.** Unabhängig davon, eine schlechte, unzureichende Gefässversorgung des Femurkopfes führt unweigerlich zu einem Absterben des Knochens (Nekrose), welches die Strukturen zuerst schwächt und dann zu einem Totalversagen des subchondralen Knochens (unmittelbar unterhalb des Knorpels) führt. Daraus resultiert schlussendlich eine sekundäre Arthrose.
Die **ersten Symptome sind stetig wachsende Belastungsschmerzen,** welche in weiterer Folge ins Knie ausstrahlen. Eine schmerzbedingte teilweise Einschränkung der Hüftbweglichkeit ist durchaus möglich.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
#### OSTEOPOROSE
Die Osteoporose ist eine **Gesamtkörpererkrankung des Knochens;** vorkommend vorallem bei älteren Menschen **mit einer Bevorzugung des weiblichen Geschlechtes.** Es zeigt sich eine Verminderung des Kalkgehaltes und Veränderung der Knochenstruktur.
Das Ergebnis ist eine **vermehrte Knochenbrüchigkeit.**
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
#### HÜFTDYSPLASIE
Unter Hüftdysplasie versteht man eine **teilweise fehlende Abdeckung des Hüftkopfes durch die Hüftpfanne.**
Dadurch kommt es zu einer Überbelastung des Pfannenrands und einem Abreiben des Knorpel.
###### [Diese generellen Unterlagen dienen als Hilfe und Unterstützung zum Verstehen des Krankheitsverlaufes; sie ersetzen aber in keiner Weise das Gespräch und die fachkundliche Anleitung durch Ihren Arzt.](https://www.permedica.it/de/haftungsausschluss/)
---
### [PRIVACY POLICY](https://www.permedica.it/informativa-sulla-privacy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# INFORMATIVA PRIVACY 679/2016/EU – GDPR
**Information pursuant to article 13 of EU Regulation 2016/679**
**Privacy policy website** <https://www.permedica.it/>
Pursuant to and for the purposes of art. 13 Legislative Decree 196/2003 and pursuant to art. 13 of the GDPR 679/2016 European Regulation on privacy, we inform you that the personal data you voluntarily made available to **Permedica S.p.A.** will be processed in compliance with current legislation.
This page describes how the site is managed with reference to the processing and protection of your personal data.
The information is also provided pursuant to Recommendation no. 2/2001 adopted by the working group established by art. 29 of directive no. 95/46 / EC. to those who interact with the web services of this site, in order to protect personal data, accessible electronically starting from the address. By accepting the contents of this Policy, you consent to the collection and use of Personal Information as described below.
This Policy amply describes the practices we have adopted.
**Personal information that we collect when requesting contact / information**
On the website [https://www.permedica.it/contatti/](https://www.permedica.it/fr/contacts/) we collect personal data and information, necessary to fill in the registration form. This personal information includes the following contact information: *Name, Surname, email, subject (of the request) and text of the message to be sent.*
*This form requires consent to the processing of data and the possibility of using the data for marketing activities and / or sending newsletters (optional consent).*
**Personal information that we collect when submitting your application for an ongoing selection and / or for an expression of interest**
On the website[ https://www.permedica.it/careers/](https://www.permedica.it/careers/) we collect data and personal information, necessary to fill in the request form. This personal information includes the following contact information: *Name, Surname, email, subject (of the request) and text of the message to be sent together with one or more files containing the CV and / or the presentation letter.*
**Personal information that we collect when requesting to send documents**
On the website [https://www.permedica.it](https://www.permedica.it/) in the products section, we collect data and personal information, necessary to fill out the request form for technical product material. *The personal information requested are: Name, Surname, email, profession, Country of origin.*
*This form requires consent to the processing of data and the possibility of using the data for marketing activities and / or sending newsletters (optional consent).*
**Purpose of the treatment**
We inform you that the data collected with the registration of your name or found by us through the consultation of public registers, lists or documents known to anyone, will be processed in compliance with the provisions mentioned above and the confidentiality obligations that inspire the activity of ***Permedica S.p.A.***
The treatments carried out by ***Permedica S.p.A.*** will be based on the principles of correctness, lawfulness and transparency and the protection of your privacy and your rights.
The data will be used, for example, for:
- respond to requests for information and technical documentation
- record contact data and develop management and statistical reports
- make staff selections
In addition to these treatments (which are necessary to proceed with the requests made), ***Permedica S.p.A.*** intends, subject to your explicit consent, to process such data for:
- commercial, promotional and advertising purposes (marketing purposes).
- subscription to the ***Permedica S.p.A.*** newsletter
The data can be communicated by us to our commercial network, to administrative / commercial consultants, to the carriers for the delivery of goods / illustrative material and to parent, subsidiary and investee companies.
**Further purposes**
During their normal operation, the IT systems and software procedures used to operate this website acquire some personal data whose transmission is implicit in the use of internet communication protocols. This information is not collected to be associated with identified interested parties, but which by their very nature could, through processing and association with data held by third parties, allow users to be identified.
This category of data includes the IP addresses or domain names of the computers used by users who connect to the site, the addresses in URI (Uniform resource Identifier) notation of the requested resources, the time of the request, the method used in submitting the request to the server, the size of the file obtained in response, the numeric code indicating the status of the response given by the server (successful, error …) and other parameters relating to the operating system and the user’s IT environment.
These data are used for the sole purpose of obtaining anonymous statistical information on the use of the site and to check its correct functioning and are deleted immediately after processing.
The data could also be used to ascertain responsibility in the event of hypothetical computer crimes against the site.
**Data controller**
The Data Controller is **PERMEDICA S.p.A.**, via Como, 38 – 23807 Merate (LC) Tel +39 039 95 14 811 – Fax+39 039 99 03 078 – mail: <info@permedica.it> , in the person of its legal representative.
The Data Controller guarantees the security, confidentiality and protection of which it is in possession, at any
stage of the treatment process of the same.
The collected data are used in compliance with current legislation on privacy (Legislative Decree 196/2003 and GDPR 679/2016).
**Place of Treatment**
The data will be processed by the data controller at its registered office and at its administrative headquarters in Merate.
**Refusal to provide data**
You may refuse to provide the Data Controller with your data entered in the forms, but this would prevent the pursuit of the purposes described, in terms of the impossibility of sending documentation and requests and participation in any ongoing staff selections.
If, on the other hand, you do not consent to marketing activities and / or to subscribe to the newsletter, you can still receive the requested information and / or documentation.
**Recipients of the data**
No data collected is communicated or disseminated (except for communication to judicial or police bodies if necessary) in addition to what is described in this statement.
The data are processed by personnel specifically appointed in writing to process the data (administrative and public relations staff, also external to the Company, staff responsible for managing information systems, also external to the Company, who can also perform system administrator functions and are in charge of in this case appointed as such, marketing sector personnel also external to the Company, interns, data processors and their collaborators, in charge of the specific sector to which a request is made, site management personnel also external to the Company) only if the treatment is necessary to carry out their duties by performing only the operations necessary to perform the duties themselves.
They may also be processed by data processors (also companies outside the Company that carry out marketing activities, and server management and conservation). External companies can also process the data through specifically appointed persons in writing who can carry out the same activities and process the data for the same purposes, for which the responsible people have been appointed by ***Permedica S.p.A.***
Your data may be communicated to subjects for whom there is an obligation to communicate pursuant to the law or a need for communication to assert a right of the company with the appropriate bodies.
For registration (subject to your consent) to the newsletter, contact details will be communicated, for use of the “mailchimp” service, to Rocket Science Group LLC, based in Georgia (USA).
Therefore your contact details (name and email address) will be transmitted outside the European community, with a regular contract governing this aspect.
**NOTE: the site [https://mailchimp.com](https://mailchimp.com/) contains the extended information of the data controller Rocket Science Group LLC which manages the Mailchimp service**
The Data Controller **Permedica S.p.A.** guarantees the security, confidentiality and protection of which it is in possession, at any stage of the treatment process of the same.
**Retention time**
The data are processed for the time necessary to achieve the purposes for which they are processed. In this sense, the data collected for joining / subscribing to the newsletter will be kept for as long as you decide you want to remain registered with it.
You can always, at any time, request the interruption of treatment or the cancellation and / or limitation of data.
With a view to full transparency, it is available at the ***Permedica S.p.A.*** office the “Data retention policy” document, an integral part of the company’s Data Protection Management System and you have the right to request a copy by contacting the company at the following email address: <info@permedica.it>. In the same document you will also find information on the criteria used to determine this period.
**Data transfer**
The Data Controller does not transfer personal data to unauthorized subjects residing in third countries or to international organizations.
Changes to the policy and / or to the purposes of treatments
The Data Controller reserves the right to modify this policy and the purposes of the processing (which will be promptly reported on the policy published on the website <https://www.permedica.it/>).
In the case of treatments other than that specified in this statement, you may be asked for a new consent. You can also withdraw your consent (see next paragraph).
**Consent withdrawal**
With reference to art. 23 of Legislative Decree 196/2003 and to art. 6 of GDPR 679/16, you can withdraw your consent at any time.
**Rights of the interested parties**
With reference to art. 7 of Legislative Decree 196/2003 and to art. 15 “right of access”, art. 16 “right of rectification”, art. 17 “right to cancellation”, art. 18 “right to limitation of processing”, art. 20 “right to portability”, art.21 “right to object to the automated decision-making process of the GDPR 679/2016, you can exercise your rights by writing to the Data Controller at the following address: PERMEDICA S.p.A., Via Como, 38 – 23807 Merate ( LC) Tel +39 039 95 14 811 – Fax +39 039 99 03 078 – mail: <info@permedica.it>
**Proposition of the complaint**
You have the right to propose a complaint with the supervisory authority of the state of residence.
**Automated decision-making processes**
The Data Controller does not carry out treatments that consist of automated decision-making processes.
The Data Controller – ***Permedica S.p.A.***
---
### [PRIVACY POLICY](https://www.permedica.it/informativa-sulla-privacy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# PRIVACY POLICY 679/2016/EU – GDPR
**Information pursuant to article 13 of EU Regulation 2016/679**
**Privacy policy website** <https://www.permedica.it/>
Pursuant to and for the purposes of art. 13 Legislative Decree 196/2003 and pursuant to art. 13 of the GDPR 679/2016 European Regulation on privacy, we inform you that the personal data you voluntarily made available to **Permedica S.p.A.** will be processed in compliance with current legislation.
This page describes how the site is managed with reference to the processing and protection of your personal data.
The information is also provided pursuant to Recommendation no. 2/2001 adopted by the working group established by art. 29 of directive no. 95/46 / EC. to those who interact with the web services of this site, in order to protect personal data, accessible electronically starting from the address. By accepting the contents of this Policy, you consent to the collection and use of Personal Information as described below.
This Policy amply describes the practices we have adopted.
**Personal information that we collect when requesting contact / information**
On the website [https://www.permedica.it/contatti/](https://www.permedica.it/de/kontakte/) we collect personal data and information, necessary to fill in the registration form. This personal information includes the following contact information: *Name, Surname, email, subject (of the request) and text of the message to be sent.*
*This form requires consent to the processing of data and the possibility of using the data for marketing activities and / or sending newsletters (optional consent).*
**Personal information that we collect when submitting your application for an ongoing selection and / or for an expression of interest**
On the website[ https://www.permedica.it/careers/](https://www.permedica.it/careers/) we collect data and personal information, necessary to fill in the request form. This personal information includes the following contact information: *Name, Surname, email, subject (of the request) and text of the message to be sent together with one or more files containing the CV and / or the presentation letter.*
**Personal information that we collect when requesting to send documents**
On the website [https://www.permedica.it](https://www.permedica.it/) in the products section, we collect data and personal information, necessary to fill out the request form for technical product material. *The personal information requested are: Name, Surname, email, profession, Country of origin.*
*This form requires consent to the processing of data and the possibility of using the data for marketing activities and / or sending newsletters (optional consent).*
**Purpose of the treatment**
We inform you that the data collected with the registration of your name or found by us through the consultation of public registers, lists or documents known to anyone, will be processed in compliance with the provisions mentioned above and the confidentiality obligations that inspire the activity of ***Permedica S.p.A.***
The treatments carried out by ***Permedica S.p.A.*** will be based on the principles of correctness, lawfulness and transparency and the protection of your privacy and your rights.
The data will be used, for example, for:
- respond to requests for information and technical documentation
- record contact data and develop management and statistical reports
- make staff selections
In addition to these treatments (which are necessary to proceed with the requests made), ***Permedica S.p.A.*** intends, subject to your explicit consent, to process such data for:
- commercial, promotional and advertising purposes (marketing purposes).
- subscription to the ***Permedica S.p.A.*** newsletter
The data can be communicated by us to our commercial network, to administrative / commercial consultants, to the carriers for the delivery of goods / illustrative material and to parent, subsidiary and investee companies.
**Further purposes**
During their normal operation, the IT systems and software procedures used to operate this website acquire some personal data whose transmission is implicit in the use of internet communication protocols. This information is not collected to be associated with identified interested parties, but which by their very nature could, through processing and association with data held by third parties, allow users to be identified.
This category of data includes the IP addresses or domain names of the computers used by users who connect to the site, the addresses in URI (Uniform resource Identifier) notation of the requested resources, the time of the request, the method used in submitting the request to the server, the size of the file obtained in response, the numeric code indicating the status of the response given by the server (successful, error …) and other parameters relating to the operating system and the user’s IT environment.
These data are used for the sole purpose of obtaining anonymous statistical information on the use of the site and to check its correct functioning and are deleted immediately after processing.
The data could also be used to ascertain responsibility in the event of hypothetical computer crimes against the site.
**Data controller**
The Data Controller is **PERMEDICA S.p.A.**, via Como, 38 – 23807 Merate (LC) Tel +39 039 95 14 811 – Fax+39 039 99 03 078 – mail: <info@permedica.it> , in the person of its legal representative.
The Data Controller guarantees the security, confidentiality and protection of which it is in possession, at any
stage of the treatment process of the same.
The collected data are used in compliance with current legislation on privacy (Legislative Decree 196/2003 and GDPR 679/2016).
**Place of Treatment**
The data will be processed by the data controller at its registered office and at its administrative headquarters in Merate.
**Refusal to provide data**
You may refuse to provide the Data Controller with your data entered in the forms, but this would prevent the pursuit of the purposes described, in terms of the impossibility of sending documentation and requests and participation in any ongoing staff selections.
If, on the other hand, you do not consent to marketing activities and / or to subscribe to the newsletter, you can still receive the requested information and / or documentation.
**Recipients of the data**
No data collected is communicated or disseminated (except for communication to judicial or police bodies if necessary) in addition to what is described in this statement.
The data are processed by personnel specifically appointed in writing to process the data (administrative and public relations staff, also external to the Company, staff responsible for managing information systems, also external to the Company, who can also perform system administrator functions and are in charge of in this case appointed as such, marketing sector personnel also external to the Company, interns, data processors and their collaborators, in charge of the specific sector to which a request is made, site management personnel also external to the Company) only if the treatment is necessary to carry out their duties by performing only the operations necessary to perform the duties themselves.
They may also be processed by data processors (also companies outside the Company that carry out marketing activities, and server management and conservation). External companies can also process the data through specifically appointed persons in writing who can carry out the same activities and process the data for the same purposes, for which the responsible people have been appointed by ***Permedica S.p.A.***
Your data may be communicated to subjects for whom there is an obligation to communicate pursuant to the law or a need for communication to assert a right of the company with the appropriate bodies.
For registration (subject to your consent) to the newsletter, contact details will be communicated, for use of the “mailchimp” service, to Rocket Science Group LLC, based in Georgia (USA).
Therefore your contact details (name and email address) will be transmitted outside the European community, with a regular contract governing this aspect.
**NOTE: the site [https://mailchimp.com](https://mailchimp.com/) contains the extended information of the data controller Rocket Science Group LLC which manages the Mailchimp service**
The Data Controller **Permedica S.p.A.** guarantees the security, confidentiality and protection of which it is in possession, at any stage of the treatment process of the same.
**Retention time**
The data are processed for the time necessary to achieve the purposes for which they are processed. In this sense, the data collected for joining / subscribing to the newsletter will be kept for as long as you decide you want to remain registered with it.
You can always, at any time, request the interruption of treatment or the cancellation and / or limitation of data.
With a view to full transparency, it is available at the ***Permedica S.p.A.*** office the “Data retention policy” document, an integral part of the company’s Data Protection Management System and you have the right to request a copy by contacting the company at the following email address: <info@permedica.it>. In the same document you will also find information on the criteria used to determine this period.
**Data transfer**
The Data Controller does not transfer personal data to unauthorized subjects residing in third countries or to international organizations.
Changes to the policy and / or to the purposes of treatments
The Data Controller reserves the right to modify this policy and the purposes of the processing (which will be promptly reported on the policy published on the website <https://www.permedica.it/>).
In the case of treatments other than that specified in this statement, you may be asked for a new consent. You can also withdraw your consent (see next paragraph).
**Consent withdrawal**
With reference to art. 23 of Legislative Decree 196/2003 and to art. 6 of GDPR 679/16, you can withdraw your consent at any time.
**Rights of the interested parties**
With reference to art. 7 of Legislative Decree 196/2003 and to art. 15 “right of access”, art. 16 “right of rectification”, art. 17 “right to cancellation”, art. 18 “right to limitation of processing”, art. 20 “right to portability”, art.21 “right to object to the automated decision-making process of the GDPR 679/2016, you can exercise your rights by writing to the Data Controller at the following address: PERMEDICA S.p.A., Via Como, 38 – 23807 Merate ( LC) Tel +39 039 95 14 811 – Fax +39 039 99 03 078 – mail: <info@permedica.it>
**Proposition of the complaint**
You have the right to propose a complaint with the supervisory authority of the state of residence.
**Automated decision-making processes**
The Data Controller does not carry out treatments that consist of automated decision-making processes.
The Data Controller – ***Permedica S.p.A.***
---
### [LEGAL NOTICES](https://www.permedica.it/note-legali/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# LEGAL NOTICES
**1. Terms of use**. The information on this website is intended solely for the user’s personal use and not for commercial purposes. The Website, including all the intellectual property rights contained therein, is owned by Permedica Spa and cannot be used outside the provisions of these conditions of use, without the prior written consent of Permedica Spa. the Website and any updates or parts thereof, including the software incorporated therein, may not be copied, modified or reused or rented, sold, loaned, granted and licensed in any way. It is also forbidden to disable, overload, damage or compromise the Website, or interfere with any other use of the Website and otherwise attempt to interfere with the correct functioning of the Website. It is strictly forbidden to carry out processes aimed at monitoring or copying the material published on the Website, or to implement unauthorized procedures without having previously obtained the written consent of Permedica Spa or to make use of spiders, robots or other automatic devices, processes or means to access the website for any purpose, including analysis, data extraction or monitoring of website material. Any non-compliance may be prosecuted pursuant to the law.
**2. Notice for non-professional users**. SThis website reports brief and non-exhaustive descriptions of general concepts on joints anatomy, some pathologies and joint arthroplasty procedures. The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals. We decline any responsibility for any errors and inaccuracies contained on the site or for any consequences related to actions taken or omitted based on the information reported on the website. Should you have any questions or concerns, please address them either to your general practitioner or to your orthopaedic surgeon.
**3. Notice for professional users**. Some sections of this website contain information intended solely for doctors and other healthcare professionals. Access to the contents of these areas is prohibited for non-professional users; the sections for specialist use contain confidential material, access to which may be limited in accordance with the legislations, laws, directives and regulations in force.
**4. Contents and updates**. Permedica Spa dedicates itself with passion to the publication on the Site of information that is as up-to-date and accurate as possible, but assumes no responsibility for any errors or deficiencies within the illustrated contents. The company does not guarantee the absence of viruses or harmful components within the website.
**5. Availability of products**. The products described on the site may not be available in some countries or in any case be available with different brands as they are subject to the necessary approvals or authorizations from the competent territorial bodies.
**6. Information from third parties.** Permedica Spa does not assume any responsibility for content from third parties visible on the website or accessible from the same, nor for any damage that may arise from these sites or content to users.
**7. Disclaimer.** Permedica Spa expressly disclaims any responsibility and / or guarantee for any complaints, losses, damages of any kind however attributable to: 1) the use of this site or the use of any equipment or software in connection with the site; 2) any errors or omissions on this site and its content; 3) any third party sites or related contents accessible through the links on this site; 4) the lack of accessibility to the site or parts of it;
**8. Measures for illegal activities**. The user cannot use this site for illegal purposes or activities. Permedica Spa reserves the right to take any legal action deemed appropriate in the event of violations of the Terms of Use, including the right to block access of a particular internet address to the Permedica Spa websites.
**9. Privacy policy**. The use of the site is subject to the Permedica Spa website privacy policy.
**10. Changes to the Terms of use**. Permedica Spa reserves the right to modify these Terms of Use at any time. Updated versions of the Terms of Use may be posted on this site and will take effect immediately. The use by the user of the Website, after the publication of a new version of the Terms of Use, constitutes acceptance of the changes. In the same way, the user is required to verify any modification of the contents and conditions relating to access and use of the Website.
---
### [LEGAL NOTICES](https://www.permedica.it/note-legali/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# LEGAL NOTICES
**1. Terms of use**. The information on this website is intended solely for the user’s personal use and not for commercial purposes. The Website, including all the intellectual property rights contained therein, is owned by Permedica Spa and cannot be used outside the provisions of these conditions of use, without the prior written consent of Permedica Spa. the Website and any updates or parts thereof, including the software incorporated therein, may not be copied, modified or reused or rented, sold, loaned, granted and licensed in any way. It is also forbidden to disable, overload, damage or compromise the Website, or interfere with any other use of the Website and otherwise attempt to interfere with the correct functioning of the Website. It is strictly forbidden to carry out processes aimed at monitoring or copying the material published on the Website, or to implement unauthorized procedures without having previously obtained the written consent of Permedica Spa or to make use of spiders, robots or other automatic devices, processes or means to access the website for any purpose, including analysis, data extraction or monitoring of website material. Any non-compliance may be prosecuted pursuant to the law.
**2. Notice for non-professional users**. This website reports brief and non-exhaustive descriptions of general concepts on joints anatomy, some pathologies and joint arthroplasty procedures. The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals. We decline any responsibility for any errors and inaccuracies contained on the site or for any consequences related to actions taken or omitted based on the information reported on the website. Should you have any questions or concerns, please address them either to your general practitioner or to your orthopaedic surgeon.
**3. Notice for professional users**. Some sections of this website contain information intended solely for doctors and other healthcare professionals. Access to the contents of these areas is prohibited for non-professional users; the sections for specialist use contain confidential material, access to which may be limited in accordance with the legislations, laws, directives and regulations in force.
**4. Contents and updates**. Permedica Spa dedicates itself with passion to the publication on the Site of information that is as up-to-date and accurate as possible, but assumes no responsibility for any errors or deficiencies within the illustrated contents. The company does not guarantee the absence of viruses or harmful components within the website.
**5. Availability of products**. The products described on the site may not be available in some countries or in any case be available with different brands as they are subject to the necessary approvals or authorizations from the competent territorial bodies.
**6. Information from third parties.** Permedica Spa does not assume any responsibility for content from third parties visible on the website or accessible from the same, nor for any damage that may arise from these sites or content to users.
**7. Disclaimer.**Permedica Spa expressly disclaims any responsibility and / or guarantee for any complaints, losses, damages of any kind however attributable to: 1) the use of this site or the use of any equipment or software in connection with the site; 2) any errors or omissions on this site and its content; 3) any third party sites or related contents accessible through the links on this site; 4) the lack of accessibility to the site or parts of it;
**8. Measures for illegal activities**. The user cannot use this site for illegal purposes or activities. Permedica Spa reserves the right to take any legal action deemed appropriate in the event of violations of the Terms of Use, including the right to block access of a particular internet address to the Permedica Spa websites.
**9. Privacy policy**. The use of the site is subject to the Permedica Spa website privacy policy.
**10. Changes to the Terms of use**. Permedica Spa reserves the right to modify these Terms of Use at any time. Updated versions of the Terms of Use may be posted on this site and will take effect immediately. The use by the user of the Website, after the publication of a new version of the Terms of Use, constitutes acceptance of the changes. In the same way, the user is required to verify any modification of the contents and conditions relating to access and use of the Website.
---
### [PRIVACY POLICY](https://www.permedica.it/informativa-sulla-privacy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# PRIVACY POLICY 679/2016/EU – GDPR
**Information pursuant to article 13 of EU Regulation 2016/679**
**Privacy policy website** <https://www.permedica.it/>
Pursuant to and for the purposes of art. 13 Legislative Decree 196/2003 and pursuant to art. 13 of the GDPR 679/2016 European Regulation on privacy, we inform you that the personal data you voluntarily made available to **Permedica S.p.A.** will be processed in compliance with current legislation.
This page describes how the site is managed with reference to the processing and protection of your personal data.
The information is also provided pursuant to Recommendation no. 2/2001 adopted by the working group established by art. 29 of directive no. 95/46 / EC. to those who interact with the web services of this site, in order to protect personal data, accessible electronically starting from the address. By accepting the contents of this Policy, you consent to the collection and use of Personal Information as described below.
This Policy amply describes the practices we have adopted.
**Personal information that we collect when requesting contact / information**
On the website [https://www.permedica.it/contatti/](https://www.permedica.it/en/contacts/) we collect personal data and information, necessary to fill in the registration form. This personal information includes the following contact information: *Name, Surname, email, subject (of the request) and text of the message to be sent.*
*This form requires consent to the processing of data and the possibility of using the data for marketing activities and / or sending newsletters (optional consent).*
**Personal information that we collect when submitting your application for an ongoing selection and / or for an expression of interest**
On the website[ https://www.permedica.it/careers/](https://www.permedica.it/careers/) we collect data and personal information, necessary to fill in the request form. This personal information includes the following contact information: *Name, Surname, email, subject (of the request) and text of the message to be sent together with one or more files containing the CV and / or the presentation letter.*
**Personal information that we collect when requesting to send documents**
On the website <https://www.permedica.it> in the products section, we collect data and personal information, necessary to fill out the request form for technical product material. *The personal information requested are: Name, Surname, email, profession, Country of origin.*
*This form requires consent to the processing of data and the possibility of using the data for marketing activities and / or sending newsletters (optional consent).*
**Purpose of the treatment**
We inform you that the data collected with the registration of your name or found by us through the consultation of public registers, lists or documents known to anyone, will be processed in compliance with the provisions mentioned above and the confidentiality obligations that inspire the activity of ***Permedica S.p.A.***
The treatments carried out by ***Permedica S.p.A.*** will be based on the principles of correctness, lawfulness and transparency and the protection of your privacy and your rights.
The data will be used, for example, for:
- respond to requests for information and technical documentation
- record contact data and develop management and statistical reports
- make staff selections
In addition to these treatments (which are necessary to proceed with the requests made), ***Permedica S.p.A.*** intends, subject to your explicit consent, to process such data for:
- commercial, promotional and advertising purposes (marketing purposes).
- subscription to the ***Permedica S.p.A.*** newsletter
The data can be communicated by us to our commercial network, to administrative / commercial consultants, to the carriers for the delivery of goods / illustrative material and to parent, subsidiary and investee companies.
**Further purposes**
During their normal operation, the IT systems and software procedures used to operate this website acquire some personal data whose transmission is implicit in the use of internet communication protocols. This information is not collected to be associated with identified interested parties, but which by their very nature could, through processing and association with data held by third parties, allow users to be identified.
This category of data includes the IP addresses or domain names of the computers used by users who connect to the site, the addresses in URI (Uniform resource Identifier) notation of the requested resources, the time of the request, the method used in submitting the request to the server, the size of the file obtained in response, the numeric code indicating the status of the response given by the server (successful, error …) and other parameters relating to the operating system and the user’s IT environment.
These data are used for the sole purpose of obtaining anonymous statistical information on the use of the site and to check its correct functioning and are deleted immediately after processing.
The data could also be used to ascertain responsibility in the event of hypothetical computer crimes against the site.
**Data controller**
The Data Controller is **PERMEDICA S.p.A.**, via Como, 38 – 23807 Merate (LC) Tel +39 039 95 14 811 – Fax+39 039 99 03 078 – mail: <info@permedica.it> , in the person of its legal representative.
The Data Controller guarantees the security, confidentiality and protection of which it is in possession, at any
stage of the treatment process of the same.
The collected data are used in compliance with current legislation on privacy (Legislative Decree 196/2003 and GDPR 679/2016).
**Place of Treatment**
The data will be processed by the data controller at its registered office and at its administrative headquarters in Merate.
**Refusal to provide data**
You may refuse to provide the Data Controller with your data entered in the forms, but this would prevent the pursuit of the purposes described, in terms of the impossibility of sending documentation and requests and participation in any ongoing staff selections.
If, on the other hand, you do not consent to marketing activities and / or to subscribe to the newsletter, you can still receive the requested information and / or documentation.
**Recipients of the data**
No data collected is communicated or disseminated (except for communication to judicial or police bodies if necessary) in addition to what is described in this statement.
The data are processed by personnel specifically appointed in writing to process the data (administrative and public relations staff, also external to the Company, staff responsible for managing information systems, also external to the Company, who can also perform system administrator functions and are in charge of in this case appointed as such, marketing sector personnel also external to the Company, interns, data processors and their collaborators, in charge of the specific sector to which a request is made, site management personnel also external to the Company) only if the treatment is necessary to carry out their duties by performing only the operations necessary to perform the duties themselves.
They may also be processed by data processors (also companies outside the Company that carry out marketing activities, and server management and conservation). External companies can also process the data through specifically appointed persons in writing who can carry out the same activities and process the data for the same purposes, for which the responsible people have been appointed by ***Permedica S.p.A.***
Your data may be communicated to subjects for whom there is an obligation to communicate pursuant to the law or a need for communication to assert a right of the company with the appropriate bodies.
For registration (subject to your consent) to the newsletter, contact details will be communicated, for use of the “mailchimp” service, to Rocket Science Group LLC, based in Georgia (USA).
Therefore your contact details (name and email address) will be transmitted outside the European community, with a regular contract governing this aspect.
**NOTE: the site <https://mailchimp.com> contains the extended information of the data controller Rocket Science Group LLC which manages the Mailchimp service**
The Data Controller **Permedica S.p.A.** guarantees the security, confidentiality and protection of which it is in possession, at any stage of the treatment process of the same.
**Retention time**
The data are processed for the time necessary to achieve the purposes for which they are processed. In this sense, the data collected for joining / subscribing to the newsletter will be kept for as long as you decide you want to remain registered with it.
You can always, at any time, request the interruption of treatment or the cancellation and / or limitation of data.
With a view to full transparency, it is available at the ***Permedica S.p.A.*** office the “Data retention policy” document, an integral part of the company’s Data Protection Management System and you have the right to request a copy by contacting the company at the following email address: <info@permedica.it>. In the same document you will also find information on the criteria used to determine this period.
**Data transfer**
The Data Controller does not transfer personal data to unauthorized subjects residing in third countries or to international organizations.
Changes to the policy and / or to the purposes of treatments
The Data Controller reserves the right to modify this policy and the purposes of the processing (which will be promptly reported on the policy published on the website <https://www.permedica.it/>).
In the case of treatments other than that specified in this statement, you may be asked for a new consent. You can also withdraw your consent (see next paragraph).
**Consent withdrawal**
With reference to art. 23 of Legislative Decree 196/2003 and to art. 6 of GDPR 679/16, you can withdraw your consent at any time.
**Rights of the interested parties**
With reference to art. 7 of Legislative Decree 196/2003 and to art. 15 “right of access”, art. 16 “right of rectification”, art. 17 “right to cancellation”, art. 18 “right to limitation of processing”, art. 20 “right to portability”, art.21 “right to object to the automated decision-making process of the GDPR 679/2016, you can exercise your rights by writing to the Data Controller at the following address: PERMEDICA S.p.A., Via Como, 38 – 23807 Merate ( LC) Tel +39 039 95 14 811 – Fax +39 039 99 03 078 – mail: <info@permedica.it>
**Proposition of the complaint**
You have the right to propose a complaint with the supervisory authority of the state of residence.
**Automated decision-making processes**
The Data Controller does not carry out treatments that consist of automated decision-making processes.
The Data Controller – ***Permedica S.p.A.***
---
### [PRIVACY POLICY](https://www.permedica.it/informativa-sulla-privacy/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# INFORMATIVA PRIVACY 679/2016/EU – GDPR
**Informativa ex articolo 13 del Regolamento UE 2016/679**
**Informativa sito internet** <https://www.permedica.it/>
Ai sensi e per gli effetti dell’art. 13 D.Lgs. 196/2003 e ai sensi dell’art. 13 del GDPR 679/2016 Regolamento Europeo in materia di privacy, La informiamo che i dati personali da Lei volontariamente messi a disposizione di ***Permedica S.p.A.*** saranno oggetto di trattamento nel rispetto della vigente normativa.
In questa pagina si descrivono le modalità di gestione del sito in riferimento al trattamento ed alla protezione dei suoi dati personali.
L’informativa è resa anche ai sensi della Raccomandazione n. 2/2001 adottata dal Gruppo di lavoro istituito dall’art. 29 della direttiva n. 95/46/CE. a coloro che interagiscono con i servizi web di questo sito, al fine della protezione dei dati personali, accessibili per via telematica a partire dall’indirizzo. Accettando i contenuti della presente Informativa acconsenti alla raccolta e all’uso delle Informazioni personali come di seguito descritto.
Questa Informativa descrive ampiamente le pratiche che abbiamo adottato.
**Informazioni personali che raccogliamo al momento della richiesta di contatto / informazioni**
Nel sito web <https://www.permedica.it/contatti/> raccogliamo dei dati e delle informazioni personali, necessarie per compilare il form di iscrizione. Queste informazioni personali includono le seguenti informazioni di contatto: *Nome, Cognome, email, oggetto (della richiesta) e testo del messaggio che si vuole inviare.*
*In questo form è richiesto il consenso al trattamento dei dati e la possibilità di utilizzo dei dati per attività di marketing e/o invio di newsletter (consenso facoltativo).*
**Informazioni personali che raccogliamo al momento dell’invio della propria candidatura per una selezione in corso e/o per una manifestazione di interesse**
Nel sito web <https://www.permedica.it/careers/> raccogliamo dei dati e delle informazioni personali, necessarie per compilare il form di richiesta. Queste informazioni personali includono le seguenti informazioni di contatto: *Nome, Cognome, email, oggetto (della richiesta) e testo del messaggio che si vuole inviare unitamente ad uno o più file contenenti il cv e/o la lettera di presentazione.*
**Informazioni personali che raccogliamo al momento della richiesta di invio documentazioni**
Nel sito web[ https://www.permedica.it](https://www.permedica.it) nella sezione dei prodotti, raccogliamo dei dati e delle informazioni personali, necessarie per compilare il form di richiesta di materiale tecnico di prodotti. Le informazioni personali richieste sono: *Nome, Cognome, email, professione, Nazione di provenienza.*
*In questo form è richiesto il consenso al trattamento dei dati e la possibilità di utilizzo dei dati per attività di marketing e/o invio di newsletter (consenso facoltativo).*
**Finalità di trattamento**
La informiamo che i dati raccolti con la registrazione del suo nominativo o da noi reperiti tramite la consultazione di pubblici registri, elenchi o documenti conoscibili da chiunque, saranno oggetto di trattamento nel rispetto delle disposizioni sopra menzionate e degli obblighi di riservatezza che ispirano l’attività della ***Permedica S.p.A.***
I trattamenti effettuati dalla ***Permedica S.p.A.*** saranno improntati ai principi di correttezza, liceità e trasparenza e di tutela della Sua riservatezza e dei Suoi diritti.
I dati saranno utilizzati, ad esempio, per:
- rispondere alle richieste di informazioni e documentazione tecnica
- registrare i dati di contatto ed elaborare report gestionali e statistiche
- effettuare selezioni del personale
Oltre a questi trattamenti (che risultano necessari per poter procedere alle richieste eseguite), ***Permedica S.p.A.*** intende, previo vostro consenso esplicito, trattare tali dati per:
- finalità commerciali, promozionali e pubblicitarie (finalità di marketing).
- iscrizione alla newsletter di ***Permedica S.p.A.***
I dati possono da noi essere comunicati alla nostra rete commerciale, a consulenti in ambito amministrativo/commerciale, ai trasportatori per la consegna di merce/materiale illustrativo e a società controllanti, controllate e partecipate.
**Ulteriori finalità**
I sistemi informatici e le procedure software preposte al funzionamento di questo sito web acquisiscono, nel corso del loro normale esercizio alcuni dati personali la cui trasmissione è implicita nell’uso dei protocolli di comunicazione di internet. Tali informazioni non sono raccolte per essere associate a interessati identificati, ma che per loro stessa natura potrebbero, attraverso elaborazioni ed associazioni con dati detenuti da terzi, permettere di identificare gli utenti.
In questa categoria di dati rientrano gli indirizzi IP o i nomi a dominio dei computer utilizzati dagli utenti che si connettono al sito, gli indirizzi in notazione URI (Uniform resource Identifier) delle risorse richieste, l’orario della richiesta, il metodo utilizzato nel sottoporre la richiesta al server, la dimensione del file ottenuto in risposta, il codice numerico indicante lo stato della risposta data dal server (buon fine, errore…) ed altri parametri relativi al sistema operativo e all’ambiente informatico dell’utente.
Questi dati vengono utilizzati al solo fine di ricavare informazioni statistiche anonime sull’uso del sito e per controllarne il corretto funzionamento e vengono cancellate immediatamente dopo l’elaborazione.
I dati potrebbero, altresì, essere utilizzati per l’accertamento di responsabilità in caso di ipotetici reati informatici ai danni del sito.
**Titolare del Trattamento**
Il Titolare del trattamento dei suoi dati è **PERMEDICA S.p.A.**, via Como, 38 – 23807 Merate (LC) Tel +39 039 9514 811 – Fax +39 039 99 03 078 –
mail: info@permedica.it, nella persona del suo legale rappresentante.
Il Titolare del trattamento garantisce la sicurezza, la riservatezza e la protezione di cui è in possesso, in qualsiasi fase del processo di trattamento degli stessi.
I dati raccolti vengono utilizzati nel rispetto della normativa vigente in materia di privacy (D.Lgs. 196/ 2003 e GDPR 679/2016)
**Luogo di Trattamento**
I dati verranno trattati dal titolare del trattamento presso la propria sede legale e presso la propria sede amministrativa di Merate.
**Rifiuto al conferimento dei dati**
Lei può rifiutarsi di conferire al Titolare i suoi dati inseriti nei form, ma ciò impedirebbe la perseguire le finalità decritte, in termini di impossibilità di invio di documentazione e richieste e di partecipazione alle eventuali selezioni di personale in corso.
Se invece non fornirà il consenso alle attività di marketing e/o iscrizione alla newsletter, potrà comunque ricevere le informazioni e/o la documentazione richiesta.
**Destinatari dei dati**
Nessun dato raccolto viene comunicato o diffuso (salva la comunicazione ad organi giudiziari o di polizia se necessaria) oltre a quanto descritto dalla presente informativa.
I dati sono trattati da personale appositamente incaricato per iscritto al trattamento dei dati (personale amministrativo e addetti ai rapporti col pubblico anche esterni alla Società, addetti alla gestione dei sistemi informativi anche esterni alla Società che possono anche svolgere funzioni di amministratore di sistema e sono in tal caso nominati tali, personale del settore marketing anche esterni alla Società, stagisti, responsabili del trattamento e loro collaboratori, incaricati del settore specifico a cui è rivolta una richiesta, addetti alla gestione del sito anche esterni alla Società) solo qualora il trattamento sia necessario allo svolgimento delle loro mansioni compiendo solo le operazioni necessarie allo svolgimento delle mansioni stesse.
Possono anche essere trattati da responsabili del trattamento (anche società esterne alla Società che svolgono attività di marketing, e gestione e conservazione server). Le società esterne possono trattare i dati anche attraverso incaricati appositamente nominati per iscritto che possono svolgere le stesse attività e trattare i dati per le stesse finalità, per le quali i responsabili sono stati nominati da ***Permedica S.p.A.***
I Suoi dati potranno essere comunicati ai soggetti per i quali sussista un obbligo di comunicazione ai sensi di legge o una necessità di comunicazione per far valere un giusto diritto della società presso gli organi preposti.
Per l’iscrizione (previo suo consenso) alla newsletter, i dati di contatto saranno comunicati, per utilizzo del servizio “mailchimp” a Rocket Science Group LLC, con sede in Georgia (USA). Pertanto i suoi dati di contatto (nominativo e indirizzo mail) saranno trasmessi al di fuori della comunità europea, con un regolare contratto che disciplina tale aspetto.
**NB: il sito <https://mailchimp.com> contiene l’informativa estesa del titolare del trattamento Rocket Science Group LLC che gestisce il servizio Mailchimp**
Il Titolare del trattamento **Permedica S.p.A.** garantisce la sicurezza, la riservatezza e la protezione di cui è in possesso, in qualsiasi fase del processo di trattamento degli stessi.
**Tempi di conservazione**
I Dati sono trattati per il tempo necessario al raggiungimento delle finalità per i quali essi sono trattati. In tal senso i dati raccolti per l’adesione/iscrizione alla newsletter verranno conservati per tutto il tempo in cui Lei deciderà di voler rimanere registrato alla stessa.
Lei può sempre, in ogni momento, chiedere l’interruzione del Trattamento o la cancellazione e/o la limitazione dei Dati.
In un’ottica di piena trasparenza è disponibile presso la sede di ***Permedica S.p.A.*** il documento “Politica di conservazione dei dati”, parte integrante del Sistema di Gestione Data Protection dell’azienda stessa e avete il diritto di richiederne copia contattando l’azienda al seguente indirizzo mail: <info@permedica.it>. Nel medesimo documento troverete anche le indicazioni circa i criteri utilizzati per determinare tale periodo.
**Trasferimento dei dati**
Il Titolare del trattamento non trasferisce i dati personali a soggetti non autorizzati residenti in paesi terzi o a organizzazioni internazionali.
**Modifica della informativa e/o delle finalità e/o dei trattamenti**
Il Titolare del Trattamento dei dati si riserva la possibilità di modificare la presente informativa e le finalità del trattamento (che saranno riportate puntualmente sull’informativa pubblicata sul sito <https://www.permedica.it/>).
Nel caso di trattamenti diversi da quello specificato nella presente informativa, Le potrà essere richiesto un nuovo consenso. Lei potrà, altresì, revocare il suo consenso (vedi paragrafo successivo)
**Revoca del Consenso**
Con riferimento all’art.23 del D.Lgs. 196/2003 e all’art. 6 del GDPR 679/16, Lei può revocare il consenso in qualsiasi momento.
**Diritti degli interessati**
Con riferimento all’art.7 del D.Lgs. 196/2003 e agli art. 15 “diritto all’accesso”, art. 16 “diritto di rettifica”, art. 17 “diritto alla cancellazione”, art. 18 “diritto alla limitazione del trattamento”, art. 20 “diritto alla portabilità”, art.21 “diritto di opposizione al processo decisionale automatizzato del GDPR 679/2016, Lei può esercitare i suoi diritti scrivendo al Titolare del trattamento al seguente indirizzo: PERMEDICA S.p.A., Via Como, 38 – 23807 Merate (LC) Tel +39 039 95 14 811 – Fax +39 039 99 03 078 – mail: <info@permedica.it>
**Proposizione del reclamo**
Lei ha diritto di proporre reclamo all’autorità di controllo dello stato di residenza.
**Processi decisionali automatizzati**
Il Titolare non effettua trattamenti che consistano in processi decisionali automatizzati.
Il Titolare del Trattamento – ***Permedica S.p.A.***
---
### [HAX-PORE](https://www.permedica.it/innovation-systems/hax-pore/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### HaX-Pore®
##### Double revêtement pulvérisé au plasma de titane et d’hydroxyapatite poreux
1\. **Ajustement serré efficace** grâce au frottement dû à la grande rugosité de la surface.
2\. **Ostéointégration rapide** à court terme.
3\. **Ancrage stable entre l’os et le revêtement de titane poreux** à long terme.
**HaX-Pore® est un double revêtement de titane poreux et d’hydroxyapatite** pulvérisé au plasma.
Utilisé sur les prothèses Permedica destinées à une implantation ajustée pour laquelle un ancrage direct dans l’os se produit par ostéointégration.
Le revêtement **HaX-Pore® a été développé pour optimiser l’ostéointégration prothétique.**
Le revêtement HaX-Pore® a pour objectif d’utiliser un double revêtement composé de:
#### Première couche
**Enduit de titane pur et poreux, appliqué par pulvérisation plasma dans l’air (APS),** d’une épaisseur élevée (300 µm / 500 µm) afin d’obtenir un degré élevé de rugosité et de porosité.
Cette morphologie de surface avec une structure tridimensionnelle à porosité ouverte augmente la surface en contact avec l’os, assure une **croissance adéquate de l’os** et **augmente le frottement avec l’os,** améliorant la résistance aux contraintes de cisaillement entre l’os et la prothèse.
#### Deuxième couche
**Le revêtement HA, toujours appliqué par pulvérisation plasma dans l’air (APS),** déposé en épaisseur réduite (50 µm) afin de maintenir ou de réduire légèrement la rugosité et la porosité de surface du revêtement en titane.
La couche externe de **HA sert de surface bioactive pour augmenter la croissance osseuse.**
L’HA n’agit en fait que comme un moyen ostéoconducteur pour accélérer et augmenter l’ostéointégration de la prothèse, sans fournir aucun support mécanique. Une fois la couche d’HA résorbée, l’ancrage mécanique à long terme de la prothèse est assuré par contact direct entre l’os et le revêtement de titane poreux.
#### Revêtement APS
Avant de réaliser le processus de revêtement APS, **la surface à revêtir est sablée** avec un abrasif constitué d’alumine pure (corindon) jusqu’à l’obtention d’une rugosité de surface assurant l’adhérence mécanique (résistance au cisaillement et à la traction) du revêtement sur le substrat, dépassant certaines exigences définies par les réglementations et les guides de la FDA. La fine couche de HA située au-dessus de la couche plus épaisse de titane poreux, toutes deux déposées par pulvérisation plasma, détermine **une porosité et une rugosité élevées du revêtement,** permettant ainsi une liaison mécanique élevée (résistance à la coupure et à la traction) aussi bien au niveau de l’interface revêtement / os qu’ à l’interface revêtement / substrat.
---
### [HAX-PORE](https://www.permedica.it/innovation-systems/hax-pore/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### HaX-Pore®
##### Doppelt plasmagesprayte Beschichtung aus porösem Titan und Hydroxylapatit
1\. **Effektives Press-Fit** aufgrund von Reibung durch hohe Oberflächenrauigkeit.
2\. **Rasche Osseointegration** in kurzer Zeit.
3\. **Langfristig stabile Verankerung zwischen Knochen und der porösen Titanschicht.**
Die bei Permedica benützte **doppelte Plasma Spray Beschichtung der Prothesen mit porösem Titanium und Hydroxyapatit wird als HaX-Pore®** bezeichnet; die Osteointegration erfolgt durch eine Press-Fit Implantation.
**HaX-Pore® wurde für ein verbessertes Einwachsen der Prothese entwickelt.**
Das Grundlagenprinzip des HaX-Pore®-Coatings beruht auf zwei Schichten:
#### Erste Schicht
**Reine Titanschicht, aufgetragen mittels Luftplasmaspray (APS)** mit einer hohen Dicke (300 µm / 500 µm) um einen hohen Grad an Rauigkeit und Porosität zu erzielen.
Diese Oberflächenbeschaffenheit mit einer dreidimensionalen, offenen Gitterstruktur vergrössert die Oberfläche und damit die Kontaktfläche mit dem Knochen. Dies garantiert einerseits **ein ideales Einwachsen des Knochens,** andererseits ergibt sich eine erhöhte Reibung mit dem Knochen und damit eine **verbesserte Widerstandsfähigkeit gegen eventuell auftretende Scherkräfte** zwischen Knochen und Prothese.
#### Zweite Schicht
**Hydroylapatit Beschichtung (HA); immer mittels Luftplasmaspray aufgetragen (APS),** mit einer reduzierten Dicke (50 µm), um die Rauigkeit und die Oberflächenporosität der Reintitanschicht zu erhalten oder nur gering zu vermindern.
**Die äussere HA-Schicht zeigt eine bioaktive Oberfläche, die das Einwachsen des Knochens fördert.**
Das HA wirkt ausschliesslich osseoinduktiv, es beschleunigt und erhöht die Osseointegration der Prothese ohne dabei mechanisch Einfluss zu nehmen. Nachdem die HA-Schicht reabsorbiert wurde wird die mechanische Langzeitverankerung der Prothese durch den direkten Kontakt zwischen Knochen und der Reintitanschicht gewährleistet.
#### APS Beschichtung
Vor der Durchführung des APS-Beschichtungsprozesses **wird die zu beschichtende Oberfläche mit einem Schleifmittel aus reinem Aluminiumoxid (Korund, Al2O3) gestrahlt,** bis eine Oberflächenrauheit erreicht ist, die eine mechanische Haftung (Beständigkeit gegen Scherung und Zugspannung) der Beschichtung auf der Oberfläche des Substrats gewährleistet, welche bestimmte Anforderungen der FDA-Vorschriften und -Richtlinien übertrifft.
Die dünne HA-Schicht über der dickeren Schicht aus porösem Titan, die beide durch Plasmaspray abgeschieden wurden, bestimmen eine **hohe Porosität und Rauheit der Beschichtung** und ermöglichen so eine hohe mechanische Belastbarkeit (Beständigkeit gegen Scherkräfte und Zugkräfte), sowohl an der Grenzfläche mit dem Knochen als auch zwischen Beschichtung und Substrat.
---
### [Ginocchio form](https://www.permedica.it/form-ginocchio/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Information sheetSurgical technique
GKS One EvoGKS PRIME Flex MobileGKS PRIME Flex PS MobileGKS PRIME Flex CRGKS PRIME Flex TRASERGKS PRIME Flex PSGKS BUTTERFLYGKS Prime Flex SMART REVISIONGKS PRIME Flex RKTRASER ConesGKS AMSMART
I declare that I have read and accept the content of [the privacy policy](https://www.permedica.it/en/privacy-policy/)
I authorize the treatment of my personal data for marketing purposes and/or to subscribe to the newsletter YesNo
We will provide the requested material as soon as possible
×
---
### [PROFESSIONISTI MEDICI](https://www.permedica.it/area-chirurgo/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [SHOULDER PATHOLOGIES](https://www.permedica.it/area-paziente/spalla-paziente/patologie-della-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### SHOULDER PATHOLOGIES
The bone surfaces of our skeleton interface with each other through the joints.
The joints can be of different types depending on the relative movement between the bones that compose them:
**in some cases they connect two or more bones with extreme mobility, such as the hip, the knee, the shoulder;** in other cases they joins together bones with limited mobility, such as the bones of the spine; in other cases they join absolutely immobile bones, such as those of the skull.
The joints, especially those subject to load and more involved in the movement, can be afflicted by pathologies that can lead to the need for joint replacement surgery.
**These pathologies are multiple, they can be of different nature** (degenerative, traumatic, congenital) **and highly disabling.**
- [OSTEOARTHRITIS](#artrosi)
- [RHEUMATOID ARTHRITIS](#artrite)
- [HUMERAL HEAD FRACTURE](#spalla_omerale)
- [OSTEOPOROSIS](#osteoporosi)
- [ROTATOR CUFF ARTHROPATHY](#artropatia)
#### OSTEOARTHRITIS
Osteoarthritis is a **degenerative pathological process of the articular surfaces** that involves the entire joint (bone, cartilage, joint capsule).
It is a very common condition that usually occurs between the ages of 50 and 60, but can also occur at a younger age. It is classified as **“primary” osteoarthritis when the origin is not known,** or as **“secondary” when it arises as a result of inflammatory processes** (arthritis), endocrine (diabetes or gout), congenital (dysplasia) or traumatic, which alter morphology and joint function.
The arthritic pathology **manifests itself with the wear and the gradual reabsorption of the articular cartilage,** thinning of the articular space, anomalous production of bone (osteophytes), deformation of the articular edges, thickening of the capsule with formation of calcifications, resulting in **acute pain and severe limitation in the movement.**
The diagnosis is easily recognizable based on the symptoms and a simple radiographic examination. Therapy is planned based on the stage of progress.
**The most affected joints are those of the hip** (coxarthrosis), of **the knee** (gonarthrosis) and of **the shoulder** (omarthrosis).
The most effective therapy for the treatment of osteoarthrosis is surgery, with the prosthetic replacement of the articular edges involved. Pharmacological therapies, physiotherapy treatments, cortisone infiltrations or anything else can temporarily relieve pain but do not constitute a definitive solution.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
[Link to #top](#top)
#### RHEUMATOID ARTHRITIS
Rheumatoid arthritis is a **chronic and progressive inflammatory polyarthritis with autoimmune pathogenesis** of the synovial joints.
It differs from arthritis because it initially affects the synovial membrane and not the cartilage, it affects with less frequency and at a more youthful age compared to osteoarthritis. Women are more affected (3: 1 ratio). It affects 1-2% of the population and the number of cases increases with age, in fact 5% of women over 55 are affected. **Onset is mainly observed at the end of adolescence or between the 4th and 5th decade of life;** a second peak is observed between 60 and 70 years.
An early variant of RA consists of rheumatoid arthritis of childhood.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
#### HUMERAL HEAD FRACTURE
Fracture of the humeral head is **one of the most frequent causes of shoulder surgery.**
In elderly patients, especially in those with osteoporosis, it is often caused by a trivial fall whereas in younger patients it is mostly the result of violent trauma, traffic accidents or sports injuries.
**The symptoms are intense pain and immediate inability to move.** Depending on the type of fracture the possible treatments could be conservative (brace, immobilization and rest) or surgical in most complex situations.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
#### OSTEOPOROSIS
Osteoporosis is a **systemic and metabolic disease of the skeletal system,** which occurs in the elderly and **with greater incidence in women.**
The result is an **increase in the fragility of bones that are more easily subject to fractures.**
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
#### ROTATOR CUFF ARTHROPATHY
It is a **severe and complex form of osteoarthritis that affects the shoulder joint.**
In this case, the alteration of the joint movement is caused by a **muscular dysfunction of the rotators** which in the long term causes wear of the articular cartilage with the appearance of pain, loss of strength and difficulty in movements.
###### [The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals.](https://www.permedica.it/en/patient-disclaimer/)
---
### [PATOLOGIE DELLA SPALLA](https://www.permedica.it/area-paziente/spalla-paziente/patologie-della-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PATOLOGIE DELLA SPALLA
Le superfici delle ossa del nostro scheletro si interfacciano tra loro mediante le **articolazioni.**
Le articolazioni possono essere di tipologie diverse a seconda del movimento relativo tra le ossa che le compongono:
**in alcuni casi sono formate da due o più ossa dotate di estrema mobilità, come ad esempio l’anca, il ginocchio, la spalla;** in altri casi uniscono fra loro ossa poco mobili, come le ossa della colonna vertebrale; in altri casi ancora congiungono ossa assolutamente immobili, come quelle della scatola cranica.
Le articolazioni, soprattutto quelle soggette a carico e maggiormente coinvolte nel movimento, possono essere afflitte da patologie che possono indurre alla necessità di un intervento chirurgico di sostituzione protesica articolare.
**Queste patologie sono molteplici, possono essere di diversa natura** (degenerative, traumatiche, congenite) **e altamente invalidanti.**
- [ARTROSI](#artrosi)
- [ARTRITE REUMATOIDE](#artrite)
- [FRATTURA DELLA TESTA OMERALE](#spalla_omerale)
- [OSTEOPOROSI](#osteoporosi)
- [ARTROPATIA DELLA CUFFIA DEI ROTATORI](#artropatia)
#### ARTROSI
L’artrosi è un **processo patologico degenerativo delle superfici articolari** che coinvolge l’intera articolazione (osso, cartilagine, capsula articolare).
É una patologia molto comune che si manifesta in genere tra i 50 e 60 anni, ma può insorgere anche in età più giovanile. Viene classificata come **artrosi “primaria” quando l’origine non è conosciuta**, o come **“secondaria” quando insorge in seguito a processi infiammatori** (artriti), endocrini (diabete o gotta), congeniti (displasia) o traumatici, che alterano la morfologia e la funzionalità articolare.
La patologia artrosica **si manifesta con l’usura e il graduale riassorbimento della cartilagine articolare**, assottigliamento dello spazio articolare, produzione anomala di osso (osteofiti), deformazione dei capi articolari, ispessimento della capsula con formazione di calcificazioni, risultante in **dolore acuto e limitazione grave nel movimento.**
La diagnosi è facilmente riconoscibile in base alla sintomatologia ed un semplice esame radiografico. La terapia viene pianificata in base allo stadio di avanzamento.
Le **articolazioni maggiormente interessate sono quelle dell’anca** (coxartrosi), **del ginocchio** (gonartrosi) e **della spalla** (omartrosi).
La terapia più efficace per la cura dell’artrosi è quella chirurgica, con la sostituzione protesica dei capi articolari interessati. Terapie farmacologiche, cure fisioterapiche, infiltrazioni cortisoniche o quant’altro possono alleviare temporaneamente il dolore ma non costituiscono una soluzione definitiva.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
[Link to #top](#top)
#### ARTRITE REUMATOIDE
L’artrite reumatoide è una **poliartrite infiammatoria cronica e progressiva a patogenesi autoimmunitaria** a carico delle articolazioni sinoviali.
Si differenzia dall’artrosi perché interessa inizialmente la membrana sinoviale e non la cartilagine, colpisce con meno frequenza e in età più giovanile rispetto all’osteoartrosi. Sono più colpite le donne (rapporto 3:1). Interessa l’1-2% della popolazione e il numero dei casi aumenta con l’età, infatti è colpito il 5% delle donne oltre i 55 anni. **L’esordio si osserva prevalentemente al termine della adolescenza o tra il 4° e 5° decennio di vita**; un secondo picco si osserva tra i 60 e 70 anni.
Una variante precoce dell’AR è costituita dall’artrite reumatoide dell’infanzia.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### FRATTURA DELLA TESTA OMERALE
La frattura della testa dell’omero è **una delle cause più frequenti di intervento alla spalla.**
Nei pazienti anziani, soprattutto nei soggetti con osteoporosi, è spesso causata da una banale caduta mentre nei pazienti più giovani è per la maggior parte il risultato di traumi violenti, incidenti stradali o traumi sportivi.
**I sintomi sono dolore intenso e immediata incapacità di movimento.** A seconda della tipologia di frattura è possibile ricorrere a trattamenti conservativi (tutore, immobilizzazione e riposo) oppure all’intervento chirurgico nelle situazioni più complesse.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### OSTEOPOROSI
L’osteoporosi è una **malattia sistemica e metabolica dell’apparato scheletrico**, che si manifesta negli anziani e **con maggior incidenza nelle donne**.
È caratterizzata da una bassa densità minerale e dal deterioramento della struttura del tessuto osseo.
Ne consegue un **incremento della fragilità delle ossa che sono più facilmente soggette a fratture.**
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### ARTROPATIA DELLA CUFFIA DEI ROTATORI
Si tratta di una **forma severa e complessa di artrosi che colpisce l’articolazione della spalla**.
In questo caso, l’alterazione del movimento articolare è causata da una **disfunzione muscolare dei rotatori** che a lungo termine provoca l’usura della cartilagine articolare con comparsa di dolore, perdita di forza e difficoltà nei movimenti.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
---
### [PATOLOGIE DEL GINOCCHIO](https://www.permedica.it/area-paziente/ginocchio-paziente/patologie-del-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PATOLOGIE DEL GINOCCHIO
Le superfici delle ossa del nostro scheletro si interfacciano tra loro mediante le **articolazioni.**
Le articolazioni possono essere di tipologie diverse a seconda del movimento relativo tra le ossa che le compongono: **in alcuni casi sono formate da due o più ossa dotate di estrema mobilità, come ad esempio l’anca, il ginocchio, la spalla;** in altri casi uniscono fra loro ossa poco mobili, come le ossa della colonna vertebrale; in altri casi ancora congiungono ossa assolutamente immobili, come quelle della scatola cranica.
Le articolazioni, soprattutto quelle soggette a carico e maggiormente coinvolte nel movimento, possono essere afflitte da patologie che possono indurre alla necessità di un intervento chirurgico di sostituzione protesica articolare.
**Queste patologie sono molteplici, possono essere di diversa natura** (degenerative, traumatiche, congenite) **e altamente invalidanti.**
- [ARTROSI](#artrosi)
- [ARTRITE REUMATOIDE](#artrite)
- [OSTEOPOROSI](#osteoporosi)
- [GINOCCHIO VARO/VALGO](#ginocchio_varo)
#### ARTROSI
L’artrosi è un **processo patologico degenerativo delle superfici articolari** che coinvolge l’intera articolazione (osso, cartilagine, capsula articolare).
É una patologia molto comune che si manifesta in genere tra i 50 e 60 anni, ma può insorgere anche in età più giovanile. Viene classificata come **artrosi “primaria” quando l’origine non è conosciuta**, o come **“secondaria” quando insorge in seguito a processi infiammatori** (artriti), endocrini (diabete o gotta), congeniti (displasia) o traumatici, che alterano la morfologia e la funzionalità articolare.
La patologia artrosica **si manifesta con l’usura e il graduale riassorbimento della cartilagine articolare**, assottigliamento dello spazio articolare, produzione anomala di osso (osteofiti), deformazione dei capi articolari, ispessimento della capsula con formazione di calcificazioni, risultante in **dolore acuto e limitazione grave nel movimento.**
La diagnosi è facilmente riconoscibile in base alla sintomatologia ed un semplice esame radiografico. La terapia viene pianificata in base allo stadio di avanzamento.
Le **articolazioni maggiormente interessate sono quelle dell’anca** (coxartrosi), **del ginocchio** (gonartrosi) e **della spalla** (omartrosi).
La terapia più efficace per la cura dell’artrosi è quella chirurgica, con la sostituzione protesica dei capi articolari interessati. Terapie farmacologiche, cure fisioterapiche, infiltrazioni cortisoniche o quant’altro possono alleviare temporaneamente il dolore ma non costituiscono una soluzione definitiva.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
[Link to #top](#top)
#### ARTRITE REUMATOIDE
L’artrite reumatoide è una **poliartrite infiammatoria cronica e progressiva a patogenesi autoimmunitaria** a carico delle articolazioni sinoviali.
Si differenzia dall’artrosi perché interessa inizialmente la membrana sinoviale e non la cartilagine, colpisce con meno frequenza e in età più giovanile rispetto all’osteoartrosi. Sono più colpite le donne (rapporto 3:1). Interessa l’1-2% della popolazione e il numero dei casi aumenta con l’età, infatti è colpito il 5% delle donne oltre i 55 anni. **L’esordio si osserva prevalentemente al termine della adolescenza o tra il 4° e 5° decennio di vita**; un secondo picco si osserva tra i 60 e 70 anni.
Una variante precoce dell’AR è costituita dall’artrite reumatoide dell’infanzia.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### OSTEOPOROSI
L’osteoporosi è una **malattia sistemica e metabolica dell’apparato scheletrico**, che si manifesta negli anziani e **con maggior incidenza nelle donne**.
È caratterizzata da una bassa densità minerale e dal deterioramento della struttura del tessuto osseo.
Ne consegue un **incremento della fragilità delle ossa che sono più facilmente soggette a fratture.**
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### GINOCCHIO VARO/VALGO
In una situazione normale, **le articolazioni dell’arto inferiore** (anca, ginocchio e caviglia) **risultano essere allineate su un asse comune detto asse meccanico** o asse di carico.
Tale asse nella tibia corrisponde all’asse diafisario (asse anatomico) mentre nel femore l’asse anatomico si discosta da quello meccanico formando un angolo di circa 6 gradi (angolo di valgismo fisiologico).
**Se questo allineamento risulta modificato si ha una situazione patologica con deviazione assiale**, con conseguente **alterazione della biomeccanica articolare che nel tempo porta a usura della cartilagine** delle zone sottoposte a carico.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
---
### [ARTROPLASTICA DI GINOCCHIO](https://www.permedica.it/area-paziente/ginocchio-paziente/ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTROPLASTICA DI GINOCCHIO
L’intervento di artroplastica totale di ginocchio ha l’obiettivo di **ripristinare la funzionalità perduta dell’articolazione** in seguito di traumi o patologie invalidanti.
L’impianto di una articolazione artificiale mira a **ridurre il dolore, recuperare la mobilità perduta** e **migliorare la qualità della vita** del paziente.
Una protesi di ginocchio è generalmente composta da **3 componenti** realizzati con materiali altamente biocompatibili:
1\. **Componente tibiale** (in metallo)
2\. **Inserto** articolare (in polietilene)
3\. **Componente femorale** (in metallo) ed eventuale componente rotulea (in polietilene)
La fissazione della protesi all’osso può essere senza utilizzo di cemento (fissazione biologica) o mediante utilizzo di cemento.
---
### [PATOLOGIE DELL' ANCA](https://www.permedica.it/area-paziente/anca-paziente/patologie-dellanca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PATOLOGIE DELL’ ANCA
Le superfici delle ossa del nostro scheletro si interfacciano tra loro mediante le **articolazioni.**
Le articolazioni possono essere di tipologie diverse a seconda del movimento relativo tra le ossa che le compongono: **in alcuni casi sono formate da due o più ossa dotate di estrema mobilità, come ad esempio l’anca, il ginocchio, la spalla;** in altri casi uniscono fra loro ossa poco mobili, come le ossa della colonna vertebrale; in altri casi ancora congiungono ossa assolutamente immobili, come quelle della scatola cranica.
Le articolazioni, soprattutto quelle soggette a carico e maggiormente coinvolte nel movimento, possono essere afflitte da patologie che possono indurre alla necessità di un intervento chirurgico di sostituzione protesica articolare.
**Queste patologie sono molteplici, possono essere di diversa natura** (degenerative, traumatiche, congenite) **e altamente invalidanti.**
- [ARTROSI](#artrosi)
- [ARTRITE REUMATOIDE](#artrite)
- [FRATTURE DEL COLLO DEL FEMORE](#frattura_femore)
- [OSTEONECROSI CEFALICA](#osteonecrosi)
- [OSTEOPOROSI](#osteoporosi)
- [DISPLASIA DELL’ ANCA](#displasia)
#### ARTROSI
L’artrosi è un **processo patologico degenerativo delle superfici articolari** che coinvolge l’intera articolazione (osso, cartilagine, capsula articolare).
É una patologia molto comune che si manifesta in genere tra i 50 e 60 anni, ma può insorgere anche in età più giovanile. Viene classificata come **artrosi “primaria” quando l’origine non è conosciuta**, o come **“secondaria” quando insorge in seguito a processi infiammatori** (artriti), endocrini (diabete o gotta), congeniti (displasia) o traumatici, che alterano la morfologia e la funzionalità articolare.
La patologia artrosica **si manifesta con l’usura e il graduale riassorbimento della cartilagine articolare**, assottigliamento dello spazio articolare, produzione anomala di osso (osteofiti), deformazione dei capi articolari, ispessimento della capsula con formazione di calcificazioni, risultante in **dolore acuto e limitazione grave nel movimento.**
La diagnosi è facilmente riconoscibile in base alla sintomatologia ed un semplice esame radiografico. La terapia viene pianificata in base allo stadio di avanzamento.
Le **articolazioni maggiormente interessate sono quelle dell’anca** (coxartrosi), **del ginocchio** (gonartrosi) e **della spalla** (omartrosi).
La terapia più efficace per la cura dell’artrosi è quella chirurgica, con la sostituzione protesica dei capi articolari interessati. Terapie farmacologiche, cure fisioterapiche, infiltrazioni cortisoniche o quant’altro possono alleviare temporaneamente il dolore ma non costituiscono una soluzione definitiva.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
[Link to #top](#top)
#### ARTRITE REUMATOIDE
L’artrite reumatoide è una **poliartrite infiammatoria cronica e progressiva a patogenesi autoimmunitaria** a carico delle articolazioni sinoviali.
Si differenzia dall’artrosi perché interessa inizialmente la membrana sinoviale e non la cartilagine, colpisce con meno frequenza e in età più giovanile rispetto all’osteoartrosi. Sono più colpite le donne (rapporto 3:1). Interessa l’1-2% della popolazione e il numero dei casi aumenta con l’età, infatti è colpito il 5% delle donne oltre i 55 anni. **L’esordio si osserva prevalentemente al termine della adolescenza o tra il 4° e 5° decennio di vita**; un secondo picco si osserva tra i 60 e 70 anni.
Una variante precoce dell’AR è costituita dall’artrite reumatoide dell’infanzia.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### FRATTURE DEL COLLO DEL FEMORE
La frattura del collo del femore è frequente nell’anziano, in quanto, come è noto, **con il passare degli anni si determina una diminuzione delle caratteristiche di resistenza meccanica dell’osso** specie in questo distretto anatomico.
**La frattura si verifica solitamente per stress in rotazione, più che per traumi diretti sull’anca,** tanto che il soggetto, scivolando o appoggiando in modo scorretto l’arto inferiore ne determina una brusca rotazione, cui consegue la frattura del collo e, solo successivamente, la caduta per mancanza di sostegno.
A causa delle caratteristiche peculiari di vascolarizzazione della testa del femore (di tipo terminale, ovvero riceve l’irrorazione solamente dal collo ed una frattura di questo può interrompere il flusso sanguigno alla testa) spesso queste fratture vanno incontro a pseudoartrosi, ovvero a mancata consolidazione.
Per questo si preferisce trattare i pazienti più anziani (al di sopra dei 70-75 anni) direttamente con una protesi, onde evitare lunghi e pericolosi periodi di allettamento senza una valida garanzia di riuscita.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### OSTEONECROSI CEFALICA
L’osteonecrosi cefalica (cioè la morte cellulare del tessuto osseo della testa femorale) può essere **spesso idiopatica** (dalle cause ignote), **a volte indotta dall’abuso di farmaci** (cortisone) o **post-traumatica**. Indipendentemente dalla causa, un fattore comune riguarda una insufficiente vascolarizzazione della testa femorale e conseguente necrosi (solitamente nella regione di maggior carico) che indebolisce la struttura portando al crollo dell’osso subcondrale (che si trova immediatamente sotto la cartilagine) in seguito al carico, con successiva comparsa di artrosi secondaria.
I **primi sintomi sono dolori all’inguine direttamente correlati con il carico**, che si irradiano al ginocchio in una fase successiva. Può anche insorgere una limitazione della mobilità dell’anca causata da dolore.
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### OSTEOPOROSI
L’osteoporosi è una **malattia sistemica e metabolica dell’apparato scheletrico**, che si manifesta negli anziani e **con maggior incidenza nelle donne**. È caratterizzata da una bassa densità minerale e dal deterioramento della struttura del tessuto osseo.
Ne consegue un **incremento della fragilità delle ossa che sono più facilmente soggette a fratture.**
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
#### DISPLASIA DELL’ANCA
La displasia dell’anca è rappresentata da un’**incompleta o mancata formazione della cavità acetabolare** che non permette la normale articolarità con la testa femorale, che conseguentemente subisce a sua volta una alterazione morfologica.
**Spesso è associata o derivante da lussazione congenita dell’anca** (quando la testa del femore non è trattenuta all’interno della sua sede anatomica).
###### [Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico.](https://www.permedica.it/scarico-delle-responsabilita-paziente/)
---
### [ARTROPLASTICA DI ANCA](https://www.permedica.it/area-paziente/anca-paziente/artroplastica-di-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### ARTROPLASTICA DI ANCA
L’intervento di artroplastica totale d’anca ha l’obiettivo di **ripristinare la funzionalità perduta dell’articolazione** in seguito di traumi o patologie invalidanti.
L’impianto di una articolazione artificiale mira a **ridurre il dolore, recuperare la mobilità perduta** e **migliorare la qualità della vita** del paziente.
Una protesi di anca è generalmente composta da **3 componenti** realizzati con materiali altamente biocompatibili:
1\. **Stelo** femorale (in metallo)
2\. **Testina** articolare (in metallo o ceramica)
3\. **Coppa** acetabolare composta da un cotile in metallo con inserto in polietilene o ceramica (non cementata) oppure totalmente in polietilene (cementata).
La fissazione della protesi all’osso può essere senza utilizzo di cemento (fissazione biologica) o mediante utilizzo di cemento.
---
### [LEGAL NOTICES](https://www.permedica.it/note-legali/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# LEGAL NOTICES
**1. Terms of use**. The information on this website is intended solely for the user’s personal use and not for commercial purposes. The Website, including all the intellectual property rights contained therein, is owned by Permedica Spa and cannot be used outside the provisions of these conditions of use, without the prior written consent of Permedica Spa. The Website and any updates or parts thereof, including the software incorporated therein, may not be copied, modified or reused or rented, sold, loaned, granted and licensed in any way. It is also forbidden to disable, overburden, damage or compromise the Website, or interfere with any other use of the Website and otherwise attempt to interfere with the correct functioning of the Website. It is strictly forbidden to carry out processes aimed at monitoring or copying the material published on the Website, or to implement unauthorized procedures without having previously obtained the written consent of Permedica Spa or to make use of web crawlers, robots or other automatic devices, processes or means to access the website for any purpose, including analysis, data extraction or monitoring of website material. Any non-compliance may be prosecuted pursuant to the law.
**2. Notice for non-professional users**. This website reports brief and non-exhaustive descriptions of general concepts on joints anatomy, some pathologies and joint arthroplasty procedures. The information reported is for general informative purpose only and is not intended to replace the expert guidance and the consultation of healthcare professionals. We decline any responsibility for any errors and inaccuracies contained on the site or for any consequences related to actions taken or omitted based on the information reported on the website. Should you have any questions or concerns, please address them either to your general practitioner or to your orthopaedic surgeon.
**3. Notice for professional users**. Some sections of this website contain information intended solely for doctors and other healthcare professionals. Access to the contents of these areas is prohibited for non-professional users; the sections for specialist use contain confidential material, access to which may be limited in accordance with the legislations, laws, directives and regulations in force.
**4. Contents and updates**. Permedica Spa makes every effort to publish information on its website that is as up-to-date and accurate as possible, but accepts no responsibility for any errors or omissions within the illustrated contents. The company does not guarantee that the website will be free from viruses or harmful components.
**5. Availability of products**. The products described on the site may not be available in some countries or in any case be available with different brands as they are subject to the necessary approvals or authorizations from the local competent bodies.
**6. Information from third parties.** Permedica Spa does not accept any responsibility for any third party content that may be shown on or accessed via the website, nor for any damage that may arise from these sites or content to users.
**7. Disclaimer.** Permedica Spa expressly disclaims any responsibility and / or guarantee for any complaints, losses, damages of any kind however attributable to: 1) the use of this site or the use of any equipment or software in connection with the site; 2) any errors or omissions on this site and its content; 3) any third party sites or related contents accessible through the links on this site; 4) the lack of accessibility to all or part of the website;
**8. Measures for illegal activities**. The user cannot use this site for illegal purposes or activities. Permedica Spa reserves the right to take any legal action deemed appropriate in the event of violations of the Terms of Use, including the right to block access of a particular internet address to the Permedica Spa websites.
**9. Privacy policy**. The use of the site is subject to the Permedica Spa website privacy policy.
**10. Changes to the Terms of use**. Permedica Spa reserves the right to change these Terms of Use at any time. Updated versions of the Terms of Use may be posted on this site and will take effect immediately. The use by the user of the Website, after the publication of a new version of the Terms of Use, constitutes acceptance of the changes. In the same way, the user is required to verify any modification of the contents and conditions relating to access and use of the Website.
---
### [Form ginocchio](https://www.permedica.it/form-ginocchio/)
**Published:** Maggio 21, 2020
**Author:** pm_ema
**Content:**
Scheda informativaTecnica chirurgica
GKS One EvoGKS PRIME Flex MobileGKS PRIME Flex PS MobileGKS PRIME Flex CRGKS PRIME Flex TRASERGKS PRIME Flex PSGKS BUTTERFLYGKS Prime Flex SMART REVISIONGKS PRIME Flex RKTRASER ConesGKS AMSMART
Dichiaro di aver letto e di accettare il contenuto [dell'informativa privacy](https://www.permedica.it/informativa-sulla-privacy/)
Autorizzo il trattamento dei miei dati personali per fini di marketing e/o iscrizione alla newsletter SiNo
Sarà nostra premura fornire quanto prima il materiale richiesto
×
---
### [SOSTEGNO LOMBARDIA FESR](https://www.permedica.it/sostegno-lombardia-fesr/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### SOSTEGNO LOMBARDIA FESR
#### Vous pouvez télécharger ici le mode d’emploi de nos produits au format électronique.
- [Sostegno Lombardia FESR](https://www.permedica.it/wp-content/uploads/2020/04/FESR_WEB-2.pdf)
---
### [SOSTEGNO LOMBARDIA FESR](https://www.permedica.it/sostegno-lombardia-fesr/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### SOSTEGNO LOMBARDIA FESR
#### Hier können Sie die Gebrauchsanweisung unserer Produkte in elektronischer Form herunterladen.
- [Sostegno Lombardia FESR](https://www.permedica.it/wp-content/uploads/2020/04/FESR_WEB-2.pdf)
---
### [LOMBARDY FESR SUPPORT](https://www.permedica.it/sostegno-lombardia-fesr/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### LOMBARDY FESR SUPPORT
#### Here you can download the Instructions for Use of our products in electronic format.
- [Sostegno Lombardia FESR](https://www.permedica.it/wp-content/uploads/2020/04/FESR_WEB-2.pdf)
---
### [PERSONALIZED SURGERY](https://www.permedica.it/area-paziente/chirurgia-personalizzata/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PERSONALIZED SURGERY
**Personalized surgery or PSI** (Patient Specific Instruments) is an **innovative and increasingly widespread solution.** Nowadays it represents one of the most effective supports to the choices and the work of the orthopedic surgeon specialist of joint degeneration pathologies.
Thanks to **3D planning** and starting from a three-dimensional model created using CT-Scan images, it is possible to create **instruments specifically designed according to the anatomy of the individual patient thus improving the results of long-term prosthetic surgery.** The PSI approach allows extreme bone cutting precision and a consequent reduction of prosthetic positioning errors, which is housed in the right seat and perfectly balanced.
The other advantages to consider are the following:
• Correct ligaments balancing;
• Reduced surgical incision;
• Shorter surgical times.
Using personalized surgery it is possible to **minimize the manual error,** as the PSI pre-formed disposable guides allow to **reproduce on the patient what the surgeon has planned precisely** on the browser together with the company’s programming technicians before entering the operating room.
PSI technology is now mature and appreciated all over the world. In addition to the above mentioned advantages, it allows to appreciate a dynamic planning based on the actual anatomy of individual patients, thus taking into account joint kinematics and creating a very accurate alignment.
---
### [YOUR NEW JOINT](https://www.permedica.it/area-paziente/spalla-paziente/la-tua-nuova-articolazione-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# YOUR NEW JOINT
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
During the post-operative course, **always refer to your orthopedic surgeon and your primary care physician.**
Follow your surgeon’s instructions and in case of any doubt, don’t hesitate to contact him.
Remember that **a healthy and active lifestyle will contribute to a faster recovery** and do not forget to undergo **regular checks.**
---
### [YOUR NEW JOINT](https://www.permedica.it/area-paziente/ginocchio-paziente/la-tua-nuova-articolazione-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# YOUR NEW JOINT
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
During the post-operative course, **always refer to your orthopedic surgeon and your primary care physician.**
Follow your surgeon’s instructions and in case of any doubt, don’t hesitate to contact him.
Remember that **a healthy and active lifestyle will contribute to a faster recovery** and do not forget to undergo **regular checks.**
---
### [YOUR NEW JOINT](https://www.permedica.it/area-paziente/anca-paziente/la-tua-nuova-articolazione-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# YOUR NEW JOINT
During the post-operative course, **always refer to your orthopedic surgeon and your primary care physician.**
Follow your surgeon’s instructions and in case of any doubt, don’t hesitate to contact him.
Remember that **a healthy and active lifestyle will contribute to a faster recovery** and do not forget to undergo **regular checks.**
---
### [SURGEY](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### BEFORE THE SURGERY
Before you undergo surgery, your doctor will prescribe **preliminary examinations.**
These investigations (blood tests, electrocardiograms, radiographs) are necessary to assess your general health state and to determine whether you are eligible to withstand the surgery and the post-operative course.In case of chronic diseases (for example cardiac, respiratory, renal) a specialist consulting may be necessary.
It is also recommended to **prepare the home environment for your return home,** so as to minimize the risk of falls or accidents.
#### IN HOSPITAL
**Remember to bring with you everything you need and what is required by your doctor:** list of medicines normally taken, clinical documentation (preoperative research reports, x-rays), identity document, health card and any devices such as braces or crutches.
The surgery will have a variable duration and **the medical and nursing staff will take care of you.**
#### AFTER SURGERY
Hospital stay varies depending on the patient and the type of surgery.
Following the intervention, you will need to **rely on the support of someone who will assist you at home** or, if not available, you can organize a short stay at a rehabilitation facility.
**You may need some devices like crutches or braces,** which will be prescribed and recommended by your orthopedic surgeon.
#### YOUR NEW JOINT
During the post-operative course, **always refer to your orthopedic surgeon and your primary care physician.**
Follow your surgeon’s instructions and in case of any doubt, don’t hesitate to contact him.
Remember that **a healthy and active lifestyle will contribute to a faster recovery** and do not forget to undergo **regular checks.**
---
### [SURGERY](https://www.permedica.it/area-paziente/anca-paziente/intervento-anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### BEFORE THE SURGERY
Before you undergo surgery, your doctor will prescribe **preliminary examinations.**
These investigations (blood tests, electrocardiograms, radiographs) are necessary to assess your general health state and to determine whether you are eligible to withstand the surgery and the post-operative course.
In case of chronic diseases (for example cardiac, respiratory, renal) a specialist consulting may be necessary.
It is also recommended to **prepare the home environment for your return home,** so as to minimize the risk of falls or accidents.
#### IN HOSPITAL
**Remember to bring with you everything you need and what is required by your doctor:** list of medicines normally taken, clinical documentation (preoperative research reports, x-rays), identity document, health card and any devices such as braces or crutches.
The surgery will have a variable duration and **the medical and nursing staff will take care of you.**
#### AFTER SURGERY
Hospital stay varies depending on the patient and the type of surgery.
Following the intervention, you will need to **rely on the support of someone who will assist you at home** or, if not available, you can organize a short stay at a rehabilitation facility.
You may need some devices like crutches or braces, which will be prescribed and recommended by your orthopedic surgeon.
#### YOUR NEW JOINT
During the post-operative course, **always refer to your orthopedic surgeon and your primary care physician.**
Follow your surgeon’s instructions and in case of any doubt, don’t hesitate to contact him.
Remember that **a healthy and active lifestyle will contribute to a faster recovery** and do not forget to undergo regular checks.
---
### [HAX-PORE](https://www.permedica.it/innovation-systems/hax-pore/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### HaX-Pore®
##### Doppio rivestimento plasma spray in titanio poroso e idrossiapatite
1\. **Press-fit efficace** grazie all’attrito dovuto all’elevata rugosità superficiale.
2\. **Veloce osteointegrazione** nel breve termine.
3\. **Ancoraggio stabile tra osso e rivestimento** di titanio poroso nel lungo termine.
**HaX-Pore® è un doppio rivestimento di titanio poroso e idrossiapatite** applicato mediante plasma spray.
Il rivestimento HaX-Pore® è impiegato sui dispositivi protesici di Permedica destinati ad impianto press-fit per i quali l’ancoraggio diretto con l’osso avviene tramite l’osteointegrazione.
Il rivestimento **HaX-Pore® è stato sviluppato per ottimizzare l’osteointegrazione protesica.**
Il razionale del rivestimento HaX-Pore® è quello di utilizzare un doppio rivestimento costituito da:
#### Primo strato
Rivestimento in **titanio puro poroso, applicato mediante plasma spray in aria (APS)**, depositato con uno spessore elevato (300 µm / 500 µm) al fine di ottenere un elevato grado di rugosità e porosità.
Tale morfologia superficiale con struttura tridimensionale a porosità aperta aumenta la superficie a contatto con l’osso, garantisce un **adeguato bone ingrowth e aumenta l’attrito con l’osso incrementando la resistenza agli sforzi di taglio** tra osso e protesi.
#### Secondo strato
Rivestimento in **HA, sempre applicato mediante plasma spray in aria (APS),** depositato con spessore ridotto (50 µm) al fine di mantenere, o diminuire di poco, la rugosità e la porosità superficiale del rivestimento in titanio.
Lo strato esterno di **HA serve come superficie bioattiva per incrementare il bone ongrowth.**
L’HA funge infatti solo da mezzo osteoconduttivo per accelerare e incrementare l’osteointegrazione della protesi, senza fornire alcun sostegno meccanico. Una volta riassorbito lo strato di HA, l’ancoraggio meccanico a lungo termine della protesi viene assicurato mediante contatto diretto tra osso e rivestimento poroso in titanio.
#### Rivestimento APS
Prima di eseguire il processo di rivestimento APS, **la superficie da rivestire viene sabbiata** con un abrasivo costituito di allumina pura (corindone) fino ad ottenere una rugosità superficiale tale da garantire un’adesione meccanica (resistenza agli sforzi di taglio e di trazione) del rivestimento al substrato superiore a determinati requisisti previsti dalla normativa e dalle guide FDA. Lo strato sottile di HA sopra lo strato più spesso di titanio poroso, depositati entrambi a plasma spray, determinano un’**elevata porosità e rugosità del rivestimento**, consentendo così un elevato legame meccanico (resistenza al taglio e alla trazione) sia all’interfaccia rivestimento/osso che all’interfaccia rivestimento/substrato.
---
### [NOTE LEGALI](https://www.permedica.it/note-legali/)
**Published:** Gennaio 8, 2020
**Author:** pm_ema
**Content:**
# NOTE LEGALI
**1. Regole di utilizzo**. Le informazioni contenute in questo sito web sono destinate unicamente ad usi personali dell’utente e non a fini commerciali. Il Sito Web, compresi tutti i diritti di proprietà intellettuale che vi sono contenuti, è di proprietà di Permedica Spa e non può essere utilizzato al di fuori di quanto disposto nelle presenti condizioni d’uso, in mancanza di previo consenso scritto di Permedica Spa. il Sito Web e gli eventuali suoi aggiornamenti o le sue parti, compreso il software in esso incorporato, non possono essere in alcun modo copiati, modificati o riutilizzati o fatti oggetto di affitto, vendita, comodato, concessione e licenza. È fatto altresì divieto di disabilitare, sovraccaricare, danneggiare o compromettere il Sito Web, o interferire con qualsiasi altro uso del Sito Web nonché tentare altrimenti di interferire con il corretto funzionamento del Sito stesso. È tassativamente vietato eseguire processi finalizzati al monitoraggio o alla copia del materiale pubblicato sul Sito Web, o mettere in atto procedure non autorizzate senza aver ottenuto preventivamente il consenso scritto di Permedica Spa o fare uso di spider, robot o altri dispositivi automatici, processi o mezzi per accedere al Sito Web per qualsivoglia finalità, comprese quelle di analisi, estrazione dati o monitoraggio di materiale del Sito Web. Eventuali inosservanze potranno essere perseguite ai sensi di legge.
**2. Avviso per gli utenti non professionisti**. Su questo sito sono presenti descrizioni brevi e non esaustive di concetti generali riguardanti l’anatomia delle articolazioni, alcune patologie e procedure di artroplastica. Le informazioni riportate sono solo a scopo divulgativo generico e non intendono sostituire in alcun modo la guida esperta e il consulto dei professionisti del settore medico. Si declina ogni responsabilità per eventuali errori ed imprecisioni contenuti nel sito o per eventuali conseguenze correlate ad azioni intraprese o omesse in base alle informazioni presenti nel sito web. In caso di dubbi e/o domande si prega di rivolgersi al proprio medico di base o al proprio chirurgo ortopedico.
**3. Avviso per gli utenti professionali**. Alcune sezioni di questo sito web contengono informazioni esclusivamente destinate a medici e altri professionisti sanitari. L’accesso ai contenuti di tali aree è vietato all’utenza non professionale; le sezioni ad uso specialistico contengono materiale riservato, il cui accesso può essere limitato ai sensi di normative, leggi, direttive e regolamenti in vigore.
**4. Contenuti ed aggiornamenti**. Permedica Spa si dedica con passione alla pubblicazione sul Sito di informazioni il più possibile aggiornate ed accurate, ma non si assume alcuna responsabilità in relazione ad eventuali errori o mancanze all’interno dei contenuti illustrati. La società non garantisce l’assenza di virus o componenti dannosi all’interno del sito web.
**5. Reperibilità dei prodotti**. I prodotti descritti nel sito potrebbero non essere disponibili in alcuni Paesi o comunque essere disponibili con marchi diversi in quanto soggetti alle necessarie approvazioni o autorizzazioni da parte degli Enti territorialmente competenti.
**6. Informazioni provenienti da terzi.** Permedica Spa non si assume alcuna responsabilità per i contenuti provenienti da terzi visibili sul sito web o accessibili dallo stesso, né tantomeno per eventuali danni che da tali siti o contenuti possano derivare agli utenti.
**7. Esclusione di responsabilità.** Permedica Spa declina espressamente ogni responsabilità e/o garanzia per eventuali reclami, perdite, danni di qualsiasi tipo comunque riconducibili a: 1) l’utilizzo di questo sito o l’utilizzo di qualsiasi apparecchiatura o software in connessione con il sito; 2) eventuali errori o omissioni di questo sito e del rispettivo contenuto; 3) eventuali siti di terzi o relativi contenuti accessibili tramite i link riportati in questo sito; 4) la mancata accessibilità al sito o parti di esso;
**8. Provvedimenti per attività illecite**. L’utente non può utilizzare questo sito per scopi o attività illecite. Permedica Spa si riserva il diritto di intraprendere qualsiasi azione di legge ritenuta opportuna in caso di violazioni delle Condizioni d’uso, compreso il diritto di bloccare l’accesso di un particolare indirizzo internet ai siti web di Permedica Spa.
**9. Informativa sulla privacy**. L’utilizzo del sito è soggetto all’Informativa sulla privacy del sito web di Permedica Spa.
**10. Modifiche alle Condizioni d’uso**. Permedica Spa si riserva il diritto di modificare le presenti Condizioni d’Uso in qualsiasi momento. Versioni aggiornate delle Condizioni d’uso potranno essere inserite su questo sito e avranno effetto immediato. L’uso da parte dell’utente del Sito Web, dopo la pubblicazione di una nuova versione delle Condizioni d’uso, costituisce accettazione delle modifiche. Allo stesso modo, l’utente è tenuto a verificare l’eventuale modifica dei contenuti e delle condizioni relative all’accesso ed all’utilizzo del Sito Web.
---
### [SOSTEGNO LOMBARDIA FESR](https://www.permedica.it/sostegno-lombardia-fesr/)
**Published:** Gennaio 19, 2020
**Author:** pm_ema
**Content:**
#### SOSTEGNO LOMBARDIA FESR
#### Qui è possibile scaricare in formato elettronico le Istruzioni d’Uso dei nostri prodotti.
- [Sostegno Lombardia FESR](https://www.permedica.it/wp-content/uploads/2020/04/FESR_WEB-2.pdf)
---
### [INNOVATION SYSTEMS](https://www.permedica.it/innovation-systems/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [PAZIENTI](https://www.permedica.it/area-paziente/)
**Published:** Gennaio 20, 2020
**Author:** pm_ema
---
### [CHIRURGIA PERSONALIZZATA](https://www.permedica.it/area-paziente/chirurgia-personalizzata/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### CHIRURGIA PERSONALIZZATA
La **chirurgia personalizzata o PSI** (Patient Specific Instruments) è una **soluzione innovativa e sempre più diffusa**. Rappresenta al giorno d’oggi uno dei più efficaci supporti alle scelte e al lavoro del chirurgo ortopedico specialista delle patologie di degenerazione articolare.
Grazie al **planning 3D** e partendo da un modello tridimensionale realizzato ricorrendo alle immagini TAC, è possibile realizzare **strumenti specificamente disegnati in base all’anatomia del singolo paziente** e **migliorare così i risultati degli interventi di chirurgia protesica** a breve termine. L’approccio PSI consente un’estrema precisione del taglio osseo e una conseguente riduzione degli errori di posizionamento della protesi, che viene alloggiata nella giusta sede e bilanciata alla perfezione.
Gli altri vantaggi da considerare sono i seguenti:
• Corretto bilanciamento legamentoso;
• Ridotta incisione chirurgica;
• Minor tempo chirurgico.
Ricorrendo alla chirurgia personalizzata è possibile **minimizzare l’errore manuale**, in quanto le guide PSI pre-formate monouso consentono di **riprodurre sul paziente quanto il chirurgo ha pianificato** con precisione sul browser insieme ai tecnici programmatori dell’azienda prima di entrare in sala operatoria.
La tecnologia PSI è ormai matura e apprezzata in tutto il mondo. Oltre ai vantaggi sopra ricordati, consente di apprezzare una pianificazione dinamica basata sull’effettiva anatomia dei singoli pazienti, tenendo quindi conto della cinematica articolare e concretizzando un allineamento protesico molto accurato.
---
### [INTERVENTO](https://www.permedica.it/area-paziente/spalla-paziente/intervento-spalla-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PRIMA DELL’INTERVENTO
Prima di sottoporti all’intervento, il tuo medico ti prescriverà degli **esami preliminari.**
Queste indagini (esami del sangue, elettrocardiogramma, radiografie) sono necessarie per valutare il tuo stato di salute generale e stabilire se tu sia idoneo a sopportare l’intervento e il decorso post-operatorio.In caso di patologie croniche (ad esempio cardiache, respiratorie, renali) potrebbe essere necessaria una visita da uno specialista.
È inoltre consigliato **preparare l’ambiente domestico per il tuo rientro a casa,** in modo da minimizzare rischi di cadute o incidenti.
#### IN OSPEDALE
**Ricordati di portare con te tutto il necessario e quanto richiesto dal tuo medico:** lista dei medicinali assunti abitualmente, documentazione clinica (referti delle indagini preoperatorie, radiografie), documento d’identità, tesserino sanitario ed eventuali dispositivi come tutori o stampelle.
L’intervento avrà una durata variabile e **il personale medico e infermieristico si prenderà cura di te.**
#### DOPO L’INTERVENTO
La permanenza in ospedale varia a seconda del paziente e del tipo di chirurgia.
In seguito all’intervento, sarà necessario **affidarsi al supporto di qualcuno che ti assisterà a casa** oppure, se non disponibile, si potrà organizzare una breve permanenza presso una struttura di riabilitazione.
**Potrebbero essere necessari alcuni dispositivi come stampelle o tutori,** che ti verranno prescritti e consigliati dal tuo chirurgo ortopedico.
#### LA TUA NUOVA ARTICOLAZIONE
Durante il decorso post-operatorio **fai sempre riferimento al tuo chirurgo ortopedico e al tuo medico di base.**
Segui le indicazioni del tuo chirurgo e in caso di qualsiasi dubbio con esitare a contattarlo.
Ricorda che **uno stile di vita sano e attivo contribuirà ad un recupero più rapido** e non dimenticarti di sottoporti a **controlli regolari.**
---
### [INTERVENTO](https://www.permedica.it/area-paziente/ginocchio-paziente/intervento-ginocchio-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PRIMA DELL’INTERVENTO
Prima di sottoporti all’intervento, il tuo medico ti prescriverà degli **esami preliminari.**
Queste indagini (esami del sangue, elettrocardiogramma, radiografie) sono necessarie per valutare il tuo stato di salute generale e stabilire se tu sia idoneo a sopportare l’intervento e il decorso post-operatorio.In caso di patologie croniche (ad esempio cardiache, respiratorie, renali) potrebbe essere necessaria una visita da uno specialista.
È inoltre consigliato **preparare l’ambiente domestico per il tuo rientro a casa**, in modo da minimizzare rischi di cadute o incidenti.
#### IN OSPEDALE
**Ricordati di portare con te tutto il necessario e quanto richiesto dal tuo medico:** lista dei medicinali assunti abitualmente, documentazione clinica (referti delle indagini preoperatorie, radiografie), documento d’identità, tesserino sanitario ed eventuali dispositivi come tutori o stampelle.
L’intervento avrà una durata variabile e **il personale medico e infermieristico si prenderà cura di te.**
#### DOPO L’INTERVENTO
La permanenza in ospedale varia a seconda del paziente e del tipo di chirurgia.
In seguito all’intervento, sarà necessario **affidarsi al supporto di qualcuno che ti assisterà a casa** oppure, se non disponibile, si potrà organizzare una breve permanenza presso una struttura di riabilitazione.
**Potrebbero essere necessari alcuni dispositivi come stampelle o tutori,** che ti verranno prescritti e consigliati dal tuo chirurgo ortopedico.
#### LA TUA NUOVA ARTICOLAZIONE
Durante il decorso post-operatorio **fai sempre riferimento al tuo chirurgo ortopedico e al tuo medico di base.**
Segui le indicazioni del tuo chirurgo e in caso di qualsiasi dubbio con esitare a contattarlo.
Ricorda che **uno stile di vita sano e attivo contribuirà ad un recupero più rapido** e non dimenticarti di sottoporti a **controlli regolari.**
---
### [INTERVENTO](https://www.permedica.it/area-paziente/anca-paziente/intervento-anca-paziente/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
#### PRIMA DELL’ INTERVENTO
Prima di sottoporti all’ intervento, il tuo medico ti prescriverà degli **esami preliminari.**
Queste indagini (esami del sangue, elettrocardiogramma, radiografie) sono necessarie per valutare il tuo stato di salute generale e stabilire se tu sia idoneo a sopportare l’intervento e il decorso post-operatorio.In caso di patologie croniche (ad esempio cardiache, respiratorie, renali) potrebbe essere necessaria una visita da uno specialista.
È inoltre consigliato **preparare l’ambiente domestico per il tuo rientro a casa**, in modo da minimizzare rischi di cadute o incidenti.
#### IN OSPEDALE
**Ricordati di portare con te tutto il necessario e quanto richiesto dal tuo medico:** lista dei medicinali assunti abitualmente, documentazione clinica (referti delle indagini preoperatorie, radiografie), documento d’identità, tesserino sanitario ed eventuali dispositivi come tutori o stampelle.
L’ intervento avrà una durata variabile e il personale medico e infermieristico si prenderà cura di te.
#### DOPO L’ INTERVENTO
La permanenza in ospedale varia a seconda del paziente e del tipo di chirurgia.
In seguito all’intervento, sarà necessario **affidarsi al supporto di qualcuno che ti assisterà a casa** oppure, se non disponibile, si potrà organizzare una breve permanenza presso una struttura di riabilitazione.
Potrebbero essere necessari alcuni dispositivi come stampelle o tutori, che ti verranno prescritti e consigliati dal tuo chirurgo ortopedico.
#### LA TUA NUOVA ARTICOLAZIONE
Durante il decorso post-operatorio **fai sempre riferimento al tuo chirurgo ortopedico e al tuo medico di base.**
Segui le indicazioni del tuo chirurgo e in caso di qualsiasi dubbio con esitare a contattarlo.
Ricorda che **uno stile di vita sano e attivo contribuirà ad un recupero più rapido** e non dimenticarti di sottoporti a controlli regolari.
---
### [LA TUA NUOVA ARTICOLAZIONE](https://www.permedica.it/area-paziente/anca-paziente/la-tua-nuova-articolazione-anca/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# LA TUA NUOVA ARTICOLAZIONE
Durante il decorso post-operatorio fai sempre riferimento al tuo chirurgo ortopedico e al tuo medico di base.
Segui le indicazioni del tuo chirurgo e in caso di qualsiasi dubbio con esitare a contattarlo.
Ricorda che uno stile di vita sano e attivo contribuirà ad un recupero più rapido e non dimenticarti di sottoporti a controlli regolari.
---
### [LA TUA NUOVA ARTICOLAZIONE](https://www.permedica.it/area-paziente/spalla-paziente/la-tua-nuova-articolazione-spalla/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# LA TUA NUOVA ARTICOLAZIONE
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
Durante il decorso post-operatorio fai sempre riferimento al tuo chirurgo ortopedico e al tuo medico di base.
Segui le indicazioni del tuo chirurgo e in caso di qualsiasi dubbio con esitare a contattarlo.
Ricorda che uno stile di vita sano e attivo contribuirà ad un recupero più rapido e non dimenticarti di sottoporti a controlli regolari.
---
### [LA TUA NUOVA ARTICOLAZIONE](https://www.permedica.it/area-paziente/ginocchio-paziente/la-tua-nuova-articolazione-ginocchio/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
**Content:**
# LA TUA NUOVA ARTICOLAZIONE
- [  ](https://www.permedica.it/promise/)
- [  ](https://www.permedica.it/exacta-rs/)
- [  ](https://www.permedica.it/exacta/)
- [  ](https://www.permedica.it/exacta-s/)
- [  ](https://www.permedica.it/sl/)
- [  ](https://www.permedica.it/synthesis/)
1[2](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)[Prossimo](https://www.permedica.it/wp-admin/admin-ajax.php?action=as_async_request_queue_runner&nonce=7107a198aa&paged=2)
Durante il decorso post-operatorio fai sempre riferimento al tuo chirurgo ortopedico e al tuo medico di base.
Segui le indicazioni del tuo chirurgo e in caso di qualsiasi dubbio con esitare a contattarlo.
Ricorda che uno stile di vita sano e attivo contribuirà ad un recupero più rapido e non dimenticarti di sottoporti a controlli regolari.
---
### [CIRUGÍA DE OSTEOINTEGRACIÓN](https://www.permedica.it/area-paziente/osseointegration-intervento/)
**Published:** Gennaio 23, 2020
**Author:** pm_ema
---
### [PATIENTS](https://www.permedica.it/area-paziente/)
**Published:** Gennaio 20, 2020
**Author:** pm_ema
---
### [PATIENTEN](https://www.permedica.it/area-paziente/)
**Published:** Gennaio 20, 2020
**Author:** pm_ema
---
### [PACIENTES](https://www.permedica.it/area-paziente/)
**Published:** Gennaio 20, 2020
**Author:** pm_ema
---
### [INNOVATION SYSTEMS](https://www.permedica.it/innovation-systems/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [SYSTÈMES D'INNOVATION](https://www.permedica.it/innovation-systems/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [INNOVATIONS SYSTEM](https://www.permedica.it/innovation-systems/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [PROFESSIONNELS MÉDICAUX](https://www.permedica.it/area-chirurgo/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [MEDIZINISCHE FACHKRÄFTE](https://www.permedica.it/area-chirurgo/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
### [SISTEMAS DE INNOVACIÓN](https://www.permedica.it/innovation-systems/)
**Published:** Gennaio 13, 2020
**Author:** pm_ema
---
## Eventi
### [SOFCOT](https://www.permedica.it/event/sofcot/)
**Published:** Ottobre 20, 2025
**Author:** lucrezia damiani
**Categorie Evento:** Congressi
---
### [Virtual EFORT](https://www.permedica.it/event/virtual-efort/)
**Published:** Giugno 24, 2021
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [EFORT virtual](https://www.permedica.it/event/virtual-efort/)
**Published:** Giugno 24, 2021
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [Virtual EFORT](https://www.permedica.it/event/virtual-efort/)
**Published:** Giugno 24, 2021
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [Virtual EFORT](https://www.permedica.it/event/virtual-efort/)
**Published:** Giugno 24, 2021
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [Virtual EFORT](https://www.permedica.it/event/virtual-efort/)
**Published:** Giugno 24, 2021
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [EFORT](https://www.permedica.it/?post_type=tribe_events&p=1211)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SWISS ORTHOPAEDICS](https://www.permedica.it/event/swiss-orthopaedics/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SECEC](https://www.permedica.it/event/secec/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [AGA](https://www.permedica.it/event/aga/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [THE SHOULDER 2020](https://www.permedica.it/event/the-shoulder-2020/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DKOU](https://www.permedica.it/event/dkou/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [14th International Live Surgery Congress Shoulder](https://www.permedica.it/event/14th-international-live-surgery-congress-shoulder/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SIOT](https://www.permedica.it/event/siot/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DVSE](https://www.permedica.it/event/1207/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DVSE](https://www.permedica.it/event/1207/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SWISS ORTHOPAEDICS](https://www.permedica.it/event/swiss-orthopaedics/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SECEC](https://www.permedica.it/event/secec/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [AGA](https://www.permedica.it/event/aga/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [THE SHOULDER 2020](https://www.permedica.it/event/the-shoulder-2020/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DKOU](https://www.permedica.it/event/dkou/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [14th International Live Surgery Congress Shoulder](https://www.permedica.it/event/14th-international-live-surgery-congress-shoulder/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SIOT](https://www.permedica.it/event/siot/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SIOT](https://www.permedica.it/event/siot/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SIOT](https://www.permedica.it/event/siot/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SIOT](https://www.permedica.it/event/siot/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [XIV Congreso Internacional de Cirugía del Hombro en Directo](https://www.permedica.it/event/14th-international-live-surgery-congress-shoulder/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [14th International Live Surgery Congress Shoulder](https://www.permedica.it/event/14th-international-live-surgery-congress-shoulder/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [14th International Live Surgery Congress Shoulder](https://www.permedica.it/event/14th-international-live-surgery-congress-shoulder/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DKOU](https://www.permedica.it/event/dkou/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DKOU](https://www.permedica.it/event/dkou/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DKOU](https://www.permedica.it/event/dkou/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [EL HOMBRO 2020](https://www.permedica.it/event/the-shoulder-2020/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [THE SHOULDER 2020](https://www.permedica.it/event/the-shoulder-2020/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [THE SHOULDER 2020](https://www.permedica.it/event/the-shoulder-2020/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [AGA](https://www.permedica.it/event/aga/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [AGA](https://www.permedica.it/event/aga/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [AGA](https://www.permedica.it/event/aga/)
**Published:** Marzo 7, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SECEC](https://www.permedica.it/event/secec/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SECEC](https://www.permedica.it/event/secec/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SECEC](https://www.permedica.it/event/secec/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [ORTOPEDIA SUIZA](https://www.permedica.it/event/swiss-orthopaedics/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SWISS ORTHOPAEDICS](https://www.permedica.it/event/swiss-orthopaedics/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [SWISS ORTHOPAEDICS](https://www.permedica.it/event/swiss-orthopaedics/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [EFORT](https://www.permedica.it/?post_type=tribe_events&p=1211)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [EFORT](https://www.permedica.it/?post_type=tribe_events&p=1211)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DVSE](https://www.permedica.it/event/1207/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DVSE](https://www.permedica.it/event/1207/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
### [DVSE](https://www.permedica.it/event/1207/)
**Published:** Marzo 6, 2020
**Author:** pm_ema
**Categorie Evento:** Congressi
---
## Categorie
### [Non categorizzato](https://www.permedica.it/category/non-categorizzato/)
---
### [Anca](https://www.permedica.it/category/anca/)
---
### [Stelo](https://www.permedica.it/category/anca/stelo/)
---
### [Ginocchio](https://www.permedica.it/category/ginocchio/)
---
### [Spalla](https://www.permedica.it/category/spalla/)
---
### [Cotili](https://www.permedica.it/category/anca/cotili/)
---
### [Teste Articolari](https://www.permedica.it/category/anca/teste-articolari/)
---
### [Non categorizzato](https://www.permedica.it/category/non-categorizzato/)
---
### [Non categorizzato](https://www.permedica.it/category/non-categorizzato/)
---
### [Non categorizzato](https://www.permedica.it/category/non-categorizzato/)
---
### [Anca](https://www.permedica.it/category/anca/)
---
### [Cotili](https://www.permedica.it/category/anca/cotili/)
---
### [Ginocchio](https://www.permedica.it/category/ginocchio/)
---
### [Stelo](https://www.permedica.it/category/anca/stelo/)
---
### [Teste Articolari](https://www.permedica.it/category/anca/teste-articolari/)
---
### [Spalla](https://www.permedica.it/category/spalla/)
---
### [Ginocchio](https://www.permedica.it/category/ginocchio/)
---
### [Spalla](https://www.permedica.it/category/spalla/)
---
### [Anca](https://www.permedica.it/category/anca/)
---
### [Cotili](https://www.permedica.it/category/anca/cotili/)
---
### [Ginocchio](https://www.permedica.it/category/ginocchio/)
---
### [Spalla](https://www.permedica.it/category/spalla/)
---
### [Anca](https://www.permedica.it/category/anca/)
---
### [Cotili](https://www.permedica.it/category/anca/cotili/)
---
### [Stelo](https://www.permedica.it/category/anca/stelo/)
---
### [Stelo](https://www.permedica.it/category/anca/stelo/)
---
### [Teste Articolari](https://www.permedica.it/category/anca/teste-articolari/)
---
### [Teste Articolari](https://www.permedica.it/category/anca/teste-articolari/)
---
### [Piede](https://www.permedica.it/category/piede/)
---
### [Piede](https://www.permedica.it/category/piede/)
---
### [Piede](https://www.permedica.it/category/piede/)
---
### [Piede](https://www.permedica.it/category/piede/)
---
### [Maxillo](https://www.permedica.it/category/maxillo/)
---
### [Maxillo](https://www.permedica.it/category/maxillo/)
---
### [Maxillo](https://www.permedica.it/category/maxillo/)
---
### [Maxillo](https://www.permedica.it/category/maxillo/)
---
### [Non categorizzato](https://www.permedica.it/category/non-categorizzato/)
---
### [Anca](https://www.permedica.it/category/anca/)
---
### [Stelo](https://www.permedica.it/category/anca/stelo/)
---
### [Spalla](https://www.permedica.it/category/spalla/)
---
### [Ginocchio](https://www.permedica.it/category/ginocchio/)
---
### [Teste Articolari](https://www.permedica.it/category/anca/teste-articolari/)
---
### [Cotili](https://www.permedica.it/category/anca/cotili/)
---
## Categorie Evento
### [Congressi](https://www.permedica.it/events/categoria/congressi/)
---
### [Congressi](https://www.permedica.it/events/categoria/congressi/)
---
### [Congressi](https://www.permedica.it/events/categoria/congressi/)
---
### [Congressi](https://www.permedica.it/events/categoria/congressi/)
---
### [Congressi](https://www.permedica.it/events/categoria/congressi/)
---