ADEPT® Hip Resurfacing System
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- ADEPT® Hip Resurfacing System
Information for Healthcare Professionals
Introduction to ADEPT®
With more than 17 years of supporting clinical data, the evidence demonstrates that the ADEPT® Hip Resurfacing is the best treatment option for many patients.
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%20(2).png "Orthopaedic Data Evaluation Panel (ODEP) (2)")
A trusted, first-class solution
The ADEPT® Hip Resurfacing System has evolved from the development of the Birmingham Hip Resurfacing (BHR). It is the result of a successful combination of the knowledge and experience gained by Finsbury (now MatOrtho®) from our direct involvement as the original manufacturing specialists along with extensive research into historically successful MoM devices.
The ADEPT® Hip Resurfacing System has been in successful clinical use globally for over 16 years. Clinical data shows that:
- Younger and more active patients are being accepted for hip replacement (63% of resurfacing patients in Australia are under 55 years old [1])
- Hip resurfacing patients are free to return to work and active lifestyles [2-3] without compromised function.
- Mid-term survivorship for the ADEPT® is class-leading [1,4] with a lower revision rate than total hip replacement in younger patients [1] and an ODEP 15A rating for the male population, bearing sizes 48-58mm. [5].
Delivering results through performance
Superior function
- Constant ROM for all sizes
- Extremely low rate of dislocation compared to THR
- Bone conserving
- Low friction, fluid-film lubrication bearing
- Natural feel and ROM
Optimised design
- Proven fixation
- Optimised clearance for long-term low wear
- Coverage constant throughout range
- Metallurgy optimised from the 1960s
- Still produced by the original manufacturing
specialists
First class clinical data
- Proven low NJR revision and mortality rates
- Lowest revision rates and ODEP 13A1
- Higher function for physiologically young patients
- Early intervention for patients likely to outlive a THR
- Based on 50-year heritage of successful MoM THRs
Simple, proven instrumentation
- Optimised sizing and preparation tools
- Simple, reliable neck centring devices
- Simple, reliable cup alignment technique
- Low profile cup introduction
- Safe head cement pressurisation
Implant and sizing options
- 2mm head size increments to reproduce
natural head diameter - Minimal cup wall thickness for minimal reaming
- Two cup sizes for every head size
- Available range 46mm to 58mm bearings
Benefits of hip resurfacing over total hip replacement
- Surgeons allow their hip resurfacing patients to return to a wider variety of sport and leisure activities without restriction than with a total hip replacement [7,3].
- Hip resurfacing significantly reduces the risk of dislocation as compared to total hip replacement [8].
- Hip resurfacing is more conservative than THR and has a lower risk of postoperative infection [8].
- Patients receiving a hip resurfacing device have a lower risk of mortality compared to THR [9,10].
- Patient satisfaction for the ADEPT® Hip Resurfacing is over 95% [11].
Expert insights from surgeons
Below, are several useful and informative presentations on the outcomes from surgeons who currently practice hip resurfacing.
Resources
www.njrcentre.org.uk
ADEPT® Flyer
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ADEPT® Clinical Rationale
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ADEPT® Brochure
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ADEPT® Operative Technique
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References
- Australian Orthopaedic Association. National Joint Replacement Registry: Hip and Knee Arthroplasty. Annual report 2015.
- Van Der Straeten and De Smet. Consensus from the Advanced Resurfacing Course May 2014, Ghent Belgium. http://www.semicomedia.be/Semico_Group/consensusboek.pdf
- Girard J, Miletic B, Deny A, Migaud H and Fouilleron N. Can Patients return to high-impact physical activities after hip resurfacing? A prospective study. International Orthopaedics (SICOT), 2013, 37: 1019-1024.
- National Joint Registry. Implant Summary Report, August 2016. Ref: Summary.Report.HP_Head_Adept Resurfacing Head (Sizes 48 – 58 only)_All.15/08/2016.14:48 (held by MatOrtho Ltd.)
- Orthopaedic Data Evaluation Panel (ODEP). Latest ODEP ratings can be found at www.odep.org.uk
- A recommended read for anyone interested in better understanding the history and development of total hip replacements is the following document: EARLY DEVELOPMENT OF TOTAL HIP REPLACEMENT: The transcript of a Witness Seminar held by the Wellcome Trust Centre for the History of Medicine at UCL, London, on 14 March 2006; Ed. L A Reynolds & E M Tansey. It can be downloaded here: Early Development of Total Hip Replacement
- Shimmin & Baré. Orth Clin N Am. 2011; 42: 143-151
- NJR 19th Annual Report, 2022: Surgical data to 31 December 2021. njrreports.org.uk
- AOANJRR. Mortality of Primary Hip and Knee Arthroplasty: Supplementary Report, 2022 Annual Report, AOA, Adelaide; 2022: 1-14. [Accessed from: https://aoanjrr.sahmri.com/annual-reports-2022/supplementary
- Kendal AR et al. BMJ. 2013; 347: f6549.
- NEC Software Solutions (UK) Ltd. 2023. Ref: Summary.Report.HP_Head_Adept Resurfacing Head (Sizes 46-58 only)_All.21/02/2023