Our primary hip systems offer a comprehensive portfolio to meet a variety of surgical needs. The combination of short and standard stems, femoral heads, and modern acetabular systems enables flexible surgical solutions based on proven implant designs.
ACTINIA® comprises a range of cementless and cemented hip stem implants. The double-tapered stem shape ensures good primary stability. The flattened neck geometry increases the range of motion. The ACTINIA® hip stem system is on the market since 2012 and has been implanted over 90,000 times since then.
Cementless stems with collars have a lower risk of stem revisions, aseptic loosening and periprosthetic fractures compared to collarless stems.
Further information: ACTINIA® with collar flyer
- non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis
- post-traumatic osteoarthritis
- femoral head and femoral neck fractures
- rheumatoid arthritis
Please refer to the Instructions for Use for a full list of indications.
ECOFIT® comprises a range of cementless and cemented hip stem implants. Cementless short stems are also part of the portfolio. Different CCD angles and coating variants offer a variety of treatment options. The ECOFIT® hip stem system is on the market since 2004 and has been implanted over 250,000 times since then.
The ECOFIT® short stem is a 35-mm-shorter version of the ECOFIT® hip stem 133°. The proximal area of these two stems is identical. As a result, the ECOFIT® short stem does not follow the traditional short stem philosophy, but is prepared and positioned like a standard stem.
For ECOFIT® short stem applies:
Short stem hip prostheses are indicated for younger patients (< 70 years) with good bone quality.
Please refer to the Instructions for Use for a full list of indications.
The ECOFIT® coxa vara hip stem with a CCD angle of 123° is available only in a standard cementless version with cpTi and HA-coatings and in a standard cemented version with a highly-polished surface.
The ic-straight stem type II hip system consists cemented stem implants for primary treatment. The fine structure increases the implant surface area and improves fixation with bone cement. The small proximal collar prevents the stem from subsiding and indicates the implantation depth.
As the only cemented ic primary stem, the ic-straight stem type II can be combined with ic-heads up to neck length XXXL.
Please refer to the Instructions for Use for a full list of indications.
CE Marking
ECOFIT® is a system of cementless, hemi-spherical, pole-flattened hip cup implants. In addition to polyethylene and ceramic inserts the ECOFIT® cup insert consisting of CoCrMo is also available. Together with the PE heads of the ECOFIT® 2M system it enables a tripolar treatment. The ECOFIT® hip cup system is on the market since 2007 and has been implanted over 130,000 times since then.
Pole area: flattened pole
Fit area: reaming corresponds to cup geometry
Press-fit area: underreaming in the peripheral area
The ECOFIT® insert is indicated for patients with an increased risk of dislocation.
Please refer to the Instructions for Use for a full list of indications.
3 holes (sealed with crunch plugs)
To increase primary stability, the plugs anchored in the cup can be removed and the screw holes can be filled with cancellous bone screws Ø 6.5 mm (15 - 80 mm). Cancellous bone screws can be inserted at an angle of up to 15°.
ECOFIT® EPORE® is a system of cementless, hemi-spherical, pole-flattened hip cup implants. In addition to polyethylene and ceramic inserts the ECOFIT® insert consisting of CoCrMo is also available. Together with the PE heads of the ECOFIT® 2M system it enables a tripolar treatment. The ECOFIT® cup EPORE® system is on the market since 2016 and has been implanted over 75,000 times since then.
Pole area: flattened pole
Fit area: reaming corresponds to cup geometry
Press-fit area: underreaming in the peripheral area
EPORE® is an additively manufactured, highly porous structure made of titanium alloy (TiAl6V4). It is very similar to bone structure, like other porous materials and probably thus favors the ingrowth of the implant into the bone.
The ECOFIT® insert is indicated for patients with an increased risk of dislocation.
Please refer to the Instructions for Use for a full list of indications.
3 or 7 holes (sealed with crunch plugs)
To increase primary stability, the plugs anchored in the cup can be removed and the screw holes can be filled with cancellous bone screws Ø 6.5 mm (15 - 80 mm). Cancellous bone screws can be inserted at an angle of up to 15°.
ECOFIT® SC is a hemi-spherical screw-in cup. In addition to its rough-blasted surface, the system is characterized by its modular design. This allows the use of various cup inserts with the screw cup.
Please refer to the Instructions for Use for a full list of indications.
12 sizes Ø 46-68 mm
Treatment using a PE cup insert with a 36 mm femoral head is possible for acetabular cup sizes starting from 50 mm.
CE Marking
The Mueller II PE hip cup system comprises a range of cemented polyethylene acetabular implants. The cement grooves increase the implant surface area and improve anchorage in the bone cement. Radiopacity is ensured by X-ray wire.
The Mueller II acetabular system is on the market since 1998 and has already been implanted over 75,000 times since then.
In addition to the standard Mueller II PE hip cup, cups with a snap-fit mechanism and dysplasia cups with a 10° unilateral cranial roof are also available. Mueller II PE hip cups made of implacross® E (cross-linked polyethylene with vitamin E) are also available.
Please refer to the Instructions for Use for a full list of indications.
The Mueller II PE hip cups are compatible with the MUTARS® PRS system.
The ic bipolar head CoCrMo is used as a bipolar hemiendoprosthesis. The outer shell of the bipolar head is highly polished and comes pre-assembled with a polyethylene liner and a retaining ring. The ic bipolar head is on the market since 1998 and has been implanted over 150,000 times since then.
The main indications for the insertion of a hemi arthroplasty implant (Bipolar or Unipolar head):
Please refer to the Instructions for Use for a full list of indications.
The ic bipolar head CoCrMo articulates directly with the natural acetabulum.
In hip systems, the heads function as the articulation partner between the acetabular component and the hip stem. They are connected to the hip stem via a taper. The metallic ic-heads made of titanium and CoCrMo are designed for articulation with polyethylene components in total or hemi-hip arthroplasty. In addition to polyethylene components, the ceramic ic-heads BIOLOX® delta are also compatible with BIOLOX® delta cup inserts, thus creating a ceramic-on-ceramic articulation.
The ic-head titanium is made of implatan® TiAl6V4 and is coated with a ceramic TiN coating.
Please refer to the Instructions for Use for a full list of indications.
neck lenght:
ic-head titanium and ic-head CoCrMo
22 mm | 28 mm | 32 mm + 36 mm | |
| S | -4 mm | -3,5 mm | -4 mm |
| M | 0 mm | 0 mm | 0 mm |
| L | +4 mm | +3,5 mm | +4 mm |
| XL |
| +7 mm | +8 mm |
| XXL |
| +10,5 mm | +12 mm |
| XXXL |
| +14 mm | +16 mm |
ic-head BIOLOX® delta
28 mm | 32 mm | 36 mm + 40 mm | |
| S | -3,5 mm | -4 mm | -4 mm |
| M | 0 mm | 0 mm | 0 mm |
| L | +3,5 mm | +4 mm | +4 mm |
| XL |
| +7 mm | +8 mm |
ic-head revision BIOLOX® delta with taper adapter
| S | -3 mm |
| M | 0 mm |
| L | +4 mm |
| XL | +7 mm |
Our hip revision systems offer comprehensive treatment options for difficult defects and complex revision cases. From stem or cup revisions to complex reconstructive procedures, a wide range of implants is available. Thanks to the proven modularity and compatibility of our MUTARS® system, customized solutions can be created to meet a variety of clinical needs.
BICANA® comprises a range of cemented hip stem implants for primary or revision cases. The extensive collar allows physiological proximal load transmission and has a resection angle of 45° to the femoral axis. The BICANA® hip stem system is on the market since 2008 and has been implanted over 30,000 times since then.
For revision cases, stems are available in lengths of 200, 250 and 300 mm.
The main indication for BICANA® hip stems revision is Revision hip arthroplasty.
Please refer to the Instructions for Use for a full list of indications.
S-shaped stem design
The anatomical s-shaped geometry ensures additional stability. A physiological anteversion of 5° is integrated into the head-neck area of the stem.
DIALOC® RS comprises a range of cementless hip stem implants for revision cases.
The anatomical design of the calcar region of the stems supports press-fit fixation in the proximal femur.
The tapered, rectangular design ensures high rotational and primary stability.
Please refer to the Instructions for Use for a full list of indications.
The MUTARS® RS revision system bridges proximal femoral bone defects due to fractures or revision arthroplasties. For optimal fit, different sizes are available. The modularity of the components simplifies the optimal filling of the proximal femoral area. The intention is to preserve as much bone substance as possible for sufficient primary stability.
The MUTARS® RS revision system enables implant lengths of 192–417 mm.
Need for femoral arthroplasty due to femoral defects e.g. caused by:
Please refer to the Instructions for Use for a full list of indications.
The MUTARS® proximal femur revision is a modular reconstruction prosthesis for replacement of the proximal femur with preservation of the greater trochanter. It has been specifically developed for complex revision situations in which anatomical reconstruction and functional stability are of primary importance.
By using various extension pieces, the reconstruction length can be individually adapted to the patient's anatomical conditions and specific clinical requirements. This enables precise restoration of limb length and biomechanics.With the aid of dedicated trochanter plates, the greater trochanter can be preserved and securely fixed to the implant. The EPORE® surface structure supports bone ingrowth and contributes to improved osseous integration. As a result, the functional importance of the greater trochanter, particularly with regard to muscular attachment and hip stability, can be maintained to the greatest extent possible.
Another key feature is the silver coating. The properties of silver are utilized in the coated components to help reduce the risk of infection and increase the longevity of the prosthesis.
The MUTARS® proximal femur is a modular endoprosthetic system designed for the reconstruction of extensive bone defects in the proximal femur, for example following tumor resections or in complex revision cases.
Its flexible modular design provides the surgeon with intraoperative freedom of decision-making, enabling a situation-specific treatment approach and thereby contributing to optimal clinical outcomes.
Another key feature is the silver coating. The properties of silver are utilized in the coated components to help reduce the risk of infection and increase the longevity of the prosthesis. In addition, the retention rings provide the option for soft tissue reattachment using an attachment tube.1),2),3)
1) Gosheger G, Hillmann A, Lindner N, Rödl R, Hoffmann C, Bürger H, Winkelmann W. Soft tissue reconstruction of megaprostheses using a trevira tube. Clin Orthop Relat Res. 2001 Dec;(393):264-71. doi: 10.1097/00003086-200112000-00030. PMID: 11764358.
2) Raiss P, Kinkel S, Sauter U, Bruckner T, Lehner B. Replacement of the proximal humerus with MUTARS tumor endoprostheses. Eur J Surg Oncol. 2010 Apr;36(4):371-7. doi: 10.1016/j.ejso.2009.11.001. Epub 2009 Nov 28. PMID: 19945819.
3) Rachbauer AM, Schneider KN, Gosheger G, Deventer N. Endoprosthetic Reconstruction of the Proximal Humerus with an Inverse Tumor Prosthesis. Cancers (Basel). 2023 Nov 8;15(22):5330. doi: 10.3390/cancers15225330. PMID: 38001590; PMCID: PMC10670134.
The MUTARS® intramedullary total femur replacement with GenuX® MK provides an advanced solution as a so-called through-stem prosthesis, connecting the proximal and distal femur. Developed for the combined revision of the hip and knee joints, this system enables precise adaptation and optimal functionality.
The intramedullary connecting module is fully compatible with all MUTARS® implants for the proximal and distal femur. The modular system architecture allows for flexible intraoperative adaptation to the patient’s individual anatomical and clinical requirements, thereby supporting precise reconstruction and optimized restoration of function. Another feature is the silver coating, which utilizes the properties of silver in the coated components to reduce the risk of infection and increase the service life of the prosthesis.
The MUTARS® intramedullary total femur replacement with GenuX® MK is also available in an HD version. For more information, please follow this link: HD focus page
The MUTARS® intramedullary total femur replacement with MK KRI provides an advanced solution for combined hip and knee revision procedures. Designed for the replacement of the distal femur, particularly in cases involving the loss of the distal femoral condyles, this system enables precise adaptation and optimal functionality.
The modular system design enables tailored adaptation to a wide range of anatomical situations. In addition, the system is optionally available with a silver coating, which helps reduce the risk of periprosthetic infections and support the long-term functionality of the implant reconstruction.
The MUTARS® intramedullary total femur replacement with MK KRI is also aviable in an HD version. For more information, please follow this link: HD focus page
ECOFIT® 2M comprises a range of cementless and cemented acetabular implants. Due to the tribiological properties, all acetabular cups are made of implavit®, CoCrMo. The ECOFIT® 2M version with spikes (SP) for additional rotation prevention is also available. The ECOFIT® 2M hip cup system is on the market since 2012 and has been implanted over 35,000 times since then.
Pole area: flattened pole
Fit area: reaming corresponds to cup geometry
Press-fit area: underreaming in the peripheral area
Please refer to the Instructions for Use for a full list of indications.
The cemented ECOFIT® 2M acetabular cups are compatible with the MUTARS® PRS system.
Pelvic Reconstruction Shell
MUTARS® PRS is a cementless, spherical reconstruction cup with a flattened pole, used for extensive cavitary or segmental acetabular defects classified as Paprosky type 3a a lower.
The MUTARS® PRS support ring can be used optional and is intended to support the initial stabilization of the MUTARS® PRS until the osseointegration process is complete.
Pole area: flattened pole
Fit area: reaming corresponds to cup geometry
Press-fit area: underreaming in the peripheral area
EPORE® is an additively manufactured, highly porous structure made of titanium alloy (TiAl6V4). It is very similar to bone structure, like other porous materials, and probably thus favors the ingrowth of the implant into the bone.
Please refer to the Instructions for Use for a full list of indications.
The MUTARS® PRS can be combined with 8 mm EPORE® acetabular spacers, EPORE® buttress augments, EPORE® shim augments, and the ic-restriktor acetabular.
Please refer to the surgical technique for the exact combination options.
The MUTARS® RS cup is a modular, spherical revision hip cup with a flattened pole. The back of the cup has a porous EPORE® structure, which promotes osseointegration. Two anatomically shaped flaps enable the cup to be fixed in the vital part of the os coxae.
EPORE® is an additively manufactured, highly porous structure made of titanium alloy (TiAl6V4). It is very similar to bone structure, like other porous materials, and probably thus favors the ingrowth of the implant into the bone.
For the reconstruction of the bone defects the application of allogenic bone grafts may be required when using the MUTARS® RS cup.
Please refer to the Instructions for Use for a full list of indications.
The distal flap is wedge-shaped and is attached to the ischium. The proximal flap lies on the outer surface of the ilium and is connected to it by screws. For this purpose, cancellous screws bone screws Ø 6.5 mm (15–80 mm) are available.
The MUTARS® proximal femur is a modular endoprosthetic system designed for the reconstruction of extensive bone defects in the proximal femur, for example following tumor resections or in complex revision cases.
Its flexible modular design provides the surgeon with intraoperative freedom of decision-making, enabling a situation-specific treatment approach and thereby contributing to optimal clinical outcomes.
Another key feature is the silver coating. The properties of silver are utilized in the coated components to help reduce the risk of infection and increase the longevity of the prosthesis. In addition, the retention rings provide the option for soft tissue reattachment using an attachment tube.1),2),3)
1) Gosheger G, Hillmann A, Lindner N, Rödl R, Hoffmann C, Bürger H, Winkelmann W. Soft tissue reconstruction of megaprostheses using a trevira tube. Clin Orthop Relat Res. 2001 Dec;(393):264-71. doi: 10.1097/00003086-200112000-00030. PMID: 11764358.
2) Raiss P, Kinkel S, Sauter U, Bruckner T, Lehner B. Replacement of the proximal humerus with MUTARS tumor endoprostheses. Eur J Surg Oncol. 2010 Apr;36(4):371-7. doi: 10.1016/j.ejso.2009.11.001. Epub 2009 Nov 28. PMID: 19945819.
3) Rachbauer AM, Schneider KN, Gosheger G, Deventer N. Endoprosthetic Reconstruction of the Proximal Humerus with an Inverse Tumor Prosthesis. Cancers (Basel). 2023 Nov 8;15(22):5330. doi: 10.3390/cancers15225330. PMID: 38001590; PMCID: PMC10670134.
The MUTARS® MK total femur represents a proven solution for the reconstruction of the entire femur in complex clinical indications and is primarily used following extensive tumor resections as well as in challenging defect and revision cases.
Thanks to its modular design, the system enables precise anatomical adaptation while ensuring a high level of mechanical stability. The individual components can be combined flexibly to optimally meet the patient's specific anatomical and clinical requirements. Another key feature is the silver coating. The properties of silver are utilized in the coated components to help reduce the risk of infection and increase the longevity of the prosthesis.
In addition, the MUTARS® MK total femur is also available in an HD version. For more information, please follow this link: HD Focus Page
The MUTARS® LUMiC® is a stem-fixed acetabular component designed for the treatment of tumors, complex and multiple revision cases, as well as very large iliac bone defects. In these challenging situations, it can be used reliably as a hemipelvic replacement.
The MUTARS® LUMiC® is offered as a standard product. As a result, there are no additional waiting times for patients, since it is not a custom-made implant but an immediately available system. To achieve optimal cup orientation and the best possible soft-tissue tension, the implant position can be fine-tuned in 5° increments using a face-serration mechanism, even after stem implantation has already been completed. This allows precise intraoperative adjustment to the individual anatomical situation.
Another key feature is its silver coating. The properties of silver are utilized in the coated components to reduce the risk of infection and increase the longevity of the prosthesis.
The two-part CEMPADIC® silicone cement spacer molds allow the surgeon to fabricate a cement spacer intraoperatively whose geometry corresponds to the ECOFIT® cemented hip stem. CEMPADIC® spacer molds allow users to customize their antibiotic treatment.
Easy to use, practical application and reusable with a service life of 25 treatment cycles.
CEMPADIC® spacer rods ECOFIT® serve as metal reinforcement for temporary cemented hip stem spacers. These cemented spacers are indicated for septic two-stage prosthesis replacement and serve as antibiotic carriers, space maintainers, and to facilitate passive mobilization of the patient during the course of infection treatment.
Reinforcing rods with a diameter of 4 mm made of TiAl6V4 are also available.
Cement
For the preparation of cement spacers, it is recommended to use implabond bone cement with high viscosity. The bone cement can be mixed and applied by hand or using a mixing system and bone cement syringe.
Metal augments for the hip include the EPORE® acetabular spacer 8 mm, EPORE® buttress augment, EPORE® shim augment, and the ic-restrictor acetabulum. With the wide range of sizes available, these metal augments for the hip can be used to treat various acetabular defects.
EPORE® is an additively manufactured, highly porous structure made of titanium alloy (TiAl6V4). It is very similar to bone structure, like other porous materials, and probably thus favors the ingrowth of the implant into the bone.
When used in combination with the MUTARS® PRS and the MUTARS® PRS reinforcement cage, the EPORE® 8 mm acetabular spacers, EPORE® buttress augments, and EPORE® shim augments become a Full Pelvis Solution.
Please refer to the Instructions for Use for a full list of indications.