SURGICAL TECHNIQUE
DELTAREVISIONSYSTEMA C E T A B U L A R C U P
Index
DELTA REVISION SYSTEM Surgical Technique 3
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
Limacorporate spa, as manufacturer of prosthesis device, does not practice medicine. This surgical technique brochure has been developed in consultation with an experienced surgeon team
and provides the surgeon with general guidance when implanting DELTA-REVISION System. Proper surgical procedures and techniques are necessarily the responsibility of the medical
professional. Each surgeon must evaluate the appropriateness of the surgical technique used based on personal medical training, experience and clinical evaluation of each individual patient.
For further information about our products, please visit our web site at www.limacorporate.com
Pre-operative Planning pag. >> 4
SURGICAL TECHNIQUE
Acetabular Reaming pag. >> 5
Acetabular Cup Trial (with Cranial Modules)
and Introduction pag. >> 6
Inserting Bone Screws pag. >> 10
Inserting the trial spacer pag. >> 12
Trial Reduction pag. >> 14
Inserting the Final Spacer pag. >> 14
Inserting polyethylene and metal liners pag. >> 15
Inserting the Ceramic Liner pag. >> 17
Implanting 40 mm and 42 mm
Double mobility components pag. >> 18
INSTRUMENT SET pag. >> 19
PRODUCT CODES pag. >> 23
PRODUCT COMBINATIONS pag. >> 29
LEONARDO DA VINCI: the Vitruvian Man. Studies of human proportions (1490)
Pre-operative planning
4 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
Template enlarged
by 15%
� PREOPERATIVE PLANNING
To obtain the best results, preoperative planning using the
given templates is highly recommended. The templates
show the profile of the cups and of the cranial modules at
different eccentricities enlarged by 15%.
The templates also show the centre of rotation of the femoral
head both when using a spacer with protrusion (+ 5 mm) as
well as in all the other cases (+ 0 mm) (Figs. 1-2).
Figure 2
X-Ray with DELTA-ONE TT template.
Figure 1
RX with DELTA-REVISION template
Template enlarged
by 15%
Template enlarged
by 15%
Template enlarged
by 15%
Surgical Technique
DELTA REVISION SYSTEM Surgical Technique 5
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� ACETABULAR REAMING
Using the desired surgical technique expose the acetabulum
so as to have an adequate view for correct reaming.
Where necessary, remove the existing implant.
Then remove any osteophytes and expose the cotyloid rim
to get the best view of the anatomy of the bone to check for
any cavitary and/or segmentary defects.
It is important to have a clear view of the lower margin of the
acetabulum to be able to place the caudal hook correctly.
Start reaming the acetabulum using a reamer (Fig. 3) with a
smaller diameter than the one identified during templating,
mounted onto a reamer handle (Fig. 4).
Engaging the spherical reamer with the reamer handle
(Figs. 5-6):
1. Insert the reamer to correspond with the pins on the
locking lever.
2. Push the locking guide of the reamer handle downwards
and turn the reamer in an counter-clockwise direction by
a 1/4 of a turn.
3. Release the guide.
Push the locking guide again and turn the reamer clockwise
to remove it from its handle.
Insert the reamer into the acetabulum keeping it at an
abduction axis of about 45° and at an anteversion axis of
about 15° (Fig. 7).
Note. This angulation refers to the ideal angle of the cup.
There may however be some alterations in the acetabular
anatomy making it necessary to ream the acetabular cavity
at a different angle and therefore deviate from said values.
In any case we recommend aiming for this ideal angle when
reaming.
Gradually proceed with larger diameters with the reamer
until the subchondral bone is reached.
It is possible to prepare the housing for the cranial module
if applicable. This can be done by reaming the housing with
a reamer with a diameter corresponding to the diameter of
the definitive cup.
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Surgical Technique
6 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� ACETABULAR CUP TRIAL (WITH CRANIAL MODULES) AND INTRODUCTION
Having completed the preparatory step for the acetabular
housing, proceed with using the trial cup.
In the case of a Delta One TT cup without using a cranial
module, proceed with a check of the overall dimensions
by using a trial cup included in the acetabular reamer
instrumentation, (codes 9057.20.522 - 544), which has a size
corresponding to the last reamer used, which is screwed
onto the multi-purpose handle (Fig. 8).
The large openings in the trial cup allow you to check that
there is uniform contact with the acetabular bottom (Fig. 9).
For the Delta Revision cup, the overall dimensions can be
checked by using the trial cups (codes 9055.33.050 - 066)
screwed onto the multi-purpose handle (Fig. 10).
With these cups the position of the final cup fins can be
checked. If it is planned to use the cranial module (for both
Delta One and Delta Revision cups) screw the trial cranial
module (Fig. 11) corresponding to the size of the trial cup
(and to the planned eccentricity; 12 mm or 18 mm), onto the
trial cup.
Note. The Delta One cup sizes 50, 54, 58 and 62 ONLY can
be used for coupling with the cranial modules.
Figure 8
Figure 9
Figure 10
Figure 11
Surgical Technique
DELTA REVISION SYSTEM Surgical Technique 7
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
Tightening is done by locking a specific pin (Fig. 12) into one
of the three housings in the test cotyle (marked with circles
in (Fig. 13) and passing two of the screws (there are six in the
instrumentation) through the two holes in the cup nearest to
the polar opening (Fig. 14).
These screws will be housed in two of the fi ve threaded
openings in the cranial module.
The cranial module can be locked at three angles; at an angle
of 0°, - 30° and +30° with respect to the symmetrical axis of
the cups.
Position 0° is achieved by locking the pin in the central
housing (in the trial cup) (Fig. 15, a).
Positions +/- 30° are achieved by locking the pin in the right
or left hand housings (Fig 15, b-c).
The trial and fi nal cranial modules are tightened out of the
operating fi eld;
Afterwards, evaluate the dimensions of the trial and repeat the
operation of reaming or selecting the eccentricity of the cranial
module, where necessary.
You then implant a cup with the same rated dimension as the
last reamer used.
If for example a reamer with a diameter of 54 mm (effective
diameter) was used, then a cup with a nominal diameter of
54 mm will be implanted. This diameter is written on the pack
and marked on the prosthesis.
a b c
Figure 12
Figure 13
Figure 14
Figure 15
Surgical Technique
8 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
Take the cup (Delta One or Delta Revision), with the diameter
corresponding to the last reamer used, out of its sterile pack.
Screw the cranial module (if required) into the chosen
position. The final cranial module is fixed in the Delta One TT
cup in the same way as the test module. A third screw is used
for the Delta Revision TT cup which is placed in the cranial
zone of the module and passed through the opening in one
of the cup winglets (depending on the chosen direction)
(Fig. 16). It is better to partially screw in all the screws
first before tightening them, in order to avoid the risk of
misalignment between cup and module that could make
it difficult to insert the last screw. If you are using a Delta
Revision TT cup, bend the winglets with the appropriate tool
(after fixing the cup to the multi-purpose handle) to adapt
them to the anatomy of the acetabular (Fig. 17).
Figure 16
Figure 17
Surgical Technique
DELTA REVISION SYSTEM Surgical Technique 9
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
Figure 18
Figure 19
Care should be taken not to bend the winglets backwards
and forwards too many times and so break them. Adapt
the caudal hook in the same way (Fig. 18). If you are using
a cranial module this has to be fixed on the cup before
bending the winglets.
Impact the cotyle using the multi-purpose handle or the wrench
for Delta Cups (code 9055.51.015) with the adapters for Delta
Cups (codes 9055.51.110 - 130).
Keeping a firm hold on the positioner, tap it axially with a
hammer so as to firmly insert the cup, making sure that the
caudal hook is correctly housed in the obturator foramen
(Fig. 19).
Check that the cup is suffi ciently buried in the acetabular
housing and check the primary stability of the implant using
the stem of the positioner and operating gentle leverage stress
at the various planes.
Then unscrew the positioner and check the contact between
cup and acetabular bottom through the polar opening.
Then go on to the next stage: inserting the bone screws
through the cup openings.
Surgical Technique
10 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� INSERTING BONE SCREWS
We recommend using the bone screws supplied with the
Delta system only (Fig. 20).
There could be problems with engaging the articular liner in
the cup correctly if other screws are used.
All the openings in the winglets can be used as long as there
is sufficient bone stock to anchor the screws.
Note. Using a cranial module in the Delta Revision cup pre-
cludes using two of the six holes in the cup and one of the
proximal holes in the winglets.
Two helix drills are available, one short and one long (Fig. 21),
used to drill holes 15 and 30 mm deep respectively.
Insert the helix drill with flexible mandrel into the drill guide
(Fig. 22).
Place the point guide into the preselected opening, keeping
to the direction of the opening and start drilling the osseous
tissue (Fig. 23).
Figure 20
Figure 21
Figure 22
Figure 23
Surgical Technique
DELTA REVISION SYSTEM Surgical Technique 11
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
Use the screw pliers (Fig. 24) to grip the screw and hold it
in position.
Drive in the screw with the screwdriver (Fig. 25).
As soon as the screw takes a hold of the bone, remove the
pliers and complete screwing. After inserting the screws
inside the cup, fix the cranial fins in the same way.
We kindly ask surgeons to pay particular attention
when implanting DELTA-REVISION, DELTA-REVISION
TT and DELTA-ONE TT cups with DELTA spacers
(codes 5885.15.5XX-5886.15.5XX).
The intra-operative internal protrusion of bone screws
must be absolutely avoided, in order to guarantee a
complete conical coupling between the spacer and
the acetabular cup.
Method for determining the correct bone screws
insertion:
1. Use a finger to assess that the screw/s head
is/are seated flush against the shell to prevent
improper seating of the liner and/or spacer. If the
bone screw/s is/are protruding, please tighten
again until seated correctly. If this maneuver is
not effective the screw/s must be removed and
re-positioned along a more appropriate axis.
2. Insert one of the Large liner trials into the cup
(from 9055.50.020 to 9055.50.035) and check for
its stability. If the trial liner is unstable, tighten the
bone screws and check again trial liner stability
until the liner becomes steady inside the cup.
If this maneuver is not effective the screw/s must
be removed and re-positioned along a more
appropriate axis.
An effective way to fix the cranial winglets is to insert the
screws nearest to the cup first and then insert the others.
Figure 24
Figure 25
Surgical Technique
12 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� INSERTING THE TRIAL SPACER
At this point, if you are going to use spacers, you can insert
the trial spacers (Fig. 26).
Spacers are used to re-establish the centre of rotation and
the coverage and anteversion angles. Trial spacers (except
the angled 10° not protruded, code 9058.86.500) are fixed
to the cup in the desired position using the trial polar screws
included in the instrument set.
Method for ensuring correct trial and definitive spacer
insertion: insert the spacer with the polar safety
screw all at once, by holding the screw with the fixed
screwdriver (9095.10.222). Slightly tighten the screw
to ensure the correct conical alignment. Then loose
the polar screw and check for the spacer stability with
fingers. After verifying that the spacer is stable inside
the shell, firmly tighten the polar screw and perform
the trial reduction (Figs. 27-28).
NOTES FOR USING THE SPACERSDelta Revision and Delta ONE cups, sizes 50 to 66:
• The neutral spacer without angles and protrusions (code
5885.15.510) does not need a test component as one of the
large sized trial liners, with a head of an appropriate diameter
(included in the instrument set), can be used.
The final component of the neutral spacer without angles
and protrusions has one single opening that serves to house
the polar pin of the liners.
The final component does not need a tightening screw.
• The +5 mm neutral protruded spacer (code 5885.15.520)
has one single polar opening, which is used both for the
tightening screw and for the liner pin (in both test and final
versions)
• The spacer without protrusions angled at 10° (code
5886.15.500 - on request only) has a polar pin to replace the
tightening screw (in both test and final versions). The existing
opening is used to house the polar pin of the liners.
• The protruded spacer angled at 10° +5 mm (code
5886.15.505) has one single polar opening (in both trial and
final versions) and the tightening screw is screwed into this
opening (in both test and final versions).
Figure 26
Figure 27
Figure 28
Surgical Technique
DELTA REVISION SYSTEM Surgical Technique 13
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
• Spacers angled at 20° (both neutral and protruded) (codes
5886.15.510 - 520) have two openings and the one used to
house the trial and final screws is shown in the figure i.e.
the one located on the opposite side to the reference notch
and it is not threaded (Fig. 29 the opening which houses the
tightening screw is circled in red).
The trial and final spacers not angled (code 5885.15.510)
or angled at 10° without protrusion (code 5886.15.500 - on
request only) are not fixed with a polar screw and must
therefore be put into place by means of the fingers and
ensuring the firm locking of the Morse taper.
Insert the spacer with the polar screw all at once. Slightly
tight the screw to ensure correct morse taper alignment.
Position the spacer to replicate the correct positioning/
orientation as with the trial. Unscrew the polar screw and
check for spacer’s stability. Tighten the polar screw and
perform trial reduction.
Delta one cups, sizes 44, 46, 48:
The small sized neutral spacer without angles does not need
a trial component as one of the small sized trial liners, with a
head of an appropriate diameter (included in the instrument
set), can be used.
With the trial spacers the trial screws is used.
Final spacers only have one opening to house the final screw
(as the X small ceramic liner does not have a polar peg).
To change the liner position loose the screw and wth a
gentle percussion disassemble it from the cup.
Reorientate the spacer and then tight the screw.
Figure 29
Surgical Technique
14 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� TRIAL REDUCTION
Acetabular time normally precedes femoral time, so we
recommend avoiding any contact between the acetabular
cup and the femoral stem, once the acetabular component
has been implanted.
To this end we suggest inserting the cup’s own trial liner into
it (or into the trial spacer if there is one) ensuring that it has a
size corresponding to the cup (Fig. 30).
Proceed with the trial reduction after placing the appropriate
head for testing into position (Fig. 31).
If you should find that the cup is in the wrong position with
respect to the femoral component (risk of impingement or
dislocation) you can use or correct the angle of the spacers
to change the anteversion and coverage angles.
Mark the osseous tissue with the electric scalpel in
correspondence with the direction identified as the one along
which the dislocation could occur. This will serve afterwards
as a guide for the protruded liner or angled spacer.
� INSERTING THE FINAL SPACER
It is COMPULSORY to use one of the spacers if you intend
to use a ceramic liner.
Spacers are optional (if you want to change the centre of
rotation and the coverage and anteversion angles) for
polyethylene or metal liners.
Thoroughly clean the inner housing of the cup before
inserting the spacer and make sure that the surrounding soft
tissues do not prevent the spacer from entering. The same
procedure as the one given for trial spacers (see paragraph
5) can be used for insertion.
Replicate the same positioning as with the trial.
Figure 30
Figure 31
Surgical Technique
DELTA REVISION SYSTEM Surgical Technique 15
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� INSERTING POLYETHYLENE AND METAL LINERS
A Morse cone is used to fix all the liners of the Delta system
inside the spacers.
Thoroughly clean the inner housing of the cup (or the
spacer) before inserting the final liner and make sure that
the surrounding soft tissues do not prevent the liner from
entering.
Polyethylene and metal liners (Fig. 32) are fitted by gripping
the border between thumb and forefinger, with the forefinger
resting in the cavity.
In the specific case of a neutral polyethylene liner, push
towards the rim of the acetabular cup. It is a good idea to
accompany the pushing action by a slight rotation of the
liner.
Release the liner, pushing it gently into the cup with your
forefinger.
Once again make sure that the liner has been lodged
correctly inside the cup by feeling the perimeter.
Special care must be taken to ensure that the protruded
liners (lipped) are coupled correctly.
Figure 32
Surgical Technique
16 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
Do not use the protruding end (shoulder) to hold and
push the liner into the cup; this could cause misalignment
between cup and liner. Insert the liner by gripping the neutral
end between thumb and forefinger. Keeping your forefinger
in the cavity, push the liner down towards the bottom of the
cup. Use the liner impactor screwed to the beater and gently
tap the inside of the liner at a perpendicular angle to the
equatorial plane in order to complete coupling (Fig. 33).
Check that the neutral border of the liner does not protrude
out from the rim of the cup by feeling for the perimeter.
If the liner becomes jammed sideways it will have to be
removed by striking the metal rim of the cup with a flat-
bladed osteotome. The vibrations will shake the liner out of
its housing.
The polyethylene liner is removed by screwing a bone screw
to the bottom.
When you have finished, definitively reduce the articulation
prior to thoroughly cleaning the articular surfaces.
Note. All the Delta polyethylene, metal and ceramic liners
are fitted with a specific pin for polar opening occlusion.
Figure 33
Surgical Technique
DELTA REVISION SYSTEM Surgical Technique 17
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� INSERTING THE CERAMIC LINER
IT IS NOT POSSIBLE TO COUPLE CUP WITH
CERAMIC LINER DIRECTLY.
Ceramic liners cannot be inserted into the cup directly and
one of the SPACERS has to be used.
Thoroughly clean the inner housing of the spacer before
inserting the cup and make sure that the surrounding soft
tissues do not prevent the liner from entering.
How to impact the ceramic liner:
Fix the Ceramic liner positioner (code 9058.85.090) to the
MEDIUM-LARGE liner positioner (code 9058.85.220). Screw
the liner positioner to the multipurpose handle (Fig. 35).
Assemble the ceramic liner to the ceramic liner positioner
(Fig. 36).
Impact the liner in the cup (Fig. 37).
Remove the handle by pulling it and making the ceramic liner
positioner disengaging from the ceramic liner.
Make sure that the liner has been lodged correctly inside the
cup by feeling the perimeter. The border of the liner must not
protrude out from the rim of the cup. The liner could break if
it is in the wrong position.
If the liner becomes jammed sideways it will have to be
removed by striking the metal rim of the cup with a flat-
bladed osteotome. The vibrations will shake the liner out of
its housing.
WARNING! Never re-engage the removed ceramic
liner, or a new ceramic liner in a housing that has
already been occupied by a ceramic liner beforehand.
Complete the implant by using a polyethylene liner
only.
Figure 34
Figure 35
Figure 36
Figure 37
Surgical Technique
18 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� IMPLANTING 40 mm AND 42 mm DOUBLE MOBILITY COMPONENTS
The trial liner is placed inside the cup to use the 42 mm
double mobility.
The 40 mm liner is used into one of the spacers.
Insert the diameter 28 trial femoral head and the mobile trial
liner for double mobility onto the cone of the stem (Fig. 38)
and proceed with the trial reduction, to determine the length
of the head.
Note. With the double mobility can only be used the S,M,L
lenghts.
Insert the final liner into the cup for the final implant.
Place the head and the mobile liner in the Head-Liner Clamp
and tighten the screw until the two components are properly
joined together (Fig. 39).
Insert the components onto the cone of the stem and
proceed with final reduction of the implant (Fig. 40).
Figure 38
Figure 39
Figure 40
Instrument Set
DELTA REVISION SYSTEM Surgical Technique 19
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� 9057.33.000 Acetabular Cups
Ref. CODE DESCRIPTION Qty.
A 9055.32.025 Multi Purpose Handle 1
B 9056.10.010 Cemented Cup Impactor Dia. 28mm 1
B 9056.10.020 Cemented Cup Impactor Dia. 32mm 1
C 9057.20.300 Liner Impactor for Dia. 28mm Head 1
C 9057.20.310 Liner Impactor for Dia. 32mm Head 1
C 9057.20.320 Liner Impactor for Dia. 36mm Head 1
D 9057.20.522 Trial Cup Dia. 44mm 1
D 9057.20.524 Trial Cup Dia. 46mm 1
D 9057.20.526 Trial Cup Dia. 48mm 1
D 9057.20.528 Trial Cup Dia. 50mm 1
D 9057.20.530 Trial Cup Dia. 52mm 1
D 9057.20.532 Trial Cup Dia. 54mm 1
D 9057.20.534 Trial Cup Dia. 56mm 1
D 9057.20.536 Trial Cup Dia. 58mm 1
D 9057.20.538 Trial Cup Dia. 60mm 1
D 9057.20.540 Trial Cup Dia. 62mm 1
D 9057.20.542 Trial Cup Dia. 64mm 1
D 9057.20.544 Trial Cup Dia. 66mm 1
E 9057.20.555 Beater - Positioner - Aligner 1
F 9057.20.811 Reamer Handle EZ 2
G 9057.20.942 Reamer with Cross Coupling Dia. 42mm 1
G 9057.20.944 Reamer with Cross Coupling Dia. 44mm 1
G 9057.20.946 Reamer with Cross Coupling Dia. 46mm 1
G 9057.20.948 Reamer with Cross Coupling Dia. 48mm 1
G 9057.20.950 Reamer with Cross Coupling Dia. 50mm 1
G 9057.20.952 Reamer with Cross Coupling Dia. 52mm 1
G 9057.20.954 Reamer with Cross Coupling Dia. 54mm 1
G 9057.20.956 Reamer with Cross Coupling Dia. 56mm 1
G 9057.20.958 Reamer with Cross Coupling Dia. 58mm 1
G 9057.20.960 Reamer with Cross Coupling Dia. 60mm 1
G 9057.20.962 Reamer with Cross Coupling Dia. 62mm 1
G 9057.20.964 Reamer with Cross Coupling Dia. 64mm 1
G 9057.20.966 Reamer with Cross Coupling Dia. 66mm 1
H 9058.85.090 Ceramic Liner Positioner 2
I 9058.85.110 Joint for Ceramic Liner Positioner 1
J 9058.85.210 SMALL Dia. 32mm Liner Positioner 1
J 9058.85.220 MEDIUM-LARGE Dia. 36mm Liner Positioner 1
J 9058.85.230 LARGE Dia. 40mm Liner Positioner 1
K 9095.10.222 Fixed Screwdriver 1
9095.33.950 Sterilizable Box 1
Instrument Set
20 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� 9055.33.000 Instrument Set for Delta-One-TT, Delta-Revision
Ref CODE DESCRIPTION Qty.
A 9055.33.050 Trial Cup Dia. 50mm 1
A 9055.33.054 Trial Cup Dia. 54mm 1
A 9055.33.058 Trial Cup Dia. 58mm 1
A 9055.33.062 Trial Cup Dia. 62mm 1
A 9055.33.066 Trial Cup Dia. 66mm 1
B 9055.33.500 Trial Hemispheric Module Dia. 50mm ecc. 12mm 1
B 9055.33.502 Trial Hemispheric Module Dia. 50mm ecc. 18mm 1
B 9055.33.540 Trial Hemispheric Module Dia. 54mm ecc. 12mm 1
B 9055.33.542 Trial Hemispheric Module Dia. 54mm ecc. 18mm 1
B 9055.33.580 Trial Hemispheric Module Dia. 58mm ecc. 12mm 1
B 9055.33.582 Trial Hemispheric Module Dia. 58mm ecc. 18mm 1
B 9055.33.620 Trial Hemispheric Module Dia. 62mm ecc. 12mm 1
C 9058.85.320 Trial Neutral Spacer # S + 5 1
C 9058.86.300 Trial Angled Spacer 10° # S 1
C 9058.86.310 Trial Angled Spacer 20° # S 1
C 9058.85.520 Trial Neutral Spacer # L + 5 1
C 9058.86.500 Trial Angled Spacer 10° # L 1
C 9058.86.510 Trial Angled Spacer 20° # L 1
C 9058.86.505 Trial Angled Spacer 10° # L + 5 1
C 9058.86.520 Trial Angled Spacer 20° # L + 5 1
D 9055.32.010 Handle for Winglets Modeling 1
E 5886.15.501 Screw for Angled Spacer 4
F 5533.15.001 Screw for Hemispheric Module 6
9055.33.920 Sterilizable Box 1
Instrument Set
DELTA REVISION SYSTEM Surgical Technique 21
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� 9055.50.000 Instrument Set for Delta PF Cups
Ref. CODE DESCRIPTION Qty.
A 9055.50.020 Trial Liner, Large for Head Dia. 28mm 1
A 9055.50.025 Trial Liner, Large for Head Dia. 32mm 1
A 9055.50.030 Trial Liner, Large for Head Dia. 36mm 1
A 9055.50.035 Trial Liner, Large for Head Dia. 40mm 1
A 9055.50.120 Trial Liner, Medium for Head Dia. 28mm 1
A 9055.50.125 Trial Liner, Medium for Head Dia. 32mm 1
A 9055.50.130 Trial Liner, Medium for Head Dia. 36mm 1
A 9055.50.220 Trial Liner, Small for Head Dia. 28mm 1
A 9055.50.225 Trial Liner, Small for Head Dia. 32mm 1
A 9055.50.230 Trial Liner, Small for Head Dia. 36mm 1
B 9095.10.521 Trial Head Low Taper 12/14 Dia. 32mm S 1
B 9095.10.522 Trial Head Low Taper 12/14 Dia. 32mm M 1
B 9095.10.523 Trial Head Low Taper 12/14 Dia. 32mm L 1
B 9095.10.531 Trial Head Low Taper 12/14 Dia. 36mm S 1
B 9095.10.532 Trial Head Low Taper 12/14 Dia. 36mm M 1
B 9095.10.533 Trial Head Low Taper 12/14 Dia. 36mm L 1
B 9095.10.534 Trial Head Low Taper 12/14 Dia. 36mm XL 1
B 9095.10.541 Trial Head Low Taper 12/14 Dia. 40mm S 1
B 9095.10.542 Trial Head Low Taper 12/14 Dia. 40mm M 1
B 9095.10.543 Trial Head Low Taper 12/14 Dia. 40mm L 1
B 9095.10.544 Trial Head Low Taper 12/14 Dia. 40mm XL 1
C 9055.51.015 Wrench for Cups DELTA-PF 1
D 9055.51.110 Adapter Small for Cups Wrench 1
D 9055.51.120 Adapter Medium for Cups Wrench 1
D 9055.51.130 Adapter Large for Cups Wrench 1
9055.50.920 Sterilizable Box 1
Instrument Set
22 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� 9055.65.000 Instrument Set Double Mobility and Met for Delta Cups
Ref. CODE DESCRIPTION Qty.
A 9055.66.400 Trial Liner #M for Double Mobility Dia. 40mm
1
A 9058.85.042 Trial Liner #L for Met and Double Mobili-ty Dia. 42mm
1
B 9050.45.010 Trial Short Adaptor 1
B 9050.45.020 Trial Medium Adaptor 1
B 9050.45.030 Trial Long Adaptor 1
B 9050.45.040 Trial XLong Adaptor 1
B 9050.45.050 Trial XXLong Adaptor 1
C 9013.30.100 Pliers for Trial Adaptor 1
D 9050.45.420 Trial Head Dia. 42mm 1
E 9055.65.040 Trial Mobile Liner Dia. 40mm for Heads Dia. 28mm
1
E 9055.65.042 Trial Mobile Liner Dia. 42mm for Heads Dia. 28mm
1
F 9055.60.750 Implant Reducer 1
G 9055.60.100 Head-Liner Clamp 1
H 9055.60.101 Holder for Mobile Liners Dia. 42-46 1
I 9095.10.611 Trial Head Low Taper 12/14 Heads Dia. 28mm Small
1
I 9095.10.612 Trial Head Low Taper 12/14 Heads Dia. 28mm Medium
1
I 9095.10.613 Trial Head Low Taper 12/14 Heads Dia. 28mm Large
1
9055.65.950 Sterilizable Box 1
Product codes
DELTA REVISION SYSTEM Surgical Technique 23
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� DELTA-ONE-TT ACETABULAR CUPS
Ti6Al4V FOR LINERS SIZE SMALL
5549.14.440 Dia. 44 mm
5549.14.460 Dia. 46 mm
5549.14.480 Dia. 48 mm
FOR LINERS SIZE LARGE
5549.14.501 Dia. 50 mm
5549.14.521 Dia. 52 mm
5549.14.541 Dia. 54 mm
5549.14.560 Dia. 56 mm
5549.14.580 Dia. 58 mm
5549.14.600 Dia. 60 mm
5549.14.620 Dia. 62 mm
5549.14.640 Dia. 64 mm
5549.14.660 Dia. 66 mm
Note. Cups from Dia. 44 to Dia. 48 mm not suitable for Biolox® liners size Small. Cups from Dia. 50 to Dia. 66 mm not suitable for Biolox® liners size Large. The use of ceramic is allowed only with augments.
� DELTA-REVISION-TT ACETABULAR CUPS
Ti FOR LINERS SIZE LARGE
5533.38.050 Dia. 50 mm
5533.38.054 Dia. 54 mm
5533.38.058 Dia. 58 mm
5533.38.062 Dia. 62 mm
5533.38.066 Dia. 66 mm
Note. Cups from Dia. 50 to Dia. 66 mm not suitable for Biolox® liners size Large. The use of ceramic is allowed only with augments.
Product codes
24 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� DELTA-REVISION ACETABULAR CUPS
Ti+PoroTi FOR SIZE LARGE
5533.21.050 Dia. 50 mm
5533.21.054 Dia. 54 mm
5533.21.058 Dia. 58 mm
5533.21.062 Dia. 62 mm
5533.21.066 Dia. 66 mm
Note. Cups not suitable for Biolox® liners size Large. The use of ceramic is allowed only with augments.
� TT - HEMISPHERIC MODULE
Ti6Al4V 5533.14.500 Dia. 50 mm, Eccentricity 12 mm
5533.14.502 Dia. 50 mm, Eccentricity 18 mm
5533.14.540 Dia. 54 mm, Eccentricity 12 mm
5533.14.542 Dia. 54 mm, Eccentricity 18 mm
5533.14.580 Dia. 58 mm, Eccentricity 12 mm
5533.14.582 Dia. 58 mm, Eccentricity 18 mm
5533.14.620 Dia. 62 mm, Eccentricity 12 mm
Product codes
DELTA REVISION SYSTEM Surgical Technique 25
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� AUGMENTS
Ti6Al4V 5885.15.310 Neutral Spacer Size S (Use Liner X Small)
5885.15.320 Neutral Spacer Size S+5 (Use Liner X Small)
5886.15.300 Angled Spacer 10° Size S (Use Liner X Small) ◆
5886.15.310 Angled Spacer 20° Size S (Use Liner X Small) ◆
5885.15.510 Neutral Spacer Size L (Use Liner Medium)
5885.15.520 Neutral Spacer Size L+5 (Use Liner Medium)
5886.15.500 Angled Spacer 10° Size L (Use Liner Medium) ◆
5886.15.510 Angled Spacer 20° Size L (Use Liner Medium) ◆
5886.15.505 Angled Spacer 10° Size L+5 (Use Liner Medium) ◆
5886.15.520 Angled Spacer 20° Size L+5 (Use Liner Medium) ◆
◆ All angled spacers are not suitable for cups Delta-TT, Delta-PF, Delta-FINS, Delta-ST-C.
Neutral Spacer Size L
Neutral Spacer Size L+5
Angled Spacer 10° Size L
Angled Spacer 20° Size L
Angled Spacer 10° Size L+5
Angled Spacer 20° Size L+5
Product codes
26 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� DELTA LINERS
Biolox® Delta 5885.42.052 I.D. 28 mm - Size X Small
5885.42.258 I.D. 36 mm - Size Medium
� NEUTRAL LINERS
UHMWPE X-LIMA + Ti6Al4V
5885.51.055 I.D. 28 mm - Size Small
5885.51.058 I.D. 28 mm - Size Medium
5885.51.158 I.D. 32 mm - Size Medium
5885.51.060 I.D. 28 mm - Size Large
5885.51.160 I.D. 32 mm - Size Large
5885.51.260 I.D. 36 mm - Size Large
Note. X-Lima = “Cross-Linked”.
UHMWPE X-LIMA + Ti6Al4V
5886.51.055 I.D. 28 mm - Size Small
5886.51.058 I.D. 28 mm - Size Medium
5886.51.158 I.D. 32 mm - Size Medium
5886.51.060 I.D. 28 mm - Size Large
5886.51.160 I.D. 32 mm - Size Large
5886.51.260 I.D. 36 mm - Size Large
Note. X-Lima = “Cross-Linked”.
� PROTRUDED LINERS
� NEUTRAL LINERS
UHMWPE + Ti6Al4V 5885.50.055 I.D. 28 mm - Size Small
5885.50.058 I.D. 28 mm - Size Medium
5885.50.060 I.D. 28 mm - Size Large
Product codes
DELTA REVISION SYSTEM Surgical Technique 27
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� PROTRUDED LINERS
UHMWPE + Ti6Al4V 5886.50.055 I.D. 28 mm - Size Small
5886.50.058 I.D. 28 mm - Size Medium
5886.50.060 I.D. 28 mm - Size Large
� 42 mm COUPLING FOR MET-MET AND DOUBLE MOBILITY
CoCrMo + UHMWPE5885.09.042 Liner L for MET-MET and
Double Mobility Dia. 42 mm
Upon request n
� MOBILE LINERS
UHMWPE5566.50.420 I.D. 28 mm - Dia. 42 mm n
� 40 mm COUPLING FOR DUAL MOBILITY
CoCrMo 5885.09.040 Liner M for Dual Mobility dia. 40 mm
� MOBILE LINER
UHMWPE 5566.50.401 I.D. 28 mm - dia. 40
Product codes
28 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
� BONE SCREWS
Ti6Al4V DIA. 6.5 mm
8420.15.010 h 20 mm
8420.15.020 h 25 mm
8420.15.030 h 30 mm
8420.15.040 h 35 mm
8420.15.050 h 40 mm
8420.15.060 h 45 mm
8420.15.070 h 50 mm
8420.15.080 h 55 mm
Product combinations
DELTA REVISION SYSTEM Surgical Technique 29
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
Product combinations
30 Surgical Technique DELTA REVISION SYSTEM
DELTA REVISION SYSTEM SURGICAL TECHNIQUE
This publication is intended for Medical Professionals and Healthcare Providers only.
This publication is intended for distribution in the U.S.www.limacorporate.com
B.5533.23.000.1 071300