DePuy LPS
Limb Preservation System
Implants
Proximal Femoral Body Replacement components
Segmental Components
Total Femoral Segmental Component
Intercalary Segmental Component
Distal Femoral Replacement Components
Stem Extension Components
Cemented Stems (Straight)
Porous Stems (Straight)
Cemented Stems (Bowed)
Porous Stems (Bowed)
Proximal Tibial Replacement Component
M.B.T. Revision Tray
Universal LPS Hinged Tibial Insert Bearing
S-ROM ® Rotating Hinge Femoral Component
Metaphyseal Sleeves
Metaphyseal Sleeves and Adapters
Procedural Uses
Proximal Femoral Replacement
Proximal Tibial Replacement
Total Femoral Replacement
Midshaft Replacement
Distal Femoral Replacement
Instruments / Trials
DePuy LPS Calcar and Bevel Reamer Set
DePuy LPS Component Trial Set
DePuy LPS Component Trial Set Instruments
DePuy LPS Component Trial Set Instruments
DePuy LPS Straight Stem and Bowed Stem Trial Sets
DePuy LPS Instrument Set
DePuy LPS Tibial Trial Set
DePuy LPS Metaphyseal Sleeve Instrumentation
25
26
28
30
32
34
37
50
55
59
63
38
41
44
46
16
18
20
22
23
12
13
13
14
10
12
6
8
2
4
6

Standard Body Style
Offset
38 mm
Body Height
70 mm
(using +1.5 mm head)
Trochanteric Build-Up Body Style
2
Material
• Ti alloy with POROCOAT ® porous coating
Features
• Standard and trochanteric build-up styles
• Neutral and 15 degrees (left and right) anteversion
• Suture holes
• Anti-rotation tabs
• 90 mm minimum resection
• 70 mm body + 20 mm stem collar
(to the + 1.5 mm head center)
• 38 mm offset (using a + 1.5 mm head)
• ARTICUL/EZE ® neck taper
• 135 degree neck/shaft angle
• Female component taper
Use
• Replaces proximal femoral bone loss
• Mates with segmental, total femoral segmental components, stem extension components, and metaphyseal sleeves.
Proximal Femoral Body Replacement Components
Ordering Information
Cat. No.
1987-10-105
1987-10-205
1987-11-105
1987-11-205
1987-12-105
1987-12-205
Description
Standard Body, Neutral
Trochanter Body, Neutral
Standard Body, Left, 15 Degrees
Trochanter Body, Left, 15 Degrees
Standard Body, Right, 15 Degrees
Trochanter Body, Right, 15 Degrees
3

Length
Material
• Ti alloy
Features
• 25, 30, 35, 40, 45, 65, 85, 105 and 125 mm lengths
• One male and one female taper
• Anti-rotation tabs and slots
Use
• “Connectors” of DePuy LPS
• Mates with all DePuy LPS components and distal femur to metaphyseal sleeeve adapter
• Replaces missing shaft bone (5 mm increments) to adjust leg length.
Segmental Components
Ordering Information
Cat. No.
1987-07-025
1987-07-030
1987-07-035
1987-07-040
1987-07-045
1987-07-065
1987-07-085
1987-07-105
1987-07-125
Description
25 mm length
30 mm length
35 mm length
40 mm length
45 mm length
65 mm length
85 mm length
105 mm length
125 mm length
4 5

55 mm Length
55 mm Length
6
Material
• Ti alloy
Features
• 55 mm length
• Two male tapers
• Anti-rotation slots
Use
• Needed for total femoral replacement construct
• Replaces missing shaft bone
• Mates with segmental, proximal femoral or distal femoral components
Total Femoral Segmental Component
Ordering Information
Cat. No.
1987-08-055
Description
55 mm length
Material
• Ti alloy
Features
• 55 mm length
• Two male tapers
• Anti-rotation slots
• 2-piece dovetail (less distraction length)
• Locking screw (allen wrench packaged with component)
Use
• Replaces midshaft bone
• Connects with segmental and DePuy LPS stem components
Intercalary Segmental Component
Ordering Information
Cat. No.
1987-19-055
Description
55 mm length
7

X-small
60 mm
Height
XX-small
50 mm
Height
66 mm M/L, X-small
56 mm M/L, XX-small
53 mm A/P, X-small
48 mm A/P, XX-small
8
Material
• CoCr alloy
Features
• 70/80 mm minimum resection
• 50/60 mm component height to articular surface + 20 mm stem collar when using DePuy LPS stems
• 50/60 mm minimum resection when using metaphyseal sleeves
• Utilises SIGMA ® Patella
• Female taper with anti-rotation tabs
• Anatomic (right and left)
• X-small and XX-small size for soft tissue closure
• CoCr hinge pin allows for easy insertion with secure locking
(packaged with the femur)
Use
• Replaces missing distal femur
• Compatible with segmental, total segmental, stem extension components and universal metaphyseal sleeves
• Assembles with the Universal LPS tibial hinged insert bearing to connect with the M.B.T. revision tray or the DePuy LPS proximal tibial replacement components
• Load share design between hinge pin bushings and plateau bearing surface
• Allows for five degrees of hyperextension with 140 degrees of flexion
• Intended for cemented use only
• Femur and tibial insert must match size for size
Distal Femoral Replacement Components
Ordering Information
Cat. No.
1987-13-111
1987-14-111
1987-13-105
1987-14-105
Description
Left, XX-small
Right, XX-small
Left, X-small
Right, X-small
P.F.C. SIGMA Patella Components
96-0110 32 mm 3-Peg Round/Dome Patellar
96-0111
96-0112
96-0113
1987-17-000
35 mm 3-Peg Round/Dome Patellar
38 mm 3-Peg Round/Dome Patellar
41 mm 3-Peg Round/Dome Patellar
Distal femur poly bumper replacement
1987-15-000
62-1640
62-1641
XX-small replacement hinge pin
X-small/small replacement hinge pin
Medium replacement hinge pin
9

20 mm Collar Height
Bevel
Material
• CoCr alloy
Features
• Cemented and porous options
• Straight (100 and 125 mm) and bowed (150 and 200 mm)
• All stems have porous collar, 20 mm height
• Male taper with anti-rotation slots
• Proximal stem level for enhanced fit
• Porous stems utilise POROCOAT Porous Coating with bullet tip
• Cemented stems have flutes for enhanced cement fixation
• Trials are 0.5 mm undersized relative to the implant
Cemented Stem
9-17 mm diameters
(1 mm increments)
100, 125, 150 and
200 mm lengths*
Porous Stem
10.5-18.5 mm diameters
(1 mm increments)
100, 125, 150 and
200 mm lengths*
*See pages 12 and 13 for details
Use
• Provides fixation into remaining host bone
• Stems mate with segmental, intercalary, proximal, distal femoral and proximal tibial replacement components
Stem Length
10 11

Cemented Stems (Straight)
Ordering Information
Cat. No.
1987-25-109
Description
9 mm diameter x 100 mm length
1987-25-110
1987-25-111
1987-25-112
1987-25-412
1987-25-413
1987-25-414
1987-25-415
1987-25-416
1987-25-417
10 mm diameter x 100 mm length
11 mm diameter x 100 mm length
12 mm diameter x 100 mm length
12 mm diameter x 125 mm length
13 mm diameter x 125 mm length
14 mm diameter x 125 mm length
15 mm diameter x 125 mm length
16 mm diameter x 125 mm length
17 mm diameter x 125 mm length
Porous Stems (Straight)
Ordering Information
Cat. No.
1987-26-109
Description
10.5 mm diameter x 100 mm length
1987-26-110
1987-26-111
1987-26-112
1987-26-412
1987-26-413
1987-26-414
1987-26-415
1987-26-416
1987-26-417
11.5 mm diameter x 100 mm length
12.5 mm diameter x 100 mm length
13.5 mm diameter x 100 mm length
13.5 mm diameter x 125 mm length
14.5 mm diameter x 125 mm length
15.5 mm diameter x 125 mm length
16.5 mm diameter x 125 mm length
17.5 mm diameter x 125 mm length
18.5 mm diameter x 125 mm length
Cemented Stems (Bowed)
Ordering Information
Cat. No.
1987-15-211
Description
11 mm diameter x 150 mm length
1987-15-212
1987-15-213
1987-15-214
1987-15-215
1987-15-216
1987-15-217
1987-15-311
1987-15-313
1987-15-315
1987-15-317
12 mm diameter x 150 mm length
13 mm diameter x 150 mm length
14 mm diameter x 150 mm length
15 mm diameter x 150 mm length
16 mm diameter x 150 mm length
17 mm diameter x 150 mm length
11 mm diameter x 200 mm length
13 mm diameter x 200 mm length
15 mm diameter x 200 mm length
17 mm diameter x 200 mm length
Porous Stems (Bowed)
Ordering Information
Cat. No.
1987-16-211
Description
12.5 mm diameter x 150 mm length
1987-16-212
1987-16-213
1987-16-214
1987-16-215
1987-16-216
1987-16-217
1987-16-311
1987-16-313
1987-16-315
1987-16-317
13.5 mm diameter x 150 mm length
14.5 mm diameter x 150 mm length
15.5 mm diameter x 150 mm length
16.5 mm diameter x 150 mm length
17.5 mm diameter x 150 mm length
18.5 mm diameter x 150 mm length
12.5 mm diameter x 200 mm length
14.5 mm diameter x 200 mm length
16.5 mm diameter x 200 mm length
18.5 mm diameter x 200 mm length
12 13

66 mm M/L, X-small
73 mm
Height
Material
• CoCr alloy
Features
• 105 mm minimum resection
• 73 mm component + 12 mm bearing insert + 20 mm collar
• Female taper with anti-rotation tabs
• Highly polished plateau articulation surface
• Anterior suture holes, POROCOAT porous coating
• Anatomical friendly
Use
• Replaces missing proximal tibial bone
• Mates with segmental and stem components
• Accepts the Universal LPS hinged tibial insert bearing to connect with the S-ROM femoral rotating hinge component or the DePuy
LPS distal femoral replacement
• Intended for cemented use only
Proximal Tibial Replacement Component
Ordering Information
Cat. No.
1987-21-105
Description
LPS, X-small
14 15

16
Material
• CoCr alloy
Features
• Tibial tray base plate 5 mm thick
• Metaphyseal porous sleeve (29, 37, 45, 53 and 61 mm) options
• Modular step wedges (5, 10 and 15 mm build-ups) available, if needed
• Universal fluted stems
• Ti alloy
• 75, 115 and 150 mm lengths in 10-24 mm diameters
• Universal cemented stems
• Ti alloy
• 30, 60, 90, 120, and 150 mm lengths in 13 mm diameter
• 30, 60 and 90 mm lengths in 15 mm diameter
• Thick tray options available in 15 and 25 mm thicknesses, sizes 2,
3, 4
Use
• Resurfacing of tibia in distal femoral and total femoral replacement procedures
• Accepts the Universal LPS tibial hinged bearing insert to connect with the DePuy LPS distal femoral replacement or S-ROM femoral rotating hinge components
• Intended for cemented use only
M.B.T. Revision Tray
Ordering Information
Cat. No.
1294-35-110
1294-35-115
1294-35-120
1294-35-125
1294-35-130
1294-35-140
1294-35-150
1294-35-160
M.B.T. Revision Thick Tray
Cat Number
1294-35-215
1294-35-225
1294-35-315
1294-35-325
1294-35-415
1294-35-425
3
4
4
Size
2
2
3
2.5
3
4
5
6
Size
1
1.5
2
Description
59 mm M/L x 39 mm A/P
62 mm M/L x 41 mm A/P
65 mm M/L x 43 mm A/P
67 mm M/L x 44 mm A/P
70 mm M/L x 46 mm A/P
75 mm M/L x 49 mm A/P
81 mm M/L x 53 mm A/P
87 mm M/L x 57 mm A/P
Description
MBT Rev Thick Tray Size 2, 15 mm
MBT Rev Thick Tray Size 2, 25 mm
MBT Rev Thick Tray Size 3, 15 mm
MBT Rev Thick Tray Size 3, 25 mm
MBT Rev Thick Tray Size 4, 15 mm
MBT Rev Thick Tray Size 4, 25 mm
17

CoCr Core
S-ROM Articular
Geometry
18
Parallel Sides
Material
• Forged CoCr pin for enhanced strength
• UHMPE - GVF
Features
• Polyethylene bushings mate with hinge pin
• Flat anterior surface with hyperextension stop
• XX-small, X-small, small and medium sizes
• 12, 14, 16, 18, 21, 23, 26, 28 and 31 mm plateau bearing thickness
Use
• Provides stability for missing ligaments
• Hinge provides stability in flexion and extension and acts as a pivot point for distal femoral internal and external rotation
• Mates with the DePuy LPS distal femoral replacement or the
S-ROM femoral rotating hinge components and the M.B.T. revision tray or the DePuy LPS proximal tibial replacement components
• Femur and tibial plateau must match size for size
Universal LPS Hinged Tibial Insert Bearing
Ordering Information
Cat. No.
1987-27-012
1987-27-014
1987-27-016
1987-27-018
1987-27-021
1987-27-023
1987-27-112
1987-27-114
1987-27-116
1987-27-118
1987-27-121
1987-27-123
1987-27-126
1987-27-128
1987-27-131
Description
XX-small, 12 mm height
XX-small, 14 mm height
XX-small, 16 mm height
XX-small, 18 mm height
XX-small, 21 mm height
XX-small, 23 mm height
X-small, 12 mm height
X-small, 14 mm height
X-small, 16 mm height
X-small, 18 mm height
X-small, 21 mm height
X-small, 23 mm height
X-small, 26 mm height
X-small, 28 mm height
X-small, 31 mm height
Cat. No.
Description
1987-27-212 Small, 12 mm height
1987-27-214 Small, 14 mm height
1987-27-216 Small, 16 mm height
1987-27-218 Small, 18 mm height
1987-27-221 Small, 21 mm height
1987-27-223 Small, 23 mm height
1987-27-226 Small, 26 mm height
1987-27-228 Small, 28 mm height
1987-27-231 Small, 31 mm height
1987-27-312 Medium, 12 mm height
1987-27-314 Medium, 14 mm height
1987-27-316 Medium, 16 mm height
1987-27-318 Medium, 18 mm height
1987-27-321 Medium, 21 mm height
1987-27-323 Medium, 23 mm height
1987-27-326 Medium, 26 mm height
1987-27-328 Medium, 28 mm height
1987-27-331 Medium, 31 mm height
19

20
Material
• CoCr alloy
Features
• Three sizes (X-small, small and medium)
• Anatomic (left and right)
• Six degrees of hyperextension with polyethylene bumper stop
• Load share design between hinge pin bushings and plateau bearing surface
• Posterior hinge point for maximum flexion
• Hinge pin (CoCr)
• Modular (Ti alloy) metaphyseal sleeves
(20, 31, 34, 40 and 46 mm)
• Universal (Ti alloy) fluted stems
• 75, 115 and 150 mm lengths in 10-24 mm diameters
• Universal (Ti alloy) cemented stems
• 30, 60, 90, 120 and 150 mm lengths in 13 mm diameter
• 30, 60 and 90 mm lengths in 15 mm diameter
Use
• Assembles with the Universal LPS proximal tibial replacement or the M.B.T. revision tray components using the Universal LPS hinged tibial insert bearing
• Intended for cemented use only
• Use with S-ROM patella
S-ROM Rotating Hinge Femoral Component
Ordering Information
Cat. No.
62-3421L
62-3421R
62-3411L
62-3411R
62-3401L
62-3401R
Description
X-small, 66 mm M/L x 58 mm A/P, left
X-small, 66 mm M/L x 58 mm A/P, right
Small, 66 mm M/L x 62 mm A/P, left
Small, 66 mm M/L x 62 mm A/P, right
Medium, 71 mm M/L x 66 mm A/P, left
Medium, 71 mm M/L x 66 mm A/P, right
S-ROM Patella Components
62-1630
62-1632
62-1635
62-1638
30 mm Patellar Dome
32 mm Patellar Dome
35 mm Patellar Dome
38 mm Patellar Dome
21

22
Material
• Ti alloy with POROCOAT porous coating
Features
• Five tibial sizes: 29, 37, 45, 53, and 61 mm
• Five femoral sizes: 20 (cemented only), 31, 34, 40 and 46 mm
(fully or distally porous)
• Compatible with SIGMA, LCS ® sleeves)
, S-ROM and DePuy LPS (femoral
• DePuy LPS Distal femur to sleeve adapter available in 0, 5, and 10 mm lengths to increase distal offset
• Compatible with the M.B.T. Revision tray and M.B.T. Revision
Thick trays (tibial sleeves)
• Accepts Universal press-fit and cemented stems
Use
• Employs Wolff’s Law to progressively load the bone with its stepped design
• Provides rotational stability to prevent component loosening
• Same, straightforward surgical technique at every level of constraint.
Metaphyseal Sleeves and Adapters
Ordering Information
Cat. No.
1294-54-000
1294-54-140
1294-54-100
1294-54-110
1294-54-120
1294-54-130
1294-53-205
1294-53-215
1294-53-216
1294-53-225
1294-53-226
1294-53-235
1294-53-236
1294-53-245
1294-53-246
1987-06-000
1987-06-005
1987-06-010
Description
MBT Revision Porous Tibial Sleeve, 29 mm
MBT Revision Cemented Tibial Sleeve, 29 mm
MBT Revision Porous Tibial Sleeve, 37 mm
MBT Revision Porous Tibial Sleeve, 45 mm
MBT Revision Porous Tibial Sleeve, 53 mm
MBT Revision Porous Tibial Sleeve, 61 mm
Universal Femoral Sleeve - Cemented, 20 mm
Universal Femoral Sleeve - Distally Porous, 31 mm
Universal Femoral Sleeve - Fully Porous, 31 mm
Universal Femoral Sleeve - Distally Porous, 34 mm
Universal Femoral Sleeve - Fully Porous, 34 mm
Universal Femoral Sleeve - Distally Porous, 40 mm
Universal Femoral Sleeve - Fully Porous, 40 mm
Universal Femoral Sleeve - Distally Porous, 46 mm
Universal Femoral Sleeve - Fully Porous, 46 mm
LPS Femoral Sleeve Adapter +0 mm
LPS Femoral Sleeve Adapter +5 mm
LPS Femoral Sleeve Adapter +10 mm
23

In this section, the five major lower extremity procedural uses and the instruments and implants needed to prepare for a case are reviewed. In addition, the instruments and implants that integrate with the DePuy LPS are included for a total overview.
Proximal Femoral Replacement
Proximal Tibial Replacement
Total Femoral Replacement
Midshaft Replacement
Distal Femoral Replacement
26
28
30
32
34
24 25

DePuy LPS offers flexibility to address a variety of difficult surgical situations in cases where there is the need for replacement due to the significant loss of proximal femoral bone.
With a proximal femoral replacement, a proximal femoral replacement body, segmental component(s) and a stem extension are generally used.
The proximal femoral replacement body offers the option of neutral or
15 degrees of built-in anteversion depending on the need in surgery.
The proximal femoral body with trochanteric build-up is an option with shortened abductors.
The length of segmental component(s) used depends upon the amount of missing bone that needs to be replaced with metal. The stem size used will depend upon the remaining bone diameter and length needed to produce adequate stability and fixation in the host bone.
The construct’s minimum resection is 90 mm (using a +1.5 mm femoral head)
26
Note: Acetabular options: Unipolar heads, bipolar cups, fixed cups, cages, etc., are options dependent on the surgeon’s needs/preferences from the DePuy hip product portfolio. Do not use/mix other manufacturer’s implants with the DePuy LPS implants. Remember to have the appropriate instrumentation to support the acetabular option chosen. These implants and instruments need to be obtained for the case. They are not sent automatically with a DePuy LPS order.
27

DePuy LPS provides the surgical latitude needed to address the replacement of significant proximal tibial bone loss.
Proximal tibial replacement generally uses a proximal tibial replacement component, possibly a segmental component and a stem extension from the DePuy LPS system. The S-ROM rotating hinge femoral component articulates with the DePuy LPS proximal tibial replacement component that uses the Universal LPS hinge bearing insert.
The need for DePuy LPS segmental component(s) depends upon the amount of missing bone that needs to be replaced with metal. The stem size used will depend upon the remaining bone diameter and length needed to produce adequate stability and fixation in the host bone. The S-ROM femoral rotating hinge component requires use of a sleeve and stem. The construct’s minimal tibial resection is 105 mm
(when using a 12 mm bearing insert).
28 29

With a total femoral replacement, the entire femur is replaced by the
DePuy LPS prosthetic construct. This femoral construct articulates with a tibial component through a hinged insert connection.
A total femoral replacement utilises the proximal femoral replacement body, a total femoral segmental component, the segmental component(s) and the distal femoral replacement component from
DePuy LPS. The M.B.T. revision tray is recommended on the tibial side with the option to use sleeves and stems.
30
Note: Acetabular options: Unipolar heads, bipolar cups, fixed cups, cages, etc., are options dependent on the surgeon’s needs/ preferences from the DePuy hip product portfolio. Do not use/ mix other manufacturer’s implants with the DePuy LPS implants.
Remember to have the appropriate instrumentation to support the acetabular option chosen. These implants and instruments need to be obtained for the case. They are not sent automatically with an
DePuy LPS order.
31

DePuy LPS addresses the replacement of significant midshaft femoral bone loss.
With midshaft bone loss, use the 55 mm intercalary segmental component with two stem extensions to “bridge the gap” of missing bone. If additional length is needed in the midshaft area, a segmental component can be used to make up for the missing bone.
The diameter, type and length of the stem extension used depends upon the remaining bone diameter, quality and stability needed with appropriate length.
The construct’s minimum resection length is
95 mm.
32 33

DePuy LPS provides the options to address replacement of significant distal femoral bone loss.
A distal femoral replacement uses the distal femoral replacement component, the segmental component(s) and a stem extension from the DePuy LPS system. Surgeons also have the option to use Universal metaphyseal sleeves for additional fixation. The M.B.T. revision tray provides multiple options for use on the tibial side. Use the Universal
LPS tibial hinged bearing insert with the M.B.T. revision tray.
The length of segmental component(s) used depends upon the amount of missing bone that needs to be replaced with metal. The stem size used will depend upon the remaining bone diameter and length needed to produce adequate stability. The distal femoral minimum resection is 70 mm when using DePuy LPS stems and 50 mm when using Universal metaphyseal sleeves.
34 35

36
DePuy LPS instrumentation provides the ability to prepare the remaining host bone, perform trial assessment and reduction, and assembly and insertion of the modular construct. This section reviews the sterilisation case layout of the instruments and provides an overview of the individual instruments.
DePuy LPS Calcar and Bevel Reamer Set
Calcar Planer and Bevel Reamer
Assembled Reamer
DePuy LPS Component Trial Set
DePuy LPS Component Trial Set Instruments
Proximal Femoral Body Replacement Trial
Segmental Component Trial
DePuy LPS Component Trial Set Instruments
Distal Femoral Replacement Trial
Total Femoral Segmental Component Trial
Intercalary Segmental Component Trial
Segmental Stack Chart
DePuy LPS Straight Stem and Bowed Stem Trial Sets
Cemented Stem (trial use)
Porous stem (trial use)
DePuy LPS Ream and Trial Chart
DePuy LPS Instrument Set 55
Universal Handle with Quick Release and Tibial/Femoral Driver 56
Impaction Cap
Disassembly Tool
Assembly Stand
Inserter/Extracter (version guide and slap handle)
56
57
57
58
Ruler 58
DePuy LPS Tibial Trial Set
Tibial Hinge Insert Trial, Tibial Post Trial and Hinge Pin Trial
Proximal Tibial Replacement Trial
DePuy LPS Metaphyseal Sleeve Instrumentation
50
53
53
54
59
61
62
63
38
38
40
41
44
44
45
46
46
47
48
49
37

The calcar planer and bevel reamer case contains instruments designed to prepare the resected bone for acceptance of the stem extension.
DePuy LPS Calcar/Bevel Reamer Set (cont.)
Top Tray (cont.)
Cat. No.
2987-70-155
2987-70-160
2987-70-165
2987-70-170
2987-70-175
2987-70-180
2987-70-185
2987-70-190
2987-70-195
2987-70-200
2987-70-205
2987-70-210
2987-70-215
Description
LPS Bevel Reamer Insert, 15.5 mm
LPS Bevel Reamer Insert, 16 mm
LPS Bevel Reamer Insert, 16.5 mm
LPS Bevel Reamer Insert, 17 mm
LPS Bevel Reamer Insert, 17.5 mm
LPS Bevel Reamer Insert, 18 mm
LPS Bevel Reamer Insert, 18.5 mm
LPS Bevel Reamer Insert, 19 mm
LPS Bevel Reamer Insert, 19.5 mm
LPS Bevel Reamer Insert, 20 mm
LPS Bevel Reamer Insert, 20.5 mm
LPS Bevel Reamer Insert, 21 mm
LPS Bevel Reamer Insert, 21.5 mm
Calcar Planer and Bevel Reamer
• Bevel reamers have pilots in 0.5 mm increments to assist in centering the bevel reamer in the canal.
Qty
1
1
1
1
1
1
1
1
1
1
1
1
1
DePuy LPS Calcar/Bevel Reamer Set
Top Tray
Cat. No.
2987-70-001
2987-70-002
2987-70-090
2987-70-095
2987-70-100
2987-70-105
2987-70-110
2987-70-115
2987-70-120
2987-70-125
2987-70-130
2987-70-135
2987-70-140
2987-70-145
2987-70-150
Description
LPS Calcar Planer, Small
LPS Calcar Planer, Large
LPS Bevel Reamer Insert, 9 mm
LPS Bevel Reamer Insert, 9.5 mm
LPS Bevel Reamer Insert, 10 mm
LPS Bevel Reamer Insert, 10.5 mm
LPS Bevel Reamer Insert, 11 mm
LPS Bevel Reamer Insert, 11.5 mm
LPS Bevel Reamer Insert, 12 mm
LPS Bevel Reamer Insert, 12.5 mm
LPS Bevel Reamer Insert, 13 mm
LPS Bevel Reamer Insert, 13.5 mm
LPS Bevel Reamer Insert, 14 mm
LPS Bevel Reamer Insert, 14.5 mm
LPS Bevel Reamer Insert, 15 mm
38
1
1
1
1
1
1
1
1
1
1
1
1
Qty
1
1
1
39

Assembled Reamer
• The calcar planer and bevel reamer are assembled together to prepare for a flat cut and a bevel angle of the medullary canal of the resected bone.
• For a porous stem extension, begin reaming with the calcar/bevel reamer two to three sizes below the chosen implant size. The final bevel reamer must match the final stem extension. For example, if using a 15.5 mm stem extension the final bevel reamer with pilot should be 15.5 mm. This allows for a slight press-fit of the stem extension bevel.
• For a cemented stem extension, begin the calcar/bevel reaming two to three sizes below the final intermedullary (IM) ream size.
For example, if an 11 mm stem is chosen with a 2 mm cement mantle, the final IM reamer will be 15 mm. The final calcar/bevel reamer will be 15 mm. This allows for a cement mantle around the stem extension bevel.
The component trial case contains some of the trials needed to prepare a trial construct for assessment prior to the final implant assembly. This instrument case contains all the segmental, proximal femoral body, distal femoral replacement and femoral head trials.
40 41

DePuy LPS Component Trial Set
Top Tray
Cat. No.
2987-07-025
2987-07-030
2987-07-035
2987-07-040
2987-07-045
2987-07-065
2987-07-085
2987-07-105
2987-07-125
2987-08-055
2987-19-055
2987-13-105
2987-13-111
2987-14-105
2987-14-111
Description
LPS Segmental Component Trial 25 mm
LPS Segmental Component Trial 30 mm
LPS Segmental Component Trial 35 mm
LPS Segmental Component Trial 40 mm
LPS Segmental Component Trial 45 mm
LPS Segmental Component Trial 65 mm
LPS Segmental Component Trial 85 mm
LPS Segmental Component Trial 105 mm
LPS Segmental Component Trial 125 mm
LPS Total Femoral Segmental Trail, 55 mm
LPS Intercalary Dove-tail Trial, 55 mm
Distal Femoral Component, Left, X-small Trial
Distal Femoral Component, Left, XX-small Trial
Distal Femoral Component, Right, X-small Trial
Distal Femoral Component, Right, XX-small Trial
Qty
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
42
DePuy LPS Component Trial Set (cont.)
Bottom Tray
Cat. No.
2987-10-105
2987-10-205
2987-11-105
2987-11-205
2987-12-105
2987-12-205
2530-69-000
2530-70-000
2530-71-000
2530-72-000
2530-73-000
2530-81-000
2530-82-000
2530-83-000
2530-84-000
2530-85-000
2530-91-000
2530-92-000
2530-93-000
2530-94-000
2530-95-000
Description
LPS Proximal Femoral Body, Neutral
Standard Trial
LPS Proximal Femoral Body, Neutral
Trochanter Trial
LPS Proximal Femoral Body Left,
15 mm diameter, Standard Trial
LPS Proximal Femoral Body Left,
15 mm diameter, Trochanter Trial
LPS Proximal Femoral Body Right,
15 mm diameter, Standard Trial
LPS Proximal Femoral Body Left,
15 mm diameter, Trochanter Trial
ARTICUL/EZE Femoral Head Trial 22.225 + 4 mm
ARTICUL/EZE Femoral Head Trial 22.225 + 7 mm
ARTICUL/EZE Femoral Head Trial 26 + 4 mm
ARTICUL/EZE Femoral Head Trial 26 + 7 mm
ARTICUL/EZE Femoral Head Trial 26 + 10 mm
ARTICUL/EZE Femoral Head Trial 28 + 1.5 mm
ARTICUL/EZE Femoral Head Trial 28 + 5 mm
ARTICUL/EZE Femoral Head Trial 28 + 8.5 mm
ARTICUL/EZE Femoral Head Trial 28 + 12 mm
ARTICUL/EZE Femoral Head Trial 28 + 15.5 mm
ARTICUL/EZE Femoral Head Trial 32 + 1 mm
ARTICUL/EZE Femoral Head Trial 32 + 5 mm
ARTICUL/EZE Femoral Head Trial 32 + 9 mm
ARTICUL/EZE Femoral Head Trial 32 + 13 mm
ARTICUL/EZE Femoral Head Trial 32 + 17 mm
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Qty
1
1
Additional Components:
Cat. No.
2531-50-000
2531-51-000
2531-52-000
2531-53-000
2531-54-000
2531-55-000
Description
ARTICUL/EZE Grooved Ball Trial, 36 mm, -2 degree
ARTICUL/EZE Grooved Ball Trial, 36 mm, +1.5 degree
ARTICUL/EZE Grooved Ball Trial, 36 mm, +5 degree
ARTICUL/EZE Grooved Ball Trial, 36 mm, +8.5 degree
ARTICUL/EZE Grooved Ball Trial, 36 mm, +12 degree
ARTICUL/EZE Grooved Ball Trial, 36 mm, +15.5 degree
43

Proximal Femoral Body Replacement Trial
Proximal femoral body trials replicate the implant and are used in trial reduction to assess leg length, offset and joint stability. The six femoral body trials mirror the system implants. The trials accept ARTICUL/EZE femoral trial heads and segmental and stem trials as needed.
Segmental Component Trial
Segmental component trials help plan the amount of missing bone that needs to be replaced by the prosthesis or adjustment of leg length. The nine segmental component trial sizes match the nine implant sizes (25,
30, 35, 40, 45, 65, 85, 105 and 125 mm lengths). The segmental trials offer the ability to provide 5 mm increments of adjustment with single components or through a stacking combination.
44 45

Distal Femoral Replacement Trial
These trial components match the distal femoral replacement implant, allowing for trial reduction. The left and right components accept the
DePuy LPS hinge insert trials, segmental, total, femur-to-sleeve adapter trials, or stem trials as needed.
Total Femoral Segmental Component Trial
This trial matches the 55 mm total femoral segmental component. It is used when performing a total femoral replacement trial reduction.
46 47

(cont.)
Intercalary Segmental Component Trial
The 55 mm intercalary segmental trial is used to assess replacement bone in a midshaft tumour replacement. It is used with two stem extension trials to assess leg length. Segmental trials are used to assess more extensive midshaft bone loss if needed.
48
The chart below provides a quick reference to choose the segemental component(s) needed to replace the missing bone gap.
Segmental Stack Chart
Remaining
Gap
80
85
90
95
60
65
70
75
25
30
35
40
45
50
55
100
105
110
115
120
125
130
135
LPS Segmental
Components
25
30
35
40
45
25 + 25
25 + 30
25 + 35
65
25 + 45 or 30 + 40
30 + 45 or 35 + 40
35 + 45
85
25 + 65
30 + 65
35 + 65
105
25 + 85 or 45 + 65
30 + 85
35 + 85
125
25 + 105 or 45 + 85
30 + 105
Remaining
Gap
175
180
190
195
200
205
210
215
140
145
150
155
160
165
170
220
225
230
235
240
245
250
LPS Segmental
Components
35 + 105
40 + 105
25 + 125 or 45 + 105
30 + 125
35 + 125
40 + 125
45 + 125
125 + 25 + 25
125 + 25 + 30
125 + 65
125 + 25 + 45
125 + 35 + 40
125 + 35 + 45
125 + 85
125 + 25 + 65
125 + 30 + 65
125 + 35 + 65
125 + 105
125 + 25 + 85
125 + 30 + 85
125 + 35 + 85
125 + 40 + 85
Procedure
Proximal Femoral
Replacement
Distal Femoral Replacement with DePuy LPS Stems
Distal Femoral Replacement with Metaphyseal Sleeves
Proximal Tibial Replacement
Midshaft Tumour
Replacement
Minimum resection length
90 mm (70 mm femoral body with
1.5 mm head center + 20 mm stem collar)
70 mm (50 mm distal femoral component + 20 mm stem collar)
50 mm (using XX-Small femur)
60 mm (using X-Small femur)
105 mm (73 mm tibial component +
12 mm insert bearing +20 mm stem collar)
95 mm (55 mm intercalary segment length
+ two 20 mm stem collars)
49

The straight stem trial components are available in 1 mm increments from 9 to 19 mm in diameter and 100 and 125 mm lengths that correspond to the implants. The bowed stem trials are available in 1 mm increments from 11-19 mm in diameter and 150 and 200 mm in lengths that correspond to the implants. The trial’s purpose is to assess fit and provide for the ability to perform a construct trial reduction.
Choose trials based on the implant options selected and the last reamed size.
Top Tray
Cat. No.
2987-25-109
2987-25-110
2987-25-111
2987-25-112
2987-25-113
2987-25-114
Description
9 x 100 mm Stem Extension Trial, Straight
10 x 100 mm Stem Extension Trial, Straight
11 x 100 mm Stem Extension Trial, Straight
12 x 100 mm Stem Extension Trial, Straight
13 x 100 mm Stem Extension Trial, Straight
14 x 100 mm Stem Extension Trial, Straight
Bottom Tray
Cat. No.
2987-25-412
2987-25-413
2987-25-414
2987-25-415
2987-25-416
2987-25-417
2987-25-418
2987-25-419
Description
12 x 125 mm Stem Extension Trial, Straight
13 x 125 mm Stem Extension Trial, Straight
14 x 125 mm Stem Extension Trial, Straight
15 x 125 mm Stem Extension Trial, Straight
16 x 125 mm Stem Extension Trial, Straight
17 x 125 mm Stem Extension Trial, Straight
18 x 125 mm Stem Extension Trial, Straight
19 x 125 mm Stem Extension Trial, Straight
Qty
1
1
1
1
1
1
Qty
1
1
1
1
1
1
1
1
50 51

(cont.)
Top Tray
Cat. No.
2987-15-211
2987-15-212
2987-15-213
2987-15-214
2987-15-215
2987-15-216
2987-15-217
2987-15-218
2987-15-219
Description
11 x 150 mm Stem Extension Trial Bowed
12 x 150 mm Stem Extension Trial Bowed
13 x 150 mm Stem Extension Trial Bowed
14 x 150 mm Stem Extension Trial Bowed
15 x 150 mm Stem Extension Trial Bowed
16 x 150 mm Stem Extension Trial Bowed
17 x 150 mm Stem Extension Trial Bowed
18 x 150 mm Stem Extension Trial Bowed
19 x 150 mm Stem Extension Trial Bowed
Qty
1
1
1
1
1
1
1
1
1
Bottom Tray
Cat. No.
2987-15-311
2987-15-312
2987-15-313
2987-15-314
2987-15-315
2987-15-316
2987-15-317
2987-15-318
2987-15-319
Description
11 x 200 mm Stem Extension Trial Bowed
12 x 200 mm Stem Extension Trial Bowed
13 x 200 mm Stem Extension Trial Bowed
14 x 200 mm Stem Extension Trial Bowed
15 x 200 mm Stem Extension Trial Bowed
16 x 200 mm Stem Extension Trial Bowed
17 x 200 mm Stem Extension Trial Bowed
18 x 200 mm Stem Extension Trial Bowed
19 x 200 mm Stem Extension Trial Bowed
Qty
1
1
1
1
1
1
1
1
1
52
Cemented Stem (trial use)
If using a cemented stem, the appropriate trial can be used to assess the cement mantle. For example, if the last reamed size is 15 mm, use a 13 mm trial if a 1 mm circumferential mantle is being evaluated or use an 11 mm trial if a 2 mm circumferential mantle is being evaluated.
For trial reduction purposes, if a 15 mm reamer was last used, use a 15 mm trial for the trial reduction to prevent spinning of the stem extension in the canal.
Porous stem (trial use)
If using a porous stem, the reaming technique determines the appropriate trial. All porous stems are in 1 mm increments. Since the typical protocol is to underream by 0.5 mm, the trial used would correspond to the last reamer used. For example, if using a 13.5 mm porous stem and 13 mm was the last reamer used, select a 13 mm trial for the trial reduction. This allows for trial stability without compromising the prepared bone.
53

(cont.)
The following chart shows reamer-to-trial implant suggestions.
DePuy LPS Ream and Trial Chart
Implant
Ream
Diameter
(mm)
Trial*
Diameter
(mm)
Cemented Stem with 1 mm mantle/side
Cemented Stem with 2 mm mantle/side
13
14
15
16
9
10
11
12
17
18
19
13
14
15
16
9
10
11
12
17
18
19
N/A
N/A
9 mm
10 mm
11 mm
12 mm
13 mm
14 mm
15 mm
16 mm
17 mm
N/A
N/A
N/A
N/A
9 mm
10 mm
11 mm
12 mm
13 mm
14 mm
15 mm
Porous Stem with 0.5 mm underream
N/A
10.5 mm
11.5 mm
12.5 mm
13.5 mm
14.5 mm
15.5 mm
16.5 mm
17.5 mm
18.5 mm
N/A
* Trial diameters are 1/4 to 1/2 mm less than stated to allow for clearance in the intermedullary canal.
54
This instrument case contains the DePuy LPS inserter/extractor
(including the version guide and slap handle; the assembly stand and related items; and ruler and femoral impactor with driver).
Tray Contents
Cat. No.
2987-71-000
2987-72-010
2987-72-020
2987-72-025
2987-72-030
2987-72-035
2987-72-040
2987-72-045
2987-72-050
6338-01
6338-02
6338-05A
6338-06A
Description
LPS Disassembly Tool
LPS Distal Femoral Assembly Stand
LPS Proximal Femoral Assembly Stand
LPS Assembly Base
LPS Inserter/Extractor
LPS Version Guide
LPS Slap Handle
LPS Extractor Moreland Adapter
LPS Ruler
S-ROM Tibial Driver
S-ROM Femoral Driver
S-ROM Impaction Cap
S-ROM Universal Handle Quick Release
Qty
1
1
1
1
1
1
1
1
1
1
1
1
1
55

Universal Handle with Quick Release and Tibial/Femoral Driver Disassembly Tool
The universal handle is connected to the tibial/femoral driver and used when impacting the tibial/femoral replacement construct into the remaining host bone.
Impaction Cap
Use this instrument to separate the morse-taper connection with the components. The disassembly tool fits into the anti-rotation slot areas of the assemblies. The tool has a flat and a half-moon shape that keys into the anti-rotation slot geometry of the implants. Once secure in the slots, squeeze the handle and push the handle down to loosen the taper junction. Do not reuse implants once they are disassembled due to possible damage/scratches on the tapers.
Assembly Stand
Use the impaction cap to cover the end of the stem extension when impacting the component into a construct. Be sure to remove the impaction cap before implantation.
56
The assembly stand is made up of the assembly base, distal femoral assembly stand and proximal femoral assembly stand. The assembly stand provides a method of holding a proximal femoral or distal femoral replacement construct when impacting the tapers.
57

(cont.)
Inserter/Extracter (version guide and slap handle)
This instrument is used to insert a proximal femoral construct. Thread the inserter into the proximal body shoulder and use the version guide to assist in the construct orientation. This instrument also acts as an extractor by threading into a stem extension. The slap handle is used to provide extraction force.
Ruler
This instrument case contains the proximal tibial replacement and insert trial components for trial reduction.
The stainless steel ruler is 500 mm (19.5 in.) in length and assists in planning the resection line. It is used to approximate the gap of missing bone following resection.
58 59

DePuy LPS Tibial Trial Set
Top Tray
Cat. No.
2178-63-132
2987-22-000
2987-21-100
2987-22-012
2987-22-014
2987-22-016
2987-22-018
2987-22-021
2987-22-023
2987-22-131
2987-22-231
2987-22-331
Description
M.B.T. Revision Trial Post
LPS Tibial Hinge Trial Post Adapter
LPS Proximal Tibial Replacement Trial, X-Small
LPS Tibial Insert Trial, XX-Small, 12 mm
LPS Tibial Insert Trial, XX-Small, 14 mm
LPS Tibial Insert Trial, XX-Small, 16 mm
LPS Tibial Insert Trial, XX-Small, 18 mm
LPS Tibial Insert Trial, XX-Small, 21 mm
LPS Tibial Insert Trial, XX-Small, 23 mm
LPS Tibial Insert Trial, X-Small, 31 mm
LPS Tibial Insert Trial, Small, 31 mm
LPS Tibial Insert Trial, Medium, 31 mm
Bottom Tray
Cat. No.
2987-22-112
2987-22-114
2987-22-116
2987-22-118
2987-22-121
2987-22-123
2987-22-126
2987-22-128
2987-22-212
2987-22-214
2987-22-216
2987-22-218
2987-22-221
2987-22-223
2987-22-226
2987-22-228
2987-22-312
2987-22-314
2987-22-316
2987-22-318
2987-22-321
2987-22-323
2987-22-326
2987-22-328
Description
LPS Tibial Insert Trial, X-Small, 12 mm
LPS Tibial Insert Trial, X-Small, 14 mm
LPS Tibial Insert Trial, X-Small, 16 mm
LPS Tibial Insert Trial, X-Small, 18 mm
LPS Tibial Insert Trial, X-Small, 21 mm
LPS Tibial Insert Trial, X-Small, 23 mm
LPS Tibial Insert Trial, X-Small, 26 mm
LPS Tibial Insert Trial, X-Small, 28 mm
LPS Tibial Insert Trial, Small, 12 mm
LPS Tibial Insert Trial, Small, 14 mm
LPS Tibial Insert Trial, Small, 16 mm
LPS Tibial Insert Trial, Small, 18 mm
LPS Tibial Insert Trial, Small, 21 mm
LPS Tibial Insert Trial, Small, 23 mm
LPS Tibial Insert Trial, Small, 26 mm
LPS Tibial Insert Trial, Small, 28 mm
LPS Tibial Insert Trial, Medium, 12 mm
LPS Tibial Insert Trial, Medium, 14 mm
LPS Tibial Insert Trial, Medium, 16 mm
LPS Tibial Insert Trial, Medium, 18 mm
LPS Tibial Insert Trial, Medium, 21 mm
LPS Tibial Insert Trial, Medium, 23 mm
LPS Tibial Insert Trial, Medium, 26 mm
LPS Tibial Insert Trial, Medium, 28 mm
60
Qty
1
1
1
1
1
1
1
1
1
1
1
1
Qty
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
DePuy LPS Tibial Trial Set (cont.)
Hinge Pin Trial
Tibial Hinge Insert Trial
Tibial Post Trial
Tibial Hinge Insert Trial, Tibial Post Trial and Hinge Pin Trial
The tibial hinge insert trial is available in four sizes and nine thicknesses.
Trials include a tibial hinge insert, tibial post and trial hinge pin used with the proximal tibial replacement component trial or M.B.T. revision tray trial depending on the need. This trial also mates with the distal femoral replacement component trial or S-ROM rotating hinge femoral trial based on the surgical situation. The tibial hinge insert trials allow for assessment of the joint line, leg length and joint stability when performing a trial range of motion. The hinge pin trial secures the tibial hinge insert trial to the chosen distal femoral trial.
61

Proximal Tibial Replacement Trial
The proximal tibial replacement trial replicates the proximal tibial replacement component and is used to assess fit and for trial reduction utilising the trial construct. It is used with the stem extension trials and segmental components if needed due to extensive bone loss.
In addition to the universal femoral metaphyseal sleeve instrumentation the DePuy LPS instrumentation contains femoral sleeve adapters.
DePuy LPS Metaphyseal Sleeve Instrumentation
Top Tray
Cat. No.
2987-06-000
2987-06-005
2987-06-010
2987-04-000
63-4180
Description
LPS Femoral to Sleeve Adapter Trial, +0
LPS Femoral to Sleeve Adapter Trial, +5
LPS Femoral to Sleeve Adapter Trial, +10
Metaphyseal Sleeve Removal Tool
S-ROM Hex Screw Driver
Qty
1
1
1
1
1
62 63

DePuy LPS
Limb Preservation System
65

DePuy LPS
Limb Preservation System
66 67

700 Orthopaedic Drive
Warsaw, IN 46581-0988
USA
Tel: +1 (800) 366 8143
Fax: +1 (574) 267 7196
St Anthony’s Road
Leeds LS11 8DT
England
Tel: +44 (0)113 387 7800
Fax: +44 (0)113 387 7890
0 0 8 6
©DePuy International Ltd. and DePuy Orthopaedics, Inc. 2012.
All rights reserved.
9085-47-000 version 2 Revised: 12/12
CA#DPEM/ORT/1112/0360