As announced in Lima News no. 11, Lima Corporate and DJO Surgical have signed a cooperation agreement whereby certain selected Lima products will be marketed in the United States under the DJO Surgical brand. Things have moved on quickly since the agreement was signed and the first Lima product has now been registered in the United States. Last March the REVISION stem, used for hip revision surgery, got the FDA approval.

Having achieved registration, plans were made for the roll out of the product’s commercial launch. First, training sessions were organized for selected American surgeons at Lima’s Referral Center in Italy. DJO-selected surgeons had the chance to receive training on the REVISION stem by attending in the operating theatre and exchanging views and experience with their Italian colleagues.

This is a revision THR for recurrent traumatic dislocation of a 22mm cemented Charnley prosthesis. The patient is a 64y/o female, with rheumatoid arthritis, who is 24 years after a cemented acetabular and femoral monoblock components for inflammatory osteoarthrosis. She had suffered 5 previous dislocation, the most previous of which required an open reduction and repair of soft tissues.

She presented this time, after suffering from a slip and fall, with an irreducible dislocation of the THR (fig. 1), with a moderately worn polyethylene acetabular component. The patient underwent a successful revision arthroplasty with an extended femoral osteotomy to facilitate removal of the well fixed femoral component and a Lima modular revision hip system and a large (36mm) diameter metal on poly articulation (fig.2).

The osteotomy was repaired with circlage wiring in an anatomic fashion. She was out of bed weight bearing as tolerated, with a walker, the morning after surgery and has gone on to an in- patient rehabilitation program.

Dr. J. Fetto

New York University Langone Medical Center
Department of Orthopaedic Surgery
530 1st Ave, Suite 5B, New York, NY 10016