EN
4
Mr.Ronald Furlong FRCS, designer and innovator of the concept of osteo-integration
in joint replacement fixation.
“It is continually being brought to my attention when I view
the numerous X-rays sent to me for my opinion, of the ‘improper use’ of smaller sizes of stem in
the Furlong® H-A.C. total hip replacement range. Surgeons find it easier and quicker to implant a
smaller size to achieve the all round gap necessary in the diaphysis. By so doing, the support vital
to the metaphysis is often compromised.
This is not only wrong but is potentially dangerous
to the stability of the implant and could lead to failures.
With care and time given to rasping
and reaming, it is my own experience that the correct size of implant can always be accommodated.
This phase of the surgical procedure is important to the success of the fixation of all the
Furlong® H-A.C. THR prostheses”.
Ronald Furlong FRCS.
Warning Pre-operative:
The following conditions require precaution: - obese or severely
overweight patients, excessive loading through arduous activity, lack of mental faculties to
understand post-operative recuperative regime, alcohol or drug abuse, a history of falls or
disabilities. In patients’ with a High Body Mass Index of 25 or more, when delayed surgery is
feasible, it is advisable that a programme of weight reduction is undertaken prior to any Total
Hip Replacement. The surgeon should discuss all aspects of the surgery and the implant with
the patient and allow the patient to read these Instructions For Use, with the surgeon explaining
them, before surgery takes place. Allergies and other reactions to implant materials although
rare should be considered and ruled out pre-operatively. X-ray templates should be used to
estimate implant sizes, placement and joint alignment. All packages and implants should be
thoroughly inspected for possible damage prior to surgery. The patient should be advised of
all surgical risks including the risk of cardiovascular disorders, tissue reactions, haematoma and
infection.
Intra-operative:
The surgeon is responsible for the operative technique used for implanting
the product, however JRI recommend that to ensure optimum implantation of this device
the recommended operative technique is used (and is available on request), with JRI specific
instrumentation. Always use a trial for any test fit and to check the range of motion. As large a
stem size as possible should always be used. No responsibility can be taken for complications
due to improper implantation technique or non-specific instrumentation. Failure to use the
optimum size of implant, to adequately seat the component adjacent to adequate bone or to
ensure the component is supported in the metaphysis and is stable, may result in dislocation,
155-030 (issue 6).indd 4
7/5/2012 6:15:50 PM
Superceded
