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Covers indications and contraindications, including infection status, neuromuscular limitations, inadequate bone support, and skeletal immaturity, plus guidance for cementless use in total and hemiarthroplasty. Includes step-by-step operative workflow from preoperative planning through femoral neck resection, canal preparation, broaching, trial reduction, calcar preparation, stem implantation, and final reduction, with implant and catalog information 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conditions are listed as indications for using the Insignia Hip Stem?","Question",{"text":112,"@type":113},"Indications include painful disabling hip joint disease (noninflammatory degenerative, rheumatoid, or post-traumatic arthritis), revision after unsuccessful femoral head replacement or hip arthroplasty, correction of functional deformity, and certain proximal femur nonunion fractures involving the femoral neck and trochanter with head involvement that cannot be managed by other techniques.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"When is the Insignia Hip Stem contraindicated?",{"text":117,"@type":113},"Contraindications include any active or suspected latent infection around the hip joint, mental or neuromuscular disorders that create unacceptable risks of prosthesis instability or fixation failure, inadequate bone stock from disease/infection/prior implantation, and skeletal immaturity.",{"name":119,"@type":110,"acceptedAnswer":120},"Which procedural steps does the surgical protocol cover?",{"text":121,"@type":113},"The protocol outlines steps from preoperative planning, femoral neck resection, femoral canal preparation, broaching, trial reduction, calcar preparation, stem implantation, and final reduction, plus guidance on templating and intraoperative decisions regarding fit, size, and soft tissue tensioning.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},647389,1792788473,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":129,"read_time":144,"preview_page_count":4},1099529839291,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","InsigniaTM  \nHip Stem  \nSurgical protocol  \nInsignia Hip Stem | Table of contents  \nHome  \nTable of contents  \nInsignia Hip Stem  \nSurgical protocol  \nTable of contents  \nIndications and contraindications .........................................................................................................3  \nIntroduction .................................................................................................................................................4  \nStep 1: Preoperative planning ..................................................................................................................5  \nStep 2: Femoral neck resection ................................................................................................................6  \nStep 3: Preparing the femoral canal ........................................................................................................7  \nStep 4: Broaching ......................................................................................................................................8  \nStep 5: Trial reduction ..............................................................................................................................9  \nStep 6: Calcar preparation ...................................................................................................................... 11  \nStep 7: Implanting the stem ................................................................................................................... 12  \nStep 8: Final reduction ........................................................................................................................... 14  \nImplant information ................................................................................................................................ 15  \nCatalog information ................................................................................................................................. 17  \nThis publication sets forth detailed validated procedures for using the Insignia Hip Stem. It offers instructions that you should heed, but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required.  \nInsignia Hip Stem | Indications and contraindications  \nHome  \nTable of contents  \nIndications and contraindications and precautions  \nIndications  \n1. Painful, disabling joint disease of the hip resulting from: noninflammatory degenerative joint disease (including osteoarthritis or avascular necrosis), rheumatoid arthritis or post-traumatic arthritis.  \n2. Revision of previous unsuccessful femoral head replacement, hip arthroplasty or other procedure.  \n3. Correction of functional deformity  \n4. Treatment of nonunion, femoral neck and trochanteric fractures of the proximal femur with head involvement that are unmanageable using other techniques.  \nAdditional indication specific to use of Insignia Hip Stems with compatible Howmedica Osteonics Constrained Liners:  \n• When the stem is to be used with compatible Howmedica Osteonics Constrained Liners, the device is intended for use in primary or revision patients at high risk of hip dislocation due to a history of prior dislocation, bone loss, soft tissue laxity, neuromuscular disease, or intraoperative instability.  \nAdditional indication specific to use of Insignia Hip Stems with compatible ADM and MDM Acetabular Components:  \n• When the stem is to be used with compatible Howmedica Osteonics ADM and MDM Acetabular Components, the device is indicated for Dislocation risks.  \nInsignia Hip Stems are intended for cementless use only and are intended for total and hemiarthroplasty procedures.  \nContraindications  \n1. Any active or suspected latent infection in or about the hip joint.  \n2. Any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure, or complications in post-","cbCaii3gCeVrSl58","https://ap.wps.com/l/cbCaii3gCeVrSl58","pdf",1264833,23,"English","# Indications and contraindications\n## Indications\n## Contraindications\n## Warnings and precautions\n# Introduction\n# Step 1: Preoperative planning\n# Step 2: Femoral neck resection\n# Step 3: Preparing the femoral canal\n# Step 4: Broaching\n# Step 5: Trial reduction\n# Step 6: Calcar preparation\n# Step 7: Implanting the stem\n# Step 8: Final reduction\n# Implant information\n# Catalog information","[{\"question\":\"What conditions are listed as indications for using the Insignia Hip Stem?\",\"answer\":\"Indications include painful disabling hip joint disease (noninflammatory degenerative, rheumatoid, or post-traumatic arthritis), revision after unsuccessful femoral head replacement or hip arthroplasty, correction of functional deformity, and certain proximal femur nonunion fractures involving the femoral neck and trochanter with head involvement that cannot be managed by other techniques.\"},{\"question\":\"When is the Insignia Hip Stem contraindicated?\",\"answer\":\"Contraindications include any active or suspected latent infection around the hip joint, mental or neuromuscular disorders that create unacceptable risks of prosthesis instability or fixation failure, inadequate bone stock from disease/infection/prior implantation, and skeletal immaturity.\"},{\"question\":\"Which procedural steps does the surgical protocol cover?\",\"answer\":\"The protocol outlines steps from preoperative planning, femoral neck resection, femoral canal preparation, broaching, trial reduction, calcar preparation, stem implantation, and final reduction, plus guidance on templating and intraoperative decisions regarding fit, size, and soft tissue tensioning.\"}]","Insignia Hip Stem - Surgical protocol | PDF",58]