In one of the largest knee implant settlements, Sulzer Medica agreed to pay $1 billion to settle roughly 4,000 lawsuits over its hip and knee implants in 2002. If a participant is withdrawn or rescinds their consent, a "Lost to Follow-up" case report form will be completed detailing the reason for the participant's withdrawal. Big or plus sizes are marked as 1X, 2X, 3X, etc. Australian Orthopaedic Association National Joint Femoral component: Only cemented femoral components will be used for this study. Zimmer Inc., based in Warsaw, Ind., was founded more than 80 years ago and is now one of the largest orthopedic device companies in the world. Participants are informed that a period of consideration of at least 2 weeks is an opportunity along with the right to a second consultation. The NexGen Complete Knee Solution Legacy Knee Posterior Stabilized (LPS) LPS-Flex Fixed Bearing Knee is designed to accommodate resumption of . A total of 60 participants are to be included at Hvidovre University Hospital. intraoperative glare from the instruments and make them easier to We anticipate that inclusion can be accomplished within a 2 year period. Secondary outcomes are: Oxford Knee Score (OKS), Oxford Knee Score -Activity & Participation Questionnaire (APQ), anchoring questions, EQ-5D, Forgotten Joint Score and knee motion measured using dynamic RSA. Australian face intraoperatively. The FDA on March 12 issued a notice for a Class II Recall for all lots and sizes of the Zimmer Persona Trabecular Metal Tibial Plate knee implant. for each patient and restore the unique identity of every knee anatomy. in the event of deep infection leading to replacement of the prosthesis or long-term immobilization because of comorbidity. Patient has been classified ASA 1 or 2 (for the kinematic analysis) (Meyer Saklad, 1941). research tools to study hundreds of knees, creating a global bone This furthered our understanding of native anatomic shape and Data recording Data relevant for this project will be registered in a data sheet. Project information is given at the first outpatient consultation, when treatment with insertion of a TKA is decided. Side effects of failed Zimmer Persona knee implants reported by patients and their doctors include: When a knee implant fails the need for a second surgery, also called a replacement surgery or revision surgery, may be necessary. Components are available in numerous designs for both systems, with cemented as well as cementless fixations and with numerous polyethylene inserts to accommodate the surgical demand based on patient characteristics. in the event of deep infection leading to replacement of the prosthesis or long-term immobilization because of comorbidity. to patients of different ethnicity, gender, and stature.4-5 Contact National Injury Help today at 1-800-214-1010 for a free case evaluation to see if you qualify, or use the form on the right-hand side of your screen. Risk of dislocation using large- vs. small-diameter femoral heads in total hip arthroplasty. * While the implant platform color code for the 4.1mmD Tapered Screw-Vent implant is green, the implant surgical sequence is color-coded white on the surgical kit surface. The theoretic proposed benefit of MC polyethylene bearing is improved kinematics mimicking native knee motion. Knee motion following primary total knee replacement in both treatment Groups will be measured using fluoroscopic dynamic RSA analysis. The Zimmer Persona was approved by the FDA through its 510(k) approval process in late 2012, nearly two decades after Zimmers NexGen line was introduced in 1995. Zimmer said its goal was to come as close as possible to the remarkable mechanics of the human body and claimed the Persona would put the person back in knee replacement.. Recruitment is expected completed after a period of 1.5 year. r implant implant Diameter Platform Trabecular Metal Dental implant, MTX Surface, Fully Textured with Microgrooves Tapered Screw-Vent implants includes Fixture Mount/Transfer and Cover Screw. While designing the Persona Knee, we used a combination of advanced Therefore new implants are introduced to the marked with the theoretical benefit of improved implant survival and superior patient reported outcomes. Nelissen, Leiden University Medical Center, Total Knee Replacement with Persona PS Knee Prosthesis by Zimmer, Total Knee Replacement with NexGen PS Knee Prosthesis by Zimmer. BMC Res Notes. If you are visiting any of our drug pages please note: The FDA approved this medication after it determined that the benefits of the product outweigh the known risks for the intended use. Vivacit-E Vitamin E Highly Crosslinked Polyethylene is designed with Nelissen, Prof. PhD MD Head of the Department of Orthopaedics, Leiden University Medical Center, 30 Patients with NexGen LPS prosthesis and 30 patients with Persona PS prosthesis for RSA, 15 Patients with NexGen LPS prosthesis and 15 patients with Persona PS prosthesis for Fluo. Those cookies that we do use are designed to permit you to use the site functions and browse our site in the way that is favorable to you. Choosing to participate in a study is an important personal decision. constraints, and youll see how the Persona Knee System is redefining personalization. 2 Femur Exposure SECTION2 . intellectual property rights, as applicable, owned by or licensed to Persona Knee. In this 2-arm randomized controlled study the primary endpoint is implant migration measured by RSA. Different sample sizes are used for the different parts of this study: The study population will consist of patients with symptomatic osteoarthritis of the knee scheduled for TKR surgery at the Department of Orthopaedics, Leiden University Medical Center. More than a thousand lawsuits were filed against Zimmer Inc. in recent years over its NexGen knee implant. 7b. Stratification is performed per diagnosis group (OA/RA). No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers. An individual data sheet will be kept for each recruited participant. satisfaction is to more closely reproduce the original.. Femoral component: Only cemented femoral components will be used for this study. antioxidant protection to help meet long-term performance needsand To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Tapered Screw-Vent Implants - 1.0mm Machined Collar (Model TSV) 3.5mmD Platform with a 2.5mmD Internal Hex 3.5mmD Platform with a 2.5mmD Internal Hex 4.5mmD Platform with a 2.5mmD Internal Hex 5.7mmD Platform with a 3.0mmD Internal Hex 1mm Machined 1.5mm MTX Surface 1.8mmL Lead (Triple-Lead Thread) MTX Textured Titanium Surface 3mm MTXSurface* 3.7mmD Model TSV Tapered Screw-Vent Implant Dimensions Tapered Screw-Vent Implants - Full Texturing and Crestal Microgrooves (Model TSVT)* 3.5mmD Platform with a 2.5mmD Internal Hex 3.5mmD Platform with a 2.5mmD Internal Hex 4.5mmD Platform with a 2.5mmD Internal Hex 5.7mmD Platform with a 3.0mmD Internal Hex 4.7mmD Model TSVT Implant 3.9mmD Apex Diameter 6.0mmD Model TSVT Implant 5.2mmD Apex Diameter 0.5mm MTX Surface 1.8mm Microgrooves MTX Surface 1.8mmL Lead (Triple-Lead Thread) 0.36mmL Thread Depth 3.7mmD Model TSVT Implant 3.1mmD Apex Diameter MTX Textured Titanium Surface 4.1mmD Model TSVT Implant Zimmer One-Piece implants 1 Zimmer One-Piece Solutions Engineered to perform as well as the trusted and successful Tapered Screw-Vent Implant, Zimmer One-Piece Implants bring greater simplicity and convenience to the restoration process and deliver the esthetics your patients desire. The Persona Knee System gives you the ability to address the unique Device: Various Zimmer Biomet knee implants packaged in LDPE bags Number Recall: 13,227 . Ferrari Fiat Fisker Ford Freightliner Genesis Geo Glas GMC Honda Hummer Hyundai Infiniti . Non-transparent envelopes are used for the randomization process. A nurse is present when the information is given. After the FDA initiated the class II recall of the uncemented Persona implant in 2015, patients began filing lawsuits against Zimmer Inc. over the new device. Successful total knee arthroplasty depends in part on re-establishment of normal lower extremity alignment, proper implant design and orientation, secure implant fixation, and adequate soft tissue balancing and stability. if improved, would help restore a more natural feeling knee and In the 1990s, Zimmer introduced a line of total knee replacement devices, called NexGen, which helped pave the way for newer versions of its prosthetics that did not require clinical data for FDA approval. %PDF-1.6 % Anyone considering a lawyer should not rely upon advertisements or self-proclaimed expertise, and independently investigate the lawyer's credentials and ability. Damage to the bones or ligaments surrounding the knee can cause damage to cartilage over time. With over 15 years and over 3 million implantations worldwide, Triathlon has a long clinical history. Epoxy Flooring UAE; Floor Coating UAE; Self Leveling Floor Coating; Wood Finishes and Coating; Functional Coatings. Replacement Registry. on Persona Sizing Plate Handle 14 Set Tibial Rotation 15 Verify Overall Alignment 16 . A/P sizes. 3 Triathlon was designed to incorporate some of the most studied features of Stryker's prior designs that have been shown to address many of the main reasons for revision TKA, such as instability, patellofemoral tracking . Time schedule Recruitment of participants to this project is expected to begin in October 2016 or as soon as permission from the Regional Ethics Committee and the Danish Data Protections Agency is obtained. Total knee systems are comprised of several different parts which mimic the anatomy of the knee. These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in Zimmer Biomet's filings with the SEC. Revision surgeries to replace failed prosthetic knees are more complicated than initial surgeries and are not always as successful. Overnight delivery orders must be placed . The 2015 Zimmer Persona knee implant recall was classified as class II by the FDA. These options found within the Persona Knee Systems right implant options,compatible with stem extension,triple wedge Vitamin-E Polyethylene, all built upon the heritage of the step within the surgical procedure. In 2015, Zimmer will be starring as Julia on new TV series Un-Real. With 90+ years of trusted leadership and proven expertise, Zimmer Biomet is positioned to deliver the highest quality solutions to patients and providers. Motion of the knee prosthesis during a step-up movement, measured by means of Fluoroscopic Motion Analysis. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02269254. The primary investigator of this project has independently initiated the project. Complications from knee surgeries do arise, but are considered rare. Zimmer Persona implants are manufactured by Zimmer Inc. (now Zimmer Biomet). An add-on to the Oxford Knee Score will evaluate the patients activity and participation restrictions due to their knee problem. Bearing Specs:1mm increments, cruciate retaining and sacrificing Patient outcomes can be driven by the precision and accuracy of each The results of this project are also expected presented at national and international orthopedic conventions. Many knee implant manufacturers make personalized knee systems for women because of this and other differences. Project design Project type This project is carried out as a 2-arm randomized controlled single-blinded trial, in which the clinical and radiological outcomes after treatment of hip osteoarthritis with insertion of either 1) Persona Total Knee System with MC polyethylene bearing or 2) Persona Total Knee System with CR polyethylene bearing. Total knee replacement operations typically take about 1 to 2 hours but recovery can take several weeks to months. The hiring of a lawyer is a very important decision that should not be based solely upon advertisements. patient satisfaction, and long-term survivorship. Both loosening and radiolucent lines are considered signs of early device failure. Biomet has designed. repetitive use. Arthritis can be caused by a disease or a traumatic injury. Anatomically accurate implants designed for optimal fit and function, Precise instrumentation with personalized control, Proven technology built on a legacy of clinical performance. Vivacit-E Vitamin-E Highly Crosslinked Polyethylene featuring personalized implants, precise instrumentation, and proven technology. Adelaide.AOA 2016: Table KT9 These components can be made from several different materials. The devices to be used in this project are: The Zimmer-Biomet Persona Total Knee System. PPTX. We seamlessly transform the patient experience through our innovative products and suite of integrated digital and robotic technologies that leverage data, data analytics and artificial intelligence. Open the catalog to page 1. Beginning in March 2015, however, the FDA launched a class II recall of the uncemented version of the Zimmer Persona due to an increase in complaints of loosening and radiolucent lines. More than 11,600 units of the device were affected by the ongoing recall, many of which had already been implanted in patients. Eventually parts wear out and need to be replaced, but it is estimated up to 85 percent of artificial knees still work after 20 years. A total score is calculated that ranges from 0 (worst knee problems) to 48 (no knee problems). the implant to the shape and size of the resected bone. increments, standard and narrow, left and rightimplant options,12 Would finer sizing increments help you more closely replace Our legacy continues to come to life today through our progressive culture of evolution and innovation. Now patients many of whom still have the recalled device implanted are filing lawsuits against the devices manufacturer. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03568123. This may result in knee pain and limited knee function. Congruent Bearing is the most kinematic-friendly bearing Zimmer Zimmer Persona Surgical Technique (97-5026-001-00) for the Persona implant family. Men's Underwear Sizes Plus Sizes for Men As a rule of the thumb, plus sizes are chosen when you are 6'2'' or shorter, and your waist measurement is equal or larger than your chest measurement. The simple one-piece design allows for a single-stage protocol, saving time and resulting in less trauma to soft tissue, and less discomfort for your patients. Before you decide, ask us to send you free written information about the qualifications and experience of our sponsoring firms. world.7 This, along with the Natural-Knee II In a market focused on matching the bone to the implant shape and Activities of daily living take higher priority in this patient group, and patients needing total joint replacement do not have many options that accommodate higher levels of activity. AOA 2016: Table KT11 Cumulative Percent Revision Altered pain perception and / or neurologic affection due to diabetes or other disorders. The world has already listened to Sting. In doing so, we confirmed that implant shape really matters. [TimeFrame:2 Years], Knee Prosthesis motion by means of Fluoroscopy. Persona Total Knee System with a CR polyethylene liner has been used as a standard implant of choice at Hvidovre Hospital since January 2016 for patients suited for a CR implant. Clin Orthop Relat Res. Recently, Zimmer-Biomet have introduced Persona Total Knee system with design changes that include asymmetric tibia plate, increased medial pivoting and more extensive choices in respect to poly thickness, all with the purpose to improve balancing, stability and longevity. Journal of Bone This cautionary statement is applicable to all forward-looking statements contained in this news release. reproduce the original. Participant population in Denmark Study population will consist of 60 participants with knee osteoarthritis set to receive primary total knee arthroplasty. Key features of Persona OsseoTi include an anatomic tibia for less micromotion and optimal bone coverageiand 3D printed, porousOsseoTitechnology for biological fixation. Cumulative Percent Revision of Primary Total Knee Replacement with Did you have to sacrifice stability for fit? The study's primary outcome measure is implant migration measured by RSA. Total knee replacement surgery, also called total knee arthroplasty or TKA, is a surgical procedure to replace a diseased or damage knee joint with a prostheses. It is made up of the lower end of the thighbone (femur), the upper end of the shinbone (tibia) and the kneecap (patella). Improvements in surgical techniques and implant materials have helped make total knee replacements one of the most successful procedures in all of medicine, according to the AAOS. Overnight delivery is available, if requested. 2.1mm-3.6mm* Tapered Screw-Vent Implant Dimensions Crestal Options Tapered Screw-Vent Implant Model: TSV Model: TSVT 1.8mm Fully Textured Microgrooves Model: TSVM 1.8mm Fully Textured Microgrooves Note: 4.1mmD Tapered Screw-Vent Implant Shown. Why Should I Register and Submit Results? Nelissen, Leiden University Medical Center: Device: Persona PS Knee Prosthesis by Zimmer, Device: NexGen PS Knee Prosthesis by Zimmer. The knee is the bodys largest joint. Restoreligament balance with fivelevels of constraint in 1 mm It is ensured that the participant has understood the content of both the oral and written information before signed consent is given. Persona Total Knee System with a CR polyethylene liner. An XL is usually equivalent to 1X, and an XXL is like a 2X. and Joint Surgery (British) 92-B:1238-44; 2010. Please remove one or more studies before adding more. If publication is not achieved, the results of this project (positive, negative or inconclusive) will be presented on the homepage of the investigator's institution. Tapered Screw-Vent Implant System Product Catalog. Building on a clinically proven legacy,11,12thePersona Market Strategies International. needs of each patient with our proven technology. To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Persona Ti-Nidium Femoral Components can be differentiated from CoCr components Weight 0.1310 kg - 0.3933 kg (0.29 lb - 0.87 lb) 0.0681 kg - 0.2031 kg (0.15 lb - 0.45 lb) Persona Tinidium Femoral Components are around 50% of the weight of CoCr Components Sizing Narrow:1-11 Standard: 1-12 Narrow:1-6 Standard: 4-12 Persona Ti-Nidium Implants include It is recognized that the subject's participation in this study is entirely voluntary, and that she/he may refuse to participate and may withdraw from participation at any time without jeopardy to any future medical care. Patient Reported Outcome Measures by means of questionaires. Persona The Personalized Knee is our solution The Oxford Knee Score (OKS) measures knee pain and function. The primary objective is to assess and compare migration of the two TKR prostheses (Femoral and Tibial component). Recruitment of participants to this project is expected to begin in October 2016 or as soon as permission from the Regional Ethics Committee and the Danish Data Protections Agency is obtained. For a list and description of some of such risks and uncertainties, see Zimmer Biomet's periodic reports filed with theU.S.Securities and Exchange Commission (SEC). instruments and techniques that allow you to make more informed to predictably improve patient satisfaction is to more closely Overnight delivery orders must be placed by 4:00 p.m. PST. Ongoing research and development programs for knee replacement are increasingly taking account of the needs of the changing characteristics of the late stage OA knee population. a NexGen knee, 1 in 5 knees implanted Prices do not include applicable sales tax or shipping costs. EMBASE search: NexGen AND Orthopaedics, Leiden University Medical Center, R.G.H.H. Persona OsseoTi is the latest addition to the clinically proven Persona Knee System, and features a new porous version of the Persona anatomic tibia with Zimmer Biomet's OsseoTiPorous Metal Technology, which uses anatomical data in combination with 3D printing technology to build a structure that directly mimics the architecture of human cancellous or spongey bone. Combine these enhancements with a full continuum of bearing Patients will be excluded intraoperative if CR implant is not suitable. outcomes., Options available using Trabecular Metal Technology,Vivacit-E To create a more natural feel and normal function for patients components with finer increments to helpsurgeonspersonalize the fit Zimmer Persona Trabecular Metal Tibial Plate / Persona TM Tibia Number Recall: 11,658 Reason: Increase in complaints of radiolucent lines and loosening. The manufacturer, Zimmer, says its recall is voluntary. Women's US Clothing Size Chart (CM): March 30, 2009. Zimmer Biomet Instrumentation Personal data regarding participants will be treated anonymously. Persona Trocar Tipped Drill Pins (2.5 hex) (00-5901-020-00) Unlike osteoarthritis, rheumatoid arthritis is an autoimmune disorder. View this study on Beta.ClinicalTrials.gov. Study record managers: refer to the Data Element Definitions if submitting registration or results information. information.To obtain a copy of the current Instructions for Use Please remove one or more studies before adding more. Annual Cross-linked compared with historical polyethylene in THA: an 8-year clinical study. It is the responsibility of the primary investigator that the information to the participant is adequate. This project is carried out as a 2-arm randomized controlled single-blinded trial, in which the clinical and radiological outcomes after treatment of knee osteoarthritis with insertion of either 1) Persona Total Knee System with MC polyethylene bearing or 2) Persona Total Knee System with CR polyethylene bearing are compared. In case only one of the bones has insufficient markers, the patient will be followed for the other bone. When a persons knee joint becomes severely damaged due to disease or injury, he or she may be a candidate for total knee replacement surgery. While this firm maintains joint responsibility of the content on this website many of these types of cases are referred to other attorneys for principal responsibility. 2016: Table KT10 Cumulative Percent Revision of Primary Total Knee A total score is calculated ranging from -0.624 (worst) to 1 (best). http://myknee.se/en/ (pgs 42-43). Partial Knee is redefining personalization in fixed bearing partial iData on file with Zimmer Biomet: The Persona OsseoTi Keel Tibia Provides Strong Initial Fixation. March 12, 2015- FDA categorized Zimmer Persona Knee recall as "Class II Recall." Zimmer Persona Knee Reviews. Men's Belt Size Chart To our belt size guide. In this study 2 x 30 participants are included. While designing the Persona Knee, we used a combination of advanced research tools to study hundreds of knees, creating a global bone atlas. Zimmer Biomet Persona Total Knee System with MC polyethylene bearing. It is caused when a persons immune system mistakenly attacks his or her own body tissues. During total knee replacement, surgeons remove damaged cartilage and bone from the ends of the femur and tibia and replace these parts with metal components. How to Order To order, call Zimmer Dental Customer Service between 6:00 a.m. and 4:30 p.m. PST, Monday through Friday, or fax your order to 1 (888) 225-2483. Orthopaedic Association National Joint Replacement Registry. Wiper Size Guide First select your car make: Acura Alfa Romeo AM General American Motors Aston Martin Asuna Audi Austin Avanti Bentley Bertone BMW Buick. Therefore such design changes and proposed benefits need to be evaluated in a prospective clinical trail, with focus on patient safety, satisfaction and implant durability. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. patients anatomy inrevision knee arthroplasties. facilitating proper rotation andoptimal bone coverage.Studies 2014 Jan 13;348:f7592. Systems so successful and looked for ways to further enhance those designs.. Information provided by (Responsible Party): Anders Troelsen, Hvidovre University Hospital, Persona Total Knee System with MC polyethylene bearing. Complications of the Zimmer Persona as reported by patients and their doctors include: When the Zimmer Persona knee replacement system was introduced to the market, it was extolled by its manufacturer as the most anatomically accurate knee implant ever made. Of all the knee replacement surgeries performed in the US each year, about 90 percent result in significantly less pain for patients, says the AAOS. Individual Participant Data (IPD) Sharing Statement: Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Product Manufactured in and Exported from the U.S.: Radiostereometric analysis (RSA) [TimeFrame:2 years after postoperatively], Radiostereometric analysis (RSA) [TimeFrame:3 months postoperatively], Radiostereometric analysis (RSA) [TimeFrame:1 year postoperatively], Oxford Knee Score (OKS) [TimeFrame:Change from preoperative to 3 months postoperative OKS], Oxford Knee Score (OKS) [TimeFrame:Change from preoperative to 1 year postoperative OKS], Oxford Knee Score (OKS) [TimeFrame:Change from preoperative to 2 years postoperative OKS], Oxford Knee Score - Activity & Participation Questionnaire (OKS-APQ) [TimeFrame:Change from preoperative to 3 months postoperatively], Oxford Knee Score - Activity & Participation Questionnaire (OKS-APQ) [TimeFrame:Change from preoperative to 1 year postoperatively], Oxford Knee Score - Activity & Participation Questionnaire (OKS-APQ) [TimeFrame:Change from preoperative to 2 years postoperatively], EuroQol 5-dimension (EQ-5D) [TimeFrame:Change from preoperative to 3 months postoperatively], EuroQol 5-dimension (EQ-5D) [TimeFrame:Change from preoperative to 1 year postoperatively], EuroQol 5-dimension (EQ-5D) [TimeFrame:Change from preoperative to 2 years postoperatively], Forgotten Joint Score (FJS) [TimeFrame:Change from preoperative to 3 months postoperatively], Forgotten Joint Score (FJS) [TimeFrame:Change from preoperative to 1 year postoperatively], Forgotten Joint Score (FJS) [TimeFrame:Change from preoperative to 2 year postoperatively], Dynamic RSA [TimeFrame:1 year postoperatively], Radiolucency / osteolysis [TimeFrame:immediate postoperatively and 1 and 2 years postoperatively], Adverse Events [TimeFrame:Through study completion, up to 2 years postoperatively], Clinical and radiological osteoarthritis of the knee set to receive a primary unilateral total knee replacement, Participants must be able to speak and understand Danish, Participants must be able to give informed consent and be cognitively intact, Participants must be able to complete all post-operative controls, Participants must not have severe comorbidities, American Society of Anesthesiologists Physical Status Classification System (ASA) score 3, Clinically suitable to receive a Cruciate Retaining (CR) implant (no severe deformity and/or ligament instability). This project is financed by Zimmer-Biomet, Warsaw, Indiana, USA. Successful total knee arthroplasty depends in part on re-establishment of normal lower extremity alignment, proper implant design and orientation, secure implant fixation, and adequate soft tissue balancing and stability. those needs. Industrial Design Style, 10A* ODEP rating for CR and PS knees both with and without There is an increasing demand for joint replacement in a younger population (Mkel et al. Floor Coatings. Why Should I Register and Submit Results? This study is designed as a single-blind randomized trial between the Persona PS total knee prosthesis and the well-established NexGen total knee prosthesis. Complications with the new devices arose merely months after their introduction to the market, sparking complaints from patients and an influx of adverse event reports to the FDA. Conventional polyethylene will be used for patients >65 years old and Vitamine-E infused poly insert for patients 65 years old. 2012). There are different approaches to prosthetic replacement and current practices and designs are often based on limited evidence (Plate et al. since served a purpose, we wanted an implant that fit as close to increments. Forward-looking statements speak only as of the date they are made, and Zimmer Biomet disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.