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Home/Large Joints and Extremities/MicroPort Launches EVOLUTION Revision Tibial System, BioFoam Tibia
Large Joints and Extremities

MicroPort Launches EVOLUTION Revision Tibial System, BioFoam Tibia

April 10, 2017 2 min read Premium comments

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MicroPort Launches EVOLUTION Revision Tibial System, BioFoam Tibia
EVOLUTION Medial-Pivot Knee System / Courtesy of MicroPort Orthopedics, Inc.
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MicroPort Orthopedics, Inc., headquartered in Arlington, Tennessee, has just launched the EVOLUTION Revision Tibial System and EVOLUTION BioFoam Tibia.

“MicroPort Orthopedics continues to grow its product portfolio with a steady cadence of product launches,” said Aurelio Sahagun, president, MicroPort Orthopedics, in the April 5, 2017 news release. “These product launches demonstrate our commitment to help improve patient outcomes by giving surgeons a broad array of choices that allow them to treat their patients. We are excited to bring the benefits of the Medial-Pivot design to a revision system.”

As indicated in the news release, “The Evolution Medial-Pivot Knee System is built on 17 years of clinical success and addresses key issues that can improve satisfaction for patients undergoing total knee replacement. The EVOLUTION Revision Tibial System is designed to offer surgeons intra-operative flexibility to meet individual anatomic patient needs, address fixation issues caused by poor bone stock, while maintaining the proven kinematic benefits of the Medial-Pivot design. The new system was designed by expert surgeons from Europe, Asia, Canada, and the United States and features all the benefits of the EVOLUTION Medial-Pivot design.”

Concerning the Evolution Revision Tibial System, Sahagun told OTW, “With such a variety in patient anatomy and deformity, having flexibility intra-operatively is critical for surgeons. The Evolution Revision Tibial System allows for this flexibility by offering surgeons a range of options including modular keels, augments, multiple stems, offset adapters, and more.”

“In addition to its EVOLUTION Revision Tibial System, MicroPort Orthopedics also announced the launch of its EVOLUTION BioFoam Tibia,” says the news release. “This launch completes the EVOLUTION Medial-Pivot Cementless System, which consists of the EVOLUTION porous femoral component and the new EVOLUTION BioFoam tibial component. This system is designed to combine the unrivaled benefits of the Medial-Pivot philosophy with the advantages of early fixation without compromising the long-term demands that are required in today’s increasingly young and more active patients. Building on the success of the ADVANCE BioFoam Tibia, which reported survivorship of 98% at two years, the EVOLUTION BioFoam Tibia will further enhance the product portfolio.”

Regarding the BioFoam Tibia, Sahagun commented to OTW, “With a trend towards younger and more active patients, the demand for reliable cementless fixation is growing. Our proprietary BioFoam technology provides a true trabecular structure that allows for an immediate, enhanced fixation to address this expanding market.”

“I have used the MicroPort Medial-Pivot Knee System for three years,” said Brian de Beaubien, M.D., St. John’s Providence Park Hospital in Novi, Michigan, in the news release. “The majority of my primary knees are cementless, and I do not use screws. In my experience with the ADVANCE and now EVOLUTION, BioFoam has excellent fixation. I have been following X-rays now for several years, and I don’t see any radiolucencies or sclerotic lines around the keel, that would suggest movement of the component. The BioFoam Tibia combined with the unique design of the EVOLUTION Medial-Pivot Knee is truly different from anything else. It is my go-to knee.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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