Hip Stem Instruments Set – Cemented and Cementless Hip Arthroplasty Femoral Instrumentation

The Hip Stem Instruments Set from Peak Surgicals is a complete orthopedic instrument set in surgical-grade stainless steel, supplied in an aluminum box, designed to support the full intraoperative workflow of hip stem insertion in both cemented and cementless hip arthroplasty — covering femoral canal preparation with drills and rasps, trochanteric shaping, cement plug sizing and placement, stem impaction, offset templating, and femoral head and bipolar head trialling. It is used by orthopedic surgeons in hospital operating theatres and surgical centers performing primary and revision hip arthroplasty procedures worldwide.

Femoral Canal Preparation: Drills, Rasps, and Trochanteric Instruments

The femoral preparation component of the set is its defining feature, providing a complete drill and rasp sequence for canal preparation in both cemented and cementless hip stem techniques. The First Femoral Drills in sizes 7.5mm, 9.5mm, 11.5mm, and 13.5mm (PS-9702-0011 through PS-9702-0014) establish and progressively enlarge the femoral canal track to the intended stem diameter, ensuring accurate stem axis alignment from the outset of canal preparation. The Cemented Hip Stem Rasps in sizes 7mm through 12mm (PS-9702-1007 through PS-9702-1012) provide the precise canal shaping required for cemented stem technique — the rasp profile defines the exact implant envelope within the femoral canal that the cement mantle will fill around the definitive stem. The Trochanteric Rasp (PS-9702-0023) addresses the trochanteric region of the proximal femur, shaping the entry zone to accommodate the proximal geometry of the hip stem and ensure the stem can be introduced in the correct varus/valgus alignment without proximal impingement.

Cemented and Cementless Hip Stem Technique Support

The Hip Stem Instruments Set supports both cemented and cementless femoral stem insertion techniques from the same instrument tray. For cemented technique, the Cemented Hip Stem Rasps (PS-9702-1007 through PS-9702-1012) shape the canal to receive the stem within a cement mantle, the Cement Plug Trials in sizes O9mm through O18mm (PS-9702-0209 through PS-9702-0218) confirm plug size for the distal cement restrictor, and the Cement Plug Impactor (PS-9702-0018) seats the plug at the correct depth to contain the cement column at the level of the stem tip. For cementless press-fit technique, the First Femoral Drills and progressive rasping establish the direct cortical contact geometry needed for initial stability without cement. Both technique pathways converge at the Stem Impactor (PS-9702-0021) for final stem seating, with the Offset Template (PS-9702-0022) used in both approaches to confirm leg length and hip offset restoration before committing to the final head assembly.

Head Trialling, Bipolar Components, and Stem Introduction Tools

The femoral head component of the set includes the Head Impactor (PS-9702-0001) for final femoral head seating onto the Morse taper, Head Trials in sizes O28-3 (S) through O28+8 (XXL) (PS-9702-0003 through PS-9702-0408) for trialling neck length and head offset before final head selection, and the Femoral Head Extractor (PS-9702-0005) for head removal during revision or head exchange procedures. For bipolar hemiarthroplasty applications, the set includes the Bipolar Head Ring Forceps (PS-9702-0009) for controlled bipolar head handling and assembly, the Bipolar Cup Impactor (PS-9702-0010) for bipolar cup seating, and Bipolar Head Trials in sizes O42mm through O58mm (PS-9702-0042 through PS-9702-0058) for bipolar head size confirmation before final assembly. The T-Handle and Rod (PS-9702-0015 and PS-9702-0116) provide the driven leverage for rasp and drill manipulation, the Stem Impactor (PS-9702-0021) seats the definitive stem, the Chisel (PS-9702-0024) assists in proximal femoral bone preparation, and the Hammer (PS-9702-0019) provides controlled impaction force throughout the procedure.

Stainless Steel Construction and Aluminum Box

Each instrument in the set is manufactured from surgical-grade stainless steel, providing the structural rigidity and durability required for driven rasp use, repeated impaction, and femoral drill loading across multiple surgical procedures without dimensional change or fatigue failure. The set is supplied in a dedicated aluminum box that organises all instruments in a defined layout for sterilization processing, theatre transport, and instrument count management. The aluminum box provides robust protection for the instrument set during transit and storage while remaining compatible with standard autoclave sterilization protocols used in licensed hospital operating theatre environments.

CE Mark, ISO 13485, and FDA Certification for Orthopedic Instrument Procurement

The Hip Stem Instruments Set is manufactured under CE Mark, ISO 13485, and FDA compliant quality standards. ISO 13485 certification confirms Peak Surgicals operates a documented quality management system covering design control, material traceability, and production consistency for orthopedic surgical instruments. CE Mark confirms conformity with European medical device regulations, and FDA compliance supports procurement for US-based hospitals, surgical centers, and orthopedic departments requiring verified regulatory documentation for capital instrument set purchases.

Product Specifications

Frequently Asked Questions

What procedures does the Hip Stem Instruments Set support?
The Hip Stem Instruments Set supports the femoral component preparation and stem insertion stages of three hip arthroplasty procedures. For total hip replacement, it prepares the femoral canal and seats the femoral stem component that will articulate with the separately placed acetabular cup. For bipolar hemiarthroplasty — used in femoral neck fractures — it prepares the femoral canal, seats the femoral stem, and assembles the bipolar head onto the stem taper for articulation against the native acetabulum. For revision hip arthroplasty involving femoral stem exchange, the Femoral Head Extractor and Chisel support stem removal and canal re-preparation before new stem insertion. The set supports both cemented and cementless femoral stem techniques, making it applicable across the full range of femoral stem hip arthroplasty procedures performed in general and specialist orthopedic practice.

What is the difference between cemented and cementless hip stem technique, and how does this set support both?
In cemented hip stem technique, a polymethylmethacrylate bone cement mantle is placed between the femoral stem and the canal wall. The canal is prepared slightly oversized relative to the stem to leave space for the cement, and a cement plug is placed at the distal end of the canal to contain the cement under pressurisation. The Cemented Hip Stem Rasps (7–12mm), Cement Plug Trials and Impactor in this set provide the dedicated instruments for this technique. In cementless technique, the stem achieves primary stability by direct press-fit contact with the cortical bone of the femoral canal, prepared to a dimension that is slightly undersized relative to the stem. The First Femoral Drills and progressive rasping sequence serve this preparation. Both techniques use the same Stem Impactor, Offset Template, Head Trials, and Head Impactor for final stem seating and head assembly.

How does this set differ from the Total Hip Prosthesis Instruments Set (PS-9713) also available from Peak Surgicals?
The two sets address different halves of the total hip arthroplasty procedure. The Total Hip Prosthesis Instruments Set (PS-9713) focuses on acetabular preparation and cup placement — it contains reamers O42–O60mm, cup trials, an acetabular angle device, screw drills, and a screwdriver for cementless cup fixation with screw supplementation. The Hip Stem Instruments Set (PS-9702) focuses on femoral canal preparation and stem insertion — it contains femoral drills, cemented rasps, a trochanteric rasp, cement plug instruments, and a stem impactor for both cemented and cementless femoral stem techniques. Centres performing total hip replacement will typically require both sets; centres performing bipolar hemiarthroplasty — which does not require acetabular cup placement — will require the Hip Stem Instruments Set alone.

What certifications does this set carry?
The Hip Stem Instruments Set is manufactured under CE Mark, ISO 13485, and FDA compliant quality standards. ISO 13485 certification confirms Peak Surgicals operates a documented quality management system covering design control, material traceability, and manufacturing consistency for orthopedic surgical instruments. CE Mark confirms conformity with European medical device regulations, and FDA compliance supports procurement for US hospitals, ambulatory surgical centers, and orthopedic departments requiring verified regulatory documentation for capital instrument set purchases.

Is this set supplied with a sterilization container?
The Hip Stem Instruments Set is supplied in a dedicated aluminum box that organises all instruments in a defined layout for sterilization, storage, and theatre use. The aluminum box is compatible with standard autoclave sterilization protocols used in licensed hospital operating theatre environments. Facilities should follow their own validated sterilization cycle parameters for the container and all instruments within it as a complete set, and should conduct a full instrument count against the set list before and after each surgical case.

Can individual instruments be ordered as replacements?
Individual instruments from the Hip Stem Instruments Set are available from Peak Surgicals as replacement items using their PS-9702 reference numbers (e.g., PS-9702-0021 Stem Impactor, PS-9702-0018 Cement Plug Impactor, individual rasp or drill sizes). OEM manufacturing and custom instrument set configurations are also available for hospital procurement departments and orthopedic distributors requiring modified tray layouts, extended size ranges, or custom packaging formats. Contact Peak Surgicals directly for replacement instrument pricing, OEM specifications, or institutional procurement arrangements.