Triathlon Knee System; Triathlon Pro Posterior Stabilized Femoral Components; Triathlon Tritanium Tibial Baseplate; Triathlon Low Profile Tibial Tray; Triathlon Metal Backed Patella; Triathlon Partial Knee System; Avon Patello-femoral Joint Prosthesis; Restoris Multi-Compartmental Knee System

General Total Knee Arthroplasty (TKR) Indications:

• Painful, disabling joint disease of the knee resulting from: noninflammatory degenerative joint disease (including osteoarthritis, traumatic arthritis, or avascular necrosis), rheumatoid arthritis or post-traumatic arthritis.

• Post-traumatic loss of knee joint configuration and function.

• Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability.

• Revision of previous unsuccessful knee replacement or other procedure.

• Fracture of the distal femur and/or proximal tibia that cannot be stabilized by standard fracture -management techniques.

The Triathlon® Tritanium® Total Knee System components are indicated for both uncemented and cemented use.

The Triathlon® Total Knee System beaded and beaded with Peri-Apatite components are intended for uncemented use only.

The Triathlon® All Polyethylene tibial components are indicated for cemented use only.

Additional Indications for Posterior Stabilized (PS) and Total Stabilizer (TS) Components:

• Ligamentous instability requiring implant bearing surface geometries with increased constraint.

• Absent or non-functioning posterior cruciate ligament.

• Severe anteroposterior instability of the knee joint.

Additional Indications for Total Stabilizer (TS) Components:

• Severe instability of the knee secondary to compromised collateral ligament integrity or function.

Indications for Bone Augments:

• Painful, disabling joint disease of the knee secondary to: degenerative arthritis, rheumatoid arthritis, or post-traumatic arthritis, complicated by the presence of bone loss.

• Salvage of previous unsuccessful total knee replacement or other surgical procedure, accompanied by bone loss.

Additional Indications for Cone Augments:

• Severe degeneration or trauma requiring extensive resection and replacement

• Femoral and Tibial bone voids

• Metaphyseal reconstruction

The Triathlon TS Cone Augment components are intended for cemented or cementless use.

General Total Knee Arthroplasty (TKR) Indications:

» Painful, disabling joint disease of the knee resulting from: noninflammatory degenerative joint disease (including osteoarthritis, traumatic arthritis, or avascular necrosis), rheumatoid arthritis or post-traumatic arthritis.

* Post-traumatic loss of knee joint configuration and function.

» Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability.

* Revision of previous unsuccessful knee replacement or other procedure.

» Fracture of the distal femur and/or proximal tibia that cannot be stabilized by standard fracture -management techniques.

Additional Indications for Posterior Stabilized (PS) components:

» Ligamentous instability requiring implant bearing surface geometries with increased constraint.

* Absent or non-functioning posterior cruciate ligament.

» Severe anteroposterior instability of the knee joint.

The Triathlon® Pro PS Femoral Components are intended for cemented use only.

General Total Knee Arthroplasty (TKR) Indications:

» Painful, disabling joint disease of the knee resulting from: non-inflammatory degenerative joint disease (including osteoarthritis, traumatic arthritis or avascular necrosis) or rheumatoid arthritis

* Post-traumatic loss of knee joint configuration and function

» Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability

* Revision of previous unsuccessful knee replacement or other procedure

* Fracture of the distal femur and/or proximal tibia that cannot be stabilized by standard fracture management techniques

Additional General Total Knee Arthroplasty (TKR) Indications specific to the PS implant:

» Ligamentous instability requiring implant bearing surface geometries with increased constraint

* Absent or non-functioning posterior cruciate ligament

» Severe anteroposterior instability of the knee joint

The Triathlon Tritanium Tibial Baseplates are indicated for both cemented and uncemented use.

The Triathlon Low Profile Tibial Tray is intended to be used with commercially available Triathlon® femoral components and associated patellar components, and tibial bearing inserts in primary cemented total knee arthroplasty. The indications for the Triathlon® Low Profile Tibial Tray are outlined below:

Indications for Use:

» Painful, disabling joint disease of the knee resulting from: degenerative arthritis, rheumatoid arthritis or post-traumatic arthritis.

* Post-traumatic loss of knee joint configuration and function.

» Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability.

* Noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis or avascular necrosis;

» Rheumatoid arthritis;

» Correction of functional deformity;

» Revision procedures where other treatments or devices have failed;

* Post traumatic loss of joint anatomy, particularly when there is patello-femoral erosion, dysfunction or prior patellectomy; and,

» Irreparable fracture of the knee.

These products are intended to achieve fixation without the use of bone cement.

Moderately disabling joint disease of the knee resulting from painful osteo- or post traumatic arthritis

* Revision of previous unsuccessful surgical procedures, either involving, or not involving, previous use of a unicompartmental knee prosthesis

* As an alternative to tibial osteotomy in patients with unicompartmental osteoarthritis

» Where bone stock is of poor quality or inadequate for other reconstructive techniques as indicated by deficiencies of the femoral condyle/tibial plateau.

These components are intended for implantation with bone cement.

The Avon Patello-femoral Joint Prosthesis is intended to be used in cemented patellofemoral arthroplasty in patients with degenerative arthritis in the distal femur and patella, patients with a history of patellar dislocation or patella fracture, or patients with failed previous surgery (arthroscopy, tibial tubercle elevation, lateral release) where pain, deformity, or dysfunction persists. These components are single use only and are intended for implantation with bone cement.

Restoris MCK is indicated for single or multi-compartmental knee replacement used in conjunction with RI1O, the Robotic Arm Interactive Orthopedic System, in individuals with osteoarthritis or post-traumatic arthritis of the tibiofemoral and/or patellofemoral articular surfaces.

The specific knee replacement configurations include:

* Medial unicondylar

» Lateral unicondylar

» Patellofemoral

» Medial bi-compartmental (medial unicondylar and patellofemoral)

Restoris Multi Compartmental Knee is for single use only and is intended for implantation with bone cement.