Changing the Way Surgeons View Revision Hinged Knee Replacement

Earlier this summer, Smith & Nephew (NYSE:SNN;LSE:SN), the global medical technology business, launched its new LEGION™ HK Hinge Knee system to surgeons in the US and Canada. As the first hinged knee to be designed using normal knee kinematics, the LEGION HK system provides a new option for those patients facing difficult primary or revision knee surgery.

“This system is very different from all other hinge knees,” explains Dr. Gerhard Maale, an orthopedic surgeon on the Baylor Plano medical staff. “This design not only simplifies the procedure, it transforms these complex surgeries from what were viewed as salvage operations into what can now be called true joint-rescue procedures.”

Designed to closely match the knee’s original anatomy, the LEGION HK Hinge Knee helps restore a more normal function, thanks to advanced rotating knee technology. In fact, the design of the implant provides a more natural range of motion, 4 while maintaining an average of 96% condylar loading—a design feature which transfers the stresses of the joint to the rounded, stronger portions of the implant and away from the hinge link – for lower wear on the hinge device.

An extension of the clinically successful LEGION Total Knee System, the LEGION HK allows surgeons to seamlessly transition intraoperatively from a constrained revision implant to a hinged assembly, thus using a minimal number of instruments and the same simple, reproducible surgical technique they already know.

"Overall, the LEGION HK system’s kinematic and bone sparing design means that patients may get the relief from their symptoms they need as well as an almost natural functioning knee,” adds Maale. “

A hinged knee replacement is an implant system in which the three components (the upper, the lower and the plastic liner) of the implant are joined together with a hinged mechanism. Typically, this type of knee replacement is used when a knee is highly unstable and the patient’s ligaments will not provide the support necessary for the more common type of knee implant.

The LEGION Total Knee System has over 15 years of clinical history and continues to achieve outstanding clinical results. Since the system’s launch, there have been over 1 million primary and revision knees implanted worldwide.

About Baylor Plano
Baylor Regional Medical Center at Plano is a 160-bed acute care hospital committed to serving North Texas residents with personalized care and advanced technology on a beautiful campus with hotel-like amenities and all private rooms. Services at the not-for-profit, fully-accredited facility include treatment for advanced spine deformities at the Baylor Scoliosis Center, neurosciences, orthopedics, medical and radiation oncology, surgical weight loss, women’s services, gynecology, urology, gastroenterology, pulmonary medicine, pain management, diabetes management and more. Patients have access to digital imaging onsite at Baylor Plano, the Baylor Diagnostic Imaging Center at Craig Ranch, an outpatient department of Baylor Plano and the Baylor Regional Medical Center at Plano Elizabeth Jekot, MD Breast Imaging Center. The hospital is the first in North Dallas and Collin County to offer minimally invasive robotic surgery for procedures through the FDA-approved da Vinci® S Surgical System.  Baylor Regional Medical Center at Plano ranks fourth on U.S. News & World Report's first-ever Best Hospitals metro area ranking for the Dallas/Fort Worth area and was named a top performer by The joint Commission. Baylor Plano is also a 2010 recipient of the Texas Award for Performance Excellence and houses an Accredited Community Hospital Comprehensive Cancer Program by the American College of Surgeons Commissions on Cancer. Baylor Plano is the first hospital in Collin County to be accredited by the National Accreditation Program for Breast Centers. Jerri Garison is president of Baylor Plano. For more information, or a physician referral, call toll free 1-800-4-BAYLOR or log onto www.BaylorHealth.com/Plano.

Physicians are members of the medical staff at one of Baylor Health Care System¹s subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical centers, Baylor Regional Medical Center at Plano or Baylor Health Care System.

About Smith & Nephew

Smith & Nephew is a global medical technology business dedicated to helping improve people's lives.  With leadership positions in Orthopaedic Reconstruction, Advanced Wound Management, Sports Medicine and Trauma, Smith & Nephew has almost 11,000 employees and a presence in more than 90 countries. Annual sales in 2011 were nearly $4.3 billion.  Smith & Nephew is a member of the FTSE100 (LSE: SN, NYSE: SNN).

Forward-looking Statements
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Any forward-looking statement is based on information available to Smith & Nephew as of the date of the statement. All written or oral forward-looking statements attributable to Smith & Nephew are qualified by this caution. Smith & Nephew does not undertake any obligation to update or revise any forward-looking statement to reflect any change in circumstances or in Smith & Nephew's expectations.

à Trademark of Smith & Nephew.  Registered US Patent and Trademark Office.

Johal P, et al. “Tibio-femoral movement in the living knee”. J Biomech. 38(2): 269-76. 2005.

Hubbard K,: Condylar Load Measurement of the LEGION™ Hinge Knee System. Smith & Nephew Inc. Data on file,  April 2009.

Based on GENESIS II clinical data; Knee. 2012 Jan;19(1):8-13. Epub 2011 Apr 14., The Genesis II in primary total knee replacement: a systematic literature review of clinical outcomes., Bhandari M, Pascale W, Sprague S, Pascale V.4 Dees R, : Design and Optimization of a Guided Motion Hinged Knee System. Smith & Nephew, Inc. Data on file, April, 2012

CONTACT:
Kayci Prince
469.814.2109
KayciPri@Baylorhealth.edu

About Baylor Scott & White Health
As the largest not-for-profit health system in the state of Texas, Baylor Scott & White promotes the health and well-being of every individual, family and community it serves. It is committed to making quality care more accessible, convenient and affordable through its integrated delivery network, which includes the Baylor Scott & White Health Plan, Baylor Scott & White Research Institute, the Baylor Scott & White Quality Alliance and its leading digital health platform – MyBSWHealth. Through 51 hospitals and more than 1,200 access points, including flagship academic medical centers in Dallas, Fort Worth and Temple, the system offers the full continuum of care, from primary to award-winning specialty care. Founded as a Christian ministry of healing more than a century ago, Baylor Scott & White today serves more than three million Texans. For more information, visit: BSWHealth.com