The combination of experience and innovation

Acetabular defects are predominantly located in the central and cranial regions. The design of the MRS-TITAN Standard and Maximum cups is tailored to these defects in the bone bed.

  • Combination of anatomically correct alignment of the cup with
    the centre of rotation + bone defect

The system, with its various sizes and implant versions (with and without anatomical strap), offers a high degree of flexibility in providing adequate solutions for acetabular defect management. (1)

The trabecular surface structure has been developed on the basis of the latest scientific knowledge to ensure the best possible load-bearing stability for patients.

Geriatric Traumatology

The MRS-TITAN Maximum may be a good alternative for acetabular fractures in geriatric patients. Clinical experiences show that this implant provides a load-bearing stable revision, thereby enabling rapid mobilisation. (2,3,5)

A shorter hospital stay and early mobilisation reduce the risk of poor functional outcomes, postoperative complications and mortality in this vulnerable patient group. (4)

Implant selection within the system for the best possible results

For optimal reconstruction, we recommend selecting components from within the range of prosthetic systems we offer. The products are perfectly coordinated with one another.

The MRS-TITAN Standard and Maximum, in combination with the modular revision prosthesis MRP-TITAN, offer a wide range of options for patient-specific solutions to a variety of anatomical requirements and challenging defect situations.

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Material

  • Proven biocompatible titanium alloy Ti6AI4V

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Design & Function

  • Cementless implantation
  • Additive manufacturing process (3D printing)
  • High rotational stability (oval shape)
  • Rotational centre in the anatomically correct position despite the double-radius design
  • Trabecular surface structure, high frictional adhesion and press-fit anchorage
    → high initial stability
    → good bone integration
  •  Anatomical strap design
    → no intraoperative adjustments required
  •  Modular iliac peg
    → high flexibility
    → high initial stability
  • Optimised screw position, with/without anatomical strap, with/without iliac peg
  •  Screw holes can be sealed
    → reduced risk of osteolysis due to polyethylene particulate wear

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Sizes & Variants

  • Ø 48-76 mm, in 4 mm increments

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Advantages

  • Consistent avoidance of CMR substances (carcinogenic, mutagenic, reprotoxic) requiring labelling
  •  No use of bone cement
    → no risk of allergy to bone cement components
  • Optimal restoration of joint geometry for a broad range of indications: Paprosky types I to IIIb
  • High initial stability
  • Maximization of initial stability through intramedullary pin anchorage
  • Good long-term osseointegration
  • Patient-specific solutions through combination with the MRP-TITAN
  • Simple, comfortable handling
    → few selected instruments
    → clear intuitive technique

Downloads

Here you will find product information. This includes the instrumentation guide (surgical technique), summaries of scientific articles (executive summaries), and clinical case reports.

Surgical Technique
MRS-TITAN Standard/Maximum
Definition of sizes
Size correlation, preparation of the acetabulum
Case Reports
Executive Summaries
MRS-TITAN Standard/Maximum
  1. Praktischer Ratgeber Acetabuläre Rekonstruktion. Ovaläre Pfannen mit und ohne intramedullärer Zapfenverankerung. PETER BREHM GmbH (Hrsg.) unter Mitwirkung von Prof. Dr. med. Rudolf Ascherl, Weisendorf 2025
  2. Khan S, Bolierakis E, Alabdulrahman H, Hildebrand F, Klemens H, Berk T. Challenges in periprosthetic acetabular fracture management of geriatric patients: A clinical case report of a novel treatment method. Abstract PS03-03, 24th European Congress of Trauma and Emergency Surgery (ECTES), April 13-15, 2025
  3. Mamoutakis I, Alabdulrahman H, Berk T, Hildebrand F, Klemens H, Bolierakis E. Clinical and radiological outcomes of surgically treated geriatric acetabular fractures: The feasible option of primary endoprosthetic fracture treatment. Abstract PP24-08, 24th European Congress of Trauma and Emergency Surgery (ECTES), April 13-15, 2025
  4. Agarwal N, Feng T, Maclullich A, Duckworth A, Clement N. Early mobilisation after hip fracture surgery is associated with improved patient outcomes: A systematic review and meta-analysis. Musculoskeletal Care. 2024 Mar;22(1):e1863. https://pubmed.ncbi.nlm.nih.gov/38353351/
  5. Rashed M, Hildebrand F, Hofmann U, Horst K, Hürtgen B, Bolierakis E, Berk T, Alabdulrahman H. Acute total hip replacement of acetabular fractures with cementless modular revision cups in patients older than 55 years: a retrospective cohort study. Eur J Trauma Emerg Surg. 2025;51(1):362. doi: 10.1007/s00068-025-03045-9. https://pubmed.ncbi.nlm.nih.gov/41410696/

Ready for your next hip revision?

Drei Ausführungen des MRP-Titan Hüftschaftes, drei verschiedene Längen

MRP-TITAN

Hip – Revision
Vier

MRS-TITAN Comfort

Hip – Revision
Beckenteilersatz, individuelles

Custom-made-implants

Revision