S-ROM® NOILES™ Rotating Hinge Knee System

Division: Knee
Category: Revision Knees

S-ROM® NOILES™ Rotating Hinge Knee System (NRH) is a clinically-proven1 hinge design for patients with severe soft tissue instability and/or bone deficiency. The system allows for optimal fit and fill for a wide range of bone deficiencies with the utilization of modular wedges, stem extensions, and metaphyseal sleeves.

Indications for Use

The S-ROM® NOILES Rotating Hinge Knee is indicated for use with PMMA bone cement in primary or revision cases in patients:
  • who have reached skeletal maturity and
  • for whom the surgeon has decided to resect both cruciate ligaments or whose cruciate ligaments are absent or incompetent and
  • who exhibit insufficiency of lateral/collateral ligaments and other soft supporting tissue due to the following conditions:
    • Rheumatoid arthritis, osteoarthritis, post-traumatic arthritis, and arthritis
    • secondary to a variety of diseases and anomalies
    • Failure of a previous knee reconstruction procedure
    • Trauma

Features & Benefits

Features Benefits
Clinical Heritage
  • Intra-operative flexibility
  • Address an array of patient needs
  • OR efficiency with common tibial base and preparation shared across multiple systems
  • Allows for bearing rotation that reduces torsional stresses on tibial base2
Common MBT Revision Tibial Base across multiple systems with varying levels of implant constraint
  • Modular porous sleeves accommodate bone defects of the Engh Type II and Type III
  • Intra-operative flexibility
  • Restores varying patient anatomies
Press-Fit or Cemented Stem offerings
  • Meet patient needs
  • Provides varying options for intramedullary fixation of components


1. Jones, R. "Management of Complex Revision Problems with a Modular Total Knee System." Orthopedics, 19 September 1996: 802-804.
2. Bottlang, M. et al. "A Mobile-bearing Knee Prosthesis Can Reduce Strain at the Proximal Tibia." Clinical Orthopaedics and Related Research, 447 June 2006: 105-111.

DSUS/JRC/0216/1397g 11/2016

All medical devices have associated risks. Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings. For further information on DePuy Synthes Products, please contact your local DePuy Synthes Representative.