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## More Patient Options More Surgeons Trained More Clinical Results 

## REACHING MORE PATIENTS ON THE CONTINUUM OF CARE 

As the leader in reconstructive orthopaedics, Zimmer offers compre- hensive hip and knee products and procedures for all stages on the contin- uum of care. (See pages 10-11.) For example, Durom TM Hip Resurfacing, developed by Centerpulse, is a new solution for early-stage hip treatment (currently available in some countries outside the U.S.), while our Trilogy ® System of acetabular constrained liners, which we launched in the United States in 2003, is designed for late-stage hip revision surgery. We’re also continuing to expand the range of patients who can benefit from Minimally Invasive Solutions Procedures . Excluding instruments, we invested $20 million in our MIS development program in 2003. In 2004, that number is expected to increase by 50% to almost $30 million. 

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## ALLIANCES GIVE ZIMMER INSTITUTE GLOBAL REACH 

Another way to expand the benefits of MIS Procedures is by providing more and more training to surgeons in these technically demanding proce- dures. We opened a state-of-the-art Zimmer Institute in March 2003, at our headquarters in Warsaw, Indiana. We have established major MIS teach- ing relationships with such preemi- nent institutions as Johns Hopkins University School of Medicine. 

Through these relationships, affiliated surgeons establish a local Zimmer Institute to instruct surgeons on our MIS surgical procedures, participate in product development, and con- tribute to clinical outcomes studies. We also achieve global reach through webcasts of MIS surgery, such as the April 2003 global webcast of the Zimmer MIS Mini-Incision Total Knee Arthroplasty with interactive com- mentary from faculty surgeons. 

## MIS 2-Incision results are documented in studies of 1,200 patients 

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## ZIMMER MIS TOTAL HIP REPLACEMENT PROCEDURE 

Traditional Incision 25-30 cm 

Zimmer MIS Mini-Incision 6-8 cm 

Zimmer MIS 2-Incision 4-5 cm each 

## ZIMMER MIS TOTAL KNEE REPLACEMENT PROCEDURE 

Traditional Incision 20-30 cm large quadriceps snip 

Zimmer MIS Mini-Incision 9-14 cm 2-4 cm quadriceps snip 

Zimmer MIS Quad-Sparing Incision 7-10 cm no quadriceps snip 

