Ostéotomie tibiale de soustraction externe Closing wedge tibial osteotomy
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1 ATLANTIC ORTHO Ostéotomie tibiale de soustraction externe Closing wedge tibial osteotomy Système de fi xation polyaxiale verrouillée DualTech System DualTech System polyaxial locking System NEWCLIP T E C H N I C S
2 Implant description Inox 316 L Cold worked Offset 15 mm Offset 15 mm Longueur 56 mm Length 56 mm Pente métaphysaire Methaphysis curve Implant anatomique Anatomical design Plot de compression Compression slot Fixation DualTech System DualTech System fi xation Âme de vis progressive : ø 3,5 à 5,5 mm Progressive core diameter ø 3,5 to 5,5 mm Ecrou de verrouillage Locking nut Orientation possible de la vis avant verrouillage (Amplitude = 25 ) Ability to angulate the screw before locking (Angular range = 25 )
3 Technique opératoire Surgical technique Assemblage du guide de coupe Cutting guide connection. 1. La première coupe est parallèle et distante de 15 à 20 mm de l interligne articulaire. Elle s arrête à 5 mm de la corticale interne. The fi rst saw stroke should be parallel to the joint space and be situated in between 15 to 20 mm away from it. It should stop at 5 mm before the medial cortical. 2. Régler le guide de coupe au degré de correction choisi, puis introduire la lame du guide jusqu en butée de la première coupe tibiale. Set the cutting guide on the chosen correction degree, and introduce the blade of the cutting guide until it meets the fi rst tibial cut. 3. Introduire la scie oscillante (épaisseur 1,27 mm) dans la fente du guide, puis réaliser la seconde coupe jusqu à l intersection de l extrémité de la lame du guide. Position the oscillating saw (thickness 1,27 mm) into the notch of the cutting guide, and make the second cut until it reaches the end of the blade. 4. La valgisation est réalisée progressivement, jusqu au contact des coupes osseuses. Valgisation should be implemented progressively until the bone cut are reached.
4 15 Left side 10 Right side Lecture de la graduation sur le guide de coupe Reading of the graduation on the cutting guide. 5. Positionner la plaque, puis insérer le canon de ø 3,5 mm selon la direction souhaitée sur le premier plot proximal antérieur. Après avoir foré au ø 3,5 mm, repérer la mesure de la vis, visser et verrouiller. Répéter l opération sur le second plot proximal. Install the plate, fi t the ø 3,5 mm guide into the proximal anterior socket on the right direction. Drill (ø 3,5 mm), check the size, and lock the fi rst screw. Do it again for the second proximal socket. 6. Pour appliquer la plaque à l os et comprimer le foyer d ostéotomie, insérer une vis corticale oblique de ø 4,5 mm dans le plot distal de l implant. To apply the plate to the bone and in the meantime compress the osteotomy, insert a ø 4,5 mm oblique screw in the distal slot of the plate. 7. Insérer successivement le canon de ø 4,5 mm dans les deux derniers plots. Forer, mesurer, puis verrouiller les dernières vis. Fit the ø 4,5 mm guide successively into the distal sockets of the plate. Drill, check the size, and lock the two last screws.
5 ALIANS Ancillaire Instrumentation ATLANTIC Ref Désignation Qté ANC 002 Foret gradué Ø 3.5 Graduated drill ø ANC 003 Foret gradué Ø 4.5 Graduated drill ø ANC 004 Canon de guidage Ø 3.5 Drill Guide Ø ANC 005 Canon de guidage Ø 4.5 Drill Guide Ø ANC 006 Tournevis Screw driver 1 ANC 007 Pinces Bending pliers 2 ANC 008 Boite de stérilisation Sterilisation Box 1 ANC 009 Fraise à main Hand drill 1 ANC 010 Jauge de longueur Length Gauge 1 ANC Coupe secteur Cutting guide part 1 1 ANC Lame guide Cutting guide part 2 1 ANC 019 Cale ouverture 6 mm metallic wedge 6mm 1 ANC 020 Cale ouverture 8 mm metallic wedge 8 mm 1 ANC 021 Cale ouverture 10 mm metallic wedge 10 mm 1 ANC 022 Cale ouverture 12 mm metallic wedge 12 mm 1 ANC 023 Cale ouverture 14 mm metallic wedge 14 mm 1 ANC 024 Manche Shaft 1 ANC 047 Préhenseur Shaft for fusion cage 1
6 Références References PLAQUES ATLANTIC - ATLANTIC PLATES Ref Désignation BSD Plaque de fermeture tibiale droite Right closing tibial plate BSG Plaque de fermeture tibiale gauche Left closing tibial plate ANC o13 VIS VERROUILLEE DTS DTS LOCKING SCREWS Ø 6.0 Ref Désignation SS6,0 L30 Vis verrouillée DTS ø 6.0 L30 DTS locking screw ø 6.0 L30 SS6,0 L35 Vis verrouillée DTS ø 6.0 L35 DTS locking screw ø 6.0 L35 SS6,0 L40 Vis verrouillée DTS ø 6.0 L40 DTS locking screw ø 6.0 L40 SS6,0 L45 Vis verrouillée DTS ø 6.0 L45 DTS locking screw ø 6.0 L45 SS6,0 L50 Vis verrouillée DTS ø 6.0 L50 DTS locking screw ø 6.0 L50 SS6,0 L55 Vis verrouillée DTS ø 6.0 L55 DTS locking screw ø 6.0 L55 SS6,0 L60 Vis verrouillée DTS ø 6.0 L60 DTS locking screw ø 6.0 L60 SS6,0 L65 Vis verrouillée DTS ø 6.0 L65 DTS locking screw ø 6.0 L65 SS6,0 L70 Vis verrouillée DTS ø 6.0 L70 DTS locking screw ø 6.0 L70 SS6,0 L75 Vis verrouillée DTS ø 6.0 L75 DTS locking screw ø 6.0 L75 VIS CORTICALES Ø CORTICAL SCREWS Ø 4.5 Ref Désignation CS4,5 L40 Vis corticale ø 4.5 L40 Cortical screw ø 4.5 L40 CS4,5 L45 Vis corticale ø 4.5 L45 Cortical screw ø 4.5 L45 CS4,5 L50 Vis corticale ø 4.5 L50 Cortical screw ø 4.5 L50 W Direct Creation Illustrations : Eikon - Imprimé suivant IQ / RDE / brochureatlantic-ow / edition01 NEWCLIP T E C H N I C S Tél. (+33) Fax. (+33) contact@newcliptechnics.com NEWCLIP TECHNICS SAS Rue de la Fontaine Grillée - ZA du Patis LA HAYE FOUASSIÈRE
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