Medial Distal Tibia Medial and Malleolus Plates SURGICAL TECHNIQUE
|
|
- Geoffrey Hampton
- 7 years ago
- Views:
Transcription
1 MAXLOCK EXTREME Medial Distal Tibia Medial and Malleolus Plates SURGICAL TECHNIQUE
2 Contents Key Design Features Medial Distal Tibia Plates 3 Medial Malleolus Plate 7 Surgical Technique Medial Distal Tibia Plates 4 Medial Malleolus Plate 8 Implants and Instruments 12 Proper surgical procedures and techniques are the responsibility of the medical professional. The following guidelines are furnished for information purposes only. Each surgeon must evaluate the appropriateness of the procedures based on his or her personal medical training and experience. Prior to use of the system, the surgeon should refer to the product package insert for complete warnings, precautions, indications, contraindications and adverse effects. Package inserts are also available by contacting Wright Medical. Please contact your local Wright representative for product availability. 2
3 Key Design Features The Medial Distal Tibia Plate is an anatomically contoured plate that is designed to sit anteriorly in order to avoid impingement of the posterior tibial tendon across a range of patients. The Medial Distal Tibia Plate has a minimal profile with localized thickening for stabilization. The plate is designed for fixation of distal tibia fractures requiring more stability than traditional screw fixation such as OTA type 43B and certain OTA 44 Series oblique fractures of the medial malleolus. Three plate lengths are available for selection based on fracture location. Screw hole design placement 2 5 The distal screw hole cluster is designed to be divergent to straddle the syndesmosis and run parallel to the joint line. Screw hole design placement 6 The metaphyseal flare screw has a distal angulation to allow manipulation of distal fragments. Screw hole design placement 7 11 The metaphysis screws feature converging screws, utilizing biplanar fixation, to increase rotational stability. 3
4 Surgical Technique Step 1 The patient is placed in a supine position with a bolster under the contralateral hip to aid in exposure to the medial ankle. A medially based ankle incision is utilized to expose the distal tibia and medial malleolus. Care is taken to avoid the posterior tibial tendon and the posteriormedial neurovascular bundle. The fracture is reduced and held in position with a reduction clamp or provisional fixation. Fluoroscopy can be used to assess the reduction of the medial malleolus and ankle joint. Step 2 Once the fracture is adequately reduced, select the appropriate length distal tibia plate and place it across the fracture. This can be done through an open incision or through a minimally invasive incision using an elevator to free soft tissues proximally. Choose a plate that will allow adequate screw placement in order to obtain stable fixation. To ease identification, plates have been color coded per side specification (magenta for Right and green for Left) and have been etched and marked with a R or L to indicate side. The distal end of the plate is marked by a cluster of 5 screw holes. The distal most screw hole is located anteriorly towards the anterior colliculus. CAUTION: In pediatric patients, avoid crossing the growth plate with any implants. Step 3 If necessary, use the plate bending pliers to contour the plate to the bone surface. Each bend should be in one direction only. Reverse or over bending may cause reduced fatigue life. Avoid excessive bending through the locking holes. If the plate is contoured through the locking holes, a non-locking screw is recommended to avoid crossthreading of the fixed angle locking screw. Care must be taken not to scratch or notch the implants throughout the procedure. Step 4 Secure the plate to the distal fragment using a combination of a single screw, olive wire, or a k-wire through the k-wire hole. The fixation method chosen will depend on the fracture location. 4
5 Step 5 Align the fragment to the intact portion of the articular surface and confirm placement under fluoroscopy. An interfragmentary screw is recommended to stabilize and compress the main bony fragments. A MAXLOCK EXTREME solid 4.0 mm screw can be used for Interfragmentary Stabilization. Note: It is not recommended to use a 4.0 mm Cannulated Screw through any plate hole. Step 6 Once the fragment is positioned on the tibia, olive wires can be used to hold the plate in position while the screws are placed proximally and distally. The screw holes in the plates are compatible with a variety of screw options. Non-locking screw options include: 2.7 mm, 3.5 mm and 4.0 mm. Locking screw options include: 3.5 mm fixed-angle locking and 3.5 mm variable-angle locking. Reference the variable-angle locking screw technique (MXE ) if variableangle screws are desired. Screw diameter and type is chosen based on indication and surgeon preference; a combination of screws may be used in the same plate. Five drill bits are provided in the system. The standard bits are: 1.9 mm (gold), 2.4 mm (magenta) and 2.7 mm (aqua) diameters. The 1.9 mm bit is to be used in conjunction with 2.7 mm screws and the 2.4 mm bit is to be used in conjunction with 3.5 mm screws and the 2.7 mm bit is to be used in conjunction with 4.0 mm screws. A 3.5 mm (double banded magenta ring) and a 4.0 mm (double banded teal ring) drill bit are also found in the system and can be utilized for lagging the 3.5 mm and 4.0 mm screws. 5
6 Step 7 To drill for a non-locking screw, the centered drill guide tips should be used in conjunction with the drill guide handle. The centered drill guides are color coded to match the appropriate drill bit and screw diameter. When a lag technique is desired, use the 3.5 mm or the 4.0 mm drill guide tips (double banded). Step 8 To drill for a fixed angle locking screw, use the locking guide. The locking guide threads into the locking hole to provide the proper angle for drilling. Note: Take care to not move the plate after drilling for a fixed angle locking screw hole in order to maintain the proper pilot hole alignment and prevent locking screw cross-threading. Step 9 Drill to desired depth. Use only the provided depth gauge to determine screw length. For all screws used throughout the procedure, verify screw length in the gauge on the screw caddy. Use the HEXSTAR driver to insert the screw into the hole and drive the screw. Note: The depth gauge reading corresponds to the working length of the screw (from distal tip to underneath the screw head). Step 10 It is recommended that the surgeon use fluoroscopy to verify screw length and placement. Place the remaining screws as needed for adequate fixation. Note: Do not over torque the screws. Driver or implant damage may result. Step 11 Close the soft tissues as required by the operative procedure and surgeon preferred technique. 6
7 Key Design Features The MAXLOCK EXTREME Medial Malleolus Plate is an anatomically contoured locking plate designed to fit the medial aspect of the distal tibia. This low profile plate is intended to act as a buttress and offer an alternative to traditional lag screw fixation for transverse medial malleolar fractures. A single plate has been designed to fit both right and left operative sides. The threaded holes in the Medial Malleolus Plate feature MAXLOCK EXTREME TRIBRID Technology, which accommodates the use of non-locking, fixed-angle locking or variable-angle locking screws for fixation without compromise. Special Note: The Medial Malleolus Plate is available in either the MAXLOCK EXTREME Distal Tibia Plate Caddy or the MAXLOCK EXTREME Fracture Set. These sets are both used in conjunction with standard MAXLOCK EXTREME screws and instrumentation. If the plate is received in the Fracture Set, ensure that a MAXLOCK EXTREME Tray is available at the time of surgery. Chamfered leading edge 2 mm compression slot Distal screw position designed to capture the distal bone fragment while avoiding the ankle joint 7
8 Step 1 The patient is placed in supine position with a bolster under the contralateral hip to aid in exposure to the medial ankle. A medially based ankle incision is utilized to expose the medial malleolus. Care is taken to avoid the posterior tibial tendon and the posterior medial neurovascular bundle. The fracture is reduced and held in position using the surgeon s preferred technique. Step 2 Once the fracture is reduced, place the Medial Malleolus Plate directly over the medial aspect of the distal tibia such that it spans the fracture line. The plate may be temporarily fixed using the provided olive wires. Note: If plate bending is required, use the provided bending pliers to contour the plate to the bone surface. WARNING: Bending should only be done in one direction. Avoid excessive bending through the locking holes. If the plate is bent through a locking hole, a non-locking screw is recommended to avoid cross-threading of a locking screw. Care must be taken not to scratch or notch the implants throughout the procedure. 8
9 Step 3 Drill a pilot hole through one of the distal holes using the appropriately sized drill guide and drill bit. Instruments are color-coded to match each screw size. This technique illustrates use of 3.5 mm non-locking screws distally to compress across the fracture site. Drill through the guide using the 2.4 mm drill bit. It is recommended that the 2.4 mm fixed drill guide is used even when drilling for a non-locking screw. If deviating from prescribed trajectory, take care to avoid drilling through the ankle joint. Note: When drilling for a fixed-angle locking screw, take care not to move the plate after drilling in order to maintain proper pilot hole alignment and prevent locking screw cross-threading. Note: The threaded screw holes in the plate are compatible with a variety of screw options; 2.7 mm non-locking (gold), 3.5 mm non-locking or fixed-angle locking screws (magenta) and 4.0 mm non-locking screws (teal) are included in the MAXLOCK EXTREME set. Depending on surgeon preference, a combination of screw types can be used. 3.5 mm variable-angle locking screws may also be used in the plates; however the variable screw caddy must be present at the time of surgery. Reference the variable-angle locking screw technique guide (MXE ) if variable-angle locking screws are desired. WARNING: Do not use any other manufacturer s screws with Wright Medical plates. Step 4 If utilization of the lag screw technique is preferred, utilize the appropriately sized double-banded lag drill bit to over-drill the near fragment. Note: If working out of the MAXLOCK EXTREME Fracture Set, a 4.0 mm Partially Threaded Screw may alternatively be used to facilitate compression across the fracture site. Step 5 Determine the screw length using the provided depth gauge. For all screws used throughout the procedure, verify screw length using the gauge on the screw caddy. 9
10 Step 6 Use the MAXLOCK EXTREME HEXSTAR driver to insert the desired screw. Verify proper screw trajectory and length under fluoroscopy. Step 7 Repeat Steps 2 6 for the remaining distal screw. Step 8 Remove any temporary fixation. Attach the appropriate offset drill guide tip to the drill guide handle. Keeping the drill guide perpendicular to the surface of the plate, drill through the guide using the corresponding drill bit. Note: This technique shows preparation for a 4.0 mm non-locking screw using the 2.7 mm offset drill guide tip and 2.7 mm drill bit in the neutral orientation. Only non-locking screws may be used in the compression slot. If compression has already been achieved using the lag screw technique distally, position the guide in the compression slot in a neutral orientation (arrows opposed), as shown in Figure A. If the compression slot will be used to compress across the fracture, position the guide in the compression orientation (arrows pointing in same direction), as shown in Figure B. Figure A: Neutral Orientation 10 Figure B: Compression Orientation
11 Step 9 Determine the screw length using the provided depth gauge. Step 10 Select the appropriate length 4.0 mm nonlocking screw and insert using the MAXLOCK EXTREME HEXSTAR driver. Step 11 Drill and insert the remaining screws as needed for desired fixation. Verify correct placement of final fixation under fluoroscopy. Note: Do not over-torque the screws. Driver or implant damage may occur. Step 12 Close soft tissues as required by the operative procedure and surgeon s preferred technique. 11
12 Ordering Information Implants and Instruments PLATES Description Part # Short Left Plate Short Right Plate Medium Left Plate Medium Right Plate Long Left Plate Long Right Plate DTX-002-MSL DTX-002-MSR DTX-002-MML DTX-002-MMR DTX-002-MLL DTX-002-MLR Medial Malleolus Plate DTX-002-MAL Olive Wire MFT-040 ø1.1 mm K-Wire MFT SS 12
13 SCREWS 2.7 mm Non-Locking Screws Description Part # ø2.7 8 mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT mm Non-Locking Screws Description Part # ø3.5 8 mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT
14 SCREWS 3.5 mm Fixed Angle Locking Screws Description Part # ø3.5 8 mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT ø mm Fixed Angle Locking Screw MFT mm Non-Locking Screws Description Part # ø4.0 8 mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT ø mm Non-locking Screw MFT
15 INSTRUMENTS Description Part # Plate Bending Pliers MXS-051 Bending Irons MXL mm Depth Gauge CAT ø2.4 mm Fixed Guide w/ Depth Gauge MFT FDG ø2.4 mm Keyway Drill Guide MFT KG Ratcheting Handle DRV-057 Non-Ratcheting Handle MFT-057 HEXSTAR Driver Tapered MXS-056-T ø1.9 mm Drill Bit MFT ø2.4 mm Drill Bit MFT ø2.7 mm Drill Bit MFT ø3.5 mm Lag Drill Bit MFT ø4.0 mm Lag Drill Bit MFT Drill Guide Handle MFT-171 ø1.9 mm Centered Guide Tip MFT C ø1.9 mm Offset Drill Guide Tip MFT O ø2.4 mm Centered Guide Tip MFT C ø2.4 mm Offset Drill Guide Tip MFT O ø2.7 mm Centered Guide Tip MFT C ø2.7 mm Offset Drill Guide Tip MFT O ø3.5 mm Centered Guide Tip MFT C ø4.0 mm Centered Guide Tip MFT C 15
16 1023 Cherry Road Memphis, TN Nesbitt Avenue South Bloomington, MN Trademarks and Registered marks of Wright Medical Group N.V. or its affiliates Wright Medical Group N.V. or its affiliates. All Rights Reserved. MXE Rev B ECN Apr-2016
Zimmer Periarticular Proximal Tibial Locking Plate
Zimmer Periarticular Proximal Tibial Locking Plate Surgical Technique The Science of the Landscape Zimmer Periarticular Proximal Tibial Locking Plate 1 Table of Contents Introduction 2 Locking Screw Technology
More informationSALVATION. Fusion Bolts and Beams SURGICAL TECHNIQUE
SALVATION Fusion Bolts and Beams SURGICAL TECHNIQUE Contents Chapter 1 4 Introduction Chapter 2 4 Intended Use Chapter 3 4 Device Description 4 Fusion Beams 5 Fusion Bolts Chapter 4 5 Preoperative Planning
More informationCLAW II. Polyaxial Compression Plating System SURGIC A L T ECHNIQUE
CLAW II Polyaxial Compression Plating System SURGIC A L T ECHNIQUE Contents Chapter 1 2 3 3 3 Chapter 2 4 4 7 Chapter 3 8 8 8 8 8 8 8 9 11 11 11 Chapter 4 12 Introduction Intended Use Indications Contraindications
More informationHow To Fix A Radial Head Plate
Mayo Clinic CoNGRUENT RADIAL HEAD PLATE Since 1988 Acumed has been designing solutions to the demanding situations facing orthopedic surgeons, hospitals and their patients. Our strategy has been to know
More informationDARCO MRS. Locked Plating System for Reconstructive Rearfoot Surgery
DARCO MRS Locked Plating System for Reconstructive Rearfoot Surgery DARCO MRS Locked plating system for reconstructive rearfoot surgery System Basics The DARCO MRS plating system for the rearfoot has been
More informationZimmer Periarticular Elbow Locking Plate System
Zimmer Periarticular Elbow Locking Plate System Surgical Technique The Right Solutions for Fractures Around the Elbow Disclaimer This document is intended exclusively for physicians and is not intended
More informationZimmer Small Fragment Universal Locking System. Surgical Technique
Zimmer Small Fragment Universal Locking System Surgical Technique Zimmer Small Fragment Universal Locking System 1 Zimmer Small Fragment Universal Locking System Surgical Technique Table of Contents Introduction
More informationOptiLock Periarticular Plating System For Proximal Tibial Fractures. Pre-Launch Surgical Technique
OptiLock Periarticular Plating System For Proximal Tibial Fractures Pre-Launch Surgical Technique Contents Introduction... Page 1 Indications & Fracture Classifications... Page 4 Design Features... Page
More informationTechnique Guide. 2.7 mm/3.5 mm Variable Angle LCP Ankle Trauma System. Part of the Synthes variable angle locking compression plate (VA-LCP) system.
Technique Guide 2.7 mm/3.5 mm Variable Angle LCP Ankle Trauma System. Part of the Synthes variable angle locking compression plate (VA-LCP) system. Table of Contents Introduction 2.7 mm/3.5 mm Variable
More informationV-TEK IVP System 2.7 System 4.0
V-TEK IVP System Ankle 2.7 Fix System 4.0 Surgical Technique Surgical Technique Titanium osteosynthesis system for tibio-talar and tibio-talo-calcaneal fusion SECTION 1 Ankle Fix System 4.0 Titanium osteosynthesis
More informationNCB Distal Femur System. Surgical Technique
NCB Distal Femur System Surgical Technique NCB Distal Femur System Surgical Technique 3 Surgical Technique NCB Distal Femur System Table of Contents Introduction 4 Indications 8 Preoperative Planning
More informationPERIPROSTHETIC IMPLANTS
PERIPROSTHETIC IMPLANTS PRODUCT OVERVIEW CLINICAL SOLUTIONS Periprosthetic fractures present unique challenges, such as how to gain fixation when the medullary canal is occupied. Special techniques and
More informationTechnique Guide. 3.5 mm and 4.5 mm Curved Locking Compression Plates (LCP). For minimally invasive osteosynthesis.
Technique Guide 3.5 mm and 4.5 mm Curved Locking Compression Plates (LCP). For minimally invasive osteosynthesis. Table of Contents Introduction 3.5 mm and 4.5 mm Curved Locking Compression 2 Plates (LCP)
More informationNCB Periprosthetic Femur Plate System. Surgical Technique
NCB Periprosthetic Femur Plate System Surgical Technique NCB Periprosthetic Femur System Surgical Technique 3 Table of Contents Introduction 4 System Features and Benefits 9 Indications and Contraindications
More informationHow To Use A Phoenix Retrograde Femoral Nail
Phoenix Retrograde Femoral Nail System Featuring CoreLock Technology Surgical Technique Contents Introduction... Page 1 Indications... Page 2 Design Features... Page 3 Surgical Technique... Page 6 Product
More informationMINI FRAGMENT SYSTEM. Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW
MINI FRAGMENT SYSTEM Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW TABLE OF CONTENTS INTRODUCTION Mini Fragment System 2 PRODUCT INFORMATION Plates 4 Screws 6
More informationPosterior Referencing. Surgical Technique
Posterior Referencing Surgical Technique Posterior Referencing Surgical Technique INTRO Introduction Instrumentation Successful total knee arthroplasty depends in part on re-establishment of normal lower
More informationTechnique Guide. Orthopaedic Cable System. Cerclage solutions for general surgery.
Technique Guide Orthopaedic Cable System. Cerclage solutions for general surgery. Table of Contents Introduction The Orthopaedic Cable System 2 Indications 4 Contraindications 4 Surgical Technique Cerclage
More informationAchilles Tendon Repair, Operative Technique
*smith&nephew ANKLE TECHNIQUE GUIDE Achilles Tendon Repair, Operative Technique Prepared in Consultation with: C. Niek van Dijk, MD, PhD KNEE HIP SHOULDER EXTREMITIES Achilles Tendon Repair, Operative
More informationTechnique Guide. Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system.
Technique Guide Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction Large Fragment LCP Instrument and Implant Set
More informationAesculap Veterinary Orthopaedics. Targon VET Interlocking Nail
Aesculap Veterinary Orthopaedics Targon VET Interlocking Nail Flexibility Stability Dynamics The Targon VET is based on new, technology which reverses the known principles of interlocking nails. The rotation-stabilising
More informationVariAx Distal Radius Locking Plate System. Anatomical & Universal Volar Plates Dorsal Plates Fragment Specific Plates
VariAx Distal Radius Plate System Anatomical & Universal Volar Plates Dorsal Plates Fragment Specific Plates System Module The NEW VariAx Distal Radius Plating System represents the Next Generation of
More informationMalleolar fractures Anna Ekman, Lena Brauer
Malleolar fractures Anna Ekman, Lena Brauer How to use this handout? The left column is the information as given during the lecture. The column at the right gives you space to make personal notes. Learning
More informationTechnique Guide. 4.5 mm LCP Proximal Femur Plates. Part of the Synthes Periarticular LCP Plating System.
Technique Guide 4.5 mm LCP Proximal Femur Plates. Part of the Synthes Periarticular LCP Plating System. Table of Contents Introduction 4.5 mm LCP Proximal Femur Plates 2 AO Principles 4 Indications 5 Surgical
More informationACTIV ANKLE DISTAL AND DIAPHYSEAL FIBULA INNOVATION MEANS MOTION
ACTIV ANKLE DISTAL AND DIAPHYSEAL FIBULA POLYAXIAL LOCKING FIXATION DUALTEC SYSTEM II Precontoured implants Polyaxiality of 20 2 surgical approaches : lateral and posterolateral ACTIV ANKLE The ACTIV ANKLE
More informationTransFx External Fixation System Large and Intermediate Surgical Technique
TransFx External Fixation System Large and Intermediate Surgical Technique TransFx External Fixation System Large and Intermediate Surgical Technique 1 Surgical Technique For TransFx External Fixation
More informationAnatomic Percutaneous Ankle Reconstruction of Lateral Ligaments (A Percutaneous Anti ROLL)
Anatomic Percutaneous Ankle Reconstruction of Lateral Ligaments (A Percutaneous Anti ROLL) Mark Glazebrook James Stone Masato Takao Stephane Guillo Introduction Ankle stabilization is required when a patient
More informationZimmer Natural Nail System. Cephalomedullary Nail Surgical Technique STANDARD
Zimmer Natural Nail System Cephalomedullary Nail Surgical Technique STANDARD Zimmer Natural Nail System Cephalomedullary Nail Surgical Technique - Standard 1 Zimmer Natural Nail System Cephalomedullary
More informationTitanium Wire with Barb and Needle. For canthal tendon procedures.
Titanium Wire with Barb and Needle. For canthal tendon procedures. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Titanium Wire with Barb and Needle
More informationLCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.
LCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. Surgical Technique This publication is not intended for distribution
More informationFUSEFORCE. Hand Fixation System SURGIC A L T ECHNIQUE
FUSEFORCE Hand Fixation System SURGIC A L T ECHNIQUE Contents Chapter 1 3 Chapter 2 4 Appendix A 7 Intended Use Surgical Technique Ordering Information Indication Sizing Reference Proper surgical procedures
More informationTechnique Guide. DHS/DCS Dynamic Hip and Condylar Screw System. Designed to provide stable internal fixation.
Technique Guide DHS/DCS Dynamic Hip and Condylar Screw System. Designed to provide stable internal fixation. Table of Contents Introduction Dynamic Hip Screw (DHS) 2 Dynamic Condylar Screw (DCS) 3 Indications
More informationThe information contained in this document is intended for healthcare professionals only.
The information contained in this document is intended for healthcare professionals only. Dall-Miles Cabling System Dall-Miles Recon and Trauma Cable System Trochanteric Reattachment Using the Trochanteric
More informationKnotilus TM. Anchor Instability Repair. Technique Guide
Knotilus TM Anchor Instability Repair Technique Guide Instability Repair Using the Knotilus TM Anchor Introduction While the shoulder has more mobility than any other joint in the body, it is also the
More informationFoot and Ankle Technique Guide Proximal Inter-Phalangeal (PIP) Fusion
Surgical Technique Foot and Ankle Technique Guide Proximal Inter-Phalangeal (PIP) Fusion Prepared in consultation with: Phinit Phisitkul, MD Department of Orthopedics and Rehabilitation University of Iowa
More informationTABLE OF CONTENTS. Surgical Technique 2. Indications 4. Product Information 5. 1. Patient Positioning and Approach 2
Surgical Technique TABLE OF CONTENTS Surgical Technique 2 1. Patient Positioning and Approach 2 2. Intervertebral Device Implanted 2 3. Buttress Plate Selection 2 4. Awl Insertion 2 5. Screw Insertion
More informationElbow System 2.0, 2.8
SurgicAL TecHNiqUE STEP by step Elbow System 2.0, 2.8 APTUS Elbow 2 Elbow System 2.0, 2.8 Elbow System 2.0, 2.8 3 Elbow System 2.0, 2.8 Contents 4-5 Features, Technique 6-13 Introduction and Indications
More informationTwinFix Cannulated Compression Screw
TwinFix Cannulated Compression Screw Leibinger Solutions for Hand Surgery Procedural Guide TwinFix Sterilization, Organization, Storage 29-12020 Profyle MODULAR Sterilizing Container 29-40162 TwinFix Implant
More informationModular Sternal Cable System. Flexibility and strength in sternal closure and repair.
Modular Sternal Cable System. Flexibility and strength in sternal closure and repair. Multiple closure options Stable fixation in all configurations Improved strength and flexibility compared to wire Modular
More information4052 Slimplicity Tech final_layout 1 6/29/15 3:29 PM Page 2 Surgical Technique
Surgical Technique TABLE OF CONTENTS Slimplicity Anterior Cervical Plate System Overview 2 Indications 2 Implants 3 Instruments 4 Surgical Technique 6 1. Patient Positioning and Approach 6 2. Plate Selection
More informationINTRODUCTION Cerclage Cable Vs. Monofilament Wire
B M P CABLE S Y S T E M S U R G I C A L TECHNIQUE INTRODUCTION The Biomet Medical Products (BMP ) Cable System provides a cost effective and simple method of trochanteric reattachment, fracture fixation,
More informationCable System. For Orthopaedic Trauma Surgery.
Cable System. For Orthopaedic Trauma Surgery. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image intensifier
More informationSurgical technique. End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue.
Surgical technique End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue. Table of contents Indications and contraindications 3 Implants 4 Instruments 4 Preoperative planning
More informationZimmer FuZion Instruments. Surgical Technique (Beta Version)
Zimmer FuZion Surgical Technique (Beta Version) INTRO Surgical Technique Introduction Surgical goals during total knee arthroplasty (TKA) include establishment of normal leg alignment, secure implant fixation,
More informationOrthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery.
Orthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by
More informationMETAL HEMI. Great Toe Implant SURGICAL TECHNIQUE
METAL HEMI Great Toe Implant SURGICAL TECHNIQUE Contents Chapter 1 4 Product Information 4 Device Description Chapter 2 5 Intended Use 5 Indications 5 Contraindications Chapter 3 6 Surgical Technique
More informationLentur Cable System. Surgical Technique
Lentur Cable System Surgical Technique Contents Introduction... Page 1 System Design Features And Benefits... Page 2 Implants... Page 3 Instrumentation... Page 4 Surgical Technique... Page 5 Single Cable...
More informationTriLock 1.5 Implants for the Phalanges
P R O D U C T IN F O RM AT I O N TriLock 1.5 Implants for the Phalanges APTUS Hand 2 TriLock 1.5 Implants for the Phalanges TriLock 1.5 The Smallest Locking System Small, slender, strong Low profile and
More informationORTHODONTIC MINI IMPLANTS Clinical procedure for positioning. Orthodontics and Implantology
ORTHODONTIC MINI IMPLANTS Clinical procedure for positioning Orthodontics and Implantology 2 All rights are reserved. Any reproduction of the present publication is prohibited in whole or in part and by
More informationTechnique Guide. 2.4 mm LCP Distal Radius System. A comprehensive plating system to address a variety of fracture patterns.
Technique Guide 2.4 mm LCP Distal Radius System. A comprehensive plating system to address a variety of fracture patterns. Table of Contents Introduction 2.4 mm LCP Distal Radius System 2 AO Principles
More informationNCB Proximal Humerus System. Surgical Technique
NCB Proximal Humerus System Surgical Technique NCB Proximal Humerus System Surgical Technique 3 Surgical Technique NCB Proximal Humerus System Table of Contents Introduction 4 Cable Fixation Options 5
More informationLCP Compact Foot/Compact Hand.
LCP Compact Foot/Compact Hand. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Table of contents Indications 2
More informationTABLE OF CONTENTS. Indications and Contraindications 3. Features and Benefits 4. Ease of connection 4 Stable fixation concept 5
Surgical Technique TABLE OF CONTENTS Indications and Contraindications 3 Features and Benefits 4 Ease of connection 4 Stable fixation concept 5 Surgical Technique Steps 6 Identification and preparation
More informationTechnique Guide. Screw Removal Set. Instruments for removing Synthes screws.
Technique Guide Screw Removal Set. Instruments for removing Synthes screws. Table of Contents Introduction Screw Removal Set 2 Surgical Technique Preoperative Planning and Preparation 6 Removal of Intact
More informationImplant Extraction Guide Module One & Two
Implant Extraction Set Implant Extraction Guide Module One & Two 1 Contents Page 1. Introduction 3 Introduction 3 Features and Benefits 3 Contraindications 3 2. Product Description 4 3. Technical Details
More informationINTUITION INSTRUMENTS SURGICAL TECHNIQUE
INTUITION INSTRUMENTS SURGICAL TECHNIQUE Introduction This surgical technique provides guidelines for the implantation of the ATTUNE Knee System family of knee implants with the INTUITION Instrumentation.
More informationMatrixNEURO CMF Matrix
MatrixNEURO CMF Matrix This publication is not intended for distribution in the USA. MatrixNEURO Introduction The aim of surgical fracture treatment is to reconstruct the bony anatomy and restore its function.
More informationTechnique Guide. VersiTomic. Michael A. Rauh, MD. Anterior Cruciate Ligament Reconstruction
Technique Guide VersiTomic Anterior Cruciate Ligament Reconstruction Michael A. Rauh, MD The opinions expressed are those of Dr. Rauh and are not necessarily those of Stryker VersiTomic Anterior Cruciate
More informationShoulder Restoration System
Shoulder Restoration System PopLok Knotless Suture Anchor Simple, Secure, Versatile all-peek knotless anchor system for rotator cuff and instability repairs CO M M I T T ED TO I N N OVATI O N SURGICAL
More informationIntegra. Subtalar MBA and bioblock Implant SURGICAL TECHNIQUE
Integra Subtalar MBA and bioblock Implant SURGICAL TECHNIQUE Table of contents Introduction Description... 2 Indications... 2 Contraindications... 2 Surgical Technique Step 1: Incision and Dissection...3
More informationVersa-Fx II Femoral Fixation System Surgical Techniques
Versa-Fx II Femoral Fixation System Surgical Techniques Versa-Fx II Femoral Fixation System Surgical Techniques 1 Surgical Technique For Fixation Of Intertrochanteric and Supracondylar Fractures of the
More informationExpert HAN. Expert Hindfoot Arthrodesis Nail.
Expert HAN. Expert Hindfoot Arthrodesis Nail. Surgical Technique Expert Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation.
More informationMinimally Invasive Hip Replacement through the Direct Lateral Approach
Surgical Technique INNOVATIONS IN MINIMALLY INVASIVE JOINT SURGERY Minimally Invasive Hip Replacement through the Direct Lateral Approach *smith&nephew Introduction Prosthetic replacement of the hip joint
More informationThe information contained in this document is intended for healthcare professionals only.
The information contained in this document is intended for healthcare professionals only. Monogram Total Knee Instruments Modular Rotating Hinge Knee System Keel Baseplate Using Monogram IM Revision Instruments
More informationPolaris Deformity System Trivium Derotation System
Polaris Deformity System Trivium Derotation System A Three Dimensional Approach to Deformity Correction The Polaris Deformity System in combination with the Trivium Derotation System incorporates Enbloc
More informationthe revo / mini-revo shoulder fixation system s u r g i c a l t e c h n i q u e
the revo / mini-revo shoulder fixation system s u r g i c a l t e c h n i q u e REVO The following techniques are described by Stephen J. Snyder, M.D., Van Nuys, CA. Arthroscopic repair of the rotator
More informationZimmer PSI Knee System For Use with Persona The Personalized Knee System Surgical Technique
Zimmer PSI Knee System For Use with Persona The Personalized Knee System Surgical Technique TOC Zimmer PSI Knee Surgical Technique Zimmer PSI Knee Surgical Technique Table of Contents Intra-Operative Guide
More informationAnterior Lumbar Interbody Fusion (ALIF). Instrument set supports placement of ALIF spacers using anterior or anterolateral approach.
Anterior Lumbar Interbody Fusion (ALIF). Instrument set supports placement of ALIF spacers using anterior or anterolateral approach. Technique Guide Instruments and implants approved by the AO Foundation
More informationACCORD Cable System. Surgical technique completed in conjunction with: Robert Barrack, MD St. Louis, Missouri. Paul Di Cesare, MD New York, New York
Surgical Technique Innovations in Hip Surgery 2 ACCORD Cable System Surgical technique completed in conjunction with: Robert Barrack, MD St. Louis, Missouri Paul Di Cesare, MD New York, New York Fares
More informationNEXGEN COMPLETE KNEE SOLUTION. Epicondylar Instrumentation Surgical Technique For Legacy Posterior Stabilized Knees
NEXGEN COMPLETE KNEE SOLUTION Epicondylar Instrumentation Surgical Technique For Legacy Posterior Stabilized Knees INTRODUCTION Successful total knee arthroplasty is directly dependent on reestablishment
More informationArthroscopic Shoulder Instability Repair Using the SUTUREFIX ULTRA Suture Anchor and SUTUREFIX ULTRA Instrumentation System
*smith&nephew SHOULDER TECHNIQUE GUIDE Arthroscopic Shoulder Instability Repair Using the SUTUREFIX ULTRA Suture Anchor and SUTUREFIX ULTRA Instrumentation System KNEE HIP SHOULDER EXTREMITIES Arthroscopic
More informationICUC One-Page Paper. Mixing a lag screw with a splinting protection plate Alberto Fernández Dell Oca, Pietro Regazzoni, Stephan Perren May 2016
Mixing a lag screw with a splinting protection plate Alberto Fernández Dell Oca, Pietro Regazzoni, Stephan Perren May 2016 The 20th century has seen three essential improvements of surgical fracture fixation:
More informationImplant materials. Learning outcomes. Implant materials in trauma. How to use this handout? Functions of implants. Types of materials
Implant materials How to use this handout? The left column is the information as given during the lecture. The column at the right gives you space to make personal notes. Learning outcomes At the end of
More informationTrabecular Metal Femoral Component. Surgical Technique
Trabecular Metal Femoral Component Surgical Technique INTRO Trabecular Metal Femoral Component Surgical Technique Introduction The Persona Trabecular Metal Femoral Component is designed to unite stable
More informationLCP Olecranon Plate. The anatomical fixation system with angular stability for olecranon and proximal ulnar fractures.
LCP Olecranon Plate. The anatomical fixation system with angular stability for olecranon and proximal ulnar fractures. Surgical Technique This publication is not intended for distribution in the USA. Instruments
More informationDRAFT. Triathlon TS Knee System. Surgical Protocol. Version 1
DRAFT Version 1 Triathlon TS Knee System Table of Contents Acknowledgments..........................................................2 Tibial Canal Preparation....................................................4
More informationTRIGEN INTERTAN Intertrochanteric Antegrade Nail Surgical Technique. Table of Contents
Surgical Technique TRIGEN INTERTAN Intertrochanteric Antegrade Nail Surgical Technique As described by: Andreas H. Ruecker, MD Thomas A. Russell, MD Roy W. Sanders, MD Paul Tornetta, MD Table of Contents
More informationM/DN Femoral Interlocking & Recon Nail Intramedullary Fixation Surgical Technique
M/DN Femoral Interlocking & Recon Nail Intramedullary Fixation Surgical Technique M/DN Femoral Interlocking & Recon Nail Intramedullary Fixation 1 Surgical Techniques for Fixation of Femoral Fractures
More informationRegular C/X Prosthetics. Prosthetics
Regular C/X Prosthetics /X C/ Prosthetics ANKYLOS C/X Prosthetics For more than 20 years, the ANKYLOS system developed by Prof. Dr. G.-H. Nentwig and Dr. Dipl.-Ing. Walter Moser with its TissueCare Connection
More informationSyndesmosis Injuries
Syndesmosis Injuries Dr. Alex Rabinovich Outline Anatomy Injury types and classification Treatment options Nonoperative vs. Operative Indications for operative Operative technique Postoperative management
More informationTechnique Guide. Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures.
Technique Guide Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures. Table of Contents Introduction Titanium Trochanteric Fixation Nail System 2 Biomechanical
More informationZimmer NexGen CR-Flex and LPS-Flex Knees. Surgical Technique with Posterior Referencing Instrumentation
Zimmer NexGen CR-Flex and LPS-Flex Knees Surgical Technique with Posterior Referencing Instrumentation INTRO Zimmer NexGen CR-Flex and LPS-Flex Knees Surgical Technique with Posterior Referencing Instrumentation
More informationComprehensive Reverse Shoulder System
Comprehensive Reverse Shoulder System Surgical Technique Knees Hips Extremities Cement and Accessories PMI Trauma Technology One Surgeon. One Patient. Over 1 million times per year, Biomet helps one surgeon
More informationExpert LFN. Lateral Femoral Nail.
Expert LFN. Lateral Femoral Nail. Surgical Technique EXPERT Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image intensifier
More informationExpert TN. Tibial Nail.
Expert TN. Tibial Nail. Surgical Technique Expert Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image intensifier
More informationANTERIOR CERVICAL DISCECTOMY AND FUSION. Basic Anatomical Landmarks: Anterior Cervical Spine
Anterior In the human anatomy, referring to the front surface of the body or position of one structure relative to another Cervical Relating to the neck, in the spine relating to the first seven vertebrae
More informationPATIENT SPECIFIC PLATES FOR MANDIBLE: CUSTOM MADE PLATES FOR TRAUMA AND RECONSTRUCTION
PATIENT SPECIFIC PLATES FOR MANDIBLE: CUSTOM MADE PLATES FOR TRAUMA AND RECONSTRUCTION Derived from patient CT Data Customizable design features Strength with low profile This publication is not intended
More informationACL Reconstruction with Bone-Tendon-Bone Transplants Using the ENDOBUTTON CL BTB Fixation System
Knee Series Technique Guide ACL Reconstruction with Bone-Tendon-Bone Transplants Using the ENDOBUTTON CL BTB Fixation System Stuart Fromm, M.D. As described by: Stuart Fromm, M.D. Black Hills Orthopedic
More informationHigh-Flex Solutions for the MIS Era. Zimmer Unicompartmental High Flex Knee System
High-Flex Solutions for the MIS Era Zimmer Unicompartmental High Flex Knee System Zimmer Unicompartmental High Flex Knee Built On Success In today s health care environment, meeting patient demands means
More informationAnteromedial ACL Reconstruction Surgical Technique for Soft Tissue Grafts
Anteromedial ACL Reconstruction Surgical Technique for Soft Tissue Grafts Advancing ACL Reconstruction with implant absorption and ossification of the Implant site 2,3,5 The MILAGRO BR Interference Screw
More informationZimmer Persona Adverse Events Reported to FDA Through 3/27/2015
Event Description: IT IS REPORTED THAT THE PATIENT WAS REVISED DUE TO GROSS ASEPTIC LOOSENING. Manufacturer 1822565-2015- 00224 PERSONA STEMMED CEMENTED TIBIAL COMPONENT 2/23/15 1/21/15 Injury Narrative:
More informationTechnique Guide. Reamer/Irrigator/Aspirator (RIA). For intramedullary reaming and bone harvesting.
Technique Guide Reamer/Irrigator/Aspirator (RIA). For intramedullary reaming and bone harvesting. Table of Contents Introduction Reamer/ Irrigator/ Aspirator (RIA) 2 Indications 4 Surgical Technique Preparation
More informationZimmer MOST Options System
Zimmer MOST Options System Surgical Technique Modular Options for Severe Bone Loss and Trauma Zimmer MOST Options System Surgical Technique 1 MOST Options System Surgical Technique Table of Contents Introduction
More informationStandard Internal Hex
Standard Internal Hex Touareg TM -OS Touareg TM -S Swell TM Touareg -S Touareg -OS Swell About ADIN Adin Dental Implant Systems Ltd., designs, manufactures and markets state of the art, technologically
More informationZimmer NexGen LCCK. Surgical Technique for use with LCCK 4-in-1 Instrumentation. Contact your Zimmer representative or visit us at www.zimmer.
Zimmer NexGen LCCK Surgical Technique for use with LCCK 4-in-1 Instrumentation DISCLAIMER: This documentation is intended exclusively for physicians and is not intended for laypersons. Information on the
More informationZimmer PSI Knee System For Use with the NexGen Complete Knee System Surgical Technique
Zimmer PSI Knee System For Use with the NexGen Complete Knee System Surgical Technique TOC Zimmer PSI Knee Surgical Technique Zimmer PSI Knee Surgical Technique Table of Contents Intra-Operative Guide
More informationZimmer M/L Taper Hip Prosthesis with Kinectiv Technology. Surgical Technique
Zimmer M/L Taper Hip Prosthesis with Kinectiv Technology Surgical Technique Zimmer M/L Taper Hip Prosthesis with Kinectiv Technology 1 Zimmer M/L Taper Hip Prosthesis with Kinectiv Technology Surgical
More informationDouble Bone Plug Meniscus Reconstruction Surgical Technique
Double Bone Plug Meniscus Reconstruction Surgical Technique Double Bone Plug Meniscus Low Profile Reamer 2-0 FiberWire Meniscus Repair Needles Collared Pin & Coring Reamer Set RetroConstruction Drill Guide
More informationMEDACTA UNCONSTRAINED SCREW TECHNOLOGY. Surgical Technique. Hip Knee Spine Navigation
.U.S.T. MEDACTA UNCONSTRAINED SCREW TECHNOLOGY Hip Knee Spine Navigation M.U.S.T. Hip Knee Spine Navigation CAUTION Federal law (USA) restricts this device to sale distrribution and use by or on the order
More informationKnifeLight. Carpal Tunnel Ligament Release. Operative Technique
KnifeLight Carpal Tunnel Ligament Release Operative Technique Contents Page 1. Features & Benefits 3 Intended Use and Indications 3 Contraindications 3 Features & Benefits 3 2. Operative Technique 4 Antegrade
More information