SPEED TM Hand & Wrist System. Procedure Manual
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1 SPEED TM Hand & Wrist System Procedure Manual
2 Table of Contents Limited intercarpal joint arthrodesis (including isolated capitolunate, 3 two-column and four-corner fusions) Thumb carpometacarpal (CMC) joint arthrodesis 4 Other carpometacarpal (CMC) joint arthrodesis 5 Thumb metacarpal extension osteotomy 6 Thumb metacarpophalangeal (MCP) joint arthrodesis 7 Radiolunate (RL) or radioscapholunate (RSL) joint arthrodesis 8 Lunotriquetral (LT) joint arthrodesis 9 Capitate shortening 10 Scaphoid fracture repair primary/revision, with or without graft 11 Scaphotrapeziotrapezoid (STT) arthrodesis 12 System Profile 13 DePuy Synthes BME Foot Procedure Manual
3 Limited Intercarpal Joint Arthrodesis (including isolated capitolunate, two-column and four-corner fusions) Fusion of one or more of the carpal joints. One implant per joint placed dorsally. For capitolunate fusions, two implants may be placed side-by-side. 15x15 BME Foot Procedure Manual DePuy Synthes 3
4 Thumb Carpometacarpal (CMC) Joint Arthrodesis Fusion of the trapezium and first metacarpal bones. Two implants placed radially along the carpometacarpal joint. Implants may be placed palmarly or dorsally. 4 DePuy Synthes BME Foot Procedure Manual
5 Other Carpometacarpal (CMC) Joint Arthrodesis Fusion of the 2nd, 3rd, 4th, or 5th metacarpal with its adjacent carpal bone. One or two implants placed dorsally along the carpometacarpal joint. BME Foot Procedure Manual DePuy Synthes 5
6 Thumb Metacarpal Extension Osteotomy Fixation of a radially based closing wedge osteotomy of the base of the first metacarpal. Two implants placed radially and parallel to the first metacarpal bone and perpendicular to the osteotomy. Implants may be placed more palmarly and dorsally at 90 degrees to each other. 6 DePuy Synthes BME Foot Procedure Manual
7 Thumb Metacarpophalangeal (MCP) Joint Arthrodesis Fusion of the proximal segment of the first phalange to the first metacarpal. Two implants placed radially along the metacarpophalangeal joint. Implants may be placed more palmarly and dorsally at 90 degrees to each other. BME Foot Procedure Manual DePuy Synthes 7
8 Radiolunate (RL) or Radioscapholunate (RSL) Joint Arthrodesis Fusion of the radius to the lunate bone (RL) or fusion of the radius to the lunate and scaphoid bones. One to two implants placed dorsally along the radiolunate joint. Repeat for the radioscaphoid joint if performing an RSL fusion. 15x15* 18x15* 18x18x15* 18x18* 20x15* *Equivalent SPEEDTITAN Implants may be used. 8 DePuy Synthes BME Foot Procedure Manual
9 Lunotriquetral (LT) Joint Arthrodesis Fusion of the lunate and triquetrum bones. Fixation is achieved with one implant placed dorsally along the lunotriquetral joint. Angulating the implant slightly more distally than proximally prevents dorsal radial impingement. BME Foot Procedure Manual DePuy Synthes 9
10 Capitate Shortening Shortening of the capitate performed in the treatment of Kienbock s disease (avaluscular necrosis of the lunate). One implant placed dorsally parallel to the long axis of the capitate and perpendicular to the osteotomy. 11 DePuy Synthes BME Foot Procedure Manual
11 Scaphoid Fracture Repair Primary/ Revision, with or without graft Fixation of transverse fractures along the waist of the scaphoid. Using a volar approach, one implant placed parallel to the long axis of the scaphoid and perpendicular to the fracture. BME Foot Procedure Manual DePuy Synthes 11
12 Scaphotrapeziotrapezoid (STT) Arthrodesis Arthrodesis of the scaphoid, trapezium and trapezoid bones. Fixation is achieved with two implants. The first placed radially along the scaphotrapezium joint and the second dorsally along the scaphotrapezoid joint. 11 DePuy Synthes BME Foot Procedure Manual
13 SPEED Hand & Wrist Implant System Implant Kit Bridge* Legs* Wire Size* Max Closure* SE x SE x Leg Bridge Leg SE x SE x SPEED Diagram SE /13 1.5x SE x SE x SE x SE /13 1.5x SE x Constrained in the open position SE x Corresponding Drill Kit Part Number Drill Bit Size Drilling Templates* Locator Pins Tamp K-wires DK-200HW 2.0 mm 09,11,13,15 2 x LP-200 TP in. Bi-cortical compression when released Additional sizes available. Ask your Sales Representative for more information. *Sizes In millimeters. BME Foot Procedure Manual DePuy Synthes 11
14 BioMedical Enterprises, Inc Omicron Dr., Ste. 205 San Antonio, Texas USA EC REP Emergo Europe Molenstraat BH The Hague The Netherlands Synthes GmbH Eimattstrasse Oberdorf Switzerland Tel: Fax: Not all products are currently available in all markets. This publication is not intended for distribution in the USA. All surgical techniques are available as PDF files at DePuy Synthes Trauma, a division of Synthes GmbH All rights reserved. DSEM/TRM/0317/ /17
TABLE OF CONTENTS. Limited intercarpal joint arthrodesis (including isolated capitolunate, two-column and four-corner fusions)
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