BME. Foot. Procedure Manual
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1 BME Foot Procedure Manual
2 Table of Contents Hallux Interphalangeal (IP) Joint Arthrodesis 3 Akin Osteotomy 4 First Metatarsophalangeal (MTP) Joint Arthrodesis 5 Chevron Osteotomy/Bunionectomy of the Distal First Metatarsal 6 Crescentic or Closing Wedge Basal Osteotomy of the First Metatarsal 7 First Metatarsocuneiform Joint Arthrodesis or Lapidus Procedure 8 Lisfranc Arthrodesis 9 Cotton Osteotomy 10 Naviculocuneiform (NC) Joint Arthrodesis 11 Talonavicular (TN) Joint Arthrodesis 12 Calcaneocuboid (CC) Joint Arthrodesis 13 Evans Osteotomy 14 Dwyer Osteotomy 15 Medial Calcaneal Displacement Osteotomy 16 Hammertoe Arthrodesis 17 System Profiles DePuy Synthes BME Foot Procedure Manual
3 Hallux Interphalangeal (IP) Joint Arthrodesis Fusion of the distal and proximal phalanges of the Hallux. Two identical SPEED Memory Implants with one placed in the dorsomedial position and one placed in the dorsolateral position. SPEED 09x07 09x10 11x08 11x10 13x08 13x10 15x10 BME Foot Procedure Manual DePuy Synthes 3
4 Akin Osteotomy Medial closing wedge osteotomy of the proximal phalange of the Hallux. One implant placed in the medial, dorsal, or dorsomedial positions. If placement is dorsal or mid shaft medial, use a SPEED Memory Implant. If placement is proximal or distal medially along the proximal or distal metaphyseal flare, use a SPEEDARC Memory Implant. If the lateral hinge is compromised, consider using two implants staggered perpendicular to each other. SPEED SPEEDARC 09x10 09x12x10 11x10 11x12x10 11x15x12 11x15x12 13x10 13x12 13x15x13 2 DePuy Synthes BME Foot Procedure Manual
5 First Metatarsophalangeal (MTP) Joint Arthrodesis Fusion of the proximal phalange of the Hallux and the head of the first metatarsal. Two SPEED or SPEEDTITAN Memory Implants with one placed in the dorsomedial position and one in the medial position (stagger implants as needed). Alternatively, one can be placed in the dorsomedial position and the other placed in the dorsolateral position. SPEED or SPEEDTITAN 15x15 18x15 x15 20x15 BME Foot Procedure Manual DePuy Synthes 1
6 Chevron Osteotomy/Bunionectomy of the Distal First Metatarsal Distal first metatarsal head chevron osteotomy with lateral translation of the distal fragment. One SPEEDTRIAD Memory Implant placed in the medial position. The SPEEDTRIAD Memory Implant may be placed in the dorsal position, except for long-arm dorsal or plantar osteotomies. SPEEDTRIAD 18x15x08 TRC 18x15x08 TRL 18x15x08 TRR 20x15x08 TRC 20x15x08 TRL 20x15x08 TRR 6 DePuy Synthes BME Foot Procedure Manual
7 Crescentic or Closing Wedge Basal Osteotomy of the First Metatarsal Closing lateral wedge osteotomy near the base of the first metatarsal. One or two SPEED or SPEEDTITAN Memory Implants placed in the dorsal lateral and lateral positions. SPEED or SPEEDTITAN 15x15 18x15 x15 20x15 BME Foot Procedure Manual DePuy Synthes 7
8 First Metatarsocuneiform Joint Arthrodesis or Lapidus Procedure Fusion of the base of the first metatarsal to the first cuneiform with or without angular resections. Two BME ELITE or SPEEDTITAN Memory Implants (or a combination of both) with one implant placed in the dorsal position and the second implant placed in the dorsomedial or medial position. Dorsal Implant: Medial Implant: BME ELITE BME ELITE 25x20 SPEEDTITAN 30x20 18x13 SPEEDTITAN x15 20x15 25x20 25x20 1 DePuy Synthes BME Foot Procedure Manual
9 Lisfranc Arthrodesis Fusion of one or more lesser metarsocuneiform joints. One SPEEDTITAN or BME ELITE Memory Implant placed in the dorsal position. BME ELITE SPEEDTITAN 15x15 15x15 18x15 x15 20x15 BME Foot Procedure Manual DePuy Synthes 9
10 Cotton Osteotomy Dorsal opening wedge osteotomy of the first cuneiform bone. One SPEED or SPEEDTITAN Memory Implant placed dorsally. SPEED or SPEEDTITAN: 18x15 x15 12 DePuy Synthes BME Foot Procedure Manual
11 Naviculocuneiform (NC) Joint Arthrodesis Fusion of the navicular bone to the first cuneiform. One or two BME ELITE or SPEEDTITAN Memory Implants placed in the dorsomedial to medial positions. BME ELITE SPEEDTITAN 15x15 15x15 18x15 x15 20x15 BME Foot Procedure Manual DePuy Synthes 11
12 Talonavicular (TN) Joint Arthrodesis Fusion of the navicular bone to the talus. Two BME ELITE or SPEEDTITAN Memory Implants placed in the dorsomedial position. BME ELITE SPEEDTITAN 15x15 18x15 x15 25x20 20x15 25x20 12 DePuy Synthes BME Foot Procedure Manual
13 Calcaneocuboid (CC) Joint Arthrodesis Fusion of the calcaneus to the cuboid. Two BME ELITE or SPEEDTITAN Memory Implants, one is placed in the dorsolateral position and one is placed in the lateral position. BME ELITE SPEEDTITAN 18x15 x15 25x20 30x20 20x15 25x20 BME Foot Procedure Manual DePuy Synthes 13
14 Evans Osteotomy Lateral opening wedge osteotomy of the calcaneus performed just behind the calcaneocuboid joint. One SPEED or SPEEDTITAN Memory Implant placed in the lateral position. SPEED or SPEEDTITAN 18x15 x15 20x15 12 DePuy Synthes BME Foot Procedure Manual
15 Dwyer Osteotomy Lateral closing wedge osteotomy of the calcaneus. Two BME ELITE or SPEEDTITAN Memory Implants placed in the lateral position. BME ELITE SPEEDTITAN 20x15 BME Foot Procedure Manual DePuy Synthes 11
16 Medial Calcaneal Displacement Osteotomy Osteotomy of the calcaneus where the posterior fragment is shifted medially. Two SPEEDSHIFT Memory Implants placed laterally approximately 1 cm apart. SPEEDSHIFT 15x x x DePuy Synthes BME Foot Procedure Manual
17 Hammertoe Arthrodesis Fusion of the proximal and middle phalange of the lesser toes. One intramedullary HAMMERLOCK 2 Memory Implant. HAMMERLOCK All sizes BME Foot Procedure Manual DePuy Synthes 17
18 Speed Implant System Implant Kit Bridge* Legs* Wire Size* Drill Kit Corresponding Drill Kit Part Number Drill Bit Size Drill Guide Handle Locator Pins Tamp SE x1.5 DK-200 SE x1.5 DK-200 SE x1.5 DK-200 DK mm Included Included Included DK mm Included Included Included DK-200HW 2.00 mm Included Included Included SE /13 1.5x1.5 DK-200 SE x1.5 DK-200 SE /13 1.5x1.5 DK-200 SE x1.5 DK-200 Ancillary Tools Part Number SE x2 DK-265 SE x2 DK-265 SE /15 2x2 DK-265 SG-1 Continuous Compression Implant Sizing Guide SE x2 DK-265 SE x2 DK-265 Leg Bridge Leg SE x2 DK-265 SE x2 DK-265 SPEED Diagram Constrained in the open position Bi-cortical compression when released *Sizes In millimeters. Drilling templates provided. 11 DePuy Synthes BME Foot Procedure Manual
19 SPEEDARC Implant System Implant Kit Bridge* Legs* Wire Size* Corresponding Drill Kit Part Number Drill Bit Size Drill Guide Handle Locator Pins Tamp SE A 9 12/10 1.3x1.5 DK mm Included Included Included SE A 11 12/10 1.3x1.5 SE A 11 15/12 1.3x1.5 Ancillary Tools Part Number SG-3 SPEEDARC Implant Sizing Guide SE A 09x12x10 mm SE A 11x12x10 mm SE A 11x15x12 mm *Sizes In millimeters. BME Foot Procedure Manual DePuy Synthes 19
20 SPEEDSHIFT Implant System Implant Kit Bridge* Legs* Offset* Wire Size* Corresponding Drill Kit Part Number Drill Bit Size Drill Guide Handle Locator Pins Tamp SE x2 DK-265-S 2.65 mm Included Included Included SE x2 SE x2 SE x2 SE x2 Ancillary Tools Part Number SE x2 SE x2 SE x2 SG-1 OT-1 Continuous Compression Implant Sizing Guide Offset Sizing Tool *Sizes In millimeters. 22 DePuy Synthes BME Foot Procedure Manual
21 SPEEDTITAN Implant System Implant Kit Bridge A* Legs B* Corresponding Drill Kit Part Number Drill Bit Size Drill Guide Handle Locator Pins Tamp SE-1515TI DK-265-S 2.65 mm Included Included Included SE-1815TI SE TI 18 18/15 SE-1818TI SE-2015TI Ancillary Tools Part Number SE-2020TI SE-2520TI SG-1 Continuous Compression Implant Sizing Guide A Wire Bridge 3.5* 1.85* Low Profile B 1.8* Narrow Legs *Sizes In millimeters. BME Foot Procedure Manual DePuy Synthes 22
22 SPEEDTRIAD Implant System Implant Kit Bridge Length* Leg Length* Bridge Width* Distal Legs SE TRC Centered SE TRL Left Offset SE TRR Right Offset SE TRC Centered SE TRL Left Offset SE TRR Right Offset Corresponding Drill Kit Part Number Drill Bit Size Drill Guide Handle Locator Pins Tamp Right Offset Center Offset Left offset DK-200T 2.0 mm Included Included Included Ancillary Tools Part Number SG-2 SPEEDTRIAD Sizing Guide *Sizes In millimeters. 22 DePuy Synthes BME Foot Procedure Manual
23 HAMMERLOCK 2 Implant System Angle Size Catalog No A* B* C* D* E* F* Corresponding Drill Kit Part Number Drill Bit Size 0 Small HL2S Medium HL2M Large HL2L DK-H mm 10 Small HL2SA MEDIUM HL2MA LARGE HL2LA Ancillary Tools Part Number Name HSPL01 HAMMERSPLINT Shape when activated *All sizes in millimeters describing implants in activated states. *X-ray template A may be used to determine implant size. BME Foot Procedure Manual DePuy Synthes 23
24 BME ELITE Implant System Implant Kit Bridge* Legs* No. Of Legs* Max. Closure* EL-1515S Wide Bridge Leg Configuration Low Profile 1.5 EL-1818S EL-2020S EL-2520S EL-3020S Corresponding Drill/Template Kits Part Number Drill Bit Size Drilling Templates* Locator Pins Tamp K-Wires DK mm 4 x LP-300 EL-TAMP 4 x in. EL-DTS 15,18,20,25, Narrow Legs Wide Bridge Leg Configuration Low Profile 1.5 EL-1818S2 EL-2020S2 EL-2520S4 EL-3020S4 2.5 Narrow Legs All sizes in millimeters *Sizes in millimeters. 22 DePuy Synthes BME Foot Procedure Manual
25 Notes: BME Foot Procedure Manual DePuy Synthes 22
26 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
TABLE OF CONTENTS 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18-24 Hallux Interphalangeal (IP) Joint Arthrodesis Akin Osteotomy First Metatarsophalangeal (MTP) Joint Arthrodesis Chevron Osteotomy/ Bunionectomy
PRODUCT CATALOG SPEED SPEEDSHIFT SPEEDARC SPEEDTITAN SPEEDTRIAD HAMMERLOCK 2 BME ELITE
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