MouseScrew. Surgical technique guide. i. Implants i. Systems 1. Surgical material 2. Surgical approach 3. Application 4. Finishing

Transcription

1 Surgical technique guide i. Implants i. Systems 1. Surgical material 2. Surgical approach 3. Application 4. Finishing

2 i Intramedullary Fixation Stabilization of a closed fracture of the Femur with a intramedullary tension screw. MouseScrew i. Implants Technology The MouseScrew system is an intramedullary lag screw made of medical grade stainless steel (316L). This model available in one standard size and designed to stabilize a closed midshaft fracture of the femur generated by drop weight technique as described by Einhorn et al.. The drive shaft for insertion of the MouseScrew is an integral component of the implant design and shears of when sufficient torque is achieved. A four flanche head remains on the MouseScrew for removal. For a guided application a 0.20 mm guide wire is available which can be inserted to the tip of the MouseScrew. MouseScrew

3 i. Systems The MouseScrew system can cover simple midshaft fractures. MouseScrew applied to femur with midshaft fracture

4 1. Surgical material Implants: - 1x MouseScrew with front hole RIS MouseScrew, length mm, with front hole Implant specific instruments: - 1x 0.20 mm guide wire Instruments: - 4x hand drills - 1x Accu Pen 3V Consumables: - 1x 0.50 mm centering bit - 1x Vicryl suture Skin glue (Epiglue) / Vicryl suture x Ethibond Vicryl suture 6-0 RIS Guide wire 0.20 mm RIS Hand drill RIS centering bit 0.50 mm RIS AccuPen 3V

5 2. Surgical approach Positioning Mouse in dorsal position.

6 2. Surgical approach Approach The knee is bent according to illustration.

7 2. Surgical approach Approach Longitudinal incision along the medial side of the patella from the distal third of the thigh to the proximal third of the lower leg.

8 2. Surgical approach Approach Longitudinal incision along the medial side of the patellar tendon.

9 2. Surgical approach Approach Lateral dislocation of the patella to expose the knee joint.

10 2. Surgical approach Approach Position of the intercondylary entry point of the femur. X

11 3. Application Opening of the epycondyle Use the 0.5 mm centring bit to drill a hole into the intercondylar notch. According the illustration start drilling with a 45 offset to the axis of the femur and continuously decrease the angle to 0 offset (parallel with the bone axis). Make sure not to exceed 1.00 mm in depth for the drill hole! Verify the orientation of the longitudinal axis and keep the centering bit right between the two condyles of the medullary cavity and parallel to the bone axis.

12 3. Application Proximal opening of the femur Apply the 0.20 mm guide wire to the 27G needle (length > 19mm) and open the femur at its proximal end. Remove the 27G needle tip and make sure to keep the guide wire in Place. It will stay in the femur until the fracture is initiated! Accomplishing the fracture Create a defined fracture by using the guillotine.

13 3. Application Insertion Connect the MouseScrew to the 0.20 mm guide wire and insert it into the femur under continous pressure und clockwise rotation.

14 4. Finishing Wound closure Use Ethibond vicryl suture 6-0 on the patellar tendon and the fascia lata.

15 5. Finishing Wound closure Skin suture with Ethibond vicryl suture 6-0. To avoid wound biting it is also possible to use skin glue instead of a suture.

16 Hazards and legal restrictions Scientific editor: Illustrations: Design and layout: In collaboration with: Hazards Great care has been taken to maintain the accuracy of the information contained in this publication. However, the publisher, and/or the distributor, and/or the editors, and/or the authors cannot be held responsible for errors or any consequences arising from the use of the information contained in this publication. Contributions published under the name of individual authors are statements and opinions solely of said authors and not of the publisher, and/or the distributor, and/or the RISystem Group. The products, procedures, and therapies described in this work are hazardous and are therefore only to be applied by certified and traine medical professionals in environments specially designed for such procedures. Moritz Klein, Germany; Jörg Holstein, Germany Sandra Wissing, Switzerland Romano Matthys, Switzerland University of Saarland, Germany Trauma, Hand and reconstructive Surgery Director: Tim Pohlemann No suggested test or procedure should be carried out unless, in the user s professional judgment, its risk is justified. Whoever applies products, procedures, and therapies shown or described in this work will do this at their own risk. Because of rapid advances in the medical sciences, RISystem recommends that independent verification of diagnosis, therapies, drugs, dosages, and operation methods should be made before any action is taken. Although all advertising material which may be inserted into the work is expected to conform to ethical (medical) standards, inclusion in this publication does not constitute a guarantee or endorsement by the publisher regarding quality or value of such product or of the claims made of it by its manufacturer. RISystem AG Talstrasse 42d 7270 Davos Switzerland info@risystem.com