Proximal Humerus surgical technique
|
|
- Edgar Randall
- 6 years ago
- Views:
Transcription
1 Proximal Humerus surgical technique
2
3 Proximal Humerus surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann, and Prof. Dr. G. Gosheger, Clinic and Polyclinic for General Orthopedics at the University Hospital of Münster, Germany. MUTARS has been in successful clinical use since 1992 Table of Contents Table of Contents...1 Information about the Silver Coating...2 System overview...3 Assembling options/reconstruction length...4 Surgical technique...5 Implants...13 Instruments...14 Nota Bene: The described surgical technique is the suggested treatment for the uncomplicated procedure. In the final analysis the preferred treatment is that which addresses the needs of the individual patient. Copyright note: MUTARS, implavit and implatan are registered trademarks of implantcast GmbH. The use and copy of the content of this brochure are only allowed with prior permit given by the implantcast GmbH. 1
4 The Silver coating Early and late infections represent the most severe complications of tumour arthroplastic treatments. Although local and systemic antibiotic treatments are considered, the scientific literature reports of infection rates from 5 to 35 percent. Reasons for these high rates are, for example, the long surgery time, the large incisions, the immunosupression due to chemo therapy and radio therapy as well as the increasing resistance of the bacteria against antibiotic drugs. The anti-infective effect of silver ions has been known for centuries i.e. the disinfection of potable water is based on this principle. This special property of silver is used for the silver coated components of MUTARS to build an intelligent protection against bacteria. Until now only non-articulating surfaces and surfaces without direct bony contact are coated with silver. In the catalogue information of this brochure you can find the supplement *S indicating which MUTARS components are available in a silver coated version. The eight digit REF number receives an addition after the last digit (e.g S). It is not permitted to flush the wound with antiseptics that contain Iodine or heavy metals (such as Betaisodona ) Iodine and Silver form insoluble salt complexes not only with the silver ions that are released postoperatively but also with the silver layer of the implant that will be covered with an insoluble silveriodine (AgI) film. This will destroy the anti-adhesive protective layer irreversibly. Iodine or heavy metal based antiseptics may not be used at any time. Alternatively solutions containing H 2 O 2 (like Lavasept, Prontosan or similar) can be used. The silver coating can be destroyed in its function by two factors: large amounts of albumin from seroma or hematoma can bind larger amounts of silver (1 mol Albumin inactivates 3 moles Silver ions). This should be minimized by using an attachment tube. In the instance that an infection is known pre-operatively, antibiotics like Vancomycin can be mixed with the bone cement. The intramedullary stems are not silver coated and cemented components are preferred in case of a septic revision. The TiN coating for allergy prophylaxis As the metallic components of total knee replacements, the articulating metallic parts of the MUTARS system are made of casted CoCrMo alloy. In the late 70 s and 80 s of the last century, some of the Cobalt Chromium implants had a small Nickel content to add strength to the implant. Nickel is the primary cause for metal sensitivity, although some patients have shown to be hypersensitive to other metals such as Cobalt and Chromium. The use of titanium components can t solve this problem, because the wear of the articulating polyethylene inlays will increase and so the survival time of the prosthesis is reduced. Since the end of the 1990 s TiN (Titanium Nitride coating) has been successfully applied to protect the body against metal ions that could cause allergic reactions. The metal ion release of TiN coated or TiNbN coated implants is reduced down to 10%. 1 In order to prevent allergic reactions, certain parts of the prosthesis may be supplied with a ceramic coating (TiN). Since almost all components of the tumor system consist of titanium alloy, this only concerns those components, which are made of a cast CoCr alloy (CoCrMo). The REF-numbers of the TiN coated implants have the suffix N after the last digit (e.g N). *S: For anti-infective treatment, silver coated implants are available. *N: For anti-allergic treatment, TiN coated implants are available. 1 Metal Ion Release from Non-Coated and Ceramic Coated Femoral Knee Components: Boil test 240h in NaCl-solution nach FMZ PhysWerk VA 97350, University Würzburg (D) (On File) 2
5 System Overview humerus cap small, medium, large reconstruction 160 mm humerus head humerus extension piece 20, 40, 60 mm reconstruction 60 mm humerus connecting part 80 mm 75 mm humerus stem 8, 9, 10, 11, 12, 13 mm cementless 8, 9, 10, 11, 12 mm cemented 3
6 MUTARS Proximal Humerus assembling options by using a MUTARS humerus cap medium (length in mm) components reconstruction head Extension piece/ connecting part 80 mm screw Note: Please notice that the amount of implants and instruments send with an individual shipment may differ from the information in the catalogue information of this brochure. Please make sure, during the preoperatively planning, that all necessary implants and instruments are available for the surgery. 4
7 Tumor resection Resect the tumour and measure the length of the explant. The minimum bone resection is 60mm. Humeral bone preparation Ream the medullary cavity with the medullary cavity reamer (fig. 1). Cementless use figure 1 Drill the medullary cavity with a humerus drill that is 1 mm smaller than the size of the preoperatively chosen humerus stem (fig. 2). Cemented use Drill the medullary cavity with a humerus drill that is 2 mm larger than the size of the preoperatively chosen humerus stem (fig. 2). figure 2 5
8 Rasping of the humeral cavity Assemble the humeral rasp of the appropriated size (see tables below), the extractor device, the humerus impactor and the sleeve. Lock the rasp on to the humerus impactor by using the counter wrench. Extractor device Remark The use of a humeral rasp for a cemented stem is optional. Generally you can proceed with the trial assembly. Use of cementless stems Use the humeral rasp (fig. 3), of the same size as the preoperatively chosen humerus stem (table 1). Humerus impactor Stem size 9mm 10mm 11mm 12mm 13mm table 1 Rasp size 9mm 10mm 11mm 12mm 13mm rasp Counter wrench Optional technique for the use of cemented stems If you want to prepare for a cemented stem with the humeral rasp, please use the rasp which is 2 mm larger than the preoperatively chosen cemented humerus stem (fig. 3). figure 3 That will provide a cement mantle of 1mm thickness (table 2). Stem size 8mm 9mm 10mm table 2 Rasp size 10mm 11mm 12mm 6
9 Rasp the medullary cavity with the chosen humeral rasp (fig. 4a and 4b). A carefully use of the mallet is recommended. Remark It is recommended to clean the rasp of bone chips during the rasping. Leave the humeral rasp in the bone for the trialing. figure 4a figure 4b 7
10 Trial reduction with trial components Mount the humerus trial head and the possibly used trial extension pieces (possible enlargement from 20 to 200 mm; see table page2) onto the top of the rasp (fig. 5a). Remark For the cemented procedure humeral rasps are usually not available. Please insert the cemented stem (without cement) for trialing purposes. Insert the trial bar screw of the correct length and lock it with the socket wrench (fig. 5b). figure 5a and 5b Put the humerus trial cap, which belongs to the size of the preoperative chosen humerus cap (small, medium or large) on the head (fig. 6). Perform a trial reduction and control the muscle tension. Remove the humerus trial cap, the humerus head and the humeral rasp when sufficient stability is achieved. figure 6 8
11 Implantation of the humerus stem Impact the MUTARS humerus stem (fig. 7). Insert the stem of the same size as the rasp if a cementless stem is used. It is possible to protect the humerus stem against rotation by the use of a 3,5 mm cortical screw. If a cemented implantation is planned, insert the cement and use the cemented stem which is 2 mm smaller than the previously used drill or rasp. Remove all instruments, especially during the cement hardening to prevent bending moments. figure 7 9
12 Implantation of the proximal components Combine the proximal implant components on the humerus stem. Lock the components in the correct rotational alignment with the bar screw of correct length (see table on page 2) by the use of the socket wrench small (fig. 8). Final trialing Use again the trial cap to control the muscle tension (fig. 9). figure 8a and 8b Remove the humerus trial cap when sufficient tension is achieved. figure 9 10
13 Final implant assembly Readjust the rotation if necessary and lock the screw of the correct length (see table on page 2). Use the MUTARS socket wrench small and secure the assembly with the counter instruments (fig. 10a). Lock the humerus safety screw in the same way (fig. 10b) Screw the chosen humerus cap on the humeral head. Tighten the humerus cap with the MUTARS wrench for cap/counter instrument and secure it with the wrench for humerus (fig. 11). figure 10a figure 10b figure 11 11
14 The use of the attachment tube Fasten the attachment tube. Fix the tube proximal first than distal. Pull the tube over the joint capsule and fix the tube to the capsule wall. Afterwards tighten the tube and fix it over and under the pads of the MUTARS components (fig. 12a and fig. 12b). Fix muscles and tendon tissues with sutures to the meshes of the tube (fig. 13a. and fig. 13b). figure 12a figure 12b figure 13a figure 13b 12
15 IMPLANTS *S: For anti-infective treatment, silver coated implants are available. *N: For anti-allergic treatment, TiN coated implants are available. MUTARS humerus cap mat.: implatan ; TiAl 6 V 4 acc. to DIN ISO 5832/3 with TiN-coating small medium large MUTARS humerus head *S mat.: implatan ; TiAl 6 V 4 according to DIN ISO 5832/ MUTARS humerus screw mat.: implatan ; TiAl 6 V 4 according to DIN ISO 5832/ M8x15 mm M8x35 mm M8x55 mm M8x75 mm MUTARS humerus stem cementless mat.: implatan ; TiAl 6 V 4 according to DIN ISO 5832/ mm mm mm mm mm mm MUTARS humerus stem cemented *N mat.: implatvit ; CoCrMo-casting alloy according to DIN ISO 5832/ mm mm mm mm mm special stem sizes are available on request. 13
16 IMPLANTS MUTARS humerus extension piece *S mat.: implatan ; TiAl 6 V 4 according to DIN ISO 5832/ mm mm mm MUTARS humerus connecting part *S mat.: implatan ; TiAl 6 V 4 according to DIN ISO 5832/ MUTARS Anbindungsschlauch Mat.: Polyethylenterephtalat mm mm INSTRUMENTS MUTARS humerus instrument tray MUTARS humerus trial component tray
17 INSTRUMENTS MUTARS extractor device MUTARS socket wrench small MUTARS medullary cavity reamer MUTARS humerus drill 7 mm mm mm mm mm mm MUTARS humeral rasp 9 mm mm mm mm mm MUTARS humerus impactor MUTARS humerus impact and extract sleeve MUTARS humerus wrench for cap/ counter instrument MUTARS wrench for humerus MUTARS humerus trial cap small medium large 15
18 INSTRUMENTS MUTARS humerus trial cap with taper small medium large MUTARS humerus trial head MUTARS humerus trial extension piece mm mm mm MUTARS humerus trial reducer mm mm MUTARS humerus trial connecting part 80 mm MUTARS humerus trial screw M8x15 mm M8x35 mm M8x55 mm M8x75 mm 16
19
20 Your local distributor: implantcast GmbH Lüneburger Schanze 26 D Buxtehude Germany phone: fax: internet: MUTD1OPE *+E1ICMUTD1OPE++* *+$$E1IC *
Proximal Humerus surgical technique
Proximal Humerus surgical technique Proximal Humerus surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann, and Prof. Dr. G. Gosheger, Clinic and Polyclinic for General
More informationDiaphyseal implant surgical technique
Diaphyseal implant surgical technique Diaphyseal implant surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann (former director) and Prof. Dr. G. Gosheger (director), Clinic
More informationDistal Humerus surgical technique
Distal Humerus surgical technique Distal Humerus surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann, and Prof. Dr. G. Gosheger, Clinic and Polyclinic for General Orthopedics
More informationProximal Femur surgical technique
Proximal Femur surgical technique Proximal Femur surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann (former director) and Prof. Dr. G. Gosheger (director), Clinic and
More informationRS Arthrodesis Implant surgical technique
RS Arthrodesis Implant surgical technique RS Arthrodesis implant surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann (former director) and Prof. Dr. G. Gosheger (director),
More informationDistal Humerus 30mm surgical technique
Distal Humerus 30mm surgical technique Distal Humerus 30mm surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann (former director) and Prof. Dr. G. Gosheger (director),
More informationTotal Knee surgical technique
Total Knee surgical technique Total Knee surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann and Prof. Dr. G. Gosheger, Clinic and Polyclinic for General Orthopedics at
More informationKRI M-O-M knee reconstruction implant surgical technique Femorotibial M-O-M coupling
knee reconstruction implant surgical technique Femorotibial M-O-M coupling knee reconstruction implant surgical technique Femorotibial M-O-M coupling MUTARS was developed in co-operation with Prof. Dr.
More informationDistal Femur M-O-M Surgical technique with RS stem
Distal Femur M-O-M Surgical technique with RS stem Distal Femur M-O-M Surgical technique with RS stem MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann (former director) and Prof. Dr.
More informationDistal Femur Xpand growing prosthesis surgical technique
Distal Femur Xpand growing prosthesis surgical technique Distal Femur Xpand growing prosthesis surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann (former director) and
More informationTotal Humerus surgical technique
Total Humerus surgical technique Total Humerus surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann, and Prof. Dr. G. Gosheger, Clinic and Polyclinic for General Orthopedics
More informationArthrodesis implant surgical technique
Arthrodesis implant surgical technique Arthrodesis implant surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann, and Prof. Dr. G. Gosheger, Clinic and Polyclinic for General
More informationLUMiC. Surgical Technique
LUMiC Surgical Technique LUMiC Surgical Technique LUMiC is developed in cooperation with Prof. Dr. A.H.M. Taminiau and Dr. P.D.S. Dijkstra, LUMC Leiden, The Netherlands. Table of contents Surgical Technique...5
More informationDistal Femur MK HD. Surgical Technique
Distal Femur MK HD Surgical Technique Distal Femur MK HD Surgical Technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann* (former director) and Prof. Dr. G. Gosheger (director), Clinic
More informationrevision hip system ES surgical technique
revision hip system ES surgical technique revision hip system ES surgical technique (Easy System) MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann, and Prof. Dr. G. Gosheger, Clinic and
More informationKRI MK HD. Surgical Technique
KRI MK HD Surgical Technique KRI MK HD Surgical Technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann* (former director) and Prof. Dr. G. Gosheger (director), Clinic and Polyclinic
More informationsurgical technique shoulder resurfacing
surgical technique shoulder resurfacing The CAPICA shoulder system was developed in cooperation with Prof. Dr. med. Dr. h.c. J. Jerosch, Johanna-Etienne-Krankenhaus, Neuss. Table of contents DESIGN FEATURES
More informationDistal Femur surgical technique
Distal Femur surgical technique Distal Femur surgical technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann and Prof. Dr. G. Gosheger, Clinic and Polyclinic for General Orthopedics
More informationProximal Tibia Surgical Technique
Proximal Tibia Surgical Technique Proximal Tibia Surgical Technique MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann and Prof. Dr. G. Gosheger, Clinic and Polyclinic for General Orthopedics
More informationRevision Knee System Surgical Technique
Revision Knee System Surgical Technique Revision Knee System Surgical Technique MUTARS was developed in cooperation with Prof. Dr. W. Winkelmann and Prof. Dr. G. Gosheger, Clinic and Polyclinic for General
More informationTotal Femur M-O-M surgical technique Femorotibial M-O-M coupling
Total Femur M-O-M surgical technique Femorotibial M-O-M coupling Total Femur M-O-M surgical technique Femorotibial M-O-M coupling MUTARS was developed in co-operation with Prof. Dr. W. Winkelmann and
More informationcopyright information: MUTARS, Aida, ACS, AJS, Bicana BethaLoc, Capica, CarpoFit, Cepthar, CCI, DiaLoc, EcoFit, GenuX, GIS, LOAD SHIFT, LUMiC,
Product Portfolio copyright information: MUTARS, Aida, ACS, AJS, Bicana BethaLoc, Capica, CarpoFit, Cepthar, CCI, DiaLoc, EcoFit, GenuX, GIS, LOAD SHIFT, LUMiC, implavit, implafix, implacross and implatan
More informationtotal ankle system Surgical Technique
total ankle system Surgical Technique total ankle system The TAR ankle system was developed in collaboration with Prof. Dr. Stefan Rehart, Frankfurt, Prof. Dr. Bernd Fink, Markgröningen and Dr. Stephan
More informationThe Modular Knee System GenuX MK Revision Knee
The Modular Knee System GenuX MK Revision Knee Surgical Technique GenuX MK Revision Knee Surgical Technique Table of content Preoperative Planning...5 System Overview...6 Compatibility Matrix...7 Surgical
More informationCarpoFit the trapeziometacarpal joint system
CarpoFit the trapeziometacarpal joint system Surgical Technique CarpoFit the trapeziometacarpal joint system The CarpoFit trapeziometacarpal joint system was developed in cooperation with Prof. Dr. med
More informationThe short stem hip system Surgical Technique
The short stem hip system Surgical Technique The short stem hip system cementless The Aida hip system was developed in co-operation with the Aida inventors group, founded by surgeons of 10 surgical department
More informationsurgical technique shoulder resurfacing of the humeral joint
surgical technique shoulder resurfacing of the humeral joint The CAPICA shoulder system was developed in cooperation with Prof. Dr. med. Dr. h.c. J. Jerosch, Johanna-Etienne-Krankenhaus, Neuss. Table
More informationModular Universal Tumor and Revision System
Modular Universal Tumor and Revision System copyright information: MUTARS, Aida, ACS, AJS, Bicana BethaLoc, Capica, CarpoFit, Cepthar, CCI, DiaLoc, EcoFit, GenuX, GIS, LOAD SHIFT, LUMiC, MetaLic,Polaric,
More informationSurgical Technique Revision with ACS SC
Surgical Technique Revision with ACS SC Table of contents Chapter page Design characteristics 1 ACS SC System overview 2 Surgical approach 3 Tibial alignment 4 Tibial resection 6 Femoral stem preparation
More informationSurgical Technique Primary Treatment Tibial Cut First ASIA
Surgical Technique Primary Treatment Tibial Cut First ASIA Table of Contents Chapter Page Design features 1 ACS system overview 2 Surgical approach 3 Tibial alignment 3 Tibial resection 6 Femoral sizing
More informationoperative technique Kent Hip
operative technique Kent Hip The Kent Hip Operative Technique The Kent Hip was developed by Mr Cliff Stossel, FRCS in Maidstone, Kent, UK and first implanted in 1986. It was designed to deal with problems
More informationacs knee system advanced coated system surgical technique ACS Uni unicondylar knee replacement Tibia Cut First
acs knee system advanced coated system surgical technique ACS Uni unicondylar knee replacement Tibia Cut First Table of contents Page Introduction 2 ACS Uni system overview 3 Pre-operative planning 4
More informationTechnique Guide. Epoca Revision Instrument Set. For extraction and revision of Epoca shoulder implants.
Technique Guide Epoca Revision Instrument Set. For extraction and revision of Epoca shoulder implants. Table of Contents Introduction Epoca Revision Instrument Set 2 Implantation of a Long or Extra-long
More informationTHE NATURAL FIT. Surgical Technique. Hip Knee Spine Navigation
THE NATURAL FIT Surgical Technique Hip Knee Spine Navigation MiniMAX Surgical Technique Hip Knee Spine Navigation INTRODUCTION The MiniMAX TM is a cementless anatomic stem available in 9 right sizes and
More informationAnatomical Shoulder Glenoid. Surgical Technique
Anatomical Shoulder Glenoid Surgical Technique Anatomical Shoulder Glenoid Surgical Technique 3 Table of Contents Glenoid Preparation Surgical Steps 4 Anatomical Shoulder Glenoid 4 Glenoid Components
More informationSurgical procedure. METS Modular Proximal Femur
Surgical procedure METS Modular Proximal Femur Surgical Procedure Contents 1.0 2.0 3.0 4.0 5.0 Device information 2 3 1.1 Product overview 1.2 Indications 1.3 Absolute contra-indications 1.4 Relative
More informationAffinis Total Shoulder Prosthesis. Surgical technique
Affinis Total Shoulder Prosthesis Surgical technique Contents Introduction 4 Total shoulder prosthesis 4 1. Indications 5 1.1 Indications 5 1.2 Contraindications 5 2. Preoperative planning 6 3. Surgical
More informationSurgical Technique. Hinge Disassembly and Rebuild Technique
Surgical Technique Hinge Disassembly and Rebuild Technique Revision Knee Arthroplasty Surgical Technique LEGION HK Hinge Knee System Introduction The LEGION HK Hinge Knee System has been designed as an
More informationANATOMIC SURGICAL TECHNIQUE. 5 in 1. Conventional instrumentation 07/11/2013
ANATOMIC SURGICAL TECHNIQUE 5 in 1 Conventional instrumentation PRO.GB.933/1.0 Octobre 2013 2 Tibial step 3 Intramedullary technique - Based on the preoperative plan, drill the medullary canal with the
More informationToeMobile. Surgical Technique. Great Toe Endoprosthesis
Great Toe Endoprosthesis Surgical Technique Merete Medical, Inc. 99 Purchase Street Rye, N.Y. 10580 Phone: 914 967-1532 Fax: 914-967-1542 E-Mail: service@merete-medical.com www.merete-medical.com - Description
More informationAesculap Trilliance Triple Tapered Polished Hip Stem
Aesculap Trilliance Triple Tapered Polished Hip Stem Aesculap Orthopaedics Trilliance Triple Tapered Polished Hip Stem CONTENTS 2 Contents Page Trilliance Philosophy 4 Trilliance Design 6 Trilliance Implants
More informationCementless Tapered Femoral Stem Surgical technique
Cementless Tapered Femoral Stem Surgical technique Contents Operative summary 4 Pre-operative planning 5 Femoral neck osteotomy 5 Femoral canal preparation 5 Intra-medullary (IM) reamer 6 Sequential rasping
More informationCementless Tapered Femoral Stem Surgical technique
Cementless Tapered Femoral Stem Surgical technique Contents Operative summary 4 Pre-operative planning 5 Femoral neck osteotomy 5 Femoral canal preparation 5 Intra-medullary (IM) reamer 6 Sequential rasping
More informationDistal Cut First Femoral Preparation
Surgical Technique Distal Cut First Femoral Preparation Primary Total Knee Arthroplasty LEGION Total Knee System Femoral preparation Contents Introduction...3 DCF femoral highlights...4 Preoperative planning...6
More informationMetasul LDH Large Diameter Head
Metasul LDH Large Diameter Head Surgical Technique Metasul LDH Large Diameter Head Surgical Technique Enhancing Stability and Increasing Range of Motion Metasul LDH Large Diameter Head Surgical Technique
More informationOrthopedic Bone Nail System - Distal Femoral Nail Surgical Technique Manual
Orthopedic Bone Nail System - Distal Femoral Nail Surgical Technique Manual Note: The surgical procedures should be performed under the guidance of qualified skilled orthopedic surgeons, and this surgical
More informationClinical Evaluation Surgical Technique
Clinical Evaluation Surgical Technique Table of Contents EMPERION Specifications 3 EMPERION Surgical Technique 9 EMPERION Catalog 18 Nota Bene: This technique description herein is made available to the
More informationSURGICAL TECHNIQUE. Alpine Cementless Hip Stem
SURGICAL TECHNIQUE Alpine Cementless Hip Stem The following technique is a general guide for the instrumentation of the Alpine Cementless Hip Stem. It is expected that the surgeon is already familiar with
More informationArthrodesis of the Ankle
TM Arthrodesis of the Ankle Plantar View of the Foot 1. Make a lateral incision to expose the tibia-talus joint and the talo-calcaneal joint. Prepare the arthrodesis sites surgically with a rasp or an
More informationOperating Instruction. Müller Hip Stem
Müller Hip Stem Ortho Select GmbH Eltastrasse 2 D 78573 Wurmlingen Germany Tel: +49-(0)7461-96632-30 Fax: +49-(0)7461-96632-35 info@ortho-select.de www.ortho-select.de 12009 Introduction and product description
More informationTM HUMELOCK II. Cemented. Hemi / Trauma. Total / Primary SURGICAL TECHNIQUE
TM HUMELOCK II Cemented Hemi / Trauma SURGICAL TECHNIQUE Total / Primary CONTENTS - Surgical technique Humerus : Degenerative...page 0 - Surgical technique Glenoid...page 0 - Surgical technique Humerus
More informationEndo-Model SL. Rotational and Hinge Knee Prosthesis System. Implants & Instruments
Endo-Model SL Rotational and Hinge Knee Prosthesis System Implants & Instruments Presented by: Waldemar Link GmbH & Co. KG Barkhausenweg 10 22339 Hamburg, Germany Tel.: +49 40 53995-0 info@linkhh.de www.linkorthopaedics.com
More informationEXACTECH KNEE. Operative Technique ADDENDUM. Metaphyseal Cones. Surgeon focused. Patient driven. TM
EXACTECH KNEE Operative Technique ADDENDUM Metaphyseal Cones Surgeon focused. Patient driven. TM TABLE OF CONTENTS INTRODUCTION...1 DESCRIPTION...1 DETAILED OPERATIVE TECHNIQUE Initial Preparation and
More informationDual Mobility System Evaluation surgical technique
Trinity Dual Mobility System Evaluation surgical technique Contents Operative summary 4 Overview 5 Operative technique 6 1. Acetabular reaming 6 Reamer guide 6 2. Acetabular shell trial 6 3. Acetabular
More informationFIRST STEM SPECIFICALLY DESIGNED FOR AMIS. Surgical Technique
FIRST STEM SPECIFICALLY DESIGNED FOR AMIS Surgical Technique Joint Spine Sports Med AMIStem Surgical Technique Joint Spine Sports Med INTRODUCTION This document describes the Surgical Technique for the
More informationDual Mobility System Surgical technique
Trinity Dual Mobility System Surgical technique 2 Contents Operative summary 4 Overview 5 Operative technique 6 1. Acetabular reaming 6 Reamer guide 6 2. Acetabular shell trial 7 3. Acetabular shell implantation
More informationBi-Polar 22.2mm & 28mm System - Operative technique
Disclaimer Biomet UK Ltd, as the manufacturer of this device, does not practice medicine and does not recommend any particular surgical technique for use on a specific patient. The surgeon who performs
More informationMRH Knee System Modular Peg Baseplate Surgical Protocol
MRH Knee System Modular Peg Baseplate Surgical Protocol Using Monogram IM Revision Instruments 4 N 4 N Modular Rotating Hinge Knee System Using Monogram IM Revision Instruments Mr C R Howie FRCS Consultant
More informationGENERIC, LOGIC, INTEGRALE TO.H.GB.011/1.0
Surgical technique mechanical instrumentation GENERIC, LOGIC, INTEGRALE TO.H.GB.011/1.0 2 Pre-surgical planning By means of radiological assessment and templates, it is possible to: - determine the position
More informationScan Bi-Polar 22/28. Operative Technique
Scan Bi-Polar 22/28 Operative Technique Disclaimer This publication and all content, artwork, photographs, names, logos and marks contained in it are protected by copyright, trademarks and other intellectual
More informationHELIOS h i p s y s t e m
HELIOS h i p s y s t e m Design The Helios stem is a highly polished, High Nitrogen Stainless Steel (ISO5832-9) dual tapered cemented stem. The design of the stem is based on the clinically lly successful
More informationSurgical procedure. METS Modular Proximal Humerus
Surgical procedure METS Modular Proximal Humerus Surgical Procedure Contents 1.0 2.0 3.0 4.0 Device information 2 3 1.1 Product overview 1.2 Indications 1.3 bsolute contra-indications 1.4 Relative contra-indications
More informationZimmer NexGen MIS Tibial Component. Cemented Surgical Technique IMAGE TO COME
Zimmer NexGen MIS Tibial Component Cemented Surgical Technique IMAGE TO COME Zimmer NexGen MIS Tibial Component Cemented Surgical Technique 1 Zimmer NexGen MIS Tibial Component Cemented Surgical Technique
More informationCAUTION: Ceramic liners are not approved for use in the United States.
Total Hip Prostheses, Self-Centering Hip Prostheses and Hemi-Hip Prostheses IMPORTANT: This essential product information sheet does not include all of the information necessary for selection and use of
More informationSURGICAL TECHNIQUE CEMENTED & PRESS-FIT UNIFIED INSTRUMENTATION INTRAOPERATIVE FLEXIBILITY PROVEN BIOMECHANICS
SURGICAL TECHNIQUE CEMENTED & PRESS-FIT UNIFIED INSTRUMENTATION INTRAOPERATIVE FLEXIBILITY PROVEN BIOMECHANICS INTRODUCTION The Summit Tapered Hip System s comprehensive set of implants and instruments
More informationSurgical Technique VPLWK QHSKHZ 1$126 1HFN 3UHVHUYLQJ +LS 6WHP 1716-e_NANOS_OPT.indd :27
Surgical Technique NANOS Neck Preserving Hip Stem Table of Contents Introduction... 3 Development/Concept... 4 Indications/Contraindications... 5 Preoperative Planning... 5 Surgical Technique... 6 Prosthesis
More informationMIS Cemented Tibial Component
MIS Cemented Tibial Component NexGen Complete Knee Solution Surgical Technique Table of Contents Surgical Exposure... 2 Finish the Tibia... 2 Position Based on Anatomic Landmarks... 3 Lateral Posterior
More informationTRAUMATOLOGY. Trochanter
TRAUMATOLOGY Trochanter 1 References Prof. Dr. András Sárváry Head of Department Fővárosi Önkormányzat Péterfy Sándor úti Kórház Rendelőintézet és Baleseti Központ Budapest The following surgical description
More informationEncina Taper Stem. Stinson Orthopedics Inc. 303 Twin Dolphin Drive, Suite 600 Redwood City, CA
Stinson Orthopedics Inc. 303 Twin Dolphin Drive, Suite 600 Redwood City, CA 94065 info@stinsonortho.com www.stinsonortho.com Table of Contents Introduction 3 Features 4 Surgical Technique 5 Preoperative
More informationResurfacing Distal Femur. Orthopaedic Salvage System
Resurfacing Distal Femur Orthopaedic Salvage System Primary Arthroplasty OSS 3cm Resurfacing Distal Femur Distal Femoral Resection Drill and ream the distal femur in the following sequence: (Figure 1)
More informationCemtA Stem. Surgery Manual. cemented femoral Stem. veterinary implants
CemtA Stem cemented femoral Stem Surgery Manual veterinary implants CemtA Stem use only with bonecement Size 1 Size 2 #4 #5 #6 #7 #8 Size Range 2 1: 1: veterinary implants Surgery Manual Guidelines for
More informationRevision Modular Stem type RMD
Revision Modular Stem type RMD Cementless Femoral Hip Joint Components Revision Systems Implant Description Surgical Technique Instrumentation Set Catalogue Preface Revision modular stem (RMD) is a solution
More informationTotal Knee Original System Primary Surgical Technique
Surgical Procedure Total Knee Original System Primary Surgical Technique Where as a total hip replacement is primarily a bony operation, a total knee replacement is primarily a soft tissue operation. Excellent
More informationOPERATIVE TECHNIQUE SKS Total Knee Replacement
OPERATIVE TECHNIQUE SKS Total Knee Replacement Femoral preparation A40577 1 2 5 1: Alignment rod A30049 + A30124 2: Centromedullary rod A40224 4: T-handle A40232 6: Femoral measuring device A40411 + A40414
More informationTrinity. Advanced Bearing Acetabular System Surgical technique
Advanced Bearing Acetabular System Surgical technique Contents Operative summary Introduction Pre-operative planning Acetabular preparation Acetabular reaming Reamer guide Acetabular shell trials Acetabular
More informationACETABULAR CUP SURGICAL TECHNIQUE
ACETABULAR CUP SURGICAL TECHNIQUE ACETABULAR CUP DEVICE INDICATIONS FOR USE The ICONACY I-Hip total hip replacement is indicated for the following conditions: 1. A severely painful and/or disabled hip
More informationThe Bio-Modular Choice Shoulder System,
Surgical Technique The Bio-Modular Choice Shoulder System, designed for both total and hemiarthroplasty of the shoulder, has enjoyed nearly two decades of clinical success. The variety of head types and
More informationOvation Hip System. Surgical Technique
Ovation Hip System Surgical Technique Ovation Hip System Surgical Technique Ovation Designing Surgeons: Andrew Petrella, M.D. Lecanto, FL Richard Vlasak, M.D. Gainesville, FL Ovation Tribute Designing
More informationU2 PSA. Revision Knee. Surgical Protocol
U2 PSA TM Revision Knee Surgical Protocol Table of Contents 1 Component Removal... 1 2 Tibial Preparation... 1 2.1 Tibial Canal Preparation... 1 2.2 Proximal Tibial Resection... 2 2.3 Non Offset Tibial
More informationasterloc Surgical Technique HIP SYSTEM UNDERSTANDING TRADITION, MASTERING INNOVATION Hip Knee Spine Navigation
asterloc HIP SYSTEM UNDERSTANDING TRADITION, MASTERING INNOVATION Surgical Technique Hip Knee Spine Navigation Masterloc Surgical Technique Hip Knee Spine Navigation INTRODUCTION This document describes
More informationDouble Engine Orthopedic Bone Nail System Universal Humeral Nail
Double Engine Orthopedic Bone Nail System ----------- Universal Humeral Nail Surgical Technique Manual Note: The surgical procedures should be performed under the guidance of qualified skilled orthopedic
More informationPatient information. Your new hip joint
Patient information Your new hip joint table of contents Structure of the hip joint 4 Reasons for a hip replacement 5 The operation 9 Post-operative treatment and potential complications 10 Your endoprothesis
More informationZimmer NexGen Trabecular Metal Tibial Tray
Zimmer NexGen Trabecular Metal Tibial Tray Surgical Technique Zimmer NexGen Trabecular Metal Tibial Tray Surgical Technique Give Bone A Solid Hold Zimmer NexGen Trabecular Metal Tibial Tray Surgical Technique
More informationHip Resurfacing System
Hip Resurfacing System The Arthrosurface HemiCAP Hip Hemiarthroplasty System restores the articular surface geometry of the femoral head and preserves functional structures using an innovative 3 dimensional
More informationHP Knee Extraction Instrumentation. Product Overview
HP Knee Extraction Instrumentation Product Overview HP Extraction Knee Instruments DePuy Orthopaedics is working with Symmetry Medical * to distribute Advanced Knee Extraction instruments. These instruments
More informationThe new removable head option. Anatomical Shoulder System
The new removable head option Anatomical Shoulder System Anatomical Shoulder System by Zimmer This unique system offers the advantages of a custom-made prosthesis. The modularity and design of the Anatomical
More informationTriathlon TS Knee System. Surgical Protocol
Triathlon TS Knee System Surgical Protocol Triathlon TS Knee System Surgical Protocol Table of Contents Acknowledgments..........................................................2 Exposure...................................................................4
More informationAnatomical Shoulder System
Anatomical Shoulder System Adjustable. Convertible. Compatible. Anatomical Shoulder System by Zimmer This unique system is like an individually produced prosthesis specifically designed for each patient.
More informationUNDERSTANDING TRADITION, MASTERING INNOVATION. Surgical Technique
UNDERSTANDING TRADITION, MASTERING INNOVATION Surgical Technique Joint Spine Sports Med MasterLoc Surgical Technique Joint Spine Sports Med INTRODUCTION This document describes the Surgical Technique for
More informationZMR Crossover Instruments. Abbreviated Surgical Technique
ZMR Crossover Instruments Abbreviated Surgical Technique ZMR Crossover Instruments Surgical Technique Introduction ZMR Crossover Instruments facilitate the combination of any Porous Proximal Body with
More informationU2 PSA. Revision Knee. Surgical Protocol
U2 PSA TM Revision Knee Surgical Protocol Table of Contents 1 Component Removal... 2 Tibial Preparation... 2.1 Tibial Canal Preparation... 2.2 Proximal Tibial Resection... 2.3 Non Offset Tibial Preparation...
More information28 Surgical Technique
Surgical Technique 10 12 14 16 18 20 22 24 28 26 Technique described by James L. Guyton, MD Campbell Clinic Memphis, Tennessee James W. Harkess, MD Campbell Clinic Memphis, Tennessee David G. LaVelle,
More informationLubinus Classic Plus Hip Prosthesis System
Lubinus Classic Plus Hip Prosthesis System Presented by: Waldemar Link GmbH & Co. KG Barkhausenweg 10 22339 Hamburg, Germany P.O. Box 63 05 52 22315 Hamburg, Germany Tel.: +49 40 53995-0 Fax: +49 40 5386929
More informationPOLARCUP Dual Mobility System. General Safety Instructions. Instructions for Use. Duty to inform the patient. Implant passport
Important Notice to Users in the United States: This package insert is for product distributed in US only. U.S. Federal law restricts this device to sale by or on the order of a physician. General Safety
More informationELEOS Limb Salvage System
ELEOS Limb Salvage System Surgical Technique Total Femoral Replacement The ELEOS Limb Salvage System offers options for patients with significant bone loss due to cancer, trauma, or previous surgical procedures.
More informationProven Gen-Flex Revision Knee System. Surgical Protocol
Proven Gen-Flex Revision Knee System Surgical Protocol Proven Gen-Flex Revision Knee System Surgeon Design Team The Proven Gen-Flex Revision Knee System Instrumentation and Surgical Protocol were developed
More informationFLH /11
FLH 225 04/11 This publication has been issued by: European Central Marketing Waterton Industrial Estate Bridgend, South Wales CF31 3XA, United Kingdom Tel: +44 (0)1656 655221 Fax: +44 (0)1656 645454 www.biomet.com
More informationKneeTec PFJ. Surgical Technique
KneeTec PFJ KneeTec PFJ Surgical Technique CONTENTS INDICATIONS p.3 CONTRAINDICATIONS p.4 INSTRUCTION FOR USE p.5 Anterior Resection p.6 Sizing and Positioning p.11 Femoral Preparation p.14 Distal and
More information*smith&nephew EP-FIT PLUS Cementless Press-Fit Cup System. Product Information
Product Information *smith&nephew EP-FIT PLUS Cementless Press-Fit Cup System EP-FIT PLUS Press-Fit Acetabular Cup System A new generation in press-fit cup technology Proven anchoring concept in combination
More informationGLENOID SURGICAL TECHNIQUE
UP. EXTREMITY Dual-Platform Shoulder Prosthesis GLENOID SURGICAL TECHNIQUE ANATOMICAL REVERSE SURGICAL TECHNIQUE REFERENCE NUMBERS HUMERAL STEM REFERENCE DIAMETER HEIGHT 267 360 Ø 06 100 265 102 Ø 08 120
More information