HTO SYSTEM. Innovative Solutions for Varus Knee Realignment. Guided instrumentation, a step-by-step technique, and proven leading-edge PEEK implants
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1 HTO SYSTEM Innovative Solutions for Varus Knee Realignment Guided instrumentation, a step-by-step technique, and proven leading-edge PEEK implants
2 HTO Medial PEEK Implant A proven leading-edge solution for high tibial osteotomies The ibalance HTO medial PEEK implant creates a stable construct by supporting the osteotomy opening along the posterior/medial and anterior/medial cortices of the tibia. The implant s construct, coupled with a very substantial lateral bone bridge provided by the hinge pin, promotes postoperative stability. Therefore, during load-bearing, the tibial plateau is not allowed to rotate posteriorly (i.e. decrease A/P slope) or anteriorly (i.e. increase A/P slope). The ibalance HTO implant and anchors are intended for permanent implantation and negate the need for a second surgical procedure to remove hardware due to overlying soft tissue irritation. Superior Strength in PEEK Supporting in excess of 18 kn (+4,000lbf) in compression* Resisted prolonged cyclic testing of 7500N (+1,600 lbf) for 5 million cycles without failure* Implant shape distributes loading along the posterior/ medial and anterior/medial cortices of the proximal tibia Designed to improve progressive weight-bearing Keyholes: figure-eight design resists torsional forces and maintains alignment COMPRESSION SHEAR Anatomically-sized to the patient Implant profile flush with bone providing minimal soft tissue irritation Built-in slope preserving angles Provides an angular solution for the surgeon s angular correction Small = 6-15 Medium = 5-15 Bone Growth Large = 5-15 X-large = 5-14 PEEK material more closely matches modulus of bone versus metal implants Allows microstrain transfer to stimulate new bone growth* Intended for permanent implantation and facilitates revision to TKA OSferion ß-TCP wedges and JRF StimuBlast TM DBM can be mixed with ACP prior to implantation COMPRESSION SHEAR Patient - 3 years, 6 months post-op Konrad Slynarski, M.D., PhD CMS Clinic *data on file
3 HTO Instrumentation Making a historically artistic technique, guided, safe and reproducible Reproducibility through the precision of fluoroscopy In conjunction with fluoroscopy, the Biplanar Alignment Guide aligns the ibalance HTO instrumentation to the A/P slope plane and sagittal plane of the tibia. Innovative Hinge Pin The 4.5 mm bi-cortical hole defines the lateral end of the osteotomy cut, acting as a stress reliever, and dramatically reduces lateral cortex fracture. The Hinge Pin creates lateral border of the safety envelope during cutting X X Safety An innovative safety envelope (the safety field that protects soft tissue structures, created by the Hinge Pin, the Patellar Tendon Protector, and the NV Shield) insures confident cuts with a sagittal saw. It protects/isolates all soft tissues so patellar tendon and neurovascular structures are safe Jingoo Kim, MD; Robert Allaire, MD; Christopher D. Harner, MD, Vascular Safety During High Tibial Osteotomy - A Cadaveric Angiographic Study, The American Journal of Sports Medicine, 2010, 38:810 (originally published online March 3, 2010).
4 Step-by-Step Technique Allows predictable surgery times The step-by-step guided technique of the ibalance HTO System builds surgeon confidence through safety and reproducibility. The ibalance HTO System is ideal for any surgeon who desires to master high tibial osteotomies. Precision and accuracy yield predictability Instrumented, guided-system approach, precise cuts with sagittal saw versus osteotomes Accurate correction through precise instrumentation Step-by-step surgical technique (LT0122) that references the patient s anatomy Guided instrumentation allows the same cut every time, making HTO reproducibility a reality Opening Jack Opens the osteotomy in a controlled manner, enabling the cortical and cancellous trabecular micro structures to stress-relieve and aid in the prevention of macro fractures of the lateral cortex Allows surgeon to easily seat the implant into the osteotomy JRF StimuBlast New! Arthrex Quickset macroporous, injectable, hardening, resorbable bone cement Provided as an easy-to-use kit including Quickset, a delivering gun, and a cannula OSferion ß-TCP wedges soaked in Autologous Conditioned Plasma (ACP) prior to implantation
5 Ordering Information ibalance HTO Instrument Set (AR-13400S) includes: Steel Rule, 120 mm Cobb Elevator Posterior Elevator NV Shield, left, SM/MD NV Shield, right, SM/MD NV Shield, left, LG/XL NV Shield, right, LG/XL Fastener & Lock Washer NV Shield Handle Hex Driver Adjustable Base, left Adjustable Base, right Keyhole Guide, left Keyhole Guide, right Alignment Handle Hinge Pin Aimer Hinge Pin Aimer, Collet Nut Biplanar Alignment Mount Biplanar Alignment Bar Multi-Tool Fixation Pin Tissue Protector Hinge Pin Drill, AO Connection Hinge Pin Drill, Chuck Connection Hinge Pin Hinge Pin Drill Stop Keyhole Reamer Keyhole Provisional Pin Cutting Guide, left, SM/MD Cutting Guide, right, SM/MD Cutting Guide, left, LG/XL Cutting Guide, right, LG/XL Medial Osteotome, beveled Osteotome Handle Opening Jack, back arm Opening Jack, front arm Opening Jack Fastener Opening Jack Turn Key Correction Guide, SM/MD Correction Guide, LG/XL Graft Tamp Anchor Drill Guide Anchor Drill, Chuck Connection Anchor Drill, AO Connection Anchor Depth Gauge Anchor Tap Guide Cortical Bone Tap, 4.5 mm Driver Handle Anchor Driver ibalance Instrument Case AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR-13400C ibalance Implants: ibalance HTO Implant, SM 12 AR-13400S-12 ibalance HTO Implants, SM 6 /MD 5 SM 15 /MD 13 AR-13400M ibalance HTO Implant, MD 14 & 15 AR-13400L-14 & 15 ibalance HTO Implant, LG 5 AR-13400L-05 ibalance HTO Implants, LG 6 /XL 5 LG 15 /XL 14 AR-13400L (please refer to the back of this brochure for a detailed list of implants) ibalance Anchors: ibalance HTO Anchors, cancellous, 20 mm 32 mm AR ibalance HTO Anchors, cortical, 24 mm 52 mm AR Suggested Bone Substitute: OSferion Osteotomy Wedge, 7 mm x 30 mm OSferion Osteotomy Wedge, 10 mm x 30 mm OSferion Osteotomy Wedge, 12 mm x 35 mm OSferion Osteotomy Wedge, 15 mm x 35 mm AR AR AR AR
6 Ordering Information ibalance Implants: ibalance HTO Implant, SM 12 ibalance HTO Implant, SM 6 /MD 5 ibalance HTO Implant, SM 7 /MD 6 ibalance HTO Implant, SM 8 /MD 7 ibalance HTO Implant, SM 9 /MD 8 ibalance HTO Implant, SM 10 /MD 9 ibalance HTO Implant, SM 11 /MD 10 ibalance HTO Implant, SM 13 /MD 11 ibalance HTO Implant, SM 14 /MD 12 ibalance HTO Implant, SM 15 /MD 13 ibalance HTO Implant, MD 14 ibalance HTO Implant, MD 15 ibalance HTO Implant, LG 5 ibalance HTO Implant, LG 6 /XL 5 ibalance HTO Implant, LG 7 /XL 6 ibalance HTO Implant, LG 8 /XL 7 ibalance HTO Implant, LG 9 /XL 8 ibalance HTO Implant, LG 10 /XL 9 ibalance HTO Implant, LG 11 /XL 10 ibalance HTO Implant, LG 12 /XL 11 ibalance HTO Implant, LG 13 /XL 12 ibalance HTO Implant, LG 14 /XL 13 ibalance HTO Implant, LG 15 /XL 14 AR-13400S-12 AR-13400M-05 AR-13400M-06 AR-13400M-07 AR-13400M-08 AR-13400M-09 AR-13400M-10 AR-13400M-11 AR-13400M-12 AR-13400M-13 AR-13400M-14 AR-13400M-15 AR-13400L-05 AR-13400L-06 AR-13400L-07 AR-13400L-08 AR-13400L-09 AR-13400L-10 AR-13400L-11 AR-13400L-12 AR-13400L-13 AR-13400L-14 AR-13400L-15 For more information go to: U.S. PATENT PENDING 2013, Arthrex, Inc. All rights reserved. LB EN_C
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