MPJ Implant System. Patents Pending Worldwide
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1 MPJ Implant System Patents Pending Worldwide
2 OVERVIEW ACTIVE STABILIZATION The DynaFORCE Active Stabilization System is the first to offer a hybrid implant system designed to address the most common rearfoot, midfoot and forefoot corrective procedures by combining plate stability with active compression. Bending & Rotational Stability Continuous Compression & Active Gap Recovery Active Stabilization PRODUCT FEATURES Low Profile Anatomic Plate Design Ability to Reposition Intraoperatively Full Gap Recovery and Rotational Stability Sterile Instrumentation with EcoSMART Service
3 TESTING DATA GAP RECOVERY The DynaFORCE Active Stabilization system presented less gapping and full gap recovery compared to leading competitors. INITIAL GAP WITH LOAD PLANTAR GAP (MM) VS GAP WITH NO LOAD Hole Plate + No Clip DynaFORCE 4-Hole Plate + Clip ROTATIONAL STABILITY The DynaFORCE Active Stabilization ROTATIONAL STABILITY AT 15 systems have higher torsional stability compared to competitive systems COMPETITIVE PLATE LAG SCREW DYNAFORCE 4-HOLE PLATE + CLIP DYNAFORCE Z-PLATE + CLIP TORQUE (N-M) Cup Reamer VS. 4.8 INSTRUMENTATION DynaFORCE comes with sterile Inserter Drill Guide packed stainless steel instrumentation. Inserters are pre-loaded with implants for each surgery. Cup and Cone Reamers are available upon request. Reamers come paired in sterile packs and include a cup and cone for each size. The sizes range from 14mm 24mm Cup Reamer Cone Reamer (2mm increments). Use of the reamers requires.062 /1.6mm k-wires.
4 SURGICAL TECHNIQUE STEP 01 Metatarsal Preparation Insert a 1.6mm/.062 guidewire in the central aspect of the metatarsal. Place the metatarsal reamer over the wire and begin to ream. Reamer should be spinning prior to touching bone. Remove all articular cartilage exposing bleeding bone. Note: a small drill bit or k-wire may be used to fenestrate the surface after reaming. STEP 02 Phalanx Preparation Insert a 1.6mm/.062 guidewire in the central aspect of the phalanx. Place the phalangeal reamer over the wire and begin to ream. Reamer should be spinning prior to touching bone. Remove all articular cartilage exposing bleeding bone. Ensure final phalanx reamer size matches final metatarsal. Note: a small drill bit or k-wire may be used to fenestrate the surface after reaming. STEP 03 Trial and Initial Fixation There are three implant options for a left or right foot.if an alternate implant is needed after opening the first sterile implant, re-package and discard the unused implant(s) in the EcoPAK container. Place temporary holding wires to secure plate. Observe placement using x-ray to confirm proper fit and placement. Note: We do not recommend bending plates. STEP 04 Clip Preparation Use provided instruments to prepare for implantation of the DynaFORCE clip. STEP 05 Clip Placement Implant the DynaFORCE clip through the plate. Rotate the knob counter-clockwise until pressure is released, then rotate the inserter counter-clockwise until the clip releases. Note: A tamp is available if needed. STEP 06 Screw Placement Drill and prepare for screws beginning with distal holes first. Non-Locking screws are recommended, unless bone quality is poor. If locking screws are used, ensure plate is firmly held to the bone on the opposite end prior to fully locking. If the compression slot is to be used for additional compression, insert screw in the compression slot prior to locking the other proximal screws.
5 INSTRUMENTATION INSTRUMENTS INCLUDED IN EACH KIT Instrumentation is packaged in sterile kits for efficiency and convenience. After surgery, the instrumentation is returned to CrossRoads via the EcoSMART Instrument Recovery Service providing a significant cost savings over typical disposable instrument kits. A Driver Handle B Plate Bender (2) C 2.5mm Reamer D 2.0mm Reamer E Depth Gauge Probe F Driver Bits (2) G Fixation Pins (2) H Locking Drill Guide (2) I Non-Locking Drill Guide A B C D G H I F E
6 PLATE SPECIFICATIONS MPJ PLATE 0 Dorsiflexion MPJ PLATE 5 Dorsiflexion Part Number 7L R Clip Size 18mm 18mm Slot Length 18mm 18mm Overall Length 50mm 50mm Thickness 1.5mm 1.5mm Valgus Angle 5 5 Dorsal Angle 0 0 Right/Left Left Right Part Number 7L R Clip Size 18mm 18mm Slot Length 18mm 18mm Overall Length 50mm 50mm Thickness 1.5mm 1.5mm Valgus Angle 5 5 Dorsal Angle 5 5 Right/Left Left Right MPJ PLATE 10 Dorsiflexion Part Number 7L R Clip Size 18mm 18mm Slot Length 18mm 18mm Overall Length 50mm 50mm Thickness 1.5mm 1.5mm Overall Length Slot Length (Clip Size) Valgus Angle 5 5 Dorsal Angle Right/Left Left Right * Screw hole with compression slot only accepts non-locking screw. ** All DynaFORCE plates use MotoBAND CP locking/non-locking screws 6055 Primacy Parkway, Suite 140, Memphis, Tennessee (901) info@crextremity.com crextremity.com LA0270 REV A
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