Arthroscopic Shoulder Instability Repair Using the Curved Guide and Anchor Delivery System
|
|
- Gary Jackson
- 5 years ago
- Views:
Transcription
1 SHOULDER TECHNIQUE GUIDE Arthroscopic Shoulder Instability Repair Using the Curved Guide and Anchor Delivery System Roy Majors, MD KNEE HIP SHOULDER EXTREMITIES
2 Arthroscopic Shoulder Instability Repair Using the Curved Guide and Anchor Delivery System As described by: Roy Majors, MD OrthoCarolina, Charlotte, North Carolina Arthroscopic capsulorrhaphy, labral repairs, and SLAP repairs are some of the most demanding procedures facing the surgeon. Anchor placement is possibly the most important part of the procedure. Improper anchor placement can lead to anchor pull-out, joint damage, or non-anatomic tissue repair. Currently available straight anchor guides can make it difficult for the surgeon to accurately place anchors. Smith & Nephew has developed a curved guide and anchor delivery system that gives the surgeon the tools necessary to consistently place anchors with an optimized trajectory in various positions on the glenoid rim 1. This system allows for the delivery of Smith & Nephew s current BIORAPTOR 2.3 PK or OSTEORAPTOR 2.3 PLLA/HA Suture Anchors which have been successfully used in thousands of cases.
3 INSTRUMENTATION The curved guides are reusable, stainless steel, cannulated, curved shafts with ergonomic handles designed to aid in alignment and improved anchor placement during drilling and anchor insertion. Insertion of the curved guides is aided by the flexible obturator a reusable, stainless steel, pliable shaft with a blunt tip and handle which has been designed to occlude soft tissue during insertion. The flexible drill used with the curved guides is made of stainless steel and includes a fluted bit designed to optimally create the required pilot hole. These instruments are designed for use only with the Smith & Nephew BIORAPTOR Curved 2.3 PK and OSTEORAPTOR Curved 2.3 PLLA/HA Suture Anchors, preloaded on flexible inserters with high-strength ULTRABRAID Suture. fishmouth tip crown tip PATIENT PREPARATION AND PORTAL PLACEMENT The surgeon can easily use the curved guide and anchor delivery system in both the beach chair and lateral decubitus positions. 1. Drape the shoulder so that the surgeon has unrestricted access to the shoulder. 2. Establish a standard posterior portal at the soft spot. Typically, the posterior portal is used for arthroscopic visualization. 3. Establish the anterior-superior portal (for the non-operative cannula) in the rotator cuff interval. 4. Establish the anterior-inferior portal (for the operative cannula) as close to the superior edge of the subscapularis tendon as possible. SHOULDER TECHNIQUE GUIDE Rev. A 3
4 STEP 1 STEP 3 PREPARATION OF THE TISSUE Prepare tissue in the manner to which the surgeon is accustomed. Ensure the capsulolabral structures are well-mobilized to allow for an anatomic repair or adequate advancement of tissue, if needed. Debride all soft tissue from the glenoid neck at the rim level and below using the Smith & Nephew INCISOR Blade, 4.5 mm, concave, curved. If needed, use the Smith & Nephew 4.5 mm Shielded Burr to roughen the bone to promote tissue healing. STEP 2 DRILLING THE HOLE Maintain firm pressure on the curved guide in both a forward and rotational direction. Place the flexible drill bit into the curved guide. Begin running the drill as the drill bit passes down the curved guide to decrease any resistance of the drill bit passing around the bend of the guide. When the drill tip engages bone, the auger design pulls the tip forward until it is fully seated. While removing the drill bit, continue to run the drill in forward mode to decrease resistance of the drill bit against the guide bend as it exits. It is best to perform insertion/drilling/extraction in a single motion, maintaining firm pressure on the curved guide in both a forward and rotational direction with the drill constantly running in forward mode. Note: Guide alignment change while drilling may cause drill bit breakage. Maintaining guide alignment throughout drilling is required to ensure drill bit integrity. STEP 4 INTRODUCTION AND POSITIONING OF THE GUIDE ON THE GLENOID Place the curved guide through the anterior-inferior 8.0 mm x 72 mm CLEAR-TRAC Flexible Cannula for anchor placement (operative cannula). Ensure that the curved guide moves freely in the cannula. Turn the guide so that its curve matches the curve of the humeral head. Move the curved guide tip to the desired position on the glenoid rim. Place the tip of the curved guide (convex side) on the glenoid face side of the rim. Rotate the curved guide onto the face of the glenoid to the desired position by turning the handle of the curved guide. Maintain gentle forward pressure on the curved guide to prevent it from slipping off the glenoid. Once the tip of the curved guide is on the glenoid face, rotate the tip to create a perpendicular angle to the glenoid face. INSERTING THE ANCHOR Align and place the inserter into the curved guide, maintaining pressure in both a forward and rotational direction. Ensure that the V on the anchor inserter handle aligns with the laser marks on the guide before tapping the anchor into the bone. Begin to gently tap the anchor handle to decrease any resistance of the anchor as it passes down the curved guide. Once the anchor engages in bone, continue to tap the handle of the inserter until it is completely seated on the top of the curved guide. 4 SHOULDER TECHNIQUE GUIDE Rev. A
5 STEP 5 RELEASING THE ANCHOR Once the anchor is completely inserted, release the sutures from the handle by pulling back the lime green, spring-loaded collar. Draw the handle back from the top of the curved guide. Tip: A gentle, back-and-forth twisting motion can be helpful in removing the anchor inserter from the curved guide. Using an ELITE PREMIUM Suture Loop Vertical Grasper down the non-operative cannula, reach through the monofilament loop, grasp a limb of ULTRABRAID Suture and pull it through the loop and out of the non-operative cannula. STEP 6 Remove the suture shuttle from the operative cannula with the suture limb passed through the loop. PASSING THE SUTURE THROUGH THE LABRUM Insert the ACCU-PASS Suture Shuttle down the operative cannula and through the labrum and capsule to be reattached/shifted. Both limbs of suture are now in the operative cannula. Advance the monofilament loop into the joint space by rolling both of the side wheels of the suture shuttle in a downward motion (do not remove the suture shuttle at this point). SHOULDER TECHNIQUE GUIDE Rev. A 5
6 STEP 7 TIE THE KNOTS Using desired knot-tying technique, tie the limbs of ULTRABRAID Suture. STEP 8 CUT THE SUTURE LIMBS Using the Smith & Nephew suture cutter, cut the suture limbs to the desired length. STEP 9 FINAL REPAIR Repeat steps 1 8, as necessary, in order to complete the repair. 6 SHOULDER TECHNIQUE GUIDE Rev. A
7 TECHNIQUE PEARLS 1. When drilling, ensure the drill guide is secure on the bone to avoid inadvertent slippage of the drill. 2. Use a CLEAR-TRAC COMPLETE Threaded Cannula with a minimum diameter of 8.5 mm or an 8.0 mm x 72 mm CLEAR-TRAC FLEXIBLE Threaded Cannula with the curved delivery system. POSTOPERATIVE CARE* Use an arm sling for two to four weeks. Begin protected range of motion keeping elbow in front of the plain of the chest. Avoid shoulder extension or excessive external rotation for the first six weeks. Lifting, pushing, and pulling should be limited during the first six weeks. * The views and opinions expressed for postoperative care are solely those of the surgeon(s) and do not reflect the views of Smith & Nephew, Inc. In no event shall Smith & Nephew, Inc., be liable for any damages whatsoever (including, without limitation, damages for loss of business profits, business interruption, loss of business information, or other pecuniary loss) arising out of the use of or inability to use the expressed views. References 1. Data on file at Smith & Nephew ITR-4616, SHOULDER TECHNIQUE GUIDE Rev. A 7
8 ORDERING INFORMATION To order the instruments used in this technique guide, call in the U.S. or contact an authorized Smith & Nephew representative. Prior to performing this technique, consult the Instructions for Use documentation provided with individual components including indications, contraindications, warnings, cautions, and instructions. Reference # Description Reference # Description Curved Suture Anchors and Guide Systems BIORAPTOR Curved 2.3 PK Suture Anchor, w/one ULTRABRAID #2 suture (COBRAID-black) BIORAPTOR Curved 2.3 PK Suture Anchor, w/one ULTRABRAID #2 suture (COBRAID-blue) * OSTEORAPTOR Curved 2.3 PLLA/HA Suture Anchor, w/one ULTRABRAID #2 suture (COBRAID-blue) * OSTEORAPTOR Curved 2.3 PLLA/HA Suture Anchor, w/one ULTRABRAID #2 suture (COBRAID-black) Curved drill guide for 2.3 mm suture anchors, crown tip Curved drill guide for 2.3 mm suture anchors, fishmouth tip Flexible obturator for 2.3 mm curved guide and suture anchor delivery system Flexible drill for 2.3 mm curved guide and suture anchor delivery system * CE mark pending ACCU-PASS Suture Shuttles º, left, sterile º, right, sterile º, upbend, sterile Straight, sterile Crescent, sterile º, upbend, sterile Disposable Burrs, Disposable Blades, Disposable Cannula, and Reusable Obturators mm shielded burr, box of 6, sterile INCISOR Blade, 4.5 mm, concave, curved, box of 6, sterile CLEAR-TRAC COMPLETE Threaded Cannula, 8.5 mm x 90 mm, with disposable obturator, box of 10, sterile CLEAR-TRAC COMPLETE Reusable Obturator, 8.5 mm x 72 mm, (4.3 mm cannulation) CLEAR-TRAC COMPLETE Reusable Obturator, 8.5 mm x 72 mm, (1.5 mm cannulation) CLEAR-TRAC FLEXIBLE Threaded Cannula, 8.0 mm x 72 mm, with disposable obturator, box of 10, sterile CLEAR-TRAC COMPLETE Reusable Obturator, 8.0 mm x 72 mm, (4.3 mm Cannulation) 3801 Switching Stick, 4.3 mm, not cannulated (13" long) ELITE PREMIUM II Shoulder Arthroscopy System ELITE PREMIUM Suture Loop Vertical Grasper, blue handle ELITE PREMIUM Combination Grasper, red handle ELITE PREMIUM Alligator Locking Grasper, green handle ARTHRO-PIERCE Instrument, straight ARTHRO-PIERCE Instrument, 45º right ARTHRO-PIERCE Instrument, 45º left ARTHRO-PIERCE Instrument, 35º up ELITE PASS PREMIUM Suture Shuttle with Ratchet Flush suture cutter ELITE PREMIUM Hook Knife ELITE PREMIUM Bankart Rasp ELITE PREMIUM Knife Rasp mm tapered awl ELITE PREMIUM Crochet Hook ELITE Calibrated Probe ELITE PREMIUM Full Loop Knot Manipulator, silver handle (qty 2) ARTHRO-PIERCE Instrument, curved left, Inline handle ARTHRO-PIERCE Instrument, curved right, Inline handle Shoulder arthroscopy sterilization tray and lid CAUTION: U.S. Federal law restricts these devices to sale by or on the order of a physician. Endoscopy Smith & Nephew, Inc. Andover, MA USA Fax U.S. Customer Service Courtesy of Smith & Nephew, Inc., Endoscopy Division Trademark of Smith & Nephew, registered U.S. Patent & Trademark Office Smith & Nephew, Inc. All rights reserved. 07/ Rev. A
Arthroscopic Shoulder Repair Using the Smith & Nephew KINSA Suture Anchor
Shoulder Series Technique Guide *smith&nephew KINSA Suture Anchor Arthroscopic Shoulder Repair Using the Smith & Nephew KINSA Suture Anchor Reviewed by: Larry D. Field, MD Mississippi Sports Medicine and
More informationActive, yet simple deployment, now with a curved approach. SUTUREFIX All-Suture Anchor
Active, yet simple deployment, now with a curved approach SUTUREFIX All-Suture Anchor Active, yet simple deployment, now with a curved delivery system The SUTUREFIX All-Suture Anchor delivery system tells
More informationShoulder Restoration System
Shoulder Restoration System Arthroscopic SLAP Repair using the PressFT COMMITTED TO INNOVATION SURGICAL TECHNIQUE Arthroscopic SLAP Repair using the PressFT The PressFT Anchor from ConMed Linvatec can
More informationHard to reach areas require specific solutions
Hard to reach areas require specific solutions Introducing the complete set of hip instruments from the leader in Hip Arthroscopy HIPSTRUMENTS Hip Repair Instruments Introducing Hipstruments. Hip-specific
More informationRotator Cuff Repair using JuggerKnot Soft Anchor 2.9mm Surgical Technique
Rotator Cuff Repair using JuggerKnot Soft Anchor 2.9mm Surgical Technique It s small. It s strong. And it's all suture. The JuggerKnot Soft Anchor represents the next generation of suture anchor technology.
More informationVisit Linvatec.com today to learn more. Surgical Technique: Sequential Meniscal Running Stitch
ORDERING INFORMATION Sequent Meniscal Repair System MR004S MR007S MR004C MR007C SC047D Straight Needle, 4 Implants Straight Needle, 7 Implants Curved Needle, 4 Implants Curved Needle, 7 implants Sequent
More informationImproved access, ultra-low displacement 1 and the highest fixation strength 1. Q-FIX All-Suture Anchor
Improved access, ultra-low displacement 1 and the highest fixation strength 1 All-Suture Anchor All-Suture Anchors The All-Suture Anchor is the next generation of all-suture anchor technology, providing
More informationThree Arthroscopic Techniques for Repairing the Rotator Cuff using ULTRATAPE Suture
*smith&nephew SHOULDER TECHNIQUE GUIDE Three Arthroscopic Techniques for Repairing the Rotator Cuff using ULTRATAPE Suture Scott W. Trenhaile, MD KNEE HIP SHOULDER EXTREMITIES As Described by: Scott W.
More informationImproved access, ultra-low displacement 1 and the highest fixation strength 1. Q-FIX All-Suture Anchor
Improved access, ultra-low displacement 1 and the highest fixation strength 1 Q-FIX All-Suture Anchor Q-FIX All-Suture Anchors The Q-FIX All-Suture Anchor is the next generation of all-suture anchor technology,
More informationBICEPTOR Tenodesis System
BICEPTOR Tenodesis System Sub-Pectoral Biceps Tenodesis A Shoulder Series Technique Guide As described by: Nikhil N. Verma, MD As described by: Nikhil N. Verma, MD Midwest Orthopedics at Rush Chicago,
More informationTechnique Guide. *smith&nephew SPEEDSCREW Fully Threaded Knotless Implant
Technique Guide *smith&nephew SPEEDSCREW Fully Threaded Knotless Implant SPEEDSCREW system Fully threaded knotless implant system The SPEEDSCREW system is specifically designed for rotator cuff repair
More informationROTATOR CUFF REPAIR WITH STATAK SUTURE ANCHORS
ROTATOR CUFF REPAIR WITH STATAK ANCHORS SURGICAL TECHNIQUES ARTHROSCOPIC & OPEN ARTHROSCOPIC TECHNIQUE 1 CANNULA PLACEMENT 2CREATE TROUGH 1 Anterior cannula 2 Lateral cannula 3 Posterior cannula 1 2 3
More informationDEVELOPED BY MEDSHAPE, INC. IN CONJUNCTION WITH PATRICK ST. PIERRE, M.D. BICEPS TENODESIS ARTHROSCOPIC AND SUBPECTORAL SURGICAL TECHNIQUE
! SURGICAL TECHNIQUE! DEVELOPED BY MEDSHAPE, INC. IN CONJUNCTION WITH PATRICK ST. PIERRE, M.D. ARTHROSCOPIC AND SUBPECTORAL BICEPS TENODESIS SURGICAL TECHNIQUE BICEPS TENODESIS Indications Tenodesis of
More informationShoulder Arthroscopy Lab Manual
Shoulder Arthroscopy Lab Manual Dalhousie University Orthopaedic Program May 5, 2017 Skills Centre OBJECTIVES 1. Demonstrate a competent understanding of the arthroscopic anatomy and biomechanics of the
More informationMULTIFIX S Knotless Implants
Technique Guide MULTIFIX S Knotless Implants The MULTIFIX S system offers 5.5mm and 6.5mm knotless, all-peek, poundin implants. The system provides multiple fixation options, a streamlined technique, and
More informationA sequenced approach to flush graft placement. GLENOID BONE LOSS SYSTEM Procedural Solution
A sequenced approach to flush graft placement GLENOID BONE LOSS SYSTEM Procedural Solution One comprehensive system, two ways of treating glenoid bone loss The GLENOID BONE LOSS SYSTEM provides you with
More informationCHANGING THE WAY YOU LOOK AT THINGS
CHANGING THE WAY YOU LOOK AT THINGS At ConMed Linvatec, we re constantly challenging ourselves to develop truly innovative arthroscopic products that not only complement your technique, but also lead to
More informationVERSALOK SURGICAL TECHNIQUE FOR ROTATOR CUFF REPAIR SURGICAL TECHNIQUE VERSATILITY STRENGTH SPEED
VERSALOK SURGICAL TECHNIQUE FOR ROTATOR CUFF REPAIR VERSATILITY Allows a variety of suture configurations including suture spanning to meet the demands of various types of tear configurations STRENGTH
More informationHIP ARTHROSCOPY BROCHURE
HIP ARTHROSCOPY BROCHURE Biomet Sports Medicine designed, developed, and launched the first all-suture anchor on the market, known as the JuggerKnot Soft Anchor. Once surgeons began utilizing this anchor
More informationTechnique Guide. *smith&nephew N8TIVE ACL Anatomic ACL Reconstruction System
Technique Guide *smith&nephew N8TIVE ACL Anatomic ACL Reconstruction System N8TIVE ACL System The N8TIVE ACL Anatomic Reconstruction System provides a novel and simple approach to ACL repair. The N8TIVE
More informationComplete solutions for hip arthroscopy. Supporting healthcare professionals for over 150 years
Complete solutions for hip arthroscopy Supporting healthcare professionals for over 150 years 1 Partnering with surgeons Helping to improve lives For over 150 years, Smith & Nephew has pioneered advancements
More informationChart a course for meniscal preservation
Chart a course for meniscal preservation 1 The clearly defined value of meniscal preservation A number of studies have been published that clearly define the benefits of preserving as much functional meniscus
More informationDual Row Rotator Cuff Repair using the CHIA PERCPASSER
Dual Row Rotator Cuff Repair using the CHIA PERCPASSER THOMAS P. KNAPP, M.D. Santa Monica Orthopaedic & Sports Medicine Group TM CHIA PERCPASSER Surgical Technique Dual Row Rotator Cuff Repair using the
More informationJuggerKnot Soft Anchor 1.4/1.5 mm with Percutaneous Instrumentation for Low Profile/Trans-Cuff SLAP Repair
JuggerKnot Soft Anchor 1.4/1.5 mm with Percutaneous Instrumentation for Low Profile/Trans-Cuff SLAP Repair Surgical Technique by Shabi Kahn, MD One Surgeon. One Patient. Over 1 million times per year,
More informationSureLock All-Suture Anchor System
SureLock All-Suture Anchor System Guide for Bankart Repair Surgical Technique 2 SureLock All-Suture System Bankart Repair Surgical Technique Figure 1 *Curved and straight drill guides are available for
More informationBio-FASTak Bankart Repair. Surgical Technique
Bio-FASTak Bankart Repair Surgical Technique Bio-FASTak Bankart Repair The Bio-FASTak is a 3 mm x 14 mm bioabsorbable threaded suture anchor. The exclusive braided suture eyelet loop is molded into the
More informationHip Arthroscopy. All Inclusive Brochure
Hip Arthroscopy All Inclusive Brochure Zimmer Biomet Sports Medicine designed, developed, and launched the first allsuture anchor on the market, known as the JuggerKnot Soft Anchor. Once surgeons began
More informationY-Knot Flex NEW. All-Suture Anchor System
NEW Y-Knot Flex All-Suture Anchor System Part of CONMED s Shoulder Restoration System. The Y-Knot Flex for labral and capsular-based repairs helps improve surgical flexibility and access with small, all-suture
More informationComposiTCP Anchor with BroadBand Tape
ComposiTCP Anchor with BroadBand Tape featuring Medial Row Knot Tying Surgical Technique 2 ComposiTCP Anchor with BroadBand Tape Surgical Technique Figure 1 Figure 2 Step 1 Place the ComposiTCP punch/tap
More informationACL reconstruction with the ACUFEX Director Drill Guide and. ENDOBUTTON CL Fixation System. *smith&nephew. Knee Series Technique Guide ENDOBUTTON CL
Knee Series Technique Guide *smith&nephew ENDOBUTTON CL Fixation System ACL reconstruction with the ACUFEX Director Drill Guide and ENDOBUTTON CL Fixation System Thomas D. Rosenberg, MD ACL Reconstruction
More informationHEALIX TRANSTEND Implant System: A percutaneous solution for partial tears of the rotator cuff. Partial tear. Complete solution.
HEALIX TRANSTEND Implant System: A percutaneous solution for partial tears of the rotator cuff. Partial tear. Complete solution. HEALIX TRANSTEND Implant System The all-new HEALIX TRANSTEND Implant System
More informationAFX. Femoral Implant. System. The AperFix. AM Portal Surgical Technique Guide. with the. The AperFix System with the AFX Femoral Implant
The AperFix System AFX with the Femoral Implant AM Portal Surgical Technique Guide The Cayenne Medical AperFix system with the AFX Femoral Implant is the only anatomic system for soft tissue ACL reconstruction
More informationTitanium Anchors 3.0 and 5.0/6.5
ART 38 11.3 02/2018-E Titanium Anchors 3.0 and 5.0/6.5 for use in reconstructive surgery Titanium Anchors 3.0 and 5.0/6.5 for use in reconstructive surgery KARL STORZ offers high quality titanium anchors
More informationTechnique Guide. *smith&nephew MAGNUM 2 Knotless Implant
Technique Guide *smith&nephew MAGNUM 2 Knotless Implant MAGNUM 2 knotless implant The MAGNUM 2 implant increases surgeon control by combining independent cortical bone lock, suture lock, and incremental
More informationBIOKNOTLESSRC ROTATOR CUFF REPAIR SUTURE ANCHOR SURGICAL TECHNIQUE. Surgical Technique for Arthroscopic Rotator Cuff Repair. Raymond Thal, M.D.
SURGICAL TECHNIQUE ROTATOR CUFF REPAIR BIOKNOTLESSRC SUTURE ANCHOR Surgical Technique for Arthroscopic Rotator Cuff Repair Raymond Thal, M.D. Town Center Orthopaedic Associates Reston, Virginia Surgical
More informationJuggerKnot Soft Anchor 1.5 mm with Percutaneous Instrumentation for Low Profile/Trans-Cuff PASTA Repair
JuggerKnot Soft Anchor 1.5 mm with Percutaneous Instrumentation for Low Profile/Trans-Cuff PASTA Repair Surgical Technique by Shabi Kahn, MD One Surgeon. One Patient. Over 1 million times per year, Biomet
More informationENDOBUTTON Fixation Device
ENDOBUTTON Fixation Device Distal Biceps Repair A Shoulder Series Technique Guide As described by: Felix Buddy Savoie, MD PRELIMINARY - NOT FOR DISTRIBUTION As described by: Felix Buddy Savoie, MD Chief
More informationDK7215-Levine-ch12_R2_211106
12 Arthroscopic Rotator Interval Closure Andreas H. Gomoll Department of Orthopedic Surgery, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A. Brian J. Cole Departments
More informationRotator Cuff Repair Utilizing the ALLthread Suture Anchor. by Scott Kuiper, M.D.
Rotator Cuff Repair Utilizing the ALLthread Suture Anchor by Scott Kuiper, M.D. The Material Difference Biomet Sports Medicine recognizes the benefit of material options. Many times surgeons require different
More informationGENERAL TECHNIQUE GUIDE
GENERAL TECHNIQUE GUIDE PRODUCT OVERVIEW The Eclipse Soft Tissue Anchor employs MedShape s shape memory PEEK Altera technology for soft tissue fixation procedures in the shoulder, elbow, knee, hand & wrist,
More informationComprehensive Product Offerings for Your Rotator Cuff Repair
Pioneering Rotator Cuff Repair Solutions Comprehensive Product Offerings for Your Rotator Cuff Repair Cu HEALICOIL REGENESORB Suture Anchor ULTRATAPE Suture HEALICOIL PK Suture Anchor SHO15_04100_V2_RC_Solutions_BRO_8.3x11_F.indd
More informationSystem. Humeral Nail. Surgical Technique
System Humeral Nail Surgical Technique Contents IMPLANT FEATURES 2 1. INDICATIONS 3 2. PRE-OPERATIVE PLANNING 3 3. PATIENT POSITIONING & FRACTURE REDUCTION 3 4. INCISION 4 5. ENTRY POINT 4-6 6. PROXIMAL
More informationSurgical Technique. CONQUEST FN Femoral Neck Fracture System
Surgical Technique CONQUEST FN Femoral Neck Fracture System Table of Contents Introduction... 3 Indications... 3 Product Overview... 4 Surgical Technique... 5 Patient Positioning... 5 Reduce the Fracture...
More information3. PATIENT POSITIONING & FRACTURE REDUCTION 3 8. DISTAL GUIDED LOCKING FOR PROXIMAL NAIL PROXIMAL LOCKING FOR LONG NAIL 13
Contents IMPLANT FEATURES 2 1. INDICATIONS 3 2. PRE-OPERATIVE PLANNING 3 3. PATIENT POSITIONING & FRACTURE REDUCTION 3 4. INCISION 4 5. ENTRY POINT 4-6 6. PROXIMAL NAIL INSERTION 6-7 7. PROXIMAL LOCKING
More informationDouble Bundle ACL Reconstruction using the Smith & Nephew Outside-In Anatomic ACL Guide System
Knee Series Technique Guide Double Bundle ACL Reconstruction using the Smith & Nephew Outside-In Anatomic ACL Guide System Luigi Adriano Pederzini, MD Massimo Tosi, MD Mauro Prandini, MD Luigi Milandri,
More informationPart II: Rotator Cuff Repair, Day of Surgery and Postoperative Course
Part II: Rotator Cuff Repair, Day of Surgery and Postoperative Course Benjamin W. Sears, MD 303-321-1333 western-ortho.com denvershoulder.com Day of Surgery Most patients will undergo outpatient surgery
More informationSurgical Technique. Guide. Bristow-Latarjet Instability Shoulder System Open and Arthroscopic Techniques
Surgical Technique Guide Bristow-Latarjet Instability Shoulder System Open and Arthroscopic Techniques a letter from dr. lafosse Dear Friends, Shoulder Instability has been treated differently with time
More informationHip arthroscopy using the Smith & Nephew Hip Access System
Hip Series Technique Guide *smith&nephew HIP ACCESS SYSTEM Hip Arthroscopy System Hip arthroscopy using the Smith & Nephew Hip Access System Victor M. Ilizaliturri, Jr., M.D. Hip arthroscopy using the
More informationThe Ceterix NovoStitch Disposable Suture Passer. Do Not Reuse
The Ceterix NovoStitch Disposable Suture Passer Ceterix Orthopaedics 959 Hamilton Avenue Menlo Park, CA 94025 Customer Service: (650) 241-1748 IK Sterile D Do Not Reuse i See Instructions for Use THE CETERIX
More informationARTHROTUNNELER TUNNELPRO SYSTEM
TORNIER ARTHROTUNNELER TUNNELPRO SYSTEM Transosseous Rotator Cuff Repair SURGICAL TECHNIQUE ARTHROTUNNELER TUNNELPRO SYSTEM ARTHROTUNNELER Surgical Technique Step 1. Drill medial tunnel(s) to a positive
More informationArthroscopic Stabilization of Acute Acromioclavicular Joint Dislocation using the TightRope System Surgical Technique
Arthroscopic Stabilization of Acute Acromioclavicular Joint Dislocation using the TightRope System Surgical Technique AC Joint TightRope Fixation Background Disruption of the coracoclavicular ligaments
More informationJuggerKnot and JuggerKnotless Soft Anchor. All-Inclusive Brochure
JuggerKnot and JuggerKnotless Soft Anchor All-Inclusive Brochure 3 JuggerKnot and JuggerKnotless Soft Anchor All-Inclusive Brochure JuggerKnot Soft Anchor The Leader in All-Suture Anchors 1 Zimmer Biomet
More informationSurgical Technique. Proximal Humerus Locking Plate
Surgical Technique Proximal Humerus Locking Plate PERI-LOC Upper Extremity Locked Plating System 3.5mm & 4.5mm Proximal Humerus Locking PlatesCatalog Infor Table of Contents Introduction.........................................................2
More informationArthroscopic and Mini-Open Rotator Cuff Repair. using JuggerKnot Soft Anchor 2.9 mm with ALLthread Knotless PEEK-Optima Anchor Surgical Technique
Arthroscopic and Mini-Open Rotator Cuff Repair using JuggerKnot Soft Anchor 2.9 mm with ALLthread Knotless PEEK-Optima Anchor Surgical Technique It s small. It s strong. And it's all suture. The JuggerKnot
More informationTABLE OF CONTENTS. 2 (8144 Rev 2)
1 (8144 Rev 2) TABLE OF CONTENTS Introduction Conventus CAGE TM - Proximal Humerus...3 Indications and Contraindications...4 Surgical Summary...5 Patient Positioning & Approach...6 Surgical Technique Plate
More informationConventus CAGE PH Surgical Techniques
Conventus CAGE PH Surgical Techniques Conventus Orthopaedics The Conventus CAGE PH (PH Cage) is a permanent implant comprised of an expandable scaffold, made from nitinol and titanium, which is deployed
More informationSurgical Protocol written by Keith Lawhorn, M.D.
Surgical Protocol written by Keith Lawhorn, M.D. The MaxFire Meniscal Repair System is an all-inside, all-suture meniscal repair system utilizing ZipLoop Technology. Anchors are preloaded on needle inserters,
More informationSubpectoral Biceps Tenodesis using Cortical Buttons Surgical Technique
Subpectoral Biceps Tenodesis using Cortical Buttons Surgical Technique Subpectoral Biceps Tenodesis Subpectoral Biceps Tenodesis using Cortical Buttons Introduction Subpectoral biceps tenodesis using cortical
More informationPrecisely locate anatomic femoral ACL insertion sites 1. ACUFEX PINPOINT Anatomic ACL Guide System
Precisely locate anatomic femoral ACL insertion sites 1 ACUFEX PINPOINT Anatomic ACL Guide System This versatile and easy-to-use guide system enables visualization of the size and placement of femoral
More informationThe AperFix II System
The AperFix II System A Complete Anatomic Solution Transtibial Surgical Technique 2 AperFix II System Transtibial Surgical Technique Figure 1 A Complete Anatomic Solution The Cayenne Medical AperFix and
More informationLateral Meniscus Transplant
Lateral Meniscus Transplant Using the CONMED Meniscus Allograft Transplant (MAT) Instruments A complete guide to Lateral Meniscus Transplant using the CONMED meniscus allograft transplant Instruments.
More informationSurgical Technique. Foot and Ankle Technique Guide Ankle Syndesmosis Repair, Operative Technique
Surgical Technique Foot and Ankle Technique Guide Ankle Syndesmosis Repair, Operative Technique INVISIKNOT Ankle Syndesmosis Repair Surgical Technique The following technique guide was prepared under close
More informationFoot and Ankle Technique Guide Proximal Inter-Phalangeal (PIP) Fusion
Surgical Technique Foot and Ankle Technique Guide Proximal Inter-Phalangeal (PIP) Fusion Prepared in consultation with: Phinit Phisitkul, MD Department of Orthopedics and Rehabilitation University of Iowa
More informationACL Reconstruction for BTB Grafts
Transtibial ACL Reconstruction System for BTB Grafts Surgical Technique Designed in conjunction with John C. Garrett, M.D., Atlanta, GA ACL Reconstruction for BTB Grafts Reference Anatomical Constants
More informationArthrex PassPort Button Cannula. Maximize visibility and maneuverability inside and outside of the arthroscopic workspace
Arthrex PassPort Button Cannula Maximize visibility and maneuverability inside and outside of the arthroscopic workspace PassPort Button Cannulas Soft and flexible silicone material will form to smaller
More informationSurgical Technique Guide
Sacroiliac Joint Fusion System Surgical Technique Guide Moving Life Forward Table of Contents SiCure Implant Overview...2 SiCure System Information...3 X-ray Basics...4 Patient Positioning....5 Surgical
More informationTechnique Guide. MULTIFIX P PEEK 4.5mm Knotless Fixation Implant
Technique Guide MULTIFIX P PEEK 4.5mm Knotless Fixation Implant MULTIFIX P system With the ability to accommodate 2-4 suture strands and lock suture internally, the 4.5mm MULTIFIX P system gives the surgeon
More informationFoot and Ankle Technique Guide Metatarsal Shortening Osteotomy
Surgical Technique Foot and Ankle Technique Guide Metatarsal Shortening Osteotomy Prepared in consultation with: Phinit Phisitkul, MD Department of Orthopedics and Rehabilitation University of Iowa Iowa
More informationROTATOR CUFF TEAR, SURGERY FOR
ROTATOR CUFF TEAR, SURGERY FOR Indications (Who Needs Surgery, When, electricity is used to cauterize small capillaries. Electricity or Why, and Goals) a motorized shaver is used to remove the bursa and
More informationTwin Tail TightRope System
Open Stabilization of Acute Acromioclavicular Joint Dislocation using the Twin Tail TightRope System Surgical Technique Twin Tail TightRope System Open Stabilization of Acute Acromioclavicular Joint Dislocation
More informationJuggerKnot Soft Anchor 1.0 mm Mini. Scapholunate Ligament Repair/Reconstruction. Brochure and Surgical Technique
JuggerKnot Soft Anchor 1.0 mm Mini Scapholunate Ligament Repair/Reconstruction Brochure and Surgical Technique One Surgeon. One Patient. Over 1 million times per year, Biomet helps one surgeon provide
More informationThe next generation in all suture implant technology. Q-FIX All-Suture Implants
The next generation in all suture implant technology All-Suture Implants all-suture implants The family of implants is the next generation in all suture implant technology, providing the benefits of an
More informationToggleLoc Inline Device
ToggleLoc Inline Device with ZipLoop Technology and TunneLoc Tibial Fixation for ACL Reconstruction Surgical Technique Surgical Protocol by Jeffrey M. Conrad, M.D. SPORTS MEDICINE One Surgeon. One Patient.
More informationTechnique Guide. Midface Distractor System. For the temporary stabilization and gradual lengthening of the cranial or midfacial bones.
Technique Guide Midface Distractor System. For the temporary stabilization and gradual lengthening of the cranial or midfacial bones. Table of Contents Introduction Midface Distractor System 2 Indications
More informationArthroscopic Technique for Biceps Tenodesis Using the Q-FIX All-Suture Anchor in a Cinching Loop Technique
*smith&nephew SHOULDER TECHNIQUE GUIDE Arthroscopic Technique for Biceps Tenodesis Using the Q-FIX All-Suture Anchor in a Cinching Loop Technique James Fleischli, MD KNEE HIP SHOULDER EXTREMITIES SHO16_06311_V1_74043A_Cinch
More informationToggleLoc. Fixation Device. Surgical Technique. Femoral Fixation for ACL Reconstruction SPORTS MEDICINE. Surgical Protocol by Mark Gittins, D.O.
ToggleLoc Fixation Device Femoral Fixation for ACL Reconstruction Surgical Technique Surgical Protocol by Mark Gittins, D.O. SPORTS MEDICINE One Surgeon. One Patient. Over 1 million times per year, Biomet
More informationIntern Arthroscopy Course 2015 Shoulder Arthroscopy Cases
Intern Arthroscopy Course 2015 Shoulder Arthroscopy Cases Mary Lloyd Ireland, M.D. University of Kentucky Dept. of Orthopaedic Surgery & Sports Medicine Lexington, KY Broken screw s/p Bristow procedure
More informationTechnique Guide. VersiTomic. ReelX STT Double-Row Achilles G-Lok. J. Martin Leland III, M.D. J. Martin Leland III, M.D. Proximal Biceps Tenodesis
Technique Guide VersiTomic ReelX STT Double-Row Achilles G-Lok Tendon Sub-Pectoral Repair Proximal Biceps Tenodesis J. Martin Leland III, M.D. J. Martin Leland III, M.D. The opinions expressed are those
More informationArthroscopic and Mini-Open Rotator Cuff Repair
Arthroscopic and Mini-Open Rotator Cuff Repair with the JuggerKnot Soft Anchor - 2.9 mm with ALLthread Knotless PEEK-Optima Anchor Surgical Technique Table of Contents Arthroscopic Repair... 4 Arthroscopic
More informationTranstibial PCL Reconstruction. Surgical Technique. Transtibial PCL Reconstruction
Transtibial PCL Reconstruction Surgical Technique Transtibial PCL Reconstruction The Arthrex Transtibial PCL Reconstruction System includes unique safety features for protecting posterior neurovascular
More informationTechnique Guide. 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Proximal Humerus Plate 2 AO Principles
More informationSurgical Technique. Olecranon Locking Plate
Surgical Technique Olecranon Locking Plate PERI-LOC Locked Plating System Olecranon Locking Plate Surgical Techniquealog Infor Table of Contents Introduction...2 Indications...3 Plate Features...3 Patient
More informationArthroscopic Meniscal Repair using the Meniscal Cinch Surgical Technique
Arthroscopic Meniscal Repair using the Meniscal Cinch Surgical Technique Arthroscopic Meniscal Repair Small PEEK implants and 2-0 FiberWire provide secure, low profile fixation Slotted, curved cannula
More informationSHOULDER PATIENTS. Diagnostic Shoulder Arthroscopy Technique Guide
SHOULDER PATIENTS Diagnostic Shoulder Arthroscopy Technique Guide mi-eye 2 Indications for Use The mi-eye 2 system is indicated for use in diagnostic and operative arthroscopic and endoscopic procedures
More informationFS MTS. Micro Periodontal Tissue Scissors
FEATHERLITE SCISSORS Our patented Flex Series Scissors are designed to have a 300% increase in its shearing angulation compared to conventional scissors. The result is that, no mater what is being cut,
More informationPercutaneous Humeral Fracture Repair Surgical Technique
Percutaneous Humeral Fracture Repair Surgical Technique Percutaneous Pinning Percutaneous Humeral Fracture Repair Closed reduction followed by percutaneous fixation reduces risk from soft tissue dissection
More informationComprehensive Product Offerings for Your Rotator Cuff Repair
Rotator Cuff Repair Solutions Comprehensive Product Offerings for Your Rotator Cuff Repair ULTRATAPE Suture HEALICOIL HEALICOIL PK Q-FIX All- FOOTPRINT ULTRA PK Knotless MULTIFIX S ULTRA Knotless FIRSTPASS
More information100 Interpace Parkway Parsippany, NJ
100 Interpace Parkway Parsippany, NJ 07054 www.biometspine.com 800-526-2579 All trademarks are the property of Biomet, Inc. or one of its subsidiaries, unless otherwise indicated. Rx Only. 2009 EBI, LLC.
More informationSurgical Technique International Version. Clavicle Locking Plate
Surgical Technique International Version Clavicle Locking Plate PERI-LOC Upper Extremity Locked Plating System Clavicle Surgical Techniquefor Table of Contents Introduction........................................................2
More informationCrossFix II. All-Suture, All-Inside Meniscal Repair System. Surgical Technique
CrossFix II All-Suture, All-Inside Meniscal Repair System Surgical Technique 3 CrossFix II All- Suture Repair System Surgical Technique All-Inside Repair with Inside-Out Results The CrossFix II Meniscal
More informationCorrection System. Surgical Technique
Nextra Hammertoe Correction System Surgical Technique Maximized Bone Purchase* Stable and Secure Phalanx Optimized Screw Design Adjustable Bone-to-Bone Apposition Progressive Ratchet Tightening Mechanism
More informationFigure 3 Figure 4 Figure 5
Figure 1 Figure 2 Begin the operation with examination under anesthesia to confirm whether there are any ligamentous instabilities in addition to the posterior cruciate ligament insufficiency. In particular
More informationFoot and Ankle Technique Guide Metatarsophalangeal (MTP) Unilateral Joint Repair
Surgical Technique Foot and Ankle Technique Guide Metatarsophalangeal (MTP) Unilateral Joint Repair Prepared in consultation with: Phinit Phisitkul, MD Department of Orthopedics and Rehabilitation University
More informationCannulated Angled Blade Plate 3.5 and 4.5, 90.
Cannulated Angled Blade Plate 3.5 and 4.5, 90. Technique Guide This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Table of Contents Introduction
More informationAnatomic AC Joint TightRope Fixation
Arthroscopic Anatomic Stabilization of Acute Acromioclavicular Joint Dislocation using the TightRope System Surgical Technique Anatomic AC Joint TightRope Fixation Background Disruption of the coracoclavicular
More informationRibFix Blu. Thoracic Fixation System
RibFix Blu RibFix Blu Thoracic Fixation System The New Era of Rib Fixation Begins Now Designed by Trauma Surgeons for Trauma Surgeons Your work matters and so do your patients. We are continually engineering
More informationSolutions by Tornier. surgical technique
S H O U L D E R Solutions by Tornier S I M P L I C I T I S U R G I C A L T E C H N I Q U E S H O U L D E R S Y S T E M surgical technique S I M P L I C I T I S H O U L D E R S Y S T E M S U R G I C A L
More informationTechnique Guide. Compact 2.0 LOCK Mandible. The locking system for the mandible.
Technique Guide Compact 2.0 LOCK Mandible. The locking system for the mandible. Table of Contents Introduction Compact 2.0 LOCK Mandible 2 AO Principles 4 Indications and Contraindications 5 Surgical
More informationSurgical Technique. Clavicle Locking Plate
Surgical Technique Clavicle Locking Plate PERI-LOC Locked Plating System Clavicle Locking Plate Surgical Technique Table of Contents Introduction...2 Indications...3 Plate Features...3 Patient Positioning...4
More informationRECURRENT SHOULDER DISLOCATIONS WITH ABSENT LABRUM
RECURRENT SHOULDER DISLOCATIONS WITH ABSENT LABRUM D R. A M R I S H K R. J H A M S ( O R T H O ) A S S I S T A N T P R O F E S S O R M E D I C A L C O L L E G E, K O L K A T A LABRUM Function as a chock-block,
More information