Phoenix tibial nail system featuring corelocktm technology. Tibial fractures after tibial tubercle osteotomies for. Surgical technique instruments and implants approved by the ao foundation. Surgical technique the most important principle of technique was to avoid contact between the im nail and shanz pins. For solid tibial nails utn, select the connecting screw for utn 356.
Building on the n t r legacy of intrafix a fix s i a t c niqu. It provides an effective alternative treatment in indicated cases. Over 40,000 zimmer nexgen knee tibial components recalled. This multiimage surgical exhibit features elements associated with the open reduction, internal and external fixation of multiple fractures to the tibia and fibula of the right lower leg. The intrafix advance tibial fastener system is an implant system used for fixation of. Acl reconstruction using femoral rigidfix and tibial biointrafix. Case description a 71yearold male sustained a rupture of the distal attachment of the tibialis anterior tendon. Efficacy study of surgical technique in intramedullary. Intramuscular electrical stimulation for muscle activation. The only aspects of this technique that were changed during the study period were the caudal end of the osteotomy and the screw sites. The femoral intrafix system is indicated for fixation of.
The superior clinical and biomechanical performance of the washerloc and bone dowel during aggressive rehabilitation and testing in the laboratory has been extensively documented since the technique was introduced in 1997. The technique of limblengthening, ankle arthrodesis, and segmental transfer over an intramedullary nail has been introduced to overcome these problems. Based on the original intrafix acl fixation system, this ligament reconstruction system is used for fixating tissue for ligaments or tendon to bones. A novel technique using sensorbased technology to evaluate tibial tray rotation. The intrafix tibial fastener was designed with two. For cannulated tibial nails ctn, select the connecting screw for ctn 356.
Learn more about the tunneloc tibial fixation device from zimmer biomet. Intrafix advance tibial fastener system acl reconstruction. Two of the authors bz and wkw carried out the surgery in the series. Otherwise, the surgical technique and decisionmaking process into the use of the tibial tubercle osteotomies did. Ensure that the tibial tunnel is a minimum of 40 mm long. The implantfree tibial inlay technique shows equal biomechanical characteristics compared to an interference screw fixation. In general, setting the variable angle tibial aimer between 45 and 55 degrees will allow these tibial tunnel lengths to be achieved. In our surgical technique, a tibial tunnel length of 35 p0090 to 45 mm is optimal because this will accommodate the entire 30mm intrafix or bio intrafix with no chance of the device protruding into the joint. Gougeonopening wedge high tibial osteotomy performed without filling the defect but with locking plate fixation tomofix and early weightbearing. Expert nailing system titanium cannulated tibial nail. Openingwedge high tibial osteotomy performed with locking.
Depending on the anatomical situation, nail lengths between 255 mm and 465 mm are available in 15 mm steps. Based on the original intrafix acl fixation system which has been used clinically since 1999, the intrafix advance system implants and instruments have been designed. Patients were included if they had open growth plates, no intraarticular or physeal involvement, and radiographic. The titanium tibial nail system surgical technique 15 inserting the nail assemble the insertion instruments orient the insertion handle anteriorly, and match the flats on the handle and nail. Surgical technique phoenixtm tibial nail system featuring corelocktm technology each nail features corelocktm technology, a preassembled, embedded locking mechanism for locking all proximal oblique screws, which can also be used to internally mechanically compress up. Extending the indications of intramedullary nailing with. Distal tibial reconstruction with use of an external fixator when there is bone loss, limblength discrepancy, andor ankle instability is associated with many problems. There is a solid version 8, 9 and 10mm diameter for an unreamed surgical technique.
Surgeons may need to make modifications as appropriate in their own surgical technique with these devices depending on. Vishwanath c department of orthopaedics, adichunchangiri institute of medical sciences, b g nagar, mandya, karnataka, india surgical outcome of tibial plateau fracture using minimally invasive technique with locking compression plate. The instruments and implants in the expert tibial nail permit a more percutaneous technique and less tissue stripping than other treatment methods. We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services. Radiationfree insertion of distal interlocking screw in. Washerloc and bone dowel tibial fixation of a softtissue. Femoral and tibial intrafix sheath and screw system depuy synthes. Advanced design and materials allow surgeons to achieve strong, less invasive anatomic acl reconstructions with softtissue grafts. The biosure sync tibial fixation device was designed to increase the graft fixation strength on the tibial sidean acknowledged weak link in acl repair1 to provide a more rigid and robust acl reconstruction. This retrospective study was to determine if patientspecific instrumentation psi for total knee arthroplasty tka leads to shortened surgical time through increased operating room efficiency according to different tibial psi designs. On the basis of this information, the tendon was divided into thirds to account for the three most common surgical approaches. Tibial fixation without screws in cementless total knee. Distal tibial reconstruction with use of a circular. An intramedullary approach results in decreased blood loss compared to plate fixation.
One problem, which was encountered in the population, was smaller tibial dimension including narrower tibial. Psi without extramedullary em tibial guide group 1, psi. Tibial fixation without screws in cementless total knee arthroplasty. According to an fda enforcement report for the week of july 9, 2014, the company is initiating a voluntary recall of specific identified lots due to.
The apex tibial nailing system offers surgeons the greatest range of locking options of any intramedullary nail on the market, allowing tailored patient care with a simple and intuitive surgical. This brochure presents a surgical technique available for use with the depuy orthopaedics, inc. The tibial nailex provides secure fixation which permits controlled, early, active rehabilitation conducive to optimal recovery. All reconstructions were carried out under regional or general anaesthesia, with the patient in a supine. Elastic intramedullary nailing versus open reduction. In the present series, the use of this revised reamed nailing technique resulted in a high success rate and a low complication rate. Orthoxel announces worlds first patient surgical implantation of the apex tibial nailing system read this article along with other careers information, tips and advice on biospace harty successfully completed the worlds first clinical use of the apex tibial nailing system in cork university hospital on saturday 3rd march. Thirtytwo complex tibial plateau fractures in 32 patients were included. Depending on the anatomy of the patient, this incision can be transpatellar, medial or even lateral parapatellar. An improved surgical technique to treat femoral shaft malunion. Depuy synthes intrafix advance tibial fastener system surgical technique. Right ankle fractures with subsequent surgical fixation. This article outlines the surgical technique for an anteromedial portal.
Indications for the tibial nails include the following. The surgeon who performs any implant procedure is responsible for determining and utilizing the appropriate technique for such procedure for each individual patient. The technique is written to explain use of the suprapatella targeting guide which should be used when the knee is in extension. We hypothesized that our described technique in this article is a valid method of radiationfree insertion of distal interlocking screw in tibial and femoral nailing. In our surgical technique, a tibial tunnel length of 35. This publication is not intended for distribution in the usa. The titanium tibial nail system royal childrens hospital. Intrafix advance tibial fastener system is a tibial fixation device. Surgical procedures other than those listed in the indications section. The intrafix advance tibial fastener system is an implant system used for fixation of tissue including ligament, or tendon to bone during cruciate ligament reconstruction.
Titanium cannulated tibial nail expert nailing system. Hamstring anterior cruciate ligament reconstruction with intrafix. The super clot contains the bodys own components necessary for the formation of replacement. Arthrex offers a comprehensive selection of softtissue fixation devices for a variety of techniques. Thirtytwo weeks after surgical repair, there was no palpable or visible tension development in the muscle belly or tendon. Titanium cannulated tibial nail surgical technique depuy synthes 11 opening the tibia 4 approach make an incision in line with the central axis of the intramedullary canal. Tunneloc tibial fixation surgical technique animation. A complication of soft tissue graft tibial fixation with the intrafix device. Distal tibial reconstruction with use of an external. The surgical technique, tips and pearls, and treatment outcome of a group of patients treated with im nail without the help of image intensifier over a period of 1 year are described. Surgeons may need to make modifications as appropriate in their own surgical technique with these devices depending on individual patient requirements.
Anteromedial portal anterior cruciate ligament reconstruction with. Unreamed fracture fixation was achieved using either a 9mm x 340mm solid sign 661 tibial nail or a 10 mm x 34. Narrated, annotated lecture 3 of 4 on tibial plafond fractures orif, plating techniques from the ota resident lecture series narrated by saqib rehman, md, from. This revolutionary device employs an interference screw and outer sheath that work in synchrony to separate. Indications the zimmer natural nail system is intended for temporary fracture fixation and stabilization of the bone. However, no consensus exists regarding the ideal management for such cases in the literature. Intrafix advance tibial fastener system is a tibial fixation device designed to maximize the strength and stiffness of an acl reconstruction using soft tissue grafts.
Depuy synthes intrafix advance tibial fastener system surgical technique intrafix advance tibial fastener system is a tibial. Biomet is not responsible for selection of the appropriate surgical technique to be utilized for an individual patient. Plates available with stem extensions and tibial augments, and employs the. Acl reconstruction with intrafix advance tibial fastener. The image intensifier was used in the operating room to obtain careful anteroposterior, lateral and oblique views. Incision placement for intramedullary tibial nailing. Distal tibial reconstruction with use of an external fixator and an intramedullary nail. Intrafix advance tibial fastener system depuy synthes intrafix advance tibial fastener system surgical technique. This is the first study investigating the biomechanical properties of tibial pressfit fixation of the patellar tendon with accessory bone plug in posterior cruciate ligament reconstruction. Traditional attachment 1 510k summary intrafix peek tapered screw submitters name and address oct depuy mitek, inc. Strict adherence to the surgical technique is recommended and several hints on how to.
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