Complementing depuys existing global shoulder portfolio, this implant is designed to articulate either. Surgical technique guide clinical indications osteomed extremilock wrist plating system is intended for fracture fixation, fusion, and osteotomies of the wrist and other bones appropriate for the size of the device. Perform glenoid exposure and sizing as outlined on pages 16 and 17 of the depuy global advantage shoulder arthroplasty system surgical technique cat. Key points boxes throughout provide hints and tips to reinforce the main aspects of each technique. Approach superiorlateral approach deltopectoral approach 3. Revision surgical technique using sigma tc3 rp with mbt. Jnj leadership to bought the gold standard and drove it into the ground. A 9 mm resection will match the thickness of the implant. Shoulder arthroplasty system tsa surgical technique. At golden state orthopaedics we believe that movement is the very foundation of peoples health and well being. Resurfacing humeral head implant from depuy is system overview well suited for younger osteoarthritic or rheumatoid arthritic patients in need of a bonepreserving implant. This publication is not intended for distribution in the usa. Its fully anatomic design and straightforward surgical technique assist the surgeon to achieve appropriate joint biomechanics, implant stability and range of motion for their patients. Sigma rotating platform knee system surgical technique position the oscillating saw blade through the slot or, where applicable, position the blade.
The instruments, technique and components of this arthroplasty system are designed to address these challenges. Training the scrub person on srom technique total hip. According to a february 19, 20 press release, the system enables surgeons to anatomically treat proximal humeral fractures and easily convert to a reverse total shoulder without compromising recognized biomechanical principles. Distal resection depth 4 mm difference between a slotted and nonslotted resection resection knob adjusts distal resection depth. Washington, university of pennsylvania and depuy orthopaedics, inc. Operative techniques in orthopaedic surgery is the first major new comprehensive text and reference on surgical techniques in orthopaedics. Sales commissions have been slashed and expectations are unrealistic. Skyline, mountaineer, uniplate2, expedium, songer cable. The reduction screw is designed with removable tabs that allow the surgeon.
Nonconstrained total or hemi shoulder arthroplasties have limited clinical outcomes in such indications, and most of the constrained and semiconstrained. From patient preparation to hand washing, from equipment to basic surgical procedures, this highly practical manual by drs. The size of the trident psl ha shell selected should be the same as the largest diameter of the cuttingedge spherical reamer used. Expedium surgical technique by apolineo comunicacion. An adaptation of the posterior lumbar interbody fusion plif technique first described by cloward, the t. Written by over 800 experts from leading institutions around the world, this superbly illustrated fourvolume reference focuses on mastery of operative techniques and also provides a thorough understanding of how to select. The challenges encountered by shoulder arthroplasty surgeons include surgical exposure, soft tissue balancing and component fixation. Discover the book of grupo asis small animal surgery. If percutaneous rod placement is desired, make a skin incision 2. Expedium surgical technique by apolineo comunicacion issuu. Discover book depositorys huge selection of surgical techniques books online.
A comprehensively updated text takes account of new developments in surgical techniques and equipment. Pedicle screw preparation pedicle preparation is performed utilizing a selection of awls, pedicle probes, ball tip feelers and bone taps. The user can plan an ideal trajectory and a virtual screw can be optionally sized and planned to assist in aiming the navigation instruments. The cut will be approximately 1 cm above the lesser trochanter. This book will enable surgeons to further develop their skills and improve outcomes when performing modern cervical spine surgery. Excise any hypertrophic synovium and a portion of the.
The axial starter reamer is used with the thandle to open the femoral canal and to aid in determining the orientation of the femoral axis. If miniopen modified wiltse rod placement is desired, make a 3. Surgical technique is a critical variable in the success of any. The patient can be positioned in either a lateral or supine position depending on surgeon preference. Mar 28, 2012 operative techniques in orthopaedic surgery is the first major new comprehensive text and reference on surgical techniques in orthopaedics. The system is a modular system that allows 72 different sizing configurations. Mis spine system adaptable mis solutions for an evolving practice. A true surgeons guide to navigating the operating room. Thats why we provide medical professionals with the innovative products they need to assist them in treating their patients. Advancing science, enhancements were made to corail to provide solutions for orthopaedic surgeons treating todays higherdemand patients. Depuy synthes joint reconstruction has introduced the global unite platform shoulder arthroplasty system. Viper 2 system guide depuy synthes 1 table of contents system overview 3 degenerative 4 deformity 6 trauma 10 tumor 14 surgical technique pedicle targeting 16.
Viper 2 system guide depuy synthes 17 determine the skin incision location place a guidewire on the patient perpendicular to the axis of the spine at the targeted level. This content is intended for health care professionals in the united states. The sixth edition of this highly regarded title for surgical trainees gives clear, concise guidance on all aspects of acquiring surgical skills to ensure operative success. Resection from the distal femur will measure from the depth indicated on the cutting guide. Conventional surgery makes large incisions or cuts through the skin, muscle, and other layers of the body. Surgical technique guide step 2 establish entry point make a 23cm incision, centered over the radial styloid. The pinnacle acetabular cup system primary surgical technique has been developed in consultation with an. Mis spine system adaptable mis solutions for an evolving. It is expected that the surgeon is already familiar with total shoulder arthroplasty. Select the rod material of choice, cut, and contour the rod. Depuy synthes first quarter, steady and robot deal with. Attach the squeezedown device to the top notch load. Perform the osteotomy, taking care to maintain the correct angle figure 1.
Kavoussi, provides students, residents, and clinicians with a firm foundation in the core techniques and skills required for the operating room environment. The summit tapered hip system implants, porocoat and duofix hydroxyapatite ha stems, are cementless designs developed following the classic tapered stem philosophy. Corail hip system product rationale and surgical technique depuy synthes 8 the design of the extra medullary section improves the biomechanics of the stem. Modifications to the surgical technique may be required based upon individual patient anato. Full surgical technique details can be found in lsp68. Company executives told analysts on april 14, 2015, that they saw a third consecutive quarter of. Resect the condyles and check the surface for accuracy. This surgical technique uses a standard posterior approach for illustration purposes. Viper 2 system guide depuy synthes 1 table of contents system overview 3 degenerative 4 deformity 6 trauma 10 tumor 14 surgical technique pedicle targeting 16 guidewire placement 19 pedicle preparation 21 tap pedicle 23 screw loading 24. The low profile neck increases the range of motion of the stem within the cup before the neck impinges on the cup. It is intended for use in trauma, general surgery, and. Written by experts from leading institutions around the world, this superbly illustrated volume focuses on mastery. Titanium alloy ti and cobaltchromium alloy cocr rods have been included in the set.
Wireguided glenoid reaming metaglene positioning glenoid surgical steps. Cannulated glenoid reaming metaglene positioning glenoid surgical steps modular implant cementless technique. Sufficient posterior displacement of the proximal humerus is required to provide necessary exposure for implanting the anchor peg glenoid. It is intended for use in trauma, general surgery, and reconstructive procedures. This surgical technique is for a l4l5 operative site. Wiesels operative techniques in orthopaedic surgery. These advances have allowed the development of more efficient instrumentation and increasingly sophisticated implant designs that enhance clinical outcomes. Center the resection guide along the neutral axis of the femur and mark the resection line. The book and accompanying videos provide good value and should be helpful for medical students and possibly some firstyear residents.
A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. The settlement deal previously applied to approximately 8,000 depuy asr plaintiffs, who had alleged that their hip replacement devices failed prematurely and. Full details on surgical exposure are provided in the standard depuy asr. Attune knee system surgical technique depuy synthes joint reconstruction 11.
Using ap fl uoroscopy, position the guidewire such that its projection transects the center of both pedicles in the cephaladcaudal direction. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Surgical technique guide reduction the expedium polyaxial reduction screw is designed to further complement the innovative design of the existing expedium polyaxial screw range. Reviewed by carol scottconner, md, phd, mba university of iowa hospitals and clinics. Advancements have been made to enhance fixation, provide improved fit, restore joint biomechanics and maximize range of motion. Operative techniques in orthopaedic trauma surgery provides fullcolor, stepbystep explanations of all operative procedures in orthopaedic trauma surgery. Distal femoral resection ensure there is contact between the valgus alignment guide and the distal femur. Universal navigation instruments surgical technique depuy synthes 11 viper spine system pedicle preparation calibrate and verify accuracy per the navigation software and user guides. A french rod bender and insitu sagittal and coronal benders are available in the set for rod contouring. The ci depuy asr technique is a headonly procedure. During femoral preparation, reamers are used to calibrate the distal cavity of the femur. Surgical guide system for stabilization of the spine. Now presented in full colour with all illustrations redrawn to add detail and clarity and to bring all the information fully up to date.
A system for determining screw length and screw trajectory of a screw for insertion into a vertebral body, comprising. Depuy synthes spine expedium verse spine system indications for use describe the expedium verse system is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine. Depuy spine is a joint venture with biedermann motech gmbh. Delta xtend key surgical steps humeral surgical steps 2. The following general surgical technique guide is for illustrative purposes only. Surgical technique is a critical variable in the success of any arthroplasty.
Bluntly dissect through the subcutaneous tissue to the periosteum between the first and second dorsal extensor compartments to expose the radial styloid. Written by over 800 experts from leading institutions around the world, this superbly illustrated fourvolume reference focuses on mastery of operative techniques and also provides a thorough understanding of how to select the best procedure, how to avoid. Attach the squeezedown device to the top notch load the single innie from the caddy and thread into the. A power drill and standard jacobs chuck are required. The following surgical technique for the promostm modular shoulder system is a general guide to the instrumentation specific to this system. Variability of plus or minus 15 degrees in both neck angle and version allow the surgeon to restore individual patient anatomy. Incision and exposure should be performed using the surgeons preferred technique. Listing a study does not mean it has been evaluated by the u. Probes and bone taps are marked to indicate the appropriate length of polyaxial screw.
Table of contents page 02 design mission and vision page 03 pinnacle surgeon consultant design team page 04 foundation for clinical success surgical technique page 05 introduction page 06 templating and preoperative planning page 08 surgical approach anterolateral page 12 surgical approach posterolateral page 15 femoral resection page 15 acetabular exposure page 16 acetabular reaming. Surgical technique neck osteotomy the level of the neck resection is determined during preoperative templating. A suture collar allows secure anatomic reconstruction of the tuberosities and helps return the shoulder to a natural anatomical position. Depuy believes in an approach to total shoulder replacement that places equal importance on recovery, function and survivorship. Watch this video to learn more about using the sigma tc3 rp with mbt for revision surgeries and stem extensions.
Handbook of surgical technique 97803234620 us elsevier. When most people think of surgery, they picture a doctor using a scalpel and other surgical instruments to cut into and remove, repair, or. These screws help to address, correct and also stabilize difficult anatomic variations. While use of an axial starter reamer is needed, use of cylindrical reamers is not necessary to prepare the femoral canal. Incise the first dorsal compartment extensor retinaculum and free the. As with all surgical procedures, the technique used in each case will depend on the surgeons medical judgment as to the best treatment for each patient. Operative techniques in orthopaedic trauma surgery. Depuy believes in an approach to total shoulder replacement. Rod reduction using the squeezedown rod approximator. Arthropathy cta has historically been seen as a significant surgical challenge.
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