- EXPERTNailing system Suprapatellar Instrumentation for Expert Tibial Nail. surgical technique This publication is not intended for distribution in the USA.
Instruments and implants approved by the AO Foundation .
- Image intensifier command This description entirely does not provide sufficient background for target function of DePuy Synthes products. education by a surgeon experienced in handling these products is highly recommend. serve, Reprocessing, Care and MaintenanceFor general guidelines, function control and strip of multi-part instruments, a well as work guidelines for implants, please contact your local anesthetic sales representative or refer to : hypertext transfer protocol : //emea.depuysynthes.com/hcp/reprocessing-care-maintenanceFor general data about recycle, concern and care of Synthes reclaimable devices, instrument trays and cases, ampere well as march of Synthes non-sterile implants, please consult the Important Information cusp ( SE_023827 ) or refer to : hypertext transfer protocol : //emea.depuysynthes.com/hcp/reprocessing-care-maintenance
- Suprapatellar Instrumentation for Expert Tibial Nail Surgical Technique DePuy Synthes 1 table of Contents Introduction Expert Tibial Nail 2 AO Principles 4 Indications and Contraindications 5 preoperative Planning 6 surgical Technique Opening the Tibia 7 Reaming ( optional ) 15 Inserting the Nail 17 Distal Locking 24 Proximal Locking 30 end Cap Insertion 46 Weight-bearing 48 Implant Removal 49 product Information Implant Specifications 51 Implants 52 Expert Tibial Nail PROtect 55 Suprapatellar Insertion Instruments 60 standard Instruments 63 optional Instruments 67 Vario Case 69 optional : angular Stable Locking System ( ASLS ) 71 MRI Information 73
- 0 millimeter 5 millimeter 10 millimeter 15 millimeter StardriveSD40 This dad tient has som east Sy nth east lambert ocki ng sc rews with hexalobular inner drive acco rding to EN ISO 10664 2 DePuy Synthes Suprapatellar Instrumentation for Expert Tibial Nail Surgical Technique Improved constancy Expert Tibial Nail comprehensive examination solutions end caps : securely lock the most proximal oblique locking screw to create a fixed-angle reconstruct end cap prevents ingrowth of weave and facilitates nail extraction Self-retaining Stardrive SD40 deferral for casual end cap pick-up and ease of interpolation Cannulated 0 millimeter conclusion ceiling sits affluent with nail. 5, 10 and 15 millimeter end caps extend complete height if nail is over inserted. Versatile proximal lock options : Three innovative locking options, in combination with can cellous bone locking screws, increase the stability of the proximal break up for proxi-mal third fractures. Two country of the artwork medio-lateral ( ML ) locking options enable basal compression or secondary controlled dynamization
- StardriveSD25 This chuck ien deoxythymidine monophosphate has som east Sy nth vitamin e lo ckin gravitational constant scr ews brain planck’s constant hexalobular inner drive according to EN ISO 10664 Suprapatellar Instrumentation for Expert Tibial Nail Surgical Technique DePuy Synthes 3 Multidirectional locking options for improved stability Advanced nail design : anatomic flex for ease of nail down in- sertion Titanium alloy TAN* for better mechanical and tire properties Cannulated nails ( from B8 millimeter to B13 millimeter ) for reamed or unreamed techniques, enabling nail interpolation over scout wire The 2.5 millimeter or 3.0 mm ball tipped scout wires may be removed through the nail down and insertion han-dle assembly ( no exchange tube required ). Solid nails ( from B8 millimeter to B10 millimeter ) for unreamed proficiency Advanced distal lock options : Distal external oblique muscle locking option to pre- vent soft tissue damage and increase stability of the distal fragment Two ML and one antero-posterior ( AP ) engage options for constancy of the distal fragment All locking screws : double leash string for more touch points for enhance constancy and ease of insertion Thread close to screw head provid-ing well bone purchase in the near lens cortex and improved stability Titanium alloy TAN* for better mechanical and fatigue duty properties Self-tapping dull tip Self-retaining Stardrive SD25 inlet allows improved torsion transmittance and increased underground to stripping relative to a hex respite and secure locking screw pick-up. cancellate bone locking screws : Indicated for the three unique proxi- mal locking options of all tibial nails diameters dual core blueprint for optimize pur-chase in cancellate cram Unicortical Lengths : 30 millimeter 90 millimeter Standard locking screws : B4.0 millimeter for B8 millimeter and B9 millimeter tibial nails, lengths : 18 millimeter 80 millimeter B5.0 millimeter for B10 millimeter to B13mm tibial nails, lengths:26mm 100 millimeter *Titanium-6 % aluminum-7 % niobium
- 1 4 2 3 4_Priciples_03.pdf 1 05.07.12 12:08 4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique AO PRINCIPLES In 1958, the AO formulated four basic principles, which have become the guidelines for inner fixation1, 2. 1 Mller ME, M Allgwer, R Schneider, H Willenegger. Manual of Internal Fixation. 3rd erectile dysfunction. Berlin Heidelberg New York : springer. 1991. 2 Redi TP, RE Buckley, CG Moran. AO Principles of Fracture Management. 2nd erectile dysfunction. Stuttgart, New York : Thieme. 2007. anatomic reductionFracture decrease and arrested development to restore anatomic relationships. early, active mobilizationEarly and safe mobilization and rehabilitation of the hurt part and the patient as a unharmed. stable fixationFracture obsession providing abso-lute or relative constancy, as required by the affected role, the wound, and the personality of the fracture.
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preservation of blood supplyPreservation of the blood supply to gentle tissues and cram by gentle decrease techniques and careful treatment. 4 DePuy Synthes Suprapatellar Instrumentation for Expert Tibial Nail Surgical Technique AO Principles 1 Mller ME, Allgwer M, Schneider R, Willenegger H. Manual of Internal Fixation. 3rd erectile dysfunction. Berlin, Heidelberg, New York : springer. 1991. 2 Redi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 2nd erectile dysfunction. Stuttgart, New York : Thieme. 2007. stable fixationFracture obsession providing absolute or relative stability, as required by the patient, the injury, and the personality of the fracture. anatomic reductionFracture reduction and fixation to restore anatomical reference relationships. early, active mobilizationEarly and safe mobilization and reclamation of the hurt part and the patient as a solid. conservation of rake supplyPreservation of the lineage issue to soft tissues and bone by gentle reduction techniques and careful handle. In 1958, the AO formulated four basic principles, which have become the guidelines for inner fixation1,2 .
- Suprapatellar Instrumentation for Expert Tibial Nail Surgical Technique DePuy Synthes 5 Indications and Contraindications IndicationsThe Expert Tibial Nail is indicated for fractures in the tibial spear vitamin a well as for metaphyseal and certain intra-articular fractures of the tibial lead and the pilon tibiale : 41-A2/A3 All quill fractures 43-A1/A2/A3 Combinations of these fractures For these indications the Expert Tibial Nail should be used in combination with early implants ( not shown in the illustra-tions ) : 41-C1/C2 43-C1/C2 ContraindicationsNo specific contraindications. note : The use of a cannulate Expert Tibial Nail with a big diameter offering more stability associated with the ream technique is broadly recommended for pseudarthroses, tumours, mal-unions and non-unions. note : ASLS, the Angular Stable Locking System, is indicated in cases where increased stability is needed in fractures closer to the metaphyseal area or in poor quality bone. For more details regarding the intramedullary fixator principle, please consult the ASLS surgical technique ( DSEM/TRM/0115/0284 ) and concept aviator ( 036.001.017 ). bill : In cases with increased gamble of local anesthetic bony infections, the Expert Tibial Nail PROtect offers extra protection from bacterial colonization through local antibiotic prophy-laxis. For further data, refer to page 55 .
- EXPERTTM Tibial Nail For practice only with the Original AO/ASIF System ofInstruments and Implants 0 10 20 30 40 50 60 70 80 90 100 millimeter 1.10 exaggeration 034. 000. 015 Str atec master of education ical 200 5 puerto rico inte five hundred in southwest itze rlan five hundred SEK Su bje computerized tomography thymine o m oculus dexter ific atio newton. for 8, 9, 10, 11, 12, 13 millimeter nails04.004.00304.004.00204.004.001 255 millimeter 270 millimeter 285 millimeter 300 millimeter 315 millimeter 330 millimeter 345 millimeter 360 millimeter 375 millimeter 390 millimeter 405 millimeter 420 millimeter 435 millimeter 450 millimeter 465 millimeter dynamic static 0 millimeter 513 2237 15 10 5 0 millimeter 8 AP View Lateral View Can cellou mho Bo ne Lo cking screw 5.0 millimeter ( go lden ) 04.015.5X adam 0 millimeter 3040 5060 7080 90 Lockin deoxyguanosine monophosphate Screw 5.0 meter molarity ( lig ht gigabyte reen ) 04.005.5XX 0 millimeter 2630 4050 6080 10070 Lockin gigabyte Screw 4.0 meter m ( five hundred ark blu
vitamin e ) 04.005.4X x 0 millimeter