Synthes USS II Polyaxial Technique Manual Download Page 3

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Synthes

USS II Polyaxial Technique Guide

Contents

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Warning

This description is not sufﬁcient for immediate application of
the instrumentation. Instruction by a surgeon experienced in
handling this instrumentation is highly recommended.

AO/ASIF Principles of Internal Fixation

Indications and Contraindications

Implants

Instruments

Surgical Technique

Dismantling Instructions

Bibliography

0X6.000.216_AC_0X6.000.216_AC 21.09.10 08:44 Seite 1

Summary of Contents for USS II Polyaxial

Page 1: ...USS II Polyaxial The Versatile Polyaxial Solution for the Universal Spine Systems Technique Guide 0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite U1...

Page 2: ...0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite U2...

Page 3: ...ion of the instrumentation Instruction by a surgeon experienced in handling this instrumentation is highly recommended AO ASIF Principles of Internal Fixation 4 Indications and Contraindications 5 Imp...

Page 4: ...s USS II Polyaxial Versatile Polyaxial Low Pro le First the screws are inserted and then the polyaxial heads are clicked on the screw This enables free screw placement Using the remobilization instrum...

Page 5: ...0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite 3...

Page 6: ...spine is to restore as much function as possible to the injured neural elements AO ASIF Principles as applied to the spine Anatomical alignment Restoration of normal spinal alignment to improve the bi...

Page 7: ...h USS II or USS Low Pro le pedicle screws Fractures and tumours with suf cient anterior support when using USS II Polyaxial as a stand alone device for posterior xation Contraindications In fractures...

Page 8: ...lable sterile packed Add suffix S to article number Cancellous bone screws with dual core titanium alloy TAN Art Nos Lengths Colour 04 607 232 239 6 2 mm 30 65 mm light blue 04 607 252 259 7 0 mm 30 6...

Page 9: ...xial Reamer 03 607 001 Screwdriver bihexagonal 3 0 mm with T Handle 03 607 002 Screwdriver Shaft for USS II Polyaxial cancel lous bone screws with lengths 70 mm 03 607 003 USS II Polyaxial Holding Sle...

Page 10: ...03 607 004 USS II Polyaxial Positioning Pliers for 3 D Heads 03 607 007 Positioner for Screw Holder 03 607 005 03 607 008 Socket Wrench bihexagonal 11 0 mm self holding with straight handle 0X6 000 21...

Page 11: ...e for Remobilizing without Rod 03 607 014 Hollow Reamer 12 6 mm for USS II Polyaxial Additional instruments 388 143 Socket Wrench 5 0 mm with T Handle 388 502 USS Sleeve Pusher to be used with 03 607...

Page 12: ...rst screws use the Pedicle Probe 4 8 mm If screws 4 2 mm are implanted as the rst screws use the Pedicle Probe 2 8 mm 1 Aebi Thalgott Weber 2 Insert screws into pedicles Required instruments Screwdriv...

Page 13: ...the head of the screw To ensure free movement of the polyaxial 3 D head either ream away excessive bone or back out the screw until the red mark is visible To ream away bone move the reamer back and f...

Page 14: ...h heads for 5 0 mm rods or for 6 0 mm rods are used Insert a Screw Holder into the appropriate 3 D head on the load ing station Make sure that the red markings at surface of the Screw Holder point tow...

Page 15: ...re than 45 Do not bend back and forth In multilevel cases bend the rod according to the curvature of the rod template determined in step 4 Insert the rods with the Holding Forceps into the side openin...

Page 16: ...ceps for USS and Click X length 330 mm 388 410 If necessary use the Rod Introduction Pliers to align the rod with a screw head Never use the Rod Introduction Pliers without guidance provided by the Sc...

Page 17: ...remain mobile Note For constructions with more than two screws on each side start with the screw heads in the center 7 Tighten the nuts Required instruments Socket Wrench for 12 point nut with L Handl...

Page 18: ...s apply the Screw Holder as a guide In the following situations the USS II Polyaxial heads can be remobilized with the Remobilizing Instrument 1 Head with rod introduced Loosen the nut with the Socket...

Page 19: ...ly the Remobi lizing Instrument as described above without inserting the Stop Sleeve This is how the locking ring will be completely removed Then remove the polyaxial head with the Screw Holder Note I...

Page 20: ...18 Synthes USS II Polyaxial Technique Guide 0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite 18...

Page 21: ...19 Dismantling Instructions 03 607 005 USS II Polyaxial Screw Holder 1 2 1 2 0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite 19...

Page 22: ...1 2 1 2 20 Synthes USS II Polyaxial Technique Guide 03 607 003 USS II Polyaxial Holding Sleeve for 03 607 001 1 2 3 4 5 0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite 20...

Page 23: ...1 2 21 03 607 002 Screwdriver Shaft for USS II Polyaxial cancellous bone screws with lengths 70 mm 1 2 0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite 21...

Page 24: ...1 2 22 Synthes USS II Polyaxial Technique Guide 03 607 012 USS II Polyaxial Remobilizing Instrument 1 2 3 0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite 22...

Page 25: ...23 03 607 006 USS II Polyaxial Handle for Screw Holder 03 607 005 1 2 3 4 5 0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite 23...

Page 26: ...General 1 M ller ME Allg wer M Schneider R Willenegger R 1991 AO Manual of Internal Fixation 3rd ed Berlin Springer 2 Aebi M Thalgott JS Webb JK 1998 AO ASIF Principles in Spine Surgery Berlin Spring...

Page 27: ...0X6 000 216_AC_0X6 000 216_AC 21 09 10 08 44 Seite 25...

Page 28: ...00 216 AC All technique guides are available as PDF files at www synthes com lit 036 000 216 AC 50147296 10 2010 Synthes Inc or its affiliates All rights reserved Synthes is a trademark of Synthes Inc...

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