smith&nephew REDAPT Скачать руководство пользователя страница 10 | Manualshive

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smith&nephew REDAPT Скачать руководство пользователя страница 10

8

Abbreviated Surgical Technique

Trial

Implant

Distal ream

Proximal ream

Starter ream

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Содержание REDAPT

Страница 1: ...Surgical Technique...

Страница 2: ......

Страница 3: ...edure In the final analysis the preferred treatment is that which addresses the needs of the patient REDAPT Revision Femoral System Surgical Technique This surgical technique is for informational and...

Страница 4: ...Indications Hip components are indicated for individuals undergoing primary and revision surgery where other treatments or devices have failed in rehabilitating hips damaged as a result of trauma or n...

Страница 5: ...d range of motion 2 Offset options Standard and High Stem Forged Titanium tapered fluted design with proprietary ROCKTITE flutes Diameters 12 27mm 1mm increments 190mm available 12 21mm Lengths 190mm...

Страница 6: ...owing table and illustrations show the total offset and height for each REDAPT stem Offset option standard is 0 head center Size mm SO Neck HO Neck Height mm Offset mm Height mm Offset mm 12 15 33 37...

Страница 7: ...eamers are available in diameters of 10mm to 21mm in 1 0mm increments in lengths of 190mm and diameters of 10mm to 27mm in lengths of 240mm and 300mm The proximal reamers are uniquely designed to be u...

Страница 8: ...aid in determining the appropriate type size and position of the revision stem you will need An important goal of templating is achieving the optimal leg length and offset As with primary THA preop pl...

Страница 9: ...offset should be so as to achieve a hip that is stable without impingement in all physiological positions Once the bone stock has been assessed and proper leg length and offset have been determined t...

Страница 10: ...8 Abbreviated Surgical Technique Trial Implant Distal ream Proximal ream Starter ream...

Страница 11: ...ic osteotomy ETO greatly facilitates stem removal Once the stem is exposed over the lateral surface a saw or burring device can be used to disrupt the anterior and posterior surfaces The medial surfac...

Страница 12: ...mity or dysplasia may require trochanteric osteotomy or femoral osteotomy The final level of the shoulder of the prosthesis may have to be adjusted in these cases Placement of the box osteotome and in...

Страница 13: ...eon tip Ream until you hear cortical chatter the reamer contains cortical bone debris and the reamer does not advance under firm axial pressure The reaming technique may be more aggressive than with a...

Страница 14: ...imal reaming re ream distally with successively larger distal reamers until desired distal fit is achieved The distal reamer provides a positive depth stop for the proximal reamer the surgeon may hear...

Страница 15: ...he following information illustrates the approximate proximal size of each Sleeveless stem Trialing Assemble trial components over the proximal end of the distal reamer starting with the trial body as...

Страница 16: ...Figure 11 and 12 Once the trial body assembly is tightly secured place the desired trial neck Standard or High offset on the trial body Attach the selected trial head to the trial neck Perform trial...

Страница 17: ...Reamers and trials are not implantable devices and must be removed prior to implant insertion If trialing was not performed then the distal reamer component can be removed using the reamer removal cap...

Страница 18: ...during repeated impacting Close the lever handle to lock the pommel Note Take care to protect the taper during the attachment of the stem inserter Orient the stem to achieve the desired version Inser...

Страница 19: ...urette or burr to fit against the lateral position of the femoral component Caution The implant must contact bone bone filler or secured allograft to provide adequate secondary support Reattach the tr...

Страница 20: ...135 4707 7135 4725 7135 4743 7135 4761 19 7135 4468 7135 4486 7135 4708 7135 4726 7135 4744 7135 4762 20 7135 4469 7135 4487 7135 4709 7135 4727 7135 4745 7135 4763 21 7135 4471 7135 4488 7135 4711 71...

Страница 21: ...T Proximal Reamer 9 20 21L 22 23M 24 25S 26 27XS 7135 5091 REDAPT Proximal Reamer 10 22 23L 24 25M 26 27S 7135 5092 REDAPT Proximal Reamer 11 24 25L 26 27M 7135 5093 REDAPT Proximal Reamer 12 27L 7135...

Страница 22: ...sembly Size 12 15 F 7135 4632 Trial Body Assembly Size 16 27 G 7135 4636 High Offset Trial Neck H 7135 4635 Standard Offset Trial Neck I 7136 0093 Femoral Head Neck Impactor J 7135 4174 Trial Body Ass...

Страница 23: ...e 12 C 7135 5344 Distal Reamer 190mm Size 13 D 7135 5345 Distal Reamer 190mm Size 14 E 7135 5436 Distal Reamer 190mm Size 15 F 7135 5437 Distal Reamer 190mm Size 16 G 7135 5438 Distal Reamer 190mm Siz...

Страница 24: ...007 Distal Reamer 240mm Size 13 D 7135 5009 Distal Reamer 240mm Size 14 E 7135 5011 Distal Reamer 240mm Size 15 F 7135 5013 Distal Reamer 240mm Size 16 G 7135 5015 Distal Reamer 240mm Size 17 H 7135 5...

Страница 25: ...e 12 C 7135 5046 Distal Reamer 300mm Size 13 D 7135 5048 Distal Reamer 300mm Size 14 E 7135 5051 Distal Reamer 300mm Size 15 F 7135 5053 Distal Reamer 300mm Size 16 G 7135 5055 Distal Reamer 300mm Siz...

Страница 26: ...7135 5084 Proximal Reamer 4 Size 11L 12 13M 14 15S 16 17XS PF 20 21 D 7135 5085 Proximal Reamer 5 Size 1213 L 14 15M 16 17S 18 19XS PF22 E 7135 5086 Proximal Reamer 6 Size 14 15L 16 17M 18 19S 20 21X...

Страница 27: ...40mm Size 23 B 7135 5030 Distal Reamer 240mm Size 24 C 7135 5032 Distal Reamer 240mm Size 25 D 7135 5034 Distal Reamer 240mm Size 26 E 7135 5036 Distal Reamer 240mm Size 27 F 7135 5091 Proximal Reamer...

Страница 28: ...B 7135 5071 Distal Reamer 300mm Size 24 C 7135 5073 Distal Reamer 300mm Size 25 D 7135 5075 Distal Reamer 300mm Size 26 E 7135 5077 Distal Reamer 300mm Size 27 F 7135 5091 Proximal Reamer 10 Size 22 2...

Страница 29: ...l Tool A 7135 5108 Stem Extractor Adaptor B 7135 5107 Stem Extractor Universal Joint C 7136 0919 Sleeve Stem Separator D 7135 5109 Reamer Removal Cap E 7136 0920 Trial Removal Handle F 7136 0917 Trial...

Страница 30: ...Implant Set Includes all titanium small and standard grips 3 titanium fracture management plates 12 cobalt chrome cables with clamp 12 cobalt chrome cables for grips plates RENOVATION Removal Instrume...

Страница 31: ..._____________________________________________ _______________________________________________________ _______________________________________________________ __________________________________________...

Страница 32: ...0 238 7538 www smith nephew com 2016 Smith Nephew Inc 04136 V1 71381738 REVA 02 16 Trademark of Smith Nephew Reference 1 Paprosky Wayne G Sporer Scott M Revision Total Hip Arthroplasty The Limits of F...

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