Stryker SECUR-FIT ADVANCED Скачать руководство пользователя страница 17 | Manualshive

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OPtiONAL SteP: eXtrActiON

15

Figure 19

Mcreynolds Distal Stem Adaptor
6260-4-090

Mcreynolds Driver
6869-1-000,
6869-2-000,
6869-3-000

Mcreynolds

Distal Stem

Adaptor

Stem

extraction

A surgeon must take care to avoid
applying excessive force to the
stem while exposing the joint during
revision surgery.

WArNiNg

A surgeon must take care in
assessing stability so as to not
fracture the bone or create any
debris. Any debris that is potentially
generated must be fully lavaged
prior to wound closure.

WArNiNg

A surgeon should use his or her preferred
surgical exposure and technique to
conduct the revision surgery adequately.
A surgeon should also refer to the
subsequent product’s surgical technique
and instructions for use to understand all
appropriate warnings, indications, contra-
indications, and product compatibility.

There are instruments to manage the
extraction of a Secur-Fit Advanced
Stem in both intraoperative and revision
situations. The instrument to use is

the McReynolds Distal Stem Adaptor
(6260-4-090) and McReynolds Driver
(6869-1-000, 6869-2-000, 6869-3-000)
from the Restoration Modular Instrument
System.

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Содержание SECUR-FIT ADVANCED

Страница 1: ...Surgical Technique Orthopaedics Secur Fit ADVANCED Femoral Hip System ...

Страница 2: ... Neck Resection 3 Preparing the Femoral Canal 4 Trochanteric Reaming 6 Broaching 8 Trial Reduction 10 Implanting the Stem 12 Final Reduction 14 Extraction 15 Implant and Instrument Information 16 Indications Indications for use include Noninflammatory degenerative joint disease including osteoarthritis and avascular necrosis Rheumatoid arthritis Correction of functional deformity Revision procedur...

Страница 3: ... in 132 offset only Sizes 6 12 two anatomic offset angles of 132 and 127 The stem is designed for use with Stryker V40 femoral heads and their compatible acetabular components This publication sets forth detailed recommended procedures for using Stryker Orthopaedics devices and instruments It offers guidance that you should need but as with any such technical guide each surgeon must consider the p...

Страница 4: ... offset options the template has markings that indicate the center of the femoral head for a range of head offset options The predicted change in leg length and offset is determined by the relative positioning of the center of rotation markings on the femoral and acetabular components For example if a given femoral component center of rotation marking is superior to the center of rotation marking ...

Страница 5: ...nter and the trochanteric fossa as landmarks when making the final cut Care should be taken to align the axis line of the Neck Resection Guide to the center axis of the femoral shaft the scales on the lateral flange or medial radius of the guide can be used to reference the greater or lesser trochanter respectively when making the final cut Figure 4 Scale on Resection Guide corresponds to scale on...

Страница 6: ...ration for the implant is preferred Retraction of the gluteus medius and removal of a portion of the lateral neck and or piriformis fossa will permit true axial introduction of the instruments and implant A Box Osteotome is useful in removing bone from this area Connect the Box Osteotome attachment to the Modular Handle Use a mallet to strike the end of the Modular Handle with careful controlled b...

Страница 7: ...point to facilitate entry and graduated markings along the shaft that correspond to implant sizes Enter the canal with the Starter Reamer attached to either a T handle or powered instrument Place the Starter Reamer on the exposed trochanteric fossa and proceed down into the shaft along its axis to the appropriate depth and align to the center of the knee The Starter Reamer should be inserted such ...

Страница 8: ...distal femoral fractures If the Broach does not seat at the desired height ream upward until the Broach seats at the desired height The option to skip any reaming step is at the discretion of the surgeon Select and use the appropriate Trochanteric Reamer to remove lateral proximal cortical bone This will further assist in establishing proper axial alignment The Trochanteric Reamer is available in ...

Страница 9: ...ed Tapered Reamer Sizes stem size tapered reamer 4 Starter reamer may be used 5 5 6 6 5 6 7 7 8 8 7 8 9 9 10 10 9 10 11 11 12 12 11 12 Size 7 Size 8 Tapered Reaming Figure 8 If pre operative templating results in an in between size ream to a smaller size Tip Secur Fit Advanced 2 For 1 Tapered Reamer Size 7 8 1601 1578 Secur Fit Advanced 2 For 1 Tapered Reamer Size 9 10 1601 1590 Secur Fit Advanced...

Страница 10: ... femoral canal Assemble the Broach to the Broach Handle by inserting the alignment tab on the distal end of the Broach Handle onto the Broach Closing the locking arm until an audible click is heard secures the Broach onto the Broach Handle Using a mallet with short controlled strokes begin broaching and sequentially broach up until the desired size is reached Throughout broaching continue to ensur...

Страница 11: ...rm implant fixation include increased pitch of sound with blows to broach handle and increased resistance to advancement Reliance only on the neck cut may lead to improper sizing inadequate component fixation and femoral fracture Caution Figure 10 9 Optional Step Calcar Planing Initiate power prior to contacting the femur and slowly advance the Calcar Planer toward the broach Align the tab within ...

Страница 12: ...ow indicates the correct neck length for each size stem The size of the broach directly corresponds to the size of the implant Table 3 Secur Fit Advanced Neck Trials and Neck Lengths mm Instruments Secur Fit Advanced Monolithic Neck Trial 127 Degree Gold 1601 XX127 stem size neck length mm 127 GOLD neck length mm 132 SILVER 4 26 5 26 6 28 26 7 32 30 8 32 30 9 36 34 10 36 34 11 40 38 12 40 38 Neck ...

Страница 13: ... 5 0 2 5 5 32 2 5 0 2 5 5 36 5 2 5 0 2 5 5 7 5 delta BIOLOX Universal Taper when used with Universal Taper Sleeve catalog 6519 T XXXX 28 2 5 0 4 32 2 5 0 4 36 2 5 0 4 40 2 5 0 4 44 2 5 0 4 V40 Head Trial 6264 x xxxR Assemble the Neck Trial onto the broach by hand Ensure that the engraving on the superior edge of the neck is visible and the flat lateral edge of the neck trial is aligned with the fl...

Страница 14: ...gure 16 The inserter should be fully threaded and secured to the stem prior to impaction to prevent damage to the threads on the implant or the instru ment Using the inserter the stem should be inserted into the femoral canal until it stops Figure 14 Option 1 The Secur Fit Advanced Stem can be inserted by hand and then impacted into the bone using the Modular Stem Impactor Figure 14 The Modular St...

Страница 15: ... final seating height is undesirable the implant can be removed using the Modular Threaded Stem Inserter option 3 and additional broaching can be performed If the stem inserter is contacting the greater trochanter during insertion continued impaction could lead to a fracture Figure 16 Figure 15 If the stem inserter is contacting the greater trochanter during insertion continued impaction could lea...

Страница 16: ...a operatively assemble the Adaptor Sleeve to the Femoral Stem manually The Universal Adaptor Sleeve must be fully seated on the Stem trunnion before the Head is assembled Relocate the femoral head into the acetabular cup and re check the laxity and range of motion The surgical site is then closed according to surgeon preference Figure 18 Instruments Instruments Orthonomic Modular Handle 1020 2900 ...

Страница 17: ...e fully lavaged prior to wound closure Warning A surgeon should use his or her preferred surgical exposure and technique to conduct the revision surgery adequately A surgeon should also refer to the subsequent product s surgical technique and instructions for use to understand all appropriate warnings indications contra indications and product compatibility There are instruments to manage the extr...

Страница 18: ...132 1601 04132 132 4 110 26 31 5 5 1 1601 05132 132 5 115 26 32 5 6 0 1601 06132 132 6 120 26 33 6 6 9 1601 07132 132 7 130 30 37 5 7 4 1601 08132 132 8 136 30 38 4 8 1 1601 09132 132 9 142 34 42 6 8 9 1601 10132 132 10 148 34 43 8 9 7 1601 11132 132 11 155 38 47 9 9 7 1601 12132 132 12 160 38 49 0 10 7 5mm heads are the maximum head offset allowed for the size 4 12mm heads are the maximum head of...

Страница 19: ...sfire Elevated Rim Liners Trident CrossfirePoly Liners 10º or 0º profile Trident CrossfireEccentric Poly Liners 10º or 0º profile Trident Poly Liners 10º or 0º profile Trident Eccentric Poly Liners Trident Constrained Insert Crossfire Series II Inserts 2041C 2042C 2043C S2301 S2302 Series II Inserts and Series II Eccentric Inserts Constrained Liner Series I Inserts System 12 Inserts Standard and C...

Страница 20: ...18 secur fit Advanced Surgical Technique Secur Fit ADVANCED instrumentation 1601 5005 Secur Fit Advanced Femoral Preparation Tray 5900 8114 Case ...

Страница 21: ...19 ...

Страница 22: ...20 secur fit Advanced Surgical Technique Secur Fit ADVANCED 1601 5006 Secur Fit Advanced Procedural Tray 1 instrumentation ...

Страница 23: ...21 ...

Страница 24: ...22 secur fit Advanced Surgical Technique Secur Fit ADVANCED instrumentation 1601 5007 Secur Fit Advanced Procedural Tray 2 ...

Страница 25: ...23 ...

Страница 26: ...notes ...

Страница 27: ......

Страница 28: ...yker product The products depicted are CE marked according to the Medical Device Directive 93 42 EEC Products may not be available in all markets because product availability is subject to the regulatory and or medical practices in individual markets Please contact your Stryker representative if you have questions about the availability of Stryker products in your area Stryker Corporation or its d...

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