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WRIGHT SIDEKICK EZ FRAME, Хирургическая техника, Страница: 3 / 19

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2

Introduction

Chapter 1

 

Introduction

The SIDEKICK® EZ FRAME™ External Fixation System utilizes transosseous thin 

wires and is based on the concepts of minimally invasive external fixation.  

The system simplifies frame application when compared to traditional ring 

fixators by eliminating the need for pins and wires to be placed into the tibia. 

A boot is stabilized on the distal leg (tibia) and further stabilized to a distal ring 

about the foot with carbon fiber reinforced composite rods that are connected 

to the boot and ring respectively. Thin wires are placed into the foot to address 

indications, while a frame-boot combination provides stability and support. 

1

chapt

er

Intended Use

Indications

 for Use

 

» Triple Arthrodesis

 

» Isolated Rearfoot Arthrodesis

 

» Midfoot Arthrodesis

 

» Comminuted Trauma

 

» Diabetic Charcot Reconstruction

 

» Most foot pathology not requiring fixation above the ankle

Contraindications

 

» Talo-tibial or tibio-calcaneal arthrodesis

 

» Any pathology requiring absolute rigidity at or above the ankle

 

» Mentally unfit patients

 

» Poorly vascularized patients

Prior to use of the system, the surgeon should refer to the product package 

insert for complete warnings, precautions, indications, contraindications 

and adverse effects. Package inserts are also available by contacting the 

manufacturer. Contact information can be found on the back of this surgical 

technique and the package insert is available on the website listed.

Содержание SIDEKICK EZ FRAME

Страница 1: ...SIDEKICK EZ FRAME External Fixator System SURGICAL TECHNIQUE ...

Страница 2: ...ed for information purposes only Each surgeon must evaluate the appropriateness of the procedures based on his or her personal medical training and experience Prior to use of the system the surgeon should refer to the product package insert for complete warnings precautions indications contraindications and adverse effects Package inserts are also available by contacting the manufacturer Contact i...

Страница 3: ...e boot combination provides stability and support 1 chapter Intended Use Indications for Use Triple Arthrodesis Isolated Rearfoot Arthrodesis Midfoot Arthrodesis Comminuted Trauma Diabetic Charcot Reconstruction Most foot pathology not requiring fixation above the ankle Contraindications Talo tibial or tibio calcaneal arthrodesis Any pathology requiring absolute rigidity at or above the ankle Ment...

Страница 4: ...nd wires The tibial boot portion of the frame helps facilitate positioning and centering of the leg and foot and the rocker plate helps to align the foot in a neutral position This simplifies frame application compared to traditional circular frames A rocker bottom sole and rocker plate is attached to the foot ring This rocker plate features a cushioned surface insole upon which the foot can rest ...

Страница 5: ...prepared to above the knee and wrapped Cast padding or Kerlix with an Ace Bandage may be used to prepare the leg as shown After the completion of triple arthrodesis with provisional K wire or screw fixation surgeon s preference closure of all wounds and application of all drains as indicated the foot and leg are placed within the SIDEKICK EZ FRAME Fixator The foot should be placed in the center of...

Страница 6: ...cortices the wire can be tapped through the skin on the opposite side manually or advanced using the oscillating feature of the hand held power equipment Tapping the wire manually or oscillating the wire may help prevent wrapping soft tissue as the wire penetrates the soft tissue When placing any percutaneous fixation be mindful of anatomic safe zones If a wire causes tension or tenting of the ski...

Страница 7: ...d using the cannulation of the bolt or using the slot feature built into the nut Please note that the system features 6 hole male posts Male and female posts are also available with 1 through 4 holes Select the aperture closest to the location of the wire exiting the foot to determine placement of the wire bolt Use the longer 6 hole posts for wires further away from the foot plate and use shorter ...

Страница 8: ...d across the foot from either side This wire can cross the navicular and cuboid or alternatively cross from the medial cuneiform and exit the cuboid Once again utilization of the fluoroscope may be helpful in determining the exact anatomic position Attach a post to the foot ring on either side of the foot next to the wire that was placed Tighten the nut on the post to the ring using the 10mm wrenc...

Страница 9: ...nner as the wires described above If the wire was placed in the calcaneus the posts should be moved forward and reattached If the wire is placed in the midfoot then the posts should be moved back and reattached TENSIONING THE WIRES Tensioning of transosseous thin wires increases frame rigidity By utilizing arched wire concepts bone segments can be manipulated to apply compression across arthrodesi...

Страница 10: ...ken by reading where the markings line up with the housing of the tensioner The tensioner should be held in place maintaining tension until the second wire nut is tightened to the wire bolt This will lock the wire under tension The tensioning device is then released Tensioning the talar wire pushes the talus backwards towards the posterior facet of the calcaneus applying compression from the oppos...

Страница 11: ...ped around the lower leg using the Velcro tabs to secure the liner in place Care should be taken to not have wrinkles or folds in the liner These Velcro tabs should align with the top of the boot component The boot portion of the frame can be adjusted to different diameters to accommodate differing patient anatomy These adjustments are made by adjusting the tabs at the back of the boot The SIDEKIC...

Страница 12: ...justments made by patients but will indicate if any unauthorized adjustments are made The heel of the plate should be pressed down onto the rocker bottom sole to connect with the rocker plate as shown Optional spacers can be used to move the plate away from the plantar surface of the foot Spacers are available in two 2 thicknesses 5mm and 10mm Important Note The locking optional locking straps saf...

Страница 13: ...pt SIDEKICK FREEDOM Circular System components It is important to note that the SIDEKICK EZ FRAME wires are 2mm in diameter They are not compatible for use with the SIDEKICK FREEDOM Circular System wire fixation bolts The SIDEKICK FREEDOM Circular System wire fixation bolts will only accommodate 1 8mm wires ...

Страница 14: ...lose to the surface of the skin Pull the wire from the other side applying steady force until the wire is removed Note When removing an olive wire stopper wire pull the wire from the same side as the olive If the removal of the implant is required due to revision or failure of the device the surgeon should contact the manufacturer using the contact information located on the back cover of this sur...

Страница 15: ...e should be removed A new wire should be placed if needed to restore construct stability The boot liner can be replaced if necessary as the surgeon sees fit Replacement rocker bottom soles and foot pads are also available if needed The surgeon must educate the patients on wire care and be diligent in watching for any signs of pin irritation Wire site care is per surgeon preference Aggressive wire ...

Страница 16: ...3700 EZ FRAME FOOT PAD EF103750 EZ FRAME LINER STANDARD EF103775 EZ FRAME LINER LARGE EF190002 EZ FRAME LOCKING STRAPS EF004180 EZ FRAME FOOT RING EF1500PK EZ FRAME WIRE BOLT PK 12 EF1600PK EZ FRAME WIRE NUT PK 12 EF1650PK EZ FRAME POST 6HOLE PK 12 EF2400PK EZ FRAME TIN TIP WIRE 2MM PK 6 EF2450PK EZ FRAME TIN TIP OLIVE WIRE 2MM 6 PK EF3005PK EZ FRAME SPACER 5MM 3 PK EF3010PK EZ FRAME SPACER 10MM 3...

Страница 17: ...OOT PLATE RR120DFR 120MM FOOT RING RR1258CE 120MM 5 8 RING RR1405CE 140MM HALF RING RR140CE 140MM RING RR140DFP 140MM FOOT PLATE RR140DFR 140MM FOOT RING RR1458CE 140MM 5 8 RING RR1600 BOLT 16 MM RR1605CE 160MM HALF RING RR160CE 160MM RING RR160DFP 160MM FOOT PLATE RR160DFR 160MM FOOT RING RR1658CE 160MM 5 8 RING RR180400 WIRE W STOPPER 1 8 MM x 400 MM RR1805CE 180MM HALF RING RR180CE 180MM RING R...

Страница 18: ...P MALE POST 3 HOLE RR30PF FEMALE POST 3 HOLE RR400PL PLATE 4 HOLE RR4025TN SIDEKICK HALF PIN 4X25 TIN 180MM LONG RR4040 HALF PIN 4MMX180MM 40MM THREAD RR4040TN SIDEKICK HALF PIN 4X40 TIN 180MM LONG RR40P MALE POST 4 HOLE RR40PF FEMALE POST 4 HOLE RR5025TN PIN 5X25TIN RR5030TN PIN 5X30 TIN RR5035TN PIN 5X35 TIN RR5040 HALF PIN 5MMX180MM 40MM THREAD RR5040TN SIDEKICK HALF PIN 5X40 TIN 180MM LONG RR5...

Страница 19: ...right Medical Technology Inc 1023 Cherry Road Memphis TN 38117 800 238 7117 901 867 9971 www wmt com Wright Medical EMEA Atlas Arena Australia Building Hoogoorddreef 7 1101 BA Amsterdam the Netherlands 011 31 20 565 9060 Wright Medical UK Ltd Unit 1 Campus Five Letchworth Garden City Hertfordshire SG6 2JF United Kingdom 011 44 0 845 833 4435 ...

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