Mitek tibial intrafix surgical technique bookshelf

A novel technique using sensorbased technology to evaluate. Scapholunate surgical technique using the depuy mitek 2. Providing locking options for all types of fractures, plus the advanced locking mode for. Washerloc and bone dowel tibial fixation of a softtissue. The super clot contains the bodys own components necessary for the formation of replacement. Moinfar presents a soft tissue acl reconstruction highlighting tibial fixation with intrafix advance tibial fastener system. Based on our findings, the ideal candidate for an hto is a young patient arthrex offers a comprehensive selection of softtissue fixation devices for a variety of techniques. Prior to performing this technique, consult the instruction for use documentation provided with individual components including indications, contraindications, warnings, cautions, and instructions. The duofix tibial tray depuy, warsaw, indiana, usa consisted of a central polished stem and 4 peripheral pegs. This injury most commonly occurs by longitudinal force on the outstretched hand. Thirtytwo complex tibial plateau fractures in 32 patients were included. Vanguard lockon femoral impactor instructions for proper use and inspection technique instructions for use 1.

The superior clinical and biomechanical performance of the washerloc and bone dowel during aggressive rehabilitation and testing in the laboratory has been extensively documented since the technique was introduced in 1997. Several studies have reported the deterioration of clinical results with time, especially after more than 10 years. In our surgical technique, a tibial tunnel length of 35 p0090 to 45 mm is optimal because this will accommodate the entire 30mm intrafix or bio intrafix with no chance of the device protruding into the joint. These techniques can be used for any of corins hip stems. Based on the original intrafix acl fixation system which has been used clinically since 1999, the intrafix advance system. Concise followup note of a previous report a concise followup note of 48 cases at 10 years followup author links open overlay panel m. Discover the procedures and products required for arthroscopic anterior cruciate ligament acl reconstruction.

Minimally invasive anterior approach surgical technique. Pearls the tibial tunnel length should be at least 40 mm long sheath length is 32 mm. Depuy, 254629, depuy mitek biointrafix tibial sheath, small. Early, active mobilization the expert tibial nail provides secure fixation which permits. A concise followup note of 48 cases at 10 years followup. Avoid twisting the grafts within the tibial tunnel. Mitek sports medicine expands anatomic acl reconstruction. Acl reconstruction using femoral rigidfix and tibial biointrafix. After guide pin placement, check the direction and possible impingement to reconfirm a satisfactory position. Intrafix advance tibial fastener system indications for use describe the depuy mitek intrafix advance tibial sheath and screw system is indicated for fixation of tissue including ligament, or tendon to bone during cruciate ligament reconstruction. Lirette underwent a third procedure on her left knee on may 10, 20.

The fact that the saws receptacle shelf broke does not by itself establish that the. The key to the wsp technique is to maximally tighten the suture weave in the graft before tying the sutures to the post. The anterior pelvic internal fixator infix technique. The intrafix system has provided surgeons with a strong fixation system for this indication however the trend is toward absorbable fixation system. Openingwedge high tibial osteotomy performed with locking plate fixation tomofix and early weightbearing but without filling the defect.

Depuy synthes intrafix advance tibial fastener system surgical technique. Type of use select one or both, as applicable prescription use part 21 cfr 801 subpart d. Acl reconstruction using femoral rigidfix and tibial bio. We use it on the ends of the st or gr that will enter the tibial. Based on our findings, the ideal candidate for an hto is a young patient technique. Acl reconstruction with intrafix advance tibial fastener. Surgical adjustment of the guide pin to perform a correct. A medial opening wedge high tibial osteotomy hto, where the osteotomy site is filled, is often preferred to a lateral closing osteotomy, but filling the defect can lead to certain complications. Depuy mitek rigidfix soft tissue acl system youtube. Advanced design and materials allow surgeons to achieve strong, less invasive anatomic acl reconstructions with softtissue grafts. Care is taken to free the tendons of any distal attachments that might cause early truncation of the tendons during harvesting. The tibial shaft fractures with intact fibula had difficulties in the orthopedic treatment of leg fractures such as reduction of the tibial and an unusually high rate of varus malunion, delayed union, and nonunion. Both techniques can be used for reconstruction of acl. Patients present in the office with pain, swelling and occasional click.

Abstract essentially, only three methods are currently used for gripping anterior cruciate ligament acl grafts so that they may be fixated to bone. In general, setting the variable angle tibial aimer between 45 and 55 degrees will allow these tibial tunnel lengths to be achieved. Surgical procedures other than those listed in the indications section. San diego march 16, 2017 depuy synthes mitek sports medicine has launched a new suite of knee arthroscopy solutions to help improve operating room efficiency, simplify acl and meniscus repair, and make these surgeries more reproducible. Intrafix advance tibial fastener system is a tibial fixation device designed to maximize. Depuy synthes intrafix advance tibial fastener system surgical technique intrafix advance tibial fastener system is a tibial. Springfield, ma summary tibial fixation of soft tissue grafts has presented a challenge to orthopedic surgeons. Femoral intrafix, with its unique patented polypropylene sheath and peek screw implant design offers a new technique to achieve a more. Depuy mitek will continue to track any related complaints within this device family as a means of monitoring the extent with which this complaint is observed in the field. The tendons are identified and whipstitched figure 1. Implant had presented as a lump on patients left am portal site from a previous hamstring acl. However, in general, published studies on hto report good longterm results with a correct patient selection and a precise surgical technique. Acl reconstruction tibial fixation with intrafix vumedi. Position the knob to the medial side of the femoral component figure 1.

For tibial fixation, a bioabsorbable intrafix interference screw was. We are a liquidator of sutures and other surgical items from ethicon, covidien autosuture, synthes, stryker, arthrex and are able to pass our savings on to you. Anterior cruciate ligament reconstruction using autologous. The intrafix advance tibial fastener system provides rigid fixation of the graft in the tibial tunnel. Tibial diaphyseal fractures are one of the most common long bone fractures encountered by most of the orthopedic surgeons. Efficacy study of surgical technique in intramedullary tibia. Insert the 1250mm ball tip guide wire 18061250s from the hip through the knee and advance into the tibial shaft to the depth at which you. It describes equipment,the technique and the anatomy. The depuy mitek intrafix advance tibial sheath and screw system is indicated for fixation of tissue including ligament, or tendon to bone during cruciate ligament reconstruction. Place thumb in the area labeled thumb and insert the hook into the recess on the lateral side of the femoral component figure 2. For more information, call your depuy mitek representative at 18003824682 or visit us at. Place the fixation device on the inserter, ensuring that the cortical tab of the device is. Vishwanath c department of orthopaedics, adichunchangiri institute of medical sciences, b g nagar, mandya, karnataka, india surgical outcome of tibial plateau fracture using minimally invasive technique with locking compression plate.

Efficacy study of surgical technique in intramedullary. Building on the n t r legacy of intrafix a fix s i a t c niqu. Meagan lirette underwent anterior cruciate ligament acl surgery on may 18. Acl reconstruction with mitek intrafix system by eric strauss, m. The guide should advance to the intercondylar notch. Depuy mitek developed an absorbable version of intrafix made with pla. Surgical technique this publication is not intended for distribution in the usa. In this way, no significant postfixation elongation should occur. Depuy, 254629, depuy mitek biointrafix tibial sheath. Intrafix advance tibial fastener system acl reconstruction. Instruments and implants approved by the ao foundation. A second nail driving guide of equal length is then used to measure the length of the medullary canal. Tibial plateau fractures have been studied and reported extensively and exhaustively but still 1. Bone tendonbone grafts surgical technique depuy synthes mitek sports medicine.

All reconstructions were carried out under regional or general anaesthesia, with the patient in a supine. It goes over the fluoroscopic images,how to place the screws and their depth,how to shape and pass the rod, how to compress for apc injuries and distract for lc injuries. From an implant side, the system uses the same stems and offset couplers as the revision system while having the same tibial footprint and femoral positioning. The depuy mitek femoral intrafix system consists of a peek screw and a polypropylene. The intrafix advance tibial fastener system is an implant system used for fixation of tissue including ligament, or tendon to bone during cruciate ligament reconstruction. The apex tibial nailing system offers surgeons the greatest range of locking options of any intramedullary nail on the market, allowing tailored patient care with a simple and intuitive surgical. This video demonstrates the technique of applying an anterior subcutaneous pelvic fixator or infix for the pelvis. A tibial intrafix device depuy mitek was inserted between the. Tibial bone loss and softtissue defect treated simultaneously with ilizarovtechnique a case report article in acta orthopaedica scandinavica 715. Sync tibial fixation device into the tibial tunnel.

This content is intended for health care professionals in the united states. Jul 05, 2015 depuy mitek rigidfix soft tissue acl system. Spectra family of coils surgical stapling trumatch cmf wound closure. Several techniques have been described to be capable of reconstructing the acl to improve the knee stability, restore joint kinematics, normal anatomy and function, and prevent early joint degeneration in the acldeficient knee. Concise followup note of a previous report sciencedirect. In group a an anatomic singlebundle acl reconstruction was performed using rigidfix techniquemitek. The instruments and implants in the expert tibial nail permit a more percutaneous technique and less tissue stripping than other treatment methods. This surgical technique follows the same intuitive flow as the legion revision technique and utilizes the same cutting instruments. Tibial fixation without screws in cementless total knee. An intramedullary approach results in decreased blood loss compared to plate fixation. The t2 tibial nailing system offers the competitive advantages of.

Tibial tunnel using a depuy mitek tibial drill guide, choose a point above the acl tibial footprint for emergence of the guide pin. All inside acl reconstruction using the translateral technique. High tibial osteotomy hto is an established surgical treatment for medial knee osteoarthritis oa. Patient information on the amic surgical technique in the. The tibial tray was manufactured from a titanium alloy tivaal. The ibalance uka system is a complete, minimally invasive instrument and implant platform for the treatment of localized unicondylar cartilage degeneration as a result of osteoarthritis or post traumatic arthrosis in the medial or lateral compartments of the knee. Mar 01, 2015 a novel technique using sensorbased technology to evaluate tibial tray rotation. The intrafix advance tibial fastener system is an implant system used for fixation of. The undersurface of the tray and pegs had a porocoat surface that was overcoated with hydroxyapatite.

The new platform expands the companys leadership in products and instruments for knee arthroscopy by combining performance with an easy. Arthrex offers a comprehensive selection of softtissue fixation devices for a variety of techniques. A novel technique using sensorbased technology to evaluate tibial tray rotation. Mitek sports medicine introduces comprehensive knee. The purpose of this study was to evaluate the longterm results after hto using our originally developed fixation method and to clarify the factors affecting the longterm. The following technique can be used for any soft tissue graft. Mitek sports medicine rigidfix curve surgical technique surgical technique guide make an incision over the insertion site of the gracilis and semitendinosis tendons. Arthroscopic anterior cruciate ligament acl reconstruction has become the standard care for the acldeficient knee. Mar 16, 2017 simple onehanded tensioning technique allows surgeons to advance graft to completely fill the socket with stronger fixation and less graft displacement compared to similar adjustable loop devices. Drill a tibial tunnel to accommodate your graft diameter. Release the tendons from any attachments prior to harvesting or the graft may be prematurely cut in the process.

Not limiting the approach to a certain nailing technique. In a comparative study between femoral rigidfix and femoral bio intrafix devices tibial side was constant with intrafix technique for hamstring graft fixation, choi et al. Depuy synthes mitek sports medicine anteromedial acl reconstruction bonetendonbone. Wsp was one of the first devised methods of graft fixation, but with the increase in popularity of bonepatellar tendonbone bptb grafts and interference screws in the. From an implant side, the system uses the same stems and offset couplers as the revision system. Anterior cruciate ligament reconstruction using 4strand. Surgical management of isolated tibial shaft fractures. High tibial osteotomy using two threaded pins and figure. Initial fixation strength is critical for the early postoperative rehabilitation.