Compression of the lateral hinge features and benefits higher stability four locking screws in the plate head long shaft portion evenly transmits the occurring forces into the tibial shaft a lag screw pulls the distal osteotomy segment towards the plate. A trapezoidal wedge locking puddu plate arthrex inc is then fixed with 4mm locking figure 3. In 2003, the anthony plate was developed by france bloc s. The plate is available in two lengths and features polyaxial bushings with locking screws. All the patients were followed up between 6 months and 28 months and the mean followup is 18. The system includes a plurality of bone plates of various sizes, and a calibrated wedge tool for opening a resected tibial wedge and determining the size plate to use in the osteotomy. In this study, the results of openwedge osteotomy with puddu plate for the treatment of varus gonarthrosis have been evaluated prospectively. Pdf early results of medial opening wedge osteotomy in. Arthrex peekpower hto plate orthopaedic product news.
A comprehensive plating system for stable fixation of. Design optimization of high tibial osteotomy plates using. Screw, fixation, bone class ii legally marketed k041709 numelock ii system manufactured by predicate devices howmedica osteonics corp now stryker orthopaedics and k973812 arthrex puddu osteotomy system manufactured by arthrex, inc. Osteotomy for medial compartment arthritis of the knee. Biomechanical study of the fixation plates for opening. The simplistic design facilitates minimally invasive surgery and is optimal for lower demand patients. Femur plate, and tomofix medial distal femur plate. Distal femoral varus osteotomy for valgus arthritis of the. Finite element analysis of puddu and tomofix plate. Welcome to arthrex, a global medical device company and leader in new product development and medical education in orthopedics. Arthrex distal extremity plate system summnary to the predicate devices, in which the basic features and intended uses are the same.
Placement of the plate the handle is removed and the plate is placed between the tines of the osteotomy. Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate. Arthrex low profile mtp plates and screws javascript is currently not supported or is disabled by this browser. Arthrex, ar1898s, arthrex transtibial acl disposables kit without saw blade esutures. The arthrex humeral sutureplate is an anatomically designed, low profile, titanium locking plate and screw system. Lateral distal femoral opening wedge osteotomy using the.
Midterm outcome of openingwedge high tibial osteotomy. The titanium femoral opening wedge osteotomy plates provide a straight toothed option to aid in maintaining the osteotomy correction. This is done over several minutes to allow stress relaxation and prevent fracture migration to the lateral cortex or superiorly into the lateral tibial plateau. To overcome these limitations, a lowprofile and anatomical short plate needs to be developed for medial open wedge hto. Both constructs failed under compression and torsion at the lateral cortex and.
This study assessed 65 knees of 60 patients with varus gonarthrosis who underwent high tibial osteotomies. Stability of medial opening wedge high tibial osteotomy. Realignment osteotomy, such as distal femoral varus osteotomy dfo, is an established alternative to arthroplasty for the treatment of degenerative or traumatic valgus arthritis of the knee joint 1. Pars percutaneous achilles repair system achilles jig system arthrex 1 2 3 4 use. A, and it differed from the others used up until then in that it had a coupling system which. To request a price quote andor surgical evaluation of products, please add all products of interest to your cart by selecting the respective product checkboxes in the quote 1 andor surgical evaluation 2 column of the products view 3. The patients were allowed to walk via two crutches without full weight bearing for 6 weeks. Arthrex open wedge osteotomy technique designed in conjunction with.
The distal femoral osteotomy system utilizes the same principles of design featured in the tibial osteotomy system. A system for performing proximal tibial or femoral osteotomies. Opening wedge osteotomy using puddu plate was performed in thirteen knees of twelve patients with minimum age of 35 and maximum age of 54 and the average age is 41. All of the tibial opening wedge osteotomy plates were designed to work in conjunction with the standard opening wedge osteotomy instrument sets. Arthrex, ar1926sbs, arthrex suturebridge implant set with.
The calibrated wedges are now removed to allow the osteotomy to close down on the plate and obtain boneto. Arthrex, ar1898s, arthrex transtibial acl disposables kit. In the 6th icrs surgical skills course internationally acknowledged surgeons and experts in the field of cartilage repair will provide you the newest information, tips and. With a corporate mission of helping surgeons treat their patients better, arthrex has pioneered the field of arthroscopy and develops more than 1 000 innovative products and procedures each year. Indications for a proximal tibial anterolateral osteotomy include symptomatic genu recurvatum with genu valgus alignment, usually in patients with a flat sagittalplane tibial slope. These plates are optimal for unique anatomy where customizing fit with multiple bends may be required. Preliminary programme th icrs surgical skills course. The sprawling campus houses corporate and manufacturing operations, as well as arthrexs premier medical education center, which serves as an education. Arthrex distal extremity plate system, may 2, 2011 arttwrew 510k. Read finite element analysis of puddu and tomofix plate fixation for open wedge high tibial osteotomy, injury on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Bone plate system for proximal tibial osteotomy arthrex. Lateral compartment osteoarthritis in a young patient represents a challenge for the orthopedic surgeon. Longterm results and comparison of the three different.
Unique device identifier udi global enterprise labeling system gels newsroom. Dfu01927 arthrexplatten deutsch show translations hide translations. However, several studies have reported higher complication rates of nonunion, fixation failure, and correction loss, due to unstable fixation in medial opening hto using the puddu plate9,10. Pars percutaneous achilles repair system achilles jig. Arthrex, ar1926sbs, arthrex suturebridge implant set with 4 anchors esutures. The openingwedge high tibial osteotomy technique was performed as described previously by franco et al 12 using the puddu plate arthrex, naples, florida, a butterflyshaped plate that contained. Patients were analysed for any complications and their. The biplanar approach is able to simultaneously address both components of a. Arthrex peekpower hto plate september 4, 2017 the first multidirectional angle stable hto plate made of carbon reinforced peek provides outstanding biomechanical properties, excellent biocompatibility and an anatomically adopted design. This procedure aims to reduce pain, slow the rate of progression of arthritis. Research article open access proximal tibia medial open. The osteotomy was fixed with a puddu plate arthrex, naples, florida, and the osteotomy site was grafted with an autogenic or allogenic bone graft. Proximal tibial anterolateral openingwedge osteotomies have been reported to achieve successful biplanar lowerextremity realignment. Each screw can be angled to the proper anatomic orientation within a swiveling bushing before being.
Arthrexs corporate headquarters is located in naples, florida where visitors will find a vibrant atmosphere of rapid product innovation, medical research and surgeon collaboration. Double syringe system acp tm this description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific arthrex products. The plates are fixated using standard ao stainless steel 6. To determine the biomechanical properties of different fixation methods for high tibial medial opening wedge osteotomy in order to determine appropriate surgical and rehabilitation guidelines. To request a price quote andor surgical evaluation of products, please add all products of interest to your cart by selecting the respective product checkboxes in the quote 1 andor surgical.
Arthrex helping surgeons treat their patients better. A 15mm medial opening gap was stabilized in each of eight medium composite tibial bones either with the modified arthrex osteotomy plate puddu plate or the tomofix plate. A retrospective analysis of a consecutive series of 45 patients with 49 medial opening hto for varus gonarthrosis using a spacer plate puddu i, arthrex, usa were included. After the closure of the layers and the placement of a drain, the patients knee was placed into a hinged immobilizer. These plates are fixated to bone using arthrex titanium locking 6. Bone plate system for opening wedge proximal tibial osteotomy. Biplanar open wedge high tibial osteotomy in the medial. Anterolateral biplanar proximal tibial openingwedge. Medial opening wedge high tibial osteotmy hto is often used to treat varus gonarthrosis in young, active, highly demanding patients, although it has many pitfalls, which were evaluated in a consecutive cohort of patients. Coronal and sagittal slope of the tibial plateau were manipulated with a rectangular 9 mm wedge plate puddu plate, arthrex. 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.
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