The plate is available in two lengths and features polyaxial bushings with locking screws. More than a plate, this is a complete system for joint preparation and fixation for the treatment of severe hallux rigidus and other mtp pathologies. Unique device identifier udi global enterprise labeling system gels newsroom. Coronal and sagittal slope of the tibial plateau were manipulated with a rectangular 9 mm wedge plate puddu plate, arthrex. Helping surgeons treat their patients better arthrex is a global medical device company and leader in new product development and medical education in orthopedics. These plates are fixated to bone using arthrex titanium locking 6. Arthrex, ar1926sbs, arthrex suturebridge implant set with 4 anchors esutures. Finite element analysis of puddu and tomofix plate. Arthrex distal extremity plate system, may 2, 2011 arttwrew 510k. 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. 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. A system for performing proximal tibial or femoral osteotomies.
Dfu01927 arthrexplatten deutsch show translations hide translations. 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. A comprehensive plating system for stable fixation of. This procedure aims to reduce pain, slow the rate of progression of arthritis. 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. 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. Both constructs failed under compression and torsion at the lateral cortex and. Arthrex distal extremity plate system summnary to the predicate devices, in which the basic features and intended uses are the same.
This study assessed 65 knees of 60 patients with varus gonarthrosis who underwent high tibial osteotomies. The biplanar approach is able to simultaneously address both components of a. Femur plate, and tomofix medial distal femur plate. After the closure of the layers and the placement of a drain, the patients knee was placed into a hinged immobilizer. The distal femoral osteotomy system utilizes the same principles of design featured in the tibial osteotomy system. 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. 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.
The calibrated wedges are now removed to allow the osteotomy to close down on the plate and obtain boneto. These plates are optimal for unique anatomy where customizing fit with multiple bends may be required. In this study, the results of openwedge osteotomy with puddu plate for the treatment of varus gonarthrosis have been evaluated prospectively. 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. Placement of the plate the handle is removed and the plate is placed between the tines of the osteotomy. Arthrex, ar1926sbs, arthrex suturebridge implant set with. Arthrex peekpower hto plate orthopaedic product news. Arthrexs corporate headquarters is located in naples, florida where visitors will find a vibrant atmosphere of rapid product innovation, medical research and surgeon collaboration. Patients were analysed for any complications and their. 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. The osteotomy was fixed with a puddu plate arthrex, naples, florida, and the osteotomy site was grafted with an autogenic or allogenic bone graft. 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.
Midterm outcome of openingwedge high tibial osteotomy. Bone plate system for proximal tibial osteotomy arthrex. Biplanar open wedge high tibial osteotomy in the medial. All of the tibial opening wedge osteotomy plates were designed to work in conjunction with the standard opening wedge osteotomy instrument sets. Each screw can be angled to the proper anatomic orientation within a swiveling bushing before being. Biomechanical study of the fixation plates for opening. Distal femoral varus osteotomy for valgus arthritis of the. Arthrex, ar1898s, arthrex transtibial acl disposables kit. 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. 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. Lateral compartment osteoarthritis in a young patient represents a challenge for the orthopedic surgeon. Anterolateral biplanar proximal tibial openingwedge. Longterm results and comparison of the three different. 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.
Welcome to arthrex, a global medical device company and leader in new product development and medical education in orthopedics. Lateral distal femoral opening wedge osteotomy using the. Specifically designed femoral osteotomy plates take into account the anatomical differences between the distal femur and proximal tibia. Pars percutaneous achilles repair system achilles jig. Stability of medial opening wedge high tibial osteotomy. The arthrex humeral sutureplate is an anatomically designed, low profile, titanium locking plate and screw system.
Arthrex helping surgeons treat their patients better. The sprawling campus houses corporate and manufacturing operations, as well as arthrexs premier medical education center, which serves as an education. The plates are fixated using standard ao stainless steel 6. Pars percutaneous achilles repair system achilles jig system arthrex 1 2 3 4 use. The titanium femoral opening wedge osteotomy plates provide a straight toothed option to aid in maintaining the osteotomy correction. A, and it differed from the others used up until then in that it had a coupling system which. The patients were allowed to walk via two crutches without full weight bearing for 6 weeks.
One of the most popular short spacer plates is the puddu plate arthrex, naples, fl, usa which has a low profile design and which might avoid the need for implant removal 4, 43. Preliminary programme th icrs surgical skills course. 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. To overcome these limitations, a lowprofile and anatomical short plate needs to be developed for medial open wedge hto. 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. Indications for a proximal tibial anterolateral osteotomy include symptomatic genu recurvatum with genu valgus alignment, usually in patients with a flat sagittalplane tibial slope. 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. A trapezoidal wedge locking puddu plate arthrex inc is then fixed with 4mm locking figure 3. 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. Research article open access proximal tibia medial open. Since then, new plates have been developed for medial. Bone plate system for opening wedge proximal tibial osteotomy. 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. 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.
Design optimization of high tibial osteotomy plates using. Arthrex open wedge osteotomy technique designed in conjunction with. 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. Arthrex, ar1898s, arthrex transtibial acl disposables kit without saw blade esutures. The titanium tibial opening wedge osteotomy plates feature a 4 hole design and are available with either a straight or sloped tooth to change or preserve the native tibial slope. Proximal tibial anterolateral openingwedge osteotomies have been reported to achieve successful biplanar lowerextremity realignment. Arthrex low profile mtp plates and screws javascript is currently not supported or is disabled by this browser. Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate. Pdf early results of medial opening wedge osteotomy in. The simplistic design facilitates minimally invasive surgery and is optimal for lower demand patients. Osteotomy for medial compartment arthritis of the knee. All the patients were followed up between 6 months and 28 months and the mean followup is 18. In 2003, the anthony plate was developed by france bloc s.
1250 1088 1260 342 292 1090 1149 850 1606 729 475 1451 803 1366 442 186 888 347 623 1073 557 1284 1325 1133 1502 127 82 1251 1405 720 668 1524 103 1220 377 949 221 143 929 1005 1193 183 715 1321 832 1475 619 13 224 359