Revolutionizing orthopaedic surgery fiberwire fiberwire suture is a new generation of polyester suture with a long chain polyethylene core. Methods all cases of medial opening wedge hto performed between 2001 and 2004 at our institution were identified. Pdf bovine xenograft locking puddu plate versus tricalcium. 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. These decrease metal work prominence and increase bone purchase, and are utilised independently of the plate. We sought to determine whether 1 preoperatively identifiable patient factors, including tobacco use, body mass index 30 kgm 2, and degree of correction, are associated with nonunion, and 2 a modified radiographic union score for tibial fractures rust score, taken at 6 weeks and 3 months, would be predictive for delayed or nonunion after medial opening wedge hto. After placement of a puddu plate with anterior slope, the cancellous bone defect is filled with 4 wedgeshaped. The plates are fixated using standard ao stainless steel 6. Recently, new plates with locking screws have been developed and used for medial openwedge high tibial osteotomy hto. Opening wedge osteotomies can be performed concomitantly with the acl reconstruction. Open wedge high tibial osteotomy clinical biomechanics. Giancarlo puddu will talk about his huge experience in. Lateral distal femoral opening wedge osteotomy using the.
Bone graft harvester technique, distal femoral fracture management, femoral opening wedge, osferion bone void filling. Finite element analysis of puddu and tomofix plate. Bovine xenograft locking puddu plate versus tricalcium phosphate spacer nonlocking puddu plate in openingwedge high tibial osteotomy. The purpose of this study was to evaluate and compare biomechanical properties of different internal fixations in openwedge hto using the two currently available locking plates. As the result of an improved locking bushing system, each of the screws lock tightly into the plate bushings without having to use the locking guide for titanium. None of the previously cited studies included the ibalance and the peekpower implants, whereas we did not include the puddu plate. It is indicated in patients with medial cartilage damage and varus. Bone plate system for proximal tibial osteotomy arthrex, inc. 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 tibial osteotomy then begins by placing the arthrex hto cutting guide on the medial tibia and drilling two 2. The simplistic design facilitates minimally invasive surgery and is optimal for lower demand patients. A 15mm medial opening gap was stabilized in each of eight medium composite tibial bones either with the modified. Complications after tomofix medial opening wedge hto. Pars percutaneous achilles repair system achilles jig.
Specifically designed femoral osteotomy plates take into account the anatomical differences between the distal femur and proximal tibia. Platerelated results of opening wedge high tibial osteotomy with a. Biomechanical properties of five different currently used implants for. The titanium femoral opening wedge osteotomy plates provide a straight toothed option to aid in maintaining the osteotomy correction. Technische universitat munchen the influence of a new. All patients were treated with either a 2nd generation puddu plate arthrex inc. The forked wedge tool is then removed and autologous bone is packed into the defect. Midterm outcome of openingwedge high tibial osteotomy. The graft used in each case was a corticocancellous proximal tibial wedge allograft. However, this procedure has not gained wide popularity despite its advantages in maintaining the bone stock, its correction of the deformities close to. Complications after medial opening wedge high tibial osteotomy. Browse photos to learn about arthrex offices and culture. Varusproducing lateral distal femoral openingwedge.
Pdf role of osteotomy for knee cartilage, meniscus, and. Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate. Apr 11, 2006 in this study, the results of openwedge osteotomy with puddu plate for the treatment of varus gonarthrosis have been evaluated prospectively. Furthermore, weightbearing following spacer plate fixation induced significant micromotion at 6 weeks after surgery. Unique device identifier udi global enterprise labeling system gels newsroom. Biomechanical properties of five different currently used. Biomechanical study of the fixation plates for opening wedge. Arthrex has a team of 100 surgeon champions who teach courses at any given time, guerra says.
Open wedge high tibial osteotomy is a well known and reliable method for the treatment of medial osteoarthritis of the knee. High tibial osteotomy for the treatment of medial osteoarthritis of the knee with new ibalance system. The contourlock hto plate system is indicated for use as a fixation device during opening and closing wedge osteotomies of the proximal tibia. This study assessed 65 knees of 60 patients with varus gonarthrosis who underwent high tibial osteotomies. The univers revers total shoulder system was designed in cooperation with professor peter habermeyer, atos clinic, heidelbergmunich, germany and. Knee cartilage, meniscus, and ligament injuries that are associated with malalignment can benefit from the redistribution of load and tibiofemoral repositioning provided by an osteotomy. Arthrex, ar250t, arthrex hto plate screw, titanium. May 12, 1998 the plate is then secured to the bone with bone screws, using standard ao technique. 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.
An osteotomy guide arthrex is then assembled over the top of the guide pin fig 4. With the introduction of the puddu plate arthrex, inc, naples, florida into clinical practice in the late 1990s, which simplified the technique, high tibial osteotomy has reached wider acceptance. Arthrex arthrex powerasp june, 2014 outpatient surgery. Pdf high tibial osteotomy for the treatment of medial. 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. Pars percutaneous achilles repair system achilles jig system arthrex 1 2 3 4 use. Product features by arthrex orthopaedic product news. Sep 04, 2017 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. Indications for a proximal tibial anterolateral osteotomy include symptomatic genu recurvatum with genu valgus alignment, usually in patients with a flat sagittalplane tibial slope. Shortterm safety and efficacy of a novel high tibial osteotomy system. Complication rates of mowhto using the puddu plate arthrex, naples, fl, usa have been reported to range from 30. The surgeon may also choose to use the arthrex biplanar alignment guide to set the height and align the osteotomy with the patients native tibial slope.
Sign up for whats new vet systems stay up to date with the latest techniques and innovations sign up sign up. Arthrex is pleased to announce great place to work and fortune have recognized the company as one of the 50 best workplaces for giving back in the country. Jul 01, 2011 with the introduction of the puddu plate arthrex, inc, naples, florida into clinical practice in the late 1990s, which simplified the technique, high tibial osteotomy has reached wider acceptance. Arthrex vet systems avs is a division of arthrex inc.
The utilization of the arthrex family of unique plates, in conjunction with an opening wedge osteotomy, provides the surgeon with a safe, reliable and reproducible technique for tibial or femoral osteotomies. Pdf complications after tomofix medial opening wedge. Supramalleolar tibial osteotomy secured with the puddu plate. Although studies on complications of mowhto using the tomofix plate are relatively rare, it has been associated lower rates of complications than those using the puddu plate 3,7,11. Typical platerelated results such as the time and quality of gap healing as well. This next generation titanium plating system consists of three distinct plate variations, including a straight wedge, ap sloped wedge and a flat plate with no wedge, that are compatible with the current titanium cortical and cancellous hto plate screws.
Short spacer plates such as the puddu plate arthrex inc. The titanium tibial opening wedge osteotomy plates feature a 4 hole design and are available with. Jun 01, 2012 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. Anterolateral biplanar proximal tibial openingwedge. Glassdoor has 16 arthrex office photos to give you an inside look at what it is like to work at arthrex. Opening wedge high tibial osteotomy using a puddu plate. Do microfractures improve high tibial osteotomy outcome. In june, a similar conference will be held in cancun, mexico. Producing acp autologous conditioned plasma with the arthrex acp system can be performed within minutes. The osteotomy guide is adjusted until the desired angle is achieved, at which point a second guide pin is.
Pdf premature physeal closure following distal tibia. These plates are fixated to bone using arthrex titanium locking 6. Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate to determine the biomechanical properties. However, this magnitude of the knee joint contact forces overloads the.
The tibia opening wedge osteotomy plate arthrex inc. Union of medial openingwedge high tibial osteotomy using a. Tcp blocks with 60% porosity are implanted in front 2 blocks and back of the plate 1 block figs. The authors concluded that early weightbearing is appropriate for plate fixator fixation, and that spacer plate fixation should be prolonged for up to 810 weeks to avoid pseudoarthrosis andor the recurrence of varus angulation. Each screw can be angled to the proper anatomic orientation within a swiveling bushing before being locked. Medial opening wedge high tibial osteotomy with early full.
The contourlock hto plate is a great choice for high demand patients needing a stronger locking construct for weightbearing. Biomechanical stability of openwedge high tibial osteotomy. The purpose of this study was to investigate complications of the medial opening wedge high tibial osteotomy hto procedure at our institution. Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate article in clinical biomechanics 199. Openwedge high tibial osteotomy for varus osteoarthritis of the knee is a successful treatment option, but is associated with potential intraoperative complications, jeopardizing outcome. Typical platelet rich plasma prp systems take up to 45 minutes to process the blood. Forty patients had fixation with a stainless steel plate and screws and 10 with a titanium interlocking plate and screws.
Midterm outcome of openingwedge high tibial osteotomy for. The biplanar approach is able to simultaneously address both components of a. All of the tibial opening wedge osteotomy plates were. All followed a similar postoperative protocol as was used in the ibalance study group. Arthrex, ar250t, arthrex hto plate screw, titanium, cancellous 6. Proximal tibial anterolateral openingwedge osteotomies have been reported to achieve successful biplanar lowerextremity realignment. Surgical technique arthrex pages 1 28 text version.
After determining the angle of correction preoperatively, the medial exposure of the tibia is. Peekpower implants, whereas we did not include the puddu plate. Medial opening wedge high tibial osteotomy owhto was first performed by debeyre and artigou in 1951. 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. Help your orthopedic surgeons do bone debridement faster and with more control with the arthrex powerasp. The arthrex acp system is a costeffective method of concentrating growth factors for therapeutic use. For example, arthrex held a fourday knee and shoulder conference in cologne, germany, last year for 1,500 surgeons. A guide pin arthrex, naples, fl is inserted into the lateral femoral cortex and advanced until it contacts the medial cortex and is left in place. Once the plate is positioned and the bone graft is inserted, fixation is obtained by inserting a cancellous screw in the proximal hole and a cortical screw in the distal hole. Searchable database of fda 510k applications and descisions. Traditional burrs use a rotating motion, creating a curved surface with scalloped edges that have to be resmoothed. Apart from a good vascularization of the bone, solid plate fixation is. Show full abstract the puddu plate arthrex inc, naples, fla provides secure fixation for openwedge distal tibial osteotomies with accurate and reproducible results. These plates are available in wedgeless, straight, and sloped options.
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