Indications for a proximal tibial anterolateral osteotomy include symptomatic genu recurvatum with genu valgus alignment, usually in patients with a flat sagittalplane tibial slope. 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. Each screw can be angled to the proper anatomic orientation within a swiveling bushing before being. Arthrex low profile mtp plates and screws javascript is currently not supported or is disabled by this browser. These plates are optimal for unique anatomy where customizing fit with multiple bends may be required. The arthrex humeral sutureplate is an anatomically designed, low profile, titanium locking plate and screw system. 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. Pars percutaneous achilles repair system achilles jig system arthrex 1 2 3 4 use. 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. Arthrex, ar1898s, arthrex transtibial acl disposables kit. 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.
A, and it differed from the others used up until then in that it had a coupling system which. 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. Unique device identifier udi global enterprise labeling system gels newsroom. 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. Arthrex distal extremity plate system, may 2, 2011 arttwrew 510k. Arthrex, ar1926sbs, arthrex suturebridge implant set with 4 anchors esutures. 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. To overcome these limitations, a lowprofile and anatomical short plate needs to be developed for medial open wedge hto. 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. Coronal and sagittal slope of the tibial plateau were manipulated with a rectangular 9 mm wedge plate puddu plate, arthrex. After the closure of the layers and the placement of a drain, the patients knee was placed into a hinged immobilizer. Design optimization of high tibial osteotomy plates using. 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.
Proximal tibial anterolateral openingwedge osteotomies have been reported to achieve successful biplanar lowerextremity realignment. 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. The distal femoral osteotomy system utilizes the same principles of design featured in the tibial osteotomy system. 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. Bone plate system for proximal tibial osteotomy arthrex. Arthrex, ar1926sbs, arthrex suturebridge implant set with. Anterolateral biplanar proximal tibial openingwedge. Arthrex, ar1898s, arthrex transtibial acl disposables kit without saw blade esutures. In 2003, the anthony plate was developed by france bloc s. Arthrexs corporate headquarters is located in naples, florida where visitors will find a vibrant atmosphere of rapid product innovation, medical research and surgeon collaboration. All of the tibial opening wedge osteotomy plates were designed to work in conjunction with the standard opening wedge osteotomy instrument sets. The titanium femoral opening wedge osteotomy plates provide a straight toothed option to aid in maintaining the osteotomy correction.
All the patients were followed up between 6 months and 28 months and the mean followup is 18. Biplanar open wedge high tibial osteotomy in the medial. A comprehensive plating system for stable fixation of. Specifically designed femoral osteotomy plates take into account the anatomical differences between the distal femur and proximal tibia.
These plates are fixated to bone using arthrex titanium locking 6. The patients were allowed to walk via two crutches without full weight bearing for 6 weeks. Placement of the plate the handle is removed and the plate is placed between the tines of the osteotomy. Patients were analysed for any complications and their. The biplanar approach is able to simultaneously address both components of a. 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. Biomechanical study of the fixation plates for opening. Osteotomy for medial compartment arthritis of the knee. The plates are fixated using standard ao stainless steel 6. A system for performing proximal tibial or femoral osteotomies. Pars percutaneous achilles repair system achilles jig. A trapezoidal wedge locking puddu plate arthrex inc is then fixed with 4mm locking figure 3.
Bone plate system for opening wedge proximal tibial osteotomy. Femur plate, and tomofix medial distal femur plate. Welcome to arthrex, a global medical device company and leader in new product development and medical education in orthopedics. In this study, the results of openwedge osteotomy with puddu plate for the treatment of varus gonarthrosis have been evaluated prospectively. 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. Since then, new plates have been developed for medial. Longterm results and comparison of the three different. The plate is available in two lengths and features polyaxial bushings with locking screws.
Both constructs failed under compression and torsion at the lateral cortex and. Distal femoral varus osteotomy for valgus arthritis of the. 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. Pdf early results of medial opening wedge osteotomy in. Lateral distal femoral opening wedge osteotomy using the. Arthrex helping surgeons treat their patients better. 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. 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.
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. Arthrex distal extremity plate system summnary to the predicate devices, in which the basic features and intended uses are the same. This procedure aims to reduce pain, slow the rate of progression of arthritis. Arthrex peekpower hto plate orthopaedic product news. 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. Lateral compartment osteoarthritis in a young patient represents a challenge for the orthopedic surgeon. Helping surgeons treat their patients better arthrex is a global medical device company and leader in new product development and medical education in orthopedics. 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. Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate. Dfu01927 arthrexplatten deutsch show translations hide translations. Stability of medial opening wedge high tibial osteotomy. 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.
Research article open access proximal tibia medial open. Arthrex open wedge osteotomy technique designed in conjunction with. This study assessed 65 knees of 60 patients with varus gonarthrosis who underwent high tibial osteotomies. Finite element analysis of puddu and tomofix plate. The sprawling campus houses corporate and manufacturing operations, as well as arthrexs premier medical education center, which serves as an education. The calibrated wedges are now removed to allow the osteotomy to close down on the plate and obtain boneto.
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