Sharkey performs a total knee replacement using products from biomet vangard. Aug 17, 2010 in a july 27 warning letter, the fda warns the warsaw, ind. An early followup of 14 cases of at least 1 year after surgery. A novel antibiotic spacer for significant proximal femoral loss surgical technique. Implant function is directly related to accurate surgical technique. This was done to prevent bone loss and to simplify removal at the second surgical step fig. Learn the first stage revision total knee replacement for acute prosthetic joint infection zimmer biomet articulating spacer surgical technique with step by. A similar surgical technique was used at all three centers. Kneealign 2 system surgical technique manual kneealign 2 system surgical technique manual 4 set up set up assemble t ibial jig assemble tibial jig as follows. The persona revision knee system utilizes zimmer biomets proprietary. Review of device history records show that lot released with no recorded anomaly or deviation. These products together with our knowledge and competence constitute a critical part of a solution for the surgeon with regard to the treatment of infections in joint arthroplasty. The ppk system spacer block alignment tower mating feature that mates with the spacer block was undersized, which could potentially lead to mating issues between the devices.
Our elearning platform contains high resolution images and a certified cme of the first stage revision total knee replacement for acute prosthetic joint infection zimmer biomet articulating spacer. Preoperative planning take standing weightbearing ap, lateral, and skyline. Genesis ii instrumentation has been developed to be an easytouse system that will assist the surgeon in obtaining accurate and reproducible knee alignment. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting the prosthesis in each individual patient. Stageone select hip cement spacer molds zimmer biomet tv. The cementing technique of the double uni spacer was performed much as for a standard knee implant. We specifically describe our technique of debriding the infected segments as. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting the prosthesis in each particular patient. Standard treatment of chronic infected total knee arthroplasty tka is a twostage revision, the first step being placement of an antibioticimpregnated cement spacer.
In a third technique, first described by villaneuva et al. Intraoperative molds to create an articulating spacer for the infected. The spacer block may be used without the alignment tower and inserted and removed by hand from the joint, without the persona partial knee handle. Biomet uk ltd, as the manufacturer of this device, does not practice medicine and does not recommend any particular surgical technique for use on a specific patient. Zimmer biomet manufactures a variety of knee joint replacement prostheses intended for application. If replacing the patella, use a genesis ii biconvex or round resurfacing implant. The goals of a minimally invasive surgical procedure are to. Like some feedback on different total knee replacement. Hcp content posted june 23, 2014 in surgical techniques. Premier instrumentation cr or ps surgical technique biomet. Sep 23, 2011 in the dynamic spacer cohort, there were four complications. Arthroscopy is a surgical technique that uses long tubelike scopes that are inserted into the body through very small incisions.
Custommade articulating spacer in twostage revision. Zimmer biomet representative to determine the angle between the. Frederic a matsen iii and has not been proofread or intended for general public use. Knee replacement implants include a metal alloy on the end of the thighbone and polyethylene plastic on the top of the tibia and underneath the kneecap. Total knee replacement is performed on a range of patients, of all ages, with various pathologies. Meticulous surgical technique and proper patient selection should be used to avoid any complications with any spacers. Biomet as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a speci. Biomet develops the maxims instrument system, which is fully compatible with agc implants. Stageone knee cement spacer molds are designed to mold a temporary knee spacer for patients undergoing a two stage revision due to an infected total joint. We used the spacer and the femoral component of the trial set of a tka system to mold them to perfect articulation. Articulating spacers in infection of total knee arthroplasty. The attune intuition instrumentation is intended for use with the attune knee system implants only and should not be considered interchangeable with any other instrumentation. Final knee society scores and rom were also similar between groups. Surgical technique for 2stage revision arthroplasty for chronic periprosthetic total joint infections.
Combining unparalleled modularity and surgical latitude, the biomet orthopaedic salvage system featuring the finn rotating hinge knee is a benchmark as the surgeons choice when a patient exhibits significant bone loss, ligamentous deficiencies, primary or metastatic bone tumors, connective tissue disorders. Cobalt chrome alloy was selected for the prostalac hip femoral component because. The knee itself is not replaced, only the damaged cartilage and bone ends. Acl reconstruction is most often performed arthroscopically. Place the patient in a lateral decubitus 90 position on a breakable surgical table such that the patients greater trochanter is directly over the break in the table. Real life in the or is a samson production hosted by orthopedic surgeon dr. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting prosthesis in each individual patient. The surgeon who performs any implant procedure is responsible for determining and using the appropriate techniques for implanting the prosthesis in each individual patient. Components are available in a variety of designs and size ranges intended for both primary and revision applications. Use the depth gauge to determine thickness of the tibial component.
Set fixation arm on proximal end of tibial jig to left or right for leg being operated on. Knee society scores, and rom were comparable between the static and dynamic spacer groups. Creating a dual articulating antibiotic spacer for management of an. Timberline lateral fusion system surgical technique guide 5 patient preparation 1.
All patients with failed results eventually underwent successful twostage exchange arthroplasty. Please note that information on this site was not authored by dr. Total joint arthroplasty is the definitive treatment for osteoarthritis of the hip and knee. If the joint is loose in flexion and acceptable in 5. There is an option in the surgical technique for performing limb alignment without the alignment tower. Zimmer biomet announces fda clearance of the persona. Zimmer biomet stageon series surgical technique pdf. Learn the first stage revision total knee replacement for acute prosthetic joint infection zimmer biomet articulating spacer surgical technique with step by step instructions on orthoracle. Given the complexity of revision procedures and the fact that every persons. Antibioticimpregnated articulating cement spacer for. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting prosthesis in each individual. Interspace hip, knee and shoulder operative technique. Feb 02, 2011 hi i am 74 yrs old and have had one knee done with partial however now have to have other knee done as i have about 6 or 7 bone spurs one being under the knee cap so this time have to have total knee. Extension flexion tight loose tight loose figure 106 spacer block technique cont.
First stage revision total knee replacement for acute prosthetic. Zimmer biomet fuziontm spacer block surgical technique. When one surgeon connects with one patient to provide personalized care, the promise of medicine is ful lled. This requires clinical mastery, a human connection between the surgeon and. Fda warns biomet on knee replacement planning system massdevice. After cement has cured, invert the tibial mold and flex gently to remove spacer figure 4. An articulating antibiotic spacer was associated with control of a deep.
Concise surgical technique featuring equiflex agc total knee system concise surgical technique featuring equiflex instrumentation disclaimer this brochure provides a description of the surgical technique used by iain c. Acl surgical options zimmer biomet summit surgical. Biomet announces fda clearance of disposable spacer molds for. Open the joint using your standard midline or slightly medial parapatellar incision, which is approximately 1 proximal to your miniincision for tka.
The epub format uses ebook readers, which have several ease of reading features already built in. The technique consists of using the freshened femur and tibia interface as molds wrapped in a tin foil for manufacturing the two components of the spacer with antibioticimpregnated methyl methycrylate cement. Release the patella tendon to create space on the lateral side of the tibia. This surgical technique provides guidelines for the implantation of the attune knee system family of fixed bearing knees with the attune intuition instrumentation. This technique describes the surgical technique used by thomas p.
The science and art of medical care is to provide the right solution for each individual patient. As with other surgical procedures, errors of technique are more likely when the method is being learned. Live surgery with trevor murray featuring the zimmer biomet fuzion spacer block. Vanguard id total knee surgical technique zimmer biomet tv.
Creating a dual articulating antibiotic spacer for. Zimmer elibra dynamic knee balancing system dkbs surgical technique 4 fa draft february 25, 2015 2. I have been doing some research on internet about different replacements. Do not use the journey bcs total knee patellar component. Partial knee arthroplasty helps you optimize outcomes using the latest bestpractice techniques for this increasingly popular procedure. This brochure is presented to demonstrate the surgical technique utilized by david dines, m. Canada, australia, china, taiwan, hong kong, singapore, malaysia. The surgeon who performs any implant procedure is responsible for determining and using the appropriate. At zimmer biomet, our innovations help treat patients suffering from disorders of, or injuries to, bones, joints or supporting soft tissues. Following the reimplantationrevision procedure, routine clinical fol. This material is intended for the sole use and benefit of the biomet sales force and health care professionals.
Over 1 million times per year, biomet helps one surgeon provide personalized care to one patient. Comprehensive segmental revision total and reverse. Prostalac hip system the prostalac hip is comprised of a cobalt chrome alloy core femoral component, a cobalt chrome alloy modular femoral head, a onepiece polyethylene acetabular component, a pmma stem centering device and antibioticloaded bone cement. Surgical techniques highflex solutions for the mis era. Class 2 device recall persona partial knee system spacer. A novel antibiotic spacer for significant proximal femoral loss. Pdf antibioticloaded cement spacers lessons learned from the. Minimizing dynamic knee spacer complications in infected revision arthroplasty. Knee system has longterm clinical success with 98% survivorship over a 610 year period. Here, we present our surgical technique for manufacturing a dual articulating total femur spacer. An additional radiograph while stressing the limits of the collateral ligaments may be helpful in assessing the maximum correction. The surgical table should be reversed prior to positioning the. Triathlon knee system surgical protocol stryker meded.
Surgical technique for 2stage revision arthroplasty for. The humeral head size can be estimated by overlaying the head templates over the contralateral humeral head. Biomet was the first company to introduce a minimally invasive surgical technique for total knee replacement. Close incision patellar component freely irrigate the wound with the solution of choice to please refer to the appropriate surgical technique assure unwanted debris is removed from the joint space if other patella instrumentation is to be used to prior to. A 60ml mix of cement refobacin, biomet is mixed in a vacuum free. Ensure that the patella tendon tibia interface is released so the patella can easily sit in the lateral gutter of the knee. The first spacer molds cleared by the fda allowing for greater surgeon flexibility and reduced o. The vanguard xp total knee instrumentation is designed for a standard surgical technique figure 2. Persona the personalized knee surgical technique 46 figure 98 implant components cont. Surgical technique for articulating spacers with stem extensions to treat the infected tka part 1. Genesis ii instrumentation has been developed to be an.
This could cause a delay in surgery of less than 30 minutes. It is the authors preference to use a biomet stageone spacer mold for the hip. The use of antibioticimpregnated cement spacers is an established method in the treatment of periprosthetic hip. This requires clinical mastery, a human connection between the surgeon and the patient, and the right tools for each situation. This brochure is presented to demonstrate the technique utilised by mr. Revision knee systems product selection guide biomet. The life of any implant will depend on your weight, age, activity level, and other factors. Stageon series medical equipment pdf manual download. Information was intended for internal use only and. In another technique, premolded antibiotic spacers stage one biomet, warsaw, in or prostalac are used. Knee replacement surgery is really a cartilage replacement. Biomet does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. The spacers remain in place 180 days or less until the second stage of the two stage procedure is performed to implant a conventional knee joint prosthesis.
Biomet does not practice medicine and does not recommend this or any surgical technique for use on a specific patient. Minimizing dynamic knee spacer complications in infected. Pete sharkey from the rothman institute at the riddle memorial hospital in media pa. Surgical technique distal cut first surgical technique introduction the genesis ii total knee system has been designed to offer the orthopaedic surgeon solutions to address intraoperative situations.
In addition to the type of spacer, range of motion is influenced by preoperative mobility, the state of the soft tissues, surgical technique, implant selection, early rehabilitation, and patient cooperation. Milestone instruments with mbt tray preparation surgical technique. The elibra dynamic knee balancing system dkbs is a set of reusable manual surgical instruments that enable the adjustment of femoral external rotation while considering the soft tissue balance required to achieve a symmetrical flexion gap during total knee arthroplasty tka. Biomet was the first company to introduce a minimally invasive surgical technique for total knee.
For product information, including indications, contraindications, warnings, precautions and potential adverse effects, see the package insert herein and biomets website. There are warnings in the package insert that state that this type of event can occur. Biomet, as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. First stage revision total knee replacement for acute. Medical equipment zimmer biomet avenue t surgical technique manual. Oxford unicompartmental knee manual of the surgical technique. Csti porous coating provides potential for optimal ingrowth fixation. Surgical technique for articulating spacers with stem.
A second check in proper placement of the stem is performed by overlaying the head and stem together at the appropriate position within the humeral canal. Individual results of total joint replacement may vary. The innovative cutthrough femoral trials provide surgeons with the flexibility to choose their preferred surgical approach to maximize efficiency. The definitive implants included 18 zimmer lccks, 32 vanguard. This technique facilitates range of motion at both the hip and knee joints, provides stability for axial loading in the extremity, and preserves the acetabulum while the patient undergoes antibiotic therapy to eradicate the infection. The instrumentation can be used in minimally invasive or standard exposures. Biomet is not responsible for selection of the appropriate products and or surgical techniques to be used on any individual patient. Our group found the range of motion to be 107 after reimplantation using manual spacers and 7.
Here we describe the results of a new technique modification of the goldstiens technique. Biomet does not practice medicine and does not recommend any particular orthopaedic implant or surgical technique and is not. Oxford unicompartmental knee manual of the surgical. View and download zimmer biomet stageon series surgical technique online. Custommade articulating spacer in twostage revision total knee arthroplasty. Triathlon knee system surgical protocol acknowledgments stryker orthopaedics wishes to thank the global triathlon knee system surgeon panel for their dedication to the development and refinement of the triathlon knee system and instrumentation. Ensure that varusvalgus and posterior slope levers. If you identify a spacer block that will not assemble with these instruments, and you are unwilling to use the spacer block without this functionality, the spacer block may be returned to your sales. Hcp content posted september 15, 2016 in surgical techniques.
These scopes display the inside of your knee joint on a monitor, allowing the surgeon to precisely manipulate the surgical instruments. Disrupt the femoral implantbone interface with flexible osteotomes or thin saw blades with an oscillating saw. Here, we present our surgical technique for manufacturing a dual articulating total. The appropriate sizematched biomet stageone knee cement spacer molds.
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