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Surgical technique Arthrodeses of the upper ankle and subtalar joint with the TALARLOCK/PANTALARLOCK

Surgical technique Arthrodeses of the upper ankle and subtalar joint Index Material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Your advantages of polyaxiality . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Indications and product overview . . . . . . . . . . . . . . . . . . . ....

Large fragment for screws Ø 5.5 mm / Ø 6.5 mm polyaxial locking plate

TALARLOCK/PANTALARLOCK Polyaxial locking plates for arthrodeses of the upper ankle and subtalar joint from posterolateral Material Plates Screws Indications TALARLOCK: Arthrodeses of the upper ankle joint Upper ankle and subtalar joint arthrodeses, for a combined fusion of the upper ankle and subtalar joint Contraindications Contraindications exist in the case of acute infections that could hinder the healing process due to the implants used, far-advanced osteoporosis, severe circulatory disorders and known allergies to surgical implant materials. There are restrictions with patients with...

Surgical technique Arthrodeses of the upper ankle and subtalar joint TALARLOCK/PANTALARLOCK Characteristics » From a surgical perspective, the plate allows for an easy posterolateral approach to the upper ankle joint and subtalar joint without affecting any major anatomical structures, less impairment of wound-healing » Both joints can be approached via one incision, no alteration of plantar soft tissue » Optimum control of the axial heel when the patient is in a prone position with a possible extension in terms of posterior preparation » Excellent compression of the arthrodesis space...

750.3560xx - Cancellous screw, conical head thread, mono-track 750.3870xx - Cancellous screw, 32 mm thread, standard Plate thickness Head diameter Length - maximum Length - minimum PLATE INFORMATION Arthrodeses of the upper ankle joint Screw diameter Name and Code N° (e.g. picture) 750.3550xx - Cortical screw, conical head thread, mono-track Upper ankle and subtalar joint arthrodeses, for a combined fusion of the upper ankle and subtalar joint Indications and product overview in in in mm mm mm TALARLOCK locking plate, polyaxial, large fragment, mono-track Fig.: 750.597634 PANTALARLOCK...

Surgical technique Arthrodeses of the upper ankle and subtalar joint Plate osteosynthesis TALARLOCK/PANTALARLOCK Doctor Responsible for the plate design Dr. med. Vásárhelyi, Clinic Linde Biel, Switzerland Medical author of the surgical technique Dr. med. Vásárhelyi, Clinic Linde Biel, Switzerland This surgical technique is based on the author’s many years of experience as a surgeon. Its content was carefully considered and tested by the author. However, it cannot take all of the specifics of the individual case into account and is therefore only a recommendation. All information in this...

PLATE OSTEOSYNTHESIS Patient Positioning Prone position Posterolateral Approach Make a central incision between the posterior edge of the fibular malleolus and the lateral Achilles tendon edge. Cave: sural nerve and small saphenous vein must be spared. Preparation of subcutis, longitudinal splits of the fascia. Cave: medial protection of the tendon of flexor hallucis longus. Insertion of a large blunt retractor with joint. Removal of cartilage in upper ankle joint together with removal of osteophytes. Elongation of upper ankle joint and subsequently subtalar with Hintermann spacer. Complete...

Surgical technique Arthrodeses of the upper ankle and subtalar joint Plate osteosynthesis TALARLOCK/PANTALARLOCK PANTALARLOCK Plate Position It is possible to fasten the plate to the tibia shaft deploying K-wires Ø 1.8 mm (750.614318). To ensure an optimum placement, the use of an image intensifier is recommended. The screw-to-plate locking is carried out tightening one screw after the other, starting from the tibia down to the calcaneus. 1. To fasten the plate, insert the two tibial angle-stable cortical screws Ø 5.5 mm. Drill the guide hole with an angle-stable drill sleeve (750.104510)...

3. Insert the two talar angle-stable cortical screws Ø 5.5 mm. Continuous monitoring with image intensifier. Drill the guide hole with angle-stable drill sleeve (750.104510) using a drill Ø 4.0 mm (750.111126). Measure for screw length with measuring device (750.105013). Position: anterior neck of the talus, centrally in os naviculare when talonavicular arthrodesis is desired (after cartilage removal). 4. Insert calcaneal angle-stable cancellous bone screws Ø 5.5 mm. Drill the core hole with angle-stable drill sleeve (750.104511) using a drill Ø 3.2 mm (750.111105). Measure for screw length...

Surgical technique Arthrodeses of the upper ankle and subtalar joint Plate osteosynthesis TALARLOCK/PANTALARLOCK Post-treatment plan and case example TALARLOCK/PANTALARLOCK WITHOUT BONE TRANSPLANT In the case of good bony tissue (bone stock) WITHOUT bone transplant: » VACOPED for 6 weeks after the operation » Full weight bearing after secured wound healing (TALARLOCK) » Tread mat walking on 2 forearm crutches for 6 weeks on a post-operative basis in the VACOPED (PANTALARLOCK) » Mobilisation of the tarsal/MTP joints from VACOPED from the 3rd post-operative week » X-ray check on the 2nd day...

WITH BONE TRANSPLANT In the case of bone defect (bone stock) WITH bone transplant, or in the case of osteoporosis: » VACOPED for 6 - 8 weeks after the operation » Tread mat walking on 2 forearm crutches for 6-8 weeks on a post-operative basis » Mobilisation of the tarsal/MTP joints from VACOPED from the 3rd post-operative week » X-ray check on the 2nd day after the operation, 4, 8 and 12 weeks post-operation TALARLOCK - with bone transplant