DIXI
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TECHNICAL BROCHURE | DIXI CONVERTIBLE

CONCEPT & DESIGN ANATOMIC AN INNOVATIVE SHOULDER SYSTEM TRI-LOBED PROFILE for maximum stability and greater bone sparing The innovative Dixi shoulder prosthesis offers a number of advantages. Its tri-lobed profile ensures immediate stability of the implant and significantly reduces bone loss. The prosthesis remains convertible throughout all phases of the operation thanks to tools designed to remove each individual component. ON-LAY CONVERTIBILITY immediate and effective for each component Dixi technology allows for complete control of humeral and glenoid lateralization parameters. The...

<• CLOVER CASE LAYOUT | ERGONOMIC, FUNCTIONAL AND COMPACT. Tools - Anatomical Version Tools - Reverse/Revision Version ^ CUTTING GUIDE ROD DIX-F1SS40015S fg) HUMERAL HEAD CALIPER DIX-K9SS00003S ^ HUMERAL COMPONENT HOLDER DIX-L8SS00000S SILICONE T-HANDLE DIX-Z2SS00000S ^ SILICONE PALM HANDLE DIX-Z1SS00000S (10) UNIVERSAL HANDLE DIX-L5SS00000S FUKUDA DIX-K0SS000XXS (ll) HOHMANN CURVED DIX-K1SS10020S ^ CUP IMPACTOR DIX-T0PL00000S (l2^ HOHMANN STRAIGHT DIX-K1SS00020S ^ HUMERAL HEAD IMPACTOR DIX-T2PL00000S (13) CUTTING GUIDE - MASK PROBE DIX-F1SS50000S ^ GLENOID IMPACTOR DIX-T1PL00000S (l4...

<• CLOVER CASE 1 | TRAY 2 SILICONE RATCHETING HANDLE HUMERAL PROTECTOR GLENOID REAMER - METAL BACK ASYMMETRICK REAMER METAL BACK MASK HEAD REMOVER EXTENSION MARKED DRILL £7) GLENOID screw caliper [28 CANCELLOUS SCREW AWL METAL BACK PEG DRILL £0 METAL BACK HOLDER DRILL GUIDE £0 SCREWDRIVER HEX 3.5MM £ DRILL MASK HOLDER SHELL REMOVER

<• CLOVER CASE 2 | TRAY 1 AAA y.n-njy \j,o_njy \LO-njy SLIDE HAMMER DIX-D4SS00000S {37) HUMERAL METAPHYSIS TRIAL HUMERAL STEM TRIAL - S DIX-S0SS001XXS \3q\ BROACH HOLDER HUMERAL COMPONENT INSERT DIX-T5SS00000S

CASE LAYOUT CASE 2 | TRAY 2 40 CUTTING GUIDE - PART 1 DIX-F1SS10000S 45 HUMERAL STEM TRIAL - M 41 CUTTING GUIDE - PART 2 DIX-X0SS00009S 47 HUMERAL STEM TRIAL - L 43 CUTTING GUIDE - MASK DIX-F1SS30000S 48 HUMERAL STEM TRIAL - XL

<• CLOVER CASE 3 | TRAY 1 ECCENTRICAL GLENOSPHERE TRIAL DIX-N0PL03XXXS ECCENTRICAL GLENOSPHERE TRIAL DIX-N0PL03XXXS HUMERAL CUP TRIAL - HIGH MOBILITY DIX-P2PL04XXXS HUMERAL CUP TRIAL - STANDARD DIX-P1PL04XXXS ^8 HUMERAL CUP TRIAL - HIGH MOBILITY HUMERAL CUP TRIAL - STANDARD ^0 HUMERAL CUP TRIAL - HIGH MOBILITY [69 HUMERAL CUP TRIAL - STANDARD ^ HUMERAL CUP TRIAL - HIGH MOBILITY ^9 HUMERAL CUP TRIAL - STANDARD £ GLENOSPHERE HOLDER ^9 GLENOSPHERE REMOVER ^6 SCREW HEX 3.5MM HOLDER

<• CLOVER TOOLS ASYMMETRIC REAMER DIX-A0SS00025S HUMERAL REAMER GLENOID REAMER METAL BACK PEG DRILLS

TOOLS HEAD REMOVER SHELL REMOVER SLIDE HAMMER CUTTING GUIDE - GUIDE ROD LONG SHORT CUTTING GUIDE - MASK CUTTING GUIDE - MASK PROBE CUTTING GUIDE DRILL GUIDE

FUKUDA SMALL FUKUDA LARGE HOHMANN FLAT HOHMANN BENT

HUMERAL HEAD CALIPER GLENOID SCREW CALIPER GLENOSPHERE HOLDER METAL BACK HOLDER DRILL MASK HOLDER UNIVERSAL HANDLE

<• CLOVER TOOLS HUMERAL COMPONENT HOLDER REVERSE DIX-L8SS00000S BROACH HOLDER DIX-L8SS00001S SIZE 9 SIZE 11 SIZE 13 SIZE 15 SIZE 17

HUMERAL CUP TRIALS - HIGH MOBILITY HUMERAL PROTEC

<• CLOVER TOOLS 07MM - SHORT 09MM - SHORT 011 MM - SHORT 013MM - SHORT 015MM - SHORT 017MM - SHORT IMPACTOR INSERT CUPIMPACTOR INSERT GLENOID IMPACTOR INSERT HUMERAL HEAD IMPACTOR INSERT HUMERAL STEM TRIAL - MEDIUM 07MM - MEDIUM 09MM - MEDIUM 011 MM - MEDIUM 013MM - MEDIUM 015MM - MEDIUM 017MM - MEDIUM HUMERAL STEM TRIAL - LONG 07MM - LONG 09MM - LONG 011MM - LONG 013MM - LONG 015MM - LONG 077MM - LONG HUMERAL STEM TRIAL - EXTRA LONG 07MM - EXTRA LONG 09MM - EXTRA LONG 011 MM - EXTRA LONG 013MM - EXTRA LONG 015MM - EXTRA LONG 017MM - EXTRA LONG

HUMERAL COMPONENT INSERT METAL BACK MASKS S M L XL SILICONE PALM HANDLE SILICONE T-HANDLE SILICONE RATCHETING HANDLE

INTRODUCTION PREOPERATIVE PLANNING CT radiography is used in preoperative planning. If necessary, MRI can be used. Preoperative planning is of paramount importance. Based on the diagnostic data available, calculating the values of the main biomechanical parameters of the patient is advisable. As an example, it is recommended to determine: (i) humeral diameter, (ii) humeral head diameter, (iii) humeral head retroversion, (iv) glenoid height and width, (v) glenoid neck length. ACCESS We recommend two different routes to access the shoulder joint. Deltopectoral or Transdeltoid Access. As in...

SURGICAL TECHNIQUE 1— Humerus Osteotomy A - SHORT STEM: Open up the proximal end of the humerus by tapping it with the awl. Then remove the handle and assemble the resection guide with the alignment rod in place to determine the angle of retroversion. A B - LONG STEM: Open up the proximal end of the humerus by tapping it with the awl, then fit the reamer on the T-handle and proceed inside the canal with a rotational movement until the reamer touches the cortical wall and locks into place. Assemble the resection guide on the reamer with the alignment rod in place to determine the angle of...

SURGICAL TECHNIQUE 2— Glenoid Preparation After fully exposing the glenoid, prepare the metal back slot using the appropriate size phantom and a 3.2mm-diameter guide wire. The guide wire must be oriented perpendicular to the bone surface. Once the guide wire has been inserted, connect the glenoid reamer to the motor and then proceed with reaming the bone surface. Ream carefully to avoid any fractures on the glenoid. Reaming serves only to remove cartilaginous tissue and expose subchondral bone; it is therefore necessary to avoid excessive removal of bone tissue. Remove the reamer, leaving...

SURGICAL TECHNIQUE Once the glenoid is in place, drill the anchor screw holes with the 3.2mm drill bit inserted into the drill sleeve. It is advisable to orient the upper screw towards the base of the coracoid, while the lower screw should be oriented parallel to the central taproot. After making the first hole, insert the screw using the screwdriver but do not tighten it fully until the following hole is prepared and the relative screw has been inserted. The screws must be tightened simultaneously for an ideal coupling between the metal glenoid and the previously prepared bone surface....