Dedicated instruments for reconstructive foot surgery Orthopedic Foot Instruments Surgical Technique

Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes products. Instruction by a surgeon experienced in handling these products is highly recommended. Processing, Reprocessing, Care and Maintenance For general guidelines, function control and dismantling of multi-part ­ instruments, as well as processing guidelines for implants, please contact your ­ local sales representative or refer to: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance For general information about reprocessing, care and maintenance of Synthes reusable...

Introduction Orthopedic Foot Instruments 2 Handling Techniques Compression/Distraction Device Set 5 Surgical Technique Orthopedic Foot Instruments DePuy Synthes 1

The Orthopedic Foot Instruments have been designed to perform specific procedures on the foot more efficiently. The system consists of three modular sets: Compression/Distraction Device Set, Bone Harvesting Set and Chisel Set. Compression/Distraction Device Set, in modular tray Fields of application • Compression and distraction of joints or bones • Fracture treatment • Arthrodeses (e.g. subtalar arthrodesis) • Osteotomies (e.g. lateral calcaneal lengthening osteotomy) Bone Harvesting Set, in modular tray Fields of application • Bone harvesting (e.g. from the calcaneus, proximal tibia or iliac...

Features and Benefits Chisel Set, in modular tray Fields of application • Preparation of joints for arthrodeses • Removal of joint cartilage and bone • Removal of exostoses • Removal of osteophytes Compression/Distraction Device Set • Placement of 2.0, 2.5 and 3.0 mm Kirschner wires at various angles • Precise compression/distraction mechanism • Two extra Kirschner wire holes for more ­stability Bone Harvesting Set • Different trephine diameters enable accurate local bone grafting • Corresponding extraction attachments enable the correct removal of bone graft Chisel Set • Different shapes of...

Indications • Fractures in the foot and ankle • Skeletal deformities and/or skeletal defects in the foot and ankle • Instability of the foot and ankle • Tumors in bones and cartilage in the foot and ankle • Non-unions of small and large bones in the foot and ankle • Pseudoarthrosis in the foot and ankle • Osteoarthritis in the foot and ankle • Rheumatoid arthritis in the foot and ankle • Exostoses in the foot and ankle Contraindications No specific contraindications. 4 DePuy Synthes Orthopedic Foot Instruments Surgical Technique

Set 01.111.476 Compression/Distraction Device Set for Orthopedic Foot Instruments, with Lid, with Contents 03.111.022 Holding Sleeve 0 2.0 mm for Compression/Distraction Device for Foot and Ankle Compression/Distraction Device for Foot and Ankle 03.111.024 Holding Sleeve 0 3.0 mm for Compression/Distraction Device for Foot and Ankle 292.250 Kirschner Wire 0 2.5 mm with trocar tip, length 150 mm, Stainless Steel 292.750 Kirschner Wire 0 2.5 mm with threaded tip, length 150/15 mm, Stainless Steel 292.790 Kirschner Wire 0 2.0 mm with threaded tip, length 150/15 mm, Stainless Steel 292.820 Kirschner...

Handling Techniques Compression/Distraction Device Set 1. Preparation Expose the indicated area. The approach will depend on the surgical procedure. Compression/Distraction Device for Foot and Ankle Holding Sleeve B 2.0 mm for Compression/Distraction Device for Foot and Ankle Holding Sleeve B 2.5 mm for Compression/Distraction Device for Foot and Ankle Holding Sleeve B 3.0 mm for Compression/Distraction Device for Foot and Ankle Thread the corresponding holding sleeves into the threaded fixation holes of the fixation arms. For 2.0 mm Kirschner wires use 2.0 mm holding sleeves. For 2.5 mm Kirschner...

Open all locking-clamps of the compression/distraction device. Adjust the rotation and distance of the arms until initial alignment for the surgical procedure is defined. Notes: • lock the rotational mechanism first • lock both arms • adjust space between the arms Note: A range of different adjustment approaches may be used. Surgical Technique  Orthopedic Foot Instruments  DePuy Syn

Handling Techniques Compression/Distraction Device Set 3. Insert Kirschner wires Instruments 292.250 Kirschner Wire B 2.5 mm with trocar tip, length 150 mm, Stainless Steel Kirschner Wire B 2.5 mm with threaded tip, length 150/15 mm, Stainless Steel Kirschner Wire B 2.0 mm with threaded tip, length 150/15 mm, Stainless Steel Kirschner Wire B 3.0 mm with threaded tip, length 150/15 mm, Stainless Steel Holding Sleeve Tightening Device for Compression/Distraction Device Position the device in such a way that the ends of the holding sleeves are as close to the bone as possible. Drill two Kirschner...

Finger-tighten the holding sleeves. This will fix the device to the Kirschner wires. The blue tightening device may be used to achieve a stronger fixation between the holding sleeve and the Kirschner wire. Precaution: Apart from the blue tightening device, do not use any other instruments to tighten or loosen the holding sleeves as they may cause damage. If more stability is desired, additional 2.0 mm or 2.5 mm Kirschner wires can be drilled through the extra Kirschner wire holes of the arms. Surgical Technique  Orthopedic Foot Instruments  DePuy Synth

Handling Techniques Compression/Distraction Device Set 4. Compress or distract Perform the surgical procedure once the Kirschner wires have been inserted. Choose whether compression or distraction is desired by adjusting the switch mechanism. Turn the wing bolt to compress or distract. Warning: Avoid excessive distraction. Too much distraction can damage the surrounding soft tissue. device Loosen the holding sleeves first, then open the locking clamps. Note: Use the blue tightening device to loosen the holding sleeves. Carefully remove the device. Remove Kirschner wires. 11    DePuy Synthes ...