Patella luxation

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3. Insert a 1.2 mm K wire through the femural 4. Make sure the K wire exit on the opposite condile. condiles; drill at the level of the isometric point marked before, keep the K wire perpendicular to the bone and parallel to the joint. 5. Insert the 2.8 mm reamer (VS407) into the K wire and 6. Remove the reamer and K wire; tap the hole using drill the hole all the way trough the opposite condile. the appropriate tap VS405.

7. Insert a 1.2 mm K wire through the same hole insert 8. Insert the 2.8 mm reamer (VS407) into the K wire and at 45° angle. drill the hole all the way trough the opposite cortex. 9. Insert the 1.2 mm K wire in the perpendicular hole; make sure the K wire exit the medial condile; take the 1.5 mm ISOLOCK and insert the needle trough the K wire from medial to lateral direction. 10. Remove the K wire and grab the needle with a needle holder. 11. Slide the suture trough the hole; avoid to pass the whole suture trough the hole and make sure that the unused suture on the medial side remains inside...

13. Using the K wire as a guide, pass the needle trough the patellar tendon from lateral to medial direction. 15. Pull the suture trought the tendon. 16. Using a 1.2 mm K wire penetrate the tendon below the patella and insert the needle. 17. Pull the suture trough the tendon. 18. Pull the whole suture through the patellar tendon. 5

Patella luxation procedure 19. Make sure that the button is sitting flush to the medial condile. 20. Pull the suture completely through the tendon to test the desired tension. 21. Pass a 1.2 mm K wire trough the 45° hole. 22. Guide the needle trough the wire. 23. Pull the suture to achieve the desired tension. 24. Pinch the suture on the medial condile to mantain tension.

25 Insert 5.5 mm interference screw (V4006) using the 2.5 mm screwdriver (VS340) in the lateral hole. 26. Cut the suture on the medial side.

Ordering information Implants Ref. Description Color Code Ref. Composition Color Code VK4104 Iso-Lock 0 1 + Interference Screw 0 3.0 mm + Reamer 0 2.2 + 2x K-Wires 01.5 L. 80 •

VS418 - Kit Tap Ø 3.0 - 4.0 - 5.5 mm Screw VS26 - Ø 1.0-1.2 mm K-Wire Drill Guide VS4110 - K-Wire 100 mm Ø 1.2 VS401 - Ø 1.5 mm K-Wire Drill Guide VS4130 - K-Wire 100 mm Ø 2.0 VS402 - Ø 2.0 mm K-Wire Drill Guide S340 - Hexagonal Screwdriver 2.5 mm (to use with V4005 and V4006 screws) VS188 - Micro Series Screwdriver HL5 to use with V4007 screw (VS188A - Rod / VS188B - Handle) VS408 - Suture Fork Small

Intrauma S.p.A. www.intrauma.com – Tel. +39.011.953.94.96 - [email protected] USA Office: Intrauma America LLC www.intrauma.com – P. (201) 420.0110 – orders@intrauma