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Custom-made implants

Custom-made implants

Product catalog summary

Overview of Custom-Made Implants
This document provides comprehensive information on custom-made implants, focusing on knee arthrodesis nails, shoulder prostheses, and hip prostheses. It emphasizes the benefits of custom solutions, including preoperative planning, intervention simulation, and cost reduction.

Knee Arthrodesis Nails
Custom-made nails are available in diameters ranging from 10mm to 13mm. The document specifies the necessary impactors and screws, highlighting the importance of using recommended drill sizes.

Shoulder Prosthesis and Humeral Reconstruction
These prostheses are designed using frontal and profile telemetric X-rays. A video on operative techniques is recommended for further understanding.

Arthrodesis Plates
Details are provided for shoulder and elbow arthrodesis plates, with specific references for each type.

Ancillary Material
The document lists various ancillary materials such as screwdrivers and extractors, with references for each item.

Hip Prostheses
Custom-made hip prostheses are designed from scanner sections, with options for both right and left sides. Special adaptations are available for small stature individuals and pediatric patients with cerebral palsy.

Imaging Protocol for Custom Hip Prosthesis
The document outlines the imaging protocol required for manufacturing custom hip prostheses, including conventional radiographs and CT scans, specifying necessary patient information and imaging techniques.

Pelvis Reconstruction
Details include the use of Osirix for image processing and SolidWorks for volume conversion. The design process involves creating a prosthesis that fits the resected pelvis shape, with anchoring stems and cavities for hip prosthesis insertion.

Design of Instruments
The guide's shape is derived from the pelvis cut, with drill holes for anchoring stems. The assembly process involves validating the prosthesis plan with the surgeon and potentially creating 3D prints of the bone and prosthesis.

Custom-Made Implants and Procedures

1. Custom-Made Titanium Nail and Cementoplasty
This section discusses the use of custom-made titanium nails for treating extensive tumoral destruction of the supra-acetabular iliac bone. Indications and contraindications are specified.

2. Design and Manufacturing Process
The process involves five main steps, including 3-D modeling and Finite Element Method simulations for validation.

3. Tumoral Prosthesis for Knee
This section covers the use of tumoral prostheses for knee replacements in cases of osteosarcoma, addressing limb length disparities in children.

4. Surgical Technique for Patellar Implants
The technique involves preoperative planning and radiographic evaluation to select the appropriate implant size.

5. Growing Knee Prosthesis
Designed for children with osteosarcomas and Ewing’s sarcomas, this prosthesis addresses limb length disparities with a hinged joint and telescopic system.

Ancillary Material
Describes various tools essential for positioning and securing prosthetic components during surgery.

Trial Axle
Used to verify limb length before cementing the femoral piece, allowing for adjustments to correct over-cutting errors.

Lengthening Technique
Performed post-chemotherapy, involving arthroscopy to adjust the growing screw.

Prosthesis Design
Custom-designed using SolidWorks to match the patient's knee geometry, with femoral and tibial stems for bone attachment.

Instrument Design
Various instruments guide the surgeon in placing the prosthesis accurately.

Post-operative Considerations
Post-operative radiography assesses the placement and integration of the prosthesis.

Custom-made Plates
Lists custom-made plates for various orthopedic applications, highlighting the importance of tailored solutions in orthopedic surgery.

Catalog excerpts

Sommaire chapitre Distributeur/Distributor 34, Av du Dr Durand - 94110 Arcueil - FRANCE - tél. : [33] (0) 1 46 11 16 20 E-mail : [email protected] Site Web : http://www.medicalex.info Since 1967

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es avantages du sur mesure • The advantages of custom made L - - - - - - - - - Planification pré opératoire Simulation de l’intervention Anticiper le geste opératoire Optimiser l’opération Eviter les erreurs pendant l’intervention Gagner du temps pendant l’intervention Réduction du coût de l’implant Réduction du coût de l’intervention Un implant parfaitement adapté au besoin du patient - Preoperative planning - Simulation of the intervention - Anticipate the operative gesture - Optimize the operation - Avoid errors during the intervention - Save time during the intervention - Reduction in the...

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rothèse d’épaule et reconstruction humérale sur mesure P Custom-made shoulder prosthesis and humeral reconstruction Désignation / Description Tige / stem Glene sur mesure / custom-made coil Réalisée à partir de radiographies face et profil télémétrique Created from frontal and profile telemetric X-rays Technique opératoire : Voir la vidéo sur notre site web Operative technic : watch the video on our website Sommaire chapitre Distributeur/Distributor 34, Av du Dr Durand - 94110 Arcueil - FRANCE - tél. : [33] (0) 1 46 11 16 20 E-mail : [email protected] Site Web : http://www.medicalex.info...

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Plaque pour arthrodèse • Arthrodesis plate Désignation / Description Arthrodèse d’épaule Arthrodesis plate Désignation / Description Arthrodèse de coude Elbow arthrodesis Sommaire chapitre Distributeur/Distributor 34, Av du Dr Durand - 94110 Arcueil - FRANCE - tél. : [33] (0) 1 46 11 16 20 E-mail : [email protected] Site Web : http://www.medicalex.info Since 1967

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P rothèse de coude à charnière pour reconstruction osseuse H inged elbow prosthesis for bone reconstruction Désignation / Description Coude droit Right elbow Coude gauche Left elbow Exemples de radios post-opératoires Examples of post - operative X- rays Matériel ancillaire Ancillary material Désignation / Description Désignation / Description Tournevis porte-axe / Axle-holding screw-driver Extracteur pour Humérus Humeral extractor Désignation / Description Désignation / Description Axe d’essai Test axle Extracteur pour Cubitus Cubital extractor Sommaire chapitre Distributeur/Distributor 34,...

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rothèse d’humérus total P Total humerus prosthesis Désignation / Description Côté droit / Right side Côté gauche / Left side P rothèse de hanche personnalisée Personalized hip prosthesis Tiges sur mesure obtenues à partir de coupes scanner Custom-made stems from scanner sections Désignation / Description Côté droit / Right side Côté gauche / Left side Prothèses de hanche adaptées aux personnes de petite taille Hip prostheses adapted to people of small stature Sommaire chapitre Distributeur/Distributor 34, Av du Dr Durand - 94110 Arcueil - FRANCE - tél. : [33] (0) 1 46 11 16 20 E-mail : [email protected]...

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Prothèse de hanche pour tumeur osseuse Hip prosthesis for bone tumor Prise en charge des hanches neurologiques chez l’enfant Prothèse totale de hanche sur mesure pédiatrique Hip arthroplasty in Pediatric Patient with Cerebral Palsy Pediatric custom made total hip rosthesis p Bibliographie/ Bibliography • Technique chirurgicale de la prothèse totale de hanche chez le patient neurologique non marchant Christophe Delecourt, Jihane Rouissi, Viorel Gurschi, Christian Morin Société Française d’Orthopédie Pédiatrique (SOFOP) Fev-Mars 2010 Sommaire chapitre Distributeur/Distributor 34, Av du Dr Durand...

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C otyle sur mesure Custom-made acetabulum Référence 50.010.10 Prothèse totale de hanche sur mesure et reconstruction du bassin Total custom made hip prosthesis and pelvis reconstruction Conception de la prothèse totale de hanche sur mesure Design of the total custom made prosthesis Radio pré-opératoire Pré-operative X-ray Essai statique réalisé sur la prothèse Static test done on the prosthesis Radio post opératoire Post-operative X-ray Sommaire chapitre Distributeur/Distributor 34, Av du Dr Durand - 94110 Arcueil - FRANCE - tél. : [33] (0) 1 46 11 16 20 E-mail : [email protected] Site...

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Protocole d’imagerie pour la fabrication de prothèse de hanche sur mesure Imaging protocol for the manufacturing of custom hip prosthesis RADIOGRAPHIES CONVENTIONNELLES / CONVENTIONNAL RADIOGRAPH Téléradiographie des 2 membres inférieurs en charge Installation du sujet : Teleradiography of 2 legs support Installation of the subject: - pieds joints parallèles et genoux en extension - le bassin et les dernières vertèbres lombaires doivent apparaître sur le cliché - dans le cas d’une inégalité de longueur, une deuxième télémétrie doit être réalisée avec équilibre du bassin par une cale placée sous...

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- immobilité stricte (calage en rotation) - membre inférieur parallèle au bord de la table - rotule au zénith - calage sagittal pour fémur proximal horizontal - Strict Immobility (wedging in rotation) - Lower member parallel to the edge of the table - patella at the zenithl - Sagittal wedge for horizontal proximal femur 2) Programmation des séquences sur le topogramme de face : 2) Sequence programming on Front topogramme: (toutes les coupes doivent être numérotées) - la première coupe passe par le centre de la tête (C1) - définition première séquence (cervico-diaphysaire) • incrément : 5 mm •...

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