ACTIVMOTION
8Pages

ACTIVMOTION HIGH TIBIAL OSTEOTOMY PL ATE P OLYAXIAL LOCKING SYSTEM DUALTEC SYSTEM ® Anatomically contoured implant: proximal curvature and metaphyseal slope. Design and positioning perfectly adapted to the knee biomechanics.

IM P L A N T D E S CR IPT I O N DES CRIPTION OF THE OPENING W ED GE TIBI A L OSTEOTOM Y IMPLANT DESCRIPTION - Anatomic asymmetrical implant (green anodized for right plate and blue anodized for left plate) - Proximal curve - 8°-12° metaphyseal slope - 6 locking screws including 1 polyaxial screw SURGICAL INDICATION - Knee osteotomy MATERIAL AND PACKAGING - A6V titanium alloy T - Sterile-packed DUA LTEC SYSTEM ® FIXATION Progressive core diameter Polyaxial screws with a 25 degree cone.

B I O MECH A NI CS O F T HE K NEE NORMAL KNEE ALIGNMENT GENU VARUM STRESS DISTRIBUTION ANTERIOR VIEW MECHANICAL AXIS MECHANICAL AXIS STRESS DISTRIBUTION SAGITTAL VIEW KNEE AFTER +3° VALGISATION CORRECTION MECHANICAL AXIS STRESS DISTRIBUTION IDEAL IMPLANT POSITIONING. • he implant is fitted onto the antero-medial T surface of the tibia where the highest mechanical stress are registered. MECHANICAL AXIS STRESS DISTRIBUTION SAGITTAL VIEW • Screws are distributed following a 2 + 1 pattern: - 2 screws on the lateral tibial plateau - 1 screw on the medial tibial plateau • rientation of the screws...

S U R GI C A L T ECHNI Q U E SURGICAL APPROACH The patient is positioned supine on the operating table. The procedure is performed under pneumatic tourniquet and a small pillow is placed under the buttock of the operated side in order to maintain the limb in neutral rotation. An 8 cm slightly oblique vertical incision is made along the antero-medial surface, running over the joint space down to under the tibial tuberosity. An elevator is placed very carefully over the posterior surface of the tibial metaphysis and should remain in place as a protection during the osteotomy. A single-plane...

S U R GI C A L T ECHNI Q U E HIGH TIBIAL OSTEOTOMY 1 . Incise upward toward the head of the fibula and stop incision 5-10 mm before the lateral cortical area. 2 . Insert wedges of gradually larger size until finding the appropriate one (6-16 mm) while maintaining the lateral surface of the tibia. Once the appropriate wedge has been inserted, the angular correction is maintained during osteosynthesis. 3. Position the plate onto the anterointernal side so that the proximal part of the plate runs parallel to the osteotomy cut. 5. Proceed similarly for the other 3 monoaxial locking holes (the...

Wedge for fusion cage (TBSxx) Fusion cage for HTO (FCPxx) The cages (FCPxx) and bone substitutes (TBSxx) are delivered in two different sterile packaging. T he bone substitute must be inserted into the cage only as shown. F inal position of the 2 elements after assembly. U se the HTO fusion cage handling tool (ANC047) to insert the cage and bone substitute into position.

OPENING TIBIAL PLATE * Right opening tibial plate - size 1 Left opening tibial plate - size 1 Ø4.5 MM DTS ® SELF TAPPING SCREW * DTS® self-tapping screw Ø4.5 mm - L30 mm DTS® self-tapping screw Ø4.5 mm - L35 mm DTS® self-tapping screw Ø4.5 mm - L40 mm DTS® self-tapping screw Ø4.5 mm - L45 mm DTS® self-tapping screw Ø4.5 mm - L50 mm DTS® self-tapping screw Ø4.5 mm - L55 mm DTS® self-tapping screw Ø4.5 mm - L60 mm DTS® self-tapping screw Ø4.5 mm - L65 mm DTS® self-tapping screw Ø4.5 mm - L70 mm DTS® self-tapping screw Ø4.5 mm - L75 mm ATLANTIC FUSION ® CA GE AND WED GE FOR FUSION CA GE R EFER...

Non-contractual pictures. Metallic wedge 6 mm high Metallic wedge 8 mm high Metallic wedge 10 mm high Metallic wedge 12 mm high Metallic wedge 14 mm high Handle for metallic wedge and cutting guide Metallic wedge 16 mm high HTO fusion cage handling tool 3.0 mm hexagonal screwdriver with quick coupling system Ø4.2 mm reamer with US quick coupling system Length gauge for Ø4.5 mm screws Ø4.0 mm quick coupling drill bit Ø4.0 mm DTS® drill guide Pliers for bending ACTIV plates 3.0 mm quick coupling hexagonal screwdriver Ø6 mm US quick coupling handle K-wire -Trocar point/Round End - Ø2.2 L150 mm...