Ortholox UHMWPE ACJ Surgical Technique
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OrtholoxGh UHMWPE AC Joint Internal Bracing Band System Ortholox UHMWPE Acromioclavicular Joint Internal Bracing System Surgical Technique by Gazi Huri, MD Hacettepe University, Dept. of Orthopedics and Traumatology

Specifications - Comparison Table - Indications Surgical Technique: OrtholoxGh UHMWPE Acromioclavicular Joint Internal Bracing System Ordering Info: Implants Ordering Info: Instruments

Specifications 5mm width UHMWPE woven polymer cerclage band Ti6AI4V ELI Titanium Alloy pre-assembled locking block Removable Ti6AI4V ELI Titanium Alloy guide strip allows rapid and precise band insertion Minimally invasive operative technique reduces surgery time and risk of patient trauma Strong and stable internal fixation without any need for bone drilling Optimal joint integrity Dynamic implant with excellent mechanical strength properties Low profile design facilitates improved post-operative patient comfort Wide band reduces contact stress and protects periosteal blood supply Minimal...

Surgical Technique Two small incisions are performed perpendicular to each other. The first is positioned anteriorly along the inferior border of the lateral-third of the clavicle, whilst the second is centred, cranial to caudal, directly over the coracoid process. The upper (superior) incision is made and carried sharply down to the underlying deltotrapezoidal fascia, which is opened in line with the clavicle. The lower (inferior) incision is performed meticulously in order to expose the coracoid. The origin and insertion of the muscles (short head of biceps, coracobrachialis and...

Surgical Technique The band is then passed posteriorly underneath the base of the coracoid… … and retrieved out through the inferior incision. Once the band is retrieved, a second subcutaneous tunnel is created, caudal to cranial, through the inferior incision to the superior incision. The flexible titanium guide strip with cerclage band is then guided through to the superior incision via the tunnel. Instruments

Surgical Technique The titanium guide strip is retrieved out from the superior incision. The cerclage band is now already looped under the coracoid. By properly bending the titanium guide strip, the cerclage band is now be looped around the clavicle, from caudal to cranial, ... … and looping around the clavicle by moving it back ventrally until it is visible through the upper incision.. Instruments N/A

Surgical Technique The flexible titanium guide strip is passed from the space of implant located under the set screw. It is taken out from the superior incision and resected with a sharp scissors or scalpel. Attention: When removing the titanium guide strip, be sure to leave enough hard part at the end of the Band. The cerclage band is initially tightened manually whilst positioning of the titanium locking block is also checked. The final tensioning of the band is performed using the OrtholoxGh ACJ Cerclage Band Tensioner. OrtholoxGh ACJ Cerclage Band Tensioner NOTE: For more information...

Surgical Technique After removal of the flexible titanium guide strip, hold the OrtholoxGh ACJ Cerclage Band Tensioner should be held with the star wheel positioned on the right-hand side of the operating surgeon. Pass the end of the band through the narrow slot at the tip of the shaft (below the bar) towards the handle. When the tip of the tensioner is advanced against the titanium lock and is seated in the slot on either side of the titanium lock, the band should be manually pulled towards the winding mechanism Insert the end of the band into one of the slot on the rotating barrel and...

Surgical Technique With the band at optimum tension and the Cerclage Band Tensioner attached to the titanium lock, tighten the set screw on the titanium lock with the Straight Torque Handle and Screwdriver. Turn the screwdriver attached to the Straight Torque Handle clockwise until a "click" is heard, indicating that the set screw has reached its optimum tension After the locking screw is secured, release the tension on the remaining part of the band by pressing down on the release trigger on the Cerclage Band Tensioner. Following satisfactory reduction of the AC joint is confirmed with...

Ortholox UHMWPE AC Joint Internal Bracing System Ordering Info Implants 24-001-5450 24-001-5500 24-001-5550 24-001-5600 24-001-5650 OrtholoxGh UHMWPE AC Joint Internal Bracing Band System (Ti. Locking) - 5.0 x 450mm OrtholoxGh UHMWPE AC Joint Internal Bracing Band System (Ti. Locking) - 5.0 x 500mm OrtholoxGh UHMWPE AC Joint Internal Bracing Band System (Ti. Locking) - 5.0 x 550mm OrtholoxGh UHMWPE AC Joint Internal Bracing Band System (Ti. Locking) - 5.0 x 600mm OrtholoxGh UHMWPE AC Joint Internal Bracing Band System (Ti. Locking) - 5.0 x 650mm OrtholoxGh ACJ Cerclage Band Tensioner...

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