D-SCOPE
26Pages

Indications Features Implants Surgical Technique Sample Cases

Introduction Indications Indicated for children older than 18 months who are diagnosed with osteogenesis imperfecta. Children's long bone deformity corrections. Fracture stabilization. Prevention of bone fracture For patients with osteoporotic bone. Features *It is made of stainless steel. *Consists of 2 parts: D profile Bar (male nail) and suitable D profile tube (female nail) with a threaded end. *The male and the female nails have five different diameter choices. The male nail has one length choice for each diameter (Ø2.0 mm Male Nail also has two different length choice optionally),...

FEMALE NAIL DIAMETER FEMALE NAIL MALE NAIL LENGTH CHOICE DIAMETER x LENGTH Female Nail THREAD DIAMETER Male Nail

Surgical Technique ANTEGRADE TECHNIQUE ENTRY POINT: From the tip of the trochanter major at the proximal femur, approximately 2 cm incision is performed. GUIDE WIRE INSERTION: From the tip of the trochanter major at the proximal femur a Guide Wire is advanced distally into the medullary canal.

OSTEOTOMY: The osteotomy is applied to the center of rotation and angulation (CORA) of deformity and then the Guide Wire is advanced distally. osteotomy line DISTAL GUIDE WIRE INSERTION: The Guide Wire is advanced to the distal segment until the epiphyseal line of the bone.

RETROGRADE TECHNIQUE GUIDE WIRE INSERTION: Procedure begins with osteotomy application to the center of deformity rotation and angulation (CORA). After the osteotomy the Guide Wire is inserted from the center point of the osteotomy line and advanced proximally. After fluoroscopic control the medullary canal is opened with an appropriate Reamer. The Guide Wire is sent from the osteotomy line to the distal of the bone. The wire end must reach the distal epiphyseal line.

Reaming begins with the smallest Cannulated Reamer over the wire. Reaming process is done until the metaphysis.It should be avoid to perforate the epiphysis. PLACEMENT OF THE MALE NAIL The male nail is advanced clockwise rotation through the distal segment with the T-Handle Male Nail Inserter.

CUTTING THE MALE NAIL The length of the outer part of the male nail and the level of trochanterica fossa are controlled by fluoroscopy. The distance between the tip of the male nail and the joint surface which was measured at the previous step are left and the exceeding part is cut. The male nail is cut with the Special Rod Cutter according to the diameter of the nail.

PREPARATION OF THE FEMALE NAIL Appropriate size of the Female Nail is chosen and connected with Female Locking Telescopic Nail Driver. It is essential to place the D profile of driver and female nails D tube. The Driver and the Female Nail are fixed with a Wrench by holding the soft handle. The wrench is turned clockwise to tighten

PLACEMENT OF THE TELESCOPIC NAIL The Female Nail is advanced into the proximal femur by sliding over the Male Nail. Please pay attention to the laser marks while connecting male nail and female nail. They have to be at the same direction. Soft Handle is rotated to send the nail until the proximal threads are completely embedded in the bone. x mm

When the nail is in its final position, Guide Arm is mounted to the Female Locking Telescopic Nail Driver. Mind the lasermarks to choose the appropriate hole for locking screw. SLEEVE PLACEMENT After the incision, Protection Sleeve and Trocar are sent through the proper hole of the Guide Arm to pass the soft tissue.

DRILLING AND DEPTH MEASURING Trocar is removed and the Drill Sleeve is sent over the Protection Sleeve to help drilling. Drilling is made with 2.0 mm Drill. The depth is measured with Depth Gauge to choose proper locking screw. PROXIMAL LOCKING After detection of the length of the screw with the help of Depth Gauge, the screw is sent with 1.7 mm Hexagonal Tip.

After removing the Guide Arm, the Female Nail Driver is loosened with the Wrench by holding the Soft Handle and then separated. The wrench is turned clockwise to loosen DISTAL LOCKING Fixation to the distal epiphysis is increased by sending two Threaded Kirschner Wires into the corkscrew tip. The outer part is cut with the Wire Cutter then the rest of the wire is forwarded into the bone with a Pin Impactor.

Description TELESCOPIC NAIL DESIGN TRAY 1 AL. SPECIAL MALE NAIL DRIVER 2.0 MM SPECIAL MALE NAIL DRIVER 2.5 MM SPECIAL MALE NAIL DRIVER 3.5 MM SPECIAL MALE NAIL DRIVER 4.0 MM SPECIAL MALE NAIL DRIVER 5.0 MM Ø 3.5 MM FEMALE LOCKING TELESCOPIC NAIL DRIVER Ø 4.0 MM FEMALE LOCKING TELESCOPIC NAIL DRIVER Ø 5.0 MM FEMALE LOCKING TELESCOPIC NAIL DRIVER Ø 6.0 MM FEMALE LOCKING TELESCOPIC NAIL DRIVER Ø 6.5 MM FEMALE LOCKING TELESCOPIC NAIL DRIVER SCREW DRIVER QUICK TIP 2.5XØ5X130 MM SCREW DRIVER QUICK TIP Ø3X130 MM Ø 5 MM FEMALE NAIL TURNING TIP Ø 6 MM FEMALE NAIL TURNING TIP Ø 6.5 MM FEMALE NAIL...

Description TELESCOPIC NAIL DESIGN TRAY 2 AL. CANNULATED DRILL FOR Ø3.0 MM NAIL CANNULATED DRILL FOR Ø3.5 MM NAIL CANNULATED DRILL FOR Ø4.0 MM NAIL CANNULATED DRILL FOR Ø6.0 MM NAIL CANNULATED DRILL FOR Ø6.5 MM NAIL DRILL FOR END CAP Ø3.5 MM DRILL FOR END CAP Ø4.0 MM DRILL FOR END CAP Ø5.0 MM DRILL FOR END CAP Ø6.0 MM DRILL FOR END CAP Ø6.5 MM Ø 3.5 MM DRILL GUIDE (TELES) Ø 4 MM DRILL GUIDE (TELES) Ø 5 MM DRILL GUIDE (TELES) Ø 6 MM DRILL GUIDE (TELES) Ø 6.5 MM DRILL GUIDE (TELES) PROTECTION SLEEVE

Description TELESCOPIC NAIL DESIGN TRAY 3 AL. SPECIAL ROD CUTTER FOR Ø 4.0,3.0 MM SPECIAL ROD CUTTER FOR Ø 2.0,2.5,3.5 MM WIRE CUTTER UP TO Ø 2 MM LOCKING PLIERS PIN IMPACTOR TELESCOPIC NAIL DESIGN TRAY 4 AL. CHISEL HANDLE CHISEL BLADE 16X30 MM STRAIGHT CHISEL BLADE 11X30 MM STRAIGHT 400 MM S.S SURGICAL RULER FOR L&D BONE HAMMER - SMALL K-WIRE TUBE Ø10XØ6X160 MM RADIAL PIN THREADED TIP 1.8X150MM K-WIRE TUBE Ø10XØ8X460 MM KIRSCHNER WIRE TROCAR POINT 1.5X450 MM KIRSCHNER WIRE TROCAR POINT 2X450 MM T-HANDLE JACOBS CHUCK-KEY T-HANDLE MALE NAIL INSERTER *DSCOPE TELESCOPIC NAIL-FEMALE (sterile)...