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CANNULATED SCREW SYSTEM SURGICAL TECHNIQUE THE FOOT AND ANKLE COMPANY

CSS Hammertoe Surgical Technique An incision is made dorsally over the PIPJ. Then a transverse tenotomy and capsulotomy are performed at the PIP joint level. The medial and lateral collateral The articular cartilage and a small amount of bone are removed from the head of the proximal phalanx transversely using a Then the articular cartilage and a small amount of bone are removed from the base of the intermediate phalanx. The joint is then approximated to ensure proper alignment and fit with the toe held in a rectus position appropriate for fusion. A .062 K-wire is then driven from proximal...

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At this time a 3mm transverse/horizontal incision is made at the distal aspect of the toe to include the guide wire exit site. The cannulated countersink is then placed over the 0.9mm guide wire and used to remove a small amount of tissue and bone sparingly from the tip of the distal phalanx. The cannulated depth gauge is then placed over the 0.9mm guide wire to determine the proper screw length. Surgeons should chose a screw length that avoids crossing into the MPJ, while having all threads proximal to the PIPJ fusion site. *Note - the 2.0mm OrthoPro cannulated screws range in 5mm lengths...

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CSS Implant & Instrument Tray Catalog # Description 03-4000-02 Cannulated Depth Gauge 03-4000-26 2.0mm Cannulated Screw Driver 03-4000-24 2.5/3.0mm Cannulated Screw Driver 03-4000-25 3.5/4.0mm Cannulated Screw Driver 03-4000-13 Small Cannulated Countersink 03-4000-14 Large Cannulated Countersink 03-4000-03 Screw Measuring Block The CSS is a cannulated bone screw that consists of a threaded implant and corresponding instrumentation to facilitate insertion. The implants are cylindrical in shape and incorporate a center cannula designed for use with a guide wire to facilitate proper placement...

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