Phoenix Tibial Nail System Featuring CoreLock Technology Surgical Technique - 40 Pages

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Phoenix Tibial Nail System Featuring CoreLock Technology Surgical Technique

Catalog excerpts

Surgical Technique Phoenix Tibial Nail System Featuring CoreLock Technology • Each nail features CoreLock Technology, a preassembled, embedded locking mechanism for locking all proximal oblique screws, which can also be used to internally mechanically compress up to 5mm for a variety of tibial fractures • Distally, the tibial nail offers an exceptionally low distal aspect of 4.5mm from the center of the most distal screw hole to the nail tip and 10mm from the center of the second most distal screw hole from the cluster to the nail tip for treatment of very distal fracture

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Phoenix Tibial Nail System The Phoenix Tibial Nail System is composed of titanium alloy This material represents the surgical technique utilized by­ and features CoreLock Technology that offers a preassembled, Michael S. Sirkin, M.D., Cory A. Collinge, M.D. and Kenneth J. embedded locking mechanism for locking all proximal oblique Koval, MD. Biomet does not practice medicine. The treating screws, which can also be used to internally mechanically surgeon is responsible for determining the appropriate treatment, compress up to 5mm for a variety of tibial fractures. Distally, the technique(s),...

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Indications INDICATIONS Phoenix Tibial Nail System The Phoenix Tibial Nail System is indicated for alignment, stabilization, and fixation of fractures caused by trauma or disease, and the fixation of long bones that have been surgically prepared (osteotomy) for correction of deformity and for arthrodesis. 1. Infection. 2. Patient conditions including blood supply limitations, and insufficient quantity or quality of bone. 3. Patients with mental or neurologic conditions who are unwilling or incapable of following postoperative care instructions. 4. Foreign body sensitivity. Where material...

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Design Features 9° Bend 63.5mm (Proximal Bend Location) Proximal Oblique Screw Holes Dynamic/ Compression Slot Static Hole *2.4mm for 7.5mm nail only 3° Distal Bend 51mm (Distal Bend Location) NOTE: Views are not to scale and should be used for reference onl

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Design Features (Continued) CoreLock Technology Innovation made simple and elegant through deployment of the preassembled, embedded setscrew/locking mechanism. Ability to lock proximal oblique screws to nail via preassembled, embedded setscrew/locking mechanism. 5mm of internal mechanical compression via embedded setscrew/locking mechanism. Nail diameters offered: 7.5mm, 9mm, 10.5mm, 12mm and 13.5mm Offered in lengths ranging from 240mm-420mm (10mm increments) Proximal diameter for 7.5mm, 9mm and 10.5mm nail is 11mm Since the holes within the embedded setscrew are grooved, proximal screw...

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Double-Lead Thread Screws - Composed of Titanium Alloy - Features a double-lead thread design for quick insertion - Self-tapping tip - Interior of 4mm and 5mm cortical screw head is threaded for secure retention to inserter - Threads are close to screw head and screw tip for better bicortical purchase 4mm Double-Lead Thread Screw - Used distally for locking 7.5mm nail only - Color-coded gold 4mm Screw Lengths: 20mm – 58mm (Available in 2mm increments) 3.5mm Inserter Connector (Long & Short) retains head of screw Interior of screw head is threaded for retention to inserter End Caps 3.5mm...

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Surgical Technique Step 1. Preoperative Planning Step 2. Patient Positioning And Preparation Successful nailing of extreme distal tibia fractures is dependent The patient is placed in a supine position on a radiolucent upon careful preoperative planning and patient evaluation. operating table, preferably one without metal sides for ease of imaging. Flex the knee 90° or greater over a knee triangle To fully understand the fracture pattern, a complete radiographic or several rolled towels to provide access for adequate tissue evaluation of the entire tibia must be obtained. For those...

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Step 3. Surgical Exposure A sagittal midline incision, centered over the patellar tendon, is made from the center of the patella to the top of the tibial plateau. The patellar tendon should be exposed to the level of the paratendon. Either a lateral or medial parapatellar approach is performed, but the knee joint should not be entered. The patella fat pad should only be cleared anteriorly to permit entry for proper portal placement. Step 4. Entry Point A 3.2mm x 460mm Entry Guide Wire (Catalog #27914) is placed just distal to the articular margin, as viewed on the lateral radiograph. On an...

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Surgical Technique (Continued) Step 5. Opening The Medullary Canal Alternatively, a Curved Cannulated Awl (Catalog #41026) attached to a Modular T-Handle, Non-Ratcheting (Catalog #29407) can be Place the Working Channel Soft Tissue Sleeve (Catalog #41029) used to obtain the entrance portal. and the 11.5mm One-Step Reamer (Catalog #41009) over the Guide Wire to enlarge the entry site and drill until entering the canal. For protection of the Modular T-Handle, Non-Ratcheting during insertion of the Curved Cannulated Awl, use of the Impactor Cap (Catalog #14-441047) is recommended.

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Step 6. Fracture Reduction And Guide Wire Placement Fracture reduction is performed manually, with use of an image intensifier to aide with positioning. If the canal is to be reamed, a 2.6mm x 80cm Bead Tip Guide Wire (14-410002) is inserted through the opening in the proximal tibia and advanced to the level of the fracture. Images are checked as the Guide Wire is passed across the fracture site. An A/P and lateral image should confirm an intramedullary position of the Guide Wire in the center of the distal fragment in both planes. To help facilitate Guide Wire passage through the fracture...

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Surgical Technique (Continued) In the case of a non-union, where the path to the canal is blocked and unlikely to advance a guide wire or entry reamer across the fracture site, a Pseudarthrosis Pin Straight (Catalog #14-442073) or Curved (Catalog #14-442074) may be used to create an opening for the passage of a guide wire for canal reaming. In the event of a displaced fracture, the 8.5mm Fracture Reducer (Bowed) (Catalog #14-442068) may be used to facilitate Guide Wire insertion through the fracture site.

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