Biomechanical stability of openwedge high tibial osteotomy. Complication rates of mowhto using the puddu plate arthrex, naples, fl, usa have been reported to range from 30. Short spacer plates such as the puddu plate arthrex inc. Help your orthopedic surgeons do bone debridement faster and with more control with the arthrex powerasp. The contourlock hto plate is a great choice for high demand patients needing a stronger locking construct for weightbearing. Arthrex, ar250t, arthrex hto plate screw, titanium, cancellous 6. Varusproducing lateral distal femoral openingwedge.
In june, a similar conference will be held in cancun, mexico. The simplistic design facilitates minimally invasive surgery and is optimal for lower demand patients. The utilization of the arthrex family of unique plates, in conjunction with an opening wedge osteotomy, provides the surgeon with a safe, reliable and reproducible technique for tibial or femoral osteotomies. Bone graft harvester technique, distal femoral fracture management, femoral opening wedge, osferion bone void filling. Midterm outcome of openingwedge high tibial osteotomy for. Open wedge high tibial osteotomy is a well known and reliable method for the treatment of medial osteoarthritis of the knee.
Apart from a good vascularization of the bone, solid plate fixation is. Open wedge high tibial osteotomy clinical biomechanics. Arthrex has a team of 100 surgeon champions who teach courses at any given time, guerra says. The tibial osteotomy then begins by placing the arthrex hto cutting guide on the medial tibia and drilling two 2. Recently, new plates with locking screws have been developed and used for medial openwedge high tibial osteotomy hto. Pdf role of osteotomy for knee cartilage, meniscus, and. Pdf high tibial osteotomy for the treatment of medial. The biplanar approach is able to simultaneously address both components of a.
A guide pin arthrex, naples, fl is inserted into the lateral femoral cortex and advanced until it contacts the medial cortex and is left in place. The purpose of this study was to evaluate and compare biomechanical properties of different internal fixations in openwedge hto using the two currently available locking plates. Sign up for whats new vet systems stay up to date with the latest techniques and innovations sign up sign up. However, this procedure has not gained wide popularity despite its advantages in maintaining the bone stock, its correction of the deformities close to. Double syringe system acp tm this description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific arthrex products. An osteotomy guide arthrex is then assembled over the top of the guide pin fig 4. Arthrex is pleased to announce great place to work and fortune have recognized the company as one of the 50 best workplaces for giving back in the country. We are a liquidator of sutures and other surgical items from ethicon, covidien autosuture, synthes, stryker, arthrex and are able to pass our savings on to you. These plates are available in wedgeless, straight, and sloped options. The purpose of this study was to investigate complications of the medial opening wedge high tibial osteotomy hto procedure at our institution.
Typical platelet rich plasma prp systems take up to 45 minutes to process the blood. Pars percutaneous achilles repair system achilles jig. Sep 04, 2017 arthrex peekpower hto plate september 4, 2017 the first multidirectional angle stable hto plate made of carbon reinforced peek provides outstanding biomechanical properties, excellent biocompatibility and an anatomically adopted design. Specifically designed femoral osteotomy plates take into account the anatomical differences between the distal femur and proximal tibia. The plates are fixated using standard ao stainless steel 6. Openwedge high tibial osteotomy for varus osteoarthritis of the knee is a successful treatment option, but is associated with potential intraoperative complications, jeopardizing outcome. Union of medial openingwedge high tibial osteotomy using a.
Do microfractures improve high tibial osteotomy outcome. Lateral distal femoral opening wedge osteotomy using the. Once the plate is positioned and the bone graft is inserted, fixation is obtained by inserting a cancellous screw in the proximal hole and a cortical screw in the distal hole. Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate. Typical platerelated results such as the time and quality of gap healing as well.
Anterolateral biplanar proximal tibial openingwedge. Bovine xenograft locking puddu plate versus tricalcium phosphate spacer nonlocking puddu plate in openingwedge high tibial osteotomy. High tibial osteotomy for the treatment of medial osteoarthritis of the knee with new ibalance system. Pdf complications after tomofix medial opening wedge. These decrease metal work prominence and increase bone purchase, and are utilised independently of the plate. Pdf premature physeal closure following distal tibia. The forked wedge tool is then removed and autologous bone is packed into the defect. All of the tibial opening wedge osteotomy plates were. Apr 11, 2006 in this study, the results of openwedge osteotomy with puddu plate for the treatment of varus gonarthrosis have been evaluated prospectively. Searchable database of fda 510k applications and descisions. The surgeon may also choose to use the arthrex biplanar alignment guide to set the height and align the osteotomy with the patients native tibial slope.
However, this magnitude of the knee joint contact forces overloads the. Arthrex peekpower hto plate orthopaedic product news. Platerelated results of opening wedge high tibial osteotomy with a. These plates are fixated to bone using arthrex titanium locking 6. Opening wedge osteotomy using contourlock hto plate system. The tibia opening wedge osteotomy plate arthrex inc.
Although studies on complications of mowhto using the tomofix plate are relatively rare, it has been associated lower rates of complications than those using the puddu plate 3,7,11. Arthrex arthrex powerasp june, 2014 outpatient surgery. With the introduction of the puddu plate arthrex, inc, naples, florida into clinical practice in the late 1990s, which simplified the technique, high tibial osteotomy has reached wider acceptance. The titanium tibial opening wedge osteotomy plates feature a 4 hole design and are available with. As the result of an improved locking bushing system, each of the screws lock tightly into the plate bushings without having to use the locking guide for titanium. The graft used in each case was a corticocancellous proximal tibial wedge allograft. Arthrex, ar250t, arthrex hto plate screw, titanium. Biomechanical study of the fixation plates for opening wedge. The contourlock dfo plates are available in right and left orientations in multiple sizes depending on desired amount of correction.
All followed a similar postoperative protocol as was used in the ibalance study group. For example, arthrex held a fourday knee and shoulder conference in cologne, germany, last year for 1,500 surgeons. Revolutionizing orthopaedic surgery fiberwire fiberwire suture is a new generation of polyester suture with a long chain polyethylene core. This study assessed 65 knees of 60 patients with varus gonarthrosis who underwent high tibial osteotomies. The univers revers total shoulder system was designed in cooperation with professor peter habermeyer, atos clinic, heidelbergmunich, germany and. Bone plate system for proximal tibial osteotomy arthrex, inc.
Arthrex vet systems avs is a division of arthrex inc. Surgical technique arthrex pages 1 28 text version. Shortterm safety and efficacy of a novel high tibial osteotomy system. Peekpower implants, whereas we did not include the puddu plate. The utilization of the arthrex family of unique plates, in conjunction with an opening wedge osteotomy, provides the surgeon with a safe, reliable and. Midterm outcome of openingwedge high tibial osteotomy. Product features by arthrex orthopaedic product news. It is indicated in patients with medial cartilage damage and varus. Forty patients had fixation with a stainless steel plate and screws and 10 with a titanium interlocking plate and screws. Traditional burrs use a rotating motion, creating a curved surface with scalloped edges that have to be resmoothed. Browse photos to learn about arthrex offices and culture. Complications after tomofix medial opening wedge hto.
The authors concluded that early weightbearing is appropriate for plate fixator fixation, and that spacer plate fixation should be prolonged for up to 810 weeks to avoid pseudoarthrosis andor the recurrence of varus angulation. Biomechanical properties of five different currently used. Finite element analysis of puddu and tomofix plate. This next generation titanium plating system consists of three distinct plate variations, including a straight wedge, ap sloped wedge and a flat plate with no wedge, that are compatible with the current titanium cortical and cancellous hto plate screws. Technische universitat munchen the influence of a new. To request a price quote andor surgical evaluation of products, please add all products of interest to your cart by selecting the respective product checkboxes in the quote 1 andor surgical evaluation 2 column of the products view 3. Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate to determine the biomechanical properties. The osteotomy guide is adjusted until the desired angle is achieved, at which point a second guide pin is. All patients were treated with either a 2nd generation puddu plate arthrex inc. After placement of a puddu plate with anterior slope, the cancellous bone defect is filled with 4 wedgeshaped. A 15mm medial opening gap was stabilized in each of eight medium composite tibial bones either with the modified. Complications after medial opening wedge high tibial osteotomy. Opening wedge osteotomies can be performed concomitantly with the acl reconstruction.
Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate article in clinical biomechanics 199. None of the previously cited studies included the ibalance and the peekpower implants, whereas we did not include the puddu plate. After determining the angle of correction preoperatively, the medial exposure of the tibia is. Opening wedge high tibial osteotomy using a puddu plate. The contourlock hto plate system is indicated for use as a fixation device during opening and closing wedge osteotomies of the proximal tibia.
Producing acp autologous conditioned plasma with the arthrex acp system can be performed within minutes. Pdf bovine xenograft locking puddu plate versus tricalcium. Each screw can be angled to the proper anatomic orientation within a swiveling bushing before being locked. Furthermore, weightbearing following spacer plate fixation induced significant micromotion at 6 weeks after surgery. Unique device identifier udi global enterprise labeling system gels newsroom. May 12, 1998 the plate is then secured to the bone with bone screws, using standard ao technique. Jul 01, 2011 with the introduction of the puddu plate arthrex, inc, naples, florida into clinical practice in the late 1990s, which simplified the technique, high tibial osteotomy has reached wider acceptance. Supramalleolar tibial osteotomy secured with the puddu plate. Knee cartilage, meniscus, and ligament injuries that are associated with malalignment can benefit from the redistribution of load and tibiofemoral repositioning provided by an osteotomy. Jun 01, 2012 read finite element analysis of puddu and tomofix plate fixation for open wedge high tibial osteotomy, injury on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. The titanium tibial opening wedge osteotomy plates feature a 4 hole design and are available with either a straight or sloped tooth to change or preserve the native tibial slope. The titanium femoral opening wedge osteotomy plates provide a straight toothed option to aid in maintaining the osteotomy correction.
Numerical comparative study of five currently used implants for high. We sought to determine whether 1 preoperatively identifiable patient factors, including tobacco use, body mass index 30 kgm 2, and degree of correction, are associated with nonunion, and 2 a modified radiographic union score for tibial fractures rust score, taken at 6 weeks and 3 months, would be predictive for delayed or nonunion after medial opening wedge hto. The openingwedge high tibial osteotomy technique was performed as described previously by franco et al 12 using the puddu plate arthrex, naples, florida, a butterflyshaped plate that contained. Medial opening wedge high tibial osteotomy with early full. Methods all cases of medial opening wedge hto performed between 2001 and 2004 at our institution were identified. Indications for a proximal tibial anterolateral osteotomy include symptomatic genu recurvatum with genu valgus alignment, usually in patients with a flat sagittalplane tibial slope. Tcp blocks with 60% porosity are implanted in front 2 blocks and back of the plate 1 block figs. Medial opening wedge high tibial osteotomy owhto was first performed by debeyre and artigou in 1951. The arthrex acp system is a costeffective method of concentrating growth factors for therapeutic use. Giancarlo puddu will talk about his huge experience in. Show full abstract the puddu plate arthrex inc, naples, fla provides secure fixation for openwedge distal tibial osteotomies with accurate and reproducible results. Proximal tibial anterolateral openingwedge osteotomies have been reported to achieve successful biplanar lowerextremity realignment.
382 314 150 1278 199 363 1028 1460 863 1283 839 1330 1164 1487 259 423 90 579 1101 1178 320 616 1334 56 419 896 841 453 1112 393 509 1337 1338 475 216 447 686 193 1212 1289 107 185 743 199 898 895 944 1175