Advancements have been made to enhance fixation, provide improved fit, restore joint biomechanics and maximize range of motion. The sigma knee embraces a wide variety of surgeon philosophies and surgical techniques, while providing function, clinical results, and a variety of options for todays patients. Hcp content posted april 19, 2011 in surgical techniques. Resurfacing humeral head implant from depuy is system overview well suited for younger osteoarthritic or rheumatoid arthritic patients in need of a bonepreserving implant. Hospital consignees were notified by letter dated may 7, 2009, as well as by updated letter on may 29, 2009. Watch orthopaedic surgeon robert gorab perform a total knee arthroplasty using the sigma balanced surgical technique from depuy orthopaedics, inc. This comprehensive system offers both a fixed bearing and rotating platform option. Gap balanced total knee arthroplasty sigma with aox. Attach the squeezedown device to the top notch load the single innie from the caddy and thread into the. Two different randomisation schedules were used as the first 32 patients also took part in the knee arthroplasty trial kat 20. Thus, all the knees were either pfc sigma rp ps or pfc sigma fb ps for this project.
In addition, although the surgeons used an identical surgical technique for both. Advancements have been made to enhance fixation, provide improved fit, restore joint biomechanics and maximize range of. These advances have allowed the development of more efficient instrumentation and increasingly sophisticated implant designs that enhance clinical outcomes. Direct questions to depuy customer service by calling 18003668143. The summit tapered hip system implants, porocoat and duofix hydroxyapatite ha stems, are cementless designs developed following the classic tapered stem philosophy. First, unlock the slope adjustment lock and then translate the tibial slope adjuster anteriorly until the desired angle is reached. Balanced surgical technique sigma primary knee system depuy synthes 1.
Full surgical technique details can be found in lsp68. If miniopen modified wiltse rod placement is desired, make a 3. Surgical technique contemporary total knee arthroplasty demands high performance instrumentation that provides enhanced efficiency, precision and flexibility. Aml total hip system,many of depuys aggressive innovations have become the accepted standard for,,excellence and have yet to be equalled. Expedium surgical technique by apolineo comunicacion. Probability of mechanical loosening of the femoral component in. Preoperative radiographs are used to define the angle between the femoral, anatomical and mechanical axis. The specialist 2 instruments, which are a single integrated set of instruments, are designed to assure fully accurate bone resection and to accommodate most surgical techniques and contingencies. Its fully anatomic design and straightforward surgical technique assist the surgeon to achieve appropriate joint biomechanics, implant stability and range of. Solutions comprise innovative, biologically based products for surgical conditions that are often difficult or expensive to manage. Sigma rotatingplatform femoral component, and the entire p.
Pinnacle acetabular cup system surgical technique golden. Revision surgical technique using sigma tc3 rp with mbt. Surgical technique guide reduction the expedium polyaxial reduction screw is designed to further complement the innovative design of the existing expedium polyaxial screw range. If power reaming, it will be necessary to attach the modified hudson adapter to the straight reamer. Oblique surgical approach the disc space can be reached through a left sided retroperitoneal approach. Depuy synthes joint reconstruction has introduced the global unite platform shoulder arthroplasty system. Sufficient posterior displacement of the proximal humerus is required to provide necessary exposure for implanting the anchor peg glenoid. Perform glenoid exposure and sizing as outlined on pages 16 and 17 of the depuy global advantage shoulder arthroplasty system surgical technique cat. With greater than 15,medicine,medical supply,medical supplies,medical product. Femur first technique, the sigma hp technique can also be performed using the tibia first approach.
Its fully anatomic design and straightforward surgical technique assist the surgeon to achieve appropriate joint biomechanics, implant stability and range of motion for their patients. Find all the books, read about the author, and more. We offer one of the worlds most comprehensive portfolios of orthopaedic products and services in the areas of joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, power tools and biomaterials. The epub format uses ebook readers, which have several ease of reading. Sigma knee system and is indicated for use in cases where collateral ligaments are deficient. Through a program of continuous development, depuy now offers a single system of high performance instruments that supports your approach to knee replacement surgery. The surgeon design team and depuy wishes to thank the following international surgeon.
Expedium surgical technique by apolineo comunicacion issuu. Complementing depuys existing global shoulder portfolio, this implant is designed to articulate either. Functional outcome of pfc sigma fixed and rotating. Sigma rotating platform knee system surgical technique the surgeon design team and depuy wishes to thank the following international surgeon evaluation team for their valuable contributions to the development of the p. An early outcome study of the attune knee system vs. If percutaneous rod placement is desired, make a skin incision 2. From patient preparation to hand washing, from equipment to basic surgical procedures, this highly practical manual by drs. Pinnacle surgical technique depuy synthes 3 introduction hip reconstruction has become a successful answer for degenerative hip disease in a more demanding patient population. Handbook of surgical technique 97803234620 us elsevier. Wright medical technology surgical technique for advance medialpivot tka. The rotating models include the lcs complete, sigma rp f, and sigma rotating platform knee systems. In this surgical technique we use arrows to indicate movement to the next step. This publication is not intended for distribution in the usa. The high success rate of this surgical procedure has led to the.
Sigma rp system, effectively offers the range of sizes in clinical conditions for both women and men. The end result is an instrument system that delivers simplicity and reproducibility to revision challenges encountered in. If miniopen modified wiltse rod placement is desired, make a. The reduction screw is designed with removable tabs that allow the surgeon. This publication is not intended for distribution in the. Oct 14, 2011 we describe our surgical technique and to confirm the theoretical advantages of combined distal and proximal tibial fixation, we determined activity level, subjective outcomes scores, rom, and knee stability in a homogenous, isolated pcldeficient population who underwent the surgical reconstruction. The settlement deal previously applied to approximately 8,000 depuy asr plaintiffs, who had alleged that their hip replacement devices failed prematurely and. We analyzed 45 knees that underwent tka with pfc sigma rpfn study. Nov 08, 2009 patients were randomised to receive either a pressfit condylar sigma fixedbearing or rotatingplatform knee replacement system pfc sigma or pfc sigma rp, depuy, warsaw, indiana. Patients were randomised to receive either a pressfit condylar sigma fixedbearing or rotatingplatform knee replacement system pfc sigma or pfc sigma rp, depuy, warsaw, indiana.
This content is intended for health care professionals in the united states. Sigma primary knee system balanced surgical technique depuy synthes joint reconstruction 11 increase the angle of the tibial slope to greater than 0 degrees if the patient has a greater natural slope figure 15. This surgical technique should be used in conjunction with the p. Corail hip system extraction of a corail stem surgical technique depuy synthes 1 given the excellent longterm results of the corail stem,1,2,3 its extraction is a rare occurrence.
The end result is an instrument system that delivers simplicity and reproducibility to revision challenges encountered in the or. Sigma rpf rotating platform, high flexion knee depuy orthopaedics, inc, warsaw, ind is specifically designed to attain up to 155 of flexion after tka without compromising wear. We deliver total solutions across disciplines that go beyond the products themselves. A suture collar allows secure anatomic reconstruction of the tuberosities and helps return the shoulder to a natural anatomical position. Total knee system introduced in 1984, the sigma knee continues a history on innovation based on clinical evidence.
Other knees made by depuy include the sigma and cr150 high flex knees, both of which are on fixed bearings. S6870 october 2006 with 211 reads how we measure reads. Functional outcome of pfc sigma fixed and rotatingplatform. The system is a modular system that allows 72 different sizing configurations. This surgical technique provides instruction on the implantation of the sigma family of fixed bearing and rotating platform knees utilising the classic femoral preparation system. The challenges encountered by shoulder arthroplasty surgeons include surgical exposure, soft tissue balancing and component fixation. Variability of plus or minus 15 degrees in both neck angle and version allow the surgeon to restore individual patient anatomy. During femoral preparation, reamers are used to calibrate the distal cavity of the femur. These screws help to address, correct and also stabilize difficult anatomic variations. The size of the trident psl ha shell selected should be the same as the largest diameter of. Washington, university of pennsylvania and depuy orthopaedics, inc.
Longterm clinical outcomes and survivorship after total knee. Specialist instruments specialist logo d 3 color logo 1 pms black c. Concise and easy to read, it uses a highly illustrated, stepbystep approach to. Fixedbearing versus highflexion rp total knee arthroplasty tka. Flank incision make a horizontal incision, 23 inches. Depuy also makes revision systems, components designed to be used in revision surgeries to replace or repair artificial knees. In an irb approved early outcomes study, physiotherapists collected data on 40 patients implanted with attune knees and 40 patients with sigmacr150 knees. Primary surgical technique primary cruciateretaining and cruciatesubstituting procedures p. Available in posterior cruciate retaining or posterior stabilized femoral component designs, and fixed and mobilebearing tibial component designs, this. Pinnacle surgical technique depuy synthes 1 contents introduction 3 surgical technique templating and preoperative planning 4 acetabular reaming 6 acetabular cup trialling and positioning 7 implanting a pinnacle primary cup 10 polyethylene trial liners 11 alternative trial bearings 12 polyethylene liner configurations. Platform knees depuy, warsaw, in, and lcs rp knees 5. Depuy lps limb preservation system surgical technique significant bone loss requiring extensive reconstruction around the hip and knee is often required following the treatment of malignant bone tumors, aggressive benign bone tumors, infection. Through a program of continuous development depuy now offers a single system of high performance instruments that supports your approach to knee replacement surgery. What have we learned from 100% success of press fit condylar.
We describe our surgical technique and to confirm the theoretical advantages of combined distal and proximal tibial fixation, we determined activity level, subjective outcomes scores, rom, and knee stability in a homogenous, isolated pcldeficient population who underwent the. Sigma rotating platform rp tibial products articulate with existing p. Watch this video to learn more about using the sigma tc3 rp with mbt for revision surgeries and stem extensions. The instruments, technique and components of this arthroplasty system are designed to address these challenges. Revision tray surgical technique reaming the medullary canal assemble the straight reamer to the thandle. Sigma rp f rotatingplatform highflexion knee has been designed to permit 155. Rod reduction using the squeezedown rod approximator. The pinnacle acetabular cup system primary surgical technique has been developed in consultation with an. Depuy believes in an approach to total shoulder replacement that places equal importance on recovery, function and survivorship. Midterm results of total knee arthroplasty using pfc sigma rpf. The art of surgery paperback january 1, 1987 by gary g wind author visit amazons gary g wind page.
Kavoussi, provides students, residents, and clinicians with a firm foundation in the core techniques and skills required for the operating room environment. Sigma primary knee system balanced surgical technique. Using the cone proximal body component and the tapered distal stem also includes preparation for a bowed poroussplined distal stem. This surgical technique provides instruction on the implantation of the sigma family of fixed bearing and rotating platform knees utilizing. Depuy, 54610, depuy prep kit with restrictors esutures. Fem was used in which the posteriorstabilized pfc sigma rpf depuy tka. Sigma rp mobilebearing total knee system is indicated for cemented use in cases of osteoarthritis and rheumatoid arthritis. A dear doctor letter dated may 29, 2009 was issued to implanting surgeons advising them of the issue. Training the scrub person on srom technique total hip.
Kavoussi, provides students, residents, and clinicians with a firm foundation in the core techn. 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. The aml total hip system was the first femoral stem to efficiently address and effectively meet the needs for biological fixation in total hip arthroplasty. This, we feel, is the most common cause related to the surgical technique.