Class 2 device recall persona partial knee system spacer. A similar surgical technique was used at all three centers. Open the joint using your standard midline or slightly medial parapatellar incision, which is approximately 1 proximal to your miniincision for tka. Standard treatment of chronic infected total knee arthroplasty tka is a twostage revision, the first step being placement of an antibioticimpregnated cement spacer. Pdf antibioticloaded cement spacers lessons learned from the. Milestone instruments with mbt tray preparation surgical technique. Premier instrumentation cr or ps surgical technique biomet. Triathlon knee system surgical protocol acknowledgments stryker orthopaedics wishes to thank the global triathlon knee system surgeon panel for their dedication to the development and refinement of the triathlon knee system and instrumentation. These products together with our knowledge and competence constitute a critical part of a solution for the surgeon with regard to the treatment of infections in joint arthroplasty. Stageone knee cement spacer molds are designed to mold a temporary knee spacer for patients undergoing a two stage revision due to an infected total joint. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting prosthesis in each individual. Biomet as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a speci. The surgeon who performs any implant procedure is responsible for determining and utilising the.
A 60ml mix of cement refobacin, biomet is mixed in a vacuum free. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting the prosthesis in each particular patient. The persona revision knee system utilizes zimmer biomets proprietary. Kneealign 2 system surgical technique manual kneealign 2 system surgical technique manual 4 set up set up assemble t ibial jig assemble tibial jig as follows. An articulating antibiotic spacer was associated with control of a deep. It is the authors preference to use a biomet stageone spacer mold for the hip. Surgical techniques highflex solutions for the mis era. A second check in proper placement of the stem is performed by overlaying the head and stem together at the appropriate position within the humeral canal. A novel antibiotic spacer for significant proximal femoral loss surgical technique.
This technique describes the surgical technique used by thomas p. This was done to prevent bone loss and to simplify removal at the second surgical step fig. Vanguard id total knee surgical technique zimmer biomet tv. Acl surgical options zimmer biomet summit surgical. The first spacer molds cleared by the fda allowing for greater surgeon flexibility and reduced o. Minimizing dynamic knee spacer complications in infected. The instrumentation can be used in minimally invasive or standard exposures. For product information, including indications, contraindications, warnings, precautions and potential adverse effects, see the package insert herein and biomets website.
This brochure is presented to demonstrate the technique utilised by mr. Like some feedback on different total knee replacement. Surgical technique for articulating spacers with stem. The technique consists of using the freshened femur and tibia interface as molds wrapped in a tin foil for manufacturing the two components of the spacer with antibioticimpregnated methyl methycrylate cement.
Total knee replacement is performed on a range of patients, of all ages, with various pathologies. The cementing technique of the double uni spacer was performed much as for a standard knee implant. We used the spacer and the femoral component of the trial set of a tka system to mold them to perfect articulation. Hcp content posted june 23, 2014 in surgical techniques.
Zimmer biomet manufactures a variety of knee joint replacement prostheses intended for application. Biomet develops the maxims instrument system, which is fully compatible with agc implants. Surgical technique for 2stage revision arthroplasty for chronic periprosthetic total joint infections. Aug 17, 2010 in a july 27 warning letter, the fda warns the warsaw, ind. The life of any implant will depend on your weight, age, activity level, and other factors. This technique facilitates range of motion at both the hip and knee joints, provides stability for axial loading in the extremity, and preserves the acetabulum while the patient undergoes antibiotic therapy to eradicate the infection. Use the depth gauge to determine thickness of the tibial component. Biomet does not practice medicine and does not recommend this or any surgical technique for use on a specific patient. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting the prosthesis in each individual patient. Comprehensive segmental revision total and reverse. Genesis ii instrumentation has been developed to be an. The goals of a minimally invasive surgical procedure are to.
Stageone select hip cement spacer molds zimmer biomet tv. If replacing the patella, use a genesis ii biconvex or round resurfacing implant. The surgical table should be reversed prior to positioning the. Intraoperative molds to create an articulating spacer for the infected. Csti porous coating provides potential for optimal ingrowth fixation. Management of periprosthetic joint infection and making a knee spacer. Antibioticimpregnated articulating cement spacer for. This could cause a delay in surgery of less than 30 minutes.
There is an option in the surgical technique for performing limb alignment without the alignment tower. The surgeon who performs any implant procedure is responsible for determining and using the appropriate techniques for implanting the prosthesis in each individual patient. This requires clinical mastery, a human connection between the surgeon and. Given the complexity of revision procedures and the fact that every persons. Zimmer biomet stageon series surgical technique pdf. The humeral head size can be estimated by overlaying the head templates over the contralateral humeral head. This requires clinical mastery, a human connection between the surgeon and the patient, and the right tools for each situation. Surgical technique for 2stage revision arthroplasty for. Oxford unicompartmental knee manual of the surgical technique.
Place the patient in a lateral decubitus 90 position on a breakable surgical table such that the patients greater trochanter is directly over the break in the table. Meticulous surgical technique and proper patient selection should be used to avoid any complications with any spacers. Close incision patellar component freely irrigate the wound with the solution of choice to please refer to the appropriate surgical technique assure unwanted debris is removed from the joint space if other patella instrumentation is to be used to prior to. As with other surgical procedures, errors of technique are more likely when the method is being learned. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting prosthesis in each individual patient. Medical equipment zimmer biomet avenue t surgical technique manual.
Here, we present our surgical technique for manufacturing a dual articulating total. Learn the first stage revision total knee replacement for acute prosthetic joint infection zimmer biomet articulating spacer surgical technique with step by step instructions on orthoracle. Extension flexion tight loose tight loose figure 106 spacer block technique cont. Zimmer elibra dynamic knee balancing system dkbs surgical technique 4 fa draft february 25, 2015 2. Custommade articulating spacer in twostage revision total knee arthroplasty. Zimmer biomet fuziontm spacer block surgical technique. Biomet does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. Creating a dual articulating antibiotic spacer for. Biomet uk ltd, as the manufacturer of this device, does not practice medicine and does not recommend any particular surgical technique for use on a specific patient. Knee system has longterm clinical success with 98% survivorship over a 610 year period. An additional radiograph while stressing the limits of the collateral ligaments may be helpful in assessing the maximum correction. Canada, australia, china, taiwan, hong kong, singapore, malaysia. Partial knee arthroplasty helps you optimize outcomes using the latest bestpractice techniques for this increasingly popular procedure.
The innovative cutthrough femoral trials provide surgeons with the flexibility to choose their preferred surgical approach to maximize efficiency. Real life in the or is a samson production hosted by orthopedic surgeon dr. Biomet was the first company to introduce a minimally invasive surgical technique for total knee. Persona the personalized knee surgical technique 46 figure 98 implant components cont. Oxford unicompartmental knee manual of the surgical. Information was intended for internal use only and. Following the reimplantationrevision procedure, routine clinical fol. The epub format uses ebook readers, which have several ease of reading features already built in. Arthroscopy is a surgical technique that uses long tubelike scopes that are inserted into the body through very small incisions.
The elibra dynamic knee balancing system dkbs is a set of reusable manual surgical instruments that enable the adjustment of femoral external rotation while considering the soft tissue balance required to achieve a symmetrical flexion gap during total knee arthroplasty tka. Zimmer biomet announces fda clearance of the persona. Surgical technique distal cut first surgical technique introduction the genesis ii total knee system has been designed to offer the orthopaedic surgeon solutions to address intraoperative situations. At zimmer biomet, our innovations help treat patients suffering from disorders of, or injuries to, bones, joints or supporting soft tissues. We specifically describe our technique of debriding the infected segments as. Implant function is directly related to accurate surgical technique. Here, we present our surgical technique for manufacturing a dual articulating total femur spacer. Concise surgical technique featuring equiflex agc total knee system concise surgical technique featuring equiflex instrumentation disclaimer this brochure provides a description of the surgical technique used by iain c. Knee replacement implants include a metal alloy on the end of the thighbone and polyethylene plastic on the top of the tibia and underneath the kneecap. There are warnings in the package insert that state that this type of event can occur. Feb 02, 2011 hi i am 74 yrs old and have had one knee done with partial however now have to have other knee done as i have about 6 or 7 bone spurs one being under the knee cap so this time have to have total knee. Biomet is not responsible for selection of the appropriate products and or surgical techniques to be used on any individual patient.
I have been doing some research on internet about different replacements. The surgeon who performs any implant procedure is responsible for determining and using the appropriate. First stage revision total knee replacement for acute. Preoperative planning take standing weightbearing ap, lateral, and skyline. In addition to the type of spacer, range of motion is influenced by preoperative mobility, the state of the soft tissues, surgical technique, implant selection, early rehabilitation, and patient cooperation. Knee society scores, and rom were comparable between the static and dynamic spacer groups. Surgical technique for articulating spacers with stem extensions to treat the infected tka part 1. First stage revision total knee replacement for acute prosthetic. The attune intuition instrumentation is intended for use with the attune knee system implants only and should not be considered interchangeable with any other instrumentation.
Prostalac hip system the prostalac hip is comprised of a cobalt chrome alloy core femoral component, a cobalt chrome alloy modular femoral head, a onepiece polyethylene acetabular component, a pmma stem centering device and antibioticloaded bone cement. After cement has cured, invert the tibial mold and flex gently to remove spacer figure 4. Our group found the range of motion to be 107 after reimplantation using manual spacers and 7. The appropriate sizematched biomet stageone knee cement spacer molds. Learn the first stage revision total knee replacement for acute prosthetic joint infection zimmer biomet articulating spacer surgical technique with step by. Fda warns biomet on knee replacement planning system massdevice. In another technique, premolded antibiotic spacers stage one biomet, warsaw, in or prostalac are used. All patients with failed results eventually underwent successful twostage exchange arthroplasty. Do not use the journey bcs total knee patellar component. Articulating spacers in infection of total knee arthroplasty.
Biomet announces fda clearance of disposable spacer molds for. This brochure is presented to demonstrate the surgical technique utilized by david dines, m. The definitive implants included 18 zimmer lccks, 32 vanguard. Components are available in a variety of designs and size ranges intended for both primary and revision applications. Over 1 million times per year, biomet helps one surgeon provide personalized care to one patient.
The science and art of medical care is to provide the right solution for each individual patient. The spacer block may be used without the alignment tower and inserted and removed by hand from the joint, without the persona partial knee handle. Triathlon knee system surgical protocol stryker meded. In a third technique, first described by villaneuva et al. Revision knee systems product selection guide biomet. Please note that information on this site was not authored by dr. Hcp content posted september 15, 2016 in surgical techniques.
Sharkey performs a total knee replacement using products from biomet vangard. Creating a dual articulating antibiotic spacer for management of an. Jul 26, 2005 biomet announces fda clearance of disposable spacer molds for knee revision surgery. Combining unparalleled modularity and surgical latitude, the biomet orthopaedic salvage system featuring the finn rotating hinge knee is a benchmark as the surgeons choice when a patient exhibits significant bone loss, ligamentous deficiencies, primary or metastatic bone tumors, connective tissue disorders. The vanguard xp total knee instrumentation is designed for a standard surgical technique figure 2. Zimmer biomet representative to determine the angle between the. Here we describe the results of a new technique modification of the goldstiens technique. Ensure that varusvalgus and posterior slope levers. Stageon series medical equipment pdf manual download. Final knee society scores and rom were also similar between groups. If you identify a spacer block that will not assemble with these instruments, and you are unwilling to use the spacer block without this functionality, the spacer block may be returned to your sales. These scopes display the inside of your knee joint on a monitor, allowing the surgeon to precisely manipulate the surgical instruments. Biomet, as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient.
Our elearning platform contains high resolution images and a certified cme of the first stage revision total knee replacement for acute prosthetic joint infection zimmer biomet articulating spacer. An early followup of 14 cases of at least 1 year after surgery. The spacers remain in place 180 days or less until the second stage of the two stage procedure is performed to implant a conventional knee joint prosthesis. Set fixation arm on proximal end of tibial jig to left or right for leg being operated on.
Custommade articulating spacer in twostage revision. Release the patella tendon to create space on the lateral side of the tibia. Biomet does not practice medicine and does not recommend any particular orthopaedic implant or surgical technique and is not. The use of antibioticimpregnated cement spacers is an established method in the treatment of periprosthetic hip. Ensure that the patella tendon tibia interface is released so the patella can easily sit in the lateral gutter of the knee.
Pete sharkey from the rothman institute at the riddle memorial hospital in media pa. Cobalt chrome alloy was selected for the prostalac hip femoral component because. A novel technique to preserve range of motion in twostage. When one surgeon connects with one patient to provide personalized care, the promise of medicine is ful lled. A novel antibiotic spacer for significant proximal femoral loss. Sep 23, 2011 in the dynamic spacer cohort, there were four complications.
Biomet was the first company to introduce a minimally invasive surgical technique for total knee replacement. Individual results of total joint replacement may vary. The tecres preformed spacer for hip has a loadbearing structure in stainless steel coated with antibiotic bone cement and it resembles a femoral prosthesis. Live surgery with trevor murray featuring the zimmer biomet fuzion spacer block. Acl reconstruction is most often performed arthroscopically. This material is intended for the sole use and benefit of the biomet sales force and health care professionals. Disrupt the femoral implantbone interface with flexible osteotomes or thin saw blades with an oscillating saw. Frederic a matsen iii and has not been proofread or intended for general public use. If the joint is loose in flexion and acceptable in 5.
The knee itself is not replaced, only the damaged cartilage and bone ends. Knee replacement surgery is really a cartilage replacement. This surgical technique provides guidelines for the implantation of the attune knee system family of fixed bearing knees with the attune intuition instrumentation. Genesis ii instrumentation has been developed to be an easytouse system that will assist the surgeon in obtaining accurate and reproducible knee alignment. Minimizing dynamic knee spacer complications in infected revision arthroplasty. The ppk system spacer block alignment tower mating feature that mates with the spacer block was undersized, which could potentially lead to mating issues between the devices. Interspace hip, knee and shoulder operative technique.
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