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StimuBlast™, demineralisierte Knochenmatrix

Bei der demineralisierten Knochenmatrix StimuBlast handelt es sich um ein osteoinduktives und osteokonduktives Material mit optimalen Verarbeitungs- eigenschaften. Das Reverse Phase Medium (RPM) ist ein bioverträgliches Trägermaterial, das dafür sorgt, dass die demineralisierte Knochenmatrix formbar ist und in Defekte jeglicher Größe und Form appliziert werden kann. Dank des RPM-Trägermaterials wird die demineralisierte Knochenmatrix StimuBlast bei Körpertemperatur dickflüssiger und kann daher ohne Verlust durch Spülen angewendet werden.

Orthobiologics

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A comprehensive overview of a product team’s portfolio.

Ein umfassender Überblick über das Portfolio eines Produktteams.

Kataloge

Visão geral e abrangente do portfólio de produtos de cada segmento.

Catálogos

Descripción general y completa sobre la cartera de productos de cada segmento. 

Catalogs

Orthobiologics - Next Generation in Biologics Technology

Foot and Ankle

Knee

A step-by-step demonstration of how a product would (or could) be used in a surgical technique.

Eine schrittweise Demonstration, wie ein Produkt in einer Operationsanleitung verwendet werden würde (oder könnte).

Operationsanleitungen

Demonstração passo a passo de como um produto seria utilizado em uma técnica cirúrgica.

Guias de técnicas cirúrgicas

Demostración paso a paso de cómo se utilizaría un producto en una técnica quirúrgica.

Guías de técnicas quirúrgicas

Surgical Technique Guides

4.5 mm/6.7 mm Low Profile Screw System

video

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Videos - OP-Anleitung

Vídeos — Técnicas cirúrgicas

Videos de técnicas quirúrgicas

Surgical Technique Videos

OsteoPrecision™ Graft Delivery Device

So to prepare the bone mixture, I place the DBM and mix in the the cortical fibers. The cortical fibers have a higher density of BMP than the cancellous bone, and the DBM is usually a mixture of. Of bone and a carrier, so this increases the percentage of bone in this mixture by adding the cortical fibers. So once this is mixed, it is placed into the OsteoPrecision graft delivery device. Delivery cannula tip is then tightened onto it and it's ready for. This is our simulated femoral tunnel that we're going to fill with our DBM. And cortical fiber mixture cannula is introduced into the tunnel. So the large plunger is used first. You can see the DBM mixture advancing into the cannula. And we'll start seeing it in arthroscopically. And as the bone is advanced you just gently pull the cannula back out to allow it to fill the tunnel or the defect. The reverse phase medium prevents it from being washed away with a saline that's used in arthroscopy. So in this case we've completely filled the femoral defect. So looking at it from the medial portal that's awesome.

In this video, Mark D. Campbell, MD, (Phoenix, AZ) demonstrates a Talonavicular Fusion. This is an in-depth surgical technique using the Arthrex® Double Compression Plate System and Biologics with live audio and detailed explanation of the products and procedure.

Double Compression Plate System - Talonavicular Fusion with Orthobiologics

So as you can see here, here is the talus and here's the navicular. Here's the talonavicular joint right there, which is pretty nicely exposed. You want to expose up over the top in a subperiosteal manner and medially as well. You also need room to place your fixation. I like to put at least two of the Arthrex compression plates to give again, very good fixation and compression across this joint. So once I've exposed this, the thing I use the most is a simple half inch osteotomy and work my way around first the talus and then the navicular, removing that subchondral bone. Now, once I've exposed that bone, I have to decide do I want to add anything to that fusion site? For that, I like to use the FlexiGRAFT sponge and a two millimeter thickness. When hydrated, the congruent surfaces will come together and will compress the sponge and it will not hold those surfaces apart. You see, as it goes down, it fits nicely into the space. Now you could add StimuBlast if you want a little extra support. This will just fill around the gaps. So once you get it in the place, it will stay in that place. So, I mean, you can easily just kind of shove some of this down in the gaps and it will find the place it needs to go. You can add it to any one of your fusions you're doing. Once we've got our fusion site ready for fixation, we're going to use the Arthrex compression plates. For this one I'm going to use a single a simple two hole plate. Now one side of this is a locking screw and one is not. So I'll start by putting my locking screw in. And I can actually measure to where I want to go. And I can feel it nicely in bone right there. And I'm going to put a 24 in. Now I will hold this plate down with my finger, and you can see it's right against the bone there. Once this goes down and locks into the plate, it is now down on the bone. There it is completely flush against the bone. And then I can tighten it down. I can now with the non locking I can place at whatever angle I want. And again in the navicular that's a big plus. And I measure that and it is a 22. And as you see as it comes down what does it do. It pulls the plate down onto the bone. It makes sense that if we were To expand those apart, it will compress across the joint and that's what we're going to do. So we're going to increase that space with a instrument that's been made to do so. It sits right over the top. Simply squeeze and look at how much wider it is there. What you couldn't see is it nicely compressed across my joint surface. So we've got our compression a locking screw to hold it down here and non locking screws sucked it down. And we are completely right against the bony surfaces on here to decrease irritation we'll show you this could be fit right where that one is. And this one can fit down here as you'll see. Use two screws on this plate up here and one over here. And you have plenty of room to flip them the other way like this. So that works a nice configuration look to get in that case six screw fixation. So it's a very nice technique. And you can add these in whatever configuration you the anatomy will allow you to place. So that shows again the utilization of the Arthrex compression plate system with the added biologics.

Hand and Wrist

Mark Campbell, MD, (Phoenix, AZ) demonstrates the subtalar arthrodesis procedure with Arthrex Biologics and fixation with 6.7 mm Low Profile cannulated lag screws. He utilizes StimuBlast™ to fill the small gaps in the joints and for larger defects, he uses FlexiGRAFT® with Arthrex ACP® to fill the bony defect.

Subtalar Fusion with Biologics and the Arthrex®  Low Profile 6.7 mm Cannulated Lag Screw

All right. We're going to demonstrate a subtalar fusion and a utilization of appropriate biologics, as well as a fixation with the Arthrex cannulated screws. And there I'm seeing the peroneal tendons right there. So I'll make sure at this point there is no significant synovitis no spurs hitting the peroneal tendons. Make sure they're free. And then I work above them and coming above them, right above them, right there. And I am in the subtalar joint. What I want to do is provide biologic stimulation in that area. And there's different choices. And I keep all of these available in the operating room and open what I need. Stimublast putty has got very nice handling characteristics. It will fit nicely into tiny, tiny gaps or areas where we have nice congruency of the joint surfaces. So I'll often add some of that in and it will spread around where it needs to spread around. Now sometimes I will actually have bigger defects if I know I have areas where I have subchondral cysts or things that I want to fill more. I'll use the FlexiGRAFT fibers, you can use a saline to hydrate it. I like to use a platelet concentrate such as ACP, and once you place that in, you'll see that it will wick up nicely. And it makes these fibers very moldable. This will fit very nicely into bony defects. And so what I'll do if I'm looking at a bony defect, I will fill that in and pack it up against the bony defect. So what I will do is I will actually place the wire over the side of the foot and get a ladder, and I'll see where I want to start it. Then I take it through a percutaneous manner, place a guide pin down, and then I'll see if I'm sitting where I like. I want to aim towards the heel. I can get a very nice position. This is pretty parallel. I could easily get a second guide pin and screw in if I wanted to. So once I've got the position I like it. I will take generally an 11 blade and just make a little small nick here. I'll take a spreader and just kind of spread down along the wire and then I'll measure it. And this here measures approximately 85. Now I will use as many thread lengths as I can, just so that I think I can get away with. I'll put a guide down over. Now that guide will help protect any tissues around my percutaneous exposure. And I place the drill right on and I can drill pre drill the area. I'll now place on my selected screw. Now these are self-drilling self-tapping screws. So I didn't need to drill. That's a decision made on patient's bone quality. And I'll put it in. And when I get close I will stop and place on a hand driver. And I'll check an image to see how close I am to being seated. Very good fixation with appropriate biology in that Subtalar fusion site. So I would remove and I would get my final imaging as such.

StimuBlast™, demineralisierte Knochenmatrix

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Kataloge (1)

Orthobiologics - Next Generation in Biologics Technology

Operationsanleitungen (2)

4.5 mm/6.7 mm Low Profile Screw System

Bone Graft Harvester

Videos - OP-Anleitung (3)

OsteoPrecision™ Graft Delivery Device

Double Compression Plate System - Talonavicular Fusion with Orthobiologics

Subtalar Fusion with Biologics and the Arthrex® Low Profile 6.7 mm Cannulated Lag Screw

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