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VID1-00762-EN | A | RetroFusion™ Screw for PIP Joint

William Granberry

Human

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

Eine Videoaufnahme einer Operationsanleitung an einem lebenden Patienten oder Patientin in einem Operationssaal oder eine Demonstration an einem Humanpräparat.

Operationstechnikvideos

Surgical Technique Videos

Gravação em vídeo de uma técnica cirúrgica em um paciente em uma sala de cirurgia ou uma demonstração cadavérica.

Vídeos de técnicas cirúrgicas

Grabación en vídeo de una técnica quirúrgica de un paciente en un quirófano o una demostración cadavérica.

Videos de técnicas quirúrgicas

RetroFusion™ Screw for PIP Joint

In this case, you can just incise right down to the bone. The collateral ligaments attach to the medial and lateral side of the distal end of the proximal phalanx. And if you slide your freer and then pull it open you can usually cut that. Now normally I will take just a bone biting Roger. And cut some of this. Cut the tip of that proximal phalanx. We'll take our saw back again. Okay, so then we've got those bony surfaces prepared, and we'll take a K-wires to drill, more or less a provisional hole. One proximally. And then the second. Going distally, you want to make sure you start right in the center. And what I'll do is have this come out the. The dorsum of the toe there. This specially designed drill has a drill bit on this end. And then from here down, it's fluted with seven, six sides. And so the the handle has a thumb screw which holds it. And the idea of this screw is we're going to we're going to use the, the drill to create a hole. And then on the other end we're going to, we're going to use the, the, the other tip of that drill to actually turn the screw. That allows you to not need a cannulation of the drill itself because you never really lose your position With a with a pilot hole from the K-wires. This can be done by hand, and I like to do it that way, because you get much better feel of the bone and how strong it is. And then the handle is placed over the opposite end, just till you start to feel the threads coming out that side. And then this is backed out. So it's just inside the joint, which allows you then to put the screw into the proximal phalanx. And that's a nice tight fit. The tip of the screwdriver has a little bit of a bevel right on the end, which makes it easier to to get into the end of the screw. So I'm backing this out turning it counterclockwise. And what you'll see happen is the the resected area of the joint will will separate, meaning that you've got it compressed into the middle phalanx a bit. And that's when you know you've got some tension on there. And as you come out, you'll begin to see the threads come out of the proximal end. And that's about that's about when you want to start turning it clockwise. I've just turned it another half turn, but now I'll start turning it clockwise. And you can see how the the two bones will compress together. Really a large amount of compression of that cross that site. There's sometimes just a little bit of a ridge of the bone on that. Middle phalanx you want to remove. So there it is. So that's quite a solid fusion. And you can see the IP join is free.

RetroFusion™ Screw for PIP Joint

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