<p>O sistema da Arthrex de fixação externa foi projetado para fornecer uma solução versátil para fixação de pequenos ossos. O sistema consiste em pinos de 2 mm e 3 mm com comprimentos de rosca variados e hastes de fibra de carbono de 5 mm. Grampos de pino único e multipino permitem flexibilidade ao criar construções.</p>

Hand and Wrist

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application/pdf

Human

A document that helps health care professionals track their inventory of Arthrex products.

Ein Dokument, das medizinischen Fachkräften hilft, ihren Bestand an Arthrex Produkten zu verwalten.

Bestandskontrollformular

Documento que ajuda os profissionais de saúde a controlar seu estoque de produtos Arthrex.

Formulários de controle de estoque

Documento que ayuda a los profesionales de la salud a realizar un seguimiento de su inventario de productos Arthrex.

Formularios de control de inventario

Inventory Control Forms

Small External Fixation System - 9933-100S

Trauma Lower Extremities

Foot and Ankle

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

Small External Fixation System

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

Foot and Ankle: Next Generation in Foot and Ankle Technology 2023

<p>Thomas G. Harris, MD (Pasadena, CA), demonstrates distraction of the lateral column of the foot using the Arthrex Small External Fixator System.</p>

video

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

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

Surgical Technique Videos

Lateral Column Lengthening With the Arthrex Small External Fixator System

Well. Hello everyone. I'd like to introduce the small bone external fixator set, which is new here at Arthrex. And looking at the set you can see it on the left side. Here we have a series of two and three millimeter pins to use. So there's both two for the smaller bones and then three millimeters for the larger bones. As we move to the right side of the set, you can see we have a large array of carbon fiber rods extending as small as 50mm all the way out to 300mm. As we move into the center portion of the tray, we have four multi-pin clamps, a series of multi-pin clamp extensions, and then single clamp extensions as well. And then we'll end with the two sort of posts that we have here, both the straight as well as the curved. When you need to be a little further away from the bone as opposed to a little closer here. In this particular case, we want to put on a lateral column spanning external fixator, and we want to start with the calcaneus. And we've traced out the peroneal tendons here. As you get more distal you run the risk of tethering them. So I make my pin sites a little bit more proximal than that. Now, distally, you can choose to use either the fifth metatarsal or the fourth. Sometimes I'll find that the fourth line's a little bit more in line with the calcaneal pins rather than the fifth, but the fifth is a viable option as well. You can place these pins either on power or by hand. In this particular case, we're going to start by placing it on power, and we're going to place it through our multi-pin clamp so that we're collinear. And what we want to be we've already made a small stab incision in the posterior calcaneus. We've checked with floral in terms of our positioning. And so we'll drill through into the calcaneus. And you can see we're far away from the perineal here and in a relatively safe zone. And then you can check with floral and make sure that you're not going out the medial side. But we've got a good purchase in through that area. There's our axial view. So we want to extend that a little bit more medial just to go through that medial cortex to make this purchase that much better. But it's worth checking this to make sure that you're going through that medial cortex. Here's our T wrench, which we're going to use to advance that pin a little bit more into that medial cortex. And again we're getting a good fixation here. And we'll check again the axial view and see how long we need to go. And you can see we've advanced that calcaneal pin just medial to the medial cortex. Pins can be placed on hand or power. In this case you can see we have a centering sleeve for our drill and is advanced again through the calcaneus into that medial cortex. So here we can see the second calcaneal pin just barely going through that medial cortex with good fixation. So now what. We're going to place the distal portion of the ex-fix into the base of the fourth metatarsal. We're distal to the joint here. And we'll place this one on power I'm feeling the plantar more dorsal aspect of the fourth metatarsal. And then kind of trying to find the center portion there and going across from lateral to medial start relatively slow. And then we'll check on fluoro how far we're in. We are Our hour length seems appropriate. You can see we're distal to the cuboid base of the fourth metatarsal TMT joint, and we're through the medial cortex of the fourth metatarsal. Here's our lateral view which we can see. We're starting in the center portion there. You just want to be careful that you're not to plantar or to dorsal here. And as you can see as we're drilling there laser lines in this drill that gives you an idea of how long you're going to want your pins to be. So you can see both of these are in great position on the lateral plane bicortical and on the AP view both achieved bicortical fixation. Usually you want this to be at least 1 or 2 finger breadths away from the skin. In this particular case, we're going to be close to the lateral malleolus. So we're going to put a little further away to make sure that it's not impinging into the lateral malleolus there. Same thing for our distal point of fixation. We'll have 1 or 2 finger breaths. So now we'll apply the clamp to our calcaneal point of fixation. And you can see there's some rotation here. And in this particular case we want it in line with the lateral aspect of the foot. To get our length, we'll get the appropriately sized carbon fiber rod and then place that between here and then our points of fixation in the fourth metatarsal. One little point that's worth mentioning is you want these bolts to be facing you so that you can tighten them down. So even though this looks like it might be the correct size at 150, if you try to distract this at all, you're going to lose. You're not going to have much room to move. So I'm going to opt to use the 200 millimeter rod for this particular case. So I placed it in the proximal fixation segment first. And then I'll place it through the distal fixation segment here. And I'm just slid it through that area. Now in general you want this to kind of be less room to move here proximally because you want to pull distally. And we'll tighten this down. And you can make this very tight here. We want to hold fixation proximally. We still have a mobile construct that we can move more distally. And now we move distally. So in this particular case you can see that if you want to get some more length you see how this is moving. We can lengthen that. And then once we like our length depending on the pathology and how distracted we want to get the cuboid fracture, for example. Then we can just tighten that down and I'm holding it distracted. Perfect. That's a really quick application of a lateral column external fixator for some trauma that you may encounter. So here we can see our final construct. We have two pins in the calcaneus, two in the fourth relatively distracted CC joint and a somewhat distracted fifth TMD joint as well. So post-op protocol for these patients is going to depend a little bit on what the pathology is. Typically this is in place for anywhere from one, 2 or 3 weeks until the Definitiv surgery fixation can take place. In some cases where the swelling is very severe, this may serve as the Definitiv fixation and may be in place for anywhere from 4 to 6 weeks if needed. This external fixator is usually used in foot and ankle trauma. Particularly injuries to the midfoot can be used for lisfranc injuries. Cuboid injuries. Calcaneal fractures. It's a nice way to let the foot swelling subside for those more severe traumas.

Trauma Upper Extremities

A document containing information about Arthrex products and product lines.

Ein Dokument mit Informationen über Arthrex Produkte und Produktlinien.

Broschüren

Documento contendo informações sobre produtos e linhas de produtos da Arthrex.

Brochuras

Documento que contiene información sobre los productos y líneas de productos de Arthrex.

Fixador externo pequeno

Recursos educacionais e produtos

Todos os recursos

Todos os produtos

Videos

Documentos

Línguas

Guias de técnicas cirúrgicas (1)

Small External Fixation System

Brochuras (2)

Arthrex Small External Fixator: Small Bone Fixation

Arthrex Small External Fixator: Small Bone Fixation in Foot and Ankle

Catálogos (1)

Foot and Ankle: Next Generation in Foot and Ankle Technology 2023

Formulários de controle de estoque (1)

Small External Fixation System - 9933-100S

Vídeos de técnicas cirúrgicas (1)

Lateral Column Lengthening With the Arthrex Small External Fixator System

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Produtos relacionados (42)

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