Name: MaxForce™ MTP Fusion Plating System
Uploaded: 2020-12-30T00:00:00Z
Channel: Arthrex

Foot and Ankle

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AN1-000234-en-US | A | MaxForce™ MTP Fusion Plating System

Human

A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

Operationstechnik-Animationen

Surgical Technique Animations

Visão geral incluindo as etapas relevantes de uma técnica cirúrgica Arthrex. Essas animações sempre incluem uma narração explicando o processo.

Animações de técnicas cirúrgicas

Descripción general que incluye los pasos relevantes de una técnica quirúrgica de Arthrex. Estas animaciones siempre incluyen una voz en off que explica el proceso.

Animaciones de técnicas quirúrgicas

MaxForce™ MTP Fusion Plating System

Arthrex introduces the MaxForce MTP plate for fusion of the first Metatarsophalangeal joint. Initially, prepare the joint for fusion by using the Cannulated metatarsal and Phalangeal reamers. It is important to remove all remaining cartilage from both joint surfaces while not depicted here. It is also important to create bleeding bone channels at the metatarsal and proximal phalanx by treating the joint surfaces by using a 1.6mm K-wires. Furthermore, autograft calcaneal bone may be inserted into the joint prior to setting the position of the toe prior to provisionally fixating the plate to bone. A 1.1mm wire for the compression feet, screws should be placed across the joint to set the desired final position of the toe, while using the black line of the plate to confirm proper placement at the joint line. Temporarily fixate the plate using two tacks. Next, create a bicortical bone tunnel using a Using a 2.0mm drill measure and place a 3.0mm flathead cortical screw to compress the plate down to the bone. The new flathead cortical screws allow for a zero profile construct within the plate. Proceed to place 23. zero millimeters variable angle locking screws into the proximal phalanx by using either the Val drill guides or the traditional locking drill towers. The 3.0mm Val screws have a 30 degree cone of variability. Next, use the MaxForce compression drill guide to create a bicortical bone tunnel with a 2.0mm drill. This creates the pilot hole for the geared Max force compression tool. With the BB-Tak still in place, insert the Max force Compression tool through the bone tunnel until the gears mate with the MaxForce plate. The black line on the plate should align with the black line on the compression tool. Once engaged, proceed to remove the proximal tag. Now, while maintaining the desired position of the toe, turn the compression tool with two finger tightness in a clockwise fashion until an end point is reached and maximum compression is achieved. Maintain the position of the compression tool and reinsert a BB-Tak in one of the smaller black holes in the plate. Utilization of the MaxForce compression tool allows surgeons to achieve an average of 25 pounds of compression through the geared mechanism, with the compression maintained through the BB-Tak. Remove the compression tool from the plate and proceed to drill an eccentric bone tunnel in the compression slot of the plate. Advance a 3.0mm flathead cortical screw until the head of the screw contacts the MaxForce plate. Remove the BB-Tak and fully insert the screw into the plate. This allows for another additional 9 pounds of pounds of compression across the Arthrodesis site. At this point, proceed to drill and implant the remaining 3.0mm screws into the metatarsal to complete the plating construct. Finally, to complete the fusion construct, a 3.5mm compression screw is inserted across the Arthrodesis site. First, measure with the Cannulated depth gauge drill and insert a 3.5mm compression foot screw to further compress and stabilize the joint. With this third mode of compression, the MaxForce MTP plating system allows surgeons to achieve more than 2.5 times the standard amount of compression compared to traditional MTP plate and screw constructs. Gear up for fusion with the MaxForce MTP plating system.

MaxForce™ MTP Fusion Plating System

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