Name: ArthroFLEX® ADM for Hallux Rigidus of the 1st MTPJ
Uploaded: 2020-06-25T00:00:00Z
Channel: Arthrex
Description: This animation demonstrates the use of ArthroFlex acellular dermal matrix in the surgical treatment of hallux rigidus of the 1st metatarsophalangeal joint. ArthroFLEX is a trademark of LifeNet Health.

<p>This animation demonstrates the use of ArthroFlex acellular dermal matrix in the surgical treatment of hallux rigidus of the 1st metatarsophalangeal joint.</p>
<p>ArthroFLEX is a trademark of LifeNet Health.</p>

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AN1-000087-en-US | A | ArthroFLEX® ADM for Hallux Rigidus of the 1st MTPJ

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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

ArthroFLEX® ADM for Hallux Rigidus of the 1st MTPJ

Alex Rigidus is a disorder of the first metatarsophalangeal joint in which arthritis and osteolytic changes decrease range of motion of the great toe. A protective covering of ArthroFLEX acellular dermal matrix may improve pain while preserving motion. A dorsal longitudinal incision and capsulotomy is performed to expose the metatarsal head and base of the proximal phalanx. A metatarsal reamer is centered over the metatarsal head by hand, and is utilized to drive a guidewire centrally into the bone. The metatarsal head is carefully reamed to remove the cartilage and expose healthy bone. A mcglamry elevator is inserted under the metatarsal head to create space and provide an area for passing suture. Starting 1 to 1.5 centimeters proximal to the metatarsal head. Insert two one millimeter guide wires from the forefoot InternalBrace implant system. These should be parallel and will contact the mcglamry elevator. Confirm the wires exit proximal to the sesamoid articulation using lateral fluoroscopy, drill over the wire using the 2.5mm cannulated drill bit until it also contacts the mcglamery elevator. Using SutureTape, place luggage tag stitches on the narrow side of the ArthroFlex graft. A straight SutureLasso is inserted into one of the drill tunnels until it contacts the mcglamery elevator. The wire loop is advanced out of the joint and used to shuttle the limbs of the SutureTape through the tunnel. The process is then repeated by applying tension to the SutureTape sutures. The graft is delivered under the metatarsal head and into position. The SutureTape is secured by inserting three by eight Bio-Tenodesis screws into each bone tunnel. The graft is then reflected over the metatarsal head with tension on the graft. The SutureLasso may be utilized to shuttle the SutureTape tales through appropriate locations on the craft. The ArthroFlex is cut to length proximally, leaving approximately one centimeter of graft beyond the tunnel's knotless fixation of the graft is possible utilizing the 2.9 short TT PushLock anchor. Using the associated disposable drill and drill guide, a hole is drilled centrally in the diaphyseal metatarsal. Pass the limbs of the SutureTape through the eyelet. While maintaining appropriate tension on the graft, insert and secure the anchor into the anchor bone tunnel. Cut the SutureTape suture tails flush to bone to complete the knotless fixation. Range of motion may improve further with a decompressive osteotomy of the proximal phalanx per surgeon preference.

ArthroFLEX® ADM for Hallux Rigidus of the 1st MTPJ

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