The attune intuition instrumentation is intended for use with the attune knee system implants only and should not be considered interchangeable with any other instrumentation. Surgical techniques highflex solutions for the mis era. All patients with failed results eventually underwent successful twostage exchange arthroplasty. Comprehensive segmental revision total and reverse. Disrupt the femoral implantbone interface with flexible osteotomes or thin saw blades with an oscillating saw. When one surgeon connects with one patient to provide personalized care, the promise of medicine is ful lled. The first spacer molds cleared by the fda allowing for greater surgeon flexibility and reduced o. Acl reconstruction is most often performed arthroscopically. Medical equipment zimmer biomet avenue t surgical technique manual. The vanguard xp total knee instrumentation is designed for a standard surgical technique figure 2. I have been doing some research on internet about different replacements.
Knee replacement implants include a metal alloy on the end of the thighbone and polyethylene plastic on the top of the tibia and underneath the kneecap. The instrumentation can be used in minimally invasive or standard exposures. First stage revision total knee replacement for acute prosthetic. Given the complexity of revision procedures and the fact that every persons. A novel technique to preserve range of motion in twostage. Live surgery with trevor murray featuring the zimmer biomet fuzion spacer block. Pdf antibioticloaded cement spacers lessons learned from the. If the joint is loose in flexion and acceptable in 5. Management of periprosthetic joint infection and making a knee spacer. A novel antibiotic spacer for significant proximal femoral loss. The elibra dynamic knee balancing system dkbs is a set of reusable manual surgical instruments that enable the adjustment of femoral external rotation while considering the soft tissue balance required to achieve a symmetrical flexion gap during total knee arthroplasty tka. Surgical technique for articulating spacers with stem. Ensure that the patella tendon tibia interface is released so the patella can easily sit in the lateral gutter of the knee.
Sharkey performs a total knee replacement using products from biomet vangard. The surgeon who performs any implant procedure is responsible for determining and utilising the. Review of device history records show that lot released with no recorded anomaly or deviation. Place the patient in a lateral decubitus 90 position on a breakable surgical table such that the patients greater trochanter is directly over the break in the table. A novel antibiotic spacer for significant proximal femoral loss surgical technique.
Our elearning platform contains high resolution images and a certified cme of the first stage revision total knee replacement for acute prosthetic joint infection zimmer biomet articulating spacer. Minimizing dynamic knee spacer complications in infected. Sep 23, 2011 in the dynamic spacer cohort, there were four complications. Fda warns biomet on knee replacement planning system massdevice. Revision knee systems product selection guide biomet. Triathlon knee system surgical protocol acknowledgments stryker orthopaedics wishes to thank the global triathlon knee system surgeon panel for their dedication to the development and refinement of the triathlon knee system and instrumentation. Cobalt chrome alloy was selected for the prostalac hip femoral component because. Stageone select hip cement spacer molds zimmer biomet tv. At zimmer biomet, our innovations help treat patients suffering from disorders of, or injuries to, bones, joints or supporting soft tissues. This technique facilitates range of motion at both the hip and knee joints, provides stability for axial loading in the extremity, and preserves the acetabulum while the patient undergoes antibiotic therapy to eradicate the infection. Frederic a matsen iii and has not been proofread or intended for general public use. Biomet does not practice medicine and does not recommend this or any surgical technique for use on a specific patient. Final knee society scores and rom were also similar between groups.
In a third technique, first described by villaneuva et al. The humeral head size can be estimated by overlaying the head templates over the contralateral humeral head. This material is intended for the sole use and benefit of the biomet sales force and health care professionals. There is an option in the surgical technique for performing limb alignment without the alignment tower.
Custommade articulating spacer in twostage revision. Information was intended for internal use only and. An additional radiograph while stressing the limits of the collateral ligaments may be helpful in assessing the maximum correction. Zimmer biomet manufactures a variety of knee joint replacement prostheses intended for application. This brochure is presented to demonstrate the surgical technique utilized by david dines, m. Csti porous coating provides potential for optimal ingrowth fixation. Intraoperative molds to create an articulating spacer for the infected.
Combining unparalleled modularity and surgical latitude, the biomet orthopaedic salvage system featuring the finn rotating hinge knee is a benchmark as the surgeons choice when a patient exhibits significant bone loss, ligamentous deficiencies, primary or metastatic bone tumors, connective tissue disorders. Knee society scores, and rom were comparable between the static and dynamic spacer groups. The ppk system spacer block alignment tower mating feature that mates with the spacer block was undersized, which could potentially lead to mating issues between the devices. Implant function is directly related to accurate surgical technique. Minimizing dynamic knee spacer complications in infected revision arthroplasty. The life of any implant will depend on your weight, age, activity level, and other factors.
Set fixation arm on proximal end of tibial jig to left or right for leg being operated on. Zimmer biomet representative to determine the angle between the. The spacers remain in place 180 days or less until the second stage of the two stage procedure is performed to implant a conventional knee joint prosthesis. Total knee replacement is performed on a range of patients, of all ages, with various pathologies. After cement has cured, invert the tibial mold and flex gently to remove spacer figure 4. An articulating antibiotic spacer was associated with control of a deep. Standard treatment of chronic infected total knee arthroplasty tka is a twostage revision, the first step being placement of an antibioticimpregnated cement spacer. This technique describes the surgical technique used by thomas p. Knee replacement surgery is really a cartilage replacement.
Concise surgical technique featuring equiflex agc total knee system concise surgical technique featuring equiflex instrumentation disclaimer this brochure provides a description of the surgical technique used by iain c. Preoperative planning take standing weightbearing ap, lateral, and skyline. Jul 26, 2005 biomet announces fda clearance of disposable spacer molds for knee revision surgery. Here, we present our surgical technique for manufacturing a dual articulating total. The surgeon who performs any implant procedure is responsible for determining and using the appropriate. Zimmer biomet stageon series surgical technique pdf. Stageone knee cement spacer molds are designed to mold a temporary knee spacer for patients undergoing a two stage revision due to an infected total joint. A 60ml mix of cement refobacin, biomet is mixed in a vacuum free. Feb 02, 2011 hi i am 74 yrs old and have had one knee done with partial however now have to have other knee done as i have about 6 or 7 bone spurs one being under the knee cap so this time have to have total knee. Please note that information on this site was not authored by dr. An early followup of 14 cases of at least 1 year after surgery. A second check in proper placement of the stem is performed by overlaying the head and stem together at the appropriate position within the humeral canal. In another technique, premolded antibiotic spacers stage one biomet, warsaw, in or prostalac are used. Biomet announces fda clearance of disposable spacer molds for.
The epub format uses ebook readers, which have several ease of reading features already built in. Kneealign 2 system surgical technique manual kneealign 2 system surgical technique manual 4 set up set up assemble t ibial jig assemble tibial jig as follows. The tecres preformed spacer for hip has a loadbearing structure in stainless steel coated with antibiotic bone cement and it resembles a femoral prosthesis. Partial knee arthroplasty helps you optimize outcomes using the latest bestpractice techniques for this increasingly popular procedure. Real life in the or is a samson production hosted by orthopedic surgeon dr. Biomet as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a speci. Persona the personalized knee surgical technique 46 figure 98 implant components cont. Milestone instruments with mbt tray preparation surgical technique. Here we describe the results of a new technique modification of the goldstiens technique. Acl surgical options zimmer biomet summit surgical.
Creating a dual articulating antibiotic spacer for. As with other surgical procedures, errors of technique are more likely when the method is being learned. Surgical technique for articulating spacers with stem extensions to treat the infected tka part 1. This brochure is presented to demonstrate the technique utilised by mr. Learn the first stage revision total knee replacement for acute prosthetic joint infection zimmer biomet articulating spacer surgical technique with step by step instructions on orthoracle.
The science and art of medical care is to provide the right solution for each individual patient. Zimmer elibra dynamic knee balancing system dkbs surgical technique 4 fa draft february 25, 2015 2. First stage revision total knee replacement for acute. Class 2 device recall persona partial knee system spacer. Zimmer biomet announces fda clearance of the persona. The goals of a minimally invasive surgical procedure are to. Individual results of total joint replacement may vary. It is the authors preference to use a biomet stageone spacer mold for the hip. If you identify a spacer block that will not assemble with these instruments, and you are unwilling to use the spacer block without this functionality, the spacer block may be returned to your sales. The technique consists of using the freshened femur and tibia interface as molds wrapped in a tin foil for manufacturing the two components of the spacer with antibioticimpregnated methyl methycrylate cement. Genesis ii instrumentation has been developed to be an easytouse system that will assist the surgeon in obtaining accurate and reproducible knee alignment. Custommade articulating spacer in twostage revision total knee arthroplasty.
Over 1 million times per year, biomet helps one surgeon provide personalized care to one patient. There are warnings in the package insert that state that this type of event can occur. Biomet does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. Zimmer biomet fuziontm spacer block surgical technique.
Surgical technique for 2stage revision arthroplasty for. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting prosthesis in each individual. Extension flexion tight loose tight loose figure 106 spacer block technique cont. Components are available in a variety of designs and size ranges intended for both primary and revision applications. The surgeon who performs any implant procedure is responsible for determining and using the appropriate techniques for implanting the prosthesis in each individual patient. Canada, australia, china, taiwan, hong kong, singapore, malaysia. Triathlon knee system surgical protocol stryker meded. Aug 17, 2010 in a july 27 warning letter, the fda warns the warsaw, ind.
This could cause a delay in surgery of less than 30 minutes. View and download zimmer biomet stageon series surgical technique online. Close incision patellar component freely irrigate the wound with the solution of choice to please refer to the appropriate surgical technique assure unwanted debris is removed from the joint space if other patella instrumentation is to be used to prior to. The innovative cutthrough femoral trials provide surgeons with the flexibility to choose their preferred surgical approach to maximize efficiency. If replacing the patella, use a genesis ii biconvex or round resurfacing implant. Biomet is not responsible for selection of the appropriate products and or surgical techniques to be used on any individual patient. Biomet does not practice medicine and does not recommend any particular orthopaedic implant or surgical technique and is not.
In addition to the type of spacer, range of motion is influenced by preoperative mobility, the state of the soft tissues, surgical technique, implant selection, early rehabilitation, and patient cooperation. Hcp content posted september 15, 2016 in surgical techniques. The surgical table should be reversed prior to positioning the. Hcp content posted june 23, 2014 in surgical techniques. Biomet develops the maxims instrument system, which is fully compatible with agc implants.
For product information, including indications, contraindications, warnings, precautions and potential adverse effects, see the package insert herein and biomets website. These scopes display the inside of your knee joint on a monitor, allowing the surgeon to precisely manipulate the surgical instruments. Surgical technique for 2stage revision arthroplasty for chronic periprosthetic total joint infections. Knee system has longterm clinical success with 98% survivorship over a 610 year period. Meticulous surgical technique and proper patient selection should be used to avoid any complications with any spacers. Pete sharkey from the rothman institute at the riddle memorial hospital in media pa. Here, we present our surgical technique for manufacturing a dual articulating total femur spacer. The appropriate sizematched biomet stageone knee cement spacer molds. Use the depth gauge to determine thickness of the tibial component.
Oxford unicompartmental knee manual of the surgical. Our group found the range of motion to be 107 after reimplantation using manual spacers and 7. Vanguard id total knee surgical technique zimmer biomet tv. Biomet, as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. The cementing technique of the double uni spacer was performed much as for a standard knee implant. The use of antibioticimpregnated cement spacers is an established method in the treatment of periprosthetic hip. Following the reimplantationrevision procedure, routine clinical fol.
The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting prosthesis in each individual patient. Surgical technique distal cut first surgical technique introduction the genesis ii total knee system has been designed to offer the orthopaedic surgeon solutions to address intraoperative situations. The persona revision knee system utilizes zimmer biomets proprietary. Articulating spacers in infection of total knee arthroplasty. Like some feedback on different total knee replacement. Biomet was the first company to introduce a minimally invasive surgical technique for total knee replacement. This requires clinical mastery, a human connection between the surgeon and the patient, and the right tools for each situation. Genesis ii instrumentation has been developed to be an. Open the joint using your standard midline or slightly medial parapatellar incision, which is approximately 1 proximal to your miniincision for tka. Biomet was the first company to introduce a minimally invasive surgical technique for total knee. Total joint arthroplasty is the definitive treatment for osteoarthritis of the hip and knee.
We specifically describe our technique of debriding the infected segments as. We used the spacer and the femoral component of the trial set of a tka system to mold them to perfect articulation. Timberline lateral fusion system surgical technique guide 5 patient preparation 1. Prostalac hip system the prostalac hip is comprised of a cobalt chrome alloy core femoral component, a cobalt chrome alloy modular femoral head, a onepiece polyethylene acetabular component, a pmma stem centering device and antibioticloaded bone cement. This was done to prevent bone loss and to simplify removal at the second surgical step fig. The knee itself is not replaced, only the damaged cartilage and bone ends. This requires clinical mastery, a human connection between the surgeon and. The definitive implants included 18 zimmer lccks, 32 vanguard. Do not use the journey bcs total knee patellar component. Premier instrumentation cr or ps surgical technique biomet.
Learn the first stage revision total knee replacement for acute prosthetic joint infection zimmer biomet articulating spacer surgical technique with step by. This surgical technique provides guidelines for the implantation of the attune knee system family of fixed bearing knees with the attune intuition instrumentation. Biomet uk ltd, as the manufacturer of this device, does not practice medicine and does not recommend any particular surgical technique for use on a specific patient. Release the patella tendon to create space on the lateral side of the tibia. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting the prosthesis in each particular patient. The spacer block may be used without the alignment tower and inserted and removed by hand from the joint, without the persona partial knee handle. Arthroscopy is a surgical technique that uses long tubelike scopes that are inserted into the body through very small incisions. Antibioticimpregnated articulating cement spacer for. The surgeon who performs any implant procedure is responsible for determining and utilising the appropriate techniques for implanting the prosthesis in each individual patient. Interspace hip, knee and shoulder operative technique.