Recent advances have included doublebundle pcl, arthroscopic inlay, and allinside techniques. The sprawling campus houses corporate and manufacturing operations, as well as arthrexs premier medical education center, which serves as an education. The arthrex acp autologous conditioned plasma system allows for rapid and efficient concentration of platelets and growth factors from autologous blood for use at the treatment site. All patients were treated with either a 2nd generation puddu plate arthrex inc. Some authors described an increased risk of soft tissue irritation using the tomofix plate.
Once the plate is positioned and the bone graft is inserted, fixation is obtained by inserting a cancellous screw in the proximal hole and a cortical screw in the distal hole. The activmotion size 1 plate newclip technics, hautegoulaine, france was virtually placed following the manufacturers recommendations, and screw holes were applied to the computed model. Lateral distal femoral opening wedge osteotomy using the. The tibial osteotomy then begins by placing the arthrex hto cutting guide on the medial tibia and drilling two 2. The utilization of the arthrex family of unique plates, in conjunction with an opening wedge osteotomy, provides the surgeon with a safe, reliable and reproducible technique for tibial or femoral. The titanium tibial opening wedge osteotomy plates feature a 4 hole design and are available with either a straight or sloped tooth to change or. We are a liquidator of sutures and other surgical items from ethicon, covidien autosuture, synthes, stryker, arthrex and are able to pass our savings on to you.
Rick scott visited the companys headquarters to announce its plans to add 350 new jobs at its plant in ave maria. This technical note presents an anatomic, singlebundle, allinside pcl reconstruction with an anterior tibialis allograft graftlink construct. The surgical technique for this procedure is basically the same, only the sawing jig and the plate have to be rotated for 180. Arthrexs arguments were much less detailed than the arguments it now makes on the single issue pressed in its petition. We hypothesized that different fixation devices generate different fixation stability profiles for the various wedge sizes in a finite element fe analysis. Few people have heard of reinhold schmieding, but the reclusive naples entrepreneur has quietly built one of the worlds leading medicaldevice manufacturing companies. The opening wedge osteotomy system was developed for the facilitation of safe and reproducible osteotomies for the treatment of pain andor instability associated with lower extremity malalignment.
Arthrex also continues to grow its operations in ave maria. High tibial osteotomy with puddu plate for the treatment of varus gonarthrosis article pdf available in knee surgery sports traumatology arthroscopy 1410. The plates are fixated using standard ao stainless steel 6. Apr 11, 2006 therefore, we believe that high tibial osteotomy with a puddu plate is a valuable alternative to total knee arthroplasty in cases with varus gonarthrosis. Typical platelet rich plasma prp systems take up to 45 minutes to process the blood. When reinhold schmieding pulled into naples on a steamy august day in 1991, all the assets of his small company, arthrex inc. Therefore, we believe that high tibial osteotomy with a puddu plate is a valuable alternative to total knee arthroplasty in cases with varus gonarthrosis. Jkoa the journal of the korean orthopaedic association.
Helping surgeons treat their patients better arthrex is a global medical device company and leader in new product development and medical education in orthopedics. Although early results are satisfactory, longterm followup studies are required especially in the middle aged and elderly patient populations. The lateral closed wedge high tibial osteotomy hto described by jackson and coventry 1,2 is a classical operation to treat osteoarthritis of the medial compartment and varus deformity, but it has some problems such as peroneal nerve palsy, nonunion of fibula, and loss of the bone. The titanium femoral opening wedge osteotomy plates provide a straight toothed option to aid in maintaining the osteotomy correction. This next generation titanium plating system consists of three distinct plate variations, including a straight wedge, ap sloped wedge and a flat plate with no wedge, that are compatible with the current titanium cortical and cancellous hto plate screws. Biomechanical analysis of a novel wedge locking plate in a. Lower limb alignment is an important contributing factor to the development of knee arthritis, and it is related to the articular cartilage wear pattern. Multiple chamfered suture eyelets along the margin of the plate allow the surgeon to pass fiberwire suture after the plate is fixed to bone. Adding a protective screw improves hinges axial and. The unique double syringe design allows for convenient and safe handling, as the whole preparation process takes place in a closed system.
May 12, 1998 the plate is then secured to the bone with bone screws, using standard ao technique. The second generation puddu plate design differs from the first due to having lhs holes, through which the screws can be freely orientated in any direction and then locked into the plate. The distal femoral osteotomy system utilizes the same principles of design featured in the tibial osteotomy system. The arthrex acp system is a costeffective method of concentrating growth factors for therapeutic use. Arthrex vet systems avs is a division of arthrex inc.
These plates are available in wedgeless, straight, and sloped options. The humeral sutureplate is an anatomically designed, low profile, titanium polyaxial locking plate and screw system. Longterm results and comparison of the three different high. In comparison, the axial stiffness of our plate was much greater 1,969. Tibial opening wedge osteotomy plate, 5 mm ar200t05. Arthrex achieved their goal of making it to the american academy of orthopedic surgeons conference, receiving over 150 orders prior to launch. Biomechanical investigation of the modified arthrex osteotomy plate puddu plate and the tomofix plate to determine the biomechanical properties. Allinside posterior cruciate ligament reconstruction with. Biomechanical evaluation of openingwedge high tibial. All of the tibial opening wedge osteotomy plates were designed to work in conjunction with the standard opening wedge osteotomy instrument sets. A total of 187 patients 195 knees who underwent hto between 1990 and 2010 were retrospectively evaluated. This is the toplevel entry point of the documentation bundle for the apache tomcat servletjsp container.
Open wedge hto is now popular, because it offers accurate correction of angle, restoration of the knee joint stability, and preservation of the fibula. Comparison of theoretical fixation stability of three devices. Product features by arthrex orthopaedic product news. This fixation system is more stable compared to puddu plate, allowing for early weight bearing. Arthrex is pleased to announce great place to work and fortune have recognized the company as one of the 50 best workplaces for giving back in the country. None of the previously cited studies included the ibalance and the peekpower implants. The contourlock hto plate is a great choice for high demand patients needing a stronger locking construct for weightbearing. The purpose of this study is to report and analyze the longterm outcomes of the patients who underwent high tibial osteotomy hto with three different techniques for the treatment of medial compartment arthrosis. These plates are optimal for unique anatomy where customizing fit with multiple bends may be required.
Osteotomies around the knee are a wellrecognized treatment for symptomatic unicompartmental knee arthritis associated to lower limb malalignment in young and active patients, with the attempt to preserve the native knee joint. Arthrex acp introduction there has been increased interest in autologous blood products for use in a number of orthopaedic therapies. Bone plate system for proximal tibial osteotomy arthrex, inc. The first generation puddu plate is a stainless steel plate with an incorporated metallic block for propping the distracted medial corticalis.
And arthrex can raise additional arguments in this court in support of the issue itpressed below. Allinside posterior cruciate ligament reconstruction with a. Arthrex helping surgeons treat their patients better. An anterior inferior portal created just superior to the lateral subscapularis tendon, using a.
The plate is then secured to the bone with bone screws, using standard ao technique. Medial opening hto had been developed, because it had some advantages over the closed wedge technique. Producing acp autologous conditioned plasma with the arthrex acp system can be performed within minutes. Distal extremities arthrolondon 2012 arthrolondon, one of the arthroseries events arthrexs largest international educational events, was held with tremendous success at the excel on september 28th and 29th, 2012. All followed a similar postoperative protocol as was used in the ibalance study group. On this interactive website, patients will find information about the diagnosis and treatment of common sports medicine injuries. Recently, other authors described similar surgical techniques using the tomofix plate synthes 12,20,29. Total arthrex solutions synergy uhd4k visualisation innovation synergy uhd4 imaging platform is a commanding video system offered by arthrex, featuring. The 15th annual meeting of the lebanese orthopaedic society. Pdf high tibial osteotomy with puddu plate for the. Traditional burrs use a rotating motion, creating a curved surface with scalloped edges that have to be resmoothed. These growth factors are known to be relevant for healing in a variety of tissue types.
Surgical technique arthrex published by guset user, 20160108 20. Each screw can be angled to the proper anatomic orientation within a swiveling bushing before being. The osteotomy was fixed with a puddu plate arthrex, naples, florida, and the osteotomy site was grafted with an autogenic or allogenic bone graft. Longterm results and comparison of the three different. After the closure of the layers and the placement of a drain, the patients knee was placed into a hinged immobilizer. After the osteotomy cut has been performed, fix the plate with two locking screws on the anterior part of the calcaneus. Medial open wedge high tibial osteotomy is a wellestablished procedure for the treatment of unicompartmental osteoarthritis and symptomatic varus malalignment. Femoral osteotomies for the valgus knee olivero annals of. In comparison, the axial stiffness of our plate was much greater 1,969 nmm without a wedge and 2,457 nmm with a wedge. Another biomechanical study on puddu plate and tomofix plate using artificial bones described the axial stiffness of the puddu plate as 1,349 nmm and that of the tomofix plate as 1,701 nmm. Surgical technique arthrex pages 1 28 text version. Arthrex ar27s biofastak and optional biocorkscrew instrumentation set includes.
Comparison of theoretical fixation stability of three. Help your orthopedic surgeons do bone debridement faster and with more control with the arthrex powerasp. Outside the bloodstream, platelets become activated and release proliferative and morphogenic proteins. May 11, 2018 total arthrex solutions synergy uhd4k visualisation innovation synergy uhd4 imaging platform is a commanding video system offered by arthrex, featuring. The first generation tomofix plate is a tshape plate with. The surgeon may also choose to use the arthrex biplanar alignment guide to set the height and align the osteotomy with the patients. Posterior cruciate ligament pcl reconstructions are challenging surgeries. Opening wedge high tibial osteotomy using a puddu plate.
Bone plate system for proximal tibial osteotomy arthrex. The healing effects of plateletrich plasma are caused by growth factors released from the platelets which may induce a healing response. One of the highlights of this year was the addition of. Revolutionizing orthopaedic surgery fiberwire fiberwire suture is a new generation of polyester suture with a long chain polyethylene core. Arthrex arthrex powerasp june, 2014 outpatient surgery. Eightyeight knees, openingwedge osteotomy with puddu plate group.
Ultra hd 4k programmable camera head, led xenonbright light source, image management system and fibre optic video over ip integration, all in one tabletcontrolled device. The forked wedge tool is then removed and autologous bone is packed into the defect. Pars percutaneous achilles repair system achilles jig. An anterior inferior portal created just superior to the lateral subscapularis tendon, using a threaded 7 or 8. These plates are fixated to bone using arthrex titanium locking 6. Specifically designed femoral osteotomy plates take into account the anatomical differences between the distal femur and proximal tibia. Sep 04, 2017 arthrex peekpower hto plate september 4, 2017 the first multidirectional angle stable hto plate made of carbon reinforced peek provides outstanding biomechanical properties, excellent biocompatibility and an anatomically adopted design. Recent research supports the use of a locking plate design to enhance fixation and allow earlier weightbearing to decrease risk of nonunion. The patients were allowed to walk via two crutches without full weight bearing for 6 weeks.
Are we better enough to change minds thank you orthoillustrated is a leading internet based resource for patient education. None of the previously cited studies included the ibalance and the peekpower implants, whereas we did not include the puddu plate. The contourlock hto plate system is indicated for use as a fixation device during opening and closing wedge osteotomies of the proximal tibia. Pars percutaneous achilles repair system achilles jig system arthrex 1 2 3 4 use.
The unique double syringe design allows for convenient and safe handling, as. Arthrex peekpower hto plate september 4, 2017 the first multidirectional angle stable hto plate made of carbon reinforced peek provides outstanding biomechanical properties, excellent biocompatibility and an anatomically adopted design. Biomechanical properties of five different currently used. Arthrex peekpower hto plate orthopaedic product news. Their earlytomarket success netted them millions of dollars in extra profit.
Arthrexs corporate headquarters is located in naples, florida where visitors will find a vibrant atmosphere of rapid product innovation, medical research and surgeon collaboration. Sign up for whats new vet systems stay up to date with the latest techniques and innovations sign up sign up. With the calcaneus stepplate you can also perform a lateral sliding osteotomy. Disposables kit arthrex esutures the suture superstore. Femoral osteotomies for the valgus knee olivero annals.
1235 1285 176 411 426 761 1119 609 841 166 1216 584 243 610 853 470 26 1354 783 1218 663 151 469 582 1150 875 334 786 844 1402 1442 864 890 192 1351 768 201