Patella implantation the patellar cut surface is thoroughly cleansed with pulsatile lavage. The gender solutions pfj is designed for precision. The implant vial cap color remains green as an indication of the 3. Gender solutions patellofemoral joint pfj system surgical technique.
If you continue to browse this website, we will assume that you are happy to receive all our cookies. Oxford unicompartmental knee manual of the surgical. Zimmer motionloc screw for the ncb polyaxial locking plate system surgical technique concept zimmer motionloc screws reduce the stiffness of a locked plating construct. Zimmer gender solutions patellofemoral joint pfj system. Expandable tlif and plif technology surgical technique. This booklet can be ordered through zimmer, reference catalog number 97522400300. Zimmer motionloc screws reduce construct stiffness by elastic flexion of the zimmer motionloc screw shaft within a controlled motion envelope in the near cortex. Minimally invasive procedures bring technique and implant together in a. Ncb distal femur system surgical technique 11 open technique incision a lateral incision is recommended. The system should only be used with the instruments provided by zimmer cas or by the distributor for the given application.
The system includes a low profile, anatomic trochlear implant, available in four sizes, that articulates with a. Surgical technique in patellofemoral arthroplasty sciencedirect. Patellofemoral replacement surgical technique vumedi. Zimmer tube adapter kit includes tube adapters quantity. The following general surgical technique guide is for illustrative purposes only. Warning this video contains footage from an actual surgical case which may be considered graphic to some. The muscles are left attached to the fracture fragments for optimal blood supply. The technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure.
Mar 24, 2015 amid reports of loosening and other problems with zimmer persona knee replacements, more than 11,600 of the personalized artificial knee components have been recalled less than three years after the d. Zmr hip system surgical technique zimmer biomet tv. When these conditions are met, the functional, mechanical, and radiographic outcomes are predictable, of good quality, and sustained in the medium term, except if tibiofemoral osteoarthritis develops. Zimmer persona the personalized knee system personalized implants getting a precise knee implant fit is an important key to your comfort and overall experience following knee replacement. Zimmer gender solutions nexgen highflex knee zimmer. This design rationale lays out the distinct features of the zimmer biomet product and highlights the intended benefits for surgeons and their patients. Surgical technique this brochure describes the surgical technique used by richard l. System provides implants to address the anatomical differences among men and women with a reproducible instrumentation platform, designed to simplify patellofemoral arthroplasty. The gender solutions pfj system is designed to address the anatomical differences among men and women with a reproducible instrumentation platform, aiming to simplify patellofemoral arthroplasty. As with other surgical procedures, errors of technique are more likely when the method is being learned. The remaining steps in this surgical technique are similar in both open and minimally invasive surgical approaches. Pfa is a reliable and reproducible procedure, provided proper technique is followed scrupulously.
Isolated patellofemoral degenerative joint disease djd with normal anatomy isolated patellofemoral arthritis with no history of instability. Consult zimmers entire zimmer gender solutions nexgen highflex. Warning the system should only be used by trained surgeons. Figure 89 tibial articular surface provisional tasp assembly cont. Surgical technique journey pfj patellofemoral joint with. All images in this technique guide depict an open tlif procedure for image clarity. The system includes a low profile, anatomic trochlear implant, available in four sizes, that articulates with a round dome, threepeg patellar component. Specialist instruments specialist logo d 3 color logo 1 pms black c. Suture technique and closure instrumentation the latitude surgical technique has been developed in conjunction with. Phase 1 1976 1988 phase 2 1988 1998 phase 3 1998 2011 microplasty 2011 present problems with balancing due to femoral prep. While these problems were often attributed to errors in surgical technique or component malposition, it is likely that many were related to flawed trochlear component designs. This brochure describes the surgical technique used by keith r.
Zimmer does not assume any liability for the accuracy, completeness or quality of the information in this document, and zimmer is not. Chapter patellofemoral arthroplasty jaypeedigital ebook. Impacted cages made of titanium, carbonfiber reinforced or plain peek polymer polyetheretheketone. If you have any further questions in this regard please contact your customer service representative and they will assist you as promptly as possible. Consider resecting the pcl if the femur appears to book open. Alongside some of the worlds top healthcare professionals, we help deliver new possibilities to patients. The avon patellofemoral joint arthoplasty is designed to reproduce accurately the congruity of the natural patellofemoral joint throughout its. The gender solutions pfj system provides implants to address the anatomical differences among men and women with a reproducible instrumentation platform, designed to simplify patellofemoral arthroplasty.
These implants share a trochlear design derived from that of tka prostheses with validated femoropatellar features limited mediolateral coverage by the implant and trochlear radius of. The surgeon who performs any implant procedure is reponsible for determining and. Zimmer periarticular proximal humeral locking plate surgical technique introduction the zimmer periarticular locking plate system combines locking screw technology with periarticular plates to create fixedangle constructs for use in comminuted fractures or where deficient bone stock or poor bone quality is encountered. Gender solutions patellofemoral joint pfj systems surgery. Zimmer biomet at zimmer biomet, our innovations help treat patients suffering from disorders of, or injuries to, bones, joints or supporting soft tissues. Being the the first fully instrumented system on the market1, the highly accurate instrumentation creates a reproducible surgical technique8. Shawn odriscoll, md, phd mayo foundation, ken yamaguchi, md washington university, barnes jewish hospital graham king, md, msc university of western ontario 2 table of contents table. Designed specifically for the small but challenging group of patients with isolated, endstage patellofemoral disease, the kinematch pfr patellofemoral replacement offers a uniquely effective and conservative resurfacing solution. To surgical technique is an important factor help prepare the patient for surgery, it is helpful for the patient to perform mobility exercises to prepare the muscles for the postoperative rehabilitation protocol. This guide to the surgical technique is a stepbystep procedure written for medial compartment uka using the most widely adopted of the three techniques, the spacer block.
Biomet does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. Surgical treatment of osteoarthritis pain related to subchondral bone defects or bone marrow lesions article in techniques in knee surgery 114. It has done this by increasing its trochlear groove angle to accommodate the higher q angle typical of female patients in. Pfj instability and maltracking is an important biomechanical risk factor for cartilage injury and premature arthritis. This combined approach permits preservation of all the ligaments of the knee and. The personalized knee system, to partial knee systems, our products give the surgeon the power to create personalized solutions for knee arthroplasty. The gender solutions pfj incorporates science based design features and offers a precise surgical technique through the use of a reproducible milling system. Zimmer tarjoaa kirurgeille kattavan valikoiman innovatiivisia polvituotteita ja instrumentteja.
They provide satisfactory functional and radiographic outcomes, with a low rate of early complications. Image to come zimmer gender solutions patellofemoral joint pfj system surgical technique advancing the science of partial knee replacement. Image to come zimmer gender solutions patellofemoral joint pfj. Hcp contentposted june 18, 20 in surgical techniques. Patellofemoral arthroplasty is a relatively new procedure with a legacy that dates back to 1955. Threaded cylindrical cages made of titanium, cortical allograft donor bone or synthetic bone. Zimmer offers surgeons a comprehensive suite of innovative and unique knee implants, instruments, and related biologics. The pfj prosthesis is compatible with gender solutions naturalknee flex, and nexgen standard allpolyethylene, porous, or augmentation patellae. We use cookies to customize content for your viewing and for analytics. The pfj instrumentation has been described as low profile, accurate and conducive to less invasive surgical techniques1. These patients will typically have normal anatomy that can best be treated with an inset rather than an onset trochlear component.
Zimmer india private limited 14th floor, tower b, dlf build no. The surgical technique for pfa is the same as that described above whether. Our study showed good early results of the pfj system, at least. Mako enables you to have a more predictable surgical experience when performing joint replacement surgery. Of the total 145 pfas, a thirdgeneration pfa prosthesis with a genderspecific design zimmer gender solutions pfj. Surgical kit zimmer guided surgery instrumentation includes the tapered screwvent surgical kit, zimmer tube adapter kit and zimmer drill module with additional length driva eg drills designed to interface with selected surgical guides. Aiming for anatomical femoral axis on the coronal plane. The kinematch patella, a standard allpolyethylene button, is used in conjunction with the femoral component. A leg holder allows support of the leg for easy adjustment. Only those individuals with specialized training and experience in spinal surgery should attempt to use the. It discusses the procedure for component sizing, bone preparation, trial reduction, cementing techniques, and component implantation. Zimmer distal radius plating system surgical technique 97232800200. Osteotomy of femoral neck the lesser trochanter serves as the reference point for the osteotomy plane on the femoral neck, which was already included in the preoperative planning. Zimmer trabecular metal dental implant surgical technique guide implant color reference chart.
In the final analysis, the preferred treatment is that which addresses the needs of the specific patient. Patellofemoral joint the gender solutions pfj system provides implants to address the anatomical differences among men and women with a reproducible instrumentation platform, simplifying pfa1. Zimmer surgical technique guide charlotte shoulder. The authors found that their surgical technique using the tip of the medial malleolus as a reference point for external rotation using a specific implant gender solution pfj, zimmer led to a mean of 1.
Medical professionals patients and caregivers back to top. Extreme lateral interbody fusion xlif is a relatively new technique whereby access to the disc space is achieved through a minimally invasive lateral, retroperitoneal, transpsoas approach. The zimmer gender solutions pfj system used in this study is an asymmetric design that takes into consideration that the vast majority of pfa recipients are women. Once into the pfj, care is taken to leave the tibiofemoral compartment, the fat pad and the. Preoperative planning use the template overlay available through your zimmer representative to help determine. At that time, mckeever and associates published the first account of patellar resurfacing as a better alternative to patellectomy and patellar shaving to ease the pain associated with patellofemoral oa. And because the goal is not only to reduce pain but also to improve function, the kinematch pfr is designed to restore knee kinematics by rebuilding the patellar groove for improved patellar tracking and by restoring the ap position. With the knee flexed to 90 degrees, make a medial parapatellar skin incision from the medial margin of. The zimmer gender solutions patellofemoral joint system zimmer. The zimmer gender solutions patellofemoral joint pfj system is designed to provide an early intervention option for patients with unresolved patellofemoral pain. Midterm clinical, functional, and radiographic outcomes of 105. Specifically, there has been a reduction in the incidence of patellofemoralrelated problems, such as patellar maltracking and catching, after patellofemoral arthroplasty.
Ncb proximal humerus system surgical technique 3 surgical technique ncb proximal humerus system table of contents introduction 4 cable fixation options 5 system features 7 indications 9 contraindications 9 fracture classifications 9 preoperative planning and patient positioning 9 sample cases 10 open technique deltoid pectoral incision. The primary packaging has been selected to not include latex in any form. For any other contraindicated case, as given by the implant manufacturer. Journal of surgical technique and case report rg journal. The system includes a low profile, anatomic trochlear implant, available in four sizes, that articulates with a round dome, 3peg patellar component. Highly anatomic femoral and tibial resurfacing implants and a novel and innovative instrument platform. In addition, with the use of locking caps the screws can be locked and made angularly stable. Hcp content posted june 18, 20 in surgical techniques. Patellofemoral joint is an under reported joint in mri. Because the device is precisely prefitted to the patients anatomy using ct computed tomography data, no resection of femoral bone is required. Patellofemoral joint replacement technique patient selection is key by 4th annual technology and innovation in orthopedics symposium featuring jess lonner april 2019.
Please refer to the stryker retractor system surgical technique guides, including luxor, phantom, and. As with all surgical procedures, the technique used in each case will depend on the surgeons medical judgment as to the best treatment for each patient. Features only included in sizes 14 of the gender solutions pfj system and are in comparison to. From total knee replacement systems, including the new zimmer persona knee. Patello femoral replacement surgery advanced knee care. Vanguard biomet, journey smith and nephew and natural knee ii system zimmer. The osteotomy level is also influenced surgical technique kinectiv. Surgical treatment of osteoarthritis pain related to. Zimmer persona knee replacement recall issued due to failure. Surgical technique for zimmer nexgen patellofemoral arthroplasty.
Medical equipment zimmer biomet avenue t surgical technique manual. At its upper end, the capsular incision should extend proximally about 2 cm into the vastus medialis. To perform surgical procedures other than those specified in the surgical technique defined in. Surgical technique 1 4 3 2 the patient is prepared for total knee replacement surgery. The pfj prosthesis may be used alone or with the zimmer unicompartmental knee system or mg unicompartmental knee system to treat. Check ligament stability in extension and in 30 the. Jess lonner performs a gender solutions patellofemoral joint system surgery. Surgical technique headerresect patella 2 resect patella after selecting the appropriate zimmer patellar system, one of the following options may be used to prepare the patella. Gender solutions patellofemoral joint system zimmer biomet. Journey uni and journey pfj combination preoperative planning and surgical technique nota bene the technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. Only five types of thirdgeneration implants are available.
Patellofemoral joint replacement technique patient. The epub format uses ebook readers, which have several ease of reading features already built in. The zimmer gender solutions patellofemoral joint prosthesis pfj is intended for replacement of the femoral trochlea of the patellofemoral joint that has been affected by the disease process andor injury. Zimmer biomet institute with a robust curriculum developed and taught by top innovators in dentistry, the zimmer biomet institute is focused on bringing current and emerging dental procedures to you, your patients and your practice. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring. Understanding the patellofemoral joint in total knee. Apr 19, 2011 zmr hip system surgical technique using the cone proximal body component and the tapered distal stem also includes preparation for a bowed poroussplined distal stem hcp content posted april 19, 2011 in surgical techniques. The skin incision starts at gerdys tubercle and goes on in a proximal direction to expose the fracture zone. For detailed surgical guide instructions for use please contact.
Pfj trochlea implant freehand surgical technique sigma. The arthrex ibalance pfj is a complete arthroplasty solution for patients with isolated patellofemoral joint osteoarthritis, posttraumatic arthrosis or other degenerative changes. Mis patella resection guide standard patella instruments patella reamer system select the. Oxford unicompartmental knee manual of the surgical technique. The guide manufacturer delivers the surgical guide, along with the surgical protocol for each tapered screwvent, zimmer onepiece or advent implant site preparation. Patellofemoral joint pfj is a complex joint with a significant role in knee stability and mobility. The current main techniques of posterior lumbar interbody fusion plif surgery all incorporate a supplementary intervertebral implant. Pfj pathology is an important cause of anterior knee pain in a third of active adults and almost 40% of adolescents. A surgeon with lack of experience in arthroplasty or extensor mechanism realignment. The zimmer revision knee arthroplasty surgical guidelines booklet is recommended for a more complete discussion on revision total knee arthroplasty technique. Surgical procedures, such as bony andor soft tissue realignment. We describe our surgical technique for implantation of the threepiece inflatable penile prosthesis and point out the major surgical pitfalls.
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