hip preservation surgery set - synthes.vo.llnwd.netsynthes.vo.llnwd.net/o16/llnwmb8/us...

SURgicAl TechniqUe

hiP PReSeRVATion SURgeRy SeT To assist with periacetabular osteotomy and hip impingement procedures

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Hip Preservation Surgery Set Surgical Technique DePuy Synthes Companies

hip Preservation Surgery Set 2

Ao Principles 4

hip impingement 5

Periacetabular osteotomy 7

instruments 12

Set list 15

inTRoDUcTion

SURgicAl TechniqUe

PRoDUcT infoRMATion

TAble of conTenTS

The hip Preservation Surgery Set contains retractors, osteotomes, chisels, and femoral head templates to assist the surgeon with periacetabular osteotomy and hip impingement procedures.

2 DePuy Synthes Companies Hip Preservation Surgery Set Surgical Technique

hiP PReSeRVATion SURgeRy SeTTo assist with periacetabular osteotomy and hip impingement procedures

Osteotomesx Twelve osteotomesx Striking-cap on each osteotome for

improved transfer of force from hammer strikes and increased durability

x The working end of each osteotome is etched in 5 mm increments to help the surgeon determine the depth in the bone

x The distance from the first etched line to the tip of the blade measures 10 mm, unless it has been sharpened

Aluminum Retractorsx Radiolucent propertiesx eight aluminum retractors x lightweightx Also available in stainless steel

Femoral Head Templatesx nine templates with diameters from

42 mm to 58 mmx femoral head templates are nearly

transparent, to facilitate identifying points of interest in the femoral head

Hip Preservation Surgery Set Surgical Technique DePuy Synthes Companies 3

in 1958, the Ao formulated four basic principles, which have become the guidelines for internal fixation.1 They are:

Anatomic reductionfracture reduction and fixation to restore anatomical relationships.

Stable fixationStability by fixation or splintage, as the personality of the fracture and the injury requires.

Preservation of blood supplyPreservation of the blood supply to soft tissue and bone by careful handling.

Early, active mobilizationearly, active mobilization of the part and patient.

1. Müller Me, Allgöwer M, Schneider R, Willenegger h. Manual of Internal Fixation, 3rd ed. berlin heidelberg new york: Springer-Verlag; 1991.


Ao PRinciPleS

1 Patient position

Position the patient laterally.


hiP iMPingeMenT

2 Hip impingement correction

Instruments

03.100.342– femoral head Templates 03.100.358 42 mm–58 mm diameters

399.54 chisel handle

399.55– chisel blades 399.58 5 mm, 10 mm, 16 mm, 25 mm widths

399.555– chisel blades, long 399.585 5 mm, 10 mm, 16 mm, 25 mm widths

Use the femoral head templates to guide the head/neck osteoplasty to restore normal offset and sphericity (where possible).

Use the chisel with the appropriate chisel blade to make the necessary correction.


hip impingement

1Patient position

Position the patient supine. Sterile prep and drape the abdomen and ipsilateral hindquarter in a single surgical field.


PeRiAceTAbUlAR oSTeoToMy

2 Ischid osteotomy

Instrument

03.100.038 curved Pelvic osteotome, 15 mm blade width or 03.100.039 curved Pelvic osteotome, 20 mm blade width

Through the medial portion of the Smith Peterson approach, place a curved osteotome beneath the cotyloid fossa against the ischium.

As the cut progresses from anterior to posterior, drop the handle of the osteotome to direct the cut above the spine of the ischium.


Periacetabular osteotomy

3 Pubic root osteotomy

Instrument

03.100.300 Straight Pelvic osteotome, 15 mm blade width or 03.100.301 Straight Pelvic osteotome, 20 mm blade width

Use a high speed burr to remove the first cortex.

insert the straight osteotome into the opening, to the cortex protecting the obturator canal.



4Posterior column osteotomy

Instrument

03.100.300 Straight Pelvic osteotome, 15 mm blade width or 03.100.301 Straight Pelvic osteotome, 20 mm blade

width

Alternative instruments

03.100.305 bayonette Pelvic osteotome, 15 mm blade width

03.100.306 bayonette Pelvic osteotome, 20 mm blade width

03.100.307 flag Pelvic osteotome, 20 mm blade width

Use a high-speed burr to initiate the posterior column oste-otomy along a line directed down the quadrilateral surface approximately 1.5 cm anterior to the greater sciatic notch.

Drive the straight osteotome through the bone and through the opening parallel to the greater sciatic notch, to intersect the first osteotomy.



5Iliac osteotomy

Instruments

03.100.302 Angled Pelvic osteotome, 15 mm blade width or 03.100.303 Angled Pelvic osteotome, 20 mm blade width

519.170 Saw blade, 27 mm width, 70 mm length

Alternative instrument

03.100.304 Short Angled Pelvic osteotome, 15 mm blade width

cut the iliac wing to intersect the posterior column osteotomy (the third osteotomy) using an oscillating saw. Protect the tensor and gluteals from saw injury by placing a retractor along the external inominate surface, parallel to the osteotomy path.

Use the angled osteotome at the pelvic brim to ensure that the osteotomy is complete.



Malleable Retractors, 330 mm long 03.100.015 20 mm wide03.100.016 30 mm wide03.100.017 40 mm wide

curved Pelvic osteotomes 03.100.038 15 mm blade width 03.100.039 20 mm blade width

03.100.107 Aluminum blunt Pelvic Retractor

Aluminum hohmann Retractors 03.100.108 35 mm width 03.100.109 18 mm width 03.100.110 24 mm width

Aluminum Spoon Retractors 03.100.111 medium 03.100.112 large

03.100.114 Aluminum hohmann Retractor, 8 mm short narrow tip


inSTRUMenTS

03.100.119 Aluminum hohmann Retractor, 22 mm wide tip

Straight Pelvic osteotomes 03.100.300 15 mm blade width 03.100.301 20 mm blade width

Angled Pelvic osteotomes 03.100.302 15 mm blade width 03.100.303 20 mm blade width


bayonette Pelvic osteotomes 03.100.305 15 mm blade width 03.100.306 20 mm blade width



instruments

femoral head Templates 03.100.342 42 mm diameter 03.100.344 44 mm diameter 03.100.346 46 mm diameter 03.100.348 48 mm diameter 03.100.350 50 mm diameter 03.100.352 52 mm diameter 03.100.354 54 mm diameter 03.100.356 56 mm diameter 03.100.358 58 mm diameter

399.54 chisel handle

chisel blades 399.55 10 mm width 399.56 16 mm width 399.57 25 mm width 399.58 5 mm width

chisel blades, long 399.555 10 mm width 399.565 16 mm width 399.575 25 mm width 399.585 5 mm width

Pelvic osteotomes, 304 mm 399.85 15 mm 399.86 20 mm


instruments

Graphic Case60.100.300 graphic case, for hip Preservation

Surgery Set

Instruments Straight Pelvic osteotomes

03.100.300 15 mm blade width


Angled Pelvic osteotomes




bayonette Pelvic osteotomes




curved Pelvic osteotomes



Pelvic osteotomes, 304 mm

399.85 15 mm

399.86 20 mm


hiP PReSeRVATion SURgeRy SeT (01.100.300)

for detailed cleaning and sterilization instructions, please refer to: www.synthes.com/cleaning-sterilization in canada, the cleaning and sterilization instructions will be provided with the loaner shipments.

instruments, continued femoral head Templates

03.100.342 42 mm diameter









Aluminum Spoon Retractors

03.100.111 medium

03.100.112 large

Malleable Retractors, 330 mm long

03.100.015 20 mm wide

03.100.016 30 mm wide

03.100.017 40 mm wide

03.100.107 Aluminum blunt Pelvic Retractor

Aluminum hohmann Retractors

03.100.114 8 mm, short narrow tip

03.100.119 22 mm wide tip

03.100.108 35 mm width

03.100.109 18 mm width

03.100.110 24 mm width

399.54 chisel handle, synthetic, autoclavable

chisel blades

399.55 10 mm width

399.555 10 mm width, long

399.56 16 mm width


399.57 25 mm width


399.58 5 mm width



hip Preservation Surgery Set (01.100.300)

03.100.011 Spoon Retractor, medium, 268 mm

03.100.012 Spoon Retractor, large, 323 mm

curved chisel blades

03.100.116 10 mm

03.100.117 16 mm

03.100.118 25 mm

398.55 blunt Pelvic Retractor

hohmann Retractors

399.20 8 mm width, short narrow tip

399.25 22 mm width, wide tip

399.26 35 mm width, wide tip

399.27 18 mm width, long narrow tip

399.28 24 mm width, long wide tip


AlSo AVAilAble

CAUTION: Federal Law Restricts These Devices To Sale By Or On The Order Of A Physician.

Some devices listed in this technique guide may not have been licensed in accordance with Canadian law and may not be for sale in Canada. Please contact your sales consultant for items approved for sale in Canada.

Manufactured or Distributed by:

Synthes USA Products, LLC1302 Wrights Lane EastWest Chester, PA 19380 Telephone: (610) 719-5000 To order: (800) 523-0322Fax: (610) 251-9056

www.depuysynthes.com

© DePuy Synthes 2015. All rights reserved.DSUS/TRM/0515/0603 6/15 DV

hip preservation surgery set - synthes.vo.llnwd.netsynthes.vo.llnwd.net/o16/llnwmb8/us...

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