It must be remembered that each concept has its own requirements. Hcp content posted april 19, 2016 in surgical techniques. The mis instruments for the zuk unicompartmental high flex knee are designed to provide accurate, reproducible results using a minimally invasive technique. 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. Their work, a novel patientspecific instrument design can deliver robotic level accuracy in unicompartmental knee arthroplasty, was. Versys beaded fullcoat revision hip prosthesis surgical technique 4 fig. Each surgeon should exercise his or her own independent judgment in the diagnosis.
Triathlon knee system surgical protocol femoral preparation 8. Trabecular metal reverse shoulder system surgical technique 5 step a retighten the thumb screw on the box at the top of the boom stem. Only those individuals with specialized training and experience in spinal surgery should attempt to use the. 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. Chief, harvard shoulder service massachusetts general. The goals of a minimally invasive surgical procedure are to. The incision can be made with the leg in flexion or extension. New surgical techniques and surgical site infections steven m. Preface thesecondpartofsurgical techniques is the subjectmatter of the advanced medical skills course. The surgeon who performs any implant procedure is reponsible for determining and. Outcomes of a fixedbearing, medial, cemented unicondylar knee. This document is intended for surgeons and is not intended for laypersons. With the knee flexed to 90 degrees, make a medial parapatellar skin incision from the medial margin of.
Once the patient is prepped and draped on the operating table, in a supine position, the knee and. The mis instruments for the zimmer unicompartmental high flex knee system are designed to provide accurate, reproducible results using a minimally invasive technique. For instance in a deep palmar laceration i would primarly be concerned about cut tendons, and then tendon stiching technique would be necessary. Requesting service for your zimmer device is easier than ever. The amount of tibial bone resection is variable while the amount of distal femoral bone resection is constant. The xray in the middle photograph below represents bone on bone osteoarthritis. Many of the same principles can be applied to the lateral. The remaining steps in this surgical technique are similar in both open and minimally invasive surgical approaches. Robot assisted surgery a first orthopedics this week. This guide to the surgical technique is a stepbystep procedure written for medial compartment uka using zimmer patient.
Limacorporates main objective is to produce a complete system of interchangeable modules to better adapt the implant to each patients. Alongside some of the worlds top healthcare professionals, we help deliver new possibilities to patients. The one your surgeon uses unless there is a specific anatomical problem. To reduce these to a minimum, surgeons are strongly recommended to attend an instructional course on the oxford knee before attempting the operation. The system offers the versatility of three minimally invasive mis instrumentation options. 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. Unicompartmental knee arthroplasty uka has been shown to be an effective treatment for isolated osteoarthritis affecting the medial or lateral compartment. Mobile bearing dislocation in lateral unicompartmental. As with other surgical procedures, errors of technique are more likely when the method is being learned. Kavoussi, provides students, residents, and clinicians with a firm foundation in the core techniques and skills required for the operating room environment. Intramedullary, spacer block and extramedullary techniques. John minichetti and the team from the dental implant learning center. Zimmer biomet service center offerings service request.
Background the rate of bearing dislocation with the domed lateral oxford unicompartmental knee replacement oukr in different series varies from 1% to 6% suggesting that dislocation is influenced. Zibra technology was used to design implants for the persona knee family, aiming to provide a more precise fit without compromise. Pdf the swedish knee arthroplasty register annual report 2017. New surgical techniques and surgical site infections. At its upper end, the capsular incision should extend proximally about 2 cm into the vastus medialis. Zollingers atlas of surgical operations, ninth edition. Medial unicompartmental knee arthroplasty with the millergalante prosthesis article in the journal of bone and joint surgery 86a9. Surgeons, you are invited to watch a live surgical webcast featuring the zuk uni knee system implanted in an outpatient setting on thursday, november 19 at 5 pm et watch as orthopedic surgeon kevin fricka, md demonstrates the use of zuk uni during a live webcast from harborside surgery center in oxon hill, maryland, and james wood, md moderates the program.
Newer ukr prosthesis for patients with osteoarthritis achieved. Clinical results of lateral unicompartmental knee arthroplasty ncbi. Vital spinal fixation system degenerative surgical. With the ongoing advancements in surgical technique, medical technology. Zimmer tube adapter kit includes tube adapters quantity. Please refer to the stryker retractor system surgical technique guides, including luxor, phantom, and. Its design continues to offer the advantage of a large area of contact throughout the entire range of movement for minimal polyethylene wear, as seen in.
Routinely, an effort is made to minimize disruption of the surrounding. Unicompartmental knee replacement surgery usually takes between one and a half to two hours. I spend time providing technical support via phone and email to customers on the same equipment. For over 60 years lima has been present in the medical field with implantable prostheses for knee, hip, shoulder and small joints arthroplasty. 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. This occurs due to degeneration or wear and tear of the articular cartilage, and degeneration or surgical removal of the meniscus. At zimmer biomet, our innovations help treat patients suffering from disorders of, or injuries to, bones, joints or supporting soft tissues.
Three day surgical and prosthetic comprehensive training. Zimmer unicompartmental high flex knee spacer block surgical technique in uka, varusvalgus alignment is determined by the composite thickness of the prosthetic unicompartmental components. Journey uni femur with zuk tibia combined surgical technique. Finally, verify that all the appropriate right or left etch marks are visible when the boom thumb screw is facing you step d. Limacorporate s main objective is to produce a complete system of interchangeable modules to better adapt the implant to each patients. Zmr crossover instruments and surgical techniquezmr crossover instruments facilitate the combination of any porous body with any taper stem in the zmr system, zmr crossover instruments and surgical technique distal crossover reamer silver shaft gold cutting flutes 235mm stem length 185mm stem length 55mm body 45mm body 35mm body verasense for. The oxford partial knee is the natural evolution of the original meniscal arthroplasty, which was first used in. Be sure and discuss your anaesthesia with the anaesthetist before your surgery. Spacer block intramedullary instrumentation system im extramedullary instrumentation.
Medial unicompartmental knee arthroplasty with the miller. Metaphyseal and diaphyseal bone is intact, providing good bone for structural support and implant fixation. To expedite the surgery, these steps may be performed by the surgical assistant at the beginning of the procedure, prior to the surgeon being ready for device implantation. Lima corporate releases physica knee system orthopedics this. Get an inside look at a zuk uni surgery, performed in an outpatient setting, during a live webcast from harborside surgery center in national harbor, md. In a study of 81 unicompartmental knee replacements ukr performed in 67 consecutive. Zimmer mayo conservative hip prosthesis surgical technique step 1 surgical exposure in total hip arthroplasty, exposure can be achieved through a variety of approaches based on the surgeons preference. The zuk implant builds on this foundation and has been helping people who only have damage on one side or compartment of their knee since its introduction in 2004. Triathlon knee system surgical protocol stryker meded.
Because most surgical textbooks describe suture type within a set procedure. I found basic surgical techniques so helpful that ive recommended it highly and gifted it to other med students. These less invasive procedures provide infection control. Everyday low prices and free delivery on eligible orders. In these modules, the institute of surgical research introduces surgical principles and techniques, and advanced interventions. We assume patients lost to follow up had the same joint survival rate as patients who were not lost to follo. Zimmer unicompartmental high flex knee surgical technique psi. Two senior surgeons performed all the procedures between 2005 and 20. Zimmer traction handbook a complete reference guide to the basics of traction. Zmr hip system surgical technique zimmer biomet tv. Zimmer robotic surgery system found to improve accuracy. For detailed surgical guide instructions for use please contact. Frequently asked questions 1 can you order the guides separately.
The zimmer trabecular metal reverse shoulder system is a treatment option for patients with severe rotator cuff rc deficiency. Many orthopedists today still do not recommend partial knee replacement for their patients because they are not familiar with oxford or qualified to do it. Expandable tlif and plif technology surgical technique. Zuk minimally invasive partial knee replacement thomas.
Fullsize true anteriorposterior view with neutral rotation 0, centered on the articular cavity 2. Sep 11, 2012 the ibalance unicondylar knee allows for a reproducible, balanced result in patients with isolated medial or lateral compartment degenerative changes. This is a three day surgical and prosthetic comprehensive training offered at the zimmerbiomet institute in parsippany, nj or carlsbad, nj. Trabecular metal osteonecrosis intervention implant removal instruments surgical technique the coring tube is a single use device and should be disposed of following.
Zimmer unicompartmental high flex knee mis lateral surgical techniques fig. Zuk uni featuring the navio surgical system broadcastmed. The surgical technique features fully instrumented bone preparation, with all femoral. The information contained in this document was gathered and compiled by medical experts and qualified zimmer employees to the best of their knowledge.
Oxford partial knee replacement oxford unicompartmental. Then reinsert and tighten the thumb screw at the end of the boom. Versys beaded fullcoat revision hip prosthesis surgical technique. There are no videos available for your current audience. Facilitate the patients recovery provide less pain provide earlier mobilization. Clinical assistant professor of orthopaedics university of pennsylvania. This technique was developed in conjunction with health care professionals. My skill came not from any intrinsic abilities of my own but rather from knowing how things were supposed to be done and what to pay attention to, which this book taught me. No robot required when using patientspecific instruments. This procedure is an alternative to total knee replacement for patients whose disease is limited to just one area of the knee. The surgical approach is more difficult, and there are anatomical and technical. Until oxford knee replacement came along, most orthopedists in the united states did not do partial knee replacement because of the high failure rate of earlier implants. Biomet, as the maunufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient.
Your surgeon will make an incision cut in the front of your knee. I have become familiar with sap software and eetime through exposure on the job at zimmer surgical. Anatomical shouldertm system surgical technique 1 anatomical shoulder prosthesis developed in conjunction with christian gerber, m. In addition, with the use of locking caps the screws can be locked and made angularly stable. Persona partial knee surgeon developers and engineers studied the morphology of thousands of bones, representing a diverse global population, including use of zibra virtual resection technology. Metal backed fixedbearing unicondylar knee arthroplasties using. Show 98 results for healthcare professional content. From patient preparation to hand washing, from equipment to basic surgical procedures, this highly practical manual by drs. The operation can be performed under general anaesthetic or spinal anaesthetic with sedation. Longterm clinical results confirm that the naturalknee systems design considerations result in improved motion and stability, and promote normal alignment and. Download the following assets for more information. Zimmer surgical technique guide charlotte shoulder.
The guide manufacturer delivers the surgical guide, along with the surgical protocol for each tapered screwvent, zimmer onepiece or advent implant site preparation. Trabecular metal acetabular revision system cemented constrained liner surgical technique. The study concluded that the zimmer bionet rosa knee system can increase surgeon accuracy in bone. Inspire a love of reading with prime book box for kids discover delightful childrens books with prime book box, a subscription that delivers new books every 1, 2, or 3 months new customers receive 15% off your first box. I spend time troubleshooting and repairing medical equipment manufactured by zimmer surgical. Class 2 device recall zimmer trabecular metal reverse. The following general surgical technique guide is for illustrative purposes only. The ninth edition continues this tradition of excellence with the addition of color illustrations and coverage of more than 230. The design is based upon the phase 2 but is available in 5 sizes to provide a better. Paul johnson is at zimmer orthopaedic surgical products. Surgical technique anatomic nail for reamed and nonreamed technique. Trabecular metal reverse shoulder system surgical technique.
Simply fill out the form, and our service and repairs department will be in touch within 24 business hours. With the launch of physica, the acquisition of zuk puts lima on the map as a. Assistant professor division of orthopaedic surgery duke university medical center durham, nc usa jon j. The mayo conservative hip prosthesis can be implanted using the anterolateral, posterolateral, or straight lateral approaches. 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. Oxford unicompartmental knee manual of the surgical. Although minimal invasive surgical mis techniques for uka have gained. The principal aim of this book is to present a thorough yet easily understandable explanation of basic traction systems.
No, this is considered off label use, the design of the psi zuk guide is not compatible with the journey uni implant. The companys new robotic knee surgery system was the subject of a study published in the journal of arthroplasty. All images in this technique guide depict an open tlif procedure for image clarity. The zimmer unicompartmental high flex knee system zuk.
This guide to the surgical technique is a stepby step procedure written for a medial compartment. Gordon cleveland clinic foundation, cleveland, ohio, usa technologic advances in surgery include a trend toward less invasive procedures, driven by potential benefits to patients and by healthcare economics. Vital spinal fixation systemsurgical technique guide 3 zimmer biomet spine does not practice medicine. For more than halfacentury, zollingers atlas of surgical operations has been the goldstandard reference for learning how to perform the most common surgical procedures using safe, wellestablished techniques. Facilitate the patients recovery provide less pain. Anatomical shouldertm inversereverse surgical technique 11 preoperative planning three radiographic images of the shoulder joint are required for planning the operation. In all cases, the zimmer unicompartmental knee zuk system zimmer. Anatomical reconstruction using the anatomical shouldersystem allows the potential for the surgeon to restore the geometry of a.
Operative techniques and prophylaxis in knee osteotomy 81. Limacorporate is the italian multinational in orthopaedics and traumatology. In unicompartmental knee replacement also called partial knee replacement only a portion of the knee is resurfaced with metal and plastic components. And another thing some choices are not really a consensus among surgical community. Oxford unicompartmental knee manual of the surgical technique.
Partial knee replacement has been around as a surgical option for more than 30 years. Surgical technique this brochure describes the surgical technique used by richard l. Newcastle joint care centre broadmeadow 2292 australia david g. Alpine xc adjustable fusion systemsurgical technique guide 11 step note. Unicompartmental partial knee replacement nuffield health.
Zuk is a clinically proven uni knee replacement introduced globally in 2004. Mobile bearing dislocation in lateral unicompartmental knee. This knee may help maintain natural ligaments, reduce bone resection removal and incision size as compared to total knee replacement in addition to the potential for quicker recovery and less pain. The fixedtype zimmer unicompartmental highflex knee zuk. Zimmer herbert bone screw and zimmer herbert mini bone screw surgical technique arthroscopic and miniopen rotator cuff repair with the juggerknot soft anchor 2. The uka surgical technique is based upon a resurfacing procedure of the arthritic. Zimmer biomet is a warsaw, indianabased company which designs and manufactures a range of musculoskeletal healthcare products. Based off the successful design of the mg uni, the zuk unicompartmental high flex knee combines implant and instrument innovations with the proven design concepts of the mg uni to create. The unicompartmental knee from zimmer is designed for patients with isolated damage in medial or lateral portions compartments of the knee.