Professional Documents
Culture Documents
1
Determine anteversion and
plate direction
Insert the first Kirschner wire to
determine the anteversion of the
femoral neck axis. Place the wire
below the anterior ridge running along
the front of the intertrochanteric area
and drive it into the head (about
130 ° angle).
Drive a second K-wire into the greater
trochanter (predrilling with the 2.0 mm
drill bit in dense bone) parallel to the first
wire in the coronal plane, and parallel
to the upper edge of the 50° triangular
positioning plate (180°–130° = 50°)
placed on the femur along the lateral
cortex. The second wire should achieve
a tip apex distance of less than 2 cm and
indicates the direction of plate insertion.
Remove the first K-wire. Verify position
with C-arm.
Precautions:
– Poorly defined anteversion or entry
point may cause the blade to emerge
posteriorly from the femoral neck.
– Kirschner wires are single-use items,
do not re-use.
2
Create slot for chisel
Place the 130° drill guide on the lateral
cortex, midway between the anterior
and posterior surfaces of the femoral
shaft. Drill through one of the holes with
a 4.5 mm drill bit. Leaving that drill bit
in place, use a second 4.5 mm drill bit
to drill through the two remaining holes.
Remove the drill guide and drill bits.
3
Insert chisel
Set the chisel guide at 50°, and insert
the chisel parallel to the K-wire in both
planes. The flap of the chisel guide
must remain in line with the long axis
of the femur. Use the slotted hammer
to maintain the rotational alignment of
the chisel. When the desired depth is
reached, remove the guide and use the
slotted hammer to remove the chisel.
Bevel the lower end of the channel
entrance to better seat the plate radius.
4
Insert plate
Tighten the selected plate in the inserter-
extractor as close to the shoulder as
possible. The handle must be horizontally
aligned with the blade. Push the plate
into the prepared channel by hand
and insert with light hammer blows.
Remove the inserter-extractor.
5
Secure plate
Predrill the most proximal shaft hole
with a 3.2 mm drill bit and measure
for screw length. Tap, if necessary. Fix
the plate to the bone with a 4.5 mm
cortex screw.
Preoperative planning
Preoperative planning is of particular importance before
performance of corrective osteotomies, because they are
the only way the surgeon can check preoperatively the
result of the osteotomy as well as the three-dimensional
concept of the procedure.
Procedure
1
1. With a Kirschner wire the anteversion of the neck of
the femur is defined. Parallel to the triangular guide
plate (eg, 60°) the Guide Wire is inserted. This wire
parallel to the femoral neck axis is indicating the
blade direction.
Instruments
MR Information
292.20 2.0 mm Kirschner Wire The 130º Angled Blade Plates System has not been evaluated for safety and
310.19 2.0 mm Drill Bit compatibility in the MR environment. They have not been tested for heating, migration
or image artifact in the MR environment. The safety of the 130º Angled Blade Plates
310.31 3.2 mm Drill Bit System in the MR environment is unknown. Scanning a patient who has this device
310.44 4.5 mm Drill Bit may result in patient injury.
314.26 Large Hexagonal Screwdriver, long
332.01 Triple Drill Guide, fixed angle of 130° Image intensifier control
332.06 Router, quick coupling
332.09 Chisel Guide, with adjustable handle
332.12 Seating Chisel, 320 mm length
332.16 Inserter-Extractor
332.20 Slotted Hammer
332.21 Impactor
333.060 90°/50°/40° Triangular Positioning Plate
399.42 Hammer, 500 grams
399.54 Chisel Handle
399.56 Chisel Blade, 16 mm width
Implants
130° Angled Blade Plates
Blade Blade
Length Length
Holes (mm) Holes (mm)
238.36 4 50 238.60 6 50
238.38 4 60 238.62 6 60
238.40 4 100 238.64 6 70
238.41 4 105 238.66 6 80
238.42 4 110 238.68 6 90
238.44 4 70 238.94 9 70
238.45 4 75 238.96 9 80
238.46 4 80 238.98 9 90
238.47 4 85 238.24 12 70
238.48 4 90 238.26 12 80
238.49 4 95 238.28 12 90
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