Acumed ankle plating system 3 cadaver lab part 1 posteromedial approach. Practical pearls on utilizing fibular nails in athletes podiatry today. May 10, 2014 the surgical technique is discussed in a stepbystep fashion. Fragomen, md introduction osteotomy is a reconstructive surgery that involves cutting the bone to attain limb deformity correction andor limb length equalization. Acumed ankle plating system 3 cadaver lab part 1 posteromedial approach duration. Apr 20, 2020 the fibula is a slender, cylindrical leg bone that is located on the posterior portion of the limb. The reliability of the skin paddle harvested with the fibula flap has been questioned. Fibula osteocutaneous flap for mandible reconstructionafter. Strategies to increase reliability have included harvesting a greater length of paddle and septum and trying to predict the location of septal perforators. Acumed launches new stateoftheart system for ankle fractures. A biomechanical comparison study of a modern fibular nail and. Frederic a matsen iii and has not been proofread or intended for general public use. Anatomy, bone landmarks and clinical aspects kenhub.
The acutrak plus compression screw apcs acumed inc. Books cech activities dpm blogs ebooks online exclusives residency corner. Nov 2, 2014 distal fibula ankle fracture right distal fibula fracture with surgical fixation medical. Rod, fixation, intramedullary and accessories product code hsb product intramedullary fixation rod, common name fibula rod, labeled im rod system manufactured or distributed by. This novel technique hold promise for reduced wound complications. Small bone locking nail is a new intramedullary device which combines the proven advantages of a closed operative technique with true locking capabilities. May 25, 2016 acumed launches new stateoftheart system for ankle fractures. Ifu documents contain sterilization and cleaning instructions, and other product information. Ankle fracture surgical video fibular fracture using acumed. Acumed acumed fracture fixation implants orthopedic screws. The less a surgeon disrupts the soft tissue envelope surrounding a. Locking ankle plate system features acumeds locking ankle plates accept either locking or nonlocking screws. To view any acumed ifu, you must have adobe reader installed. Listing a study does not mean it has been evaluated by the u.
Lateral fibula, medial tibia and anterior tibia plates offer surgeons versatility in patient care. Acumeds fibula rod system represents an alternative to the use of orif for unstable ankle fractures. Part of the synthes locking compression plate lcp system. An animated version of acumed s suggested method for implanting the fibula rod system, an innovative solution to address distal fibular fractures by incorporating straightforward targeting with a minimally invasive surgical approach. Acumed s goal when designing polarus was to provide the surgeon with excellent fracture stability through a minimally invasive procedure. Intrmedullary versus extramedullary fixation of lateral malleolus. Acumed s goal is to provide excellent fracture stability through a minimally invasive procedure. Surgeons can often use percutaneous fixation or a combination of. Open reduction of ankle fractures has been associated. For specific questions not addressed here,please contact your local acumed representative or acumed at 888 6279957.
Watch videos and explore interactive 3d product models. Use the form below to search for the most current ifus. Fibula rodding is surgery to thread a metal rod within the shaft of the fibula the smaller lower leg bone to strengthen the bone and prevent repeated fractures and correct deformities. No problems were encountered in any surgical step and there were no major complications. Pdf a biomechanical comparison study of a modern fibular. Incorporating a straightforward targeting guide, the fibula rod and the interlocking screws can be inserted via small incisions, which may reduce some of the surgical complications associated with orif. Contents introduction 2 anatomic midshaft forearm plate surgical technique 3 ulna rod surgical technique 5 radius rod surgical technique 8 ordering info 11 notes acumed is a global leader.
Nov 15, 2015 this video will explain how to reduce an ankle fracture in a diabetic patient using the acumed fibula rod system. Proximal humerus plating system is an integral part of the zimmer biomet continuum of care for shoulder treatment. Free vascularised fibular graft in multioperated patients. He will help you forecast your annual spend on plates, screws and other fixation implants so that you can rightsize your inventory. In spiral or oblique fracture patterns, a clamp can be applied for reduction.
Ischemia time was recorded in all five cases, with an average of 75 8 min. Orthopedic trauma incl pediatrics your digital gateway to expertise, education, and innovation. Proper preoperative planning and calculation is needed to ensure adequate fibula length without compromising ankle stability as well as a properly seated skin flap for mouth floor reconstruction. A technique tip abstract wound complications following ankle fracture surgery are a major concern. Utilizing a targeting guide, the fibula rod and interlocking screws can be inserted through small incisions, which may help minimize valuable surgery room time. Free fibula long bone reconstruction in orthopedic. Minimally invasive surgical approach to distal fibula. Fibula rod system animated surgical technique acumed. Rods may be nonexpanding and expanding, in which a telescoping rod is used that can elongate with bone growth in children. Free fibular transfer is a recognised technique of choice in long bone reconstruction in the upper extremity since its first description by taylor et al. Recent investigations have reported on percutaneous fixation. Reconstruction of the lateral ankle after distal fibular resection is possible using the peroneus brevis tenodesed to the distal tibia and sutured to the remnants of the calcaneofibular and anterior talofibular ligaments as described in this surgical technique.
The fibula free flap became popular in orthopedic oncology for limbsparing long bone tumor resection. Fibula rod system features minimally invasive surgical technique dramatically reduces complications due to large incisions required with plating. Zimmer biomet offers a diverse portfolio of options for the lifecycle of patients, from sportsrelated injuries to fracture fixation to shoulder replacement. Acumed fibula rod system acumed s fibula rod system represents an alternative to the use of orif for unstable ankle fractures. If you are unable to view an acumed ifu online, you may request a paper copy. This system marks acumed s continued commitment to provide industry. Insufficient data exists to further stratify results according to surgical technique and device. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The acumed fibula rod system provides excellent fixation for unstable ankle fractures. Acumed fibular nail system technique guide youtube. Intramedullary fixation of distal fibular fractures.
It is found next to another long bone known as the tibia. Ao surgery reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. In cases of proximal fractures and comminution where fixation of the fracture may be difficult and require extensive dissection for a plating construct, a fibular rod may offer. Please practice handwashing and social distancing, and check out our resources for adapting to these times. Polarus plus humeral rod system surgical technique acumed. Lateral ankle stabilization after distal fibular resection. Acumed locking ankle plate system brochure and surgical.
Proximal humerus plating system surgical technique the a. After fibular nailing, the patient started walking one day after surgery. Distal fibula plating system 7 fast, accurate surgeries to facilitate surgical procedures even more, our anatomic and composite fibula plates come preloaded with fixed angle screw targeting f. Designed for a minimally invasive approach and can reduce soft tissue irritation. Check out the following link for the acumed website and information on this implant. Books cech activities dpm blogs ebooks online exclusives. Browse through events, view photo galleries, product details, and documents libraries. Distal fibula ankle fracture right distal fibula fracture. Explore acumed s innovative orthopedic solutions with the official mobile app for your phone or tablet.
Acumed also supports your surgeons and surgical staff with workshops, live support and other resources. Vascularised fibula flap has been reported following tumour resection, trauma, and osteomyelitis. Acumed shoulder prostheses university of washington. Through the use of minimally invasive surgical techniques some of these complications can be mitigated. Acumed midshaft forearm rods are indicated for the treatment of fractures and osteotomies of the radius and ulna. This document is intended as an outline for the surgical technique of the repair of the fibula.
Acumed fibula rod system acumeds fibula rod system represents an alternative to the use of orif for unstable ankle fractures. Acumed fibula rod system surgical technique2entrypointthe entry point is the distal tip of the fibula. I fixated the medial malleolar fracture with two acutrak screws acumed through a small incision. Like other long bones, the fibula has a proximal end with a head and neck, a shaft, and a distal end. The illuminoss implant can be used for either the left or the right fibula. The average postoperative hospital stay was 18 3 days. Instruments and implants approved by the ao foundation. The surgical technique is demonstrated in detail with the help. Please note that information on this site was not authored by dr. An animated version of acumeds suggested method for implanting the fibula rod system, an innovative solution to address distal fibular.
A minimally invasive surgical technique and straightforward, accurate. Information was intended for internal use only and. Intramedullary fibular rods, such as the acumed fibular rod acumed fibula rod system, hillsboro, or, usa, allow syndesmotic fixation, which is crucial in these injury patterns. Minimally invasive surgical approach to distal fibula fractures. Fibula osteocutaneous flap for mandible reconstruction after ameloblastoma resection 41 septal branch can be challenging. Surgical technique this publication is not intended for distribution in the usa. Both the acumed and sonoma orthopedics nails have the capability of. The acumed ankle plating system 3 is designed to provide a variety of fixation options for simple fractures of the distal tibia and fibula. Sep 15, 2016 the goal in these fractures is to restore length and alignment of the fibula, the syndesmotic relationship, and the ankle mortise. Open reduction of ankle fractures has been associated with high rates of deep wound sepsis, particularly in the elderly and diabetics, and in patients where the soft tissue envelope is swollen and blistered. A minimally invasive surgical technique and straightforward, accurate targeting procedure minimizes or time a bene. The characteristics of the apcs include fullythreaded length, headless, cannulated, and variable thread pitch.
Do you want to use the redesigned ao sr like an app. Pdf a biomechanical comparison study of a modern fibular nail. Nov 22, 2016 acumed fibular nail system technique guide. Acumed forearm fracture solutions surgical technique.
A long bone is defined as one whose body is longer than it is wide. In this chapter, we focus on the long bones of the lower extremity. For over a decade, the polarus humeral rod system has provided an excellent means of fixing proximal humerus fractures. Fibula nail surgical technique rationale closed intramedullary nailing techniques have largely replaced the use of plates and screws in the treatment of long bone fractures. It is particularly suitable for intercalary or resection arthrodesis options. The acumed fibula rod system offers an alternative approach to traditional fibular plating by providing fracture stability with a minimally invasive surgical technique. Your acumed rep doesnt just provide great products at great prices. The acumed fibula rod system offers an alternative approach to traditional fibular plating by providing fracture stability with a minimally invasive surgical. When is a fibula rod procedure indicated for ankle fractures.
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