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  Mid & HindFoot Solutions
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    Instructions for Use
Indications for Use/Contraindications
   
      Articular Surfaces Reconstruction
   
      Drill Screw Holes, Screw Insertion
      Joint Space Reduction
      Tibial Fixation
      Talar Fixation
 

Trial Plate Positioning, Plate Contouring,
Implant Positioning
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    Trial Plate Positioning

    Trials (169 001ND, 169 002ND, 169 003ND, 169 004ND) are used to determine the appropriate implant size.

    The trial should be positioned laterally, in order to provide:

  • 2 to 3 holes in the short J-shaped or L-shaped part of the plate facing the calcaneus
  • The oblong central hole facing the talus, if any is present
  • The long part of the plate aligned with the tibia
  • K-wires (reference 115 216ND) are used for temporary fixation of the trial, and implant
    (figure 2)
  • The trials are flexible and allow contouring to the lateral surface of the calcaneus, the talus and the tibia
  • The contoured trial may be used as a template for contouring the final implant later in the procedure

 


    Plate Contouring

  • The plates are pre-bent to better fit the lateral aspect of the hindfoot. However, when deemed necessary by the surgeon, the plate may be further contoured using plate benders (129 765ND) as shown in figures 3a and 3b.

    Warning: It is imperative that the bending be implemented between two consecutive lipped holes. If not, the intermediate threaded holes may be damaged or deformed and the locking function minimized or lost.

    Implant Positioning

  • The implant is selected, based on the size defined using the trial plate
  • The plate can slide along the k-wire(s) used to position the trial plate (figure 4)
  • The k-wires serve as temporary fixation during preparation of the screw holes
 
 
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