PANTA® - PANTA®XL Arthrodesis Nail System - Surgical Technique
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THIS TECHNIQUE HAS BEEN DEVELOPED WITH THE HELP OF JAMES
W. BRODSKY, M.D.
NEWDEAL as the manufacturer of this device does not practice
medicine and does not recommend this or any other surgical
technique for use on a specific patient. The surgeon who
performs any implant procedure is responsible for determining
and using the appropriate techniques for implanting the
device in each patient.
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Patient Positioning
The patient is placed supine with the foot
close to the end of the table to facilitate the
procedure.
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Preparation of the Joint Surfaces
A range of surgical approaches
and incisions can be utilized including; anterior,
anterolateral
or lateral approaches to the tibiotalar joint and
subtalar joint.
Single or separate incisions can be utilized depending
upon the particular characteristics
of the case.
The essential issue is to achieve satisfactory
preparation of the bone surfaces for arthrodesis
and satisfactory alignment of
the limb through the arthrodesis sites.
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Incision
A plantar incision is made to prepare for insertion
of the nail and support device assembly. This may
be a longitudinal or transverse incision.
Care must be taken to protect the plantar neurovascular
structures, both in the dissection and during the
procedure, as these structures are at risk.
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