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WRIGHT SIDEKICK EZ FRAME Surgical Technique

External fixator system
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SIDEKICK
EZ FRAME
™
®
External Fixator System
SURGIC A L T ECHNIQUE

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Summary of Contents for WRIGHT SIDEKICK EZ FRAME

  • Page 1 SIDEKICK EZ FRAME ™ ® External Fixator System SURGIC A L T ECHNIQUE...
  • Page 2 Contents Introduction Chapter 1 Intended Use Device Description Chapter 2 Surgical Technique Chapter 3 Preoperative Planning Surgical Procedure System Compatibility Chapter 4 Explant Information Chapter 5 Postoperative Care Chapter 6 Catalog Information Chapter 7 Proper surgical procedures and techniques are the responsibility of the medical professional.
  • Page 3 Introduction The SIDEKICK® EZ FRAME™ External Fixation System utilizes transosseous thin wires and is based on the concepts of minimally invasive external fixation. The system simplifies frame application when compared to traditional ring fixators by eliminating the need for pins and wires to be placed into the tibia. A boot is stabilized on the distal leg (tibia) and further stabilized to a distal ring about the foot with carbon fiber reinforced composite rods that are connected to the boot and ring respectively.

  • Page 4: Device Description

    Device Description The SIDEKICK® EZ FRAME™ was designed to address the need for a simplified approach to external fixation. The system allows for the management of diabetic Charcot reconstruction, triple arthrodesis, fusion of the midfoot and rearfoot, challenging comminuted trauma, and most foot pathology not requiring fixation above the ankle.

  • Page 5: Surgical Technique

    Surgical Technique Preoperative Planning The proper size fixator should be ordered after considering patient anatomy. Prior to surgery, the surgeon should consider the following while planning: » Diameter of the distal leg » Foot width and length » Tibial length Surgical Procedure Example Procedure for Triple Arthrodesis The leg should be prepared to above the knee and wrapped.
  • Page 6 The boot position of the fixator can be adjusted. Loosen the four vertical adjustment locking bolts, the two carbon fiber reinforced composite rod clamp bolts, and the two carbon fiber reinforced composite rod connector bolts using the 10mm wrench (RR301090B SIDEKICK® SLOTTED WRENCH 10mm or the RR3010 WRENCH 10mm) prior to adjusting the height of the boot assembly.
  • Page 7 Three essential 2mm TiN Tip Wires need to be placed in order to achieve the goal of compressing fusion sites of the triple arthrodesis. The first wire crosses the calcaneus from medial to lateral avoiding the neurovascular bundle. An olive wire may be used in this position to limit medial migration of the foot on the frame after surgery.
  • Page 8 The second wire crosses the talus from medial to lateral and should ideally be an olive wire to limit lateral foot migration. If necessary, utilize the fluoroscope to ensure the correct placement of this 2mm wire across the talus. Attach a post to the foot ring on either side of the foot, next to the wire that was placed.
  • Page 9 Once all wires are placed, the posts can be disconnected from their original positions and realigned on the foot ring. This bends the 2mm wires in anticipation of tensioning them to compress the arthrodesis sites. For a triple arthrodesis the three essential wires, which have been described, are moved as follows: 1.
  • Page 10 Tension is the applied to the wire by squeezing the tensioner handles. The wire should be pulled from 70kg to 110kg, and this measure is taken by reading where the force markings line up with the housing of the tensioner. The tensioner should be held in place, maintaining tension, until the second wire nut is tightened to the wire bolt.
  • Page 11 The fourth wire should be arched and tensioned in the same manner as the wires described above. Once wires are properly tensioned, the surgeon should cut and curl wires to prevent unintentional injury. All nuts and points of tightening should be locked securely. Make sure skin is not tenting at any of the wire sites.
  • Page 12 Once the liner is fitted and the boot portion of the frame is secured around the leg, the liner can be customized to fit the patient anatomy. After adjusting, each strap should be pulled snugly and secured, ensuring proper fit. Safety seals are available to place over the Velcro®...

  • Page 13: System Compatibility

    System Compatibility The SIDEKICK® EZ FRAME™ is designed to accept SIDEKICK® FREEDOM™ Circular System components. It is important to note that the SIDEKICK® EZ FRAME™ wires are 2mm in diameter. They are not compatible for use with the SIDEKICK® FREEDOM™ Circular System wire fixation bolts. The SIDEKICK® FREEDOM™ Circular System wire fixation bolts will only accommodate 1.8mm wires.
  • Page 14 Explant Information Frame removal can be achieved with the following steps » Detach wires from the frame. » Unfasten and loosen Velcro® boot straps from about the tibia. » Remove the leg and foot from the frame. » Remove wires from the foot. Cut the wire on one side of the foot, close to the surface of the skin.

  • Page 15: Postoperative Care

    Postoperative Care Postoperatively, the frame should be checked routinely to ensure that no frame components have loosened. Any loosened components should be retightened. If a wire has loosened or become unattached from the frame, it should be retensioned, reattached (if necessary), and fixation components should be tightened.

  • Page 16: Catalog Information

    Catalog Information SIDEKICK® EZ FRAME™ Components Part Number Description EF100000* EZ FRAME™ FIXATOR ASSEMBLY STD NON STERILE KIT EF00KIT1 EZ FRAME™ INSTRUMENT KIT EF00KITA EZ FRAME™ IMPLANT KIT EF10000L* EZ FRAME™ FIXATOR ASSEMBLY LGE NON STERILE KIT EF001500 EZ FRAME™ WIRE BOLT EF001600 EZ FRAME™...
  • Page 17 SIDEKICK® FREEDOM™ Components Part Number Description RR0080TR THREADED ROD, 80 MM RR0120TR THREADED ROD, 120 MM RR0150TR THREADED ROD, 150 MM RR0165TR THREADED ROD, 165 MM RR0200TR THREADED ROD, 200 MM RR0300TR THREADED ROD, 300 MM RR0400TR THREADED ROD, 400 MM RR1001 NUT, 10MM RR100PL...
  • Page 18 SIDEKICK® FREEDOM™ Components continued... Part Number Description RNRCKIT1 SIDEKICK® FREEDOM™ INSTRUMENT KIT RR200CE 200MM RING RR200PL PLATE, 2 HOLE RR2058CE 200MM 5/8 RING RR20P MALE POST, 2 HOLE RR20PF FEMALE POST, 2 HOLE RR2101 SLOTTED WASHER RR2201 CONICAL WASHER RR2401 WASHER, 1.0 MM RR2501 WASHER, 2.5 MM...
  • Page 19 011 31 20 565 9060 Wright Medical UK Ltd. Unit 1, Campus Five Letchworth Garden City Hertfordshire SG6 2JF United Kingdom 011 44 (0)845 833 4435 ™Trademarks and ®Registered marks of Wright Medical Technology, Inc. ©2015 Wright Medical Technology, Inc. All Rights Reserved. 009153B_08-Jul-2015...

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