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Summary of Contents for FH ORTHOPEDICS be POD TYLOS Arthrodese-Nail
- Page 1 FOOT TYLOS A N K L E ARTHRODESIS NAIL...
- Page 2 TYLOS The TYLOS™ ankle arthrodesis nail from the Be POD™ range has Side locking with a cortical screw a unique posterior locking system, thanks to implantation of a trans-calcaneal screw of the threaded wedge type. This gua- rantees considerable stability and thus reduces the risk of disassembly of the system or migration of the screw.
- Page 3 TALOCRURAL APPROACH In certain exceptional cases, and providing that the surgeon is used to it, this approach may be done through an arthroscopic procedure. In most cases, the recommended procedure a standard anterior approach made between the tendons of the anterior tibial and the common extensor tendons after sectioning the retinaculum of the extensors, whilst respecting the foot’s dor- sal pedicle (Fig.
- Page 4 It is mounted on the motor and introduced in an ascending, transosseous manner, controlling its insertion on the image intensifi er (Fig. 5). It must be positionned exactly in the centre of the tibial pilon, both face on and in profi le, with the hindfoot in its axis. The choice of introduction point for the nail must be made very carefully as the nail cannot and must not re- duce the hindfoot automatically.
- Page 5 TYLOS™ trans-calcaneal screw POSTERIOR LOCKING The soft tissue retractor (ref. 253252) is assembled in the guide for trans-cal- caneal screws (ref. 253261), and screwed into the centering guide sleeve (ref. 253256). A small posterior skin incision is made to introduce the entire assem- 253252 bly into contact with the bone (Fig.
- Page 6 200 mm LATERAL LOCKING The posterior guide is removed to introduce the lateral guide on to the 2nd branch of the fi xation nail holder, held in place by screw M5 (ref. 253681). 160 mm A maximum of three proximal, and two distal, screws can be used. Markings indicate the holes to be used depending on the length of the nail (160 or 200 mm classically;...
- Page 7 EXTRACTION OF THE MATERIAL The lateral screws are simply unscrewed once the approach has been retur- ned to (ref. 257381). The polyethylene plug protecting the head of the calcaneal screw is cleared, making it possible to screw its extractor into place (ref. 254597). The extractor is screwed in backwards, making it initially possible to connect it to the screw and then, when it reaches its blocking point, to unscrew it in a second stage (Fig.
- Page 8 257 399 TYLOS™ ancillary basket 257 381 6 bladed screwdriver 3.5 mm 253 262 6/3 Drill bit for cortical screw FH ORTHOPEDICS References ------------------------------------------------------------------------------------------------------------------------------------------ TYLOS™ ankle nail TYLOS™ trans-calcaneal screw TYLOS™ cortical screw 253 228 Ø 10 lg 160 254 581...
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