CL Trauma + CL Revision Hip Prosthesis

CL Trauma + CL Revision
Hip Prosthesis
Proteza kuka
Product description
a n d SUR G ICA L TEC H NI Q UE
Opis proizvoda
i kirurška tehnika
0123
Index
Sadržaj
page/strana 3
Product description
Opis proizvoda
page/strana 3
CL Trauma
CL trauma
page/strana 4
CL Revision
CL revizija
page/strana 4
Advantages
Prednosti
page/strana 5
Surgical Technique
Kirurška tehnika
page/strana 5
1. Preparation of the operative field
1. Priprema operacijskog područja
page/strana 5
2. Resection of the femoral head
2. Resekcija femralne glave
page/strana 5
3. Preparation of the medullary canal
3. Priprema medularnog kanala
page/strana 6
4. Cement introduction and stem implant
4. Postavljanje cementa i implantata
page/strana 6
5. Trial reduction
5. Probna redukcija
page/strana 6
6. Head insertion
6. Umetanje glave
page/strana 6
7. Final reduction
7. Konačna redukcija
LEONARDO DA VINCI: the Vitruvian Man. Studies of human proportions (1490)
LEONDARDO DA VINCI: Vitruvijski čovjek. Studije ljudskih proporcija (1490)
Product
description
Opis proizvoda
CL Trauma
CL trauma
The CL TRAUMA cemented hip pros-
CL TRAUMA cementna proteza kuka
thesis fills the diaphyseal canal so good
ispunjava diafizni kanal na tako dobar
that the layer of acrylic cement is made
način, da je sloj akrilnog cementa uni-
uniform, both antero-posteriorly and
forman i antero-posteriorno i latero-me-
latero-medially.
dialno.
The straight shape and an appropriate
Ravni oblik i odgovarajuća duljina osigura-
length assure a safe implant stability
vaju sigurnosnu stabilnost implantanta čak
even in cases of bones with insufficient
i u slučaju kostiju s premalo trofizama.
trophism.
Veliki vijenac omogućava puni kontakt s
A large collar favours the full contact with
kalkarnom regijom
the calcar region.
Sekcija otpora proteze proizvedena je s
The resisting section of the prosthesis has
ciljem minimiziranja svih napetosti koje se
been conceived with the aim of minimizing
vrše na cement.
all stresses applied to the cement.
CL TRAUMA stem predstavlja CCD kut od
The CL TRAUMA stem presents a 135°
135”, na raspolaganju je u tri veličine i rea-
CCD angle, is available in three sizes and
liziran je s nehrđajućim čelikom AISI 316 L
is realized with stainless steel AISI 316 L
(ASTN F 1348).
(ASTM F 1348).
12/14 konus stema kompatibilan je sa svim
The 12/14 taper is compatible with
femoralnim glavama jer ima promjer 22.2,
all femoral heads having 22.2, 28, 32
28, 32 i 36 mm za totalne implatante ili s
and 36 mm diameter fot total implants
endo i biartikularnim glavam za aplikacije
or with endo and biarticular heads for
u traumatologiji.
applications in traumatology.
Sistem se isporučuje s osnovnim kom-
The system is supplied with an essential
pletom instrumenata koji su laki za upora-
and easy-to-use instrument set, made of
bu, napravljeni sa serijom od tri monolitne
a series of three monolitic rasps.
rašpe.
Trial heads for preliminary reductions are
Probne glave za preliminarne redukcije na
available on request.
raspolaganju su na zahtjev.
Cemented Stems - Taper 12/14
Cementna tijela – konus 12/24
AISI 316/L
2606.05.010
SMALL
MALI
2606.05.015
MEDIUM
SREDNJI
2606.05.020
LARGE
VELIK
Instrument Set
Set instrumenata
9026.10.010
SMALL Rasp
MALA rašpa
9026.10.015
MEDIUM Rasp
SREDNJA rašpa
9026.10.020
LARGE Rasp
VELIKA rašpa
Product Description
Opis proizvoda
CL Revision
CL Revizija
The CL REVISION hip prosthesis is char-
CL REVIZIJU proteze kuka karakterizira
acterized by a long collared stem and is
dugi stem sa ovratnikom i zamišljena je za
conceived for cemented revisions.
cementne revizije.
The stem is available in three sizes
Tijelo je na raspolaganju u tri veličine (dulji-
(length 185, 205 or 255 mm) to assure a
na 185, 205 ili 255mm)
good distal fixation.
CL REVIZIJA proteze realizirana je u
The CL REVISION prosthesis is realized in
Ti6AI4V
Ti6AI4V Titanium Alloy (ASTM F 136), has
Legura titanija (ASTM F 1 36) ima konus
12/14 taper and the CCD angle amounts
12/14 a CCD kut iznosi 135”.
to 135°.
Cemented Stems - Taper 12/14
Cementno tijelo – konus 12/14
Ti6Al4V
2710.15.045
h. 185 mm
h. 185 mm
2710.15.055
h. 205 mm
h. 205 mm
2710.15.065
h. 255 mm
h. 255 mm
Instrument Set
n 9026.10.015
SREDNJA rašpa
MEDIUM Rasp
Advantages
Prednosti
◗ Simple and reliable system, used for
◗ jednostavan i pouzdani sistem koji se
more than 10 years.
može rabiti i 10 godina
◗ Easy-to-use, precise instruments.
◗ precizni instrumenti, laka uporaba
◗ System suitable for a large number of
◗ sistem odgovara velikom broju pato-
pathologies.
Komplet instrumenata
logija.
Surgical Technique
Kirurška tehnika
The CL TRAUMA stem may be implanted
CL TRAUMA tijelo može se implantirati
through the usual surgical approaches to
kroz uobičajene kirurške pristupe zglobu
the hip joint. The following pictures refer
kuka. Slijedeće slike odnose se na postero-
to the postero-lateral approach.
lateralni pristup.
1. Preparation of the operative field
1. Priprema operativnog pod
ručja
The patient is lying in a lateral position.
Pacijent leži u lateralnoj poziciji.
Postero-lateral incision (Fig. 1).
Postero-lateralna incizija (al. 1)
After opening the fascia lata and detach-
Nakon otvaranja fascie lata i skidanja
ing the lateral rotators, the joint cap is cut
lateralnih rotatora, reže se čašica zgloba i
and the head of the femur dislocated
posteriorno dislocira femur.
〔1〕
〔2〕
〔3〕
posteriorly.
〔4〕
2. Resection of the femoral
head
2. Resekcija femoralne glave
Femoralna glava se uklanja transcervikal-
Remove the femoral head by transcervi-
nom resekcijom uskladu s onim što je
cal resection, according to what planned
pre-operativno planirano, pod kutem od
pre-operatively, at a 45° angle with the
45” na os femura
axis of the femur (Figs. 2-3).
〔5〕
3. Preparation of the medullary canal
3. Priprema medularnog ka
nala
The dyaphisis is punched by means of
Diafiza se probuši pomoću dlijeta koje je na
a chisel available in the operating room
raspolaganju u OP-sali (sl. 4).
(Fig. 4).
The preparation of the medullary canal
Priprema medularnog kanala započinje sa
begins with the solid rasp, starting with
solidnim turpijanjem pri čemu se započinje
the smallest one and keeping the correct
s najmanjom rašpom, uz održanje korektne
antiversion (ca. 15°) (Figs. 5-6).
antiverzije (oko 15”) (sl. 5-6).
〔6〕
Surgical Technique
Op er ační postup
〔7〕
〔8〕
4. Cement introduction and
stem implant
4. Uvođenje cementa i tijela
imlantata
Acrylic cement is filled into the medullary
Medularni kanal se puni akrilnim ce-
canal (Fig. 7).
mentom (sl. 7).
By means of an impactor insert the stem
Pomoću impaktora se tijelo uvodi u medu-
into the medullary canal and gently tap
larni kanal i blago ga se udara sve dok nije
until prosthesis is fully seated.
sjeo u potpunosti
5. Trial reduction
5. Probna redukcija
The determination of the head size is
Sada je moguće odrediti veličinu glave.
now possible.
Postavite probnu glavu (28 ili 32mm) preko
Fit the trial heads (28 or 32 mm dia.)
konusa stema i reducirajte sjedište zgloba
over the stem taper and reduce the jpint
postavljanjem glave u acetabularnu
seating the head into the acetabular cup
čašicu koja je implantirana prethodno.
previously implanted. Choose the length
Izaberite duljinu femoralne glave koju
of the femoral head to be used (S, M, L)
ćete rabiti (S,M,L) s testiranjem napetosti
testing the joint tension (Fig. 8).
zgloba (sl. 8).
Remove the trial head.
Uklonite pokusnu glavu.
6. Head insertion
6. Umetanje glave
Verify with care the cvleanness of the
Provjerite pažljivo čistoću Morse konusa i
Morse tapers and fit the femoral head.
montirajte femoralnu glavu. Blagi aksialni
A gentle axial tap with a plastic beater
udarac plalstičnim čekićem osigurati će
ensures the stability of the head-stem
stabilnost spoja tijelo-glava (sl. 9).
coupling (Fig. 9).
〔9〕
〔10〕
7. Final reduction
7. Konačna redukcija
At the end verify the perfect cleanness
Na kraju provjerite apsolutnu čistoću
of the sliding surfaces and definitively
kliznih površina i definitivno reducirajte
reduce the joint (Fig. 10).
zglob (sl. 10).
For further information about our products,
Glede daljnjih obavijesti o našim proizvdi-
please visit our web site www.lima.it
ma molimo vas da pogledate našu web
stranicu www.lima.it
This documentation has been written by
Ovu dokuemtaciju ispostavio je Odsjek za
Lima-Lto Sales & Technical Department
prodaju i Tehnički odsjek tvrtke Lima-Lto.
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