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Stabilis™ Surgical Technique (PDF) - Tornier DX

Stabilis™ Surgical Technique (PDF) - Tornier DX

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12<br />

T O r N i E r ® S t a b i l i S a n k l e a r t h r o d e S i S P l a t i n g S y S t e m<br />

Step 7<br />

Hold the guide to the bone. Insert 2.5 x 100 mm Pins on the<br />

lateral sides of the Cutting Guide to secure the guide.<br />

Drill through each distal cutting hole and across the underlying<br />

bone. Hold the drill straight, advance slowly. Be careful not to<br />

drill too far medially, beyond the talus or across the medial gutter<br />

and into the medial malleolus. Fluoroscopy or direct visualization<br />

can be used to determine the accuracy of this osteotomy.<br />

2.5 x 100 mm Pins<br />

Step 8<br />

Attach the talar component of the Cutting Guide with the<br />

U-rail to the tibial component. Open the space between the<br />

tibial and talar component to the desired width so that all<br />

the cartilage will be removed after drilling. Place two 2.5 x<br />

60 mm Pins in the marked holes in the talar half. Insert pins<br />

deep enough so a drill can be fully driven into the cutting<br />

holes in the guide.<br />

2.5 x 60 mm Pins<br />

Step 9<br />

2.7 mm Drill Bit<br />

Hold the guide against the bone. Insert 2.5 x 100 mm Pins<br />

on the lateral sides of the Cutting Guide to secure the guide.<br />

Remove the U-rail.<br />

Drill through each distal cutting hole and across the underlying<br />

bone. Hold the drill straight, advance slowly, and use an “in and<br />

out” motion to prevent the drill from skiving. Drill through the<br />

entire width of the talus.<br />

Remove Cutting Guide and pins from each side except for<br />

two that can be used to anchor the Distractor.<br />

2.5 x 100 mm Pins<br />

2.7 mm Drill Bit

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