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Stabilis™ Surgical Technique (PDF) - Tornier DX

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20<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 19<br />

Position the TTC plate on the bone. Remove any protuberances<br />

that interfere with plate fit. Evaluate plate fit to the tibia. Bend<br />

the plate with the Plate Benders if necessary. It is important<br />

to avoid excessive valgus or varus in the placement of the<br />

TTC plate.<br />

Lateral Tibio-Talo<br />

Calcaneal Plate<br />

<strong>Surgical</strong> Note:<br />

With an arthrodesis of both the ankle and subtalar joint,<br />

excessive varus or valgus is generally poorly tolerated with<br />

ambulation since there is no motion at these joints.<br />

Step 20<br />

Temporarily fix the joint with 2.0 x 150 mm Pins and fit the<br />

Plate to the bone with 2.0 x 150 mm Pins. (Note: it is not<br />

recommended to use two pins in the talar part of the<br />

plate due to the chance of interference with the bone<br />

screw insertions later in the procedure.)<br />

2.0 x 150 mm Pins<br />

Step 21<br />

Attach the Talus Hole Guide loosely to the TTC plate using<br />

the guidepost. The talus is fixed initially followed by the<br />

adjacent calcaneus and tibial bones.<br />

Lateral Talus Hole Guide<br />

Plate Benders

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