Tactys Operative Technique - Stryker

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Operative Technique Fitting the final implants Preparation of the extensor apparatus in the case of a transtendinous approach and reinsertion* of the central slip. Before fitting the final stems, make two holes on the dorsal face of the median phalanx for reinsertion of the extensor apparatus. Note: Reinsertion of the central slip is at the surgeons discretion. A reinsertion with excessive tension may cause postoperative stiffness. Fitting the final implants The procedure for fitting the final implants is exactly the same as the procedure for fitting the trial implants. Impaction of the articulating surfaces is completed using distal and proximal articulating surface impactors. 1. Insertion of the proximal stem. 2. Inserting the distal stem. 3. Impaction of the proximal surface. 4. Impaction of the distal surface. Note: Be sure to follow the correct order for fitting components. It is preferable to impact the proximal surface before the distal surface. * Source: Scientific literature on pg 20 18
Operative Technique X-Ray check Check that the final implants are properly positioned using frontal and lateral X-Rays. Closure of the extensor apparatus Dorsal transtendinous approach* Reinsert the strip of the extensor apparatus (Fig.1) without excessive tension of the latter at the base of P2 using two transosseous holes. Fig.2 shows reinsertion of the extensor apparatus without reinsertion of the central slip. Fig.1 Fig.2 Chamay approach* Once the prosthesis is fitted, suture the extensor using a fairly fine thread by means of individual, separate points. 20 to 25 points are generally required. After closing up the cutaneous flap, the finger is bandaged and strapped to the adjoining digit for immediate mobilization of the phalanges. Note: It is important not to hold the joint in strict extension. Chamay approach * Source: Scientific literature on pg 20 19
Page 1 and 2: Hand & Wrist TACTYS Proximal Interp
Page 3 and 4: Contents Page 1. Indications and Co
Page 5 and 6: Characteristics Proximal articulati
Page 7 and 8: Operative Technique Approaches Cham
Page 9 and 10: Operative Technique Checking the th
Page 11 and 12: Operative Technique Note: If very h
Page 13 and 14: Operative Technique Seat Preparatio
Page 15 and 16: Operative Technique Fitting the dis
Page 17: Operative Technique Osteophyte chec
Page 21 and 22: Ordering Information - Implants REF
Page 23 and 24: Ordering Information - Trials REF D
Page 25 and 26: Notes 25

Tactys Operative Technique - Stryker

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