Notes on alternative application techniques
For the transfemoral approach, the following points must be observed:
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Proximal bone portions must remain connected to the soft tissue.
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Usually, only distal intramedullary drills (PREVISION® curved) or distal reamers are used for this approach.
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Distal implant components must be locked in position.
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The distal anchoring length of the implant must be greater than 10 cm.
When assembling the implant outside the bone, the following points must be observed:
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The sizes of the implant components are selected as in the procedure described above.
■
The rotational position of the proximal implant is adjusted in the same way as the in-vivo position of the form
rasp (PREVISION® curved).
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The procedure for assembling the implant components and using the torque wrench remain unchanged.
■
Insert the implant with the insertion tool.
►
After implantation, apply the torque wrench again to check that the implant components are properly tightened.
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Carry out another trial reduction, checking the joint mobility, stability, and leg length.
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Inspect and document the implant position during the operation (using an image converter).
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Remove the protective cap from the prosthesis cone only immediately before installing the cone.
►
Rinse, clean, and dry the outside cone of the stem and, if necessary, the inside cone of the prosthesis spheres.
►
Check that the cone size of the prosthesis head in use corresponds to the cone plug-in connector of the pros-
thesis stem (cone size 12/14).
►
Install the prosthesis head.
►
Attach the prosthesis head and prosthesis cone to each other at room temperature only.
►
If necessary, allow the implants to cool to room temperature.
►
To prevent abnormal wear and tear of the prosthesis: Remove all open bone and, if necessary, bone cement res-
idues before closing the wound.
Further information on Aesculap implant systems is always available from B. Braun/Aesculap or the appropriate
B. Braun/Aesculap office.
Distributor in the US/Contact in Canada for product information and
complaints
Aesculap Implant Systems LLC
3773 Corporate Parkway
Center Valley, PA, 18034,
USA
TA-Nr. 010988
06/12
V6
Änd.-Nr. 44752