Cut Guide System Facilitates Controlled Lapidus Correction
|
By HospiMedica International staff writers Posted on 26 Nov 2018 |
|
Image: The Paragon 28 Lapidus Cut Guide (Photo courtesy of Paragon 28).
New instrumentation allows surgeons to attain accurate cartilage removal and transverse plane adjustment when treating 1st tarsometatarsal (TMT) joint arthrodesis.
The Paragon 28 (Englewood, CO, USA) Lapidus Cut Guide System is designed to provide a reproducible and streamlined Lapidus procedure, the fusion of the first TMT joint intended to eliminate joint movement and correct the deformity around the first metatarsal. The system allows for controlled cuts that minimize the amount of length lost on the first ray by offering an array of Met-Cuneiform cut guides for resecting the precise amount of bone from the first TMT joint in order to restore the desired intermetatarsal angle.
The guide provides a means of achieving calculated bi-planar correction using transverse cuts, or tri-planar correction with the surgeons preferred method of de-rotation. Eight different angled guides are available in 0° and 8° – 20° of correction. All guides have a built-in 2° dorsal to plantar taper to aid in plantarflexion of the 1st ray, with two slot options available to minimize first ray shortening. The guides allow calculated bi-planar correction using transverse cuts, or tri-planar correction with the surgeons preferred method of de-rotation.
In addition, the system includes an alignment guide to determine if selected cut guide is appropriate for desired correction during; a built in dorsal to plantar taper on cuts made on the metatarsal in two different guide variations, reducing the likelihood of first ray dorsiflexion intraoperatively; a standard cleanup guide to resect an additional 1.5 millimeters on either the metatarsal or cuneiform, if needed; and left/right 4° metatarsal cut guides provide a 4° dorsal to plantar taper for plantarflexion of the 1st metatarsal built into the cut. All guides are coated in titanium nitride for durability and strength.
Trying to create cuts that achieve a precise amount of intermetatarsal correction while simultaneously creating congruent surfaces to promote bony apposition at the fusion site is a technically challenging enterprise. Avoiding plantar gapping by removing the plantar cartilage from the soft tissue attachments can also prove difficult. In addition, dorsiflexion of the first ray can occur during joint preparation as well, which can lead to transfer metatarsalgia.
Related Links:
Paragon 28
The Paragon 28 (Englewood, CO, USA) Lapidus Cut Guide System is designed to provide a reproducible and streamlined Lapidus procedure, the fusion of the first TMT joint intended to eliminate joint movement and correct the deformity around the first metatarsal. The system allows for controlled cuts that minimize the amount of length lost on the first ray by offering an array of Met-Cuneiform cut guides for resecting the precise amount of bone from the first TMT joint in order to restore the desired intermetatarsal angle.
The guide provides a means of achieving calculated bi-planar correction using transverse cuts, or tri-planar correction with the surgeons preferred method of de-rotation. Eight different angled guides are available in 0° and 8° – 20° of correction. All guides have a built-in 2° dorsal to plantar taper to aid in plantarflexion of the 1st ray, with two slot options available to minimize first ray shortening. The guides allow calculated bi-planar correction using transverse cuts, or tri-planar correction with the surgeons preferred method of de-rotation.
In addition, the system includes an alignment guide to determine if selected cut guide is appropriate for desired correction during; a built in dorsal to plantar taper on cuts made on the metatarsal in two different guide variations, reducing the likelihood of first ray dorsiflexion intraoperatively; a standard cleanup guide to resect an additional 1.5 millimeters on either the metatarsal or cuneiform, if needed; and left/right 4° metatarsal cut guides provide a 4° dorsal to plantar taper for plantarflexion of the 1st metatarsal built into the cut. All guides are coated in titanium nitride for durability and strength.
Trying to create cuts that achieve a precise amount of intermetatarsal correction while simultaneously creating congruent surfaces to promote bony apposition at the fusion site is a technically challenging enterprise. Avoiding plantar gapping by removing the plantar cartilage from the soft tissue attachments can also prove difficult. In addition, dorsiflexion of the first ray can occur during joint preparation as well, which can lead to transfer metatarsalgia.
Related Links:
Paragon 28
Gold Member
Real-Time Diagnostics Onscreen Viewer
GEMweb Live
Gold Member
Disposable Protective Suit For Medical Use
Disposable Protective Suit For Medical Use
Silver Member
Compact 14-Day Uninterrupted Holter ECG
NR-314P
New
Autoclavable Camera System
Precision AC
Latest Surgical Techniques News
- Porous Gel Sponge Facilitates Rapid Hemostasis and Wound Healing
- Novel Rigid Endoscope System Enables Deep Tissue Imaging During Surgery
- Robotic Nerve ‘Cuffs’ Could Treat Various Neurological Conditions
- Flexible Microdisplay Visualizes Brain Activity in Real-Time To Guide Neurosurgeons
- Next-Gen Computer Assisted Vacuum Thrombectomy Technology Rapidly Removes Blood Clots
- Hydrogel-Based Miniaturized Electric Generators to Power Biomedical Devices
- Custom 3D-Printed Orthopedic Implants Transform Joint Replacement Surgery
- Wearable Technology Monitors and Analyzes Surgeons' Posture during Long Surgical Procedures
- Cutting-Edge Imaging Platform Detects Residual Breast Cancer Missed During Lumpectomy Surgery
- Computational Models Predict Heart Valve Leakage in Children
- Breakthrough Device Enables Clear and Real-Time Visual Guidance for Effective Cardiovascular Interventions
- World’s First Microscopic Probe to Revolutionize Early Cancer Diagnosis
- World’s Smallest Implantable Brain Stimulator Demonstrated in Human Patient
- Robotically Assisted Lung Transplants Could Soon Become a Reality
- AI to Provide Heart Transplant Surgeons with New Decision-Making Data
- New Surgical Tool Empowers Precision and Confidence in Operating Room
Channels
Artificial Intelligence
view channel
AI-Powered Algorithm to Revolutionize Detection of Atrial Fibrillation
Atrial fibrillation (AFib), a condition characterized by an irregular and often rapid heart rate, is linked to increased risks of stroke and heart failure. This is because the irregular heartbeat in AFib... Read more
AI Diagnostic Tool Accurately Detects Valvular Disorders Often Missed by Doctors
Doctors generally use stethoscopes to listen for the characteristic lub-dub sounds made by heart valves opening and closing. They also listen for less prominent sounds that indicate problems with these valves.... Read more
Critical Care
view channel
Stretchable Microneedles to Help In Accurate Tracking of Abnormalities and Identifying Rapid Treatment
The field of personalized medicine is transforming rapidly, with advancements like wearable devices and home testing kits making it increasingly easy to monitor a wide range of health metrics, from heart... Read more
Machine Learning Tool Identifies Rare, Undiagnosed Immune Disorders from Patient EHRs
Patients suffering from rare diseases often endure extensive delays in receiving accurate diagnoses and treatments, which can lead to unnecessary tests, worsening health, psychological strain, and significant... Read more
On-Skin Wearable Bioelectronic Device Paves Way for Intelligent Implants
A team of researchers at the University of Missouri (Columbia, MO, USA) has achieved a milestone in developing a state-of-the-art on-skin wearable bioelectronic device. This development comes from a lab... Read more
First-Of-Its-Kind Dissolvable Stent to Improve Outcomes for Patients with Severe PAD
Peripheral artery disease (PAD) affects millions and presents serious health risks, particularly its severe form, chronic limb-threatening ischemia (CLTI). CLTI develops when arteries are blocked by plaque,... Read morePatient Care
view channel
First-Of-Its-Kind Portable Germicidal Light Technology Disinfects High-Touch Clinical Surfaces in Seconds
Reducing healthcare-acquired infections (HAIs) remains a pressing issue within global healthcare systems. In the United States alone, 1.7 million patients contract HAIs annually, leading to approximately... Read more
Surgical Capacity Optimization Solution Helps Hospitals Boost OR Utilization
An innovative solution has the capability to transform surgical capacity utilization by targeting the root cause of surgical block time inefficiencies. Fujitsu Limited’s (Tokyo, Japan) Surgical Capacity... Read more
Game-Changing Innovation in Surgical Instrument Sterilization Significantly Improves OR Throughput
A groundbreaking innovation enables hospitals to significantly improve instrument processing time and throughput in operating rooms (ORs) and sterile processing departments. Turbett Surgical, Inc.... Read more
Health IT
view channel
Machine Learning Model Improves Mortality Risk Prediction for Cardiac Surgery Patients
Machine learning algorithms have been deployed to create predictive models in various medical fields, with some demonstrating improved outcomes compared to their standard-of-care counterparts.... Read more
Strategic Collaboration to Develop and Integrate Generative AI into Healthcare
Top industry experts have underscored the immediate requirement for healthcare systems and hospitals to respond to severe cost and margin pressures. Close to half of U.S. hospitals ended 2022 in the red... Read more
AI-Enabled Operating Rooms Solution Helps Hospitals Maximize Utilization and Unlock Capacity
For healthcare organizations, optimizing operating room (OR) utilization during prime time hours is a complex challenge. Surgeons and clinics face difficulties in finding available slots for booking cases,... Read more
AI Predicts Pancreatic Cancer Three Years before Diagnosis from Patients’ Medical Records
Screening for common cancers like breast, cervix, and prostate cancer relies on relatively simple and highly effective techniques, such as mammograms, Pap smears, and blood tests. These methods have revolutionized... Read morePoint of Care
view channel
Critical Bleeding Management System to Help Hospitals Further Standardize Viscoelastic Testing
Surgical procedures are often accompanied by significant blood loss and the subsequent high likelihood of the need for allogeneic blood transfusions. These transfusions, while critical, are linked to various... Read more
Point of Care HIV Test Enables Early Infection Diagnosis for Infants
Early diagnosis and initiation of treatment are crucial for the survival of infants infected with HIV (human immunodeficiency virus). Without treatment, approximately 50% of infants who acquire HIV during... Read more
Whole Blood Rapid Test Aids Assessment of Concussion at Patient's Bedside
In the United States annually, approximately five million individuals seek emergency department care for traumatic brain injuries (TBIs), yet over half of those suspecting a concussion may never get it checked.... Read more
New Generation Glucose Hospital Meter System Ensures Accurate, Interference-Free and Safe Use
A new generation glucose hospital meter system now comes with several features that make hospital glucose testing easier and more secure while continuing to offer accuracy, freedom from interference, and... Read moreBusiness
view channel
Johnson & Johnson Acquires Cardiovascular Medical Device Company Shockwave Medical
Johnson & Johnson (New Brunswick, N.J., USA) and Shockwave Medical (Santa Clara, CA, USA) have entered into a definitive agreement under which Johnson & Johnson will acquire all of Shockwave’s... Read more
