Mitek足踝关节产品及手术技巧.ppt

足踝解剖 产品 手术 谁在做手术 足踝外科专家普通骨科医生 足部手术 拇外翻踝关节外侧不稳跟腱修复足中部重建 足 骨 趾骨 DistalMiddle n a1st 5th Proximal 跖骨 距骨 跟骨 舟骨 骰骨 楔状骨 MedialIntermediateLateral 骰骨 足底观 足背观 籽骨 拇外翻 Bunion HalluxValgus 找到内收肌腱 并从近节指骨基底部切除 AdductorHallicus HalluxValgusContinued 在远端跖骨的附着点钻孔植入锚钉 GII Fastin 重新连接韧带 HalluxValgusContinued 拇囊炎切除术切除拇囊炎隆起 Capsuleflap HalluxValgusContinued 钻两个孔植入锚钉用缝线拉紧 重排 关闭关节囊 踝关节外侧不稳定 a k a ModifiedBrostromATFRepair LateralAnkleInstability LigamentsAffected 距腓前韧带 跟腓韧带 Mostcommonlyinjured 外侧踝关节不稳定 基本修复 踝关节外侧不稳定 SecondaryRepair 用于慢性不稳定用腓骨短肌腱的前 穿过外踝的孔 腓骨附着 用锚钉固定在距骨的外侧 腓骨短肌 距骨 内侧踝关节不稳定 三角韧带 TibiotalarTibionavicularTibiocalcaneal 跟腱修复 Split Rupture Haglund sDeformity TendoCalcaneous AchillesTendon 跟腱分裂 跟腱断裂 Haglund sDeformity PumpBump 跟腱附着点的位置疼痛肿胀20 30岁的年轻女性多见可有滑囊刺激症状切除感染的组织用带线锚钉重新连接跟腱 RetrocalcanealExostosis SpurpresentatinsertionofAchillestendonFrequentlyAssociatedwithHaglund sdeformityPatientsage20 40 usuallyinvolvedinsportsRemoveexostosis spur andreattachusingsutureanchors Andmore 足中部重建扁平足 胫骨后肌腱 PTT 主要附着在舟骨的内侧结节上其他分支附着在其他骨上PTT断裂导致后天扁平足 TibialisPosterior PTT Navicular TurfToe MedialCollateralLigamentRupture PlantarPlateRupture NotIndicated ForInformationalPurposesOnly AnchorsforFoot Ankle MiniAnchor AnchorBody 1 8x5 4mmArcRange 5 5mmDrillHoleSize 2 1mmx9 7mmSuture Needle 0Ethibond OS 2ReverseCuttingNeedles2 0Ethibond V 5TapercutNeedlesAnchorMaterial TitaniumbodywithNitinolArcsPulloutlbs 20lbs Indications Hand Scapholunate UCL orothercollateralligamentsFoot Mid footandhalluxvalgusFacial TMJ AnchorBody 2 4x8 8mmArcRange 7 8mmDrillHoleSize 2 4x14 2mmSuture 2Ethibond CP 2ReverseCutNeedle 2Panacryl CP 2ReverseCutNeedleAnchorMaterial TitaniumbodywithNitinolArcsPulloutlbs 25lbsIndications Foot Lateral medialankleinstability Mid footreconstruction HalluxValgus AchilliestendonrepairElbow TennisElbow BicepsTendonHand ThumbUCLandScapholunate GIIAnchor AnchorBody 2 8x11 4mmArcRange 7 8mmDrillHoleSize 2 9x17 8mmSuture 2Ethibond CP 2ReverseCutNeedle 2Panacryl CP 2ReverseCutNeedleAnchorMaterial TitaniumbodywithNitinolArcsPulloutlbs 42lbsIndications Foot AchillesTendonRepair Super G4 Anchor AnchorBody 4 1x6 0mmDrillHoleSize 3 5x18mmSuture 2Ethibond CP 2ReverseCutNeedle 2Panacryl CP 2ReverseCutNeedleAnchorMaterial PLAPulloutlbs 35lbsIndications Elbow BicepstendonreattachmentAnkle Achillestendonrepair Lateralstabilization Medialstabilizationatthemedialtalussite PanalokAnchor AnchorBody 3 0 x8 4mm4 0 x9 7mmSuture 2Ethibond noneedles Drillbit SelfdrillingAnchorMaterial TitaniumPulloutlbs 33 5lbs for3 0mm 61lbs 4 0mm Indications Foot Midfootreconstruction Medialorlateralinstability