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CL Trauma + CL Revision Hip ProsthesisProteza kuka
P r o d u c t d e s c r i P t i o n a n d s u r G i c a L t e c H n i Q u eO p i s p r O i z v O d a i k i r u r š k a t e h n i k a
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LEONARDO DA VINCI: the Vitruvian Man. Studies of human proportions (1490)
LEONDARDO DA VINCI: Vitruvijski čovjek. Studije ljudskih proporcija (1490)
Index
PRODuCt DESCRIPtION
CL trauma
CL Revision
Advantages
SuRgICAL tEChNIquE
1. Preparation of the operative field
2. Resection of the femoral head
3. Preparation of the medullary canal
4. Cement introduction and stem implant
5. trial reduction
6. head insertion
7. Final reduction
Sadržaj
OpIS pROIzVODA
CL trauma
CL revizija
prednosti
KIRuRšKA tEhNIKA
1. priprema operacijskog područja
2. Resekcija femralne glave
3. priprema medularnog kanala
4. postavljanje cementa i implantata
5. probna redukcija
6. umetanje glave
7. Konačna redukcija
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Product description
cL trauma
the CL tRAuMA cemented hip pros-
thesis fills the diaphyseal canal so good
that the layer of acrylic cement is made
uniform, both antero-posteriorly and
latero-medially.
the straight shape and an appropriate
length assure a safe implant stability
even in cases of bones with insufficient
trophism.
A large collar favours the full contact with
the calcar region.
the resisting section of the prosthesis has
been conceived with the aim of minimizing
all stresses applied to the cement.
the CL tRAuMA stem presents a 135°
CCD angle, is available in three sizes and
is realized with stainless steel AISI 316 L
(AStM F 1348).
the 12/14 taper is compatible with
all femoral heads having 22.2, 28, 32
and 36 mm diameter fot total implants
or with endo and biarticular heads for
applications in traumatology.
the system is supplied with an essential
and easy-to-use instrument set, made of
a series of three monolitic rasps.
trial heads for preliminary reductions are
available on request.
Opis proizvoda
CL trauma
CL tRAuMA cementna proteza kuka
ispunjava diafizni kanal na tako dobar
način, da je sloj akrilnog cementa uni-
forman i antero-posteriorno i latero-me-
dialno.
Ravni oblik i odgovarajuća duljina osigura-
vaju sigurnosnu stabilnost implantanta čak
i u slučaju kostiju s premalo trofizama.
Veliki vijenac omogućava puni kontakt s
kalkarnom regijom
Sekcija otpora proteze proizvedena je s
ciljem minimiziranja svih napetosti koje se
vrše na cement.
CL tRAuMA stem predstavlja CCD kut od
135”, na raspolaganju je u tri veličine i rea-
liziran je s nehrđajućim čelikom AISI 316 L
(AStN F 1348).
12/14 konus stema kompatibilan je sa svim
femoralnim glavama jer ima promjer 22.2,
28, 32 i 36 mm za totalne implatante ili s
endo i biartikularnim glavam za aplikacije
u traumatologiji.
Sistem se isporučuje s osnovnim kom-
pletom instrumenata koji su laki za upora-
bu, napravljeni sa serijom od tri monolitne
rašpe.
probne glave za preliminarne redukcije na
raspolaganju su na zahtjev.
Cemented Stems - Taper 12/14 Cementna tijela – konus 12/24
AISI 316/L
2606.05.010 SMALL MALI
2606.05.015 MEDIUM SREDNJI
2606.05.020 LARGE VELIK
Instrument Set Set instrumenata
9026.10.010 SMALL Rasp MALA rašpa
9026.10.015 MEDIUM Rasp SREDNJA rašpa
9026.10.020 LARGE Rasp VELIKA rašpa
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p r O d u C t d e s C r i p t i O nO p i s p r O i z v O d a
cL revision
the CL REVISION hip prosthesis is char-
acterized by a long collared stem and is
conceived for cemented revisions.
the stem is available in three sizes
(length 185, 205 or 255 mm) to assure a
good distal fixation.
the CL REVISION prosthesis is realized in
ti6AI4V titanium Alloy (AStM F 136), has
12/14 taper and the CCD angle amounts
to 135°.
advantages
◗ Simple and reliable system, used for
more than 10 years.
◗ Easy-to-use, precise instruments.
◗ System suitable for a large number of
pathologies.
CL revizija
CL REVIzIJu proteze kuka karakterizira
dugi stem sa ovratnikom i zamišljena je za
cementne revizije.
tijelo je na raspolaganju u tri veličine (dulji-
na 185, 205 ili 255mm)
CL REVIzIJA proteze realizirana je u
ti6AI4V
Legura titanija (AStM F 1 36) ima konus
12/14 a CCD kut iznosi 135”.
prednosti
◗ jednostavan i pouzdani sistem koji se
može rabiti i 10 godina
◗ precizni instrumenti, laka uporaba
◗ sistem odgovara velikom broju pato-
logija.
Cemented Stems - Taper 12/14 Cementno tijelo – konus 12/14
Ti6Al4V
2710.15.045 h. 185 mm h. 185 mm
2710.15.055 h. 205 mm h. 205 mm
2710.15.065 h. 255 mm h. 255 mm
Instrument Set Komplet instrumenata
n 9026.10.015 MEDIUM Rasp SREDNJA rašpa
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the CL tRAuMA stem may be implanted
through the usual surgical approaches to
the hip joint. the following pictures refer
to the postero-lateral approach.
1. Preparation of the opera-tive field
the patient is lying in a lateral position.
Postero-lateral incision (Fig. 1).
After opening the fascia lata and detach-
ing the lateral rotators, the joint cap is cut
and the head of the femur dislocated
posteriorly.
2. resection of the femoral head
Remove the femoral head by transcervi-
cal resection, according to what planned
pre-operatively, at a 45° angle with the
axis of the femur (Figs. 2-3).
3. Preparation of the medul-lary canal
the dyaphisis is punched by means of
a chisel available in the operating room
(Fig. 4).
the preparation of the medullary canal
begins with the solid rasp, starting with
the smallest one and keeping the correct
antiversion (ca. 15°) (Figs. 5-6).
CL tRAuMA tijelo može se implantirati
kroz uobičajene kirurške pristupe zglobu
kuka. Slijedeće slike odnose se na postero-
lateralni pristup.
1. priprema operativnog područja
pacijent leži u lateralnoj poziciji.
postero-lateralna incizija (al. 1)
Nakon otvaranja fascie lata i skidanja
lateralnih rotatora, reže se čašica zgloba i
posteriorno dislocira femur.
2. resekcija femoralne glave
Femoralna glava se uklanja transcervikal-
nom resekcijom uskladu s onim što je
pre-operativno planirano, pod kutem od
45” na os femura
3. priprema medularnog kanala
Diafiza se probuši pomoću dlijeta koje je na
raspolaganju u Op-sali (sl. 4).
priprema medularnog kanala započinje sa
solidnim turpijanjem pri čemu se započinje
s najmanjom rašpom, uz održanje korektne
antiverzije (oko 15”) (sl. 5-6).
〔1〕
〔2〕
〔3〕
〔4〕
〔5〕
〔6〕
Surgical technique Kirurška tehnika
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4. cement introduction and stem implant
Acrylic cement is filled into the medullary
canal (Fig. 7).
By means of an impactor insert the stem
into the medullary canal and gently tap
until prosthesis is fully seated.
5. trial reduction
the determination of the head size is
now possible.
Fit the trial heads (28 or 32 mm dia.)
over the stem taper and reduce the jpint
seating the head into the acetabular cup
previously implanted. Choose the length
of the femoral head to be used (S, M, L)
testing the joint tension (Fig. 8).
Remove the trial head.
6. Head insertion
Verify with care the cvleanness of the
Morse tapers and fit the femoral head.
A gentle axial tap with a plastic beater
ensures the stability of the head-stem
coupling (Fig. 9).
7. Final reduction
At the end verify the perfect cleanness
of the sliding surfaces and definitively
reduce the joint (Fig. 10).
4. uvođenje cementa i tijela imlantata
Medularni kanal se puni akrilnim ce-
mentom (sl. 7).
pomoću impaktora se tijelo uvodi u medu-
larni kanal i blago ga se udara sve dok nije
sjeo u potpunosti
5. probna redukcija
Sada je moguće odrediti veličinu glave.
postavite probnu glavu (28 ili 32mm) preko
konusa stema i reducirajte sjedište zgloba
postavljanjem glave u acetabularnu
čašicu koja je implantirana prethodno.
Izaberite duljinu femoralne glave koju
ćete rabiti (S,M,L) s testiranjem napetosti
zgloba (sl. 8).
uklonite pokusnu glavu.
6. umetanje glave
provjerite pažljivo čistoću Morse konusa i
montirajte femoralnu glavu. Blagi aksialni
udarac plalstičnim čekićem osigurati će
stabilnost spoja tijelo-glava (sl. 9).
7. konačna redukcija
Na kraju provjerite apsolutnu čistoću
kliznih površina i definitivno reducirajte
zglob (sl. 10).
s u r G i c a L t e c H n i Q u eO p e r a č n í p O s t u p
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For further information about our products,
please visit our web site www.lima.it
this documentation has been written by
Lima-Lto Sales & technical Department
Glede daljnjih obavijesti o našim proizvdi-
ma molimo vas da pogledate našu web
stranicu www.lima.it
Ovu dokuemtaciju ispostavio je Odsjek za
prodaju i tehnički odsjek tvrtke Lima-Lto.
t. +39 0432 945511F. +39 0432 [email protected]
Via Nazionale, 5233030 VillanovaSan Daniele del Friuliudine - Italy
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