CL Trauma + CL Revision

Hip Prosthesis Proteza kuka

Product description a n d SUR G ICA L TEC H NI Q UE Opis proizvoda i kirurška tehnika

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Index

Sadržaj

page/strana 3

Product description

Opis proizvoda

page/strana 3

CL Trauma

CL trauma

page/strana 4

CL Revision

CL revizija

page/strana 4

Advantages

Prednosti

page/strana 5

Surgical Technique

Kirurška tehnika

page/strana 5

1. Preparation of the operative field

1. Priprema operacijskog područja

page/strana 5

2. Resection of the femoral head

2. Resekcija femralne glave

page/strana 5

3. Preparation of the medullary canal

3. Priprema medularnog kanala

page/strana 6

4. Cement introduction and stem implant

4. Postavljanje cementa i implantata

page/strana 6

5. Trial reduction

5. Probna redukcija

page/strana 6

6. Head insertion

6. Umetanje glave

page/strana 6

7. Final reduction

7. Konačna redukcija

LEONARDO DA VINCI: the Vitruvian Man. Studies of human proportions (1490) LEONDARDO DA VINCI: Vitruvijski čovjek. Studije ljudskih proporcija (1490) 

Product description

Opis proizvoda

CL Trauma

CL trauma

The CL TRAUMA cemented hip pros-

CL TRAUMA cementna proteza kuka

thesis fills the diaphyseal canal so good

ispunjava diafizni kanal na tako dobar

that the layer of acrylic cement is made

način, da je sloj akrilnog cementa uni-

uniform, both antero-posteriorly and

forman i antero-posteriorno i latero-me-

latero-medially.

dialno.

The straight shape and an appropriate

Ravni oblik i odgovarajuća duljina osigura-

length assure a safe implant stability

vaju sigurnosnu stabilnost implantanta čak

even in cases of bones with insufficient

i u slučaju kostiju s premalo trofizama.

trophism.

Veliki vijenac omogućava puni kontakt s

A large collar favours the full contact with

kalkarnom regijom

the calcar region.

Sekcija otpora proteze proizvedena je s

The resisting section of the prosthesis has

ciljem minimiziranja svih napetosti koje se

been conceived with the aim of minimizing

vrše na cement.

all stresses applied to the cement.

CL TRAUMA stem predstavlja CCD kut od

The CL TRAUMA stem presents a 135°

135”, na raspolaganju je u tri veličine i rea-

CCD angle, is available in three sizes and

liziran je s nehrđajućim čelikom AISI 316 L

is realized with stainless steel AISI 316 L

(ASTN F 1348).

(ASTM F 1348).

12/14 konus stema kompatibilan je sa svim

The 12/14 taper is compatible with

femoralnim glavama jer ima promjer 22.2,

all femoral heads having 22.2, 28, 32

28, 32 i 36 mm za totalne implatante ili s

and 36 mm diameter fot total implants

endo i biartikularnim glavam za aplikacije

or with endo and biarticular heads for

u traumatologiji.

applications in traumatology.

Sistem se isporučuje s osnovnim kom-

The system is supplied with an essential

pletom instrumenata koji su laki za upora-

and easy-to-use instrument set, made of

bu, napravljeni sa serijom od tri monolitne

a series of three monolitic rasps.

rašpe.

Trial heads for preliminary reductions are

Probne glave za preliminarne redukcije na

available on request.

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



Product Description Opis proizvoda

CL Revision

CL Revizija

The CL REVISION hip prosthesis is char-

CL REVIZIJU proteze kuka karakterizira

acterized by a long collared stem and is

dugi stem sa ovratnikom i zamišljena je za

conceived for cemented revisions.

cementne revizije.

The stem is available in three sizes

Tijelo je na raspolaganju u tri veličine (dulji-

(length 185, 205 or 255 mm) to assure a

na 185, 205 ili 255mm)

good distal fixation.

CL REVIZIJA proteze realizirana je u

The CL REVISION prosthesis is realized in

Ti6AI4V

Ti6AI4V Titanium Alloy (ASTM F 136), has

Legura titanija (ASTM F 1 36) ima konus

12/14 taper and the CCD angle amounts

12/14 a CCD kut iznosi 135”.

to 135°.

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 n 9026.10.015

SREDNJA rašpa

MEDIUM Rasp

Advantages

Prednosti

◗ Simple and reliable system, used for

◗ jednostavan i pouzdani sistem koji se

more than 10 years.

može rabiti i 10 godina

◗ Easy-to-use, precise instruments.

◗ precizni instrumenti, laka uporaba

◗ System suitable for a large number of

◗ sistem odgovara velikom broju pato-

pathologies.



Komplet instrumenata

logija.

Surgical Technique

Kirurška tehnika

The CL TRAUMA stem may be implanted

CL TRAUMA tijelo može se implantirati

through the usual surgical approaches to

kroz uobičajene kirurške pristupe zglobu

the hip joint. The following pictures refer

kuka. Slijedeće slike odnose se na postero-

to the postero-lateral approach.

lateralni pristup.

1. Preparation of the operative field

1. Priprema operativnog pod­ ručja

The patient is lying in a lateral position.

Pacijent leži u lateralnoj poziciji.

Postero-lateral incision (Fig. 1).

Postero-lateralna incizija (al. 1)

After opening the fascia lata and detach-

Nakon otvaranja fascie lata i skidanja

ing the lateral rotators, the joint cap is cut

lateralnih rotatora, reže se čašica zgloba i

and the head of the femur dislocated

posteriorno dislocira femur.

〔1〕

〔2〕 〔3〕

posteriorly.

〔4〕

2. Resection of the femoral head

2. Resekcija femoralne glave Femoralna glava se uklanja transcervikal-

Remove the femoral head by transcervi-

nom resekcijom uskladu s onim što je

cal resection, according to what planned

pre-operativno planirano, pod kutem od

pre-operatively, at a 45° angle with the

45” na os femura

axis of the femur (Figs. 2-3).

〔5〕

3. Preparation of the medullary canal

3. Priprema medularnog ka­ nala

The dyaphisis is punched by means of

Diafiza se probuši pomoću dlijeta koje je na

a chisel available in the operating room

raspolaganju u OP-sali (sl. 4).

(Fig. 4). The preparation of the medullary canal

Priprema medularnog kanala započinje sa

begins with the solid rasp, starting with

solidnim turpijanjem pri čemu se započinje

the smallest one and keeping the correct

s najmanjom rašpom, uz održanje korektne

antiversion (ca. 15°) (Figs. 5-6).

antiverzije (oko 15”) (sl. 5-6).

〔6〕 

Surgical Technique Op er ační postup

〔7〕

〔8〕

4. Cement introduction and stem implant

4. Uvođenje cementa i tijela imlantata

Acrylic cement is filled into the medullary

Medularni kanal se puni akrilnim ce-

canal (Fig. 7).

mentom (sl. 7).

By means of an impactor insert the stem

Pomoću impaktora se tijelo uvodi u medu-

into the medullary canal and gently tap

larni kanal i blago ga se udara sve dok nije

until prosthesis is fully seated.

sjeo u potpunosti

5. Trial reduction

5. Probna redukcija

The determination of the head size is

Sada je moguće odrediti veličinu glave.

now possible.

Postavite probnu glavu (28 ili 32mm) preko

Fit the trial heads (28 or 32 mm dia.)

konusa stema i reducirajte sjedište zgloba

over the stem taper and reduce the jpint

postavljanjem glave u acetabularnu

seating the head into the acetabular cup

čašicu koja je implantirana prethodno.

previously implanted. Choose the length

Izaberite duljinu femoralne glave koju

of the femoral head to be used (S, M, L)

ćete rabiti (S,M,L) s testiranjem napetosti

testing the joint tension (Fig. 8).

zgloba (sl. 8).

Remove the trial head.

Uklonite pokusnu glavu.

6. Head insertion

6. Umetanje glave

Verify with care the cvleanness of the

Provjerite pažljivo čistoću Morse konusa i

Morse tapers and fit the femoral head.

montirajte femoralnu glavu. Blagi aksialni

A gentle axial tap with a plastic beater

udarac plalstičnim čekićem osigurati će

ensures the stability of the head-stem

stabilnost spoja tijelo-glava (sl. 9).

coupling (Fig. 9).

〔9〕

〔10〕 

7. Final reduction

7. Konačna redukcija

At the end verify the perfect cleanness

Na kraju provjerite apsolutnu čistoću

of the sliding surfaces and definitively

kliznih površina i definitivno reducirajte

reduce the joint (Fig. 10).

zglob (sl. 10).

For further information about our products,

Glede daljnjih obavijesti o našim proizvdi-

please visit our web site www.lima.it

ma molimo vas da pogledate našu web stranicu www.lima.it

This documentation has been written by

Ovu dokuemtaciju ispostavio je Odsjek za

Lima-Lto Sales & Technical Department

prodaju i Tehnički odsjek tvrtke Lima-Lto.

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