Surgical technique cable system depuy synthes 5 indications orthopaedic trauma surgery incl. Pdf exeter small femoral stem for patients with small femurs. Early results of a new cemented hemiarthroplasy for femoral neck fracture. Ventura county medical center icu manual 2008 atls manual for doctors, 8th edition sincerely, thomas duncan, do, facs javier romero, md, facs thomas. The exeter hip system celebrates 40 years and 1 million stems. Orthopaedic trauma teaching resource, including common classification systems and overview pages looking at all musculoskeletal injuries. A prospective study of hip revision surgery using the. Throughout this rapidly evolving situation, the health and wellbeing of our staff, business partners, and our customers are our priority. Advanced trauma and surgery ebook pdf free download edited by xiaobing fu and liangming liu published by springer about the book. This first edition textbook of advanced trauma and surgery discusses different aspects of trauma surgery, ranging from the various types of trauma and their management, infection, sepsis. It all starts with rocktite flutes which provide rocksolid distal fixation in all bone types. A cement reamer has been developed to allow the safe. Pdfadvanced trauma and surgery ebook free download fbfa.
The exeter universal cemented femoral component stryker, newbury, uk is currently the. Attendees of the international orthopaedic trauma care forum will. Cemented thompson hemiarthroplasty versus cemented exeter. The year 2010 will see two major milestones for the exeter hip replacement stryker. In the seventh uk national joint registry report of 2010, the exeter v40 hip was the market leader, with 60% of the market. Zimmer sidus stemfree shoulder surgical technique 06. Pdf we present a single case of fracture of an exeter femoral prosthesis at the neck, occurring after a fall from standing height, in a lean 70yr. Recent guidance recommends the use of a wellproven cemented femoral stem for hemiarthroplasty in the management of fractures of the femoral neck, and the exeter trauma stem ets has been. Vanguard knee system total knee arthroplasty zimmer biomet.
Ha stems, are cementless designs developed following the classic tapered stem philosophy. The exeter trauma stem ets is a double tapered polished stem stryker orthopaedics, mahwah, new jersey based on the design of an exeter v40 stem. Surgical approach each surgeon should use the surgical approach for total hip arthroplasty which is most. The streamlined system helps promote operating room efficiencies by simplifying the training required for or staff. This study prospectively evaluates the first 50 ets hemiarthroplasties performed as a primary treatment for fractured neck of femur at norfolk and norwich university hospital.
Numerous different designs of hemiarthroplasty are available but few have been compared within the context of a randomised controlled trial. The highly polished, double tapered design of the exeter hip has demon. The adaptable design allows the surgeon to customize the proximaldistal mismatch for the best stem fit without compromising stem strength. The polarstem has been clinically used since 2002 and is based on a philosophy that has yielded excellent clinical results in the last 25 years. The collarless, polished, doubletaper design concept used in the cpt hip system has proven itself clinically in more than 25 years of use this distinctive design philosophy is based on the use of natural compressive forces to help ensure that the implant is firmly seated and wedged within the cement mantle. The modularity of the revitan curved revision stem allows the surgeon to treat a wide range of indications.
The exeter hip system allows interoperative changes in offset, leg length and version, all independent of one another. The theoretical effects of stem debonding on increasing cement tensile stress failure potential, was a factor of six for the exeter stem versus a factor of 0. Trauma surgical techniques for all 28, biologics, external fixation, im nails, trigen, plates and screws, periloc. The aim of this study is to report the outcomes of this procedure and to compare them when either the exeter stryker, kalamazoo, michigan or. Zimmer biomets taperloc complete hip system builds on the clinically proven taperloc hip stem.
Subsidence of the femoral stem in primary hip arthroplasty has been studied extensively, but much less is known about its signi. Exeter trauma stem for intracapsular neck of femur fracture. Trauma fixation and extremities surgical techniques smith. Learn the exeter trauma stem for intracapsular neck of femur fracture stryker surgical technique with step by step instructions on orthoracle. A prospective study of hip revision surgery using the exeter longstem prosthesis.
Trauma fixation and extremities surgical techniques. He undertook his basic surgical training in at guys and st thomas, cambridge and exeter. Polarstem cemented and cementless hip stems bmt medical devices. Highly crosslinked x3 sockets are becoming available. The revitan straight revision prosthesis incorporates the knowledge gained from 20 years of clinical experience in cementless revision to meet current clinical requirements. Pdf prosthetic fracture of a cemented exeter femoral stem. Exeter is a cobaltfree implant 8 and features orthinox forged stainless steel one exeter accommodates primary, revision and hip fracture cases with one implant and instrument system. Femoral windows have been used as a portal for removing the distal segment.
Adding to the vanguard knee system, the verasense surgical solution from orthosensor is a singleuse, wireless sensor that takes the place of standard tibial insert trials and provides surgeons with dynamic intraoperative feedback without. Us federal law restricts the sale of these devices to or on the order of a physician. Comparison of the exeter trauma stem and the thompson. Fracture of the contemporary exeter stem v40 stryker uk limited, newbury, uk is an infrequent complication. Traumainduced femoral or tibial fractures important due to the design, it is possible to switch with relatively little effort, even intraoperatively. Our technique provides a safe method to quickly and easily remove a cemented exeter stem using equipment readily available in almost all uk orthopedic centers. The exeter x3 rimfit cup is a highly crosslinked polyethylene cemented cup. The ets was first introduced on the market in 2002 and has been used in the authors institution since then. The simple surgical technique leads to reproducible results and allows implantation using both conventional and minimally invasive techniques. Exeter femoral stem and tritanium acetabular component stryker surgical technique with step by step instructions on orthoracle.
The similarities between the ets and the exeter stem make this a straight forward process for even. Revision surgery comprised a femoral osteotomy, replacement of the femoral. Our elearning platform contains high resolution images and a certified cme of the exeter trauma stem for intracapsular neck of femur fracture stryker surgical procedure. Surgical adhesive tape is used to hold the broach handle closed. The exeter hip system allows interoperative changes. Surgical technique all operations were performed at the heart of england nhs trust by the senior author in dedicated orthopaedic theatres. Jun 10, 2012 more than 5 mm of subsidence was observed in only 2 hips. A series of four fractured exeter stems in hip arthroplasty ncbi. Minimally invasive procedures bring technique and implant together in a.
Each chapter incorporates key questions on a particular topic and answers are provided along with the strength of the recommendation in clear tabular form for quick reference and easy interpretation. The purpose of the present study was to analyze the retrospective clinical and radiographic results of femoral revision arthroplasties with impaction bone grafting performed by experienced japanese surgeons. Article pdf available in journal of orthopaedic surgery hong kong 193. This information is intended for health care professionals in the united states only caution. Eight procedures were performed by consultants, thirty eight by registrars training years three to six and four by. The exeter trauma stem is a lowercost monobloc stem for hip hemiarthroplasty in the context of an intracapsular hip fracture. Exeter v40 femoral stem using exeter broach stryker meded. Exeter trauma stem hip hemiarthroplasty cambridge orthopaedics. The precisionmanufactured forged cocr connection taper provides strength and reliability to the revitan revision system. A highly formatted approach provides stepbystep instructions with.
Whichever approach is used, a full exposure of both the acetabulum and the. Unipolar versus bipolar exeter hip hemiarthroplasty. The similarities between the ets and the exeter stem make this a straight forward process for even the less experienced surgeon and theatre team. An idiots guide to south tees hospitals nhs foundation trust. A surgeon must always refer to the package insert, product label andor instructions. Trauma, emergency general surgery, and surgical critical care problems. Sep 28, 20 the exeter trauma stem is a lowercost monobloc stem for hip hemiarthroplasty in the context of an intracapsular hip fracture. Alamin undertook his higher surgical training in trauma and orthopaedic surgery in the south west peninsula region and has worked in exeter, plymouth and torbay. Femoral cementing technique cement femoral canal plugrestrictorresector. This prospective study examined the relationship between radiological subsidence, western. Patient conditions of noninflammatory degenerative joint disease nidjd. The hollow centraliser should be used with the exeter stem because it provides a space below the stem tip.
Stryker does not dispense medical advice and recommends that surgeons be trained in the use. We investigated the radiographic and clinical records more than 2 years after the surgery in 99 hips of 93 patients. Exeter femoral stem and tritanium acetabular component stryker surgical procedure. Verasense tm quantifies softtissue instability, tibialfemoral rotation, and alignment in total knee arthroplasty. Non surgical treatment file admin activities clinician user reports setup window help. Th e restoration ps hip system is compatible only with stryker orthopaedics femoral bearing heads listed in the chart on page 16. Exeter trauma stem hip herniarthroplasty patient manager south tees live w82201603 170104141507. Alternatives include the lowprofile polyethylene socket and the trident uncemented socket. Exeter trauma stem for intracapsular neck of femur. Twohundred patients presenting with a displaced intracapsular fracture of the hip were randomised to receive either a cemented thompson hemiarthroplasty or a cemented smooth tapered stem hemiarthroplasty exeter trauma stem. Postoperative periprosthetic fractures in hip fracture. Jun 01, 2012 read cemented thompson hemiarthroplasty versus cemented exeter trauma stem ets hemiarthroplasty for intracapsular hip fractures. This publication sets forth detailed recommended procedures for using stryker orthopaedics devices and. Bidwai et al undertook a prospective audit of patient outcomes after a change of practice from using the thompson stem 766 patients to the exeter trauma stem 388 patients in a single centre.
Sidus stemfree shoulder surgical technique 9 general information the sidus stemfree shoulder is indicated for uncemented use in hemi or total shoulder arthroplasty, replacing the shoulder joint of patients suffering severe pain or disability. The 27th of november will be the 40th anniversary of the first exeter hip stem implant in a patient. This advanced trauma and surgery is edited by xiaobing fu and liangming liu. A series of four fractured exeter stems in hip arthroplasty. A modular stem connection allows the use of different stems to stabilize the femoral. File admin activities clinician user reports setup window help. Radiography demonstrated a fracture of the femoral stem fig 3. Understand the pros and cons of getting involved in humanitarian orthopaedic.
Revitan curved offers a flexible and customized solution for demanding revisions. The collarless, polished, doubletaper design concept used in the cpt hip system has proven itself clinically in more than 25 years of use. There is the option for the surgeon to use the rim cutter instrument, as discussed in the protocol. The results of exeter small stems for patients with small femurs are good.
Petheram tg, bone m, joyce tj, serranopedraza i, reed mr, partington pf. Master the key variations and nuances for a full range of emergency techniques. Yet, the inherent tendency of the stem shape to subside, evaluated in the debonded frictionless finite element analysis, was 57% higher for the exeter stem. Further, the surgeon is able to achieve joint stability. We describe a new technique for extraction of the exeter v40 stem using the. Division of trauma and surgical critical care, department of surgery, university of southern california. Exeter is a cobaltfree implant 8 and features orthinox forged stainless steel one exeter. Our elearning platform contains high resolution images and a certified cme of the exeter trauma stem for intracapsular neck of. Our thoughts are with everyone affected by the coronavirus. A prospective study of hip revision surgery using the exeter. It is likely that a similar technique could be used for other cemented stems using the appropriate broach introducers. Periloc targeter systems surgical technique overview.
The success of the exeter total hip system is the result of lessons learned from three decades of clinical experience, research, product development. Jan 18, 2011 the stem is commonly paired with the contemporary polyethylene socket. Migration, stem shape, and surface finish in cemented. Atlas of traumaemergency surgical techniques, a title in the surgical techniques atlas series, presents stateoftheart updates on the full range of trauma and emergency surgical techniques performed today. Exeter stem range allow the surgeon to adjust femoral offset independently of stem size, neck length and leg length. The stem is commonly paired with the contemporary polyethylene socket. The success of the exeter total hip system is the result of lessons learned from three decades of clinical experience, research, product development and, surgical and engineering collaboration. Our elearning platform contains high resolution images and a certified cme of the total hip replacement. The similarities between the ets and the exeter stem make. The exeter v40 stem stryker, newbury, uk is the most commonly inserted cemented stem in. The survival rates at 8 years after the operation were 94. Enter your email address in the form below to receive important gso updates. A randomised trial of 200 patients, injury on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
The exeter cemented femoral hip system is designed for surgeons who are looking to utilise a single system for all hip indications, primary, fracture and revision. Avoid complications with pearls and pitfalls from the authors for every surgical technique. Read cemented thompson hemiarthroplasty versus cemented exeter trauma stem ets hemiarthroplasty for intracapsular hip fractures. Total hip arthroplasty taperloc complete hip system. Cstem amt surgical technique golden state orthopaedics.
It can be used for all standard femoral morphologies. Surgical records stated that the femoral canal would only accept a 35. Hip replacement using a hemiarthroplasty ha is a common surgical procedure in. David cash, jens bayer, karl logan and james wimhurst. Introduction the exeter trauma stem ets is a new monoblock unipolar prosthesis with no independent published series using this implant. He was awarded his fellowship of the royal college of surgeons in 2016. The information presented is intended to demonstrate the breadth of stryker product offerings. This surgical protocol is a guide to preparing the acetabulum for the exeter x3 rimfit cup utilizing exeter contemporary instrumentation. The surface finish differs from that of the exeter stem in that it has not been hand polished. Background the longstem exeter femoral component is commonly used in revision hip surgery. The forged cobaltchromium connection taper, introduced in 1990, has been intensively tested and has proven itself in over 15 years. Postoperative periprosthetic fractures in hip fracture patients.