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Mitek半月板修复系统Mitek半月板修复系统AnatomyProductoverviewInstructionsforuseHands-onworkshopAgendaAnatomyAgendaMeniscalfunction
Loadtransmission负荷转移Jointstability稳定关节Shockabsorption振荡吸收Jointlubrication润滑关节Jointnutrition营养关节AnatomyMeniscalfunction
AnatomyCrescent-shapedfibrocartilage新月形纤维软骨组织Collagenfibersarranged胶原纤维分布longitudinallyandradially
纵形放射状分布Triangularincrosssection横切面呈三角型MeniscalAnatomyCrescent-shapedfibrocartilageLateral-circularshaped
Medial-C-shaped
Connectedanteriorlybytransversemeniscalligament在前部由半月板横韧带连接
Directbonyattachmentsatanteriorandposteriorhorns
前后角骨性连接Lateralandmedialcoronaryligaments内外侧有冠状韧带LateralMedialMeniscalAnatomyLateral-circularshaped
LateAnatomyAnatomyThreeZones
Red-RedZone
Red-WhiteZone
White-WhiteZoneMeniscalBloodSupplyThreeZones
MeniscalBloodSupLocationinrelationshiptocircumference
Anterior1/3
Middle1/3
Posterior1/3ClassificationofTearsLocationinrelationshipClassiTRAUMATIC
创伤性-Youngerpatients-Usuallysportsrelated-Moreperipheralthusrepairable外围可以修补-MaybeassociatedwithACLDEGENERATIVE变性性-Olderpatients-Complextears-Usuallynotrepairable-AgegrouptypicallynotsuitedforrepairMeniscalTearsTRAUMATIC
创伤性DEGENERATIVEMen半月板缝合系统课件TreatmentPartialMenisectomy
Complexdegenerativetears复杂变性撕裂。Centralorradialtears放射状撕裂Deformedorirreparablebucket-handletears严重桶状裂Tearsoftheinneredgeofmeniscus半月板内缘撕裂PreservestablemeniscustopreservejointfunctionTreatmentPartialMenisectomy
Treatment-RepairFactorstoconsider因素Patientage年龄Chronicityofinjury是否慢性损伤Type,locationandlengthoftear类型、位置、长度Associatedligamentousinjuries联合损伤Idealcandidate理想条件Youngperson年轻Acutelongitudinalperipheraltear急性纵相外周损伤1-2cminlength1-2cm长Treatment-RepairFactorstocTypesofTearsBuckethandle/verticallongitudinal
Flap,parrotbeak/oblique
Radial/transverse
TypesofTearsBuckethandle/vTypesofTearsCleavage/horizontal
Degenerative/complexTypesofTearsCleavage/horizonWhatIsIt?WhatIsIt?Rapidloc™
MeniscalRepairSystemBackstop(PLA)Tophat(PLA/PDS)Panacryl/EthibondSutureRapidloc™
ImplantRapidloc™
MeniscalRepairSysRapidLocPDSPDSTophatMaintains80%strengthat6weeks10%at12weeksRapidLocPDSPDSTophatRapidloc™
MeniscalRepairSystem27°curvedneedle228322
12°curvedneedle228321
Straightneedle228320Rapidloc™
MeniscalRepairSysRapidloc™
MeniscalRepairSystemArthroscopicPusherRequired-Otherpushersdonotwork.Rapidloc™
MeniscalRepairSysNewPusher-CutterArthroscopicPusher-CutterforRapidLocWorksasaKnot-PusherCutssutureaftertophatiscompressedtotissueNewPusher-CutterArthroscopiRapidloc™
MeniscalRepairSystemDeliverySystemExistingMeniscalApplierLessKickbackRapidloc™
MeniscalRepairSysSurgicalTechniqueSurgicalTechniqueRapidloc™
SurgicalTechniqueIndicatedforbucket-handlelesionsintheVascularizedareasofthemeniscus.
桶状裂PreparationoftheteariscriticalFreshenthetearwitharasporshaver.
修整创伤面Rapidloc™
SurgicalTechniqueIRapidloc™
SurgicalTechniqueInserttheapplierthroughastandardportal
通过标准入路插入填充琦ThroughportalaloneThroughacannulaWiththeaidofthe
malleablegraftretractorRapidloc™
SurgicalTechniqueIRapidloc™
SurgicalTechniqueUseneedleandsiliconetubingtoreducethetearRapidloc™
SurgicalTechniqueURapidloc™
SurgicalTechniquePasstheneedlethroughtheMeniscalsubstanceandintothePericapsulartissuePosteriorly.将针穿过半月板穿到关节囊后Rapidloc™
SurgicalTechniquePRapidloc™
SurgicalTechniqueDeploythebackstop
展开挡板Maintainpressureontheguntopreventkickback保持压力Removeneedleandapplierfromjoint
撤出针及枪Rapidloc™
SurgicalTechniqueDRapidloc™
SurgicalTechniquePullonthelimbofsuturetoassurecaptureandfixationofthebackstop推线确保固定牢靠Rapidloc™
SurgicalTechniquePRapidloc™
SurgicalTechniqueUsingtheArthroscopicpusherslidetheknotandTophatdowntothesurfaceofthetissue
用推结器将结推到半月板Useapull/pushactionPullonthesuturewithslightlymoretensiontoavoidslackinthesuture
Rapidloc™
SurgicalTechniqueURapidloc™
SurgicalTechniqueCutthelimbofsuture
剪线Repeatwithadditionalimplants
相同方法植入Probetoassuretearisstable探钩确认固定牢靠Rapidloc™
SurgicalTechniqueCRapidloc™
WhyisitBetter?Rapidloc™WhyisitBetter?WhyIsItBetter?FlexibilityMorechoicesforthesurgeon
Nomeasuring/nofixedlengthOneimplant
DependablecompressionControlledbysurgeonWhyIsItBetter?FlexibilityWhyIsItBetter?Flexiblefixation柔性固定Sutureacrosstearversusrigidmaterial,likethemeniscusMinimizeArticularcartilagedamage关节软骨损伤最小化TOPHATpivotsandliesflushagainsttissueWhyIsItBetter?FlexiblefixaMitek半月板修复系统Mitek半月板修复系统AnatomyProductoverviewInstructionsforuseHands-onworkshopAgendaAnatomyAgendaMeniscalfunction
Loadtransmission负荷转移Jointstability稳定关节Shockabsorption振荡吸收Jointlubrication润滑关节Jointnutrition营养关节AnatomyMeniscalfunction
AnatomyCrescent-shapedfibrocartilage新月形纤维软骨组织Collagenfibersarranged胶原纤维分布longitudinallyandradially
纵形放射状分布Triangularincrosssection横切面呈三角型MeniscalAnatomyCrescent-shapedfibrocartilageLateral-circularshaped
Medial-C-shaped
Connectedanteriorlybytransversemeniscalligament在前部由半月板横韧带连接
Directbonyattachmentsatanteriorandposteriorhorns
前后角骨性连接Lateralandmedialcoronaryligaments内外侧有冠状韧带LateralMedialMeniscalAnatomyLateral-circularshaped
LateAnatomyAnatomyThreeZones
Red-RedZone
Red-WhiteZone
White-WhiteZoneMeniscalBloodSupplyThreeZones
MeniscalBloodSupLocationinrelationshiptocircumference
Anterior1/3
Middle1/3
Posterior1/3ClassificationofTearsLocationinrelationshipClassiTRAUMATIC
创伤性-Youngerpatients-Usuallysportsrelated-Moreperipheralthusrepairable外围可以修补-MaybeassociatedwithACLDEGENERATIVE变性性-Olderpatients-Complextears-Usuallynotrepairable-AgegrouptypicallynotsuitedforrepairMeniscalTearsTRAUMATIC
创伤性DEGENERATIVEMen半月板缝合系统课件TreatmentPartialMenisectomy
Complexdegenerativetears复杂变性撕裂。Centralorradialtears放射状撕裂Deformedorirreparablebucket-handletears严重桶状裂Tearsoftheinneredgeofmeniscus半月板内缘撕裂PreservestablemeniscustopreservejointfunctionTreatmentPartialMenisectomy
Treatment-RepairFactorstoconsider因素Patientage年龄Chronicityofinjury是否慢性损伤Type,locationandlengthoftear类型、位置、长度Associatedligamentousinjuries联合损伤Idealcandidate理想条件Youngperson年轻Acutelongitudinalperipheraltear急性纵相外周损伤1-2cminlength1-2cm长Treatment-RepairFactorstocTypesofTearsBuckethandle/verticallongitudinal
Flap,parrotbeak/oblique
Radial/transverse
TypesofTearsBuckethandle/vTypesofTearsCleavage/horizontal
Degenerative/complexTypesofTearsCleavage/horizonWhatIsIt?WhatIsIt?Rapidloc™
MeniscalRepairSystemBackstop(PLA)Tophat(PLA/PDS)Panacryl/EthibondSutureRapidloc™
ImplantRapidloc™
MeniscalRepairSysRapidLocPDSPDSTophatMaintains80%strengthat6weeks10%at12weeksRapidLocPDSPDSTophatRapidloc™
MeniscalRepairSystem27°curvedneedle228322
12°curvedneedle228321
Straightneedle228320Rapidloc™
MeniscalRepairSysRapidloc™
MeniscalRepairSystemArthroscopicPusherRequired-Otherpushersdonotwork.Rapidloc™
MeniscalRepairSysNewPusher-CutterArthroscopicPusher-CutterforRapidLocWorksasaKnot-PusherCutssutureaftertophatiscompressedtotissueNewPusher-CutterArthroscopiRapidloc™
MeniscalRepairSystemDeliverySystemExistingMeniscalApplierLessKickbackRapidloc™
MeniscalRepairSysSurgicalTechniqueSurgicalTechniqueRapidloc™
SurgicalTechniqueIndicatedforbucket-handlelesionsintheVascularizedareasofthemeniscus.
桶状裂PreparationoftheteariscriticalFreshenthetearwitharasporshaver.
修整创伤面Rapidloc™
SurgicalTechniqueIRapidloc™
SurgicalTechniqueInserttheapplierthroughastandardportal
通过标准入路插入填充琦ThroughportalaloneThroughacannulaWiththeaidofthe
malleablegraftretractorRapidloc™
SurgicalTechniqueIRapidloc™
SurgicalTechniqueUseneedleandsiliconetubingtoreducethetearRapidloc™
SurgicalTechniqueURapidloc™
SurgicalTechniquePasstheneedlethroughtheMeniscalsubstanceandintothePericapsulartissuePosteriorly.将针穿过半月板穿到关节囊后Rapidloc™
SurgicalTechniquePRapidloc™
SurgicalTechniqueDeploythebackstop
展开挡板Maintainpressureontheguntopreventkickback保持压力Removeneedleandapplierfromjoint
撤出针及枪Rapidloc™
SurgicalTechniqueDRapidloc™
SurgicalTechniquePullonthelimbof
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