半月板缝合系统.ppt

Rapidloc? Meniscal Repair System Arthroscopic Pusher Required - Other pushers do not work. New Pusher - Cutter Arthroscopic Pusher- Cutter for RapidLoc Works as a Knot-Pusher Cuts suture after tophat is compressed to tissue Rapidloc? Meniscal Repair System Delivery System Existing Meniscal Applier Less Kickback Surgical Technique Rapidloc? Surgical Technique Indicated for bucket-handle lesions in the Vascularized areas of the meniscus. 桶状裂 Preparation of the tear is critical Freshen the tear with a rasp or shaver.修整创伤面 Rapidloc? Surgical Technique Insert the applier through a standard portal通过标准入路插入填充琦 Through portal alone Through a cannula With the aid of the  malleable graft retractor Rapidloc? Surgical Technique Use needle and silicone tubing to reduce the tear Rapidloc? Surgical Technique Pass the needle through the Meniscal substance and into the Pericapsular tissue Posteriorly. 将针穿过半月板穿到关节囊后 Rapidloc? Surgical Technique Deploy the backstop展开挡板 Maintain pressure on the gun to prevent kickback保持压力 Remove needle and applier from joint撤出针及枪 Rapidloc? Surgical Technique Pull on the limb of suture to assure capture and fixation of the backstop推线确保固定牢靠 Rapidloc? Surgical Technique Using the Arthroscopic pusher slide the knot and Tophat down to the surface of the tissue用推结器将结推到半月板 Use a pull/push action Pull on the suture with slightly more tension to avoid slack in the suture Rapidloc? Surgical Technique Cut the limb of suture 剪线 Repeat with additional implants相同方法植入 Probe to assure tear is stable探钩确认固定牢靠 Rapidloc? Why is it Better? Why Is It Better? Flexibility More choices for the surgeon No measuring/no fixed length One implant  Dependable compression Controlled by surgeon Why Is It Better? Flexible fixation柔性固定 Suture across tear versus rigid material, like the meniscus Minimize Articular cartilage damage关节软骨损伤最小化 TOPHAT pivots and lies flush against tissue * * * *