orthopaedic implant.pptx orthopaedic implant.pptx

orthopaedic implant.pptx

1. Defenisi Implant Orthopaedic I mplan adalah perangkat yang ditempatkan sebagai pengganti tulang untuk menyangga fraktur . Dalam konteks ini, implan dapat ditempatkan di dalam tubuh (internal) ataupun di luar tubuh (eksternal).

2. Material Implant Orthopaedic Metal Stainless steel Titanium Titanium alloy Cobal-cromium alloy Polymer Ceramics Simon.J.P,Department Of Orthopaedic Surgery, Pellenberg University Hospital,Belgium Pinnacle THR JnJ

3. Head ……… Shaft ……… Thread …… Core ……… Screw

4. Head

5. Thread design - Cortical bone - Cancellous bone AOK

6. Screw Tips blunt tip selfcutting with trocar cork screw tip Self tapping Self drill AOK

7. Cortical Screws - Use for cortical bone - Are fully threaded - Pre-tapped or self tapping - Has its coresponding drill & tap

8. Cancellous Screw Use for cancellous bone Three kinds of thread :16mm, 32mm, fully threaded - Self cutting

9. Large cannulated screw - Core diameter 4.5mm - 2 thread lengths : 16, 32mm - Guide wire with threaded tip diameter 2.0mm

10. Malleolar Screw - 4.5mm diameter - rarely used

11. AOK

12. Large Screw Set - cortical - cancellous - cannulated AOK Broad DCP Narrow DCP T-Plate L - BUTTRESS PLATE Large Fragment implant

13. Small Screw Set - cortical - cancellous - cannulated Small DCP 1/3 tubular Reconstruction Plate Small Fragment Implant 3,5mm T-Plate Right Angle

14. Design hole of plate Round hole plate Dynamic compression plate(DCP ) Locking Compression Plate (LCP) PLATES

15. First plate Evolution of Plate Fixation First plate First plate plate First plate

16. First plate Dynamic Compression Plate (DCP) Evolution of Plate Fixation Vascular damage by plate-to-bone contact

17. First plate DCP (Dynamic Compression Plate) LC-DCP Evolution of Plate Fixation Bone contact area reduced to 50%

18. Evolution of Plate Fixation First plate DCP (Dynamic Compression Plate) LC-DCP LCP

19. NAIL DIAMETER Locking screw Protection sleeve Drill sleeve trocar Calibrated drll bit 8,0mm & 9,0mm Ø 4,0 mm 12,0mm/8,0mm 8.0 mm/3.2 mm Ø 3.2 mm Ø 3.2 mm 10.0 mm– 13.0 mm Ø 5.0 mm 12.0 mm/8.0 mm 8.0 mm/4.2 mm Ø 4.2 mm Ø 4.2 mm Tibia Nail Cancellous Locking Screws Ø 5.0 mm Lengths: 30 mm–90 mm Locking Screws 4.0 mm Lengths: 18 mm–80 mm

20. Nail diameter Locking screw Protection sleeve Drill sleeve Trocar Drill bit Ø 9–13 mm Ø 5.0 mm 12.0/8.0 mm 8.0/4.2 mm Ø 4.2 mm Ø 4.2 mm Ø 14–16 mm Ø 6.0 mm 12.0/8.0 mm 8.0/5.0 mm Ø 5.0 mm Ø 5.0 mm Femoral Nail Locking Screw Ø 5.0 mm Lengths: 26–100 mm Locking Screws Ø 6.0 mm Lengths: 26–100 mm

21. Titanium Elastic Nail (TEN)

22. Total knee Replacement (TKR)

23. Total Hip Replacement (THR)

24. Hemiarthroplasty Bipolar

25. Shoulder arthroplasty Wrist arthroplasty Ankle arthroplasty

26. Endobutton Implant Arthroscopy Anchor suture graftmax

27. Polyaxial with Nut Monoaxial with Nut Countersink Pedicle Screw

28. Transforaminal lumbar Interbody Fusion (TLIF) Anterior lumbar Interbody Fusion (ALIF) Lateral Mesh Titanium Anterior Cervical Locking Plate