Pdf dallmiles cable and plate fixation system in the treatment. Accord is an extensive system it includes cobalt chrome and stainless steel cables, trochanteric grips that come in two sizes and four lengths, and even grip trials. We can supply you with the right sizes, types, and quantities of product you need to keep you on schedule and your management happy. Cerclage wires or cables are commonly being used in hip reconstruction procedures like primary especially in patients with developmental hip dysplasia or revision arthroplasty. The tip of the cable passer should stay in close contact to the bone to ensure that the soft tissue surrounding the femur is not compromised by the cables. Although tibial periprosthetic fractures uncommon, they are likely to be encountered more frequently with the increased use of total knee arthroplasty, and they. Trochanteric grips, cableplates, and bone screws are supplied in a. Axsos 3 titanium distal lateral femur locking plate system. To assess the effectiveness of dallmiles cables and plates in the treatment of periprosthetic femoral fractures around hip arthroplasties. Dallmiles cable and plate fixation system in the treatment of periprosthetic femoral fractures. Introduction the kinamed supercable trochanteric grip and cableplate system is designed specifically for use with the. Reattachment of the greater trochanter in total hip. This device was designed with a multifilament cable and an hshaped grip of. The dallmiles doublesided tensioner is a powerful instrument and can damage the cables or cut through the bone if extensive force is applied.
Use this page to learn how to convert between miles and cable u. To assess the effectiveness of dall miles cables and plates in the treatment of periprosthetic femoral fractures around hip arthroplasties. The cables should be parallel to one another and should not be overriding. Dacron graft, dallmiles cables, and harvested semitendinosis andor hamstrings tendon have been used, however, a paucity of biomechanical data on patellar tendon repair strength exists in the literature. Used howmedica dellmiles cable set or instruments for. Twentyone such fractures were treated with dallmiles cable grip system. Slots in the plates ensure that the cables do not slip. I havent seen any threads that share an experience of post revision cable removal. Stryker 67049420 dall miles cable cutter we try our hardest to give 5star service by giving clear, accurate and honest descriptions to the best of our abilities. Today, the dall miles commitment to excellence continues with the introduction of the next generation of dall miles cables and instrumentation. The biomechanical analysis of three plating fixation. The dallmiles cable grip system dmcgs was developed by dall and miles in 1983 and has since been used widely for reattachment of the greater trochanter in hip arthroplasty.
The dallmiles cable and plate fixation system alone is a sufficient treatment for most periprosthetic femoral fractures. Type in your own numbers in the form to convert the units. Locking plate fixation of periprosthetic femur fractures. The dall miles beaded cable and singlesided tensioner have been designed to work together to provide. Dallmiles recon and trauma cable system surgical protocol. They observed that the femoral stems were in varus in all the cases which failed.
Whether or not all cable locations are utilized, all set screws should be locked down at the completion of the procedure. Step 1 position the sleeve at the beaded end of the cable figure 1. When you require a variety of hip fracture and pelvic treatment options look no further. Article information, pdf download for dallmiles cable and plate fixation. Dallmiles cable and plate fixation for the treatment of periprosthetic femoral fractures. The cables manufactured by mark cables fze are clearly marked with the company name, cable size details and voltage ratings. To assess the effectiveness of dallmiles cables and plates in the treatment of. We have continued to develop our products utilizing the latest technologies to meet all of your needs in hip and pelvis reconstruction. Cerclage protocol using beaded cables dall miles beaded cables are recommended for use with the singlesided tensioner for cerclage. Provide products and services that comply with the requirements and. Mont and maar7 also reported poor results, with only 48% satisfactory, when treating these fractures by plates and screws. Pdf nonvascularised fibular autograft for reconstruction. Tension the cable attach the provisional tensioning device 391.
The fluted distal stem design provides diaphyseal rotational. This modified plate allows for fixation using heavy duty circlage cable wire in conjugation with unicortical and. May be used alone as therapy may be used in the presence of a preexisting aicd may be implanted at the same time as the implantation of an aicd 7. Request pdf dallmiles cable and plate system for periprosthetic femoral fracture management of femoral shaft fractures in association with hip implants in. Turn the fluted knob at the end of the tensioner counterclockwise until it stops, and thread the cable through the cable tensioner. Treatment of femoral shaft fractures complicating endoprosthesis remains controversial. Stryker dallmiles cable system which medical device. The typea fracture was fixed with dallmiles cables only, while all others were fixed with laterally placed dallmiles plates secured with cables or a combination of cables and screws.
Ahhough tibial periprosthetic fractures are uncommon, they are likely to be encountered more frequently with the increased. Thread the cerclage cable throuagh the endhole of the cable passer, and pass it around the bone. Use of a dallmiles plate and cables for the fixation of a. Fy10 icd9cm procedure code updates ahima 2009 audio seminar series 4 notescommentsquestions cardiac contractility modulation ccm optimizer iii is the device that. Local or distant migration of a broken cable or wire is a complication that might lead to devastating situations depending on the route of migration.
Accord is efficient because it can be retightened without damaging the cable something other cables cannot do. Three patients developed deepseated wound infections. Designed to maximize tension control while minimizing invasion of the wound site. It was initially developed for reattachment of the. Tadross et al11 described the use of the dallmiles plating system in seven hips, four of which were considered to be failures. Representing a single system for bridging reconstruction and trauma needs, the dallmiles cable system continues to set the clinical standard in cable fixation not only for. To assess the effectiveness of dallmiles cables and plates in the treatment of periprosthetic femoral. It involved the application of a dallmiles stainless steel 316l plate with an alternating holeandslot design. Strykers dallmiles cable system has been used successfully around the globe for more than 16 years. Complete set of tray, lid and instruments 223200001. It was initially developed for reattachment of the greater trochanter in lowfriction arthroplasty of the hip.
A pre load was slowly applied to the cables up to 10 n so that the initially loose interaction among a tightener, two cables, and two loading heads of. Cleaning, sterilization, inspection and maintenance of. Easy to use system, combining efficient instrumentation with a simple technique for cerclage wiring. Periprosthetic femur fractures are one of the most serious complications in hip surgery. Reattachment of greater trochanter after osteotomy for. The dallmiles cable and plate system provides a reliably stable construct which provides fixation without disturbing the bonecement or prosthesiscement interfaces. Impaction of the grip and further tightening of the cables can be carried out if necessary figure 6. A comparison was made between the use of monofilament steel wires and dallmiles cablegrip system for reattachment of the greater trochanter. Pdf on jun 1, 2015, ali alizadeh and others published cables find, read and cite all the research you need on researchgate. The dallmiles cable and plate system for periprosthetic femoral. We offer marketleading hip replacement implants for total hip arthroplasty including our primary and revision portfolios designed to offer you a wide variety of implants, instrumentation and musclesparing surgical approach options.
Mount a cerclage eye on the cable and advance it up to the crimp. Dallmiles cable system in 1985, the worlds first multifilament orthopedic cable, dallmiles was introduced by stryker as a means of providing fixation for trochanteric reattachment procedures. We present a new technique for the treatment of periprosthetic femoral fractures using dallmiles plates and cables in conjunction with strut allografts and. One hip showed a massive femoral osteolysis in the vicinity of the cable causing avulsion of the greater trochanter and necessitating revision surgery at years after the first procedure. Food and drug administration and state and local regulatory agencies. Pdf to assess the effectiveness of dallmiles cables and plates in the treatment of periprosthetic femoral fractures around hip arthroplasties. Dall miles cable and plate fixation system in the treatment of periprosthetic femoral fractures. Fracture healing well 5 months after locking plate and dallmiles cables successfully reducing and. Wires were used in 52 patients while cables were used for 50 patients. The calcar bodies incorporate a v40 taper and are compatible with cocr, biolox delta ceramic and alumina ceramic femoral heads. Dallmiles cable and plate system for periprosthetic femoral fracture. Extended trochanteric osteotomy eto fixation for femoral stem revision in periprosthetic fractures.
All fractures were reduced through a lateral approach. The dallmiles cable and plate system for periprosthetic. Dallmiles cable and plate fixation system in the treatment of periprosthetic. Standard lateral, modified lateral or lateral parapatellar approach. Dall miles cabling system surgical protocol dall miles recon and trauma cable system surgical protocol trochantericreattachmentusing thetrochantericgriporgripplate cerclageapplications trochanteric grip plate shown with restoration modular calcar body and plasma stem dall miles cable trochanteric grip. Dallmiles cables were used in two hips, and these led to complications caused by metal debris from the cables. Construct c was the dallmiles cable grip system howmedica, rutherford, nj, usa. Cableready greater trochanteric reattachment surgical technique 3 fig. In the management of b1 fractures, there was no significant difference in clinical outcome, despite the various combinations of cables and screws used for stabilisation of the plate. Dallmiles cablegrip system for periprosthetic fractures.
The slots accepted cable sleeves that were inserted onto the outer surface of the plate, which was a 9hole 254mm plate with 10 cable slots. Cable lengths imperial to nautical miles international. Cables using a dall miles femoral cable passer, two cables are sequentially passed distal to the lesser trochanter. Use of a dall miles plate and cables for the fixation of a periprosthetic tibial fracture. Dallmiles recon and trauma cable system surgical protocol zwan. Note that rounding errors may occur, so always check the results.
Dallmiles cable system in bengaluru, stryker india pvt. You are bidding on an excellent cable grip system by howmedica, dall. Dall miles cable system the dallmiles heritage continues strykers dallmiles cable system has been used successfully around the globe for more than 16 years. Instantly converts cable lengths imperial to nautical miles international and many more length conversions online. The management of mark cables are committed to implementing the following policy. No significant difference was seen between the two groups. Visualization of the distal femur under fluoroscopy in both the lateral and ap views is necessary. The dallmiles cable system stryker orthopaedics, mahwah, nj, usa has been in clinical use since 1983. Grip plates are indicated for use in the fixation of the greater trochanter due to trochanteric fracture or osteotomy with. Strykerhowmedicaosteonics dallmiles recon and trauma. Cleaning, sterilization, inspection and maintenance of reusable medical devices instructions for stryker orthopaedics.