The ci depuy asr technique is a headonly procedure. Attune knee system surgical technique depuy synthes companies 5 pinning the attune knee system has 3. The challenges encountered by shoulder arthroplasty surgeons include surgical exposure, soft tissue balancing and component fixation. Depuy synthes pfc sigma ps a and attune b tka systems. Dec 25, 2016 intuition instruments for depuy attune knee system, manufactured by depuy synthes, joint reconstruct surgery plus. Guidance on depuy orthopaedicss attune knee system. Insert or augments without supplemental fixation may lead to a loss of construct fixation.
As an example only, the surgical method 106 may be carried out using the attune knee system and intuition instruments as provided by depuysynthes and as described in the attune knee system surgical technique document also provided by depuysynthes attune is a trade mark of depuysynthes, which is registered in some countries and intuition is a. Despite depuy s claims that the attune system would be easier to implant than earlier generation tkr devices, after being notified of premature tibial baseplate failures, depuy began alleging substandard surgical technique rather than the attune system s defects when worrying failure rates began to emerge. The purposes of this study were to compare clinical results after total knee arthroplasty tka using the attune and pfc sigma knee designs and to investigate whether the use of the attune prosthesis increased the risk of patellar injury in asian patients. We compared clinical and radiographic results after total knee arthroplasty tka using attune and press fit condylar sigma, and investigated whether use of the current prosthesis increased injury risk to the tibial cortex in asian patients. Depuy synthes trumatch medical equipment pdf manual download. Depuy, warsaw, in, usa was performed under general anesthesia. Collectively, these businesses are focused on helping patients along the care continuumfrom early intervention to surgical replacement, with the goal of helping people return to living active and fulfilling. Trabecular metal acetabular revision system cemented constrained liner surgical technique. They also become more important with current efforts to minimise the cost of tka surgery, new implants being more expensive.
Full details on surgical exposure are provided in the standard depuy asr. Variability of plus or minus 15 degrees in both neck angle and version allow the surgeon to restore individual patient anatomy. It has been recommended that for patients reporting only mild cutaneous reactions, the use of conventional cobaltchromium implants may be justified without additional investigation2,10. New attune revision knee system from depuy synthes utilizes. According to the company, this is the first depuy synthes hip system designed to be utilized with tissuesparing.
However, both the attune and pfc sigma had similar high satisfaction rates. Please verify the accuracy of these identifiers prior to use. Based on previously discussed indications, the following surgical techniques will be taught in the workshops. Depuy synthes launches the symphony occipitocervicothoracic. These advances have allowed the development of more efficient instrumentation and increasingly sophisticated implant designs that enhance clinical outcomes. Depuy synthes companies announces new attune revision fixed. Total knee replacement cementing technique depuy synthes. From this site you can view or print instructions for use for depuy synthes devices. This site is published by the depuy synthes companies, which are solely responsible for its content. The global orthopaedics business of depuy synthes is composed of joint reconstruction, trauma, spine, sports medicine and power tools.
Expedium surgical technique by apolineo comunicacion issuu. The attune knee system surgical technique is located. The attune knee by depuy synthes was introduced in 20. Modern cemented total knee arthroplasty design shows a higher. Pma monthly approvals from 412018 to 4302018 original. Through a program of continuous development depuy now offers a single system of sigma high performance instruments that supports most approaches to knee replacement surgery. Attune cemented primary knee surgical technique depuy. Attune cemented primary knee surgical technique depuy synthes. Spine depuy synthes pdf catalogs technical documentation. Retrograde femoral nailing of periprosthetic fractures. Numerous cases of premature failure of the depuy synthes attune knee system have been reported to the fdas adverse event reporting system. The legion total knee system is a comprehensive system designed to allow surgeons to address straightforward primary to complex revision knee arthroplasty. Search in depuy synthes catalogs and technical brochures on medicalexpo and find the information you need in 1 click. Revision surgical technique using sigma tc3 rp with mbt revision and stem.
Food and drug administrations 510k clearance to market the device in january 2009. Cementless tibial base micromotion during activities of. The attune knee system, a medical device designed by depuy synthes to improve stability and range of motion in patients undergoing knee replacement surgery, has been linked to complaints from implant recipients of pain and premature device failure resulting in the need for revision surgery, among other serious problems. Our aim is to compare the outcomes after primary total knee replacement for endstage knee osteoarthritis of. Pdf objectives the attune total knee arthroplasty tka has been used in over 600 000 patients worldwide.
As with other surgical procedures, errors of technique are more likely when the method is being learned. While use of an axial starter reamer is needed, use of cylindrical reamers is not necessary to prepare the femoral canal. Intuition instruments for depuy attune knee system. Depuy synthes launches attune revision knee system. Mar 15, 2018 the attune knee by depuy synthes was introduced in 20. About depuy synthes joint reconstruction confidence like. Us9095356b2 tibial trial instruments and method of using. A comparison of clinical and patientreported outcomes of. The pfc sigma knee, an earlier prosthesis by depuy synthes, is a common knee replacement with a strong clinical track record.
Surgical time alone is not the only variable that must be evaluated when considering adopting a new surgical technique or implant. The attune knee system is a new, stateoftheart knee replacement system from depuy synthes joint reconstruction. The attune knee is one of the largest research and development projects in the history of depuy synthes joint reconstruction and combines the latest in design, kinematics, engineering and materials to deliver stability and motion. The attune prosthesis depuy synthes, warsaw, in, usa is a modified version of the. Attune knee system surgical technique, 20, 73 pages.
The attune knee by depuy synthes was introduced in. Attune knee system surgical technique depuy synthes joint reconstruction distal femoral resection insert the im rod into the femoral canal to the level of the isthmus. The intuition instruments are designed to be used with the. The fastener is configured to engage with the intramedullary. Pdf a comparison of clinical and patientreported outcomes of the. Current clients report early failure of the device, sometimes within just months of their surgery. The standard anesthesia technique used in all cases was regional anesthesia spinal, which combined intrathecal opioids ie, 0. Jnj subsidiary depuy synthes attune total knee arthroplasty system is experiencing an unusually high rate of early failure related to its tibial components.
Case reports in orthopedics hindawi publishing corporation. This surgical technique provides instruction on the implantation of the sigma family of fixed bearing and rotating platform knees utilising. Learning curve with a new primary total knee arthroplasty. Approval for an update to the attune intuition instruments cas knee 2. Clinical and radiographic results of attune and pfc sigma. Disengage the distal femoral jig from the handle by pushing on the vv indicator cap and slide the jig toward the femur until the distal plate contacts the distal femur. Depuy synthes is making happier hips possible, with its recent launch of the actis total hip system at the 2018 american academy of orthopaedic surgeons aaos annual meeting. Many of the failures are speculated to be related to the loosening of the tibial baseplate in the artificial knee. The attune knee is a comprehensive, integrated knee system. In conclusion, both the attune and pfc sigma provided excellent clinical results at 2year followup. To reduce these to a minimum, surgeons are strongly recommended to attend an instructional course on the oxford knee before attempting the operation. The launch is intended to complement the attune primary knee system and provide surgeons with a comprehensive knee replacement solution. Depuy synthes launched the attune revision knee system in the u. Especially helpful during quadpatella tendon repair surgery and other applications where a suture will be passedparticularly when soft tissue dissection is to be minimized, such as multiligament knee reconstruction mcllcl, elbow reconstruction ulclmcl, footankle reconstruction atfl, and wrist reconstruction druj.
Expedium surgical technique published on sep 24, 2009 expedium surgical technique. Jan 06, 2018 mike papantonio discusses the cause of the high failure rate with the depuy attune knee replacement. Value analysis brief attune knee system depuy synthes 1. Depuy also recalled almost 14,000 attune knee surgical tools in 2015. Depuy synthes introduces attune revision knee system to. The instruments, technique and components of this arthroplasty system are designed to address these challenges. The attune knee system overview brochure is designed to provide an overview of the system. Previous research has highlighted various clinical strategies that can be adopted by arthroplasty surgeons when faced with patients who complain of cutaneous metal hypersensitivity2,10. Appendix iv, surgical technique, edited by william l. In an irb approved early outcomes study, physiotherapists collected data on 40 patients implanted with attune knees and 40 patients with sigmacr150 knees. Broadcastmed is proud to present the orlive signature series, featuring live surgical broadcasts from the worlds leading physicians. Confidence in the attune knee is driven by real world scientific evidence. Surgical technique and rehabilitation the medial parapatellar approach was used with a midline skin. An orthopaedic surgical instrument assembly includes a tibial base trial adapted to be positioned on a surgicallyprepared proximal end of a patients tibia, an intramedullary orthopaedic surgical instrument engaged with a lower surface of the tibial base trial, and a fastener configured to pivot relative to the tibial base trial.
Realtime proc attune revision knee system depuy, inc. But to date, there have been no recalls of attune knee implants. It is designed to provide better range of motion and address patientreported instability. Comparison of clinical results and risk of patellar injury. Depuy spine is a joint venture with biedermann motech gmbh. Jan 15, 2018 the depuy synthes attune knee replacement device is one of the devices facing scrutiny in the healthcare community as patients are reporting device failure, often within months of the surgery. Washington, university of pennsylvania and depuy orthopaedics, inc.
Biomet, vanguard ssk, revision system, surgical technique, feb. The pinnacle acetabular cup system primary surgical technique has been developed in consultation with an. Depuy synthes launches the symphony occipitocervico. Recent literature has demonstrated increased complications and risks with changes in surgical technique.
Our aim is to compare the outcomes after primary total knee replacement for endstage knee osteoarthritis of the pfc and. Triantafillopoulos, mpfl reconstruction for recurrent patella dislocation. These activities were simulated on depuy attune, stryker triathlon and zimmerbiomet nexgen cementless tibial base tray designs implanted into biphasic synthetic tibia using the accompanying femoral component mounted in an amti vivo joint simulator. Innomed knee instruments surgical tools other useful.
Extensive research and science are included in the design to help improve functional outcomes for. Thats why we provide medical professionals with the innovative products they need to assist them in treating their patients. View this surgical technique to learn more from dr. Electronic instructions for use depuy synthes companies. Advancing science, enhancements were made to corail to provide solutions for orthopaedic surgeons treating todays higherdemand patients. The axial starter reamer is used with the thandle to open the femoral canal and to aid in determining the orientation of the femoral axis. The plate is part of the depuy synthes periarticular plating system. Attune knee system surgical insights for the rotating platform. Sigma knee system, revision, surgical technique, depuy, 2000 66 pages. The cementing techniques were also identical to preceding years, with palacos zimmer biomet, warsaw, in.
Contact us to feature your surgery in an upcoming webcast. The authors experienced benefits while measuring 1 flexion gap, 2 possible undercutting, and 3 craniocaudal width of the femoral. We did find that the attune was associated with a reduced incidence of mildtomoderate akp and less noise compared to the pfc sigma. The surgical technique remained identical from 2009 to 2017. Instruments surgical technique and the sterile attune intutition solo single use. Extensive research and science are included in the design to help improve functional outcomes for patients, performance for surgeons, and efficiency for providers. Depuy synthes adds to its attune line of knee products. Its fully anatomic design and straightforward surgical technique assist the surgeon to achieve appropriate joint biomechanics, implant stability and range of motion for their patients. New attune revision knee system from depuy synthes utilizes proprietary technologies to address broad range of complex primary and revision procedures. The topics for this symposium to be held in 2012 will include anatomy and physiology, traumatic conditions of the thoracolumbar spine, biomechanics in fracture treatments, surgical approaches and access. Deep knee bending loading was extracted from the orthoload database utilizing the same methods. At golden state orthopaedics we believe that movement is the very foundation of peoples health and well being. Attune knee system surgical insights for the rotating platform feat.
Corail revision stem the corail revision tem is an evolution of the kars stem, specifically for revision surgery. The attune primary total knee system is designed with the goal of addressing the clinical needs of patients, surgeons, and hospital providers around the world. Science and technology, general implants, artificial prostheses and implants prosthesis. Depuy synthes joint reconstruction introduces two new knee. Pma monthly approvals from 912017 to 9302017 original. Mar 12, 2014 warsaw, in march 12, 2014 depuy synthes joint reconstruction, a global leader in joint replacement, today announced the introduction of two new technologies for the attune knee systemthe attune rotating platform knee and the anatomic patella. By virtue of its unique implant design features, proprietary materials and intuitive instrumentation, legion empowers surgeons to manage diverse surgical challenges and provide personalized joint care with one system, one company. This surgical technique uses a standard posterior approach for illustration purposes.
The patient can be positioned in either a lateral or supine position depending on surgeon preference. The attune total knee arthroplasty system depuy synthes, warsaw, in was designed to address these cases by optimising guidance in femoral size measurement and flexion gap balancing using one single tool. The chosen surgical technique was a combination of the balanced. The surgical approach in all cases included a standard midline skin incision and a medial peripatellar capsulotomy, avoiding lateral patellar retinacular releases. An early outcome study of the attune knee system vs. The fdas database shows at least six other depuy knee replacement recalls since 20. New attune revision knee system from depuy synthes idata. Unacceptable failure rate of a ceramiccoated posterior cruciate. Oxford unicompartmental knee manual of the surgical. This surgical technique provides instruction on the implantation of the sigma family of fixed bearing and rotating platform knees utilising the classic femoral.
This publication is not intended for distribution in the usa. Mako total knee key clinical studies accuracy to plan. Personalized solution with the sigma high perfomance instruments. The system encompasses implants and surgical instrumentation designed to work in harmony with your anatomy to deliver stability and motion.
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