To assess the effectiveness of dallmiles cables and plates in the treatment of. Today, the dall miles commitment to excellence continues with the introduction of the next generation of dall miles cables and instrumentation. Cerclage wires or cables are commonly being used in hip reconstruction procedures like primary especially in patients with developmental hip dysplasia or revision arthroplasty. Treatment of femoral shaft fractures complicating endoprosthesis remains controversial. Mont and maar7 also reported poor results, with only 48% satisfactory, when treating these fractures by plates and screws.
Used howmedica dellmiles cable set or instruments for. Use this page to learn how to convert between miles and cable u. 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. The cables manufactured by mark cables fze are clearly marked with the company name, cable size details and voltage ratings. Periprosthetic femur fractures are one of the most serious complications in hip surgery. Reattachment of greater trochanter after osteotomy for. Request pdf dallmiles cable and plate system for periprosthetic femoral fracture management of femoral shaft fractures in association with hip implants in. The management of mark cables are committed to implementing the following policy.
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. Provide products and services that comply with the requirements and. 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. Three patients developed deepseated wound infections. 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. Dall miles cable and plate fixation system in the treatment of periprosthetic femoral fractures. Wires were used in 52 patients while cables were used for 50 patients.
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. Pdf dallmiles cable and plate fixation system in the treatment. The dall miles beaded cable and singlesided tensioner have been designed to work together to provide. 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. Standard lateral, modified lateral or lateral parapatellar approach. Cerclage protocol using beaded cables dall miles beaded cables are recommended for use with the singlesided tensioner for cerclage. The biomechanical analysis of three plating fixation. Pdf nonvascularised fibular autograft for reconstruction. Accord is efficient because it can be retightened without damaging the cable something other cables cannot do. Designed to maximize tension control while minimizing invasion of the wound site.
Thread the cerclage cable throuagh the endhole of the cable passer, and pass it around the bone. The dallmiles cable and plate fixation system alone is a sufficient treatment for most periprosthetic femoral fractures. Pdf on jun 1, 2015, ali alizadeh and others published cables find, read and cite all the research you need on researchgate. They observed that the femoral stems were in varus in all the cases which failed. We have continued to develop our products utilizing the latest technologies to meet all of your needs in hip and pelvis reconstruction. Impaction of the grip and further tightening of the cables can be carried out if necessary figure 6. Fy10 icd9cm procedure code updates ahima 2009 audio seminar series 4 notescommentsquestions cardiac contractility modulation ccm optimizer iii is the device that. Extended trochanteric osteotomy eto fixation for femoral stem revision in periprosthetic fractures. The fluted distal stem design provides diaphyseal rotational. A comparison was made between the use of monofilament steel wires and dallmiles cablegrip system for reattachment of the greater trochanter. Ahhough tibial periprosthetic fractures are uncommon, they are likely to be encountered more frequently with the increased. Dallmiles cable and plate fixation system in the treatment of periprosthetic femoral fractures. Turn the fluted knob at the end of the tensioner counterclockwise until it stops, and thread the cable through the cable tensioner.
Tension the cable attach the provisional tensioning device 391. Complete set of tray, lid and instruments 223200001. Strykers dallmiles cable system has been used successfully around the globe for more than 16 years. Cleaning, sterilization, inspection and maintenance of. It was initially developed for reattachment of the greater trochanter in lowfriction arthroplasty of the hip.
Slots in the plates ensure that the cables do not slip. 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. Article information, pdf download for dallmiles cable and plate fixation. The dallmiles cable and plate system provides a reliably stable construct which provides fixation without disturbing the bonecement or prosthesiscement interfaces. No significant difference was seen between the two groups. Tadross et al11 described the use of the dallmiles plating system in seven hips, four of which were considered to be failures. Dallmiles recon and trauma cable system surgical protocol zwan. Today, the dallmiles commitment to excellence continues with the introduction of the next generation of dallmiles cables and instrumentation. The dallmiles cable and plate system for periprosthetic femoral. Use of a dallmiles plate and cables for the fixation of a. The dallmiles doublesided tensioner is a powerful instrument and can damage the cables or cut through the bone if extensive force is applied. Whether or not all cable locations are utilized, all set screws should be locked down at the completion of the procedure. Dallmiles cables were used in two hips, and these led to complications caused by metal debris from the cables. It involved the application of a dallmiles stainless steel 316l plate with an alternating holeandslot design.
Step 1 position the sleeve at the beaded end of the cable figure 1. The calcar bodies incorporate a v40 taper and are compatible with cocr, biolox delta ceramic and alumina ceramic femoral heads. Construct c was the dallmiles cable grip system howmedica, rutherford, nj, usa. Pdf to assess the effectiveness of dallmiles cables and plates in the treatment of periprosthetic femoral fractures around hip arthroplasties. We can supply you with the right sizes, types, and quantities of product you need to keep you on schedule and your management happy. 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. It was initially developed for reattachment of the. Instantly converts cable lengths imperial to nautical miles international and many more length conversions online. All fractures were reduced through a lateral approach. Dallmiles cable and plate system for periprosthetic femoral fracture. Reattachment of the greater trochanter in total hip. Mount a cerclage eye on the cable and advance it up to the crimp. Stryker dallmiles cable system which medical device.
This device was designed with a multifilament cable and an hshaped grip of. Dallmiles cablegrip system for periprosthetic fractures. Food and drug administration and state and local regulatory agencies. The dallmiles cable and plate system for periprosthetic. The cables should be parallel to one another and should not be overriding. To assess the effectiveness of dallmiles cables and plates in the treatment of periprosthetic femoral. Axsos 3 titanium distal lateral femur locking plate system. Cleaning, sterilization, inspection and maintenance of reusable medical devices instructions for stryker orthopaedics. 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. 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. Visualization of the distal femur under fluoroscopy in both the lateral and ap views is necessary. 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. Trochanteric grips, cableplates, and bone screws are supplied in a.
To assess the effectiveness of dall miles cables and plates in the treatment of periprosthetic femoral fractures around hip arthroplasties. Dallmiles cable system in bengaluru, stryker india pvt. 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. Cable lengths imperial to nautical miles international. 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. To assess the effectiveness of dallmiles cables and plates in the treatment of periprosthetic femoral fractures around hip arthroplasties. I havent seen any threads that share an experience of post revision cable removal. Cableready greater trochanteric reattachment surgical technique 3 fig. Strykerhowmedicaosteonics dallmiles recon and trauma. Grip plates are indicated for use in the fixation of the greater trochanter due to trochanteric fracture or osteotomy with. You are bidding on an excellent cable grip system by howmedica, dall. Cables using a dall miles femoral cable passer, two cables are sequentially passed distal to the lesser trochanter. 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. Locking plate fixation of periprosthetic femur fractures.
Although tibial periprosthetic fractures uncommon, they are likely to be encountered more frequently with the increased use of total knee arthroplasty, and they. Dallmiles cable and plate fixation system in the treatment of periprosthetic. Dallmiles cable and plate fixation for the treatment of periprosthetic femoral fractures. Note that rounding errors may occur, so always check the results. 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. Dallmiles recon and trauma cable system surgical protocol. Introduction the kinamed supercable trochanteric grip and cableplate system is designed specifically for use with the. Fracture healing well 5 months after locking plate and dallmiles cables successfully reducing and. We present a new technique for the treatment of periprosthetic femoral fractures using dallmiles plates and cables in conjunction with strut allografts and. When you require a variety of hip fracture and pelvic treatment options look no further. The dallmiles multifilament orthopaedic cabling system from stryker was originally designed for trochanteric reattachment. Easy to use system, combining efficient instrumentation with a simple technique for cerclage wiring. Twentyone such fractures were treated with dallmiles cable grip system.