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. Accord is efficient because it can be retightened without damaging the cable something other cables cannot do. Today, the dallmiles commitment to excellence continues with the introduction of the next generation of dallmiles cables and instrumentation. The fluted distal stem design provides diaphyseal rotational. 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. 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. Ahhough tibial periprosthetic fractures are uncommon, they are likely to be encountered more frequently with the increased. You are bidding on an excellent cable grip system by howmedica, dall. Complete set of tray, lid and instruments 223200001. Used howmedica dellmiles cable set or instruments for.
Visualization of the distal femur under fluoroscopy in both the lateral and ap views is necessary. Whether or not all cable locations are utilized, all set screws should be locked down at the completion of the procedure. Dallmiles cable and plate fixation system in the treatment of periprosthetic. 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. To assess the effectiveness of dallmiles cables and plates in the treatment of. Pdf on jun 1, 2015, ali alizadeh and others published cables find, read and cite all the research you need on researchgate. Reattachment of the greater trochanter in total hip. Stryker dallmiles cable system which medical device. Food and drug administration and state and local regulatory agencies. Although tibial periprosthetic fractures uncommon, they are likely to be encountered more frequently with the increased use of total knee arthroplasty, and they. The dallmiles cable and plate system for periprosthetic femoral. Dallmiles cable and plate fixation for the treatment of periprosthetic femoral fractures.
Instantly converts cable lengths imperial to nautical miles international and many more length conversions online. The dallmiles doublesided tensioner is a powerful instrument and can damage the cables or cut through the bone if extensive force is applied. The dallmiles multifilament orthopaedic cabling system from stryker was originally designed for trochanteric reattachment. Mount a cerclage eye on the cable and advance it up to the crimp. Thread the cerclage cable throuagh the endhole of the cable passer, and pass it around the bone. Article information, pdf download for dallmiles cable and plate fixation. Pdf nonvascularised fibular autograft for reconstruction. Dallmiles recon and trauma cable system surgical protocol. Dall miles cable and plate fixation system in the treatment of periprosthetic femoral fractures. Twentyone such fractures were treated with dallmiles cable grip system. The calcar bodies incorporate a v40 taper and are compatible with cocr, biolox delta ceramic and alumina ceramic femoral heads. Dallmiles cables were used in two hips, and these led to complications caused by metal debris from the cables. The cables manufactured by mark cables fze are clearly marked with the company name, cable size details and voltage ratings.
Cableready greater trochanteric reattachment surgical technique 3 fig. The dallmiles cable and plate fixation system alone is a sufficient treatment for most periprosthetic femoral fractures. Use of a dall miles plate and cables for the fixation of a periprosthetic tibial fracture. All fractures were reduced through a lateral approach. Slots in the plates ensure that the cables do not slip. The dallmiles cable system stryker orthopaedics, mahwah, nj, usa has been in clinical use since 1983.
Fracture healing well 5 months after locking plate and dallmiles cables successfully reducing and. Provide products and services that comply with the requirements and. Use of a dallmiles plate and cables for the fixation of a. Dallmiles cablegrip system for periprosthetic fractures. Trochanteric grips, cableplates, and bone screws are supplied in a. 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. Cables using a dall miles femoral cable passer, two cables are sequentially passed distal to the lesser trochanter. 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. Reattachment of greater trochanter after osteotomy for. They observed that the femoral stems were in varus in all the cases which failed. Extended trochanteric osteotomy eto fixation for femoral stem revision in periprosthetic fractures. Turn the fluted knob at the end of the tensioner counterclockwise until it stops, and thread the cable through the cable tensioner. Three patients developed deepseated wound infections. The biomechanical analysis of three plating fixation.
A comparison was made between the use of monofilament steel wires and dallmiles cablegrip system for reattachment of the greater trochanter. 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. Grip plates are indicated for use in the fixation of the greater trochanter due to trochanteric fracture or osteotomy with. Use this page to learn how to convert between miles and cable u. Step 1 position the sleeve at the beaded end of the cable figure 1. The dall miles beaded cable and singlesided tensioner have been designed to work together to provide. We present a new technique for the treatment of periprosthetic femoral fractures using dallmiles plates and cables in conjunction with strut allografts and. Tension the cable attach the provisional tensioning device 391. Construct c was the dallmiles cable grip system howmedica, rutherford, nj, usa. Treatment of femoral shaft fractures complicating endoprosthesis remains controversial. Strykerhowmedicaosteonics dallmiles recon and trauma. To assess the effectiveness of dallmiles cables and plates in the treatment of periprosthetic femoral fractures around hip arthroplasties. Cleaning, sterilization, inspection and maintenance of.
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. Dallmiles cable system in bengaluru, stryker india pvt. Locking plate fixation of periprosthetic femur fractures. Cleaning, sterilization, inspection and maintenance of reusable medical devices instructions for stryker orthopaedics. This modified plate allows for fixation using heavy duty circlage cable wire in conjugation with unicortical and. Wires were used in 52 patients while cables were used for 50 patients.
When you require a variety of hip fracture and pelvic treatment options look no further. Today, the dall miles commitment to excellence continues with the introduction of the next generation of dall miles cables and instrumentation. The cables should be parallel to one another and should not be overriding. Easy to use system, combining efficient instrumentation with a simple technique for cerclage wiring. This device was designed with a multifilament cable and an hshaped grip of. 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. It involved the application of a dallmiles stainless steel 316l plate with an alternating holeandslot design.
No significant difference was seen between the two groups. Designed to maximize tension control while minimizing invasion of the wound site. We have continued to develop our products utilizing the latest technologies to meet all of your needs in hip and pelvis reconstruction. Dallmiles cable and plate system for periprosthetic femoral fracture. To assess the effectiveness of dall miles cables and plates in the treatment of periprosthetic femoral fractures around hip arthroplasties. Strykers dallmiles cable system has been used successfully around the globe for more than 16 years. 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.
Standard lateral, modified lateral or lateral parapatellar approach. Pdf dallmiles cable and plate fixation system in the treatment. 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. 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. 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. Tadross et al11 described the use of the dallmiles plating system in seven hips, four of which were considered to be failures. It was initially developed for reattachment of the greater trochanter in lowfriction arthroplasty of the hip. Type in your own numbers in the form to convert the units. 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. The dallmiles cable and plate system for periprosthetic. We can supply you with the right sizes, types, and quantities of product you need to keep you on schedule and your management happy. 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.
Axsos 3 titanium distal lateral femur locking plate system. 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. Mont and maar7 also reported poor results, with only 48% satisfactory, when treating these fractures by plates and screws. I havent seen any threads that share an experience of post revision cable removal. Pdf to assess the effectiveness of dallmiles cables and plates in the treatment of periprosthetic femoral fractures around hip arthroplasties. Impaction of the grip and further tightening of the cables can be carried out if necessary figure 6. Periprosthetic femur fractures are one of the most serious complications in hip surgery. The dallmiles cable and plate system provides a reliably stable construct which provides fixation without disturbing the bonecement or prosthesiscement interfaces.
It was initially developed for reattachment of the. 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. Dallmiles recon and trauma cable system surgical protocol zwan. Note that rounding errors may occur, so always check the results. 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.
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