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                                           Instruction for Operation 124
Instruction for Operation 124 Operationsanleitungen 126 Ankle Joint: Resurfacing in osteoarthritis of the ankle joint, Instruction for Operation 124
Ankle Joint: Resurfacing in osteoarthritis of the ankle joint,
OSG: Resurfacing bei Arthose des OSG - transtibial
transtibial
Ankle Joint: Resurfacing in osteoarthritis of the ankle joint,
 124
REV0116112017EN
transtibial
131 132
The transtibial approach to the talus
dThoemteracnasntiboianlyapbperojaucshtiftioedthief tbaoluths The transtibial approach to the talus
 D
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icue
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ert
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dome can only be justified if both
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ied
oe
act
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articulating surfaces are destroyed.
i
e
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g
fTohre taupnpnreolaincgh uosfesthaeditaibmiaolndbotonoe,l wenn beide Gelenkflächen The approach uses a diamond tool
wfohricthunisnetlwinog soizfesthlaergetirbiathl anbotnhee, zerstört sind. Der Talusdom wird for tunneling of the tibial bone,
twohoilchfoisr twthoesizteaslulsargderomthea.n Tthe
in diesem Fall durch einen um which is two sizes larger than the
itnocollinaftoiorn theas tatlous bdeomoer.ienTtehde
z
w
e
i
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räs
e
n
using a centralizer (Figs. 131 ‐ 134). skop überwacht.
es
dr
s
oo
pinecrlpineantdioicnulahratso tohe btaelusosriuernfatecde
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fo
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d ie
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h h
e
ta
l
upseirnpgeandciecnutlraarlizteor (tFhiegs.t1al3u1s ‐ s1u3r4fa).ce
perpendicular to the talus surface
Transplantation mit dem Endo-
using a centralizer (Figs. 131 ‐ 134).
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e
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e
.
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e
a
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s
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i
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rien
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oe
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e
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te
do
 133 134
135a 135b
The resurfacing of the talus is
Tdhoeneresunrfdaecring cofntrtohle toaflus ains The resurfacing of the talus is
denodnoescoupned(eFrig. 1c3o5ntaro).l Thoefdistaanl
done under control of
Das retrograd eingebrachte etinbdiaosiscorepseu(rFfaigc.e1d3b5yaa). lTarhgee dgirsataftl
Epiphyse sich
sptrreuscst‐efidt‐tbigyhat ßm‐TaCnPnecerraamnidc intoa‐ structed by a ß‐TCP ceramic in a
Belastungsphase sehr stark pwraersdss‐fitth‐teigjhotintmwaitnhnear laragned grtaoft‐ press‐fit‐tight manner and to‐
deformiert.
wgaatrhdesretdhe jofinrotmwith tahelargedgirsataftl wards the joint with a large graft
Eine detaillierte Anleitung ist dem
gmaethtaeprehdysis (Ffrigo.m135 bt)h.eThe rdeitsrtoa‐l
gathered from
the distal
Manual zu entnehmen.
mgreadtaephapyspilsic(aFtigio.n13o5f bth).eTghreafrtethraos‐ metaphysis (Fig. 135 b). The retro‐
gtoradbe apcpcolimcaptiloisnheodf tbhye agrKaf‐twhiraes‐ grade application of the graft has
tfioxabtieonacpcaormalplelilshtoedthbey saurfKa‐cweiroef‐ to be accomplished by a K‐wire‐
ftihxeatiodnistpaalratilbleialtojutshteasbuorvfaecethoef fixation parallel to the surface of
tshuebchdoisntdarlaltiboianejupslatteab(Foivges. 1t3h5e the distal tibia just above the
scuabncdho13n5drda)l.bone plate (Figs. 135 subchondral bone plate (Figs. 135
c and 135 d). c and 135 d).
in der
an
  135c
135d
endoscope (Fig. 135 a). The distal Transplantat muss mit einem K- taibkieanisfroemsurtfhaecetdrobcyhlaealarpgaetegllraeft,
tibia is resurfaced by a large graft
Draht am
tahkeednofnromr btehdeotfrowchilceha ipsarteclloane‐, taken from the trochlea patellae,
gehindert werden, tshtreucdtoendobrybeadßo‐TfCwPhcicehraimsircecinona‐ the donor bed of which is recon‐
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