Ankle and Subtalar (Double) Fusion using OrthoSolutions Oxbridge nail surgical technique
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Learn the Ankle and Subtalar (Double) Fusion using OrthoSolutions Oxbridge nail surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Ankle and Subtalar (Double) Fusion using OrthoSolutions Oxbridge nail surgical procedure.
One technique for double fusion of the ankle and subtalar joint is to use fixation with an intramedullary nail such as the OrthoSolutions Oxbridge Nail.
This is a method applicable when both the ankle and subtalar joints are to be fused, which achieves rigid fixation, even in cases of bone loss.
Particular advantages of the Orthosolutions Oxbridge nail are a well designed entry jig to assist centring the initial guide-wire , numerous distal screw option to secure the nail into Calcaneus and Talus coupled with a simple & accurate outrigger to allow lateral , medial and posterior positioning ,multiple synchronous external compression options , a “Mis-a-nail” jig to allow easy placement of a supplementary large screw to improve rotational stability and axial compression for the difficult reconstruction cases and a single, simple tray of instrumentation.
The Oxbridge nail can also be used in conjunction with the custom manufactured 4Web talar replacement for cases of avascular necrosis of the talus https://www.orthoracle.com/library/ttc-double-fusion-using-4web-custom-talar-replacement-and-oxbridge-nail-orthosolutions/
The Wright Valour Nailing system is also detailed on the platform https://www.orthoracle.com/library/tibio-talo-calcaneal-ttc-double-fusion-with-wright-valor-nail/
Irrespective of the means of fixation of the ankle and subtalar joints the principles and techniques involved in fixation of both ankle and subtalar joints are similar. Other forms of fixation of a double fusion include external frames, large fragment screws or plating systems such as the laterally applied Zimmer Ankle-fix https://www.orthoracle.com/library/tibio-talo-calcaneal-ttc-double-fusion-using-zimmer-ankle-fix-plus-plate/
the Integra Advansys plate https://www.orthoracle.com/library/tibio-talo-calcaneal-ttc-double-fusion-using-integra-advansys-plate/
or the posteriorly applied Wright Ortholoc plate https://www.orthoracle.com/library/talectomy-and-tibio-calcaneal-fusion-using-wright-ortholoc-posterior-ttc-fusion-plate/
Author: Paul Cooke FRCS
Institution: The Nuffield Orthopaedic centre, Oxford, UK.
- Each operation and the questions associated become a named course in the CPD section
- The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
- You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
- The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
- There are four possible answers of which one is correct (or on occasion more correct) than the others.
- There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
- The course is completed once all the lessons are read and quizzes submitted and passed.
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The pass mark is 75%.
- If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
- Once these have been read you can re-do just the questions you failed on.
- Once you have passed the quiz you can return at a future stage & resit .
- Operation Quiz – 1 CPD point
- Surgical steps Quiz – 1/4 CPD point
- Implants Quiz – 1/4 CPD point
- Problem case Quiz – 1/2 CPD point
One CPD point equates to one hour of academic activity
Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.
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