Depuy touts the device as innovative and stateoftheart, offering superior movement and stability compared to its competitors. Depuy synthes, j bohannon mason, thomas schmalzried, fabrizio billi. Total knee replacement surgery involves removing damaged cartilage and bone from the surface of the knee joint and replacing them with an implant made of metal and plastic. Over the past 10 years the genesis ii total knee system has grown to become one of the most trusted total knee systems on the market. Correcting fixed valgus knee deformities during total knee arthroplasty. Arthroscopic and miniopen rotator cuff repair with the juggerknot soft anchor 2. Through a program of continuous development, depuy synthes. Total knee systems were designed as comprehensive approaches allowing intraoperative transition from pcl retention to pcl substitution. Porocoat porous coating has shown positive performance in stability and fixation in depuy synthes hip, knee, and shoulder total joint replacements. Limbsparing techniques, using modular segmental endoprostheses. Brainlab knee navigation instruments support all standard approaches. 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.
This is achieved through controlled technique that ensures the establishment of. The depuy attune knee system is a total knee replacement implant. Thus far, numerous cases of premature failure of the device have been reported to the fdas adverse event reporting system. Since the first knee replacement was performed in 1968, advancements have been made to implant designs and surgical techniques. Revision total knee arthroplasty presents many complex problems for the orthopaedic surgeon.
The intuition instruments are designed to be used with the singleuse pin pack 254400111 that contains universal pins and threaded headed pins. In a total knee replacement surgery, the damaged surfaces of the knee joint are removed and replaced by a prosthetic implant made of metal, plastic, or a combination of the two materials. This maintains knee stability in combination with early muscle strengthening exercises, including quadriceps setting exercise, and enables the patient to comfortably dress and manage himherself during the intervening period. This technique details the posterior cruciate sacrificing pfc depuy total knee replacement. At the final followup mean 34 months, all 15 cones showed evidence of osseointegration, and there was no evidence of loosening or migration of any of the tibial. This results in a stable total knee throughout the range of active and passive motion. Sigma primary knee system balanced surgical technique.
If you or a loved suffered from depuy knee problems including instability, pain, bone damage, and the need for revision surgery due to a defective depuy knee, you may be entitled to damages. Orthopaedic specialty institute medical group of orange country 8,991 views. Depuy designed the attune knee to improve stability and motion. Release the patella tendon to create space on the lateral side of the tibia. Failing to perform properly, faulty artificial knees put the health and safety of millions of individuals at risk. Best practices in total knee arthroplasty cementing by depuy synthes 312 videos download page. Sigma primary knee system balanced surgical technique depuy synthes joint reconstruction 11 increase the angle of the tibial slope to greater than 0 degrees if the patient has a greater natural slope figure 15. Depuy attune knee lawsuit early implant failure side effects. Douglas dennis comparing the gap balancing technique versus the measured resection.
The vanguard xp total knee instrumentation is designed for a standard surgical technique figure 2. This content is intended for health care professionals in the united states. Intuition instruments for depuy attune knee system mdea 2014 silver winner. Available with fixed bearing or rotating platform technology, the attune revision knee system is designed to enable surgeons to manage a broad range of complex primary and revision knee procedures. Thats what happened in thousands of patients who underwent a total knee replacement with depuy synthes attune knee replacement system.
Some of the joints made by the company, though, have been proven to increase the risk of certain side effects and complications. Total knee replacement surgery is often indicated for people with osteoarthritis, but it may also be performed for other diseases that affect the knees, such as rheumatoid arthritis and psoriatic arthritis. Attune knee system surgical technique depuy synthes companies 5 pinning the attune knee system has 3. The depuy attune knee system was designed for total knee arthroplasty tka, or total knee replacement, in which all the weightbearing surfaces in the knee joint are replaced. This development drive led to the launching of depuys attune knee system.
Friday, april 27, 2018 the knee is the largest joint in the body and is expected to carry the full weight of an individual with every step. This particular implant namely the depuy attune is, at the time of writing, fairly new onto the market. Depuy synthes attune knee 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. This can require several days in the hospital and months of recovery. The attune knee is a comprehensive, integrated knee system. Aug 19, 2011 the main advantage of this technique is the maintenance of a normally aligned lower limb during the interval period. Guidance on depuy orthopaedicss attune knee system. According to the fdas manufacturer and user facility device experience maude database, more than 1,400 patients have experienced failure problems with their depuy attune knee replacement. Extensive research and science is included in the design to help improve functional outcomes for patients, performance for surgeons, and efficiency for providers.
Sigma rotating platform knee system surgical technique the surgeon design team and depuy wishes to thank the following international surgeon evaluation team for their valuable contributions to the development of the p. Center the resection guide along the neutral axis of the femur and mark the resection line. But, as our attune knee replacement attorneys ask, if the original attune knee was considered to be troublefree and safe, why the redesign. Depuy synthes adds cementless option for attune knee elizabeth hofheinz, m. Depuy attune knee replacement design changes made with the attune may lead to early detachment. The cut will be approximately 1 cm above the lesser trochanter. Minimally invasive hip and knee replacement surgery joseph gondusky, md virginia, usa 21,476 views 3. Since its release almost a decade ago, it has been used in more than 400,000 knee replacement procedures. During a knee replacement procedure, doctors cut away and reshape parts of the leg bones below and above the knee joint, then use a special adhesive to glue in the new joint device. 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. Its simple instrumentation allows consistent alignment, soft. Depuy synthes expands attune knee platform with cementless. Surgical technique neck osteotomy the level of the neck resection is determined during preoperative templating.
Our elearning platform contains high resolution images and a certified cme of the sleeved total knee replacement for tibial plateau fracture mbt depuy surgical procedure. Through a program of continuous development depuy now offers a single system of high performance instruments that supports your approach to knee replacement surgery. Sep 09, 2019 depuy synthes expands attune knee platform with cementless option cementless technology supports growing trend of younger, more active patients undergoing knee replacement warsaw, in, sept. The lateral approach to the valgus knee surgical technique and analysis of 53 cases with over twoyear followup evaluation. Depuy lps limb preservation system surgical technique. It is one of the largest researchanddevelopment projects in the history of depuy synthes joint reconstruction and combines the latest in design, kinematics, engineering and materials to deliver stability and motion. Depuy synthes attune knee replacement trustwell law. In october 2000, left knee total arthroplasty surgery was performed with a sigma knee prosthesis depuy. Comparison of an existing and new total knee arthroplasty implant system from the same manufacturer. Point the laser at the center of the knee joint when the knee is in flexion. Total knee replacement surgery, or knee arthroplasty, is performed on people with severe knee damage that causes them pain, interfering with or preventing normal movement and activity. The system is designed to address bone defects, provide stability, provide enhanced fixation options, and deliver an efficient technique.
In total knee arthroplasty, the pcl is divided in 20% of cases, usually for correction of the flexion gap. Incision and exposure to the knee joints should be performed based on the surgeons choice of technique. Proximal femoral replacement total femur replacement distal femoral replacement. Apr 09, 2020 despite the fact that depuy suggested that the sigma system had truly impressive success and longevity rates, they nevertheless began to alter the sigma system design in an endeavour to mimic the total flexion of the natural knee. Best sleeping positions after total knee or hip replacement.
Limbsparing techniques, using modular segmental endoprostheses, provide a reliable. Depuy also manufactures an attune model for revision knee replacement surgery. Depuy makes both fixed bearing, and rotating knees. Ensure that the patella tendon tibia interface is released so the patella can easily sit in. The device is advertised as being able to give patients increased stability and range of motion following knee replacement procedures. Video showing the surgical technique for brainlab knee 3 with johnson and johnson attune knee replacement prosthesis. This video outlines itotal cr knee replacement technique in five steps. Joint reconstruction now offers a single system of high performance instruments that supports. A sequential threestep lateral release for correcting fixed valgus knee deformities during total knee arthroplasty.
Contemporary total knee arthroplasty demands high performance instrumentation that provides enhanced efficiency, precision, and flexibility. Attunedepuy synthes with brainlab knee 3 naturally. Depuy attune knee system failures mcgartland law firm. This webinar will share best practices and data from the presenting surgeons studies in order to optimize cementing technique for better outcomes in primary tkr. By depuy synthes featuring brian haas june 2019 watch this video to learn more as dr. A 12 mm remnant stylus can be attached to the resection guide resting on the anterior surface of the patella, to avoid overresection figure 8. Mar 08, 2018 in a total knee replacement surgery, the damaged surfaces of the knee joint are removed and replaced by a prosthetic implant made of metal, plastic, or a combination of the two materials. Unfortunately, unexpected complications are not out of the ordinary. Comprehensive reverse shoulder system superior approach surgical technique. Physical evaluation includes examination of soft tissues. Soft tissue defects include ligament compromise, imbalance and signi. For more information about depuy products, visit our web site at. It is therefore advisable, and indeed my practice, to closely.
When the knee joint becomes so damaged, from arthritis, or other conditions, replacement with artificial components can restore mobility and reduce pain. Watch this video to learn more about the surgical technique, highlights, and tips about the trumatch personalized solutions system. Depuy knee replacement side effects include all the possible complications that come with any knee surgery using any type of artificial joint. Knee replacement surgeries employing the depuy synthes attune knee system have a higher than normal rate of failure, requiring revision surgery to be performed. The major difference in the design for the two prostheses is the incorporation of an intercondylar post in the pcl substituting tibial insert and its corresponding. Cutting edge instrumentation, such as the user friendly mis system and the reamthru femoral trials, was designed to create the most comprehensive system available. Revision tray knee surgery introduction in total knee arthroplasty tka, failure may result from many causes including. This launch combines the proprietary technologies of the attune knee designed to provide stability while the knee is in motion with. Depuy knee overview artificial knees are used to replace either the entire knee joint, or only part of it, in people with extensive damage. Ballista percutaneous screw placement system surgical. The camera should be switched on for several minutes prior to use, as the infrared source. Fda recalls of depuy knee replacement system depuy has been hit with several recalls of its knee replacement system. The modified static spacers using antibioticimpregnated.
Significant bone loss requiring extensive reconstruction around the hip and knee is often required following the treatment of malignant bone tumors, aggressive benign bone tumors, infection, multiple revised and failed joint replacements and massive trauma, particularly in the elderly osteoporotic patient. Managing cost and creating value tue, oct 29, 2019 faculty. Preoperative planning revision total knee arthroplasty begins with thorough clinical and xray evaluation. Since no single arthroplastic approach is appropriate for every knee, the surgeon must be. 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. Totalknee replacement is performed on a wide range of patients with various pathologies and anatomical anomalies. Scientific evidence evidence attune knee system total.
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. In the case of the attune knee, this is due to a questionable design whereby the surface of the implant is smoother than normal, making adherence difficult. Physical evaluation includes the examination of the soft tissues, taking into account previous skin incisions, range of motion, motor strength, the condition of all neurovascular structures, ligamentous stability and the integrity of the extensor. Correcting fixed valgus knee deformities during total.
Sigma rotatingplatform total knee system depuy orthopaedics, inc, warsaw, ind demonstrates many unique characteristics. Ideally, the revision knee replacement system will offer the options of adjunctive stem fixation, methods to manage bone loss and various levels of prosthetic constraint. The surgical technique is utilising the alternate alignment philosophy. Depending on the type of incision used, reference arrays can be used inside the standard incision or through separate small incisions. People who have invested time and money in a surgery to improve their quality of life and provide painfree movement but instead have to endure more pain and more surgery due to cement failure may be entitled to compensation from depuy synthes for the failure of the attune knee replacement system to perform as advertised. July 2015 watch this video to learn more as professor barrett discusses cementing techniques in total knee replacement surgery. This surgical technique provides instruction on the implantation of the sigma family of fixed bearing and rotating platform knees utilising the classic femoral preparation system. First, unlock the slope adjustment lock and then translate the tibial slope adjuster anteriorly until the desired angle is reached.
In the application, depuy orthopaedics said the depuy attune knee system was substantially equivalent to eight other products on the market at the time, such as the sigma patella and zimmer nexgen cr knee system. Such stability maintains contact pressure on the mobile bearings and protects against subluxations and dislocations. Metaphyseal sleeves and cones in revision total knee. Learn the sleeved total knee replacement for tibial plateau fracture mbt depuy surgical technique with step by step instructions on orthoracle. Revision totalknee arthroplasty begins with thorough clinical and roentgenographic evaluation. An early outcome study of the attune knee system vs. Additional information evidence attune knee system.