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chronOS Strip. Osteoconductive beta- tricalcium ... - Synthes

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Table of ContentsIntroduction<strong>chronOS</strong> <strong>Strip</strong> 2Indications and Contraindications 3Surgical TechniquePreparation 4Perfuse <strong>chronOS</strong> <strong>Strip</strong> 5Implant <strong>chronOS</strong> <strong>Strip</strong> 7Product InformationProduct Information 9Also Available 10Bibliography 12WarningThis description is not sufficient for immediate application ofthe product. Instruction by a surgeon experienced in handlingthis product is highly recommended.<strong>Synthes</strong> 1


Bouclesdu RhôneDombesBelledonneBaronnies


Implant <strong>chronOS</strong> <strong>Strip</strong>3Implant <strong>chronOS</strong> <strong>Strip</strong>Mechanical stability is a prerequisite for good bonyincor poration when using <strong>chronOS</strong> <strong>Strip</strong>.If there is instability, stabilize the operative area usingappropriate osteosynthesis procedures and hardwarefixation.Once the defect is stabilized, manipulate or secure <strong>chronOS</strong><strong>Strip</strong> intraoperatively to fill the defect according to surgeonpreference.<strong>Synthes</strong> 7


Implant <strong>chronOS</strong> <strong>Strip</strong>Implant <strong>chronOS</strong> <strong>Strip</strong> in direct contact with bone withoutany intermediate connective tissue layer.8 <strong>Synthes</strong> <strong>chronOS</strong> <strong>Strip</strong> Technique Guide


Product Information<strong>chronOS</strong> <strong>Strip</strong>, sterile07.801.100S50 mm25 mm3 mmVolume of bone marrow or blood: 4 – 10 cclengththickness07.801.101S100 mm25 mm3 mmVolume of bone marrow or blood: 7 – 20 cclengththickness07.801.110S50 mm25 mm6 mmVolume of bone marrow or blood: 7 – 10 cclengththickness07.801.111S100 mm25 mm6 mmVolume of bone marrow or blood: 15 – 20 cclengththicknessDiagrams show actual dimensions of strips.<strong>Synthes</strong> 9


Also AvailableBone Marrow Aspiration System (BMAS)Art. No. Diameter Length Syringe710.110S 11 ga 10 cm 20 ml710.115S 11 ga 15 cm 20 ml10 <strong>Synthes</strong> <strong>chronOS</strong> <strong>Strip</strong> Technique Guide


Bibliography<strong>chronOS</strong>: optimized scaffold induces remodelingprocessWheeler D. (2005) Grafting of Massive Tibial SubchondralBone Defects in a Caprine Model Using -Tricalcium PhosphateVersus Autograft. J Orthop Trauma, 19 (2),85–91.Lu J, Flautre B et al. (1999) Role of interconnections inporous bioceramics on bone recolonization in vitro and vivo.J Mater Sci Mater Med, 10 (2), 111–120.Bone marrow harvesting technique: reduced morbidityBertram H, Mayer H, Schliephake H. (2005) Effect of donorcharacteristics, technique of harvesting and in vitro processingon culturing of human marrow stroma cells for tissueengineered growth of bone. Clin Oral Implants Res, 16(5),524–31.Kitchel S, Wang M, Lauryssen C. (2005) Techniques for AspiratingBone Marrow for Use in Spinal Surgery. Neurosurgery,57(4), 286–289.Bone marrow: osteogenic potentialConnolly J. (1995) Injectable bone marrow preparations tostimulate osteogenic repair. Clin Orth Rel Res, 313, 8–18.Tiedeman J et al. (1991) Healing of a large nonossifyingfibroma after grafting with bone matrix and marrow, Clin.Orth. Rel. Res., 265, 302–305.Connolly J et al. (1989) Autologous marrow injection fordelayed unions of the tibia: a preliminary report. J OrthopTrauma, 3 (4), 276–282.Vacuum perfusion: efficient impregnation of <strong>chronOS</strong>with bone marrowBecker S et al. (2006) Osteopromotion by a -TCP/BoneMarrow Hybrid Implant for Use in Spine Surgery. Spine,Volume 31(1), 11–17.Stoll T et al. (2004) New Aspects in Osteoinduction. Mat.-wiss. u. Werkstofftech, 35 (4), 198–202.12 <strong>Synthes</strong> <strong>chronOS</strong> <strong>Strip</strong> Technique Guide


<strong>Synthes</strong> GmbHEimattstrasse 3CH-4436 Oberdorfwww.synthes.com Presented by:0123036.000.747 SE_170507 AA 70080006 © 06/2008 <strong>Synthes</strong>, Inc. or its affiliates All rights reserved <strong>Synthes</strong> is a trademark of <strong>Synthes</strong>, Inc. or its affiliates

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