Hexapod External Fixator System Utilizing

Web-based Computer Assisted Correction

Component and Software Overview

The winner of TÜBİTAK-TTGV-TÜSİAD

Technology Grand Prize Award

Product Features

Components

Key System Advantages

Competitive Advantages

Indications

Instructions

Clinical Applications

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Product Features01

Introduction

Combination ofCircular Hexapod Frame External Fixator with Wire and/or Screw fixation

andWeb-Based Radiographic Navigation Software

Components02

Ring

Aluminium (6mmNEW) and Carbon Fiber (only full ring)

• Full Ring

• 2/3 Ring

• Foot Ring

Strut

• Aluminum and titanium.

• Wide compression/distraction distance with 7 different sizes (55mm to 495mm)

• Safe use with the locking rod mechanism (secure click rachet)

• Special covered titanium rods avoids the friction and ensures an easy use during the

treatment

Screw and Wires

• Available in Titanium or Stainless Steel (both HA Coated available)

• Blunt and trocar point bone screw option.

• All the screws are tapered.

• Stopped and Non-Stopped wire option.

Screw and Wire Clamps

• Titanium,

• Adjustable Height, Direction and Rotation,

• Available for 1.6mm, 1.8mm and 2.0mm wires and 4.5mm and 6mm screws.

Key System Advantages03

3.1 Key System Advantages

• Free Strut Placement – offers Surgeon choice in strut placement.

• No frame restriction

• “Crooked bone in a differently crooked frame”

3.2 Key System Advantages

Distal and Proximal rings in different diameters and

different shapes can be used together

Increased wound site

access

3.3 Key System Advantages

System allows to adjust the space between the rings 2cm to 30cm

2cm30cm

3.4 Key System Advantages

Advanced composite rings and strut designs allows

for a MRI compatible lightweight frame.

3.5 Key System Advantages

Web-based Radiographic Navigation Software provides

the simplest and fastest data entry of any system in the world.

Competitive Advantages04

Competitive Advantages

• No Reference Ring and Master Tab

• No Mounting Parameters

• Advanced Frame Construction Flexibility

• Advanced Radiographic Navigation

Indications05

Indications

• Trauma

• Acute

• Sequela period

• Deformity

• Frontal / Sagittal / Rotational (degree)

• Limb length discrepency / Translation (milimeter)

• Combinations

• Nonunion

• Compression/ Distraction

• Deformity + Pseudoarthrosis

• LLD + (Deformity+) Pseudoarthrosis

Instructions06

Instructions

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Use the basic fixator principals

Instructions (before the operation)

• Recommended to place Ring hole #1 most anteriorly.

• Recommended the rings to be aligned rotationally,

hole #1 in proximal ring is approximately above

hole #1 in distal ring.

Web Based SoftwarePassword protected access

Start the process…Home Page

Personalised Case Records

• Record and retain all your patients

• Primary and Revision Cases

Data Entry - Rings & Struts & Configuration and Lengths

Simple drop-down menus facilitate data entry

Data Entry - Frame Modeling

Web software creates graphic images of the specific construct

X-Ray Parameters

• AP and Lateral x-ray images should be taken

• Both rings shoud contact to the x-ray cartridge, if not, the gap in between should be measured and

recorded into the software

• X-ray tube shoud be centered into the focus zone while imagining

Data Entry - X-ray Parameters

Can be taken at surgery or later

Overlaying X-Ray on the calibrated template

Software creates easy to manipulate images, allowing for fast alignment of X-ray and computer image!

• Software creates easy to manipulate images, allowing for fast homologation of X-ray and computer image

• Software creates easy to manipulate images, allowing for fast alignment of X-ray and computer image

Deformity Parameters - Deformed Segment Entry

• «Click» to select the deformity segments on-screen with your mouse (or your finger on an iPad)

Deformity Parameters – Deformed Segment Entry

Deformity Parameters - Distraction & Rotation

Correction Schedule

The correction step and the starting date need to be submitted.

Correction Schedule

• Moving graphics show frame through correction progression

• Patient specific treatment chart generated with days and dates

• Strut changes are highlighted in blue (shorter) and yellow (longer)

• E-mail and print options

Clinical Application07

Discussion08

Hardware - Rings

Smart Correction TL-Hex

• Full Rings : 105mm to 300mm (+15mm inc.) 140mm to 220mm (+20mm inc.)

• Thickness : 6mm 9mm

• 2/3 Rings : 105mm to 300mm (+15mm inc.) (8mm)

• 5/8 Rings : 140mm to 220mm (+20mm inc.) (9mm)

• Holes : Double row (stronger, higher flexibility) Single row

• Foot Ring : 105mm, 120mm, 135mm 140mm to 220mm (+20mm inc.)

• Ilizarov : Yes Yes/No

• Single row holes limit the user compatibility

Hardware - Struts

Smart Correction TL-Hex

• Lengths 5mm to 400mm 45mm to 318mm

• Ilizarov compatibility Yes, No

• Material Titanium + Aluminium ?? + Aluminium

• Changing Each strut is locked seperate Strut couple locked

together

Stabilization of the frame is MUST during the replacement

Planning

Smart Correction TL-Hex TSF

• Mounting Parameters NO Yes Yes

• Reference Ring NO Yes Yes

• Master Tab NO Yes Yes

• Variable Strut Positioning Yes NO NO

• Software – Measurement Yes Yes/NO NO

on the X-Ray

• Preoperative Planning Support Yes Yes/NO NO

• Bone should be centralized NO Yes Yes

in the ring

• Software complexity 4 steps very easy Very complex

Web Based Surgical Preoperative Planning Software

www.click2correct.com

Web Based Multi Platform Touch ScreenCompatible

Unlimited CloudStorage

X-Ray Sharing

Eralp, Lembeh, 2019