Chapter 3 GENERAL ORTHOPAEDICS - Veterinary … · Chapter 3 71 GENERAL ORTHOPAEDICS 3 Very Large...

Chapter 3

71

GENERAL ORTHOPAEDICS 3

Very Large Fragment Forceps

FRAGMENT FORCEPS

001200 Fragment Forceps 160mm £65.00

001201 Small Fragment Forceps 135mm £65.00

001208 Very Small Fragment Forceps 100mm £62.50

001208M Miniture Fragment Forceps 135mm £70.00

Fragment Forceps -Pointed Reduction ForcepsIntroductionIdeal for fragment reduction, these forceps gently hold fragments inposition whilst the permanent fixation is being applied. Particularly useful inthe repair of fractures of the distal femur, acetabulum and distal tibia.

The smaller sizes are useful in the repair of the long bones of the miniaturedog and cat as well as the smaller bones of the distal limbs in largepatients.

001200

001201

001208

Pointed Reduction Forceps with Spinlock

Where delicate reduction of fragments is undertaken, ratchet forceps canbe frustrating in that they do not give as much ‘feel’ as is desirable. Thespinlock version is used initially with the spinlock flipped out giving thesurgeon maximum control. Once the forceps are in place the spinlock isflipped back into position and then gently tightened.

POINTED REDUCTION FORCEPS WITH SPINLOCK

001201SL Small Fragment Forceps with Spinlock 135mm £80.00

001245SL Large Fragment Forceps with Spinlock 180mm £95.00

REDUCTION FORCEPS WITH WIRE GUIDE

001201W Reduction Forceps with Wire Guide 140mm long, gape 10-25mm £80.00



For use in situations where a very wide ‘gape'is required or where the bulk of the instrumentmust be well away from the jaw tips.

The spinlock version has been recommendedfor repositioning of the stifle, prior to placementof a lateral suture wire or nylon in CrCL repair.

VERY LARGE FRAGMENT FORCEPS

001202 Very Large Fragment Forceps 205mm £80.00

001203 Very Large Fragment Forceps with Spinlock 215mm £120.00

Reduction Forceps with Hard Wire Guide

It is often useful to place a temporary or permanent wire close to thepoint of forcep reduction. The reduction forceps are a familiar pattern butthe addition of a wire guide enables accurate placement of wires up to1.6mm across the fragment.

72

3 GENERAL ORTHOPAEDICS

Long Ratchet Schroeder Tenaculum

A larger, springier version of the straight Twin Point Forceps. This forcep isrecommended by Jon Dee for reduction of small fragments prior to drillingand screwing. The addition of the longer ratchet increases its range ofapplication over the standard Schroeder.

SCHROEDER TENACULUM LONG RATCHET

001219 Long Ratchet Schroeder Tenaculum Str 240mm 9.5” £75.00

Reduction of afractured centraltarsal bone

IKUTA BONE CLAMPS

001207A Straight for wires to 2.0mm 125mm £67.50

001207B Curved for wires to 2.0mm 125mm £67.50

001207C Straight for screws & wires to 3.0mm 125mm £67.50

001207D Curved for screws & wires to 3.0mm 125mm £67.50

Ikuta slotted clamps are designed to allow the passage of wires or screwsat the point of maximum pressure. The Ikuta clamps are suitable for bonesup to 20mm in diameter. The smaller sizes are for wires, the larger forsmall screws. For even larger screws use 001205 or 001206, Twin PointFragment Forceps. Alternatively for a springier action try 001219 LongRatchet Schroeders, a vusellum forcep. See elsewhere in this chapter forfurther details and pictures.

Ikuta Bone Clamps

001207B plus 2mm ‘K’wire in cat stifle

2.1mmslot

4.5mmslot

001207B

001207D

Twin Point Fragment Forceps

When lag screwing, it is often the case that the exact point where screwplacement should be performed is occupied by the point of the reductionforceps. Twin point fragment forceps are designed to give secure fixation ofbone fragments while allowing drilling and screwing between the jaw points.Especially useful in repairs of fractures of the humeral condyles and thesmall bones distal to the carpus/hock.

TWIN POINT FRAGMENT FORCEPS

001205 Twin Point Fragment Forceps Straight 170mm £67.50

001206 Twin Point Fragment Forceps Curved 165mm £67.50

001205

When using pointed reduction forceps to reduce and compress fracturesthe position of the jaw tip is exactly where the pilot hole for the screwshould be. Use of twin point reduction forceps allows the pilot to bedrilled at exactly the correct position. These large forceps are the correctsize for most elbows, especially Spaniel elbows, which are most likely tobe affected by IOHC.

Large Twin Point Reduction Forceps with Spinlock

TWIN POINT REDUCTION FORCEPS WITH SPINLOCK

001204 Twin Point Reduction Forceps with Spinlock 215mm £140.00

73

GENERAL ORTHOPAEDICS 3www.vetinst.com

Small Curved Serrated Reduction Forceps

SMALL CURVED SERRATED REDUCTION FORCEPS

001996 Small Curved Serrated Reduction Forceps 145mm £60.00

A nice forcep for the manipulation of small bones orsmall bone fragments. You cannot have too manybone holding forceps!

Reduction Forceps Serrated Jaws

These reduction forceps have serrated jaws and spinlock which providessecure incremental control.

REDUCTION FORCEPS SERRATED JAWS

001217 Reduction Forceps Serrated Jaws Spinlock 190mm £75.00

001217/L Reduction Forceps Serrated Jaws Spinlock 240mm £85.00

VI Bone Holding Forceps

A general purpose bone holder for use inmaintaining fracture reduction in I/M pinning.Also very useful for lag screwing and boneplating in that drills and screws can be passedthrough the centre of the jaw at the point ofmaximum compression. A very popular forcep.

VI BONE HOLDING FORCEPS

001210 Bone Holding Forceps 155mm £67.50

Small Serrated Bone Holding Forceps

Manipulation of the long bones of cats and small dogs is difficult withoutcrushing. The serrated jaws of this forcep are contoured to maximise gripand support. The tips are sharp. They may be used as small fragmentforceps.

SMALL SERRATED BONE HOLDING FORCEPS

001218lg Small Serrated Bone Holding Forceps. 12mm grasp 180mm £60.00

001218 Small Serrated Bone Holding Forceps. 7mm grasp 140mm £60.00

001218s X Small Serrated Bone Holding Forceps. 5mm grasp 140mm £60.00

001218xs X Small Serrated Bone Holding Forceps. 3mm grasp 140mm £60.00

Bone Holding ForcepsIntroductionSadly there is no such instrument as a universal bone holding forcep. Therange of sizes and shapes of bones and bone fragments is immense.Additionally the function required will vary also. Some applications requiregentle holding others require aggressive clamping and manipulation.Select appropriate forceps for the procedure.

Pancarpal arthrodesisPhoto Alex Li

Picture # cat femur Geoff Robins

Dingmans Forceps

Useful for manipulation of bone fragments.

DINGMANS FORCEPS (LONG RATCHET)

001470 Dingmans Forceps Long Ratchet. 215mm £85.00

74


Self Centering Bone Holding ForcepsSome fracture reductionsrequire that the bone forcepsjaws be angled from thehandles. Such forcepsrequire:

1. A sophisticated hingemechanism to allow thejaws to maintainalignment as they openand close.

2. A special locking devicewhich can cope with thelaxity at the hinge.

The spinlock and the specialjaw make the instrumentvery nice to use but very expensive.

The veterinary pattern reflects the special requirements of veterinaryanatomy i.e. the handles typically have to stand up from the bone comparedwith the human situation where the limbs are effectively cylinders and thehandles can drop away from the bone.

SELF CENTERING BONE HOLDING FORCEPS

001209 Self Centering Forceps Very Small - 150mm £195.00

001211 Self Centering Forceps Small - 190mm £195.00

001212 Self Centering Forceps Large - 240mm £195.00

001209V Self Centering Forceps Very Small - 150mm Vet Pattern £195.00

001211V Self Centering Forceps Small - 190mm Vet Pattern £195.00

001212V Self Centering Forceps Large - 240mm Vet Pattern £195.00

Self Centering ForcepsVeterinary Pattern

Plate Holding Forceps

PLATE HOLDING FORCEPS

001215 Plate Holding Forceps 160mm £75.00

These forceps are designed to maintain plate position through a holein the plate. Without fixation, bone plates tend to slip and slide over thebone surface. The ball, just behind the point of the jaw, locates in the boneplate causing minimal interference elsewhere in the operation site. Alsouseful as reduction forceps in soft, young bone as the balls prevent overpenetration of bone.

Lowman Bone Clamp Veterinary Pattern Cat SizeA traditional clamp has been extensively reworked for veterinary patientsto include patterns for cats and medium dogs. The human patterns aretypically much too big.

• Lightweight • Requires minimal exposure

• Use to reduce oblique fractures

• Secures plate to fracture prior to screwplacement

LOWMAN BONE CLAMP VETERINARY PATTERN

001991 Lowman Bone Clamp veterinary pattern 60mm £75.00

001993 Lowman Clamp large Bone <30mm 220mm £120.00

Temporary fixation of a bone plate at a fracture is an essential part of boneplating. Unfortunately there is an equal desire for the placement of bonereduction forceps and drill guides. The new range of VI Bone Holding / DrillGuide Forceps attempts to address two of these requirements.

All DCPs and many other plates are designed to hold and interact withspherical headed bone screws. This range of forceps has a spherical balltip on one side of the jaw and a pointed tip on the other to allow themaximum range of positions for each forcep without compromising thereduced fracture. Incorporated into the ball tip is a drill guide of anappropriate size which just protrudes through the ball to engage in thebone under the plate. As pressure is applied the ball tip engages the edgesof the plate hole producing a secure fix of the plate on the bone with a drillguide in situ, hands free ready for drilling. The pointed tip is offset relativeto the drill guide to prevent contact between drill tip and forceps.

Available for 1.5/2.0, 2.4/2.7 and 3.5 screws and plates.

Plate Holding / Drill Guide Forceps

Kern Bone Holding Forceps

Kern Bone Holding Forceps give a very firm controllable grip on long bones,facilitating manipulation and reduction of fragments. A quick release ratchetlocks the jaws.

Kerns are very useful in general orthopaedics and for surgery around thehip joint, in particular:

• femoral shaft fractures • triple pelvic osteotomy

• hip toggle • fractures of the acetabulum

KERN BONE HOLDING FORCEPS

001216 Mini Kern Bone Holding Forceps 4.75” 125mm £67.50

001213 Kern Bone Holding Forceps 6.75” 170mm (small) £67.50

001214 Kern Bone Holding Forceps 8.5” 215mm (large) £67.50

PLATE HOLDING/ DRILL GUIDE FORCEPS

001225 1.5/2.0 Plate Holding/ Drill Guide Forceps 140mm £105.00

001226 2.4/2.7 Plate Holding/ Drill Guide Forceps 145mm £105.00

001227 3.5 Plate Holding/ Drill Guide Forceps 150mm £105.00

0012SET Plate Holding/ Drill Guide Forcep Set (one of each size) £250.00

75


Implant CuttersImplant Cutters Surgical FinishCutting orthopaedic implants with a hack saw is hard work and very timeconsuming. Stainless steel has the unfortunate property of work hardeningi.e. the harder you try to cut it, the harder it becomes.

The surgical finish cutters are made from stainless steel with tungstencarbide cutting inserts. As with all tungsten carbide instruments avoidcutting at the tips of the inserts as this will fracture the hard-wearing butbrittle insert.

The close-cut models are designed to cut pins and wires close to the bonesurface. It is particularly useful where wires are to be left in situ, e.g. repairof the fracture of the distal femur and tibial crest transplants.

IMPLANT CUTTERS SURGICAL FINISH

001229 Safety Cutter Stainless to 4mm capacity. 360mm £245.00

001231 Implant Cutter Stainless to 1/4” 6mm capacity. 490mm £295.00

001231/A Implant Cutter Stainless to 4mm capacity. Detachable handles to allow autoclaving in Little Sister type autoclaves. Length stripped down 370mm. £355.00

001231VL Implant Cutter Stainless to 1/4” 6mm capacity. 63cm long £255.00

001234 Implant Cutter Stainless to 4mm capacity 370mm long £195.00

001228 Implant Cutter Stainless to 3mm capacity 260mm long £195.00

001236 Implant Cutter Stainless to 2.5mm capacity. Close Cut 230mm £195.00

001237 Implant Cutter Stainless to 2.2mm capacity. 230mm £195.00

001238 Implant Cutter Stainless to 1.5mm capacity Close Cut. 150mm £175.00

001230 Implant Cutter Stainless to 1.5mm capacity. 150mm £175.00

Side Cutting 2.0 TC Wire CutterThis is a stainless version of our popular industrial wire cutter (001235). TC inserts cut hard wire to a maximum of 2.0mm

001235TC

SIDE CUTTING WIRE CUTTER

001235TC Side Cutting TC wire cutter to 2.0mm 170mm £135.00

001229

Implant Cutters Surgical Finish

001234

001228

001236 Close cut style

001238 Close cut style

001237

001231/A

This style of our large pin cutters strips down to fit into small autoclaves.

001231

We have re-designed the safety cutter to make it easier to use, easier toclean and easier to autoclave. The telescopic handles may be extendedby pressing the push button release. The extended handles give betterleverage when cutting pins but are too long for many autoclaves.The shear cutting action remains the same giving a neat flat (not sharp)cut. The cut off free end of the pin is retained temporarily within the bodyof the cutter rather than flying off as with standard cutters. Cuts all pinsto maximum of 4mm. Cut is 5mm below end surface of cutter.

standard cutter

safety cutter

Safety Cutters

PUSH BUTTON HANDLE TO OPEN/ CLOSE

76


Implant Cutter Industrial Finish

Theseitems areessentiallyindustrial toolsbut selected forhigh quality. The black finish will stainduring steam sterilisation but priorspraying with WD40, or similar, will giveyears of service. When it looks horrible put it in thetool kit and buy another pair. Good value.

IMPLANT CUTTER INDUSTRIAL FINISH

001232 Implant Cutter Industrial Finish to 1/4” 6mm capacity 460mm £135.00

001233 Implant Cutter Industrial Finish to 4mm capacity 350mm £120.00

001235 Implant Cutter Industrial Finish to 2.0mm capacity 165mm £70.00

001232 & 001233

001235

Pin Grip

In situations where pins and wires are inserted for temporary fixation,removal can be performed with a minimum of trauma using pin grips. Thejaws are especially designed to be inserted through a small skin incision. Agroove in the jaw of the stainless version locates the pin and the device canbe locked in position for easy withdrawal - especially useful where threadedpins have been used.

PIN GRIP

001241 Pin Grip (Stainless Steel) Modified Jaw. 175mm £70.00

001242 Pin Grip (Industrial Finish). 165mm £50.00

Parallel Action Pliers

Useful for bending, holding and cutting small pins and wires, parallel actionpliers may also be used in conjunction with bone plate benders forcontouring smaller plates. The industrial version will stain and rust withautoclaving. These changes can be minimised by copious lubrication priorto autoclaving together with dry storage. Will cut arthrodesis and ‘K' wiresto a maximum of 2.0mm.

PARALLEL ACTION PLIERS

001290 Parallel Action Pliers (Stainless Steel) 170mm £70.00

001291 Parallel Action Pliers (Industrial finish) 165mm £50.00

‘K’ Wire / ‘A’ Wire Extraction Forceps

Designed to firmly grip wires 0.9mm to 2.0mm. Tungsten Carbide jawsmaximise grip, fine nose minimises trauma to surrounding tissue.

‘K' WIRE/‘A' WIRE EXTRACTION FORCEPS

001244 ‘K' Wire / ‘A' Wire Remover - 140mm £70.00

Wire Contouring Pliers

Use to contour both soft and hard wires. The jaw design has multiple anvilshapes and a pair of soft wire cutters.

WIRE CONTOURING PLIERS

001245 Wire Contouring Pliers 150mm £70.00

Actual S

ize

Small Pin Vice

This small pin chuck holds wires and instruments up to a diameter of2.5mm. Particularly useful for fingertip control over insertion of arthrodesisand "K" wires.

SMALL PIN VICE

001223 Small Pin Vice 100mm £140.00

77


Jacobs Chuck

The standard instrument for insertion of intra-medullary pins, external fixatorpins, arthrodesis and "K" wires. The standard chuck has a 1/4" (6mm)capacity. The small chuck has a capacity of 5/32" (4mm) and is particularlyuseful for placing smaller pins in cats and miniature dogs. The standardchuck can be quite unwieldy in small patients.

JACOBS CHUCK

001220 Small Jacobs Chuck with handle 5/32” Capacity. 260mm £195.00

001220H Small Jacobs Chuck 5/32” Handle only £60.00

001605S Replacement 5/32” Chuck (& key) only - no handle £140.00

001606S Spare key for 5/32” chuck £23.50

001221 Standard Jacobs Chuck with handle 1/4” Capacity £195.00

001605 Replacement 1/4” Chuck (& key) only - no handle £140.00

001606 Spare key for 1/4” chuck £23.50

Wire PassersThese devices are used to direct orthopaedic cerclage wire around longbones with minimal trauma. Devascularisation of bone fragments is a serious

risk, particularly where cerclage wire is being applied.Devitalised bone can turn into a sequestrum.

Try to keep as much soft tissueattachment as possible. Available

as a double ended instrument orin single individual sizes.

WIRE PASSERS

001250 Wire Passer double ended 145mm £45.00

001252 20mm dia Wire Passer single ended 205mm £27.50



001256 Set of 3 single ended wire passers £65.00

001250

Cerclage wire canbe a very usefulmeans of fragmentfixation. This kitcontains our mostpopular cerclageinstruments and aroll of wire. Kitcontains 1x WireTwister, 1x Set of 3Single Ended Wire Passers and 10m roll of 1.0mm Orthopaedic Wire

The price is discounted by over 10% compared to the component parts.

Orthopaedic Wire Kit

ORTHOPAEDIC WIRE KIT

OWKIT Orthopaedic Wire Kit £135.00

To even the most experienced of surgeons, passing good cerclage wirescan be a bit of a challenge. Most Cerclage passers are of deep profilemaking them difficult to pass between bones which may be in closeapproximation such as those of the lower limbs. Most are also poor formanipulating fragments. This device sets out to address theseshortcomings. Another feature of the new passer is that the instrumentmay be left in situ during tightening, minimising migration and oblique wires

Designed by David Strong MRCVS, the low profile of these devices aimsto allow easier passage between bones. Having an open channel and withwire passable from the tip or handle end should simplify function. The flaton the internal aspect of the tip aims to give better feel for use as areduction aid and to assist with close passage of the device around thebone. Available as a three instrument set, each device is double endedgiving internal diameters of 12.5mm and 15mm on the smallest instrument,20mm and 25mm on the medium instrument and 30mm and 40mm on thelargest instrument.

Strong Cerclage Wire Passers

STRONG CERCLAGE WIRE PASSERS

CWPSM Strong Cerclage Wire Passer Small £57.50

CWPMD Strong Cerclage Wire Passer Medium £57.50

CWPLG Strong Cerclage Wire Passer Large £57.50

CWPSET Strong Cerclage Wire Passer Set of three £125.00

BoneBinder by Aesculap

BONE BINDER

VB302 BoneBinder Small 2.5 x 90mm (5 packs of 2) sterile £29.50

VB303 BoneBinder Medium 3.5 x 120mm (5 packs of 2) sterile £29.50

VB304 BoneBinder Large 4.5 x 180mm (5 packs of 2) sterile £29.50

Cable ties are a very versatile self locking fixation system widely used innon surgical industries. They have been used surgically with somesuccess but the materials used in industrial ties have not been clearedfor implantation. Aesculap, after extensive testing and studies, hasproduced a range of implant grade ties for use in veterinaryorthopaedics. The ties may be used for temporary or long term reductionand fixation of bone fragments. The BoneBinder also includes a radio-dense strip. Supplied sterile in 5 packs of 2 ties. Available in 3 sizes

78


Twisterz - Wire Twister

Features “J” slots for quickcapture and release.Textured handle forbetter grip and control. Bellshaped nut provides betterleverage for tightening.Reduced threads requireless turning of the nut forlocking at wire and handle.

TWISTERZ - WIRE TWISTER

200010.00 Twisterz Wire Twisters 155mm £135.00

Cerclage Wire Twisters &TightenersIntroductionCerclage wire can be a very useful means of fragment fixation. However,inappropriate use can lead to devitalisation and wires are often to be foundin the middle of delayed and non-unions. If the fracture reduction is notstable it would be better to take the wire out. Multiple wires may stabilise asituation where a single wire will not. Wires must be tight. Typically one infive wires will break if you are making the loops tight enough. Cerclagewire is tightened by either twisting or tensioning a wire loop.

Wire Twister / Shear Cutter - STILL THE BEST BY FAR

• Jaws lock onto wire to enableeasy twisting under tension forkink-free cerclage. The wiremust be twisted under tension tocreate an even spiral.

• Improved design, long life shearaction cutter will cut 18 gauge(1.2mm) wire twisted double.

• Serrated jaws grip and turn cutends. Jaws have fenestration forextra grip.

• not designed to cut A+K wiresand pins.

• available with tungsten carbidejaws for extra grip.

WIRE TWISTER/ SHEAR CUTTER

001260 Wire Twister/ Shear Cutter 165mm £75.00

001261 Wire Twister/ Shear Cutter - Tungsten Carbide Jaws 165mm (not fenestrated) £90.00

‘Sismey’ Wire IntroducerA useful kit including wire passing and suture passing needles. The needlesmay be positioned in a wide variety of different angles.

“SISMEY” WIRE INTRODUCER

001255 Sismey Wire Introducing Set 135mm £70.00

V1497C Spare Needles - Large £8.50

V1497D Spare Needles - Small £8.50

V1497B Spare Hollow Tubes (3) £21.50

close up detail

LESSER WIRE PASSER/ RETRIEVAL FORCEPS

001268 Lesser Wire Passer/ Retrieval Fcps 150mm £85.00

001269 Lesser Wire Passer/ Retrieval Fcps Large 190mm£85.00

Lesser Wire Passer/ Retrieval Forceps

Arnie Lesser is a well known ACVS diplomate who has been working onthis design for some time. The serrated tube style tip fixes the position ofthe drill hole, minimising ‘skate’ and providing soft tissue protectionduring drilling. The tube guides the cerclage wire or nylon through thehole (no more disappearing holes!). The loop on the other jaw ‘captures’the implant and pulls it from the blind side. Applications include:

• hemi-cerclage

• passage of lateral sutures through tibial crest

• passage of sutures for hip sling for coxo femoral subluxation

• placement of lag screw holes

• passage of ischial wires in TPO procedure

A video illustrating how the Lesser wire passer/ retriever works isavailable on the web site www.vetinst.com/videos

79


Wire Tightener for Eyed Wires

Used to tension eyed wires very tightly. The cerclage is finished by kinkingthe wire back against the eye. See page 192 for wire loops.

WIRE TIGHTENER FOR EYED WIRES

001262 Wire Loop Tightener. 125mm £95.00

WIRE TIGHTENER WITH TWO CRANKS

001264 Wire Tightener with Two Cranks 285mm £125.00

Wires with Eyelet

30°

Use with single crank for eyelet wires. Use both cranks to tighten doubleloops.

For a video showing how this product works visit www.vetinst.com/videos

Wire Tightener with Two Cranks forDouble Loop Cerclage and Eyed Wire

The wire twister/ spinner is a surgical version of a wire twisting plier usedby aero mechanics and scaffolders. The distinguishing feature of theinstrument is the spinner which is based on the principle of a slow spiralbeing pulled through a threaded boss to create a rotational moment. Thejaws are clamped onto the two strands of wire. Pulling the spinner placestension and twists the wire evenly.

Wire Twister/ Spinner

WIRE TWISTER/ SPINNER

001265 Wire Twister/ Spinner 250mm long £235.00

Basic Instrumentation QuantityJacobs chuck 1/4" capacity 1

Electric Drill complete with stainless chuck and shroud 1

Wire Twister Shear Cutter 1

Bone Holding Forceps 1

Bone Fragment Forceps 1

Excision Arthroplasty Rasp 1

Hard Back Saw stainless steel 1

15mm Osteotome 1

Heavy Mallet 1

Small Angled Rongeurs 1

Small Angled Cutters 1

Wire Cutters Industrial Finish 2.0mm Capacity 1

K/A Wire Bender 1

Gelpi Self Retaining Retractor standard 1

Volkman Scoop double ended 5mm & 7mm 200mm long 1

Freer Periosteal Elevator dual-ended 1

Stifle Distractor, Standard 1

Wire Passer Double ended 1

Pins and Wires1.0mm Cerclage Wire 1

0.8mm Cerclage Wire 1

2.0mm Arthrodesis Wires (pack of 10) 1

1.6mm Arthrodesis Wires (pack of 10) 1

5/64 - 2mm Intramedullary Screw Ended Pins 2

3/32 - 2.4mm Intramedullary Screw Ended Pins 2



9/64 - 3.5mm Intermedullary Screw Ended Pins 2




Roll for pins and A/K wires 1

Surgical Pin Cutters to 4.5mm 1

External Skeletal FixationSmall ESFSmall Single Clamps 8

Long Bars 2

Spanner 1

2mm Ellis Pins 4

Small Positive Profile Mid Thread Pins 2

Medium ESFMedium Single Clamps 8

Long Bars 2

Spanner 1

3mm Ellis 4

Medium Positive Profile Mid Thread Pins 2

An enhanced kit containing a 2.7 & 3.5 Cortical Self Tapping Plating setplus a 2.7 & 3.5 T bar tap is also available.

ORTHOPAEDIC STARTER KIT

ORTHOKITB Orthopaedic Starter Kit - Basic £1,950.00

ORTHOKITE Orthopaedic Starter Kit -Enhanced £3,750.00

VI Orthopaedic Starter Kit

The orthopaedic starter kit represents a cost effective solution to setting up for basic orthopaedics.

The starter kit is discounted by over 10% when compared to buying thecomponents individually. An enhanced starter kit including an additionalplating kit plus taps is also available.

80


Reconstruction Plate Pliers

Reconstruction Plate Pliers

PLATE BENDING PLIERS - ROLLER TYPE

001283 Plate Bending Pliers, Roller Type 15”, 380mm. Suitable for 3.5 and 4.5mm plates £180.00

Plate Bending Pliers - Roller Type

RECONSTRUCTION PLATE PLIERS

001284A Reconstruction Plate Pliers for 2.7 plates 280mm £160.00

001284 Reconstruction Plate Pliers for 3.5 plates 290mm £160.00

001283 Roller Type Plate Bending Pliers

Bone Plate Bending Levers

Bone plates appropriate for the repair of load bearing long bones are verystiff. Accurate contouring of plates is essential for precise fracture reduction,however, MARKING OF PLATES DURING THE BENDING PROCESSWILL LEAD TO REDUCED FATIGUE STRENGTH. Contoured platesshould be placed with adequate support to minimise cyclical loading. Boneplate benders used in pairs are the most economic method of platecontouring.

BONE PLATE BENDING LEVERS

001280 1.0 Bending Levers (pair) 130mm £50.00

001286 AO type 1.5/2.0 Bending Levers (pair) 130mm £50.00

001285 AO type 2.4 Bending Levers (pair) 140mm £55.00

001287 AO type 2.7/3.5 Bending Levers (pair) 140mm £60.00

001288 AO type 3.5/4.5 Broad Bending Levers (pair) 200mm £70.00

001286 1.5/2.0mm

001287 2.7/3.5mm

001288 3.5 Broad/4.5mm

Today’s implantstainless steel is muchstiffer than 20 yearsago yet the design ofstandard platecontouring equipmentremains unchanged.Bending and twisting 3.5mm and 4.5mm plates using standard benders isa challenge. Most TPLO plates require careful contouring and are muchstiffer than the original cast Slocum plates.

Our longer benders (240mm) with 4mm and 6mm slots are designed withTPLO plates in mind to make bending and twisting much easier.

Extra Long Bending Levers

EXTRA LENGTH BONE PLATE BENDING LEVERS

001288L 3.5/4.5/TPLO Bending Levers 240mm £70.00

Bone Plate Contouring Delta TPLO Plate Benders with Curved Slots

Plate benders with slots tend to distort the Delta plate. The curved slotshelp grip and support the the plate during the bending process. In additionthe plate is much less likely to end up on the floor.

DELTA TPLO PLATE BENDERS WITH CURVED SLOTS

TPLODELBEND Delta TPLO Plate Benders (Pair) 230mm £125.00

81


Bone Plate Press

Bone plates suitable for 3.5mm and 4.5mm screws are extremely difficult tocontour in a controlled manner. Most human orthopaedic presses, if largeenough to contour the plate, are too large to fit in the typical veterinarysurgeon's autoclave.

The small bone plate press is designed for all small animal plates and will fitin your autoclave. Will contour 2.7, 3.5, 3.5 broad and 4.5 narrow plates.

The large press will contour all plates but is 410mm long so check yourautoclave before purchase.

BONE PLATE PRESS

001281 Bone Plate Press Small 285mm. For plates up to and including 4.5mm narrow £445.00

001282 Bone Plate Press Large 16” 410mm. For all plates. £445.00

001282

AO Type Plate Bending Pliers

These pliers will contour 2.7mm and 3.5mm narrow plates. 3.5 DCP's willrequire multiple small bends. Also useful for bending guide pins in theSlocum TPLO technique. Available elsewhere for £1000 or more.

AO PLATE BENDING PLIERS

001289A AO Plate Bending Pliers 2.0/2.7mm £295.00

001289B AO Plate Bending Pliers 2.7/3.5mm £345.00

Heavy Duty Bone Plate Pliers to 4.5mm

The largest bone plate pliers in the range, these will contour all platesother than the 4.5 broad. The bending head has 3 interchangeable anvilsand the ‘hammer’ side has 3 different shapes which rotate. This offersthe surgeon 6 different contouring options to match different plates anddifferent shapes.

HEAVY DUTY PLATE BENDING PLIERS

001289C Heavy Duty Plate Bending Pliers £495.00

001289SA Small Anvil for 2.7plates (for existing users) £45.00

Tips on the use of the plate press• The press works at maximum efficiency when the handle is

approximately parallel with the base.

• Place the plate to be contoured in between the anvils.

• Adjust the gap between the anvils using screw A until the handle isparallel with the base.

• Pressure on the handle will bend the plate.

• Readjust the press using screw A to bring the handle parallel onceagain.

• Contouring the plate should be accomplished using several smalladjustments rather than one big one.

Tips on the use of the plate pliers• These notes apply to all bone plate pliers.

• The pliers work at maximum efficiency when the handles areapproximately parallel with each other.

• Place the plate to be contoured in between the anvils.

• Ajust the gap between the anvils using screw B until the handles areparallel with each other.

• Squeezing the handles together will bend the plate.

• Readjust the pliers using screw B to bring the handles parallel onceagain.

• Contouring the plate should be accomplished using several smalladjustments rather than one big one.

82


RUSKIN

142270 Ruskin (Liston) 23cm 9” Cof Rongeur. 6mm bite £175.00

Ruskin

A heavy duty compound action rongeur.

STILLE-LUER

142305 Stille-Luer Heavy Compound Action 8mm bite curved 220mm £215.00

Stille-Luer

A very large rongeur.

Actual size

Actual size

Compound Action RongeursThe compound action give a mechanical advantage to the surgeon butreduces the bite width.

MINI-FRIEDMAN

142501 Mini-Friedman Rongeur curved 3mm bite 155mm £67.50

Mini-Friedman

Useful in bulla osteotomy.

MICRO-FRIEDMAN

142502 Micro-Friedman Rongeur curved 15.5cm. 2.2mm bite £67.50

Micro-Friedman

A small spine rongeur.

Actual size

Actual size

LEMPERT STRAIGHT

6730/10 Lempert Rongeurs Str. 190mm 3mm bite £90.00

Lempert Straight

Useful for spines and bulla osteotomy.

JANSEN

142200 Jansen 19cm 7.5” Curved Rongeur. 4mm bite £195.00

Jansen

Compound action, powerful but small bite.

Actual S

ize

Actual size

Bone Gouge Forceps(Rongeurs)IntroductionRongeurs vary with respect to bite size and jaw angle. Where a rongeurhas a specific function it is indicated in the description. Punch type forcepsand some smaller rongeurs are described in Chapter 6 Spinal Surgery.

Simple Action RongeursTypically simple action rongeurs offer a wide bite but rely on the physicalstrength of the surgeon. Most small rongeurs have a simple action.

VI Small Curved Rongeurs

SMALL CURVED RONGEURS

001300 Small Curved Rongeur 4mm bite 170mm £65.00

A good general purpose rongeur for small bone nibbling procedures, e.g. excision arthroplasty, arthrodesis, sequestrum removal.

Actual size

83


Bone CuttersIntroductionBone cutters vary with respect to length and angle of cut.

Compound Action Bone CutterAll three following designs are similar but vary according to size of bite.

Simple Action Cutters

LISTON

141700 Liston 15cm 6” Str. 25mm blade £85.00

141705 Liston 15cm 6” Cof. 25mm blade £90.00

141710 Liston 15cm 6” Aof. 25mm blade £95.00








Liston

A widely used bone cutter with the following jaw options: straight, angledand curved.

SMALL ANGLED CUTTERS

001310 Small Angled Cutter. 15mm Blade 170mm £65.00

Small Angled Cutters

A very useful small cutter. The jaw is angled to allow cutting where accessis restricted, e.g. excision arthroplasty in cats and small dogs and tibialcrest transplant. The design allows for transection of the tibial crest whileretaining distal periosteal attachments. Also useful for articular cartilageremoval in arthrodesis, digit and tail amputations.

MCINDOE

141900 McIndoe 17cm 6.75” Aof. 15mm blade £175.00

McIndoe

Compound jointed action gives power but reduces bite size.

RUSKIN

141940 Ruskin (Liston) 19cm 7.5” Str. 25mm blade £175.00

141960 Ruskin (Liston) 19cm 7.5” Aof. 25mm blade £175.00

Ruskin

Similar in design to McIndoe but larger.

HORSLEY

141660 Horsley 26cm, 10.5" Aof. cutter. 35mm blade £160.00

141660S Horsley 26cm, 10.5" Str. cutter. 35mm blade £140.00

141660XL Horsley 45cm, 18" Aof. cutter. 35mm blade £185.00

Horsley

Heavy duty compound action cutters.

BONE LEVER/PERIOSTEAL ELEVATOR

001270 Bone Lever/Periosteal Elevator. 195mm. 4mm/7mm £45.00

Bone Lever/Periosteal Elevator

One end of this instrument is bent for use as a hook for retrieving andmanipulating bone fragments. The other end is a periosteal elevator usefulfor clearing soft tissue from bone prior to plating, drilling or burring.

Periosteal Elevators

84


Engels Plaster Saw

A simple cast saw for removal of plaster casts. Quiet and inexpensive.

ENGELS PLASTER SAW

001510 Engels Plaster Saw 145mm £50.00

HOWARTH DISSECTOR (MODIFIED)

001273 Howarth Dissector (Modified) 225mm £45.00

001273

Developed by Richard Whitelock specifically to clear soft tissues from theproximal tibia in the TPLO procedure. It is also useful as a general purposeperiosteal elevator.

AO TYPE PERIOSTEAL ELEVATORS

001271 Curved 6mm Fibre Handle AO type 180mm £45.00

001274 Square ended tip AO type 6mm 190mm £45.00

AO Type Periosteal Elevator

The AO type instrument is the archetypal ‘periosteal elevator'. Available ina curved 6mm tip and a square 6mm tip.

MIPO Minimally Invasive Plate Osteosynthesis Elevator

VERY FINE PERIOSTEAL ELEVATOR

001272 Very fine 2mm/3mm Periosteal Elevator 180mm £42.50

Very Fine Periosteal Elevator

Howarth Dissector (Modified)

Plaster Cutting

PLASTER SHEARS BRUNS/ BOHLER

161405 Plaster Shears Bruns / Bohler 245mm £90.00

MIPO ELEVATOR

001276 MIPO Elevator 280mm £57.50

Plaster Shears Bruns / Bohler

PLASTER SHEARS (STILLE)

161406 Plaster Shears Stille 245mm £145.00

Plaster Shears Stille

Very powerful compound action.

FREER PERIOSTEAL ELEVATOR

7350/05 Freer Periosteal Elevator 5mm 180mm £42.50

Freer Periosteal Elevator

The Freer elevator is a fine instrument which is particularly useful in spinalwork.

Simple action serrated jaw.

This instrument is not somuch a periosteal elevatormore a dissecting probe toclear a tunnel undermuscle layers for theplate. The periosteum is infact left intact. Thanks toAndy Moores for thedesign and photograph.

Hole in tip takes through suture materialwhich is used to pull through the plate

Please see Chapter 5 for Power Tools including cast cutter.

In human orthopaedics plaster spreaders are used to expand initial cuts incasts. Typically these spreaders are too large for veterinary patientsleaving surgeons to resort to inappropriate instruments and fingers toremove casts. The VI cast spreader has been scaled down to suit thesmaller cast usually applied to our patients.

Plaster Spreaders

PLASTER SPREADERS

161410 Plaster Spreaders £125.00

85


Gelpi Self Retaining Retractor

The Gelpi is an extremely versatile self retaining retractor useful in almostany orthopaedic procedure. Veterinary Instrumentation Gelpis are differentfrom standard Gelpis in two respects:

1.Short tips give focal retraction for precise exposure of the fracture orlesion.

2. The teeth on the ratchet are smaller than usual giving finer control overthe spread of the tips.

Gelpis are virtually an extra pair of hands and are invaluable incircumstances where the surgeon is working alone, which is the norm ingeneral practice. The curved shape sits nicely on our patients. Useful inthe following procedures and many more:

• Total Head and Neck Excision • CrCL repairs• Meniscal examination • All arthrotomy procedures• Fracture repairs • Wobblers• Laminectomies • Rib retractors in small patients

Two pairs of Gelpis placed at right angles to one another may be used tocreate a window into a joint or fracture site.

Gelpis are available in a number of lengths. Measurement ‘a’ gives thedepth of the tips.

Self Retaining RetractorsWhere scrubbed surgical assistance is lacking, self retaining retractors arean invaluable aid.

Adequate retraction is essential for good visualisation of the fracture site orlesion. In addition retraction will minimise damage to the soft tissues. Bothare key elements of successful orthopaedic surgery.

GELPI SELF RETAINING RETRACTOR

001330 Gelpi Self Retaining Retractor. 180mm (120mm spread) (a=20mm) £145.00

001330SL Gelpi Self Retaining Retractor with spinlock for extra strength 180mm(a=20mm) £145.00

001330S Gelpi Self Retaining Retractor 180mm sharp tips (a=20mm) £145.00

001331 Gelpi Long Reach. (a=40mm) 200mm £145.00

001331L Gelpi Very Long Reach (a=60mm) 200mm £145.00

001332 Gelpi Small (50mm sprd)(a=15mm) 135mm £145.00

0013301 Gelpi Mini Flat(45mm sprd)(a=15mm) 90mm £90.00

0013302 Gelpi Mini Curved(45mm spread)(a=15mm) 90mm £90.00

001333 Odd leg Gelpi (pair). (a=25/40mm)205mm £295.00

001334 Odd leg Gelpi short (pair).(a20/30) 130mm £295.00

Mini Gelpi and small stifle retractor

When it becomes necessary to bend over the shaft of an arthrodesis wireor ‘K’ wire, usually to minimise back out, the pin becomes difficult to presshome with a standard pin punch. The Offset Pin Punch has an angled,bigger ‘foot’ for this purpose. Also suitable for driving ‘Rush Pins’ eithercommercially available or home made.

Offset Pin Punch

OFFSET PIN PUNCH

001364 Offset Pin Punch 135 mm £55.00

Travers

A blunt multi-pronged flat retractor with a relatively widegape, suitable for skin or large exposures.

Wests

A sharp multi pronged curved retractor which can sit quite nicely on our patients without distorting thesurgical site.

WEISLANDER SELF RETAINING RETRACTOR

702150 Weislander Self Retaining Retractor 14cm sharp tips (60mm spread) £150.00

702152 Weislander Self Retaining Retractor 14cm blunt tips (60mm spread) £150.00

Weislander

Similar to Wests but flat.Available with sharp or blunt prongs.

TRAVERS SELF RETAINING RETRACTOR

703050 Travers Self Retaining Retractors 8” 20cm (90mm spread) £205.00

703051 Travers Self Retaining Retractors 6.5” 16.5cm (70mm spread) £185.00

703053 Travers Mini 95mm (43mm spread) £95.00

WESTS SELF RETAINING RETRACTOR

703250 Wests Self Retaining Retractor 5.5” 14cm (50mm spread) £145.00703253 Wests Mini 95mm (40mm spread) £95.00

86


“K” WIRE/SMALL PIN PUNCH

001360 Pin Punch. 135mm £45.00

001361 Small Pin Punch. 1.6mm tip 135mm £45.00

‘K’ Wire / Small Pin Punch

The cut ends of "K" wires, arthrodesis wires and small pins used forfragment fixation e.g. distal femoral fractures, should be buried beneaththe bone or articular surface to minimise soft tissue irritation. The tip of thepunch is concave to locate onto the pin end. The other end is struck with amallet. Use 001360 for pins and 001361 for wires.

‘K’ Wire Bender

Small wires are commonly used to re-attach bone fragments which havebeen produced either by trauma or electively by osteotomy. To minimise‘backing out', the cut ends of "K" wires and arthrodesis wires should eitherbe buried or bent sharply and cut 5-10mm from the bend. The cut ends arethen rotated to the most comfortable position (see photo). Bending withfingers or pliers is difficult to control and is very likely to damage the repair.

The "K" wire/small pin bender is designed to slip over the wireconcentrating all the bending forces at the pin/bone interface. Theinstrument is double ended, the small end is for 0.9mm and 1.1mm wires,the large end is for1.4mm, 1.6mm & 2.0mm wires.

"K" WIRE/SMALL PIN BENDER

001362 “K” Wire Bender. 140mm £45.00

MODULAR OSTEOTOME

001380 Modular Osteotome complete with 7 blades £180.00

001382 Modular Osteotome replacement Blade 4mm £22.00







001389 Modular Diamond Rasp 6mm £42.00

The osteotome is supplied as a comfortable handle into which fits alarge range of blades. The blades are very thin 1.1mm making themsuitable for a variety of procedures including block sulcoplasty. Theblock including the articular cartilage may be harvested with minimalbreakage of the block. Supplied as a handle plus the following blades4mm, 6mm, 8mm, 10mm, 12mm, 15mm and 20mm. A new diamond-coated 6mm rasp has been added to the range to tidy up the corners ofthe sulcoplasty.

Modular Osteotome with ultra-thin interchangeableblades and Diamond Rasp

‘STUBBY’ PUNCH

001363 Stubby Punch 50mm £45.00

‘Stubby’ Series of Orthopaedic Instruments

‘STUBBY’ OSTEOTOME

001366 ‘Stubby’ Osteotome 3mm x 70mm £45.00







0013SET ‘Stubby’ Osteotome Set (one of each) £200.00

Following customer feedback David Strong has started development of aseries of ‘Stubby’ Orthopaedic instruments. For 2012 a ‘stubby’ punch anda range of ‘stubby’ osteotomes has been developed. Further instrumentswill be launched during 2012.

‘Stubby’ Osteotome

Available from 3mmto 14mm and as aset at a significantlydiscounted price.70mm long

‘Stubby’ Punch

The reduced working lengthallows the stubby punch to beheld between thumb andforefinger much closer to thepatient for increased control.This is especially useful whenworking without an assistant.50mm long.

Act

ual s

ize

87


OSTEOTOMES

623880 Osteotome Swedish 30mm x 205mm £45.00





001341 Osteotome Light 15mm x 140mm £45.00






Osteotomes

Chisels

CHISELS

001350 Chisel 12mm x 140mm £45.00

001351 Chisel 10mm x 140mm £45.00

001352 Chisel 8mm x 140mm £45.00

001353 Chisel 6mm x 140mm £45.00

001354 Chisel 4mm x 140mm £45.00

162340 Chisel Swedish Pattern 12mm x 205mm £45.00




Use an osteotome to make a precise elective cut, e.g. trochantericosteotomy, excision arthroplasty.

Use a chisel where heavier bone removal is required, e.g. sequestrumremoval.

Gouges

GOUGES

001355S Gouge 12mm x 140mm £45.00

001355 Gouge 12mm x 205mm £45.00

001356 Gouge 10mm x 140mm £45.00

001357 Gouge 8mm x 140mm £45.00

001358 Gouge 6mm x 140mm £45.00

001359 Gouge 4mm x 140mm £45.00

Use a gouge where bone contouring is essential.

Light

Swedish Pattern

Trephine

• Creation of window for bone graft harvest.

• Less risk of iatrogenic fractures than with use of bonepins or drills.

• Cortical bone biopsy.

• Available in three diameters.

Stainless steel and re-usable with a retractable stylet.Extend the stylet to provide secure location at the trephinesite until trephine teeth bite. Withdraw the stylet to harvestthe bone. Push the bone core out using the stylet. Wherea very long core is required the stylet may be removedcompletely.

TREPHINES

001425 Trephine 8mm o/d 6mm core 170mm £80.00



VOLKMAN

782200 Volkman Single Ended Scoop 4mm x 170mm £37.50




782600 Volkman Scoop Double Ended Small 4mm/6mm x 200mm £45.00

782610 Volkman Scoop Double Ended Medium 5mm/6mm x 200mm £45.00

782620 Volkman Scoop Double Ended Large 6mm/8mm x 200mm £45.00

Volkman/Brun

Useful for heavy curettage and collection of cancellous bone grafts.

Bone Scoops

ORTHOPAEDIC MALLET

001323 Mallet 140g 155mm £47.50

001320 Mallet 300g 220mm £45.00

001321 Heavy Mallet 500g 240mm £55.00

001325 Nylon Faced Mallet 500g 240mm £55.00

Orthopaedic Mallet

For use with osteotomes, chisels, gouges and staples. Different weightsare available according to surgeon preference and patient size.

88


AO PATTERN (HUMAN) ORTHOPAEDIC DISTRACTOR

001502 Orthopaedic Distractor AO pattern 410mm £285.00

SMALL DISTRACTOR WITH RATCHET

001503 Small Distractor with Ratchet 185mm £225.00

• Two joints

• Heavier

• More powerful with tommy bar lever

AO Pattern (Human) Orthopaedic Distractor

VI PATTERN ORTHOPAEDIC DISTRACTOR

001500 VI Pattern Orthopaedic Distractor. 330mm £365.00

VI Pattern Orthopaedic Distractor

Application:

• Overcoming muscle contraction prior to fracture reduction.

• Accurate alignment of bone fragments prior to plating.

Features:

• Locking wing nuts fix the distractor as a scaffold for the bone fragmentsto facilitate plating.

• Three joints maximise flexibility.

• Use with external fixation pins 3.2mm to 4.0mm.

Orthopaedic Distractors

Small Distractor with Ratchet

The small ratcheted distractor uses 1.5 or 1.6 K or A wires asdistraction pins. The pins are driven into place through the tubes on thedistractor arm. Threaded pins may be used for additional security.Squeezing the arms of the distractor separates the pins and thus thebone fragments and the ratchet holds them in the new position. Rangeof distraction 12mm - 60mm.

Stainless Vernier Caliper

Useful for very accuratemeasurement of screws,drill bits and bone intra-operatively.Supplied with fullinstructions for use.Accurate to 0.1mm.

STAINLESS VERNIER CALIPER

001490 Vernier Caliper Stainless Steel £87.50

001490D Digital Vernier (Non Autoclavable) £55.00

Orthopaedic Ruler

Used to measure pins, wires, drills and screw diameter. Supplied in eithermetric or imperial sizes.

ORTHOPAEDIC RULER

001498 Orthopaedic Ruler Imperial. 175mm £24.00

001497 Orthopaedic Ruler Metric. 175mm £24.00

imperial

metric

BONE SCRIBE

001494 Bone Scribe (double ended) 200mm £24.00

A very sharp marking point with an easy to hold handle enables thesurgeon to mark bone prior to cutting or rotating (Slocum procedure). One end is pointed and the other is sharpened as a blade.

Bone Scribe

Drill & Screw Gauge

Measures screws upto 60mm and drillsfrom 1.1mm to 3.5mm.

DRILL AND SCREW GAUGE

001496 Drill and Screw Gauge 60mm £18.00

VI Metric Ruler

Following requests, our metric ruler has been over-hauled to provide agreater range of hole sizes, making it the most comprehensive metricruler we have seen on the market.

Hole sizes - 0.9, 1.0, 1.1, 1.25, 1.4, 1.5, 1.6, 1.8, 2.0, 2.5, 2.7, 3.0, 3.2,3.5, 4.0, 4.5, 5.0, 5.5 and 6.5mm.

VI METRIC RULER

001504 Metric Ruler - VI. £32.50

89


Esmarch BandageExsanguination of the distallimbs makes visualisation ofthe small bones andassociated structures mucheasier, eg carpal arthrodesis.Wrap from digits and thenunwrap from digits. Made from latex rubber, supplied non-sterile.

ESMARCH BANDAGE

090169 Esmarch Bandage 75mm £22.50

Ruler with Radio Opaque 1.0mm scale

While digital radiography has huge benefits it can be difficult to scaleimages. The problem is compounded when prints aremade for viewing by a third party. e.g. BVA/KCElbow Dysplasia Scheme where accuratemeasurements down to 2mm are veryimportant.

The new ruler is 120mm long andgraduated in 1.0mm increments. Placedat the level of the bone or joint underinvestigation at the time of radiography itwill enable accurate scaling of lesions.Reduced visibility over 70kV 16mAs Also available in 500mm length.

X-r

ay fr

om A

lex

Li

RADIO OPAQUE RULER

001495 Radio Opaque Ruler 120mm £34.00

Using digital media regardless of whether the xray was taken on ananalogue or digital xray machine it is very important to incorporate areliable scale. When viewed on different screens an xray may appear to bea different size. This is particularly important when the original is notavailable for comparison. When sending digital radiographs to colleaguesfor opinion a scale is especially important. VI’s Left and Right markers are50mm long and include a scale marked at 5mm intervals. For use whenmeasuring particular structures or lesions the marker should be positionedat the same level as the structure under examination. A purpose designedstand is available which incorporates a clip to hold the appropriate marker.

Xray Marker with Scale

XRAY MARKERS WITH SCALE

XRAYMARK1 Xray Marker with Scale Set Left and Right £6.50

XRAYHOLD1 Xray Marker Stand £35.00

Radiographic Reference Ball

Taking radiographs where the area of interest is not close to the platecreates some challenges in scaling. This is true of both digital andanalogue systems. When using the radiograph for templating implantse.g. total hip replacement, it is very important to make accuratemeasurements.The Reference Ball is 25mm in diameter and is attached to a stable baseby a flexible neck which allows the ball to be placed at the same levelabove the plate as the area of interest. Using a spherical object as areference eliminates errors created by ruler type reference which mightnot be quite parallel with the plate.Also available in a 10mm version for smaller patients.

RADIOGRAPHIC REFERENCE BALL

XRAY25MM Radiographic Reference Ball 25mm diameter £65.00

XRAY10MM Radiographic Reference Ball 10mm diameter £65.00

Chandler’s Gonadal Shield

CHANDLER’S GONADAL SHIELD

GSHSET Chandler’s Gonadal Shield (Set incl 3 sheilds) £150.00

GSHSMALL Chandler’s Gonadal Shield 50 x 25 x 1.8mm £50.00

GSHMED Chandler’s Gonadal Shield 75 x 40 x 1.8mm £50.00

GSHLARGE Chandler’s Gonadal Shield 100 x 50 x 1.8mm £50.00

Image Malcolm McKee

Exposure of the patient’s gonads to radiation is undesirable particularlywhere repeated imaging is likely. The Gonad shield uses a similar‘goose neck’ arrangement on a solid base as is used in the referenceball. There are three different sized shields to cover the typical patientrange. 50 x 25 x 1.8mm 75 x 40 x 1.8mm 100 x 50 x 1.8mm

Chapter 3 GENERAL ORTHOPAEDICS - Veterinary … · Chapter 3 71 GENERAL ORTHOPAEDICS 3 Very Large...

Documents

Transcript of Chapter 3 GENERAL ORTHOPAEDICS - Veterinary … · Chapter 3 71 GENERAL ORTHOPAEDICS 3 Very Large...