Instruments and Implant

Practical demonstration
Steinmann pin and bohler’s stirrup
How do you identify ?
Uses

l1.Skeletal traction
2. Arthrodesis
3. Manipuation of fracture
Weight used for traction ?
Usually 10 % of body weight
FArabeauf’ periosteal elevator
1.Used to elevate periosteum from adjacent soft
tissue while fixing fracture.

2.serrations are used to place the thumb

Complications of removing periosteum :

- Devascularises the bone
Osteotome Chisel
Bone nibbler ● It is used for nibbling the bone. •
● The double action reduces the
force required for cutting the
bone. •
● The straight nibbler is used for
general use and the curved
nibbler is used for spinal
surgery.
Mallet
Parts?
Uses?
uses

It is
used to strike osteotome, chisel, gouge, k nail, Austin moore prosthesis,
Thompson prosthesis,Steinmann pins,rush nail
Volkman’s bone currette
Uses
1. Scrapping cavities
2. Scrapping osteomylitic bone
3. Freshening the fracture ends
4. Freshening the sinus and fistula tracts
Austin Moores prosthesis
What are it's parts ?

1.head

2.neck

3.collar

4.shoulder

5.stem
Austin Moores prosthesis
Where it is used ?

Ans : age >65, poor general condition,elderly who need

only activities of daily living

1.25 cms of calcar must be present

Fenestrations :

● For detection in x ray and for osteo synthesis

Proximal hole for removal of prosthesis

Bipolar prosthesis
● Parts ?

Ans : head with 2 bearings ,neck and stem

● Advantages over AMP?

Ans:

Better movement

Less wear

Less friction. And increased survival rate

Comes in presterilized pack

IMPLANTS
Kuntscher’s nail
What are it's parts?

EYES for removal of implant

Principle : 3 point fixation

Indication
• # shaft of femur,humerus tibia •
Ideally • In a young patient with
• # at junction of upper & middle
1/3rd(narrowest portion)
• no comminution
• Transverse /short oblique #
Dynamic hip screw or sliding hip screw
What are it's parts?

Where it is used ?

What are it's advantages?

Bone plates
Bone plates
Screw
Krischners wire
What are it's parts?
What are it's uses ?
What precautions you take when
inserting?
What is done after k wire is inserted into
bone and why?
Rush nail
What are it's parts?
Where is it used?
Why is it bent on one
end?
What is the disadvantage
of rush nail?