Surgical Instrumentation
Beth Paige
Bone Excision/Shaping (Fig. 40.1a and 1b)
A. | #1 Bone Curette str | Codman | 23-1044 |
B. | #2 Bone Curette str | Codman | 23-1045 |
C. | #3 Bone Curette str | Codman | 23-1046 |
D. | Marquardt Bone Rongeur 8″ cvd-dbl action | Aesculap | FO520R |
Leur-Friedmann Rongeur 5¾″ cvd-single action Aesculap FO409R.
Both Rongeurs have thinner jaws, which allow better biting in small tight areas. The double action gives the surgeon a stronger bite. Both of the rongeurs bite range is 2 to 3 mm.
There are different lengths of curettes: hand and spinal—both seen below. Surgeon’s preference when dealing with length. Codman does carry both lengths.
Clamps (Fig. 40.2)
A. | Ochsner (Kocher), straight | Aesculap | BH443R |
The Ochsner clamp is great for grasping bone and pulling.
B. | Allis Clamps | Aesculap | EA015R |
The Allis clamp is good for grasping tendons and is considered to be relatively atraumatic (nontissue damaging).
C. | Kelly Clamps (Peons) | Aesculap | BH443R |
D. | Right Angle Mixer Clamp | Jarit | 140-218 |
This Right Angle clamp is a Mixer clamp. The Mixer clamp allows for the more aggressive 90-degree angle and a fine tip.
E. | Mosquito Clamp, cvd | Aesculap | BH120R |
F. | Mosquito Clamp, str | Aesculap | BH121R |
Forceps (Fig. 40.3)
A. | Micro-Adsen Forcep w/teeth | Aesculap | BD520R |
B. | Adsen Forcep w/teeth | Aesculap | BD511R |
C. | Adsen Forcep w/o teeth | Codman | 30-1185 |
The Micro-Adsen forcep has a more delicate (finer) tip than that of regular Adsen forceps, and the neck of the forceps is thinner and longer. The body of the Micro-Adsen is also longer than the regular Adsen forcep. Smooth jawed forceps are needed to grasp implants without scratching the surface of the implant.
Micro-Adsen Forcep w/teeth
Adsen Forcep w/teeth
Adsen Forcep w/o teeth
Fracture and Periosteal Manipulation (Fig. 40.4)
A. | Freer Elevator | Jarit | 285-380 |
B. |