Surgical Instrumentation



Surgical Instrumentation


Beth Paige



Bone Excision/Shaping (Fig. 40.1a and 1b)








A.


#1 Bone Curette str


Codman


23-1044







Fig. 40.1a









B.


#2 Bone Curette str


Codman


23-1045







Fig. 40.1b













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.






Fig. 40.1c,d







Fig. 40.1c,d










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).






Fig. 40.2a,b







Fig. 40.2a,b








C.


Kelly Clamps (Peons)


Aesculap


BH443R







Fig. 40.2c







Fig. 40.2c








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.






Fig. 40.2d







Fig. 40.2d













E.


Mosquito Clamp, cvd


Aesculap


BH120R


F.


Mosquito Clamp, str


Aesculap


BH121R







Fig. 40.2e,f







Fig. 40.2f,e


Forceps (Fig. 40.3)













A.


Micro-Adsen Forcep w/teeth


Aesculap


BD520R


B.


Adsen Forcep w/teeth


Aesculap


BD511R







Fig. 40.3a,b,c









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






Fig. 40.3c,b,a



Fracture and Periosteal Manipulation (Fig. 40.4)









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May 23, 2016 | Posted by in Hand surgery | Comments Off on Surgical Instrumentation
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A.


Freer Elevator


Jarit


285-380


B.