Orthopedic Hardware

Orthopedic Hardware are supplies used inside the operating room or

nergency room, either surgical instruments, implants or fixators, to
manage and correct different orthopedicdisorders.
Phases in the Management of Fracture: (4 R's)
1. RECOGNITION PHASE- Involves history taking skills of nurses to
assess the type of fracture and its manifestations specifically the
signs and symptoms. Recognition of fracture is also done initially
through X-ray.
2. REDUCTION PHASE-Putting back the bone to itsproper alignment.
It is categorized into two:
a) Close Reduction - manual manipulation of the bone back to
its proper alignment
b) Open Reduction - surgical intervention in aligning the bo
back to its normal form

3. RETENTION PHASE- Maintaining the alignment of the fractured

bone using immobilization devices and supplies such as cast, brace,
traction, implants or fixators. Fixators are categorized into two:
a) Internal Fixators - implants or fixators that are placed inside
the skin through surgical procedure and are usually used in a
closed type of fracture or deformity.
b) External Fixators - fixators that protrudes through the skin,
usually with the use of pins, screws or tong and are usually
used in an open or compound type of fracture.
4. REHABILITATION PHASE-Puttingand helping the patient achieve
the optimum level of functioning after having the Retention Phase.

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 1. ORTHOPEDIC INSTRUMENTS Tenaculum
For holding
these are specialty surgical instruments that are used to treat complicated bone
abnormalities commonly designed to manipulate bone and associated |7. TENACULUM fragments such as

↑
the patella in
ligaments, tendons, and other tissues. tension bond wiring.
Name Indication Illustration Verbrugge
For holding bone and
Beckman manipulation during
Self-retaining retractors |8. VERBRUGGE multiple orthopedic
1. BECKMAN commonlyused for spinal Surgeries. With longer
surgery. and shorter ratchet.
Hohmann
For gouging, cuting Rongeuv
Retractor used for and harvesting bone
2. HOHMANN minimally invasive hip chips. With different
and knee surgery. 9. RONGEUR tips such as the
Weitlnev
gooseneck, double
action and fine tip.
Self-retaining retractors
used for shallow incisions For cutting and
3. WEITLANER removing vertebral
such as radius ulna 10.PITUITARY body or discs in Pituitary
Surgery. minimally invasive
Cobbs Elevator spinal surgery.
For lifting and dissecting For removal of
4. COBBS
periosteum and other bone ligaments and bone Kerrison
ELEVATOR
lining. 11.KERRISON tissues adjacent to
lowman
nerves in spinal
Surgery.
For holding bone fragments
5. LOWMAN and plates during
manipulation and fixation. 12.BLAIR KNIFE
Used in harvesting
skin grafts.
Reduction Bone Clamp
Blair Knife
For boring hole
6. REDUCTION For holding bone during through the bone
BONE CLAMP open reduction. 13.BONE DRILL using drill bits,
Screws and pins.
Bone drill
With variety of

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 Battery operated Enlarges an existing hole
for cutting small in the bone to adesired
14.OSCILLATING BONE and large bones 20. REAMMER
size for the implant to fit
SAW during amputation. to its desired location.

Used to grip, pull, twist,

21.PLIERS cut and tighten wires,
For cutting bones pins and rods.
15. GIGLISAW during amputation
during amputation.

|22. SKIN To hold the skin together

For cutting pins STAPLER post-operatively
and wires in
16.PIN CUTTER surgical
procedure.
|23.STAPLER Used to remove skin
WIRE stapler after 2-3 weeks
For cleaning and
REMOVER
scraping bones,
17.CURETTE intramedullary
cavity and soft 24.INTRA
tissues in MEDULLARY For removal of
debridement. NAIL Intramedullary nail
EXTRACTOR
Used for obtaining
18.0STEOTOME bone chips, for
scraping dead or
necrotic tissues. II. INTERNAL FIXATORS

Used for beating These may be nails, screws, rods, plates, wires or prosthesis
19.MALLET or giving pressure implanted inside the patients' skin to immobilize or retain the reduced
on an Osteotome. bone fragments.

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 Name Indication Ilustration For long bone
For fracture of the
7. DYNAMIC uncomplicated fracture
1. INTRA middle 3rd or distal 3rd lines such as transverse
femur. It may be COMPRESSION and oblique fracture. It
MEDULLARY PLATE (DCP)
NAIL inserted on the can be mini, narrow or
trochanter or retrograde J broad.
approach. For fracture of tibia,
For unstable distal 3rd and
2. PROXIMAL pertrochanteric, 8. BUTTRESS supracondylar fracture
FEMORAL intertrochanteric or PLATE of femur. It can be T
NAIL subtrochanteric fracture plate, Y-plate or hockey
of femur. plate.
9. SEM| For pediatric patients
Used to affix bone TUBULAR long bone fracture. Also,
3. CORTICAL e,
SCREW plates and implants to PLATE for fracture of the fibula.
the cortical bone.
For fracture of flat

10.RECONPLATE bones usually used in

Used for screw fixation facial, clavicular or iliac
to large bone fragments crest fracture.
4. CANCELLOUS with spongy bones. It
SCREW can be full threaded,
half threaded and tip 11.CERCLAGE
For tension band wiring
threaded. WIRE usually used in patellar
fracture.
Used for multiple
5. CANNULATED fracture patterns that
allowplacement of For partial hip
SCREW replacement
guidewire for better 12. BIPOLAR HIP
alignment. PROSTHESIS arthroplasty (PHRA).
With head of the femur
and stem components.
Instrumentation for For total hip
6. PEDICULAR 13.BIPOLAR HIP
SCREWS AND spinal surgery such as replacement
Scoliosis and spinal PROSTHESIS
RODS
WITH
arthroplasty (THRA).
fusion. With head, stem,
ACETABULAR
acetabular cap and liner
CAP
components.

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 For total knee
replacement
14. TOTAL KNEE arthroplasty, for
PROSTHESIS degenerative joint 2. ILIZAROV
For comminuted fracture,
disease. With femoral non-union, mal-union,
and tibial component EXTERNAL
and for bone growth and
FIXATOR
lengthening.
15. ANTIBIOTIC Provides therapeutic
BEADS effect for osteomyelitis.

16. ANTIBIOTIC Replacement of infected

SPACER hip prosthesis.
3. DELTA For peri-articular
FRAME compound or
comminuted fracture of
EXTERNAL
the tibia and distal 3rd
FIXATOR open fracture of the tibia.
II. EXTERNAL FIXATORS

These may be pins, wires, frames or tongs drilled or attached in the

bone with protrusion in the patients' skin to immobilize or retain the
reduced bone fragments.
Illustration
For peri-articular fracture
Name Indication 4. HYBRID of the ankle and knee. A
EXTERNAL combination of lizarov
1. ROGER FIXATOR External Fixator and
For comminuted Delta Frame.
ANDERSON
EXTERNAL fractures of the long
bone.
FIXATOR (RAEF)

5. SPANNING For compound fracture of

EXTERNAL the knee joint, distal
FIXATOR
femur or proximal tibia
fibula.

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 For shaft of the tibia
6. QUADRILATERAL and fibula, with COMMON SURGERY ABBREVIATIONS:
EXTERNAL more stability than 1. ACL - Anterior Cruciate Ligament
FIXATOR RAEF.
2. ADSF-Anterior Decompression Spinal Fusion
3. AEA -Above Elbow Amputation
Used for long
bones, for Balanced 4. AKA - Above Knee Amputation
Skeletal Traction. 5. BKA - Below Knee Amputation
7. STEINMANN PIN
6. BG Bone Grafting
AND HOLDER
7. CHSF- Compression Hip Screw Fixation
8. CSTR- Complete Soft Tissue Release
9. CW-Cerclage Wiring
Used for 10. DCS - Dynamic Compression Screw
percutaneous 11. DAA- Direct Anterior Approach
pinning of long 12. DRUJ - Distal Radius Ulna Joint
8. KIRSCHNER WIRE bones such as R-U
and T-F. 13. ESS - Endoscopic Spine Surgery
14. FTSG Full Thickness Skin Grafting
15. IMN -Intra Medullary Nailing
Applied at the 16. MIPO- Minimally Invasive Percutaneous Osteosynthesis
temporal area for 17. ORSF-Open Reduction Screw Fixation
cervical traction
9. GARDNER WELL'S 18. ORIF- Open Reduction Internal Fixation
application.
TONG 19. PFN - Proximal Femoral Nailing
20. PLBG - Postero-Lateral Bone Grafting
21. PMR- Posterior Medial Release

Applied at the 22. PHRA- Partial Hip Replacement Arthroplasty

parietal area for 23. PSF-Posterior Spinal Fusion
10. CRUTCHFIELD
cervical traction 24. PSTR- Postero Soft Tissue Release
TONG
application. 25. PSR - Progressive Surgical Release
26. RAEF- Roger Anderson External Fixation
27. ROI - Removal of Implant
28. RFS -Rush Frozen Section
29. CHSF- Compression Hip Screw Fixation
30. STSG - Split Thickness Skin Grafting
31. TBW -Tension Band Wiring

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