Dr. James Sferra offers a quick, easy, and reproducible solution for surgeons and patients suffering from lesser toe deformities using Wright's GRAVITY™ Plantar Plate Repair System in this cadaver lab video.
SKU: AP-014339A
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So here's the distracter, and I think this is. You know, the instrumentation is kind of the thing that sets this procedure apart from ones that have been out there previously, but you could see that this distracter has four holes in it. You might only need to use two of them, but it's you'll see that sometimes you need a little extra stability. And that's what this provides and you do when you put the next wire in the Fanning's. You wanna make sure that its distal enough in the fans that you have a room toe work with the base, which is coming up. You know, short is the next step. This is the other thing that I think will revolutionize. We'll see planning, play, repair. It's this, you know, A lot of thought has gone into this little device that doesn't look like much, but, you know, you grab the under surface of the failings and you put this on. You can confirm before you make any drill holes or anything else that you got it in a good alignment. The goal here is to be fairly close to the articular surface of the failings, but not the violated with your drill holes or wise or anything like that. So in order to confirm whether or not that is that you succeeded with that, there's this little drill God, that fits right into here. And then it kind of gives you an idea where your drill hole is gonna end up on the under surface of the fans. So I can see from that that it's not gonna violate and it goes right or left. So it's not, You know, you can't be wrong. Just Yeah, just slides right in there. Yep. The more soft tissue frustrating with thing with a lot of these systems. Or when you put these hold down through the bottom, you couldn't see where the end of the wire was or anything like that. So the more soft tissue that you get out of the way down here toe increase your visibility, the better. So that's kind of what we're doing here on this thing. Really? You could take this fans to put it at a 90 degree angle so you can look top and bottom. Okay. We're gonna retrieve these. Yeah, it took the clamp off. So now they've been passed up through the Phoenix. If it was merely or loudly deviated, I would hold correct that position too. But so I was gonna hold that down. Wow. Re tie these. Yeah, right, right. But, you know, coming. So I do the first two in the same direction. Then I go opposite direction with my hands so that I'm locking every other one. I think about five is good amounts put on here on then that you're dead and you can kind of see like it's it's a little tight, which is that's what you want. You know this toe when the rest of it is up. It is slightly plantar flex, which I think is the proper position. Because, like most things, I think that the patient can stretch it out in the future and they probably will a little bit. And then I would, you know, in the real world, I would now take my central digital longest tendons. Well, first I would close that capsule that I teed at the beginning. I would close this capsule back up over here, so not across the mtp, but from side to side, over the top of the metatarsal. Then I would take the e d. L attendance and repair them in their lengthened position. So right, you know, right where they lie, I would put a future between them. And then I like to even take the extensive storm breakfast which was in there on the side and then so that to my extensive digital longest repair, so that when it's all said and done, all the tendons are back working again in that toe. But, you know, this one didn't exactly have instability, but it really doesn't now either. You could see that that thing is locked back down, and again, the theory is that we we we put it back in approximation to the bone and secured it. And with that cancels bone, it should heal back down as the plants are played. So it's not just a temporary fix. It should be a permanent fix for this problem. Mhm
