Mullaji, wakankar and prasad discuss total knee arthroplasty using the attune knee system. At least one study found an unusually high failure rate for attune knee implants. Attune knee system surgical technique depuy synthes companies 5 pinning the attune knee system has 3. The attune primary total knee replacement system value. It is designed to provide better range of motion and address the unstable feeling some patients experience during everyday activities, such as stair descent and bending. In 2011 depuy voluntarily recalled several artificial knee components after receiving a warning letter from the u. Unusually high rate of early failure of tibial component in attune total knee. The system is designed to address bone defects, provide stability, provide enhanced fixation options, and deliver an efficient technique. Position the step drill to enter the intramedullary canal slightly superior and medial to the midline of the trochlea, 7 mm to 10 mm anterior to the origin of the pcl. Electronic instructions for use depuy synthes companies. Many factors contribute to providing a stable knee, including both surgical technique and implant design. The attune knee is one of the largest research and development projects in the history of depuy synthes joint reconstruction and combines the latest in design, kinematics, engineering and materials to deliver stability and motion.
Oct 03, 2014 the attune knee by depuy synthes is an advancement in knee replacement options. Trumatch solutions with attune knee system pin guide surgical trumatch solutions with attune knee system pin guide surgical technique. Thats why we provide medical professionals with the innovative products they need to assist them in treating their patients. Through a program of continuous development depuy now offers a single system of sigma high performance instruments that supports most approaches to knee replacement surgery. From this site you can view or print instructions for use for depuy synthes devices. About depuy synthes joint reconstruction confidence like. Unusually high rate of early failure of tibial component in attune total knee arthroplasty system at implantcement interface. The analysis and investigations eventually led to a new product development project, which will enhance fixation and make the product more robust to surgical technique per co b4. Depuy engineered its attune knee replacement to be one of the most advanced on the market. To learn more about knee replacement surgery, visit the attune knee system is a new, stateoftheart knee replacement system from depuy synthes joint reconstruction. This content is intended for health care professionals in the united states. However, since its approval in 2010, many depuy attune knee replacement pateints have reported problems with the device, some of which have resulted in the need for risky revision and reconstructive surgery.
The intuition instruments are designed to be used with the singleuse pin pack 254400111 that contains universal pins and threaded headed pins. Attune tka surgical procedure june 27th 20 part 2 visit for more information. The design software takes into account your own surgical. The depuy attune knee system is a total knee replacement implant. Depuy also manufactures an attune model for revision knee replacement surgery. Triathlon knee system surgical protocol femoral preparation 8. View this document to learn more about the cementing. The instrumentation can be used in minimally invasive or standard exposures. This surgical technique provides instruction on the implantation of the sigma family of fixed bearing and rotating platform knees utilising. Jnj subsidiary depuy synthes attune total knee arthroplasty system is experiencing an unusually high rate of early failure related to its tibial components, according to a. While past generations would often put off seeing a doctor for knee pain, todays active adults find relief with total knee replacement surgery. Available with fixed bearing or rotating platform technology, the attune revision knee system is designed to enable surgeons to manage a broad range of complex primary and revision knee procedures. Attune knee system surgical technique depuy synthes joint reconstruction 9 distal femoral resection with the knee in flexion, remove osteophytes from the intercondylar notch.
Thieme ejournals the journal of knee surgery abstract. Depuy designed the attune knee to improve stability and motion. So to produce a knee replacement system that gives you more stability and a natural range of motion, weve developed innovative, patented technologies combining the latest in design, kinematics the study of movement, engineering and materials. Depuy issues safety notice for lcs knee system walter eisner mon, april 20th, 2015 print this article.
But patients have filed hundreds of reports claiming that the devices loosened. Intuition instruments surgical techniqueintroduction this surgical technique provides guidelines for the implantation of the attune knee system family of knee implants with the intuition instrumentation. The fdas database shows at least six other depuy knee replacement recalls since 20. There have been multiple reports of failures sent to the fda as well as studies that have shown the knee fails early and in most cases of failure comes l. The depuy attune knee system is one of the most popular artificial knee replacement systems currently on the market. There have been multiple reports of failures sent to the fda as well as studies that have shown the knee fails early and in most cases of failure comes loose. Brainlab knee instruments are designed to be used with a variety of pins. Orthopedic surgeons and patients alike have complained of the unusually high premature failure rate of the implant. Depuy synthes adds cementless option for attune knee elizabeth hofheinz, m. The pinnacle acetabular cup system primary surgical technique has been developed in consultation with an.
According to the fdas manufacturer and user facility device experience maude database, more than 1,400 patients have experienced failure problems with their depuy attune knee replacement. Intuition instruments for depuy attune knee system, manufactured by depuy synthes, joint reconstruct. The attune primary total knee system combines research into design, kinematics. The intuition instruments are designed to be used with the. Knee replacement surgeries employing the depuy synthes attune knee system have a higher than normal rate of failure, requiring revision surgery to be performed. Lani, a real attune knee replacement patient, got back to horseback riding. To view more educational opportunities, please visit. Total knee replacement cementing technique depuy synthes.
The attune knee system, a medical device designed by depuy synthes to improve stability and range of motion in patients undergoing knee replacement surgery, has been linked to complaints from implant recipients of pain and premature device failure resulting in the need for revision surgery, among other serious problems. When the knee joint becomes so damaged, from arthritis, or other conditions, replacement with artificial components can restore mobility and reduce pain. Apr 17, 2019 watch this video to learn more as drs. Attune knee system surgical technique depuy synthes joint reconstruction distal femoral resection insert the im rod into the femoral canal to the level of the isthmus. The system encompasses implants and surgical instrumentation designed to work in harmony with your anatomy to deliver stability and motion. A total knee arthroplasty tka procedure involves replacement. The knee is a complicated set of tendons, muscles, ligaments and bones.
Depuy knee overview artificial knees are used to replace either the entire knee joint, or only part of it, in people with extensive damage. Depuy synthes adds to its attune line of knee products. This particular implant namely the depuy attune is, at the time of writing, fairly new onto the market. At golden state orthopaedics we believe that movement is the very foundation of peoples health and well being. Genesis ii instrumentation has been developed to be an easytouse system that will assist the surgeon in obtaining accurate and reproducible knee alignment.
As no single arthroplastic approach is appropriate for every knee, the surgeon must be prepared, as the situation indicates, to. Intuition instruments for depuy attune knee system. The depuy attune knee system is a stateoftheart, highly technological knee replacement system that has come under fire in recent year for having significant defects. The attune knee system is backed by a comprehensive evidence generation program that encompasses clinical and patient reported. Depuy attune knee lawsuit early implant failure side effects. A study back in 2017 noted that the fdas manufacturer and user facility device experience maude database had hundreds of reports of adverse events regarding the depuy synthes attune knee implant, many of which necessitated revision surgery. Attune knee triathlon attune knee triathlon when subjected to the large loads seen during the stance phase of gait fig. Science and technology, general implants, artificial prostheses and implants prosthesis. The attune system is only available with depuy synthes. Disengage the distal femoral jig from the handle by pushing on the vv indicator cap and slide the jig toward the femur until the distal plate contacts the distal femur. According to the company, a multicenter study of 200 cases presented at the 2nd world arthroplasty congress in rome on patient reported outcome measures proms reported a statistically significant improvement in knee physical function at six months with the attune knee compared to. Triathlon knee system surgical protocol stryker meded. Intuition instruments for depuy attune knee system mdea 2014 silver winner duration. Depuy issues safety notice for lcs knee system orthopedics.
Updated clinical data for depuys attune knee orthopedics. To date march 20, more than 3,500 patients have received an attune knee as part of a. Pinnacle acetabular cup system surgical technique golden. These advances have allowed the development of more efficient instrumentation and increasingly sophisticated implant designs that enhance clinical outcomes. This surgical technique is based on the brainlab knee3 software. Depuy knee loosening lawsuit secret data hidden from. If the balseal is separated from the post, it has the potential to enter the surgical site and be left. Triathlon knee system surgical protocol acknowledgments stryker orthopaedics wishes to thank the global triathlon knee system surgeon panel for their dedication to the development and refinement of the triathlon knee system and instrumentation. Introduction total knee replacement is performed on a range of patients, of all ages, with various pathologies and anatomical anomalies. The trumatch solutions program from depuy orthopaedics brings a new level of personalized total knee replacement surgery to your or, allowing you to work with femoral and tibial cutting guides individually prepared to match the alignment criteria and actual bone surfaces of each patient. There may be large cash claims from settlements in the depuy attune knee replacement system lawsuits. People who suffered from pain and tibial loosening of the depuy attune knee replacement systems are seeking lawyers for filing lawsuits against depuy, claiming the knee systems were having tibial loosening and caused them serious injuries requiring revision surgeries.
Extensive research and science is included in the design to help improve functional outcomes for patients, performance for surgeons, and efficiency for providers. Customized patient instruments for total knee replacement. Attune knee system surgical insights for the rotating platform. The attune primary total knee system is designed with the goal of addressing the clinical needs of patients, surgeons, and hospital providers around the world. Value analysis brief attune knee system depuy synthes 1. Depuy knee loosening lawsuit secret data hidden from patients.
In the case of the attune knee, this is due to a questionable design whereby the surface of the implant is smoother than normal, making adherence difficult. People who have invested time and money in a surgery to improve their quality of life and provide painfree movement but instead have to endure more pain and more surgery due to cement failure may be entitled to compensation from depuy synthes for the failure of the attune knee replacement system to perform as advertised. Attune knee system surgical insights for the rotating platform feat. The attune knee by depuy synthes is an advancement in knee replacement options. Total knee arthroplasty in india with the attune knee system. Introduction total knee replacement surgery can be a highly successful procedure. Significant bone loss requiring extensive reconstruction around the hip and knee is often required. The analysis found that the patients implanted with the attune knee had statistically shorter length of stay and were more frequently discharged home vs. Total knee replacement surgery, or knee arthroplasty, is performed on people with severe knee damage that causes them pain, interfering with or preventing normal movement and activity, for which other treatments and medicine have not been effective. Balancing flexion and extension gaps, setting proper femoral. Depuy also recalled almost 14,000 attune knee surgical tools in 2015. But to date, there have been no recalls of attune knee implants.
Jnj subsidiary depuy synthes attune total knee arthroplasty system is experiencing an unusually high rate of early failure related to its tibial components. For the past few decades, surgical outcomes involving total knee replacements have greatly improved. It is therefore advisable, and indeed my practice, to closely. Thieme medical publishers 333 seventh avenue, new york, ny 1, usa. As early as december 2016, depuy started responding to fda reports of attune knee implant failure by stating. The trumatch system is a personalized surgery system that allows surgeons to scan a patients legs and design a custom procedure for implanting the artificial knee. Attune cemented primary knee surgical technique depuy synthes. Attune surgical technique guide surgical tech classes. Depuy synthes introduces attune revision knee system to. In developing the attune cementless knee, depuy synthes drew on the successful clinical history and legacy of its cementless and rotating platform technologies, including the lcs cementless knee which features porocoat porous. Depuy synthes, based in warsaw, indiana, has announced updated clinical data for its attune knee system. Implant function is directly related to accurate surgical technique. The attune knee is a comprehensive, integrated knee system.
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