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KNEE INSTRUMENTS • retractors – spreaders

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retraction & exposure retractors mis standard with straps spreaders patient positioners surgical tools curettes & osteotomes rongeurs & graspers other useful tools extraction & revision extractors curettes & osteotomes other useful tools
	Calibrated Femoral Tibial Spreaders	Hensley/LaFosse Soft Tissue Retractor	Incision Aligner	Lombardi Gap Balancing Femoral Tibial Spreader


Lombardi Femoral Tibial Spreaders	Scott Femoral Tibial Tensor/Spreaders

Calibrated Femoral Tibial Spreaders

Helps separate the femur and tibia during total knee replacement surgery

Assistant Free™ Calibrated Femoral Tibial Spreaders

The calibrated handle of the spreader makes it possible for two spreaders to be used to assist the surgeon in balancing ligaments.

The coated spreader is designed to separate the femur and tibia when implant components are in place during total knee surgery. This is helpful in checking the back of the knee joint for cement, etc. The pads are coated to keep from scratching the component surfaces, and are slightly contoured for stability against the curved articulating surfaces.

Designed to minimize crushing the bone, even if osteoporotic. The spreader will remain in position, with the femur and tibia separated, without the need of an assistant. A wide unobstructed view of the posterior compartment is possible. Osteophytes on the posterior condyles of the femur and tibia can be seen and removed.

Product No’s:
1850 [Small]
Overall Length: 7"
Pads: 23x12mm • Opens to 39mm

1850-D [Small with Diamond Cut Pads]
Overall Length: 7"
Pads: 23x12mm
Opens to: 39mm

1850-01 [Small w/Coated Pads]
Overall Length: 7"
Pads: 18x15mm
Opens to: 39mm

1855 [Medium]
Overall Length: 10"
Pads: 23x14mm • Opens to 50mm

1855 [Medium with Diamond Cut Pads]
Overall Length: 10"
Pads: 23x14mm
Opens to: 50mm

1860 [Large]
Overall Length: 12"
Pads: 25x16mm • Opens to 65mm

1860 [Large with Diamond Cut Pads]
Overall Length: 12"
Pads: 25x16mm
Opens to: 65mm

1865 [Small w/Round Pads]
Overall Length: 7"
Pads: 25x25mm
Opens to 39mm

1866 [Medium w/Round Pads]
Overall Length: 10"
Pads: 25x25mm
Opens to 50mm

WATCH SURGICAL IN-USE VIDEO

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Hensley/LaFosse Soft Tissue Spreader Helps free assisting personnel while providing excellent exposure				Designed by R. Hensley and J. LaFosse

				Product No: 1844 Overall Length: 7.5" Download Product Brochure (PDF)
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Incision Aligner Designed to align an incision during closing				Designed by DMP

				The bent ends of the aligner are placed at each end of an incision, which is aligned by pulling outward on each end. The sliding end will lock in place when it is tensioned. Pressing inward slightly on the sliding end will allow the aligner to be collapsed and removed. Product No: 1330 Overall Length: 14" Blade Offset: 45mm Download Product Brochure (PDF)
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Lombardi Gap Balancing Femoral Tibial Spreader Designed to help separate the femur and tibia during total knee procedures, with the pads being parallel when measured at 20mm of separation				Designed by Adolph V. Lombardi Jr., MD

				The calibrated handle of the spreader helps to accurately gauge the gap, and makes it possible for two spreaders to be used to assist in balancing ligaments. Product No’s: 1878 [Large] Overall Length: 9.25" Pads: 22mm x 13mm Opens to: 50mm 1877 [Small] Overall Length: 7" Pads: 22mm x 13mm Opens to: 35mm 1878-D [Large with Diamond Cut Pads] Overall Length: 7" Pads: 22mm x 13mm Opens to: 35mm 1877-D [Small with Diamond Cut Pads] Overall Length: 7" Pads: 22mm x 13mm Opens to: 35mm Download Product Brochure (PDF)
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Lombardi Femoral Tibial Spreaders Thin pads help to separate the femur and tibia during total knee procedures				Designed by Adolph V. Lombardi Jr., MD

				Product No’s: 1875 [Large] Overall Length: 9.25" Pads: 22mm x 13mm Opens to: 50mm 1875-D [Large with Diamond Cut Pads] Overall Length: 7" Pads: 22mm x 13mm Opens to: 35mm 1876 [Small] Overall Length: 7" Pads: 22mm x 13mm Opens to: 35mm 1876-D [Small with Diamond Cut Pads] Overall Length: 7" Pads: 22mm x 13mm Opens to: 35mm WATCH SURGICAL IN-USE VIDEO Download Product Brochure (PDF)
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Scott Femoral Tibial Tensor/Spreaders

Used before determining femoral component rotation to help properly tense the medial and lateral ligaments and help assure a stable, balanced flexion gap

Designed by Richerd Scott, MD*

Scott Femoral Tibial Tensor/Spreader

An important part of surgical technique during total knee arthroplasty is the establishment of a symmetric balanced flexion gap. This can be achieved by tensing the medial and lateral ligaments with laminar spreaders and rotating the femoral component until a rectangular space is formed. The calibrated Tensor/Spreader allows the surgeon to choose a reproducible amount of tension across the medial or lateral flexion space.
In the varus knee, any medial release necessary to balance the knee in extension is performed first. In the valgus knee, the flexion gap can be balanced before the extension gap if the lateral retinaculum (not the lateral collateral ligament) is all that needs releasing to correct the deformity.

The spreader can be used before or after tibial preparation and also during revision surgery after a well-aligned tibial platform has been established.
The knee is flexed 90 degrees. Any medial retractor is removed. The medial gap is tensed with a plain or calibrated laminar spreader that is opened until the medial collateral ligament is fully tensed. The calibrated tensor is applied laterally and opened to the desired tension on the indicator. The femoral component is rotated until a rectangular gap is formed based off the tibial cut or an external tibial alignment device (if the tibial resection has not yet been performed).

Scott Femoral Tibial Tensor/Spreader

Original with narrow pads designed to be used before making the femoral and tibial cuts.

Three NEW wide pad styles available! Designed for use after the cuts have been made.

Product No's:

1995 [Narrow Fixed Pads]
Overall Length: 7"
Blade Width: 7mm
Opens to: 40mm

1996 [Wide Fixed Pads] New!
Overall Length: 7"
Pads: 22mm x 13mm
Opens to: 40mm

Pad Modification
Designed by Raymond H. Kim, MD

1997 [Wide Block Pads] New!
Overall Length: 7"
Pads: 23mm x 12mm
Opens to: 40mm

1998 [Round Pads] New!
Overall Length: 7"
Pad Diameter: 25mm
Opens to: 40mm

Patent Pending

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