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TL
MACS
polyaxial screw XL
The implantation of the MACS
the following steps:
!
Select the appropriate MACS
screws according to indication, preoperative planning and
bone situation found intraoperatively.
!
To determine the optimum implant position of the MACS
system:
– Preposition the implant with Kirschner wires and
– prepare the bone correctly, using cannulated instruments.
!
Apply the implantation instruments in the correct way.
!
To avoid internal stress on, and weakening of, the implant:
Avoid scoring or scratching any implant components.
!
Do not bend or warp any metal implants with the exception
of the rods of the Aesculap Spine System Evolution.
!
Do not bend or re-bend the rods excessively.
!
For bending the rods, do not use any other tool than the
bending instruments that are part of the MACS
ment set.
!
Mount the centering sleeve on the clamping element, using
the special mounting instrument.
!
Insert the implant components, using the special insertion
instruments.
!
Do not tighten or screw in the polyaxial screw XL completely,
so that the clamping element can still be moved.
!
Prior to unlocking the insertion instrument, remove the
Kirschner wire through the cannulated insertion element,
using the appropriate removal instrument.
TL
system has to be carried out in
TL
system variant and anchoring
TL
TL
instru-
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