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36 DEVICES & IMPLANTS Medacta Offers 4-step Program for Surgeons to Successfully Perform Outpatient Hip, Knee & Spine Surgery By Megan Wood M edacta designs joint and spine sur- gery products for the outpatient setting. Here are four insights: 1. In the next 10 years, outpatient knee re- placements are anticipated to increase by more than 450 percent and outpatient hip replacement will jump by more than 630 per- cent nationally. 2. To meet this increasing outpatient de- mand, Medacta presents the Propel Same Day Surgery Initiative, which combines products with education programs. 3. e Propel Same Day Surgery Initiative encompasses four steps for surgeons and ad- ministration: • Product introduction: Medacta pres- ents its products, such as the Anterior Minimally Invasive Surgery Program for total hip replacement; MyKnee and MySpine 3-D Patient-Matched tech- nologies and GMK Efficiency Single Use Instruments for knee replacement. • Propel Reference Center visit: Best practices for using Medacta products for same-day surgery. • Learning center: Surgeons practice sur- gical techniques using the company's products in a cadaveric training facility. • Scheduling: Surgeons schedule proce- dures in their facilities with a Propel Reference Center surgeon proctor 4. Surgeons have utilized Medacta's AMIS system in more than 250,000 total hip re- placements and the company's MyKnee in 50,000 knee replacements. n Spineology's Elite Expandable Interbody Fusion System Granted Expanded FDA Clearance — 5 Details By Adam Schrag S pineology has announced ex- panded FDA clearance of its Elite Expandable Interbody Fusion System. Here's what you need to know: 1. The expanded clearance adds a narrower, 10mm, version of the device and grants its use with allograft bone. 2. The device can be inserted into the disc space at a contracted minimum height, expanding to restore anatomic disc height, provide anterior column support and potentially facilitate indi- rect decompression. 3. Elite allows the operating surgeon to control device expansion and lock the device at any position in the ex- pansion range. 4. The device is made of titanium al- loy and its large graft window enables bone through-growth which allows for maximum fusion potential. 5. Spineology CEO John Booth said, "The broader size offering and the al- lograft bone indication allow the sur- geon to pair Elite with Incite Cortical Fibers… Incite's excellent handling properties and ability to expand in-si- tu with the Elite Implant are added benefits not found in competitive sys- tems." n Lateral Lumbar Spinal Fusion for Adjacent Segment Disease: 5 Key Findings By Laura Dyrda A new study published in Spine ex- amines single-level lateral lumbar in- terbody fusion for patients undergo- ing surgery due to adjacent segment disease. The two-center study examined 52 lat- eral lumbar interbody fusion patients and followed them for more than one year. The study authors found: 1. The patients who underwent the LLIF for adjacent segment disease reported reduced back and leg pain, increased segmental lordosis and decreased segmental coronal angu- lation. 2. At the surgical level, the patients reported increased intervertebral height. 3. Eleven patients underwent reoper- ations for the LLIF procedures, a 21.2 percent reoperation rate. The second operation was performed at around 14 months postoperatively. 4. Among the patients who underwent a reoperation, 72.7 percent under- went standalone LLIF; 56.1 percent in the group that didn't have reopera- tions underwent standalone LLIF. 5. The patients who had circumferen- tial fusion had a higher fusion rate — 87.5 percent — when compared with the standalone group — 53.8 percent. "LLIF may be an effective surgical treatment option for ASD with regard to both the clinical and radiographic outcomes in a large portion of cas- es," concluded the study authors. "Al- though standalone LLIS is associated with a narrower spectrum of adverse effects than circumferential fusion, posterior instrumentation may be necessary to increase segmental sta- bility."