Quick User's Guide
Contents
1. 0 15 10 8 22 12 Gradual 53 3 14 14 34 1 Previous 13 15 9 Frame Parameters 1 2 Description Summary of Case Data provided in the Case Data tab Click Print Page to print out the complete planning when it is completed External Supports specification 3 4 Ring Type available Ring Size available e Full Ring e 140mm 5 8 Open Posteriorly Ring 160mm e 5 8 Open Medially Ring e 180mm e 5 8 Open Anteriorly Ring e 200mm e 220mm Select proximal support ring type and size from the drop down selectors Select distal support ring type and size from the drop down selectors MOUNTING PARAMETERS SECTION optional The default assumption is that both proximal and distal external supports are perpendicular to the corresponding bone segment axis and located at 50mm distance from the point of interest 5 10 11 12 13 Adjust the position of the reference ring in the coronal plane AP translation inmm e Medial or e Lateral Adjust the position of the reference ring in the sagittal plane ML translation in mm Anterior or Posterior Adjust the reference ring position in the axial direction in mm described as Proximal or Distal Adjust the moving ring second ring position in mm Determine the point of interest for the reference ring position Relative to Deformity Apex or Relative to Osteotomy Fracture Level Refer to Fig 2 for the description of the reference ring position relative to2. HEX online software provides the tool for surgeon to plan and conduct deformity correction and calculates individual patient prescription For more product information and contacts wa thek com Y ORTHOFIX Account Add New Patient Patient ID Patient A A Warning You are not allowed to enter or provide any information that allows directly or indirectly the identification of your patient ey name birth date address email sddress phone number etc Please use only an internal confidential code to identity your patiant record when using this Software Patient Initials PA Gender Male Female Privacy Policy EULA Policy Cookies Contact Us P 3 Home Page MENU STRUCTURE Reported in all the application pages when user is logged in Description Click Home Page to return to the application Homepage 2 Click Cases to access to the Cases Menu functionalities Select List of Cases to view all the cases see screen N9 6 for detail e Select Add New Case to start a new case see screen N 7 for detail 3 Click Patients to access to the Patients Menu functionalities e Select List of Patients to view all the registered patients see screen N 5 for detail e Select Add New Patient to start a new patient registration see screen N 4 for detail All cases are related to a patient therefore a new patient who doesn t exist must be created prior to begin a new case 4 Click Ac
3. mm which is read off the scale relative to the gradual length green mark Confirm or adjust the data if necessary Correct any additional errors prior to proceeding with the next steps An error is highlighted in red and the strut size and length should be corrected 12 Click on Previous button to return to the previous tab Frame Parameters Click on Next button to move to the next tab End of Correction 20 TL HEX QUICK USER S GUIDE TL HEX Home Page Cases Patents Welcome Dr TestUser Account O ORTHOFIX All the corrections in this section are under over corrections relative to biomechanically alig 1 Case Number 001 Case Name Case 1 AP Over Under Correction deg 2 valgus varus AP Over Under Translation mm 5 Medial Lateral 9 i ik ML Over Under Correction deg Apex Anterior Apex Posterio ML Over Under Translation mm Anterior Patient ID Patient A Side Selection Left Over Under Rotation deg Do 4 External Internal Bone Length mm 20 7 Shortening Lengthening 21 11 End of Correction Description 1 Summary of Case Data provided in the Case Data tab The software assumes that at the end of the treatment the bone segments should be in perfect alignment However surgeon could override the default position as desired ANGULATION 2 Override Over Under AP correction in degrees This can be either Valgus or Var
4. ri rt ri 03 04 2013 08 00 03 04 2013 20 00 07 04 2013 20 00 ce 08 00 Rotation 0 deg ML Angle 25 deg ApexAnterior ML Translation 0 mm AP Angle 25 deg Valgus AP Transiation 0 mm Axial Translation O mm 27 14 Report Description Summary of Case Data provided in the Case Data tab 2 Click Print Report generate the report in pdf format This document can be saved for the record or printed as hard copy 3 Provides a more detailed prescription In addition to the patient prescription it includes e St Strut size A Acute adjustment in millimeters e G Gradual adjustment in millimeters for each strut 4 Click View in the report table to have a look to the three views of the deformity and the frame for the cor responding day time of the prescription and the struts parameters and length on the desired day 5 Click Prescription in the report table to see the same adjustment row in the Prescription tab Click Checkup in the Report table to launch the Checkup for the selected day and time 7 These are the three diagrams in the software considering the deformity and the frame for the corresponding day time of the prescription AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment 8 Click on Previous button to return to the previous tab Prescription Click o
5. 00 E 02 00 00 El 03 00 00 IM 04 00 00 E 05 00 00 El 06 00 00 E 07 00 00 V 08 00 00 Fl 03 00 00 Fl 10 00 00 7 11 00 00 0 5 lunedi 1 aprile 2013 El 12 00 00 El 13 00 00 7 14 00 00 I 15 00 00 El 16 00 00 E 17 00 00 18 00 00 E 19 00 00 20 00 00 E 21 00 00 22 00 00 23 00 00 db Patient ID Patient A Side Selection Left 11 23 12 Schedule Description Summary of Case Data provided in the Case Data tab Specify the maximum rate of the bone segment translation mm day Specify the maximum rate of the bone segment rotation degrees day Specify the maximum rate of the bone segment angular correction degrees day Specified the desired days of correction Indicate the surgery date Indicate the latency period in days By default this is 5 days The software determines the treatment start date considering surgery date plus latency period ON BU IN Indicate correction time s to have the prescription calculated for one or more frame adjustments during each treatment day 10 Click on Previous button to return to the previous tab End of Correction Click on Next button to move to the next tab Prescription 11 Click on Calculate to calculate the speed if days of correction has been selected or the days of correction if at least one speed has been selected It is necessary to enter at least one value in the Calculate By box and Correction Time s bo
6. 1206 QR EO B 10 13
7. 13 10 00 50 AM Case Number 004 Patient ID Patient D Case Name Casa 4 Side Selection Leaf Proximal Ring 5 8 Open Posteriorly Ring 180mm Distal Ring Full Ring 160mm Reference Segment Proximal curve 9 5 Patient gt List of Patients Description Click Add New Patient to create a new patient see screen N9 4 for detail 2 Select the Patient ID to lead to the list of cases associated with this patient 3 Click the icon J to edit patient details Click the icon III to delete definitively a Patient The application asks to confirm the deletion 4 Delete action cannot be undone and implies that all the cases related to that patient will be deleted 5 Use the box related to each header to filter and search the content based on a specified criteria 6 For Date Created header it is possibile to set complex filter using the available function by clicking icon To remove any filter click Clear search filters 6 Cases List of Cases Description Click Add New Case to create a new case see screen N 7 for detail 2 By default all the cases are sorted by Patient ID Click any of the headers i e Patient ID Case Number Case Name Anatomy and Date created to change the sort 3 Click the icon ll to delete definitively a Case The application asks to confirm the deletion Delete action cannot be undone 4 Use the box related to each header to filter and search the content based on a specified criteria gt F
8. ML view in degrees as the angle between the projection of the ring and the axis of bone segment with the anterior side of the ring Anterior side up or Anterior side down 7 Specify the frame rotation relative to the longitudinal axis of the reference bone segment in degrees on the axial view described as External rotation or Internal rotation 8 Determine the point of interest for the reference ring position See Screen 8 Reference 8 for more details Relative to Deformity Apex or Relative to Osteotomy Fracture Level 9 Click Update Views button at any time to refresh the display according to the parameters entered At this point the software will generate diagrammatic models that reflect the bone deformity and frame position on the X ray In case of discrepancy the surgeon should go back and the check all the variables before proceed ing to the next steps 10 These are the three diagrams in the software AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment 11 This area shows the strut mounting parameters for all six struts Details for each strut are described in three fields e Size Strut size short medium long Acute Acute length for the strut in mm which is read off the scale relative to the acute length orange mark e Gradual Gradual length for the strut in
9. Parameters Click on Next button to move to the next tab Postoperative 16 TL HEX QUICK USER S GUIDE Case Number 001 Patient ID Patient A Case Name Case 1 Side Selection Left Proximal Ring Full Ring 180mm Distal Ring Full Ring 180mm Reference Segment Proximal Reference Ring AP Translation mm Reference Ring ML Translation mm Reference Ring Position mm No Translation 25 Posterior Second Ring Position mm Strut 5 mom 179 17 9 1 Frame Parameters Print Page Description 1 Planning summary 2 Click Print Frame Parameters to print out the complete planning 18 TL HEX QUICK USER S GUIDE Patsents Account 1 2 AP Translation mm 05 Medial Lateral Reference Ring mm 100 Proximal Distal 4 5 AP Angle deg OS Medial Side Down MedialS edial 2 Medial Side U Angle deg ia n ial Side Up Osteotomy Fracture 3 ML Translation mm 25 Antenor i Posterior Modify Horizontal Fragments Translation mm J 2 Medial Latera Oly 6 ML Angle deg O Anterior Side Down Anterior Side Up Antenor Postenor ve 7 Frame Rotation 0 External Internal 9 10 Total Stet Simmj t7 Size Long y Long v Long v Medium gt Long Long Acute 18 5 49 m 33 19 gi 1 Gradual 27 78 78 2 33 7 78 Es 12 19 10 Postoperative Assessment Description 1 Summary of Case Data provided in the Case Data tab Refe
10. QUICK USER S GUIDE TRUELOK HEXAPOD SYSTEM Quick User s Guide Software Version 1 2 9 ORTHOFIX WORKFLOW 1 REQUEST A NEW ACCOUNT 2 LOGIN PAGE 3 HOME PAGE 4 PATIENT gt ADD NEW PATIENT 5 PATIENT gt LIST OF PATIENTS 6 CASES 3 LIST OF CASES 7 CASES gt ADD NEW CASE 8 DEFORMITY PARAMATERS 9 FRAME PARAMETERS 9 1 FRAME PARAMETERS PRINT PAGE 10 POSTOPERATIVE ASSESSMENT 11 END OF CORRECTION 12 SCHEDULE 13 PRESCRIPTION 14 REPORT 15 CHECKUP 16 CHANGE PASSWORD Orthofix wishes to thank the following surgeons for their contribution to the development of this User s Guide Franz Birkholtz M D Alexander Cherkashin M D Mikhail Samchukov M D William Terrell M D 11 13 15 17 19 21 23 25 27 29 31 EE 1 The following provides a sequential overview of the process for a case management with TL HEX software LOG IN PREOPERATIVE If the frame IS not pre assembled go directly to the Postoperative phase Y LLI 2 lt q cc LLI a O E un O a Obtain an account at www tlhex com following the onscreen instructions Log in the TL HEX software https app tlhex com Create a New Patient Create a New Case related to a patient Specify the Deformity Parameters Indicate the Frame Parameters Complete the Mounting Parameters section to pre assemble the frame Confirm or adjust postoperative values and struts config
11. count to access to the Account Menu functionalities e Select Change password to invoke the change password procedure see screen N 16 for detail 4 Patient 2 Add New Patient Description Insert the Patient ID 2 Insert Patient Initials or other reference associated with the patient 3 Select Patient Gender Male or Female A By clicking Cancel all the entered information is discarded and the application returns to the List of Patients screen see screen N9 5 for detail Click Save Patient to create a new patient and move to the List of Patients screen see screen N9 5 for detail A Warning Under the Orthofix Terms of Use the surgeon should never enter information that directly identifies a patient The patient number is intended to be used as an identifying link to the patient within the surgeon s patient management system 8 TL HEX QUICK USER S GUIDE Patients Account List of Patients Search for Patients using the boxes below Account 3 27 2013 3 27 2013 3 27 2013 3 27 2013 11 6 2012 Welcome Dr TestUser Home Page Cases Patients Account You are attempting to open a Case that was created on an earlier software version By clicking the Upgrade Case button you can upgrade the case to the new version All the data will be transferred to a new casa It is recommended that you review and confirm all of the data because the prescription will be recalculated Case Viewed On Thursday April 04 20
12. deformity apex a or osteotomy fracture level b AB Reference Ring Position AB Reference Ring Position BC Horizontal BC Moving Translation Ring Position B CD Moving Ring Position Fig 2 ben da ds Ke If the AP or ML view translation was entered into the deformity parameters section the osteotomy fracture level is automatically chosen as point of interest Frame Rotation field with the relevant read only value The software will automatically change the orientation offset of the 5 8 ring Click Update Views button after entering the mounting parameters will reveal the preassembled frame construct and render a set of strut lenghts that will result in the required frame These are the three diagrams in the software AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment This area shows the strut mounting parameters for all six struts Details for each strut are described in three fields e Size Strut size short medium long Acute Acute length for the strut in mm which is read off the scale relative to the acute length orange mark e Gradual Gradual length for the strut in mm which is read off the scale relative to the gradual length green mark Click on Previous button to return to the previous tab Deformity
13. length discrepancy relative to the contralateral limb e Short or Long Depending on the relevant amount of bone length discrepancy in mm Click Update Views button at any time to refresh the display according to the parameters entered These are three diagrams in the software AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment Click on Previous button to return to the previous tab Case Data Click on Next button to move to the next tab Frame Parameters 3 14 TL HEX QUICK USER S GUIDE IL HEX Welcome Dr TestUser TRUELOK Home Page Cases Patients Account Deter Parameters Frame Parameter Case Number 001 Patient ID Patient A Case Name Case 1 Side Selection Left 1 Select External Supports E proxima Support Ring Type fii e Ring seem e lt INE TRS FullRing 1 e Ring Size 180mm v Reference Ring Parameters Ring Position Reference Ring mm 50 Proximal Distal 7 5 kP Transiatis 0 Y O Medial Lateral Second Ring mm 50 Position Relative To o Deformity Apex 8 Osteotomy Fracture Level 6 anterior Posterior Modify Hortzontai Fragments Translation mm Media Lateral 0 Anterior Posterior 0 9 me Rotation O 2 10 11 Tota Size Long Medium Short Short Medium Medium Acute 0
14. mplete this section with details of the planned frame position relative to either the deformity apex or the osteotomy fracture level Strut types and lengths are being suggested see screen 9 for details Provide the actual frame parameters and position as mounted and adjust modify the struts configuration to adapt them to the configuration obtained during the surgery see screen 10 for details Visualize the expected results at the end of correction If necessary specify the eventual over under correction parameters to be considered in the treatment see screen 11 for details Define the schedule by specifying the latency period the maximum rates and speeds of correction or the desired days of correction see screen 12 for details Once all data are approved by the surgeon the schedule is completed and the prescription Is generated This can be saved and a hard copy must be given to the patient For each correction step the number of turns the patient must make are indicated for each strut as well as the gradual length see screen 13 for details A more detailed prescription is available for the surgeon in the report section where per each strut indication of the acute and gradual correction is given see screen 14 for details Surgeon can use the checkup function to generate a new case starting from a specific date of the treatment This new case will report all the parameters updated to the selected date The S
15. n Next button to move to the next tab Checkup The prescription row will be highlighted when strut readjustments shaded blue or exchanges shaded red are required The rows of lighter shading indicate the allowable range of days that is suitable for the readjustment exchange the heavier shaded row indicates the last possible day for the struct change 28 TL HEX QUICK USER S GUIDE Home Page Case Patients Account Schedule 1 Case Number 001 Patient ID Patient A Case Name Case 1 Side Selection Left 2 A o Ir Treatment Date 01 04 2013 f Displaying prescription line No 0 based on treatment range of 01 04 2013 21 04 2013 AP Angle 25 deg Valgus ML Angle 25 deg ApexAnterior Rotation 0 deg AP Translation mm ML Translation 0 mm Axial Translation 0 mm Giro 5 mom 714 Total Size Long Long Long Medium Long Long Acute o 16 11 15 Gradual 14 40 35 35 35 33 To Create New Case New Case Number Copy 001 New Case Name Cae Copas 29 15 Checkup Description 1 Summary of Case Data provided in the Case Data tab Provides the position of the bone segments and the frame with corresponding strut adjustment values at any particular day of treatment deformity correction 2 Select the treatment date As default the screen shows the data for the current day 3 Enter new case detail Case Number 4 Enter new case detail Case Name 5 Click Create New Case to ope
16. n a new Case data screen for the newly generated case 6 These are the three diagrams in the software considering the deformity and the frame for the corresponding day time of the prescription AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment All the deformity and frame parameters are transferred from the previous case at the date of check up 7 Click on Previous button to return to the previous tab Report Select the treatment date As a default the screen shows the data for the current day The patient based on the starting point as chosen from the checkup screen 30 TL HEX QUICK USER S GUIDE Old Password New Password Confirm New Password Privacy Policy EULA Policy Cookies Contact Us Instructions for Use 31 16 Change Password Description Type the old password Chose and type the new password lt must be 6 or more characters Confirm by typing the new password again The software will validate that the two passwords match Click Cancel to cancel the action and come back to the home page Uy BB WIN Click Change Password to submit the password change Manufactured by ORTHOFIX Srl Via Delle Nazioni 9 37012 Bussolengo Verona Italy Your Distributor is Telephone 39 045 6719000 Fax 39 045 6719380 CC a o www orthofix com ORTHOFIX TL
17. n the Case Number 3 Specify the Case Name reference associated with this case 4 Select the Planning Date by clicking the calendar icon Select the side 5 Left or Right Specify additional notes if any Review the inserted notes if existing Click Next to proceed with the next steps in the treatment planning process Deformity Parameters Warning Under the Orthofix Terms of Use the surgeon should never enter information that directly identifies a patient The patient number is intended to be used as an identifying link to the patient within the surgeon s patient management system E ol mla 12 TL HEX QUICK USER S GUIDE Home Page Cases Patients Account ae Deformiy Parameters rame Parameter Postoperative End ofconecton Schedfie Pecrenen Renan Checkup 1 Case Number 001 Patient ID Patient A Case Name Case 1 Side Selection Left 2 Reference Segment Proxima Distal AP Plane Angular Deformity deg 9 ML Plane Angular Deformity deg 0 2 Rotation deg 04 3 valgus Varus 9 Apex Anterior Apex Posterior External Internal Axial Translation mm 02 Short AP Plane Translation mm 0 2 ML Plane Translation mm Oe e Long 8 Medial Lateral O Anterior Posterior Bone Length mm 04 Short 9 10 Posterior 11 1 8 Deformity Paramaters 1 Deformity Parameters 2 ANGULATION 3 TRANSLATION 6 11 Description Summary of Case Data provided in the Case Da
18. or Date Created header it is possibile to set complex filter using the available function by clicking the 6 The cases created with SW version 1 2 have an additional link View that allows a read only version of the case to be displayed 7 In the case created with the older software version 1 1 the additional link field is VIEW OR UPGRADE Description 1 Click Upgrade Case to generate a new case using the old case input data Click Cancel to close the page and go back to List of Cases page Click Print the page to Print the page 10 TL HEX QUICK USER S GUIDE Home Page Cases Patients Account Postoperative End of Correction Schedule Prescription 1 Patient ID warning You are not allowed to enter or provide any information that allows 2 001 directly cr indirectly the identification of your patient e g name birth date address Case 1 amall address phone number exc Pigare use only an intemal confidential code to 3 arty your patient record when urmg this Sofware 4 Planning Created 29 08 2012 E 5 de Selection Left Right 6 New Notes A Case One Notes a 7 Privacy Policy EULA Policy Cookies Contact Us Instructions for Use 11 7 Cases gt Add New Case Description 1 Select the Patient from the drop down selector If no patients have been entered the drop down selector will be empty To create a Patient before beginning a case creation see screen N 4 for details 2 Assig
19. rence Ring Refer to Fig 3 to determine the reference ring angulation translation and rotation parameters in AP view a Position ML view b and axial view c AP view m ML view n0 Axial view Reference Ring ML translation Reference Ring Reference Ring AP angle ML angle Frame Rotation Reference A T Reference Ring position Reference Ring Ring position AP translation pua v ER gt 4 y Na S Fig 3 2 Adjust Enter the position of the reference ring in the coronal plane AP translation in mm as translation of the center of the reference ring in relation to the longitudinal axis of the reference bone segment Medial or Lateral 3 Adjust Enter the position of the reference ring in the sagittal plane ML translation in mm as translation of the center of the reference ring in relation to the longitudinal axis of the reference bone segment Anterior or Posterior 4 Adjust Enter the reference ring position in the axial direction in mm described as the translation of the reference ring proximal distal along the longitudinal axis of the reference bone segment Proximal or Distal 5 Enter the reference ring angulation on the AP view in degrees as the angle between the projection of the ring and the axis of the bone segment with the medial side of the ring Medial side up or Medial side down 6 Enter the reference ring angulation on the
20. ta tab Choose the reference segment as Proximal or Distal Refer to the Fig 1 for the description of the moving bone segment translation depending on proximal or distal location of the reference segment AP r Proximal Reference Lateral Translation Translation Distal Reference Segment _Pr eeeiKAK Fig 1 In the software diagram 10 the reference segment is colored in blue while the moving segment is colored In green Insert coronal plane angulation AP view in degrees This can be either Valgus or Varus depending whether the distal segment is bent towards or away from the midline Insert sagittal plane angulation MP view in degrees It is described as Apex Anterior procurvatum or Apex Posterior recurvatum Insert horizonal plane angulation Axial view in degrees It is described as e External rotation or Internal rotation Insert coronal plane translation AP view in mm It is described as Medial or e Lateral Insert sagittal plane translation MP view in mm It is described as Anterior or Posterior Insert axial translation Axial view in mm as e Short used when the moving bone segment is translated compressed towards the reference bone segment or Long used when the moving bone segment is translated distracted away the reference bone segment Bone length is a clinical paramater indicating limb
21. ters as reference for each strut 5 Click View in the prescription table to have a look to the three views of the deformity and the frame for the corresponding day time of the prescription Click In Report to see the same adjustment row in the Report tab 7 These are the three diagrams in the software considering the deformity and the frame for the corresponding day time of the prescription AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment 8 Click on Previous button to return to the previous tab Schedule Click on Next button to move to the next tab Report The prescription row will be highlighted when strut readjustments shaded blue or exchanges shaded red are required The rows of lighter shading indicate the allowable range of days that is suitable for the readjustment exchange the heavier shaded row indicates the last possible day for the strut change TL HEX QUICK USER S GUIDE 26 TL HEX Welcome Dr TestU Account sbents pP Lases Home Page Case Data Deformity Parameters Frame Parameters Postoperative End of Correction Schedule Prescription Report Case Number 001 Case Name Case i 4 LI 01 04 2013 08 00 a 2000 A 4 4 E I 3 2 2 4819 ajaja jaja a ala e rt d 2
22. the Privacy Policy statement 5 Click EULA Policy to review the End User Licence Agreement subscribed for the application 6 Click Cookies to review the Cookies statement 7 Click Contact us to find how to contact the TL HEX Customer Care support 8 Click Instruction for Use to access the TL HEX document area Login Enter a valid username and password in the appropriate text fields 3 Please note that username and password are case sensitive 10 Click Sign In button to access to the TL HEX software 11 Click the link Forgot your Username or Password and follow the displayed instructions to recover username and or password 12 Current Software version 6 TL HEX QUICK USER S GUIDE ORTHOFIX Account The future of the hexapod system built on solid circular fixation experience The TL HEX System is a hexapod style external circular fixation system developed at Texas Scottish Rite Hospital for Children TSRHC in Dallas Texas US It consists of orthopaedic 4 hardware and associated software for simplified deformity correction and trauma management TRUELOK HEXAPOD SYSTEM The TL HEX System is fully compatible with the TrueLok System and will support fracture fixation limb lengthening treatment of non union and deformity corrections in long bones in both adult and pediatric patients The TL HEX is simple and flexible it allows for fast and easy assembly and provides Orthofix proven stability for optimal healing TL
23. uration Visualize the end of correction parameters providing added over under correction if required Determine the schedule for the correction planning Visualize and print the prescription for the patient Visualize and print the report Use the checkup function to create a new case starting from the date selected parameters Access to the TL HEX software is controlled by Username and Password These can be obtained at www tlhex com by requesting a new account and following the onscreen instructions see screen 1 for details Enter a valid Username and Password in the appropriate text fields and click Sign In to gain access to the software see screen 2 for details In the Add New Patient screen create a new patient if the patient doesn t exist Each case must be linked to an existing patient see screen 4 for details To start a new treatment create a new case Select patient from the ones available in the drop down list providing the information required Case Name Case Number Side see screen 7 for details Describe the deformity starting from the reference segment identification Then provide the relevant parameters relative to the angular deformity rotation translation and bone length discrepancy see screen 8 for details Indicate the ring type and size that will be used for the frame building Full and 5 8 rings are available from 140 to 220 mm ring size see screen 9 for details Co
24. urgeon can then proceed to setup a new deformity correction treatment see screen 15 for details 2 TL HEX QUICK USER S GUIDE Y ORTHOFIX PRODUCT INFORMATION The future of the hexapod system built on solid circular fixation experience user s ue 3 1 Request a New Account Description 1 Click Login to access the software if the account is already activated and the user has his her own username and password 2 Click Request an Account button and follow the onscreen instructions to obtain a valid access to the TL HEX software 4 TL HEX QUICK USER S GUIDE LogIn 3 O ORTHOFIX The future of the hexapod system built on solid circular fixation experience Password 0 Username Privacy Policy EULA Policy Cookies Contact Us Instructions for Use A AMEN 9 2 Login Page Description HEADER This section is reported in all the application pages 1 Click the TL HEX logo to go to the product website www tlhex com 2 Click the Orthofix logo to go to the Company website intl orthofix com 3 Log In if the user is not logged in By clicking Log In the user is forwarded to the Login page Log Out if the user is logged in By clicking Log out the user will be logged out by the application and return to the homepage FOOTER This section is reported in all the application pages 4 Click Privacy Policy to display
25. us 3 Override Over Under ML correction in degrees This can be either Apex anterior or Apex posterior 4 Override Over Under rotation in degree It is described as External or e Internal TRANSLATION 5 Override Over Under AP translation in mm It is described as Medial or Lateral 6 Override Over Under ML translation in mm It is described as Anterior or Posterior 7 Select the bone length Shortening or Lengthening 8 Click Update Views button at any time to refresh the display according to the parameters entered and check the bottom of the screen for struts that are out of range 9 These are the three diagrams in the software AP view corresponding to the AP X ray of the limb ML view representing the ML X ray of the limb Axial view representing the view looking either up or down the limb from the reference segment 10 This area shows the strut size for all six struts 11 Click on Previous button to return to the previous tab Postoperative Click on Next button to move to the next tab Schedule 22 TL HEX QUICK USER S GUIDE 10 TL HEX Patients Welcome Dr TestUser Account End of Correction Case Number 001 Case Name Case 1 Daily Correction Rate mm day Angular Max Speed deg day Rotate Max Speed deg day Days of Correction Surgery Date Latency Period days Treatment Start Date Correction Time s 710000900 E 01 00
26. x prior to clicking 24 TL HEX QUICK USER S GUIDE Home Page Cases Patients Account ar MEA an Pean ci Case Number 001 Patient ID Patient A 1 Case Name Case 1 Side Selection Left Please review all information before completing and printing the prescription to ensure that it is accurate 2 Strut Adjustments in CLICKS Strut Reference Length m 4 No Date Time Red Yellow E PA bal oe Yellow Eon px Papi View Image See In Rep Strutl Strut Struti Struts pm Strut2 a p Struts 1 Fouowami20800 o Lo fa o a fo fu j fs se se as u fo 5 2 owos zo12 2000 2 1 Jer oz Jes tte so s 32 Jas as vu in3eco E score fo fo pa Jo fa do fs fe fs fe fs fs lo Je prem 4 i 6 5 6 amp 9 10 Eti 12 13 7 AP Angle 25 deg Valgus ML Angle 25 deg ApexAnterior Rotation 0 deg AP Translation 0 mm ML Translation 0 mm Axial Translation 0 mm 5 for Use 25 13 Prescription Description Summary of Case Data provided in the Case Data tab 2 Click Print Prescription to generate a prescription in pdf format This document can be saved for the record and printed as hard copy to be issued to the patient 3 Represent the adjustment for each strut by number of clicks 1 2 rotation of the strut adjustment knob It can be positive if strut length increases or negative if strut length decreases Represent the gradual adjustment scale value in millime
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