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TRUFIT™ BGS Plug

Bone Graft Substitute

The safety and effectiveness of this device in osteochondral defects have not been established.

The TRUFIT BGS implant surgical procedure may be performed arthroscopically based on surgeon preference, the location of the site and the extent of the defect. The implant is sized for cylindrical defects with depths of 5 to 17 mm.

Assembly

To assemble the Smith & Nephew TRUFIT^◊ delivery device, insert the measuring tamp into the outer sleeve in the direction of the arrow on the outer sleeve until contact with the preloaded implant is made.

At this point, the implant should not extend beyond the delivery device.

NOTE: If implant becomes dislodged from delivery device, reload into window end of outer sleeve with notched end of implant facing outward.

Impact Length Adjustment

Insert the measuring tamp of the delivery device into the defect assuring that it contacts the bottom of the defect.

Slide the outer sleeve down until the lip of the outer sleeve is snugly placed against the surface of the tissue (this automatically adjusts the implant to the correct position for trimming), then carefully remove the delivery device from the surgical site.

Firmly grip the outer sleeve at the windows to secure the implant during cutting. Steady the hand and delivery device against a table or other sterile surface. Using the lip of the delivery device as a guide, cut the notched end of the implant with the trimming knife using a firm downward motion.

NOTE: Caution should be taken not to nick the top of the outer sleeve of the delivery device.

Implant Placement

Once the implant has been cut to a relatively flat surface, the delivery device is used to insert the implant into the defect. Slightly advance the implant beyond the tip of the outer sleeve.

Carefully seat the implant in the defect and press fit into the defect by pushing on the measuring tamp manually or lightly tamping with a mallet. Remove the delivery device from the surgical site.

If the implant needs further adjustment or contouring, separate the measuring tamp from the outer sleeve and use the tamp to impact the implant. The final placement of the implant should be flush with the adjacent cartilage surface.