neushoornmalletje

07:00 Aug 5, 2016
This question was closed without grading. Reason: Answer found elsewhere

Dutch to English translations [PRO]
Medical - Medical: Health Care / Artificial knee surgery
Dutch term or phrase: neushoornmalletje
Knie operatie/ Hemi KP/ artificial knee surgery, in het OK rapport staat de volgende zin:

Met de roterende osteotoom op het neushoornmalletje en knabbeltang verwijderen van de krans rond de spigot en de anterieure rand.
Arend H Bure (X)
Germany
Local time: 06:57


Summary of answers provided
3 +1spigot
Barend van Zadelhoff
Summary of reference entries provided
Maja Keizers (X)

Discussion entries: 17





  

Answers


10 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +1
spigot


Explanation:
From a logical point of view...

...the 'neushoornmalletje' and the 'spigot' must be one and the same thing.

Why?

Met de roterende osteotoom op het neushoornmalletje en knabbeltang verwijderen van de krans rond de spigot en de anterieure rand.

You have this 'neushoornmalletje'
The 'roterende osteotoom' is placed onto (op) the 'neushoornmalletje'
There is, of course, a 'krans (van bot) rond het 'neushoornmalletje' / the 'spigot'
You remove (verwijder) the ring (krans) of bone around the spigot (=neushoornmalletje) with the spherical mill

Also see discussion entry



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Note added at 1 day10 hrs (2016-08-06 17:01:23 GMT)
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Re 'femoral saw block'

1) Hoe kun je 'femoral saw block' rijmen met deze zin?

Met de roterende osteotoom op het neushoornmalletje en knabbeltang verwijderen van de krans rond de spigot en de anterieure rand.

Zie uitleg boven.
Neem met name ook die krans in acht.

2) Hoe kun je 'roterende osteotoom' rijmen met

Femoral saw cut
The femoral saw block is inserted into the drilled holes and tapped home, (Fig. 25).

Using the 12 mm broad sagittal saw, the posterior facet of the femoral condyle is carefully excised, guiding the blade against the underside of the saw block, (Fig. 26). Care must be taken to cut parallel to the guide and to avoid damage to the medial collateral and anterior cruciate ligaments. Both slotted and unslotted guides are available. If the unslotted guide is used, the accuracy of the cut should be confirmed by placing a chisel along the guide and cut bone.

3) Bekijk nu 'roterende osteotoom' :

By extending the knee to about 60˚, and retracting the soft tissues, the spherical mill can be manoeuvred onto the spigot (Fig 28) and into the wound so that its teeth touch the bone (Fig 29). To avoid trapping soft tissues, do not start the mill until it is touching bone.

When milling, push firmly in the direction of the axis of the spigot taking care not to tilt the tool. Mill until the cutter will not advance further, and the spigot can be seen, in the window, to have reached its endstop.

Remove the mill and the spigot and trim off the bone...

Bekijk de 'spherical mill' --> er wordt een krans van bot rond de spigot mee verwijderd.

Volgens mij kan er maar één conclusie zijn.


Barend van Zadelhoff
Netherlands
Local time: 06:57
Specializes in field
Native speaker of: Native in DutchDutch
PRO pts in category: 48

Peer comments on this answer (and responses from the answerer)
agree  Maja Keizers (X): Makes perfect sense indeed.
23 mins
  -> Thank you very much, Maja. And for your reference, which was instrumental in making the penny drop.
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Reference comments


6 hrs peer agreement (net): +2
Reference

Reference information:
http://www.zimmer.com/medical-professionals/products/knee/pe...

On this page, you can open the Zimmer surgical technique PDF, which walks you through the procedure step by step with pictures of all instruments and components used. Some of these could well be referred tot as "rhino template" or "rhino-shaped drill guide" because of their shape, but I cannot say for sure which, as I am not sure what part of the procedure your sentence is in. Hope this may help you work it out for yourself. Judging by this query and the other one you posted, it is just a graphic, perhaps even personal, reference to one of the instruments used.

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Note added at 6 hrs (2016-08-05 13:29:58 GMT)
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Not sure, though. Hope someone else will come up with the right answer.

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Note added at 6 hrs (2016-08-05 13:59:23 GMT)
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https://www.google.nl/url?sa=t&source=web&rct=j&url=http://w...

Or try this link and search for 'femoral saw block' . Looks just like a rhinoceros head to me, with its horns stuck in the femoral head.

Maja Keizers (X)
Netherlands
Specializes in field
Native speaker of: Native in DutchDutch
PRO pts in category: 4

Peer comments on this reference comment (and responses from the reference poster)
agree  Kitty Brussaard: I do not specialise in this field, but I would say these are very helpful references.
50 mins
agree  Barend van Zadelhoff: Good reference. It shows all the steps of the procedure, which is what you primarily need if you wanted to solve this riddle.
4 hrs
  -> Thanks, Barend. Good job!
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