This system also includes the hexalobe screw system with variable angle taploc technology for the medial and lateral distal humerus plates. Synthes holding ag formerly synthes stratec is a multinational medical device manufacturer based in solothurn, switzerland and west chester, pennsylvania, united states. Surgical techniques stepbystep installation methods. The mm lcp distal humerus plates system has not been evaluated for safety and compatibility in the mr environment. The variax 2 elbow plating system provides you with a comprehensive range of anatomic plating options that work with a common instrument and screw platform. Consult depuy synthess entire lcp distal fibula plates catalogue on medicalexpo. Elbow plating system is a comprehensive system designed to address fractures around the elbow. Tension applied by the triceps with flexion of the elbow. Elbow plating system is designed to address fractures of the distal humerus, olecranon, and coronoid. Elbow plating system brochure and surgical technique.
The lcp distal fibula plates are part of the synthes locking compression plate system that merges locking. Plate design the screw holes of the plate have an inclination. Basic principles and techniques of internal fixation of. Arthrodesis of the elbow with two locking compression plates article pdf available in techniques in shoulder and elbow surgery 83. Lcp distal tibia plate low bend depuy synthes pdf catalogs. It is the worlds largest maker of implants to mend bone fractures, and also produces surgical power tools and advanced biomaterials. Distal anterolateral tibia plate distal medial tibia plate distal lateral femoral plate proximal lateral tibial plate the axsos locking plate system is designed to treat periarticular or intraarticular fractures of the proximal humerus, distal femur, proximal tibia, and the distal tibia. Arthrodesis of the elbow with two locking compression plates.
Plate acts as a tension band technique for plate fixation reduce and provisionally fix the intraarticular fragments then attach to the shaft use recon or 3. Olecranon fractures can be complex injuries presenting the treating physician with a wide array of surgical and nonsurgical options. Plate must be strong and stiff enough to resist bending before union occurs 1 fracture reduction and plate placement attach the olecranon plate proximal targeting guide 800654 to the olecranon plate 7003xx with the locking bolt. The system includes eighteen anatomically contoured plates including medial, lateral, posterior lateral, olecranon, proximal radial head, and coronoid designs. An eighthole one third tubular plate synthes, zeist, the netherlands was contoured around. Part of the depuy synthes locking compression plate lcp system. Combi holes combine a dynamic compression unit dcu hole with a. The following pages contain a step by step operative technique which illustrate the system. The plate contours in the periloc system were determined by studying a large collection of cadaveric specimens at the cleveland. Distal humerus plate, olecranon plates proximal ulna plates and proximal radius plates. The entry point to the medullary cavity is in the centre of an imaginary triangle between the medial and lateral supracondylar edge and the roof of the olecranon. Ensure that you are familiar with the appropriate surgical technique. Plate excision of olecranon and triceps repair comminuted, unreconstructable fractures. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with anatomic curvature and instrumentation to aid with plate and screw insertion.
Plate fixation of olecranon osteotomies request pdf. Made of titanium alloy ti6al4v and treated with a type ii anodization, these plates are able to carry the loads that are required of them while remaining low profile. Fractures of the forearm can occur at different levels. Proceed with application of the second plate to the humerus followed by confirmation of reduction and plate position. A successful functional outcome after olecranon fractures correlates directly with accuracy of anatomic joint reduction, restoration of mechanical stability that allows early motion, respect for the soft tissue. Anatomically shaped locking plates for radial head and. The fracturespecific lowprofile fixation system with variable angle locking technology. Plating systems such as the depuy synthes locking compression plates. The combiholes in the lcp plate shaft combine a dynamic compression unit dcu hole with a.
The first flange includes a plurality of longitudinally spaced apertures through which bone attaching screws may be. Lcp olecranon plate lcp pediatric condylar plate 90, 3. Biomechanical evaluation of a precontoured clavicle plate. In 1967, bado introduced a classification system of four different types of monteggia fractures. Plates utilize smartlock technology which permits polyaxial screw placement. The system includes anatomically contoured plates including medial, lateral, posterior lateral, olecranon, proximal radial head, and coronoid designs.
Article in journal of shoulder and elbow surgery american shoulder and. Locking olecranon plates coronoid plates the locking olecranon plates provide excellent fixation in the proximal ulna for both fractures and osteotomies. Biomechanical evaluation of fixation of comminuted olecranon. Radius and ulnar shaft fracture orif trauma orthobullets. Founded upon the established principles of depuy synthes. Biomechanical evaluation of two innovative locking. Be sure to inspect the plate for damage prior to use. Plate should be applied with compression across the fracture. A bone plate designed specifically to accomplish fixation of an olecranon fracture and consisting of a generally lshaped plate including a first elongated flange and a second flange at one end of the first flange disposed at generally right angles relative to the first flange. Olecranon locking plate surgical techniquealog infor nota bene the technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. Provisionally fix each plate to the proximal and distal fracture fragments with reduction forceps, k. Olecranon fractures are by definition intraarticular disruptions of the semilunar notch of the ulna.
Lcp system technology and the first generation elbow plates, the variable angle lcp elbow. Plate must be strong and stiff enough to resist bending before union occurs 1 fracture reduction and plate placement attach the olecranon plate proximal targeting guide 800654 to the olecranon plate. Surgical fixation of extraarticular distal humerus fractures with a. Olecranon fracture orif with plate fixation radial head fracture mason type 2 orif t plate and kocher approach. Consult depuy synthess entire lcp distal tibia plate low bend catalogue on medicalexpo.
Synthes 9 dorsolateral plate with support lcp distal humerus plates position and fix the dorsolateral plate with support normally a transolecranon approach is used and the plate fixation starts on the dorsolateral side of the distal humerus. Lockingplate osteosynthesis versus intramedullary nailing. Radiusulna lcp olecranon plate lcp distal radius system 2. Solid humeral nail uhn and proximal humeral nail phn. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with anatomic curvature and instrumentation to aid with plate. Olecranon plate specifications overall length 79 mm 104 mm 154 mm 194 mm shaft width 10. After creating an unstable fracture schatzker type b, osteosynthesis was performed on eight pairs of freshfrozen cadaveric ulnae by application of either the olecranon valcp synthes, solothurn, switzerland or the 3. No specific complications within time limits of study. Information available on depuy synthes data extraction table windchill number 000249657. The plates feature an advanced anatomic design with contours proximally and along the shaft to provide a precise. Plate can be used to create tension or lag screws through the plate for oblique fractures. The plate actually has more locking options, which could have provided more stability if they all were used.
Secure the plate to the proximal fragment using a 2mm kwire through the hole at the base of the hr tab. Tous les catalogues et fiches techniques pdf depuy synthes. Plate and screw implants consist of various plates and screws to be implanted. Monteggia fractures and monteggialike lesions are rare injuries that require surgical treatment, but they are associated with a high complication rate and traditionally unsatisfactory clinical outcomes with poor and fair results in 7594% of the cases 3, 10, 18. Lcp distal fibula plates depuy synthes pdf catalogs. Evidence based postoperative treatment of distal radius. In an industry where traditional methods of plate and screw fixation drive a fiercely competitive market, trimed has advantageously positioned itself as one of the lead innovators in the field of orthopaedics by redefining the treatment of periarticular fractures through orif. The depuy synthes trauma locking compression plate lcp system is part of a stainless steel and titanium plate screw system that merges locking screw. The forearm consists of two bones, the radius and the ulna, with the ulna is located on the pinky side and the radius on your thumb side. Plate must be strong and stiff enough to resist bending before union occurs. The technique reported aims to combine benefits of unicortical fixation with. Plate system is designed to allow surgeons flexibility in choosing which plating approach they wish to use. The position of the plate should allow distal screw insertion through the lateral flange to reach far into the.
Making internal fixation work with limited bone stock. In the final analysis, the preferred treatment is that which addresses the needs of the specific patient. Apply the plate to the proximal fragment confirming that the plate is centered on the unla shaft and that the hr tab is flush to the olecranon. Please read these instructions for use, the synthes important information and the corresponding surgical technique guide carefully before use. Olecranon plate 3 to 12 hole plates lateral plate 2 to 12 hole plates posterior lateral plate 2 to 14 hole plates distal humerus plates. Request pdf biomechanical evaluation of a precontoured clavicle plate recent.
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