Aug 09, 2019 distal humerus plate synthes pdf synthes. To request a price quote andor surgical evaluation of products, please add all products of interest to your cart by selecting the respective product checkboxes in the quote 1 andor surgical evaluation 2 column of the products view 3. The incision may curve slightly to the radial side to protect the ulnar nerve. Bench tests do not necessarily reflect clinical performance. Elbow distal humerus 9090 plates parallel plates external fixation proximal ulna olecranon plates coronoid plates proximal ulna nails radial head radial head plates radial head replacement, short stem radial head replacement, long stem. Depuy synthes industry partners ota online trauma access. Archives of orthopaedic and trauma surgery, oct 2009. By combining midshaft plates and nails for the radius and ulna. Information available on depuy synthes data extraction table windchill number 000249657. Optilock upper extremity plating system proximal humeral plates. Lcp combiholes the lcp combihole permits an internal plate.
Five olecranon plates acumed, synthes ss, synthes ti, us implantsits, and zimmer were implanted to stabilize a simulated comminuted fracture pattern in 30 osteoporotic cadaveric elbows. Congruent elbow plate fixation of olecranon fractures. After a longitudinal incision is made over the olecranon, the fracture is exposed and the hematoma evacuated. Available in small and large sizes to best match anatomy. Can be replaced with a locking screw after platetobone compression has been achieved crosssection of the va lcp system distal humerus plate, medial 1 and the lcp distal humerus plate, medial 2 at the level of the medial epicondyle. This is mostly due to protrusion of the proximal ends of the kwires or by the twisted knots of the metal wire tension band. Be sure to inspect the plate for damage prior to use. Large fragment locking compression plate lcp technique guide. Total va lcp system plate options 156 depuy synthes 2. Variable angle lcp elbow system inservice powerpoint. Depuy synthes companies torque limiting attachment tla compression forceps in the 2.
This site is published by depuy synthes companies which is solely responsible for its content. Elbow plating system is designed to address fractures of the distal humerus, olecranon, and coronoid. The plates and rods are precontoured to help restore forearm anatomy and reduce intraoperative bending. The type of approach is determined by the character of the. Contoured plates mimic the anatomy of the distal humerus, olecranon, radial head and coronoid. The tension band technique for olecranon fractures yields good clinical outcomes. The prongs in the proximal end of the plate should penetrate the triceps tendon and provide provisional fixation. A substantial rate of second surgeries to remove tension band wires led orthopaedic surgeons to consider alternatives such as plate fixation or intramedullary screws or rods for olecranon fractures 3, 7. Oct 12, 2010 olecranon fractures are a common injury in fractures.
Kwires and suture have been omitted for better visual. The exhibit illustrates olecranon open reduction and internal fixation surgery of the left arm. The statements in this brochure only refer to the trilock bone. To check the placement of the plate, before inserting screws, 1. The plate should be positioned against the greater tuberosity figure 7, placed just lateral to bicipital groove. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with anatomic curvature and instrumentation to aid. Slide the plate in the distal direction with its distal end in constant contact with the bone. Secure the plate to the proximal fragment using a 2mm kwire through the hole at the base of the hr tab. Preservation stem system used with depuy synthes joint reconstruction metal. The steps for operative plate fixation of olecranon fractures consist of 1 a dorsal incision, 2 exposure using fullthickness flaps, 3 removal of hematoma from the fracture site, 4. Five olecranon plates acumed, synthesss, synthesti, us implantsits, and zimmer were implanted to stabilize a simulated comminuted fracture pattern in 30 osteoporotic cadaveric elbows.
Once the plate was removed, the screws were either removed from the bone with the torque screwdriver or. In selected cases, it can be applied externally in an extracorporeal location to function as a monolateral external fixator. 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. Distal humerus plate, olecranon plates proximal ulna plates and proximal radius plates. The synthes variable angle lcp elbow system is intended for fixation of fractures of the distal humerus, olecranon and ulna in adults and adolescents 1221 in which the growth plates have fused. Insert an appropriate length locking screw through the 3. We offer one of the worlds most comprehensive portfolios of orthopaedic products and services in the areas of joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, power tools and biomaterials. Operative fixation of displaced olecranon fractures achieves union and excellent elbow function but is associated with reoperation, usually for implant removal 8, 20, 21. An eighthole onethird tubular plate synthes, zeist, the netherlands was con toured around the tip of the olecranon and. Proximal olecranon plate olecranon plate extraarticular proximal ulna plate. Biomechanical evaluation of fixation of comminuted olecranon. Polyaxial locking plate each periloc vlp screw hole contains five separate tabs that engage with the threads of the locking screw head to form a fixed angle construct. The fracture is fixated with a synthes plate and screws to complete. Founded upon the established principles of depuy synthes.
Acumed forearm fracture solutions acumed forearm fracture solutions includes plating and rodding systems with a range of diaphyseal radius and ulna fracture treatment options. Internal fixation of olecranon fracture using synthes lcp olecranon. Osteotomies of the olecranon for distal humerus fracture. This is mostly due to protrusion of the proximal ends of the kwires or by the twisted knots of the metal wire tension. Factors associated with reoperation after fixation of.
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. Olecranon osteotomy is a wellestablished technique, providing access to the distal humerus for reduction and fixation of intraarticular fractures. The articular tines should penetrate the triceps tendon providing proximal provisional fixation. Ao surgery reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. Electronic instructions for use depuy synthes companies. Part of the complete synthes lcp elbow set lcp olecranon plate variety of plates. Plate positioning apply the selected plate to the dorsal aspect of the proximal ulna with the curved tip contouring around the olecranon. Lcp system technology and the first generation elbow plates, the variable angle lcp elbow. Ideally, the osteotomy should enter the joint at the bare area while ensuring the. Optilock upper extremity plating system proximal humeral. After debriding and irrigating the wound area, the fracture is reduced with forceps and a lag screw is screwed into place. This site is intended for visitors from the africa, asia, europe, latin america and pacific.
Contoured lcdc plating of the proximal ulna sciencedirect. Left and right version choice of six lengths with 2, 4, 6, 8, 10 or 12 lcp. Proximal ulna plates enable the surgeon to address the specific biomechanical requirements of each fracture pattern while reducing irritations of the adjacent soft tissue. Flex the elbow 90 degrees, reduce the fracture, and apply the plate. The locking compression plate lcp is an anglestable fixator intended for intracorporeal application. 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. Learn the internal fixation of olecranon fracture using synthes lcp olecranon plate surgical technique with step by step instructions on orthoracle. The locking compression plate system has many similarities to conventional plate fixation methods, but with a few important improvements. Repair of olecranon fractures using fiberwire without.
Three types of olecranon plates proximal olecranon plate olecranon plate extraarticular proximal ulna plate. The synthes locking compression plate lcp is part of a stainless steel and titanium plate and screw system that merges locking screw technology with conventional plating techniques. Proximal locking screw insertion continued remove the kwire and kwire centering sleeve. Plate olecranon plate extraarticular proximal ulna plate proximal olecranon plate testing on file at synthes. The fracturespecific lowprofile fixation system with variable angle locking technology. Biomechanical evaluation of fixation of comminuted olecranon fractures. We describe one patient with schatzker v tibial plateau fracture and one patient with gustillo iiib open tibia shaft fracture treated initially with traditional. Free fulltext pdf articles from hundreds of disciplines, all in one place. Olecranon fractures are a common injury in fractures. The positioning pin maintains the location of the cable on the plate relative to the plate hole. Plate placement attach the olecranon plate proximal targeting guide 800654 to the olecranon plate 7003xx with the locking bolt. Anatomically precontoured plates the precontoured lowpro. A dorsal midline incision centred on the olecranon is extended proximally for 5 figure 2.
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