Class 2 device recall synthes lcp diaphysealmetaphyseal volar. Polyaxial locking screws up to 10 trajectory variation. Incidence of complications and secondary procedure following distal radius. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Class 2 device recall synthes guide blocks for the volar. Fractures of the distal radius were originally described by abraham colles in the nineteenth century as a benign pathological condition that did not cause functional limitations, but only esthetic limitations 1. Volar distal radius plate preoperative templates cat. A comprehensive offering of volar plates are available in narrow, standard, and.
Internal fixation for the distal radius by david l. Universal 2 reference guide a surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Correction of a distal radius malunion can be performed using a radial approach and anatomic radial plate. The labels on the outside of the box and on the lcp diameta volar distal radius plate inside the box are correct.
It is most likely caused by distal screws protruding the dorsal cortex. Distal humerus, radius, ulna, metacarpals, distal tibia, fibula, and metatarsals. Distal radius fracture repair with volar plate central. Surgical technique patient positioning place the patient in the supine position with the affected limb positioned to expose the surgical site. The mean width of the distal radius was 31 mm range 2734. Introduction the dvra plate provides stable internal fixation for the treatment of most fractures and deformities of the distal radius volar placement prevents tendon problems, preserves dorsal tissues and allows the use of ligamentotaxis to aid reduction anatomically distributed subchondral support pegs secure the distal fragments and. Thereafter, another orthopaedic surgeon confirmed that the plate was not in contact. Nevertheless, the distinct anatomic shape of the clavicle poses dif. Volar distal radius locking plate surgical techniquecatalog infor. The volar anatomy of the distal radius an mri study of the fcr approach. More information the hoffmann ii compact is designed to complement the anatomy of the distal radius in difficult situations. Distal radius fragment specifi c plates 18 distal radius fragment specifi c surgical technique 19 ordering information 22 the original aculoc volar distal radius plate has been a market leader in fracture fi xation since its introduction in 2004. The variax clavicle locking plate system is an anatomically shaped, variable angled locking plate system.
The lateral antebrachial cutaneous nerve and the superficial branch of the radial nerve are carefully dissected, the first dorsal compartment is. For fragmentspecific fracture fixation with variable angle locking technology. It offers guidance that you should heed, but as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments. Osteotomy of the distal radius using a fixedangle volar plate. Corrective osteotomy for deformity of the distal radius using a volar locking plate article pdf available in hand 31. With a bovie or similar device, a mark is made on the femur, proximal to the femoral resection, along with. Shorter distal screws could avoid this, yet the influence of distal screw length on the primary stability in vlpo is unknown. However, by step operative technique as well studies have shown that fractures with comminution andor signi.
It offers guidance that you should heed, but, as with any such technical guide, each surgeon must. Carbofix piccolo distal radius plates made of continuous carbon fibers reinforced polymer. The purpose of this study was to examine the clinical effects of fcl screws on fracture healing and time to union in patients with distal femur fractures treated with a bridgeplating technique. Lite plate system anterior surgical technique system overview the lite plate system leverages strykers aviator cervical plate locking mechanism to offer onelevel lumbar plates with a unique duallocking mechanism, high degree of angulation, and simplified instrumentation. Slide the plate over the kwire down to the surface of the distal fragment.
A radiolucent arm board is preferable so as not to impede fluoroscopy. The costeffectiveness of surgical fixation of distal radial fractures. Then secure the plate to the distal fragment with pegs or more k. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. T1 corrective osteotomy for deformity of the distal radius using a volar locking plate. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. Operative technique choose the appropriate implant according to patient anatomy and fracture pattern.
Correction of a distal radius malunion can be performed using a radial approach and an anatomic radial plate. Surgical treatment of distal radial fractures with a volar locking. Surgical correction of distal radius malunions using an. Acumed off ered an innovative solution for repairing intraarticular fractures, malunions and. Fixation options for the volar lunate facet fracture. Other medical or surgical conditions which would preclude the potential. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning. Osteosynthesis variaxtm distal radius locking plate system. This publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Surgical technique this publication is not intended for distribution in the usa. Although the severity of the deformity does not often warrant surgical intervention 22, 51, patients who have lost normal volar tilt, radial inclination, and radial length relative to the ulna will complain of pain, limited motion, decreased grip strength, and cosmetic deformity. Osteosynthesis variax distal radius locking plate system. With a bovie or similar device, a mark is made on the femur, proximal to the femoral resection, along with a mark on the tibia, distal to the tibial resection.
Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment speci. Skewed consolidation of the distal radius, due to sequelae of fractures, may cause functional incapacity, thus leading such patients to present pain, loss of strength and diminished mobility. N2 dorsally angulated malunions of the distal radius have historically been corrected with an opening wedge osteotomy fixed with a dorsal plate. The most distal kwire hole on the implant serves as a guide to assure correct alignment of the plate to the distal fragment first drill a kwire parallel to the articular surface in the lateral plane. The distal radius plate is indicated for the osteopenic and periarticular fractures, revision surgery of pseudarthrosis, nonunion and malunion, arthrodesis and ligament reattachment, fixation of complex. Variaxdistal radius locking plate system osteosyntese. Precontoured periarticular plate design with type ii anodization.
Screws are used to anchor the plate to the bone, stabilizing the radius. Synthes locking distal radius plate set plate set lcp. Arthrex arthrex distal radius plate surgical technique. Synthes guide blocks for the 2 column plate 6 hole head volar distal radius plate system. Corrective osteotomy for deformity of the distal radius using. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Surgical technique product information table of contents the 2. Variax distal radius operative technique stryker yumpu.
Corrective osteotomy for deformity of the distal radius. To assess the risk of tendon rupture or plate removal after volar plate fixation of distal radius fractures and to determine the incidence of hardware removal. Variax compression plating system operative technique. Screw holes accommodate both locking and nonlocking screws. Internal fixation plates for distal radius fractures. The influence of distal screw length on the primary stability.
Extensor tendon irritation is one of the most common complications following volar locking plate osteosynthesis vlpo for distal radius fractures. The variax fibula locking plate system represents a new generation of implant technology. Incidence of hardware removal following volar plate fixation. All fractures were fixed with a stryker variax kalamazoo, mi distal radius volar locking plate. This operative technique contains a simple stepbystep procedure for the implantation of the distal lateral femoral plate. Synthes usa products llc 1 goshen pkwy west chester pa 193805986. We present a simple technique for correcting a typical malunion involving the distal radius. Variax distal radius locking plate system this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Variable angle locking plate system for treating volar and dorsal distal fractures. Results theauthors haveusedthis technique for difficultdistal radius fracture malunions and have achieved superb correction, returning patients to early range of motion and an active lifestyle. Engage the distal tip of the punch awl with the plate using downward force until the tip seats fully into screw hole, depress the button on the side of the handle, and press or impact the awl. The variax 2 distal radius plating system provides you with a comprehensive range of anatomic plating options that work with a common instrument and screw platform.
Based on the excellent results obtained from surgical treatment of unstable fractures of the distal radius through a volar approach and use of rigid fixation with a fixedangle volar. Far cortical locking screws in distal femur fractures. Pdf corrective osteotomy for deformity of the distal radius. Is designed to complement the anatomy of the distal radius in difficult situations. Based on the excellent results obtained from surgical treatment of unstable fractures of the distal radius through a volar approach and use of rigid fixation with a fixedangle volar plate, we started to use the same method for osteotomy of the distal radius. The exact screw positioning is ensured by preplacement of a guide wire. Class 2 device recall synthes lcp diaphysealmetaphyseal. The influence of distal screw length on the primary. Hip joint replacement is intended for use in individuals with joint disease resulting from degenerative and rheumatoid arthritis, avascular necrosis, fracture of the neck of the femur or functional deformity of the hip. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid. Synthes variable angle locking distal radius plate set lcp includes. The physician creates an incision along the palm side of the forearm to access the end of the radius.
The new variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. A a malunion typically exhibits shortening and an radial tilt of the radius. Osteotomies, arthrodesis, and ligament reattachment may also be performed using these implants with the applicable operative technique. As an aid to restoring leg length, a reference femoral prosthesis is the exact length of the resected distal measurement can be established across the joint. Incidence of hardware removal following volar plate. Dec 06, 2015 in the present study, we analyze the clinical and radiological results from surgical treatment of skewed consolidation of the distal radius by means of extraarticular osteotomy in the form of an addition wedge, using a volar approach and fixation with a fixedangle plate. Fractures of the distal radius were originally described by abraham colles in the nineteenth century as a benign pathological condition that did not cause functional limitations, but only esthetic limitations.
Methods we searched the surgical database of 5 attending hand surgeons at a single institution from 2009 to 2014. Malunion remains one of the most common complications after extraarticular distal radius fractures. A metal plate shaped to fit the contours of the radius is inserted and positioned against the bone. The insertion of the brachioradialis may be released. Choose the appropriate implant according to patient anatomy and fracture pattern. Variable angle lcp twocolumn volar distal radius plate 2. These implants are particularly suited for fixation incorporating this technique. Indicated for fractures, osteotomies, and nonunions of the radius and other small bones. Lowprofile plate design and reduced screw head prominence. Lcp diameta volar distal radius plate 15 h shaftltsterile. Distal radial fractures are the most common upper extremity fracture and. Fractures of the distal radius are common, with volar locking plates being.
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