A comprehensive offering of volar plates are available in narrow, standard, and. Nevertheless, the distinct anatomic shape of the clavicle poses dif. The mean width of the distal radius was 31 mm range 2734. Far cortical locking screws in distal femur fractures. 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. Corrective osteotomy for deformity of the distal radius using a volar locking plate article pdf available in hand 31. We present a simple technique for correcting a typical malunion involving the distal radius. Correction of a distal radius malunion can be performed using a radial approach and anatomic radial plate. 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. Variaxdistal radius locking plate system osteosyntese. Precontoured periarticular plate design with type ii anodization. The new variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs.
Surgical correction of distal radius malunions using an. However, by step operative technique as well studies have shown that fractures with comminution andor signi. The variax fibula locking plate system represents a new generation of implant technology. 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. Internal fixation for the distal radius by david l. Class 2 device recall synthes guide blocks for the volar. Choose the appropriate implant according to patient anatomy and fracture pattern. Distal radius fracture repair with volar plate central. Critical analyses on the results from conservative treatment of these fractures, conducted by depalma in the 1950s, frykman in the 1960s and cooney in the 1980s. Screws are used to anchor the plate to the bone, stabilizing the radius. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning.
Arthrex arthrex distal radius plate surgical technique. Variax compression plating system operative technique. For fragmentspecific fracture fixation with variable angle locking technology. Distal humerus, radius, ulna, metacarpals, distal tibia, fibula, and metatarsals.
Incidence of complications and secondary procedure following distal radius. 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. The costeffectiveness of surgical fixation of distal radial fractures. Carbofix piccolo distal radius plates made of continuous carbon fibers reinforced polymer. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. Slide the plate over the kwire down to the surface of the distal fragment. Operative technique choose the appropriate implant according to patient anatomy and fracture pattern. N2 dorsally angulated malunions of the distal radius have historically been corrected with an opening wedge osteotomy fixed with a dorsal plate. Class 2 device recall synthes lcp diaphysealmetaphyseal.
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. Osteosynthesis variaxtm distal radius locking plate system. 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. Polyaxial locking screws up to 10 trajectory variation. 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. 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. Shorter distal screws could avoid this, yet the influence of distal screw length on the primary stability in vlpo is unknown. Pdf corrective osteotomy for deformity of the distal radius. The variax clavicle locking plate system is an anatomically shaped, variable angled locking plate system. 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. Volar distal radius plate preoperative templates cat. Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment speci.
More information the hoffmann ii compact is designed to complement the anatomy of the distal radius in difficult situations. Then secure the plate to the distal fragment with pegs or more k. Lowprofile plate design and reduced screw head prominence. 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. Osteosynthesis variax distal radius locking plate system. Synthes locking distal radius plate set plate set lcp. Thereafter, another orthopaedic surgeon confirmed that the plate was not in contact. Osteotomies, arthrodesis, and ligament reattachment may also be performed using these implants with the applicable operative technique. 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. The labels on the outside of the box and on the lcp diameta volar distal radius plate inside the box are correct. Volar locking plates not touching the flexor pollicis longus tendon. A radiolucent arm board is preferable so as not to impede fluoroscopy. Surgical technique product information table of contents the 2. 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.
Incidence of hardware removal following volar plate fixation. Variax distal radius operative technique stryker yumpu. This publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Volar distal radius locking plate surgical techniquecatalog infor. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Fractures of the distal radius are common, with volar locking plates being. 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. Instruments and implants approved by the ao foundation. Incidence of hardware removal following volar plate. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. This operative technique contains a simple stepbystep procedure for the implantation of the distal lateral femoral plate.
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. A metal plate shaped to fit the contours of the radius is inserted and positioned against the bone. 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. Synthes usa products llc 1 goshen pkwy west chester pa 193805986. Osteotomy of the distal radius using a fixedangle volar plate. The exact screw positioning is ensured by preplacement of a guide wire. Internal fixation plates for distal radius fractures. Lcp diameta volar distal radius plate 15 h shaftltsterile. These implants are particularly suited for fixation incorporating this technique. Acumed off ered an innovative solution for repairing intraarticular fractures, malunions and. 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.
Variax distal radius locking plate system this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. The influence of distal screw length on the primary. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Other medical or surgical conditions which would preclude the potential. 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. The influence of distal screw length on the primary stability. Corrective osteotomy for deformity of the distal radius using. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid. A a malunion typically exhibits shortening and an radial tilt of the radius. Methods we searched the surgical database of 5 attending hand surgeons at a single institution from 2009 to 2014.
Plates utilize smartlock technology which permits polyaxial screw placement. 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 lateral antebrachial cutaneous nerve and the superficial branch of the radial nerve are carefully dissected, the first dorsal compartment is. 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. The physician creates an incision along the palm side of the forearm to access the end of the radius. With a bovie or similar device, a mark is made on the femur, proximal to the femoral resection, along with. Malunion remains one of the most common complications after extraarticular distal radius 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. Lee, md, new york, ny presents the arthrex volar distal radius plate technique. The volar anatomy of the distal radius an mri study of the fcr approach. Fixation options for the volar lunate facet fracture. Extensor tendon irritation is one of the most common complications following volar locking plate osteosynthesis vlpo for distal radius fractures.
Synthes variable angle locking distal radius plate set lcp includes. The insertion of the brachioradialis may be released. Class 2 device recall synthes lcp diaphysealmetaphyseal volar. It offers guidance that you should heed, but, as with any such technical guide, each surgeon must. Synthes guide blocks for the 2 column plate 6 hole head volar distal radius plate system. It is most likely caused by distal screws protruding the dorsal cortex. T1 corrective osteotomy for deformity of the distal radius using a volar locking plate.
Indicated for fractures, osteotomies, and nonunions of the radius and other small bones. Variable angle lcp twocolumn volar distal radius plate 2. Correction of a distal radius malunion can be performed using a radial approach and an anatomic radial plate. Corrective osteotomy for deformity of the distal radius.
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. Surgical technique this publication is not intended for distribution in the usa. Variable angle locking plate system for treating volar and dorsal distal fractures. Surgical technique patient positioning place the patient in the supine position with the affected limb positioned to expose the surgical site. Is designed to complement the anatomy of the distal radius in difficult situations. 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. Surgical treatment of distal radial fractures with a volar locking. Distal radial fractures are the most common upper extremity fracture and. Screw holes accommodate both locking and nonlocking screws.