Guide insert with the square driver after checking the drilled depth figure 18. Currently, there are a number of established surgical options for displaced distal radius fractures as well as newer novel approaches being developed for the surgical management of these injuries. Pdf distal radius measurements and efficacy of fixedangle. Preoperative plan surgery using ao technique based on preop pa, oblique and lateral views. The wristore fixator is applicable for use in unstable and comminuted. Muller martin allgower robert schneider hans willenegger. Feb 08, 2015 acumed php proximal humerus plate surgical technique. The acumed dorsal rim plate is placed on the dorsal aspect under fluoroscopic control. Developed in conjunction with our accomplished surgeon design team, acumed introduces the aculoc 2 volar distal radius vdr. Plates utilize smartlock technology which permits polyaxial screw placement. Volar plate fixation an overview sciencedirect topics. Acumed php proximal humerus plate surgical technique. Aculoc 2 wrist plating system surgical technique intermedic. Browse through events, view photo galleries, product details, and documents libraries.
Anatomic radial headstandard stem surgical technique shawn w. Ao surgery reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. Management distal radius and distal ulnar fractures with. The dorsal and radial cortices are thin and the volar and ulnar cortices are thick. To view any acumed ifu, you must have adobe reader installed. Learn more we provide a host of solutions to treat these types of fracture types, offering surgeons a range of individual options for their patients. Orthopedic trauma incl pediatrics your digital gateway to expertise, education, and innovation. Surgical technique product information table of contents the 2. Fractures of the distal radius are common, with volar locking plates being increasingly used in their. Operative view via dorsal approach for determination of screw penetrations.
Acumed elbow plating system surgical technique 5 fracture site compression if the plate length selected has two or more compression slots, the fracture site is compressed in the following manner. Made of continuous carbon fibers reinforced polymer. The system allows over 200 combinations of implants. Paragon28 ankle fracture plating system orthopedic.
The titanium wrist plating system technique is designed for fixation of intraarticular and extraarticular fractures, osteotomies, as well as nonunions and malunions of the distal radius. A a malunion typically exhibits shortening and an radial tilt of the radius. It is remarkable that this common fracture remains one of the most challenging of fractures. Arthrex arthrex distal radius plate surgical technique. The historical perspective is very pleasant to read. Pdf complications and plate removal surgeries after performing. The insertion of the brachioradialis may be released.
More than 200 years have passed since colles described a fracture of the distal end of the radius. Acumed aculoc 2 volar distal radius plating system surgical technique. Using the same driver, fill the holes in the head of. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Explore acumed s innovative orthopedic solutions with the official mobile app for your phone or tablet. Overall the results of intrafocal pinning have been good and when indicated is an. Surgical anatomy the distal radius has metaphyseal flare and three articular surfaces. Acumeds anatomic radial head prosthesis is designed to provide a precise anatomical implant to replace the patients native radial head. If you are unable to view an acumed ifu online, you may request a paper copy.
If you are unable to view an acumed ifu online, you may request a. Developed in conjunction with our accomplished surgeon design team, acumed introduces the aculoc 2 volar distal radius. The acumed fragmentspecific plate system is composed of four plates. Innovation with purpose were dedicated to developing orthopaedic solutions that improve patient care and advance the field of orthopaedic surgery. This surgical technique sets forth detailed, recommended procedures for using the radius precision system implants and instruments. May 29, 20 the anatomic radial head system from acumed is indicated for radial head replacement after comminuted fracture. The last chapter upon the derangement of the distal radioulnar joint is very interesting. Wristore distal radius fracture fixator surgical technique 3 distal radius fracture classifications the classifications of a drf are based on the location of the fracture intraarticular vs.
Our results suggest that highvolume surgery for drfs on a regular basis is important for lower complication rates, supporting ward et al. Aculoc 2 volar distal radius plating system surgical. They are not intended for interference or soft tissue fixation. Aculoc wrist plating system surgical technique acumed. It offers guidance that you should heed but, as with any such technical. Periloc upper extremity locked plating system distal humerus surgical. Jun 22, 2010 surgical implants for the management of distal radius fractures have also dramatically grown in number and include dorsal plates, volar plates, radial plates, fragmentspecific fixation, and intramedullary nails 6 see fig.
Juxtaarticular plates may be used for more complex fractures ao types b3, and c1c3. Elbow plating system brochure and surgical technique. Acumed is venturing into a new marketorthopedic implants and instrumentation for the surgical repair of fractures and joint disruptions of the pelvis. The technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. Radius spinal system this system features a nonthreaded locking mechanism that does not require a torque measuring device and is designed to reduce the potential for false locking and crossthreading. The system is modular comprising a stem, collar and cobalt chrome head. 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. Aculoc wrist plating system cambridge orthopaedics. Vdr proximal plates are designed to sit approximately 2 mm more proximal.
The stableloc external fixator is designed to hold pins in place for fracture reduction or distraction to align the wrist and to provide ligamentotaxis to the wrist on a temporary basis while the. Acumed off ered an innovative solution for repairing intraarticular fractures, malunions and. In the final analysis, the preferred treatment is that which addresses the needs of the specific patient. Olecranon osteotomy cutting jig surgical technique 14 distal humerus plate surgical technique 15 coronoid plate surgical technique 18 ordering information 20 notes 23 2 orthopaedic surgeons are continually developing improved methods of fracture fixation and rehabilitation. The radius implants and instruments are designed and tested for use only with the radius spinal system. Ifu documents contain sterilization and cleaning instructions, and other product information. Volar and dorsal rim fractures of the distal radius. A comprehensive offering of volar plates are available in narrow, standard, and. All plates are lowprofile, with recessed holes that allow for a locking or nonlocking screw to be placed. Aculoc 2 brochure and surgical technique cambridge.
Screw holes accommodate both locking and nonlocking screws. Acumed stableloc external fixation system acumed offers the stableloc external fixation system for treatment of complex distal radius fractures. Pdf reconstruction procedures of distal radius fracture. Do you want to use the redesigned ao sr like an app. Polyaxial locking screws up to 10 trajectory variation.
Distal radius fracture is a common trauma in the elderly because of the high frequency of osteoporosis in this age group. Fragmentspecific fixation for fractures of the distal radius. Acumed aculoc2 volar distal radius surgical technique youtube. In this study, acumed aculoc volar distal radius plates were inserted via a. New wrist plating system for arthritis orthopedics. Variax distal radius locking plate system this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Pdf for surgical treatment of unstable distal radius fractures, fixedangled locking volar plate fixation is. The standard dorsal approach is made to the distal radius.
The extensor pollicis longus is released from the third dorsal compartment and the second and fourth dorsal compartments are elevated exposing the fracture site. Distal radius fracture an overview sciencedirect topics. Acumed acutrak 2 eadless compression scre system surgical technique indications for use acutrak 2 micro, mini, standard, 4. 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.
The proper reaming depth is achieved when the laser mark band is even with the level of resection. Acumed launches pelvic plating system elizabeth hofheinz, m. To further assist with complications of wrist fractures. Volar plating is indicated in nearly all unstable fractures of the distal radius. The anatomic radial head system from acumed is indicated for radial head replacement after comminuted fracture. Oct 01, 20 fractures of the distal end of the radius account for the majority of upper extremity fractures and for up to 15% of all extremity fractures seen in emergency departments.
The dual lead cortical thread of the radius rapid screws is designed to help increase the speed of screw insertion. Tommy lindau md, phd, in principles and practice of wrist surgery, 2010. Watch videos and explore interactive 3d product models. Proximal row of the head of the plate remove each f. Surgical implants for the management of distal radius fractures have also dramatically grown in number and include dorsal plates, volar plates, radial plates, fragmentspecific fixation, and intramedullary nails 6 see fig. Many innovative design features are incorporated into the implant heads and stems,as well as the instrumentation to improve the surgical technique and patient outcome. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture.
Choose the appropriate implant according to patient anatomy and fracture pattern. Our strategy has been to know the indication, design a solution to fit, and deliver quality products and instrumentation. The titanium volar plates are available in a wide array of sizes narrow, standard, and wide and in multiple shaft lengths. Original indications for intrafocal pinning included displaced extraarticular distal radius fractures with large fragments, minimal comminution, and good bone quality. Fragmentspecific fixation for fractures of the distal radius ncbi. Comments about the acumed aculoc 2 volar distal radius.
Acumed s anatomic radial head prosthesis is designed to provide a precise anatomical implant to replace the patients native radial head. The ellipsoid shape of the implant is intended to mimic the natural radial head. Fractures of the distal end of the radius account for the majority of upper extremity fractures and for up to 15% of all extremity fractures seen in. Current concepts in the treatment of distal radial fractures. Review an animated version of acumeds suggested surgical method for implanting the aculoc 2 volar distal radial plate, designed for fracture fixation and. Comparison of ultrasound and dorsal horizon radiographic view for. Geissler is professor of orthopaedic surgery at the university of mississippi medical center, and is the systems design surgeon. Use the form below to search for the most current ifus. New wrist plating system for arthritis orthopedics this. Acumed surgical technique stableloc external fixation. 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. Locking clavicle plating system since 1988, acumed has been designing solutions to the demanding situations facing orthopaedic surgeons, hospitals and their patients.
Each implant can offer different advantages in the management of distal radius fractures. Multiple screw options including standard polyaxial, dual lead polyaxial, cannulated polyaxial, standard monoaxial, and large diameter options for iliac fixation. Dorsal approach to the wrist approaches orthobullets. Acumed ankle plating system 3 cadaver lab part 3 proximal posterolateral approach. Acumed surgical technique stableloc external fixation system. Based exclusively upon clinical cases covering fractures of the distal radius, this concise, practical casebook will provide orthopedic surgeons and sports medicine specialists with the best realworld strategies to properly manage the multifaceted surgical techniques for. Ensure appropriate plates screws, bone graft bone graft substitutes are. Acumed, beaverton, oregon, usa, lcp distal radius system.
830 90 621 1478 993 1438 570 1374 293 1460 1275 109 107 300 148 1067 610 370 81 1602 116 275 556 1409 212 911 254 1017 646 208 1181 806 254 1124 1287 311 1264 595 385 1028 1411