Sixteen additional xxl plates are available up to 15 holes or 189mm in length and are indicated for intra and extra articular fractures and are precontoured to fit the radial bow. Nevertheless, the distinct anatomic shape of the clavicle poses dif. All fractures were fixed with a stryker variax kalamazoo, mi distal radius volar locking plate. Volar plate fixation for the treatment of distal radius fractures. With this in mind, stryker has developed the variax elbow locking plate system. Distal radius fracture repair with volar plate central. We present a simple technique for correcting a typical malunion involving the distal radius.
Polyaxial locking screws up to 10 trajectory variation. Although distal radius fractures, especially extraarticular fractures, are considered to be relatively harmless, inadequate treatment may result in impaired function of the wrist. Pdf is sparing the pronator quadratus muscle possible in. Plates utilize smartlock technology which permits polyaxial screw placement. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. Doubletiered subchondral support fixation with optimal distal dorsal. Methods we searched the surgical database of 5 attending hand surgeons at a single institution from 2009 to 2014. The new variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Surgery versus conservative treatment in patients with type a. The use of aplateral fluoroscopy is helpful to determine correct fracture.
A single hand surgeon performed all surgical procedures in a consistent manner. Osteosynthesis variax distal radius locking plate system. We identified 315 patients, 12 of whom were lost at followup. System module the variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. Variax compression plating system operative technique. 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. A metal plate shaped to fit the contours of the radius is inserted and positioned against the bone.
Other medical or surgical conditions which would preclude the potential. The variax distal lateral plate and the vairax fibula straight plates are intended for use in internal fixation of the distal fibula. For fragmentspecific fracture fixation with variable angle locking technology. Variable angle locking plate system for treating volar and dorsal distal fractures. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Tria thlon pkr pa rtial knee resu rfacing surgical protocol. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning.
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. Correction of a distal radius malunion can be performed using a radial approach and anatomic radial plate. The average distance from the lunate fossa of the distal radius to the fracture site was 12. 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. Volar distal radius locking plate surgical techniquecatalog infor. Strykers facial trauma device launched orthopedics this. Osteotomy of the distal radius using a fixedangle volar plate. Distal radius fractures are the most common of all upperlimb fractures in individuals aged.
However, by step operative technique as well studies have shown that fractures with comminution andor signi. The consequences of posttraumatic loss of function are. 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. Although extraarticular distal radius fractures are considered to be relatively harmless, inadequate treatment may result in severely impaired function of the wrist 4, 5. 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. Early mechanical failures of the synthes variable angle. Fixation options for the volar lunate facet fracture. Distal radius kit standard head long left or right ref.
Synthes variable angle locking distal radius plate set lcp includes. Class 2 device recall synthes guide blocks for the volar. Internal fixation for the distal radius by david l. Reproducible results with its patented polyaxial locking technology, variax brings something new to surgeons. Screws are used to anchor the plate to the bone, stabilizing the radius. Surgical technique this publication is not intended for distribution in the usa. New technique manuals are added on a regular basis. Example a 8mm 10mm 2 or minus 2 distal resection guide example b 9mm 10mm 1 or minus 1 distal resection guide note. 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. Carbofix piccolo distal radius plates made of continuous carbon fibers reinforced polymer. Precontoured periarticular plate design with type ii anodization. Variax distal radius locking plate system this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. The stryker variax 2 system is intended for use in internal fixation, reconstruction and treatment of fractures in the foot and ankle in adult and adolescent 1221 years patients.
Replantation joint fusions corrective osteotomies osteopenic bone. Surgical technique product information table of contents the 2. A comprehensive offering of volar plates are available in narrow, standard, and. Distal humerus, radius, ulna, metacarpals, distal tibia, fibula, and metatarsals. Screw holes accommodate both locking and nonlocking screws. Variable angle lcp twocolumn volar distal radius plate 2. The insertion of the brachioradialis may be released.
Delta is a resorbable plating system designed for the use in the fixation of bones of the craniofacial and midfacial skeleton affected by trauma, or for reconstruction delta has a copolymer composition of poly llactide plla, polyglycolide pga and poly dlactide pdla in a ratio of 85. Variax 2 onethird tubular plating system indications for use describe the stryker variax 2 onethird tubular plating system is intended for internal fixation of fractures of the clavicle, scapula, olecranon, humerus, radius, ulna, pelvis, distal tibia, fibula, small bones in the ankle, fore, mid and hind foot in adult patients. The physician creates an incision along the palm side of the forearm to access the end of the radius. Surgery versus conservative treatment in patients with. Synthes guide blocks for the 2 column plate 6 hole head volar distal radius plate system. Operative technique choose the appropriate implant according to patient anatomy and fracture pattern. The system is an effective and technically simple process that may change the surgical management of maxillary and mandibular fixation for all surgical specialties, said jairo bastidas, dmd, deputy director, omfs at montefiore medical center. Variax 2 onethird tubular plating system indications for use describe the stryker variax 2 onethird tubular plating system is intended for internal fixation of fractures of the clavicle, scapula, olecranon, humerus, radius, ulna, pelvis, distal tibia, fibula, small bones in the ankle, fore, mid. Acumed off ered an innovative solution for repairing intraarticular fractures, malunions and. 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. Mar 19, 2014 fractures of the distal radius are common and account for an estimated 17% of all fractures diagnosed. Twothirds of these fractures are displaced and require reduction.
Description qty dtxvps3 polyaxial plate for distal radius standard head long left or right 1 sdt2. Lee, md, new york, ny presents the arthrex volar distal radius plate technique. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. The order of screw insertion and the use of kwires may vary depending on the fracture pattern and reduction. Distal radial fractures are the most common upper extremity fracture and account. Choose the appropriate implant according to patient anatomy and fracture pattern. 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. It is designed to offer a comprehensive selection of plates, screws, pegs and instrumentation necessary to maintain the stability of the distal radius lesion, while providing your surgical staff a. Operative technique manuals please click on the link below for the technique manual of interest. The use of external traction, and or the use of kwires for temporary fixation may be helpful. 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. Incidence of hardware removal following volar plate fixation.
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. Periloc volar distal radius locking plate click here. Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment speci. Surgical technique patient positioning place the patient in the supine position with the affected limb positioned to expose the surgical site. The variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. 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. Patient positioning, preparation and draping, skin incision, soft tissue dissection and hip dislocation should be performed according to the surgeons preferred technique, making certain to adequately expose the acetabulum and the proximal femur. Fractures of the distal radius are common, with volar locking plates being. Early mechanical failures of the synthes variable angle locking distal femur plate article in journal of orthopaedic trauma 301. Surgical correction of distal radius malunions using an.
Variax distal radius locking plate system stryker meded. A radiolucent arm board is preferable so as not to impede fluoroscopy. Osteosynthesis variaxtm distal radius locking plate system. Volar distal radius plate preoperative templates cat. 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. Osteotomies, arthrodesis, and ligament reattachment may also be performed using these implants with the applicable operative technique. Internal fixation plates for distal radius fractures. We searched the electronic database of all surgical procedures performed in our department using the following keywords.
Arthrex arthrex distal radius plate surgical technique. Type ii anodization the locking plates are processed with a type ii anodization treatment which improves the biomechanical performance and may reduce the incidence of tissue adherence. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid. 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. Reduce fracture and position plate continued if necessary, use 1. Volar plate fixation for the treatment of distal radius. Correction of a distal radius malunion can be performed using a radial approach and an anatomic radial plate. Lowprofile plate design and reduced screw head prominence. We performed a radiological study of one hundred consecutive. Two different 180 and two different 90 distal humerus plating options. Attach the appropriate distal resection guide to the spacer block handle equal to the assessed extension gap. Synthes locking distal radius plate set plate set lcp.
Instruments and implants approved by the ao foundation. Kickstand screw designed to capture medial malleolus. 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. Fractures of the distal radius account for an estimated 17% of all fractures diagnosed 1, 2. Plates designed with a bridging support between the diaphyseal and metaphyseal regions, making the plate stronger where the primary fracture line normally lies.
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