Rigid plates fixed laterally as an alternative to dorsal plating the biomechanical advantage of bilateral fixation enables a very low plate profile for very proximal fractures, the curved ends of the plates are positioned around the olecranon tip near the triceps tendon insertion olecranon double plates, straight. We are dedicated to developing products, service methods, and approaches that improve. Osteotomy system surgical technique february 23, 2016 document the acumed osteotomy system features the ulna shortening plate which is designed to offer a lowprofile plate with builtin osteotomy reference lines and an osteotomy guide. Congruent elbow plating system surgical technique october 5, 2017 document designed in conjunction with shawn w. We describe a new technique whereby a precontoured olecranon plate is first fixed to the olecranon, and a gigli saw is used to perform the osteotomy while the plate is in place. Technique olecranon plate surgical technique coronoid plate surgical technique plate placement and provisional fixation provisional wire placement nonlocking distal. The acumed olecranon plates provide fixation for both fractures and osteotomies in the proximal ulna.
Plate system is designed to allow surgeons flexibility in choosing which plating approach they wish to use. Fracture reduction and plate placement attach the olecranon plate proximal targeting guide 800654 to the olecranon plate with the locking bolt. Olecranon plate specifications overall length 79 mm 104 mm 154 mm 194 mm shaft width 10. Often cited advantages to using an anterior plate to treat clavicle fractures include increased bone stock for maximized screw purchase, reduced prevalence of soft tissue irritation, and a safer approach as instrumentation is directed away from vital subclavian vessels. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with anatomic.
Acumed anatomic midshaft forearm plates are indicated for the treatment of fractures, fusions, and osteotomies of the radius and ulna. Acumed s tension band pin system is also available in nonsterile format in the elbow plating system. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with anatomic curvature and. Polarus 3 plate xray templates 900037 are available and should be used preoperatively to aid in implant selection. This versatile system may be used to treat many forearm fractures including simple to complex bothbone fractures, transverse fractures, comminuted fractures, open fractures. Radial head replacement, coronoid internal fixation and repair of the lateral collateral ligament complex in a patient with a fracture dislocation of the elbow. Surgical treatment of olecranon fractures request pdf. Elbow plating system brochure and surgical technique. The system was designed to be low profile and includes locking screws and a type ii anodized finish to the plates. Contents introduction 2 anatomic midshaft forearm plate surgical technique 3 ulna rod surgical technique 5 radius rod surgical technique 8 ordering info 11 notes acumed is a global leader of innovative orthopaedic and medical. Lcp olecranon plate surgical technique depuy synthes 11 5 attach the plate temporarily required instruments 312. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with a.
The congruent elbow plating system offers precontoured, fracturespecific plates, including an. The following steps are applicable for all three plate types. Plate families are colorcoded for quick distinguishing in the or. Flex the elbow 90, reduce the fracture and apply the plate. Surgical techniques olecranon plate surgical technique 12 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. We are dedicated to developing products, service methods, and approaches that improve patient care. Congruent distal radius plate system description, acumed, inc. Plating the superior aspect of the clavicle has been found to be biomechanically the most stable3. By combining midshaft plates and nails for the radius and ulna, acumed offers multiple surgical options for fractions, fusions, and osteotomies of the forearm, all in one tray. The acumed system was the first elbow plating system to offer precontoured, parallel distal humerus plates. The triceps tendon may need to be split in order to apply the plate. The purpose of this study was to report another fixation technique that yielded. Acumed polarus 3 solution surgical echnique proximal humerus. The acumed elbow plating system offers multiple fixation options for fractures of the distal humerus, olecranon, and coronoid, as well as osteotomies of the olecranon.
Small olecranon plate offers one tab option small olecranon plate olecranon plate elbow trials. The acumed elbow plating system offers multiple fixation options for fractures of. Forearm fracture solutions surgical technique acumed. These plates are designed to act as a buttress to the coronoid and help counteract the tendency of the elbow to subluxate. Acumed elbow plating system surgical technique intermedic. Acumed forearm fracture solutions surgical technique.
Acumed anatomic radial head solutions the acumed anatomic radial head system is designed to. Column plate the acumed congruent elbow plating system was the first to offer parallel plates for the stabilization of distal humerus fractures. Ideal for repairing osteotomies and fractures of the olecranon, 70mm and 90mm lengths will be available in the event where a plate is not the best option. Plates utilize smartlock technology which permits polyaxial screw placement. It can be slightly curved to the radial side to protect the ulnar nerve. Medartis ag hochbergerstrasse 60e 4057 baselswitzerland. Patients were considered for inclusion in the study if they were treated surgically with a central tension plate with sharp hook. Operative technique distal humerus 8 patient positioning and surgical approach 8 fracture reduction and implant choice 9 plate positioning 10 primary plate fixation 12 metaphyseal fixation diaphysealmetaphyseal compression 15 remaining screw fixation 15 5 operative technique olecranon 16 patient positioning and surgical approach 16. Whether managing a simple fracture or correcting a complex. Mar 01, 2019 olecranon osteotomy is a commonly used method for obtaining adequate exposure of the articular surface in complex distal humeral fractures. The reference lines on the plate help facilitate the creation of the osteotomy when a free hand cut is preferred. For specific questions not addressed here, please contact your local acumed representative or acumed at 888 627. Multidirectional locking screw technology provides versatility and strength.
Ace symmetry titanium upper extremity plates surgical technique brochure, ace medical company, 1996. Periloc periarticular locked plating upper extremity. A new technique for olecranon osteotomy in the treatment of. 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. Acumed midshaft forearm rods are indicated for the treatment of fractures and osteotomies of the radius and ulna. This section offers acumed s suggested method for implanting the scapula spine acromion plate. The acumed locking olecranon plates are grade 4 unalloyed titanium.
Jun 18, 2014 acumed ankle plating system 3 surgical technique 5 locking peg hook plates medial antiglide plate 4hole 70 mm 70070504 the locking peg hook plates are designed to support an avulsion fragment that may require additional stability. Design rationale and surgical technique zimmer biomet. Manage all distal elbow fracturedislocations with one comprehensive system. The following pages contain a step by step operative technique which illustrate the system. Treatment of midshaft clavicle fractures arthroscopy journal. Acumed forearm fracture solutions are designed to streamline surgical procedures for the forearm. Anatomic midshaft forearm plates cambridge orthopaedics. Plate selection should be based on the fracture pattern. Plates designed with a bridging support between the diaphyseal and metaphyseal regions, making the plate stronger where the primary fracture line normally lies. The acumed aculoc 2 plating system is a nextgeneration solution in plating fixation that focuses on complete implant options and a streamlined surgical process. Operative treatment at three weeks postinjury, the skin had recovered uneventfully and there were.
Additional contouring can be performed in situ for fine adjustments. Olecranon plate the screw trajectory is designed to allow screws to capture fracture fragments and avoid other screws. Delayed fixation of the fracture was performed through a standard dorsa. Elbow plating system is designed to address fractures of the distal humerus, olecranon, and. Surgical techniques of olecranon fractures sciencedirect. Accessgudid acumed 10806378037542 trial olecranon plate, std 15hole lt. The surgical technique involves an incision on the dorsum or back of the wrist. The system includes medial, posterior lateral, olecranon, coronoid and proximal radial plates. Each plate is designed to match the anatomy at the specified location.
The congruent elbow plating system offers precontoured, fracturespecific plates, including an olecranon plate and c. The acumed olecranon plates provide fixation for both fractures and osteotomies in the proximal. The ace symmetry titanium upper extremity plates new product release brochure, ace medical company, 1996. Odriscoll, md, phd, the acumed congruent elbow plating system is designed to address fractures of the distal humerus, olecranon, and coronoid. Multiple plate options are available to fit a wide. Low profile plate and screws reduce the potential for soft tissue and tendon irritation. Congruent elbow plating system surgical technique acumed. Jul, 2019 olecranon plate provide fixation for both fractures and osteotomies in the proximal ulna. We have the largest listing of surgical products and systems, allowing surgeons and nurses to easily browse equipment from a vast majority of suppliers. Elbow plating system surgical technique september 23, 2017 document designed in conjunction with shawn w. Proximal ulna plate anatomic subchondral support that preserves the triceps insertion. Provide fixation for both fractures and osteotomies in the proximal ulna.
Two different 180 and two different 90 distal humerus plating options. Locking clavicle plating system since 1988, acumed has been designing solutions to the demanding situations facing orthopaedic surgeons, hospitals. Medial column plate designed to offer fixation and compression of fractures of the distal humerus by extending down distally, or wrapping around, the medial epicondyle and extending up the condylar ridge. Olecranon plate 3 to 12 hole plates lateral plate 2 to 12 hole plates posterior lateral plate 2 to 14 hole plates distal humerus plates. Odriscoll, md, phd, the acumed con gruent elbow plating system is designed to address fractures of the distal humerus, olecranon, and coronoid. Designed to provide an anatomic fit, the plates contour proximally and along the shaft. The acumed osteotomy system features the ulna shortening plate which is designed to offer a lowprofile plate with builtin osteotomy reference lines and an osteotomy guide. Comparison of surgical encounter direct costs for three. The application of central tension plate with sharp hook in. Locking anterior clavicle plate surgical technique 16 locking distal clavicle plate surgical technique 20 additional shoulder solutions 24 ordering information 25 notes 26 2 since its introduction as the orthopaedic industrys.
A new technique for olecranon osteotomy in the treatment. Geissler worked with acumed to design a family of plates for volar, dorsal, and. Aug 06, 2019 the acumed posterolateral plates are specifically designed for isolated capitellar fractures and for surgeons who prefer a 90 degree degree plate application. Proximal ulna plate skeletal dynamics skeletal dynamics. The prongs in the proximal end of the plate should penetrate the triceps tendon and provide provisional fixation. In the same manner as with the lateral and medial plates, the surgeon may closely match the shape of posterolateral plate to the bone surface and redirect the. Pdf biomechanical study of different plate configurations for distal. The system can be used in both adult and pediatric patients adolescents. Lcp olecranon plate surgical technique depuy synthes 7 drill screw hole and insert screw in proximal part required instruments 310.
Olecranon pelvis proximal radius radial head radioulnar joint. Five olecranon plates acumed, synthesss, synthesti, us implantsits, and zimmer were implanted to stabilize a simulated comminuted fracture pattern in 30 osteoporotic cadaveric elbows. Acumed in house analysis showed that when subjected to equal force,a 3. Acumed is a global leader of innovative orthopaedic and medical solutions. Our plating and rodding systems for the radius and ulna off er a comprehensive array of diaphyseal radius and ulna fracture treatment options. Tension band pin system brochure cambridge orthopaedics. Aug 01, 2014 the surgical indication is marked displacement with rare exception for severe medical comorbidities. Select the appropriate targeting guide msphgl or msphgr for large and extra long plates. Although this common injury is frequently operated on, it has complications. The purpose of this study is to evaluate the biomechanical utility of the extended plate for treatment of olecranon fractures. Locking clavicle plating system cambridge orthopaedics. Compressiontorecon plate profile transition facilitates additional intraoperative contouring. Standard and posterior plate surgical technique 1 preoperative planning fluoroscopy should be used in all cases.
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