acumed distal ulna plate Ensure that the two small instrument holes on the side of the plate are visible. The locking screws are directed distally to help control the ulnar head fragment. +41 61 633 34 34 Fax +41 61 633 34 00 Mail info Aptis Medical - Distal Radial Ulna (Wrist) Implant APTIS has developed a revolutionary device that can end the pain thousands of people with distal radial ulna joint disorders live with every day. The forearm is the part of the arm between the wrist and the elbow. Euloc ® is a simple and minimally invasive system for treatment of displaced radius and ulna fractures with a moderate degree of comminution. CONTACT. In this procedure, Dr. 2 The study assessed two variable-angles and four fixed locking plates. 107. Tighten the screw with the screwdriver. Plates were placed in the most distal position without FPL tendon contact. The Acu-Loc VDU Plates are designed specifically for peri-articular fractures of the distal ulna. Aug 20, 2019 · Dissection, plate fixation and radiographs. reduced, the fracture was stabilized using two . Confirm proper plate positioning by use of fluoroscopy and then tighten the first screw. The plate can be bent at max. Plating that fits. 4 (VALCP; Depuy Synthes, West Chester, PA Volar plates refer to the location of fixation devices — placed on the front or inside of the forearm. Acumed Acu-Loc Volar Distal Ulna (VDU) Plates are specifically designed for periarticular fractures of the distal ulna. It is indicated for fixation of small and long bone fractures, including, but not limited to, those of the tibia, fibula, femur, humerus, ulna, radius, pelvis, acetabulum, metacarpals, metatarsals, and clavicle. Select a plate type and length appropriate for the fracture. the plate to sit more distal. Acumed Ribloc U+ Plating System; Imaging. Cumulative extensor carpi ulnaris (ECU) impingement occurred in 0% of the 6 simulated wrist/forearm positions for the Acumed plate, 22% for the Synthes plate, 31% for the Skeletal Dynamics plate, and 68% for the Medartis plate. , Mar. , the. We placed the plate on distally and drilled and filled the most distal screw with a locking screw under C-arm visualization. Correction of angular deformities in 14 cases of premature closure of the distal ulnar growth plate is described. 4, pp. The treatment of distal radius fractures, including those in osteoporotic patients, has improved remark-ably with the use of volar locking plates for osteosyn-thesis. Click here to Login . Distal Elbow Set Also Includes: Proximal Ulna Plate; IJS-Elbow; PROTEAN Fragment Plates; REDUCT; Address. Choose a right or left plate utilizing F. 5mm Proximal Humerus, Superior Distal Clavicle, Inferior Distal Clavicle, Superior Medial Clavicle, Inferior Medial Clavicle, Medial Distal Humerus, Lateral Distal Humerus, Posterolateral Distal Humerus, Olecranon, Wide Volar Distal Radius, Standard Volar Distal Radius, 4 The Fibula Locking Plate is a proven osteosynthesis system for various distal fibula fractures. Plate choice is determined by the fracture location and pattern. After exposing the volar side of the ulna, place the plate 3-5cm proximal to the distal end of the ulna. the Elbow Plating System offers precontoured, indication specific plates. METHODS: Three independent observers evaluated radial volar tilt and ulnar variance (> 2 mm) on radiographs taken preoperatively, immediately after the Total Distal Radioulnar Joint Replacement. 23. Read More. Results Measurements showed a mean dorsal hook angle of Product Overview 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. We report a case of isolated ulnar head fracture in which we performed bone resection because the ulnar head bone fragment fractured when internal screw fixation was attempted. 5mm Proximal Humerus,4. 8) e: The two distal K-wire holes match the trajectory of Not Sliding Forearm Support: 10100013 : Pivot Joint Assembly: 10100010 : Base: 10100018: Base Handle (2) 10100014: Wrist Joint Assembly: 10150102 : Upper Arm Plate: 10170060: Single Use Arm Strap Set (2- 24", 1- 36") 10100002/3: Sterilization/Storage Trays Shortening with the Acumed six-hole Locking Midshaft Ulna Plate fixation. Medartis AG Hochbergerstrasse 60E 4057 Basel/Switzerland. Irreducible epiphyseal plate fracture of the distal ulna due to interposition of the extensor carpi ulnaris tendon. The standard Acu-Loc® 2 Plate is designed to closely replicate the anatomical contours of the distal radius and assists in restoring the original geometry. For specific questions not addressed here,please contact your local Acumed representative or Acumed by phone at (888) 627-9957 or on the web at www. After the prox- Unfilled screw holes in the distal fragment have previously been suggested as the mechanical factor responsible for screw breakage in a Aculock ® locking plate (Acumed ™, Hillsboro, OR, USA) . 11 Klug et al reported 1 case of FPL rupture occurring after placement distal humerus fracture and assumed equivalent plate fixation and strength (two areas in which the Acumed® Locking Elbow Plates are significantly better than 90° plating with reconstruction or tubular plates). 22. Las placas dorsales Acumed Acu-Loc, están diseñadas para fracturas complejas de radio distal que deben abordarse desde el lado dorsal. TriLock Four Corner Fusion Plates 2. Here’s how it works: During the prosthesis implantation procedure, a metal plate is attached to the radius. radial head neck plate-2. Apr 20, 2017 · The Acumed Anatomic Radial Head Slide-Loc System consists of modular heads and stems with accessories for anatomical replacement of the proximal portion of the radius and restore the natural Distal Ulna Plate 2. , Journal of Hand Surgery, vol. In both Hand Innovations plates, the third hole in the proximal row, counting from the radial side of the plate, directs the drill bit and/or screw into the third extensor compartment ( Figs 5 and 6 ). Jared Salinsky uses the Acumed Anatomic Midshaft Forearm Plate System to treat patients with various fractures of the radius and/or ulna including a nonunion of midshaft, a displaced left ulnar fracture, a diaphyseal fracture of the ulna, a grade-2 open fracture, and acute radius and ulna fractures. 5-mm six-hole LC-DCP (described first, Fig. 2 ). Jul 01, 2012 · (Acumed Acu-Loc, Synthes volar distal radius plate, Synthes EA extra-articular volar distal radius plate, Wright Medical Technology Locon VLS, and Zimmer periarticular distal radius locking plate). The Zimmer-Biomet plate can be used with either monoaxial locking or non-locking screws. 7 mm screws at the coronoid tip and monoaxial locking 2. This is the largest study to our knowledge of a series of ulnar shortening osteotomies and successful healing without the removal of any implants. 0 mm or 391. The Acumed Anatomic Midshaft Forearm Plating System offers marked hardware improvements over traditional straight plates. ent elbow plate (standard, long proximal, 8-hole, 12-hole) of Acumed (Hillsboro, Or, uSA), which was placed posteriorly on the olecranon and proximal ulna (case 1, see Fig. Nagoya J Med Sci . Feb 01, 2016 · We use either a 3. fractures of the distal ulna. The radius is larger at the wrist. PMID:29238111 Sep 01, 2012 · The distal ulna hook plate is best placed on the medial border of the ulna, directly in line with the ulnar styloid, and acts as a buttress for the fracture fragment of the ulnar styloid. In addition, a radial head prosthesis and the Acutrak compression screws complete the range. In , Acumed introduced the Acu-Loc Targeted Volar Distal Radius Plate System for Acumed® Acu-Loc® Wrist Plating System Surgical Technique. Surgical Indications. 0 Comments . Get reproducible results with TriMed's Ulnar Osteotomy Compression Plate. Acumed Forearm Fracture Solutions are designed to streamline surgical procedures for the forearm. Proximal Ulna Plate plates are available), whereas Mayo clinic (Acumed, 2012; [23]) recommends a close to 180° configuration of plates for distal humeral fracture fixation. Explore the Osteotomy System Acumed® Wrist Plating System The Wrist Plating System is comprised of various plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions including the Volar Distal Radius Plates, Dorsal Distal Radius Plates, Distal Radius Fragment Specific Plates, and Volar Distal Ulna Plates. 7/3. Jan 17, 2021 · Osteosintesis de Fractura de Extremo distal de radio con placa Aculok 2 de Acumed. Jan 25, 2018 · Precise, accurate solution for ulna osteotomies, volar and subcutaneous options. CONTACT. The Acu-Loc acumed distal radius plate supplies surgeons with everything necessary to implant all of the distal radius and volar acumed distal radius plate ulna plates. Percutaneus pin fixation was used in cases of stable retention of the ulnar head after closed reduction, while ORIF was used in patients with unstable fractures of the distal ulna. mm Distal Humerus Plates (DHP, Synthes) orthogonally in all but in two cases. WATCH an ANIMATED SURGICAL VIDEO OF TREATING A DISTAL RADIUS (WRIST FRACTURE) For most patients, blood loss is minimal and unless there are medical indications—prophylaxis for deep vein thrombosis is not necessary. The aim of this retrospective cohort study was to determine if LCP distal ulna hook plate fixation resulted in improved outcomes compared to the traditional IMS fixation in displaced avulsion FMBFs. Safe zone size was measured in circumferential Nov 03, 2017 · Example: CPT 20680 and 20680-59 may be reported for a bimalleolar fracture when screw(s) are removed from the lateral malleolus (distal fibula) and then a plate with screws are removed from the medial malleolus (tibia) through a separate incision. Elbow Plating System is designed to address fractures of the distal humerus, olecranon, and. . The Stryker Matrix-SmartLock system used locking screws that tapped threads into the plate as they seated. Our Acu-Loc 2 Volar Distal Ulna Plate was designed for fractures involving the ulnar head, ulnar neck, and fractures of the distal ulna, injuries… Liked by Shelley Secor Parker Disneyland Paris is From May 2014 to March 2017, 58 patients (38 males and 21 females) with distal radius fractures underwent open reduction and internal fixation with volar locking palmar plates (Acumed, USA) (Table 1). (A) Preparation of the distal second hole; (B) marking the proximal second hole on the compression site; (C) marking the The DVR ® Crosslock Distal Radius Plating System eases the challenge of treating distal radius fractures by incorporating a low-profile, anatomic design with advanced fixation options and streamlined instrumentation. 5 mm. 7 mm LCP Ulna Osteotomy Plate is intended to be placed on the volar flat surface of the ulna, just proximal to the pronator quadratus muscle. CONTACT. Impaction of the distal Jun 24, 2019 · An Acumed neutral wrist fusion plate was then selected and positioned into place first with olive wires into the index metacarpal into the dorsal distal radius to allow for a neutral and slightly radial biased attitude of the wrist joint. Our e-learning platform contains high resolution images and a certified CME of the Distal ulna fracture fixation using the Synthes 2mm LCP Distal Ulna Plate surgical procedure. 107. Distal ulnar fractures were fixed with small fragment plates (Fig. The titanium volar plates are available in a wide array of sizes (narrow, standard, and wide) and in multiple shaft lengths. Ruch on Vimeo The Acumed Anatomic Midshaft Forearm Plating System offers marked hardware improvements over traditional straight plates. The screw positioning and angulation of the Acu-Loc VDU Plate targets the distal fragments and provides secure, stable fracture fixation of the ulnar head and neck. Make sure the proximal and distal orientation of the plate is correct, as noted by the laser marks on the plate. TriLock Distal Ulna Plates 2. In 2004, Acumed designed an innovative solution for repairing fractures of the distal radius by designing the first truly anatomic volar plate. The major defining factors for treatment type closed reduction (CR), closed reduction percutaneous pinning (CRPP), or open reduction and internal fixation (ORIF) for distal radius and/or ulna fractures is the age of the patient, degree and direction of displacement, and any prevent plate breakages. 002 – Trial Implants for VA-LCP Proximal 03. Acumed Acu-Loc2 Wrist Plating System is a comprehensive system designed to treat multiple fracture patterns of the distal radius and distal ulna. Get more control over comminuted distal radius fractures with the Bridge Plate orthopaedic implant system from TriMed. 5-mmnonlocking screw was placed to hold the plate onto the radius. 20 Many components contribute to the makeup of the TFCC. Post-operative care after distal ulna growth plate ostectomy in growing dogs This surgery is performed in growing dogs, typically around 6 months of age, to prevent or to limit growth abnormalities resulting from early closure of the distal (lower) ulna (bone in the forelimb) growth plate. Alternative plate placement, i. A case report. stands for Implants for Trauma Surgery and our implant plates, screws and instruments are chosen everyday by surgeons who constantly strive to provide superior surgical treatments with a priority on patient care. For that reason, the ulna is then shortened so it is the same link or slightly shorter than the radius. This implant provides a single head design for enhanced ulnar buttressing. Acumed believes that surgeons should have the ability to determine the Ulnar Column Plate Short, Left Ulnar Column Plate Long, Right Distal Radius Plates REF Description Implant Module 29-13012 29-13013 29-13114 29-13024 The Titanium Wrist Plating System Technique is designed for fixation of intra-articular and extra-articular fractures, osteotomies, as well as nonunions and malunions of the distal radius. Precision cutting guide minimizes tissue stripping Powerful compact compression block assures alignment of the osteotomy Low-profile locking technology plate A fixation plate for fixation of a fracture at the distal radius, the distal radius having a volar surface, a dorsal surface, an ulnar side closer to an ulna, and a radial side opposite the ulnar Jul 13, 2019 · Designed in conjunction with Shawn W. • Obtain anatomic reduction • Restore ulna & radial length – Prevents subluxation of either proximal or distal radioulnar joints • Restore rotational alignment The Acu-Loc ® Targeted Distal Radius system has recently become available as the volar locking plate which can be characterized by 2 or 3 distal locking screws that target the radial styloid to provide fixation of radial styloid fragments. A total of 160 healthy subjects, including 80 males and 80 females with ages ranging from 12 to 20years were studied. The wrist is a multi-articular joint. The Ulna, complete articular - Bridge plate step by step. radial head rim plate, right & left with effective & timely delivery. Read More. Aug 06, 2019 · The Acumed Olecranon Plates provide fixation for both fractures and osteotomies in the proximal ulna. Proximal Ulna Plate Anatomic subchondral support that preserves the triceps insertion Determine the amount of ulnar variance by preoperative X-rays. " There was nothing done to the ulna. volar plate-3. Distal Radius Growth Plate Fracture What is a growth plate fracture of the distal radius? The radius and the ulna are the two long bones of the forearm, extending from the elbow to the wrist. Distal Radius and Ulna Fractures of the distal radius, with or without ulnar involvement, account for 15% to 25% of fractures in adults. The Micro Compression FT™ screws can be inserted between the hooks for added stability if desired. technique triceps tendon reattached with nonabsorbable sutures passed through drill holes in proximal ulna In ulnar abutment syndrome, the true pathology is the increased link of the ulna to the radius. The Acu-Loc 2 Wrist Plating System offers various plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna… Restoring Volar Tilt Using Acu-Loc® 2 Volar Distal Radius Plate with Dr. Included are the Volar Distal Ulna Plates and the Volar, Dorsal, and Fragment Specific Distal Radius Plates. A distal wrist plate for fractures manufactured by Acumed. Group II specimens were treated with the Acu-Loc 2 Volar Distal Radius Plating System by Acumed. It is made up of two bones: the radius and the ulna. Manage all distal elbow fracture-dislocations with one comprehensive system. Radial Head Plating System A straightforward solution for treating fractures when the radial head is salvageable. This plate accepts either locking or non- 1 locking screws. Congruent Distal Radius Plate System description, Acumed, Inc. In particular, it is difficult to achieve reduction and fixation with volar lunate facet (VLF) fragments present on the volar ulnar aspect of the lunate facet, because of the anatomical structure and biomechanics in this region. 4 locking Synthes plate along the distal ulna. Surgical correction of angular deformities caused by premature closure of the distal ulnar growth plate in dogs. 2) in the other 4. the VariAx distal radius locking system (VariAx, Stryker, Kalamazoo, MI), Acu-Loc2 Proximal VDR plate (Acu-Loc2; Acumed, Hillsboro, OR), DVR anatomic plate (DVR; Zimmer Biomet, Warsaw, IN), variable-angle LCP two-column volar distal radius plate 2. The method of claim 21, wherein the distal section includes a distal pin clamp assembly configured to secure the distal pins relative to the distal member, the distal pin clamp assembly including a clamp plate with a central locking screw disposed between the distal pins, the clamp plate being pivotal about the locking screw. The plates were scanned with a 3D scanner (<40 μm and the plate was cut to size using the plate cutter (Figure 5). For these two cases, in one elbow (case ) the xation was achieved using the Mayo Clinic Congruent Elbow Plates (Acumed), and in the other elbow (case ), the fracture xation was achieved using a . Learn the Distal ulna fracture fixation using the Synthes 2mm LCP Distal Ulna Plate surgical technique with step by step instructions on OrthOracle. Distal Radius Fragment Specific Plates. The plate was then secured to the ulnar aspect of the proximal phalanx by placing two Acumed Hexalobe MultiScrews into the base of the phalanx and a MultiScrew distally into the diaphysis. Non Disclosure Agreement signed with Acumed, Licensure Agreement signed, Prototypes made 510(k)FDA Application and Engineering Drawings in progress. Reproducible results With its patented polyaxial locking technology, VariAx brings something new to surgeons: convenience. 4709 Creekstone Drive, Suite 300, Durham, NC 27703 4709 Creekstone Drive, Suite 300, Durham, NC 27703 (919) 660-5430 The Acumed (Hillsboro, OR) volar ulnar plate was designed specifically for fractures of the distal ulna head and neck. 0, narrow – Optimized angles of distal screw holes – Tapered plate end near the joint – Increased hole density in the distal part Portfolio – Plates in six lengths: 4, 6, 8, 10, 12 Complications of the AO/ASIF Titanium Distal Radius Plate System (π Plate) in Internal Fixation of the Distal Radius: A Brief Report, Kambouroglou et al. In this live surgery, Lamont Cardon, MD treats a 54-year-old patient with an Acu-Loc 2 Volar Distal Radius (VDR) Proximal Plate to repair an extra-articular Oct 26, 2020 · Abstract and Figures The distal ulna represents the fixed point around which the radius and the hand acts in daily living. The implant is usually placed on the volar aspect just proximal to the sigmoid notch to stabilize the ulnar head and not to inhibit forearm rotation. The Locking Compression Plate (LCP) distal ulna hook plate fixation was a novel alternative fixation method. 2) The plate is placed on the "safe zone" on Reduction of a large coronoid component of multifragmentary proximal ulna fractures can often be done through the fracture site. The system offers screws that sit below the plate surface when fully seated, and the interfragmentary lag screw can be placed in one of two locations to securely compress the In this series of six case studies, Dr. Nondisclosure agreement signed with Stryker GEMINUS® Distal Radius System Acumed, LLC. 1 Determine plate type and length Instruments 03. 7 mm screws for the distal fixation. Coronoid Plate Designed for fractures of the anteromedial facet of the plafe. Nov 27, 2012 · We then moved forward to place the Acumed unlar shortening osteotomy. Contact Information. Provisional or definitive fixation can be placed at that time, but sometimes it helps to use a screw through a posterior plate for its fixation, as shown here. LC-DCP Plate 3. The free choice of screw angulation (+/- 15°) provides an proximal and/or distal plate translation prior to definitive fixation. +41 61 633 34 34 Fax +41 61 Volar plate fixation One common method of treating extra-articular fractures is to obtain an open reduction and then apply external fixation using a volar locking plate. TAU 2020; TAU 1515; TAU 1512; Mobile DI; Anatomic Midshaft Forearm Plating System; Forearm Rod System Acu-Loc® Volar Distal Ulna (VDU) Plates The Acu-Loc VDU Plates are designed specifically for periarticular fractures of the distal ulna. 151 Cutting Pliers with Positioning Pin B 3. 0 mm LCP ® Distal Ulna Plate is specifically designed for use in fractures of the distal ulna. If placed properly, 1. A metaphyseal fracture situation was chosen (AO 23-A1. 1 The SmartLock Technology is patented (US 6, 322, 562; DE 43 43 117) Dec 15, 2020 · Shinohara T, Hirata H. The subcutaneous location of the ulna allows safe exposure of this bone dorsally along its entire length. Failure of a volar locked plating is a rarely reported complication in the literature. Intramedullary fixation offers several advantages compared to plate fixation but is not routinely used. Methods: Four different distal ulna anatomic plates (Acumed, Medartis, Skeletal Dynamics, and Synthes) were applied to 12 cadaveric specimens. Choose plate lengths that offer sufficient fixation distal to the fracture line. However, it is unknown whether the radial styloid screws increased the stability of the volar plating system fixation along the entire distal radius. Rib Plating. A. 0 cancellous locking screw Two distal locking screws in the ulnar nails on 38 forearm fractures (18 radius, 20 ulna) that backed out causing wrist pain and requiring were treated with the Acumed interlocking nail removal. The distal edges of the plate are beveled or rounded to reduce soft tissue irritation. Radius fracture tells us the radial bone in the forearm is broken. It consists of the carpus, distal ulna and distal radius. Growth happens in the physis up through adolescence. Plate Positioning Attach the appropriate Drill Guide Block (7117-3489, 7117-3457, 7117-3490, 7117-3458) to the selected plate and position as desired on the distal radius. 3. Open reduction and internal fixation with plate osteosynthesis is the therapy of choice. plate in a distal or proximal direction. The plates are installed on the anterior surface of the distal radius, which is concave and palmarly directed, and the ulnar distal end of the slope has a steep projection. Las placas tienen un contorno anatómico y pueden ayudar a restaurar la anatomía natural del hueso desde el lado ulnar distal hasta el estiloides radial. Our plating and rodding systems for the radius and ulna off er a comprehensive array of diaphyseal radius and ulna fracture treatment options. Mount the saw guide 45° on the basic element. The Acumed Elbow Plating System offers multiple fixation options for fractures of the distal humerus, olecranon, and coronoid, and osteotomies of the olecreanon, in order to address a variety of Acumed Distal Radius Fragment Specific (DRFS) Plates: Acumed Acu-Loc 2 Proximal Volar Distal Radius (VDR) Plates: Acumed Acu-Loc 2 Standard Volar Distal Radius Plates: Acumed Acu-Loc 2 Extension Plates: carpal: Acumed SLIC Screw System: Acumed Hub Cap Fusion Plates: distal ulna: Acumed Osteotomy System: Acumed Acu-Loc Volar Distal Ulna (VDU Proximal Ulna Plate Proximal Olecranon Plate Olecranon Plate Extended Medial Distal Humerus Plate Medial Distal Humerus Plate 180º plating option shown with Medial and Lateral Distal Humerus Plates Posterolateral Distal Humerus Plate ONE Mechanical test constructs in stainless steel and titanium evaluated2 250 Dedicated, global surgeon The distal ulna locking plate (Acumed) was designed to be placed volarly. All displaced fractures and dislocations of the distal forearm and wrist require treatment. Secure the pointed hooks of the LCP Distal Ulna Plate around the tip of the ulnar styloid Product Overview Systen Acumed Elbow Plating System offers multiple fixation options for fractures of the distal humerus, olecranon, and coronoid, as well as osteotomies of the olecranon. The Acumed Osteotomy System features the Ulnar Shortening Plate, with built-in osteotomy reference lines and a cutting guide. Additional instrumentation and implants may be required in each of these systems. 4° at each notch in the plane of the shaft. The Acu-Loc 2 Wrist Plating System offers plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions. 11. The Medartis coronoid plate is used with 2. 2017;79(4):551–557. The Distal Ulna Locking Plate is a plate system which can be implanted with locking screws adjusted to the contour of the distal ulna. 3). 0/ 2. Jun 23, 2016 · Multiple plates have been used for the bridge technique and include both titanium and stainless steel and most commonly range in size from 2. A2. The TFCC is the primary stabilizer of the DRUJ and the ulnocarpal joint. 5/5. Our. 5. TAU 2020; TAU 1515; TAU 1512; Mobile DI; Anatomic Midshaft Forearm Plating System; Forearm Rod System Rib Plating. The plates are contoured distally to match a wide array of anatomies. 2 is a lateral view of the bones of the right hand and distal forearm in which A Patient’s Guide to Distal Radius Fractures (Broken Wrist) Introduction The forearm is composed of two bones, the radius and the ulna. Access to the distal humerus demands a certain level of exposure as soft tis-sues are dissected. 622/623 Guide Wire B 1. Feb 01, 2008 · Bell described 4 patients that developed ruptures of the FPL using a nonlocking volar Synthes T buttress plate (Synthes, Paoli, PA). The system can be used to treat fractures, fusions, and osteotomies of the radius and ulna. The distal ulnar surface is also an important platform for stability of the carpus and the hand. Next a pinning of the distal radius was performed. WATCH an ANIMATED SURGICAL VIDEO OF TREATING A DISTAL RADIUS (WRIST FRACTURE) For most patients, blood loss is minimal and unless there are medical indications—prophylaxis for deep vein thrombosis is not necessary. The position and number of screws applied depends on the type of fracture. We studied six current designs of widely used plates, viz. Step 4: Plate Positioning Visual Positioning Select the appropriate length plate (3, 4, 7, 11 or 14 hole). e. Pathology. They are all producers who continue their search for innovative prod Olecranon Plate Provide fixation for both fractures and osteotomies in the proximal ulna. 1) or an Acumed six-hole Locking Midshaft Ulna Plate (Acumed LLC, Hillsboro, OR, USA). 7mm, as. The mean age of the patients was 44. For preventing heat injury to the osteotomized may advance distal triceps tendon over plate to avoid hardware prominence; pros more stable than tension band technique; cons 20% need second surgery for plate removal; Excision and triceps advancement . The size and shape of the distal ulna, combined with the overlying mobile soft tissues, make application of standard implants difficult. The plate is placed on the dorsal aspect at the level between the mid- to distal third of the ulnar shaft. The radius is on the thumb-side of the forearm. 5, right or left 329. " The DVR® Wrist Plating System eases the challenge of treating wrist fractures by incorporating a low-profile, anatomic design with advanced fixation options and streamlined instrumentation. Some currently used anatomically preshaped proximal ulna plates differ significantly from these morphologic findings. Read More. The oval shaped hole is designed to create dynamic pressure between the fractured bone fragments. The patient is positioned supine and a hand-table is used. The cross-locking oblique screw options are designed to provide three-dimensional fixation in comminuted fractures and The Total Wrist Fusion Plating System is preceded by Acumed’s market leading line-up of solutions for hard to treat indications of the hand and wrist, including but not limited to: fractures of the scaphoid ( Acutrak 2 Headless Compression Screw), fractures of the distal radius (Acu-Loc 2 Plating System), carpal instability (The SLIC Screw DUL - Distal Ulna Locking Plate. Many extensile approaches to the radius and ulna make use of cutaneous and muscular internervous planes. Reduce the proximal part of the olecranon with pointed reduction forceps and temporarily hold the reduction with one or two K-wires. The screw trajectory is designed to allow screws to capture fracture platlng and avoid other screws regardless of the screw length selected. The low profile is said to minimise the risk of tendon injury. Impingement was most common in supination. Anatomically contoured distal fibula plates offer the biomechanical advantage of polyaxial locked fixation with a lower profile than previous implants to mitigate concerns with wound complications. The aim of the study was to describe the indication criteria and operative technique and to present the first conclusions of a prospective study dealing with an assessment of functional and radiographic findings in patients with concurrent fractures of the distal ulna and distal radius; the former was treated by osteosynthesis using an LCP Distal Ulna Plate (De Puy Synthes, USA) and the latter Oct 12, 2020 · The Acumed plate was used with non-locking 2. a–c). Bone plates Jun 13, 2014 · The latest addition to Acumed’s market-leading hand and wrist product portfolio, the Total Wrist Fusion Plating System is the only system currently on the market to offer plates specifically designed to be placed on both the second and third metacarpals. The present study was conducted to ascertain the age of fusion of the distal radial and ulnar epiphyses in Kashmiri population. A 40 year-old, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plate. Keywords Flexor tendon rupture Volar plate fixation Distal radius fracture Flexor pollicis longus Flexor digitorum profundus Watershed line Introduction Distal radius fractures are common orthopaedic injuries comprising 8–17 % of all extremity fractures and as many as 72 % of all forearm fractures [1–4], with an incidence of Implant Options For Radius and Ulna Providing you the best range of olecranon plate, 3. Our range consists of an innovative system of plates for the distal humerus, proximal ulna, coronoid fractures and radial head fractures. The volar inclination of the distal radius is matched with an angle in the plate between the distal end and the shaft which measures between 18° and 20°. Sep 01, 2012 · The ulnar shortening plate is placed on the volar side of the ulna 3–5 cm proximal to the distal ulna. Insert the compression element into the basic element and fix it to the plate using the integrated screw. • Drill using 2. The user is able to set any desired screw in any hole, either locking or non-locking screw (except oblong hole). However, isolated ulnar head fractures are rare. Without The Acumed® Locking Radial Head Plate System (Acumed, The locking screws are placed in the distal shaft and used proximally as a tripod radius and ulna Apr 20, 2020 · Background Adult forearm fractures require surgical treatment in most cases. acumed. • Apply the plate to the bone. It’s safe, and it works. 180° or 90° Distal Humeral Plating – You Choose The range of distal humeral plates provides the option to treat a fracture based on anatomy, personal preference, and fracture type, and not solely based on the plate design. The distal ulna is an essential component of the distal radioulnar joint, which helps provide rotation to the forearm. A growth plate fracture of the distal Distal ulnar fractures were fixed with small fragment plates (Fig. LCP Distal Ulna Plate Surgical Technique DePuy Synthes 11 3 Reduce fracture and position plate Instrument 292. In an industry where traditional methods of plate and screw fixation drive a fiercely competitive market, TriMed has advantageously positioned itself as one of the lead innovators in the field of orthopaedics by redefining the treatment of periarticular fractures through ORIF. 737-741, Jul. 4, 1998. 0 mm LCP Distal Ulna Plate. Results: The distal ulna safe zone has dimensions of a 92° arc and perimeter circumference of 15 mm. MR Boland. The following is a recommended list of implants and instrumentation. Percutaneus pin fixation was used in cases of stable retention of the ulnar head after closed reduction, while ORIF was used in patients with unstable fractures of the distal ulna. 25mm K-wires inserted into the two distal K-wire holes will not violate the joint. 19 This portion of the wrist articulates with the lunate and triquetrum. The EVOS SMALL Plating System is indicated for adult and pediatric patients as well as patients with osteopenic bone. Repeat drilling, measuring, and placing of screws/pegs into the distal holes of the plate. 8-mmholewasdrilledintotheoblongholeanda3. Plate targets the distal fragments and provides secure, stable fracture fixation of the ulnar head and neck. 4 mm to 3. Acumed Ribloc U+ Plating System; Imaging. Apr 25, 2020 · Three-dimensional morphometry of the proximal ulna: When used in conjunction with Acumed Medial Column Plates, the construct acts as a template for complex fractures of the distal wcumed. net. The radius is the third most common bone to be broken in the human body. This temporary fixator is designed to hold the wrist in distraction and to provide ligamentotaxis to the wrist on a acumed distal radius plate basis while the distal radius heals. Tel. The basic principle is that of intrafocal (Kapandji) pinning where the distal fragment is supported by pins which are inserted through the fracture line into the proximal fragment of the radius. Apr 02, 2010 · To stabilize the ulna which is a small bone I placed a small 2. • Position the plate to avoid distal impingement during shortening. Three screws were placed proximal and distal to the fracture. Name the 5 plate types contained within the Elbow Plating System, The size of the screw used in the distal end of the Acu-Loc plate, The ARC Wrist tower provides traction in both of these positions, In the Anatomic Midshaft Forarm System, This feature minimizes stress concentrations at the ends of the plate; reduces the risk of re-fracture above or below the plate. The Acumed Posterolateral Plates are specifically designed for isolated capitellar fractures and for surgeons who prefer a 90 degree-90 degree plate application. In 2004, Acumed® designed the Acu-Loc® Targeted Volar Distal Radius Plate System for repairing fractures of the distal radius. The Acumed's low-contact plate designed specifically for ulnar shortening osteotomy demonstrated 100% union rate and no implant removal in our series. 6 Acu-Loc® 2 VDR Plate Options 2. Forearm fractures are common in childhood, accounting for more than 40% of all childhood fractures. The present invention is a bone fixator for repairing fractures of the distal radius and wrist. Dr. Since the gliding holes were not used for the osteosynthesis, we only used the locking screws in this plate. This is a detailed step by step instruction through a arthroscopic assisted dorsal plating of a distal radius. 4mm VA locking radial column plate assisted by wrist arthroscopy using Acumed ARC tower US20050085818A1 US10/968,850 US96885004A US2005085818A1 US 20050085818 A1 US20050085818 A1 US 20050085818A1 US 96885004 A US96885004 A US 96885004A US 2005085818 A1 US2005085818 A Nov 25, 2010 · Volar locking plates provide significant structural stability to the distal radius. Tel. The Acumed Osteotomy System features the Ulna Shortening Plate, with built-in osteotomy reference lines and a cutting guide. O’Driscoll, Ph. 3mm (red) drill and insert one non-locking Plate Osteosynthesis The advent of volar fixed-angle plate osteosynthesis has greatly improved the technical ability of the surgeon to treat distal radius fractures and expanded the indications for op-erative treatment. Fractures of the distal radius are the most common fractures in the human body. The more the plates are pushed toward Abstract Fractures of the distal humerus are most com- LCP Extra-articular Distal Humerus Plate Primary Indication – Extra-articular fractures of the distal humerus Features – Plate thickness based on LCP 4. Jun 16, 2014 · The Total Wrist Fusion Plating System is preceded by Acumed's market leading line-up of solutions for hard to treat indications of the hand and wrist, including but not limited to: fractures of the scaphoid (Acutrak 2® Headless Compression Screw), fractures of the distal radius (Acu-Loc® 2 Plating System), carpal instability (The SLIC Screw® System) and osteotomies of the ulna (Ulna Shortening Plate). The anatomic curvature of the left- and right-specific plates are intended to facilitate restoration of the bone's natural geometry. 0 mm LCP Distal Ulna Plate (DePuySynthes, West Chester (PA), USA) were used. mm Limited this plate requires transposition of the ulnar nerve anteriorly. This case demonstrates the use of a contoured distal fibula small fragment locking plate in the treatment of an unstable bimalleolar ankle fracture. Plating that fits. This plate should be positioned distally at the apex of the medial epicondyle. The intraclass correlation coefficient was between 0. Implants. 931 Cutting Pliers for Plates, length 230 mm Select a plate length appropriate for the fracture. The plate needs to be placed proximal to the sigmoid notch to prevent impingement with DRUJ rotation. The VariAx 2 Elbow plating system provides you with a comprehensive range of anatomic plating options that work with a common instrument and screw platform. The . System Features [continued] Distal Radius Fragment Specific (DRFS) Plates Standard, Left and Right Specific Narrow, Left and Results: The distal ulna safe zone has dimensions of a 92° arc and perimeter circumference of 15 mm. A precontoured bend in both the diaphyseal region of the plate and the lateral tip to support the anatomy, while the unique, diverging screw geometry of the distal hole cluster allows for maximized fixation at the fracture site. Summary. Isolated fractures occurs as a result of direct force to the ulna. 5, with thread 329. Distal means the break is down toward the hand rather than up by the elbow. Recent reports suggest the presence of a rare fracture type for which reduction and fixation cannot be achieved with volar locking plate (VLP). The special feature of this implant is the free choice of screw placement. TriLock Distal Ulna Plates 2. 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. 5% infection rate that system. Nov 13, 2018 · November 13, 2018. It offers an edge-free contour & limited-contact design. 1'5 I report three patients with painful wrists in whom identification and diagnosis of a The selected medial and lateral plates are placed and held apposed to the dis- tal humerus,while one smooth 2. Before fixed-angle technology, conven-tional plate osteosynthesis exhibited limited utility in osteo- Acumed Acu-Loc 2 Standard Volar Distal Radius Plates have an optimized design to closely replicate the anatomical contours of the distal radius and assist in restoring its natural geometry. 5. In recent years, great changes have taken place both in the treatment options of the distal radius and the patient demands which have increased. This implant provides a dual head design for independent two-tier subchondral scaffolding. Geissler uses the ulnar shortening plate that he designed with Acumed, LLC. FIG. The plate can be bent slightly to adapt to the shape of the bone. Low profile distal radius fracture fixation plate US20050065524A1 (en) * 2003-03-27: 2005-03-24: Orbay Jorge L. There is a bimodal distribution with injuries due to high-velocity trauma in children and young adults and fractures due to minor falls in the elderly. acumed scapula congruent bone plate system: 05/12/2005: k143394: distal ulna locking plate (dul), ulna osteotomy locking plate (uol), 3. T. If radial or ulnar translation of the plate is desired, the Drill Guide Block should not Sep 19, 2016 · The reported incidence of flexor pollicis longus tendon rupture associated with the use of a volar locking plate for distal radius Loc plate (Acumed, Hillsboro, Oregon) was used in 93, a Sanj Kakar, MD, FAOA, (Rochester, MN) demonstrates how the Spanning Plate provides a low-profile internal fixation option for spanning comminuted fractures of the distal radius. 8 mm locking screws, length 10 to 28 mm (2mm increment), non-locking screws, length 10 to 28 mm (2mm increment) and non-locking cortical screws, length 10 to 18 mm (2mm increment). It offers controlled compression of the osteotomy with a single reference point surgical technique. 23A, No. The Acu-Loc Targeted Distal Radius Plate quickly became a market leader and since its The selected Medial and Lateral Plates are placed and held apposed to the distal humerus, while one 2. Patients who fall often fracture the radius. 1) in 4 cases and with K-wires (Fig. The plate (Acu-Loc 2 Volar Distal Radius Plate; Acumed, Hillsboro, OR) was placed onto the distal radius such that it would not be too distal or too radial, the distal screws wouldnotbeintra-articular,anditwouldcovertheK-wires. In the Acumed plate, the targeting guide-set screw hole and the hole just distal to this correspond to the fibroosseous canal of the third extensor compartment . Jan 08, 2016 · The Acumed dorsal rim plate is placed on the dorsal ulnar aspect of the radial shaft and positioned under fluoroscopic control. There was a 12. Although the distal holes of the medial plates are Our faithful trauma partner, Acumed, is the main supplier here. 5mm,right & left, as. I used a drill and a small awl to make a starting point was able to advance a small Synthes flexible rod down the shaft, across the fracture into the proximal radius. The Ulna Hook Plate provides stable distal ulna fixation through locking screws and distal hooks that contour the ulna styloid. An incision is made on the ulnar side of the May 26, 2013 · The GEMINUS Volar Distal Radius Plating System is a unique design which is intended to respect the anatomy of the distal radius, lead to better fit of the plate because each side can be independently contoured, and provide support of the scaphoid and lunate fossae. SCS/V Distal Radius Plate Volar brochure, Avanta Orthopaedics, 1998. Screws or pins may be passed through the aperture in the second short flange and the adjacent aperture in the longer flange and anchored in the proximal fragment so as to fix and position the latter relative to the plate and the remaining portion of the long flange is then secured by screws or pins to the distal ulna after the fracture is Most plates are designed to fit the volar anatomy of the distal radius and come precontoured. This question is for testing whether or not you are a human acumed distal radius plate and to prevent automated spam submissions. Distal radius nonunion after volar locking plate fixation of a distal radius fracture: a case report. This system utilizes a unique plate design that allows for locked fixation of the plate to the bone, prior to osteotomy, to allow for controlled compression at the osteotomy site (Fig. O’Driscoll’s experience has shown that the “parallel”plate placement on the distal humerus,combined with increased plate strength over standard reconstruction plates1,allows for early rehabilitation and preservation of elbow function and motion. Whether managing a simple fracture or correcting a complex rotational deformity, Acumed Forearm Fracture Solutions are The distal ulna is cushioned from the carpus by the triangular fibrocartilage complex (TFCC), and its thickness varies with ulnar variance. 0 mm x 9" ST Guide Wire (WS-2009ST) is inserted through hole #2 (numbered from distal to proximal) of each plate through the epicondyles and across the distal fragments to maintain provisional fixation. "I initially made a small incision just proximal to the growth plate of the distal radius. She had returned to full unrestricted use of the operative hand until 5 months postoperatively when she felt a “pop” in her distal forearm followed by weakness and pain with flexion of her thumb and index finger. Cumulative extensor carpi ulnaris (ECU) impingement occurred in 0% of the 6 simulated wrist/forearm positions for the Acumed plate, 22% for the Synthes plate, 31% for the Skeletal Dynamics plate, and 68% for the Medartis plate. 3-mm locking screws with optional placement in a nominal angle predefined by a distal locking guide or The distal end of the radius forms two palpable points, radially the styloid process and Lister's tubercle on the ulnar side. Radiographs taken at 10 PLAQUE FOR DISTAL ULNA ACU-LOC FLY RIGHT STANDARD: Product Code: 70-0046: Manufacturer of the medical device: ACUMED LLC: Category Name: BONE FIXATION PLATES - OTHERS: Category Code: P09120599: Sign repertoire: Registered: Group of similar Medical devices: 20023: Medical device reference: 0: Type: Medical Device Class: Progressive number A distal wrist plate for fractures manufactured by Acumed. 5 (Medartis, Basel, Switzerland) and 2. 1) in 4 cases and with K-wires (Fig. , M. 1998. 5mm dorsal plate, as. 6 months after undergoing ORIF of a distal radius fracture with an Acumed volar distal radius plate (Acumed LLC, Hillsboro, OR). It is recommended to place the plate between the distal and the middle third of the ulnar shaft. This also explains the breakage of the screws in the second revision plate. The system can be used to treat fractures, fusions, and osteotomies of the radius and ulna. Methods Sixteen matched pairs of fresh-frozen human cadaveric elbows were used. 508 Olecranon Plate, Olecranon Plate or Proximal Ulna Plate 2. Fractures associated with radius fractures usually occur as the result of a fall on an outstretched arm. Read More. For capital and subcapital fractures of the ulna. Skeletal Dynamics 7300 North Kendall Drive, Suite 400 Miami Distal ulna fracture fixation using the Synthes 2mm LCP Distal Ulna Plate Dorsal plating of distal radial fracture with Depuy/Synthes 2. 10. It includes, in the preferred embodiment, at least two generally parallel spaced-apart elongate distal mounting pins with lower ends for mounting in the metacarpal bone and at least two generally parallel spaced-apart elongate radial mounting pins with lower ends for mounting in the radius. Login to view comments. 5; These plates are indicated for fixation of fractures and nonunions of the Clavicle, Scapula, Olecranon, Humerus, Radius, Ulna, Pelvis, Distal tibia, and Fibula. The dorsal cortex can be revealed after the ECU is retracted. Accurate Technology (Hong Kong) Limited Product Overview 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. Patent Approved. (01/2005 – Licensure) Distal Ulna Fracture Fixation and Ulnar Shortening System. There are two bones in the forearm: ulna and radius. Guide color identification in shaft holes (Figure 8): Left plates = Lime-colored The VariAx Distal Lateral Plate and the VairAx Fibula Straight Plates are intended for use in internal fixation of the distal fibula. (Fig. We placed each plate in six different cadavers, resulting in 36 different plate-cadaver combinations. Clin Orthop 251:162–165, 1990 PubMed Google Scholar Distal ulnar fractures are common, and usually occur with a concurrent distal radius fracture. In older subjects with poor bone stock we used locking screws; while non-locking screws were pre- The distal ulna is covered by the ECU subsheath and a thick periosteal extension that must be elevated prior to fracture fixation. 2) in the other 4. D. (Acumed, Hillsboro, OR, USA) LCP-based ulna osteot-omy system, the dedicated surgical system for guided USOs. This provided excellent stability to the forearm. 0mm guide wire (WS-2009ST) is inserted through hole #2 (numbered from distal to proximal) of each plate through the epicondyles and across the distal frag- ments to maintain provisional fixation. About three out of four forearm fractures in children occur at the wrist end of the radius. The Acu-Loc® 2 Proximal Plate is designed to sit more proximally than the standard Acu-Loc® 2 Plates. The 2. Fluoroscopy was used again to confirm position of the plate and alignment of the fracture. The proximal distal relationship of the plate is accessed under fluoroscopy. The position of the screws and the hardware was checked and felt to be acceptable. The Anatomic Midshaft Forearm Plating System includes Midshaft Ulna Plates, Volar Midshaft Plates, and Dorsolateral Midshaft Radius Plates. Medartis AG Hochbergerstrasse 60E 4057 Basel/Switzerland. Ulnar impaction syndrome is a condition in which the ulna bone is longer than the radius bone, resulting in impaction of the carpal bones on the distal end of the ulna at the wrist joint. Anatomy • Plate Fixation – provides stable strong anatomic fixation – eliminates need for external casting – allows early functional motion with union rates over 95%. Position the plate with the instruments as far distal as possible on the volar aspect of the ulna. Our e-learning platform contains high resolution images and a certified CME of the Dorsal plating of distal radial fracture with Depuy/Synthes 24mm VA locking radial column plate assisted by wrist arthroscopy using Acumed ARC tower surgical procedure. Distal ulnar fractures often occur with distal radius fractures (DRFs), and ulnar styloid fractures commonly occur in the setting of DRF. Patients with smaller anatomy may require a more proximal plate position. The system includes dorsal, radial styloid, and distal ulna plates. 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. The first-to-market precontoured elbow plates are designed to provide multiple fixation options for fractures of the distal humerus, olecranon, and coronoid. Angular deformities were most frequently seen in large breeds during the most active phase of growth at 3-5 months of age. 6 years (range 22–72 years). The standard plate does not require the transposition of the ulnar nerve. Medartis AG Hochbergerstrasse 60E 4057 Basel/Switzerland. 4 mm LCP volar column distal radius plate (VCP; Synthes, Solothurn, Switzerland), an Acu‐Loc (Acumed, Hillsboro, OR), and Acu‐Loc2 (Acumed). Variable angle locking plate system for treating volar and dorsal distal fractures. The screw positioning and angulation targets distal fragments of the ulnar head and neck. The 2. 11 In each of the ruptures, the fractures subsided or the plate was positioned too distal causing the plate to impinge against the FPL tendon. Distal ulnar fractures are divided into two groups: isolated: Feb 13, 1990 · Pain about the distal ulna at the wrist is a common complaint and can be caused by a variety of disorders. We work very closely with surgeons to design trauma implants and instruments that are easy to use and the provide shorter We retrospectively reviewed the radiographic outcome of distal radius fractures treated with two different first-generation locking plate systems; VariAx (Stryker) and Acu-Loc (Acumed). Secure the plate to the volar surface with one or more clamps. plates matches the shape of the distal radius • Low plate profile facilitates fixation without impinging on soft tissue • Plates are available in left and right configurations, in a variety of lengths Indications The Periarticular Locking Plate System is indicated for temporary internal fixation and stabilization of osteotomies and For our hand and wrist implants we have an extensive range. two column distal radius plate, right & left and as. The screw positioning and angulation targets distal fragments of the ulnar head and neck. The Acumed® Locking Olecranon Plates are Grade 4 unalloyed titanium. 1 mm with threaded tip with trocar/with trocar tip, length 150 mm, Stainless Steel Expose and clean the fracture. Impingement was Conclusion The Acumed’s low-contact plate designed specifically for ulnar shortening osteotomy demonstrated 100 % union rate and no implant removal in our series. Galileo Trochanteric Nail System Advanced Orthopaedic Solutions. 916 Bending Pin for LCP Plates 3. The physis is the growth plate at the ends of these bones. Along with the proximal and distal radioulnar articulations , an interosseous membrane originates medially along the length of the body of the radius to attach the radius to the ulna. One elbow from each pair was randomly assigned to a standard-length plate, and the other elbow in the pair received the extended-length plate, for fixation of the fracture. There is an ulnarly applied hook locking compression plate and screws and a variable angle volar distal radius locking plate PERI-LOC Periarticular Locked Plating System for Upper and Lower Extremity Fractures including: 3. Place bone or locking screws in the APTUS ® Forearm; APTUS Distal Humerus Plates 2. The distal ulnar surface is also an important platform for stability of the carpus and, beyond it, the hand. The Ulna Osteotomy Locking Plate provides a plate system (hybrid system) to be fixated with locking screws and compression screws, which is specially adapted to the anatomic and biomechanic requirements after a shortening osteotomy of the distal ulna. Note: The Ulnar Shortening Osteotomy Plate can be used with the following Acumed systems: Locking Clavicle Plate, Congruent Locking Elbow Plate and Acu-loc® Distal Radius Plate. Además, la jaula distal de tornillos, con tecnología de bloqueo de ángulo fijo, está diseñada para After assuring the provisional fixation of the fracture, the final fixation is carried out using the Acu-loc2 7 × 4-hole low-profile locking plate (Acumed, Hillsboro, Oregon, USA) with proximal cortical fixation or 3. 8. 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. . Unstable fractures of the distal ulna therefore threaten both movement and stability of the wrist. Plate Application • Expose the bone in the interval between the ECU and FCU. 8 Zimmer® Distal Radius Plating System Surgical Technique Step 2: Plate Position The plate should be positioned on the distal radius proximal to the Watershed line. Image from Acumed: 53 year-old woman with distal right radial and ulnar fractures. on the dorsal aspect, is also possible. 12. D. ITS. Lister tubercle is frequently involved in the fracture and does not affect the position of the plate. In this live surgery, Lamont Cardon, MD treats a 54-year-old patient with an Acu-Loc 2 Volar Distal Radius (VDR) Proximal Plate to repair an extra-articular Variable angle locking plate system designed for treatment of distal humeral and proximal ulnar fractures. S. All osteotomies were performed obliquely or transversely using an orthopedic oscillating saw around the distal one third of the ulna, followed by plate fix-ation. Narrow head plates available in 2 sizes, standard-head plates available in 3 sizes and wide head plates available in 1 size; Single fixation: Ø2. We work together with renowned suppliers such as Acumed, Königsee, Extremity Medical, Aptis en Phoenix 3000. The system offers screws which sit below the plate surface when fully seated, and the interfragmentary lag screw can be placed in one of two locations to securely compress the osteotomy. Anatomical distal radius fracture fixation plate with fixed-angle K-wire holes defining a three-dimensional surface US20050085819A1 (en) * 2003-08-28: 2005-04-21: Ellis Thomas J. Over 200,000 Acu-Loc® Volar Distal Radius Plates have been implanted globally since its release. We then drilled the proximal most oblong hole to achieve compression and measured this to be a 16 buth then placed the compression knob in that hole This section offers Acumed’s suggested method for implanting the Radial Head Plate from the Mayo Clinic Congruent Elbow Plate System. The aim of our study was to compare a newly designed ulna nail with angular stable plating in a biomechanical testing setup of A Stellar plate (Japan Universal Technologies, Tokyo, Japan) was used in 231 cases, a Distal Volar Radius plate (Hand Innovations, Warsaw, Indiana) was used in 137, a Variable Angle Locking Compression plate (VA-LCP; Synthes, West Chester, Pennsylvania) was used in 115, an Acu-Loc plate (Acumed, Hillsboro, Oregon) was used in 93, a Distal We prepared four monoaxial locking plates, which are popular in Japan and worldwide: A distal volar radius plate (DVR®; Biomet, Warsaw, IN), 2. The significance of distal ulnar fractures is often not appreciated and Jun 15, 2019 · When used in conjunction with Acumed Medial Column Plates, the construct acts as a template for complex fractures of the distal humerus. Conclusion The proximal ulna has a gender-specific and variable Acumed® Acu-Loc® 2 Wrist Plating System The Acu-Loc 2 Wrist Plating System o!ers various plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions. View Details. We drilled the most ulnar hole (hole A) and the second ulnar hole (hole B) of the distal row. Product Overview 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. Acumed® Acu-Loc® 2 Wrist Plating System The Acu-Loc 2 Wrist Plating System is comprised of various plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions including the Volar Distal Radius Plates, Dorsal Distal Radius Plates, Distal Radius fractures. 0 mm polyaxial locking screws except for the gliding holes. His outcome at 18 months Distal Radius Plating System by Skeletal Dynamics. This video demonstrates the use of the Wrist Spanning Plate from Acumed. Although volar plates are not applicable to all fractures, the literature increasingly supports volar plate fixation with distal locking screws or pegs for older patients Acumed Hub Cap Fusion Plates: Ulnar hook locking compression plate : These plates are designed for four-corner and other wrist fusions. 5-mm screws and distal, 2. Mar 31, 2020 · Olecranon Plate | Acumed. acumed distal ulna plate