The labels on the outside of the box and on the lcp diameta volar distal radius plate inside the box are correct. Fixation options for the volar lunate facet fracture. The new variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. These implants are particularly suited for fixation incorporating this technique. Correction of a distal radius malunion can be performed using a radial approach and anatomic radial plate. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Extensor tendon irritation is one of the most common complications following volar locking plate osteosynthesis vlpo for distal radius fractures. Results theauthors haveusedthis technique for difficultdistal radius fracture malunions and have achieved superb correction, returning patients to early range of motion and an active lifestyle.
Osteotomy of the distal radius using a fixedangle volar plate. Slide the plate over the kwire down to the surface of the distal fragment. 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. Fractures of the distal radius were originally described by abraham colles in the nineteenth century as a benign pathological condition that did not cause functional limitations, but only esthetic limitations. The purpose of this study was to examine the clinical effects of fcl screws on fracture healing and time to union in patients with distal femur fractures treated with a bridgeplating technique. The 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. Corrective osteotomy for deformity of the distal radius. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid. Screw holes accommodate both locking and nonlocking screws. Variax distal radius locking plate system this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Variable angle lcp twocolumn volar distal radius plate 2.
Screws are used to anchor the plate to the bone, stabilizing the radius. Malunion remains one of the most common complications after extraarticular distal radius fractures. This publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Class 2 device recall synthes lcp diaphysealmetaphyseal. Incidence of complications and secondary procedure following distal radius. Osteosynthesis variax distal radius locking plate system. Correction of a distal radius malunion can be performed using a radial approach and an anatomic radial plate. Plates utilize smartlock technology which permits polyaxial screw placement. Synthes guide blocks for the 2 column plate 6 hole head volar distal radius plate system.
Surgical technique patient positioning place the patient in the supine position with the affected limb positioned to expose the surgical site. 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. Fractures of the distal radius are common, with volar locking plates being. With a bovie or similar device, a mark is made on the femur, proximal to the femoral resection, along with a mark on the tibia, distal to the tibial resection. A comprehensive offering of volar plates are available in narrow, standard, and. 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. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery.
Lite plate system anterior surgical technique system overview the lite plate system leverages strykers aviator cervical plate locking mechanism to offer onelevel lumbar plates with a unique duallocking mechanism, high degree of angulation, and simplified instrumentation. T1 corrective osteotomy for deformity of the distal radius using a volar locking plate. 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. 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.
The physician creates an incision along the palm side of the forearm to access the end of the radius. Corrective osteotomy for deformity of the distal radius using a volar locking plate article pdf available in hand 31. Volar distal radius locking plate surgical techniquecatalog infor. The variax clavicle locking plate system is an anatomically shaped, variable angled locking plate system. Nevertheless, the distinct anatomic shape of the clavicle poses dif.
Acumed off ered an innovative solution for repairing intraarticular fractures, malunions and. The mean width of the distal radius was 31 mm range 2734. Variable angle locking plate system for treating volar and dorsal distal fractures. We present a simple technique for correcting a typical malunion involving the distal radius.
The most distal kwire hole on the implant serves as a guide to assure correct alignment of the plate to the distal fragment first drill a kwire parallel to the articular surface in the lateral plane. Far cortical locking screws in distal femur fractures. 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. Choose the appropriate implant according to patient anatomy and fracture pattern. Arthrex arthrex distal radius plate surgical technique. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture.
The volar anatomy of the distal radius an mri study of the fcr approach. Class 2 device recall synthes guide blocks for the volar. The exact screw positioning is ensured by preplacement of a guide wire. Lee, md, new york, ny presents the arthrex volar distal radius plate technique. Variax compression plating system operative technique. Methods we searched the surgical database of 5 attending hand surgeons at a single institution from 2009 to 2014.
Is designed to complement the anatomy of the distal radius in difficult situations. The variax fibula locking plate system represents a new generation of implant technology. Synthes usa products llc 1 goshen pkwy west chester pa 193805986. Surgical technique product information table of contents the 2.
All fractures were fixed with a stryker variax kalamazoo, mi distal radius volar locking plate. 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. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Precontoured periarticular plate design with type ii anodization. Osteosynthesis variaxtm distal radius locking plate system. Surgical technique this publication is not intended for distribution in the usa. It offers guidance that you should heed, but, as with any such technical guide, each surgeon must. N2 dorsally angulated malunions of the distal radius have historically been corrected with an opening wedge osteotomy fixed with a dorsal plate. Instruments and implants approved by the ao foundation. Synthes variable angle locking distal radius plate set lcp includes. A metal plate shaped to fit the contours of the radius is inserted and positioned against the bone. Then secure the plate to the distal fragment with pegs or more k.
Class 2 device recall synthes lcp diaphysealmetaphyseal volar. Internal fixation plates for distal radius fractures. Synthes locking distal radius plate set plate set lcp. Operative technique choose the appropriate implant according to patient anatomy and fracture pattern. More information the hoffmann ii compact is designed to complement the anatomy of the distal radius in difficult situations. Fractures of the distal radius were originally described by abraham colles in the nineteenth century as a benign pathological condition that did not cause functional limitations, but only esthetic limitations 1.
Internal fixation for the distal radius by david l. Corrective osteotomy for deformity of the distal radius using. Surgical treatment of distal radial fractures with a volar locking. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning. Variax distal radius operative technique stryker yumpu. Variaxdistal radius locking plate system osteosyntese.
As an aid to restoring leg length, a reference femoral prosthesis is the exact length of the resected distal measurement can be established across the joint. 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. Lowprofile plate design and reduced screw head prominence. Shorter distal screws could avoid this, yet the influence of distal screw length on the primary stability in vlpo is unknown. Incidence of hardware removal following volar plate fixation. It is most likely caused by distal screws protruding the dorsal cortex. Introduction the dvra plate provides stable internal fixation for the treatment of most fractures and deformities of the distal radius volar placement prevents tendon problems, preserves dorsal tissues and allows the use of ligamentotaxis to aid reduction anatomically distributed subchondral support pegs secure the distal fragments and. 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. Osteotomies, arthrodesis, and ligament reattachment may also be performed using these implants with the applicable operative technique. Indicated for fractures, osteotomies, and nonunions of the radius and other small bones. Pdf corrective osteotomy for deformity of the distal radius.
With a bovie or similar device, a mark is made on the femur, proximal to the femoral resection, along with. A a malunion typically exhibits shortening and an radial tilt of the radius. Polyaxial locking screws up to 10 trajectory variation. Thereafter, another orthopaedic surgeon confirmed that the plate was not in contact. Although the severity of the deformity does not often warrant surgical intervention 22, 51, patients who have lost normal volar tilt, radial inclination, and radial length relative to the ulna will complain of pain, limited motion, decreased grip strength, and cosmetic deformity. A radiolucent arm board is preferable so as not to impede fluoroscopy. The lateral antebrachial cutaneous nerve and the superficial branch of the radial nerve are carefully dissected, the first dorsal compartment is. Distal radius fracture repair with volar plate central. The insertion of the brachioradialis may be released. Distal radial fractures are the most common upper extremity fracture and. Lcp diameta volar distal radius plate 15 h shaftltsterile.
The influence of distal screw length on the primary stability. 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. For fragmentspecific fracture fixation with variable angle locking technology. Volar distal radius plate preoperative templates cat. However, by step operative technique as well studies have shown that fractures with comminution andor signi.
Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment speci. This operative technique contains a simple stepbystep procedure for the implantation of the distal lateral femoral plate. Distal humerus, radius, ulna, metacarpals, distal tibia, fibula, and metatarsals. Incidence of hardware removal following volar plate. The influence of distal screw length on the primary. Other medical or surgical conditions which would preclude the potential.