Thirtyfive consecutive patients meeting inclusion criteria. Internal fixation of olecranon fracture using synthes lcp. Lcp distal humerus plates medial plate position and adaption of the plate required instruments bending pliers for plates 2. Curved shape for positioning around the olecranon tip. All technique guides are available as pdf files at. Lcp hook plate depuy synthes pdf catalogs technical. Lcp metaphyseal plates lcp olecranon plate lcp pediatric condylar plate 90, 3. Olecranon osteotomy end cap countersunk end cap for reduced soft tissue irritation and reoperations easy reattachment of olecranon single size. Lockingplate osteosynthesis versus intramedullary nailing. Five olecranon plates acumed, synthes ss, synthes ti, us implantsits, and zimmer were implanted to stabilize a simulated comminuted fracture pattern in 30 osteoporotic cadaveric elbows. Lcp distal ulna depuy synthes pdf catalogs technical.
Instrument assembly 1 choose the matching guiding block and place it onto the plate head. The ion has a 6 convex bend toward the radial side. Olecranon plate specifications overall length 79 mm 104 mm 154 mm 194 mm shaft width 10. Olecranon fractures comprise 10% of all upper extremity fractures. The lowprofile locking plates were contoured to the bone without damaging a screw hole by the usual devices served by the company. Comparison of outcomes and costs of tensionband and locking. The acumed elbow plating system offers multiple fixation options for fractures of the distal humerus. This technique describes the application of the lcp hook plate 3. Diameter 6 mm, length 40 mm 2 synthes olecranon osteotomy nail technique guide.
This site is published by the depuy synthes companies, which are. Extended medial plate medial plate lateral plate distal. It offers guidance that should be followed, but, as with. The synthes variable angle lcp elbow system is intended for fixation of fractures of the distal humerus, olecranon and ulna in adults and adolescents 1221 in which the growth plates have fused. Synthes liss df technique manual pdf download manualslib. The first flange includes a plurality of longitudinally spaced apertures through which bone attaching screws may be. Biomechanical evaluation of two innovative locking.
Long screws in the lateral column plate are designed to interdigitate with screws from the medial. Make sure that the threepoint locking mechanism is positioned on the precontoured reference points of the plate. Mar 16, 2019 purpose olecranon fractures are common and typically require surgical fixation due to displacement generated by the pull of the triceps muscle. Olecranon osteotomy cutting jig provides four location options to start the chevron osteotomy of the olecranon and also allows for predrilling of the proximal and distal screw holes of the olecranon plates. Synthes small fragment locking compression plates lcp are intended for fixation of fractures, osteotomies, and nonunions of the clavicle, scapula, olecranon, humerus, radius, ulna, pelvis, distal tibia, and fibula, particularly in osteopenic bone. Lowprofile double plating versus dorsal lcp in stabilization of the. Variable angle lcp elbow system inservice powerpoint. Intramedullary screw fixation for simple displaced olecranon. Depuy synthes olecranon osteotomy nailing oleon system mr conditional 14. Depuy synthes trochanteric fixation nail tfn system mr conditional 12. December 26, 2018 elizabeth jacobs regulatory affairs.
Elbow plating system brochure and surgical technique. Medartis ag hochbergerstrasse 60e 4057 baselswitzerland. Plate system is designed to allow surgeons flexibility in choosing which plating approach they wish to use. Lowprofile double plating versus dorsal lcp in stabilization. The plate actually has more locking options, which could have provided more stability if they all were used. Proximal olecranon plate olecranon plate extraarticular proximal ulna plate. Plate fixation of olecranon osteotomies request pdf.
Part of the modular synthes lcp elbow system lcp hook plate 3. Download pdf ti large fragment lcp system inventory control form. Critical analysis of olecranon fracture management by pre. Instrumentation targeted drill guide aids in threading the locking drill guides into the proximal cluster of the olecranon plates. Plate proximal olecranon plate olecranon plate extended medial distal humerus plate medial distal humerus plate 180. Distal humerus plate, olecranon plates proximal ulna plates and proximal radius plates. The most common techniques for repairing olecranon fractures are tensionband wiring or plate fixation, but these methods are associated with high rates of implantrelated softtissue irritation. Lcp distal humerus plates medical equipment pdf manual download. Biomechanical evaluation of two innovative locking implants.
Outcome of plate fixation of olecranon fractures request pdf. Check plate position with a kirschner wire instrument 292. Small olecranon plate offers one tab option small olecranon plate olecranon plate elbow trials. Synthes products supplied in a nonsterile condition must be cleaned and steamsterilized prior to surgical use. Pdf plate osteosynthesis for severe olecranon fractures. Synthes lcp distal humerus plates technique manual pdf. Narrow bar for minimal incision into the tendon insertion. Locking olecranon plates coronoid plates the locking olecranon plates provide excellent fixation in the proximal ulna for both fractures and. Lcp olecranon plate surgical technique depuy synthes 11 5 attach the plate temporarily required instruments 312. Instructions for use intramedullary nailing implants.
In simple fractures of the ulnar neck, apply the plate then to the subcutaneous border of the distal ulna, securing points of fixation in both the head and the shaft. Radial head fracture, coronoid process fracture, and elbow dislocation may be present concomitantly. Flex the elbow 90, reduce the fracture and apply the plate. An additional cerclage wire was used as tbw and placed in a figureofeight fashion. Information available on depuy synthes data extraction table windchill number 000249657.
The following pages contain a step by step operative technique which illustrate the system. Plate should provide stable fixation of the ulnar shaft. To determine if there are significant differences in outcomes and costs between tensionband and lockingplate fixation of transverse olecranon fractures in. Depuy synthes adolescent lateral entry femoral nail system mr conditional. Onelevel 1 trauma center and 1 tertiary care hospital. Pdf arthrodesis of the elbow with two locking compression. Range of motion after treatment with lowprofile double plate. All osteosyntheses were performed by the same surgeon. Depuy synthes universal locking trochanter stabilization plate mr conditional 11. To determine if there are significant differences in outcomes and costs between tensionband and locking plate fixation of transverse olecranon fractures. For simple fractures and osteotomies of the olecranon. The prongs in the proximal end of the plate should penetrate the triceps tendon and provide provisional fixation. Plate must be strong and stiff enough to resist bending before union occurs. The fracturespecific lowprofile fixation system with variable angle locking technology.
Xrays lateral view of radial head replacement, with arh and. To evaluate the outcomes of olecranon fractures treated with 2. Office of general services home page office of general services. Assemble jig to the olecranon plate 18 position the olecranon plate 19 insert proximal screws 20 insert shaft screws 20 wound closure 20 postoperative treatment 20 implant removal 20 zimmer periarticular elbow locking plates information 21 plates for distal humerus two plates technique 90 plate placement 21. Dec 07, 2019 distal humerus plate synthes pdf synthes. May 16, 2020 in group two, an olecranon locking plate lcp 3. The most distal screw hole should lay on the anatomical joint axis. Comminuted olecranon fractures treated with anatomically. Prior to steamsterilization, place the product in an approved wrap or contain er. Part of the complete synthes lcp elbow set lcp olecranon plate variety of plates.
Left and right version choice of six lengths with 2, 4, 6, 8, 10 or 12 lcp combiholes in the shaft proximal portion of the plate with 8 locking holes allows to set a maximum number of locking screws. Plate should be applied with compression across the fracture. Learn the internal fixation of olecranon fracture using synthes lcp olecranon plate surgical technique with step by step instructions on orthoracle. Bone shape analysis summary, a modi, p van citters, 2009, pages. The variable angle lcp elbow system is a nextgeneration elbow plating system featuring variable angle locking technology, lowprofile plates and. View and download synthes lcp distal humerus plates technique manual online. Part of the depuy synthes locking compression plate lcp. Note the absence of contact between the plate and proximal olecranon. Olecranon plates we distinguish two fracture and plate types. The acumed system was the first elbow plating system to offer precontoured, parallel distal humerus plates. Olecranon plate locking and non locking screws dedicated instrumentation. Distal humerus plates are indicated for intraarticular fractures, comminuted supracondylar fractures, osteotomies, malunions and. Total va lcp system plate options 156 depuy synthes 2.
The anatomic fixation system for the distal humerus with angular stability. Frakturspezifisches plattensystem mit verriegelung in variablem winkel. The olecranon plates have several holes for temporary fixation with kwires of diameter 1. A bone plate designed specifically to accomplish fixation of an olecranon fracture and consisting of a generally lshaped plate including a first elongated flange and a second flange at one end of the first flange disposed at generally right angles relative to the first flange. Jun 01, 2015 the next step was pairbypair stable fracture fixation by application of the olecranon valcp synthes, solothurn, switzerland group 1 or the 3. Can lowprofile doubleplate osteosynthesis for olecranon fractures. Pdf fractures of the proximal ulna range from simple olecranon fractures to. In 9 patients, additional plates were required to control comminution. Plate placement attach the olecranon plate proximal targeting guide 800654 to the olecranon plate with the locking bolt. 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.
Jun 01, 2020 the inclusion criteria were as follows. Fracturespecific proximal ulna plates enable the surgeon to address the specific. The olecranon plate comprises an internal apparatus requiring an open operation, direct contact of the olecranon plate with the bone and reducation of the. Available computed tomographic ct scans were evaluated for the presence of comminution. Revision surgery of an olecranon fracture after initial. Can lowprofile doubleplate osteosynthesis for olecranon. Fractures with interfragmentary support olecranon tension plate a4856. Page 20 carefully check the position of the plate and the length of the reduced injured limb. Fracturespecific proximal ulna plates enable the surgeon to address the specific biomechanical.
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