Intraoperative evaluation of dorsal screw prominence after. In 2004, acumed introduced the aculoc targeted volar distal radius plate system for repairing fractures of the distal radius. Stainless steel versus titanium volar multiaxial locking plates for. Rounded edges and a smooth surface for soft tissue protection. Distal radius fracture is the most common fracture of the upper extremity, with an annual incidence of 2 to 4 per 1,000 persons. Volar approach to dorsally displaced distal radius fractures a volar plate with locked fixation provides balanced stable fixation of the distal fragments. Pathologic fracture of the distal radius in a 25yearold. For fragmentspecific fracture fixation with variable angle locking technology. Volar carpal translation maneuver using the medartis. A novel fixation concept reduces these soft tissue problems. The resulting peripheral configuration of kwires should leave the center of the distal radius free for eventual placement of the conventus cage dr, as shown in the diagram to the left.
Lowprofile radial head plates, journal of hand surgery, 2011, 36a. Trilock multidirectional angular stability of 15 in all directions in each screw hole. A proprietary 8mm slot that provides two differentiating. Surgical techniques stepbystep installation methods. Since its release, over 200,000 aculoc volar distal radius plates have been implanted globally.
A comprehensive offering of volar plates are available in. Up to three screws capture and stabilize even distal fragments. It is a technique for fracture reduction during distal fracture fracture surgery. Surgical strategy and techniques for lowprofile dorsal. Distal radius fractures are the most common type of all fractures seen in the emergency department and constitute 10% to 25% of all extremity fractures 1,2. The titanium wrist plating system is designed for fixation of intraarticular and extraarticular fractures, osteotomies, and nonunions and malunions of the distal radius. Multiple screw holes offer a high degree of intraoperative flexibility. Toma cd, machacek p, bitzan p, assadian o, trieb k, wanivenhaus a. Volar locking plate fixation of distal radius fractures. Volar locking plate fixation may be used for both volarly and dorsally displaced fractures and provides fracture stability under axial loads encountered during early postoperative mobilisation despite the fixation being on the tension side of the fracture complex 7, 15, 18, 21, 26, 27, 37. Hook plate accessory extends plate fixation capability to secure volar marginal fragments. In order to meet the requirements of the delicate structures of the hand, the various plate designs are optimally adapted to the bone geometry. Learn the radioscapholunate fusion using medartis plate with distal scaphoid excision surgical technique with step by step instructions on orthoracle.
Open reduction with volar plate fixation is a common surgical procedure for the treatment of displaced fractures of the distal radius. The titanium volar plates are available in a wide array of sizes narrow, standard, and wide and in multiple shaft lengths. Together with leading surgeons medartis has developed the unique aptus hand fixation system for the management of fractures and arthrodeses of the phalanges and metacarpals. Total knee replacement surgical technique duration. Prospective evaluation of distal radius fractures treated. Available in narrow, standard and wide options in varying lengths from 53mm to 200mm. Grabow hand to shoulder center medical professionals surgical assistants and technologists operative technique manuals operative technique manuals. Radiographic features normal distal radius angles duration. All fractures were treated with the aptus distal radius 2. Stainless steel versus titanium volar multiaxial locking. The epub format uses ebook readers, which have several ease of. Initial kwire placement can be done with a traditional crosspinning technique. A total of 276 cases who underwent distal radius fracture surgery over.
Preangled trilock holes for oriented screw placement specially for the radial styloid. This novel design of the ingeniously curved plate helps to simplify plate positioning. Wrist spanning plates offer a temporary internal fixation solution that can be used for complex. Distal radius fractures are the most common fractures of the upper extremities. Trilock multidirectional angular stability of 15 in all directions and in each screw hole. Displaced distal radius fractures are commonly fixed with volar locking plates 5, 9, 34. Trilock dorsal distal radius plates, plate thickness. In general among hand and forearm fractures, fractures of the distal radius comprise the largest portion 44 percent.
Inclusion criteria included patient age of 18 to 89 years, a displaced andor unstable distal radius fracture requiring open reduction internal fixation, and a minimum final clinical and radiographic followup of 12 months. Oblong hole for variable plate positioning and to facilitate axial compression. Geminus volar distal radius plate skeletal dynamics. Plates utilize smartlock technology which permits polyaxial screw placement. Corrective osteotomy for deformity of the distal radius. 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. Trilock variable angle of 15 in all directions in each screw hole. Compatible with the screws and instruments of the aptus distal radius system 2. Osteotomies can be performed with either a 45 or 90 angle. Approximately 60,000 distal radius fractures occur annually in korea, and the. Two plate lengths to address fractures of the ulnar head, neck and the distal shaft. In addition, all relevant information can be found on the internet at. The chamfered and narrowed plate ends facilitate the insertion during surgery.
Medartis ag hochbergerstrasse 60e 4057 baselswitzerland. Epidemiology and changed surgical treatment methods for fractures of the distal radius. Chamfered edges and a smooth surface for soft tissue protection. Radioscapholunate fusion using medartis plate with distal. The incidence of distal radius fractures continues to rise as the population in industrialised countries grows in line with an increase in age and life expectancies 3,4. The aptus wrist spanning plates are expressly designed to provide a new. Distal radius, randomized trial, volar plating, trimed, medartis, wrist, surgery. Variable angle locking hand system surgical technique depuy synthes 7. Pmc free article wilcke mk, hammarberg h, adolphson py. Using zimmers anatomical database, the plate contour conforms to a. Anatomical plate design, easily contourable to provide the desired fit. Instructions for use for medartis aptus indications plates. Our elearning platform contains high resolution images and a certified cme of the radioscapholunate fusion using medartis plate with distal scaphoid excision surgical procedure.
Atraumatic screw options for every indication and surgeon preference. Distal radius fractures are among the most common fractures seen in the. Malunion remains one of the most common complications after extraarticular distal radius fractures. Common types of distal radius fractures everything you need to know dr. Instruments and implants approved by the ao foundation. Distal radius fracture repair with volar plate orthopedic. The occurrence of distal radius fractures peaks within. For distal olecranon fractures it is possible to anchor the two plates. Surgical technique instruments and implants approved by the ao foundation. Open the extensor retinaculum performing a longitudinal incision between the first and second extensor compartments. Designed for ease of application, the jetx mini double pin clamp. Surgical strategy and techniques for lowprofile dorsal plating in. Surgical technique this publication is not intended for distribution in the usa. 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.