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. Distal radius fractures are among the most common fractures seen in the. Surgical technique this publication is not intended for distribution in the usa. Distal radius, randomized trial, volar plating, trimed, medartis, wrist, surgery. In order to meet the requirements of the delicate structures of the hand, the various plate designs are optimally adapted to the bone geometry. Korean type distal radius anatomical volar plate system. Volar locking plate fixation of distal radius fractures. Grabow hand to shoulder center medical professionals surgical assistants and technologists operative technique manuals operative technique manuals. Toma cd, machacek p, bitzan p, assadian o, trieb k, wanivenhaus a. Variable angle locking hand system surgical technique depuy synthes 7. Initial kwire placement can be done with a traditional crosspinning technique. Oblong hole for variable plate positioning and to facilitate axial compression. All fractures were treated with the aptus distal radius 2. Designed for ease of application, the jetx mini double pin clamp.
A total of 276 cases who underwent distal radius fracture surgery over. Stainless steel versus titanium volar multiaxial locking plates for. Surgical strategy and techniques for lowprofile dorsal plating in. Trilock dorsal distal radius plates, plate thickness. A proprietary 8mm slot that provides two differentiating. Plate position can be either lateral ulnar, volar or dorsal. The titanium volar plates are available in a wide array of sizes narrow, standard, and wide and in multiple shaft lengths. Rounded edges and a smooth surface for soft tissue protection. Surgical techniques stepbystep installation methods. Complications after volar plating may include tenosynovitis and extensor tendon rupture which may be increased with dorsal screw prominence due to repetitive trauma to the tendons from the screw 1, 3 5. The epub format uses ebook readers, which have several ease of. 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. Displaced distal radius fractures are commonly fixed with volar locking plates 5, 9, 34. Surgical technique instruments and implants approved by the ao foundation.
Instructions for use for medartis aptus indications plates. Hook plate accessory extends plate fixation capability to secure volar marginal fragments. Malunion remains one of the most common complications after extraarticular distal radius fractures. Multiple screw holes offer a high degree of intraoperative flexibility. 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. Trilock multidirectional 15 and angular stable locking technology. Volar approach to dorsally displaced distal radius fractures a volar plate with locked fixation provides balanced stable fixation of the distal fragments. Radiographic features normal distal radius angles duration. 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. The aptus wrist spanning plates are expressly designed to provide a new.
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. Epidemiology and changed surgical treatment methods for fractures of the distal radius. Open the extensor retinaculum performing a longitudinal incision between the first and second extensor compartments. Compatible with the screws and instruments of the aptus distal radius system 2. Stainless steel versus titanium volar multiaxial locking. Background the lowprofile dorsal locking plating dlp technique is useful for treating dorsally comminuted intraarticular distal radius fractures. The titanium wrist plating system is designed for fixation of intraarticular and extraarticular fractures, osteotomies, and nonunions and malunions of the distal radius. For distal olecranon fractures it is possible to anchor the two plates. Variable angle lcp twocolumn volar distal radius plate 2. Pathologic fracture of the distal radius in a 25yearold. In addition, all relevant information can be found on the internet at. Pmc free article wilcke mk, hammarberg h, adolphson py. Available in narrow, standard and wide options in varying lengths from 53mm to 200mm. Plates utilize smartlock technology which permits polyaxial screw placement.
Anatomical plate design, easily contourable to provide the desired fit. Osteotomies can be performed with either a 45 or 90 angle. Our elearning platform contains high resolution images and a certified cme of the radioscapholunate fusion using medartis plate with distal scaphoid excision surgical procedure. For fragmentspecific fracture fixation with variable angle locking technology. A novel fixation concept reduces these soft tissue problems. Common types of distal radius fractures everything you need to know dr.
Total knee replacement surgical technique duration. Up to three screws capture and stabilize even distal fragments. Chamfered edges and a smooth surface for soft tissue protection. Medartis ag hochbergerstrasse 60e 4057 baselswitzerland. Volar carpal translation maneuver using the medartis.
Intraoperative evaluation of dorsal screw prominence after. This novel design of the ingeniously curved plate helps to simplify plate positioning. 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. Open reduction with volar plate fixation is a common surgical procedure for the treatment of displaced fractures of the distal radius. Learn the radioscapholunate fusion using medartis plate with distal scaphoid excision surgical technique with step by step instructions on orthoracle. Radioscapholunate fusion using medartis plate with distal. Trilock variable angle of 15 in all directions in each screw hole.
Distal radius fracture repair with volar plate orthopedic. The occurrence of distal radius fractures peaks within. Geminus volar distal radius plate skeletal dynamics. Preangled trilock holes for oriented screw placement specially for the radial styloid.
Surgical strategy and techniques for lowprofile dorsal. Two plate lengths to address fractures of the ulnar head, neck and the distal shaft. Since its release, over 200,000 aculoc volar distal radius plates have been implanted globally. Instruments and implants approved by the ao foundation. Atraumatic screw options for every indication and surgeon preference. The chamfered and narrowed plate ends facilitate the insertion during surgery. A comprehensive offering of volar plates are available in. 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.
Using zimmers anatomical database, the plate contour conforms to a. Approximately 60,000 distal radius fractures occur annually in korea, and the. Distal radius fracture is the most common fracture of the upper extremity, with an annual incidence of 2 to 4 per 1,000 persons. Corrective osteotomy for deformity of the distal radius. It is a technique for fracture reduction during distal fracture fracture surgery. Wrist spanning plates offer a temporary internal fixation solution that can be used for complex. Juxtaarticular plates may be used for more complex fractures ao types b3, and c1c3.