The acumed aculoc extraarticular plate is designed for extraarticular distal radius fractures and osteotomies. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Orif fracture of the distal radius with volar acumed plate. Acumed php proximal humerus plate surgical technique.
The titanium wrist plating system technique is designed for fixation of intraarticular and extraarticular fractures, osteotomies, as well as nonunions and malunions of the distal radius. Once the appropriate plate is selected, attach the corresponding radiolucent vdr targeting guide 8000xx using the locking screw, aculoc radiolucent targeting guide 800038. Acumen officials say that the device allows for a simplified operating room experience as it includes both plates and nails that use. Acumed ankle plating system 3 cadaver lab part 2 posterolateral. Acumed now offers the aculoc wrist spanning plate for complex distal radius fractures.
Aculoc wrist spanning plate surgical technique acumed. Distal radius fracture is a common trauma in the elderly because of the high frequency of osteoporosis in this age group. Study finds plating distal radius fractures effective but. Distal radial fractures are the most common upper extremity fracture and account for 15% of all fractures 1, 2. Distal radius fracture is the most common fracture of the upper extremity, with an annual incidence of 2 to 4 per 1,000 persons. The plate sits more proximally than the standard aculoc volar distal radius plate, and its distal locking screws are angled to support the dorsal lip of the radius, maximizing purchase in the subchondral bone. With the anatomic radial head system,the surgeon is equipped.
The original aculoc volar distal radius plate has been a market leader in fracture fixation since its introduction in 2004. The aculoc wrist spanning plate is indicated for fixation of. Fragmentspecific fixation for fractures of the distal radius ncbi. Acumed aculoc2 volar distal radius surgical technique. Orthopedics today in the world of hand surgery, new surgical techniques and implants promising to provide reliable solutions for treating distal radius fractures come and go. Distal radius modeling supports contemporary volar distal radius plate design background distal radius fractures are among the most commonly observed skeletal injuries, accounting for approximately 15% of all extremity fractures. Distal humerus plate surgical technique 15 coronoid plate surgical technique 18 ordering information 20 notes 23 2 orthopaedic surgeons are continually developing improved methods of fracture fixation and rehabilitation. Failure of volar locking plate fixation of an extraarticular distal radius. In general among hand and forearm fractures, fractures of the distal radius comprise the. 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. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. Aculoc wrist plating system surgical technique acumed. Choose the appropriate implant according to patient anatomy and fracture pattern. Periloc volar distal radius locking plate click here.
Initial kwire placement can be done with a traditional crosspinning technique. Pdf for surgical treatment of unstable distal radius fractures, fixedangled locking volar plate. Radial head plate system at the base of the tray to provide multiple solutions all in one set. Acumed, a hillsboro, oregon, orthopedic firm, is introducing its new polarus 3 solution, a method to treat proximal humerus fractures. If you are unable to view an acumed ifu online, you may request a paper copy. Displaced distal radius fractures are commonly fixed with volar locking plates 5, 9, 34. All fractures were treated by using a fixedangle locking plate dvr, biomet, miami, florida, usa and a single volar incision overlying the fcr tendon. Complex distal radius fractures, such as a volarly displaced fracturedislocation of the distal radius a bartons fracture, or those fractures who have a concomitant open wound with soft tissue damage will usually require an open reduction and internal fixation orif of the fracture with a plate fig. The acutrak 2 mini system can be included in the base of the tray,as well as the mayo clinic radial head plate if needed upon request. A a malunion typically exhibits shortening and an radial tilt of the radius. Do you want to use the redesigned ao sr like an app. The clavicle plating system offer low and narrowprofile plate solutions precontoured to match the natural sshape of the clavicle. Extraarticular volar distal radius plates plate positioned away from articular surface diverging screws secure styloid and distal fragments for fixation of simpler fractures 2 synthes 2. Aculoc 2 volar distal radius plating system surgical.
Cm henn, sw wolfe distal radius fractures in athletes. The twoplate technique of dorsal fixation of distal radius fractures offers increased stabilization. The aculoc wrist spanning plate, designed for complex distal radius fractures, holds the wrist in distraction and provides ligamentotaxis to the wrist on a. Volar locking plate fixation of distal radius fractures. In 2004, acumed introduced the aculoc targeted volar distal radius plate system for repairing fractures of the distal radius. Wristore distal radius fracture fixator surgical technique 3 distal radius fracture classifications the classifications of a drf are based on the location of the fracture intraarticular vs. A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. Acumed ankle plating system 3 cadaver lab part 3 proximal posterolateral approach. Elbow plating system brochure and surgical technique. Ifu documents contain sterilization and cleaning instructions, and other product information. For the acutrak 2 headless compression screw system surgical technique, please reference part number spf0002. Review an animated version of acumeds suggested surgical method for implanting the aculoc 2 volar distal radial plate, designed for fracture fixation and. Acumed upgrades humerus fracture device orthopedics this.
Pdf distal radius measurements and efficacy of fixedangle. One plate buttresses the radial column the dorsoradial plate, and the other plate supports the intermediate column the dorsoulnar plate. The wristore fixator is applicable for use in unstable and comminuted. The acumed aculoc 2 proximal volar distal radius vdr plates are designed for distal radius fracture and osteotomies, as well as segmented diaphyseal fractures. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. Korean type distal radius anatomical volar plate system clinics in orthopedic surgery vol. The acumed fragmentspecific plate system is composed of four plates. Distal radius fixation with volar locking plate by a minimally invasive. The plate is designed to hold the wrist in distraction and to provide ligamentotaxis to the wrist on a temporary basis while the distal radius heals. Muller martin allgower robert schneider hans willenegger. The elbow plating system offers precontoured, indicationspecific plates and. Volar plate fixation of intraarticular distal radius. The aculoc vdr plate pldrxxx is designed to sit along the distal aspect of the radius to support the volar articular fracture fragments.
Our comprehensive portfolio will fit your need to treat fractures, small joint arthroplasty, fusions and soft tissue procedures. In line with our goal to bring to the market products that evolve and improve patient outcomes, acumed introduces three additional plate designs to the system. Acumed aculoc 2 volar distal radius plating system surgical technique. Acumed surgical technique stableloc external fixation.
The variax distal lateral plate and the vairax fibula straight plates are intended for use in internal fixation of the distal fibula. The anatomic radial head system is a comprehensive solution for radial head fractures. Orthopedic trauma incl pediatrics your digital gateway to expertise, education, and innovation. Then from 2005 onwards, for the remaining 50 patients with 52 fractures, the plates used were the. The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. Guide insert with the square driver after checking the drilled depth figure. In fact volar locking plate failure due to nonunion of the distal radius is rare. Reproducible results with its patented polyaxial locking technology, variax brings something new to surgeons.
For the locking radial head plate system surgical technique, please reference part number elb0002. Internal fixation for the distal radius by david l. Volum 22, number 1, march 2014, pages 2938, 02012014. 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. Proximal row of the head of the plate remove each f. Paragon28 ankle fracture plating system orthopedic. The stableloc external fixator is designed to hold pins in place for fracture reduction or distraction to align the wrist and to provide ligamentotaxis to the wrist on a temporary basis while the. Show all bone void fillers plating screws small joints soft tissue. Internal fixation plates for distal radius fractures. Since abraham colles first description in 1814 3, their treatment has continually evolved, with open reduction and internal fixation orif using volar locking plate technology becoming increasingly employed with the aim to restore function through anatomical. Acumed has introduced the aculoc 2 volar distal radius vdr plating system as the next generation in plating fixation. Distal radius fracture an overview sciencedirect topics. Surgical treatment for distal radial fractures has seen a significant evolution over the past decade with the advent of locking plate technologies and anatomic and lowprofile plate contouring, as. Operative technique 11 anatomical volar plate 11 universal volar plate dorsal plate 15 lateral distal radius plate 17 aiming block 18 ordering information plates 20 ordering information cross pin screws 23 ordering information t7 drive screws 25 ordering information instruments 27 ordering information plate trials 28.
Removal of locked volar plates after distal radius fractures article in the journal of hand surgery 366. To view any acumed ifu, you must have adobe reader installed. Removal of locked volar plates after distal radius fractures. Acumed offered an innovative solution for repairing intraarticular fractures, malunions, and nonunions of the distal radius by designing the first precontoured volar plate based on cadaveric research.
The titanium volar plates are available in a wide array of sizes narrow, standard, and wide and in multiple shaft lengths. When it comes to hand and wrist treatment we have you covered. Innovation with purpose were dedicated to developing orthopaedic solutions that improve patient care and advance the field of orthopaedic surgery. Comments about the acumed aculoc 2 volar distal radius.
The system presents several plate options, a unique twopiece locking compression screw, innovative instrumentation for fracture management, and plate placement tools. A total wrist fusion was performed as the method of choice at that point in time. Current concepts in the treatment of distal radial fractures. Use the form below to search for the most current ifus.
Aculoc 2 wrist plating system surgical technique acumed. Customizable plate length and width options allow for sizing of varying patient anatomies. Learn more we provide a host of solutions to treat these types of fracture types, offering. All plates are lowprofile, with recessed holes that allow for a locking or nonlocking screw to be placed. Acumed aculoc standard plate does not fit to radius number 9. The insertion of the brachioradialis may be released. Ao surgery reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. During the surgery, a significant degree of bone loss and nonunion were.
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