In this technique, a volar plate is applied and the fracture is stabilized. Internal fixation plates for distal radius fractures. A portion of listers tubercle may need to be removed to allow the plate to sit flush on the distal radius. Volar locking plate fixation of distal radius fractures. Volar locking plates not touching the flexor pollicis. The reference lines on the plate help facilitate the creation of the osteotomy when a freehand cut is preferred. Acumed osteotomy system the acumed osteotomy system features the ulna shortening plate, designed to offer a lowprofile plate with builtin osteotomy reference lines and an osteotomy guide. 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 reconstruction of. The dorsal lunate plate is designed to provide support to fracture patterns that involve the dorsal lunate facet of the distal radius and the sigmoid notch.
In 2004, acumed introduced the aculoc targeted volar distal radius plate system for repairing fractures of the distal radius. Watch videos and explore interactive 3d product models. Plate and screw medical devices are used to treat a variety of indications, including in the shoulder, elbow and distal radius market. The insertion of the brachioradialis may be released. Alians distal radius range right plates green anodized dtdvpn2 20. Pdf distal radius fractures are the most frequent lesions encountered during clinical. Hardwarerelated complications after dorsal plating for. Acumed metacarpal neck plate case study figure 3 acumed metacarpal neck plate figure 4a figure 4b treatment the patient was taken to the operating room and was placed supine on the operating table with a hand table attachment. Available in narrow, standard and wide options in varying lengths from 53mm to 200mm. After fixation of the contralateral distal radius fracture, attention was turned to the fifth metacarpal neck fracture. Acumed forearm fracture solutions surgical technique.
Us8579946b2 anatomical distal radius fracture fixation. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning. The stableloc external fixator is designed to hold pins in place for fracture reduction or distraction to align the wrist, and to provide temporary ligamentotaxis to the wrist while the distal radius. Elbow plating system brochure and surgical technique. Acumed, oregon, usa and followed up for a minimum of 1 year. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. Distal radius anatomy applied to the treatment of wrist. Distal radius fixation systems company website volar plate dorsal plates others acumed. Pdf reconstruction procedures of distal radius fracture. Request pdf removal of locked volar plates after distal radius fractures we present our experience with. Displaced distal radius fractures are commonly fixed with volar locking plates 5, 9, 34.
Explore acumed s innovative orthopedic solutions with the official mobile app for your phone or tablet. Aculoc wrist plating system cambridge orthopaedics. Distal radius plates inlay for universal volar distal radius plates ref description implant module 2912 29 29114 2924 variax lid for sterilizing container sterilizing container, halfsize, wo variax lid variax distal radius plating instrument tray variax distal radius bone reduction tray ref description sterilizing container. Hook plate accessory extends plate fixation capability to secure volar marginal fragments. Removal of locked volar plates after distal radius fractures. Surgical technique total wrist fusion plating system. The acumed dorsal rim plate is placed on the dorsal aspect under fluoroscopic control. Pdf more than 200 years have passed since colles described a fracture of the distal end of the radius. Fragmentspecific fixation for fractures of the distal radius. Acumed stableloc external fixation system acumed offers the stableloc external fixation system for treatment of complex distal radius fractures. Acumed showcases two revolutionary products at the. Choose the appropriate implant according to patient anatomy and fracture pattern.
Orbay and touhami showed that flexor tendon injury may occur in the presence of a hand innovations plate if the fracture collapses and the plate lifts off from the volar radius. Comparative study of treatment for distal radius fractures with two. Flexor pollicis longus fpl rupture is a serious complication that may occur when using the vlp system 2, 3. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture.
The reference lines on the plate help facilitate the creation of the osteotomy when a. Providing fixation for half a million wrists prweb. Percutaneous k wire vs volar plate j bone joint surg am. The acumed aculoc 2 wrist plating system offers 48 plate options including distal and proximal sitting plates, three different plate extension options, and fragmentspecific plating choices. The system includes extension plates where fixation of long segments is required, and complementary distal radius fragment specific plates. The notification informed consignees to remove the plates from their inventory and return them to acumed. Email updates yes, please send me updates by email. Acumed aculoc 2 volar distal radius plating system. Acumed locking superior distal clavicle plates youtube. The titanium volar plates are available in a wide array of sizes narrow, standard, and wide and in multiple shaft lengths. The shoulder plate and screw medical devices are used to treat proximal humerus fractures, usually they work best if anatomically formed, using a. Unstable distal radius fractures in 15 patients, comprising 3 men and 12 women with a mean age of 64. Complications of distal radial and scaphoid fracture treatment. In our case, postoperative xrays showed a 3 mm gap between the most distal section of the volar plate and the distal radius.
Us market report for plates and screws 2017 medcore. Limited contact a limited contact undersurface is designed to ease compression of the periosteum to minimize distla decrease in blood supply to the. Geminus volar distal radius plate skeletal dynamics. The acumed aculoc 2 vdr plate was launched in 2010, and recently the number of aculoc and aculoc 2 vdr plate sales reached half a million worldwide. The proximal distal relationship of the plate is assessed under fluoroscopy. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Flexor tendon injuries following locked volar plating of. Acumed distal radius and diaphyseal plate g exemplary ct scan images demonstrating. Comments about the acumed aculoc 2 volar distal radius. Aculoc 2 volar distal radius plating system surgical. Browse through events, view photo galleries, product details, and documents libraries. We are dedicated to developing products, service methods, and approaches that improve patient care.
The acumed anatomic radial head system is designed to provide an 2 mini and micro instruments and the locking. The notification did not include any instructions for a. Did you know you can register for free with this website. Complications of distal radius fractures treated by volar. Optilock yes becton colles fracture plate external fixator dvo. Low profile distal radius fracture fixation plate us7635381b2 en 20030327. Aculoc wrist plating system surgical technique acumed. Acumed midshaft forearm plates are indicated for the treatment of fractures, fusions, and osteotomies of the radius and ulna. Acumed locking anterior clavicle plates which medical device. Keywords distal radius fracture, palmar locking plate, range of motion. Acumed ankle plating system 3 cadaver lab part 2 posterolateral. Atraumatic screw options for every indication and surgeon preference.
Distal radius anatomy applied to the treatment of wrist fractures by plate. The extensor pollicis longus is left free, and the retinaculum of the second and fourth. Two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. Internal orthopaedic fixation system, platescrew, nonbioabsorbable, nonsterile 16 internal orthopaedic fixation system, platescrew, nonbioabsorbable, sterile 10 orthopaedic fixation plate bending insert, reusable 1 fda product code name. A proprietary 8mm slot that provides two differentiating. This provides better bone fusion and improves patient outcome. 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. The head portion includes a lower surface, a central portion, a radial side and an ulnar side. External fixation vs volar plate j bone joint surg am. Distal radius fracture fixation plate having kwire hole structured to fix a kwire in one dimension relative to the plate us7250053b2 en 20030327. The acumed plate designed for second metarcapal placement was placed along the index metacarpal for the initial screw placement. Also poor contact between the plate and the anterior cortex of the distal radius is a factor leading to plate failure. Us9072558b2 distal radius fracture fixation plate with.
The purpose of this investigation is to determine whether osteoporotic intraarticular distal radius fractures surgically treated by filling all 7 distal screws of a volar plate will. An anatomically precontoured, lowprofile, nonlocking, titanium alloy ti6al4v plate acumed, beaverton, oregon was applied directly on the. The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. Internal fixation for the distal radius by david l. Orif fracture of the distal radius with volar acumed plate. At that point the articular cartilage was decorticated off the remaining distal radius and carpal bones. Management distal radius and distal ulnar fractures with. Dtdvps1 polyaxial plate for distal radius standard head size 1 right dtgvps1 polyaxial plate for distal radius standard head size 1 left. Distal radius fracture, volar locking plates, orif. The acumed fragmentspecific plate system is composed of four plates. Explore acumeds innovative orthopedic solutions with the official mobile app for your phone or tablet. Distal radial fractures are the most common upper extremity fracture and account for 15% of all fractures 1, 2. Fragmentspecific fixation for fractures of the distal radius ncbi.
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. The titanium wrist plating system is designed for fixation of intraarticular and extraarticular fractures, osteotomies, and nonunions and malunions of the distal radius. The full text of this article is available in pdf format. Flexor tendon injuries following plate fixation of distal radius fractures. The aculoc 2 wrist plating system offers plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions. Acumed offers the total wrist fusion plating system for wrist arthrodesis due. In 2004, acumed designed an innovative solution for repairing fractures of the distal radius by designing the first truly anatomic volar plate. Locking clavicle plating system cambridge orthopaedics.
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