All osteosyntheses were performed by the same surgeon. Olecranon osteotomy is a wellestablished technique, providing access to the distal humerus for reduction and fixation of intraarticular fractures. Plate should be applied with compression across the fracture. Pdf a technique of elbow arthrodesis is presented that uses the biomechanical. Olecranon locking plate surgical techniquealog infor nota bene the technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. Long screws in the lateral column plate are designed to interdigitate with screws from the medial. 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. Plate design the screw holes of the plate have an inclination. Depuy synthes internal analysis of rib plating systems, 2018. Electronic instructions for use depuy synthes companies. Similar to the first case, the posterior olecranon fracture site window approach was used to expose the fracture site.
From this site you can view or print instructions for use for depuy synthes devices. The next step was pairbypair stable fracture fixation by application of the olecranon valcp synthes, solothurn, switzerland group 1 or the 3. Fractures of the proximal ulna are rare and usually managed surgically. Periloc periarticular locked plating system for upper and lower extremity fractures including. The evolution of locked plates, j bone joint surg am.
This is mostly due to protrusion of the proximal ends of the kwires or by the twisted knots of the metal wire tension band. Click to learn about the features of the variable angle lcp elbow system 2. After a longitudinal incision is made over the olecranon, the fracture is exposed and the hematoma evacuated. Five olecranon plates acumed, synthesss, synthesti, us implantsits, and zimmer were implanted to stabilize a simulated comminuted fracture pattern in 30 osteoporotic cadaveric elbows. Part of the depuy synthes locking compression plate lcp system. A bone plate designed specifically to accomplish fixation of an olecranon fracture and. From september 2009 to december 2011, 28 patients were managed using a precontoured locking compression plate lcp. Synthes 3 ao principles and indications in 1958, the ao formulated four basic principles which have become the guidelines for internal fixation. Plate must be strong and stiff enough to resist bending before union occurs 1 fracture reduction and plate placement attach the olecranon plate proximal targeting guide 800654 to the olecranon plate 7003xx with the locking bolt. Biomechanical evaluation of two innovative locking implants. The tension band technique for olecranon fractures yields good clinical outcomes. Depuy synthes plating systems commonly used for shoulder, clavicle, elbow, proximal tibia, distal. Coronal shear fracture of distal humerus associated with. Nov 29, 2007 the olecranon osteotomy provides wide exposure of the distal humerus, which exposure is optimal for repairing complex distal humerus fractures.
Periloc periarticular locked plating system for upper and. Cost savings calculation considers trays washed when using. We report our experience with precontoured locking plate. Mar 19, 20 the aim of this study was to evaluate the biomechanical stability of two newly designed fracture fixation devices for treating olecranon fractures during dynamic continuous loading. The acumed elbow plating system offers multiple fixation options for fractures of the distal humerus. Fracturespecific proximal ulna plates enable the surgeon to address the specific biomechanical. Repair of olecranon fractures using fiberwire without. Aug 11, 2014 plate contouring steps twisting the platethe anteromedial surface of the tibial shaft twists internally approximately 20 as it approaches the medial malleolus. The system includes anatomically contoured plates including medial, lateral, posterior lateral, olecranon, proximal radial head, and coronoid designs. The acumed system was the first elbow plating system to offer precontoured, parallel distal humerus plates. These results support plate fixation of olecranon fractures in geriatric patients as a viable. The first step of plate contouring is to twist the plate so it matches the tibial surface upon which it will lie. New, oneofakind ao trauma fracture challenge courses are in the works. Ao surgery reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence.
Orthopedic implants pdf catalog download link is given below. After performing imaging, the osteosynthesis material was then loosened, and articular. Headless screws synthes were applied to fix the fractures in the coronal plane. Lcp plt is indicated for the stabilization of fractures of the. The variable angle lcp elbow plating system offers the following features. Diagnostic accuracy of intraoperative ctimaging in complex.
Pdf arthrodesis of the elbow with two locking compression plates. Reconstruction plate segments allow additional contouring. Critical analysis of olecranon fracture management by pre. Methodsfourteen isolated mayo type ii olecranon fractures were treated nonoperatively, followed to discharge. The olecranon osteotomy is a surgical procedure in which the large process on the upper end of the ulna is cut to enable proximal retraction of the triceps and exposure of the distal humerus. A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. Variable angle lcp elbow system inservice powerpoint. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Clinical evaluation of locking compression plate fixation for. Nail system and method for an olecranon osteotomy synthes. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with anatomic curvature and instrumentation to aid with plate and screw insertion. Synthes, zeist, the netherlands by the senior author p. Among them, 6 were excluded because of missing data, which left 22 patients 11 males and 11 females with a mean age of 55. Plate fixation of olecranon osteotomies request pdf.
In the final analysis, the preferred treatment is that which addresses the needs of the specific patient. Bone shape analysis summary, a modi, p van citters, 2009, pages. Backgroundwe report on the nonoperative treatment of mayo type ii olecranon fractures. Request pdf plate fixation of olecranon osteotomies the management of intraarticular distal humeral fractures remains a difficult surgical problem. Jan 17, 2019 liss synthes pdf liss for liss and lcp plt plates surgical technique depuy synthes. Outcome of plate fixation of olecranon fractures request pdf. The fracture is fixated with a synthes plate and screws to complete. Small olecranon plate offers one tab option small olecranon plate olecranon plate elbow trials. The acumed elbow plating system offers multiple fixation options for fractures of the distal humerus, olecranon, and coronoid, as well as osteotomies of the olecranon. Made of titanium alloy ti6al4v and treated with a type ii anodization, these plates are able to carry the loads that are required of them while remaining low profile. The plate contours in the periloc system were determined by studying a large collection of cadaveric specimens at the cleveland. Simulated oblique olecranon fractures were created in eight pairs of fresh.
Results of open reduction and plate osteosynthesis in comminuted fracture of the olecranon. Oct 12, 2010 olecranon fractures are a common injury in fractures. Olecranon plate specifications overall length 79 mm 104 mm 154 mm 194 mm shaft width 10. In many patients, implants irritate overlying soft tissues and cause pain. Us8182517b2 fracture fixation plate for the olecranon of. After debriding and irrigating the wound area, the fracture is reduced with forceps and a lag screw is screwed into place. A new series of ao trauma fracture challenge courses simulate reallife operating room situations. Diagnostic accuracy of intraoperative ctimaging in. 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. Lockingplate osteosynthesis versus intramedullary nailing. After performing imaging, the osteosynthesis material was. Basic principles and techniques of internal fixation of fractures.
The fracturespecific lowprofile fixation system with variable angle locking technology. One elbow from each pair n 5 was randomly assigned to a conventional plate. The exhibit illustrates olecranon open reduction and internal fixation surgery of the left arm. Elbow plating system is designed to address fractures of the distal humerus, olecranon, and coronoid.
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