Acumed aculoc 2 volar distal radius plating system. Dorsal plate fixation is an important and useful treatment strategy for certain types of distal radius fractures. Acumed ankle plating system 3 cadaver lab part 3 proximal. In recent years, great changes have taken place both in the treatment options of the distal radius and the patient demands which have increased. Cm henn, sw wolfe distal radius fractures in athletes. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. The system includes extension plates where fixation of long segments is required, and complementary distal radius fragment specific plates. Surgical technique this publication is not intended for distribution in the usa. Alians distal radius range right plates green anodized dtdvpn2 20. The acumed anatomic midshaft forearm plating system offers marked hardware improvements over traditional straight plates. Distal radius plate in titanium orthopaedic implants. Winstar distal radius plate 4hole, left and right material.
Take special care to confirm the presenceabsence of an ulnar volar fragment on imaging. The arthrex distal radius dorsal plate allows direct buttressing of dorsal comminution while keeping a low profile repair to reduce extensor tendon irritation. Campbellopen reduction and internal fixation of intraarticular and unstable fractures of the distal radius using the ao distal radius plate j hand surg br, 25 2000, pp. Instruments and implants approved by the ao foundation. Kadakia is a codesigner of the acumed ankle plating system 3, which features seven plate families to treat the distal fibula and tibia. 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. Biomechanical analysis of volar and dorsal double locking. Titanium winstar distal radius plate 3hole, left and right material. Modality of treatment for the distal end radius fracture. Standard plates include the offset plate, 6 and 10hole straight plates, and t plates. However, there is no current consensual evidence to guide the selection of one technique over the other. All fractures were treated by using a fixedangle locking plate dvr, biomet, miami, florida, usa and a single volar incision overlying the fcr tendon.
Then from 2005 onwards, for the remaining 50 patients with 52 fractures, the plates used were the dvr. Two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. The acumed system was the first elbow plating system to offer precontoured, parallel distal humerus plates. Fractures of distal radius account for up to 20% of all fractures treated in emergency department. Along with the proximal and distal radioulnar articulations, an interosseous membrane originates medially along the length of the body of the radius to attach the radius to the ulna. Novel dual head minimizes plate profile, reducing the potential for flexor tendon injuries. Orif fracture of the distal radius with volar acumed plate dan hutt. The distal end of the radius forms two palpable points, radially the styloid process and listers tubercle on the ulnar side. Aculoc 2 volar distal radius plating system surgical. A 40 yearold, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plate.
Displaced distal radius fractures are commonly fixed with volar locking plates 5, 9, 34. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning. Orif fracture of the distal radius with volar acumed plate. The use of dorsal plating has largely fallen out of favor due to the high rates of extensor tendon complications associated with first generation dorsal plates. Internal fixation for the distal radius by david l. Emerging technologies in distal radius fracture fixation. Also poor contact between the plate and the anterior cortex of the distal radius is a factor leading to plate failure. Korean type distal radius anatomical volar plate system clinics in orthopedic surgery vol. Lee, md, new york, ny presents the arthrex volar distal radius plate technique. Results measurements showed a mean dorsal hook angle of product overview 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. Variable angle lcp twocolumn volar distal radius plate 2.
It consists of the carpus, distal ulna and distal radius. Of these, over 40% are considered unstable and require some form of fixation. Limited contact a limited contact undersurface is designed to ease compression of the periosteum to minimize distla decrease in blood supply to the. Arthroscopically asisted orif with volar plate fixation for distal radiu. It occurs in middle aged and elderly women commonly. General features of distal radius anatomy the distal portion of the radius has a quadrilateral crosssection and includes the metaphyseal and epiphyseal regions.
Volar plate fixation of distal radius fractures jorge orbay, md miami hand center, 8905 southwest 87 avenue, suite 100, miami, fl 33176, usa reliable internal. Dorsal and volar plates for fractures and osteotomies of the distal radius. Furthermore, in the usa, the annual incidence of distal forearm fractures attributable to osteoporosis is 250,000 per year 7. Distal radius fractures are among the most common fractures seen in the hospital emergency department. Plate position the plate is designed to sit along the distal aspect of the radius to support the volar articular fracture fragments and just proximal to the watershed line to minimize tendon irritation. Acumed has introduced the aculoc 2 volar distal radius vdr plating system as the next generation in plating fixation. Evidence based postoperative treatment of distal radius. Guide insert with the square driver after checking the drilled depth figure 18. Biomechanical evaluation of volar locking plates for distal. Variax distal radius locking implant module, doublesized inlay for anatomical volar 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. Volar plate fixation of intraarticular distal radius. In addition, converging ulnar screws, suture holes, and kwire holes have been incorporated.
The insertion of the brachioradialis may be released. The screw trajectory is designed to allow screws to capture platkng fragments and avoid other screws regardless of the screw length selected. Distal radius fractures are no exception to this increase and constitute up to 15% of all extremity fractures. The fibula locking plate is a proven osteosynthesis system for various distal fibula fractures. Early palmar plate fixation of distal radius fractures may. Dorsal plate fixation for distal radius fractures springerlink. Choose the appropriate implant according to patient anatomy and fracture pattern. As distal radius fractures have become one of the most common injuries treated with internal fixation, oic supports surgeon and facility in achieving great outcomes under increasing reimbursement pressures. Korean type distal radius anatomical volar plate system. Screw trajectories are designed to provide optimal subchondrial support. As palmar plating of distal radius fractures drfs became more popular, the incidence of operative treatment increased, particularly among older women chung et al. Acumed total wrist fusion lating system surgical technique neutral plate standard plate 3 plate placement standard plates small plates the total wrist fusion plate, standard 700325 or 700326 or total wrist fusion plate, small 700327 or 700328 is placed on the dorsum of the index metacarpal and carpus and dorsoradially on the distal radius. 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. The acumed elbow plating system offers multiple fixation platibg for fractures of the distal humerus, olecranon, and coronoid.
The screw trajectory is designed to allow screws to capture fracture platlng and avoid other screws regardless of the screw length selected. Initial assessment includes a history of mechanism of injury, associated injury and appropriate. Traditional percutaneous kirschner wires kwire and open reduction with volar locking plate vlp are the two most common surgical fixation techniques used to manage dddrf. Anatomic features of the distal radius include the styloid process, the dorsal tubercle, and four surfaces. Currently, in the study of distal radius fractures, the biomechanical and clinical correlations between the reduction of the bony structures radial height, ulnar inclination, palmar inclination. 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 distal ulna locking plate is a plate system which can be implanted with locking screws adjusted to the contour of the distal ulna. Distal radius anatomy applied to the treatment of wrist.
Acumed aculoc2 volar distal radius surgical technique. Distal radius fractures, in the forearm closer to the hand, are the most common fractures in the body. Jul 15, 2015 dorsally displaced distal radius fractures dddrf are frequent injuries in clinical practice. In our case, postoperative xrays showed a 3 mm gap between the most distal section of the volar plate and the distal radius. Volar distal radius plate preoperative templates cat.
The titanium volar plates are available in a wide array of sizes narrow, standard, and wide and in multiple shaft lengths. 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. Introduction 1 pointed hooks and locking screw in the head pointed hooks to grip the styloid process and to act as reference point for plate application. Arthrex arthrex distal radius plate surgical technique. Dvr crosslock distal radius plate distal plate fixation cont. The acumed aculoc 2 proximal volar distal radius vdr plates are designed for distal radius fracture and osteotomies, as well as segmented diaphyseal fractures. Stability of volar locking plate systems for ao type c3 fractures of the distal radius. The original aculoc volar distal radius plate has been a market leader in fracture fixation since its introduction in 2004. Plates, dorsal distal radius plates, distal radius fragment specific plates, and volar distal ulna plates. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. 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. Acumed offered an innovative solution for repairing intraarticular fractures, malunions, and nonunions of the. In recent years with the advent of low profile plating.
Bend the kwire out of the way to facilitate drilling. Acumed s distal clavicle plates are designed to be placed more distal than most other clavicle plates. Parallel plating the firsttomarket precontoured elbow plates are designed to provide multiple fixation options for fractures of the distal. A metal plate shaped to fit the contours of the radius is inserted and positioned against the bone. Distal radius fracture repair with volar plate central.
Other optimised features include a lower profile, polished finish which may help minimize soft tissue irritation, and converging ulna screws. Screws are used to anchor the plate to the bone, stabilizing the radius. Variax distal radius locking plate system stryker meded. Using the same driver, fill the holes in the head of the plate with the appropriate length locking screws or pegs. Comments about the acumed aculoc 2 volar distal radius. In many cases, they can be treated with a cast or brace, but the more severe ones that are. The testing was performed on 28 cadaveric specimens and demonstrated that a volar locking distal radius plate dvr plate, hand innovations exhibited higher bending stiffness 16. Compliance report a complaint advamed code of ethics. The system can be used to treat fractures, fusions, and osteotomies of the radius and ulna.
It can also be used in conjunction with the acumed forearm rod system for a less invasive approach to bothbone fractures of the. The dorsal lunate plate is designed to provide support to fracture patterns that involve the dorsal lunate facet of the distal radius. Volum 22, number 1, march 2014, pages 2938, 02012014. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Case 2 comminuted, dorsallydisplaced fracture of the distal radius. It also occurs in young men with high velocity, injury. The lcp diameta diaphysealmetaphyseal volar distal radius plate is an anatomic plate designed for fractures of the distal radius that extend into the radial shaft. Study finds plating distal radius fractures effective but costly. Volar locking plate fixation of distal radius fractures. The physician creates an incision along the palm side of the forearm to access the end of the radius. 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. Six months after a conservatively treated distal radius fracture the mean arc of flexion and extension and the forearm rotation were know to be 75% to 97% and 87 to 97%, respectively, compared with the uninjured side 610. External fixation vs volar plate j bone joint surg am.
Product labeled in part, aculoc distal radius plate, standard, left. 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. Metaanalysis for dorsally displaced distal radius fracture. In this live surgery, lamont cardon, md treats a 54yearold patient with an aculoc 2 volar distal radius vdr proximal plate to repair an extraarticular distal radius fracture. The plate can be adjusted proximal or distal through the use of the oblong hole. To further assist with complications of wrist fractures, osteotomies, and other wrist injuries, acumed has introduced three additional plate families to the system. For fragmentspecific fracture fixation with variable angle locking technology. Percutaneous k wire vs volar plate j bone joint surg am. Geminus volar distal radius plate skeletal dynamics. The aculoc 2 volar distal radius plating system comprises a locking plate and percutaneous fragloc compression screws for the fixation of dorsal fragments. Percutaneous kirschner wire kwire fixation and orif with palmar plating are the most used fixation methods of displaced drfs.
Proximal row of the head of the plate remove each f. The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. Symptoms include pain, bruising, and rapidonset swelling. Nov 25, 2010 volar locking plates provide significant structural stability to the distal radius. Plate selection following fracture reduction, select the volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Dtdvps2 polyaxial plate for distal radius standard head size 2 right dtgvps2 polyaxial plate for distal radius standard head size 2 left dtdvps3 polyaxial plate for distal radius standard head size 3 right dtgvps3 polyaxial plate for distal radius standard head size 3 left. Evidence about the acumed aculoc 2 volar distal radius. Distal suture holes for additional soft tissue fixation chamfered distal plate edge for minimal implant protrusion low plate profile of 1. 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. For fixation of complex intra and extraarticular fractures and osteotomies of the distal radius and other small bones. Intercrossing locking screws securely hold the ulnar head.
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