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AAP LOQTEQ Distal Dorsolateral Humerus Plate..., Manual

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AAP LOQTEQ Distal Dorsolateral Humerus Plate... Manual Download Page 5

Introduction

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Material

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Indications / Contraindications

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Processing (Sterilization & Cleaning)

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Features & Benefits 

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Surgical Technique Distal Humerus Plates 2.7 / 3.5

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Preoperative planning

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Patient positioning

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Approach

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Preparing the plate

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Reduction and primary fixation

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Insertion of cortical screws (gold)

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Insertion of locking screws (blue)

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Insertion of locking compression screws (red) without compression

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Insertion of the Distal Dorsolateral Humerus Plate, 90° plate configuration

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Insertion of the Distal Lateral Humerus Plate, 180° plate configuration

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Surgical Technique Olecranon Plate 2.7 / 3.5 

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Preoperative planning

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Patient positioning

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Approach

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Preparing the plate

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Reduction and primary fixation

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Insertion of cortical screws (gold)

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Insertion of locking screws (blue)

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Insertion of locking compression screws (red) without compression

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Insertion of locking compression screws (red) with compression

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Explantation

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Assembly instructions aiming arm

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Assembly instructions compression drill guide

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Implants

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Instruments

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Case Study

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34

aap Implantate AG
Lorenzweg 5

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12099 Berlin

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Germany                            

3

Surgical Technique

Elbow Pating System

Content

Summary of Contents for LOQTEQ Distal Dorsolateral Humerus Plate...

Page 1: ...Locking Compression Technology by aap Elbow Plating System Surgical Technique...

Page 2: ......

Page 3: ...1 Elbow Plating System Surgical Technique...

Page 4: ...nsible for providing medical advice to the patient and obtaining the informed consent of the patient which this surgical technique does not supersede The description of this surgical technique has bee...

Page 5: ...tion 18 Insertion of the Distal Lateral Humerus Plate 180 plate configuration 18 Surgical Technique Olecranon Plate 2 7 3 5 19 Preoperative planning 19 Patient positioning 20 Approach 20 Preparing the...

Page 6: ...ds They are characterized by good biocompatibility a high degree of safety against allergic reactions and good mechanical properties LOQTEQ implants show an excellent highly polished surface Indicatio...

Page 7: ...oles in the shaft area allow compression and angular stability with LOQTEQ technology The flattened end of the plate is designed for tissue conserving sub muscular insertion The oblong hole allows for...

Page 8: ...ion and angular stability with LOQTEQ technology The flattened end of the plate is designed for tissue conserving sub muscular insertion The oblong hole allows for easy adjustment of the plate Holes f...

Page 9: ...ng locking holes in the shaft area allow compression and angular stability with LOQTEQ technology The flattened end of the plate is designed for tissue conserving sub muscular insertion The oblong hol...

Page 10: ...and right version Gliding locking holes in the shaft area allow compression and angular stability with LOQTEQ technology The flattened end of the plate is designed for tissue conserving sub muscular i...

Page 11: ...o prevent extensive diaphyseal stress it is recommended that the medial and lateral plates are not the same length with at least a two hole difference between the plates LOQTEQ Distal Humerus Plates a...

Page 12: ...s 2 7 3 5 LOQTEQ Distal Medial Humerus Plate 2 7 3 5 85mm 98mm 124mm 150mm 202mm 2 holes 11 holes 7 holes 5 holes 3 holes 11 holes 2 holes 3 holes 5 holes 7 holes L R 11 holes 5 holes 7 holes 2 holes...

Page 13: ...gical Technique Elbow Plating System Surgical Technique Distal Humerus Plates 2 7 3 5 11 holes 5 holes 7 holes 2 holes 11 holes 7 holes 5 holes 3 holes 3 holes 2 holes 86mm n 99mm n 125mm n 151mm n 20...

Page 14: ...r bolsters Approach The posterior access is usually preferred with a longitudinal incision just radial to the olecranon CAUTION The ulnar nerve must be identified and protected When using longer plate...

Page 15: ...location of the desired screw penetration point on the lateral side In case of the pointer indicating a likely penetration of an area within the joint try one hole up CAUTION To reduce the risk of glo...

Page 16: ...use lag screws to secure intra articular fragments The articular fragments of the distal block should be reduced prior to reducing the distal block of the shaft NOTE The shape of the LOQTEQ Distal Hu...

Page 17: ...he screwdriver T15 The plate can be pulled against the bone using this screw NOTE Securing the oblong hole before inserting screws in other plate holes can facilitate the positioning of the plate on t...

Page 18: ...pth during drilling can be read off from the drill guide light blue gold to determine the required screw length The drill guide is marked with two very accurate measuring scales which must be observed...

Page 19: ...que limiter In cases of very hard bone in the diaphysis it is necessary to make sure that the screw head is flush to the plate Therefore it is permissible in exceptionally hard bone of the diaphysis t...

Page 20: ...15 17 for the detailed description of the surgical steps Plate position lateral column radial Orientation of distal screws lateromedial The aiming arm assists in positioning the distal screws of both...

Page 21: ...he X rays CT and select the appro priate plate length and screw positions LOQTEQ Olecranon Plates are anatomically precontoured to fit to normal ulna ana tomy Although not usually necessary the plates...

Page 22: ...Position the patient in lateral or prone position with the arm supported over bolsters Approach The posterior access lateral to the elbow is usually preferred with a skin incision about 5cm distally...

Page 23: ...ure intraarticular fragments The articular fragments of the distal block humerus should be reduced prior to reducing the fragments of the olecranon When repositioning the olecranon ensure appropriate...

Page 24: ...for screws 2 7 Alternatively the penetration depth during drilling can be read off from the drill guide light blue to determine the required screw length CAUTION The drill giude for fixating the aimi...

Page 25: ...g is achieved In addition it is recom mended to ensure correct fit of the screws e g visually or using fluoroscopy CAUTION As soon as the head of the screw reaches the plate hole it is compulsory to s...

Page 26: ...ientation in setting the compression distance max 2mm For this purpose turn the wheel of the load drill guide until an appropriate gap forms in the upper part of the instrument and position the drill...

Page 27: ...roper compression distance 1 or 2mm If the fracture gap is too small and the bone very hard excessive compression may prevent full locking of the angle stable screw CAUTION As soon as the head of the...

Page 28: ...transmission during screw removal They should be ordered se parately The screwdrivers T8 T15 in the set IU 7815 56 IU 7825 56 are self retaining and should not be used for screw explantation Place an...

Page 29: ...EEK material Metal drill guide with external thread Metal adjusting ring with internal thread Pointer CAUTION To reduce the risk of glove perforation care should be taken when using the aiming pointer...

Page 30: ...e load drill guide LOQTEQ 3 5 IU 8166 03 please add a screwdriver hexagonal 2 5 IU 7825 00 to your order Remove screws items 4 1 and 4 2 using a hexagonal screwdriver 2 5 Unscrew the set screw item 3...

Page 31: ...aap Implantate AG Lorenzweg 5 12099 Berlin Germany 29 Surgical Technique Elbow Plating System Implants and Instruments...

Page 32: ...HOLES LENGTH LEFT RIGHT mm 2 86 PU 3532 02 2 PU 3531 02 2 4 112 PU 3532 04 2 PU 3531 04 2 6 138 PU 3532 06 2 PU 3531 06 2 8 164 PU 3532 08 2 PU 3531 08 2 10 190 PU 3532 10 2 PU 3531 10 2 For ordering...

Page 33: ...2 L 42 SK 3525 42 2 L 45 SK 3525 45 2 L 50 SK 3525 50 2 L 55 SK 3525 55 2 L 60 SK 3525 60 2 L 65 SK 3525 65 2 L 70 SK 3525 70 2 Cortical Screw 2 5 small head T8 self tapping L 14 SK 2512 14 2 L 16 SK...

Page 34: ...e drill guides please add 1U to the article number e g IU 7420 10 1U Depth gauge for screws 2 7 up to L 70 IS 7903 20 Depth gauge for screws 3 5 4 0 up to L 90 IS 7904 20 Handle with quick coupling wi...

Page 35: ...ide 2 7 3 5 with spring aided centering IU 8116 60 Aiming arm LOQTEQ Distal Medial Humerus Plate IU 8179 00 K wire with trocar point 1 6 L 150 NK 0016 15 Drill guide for gliding hole LOQTEQ 3 5 I 2 8...

Page 36: ...Surgical Technique Elbow Plating System aap Implantate AG Lorenzweg 5 12099 Berlin Germany 34 Case Study Preoperative Preoperative...

Page 37: ...many 35 Surgical Technique Elbow Plating System Case Study Postoperative Postoperative Clinical case and CT images with the kind permission of Univ Prof Dr Dr Dr h c Reinhard Schnettler Trauma Univers...

Page 38: ...Surgical Technique Elbow Plating System aap Implantate AG Lorenzweg 5 12099 Berlin Germany 36 Notes...

Page 39: ...sprints aap Implantate AG WP 4OP030 EN 1707 Layout typesetting deSIGN graphic Wolfram Passlack Illustrations Karen Hilberg aap Implantate AG Lorenzweg 5 12099 Berlin Germany Phone 49 30 75019 0 Fax 49...

Page 40: ...WP 4OP030 EN 1707 aap Implantate AG Lorenzweg 5 12099 Berlin Germany Phone 49 30 75019 0 Fax 49 30 75019 111 customer service aap de www aap de...

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