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Distal Radius Plate

Instrument and Implant Set

Surgical Technique

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Summary of Contents for Dorsal

Page 1: ...Distal Radius Plate Instrument and Implant Set Surgical Technique...

Page 2: ...e 1 8 mm buttress pins for increased hold and to lag together dorsal and volar articular fragments Provide multiple points of fixation and the ability to buttress small fragments allowing the articula...

Page 3: ...ed to remove Lister s tubercle Two proximal legs allow independent planes of fixation Volar Distal Radius Plate 20 AP bend fits the volar surface of the distal radius 18 angulation of distal plate arm...

Page 4: ...required or large fragments of poor quality bone are present Small cruciform head provides a low profile when seated into the plate hole 2 7 mm Self Tapping Cortex Screw For use in the proximal plate...

Page 5: ...hand table preferably radiolucent for fluoroscopic imaging Make a straight longitudinal incision over the dorsal radius between the second and third extensor compartments extending 7 to 12 cm Open the...

Page 6: ...us 394 08 will provide gentle indirect reduction of complex fractures and minimize soft tissue dissection Extensor retinaculum Compartment 4 Compartment 6 Ulna Cross sectional view Compartment 1 Compa...

Page 7: ...n order to fit patient anatomy and provide sufficient stability without increasing tissue dissection Shape template Temporarily position the bending template 329 599 over the distal radius Verify plat...

Page 8: ...m plate hole Thread another bending iron into the adjacent hole and gently spread the irons apart to create a convex bend Note Contour the plate in small increments to avoid over bending and the need...

Page 9: ...or distal arm 5 Secure distal arms 6 1 8 mm Threaded Drill Guide 312 92 6A To secure the plate with 1 8 mm buttress pins screw a 1 8 mm threaded drill guide into the threaded plate hole until seated N...

Page 10: ...tip protrusion beyond the far cortex potentially causing soft tissue irritation Using the cruciform screwdriver push the buttress pin through the hole and turn until the threaded portion of the pin he...

Page 11: ...mm drill guide into the plate hole Using the 1 8 mm drill bit and guide drill through both cortices Measure for screw length using the depth gauge 319 006 Note Correct measurement for proximal and di...

Page 12: ...ntinued Secure proximal legs Place the 2 7 mm universal drill guide in the plate hole 7 2 7 mm Universal Drill Guide 323 26 Small Hexagonal Screwdriver with Holding Sleeve 314 02 Load or Buttress Posi...

Page 13: ...ongus tendons above the extensor retinaculum at the time of wound closure to protect soft tissues see below 8 Figure 15 Compartment 5 Extensor retinaculum Compartment 3 Extensor pollicis longus Compar...

Page 14: ...acture can then be accessed between the flexor carpi radialis and the radial artery The fracture is then exposed through a radial incision of the pronator quadratus muscle Its fibers are detached from...

Page 15: ...ius Plate Instrument and Implant Set Surgical Technique DePuy Synthes 11 Follow dorsal surgical technique outlined in steps 1 7 Use appropriate method for surgical closure of the incision Volar Plate...

Page 16: ...ea Implants Stainless Steel Titanium 201 612 401 612 2 4 mm Cortex Screws self tapping 201 630 401 630 12 mm 30 mm 4 ea 201 962 401 962 1 8 mm Buttress Pins 12 mm 30 mm 201 980 401 980 4 ea 202 810 40...

Page 17: ...ale by or on the order of a physician Some devices listed in this surgical technique may not have been licensed in accordance with Canadian law and may not be for sale in Canada Please contact your sa...

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