Synthes LCP Distal Humerus Plates Technique Manual Download Page 3

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Synthes

Contents

Warning

This description is not sufficient for immediate application
of the instrumentation. Instruction by a surgeon experienced in
handling this instrumentation is highly recommended.

LCP Distal Humerus Plates

Indications and contraindications

Implants

Instruments

Preparation

Dorsolateral plate with support

Medial Plate

Fixing the shaft

Option: Dorsolateral plate without support

Option: Positioning and compression device PCD

Implant removal

Summary of Contents for LCP Distal Humerus Plates

Page 1: ...LCP Distal Humerus Plates The anatomic fixation system for the distal humerus with angular stability Technique Guide...

Page 2: ......

Page 3: ...nced in handling this instrumentation is highly recommended LCP Distal Humerus Plates Indications and contraindications 2 Implants 3 Instruments 5 Preparation 6 Dorsolateral plate with support 9 Media...

Page 4: ...ons LCP Distal Humerus Plates Indications Intraarticular fractures of the distal humerus Supracondylar fractures of the distal humerus Non unions of the distal humerus Contraindications Acute infectio...

Page 5: ...rsolateral with support right Art No Holes X41 272 3 X41 274 5 X41 276 7 X41 278 9 X41 302 14 Distal Humerus Plate dorsolateral with support left Art No Holes X41 273 3 X41 275 5 X41 277 7 X41 279 9 X...

Page 6: ...LCP Locking Screw 3 5 mm length 12 60 mm self tapping with hexagonal recess Standard screws X01 764 790 Cortex Screw 2 4 mm length 14 40 mm self tapping with Stardrive recess X04 814 860 Cortex Screw...

Page 7: ...rting LCP screws otherwise plate and or screws might be damaged Drilling instruments for LCP locking screws 2 7 mm 323 061 LCP Drill Sleeve 2 7 head LCP2 4 with scale up to 60 mm 323 062 Drill Bit 2 0...

Page 8: ...ded and it is wise to prepare a donor site The use of a tourniquet preferably sterile is not essential but can make it easier to identify the ulnar nerve 2 Surgical approach All fractures are approach...

Page 9: ...ce they cannot effect compression The fracture must therefore be reduced before inserting locking screws When using longer plates the radial nerve has to be carefully identified 4 Choose dorsolateral...

Page 10: ...lateral and medial plates to have sufficient strength especially when using 9 or 14 hole plates 6 Prepare plates bending Required instruments Bending Pliers for Plates 2 4 to 4 0 length 230 mm 329 150...

Page 11: ...ent inser tion Make sure that the shaft portion of the plate is positioned at safe distance from the olecranon fossa The position of the plate should allow for distal screw insertion through the later...

Page 12: ...red length of the cortex screw with the depth gauge 2 Preliminary fixation of the plate Required instruments Universal Drill Guide 3 5 323 360 Drill Bit 2 5 mm length 110 85 mm for Quick Coupling 310...

Page 13: ...les of the distal part of the plate and pre drill a hole with the drill bit 2 0 mm Check the depth of the drill bit under image intensifier 4 Insert cortex screw Required instruments Screwdriver Shaft...

Page 14: ...rill guide If a single marking is visible on the drill bit the scale from 0 30 mm applies if a double marking is visible the scale from 30 60 mm applies Option Use a Depth Gauge 319 005 to check lengt...

Page 15: ...en inserting LCP locking screws otherwise plate and or screws might be damaged Option Use cortex screw 2 4 mm Repeat the above steps for all distal holes to be used Important It is recommended to use...

Page 16: ...ly dorsal to the inter muscular septum with the distal tip reaching down to the insertion of the medial collateral ligament Use the drill guide with double scale and a Kirschner wire to determine the...

Page 17: ...sert a 3 5 mm cortex screw through the long hole of the plate 3 Fix the distal part of the plate to the bone Use a similar procedure as for the dorsolateral plate to insert the LCP locking or cortex s...

Page 18: ...uired instruments LCP Drill Bit 2 8 mm length 165 mm 310 284 Predrill the screw hole with a LCP drill bit 2 8 mm through both cortices Read the required screw length directly from the drill bit Option...

Page 19: ...the LCP locking screw with the screwdriver for hexagonal or for Stardrive recess mounted on torque limiter 1 5 Nm Insert the screw manually or by machine until a click is heard If a power tool is used...

Page 20: ...stal spoon shape portion covering the non articulating part of the capitellum Note The positioning and compression device PCD can be used for easy insertion of the 3 5 mm cortex screw 2 Preliminary fi...

Page 21: ...776 Use the 3 distal screws to fix the plate to the capitellum Use a similar procedure as for the dorsolateral plate to insert the LCP or cortex screws The recommended screw length is 16 24 mm Import...

Page 22: ...or DHP 313 353 Aiming Arm for DHP 313 354 Insert for Drill Sleeve 2 7 313 355 Position the dorsolateral plate in approximate position The point of bone contact on the medial side marks the exit point...

Page 23: ...ick Coupling 310 250 Screwdriver Shaft hex small 2 5 mm 314 030 Use a 3 5 mm cortex screw for preliminary fixation of the plate to the bone 4 Use the PCD to choose the screw length Read the screw leng...

Page 24: ...Torque Limiter 0 8 Nm with AO ASIF Quick Coupling 511 776 Drill the hole with the drill bit 2 0 mm The drill will exit the bone at the medial point of contact of the PCD Use a K wire instead of the dr...

Page 25: ...CP drill sleeve and the drill bit 2 0 mm to drill additional holes Insert additional LCP locking or cortex screws as needed Important When inserting the screws into the capitellum be careful not to da...

Page 26: ...is being removed which can damage the soft tissue If the LCP locking screws cannot be removed with the screw driver e g the recess of the screw is damaged or the locking screw is stuck in the plate u...

Page 27: ......

Page 28: ...036 000 461 SM_706935 AC 30060056 Synthes 2006 Printed in Switzerland Subject to modification 0123 Presented by...

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