Zimmer Biomet A.L.P.S. Surgical Technique Download Page 12 | Manualshive

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A.L.P.S.

Hand Fracture System

1.5 mm Locking Plates

TiMAX material

Compression Holes offer
.75 mm of compression
per hole

F.A.S.T. Guide inserts

protect locking thread

during bending

Shaped to go around

tendon insertion

Allows longitudinal
fractures to be
addressed obliquely

Compression Holes

Pre-contoured Plate

Pre-loaded

F.A.S.T. Guide inserts

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Summary of Contents for A.L.P.S.

Page 1: ...A L P S Hand Fracture System Surgical Technique ...

Page 2: ...2 A L P S Hand Fracture System ...

Page 3: ...ctional Screw Options 7 Surgeon Design Team 8 Introduction 9 1 5 mm Locking Plates 10 1 5 mm Plate Specifications 11 2 5 mm Locking Plates 12 2 5 mm Plate Specifications 13 Plate Options 14 Instruments 16 Surgical Technique 18 Multi Directional Screw Insertion 24 Ordering Information 25 Indications and Contraindications 28 Table of Contents ...

Page 4: ...2 A L P S Hand Fracture System ...

Page 5: ...y be used to treat even the most challenging cases Coronal Straight Plate T Plate Y Plate Web Plate T Y Plate Axial Sagittal Low Profile Locked Plating Anatomically Contoured A L P S Hand Fracture System Low profle plates are designed to help minimize discomfort and soft tissue irritation Contoured plates mimic the anatomy of the fingers Plates are available in six plate styles to suit fracture co...

Page 6: ...4 A L P S Hand Fracture System ...

Page 7: ...rts Multi Directional Screws F A S T Guide Inserts Facilitate accurate drilling Pre loaded and disposable Save time in the O R No intraoperative assembly is required Color coded F A S T Guide inserts make identification easy Silver 1 5 mm Gold 2 5 mm Multi Directional Screws Cobalt Chrome screws create a strong mechanical lock 1 5 mm and 2 5 mm screws provide angular stability in a locked construc...

Page 8: ...6 A L P S Hand Fracture System ...

Page 9: ...Screw Options Choose locking non locking or multi directional screws according to need All options available in each locking hole Locking screws establish a fixed angle construct for strong fixation or when optimal screw purchase is required Locking Multi Directional Screws allow for angulation from fixed angle axis 1 5 mm Non locking and 2 5 mm locking screws with washers can be utilized with slo...

Page 10: ... Lloyd P Champagne M D Arizona Center for Hand Surgery Phoenix Arizona Brian J Hartigan M D Deceased Northwestern School of Medicine Chicago Illinois Matthew M Tomaino M D M B A Tomaino Orthopaedic Care Rochester New York ...

Page 11: ...es F A S T Guide inserts and Flexible Plating Technology to facilitate surgical procedures and save time in the operating room F A S T Guide inserts allow for accurate drilling and placement of screws F A S T Guide inserts are preloaded and do not require intraoperative assembly designed to save time in the OR Additionally the A L P S Hand Fracture System allows the use of locking variable angle a...

Page 12: ...pression Holes offer 75 mm of compression per hole F A S T Guide inserts protect locking thread during bending Shaped to go around tendon insertion Allows longitudinal fractures to be addressed obliquely Compression Holes Pre contoured Plate Pre loaded F A S T Guide inserts ...

Page 13: ...n Locking Cortical Screw Self tapping tip minimizes the need for pre tapping and eases screw insertion TiMAX material Square drive Available in lengths of 8 24 mm 1 3 mm Non Locking Cortical Screw Stand alone screw CoCr Screw for strength Self tapping tip minimizes the need for pre tapping and eases screw insertion Cruciate Head design Available in lengths of 8 24 mm 1 5 mm Small T Plate Specialty...

Page 14: ...ble Arms Stronger Spines compared to 1 5 mm plate Threaded holes can accept locking non locking and multi directional screws TiMAX material TiMAX material Pre loaded F A S T Guide inserts Pre contoured Plate Compression Holes offer 1 mm of compression per hole ...

Page 15: ...sion holes Square drive Available in lengths of 8 28 mm 2 5 mm Non Locking Cortical Screw Self tapping tip minimizes the need for pre tapping and eases screw insertion Square drive Available in lengths of 8 28 mm 2 5 mm Multi Directional Locking Cortical Screw MDTP CoCr Screws create new thread path in the plate Locking screw head designed to minimize screw back out and construct pullout Narrow sh...

Page 16: ...be shortened by using the benders or cut using the plate cutters When shortening with the benders it is recommended that you straddle the bridge to be removed with the benders and simply bend toward the bottom of the plate until it releases This is the preferred shortening method since it will make the broken edge of the plate face toward the bone keeping it hidden from the soft tissues This simpl...

Page 17: ...15 A L P S Hand Fracture System T Y Web Y ...

Page 18: ...he tools needed to perform a hand fracture procedure To help reduce confusion when selecting the correct instrument the modules have been color coded so that the bronze instruments are used with 1 3 mm screws silver instruments are used with 1 5 mm plates and screws and gold instruments are used with 2 5 mm plates and screws Similar color coding is extended to the F A S T Guide inserts on the plat...

Page 19: ...1 5 mm Countersink 2 5 mm Drill Bit 2 0 mm Drill Bit 1 5 mm Drill Bit 1 1 mm Drill Bit 1 3 mm Drill Bit 2 5 mm MDTP Driver 2 5 mm Driver 1 5 mm Driver 1 3 mm Driver 1 0 mm Drill Bit K wire Reduction Clamp use with K wires that are 045 inches or smaller Small Reduction Clamps Retractors 2 Elevator ...

Page 20: ...ith bone graft In the absence of malrotation or shortening simple plate application with locking technology provides rigidity In the presence of clinically relevant displacement rotation shortening angulation anatomic reduction should precede plate application or be provided via in situ adjustment of the fracture prior to final plate fixation 2 Make an incision While dorsal surgical approaches to ...

Page 21: ...equire the use of towel clamps or other types of reduction clamps Provisional fixation with K wires may also be necessary 3 Reduce the fracture After adequate exposure and irrigation of hematoma the fracture should be reduced This can usually be afforded based on visual cues but when comminution exists the use of intraoperative fluoroscopy may be helpful ...

Page 22: ...ng is performed prior to fixation but contouring can be performed in situ 6 Prepare the plate Prepare the plate shape length and contour It is highly recommended that the plates be shortened by using the plate benders to create a smooth edge and avoid soft tissue and tendon irritation Do this by using the benders in the F A S T Guide inserts and bending the end of the plate towards the bottom of t...

Page 23: ...screw is placed In situ contouring when necessary can be provided once screw fixation proximally and distally to the fracture is afforded 8 Drill and remove F A S T Guide inserts After drilling with the appropriate drill 1 1 mm silver drill for a 1 5 mm screw and 2 0 mm gold drill for a 2 5 mm screw remove the F A S T Guide inserts When drilling through the compression slot use the soft tissue gui...

Page 24: ... desired Plates can be bent twisted and curved by utilizing the plate benders To bend or twist a plate in the axial or coronal plane place the long end of the bender over 1 5 mm or into 2 5 mm the F A S T Guide inserts of adjacent nodes Hold one bender as an anchor and manipulate the other To curve a plate sagittally place the short end of the benders over the F A S T Guide inserts of adjacent nod...

Page 25: ...aced through a compression hole to afford axial compression at the fracture site 12 Postoperative management A compressive dressing is recommended with a plaster splint or a bulky soft splint placed depending on the surgeon s individual assessment of fixation and patient compliance Early motion of the interphalangeal and MP joints may be possible with intermittent splinting until union depending o...

Page 26: ...degree cone This recommendation applies to both 1 5 mm and 2 5 mm screws 2 Measure for screw length 3 Insert screws in the desired direction If necessary re drill and reinsert the screw in the desired direction 4 Lock screw into the plate Note It is possible to drive the 2 5 mm Multi Directional Screw through the plate Stop inserting when the head of the screw is flush with the surface of the plat...

Page 27: ... Shape 1 5 mm Locking plate T Y Shape 1 5 mm Locking plate Web 1 5 mm Locking plate Small T Shape Non Locking Screw 1 5 mm Product Description 1312 20 508 1312 20 509 1312 20 510 1312 20 511 1312 20 512 1312 20 513 1312 20 514 1312 20 515 1312 20 516 1312 20 518 1312 20 520 1312 20 522 1312 20 524 Non Locking Screw 1 5 mm x 8 mm Non Locking Screw 1 5 mm x 9 mm Non Locking Screw 1 5 mm x 10 mm Non ...

Page 28: ...22 FP24 FP26 FP28 Fully Threaded Peg 2 5 mm x 8 mm Fully Threaded Peg 2 5 mm x 9 mm Fully Threaded Peg 2 5 mm x 10 mm Fully Threaded Peg 2 5 mm x 11 mm Fully Threaded Peg 2 5 mm x 12 mm Fully Threaded Peg 2 5 mm x 13 mm Fully Threaded Peg 2 5 mm x 14 mm Fully Threaded Peg 2 5 mm x 15 mm Fully Threaded Peg 2 5 mm x 16 mm Fully Threaded Peg 2 5 mm x 18 mm Fully Threaded Peg 2 5 mm x 20 mm Fully Thre...

Page 29: ...20 201 2312 20 202 2312 20 203 2312 20 204 2312 20 205 2312 20 206 2312 20 207 2312 20 208 2312 20 209 2312 20 211 1642 06 028 1642 06 035 1642 06 045 1642 06 062 MDTP Driver Bit 1 0 mm Drill Bit w Mini Quick Connect 1 3 mm Drill Bit w Mini Quick Connect FAST 1 1 mm Drill Bit w Mini Quick Connect 1 5 mm Drill Bit w Mini Quick Connect FAST 2 0 mm Drill Bit w Mini Quick Connect 2 5 mm Drill Bit w Mi...

Page 30: ...ng or fracture of the orthopaedic screw intramedullary nail plate and screw plate combination or loss of fixation in bone attributable to nonunion osteoporosis markedly unstable comminuted fractures Lossofanatomicpositionwithnonunionormalunion with rotation or angulation Infection both deep and superficial Allergies or other reaction to the device material Surgeons should take care when targeting ...

Page 31: ...r temporary internal fixation device intramedullary nail plates or screw plate combination all such devices should be manufactured from a metal that has a similar composition to avert the possibility of galvanic corrosion or other metallic reactions unless directed to be used together by the manufacturer 7 AN IMPLANT SHOULD NEVER BE RE USED Any implant once used should be discarded Even though it ...

Page 32: ...ould exercise his or her own independent judgment in the diagnosis and treatment of an individual patient and this information does not purport to replace the comprehensive training surgeons have received As with all surgical procedures the technique used in each case will depend on the surgeon s medical judgment as the best treatment for each patient Results will vary based on health weight activ...

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