Zimmer Biomet A.L.P.S., Surgical Technique

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A.L.P.S.
Hand Fracture System
Surgical Technique
1. Assess the fracture
fluoroscopically
Assess the fracture based on preoperative
radiographs and/or intraoperative fluoroscopy.
• Assessment needs to consider fracture,
comminution, bone loss, and geometry
• Fixation may require simply interfragmentary
screw fixation, use of plate and screws,
compression at the fracture site, and/or
supplementation with 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 metacarpal
fractures and both dorsal and lateral approaches
to phalangeal fractures are feasible, the decision
regarding where to make an incision and its
length are subject to surgeon preference