aap Implantate AG
Lorenzweg 5
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12099 Berlin
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Germany
25
Surgical Technique
Elbow Plating System
Surgical Technique
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Drill to the desired depth using a twist drill ø2.7 (blue / red) and
determine the depth with the depth gauge.
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Loosely insert a LOQTEQ® locking compression screw 3.5 mm (red) of
the appropriate length with screwdriver T15 and finally tighten the
screw with the torque limiter 2.0 Nm. With an audible and sensible
click of the torque limiter the optimal locking is achieved. In addition,
it is recommended to ensure correct fit of the screws, e.g. visually
or using fluoroscopy.
C
AUTION
:
Care should be taken to select the proper compression distance
(1 or 2 mm). If the fracture gap is too small and the bone very
hard, excessive compression may prevent full locking of the
angle stable screw.
C
AUTION
:
As soon as the head of the screw reaches the plate hole it is
compulsory to switch to the torque 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. With such conditions, it is permissible
to finish the screw without the torque limiter.
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Alternatively, a non-locking cortical screw (gold) can be placed as a
compression screw. For this purpose, use the double drill guide in
offset position (do not apply pressure on the drill guide) and drill
using a twist drill ø2.7.
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When all required screws have been inserted, perform final check
using fluoroscopy, AP and lateral, and close the wound.
