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3    DePuy Synthes  Distal Radius Plate Instrument and Implant Set  Surgical Technique

Implants 

(stainless steel and titanium)

1.8 mm Buttress Pin

   For use in the distal plate arms in multifragmented 

articular fractures, or in poor quality bone  

where screw purchase may be compromised

   Threaded head locks into plate hole to  

provide a fixed pin-plate construct and  

a buttress for the articular surface

   Smooth shaft inserts into bone without  

displacing fragments

2.4 mm Self-Tapping Cortex Screw

   For use in the distal plate arms to  

provide fixation for restoration of the 

articular surface

   Used when bone quality is good,  

lag screw technique is 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 legs

   Standard self-tapping screws also available  

in the DePuy Synthes Mini Fragment Instrument 

and Implant Sets [105.488] and [125.488]

201.962–201.980

201.612–201.630

202.810–202.826

402.810–402.826

401.962–401.980

401.612–401.630

MR Information

 

The Distal Radius Plate Instrument and Implant Set System has not been evaluated for 
safety and compatibility in the MR environment. It has not been tested for heating, 
migration or image artifact in the MR environment. The safety of the Distal Radius 
Plate Instrument and Implant Set System in the MR environment is unknown. Scanning 
a patient who has this device may result in patient injury.

Содержание Dorsal

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

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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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