Synthes LCP Distal Humerus Plates, Руководство по технике

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Synthes 7
3
Reduce fracture and fix temporarily
For C-type fractures, reduce the articular fragments of the
distal block under direct vision or image intensifier and fix them
temporarily, using Kirschner wires and/or pointed reduction
forceps.
Fix the distal block temporarily to the shaft using K-wires in
both columns and/or forceps and make sure that the anatomy
of the distal humerus is restored.
Note: LCP locking screws are not suitable for reduction, since
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 plate (with or without support)
For the dorsolateral side, choose the type of implant to be
used. The dorsolateral plates allow for screw insertion in a
posterior-anterior direction. The plate with support allows for
additional screw insertion through the lateral epicondyle in a
lateral-medial direction.
Note: On very small humeri the support may protrude
extensively over the lateral epicondyle, in which case the use
of a plate without support is recommended.