Operative technique manuals please click on the link below for the technique manual of interest. Distal radius fracture is the most common fracture of the upper extremity, with an annual incidence of 2 to 4 per 1,000 persons. We are dedicated to developing products, service methods, and approaches that improve patient care. The proximal distal relationship of the plate is assessed under fluoroscopy. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning. The lcp diameta diaphysealmetaphyseal volar distal radius plate is an anatomic plate designed for fractures of the distal radius that extend into the radial shaft. Korean type distal radius anatomical volar plate system. Acumed aculoc 2 volar distal radius plating system surgical technique 7 cannulated locking bolt and targeting guide multiple locking bolt positions provide the ability to insert the locking bolt into any of the distal 2. The extensor pollicis longus is released from the third dorsal compartment and the second and fourth dorsal compartments are elevated exposing the fracture site. Korean type distal radius anatomical volar plate system clinics in orthopedic surgery vol. Acumed aculoc, synthes volar distal radius plate, synthes ea extraarticular volar distal radius plate.
Fractures of the distal radius drf are commonly defined as fractures within three centimeters of the radiocarpal joint of the radius, where the lower end of the radius interfaces with the carpal bones 21. Distal radius fracture aculoc vdr plate and fragloc compression screw case study. Acumed upgrades humerus fracture device orthopedics this. Failure of volar locking plate fixation of an extraarticular. Initially focus placement on metacarpal fixation only. Elbow plating system acumed is a global leader of innovative orthopaedic and medical solutions. Acumen officials say that the device allows for a simplified operating room experience as it includes both plates and nails that use the same instrumentation and screws. The notification did not include any instructions for a. The system presents several plate options, a unique twopiece locking compression screw, innovative instrumentation for fracture management, and plate placement tools. The insertion of the brachioradialis may be released. We ask that our members register with us so that we can maintain the unbiased and independent nature of our content. Extraarticular volar distal radius plates plate positioned away from articular surface diverging screws secure styloid and distal fragments for fixation of simpler fractures 2 synthes 2. Elbow plating system brochure and surgical technique.
Targeted volar distal radius plate system for repairing fractures. Optilock yes becton colles fracture plate external fixator dvo. The radial head plating system may be combined with any of the acumed anatomic radial. Pdf volar plate fixation of distal radius fractures. Operative technique manuals grabow hand to shoulder center. Acumed aculoc 2 volar distal radius plating system. In aligning the plate over the radius, a small amount of ulnar deviation may be preferred. Developed in conjunction with our accomplished surgeon design team, acumed introduces the aculoc 2 volar distal radius vdr plating system as the next generation in plating fi xation. Acumed, a hillsboro, oregon, orthopedic firm, is introducing its new polarus 3 solution, a method to treat proximal humerus fractures. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. Failure of a volar locked plating is a rarely reported complication in the literature. Sep 19, 2016 the reported incidence of flexor pollicis longus tendon rupture associated with the use of a volar locking plate for distal radius fracture has ranged from 0.
Email updates yes, please send me updates by email. The notification informed consignees to remove the plates from their inventory and return them to acumed. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Aculoc 2 wrist plating system surgical technique intermedic. The system includes extension plates where fixation of long segments is required, and complementary distal radius fragment specific plates. Pdf fractures of distal radius account for up to 20% of all fractures treated in emergency department. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Aculoc wrist plating system surgical technique acumed. Distal radius anatomy applied to the treatment of wrist.
The aculoc 2 wrist plating system offers plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions. Lee, md, new york, ny presents the arthrex volar distal radius plate technique. In addition to noting the presence of a fracture a number of features should be sought and commented upon. Acumed upgrades humerus fracture device orthopedics this week.
Aculoc 2 volar distal radius plating system surgical technique. The distal radius plate is indicated for the osteopenic and periarticular fractures, revision surgery of pseudarthrosis, nonunion and malunion, arthrodesis and ligament reattachment, fixation of complex intra and extraarticular fractures and osteotomies of distal radius. Intraarticular distal radius fracture treatment using plate and screw fixation aculoc 2 wrist plating system case study hnw70a case. Acumed aculoc 2 volar distal radius plating system the aculoc 2 wrist plating system offers plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions. Definition o chronic stress injury of distal radial physis o also known as epiphysiolysis 2. Aculoc wrist plating system surgical technique guide intermedic. Complications of distal radius fractures treated by volar. Volar locking plates provide significant structural stability to the distal radius. The notification was reportedly sent by either fax or email. The reported incidence of flexor pollicis longus tendon rupture associated with the use of a volar locking plate for distal radius fracture has ranged from 0. New technique manuals are added on a regular basis. This would distort the carpal canal and lead to volar screw prominence. Acumed, hillsboro, or was placed onto the distal radius such that it. The arthrex distal radius dorsal plate allows direct buttressing of dorsal comminution while keeping a low profile repair to reduce extensor tendon irritation.
A comprehensive offering of volar plates are available in narrow, standard, and. Acumed wrist plating system the wrist plating system is comprised of various plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions including the volar distal radius plates, dorsal distal radius plates, distal radius fragment specific plates, and volar distal ulna plates. Distal radius fixation systems company website volar plate dorsal plates others acumed. Distal radius anatomy applied to the treatment of wrist fractures by plate. Plate targets the distal fragments and provides secure, stable fracture fixation of the ulnar head and neck. Variax distal radius locking plate system this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments.
Distal radius plates, dorsal distal radius plates, distal radius. To further assist with complications of wrist fractures, osteotomies, and other wrist injuries, acumed has introduced three additional plate families to the system. Place standard and small plates as far distal as possible so that there is no gap between the trapezoid and the plate. In line with our goal to bring to the market products that evolve and improve patient outcomes, acumed introduces three additional plate designs to the system. Lauder a, agnew s, karim b, allan c, hanel d, huang j functional outcomes following bridge plate fixation for distal radius fractures. We aimed to evaluate the results of volar locking and unlocking plate fixation of adult distal radius fractures. It offers guidance that you should heed, but as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments. Patient history the patient is a 63yearold female who presented with a chronic malunion of the distal radius from a fracture treated nonoperatively five years earlier. Nov, 2018 in, acumed introduced the aculoc targeted volar distal radius plate system for acumed aculoc wrist plating system surgical technique. Aculoc 2 volar distal radius plating system surgical. Volar plating of distal radius fractures does not restore the anatomy. Risk factors for complications after locked volar plate fixation to identify risk factors for complications after volar. Evidence based postoperative treatment of distal radius.
Complex distal radius fracture treatment using plate fixation aculoc 2 wrist plating system case study hnw7012a case study. The notification did not include any instructions for a subrecall. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. Sep 11, 2014 orif fracture of the distal radius with volar acumed plate dan hutt.
This system o ers a family of precontoured plates designed for use in the safe zone of the radial head. Complication rate comparing variable angle distal locking plate to fixed angle plate fixation of distal radius fractures. The acumed dorsal rim plate is placed on the dorsal aspect under fluoroscopic control. A second line was drawn parallel to the volar cortex of the distal radius volar cortical line. The dorsal lunate plate is designed to provide support to fracture patterns that involve the dorsal lunate facet of the distal radius and the sigmoid notch. Acumed offers the total wrist fusion plating system for wrist arthrodesis due to.
The aculoc targeted distal radius plate quickly became a market leader and since its. A 40 yearold, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plate. Choose the appropriate implant according to patient anatomy and fracture pattern. Which medical device is a community of clinicians sharing knowledge and experience of the devices and procedures we use on a daily basis. Surgical technique total wrist fusion plating system. Radial head plating system the acumed radial head plating system provides a method for the treatment of fractures when the radial head is salvageable. The acumed elbow plating system was the first to offer precontoured, parallel distal humerus plates. Acumed acu loc 2 wrist plating system the aculoc 2 wrist plating system is comprised of various plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions including the volar distal radius plates, dorsal distal radius plates, distal radius. Acumed has introduced the aculoc 2 volar distal radius vdr plating system as the. Nov 25, 2010 volar locking plates provide significant structural stability to the distal radius. Orif fracture of the distal radius with volar acumed plate.
Orthopedics over the past decade, several anatomical plates have been introduced to improve the result of open reduction and internal fixation of the distal radius. Orif fracture of the distal radius with volar acumed plate dan hutt. Dorsal and volar plates for fractures and osteotomies of the distal radius. Dtgvpn2 polyaxial plate for distal radius narrow head size 2 left dtdvps1 polyaxial plate for distal radius standard head size 1 right dtgvps1 polyaxial plate for distal radius standard head size 1 left dtdvps2 polyaxial plate for distal radius standard head size 2 right.
Therefore for each distal radius, three separate measurements of the vca were performed in order to determine if the vca varied across the volar surface of the bone. Acumed is a global leader of innovative orthopaedic and medical solutions. Two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. Acumed ankle plating system 3 cadaver lab part 2 posterolateral. The aculoc 2 volar distal radius plating system comprises a locking plate and percutaneous fragloc compression screws for the fixation of dorsal fragments. With the plate aligned and the hand properly oriented, begin. Volar distal radius plate preoperative templates cat. Acumed has introduced the aculoc 2 volar distal radius vdr plating system as the next generation in plating fixation. Accuracy of distal radius positioning using an anatomical plate.
Long screws in the lateral column plate are designed to interdigitate with screws from the medial column plate, providing a parallel construct for the stabilization of distal humerus fractures. Jan 08, 2019 two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. In 2004, acumed introduced the aculoc targeted volar distal radius plate system for repairing fractures of the distal radius. Jun 08, 20 the aculoc 2 volar distal radius plating system comprises a locking plate and percutaneous fragloc compression screws for the fixation of dorsal fragments. In 2004, acumed designed an innovative solution for repairing fractures of the distal radius by designing the first truly anatomic volar plate. Arthrex arthrex distal radius plate surgical technique.
In, acumed introduced the aculoc targeted volar distal radius plate system for acumed aculoc wrist plating system surgical technique. Case 2 comminuted, dorsallydisplaced fracture of the distal radius. The standard dorsal approach is made to the distal radius. The proximal row of the carpus particularly the lunate and scaphoid transfer energy to the distal radius, both in the dorsal direction and along the long axis of the radius. The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. The anatomic midshaft forearm plating system includes midshaft ulna plates, volar midshaft plates, and dorsolateral midshaft radius plates. Aculoc volar distal ulna vdu plate surgical technique.
Locking clavicle plating system cambridge orthopaedics. A recent prospective study on the national incidence of osteoporosisassociated fractures in. Gymnasts wrist distal radius growth plate injury background 1. Comments about the acumed locking anterior clavicle plates. Annals of plastic surgery, 2016, dec, volume 77, number 4, pages 623625. The angle between these two lines was measured and represented the vca.
1124 166 1376 1139 1363 850 888 929 1134 267 682 1031 537 1143 455 403 592 1559 68 634 1053 313 50 192 883 877 487 458 918 175 1445 351 1080 62 1480 1107 291 215 602 935 461 1427