Leading the way to a new approach, the dvr plate has helped restore motion to patients worldwide in the everyday activities that. 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. Number and placement of plate holes and the screw trajectories are designed for treatment of a wide range of fracture types. The variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. With trilock, medartis was the first company to offer a fully modular, multidirectional and angular stable hand fixation system. The notification was reportedly sent by either fax or email. Aculoc wrist plating system cambridge orthopaedics. Aculoc 2 volar distal radius plating system surgical. In fact volar locking plate failure due to nonunion of the distal radius is rare with limited number of reports in the english literature 57. Novel dual head minimizes plate profile, reducing the potential for flexor tendon injuries. Surgical techniques stepbystep installation methods.
The head portion includes a lower surface, a central portion, a radial side and an ulnar side. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. Failure of volar locking plate fixation of an extraarticular. 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. Targeted volar distal radius plate system for repairing fractures. With the recent development of specifically designed internal fixation materials for the distal radius, treatment of these fractures by fragmentspecific implants using two or more incisions has. Acumed distal radius plate pdf november, 2018 in, acumed introduced the aculoc targeted volar distal radius plate system for acumed aculoc wrist plating system surgical technique. Acumed believes that surgeons should have the ability to determine the. In recent years, great changes have taken place both in the treatment options of the distal radius and the patient demands which have increased. Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment.
The notification did not include any instructions for a subrecall. To further assist with complications of wrist fractures, osteotomies, and other wrist injuries. In an industry where traditional methods of plate and screw fixation drive a fiercely competitive market, trimed has advantageously positioned itself as one of the lead innovators in the field of orthopaedics by redefining the treatment of periarticular fractures through orif. Volar distal radius plate preoperative templates cat.
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. The variax 2 distal radius plating system provides you with a comprehensive range of anatomic plating options that work with a common instrument and screw platform. Acumed has introduced the aculoc 2 volar distal radius vdr. The arthrex titanium volar distal radius plating system provides a comprehensive solution for distal radius fracture management. Since its release, over 200,000 aculoc volar distal radius plates have been implanted globally. Acumed locking ankle plate system brochure and surgical. Odriscolls experience has shown that the parallelplate placement on the distal humerus,combined with increased plate strength over standard reconstruction plates1,allows for early rehabilitation and preservation of elbow function and motion. Acumed aculoc 2 volar distal radius plating system. Acumed aculoc wrist spanning plate acumed now offers the aculoc wrist spanning plate for complex distal radius fractures. Flexor tendon injuries following locked volar plating of distal radius fractures. Elbow plating system acumed is a global leader of innovative orthopaedic and medical solutions. Volar plate fixation of intraarticular distal radius. The acumed aculoc extraarticular plate is designed for extraarticular distal radius fractures and osteotomies.
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. Accuracy of distal radius positioning using an anatomical plate article pdf available in orthopedics 364. Introduction 1 pointed hooks and locking screw in the head pointed hooks to grip the styloid process and to act as reference point for plate application. The system presents several plate options, a unique twopiece locking compression screw, innovative instrumentation for fracture management, and plate placement tools. Jan 08, 2019 two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. Emerging technologies in distal radius fracture fixation. 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. The aculoc wrist spanning plate is indicated for fixation of. Unstable distal radius fractures in 15 patients, comprising 3 men and 12 women with a mean age of 64. Hook plate accessory extends plate fixation capability to secure volar marginal fragments. 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.
Complex distal radius fractures, such as a volarly displaced fracturedislocation of the distal radius a bartons fracture, or those fractures who have a concomitant open wound with soft tissue damage will usually require an open reduction and internal fixation orif of the fracture with a plate fig. Volar locking plates not touching the flexor pollicis. For very distal fractures or revision cases, the long stems range from 612 mm in diameter in 2 mm incrementsand have 50 mm65 mm length options in 5 mm increments. Providing fixation for half a million wrists prweb. Corrective osteotomy and volar locking plate for multiplanar.
A proprietary 8mm slot that provides two differentiating. Variable angle locking plate system for treating volar and dorsal distal fractures. The original aculoc volar distal radius plate has been a market leader in fracture fixation since its introduction in 2004. A comprehensive offering of volar plates are available in narrow, standard, and. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Flower orthopedics corporation released a new flowercube anatomic distal radius plate with instruments on. Efficacy of radial styloid targeting screws in volar plate.
The plate is designed to hold the wrist in distraction and to provide ligamentotaxis to the wrist on a temporary basis while the distal radius heals. Acumed upgrades humerus fracture device orthopedics this. Compliance report a complaint advamed code of ethics. Background intraarticular fractures of the distal radius represent a therapeutic challenge as compared with the unstable extraarticular fractures. Variax distal radius locking plate system stryker meded. Plates utilize smartlock technology which permits polyaxial screw placement.
Acumed has improved the design of our established nonlocking ankle plates by adding locking technology and type ii anodize. Email updates yes, please send me updates by email. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning. Anatomical reduction and maintenance of the reduction can be challenging in the setting of. Percutaneous kirschner wire kwire fixation and orif with palmar plating are the most used fixation methods of displaced drfs. The system can be used to treat fractures, fusions, and osteotomies of the radius and ulna. The acumed aculoc volar distal radius vdr plate has been a fracture fixation market leader since its introduction in 2004.
A number of techniques exist for the treatment of distal radius fractures including closed reduction and cast immobilization, percutaneous pin fixation, external fixation, open reduction and internal fixation with a dorsal or volar plating system or a combination of small plate systems. 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. A second line was drawn parallel to the volar cortex of the distal radius volar cortical line. Nov, 2018 in, acumed introduced the aculoc targeted volar distal radius plate system for acumed aculoc wrist plating system surgical technique. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. The volar locking plate vlp system provides stable internal fixation to allow early rehabilitation and has been widely used for patients with distal radius fracture drf. Aculoc 2 wrist plating system surgical technique intermedic. Acumed offered an innovative solution for repairing. Lee, md, new york, ny presents the arthrex volar distal radius plate technique.
Available in narrow, standard and wide options in varying lengths from 53mm to 200mm. The lower extremity modular system offers a broad range of implants and innovative instrumentation for lower extremity indications. Two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. Accuracy of distal radius positioning using an anatomical plate. Acumed total wrist fusion lating system surgical technique neutral plate standard plate 3 plate placement standard platessmall plates the total wrist fusion plate, standard 700325 or 700326 or total wrist fusion plate, small 700327 or 700328 is placed on the dorsum of the index metacarpal and carpus and dorsoradially on the distal radius. Pdf accuracy of distal radius positioning using an. With the aculoc targeted distal radius plate, acumed has designed an inno. The angle between these two lines was measured and represented the vca. Elbow plating system brochure and surgical technique. Distal radial fractures are the most common upper extremity fracture and account for 15% of all fractures 1, 2. Dvr crosslock distal radius plating system surgical technique introduction the treatment of distal radius fractures experienced a revolution when the dvr volar plating system was released. With a variety of head widths, there is a plate to fit smallstatured to largestatured. Arthrex arthrex distal radius plate surgical technique.
The plate sits more proximally than the standard aculoc volar distal radius plate, and its distal locking screws are angled to support the dorsal lip of the radius, maximizing purchase in the subchondral bone. A distal volar fixation plate includes a body portion and a head portion angled upwards relative to the body portion. In 2004, acumed introduced the aculoc targeted volar distal radius plate system for repairing fractures of the distal radius. Intercrossing locking screws securely hold the ulnar head.
It consists of the carpus, distal ulna and distal radius. The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. Fractures of the distal radius are the most common fractures in the human body. Aculoc volar distal radius plate has been a market leader in fracture fixation since its introduction in 2004. Choose the appropriate implant according to patient anatomy and fracture pattern. As the newest addition to the depuy synthes lcp distal radius system, the 2. Pdf fractures of the distal radius are common, with volar locking plates being increasingly used in their treatment. Flexor tendon injuries following locked volar plating of. Us9072558b2 distal radius fracture fixation plate with. Volar distal ulna plates and the volar, dorsal, and fragment specific distal radius plates. In 2004, acumed introduced the acu loc targeted volar distal radius plate system for repairing fractures of the. Aculoc 2 brochure and surgical technique cambridge. The insertion of the brachioradialis may be released. Early palmar plate fixation of distal radius fractures may.
Since abraham colles first description in 1814 3, their treatment has continually evolved, with open reduction and internal fixation orif using volar locking plate technology becoming increasingly employed with the aim to restore function through anatomical reconstruction of. Acumed, oregon, usa and followed up for a minimum of 1 year. Periloc periarticular locked plating upper extremity. When designing the aculoc plates,acumeds goal was to design a better. Customizable plate length and width options allow for sizing of varying patient anatomies. Treatment of unstable distal radius fractures with the. 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. Acumed has introduced the aculoc 2 volar distal radius vdr plating system as the next generation in plating fixation. With the aptus product line, medartis offers numerous plating and screw systems for fracture, osteotomy, and arthrodesis procedures in the hand, wrist, elbow, and foot.
Screw trajectories are designed to provide optimal subchondrial support. Distal radius fracture an overview sciencedirect topics. It can also be used in conjunction with the acumed forearm rod system for a less invasive approach to bothbone fractures of the. The acumed anatomic radial head system is designed to provide an 2 mini and micro instruments and the locking.
In particular, many clinical reports have demonstrated that internal fixation of unstable distal radial. The acumed anatomic radial head system is designed to provide an 2. Dtgrn2 dorsomedial plate for distal radius narrow head left size 2 dtdr2 dorsomedial plate for distal radius right size 2 dtgr2 dorsomedial plate for distal radius left size 2 dorsolateral plates ref. Fractures were classified using the ao classification. Volar plate fixation of some distal radius fractures such as the volar bartons fracture dislocation has been the standard for more than a decade.
Pdf treatment of unstable distal radius fractures with. Coronal ct image of a distal radius, with the medial, middle and lateral lines. The acumed aculoc 2 vdr plate was launched in 2010, and recently the number of aculoc and aculoc 2 vdr plate sales reached half a million worldwide. Treatment of unstable distal radius fractures with the volar locking plate. Description dtdq2 dorsolateral plate for distal radius right size 2 dtgq2 dorsolateral plate for distal radius left. Radius retractor designed to help elevate the radius, this tool may assist during reaming, trialing, and insertion of. The aculoc 2 volar distal radius plating system comprises a locking plate and percutaneous fragloc compression screws for the fixation of dorsal fragments. Axelrodcomplications of the aoasif titanium distal radius plate system pi plate in internal fixation of the. As palmar plating of distal radius fractures drfs became more popular, the incidence of operative treatment increased, particularly among older women chung et al.
Atraumatic screw options for every indication and surgeon preference. The acumed aculoc 2 proximal volar distal radius vdr plates are designed for distal radius fracture and osteotomies, as well as segmented diaphyseal fractures. 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. Aculoc wrist plating system surgical technique guide intermedic. The testing was performed on 28 cadaveric specimens and demonstrated that a volar locking distal radius plate dvr plate, hand innovations exhibited higher bending stiffness 16. Made of titanium alloy ti6al4v and treated with a type ii anodization, these plates are able to carry the loads that are required of them while remaining low profile. In 2004, acumed designed an innovative solution for repairing fractures of the distal radius by designing the first truly anatomic volar plate. An easy, efficient way to treat distal radius fractures involving the volar rim.
Geminus volar distal radius plate skeletal dynamics. Dvr crosslock distal radius plating system surgical technique. The head portion defines a buttress portion extends greater distally on the ulnar side than on the radial side to support the volar lip of the lunate fossa. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid inserting screws or pegs into the joint. The second plate acumed is tapered and bent in a dorsal direction to follow the native contour of the radial styloid. Flexor pollicis longus fpl rupture is a serious complication that may occur when using the vlp system 2, 3. The acumed anatomic midshaft forearm plating system offers marked hardware improvements over traditional straight plates. Periloc periarticular locked plating upper extremity are indicated for intraarticular fractures of the distal humerus, comminuted supracondylar fractures, osteotomies and nonunions of the distal humerus, proximal humerus plate, proximal ulna plate, distal radius plate. The notification did not include any instructions for a. The set contains loqteq distal tibia plates for medial and anterolateral application as well as lateral distal fibula plates.
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. To further assist with complications of wrist fractures, osteotomies, and other wrist injuries, acumed has introduced three additional plate families to the system. The notification informed consignees to remove the plates from their inventory and return them to acumed. Sponsorship provided by acumed distal radius fragmentspeci. Mar 22, 2020 the distal tip of the plate tack is threaded, allowing it to maintain its provisional fixation until it is removed later in the procedure. Dorsal and volar plates for fractures and osteotomies of the distal radius. The anatomic midshaft forearm plating system includes midshaft ulna plates, volar midshaft plates, and dorsolateral midshaft radius plates.
In this study, we report a case of nonunion of the distal radius leading to failure of the hardware on an obese patient. Operative technique manuals grabow hand to shoulder center. New distal radius implant from flower orthopedics walter eisner wed, january 14th, 2015. Hardwarerelated complications after dorsal plating for. In addition, converging ulnar screws, suture holes, and kwire holes have been incorporated.
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