Pf emerged as a popular technique affording a more rigid fixation that is necessitated for early rehabilitation protocols 19. They would recommend having the clavicle plate removed. With use of adobe photoshop technology, the plates were freely translated and rotated along each clavicle to determine the quality of fit and the location of the best fit. Clavicular anatomy and the applicability of precontoured. In spite of introduction of anatomic plates acumed, usa in our practice, 88% of patients with plate fixations complained of local prominence, pain, and discomfort. Left calcaneus fracture open reduction and internal fixation orif acutrak headless compression screws and callos bone void filler case study bio7009a case study.
Lcp superior clavicle plate with lateral extension lcp superior clavicle plate. This is what the plate looked like, when secured to my clavicle. Indications for usethe variax clavicle system anteriorsuperior lateral and anteriorsuperior midshaft plates are indicated for fixation of single, segmental and comminuted fractures. This achievement affords surgeons the opportunity to choose the most appropriate option for the patient, could help reduce surgery time spent contouring a plate and may aid in minimizing soft tissue irritation for the patient. Given this range, surgeons may choose how best to fix the bone with the approach that they see fit. The variax 2 clavicle plating systems provides surgeons with a comprehensive range of anatomic plating options that work with a common instrument and screw platform. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.
Numerous clavicle fixation methods exist, but plate and screw constructs lead to predictable outcomes with a low nonunion rate. The purpose of this study is to compare the biomechanical performance of plate versus intramedullary fixation in cyclic bending for matched pairs of cadaveric clavicles. Plates utilize smartlock technology which permits polyaxial screw placement. Acumed locking clavicle plating system the acumed locking clavicle plating system is designed to treat simple and complex fractures, malunions, and nonunions. Precontoured to match the natural sshape of the clavicle, this titanium plate offers increased strength, with a rounded profile and a lowprofile screw plate interface. 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. It comes in right and left sides and different shaped curves. Hardware prominence after plate fixation for clavicle fracture is a common complication.
The product is exclusively to be used for the orthotic fitting of the collarbone and only on. The clavicle plate button is intended for use with the clavicle plates for clavicle indications such as for the treatment of syndesmotic trauma, such as acromioclavicular andor coracoclavicular ligament disruption, and this button may not be used alone. The clavicle is an elongated, sshaped bone that rests horizontally at the sternum across the upper part of the ribcage, and the acromial end of the scapula this bone is an important part of the skeletal system since it plays an essential role in everyday functional movement, serving as the connection between the axial skeleton and the pectoral girdle. The acumed congruent plate is precontoured, low profile and made from titanium alloy. Aug 21, 20 the clavicle plating system offer low and narrowprofile plate solutions precontoured to match the natural sshape of the clavicle. Relevant original studies were searched in electronic databases of medline, embase, cochrane central database and cnki all through october 2014. The acumed locking clavicle plating system is designed to treat simple and complex fractures, malunions, and nonunions.
Browse through events, view photo galleries, product details, and documents libraries. Recently, precontoured plates that are designed to parallel the sshaped curve of the clavicle have become popular alternatives. Acumed clavicle plating system acusinch repair system the acumed clavicle plating system is designed to treat simple and complex fractures, malunions, and nonunions. Since its introduction as the orthopaedic industrys first precontoured resource for clavicle fixation, surgeons have utilized the versatility of the acumed clavicle plating system to treat simple and complex fractures, malunions, and nonunions. Treatment of acute clavicle fractures with an anatomical. Fractures of the clavicle are common, accounting for 5 to 10% of all fractures and up to 44% of all injuries to the shoulder girdle 1, 2. If there is difficulty lowering the plate shaft onto the clavicle, then the plate with 18 mm hook depth should be used. Metaanalysis of plate fixation versus intramedullary. The plate is then secured using locking or nonlocking screws. We are dedicated to developing products, service methods, and approaches that improve patient care.
Once the plate shaft is placed on the clavicle, the end of the hook should be in. Our objective at acumed is to provide a comprehensiv. A choice of a midshaft or lateral plate is determined by the site of the fracture. Variable angle locking plate system for treating clavicle fractures. The clavicle plating system offer low and narrowprofile plate solutions precontoured to match the natural sshape of the clavicle. Minimally invasive intramedullary nailing of clavicular. The plate, usually of titanium, is screwed to the topside of clavicle across the site of the fracture see later. Once the plates ideal positioning has been selected, it is provisionally stabilized to the spine andor acromion with bone clamps plcl04. Explore acumeds innovative orthopedic solutions with the official mobile app for your phone or tablet. Fixation of unstable type ii clavicle fractures with distal. Since its introduction, surgeons have utilized the acumed locking clavicle plate system to solve many complex injuries of the midshaft and distal clavicle. Evaluation of prominence of straight plates and precontoured clavicle plates using automated platetobone alignment. Acumed distal radius plate pdf to download pdf you need. The acumed ankle plating system 3 is designed to provide a variety of fixation options for fractures of the distal tibia and fibula.
The aim of the study was to perform a 3d analysis of the prominence of different types of superior clavicle plates. When the plate was positioned adequately, it was initially secured with a single 3. Acumed elbow plating system elbow plating system design surgeon shawn w. The acumed clavicle plating system provides surgeons with the ability to address acute fractures, malunions, and nonunions of the clavicle with 33 different clavicle specific plating options. Axial radiographs were made of each clavicle and the precontoured acumed locking clavicle plate, which is designed to be applied superiorly. Shop our complete range of products, purchase bulk quantity for discounts. This section offers acumeds suggested method for implanting the scapula spine acromion plate. Clavicular anatomy and the applicability of precontoured plates. With this in mind, stryker has developed the variax clavicle locking plate system.
Use of an absorbable plate in the management of a clavicle orif, and the patient elected to convert to a figure. An imprint of the space between the wellpositioned plate and the clavicle was obtained using a silicone mass and the. Apr 12, 2020 the clavicle is an elongated, sshaped bone that rests horizontally at the sternum across the upper part of the ribcage, and the acromial end of the scapula this bone is an important part of the skeletal system since it plays an essential role in everyday functional movement, serving as the connection between the axial skeleton and the pectoral girdle. Its superficial location, its thin midshaft, and the forces trans. Jan 08, 2019 acumed distal radius plate pdf posted on january 8, 2019 by admin in, acumed introduced the aculoc targeted volar distal radius plate system for acumed aculoc wrist plating system surgical technique. Elbow plating system acumed is a global leader of innovative orthopaedic and medical solutions. Divergent locking screws can also be used laterally. Place the shaft of the plate onto the superior aspect of the clavicle. A biomechanical study of plate versus intramedullary. Daniel gheorghiu 1, christos sinopidis 2, daniel j. Geissler, md, the clavicle plating system offers a variety of lowprofile and narrowprofile plating solutions, precontoured to match the natural sshape of the clavicle. Fixation of unstable type ii clavicle fractures with. Nonoperative management of midshaft clavicle fractures is standard.
The stainless steel plates are low profile and precontoured with locking and nonlocking screw options in each plate. Clavicle fractures are common making up 10% of all fractures and 30% of fractures sustained during sport 1,2. Clavicle fractures are most common in children and young adults, typically occurring in per sons younger than 25 years. Superior versus anteroinferior plating of clavicle fractures. This design not only reduces or time spent in contouring a plate but also minimizes softtissue irritation for the patient. Get complete step by step instructions on how to use our test strips. Locking clavicle plating system surgical technique shd1005b surgical technique. Elbow plating system brochure and surgical technique. Nov 01, 2016 the best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. We hypothesized that the biomechanical properties are similar. The mean and maximum boneplate distance and maximum. Using the plate with 15 mm hook depth, pass the hook under the acromion. Acumedsurgicaltechniqueenclavicleplatingsystemacusinchshd1002f. In patients who have their plates removed, 96% were satisfied as their symptoms completely resolved.
The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. Synthes 3 plateswithlateralextensionfeaturesixdistallockingholes thataccept2. Treatment of acute clavicle fractures with an anatomical congruent clavicle plate. Variax clavicle locking plate system stryker meded. The variax clavicle system is intended for use in internal fixation in the clavicle. The plate may be filled with locking or nonlocking screws depending on the surgeons preference. About 80% of these fractures occur in the middle third of the clavicle 1, 3, 4. The clavicle plate and screw system is a comprehensive set of plates, screws, and instruments designed to treat midshaft and distal clavicle fractures. Watch videos and explore interactive 3d product models. Locking clavicle plating system cambridge orthopaedics. The study was performed according to the prisma statement. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. Clavicle fractures are commonly divided into the anatomical location of fracture medial, midshaft and lateral and whether the fracture is undisplaced or displaced.
The pin seems to require less surgery and produces a cosmetically better result, but is intrinsically less strong than a plate. Traditionally these fractures have been treated conservatively with neer in 1960 suggesting that only 0. Lockingclavicle platesystem university of washington. Nov 19, 2015 on the other hand, the plate was in such a position that any pressure on top of it caused a fair amount of pain. Distal clavicle fractures 20 aossm meeting chicago, il july, 20 j. Lockingclavicle platesystem since 1988 acumed has been. The system offers an array of low and narrowprofile plate solutions, precontoured to match the natural sshape of the clavicle. Clavicle hook plates features dynamic compression screw holes accept 3. Acumed locking superior distal clavicle plates youtube. An automated fitting of 3 straight and 10 precontoured plates was performed on 52 3dctscan reconstructed cadaver clavicles. Of all sport related fractures, clavicle fractures have the third longest return time to sport 3. Standard plates include the offset plate, 6 and 10hole straight plates, and t plates. Evaluation of prominence of straight plates and precontoured.
1137 387 440 1124 1023 29 1473 165 714 950 986 440 1047 1537 635 1374 715 1505 606 354 474 1444 139 838 669 169 951 1220 682 1093 1170 1256 392 632 901 403 18 1387 1314 465 1152 213