locking clavicle plate polyaxial lateral plate - UPex
locking clavicle plate polyaxial lateral plate - UPex
locking clavicle plate polyaxial lateral plate - UPex
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-> Osteosynthesis of<br />
the middle-third and<br />
<strong>lateral</strong>-quarter <strong>clavicle</strong> fractures<br />
-> Asymmetric anatomical implants<br />
-> Monoaxial and <strong>polyaxial</strong> technology (20°)<br />
-> Low profile design<br />
i n novation means motion<br />
<strong>locking</strong> <strong>clavicle</strong> <strong>plate</strong><br />
<strong>polyaxial</strong> <strong>lateral</strong> <strong>plate</strong>
main features<br />
of the <strong>plate</strong>s<br />
> Anatomic asymmetric<br />
><br />
implant<br />
Stemming from an innovative design technique<br />
and based on the capture of the bone surface<br />
shape, this new generation of implants ensures<br />
optimal anatomic congruence.<br />
Implants are color-coded for quick distinction of left and<br />
right designs: green for the right side, blue for the left side.<br />
Two laser marks, MED (for medial) and LAT (for <strong>lateral</strong>)<br />
allow orientation of the <strong>plate</strong>.<br />
Low profile <strong>plate</strong> design<br />
and mechanical strength<br />
A key feature of the Clavicle <strong>plate</strong>s is their low<br />
profile design (average thickness: 2.5mm).<br />
They offer a small-sized, solid <strong>locking</strong> fixation (narrow<br />
screw head) providing optimal interaxial distance between<br />
each compression slot. The implant fatigue strength is thus<br />
maximized. The medial <strong>plate</strong> presents a combination of<br />
3 <strong>locking</strong> screws on either side of the fracture, thus providing<br />
the osteosynthesis with excellent stability. The middle interaxial<br />
section of the medial <strong>plate</strong> is positioned above the fracture<br />
so as to improve the torsional resistance of the device.<br />
The <strong>lateral</strong> <strong>plate</strong> offers a similar specificity of reinforcement<br />
at the junction of the diaphysis and epiphysis.<br />
<strong>lateral</strong> <strong>plate</strong>: polyvalent surgery<br />
><br />
Monoaxial surgery:<br />
optimal positioning of<br />
the <strong>locking</strong> screws<br />
Locking screws are pre-oriented for easier and faster<br />
surgical technique.<br />
Radio-transparent ancillary.<br />
middle interaxial section.<br />
N<br />
10 N 1 kg<br />
1000<br />
500<br />
00<br />
-1,0 0,0 1,0 2,0 3,0 4,0 5,0 6,0 7,0 8,0 9,0 10,0 11,0 12,0 13,0<br />
middle interaxial section.<br />
><br />
Polyaxial surgery: +/-10 °<br />
<strong>polyaxial</strong><strong>locking</strong> system<br />
The <strong>polyaxial</strong> technique allows a 20° range of screw<br />
trajectories (+/- 10°). Insert the <strong>polyaxial</strong> drill guide,<br />
angle as required and drill using a Ø2.0mm drill.<br />
Four-point<br />
bend test<br />
Elasticity<br />
measurements<br />
(mm)
simple surgical technique<br />
medial <strong>plate</strong><br />
> Placement of the compression screws<br />
><br />
1<br />
Placement of the <strong>locking</strong> screws<br />
5<br />
3<br />
1<br />
> Starting from the slots located near the<br />
fracture to those located at each end of the<br />
<strong>plate</strong>, insert the drill guide in each <strong>locking</strong> hole.<br />
2<br />
2<br />
4<br />
6<br />
> Perform the drilling with the appropriate<br />
drill bit (12, 14, 16 or 18mm) to avoid<br />
excessive penetration and neurovascular risk.<br />
To ensure primary stability, first insert a<br />
Ø3.5mm cortical compression screw in<br />
the medial compression slot. Then insert<br />
a Ø3.5mm cortical compression screw<br />
in the <strong>lateral</strong> compression slot.<br />
Once these two screws are inserted,<br />
the bone clamps can be removed.<br />
Drill with a Ø2.5mm drill bit of appropriate<br />
length (12, 14, 16 or 18mm). Insert the<br />
Ø3.5mm <strong>locking</strong> screws. Fluoroscopy is<br />
necessary to assess the final reduction.<br />
FORETS<br />
Ref Color Screw length<br />
ANC187 Green 12mm<br />
ANC188 Blue 14mm<br />
ANC189 Yellow 16mm<br />
ANC190 Pink 18mm
ssurgical technique<br />
<strong>lateral</strong><br />
<strong>plate</strong><br />
><br />
Monoaxial<br />
surgery<br />
><br />
Secure the fracture temporarily<br />
using K-wire. Lock the PEEK<br />
Guide onto the <strong>plate</strong>. The <strong>plate</strong><br />
is securely placed using the<br />
longitudinal reduction slot. The<br />
articular interline is assessed<br />
using Ø1.4mm K-wire.<br />
> The depth of the drilling is<br />
directly measured on the<br />
guide gauge.<br />
angle the screws<br />
only where necessary<br />
><br />
Insert the <strong>polyaxial</strong> drill guide<br />
through the PEEK Guide.<br />
><br />
After <strong>locking</strong> the drill guide,<br />
angle as required and drill<br />
using a Ø2.0mm drill.<br />
> Insert the screws into the <strong>plate</strong><br />
through the PEEK Guide.<br />
> Insert the green anodised<br />
length gauge through the<br />
PEEK Guide.<br />
> Once the distal screws<br />
have been locked, insert the<br />
diaphyseal screws.<br />
> Insert the screw through the<br />
PEEK Guide and lock it.
clinical cases<br />
> Case n°1: medial <strong>plate</strong><br />
Male patient,<br />
35 years. 3-fragment<br />
fracture of the<br />
middle-third of<br />
the <strong>clavicle</strong>.<br />
Preoperative X Ray.<br />
> Case n°2: <strong>lateral</strong> <strong>plate</strong><br />
><br />
><br />
><br />
Left <strong>plate</strong>s.<br />
Preoperative X Ray.<br />
> Peroperative X Ray.<br />
> Peroperative X Ray.<br />
> Right <strong>plate</strong>s.<br />
> X ray 2 months after the operation.<br />
> Postoperative X Ray.
CLAVICULE PLATES<br />
Ref Description<br />
CTDM1 Right <strong>locking</strong> <strong>plate</strong> for medial <strong>clavicle</strong> fracture - Size 1 (short)<br />
CTGM1 Left <strong>locking</strong> <strong>plate</strong> for medial <strong>clavicle</strong> fracture - Size 1 (short)<br />
CTDM2 Right <strong>locking</strong> <strong>plate</strong> for medial <strong>clavicle</strong> fracture - Size 2 (standard)<br />
CTGM2 Right <strong>locking</strong> <strong>plate</strong> for medial <strong>clavicle</strong> fracture - Size 2 (standard)<br />
CTDL1 Right <strong>locking</strong> <strong>plate</strong> for <strong>lateral</strong> <strong>clavicle</strong> fracture - Size 1 (short)<br />
CTGL1 Left <strong>locking</strong> <strong>plate</strong> for <strong>lateral</strong> <strong>clavicle</strong> fracture - Size 1 (short)<br />
CTDL2 Right <strong>locking</strong> <strong>plate</strong> for <strong>lateral</strong> <strong>clavicle</strong> fracture - Size 2 (standard)<br />
CTGL2 Left <strong>locking</strong> <strong>plate</strong> for <strong>lateral</strong> <strong>clavicle</strong> fracture - Size 2 (standard)<br />
Ø3.5MM SELF TAPPING CORTICAL SCREW<br />
CT3,5L10 Ø3.5mm Self tapping cortical screw - L10mm<br />
CT3,5L12 Ø3.5mm Self tapping cortical screw - L12mm<br />
CT3,5L14 Ø3.5mm Self tapping cortical screw - L14mm<br />
CT3,5L16 Ø3.5mm Self tapping cortical screw - L16mm<br />
CT3,5L18 Ø3.5mm Self tapping cortical screw - L18mm<br />
Ø3.5MM LOCKING SCREWS *<br />
SOT3,5L10 Ø3.5mm Locking screws - L10mm<br />
SOT3,5L12 Ø3.5mm Locking screws – L12mm<br />
SOT3,5L14 Ø3.5mm Locking screws – L14mm<br />
SOT3,5L16 Ø3.5mm Locking screws – L16mm<br />
SOT3,5L18 Ø3.5mm Locking screws – L18mm<br />
SOT3,5L20 Ø3.5mm Locking screws – L20mm<br />
* Anodized blue<br />
Ø2.8MM DTS2 LOCKING SCREWS * ()))123456789759@ABC598 S9TUVW)XYR`abR`cWde2fUVW)XYcccbXc`) H9ghC59UFFFiB49fp6ip63 D6@E2756F7GHIPQR)RD27B2p5B@9v„<br />
8tD2@u9v27vw44@6x9v2hy9FpTC4S9p€7CphwTC27h …†‡‰‡‘’“”•‘–”‡—˜–‡‰†‘•–‘‘‡’“†‘–˜‡ ’‘ “”•‘•”‡–•‡”–“”‡–•‡”–“<br />
CLAVICLE SET<br />
SET OF ANCILLARY EQUIPMENT<br />
Ref Description<br />
ANC046 Guide gauge Ø2mm<br />
ANC049 Ø1.3mm obturator for Ø1.2mm K-wire<br />
ANC082 Pick and stick screwdriver for Ø2.0mm QC hex drill bit<br />
ANC083C Pick and stick screwdriver for Ø2.5mm QC hex drill bit<br />
ANC084 Ø2.7mm QC hand Drill<br />
ANC088 Ø2.0mm drill bit - L125mm<br />
ANC089 Ø2.5mm drill bit - L125mm<br />
ANC102 Length gauge for Ø3.5mm <strong>locking</strong> screws<br />
ANC103 Ø2,0 mm hex safety Key<br />
ANC118 DTS2 Ø2mm drill guide<br />
ANC124 Length gauge for Ø3.5mm cortical screws<br />
ANC160 Pick and stick screwdriver for DTS2 trauma fast drilling guide<br />
ANC186 Locking drill guide for Ø2.5mm drill bit<br />
ANC187 Ø2.5mm QC step drill - L12mm<br />
ANC188 Ø2.5mm QC step drill - L14mm<br />
ANC189 Ø2.5mm QC step drill - L16mm<br />
ANC190 Ø2.5mm QC step drill - L18mm<br />
ANC191 Ø2.5mm smooth bore drill guide for non <strong>locking</strong> screws<br />
ANC193 Fast drilling guide for left CTGL <strong>plate</strong><br />
ANC194 Fast drilling guide for right CTDL <strong>plate</strong><br />
NR-111701B Common QC handle<br />
K-WIRE D1.2 L120 Ø1.2mm K-wire - L120mm-Trocar point / blunt End<br />
K-WIRE D1.4 L120 Ø1.4mm K-wire - L120mm-Trocar point / blunt End<br />
The pick and stick screwdriver allows the surgeon to pick up screws from<br />
the tray effortlessly for easy, quick insertion.<br />
SDT2.8L10 Ø2.8mm DTS2 <strong>locking</strong> screw - L10mm<br />
NB:<br />
SDT2.8L12 Ø2.8mm DTS2 <strong>locking</strong> screw - L12mm<br />
All our implants are also available sterile (“ST” is mentioned<br />
SDT2.8L14 Ø2.8mm DTS2 <strong>locking</strong> screw - L14mm<br />
following the reference, e.g.: “SDT2.8L10-ST”)<br />
* Anodized green<br />
Clavicle System<br />
IQ/RDE/brochure Alians - Édition 9