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locking clavicle plate polyaxial lateral plate - UPex

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&'()0'12)34578<br />

-> 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

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