DVR Anatomic Plate Surgeon Testimonials - Biomet

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MIGUEL TRIGUEIROS Hospital Geral de Santo António, Portugal My first contact with the DVR ® Anatomic Plate was through a scientific paper in 2002, written by Jorge Orbay. At that time, the plate was presented as the solution for all problems related to distal radius fractures, such as reductions with unstable fixations, long period of immobilisation, high rates of infection, especially when using conservative treatments with k- wires, reflex sympathetic dystrophy syndromes. Number of DVR ® Anatomic Plate cases Over 200 DVR user since 2005 Main benefits Immediate mobilisation, simple procedure Favourite features Anatomic design For the first time in 2004, I was able to use the volar approach in the treatment of distal radius fractures, with an anatomic plate and locking screws. My first case with the DVR ® Anatomic Plate was a 60 year old woman, active, mother of a fellow surgeon, with a type III (Fernandez/Júpiter) fracture. She had been previously treated with k-wires but with poor outcome. The plate was implanted three weeks after the initial trauma and the outcome was no post-op immobilisation, high degree of function and mobility at the four week post-op. This experience was the turning point for me as it finally confirmed the perceptions that I had since 2002. The standard treatment for unstable distal radius fractures should be with a plate implanted through a volar approach. Since then I have been treating an average of 6 cases per month. My approach to distal radius fractures can be summed up in two clear points; First, classify the fracture according to the Fernandez/Jupiter classification. Second, verify the fracture stability: a) If stable – cast for 5 weeks; b) If unstable – OOS plating via volar approach The volar approach allows manipulation and fragment stabilisation, not only by the locking screws but also through the plate’s anatomical design. The plate’s contour also avoids flexors tendons interference. The stability achieved allows immediate mobilisation, with function and mobility recovery within an average of three weeks. The complication rate is very low; with the most common complication due to intra-articular screw placement, typically due to lack of experience from the surgeon. This technique is fairly simple, with a short learning curve, and should be considered as a must do for basic training for registrars (or junior Orthopaedic surgeons). The DVR ® Anatomic Plate has provided a big change in the treatment of articular and non articular distal radius fractures, and has decreased substantially the morbidity rate, social costs and other cost related to sickness leaves periods. From the patient point of view what was previously considered as a dramatic and incapacitating occurrence, is now understood as a problem with an “easy” solution. 5 DVR Testimonial Brochure.PRINT.indd 5 10/5/10 10:42:35
MIGUEL DEL CERRO Hospital Gregorio Marañón, Madrid, Spain I have surgically treated over 500 cases of distal radius fractures. Early treatment consisted of using external fixators, k-wires and conventional plating systems. Four years ago I started to use the DVR ® Anatomic Plate and to date I have implanted over 200 DVR ® Anatomic Plates for treating distal radius fractures and osteotomies. The main benefit of this fixed angle implant combined with a divergent distal fixation pattern is that it allows for an early mobilisation of the wrist. Other available systems require a longer immobilisation period which causes mobility limitations and a longer postoperative rehabilitation. Very rarely have we achieved a normal mobilisation of a distal radius fracture treated with conventional systems. With the DVR ® Anatomic Plate the number of patients that have achieved a complete range of motion is highly significant. The learning curve with the DVR ® Anatomic Plate is a great deal shorter because the anatomical shape of the plate acts as a template when reducing the fracture. Once the fracture is reduced, the stability is given by the different divergent locking pegs and screws. These screws are placed easily with the use of the F.A.S.T. Guide inserts and once the distal screws are put in place the fixation given is very stable and secure. I believe Orbay’s anatomical studies on the surgical approach and reduction with a tenotomy of the brachioradialis have facilitated even more this procedure. The DVR ® Anatomic Plate allows an easy restoration of the distal radius anatomy. Without doubt, the surgeon should bring his experience in treating this type of fractures through adequate surgical manoeuvres. The plate helps but it is very important the surgeons have the know-how. Number of DVR ® Anatomic Plate cases Over 200 DVR user since 2006 Main benefits Ease of use Favourite features Subchondral support pegs 6 DVR Testimonial Brochure.PRINT.indd 6 10/5/10 10:42:36
Page 1 and 2: DVR ® Anatomic Plate A 10 year lan
Page 3 and 4: ANDREW BARROW Sunninghill Hospital,
Page 5: DIEGO FERNÁNDEZ Lindenhofspital, B
Page 9 and 10: NIKOLAI SPRANGER Unfallkrankenhaus
Page 11 and 12: JAMES WARNER Royal Bolton Hospital,

DVR Anatomic Plate Surgeon Testimonials - Biomet

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