Elbow Plates 2.7 /3.5 Surgical Technique Locking Compression Technology by aap

Disclaimer This surgical technique is exclusively intended for medical professionals, especially physicians, and therefore may not be regarded as a source of information for non-medical persons. The description of this surgical technique does not constitute medical advice or medical recommendations nor does it convey any diagnostic or therapeutic information on individual cases. Therefore, the attending physician is fully responsible for providing medical advice to the patient and obtaining the informed consent of the patient which this surgical technique does not supersede. The description of...

Content Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 • Material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 • Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....

Introduction The system LOQTEQ® Elbow Plates 2.7/3.5 comprises bone plates and screws for application at the distal Humerus and the proximal ulna as well as the necessary accessories for insertion. The flexibility of the system allows for safe reduction and stable fixation of various fracture patterns with respect to the indications mentioned in this technical guide. The design features of the implants in combination with standard surgical techniques and proven stability result in reliable constructs to support the bone during the healing process and allow for early mobilization of the patient....

Introduction Features & Benefits Anatomical plate design supports the reduction of complex fractures. All plate holes, with the exception of the oblong hole, accept both locking and non-locking screws. • Flattened plate ends facilitate submuscular insertion. • K-wire holes allow for temporary fixation of the plate to the bone. • Gliding locking holes in the plate shaft enable fracture compression and angular stability with ø3.5 mm locking screws (red). • The oblong hole aids in the alignment of the plate. Radiolucent aiming devices facilitate correct placement of the drill guides in the preset...

Surgical Technique Distal Humerus Plates 2.7 / 3.5 Preoperative planning • Evaluate the fracture situation and select the appropriate plate size and position with an X-ray. Consider the use of independent lag screws, if necessary. Minimum 2 holes difference • Preoperatively assess the fracture situation using CT imaging where necessary.  NOTE: A difference of at least two plate holes is recommended when choosing the medial and lateral plate sizes for avoiding increased stress on the diaphysis. • LOQTEQ® Distal Humerus Plates are anatomically pre-contoured and may be used as a template for repositioning...

Surgical Technique Distal Humerus Plates 2.7/3.5 L LOQTEQ® Distal Medial Humerus Plate 2.7 /3.5 LOQTEQ® Distal Dorsolateral Humerus Plate 2.7 /3.5 aap Implantate AG Lorenzweg 5 • 12099 Berlin • Germany Surgical Technique LOQTEQ®

Surgical Technique Distal Humerus Plates 2.7 / 3.5 L LOQTEQ® Distal Lateral Humerus Plate 2.7 / 3.5 Surgical Technique LOQTEQ® Elbow Plates 2.7 /3.5 aap Implantate AG Lorenzweg 5 • 12099 Berlin • Germany

Surgical Technique Distal Humerus Plates 2.7/3.5 Patient positioning • Position the patient in lateral or prone position with the arm supported over bolsters. • If needed, a tourniquet can be used on the upper arm. Approach • The posterior access is usually preferred, with a longitudinal incision passing the olecranon on the radial side. • The choice of access depends on fracture type as well as surgeon’s experience and preference.  CAUTION: The ulnar nerve must be identified and protected. When using longer plates, the radial nerve may require exploration and protection. • Depending on the...

Surgical Technique Distal Humerus Plates 2.7 / 3.5 The following surgery technique starts with the reduction of the medial column. Depending on the fracture pattern, a different technique may be chosen. Aiming arm LOQTEQ® Distal Medial Humerus Plate • The aiming arm assits in positioning the most distal screws in the medial or lateral plate by marking the exit point of the drill. The joint block is supported while avoiding screws perforating the articular surfaces.  C AUTION : The aiming arm should be used in combination with the matching aiming device. • Insert the drill guide in the most distal...

Surgical Technique Distal Humerus Plates 2.7/3.5 Reduction and primary fixation Insertion of the Medial Humerus Plate K-wire with trocar point, ø1.6, L 150 Aiming arm LOQTEQ® Distal Medial Humerus Plate Twist drill ø2.0, L 180, coil 25, quick coupling • Perform anatomic reduction of the articular block and the condyles from distal to proximal, depending on the degree of damage. • Reduce and temporarily secure the fracture. Care must be taken when positioning K-wires or independent lag screws to ensure that they do not interfere with the later plate position. • Insert and position the medial plate....

Surgical Technique Distal Humerus Plates 2.7 / 3.5 Insertion of cortical screws (gold) INSTRUMENTS ø3.5 Double drill guide, with spring aided centering Twist Drill, quick coupling Twist drill ø2.7, L 150, coil 50, quick coupling, scaled Depth gauge for screws, ø3.5-4.0, up to L 90 Screwdriver Duo, quick coupling Large handle, cannulated, quick coupling  N OTE : If a combination of locking and non-locking screws is used, non-locking screws must be inserted first. • To insert a cortical screw ø3.5 mm (gold) in the oblong hole, place the double drill guide in the center of the oblong hole and press...