Calcaneal Plating System Surgical Technique

Acumed® is a global leader of innovative orthopaedic and medical solutions. We are dedicated to developing products, service methods, and approaches that improve patient care. Acumed® Calcaneal Plating System Calcaneal fractures are the most common tarsal bone fractures and they can be challenging to treat. The extensile lateral incision, today’s most common approach, often results in nearly 30% of patients developing wound complications.1 With the expertise of Greg A. Horton, MD and Steven A. Herbst, MD, Acumed has developed a family of calcaneal plates specifically designed for a minimally...

Acumed® Calcaneal Plating System Surgical Technique Table of Contents System Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Instrumentation and Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Surgical Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Anterior Process Calcaneal Plate Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . ....

Acumed® Calcaneal Plating System Surgical Technique Calcaneal Plating System Features MINI-CALC® PLATES Acumed® MINI-Calc® Plates offer a variety of plate configurations in a low-profile design and can be utilized through a sinus tarsi approach for a minimally invasive treatment of calcaneal fractures. • pproach-Specific Design: Acumed MINI-Calc Plates are A specifically designed to be inserted through a sinus tarsi incision. This 5.0 cm incision provides direct visibility of the subtalar articular surface to aid in anatomic reduction of the fracture. • ragment-Specific Options: The Calcaneal...

Instrumentation and Screws INSTRUMENTATION TO AID IN CALCANEAL FRACTURE REDUCTION: • Steinmann pins • Large Inge Retractor • Periosteal elevator • Series of Hohmann retractors • Reduction clamps • Freer Elevator SCREW OPTIONS: • Up to 65 mm lengths for large patients • 2.7 mm hex, 3.0 mm Hexalobe, 3.5 mm hex or Hexalobe and 4.0 mm diameter screws available • odular system design allows you to take what you need to the case. If you have a calcaneal fracture with an M associated ankle fracture, the Lower Extremity Modular System will support both platters for your case. SCREW CONFIGURATIONS: There...

Acumed® Calcaneal Plating System Surgical Technique Anterior Process Calcaneal Plate Technique Steven A. Herbst, M.D. PATIENT POSITIONING • Obtain lateral and axial views of calcaneus, as well as CT views of the sagittal and coronal planes; compare to opposite extremity. • Place patient in a lateral position with the operative extremity facing up. EXPOSURE AND APPROACH • Make a slightly S-shaped incision from base of the lateral malleolus to the calcaneocuboid joint. Carry dissection down to the subtalar joint. • etract peroneal tendons plantarly. R Caution: Avoid peroneal tendon and sural nerve...

Acumed® Calcaneal Plating System Surgical Technique PLATE INSERTION AND INITIAL FIXATION • nsert plate through incision and confirm I position under fluoroscopy. • se K-wires or plate tacks to provisionally fix the U plate to the bone. SCREW INSERTION • hread locking drill guide into plate – for T Hexalobe Screws use 80-0384 – for hex screws use 80-0622. • rill and measure for screws buttressing the D posterior facet. • se drill 80-0386 or 80-0318 for 2.7 mm hex U and 3.0 mm Hexalobe Screws. Use 80-0387 for 3.5 mm hex or Hexalobe Screws. ANTERIOR PROCESS SCREW INSERTION • rill, measure, and insert...

Acumed® Calcaneal Plating System Surgical Technique Posterior Tuberosity Calcaneal Plate Technique Steven A. Herbst, M.D. PATIENT POSITIONING • Obtain lateral and axial views of calcaneus, as well as CT views of the sagittal and coronal planes; compare to opposite extremity. • Place patient in a lateral position with the operative extremity facing up. EXPOSURE AND APPROACH • ake incision directly inferior from the lateral M malleolus and extend posterior approximately 3.0 cm. Carry dissection down to the calcaneus. Caution: Avoid peroneal tendon and sural nerve during dissection. REDUCTION OF...

Acumed® Calcaneal Plating System Surgical Technique PLATE INSERTION AND INITIAL FIXATION • nsert plate through incision and ensure position I under fluoroscopy. • se K-wires or plate tacks to provisionally fix the U plate to the bone. SCREW INSERTION • hread locking drill guide into plate – T for hex screws use 80-0384 – for Hexalobe Screws use 80-0622 or 80-0668. • rill and measure for screws buttressing the D posterior facet. • se drill 80-0386 or 80-0318 for 2.7 mm hex U and 3.0 mm Hexalobe Screws. Use 80-0387 for 3.5 mm hex or Hexalobe Screws. POSTERIOR TUBEROSITY SCREW INSERTION • se fluoroscopy...

Acumed® Calcaneal Plating System Surgical Technique Combo Calcaneal Plate Technique Steven A. Herbst, M.D. PATIENT POSITIONING • Obtain lateral and axial views of calcaneus, as well as CT views of the sagittal and coronal planes; compare to opposite extremity. • lace patient in a lateral position with the P operative extremity facing up. EXPOSURE AND APPROACH • ake a slightly S-shaped incision from base of M the lateral malleolus to the calcaneocuboid joint. Carry dissection down to the subtalar joint. • etract peroneal tendons plantarly. R Caution: Avoid peroneal tendon and sural nerve during...

Acumed® Calcaneal Plating System Surgical Technique REDUCTION OF POSTERIOR TUBEROSITY • lace Steinmann Pin lateral-to-medial in the P approximate location shown. • ull tuberosity out of varus and back to length P using the Steinmann Pin. • nsure Bohler’s Angle is between 25°–40°. E • erify reduction under fluoroscopy. V PLATE INSERTION AND INITIAL FIXATION • nsert plate through incision and ensure position I under fluoroscopy. • se K-wires or plate tacks to provisionally fix U the plate to the bone. SCREW INSERTION • hread locking drill guide (80-0384, 2.3 mm T Hexalobe Drill Guide 80-0622 or...