Locking Ankle Plating System Surgical Technique (LEX00-04-C)
36Pages

Locking Ankle 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® Locking Ankle Plating System The Acumed Locking Ankle Plating System provides fixation during fractures, fusions, and osteotomies for the tibia and fibula. The system was designed to be low profile and includes locking screws and a Type II anodized finish to the plates. The Locking Ankle Plating System is a modular component of the Lower Extremity Modular System. The Lower Extremity Modular System houses a...

Acumed® Locking Ankle Plating System Surgical Technique Table of Contents System Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Instrument Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Surgical Technique Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Surgical Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....

Acumed® Locking Ankle Plating System Surgical Technique System Features The Locking Ankle Plating System offers low-profile plates in a variety of sizes designed for the following fixation uses. Low-profile Locking (LPL) Lateral Fibula Plate: Internal fixation for non-comminuted distal fibular fractures, osteotomies, and nonunions Lateral Fibula Plates: I nternal fixation for distal fibular fractures, osteotomies, and nonunions Low-profile Locking (LPL) Anterior Tibia Plates: I nternal fixation for non-comminuted distal tibial fractures, osteotomies, and nonunions, from an anterior approach...

Acumed® Locking Ankle Plating System Surgical Technique System Features [continued] 7-Hole LPL Anterior Tibia Plate (70-0247) 5-Hole LPL Anterior Tibia Plate (70-0245) 7-Hole LPL Medial Tibia Plate (70-0227) 9-Hole LPL Medial Tibia Plate (70-0229) 9-Hole Locking Lateral Fibula Plate (70-0169) 11-Hole Locking Lateral Fibula Plate (70-0171) 13-Hole Locking Lateral Fibula Plate (70-0173) 13-Hole LPL Lateral Fibula Plate (70-0153) 11-Hole LPL Lateral Fibula Plate (70-0151) 9-Hole LPL Lateral Fibula Plate (70-0149) 7-Hole LPL Lateral Fibula Plate (70-0147) 5-Hole LPL Lateral Fibula Plate (70-0145)

Acumed® Locking Ankle Plating System Surgical Technique System Features [continued] Screw Options System Screws 3.0 mm Locking Hexalobe Screw 8 mm–26 mm (30-02XX) 3.5 mm Locking Hexalobe Screw 8 mm–26 mm (30-02XX) 3.0 mm Nonlocking Hexalobe Screw 8 mm–26 mm (30-03XX) 3.5 mm Nonlocking Hexalobe Screw 8 mm–26 mm (30-02XX) Optional Cortical (Hex) Screws 2.7 mm Locking Cortical (Hex) Screw 8 mm–65 mm (COL-2XXX) 2.7 mm (Nonlocking) Cortical (Hex) Screw 8 mm–65 mm (CO-27XX) 3.5 mm Locking Cortical (Hex) Screw 6 mm–65 mm (COL-3XXX) 3.5 mm (Nonlocking) Cortical (Hex) Screw 6 mm

Acumed® Locking Ankle Plating System Surgical Technique Instrument Overview Reduction Forceps With Serrated Jaw (PL-CL04) 8" Bone Reduction Forceps (MS-1280) Bone Reduction Forceps With Points, 5 Broad (MS-47135) Bone Reduction Forceps, 5.25 (MS-45300) Small Pointed Reduction Forceps (OW-1200) Needle Nose Pliers, 5.5 (MS-48245)

Acumed® Locking Ankle Plating System Surgical Technique Instrument Overview [continued] Plate Bender, Large (PL-2045) 3.5 mm Screw Driver Sleeve (MS-SS35) 3.5 mm Cortical Screw Bone Tap (MS-LTT35) 2.7 mm Cortical Screw Bone Tap (MS-LTT27) 2.3 mm Locking Drill Guide 6–65 mm (80-0622) 2.3 mm Quick Release Drill (80-0627) T15 Stick Fit Hexalobe Driver (80-0760) Plate Tack (PL-PTACK)

Acumed® Locking Ankle Plating System Surgical Technique Instrument Overview [continued] 2.0 mm Quick Release Drill (80-0386) 2.8 mm Quick Release Drill (80-0387) 3.5 mm x 5" Quick Release Drill (MS-DC35) 2.5 mm Quick Release Hex Driver (HPC-0025) 2.5 mm Solid, Quick Release, Driver Tip (HT-2502) 6 mm–70 mm Depth Gauge, 2 mm Increments (MS-9022) Offset Drill Guide (PL-2095) 2.8 mm/3.5 mm Thin Drill Guide (PL-2196) 2.0 mm/2.8 mm Thin Drill Guide (PL-2118) 2.8 mm Locking Drill Guide 6–65 mm (80-0384) 2.0 mm Locking Drill Guide 6–65 mm (80-0385

Acumed® Locking Ankle Plating System Surgical Technique Surgical Technique Overview Patient Positioning and Exposure LPL Fibula Plates Surgical Technique Patient Positioning and Exposure LPL Anterior Tibia Plates Surgical Technique LPL Medial Tibia Plates Surgical Technique

Acumed® Locking Ankle Plating System Surgical Technique Initial Plate Fixation Insert Remaining Screws Initial Plate Fixation Insert Remaining Screws Initial Plate Fixation Insert Remaining Screws

Acumed® Locking Ankle Plating System Surgical Technique LPL and Locking Lateral Fibula Plates Surgical Technique Patient Positioning and Exposure Position the patient supine and make a straight lateral or posterolateral surgical incision to expose the fracture of the fibula. After attaining appropriate exposure, care should be taken with vital soft-tissue structures. The fracture must be reduced prior to plate application. To reduce the fibular fracture, peel back 2 mm of the periosteum at the tips of the fracture fragments. Temporarily clamp the fibular fracture once it is reduced. Place...

Acumed® Locking Ankle Plating System Surgical Technique LPL and Locking Lateral Fibula Plates Surgical Technique [continued] The Lateral Fibula Plates (70-01XX) are available in two styles: Low-profile Locking (LPL) in five lengths (5, 7, 9, 11, and 13-hole) and Locking in three lengths (9, 11, and 13-hole). The plates are contoured for the lateral malleolus. Select a plate that is approximately three holes (six cortices) proximal to the fracture line. K-wire holes in the plates can aid in temporary fixation of the plate to the bone surface with plate tacks (PL-PTACK) or .062" x 6" K-wires...