Clavicle Plate and Screw System
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Clavicle Plate  and Screw System - 1

Clavicle Plate and Screw System Surgical Technique

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Clavicle Plate  and Screw System - 2

Clavicle Plate and Screw System The Clavicle Plate and Screw System is a comprehensive set of plates, screws and instrumentation designed to treat central third and distal clavicle fractures. The clavicle plates are low profile, precontoured, stainless steel central third and distal plates that combine locking and nonlocking options in each plate. Secondary fixation to the coracoid is achieved through the plate using AC TightRope® technology, particularly the AC Dog Bone™ Button, making the system ideal for treating Type IIb distal clavicle fractures or fractures that have poor bone quality...

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Clavicle Plate  and Screw System - 3

Distal Clavicle Plates K-wire hole for temporary plate fixation 2.7 mm divergent locking holes Locking holes Tapered end to minimize soft tissue irritation Chamfered suture eyelets to incorporate FiberWire suture to the plate Threaded hole for positioning handle and distal drill guide K-wire hole for temporary plate fixation Compression slots that can accommodate plate buttons Beveled edges to minimize soft tissue irritation AR-2270 Dog Bone Button provides stable fixation underneath the coracoid AR-2658 Stainless steel plate button is designed to seat flush in any compression slot 15°...

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Clavicle Plate  and Screw System - 4

Central Third Plates Locking holes Compression slots that can accommodate plate buttons Recessed slots for screws to sit flush with plate to minimize soft tissue irritation Tapered end to minimize soft tissue irritation AR-2652CL Beveled edges to minimize soft tissue irritation AR-2653CL Fragment Screws 2.5 mm Herbert screw design aids in reducing comminuted bone fragments.

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Clavicle Plate  and Screw System - 5

Set-up and Patient Positioning Patient Positioning The patient is placed on the OR table. The beach chair position is recommended. The affected extremity is prepped and draped free in the normal sterile fashion. A roll or pad placed between the shoulder blades allows retraction to aid in reduction. An arm holder, like the Arthrex TRIMANO ®, can also be very helpful to maintain the position of the injured extremity. Surgical Approach Make a 3-5 cm horizontal incision over the superior clavicle. Subcutaneous dissection allows for identification of supraclavicular nerve branches. Fracture...

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Clavicle Plate  and Screw System - 6

Nonlocking Screw Insertion 1 Place the 3.5/2.5 mm drill guide into the appropriate plate slot and prepare a hole using the 2.5 mm drill bit. If drilling bicortically, place a retractor under the clavicle to protect the neurovascular structures. 2 Measure for screw length using the screw depth device. 3 Select appropriate 3.5 mm or 4 mm screw and insert using the T15 Hexalobe screwdriver. Locking Screw Insertion 1 Place the 3.5 mm threaded drill guide into the appropriate plate hole and prepare a hole using the 2.5 mm drill bit. Read the corresponding screw length from the laser line on the...

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Clavicle Plate  and Screw System - 7

Locking Screw Insertion for 2.7 mm Screws 1 Place a K-wire in the distal end of the plate. Slide the appropriate drill guide over the K-wire and thread it into the plate. 3 Remove the drill guide and use the depth device to determine the screw length. 5 Insert the 2.7 mm locking screw through the guide sleeve using the T10 Hexalobe driver. 2 Drill to the desired depth using the 2 mm drill bit. Repeat for all five holes, if desired. 4 Select the appropriate 2.7 mm screw and insert using the T10 Hexalobe screwdriver. Alternate Method Thread the 2.7 mm threaded drill guide into a 2.7 mm...

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Clavicle Plate  and Screw System - 8

Coracoid Tunnel Preparation – Arthroscopic The clavicle and coracoid tunnels may be drilled arthroscopically. To do so, introduce a 30° arthroscope into the glenohumeral joint via a standard posterior portal. Create an ASL portal slightly more anterior and inferior than normal, coming in at a slight angle in both the coronal and axial plane. Insert an 8.25 mm cannula through the ASL portal. Utilize a shaver and/or OPES™ RF electrocautery probe through the ASL portal to open the rotator interval and expose the coracoid. Complete the coracoid exposure along the inferior border of the coracoid...

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Clavicle Plate  and Screw System - 9

3 Remove the guide arm or retractors from under the coracoid. Remove the trocar from the cannulated drill. Pass a Nitinol wire through the cannulation and using a hemostat or other grasping instrument, retrieve the wire from under the coracoid. If the tunnels were drilled arthroscopically, retrieve the wire through the anterior portal. If the tunnels were drilled independently, pass a Nitinol wire through the tunnels using a SutureLasso™ or Micro SutureLasso™ and retrieve the wire from under the coracoid. 4 Attach a Dog Bone Button to two strands of FiberTape, FiberTape Loop or #5...

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Clavicle Plate  and Screw System - 10

Confirm Reduction and Fixation Confirm the final reduction and plate and screw fixation both visually and with fluoroscopy. Plate and Screw Removal If the plate and screws need to be removed, make an incision over the clavicle. Use the appropriate screwdriver to remove each screw. To remove the distal clavicle plate button, cut the sutures and remove the button from the plate slot. Reach under the coracoid with a hemostat or other grasping instrument to remove the Dog Bone Button. Arthrex Quickset™ may be used to fill in the bone voids in the clavicle left from screw removal. Arthrex...

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Clavicle Plate  and Screw System - 11

Ordering Information Implants Item Number Additional Instruments Clavicle fracture plate, central third, left Clavicle fracture plate, central third, right Clavicle fracture plate, central third, left Clavicle fracture plate, central third, right Clavicle fracture plate, central third, left Clavicle fracture plate, central third, right Clavicle fracture plate, central third, left Clavicle fracture plate, central third, right Clavicle fracture plate, central third, left Clavicle fracture plate, central third, right Clavicle fracture plate, central third, left Clavicle fracture plate, central...

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Clavicle Plate  and Screw System - 12

Ordering Information 3.5 mm Low Profile Locking Screws Low profile locking screw, 3.5 mm x 8 mm Low profile locking screw, 3.5 mm x 10 mm Low profile locking screw, 3.5 mm x 12 mm Low profile locking screw, 3.5 mm x 14 mm Low profile locking screw, 3.5 mm x 16 mm Low profile locking screw, 3.5 mm x 18 mm Low profile locking screw, 3.5 mm x 20 mm Low profile locking screw, 3.5 mm x 22 mm Low profile locking screw, 3.5 mm x 24 mm Fragment Screws 4 mm Low Profile Nonlocking Screws, cancellous Low profile nonlocking screw, 4 mm x 10 mm Low profile nonlocking screw, 4 mm x 12 mm Low profile...

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