For Fragment-Specific Fracture Fixation With Variable Angle Locking Technology 2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates ® Surgical Technique

2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates Recommendations on Screw and Plate Insertion Screw Insertion Techniques Screw Type Determination Surgical Technique Plate Insertion Screw Insertion14 14 Cortex Screws 16 Variable Angle Locking Screws Postoperative Treatment Implant Removal Product Information MR Information The 2.4 mm Variable Angle LCP Volar Rim Distal Radius Plate System has not been evaluated for safety and compatibility in the MR environment. It has not been tested for heating, migration or image artifact in the MR environment. The safety of the 2.4 mm Variable Angle...

2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates. For fragment-specific fracture fixation with variable angle locking technology. The anatomically precontoured, low-profile plates for distal volar placement are indicated for complex intra-articular and extra-articular distal radius fractures. All implants are available in stainless steel and titanium. Low-profile construct Beveled distal edge, rounded and polished surface and countersunk screws for reduced soft tissue irritation Additional distal screw options Enable support of radial styloid, lunate facet and DRUJ 2    DePuy Synthes ...

2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates. For fragment-specific fracture fixation with variable angle locking technology. Kirschner wire holes Enable preliminary plate fixation and indicate screw orientation when using guide blocks (Figure 1) Anatomically precontoured Buttressing of distal fragments due to anatomically precontoured plate (Figure 2) Guide block Allows guided drilling and screw insertion in the predefined nominal angle (Figure 3) Bendable tabs If necessary, tabs can be bent to suit the individual anatomical conditions of the bone (Figure 4) Elongated VA Combi hole...

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation.1,2 In 1958, the AO formulated four basic principles, which have become the guidelines for internal xation1, 2. Anatomic Anatomic reduction reduction Fracture reduction and fixation to Fracture reduction and xation to restore anatomical relationships. restore anatomical relationships. 1 Early, active mobilization Early and safe mobilization and Early, active mobilization rehabilitation of the injured part Early and safe mobilization and and the patient as a whole. rehabilitation of the injured...

The 2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates are intended for fixation of complex intra- and extraarticular fractures and osteotomies of the distal radius and other small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures: – – – – intra-articular fractures exiting the epiphysis intra-articular fractures exiting the metaphysis physeal crush injuries any injuries which cause growth arrest to the distal radius 2.4 mm Variable Angle LCP® Volar Rim Distal Radius Plates  Surgical Technique  DePuy 

Clinical Cases Case 1 74-year-old female with AO C3 fracture and distal ulna fracture Case 2 43-year-old male with AO C2 fracture Results from case studies are not predictive of results in other cases. Results in other cases may vary. 6    DePuy Synthes  2.4 mm Variable Angle LCP® Volar Rim Distal Radius Plates  Surgical T

Recommendations on Screw and Plate Insertion Screw Insertion Techniques Variable angle locking screws can be inserted using two different techniques: – Variable angle technique – Predefined nominal angle technique Cone-shaped end for off-axis drilling Fixed-angle end for nominal angle drilling Variable angle technique Instrument 03.110.000 mm Universal Variable Angle Locking 1.8 Drill Guide Optional instrument 03.110.023 mm Universal Variable Angle Locking 1.8 Drill Guide, cone To drill variable angle holes up to 15° deviation from the nominal trajectory of the locking hole, key the tip of the...

Recommendations on Screw and Plate Insertion Screw Insertion Techniques Predefined nominal angle technique Option A: Use of fixed-angle end of VA drill guide Instrument 03.110.000 mm Universal Variable Angle Locking 1.8 Drill Guide Optional instrument 03.110.024 mm Universal Variable Locking Drill 1.8 Guide, coaxial The fixed-angle of the VA drill guide only allows the drill bit to follow the nominal trajectory of the VA locking hole. Option B: Use of guide blocks Instruments 03.110.021 mm Drill Guide with Measuring for 1.8 VCP Guide Block 03.111.000 mm Drill Guide with Measuring for 1.8 Variable...

Recommendations on Screw and Plate Insertion Screw Type Determination Screw type determination Determine whether standard cortex screws or variable angle locking screws will be used for fixation of the shaft. 1 VA locking holes accept: – 2.4 mm VA locking screws – 1.8 mm VA locking buttress pins – 2.4 mm locking screws (only at nominal angle) – 2.4 mm cortex screws VA Locking hole Elongated VA Combi hole The compression portion (1) of elongated VA Combi holes accepts: – 2.4 mm cortex screws – 2.7 mm cortex screws The threaded portion (2) of elongated VA Combi holes accepts: – 2.4 mm VA locking...

Required instrument sets 01.111.478 / 2.4 mm Variable Angle LCP (VA-LCP) 01.111.479 Distal Radius System Set (stainless steel or itanium) t or 2 ⁄3 Instrument Tray for LCP and VA-LCP 01.111.500 / 01.111.501 Distal Radius Systems (stainless steel or titanium) or 1 ⁄3 Instrument Tray for 2.4 mm Cortex and 01.116.020 VA-LCP Screws for Modular Case System Required screw sets (unless using 01.111.478/01.111.479) 01.111.502 / 01.111.503 or 01.111.506 / 01.111.507 or 01.111.508 / 01.111.509 2.4 mm and 2.7 mm Variable Angle Locking Screw Module for Distal Radius (stainless steel or itanium) t 2.4 mm...