Part of the DePuy Synthes Locking Compression Plate (LCP®) System 3.5 mm LCP Medial Distal Tibia Plates ® Surgical Technique

3.5 mm LCP Medial Distal Tibia Plates AO Principles Reduce Articular Surface Insert Plate Position Plate and Fix Provisionally Surgical Technique Insert Screws Implant Removal Product Information MR Information The 3.5 mm LCP Medial Distal Tibia 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 3.5 mm LCP Medial Distal Tibia Plate System in the MR environment is unknown. Scanning a patient who has this device may result in patient injury. Image intensier...

3.5 mm LCP® Medial Distal Tibia Plates The 3.5 mm LCP® Medial Distal Tibia Plate is part of the DePuy Synthes LCP System that merges locking screw technology with conventional plating techniques. The plate is offered in stainless steel and features a limited-contact shaft profile, Combi holes in the shaft, and locking screw holes in the head. The Combi holes in the plate shaft combine a dynamic compression unit (DCU) hole with a locking screw hole. The Combi hole provides the flexibility of axial compression and locking capability throughout the length of the plate shaft. Fixation with the 3.5...

3.5 mm LCP Medial Distal Tibia Plates Plate features – natomically contoured; plate is twisted A 20° and bent to fit the distal tibia – vailable for left and right tibias A – imited-contact shaft design with L 4 to 14 combination locking/ compression holes – ight distal locking holes accept E 2.7 mm cortex, 3.5 mm locking, 3.5 mm cortex, or 4.0 mm cancellous bone screws – roximal and distal holes for 1.6 mm P or 2.0 mm Kirschner wires – 16L stainless steel 3 – ocking holes in distal region are parallel L to the joint – longated hole in shaft aids in initial E plate positioning – he shaft holes...

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 reduction Anatomic reduction Fracture reduction and fixation to Fracture reduction and xation to restore anatomical relationships. restore anatomical relationships. 1 Early, active mobilization Early, active mobilization Early and safe mobilization and Early and safe mobilization and rehabilitation of the injured part rehabilitation of the injured part and the patient as...

The Synthes LCP Distal Tibia Plates are intended for fixation of complex intra- and extra-articular fractures and osteotomies of the distal tibia, as a part of the Synthes Small Fragment LCP System. 3.5 mm LCP ® Medial Distal Tibia Plates  Surgical Technique  DePuy Synthes

1 Preparation Required set 105.434 Small Fragment LCP Instrument and Implant Set, with self-tapping screws Optional sets 105.90 Bone Forceps Set 105.954 Small Battery Drive Set Optional instruments for contouring 329.02 Bending Iron Plate-Bending Press Warning: The direction of locking screws is already determined based on the design of the plate. If manual contouring is necessary, verify new screw angles using the screw placement verification technique on page 11. Complete the preoperative radiographic assessment and prepare the preoperative plan. Determine plate length and instruments to be...

Reduce Articular Surface 2 Reduce articular surface Instrument 394.35 Large Distractor Note: Prior to reduction, application of an external fixator or large distractor may facilitate visualization and reduction of the joint. Reduce the fracture fragments and confirm reduction using image intensification. Reduction may be stabilized using the following methods: – Independent Kirschner wires – K-wires through the plate – Independent lag screws – Lag screws through the plate – Locking screws through the plate Locking screws do not provide interfragment compression; therefore, any desired compression...

Insert Plate 3 Bend distal tab (optional) Instrument 391.963 Universal Bending Pliers Contour the distal tab as necessary with the universal bending pliers. Precaution: Do not repeatedly bend the distal tab back and forth. Saphenous vein 2.8 mm Threaded Drill Guide Threaded Plate Holder For minimally invasive insertion, make a single incision distally and carefully push the plate under the soft tissue. Make stab incisions to insert screws into the shaft. Notes: – Use a threaded plate holder in one of the distal holes as a handle for percutaneous insertion. – rior to placing the plate against...

Position Plate and Fix Provisionally 5 Position plate and fix provisionally Instrument 324.024 Push-Pull Reduction Device The plate may be temporarily held in place with standard plate holding forceps or the push-pull reduction device, to prevent plate rotation while inserting the first locking screw. K-wires may be used through the plate for provisional fixation. Assure proper reduction prior to insertion of the first locking screw. Locking screw insertion may prevent any further reduction. 3.5 mm LCP ® Medial Distal Tibia Plates  Surgical Technique  DePuy Synthes

Insert Screws 6 Insert screws Instruments 310.288 2.8 mm Threaded Drill Guide StarDrive Screwdriver StarDrive Screwdriver Shaft Depth Gauge Torque Limiting Attachment, 1.5 Nm Torque Limiting Attachment, 1.5 Nm, quick coupling Determine the combination of 2.7 mm, 3.5 mm and 4.0 mm cortex, 4.0 cancellous bone screws, and 3.5 mm locking screws that will be used for fixation. If a combination of cortex and locking screws will be used, cortex screws should be inserted first to pull the plate to the bone. Note: For reasons of stability, only use the locking screws 2.7 mm and the cortex screws 2.7 mm...

Insert Screws If using a locking screw as the first screw, be sure the plate is held securely to the bone to prevent plate rotation as the screw is locked to the plate. Note: The locking screw is not a lag screw. Use standard screws when requiring a precise anatomical reduction (e.g. joint surfaces) or interfragmentary compression. Before inserting the first locking screw, perform anatomical reduction and fix the fracture with lag screws, if necessary. After the insertion of locking screws, an anatomical reduction will no longer be possible without loosening the locking screws. Distal locking...