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LCP Distal Ulna
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Catalog excerpts

LCP Distal Ulna - 1

LCP Distal Ulna Plate. For capital and subcapital fractures of the ulna. Technique Guide

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LCP Distal Ulna - 3

Introduction LCP Distal Ulna Plate 2 Product Information Implants 19 Image intensifier control This description alone does not provide sufficient background for direct use of the product. Instruction by a surgeon experienced in handling this product is highly recommended Reprocessing, Care and Maintenance of Synthes Instruments For general guidelines, function control and dismantling of multi-part instruments, please refer to: www.synthes.com/reprocessing

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LCP Distal Ulna - 4

LCP Distal Ulna Plate. For capital and subcapital fractures of the ulna. ᕡ Pointed hooks and locking screw in the head Pointed hooks to grip the styloid process and to act as reference point for plate application. Intercrossing locking screws securely hold the ulnar head. The shaft contains LCP combi-holes. ᕡ ᕢ Angular stability The head accepts 2.0 mm locking screws. The shaft accepts either 2.0 mm locking or cortical screws. ᕢ ᕣ Oblong hole The oblong hole accepts 2.0 cortex screws for ulnar length adjustment. ᕤ Anatomically precontoured The slim plate design, low screw/plate profile,...

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LCP Distal Ulna - 5

Locking screws X01.876–900 Locking Screw л 2.0 mm, self-tapping ᕤ Cortex screws X01.356–381 Cortex Screw л 2.0 mm, self-tapping Synthes 3

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LCP Distal Ulna - 6

Fractures of the distal ulna which result in instability of the distal radioulnar joint Fractures of the ulna head where the articular surface is either displaced, rotated or tilted. displaced articular surface rotated articular surface tilted articular surface 4 Synthes LCP Distal Ulna Plate Technique Guide

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LCP Distal Ulna - 7

Comminuted extra-articular fractures of the ulnar neck threatening stable congruency of the distal radioulnar joint. Note: Not all fractures of the distal ulna require internal fixa- tion. Indeed, many simple ulnar styloid fractures demand nothing more than symptomatic treatment.

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LCP Distal Ulna - 8

Clinical Cases 24 year old male patient. DRUJ and long-term painful instability of the fracture of the base of the ulna styloid. Retaining of the TFCC by osteotomy and osteosynthesis using the distal ulna plate. 6 Synthes LCP Distal Ulna Plate Technique Guide

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LCP Distal Ulna - 9

83 year old female patient, fall. Stabilization of subcapital ulna and concomitant ulna styloid fracture with LCP Distal Ulna Plate. LCP Distal Volar Column Plate for fixation of distal radius fracture. Pre-op Post-op (8 months) Synthes 7

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LCP Distal Ulna - 10

Surgical Technique The distal ulna is an essential component of the distal radioulnar joint, which provides rotation to the forearm. The distal ulnar surface is also an important platform for stability of the carpus and, beyond it, the hand. Unstable fractures of the distal ulna therefore threaten both movement and stability of the wrist. The size and shape of the distal ulna combined with the overlying mobile soft tissues, make application of standard implants difficult. The LCP Distal Ulna Plate has been specifically designed for use in fractures of the distal ulna. 8 Synthes LCP Distal...

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LCP Distal Ulna - 11

1 Surgical approach The distal ulna is subcutaneous. A bare area exists between the tendons of flexor carpi ulnaris and extensor carpi ulnaris. This bare area continues on towards the ulnar styloid and represents the optimum site for application of the LCP Distal Ulna Plate. Make a longitudinal skin incision over the palpable ulna. Take great care to avoid the dorsal sensory branch of the ulnar nerve, which crosses the bone at this level to supply the dorsal skin of the hand. Once the distal shaft of the ulna is visible, subperiosteal dissection will allow the fracture fragments to be...

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LCP Distal Ulna - 12

Surgical Technique Contour plate (optional) 347.901 Pliers, flat-nosed, pointed, for Plates If necessary contour the plate with flat-nosed pliers. - The plate holes have been designed to accept some degree of deformation. The undercut helps to ensure that the threaded holes will not be distorted with typical contour- ing. Significant distortion of the threaded holes will reduce locking effectiveness. - The plate features pointed hooks which should be handled with care. Important: If possible, the plate should not be cut since the resulting sharp edges can irritate the overlying soft...

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LCP Distal Ulna - 13

3 Reduce fracture and position plate Instrument 292.622/623 Guide Wire л 1.1 mm with threaded tip with trocar/with trocar tip, length 150 mm, Stainless Steel Expose and clean the fracture. Secure the pointed hooks of the LCP Distal Ulna Plate around the tip of the ulnar styloid as a reference guide. In simple fractures of the ulnar neck, apply the plate then to the subcutaneous border of the distal ulna, securing points of fixation in both the head and the shaft. Synthes 11

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LCP Distal Ulna - 14

Surgical Technique Note: It might be necessary to temporarily stabilize the fracture with a trans-styloid guide wire л 1.1 mm. The wire should be inserted between the distal hooks of the temporarily applied plate. Important: The head of the distal ulna is often fragile. Caution should be exercised if using pointed reduction forceps, since the force of this instrument may cause further comminution of the ulnar head. Much of the reduction will be performed indirectly. Complete exposure of the ulnar head should not be performed because this will detach essential soft tissue stabilizers. 12...

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LCP Distal Ulna - 15

310.507 Drill Bit 0 1.5 mm with Marking, for Mini Quick Coupling 323.034 LCP Drill Sleeve 2.0, with Scale, for Drill Bits 0 1.5 mm with marking 319.005 Depth Gauge for Screws 0 2.0 and 313.842 Screwdriver Shaft Stardrive 2.0, short, or self-holding, for Mini Quick Coupling 313.843 Screwdriver Shaft Stardrive 2.0, long, self-holding, for Mini Quick Coupling 311.012 Handle with mini Quick Coupling for Secure the drill sleeve in the desired hole. Predrill the hole with the drill bit 0 1.5 mm through the drill sleeve. Remove

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LCP Distal Ulna - 16

Surgical Technique Measure the screw length with the depth gauge. ntroduce the measured length of the 2.0 mm locking screw with the screwdriver until seated. 14 Synthes LCP Distal Ulna Plate Technique Guide

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LCP Distal Ulna - 17

Length Adjustment and Final Fixation Multiple options for screw insertion in the distal portion of the plate allow a wide range of fracture patterns to be se- curely stabilized. Length adjustment 313.842 Screwdriver Shaft Stardrive 2.0, short, or self-holding, for Mini Quick Coupling 313.843 Screwdriver Shaft Stardrive 2.0, long, self-holding, for Mini Quick Coupling 311.012 Handle with mini Quick Coupling In fractures which require length adjustment, place one or two 2.0 mm locking screws in the ulnar head to securely fix the implant distally. Then place a 2.0 mm cortical screw in the...

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