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P.R.C.T II

Product catalog summary

Surgical Technique Overview:
An anterolateral approach is recommended for the fixation of articular fractures of the proximal humerus using the PRCT II plate. A longitudinal incision is made from the anterolateral corner of the acromion, extending 8-10 cm distally. The axillary nerve is palpated and protected during the procedure. This approach allows for direct visualization of the fracture for plate placement and locking screws, as well as reduction of tuberosity fragments.

Patient Positioning:
The patient is positioned in a 35° beach-chair position with the shoulder extending over the table's top corner to facilitate radiographic imaging. The forearm rests on an arm board for full range of motion, and the C-arm is positioned at 35° along the patient's side.

Indications:
The PRCT II plates are indicated for two or three-part articular fractures, displaced surgical neck fractures, nonunion, pseudoarthrosis, and comminuted fractures.

Plate and Screw Specifications:
The PRCT II plates are designed to fit the anatomy of the shoulder, with options for right and left sides. The plates are available in various sizes, with specific targeting devices for each side (green for right, blue for left). Locking screws or compression screws can be used for fixation.

Locking of the Proximal Part:
Two solutions are provided for locking the proximal part. The first involves drilling holes in the direction of the humeral head using a guide, with screw length determined by direct reading from the drill-guide. The second solution involves fitting a targeting device and inserting screws with a Hex 3.5 driver.

Mini Invasive Approach:
The mini invasive approach involves fitting the plate with an aiming guide, inserting screws with a Hex 3.5 driver, and using a handle for guidance.

Implants and Instrumentation:
The document lists various PRCT II plates and screws, including polyaxial locking and standard screws, with specifications for size and length.

Implants Removal:
Screws are removed using a Hex 3.5 screwdriver, following the same method as for locking the proximal part.

Catalog excerpts

FIXATION PLATE FOR ARTICULAR FRACTURE OF THE PROXIMAL HUMERUS SURGICAL TECHNIQUE

Open the catalog to page 1

PROPERTIES PRCT II is a new generation of humeral plates, designed for numerous shoulder fractures. . The technical characteristics of this implant have been designed from workshops in anatomical labs to fit as much as possible to the anatomy, correlated to results previously published in medical journals. INDICATIONS Indications of the plates are : - Two or three-part articular fracture, - Displaced surgical neck fracture - Nonunion - Pseudoarthrosis - Comminuted fracture SURGICAL TECHNIQUE Patient positioning: 1 Place the patient in a 35° beach-chair position. . Position the patient so that...

Open the catalog to page 2

LOCKING OF THE PROXIMAL PART Plate positioning: 3 15 mm The plate should be positioned about 15mm below the top of the greater tuberosity, lateral to the biceps groove. . Choose the size of the plate that fits the best. Blue plate = left side Green plate = right side Insert the first screw through the oval-shaped hole of the plate. This will allow adjustment of the position of the plate, if necessary. . The screw should be in both cortex. . Locking of the proximal part: (1st solution) 4 By means of the guide, drill the hole in direction of the humeral head. Length of the screw is done by direct...

Open the catalog to page 3

MINI INVASIVE APPROACH Fitting the plate: 1 Warning Green aiming guide for right side Blue aiming guide for left side. 1- Mount the aiming guide onto the implant such as the tab being in the hole of the plate. 2- Insert the screw with the Hex 3.5 driver. 3- Insert the handle into the aiming guide. After having carefully dissected the soft parts using Halstead forceps, insert the Ø8mm guide into the top hole of the aimer until contact is made with the cortex using the soft-tissue holder. . Insert the drill guide / depth gauge into the Ø8mm guide. Drill the 1st cortex with the measurer drill. When...

Open the catalog to page 4

DIAPHYSEAL PLATES Diaphyseal plates: 1 Use the same method as described for the locking of the proximal part (step 4 page 3). IMPLANTS REMOVAL Screws removal: 1 Remove screws with the screwdriver Hex 3.5. PRCT II plateTA6V right 3 holes PRCT II plateTA6V right 5 holes PRCT II plateTA6V right 7 holes PRCT II plateTA6V left 3 holes PRCT II plateTA6V left 5 holes PRCT II plateTA6V left 7 holes Diaphyseal plate TA6V 5 holes Diaphyseal plate TA6V 7 holes Diaphyseal plate TA6V 9 holes 108-4520/4560 Polyaxial locking screw TA6V Ø 4.5mm L 20 to 60mm inc 5mm 109-4520/4560 Polyaxial standard screw TA6V...

Open the catalog to page 5

P.R.C.T II

P.R.C.T II

Catalog excerpts

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