P.R.C.T II
5Pages

FIXATION PLATE FOR ARTICULAR FRACTURE OF THE PROXIMAL HUMERUS SURGICAL TECHNIQUE

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...

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...

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....

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...