video corpo

DHL - Distal Humeral Locking Plates
20Pages

{{requestButtons}}

Catalog excerpts

DHL - Distal Humeral Locking Plates - 1

Implants trauma Distal Humeral Locking Plates

Open the catalog to page 1
DHL - Distal Humeral Locking Plates - 2

CAUTION: Federal Law (USA) restricts this device to sale by or on the order of a board certified physician. WARNING: If there is no sufficient bone healing, wrong or incomplete postoperative care, plate might break. All ITS plates are preformed anatomically as a matter of principle. If adjustment of the plate to the shape of the bone is required, this is possible by carefully bending gently in one direction once. Particular care is required when bending in the region of a plate hole, as deformation of the plate may lead to a failure of the locking mechanism. The plate must not be buckled or...

Open the catalog to page 2
DHL - Distal Humeral Locking Plates - 3

1. Introduction P. 5 Preface P. 6 Screws P. 7 Properties P. 8 Indications & Contraindications P. 8 Time of operation 2. Surgical Technique P. 10 Pre-operative patient preparation P. 10 Access P. 11 Reduction P. 12 Placement of the screws P. 15 Postoperative treatment P. 15 Explantation 3. Information P. 17 Locking P. 17 Dotize® P. 18 Order list

Open the catalog to page 3
DHL - Distal Humeral Locking Plates - 5

Preface The Distal Humeral Locking Plates are a proven osteosynthesis system for various fractures of the distal humerus. The special feature of these implants is the free choice of screw placement. The user is able to set any desired screw in any hole either locking or non-locking screw (except sliding hole). The free choice of screw angulation (+/- 15°, see page 17) provides an advantage in fracture treatment, especially in the case of complex fractures.

Open the catalog to page 5
DHL - Distal Humeral Locking Plates - 6

Cortical Screw, locking, D=3.5mm, SH Spiral Drill, D=2.7mm, L=100mm, AO Connector Screwdriver, WS 2.5, self-holding sleeve Spiral Drill, D=2.7mm, L=100mm, AO Connector Screwdriver, WS 2.5, self-holding sleeve Cancellous Screw, locking, D=4.2mm, SH Spiral Drill, D=2.5mm, L=180mm, AO Connector Screwdriver, WS 2.5, self-holding sleeve Guide Wire, Steel, D=1.6mm, L=150mm, TR, with thread

Open the catalog to page 6
DHL - Distal Humeral Locking Plates - 7

Properties Properties of the implant: • Plate material: Titanium • Material of screws: TiAl6V4 ELI • Easier removal of the implant after the fracture has healed • Improved fatigue strength of the implant • Reduced risk of cold welding • Reduced risk of inflammation and allergy • Multi-directional locking • Anatomical plate design • Sliding hole with compression option up to 4mm • Pointed proximal plate end for percutaneous insertion • Left/right version • Lengths, dorsolateral: 4, 5, 6, 7-hole • Lengths, medial: 8, 9, 10-hole

Open the catalog to page 7
DHL - Distal Humeral Locking Plates - 8

♦ Supra- and diacondylar upper-arm fractures Contraindications: ♦ Severe osteoporosis ♦ Existing infections in the area of the fracture ♦ Strongly reduced general conditions • Obesity ♦ Lack of patient compliance Time of operation: ♦ Within the first hours of the trauma or in the following days ♦ If the operation is not primary, arm should be immobilized in a splint

Open the catalog to page 8
DHL - Distal Humeral Locking Plates - 9

Surgical Technique

Open the catalog to page 9
DHL - Distal Humeral Locking Plates - 10

♦ General or regional anaesthesia or combination can be used • Tourniquet ♦ Prone position o Access Posterior approach: ♦ Median incision in the ulnar rim on the distal upper arm above the olecranon • Exposure and retraction of the ulnar nerve • Depending on the type of fracture, olecranon osteotomy and retraction of the triceps • In the case of supracondylar fractures, it is possible to approach from the ulnar and radial side adjacent to the brachial triceps tendon

Open the catalog to page 10
DHL - Distal Humeral Locking Plates - 11

Reduction • Temporary fixation of the plate using guide wires • Anatomical reduction of the fracture segments to the plate • Subsequent control under fluoroscopy Optionally, the plate can be stabilized using the ITS. Temporary Plate Holder (58164-150).

Open the catalog to page 11
DHL - Distal Humeral Locking Plates - 12

Placement of the screws Use the drill guide, D=2.7/2.0mm (62202) to bore holes with the spiral drill D=2.7mm, L=100mm, AO Connector (61273-100) into the compression hole. Use the screwdriver, WS 2.5, self-holding sleeve (56252) to insert D=3.5mm cortical screws (32351-XX) of appropriate lengths determined previously with the depth gauge, solid small fragment screws (59022).

Open the catalog to page 12
DHL - Distal Humeral Locking Plates - 13

Then, drill holes into a distal and proximal plate hole using the drill guide, D=2.7/2.0mm (62202) to bore holes with the spiral drill D=2.5mm, L=180mm resp. D=2.7mm, L=100mm, AO Connector (61253-180/61273-100). Use the screwdriver, WS 2.5, self-holding sleeve (56252) to insert the D=4.2mm cancellous screw (37422-XX-N) or D=3.5mm cortical screw, optionally locking (32351-XX/37351-XX-N) of appropriate lengths determined previously with the depth gauge, solid small fragment screws (59022).

Open the catalog to page 13
DHL - Distal Humeral Locking Plates - 14

The remaining plate holes are then filled, with either locking or non-locking screws. Subsequent control of plate position under fluoroscopy.

Open the catalog to page 14
DHL - Distal Humeral Locking Plates - 15

Postoperative treatment • Physical therapy • In case of poor bone quality or insecure fixation, movement fixator for a maximum of 6 weeks or upper-arm plaster cast for a maximum of 3 weeks • When a locking screw connection has been used, it is necessary to be aware that the diagnosis of non-union may be very delayed. Explantation If desired by the patient, the implant can be removed Removal should be performed at the earliest 6 months - 1 1/2 years later or after radiographic verification of the healed bone. The problem of cold welding was resolved by using a special surface treatment (for...

Open the catalog to page 15
DHL - Distal Humeral Locking Plates - 17

o Locking Locking works because of: ♦ Screw material (TiALV) is slightly harder than plate material (Titanium Grade 2) • Screw head forms thread into the plate (no cutting) Benefits: • ± 15° and Locking • No pre threading • No cold welding • No debris • You can re-set the screw up to 3 times Dotize Type II anodization • Layer thickness 60-200nm Different colors + Film becomes an interstitial part of the titanium Implant surface remains sensitive to: Chipping - No visible cosmetic effect Peeling Discoloration Anodization Type II leads to following benefits* • Oxygen and silicon...

Open the catalog to page 17
DHL - Distal Humeral Locking Plates - 18

Humeral Plate, Distal, 4-hole, Left, Dorsolateral Humeral Plate, Distal, 4-hole, Right, Dorsolateral Humeral Plate, Distal, 5-hole, Left, Dorsolateral Humeral Plate, Distal, 5-hole, Right, Dorsolateral Humeral Plate, Distal, 6-hole, Left, Dorsolateral Humeral Plate, Distal, 6-hole, Right, Dorsolateral Humeral Plate, Distal, 7-hole, Left, Dorsolateral Humeral Plate, Distal, 7-hole, Right, Dorsolateral Humeral Plate, Distal, 8-hole, Left, Medial Humeral Plate, Distal, 8-hole, Right, Medial Humeral Plate, Distal, 9-hole, Left, Medial Humeral Plate, Distal, 9-hole, Right, Medial Humeral Plate,...

Open the catalog to page 18

All I.T.S. catalogs and technical brochures

  1. ufs

    1 Pages

  2. DHL

    2 Pages

  3. ITS

    2 Pages

  4. PHL

    24 Pages

  5. ACLS

    20 Pages

  6. CFN

    32 Pages

  7. OLS

    24 Pages

  8. PHLs

    20 Pages

  9. SR Sacral Rods

    20 Pages

  10. HCS

    24 Pages

  11. TLS

    20 Pages

  12. PRS-RX

    32 Pages

  13. HLS

    20 Pages

  14. ES

    20 Pages

  15. SR

    20 Pages

  16. FL

    24 Pages

  17. CAS

    40 Pages

  18. FCN

    20 Pages

  19. HOL

    24 Pages

  20. FLS

    24 Pages

  21. PFL

    20 Pages

  22. DTL

    24 Pages

  23. HTO

    24 Pages

  24. PTL

    32 Pages

  25. DFL

    32 Pages

  26. SCL

    32 Pages

  27. SLS

    24 Pages

  28. CAL

    20 Pages

  29. DUL

    24 Pages

  30. CLS

    28 Pages

Archived catalogs

  1. SR Old

    20 Pages

  2. ES Old

    20 Pages

  3. CAS Old

    36 Pages

  4. CS

    16 Pages

  5. SN Old

    16 Pages

  6. FCN Old

    16 Pages

  7. DFL Old

    28 Pages

  8. FTN

    12 Pages

  9. PRS

    28 Pages

  10. PRL

    28 Pages

  11. UOL

    32 Pages

  12. SL

    16 Pages

  13. OHL

    24 Pages

  14. OL

    16 Pages

  15. DHL

    16 Pages

  16. PHL

    16 Pages

  17. CLS

    24 Pages