Orthopedic - ARIX Elbow
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Indications Product Overview Features Surgical Technique - Olecranon Plates - Distal Humerus Plates - Proximal Radius Plates Ordering Information - Olecranon Plates - Distal Humerus Plates - Proximal Radius Plates - Screws - Instruments Set Configuration

The ARIX Elbow System is intended for fractures and osteotomies of proximal radius, ulnar olecranon and distal humerus. The ARIX Proximal Radius Plate is intended for use in proximal radial fractures and osteotomies. The ARIX Olecranon Plate is intended for use in particular for ulna fractures and osteotomies. The ARIX Distal Humerus Plate is intended for use in distal humerus fractures, osteotomies and non-unions.

ARIX Elbow System

Olecranon Plate • Available for various fracture patterns of the proximal ulna. • Anatomically pre-contoured • Ø 2.5 / 2.8 / 3.5 mm locking & cortical screws available • Variable locking up to ±15° Plate compression screw Coronoid buttress screw - Variable angle ±15º Locking holes Dual plating possible Screw alignment for preventing screw pull out Weak point ; notch

Olecranon Plate Two types of plate shape Normal Type Long Type Normal Type Long Type Screw for buttress(home run screw) Normal Type ARIX Elbow System Long Type

Distal Humerus Plate • Available for various fracture patterns of the distal humerus. • Anatomically Pre-contoured • Ø 2.5 / 2.8 / 3.5 mm locking & cortical screws available • Variable locking up to ±15° Rounded edge Anatomical fit No screw interference Optimized anatomical fitting Pre-contoured Medial plate of JEILMEDICAL Medial plate of JEILMEDICAL Medial plate of Company A Medial plate of Company A

Proximal Radius Plate • Proximal radius plates available for various proximal radius fracture patterns • Anatomically pre-contoured • Both Ø 2.0 mm locking screws and Ø 2.0 mm cortical screws available • Low profile and easily bendable plate design Rounded edge Head Type Neck Type Plate position The plates should be placed in the so-called ‘Safe Zone’ whenever the fracture pattern allows it. Safe Zone : Both plates fit within the hotchkiss safe zone which is described as an area of 105° on the radial head that is free of impingement between ulna and radius. The hotchkiss safe zone is...

Surgical Technique

Surgical Technique Olecranon Plate Olecranon Plate 1. Patient Positioning This procedure is normally performed with the patient either in a lateral position or in a supine position for posterior access. Lateral position 2. Surgical Approach For this procedure a posterolateral approach is normally used. 3. Reduction and Preliminary Fixation If necessary, reduce the bone fractures by using reduction forceps and use guide pins for preliminary fixation before plate and screw placement. Required Instruments Guide Pin 111-068-3 ARIX Elbow System ARIX Elbow System Supine position

Surgical Technique Olecranon Plate Select an appropriate plate according to the fracture type and place it on the fracture site. Avoid placing a screw holds on top of fracture lines. Guide pin holes are available in many parts of the plate. Use guide pins(111-068-3) to fix the plate on the bone for drilling and screw insertion. Attach 1 a drill guide (Ø 2.5: 111-283 / Ø 2.8: 111-285 / Ø 3.5: 111-287) to the plate for drilling. If variable angle is required, 2 fixed angle drill sleeve(Ø 2.5: 111-282 / Ø 2.8: 111-284 / Ø 3.5: 111-264) can be used. 3 Variable angle drill sleeve(Ø 2.5: 111-315...

Surgical Technique Olecranon Plate When fixed angle drill sleeve is used drilling depth can be read on the side of locking sleeve. A separate depth gauge(Ø 2.5/2.8:111-267 / Ø 3.5: 111-266) is available for insufficient visibility of the locking sleeve. For the first screw, use a non-locking screw(35-SO-LXX-T) in the oblong hole of the distal part for the compression and the plate fixation. Insert the next screw in the proximal part for the stability of the plate fixation. Use non-locking screw if additional compression is required. 9. Intramedullary 'Home Run' Screw Fixation An...

Surgical Technique Distal Humerus Plate Distal Humerus Plate 1. Patient Positioning The patient may be positioned in either a prone position or lateral decubitus position. Prone position Lateral decubitus position A posterior approach is normally used in three of the following; • Posterior triceps-on • Triceps-elevating • Transolecranon 3. Fragment Reduction and preliminary fixation In parallel plating it is customary to reduce and secure provisionally all of the fracture fragments, prior to plate application, using guide pins(111-068-3) or reduction forceps. Required Instruments Guide Pin...

Surgical Technique Distal Humerus Plate Select appropriate plates for distal humerus fractures and use guide pins(111-068-3) for temporary fixation of the plates. anatomically along the medial supracondylar ridge and cover medial epicondyle. anatomically along lateral aspect of the distal humerus centrally. fit anatomically along the posterior aspect of the distal humerus and lateral to the trochlea. Required Instruments Guide Pin 111-068-3 ARIX Elbow System

Surgical Technique Distal Humerus Plate 5. Initial proximal Screw Fixation for plate fixation 287) in the oblong hole for first screw drilling. Use a depth gauge(Ø 2.5/2.8:111-267 / Ø 3.5: 111-266) to measure the drilling depth for selecting appropriate screw size. Use a non-locking(cortical) screw(35-SO-LXX-T) in the oblong hole for plate fixation. 6. Inserting Distal Screws Insert locking screw in the distal part of the plate. 7. Inserting Remaining Screws When desired fixation and compression are achieved use locking or non-locking screws to fill remaining holes. Required Instruments...

Surgical Technique Proximal Radius Plate Proximal Radius Plate 1. Patient preparation Position the patient in supine on the table for surgical preparation. Supine position 2. Surgical Approach Lateral approach is recommended. 3. Reduction and Preliminary Fixation If necessary, use reduction forceps and guide wire for temporary fixation. Plate should be placed on “Safety Zone” where the radial head is free of impingement between ulna and radius. ARIX Elbow System