Surgical Technique LCP 5.0 mm Plates

Arzzt Techniques Bein System LCP 5.0 mm Plates INTRODUCTION INDICATIONS SURGICAL TECHNIQUE CONTRAINDICATIONS This guide is performed to expose the recommended techniques and applications for the different kinds of Arzzt LCP 5.0 mm plates in tibia proximal metaphyseal fractures by experienced Orthopedics Trauma Surgeons in the treatment of fractures. The recommendations on its use are not intended to interfere with the surgeon´s experience or with the each patient own needs, following the basic rules for fracture treatment.

Arzzt Techniques LCP 5.0 mm Plates Introduction This is a special system since it is used to maintain the tibia proximal metaphyseal fracture reductions, the plates are made of metal and they have holes where self-tapping or normal screws can be placed, having two presentations to the most appropiate be chosen by the surgeon, either “L” or “T” -shaped with double curvature for a better adaptation to the tibia proximal metaphysis anatomy, narrow and wide LCP plates for support the medial or lateral side of diaphyseal tibia when fracture line is extended to the diaphysis. Indications Tibia proximal...

Arzzt Techniques LCP 5.0 mm Plates The plate ideal length is measured to allow stable fixation, the most appropiate plate shape is determined (”L” or “T”-shaped ), the perforation with 4.5 mm drill is placed and performed in the more proximal holes, the screw length is measured and the 6.5 mm cancellous screw is placed either with complete or partial thread, the reduction and the right length are verified by the image intensifier or X-ray, perforation of the more proximal hole to the fracture line is performed in an eccentric manner by a 3.5 mm drill, the length is determined and the 5.0 mm cortical...

Arzzt Techniques LCP 5.0 mm Plates Surgical Technique Patient is positioned on supine position, the midline incision is performed on femur lateral side at the knee level surrounding the patella lateral edge, it is dissected by planes, the fascia and articular capsule are incised allowing a 5 mm margin from lateral patellar spoiler for reintegration, the quadriceps is incised through the intramuscular septum of the lateral vastus, the periosteum is incised, the periosteal stripping is performed, the patella is medially dislocated, the knee joint is washed out with saline solution for better visibility,...

Arzzt Techniques LCP 5.0 mm Plates Contraindications 1.- Poor quality of skin and soft tissues 2.- Infection 3.- Grade IIIC exposed fractures 3.- Intra-articular injuries as cruciate ligament injury POSSIBLE COMPLICATIONS: When the supra-intercondylar fracture line is comminuted, sometimes it needs to be supported by autologous or heterologous bone graft and it would be necessary that the plate is only placed as a bridge and it is needed to place an external support while the fracture consolidation is performed because otherwise a screw removing or breaking could present which results in a fixation...