SUPERIOR CLAVICLE PLATING SYSTEM SURGICAL TECHNIQUE

WISHBONE MEDICAL SUPERIOR CLAVICLE PLATING SYSTEM Introduction The WishBone Medical Clavicle Plating System is designed for pediatric and adult patients—delivered in sterile, single-use kit packaging for individualized procedural care. This complete system offers narrow, low-profile, superior mid-shaft clavicle plates in 6-Hole and 8-Hole configurations. Procedure kits include 3.5mm locking and non-locking screws. SYSTEM COMPONENTS 6-Hole or 8-Hole Superior Clavicle Plate Threaded Drill Guide Small Depth Gauge Drill Bits Screw Assortment* Double-Ended Drill Guide * Non-locking (cortical) and...

EVERYTHING YOU NEED, BRAND NEW EVERY TIME. Complete procedure kits in sterile packaging eliminate set processing and help avoid delays or cancellations attributed to missing components. Readily available for immediate use, individual kits deliver sharp and pristine instruments, new for each procedure. SYSTEM FEATURES: SUPERIOR MID-SHAFT CLAVICLE PLATES Smaller, low-profile design for the pediatric patient. Pre-contoured plate designed to fit patient’s anatomy. Compression slots designed to provide plate positioning and fracture compression. Rounded plate tips and smooth edges designed to lessen...

FOR PLATES & SCREWS KITS 2.7mm and 3.5mm cortical (8mm–50mm lengths) and locking screws (10–50mm lengths) are available as sterile packed ancillary items in the WishBox for plates & screws systems. For more information, please refer to the Plates & Screws Delivered Goods Form (LIT-DGF-PS). SYSTEM FEATURES: SCREWS WishBone Medical Superior Clavicle Plates utilize 3.5mm cortical and locking titanium screws. An assortment of each is included in every procedure kit. See quantities below. LOCKING SCREWS CORTICAL SCREWS Designed for fixation in cortical bone. Threaded cortical screw head. Rounded screw...

TABLE OF CONTENTS SURGICAL TECHNIQUE Radiologic Evaluation Straight AP, augmented with an oblique view allows for assessment of the body of the clavicle, acromioclavicular (AC) and sternoclavicular (SC) joints and coracoclavicular (CC) ligaments. Scapular Y views are helpful in assessing the relationship between acromium/coracoid and scapula. Depending on stabilization method, a horizontal incision is placed inferior to the clavicle (fig1). Another option is an incision perpendicular to the long axis along the Langer’s line. This incision may provide better cosmetic results and less damage to...

TABLE OF CONTENTS SURGICAL TECHNIQUE Fracture Reduction and Plate Selection Distract, elevate and rotate the lateral fragment to obtain reduction (fig 2). Select the appropriate Superior Mid-Shaft Clavicle Plate to best address the location of the fracture and patient anatomy. The two middle plate holes should be on either side of the fracture line to allow for nonlocking screw placement to stabilize a wedge fragment if needed (fig 3). Lag screws can be used to stabilize oblique fractures and to stabilize wedge fragments. Reduce the fracture according to standard practice. Caution: When using...

TABLE OF CONTENTS SURGICAL TECHNIQUE Non-Locking Screw Insertion (cont.) Place the 2.8mm end of the double-ended drill guide into the 2nd compression slot. The 2.8mm drill bit is inserted to the desired depth (fig 7). It is recommended that a non-locking cortical screw be used to lag the plate to the clavicle. fig. 7 The depth gauge is then inserted into the plate and hooked to the far cortex (fig 8). The selected screw is then inserted into the plate and tighten using the screwdriver in a clockwise direction (fig 9). Caution: Double-ended drill guide metal tips contain sharp features to provide...

TABLE OF CONTENTS SURGICAL TECHNIQUE Locking Screw Insertion (Optional) Locking screws are used in only the threaded holes. Using the locking drill guide and 2.8mm drill bit, drill to the desired depth (fig 10). Measure for screw length by locating the laser mark on the drill guide. Alternatively, detach the locking drill guide and use the depth gauge to measure for screw length (fig 11). Optional step The appropriate length locking screw is then inserted and tightened clockwise using the screwdriver (fig 12). CLAVICLE PLATES SURGICAL TECHNIQUE

TABLE OF CONTENTS SURGICAL TECHNIQUE Insertion of Remaining Screws Repeat steps 5-6 for insertion of remaining screws. Implant Removal An intraoperative radiograph is recommended to check the final reduction of the fracture and the position of the screws. The wound is closed according to surgeon preference. Unlock all locking screws from the plate, then remove the locking and non-locking screws completely from the bone. Remove the plate. Note: For unstable repair constructs, i.e., highly comminuted fractures, post-operative loading should be restricted to a level determined by the physician until...

WishBoneMedical.com 100 Capital Drive Warsaw, IN 46582 +1-574-306-4006 All trademarks herein are the property of WishBone Medical, Inc. or its subsidiaries unless otherwise indicated. This material is intended for the sole use and benefit of Health Care Professionals and the WishBone Medical Sales Force. It is not to be redistributed, duplicated or disclosed without the express written consent of WishBone Medical. All WishBone Clavicle Plating System kits are only available as single-use, sterile packed kits. Always confirm product expiration date prior to use. For product information, including...