Lockng Hand-Wrist SURGICAL TECHNIQUE PLATE SYSTEM
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PLATE SYSTEM SURGICAL TECHNIQUE

Distal Radius VOLAR PLATE Locking Distal Radius DORSAL PLATE Locking Distal Radius ULNA PLATE Locking Distal Radius VOLAR EXTENSION PLATE Contents 1. Introduction 1.1.Locking Distal Radius Volar Plate 1.1.1.Specification 1.2.Locking Distal Ulna Plate 1.2.1.Specification 1.3.Locking Distal Radius Dorsal Plate 1.3.1.Specification 1.4.Locking Distal Radius Volar Extension Plate 1.4.1.Specification 2.Surgical Technique 2.1.Locking Distal Radius Volar Plate 2.1.1. Volar Approach 2.1.2. Fracture 2.1.3. Reduction & Plate Placement 2.1.4. Ø 3.5 Cortical Screw 2.1.5. Ø 2.4 Locking Screw 2.1.6. Ø 3.5...

1. Introduct on 1.1.Locking Distal Radius Volar Plate 1.1.Locking Distal Radius Volar Plate 1.1.1.Specification Locking Distal Radius Plates are used in the surgical treatment of fractures and nonunions of the distal radius. Distal Radius Volar Plate used with Ø3.5 mm cortical screw, Ø 3.5 mm locking screw and Ø2,4mm locking screw. 5-17 holes and 51, 59, 67, 80, 88, 96 mm length options are available. Locking Distal Radius Volar Plates are manufactured from titanium alloy manufactured according to ASTM F136. 80mm 88mm 96mm Those screw are send at an angle to reach effectively to the styloid...

1. Introduct on 1.2.Locking Distal Ulna Plate 1.2.Locking Distal Ulna Plate 1.2.1.Specification It is indicated in the surgical treatment of distal ulna fractures resulting in loss of stabilization of the distal radioulnar articulation, distal ulna head fractures in which the articular surface is displaced, rotated or angled, and comminuted ulna neck fractures that affect distal radioulnar articular stabilization. It is used with locking distal ulna plate, Ø3.5 mm locking screw, Ø3.5mm cortical screw, Ø2.4 mm locking screw. 7,8,9 hole, 46,6, 60, 68 mm length options are available. It is...

1. Introduct on 1.3.Locking Distal Radius Dorsal Plate 1.3.Locking Distal Radius Dorsal Plate 1.3.1.Specification 15 H Locking Distal Radius Plates are used in the surgical treatment of fractures and nonunions of the distal radius. Distal Radius Dorsal Plate used with Ø3.5 mm cortical screw, Ø 3.5 mm locking screw and Ø2,4mm locking screw. 10-15 holes and 52, 61,5, 70, 52mm 79, 87, 95 mm length options are available. Locking Distal Radius Dorsal Plates are manufactured from titanium alloy manufactured according to ASTM F136. Holes for Ø2,4mm locking screws DISTAL RADIUS Neutral Zone. This...

1. Introduct on 1.4.Locking Distal Radius Extension Plate 1.4.Locking Distal Radius Volar Extension Plate 1.4.1.Specification Ø 2.4 mm locking screw have insert into the plate holes in the distal region Zimed Medical Distal Radius Plate extension part; it allows the surgeons to extend the plates to treat the fracture without using another plate. The extension part allows the extension of plates of three different lengths, 59.2 mm, 89 mm, 119 mm. Neutral Zone. This hole used for adjustment place of the plate before fixing. Its used with Ø 3,5 mm cortical screw. Ø3,5mm Cortical Screw The Ø 3.5...

2. Surg cal Techn que 2.1.Locking Distal Radius Volar Plate 2.1.Locking Distal Radius Volar Plate 2.1.1.Volar Approach D stal Rad us(Mod. Henry) Aproximately make a 6 cm in lenght longitudinal incision to flexor carpi radialis tendon Care should be taken not to damage the rad al artery on the rad al s de and the palmar cutaneous branch of the med an nerve on the ulnar s de. Rad al Arter Palmar cutaneous med an nerve 2.1.2. Fracture Volar Plate It can be used in unstable distal radius fractures, articular and extra-articular fractures, as well as dorsal and volar angulations. It supports the...

2. Surg cal Techn que 2.1.Locking Distal Radius Volar Plate 2.1.Locking Distal Radius Volar Plate 2.1.3.Reduction & Placement Before the placement of the plate, fracture can be reduce by the Kirschner wire. After you can decide place of the plate (F g.1-2) In Volar Rim, it can bu used cortical screw for reduction. For Example see (F g.3) Before fully t ghten ng, check the plate pos t on us ng ntraoperat ve mag ng, adjust ng the pos t on of the plate as necessary to ensure opt mum support effect. After to decided place of the plate, Ø 3.5mm drill guide is placed to neutral zone of the plate...

2. Surg cal Techn que 2.1.Locking Distal Radius Volar Plate 2.1.Locking Distal Radius Volar Plate 2.1.4. Ø3,5mm Cortical Screw *You can decided with the depth guide to lenght of the screw (F g.5) Depth Guide OPS. *Tapping with Ø 3.5 Tap in case of hard bone.(F g.6) *Ø 3.5 mm cortical screw send with 2.5 screwdriver.(F g.7) Screw Driver

2. Surg cal Techn que 2.1.Locking Distal Radius Volar Plate 2.1.Locking Distal Radius Volar Plate 2.1.5. Ø 2,4mm Locking Screw Fig.8 *Put the Ø 1.75 mm drill guide on volar part holes. *Open the way for locking screw with using Ø 1.75 mm drill bit. * (F g.8) *'For Ø2,4mm mlocking screws, you can decide to size of locking screws while drilling process.’ There is black strip on the drill. In this way, you can decide screws size with usign measure which is on guide. (F g.9)

2. Surg cal Techn que 2.1.Locking Distal Radius Volar Plate 2.1.Locking Distal Radius Volar Plate 2.1.5. Ø 2,4mm Locking Screw *Send Ø2.4mm locking screw with Ø1.5 screwdriver(F g.10) Ø 2.4 Locking Screw Screw Driver Torque Limiting Screw Driver *Complete the screwing process with using Ø1.5 torque allen screwdriver (0.8Nm torque) (F g.11-12) *Stabilization of the plate is completed (F g. 13). After this section You can have to be send Ø3.5mm locking screw to the distal part of the plate. The number of screws varies according to the plate length and fracture pattern.

2. Surg cal Techn que 2.1.Locking Distal Radius Volar Plate 2.1.Locking Distal Radius Volar Plate 2.1.6. Ø 3,5mm Locking Screw *Put the Ø2.6 mm drill guide on locking screw hole.. (F g.17) *Open the way for locking screw with using Ø2.6 mm drill bit (F g.18). *'For Ø3,5mm locking screws, you can decide to size of locking screws while drilling process.’ There is black strip on the drill. In this way, you can decide screws size with usign measure which is on guide. (F g.18) Note : You should use non-deformed drill for perfect screws match Screw Driver 9240-0002 Torque Limiting Screw Driver...