The main goal of tension band wiring tbw is the exact repositioning of the articular surface and the reestablishment of stability in the humeroulnar joint. Apr 01, 20 tensionband wiring with k wires is used in the surgical treatment of olecranon fractures, especially noncomminuted transverse fractures, and may provide a stable construct to allow for early. The acumed elbow plating system offers multiple fixation options for fractures of the distal humerus. Technique using isoelastic tension band for treatment of olecranon fractures rebecca a. Since 1988,acumed has been designing solutions to the demand. Acumed upgrades humerus fracture device orthopedics this. Orthobullets has done the hard work of filtering for the evidence of which you need to be aware.
Proximal humerus plating system surgical technique step 3. Feb 08, 2015 acumed php proximal humerus plate surgical technique mr alistair jepson orthopaedic surgeon upper limb ltd loading. Flex the elbow 90 degrees, reduce the fracture, and apply the plate. Acumed launches total wrist fusion plating system for post. Plate family was designed to provide maximum support for the. Pdf fractures of the olecranon, radial headneck, and coronoid. Acumed elbow plating system surgical technique 5 fracture site compression if the plate length selected has two or more compression slots, the fracture site is compressed in the following manner. Promodel bone void filler promodel bone void filler is a synthetic bone graft made from a proprietary matrix of calcium phosphate, calcium sulfate and poregenerating fillers that is indicated for bone voids or gaps of the. The prongs in the proximal end of the plate should penetrate the triceps tendon and provide provisional fixation. The acumed patch is made with one of the worlds most advanced microporous, hypoallergenic tapes.
New acumed col3100 congruent plate system surgical. The acumed elbow plating system acumed, hillsboro, or, usa was used. Attach the olecranon plate proximal targeting guide 800654 to the olecranon plate 7003xx with the locking bolt. The position of the plate should allow distal screw insertion through the lateral flange to reach far into the trochlea. Although this common injury is frequently operated on, it has complications. Construct choice for the treatment of displaced, comminuted. Our aim was to determine the effectiveness of a new surgical technique for olecranon fractures using a tension plate tp designed by the operating surgeon.
We are dedicated to developing products, service methods, and approaches that improve patient care. Acumed upgrades humerus fracture device orthopedics this week. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with anatomic curvature and instrumentation to aid with plate and screw insertion. Freehand technique with the predrilled hole method for ulnar. The surgical indication is marked displacement with rare exception for severe medical comorbidities. Acumen officials say that the device allows for a simplified operating room experience as it includes both plates and nails that use the same instrumentation and screws. Acumeds ulnar shortening plate is designed to offer an anatomic, lowpro.
Posterolateral plates in addition to medial and lateral distal humerus plates to provide multiple plating solutions for elbow fracture management. O driscoll, md, phd, the acumed congruent elbow plating system is designed to address fractures of the distal humerus, olecranon, and coronoid. The trimano fortis support arm acts as an additional surgical assistant by securely and safely holding the patients arm in any desired position during arthroscopic or open elbow surgery. Tension plate for treatment of olecranon fractures. The acumed radial head plating system provides an innovative method for the treatment of fractures when the radial head is salvageable. Attach the olecranon plate proximal targeting guide 800654 to the olecranon plate with the locking bolt. We included patients with olecranon fractures treated between september. Operative treatment of comminuted olecranon fractures using.
Surgical techniques olecranon plate surgical technique 12 olecranon osteotomy cutting jig surgical technique 14 distal humerus plate surgical technique 15 coronoid plate surgical technique 18 ordering information 20 notes 23 2 orthopaedic surgeons are continually developing improved methods of fracture fixation and rehabilitation. Pdf surgical repair of an olecranon fracture in a horse. A new technique for olecranon osteotomy in the treatment of. Contents introduction 2 anatomic midshaft forearm plate surgical technique 3 ulna rod surgical technique 5 radius rod surgical technique 8 ordering info 11 notes acumed is a global leader of innovative orthopaedic and medical. No augmentations were made to the items that were used in surgery. Details about acumed surgical orthopedic stableloc instrument set. Acumed php proximal humerus plate surgical technique. The tension band technique for olecranon fractures yields good clinical outcomes.
Biomechanical comparison of orthogonal versus parallel double. All patients were encouraged to attempt immediate finger and elbow motion. Used acumed clavicle plating system orthopedic general. Acumed launches new stateoftheart system for ankle. The acumed ankle plating system 3 is composed of seven plate families that span the lateral, medial, and posterior malleoli. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. Fractures of the olecranon account for up to 40 % of all fractures around the elbow joint. Acumed surgical orthopedic stableloc instrument set ebay. In addition, the screw trajectory allows screws to capture fracture fragments and avoid other screws regardless of the screw length selected. According to the sales representative, the surgery to implant an acumed hole locking olecranon plate plleo on b6 2011 went smoothly and there were no issues during the implantation of the plate or screws. Ratcheting compression plate, 25 x 17 sterile 25 mm 17 mm 37012517ns ratcheting compression plate, 25 x 20 sterile 25 mm 20 mm 37012520ns ratcheting compression plate, 30 x 25 sterile 30 mm 25 mm 37025ns system features implants 6 acumed ratcheting compression plating system surgical technique. Designed to provide an anatomic fit, the plates contour proximally and along the shaft. A posterior plate is offered in addition to the medial and lateral. Acumed promodel bone void filler surgical technique created date.
Ace symmetry titanium upper extremity plates surgical technique brochure, ace medical company, 1996. Distal humerus surgical technique 10 olecranon surgical technique 14 coronoid. Tested articles represent a small subset of all the articles and have met specific orthobullets inclusion criteria. In the final analysis, the preferred treatment is that which addresses the needs of the specific patient. Fragloc surgical technique 10 aculoc 2 reference chart 12 aculoc 2 surgical technique kickstand posts 16 clinical cases 17 distal radius fragment specifi c plates 18 distal radius fragment specifi c surgical technique 19 ordering information 22 the original aculoc volar distal radius plate has been a market. Only orthobullets tested articles count as target content. Dec 12, 20 fractures of the olecranon account for up to 40 % of all fractures around the elbow joint. This latest addition to our anatomic radial head solutions offers further refinements to the first and only anatomically shaped radial head prosthesis. Plate selection based on surgeon preference, choose the plate style that is most suited for the fracture. New wrist plating system for arthritis orthopedics.
Acumed elbow plating system surgical technique intermedic. We are dedicated to developing products, service methods, and approaches that improve. Acumed forearm fracture solutions surgical technique. Surgical technique preparation and approach 6 determination of fixation technique 10 insert lateralcolumn plate 14 insert distal screws in lateralcolumn plate 20 insert medialcolumn plate 25 insert distal screws in medialcolumn plate 28 insert plateshaft screws 29 fixation of olecranon osteotomy 32 implant removal 33. The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. The zimmer plate consistently allowed more torsion than the acumed plate or either of the synthes plates, but the differences were not statistically significant. Our aim was to determine the effectiveness of a new surgical tech. If difficulty is experienced passing the guide wire into the canal,a guide wire step 1. Olecranon locking plate surgical techniquealog infor nota bene the technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. The results were compared at an average followup of 88 months.
The canal is then prepared with the bud drill step 4. Olecranon fractures are by definition intraarticular disruptions of the semilunar notch of the ulna. We describe a new technique whereby a precontoured olecranon plate is first fixed to the olecranon, and a gigli saw is. Comments about the acumed aculoc 2 volar distal radius. Animations surgical technique radial styloid plate technique. Rosenwasser, md o lecranon fractures are relatively common in adults and constitute 10% of all upper extremity injuries. This is mostly due to protrusion of the proximal ends of the kwires or by the twisted knots of the metal wire tension band.
Distal humerus plates to provide multiple plating solutions for elbow fracture management. The radial styloid plate provides direct radial buttressing of distal radius fracture fragments. Exercises may include pendulum, codman, isometric bicep, and elbow. The purpose of this article is to describe a surgical technique. It can be slightly curved to the radial side to protect the ulnar nerve. Dec 26, 2006 design and biomechanics of a plate for the distal radius, gesensway et al. This latest addition to our anatomic radial head solutions offers further refinements to the first. In intraarticular distal humerus fractures, internal fixation with double plates is. Provided in two sizes, the plates come as leftright specific and neutral, to accommodate varying patient anatomies. An uncomplicated fracture of the olecranon is considered to be a common injury. Acumed aculoc2 volar distal radius surgical technique.
Multiple screw options and variable angle capabilities allow the surgeon to customize the fixation for each fracture. Repair of olecranon fractures using fiberwire without. A a 91yearold woman who injured her olecranon in a fall underwent open reduction internal fixation with an olecranon plate that did not have enough proximal screws to capture the. Pdf biomechanical comparison of interfragmentary compression. Acumed pain patches acumed patches for pain relief consists of a self adhesive plaster containing high purity zinc and copper in a magnetic field. Acumed midshaft forearm rods are indicated for the treatment of fractures and osteotomies of the radius and ulna. Congruent elbow plating system surgical technique acumed. This is mostly due to protrusion of the proximal ends of the kwires or by the twisted knots of the metal wire tension. The mayo clinic congruent elbow plate system exemplifies this philosophy of quality and cuttingedge. The acumed olecranon plates provide fixation for both fractures and osteotomies in the proximal ulna. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with anatomic. Used acumed clavicle plating system orthopedic general for. This system also includes the hexalobe screw system with variable angle taploc technology for the medial and lateral distal humerus plates.
Olecranon plate surgical technique 12 olecranon osteotomy cutting jig surgical technique 14 distal humerus plate surgical technique 15 coronoid plate surgical technique 18 ordering information 20 notes 23 2 orthopaedic surgeons are continually developing improved methods of fracture fixation and rehabilitation. Unsubscribe from mr alistair jepson orthopaedic surgeon upper limb ltd. Acumed, a hillsboro, oregon, orthopedic firm, is introducing its new polarus 3 solution, a method to treat proximal humerus fractures. Acumed says its total wrist fusion plating system is the only system currently on the market to offer plates specifically designed to be placed on both the second and third metacarpals.
The reference lines on the plate help facilitate the creation of the osteotomy when a free hand cut is preferred. Oct 12, 2010 olecranon fractures are a common injury in fractures. Olecranon osteotomy is a commonly used method for obtaining adequate exposure of the articular surface in complex distal humeral fractures. We describe a new technique whereby a precontoured olecranon plate is first fixed to the olecranon, and a gigli saw is used to perform the osteotomy while the plate is in place. Olecranon fractures are a common injury in fractures. Tensionband wiring with k wires is used in the surgical treatment of olecranon fractures, especially noncomminuted transverse fractures, and may provide a stable construct to allow for early. In many patients, implants irritate overlying soft tissues and cause pain. In severe c3 fractures, the fully prone position can be used if the patient is otherwise fit. Surgical techniques of olecranon fractures sciencedirect. This versatile system of precontoured plates is designed for use in the radial heads safe zone and features a straightforward surgical technique that may save time in the surgery room. Extended paratricipital approach for intraarticular. Flex the elbow 90, reduce the fracture and apply the plate. The reference guides on the plate help facilitate the creation of the osteotomy, as well as show the amount of shortening achieved. Operative treatment of comminuted olecranon fractures.
Acumed is venturing into a new marketorthopedic implants and instrumentation for the surgical repair of fractures and joint disruptions of the pelvis. This article describes a successful surgical reconstruction of an olecranon fracture in an adult horse repaired with a dynamic compression plate. Orthopedic echnologies echniques technique using isoelastic. We present a freehand technique for ulnarshortening osteotomy using a. The low plate is designed to minimize the risk of subacromial impingement, whereas the high plate is designed to offer additional screw fixation of the greater. Acumed continues to manufacture at full capacity and increased par levels for acumed trauma and extremity medical devices to make sure we can meet the needs of our customers. In line with our goal to bring to the market products that evolve and improve patient outcomes, acumed introduces three additional plate designs to the system. Morphological characteristics of olecranon fractures in. Surgical technique reduce fracture and fix temporarily. Many surgical treatments for ulnar impaction syndrome to unload the. Acumed surgical orthopedic stableloc instrument set. The compact and lightweight device is easily attached to any or table clark rail and is ready for immediate use. Elbow plating system brochure and surgical technique. The acumed osteotomy system features the ulna shortening plate which is designed to offer a lowprofile plate with builtin osteotomy reference lines and an osteotomy guide.
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