The unstable distal radius fracturehow do we define it. Aculoc 2 wrist plating system surgical technique acumed. Pdf korean type distal radius anatomical volar plate. The acumed locking ankle plating system provides fixation during fractures, fusions, and osteotomies for the tibia and fibula, with lateral fibula, distal fibula, medial tibia, and anterior tibia plate options that accept both locking and nonlocking screws, 3. The acumed anatomic radial head system is designed to provide an 2 mini and micro instruments and the locking. The plate sits more proximally than the standard aculoc volar distal radius plate, and its distal locking screws are angled to support the dorsal lip of the radius, maximizing purchase in the subchondral bone. Carbofix piccolo distal radius plates made of continuous carbon fibers reinforced polymer. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning. Acumed locking superior distal clavicle plates youtube. The angle between these two lines was measured and represented the vca. Failure of volar locking plate fixation of an extraarticular. Orif fracture of the distal radius with volar acumed plate. The aculoc 2 wrist plating system offers plate families and screw technologies to treat multiple fracture patterns of the distal radius and distal ulna regions. Aculoc 2 volar distal radius surgical technique acumed.
The acumed aculoc 2 wrist plating system offers 48 plate options including distal and proximal sitting plates, three different plate extension options, and fragmentspecific plating choices. Elbow plating system acumed is a global leader of innovative orthopaedic and medical solutions. Email updates yes, please send me updates by email. Five designs tested had distal locking screws which locked into prethreaded distal screw holes in the plate acumed aculoc, synthes volar distal radius plate, synthes ea extraarticular volar distal radius plate. Complications of distal radius fractures treated by volar.
Sep 19, 2016 the reported incidence of flexor pollicis longus tendon rupture associated with the use of a volar locking plate for distal radius fracture has ranged from 0. Dorsal and volar plates for fractures and osteotomies of the distal radius. Aculoc volar distal ulna vdu plate surgical technique. Review an animated version of acumeds suggested surgical method for implanting the aculoc 2 volar distal radial plate, designed for fracture fixation and osteotomies of the distal radius. Overall, distal radius fracture complications have been found to occur in as little as 6% of patients and as many as 80% of patients, pending on the definition of complication. Acumed offers the stableloc external fixation system for treatment of complex distal radius fractures. This collection of published literature represents clinical evidence, which along with innovation, education, and. Distal radius anatomy applied to the treatment of wrist. The system also features innovative instrumentation for fracture management and plate positioning. Orthopedics over the past decade, several anatomical plates have been introduced to improve the result of open reduction and internal fixation of the distal radius. Mar 22, 2020 the distal tip of the plate tack is threaded, allowing it to maintain its provisional fixation until it is removed later in the procedure. Volar distal radius plate preoperative templates cat. In the context of the radius bone, a ray can be thought of rotating around an axis line extending diagonally clarification needed from center of capitulum to the center of distal ulna. Acumed midshaft forearm plates are indicated for the treatment of fractures, fusions, and osteotomies of the radius and ulna.
L7815ct datasheet pdf these stems accommodate a resection window of 19 mm28 mm. The titanium wrist plating system technique is designed for fixation of intraarticular and extraarticular fractures, osteotomies, as well as nonunions and malunions of the distal radius. The notification did not include any instructions for a subrecall. Nov, 2018 in, acumed introduced the aculoc targeted volar distal radius plate system for acumed aculoc wrist plating system surgical technique. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. The anatomic midshaft forearm plating system includes midshaft ulna plates, volar midshaft plates, and dorsolateral midshaft radius plates. Operative technique manuals please click on the link below for the technique manual of interest. Reexamination revealed nonunion of the clavicle fracture and a broken plate. Accuracy of distal radius positioning using an anatomical plate article pdf available in orthopedics 364. Distal radius anatomy applied to the treatment of wrist fractures by plate. Acumed distal radius fragment specific drfs plates are designed to independently address the fractures of the intermediate and radial columns. The system presents several plate options, a unique twopiece locking compression screw, innovative instrumentation for fracture management, and plate placement tools.
Surgical technique this publication is not intended for distribution in the usa. A second line was drawn parallel to the volar cortex of the distal radius volar cortical line. For very distal fractures or revision cases, the long stems range from 612 mm in diameter in 2 mm incrementsand have 50 mm65 mm length options in 5 mm increments. The system includes extension plates where fixation of long segments is required, and complementary distal radius fragment specific plates. Treating a distal radius fracture using spanning plate fixation feat. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. Ensure that the laser etched line on the head is aligned with the lateral aspect of the radius when the forearm is in. The insertion of the brachioradialis may be released.
Locking clavicle plating system cambridge orthopaedics. The global unique device identification database gudid contains key device identification information submitted to the fda about medical devices that have unique device identifiers udi. Review an animated version of acumeds suggested surgical method for implanting the aculoc 2 volar distal radial plate, designed for. Acumed ankle plating system 3 cadaver lab part 2 posterolateral. The aculoc 2 wrist plating system is comprised of various plate families and. The acumed anatomic radial head slideloc system consists of modular heads and stems with accessories for anatomical replacement of the proximal portion of the radius and restore the natural articulation of the radial head with the radial notch of the ulna and capitellum of the distal humerus. Distal radius fractures are most commonly caused by falling directly onto an outstretched arm. Class 2 device recall acumed slideloc anatomic radial head. Designed to address fractures of the distal humerus, olecranon and coronoid, the elbow plating system offers precontoured, indication specific plates.
Jan 08, 2019 two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. The arthrex titanium volar distal radius plating system provides a comprehensive solution for distal radius fracture management. Acumed, oregon, usa and followed up for a minimum of 1 year. The acumed anatomic radial head system is designed to provide an 2. Choose the appropriate implant according to patient anatomy and fracture pattern. The extensor pollicis longus is released from the third dorsal compartment and the second and fourth dorsal compartments are elevated exposing the fracture site. Acumed upgrades humerus fracture device orthopedics this week. The locking aculoc dorsal plates offer a solution to treat distal radius fractures that need to be addressed from the dorsal side. Approximately 2 months later, the patient felt a pop and a snap in his shoulder. Extraarticular volar distal radius plates plate positioned away from articular surface diverging screws secure styloid and distal fragments for fixation of simpler fractures 2 synthes 2.
For fragmentspecific fracture fixation with variable angle locking technology. Acumed upgrades humerus fracture device orthopedics this. Distal radius fixation systems company website volar plate dorsal plates others acumed. The plates are anatomically contoured and may help restore the bones natural anatomy from the distal ulnar side to the radial styloid. Pdf fractures of distal radius account for up to 20% of all fractures treated in emergency department. This new system provides both proximally and distally fitting plates, fracture management instrumentation, innovative plate placement technology and the unique. Volar locking plates provide significant structural stability to the distal radius. Aculoc wrist plating system surgical technique acumed. The proximal row of the carpus particularly the lunate and scaphoid transfer energy to the distal radius, both in the dorsal direction and along the long axis of the radius. Aculoc 2 wrist plating system surgical technique intermedic. 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. Acumed aculoc dorsal plates are designed for complex distal radius fractures that need to be addressed from the dorsal side. With a variety of head widths, there is a plate to fit smallstatured to largestatured patients. Jun 08, 20 the aculoc 2 volar distal radius plating system comprises a locking plate and percutaneous fragloc compression screws for the fixation of dorsal fragments.
Management of complications of distal radius fractures. Orif fracture of the distal radius with volar acumed plate dan hutt. Alians distal radius range right plates green anodized dtdvpn2 20. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Complications after distal radius fractures occur for many reasons, and often vary depending on the method of treatment. Acumed aculoc2 volar distal radius surgical technique. A 40 yearold, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plate. The notification informed consignees to remove the plates from their inventory and return them to acumed. 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. Treatment of unstable distal radius fractures with the. The modular nature of the plates, which include the dorsal rim buttress plate, dorsal lunate plate, volar lunate suture plate. Jul 05, 2019 the distal tip of the plate tack is threaded, allowing it to maintain its provisional fixation until it is removed later in the procedure.
Screw holes accommodate both locking and nonlocking screws. Acumed, a hillsboro, oregon, orthopedic firm, is introducing its new polarus 3 solution, a method to treat proximal humerus fractures. Distal radius fracture repair with volar plate is a surgical procedure that uses metal implants, or plates, to help stabilize fractures in the radius near the wrist. Distal radius fracture repair castro valley volar plate. Fractures were classified using the ao classification. Aculoc 2 variable angle distal radius plating system the acumed 2. Acumed surgical technique stableloc external fixation. Radiocarpal arthrosis 230% incidence 90% young adults will develop symptomatic arthrosis if articular stepoff 12mm. The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. The acumed dorsal rim plate is placed on the dorsal aspect under fluoroscopic control. Unstable distal radius fractures in 15 patients, comprising 3 men and 12 women with a mean age of 64. Aculoc 2 volar distal radius plating system surgical.
Therefore for each distal radius, three separate measurements of the vca were performed in order to determine if the vca varied across the volar surface of the bone. Acumed forearm fracture solutions surgical technique. Accuracy of distal radius positioning using an anatomical plate. Acumed distal radius plate pdf november, 2018 in, acumed introduced the aculoc targeted volar distal radius plate system for acumed aculoc wrist plating system surgical technique.
Variable angle lcp twocolumn volar distal radius plate 2. New technique manuals are added on a regular basis. Aculoc wrist spanning plate surgical technique acumed. Acumed has introduced the aculoc 2 volar distal radius vdr plating system as the next generation in plating fixation. Developed in conjunction with our accomplished surgeon design team, acumed introduces the aculoc 2 volar distal radius vdr plating system as the next generation in plating fi xation. Pdf accuracy of distal radius positioning using an. Distal radius fracture aculoc vdr plate and fragloc compression screw case study. Once alignment is obtained the fracture id fixated with an acumed plate and multiple screws.
Elbow plating system brochure and surgical technique. Optilock yes becton colles fracture plate external fixator dvo. The acumed aculoc extraarticular plate is designed for extraarticular distal radius fractures and osteotomies. Open the extensor retinaculum performing a longitudinal incision between the first and second extensor compartments. Acumed has introduced three additional plate families to the system. Recently, the koreantype distal radius anatomical volar plate kdravp system was designed and developed based on the anatomical characteristics of the distal radius of koreans. The notification was reportedly sent by either fax or email. Comments about the acumed aculoc 2 volar distal radius. Sep 11, 2014 orif fracture of the distal radius with volar acumed plate dan hutt. Operative technique manuals grabow hand to shoulder center. The standard dorsal approach is made to the distal radius. The aculoc wrist spanning plate is indicated for fixation of fractures, osteotomies, and nonunions of the. Nov 01, 2016 the best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration.
Nov 25, 2010 volar locking plates provide significant structural stability to the distal radius. The dorsal lunate plate is designed to provide support to fracture patterns that involve the dorsal lunate facet of the distal radius and the sigmoid notch. Dtdvps2 polyaxial plate for distal radius standard head size 2 right dtgvps2 polyaxial plate for distal radius standard head size 2 left. Acumed aculoc 2 volar distal radius plating system. The titanium volar plates are available in a wide array of sizes narrow, standard, and wide and in multiple shaft lengths. In 2004, acumed introduced the aculoc targeted volar distal radius plate system for repairing fractures of the distal radius. In addition to noting the presence of a fracture a number of features should be sought and commented upon. Due to the sagittal bow of the radius, plating with contoured plates in the sagittal plane improves rotation when compared with straight plates. The aculoc 2 volar distal radius plating system comprises a locking plate and percutaneous fragloc compression screws for the fixation of dorsal fragments. Acumed distal radius plate pdf posted on january 8, 2019 by admin in, acumed introduced the aculoc targeted volar distal radius plate system for acumed aculoc wrist plating system surgical technique. The stableloc external fixator is designed to hold pins in place for fracture reduction or distraction to align the wrist and to provide ligamentotaxis to the wrist on a temporary basis while the distal radius heals.
Dtgvpn2 polyaxial plate for distal radius narrow head size 2 left dtdvps1 polyaxial plate for distal radius standard head size 1 right dtgvps1 polyaxial plate for distal radius standard head size 1 left dtdvps2 polyaxial plate for distal radius standard head size 2 right. The aculoc 2 wrist plating system is composed of various plate families and screw technologies to treat multiple fracture patterns of the distal. The system features an innovative lowprofile olecranon plate design with increased anatomic features and instrumentation to ease plate and screw insertion. Two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. Failure of a volar locked plating is a rarely reported complication in the literature. Bartons fracture an intraarticular fracture of the distal radius with dislocation of the radiocarpal joint. The original aculoc volar distal radius plate has been a market leader in fracture fixation since its introduction in 2004. A comprehensive offering of volar plates are available in narrow, standard, and. Postoperative condition shows the reduction and alignment of the wrist bones with surgical hardware. Case 2 comminuted, dorsallydisplaced fracture of the distal radius.
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