Reconstruction plates for midshaft clavicular fractures. Daniel gheorghiu 1, christos sinopidis 2, daniel j. Distal clavicle plate to aid in the repair of clavicle fractures. Plates utilize smartlock technology which permits polyaxial screw placement. For the fixation of displaced midshaft clavicular fractures different plates are available. The acumed clavicle plating system is intended to provide fixation for fractures, malunions, and nonunions of the clavicle. A study evaluating the clinical applicability of the acumed locking clavicle plate reported that this plate is adequately shaped for the fixation of fractures in the medial threefifths of the clavicular shaft.
Once the plates ideal positioning has been selected, it is provisionally stabilized to the spine andor acromion with bone clamps plcl04. Mechanical failure of plate breakage after open reduction. Email updates yes, please send me updates by email. Biomechanical evaluation of a precontoured clavicle plate. They allow a good reduction to be maintained, theoretically improving the rates of union and allowing a return to good operative treatment of medial clavicle fractures 271 figure 1 ctscan showing displaced left medial clavicle fracture. Three patients in the plateout group sustained a further fracture of their clavicle after plate removal. Nov 01, 2016 the best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. The plate should fit along the base of the spine and down the medial border of the scapula. Accumed medical products enhancing life through science and.
The clavicle hook plate provides a single solution for fixation of both lateral clavicle fractures and acromioclavicular joint injuries. The anatomic midshaft forearm plating system includes midshaft ulna plates, volar midshaft plates, and dorsolateral midshaft radius plates. Learn how our early detections pregnancy and ovulations tests strips work. Mechanical failure of plate breakage after open reduction and. Fixation of unstable type ii clavicle fractures with. Plate fixation versus intramedullary fixation for midshaft. Acumed locking superior distal clavicle plates youtube. Mechanical failure of plate breakage after open reduction and plate. Elbow plating system brochure and surgical technique. Clavicle fracture broken collarbone a broken collarbone is also known as a clavicle fracture. The recent trend has been toward surgical fixation of displaced clavicle. The acumed clavicle plating system offers an array of 33 precontoured plates for the fixation of clavicle fractures, malunions, and nonunions. Locking clavicle plate brochure and surgical technique.
If you continue to browse this website, we will assume that you are happy to receive all our cookies. Postoperative results the ap radiograph confirms reduction of the clavicle fracture with the acumed locking anterior clavicle plate figure 3. We are dedicated to developing products, service methods and approaches that improve patient care. Intramedullary nailing of clavicular midshaft fractures using the titanium elastic nail is a technically demanding operation with various complications in the postoperative phase. Precontoured to match the natural sshape of the clavicle, this titanium plate offers increased strength, with a rounded profile and a lowprofile screw plate interface. Following plate removal, the mean number of days returning to work was 14 190 days and to sports was 26 1150 days. The versatility of the system allows it to be used as either a standalone system or in conjunction with the acumed locking clavicle plate system, to create one. We use cookies to customize content for your viewing and for analytics. The clavicle plating system offer low and narrowprofile plate solutions precontoured to match the natural sshape of the clavicle. Low profile plate design to minimize plate prominence. The aos clavicle plate system is designed with the fundamental idea of creating advanced orthopaedic devices that will enhance not only the surgical technique for the clavicle but the corrective healing of the patient. An automated fitting of 3 straight and 10 precontoured plates was performed on 52 3dctscan reconstructed cadaver clavicles. He was diagnosed with thoracic outlet syndrome and underwent a corrective right clavicle osteotomy with the use of an acumed superior clavicle plate.
Elbow plating system is designed to address fractures of the distal humerus, olecranon, and coronoid. A superior approach to his clavicle using rightsided acumed locking clavicle plate was applied. Accumed medical products enhancing life through science. Shop our complete range of products, purchase bulk quantity for discounts. The acumed clavicle core plating system incorporates 16 of our. Thoracic outlet syndrome secondary to a midclavicle malunion. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. With this in mind, stryker has developed the variax clavicle locking plate system. However, implant failure such as bending or breaking of the plate has been reported and subsequently the strength of reconstruction plates for the fixation of clavicular fractures was questioned. This article reports on a technique to treat unstable type ii distal clavicle fractures using fracturespeci. The stainless steel plates are low profile and precontoured with locking and nonlocking screw options in each plate. Is removal of clavicle plate after fracture union necessary.
Lcp superior clavicle plate with lateral extension lcp superior clavicle plate. Clavicle core plating system surgical technique aked. Complete clavicle system for wide range of fractures. It comes in right and left sides and different shaped curves. Relevant original studies were searched in electronic databases of medline, embase, cochrane central database and cnki all through october 2014.
The acumed clavicle plating system and the acumed dualtrak clavicle screw system provide comprehensive solutions to treat a wide variety of clavicle fracture patterns. Aug 21, 20 the clavicle plating system offer low and narrowprofile plate solutions precontoured to match the natural sshape of the clavicle. Thoracic outlet syndrome secondary to a midclavicle. With the locking clavicle plates, acumed has designed a comprehensive solution for repairing fractures located from the middle third to the distal third of the. The aim of the study was to perform a 3d analysis of the prominence of different types of superior clavicle plates. This design not only reduces or time spent in contouring a plate but also minimizes softtissue irritation for the patient.
Precontoured to match the natural sshape of the clavicle, this titanium plate offers increased strength, with a rounded profile and a lowprofile screwplate interface. Surgical management of a midshaft clavicle fracture with. Analysis of contoured anatomic plate fixation versus. This is a very common fracture that occurs in people of all ages, often related to sporting activity such as skiing and cycling. The acusinch repair system is intended to be used in conjunction with the clavicle plating. The plate is then secured using locking or nonlocking screws. Finally, as the patient was very thin, anterior placement of the plate decreased the potential for softtissue irritation from a book bag or purse over the top of her shoulder. Anatomy the collarbone clavicle is located between the ribcage sternum and the shoulder blade scapula. Intramedullary nailing of clavicular midshaft fractures.
Occasionally, the inferior portion of the plate needs to be bent slightly anteriorly to conform to the interior angle of the scapula. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. However, not all patients with a fracture located in the lateral twofifths of the clavicular shaft had anatomic fit of the plate. This achievement affords surgeons the opportunity to choose the most appropriate option for the patient, could help reduce surgery time spent contouring a plate and may aid in minimizing soft tissue irritation for the patient. Acumed clavicle platin system surgical echnique anterior clavicle plates side tapered medial and lateral plate ends designed to aid in minimizing irritation and reduce stress concentrations limited contact design lcd is intended to support healing of the periosteum lowprofile screw plate interface anterior clavicle plates top. Precontoured locking plate fixation for displaced lateral. Clavicle fracture plate, central third, right ar2650cr clavicle fracture plate, central third, left ar2651cl. Surgical stabilisation can be achieved using either a plate or an intramedullary device. The clavicle plating system offers low and narrowprofile plate solutions that are precontoured to match the natural shape of the clavicle. Fixation of unstable type ii clavicle fractures with distal clavicle plate and suture button peters.
The plate may be filled with locking or nonlocking screws depending on the surgeons preference. Acumed s was the first system to offer anatomically precontoured plates for the clavicle. Fixation of unstable type ii clavicle fractures with distal. The purpose of this study was to examine the complication pro. The plate may be utilized as a template to help facilitate reduction of the body of the scapula to the spine. The acumed congruent plate is precontoured, low profile and made from titanium alloy. 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. Lockingclavicle platesystem university of washington. Only the near cortex of the coracoid was opened with a 3. Intramedullary nailing of clavicular midshaft fractures with.
Pdf hardware prominence after plate fixation for clavicle fracture is a common complication. Metaanalysis of plate fixation versus intramedullary. The plate length is selected so that 4 cortices are drilled on either side of the fracture site. The acumed anatomic midshaft forearm plating system offers marked hardware improvements over traditional straight plates. Since its introduction, surgeons have utilized the acumed locking clavicle plate system to solve many complex injuries of the midshaft and distal clavicle.
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. These characteristics reduce plate stiffness, facilitating easy contouring in all planes to fit the anatomic shape of the clavicle. Distal clavicle plates utilize kwire and suture holes to verify plate and screw placement allowing the surgeon to address the most lateral fracture. The dualtrak clavicle screw system is housed in a well organized, comprehensive tray with all the instruments necessary to implant the screw. Pdf evaluation of prominence of straight plates and precontoured. Hardware prominence after plate fixation for clavicle fracture is a common complication. Acumed clavicle plate, are becoming increasingly available. Treatment of acute clavicle fractures with an anatomical. The study was performed according to the prisma statement. Variable angle locking plate system for treating clavicle fractures. An osteotomy was performed on 7 pairs of human clavicles and were randomly plated with either a synthes 3. A recent study evaluated construct failure after an open reduction and plate fixation and reported a construct failure rate of 6.
This injury extra 44 20 912 a r t i c l e i n f o article history. Compliance report a complaint advamed code of ethics. Division of orthopaedic trauma, department of orthopaedic. The system can be used to treat fractures, fusions, and osteotomies of the radius and ulna. Clavicle plate and screw system surgical technique clavicle plate and screw system. Jared salinsky uses the acumed anatomic midshaft forearm plate system to treat patients with various fractures of the radius andor ulna including a nonunion of midshaft, a displaced left ulnar fracture, a diaphyseal fracture of the ulna, a. This section offers acumeds suggested method for implanting the scapula spine acromion plate. To date, multiple forms of plating and intramedullary devices have been used to fix midshaft clavicle fractures, including precontoured dynamic compression plates dcp, use of a reconstruction plate for pf and knowles pinning, elastic stable intramedullary nailing with a rockwood clavicle pin and an acumed clavicle rod for if 9 12. When plate fixation is being performed, a precontoured titanium plate acumed, hillsboro, or is used based on the length of the clavicle and extent of the pathology. Biomechanical comparison of the locking compression superior anterior clavicle plate with seven and ten hole reconstruction plates in midshaft clavicle. The fracture is held in reduction while the plate is positioned on the clavicle and temporarily fixated with the use of a bbtak pin. May 10, 2016 conservative treatment remains the gold standard in treatment of simple undisplaced midshaft clavicle fractures, but for displaced and comminuted fractures surgical intervention is appropriate especially in young active adults. Jan 08, 2019 two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. Conservative treatment remains the gold standard in treatment of simple undisplaced midshaft clavicle fractures, but for displaced and comminuted fractures surgical intervention is appropriate especially in young active adults.
Treatment of acute clavicle fractures with an anatomical congruent clavicle plate. Variax clavicle locking plate system stryker meded. The clavicle plate and screw system is a comprehensive set of plates, screws, and instruments designed to treat midshaft and distal clavicle fractures. Elbow plating system acumed is a global leader of innovative orthopaedic and medical solutions. Our objective at acumed is to provide a comprehensive solution for repairing clavicular fractures. Since its introduction as the orthopaedic industrys first precontoured resource for clavicle fixation, surgeons have utilized the versatility of the acumed clavicle plating system to treat simple and complex fractures, malunions, and nonunions. The variax 2 clavicle plating systems provides surgeons with a comprehensive range of anatomic plating options that work with a common instrument and screw platform. Divergent locking screws can also be used laterally. It can also be used in conjunction with the acumed forearm rod system for a less invasive approach to bothbone fractures of the diaphyseal region. Implants contd instruments inventory control form lcp clavicle plate system j9001d 1010 2.
Analysis of contoured anatomic plate fixation versus intramedullary. Plate breakage is one form of construct failure after a clavicle fracture treated with an open reduction and plate fixation. The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. Lockingclavicle platesystem since 1988 acumed has been. The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. Locking clavicle plating system cambridge orthopaedics. A choice of a midshaft or lateral plate is determined by the site of the fracture. 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.
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