It is acknowledged that several alternative approaches to certain elements of the procedure are available, and may have advantages for particular situations or surgeons. Outcomes of open reduction and internal fixation of. Synthes 7 clickx surgical technique 10a compression with flexible 3dheads. Early mechanical failures of the synthes variable angle. Total joint arthroplasty for degenerative conditions b. The current study provides a biomechanical basis for reinforcing locked plate constructs with sutures. This helps create an improved environment for bone healing, accelerating the patients return to previous mobility and function. For information on fixation principles using conventional and locked plating techniques, please refer to the lcp locking compression plate surgical technique dsemtrm01150278. Plate on plate osteosynthesis for the treatment of nonhealed.
Angular stability locking plates are commonly used in proximal humeral. Depuy synthes cmf launches patient specific plates for mandible. A wide variety of synthes surgical instruments options are available to you, there are 678 suppliers who sells synthes surgical instruments on, mainly located in europe. However, the following points should be considered in particular. Generations of residents and general surgeons have relied upon and worn out their copies of surgical anatomy and technique. The anatomic fixation system for the proximal humerus. Small fragment locking compression plate lcp technique.
The locking compression plate system has many similarities to conventional plate fixation methods, but with a few important improvements. Pdf minimally invasive percutaneous plating of proximal humeral. Radiographs of a a proximal humeral fracture b stabilised with the philos locking plate synthes, oberdorf, germany. The fracture was treated by open reductioninternal fixation orif with a philos plate synthes gmbh, solothurn, switzerland. Thoroughly revised and with dozens of new illustrations, the fourth edition continues the tradition of providing a concise, accessible, and generously illustrated memory refresher for both novice and experienced clinicians. Large fragment locking compression plate lcp technique guide. Surgical technique note if kwires are to be inserted through the kwire holes on a periloc large fragment plate for the purpose of provisional fixation, it is recommended that 2. The ideal plate to sit on top is another distal femoral plate for the opposite femur as when placed upside down this will match the curvature and screw configuration case 1, figure 1. Small fragment locking compression plate lcp technique guide synthes on. Insertion perform temporary fixation of the fracture using kirschner wires or bone holding forceps. Synthes spine 404 information on the vertical expandable prosthetic titanium rib veptr 1. Depuy synthes, pennsylvania, america was used in all patients. Functional outcomes of 31 men and 27 women aged 36 to 73 mean, 61 years who underwent philos plate fixation for. Surgical technique continued 14 synthes spine synapse system technique guide 9 bend and cut rod instruments 03.
Depuy synthes cmf launches patient specific plates for mandible trumatch cmf expands oral and maxillofacial surgery, trauma and reconstructive surgery options with new customized plates. Ao surgery reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. Surgical technique 2 lateral clavicle fractures incision through a standard surgical incision, taking care not to disrupt the surrounding soft tissues, expose the outermost part of the clavicle, the fracture site, and the acromioclavicular joint. If this technique is used with a depuy synthes leeds, uk distal femoral plate then it should be noted that the plate is curved to match the contour of the femur. In our model, sutureaugmentation of the gt to the rotator cuff provided greater stability than locked plating alone. This site is published by the depuy synthes companies, which are solely responsible for its content. Inclusion criteria were fractures treated with a precontoured distal femoral locking plate and age between 18 and 84. Stainless steel and titanium technique guide synthes synthes on. Implantation of a glenoid component approach and exposure 42 determine correction 43 ream glenoid 44 introduce trial glenoid 47. Fixed angle locking plates falps are increasingly popular in the treatment of complex proximal humerus fractures and are particularly useful in the elderly with poor bone quality. The lcp pediatric hip plate system can be implanted using two different surgical techniques. Good surgical technique is the key to a successful outcome.
To evaluate the efficacy of philos plate fixation for proximal humerus fractures. Posterior lumbar interbody fusion plif instruments. The surgeon has to decide before the preoperative planning which technique to use. Targeter systems overview surgical devices and advanced.
Dynamic hip screw dhs instrument assembly and surgical technique surgical technique tap assembly lag screw insertion assembly reinserting the dhsdcs guide wire 1 determine anteversion. Philos system is an anatomical lcp plating system for proximal humerus fracture fixation. Demographic data, surgical technique, and peripostoperative. Approach the approach must normally be lengthened because of the plate. Group 11903, award 21091 pc63950 orthopedic equipment synthes usa effective date. Pdf philos plate fixation for proximal humeral fractures. Surgical technique continued the handle and holding sleeve are used for manual insertion. Part of the depuy synthes locking compression plate lcp 3. Part of the depuy synthes locking compression plate lcp system. The plif spacer can be used for posterior lumbar interbody fusion plif. Synthes holding ag formerly synthesstratec is a multinational medical device manufacturer based in solothurn, switzerland and west chester, pennsylvania, united states. We offer one of the worlds most comprehensive portfolios of orthopaedic products and services in the areas of joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, power tools and biomaterials.
It includes the philos percutaneous aiming system, for a less invasive transdeltoid approach. However, plating of proximal humeral fractures is a demanding surgical procedure and. The veptr device is a metal rod curved to fit the spine and is placed in an up and down position. Tous les catalogues et fiches techniques pdf depuy synthes. Philos and philos long surgical technique depuy synthes 3 philos instruments outer sleeve restricted drill bit length probe quick steps for insertion in good bone stock 1. Implantquality 316l stainless steel or titanium alloy ti6ai7nb ten suture holes around the perimeter of the proximal end distal shaft of standard plate consists of three or. Position the plate either visual or with positioning kirschner wire 4. Only one step is different in the surgical technique, all other steps are similar.
Flip the template over to change from rightside to leftside orientation figure 1. The positioning pin maintains the location of the cable on the plate relative to the plate hole. It is the worlds largest maker of implants to mend bone fractures, and also produces surgical power tools and advanced biomaterials. Part of the synthes locking compression plate lcp system. Pdf failure analysis of philos plate construct used for. This operative technique has been devised in consultation with leading surgeons in many countries to be a basic guide, particularly for less experienced users of the gamma3 system. Exclusion criteria were fractures treated with intramedullary nails, arthroplasty, nonprecontoured plates, dual plating, or screw fixation alone. The proximal humeral internal locking system philos. The top countries of suppliers are india, russian federation, from which the percentage of synthes surgical instruments supply is 1%, 54% respectively.
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