Operative technique choose the appropriate implant according to patient anatomy and fracture pattern. Variaxtm distal radius locking plate system osteosynthesis. Variax 2 foot stryker foot plating system operative technique. Juxtaarticular plates may be used for more complex fractures ao types b3, and c1c3. The variax clavicle locking plate system is an anatomically shaped, variable angled locking plate system. However, by step operative technique as well studies have shown that fractures with comminution andor signi. Treatment of unstable distal radius fractures with the volar distal radius locking plate system stryker meded volar locking plate fixation of distal radius fractures. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Following additional indications apply only for the xxl volar distal radius plates. The distal radius plate is indicated for the osteopenic and periarticular fractures, revision surgery of pseudarthrosis, nonunion and malunion, arthrodesis and ligament reattachment, fixation of complex. Variax clavicle locking plate system stryker meded. The maxillomandibular fixation mmf device combines elements of both arch bars and mmf screws, stated the company announcement. Operative technique manuals grabow hand to shoulder center. Surgical technique metacarpal pin placement pins with a 15mm thread length are provided for use in the metacarpal.
Variax distal radius locking plate system new anatomical volar plate encourages articular support with locking. We understand the importance of a wellfitting implant. All fractures were treated with the aptus distal radius 2. With this in mind, stryker has developed the variax clavicle locking plate system. Variable angle lcp twocolumn volar distal radius plate 2. Prospective study of distal radius fractures treated with a. Reproducible results with its patented polyaxial locking technology, variax brings something new to surgeons. Variax the distal radius locking plate system that offers you both fixed angle locking in a predetermined screw pattern and polyaxial locking within a range of 15 degrees. Monoaxial locking plate system for treating distal tibia fractures.
The volar locking plate for extension fractures of the. The variax system has not been evaluated for safety and use in mr environment and has not been tested for heating or migration in the. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Variax distal radius locking plate system stryker yumpu. Prospective study of distal radius fractures treated with a volar locking plate system article in the journal of hand surgery 335. Surgical technique this publication is not intended for distribution in the usa. Prospective evaluation of distal radius fractures treated with variableangle volar locking plates.
A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Given this range, surgeons may choose how best to fix the bone with the approach that they see fit. In this video we see a patient with a classic dinner fork deformity that is associated with a dorsal malunion involving the distal radius. Preop postop 8 months 8 depuy synthes lcp distal ulna plate surgical technique the distal ulna is an essential component of the distal radioulnar joint, which provides rotation to.
Juxtaarticular volar plates are precontoured with a complex bend. Reduce fracture and position plate continued if necessary, use 1. An adequate incision is made along the palpable edge of the index. Internal fracture fixation osteotomies revision procedures such. Variax distal radius operative technique stryker yumpu. Results theauthors haveusedthis technique for difficultdistal radius fracture malunions and have achieved superb correction, returning patients to early range of motion and an active lifestyle. These fixedangle plates are an effective treatment for distal radius fractures to accomplish the surgical goals of stability, maintenance of alignment, and the ability to initiate early motion, all of which may lead to improved clinical outcomes after distal radius fixation. Distal radius fracture distal radius fracture repair with volar plate dupuytrens disease finger felon drainage finger fracture fixation flexor tendon injuries finger joint fusion dip joint fractures of the finger fractures of the hand ganglion cysts of the hand ganglion cyst removal kienbocks disease mallet finger open carpal tunnel release. The ideal treatment strategy for the dorsally comminuted distal radius fracture continues. The analogs were of low stiffness and rigidity to create a worstcase strength condition for the subject radius plates. The variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. Distal radius locking compression plate multi axial distal. Extensor tendon irritation is one of the most common complications following volar locking plate osteosynthesis vlpo for distal radius fractures.
May 01, 2012 distal radius fixation with volar locking plate by a minimally invasive approach this technique is being used by me since 2010, to treat unstable or stable distal radius fractures since they are. Grabow hand to shoulder center medical professionals surgical assistants and technologists operative technique manuals operative technique manuals. The guide blocks for the 2 column plate 6 hole head volar distal radius plate system were found to be labeled incorrectly. Distal radius fractures home foundation for orthopaedic. Variax 2 distal fibula variax 2 clavicle variax 2 compression variax 2 distal radius variax 2 elbow variax 2 foot variax 2. Based on the excellent results obtained from surgical treatment of unstable fractures of the distal radius through a volar approach and use of rigid fixation with a fixedangle volar plate, we started to use the same method for osteotomy of the distal radius. Distal radius fractures open reduction internal fixation case presentation and surgical technique. The laser etching denoting the orientation on the part is correct. Prospective evaluation of distal radius fractures treated. Successfully established techniques include closed reduction with. Providing axial stability, friction fit and easy screw pick up.
The purpose of the current study was to determine the incidence of hardware removal in a large cohort of patients treated with volar plate fixation of distal radius fractures. Instruments and implants approved by the ao foundation. This system features a nonthreaded locking mechanism that does not require a torque measuring device and is designed to reduce the potential for false locking and crossthreading. Variax elbow locking plate system operative technique distal lateral plate distal medial plate extended distal medial plate. Osteotomy of the distal radius using a fixedangle volar plate. It offers guidance that you should heed, but as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments. Distal radius fixation with volar locking plate by a. Distal radius fracture repair with volar plate central. The stryker variax 2 system screws, when used in conjunction with variax plating systems. Lee, md, new york, ny presents the arthrex volar distal radius plate technique. Distal radius fractures disclosures i have stock ownership in johnson and johnson and pfizer. It is designed to offer a comprehensive selection of plates, screws, pegs and instrumentation necessary to maintain the stability of the distal radius lesion, while providing your surgical. Variax variable angle distal radius locked plating system. Variax distal radius locking plate system this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments.
The role of locking technology in the hand hand surgery, pc. Indications see package insert for warnings, precautions, adverse effects and other essential product information. Inclusion criteria included patient age of 18 to 89 years, a displaced andor unstable distal radius fracture requiring open reduction internal fixation, and a minimum final clinical and radiographic followup of 12 months. The order of screw insertion and the use of kwires may vary depending on the fracture pattern and reduction. The tricep split approach is used in this video with the variax elbow locking plate system. Variax 2 small fragment plating the variax 2 small fragment platform is designed to offer a comprehensive, modular and easytouse platform for treating various small fragment indications including clavicle, humerus, radius, ulna, fibula, foremid and hind foot. It offers guidance that you should heed, but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required. Acumed off ered an innovative solution for repairing intraarticular fractures, malunions and. These implants are particularly suited for fixation incorporating this technique. This video depicts a correction of a hallux valgus deformity using a lapidus procedure, a fusion of the first metatarsal with the medial cuneiform.
A discussion of locked plating in the distal radius is beyond the scope of this. Plates utilize smartlock technology which permits polyaxial screw placement. This awardwinning technology is designed to help increase the speed, ease, and reliability of connecting rods to screws. The variax distal radius locking system including the xxl volar distal radius plates is intended for internal fixation of small bone fractures, primarily including distal radius fractures. Variable angle lcp volar rim distal radius plate 2. The new variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. The variax 2 small fragment platform is designed to offer a comprehensive, modular and easytouse platform for treating various small fragment indications including clavicle, humerus, radius, ulna, fibula, foremid and hind foot.
Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment specific solutions, even for the most complex distal radius fracture. Monotube triax this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Variable angle locking plate system for treating volar and dorsal distal fractures. Stryker corporation has launched the universal smartlock hybrid mmf system invented by jeffrey marcus, m. Biomechanical performance of variable and fixed angle. Type ii anodization the locking plates are processed with a type ii anodization treatment which improves the biomechanical performance and may reduce the incidence of tissue adherence. Stryker is among the leading providers in the orthopaedic and medical engineering market world wide. Your details have been recorded and a representative will be contact with you shortly. For use in small bones, including the distal radius as well as the fore, midand hind foot and ankle, in the treatment of. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. Distal radius fractures open reduction internal fixation. The crosslocking oblique screw options are designed to provide threedimensional fixation in comminuted fractures and osteoporotic bone. The stryker variax 2 compression plating system is indicated for internal fixation of fractures in the radius, ulna, humerus, clavicle, and distal fibula, in patients with normal bone density and osteopenic bone, for the.
The variax 2 distal radius plating system provides you with a comprehensive range of anatomic plating options that work with a common instrument and screw platform. It is most likely caused by distal screws protruding the dorsal cortex. Correction of a distal radius malunion can be performed using a radial approach and an anatomic radial plate. Strykers facial trauma device launched orthopedics this week. The variax distal lateral plate and the vairax fibula straight plates are intended for use in internal fixation of the distal fibula. Note the periloc volar distal radius plate preoperative templates 71180981, 71180982 are available to assist with preoperative radiographic planning. Choose the appropriate implant according to patient anatomy and fracture pattern. An implant that fits may reduce or time, may decrease fracture malalignment, and potentially reduce patient discomfort, especially in areas such as the distal tibia where there is little soft tissue coverage. Volar distal radius plate preoperative templates cat. The dual lead cortical thread of the radius rapid screws is designed to help increase the speed of screw insertion. Surgical technique product information table of contents the 2. It offers guidance that you should heed, but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and. Arthrex arthrex distal radius plate surgical technique. The variax hand system consists of 33 locking plates which offer several options to the surgeon for more flexibility.
Combined approach is sometimes used in highenergy fractures, burst fractures and significantly dislocated fractures. The influence of distal screw length on the primary stability. Variax compression plating system operative technique. Screw peg options blunt tips help to avoid soft tissue irritation in bicortical use.
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. Surgical correction of distal radius malunions using an. Variax distal radius locking plate system osteosyntese. However, these investigations have not determined the incidence of hardware removal after volar plate fixation. Volar distal radius locking plate surgical devices and.
Biomechanical performance of variable and fixed angle locked. The insertion of the brachioradialis may be released. Class 2 device recall synthes guide blocks for the volar. Variax distal radius locking plate system stryker meded.
Variax 2 indications the stryker variax 2 system screws, when used in conjunction with variax plating systems. Carbofix piccolo distal radius plates made of continuous carbon fibers reinforced polymer. Osteosynthesis variaxtm distal radius locking plate system. 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 leader in fracture fi xation since its introduction in 2004.
With the innovations within our services portfolio we set the benchmarks in the field of hand surgery. Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment speci. Core tray includes one set of t8t10 screws plus standardized instrumentation and reduction instruments across various small fragment indications. Our trauma and extremities portfolio offers you marketleading implants for the treatment of long and small bone fractures, as well as extremity joint replacements. Surgical technique video of an innovative fixation device adapted to the distal radius fracture. Osteotomies, arthrodesis, and ligament reattachment may also be performed using these implants with the applicable operative technique. Shorter distal screws could avoid this, yet the influence of distal screw length on the primary stability in vlpo is unknown. Background the radius is the most common bone in the arm to sustain a fracture.
The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid. Nevertheless, the distinct anatomic shape of the clavicle poses dif. For use in small bones, including the distal radius as well as the fore, mdand hind foot and ankle, in the treatment of. Variax distal radius locking plates and reduces the incidence of tissue. Biomechanical evaluation of volar locking plates for distal. Reduces associated morbidity at the donor site, which may include.
Incidence of hardware removal following volar plate fixation. For fragmentspecific fracture fixation with variable angle locking technology. This fracturegap model was fixated using one of three different locked volar distal radius plates. Operative technique manuals please click on the link below for the technique manual of interest. Osteosynthesis variax distal radius locking plate system. The nailoflex enables a reliable, low invasive and. Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment specific solutions. Stryker is not dispensing medical advice and recommends that surgeons. The variax fibula locking plate system is intended for use in internal fixation of the distal fibula. Variax 2 clavicle locking plate system operative technique this publication sets forth detailed recommended procedures for using stryker devices and instruments.
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