Locking clavicle plating system cambridge orthopaedics. Mechanical failure of plate breakage after open reduction and plate. Fixation of unstable type ii clavicle fractures with. Comments about the acumed locking anterior clavicle plates. For central onethird applications, there are five different lengths and curvatures in both left blue and right green, and for distallateral fractures two specialized j plates. Thoracic outlet syndrome tos is a rare complication of conservative treatment of a clavicle fracture. 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. In the precontoured group, the locking clavicle plate acumed, hillsboro, or was used in all 28 cases. Axial radiographs were made of each clavicle and the precontoured acumed locking clavicle plate, which is designed to be applied superiorly. Displaced fractures of the lateral end of the clavicle are associated with an increased. A superior approach to his clavicle using rightsided acumed locking clavicle plate was applied. When reduced, a fracturespecific distal clavicle plate acumed. Distal clavicle fractures are common, and no standard treatment exists. 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.
Locking superior midshaft and anterior clavicle plates. All plates and screws are provided sterile and nonsterile. A recent study evaluated construct failure after an open reduction and plate fixation and reported a construct failure rate of 6. Intramedullary nailing of clavicular midshaft fractures with. Do not insert distal end of the lateral plate into bending irons. The locking plate theoretically offers increased stability of fixation, which again should allow for application of greater forces than conventional reconstruction or dynamic compression plates dcp plates.
Acumed clavicle plating system contains 33 plate designs. Compared to 316l electropolished stainless steel, type i anodized titanium, and machined titanium. Pdf hardware prominence after plate fixation for clavicle fracture is a. The broken plate was removed from the patient on b6, 2010.
Locking superior midshaft and anterior clavicle plates surgical technique 720p. To bend a lateral clavicle plate, use the bending irons to hold the proximal end while bending the distal end with the bending pliers. The treatment of displaced midshaft clavicle fractures remains controversial. Aug 21, 20 the clavicle plating system offer low and narrowprofile plate solutions precontoured to match the natural sshape of the clavicle. The plate should fit along the base of the spine and down the medial border of the scapula. 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. Accumed medical products enhancing life through science and. A precontoured superiorlateral plate is secured to the clavicle. Locking clavicle plating system surgical technique acumed. The plate may be filled with locking or nonlocking screws depending on the surgeons preference. The precontoured locking plate is now the preferred choice of implant for surgical treatment of clavicle fractures 1, 5, 6. Anatomic midshaft forearm plates cambridge orthopaedics. These include screws and plates that attach to feet, ankles, fingers, arms, and shoulders. Biomechanical evaluation of a precontoured clavicle plate.
Clavicular anatomy and the applicability of precontoured. The stainless steel plates are low profile and precontoured with locking and nonlocking screw options in each plate. Pdf lateral clavicle fixation using a locking tplate. An acumed clavicle plate was implanted approximately 6 months ago for a nonunion. Locking plate osteosynthesis of clavicle fractures. Elbow plating system brochure and surgical technique. The clavicle plating system offer low and narrowprofile plate solutions precontoured to match the natural sshape of the clavicle. Treatment of acute clavicle fractures with an anatomical. Pdf evaluation of prominence of straight plates and. Anatomic midshaft forearm plates since 1988, acumed has been designing solutions to the demanding situations facing orthopaedic surgeons, hospitals and their patients. Nov 01, 2016 the best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. With use of adobe photoshop technology, the plates were freely translated and rotated along each clavicle to determine. The acumed congruent locking system hillsboro, or was used in three of 20. The acumed clavicle plating system and the acumed dualtrak clavicle screw system provide comprehensive solutions to treat a wide variety of clavicle.
The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. 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. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. The plate is then secured using locking or nonlocking screws. Variax clavicle locking plate system stryker meded. Locking clavicle plate brochure and surgical technique. 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.
Explore acumeds innovative orthopedic solutions with the official mobile app for your phone or tablet. Our strategy has been to know the indication, design a solution to fit, and deliver quality products and instrumentation. The acumed locking clavicle plating system is intended to provide fixation for fractures, malunions, and nonunions of the clavicle. Plates utilize smartlock technology which permits polyaxial screw placement. Three patients in the plateout group sustained a further fracture of their clavicle after plate removal. Locking superior distal clavicle plates surgical technique. Fixation of unstable type ii clavicle fractures with distal. The reference lines on the plate help facilitate the creation of the osteotomy when a free hand cut is preferred. It comes in right and left sides and different shaped curves. The acusinch repair system is intended to be used in conjunction with the clavicle plating.
This study might explain why the implant has not yet achieved widespread application, despite the fact that other authors have reported good results. The acumed clavicle plating system and the acumed dualtrak clavicle screw system provide comprehensive solutions to treat a wide variety of clavicle fracture patterns. Reposition and fixation of unstable distal clavicle fractures with a low profile locking plate acumed, hempshire, uk in conjunction with a buttonsuture augmentation cerclage dogbone. Intramedullary nailing of clavicular midshaft fractures using the titanium elastic nail is a technically demanding operation with various complications in the postoperative phase. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. The acusinch repair system is intended to be used in conjunction with a clavicle plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.
Its surgical management is challenging and includes a costoclavicular space decompression with an excision of excessive bone callus, 1 resection of the first rib, an anterior and middle scalenectomy, 2 partial or complete clavicle resection 3 4 and claviculoplasty. Once the plates ideal positioning has been selected, it is provisionally stabilized to the spine andor acromion with bone clamps plcl04. Analysis of contoured anatomic plate fixation versus. Locked anatomic plate fixation in displaced clavicular. Pdf precontoured clavicular locking plates for acute. Acumed clavicle plate, are becoming increasingly available. Radiologically visible callus formation after 24 weeks was accepted as delayed union. Recent attention has been focused on the operative treatment of midshaft fractures of the clavicle. Tims, msc, and the clavicle trial collaborative group investigation performed at the department of trauma and orthopaedics, royal free hampstead nhs foundation trust, london, united kingdom background. Since its introduction, surgeons have utilized the acumed locking clavicle plate system to solve many complex injuries of the midshaft and distal clavicle. Only the near cortex of the coracoid was opened with a 3. Lcp superior clavicle plate with lateral extension lcp superior clavicle plate. Precontoured superior locked plating of distal clavicle fractures.
Acumed s clavicle plate suffered no permanent deformation4. Distal clavicle plate to aid in the repair of clavicle fractures. Multiple plate options are available to fit a wide variety of clavicle curvatures. Apr 12, 2020 the clavicle is an elongated, sshaped bone that rests horizontally at the sternum across the upper part of the ribcage, and the acromial end of the scapula this bone is an important part of the skeletal system since it plays an essential role in everyday functional movement, serving as the connection between the axial skeleton and the pectoral girdle. The acumed congruent plate is precontoured, low profile and made from titanium alloy. Watch videos and explore interactive 3d product models. Variable angle locking plate system for treating clavicle fractures. Complete clavicle system for wide range of fractures. With this in mind, stryker has developed the variax clavicle locking plate system. Plate breakage is one form of construct failure after a clavicle fracture treated with an open reduction and plate fixation. Elbow plating system acumed is a global leader of innovative orthopaedic and medical solutions.
The acumed hand plating system is intended for the management of. Precontoured locking compressive distal clavicular plate fixation for the. 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. The ideal management of fractures of the distal third of the clavicle remains a topic of debate. Pdf evaluation of prominence of straight plates and precontoured. Open reduction internal fixation of distal clavicle fracture. 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 acumed clavicle plating system is intended to provide fixation for fractures, malunions, and nonunions of the clavicle. Our objective at acumed is to provide a comprehensive solution for repairing clavicular fractures. No intraoperative complications were reported in any patient. Precontoured clavicular locking plates for acute displaced clavicle fractures and established nonunions as day cases article pdf available in injury extra 4112. Daniel gheorghiu 1, christos sinopidis 2, daniel j.
Is removal of clavicle plate after fracture union necessary. 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. Locking superior distal clavicle plates surgical technique 720p. However, not all patients with a fracture located in the lateral twofifths of the clavicular shaft had anatomic fit of the plate. Clavicle plating system is indicated for fixation of fractures, osteotomies and nonunions of the clavicle including osteopenic bone. Occasionally, the inferior portion of the plate needs to be bent slightly anteriorly to conform to the interior angle of the scapula. The system is comprised of low profile anatomic plates that are designed for optimal fit, with features that assist the surgeon to minimize the risk of peripheral damage to surrounding landmarks. 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 is designed to address fractures of the distal humerus, olecranon, and coronoid. Low profile plate design to minimize plate prominence. 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. Displaced fractures of the clavicle generally do well with nonoperative treatment nonunion rate clavicle require no treatment the only fractures of the clavicle that do not heal are the ones that you operate on. 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. Two plates were implanted to replace the broken plate one superiorly and one anteriorly, and a bone graft was required.
Acumed clavicle plating system surgical technique doc. Locked anatomic plate fixation in displaced clavicular fractures 239 formation were evaluated. Sep 02, 2016 another one of my mountain biking buddies suffered a fracture of his right collar bone clavicle. Nov 1 4 2011 510k summary food and drug administration. Implant products are used for reconstruction and repair from trauma injuries. Jan 08, 2019 two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. Fixation of unstable type ii clavicle fractures with distal clavicle plate and suture button. Postoperatively, the affected extremity was immobilized in a sling for 2 weeks.
This section offers acumeds suggested method for implanting the scapula spine acromion plate. The screws, lag screws, and the kwires are made of titanium alloy per astm f6. The acumed suture anchor is substantially equivalent. Plating versus intramedullary fixation for clavicle fractures. Addition of a suture anchor for coracoclavicular fixation to. See our latest journal ad featuring our solutions for complex shoulder girdle and rib injuries. Email updates yes, please send me updates by email. Another one of my mountain biking buddies suffered a fracture of his right collar bone clavicle. Distal clavicle plates utilize kwire and suture holes to verify plate and screw placement allowing the surgeon to address the most lateral fracture.
When the plate was positioned adequately, it was initially secured with a single 3. A choice of a midshaft or lateral plate is determined by the site of the fracture. 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. Acumed locking superior distal clavicle plates youtube. The clavicle plating system offers low and narrowprofile plate solutions that are precontoured to match the natural shape of the clavicle.
Evaluation of prominence of straight plates and precontoured clavicle plates using automated plate tobone fitting article pdf available in acta orthopaedica belgica 803. Treatment of acute clavicle fractures with an anatomical congruent clavicle plate. All plates were placed in a superior position on the clavicle. Acumed was the first company to offer precontoured plates for the clavicle and scapula, and our polarus 3 solution was first to market with a plate and nail in the same system for shoulder fractures. This study compares the invitro biomechanical properties of a preformed titanium clavicle plate acumed to a synthes 3. Plate length ref mm holes 628306 75 6 628307 86 7 628308 97 8 628310 118 10 anterior midshaft plates plate length ref mm holes 628406 59 6 628407 72 7 628408 83 8 anterior lateral plates all nonsterile products may be ordered sterile by placing an s at the end of the ref number. The purpose of this study was to examine the complication pro. The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. Acumed designs and builds orthopedic medical devices that are implanted into patients, as well as surgical devices. Divergent locking screws can also be used laterally. The plate may be temporarily held in place with standard plate holding forceps, or olive wires through locking holes or compression slots. The plate may be utilized as a template to help facilitate reduction of the body of the scapula to the spine. Following plate removal, the mean number of days returning to work was 14 190 days and to sports was 26 1150 days.
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