Twopart surgical neck fracture of the proximal humerus with posteromedial communition fixation using a combination of and intramedullary cortical strut and plate. The philos plate ao synthes gmbh, oberdorf, switzerland and alps plate zimmerbiomet,warsaw,usawereusedforangularstable plate osteosynthesis. The multiloc proximal humeral nail ao synthes gmbh, oberdorf, switzerlandwas the deviceusedfor angular stable intramedullary nailing. Philos system is an anatomical lcp plating system for proximal humerus fracture fixation. Innovation in proximal humerus fixation 1 andrew h. This was the only case of nonunion in the whole sample 1 year postoperatively. Fractures of the proximal humerus are the third most common type of fracture. Part of the synthes locking compression plate lcp system. Polarus proximal humeral plating php system, shoulder. Minimally invasive plate osteosynthesis with philos plate.
Flex the elbow 90 degrees, reduce the fracture, and apply the plate. In another four pts the broken plate was replaced with a sevenhole philos plate. Potential advantages of this approach include the easier exposure of the greater tuberosity and the limited surgical dissection around the fracture site. From a populationbased implant design, a patented screwtoplate interface, and streamlined instrumentation, our focus was on creating a welldesigned plating system, giving you. Synthes has not tested compatibility with devices provided by other manufacturers and assumes no liability in such instances. Oregon, usa proximal humerus anatomic locking plate systems. We performed open reduction and internal fixation with a tbuttress plate in 32 fractures of the proximal humerus with severe displacement andor fracture dislocation. They observed no nonunion and reported a low incidence of reoperations n2, the mean constant murley score was 74. The synthes lcp proximal tibia plate is intended for treatment of nonunions, malunions, and fractures of the proximal tibia, including simple, comminuted, lateral wedge, depression, medial wedge, bicondylar, combinations of lateral wedge and depression, periprosthetic, and fractures with associated shaft fractures. Proximal humerus locking plate eurociencia colombia. The srha cement was used to fill the screwbone interface in the augmented group. The synthes lcp proximal tibia plate is intended for treatment of nonunions, malunions. Synthes usa, synthes lcp proximal humerus plate, cleared under koi 1815. Philos proximal humeral internal locking system quick steps for insertion in osteoporotic bone philos 9 proximal screw holes in section ae for lcp locking screws 3.
Download pdf proximal numerus fracture plate, nail or replace. Distal anterolateral tibia plate distal medial tibia plate distal lateral femoral plate proximal lateral tibial plate the axsos locking plate system is designed to treat periarticular or intraarticular fractures of the proximal humerus, distal femur, proximal tibia, and the distal tibia. The incidence is approximately 70 per 100,0005, 6 and it will probably increase due to the association with age and osteoporosis710. Prepare the patients arm so that it can be mobilized. 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. Fractures of the proximal humerus are common injuries. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological. A proximal humerus fracture is a break of the upper part of the bone of the arm. Gardner describes the mechanical rationale locked plating for the surgical management of a proximal humerus fracture. An animated version of the suggested stepbystep method for implanting the acumed polarus php proximal humeral plate.
Proximal humerus fractures are commonly treated with open reduction and internal fixation with periarticular locking plates. Proximal humerus plating system is indicated for fixation of fractures and fracture dislocations, fusions, osteotomies, and nonunions of the humerus, particularly in osteopenic bone. Optilock upper extremity plating system proximal humeral. In one pt, the broken plate was left accepting a pseudoarthrosis with no pain so far. Augmentation of a locking plate system using bioactive. This system offers an extensive selection of anatomically contoured plates, which are available in a variety of lengths and in two styles to. Ensure the fluoroscope is positioned in a way that allows visualization of the proximal humerus in two axes ap and lateralaxial. Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate. It can be estimated that the annual cost in finland exceeds 70 million euros.
In women 80 years and older the incidence is third only to fractures of the proximal femur and the distal. They are also for use in fixation of osteopenic bone and fixation of nonunions and malunions. Proximal humerus fracture book twin cities orthopedics. A 3fold increase in osteoporosisrelated fractures is expected in the year 2030 2, 3. Large fragment locking compression plate lcp technique. The plate that was displaced after 33 days went on to breakage.
Proximal humerus plating system is designed to provide intraoperative flexibility and efficiency to the surgical team. This plate addresses complex fractures of the proximal humerus. Instructions for use are found in the information that accompanied the product packaging. Outcome analysis of locking plate fixation in proximal.
This typically happens after a fall on the affected side, followed by pain in that arm or shoulder. Although the appropriate management of displaced or unstable proximal humeral fractures remains a controversial, open reduction and internal fixation orif using fixedangle interlocking plate seems to be a promising. The humeral sutureplate is an anatomically designed polyaxial locking plate and screw system designed for the treatment of proximal humeral fractures. Made of titanium alloy ti6al4v and treated with a type ii anodization, these plates are able to carry the loads that are required of them while remaining low profile. Plate selection following fracture reduction, select the proximal humerus locking plate that best accommodates patient anatomy and fracture pattern.
Locking plate fixation for proximal humerus fractures. In addition, this video should be able to help you to understand the important technical points that make operative fixation more successful. The synthes locking compression platestplates are intended to buttress metaphyseal fractures of the proximal humerus, medialtibial plateau and distal tibia. View and download synthes delta xtend manual online. The proximal humeral locking plate seems to be an adequate device for the fixation of displaced proximal humerus fractures as 83% of our study population had goodmoderate functional. This content is intended for health care professionals in the united states.
Pdf locking plate fixation for proximal humerus fractures. Exposing the distal humerus through an olecranon osteotomy 21 distal humerus fracture reduction. These low profile plates with polyaxial bushings provide freedom to direct the locking screws within the anatomical template, based on the fracture pattern and bone quality for better fixation. Complications may include axillary nerve or axillary artery injury the cause is generally a fall onto the arm or direct trauma to the arm. Posterolateral plates offer fixation of the capitulum with three distal screws. The aim of this study was to evaluate the clinical and radiographic results after minimally invasive plate osteosynthesis mipo for proximal humerus fractures. Establishing the appropriate position the authors 2017. Minimally invasive plate osteosynthesis for proximal. The original synthes plate had the largest screw volume, occupying 31.
Despite the expense of proximal humerus fractures, there is no clear evidence of the optimal and beneficial treatment. The plate contours in the periloc system were determined by studying a large collection of cadaveric specimens at the cleveland. Choose plate lengths that offer sufficient fixation proximal to the fracture lines. Failure after proximal humeral fracture osteosynthesis. Proximal humerus plating system is designed to minimize the risk of some of the complications commonly associated. Synthes usa 41 yrs 52 yrs 60 yrs slide courtesy of james green, synthes usa 56 yrs 61 yrs 61 yrs.
The prongs in the proximal end of the plate should penetrate. Monoaxial locking plate system for treating proximal humerus fractures. Proximal means it is the end of the bone that is closest to the body. Note the periloc proximal humerus locking plate preoperative templates 71180976, 71180985 are available to assist with. Part of the depuy synthes locking compression plate lcp 3. The anatomic fixation system for the proximal humerus.
Php proximal humerus plate surgical technique acumed. Attach the olecranon plate proximal targeting guide 800654 to the olecranon plate 7003xx with the locking bolt. A proximal humerus fracture is a break in the arm bone near the shoulder, or a broken shoulder. In this study, a cadaveric proximal humeral fracture model was adopted and fixed with a proximal humeral locking plate system philos. Piccolo composite tm plate system synthes lcp proximal humerus plate, long synthes. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus.
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