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. For use in small bones, including the distal radius as well as the fore, midand hind foot and ankle, in the treatment of. All fractures were treated with the aptus distal radius 2. This awardwinning technology is designed to help increase the speed, ease, and reliability of connecting rods to screws. These implants are particularly suited for fixation incorporating this technique. Strykers facial trauma device launched orthopedics this week.
Biomechanical performance of variable and fixed angle. Variax distal radius locking plate system this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Distal radius fractures open reduction internal fixation. An adequate incision is made along the palpable edge of the index. 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. Juxtaarticular volar plates are precontoured with a complex bend. Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment speci. Variax compression plating system operative technique. The angle between these two lines was measured and represented the vca. Stryker is among the leading providers in the orthopaedic and medical engineering market world wide. Prospective study of distal radius fractures treated with a volar locking plate system article in the journal of hand surgery 335. Variable angle locking plate system for treating volar and dorsal distal fractures.
Surgical technique video of an innovative fixation device adapted to the distal radius fracture. Reduces associated morbidity at the donor site, which may include. Biomechanical performance of variable and fixed angle locked. Core tray includes one set of t8t10 screws plus standardized instrumentation and reduction instruments across various small fragment indications. 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. The stryker variax 2 system screws, when used in conjunction with variax plating systems. Stryker corporation has launched the universal smartlock hybrid mmf system invented by jeffrey marcus, m. Variax distal radius locking plate system osteosyntese. Our trauma and extremities portfolio offers you marketleading implants for the treatment of long and small bone fractures, as well as extremity joint replacements. Choose the appropriate implant according to patient anatomy and fracture pattern. The variax clavicle locking plate system is an anatomically shaped, variable angled locking plate system.
Biomechanical evaluation of volar locking plates for distal. The nailoflex enables a reliable, low invasive and. With the innovations within our services portfolio we set the benchmarks in the field of hand surgery. 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. In this video we see a patient with a classic dinner fork deformity that is associated with a dorsal malunion involving the distal radius. The variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. Variax elbow locking plate system operative technique distal lateral plate distal medial plate extended distal medial plate. Osteosynthesis variaxtm distal radius locking plate system. Operative technique manuals please click on the link below for the technique manual of interest. 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. Variable angle lcp twocolumn volar distal radius plate 2. Volar distal radius locking plate that best accommodates patient anatomy and fracture pattern. Distal radius fractures open reduction internal fixation case presentation and surgical technique.
Osteosynthesis variax distal radius locking plate system. The variax hand system consists of 33 locking plates which offer several options to the surgeon for more flexibility. Incidence of hardware removal following volar plate fixation. The role of locking technology in the hand hand surgery, pc. Variax 2 foot stryker foot plating system operative technique. Distal radius fractures disclosures i have stock ownership in johnson and johnson and pfizer. 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. Correction of a distal radius malunion can be performed using a radial approach and an anatomic radial plate. However, these investigations have not determined the incidence of hardware removal after volar plate fixation. Monotube triax this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Variax distal radius operative technique stryker yumpu.
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. 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. Variax 2 clavicle locking plate system operative technique this publication sets forth detailed recommended procedures for using stryker devices and instruments. 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. Combined approach is sometimes used in highenergy fractures, burst fractures and significantly dislocated fractures. Surgical technique product information table of contents the 2. Internal fracture fixation osteotomies revision procedures such. The guide blocks for the 2 column plate 6 hole head volar distal radius plate system were found to be labeled incorrectly. Screw peg options blunt tips help to avoid soft tissue irritation in bicortical use. 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. Variax 2 distal fibula variax 2 clavicle variax 2 compression variax 2 distal radius variax 2 elbow variax 2 foot variax 2. This fracturegap model was fixated using one of three different locked volar distal radius plates. Reduce fracture and position plate continued if necessary, use 1.
Prospective study of distal radius fractures treated with a. Variax distal radius locking plate system stryker meded. The crosslocking oblique screw options are designed to provide threedimensional fixation in comminuted fractures and osteoporotic bone. The volar locking plate for extension fractures of the. A discussion of locked plating in the distal radius is beyond the scope of this. Variax 2 indications the stryker variax 2 system screws, when used in conjunction with variax plating systems. Variax distal radius locking plate system stryker yumpu. Class 2 device recall synthes guide blocks for the volar. 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. Distal radius fixation with volar locking plate by a. Osteotomy of the distal radius using a fixedangle volar plate. 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. Reproducible results with its patented polyaxial locking technology, variax brings something new to surgeons. 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.
However, by step operative technique as well studies have shown that fractures with comminution andor signi. Background the radius is the most common bone in the arm to sustain a fracture. 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. Following additional indications apply only for the xxl volar distal radius plates. Variax distal radius locking plate system new anatomical volar plate encourages articular support with locking. Of a total of 398 extension fractures of the distal radius, 322 were surgically treated between january 1996 and december 1999 at the hospital for accident, hand and rehabilitation surgery of the. Juxtaarticular plates may be used for more complex fractures ao types b3, and c1c3. For use in small bones, including the distal radius as well as the fore, mdand hind foot and ankle, in the treatment of. The order of screw insertion and the use of kwires may vary depending on the fracture pattern and reduction. A second line was drawn parallel to the volar cortex of the distal radius volar cortical line. The tricep split approach is used in this video with the variax elbow locking plate system. Operative technique choose the appropriate implant according to patient anatomy and fracture pattern. Treatment of unstable distal radius fractures with the volar distal radius locking plate system stryker meded volar locking plate fixation of distal radius fractures.
Surgical technique this publication is not intended for distribution in the usa. Carbofix piccolo distal radius plates made of continuous carbon fibers reinforced polymer. Extensor tendon irritation is one of the most common complications following volar locking plate osteosynthesis vlpo for distal radius fractures. Prospective evaluation of distal radius fractures treated. Monoaxial locking plate system for treating distal tibia fractures. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture. Distal radius fracture repair with volar plate central. 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. Distal radius fractures home foundation for orthopaedic. 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. Variable angle lcp volar rim distal radius plate 2. The ideal treatment strategy for the dorsally comminuted distal radius fracture continues. 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. The laser etching denoting the orientation on the part is correct.
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. Variax distal radius locking plates and reduces the incidence of tissue. 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. Volar distal radius plate preoperative templates cat. Providing axial stability, friction fit and easy screw pick up. The maxillomandibular fixation mmf device combines elements of both arch bars and mmf screws, stated the company announcement. 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. Variax clavicle locking plate system stryker meded. With this in mind, stryker has developed the variax clavicle locking plate system. Shorter distal screws could avoid this, yet the influence of distal screw length on the primary stability in vlpo is unknown. Volar distal radius locking plate surgical devices and.
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. Acumed off ered an innovative solution for repairing intraarticular fractures, malunions and. The analogs were of low stiffness and rigidity to create a worstcase strength condition for the subject radius plates. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid. Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment specific solutions, even for the most complex distal radius fracture. 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.
The new variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. Surgical correction of distal radius malunions using an. Lee, md, new york, ny presents the arthrex volar distal radius plate technique. The variax fibula locking plate system is intended for use in internal fixation of the distal fibula. 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. Successfully established techniques include closed reduction with. The influence of distal screw length on the primary stability. Multiple screw options including standard polyaxial, dual lead polyaxial, cannulated polyaxial, standard monoaxial, and large diameter options for iliac fixation. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. Variaxtm distal radius locking plate system osteosynthesis. Osteotomies, arthrodesis, and ligament reattachment may also be performed using these implants with the applicable operative technique. 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. We understand the importance of a wellfitting implant.
Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment specific solutions. Plates utilize smartlock technology which permits polyaxial screw placement. Prospective evaluation of distal radius fractures treated with variableangle volar locking plates. Grabow hand to shoulder center medical professionals surgical assistants and technologists operative technique manuals operative technique manuals. Arthrex arthrex distal radius plate surgical 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. 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. Variax variable angle distal radius locked plating system. 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. Nevertheless, the distinct anatomic shape of the clavicle poses dif.
Stryker is not dispensing medical advice and recommends that surgeons. Indications see package insert for warnings, precautions, adverse effects and other essential product information. Given this range, surgeons may choose how best to fix the bone with the approach that they see fit. The insertion of the brachioradialis may be released. The dual lead cortical thread of the radius rapid screws is designed to help increase the speed of screw insertion. Operative technique manuals grabow hand to shoulder center. 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. Distal radius locking compression plate multi axial distal. Your details have been recorded and a representative will be contact with you shortly. Instruments and implants approved by the ao foundation. Surgical technique metacarpal pin placement pins with a 15mm thread length are provided for use in the metacarpal. It is most likely caused by distal screws protruding the dorsal cortex. For fragmentspecific fracture fixation with variable angle locking technology.
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