Accumed medical products enhancing life through science and. Lcp superior clavicle plate with lateral extension lcp superior clavicle plate. To bend a lateral clavicle plate, use the bending irons to hold the proximal end while bending the distal end with the bending pliers. Thoracic outlet syndrome tos is a rare complication of conservative treatment of a clavicle fracture. Treatment of acute clavicle fractures with an anatomical. 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. Since its introduction, surgeons have utilized the acumed locking clavicle plate system to solve many complex injuries of the midshaft and distal clavicle. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. Plating versus intramedullary fixation for clavicle fractures. 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.
The clavicle plating system offer low and narrowprofile plate solutions precontoured to match the natural sshape of the clavicle. Acumed locking superior distal clavicle plates youtube. Radiologically visible callus formation after 24 weeks was accepted as delayed union. 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. Email updates yes, please send me updates by email. 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. The acumed clavicle plating system and the acumed dualtrak clavicle screw system provide comprehensive solutions to treat a wide variety of clavicle fracture patterns. Pdf lateral clavicle fixation using a locking tplate.
Displaced fractures of the lateral end of the clavicle are associated with an increased. Anatomic midshaft forearm plates cambridge orthopaedics. The stainless steel plates are low profile and precontoured with locking and nonlocking screw options in each plate. 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. Acumed clavicle plating system surgical technique doc. Multiple plate options are available to fit a wide variety of clavicle curvatures. Used acumed clavicle plating system orthopedic general. The treatment of displaced midshaft clavicle fractures remains controversial. Implant products are used for reconstruction and repair from trauma injuries. 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. Treatment of acute clavicle fractures with an anatomical congruent clavicle plate. Is removal of clavicle plate after fracture union necessary.
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. Nov 1 4 2011 510k summary food and drug administration. Acumed clavicle plating system contains 33 plate designs. Elbow plating system brochure and surgical technique. Elbow plating system acumed is a global leader of innovative orthopaedic and medical solutions. Analysis of contoured anatomic plate fixation versus. A superior approach to his clavicle using rightsided acumed locking clavicle plate was applied.
Sep 02, 2016 another one of my mountain biking buddies suffered a fracture of his right collar bone clavicle. However, not all patients with a fracture located in the lateral twofifths of the clavicular shaft had anatomic fit of the plate. 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. Locking clavicle plate brochure and surgical technique. The screws, lag screws, and the kwires are made of titanium alloy per astm f6. The acumed locking clavicle plating system is intended to provide fixation for fractures, malunions, and nonunions of the clavicle.
The acumed suture anchor is substantially equivalent. 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. Locking superior midshaft and anterior clavicle plates surgical technique 720p. Locking superior distal clavicle plates surgical technique. This section offers acumeds suggested method for implanting the scapula spine acromion plate. Pdf hardware prominence after plate fixation for clavicle fracture is a. 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. Acumed designs and builds orthopedic medical devices that are implanted into patients, as well as surgical devices. Plates utilize smartlock technology which permits polyaxial screw placement. A recent study evaluated construct failure after an open reduction and plate fixation and reported a construct failure rate of 6. The clavicle plate and screw system is a comprehensive set of plates, screws, and instruments designed to treat midshaft and distal clavicle fractures. A precontoured superiorlateral plate is secured to the clavicle.
The plate may be filled with locking or nonlocking screws depending on the surgeons preference. Locked anatomic plate fixation in displaced clavicular. The acusinch repair system is intended to be used in conjunction with the clavicle plating. The acusinch repair system is intended to be used in conjunction with a clavicle plate. Recent attention has been focused on the operative treatment of midshaft fractures of the clavicle. Daniel gheorghiu 1, christos sinopidis 2, daniel j. 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. The clavicle plating system offers low and narrowprofile plate solutions that are precontoured to match the natural shape of the clavicle.
Mechanical failure of plate breakage after open reduction and plate. Clavicle plating system is indicated for fixation of fractures, osteotomies and nonunions of the clavicle including osteopenic bone. Clavicular anatomy and the applicability of precontoured. Acumed clavicle plate, are becoming increasingly available. Precontoured clavicular locking plates for acute displaced clavicle fractures and established nonunions as day cases article pdf available in injury extra 4112. 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. Distal clavicle plate to aid in the repair of clavicle fractures. This study compares the invitro biomechanical properties of a preformed titanium clavicle plate acumed to a synthes 3. Precontoured superior locked plating of distal clavicle fractures.
Fixation of unstable type ii clavicle fractures with distal. Addition of a suture anchor for coracoclavicular fixation to. 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. Watch videos and explore interactive 3d product models. Complete clavicle system for wide range of fractures. Fixation of unstable type ii clavicle fractures with. The precontoured locking plate is now the preferred choice of implant for surgical treatment of clavicle fractures 1, 5, 6. The ideal management of fractures of the distal third of the clavicle remains a topic of debate. Aug 21, 20 the clavicle plating system offer low and narrowprofile plate solutions precontoured to match the natural sshape of the clavicle. Locking superior distal clavicle plates surgical technique 720p.
All plates and screws are provided sterile and nonsterile. Pdf evaluation of prominence of straight plates and precontoured. The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. Open reduction internal fixation of distal clavicle fracture. 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. Following plate removal, the mean number of days returning to work was 14 190 days and to sports was 26 1150 days. Nov 01, 2016 the best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. 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. The acumed congruent plate is precontoured, low profile and made from titanium alloy. With use of adobe photoshop technology, the plates were freely translated and rotated along each clavicle to determine. Postoperatively, the affected extremity was immobilized in a sling for 2 weeks. The reference lines on the plate help facilitate the creation of the osteotomy when a free hand cut is preferred. Precontoured locking plate fixation for displaced lateral clavicle. Our objective at acumed is to provide a comprehensive solution for repairing clavicular fractures.
Locking clavicle plating system cambridge orthopaedics. Intramedullary nailing of clavicular midshaft fractures with. Explore acumeds innovative orthopedic solutions with the official mobile app for your phone or tablet. Occasionally, the inferior portion of the plate needs to be bent slightly anteriorly to conform to the interior angle of the scapula. The acumed clavicle plating system is intended to provide fixation for fractures, malunions, and nonunions of the clavicle. When reduced, a fracturespecific distal clavicle plate acumed. Precontoured locking compressive distal clavicular plate fixation for the. The plate is then secured using locking or nonlocking screws. Variax clavicle locking plate system stryker meded. Anatomic midshaft forearm plates since 1988, acumed has been designing solutions to the demanding situations facing orthopaedic surgeons, hospitals and their patients. Mechanical failure of plate breakage after open reduction.
The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. Pdf precontoured clavicular locking plates for acute. This study might explain why the implant has not yet achieved widespread application, despite the fact that other authors have reported good results. Jan 08, 2019 two contoured radius plate options acumed offers two plate types for the radius, including volar and dorsolateral approach options. When the plate was positioned adequately, it was initially secured with a single 3. Intramedullary nailing of clavicular midshaft fractures using the titanium elastic nail is a technically demanding operation with various complications in the postoperative phase. In the precontoured group, the locking clavicle plate acumed, hillsboro, or was used in all 28 cases. The broken plate was removed from the patient on b6, 2010. These include screws and plates that attach to feet, ankles, fingers, arms, and shoulders. Compared to 316l electropolished stainless steel, type i anodized titanium, and machined titanium. Another one of my mountain biking buddies suffered a fracture of his right collar bone clavicle.
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. The acumed congruent locking system hillsboro, or was used in three of 20. No intraoperative complications were reported in any patient. See our latest journal ad featuring our solutions for complex shoulder girdle and rib injuries. 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. Locking plate osteosynthesis of clavicle fractures. Plate breakage is one form of construct failure after a clavicle fracture treated with an open reduction and plate fixation. 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. A choice of a midshaft or lateral plate is determined by the site of the fracture. Comments about the acumed locking anterior clavicle plates.
Our strategy has been to know the indication, design a solution to fit, and deliver quality products and instrumentation. Distal clavicle fractures are common, and no standard treatment exists. All plates were placed in a superior position on the clavicle. Browse through events, view photo galleries, product details, and documents libraries. Biomechanical evaluation of a precontoured clavicle plate. 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.
An acumed clavicle plate was implanted approximately 6 months ago for a nonunion. 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. The acumed hand plating system is intended for the management of. Thoracic outlet syndrome secondary to a midclavicle malunion. The acumed clavicle plating system and the acumed dualtrak clavicle screw system provide comprehensive solutions to treat a wide variety of clavicle. Three patients in the plateout group sustained a further fracture of their clavicle after plate removal. Low profile plate design to minimize plate prominence. The plate should fit along the base of the spine and down the medial border of the scapula.
Variable angle locking plate system for treating clavicle fractures. Pdf evaluation of prominence of straight plates and. 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. The plate may be temporarily held in place with standard plate holding forceps, or olive wires through locking holes or compression slots. Evaluation of prominence of straight plates and precontoured clavicle plates using automated plate tobone fitting article pdf available in acta orthopaedica belgica 803. Do not insert distal end of the lateral plate into bending irons. Locked anatomic plate fixation in displaced clavicular fractures 239 formation were evaluated. Axial radiographs were made of each clavicle and the precontoured acumed locking clavicle plate, which is designed to be applied superiorly. Locking clavicle plating system surgical technique acumed. Once the plates ideal positioning has been selected, it is provisionally stabilized to the spine andor acromion with bone clamps plcl04. The fracture is held in reduction while the plate is positioned on the clavicle and temporarily fixated with the use of a bbtak pin. The plate may be utilized as a template to help facilitate reduction of the body of the scapula to the spine. Two plates were implanted to replace the broken plate one superiorly and one anteriorly, and a bone graft was required. Elbow plating system is designed to address fractures of the distal humerus, olecranon, and coronoid.
With this in mind, stryker has developed the variax clavicle locking plate system. It comes in right and left sides and different shaped curves. Fixation of unstable type ii clavicle fractures with distal clavicle plate and suture button. The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. The purpose of this study was to examine the complication pro. 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. Only the near cortex of the coracoid was opened with a 3.
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