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1 VARIABLE ANGLE LCP TWO-COLUMN VOLAR DISTAL RADIUS PLATE 2.4 For fragment-specific fracture fixation with variable angle locking technology SURGICAL TECHNIQUE
2 DePuy Synthes URL( )
3 Variable Angle LCP Two-Column Volar Distal Radius Plate AO Principles Three Column Theory /
4 Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4. For fragment-specific fracture fixation with variable angle locking technology. Features and Benefits VA TCP ( ) DRUJ( ) 2 Radial column intermediate column 2 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
5 Variable Angle VA 0 15 K DePuy Synthes 3
6 AO Principles 1958 AO 4 ¹ ² VA TCP Anatomic reduction Variable angle fragment specific fixation Stable fixation VA Preservation of blood supply Early, active mobilization AO 1 Müller ME, Allgöwer M, Schneider R, Willenegger H (1995) Manual of Internal Fixation. 3rd, expanded and completely revised ed Berlin, Heidelberg, New York: Springer 2 Rüedi TP, Buckley RE, Moran CG (2007) AO Principles of Fracture Management. 2nd expanded ed Stuttgart, New York: Thieme 4 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
7 VA TCP DePuy Synthes 5
8 1 24 AO 23 C AO 23 C1 6 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
9 Three Column Theory Volar tilt 2mm 3 column ³ - Ulnar column - Intermediate column S - Radial column Radial column Intermediate column Ulnar column VA TCP 2 Column Radial column Intermediate column Ulnar column 3 Rikli DA, Regazzoni P (1996) Fractures of the distal end of the radius treated by internal fixation and early function. A preliminary report of 20 cases. J Bone Joint Surg [Br] 78 (4): DePuy Synthes 7
10 VA VA 2.4 VA 15 VA VA (1) (2) VA 15 VA DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
11 a) VA 2.4 VA 2.4 VA 2.4 b) VA 2.4 ( ) ( ) VA LCP 1.8mm ( ) VA LCP DePuy Synthes 9
12 VA TCP - Radial column - Intermediate column ( ) 0 VA TCP distal radial 27 2 distal ulnar 23 2 distal radial distal ulnar 20 3 distal 30 radial 10 distal ulnar 23 1 Reference point: 0 10 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
13 VA TCP distal radial 27 5 distal ulnar 21 1 distal radial distal ulnar 14 6 distal 30 radial 10 distal ulnar 23 1 Reference point: 0 VA TCP distal radial 25 0 distal radial 30 6 distal ulnar 19 4 distal radial distal ulnar 16 4 distal 30 radial 10 distal ulnar 23 1 Reference point: 0 DePuy Synthes 11
14 (FCR) 12 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
15 1 L( ) R( ) DePuy Synthes 13
16 2 2.4mm, 2.7mm mm-90mm mm mm mm mm T /2.7mm 14 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
17 T mm 150mm DePuy Synthes 15
18 1.25mm 16 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
19 2.4mm 1.8mm 2.4mm 2.7mm mm DePuy Synthes 17
20 3 2.4mm mm-90mm LCP 1.8mm /2.7mm mm T LCP 2.4mm 2.4mm, 2.7mm mm-90mm mm T mm mm /2.7mm mm T8 18 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
21 2.4mm 2.4mm 2.7mm LCP 1.8mm 1.8mm 1.8mm VA VA 2.4mm 2.4mm 1.8mm 2.7mm 2.7mm 2.0mm ( ) DePuy Synthes 19
22 4 VA mm-90mm /2.7mm (4a) (4b) 20 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
23 4a VA VA 2.4 VA 2.4 VA 1.8mm 15 DePuy Synthes 21
24 4b VA TCP TCP TCP TCP TCP TCP VA 2.4 VA DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
25 TCP mm DePuy Synthes 23
26 5 VA mm T T8 VA T8VA ( ) 2 Technique tip T8 VA (2) 24 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
27 DePuy Synthes 25
28 7 VA LCP 2.4mm T T8 VA VA 26 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
29 / VA mm T T DePuy Synthes 27
30 ( ) /2.0 VA TCP 28 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
31 VA TCP 19.5mm mm S S S S S S S S VA TCP 22.0mm mm S S S S S S S S VA TCP 25.5mm mm S S S S S S S S DePuy Synthes 29
32 VA S S VA mm VA mm VA LCP 2.4mm 2.4mm S S 2.4mm 10mm 2.4mm 24mm VA 30 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
33 2.7mm S S 2.7mm 12mm 2.7mm 20mm VA-LCP 1.8 mm S S VA-LCP 1.8mm 10mm VA-LCP 1.8mm 26mm VA LCP 2.4mm Ti 2.4mm LCP ST S S Ti 2.4mm 10mm LCP ST Ti 2.4mm 28mm LCP ST VA LCP 2.4mm DePuy Synthes 31
34 TCP 3 / TCP 3 / TCP 3 / DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
35 VA mm-90mm mm mm T T /2.7mm DePuy Synthes 33
36 LCP 1.8mm mm mm LCP 2.4mm mm 150mm 34 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
37 TCP TCP TCP TCP TCP TCP DePuy Synthes 35
38 Arora R, Lutz M, Fritz D, Zimmermann R, Oberladstätter J, Gabl M (2005) Palmar locking plate for treatment of unstable dorsal dislocated distal radius fractures. Arch Orthop Trauma Surg 125: Cassidy C, Jupiter J, Cohen M, Delli-Santi M, Fennell C, Leinberry C, Husband J, Ladd A, Seitz W and Constanz B (2003) Norian SRS Cement compared with conventional fixation in distal radius fractures A randomised study. JBJS Vol 85-A, Nr 11, Nov 2003 Chen CC, Jupiter JB (2007) Management of Distal Radius Fractures. J Bone Joint Surg [Am] 89: Fernandez DL (2000) Distal Radius and Wrist. In: Rüedi TP, Murphy WM (editors) AO principles of fracture management. Thieme, Stuttgart New York: Hems TE, Davidson H, Nicol AC, Mansbridge D (2000) Open reduction and plate fixation of unstable fractures of the distal radius: A biomechanical analysis and clinical experience. J Bone Joint Surg [Br] 82:83 Jakob M, RikIi DA, Regazzoni P (2000) Fractures of the distal radius treated by internal fixation and early function: A prospective study of 73 consecutive patients. J Bone Joint Surg [Br] 82: Jupiter JB, Ring D (2005) AO Manual of Fracture Management Hand and Wrist. Thieme, Stuttgart New York Jupiter JB, Marent-Huber M; LCP Study Group (2009) Operative management of distal radius fractures with 2.4-millimeter locking plates. A multicenter prospective case series. J Bone Joint Surg [AM] 09(1): Mudgal CS, Jupiter JB (2008) Plate fixation of osteoporotic fractures of the distal radius. J Orthop Trauma 22(8): Nijs S, Broos PLO (2004) Fractures of the distal radius: A Contemporary Approach. Acta Chir Belg 104: DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
39 Rausch S, Hoffmeier K, Gueorguiev BG, Klos K, Gras F, Hofmann GO, Mückley T (2011) Comparative Study on the Strength of Different Mechanisms of Operation of Multidirectionally Angle-Stable Distal Radius Plates. Z Orthop Unfall 149: Rikli DA, Honigmann P, Babst R, Cristalli A, Morlock MM, Mittlmeier T (2007) Intra-Articular Pressure Measurement in the Radioulnocarpal Joint Using a Novel Sensor: In Vitro and In Vivo Results, J Hand Surg 32A:67 75 Rikli DA, Regazzoni P (1996) Fractures of the distal end of the radius treated by internal fixation and early function. A preliminary report of 20 cases. J Bone Joint Surg [Br] 78 (4): Rikli DA, Regazzoni P (2000) The double plating technique for distal radius fractures. Techniques in hand and upper extremity surgery 4: Ring D, Prommersberger K, Jupiter JB (2004) Combined dorsal and volar plate fixation of complex fractures of the distal part of the radius. J Bone Surg [Am] 86: Zimmerman R, Gabl M, Lutz M, Angermann P, Gschwenter M and Pechlaner S (2003) Injectable calcium phosphate bone cement Norian SRS for the treatment of intra-articular compression fractures of the distal radius in osteoporotic women. Arch Orthop Trauma Surg 123:22 27
40 T / F depuysynthes.jp T / F : / 08:00 21:00 / 10:00 19:00 : VA :22200BZX : AO :21600BZY : Volar DRP :22500BZX : AO SS :20700BZY : LCP :13B1X00204STP004 : MF :13B1X00204SC0002 J&J K.K DSTRC NK
VA-LCP ANTERIOR CLAVICLE PLATE The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle SURGICAL TECHNIQUE VA-LCP Anterior 2 AO Principles 4 5 6 8 13
LCP SUPERIOR CLAVICLE PLATE The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. SURGICAL TECHNIQUE LCP Superior Clavicle 2 AO Principles 4 5 6
LCP HOOK PLATE 3.5 The simple fixation system for tension band plating SURGICAL TECHNIQUE LCP 2 AO Principles 4 5 6 18 19 20 21 イメージインテンシファイアーの操作 注意この手術手技書では器械の取り扱いに関する全ての情報を網羅していません 関連する器械の取り扱いに精通した医師による指導が推奨されます
VARIABLE ANGLE LCP FOREFOOT/MIDFOOT SYSTEM 2.4/2.7 Procedure specific plates for osteotomies, arthrodeses and fractures of the foot PRODUCT CATALOG
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LCP LOW BEND MEDIAL DISTAL TIBIA PLATE 3.5 Anatomic plates with low profile head for intra- and extraarticular fractures SURGICAL TECHNIQUE
LCP LOW BEND MEDIAL DISTAL TIBIA PLATE 3.5 Anatomic plates with low profile head for intra- and extraarticular fractures SURGICAL TECHNIQUE はじめに LCP ディスタルティビアプレートローベンド 2 AO の原則 4 適応 5 手術手技 術前計画 6 整復 7
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60 12 3 4 27 4 28 27 4 28 ISSN 2185 4092 31 6 31 6 2015 撓骨遠位端骨折 773 Skyline view Polyaxial Locking Plate DSS AO C3-2 3 778 volar tilt 782 AO C Double-tiered Subchondral Support 786 AO C3 VariAx Double-tiered
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