VARIABLE ANGLE LCP TWO-COLUMN VOLAR DISTAL RADIUS PLATE 2.4 For fragment-specific fracture fixation with variable angle locking technology SURGICAL TECHNIQUE
DePuy Synthes URL( ) www.synthes.com/reprocessing
Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 2 AO Principles 4 5 6 Three Column Theory 7 8 10 12 13 / 27 28 29 30 32 33 36
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
Variable Angle VA 0 15 K DePuy Synthes 3
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. 1991. Berlin, Heidelberg, New York: Springer 2 Rüedi TP, Buckley RE, Moran CG (2007) AO Principles of Fracture Management. 2nd expanded ed. 2002. Stuttgart, New York: Thieme 4 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
VA TCP DePuy Synthes 5
1 24 AO 23 C2.1 2 77 AO 23 C1 6 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
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):588 592 DePuy Synthes 7
VA 03-110-000 VA 2.4 VA 15 VA 2.4 4 VA (1) 1 2 15 15 (2) VA 15 VA 2.4 8 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
a) VA 2.4 VA 2.4 VA 2.4 b) VA 2.4 (03-111-000) ( ) VA LCP 1.8mm (323-029) VA LCP DePuy Synthes 9
VA TCP - Radial column - Intermediate column ( ) 0 VA TCP distal radial 27 2 distal ulnar 23 2 distal radial 33 15 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
VA TCP distal radial 27 5 distal ulnar 21 1 distal radial 33 15 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 33 15 distal ulnar 16 4 distal 30 radial 10 distal ulnar 23 1 Reference point: 0 DePuy Synthes 11
(FCR) 12 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
1 L( ) R( ) DePuy Synthes 13
2 2.4mm, 2.7mm 310-509 1.8mm-90mm 310-534 2.0mm 323-202 2.4mm 323-260 2.7mm 311-430 110mm 314-453 T8 03-111-005 2.4/2.7mm 14 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
314-467 T8 292-120-01 1.25mm 150mm DePuy Synthes 15
1.25mm 16 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
2.4mm 1.8mm 2.4mm 2.7mm 2.7 2.0mm DePuy Synthes 17
3 2.4mm 310-509 1.8mm-90mm 323-029 LCP 1.8mm 03-111-005 2.4/2.7mm 311-430 110mm 314-453 T8 03-110-005 511-776 LCP 2.4mm 2.4mm, 2.7mm 310-509 1.8mm-90mm 310-534 2.0mm 314-467 T8 323-202 2.4mm 323-260 2.7mm 03-111-005 2.4/2.7mm 311-430 110mm 314-453 T8 18 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
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
4 VA 310-509 1.8mm-90mm 03-111-005 2.4/2.7mm (4a) (4b) 20 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
4a VA 15 15 03-110-000 VA 2.4 VA 2.4 VA 1.8mm 15 DePuy Synthes 21
4b 03-110-000 VA 2.4 03-111-000 2.4 03-111-500 TCP 03-111-501 TCP 03-111-600 TCP 03-111-601 TCP 03-111-700 TCP 03-111-701 TCP VA 2.4 VA 10 11 22 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
TCP 2.4 2.4 1.8mm DePuy Synthes 23
5 VA 1 311-430 110mm 314-453 T8 314-467 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
6 10 20 45 DePuy Synthes 25
7 VA 03-110-005 511-776 LCP 2.4mm 314-453 T8 314-467 T8 VA VA 26 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
/ VA 311-430 110mm 314-453 T8 314-467 T8 314-468 314-467 DePuy Synthes 27
( ) 347-901 1.0/2.0 VA TCP 28 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
VA TCP 19.5mm mm 04-111-520S 6 2 42 04-111-521S 6 2 42 04-111-530S 6 3 51 04-111-531S 6 3 51 04-111-540S 6 4 63 04-111-541S 6 4 63 04-111-550S 6 5 72 04-111-551S 6 5 72 VA TCP 22.0mm mm 04-111-620S 6 2 45 04-111-621S 6 2 45 04-111-630S 6 3 54 04-111-631S 6 3 54 04-111-640S 6 4 66 04-111-641S 6 4 66 04-111-650S 6 5 75 04-111-651S 6 5 75 VA TCP 25.5mm mm 04-111-720S 7 2 47 04-111-721S 7 2 47 04-111-730S 7 3 55 04-111-731S 7 3 55 04-111-740S 7 4 68 04-111-741S 7 4 68 04-111-750S 7 5 77 04-111-751S 7 5 77 DePuy Synthes 29
VA 2.4 04-210-110S 04-210-130S VA 2.4 10mm VA 2.4 30mm VA LCP 2.4mm 2.4mm 401-760S 401-774S 2.4mm 10mm 2.4mm 24mm VA 30 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
2.7mm 402-872S 402-880S 2.7mm 12mm 2.7mm 20mm VA-LCP 1.8 mm 04-210-080S 04-210-096S VA-LCP 1.8mm 10mm VA-LCP 1.8mm 26mm VA LCP 2.4mm Ti 2.4mm LCP ST 412-810S 412-828S Ti 2.4mm 10mm LCP ST Ti 2.4mm 28mm LCP ST VA LCP 2.4mm DePuy Synthes 31
TCP 3 / 03-111-530 51 03-111-531 51 TCP 3 / 03-111-630 54 03-111-631 54 TCP 3 / 03-111-730 55 03-111-731 55 32 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
03-110-000 VA 2.4 310-509 1.8mm-90mm 310-534 2.0mm 311-430 110mm 314-453 T8 314-467 T8 03-111-005 2.4/2.7mm DePuy Synthes 33
323-029 LCP 1.8mm 323-202 2.4mm 323-260 2.7mm 03-110-005 511-776 LCP 2.4mm 292-120-01 1.25mm 150mm 34 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
03-111-000 2.4 03-111-500 TCP 03-111-501 TCP 03-111-600 TCP 03-111-601 TCP 03-111-700 TCP 03-111-701 TCP 03-111-007 314-468 314-467 DePuy Synthes 35
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 125:399 404 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] 89:2051 2062 Fernandez DL (2000) Distal Radius and Wrist. In: Rüedi TP, Murphy WM (editors) AO principles of fracture management. Thieme, Stuttgart New York:355 377 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] 82:340 344 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): 55-56 Mudgal CS, Jupiter JB (2008) Plate fixation of osteoporotic fractures of the distal radius. J Orthop Trauma 22(8):106 115 Nijs S, Broos PLO (2004) Fractures of the distal radius: A Contemporary Approach. Acta Chir Belg 104:401 404 36 DePuy Synthes Variable Angle LCP Two-Column Volar Distal Radius Plate 2.4 SURGICAL TECHNIQUE
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 149:694 698 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): 588 592 Rikli DA, Regazzoni P (2000) The double plating technique for distal radius fractures. Techniques in hand and upper extremity surgery 4:101 114 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] 86:1646 1652 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
101-0065 3 5 2 T. 03 4411 6680 / F. 03 4411 6064 depuysynthes.jp T. 0120 785 645 / F. 0570 060 020 : / 08:00 21:00 / 10:00 19:00 : VA :22200BZX00083000 : AO :21600BZY00303000 : Volar DRP :22500BZX00149000 : AO SS :20700BZY00551000 : LCP :13B1X00204STP004 : MF :13B1X00204SC0002 J&J K.K. 2014 DSTRC024-01-201408-NK