The full text of this article is available in pdf format. Please note that axsos 3 titanium is made out of a titanium alloy ti6al4v and is not compatible with any stainless steel plates or screws. In more complex fractures, ct is used to delineate intraarticular extension, degree of comminution, and fracture lines in the coronal plane. Implant design and material of newgeneration distal femur. We present the cases of two men who were treated with proximal dynamic hip screws and distal periarticular locking plates to effectively manage trifocal femur fractures. Download full thesis topics for ms dnb orthopaedics degree orthodnb. Download full thesis topics for ms dnb orthopaedics degree.
The axsos locking plate system is indicated for fixation of long bone fractures including fractures of the distal radius, the proximal humerus, the distal tibia, proximal tibia and the distal femur. Periprosthetic fractures of the femur and proximal tibia the axsos 3 titanium waisted compression. Biomechanical analysis of a polyaxial anglestable locking plate versus a retrograde intramedullary nail in a human cadaveric bone model. Factors affecting periimplant fracture following locking plate for. From a populationbased implant design, a patented screwtoplate interface, and streamlined instrumentation, our focus is on creating a welldesigned plating system, giving you more. With anatomically contoured plates designed or validated using our proprietary soma technology, streamlined instrumentation, and trained representatives, our plating portfolio is designed with you in mind. Axsos 3 titanium distal lateral femur locking plate. Predictive factors of distal femoral fracture nonunion after lateral locked plating. Fractures of the distal femur whether supracondylar.
Gmrs distal femoral surgical protocol alternatively, the mrhallpoly tibial template can be attached to the distal femoral template. Distal femur thighbone fractures of the knee orthoinfo. Implant material and design alter construct stiffness in distal femur. We investigated four plate systems for distal femur fixation axsos, lcp, periloc, polyax of. Using fluoroscopy, the position of this kwire can be checked to ensure correct plate positioning. Babst department of trauma surgery, cantonal hospital lucerne, lucerne, switzerland summary this paper describes current treatment strategies of distal femoral fractures as well as their evidence based rationale. A simple technique ritesh kumar soni, surender mohan mehta, bhanu awasthi, janith lal singh 1, amit kumar 2. Indications include the proximal humerus, distal femur, and proximal and distal tibia. Tomofix medial distal femur plate surgical technique depuy synthes companies 1 warning. Distal femur plate distal femur locked plate youtube. Fractures of the distal femur managed with less invasive skeletal stabilization system liss using locking compression plate lcp 32. Poor bone stock quality caused by osteoporosis often results in bad implant anchorage in the distal part with a high risk of secondary failures such as cutout. If the fractures around hip are excluded, 31% femoral fractures involve distal portion 1. A standard lateral approach to the distal femur reflecting the vastus lateralis anteriorly should be used.
Knifelight femur axsos locking plate system carpal tunnel. Axsos 3ti locking plate system stryker corporation. We investigated four plate systems for distal femur fixation axsos, lcp, periloc, polyax of differing designs and materials using bone substitutes in a distal femur fracture model otaao 33a3. 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. These highenergy injuries predominantly occur in young people with the potential for longterm complications and disability. Implant material and design alter construct stiffness in distal femur locking plate fixation.
Distal femur fractures of the elderlydifferent treatment. Retrograde intramedullary nailing has been considered a good surgical. Femur axsos 3 titanium operative technique distal lateral femur. Pdf retrograde intramedullary nailing for distal femur. Distal femur plates of the axsos 3 titanium system can be inserted. Distal femur fractures of the elderly different treatment options in a biomechanical comparison article in injury 427. Axsos 3 titanium yker plating pocket reference cards. The system design is based on clinical input from an international panel of experienced surgeons, data from literature, and both practical and. This step also shows the position of a later placed screw and shows its relation to the joint surface.
The axsos periarticular locking plate system is strykers range of axially stable locking plates with locking screws designed to treat peri or intraarticular fractures. The system design is based on clinical input from an international panel of experienced surgeons, data from literature, and both practicaland biomechanical testing. We investigated four plate systems for distal femur fixation axsos, lcp. Medical device lateral distal femur plate axsos for you. Axsos targeting system distal lateral femur operative stryker. Distal femur locked plates are intended for fixation of distal shaft fractures, supracondylar fractures, intrearticular fractures and periprosthetic fractures of distal femur. These injuries result from highenergy mechanisms, usually a highspeed road. Healing complications are common after locked plating for distal femurs. The slots in the tibial template coincide with the level of the proximal tibial resection for the different allpoly tibial components or the mrh tibial inserts figure 1b. Medical device lateral distal femur plate axsos for you 3 hole left femur 10 l238mm 627610. Trifocal femoral fractures consisting of ipsilateral fractures of the proximal, diaphyseal, and distal femur are extremely rare.
Distal femoral fracture, osteoporosis, periimplant fracture, locking plate. Distal lateral femoral plate proximal lateral tibial plate distal anterolateral tibial plate distal medial 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. Distal femur fractures and its treatment with distal femur locking plate kanav padha, sandeep singh, abdul ghani, harish dang the incidence of distal femur fractures is around 37 100,000 patients per year. Free hand drilling will lead to a misalignment of the. Proximal and distal tibia, proximal humerus and distal femur. Distal femur fractures that enter the the knee joint may heal with a defect in the normally smooth surface of the joint. Axsos 3 titanium plating system screw removal safety. Axsos 3 ti distal lateral femur axsos 3 ti distal tibia axsos 3 ti proximal tibia. All of the above axsos 3 titanium screws have a t20 screw head interface.
Only by truly understanding the challenges you face can we offer a portfolio to best fit your needs. 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. Competitive fitting study for locking distal medial tibia plates. Axsos 3 titanium proximal lateral tibia plate stiffness and strength, january 2014 2 rodriguez ek, boulton c, weaver mj, herder lm, morgan jh, chacko at, appleton pt, zurakowski d, vrahas ms. Axsos locking plate system distal lateral femoral plate please note. Our portfolio of lower extremities products includes a comprehensive array of intramedullary nails, locking plates, external fixation, and biologics. Fractures of the distal femur, especially in the elderly patient, are an unsolved problem in orthopaedic and trauma surgery. Trifocal femur fractures are those of the femoral neck, diaphysis, and distal femur. Monoaxial locking plate for treating distal femur fractures. The conventional sps small and basic fragment sets are standard plating. Distal femur fractures and its treatment with distal femur. Axsos 3 titanium monoaxial locking plate system operative technique.
The axsos locking plate system is intended for use in long bone fracture fixation. Competitive fitting study for locking distal anterolateral tibia plates 2 axsos wp2 andreas petersik et al. Visualization of the distal femur under fluoroscopy in. A recent study reported coronal plane fracture in 38.
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