ALIANS DISTAL rADIuS - Newclip Technics mEAS mOTIONN POLYAXIAL LOCKING SYSTEm ALIANS DISTAL rADIuS...
Transcript of ALIANS DISTAL rADIuS - Newclip Technics mEAS mOTIONN POLYAXIAL LOCKING SYSTEm ALIANS DISTAL rADIuS...
INN O VAT I O N mE A N S m OT I O N
POLYAXIAL LOCKING SYSTEm
ALIANS DISTAL rADIuS
Precontoured implantPolyaxiality of 20°Single diameter: ø2.8mm
DUALTEC SYSTEM ® II
INN O VAT I O N mE A N S m OT I O N
T ECHNI C A L FE AT UR ES
ANATOmICAL PLATE wITH OPTImIzEd FIXATION SLOTS
ø2.8mm SINGLE dIAmETER FIXATION SCREwS
Hole for insertion of a K-wire to locate the joint space.
The window in the plate allows for better visualization of the fracture reduction.
K-wire holes for temporary fixation.
A PRE-CONTOUREd ImPLANT
The distal edge of the plate runs alongside the watershed line.
The design of this implant is the result of a proprietary state-of-the-art mapping technology to establish the maximum congruence between the plate and the bone.
The plate offers:
• optimal metaphyseal / diaphyseal curvature.
• different medial and lateral radii of curvature for optimal volar tilt.The round edge of the low profile plate is designed
for minimal irritation of soft tissues and flexor tendons.
EPIPHYSEAL FIXATION ø2.8 locking screws
Distal slots : 2 monoaxial locking slots in the middle of the plate2 polyaxial locking slots (+/- 10°) on each side of the plate (1 on the radial styloid side, 1 on the ulnar side)
Proximal slots : 2 monoaxial locking slots
dIAPHYSEAL FIXATION
ø2.8 screws
1 oblong slot to facilitate the positioning of the plate Cortical screw
2 monoaxial locking slots Locking screws
Holes for fastening fast guide onto the plate.
Locking screw
Length: 10-28mm Ref. SDT2.8Lxx
Cortical screw
Length: 10-18mmRef. CT2.8Lxx
Non locking screw
Length: 16-28mmRef. QDT2.8Lxx
The blunt-tipped screw is designed for minimal irritation of soft tissues and extensor tendons.
ANGULAR RANGE: +/-10° POLYAXIAL LOCKING RANGE
Principe de la fixation polyaxiale : la technologie DTS2® Ecrou + clip prémontés sur la plaque
* Angulation based on the slots’ axes in the diaphyseal area.
AVERAGE PRE-dETERmINEd ANGULATIONS OF PLATE SLOTS*
Ulnar 7°Distal 16.8°
Ulnar 0.6°Distal 17°
Ulnar 0.6°Distal 17°
Radial 5.6°Distal 15.2°
Ulnar 7°Distal 16.8°
Ulnar 0.4°Distal 13.5°
Radial 7.3°Distal 17.3°
Radial 8.7°Distal 20.9°
Ulnar 2.5°Distal 33.4°
Ulnar 9.3°Distal 20°
Radial 3.6°Distal 19.8°
Radial 9°Distal 24.3°
Radial 9.2°Distal 27.1°Radial 19.9°Distal 41.3°
In the epiphyseal area, slots have pre-determined angulations (see diagrams below).Thanks to the DTS2® polyaxial locking system, distal slots for styloid process and on the ulnar side allow an additional angulation of +/- 10°.
DTDVPN1 DTDVPS1
DTDVPN2 / DTDVPS2
Polyaxial locking screw
+/-10° locking range
poLyaxIaL LoCKIng pLaTE sysTEmDTs2® TECHnoLogy
gREaTER angULaTIon Is possIbLE: +/-10° LoCKIng RangE
Polyaxial locking nut and clip
INN O VAT I O N mE A N S m OT I O N
S UR GI C A L T ECHNI Q UE
SImPLE REdUCTION
Reduction of the fracture. Temporary fixation with K-wire.
Drill (anC088) using the guide gauge (anC450) and insert a cortical screw (CT2.8Lxx) into the oblong slot. The depth can be directly read on the guide gauge.
1
The fast guide is locked onto the plate with the screwdriver (anC082).
simple fracture
FINAL RESULT
If necessary, the position of the plate can be adjusted thanks to the oblong slot before the cortical screw is tightened (see a).The plate can be provisionally stabilized with K-wires (see b).
a) b)
The joint space is assessed using a 1.4mm K-wire (K-Wire-D1.4-L120).
Drill (anC088) and read depth directly on the guide gauge (anC046) for epiphyseal slots.
SDT2.8Lxx distal locking screws are inserted through the fast guide using the screwdriver (anC082).
The construct is finalized by inserting SDT2.8Lxx locking screws into the diaphyseal area.
REdUCTION OF THE FRACTURE USING THE PLATE
Drill (anC088) and read depth directly on the guide gauge (anC268R) or insert the depth gauge (ANC102) for checking.
Insert the screw and lock it using the screwdriver (anC082).
screw the guide gauge (anC268R) into position in the DTs2® polyaxial slot.Angulate the locking guide gauge as wished, and then tighten it.
step 1
step 2
step 3
FAST guIDe
pre-angulation of the screws offered by the fast guide for quick, simplified surgical procedure (see opposite).
Fast guides are also suitable and optional if the polyaxial technique is chosen.
guIDe gAugeS
Non-locking guide gauge anC046Used in combination with the fast guide for screw insertion:- into monoaxial locking slots- into polyaxial locking slots using the fast guide pre-angulation.
Locking guide gauge anC268R (or anC558)
- Suitable both for the polyaxial and the monoaxial techniques - Allows +/-10° locking range with DTs2® slots.
INSTRUmENTS for monoaxial and/or polyaxial techniques in epiphyseal area
POLYAXIAL SURGICAL TECHNIQUE
anC046
anC268R
Lock the guide gauge (ANC268R) onto the plate, drill (anC088), then insert the distal screw (SDT2.8Lxx). Repeat for all distal slots. (See Polyaxial surgical technique).
The fracture is reduced using the plate until both anterior cortical lines are in place.
Insert and tighten the cortical screw (CT2.8Lxx) into the oblong slot. Complete the fixation by inserting all the locking screws in the remaining slots (SDT2.8Lxx).
Complex fracture
INN O VAT I O N mE A N S m OT I O N
A LI A NS d ISTA L R A d IUS R A N GE
RIGHT PLATES - GREEN ANOdIzEd
DTDVpn2
20.7 mm
52
mm
DTDVps2
23.7 mm
52
mm
DTDVpW1
60.
2 m
m
27.6 mm
DTDVps3
90.
1 m
m23.7 mm
DTDVps1
23.7 mm
41 m
m
DTDVpn1
19.5 mm
41 m
m
DTgVps3DTgVpW1 DTgVps2 DTgVpn2DTgVps1 DTgVpn1
LEFT PLATES - BLUE ANOdIzEd
ø2.8mm CORTICAL SCREwS*
Ref# DescriptionCT2.8L10 Ø2.8mm cortical screw - L10mm
CT2.8L12 Ø2.8mm cortical screw - L12mm
CT2.8L14 Ø2.8mm cortical screw - L14mm
CT2.8L16 Ø2.8mm cortical screw - L16mm
CT2.8L18 Ø2.8mm cortical screw - L18mm
ø2.8mm LOCKING SCREwS*
Ref# DescriptionsDT2.8L10 Ø2.8mm locking screw - L10mm
sDT2.8L12 Ø2.8mm locking screw - L12mm
sDT2.8L14 Ø2.8mm locking screw - L14mm
sDT2.8L16 Ø2.8mm locking screw - L16mm
sDT2.8L18 Ø2.8mm locking screw - L18mm
sDT2.8L20 Ø2.8mm locking screw - L20mm
sDT2.8L22 Ø2.8mm locking screw - L22mm
sDT2.8L24 Ø2.8mm locking screw - L24mm
sDT2.8L26 Ø2.8mm locking screw - L26mm
sDT2.8L28 Ø2.8mm locking screw - L28mm
* Green anodized.
ImP L A N TS R EFER EN CES
OPTIONAL
ø2.8mm NON LOCKING SCREwS*
Ref# DescriptionQDT2.8L16 Ø2.8mm non locking screw - L16mm
QDT2.8L18 Ø2.8mm non locking screw - L18mm
QDT2.8L20 Ø2.8mm non locking screw - L20mm
QDT2.8L22 Ø2.8mm non locking screw - L22mm
QDT2.8L24 Ø2.8mm non locking screw - L24mm
QDT2.8L26 Ø2.8mm non locking screw - L26mm
QDT2.8L28 Ø2.8mm non locking screw - L28mm
* Golden anodized.
nb :
please note that all implants are also available in sterile packaging.The Sosafe tube packaging is handy and easy to use.an “sT” code is added at the end of the reference, e.g. “sDT2.8L12-sT”
* Non anodized.Sterile screws are pink anodized.
ALIANS RAdIUS PLATES
Ref# Description DTDVpn1 Polyaxial plate for distal radius - Narrow head - Size 1 - Right
DTgVpn1 Polyaxial plate for distal radius- Narrow head - Size 1 - Left
DTDVpn2 Polyaxial plate for distal radius - Narrow head - Size 2 - Right
DTgVpn2 Polyaxial plate for distal radius - Narrow head - Size 2 - Left
DTDVps1 Polyaxial plate for distal radius - Standard head - Size 1 - Right
DTgVps1 Polyaxial plate for distal radius- Standard head - Size 1 - Left
DTDVps2 Polyaxial plate for distal radius - Standard head - Size 2 - Right
DTgVps2 Polyaxial plate for distal radius - Standard head - Size 2 - Left
DTDVps3 Polyaxial plate for distal radius - Standard head - Size 3 - Right
DTgVps3 Polyaxial plate for distal radius - Standard head - Size 3 - Left
DTDVpW1 Polyaxial plate for distal radius - Wide head - Size 1 - Right
DTgVpW1 Polyaxial plate for distal radius - Wide head - Size 1 - Left
oPtional ScrewS
INST R UmEN TS R EFER EN CES
OPTIONAL INSTRUmENTS (for implants provided sterile)
Ref# Description QtyanC477 DTgVps1 phantom plate 1
anC478 DTDVps1 phantom plate 1
anC479 DTgVps2 phantom plate 1
anC480 DTDVps2 phantom plate 1
anC481 DTgVpn1 phantom plate 1
anC482 DTDVpn1 phantom plate 1
anC483 DTgVpn2 phantom plate 1
anC484 DTDVpn2 phantom plate 1
anC485 DTgVpW1 phantom plate 1
anC486 DTDVpW1 phantom plate 1
anC495 DTgVps3 phantom plate 1
anC496 DTDVps3 phantom plate 1
INSTRUmENTS
Ref# Description QtyanC046 Ø2.0mm guide gauge 1
anC082 2.0mm hexagonal prehensor 2
anC088 Ø2.0mm quick coupling drill bit – L125mm 2
anC102 Length gauge for Ø2.8mm screw 1
anC103 2.0mm hexagonal non prehensor screwdriver 1
anC268R Ø2.0mm guide gauge for locking screws 2
anC350 Ø4.5mm AO quick coupling handle - Size 1 2
anC435 Reduction tool 1
anC450 guide gauge for Ø2.8mm cortical screws 1
anC465 Fast guide for DTgVps2 and DTgVps3 plates 1
anC466 Fast guide for DTDVps2 and DTDVps3 plates 1
anC487 Fast guide for DTgVpW1 plate 1
anC488 Fast guide for DTDVpW1 plate 1
anC501 Fast guide for DTgVpn2 plate 1
anC502 Fast guide for DTDVpn2 plate 1
anC503 bone Reduction Forceps 1
anC504 bone Reduction Forceps, curved, pointed 1
anC557 Length gauge 1
anC558 Ø2.0mm guide gauge for locking screws 1
K-WIRE-D1.4-L120 K-wires - Ø1.4 L120mm 3
NEWCLIP TECHNICSPA de la Lande Saint Martin - 45 rue des Garottières44115 Haute Goulaine (France)Phone : +33 (0)2 28 21 23 25 - Fax : +33 (0)2 40 63 68 [email protected] - www.newcliptechnics.com
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SET dESCRIPTION
ImpLanTs TRay
InsTRUmEnTs TRay
NEWCLIP USA642 Larkfield Center Santa Rosa CA 95403, USAPhone : + 1 707 888 [email protected] - www.newclipusa.com
The information presented in this brochure is intended to demonstrate a NEWCLIP TECHNICS product. Always refer to the package insert, product label and/or user instructions before using any nEWCLIp TECHnICs product. surgeons must always rely on their own clinical judgment when deciding which products and techniques to use with their patients. products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your NEWCLIP TECHNICS representative if you have questions about the availability of nEWCLIp TECHnICs products in your area.