ALIANS PROXIMAL HUMERUS - newclipusa.com€¦ · 2 proximal screws & the first metaphyseal screw...

$: ALIANS PROXIMAL HUMERUS - newclipusa.com€¦ · 2 proximal screws & the first metaphyseal screw according to the fracture pattern. As the highest bone density is located in the inferior$
Polyaxiality of 25°Unique suture holes for soft tissue fixationPre-contoured implant

ALIANS PROXIMAL HUMERUS

INN O VAT I O N ME A N S M OT I O N

POLYAXIAL LOCKING SYSTEM

DUALTEC SYSTEM ®


D ES CR IPT I O N O F T HE P L AT E

OPTIMAL PROXIMAL SCREW POSITION

ANATOMICALLY SHAPED PLATE

Fixed angle divergent screws (targeting the inferior quadrants) and polyaxial locking screws allow optimal position in the humeral head.

Screw diameter: 4.5mm Core diameter: 3.5mm

BLUNT-TIPPED SCREWS:

Limit protrusion through the articular surface.

Allow to be as close as possible to the articular surface for a better construct.

IDEAL PLACEMENT OF THE PLATE:

1.5cm from the proximal edge of the greater tuberosity, avoiding any problem of impingement. Alongside the bicipital groove.

Unique & easily accessible suture holes allow for effective stabilization of the tuberosities.

Optimized oblong hole length to allow for adjustment of plate height.

INDICATIONS :The Humerus Locking Plating System is intended for fractures and fracture dislocations, osteotomies, and non-unions of the proximal Humerus.

A SIMPLE AND REPRODUCTIVE PROCESS

The centering screw determines the best plate position and optimized fixed angle screw placement.

Centering screw

STEP 2

Hole n°1Drill guide, with its 2mm K-wire guide, ensures an accurate placement of a centering screw in the humeral head.

STEP 1

Three variable angle locking screws to cope with every fracture pattern.

STEP 3


S UR GI C A L T ECHNI Q UE

SURGICAL APPROACHSTEP 1

The patient is placed in the beach-chair position.A deltopectoral approach, passing outside of the cephalic vein, is recommended.Retract the cephalic vein laterally and the pectoralis major medially.

FRACTURE REDUCTIONSTEP 2

Reduce the fracture through traction and manipulation and provisionaly stabilize the fracture fragments with K-wires.In valgus fracture patterns, the head must be elevated prior to provisional fixation.The greater tuberosity is anatomically reduced and pinned to the shaft.

This is facilitated by manipulating the tuberosity with sutures placed through the substance of the infraspinatus. These sutures will later be used as supplemental fixation when they are secured to the plate. Image intensification is necessary to confirm reduction.

OSTEOSYNTHESIS PROCEDURESTEP 3

CENTERING SCREW

Place the plate alongside the bicipital groove and approximately 1.5cm distal to the top of the greater tuberosity.Insert a 4.5mm cortical screw into the elongated slot and fix the plate to the shaft. Provisionally secure the plate to the bone with 2.0mm K-wires.

Insert the drill guide with its K-wire guide through hole N°1. Insert a 2.0mm K-wire to target the center of the humeral head.Check position and trajectory with the C-arm.Then drill at Ø3.5mm and insert the first 4.5mm locking screw.

Cephalic Vein

Pectoralis Major

Biceps Brachii Deltoid

FIXED-ANGLE DIVERGENT SCREWS

Use the drill guide (Ø3.5mm) and drill 4 divergent fixed-angle screws. This precise screw pattern enhances resistance to varus forces.Blunt-tipped screws limit protrusion through the articular surface.

POLYAXIAL LOCKING SCREWS

Orient and lock the first 2 proximal screws & the first metaphyseal screw according to the fracture pattern.As the highest bone density is located in the inferior quadrants, every attempt should be made to keep the screws descending.

SUTURE OF THE TUBEROSITIES AND C-ARM CONTROLSTEP 4

Use the 3.5 AO drill guide and place the remaining distal cortical screws, unlocking or locking at the surgeon’s preference.Repair the tuberosity to the plate through the suture holes.Assess the final reduction under fluoroscopy.

S UR GI C A L T ECHNI Q UE


IMP L A N TS R EFER EN CES

HUMERAL PLATES

Ref# DescriptionSTDPSS1 Proximal humerus plate - right - size 1 - short

STGPSS1 Proximal humerus plate - left - size 1 - short

STDPS1 Proximal humerus plate - right - size 1

STGPS1 Proximal humerus plate - left - size 1





RIGHT PLATES - GREEN ANODIZED

STDPS3

79 m

m

97 m

m

123

mm

138

mm

STDPS2STDPS1STDPSS1

LEFT PLATES - BLUE ANODIZED

STGPS3

79 m

m

97 m

m

123

mm

138

mm

STGPS2STGPS1STGPSS1

Suture holes for soft tissue fixation are compatible with 2mm needles.

IMP L A N TS R EFER EN CES

Ø4.5MM

DTS LOCKING SCREWS*

Ref. DescriptionPT4.5L26 Ø4.5mm DTS locking screw - L26mm

PT4.5L28 Ø4.5mm DTS locking screw - L28mm

















Ø4.5MM

STANDARD CORTICAL SCREWS*

Ref. DescriptionCT4.5L20 Ø4.5mm Standard cortical screw - L20mm

CT4.5L22 Ø4.5mm Standard cortical screw - L22mm










* Non anodized

Ø4.5MM

LAG SCREWS*

Ref. DescriptionQT4.5L32 Ø4.5mm Lag screw - L32mm

QT4.5L36 Ø4.5mm Lag screw - L36mm



* Golden anodized

* Green anodized

Ø4.5MM

LOCKING CORTICAL SCREWS*

Ref. DescriptionVT4.5L20 Ø4.5mm Locking cortical screw - L20mm

VT4.5L22 Ø4.5mm Locking cortical screw - L22mm










* Blue 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. “PT4.5L26-ST”

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INSTRUMENTS REFERENCES

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

NEWCLIP USA 642 Larkfield CenterSanta Rosa CA 95403, USAPhone : +1 707 888 [email protected] - www.newclipusa.com

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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.

INSTRUMENTS

Ref. Description QtyANC119-US Ø3.0mm hexagonal screwdriver with quick coupling system 2

ANC120-US Ø4.2mm reamer with US quick coupling system 1

ANC121-US Ø3.5mm drill guide with US quick coupling system 1

ANC127 Ø3.5mm drill guide for Ø4.5mm locking cortical screws 2

ANC129 Length gauge for Ø4.5 mm DTS screws 1

ANC131 Ø3.5 mm drill guide for DTS screws 2

ANC132 Ø3.5mm drill bit with quick coupling system - L195mm 2

ANC147 Reductor of drill guide DTS Shoulder for Ø2.0mm K-wire 1

ANC352 Ø6mm US quick coupling handle 2

33.0220.210 Ø2.0 L210mm K-wire 2

Instrumentation has been simplified so that only standard 3.5 drill bit, and a multipurpose screwdriver is needed for insertion of both cortical and cancellous screws.

The screw driver has a snap fit to the screw that secures the screw during insertion and assists in removal of the screw from the surgical tray.

ALIANS PROXIMAL HUMERUS - newclipusa.com€¦ · 2 proximal screws & the first metaphyseal screw...

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Transcript of ALIANS PROXIMAL HUMERUS - newclipusa.com€¦ · 2 proximal screws & the first metaphyseal screw...