Wrist Fixation System - LMT Surgical › wp-content › uploads › 2019 › 01 › T... ·...
Transcript of Wrist Fixation System - LMT Surgical › wp-content › uploads › 2019 › 01 › T... ·...
WristFixationSystem™
Anatomy / Fracture Implant
Volar Radius Volar FixedAngle Plate
Volar Bearing Plate
Radial PegPlate
Volar HookPlate
Volar ButtressPin
Volar ShearPlate
Radial ColumnPin Plate
Radial PegPlate
Dorsal HookPlate
Dorsal ButtressPin
Small FragmentClamp
Volar Radius
Dorsal Radius
EXTR
A &
SIM
PLE
ART
ICU
LAR
CO
MM
INU
TED
ART
ICU
LAR
Anatomy / Fracture Implant
Radial MalunionPlate
Bearing Bridge Plate
Ulnar PegPlate
Dorsal UlnarPin Plate
Ulnar Sled
Volar Radius
Dorsal Radius
Dorsal Ulna
CO
MM
INU
TED
ART
ICU
LAR
MET
APH
YSEA
L EX
TEN
SIO
NBA
SI -
STY
LOID
MA
LUN
ION
OST
EOTO
MY
36º
Volar Bearing Plate™
Variable-angle bearings that lock to provide optimal subchondral support
Typical uses:• Extra-articular distal radius fractures• Intra-articular distal radius fractures
Sizes: Lengths:3 Hole 48mm 4 hole+* 50mm5 Hole++ 59mm 7 Hole 72mm9 Hole* 93mm11 Hole* 130mm
Lefts & Rights | + Narrow | ++ Standard & Wide | * Special Order
IMPLANTS
4
Aim Drill Lock Final Fixation
Screw holes accomodate:- Locking screws- Non-Locking screws
Slotted hole permits longitudinal adjustment of plate
Edge-free contour
Bearing can lock and re-lock peg screws multiple times
Reposition fragment without removing or re-drilling peg screw
5
Volar Fixed Angle Plate™
Quick-Guide option for expediting placement of pegs
Typical uses:• Extra-articular distal radius fractures
Position Plate Confirm Peg Trajectory Drill Final Fixation
Sizes: Lengths:3 hole 48mm5 hole 59mm
Lefts & Rights
Screw holes accomodate:- Locking screws- Non-Locking screws
Slotted hole permits longitudinal adjustment of plate
Edge-free contour
Distal K-wire hole angles match peg angles
6
Volar Hook Plate™
Fossa specific™ volar fixation
Position Guide Drill Slide Over Guide Wire and Impact
Final Fixation
Typical uses:• Volar rim and lunate facet fragments• Extra-articular fractures
Sizes Lengths:4 Hole 32mm7 Hole 50mm
Subchondral tines engage and control volar rim fragments
Screw holes accomodate:- Locking screws- Non-Locking screws
Distally tapered for seamless transition from implant to bone
7
Position Guide Drill Slide Over Guide Wire and Impact
Final Fixation
Dorsal Hook Plate™
Column specific support from the dorsal side
Typical uses:• Dorsal sigmoid notch fragment• Buttress dorsal ulnar and dorsal radial columns
Sizes Lengths:4 Hole 32mm6 Hole 50mm
Subchondral tines engage and control dorsal wall fragments
Screw holes accomodate:- Locking screws- Non-Locking screws
Distally tapered for seamless transition from implant to bone
8
Radial Column Pin Plate™
Column support for radial styloid and stabilization of DRUJ
Position Plate Create Hook Impact Pin Final Fixation
Typical uses:• Smaller radial styloid fragments• Larger radial column fragments
Sizes: Lengths:3 Hole 37mm5 Hole 47mm7 Hole 57mm
Supported K-wirecontrols fragment
Screws contour plate to radius
Contoured plate closes the DRUJ
9
Dorsal Ulnar Pin Plate™
Secure fixation for the dorsal sigmoid notch fragment
Position Plate Create Hook Impact Pin Final Fixation
Typical uses:• Dorsal sigmoid notch fragment• Ulnar styloid fractures
Sizes: Lengths:3 Hole 30mm5 Hole 40mm7 Hole 50mm
Screws contour plate to radius
Supported K-wirecontrols fragment
Plate buttresses fragment
10
Volar Buttress Pin™
For difficult fractures of the volar rim
Drill & Insert Pilot K-Wires Cut & Contour Implant Insert Implant Final Fixation
Typical uses:• Small, distal volar fragments• Free intra-articular fragments
Lengths:32mm*42mm*
* Not including length of snap-on Wireform Plate
Flexible and adaptable legs
Customizable to fit any anatomy
Screw holes accomodate:- Locking screws- Non-Locking screws
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Dorsal Buttress Pin™
Simple, direct subchondral and wall support from the dorsal side
Insert K-wires Cut and Contour Implant Insert Implant Final Fixation
Typical uses:• Dorsal wall fragments• Free intra-articular fragments
Lengths:27mm*32mm*
* Not including length of snap-on Wireform Plate
Smooth transition into bone minimizing soft tissue contact
Subchondral support legs
Screw holes accomodate:- Locking screws- Non-Locking screws
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Radial Malunion Plate™
Easiest, most anatomically accurate option for corrective osteotomies
Position and Fix Plate Distally Make the Osteotomy Rotate and Align Plate to Shaft Gain Length and Fix
Typical uses:• Malunions of the distal radius• Acute extra-articular fractures with extensive metaphyseal comminution
Size: Length:9 Hole* 69mm
Left & Right | * Special Order
Plate geometry automatically restores:- Volar tilt- Radial inclination- Radial length
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Radial Peg Plate™
Fixed angle plate that limits exposure and expedites reduction of simple fractures
Typical uses:• Extra-articular distal radius fractures• Simple intra-articular distal radius fractures
Position Plate Distally Drill Distally Insert SubchondralLocking Pegs
Align Plate with Shaftand Fix Proximally
Size: Length:7 Hole* 48mm
Left & Right | * Special Order
Complete articular support with volar, central and dorsal directed locking pegs
Additional locking peg support
14
Position Plate Secure Plate Insert Guide and Direct Final Fixation
Central bearing holes capture and stabilize comminuted fragments
Slotted hole permits longitudinal adjustment of plate
Tapered edges facilitate plate insertion
Sizes: Lengths:11 Hole 178mm
Bearing Bridge Plate™
Internal distraction plate
Typical uses:• Highly comminuted articular fractures• Metaphysical extension
36º
15
Sizes: Lengths:6 Hole 42mm
Volar Shear PlateButtress support to the volar rim
Typical uses:• Volar Barton fractures
Small Fragment ClampsFixation of dorsal cortical wall and articular fragments
Typical uses:• Dorsal wall fragments• Free intra-articular fragments
Lengths:Buttress Pin: 24, 27mmInner Component: 24mmOuter Component: 28, 32mm
Ulnar SledOne-piece tension band to stabilize the distal ulna
Typical uses:• Ulnar styloid fractures• Distal ulnar head fractures
Lengths:38mm
Left & Right
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Sizes: Lengths:5 Hole 42mm7 Hole 54mm
Ulnar Peg PlateFixed angle plate to stabilize the distal ulna
Typical uses:• Ulnar head fractures• Ulnar neck fractures
SCReWS
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CorticalScrew, 3.2mm
Locking CorticalScrew, 3.2mm
Cortical Screw, 2.3mm
ThreadedPeg, 2.3mm
UnthreadedPeg, 1.8mm
HEX3.2-XX LHEX3.2-XX TRX2.3-XX TPEG-XX UPEG-XX
Length08-20mm
(2mm increments)(11, 13, 15)
10-20mm(2mm increments)
10-32mm(2mm increments)
14-32mm(2mm increments)
14-28mm(2mm increments)
Drill Bit
2.3mm 2.3mm 1.8mm 1.8mm 1.8mm
Guide
GUIDE-2.3/3.2 Q GUIDE-2.3 GUIDE-1.8/2.3 PEG-GUIDE PEG-GUIDE
Tap
3.2mm 3.2mm 2.3mm 2.3mm n/a
Driver
2.5mm HEX 2.5mm HEX Torx 8 Torx 8 Torx 8
TOOLS
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Wire Cutter WIRCUTR
Pin ClampPINCLAMP
ImpactorIMPACTR
Quick Guide 1.8QGUIDE-1.8
Quick Guide 2.3QGUIDE-2.3
Drill Guide 1.8/2.3GUIDE-1.8/2.3
Drill Guide 2.3/3.2GUIDE-2.3/3.2
Peg Guide ExtenderPEG-XTNDR
Driver Hex 2.5HXDRIVR-2.5
Driver Torx 8TXDRIVR-8
Gripper TorxTRX-GRPR
Depth GaugeCBS-GAUGE
Quick HandleQUICK-HNDL
Wrist Bone ClampWBC
Dental PickPICK
Cobra RetractorCOBR-RCOBR-L
Plate BenderPLTBNDR-RPLTBNDR-L
Bearing Reduction ToolBRT
Wire BenderWIRBNDR
General Tools
Gauges
Guides
TriMed, Inc. | 27533 Avenue Hopkins | Santa Clarita, California 91355T. 800-633-7221 T. 661-255-7406 F. 661-254-8485
www.trimedortho.com
© 2015 TriMed, Inc. All rights reserved.
Patent Coverage: TriMed, Inc. products are covered by patents issued in the U.S. and in foreign jurisdictions.
The presently issued U.S. patents are: 5,709,682; 5,931,839; 5,941,878; 7,037,308; 7,044,951; 7,195,633; 7,540,874; 7,942,877; 8,177,822; 8,821,508; 8,906,070; 9,089,376.
896 - 1 08/15The technique presented is one suggested surgical technique. The decision to use a specific implant and the surgical technique must be based on sound medical judgment by the surgeon that takes into consideration factors such as the circumstances and configuration of the injury.