Synthes LCP Surgical Technique Manual

Synthes LCP Surgical Technique Manual

3.5 mm extra-articular distal humerus plate

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Part of the DePuy Synthes Locking Compression Plate (LCP
) System
®
3.5 mm LCP
Extra-articular
®
Distal Humerus Plate
Surgical Technique

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Summary of Contents for Synthes LCP

  • Page 1 Part of the DePuy Synthes Locking Compression Plate (LCP ) System ® 3.5 mm LCP Extra-articular ® Distal Humerus Plate Surgical Technique...
  • Page 2: Table Of Contents

    Set List MR Information The 3.5 mm LCP Distal Humerus Plates System has not been evaluated for safety and compatibility in the MR environment. It has not been tested for heating, migration or image artifact in the MR environment. The safety of the 3.5 mm LCP Distal Humerus Plates System in the MR environment is unknown.
  • Page 3: 3.5 Mm Lcp Extra-Articular Distal Humerus Plate

    3.5 mm LCP Extra-articular Distal Humerus Plate Features – Left and right plates are anatomically contoured to match the posterolateral distal humerus – Locking screws engaged in the plate create a fixed-angle construct that enhances fixation in osteopenic bone – Combi holes combine a dynamic compression unit (DCU)
  • Page 4 Elongated Combi holes accept 3.5 mm locking screws, 3.5 mm cortex screws and 4.0 mm cancellous bone screws Limited-contact design 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes ®...
  • Page 5: Ao Principles

    2nd ed. Stuttgart New York: Thieme; 2007. Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991. Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management. 2nd ed. Stuttgart, New York: Thieme. 2007. DePuy Synthes 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique ®...
  • Page 6: Indications

    Indications The 3.5 mm LCP Extra-articular Distal Humerus Plate ® is indicated for fractures of the distal humerus. 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes ®...
  • Page 7: Preparation

    Complete the preoperative radiographic assessment and prepare the preoperative plan. Use the x-ray template for 3.5 mm LCP Extra-articular Distal Humerus Plate to determine the length of the plate and the position of the screws. DePuy Synthes 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique ®...
  • Page 8: Approach

    2. Gerwin, Michelle, et al. “Alternative Operative Exposures of the Posterior Aspect of the Humeral Diaphysis. With Reference to the Radial Nerve.” The Journal of Bone and Joint Surgery, 78:1690-5. (1996). 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes ®...
  • Page 9: Reduce Fracture

    Due to varying patient anatomy, slight bending may be necessary. Contour the plate as needed using the bending irons or the plate-bending press. * Also available DePuy Synthes 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique ®...
  • Page 10: Preliminary Fixation

    Do not completely tighten the screw. Make any final adjustments to plate placement. Manually tighten the screw to maintain plate placement and compress the plate to the bone. * Also available 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes ®...
  • Page 11: Insert Two Most Distal Locking Screws

    Precaution: The K-wire position represents the final position of the locking screw. Confirm that the K-wire does not enter the joint. * Also available DePuy Synthes 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique ®...
  • Page 12 Remove the direct measuring device, K-wire and 1.6 mm wire sleeve, leaving the threaded drill guide in place. Under image intensification, predrill for the screw with the 2.8 mm drill bit. Remove the threaded drill guide. 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes ®...
  • Page 13 (but not one of the two most distal holes). After fixation with locking screws through the remaining holes, this screw can be replaced with a locking screw. Insert locking screws into the remaining head holes. DePuy Synthes 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique ®...
  • Page 14: Insert Locking Screws

    Combi hole until fully seated. Use the 2.8 mm drill bit to drill to the desired depth. Remove the drill guide. Use the depth gauge to determine screw length. 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes ®...
  • Page 15 If a power tool is used, reduce speed when inserting the head of the locking screw into the plate. If desired, the cortex screw used for preliminary fixation and compression may be removed. DePuy Synthes 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique ®...
  • Page 16 Screws Used with the 3.5 mm LCP Extra-articular Distal Humerus Plate Stainless Steel and Titanium 4.0 mm Cancellous Bone Screws Found in the Small Fragment LCP Instrument Set – May be used in the DCU portion of the Combi holes in the plate shaft –...
  • Page 17 Selected Instruments from the Small Fragment LCP Instrument and Implant Sets Stainless Steel (105.434) and Titanium (145.434) 03.122.001* 2.8 mm LCP Drill Guide, long, for 3.5 mm LCP plates, for use with 03.122.002 03.122.002* 2.8 mm Drill Bit, quick coupling, 248 mm, 95 mm calibration, for use with 03.122.001...
  • Page 18 Small Hexagonal Screwdriver Shaft, quick coupling 314.115 StarDrive Screwdriver, T15 314.116 StarDrive Screwdriver Shaft, T15, quick coupling 319.01 Depth Gauge, for small screws 323.023 1.6 mm Wire Sleeve 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes ®...
  • Page 19 Selected Instruments from the Small Fragment LCP Instrument and Implant Sets Stainless Steel (105.434) and Titanium (145.434) continued 323.025 Direct Measuring Device 323.36 3.5 mm Universal Drill Guide 324.024 Push-Pull Reduction Device 324.031 Threaded Plate Holder, long, for 3.5 mm locking hole 329.04...
  • Page 20 3.5 mm LCP Extra-articular Distal Humerus Plate Sets Stainless Steel (01.104.010) and Titanium (01.104.020) Graphic Case 60.104.010 3.5 mm LCP Extra-articular Distal Humerus Plate Graphic Case Implants ◊ 3.5 mm LCP Extra-articular Distal Humerus Plates, right Stainless Length Steel Titanium...
  • Page 21 01.104.000 3.5 mm LCP Elbow System 01.104.004 3.5 mm LCP Titanium Elbow System Instruments 03.122.001 2.8 mm LCP Drill Guide, long, for 3.5 mm LCP plates 03.122.002 2.8 mm Drill Bit, quick coupling, 248 mm, 95 mm calibration 329.02 Bending Iron, for 4.5 mm plates (2 required) 329.30...
  • Page 22 Limited Warranty and Disclaimer: DePuy Synthes products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. Please also refer to the package insert(s) or other labeling associated with the devices identified in this surgical technique for additional information.

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