Zimmer Biomet A.L.P.S. Surgical Technique

Zimmer Biomet A.L.P.S. Surgical Technique

Hand fracture system

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A.L.P.S.
Hand Fracture System
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Surgical Technique

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Summary of Contents for Zimmer Biomet A.L.P.S.

  • Page 1 A.L.P.S. Hand Fracture System ® Surgical Technique...
  • Page 2 A.L.P.S. Hand Fracture System...
  • Page 3: Table Of Contents

    A.L.P.S. Hand Fracture System Table of Contents A.L.P.S. Hand Fracture System ..................3 F.A.S.T. Guide Inserts & Multi-Directional Screws ............5 Locking, Non-Locking, & Multi-Directional Screw Options .......... 7 Surgeon Design Team ....................8 Introduction ....................... 9 1.5 mm Locking Plates ....................10 1.5 mm Plate Specifications ..................
  • Page 4 A.L.P.S. Hand Fracture System...
  • Page 5: Hand Fracture System

    A.L.P.S. Hand Fracture System Low Profile, Locked Plating, Anatomically Contoured A.L.P.S. Hand Fracture System • Low profle plates are designed to help For metacarpal and phalangeal procedures that minimize discomfort and soft tissue irritation often involve complex fractures and minimal tissue coverage, the Hand Fracture System provides both •...
  • Page 6 A.L.P.S. Hand Fracture System...
  • Page 7: Guide Inserts & Multi-Directional Screws

    A.L.P.S. Hand Fracture System F.A.S.T. Guide Inserts, Multi-Directional Screws ® F.A.S.T. Guide Inserts • Facilitate accurate drilling To facilitate surgical procedures even further, the Hand Fracture System Plates come • Pre-loaded and disposable pre-loaded with Fixed Angle Screw Targeting F.A.S.T. Guide inserts. •...
  • Page 8 A.L.P.S. Hand Fracture System...
  • Page 9: Locking, Non-Locking, & Multi-Directional Screw Options

    A.L.P.S. Hand Fracture System Versatility in Construct Locking, Non-Locking and Multi-Directional Screw Options • Choose locking, non-locking, or multi-directional screws according to need • All options available in each locking hole • Locking screws establish a fixed angle construct for strong fixation or when optimal screw purchase is required •...
  • Page 10: Surgeon Design Team

    Surgeon Design Team Lloyd P. Champagne, M.D. Arizona Center for Hand Surgery Phoenix, Arizona Brian J. Hartigan, M.D. (Deceased) Northwestern School of Medicine Chicago, Illinois Matthew M. Tomaino, M.D., M.B.A. Tomaino Orthopaedic Care Rochester, New York...
  • Page 11: Introduction

    A.L.P.S. Hand Fracture System Introduction The A.L.P.S. Hand Fracture System represents the Additionally, the A.L.P.S. Hand Fracture System next generation in anatomic plate design. It combines allows the use of locking, variable angle, and the benefits of low profile titanium plate metallurgy standard screws.
  • Page 12: Mm Locking Plates

    A.L.P.S. Hand Fracture System 10 | 1.5 mm Locking Plates Shaped to go around Allows longitudinal tendon insertion fractures to be addressed obliquely TiMAX material Pre-contoured Plate Compression Holes Compression Holes offer .75 mm of compression per hole Pre-loaded F.A.S.T. Guide inserts F.A.S.T.
  • Page 13: Mm Plate Specifications

    A.L.P.S. Hand Fracture System 11 | 1.5 mm Plate Specifications Plate Styles: Straight Small T Plate Width: 4.3 mm 20.4 mm 13.8 mm 12.8 mm 14.1 mm 13.5 mm Plate Thickness: 1.1 mm 1.1 mm 1.1 mm 1.1 mm 1.1 mm 1.0 mm Lengths: 61.7 mm...
  • Page 14: Mm Locking Plates

    A.L.P.S. Hand Fracture System 12 | 2.5 mm Locking Plates Threaded holes can accept TiMAX material Flexible Arms locking, non-locking, and multi-directional screws Pre-loaded F.A.S.T. Guide inserts Compression Holes offer 1 mm of compression per hole Stronger Spines Pre-contoured Plate (compared to 1.5 mm plate) TiMAX material...
  • Page 15: Mm Plate Specifications

    A.L.P.S. Hand Fracture System 13 | 2.5 mm Plate Specifications Plate Styles: Straight Plate Width: 6.8 mm 27.6 mm 19.5 mm 17.4 mm 19.5 mm Plate Thickness: 1.65 mm 1.65 mm 1.65 mm 1.65 mm 1.65 mm Lengths: 90.2 mm 73.8 mm 71.8 mm 79.8 mm...
  • Page 16: Plate Options

    A.L.P.S. Hand Fracture System 14 | Plate Options Straight The A.L.P.S. Hand Fracture System plates were designed to be modified to meet the needs of the patient and the fracture. The plates can be shortened, cut, or shaped to create an almost infinite array of plate constructs. The plates can be shortened by using the benders or cut using the plate cutters.
  • Page 17 A.L.P.S. Hand Fracture System 15 |...
  • Page 18: Instruments

    A.L.P.S. Hand Fracture System 16 | Instruments 2.0 mm/2.5 mm Soft Tissue Guide 1.1 mm/1.5 mm Soft Tissue Guide 1.0 mm/1.3 mm Soft Tissue Guide Screw Pickup (shown with 1.3 mm Cruciate Driver) 1.3 mm/1.5 mm Bone Depth Gauge 1.5 mm Plate Holder 2.5 mm Plate Holder 2.0 mm/2.5 mm Bone Depth Gauge 1.5 mm Plate Benders...
  • Page 19 A.L.P.S. Hand Fracture System 17 | K-wire Reduction Clamp (use with K-wires that are .045 inches or smaller) Small Reduction Clamps Elevator Cutting Pliers Mini Quick Connect Handles (2) Retractors (2)
  • Page 20: Surgical Technique

    A.L.P.S. Hand Fracture System 18 | Surgical Technique 1. Assess the fracture 2. Make an incision fluoroscopically • While dorsal surgical approaches to metacarpal Assess the fracture based on preoperative fractures and both dorsal and lateral approaches radiographs and/or intraoperative fluoroscopy. to phalangeal fractures are feasible, the decision •...
  • Page 21 A.L.P.S. Hand Fracture System 19 | 3. Reduce the fracture 4. Achieve temporary stabilization • After adequate exposure and irrigation of Achieve provisional stabilization of the fracture hematoma, the fracture should be reduced and assess optimal fixation. • This can usually be afforded based on visual •...
  • Page 22 A.L.P.S. Hand Fracture System 20 | 5. Determine appropriate plate 6. Prepare the plate Determine the optimal plate shape and length. Prepare the plate shape, length, and contour. • Select the proper plate size (either 1.5 for • It is highly recommended that the plates be phalangeal fractures or 2.5 for metacarpal shortened by using the plate benders to create fractures)
  • Page 23 A.L.P.S. Hand Fracture System 21 | 7. Achieve temporary fixation 8. Drill and remove of the plate F.A.S.T. Guide inserts • This may include initial placement of k-wires • After drilling with the appropriate drill (1.1 mm proximally and distally to assess plate contour silver drill for a 1.5 mm screw and 2.0 mm gold (Use 0.028"...
  • Page 24 A.L.P.S. Hand Fracture System 22 | 9. Insert appropriate screw 10. Contour plate as desired • Each locking hole provides the option for either • Plates can be bent, twisted, and curved a locked fixed angle, locked multi-directional, by utilizing the plate benders or non-locking screw •...
  • Page 25 A.L.P.S. Hand Fracture System 23 | 11. Achieve final fixation 12. Postoperative management • This may involve all locking screws • A compressive dressing is recommended with a plaster splint or a bulky “soft” splint • Alternatively, a non-locking screw can be used placed depending on the surgeon’s individual to lag fragments to the plate assessment of fixation and patient compliance...
  • Page 26: Multi-Directional Screw Insertion

    A.L.P.S. Hand Fracture System 24 | Multi-Directional Threaded Peg Insertion 1. Prepare and drill 3. Insert screws in the desired direction • Remove the F.A.S.T. Guide inserts • If necessary, re-drill and reinsert the screw in the desired direction • Drill through the soft tissue guide with the 2.0 mm drill (for the 2.5 mm Multi-Directional Screw) or the 1.1 mm drill (for the 1.5 mm 4.
  • Page 27: Ordering Information

    A.L.P.S. Hand Fracture System 25 | 1.5 / 1.3 mm Module Components 1.5 / 1.3 mm Module Components Non Locking Screw 1.5 mm Product# Description Product# Description 2312-20-008 1.5 mm Stocking Module 1312-20-508 Non Locking Screw 1.5 mm x 8 mm 2312-20-109 1.5 mm plate Holder 1312-20-509...
  • Page 28 A.L.P.S. Hand Fracture System 26 | 2.5 mm Module Components 2.5 mm Module Components Fully Threaded Peg 2.5 mm Product# Description Product# Description 2312-20-007 2.5 mm Stocking Module FP08 Fully Threaded Peg 2.5 mm x 8 mm 2312-07-012 2.0 mm plate holder FP09 Fully Threaded Peg 2.5 mm x 9 mm 2312-20-100...
  • Page 29 A.L.P.S. Hand Fracture System 27 | 2.5 mm Module Components (cont.) Disposables 2.5 mm Multi-Directional Threaded Peg Screws (Sterile) Disposables – Single Use Devices Product# Description Product# Description 1312-12-410 Multi-Directional Threaded Peg 2.5 mm x 10 mm 2312-11-002 MDTP Driver Bit 1312-12-411 Multi-Directional Threaded Peg 2.5 mm x 11 mm 2312-20-200...
  • Page 30: Indications And Contraindications

    A.L.P.S. Hand Fracture System 28 | Instrument Lifespan: For information in determining POSSIBLE ADVERSE EFFECTS whether a reusable instrument is no longer suitable (orthopaedic screws, intramedullary nails, plates, for use, reference Reusable Instrument Lifespan compression hip scres, pins and wires): Manual (1219.1-GLBL-en) which can be found at •...
  • Page 31 A.L.P.S. Hand Fracture System 29 | Special precautions are necessary if a temporary devices should be manufactured from a metal that internal fixation device is used to treat an unstable has a similar composition to avert the possibility intertrochanteric fracture of a subtrochanteric of galvanic corrosion or other metallic reactions, fracture.
  • Page 32 Biomet or its affiliates unless otherwise indicated. This publication must not be used, copied or reproduced in whole or in part without the express written consent of Zimmer Biomet or its authorised representatives. For complete product information see the package insert and www.

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