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Related Manuals for AAP LOQTEQ Distal Dorsolateral Humerus Plate 2.7/3.5
Summary of Contents for AAP LOQTEQ Distal Dorsolateral Humerus Plate 2.7/3.5
- Page 1 Elbow Plating System Surgical Technique Locking Compression Technology by aap...
- Page 3 Elbow Plating System Surgical Technique...
- Page 4 The description of this surgical technique has been compiled by medical experts and trained staff of aap mplantate AG with utmost diligence and to the best of their knowledge. However, aap Implantate AG excludes any liability for the completeness, accuracy, currentness, and quality of the information as well as for material or immaterial damages arising from the use of this information.
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Page 5: Table Of Contents
......................Surgical Technique aap Implantate AG Elbow Pating System... -
Page 6: Introduction
For this purpose, please refer to the Instructions for Use that are enclosed with the plates, instruments, and trays. Do not use (sterile) implants from damaged or open inner packaging. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5... -
Page 7: Features & Benefits
2.5 mm non-locking cortical • 2.7 mm locking screws screws (gold) can angulate (blue) as well as 2.5 mm in the plate hole cortical screws (gold) Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •... - Page 8 2.7 mm locking screws (blue) as well as 2.5 mm cortical screws (gold) • 2.5 mm non-locking cortical • screws (gold) can angulate in the plate hole Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •...
- Page 9 2.5 mm non-locking cortical • 2.7 mm locking screws screws (gold) can angulate (blue) as well as 2.5 mm in the plate hole cortical screws (gold) Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •...
- Page 10 LOQTEQ® technology The flattened end of the • plate is designed for tissue-conserving, sub-muscular insertion Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •...
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Page 11: Surgical Technique Distal Humerus Plates 2.7 /3.5
Bicolumn fractures are common, requiring fixation via a dual plate construct. LOQTEQ® Elbow Plating System allows for 90° and 180° plate placement. 90° 180° plate placement plate placement Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •... - Page 12 102 mm 89 mm 11 holes 7 holes 5 holes 3 holes 2 holes 3 holes 5 holes 7 holes 11 holes Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •...
- Page 13 151 mm 125 mm 99 mm 86 mm 11 holes 7 holes 5 holes 3 holes 2 holes 3 holes 5 holes 7 holes 11 holes Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •...
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Page 14: Patient Positioning
(A), elevated off the bone (B) or an olecranon osteotomy (C) can be performed for adequate ex- posure of the fracture. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 15: Preparing The Plate
2.5 mm (gold) offer a draw-back with an option of slight angulation. In that case the principle of internal fixation will be violated for that particular hole. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 16: Reduction And Primary Fixation
For temporary fixation of the plate, place the K-wire ø1.6 or a twist drill ø2.0 (light blue) through the drill guide of the aiming arm for the distal medial humerus plate. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 17: Insertion Of Cortical Screws (Gold)
16 (locking screws 2.7, light blue). The torque limiter is not applicable for non-locking screws. • Check the plate position using fluoroscopy and adjust if required. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 18: Insertion Of Locking Screws (Blue)
C AUTION Screws in the metaphyseal area of the plate should never pene- trate the articulating surface. A final control of movement should be preformed. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 19: Insertion Of Locking Compression Screws (Red) Without Compression
(red) to insert LOQTEQ® locking compression screws (red). If the locking compression screw is inserted obliquely, a secure connection between the screw and plate is not guaranteed! Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 20: Insertion Of The Distal Dorsolateral Humerus Plate, 90° Plate Configuration
• Please refer to the pages 13-17 for the detailed description of the surgical steps. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 21: Surgical Technique Olecranon Plate 2.7 /3.5
Bend the plate between the holes to prevent the loss of locking function. Avoid any sharp-edged damage by instruments. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 22: Patient Positioning
5 cm distally over the supracondylar area. The incision may be slightly curved radially to protect the ulnar nerve. C AUTION The ulnar nerve must be identified and protected. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •... -
Page 23: Preparing The Plate
N Position the plate on the dorsal aspect of the proximal ulna. Proximally, the plate does not need necessarily to center on the olecranon. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 24: Insertion Of Cortical Screws (Gold)
2.7 mm have been placed. Then the aiming device can be removed and a 2.7 mm screw can be inserted in the distal round hole. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 25: Insertion Of Locking Compression Screws (Red) Without Compression
A final control of movement should be preformed. Insertion of locking • Please follow instructions on page 17. compression screws (red) without compression Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •... -
Page 26: Insertion Of Locking Compression Screws (Red) With Compression
Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... - Page 27 (do not apply pressure on the drill guide) and drill using a twist drill ø2.7. • When all required screws have been inserted, perform final check using fluoroscopy, AP and lateral, and close the wound. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •...
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Page 28: Explantation
Place an incision on the old scar. Manually undo all screws and sequentially remove them. N After manually unlocking all screws, the removal can be performed using a power tool. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... -
Page 29: Assembly Instructions Aiming Arm
PEEK aiming arm. Click the pointer onto the PEEK aiming arm. C AUTION The aiming arm must be disassembled prior to cleaning and sterilization. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •... -
Page 30: Assembly Instructions Compression Drill Guide
Insert the set screw (item 3) into the compression block, middle hole • Insert the retaining screws (items 4.1 and 4.2) using a hexagonal screwdriver 2.5 Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... - Page 31 Implants and Instruments Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •...
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Page 32: Implants
IU 8178-01 Aiming device LOQTEQ® Olecranon Plate, L IU 8178-02 For ordering of the sterile plates please add „S“ to the article number, e.g. PU 3532-02-2S Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •... - Page 33 SK 3525-42-2 L 45 SK 3525-45-2 L 50 SK 3525-50-2 L 55 SK 3525-55-2 L 60 SK 3525-60-2 L 65 SK 3525-65-2 L 70 SK 3525-70-2 Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •...
- Page 34 Handle with quick coupling, with torque limiter 1.5 Nm IU 7707-00 Handle with quick coupling, with torque limiter 2.0 Nm IU 7707-20 Screwdriver Duo, T8, quick coupling IU 7815-56 Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •...
- Page 35 Drill guide LOQTEQ® Elbow plates 2.7, light blue IU 8169-20 Aiming arm LOQTEQ® Distal Medial Humerus Plate IU 8179-00 K-wire with trocar point, ø1.6, L 150 NK 0016-15 Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •...
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Page 36: Case Study
Case Study Preoperative Preoperative Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany • •... - Page 37 Postoperative Clinical case and CT images with the kind permission of Univ.-Prof. Dr. Dr. Dr. h.c. Reinhard Schnettler, Trauma University Hospital Giessen and Marburg GmbH, Germany. Surgical Technique aap Implantate AG Elbow Plating System Lorenzweg 5 12099 Berlin Germany •...
- Page 38 ..................Surgical Technique aap Implantate AG Elbow Plating System...
- Page 39 Subject to technical modifications, errors and misprints. aap Implantate AG © WP 4OP030 EN / 1707 Layout, typesetting: deSIGN graphic - Wolfram Passlack Illustrations: Karen Hilberg aap Implantate AG Lorenzweg 5 12099 Berlin • Germany Phone +49 30 75019-0 +49 30 75019-111 customer.service@aap.de...
- Page 40 Implantate AG Lorenzweg 5 12099 Berlin • Germany Phone +49 30 75019-0 +49 30 75019-111 customer.service@aap.de www.aap.de...