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Summary of Contents for Synthes LCP Distal Humerus Plates
- Page 1 LCP Distal Humerus Plates. anatomic fixation system for the distal humerus with angular stability. Technique Guide...
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Page 3: Table Of Contents
LCP Distal Humerus Plates Contents Indications and contraindications Implants Instruments Preparation Dorsolateral plate with support Medial Plate Fixing the shaft Option: Dorsolateral plate without support Option: Positioning and compression device PCD Implant removal Warning This description is not sufficient for immediate application of the instrumentation. -
Page 4: Indications And Contraindications
LCP Distal Humerus Plates Indications and contraindications Indications – Intraarticular fractures of the distal humerus – Supracondylar fractures of the distal humerus – Non-unions of the distal humerus Contraindications – Acute infections – Children in the growth phase... -
Page 5: Implants
LCP Distal Humerus Plates Implants Distal humerus plates Distal Humerus Plate, dorsolateral, right Art. No. Holes X41.262 X41.264 X41.266 X41.268 X41.300 Distal Humerus Plate, dorsolateral, left Art. No. Holes X41.263 X41.265 X41.267 X41.269 X41.301 Distal Humerus Plate, dorsolateral with support, right Art. - Page 6 LCP Distal Humerus Plates Implants LCP locking screws X02.214–260 LCP Locking Screw 2.7 mm (head LCP 2,4), length 14–60 mm, self-tapping, with Stardrive ® recess X12.102–124 LCP Locking Screw 3.5 mm, length 12–60 mm, self-tapping, with Stardrive ® recess X13.012–060 LCP Locking Screw 3.5 mm,...
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Page 7: Instruments
LCP Distal Humerus Plates Instruments Torque Limiters 511.776 Torque Limiter 0.8 Nm, for LCP locking screws 2.4/2.7 mm with AO/ASIF quick coupling for power tool/handle 511.773 Torque Limiter 1.5 Nm, for LCP locking screws 3.5 mm with AO/ASIF quick coupling for power tool/handle 511.770... -
Page 8: Preparation
LCP Distal Humerus Plates Preparation Note: Experience in the use of the Locking Compression Plate System LCP (see surgical technique 036.000.019) or instruction by a surgeon with corresponding experience is recommended. Position patient The lateral decubitus position is usually chosen. In severe C3 fractures, the fully prone position can be used, if the patient is otherwise fit. - Page 9 The plate with support allows for additional screw insertion through the lateral epicondyle in a lateral-medial direction. Note: On very small humeri the support may protrude extensively over the lateral epicondyle, in which case the use of a plate without support is recommended. Synthes...
- Page 10 LCP Distal Humerus Plates Preparation Determine the length of the plates Choose plate lengths that offer sufficient fixation proximal to the fracture lines. To prevent extensive diaphyseal stress, the medial and dorsolateral plates may not have the same length. Sample: medial 5 holes, dorsolateral 7 holes.
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Page 11: Dorsolateral Plate With Support
LCP Distal Humerus Plates Dorsolateral plate with support Position and fix the dorsolateral plate with support Normally a transolecranon approach is used and the plate fixation starts on the dorsolateral side of the distal humerus. Position the plate The plate is to be positioned on the dorsolateral aspect of the... - Page 12 Preliminary fixation of the plate Required instruments Universal Drill Guide 3.5 323.360 Drill Bit 2.5 mm, length 110/85 mm, for Quick Coupling 310.250 After correct placement of the plate use the drill guide and the drill bit 2.5 mm to pre-drill both cortices. Determine screw length Required instruments Depth Gauge for Screws...
- Page 13 LCP Distal Humerus Plates Dorsolateral plate with support Insert cortex screw Required instruments Screwdriver Shaft, hex small, 2.5 mm 314.030 Use the screwdriver shaft mounted on a power tool or on a handle to insert the self-tapping cortex screw 3.5 mm. Do not tighten the screw.
- Page 14 Determine length of screw Required instruments LCP Drill Sleeve 2.7 (head LCP 2.4), with Scale up to 60 mm, for Drill Bits 2.0 mm 323.061 Drill Bit 2.0 mm, with double marking, length 140/115 mm, 3-flute, for Quick Coupling 323.062 Depth Gauge for Screws 2.0 and 2.4 mm, measuring range up to 40 mm...
- Page 15 LCP Distal Humerus Plates Dorsolateral plate with support Insert distal screws LCP 2,7 mm Required instruments Holding Sleeve for LCP Screw Stardrive 2.4/2.7 mm 313.301 Screwdriver Shaft Stardrive, T8, cylindrical, with groove 313.304 Torque Limiter, 0.8 Nm, with AO/ASIF Quick Coupling 511.776...
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Page 16: Medial Plate
LCP Distal Humerus Plates Medial Plate Position and adaption of the plate Required instruments Bending Pliers for Plates 2.4 to 4.0, length 230 mm 329.150 Bending Iron for Plates 2.4 to 3.5, length 145 mm 329.040/329.050 LCP Drill Sleeve 2,7 (head LCP 2,4), with scale up to 60 mm 323.061... - Page 17 Important: It is recommended to use minimum one screw on the medial side and one screw on the lateral side which cross the distal block. Screw length should be 40–60mm depending on the size of the humerus. Synthes...
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Page 18: Fixing The Shaft
LCP Distal Humerus Plates Fixing the shaft Fix the shafts of the dorsolateral and medial plate Use LCP locking screws 3.5 mm to fix the proximal part of the plate to the bone. Attach LCP drill sleeve Required instruments LCP Drill Sleeve 3.5 for Drill Bits 323.027... - Page 19 If a power tool is used, reduce speed when screwing the head of the locking screw into the plate. Repeat the procedure until all required shaft holes are used. Final check the locking of the screws. Note: Use 3 screws bicortical per plate for optimal fixation to the shaft. Synthes...
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Page 20: Option: Dorsolateral Plate Without Support
LCP Distal Humerus Plates Option: Dorsolateral plate without support Position the plate Fix the distal part of the bone temporarily to the shaft with Kirschner wires and reduction forceps. Fix and compress it with minimum one 3.5 mm cortex screw according to the AO Manual. - Page 21 It is recommended to check the position of the screws with the image intensifier during movement of the elbow. Continue the procedure Continue the procedure according to “Medial plate”. Synthes...
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Page 22: Option: Positioning And Compression Device Pcd
LCP Distal Humerus Plates Option: Positioning and compression device PCD Positioning and Compression Device PCD with lengths markings for guided positioning of the dorsolateral plate with support. The PCD with length markings (313.351–357) assists in finding an optimal plate position to allow for the insertion of longest possible screws across the distal articular block. - Page 23 Use the PCD to choose the screw length Read the screw length on the scale of the PCD and choose the required length. Account a safety margin to the articulating surface (2–10 mm depending on position). Synthes...
- Page 24 Insert the LCP 2.7 mm screw Required instruments Drill Bit 2.0 mm, with double markings 323.062 Screwdriver Shaft Stardrive, T8, cylindrical, with groove 313.304 Torque Limiter, 0.8 Nm, with AO/ASIF Quick Coupling 511.776 Drill the hole with the drill bit 2.0 mm.
- Page 25 LCP Distal Humerus Plates Option: Positioning and compression device PCD Insert additional screws Required instruments LCP Drill Sleeve 2.7 (head LCP 2.4), with scale up to 60 mm 323.061 Drill Bit 2.0 mm, with double markings 323.062 Screwdriver Shaft Stardrive, T8, cylindrical, with groove 313.304...
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Page 26: Implant Removal
LCP Distal Humerus Plates Implant removal Implant removal Required instruments Screwdriver Shaft, hex, small, 2.5 mm 314.030 Screwdriver Shaft Stardrive 3.5, T15 314.116 Extraction Screw for Screws 3.5 mm 309.521 Extraction Screw for Screws 1.5 mm and 2.0 mm 309.510 To remove the implants, unlock all LCP locking screws before removing them completely. - Page 28 0123 Presented by:...
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