The system allows over 200 combinations of implants. One plate buttresses the radial column the dorsoradial plate, and the other plate supports the intermediate. Acumen officials say that the device allows for a simplified operating room experience as it includes both plates and nails that use the same instrumentation and screws. Radial head fractures are, together with the radial neck fractures, relatively common injuries, especially in adults, although they can be occult on radiographs. The acumed radial head plating system provides an innovative method for the treatment of fractures when the radial head is salvageable.
Ac 120v system includes motor with cord, console and foot control. The system offers 250 standard head and stem combinations. Odriscoll, md, phd, the acumed anatomic radial head solutions 2 system includes 924 head and stem combinations and systemspecific instrumentation to help streamline the surgeons experience in the operating room. Case reports of use of the radial head fragment with its articular surface to. This latest addition to our anatomic radial head solutions offers further refinements to the first and only anatomically shaped radial head prosthesis. Lockingclavicle platesystem since 1988 acumed has been designing solutions to the demanding situations facing. See who you know at acumed, leverage your professional network, and get hired. With the anatomic radial head system, the surgeon is equipped with the tools needed to properly restore the patients anatomy in a radial head replacement surgery.
A surgical tip 5 of 6 fractures are one or two lag screws to fix the fragment, or lassotype suture placement for smaller fracture fragments, as well as precontoured buttress plates 12. Long stems are intended for fractures that extend distally past the radial neck and for revision following failed radial head arthroplasty. Anatomic radial head system cambridge orthopaedics. Cutting burs are made of carbide, a hard and durable material. This feature attempts to keep the fpl out of harms way by placing the metal proximal to the transverse ridge along the radial column. Coronoid reconstruction using the excised radial head in complex elbow trauma. Acumed ankle plating system 3 cadaver lab part 3 proximal posterolateral. This versatile system of precontoured plates is designed for use in the radial heads safe zone and features a straightforward surgical.
Elbow plating system brochure and surgical technique. This is the largest study to our knowledge of a series of ulnar shortening osteotomies and successful healing without the removal of any implants. Miscellaneous, at2c08s, acumed acutrak 2 micro bone screw. Case report comminuted radial head fractures treated by. Thus, radial head replacement is an alternative to a challenging internal fixation procedure or radial head excision. Plates can be cut to length and bent to fit to better treat a wide variety of fracture patterns. For specific questions not addressed here,please contact your local acumed representative or acumed by phone at 888 6279957 or on the web at. The acumed anatomic radial head system is designed to provide an anatomic implant to replace the patients native radial head. Flexor tendon injuries following locked volar plating of. Whether managing a simple fracture or correcting a complex. This is due to the 7090 angle between the two plates.
May 29, 20 the anatomic radial head system from acumed is indicated for radial head replacement after comminuted fracture. These fractures usually result from a fall on an outstretched arm with the forearm pronated. Place as many screws as possible in the radial head. Radial head fractures are the most common fractures occurring around the elbow.
This is used to accurately place the proximal shaft of the plate in alignment with the center axis of the radial diaphysis. Once the head is assembled, the situation is now simplified such that the head is a unit thus converting a multiplepart fracture into 2 pieces requiring stabilization with the plate. The acumed anatomic radial head system provides a comprehensive solution that includes the first anatomicallyshaped radial head prosthesis on the market and is equipped with the tools needed to restore the patients anatomy in a radial head replacement surgery. The screws should lock together by interdigitation,creating a fixedangle structure.
Acumed aculoc 2 volar distal radius plating system. Inspection of the radial head and trauma to the neck will determine if the standard or long radial head implant will be used. The evolve modular radial head system employs the advantages of. Acumed launches new stateoftheart system for ankle fractures. Get a great deal with this online auction for a plate system presented by property room on behalf of a law enforcement or public agency client.
Dorsal plates the twoplate technique of dorsal fixation of distal radius fractures offers increased stabilization. The acumed hand plating system is intended for the managemnent of fractures, fusions, and osteotomies of the distal, mdl. This system oers a family of precontoured plates designed for use in the. Modular system for replacement of radial head arthrex, inc. The majority of current volar plate designs incorporate a volar cortical angle vca, i. Radial head fractures make up approximately 3% of all fractures and they are the most common type of elbow fracture in adults. Elbow fracture dislocations that involve a radial head fracture and a coronoid fracture are very challenging to manage. Two contoured radius plate options acumed offers two plate types for poate radius, including volar and dorsolateral approach options.
The acumed anatomic radial head slideloc system consists of modular heads and stems with accessories for anatomical replacement of the proximal portion of the radius and restore the natural articulation of the radial head with the radial notch of the ulna and capitellum of the distal humerus. The fixation element supports the cannulated body on a resected radial. Resecting the radial head radial head resection guide. Technical tips of proximal humerus locking plate duration. The system includes extension plates where fixation of long segments is required, and complementary distal radius fragment specific plates. Confidence in over 25,000 sold4 modular stem and head provide over 320 size combinations to match variable anatomy smooth stem implant design supported by two long term studies 8year1 and 12 year2 average follow up simple design has no polyethylene, moving parts or set screws to wear out over time prospective data show proven performance. The elbow plating system offers precontoured, indicationspecific plates and includes a lowprofile olecranon plate design with anatomic curvature and instrumentation to aid with plate and screw insertion. Every screw in the radial head should pass through a plate.
This is used to help accurately place the proximal shaft of the plate in alignment with the center axis of the radial diaphysis. The acumed anatomic radial head system includes the first anatomically shaped radial head prosthesis introduced to the orthopaedic. Radial head replacement is considered only in type iii fractures for which anatomic reduction and stable internal fixation allowing early mobilisation would be difficult or impossible to achieve. The acumed ratcheting compression plating system is designed to provide fixation for many fusions and osteotomies in the foot and utilizes a unique, builtin ratcheting hub that allows the surgeon to generate, incrementally increase, and retain. Once inserted over the taper, the radial head is secured using the impactor fig.
The acutrak 2 micro is designed for the fixation of small bones and fracture fragments, where a 2. Custom plate cutters are included in the system and are designed to create a smooth rounded edge on all acumed hand fracture system plates except the avulsion plate. Lockingclavicle platesystem university of washington. Owing to the complex radial head anatomy, to date there is no one radial head plate that perfectly fits all radial heads. Prior templating of the xray will also assist in determining which.
The system is modular comprising a stem, collar and cobalt chrome head. In line with our goal to bring to the market products that evolve and improve patient outcomes, acumed introduces three additional plate designs to the system. Coronoid plate family sgstem plates are designed to act as a buttress to the coronoid and help counteract the tendency of the elbow to subluxate. Inspection of the radial head and trauma to the neck will determine if the standard or long collar radial stem implant will be used. Our plating and rodding systems for the radius and ulna off er a comprehensive array of diaphyseal radius and ulna fracture treatment options. The acumed anatomic radial head solutions 2 system is designed to provide an anatomic implant to replace the patients native radial head. Conformance of existing plates to the radial head and neck is not perfect. The acumed radial head plating system provides a method for the treatment of fractures when the radial head is salvageable. Jun 08, 20 the aculoc 2 volar distal radius plating system comprises a locking plate and percutaneous fragloc compression screws for the fixation of dorsal fragments. Developed with surgeon feedback, acutrak 2 products address nearly 20 of the most common indications in the hand, wrist, foot and ankle.
Class 2 device recall acumed slideloc anatomic radial head. This latest addition to our anatomic radial head solutions offers further refinements to the first. Anatomic radial head system surgical technique acumed. The system includes anatomically contoured plates including medial, lateral, posterior lateral, olecranon, proximal radial head, and coronoid designs. Although fractures of the radial head are seen in all age groups, they usually occur in adults 85% between 20. The skeletal dynamics protean radial head plate provides a lowprofile, insitu plate for treating radial head fractures. Acumed php proximal humerus plate surgical technique.
Explor modular radial head trial reduction continued slide the slot located on the undersurface of the radial head along the ridge located on the proximal radial stem until the head is fully seated figure 10. The acumed anatomic radial head prosthesis is designed to provide a precise anatomical implant to replace the patients native radial head. This design not only reduces or time spent in contouring a plate but also minimizes softtissue irritation for the patient. Acumed is venturing into a new marketorthopedic implants and instrumentation for the surgical repair of fractures and joint disruptions of the pelvis. Each screw should engage as many articular fragments as possible. Acumed upgrades humerus fracture device orthopedics this week.
Many innovative design features are incorporated into the implant heads and stems, as well as the instrumentation to improve the surgical technique. Material our burs are manufactured to the highest quality for cutting applications in surgery. We present the early results of patients who underwent radial head replacement with the mopyc prosthesis bioprofile, tornier, saintismier. Elbow plating system is designed to address fractures of the distal humerus, olecranon, and coronoid. Acumed, a hillsboro, oregon, orthopedic firm, is introducing its new polarus 3 solution, a method to treat proximal humerus fractures. Radial column pin plate next gen fracture treatment. Odriscolls experience has shown that the parallelplate placement on the distal humerus,combined with increased plate strength over standard reconstruction plates1,allows for early rehabilitation and preservation of elbow function and motion. The global unique device identification database gudid contains key device identification information submitted to the fda about medical devices that have unique device identifiers udi. The invention provides a modular endoprosthetic radial head replacement implant. The acumed anatomic radial head system is designed to provide an 2 mini and micro instruments and the locking radial head plate system at the base of.
Jan 05, 2010 there is a need in the prior art for a simple but effective modular radial head prosthesis with fixation elements supporting articulating surfaces with improved properties and materials. The plate should be strong and stiff enough not to bend or break. Acumed releases the slideloc anatomic radial head system. The acutrak 2 mini system can be included in the base of the tray,as well as the mayo clinic radial head plate if needed upon request.
This section offers acumeds suggested method for implanting the radial head plate from the mayo clinic congruent elbow plate system. Acumed bone graft harvesting system surgical technique. As in radial head resection alone for a comminuted fracture, radial head resection and replacement arthroplasty should be done soon after the fracture occurs, preferably within a few days. Powerful torque and high efficiency 35,000 rpm motor high performance microcomputer provides excellent control and constantly monitors motor to provide smooth starting and stopping.
Second, the modular head is placed over the taper while applying longitudinal distraction andor varus stress to distract the radiocapitellar interface sufficiently to permit the radial head to be inserted. The anatomic radial head system is a comprehensive solution for radial head fractures. Acumed forearm fracture solutions surgical technique. New wrist plating system for arthritis orthopedics. Elbow plating system acumed is a global leader of innovative orthopaedic and medical solutions. Acumed elbow plating system by zachary juergensen on prezi next. Acumed believes that surgeons should have the ability to determine the. Results of ulnar shortening osteotomy with a new plate. Acumed llc is a global market leader of innovative orthopedic and medical solutions that improve patient care and greatly advance the orthopedic industry throughout the world.
Radial head fractures often pose therapeutic dilemmas. Assembling the clinical presentation, physical examination, and imaging. Mar 10, 2016 long stems are intended for fractures that extend distally past the radial neck and for revision following failed radial head arthroplasty. This compact bone graft harvesting system is designed to be easy to use and includes four drill size options. For smallbone fractures, fusions and osteotomies rely on acumed s acutrak 2 headless compression screw system. Plates for radial head rim available in right and left plates with a 5. With the anatomic radial head system,the surgeon is equipped with the tools needed to properly restore the patients anato. Acumed launches pelvic plating system elizabeth hofheinz, m.
Internal orthopaedic fixation system, platescrew, nonbioabsorbable, nonsterile a nonsterile assembly of implantable devices designed for the stabilization of fracturedsurgicallycut bones of the limbs long bones, their appendages hands, feet, pelvis, craniomaxillofacial bones, andor for limbjoint fusion. The second plate acumed is tapered and bent in a dorsal direction to follow the native contour of the radial styloid. Second, we used the gap distance between the dorsoulnar and palmar fragment as seen on postsurgical axial and sagittal ct scans to determine outcome. Acumed acumed acutrak 2 headless compression screw system. The acumed hand fracture system offers plates in 0. For specific questions not addressed here, please contact your local acumed representative or acumed by phone at 888 6279957 or on the web at. Reassemble the radial head and secure with screws as needed fig. Acumed upgrades humerus fracture device orthopedics this. Dec 20, 2016 this animated overview of the hand fracture system illustrates how the system is designed to surgically treat various metacarpal and phalangeal fractures, fusions, and osteotomies. Class 2 device recall acumed slideloc anatomic radial head system. In addition, the plate is tapered distally in an anterior to posterior direction. Prior templating of the xray will also assist in determining which radial head will be used. Joint destruction andor subluxation visible on xray b.
With the anatomic radial head system, the surgeon is equipped with the tools needed to properly restore the. The evolve triad system is designed to address fixation of the fractures commonly associated with this injury. The slideloc anatomic radial head system offers 504 implant combinations, 254 more than the original anatomic radial head system. Ghanem, md, phd, department of otolaryngologyhead and neck surgery, oregon health and science university, 3181 sw sam jackson park road, portland, or 97239search for more papers by this author. Mason type iii radial head fractures treated by anatomic. Locking straight plate, locking distal clavicle plates and locking anterior clavicle plates. The acumeds lowcontact plate designed specifically for ulnar shortening osteotomy demonstrated 100 % union rate and no implant removal in our series. The radial head resection guide has two resection levels. Between january 2008 and december 2011, 12 patients six men and six women table 1 with radial head comminuted fractures were treated by radial head replacement of the acumed anatomic radial head prosthesis system. Coronoid reconstruction using the excised radial head in. Radial head replacement in adults with recent fractures. The acumed acutrak 2 micro incorporates the same design principles as the rest of the acutrak 2 family of screws. The ellipsoid shape of the implant is intended to mimic the natural radial head. This versatile system of precontoured plates is designed for use in the radial heads safe zone and features a straightforward surgical technique that may save time in the surgery room.
The head of the radius has a cylindrical form, and on its upper surface is a shallow cup or fovea for articulation with the capitulum of the humerus. Acumed llc maintains its success by meeting the needs of the whole healthcare community, including hospitals. The plate was provisionally fixed with bone reduction forceps distally and a plate tack in the proximal hole. Department of otolaryngologyhead and neck surgery, oregon health and science university, portland, oregon, u. May 25, 2016 the acumed ankle plating system 3 is composed of seven plate families that span the lateral, medial, and posterior malleoli. Drillshandpieces i7 offers performance, controllability and durability in a compact unit. The anatomic radial head system from acumed is indicated for radial head replacement after comminuted fracture.
Radial head replacement with the mopyc pyrocarbon prosthesis. Radialheadisanimportantvalgusstabilizerof elbow,particularlyinsettingofan. The design of the aculoc 2 plate positioning handle maintains access to the kwire holes and 3. Radial head arthroplasty modern implants unipolar or bipolar, monoblock or modular, anatomical or nonanatomical, cemented or pressfit correct diameter, height, medial offset and cervicocephalic angle bipolarity permits an automatic positioning of the radial head with respect to the neck and the opposite. Feb 08, 2015 acumed php proximal humerus plate surgical technique.
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