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螢幕截圖 2022-11-07 下午11.31.02
螢幕截圖 2022-11-07 下午11.31.02
The modular
hand system.
Surgical Technique
This description alone does not provide sufficient background for direct use
of DePuy Synthes products. Instruction by a surgeon experienced in handling
these products is highly recommended.
AO Principles 4
Screw Insertion 11
– Cortex Screws 12
– Locking Screws 18
Implant Removal 23
Additional Information 24
Sets 42
MRI Information 45
Minimizes soft tissue Minimizes need for bending. Allows intraoperative inspec- Intraoperative choice
irritation. tion of the reduction and between compression and
correction of the rotational angular stable locking.
axis.
4 modules, 5 dimensions:
– Adaptable plates for different indications
– Complete range of implants
1.0 mm
1.3 mm
1.5 mm (new locking)
2.0 mm (locking)
2.4 mm (locking)
AO PRINCIPLES
Anatomic
Anatomic reduction fixation
Stable fixation
Fracture
Fracture reduction and fixation
reduction and fixation to Fracture fixation
Fracture fixationproviding
providingabsolute
abso- or
restore anatomical
to restore relationships.
anatomical relationships. lute or relative
relative stability,stability, as by the
as required
requiredthe
patient, by injury,
the patient,
and thethe injury,
personality
1 2 and
of thethe personality of the
fracture.
fracture.
1
Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal
Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991.
2
Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management.
2nd ed. Stuttgart, New York: Thieme. 2007.
1
Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation.
3rd ed. Berlin, Heidelberg, New York: Springer. 1991.
2
Rüedi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 2nd ed.
Stuttgart, New York: Thieme. 2007.
Intended Use
LCP Compact Hand Implants are intended for temporary
fixation, correction or stabilization of bones in anatomical
region of the distal radius and hand
Indications
Compact Hand 1.0/1.3
General:
– Fixation of small fragments
– Avulsion fractures and fractures of the distal and
middle phalanges
Straight plate:
– Shaft fractures of phalanges
Strut plate:
– Comminuted fractures and replantations of middle or
proximal phalanges
T-plate and Y-plate:
– Condylar fractures of phalanges
Single cortex screws:
– Capturing of fragments with lag screw technique
1
Select implant
Notes:
– This surgical technique describes the application of the
LCP Compact Hand system using a Locking Condylar
Plate 1.5.
– The plates of the LCP Compact Hand Module 1.5 are
available either with or without short drill sleeves
preassembled to the plate. Plates with preassembled drill
sleeves are available sterile only.
1
Reduce fracture
2
Trim plate
Instrument
3
1
Contour plate
Instruments
Standard plates
Use bending pins for LCP Plates and thread the pins into the
screw holes to contour the plate. (1)
The plate can also be bent using two flat nosed pliers. (2)
Precautions:
– If possible, bend the plate between the locking/LCP holes.
Do not deform the threaded part of the holes or over-
bend the plate as this may adversely affect insertion of
locking screws. Avoid repetitive bending of the plate.
– Reverse bending or use of the incorrect instrumentation
for bending may weaken the plate and lead to premature
plate failure (e.g. breakage). Do not bend the plate be-
yond what is required to match the anatomy.
4
Position plate 1
Instrument
Preassembled plates
(LCP Compact Hand 1.5 only)
When using reduction forceps with points on a preassembled
plate, insert one branch of the forceps in the cannulation of
the short drill sleeve to secure the plate to the bone. (2)
Optional Instrument
When using the holding forceps with swivel foot to hold the 2
plate, remove the drill sleeves from the surrounding holes so
that the holding forceps sit flush on the plate.
Locking hole:
Option
Cortex or locking screw
If angularly-stable buttress pins are used, one screw per bone
fragment must be inserted additionally.
Compression hole:
Cortex screw only
Elongated compression
hole:
Cortex screw only
1
Pre-drill screw hole for cortex screw
Instruments
When using a LCP hole, drill the screw hole either neutrally
or off-centre (compression).
Preassembled plates
(LCP Compact Hand 1.5 only)
Drill the screw hole using the short LCP drill sleeves that are
preassembled to the plate. To drill for a cortex screw in an
angle other than 90° to the plate, use the double drill guide. 2
Before using the double drill guide, remove the short drill
sleeve. (2)
2
1
Determine screw length of cortex screw
Instruments
Standard plates
Determine the screw length with the corresponding depth
gauge. (1)
3
1
Insert cortex screw
Instruments
Standard plates
Insert the self-tapping cortex screw using the corresponding
screwdriver. (1)
Notes:
– It is recommended to count the short LCP drill sleeves to
ensure they are all removed before closure.
– Find tips regarding how to properly pick-up screws with
Stardrive recess on page 24.
1
1
Pre-drill screw hole for locking screw
Instruments
Standard plates
Drill screw hole through the LCP drill sleeve using the
appropriately sized drill bit. (1)
Preassembled plates
(LCP Compact Hand 1.5 only)
Drill the screw hole using the short LCP drill sleeves that are
preassembled to the plate. (2)
Instruments
When using the LCP drill sleeve check the length directly on
the scale of the drill sleeve. Then remove the drill sleeve.
Preassembled plates
(LCP Compact Hand 1.5 only) 3
Screw length may be measured either with of without the
short drill sleeve assembled to the plate. When measured
directly through the drill sleeve, subtract 5 mm from the
reading to account for the drill sleeve. (3)
Instruments
Standard plates
Insert the self-tapping locking screw using the corresponding
screwdriver shaft and the appropriate handle. (1)
Preassembled plates
(LCP Compact Hand 1.5 only) 2
Remove preassembled short drill sleeves. Insert the self-tap-
ping locking screw using the corresponding screwdriver. (2)
Plates
X = 2: Stainless Steel
X = 4: Titanium
Screws
X = 2: Stainless Steel
X = 4: Titanium
Plates
X = 2: Stainless Steel
X = 4: Titanium
X = 2: Stainless Steel
X = 4: Titanium
Screws
X = 2: Stainless Steel
X = 4: Titanium
X = 2: Stainless Steel
X = 4: Titanium
Plates
X = 2: Stainless Steel
X = 4: Titanium
Mini H-Plate
Art No. Holes
X43.480 4
X = 2: Stainless Steel
X = 4: Titanium
X = 2: Stainless Steel
X = 4: Titanium
X = 2: Stainless Steel
X = 4: Titanium
Plates
X = 2: Stainless Steel
X = 4: Titanium
X = 2: Stainless Steel
X = 4: Titanium
Optional
X = 2: Stainless Steel
X = 4: Titanium
Optional
Synthes GmbH
Eimattstrasse 3 Not all products are currently available in all markets.
4436 Oberdorf
Switzerland This publication is not intended for distribution in the USA.
Tel: +41 61 965 61 11
Fax: +41 61 965 66 00 All surgical techniques are available as PDF files at
www.depuysynthes.com www.depuysynthes.com/ifu 0123