Orthopaedic Implants 5 - 16 Holes Narrow Dcp Plate For Broken Femur Recovery
| Place of Origin: | Zhejiang |
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Company Profile
| Location: | Suzhou, Jiangsu, China (Mainland) |
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| Business Type: | Manufacturer |
Product Detail
| Model No.: | 4115 |
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Product Description
DCP For Femur Plate of orthopaedic implants in XRBEST- 4115
| Product No. | Holes | Plate length*Width*Thickness | |
| Pure Titanium | Stainless Steel | ||
| 4115-3005 | 4115-5005 | 5 | 96*17*5 |
| 4115-3006 | 4115-5006 | 6 | 112*17*5 |
| 4115-3007 | 4115-5007 | 7 | 128*17*5 |
| 4115-3008 | 4115-5008 | 8 | 144*17*5 |
| 4115-3009 | 4115-5009 | 9 | 160*17*5 |
| 4115-3010 | 4115-5010 | 10 | 176*17*5 |
| 4115-3011 | 4115-5011 | 11 | 192*17*5 |
| 4115-3012 | 4115-5012 | 12 | 208*17*5 |
| 4115-3013 | 4115-5013 | 13 | 224*17*5 |
| 4115-3014 | 4115-5014 | 14 | 240*17*5 |
| 4115-3015 | 4115-5015 | 15 | 256*17*5 |
| 4115-3016 | 4115-5016 | 16 | 272*17*5 |
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Note:used for femur with HA4.5 cortex screws |
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Pearl: preparation of the plate tunnel
Three options are in use for preparation of the plate path along the distal main fragment:
- Insert a long pair of scissors, spread them, and then pull backwards.
- Insert a periosteal elevator and slide it extraperiosteally along the distal main fragment. The tip of the plate can be used in a same manner.
- A soft-tissue retractor is available which serves the same purpose.
Reduction
Principle
When preliminary reduction is already optimal with respect to axis, length and rotation, the main fragments are held in this position using an external fixator, choosing the optimal screw positions in order not to conflict with the bridging technique.
Most often, the preliminary reduction still needs some final adjustment for an optimal alignment. In such cases, the final reduction will be achieved using the implant and further multi-step reduction techniques. The following procedure describes one possible solution to achieve final reduction.
Image showing the AP view.
Lateral alignment and rotation
As an initial step, rotation and lateral alignment must be addressed.
Screw placement
Positioning of first screw
The order of screw insertion depends on the direction of the plate insertion. In the following, we show the procedure for a plate inserted through a proximal approach.
The first cortical screw should be inserted through the approach used for the plate insertion, into the last plate hole. The plate should be positioned optimally in the lateral aspect.
Alternatively, when a LCP is used, a K-wire through a trocar can be chosen.
Image showing the AP view.
Positioning of second screw
The second screw will assure that the plate is in the correct lateral position on the proximal fragment.
To achieve the correct alignment between the plate and the bone, a K-wire / Schanz screw can be used to push the proximal fragment into position. Alternatively, this can be achieved directly through a second approach, using a periosteal elevator to push the bone into position.
Then, the sec