Do you want to use the redesigned ao sr like an app. Ao surgery reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. Standard techniquesmall fragment lcp instruments and proximal humerus instrument set 7. Internal locking system philos, synthes, solothurn, switzerland have. This operative technique has been devised in consultation with leading surgeons in many countries to be a basic guide, particularly for less experienced users of the gamma3 system. We are a reliable store, provide synthes medical sales services. Distal radius system angled blade plate surgical technique angular stable x plate and 2hole plate button. Our elearning platform contains high resolution images and a certified cme of the open reduction and internal fixation of proximal humeral physeal fracture using synthes philos plate surgical procedure. Elective implant removal in symptomatic patients after internal fixation of proximal humerus fractures improves clinical outcome. A study on surgical management of proximal humerus fractures by philos plate. Approach the approach must normally be lengthened because of the plate. Philos and philos long surgical technique depuy synthes 9 2 prepare plate position for optimal plate positioning, insert two positioning kirschner wires 2 4 mm lateral to the bicipital groove and 5 7 mm below the tip of the greater tubercule. In order to reduce the complication rate, anatomically shaped locking plates have been developed proximal humeral internal locking system philos and locking proximal humeral plate lphp. Orthobullets has done the hard work of filtering for the evidence of which you need to be aware.
Zimmer proximal humerus plate technique guide blogger. We describe a new technique of tension suture fixation for proximal humeral fractures using 2 washers to increase fixation strength. The fracture is reduced and the jig is applied across the scaphoid in the usual way. The surgical technique, implants, period of immobilization and rehabilitation of proximal humerus fractures with proximal locking plate philos, synthes. Synthes, zuchwil, switzerland as the implant of choice. The plates are available with 5, 7, 9, 11 and holes for both the left and right femur. Philos and philos long surgical technique depuy synthes 15. Patients with indication for surgical treatment of lowenergy proximal humeral fractures were included if liposuction was feasible. Learn the intralesional curettage, cement augmentation and fixation with synthes philos plate for pathological humeral fracture surgical technique with step by step instructions on orthoracle. The ideal plate to sit on top is another distal femoral plate for the opposite femur as when placed upside down this will match the curvature and screw configuration case 1, figure 1. However, the following points should be considered in particular.
Open reduction and internal fixation surgery winchester. Insert screws proximal locking screws in osteoporotic bone continued insert the depth probe through the outer sleeve. The synthes locking compression plate lcp with its patented. Tous les catalogues et fiches techniques pdf depuy synthes. Fixation of fractures of the proximal humerus the annals of. Fluoroscopic technique for open reduction and internal. Synthes colibri ii instructions for use manual pdf. Over the past 20 years, operative intervention has become the standard treatment for distal femur fractures 2. The proximal humerus internal locking system philos youtube. Tested articles represent a small subset of all the articles and have met specific orthobullets inclusion criteria. Minimally invasive plate osteosynthesis with philos plate. Electronic instructions for use depuy synthes companies.
Use the length probe through the outer sleeve and push it carefully into the humeral head. Search in depuy synthes catalogs and technical brochures on medicalexpo and find the information you need in 1 click. Most surgeons acknowledge that the philos plate has been designed for. Fluoroscopic technique for open reduction and internal fixation of. This study was undertaken to evaluate the use of the philos plate system for the treatment of proximal humeral fractures. Philos system resources lcp percutaneous aiming system 3.
Surgical treatment of displaced proximal humeral fractures with use of the locking proximal humeral plate that was evaluated in the present study can lead to a good functional outcome provided. Plate on plate osteosynthesis for the treatment of nonhealed. Patient was treated with humerus lcp philos plate osteosynthesis orif on the second day after trauma. Buy synthes medical surgical equipment or devices at used synthes. According to the model, the 4screw patterns offer strain reductions between 31 and 15 % and the 5screw patterns between 32 and 25 %.
Implantquality 316l stainless steel or titanium alloy ti6ai7nb ten suture holes around the perimeter of the proximal end distal shaft of standard plate consists of three or. Our plate on plate technique is effective for the treatment of nonhealed periplate fractures, especially in elderly osteoporotic patients. Read off the required screw length from the length probe. Our elearning platform contains high resolution images and a certified cme of the intralesional curettage, cement augmentation and fixation with synthes philos plate for pathological. Operative technique of angular stable plate fixation. They are also for use in fixation of periprosthetic fractures, osteopenic bone and fixation of nonunions or malunions. Laparoscopic appendectomy seems to be associated to a lower rate of wound infection.
Intralesional curettage, cement augmentation and fixation. Stabilisation systems of the subcapital humeral fracture submitted by stefan ludwig 0433558 in partial fulfillment of the requirements for the degree of doctor of medicine doctor medicinae universae at the medical university of graz department of traumatology supervisor univ. Health, general fracture fixation fracture repair fractures care and treatment fractures injuries humerus health aspects. Fixed angle locking plates falps are increasingly popular in the treatment of complex proximal humerus fractures and are particularly useful in the elderly with poor bone quality. The collection is a repository of open access articles which includes diagnostic, treatment, and prevention methods related to orthopedics and traumatology and original studies in related disciplines. This kwire sleeve is appropriately undersized to match the internal diameter of the jig collar and accommodates a. Our elearning platform contains high resolution images and a certified cme of the open reduction and internal fixation of proximal humeral physeal fracture using synthes philos plate surgical. Length of hospital stay and rate of major complication seems to be related to gangrenous or perforated appendicitis and not to the surgical technique. Collection of orthopedic and traumatological proceeding. Features and specifications number of holes 6 length 103mm width 16mm thickness 4. European congress of trauma and emergency surgery mafiadoc. Good outcomes have been reported with use of the proximal humeral internal locking system philos plate. Plate failure was reported in three cases and occurred exclusively in the lower thickness plates which were used near the beginning of the study.
Synthes titanium implant plates drill fixation histology. For information on fixation principles using conventional and locked plating techniques. Original research article, report by journal of evolution of medical and dental sciences. Orthopedic surgical instruments millennium surgical. The results indicate a superior anchorage of the philos plate system in osteoporotic bone with a minimum amount of correctly injected bone cement. Insert the locking screw with the appropriate screwdriver shaft hexagonal or stardrive recess and 1. It is acknowledged that several alternative approaches to certain elements of the procedure are available, and may have advantages for particular situations or surgeons. Lateral minimally invasive plate osteosynthesis mipo using the less invasive stabilisation system liss depuy synthes, paoli, pa is a commonly use d technique for surgical fixation of these injuries 3. Surgical technique for open reductioninternal fixation of. Elective implant removal in symptomatic patients after. Following intraoperative plate failures, the plate design was modified to increase the thickness from 3. A feasibility study surgical treatment of proximal humerus fractures can be.
Screws, plates, sutures, or rods are used to hold the broken bone together. We are a liquidator of sutures and other surgical items from ethicon, covidien autosuture, synthes, stryker, arthrex and are able to pass our savings on to you. Meticulous surgical technique is the key to good outcomes. The use of locking plates in proximal humeral fractures. Surgical approach for proximal humeral fractures wheeless. The plate philos synthes which uses the principle of locking screws lcp is an implant that is stable enough for these problematic fractures. Page 29 do not use the saw attachments in oscillating drilling mode the appropriate surgical technique 036. From a populationbased implant design, a patented screwto plate interface, and streamlined instrumentation, our focus was on creating a welldesigned plating system, giving you more time to focus on other things. This position improves shoulder mobilization during surgery. In this surgical technique, the type of phlp used is the philos plate proximal humeral internal locking system. Flip the template over to change from rightside to leftside orientation figure 1. Plate holes in the plate shaft distal to section e are lcp combiholes see page 2.
Internal fixation with philos plate is reliable operative option for. In a first approach, average bone mineral density bmd around the screw. Plate and screw implants consist of various plates and screws to. Synthes medical surgical equipment synthes medical. Alongside some of the worlds top healthcare professionals, we help deliver new possibilities to patients. Our early results in proximal humeral fractures treated with philos plate. Pouziti uhlove stabilni dlahy philos u zlomenin proximalniho. Open reduction and internal fixation surgery definition. Before reduction, application of an external fixator or large distractor may facilitate visualization and. Please read these instructions for use, the synthes important information and the corresponding surgical technique guide carefully before use.
Since 2006, our depuy synthes companies international organization has supported open arms malawi, providing housing, food and funds to the children of malawi impacted and orphaned by hivaids. Dec 31, 2008 the surgical technique does not differ from the regular standard of care in utn implantation. The cellsuspension isolated in an automated device celuion 800crs, cytori, usa was implanted via a 123 s38 hydroxyapatite carrier before osteosynthesis with a philos plate synthes, ch. Good surgical technique is the key to a successful outcome. We specifically wanted to examine the effectiveness of the philos plate on different fracture patterns, the impact of patient age and of the humeral neckshaft angle attained following fixation, on the outcome. If this technique is used with a depuysynthes leeds, uk distal femoral plate then it should be noted that the plate is curved to match the contour of the femur. Large fragment lcp instruments and screws are used for plate fixation. To evaluate the efficacy of philos plate fixation for proximal humerus fractures. Using this technique a solid fusion can be achieved at the new fracture without the need to disturb the previous fracture fixation.
Ensure that you are familiar with the appropriate surgical technique. This site is published by the depuy synthes companies, which are solely responsible for its content. Distal medial tibia plate distal lateral femoral plate proximal lateral tibial plate the axsos locking plate system is designed to treat periarticular or intraarticular fractures of the proximal humerus, distal femur. The authors evaluated a group of 33 patients operated on at the trauma centre of the district hospital of liberec from august 2002 to november 2004. Tension suture fixation using 2 washers for proximal. Synthes philos phlp red oval the level c screws were the locking holes that were not. Surgical management of proximal humerus fractures by. Various surgical options have been used for treatment of these fractures. Monoaxial locking plate system for treating proximal humerus fractures. For product details such as indications, contraindications, warnings and precautions please consult the ifu and surgical technique. The online exhibition for medical products which puts suppliers and buyers around the world in direct contact. Part of the synthes locking compression plate lcp system. Comparison of two different locking plates for two, three.
Instructions for use instructions for use are found in the information that accompanied the product packaging. Implantquality 316l stainless steel or titanium alloy ti6ai7nb ten suture holes around the perimeter of the proximal end distal shaft of standard plate consists of three or five combi. Part of the depuy synthes locking compression plate. Our innovations help treat patients suffering from disorders of, or injuries to, bones, joints or supporting soft tissues. Only orthobullets tested articles count as target content. Posterolateral plates offer fixation of the capitulum with three distal screws. Outcomes of open reduction and internal fixation of. Placing the plate too high increases the risk of subacromial impingement.
Technique guide table of contents introduction surgical technique product information matrixmidface 2 indications and contraindications 2 ao principles 6 trauma repair and reconstruction 7 orbital plates 9 implants 11 instruments 23 modules 27 warning this description alone does not provide sufficient background for direct use of the. Learn the open reduction and internal fixation of proximal humeral physeal fracture using synthes philos plate surgical technique with step by step instructions on orthoracle. The ao is a medicallyguided, notforprofit organization, a global network of surgeons, and the worlds leading education, innovation, and research organization specializing in the surgical treatment of trauma and musculoskeletal disorders. Philos and philos long surgical technique depuy synthes 3 philos instruments outer sleeve restricted drill bit length probe quick steps for insertion in good bone stock 1. Position the plate either visual or with positioning kirschner wire 4. The shape of the plates is based on the design of the distal femur liss plates. Health, general humerus injuries internal fixation methods patient outcomes internal fixation in fractures. These plates provide angular stability which is especially useful in osteoporotic bone. According to neer classification system, 15 and 24 patients had 3 and 4part fractures, respectively and 3 patients had 4part fracture dislocation. Voiglio, md, facs, frcs lyon, france this supplement was funded by the european society for trauma and emergency surgery. Surgical technique for open reductioninternal fixation of an. It is in writing this book that the authors wish to shed some light on the actions of certain individuals involved in the regulatory process and oversight of the small and large medical device companies, which are hampering the innovation and entrepreneurship so needed in todays market and economy.
Abstracts, european journal of trauma and emergency surgery. Find, read and cite all the research you need on researchgate. Philos system is an anatomical lcp plating system for proximal humerus fracture fixation. Insert the screw manually or with power until a click is heard. A study on surgical management of proximal humerus. Surgical technique continued sutures the plate should be centered against the lateral aspect of the greater tuberosity.
This site is published by the depuy synthes companies, which are solely. Depuy synthes companies personnel will often travel with the mission volunteers to support their work as well. Aotk proudly launches the 20 edition of the aotk system innovations magazine, which details 15 new implants and instruments for use in trauma, spine, cmf, and veterinary surgery, and includes. Part of the depuy synthes locking compression plate lcp 3. No cases of deep surgical site infection have been observed. In addition to the the common specialty instruments used in orthopedic procedures that you see below, millennium surgical can reference any catalog number from any company to provide you with highquality instruments such as forceps, retractors, clamps, and more. Liquidation synthes orthopedic plates booth medical. Surgical technique continued the handle and holding sleeve are used for manual insertion. The proximal humeral internal locking system philos. Aotk system innovations 1 20 by ao foundation issuu. The depuy synthes companies are uniquely positioned to improve the lives of those in need through product donations, charitable giving and community involvement. After 2 month she again received trauma in same conditions and broke her arm more distal from plate, periimplant closed spiral fragmented wedge fracture. The critical threshold values for necrosis of bone and cartilage reported in the literature, however, are not reached.
Open reduction and internal fixation of proximal humeral. Surgical management of proximal humerus fractures by philos locking plate. An open reduction and internal fixation orif puts pieces of a broken bone into place using surgery. Pdf angular stable intramedullary nail versus locking plate. The study shows that augmentation of the proximal screws of the philos plate with pmma leads to a locally limited development of supraphysiological temperatures in the cement cloud and closely around it. Stabilisation systems of the subcapital humeral fracture. Under general anesthesia, the patient is placed in the beachchair position at a 60 angle. Functional outcomes of 31 men and 27 women aged 36 to 73 mean, 61 years who underwent philos plate. Plate and screw implants consist of various plates and screws to be implanted. Orthopedic trauma incl pediatrics your digital gateway to expertise, education, and innovation. Download scientific diagram philos plate synthes inc.