Jan 10, 2016 operative treatment of acute distal femur fractures. Using the kwire sleeve ref 702702 in conjunction with the drill sleeve ref 702707, a 2. Distal femur fractures and its treatment with distal femur. Remove the handle for insertion by pressing the metal button at the end of the handle. Proximal and distal tibia, proximal humerus and distal femur. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with the tibia and kneecap, forming the knee joint. Axsos 3 titanium distal lateral femur locking plate system. Distal condylar screws are parallel to the joint surface to provide a stable support structure in the metaphyseal region multiple points of fixation increased strength optimized fit percutaneous instrumentation stable support inspired by anatomy inspired by simplicity fracturespecific solutions proximal femur. Visualization of the distal femur under fluoroscopy in both the lateral and ap views is necessary. Nov 30, 2017 this feature is not available right now. Distal femur fractures and its treatment with distal femur locking plate kanav padha, sandeep singh, abdul ghani, harish dang the incidence of distal femur fractures is around 37 100,000 patients per year. This wire should be parallel to the joint line to assure proper alignment of the distal femur. Distal lateral femoral plate proximal lateral tibial plate distal anterolateral tibial plate distal medial tibial plate the axsos locking plate system is designed to treat periarticular or intraarticular fractures of the proximal humerus, distal femur, proximal tibia, and the distal tibia.
Distal anterolateral tibia plate distal medial tibia plate distal lateral femoral plate proximal lateral tibial plate. Avoid plate insertion through the muscle to avoid intramuscular vessel disruption. Standard lateral, modified lateral or lateral parapatellar approach. Early weight bearing on supracondylar distal femur fractures in elderly patients the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. By orthopaedic trauma institute at ucsf featuring amir matityahu. Cuhkolc surgeon education program the 56th orthopaedic trauma workshop the 25th comprehensive bioskill course on fracture fixation 15th 16th december 2012 special theme. Knee distal femur and proximal tibia efossils resources. Surgical approach surgeon may use an anterolateral or lateral parapatellar approach. We investigated four plate systems for distal femur fixation axsos, lcp, periloc, polyax of differing designs and materials using bone. Implant material and design alter construct stiffness in distal femur locking plate fixation.
Distal femur fractures assessment and preop planning ota lecture series iii l5a duration. Fractures of the distal femur whether supracondylar. By most measures the two left and right femurs are the strongest bones of the body, and in humans, vague the longest. The distal femur is not the ideal reference for stem. As the anterior pelvic plane is now widely recognized as an inappropriate reference for cup orientation due to variation in sagittal pelvic tilt, referencing stem anteversion to the distal femur may also be inappropriate and not provide a suitable description of the functional anteversion of the stem. The axsos 3 titanium locking plate system is intended for long bone fracture fixation. The physicians education, training and professional judgement must be relied upon to choose the most appropriate device and treatment.
Competitive fitting study for locking distal anterolateral tibia plates 2 axsoswp2 andreas petersik et al. During the past decade, retrograde intramedullary devices as well as new generations of distal femur locked plating systems have facilitated the operative treatment of these fractures. The medical device lateral distal femur plate axsos for you 3 hole left femur 10 l238mm is realized by stryker trauma ag. Surgical techniques can be performed with a lateral openingwedge or medial closingwedge correction of the deformity. Distal femoral varus osteotomy is a wellestablished procedure for the treatment of lateral compartment cartilage lesions and degenerative disease, correcting limb alignment and decreasing the progression of the pathology. Nov 01, 2016 distal femur fractures assessment and preop planning ota lecture series iii l5a duration. Axsos 3ti locking plate system stryker corporation. Varus collapse of comminuted distal femur fractures after open reduction and internal fixation with a lateral condylar buttress plate. Aug 06, 2017 supracondylar femoral fractures muller ao classification of fractures 3 femur 33 distal femur a1 a2 a3 b1 b2 b3 c1 c2 c3 c complete articular a extraarticular b partial articular 6.
The incidence of distal femur fracture in the elderly has been increasing recently, and commonly occurs with osteoporosis. Medical device lateral distal femur plate axsos for you 3 hole left femur 10 l238mm 627610. Implant material and design alter construct stiffness in distal femur. Current concepts in fractures of the distal femur soucasny pohled na zlomeniny dolniho konce stehenni kosti b. The purpose of this study was to analyze the complications and clinical outcomes of lp treatment for distal femoral fractures. The system is indicated for fixation of long bone fractures including but not limited to fractures of the humerus, tibia, and femur. Hold 2 stryker distalradius skinne axsos prox tibia philos stryker demonstration. The comparatively larger lateral proximal condyle also seen on the femur and helps to create the bicondylar angle is an adaptation to increased weight transfer through the femur and into the foot. Monoaxial locking plate for treating distal femur fractures.
As a result of the aging population, the incidence of fractures of the distal femur is increasing, especially in patients with osteoporosis. Distal condylar screws are parallel to the joint surface to provide a stable support structure in the metaphyseal region multiple points of fixation increased strength optimized fit percutaneous instrumentation stable support inspired by anatomy inspired. Regular followup with all records was carried out for a period of 36 months. Retrograde intramedullary nailing has been considered a good surgical. From a populationbased implant design, a patented screwtoplate interface, and streamlined instrumentation, our focus is on creating a welldesigned plating system, giving you more. We investigated four plate systems for distal femur fixation axsos, lcp, peri loc, polyax of differing designs and materials using bone. Competitive fitting study for locking distal medial tibia plates.
Babst department of trauma surgery, cantonal hospital lucerne, lucerne, switzerland summary this paper describes current treatment strategies of distal femoral fractures as well as their evidence based rationale. Pediloc extension osteotomy plate pleo orthopediatrics. Supracondylar femoral fractures hoffa fracture 33b3 coronal split posterior femoral condyle no dcs dynamic condylar screw no blade plate 7. Clinical outcomes of locked plating of distal femoral. Early weight bearing on supracondylar distal femur.
Locked plating lp of distal femoral fractures has become very popular. Management of intraarticular fracture of distal femur. Distal anterolateral tibial plate placca tibiale mediodistale placca tibiale anterolateraledistale il sistema di placche di bloccaggio axsos e stato concepito per il trattamento di fratture periarticolari o intrarticolari di omero prossimale, femore distale, tibia prossimale e tibia distale. A sterile tourniquet may be useful if treating a distal femur fracture. This operative technique contains a simple stepbystep procedure for the implantation of the distal lateral femur plate using the targeting instrumentation. Please vote below and help us build the most advanced adaptive learning platform in medicine. Axsos 3 ti distal lateral femur axsos 3 ti distal tibia axsos 3 ti proximal tibia. Despite technique suggestions from anecdotal and some early reports, knowledge about risk factors for failure, nonunion nu, and revision is limited. The system allows for polyaxial screw placement with subsequent screw. This step also shows the position of a later placed screw and shows its relation to the joint surface. Although use of a distal femur lateral locking plate with or without application of lag screws has been the gold standard during the last decade, most recent works reported high rates of defective callus formation, delayed union, nonunion, malrotation, and implant failure, especially in comminuted cases, despite use of a single ordinary or mini. Management of intraarticular fracture of distal femur with. Pdf implant material and design alter construct stiffness in distal. Highly unstable complex c3type distal femur fracture.
Themetaphyseal screw pattern also avoids any interference in the intercondylar notch and helps prevent loss of reduction. The conventional sps small and basic fragment sets are standard plating. Stryker albue skinne axsos prox tibia small fragment. It is also useful to expose the neurovascular bundle when a distal femoral fracture is complicated by an arterial injury. The axsos locking plate system is intended for use in long bone fracture fixation. Specifically designed femoral osteotomy plates take into account the anatomical differences between the distal femur and proximal tibia. Distal femur fractures of the elderly different treatment. Supine with option to flex the knee up to 60 over a leg support. From a populationbased implant design, a patented screwtoplate interface, and streamlined instrumentation, our focus is on creating a welldesigned plating system, giving you more time to focus on other things.
Knifelight femur axsos locking plate system carpal tunnel. Prep and drape the leg circumferentially extending proximal to the hip to allow proximal extension of the surgical incision if needed. Axsos1 locked plating comparison of subject to predicate subject device predicate device axsos distal lateral femur axsosthi distal lateral. Indications include the proximal humerus, distal femur, and proximal and distal tibia. Medical device lateral distal femur plate axsos for you. Martinet et al epidemiology of fractures of the distal femur statistics from ao documentation from the 1st jan.
We investigated four plate systems for distal femur fixation axsos, lcp, periloc, polyax of differing designs and materials using bone substitutes in a distal femur fracture model otaao 33a3. As you insert the plate, use the plate to feel the femur to confirm a direct lateral position, not anterior or posterior to the femoral shaft. Femur posterolateral approach approaches orthobullets. Distal anterolateral tibia plate 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, proximal tibia, and the distal tibia. Secure the total femur coupler trial to the diaphyseal.
Nov 27, 20 locked plating lp of distal femoral fractures has become very popular. Listing a study does not mean it has been evaluated by the u. The distal femoral plate is designed with optimised. Axsos 3 titanium distal lateral femur locking plate. The distal femoral osteotomy system utilizes the same principles of design featured in the tibial osteotomy system. Resources on lateral approach to distal femur and related topics in orthopaedicsone spaces. The axsos locking plate system is indicated for fixation of long bone fractures including fractures of the distal radius, the proximal humerus, the distal tibia, proximal tibia and the distal femur. Axsos osteosintesis osteosintesi sistema di placche di bloccaggio.
Our portfolio of lower extremities products includes a comprehensive array of intramedullary nails, locking plates, external fixation, and biologics. The distal part of the femur is considered the most distal 9 to 15 cm of the femur and can involve the articular surface. The system design is based on clinical input from an international panel of experienced surgeons, data from. This operative technique contains a simple stepbystep procedure for the implantation of the distal lateral femur. In addition, modern human condyles are more concave and elliptical in shape to accommodate the elliptical femoral distal condyles. Axsos 3 titanium operative technique 6 patient positioning. The system design is based on clinical input from an international panel of experienced surgeons, data from literature, and both practicaland biomechanical testing. The pediloc extension osteotomy pleo plate, also part of the renowned pediloc family, is indicated for proximal, distal, and midshaft femur fractures. The medial approach to the distal femur is useful to expose a medial distal femoral fractures, a hoffatype fracture, osteochondroma, or a neoplastic lesion of bone. Tomofix medial distal femur plate surgical technique depuy synthes companies 1 warning. Operative treatment of acute distal femur fractures.
If the fractures around hip are excluded, 31% femoral fractures involve distal portion 1. The system allows for polyaxial screw placement with subsequent screw locking for improved stability especially within osteopenic bone. Open reduction and internal fixation of the distal femur animesh agarwal definition distal femur fractures are difficult, complex injuries that can result in devastating outcomes. The kwire hole just distal to the oblong hole allows temporary plate. The system allows for the use of locking and nonlocking screws in the metaphysis and the shaft. Visualization of the proximal or distal tibia depending on the indication using fluoroscopy in both the lateral and ap views is necessary. Medical device lateral distal femur plate axsos for you 3. The axsos locking plate system is designed to treat periarticular or intraarticular fractures of the proximal humerus, distal femur, proximal tibia, and the distal tibia. Distal lateral femur ts plates of the axsostm locking plate system cleared under k061012 in regards to intended use, design, materials, and operational principles as a bone fixation device. The axsos periarticular locking plate system is strykers range of axially stable locking plates with locking screws designed to treat peri or intraarticular fractures. Open reduction and internal fixation of the distal femur. Pdf retrograde intramedullary nailing for distal femur. Distal femur fractures of the elderly different treatment options in a biomechanical comparison article in injury 427. Implant material and design alter construct stiffness in.