990210003 Clavicle Hook Locking Plate
Clavicle Hook Locking Plate Clavicle Hook Locking Plate INDEX Indications Patient Position Surgical Technique Step 1 Approach Step 2 Reduction Step 3 Temporary Fixation Step 4 Drilling Step 5 Locking Screw Insertion Step 6 Cortex Screw Insertion Step 7 Final Locking Warning This publication describes the recommended procedures for using Double Engine devices and instruments. It offers guidance that you should pay attention to. But as with any such technical guide, the guide alone does not provide sufficient background for direct use of the instrument set, each surgeon should also consider the particular needs of each patient and make appropriate adjustments when required. Instruction by experienced surgeon is still highly recommended. All non-sterile devices must be cleaned and sterilized before use. Multi-component instruments must be disassembled for cleaning. Please follow the instructions provided in our Reprocessing, Care and Maintenance Guide (RCMG-2012). Please refer to Package Insert for a complete list of potential adverse effects, contraindications, warnings and precautions. The surgeon must discuss all relevant risks, including the finite lifetime of the device, with the patient, when necessary. Caution The implants are designed for temporary fixation of fractured bone fragments until the bone heals. Therefore, if bone does not heal or bone consolidation is delayed or not sufficient, the system may break. Post-operative care under the guidance of the surgeon is also very important and it must be to ensure the promotion of bone consolidation.
3 Clavicle Hook Locking Plate Clavicle Hook Locking Plate 4 Surgical Technique Indications - Clavicle fractures - Acromioclavicular joint dislocations Patient Position Place the patient in the beach-chair position with the head tilting away from the affected side. Use sandbag under the thoracic spine to allow the scapula to fall backward, which would facilitate the realignment and reduction of the fracture and assist in regaining length. Please note that excessive extension of the neck should be avoided. STEP 1 APPROACH Expose the delto-trapezoidal fascia by making a transacromial or superior incision and do not hurt the lateral supraclavicular nerves. STEP 2 REDUCTION 110040100 Guide Wire, φ1.5 110011600 Reduction Forceps with Points Use guide wire or reduction forceps with points to make reduction and perform temporary fixation. Identify the posterior aspect of the acromioclavicular joint capsule. In order to allow passage of the hook of the plate under the acromion, make a 5mm detachment of the extracapsular fibers of the trapezius from the medial border of the acromion. STEP 3 TEMPORARY FIXATION 110040100 Guide Wire, φ1.5, length 150mm 110041600 Drill Sleeve for guide wire, φ1.5 Determine the hook depth and choose the plate. If necessary, bend the plate, avoid contouring the plate excessively. Place the plate and confirm its position under the image intensifier. Temporary fixation could be achieved by guide wire. Insert the guide wire through the drill sleeve in the distal hole to fix the distal part of the plate. Notes: (1) Do not bend or twist the shaft between the holes more than 20. (2) Do not bend the hook more than 10. STEP 4 DRILLING 110040200 Drill Bit, φ2.8, length 200mm 110040300 Drill Sleeve, for drill bit, φ2.8 Carefully screw the 2.8 drill sleeve into the threaded hole of the plate. Use a 2.8mm drill bit to predrill the screw hole until it drill through both cortices.
5 Clavicle Hook Locking Plate Clavicle Hook Locking Plate 6 Instruments 110580000 110040100 Guide Wire, φ1.5, length 150mm 110040200 Drill Bit, φ2.8, length 200mm STEP 5 LOCKING SCREW INSERTION 110040400 Depth Gauge 110040900 Screwdriver, hexagonal, φ2.5 110011200 Screw Forceps, self-holding Use the depth gauge to check the length of the screw. And Pick the screw by screw forceps and insert the self-tapping 3.5mm cortex screw using the screwdriver, hexagonal. Note: If a combination of cortex screws and locking screws will be used, cortex screws should be inserted first. STEP 6 CORTEX SCREW INSERTION 110022200 Drill bit, φ2.5, length 112mm 110010100 Double Drill Guide, φ2.5/φ3.5 Use the 2.5mm drill bit through the double drill guide to drill. Determine the required length of the cortex screw with the depth gauge. Insert the screws using the hexagonal screwdriver. 110040300 Drill Sleeve for Drill Bits, φ2.8 110040400 Depth Gauge for Locking Screws 110022200 Drill Bit, φ2.5, length 112mm 110011100 Bending Iron, left 110010700 Tap for Cortex Screws φ3.5 STEP 7 FINAL LOCKING 110040800 Torque Indicating Screwdriver, 1.5Nm Use torque indicating screwdriver to make a final lock until an audible click is heard, which means the maximum torque value has been reached. And then make a final check to confirm all screws are locked. Note: At least two screws should be inserted in the medial part of the plate so as to achieve a stable fixation, while lateral fragments using one or two screws. 110040800 Torque Indicating Screwdriver, 1.5Nm
7 Clavicle Hook Locking Plate Clavicle Hook Locking Plate 8 110040900 Screwdriver, hexagonal, φ2.5 110011300 Screwdriver Shaft, hexagonal, φ2.5 110041000 Holding Sleeve 110012600 Bending Iron, right 110010100 Double Drill Guide, φ2.5/φ3.5 110011600 Reduction Forceps with Points 110011800 Extraction Screw for Screws, φ2.5 110011700 Bone Holding Forceps, self-centering 110011900 Broken Screw Extractor 110012200 Periosteal Elevator, round edge 110010500 T-Handle with Quick Coupling 110011200 Screw Forceps, self-holding 110012300 Periosteal Elevator, straight 110041600 Drill Sleeve, for Guide Wire φ1.5, short 110012400 Bone Lever, small
9 Clavicle Hook Locking Plate Clavicle Hook Locking Plate 10 110012500 Bone Lever, large 110042500 Holding Sleeve for Torque Indicating Screwdriver 110580001 Instrument Case