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DRV - Biotech ortho

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<strong>DRV</strong><br />

Pre-operative X-ray<br />

Implants are delivered sterile.<br />

The instrumentation is colour coded with a<br />

silicon ring corresponding to the screw<br />

Screws<br />

VENPS 24<br />

Epiphyseal<br />

screws<br />

VENPS 35<br />

Diaphyseal<br />

screws<br />

From VENPS 2410<br />

to<br />

VENPS 2428.<br />

From VENPS 3510<br />

to<br />

VENPS 3530.<br />

From VENPS 3514<br />

to<br />

VENPS 3518.<br />

From VENPS 3530<br />

to<br />

VENPS 3546.<br />

Plate<br />

PES 220 301<br />

PES 220 401<br />

PES 220 501<br />

PES 220 302<br />

Lengths<br />

From 10 to 28mm<br />

2mm pitch<br />

From 10 to 30mm<br />

2mm pitch<br />

From 14 to 18mm<br />

1mm pitch<br />

From 30 to 46mm<br />

4mm pitch<br />

PES 220 402<br />

Material<br />

R<br />

Drills<br />

Drill guides<br />

Screwdrivers<br />

Material Thickness Side Diaphyseal holes<br />

Peek Optima<br />

inserts<br />

Titanium<br />

Titanium<br />

Left<br />

Left<br />

Left<br />

Right<br />

Right<br />

illustrations for information<br />

Patents : Plates : Patent pending - USA 10/530.683. Europe 03 807 887 - Screws : Patent pending - PCT/FR05/02469 - 05 809 108 3 - France 04/105 8<br />

PES 220 502<br />

Right<br />

Distal Radius Volar Plate<br />

A perfect anatomical fitting of the plate<br />

The radiotransparent property of the Peek-Optima<br />

permits an optimum radiological control of the osteosynthesis.<br />

FP - 0204<strong>DRV</strong> - rev.01 - 02/2012 - EN


1. Temporary positioning<br />

Operative protocol of the <strong>DRV</strong> Plate<br />

4. Distal screws placement<br />

Technical variations.<br />

Proximal plate bending technique<br />

Volar Insicion, using Henry’s exposure of the distal part<br />

of the Radius.<br />

Selection of plate using trial either of 3, 4 or 5 hole plate.<br />

Drill (FT241) through the drill guide (GM240)<br />

Check placement with fluoroscope.<br />

Screw insertion using screw driver (TV240) and fluoroscopic control.<br />

If necessary, bend the plate using the special plate bending irons in the bending area.<br />

Place trial plate on reduced and stabilised fracture and<br />

fix with two 1.2mm K-wires.mm.<br />

2. Final plate placement<br />

Remove trial plate leaving K-wires in position.<br />

Place selected plate implant over K-wires and position.<br />

CAUTION: Place a screw in each fragment,<br />

combined with at least one internal and one<br />

external cuneate screw<br />

5. Final adjustment.<br />

Epiphyseal screw tightening (TV240).<br />

Oblong hole screw tightening (TV350)<br />

Additional diaphyseal screw insertion if needed.<br />

K-wire removal.<br />

Make sure that the bending irons and positioned on the<br />

metal part of the plate and not the section where the<br />

Peek-Optima inserts are positioned.<br />

bending area<br />

Using the drill guide (GM350), drill a pilot hole with noncannulated<br />

drill (FT351) in oblong screw hole.<br />

CAUTION : Do not bend the plate outside the bending area as this may dislodge<br />

the Peek-Optima inserts<br />

Styloid distal bending technique.<br />

3. Proximal screw placement<br />

Measure required screw length with depth gauge.<br />

Screw the first diaphyseal screw through<br />

the oblong hole (TV350).<br />

Option : Styloïdian fragments synthesis with a K-wire<br />

Styloidian K-wires integration<br />

Insert the K-wire (BR 120) into the distal part<br />

of the plate to bring together the eventual<br />

styloidian fragments.<br />

5 mm<br />

If necessary, bend the Styloid end of the plate using the special plate bending irons in<br />

the area where the furrow is marked.<br />

Over view<br />

CAUTION : At this stage do not lock the<br />

proximal screw in the oblong hole such<br />

to allow further adjustment if necessary<br />

Make sure that the bending<br />

irons are located on the<br />

metal part of the plate and<br />

not on the Peek-Optima<br />

inserts.<br />

Cut the K-wire 5 mm above the plate.<br />

Pull down the K-wire onto the plate with the wire<br />

bender ( TB120) so that it shows on the surface<br />

of the plate.<br />

Other option : use a staple.<br />

CAUTION : Do not bend the plate outside the marked<br />

bending area as you may dislodge the Peek-Optima<br />

inserts

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