Surgical Technique PDF - Ortho Providers
Surgical Technique PDF - Ortho Providers
Surgical Technique PDF - Ortho Providers
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A d v a n c e d F i x a t i o n T e c h n o l o g i e s <br />
Dorsal Buttress Pin with Wire Plate <br />
<strong>Surgical</strong> <strong>Technique</strong><br />
Dorsal Buttress Pin<br />
with Wire Plate <br />
TriMed Wrist Fixation System
TriMed Wrist Fixation System <br />
1<br />
Exposure (limited dorsal approach)<br />
• Make incision over 4th dorsal compartment tendons.<br />
• Develop interval between 3rd and 4th, or 4th and 5th<br />
compartments.<br />
• Transpose EPL if needed.<br />
• Expose the dorsal cortex of the distal radius.<br />
2<br />
Direct Fixation of Dorsal Fragments<br />
• Place Buttress Pin upside down on dorsal cortex to determine<br />
insertion location and angle for legs.<br />
• Insert a 1.1mm (.045”) K-wire to prepare hole for each leg and<br />
confirm position with X-ray.<br />
• Using Pin Clamp, snap Buttress Pin into Wire Plate.<br />
• Cut legs of Buttress Pin to desired length, leaving one leg slightly<br />
longer than the other.<br />
3<br />
Insertion of Buttress Pin<br />
• Starting with longer leg, withdraw corresponding K-wire and<br />
immediately insert leg of Buttress Pin.<br />
• Repeat with shorter leg.<br />
• Complete seating with Pin Impactor.
Dorsal Buttress Pin with Wire Plate <br />
<strong>Surgical</strong> <strong>Technique</strong><br />
4<br />
Fracture Reduction and Final Fixation<br />
• Reduce fracture and fix proximally with 2.3mm bone screw.<br />
• If necessary, place a second screw through Wire Plate.<br />
TIPS<br />
• Buttress Pin can also be used to directly<br />
buttress a free articular fragment.<br />
• For lowest profile, a standard washer can be<br />
used instead of Wire Plate. Seat screw until<br />
washer flexes to ensure fixation of Wire Form.<br />
• The Wire Form can be modified with Wire<br />
Bender or Pin Clamp.
TriMed Wrist Fixation System <br />
Dorsal Buttress Pin with Wire Plate <br />
Buttress Pin<br />
BP 24 24mm<br />
BP 27 27mm<br />
BP 32 32mm<br />
Pin Clamp<br />
PINCLAMP<br />
Washer and Wire Plate<br />
WASHR<br />
WFP 3 3 Hole<br />
WFP 5 5 Hole<br />
Wire Bender<br />
WIRBNDR<br />
Cortical Bone Screws<br />
TRX 2.3-xx<br />
14mm to 28mm<br />
Impactor<br />
IMPACTR<br />
Instrument tray and implant caddies.<br />
The Dorsal Buttress Pin and Wire Plate <br />
are components of the<br />
TriMed Wrist Fixation System .<br />
TriMed, Inc. / P.O. Box 55189 / Valencia, CA 91385-0189 USA / 800-633-7221 / Fax 661-254-8485 / www.trimedortho.com<br />
Patent Coverage: TriMed, Inc. products are covered by patents issued in the U.S. and in foreign jurisdictions. The presently issued U.S. patents are:<br />
5,709,682; 5,718,704; 5,931,839; 5,941,878; 6,077,266; 6,113,603; 7,037,308; 7,044,951; 7,195,633; 7,267,678; 7,540,874.<br />
The TriMed Dorsal Buttress Pin with Wire Plate has U.S. and international patents pending. TriMed Dorsal Buttress Pin with Wire Plate is a trademark of TriMed, Inc.<br />
©2010 TriMed, Inc. All rights reserved. TME 829-38 (R 5-10)
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