Surgical Technique PDF - Ortho Providers
Surgical Technique PDF - Ortho Providers
Surgical Technique PDF - Ortho Providers
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Volar Fixed Angle Plate <br />
<strong>Surgical</strong> <strong>Technique</strong><br />
Volar Fixed Angle Plate <br />
TriMed Wrist Fixation System
TriMed Wrist Fixation System <br />
1<br />
Exposure (Standard or extended FCR approach)<br />
• Through the distal limb of a modified Henry volar<br />
approach, continue the dissection between the FCR<br />
and the radial artery.<br />
• Expose the radial shaft by reflecting the pronator<br />
quadratus from its radial and distal insertions.<br />
• If needed, release the distal portion of the<br />
brachioradialis.<br />
2<br />
Fracture Reduction<br />
and Provisional Fixation<br />
• Reduce the fracture manually. Transtyloid<br />
K-wires may be used for provisional fixation.<br />
• Align plate along the radial border of the radial shaft.<br />
• Secure with K-wires proximally and check position, or<br />
fix with a 3.2mm cortical screw in the slotted hole.<br />
3<br />
Confirm Plate and Peg Positions<br />
• Insert a 1.1mm (.045”) K-wire into a distal pinhole.<br />
• Check the position of the K-wire with the C-arm.<br />
• The K-wire should be directed toward the dorsal rim<br />
and buttress the subchondral bone behind the articular<br />
surface.
Volar Fixed Angle Plate <br />
<strong>Surgical</strong> <strong>Technique</strong><br />
4<br />
Peg Preparation<br />
• Snap the Quick Guide into a distal peg hole.<br />
• Drill a peg hole using the 1.75mm (blue) drill bit,<br />
and measure peg depth with the guide.<br />
• Remove the guide and insert a threaded or<br />
smooth distal peg.<br />
5<br />
Final Fixation<br />
• Complete fixation with additional pegs distally<br />
and screws proximally.<br />
• Confirm that all screws and pegs are fully seated<br />
prior to closing incision.<br />
Tips<br />
1. A standard screw-in peg guide can be used in lieu of the Quick Guide for drilling and measuring peg holes.<br />
2. The Plate Benders may be used to contour the plate to the site of application, however, this may alter the trajectory<br />
of the fixed pegs.
TriMed Wrist Fixation System <br />
Volar Fixed Angle Plate <br />
Volar Fixed Angle Plate<br />
standard<br />
VPPL-3-7<br />
VPPL-5-7<br />
VPPR-3-7<br />
VPPR-5-7<br />
Quick Guide<br />
QGUIDE-1.75<br />
Cortical Bone Screws<br />
HEX3.2-xx<br />
08mm to 20mm<br />
(incl. 11, 13 and 15mm)<br />
TRX2.3-xx<br />
10mm to 32mm<br />
Peg Extender<br />
and<br />
Peg Guide<br />
PEG-XTNDR<br />
PEG-GUIDE<br />
Pegs<br />
threaded<br />
TPEG-xx<br />
14mm to 32mm<br />
smooth<br />
UPEG-xx<br />
14mm to 28mm<br />
Plate Benders<br />
PLTBNDR-L<br />
PLTBNDR-R<br />
Instrument tray and implant caddies.<br />
The Volar Fixed Angle Plate is one component<br />
of the TriMed Wrist Fixation System .<br />
TriMed, Inc. / 27533 Avenue Hopkins / Valencia, CA 91355 USA / 800-633-7221 / 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 Volar Fixed Angle Plate has U.S. and international patents pending. TriMed Volar Fixed Angle Plate is a trademark of TriMed, Inc.<br />
©2011 TriMed, Inc. All rights reserved. TME 841-24 (R 8-11)
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