A radial head replacement is more effective in comminuted radial. The radial head is part of the lateral compartment of the elbow. The acumed radial head plating system provides a method for the treatment of fractures. Elbow fracture dislocations that involve a radial head fracture and a coronoid fracture are very challenging to manage. This section offers acumed s suggested method for implanting the radial head plate from the mayo clinic congruent elbow plate system. The acumed anatomic radial head prosthesis is designed to provide a precise anatomical implant to replace the patients native radial head. Anatomic radial head solutions surgical technique acumed. Manufacturers, international and consumer assistance at its tollfree number 800. This comprehensive system includes several plate families to give surgeons the freedom to choose between distal or proximal sitting plates, three different plate extension options and fragment. Radial head replacement in adults with recent fractures. Operative guides below all pdf files, be patient they do take time to load. Elbow plating system brochure and surgical technique. Results measurements showed a mean dorsal hook angle of product overview the acumed elbow plating system offers multiple fixation options for fractures of the distal humerus, olecranon, and coronoid, as well as osteotomies of the olecranon. A radial head replacement is more effective in comminuted radial head fractures.
The acumed anatomic radial head system is designed to provide an 2 mini and micro instruments and the locking radial. Whichmedicaldevice is a free resource created by clinicians for clinicians. I started at 1 pound and moved up to 2 pounds after a few weeks. He is fluid resuscitated and thorough physical exam and radiographic evaluation. The acutrak 2 mini system can be included in the base of the tray,as well as the mayo clinic radial head plate if needed upon request. Radial head arthroplasty with a smoothstemmed metallic modular implant is a reliable treatment option for patients with acute unreconstructible. Scapular fractures are rare, but present significant challenges for fixation. Many innovative design features are incorporated into the implant heads and stems, as well as the instrumentation to improve the surgical technique. Replacement of the radial head for degenerative or posttraumatic disabilities presenting pain, crepitation, and decreased motion of the radiohumeral andor. The system allows over 200 combinations of implants. Class 2 device recall acumed slideloc anatomic radial head. Acumed releases the slideloc anatomic radial head system. Radial head plating system the acumed radial head plating system provides a method for the treatment of fractures when the radial head is salvageable.
To request a price quote andor surgical evaluation of products, please add all products of interest to your cart by selecting the respective product checkboxes in the quote 1 andor surgical evaluation 2 column of the products view 3. The explor rim plate fits directly onto the rim portion of the radius figure 8 and is designed to be used in fractures where the annular ligament is torn as part of the initial elbow injury. This system o ers a family of precontoured plates designed for use in the safe zone of the radial head. Replacement of the radial head for degenerative or posttraumatic. Trauma work up is only positive for an acetabular fracture. Results of ulnar shortening osteotomy with a new plate. The radial head plating system may be combined with any of the acumed anatomic radial. A portion of listers tubercle may need to be removed to allow the plate to sit flush on the distal radius. The evolve triad system is designed to address fixation of the fractures commonly associated with this injury. This also supposes you have been advised by your surgeonphysical therapist to use weights.
The lateral column plates improve upon the biomechanics of posterior plating by enabling longer screws in the articular fragments to interdigitate with. Results all patients treated by the acumed anatomic. The hotchkiss safe zone is located on the opposite side of the radial tuberosity. Radial head plating system surgical technique acumed. In addition, the circumference of the radial head articulates with the radial notch of the ulna, forming the proximal radioulnar joint. Anatomic radial head brochure and surgical technique acumed. Radial head fractures with acumed anatomic radial head system 6331 int j clin exp med 2015. The intraclass correlation coefficient was between 0. The system is modular comprising a stem, collar and cobalt chrome head. Limited contact a limited contact undersurface is designed to ease compression of the periosteum to minimize distla decrease in blood supply to the. This latest addition to our anatomic radial head solutions offers further refinements to the first. Low plate profile reduces soft tissue irritations 1 highly stable fixation despite low plate profile. Acumeds pelvic fracture system was developed in conjunction with leading trauma surgeons and is acumeds first step in its plans to expand its presence in trauma.
The ellipsoid shape of the implant is intended to mimic the natural radial head. It articulates with the capitellum to form the humeroradial joint. The aim of this paper was to present the mediumterm results of the acumed anatomic radial head system aarhs. Similarly, radial head arthroplasty must be considered when the radial head is not repairable and there is evidence of an injury to the interosseous membrane. The anatomic radial head system is a comprehensive solution for radial head fractures. The screw trajectory is designed to allow screws to capture fracture platlng and avoid other screws regardless of the screw length selected. This versatile system of precontoured plates is designed for use in the radial heads safe zone and features a straightforward surgical technique that may save. The slideloc anatomic radial head system features a further refined anatomic radial head and a threepart implant design for increased modularity. This versatile system of precontoured plates is designed for use in the radial head s safe zone and features a straightforward surgical technique that may save time in the surgery room. Most patients got a painfree elbow and visual analog scale for pain 1.
For specific questions not addressed here,please contact your local acumed representative or acumed by phone at 888 6279957 or on the web at. Acumed launches pelvic plating system orthopedics this week. Acumed elbow plating system by zachary juergensen on prezi next. Finally, the radial head is a key component of the forearm scaffold. Once inserted over the taper, the radial head is secured using the impactor fig.
Pdf radial head prostheses rhp have been developed to decrease the complications rate. The acumed anatomic radial head system includes the first anatomically shaped radial head prosthesis introduced to the orthopaedic industry. Awan demonstrates his surgical technique for replacing a radial head using the acumed anatomic radial head solutions. Comminuted radial head fractures treated by the acumed anatomic. Request pdf anatomic fit of six different radial head plates. This is the largest study to our knowledge of a series of ulnar shortening osteotomies and successful healing without the removal of any implants. Open reduction and internal fixation of mason type iii. Radial head replacement using the anatomic radial head. The anatomic radial head system from acumed is indicated for radial head replacement after comminuted fracture.
We are dedicated to developing products, service methods and approaches that improve patient care. No loss of consciousness, however there was a prolonged extraction. The dorsal lunate plate is designed to provide support to fracture patterns that involve the dorsal lunate facet of the distal radius and the sigmoid notch. Comments about the acumed locking anterior clavicle plates. Email updates yes, please send me updates by email. This versatile system of precontoured plates is designed for use in the radial heads safe zone and features a straightforward surgical. Anatomic radial head system surgical technique acumed. Coronoid plate family sgstem plates are designed to act as a buttress to the coronoid and help counteract the tendency of the elbow to subluxate. The radial head was previously considered a disposable part of the skeleton, but it is now recognized as an important stabilizer of the elbow and forearm articulations. The acumed aculoc 2 wrist plating system offers 48 plate options including distal and proximal sitting plates, three different plate extension options, and fragmentspecific plating choices. Second, the modular head is placed over the taper while applying longitudinal distraction andor varus stress to distract the radiocapitellar interface sufficiently to permit the radial head to be inserted.
This fixation is maximized when the screws in the articular plxting interdigitate with the screws from the acumed lateral column plate on the lateral side. Radial head arthroplasty is an essential element in the management of an unstable elbow when there is a fracture of the radial head that cannot be repaired. Registering with the acumed sight is free and they offer streaming video surgical techniques. Radial head arthroplasty modern implants unipolar or bipolar, monoblock or modular, anatomical or nonanatomical, cemented or pressfit correct diameter, height, medial offset and cervicocephalic angle bipolarity permits an automatic positioning of the radial head with respect to the neck and the opposite. Treatment of complex multifragment fractures possible 24 easy to use system thanks to uniform screw dimension of 2. The explor radial head plating system also offers a long rim plate for more complex radial head fractures. Hexalobe multiscrews are made of titanium alloy, astm f6.
The acumed radial head plating system provides an innovative method for the treatment of fractures when the radial head is salvageable. The acumed anatomic radial head system provides a comprehensive solution that includes the first anatomicallyshaped radial head prosthesis on the market and is equipped with the tools needed to restore the patients anatomy in a radial head replacement surgery. The acumed anatomic radial head system is designed to provide an 2 mini and micro instruments and the locking. This is for proximal radial head injuriesat the elbow doing some of this for distal radial head injuriesat the wrist is a bad idea. Acumed anatomic radial head solutions surgical technique 2 radial head resection using the long stem resection guide 801512, initially resect the radial head with a microsagittal saw. Request pdf comminuted radial head fractures treated by the acumed anatomic radial head system the treatment of comminuted radial head fractures is still challenging. Treatment of radial head fractures with a modular metallic. The system features both strategically precontoured and uncontoured plates, precontoured in places where it may save time and add secure fixation, and uncontoured in places. Of 14 patients, 12 with radial head prosthesis were available for the study. The acumeds lowcontact plate designed specifically for ulnar shortening osteotomy demonstrated 100 % union rate and no implant removal in our series. The acumed anatomic radial head slideloc system consists of modular heads and stems with accessories for anatomical replacement of the proximal portion of the radius and restore the natural articulation of the radial head with the radial notch of the ulna and capitellum of the distal humerus. Case report comminuted radial head fractures treated by. Comminuted radial head fractures treated by the acumed.
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