SURGICAL TECHNIQUE

Forearm Fracture Solutions Surgical Technique

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Forearm Fracture Solutions

Product Overview

The precontoured radius plates of the Acumed Anatomic Midshaft Forearm Plating System offer marked hardware improvements over traditional straight plates. The system can be used to treat fractures, fusions, and osteotomies of the radius and ulna. It can also be used in conjunction with the Acumed Forearm Rod System for a less invasive approach to radius, ulna, and both-bone forearm fractures in the diaphyseal region. The Anatomic Midshaft Forearm Plating System includes Midshaft Ulna Plates, Volar Midshaft Radius Plates, and Dorsolateral Midshaft Radius Plates.

The Acumed Forearm Rod System offers surgeons an alternative option for the treatment of fractures and osteotomies of the radius and ulna over traditional plating. Each fluted rod is designed to be inserted through a small incision with minimal canal reaming. A targeted interlocking screw, combined with a paddle blade tip design, locks and rotationally secures the bone segments to assist in fracture union.

Case Series: Forearm Fractures

In this series of six case studies, Dr. Jared Salinsky uses the Acumed Anatomic Midshaft Forearm Plate System to treat patients with various fractures of the radius and/or ulna including a nonunion of midshaft, a displaced left ulnar fracture, a diaphyseal fracture of the ulna, a grade-2 open fracture, and acute radius and ulna fractures.

Product Training Series: Forearm Fracture System Key Features with Victoria Lauren

Plate Features

The First Precontoured Radius Plates

Due to the sagittal bow of the radius, plating with contoured plates in the sagittal plane improves rotation when compared with straight plates.2 For every 5 degrees of radial curvature that is not restored, the patient may lose 15 degrees of rotational motion.2

 

Two Contoured Radius Plate Options

Acumed offers two contoured radius plate options, including volar and dorsolateral approach options and an ulna plate.

 

Precontoured Plate Advantages

Precontoured plates are intended to minimize plate bending to help save operating time. This allows surgeons to focus on restoring anatomy and re-establishing forearm pronation-supination.1

 

Plate Design Features

Tapered plate ends may reduce stress on bone and risk of secondary or subsequent fracture adjacent to the plate. A limited-contact under-surface minimizes contact with the periosteum to avoid disruption of blood supply.

 

Creative Instrumentation

Innovative instrumentation includes a swiveling plate clamp, an angled drill guide, and a soft tissue spreader to aid in plate implantation.

Rod Features

Minimally Invasive

The rod is designed to be inserted through a small incision with minimal canal reaming.

 

Rotational Stability

The rod’s paddle-blade tip and interlocking screws are designed to lock and rotationally secure bone segments to assist in fracture union.

 

Straightforward Technique

The straightforward surgical technique is designed to streamline the surgical experience.

 

Precontoured Rods

Rods are precontoured to match the ulnar and radial canal’s geometry.

Anatomic Midshaft Forearm Plates

Volar Midshaft Radius Plates

Anatomically precontoured plates are intended to help restore forearm geometry and assist in reestablishing pronation and supination.

Dorsolateral Midshaft Radius Plates

Precontoured plates are designed to help restore radial bow and may reduce the need for intraoperative bending, thereby reducing the risk of implant weakening that may come with bending of traditional implants.

Midshaft Ulna Plates

Acumed Anatomic Midshaft Forearm Plates offer a low-profile design with tapered ends designed to reduce stress shielding and feature a limited contact undersurface designed to reduce compression of the periosteum.

Forearm Rod System

Ulna Rod

The Acumed Ulna Rod is designed to address simple, transverse, and short oblique fractures as well as osteotomies of the ulna. Each fluted rod is designed to be inserted through a small incision with minimal canal reaming. A targeted interlocking screw, combined with a paddle blade tip design, locks and rotationally secures the bone segments to assist in fracture union.

Radius Rod

The Acumed Radius Rod is used to treat fractures and osteotomies of the radius. Contoured to ease insertion and closely match the geometry of the radial canal, the rod’s targeted interlocking screws and paddle-blade tip are designed to lock and rotationally secure bone segments to stabilize the fracture. This minimally invasive technique may reduce scarring and surgery time over traditional open reduction internal fixation (ORIF).

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