Usually, large reduction clamps are used under direct vision. Keywords: Minimally invasive, percutaneous plate osteosynthesis, subtrochanteric femur fracture, supracondylar femoral fracture, MIPPO Introduction The 95condylar blade plate (CBP) has been used successfully to treat fractures and osteotomies of the proximal and distal femur (1-3). I. DCS PLATES; DHS PLATES; DISTAL FEMUR; DISTAL HUMERUS; DISTAL LATERAL TIBIA; DISTAL TIBIA; FEMUR Nails; K Nails; OLCARNON PLATES; Padical Screw; PROXIMAL FEMUR; PROXIMAL humerus; PROXIMAL TIBIA; TIBIA Nails; Catalogue; Contact Us; MY CART. Discussion: The PFM is one of the most commonly used implant for unstable proximal femur fractures. NCB Periprosthetic Distal Femur Plate 95° Angled Distal Hole The most distal central plate hole is an-gled at 95° to the plate shaft to allow screw insertion parallel to the joint. DCS Locking Plate. Where the obliquity will permit, the addition of a lag screw, across the fracture and through the plate, enhances stability. Für die Behandlung distaler Femur- und proximaler Tibiafrakturen wird das LISS-Implantat als minimalinvasiv anwendbares, komplikationsarmes Implantat propagiert. Available in both stainless Steel and Titanium. The screw head slides down the inclined plate hole as it is tightened, the head forcing the plate to move along the bone, thereby compressing the fracture. Includes a proximal femur plate, a distal femur plate, and a curved femur shaft plate. Proximal Lateral Tibia Plate . at best prices. The DCS is absolutely necessary when there is no possibility to reconstruct the condyles with closed … Beginning January 1st 1987 19 fractures of the proximal femur were stabilized utilizing the "dynamic condylar screw" (DCS). Subtrochanteric fractures present a particular problem in terms of fracture reduction and alignment. The DCS is an implant to be used only in certain situations. 4.5mm Locking L Buttress Plate. Am lateralen Ende der Verbindung zwischen Hals und Femurschaft befinden sich z… With our study PFN has given us encouraging results over conventional DHS& DCS. Product Support Material. That means that, in a simple fracture, a direct reduction of the main fragments is required. Under Angled Blade Plates we offer 95° Condylar plates, 130° Angled Blade Plates and Angled Blade Plates for Intertrochanteric Femoral Osteotomies. It offers solutions when the medullar cavity is blocked by implants in the proximal femur, and in case of pathological fractures, where it is necessary to remove all cancerous tissue and to reinstate the stability of the bone through compound osteosynthesis. The objective of compression plating is to produce absolute stability, abolishing all interfragmentary motion. Hence we recommend PFN as better implant for fixation of subtrochanteric fracture. Over 10 million scientific documents at your fingertips. LCP Proximale Femur-Hakenplatte 4.5/5.0 … Curved Reconstruction Locking Plate. proximal femoral shaft without retracting the periosteum. Treatment. In the cases we applied the DCS hitherto employment of a bone distractor of complementary cancellous bone graft has been mandatory. On the lateral view, the distal femur is divided into thirds and the DCS entry site is located at the junction of the anterior and middle thirds. 4 Determine antetorsion To determine the antetorsion of the femoral neck using the DHS Angled Guide (358.005–040) and the DHS/DCS T-Handle (338.080), place a Kirschner wire ventrally over the femoral neck and tap the tip slightly into the femoral head. DCS: Dynamic condylar screw. Browse catalog and ask for a free quote now! The DCS plate 95° can also be used on the proximal femur using the same technique. We supply superior quality distal femur implants including distal femur locking plates, condylar blade plates, condylar buttress plates, cobra head plates, DCS barrel plates, femoral head locking plates etc. 4.5mm Locking T Plate. 3, December 2014 Proximal femoral locking compression plate for proximal femoral fractures 291 Figure 4 (a) A pertrochanteric fracture (AO type 31A2.3) is fixed with the proximal femoral locking compression plate. Die Häufigkeit wird mit 2:100.000 angegeben. This service is more advanced with JavaScript available, Panta Rhei — Umdenken — — Umdenken — Intramedullary implants like proximal femoral nail (PFN) or surface implants like Dynamic Condylar Screw (DCS) are few of the described implants for revision surgery. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. Stocker R, Heinz T, Vécsei V (1995) Ergebnisse der operativen Versorgung von distalen Femurfrakturen mit Gelenkbeteiligung. It offers solutions when the medullar cavity is blocked by implants in the proximal femur, and in case of pathological fractures, where it is necessary to remove all cancerous tissue and to reinstate the stability of the bone through compound osteosynthesis. Compression plating provides fixation with absolute stability for two-part fracture patterns, where the bone fragments can be compressed. 86-year-old male sustained a comminuted extracapsular fracture of left proximal femur following a fall. Its position is checked fluoroscopically in two planes, and adjusted, if necessary. Although dynamic compression screw (DCS), proximal femoral locking plate (PF-LCP) and other implants can be used in these failed situations, they are associated with a high complication rate. 4.5mm Locking T Buttress Plate. The screw is placed eccentrically. Distal Lateral Femur Plate. Unable to display preview. Proximal Lateral Tibia Plate. The DCS is an implant to be used only in certain situations. PFN Nail (Proximal Femoral Nail) Long sizes: Distal diameter 9-12 mm, Angle 130° or 135°, Length from 320 to 420 mm. Therefore, the aiming device is lined up parallel to the femoral neck in both the axial and the AP views, the guide wire should be aimed at the lower portion to the femoral head. The system is indicated for use in trochanteric, pertrochanteric, intertrochanteric, and basilar neck fracture. With vertical load, the curved femur creates a tensile force laterally and a compressive force medially. GPC Medical - India's largest manufacturer of distal femur fracture implants. The wire is advanced to just short of the subchondral bone of the femoral head. Manufacturer of Locking Compression Plates - Locking Proximal Femur Plate, Locking Medical Distal Tibia, LCP, DHS & DCS Plates and LCP Anatomical Plates offered by Beta Surgicare Private Limited, Delhi. The DCS plate 95° can also be used on the proximal femur using the same technique. As a first step a guide wire for the condylar screw is inserted proximally. Distal Medial Tibia Plate. To determine the entry point on the proximal femur … Locking Trochanter Stabilizing Plate for DHS® Supplement to DHS/DCS ® Surgical Technique 4 Introduction In unstable trochanteric fractures, varus deformation of the proximal frag-ment, with „cut out“ of the screw and medialisation of the distal femoral fragment, are possible complications after treatment with the dynamic hip screw. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. Subsequently a 6 and 12 week clinical and radiological follow-up is usually made. DHS / DCS Instrument & Implants. China Orthopedic Dcs Plate, Find details about China Femur Plate, Femoral Plate from Orthopedic Dcs Plate - SUZHOU PLANG ORTHO INSTRUMENT CO., LTD. Dabei ergab sich eine durchschnittliche Operationszeit von 2–3 h, der Zeitpunkt bis zur Vollbelastung variierte zwischen 6 … Distal Medial Tibia Plate. Proximal Femur Plate - Siora Surgicals is a manufacturer, exporter & suppliers of Locking Proximal Femur Plate 5.0/7.0mm from India. Peter V Giannoudis, Hans Christoph Pape, Michael Schütz. There is no evidence in the literature to choose one implant over the other. However, outside academic medical centers, it is not commonly utilized due to technical complexity and surgeon inexperience. DHS & DCS Lag Screw. The use of one or more additional lag screws, inserted after fracture compression, is recommended in simple oblique and spiral fractures. LCP Proximal Femoral Hook Plate Set 4.5/5.0 (stainless steel) Periarticular LCP Plating System Instrument Set Cannulated Locking and Cannulated Conical Screw 5.0 and 7.3 mm Set LCP Large Fragment Instrument Set LCP Large Fragment Screw Set Complete the preoperative radiographic assessment and pre-pare the preoperative plan. No products in cart. If a continuous passive motion device is used, this must be discontinued at regular intervals for the essential static muscle exercises. During or after reduction of the fracture the DCS is accomplished by a supporting plate. In the locked mode, the NCB Periprosthetic Femur Plate acts as an internal fixator without contact between the plate and the bone surface, so not to directly impair periosteal blood supply. Feb 20, 2020 - Auxein Medical is Indias leading Orthopedic Implants & Instruments manufacturing company, 4.5 mm Wise Lock Paediatric Hip Plate are in Titanium & SS. compression screw (DCS), proximal femoral locking plate (PF­LCP) and other implants can be used in these failed situations, they are associated with a high complication rate. Sept.-2. DHS/DCS Standard System DHS plate Compression plating can only be applied in an open procedure. If the overall reduction is found to be satisfactory, the first cortical screw is placed in the distal fragment near the fracture. PFNA: Proximal femoral nail anti-rotation. To improve the compression further, the first screw in the distal fragment can be placed eccentrically. Historically, the 95-degree blade plate was the most commonly used implant for the internal fixation of proximal femur fractures, and there is a large body of literature supporting its use (6,7,12, 13 and 14). The lag screw may be independent of the plate, or through the plate, depending on the exact fracture configuration. The tension device is dismantled after two additional neutral screws are placed in the distal fragment. The ideal entry point for the DCS is shown on the diagram. 4.5/5.0mm Locking Reconstruction Plate. 40. LC DCP Narrow Tibia Locking Plate. 2015;46:347–57. The treatment of proximal femoral fractures is usually surgical and various fixation devices have been commonly used, including the dynamic hip screw (DHS), the dynamic condylar screw (DCS), angled blade plates or condylar plates, and different types of proximal intramedullary nails. Static quadriceps exercises with passive range of motion of the knee should be encouraged. 4.5mm Locking T Buttress Plate. Indian J Orthop. To determine the entry point on the proximal femur see step 4, page 13. In fragility fractures, poor bone quality can make adequate reduction challenging. Thanks to its new design, now it has the feature of making compression to the trochanteric through three 7.3mm compression screws. DHS/DCS Kompressionsschraube. Afterwards special emphasis should be placed on active knee and hip movement. CT suggested partial union. Der Winkel zwischen Hals und Schaft wird als Collum-Diaphysen-Winkel (CD-Winkel) bezeichnet. This is a preview of subscription content. The use of PFN is technically demanding and is associated with high failure rates. AIM OF THE STUDY: To compare the functional outcomes of subtrochanteric fractures manged by Proximal femur nail and Proximal femur locking plate. DHS/DCS Plate system is intended for use in fixation of fractures to the proximal femur. However, outside academic medical centers, it is not commonly utilized due to technical complexity and surgeon inexperience. And rotation the screw backed out and patient complained of prominent metalwork and pain guide at! 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