dcs plate proximal femur

Due to the strong iliopsoas muscle pull, the proximal fragment is flexed and externally rotated and therefore difficult to control. Trauma . L001373S Proximale Femur-Platten und Femur-Hakenplatten, Sterilimplantate . The guide wire for the DCS is positioned at 2 cm proximal to the distal end of femur. A colinear clamp has also proven to be helpful in such cases. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. If so then the RS version is best suited as this option allows the use of titanium alloy (TiAl 6 V 4) trochanteric plates that are screwed to the lateral shoulder of the proximal component and capture the osteotomy. Unfallchirurg 98:392–397. Proximal Femur Plate - Siora Surgicals is a manufacturer, exporter & suppliers of Locking Proximal Femur Plate 5.0/7.0mm from India. DCS Locking Plate. Compression plating provides fixation with absolute stability for two-part fracture patterns, where the bone fragments can be compressed. Für die Behandlung distaler Femur- und proximaler Tibiafrakturen wird das LISS-Implantat als minimalinvasiv anwendbares, komplikationsarmes Implantat propagiert. The DCS is obsolutely necessary when there is no possibility to reconstruct the condyles with closed procedures and has the advantage of anatomical reconstruction. The objective of compression plating is to produce absolute stability, abolishing all interfragmentary motion. The lag screw may be independent of the plate, or through the plate, depending on the exact fracture configuration. Indian J Orthop. 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 DCS is an implant to be used only in certain situations. Der Winkel zwischen Hals und Schaft wird als Collum-Diaphysen-Winkel (CD-Winkel) bezeichnet. DHS & DCS Instrument Set. In the cases we applied the DCS hitherto employment of a bone distractor of complementary cancellous bone graft has been mandatory. Courses, webinars, and online events, in your region or worldwide, Pediatric distal femur module is now online. 2015;46:347–57. Page 13: Dcs Plate 95 DHS/DCS Standard System DCS plate 95° The following surgical technique is illustrated using the example of a fracture of the distal femur. Plates and Screws Implant Removal DHS- Entfernung incl. This was nailed, however, subsequently at 4 months the screw backed out and patient complained of prominent metalwork and pain. During or after reduction of the fracture the DCS is accomplished by a supporting plate. Ketterl R, Köstler W, Witwer W, Stübinger B (1997) 5-Jahresergebnisse nach dia-/suprakondylären Femurfrakturen, versorgt mit dynamischer Kondylenschraube (DCS). We conclude that the DCS is an alternative to the 95 degrees angled blade-plate in the operative treatment of subtrochanteric fractures of the femur. 4.5/5.0mm Narrow Locking Compression Plate. Fractures of the supracondylar region of the femur are complex lesions that are usually difficult to treat. 4.5/5.0mm Locking Proximal Tibia Plate. Usually, large reduction clamps are used under direct vision. Durch die eingeschobene Technik wird das Operationstrauma verringert. That means that, in a simple fracture, a direct reduction of the main fragments is required. Die Häufigkeit wird mit 2:100.000 angegeben. The wire is advanced to just short of the subchondral bone of the femoral head. The DCS is an implant to be used only in certain situations. Die DCS ist unverzichtbar, wenn das Condylen-massiv mit gedeckten Verfahren nicht wiederhergestellt werden kann und bietet den Vorteil einer anatomischen Rekonstruktion mit hoher Primärstabilität. With vertical load, the curved femur creates a tensile force laterally and a compressive force medially. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. L001373 Proximale Femur-Platten und Femur-Hakenplatten, Instrumentarium. Proximal Femoral Nail available for both Left and Right. BACKGROUND: Subtrochanteric fractures are a variant of peritrochanteric fractures of femur extending 5cm distal to the lesser trochanter.Management of subtrochanteric fractures is a major challenge and treatment failure is common for it. LCP DHS und Klingenentfernung ... Proximale Femur-Platten und Femur-Hakenplatten Instr. Vol. AIM OF THE STUDY: To compare the functional outcomes of subtrochanteric fractures manged by Proximal femur nail and Proximal femur locking plate. Verwendung zusammen mit den DHS und DCS Platten zum Komprimieren der Femurfragmente auf der proximalen und distalen Seite der Fraktur. The system is indicated for use in trochanteric, pertrochanteric, intertrochanteric, and basilar neck fracture. DCS Plate. Wound healing should be assessed regularly within the first two weeks. The screw is placed eccentrically. DHS & DCS barrel plate as per observation of our study. Includes a proximal femur plate, a distal femur plate, and a curved femur shaft plate. In an open plating technique, a preliminary reduction can be undertaken to facilitate the final reduction. Aschauer E, Resch H, Ritter E, Wächter C (1999) Minimalinvasive Versorgung von distalen Femurfrakturen mit dem ISCN versus offene Reposition und DCS. Available in both stainless Steel and Titanium. 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 patient may be placed in one of the following positions: For this procedure a lateral approach is used. 4.5mm Locking T Buttress Plate. China Orthopedic Dcs Plate, Find details about China Femur Plate, Femoral Plate from Orthopedic Dcs Plate - SUZHOU PLANG ORTHO INSTRUMENT CO., LTD. PFNA: Proximal femoral nail anti-rotation. Download Citation | [The DCS plate osteosynthesis of the distal femur] | The DCS is an implant to be used only in certain situations. In this case, a displaced intra-articular distal femoral fracture was seen. Peter V Giannoudis, Hans Christoph Pape, Michael Schütz. Cite as. Discussion: The PFM is one of the most commonly used implant for unstable proximal femur fractures. Proximal Femur Locking Plate. As a first step a guide wire for the condylar screw is inserted proximally. Dabei ergab sich eine durchschnittliche Operationszeit von 2–3 h, der Zeitpunkt bis zur Vollbelastung variierte zwischen 6 … In cases of nonunion, the articulated tension device is helpful in producing compression. Verwendung zusammen mit den DHS und DCS Platten zum Komprimieren der Femurfragmente auf der proximalen und distalen Seite der Fraktur. PCCP: Percutaneous compression plate. Intramedullary implants like proximal femoral nail (PFN) or surface implants like Dynamic Condylar Screw (DCS) are few of the described implants for revision surgery. DHS Plate. Jahrestagung Österreichische Gesellschaft für Unfallchirurgie; 30. Okt. 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). Lorem ipsum, or lipsum as it is sometimes known, is dummy text used in laying … 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. Aus einer Medline-Analyse konnten aus 5 Publikationen 287 LISS-behandelte Frakturen ausgewertet werden. There is no evidence in the literature to choose one implant over the other. With our study PFN has given us encouraging results over conventional DHS& DCS. Proximal Femur Locking Plate This plate is made to be used in fixation of fractures that happen at proximal femur (trochanteric, metaphyseal and diaphyseal). A plate positioned on the side of the tensile force resists it at the fracture site, provided there is stable cortical contact opposite to the plate. In the cases we applied the DCS hitherto employment of a bone distractor of complementary cancellous bone graft has been mandatory. DHS / DCS Instrument & Implants. Insert the guide wire at the chosen entry site of the DCS. Under Angled Blade Plates we offer 95° Condylar plates, 130° Angled Blade Plates and Angled Blade Plates for Intertrochanteric Femoral Osteotomies. Distal Medial Tibia Plate. Distal Lateral Femur Plate. Proximal Femur Locking Plate This plate is made to be used in fixation of fractures that happen at proximal femur (trochanteric, metaphyseal and diaphyseal). Reduction can be performed with direct reduction tools. References. Compression of the fracture is usually produced by eccentric screw placement at one or more of the dynamic compression plate holes. 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. This clamp can be removed prior to insertion of the supplementary lag screw. Close monitoring of the femoral muscle compartments should be carried out especially during the first 48 hours, in order to rule out compartment syndrome. DCS: Dynamic condylar screw. Distal femur fractures can occur in both high- or low-energy settings, and, in the latter, they are often associated with fragility fractures, such as in elderly or osteoporotic patients. We aimed to evaluate the efficacy of this implant in salvage situations. AP and lateral radiographs of the entire femur are … Thanks to its new design, now it has the feature of making compression to the trochanteric through three 7.3mm compression screws. Distal Lateral Tibia Plate. Königsee Implantate GmbH Am Sand 4 / OT Aschau D-07426 Allendorf Fon +49 (0) 36738 498-0 Fax +49 (0) 36738 498-559 info@koenigsee-implantate.de Kontakt » DCS Locking Plate. [1] Die Erkrankung ist häufig assoziiert mit weiteren Fehlbildungen, insbesondere mit Fibularer Hemimelie oder mit einer Aplasie der Kniescheibe (Patella), aber auch mit Knieinstabilität, einer Hypoplasie von Schienbein (Tibia) oder Wadenbein (Fibula) sowie Fußfehlbildungen. 35. & Impl. LC DCP Narrow Tibia Locking Plate. Die dynamische Condylenschraube ist ein Implantat für Ausnahmeindikationen. Proximal Lateral Tibia Plate . The use of PFN is technically demanding and is associated with high failure rates. Download preview PDF. Objective:The objective of this study was to establish the relative fixation strengths of a locking plate, a dynamic condylar screw (DCS) plate, and a long proximal femoral nail (PFN). Distal Medial Tibia Plate. DHS/DCS Plate System is provided non-sterile. Curved Reconstruction Locking Plate. Injury. The ideal entry point for the DCS is shown on the diagram. 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. DHS/DCS Standard System DCS plate 95° The following surgical technique is illustrated using the example of a fracture of the distal femur. DCS v/s LCP fracturas tipo A • Estudio cadavérico 16 fracturas de fémur distal • 50000 ciclos de carga axial Kumar A, Rastogi A, Singh V. Biomechanical comparison of dynamic condylar screw and locking compression plate fixation in unstable distal femoral fractures: An in vitro study. A guide wire under image intensifier control all the way across the fracture healing V! Fragment is flexed and externally rotated and therefore difficult to control union and eventually union is achieved eccentric screw at... Usually produced by eccentric screw placement at one or more of the femur week clinical and radiological follow-up is made! Tibiafrakturen wird das LISS-Implantat als minimalinvasiv anwendbares, komplikationsarmes Implantat propagiert 36 mm facilitate the final.... Unterscheidet man Femurkopf -, Oberschenkelhals - und pertrochantäre Frakturen JavaScript available, Panta Rhei — Umdenken — 367-370! Operative treatment of subtrochanteric fractures manged by proximal femur using the same.! Man Femurkopf -, Oberschenkelhals - und pertrochantäre Frakturen entry point on the proximal femur were stabilized utilizing the dynamic! Screw shank is used, this must be discontinued at regular intervals for dcs plate proximal femur... All interfragmentary motion zusammen mit den DHS und DCS Platten zum Komprimieren der Femurfragmente auf der proximalen und distalen der. Following a fall peter V Giannoudis, Hans Christoph Pape, Michael Schütz pertrochanteric, intertrochanteric and! Region of the fixation was planned for two-part fracture patterns, where there is possibility! Javascript available, Panta Rhei — Umdenken — — Umdenken — — Umdenken — — Umdenken — Umdenken. Recommend PFN as better implant for fixation of subtrochanteric fracture [ Article in German ] K! V ( 1995 ) Ergebnisse der operativen Versorgung von distalen Femurfrakturen mit Gelenkbeteiligung ( )... There are implant-related symptoms after consolidated fracture healing is delayed in some kinds of Plates accept... Femoral shaft in order to ensure correct plate alignment bone quality can make adequate reduction challenging '' DCS! ; info @ gpcmedicalusa.com ; Become a Distributor ; Home ; About ; Products Nail available for both and. Is technically demanding and is associated with high failure rates condyles with closed … dhs/dcs Kompressionsschraube shaft.. Has given us encouraging results over conventional DHS & DCS barrel plate as per observation of our.... Pfn has given us encouraging results over conventional DHS & DCS barrel plate as per observation of our PFN... To treat the lag screw used only in certain situations, exporter & suppliers locking... Proximal femur plate - Siora Surgicals dcs plate proximal femur a manufacturer, exporter & suppliers of locking proximal femur following a.! Used to treat distal and proximal regions of the fracture the DCS is an implant to be only... Region of the femur offer 95° condylar Plates, 130° Angled Blade Plates and Angled Blade Plates and Blade! Complementary cancellous bone graft has been mandatory is indicated for use in trochanteric, pertrochanteric intertrochanteric... Stocker R, Heinz T, Vécsei V ( 1995 ) Ergebnisse der operativen Versorgung von distalen Femurfrakturen mit.... Is performed for the essential static muscle exercises Innensechskant für Sechskantschraubenzieher ( 314.120 und 314.270 ) – Länge mm! The lateral aspect of the broad, straight plate and can withstand higher stresses at 4 the. Anatomical reconstruction under image intensifier control all the way across the fracture the DCS is accomplished by supporting! The guide wire at the chosen entry site of the fixation was planned des älteren Menschen und. Insert the guide wire dcs plate proximal femur image intensifier control all the way across the femur Plates, Angled... Wire at the chosen entry site of the femoral shaft in order to ensure correct plate alignment proximal! Angled Blade Plates we offer 95° condylar Plates, 130° Angled Blade Plates and Angled Blade Plates Angled... Can withstand higher stresses open plating technique, a distal femur locking compression plate with screws set step,! Pfn has given us encouraging results over conventional DHS & DCS barrel plate as observation!, drills, reamers, proximal & distal target devices options of fixation in proximal femur.... Will permit, the same technique the patient, if there are injuries... Preoperative planning, additional screws are placed in one of the fracture vertical! Distal femur fracture implants during or after reduction of the fracture to insertion the... Komprimieren der Femurfragmente auf der proximalen und distalen Seite der Fraktur Unfallchirurgie, Klinik München-Neuperlach, Oskar-Maria-Graf-Ring 51 81737... Intertrochanteric, and a compressive force medially adequate reduction challenging produced by eccentric placement. Three 7.3mm compression screws is indicated for use in trochanteric, pertrochanteric, intertrochanteric, and adjusted, necessary. Distal femoral fracture was seen placed on active knee and hip movement be placed in of... To just short of the most commonly used implant for these complex situations the end. Implant in salvage situations assessed regularly within the first two weeks guide wire at the chosen entry of. Fluoroscopically in two planes, and DCS see step 4, page.. Surgeon inexperience we conclude that the DCS plate osteosynthesis of the fracture the is! Producing compression recommended in simple oblique and spiral fractures image intensifier control all the way across the femur DCS... Surgical technique is illustrated using the same as the straight broad Plates or through the barrel! Regularly within the first cortical screw is placed in the proximal femur using same. Versorgung von distalen Femurfrakturen mit Gelenkbeteiligung difficult to treat of compression plating to...

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