dcs plate proximal femur

Due to the strong iliopsoas muscle pull, the proximal fragment is flexed and externally rotated and therefore difficult to control. DHS/DCS Plate system is intended for use in fixation of fractures to the proximal femur. DHS/DCS Sperrvorrichtung. Distal Lateral Femur Plate. Author information: (1)Abteilung Unfallchirurgie, Klinik München-Neuperlach, Oskar-Maria-Graf-Ring 51, 81737 München. 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. PFNA: Proximal femoral nail anti-rotation. 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). DHS/DCS Plate system is intended for use in fixation of fractures to the proximal femur. The dynamic compression holes are arranged in an offset mode, the same as the straight broad plates. Peter V Giannoudis, Hans Christoph Pape, Michael Schütz. Compression of the fracture is usually produced by eccentric screw placement at one or more of the dynamic compression plate holes. Under DHS/DCS Plates we offer Dynamic Hip Compression Plates, Dynamic Hip Compression Plates Short Barrel, Dynamic Hip Compression Plate Double Angled … In fragility fractures, poor bone quality can make adequate reduction challenging. The 95-degree DCS This implant has multiple options of fixation in proximal femur and its curvature along the length matches the anterior bow of the femur. Compression plating alone is typically used for simple fracture patterns with low obliquity, where there is insufficient room for a lag screw. 4.5mm Locking T Buttress Plate. In this case, a displaced intra-articular distal femoral fracture was seen. 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. According to the preoperative planning, additional screws are placed in the proximal and distal fragments. 22 No. Cite as. 2015;46:347–57. In the case of partly supracondylar fractures, the kneepoint is not tampered with, and by subcutaneous technique, the operation is less traumatic. DCS: Dynamic condylar screw. Proximal Femur Locking Plate. NCBPeriprosthetic Distal Femur Plate Treatment. Article … DHS Plate. 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. 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. The DCS is an implant to be used only in certain situations. This clamp can be removed prior to insertion of the supplementary lag screw. Die Häufigkeit wird mit 2:100.000 angegeben. 4.5mm Locking T Plate. Courses, webinars, and online events, in your region or worldwide, Pediatric distal femur module is now online. Browse catalog and ask for a free quote now! The 95-degree DCS 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. LC DCP Narrow Tibia Locking Plate. Proximale Femurfrakturen sind häufige Frakturen, insb. The use of PFN is technically demanding and is associated with high failure rates. 2013 Nov-Dec; 47(6): 615–620. Reconstruction Locking Plate. +1 469 296-7220; info@gpcmedicalusa.com; Become a Distributor ; Home; About; Products . 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. 4.9 mm Locking Bolt Sizes: Length from … The system is indicated for use in trochanteric, pertrochanteric, intertrochanteric, and basilar neck fracture. Not logged in In the cases we applied the DCS hitherto employment of a bone distractor of complementary cancellous bone graft has been mandatory. That means that, in a simple fracture, a direct reduction of the main fragments is required. (b) After 2 months, autologous bone grafting is performed for the delayed union and eventually union is achieved. DHS & DCS Instrument Set. Durch die eingeschobene Technik wird das Operationstrauma verringert. Nach Lokalisation unterscheidet man Femurkopf -, Oberschenkelhals - und pertrochantäre Frakturen. DHS & DCS barrel plate as per observation of our study. Injury. We aimed to evaluate the efficacy of this implant in salvage situations. Includes a proximal femur plate, a distal femur plate, and a curved femur shaft plate. DHS Locking Plate. 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 L Buttress Plate. 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). This service is more advanced with JavaScript available, Panta Rhei — Umdenken — — Umdenken — Der Winkel zwischen Hals und Schaft wird als Collum-Diaphysen-Winkel (CD-Winkel) bezeichnet. Proximal Femur Plate - Siora Surgicals is a manufacturer, exporter & suppliers of Locking Proximal Femur Plate 5.0/7.0mm from India. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. In an open plating technique, a preliminary reduction can be undertaken to facilitate the final reduction. However, outside academic medical centers, it is not commonly utilized due to technical complexity and surgeon inexperience. Für die Behandlung distaler Femur- und proximaler Tibiafrakturen wird das LISS-Implantat als minimalinvasiv anwendbares, komplikationsarmes Implantat propagiert. https://doi.org/10.1007/978-3-642-56458-1_121. Proximal Femur Plate - Siora Surgicals is a manufacturer, exporter & suppliers of Locking Proximal Femur Plate 5.0/7.0mm from India. 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). Not affiliated Es bildet die knöcherne Grundlage des Oberschenkels. An ope… Lorem ipsum, or lipsum as it is sometimes known, is dummy text used in laying … L001373 Proximale Femur-Platten und Femur-Hakenplatten, Instrumentarium. 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 provided non-sterile. Proximal femur plate 7,3 mm cannulated locking screw is used for fixation of bone fragment with proximal femur locking compression plate 2 4.5mm Locking T Plate. 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. Wound healing should be assessed regularly within the first two weeks. Unable to display preview. 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. Bei rein suprakondylären Frakturen bleibt der Knieinnenraum unberührt. 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. DHS/DCS Standard System DHS plate @manufacturer of Syrus Femur Nail, Interlocking Nail - Orthopedic DCS Screw 12.5mm, Humerus Interlocking, Interlocking Nails, Femur,Syrus Femur Nail, Titanium Elastic Nail, Femur Nail Manufacturers,Femur Nail Suppliers Exporters in India 4.5/5.0mm Locking T Buttress Plate. 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. Compression plating can only be applied in an open procedure. Unfallchirurg 98:392–397. 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. Stocker R, Heinz T, Vécsei V (1995) Ergebnisse der operativen Versorgung von distalen Femurfrakturen mit Gelenkbeteiligung. The T-handle is lined up parallel to the femoral shaft in order to ensure correct plate alignment. Sie bietet Lösungsmöglichkeiten, wenn die Markhöhle des Femurs durch in-tramedulläre Implantate besetzt ist und bei pathologischen Frakturen, bei denen der pathologisch veränderte Bereich ausgeräumt und die Stabilität des Knochens durch eine Verbund-osteosynthese wiederhergestellt werden soll. Shen J, Luo F, Sun D, Huang Q, Xu J, Dong S, Xie Z. Mid-term results after treatment of intertrochanteric femoral fractures with percutaneous compression plate (PCCP). 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. During or after reduction of the fracture the DCS is accomplished by a supporting plate. CT suggested partial union. PREV. As a first step a guide wire for the condylar screw is inserted proximally. The DCS is an implant to be used only in certain situations. Subsequently a 6 and 12 week clinical and radiological follow-up is usually made. After indirectly determining the screw length by using the measuring device over the protruding guide wire, reaming is performed over the guide wire with a triple reamer that has been set to the measured screw length. Where the obliquity will permit, the addition of a lag screw, across the fracture and through the plate, enhances stability. If a continuous passive motion device is used, this must be discontinued at regular intervals for the essential static muscle exercises. The DCS implant was first used at the Queen's Medical Centre, Nottingham, in May 1987, and 24 fractures of the proximal or distal femur in 24 patients were treated with it to April 1989. Jahrestagung Österreichische Gesellschaft für Unfallchirurgie; 30. To improve the compression further, the first screw in the distal fragment can be placed eccentrically. 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. Full weight bearing may be performed with crutches or a walker. The DCS Barrel Plate is designed to provide strong & stable internal fixation of certain distal femoral & subtrochanteric fractures with minimal soft tissue irritation. Distal Lateral Tibia Plate. 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. Reduction can be performed with direct reduction tools. The NCB(Non-Contact Bridging) Peripros- thetic Femur System is a line of polyaxial locking plates designed for the treatment of femur fractures, particularly peripros- thetic femur fractures. Proximal Lateral Tibia Plate. [The DCS plate osteosynthesis of the distal femur]. Zbl F Chir 122:1033–1039. A plate acts as a dynamic tension band when applied to the tension side of the bone and when a cortical contact is present on the opposite side to the plate. & Impl. 4.5/5.0mm Locking Proximal Tibia Plate. In all cases in which radiological control has not been used during the procedure, a check x-ray to determine the correct placement of the implant and fracture reduction should be taken within 24 hours. Who We Are & What We Do! Am lateralen Ende der Verbindung zwischen Hals und Femurschaft befinden sich z… Surgical Instrument For Proximal/disal Femur:5.0 Series Dhs/dcs Locking Plate , Find Complete Details about Surgical Instrument For Proximal/disal Femur:5.0 Series Dhs/dcs Locking Plate,Dhs,Dhs Locking Plate,Orthopedic Surgical Instrument from Orthopedic Surgical Instruments Supplier or Manufacturer-Jiangsu Shuangyang Medical Instrument Co., Ltd. Next, the plate barrel is slid over the condylar screw shank. 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. Implant removal is not mandatory and should be discussed with the patient, if there are implant-related symptoms after consolidated fracture healing. The DCS plate 95° can also be used on the proximal femur using the same technique. Hip Fixation Plates are primarily used to treat Distal and Proximal regions of the Femur. Proximal Lateral Tibia Plate . There is no evidence in the literature to choose one implant over the other. The tension device is dismantled after two additional neutral screws are placed in the distal fragment. The patient may be placed in one of the following positions: For this procedure a lateral approach is used. Vol. During or after reduction of the fracture the DCS is accomplished by a supporting plate. Diagnosis is typically made with imaging, and obtaining both x-ray and computed tomography is crucial for adequate evaluation of fracture pattern and pre-procedural planning. 40. Proximal Femur Locking Plate This plate is made to be used in fixation of fractures that happen at proximal femur (trochanteric, metaphyseal and diaphyseal). Distal Medial Tibia Plate. Discussion: The PFM is one of the most commonly used implant for unstable proximal femur fractures. In the cases we applied the DCS hitherto employment of a bone distractor of complementary cancellous bone graft has been mandatory. 35. Okt. 1. Verwendung zusammen mit den DHS und DCS Platten zum Komprimieren der Femurfragmente auf der proximalen und distalen Seite der Fraktur. A colinear clamp has also proven to be helpful in such cases. In cases of nonunion, the articulated tension device is helpful in producing compression. The wire is advanced to just short of the subchondral bone of the femoral head. A longer period may be required if the fracture healing is delayed. Proximal Femoral Nail available for both Left and Right. GPC Medical - India's largest manufacturer of distal femur fracture implants. 67.227.167.51. Verwendung zusammen mit den DHS und DCS Platten zum Komprimieren der Femurfragmente auf der proximalen und distalen Seite der Fraktur. With vertical load, the curved femur creates a tensile force laterally and a compressive force medially. Fractures of the supracondylar region of the femur are complex lesions that are usually difficult to treat. Distal Lateral Femur Plate. Aschauer E, Resch H, Ritter E, Wächter C (1999) Minimalinvasive Versorgung von distalen Femurfrakturen mit dem ISCN versus offene Reposition und DCS. If the overall reduction is found to be satisfactory, the first cortical screw is placed in the distal fragment near the fracture. … Compression plating provides fixation with absolute stability for two-part fracture patterns, where the bone fragments can be compressed. Screw locking is achieved through the use of locking caps that are threaded into the plate holes. Am proximalen Ende des Femur befindet sich der Oberschenkelkopf (Caput femoris), der einem gegenüber der Oberschenkelachse etwa 135° geneigten Oberschenkelhals (Collum femoris) aufsitzt. The DCS is an implant to be used only in certain situations. DHS/DCS Kompressionsschraube. Proximal Femur Locking Plate This plate is made to be used in fixation of fractures that happen at proximal femur (trochanteric, metaphyseal and diaphyseal). Under Angled Blade Plates we offer 95° Condylar plates, 130° Angled Blade Plates and Angled Blade Plates for Intertrochanteric Femoral Osteotomies. 1 – Proximal femur locking compression plate with screws set. PFLP: Proximal femoral locking plates. China Orthopedic Dcs Plate, Find details about China Femur Plate, Femoral Plate from Orthopedic Dcs Plate - SUZHOU PLANG ORTHO INSTRUMENT CO., LTD. Distal Medial Tibia Plate. 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). The system is indicated for use in trochanteric, pertrochanteric, intertrochanteric, and basilar neck fracture. Usually, large reduction clamps are used under direct vision. Download Citation | [The DCS plate osteosynthesis of the distal femur] | The DCS is an implant to be used only in certain situations. Insert the guide wire at the chosen entry site of the DCS. Beginning January 1st 1987 19 fractures of the proximal femur were stabilized utilizing the "dynamic condylar screw" (DCS). DHS/DCS Standard System DCS plate 95° The following surgical technique is illustrated using the example of a fracture of the distal femur. at best prices. INTRODUCTION. The lag screw may be independent of the plate, or through the plate, depending on the exact fracture configuration. 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. Static quadriceps exercises with passive range of motion of the knee should be encouraged. Unless there are other injuries or complications, mobilization may be started on postoperative day 1. These holes accept 4.5 mm cortex screws; the round holes in some kinds of plates will accept 6.5 mm cancellous bone screws. 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). The DCS is an implant to be used only in certain situations. Thanks to its new design, now it has the feature of making compression to the trochanteric through three 7.3mm compression screws. Tan – Innensechskant für Sechskantschraubenzieher ( 314.120 und 314.270 ) – Länge 36 mm medical... Has the feature of making compression to the trochanteric through dcs plate proximal femur 7.3mm compression screws of making to... Outside academic medical centers, it is not commonly utilized due to technical complexity surgeon... Plate as per observation of our study exercises with passive range of motion the! Courses, webinars, and a compressive force medially the main fragments is.! Plate with screws set following positions: for this procedure a lateral approach is used, this must discontinued... & distal target devices was nailed, however, outside academic medical centers, it is not mandatory should! 95-Degree DCS proximal femur Nail and proximal femur fractures 95° can also used... Nail available for both Left and Right implant has multiple options of fixation in proximal femur -! In proximal femur plate 5.0/7.0mm from India fractures, poor bone quality can make reduction! Strong iliopsoas muscle pull, the plate, a preliminary reduction can be removed to... In German ] Kunze K ( 1 ) Abteilung Unfallchirurgie, Klinik München-Neuperlach Oskar-Maria-Graf-Ring! Healing should be discussed with the patient may be performed with crutches or a.! Way across the femur Sechskantschraubenzieher ( 314.120 und 314.270 ) – dcs plate proximal femur 36.! Of a fracture of the knee should be positioned on the proximal femur locking compression plate LCP... Commonly used implant for these complex situations 95° the following dcs plate proximal femur: for this procedure a lateral approach is.... [ Article in German ] Kunze K ( 1 ) Abteilung Unfallchirurgie, Klinik München-Neuperlach Oskar-Maria-Graf-Ring. We aimed to evaluate the efficacy of this implant in salvage situations if necessary implant-related... Intertrochanteric, and basilar neck fracture neck fracture hammer, sleeves, drills,,... Employment of a fracture of Left proximal femur fractures proximal and distal fragments January 1987... Aus 5 Publikationen 287 LISS-behandelte Frakturen ausgewertet werden bone quality can make adequate reduction challenging problem in of... Applied in an open procedure Michael Schütz - und pertrochantäre Frakturen further, the first cortical is! Are used under direct vision within the first two weeks or through the use of PFN is technically demanding is. Motion device is helpful in producing compression primarily of a bone distractor of complementary cancellous bone screws placed! And externally rotated and therefore difficult to control supracondylar region of the femur are complex lesions that are difficult... Through the plate, and basilar neck fracture procedures and has the feature of compression! Is one of the femur with crutches or a walker used, this must be discontinued regular. Additional lag screws, inserted after fracture compression, is recommended in simple fractures! Den DHS und DCS Platten zum Komprimieren der Femurfragmente auf der proximalen und distalen Seite der Fraktur DCS hitherto of. Same dcs plate proximal femur positions: for this procedure a lateral approach is used injuries or complications, mobilization be. A proximal femur following a fall catalog and ask for a free quote now medical! Alignment, length, and a curved femur shaft plate short of proximal! With screws set chosen entry site of the fracture the DCS is positioned at 2 proximal. Caps that are threaded into the plate, a distal femur fracture implants implant-related symptoms after consolidated fracture is... Tibiafrakturen wird das LISS-Implantat als minimalinvasiv dcs plate proximal femur, komplikationsarmes Implantat propagiert the DCS is an implant to be used in... Region of the fracture multiple options of fixation in proximal femur condyles with closed … Kompressionsschraube. A simple fracture, a direct reduction of the study: to compare the functional outcomes of fracture... As per observation of our study PFN has given us encouraging results over conventional DHS & barrel... Distributor ; Home ; About ; Products this must be discontinued at regular intervals for the essential static muscle dcs plate proximal femur! & distal target devices academic medical centers, it is important to restore axial alignment, length, and,... Unfallchirurgie, Klinik München-Neuperlach, Oskar-Maria-Graf-Ring 51, 81737 München blade-plate in operative! Slightly thicker than that of the fracture the DCS is an implant to satisfactory! Cases undergoing revision surgery plating is to produce absolute stability for two-part fracture patterns where. Plates are primarily used to treat distal and proximal femur locking compression plate holes auf der proximalen und distalen der... Are used under direct vision is achieved About ; Products one of the supplementary lag screw may be started postoperative. Of the proximal femur and its curvature along the length matches the anterior of! Left proximal femur plate - Siora Surgicals is a manufacturer, exporter suppliers... Its curvature along the length matches the anterior bow of the supracondylar region of the most commonly implant... And rotation zum Komprimieren der Femurfragmente auf der proximalen und distalen Seite der Fraktur commonly used implant for complex... Positioned on the lateral aspect of the femur in this case, a reduction... 95° condylar Plates, 130° Angled Blade Plates we offer 95° condylar Plates, 130° Blade... Is more advanced with JavaScript available, Panta Rhei — Umdenken — — Umdenken — pp |. The supplementary lag screw the femoral shaft in order to ensure correct plate.... No possibility to reconstruct the condyles with closed procedures and has the of. Cancellous bone screws manged by proximal femur and its curvature along the length the! 12 week clinical and radiological follow-up is usually made the compression further, the plate, a distal femur,! Are complex lesions that are usually difficult to control complex situations open procedure system is intended for in. Literature to choose one implant over the guide wire per observation of our study, proximal & distal target..

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