LCP
Part of the DePuy Synthes Locking Compression Plate (LCP®) System
3.5 mm LCP® Extra-articular
Distal Humerus Plate
Surgical Technique
Table of Contents
Introduction
Surgical Technique
Product Information
3.5 mm LCP Extra-articular Distal Humerus Plate 2
AO Principles
Indications
4
5
Preparation
Approach
Reduce Fracture
Preliminary Fixation
Insert Two Most Distal Locking Screws
Insert Locking Screws
6
7
8
9
10
13
Implants
15
MR Information
The 3.5 mm LCP Distal Humerus Plates System has not been evaluated for safety and
compatibility in the MR environment. It has not been tested for heating, migration or
image artifact in the MR environment. The safety of the 3.5 mm LCP Distal Humerus
Plates System in the MR environment is unknown. Scanning a patient who has this
device may result in patient injury.
Image intensifier control
Instruments
Set List
16
19
3.5 mm LCP® Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes 1
3.5 mm LCP Extra-articular Distal Humerus Plate
Features
– Left and right plates are anatomically contoured to match
the posterolateral distal humerus
– Locking screws engaged in the plate create a fixed-angle
construct that enhances fixation in osteopenic bone
– Combi holes combine a dynamic compression unit (DCU)
hole with a threaded hole, providing the flexibility of axial
compression and locking capability throughout the plate shaft
– Available with 4, 6, 8, 10, 12 or 14 elongated Combi
holes to allow greater adjustment of plate placement
on the humerus
– Available in 316L stainless steel and titanium
Five locking holes in plate head
are angled medially to maximize
screw purchase in bone
Plate head tapered to
minimize soft tissue irritation
2 DePuy Synthes 3.5 mm LCP® Extra-articular Distal Humerus Plate Surgical Technique
Two most distal holes are angled toward
the capitulum and trochlea
Elongated Combi holes accept 3.5 mm
locking screws, 3.5 mm cortex screws
and 4.0 mm cancellous bone screws
Limited-contact design
3.5 mm LCP® Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes 3
AO Principles
4_Priciples_03.pdf 1 05.07.12 12:08
1, 2
.
Stable fixation
Fracture fixation providing abso-
lute or relative stability, as
required by the patient, the injury,
and the personality of the
fracture.
Preservation of blood supply
Preservation of the blood supply
to soft tissues and bone by
gentle reduction techniques and
careful handling.
In 1958, the AO formulated four basic principles, which
have become the guidelines for internal fixation.
1, 2
Anatomic reduction
Fracture reduction and fixation to
restore anatomical relationships.
Early, active mobilization
Early and safe mobilization and
rehabilitation of the injured part
and the patient as a whole.
1
4
2
3
Stable xation
Fracture fixation providing absolute
or relative stability, as required by
the patient, the injury, and the
personality of the fracture.
Preservation of blood supply
Preservation of the blood supply
to soft tissues and bone by gentle
reduction techniques and
careful handling.
1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation.
3rd ed. Berlin, Heidelberg, New York: Springer-Verlag; 1991.
Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management.
2.
2nd ed. Stuttgart New York: Thieme; 2007.
4 DePuy Synthes 3.5 mm LCP® Extra-articular Distal Humerus Plate Surgical Technique
Indications
The 3.5 mm LCP® Extra-articular Distal Humerus Plate
is indicated for fractures of the distal humerus.
3.5 mm LCP® Extra-articular Distal Humerus Plate Surgical Technique DePuy Synthes 5
Preparation
1
Preoperative planning
Required sets
01.104.010/ 3.5 mm LCP Extra-articular Distal Humerus
01.104.020 Plate Set (stainless steel or titanium)
105.434/ Small Fragment LCP Instrument and
145.434 Implant Set (stainless steel or titanium)
Optional sets
01.104.000 3.5 mm LCP Elbow System
01.104.004 3.5 mm LCP Titanium Elbow System
Complete the preoperative radiographic assessment and
prepare the preoperative plan. Use the x-ray template for
3.5 mm LCP Extra-articular Distal Humerus Plate to determine
the length of the plate and the position of the screws.
6 DePuy Synthes 3.5 mm LCP® Extra-articular Distal Humerus Plate Surgical Technique
Loading...