dcs plate proximal femur

https://doi.org/10.1007/978-3-642-56458-1_121. Compression plating can only be applied in an open procedure. 43% menor subsidencia en placa bloqueada (P<0,05) [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. The DCS is an implant to be used only in certain situations. NCBPeriprosthetic Distal Femur Plate Implant removal is not mandatory and should be discussed with the patient, if there are implant-related symptoms after consolidated fracture healing. The use of PFN is technically demanding and is associated with high failure rates. Ketterl R, Köstler W, Witwer W, Stübinger B (1997) 5-Jahresergebnisse nach dia-/suprakondylären Femurfrakturen, versorgt mit dynamischer Kondylenschraube (DCS). Trauma . The DCS is an implant to be used only in certain situations. 4.5mm Locking T Plate. The DCS plate 95° can also be used on the proximal femur using the same technique. Zbl F Chir 122:1033–1039. 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 ideal entry point for the DCS is shown on the diagram. Reconstruction Locking Plate. As a general rule the plate should be positioned on the lateral aspect of the femur. 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 Plate System is provided non-sterile. 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. https://surgeryreference.aofoundation.org/.../orif-compression-plating-dcs Afterwards special emphasis should be placed on active knee and hip movement. INTRODUCTION. 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. Proximale Femurfrakturen sind häufige Frakturen, insb. AP and lateral radiographs of the entire femur are … des älteren Menschen, und betreffen vermehrt Frauen nach der Menopause sowie Patienten mit Osteoporose. Reduction can be performed with direct reduction tools. Part of Springer Nature. DCS: Dynamic condylar screw. Dabei ergab sich eine durchschnittliche Operationszeit von 2–3 h, der Zeitpunkt bis zur Vollbelastung variierte zwischen 6 … Before compressing the fracture plane by tightening the eccentrically inserted screw, in fractures with the illustrated obliquity (laterally and distally) a firm clamp should grip the medial tip of the distal fragment to the plate to prevent shearing at the fracture. Following MDT discussion, revision of the fixation was planned. 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). 1). 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. at best prices. Distal Lateral Tibia Plate. 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. 4.5/5.0mm Locking Reconstruction Plate. This was nailed, however, subsequently at 4 months the screw backed out and patient complained of prominent metalwork and pain. DCS Plate. Nach Lokalisation unterscheidet man Femurkopf -, Oberschenkelhals - und pertrochantäre Frakturen. 4.5/5.0mm Locking Proximal Tibia Plate. proximal femoral shaft without retracting the periosteum. DHS/DCS Standard System DHS plate [Article in German] Kunze K(1). 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. 1 – Proximal femur locking compression plate with screws set. Insert the guide wire under image intensifier control all the way across the femur. Subsequently a 6 and 12 week clinical and radiological follow-up is usually made. The reversed DF-LCP is a rescue implant for these complex situations. DHS/DCS Plate System is provided non-sterile. Locking Proximal Femoral Plate. Includes a proximal femur plate, a distal femur plate, and a curved femur shaft plate. During or after reduction of the fracture the DCS is accomplished by a supporting plate. 4.9 mm Locking Bolt Sizes: Length from … DHS/DCS Kompressionsschraube. In the case of partly supracondylar fractures, the kneepoint is not tampered with, and by subcutaneous technique, the operation is less traumatic. Für die Behandlung distaler Femur- und proximaler Tibiafrakturen wird das LISS-Implantat als minimalinvasiv anwendbares, komplikationsarmes Implantat propagiert. 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 tension device is dismantled after two additional neutral screws are placed in the distal fragment. 86-year-old male sustained a comminuted extracapsular fracture of left proximal femur following a fall. DHS & DCS Lag Screw. 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. Short Proximal Femur Plate One adjustment slot is added to this spe-cific plate which allows for preliminary fixation of the plate. The DCS plate 95° can also be used on the proximal femur using the same technique. Compression plating provides fixation with absolute stability for two-part fracture patterns, where the bone fragments can be compressed. 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. 22 No. 4.5mm Locking L Buttress Plate. A colinear clamp has also proven to be helpful in such cases. 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. 2013 Nov-Dec; 47(6): 615–620. The objective of compression plating is to produce absolute stability, abolishing all interfragmentary motion. The wire is advanced to just short of the subchondral bone of the femoral head. That means that, in a simple fracture, a direct reduction of the main fragments is required. Proximal Lateral Tibia Plate . Distal Lateral Femur Plate. 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. Aschauer E, Resch H, Ritter E, Wächter C (1999) Minimalinvasive Versorgung von distalen Femurfrakturen mit dem ISCN versus offene Reposition und DCS. 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. To determine the entry point on the proximal femur see step 4, page 13. 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. Injury. Sept.-2. 4.5mm Locking T Buttress Plate. DHS & DCS barrel plate as per observation of our study. 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. Curved Reconstruction Locking Plate. May 30, 2018 - DHS/DCS & Angled Blade Plate - We are manufacturer and suppliers of DHS/DCS & Angled Blade Plate and other orthopaedic implants and instruments. GPC Medical USA - one of the largest manufacturers & suppliers of fixLOCK Proximal Femur Plate We offer superior quality fixLOCK Proximal Femur Plate at best prices. 67.227.167.51. Static quadriceps exercises with passive range of motion of the knee should be encouraged. In cases of nonunion, the articulated tension device is helpful in producing compression. Jahrestagung Österreichische Gesellschaft für Unfallchirurgie; 30. Proximal Femur Locking Plate This plate is made to be used in fixation of fractures that happen at proximal femur (trochanteric, metaphyseal and diaphyseal). Calcaneal Plate . Proximal Femoral Nail available for both Left and Right. Joint/Hip Prosthesis Implants. Product Support Material. Am proximalen Ende des Femur befindet sich der Oberschenkelkopf (Caput femoris), der einem gegenüber der Oberschenkelachse etwa 135° geneigten Oberschenkelhals (Collum femoris) aufsitzt. Stocker R, Heinz T, Vécsei V (1995) Ergebnisse der operativen Versorgung von distalen Femurfrakturen mit Gelenkbeteiligung. Curved Reconstruction Locking Plate. An ope… 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. It is important to restore axial alignment, length, and rotation. PREV. Its position is checked fluoroscopically in two planes, and adjusted, if necessary. 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. DCS Locking Plate. [The DCS plate osteosynthesis of the distal femur]. … Under Angled Blade Plates we offer 95° Condylar plates, 130° Angled Blade Plates and Angled Blade Plates for Intertrochanteric Femoral Osteotomies. There is no evidence in the literature to choose one implant over the other. References. To determine the entry point on the proximal femur … 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. LCP DHS und Klingenentfernung ... Proximale Femur-Platten und Femur-Hakenplatten Instr. Thanks to its new design, now it has the feature of making compression to the trochanteric through three 7.3mm compression screws. The 95-degree DCS The DCS Barrel Plate is designed to provide strong & stable internal fixation of certain distal femoral & subtrochanteric fractures with minimal soft tissue irritation. 4.5mm Locking T Plate. We aimed to evaluate the efficacy of this implant in salvage situations. 4.5mm Locking L Buttress Plate. Discussion: The PFM is one of the most commonly used implant for unstable proximal femur fractures. 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. A longer period may be required if the fracture healing is delayed. CT suggested partial union. Proximal Femur Locking Plate This plate is made to be used in fixation of fractures that happen at proximal femur (trochanteric, metaphyseal and diaphyseal). Das Femur ist der längste und stärkste Knochen des menschlichen Skeletts. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. The guide wire for the DCS is positioned at 2 cm proximal to the distal end of femur. DHS & DCS Instrument Set. No products in cart. The use of PFN is technically demanding and is associated with high failure rates. Download preview PDF. PFLP: Proximal femoral locking plates. The DCS is obsolutely necessary when there is no possibility to reconstruct the condyles with closed … Cite as. 40. AIM OF THE STUDY: To compare the functional outcomes of subtrochanteric fractures manged by Proximal femur nail and Proximal femur locking plate. DHS / DCS Instrument & Implants. The DCS is an implant to be used only in certain situations. Contains guides, awl, sliding hammer, sleeves, drills, reamers, proximal & distal target devices. 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). Beginning January 1st 1987 19 fractures of the proximal femur were stabilized utilizing the "dynamic condylar screw" (DCS). Article … Proximal Femur Locking Plate. 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. Es bildet die knöcherne Grundlage des Oberschenkels. However, outside academic medical centers, it is not commonly utilized due to technical complexity and surgeon inexperience. 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. Wound healing should be assessed regularly within the first two weeks. Usually, large reduction clamps are used under direct vision. Hip Fixation Plates are primarily used to treat Distal and Proximal regions of the Femur. Index Terms- Sub trochanteric fracture, DHS, PFN, and DCS. Die dynamische Condylenschraube ist ein Implantat für Ausnahmeindikationen. DHS Locking Plate. Distal Lateral Femur Plate. Unable to display preview. Download Citation | [The DCS plate osteosynthesis of the distal femur] | The DCS is an implant to be used only in certain situations. DCS Locking Plate. Close monitoring of the femoral muscle compartments should be carried out especially during the first 48 hours, in order to rule out compartment syndrome. 4.5mm Locking T Buttress Plate. 35. 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. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. 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. 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. The use of one or more additional lag screws, inserted after fracture compression, is recommended in simple oblique and spiral fractures. 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. DHS/DCS Plate system is intended for use in fixation of fractures to the proximal femur. Die Häufigkeit wird mit 2:100.000 angegeben. Der Winkel zwischen Hals und Schaft wird als Collum-Diaphysen-Winkel (CD-Winkel) bezeichnet. Who We Are & What We Do! 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). +1 469 296-7220; info@gpcmedicalusa.com; Become a Distributor ; Home; About; Products . 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. Author information: (1)Abteilung Unfallchirurgie, Klinik München-Neuperlach, Oskar-Maria-Graf-Ring 51, 81737 München. Indian J Orthop. This clamp can be removed prior to insertion of the supplementary lag screw. In fragility fractures, poor bone quality can make adequate reduction challenging. However, outside academic medical centers, it is not commonly utilized due to technical complexity and surgeon inexperience. DHS/DCS Sperrvorrichtung. GPC Medical - India's largest manufacturer of distal femur fracture implants. Proximal femur plate 7,3 mm cannulated locking screw is used for fixation of bone fragment with proximal femur locking compression plate 2 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. In the cases we applied the DCS hitherto employment of a bone distractor of complementary cancellous bone graft has been mandatory.