文本文稿原生alps prox tibia42

1、 黄鹏飞2007 OTA PosterTitle: Analysis of the Pre-contoured Proximal Tibia Periarticular Fit across a PopulationAuthors: Goyal, Skalak, et. al.Study: 100 cadaveric tibiae analyzed according to “fit” and “alignment” If plate demonstrated good fit and alignment then the plate was considered a good anatomi

2、c fit. Conclusions: Of the plates studied (Synthes LCP, LISS, Zimmer Peri) only 1/3 had proper anatomic fit to the bone.*Orthopaedic Trauma AssociationSource: internal CAD drawingsSource: internal CAD drawingsProximal Tibia DesignsSource: internal CAD drawings前端后移顶端下降Proximal Tibia Design Modificati

3、onsSource: internal CAD drawingsSource: ALPS Proximal Tibia Plating System surgical technique, BMET0001.02种干骺端弧度可选8 mm vertical offset = 5 mm horizontal offset Stryker AxSOSSynthes LCP Zimmer PlateStryker AxSOSSynthes LCP Zimmer Plate轴状位轴状位正侧位正侧位Source: x-ray from cadaver lab ALPS 接骨板特点低切迹，解剖塑性预装FAS

4、T GuidesTiMAX 涂层多向锁定胫骨近端接骨板特点2种弧度选择克氏针/缝合孔 双排竹筏螺钉螺钉选择4.0 松质骨锁定螺钉3.5 皮质骨锁定螺钉3.5 多向锁定螺钉3.5 低切迹螺钉3.5 皮质骨螺钉Features & BenefitsOptimal Plate Conformity Standard Curve & Large Curve PlatesAnatomic Low Profile PlatesLow Profile ScrewsOptimal Subchondral SupportScrew Trajectories Dual Raft Rows Sequ

5、ential StabilizationDual Kickstand Screws Subchondral ScaffoldUser Friendly System F.A.S.T. Guide inserts / F.A.S.T. Guide AdaptersK-Wire/Suture Holes3.5 Multi-Directional Screws3.5 LP Non-locking ScrewsFeatures & BenefitsWe are the only proximal tibia plate in the market that offers two unique

6、contours combined with dual raft rows/ kickstand screws and multidirectional technologyType VBicondylar plateau fractureType VIPlateau fracture with metaphyseal-diaphyseal dissociationType IVMedial Plateau fractureType IIILateral Plateau, Depression fractureType II Lateral Plateau, Split depression

7、fractureType ILateral Plateau Split FractureSet ConfigurationInstrument TrayStandard Left PlatesLarge Left PlatesLarge Right PlatesPlate Tray3.5 mm Locking Cortical Screws75-100 in 5mm increments3.5 mm LP NL Cortical Screws50-100 in 5mm increments4.0mm Locking Cancellous Screws75-100 in 5mm incremen

8、ts3.5 mm Locking MDS50 -100 in 5mm increments Screw CaddySurgical Technique克氏针在软骨下与关节克氏针在软骨下与关节面平行面平行接骨板的放置接骨板的放置持板手柄持板手柄选择适合患者干骺端弧度的接骨选择适合患者干骺端弧度的接骨板板临时固定临时固定1.6 mm 克氏针可通过转换器穿过近排F.A.S.T. Guide ，临时固定。并且观察克氏针走向。当克氏针与关节面平行时，说明接骨板位于最佳位置Instrumentation NeededIf drilling through the plateau, the drill must be slowly reversed so that no amount of drill is protruding from the medial end of the proximal tibia. Verify under fluoroscopy.Instrumentation neededUsing a power screwdriver, is not mended for