Proximal lateral tibial plate the axsos locking plate system is designed to treat periarticular or intraarticular fractures of the proximal humerus, distal femur, proximal tibia, and the distal tibia. In this method guide wire was inserted through just above the tibial tuberosity. Ref 981202 distal medial tibia ref 981203 distal anterolateral tibia ref 981205 proximal medial tibia for conventional templates, the scale is 1. Spiral tibial shaft fractures have a high association with fractures of the posterior malleolus, which affects the surgical planning, operative management, and postsurgical care of a patient. The external fixator constructs used were ilizarov. Tibial fracture repair with titanium intramedullary rod. Ref 981201 proximal lateral tibia ref 981202 distal medial tibia ref 981203 distal anterolateral tibia ref 981205 proximal medial tibia note. Pdf biomechanical comparison of two locking plate systems for. Stress fracture of bilateral tibial metaphysis due to. Axsos osteosintesis osteosintesi sistema di placche di. Optilock periarticular plating system for distal tibial. Mid and distal tibia fractures patella tendon bearing cast ptb mohamed faried elmarakby. Romeo explains how the tension slide technique reliably draws the tendon into the radius and the addition of a screw can place the tendon in an anatomic position. The pediloc tibial plate system features anatomically designed plates indicated for the treatment of pediatric tibia fractures and osteotomies, where a bone is cut in order to shorten, lengthen, or change its alignment.
In distal tibial surgery where soft tissue coverage is at risk, these low profile plates are designed to minimize discomfort and soft tissue irritation matching the anatomy of the distal tibia, while still having the required strength. This helps to ensure that the most distal locking screws are directly supporting the joint surface. Please refer to the compatibility table on page 21 showing sps and axsos 3 titanium compatibility. May allow for a less rigid construct, potentially resulting in increased callus formation and secondary healing 1. Axsos distal tibia operative technique cambridge orthopaedics. The treatment of tibial plafond fractures requires careful management of the soft tissue envelope, reconstruction of the articular surface and stable fixation with minimal additional damage. Open reduction of the fracture was done and guide wire was passed up to the distal tibia. Monoaxial locking plate system for treating distal tibia fractures. Tibial derotational osteotomies for tibial torsion why does my child need this surgery. Distal medial tibial plate ts o 4mm locking screw, self tapping ref 370514595 o 3. The system design is based on clinical input from an international panel of experienced surgeons, data from literature, and both practical and.
Open interlocking nailing of the fracture of the shaft of. Step4primaryplatefixation distal the kwire holes in the metaphyseal part of the plate allow for temporary. Tibia axsos 3 titanium monoaxial locking plate system. The middle point of this is the proximal tibial reference point. Thirty cases of ao type 43 c tibial fractures were treated by transosseous osteosynthesis ilizarov technique. Ref 981202 distal medial tibia ref 981203 distal anterolateral tibia ref 981205 proximal medial tibia note. A twentyyears old soldier was presented with bilateral knee pain and restriction of knee movements after a period of training for ceremonial march.
The axis line of the distal tibia is calculated at the level of the syndesmosis just distal to the physis. The effect of excessive tibial torsion on the capacity of muscles. The anatomically contoured anterolateral distal tibial plate. Distal medial tibia medial approach to the distal tibia. You can use it in conjunction with proximal medial tibia plate.
Mri is the imaging procedure of choice for evaluating the musculoskeletal system, particularly in detecting tenosynovitis and in assessing. Yenna et al 4 compared the biomechanical stiffness of anterolateral and medial plates in a distal tibial fracture model using composite sawbones. Distal medial tibial plate distal anterolateral tibial plate proximal lateral tibial plate the axsos locking plate system is intended for use in long bone fracture fixation. The axis line of the proximal tibia is obtained just proximal to the physis by drawing a line between the middle of the widest ap diameter of the medial and lateral tibial condyles. Distal anterolateral tibia anterolateral approach to the. Mid to distal third tibial shaft fractures caused by. Correction of tibial torsion in children with cerebral. The axsos locking plate system is indicated for fixation of long bone fractures including fractures of the distal radius, the proximal humerus, the distal tibia, proximal. Posterior tibial tibialis posterior tendon dysfunction. The system design is based on clinical input from an international panel of experienced surgeons, data from literature, and both practical and biomechanical testing. The effect of excessive tibial torsion on the capacity of.
The plate is offered in stainless steel and features a limitedcontact shaft profile, combi holes in the shaft, and locking screw holes in the head. Growing children often walk with an intoeing or outtoeing gait. Placa tibial distal anterolateral placa femoral distal lateral placa tibial proximal lateral placa humeral proximal. Secure the position by inserting a kwire in the hole above the kickstand screw hole. It is best to think of posterior tibialis tendon abnormalities as a continuum of disorders that causes dysfunction because the predominant manifestations of pathoanatomy are functional rather than. Spiral fractures are secondary to a torsional or rotatory force, which causes distal propagation of the fracture line. If digital xray images are used, correct magnification has to be verified prior to use. Distal medial tibial plate the axsos locking plate system is designed to treat periarticular or intraarticular fractures of the proximal humerus, distal femur, proximal tibia, and the distal tibia. Mid ankle reference point the alignment at distal end of the tibia can be found in two stages. Choose from 500 different sets of distal attachment anterior flashcards on quizlet. Distal medial tibia plate distal lateral femoral plate proximal lateral tibial plate the axsos locking plate system is designed to treat periarticular or intraarticular fractures of the proximal humerus, distal femur, proximal tibia, and the distal tibia. The length of the nail was measured from tibial tuberosity up to 2cm proximal to medial malleolus.
Radiographic analysis of lower limb axial alignments. Theaxsos locking plate system is designed to treat periarticular or intraarticular fractures of the proximal humerus, distal femur, proximal tibia and the distal tibia. Anthony romeo, md, chicago, il discusses an anterior, singleincision approach to distal biceps repair using a bicepsbutton and tension slide technique. The tibia is found on the medial side of the leg next to. How to treat shin splints medial tibial stress syndrome periostitis with kinesiology tape duration. Intramedullary tibial nailing in distal third tibial fractures. This approach avoids the fragile medial soft tissues and allows for a single incision for plating of both the tibia and fibula fractures. Kickstand screw designed to capture medial malleolus. Lcp extraarticular distal humerus plate surgical technique depuy synthes 11 5 insert two most distal locking screws instruments 323.
A study of 24 patients who sustained an extraarticular fracture of the distal third of the tibial shaft was performed to determine the effect of the type of treatment, open reduction and internal fixation orif or closed reduction and intramedullary im nailing, on the occurrence of malalignment. All patients were treated in our clinic between 1993 and 2001 for a fracture in. Distal medial tibial plate distalanterolateral tibial plate proximal lateral tibial plate distal lateral femoral plate proximal humeral plate theaxsos locking plate system is designed to treat periarticular or intraarticular fractures of the distal femur, proximal humerus, proximal tibia, and the distal tibia. Mr imaging of disorders of the posterior tibialis tendon.
An anterolateral approach to distal tibial pilon fractures has been described. Ax sos locking plate system cambridge orthopaedics. Comparison study of two surgical options for distal tibia. The aim of this study was to compare the results between two surgical options for distal tibia fracture, i. The proper position is when the distal and anterior margin of the plate is approx. This is sometimes caused by tibial torsion, although other causes involve the hips and even, feet. Learn distal attachment anterior with free interactive flashcards. Due to the multiplanar positioning of the screws the. Distal locking screws for intramedullary nailing of tibial. It is sometimes performed to correct a hallux valgus, or to straighten a bone that has healed crookedly following a fracture. Stress fractures are caused by repetitive microtraumas that occur during unusual or increased activities.
Although plain xrays were normal, scintigraphy and mri. Mid and distal tibia fractures patella tendon bearing. Tibial torsion refers to the twist in the tibia bone, which causes the knee and ankle to not. Plates and screws used in this operative technique guide. Mri is frequently used in the evaluation and treatment of tibialis posterior tendon dysfunction and has been reported to have a sensitivity of up to 95%, with 100% specificity in tdetecting rupture of the tibialis posterior tendon. If the distal and axial alignment of the plate cannot be acheived, the kwires shouldberemoved,theplatereadjusted, and the above procedure repeated until both the distal kwire and the plate are in the desired. Axsos 3 titanium tibia locking plate system stryker. An osteotomy is a surgical operation whereby a bone is cut to shorten or lengthen it or to change its alignment.
Axsos 3 titanium proximal lateral tibia locking plate system. Management of distal tibial intraarticular fractures with. Three plate configurations wide medial, narrow medial, and anterolateral each with a metaphyseal flare, give surgeons more. It is also used to correct a coxa vara, genu valgum, and genu varum. If digital xray images are used, correct magnifi cation has to be verifi ed prior to use. If the proximal and axial alignment of the plate cannot be achieved, the kwires should be removed, the plate readjusted, and the above procedure repeated until both. Introduction all of the above axsos 3 titanium screws have a t15 screw head interface. Although posterior tibial tenosynovitis was first described in 1930, it was not until the 1980s that posterior tendon dysfunction became recognized as a clinical entity 2, 3. Zimmer periarticular distal tibial locking plate surgical techniques. Management of distal tibial intraarticular fractures with circular external fixation article pdf available in strategies in trauma and limb reconstruction 41. Distal tibia plating system features timax low profile, anatomically contoured implants.
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