Designed to perform.
The elbow is a complex joint with several articulating surfaces where the humerus, the radius and the ulna meet. Stability is achieved by a high number of ligaments and muscles attaching at the elbow. Fractures caused by direct or indirect trauma are quite frequent and often intraarticular. They may involve several bones and are frequently associated with ligamental injuries. In these cases, the restoration of the original function of the articulation is very challenging.
Plate Options
Three plate types are available for the fixation of distal humerus fractures. They allow, especially for complex fractures, pairwise positioning in either a 90° or 180° configuration. The three-dimensional plate shapes are based on comprehensive anatomical analyses for a good fit to the bone. [1] The thickness of the plates tapers off at the ends to reduce plate protrusion over the epicondyles distally and reduce the risk of stress fractures proximally. The innovative plate designs enable long transcondylar screws as well as bicortical screw placement proximally in both the 180° and the 90° configuration.
[1] K. Wegmann, K.J. Burkhart, J. Zimmermann, J. Dargel, S. Nijs, M.A. Konerding, L.P. Müller, «The interference of distal humeral plating with the medial and lateral collateral ligaments of the elbow», Arch Orthop Trauma Surg, 2014, 134; P501-507
TriLock Medial Distal Humerus Plates 2.8
APTUS Elbow Distal Humerus
Highlights
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Concave milling of the medial plate reduces its protrusion over the medial epicondyle [1]
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A slight recess in anterior direction distally lowers the risk of contact between the ulnar nerve and the plate
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to self-holding technology
Oblong hole
Oblong hole for minor plate adjustments
Rounded edges
Rounded edges for soft tissue protection
Bendable
Plates can be bent with specific plate bending pliers
Dimensions
Dimensions of the plate
TriLock Lateral Distal Humerus Plates 2.8
Highlights
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The twisted plate shape reduces the necessary soft tissue detachment in the proximal area and may lessen postoperative soft tissue irritations [2]
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Proximal screws can be placed bicortically even in the 180° configuration
[2] M. Crönlein, M. lUCKE, M. Beirer, F.B. Imhoff, D. Pförringer, C. Kirchhoff, P. Biberthaler, K.F. Braun, S. Siebenlist, «Polyaxial locking plates in treating distal humeral fractures: a comparative randomized trial for clinical outcome», BMC Musculoskeletal Disorders, 2017. 18:547
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to self-holding technology
Oblong hole
Oblong hole for minor plate adjustments
Rounded edges
Rounded edges for soft tissue protection
Bendable
Plates can be bent with specific plate bending pliers
Dimensions
Dimensions of the plate
TriLock Posterolateral Distal Humerus Plates 2.8
Highlights
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Additional stability through up to two transcondylar screws connected via a flap to the plate
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The two most distal screw holes in the plate are preangled to capture distal shear fragments of the capitellum
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to self-holding technology
Oblong hole
Oblong hole for minor plate adjustments
Rounded edges
Rounded edges for soft tissue protection
Bendable
Plates can be bent with specific plate bending pliers
Dimensions
Dimensions of the plate
The science behind.
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Polyaxial locking plates in treating distal humeral fractures: a comparative randomized trial for clinical outcome.2017BMC Musculoskelet Disord
Crönlein et al., report on the a prospective study, in which 20 patients with a distal humerus fracture were randomized for osteosynthesis with either DePuy Synthes VA-LVP or Medartis APTUS Elbow plates.The authors find that :"Even though there might be a trend of some advances of the Medartis Aptus Elbow plating system concerning postoperative ROM and elbow scoring, a crucial difference in the overall clinical outcome between the two plating systems could not be detected in the short-term follow-up."
Read More
Designed to Simplify
Aiming device for distal humerus
- Assists with the insertion of transcondylar screws through defined drill channel
- Drill stop shortly before the exit point
- Screw length is read directly at the aiming device
Designed to organize.
APTUS Elbow Distal Humerus storage
Example of a configuration
- Part of the modular APTUS Elbow System 2.0, 2.8
- Economic and compact system
- Easy handling
- Clear identification and storage of implants and instruments
Documentation
Results
- Avenger Radial Head System - Surgical Technique 10.03.2025 2 MB Surgical Technique Upper Extremities English
- Elbow System 2.0, 2.8 – Surgical Technique 22.01.2024 7 MB Surgical Technique Upper Extremities English
- APTUS Ordering Catalog/Bestellkatalog/Catalogue (High Resolution) (Version 0, MDR) 18.01.2024 22 MB Ordering Catalog Upper Extremities English
- APTUS Ordering Catalog/Bestellkatalog/Catalogue (Low Resolution) (Version 0, MDR) 18.01.2024 16 MB Ordering Catalog Upper Extremities English
- Distal Humerus Plates – White paper 18.01.2024 1 MB White paper Upper Extremities English
