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 intra-articular. They may involve several bones and are frequently associated with ligamental injuries. In these cases, the restoration of the initial 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

Highlights

  • Concave milling of the medial plate reduces its protrusion over the medial epicondyle [1]

  • A slight recess in anterior direction distally lowers the risk of contact between the ulnar nerve and the plate

TriLock Lateral Distal Humerus Plates 2.8

Highlights

  • The twisted plate shape reduces the necessary soft tissue detachment in the proximal area and may lessen postoperative soft tissue irritations [2]

  • Proximal screws can be placed bicortically distally 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 Posterolateral Distal Humerus Plates 2.8

Highlights

  • Additional stability through two transcondylar screws connected via a flap to the plate

  • The two most distal screw holes in the plate are preangled to capture distal shear fragments of the capitellum

Screws

Locking
2.8 TriLock Screws,
HexaDrive 7

Non - Locking
2.8 Cortical Screws,
HexaDrive 7

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 

Bending Irons

Drill Guide

Technological Milestones in Osteosynthesis

TriLock

Multidirectional and angular stable locking, screws can pivot freely by ± 15° in all directions

TriLockPLUS

TriLockPLUS screw holes offer the advantage of locking and compression in one step

HexaDrive

Simplified screw pick-up thanks to self-holding system

Designed to Organize

  • 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

 

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