Designed to perform.
The Medartis Olecranon System 2.8 offers a range of plates with innovative fixation concepts that may help reduce soft tissue irritation and therefore reduce the rates of hardware removal surgeries. [1]
[1] A. Ellwein, K. Argiropoulos, R.-O. DeyHazra, M.-F. Pastor, T. Smith, H. Lill “Clinical evaluation of double-plate osteosynthesis for olecranonfractures: A retrospective case-control study” Orthopaedics & Traumatology: Surgery & Research, 2019, 105 (8); 1601-1606
Fixation Options
The low profile 2.8 TriLock Olecranon Double Plates are designed to fix complex olecranon fractures without interfragmentary support. Their innovative lateral positioning allows for muscular soft tissue coverage and an increased amount of screws to hold small proximal fragments. [2]
The 2.8 TriLock olecranon tension plate was developed as a replacement of the classic tension band wiring. The low-profile plate is very thin entailing limited hardware prominence [3] and can withstand tensile forces. It is indicated for fractures and osteotomies of the proximal ulna with interfragmentary support.
[2] F.C. Wagner, M. Jaeger, C. Friebis, D. Maier, C. Ophoven, T. Yilmaz, N.P. Südkamp, K. Reising, “Low-profile double plating of unstable osteoporotic olecranon fractures: a biomechanical comparative study”, J Shoulder Elbow Surg, 2021, 30(7); PP1519-1526
[3] D. Gruszka, C. Arand, T. Nowak, S.O. Dietz, D. Wagner, P. Rommens, «Olecranon tension plating or olecranon tension band wiring? A comparative biomechanical study», International Orthopaedics (SICOT), 2015, 39:955-960
TriLock Olecranon Curved Double Plates 2.8
Highlights
-
Low plate profile and high rotational stability due to biomechanically favourable posterolateral and posteromedial plate position
-
Plates can be covered with soft tissue (anconeus muscle and flexor carpi ulnaris muscle), thereby reducing the occurrence of wound healing problems and the likelihood of hardware removal [1,2]
-
High number of screw options enables stable fixation particularly of small proximal fragments [2]
-
High primary stability due to screw position orthogonally to the direction of the pulling force of the triceps brachii muscle [2]
-
Easy bending to adapt to the individual anatomy of the patient
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to patented 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 Olecranon Straight Double Plates 2.8
Highlights
-
Distal plate position spares the triceps tendon insertion
-
Low plate profile and high rotational stability due to biomechanically favourable posterolateral and posteromedial plate position
-
Plates can be covered with soft tissue (anconeus muscle and flexor carpi ulnaris muscle), thereby reducing the occurrence of wound healing problems and the likelihood of hardware removal [1,2]
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to patented self-holding technology
Rounded edges
Rounded edges for soft tissue protection
Bendable
Plates can be bent with specific plate bending pliers
Oblong hole
Oblong hole for minor plate adjustments
Dimensions
Dimensions of the plate
TriLock Olecranon Tension Plate 2.8
Highlights
-
Developed as a replacement of the classic tension band wiring
-
The low-profile plate is very thin entailing limited hardware prominence [3] and can withstand tensile forces
-
Two cross-fracture lag screws provide primary compression and fixation [3]
-
Uniform and controlled compression of the fracture with lag screws allows for mobilization as early as possible [3]
-
Solid anchoring of the tension relief even in osteoporotic bone reduces the risk of fracture dislocation [3]
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to patented self-holding technology
Rounded edges
Rounded edges for soft tissue protection
Bendable
Plates can be bent with specific plate bending pliers
Screws
Locking
2.8 TriLock Screws,
HexaDrive 7
Non-locking
2.8 Cortical Screws,
HexaDrive 7
Lag Screws
2.8 Lag Screws,
HexaDrive 7
The science behind.
-
Fractures of the proximal ulna: current concepts in surgical management.2019EFORT Open Reviews
Abstract
-
Fractures of the proximal ulna range from simple olecranon fractures to complex Monteggia fractures or Monteggia-like lesions involving damage to stabilizing key structures of the elbow (i.e. coronoid process, radial head, collateral ligament complex).
-
In complex fracture patterns a computerized tomography scan is essential to properly assess the injury severity.
-
Exact preoperative planning for the surgical approach is vital to adequately address all fracture parts (base coronoid fragments first).
-
The management of olecranon fractures primarily comprises tension-band wiring in simple fractures as a valid treatment option, but modern plate techniques, especially in comminuted or osteoporotic fracture types, can reduce implant failure and potential implant-related soft tissue irritation.
-
For Monteggia injuries, the accurate anatomical restoration of ulnar alignment and dimensions is crucial to adjust the radiocapitellar joint.
-
Caution is advised if the anteromedial facet (anatomical insertion of the medial collateral ligament) of the coronoid process is affected, to avoid posteromedial instability.
-
Radial head reconstruction or replacement is essential in Monteggia-like lesions to restore normal elbow function.
-
The postoperative rehabilitation programme should involve active elbow motion exercises without limitations as early as possible following surgery to avoid joint stiffness.
-
Designed to organize.
Example of a configuration
- Compact system
- Easy to use
- Lightweight components
- Validated cleaning and sterilization of the implants
Documentation
Results
- 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
