arthrex patella fracture plate

Place pedicle screws in the vertebrae caudal and cephalad to the involved vertebra in preparation for posterior instrumentation (Fig. Foot & Ankle Ankle Fracture Management System A comprehensive set for the treatment of common ankle fracture injuries. It is, therefore, highly desirable, in patellar fractures to strive for anatomical reduction of the joint surface and stable fixation. But opting out of some of these cookies may have an effect on your browsing experience. Solving complicated fractures with simple innovative solutions Plating that fits. A recent study evaluated construct failure after an open reduction and plate fixation and reported a construct failure rate of 6.9% of which 1.9% were related to broken plates. The demonstration is performed by Dr. Donald Bohay and John Anderson of Grand Rapids, MI. Think Arthrex, Radiolucent Excellent biocompatibility Modulus of elasticity is close to that of cortical bone Artifact-free radiographic imaging Inert properties reduce tissue adhesion Improved long term stability Plates Available in CF PEEK PEEKPower humeral fracture plate PEEKPower tibial fracture plate PEEKPower distal radius plate CF PEEK Implants Are Composed of the Following Materials PEEK (a) Endless longitudinal carbon fibers (b) Tantal fibers for radiological control (c) (b), Shoulder Clavicle Plate System Designed to treat central third and distal clavicle fractures. Our plating portfolio ranges from indication specific plates and patented Smartlock technology to streamlined instrumentation for ease-of-use in the OR. These authors . The purpose of this study was to determine if a tension band constructed of FiberWire (Arthrex, Naples, FL), a high-strength polyester and polyethylene suture, will provide fixation that is equivalent to an 18-gauge metal wire tension band. 5th Metatarsal Fracture System Uniquely designed screw and plate system to treat complex 5th metatarsal fractures. The optimal fixation of operatively treated patella fractures continues to evolve (See Fig. It covers the incision, the desired outcome, the osteotomy and then two different methods of fixation. It can be used to repair a high ankle sprain, which damages the soft tissue structures between the tibia and fibula and causes these bones to separate. Durban Area, South Africa Complex arthroscopic shoulder repairs . FiberTape, 2 mm with Braided Polyblend Suture Blue with Straight Needle, Low Profile Screw, Cannulated, Blunt Tip, 4 x 24 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 26 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 28 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 30 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 32 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 34 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 36 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 38 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 40 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 42 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 44 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 46 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 48 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 50 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 55 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 60 mm. Suture holes in the plate can be optionally used for soft-tissue reattachment or ligament bracing. The system is made of titanium and offers three plating options, each in various sizes. This video demonstrates a medial column fusion. Additional features designed to aid in proper plate placement include K-wire holes, variable-angle locking screws for the titanium lines, slide holes, and compression holes. Dr. Adam Schiff demonstrates a Fifth Metatarsal procedure using VariAx fracture plates. Quadrupled semitendinosus-gracilis autograft fixation in the femoral tunnel: a comparison between a metal and a bioabsorbable interference screw Extended, Large - Standard, 2-Hole Extended, Compared to traditional K-wires, this construct has been shown to be stronger.1. maximize screw position and limit intra-articular and neurovascular compromise. where additional screw options may be required. Locking Apple Watch and iPhone are trademarks of Apple, Inc., registered in requirements present in the trabecular anatomy of the calcaneus. Arthrex Quickset -Calcium Phosphate Bone Filler Arthrex Quickset can be used to help stabilize bone fragments within highly comminuted fractures All-In-One Device Easy and fast Closed mixing system Endothermic mixing reaction Injectable Optimized Composition Good mechanical compression strength Proper viscosity and macroporosity due to polysaccharide polymer Excellent cohesiveness, which prevents Biologic Properties Biocompatible Osteoconductive Radio-opaque High Degree of Porosity Porous structure with different pore sizes Permeable to cells Fully *Prices are pre-tax. All plates have a low-profile thickness of 1.6 mm with screws sitting flush. The patella is covered with cartilage, which provides a cushion for your knee joint. 1st Metatarso-phalangeal (MTP) Arthrodesis, Proximal 5th metatarsal fracture (Jones fracture), Lateral Column Lengthening (Evans Osteotomy), First tarsometatarsal joint arthrodesis (Lapidus), Medial cuneiform dorsal opening wedge (Cotton) osteotomy. This fracture involves the proximal (upper) portion of the tibia which extends through the articular surface (into the knee joint). You also have the option to opt-out of these cookies. The quadriceps and patellar tendon attach to your patella, which normally allows you to flex and extend your knee. plates are designed for more comminuted fractures that require Pain is usually moderate and manageable with over-the-counter medications. Lisfranc Reconstruction System, Coding, coverage and reimbursement information. All fibula plates are engineered to work seamlessly with our proven Syndesmosis TightRope implants. Medial column arthrodesis with VariAx plate. the perimeter of the plate.. compromise as can be seen in the below views.. Youll be allowed to bear as much weight as you feel comfortable. The set includes everything needed to perform a traditional repair. The demonstration is performed by Dr. Donald Bohay and John Anderson of Grand Rapids, MI. surgeon to direct the screw up to 15 degrees (30 degreecone of FiberWire is superior in strength to stainless steel wire for tension band fixation of transverse patellar fractures. Etes-vous un professionnel de sant pratiquant en France? 2 Arthrex mesh plates can be used in conjunction with this set for fixation of these frequently challenging injuries. A patella fracture can be simple or complex. The targeting guides arerigid for They are twice as likely to occur in men as in women. 8,9 At our Level 1 trauma center, 1 fellowship-trained trauma surgeon treats all operative patella fractures with a low profile anterior mesh plate. Plates are compatible with the TightRope syndesmosis. What are the signs and symptoms of a patellar fracture? of complex patellar fractures. In addition, FiberTape suture has been attached to 5 in needles designed to pass through the screws, subsequently allowing for its use as a tension band. Tight screw density on the distal and proximal ends with larger bridges near the center of the plate allows surgeons to fit more screws in the same footprint than competitive plates. The medial opening gap width was the only predictor of lateral hinge fractures, suggesting a need for care when spreading the gap to avoid lateral hinge fractures. joint line helps to direct the trajectory of the initial screw into . Are you a medical professional residing in France? Patella fractures can cause the extensor mechanism of your knee to no longer function properly. the substantial bone of the sustentaculumtali. simple fall onto the knee or motor vehicle injuries) or indirectly following a forceful contraction of the quadriceps with the knee in a flexed position [ 2 ]. The A.L.P.S. The cartilage can be injured with this type of fracture, which can lead to post-traumatic arthritis. Some fractures require surgery to repair. Retinacular Closure. To address various types of fractures, the Patella SuturePlate II system offers three types of plates in different sizes. All content herein is protected by copyright, trademarks and other Calcaneo cuboid arthrodesis with VariAx plate. While most fractures are done healing within three to six months, its not uncommon for people to report long-term complications. In Although tension band fixation allows for reliable osseous union, especially in simple fracture patterns, it still presents several problems. Screw is also available to compress the plate to the bone. Follow the guidance of your healthcare provider and avoid too much activity too soon. The history reveals a direct blow to the knee, a fall, or a combination of the two. Abstract. All plates are made of titanium and have a low-profile thickness of 1.6 mm with screws sitting flush on the plate. Locking screws can be angled 15 for a total range of 30. Steinmetz S, Brgger A, Chauveau J, et al. Wright PB, Kosmopoulos V, Cot RE, Tayag TJ, Nana AD. patient-reported feedback to facilitate care, outcomes and posterior fixation. locking This capacity is influenced by bone mineral density, but also by bone geometry, microstructure and quality. Plating options that includes low-profile fracture utility plates, 3 different 5th metatarsal fracture plates and a pinch plate designed to facilitate distal metatarsal osteotomies, Versatile, low-profile plate designs are Type II anodized, pairing increased strength* with minimal construct prominence, Every 3Di screw hole accepts either a 2.0mm or 2.4mm non-locking or polyaxial locking screw, addressing variations in fracture patterns and patient anatomies. Most people will be feeling good in about six weeks, and able to return to all of their normal activities within three to six months. Some patella fractures are simple, but this small bone is also capable of breaking into many pieces. sustentaculumtalitomaximize screw purchase and trajectory to limit Patented SmartLock polyaxial locking technology 1. A vision requires leadership to become reality. Ce site est destin aux professionnels de sant.Etes-vous un professionnel de sant? Get useful, helpful and relevant health + wellness information. Distribution to any other recipient is prohibited., For product information, including indications, contraindications, maximize screw position and limit intra-articular and neurovascular They may also be able to feel the edges of the fractured bone pieces through your skin. Mller EC, Frosch KH. The distinct andsimple-to-use carbon fiber targeting guides (small Patented SmartLock polyaxial locking technology, Locking screws can be angled 15 for a total range of 30. This video demonstrates a lateral column lengthening. Patella fractures are not common. portfolio offers multiple screw options including Its usually caused by a traumatic injury, such as a fall or a blow to your kneecap. A patella fracture is a break in your kneecap, the bone that covers your knee joint. Plates -Ti-6Al-4V ELI,Type 2 Anodized Titanium Alloy. If youve fractured your patella, you may have a long recovery ahead. 3-Hole Extended, These two new plate designs expand upon Zimmer Biomets It includes 4.0 mm blunttipped cannulated screws that, when used in conjunction with FiberTape as an anterior tension band, creates a. The 4.0 mm blunt-tipped cannulated screws were designed specifically for patella fractures. Screw options and instruments to address a calcaneus fractures. Secondary fixation to the coracoid by using the Dog Bone Button. Patella Fractures are traumatic knee injuries caused by direct trauma or rapid contracture of the quadriceps with a flexed knee that can lead to loss of the extensor mechanism. Arthrex is the first company to obtain FDA clearance for plating in patella fracture indications. address a variety of calcaneus fractures, while meeting the stress Wrist Plate System A comprehensive plate selection, with multiple screw options variable, fixed angle locking and nonlocking screws. Once you have been diagnosed and treated for a patella fracture, youll be allowed to bear weight in a knee immobilizer, hinged knee brace or cast locked in full extension. If you cant, that will likely necessitate surgical intervention. Advertising on our site helps support our mission. Get to know Zimmer Biomets leadership team. Mller EC, Frosch KH. Wild et al. Patellar stability and osteosynthesis rates have been shown to improve significantly with locked plates.2 Arthrex mesh plates can be used in conjunction with this set for fixation of these frequently challenging injuries. Compression and locking in one step. Seven new indication specific plates. 1, 2 In total, 70% to 90% of patella fractures are transverse, with most. System Surgical Technique, These two new plate designs expand upon Zimmer Patellar stability and osteosynthesis rates have been shown to improve significantly with locked plates. experience.Mymobilitydelivers continuous data and 3 drill holes from inferior pole to superior pole of patella with 2.0mm drill. February 27, 2023 By scottish gaelic translator By scottish gaelic translator The patella is then inverted to permit direct visualization of fracture fragments and the articular surface 33 ( Fig. Low Profile VA Locking Screw, 3.0 x 10 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 12 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 14 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 16 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 18 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 20 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 22 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 24 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 26 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 28 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 30 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 32 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 34 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 36 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 38 mm, Titanium, Low Profile VA Locking Screw, 3.0 x 40 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 40 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 42 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 44 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 46 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 48 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 50 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 52 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 54 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 56 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 58 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 60 mm, Titanium, QuickFix Screw, Titanium, Cannulated, Short Thread, Cancellous 4.0 x 28 mm, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 30 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 32 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 34 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 36 mm, Titanium, QuickFix Screw, Cannulated, Short Thread, Cancellous 4.0 x 38 mm, Titanium, Handle, Quick Coupling Ratcheting, Cannulated, Bone Reduction Forceps, Curved, Pointed, qty 2, Drive Shaft, Cannulated, QC, T15 Hexalobe, Screw Holding Sleeve for 2.7, 3.5 and 4 mm Screws, Surgical Technique Guides | English | 03/03/2023 | LT1-000206-en-US B, Surgical Technique Animations | 02:13 | English | 01/13/2023 | AN1-000279-en-US B, Surgical Technique Videos | 04:22 | English | 02/04/2022 | VID1-003070-en-US A, Brochures | English | 01/28/2021 | LB1-000259-en-US A, 04:22 | English | 02/04/2022 | VID1-003070-en-US A, 02:13 | English | 01/13/2023 | AN1-000279-en-US B, English | 03/03/2023 | LT1-000206-en-US B, English | 01/28/2021 | LB1-000259-en-US A. Only by truly understanding the challenges you face can we offer a portfolio to best fit your needs. 3). Arthrex, Naples, FL, USA) is a novel locking plate, which addresses the aforementioned limitations. Please confirm you are a healthcare professional. Patella fracture fixation remains a significant challenge for orthopedic surgeons. 2.7 mm, 3.5 mm and4.0 mm locking screws that can be inserted into The mesh plates combine an MIS plate design with Designed with the surgeon in mind, the plates have many features to help create a more reproducible procedure: The locking straight plates include a slide hole, which allows slight movement across the fracture line to facilitate the best plate placement. This set includes 4.0 mm blunt-tip cannulated lag screws, which feature smooth tips to help avoid cutting suture, and a specially designed 5-in needle for easily passing suture through the screws to create tension-band fixation. Patellar stability and osteosynthesis rates have been shown to improve significantly with locked plates.2 Arthrex mesh plates can be used in conjunction with this set for fixation of these frequently challenging injuries. We do not endorse non-Cleveland Clinic products or services. addition to these locking screw designs, a cobalt chrome3.5 mm History. OrthoLine plates can be contoured using size-specific bending irons and cannulated bending plugs, which can also function as K-wire holes in any locking screw hole. the plate will alter targeting guide alignment. 1 It is generally accepted that instability of the syndesmosis after stable fracture fixation requires reduction and fixation in order to optimise the outcome. Overlying abrasions, ecchymosis over the anterior aspect of the knee, or both may be present. Treatment depends on how the kneecap breaks. The adaptability design allows for modularity and variable angles, you can base screw positoning on your patient at hand, not a plate's pre-existing design. Dr. Adam Schiff demonstrates a Posterior Malleolus fracture procedure using VariAx fracture plates. PEEKPower Tibial Head Fracture Plates Lateral and Posteromedial A combination of titanium locking screws and a radiolucent carbon reinforced PEEK plate. Patella SuturePlate System Offers a unique and ultimate rigid method for the accurate reduction of patella fractures. It can also be used to stabilize a fracture of the fibula. A fracture arises when the load-bearing capacity of a bone is exceeded by forces applied to it, for example during trauma. Both plates are anatomically shaped and . Diagnosis can be made clinically with the inability to perform a straight leg raise and confirmed with radiographs of the knee. We strive to alleviate pain and improve the quality of life for people around the world. Keywords: Patella fracture, Knee, Trauma, Review, Tension band, Plate fixation, Patellectomy Introduction Patella fractures account for 1% of fractures in adults and are seen in all age groups. Arthrex is the first company to obtain FDA clearance for plating in patella fracture indications. Calcaneus plates, and are designed to address comminuted fractures The low-profile plates are available in a wide range that Diagnosis is made radiographically with CT studies often required to assess for intra-articular extension. The set is designed to fix transverse patella fractures. Compared to traditional K-wires, this construct has been shown to be stronger.1. The Patella Fracture System includes everything needed to repair transverse patella fractures. The mesh plates, which are offered in short and long lengths, can be cut and contoured to the desired size and shape based on fracture patterns. Functional outcomes of revision osteosynthesis after failure of surgical treatment of patellar fractures. 1370 Creekside Boulevard Naples, FL 34108 United States Phone: +1-800-934-4404 Fax: +1-800-643-9310 Latex Information Arthrex, Inc. products are designed without any latex components or packaging. visualization, and allow for percutaneous screw placement., The anatomic shape of the plate allows screw trajectories to Suture holes can be used for soft-tissue attachment or ligament bracing. . The patello-femoral joint is biomechanically very stressed when the knee is loaded. The Mesh plates Case series of patellar plating have been reported, 7 and biomechanical studies have shown equivalent or superior results with plate fixation as compared to tension banding. With a multipartite patella, the volume of the true patella plus that of the smaller ossification centers is greater than that expected of a normal patella. Although these injuries are uncommon, representing less than 1% of all fractures, the patella plays a key role in the normal kinematics of the knee, making effective treatment of these injuries essential.1, 2, 3, 4 For fractures without displacement, a nonoperative course may be possible; however, an articular incongruency of as little as 2 mm is The Medial Anti-Glide Plate is designed to address vertical shear fractures of the medial malleolus. Some fractures require surgery to repair. Biometsexistingnon-locking perimeter plate and the A.L.P.S. The A.L.P.S. Medial Border Plate The procedure uses a Stryker Asnis III 4.0mm cannulated screw and a VariAx Foot oblique t-plate. The In addition, the anterior F.A.S.T. accurate screw insertion, radiolucent for enhanced x-ray a locking calcaneus plate design that address comminuted fractures Mechanical testing #DVA-107504-DVER. A patella fracture will often leave you unable to walk. Arthrex is the first company to obtain FDA clearance for plating in patella fracture indications. It covers the incision, the desired outcome, the osteotomy and fixation. Plating options that includes low-profile fracture utility plates, 3 different 5th metatarsal fracture plates and a pinch plate designed to facilitate distal metatarsal osteotomies Versatile, low-profile plate designs are Type II anodized, pairing increased strength* with minimal construct prominence If you choose to logout it will log you out from all the applications. provide both strength to the inner area of the plate, and Designed with the surgeon in mind, the plates have many features to help create a more reproducible procedure: The locking straight plates include a slide hole, which allows slight movement across the fracture line to facilitate the best plate placement. Adequate reduction of Patellar stability and osteosynthesis rates have been shown to improve significantly with locked plates. The patella SuturePlate (Fa. They will check for open wounds and for signs of hemarthrosis blood from the broken bone pieces collecting in your joint, which can cause excessive swelling. Mechanical testing is not necessarily indicative of clinical performance., Quantifying Your Patient Recovery with ZBEdges Persona IQ and the mymobility Care Management Platform, AAOS Las Vegas 03.08.23, Dealers Choice: ORIF vs. Total Hip Replacement AAOS Las Vegas 03.08.23, Zimmer Biomet Announces Fourth Quarter and Full-Year 2022 Financial Results, Zimmer Biomet Announces Webcast and Conference Call of Fourth Quarter 2022 Financial Results, Hindfoot: Calcaneus Fracture, Medial Calcaneal Slide, Small Standard, 2-Hole These anatomically contoured plates are not Minimally-Invasive and Mesh Calcaneus Plating System features two distinct and anatomically contoured plate designs that address a variety of calcaneus fractures, while meeting the stress requirements present in the trabecular anatomy of the calcaneus. 2 Arthrex mesh plates can be used in conjunction with this set for fixation of these frequently challenging injuries. The demonstration is performed by Dr. Kai Olms. Lateral column lengthening with VariAx plate. PEEKPower Tibial Head Fracture Plates Lateral and Posteromedial A combination of titanium locking screws and a radiolucent carbon reinforced PEEK plate. Arthritis can cause pain and stiffness. the calcaneus anatomy as needed. injury to tendinous and neurovascular structures, while limiting Stainless Steel, Type I Anodized titanium, and machined Permanent loss of motion in your knee, especially in its ability to bend and extend. If you think you can, but it is still painful, its probably best not to try until you have been diagnosed. warnings, precautions, potential adverse effects and patient K-wire fixation with metal tension band were used for fixation in 315 (70%) patients and cannulated screws were used with tension band for fixation in 133 (30%). Arthrex - Patella Fracture System Patella Fracture System The Patella Fracture System includes everything needed to repair transverse patella fractures. It covers the incision, the desired outcome, the osteotomy and fixation. Patella fractures represent approximately 1% of all fractures and present in a variety of patterns, which can make osteosynthesis challenging. trajectory of the screw hole may not be ideal. These can include: Patella fractures are not common, but traumatic injuries do happen. Dr. Schiff shares his experiences with the VariAx 2 plating platform. Wright PB, Kosmopoulos V, Cot RE, Tayag TJ, Nana AD. Suture holes in the plate can be optionally used for soft-tissue reattachment or ligament bracing. Its usually caused by direct injury like a fall on your knee, a blow to your knee or a collision, lik with the dashboard in a car accident. The A.L.P.S. Its multiple screw holes supposedly offer adequate stabilization of multi-fragment fractures. Palpable patellar defect (a change in your kneecap that you can feel through your skin). Naples, FL; 2013. Patella fractures represent approximately 1% of all fractures and present in a variety of patterns, which can make osteosynthesis challenging. The report includes a detailed description and tips of the surgical technique. This site is intended for healthcare professionals. Zimmer Biomet or its affiliates unless otherwise indicated, and must A patellar fracture is a break in your kneecap. hole as shown in the illustration below. Pain when your knee is touched or when you move your leg Swelling and bruising around your knee Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. Dr. Adam Schiff demonstrates a First tarsometatarsal joint fixation procedures using VariAx fracture plates. Practical guidelines for the treatment of patellar fractures in adults. The Arthrex SuturePlate II system can be used to address various types of patella fractures. design of this screw allows the head to sit level with the plate MIS plates are designed to meet the needs of a variety of The anatomically contoured plate is designed to replicate the patient's specific scapular anatomy, thereby resulting in a more secure reconstruction of severely displaced fractures. It can take a long time to strengthen your thigh muscles after a patella fracture. existing non-locking perimeter plate and the A.L.P.S. They might have you try to extend your leg. Fragility fractures are the clinical outcome of osteoporosis. Unique to this set is an adjustable parallel offset guide, a C-ring drill guide with an incorporated measurement device, and a cerclage wire passer to effectively pass wire through the quad and patellar tendons. extended 2-Hole, large extended 2-Hole, and large extended 3-Hole Disruption of the syndesmosis may occur in up to 13% of fractures of the ankle and in 20% of those requiring internal fixation.

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