Volar Plating with Anatomically Designed Plate （手掌的电镀与解剖板而设计的）.pdfVIP

OPER ATIVE TECHNIQUE Volar Plating with Anatomically Designed Plate and Fixed-Angle Screws Key contributors: Dr. David L. Nelson Dr. David S. Ruch 1 Introduction 2 Features and Benefits 3 Anatomical Landmarks 4 Pre-operative Preparation 4 Volar Plating of Distal Radius Fractures Operative Technique 7 (A) Reduce the Fracture Before Placing the Plate 10 (B) Use the Plate to Reduce Dorsal Fragment 11 Postoperative Management 12 Sterilization 13 Ordering Information Orthofix wishes to thank the following surgeons for their contribution to the development of this technique: Dr. David L. Nelson Board Certified Orthopedic Surgeon Hand Surgery Specialist Private Practice Greenbrae, CA Dr. David S. Ruch Professor Director Orthopedic Hand Surgery Duke University Medical Center O P E R AT IV E T E C H N IQ U E 1 INTRODUCTION The Orthofix Contours VPS combines locking screw technology with an anatomically designed plate to achieve fixed-angle screw placement with superior buttressing for volar and dorsal fracture displacement. The advantage of the fixed-angle design of the Contours VPS over the variable-angle fixed-angle designs is that, once the first screw is place in an extra-articular, subchondral location, all the other screws should also be properly in subchondral bone, but not in the joint. The Contours VPS anatomic design is based on cadaveric dissection, prepared bones, and digitized data gathered from the Hamann-Todd Osteological Collection. The volar surface geometry of the distal radius