alps proximal abducting ulnar plate
Transcription
alps proximal abducting ulnar plate
PAUL ALPS PROXIMAL ABDUCTING ULNAR PLATE BIOLOGICAL BENEFITS: • Sound biomechanical rationale • Reduced damage to vascular supply • Increased resistance to infection • Accelerated healing TECHNICAL FEATURES: • Titanium/titanium alloy for supreme biocompatibility • Locking or regular screws fit all holes • Eliminates fretting • Geometry optimized for strength ALPS Proximal Abducting Ulnar (PAUL) Plate CLINICAL DEVELOPMENT Medial compartment disease of the canine elbow is a common, highly debilitating orthopedic condition in need of a better treatment. In an effort to address this need, Dr. Ingo Pfeil, Dresden, Germany, proposed a proximal ulna osteotomy, aimed at unloading the medial compartment, thus reducing pain and improving limb use and function. The ALPS Proximal Abducting Ulnar Osteotomy (PAUL)* plate, invented and developed by Dr. Ingo Pfeil and KYON Veterinary Surgical Products, imposes a corrective limb alignment, aimed at unloading the medial compartment. Dr. Pfeil began clinical use of the PAUL technique in 2007. In 2010 KYON initiated the next phase of development, expanding to ~30 surgeons worldwide. By early 2012, ~300 cases had been treated. The procedure, as currently practiced with the KYON Advanced Locking Plate System** (ALPS) implants, presents relatively low morbidity and is meeting the expectations of the early adopters in terms of clinical improvement. The Advanced Locking Plate System (ALPS) reduces iatrogenic trauma and offers greater versatility and increased overall stability, resulting in accelerated fracture healing. The ALPS plating system builds on research and development work done on the PC-Fix (Point Contact Fixator) in the 1980s and 1990s at the AO Research Institute, Davos, Switzerland. Numerous publications have documented the PC-Fix design and clinical results. Slobodan Tepic, Dr. Sci., CTO, KYON AG, who conducted the research on PC-Fix, has developed the Advanced Locking Plate System (ALPS) as a “biological internal fixation” system, designed from conception to preserve the vascular supply, increase resistance to infection and accelerate healing. “Biological internal fixation” involves the use of locked internal fixators, which have minimal implant-to-bone contact, long-span bridging and fewer screws for fixation.[1] Image Courtesy of Ingo Pfeil, DVM, Tieraerztliche Klinik Dresdner Heide, Dresden, Germany *Patent Pending **Patented/Patent Pending Notes: [1] – Perren SM, – Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology. J Bone Joint Surg Br. 2002 Nov;84(8): 1093-110. I N V E N T ● D E S I G N ● C L I N I C A L LY T E S T ● M A N U FA C T U R E T O P E R F E C T I O N ● E D U C AT E ● S U P P O R T ALPS Proximal Abducting Ulnar (PAUL) Plate ALPS PAUL IMPLANTS & INSTRUMENTS Advanced Locking Plate System implants and instruments were invented and developed by KYON, with optimal selection of materials and manufacturing techniques for precision, durability, and maintenance. KYON products are manufactured in Switzerland with proprietary processes that produce superior products to those made by conventional manufacturing. ALPS 8 PAUL PLATE titanium alloy 05.21.02 4〫(2mm) step; L = 59.5mm 05.21.03 6〫(3mm) step; L = 59.5mm ALPS 9 PAUL PLATE titanium alloy 05.61.02 4〫(2mm) step; L = 69.25mm 05.61.03 6〫(3mm) step; L = 69.25mm ALPS 10 PAUL PLATE titanium alloy 05.31.02 4〫(2mm) step; L = 77.5mm 05.31.03 6〫(3mm) step; L = 77.5mm ALPS 11 PAUL PLATE titanium alloy 05.51.02 4〫(2mm) step; L = 110mm 05.51.03 6〫(3mm) step; L = 110mm TECHNICAL FEATURES: titanium alloy, grade 5 → pickled & Type II anodized → BIOLOGICAL BENEFITS: → • supreme biocompatibility → • thorough cleaning for biocompatability • creates inert titanium oxide surface → • enhanced strength • preserves vascular supply → • low profile • virtually eliminates fretting → • monocortical locking screws • greater versatility with ±30〫longitudinal and ± 6〫 transverse range of cortical screw placement computer optimized plate shape → optimized plate holes → locking or regular screws in all holes → B3.2mm LOCKING SCREWS; titanium alloy, self-tapping, RU-10 recess - for use with ALPS 8 & 9 05.25.01 2.5mm plug 05.25.12 12mm 05.25.08 8mm 05.25.14 14mm 05.25.10 10mm 05.25.16 16mm 05.25.18 18mm B4.0mm LOCKING SCREWS; titanium alloy, self-tapping, RU-10 recess - for use with ALPS 10 & 11 05.35.01 4mm plug 05.35.14 14mm 05.35.20 20mm 05.35.10 10mm 05.35.16 16mm 05.35.22 22mm 05.35.12 12mm 05.35.18 18mm 05.35.24 24mm TECHNICAL FEATURES: titanium alloy→ pickled & anodized → locking → monocortical → thread shape → self-tapping → RU head → BIOLOGICAL BENEFITS: → • supreme biocompatibility → • thorough cleaning for biocompatability creates inert titanium oxide surface → • allows for stable fixation with minimal contact between the plate and bone • transfers the bending moment from the bone to the plate, even if monocortical → • minimizes endosteal vascular damage → • British Standard Whitworth (BSW) shape for optimum grip in cortical bone → • faster insertion and improved grip → • compatible with Torx I N V E N T ● D E S I G N ● C L I N I C A L LY T E S T ● M A N U FA C T U R E T O P E R F E C T I O N ● E D U C AT E ● S U P P O R T ALPS Proximal Abducting Ulnar (PAUL) Plate ø2.4mm CORTICAL SCREWS; titanium alloy, self-tapping, RU-10 recess - for use with ALPS 8 & 9 05.26.10 10mm 05.26.18 18mm 05.26.26 26mm 05.26.12 12mm 05.26.20 20mm 05.26.28 28mm 05.26.14 14mm 05.26.22 22mm 05.26.30 30mm 05.26.16 16mm 05.26.24 24mm 05.26.32 32mm ø2.7mm CORTICAL SCREWS; titanium alloy, self-tapping, RU-10 recess - for use with ALPS 10 & 11 05.36.12 12mm 05.36.20 20mm 05.36.28 28mm 05.36.14 14mm 05.36.22 22mm 05.36.30 30mm 05.36.16 16mm 05.36.24 24mm 05.36.32 32mm 05.36.18 18mm 05.36.26 26mm 05.36.34 34mm TECHNICAL FEATURES: titanium alloy→ pickled & anodized → self-tapping → RU 10 head → BIOLOGICAL BENEFITS: → • supreme biocompatibility → • thorough cleaning for biocompatability creates inert titanium oxide surface → • faster insertion and improved grip → • compatible with Torx 10 ALPS 8 & 9 INSTRUMENTS 06.10.03 ø1.8mm drill bit; quick coupling, 125/100mm 02.20.04 ø2.5mm drill bit; quick coupling, 145/120mm 06.15.05 ø2.5mm drill stop 06.20.02 ø2.5mm drill sleeve; locking 06.30.02 ø1.8mm/ø2.5mm drill sleeve; neutral ALPS 10 & 11 INSTRUMENTS 06.10.04 ø2.0mm drill bit; quick coupling, 100/75mm 06.10.06 ø2.7mm drill bit; quick coupling, 100/75mm 06.10.07 ø3.2mm drill bit; quick coupling, 145/120mm 06.15.07 ø3.2mm drill stop 06.20.03 ø3.2mm drill sleeve; locking 06.30.03 ø2.0mm/ø2.7mm drill sleeve; neutral ALPS 8, 9, 10 & 11 GENERAL INSTRUMENTS 04.20.05 depth gauge; f/ screws 2.7 to 4.0mm, measuring depth up to 60mm 14.60.01 screwdriver handle; quick coupling L110mm PEEK 06.60.05 RU 10 screwdriver insert; compatible with Torx 10 04.31.03 reduction forceps; L 130mm ADDITIONAL INSTRUMENTS precision oscillating saw selection of small saw blades periosteal elevator Gelpi retractors ALPS PAUL TRAINING KYON sponsors instructional courses to facilitate the introduction of the PAUL into clinical practice. KYON ALPS training and educational opportunities can be found on our website @ www.kyon.ch. PARTICIPATING SURGEONS Find a surgeon performing KYON procedures and using KYON materials by searching the Participating Surgeons Database @ www.kyon.ch. KYON AG Technoparkstrasse 1 CH-8005 Zurich, Switzerland tel +41-44-350-3105 fax +41-44-350-3106 email [email protected] www.kyon.ch Thank you for your interest in furthering the art and practice of veterinary orthopedic and trauma surgery. KYON Pharma Inc. 156 Porter Street, Unit 249 Boston, MA 02128, USA tel +1-617-567-2436 fax +1-617-567-3193 email [email protected] www.kyon.us
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