Variable Angle LCP Two-Column Volar Distal Radius 2.4

The is plate is part of the Variable Angle LCP Distal Radius System 2.4 (please see separate article) which is indicated for fixation of complex intraarticular fractures and osteotomies of the distal radius and other small bones.

The plates come in a left and right version. The plate head has a 6-hole and a 7-hole head option, the shaft features 2-, 3-, and 4-hole versions. In total, twelve different plates are available (see also case below).

2.4 mm VA -LCP Two-Column Volar Distal Radius (Narrow), for Small Stature

The 2.4 mm variable angle LCP two-column volar distal radius system has been expanded by the addition of a small stature version in particular for narrow radii of small-statured patients because the current 6-hole version may be too wide for this group of patients. The middle holes in the plate head have been merged, the plate angle lowered from 2520, the corners made rounder on radial and ulnar edges, and the divergent predefined screw angles increased. The narrow plate also comes in a left and right version with four different shaft lengths (4272 mm / 25 holes) and two corresponding guide blocks. The plates are available in stainless steel or titanium, sterile, and nonsterile. A trial implant allows determination of correct plate size in regions with sterile implants only. This trial implant may be fixed temporarily through K-wire holes.

22-year-old male fell off a horse while playing polo.

Case provided by Ladislav Nagy, Zrich, CH

Fig 1a-b Preoperative x-rays.

Fig 2af Preoperative 3-D CT scans.

Fig 3ac Immediate postoperative x-rays.

Fig 4ab X-rays 3 months postoperatively.

A young woman, 1,5 m tall, 45 kg, sustained a very distal C1.1 fracture of the distal radius.

Fig 1 Intraoperative view showing reposition of the radiocarpal joint with the K-wire.

Fig 2 Stabilization of the radiocarpal articular surface with one single 2.4 mm screw at the level of the watershed line, and narrow plate below the watershed line.

Fig 3ac Postoperative x-rays showing comparison of plate alternatives. 
a Four-hole small.

c Five-hole.

Case provided by Martin Langer, Mnster, Germany

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