Building on success. VA-LCP ElbowPlating System.

Building onsuccess . . .Founded upon the established principles of Synthes LCPtechnology and the first generation elbow plates, the VariableAngle LCP Elbow Plating System aims to:

Further reduce the risk of soft tissue irritation by takinginto account the poor soft tissue coverage of the elbow,thereby improving the plate profile, optimizing the anatomicalplate contours and enabling the screw heads to sit flush inthe plate hole.

Offer simplicity and adaptability: variable angle lockingtechnology combines the simplicity of the established LCPscrew insertion technique with the possibility of adaptingscrew angulations. Safety is enhanced during screw insertionby offering optimized predefined screw angles while allowing+/-15° off-axis angulation, if needed.

Respond to the specifics of proximal ulna fractures byrecognizing the particular biomechanical requirements of eachfracture type and therefore offering specific implants withoptimized shapes and screw configurations.

Provide multiple distal humerus plate configurationsincluding parallel and perpendicular plating, thereby allowingsurgeons to choose their preferred solution.

. . . improvingpatient care.

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Plate design

Optimized metaphyseal plate profile, together with roundededges and an improved anatomical plate fit minimize theprominence of the construct without compromising stability.

Poor soft tissue coverage of the elbow makes the area proneto implant prominence. The VA-LCP Elbow Plating System reduces the risk of soft tissue irritation through focused im-provements to the implant design and profile.

Reduce the risk of softtissue irritation

Cross-section of the VA-LCP Distal Humerus Plate, medial (1) and the LCP DistalHumerus Plate, medial (2) at the level of the medial epicondyle.

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Plate-screw interface designed forminimal screw-head prominence

Variable angle locking screw 2.7: heads sit flush with the upper surface of the plate (1).

Low-Profile Metaphyseal Compression Screw 2.7: alter-native to a cortex screw (non-locking) with low-profile head(2) and 2.7 mm shaft (3).

Cortex Screw 2.7

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Drill

Measure

Insert

Simplicity . . .

Predefined optimized screw angles

1 The predefined angles are optimized for common fracturepatterns for average anatomy.

2 Use of the predefined angles reduces the risk of screw collisions within the same plate and improves safety duringscrew insertion.

An established approach to instrumentation and implanta-tion reduces complexity and ensures a familiar technique.

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. . .and adaptability

Variable angle locking

3 Variable angle locking screws 2.7 mm give the surgeonthe ability to create a fixed-angle construct with the free-dom of +/-15° off-axis screw angulation. This enables thesurgeon to:– Adapt screw angulations to patient anatomy– Capture specific fracture fragments – Adjust screw trajectory after plate bending– Position screws precisely to avoid joint penetration

Plate contouring

Specific design features facilitate accurate plate contouringwhere needed: 4 Undercuts in the metaphyseal part allow plate contouring

to the distal humeral columns and olecranon, respectively. 5 Recon notches enable adaptation of the plate axis to the

bone-shaft axis, if required.

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Responding to the specificsof the proximal ulna

Fracture-specific proximal ulna plates enable the surgeon to address the specific biomechanical requirements of each fracture pattern while minimizing irritations of the adjacent soft tissue.

1 Long proximal extension and multi-ple screw options secure small olecranon fragments and neutralizethe forces of the triceps muscle.

2 Notches minimize interference withthe triceps tendon.

3 Reduced shaft thickness minimizesplate prominence.

1 Proximal extension with multiplescrew options secures the olecranonand neutralizes the forces of the tri-ceps muscle.

2 Multiple screws target and stabilizethe coronoid.

Proximal Olecranon Plate Olecranon Plate

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1 Reinforced shaft neutralizes dia -physeal bending forces.

2 Minimized proximal extension avoidsinterference with the triceps tendon.

Proximal Ulna Plate, extra-articular

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Choose your preferred plateconfiguration

Plate configurations

The VA-LCP Elbow Plating System offers threemain double-plating configurations for the distalhumerus.

Perpendicular

Perpendicular, with lateral support

Parallel

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VA-LCP Distal Humerus Plates

The plates offer multiple screw configurations for the medialand lateral columns, and the articular block.

1 Medial PlateThe standard medial column plate.

2 Medial Plate, with extensionThe extension buttresses the medial epicondyle and includes an ascending screw that stabilizes the medial column.

3 Lateral PlateThe lateral plate for the parallel-plating configuration.

4 Dorsolateral PlateThe dorsolateral plate for the perpendicular-plating configuration with screws targeting the capitellum.

5 Dorsolateral Plate, with lateral supportThe screws from the lateral support target the articularblock.

0123All technique guides are available as PDF files at www.synthes.com/lit

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Building on success. VA-LCP ElbowPlating System.

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