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The Distal Clavicular Locking Plate-I is a highly specialized orthopedic implant designed for the stable fixation of fractures in the distal, or outer, third of the clavicle. These fractures are often unstable due to the disruption of the coracoclavicular ligaments, which connect the clavicle to the scapula. This plate is anatomically contoured to fit the complex shape of the distal clavicle and features a cluster of locking screw holes to securely capture the small lateral fragment. The fixed-angle construct provided by the locking screws offers superior stability, countering the deforming forces of the shoulder muscles. This advanced design facilitates a high rate of bone healing, restores the anatomical alignment, and promotes a swift return to full shoulder function.
Distal Clavicular Locking Plate-I
TOOLMED
Product Description
The plate features a cluster of locking screw holes at its distal end, designed to capture and stabilize the small lateral fragment of the clavicle, which is crucial for treating unstable fractures.
The plate is pre-contoured to match the natural anatomy of the distal clavicle and its transition to the acromion, simplifying surgical placement and providing an optimal fit.
The locking screw-to-plate interface creates a fixed-angle construct, which provides superior stability and prevents screw back-out, especially in small, difficult-to-fix fragments.
The plate’s thin, low-profile design minimizes irritation to the surrounding soft tissues, reducing patient discomfort and the potential for hardware prominence.
Crafted from a high-quality titanium alloy, the implant offers exceptional strength, biocompatibility, and fatigue resistance for reliable, long-term fixation.
The Distal Clavicular Locking Plate-I is primarily indicated for the stable fixation of displaced and unstable fractures of the distal clavicle, particularly Neer Type II fractures where the coracoclavicular ligaments are disrupted.
It is an ideal solution for comminuted fractures in this region, where the locking technology provides superior stability in the absence of solid cortical bone.
The implant is also suitable for the treatment of non-unions and malunions (improperly healed fractures) of the distal clavicle, providing the necessary stability for corrective procedures.
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The Distal Clavicular Locking Plate-I is a highly specialized orthopedic implant for the internal fixation of fractures of the distal clavicle. Unlike the S-shaped plates used for midshaft fractures, this plate is specifically designed to address the challenges of the distal clavicle, particularly its lack of strong bone for screw purchase and the deforming pull of the trapezius muscle. The plate features a fixed-angle construct created by its locking screws, which securely holds the small, lateral bone fragment in place, providing the rigid stability required for healing.
The primary application of the Distal Clavicular Locking Plate-I is for the stable fixation of displaced fractures of the distal clavicle, especially Neer Type II fractures where the coracoclavicular ligaments are torn. Without surgical intervention, these fractures often fail to heal correctly due to the upward pull on the medial fragment. The plate's design effectively neutralizes this force, allowing the bone to heal in proper alignment. It is also used for comminuted fractures in this region, as the locking screws provide superior hold in fractured or osteoporotic bone.
The Distal Clavicular Locking Plate-I offers several key advantages for treating distal clavicle fractures. Its anatomical design and dedicated distal screw cluster provide a powerful biomechanical construct that is crucial for a successful outcome in this challenging anatomical region. The fixed-angle stability allows for early, protected range of motion, which is vital for preventing shoulder stiffness and promoting a faster recovery. The plate's low-profile design minimizes the risk of hardware prominence, a common issue in this superficial bone, reducing the chances of patient discomfort and the need for a second surgery to remove the implant.
The biomechanics of the Distal Clavicular Locking Plate-I are based on creating a rigid, fixed-angle construct that acts as a secure internal splint. The plate's locking screw holes are clustered to provide maximum purchase in the small lateral fragment of the clavicle. Once the locking screws are secured, the entire system resists the upward deforming forces from the trapezius muscle. This stability is independent of the quality of the bone, making it an excellent choice for patients with osteoporotic bone. The strong construct prevents angulation, shortening, and rotation, providing the ideal mechanical environment for bone healing.
The implantation of the Distal Clavicular Locking Plate-I is a precise surgical procedure. After reducing the fracture, the pre-contoured plate is placed on the superior surface of the clavicle. The surgeon uses a dedicated targeting guide to drill and place the locking screws at the correct angles into both the medial and distal fragments. The screws are then threaded into the plate, creating the rigid fixed-angle construct. The procedure is designed to be minimally invasive, with care taken to preserve the surrounding ligaments and soft tissues, which is crucial for a successful outcome.
Following a successful Distal Clavicular Locking Plate-I fixation, a structured postoperative care plan is initiated. Due to the high stability of the fixed-angle construct, patients are often able to begin early, controlled range of motion exercises of the shoulder and arm. Physical therapy is a crucial component of recovery, focusing on regaining full strength and mobility. Regular clinical and radiographic follow-up appointments are essential to monitor fracture healing and ensure the implant remains stable throughout the recovery process, contributing to a high rate of successful union.
The Distal Clavicular Locking Plate-I is a highly effective and reliable solution for the treatment of unstable distal clavicle fractures. Its innovative design, which combines an anatomical shape with advanced locking technology, provides surgeons with a powerful tool for achieving stable, customized fixation in this challenging anatomical region. By promoting high stability, preserving bone blood supply, and facilitating early patient mobility, the Distal Clavicular Locking Plate-I leads to excellent clinical outcomes, a faster recovery, and an improved quality of life for the patient.
Fractures of the distal clavicle often become unstable when the strong coracoclavicular ligaments that hold the clavicle to the scapula are torn. This allows the medial fragment to be pulled upwards by the trapezius muscle, which can prevent the fracture from healing.
An S-clavicle plate is for fractures in the midshaft of the clavicle. This plate is specifically designed for the distal end, with a different shape and a unique cluster of locking screws to capture the small, lateral fragment and provide stability in this anatomically challenging region.
The locking screw cluster provides a fixed-angle construct that acts as a secure "cage" for the small distal bone fragment. This prevents the fragment from migrating or rotating, which is crucial for achieving a successful fixation and promoting healing.
The plate is designed to be a permanent implant. However, it can be removed once the fracture has fully healed if the patient experiences pain or irritation from the hardware, or for cosmetic reasons, as it is a superficial bone.
The goal of the surgery is to restore the anatomical alignment of the clavicle, which is a key component of the shoulder girdle. A successful fixation and subsequent physical therapy can lead to a full and complete restoration of shoulder function.
