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  • AO Surgery Reference

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    YWF
    9 Ansichten7 Seiten
    The official reference for titanium internal fixation plate bending and trimming.

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    The official reference for titanium internal fixation plate bending and trimming.

    Copyright:

    © All Rights Reserved
    Als PDF herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    9 Ansichten7 Seiten

    AO Surgery Reference

    Hochgeladen von

    YWF
    The official reference for titanium internal fixation plate bending and trimming.

    Copyright:

    © All Rights Reserved
    Als PDF herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 7
    ane27 AO Surgery Reference Plate bending close window Options General considerations Contouring of the template ‘Trimming the plate Filling plate holes with screws Plate bending: general considerations Plate bending: in-plane bendin Plate bending: out-of-plane bending Bending: bending iron: PI nding: rquine heck inst tem| General considerations Se, enlarge The locking reconstruction plate 2.4 is a very heavy and thick plate used to provide maximal stability. This plate is difficult to bend due to its stiffness. Large and complex bending is done most efficiently by using a template. Several plate configurations are available with corresponding templates to satisfy alll clinical situations. If the plate will span the angle, preferably use prebent plates in order to avoid extreme in-plate bending. Metal fatigue with plate fracture can result from excessive and/or repetitive plate bending The templates are very malleable and easy to configure. Note there are no screw holes fabricated in the templates to prevent implanting these devices. Basically, the same mode of bending and trimming applies to heavy locking plates 2.0, ie, the large and extra-large profile variety. Click here for the AO Teaching Video on bending of a reconstruction plate. Contouring of the template hipeulaww2 aoloundaton orgwpsiporalutiplatl_S}8CPykssyOxPLMnMzOvMAIG)ZOKN_AOMSD20Dbz8_UNMDRyDXOSdvOwMDAXSYEKMED:D... 177 2ne2017 AO Surgery Reference enlarge First, adapt the template to the desired contour. a2 enlarge The template is used as a reference throughout the entire bending process. Trimming the plate enlarae The template is used to determine the length of the plate, specifically the number of holes necessary. The reconstruction plate is cut to the desired length using the “shortcut” cutting device Insert the reconstruction plate into the instrument where the desired cut is planned. enlarge Place the opposite instrument immediately adjacent to the desired cut. Both instruments are gently squeezed together to cut the plate. hipeiown2aofoundaton oppor 14_S}9CPykssyOxPLMriMzOMAIGiZOKN_AOM3D20Dbe9, UMIMORyDXOSdvOwMDAKSYEKMEDED. an ane27 AO Surgery Reference enlarge The instruments are separated and the desired cut is seen. Filling plate holes with screws Fill the threaded plate holes with bending insets. Insert them into those holes which will later be filled with locking screws. enlarge Without these bending insets the holes become deformed and the precise seating of the locking screws can no longer be guaranteed. The use of the prebent plates can provide better screw seating as the major bends are already completed and less manipulation is required by the surgeon. Plate bending: general considerations hipeiown2aofoundaton oppor 14_S}9CPykssyOxPLMriMzOMAIGiZOKN_AOM3D20Dbe9, UMIMORyDXOSdvOwMDAKSYEKMEDED. ar aco so surpry Ralerence enlarge There are three types of bends necessary to adapt a plate. In-plane bending Out-of-plane bending Torquing Plate bending: in-plane bending enlarae With the bending pliers, the plate can be bent in two planes. In the first step, bend the plate in plane. The appropriate slot is marked on the bending pliers. Guide the plate in gradually through the opening of the pliers, according to the curvature required. enlarge Check against template Check the curvature of the plate against the template repeatedly during the in-plane bending of the plate. When the process is finished, the curvature is checked again against the template. hipaa? aoloundaton orgwpsporialutiplatI4_S}8CPykssyOxPLMnMzvMAIGiZOKN_AOMSD20Dbz8,_UNMDRyDXOSdvOwMDAXSYEKMED

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