The precontoured radius plates of the Acumed Anatomic Midshaft Forearm Plating System offer marked hardware improvements over traditional straight plates. The system can be used to treat fractures, fusions, and osteotomies of the radius and ulna. It can also be used in conjunction with the Acumed Forearm Rod System for a less invasive approach to radius, ulna, and both-bone forearm fractures in the diaphyseal region. The Anatomic Midshaft Forearm Plating System includes Midshaft Ulna Plates, Volar Midshaft Radius Plates, and Dorsolateral Midshaft Radius Plates.
The Acumed Forearm Rod System offers surgeons an alternative option for the treatment of fractures and osteotomies of the radius and ulna over traditional plating. Each fluted rod is designed to be inserted through a small incision with minimal canal reaming. A targeted interlocking screw, combined with a paddle blade tip design, locks and rotationally secures the bone segments to assist in fracture union.
Case Series: Forearm Fractures
The First Precontoured Radius Plates
Due to the sagittal bow of the radius, plating with contoured plates in the sagittal plane improves rotation when compared with straight plates.2 For every 5 degrees of radial curvature that is not restored, the patient may lose 15 degrees of rotational motion.2
Two Contoured Radius Plate Options
Acumed offers two contoured radius plate options, including volar and dorsolateral approach options and an ulna plate.
Precontoured Plate Advantages
Precontoured plates are intended to minimize plate bending to help save operating time. This allows surgeons to focus on restoring anatomy and re-establishing forearm pronation-supination.1
Plate Design Features
Tapered plate ends may reduce stress on bone and risk of secondary or subsequent fracture adjacent to the plate. A limited-contact under-surface minimizes contact with the periosteum to avoid disruption of blood supply.
Innovative instrumentation includes a swiveling plate clamp, an angled drill guide, and a soft tissue spreader to aid in plate implantation.
The rod is designed to be inserted through a small incision with minimal canal reaming.
The rod’s paddle-blade tip and interlocking screws are designed to lock and rotationally secure bone segments to assist in fracture union.
The straightforward surgical technique is designed to streamline the surgical experience.
Rods are precontoured to match the ulnar and radial canal’s geometry.
Anatomic Midshaft Forearm Plates
Volar Midshaft Radius Plates
Anatomically precontoured plates are intended to help restore forearm geometry and assist in reestablishing pronation and supination.
Dorsolateral Midshaft Radius Plates
Precontoured plates are designed to help restore radial bow and may reduce the need for intraoperative bending, thereby reducing the risk of implant weakening that may come with bending of traditional implants.
Midshaft Ulna Plates
Forearm Rod System
- Rupasinghe S, Poon P. Radius morphology and its effects on rotation with contoured and noncontoured plating of the proximal radius. J Shoulder Elbow Surg. 2012;21: 568-573 doi:10.1016/j.jse.2011.03.015
- Stannard J, Schmidt A, Kregor, P. Surgical treatment of orthopaedic trauma. <em>Injury</em>. 2007;39(4):502.