HUMERUS PLATE
Advantages
- Guide frame for minimally invasive approach
- Guide block for the head area, for easy fitting
- Suitable for deltopectoral and deltoid-splitting approach
- Optimal adjustment of plate height using the guide block
- Temporary fixation of plate and guide block regardless of screw application
- Improved ability to fix the tubercle to the plate through optimised penetration with surgical needles
- The surgeon can choose between three angle-stable screw types for the head holes in the plate head – Ø 3.5 mm cortical/ Ø 4.0 mm cortical and Ø 4.0 mm cancellous
- Removal of metal made easier by the TiOB® surface coating on the plates (type II anodising)
- No additional risk to vital ventromedial blood supply
- Access to greater tubercle, frequently subject to dorso-cranial dislocation
- The reduction result can easily be reviewed by means of craniocaudal X-ray images
- Easy to manipulate fragments using sutures
- Can also be used to treat existing (partial) rotator cuff tears
Fractures
- 8 head holes
- Variable angle-stable
- Titanium
- For screws Ø 4.0/3.5 mm
- Plate thickness: 3 mm
- Surface: TiOB®
- Combination holes in shaft for standard or Ø 3.5 mm angle-stable cortical screws
- Variable angle-stable holes in the head area for Ø 4.0 mm angle-stable cancellous screws, Ø 4.0 mm angle-stable cortical screws or Ø 3.5 mm angle-stable cortical screws
- Elongated hole for intra-operative alignment of the plate
- Fixation holes for Kirschner wires
- Fixation holes for rotator cuff refixation
- Uniform plate versions for left and right
- Anatomical fit for the humeral head
- Divergent screw position in the head area
- The guide block can be used to assist with angle-stable fixation in the head holes
- Available lengths: 77 mm to 157 mm (8/3-hole to 8/8-hole)
- The system name VaWiKo® is derived from the German designation “Variabel winkelstabile Kombination”, which translates into English as “variable angle-stable combination”. This system combines conventional plating technologies with angle-stable locking at variable angles.
- VaWiKo® is a trademark of Königsee Implantate GmbH, which is registered in Germany.
- TiOB® is a trademark of Königsee Implantate GmbH, registered in the EU countries, in Switzerland and in the USA.
This implant was designed with a focus on providing a precise anatomical fit and the ideal diverging screw position in the area of the humeral head.
Treatment of proximal humeral fractures
Proximal humeral fractures represent 5% of all fractures in humans. Treating these fractures is challenging in terms of bone reconstruction due to the anatomical features of the shoulder joint, which is stabilised by soft tissue only.
The variable angle-stable proximal humerus plate with 8 head holes for 4.0/3.5 screws allows surgeons to treat both simple and complex proximal humerus fractures.
Advantages
- Guide block for the head area, for easy fitting
- Suitable for deltopectoral and deltoid-splitting approach
- Optimal adjustment of plate height using the guide block
- Temporary fixation of plate and guide block regardless of screw application
- Improved ability to fix the tubercle to the plate through optimised penetration with surgical needles
- Removal of metal made easier by the TiOB® surface coating on the plates (type II anodising)
- The surgeon can choose between three angle-stable screw types for the head holes in the plate head – Ø 3.5 mm cortical/ Ø 4.0 mm cortical and Ø 4.0 mm cancellous
- No additional risk to vital ventromedial blood supply
- Access to greater tubercle, frequently subject to dorso-cranial dislocation
- The reduction result can easily be reviewed by means of craniocaudal X-ray images
- Easy to manipulate fragments using sutures
- Can also be used to treat existing (partial) rotator cuff tears
Fractures
- 8 head holes
- Variable angle-stable
- Titanium
- For screws Ø 4.0/3.5 mm
- Plate thickness: 3 mm
- Shaft width 13 mm with 2, 3, 4 and 5 holes in the plate shaft to reduce bone support (to protect the periosteum)
- Shaft width 17 mm from 6 holes in the plate shaft
- Variable angle-stable combination holes in the head region for angle-stable cancellous bone
- or cortical screws Ø 4.0 mm or angle-stable cortical screws Ø 3.5 mm
- Combination holes in shaft for standard or Ø 3.5mm angle-stable cortical screws
- Elongated hole for intra-operative alignment of the plate
- Fixation holes for Kirschner wires
- Fixation holes for rotator cuff refixation
- Uniform plate versions for left and right
- Anatomical fit for the humeral head
- Divergent screw position in the head area
- The guide block can be used to assist with angle-stable fixation in the head holes
- Available lengths: 63 mm to 253 mm (2-hole to 14-hole)
The proximal humerus plate Five is suitable for a deltopectoral and a deltoid-splitting approach. The surgeon can chose between three angle-stable screw types to fill the head holes in the plate head
Treatment with the variable angle-stable and angle-stable proximal humerus plate for 4.0/3.5 screws
The variable angle-stable / angle-stable proximal humerus plates allow the surgeon to treat simple and complex proximal humeral fractures. The humerus plate Five is suitable for a deltopectoral and a deltoid-splitting approach. Temporary fixation of plate and the guide block can be achieved regardless of screw application.
The tubercle can be fixed to the plate through optimised penetration with surgical needles. The surgeon can chose between three angle-stable screw types to fill the head holes in the plate head. The surgeon can use screws with diameters of Ø 3.5 mm cortical bone/Ø 4.0 mm cortical bone (titanium only) and Ø 4.0 mm cancellous bone. There is no additional risk to vital ventromedial blood supply.
Advantages
- Guide block for the head area, for easy fitting
- Suitable for deltopectoral and deltoid-splitting approach
- Temporary fixation of plate and guide block regardless of screw application
- Improved ability to fix the tubercle to the plate through optimised penetration with surgical needles
- Surgeon can choose between three angle-stable screw types for the head holes in the plate head – Ø 3.5 mm cortical/ Ø 4.0 mm cortical (titanium only) and Ø 4.0 mm cancellous
- No additional risk to vital ventromedial blood supply
- Access to greater tubercle, frequently subject to dorso-cranial dislocation
- The reduction result can easily be reviewed by means of craniocaudal X-ray images
- Easy to manipulate fragments using sutures
- Can also be used to treat existing (partial) rotator cuff tears
Fractures
- 5 head holes
- Variable angle-stable
- Titanium
- For screws Ø 4.0/3.5 mm
- Plate thickness: 3 mm
- Combination holes in shaft for standard or Ø 3.5 mm angle-stable cortical screws
- Variable angle-stable and angle-stable holes in the head area for Ø 4.0 mm angle-stable cancellous screws, Ø 4.0 mm angle-stable cortical screws (titanium only) or Ø 3.5 mm angle-stable cortical screws
- Elongated hole for intra-operative alignment of the plate
- Fixation holes for Kirschner wires
- Fixation holes for rotator cuff refixation
- Uniform plate versions for left and right
- Anatomical fit for the humeral head
- Divergent screw position in the head area
- The guide block can be used to assist with angle-stable fixation in the head holes
- Available lengths: 74 mm to 218 mm (5-hole to 14-hole)
The angle-stable proximal humerus plates allow the surgeon to treat simple and complex proximal humeral fractures. Treating these fractures is particularly challenging in terms of bone reconstruction because of the anatomical features of the purely soft-tissue-guided shoulder joint.
This implant was designed with a focus on providing a precise anatomical fit and the ideal divergent screw position in the area of the humeral head. The plate is suitable for a deltopectoral and deltoid-splitting approach.
Advantages
- Suitable for deltopectoral and deltoid-splitting approach
- The tubercle can be fixed to the plate through optimised penetration with surgical needles
- No additional risk to vital ventromedial blood supply
- Access to greater tubercle, frequently subject to dorso-cranial dislocation
- The reduction result can easily be reviewed by means of craniocaudal X-ray images
- Easy to manipulate fragments using sutures
- Can also be used to treat existing (partial) rotator cuff tears
Fractures
- 3 head holes
- angle-stable
- Titanium
- For screws Ø 6.0/4.5 mm
- Plate thickness: 4.5 mm
- Combination holes in shaft for standard or Ø 4.5 mm angle-stable cortical screws
- angle-stable holes in the head area for Ø 6.0 mm angle-stable cancellous screws
- Elongated hole for intra-operative alignment of the plate
- Fixation holes for Kirschner wires
- Fixation holes for rotator cuff refixation
- Uniform plate versions for left and right
- Anatomical fit for the humeral head
- Divergent screw position in the head area
- Available lengths: 73 mm to 249 mm (5-hole to 16-hole)
