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Fracture Solutions

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OsteoMed Hand Plating System

The OsteoMed Hand Plating System features instrumentation and low-profile implants designed specifically for treating hand trauma.

Lag Screws 1.2 mm Lag Screws capture small avulsed fragments.

Straight Plates Like T and Y Plates, these may be cut to length and bent to better fit patient anatomy.

Offset Grid Plate Designed to provide fixation of comminuted diaphyseal fractures.

The OsteoMed Hand Plating System features 68 plates, 4 screw types, and 3 k-wires.

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OsteoMed products
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Modules Distal Phalanges Middle Phalanges Proximal Phalanges Metacarpals and Carpals
1.2 mm    
1.6 mm    
2.0 mm    
2.4 mm      
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TaperLock™ Screw Retention Technology

The tapered driver tip press fits at .9 mm, and is designed to provide a thinner screw head profile in all OsteoMed Hand Plating System Variable Angle Locking, Nonlocking, and Lag Screws.

Acumed Hand Fracture System

Acumed’s Hand Fracture System features both standard and specialty plates for fixation of metacarpal and phalangeal fractures, fusions, and osteotomies.

Metacarpal Neck Fracture: The 1.3 mm Metacarpal Neck Plate has three distally pointing converging screws to provide metacarpal head fixation.

Rotational Malunion Osteotomy: The 1.3 mm Rotational Correction Plate system includes a Rotational Osteotomy Cutting Guide designed to facilitate placement and orientation of the cut for rotational osteotomies of the metacarpals.

Dorsal Scaphoid Fracture: The Acutrak 2® Headless Compression Screw is designed to effectively reduce and secure a fractured scaphoid and maintain rotational stability.

The Acumed Hand Fracture System offers plates in 0.8 mm & 1.3 mm thicknesses.

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Acumed products

Rolando Fracture Hook Plate

The 1.3 mm Rolando Fracture Hook Plate is designed for a three-part fracture pattern at the base of the first metacarpal. The prongs on the proximal end of the plate should contact the dorsal surface of the abductor pollicis longus (APL) tendon and support any comminution of the base of the first metacarpal.

Avulsion Hook Plate

The 0.8 mm Avulsion Hook Plate is designed to provide more stability than a K-wire when a fragment is too small for a single lag screw. The plate’s prongs can support an avulsion fragment when the fragment is too small for a lag screw and more stability is desired than pinning with K-wires alone can provide.

Hand Fracture System Cadaveric Lab Part 2: Rolando Fracture Hook Plate

Professor Randy Bindra, MCh Orth, MS Orth, FRCS, demonstrates the approach and implantation of the Rolando Fracture Hook Plate, one of the specialty plates in the Acumed Hand Fracture System.

Hand Fracture System Cadaveric Lab Part 1: System Overview and Design Rationale

In this video, Professor Bindra provides an overview and some of the design rationale of the Hand Fracture System. The comprehensive system is designed to surgically treat various metacarpal and phalangeal fractures, fusions, and osteotomies and features multiple fracture-specific plates as well as standard fixation options.

Hand Fracture System Cadaveric Lab Part 4: Avulsion Hook Plate

This video demonstrates the approach and implantation of the Avulsion Hook Plate, one of the specialty plates in the Acumed Hand Fracture System. The 0.8 mm Avulsion Hook Plate is designed to provide more stability than a K-wire when a fragment is too small for a single lag screw.

Hand Fracture System Cadaveric Lab Part 3: Curved Medial Lateral Plate

Professor Randy Bindra, MCh Orth, MS Orth, FRCS, demonstrates the approach and implantation of the Curved Medial/Lateral Plate, one of the specialty plates in the Acumed Hand Fracture System. The Curved Medial/Lateral Plate is designed to address diaphyseal fractures and distal phalangeal fractures when a medial or lateral approach is preferred.

Key Publications

Surgical Outcomes of Fifth Metacarpal Neck Fractures — A Comparative Analysis of Dorsal Plating Versus Tension Band Wiring
“Patients who underwent Dorsal Plating (DP) demonstrated better improvement in fracture angulation, radialulnar displacement, Metacarpal (MC) height ratio, and final Range of Motion (ROM) compared to those who underwent Tension Band Wiring (TB).”
Grewal R, Assini J, Sauder D, Ferreira L, Johnson J, Faber K. A comparison of two headless compression screws for operative treatment of scaphoid fractures. J Orthop Surg Res. 2011;6:27.
Read the full publication
Comparison of AO Titanium Locking Plate & Screw Fixation vs Anterograde Intramedullary Fixation for Isolated Unstable Metacarpal and Phalangeal Fractures
“Anterograde intramedullary (AIM) fixation, the conventional treatment for metacarpal and phalangeal fractures, has been reported to have many advantages, including minimal soft tissue dissection, smaller skin incision and potentially less tendon irritation. However, these advantages may be outweighed by inferior stability and a greater incidence of complications. In recent years, fixation with Arbeitsgemeinschaft für Osteosynthesefragen (AO) titanium locking plate and screws (ATLPS) has been used to treat unstable metacarpal and phalangeal fractures and has yielded favorable clinical outcomes.”
Zhang B, Hu P, Yu K, et al. Comparison of AO titanium locking plate and screw fixation versus anterograde intramedullary fixation for isolated unstable metacarpal and phalangeal fractures. Ortho Surg. 2016;8:316-322.
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A Comparison of Locking Plates and Intramedullary Pinning for Fixation of Metacarpal Shaft Fractures
“Plate fixation for metacarpal shaft fractures was found to be statistically advantageous in several parameters as compared to pin fixation. These included grip strength, digital range of motion, residual rotation, and DASH scores.”
Dreyfuss D, Allon R, Izacson N, Hutt D. A comparison of locking plates and intramedullary pinning for fixation of metacarpal shaft fractures. HAND. 2018; Sep 7:558944718798854
Read the full publication

Case Studies

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ORIF of First Metacarpal Base Fracture – Rolando Fracture Hook Plate
A 55-year-old, right-hand-dominant male fractured the base of his right first metacarpal during a fall at work. He was treated with a Rolando Fracture Hook Plate from the Acumed Hand Fracture System.
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Open Reduction & Internal Fixation of a Fifth Metacarpal Neck Fracture
A 24-year-old woman sustained multiple fractures in a motor vehicle accident, including a metacarpal neck fracture. This fracture was reduced and fixed using a Metacarpal Neck Plate from the Hand Fracture System.
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Open Reduction & Internal Fixation of the Proximal Phalanx
A 62-year-old man sustained a proximal phalanx fracture in Iraq. After initial external fixation, he was treated with open reduction and internal fixation using a Curved Medial/Lateral Plate from the Acumed Hand Fracture System.

GFS-00123-01 Data on file at Vivorté

*Competitive data on file with Acumed.

1. Ozyurekoglu T, Turker T. Results of a method of 4-corner arthrodesis using headless compression screws. J Hand Surg Am. 2012;37(3):486–492.

These materials contain information about products that may or may not be available in any particular country or may be available under different trademarks in different countries. The products may be approved or cleared by governmental regulatory organizations for sale or use with different indications or restrictions in different countries. Products may not be approved for use in all countries. Nothing contained in these materials should be construed as a promotion or solicitation for any product or for the use of any product in a particular way that is not authorized under the laws and regulations of the country where the reader is located. Nothing in these materials should be construed as a representation or warranty as to the efficacy or quality of any product, nor the appropriateness of any product to treat any specific condition. Physicians may direct questions about the availability and use of the products described in these materials to their authorized Acumed distributor. Specific questions patients may have about the use of the products described in these materials or the appropriateness for their own conditions should be directed to their own physician.

Acumed® and Acutrak 2® are registered trademarks of Acumed LLC.
OsteoMed® and TaperLock™ are registered trademarks of OsteoMed LLC.
Vivorté®, Trabexus®, and, Fortera® are registered trademarks of Vivorté.