I N N O VA T I O N
ALIANS PROXIMAL HUMERUS
POLYAXI A L LO CKING SYSTEM
DUALTEC SYSTEM
Polyaxiality of 25
Unique suture holes for soft tissue xation
Pre-contoured implant
M E A N S M OT I O N
D E S CR IPT I O N O F T HE P L AT E
A NATOMICA LLY SHA PED PL ATE
INDICATIONS :
The Humerus Locking Plating System is intended for fractures and
fracture dislocations, osteotomies, and non-unions of the proximal
Humerus.
IDEAL PLACEMENT OF THE
PLATE:
Unique & easily accessible
suture holes allow for effective
stabilization of the tuberosities.
1.5cm from the proximal edge
of the greater tuberosity,
avoiding any problem of
impingement.
Optimized oblong hole length
to allow for adjustment of plate
height.
Alongside the bicipital groove.
OPTIMA L PROXIM A L S CREW POSITION
BLUNT-TIPPED SCREWS:
Limit protrusion through the
articular surface.
Allow
to
be
as
close
as possible to the articular
surface for a better construct.
Fixed angle divergent screws
(targeting the inferior quadrants)
and polyaxial locking screws
allow optimal position in the
humeral head.
Screw diameter: 4.5mm
Core diameter: 3.5mm
I N N O VA T I O N M E A N S M OT I O N
A SIMPLE A ND REPROD UCTI V E PRO CESS
STEP 1
Hole n1
Drill
guide,
with
its
2mm
K-wire guide, ensures an accurate
placement of a centering screw in the
humeral head.
STEP 2
The centering screw determines
the best plate position and optimized
xed angle screw placement.
STEP 3
Three variable angle locking screws
to cope with every fracture pattern.
Centering screw
S U R GI C A L T ECHNI Q U E
STEP 1
SUR GICAL A PPRO A CH
The patient is placed in the beach-chair position.
A deltopectoral approach, passing outside of the cephalic vein, is recommended.
Retract the cephalic vein laterally and the pectoralis major medially.
STEP 2
FR ACT UR E R ED U CTION
Reduce the fracture
through traction and
manipulation and
provisionaly stabilize
the fracture fragments
with K-wires.
STEP 3
In valgus fracture
patterns, the head must
be elevated prior to
provisional xation.
This is facilitated
by manipulating the
tuberosity with sutures
placed through the
substance of the
infraspinatus. These
sutures will later be used
as supplemental xation
when they are secured
to the plate.
The greater tuberosity
is anatomically reduced
and pinned to the shaft.
Image intensication is
necessary to conrm
reduction.
OSTEOSYNTHESIS PRO CED URE
CENTER ING SCR EW
Place the plate alongside
the bicipital groove and
approximately 1.5cm
distal to the top of the
greater tuberosity.
Insert a 4.5mm cortical
screw into the elongated
slot and x the plate to
the shaft. Provisionally
secure the plate to the
bone with 2.0mm K-wires.
Insert the drill guide with
its K-wire guide through
hole N1. Insert a 2.0mm
K-wire to target the center
of the humeral head.
Check position and
trajectory with the C-arm.
Then drill at 3.5mm and
insert the rst 4.5mm
locking screw.
I N N O VA T I O N M E A N S M OT I O N
S U R GI C A L T ECHNI Q U E
FIXED - ANGLE DI V ER GENT SCREW S
Use the drill guide
(3.5mm) and drill 4
divergent xed-angle
screws.
This precise screw pattern
enhances resistance to
varus forces.
Blunt-tipped screws limit
protrusion through the
articular surface.
POLYA XI A L LOCK ING SCR EWS
Orient and lock the rst
2 proximal screws & the
rst metaphyseal screw
according to the fracture
pattern.
As the highest bone density
is located in the inferior
quadrants, every attempt
should be made to keep the
screws descending.
STEP 4
SUT UR E OF THE T UB EROSITIES AND C- A RM CONTROL
Use the 3.5 AO drill guide
and place the remaining
distal cortical screws,
unlocking or locking at the
surgeons preference.
Repair the tuberosity to the
plate through the suture
holes.
Assess the nal reduction
under uoroscopy.
IM P L A N TS R EFE R EN CE S
HUMERAL PLATES
Ref#
Description
STDPSS1
Proximal humerus plate - right - size 1 - short
STGPSS1
Proximal humerus plate - left - size 1 - short
STDPS1
Proximal humerus plate - right - size 1
STGPS1
Proximal humerus plate - left - size 1
STDPS2
Proximal humerus plate - right - size 2
STGPS2
Proximal humerus plate - left - size 2
STDPS3
Proximal humerus plate - right - size 3
STGPS3
Proximal humerus plate - left - size 3
Suture holes for soft tissue xation are compatible with 2mm needles.
STDPSS1
STDPS1
138 mm
123 mm
97 mm
79 mm
RIGHT PLATES - GREEN ANODIZED
STDPS2
STDPS3
STGPSS1
138 mm
123 mm
97 mm
79 mm
LEFT PLATES - BLUE ANODIZED
STGPS1
I N N O VA T I O N M E A N S M OT I O N
STGPS2
STGPS3
IM P L A N TS R EFE R EN CE S
4.5MM
DTS LOCKING SCREWS
Ref.
4.5MM
*
Description
STANDARD CORTICAL SCREWS*
Ref.
Description
PT4.5L26
4.5mm DTS locking screw - L26mm
CT4.5L20
4.5mm Standard cortical screw - L20mm
PT4.5L28
4.5mm DTS locking screw - L28mm
CT4.5L22
4.5mm Standard cortical screw - L22mm
PT4.5L30
4.5mm DTS locking screw - L30mm
CT4.5L24
4.5mm Standard cortical screw - L24mm
PT4.5L32
4.5mm DTS locking screw - L32mm
CT4.5L26
4.5mm Standard cortical screw - L26mm
PT4.5L34
4.5mm DTS locking screw - L34mm
CT4.5L28
4.5mm Standard cortical screw - L28mm
PT4.5L36
4.5mm DTS locking screw - L36mm
CT4.5L30
4.5mm Standard cortical screw - L30mm
PT4.5L38
4.5mm DTS locking screw - L38mm
CT4.5L32
4.5mm Standard cortical screw - L32mm
PT4.5L40
4.5mm DTS locking screw - L40mm
CT4.5L34
4.5mm Standard cortical screw - L34mm
PT4.5L42
4.5mm DTS locking screw - L42mm
CT4.5L36
4.5mm Standard cortical screw - L36mm
PT4.5L44
4.5mm DTS locking screw - L44mm
CT4.5L38
4.5mm Standard cortical screw - L38mm
PT4.5L46
4.5mm DTS locking screw - L46mm
CT4.5L40
4.5mm Standard cortical screw - L40mm
PT4.5L48
4.5mm DTS locking screw - L48mm
* Non anodized
PT4.5L50
4.5mm DTS locking screw - L50mm
PT4.5L52
4.5mm DTS locking screw - L52mm
PT4.5L54
4.5mm DTS locking screw - L54mm
PT4.5L56
4.5mm DTS locking screw - L56mm
PT4.5L58
4.5mm DTS locking screw - L58mm
PT4.5L60
4.5mm DTS locking screw - L60mm
4.5MM
LAG SCREWS*
Ref.
Description
4.5MM
LOCKING CORTICAL SCREWS*
Ref.
Description
VT4.5L20
4.5mm Locking cortical screw - L20mm
VT4.5L22
4.5mm Locking cortical screw - L22mm
VT4.5L24
4.5mm Locking cortical screw - L24mm
VT4.5L26
4.5mm Locking cortical screw - L26mm
VT4.5L28
4.5mm Locking cortical screw - L28mm
VT4.5L30
4.5mm Locking cortical screw - L30mm
VT4.5L32
4.5mm Locking cortical screw - L32mm
QT4.5L32
4.5mm Lag screw - L32mm
VT4.5L34
4.5mm Locking cortical screw - L34mm
QT4.5L36
4.5mm Lag screw - L36mm
VT4.5L36
4.5mm Locking cortical screw - L36mm
QT4.5L40
4.5mm Lag screw - L40mm
VT4.5L38
4.5mm Locking cortical screw - L38mm
QT4.5L44
4.5mm Lag screw - L44mm
VT4.5L40
4.5mm Locking cortical screw - L40mm
* Golden anodized
NB :
Please note that all implants are also available in sterile
packaging.
The Sosafe tube packaging is handy and easy to use.
An ST code is added at the end of the reference, e.g.
PT4.5L26-ST
* Blue anodized
Non-contractual pictures.
INSTR UMENTS R EFER ENCES
INSTRUMENTS
Description
Qty
ANC119-US
3.0mm hexagonal screwdriver with quick coupling system
ANC120-US
4.2mm reamer with US quick coupling system
ANC121-US
3.5mm drill guide with US quick coupling system
ANC127
3.5mm drill guide for 4.5mm locking cortical screws
ANC129
Length gauge for 4.5 mm DTS screws
ANC131
3.5 mm drill guide for DTS screws
ANC132
3.5mm drill bit with quick coupling system - L195mm
ANC147
Reductor of drill guide DTS Shoulder for 2.0mm K-wire
ANC352
6mm US quick coupling handle
33.0220.210
2.0 L210mm K-wire
Instrumentation has been simplied so that only standard 3.5 drill bit, and a multipurpose screwdriver is needed
for insertion of both cortical and cancellous screws.
The screw driver has a snap t to the screw that secures the screw during insertion and assists in removal of
the screw from the surgical tray.
The information presented in this brochure is intended to demonstrate a NEWCLIP TECHNICS product. Always refer to the package insert, product label and/or user instructions before using any
NEWCLIP TECHNICS product. Surgeons must always rely on their own clinical judgment when deciding which products and techniques to use with their patients. Products may not be available in all
markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your NEWCLIP TECHNICS representative if you have questions about the
availability of NEWCLIP TECHNICS products in your area.
NEWCLIP TECHNICS
PA de la Lande Saint Martin - 45 rue des Garottires
44115 Haute Goulaine (France)
Phone : +33 (0)2 28 21 23 25 - Fax : +33 (0)2 40 63 68 37
orders@newcliptechnics.com - www.newcliptechnics.com
NEWCLIP USA
642 Larkfield Center
Santa Rosa CA 95403, USA
Phone : +1 707 888 2407
customerservice@newclipusa.com - www.newclipusa.com
Brochure EN - Alians proximal humerus - Ed.11- 11/2013 - Medical device class IIb - CE 0120 SGS UK - Read labeling and instructions before use.
Ref.
