ALIANS Clavicle

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• ALIANS Clavicle

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ALIANS Clavicle

• Presentation

ALIANS CLAVICLE Medial MONOAXIAL LOCKING FIXATION
ALIANS CLAVICLE Lateral MONOAXIAL AND POLYAXIAL
LOCKING FIXATION
ALIANS CLAVICLE Medial and Lateral bendable
reconstruction plates MONOAXIAL AND POLYAXIAL
LOCKING FIXATION
ALIANS CLAVICLE Medial Anterior bendable
plate MONOAXIAL AND POLYAXIAL LOCKING FIXATION
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ALIANS clavicle

• Plates Features

• Asymmetrical anatomical implant
• Unique bones surface shaped anatomical design.
• Color code for the implants lateralization green
  for the right side and blue for the left side.
• Two laser marking MED (medial) and LAT
  (lateral).

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ALIANS clavicle

• Plates Features

• Low Profile design
• Mechanical resistance
• Specific thickness 2.5 mm average.
• Larger space between slots thanks to narrower
  locking screw heads.
• Large metal bridge upon the fracture line.
• 3 locking screws on each side of the medial
  plate to have an optimal stability for the
  osteosynthesis.

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ALIANS CLAVICLE

• Plates Features

• Lateral plate and versatile surgery
• Monoaxial surgery using the Fast Guide and the
  guide gauge
• Optimized locking screws configuration.
• Pre-orientation of the screws for a fast and
  easy surgical technique.
• Polyaxial surgery using polyaxial locking
  fixation /- 10.

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ALIANS CLAVICLE

• RECONSTRUCTION PLATES

BENDABLE MEDIAL AND LATERAL PLATES

• Superior approach.
• Pseudarthrosis and Polytrauma.
• Optimized thickness to preserve mechanical
  properties.

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ALIANS CLAVICLE

• RECONSTRUCTION PLATES

MEDIAL PLATE ANTERIOR APPROACH
Bendable areas

• Anterior approach.
• Complex slanting fractures.
• Less risk for screw implantation.
• Subcutaneous benefit.

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ALIANS CLAVICLE

• Medial plate Simple and repeatable technique

1 Surgical technique

• The patient is placed in the beach-chair
  position. The incision is made from the internal
  side to the posterior side. Cutaneous nerves are
  protected.
• Centre of the plate has to be placed upon the
  fracture site. Respect the lateral medial
  orientation of the plate (laser marking).
• Holding forceps can be used to stabilize
  temporarily the plate on the clavicle.

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ALIANS CLAVICLE

• Medial plate Simple and repeatable technique

2 Placement of the compression screws

• Perform the drilling with the appropriate drill
  bit (12, 14, 16 or 18mm) to avoid excessive
  penetration and neurovascular risk.
• To ensure primary stability, first insert a
  Ø3.5mm cortical compression screw in the medial
  compression slot. Then insert a Ø3.5mm cortical
  compression screw in the lateral compression
  slot.
• Once these two screws are inserted, the bone
  clamps can be removed.

DRILL BITS DRILL BITS DRILL BITS
REF Color Screw length
ANC187 Green 12 mm
ANC188 Blue 14 mm
ANC189 Yellow 16 mm
ANC190 Pink 18 mm
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ALIANS CLAVICLE

• Medial plate Simple and repeatable technique

3 Placement of the locking screws

• Starting from the slots located near the fracture
  to those located at each end of the plate, insert
  the drill guide in each locking hole.
• Drill with a Ø2.7mm drill bit of appropriate
  length (12, 14, 16 or 18mm). Insert the Ø3.5mm
  locking screws. Fluoroscopy is necessary to
  assess the final reduction.

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ALIANS CLAVICLE

• Lateral plate monoaxial surgery

Secure the fracture temporarily using K-wire.
Lock the Fast Guide onto the plate. The plate is
securely placed using the longitudinal reduction
slot. The articular interline is assessed using
Ø1.4mm K-wire.
The depth of the drilling is directly measured on
the guide gauge.
Insert the screws into the plate through the Fast
Guide.
Once the distal screws have been locked, insert
the diaphyseal screws.
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ALIANS CLAVICLE

• Lateral plate angulate the screws where
  necessary

Insert the polyaxial drill guide through the Fast
Guide.
After locking the drill guide, angulate as
required and drill using a Ø2.0mm drill.
Insert the green anodized length gauge through
the Fast Guide.
Insert the screw through the Fast Guide and lock
it.
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• THANK YOU

Xavier PeiffertInternational Product
Manager 33672689718xpeiffert_at_newcliptechnics.com