Schuhli Technique Guide

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1、SchuhliTECHNIQUEGUIDEAnadjuncttoplatingproblematicfracturesOriginalInstrumentsandImplantsoftheAssociationfortheStudyofInternalFixation—AOASIFTheSchuhli*TheSchuhliisadevicedesignedtolockanAOASIFcortexscrewtoaDynamicCompressionPlate(DCP®),orLimitedContactDynamicCompressionPlate(LC-DCP®),ind

2、ependentofbonycontactwiththeplate.(TheSynthes3.5mmand4.5mmSchuhliImplantSystemsareintendedforusewiththeSyntheslongboneandsmallboneplatesandscrews.)Itconsistsoftwopieces–aSchuhliWasher,whichfitsbetweenthescrewheadandplatetoensureengagementofthescrewthreadintheSchuhli,andtheSchuhli,whichfit

3、sbetweentheundersideoftheplateholeandthebone.TheSchuhliengagesthescrewandlocksittotheplateata90°angle,whichallowstheconstructtoactasafixed-angledevice.Components:•SchuhliSchuhli•SchuhliWasher•TemporaryHoldingScrewIndications:SchuhliWasher•Osteopenicbone•Deficiencyofthenearcortex•Complexos

4、teosynthesisTemporaryHoldingScrew•SalvageproceduresTitaniumSchuhliWarning:Thisdeviceisnotapprovedforscrewattachmentorfixationtotheposteriorelements(pedicles)ofthecervical,thoracicorlumbarspine.Seeproductinsertforlabelinglimitations.TitaniumSchuhliWasher*“Schuhli”isaSwiss-Germanwordmeaning

5、“littleshoe,”reflectingthefunctionoftheplatedevice,whichactsasasmallshoeplacedundertheplateholetolockascrewtotheplateandelevatetheplatefromthebone.TableofContentsTechnique:GeneralApplicationPlateFixation..................................2SpecialApplicationsComminutedfracturesoftheproximal

6、femurandfemoralneck...............................5Proximalfemoralosteotomies......................9CaseExamples...................................13ProductInformation.......................16GeneralApplicationPlatefixationcanbeachievedusingtheSchuhliwithaDCP.Thistechniquecanbeusedtosecur

7、eaplatetoosteopenicbone,wherepurchaseofthescrewthreadsisdiminishedandstrippingofthescrewisaconcern.Itcanalsobeusedtosecureaplatetothebonewherethereisacorticaldefect.1FitplatetoboneReducethefracture.Precontourtheplateandcheckthefitoftheplatetothebone.Theplateshouldbe