The juxta-articular stabilisation
system constitutes of a plate with integral pin and
tail part, a plate specific jig, a plate and jig specific
drill sleeve, a plate positioner, a slotted head screw, a pin bender, screws and pins.This
system can be used for fixation of most types of fractures involving the juxta-articular
radius. The plate has a most juxta-articular row of screw holes in individually bendable and detachable extensions especially designed for very distal fractures or the volar lip fractures. The plate and jig
assembly have plate positioning apertures in its juxta-articular part to allow adjustment in position of plate in longitudinal, transverse and oblique directions after temporary fixation to the juxta-articular fragment with a pin prior to fixation to diaphyseal fragment. This allows a very precise placement of the plate in the most desirable position. The
drill guiding jig can be assembled to the plate prior to
surgery thus reducing surgical step and time. The specific orientation of the screws holes in the diaphyseal part of the plate orientates the screws such that when tendons apply forces across the fracture, the plate is wedged between screw and the bone rather than pushed away from the bone. Therefore, more aggressive
physical therapy can be commenced earlier and plates with fewer screws in the proximal part can be used without compromising the strength of the fixation. The plate also has bendable and dividable pin part and
tail parts on either ends that allows the plate to be used with a chuck or
power tool as a pin or
drill bit and also have longer purchase into the bone with minimal
soft tissue exposure.