The implants from the Xpert PFP range are intended for periprosthetic femur fractures in adults.
The Xpert PFP line represents a modern generation of periprosthetic plates. It offers a varied range to treat fractures of the femur containing a hip or knee prosthesis.
The number of total hip and knee prosthesis implantations and revisions has been steadily increasing in recent years due to the aging population. This leads to a rise in the number of periprosthetic fractures.
These fractures, although possible at any age, most frequently affect older patients who suffer from degraded bone quality and an increased risk of falls.
Periprosthetic fractures are particularly complex to treat, notably due to the many comorbidities in geriatric patients. To address this, Newclip Technics has developed a complete range dedicated to the treatment of periprosthetic femoral fractures.
To do so, Newclip Technics relied on the Vancouver classification to offer a solution covering all types of fractures.
Vancouver classification for periprosthetic femur fractures in the presence of a total hip prosthesis stem:
A Fracture of the trochanteric region
– AG: greater trochanter
– AL: lesser trochanter
B Fracture around or distal to the stem
– B1: stem fixed to the bone
– B2: stem loosened
– B3: stem loosened with inadequate bone quality
C Well distal to the stem
Manage all types of periprosthetic femur fractures.
Xpert PFP offers 3 sizes of proximal plates, designed to treat type B fractures according to the Vancouver classification.
These anatomical plates feature polyaxial locking screws along the entire femoral shaft, allowing screw orientation within a 25° range to avoid the intramedullary implant.
The fixation system is consistent along the entire plate, using 4.5 mm diameter screws.
The Xpert PFP range also offers a hook plate solution, allowing fractures at the greater trochanter to be effectively treated.
Two sizes of hook plates are available, as well as two sizes of hooks to be assembled with a proximal plate.
These two types of hook plates have been designed with a posterior bracket to prevent the greater trochanter from slipping during osteosynthesis.
Two sizes of diaphyseal plates are also available within the Xpert PFP range.
These plates are primarily intended to treat type C fractures according to the Vancouver classification.
The distal plates offered in the Xpert PFP range come in 3 different sizes.
This type of plate is intended for the treatment of periprosthetic femur fractures around a knee prosthesis.
These anatomical plates feature polyaxial locking screws along the entire femoral shaft, allowing screw orientation within a 25° range to avoid the intramedullary implant.
The fixation system is consistent along the entire plate, using 4.5 mm diameter screws.
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Key features of the Xpert PFP range.
- Anatomical plates:
- Anatomical implants (anodized in yellow for symmetrical plates, green for right-side plates, and blue for left-side plates) adapted to the curvature radius and shape of the femoral epiphyses.
- A simple polyaxial system:
- All the screw holes on the Xpert PFP plates are polyaxial, offering a 25° conical angular freedom, allowing the surgeon to avoid the prosthesis in place and adapt to any situation.
- Effective compression through the sloped oblong hole:
- The presence of a sloped oblong hole on all Xpert PFP plates allows for guided axial compression of bone fragments to finalize fracture reduction.
- A cerclage system to suit preferences:
- The Xpert PFP plates can be combined with a cerclage system using cerclage screws, or without screws thanks to the plate’s “wave shape” design, which holds the cerclage in place and prevents translation.
- A design focused on protecting the greater trochanter:
- The hook plates in the Xpert PFP range are designed to support the greater trochanter with a posterior tab on the plate, thus limiting trochanteric sliding during osteosynthesis.