Xpert Wrist

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A complete range of volar plates with 3 head widths (narrow, standard, wide) has been developed to allow adapted screw positioning along the subchondral bone:

• Preformed plates following the watershed line for anatomical fit
• Slim profile and rounded edges limiting tendon contact
• Polyaxial or monoaxial locking technology
• Locked oblong peg technology (patented)
• Window for better visualization of the fracture line or insertion of bone substitute

Sizes XS, 1, 2, and 4 are available in sterile single-use version: INITIAL R XPERT 2.4

The size 3 volar plate (narrow, standard, wide) is distinguished by its two pre-oriented monoaxial locked holes, designed to reach the tip of the radial styloid and provide support to the radial column:

• 2 pre-oriented monoaxial locked holes targeting the radial styloid to reduce small fragments

• Pre-contoured plate, following the watershed line, for anatomical fit

• Slim profile and rounded edges minimizing tendon contact

• Locked oblong hole technology (patented)

• Window for improved visualization of the fracture line or bone substitute insertion.

Size 3 is available in sterile single-use version: INITIAL R XPERT 2.4

A complete range of volar rim plates with 3 head widths (narrow, standard, wide) has also been specifically developed for complex intra-articular distal radius fractures:

• Distal rim facilitating implant positioning on the watershed line
• Pre-contoured plates for anatomical fit
• Polyaxial or monoaxial locking technology
• Locked oblong hole technology (patented)
• Window for improved visualization of the fracture line or bone substitute insertion.

The volar rim plates are available in sterile single-use version: INITIAL R XPERT 2.4

A complete range of specific plates has been designed to treat complex distal radius fractures, fragment by fragment:

• Dorsomedial plates (3 extra-narrow head sizes and 1 standard head size)

• Dorsolateral plates (1 size)

• Distal radial column plates (3 sizes)

• Laterodorsal radial column plates (3 sizes)

• Volar radial plates (2 sizes) with two pre-oriented monoaxial locked holes targeting the radial styloid

These fragment-specific plates are available in sterile single-use version: INITIAL R XPERT 2.4 – Fragment Specific.

To complete our offer and provide a comprehensive solution for the treatment of complex distal radius fractures, we offer hook plates:

• Anterior hook plates (1 symmetrical size and 1 left and right size):
  • Possible assembly of an anterior hook plate with a radial palmar plate to reach the radial styloid
• Posterior hook plate (1 symmetrical size)

Distal ulna plates are offered in 2 sizes and provide a treatment solution for fractures of the head, neck, and distal ulna shaft:

• Pre-contoured plates for anatomical fit
• Polyaxial or monoaxial locking technology
• Locked oblong hole technology (patented)
• Latero-anterior positioning ensured by an anterior tab
• Hook for positioning on the ulnar styloid
• Bending zones to achieve the desired fit if needed

The distal ulna plates are available in sterile single-use version: INITIAL R XPERT 2.4 – Fragment Specific.

The palmar osteotomy plate has been specially designed to correct ulnar variance, a key factor in wrist biomechanics:

• Pre-contoured plates for anatomical fit
• 2 locked oblong holes allowing adjustment of plate positioning with either a locked or non-locked screw
• Compatible with the ONE solution (patient-specific cutting guide)
• Specific ancillary instruments for this plate
• Distraction forceps to adjust ulnar variance
• Drilling sleeve for the distraction forceps

The osteotomy plate and ancillary instruments are not included in the Xpert Wrist kit; they are ordered separately.

Spanning plates provide a provisional internal fixation solution for complex distal radius fractures, particularly highly comminuted fractures or for elderly osteoporotic patients:

• Symmetrical plates designed to be positioned on the 2nd or 3rd metacarpal

• Anatomical design following the curvature of the radial shaft

• Rounded edges, smooth surface, and slim profile, especially on the distal part of the plate, to protect soft tissues

• Locked and non-locked screws of 2.4 mm in the distal part and 3.5 mm in the proximal part

• Oblong holes to maintain distraction and assist with plate positioning

Two designs and two plate sizes to adapt to different patient anatomies and meet surgical needs:

• 12° curved plates for neutral hand positioning

• Straight plates

Designed to treat severe comminuted fractures with small fragments, the K-Lock is a pin-on-plate locking fixation system that secures unstable, too small, or too distal fragments that cannot be fixed with locked screws. This stabilizes the fragments without drilling, avoiding harmful micro-fractures caused by vibrations.

Patented technology, the K-Lock is compatible with all plates in the Xpert Wrist range, whether Volar or Fragment Specific:

• Polyaxiality of ±10°
• Hexalobe connection
• Ø1.2 mm pin
• Cannulated T10 screwdriver

The K-Lock system ancillary instruments are available in the following configurations:

• Complete Xpert Wrist kit (3 tiers)
• Optional Xpert Wrist kit

The Xpert Wrist range also offers dedicated instrumentation for the treatment of intra-articular distal radius fractures.
The Stepwise technique is a fragment-by-fragment reduction method that can be performed under arthroscopic control using cannulated instrumentation:

• Cannulated instruments and screws
• Short and long guidewires

The use of guidewires stabilizes the volar fragments during fixation, allowing reconstruction of the articular surface.

How to use the instrumentation?

• Reduction and fixation of fragments using guidewires, with short or long guides depending on guidewire length
• Replacement of guidewires one by one with cannulated screws or locking nuts (K-Lock system)