alps proximal abducting ulnar plate

PAUL
ALPS PROXIMAL ABDUCTING ULNAR PLATE
BIOLOGICAL BENEFITS:
• Sound biomechanical rationale
• Reduced damage to vascular supply
• Increased resistance to infection
• Accelerated healing
TECHNICAL FEATURES:
• Titanium/titanium alloy for supreme biocompatibility
• Locking or regular screws fit all holes
• Eliminates fretting
• Geometry optimized for strength
ALPS Proximal Abducting Ulnar (PAUL) Plate
CLINICAL DEVELOPMENT
Medial compartment disease of the canine elbow is a common, highly debilitating orthopedic condition in need of
a better treatment. In an effort to address this need, Dr. Ingo Pfeil, Dresden, Germany, proposed a proximal ulna
osteotomy, aimed at unloading the medial compartment, thus reducing pain and improving limb use and function.
The ALPS Proximal Abducting Ulnar Osteotomy (PAUL)* plate, invented and developed by Dr. Ingo Pfeil and
KYON Veterinary Surgical Products, imposes a corrective limb alignment, aimed at unloading the medial
compartment. Dr. Pfeil began clinical use of the PAUL technique in 2007. In 2010 KYON initiated the next phase
of development, expanding to ~30 surgeons worldwide. By early 2012, ~300 cases had been treated. The
procedure, as currently practiced with the KYON Advanced Locking Plate System** (ALPS) implants, presents
relatively low morbidity and is meeting the expectations of the early adopters in terms of clinical improvement.
The Advanced Locking Plate System (ALPS) reduces iatrogenic trauma and offers greater versatility and
increased overall stability, resulting in accelerated fracture healing. The ALPS plating system builds on research
and development work done on the PC-Fix (Point Contact Fixator) in the 1980s and 1990s at the AO Research
Institute, Davos, Switzerland. Numerous publications have documented the PC-Fix design and clinical results.
Slobodan Tepic, Dr. Sci., CTO, KYON AG, who conducted the research on PC-Fix, has developed the Advanced
Locking Plate System (ALPS) as a “biological internal fixation” system, designed from conception to preserve the
vascular supply, increase resistance to infection and accelerate healing. “Biological internal fixation” involves the
use of locked internal fixators, which have minimal implant-to-bone contact, long-span bridging and fewer screws
for fixation.[1]
Image Courtesy of Ingo Pfeil, DVM, Tieraerztliche Klinik Dresdner Heide,
Dresden, Germany
*Patent Pending
**Patented/Patent Pending
Notes:
[1] – Perren SM, – Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new
balance between stability and biology. J Bone Joint Surg Br. 2002 Nov;84(8): 1093-110.
I N V E N T ● D E S I G N ● C L I N I C A L LY T E S T ● M A N U FA C T U R E T O P E R F E C T I O N ● E D U C AT E ● S U P P O R T
ALPS Proximal Abducting Ulnar (PAUL) Plate
ALPS PAUL IMPLANTS & INSTRUMENTS
Advanced Locking Plate System implants and instruments were invented and developed by KYON, with optimal selection of
materials and manufacturing techniques for precision, durability, and maintenance. KYON products are manufactured in
Switzerland with proprietary processes that produce superior products to those made by conventional manufacturing.
ALPS 8 PAUL PLATE titanium alloy
05.21.02
4〫(2mm) step; L = 59.5mm
05.21.03
6〫(3mm) step; L = 59.5mm
ALPS 9 PAUL PLATE titanium alloy
05.61.02
4〫(2mm) step; L = 69.25mm
05.61.03
6〫(3mm) step; L = 69.25mm
ALPS 10 PAUL PLATE titanium alloy
05.31.02
4〫(2mm) step; L = 77.5mm
05.31.03
6〫(3mm) step; L = 77.5mm
ALPS 11 PAUL PLATE titanium alloy
05.51.02
4〫(2mm) step; L = 110mm
05.51.03
6〫(3mm) step; L = 110mm
TECHNICAL FEATURES:
titanium alloy, grade 5 →
pickled & Type II anodized →
BIOLOGICAL BENEFITS:
→ • supreme biocompatibility
→ • thorough cleaning for biocompatability
• creates inert titanium oxide surface
→ • enhanced strength
• preserves vascular supply
→ • low profile
• virtually eliminates fretting
→ • monocortical locking screws
• greater versatility with ±30〫longitudinal and ± 6〫
transverse range of cortical screw placement
computer optimized plate shape →
optimized plate holes →
locking or regular screws in all holes →
B3.2mm LOCKING SCREWS; titanium alloy, self-tapping, RU-10 recess
- for use with ALPS 8 & 9
05.25.01
2.5mm plug
05.25.12
12mm
05.25.08
8mm
05.25.14
14mm
05.25.10
10mm
05.25.16
16mm
05.25.18
18mm
B4.0mm LOCKING SCREWS; titanium alloy, self-tapping, RU-10 recess
- for use with ALPS 10 & 11
05.35.01
4mm plug
05.35.14
14mm
05.35.20
20mm
05.35.10
10mm
05.35.16
16mm
05.35.22
22mm
05.35.12
12mm
05.35.18
18mm
05.35.24
24mm
TECHNICAL FEATURES:
titanium alloy→
pickled & anodized →
locking →
monocortical →
thread shape →
self-tapping →
RU head →
BIOLOGICAL BENEFITS:
→ • supreme biocompatibility
→ • thorough cleaning for biocompatability creates inert titanium oxide surface
→ • allows for stable fixation with minimal contact between the plate and bone
• transfers the bending moment from the bone to the plate, even if
monocortical
→ • minimizes endosteal vascular damage
→ • British Standard Whitworth (BSW) shape for optimum grip in cortical bone
→ • faster insertion and improved grip
→ • compatible with Torx
I N V E N T ● D E S I G N ● C L I N I C A L LY T E S T ● M A N U FA C T U R E T O P E R F E C T I O N ● E D U C AT E ● S U P P O R T
ALPS Proximal Abducting Ulnar (PAUL) Plate
ø2.4mm CORTICAL SCREWS; titanium alloy, self-tapping, RU-10 recess
- for use with ALPS 8 & 9
05.26.10
10mm
05.26.18
18mm
05.26.26
26mm
05.26.12
12mm
05.26.20
20mm
05.26.28
28mm
05.26.14
14mm
05.26.22
22mm
05.26.30
30mm
05.26.16
16mm
05.26.24
24mm
05.26.32
32mm
ø2.7mm CORTICAL SCREWS; titanium alloy, self-tapping, RU-10 recess
- for use with ALPS 10 & 11
05.36.12
12mm
05.36.20
20mm
05.36.28
28mm
05.36.14
14mm
05.36.22
22mm
05.36.30
30mm
05.36.16
16mm
05.36.24
24mm
05.36.32
32mm
05.36.18
18mm
05.36.26
26mm
05.36.34
34mm
TECHNICAL FEATURES:
titanium alloy→
pickled & anodized →
self-tapping →
RU 10 head →
BIOLOGICAL BENEFITS:
→ • supreme biocompatibility
→ • thorough cleaning for biocompatability creates inert titanium oxide surface
→ • faster insertion and improved grip
→ • compatible with Torx 10
ALPS 8 & 9 INSTRUMENTS
06.10.03
ø1.8mm drill bit; quick coupling, 125/100mm
02.20.04
ø2.5mm drill bit; quick coupling, 145/120mm
06.15.05
ø2.5mm drill stop
06.20.02
ø2.5mm drill sleeve; locking
06.30.02
ø1.8mm/ø2.5mm drill sleeve; neutral
ALPS 10 & 11 INSTRUMENTS
06.10.04
ø2.0mm drill bit; quick coupling, 100/75mm
06.10.06
ø2.7mm drill bit; quick coupling, 100/75mm
06.10.07
ø3.2mm drill bit; quick coupling, 145/120mm
06.15.07
ø3.2mm drill stop
06.20.03
ø3.2mm drill sleeve; locking
06.30.03
ø2.0mm/ø2.7mm drill sleeve; neutral
ALPS 8, 9, 10 & 11 GENERAL INSTRUMENTS
04.20.05
depth gauge; f/ screws 2.7 to 4.0mm, measuring depth up to 60mm
14.60.01
screwdriver handle; quick coupling L110mm PEEK
06.60.05
RU 10 screwdriver insert; compatible with Torx 10
04.31.03
reduction forceps; L 130mm
ADDITIONAL INSTRUMENTS
precision oscillating saw
selection of small saw blades
periosteal elevator
Gelpi retractors
ALPS PAUL TRAINING
KYON sponsors instructional courses to facilitate the introduction of the PAUL into clinical practice. KYON ALPS training and educational opportunities
can be found on our website @ www.kyon.ch.
PARTICIPATING SURGEONS
Find a surgeon performing KYON procedures and using KYON materials by searching the Participating Surgeons Database @ www.kyon.ch.
KYON AG
Technoparkstrasse 1
CH-8005 Zurich, Switzerland
tel +41-44-350-3105
fax +41-44-350-3106
email info@kyon.ch
www.kyon.ch
Thank you for your interest in furthering the
art and practice of veterinary orthopedic
and trauma surgery.
KYON Pharma Inc.
156 Porter Street, Unit 249
Boston, MA 02128, USA
tel +1-617-567-2436
fax +1-617-567-3193
email kyon.boston@verizon.net
www.kyon.us