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4.5 mm and 6.5 mm Headless Compression Screws. For fixation of various bones and bone fragments. Technique Guide

4.5 mm and 6.5 mm Headless Compression Screws TGsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · 03.227.033 Compression Sleeve, for 6.5 mm Headless Compression

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Page 1: 4.5 mm and 6.5 mm Headless Compression Screws TGsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · 03.227.033 Compression Sleeve, for 6.5 mm Headless Compression

4.5 mm and 6.5 mm HeadlessCompression Screws. For fixation ofvarious bones and bone fragments.

Technique Guide

Page 2: 4.5 mm and 6.5 mm Headless Compression Screws TGsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · 03.227.033 Compression Sleeve, for 6.5 mm Headless Compression

Introduction

Surgical Technique

Product Information

Table of Contents

4.5 mm and 6.5 mm Headless Compression Screws 2

Technique Overview 4

Indications 5

Insert Guide Wire 6

Determine Screw and Thread Length 7

Predrill 9

Predrill Near Cortex (Optional) 10

Pick Up Screw 11

Insert Screw and Compress Fragment 12

Countersink Screw 14

Screw Removal 16

Implants 17

Instruments 21

Set Lists 27

Image intensifier control

Synthes

Page 3: 4.5 mm and 6.5 mm Headless Compression Screws TGsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · 03.227.033 Compression Sleeve, for 6.5 mm Headless Compression

2 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

4.5 mm and 6.5 mm Headless Compression Screws. For fixation of various bonesand bone fragments.

Self-drilling and self-tapping flutesFor simplified surgical technique

CannulationFor minimally invasive techniqueand guided insertion

Reverse-cutting flutesFacilitate screw removal

Cutting flutesFacilitate countersinking of screwhead

The 4.5 mm and 6.5 mm Headless Compression Screws areavailable in 316L stainless steel and titanium alloy (Ti-6Al-7Nb).

Self-tapping flutes Facilitate countersinking of the screw

3.0 mm shaft diameter

4.5 mm shaft thread For optimal retention in cancellous bone

Long or short thread For treating a wide range of indications

Self-drilling tip Facilitates time-saving surgical technique

T15 StarDrive recess

1.6 mm guide wire For guided screw insertion

4.5 mm Headless Compression Screw

5.0 mm head thread with double lead For countersinking in cortical bone

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Synthes 3

6.5 mm Headless Compression Screw

Self-tapping flutes Facilitate countersinking of the screw

4.8 mm shaft diameter

6.5 mm shaft thread For optimal retention in cancellous bone

32 mm or 16 mm thread lengthFor treating a wide range of indications

Self-drilling tip Facilitates time-saving surgical technique

4.0 mm hex recess

2.8 mm guide wireFor guided screw insertion

7.5 mm head thread with double lead For countersinking in cortical bone

Page 5: 4.5 mm and 6.5 mm Headless Compression Screws TGsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · 03.227.033 Compression Sleeve, for 6.5 mm Headless Compression

Technique Overview—Lag Screw Technique with Compression Sleeve

4 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

1Insert screw

Thread the head of the screw into thetip of the compression sleeve. Insert thescrew into the bone using the compres-sion sleeve construct.

2Compress

The tip of the compression sleeve acts as a conventional lag screw head.When the tip of the compression sleeve contacts the bone, the fracturegap is closed and compressed by further turning of the sleeve.

3Countersink

Once the desired degree of compres-sion is reached, hold the compressionsleeve stationary and use the screw-driver to advance the screwhead intothe bone. During countersinking, no additional compression is generated.

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Indications

Synthes 4.5 mm and 6.5 mm Headless Compression Screwsare indicated for fracture fixation, reconstruction, osteotomy,and arthrodesis of various bones and bone fragmentsincluding joint fusion (arthrodeses) in the foot and fixation of intra-articular fractures of the humerus, femur and tibia.

Synthes 5

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Insert Guide Wire

1Insert guide wire

Instruments

for use with 4.5 mm screws

02.226.000 1.6 mm Threaded Guide Wire, trocar point, or 220 mm02.226.001 1.6 mm Non-Threaded Guide Wire, trocar

point, 220 mm

312.74 1.6 mm Trocar

312.75 3.2 mm/1.6 mm Drill Sleeve

312.76 7.0 mm/3.2 mm Drill Sleeve

312.77 9.5 mm/7.0 mm Protection Sleeve

for use with 6.5 mm screws

292.68 2.8 mm Threaded Guide Wire, trocar point,or 300 mm292.81 2.8 mm Guide Wire with flutes, 300 mm

312.02 2.8 mm Trocar

312.05 12.0 mm/8.5 mm Protection Sleeve

312.08 8.5 mm/2.8 mm Wire Sleeve

312.09 15.5 mm/13.0 mm Washer Sleeve

Make a stab incision, and advance the sleeve assembly (protection sleeve, drill sleeves and trocar) through the softtissues to the bone.

To reduce fragments, remove the trocar and advance theguide wire through the sleeve assembly into the bone untilthe thread tip is anchored in the far cortex, using image intensification.

Note: Do not forcefully insert the guide wire. This may causeit to bend.

6 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

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Determine Screw and Thread Length

2Determine screw and thread length

Instruments

for use with 4.5 mm screws

03.226.030 Measuring Device, for 4.5 mm HeadlessCompression Screws

312.77 9.5 mm/7.0 mm Protection Sleeve

for use with 6.5 mm screws

03.227.030 Measuring Device, for 6.5 mm HeadlessCompression Screws

312.05 12.0 mm/8.5 mm Protection Sleeve

312.09 15.5 mm/13.0 mm Washer Sleeve

Remove the drill sleeves and slide the narrow end of themeasuring device through the protection sleeve and over the guide wire to the bone.

The measurement on the measuring device shows the depthof the guide wire in the bone in millimeters and indicates theappropriate screw length.

Note: Use the correct length guide wire to ensure correctmeasurement.

Important: If the screw is to be countersunk below the surface, or a large fracture gap needs to be closed, subtractthe appropriate length.

Synthes 7

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Determine Screw and Thread Length continued

Correct thread lengthShaft thread lies below the fracture gap and completely within the distal fragmentduring compression. Compression of the fracture gap is possible.

Incorrect thread lengthShaft thread lies in or above the fracture gap or osteotomy. Compression of thefracture gap is not possible.

8 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

2Determine screw and thread length continued

The position of the fracture line determines the thread length

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Predrill

Synthes 9

3Predrill

Instruments

for use with 4.5 mm screws

03.226.039 3.2 mm Cannulated Drill Bit

312.76 7.0 mm/3.2 mm Drill Sleeve

312.77 9.5 mm/7.0 mm Protection Sleeve

for use with 6.5 mm screws

310.63 5.0 mm Cannulated Drill Bit, large quickcoupling, 300 mm

312.05 12.0 mm/8.5 mm Protection Sleeve

312.09 15.5 mm/13.0 mm Washer Sleeve

Predrilling makes it substantially easier to insert the screw indense bone.

Insert the drill sleeve in the protection sleeve and slide thecannulated drill bit over the guide wire and predrill to the desired depth, using image intensification if necessary.

Remove the drill sleeve and verify the appropriate drillingdepth with the image intensifier.

Note: Do not drill beyond the tip of the guide wire. Slowlypull the drill bit straight out while running the power toolforward to ensure that the guide wire stays in place.

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Predrill Near Cortex (Optional)

10 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

4Predrill near cortex (optional)

Instruments

for use with 4.5 mm screws

03.226.042 4.0 mm Cannulated Drill Bit

312.77 9.5 mm/7.0 mm Protection Sleeve

for use with 6.5 mm screws

03.227.042 6.0 mm Cannulated Drill Bit, for 6.5 mmHeadless Compression Screws

312.05 12.0 mm/8.5 mm Protection Sleeve

312.09 15.5 mm/13.0 mm Washer Sleeve

To facilitate head insertion in dense bone and to prevent thebone from cracking, it is recommended to predrill the nearcortex using the appropriate drill bit.

Slide the drill bit with the protection sleeve over the guidewire and carefully predrill the cortex.

Note: The depth of predrilling depends on the inclination of the guide wire to the bone. It is necessary to predrill onlyto the first marking in cases where angulation is +_90°. An angulation of +_45° requires a deeper predrilling to the second marking.

90°

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Pick Up Screw

Synthes 11

5Pick up screw

Instruments

for use with 4.5 mm screws

03.226.033 Compression Sleeve, for 4.5 mm HeadlessCompression Screws

for use with 6.5 mm screws

03.227.033 Compression Sleeve, for 6.5 mm HeadlessCompression Screws

Twist the compression sleeve over the head thread of the appropriate length screw to remove the screw from thescrew rack.

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Insert Screw and Compress Fragment

12 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

6Insert screw and compress fragment

Instruments

for use with 4.5 mm screws

03.226.033 Compression Sleeve, for 4.5 mm HeadlessCompression Screws

03.226.037 Compression Sleeve Handle, for 4.5 mmHeadless Compression Screws

03.226.038 Compression Sleeve Attachment, for 4.5 mmHeadless Compression Screws

312.77 9.5 mm/7.0 mm Protection Sleeve

for use with 6.5 mm screws

03.227.033 Compression Sleeve, for 6.5 mm HeadlessCompression Screws

03.227.037 Compression Sleeve Handle, for 6.5 mmHeadless Compression Screws

03.227.038 Compression Sleeve Attachment, for 6.5 mmHeadless Compression Screws

312.09 15.5 mm/13.0 mm Washer Sleeve

Slide the compression sleeve handle into the compressionsleeve. Insert the screw assembly over the guide wire. Insertthe screw into the bone by turning the compression sleeveuntil the fracture or osteotomy is closed and compressed.

Optional: Screw insertion can also be performed with theuse of a power drill. Slide the compression sleeve attachmentinto the compression sleeve and connect it to the power drill.Insert the screw into the bone and stop before the compres-sion sleeve touches the bone. Compress manually using thecompression sleeve handle.

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Synthes 13

Optional instruments

for use with 4.5 mm screws

03.226.034 Sleeve for 03.226.033

for use with 6.5 mm screws

03.227.034 Sleeve for 03.227.033

In osteoporotic bone, an additional sleeve should be placedover the compression sleeve before compressing the fractureor osteotomy to prevent the compression sleeve from piercingthe cortex.

Note: Verify the correct position of the shaft thread in thedistal fragment, using the image intensifier. If the thread liesover the fracture gap or the osteotomy, the gap cannot becompressed.

Carefully tighten the screw with the compression sleeve.Forceful tightening could cause stripping of the shaft.

If the thread strips, some or all of the compression will belost. If the screw is then countersunk correctly, the thread willregain purchase, reducing the danger of postoperative screwloosening.

If loss of compression makes screw removal necessary, followthe Screw Removal instructions on page 16.

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Countersink Screw

7Countersink screw

Instruments

for use with 4.5 mm screws

03.226.033 Compression Sleeve, for 4.5 mm HeadlessCompression Screws

03.226.041 Cannulated StarDrive Screwdriver, T15

for use with 6.5 mm screws

03.227.033 Compression Sleeve, for 6.5 mm HeadlessCompression Screws

03.227.041 Cannulated Hexagonal Screwdriver, for 6.5 mmHeadless Compression Screws

Remove the compression sleeve handle and slide the cannulated screwdriver through the compression sleeve into the recess of the screw.

Countersink the screw by turning the screwdriver clockwisewhile simultaneously holding the compression sleeve stationary.

Verify the screw position with the image intensifier. Ensurethat the screw tip does not penetrate the distal cortex. Remove and dispose of the guide wire.

14 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

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Synthes 15

Color markingsThe color markings on the screwdrivershaft indicate the position of the screw-driver tip and the head thread of the screw in the bone.

■ When the green mark is flush withthe top of the compression sleeve,the screw is fully threaded into the compression sleeve and thescrewdriver tip is seated in the recess of the screw.

■ When the yellow mark is flush withthe top of the compression sleeve,the top of the screw is flush with the bone surface.

Note: If the screw is inserted at an angle, it must be countersunkfurther than the yellow mark so that it does not project from the surface.

■ When the red mark is flush with the top of the compression sleeve,the screw is 2 mm below the bone surface.

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Screw Removal

16 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

Instruments

for use with 4.5 mm screws

03.226.033 Compression Sleeve, for 4.5 mm HeadlessCompression Screws

03.226.041 Cannulated StarDrive Screwdriver, T15

311.44 T-Handle with quick coupling

314.116 StarDrive Screwdriver Shaft, quick coupling,T15

for use with 6.5 mm screws

03.227.033 Compression Sleeve, for 6.5 mm HeadlessCompression Screws

03.227.041 Cannulated Hexagonal Screwdriver, for 6.5 mmHeadless Compression Screws

313.93 4.0 mm Hexagonal Screwdriveror314.04 4.0 mm Hexagonal Screwdriver Shaft

For the removal of the 4.5 mm headless compression screws,use a T15 StarDrive screwdriver, and for the 6.5 mm headless compression screws, use a 4.0 mm hexagonalscrewdriver.

If the screw strips, use the following procedure:

Thread the compression sleeve over the screwhead threadand insert the screwdriver through the compression sleeveinto the recess of the screw.

Remove the screw by simultaneously pulling on the compres-sion sleeve and turning both the screwdriver and compressionsleeve counterclockwise.

Note: If necessary, expose the screw recess and part of thehead thread with a hollow reamer or preferred method.

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3.5 mm

3.5 mm

Implants

Synthes 17

4.5 mm Headless Compression Screw, short thread◊

(shaft thread length approximately 20% of the screw length)

Screw Thread Stainless length (mm) length (mm)Steel Titanium (L) (T)02.226.620 04.226.620 20 7

02.226.622 04.226.622 22 702.226.624 04.226.624 24 702.226.626 04.226.626 26 702.226.628 04.226.628 28 702.226.630 04.226.630 30 702.226.632 04.226.632 32 702.226.634 04.226.634 34 702.226.636 04.226.636 36 702.226.638 04.226.638 38 702.226.640 04.226.640 40 802.226.642 04.226.642 42 802.226.644 04.226.644 44 902.226.646 04.226.646 46 902.226.648 04.226.648 48 902.226.650 04.226.650 50 1002.226.652 04.226.652 52 1002.226.654 04.226.654 54 1102.226.656 04.226.656 56 1102.226.658 04.226.658 58 1102.226.660 04.226.660 60 1202.226.665 04.226.665 65 1302.226.670 04.226.670 70 1402.226.675 04.226.675 75 1502.226.680 04.226.680 80 1602.226.685 04.226.685 85 1702.226.690 04.226.690 90 1802.226.695 04.226.695 95 1902.226.700 04.226.700 100 2002.226.705S* 04.226.705S* 105 2102.226.710S* 04.226.710S* 110 22

L

T

L

T

◊ Screws are available nonsterile or sterile-packed. Add “S” to catalog number for sterile product.* Available sterile only

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Implants continued

18 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

4.5 mm Headless Compression Screw, long thread◊

(shaft thread length approximately 40% of the screw length)

Screw Thread Stainless length (mm) length (mm)Steel Titanium (L) (T)

02.226.730 04.226.730 30 1202.226.732 04.226.732 32 1202.226.734 04.226.734 34 1202.226.736 04.226.736 36 1402.226.738 04.226.738 38 1402.226.740 04.226.740 40 1602.226.742 04.226.742 42 1602.226.744 04.226.744 44 1802.226.746 04.226.746 46 1802.226.748 04.226.748 48 1802.226.750 04.226.750 50 2002.226.752 04.226.752 52 2002.226.754 04.226.754 54 2202.226.756 04.226.756 56 2202.226.758 04.226.758 58 2202.226.760 04.226.760 60 2402.226.765 04.226.765 65 2602.226.770 04.226.770 70 2802.226.775 04.226.775 75 3002.226.780 04.226.780 80 3202.226.785 04.226.785 85 3402.226.790 04.226.790 90 3602.226.795 04.226.795 95 3802.226.800 04.226.800 100 4002.226.805S* 04.226.805S* 105 4202.226.810S* 04.226.810S* 110 44

L

T3.5 mm

L

T3.5 mm

◊ Screws are available nonsterile or sterile-packed. Add “S” to catalog number for sterile product.* Available sterile only

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Synthes 19

6.5 mm Headless Compression Screw, 16 mm thread◊

StainlessSteel Titanium Screw length (mm) (L)

02.227.030 04.227.030 3002.227.035 04.227.035 3502.227.040 04.227.040 4002.227.045 04.227.045 4502.227.050 04.227.050 5002.227.055 04.227.055 5502.227.060 04.227.060 6002.227.065 04.227.065 6502.227.070 04.227.070 7002.227.075 04.227.075 7502.227.080 04.227.080 8002.227.085 04.227.085 8502.227.090 04.227.090 9002.227.095 04.227.095 9502.227.100 04.227.100 10002.227.105 04.227.105 10502.227.110 04.227.110 11002.227.115 04.227.115 11502.227.120 04.227.120 12002.227.125 04.227.125 12502.227.130 04.227.130 13002.227.135 04.227.135 13502.227.140 04.227.140 14002.227.145 04.227.145 14502.227.150 04.227.150 150

L

4.5 mm

L

4.5 mm

◊ Screws are available nonsterile or sterile-packed. Add “S” to catalog number for sterile product.

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Implants continued

20 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

◊ Screws are available nonsterile or sterile-packed. Add “S” to catalog number for sterile product.

6.5 mm Headless Compression Screw, 32 mm thread◊

StainlessSteel Titanium Screw length (mm) (L)

02.227.245 04.227.245 4502.227.250 04.227.250 5002.227.255 04.227.255 5502.227.260 04.227.260 6002.227.265 04.227.265 6502.227.270 04.227.270 7002.227.275 04.227.275 7502.227.280 04.227.280 8002.227.285 04.227.285 8502.227.290 04.227.290 9002.227.295 04.227.295 9502.227.300 04.227.300 10002.227.305 04.227.305 10502.227.310 04.227.310 11002.227.315 04.227.315 11502.227.320 04.227.320 12002.227.325 04.227.325 12502.227.330 04.227.330 13002.227.335 04.227.335 13502.227.340 04.227.340 14002.227.345 04.227.345 14502.227.350 04.227.350 150

L

4.5 mm

L

4.5 mm

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Synthes 21

Instruments for 4.5 mm Headless Compression Screws

03.226.030 Measuring Device, for 4.5 mm Headless Compression Screws

03.226.033 Compression Sleeve, for 4.5 mm HeadlessCompression Screws

03.226.037 Compression Sleeve Handle, for 4.5 mmHeadless Compression Screws

03.226.038 Compression Sleeve Attachment, for 4.5 mmHeadless Compression Screws

03.226.039 3.2 mm Cannulated Drill Bit

03.226.040 Cannulated Tap

03.226.034 Sleeve for 03.226.033

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22 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

Instruments for 4.5 mm Headless Compression Screws continued

03.226.041 Cannulated StarDrive Screwdriver, T15

03.226.042 4.0 mm Cannulated Drill Bit

311.44 T-Handle, with quick coupling

312.74 1.6 mm Trocar

312.75 3.2 mm/1.6 mm Drill Sleeve

312.76 7.0 mm/3.2 mm Drill Sleeve

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Synthes 23

312.77 9.5 mm/7.0 mm Protection Sleeve

314.116 StarDrive Screwdriver Shaft, quick coupling,T15

319.26 1.75 mm Cleaning Brush

319.35 1.6 mm Cleaning Stylet

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Instruments for 6.5 mm Headless Compression Screws

24 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

03.227.034 Sleeve for 03.227.033

03.227.030 Measuring Device, for 6.5 mm Headless Compression Screws

03.227.033 Compression Sleeve, for 6.5 mm HeadlessCompression Screws

03.227.037 Compression Sleeve Handle, for 6.5 mmHeadless Compression Screws

03.227.038 Compression Sleeve Attachment, for 6.5 mmHeadless Compression Screws

03.227.041 Cannulated Hexagonal Screwdriver, for 6.5 mmHeadless Compression Screws

03.227.042 6.0 mm Cannulated Drill Bit, for 6.5 mmHeadless Compression Screws

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Synthes 25

310.63 5.0 mm Cannulated Drill Bit, for large quickcoupling, 300 mm

311.689 Cannulated Tap for 6.5 mm and 7.3 mm Cannulated Screws, 275 mm/200 mmtap depth

312.02 2.8 mm Trocar

312.05 12.0 mm/8.5 mm Protection Sleeve

312.08 8.5 mm/2.8 mm Wire Sleeve

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Instruments for 6.5 mm Headless Compression Screws continued

26 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

312.09 15.5 mm/13 mm Washer Sleeve

313.93 4.0 mm Hexagonal Screwdriver

314.04 4.0 mm Hexagonal Screwdriver Shaft

319.24 2.9 mm Cleaning Brush

319.46 2.8 mm Cleaning Stylet

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4.5 mm Headless Compression Screws SetsStainless Steel (01.226.060) and Titanium (01.226.061)

Synthes 27

Graphic Cases60.226.060 4.5 mm Headless Compression Screw

Graphic Case

60.226.061 Screw Rack for 4.5 mm HeadlessCompression Screws

Instruments 03.226.030 Measuring Device, for 4.5 mm Headless

Compression Screws

03.226.033 Compression Sleeve, for 4.5 mm HeadlessCompression Screws

03.226.034 Sleeve for 03.226.033

03.226.037 Compression Sleeve Handle, for 4.5 mmHeadless Compression Screws

03.226.038 Compression Sleeve Attachment, for 4.5 mmHeadless Compression Screws

03.226.039 3.2 mm Cannulated Drill Bit

03.226.040 Cannulated Tap

03.226.041 Cannulated StarDrive Screwdriver, T15

03.226.042 4.0 mm Cannulated Drill Bit

311.44 T-Handle, with quick coupling

312.74 1.6 mm Trocar

312.75 3.2 mm/1.6 mm Drill Sleeve

312.76 7.0 mm/3.2 mm Drill Sleeve

312.77 9.5 mm/7.0 mm Protection Sleeve

314.116 StarDrive Screwdriver Shaft, quick coupling,T15

319.26 1.75 mm Cleaning Brush

319.35 1.6 mm Cleaning Stylet

Note: For additional information, please refer to package insert.

For detailed cleaning and sterilization instructions, please refer towww.synthes.com/cleaning-sterilization In Canada, the cleaning and sterilization instructions will be provided with the Loaner shipments.

Page 29: 4.5 mm and 6.5 mm Headless Compression Screws TGsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · 03.227.033 Compression Sleeve, for 6.5 mm Headless Compression

4.5 mm Headless Compression Screws SetsStainless Steel (01.226.060) and Titanium (01.226.061) continued

28 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

Implants4.5 mm Headless Compression Screws, short thread, 3 ea.

StainlessSteel Titanium Length (mm)

02.226.620 04.226.620 2002.226.622 04.226.622 2202.226.624 04.226.624 2402.226.626 04.226.626 2602.226.628 04.226.628 2802.226.630 04.226.630 3002.226.632 04.226.632 3202.226.634 04.226.634 3402.226.636 04.226.636 3602.226.638 04.226.638 3802.226.640 04.226.640 4002.226.642 04.226.642 4202.226.644 04.226.644 4402.226.646 04.226.646 4602.226.648 04.226.648 4802.226.650 04.226.650 5002.226.652 04.226.652 5202.226.654 04.226.654 5402.226.656 04.226.656 5602.226.658 04.226.658 5802.226.660 04.226.660 6002.226.665 04.226.665 6502.226.670 04.226.670 7002.226.675 04.226.675 7502.226.680 04.226.680 8002.226.685 04.226.685 8502.226.690 04.226.690 9002.226.695 04.226.695 9502.226.700 04.226.700 100

4.5 mm Headless Compression Screws, long thread, 2 ea.

StainlessSteel Titanium Length (mm)

02.226.730 04.226.730 3002.226.732 04.226.732 3202.226.734 04.226.734 3402.226.736 04.226.736 3602.226.738 04.226.738 3802.226.740 04.226.740 4002.226.742 04.226.742 4202.226.744 04.226.744 4402.226.746 04.226.746 4602.226.748 04.226.748 4802.226.750 04.226.750 5002.226.752 04.226.752 5202.226.754 04.226.754 5402.226.756 04.226.756 5602.226.758 04.226.758 5802.226.760 04.226.760 6002.226.765 04.226.765 6502.226.770 04.226.770 7002.226.775 04.226.775 7502.226.780 04.226.780 8002.226.785 04.226.785 8502.226.790 04.226.790 9002.226.795 04.226.795 9502.226.800 04.226.800 100

02.226.000 1.6 mm Threaded Guide Wire, trocar point,220 mm, 10 ea.

02.226.001 1.6 mm Non-Threaded Guide Wire, trocarpoint, 220 mm, 10 ea.

Page 30: 4.5 mm and 6.5 mm Headless Compression Screws TGsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · 03.227.033 Compression Sleeve, for 6.5 mm Headless Compression

6.5 mm Headless Compression Screws SetsStainless Steel (01.227.060) and Titanium (01.227.061)

Synthes 29

Graphic Cases60.227.060 6.5 mm Headless Compression Screw

Graphic Case

60.227.061 Screw Rack for 6.5 mm HeadlessCompression Screws

Instruments 03.227.030 Measuring Device, for 6.5 mm Headless

Compression Screws

03.227.033 Compression Sleeve, for 6.5 mm HeadlessCompression Screws

03.227.034 Sleeve for 03.227.033

03.227.037 Compression Sleeve Handle, for 6.5 mmHeadless Compression Screws

03.227.038 Compression Sleeve Attachment, for 6.5 mmHeadless Compression Screws

03.227.041 Cannulated Hexagonal Screwdriver, for 6.5 mm Headless Compression Screws

03.227.042 6.0 mm Cannulated Drill Bit, for 6.5 mmHeadless Compression Screws

310.63 5.0 mm Cannulated Drill Bit, large quickcoupling, 300 mm

311.689 Cannulated Tap for 6.5 mm and 7.3 mmCannulated Screws, 275 mm/200 mm tap depth

312.02 2.8 mm Trocar

312.05 12.0 mm/8.5 mm Protection Sleeve

312.08 8.5 mm/2.8 mm Wire Sleeve

312.09 15.5 mm/13 mm Washer Sleeve

313.93 4.0 mm Hexagonal Screwdriver

314.04 4.0 mm Hexagonal Screwdriver Shaft

319.24 2.9 mm Cleaning Brush

319.46 2.8 mm Cleaning Stylet

Page 31: 4.5 mm and 6.5 mm Headless Compression Screws TGsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · 03.227.033 Compression Sleeve, for 6.5 mm Headless Compression

6.5 mm Headless Compression Screws SetsStainless Steel (01.227.060) and Titanium (01.227.061) continued

30 Synthes 4.5 mm and 6.5 mm Headless Compression Screws Technique Guide

Implants6.5 mm Headless Compression Screws, 16 mm thread, 2 ea.

StainlessSteel Titanium Length (mm)

02.227.030 04.227.030 3002.227.035 04.227.035 3502.227.040 04.227.040 4002.227.045 04.227.045 4502.227.050 04.227.050 5002.227.055 04.227.055 5502.227.060 04.227.060 6002.227.065 04.227.065 6502.227.070 04.227.070 7002.227.075 04.227.075 7502.227.080 04.227.080 8002.227.085 04.227.085 8502.227.090 04.227.090 9002.227.095 04.227.095 9502.227.100 04.227.100 10002.227.105 04.227.105 10502.227.110 04.227.110 11002.227.115 04.227.115 11502.227.120 04.227.120 12002.227.125 04.227.125 12502.227.130 04.227.130 13002.227.135 04.227.135 13502.227.140 04.227.140 14002.227.145 04.227.145 14502.227.150 04.227.150 150

6.5 mm Headless Compression Screws, 32 mm thread, 2 ea.

StainlessSteel Titanium Length (mm)

02.227.245 04.227.245 4502.227.250 04.227.250 5002.227.255 04.227.255 5502.227.260 04.227.260 6002.227.265 04.227.265 6502.227.270 04.227.270 7002.227.275 04.227.275 7502.227.280 04.227.280 8002.227.285 04.227.285 8502.227.290 04.227.290 9002.227.295 04.227.295 9502.227.300 04.227.300 10002.227.305 04.227.305 10502.227.310 04.227.310 11002.227.315 04.227.315 11502.227.320 04.227.320 12002.227.325 04.227.325 12502.227.330 04.227.330 13002.227.335 04.227.335 13502.227.340 04.227.340 14002.227.345 04.227.345 14502.227.350 04.227.350 150

292.68 2.8 mm Threaded Guide Wire, trocar point,300 mm, 10 ea.

292.81 2.8 mm Guide Wire with flutes, 300 mm/150 mm calibration, 10 ea.

Also Available02.207.001 2.8 mm Guide Wire with flutes, 450 mm

02.227.001 2.8 mm Non-Threaded Guide Wire, trocarpoint, 300 mm

900.726 2.8 mm Threaded Guide Wire, 450 mm, trocar point, 300 mm calibration

Page 32: 4.5 mm and 6.5 mm Headless Compression Screws TGsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes North America... · 03.227.033 Compression Sleeve, for 6.5 mm Headless Compression

Synthes USA1302 Wrights Lane EastWest Chester, PA 19380Telephone: (610) 719-5000To order: (800) 523-0322Fax: (610) 251-9056

Synthes (Canada) Ltd.2566 Meadowpine BoulevardMississauga, Ontario L5N 6P9Telephone: (905) 567-0440To order: (800) 668-1119Fax: (905) 567-3185

© 2009 Synthes, Inc. or its affiliates. All rights reserved. Synthes is a trademark of Synthes, Inc. or its affiliates. Printed in U.S.A. 9/12 J8788-D

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