Long Volar Plates for Diaphyseal-Metaphyseal Radius ...synthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes...4 DePuy Synthes 2.4/2.7 mm Variable Angle LCP® Two-Column Volar Distal

Long Volar Plates for Diaphyseal-Metaphyseal Radius Fractures

2.4/2.7 mm Variable Angle LCP® Two-Column Volar Distal Radius Plate, Extra-LongSurgical Technique

Introduction

Surgical Technique

Product Information

Image intensifier control

Table of Contents

2.4/2.7 mm Variable Angle LCP® Two-Column Volar Distal Radius Plate, Extra-Long Surgical Technique DePuy Synthes 1

2.4/2.7 mm VA LCP® Two-Column Volar Distal 2Radius Plate, Extra-Long

AO Principles 4

Indications 5

MRI Safety Information 6

Preparation 7

Approach 7

Provisional Fixation and Reduction 8

Implant Selection 9

Plate Contouring 11

Plate Positioning and Preliminary Fixation 13

Distal Screw Insertion 17

Proximal Screw Insertion 23

Confirm Joint Reconstruction 28

Final Tightening of VA Locking Screws 29

Implant Removal 30

Implants 31

Sizing Templates 34

Instruments 35

2 DePuy Synthes 2.4/2.7 mm Variable Angle LCP® Two-Column Volar Distal Radius Plate, Extra-Long Surgical Technique

2.4/2.7 mm Variable Angle LCP® Two-Column Volar Distal Radius Plate, Extra-Long

The 2.4/2.7 mm VA LCP® Two-Column Volar Distal Radius Plate,Extra-Long, is available in a variety of lengths and head sizes.

Same head design as VA LCP Two-Column Volar Distal Radius Plate• Familiarity with the Variable Angle Two-Column

Volar Distal Radius Plate design and technique• Compatible with VA LCP Two-Column Volar Distal

Radius Plate Guide BlockVarious shaft lengths• 7 holes (105-110 mm depending on head size),

10 holes (145 mm), 13 holes (186 mm)• Accepts 2.4 mm Screws and 2.7 mm Screws in

the shaft of the plate (proximal)

VA Combi holes and Oblong VA Combi holes in the shaft• Allow fl exibility in screw choice: Variable Angle Locking,

Coaxial Locking, and Cortex Screws• Facilitate plate positioning on the bone• With variable angle locking screws, 15° of screw

angulation in all directions to address individual fracture patterns

Available sterile-packed• Immediate availability for use• Minimal storage space

K-wire holes

Various head widths• Narrow (19.5 mm), standard (22.0 mm),

wide (25.5 mm)• Accepts 2.4 mm Screws and 1.8 mm Buttress

Pins in the head of the plate (distal)


2.4/2.7 mm Variable Angle LCP Two-Column Volar Distal Radius Plate, Extra-Long

Bending Notches and Undercuts• All plates can be bent out-of-plane (fl exion-extension).

The 13-hole plate can be bent out-of-plane, as well as in-plane at the bending notches.

• Undercuts are designed to reduce plate-to-bone contact

Tapered and narrowed proximal end • Facilitate insertion• Designed to reduce soft tissue irritation

Shaft Holes 6-Hole Head Narrow

6-Hole Head Standard

7-Hole HeadWide

7-Hole Shaft ✓ ✓ ✓

10-Hole Shaft n/a ✓ n/a

13-Hole Shaft n/a ✓ n/a


AO Principles

1

4

2

3

4_Priciples_03.pdf 1 05.07.12 12:08

4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique

AO PRINCIPLES

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation1, 2.

1 Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991.

2 Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management. 2nd ed. Stuttgart, New York: Thieme. 2007.

Anatomic reductionFracture reduction and fixation to restore anatomical relationships.

Early, active mobilizationEarly and safe mobilization and rehabilitation of the injured part and the patient as a whole.

Stable fixationFracture fixation providing abso-lute or relative stability, as required by the patient, the injury, and the personality of the fracture.

Preservation of blood supplyPreservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation.1, 2

Anatomic reductionFracture reduction and fixation to restore anatomical relationships.

Early, active mobilizationEarly and safe mobilization and rehabilitation of the injured part and the patient as a whole.

Stable fixationFracture fixation providing absolute or relative stability, as required by the patient, the injury, and the personality of the fracture.

Preservation of blood supplyPreservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.

1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation. 3rd ed. Berlin, Heidelberg, New York: Springer-Verlag; 1991.

2. Rüedi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 2nd ed. Stuttgart, New York: Thieme; 2007.


Indications

The DePuy Synthes 2.4/2.7 mm VA LCP Two-Column Volar Distal Radius Plate, Extra-Long is intended for intra- and extra-articular fractures, osteotomies, nonunions and malunions of the distal radius, with or without extension into the radial diaphysis in adults and adolescents (12-21) where the growth plates have fused or will not be crossed, such as:• Intra-articular fractures exiting the epiphysis• Intra-articular fractures exiting the metaphysis• Physeal crush injuries• Any injuries which cause growth arrest to the

distal radius

Precaution: The DePuy Synthes 2.4/2.7 mm VA LCP Two-Column Volar Distal Radius Plate, Extra-Long was designed for patients where the growth plates have fused or will not be crossed. The use of the 2.4/2.7 mm VA LCP Two-Column Volar Distal Radius Plate, Extra-Long in patients where the growth plates have not fused or will be crossed may result in premature closure of the physis and bone growth inhibition.


MRI Safety Information

MRI Safety Information The 2.4/2.7 mm VA LCP Two-Column Volar Distal Radius Plate, Extra-Long has not been evaluated for safety and compatibility in the MR environment. It has not been tested for heating, migration or image artifact in the MR environment. The safety of the 2.4/2.7 mm VA LCP Two-Column Volar Distal Radius Plate, Extra-Long in the MR environment is unknown. Scanning a patient who has this device may result in patient injury.


Surgical Technique

1. Preparation

Ensure compatible instrumentation is available.

2. Approach

Make a longitudinal incision slightly radial to the fl exor carpi radialis tendon (FCR). Dissect between the FCR and the radial artery, exposing the pronator quadratus. Detach the pronator quadratus from the lateral border of the radius and elevate it toward the ulna. The incision can be extended proximally depending on the fracture pattern and length of plate used.

To get better exposure of the radius, it is helpful to pronate the forearm.2

Important: Leave the volar wrist capsule intact to avoid devascularization of the fracture fragments and destabilization of the volar wrist ligaments.

2. Rüedi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 2nd ed. Stuttgart, New York: Thieme; 2007.


Surgical Technique

3. Provisional fixation and reduction–distal

Instruments

292.12 1.25 mm Kirschner Wire with trocar tip, length 150 mm, Stainless Steel

292.16 Kirschner Wire, 1.6 mm with trocar tip, length 150 mm, Stainless Steel

398.41 Reduction forceps with points, wide

399.97 Reduction forceps, with points

Reduce the periarticular component of the fracture using the preferred reduction techniques.

Refer to section 6 for additional information regarding reduction techniques.

Note: The reduction method will be fracture-specific.


Surgical Technique

4. Implant selection

Instruments

03.111.570 Sizing Template, Narrow, 6-hole head, 7-hole shaft, length 105 mm

03.111.670 Sizing Template, Standard, 6-hole head, 7-hole shaft, length 109 mm



03.111.770 Sizing Template, Wide, 7-hole head, 7-hole shaft, length 110 mm

Optional Instruments

03.111.121S Sizing Template Set for 2.4/2.7 mm VA LCP Two-Column Volar Distal Radius Plate, Extra-Long, Sterile

03.111.570

03.111.670

03.111.680

03.111.690

03.111.770

Left and right are marked on opposite sides of Trial implants.


Select the plate according to the fracture pattern and anatomy of the radius.

Use the sizing templates to determine the size (width and length) of the plate to be used. Left and right are marked on opposite sides. The sizing templates can be bent to approximate plate shape. Screw holes are etched on sizing templates.

The sizing templates can also be adapted to the anatomy of the bone and used as a bending template.

Precaution: Ensure the proper plate selection by verifying the L (left) and R (right) etching on the sizing template. The plate’s distal lip is slightly lower on the radial side.

Note: Use only manual bending. Excessive and repetitive bending of the sizing templates should be avoided. Excessive bending includes >15° bending out-of-plane (fl exion-extension) in both directions and >30° twisting. In-plane (side to side) bending of the sizing templates is not recommended as it could cause permanent deformation.

Warning: Do not implant sizing templates.

Left and right are marked on opposite sides.

Surgical Technique


5. Plate contouring (optional)

Instruments

329.04 Bending Iron for 2.7 mm and 3.5 mm plates, 150 mm length, used with Bending Iron (329.05)


329.29 Bending Pliers

If necessary, contour the plate to fi t the patient’s anatomy using the bending irons or bending pliers.

Precautions: • Avoid reverse bends and excessive bending.

Reverse bends and excessive bending may weaken the plate and lead to premature plate failure.

• Excessive bending includes >15° bending out-of-plane (fl exion-extension) in both directions and >30° twisting.

• In-plane (side to side) bending can only be performed with the 13-hole plate at a maximum of 10° using the bending notches.

• Perform in-plane bending prior to out-of-plane bending.

Perform in-plane bending prior to out-of-plane bending and/or twisting.

15°

15°

10°

10°

Surgical Technique


Surgical Technique

For in-plane bending of the 13-hole plate, open and adjust the handles of the bending pliers. Slide the proximal end of the plate into the bending pliers as shown. (1)

Check VA portion of the Combi holes adjacent to the bending site with a variable angle drill guide after bending to ensure holes have not been deformed.

Note: Illustrations are shown with a Right plate with the top surface of the plate facing upwards. To bend a Left plate, insert the plate with the bottom of the plate facing upwards in the bending pliers.

1

Incorrect side—Bending pliers with opening on the right.

Correct side—Bending pliers with wider opening on left.

The bending pliers is two-sided. Use the side of the bending pliers with the wider opening to the left. (2)

2

Bending notches positioned in opening of bending pliers.

Align the bending notches in the plate with the open section of the bending pliers as shown. (3) Squeeze the handles together to increase the bend at the tip of the plate. Open the handles to straighten the tip of the plate.

3


Surgical Technique

6. Plate positioning and preliminary fixation

Instruments


02.111.500.10 1.25 mm Plate Reduction Wire, with thread, with Small Stop, length 150 mm, Stainless Steel

02.111.501.10 1.25 mm Plate Reduction Wire, with thread, with Large Stop, length 150 mm, Stainless Steel

319.006 Depth Gauge for 2.0 mm and 2.4 mm Screws OR

319.01 Depth Gauge for 2.7 mm and Small Screws

Apply the plate to fit the volar surface. Ensure plate is centered on the bone.

If necessary, use additional instrumentation (reduction clamps, provisional Kirschner wires, plate reduction wires, and lag screws) to aid in restoration of length and alignment. The plate may also be considered a supportive reduction device.

Insert 1.25 mm Kirschner wires or 1.25 mm plate reduction wires with small stop through the desired Kirschner wire holes to provide provisional fixation. 1.25 mm plate reduction wires with large stop can be inserted through nonthreaded screw holes. Remove reduction wires and Kirschner wires when provisional fixation is no longer necessary. Plate reduction wires and Kirschner wires are single-use items; do not re-use Kirschner wires when provisional fixation is no longer necessary. Plate reduction wires and Kirschner wires are single-use items; do not re-use.

Example of potential reduction aids. Reduction will be fracture-specific.

A Lag screwsB Provisional fixation with cortex screwC 1.25 mm Plate reduction wires with large stopD 1.25 mm Plate reduction wire with small stopE 1.25 mm Kirschner wire F Reduction forceps

A

A

B

C

F

C

C

ED

Ensure plate is centered on the bone.


Provisional screw fixation

Instruments

314.453 Screwdriver Shaft, StarDrive™, T8, Short, OR

314.467 Screwdriver Shaft StarDrive, T8, Quick Coupling

311.43 Handle with Quick Coupling

03.111.005 Depth Gauge for 2.0 to 2.7 mm Screws OR

319.01 Depth Gauge for 2.7 mm and Small Screws

Instruments for 2.7 mm Cortex Screws

323.26 2.7 mm Universal Drill Guide

310.534 2.0 mm Drill Bit with Depth Mark, length 110, Quick Coupling



310.509 1.8 mm Drill Bit with Depth Mark, length 110 mm, Quick Coupling

Determine size of cortex screw to be inserted. Insert a cortex screw into the first appropriate elongated Combi hole.

Use the nonthreaded portion of the elongated Combi hole to insert cortex screws. Cortex screws can be used to compress the plate to bone.

Surgical Technique


Drill with the drill bit using the universal drill guide.

Drill bits are color-coded according to the screw size:

■ Purple – 1.8 mm Drill Bit, for 2.4 mm Screws

■ Orange – 2.0 mm Drill Bit, for 2.7 mm Screws

Precaution: Use proper irrigation and suction when drilling.

Measure the appropriate screw length using the depth gauge and insert the cortex screw in the elongated hole. Adjust the plate as necessary and tighten the screw.

Perform several radiographic views of the distal radius to ensure alignment and reduction.

Notes: • The size of screw, order of screw insertion, and the

use of Kirschner wires may vary depending on the fracture pattern and reduction technique. The fracture pattern will dictate the appropriate site for this fi rst screw.

• Optionally a tap can be used if insertion of the screw into hard cortical bone is diffi cult.

Taps (Optional)

311.26 Tap for 2.7 mm Cortex Screws


Surgical Technique


Surgical Technique

Compression TechniqueTo drill a hole for dynamic compression, place the universal drill guide eccentrically at the edge of the nonthreaded portion of the Combi hole, without applying pressure to the tip

Drill through the universal drill guide. Insert a cortex screw using a screwdriver (1). Tightening of the cortex screw will result in dynamic compression (2).

Note: When and if to perform compression may vary depending on the fracture pattern and reduction technique. The fracture pattern will dictate the appropriate use of compression. Plate illustration has been simplified to show compression.

1 2


Surgical Technique

7a. Distal screw insertion–variable angle

Instruments

03.110.000 1.8 mm Universal Variable Angle Locking Drill Guide OR

03.110.023 1.8 mm Variable Angle Locking Drill Guide, Cone

310.509 1.8 mm Drill Bit with Depth Mark, Quick Coupling

314.453 Screwdriver Shaft, StarDrive, T8, short OR




319.006 Depth Gauge for 2.0 mm and 2.4 mm Screws

Insert and lock the cone portion of the 1.8 mm VA drill guide tip into the cloverleaf design of the VA locking hole.

Use the 1.8 mm drill bit to drill to the desired depth at the desired angle. When drilling, the tip of the drill sleeve should remain fully seated in the hole.


The funnel for the drill guide allows the drill bit up to a 15° angulation around the central axis of the locking hole.

Use the depth gauge to determine the screw length.


Surgical Technique

Insert the VA locking screws manually with the StarDrive™ T8 Screw Driver Shaft and quick coupling handle and tighten just enough for the screw head to be fully seated in the VA locking hole.

Do not overtighten the screw.


Insert additional screws as needed.

Note: The order of screw insertion may vary depending on the fracture pattern and reduction technique. The fracture pattern will dictate the appropriate screw placement and order of screw insertion.


Surgical Technique

7b. Distal screw insertion–coaxial (fi xed angle)

Instruments


03.110.024 1.8 mm Variable Angle Drill Guide, Coaxial

310.509 1.8 mm Drill Bit with Depth Mark, Quick Coupling






The fi xed-angle end of the drill sleeve only allows the drill bit to follow the nominal trajectory of the VA locking hole.

Insert and lock the coaxial portion of the 1.8 mm VA drill guide tip into the cloverleaf design of the VA locking hole.

Use the 1.8 mm drill bit to drill to the desired depth at the pre-defi ned angle.


Read the screw length directly from the laser mark on the drill bit. Alternatively, use the depth gauge to determine the screw length.


Insert the VA locking screws manually with the StarDrive T8 Screwdriver shaft and quick coupling handle and tighten just enough for the screw head to be fully seated in the VA locking hole.




Note: The order of screw insertion may vary depending on the fracture pattern and reduction technique. The fracture pattern will dictate the appropriate screw placement and order of screw insertion.

Surgical Technique


7c. Distal screw insertion– coaxial (fixed angle) with guide blocks (optional)

Instruments






03.110.021 1.8 mm Drill Guide With Measuring for Guide Block

03.111.500 Guide Block for 2.4 mm Two-Column Volar Distal Radius Plate, narrow, 6 holes, right

03.111.501 Guide Block for 2.4 mm Two-Column Volar Distal Radius Plate, narrow, 6 holes, left

03.111.600 Guide Block for 2.4 mm Two-Column Volar Distal Radius Plate, 6 holes, right

03.111.601 Guide Block for 2.4 mm Two-Column Volar Distal Radius Plate, 6 holes, left



Surgical Technique


Surgical Technique

Select the corresponding guide block for Two-Column Distal Radius Plate and secure it to the plate using the positioning screw. Slightly tighten the positioning screw with the Screwdriver.

Insert the quick drill sleeve with scale into the guide block hole. Ensure that the quick drill sleeve is firmly seated in the hole. Drill to the desired depth using the 1.8 mm drill bit.

Read the screw length directly from the laser mark on the drill bit.

Alternatively, use the corresponding depth gauge directly through the guide block.

Insert the VA Locking screw manually through the guide block using the screwdriver.

Loosen the positioning screw and remove the guide block after screw insertion.


Surgical Technique

8a. Proximal screw insertion– variable angle

Instruments

314.453 Screwdriver Shaft, StarDrive, T8, Short OR

314.467 Screwdriver Shaft, StarDrive, T8, Quick Coupling



319.01 Depth Gauge for 2.7 mm and Small Screws OR


Instruments for 2.7 mm Variable Angle Locking Screws


03.211.003 2.0 mm Variable Angle Locking Drill Guide, Variable

310.534 2.0 mm Drill Bit with Depth Mark, length 110, Quick Coupling OR

310.19 2.0 mm Drill Bit, Quick Coupling, 100 mm




310.509 1.8 mm Drill Bit with Depth Mark, length 110, Quick Coupling


Determine screw size and select corresponding instrumentation. If using variable angle locking, insert and lock the cone portion of the VA drill guide tip into the cloverleaf design of the VA locking hole.

Use the drill bit to drill to the desired depth at the desired angle. When drilling, the tip of the drill guide should remain fully seated in the hole.

The funnel for the drill sleeve allows the drill bit up to 15° angulation around the central axis of the locking hole.


Use the depth gauge to determine the screw length.

Insert the VA locking screws manually with the StarDrive T8 Screwdriver shaft and quick coupling handle. Tighten the screw just enough for the screw head to be fully seated in the VA locking hole.



Notes: • The screw size, type of screw, screw placement,

and order of screw insertion may vary depending on the fracture pattern and reduction technique. The fracture pattern will dictate the appropriate screw and order of screw insertion.

• Alternatively, 2.4 mm and 2.7 mm cortex screws can be inserted into the shaft of the plate. Select a drill guide based on the size of the screw. Use the nonthreaded portion of the Combi holes to insert cortex screws. Cortex screws can be used to provide compression.

Surgical Technique


Surgical Technique

Notes: • A tap can be used if insertion of the screw into

hard cortical bone is diffi cult.• Optionally a tap can be used if insertion of the

screw into hard cortical bone is diffi cult.

See table for corresponding tap for screw size and thread type.

Taps (optional)



03.111.906 Tap for 2.7 mm Locking Screws


Taps for locking screws are color-coded according to the screw size:

■ Purple – 1.8 mm Tap, for 2.4 mm Screws

■ Orange – 2.0 mm Tap, for 2.7 mm Screws


Surgical Technique

8b. Proximal screw insertion– coaxial (fi xed angle)

Instruments





319.01 Depth Gauge for 2.7 mm and Small Screws OR




03.211.004 2.0 mm Variable Angle Locking Drill Guide, Coaxial

310.534 2.0 mm Drill Bit with depth mark, length 110 mm, Quick Coupling



03.110.024 1.8 mm Variable Angle Drill Guide, Coaxial


Determine screw size and select corresponding instruments. The fi xed-angle end of the drill sleeve only allows the drill bit to follow the nominal trajectory of the VA locking hole.

Insert and lock the coaxial portion of the VA drill guide tip into the cloverleaf design of the VA locking hole.


Use the drill bit to drill to the desired depth at the pre-defi ned angle. Read the screw length directly from the laser mark on the drill bit. Alternatively, use the depth gauge to determine the screw length.


Insert the VA locking screws manually with the StarDrive T8 Screwdriver shaft and quick coupling handle. Tighten the screw just enough for the screw head to be fully seated in the VA locking hole.



Notes: • The screw size, type of screw, and order of screw

insertion may vary depending on the fracture pattern and reduction technique. The fracture pattern will dictate the appropriate order of screw insertion.

• Alternatively, 2.4 mm and 2.7 mm cortex screws can be inserted into the shaft of the plate. Use the non-threaded portion of the Combi holes to insert cortex screws. Cortex screws can be used to provide compression.







Note: A tap can be used if insertion of the screw into hard cortical bone is diffi cult. See page 18 for a listing of available taps.

Surgical Technique


9. Confirm joint reconstruction

Ensure proper joint reconstruction, screw placement, and screw length using multiple radiographic views. Verify that the distal screws are not in the joint by using additional views such as a 10° dorsally tilted, 20° inclined lateral, and 45° pronated oblique view.

Surgical Technique


Surgical Technique

10. Final tightening of variable angle locking screws

Instruments

03.110.005 Handle for Torque Limiting Attachment

03.110.002 Torque Limiting Attachment, 1.2 Nm OR

511.776 Torque Limiting Attachment, 0.8 Nm



Use the 1.2 Nm Torque Limiting Attachment to perform the fi nal locking step for the 2.7 mm Variable Angle locking screws.

Use the 0.8 Nm Torque Limiting Attachment to perform the fi nal locking step for the 2.4 mm Variable Angle locking screws.

The Torque Limiting Attachment prevents overtightening and ensures that the VA locking screws are securely locked into the plate.

Notes: • For dense bone, visually inspect if the screw is

countersunk after tightening with the Torque Limiting Attachment. If required, carefully tighten without the Torque Limiting Attachment until the screw head is fl ush with the plate surface.

• For fi nal locking of 1.8 mm VA Buttress Pins, 1.8 mm LCP Buttress Pins and 2.7 mm Locking Screws, use the 0.8 Nm Torque Limiting Attachment.

Press


Surgical Technique

11. Implant Removal

Instruments


314.453 Screwdriver Shaft, StarDrive, T8, Short

Optional Instruments


314.468 Holding sleeve for StarDrive Screwdriver Shaft, T8

To remove locking screws, first unlock all screws from the plate; then remove the screws completely from the bone.The last screw removed should be a nonlocking screw in the shaft. This prevents the plate from spinning when locking screws are removed.

Note: If the screws cannot be removed with the standard instruments, refer to the DePuy Synthes Screw Removal Set Surgical Technique (J8569) for removal instructions.


Implants

Plates 2.4/2.7 mm VA LCP Two-Column Volar Distal Radius Plates, Extra-Long

Part Head Head Head Shaft Length Left/ number size width (mm) holes holes (mm) Right

0X.111.570S narrow 19.5 6 7 105 right

0X.111.571S narrow 19.5 6 7 105 left

0X.111.670S standard 22.0 6 7 109 right

0X.111.671S standard 22.0 6 7 109 left


0X.111.681S standard 22.0 6 10 145 left


0X.111.691S standard 22.0 6 13 186 left

0X.111.770S wide 25.5 7 7 110 right

0X.111.771S wide 25.5 7 7 110 left

All plates are available sterile only.

X = 2: 316L Stainless SteelX = 4: Commercially Pure Titanium (TiCP)

0X.111.570S 0X.111.571S 0X.111.670S 0X.111.671S

0X.111.680S 0X.111.681S

0X.111.690S 0X.111.691S

0X.111.770S 0X.111.771S


Implants

Screws 2.4 mm Variable Angle Locking Screws*0X.210.108– 2.4 mm Variable Angle Locking Screws0X.210.130 Self-tapping, StarDrive, lengths 8 mm to

30 mm

For use in VA locking holes in the head or shaft of the plate.

2.7 mm Variable Angle Locking Screws0X.211.010– 2.7 mm Variable Angle Locking Screws0X.211.030 Self-tapping, StarDrive, lengths 10 mm

to 30 mm

For use in VA locking holes in the shaft of the plate.

2.4 mm Cortex Screws*X01.756– 2.4 mm Cortex ScrewsX01.780 Self-tapping, StarDrive, lengths 6 mm to

30 mm

For use in VA locking holes or Combi holes.

2.7 mm Cortex ScrewsX02.870– 2.7 mm Cortex ScrewsX02.890 Self-tapping, StarDrive, lengths 10 mm

to 30 mm

For use in Combi holes in the shaft of the plate.

*Screws are also available sterile packed in Sterile Tubes. Add suffi x “TS” to article number.

X = 2: 316L Stainless SteelX = 4: Titanium alloy (Ti-6Al-7Nb)

T8

T8

T8

T8


X = 2: 316L Stainless SteelX = 4: Titanium alloy (Ti-6Al-7Nb)

Implants

Buttress Pins and Locking Screws

1.8 mm Variable Angle Locking Buttress Pins0X.210.078– 1.8 mm VA Locking Buttress Pins, 0X.210.100 StarDrive, lengths 8 mm to 30 mm

For use in VA locking holes in the head of the plate.

1.8 mm LCP Buttress PinsX00.190– 1.8 mm LCP Buttress Pins, StarDrive X00.199 lengths 12 mm to 30 mm

For use in VA locking holes in the head of the plate.

2.4 mm Locking ScrewsX12.806 – 2.4 mm Locking Screw, StarDriveX12.830 Self-tapping, lengths 6 mm to 30 mm

For use in VA locking holes but only in predefi ned angle using coaxial (fi xed-angle) technique.

2.7 mm Locking ScrewsX02.208 – 2.7 mm Locking Screw, StarDriveX02.230 Self-tapping, lengths 8 mm to 30 mm

For use in VA locking holes but only in predefi ned angle using coaxial (fi xed-angle) technique in the shaft of the plate.

T8

T8

T8

T8


Sizing Templates

Notes: • Screw holes are etched on sizing templates.• Left and right are marked on opposite sides of the

sizing templates.• Part number 03.111.121S is a sterile pack,

including all sizes of the sizing templates for the 2.4/2.7 mm VA LCP Two-Column Volar Distal Radius Plate, Extra-Long

Sizing Templates for 2.4/2.7mm VA LCP Two-Column Volar Distal Radius Plates, Extra-Long

03.111.570

03.111.670

03.111.680

03.111.690

03.111.770

Part numberFor plate head size

For plate head holes

For plate head holes (mm)

For plate shaft holes

For platelength (mm) Left/Right

03.111.570 narrow 6 19.5 7 105 Left/Right

03.111.670 standard 6 22.0 7 109 Left/Right



03.111.770 wide 7 25.5 7 110 Left/Right

03.111.121S all 6-7 19.5-25.5 7-13 105-186 Left/Right


Instruments

292.12 1.25 mm Kirschner Wire, trocar tip, length 150 mm, Stainless Steel


02.111.500.10 Plate Reduction Wire, 1.25 mm, with (10-pack) thread, with Small Stop, length 150 mm, Stainless Steel

02.111.501.10 Plate Reduction Wire, 1.25 mm, with (10-pack) thread, with Large Stop, length 150 mm, Stainless Steel



310.19 2.0 mm Drill Bit, quick coupling, 100 mm




Instruments


314.453 Screwdriver Shaft, StarDrive, T8, short, Quick Coupling

314.467 Screwdriver Shaft, StarDrive‚ T8, Quick Coupling





329.29 Bending Pliers


Instruments

399.97 Reduction Forceps with Points, Ratchet, 130 mm

511.776 Torque Limiting Attachment, 0.8 Nm

03.110.005 Handle for Torque Limiting Attachment

03.110.000 1.8 mm Universal Variable Angle Locking Drill Guide



398.41 Reduction Forceps, with Points, Broad, Ratchet


Instruments

03.211.002 2.0 mm Universal Variable Angle Locking Drill Guide

03.211.003 2.0 mm Variable Angle Locking Drill Guide, Variable


310.87 Countersink for 2.7 mm Cortex Screws

310.972 Countersink for 2.0 mm and 2.4 mm Screws




Instruments



314.468 Holding Sleeve for StarDrive Screwdriver Shaft, T8

03.111.005 Depth Gauge for 2.0 to 2.7 mm Screws


319.01 Depth Gauge, for 2.7 mm and Small Screws

03.110.021 1.8 mm Drill Guide With Measuring for Guide Block

03.111.007 Positioning Screw for Guide Block for Two-Column Distal Radius Plate


Instruments

03.111.500 Guide Block for 2.4 mm Two-Column Volar Distal Radius Plate, narrow, 6 holes, right

03.111.501 Guide Block for 2.4 mm Two-Column Volar Distal Radius Plate, narrow, 6 holes, left





For detailed cleaning and sterilizationinstructions, please refer towww.depuysynthes.com/hcp/cleaning-sterilization or sterilization instructions, if provided.

Limited Warranty and Disclaimer: DePuy Synthes products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed.

Please also refer to the package insert(s) or other labeling associated with the devices identified in this surgical technique for additional information.

CAUTION: Federal Law restricts these devices to sale by or on the order of a physician.

Some devices listed in this surgical technique may not have been licensed in accordance with Canadian law and may not be for sale in Canada. Please contact your sales consultant for items approved for sale in Canada.

Not all products may currently be available in all markets.

© DePuy Synthes 2017. All rights reserved.DSUS/TRM/0916/1073 2/17 DV

Synthes USA, LLC 1101 Synthes AvenueMonument, CO 80132

Manufactured or distributed by:Synthes USA Products, LLC 1302 Wrights Lane EastWest Chester, PA 19380

To order (USA): 800-523-0322 To order (Canada): 855-946-8999

Note: For recognized manufacturer, refer to the product label.

www.depuysynthes.com

Documents

Long Volar Plates for Diaphyseal-Metaphyseal Radius ...synthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes...4 DePuy Synthes 2.4/2.7 mm Variable Angle LCP® Two-Column Volar Distal