SpeedTip CCS 5.0, 7 - Medartis · s i s de ro h t r A us d i p a L Application illustrated on a clinical case by C. Plaass, Germany ... Lisfranc luxation injury and metatarsal IV

APTUS®

PRODUCT INFORMATION

SpeedTip® CCS5.0, 7.0 Cannulated Compression Screws

Publications

1. Adam Hart, MD, Edward J. Harvey, MD, Louis-Philippe Lefebvre, MSc, François Barthelat, PhD, Reza Rabiei, PhD, Paul A. Martineau, MD Insertion Profiles of 4 Headless Compression Screws J Hand Surg Am. 2013 Sep 25 ; 38 (9):1728-1734

2. Ahmet Karakasli, MD, Onur Hapa, MD, Mehmet Erduran, MD, Cemal Dincer, MD, Berivan Cecen, PhD, Hasan Havitcioglu, MD Mechanical Comparison of Headless Screw Fixation and Locking Plate Fixation for Talar Neck Fractures The Journal of Foot & Ankle Surgery Volume 54 (2015), Issue 5, Pages 905–909

Medartis, APTUS, MODUS, TriLock, HexaDrive and SpeedTip are registered trademarks of Medartis AG / Medartis Holding AG, 4057 Basel, Switzerland

For further information regarding the APTUS product line visit:

www.medartis.com/products/APTUS

SpeedTip® CCS 5.0, 7.0Cannulated Compression Screws

Contents

2 Publications

4 Introduction, Indications

5 Examples of Use

6 Technology, Screw Features

8 Double Arthrodesis

10 Lateralizing Calcaneal Sliding Osteotomy

12 Lapidus Arthrodesis

14 Clinical Examples

18 Storage

20 Ordering Information

4 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws

www.medartis.com/products/aptus

SpeedTip CCS 5.0, 7.0 Cannulated Compression Screws

A new generation of self-drilling and self-tapping cannulated screws

SpeedTip CCS * 5.0, 7.0 cannulated compression screws feature innovative technologies including the high quality of

the screw threads. The patented SpeedTip polygonal geometry in the screw tip and head, the tapered shaft, in combination

with the precision manufacturing of the thread, reduce the torque required to insert the screws. This makes it easier

for the surgeon and reduces the number of surgical steps. The optimized cutting tip enables the screw to cut and purchase

extremely well in the bone, thus reducing the potential risk of bone fragment displacement.

Interfragmentary compression by means of CCS

Indications

Treatment of fractures, osteotomies and

arthrodesis of bones with the appropriate

screw size.

* Cannulated Compression Screw

5.0

5.0

5.0

5.0

5.0

7.0

7.0

SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 5


Examples of Use

Shoulder

Fractures of the proximal humerus

Elbow

Fractures of the distal humerus

Knee

Fractures:

• Proximal tibia

• Distal femur

Foot

Fractures, arthrodesis and osteotomies:

• Upper ankle joint

• Lower ankle joint

• Midfoot

• Hindfoot

The operating surgeon is solely responsible for choosing the appropriate implant for the specific case.

• Two screw sizes for treating a wide variety of indications• Easy to use



Contact surface for screw retention

(red)

Contact surface for torque transmission (blue)

Technology, Screw FeaturesSpeedTip® polygonal geometry and HexaDrive®

Optimized cutting tip

Medartis thread Competitor’s thread

SpeedTip polygonal geometry

Technology

• Patented SpeedTip thread design

– Screws can be inserted directly without pre-drilling

– Reduced risk of bone fragment displacement thanks to the excellent cutting behavior

– Effortless insertion – the polygonal tip pushes bone debris aside

• Self-tapping screws with precise, sharp threads

• Patented HexaDrive screw head design

– Secure connection between screw and screwdriver

– Increased torque transmission

– Simplified screw pick-up due to patented self-holding technology

SpeedTip Standard screw



Screw features and clinical benefits

• Substantially less effort required to insert screws due to:

– Optimized cutting geometry

– SpeedTip in the screw tip

– Precise, sharp thread

– Tapered shaft

– SpeedTip in the screw head

• Self-drilling screw design

– Fewer surgical steps

– Easy application

• Large thread surfaces

– Compression also in bone with lower density

– Improved purchase in cortical and cancellous bone

• Partially threaded screws

– For the use as compression screw

– Choice of short and long distal threads for interfragmentary application in a wide variety of indications

• Fully threaded screws

– For the use as set screw

– Provides additional purchase in the bone (without compression effect)

• Innovative technology and outstanding thread properties• Cannulated and self-drilling screw design• Excellent cutting behavior and low insertion torque reduce

the potential risk of bone fragment displacement

SpeedTip in screw head

SpeedTip in screw tip

Tapered shaft

Optimized cutting geometry



Double ArthrodesisApplication illustrated on a clinical case by C. Plaass, Germany

Diagnosis

A female patient with painful pes planovalgus associated with stage 2b tibial posterior tendon insufficiency.

Treatment

Double arthrodesis (talo-navicular and talo-calcaneal) and fixation with two talo-calcaneal CCS 7.0 screws and two talo-navicular CCS 5.0 screws.

Results

Reliable fusion, painfree weight-bearing foot in good position.



Tapered shaft for reduction of

the insertion torque

SpeedTip requires less effort

during screw insertionSpeedTip technology

also in the screw head

Thread design focused on

achieving a good compression

Sharp and precise thread

Screw features



Lateralizing Calcaneal Sliding OsteotomyApplication illustrated on a clinical case by V. Valderrabano, Switzerland

Diagnosis

Painful anteromedial upper ankle joint degeneration and residual pes cavovarus on the left foot following triplanar calcaneal osteotomy (staple fixation) and metatarsal I osteotomy.

Treatment

Removal of osteosynthesis material from the calcaneus, valgizing lateral calcaneal sliding osteotomy, ventral cheilectomy of the upper ankle joint, deltoid ligament release on the left foot.

Results

Four months postoperatively the patient was pain-free, able to fully bear weight and able to work again.



Large thread surfaces for

improved purchase in the bone

Screw Features

Fully threaded screw for additional purchase

in the bone without compression effect



Lapidus ArthrodesisApplication illustrated on a clinical case by C. Plaass, Germany

Diagnosis

A female patient with hallux valgus and hindfoot valgus associated with TMT-1 instability.

Treatment

Arthrodesis of the TMT-1 joint with CCS 5.0 as lag screw and plantar Medartis APTUS TMT-1 fusion plate to correct malalignment and instability. Correction of the hindfoot valgus by means of a medializing calcaneal osteotomy using CCS 7.0.

Results

Pain-free foot that can bear weight, restoration of the anatomical shape of the foot.



Plate design minimizes conflict with

tibialis anterior tendon insertion*

Optimized plate shape allows for soft

tissue protective approach and

reduces intraoperative plate bending*

*Plaass et al: «Placement of Plantar Plates for Lapidus Arthrodesis Anatomical Considerations».Seven plantar plate designs were analyzed on 29 anatomic specimens with regard to plate position towards the tibialis anterior tendon, general plate design as well as the necessity of further bending. The APTUS TMT-1 plantar fusion plate achieved the best result.

Choice of short or long distal thread

Clinical benefits of SpeedTip CCS 5.0, 7.0

• No prominent osteosynthesis materials such as plates or screw heads over the sensitive dorsum of the foot

Clinical advantages of the TMT-1 Plantar Fusion Plate

• Early partial weight-bearing possible and minimization of soft tissue trauma*

• Reduces likelihood of irritation by sparing the insertion of the tibialis anterior tendon

• Optimal anatomical fit reduces the need to contour the plate*



Clinical ExamplesFoot and Ankle Joints

Case 2 – Talo-navicular arthrodesis

Case 1 – Midfoot

Postoperative X-raysTMT-IV arthrodesis with APTUS 2.8 TriLock Grid plateTMT-V arthrodesis with CCS 5.0

X-rays 3 months postoperativelyReliable healing and good positionUse of CCS 5.0 screws

Preoperative X-raysPatient: male, 45 years oldOld seized partial Lisfranc luxation

Preoperative X-raysPatient: female, 54 years oldIsolated talo-navicular arthrosis



Case 3 – Midfoot

Postoperative X-raysPercutaneous temporary transfixation until cast removal: three CCS 5.0fully threaded screws as set screws for correct spacing of the individual joint spaces and one CCS 5.0 compression screw for stabilizing the fractured MT IV with simultaneous articular transfixation

Case 5 – Planovalgus correction

X-rays 3 months postoperativelyDouble calcaneal osteotomy and Cotton osteotomyUse of CCS 5.0 and CCS 7.0

Preoperative X-raysPatient: female, 54 years oldDistinctive flexible pes planovalgus malposition with tibial posterior tendon insufficiency.

Case 4 – Lapidus arthrodesis

X-rays 4 months postoperativelyLapidus arthrodesis and correction with APTUS 6-hole plate and CCS 5.0

Preoperative X-raysPatient: female, 47 years oldHallux valgus with enlarged intermetatarsal angle

Preoperative X-raysPatient: male, 24 years oldLisfranc luxation injury and metatarsal IV fracture

Clinical cases published with the kind permission of: G. Rappold, Austria (1, 3) | C. Plaass, Germany (2, 4, 5).



Case 7 – Triple arthrodesis

Preoperative X-rays (AP, Saltzman and lateral)Patient: female, 78 years old

X-rays 4 months postoperativelyUse of CCS 5.0 and CCS 7.0

Preoperative X-raysPatient: female, 75 years oldTalo-navicular arthrosis and partial navicular necrosis

X-rays 5 months postoperativelyHealed arthrodesisUse of CCS 5.0 and CCS 7.0

Case 6 – Double arthrodesis



Preoperative X-raysPatient: male, 38 years oldComminuted calcaneal bone fracture type Sanders IV

Postoperative X-rayPercutaneous screw fixationThree CCS 7.0, fully threaded

Case 9 – Calcaneus fracture

X-ray images 3 months postoperativelyAfter healing of the arthrodesis, good position of the foot and reliable fusion using CCS 5.0 and CCS 7.0

Preoperative X-raysPatient: male, 52 years oldVarus-type arthrosis of the upper ankle joint

Case 10 – Arthrodesis of the upper ankle joint

Postoperative X-rayUse of three CCS 7.0

Preoperative X-rayPatient: male, 54 years oldArthrosis in the lower ankle joint with calcaneal bone cysts

Case 8 – Interpositional arthrodesis (dorsal approach)

Dorsal approach

Clinical cases published with the kind permission of: G. Rappold, Austria (9) | C. Plaass, Germany (6, 10) | V. Valderrabano, Switzerland (7), E. Orthner, Austria (8)



Storage• Compact systems

• Streamlined organization of implants and instruments

• Easy to handle

SpeedTip CCS 5.0 System

Configuration with one case

Configuration with two cases



Configuration with two cases

SpeedTip CCS 7.0 System



Ordering Information

Short Thread Short Thread

5.0 Cannulated Compression Screws, Self-Drilling, HexaDrive 15Material: Titanium (ASTM F136)

Length Distal Thread Length Art. No. Pieces / Pkg

24 mm 9 mm A-8210.24 / 1 1

26 mm 9 mm A-8210.26 / 1 1

28 mm 9 mm A-8210.28 / 1 1

30 mm 9 mm A-8210.30 / 1 132 mm 9 mm A-8210.32 / 1 134 mm 9 mm A-8210.34 / 1 136 mm 10 mm A-8210.36 / 1 138 mm 10 mm A-8210.38 / 1 140 mm 11 mm A-8210.40 / 1 145 mm 11 mm A-8210.45 / 1 150 mm 12 mm A-8210.50 / 1 155 mm 12 mm A-8210.55 / 1 160 mm 13 mm A-8210.60 / 1 165 mm 13 mm A-8210.65 / 1 170 mm 14 mm A-8210.70 / 1 1


30 mm 12 mm A-8211.30 / 1 1

32 mm 13 mm A-8211.32 / 1 1

34 mm 14 mm A-8211.34 / 1 1

36 mm 14 mm A-8211.36 / 1 138 mm 15 mm A-8211.38 / 1 140 mm 16 mm A-8211.40 / 1 145 mm 18 mm A-8211.45 / 1 150 mm 20 mm A-8211.50 / 1 155 mm 22 mm A-8211.55 / 1 160 mm 24 mm A-8211.60 / 1 165 mm 26 mm A-8211.65 / 1 170 mm 28 mm A-8211.70 / 1 1

7.0 Cannulated Compression Screws, Self-Drilling, HexaDrive 25Material: Titanium (ASTM F136)

Long Thread Long Thread


40 mm 16 mm A-8411.40 / 1 1

45 mm 18 mm A-8411.45 / 1 1

50 mm 20 mm A-8411.50 / 1 1


100 mm 40 mm A-8411.100 / 1 1105 mm 42 mm A-8411.105 / 1 1110 mm 44 mm A-8411.110 / 1 1120 mm 48 mm A-8411.120 / 1 1130 mm 52 mm A-8411.130 / 1 1140 mm 56 mm A-8411.140 / 1 1


40 mm 12 mm A-8410.40 / 1 1

45 mm 12 mm A-8410.45 / 1 1

50 mm 13 mm A-8410.50 / 1 1


100 mm 20 mm A-8410.100 / 1 1105 mm 21 mm A-8410.105 / 1 1110 mm 22 mm A-8410.110 / 1 1120 mm 24 mm A-8410.120 / 1 1130 mm 26 mm A-8410.130 / 1 1140 mm 28 mm A-8410.140 / 1 1

Scale: 1:1

5.0 mm

5.0 mm

7.0 mm

7.0 mm



5.0 Cannulated Fully Threaded Screws, Self-Drilling, HexaDrive 15Material: Titanium (ASTM F136)

7.0 Cannulated Fully Threaded Screws, Self-Drilling, HexaDrive 25Material: Titanium (ASTM F136)

Length Art. No. Pieces / Pkg

24 mm A-8212.24 / 1 1

26 mm A-8212.26 / 1 1

28 mm A-8212.28 / 1 1

30 mm A-8212.30 / 1 132 mm A-8212.32 / 1 134 mm A-8212.34 / 1 136 mm A-8212.36 / 1 138 mm A-8212.38 / 1 140 mm A-8212.40 / 1 145 mm A-8212.45 / 1 150 mm A-8212.50 / 1 155 mm A-8212.55 / 1 160 mm A-8212.60 / 1 165 mm A-8212.65 / 1 170 mm A-8212.70 / 1 1

Fully Threaded Fully Threaded

Length Art. No. Pieces / Pkg

40 mm A-8412.40 / 1 1

45 mm A-8412.45 / 1 1

50 mm A-8412.50 / 1 1

55 mm A-8412.55 / 1 160 mm A-8412.60 / 1 165 mm A-8412.65 / 1 170 mm A-8412.70 / 1 175 mm A-8412.75 / 1 180 mm A-8412.80 / 1 185 mm A-8412.85 / 1 190 mm A-8412.90 / 1 195 mm A-8412.95 / 1 1

100 mm A-8412.100 / 1 1105 mm A-8412.105 / 1 1110 mm A-8412.110 / 1 1120 mm A-8412.120 / 1 1130 mm A-8412.130 / 1 1140 mm A-8412.140 / 1 1

CCS Twist Drills, Cannulated

Art. No. System Size Length Shaft End Pieces / Pkg

A-8000.03 5.0 3.1 mm 177 mm AO Quick Coupling 1A-8001.01 7.0 4.8 mm 265 mm AO Large Quick Coupling 1

A-8000.03

A-8001.01

CCS Countersinks, Cannulated


A-8000.04 5.0 117 mm AO Quick Coupling 1A-8001.02 7.0 135 mm AO Large Quick Coupling 1

A-8000.04 A-8001.02

Scale screws: 1:1Scale instruments: 1:2

5.0 mm

7.0 mm


www.medartis.com/products/aptus Scale: 1:2

Depth Gauges

Art. No. System Size Description Length Pieces / Pkg

A-8000.27 5.0 for K-wire with length 200 mm 193 mm 1A-8001.27 7.0 for K-wire with length 250 mm 223 mm 1

A-8000.27

A-8001.27

Trocars


A-8000.24 5.0 for A-8000.23 84 mm 1A-8001.24 7.0 for A-8001.23 85 mm 1

A-8000.24 A-8001.24

K-Wires, Stainless Steel

Art. No. System Size Description Length Thread Length Pieces / Pkg

A-5040.42 5.0 1.6 mm trocar 200 mm 10A-5044.42 5.0 1.6 mm trocar / threaded 200 mm 10 mm 10A-5040.74 7.0 2.2 mm trocar 250 mm 10A-5044.74 7.0 2.2 mm trocar / threaded 250 mm 10 mm 10

K-Wire Guides


A-8000.25 5.0 for A-8000.23 80 mm 1A-8001.25 7.0 for A-8001.23 81 mm 1

A-8000.25 A-8001.25

trocar

trocar / threaded

A-5040.42

A-5044.42

1:1

1:1


www.medartis.com/products/aptusScale: 1:2

Handles, Cannulated

Art. No. System Size Length for Shaft End Pieces / Pkg


A-8000.20 A-8001.10

Screwdriver Blades, Cannulated

Art. No. System Size Interface Length Shaft End Pieces / Pkg

A-8000.21 5.0 HD15 120 mm AO Quick Coupling 1A-8001.11 7.0 HD25 160 mm AO Large Quick Coupling 1

A-8000.21 A-8001.11

Protection Sleeves



A-8000.23 A-8001.23

Cleaning Styluses

Art. No. System Size Length Pieces / Pkg

A-8000.12 5.0 1.6 mm 222 mm 1A-8001.12 7.0 2.3 mm 291 mm 1

A-8000.12

A-8001.12

APTUS-02000001_v0 / © 2017-01, Medartis AG, Switzerland. All technical data subject to alteration.

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Documents

SpeedTip CCS 5.0, 7 - Medartis · s i s de ro h t r A us d i p a L Application illustrated on a clinical case by C. Plaass, Germany ... Lisfranc luxation injury and metatarsal IV