Surgical Technique - Extremity Medical...Surgical Technique Omni Plating System Customer Service: 888.499.0079 INDICATIONS FOR USE The Omni Plating System is intended for use in internal

Customer Service: 888.499.0079www.extremitymedical.com

Surgical Technique

Omni Plating System


INDICATIONS FOR USEThe Omni Plating System is intended for use in internal fixation of arthrodeses, osteotomies, fractures andnonunions of the small bones of the foot & ankle including the fore-, mid-, and hind foot and ankle applications.

The Omni Plating System is a universal plating system that accommodates many foot and ankle indications. TheOmni Plating System’s plate screws are available in 2.8mm, & 3.5mm non-locking and variable angle lockingoptions (30° cone of angulation). The novel PlantarFiX™ Post provides the surgeon a unique option designed towork with the 3.5mm Cannulated Compression Screw to generate consistent plantar-side compression, regardlessof patient bone quality. The PlantarFiX Post is compatible with the locking holes of all the plates in this system. Theunique instrumentation of the Omni Plating System facilitates the accurate delivery of the CannulatedCompression Screw into the PlantarFiX Post.

MTP Fusion

• Slim, Left & Right• Universal, Short & Long

Lapidus

• 5 Hole, Left• 5 Hole, Right

Lisfranc

• Large: Left & Right• Medium: Left & Right• Small: Left & Right• Extra Small: Left & Right

OMNI Plating Options


X-Plate

• Left• Right

Dogbone

• Short• Long

T-plate

• T-Plate, 5 Hole (Universal)

• T-Plate, 6 Hole (Universal)

• T-Plate, 4 Hole, Left & Right

• T-Plate, 5 Hole, Left & Right

Straight plates

• 2 Hole

• 4 Hole

• 5 Hole

• 6 Hole

• 7 Hole

• 8 Hole

2.8mm Non-locking Screw

3.5mm Non-locking Screw 3.5mm Cannulated Compression Screw3.5mm Locking Screw

2.8mm Locking Screw

Screw Types

PlantarFiX™ Post

Omni Plating System

30° Degree Cone of Angulation12 & 16mm Lengths

Variable Angle Locking



PlantarFiX Post Technology

The PlantarFiX Post can be used in any of the locking holes in all of the plates of the Omni Plating System. This patentpending technology allows the surgeon to place a 3.5mm compression screw through the PlantarFiX Post. This Postacts a metal cortex and ensures consistent compression across the joint. The following technique offers generalinstrumentation guidance along with representations of the preferred placement location of the PlantarFiX Post forvarious common indications.

Omni Joint Preparation Instruments

MTP Cup and Cone Rasps(14-20mm)

MTP Barrel Reamer

General Joint Preparation Rasp

Fenestrating Drill

Hinterman Compressor/Distractor

360°

Omni Plating System



General Instruments


Omni Plating System

PlantarFiX Post Instruments

Non-Locking Drill Guides Locking Drill Guides

2.8mm 3.5mm

Olive Wires

1.6mm

Smooth Tip,Short

Smooth Tip, LongThreaded Tip, Long

Drivers

T10 Solid T15 Cannulated

Post Drill Guide Post Drill Post Adjuster

Wire Guide 2.5mm Drill with stopTargeting Guide

2.5mm Drill Sleeves

Cannulated Depth Gauge



General Instruments/Technique Placement of Plate Screws:The Drill Sleeves should be used for all locking and non-locking screws placed within standard plate holes. Omni plateholes allow screws to be placed within a 30° cone of angulation. Thread the Drill Sleeves into the plate at the desiredangle (within the 30° cone). Drill for the screws with the appropriate size solid drill through the dedicated Drill Guide.Measure screw length with the AO-style Depth Gauge. Place the selected screw with the T10 Driver.

Placement of Non-locking Screws in compression slots:Utilize the Non-locking Drill Guides for all non-locking screws placed in a compression slot.

Compression ScrewPlace the Compression Drill Guide into the compression slot of the plate with the handle away from the plate. This willcreate an eccentric hole allowing for compression.

Omni Plating System


Screw Size Drills Drill Guide & Driver Size (color code)2.8mm (lock/non-locking) 2.0mm (solid) Yellow T103.5mm (lock/non-locking) 2.7mm (solid) Green T103.5mm Compression Screw 2.5mm (cannulated) Magenta T15

Neutral Non-locking ScrewTo place a neutral (non-compression) screw in a slot, the Non- Locking Drill Guide should be oriented with thehandle over the plate.



Omni Plating System

To generate compression with the PlantarFiX Post and 3.5mm Compression Screw, first decide in which locking hole the Post will be placed. Place screw fixation in the holes on the same side of the plate as the Post. This secures the plate to bone andallows for the full effect of the compression when the Post/Compression Screw is applied.

Technique Guidelines for PlantarFiX Post and Compression Screw Placement Prepare the articular surface of the joint utilizing the distraction device, joint preparation rasps, and fenestrating drill as desired. Align and provisionally pin the joint with a 1.4mm Guidewire to maintain reduction. Place the Omni plate in the desired position and pin the plate to bone with Olive Wires.

Omni Plating System




PlantarFiX Post and Compression Screw Placement Guidelines

Place the Post Drill Guide in the desired hole of the Plate. Drill with the Post Drill to the desired depth.Measure the length of the PlantarFiX Post off of the calibration on the Post Drill/Post Drill Guide.The PlantarFiX Posts are available in 12 and 16mm lengths.

Insert and lock the PlantarFiX Post into the plate with the T15 Driver. The proximal end of the Post locks into the plate in the same manner as the locking screws.


Omni Plating System


The plantar-side hole of the PlantarFiX Post rotates 360° to allow for flexible screw placement. Place the Post Adjusterinto the head of the Post. Rotate the Post Adjuster until the black laser line is oriented towards the desired trajectory forthe 3.5mm Cannulated Compression Screw. This will rotate the plantar-side hole of the Post into position for the TargetingGuide.

360°

The Targeting Guide is keyed with the PlantarFiX Post which couples the distal hole of the Post with the Targeting Guide.Place the Targeting Guide into the Post.Ensure that one of the laser marks on the Targeting Guide is in-line with the top of the Post: • 16mm Post= top line • 12mm Post= bottom lineRotate the Guide to the desired position for the Compression Screw placement.

16mm12mm

Laser Line

Omni Plating System




Drill to create the desired trajectory for the 3.5mm Compression Screw:Place the 2.5mm Drill Sleeve (gold guide with magenta marking) into the Targeting Guide. Drill with the 2.5mm Solid Drill (goldwith positive stop on shaft). Advance the 2.5mm Solid Drill until the depth stop on the drill reaches the Drill Guide’s barrel.

Thread the Wire Guide into the 2.5mm Drill Sleeve and advance a 1.4mm Guidewire through the PlantarFiXPost approximately 5mm past the Post. Confirm Guidewire positioning and placement with fluoroscopy.


Omni Plating System


Remove the Drill Sleeve and Wire Guide. Advance the Cannulated Depth Gauge over the Guidewire and through the Targeting Guide down to bone to measure for the length of the 3.5mm Compression Screw.

Insert the Compression Screw over the Guidewire (T15 Driver) until compression is achieved. The screw can be placed through the Targeting Guide as depicted, or the Targeting Guide can be removed. NOTE: A cannulated Headed Screw Countersink is provided in the system. Countersinking is left up to the surgeon’s discretion.

Omni Plating System




Insert 2.8mm or 3.5mm Screws (locking or non-locking) as desired in the balance of the plate holes.

Alternative Post Placement Options for Lisfranc

The PlantarFiX Post can be used in all locking holes in any of the plates of the Omni Plating System.

Placement of the Post is left to the surgeon’s discretion.


Omni Plating System


Lapidus

Talonavicular Fusion

MTP Fusion

Omni Plating System


Part # Description MTP Fusion Plate, Slim, LeftMTP Fusion Plate, Slim, RightMTP Fusion Plate, Universal, ShortMTP Fusion Plate, Universal, Long

144-10011144-10012144-10031144-10032

MTP Plates

Part # Description Lisfranc Plate, Extra Small, LeftLisfranc Plate, Extra Small, RightLisfranc Plate, Small, LeftLisfranc Plate, Small, RightLisfranc Plate, Medium, LeftLisfranc Plate, Medium, RightLisfranc Plate, Large, LeftLisfranc Plate, Large, Right

144-80011144-80012144-80021144-80022144-80031144-80032144-80041144-80042

Lisfranc Plates

Part # Description Lapidus Plate, 5 Hole, LeftLapidus Plate, 5 Hole, Right

144-70051144-70052

Lapidus Plates

Part # Description X-Plate, Short, LeftX-Plate, Short, Right

144-30011144-30012

X-Plates

Part # Description Dog Bone Plate, Narrow, ShortDog Bone Plate, Narrow, Long

144-40011144-40012

Dogbone Plates

Part # Description T-Plate, 5 Hole (Universal)T-Plate, 6 Hole (Universal)T-Plate, 4 Hole, LeftT-Plate, 4 Hole, RightT-Plate, 5 Hole, LeftT-Plate, 5 Hole, Right

144-50050144-50060144-60041144-60042144-60051144-60052

T-Plates

Part # Description Straight Plate, 2 Hole Straight Plate, 4 Hole Straight Plate, 5 HoleStraight Plate, 6 Hole Straight Plate, 7 Hole Straight Plate, 8 Hole

144-20020144-20040144-20050144-20060144-20070144-20080

Straight Plates

Plates

Removal Instructions • Clear tissue in-growth from the screws • Insert the T10 Driver into the screw head and remove the screw from the plate by turning the Driver counter-clockwise • Remove all screws and then the plate • If the PlantarFiX Post and 3.5mm Compression Screw is present, remove the 3.5mm Cannulated Compression Screw and then the subsequent PlantarFiX Post from the plate with the T15 Cannulated Driver prior to removing the screws in the plate

Omni Plating System


2.8mm Solid Non-Locking Screws

Part # Description Solid Non-Locking Screw - 2.8 x 10mmSolid Non-Locking Screw - 2.8 x 12mmSolid Non-Locking Screw - 2.8 x 14mmSolid Non-Locking Screw - 2.8 x 16mmSolid Non-Locking Screw - 2.8 x 18mmSolid Non-Locking Screw - 2.8 x 20mmSolid Non-Locking Screw - 2.8 x 22mmSolid Non-Locking Screw - 2.8 x 24mmSolid Non-Locking Screw - 2.8 x 26mmSolid Non-Locking Screw - 2.8 x 28mmSolid Non-Locking Screw - 2.8 x 30mm

144-28010144-28012144-28014144-28016144-28018144-28020144-28022144-28024144-28026144-28028144-28030

2.8 mm Solid Locking Screws

Part # Description Solid Locking Screw - 2.8 x 10mmSolid Locking Screw - 2.8 x 12mmSolid Locking Screw - 2.8 x 14mmSolid Locking Screw - 2.8 x 16mmSolid Locking Screw - 2.8 x 18mmSolid Locking Screw - 2.8 x 20mmSolid Locking Screw - 2.8 x 22mmSolid Locking Screw - 2.8 x 24mmSolid Locking Screw - 2.8 x 26mmSolid Locking Screw - 2.8 x 28mmSolid Locking Screw - 2.8 x 30mm

144-28110144-28112144-28114144-28116144-28118144-28120144-28122144-28124144-28126144-28128144-28130

3.5mm Solid Non-Locking Screws

Part # Description Solid Non-Locking Screw - 3.5 x 10mmSolid Non-Locking Screw - 3.5 x 12mmSolid Non-Locking Screw - 3.5 x 14mmSolid Non-Locking Screw - 3.5 x 16mmSolid Non-Locking Screw - 3.5 x 18mmSolid Non-Locking Screw - 3.5 x 20mmSolid Non-Locking Screw - 3.5 x 22mmSolid Non-Locking Screw - 3.5 x 24mmSolid Non-Locking Screw - 3.5 x 26mmSolid Non-Locking Screw - 3.5 x 28mmSolid Non-Locking Screw - 3.5 x 30mm

144-35010144-35012144-35014144-35016144-35018144-35020144-35022144-35024144-35026144-35028144-35030

3.5mm Solid Locking Screws

Part # Description Solid Locking Screw - 3.5 x 10mmSolid Locking Screw - 3.5 x 12mmSolid Locking Screw - 3.5 x 14mmSolid Locking Screw - 3.5 x 16mmSolid Locking Screw - 3.5 x 18mmSolid Locking Screw - 3.5 x 20mmSolid Locking Screw - 3.5 x 22mmSolid Locking Screw - 3.5 x 24mmSolid Locking Screw - 3.5 x 26mmSolid Locking Screw - 3.5 x 28mmSolid Locking Screw - 3.5 x 30mmSolid Locking Screw - 3.5 x 35mm

144-35110144-35112144-35114144-35116144-35118144-35120144-35122144-35124144-35126144-35128144-35130144-35135

3.5mm Cannulated Lag Screws

Part # Description Cannulated Compression Screw 3.5 x 24mmCannulated Compression Screw 3.5 x 26mmCannulated Compression Screw 3.5 x 28mmCannulated Compression Screw 3.5 x 30mmCannulated Compression Screw 3.5 x 32mmCannulated Compression Screw 3.5 x 34mmCannulated Compression Screw 3.5 x 36mmCannulated Compression Screw 3.5 x 38mmCannulated Compression Screw 3.5 x 40mmCannulated Compression Screw 3.5 x 45mmCannulated Compression Screw 3.5 x 50mm

144-35224144-35226144-35228144-35230144-35232144-35234144-35236144-35238144-35240144-35245144-35250

Screws

Part # Description PlantarFiX Post - 12mmPlantarFiX Post - 16mm

144-42112144-42116

PlantarFiX Posts

Omni Plating System

300 Interpace Parkway • Suite 410 • Parsippany, NJ 07054 Phone: 973.588.8980 • Customer Service: 888.499.0079 • Fax: 888.499.0542

www.extremitymedical.com

0086

Instruments Description MTP Cone Rasp - 14mmMTP Cone Rasp - 16mmMTP Cone Rasp - 18mmMTP Cone Rasp - 20mmMTP Cup Rasp - 14mmMTP Cup Rasp - 16mmMTP Cup Rasp - 18mmMTP Cup Rasp - 20mmMTP Barrel ReamerJoint Preparation RaspFenestrating Drill

113-00114113-00116113-00118113-00120113-00214113-00216113-00218113-00220144-00016144-00030144-00032

Joint Preparaion (Disposable)

Instruments Description Drill Bit for 3.5mm Screw (2.7mm)Drill Bit for 2.8 Screw (2.0 mm)Olive Wire 1.6mm,ThreadedHeaded Screw Countersink1.4mm Guidewire2.5mm Cannulated Drill Olive Wire 1.6 mm, SmoothOlive Wire 1.6 mm, Smooth, Short2.5mm Solid Drill with StopPost Drill, 4.2mm

144-00004144-00303144-00011144-00012144-00014144-00025144-50111144-61111144-00017144-00018

Other Disposable Instruments

Instruments Description OMNI Foot Plating TrayAO HandleGrasping ForcepsDepth Gauge for 2.8 ans 3.5 ScrewsDrill Sleeve for 2.8 ScrewDrill Sleeve for 3.5mm ScrewT10 Driver, SolidDepth Gauge for Cannulated ScrewT15 Cannulated DriverWire GuideTargeting GuidePost/Peg Adjuster2.5mm Drill SleevePost/Peg Drill GuideGuidewire HolderPlate Bender Hintermann Compressor Distractor2.5 mm Drill Sleeve, Long2.5 mm Drill SleeveCompression Drill Guide, 2.8 & 3.5 screws

144-10000127-00006144-00002144-00006144-00308144-00009144-00010144-00013144-00015144-00119144-00020144-00021144-00022144-00023144-00026144-00027144-00031144-00122144-00222144-00307

Set Instruments (non-disposable)

LBL-144-99202-EN Rev A10/2018

Instruments

Documents

Surgical Technique - Extremity Medical...Surgical Technique Omni Plating System Customer Service: 888.499.0079 INDICATIONS FOR USE The Omni Plating System is intended for use in internal