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
www.medartis.com/products/aptus
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
6 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws
www.medartis.com/products/aptus
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
SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 7
www.medartis.com/products/aptus
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
8 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws
www.medartis.com/products/aptus
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.
SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 9
www.medartis.com/products/aptus
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
10 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws
www.medartis.com/products/aptus
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.
SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 11
www.medartis.com/products/aptus
Large thread surfaces for
improved purchase in the bone
Screw Features
Fully threaded screw for additional purchase
in the bone without compression effect
12 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws
www.medartis.com/products/aptus
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.
SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 13
www.medartis.com/products/aptus
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*
14 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws
www.medartis.com/products/aptus
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
SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 15
www.medartis.com/products/aptus
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).
16 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws
www.medartis.com/products/aptus
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
SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 17
www.medartis.com/products/aptus
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)
18 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws
www.medartis.com/products/aptus
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
SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 19
www.medartis.com/products/aptus
Configuration with two cases
SpeedTip CCS 7.0 System
20 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws
www.medartis.com/products/aptus
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
Length Distal Thread Length Art. No. Pieces / Pkg
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
Length Distal Thread Length Art. No. Pieces / Pkg
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
55 mm 22 mm A-8411.55 / 1 160 mm 24 mm A-8411.60 / 1 165 mm 26 mm A-8411.65 / 1 170 mm 28 mm A-8411.70 / 1 175 mm 30 mm A-8411.75 / 1 180 mm 32 mm A-8411.80 / 1 185 mm 34 mm A-8411.85 / 1 190 mm 36 mm A-8411.90 / 1 195 mm 38 mm A-8411.95 / 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
Length Distal Thread Length Art. No. Pieces / Pkg
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
55 mm 13 mm A-8410.55 / 1 160 mm 14 mm A-8410.60 / 1 165 mm 14 mm A-8410.65 / 1 170 mm 15 mm A-8410.70 / 1 175 mm 15 mm A-8410.75 / 1 180 mm 16 mm A-8410.80 / 1 185 mm 17 mm A-8410.85 / 1 190 mm 18 mm A-8410.90 / 1 195 mm 19 mm A-8410.95 / 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
SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 21
www.medartis.com/products/aptus
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
Art. No. System Size Length Shaft End Pieces / Pkg
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
22 | SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws
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
Art. No. System Size Description Length Pieces / Pkg
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
Art. No. System Size Description Length Pieces / Pkg
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
SpeedTip CCS 5.0, 7.0 – Cannulated Compression Screws | 23
www.medartis.com/products/aptusScale: 1:2
Handles, Cannulated
Art. No. System Size Length for Shaft End Pieces / Pkg
A-8000.20 5.0 151 mm AO Quick Coupling 1A-8001.10 7.0 171 mm AO Large Quick Coupling 1
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
Art. No. System Size Length Shaft End Pieces / Pkg
A-8000.23 5.0 97 mm AO Quick Coupling 1A-8001.23 7.0 116 mm AO Large Quick Coupling 1
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.
MANUFACTURER & HEADQUARTERS
Medartis AG | Hochbergerstrasse 60E | 4057 Basel / Switzerland
P +41 61 633 34 34 | F +41 61 633 34 00 | www.medartis.com
SUBSIDIARIES
Australia | Austria | France | Germany | Mexico | New Zealand | Poland | UK | USA
For detailed information regarding our subsidiaries and distributors, please visit www.medartis.com