Hybrid Fixator Proximal Tibia Frame. Using rings with clamps.
|
|
- Juliana Stanley
- 6 years ago
- Views:
Transcription
1 Hybrid Fixator Proximal Tibia Frame. Using rings with clamps. Technique Guide Part of the External Fixation System
2 Hybrid Fixator Proximal Tibia Frame Technique Overview 1 Insert wires 2 Attach wires to ring using adjustable wire/pin clamps Wrench-tighten clamp-locking nuts 4 Tighten wire-locking nuts Wrench-tighten the wire-locking nut on the far side of the ring (A). Finger-tighten on the side to be tensioned (B) Tension wires Typically, wires are tensioned to 100 kg. Tighten wire-locking nuts (B) and remove tensioner. To obtain maximum wire tension, it is recommended after tensioning the second wire, to retension both wires in the same sequence to obtain the best frame stability. An alternative method would be to use two tensioners simultaneously Insert Schanz screw into proximal fragment Insert through wire/ pin clamp. Note: A third wire can be inserted if the fracture pattern does not permit Schanz screw placement. 4, 5 B A Synthes Hybrid Fixator Proximal Tibia Frame Technique Guide
3 7 Trim, bend and cap wires Leave 3 cm 4 cm in case retensioning becomes necessary Construct anterior half-frame 9 Connect ring to half-frame with ring-to-rod clamp 10 Reduce extra-articular component of fracture Use ring and anterior rod as handles to manipulate fracture. Tighten ring-to-rod clamp. 11 Add second rod Connect ring-to-rod clamp and large combination clamp. Add carbon fiber rod. Note: Operating instructions for the Wire Tensioner ( ) can be found in Wire Tensioners for Hybrid Fixator Synthes
4 Recommended Components for Hybrid Fixator Product Item Quantity Number Needed * 5.0 mm Self-Drilling 3 Schanz Screw, 175 mm Spade-Point Reduction Wire (or Spade-Point Wire) * Large Combination Clamp Ring-to-Rod Clamp Adjustable Wire/ Pin Clamp 5 Notes: Additional components are required for optional frame configurations. Additionally available lengths of stainless steel self-drilling Schanz screws, stainless steel non self-drilling Schanz screws and titanium self-drilling Schanz screws may also be used. * Although some components are MR Conditional, the standard hybrid frame is not safe to be utilized in an MR environment. Synthes Hybrid Fixator Proximal Tibia Frame Technique Guide
5 Product Item Quantity Number Needed 393.7xx 3/4 Ring (size chosen should 1 allow two finger breadths of soft tissue clearance) 394.8x* 11.0 mm Carbon Fiber Rod Protective Cap, for 1.8 mm and mm wires Protective Cap, for 11.0 mm rods x Protective Cap, for Fixation Pins 3 Synthes
6 Hybrid Fixator Proximal Tibia Frame When to use The hybrid frame is used for the stabilization of complex proximal tibial fractures, particularly those involving the joint. Wire positioning Proper wire positioning follows these basic guidelines: Use a minimum of two wires with a separating angle of at least Ideally, the wires should intersect at the center of the bone. Wires may be positioned at different levels using the Adjustable Wire/ Pin Clamp. An adequate incision should be made at wire and Schanz screw insertion points to avoid skin tenting and soft tissue irritation. Wires should be straight for the same reason. An additional Schanz screw or third wire is placed in the proximal fragment for stability. If a Schanz screw is used, it should be placed below the ring and angled proximally to maximize thread purchase in the bone. Position wires within the zone for safe pin placement (note the location of the peroneal nerve). Place wires distal to the capsular attachment of the knee joint. The capsular attachment is approximately 14 mm below the plateau surface. 2,3 When wires are placed near the proximal tibiofibular joint, the safe distance from the knee joint must be carefully evaluated because a torn septum may render this area intra-articular. 4 This is of special concern when a wire is placed through the fibular head, as in Figure 3 which illustrates alternative wire placement. Generally, wires should be placed distal to cannulated screws. A C Figure 1 Typical wire positions with insertion sequence, as noted on diagram: A. Posterolateral to anteromedial tibia B. Posteromedial to anterolateral tibia C. Optional third wire, lateral to medial 14 mm Figure 2 Level of cross section in Figures 1 and 3 B Most proximal level of wire level of wire Level of cross section in Figures 1 and 3 C 1. F.J. Kummer. Biomechanics of the Ilizarov External Fixator. Clinical Orthopaedics and Related Research. 1992; A B 2. T.A. DeCoster, M.K. Crawford and M.A. Steven Kraut. Safe Extracapsular Placement of Proximal Tibia Transfixion Pins. Journal of Orthopaedic Trauma. 1999;13; J.S. Reid, M.A. Vanslyke, M.J.R. Moulton, and T.A. Mann. Safe Placement of Proximal Tibial Transfixation Wires with Respect to Intracapsular Penetration. Journal of Orthopaedic Trauma. 2001;15; Ibid. 5. J. Geller, P. Tornetta III, D. Tiburzi, F. Kummer, and K. Koval. Tension Wire Position for Hybrid External Fixation of the Proximal Tibia. Journal of Orthopaedic Trauma. 2000;14; Figure 3 Alternative wire position, recommended for smaller fragments: Both wires A and B can be inserted from a more posterior point, with A traversing the fibular head. Insertion of wire C remains in the coronal plane. Wires A and B exit more anteriorly than in typical configuration (Figure 1) and all three wires create a triangle about the geographic center of the proximal tibia. This configuration increases bending stiffness in the AP plane and thus better resists displacement forces. 5 Synthes Hybrid Fixator Proximal Tibia Frame Technique Guide
7 Basic principles Restore the articular surface. Screw fixation must be used to provide interfragmentary compression after anatomic reduction of the articular surface. Bone graft may be necessary for any metaphyseal defect. Opposing spade-point reduction wires may be used. 6,7 They prevent frame movement and are helpful in the reduction of small fragments. When using spade-point reduction wires, insert the wire until the olive contacts the bone surface (Figure 4). Washers can be used in osteopenic bone. To increase frame stability, the proximal pin on the anterior rod should be 2 cm distal to the fracture, and the second pin should be as far distal as possible. To accommodate pins placed in differing planes, modular frame technique, using more than one carbon fiber rod, can be used in place of the anterior frame. (See the Basic Modular Frame Technique Guide.) A second carbon fiber rod must be placed either laterally or medially for optimal stability. If desired, a third rod can be added on the opposite side. Preoperative planning of clamp and ring placement should take into consideration future x-ray visibility of both the joint line and the fracture site. To achieve fine distraction, Open Compressors (393.76) can be used as illustrated (Figure 5). For more information, consult the Open Compressor Technique Guide. Figure 4 Figure 5 6. G.L. Orbay, V.H. Frankel and F.J. Kummer. The Effect of Wire Configuration in the Stability of the Ilizarov External Fixator. Clinical Orthopaedics and Related Research. 1992; Kummer. op cit.. Synthes
8 Using the Adjustable Wire/ Pin Clamp ( ) 1 Hold clamp in hand as with a syringe. 15 mm Wire-locking nut 2 Pull vise plates apart with thumb and fingers. Clamp-locking nut The wire/pin connection provides up to 15 mm of excursion for versatile wire or pin placement. 3 Hook top vise plate over ring and release. Synthes Hybrid Fixator Proximal Tibia Frame Technique Guide
9 Optional Frame Configurations Frame with anterior, medial and lateral carbon fiber rods. Large multi-pin clamp frame with anterior and medial carbon fiber rods. Additional reading Stamer, D., R. Schenk, B. Staggers, K. Aurori, B. Aurori, and F.F. Behrens. Bicondylar Tibial Plateau Fractures Treated with a Hybrid Ring External Fixator: a Preliminary Study. Journal of Orthopaedic Trauma. 1994;8, Weiner, L., M. Kelley, E. Yang, J. Steuer, N. Watnick, M. Evans, and M. Bergman. The Use of Combination Internal Fixation and Hybrid External Fixation in Severe Proximal Tibia Fractures. Journal of Orthopaedic Trauma. 1995;9, Synthes
10 Hybrid Fixator Universal Set ( ) Graphic Case Hybrid Fixator Set Graphic Case Implants Washer, 7.0 mm, 6 ea mm Spade-Point Wire, 350 mm, 6 ea mm Spade-Point Reduction Wire, 400 mm, 4 ea mm Spade-Point Wire, 350 mm, 6 ea mm Spade-Point Reduction Wire, 400 mm, 4 ea mm Self-Drilling Schanz Screw, 175 mm, 6 ea. Instruments mm Drill Bit, quick coupling,195 mm, 2 ea Ratchet Wrench, 11 mm width across flats Bending/Cutting Pliers Universal Chuck with T-Handle Drive Adaptor with quick coupling, for 5.0 mm Schanz Screws Wire Tensioner Backup Wire Tensioner Split Tissue Protection Sleeve, for wires up to 2.5 mm Split Tissue Protection Sleeve, for wires and pins up to 5.0 mm mm Trocar, 118 mm (long) mm/3.5 mm Drill Sleeve, 107 mm (long) Fixation Material Large Combination Clamp, 6 ea Protective Caps, for 1.8 mm and 2.0 wires, 1 pkg. of Ring-to-Rod Clamp, 4 ea Adjustable Wire/Pin Clamp, 10 ea /4 Ring, 205 mm ID /4 Ring, 115 mm ID /4 Ring, 140 mm ID, 2 ea /4 Ring, 165 mm ID, 2 ea mm Carbon Fiber Rod, 300 mm, 2 ea mm Carbon Fiber Rod, 350 mm, 2 ea Protective Caps, for 11.0 mm Rods, 1 pkg. of Protective Caps, for 5.0 mm Fixation Pins, 1 pkg. of 10 Note: For additional information, please refer to package insert. For detailed cleaning and sterilization instructions, please refer to or to the below listed inserts, which will be included in the shipping container: Processing Synthes Reusable Medical Devices Instruments, Instrument Trays and Graphic Cases DJ1305 Processing Non-sterile Synthes Implants DJ1304 Synthes Hybrid Fixator Proximal Tibia Frame Technique Guide
11 Also Available Sets mm Cannulated Screw Instrument and Implant Set mm Cannulated Screw Instrument and Implant Set Power Drive Set Large External Fixator Set, with Self-Drilling Schanz Screws Large External Fixator Set, with Titanium Self-Drilling Schanz Screws ComPact Air Drive II Set Implants Schanz Screws mm, spade point, 60 mm 150 mm mm, blunted trocar point, 100 mm 250 mm mm, blunted trocar point, 100 mm 200 mm Fixation Material Large Multi-Pin Clamp, 6 position Rod Attachment, for Large Multi-Pin Clamp Large Open Adjustable Clamp Full Ring, 205 mm ID Full Ring, 115 mm ID Full Ring, 165 mm ID /4 Ring, 165 mm ID Protective Caps For 4.0 mm Fixation Pins, 10/pkg For 4.5 mm Fixation Pins, 10/pkg For 6.0 mm Fixation Pins, 10/pkg. Self-Drilling Schanz Screws mm, 60 mm 175 mm mm, 100 mm 250 mm mm, 100 mm 250 mm Titanium Self-Drilling Schanz Screws mm, 60 mm 175 mm mm, 100 mm 250 mm mm, 100 mm 250 mm Instruments Drive Adaptors with quick coupling For 4.0 mm Schanz Screws For 4.5 mm Schanz Screws For 6.0 mm Schanz Screws Small Universal Chuck with T-Handle Synthes
12 Synthes (USA) 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) Synthes, Inc. or its affiliates. All rights reserved. Synthes is a trademark of Synthes, Inc. or its affiliates. Printed in U.S.A. 1/11 J3419-F
Large External Fixator Modular Knee Bridge. Using multi-pin clamps.
Large External Fixator Modular Knee Bridge. Using multi-pin clamps. Technique Guide Part of the Large External Fixation System Large External Fixator Modular Knee Bridge Technique Overview Insert Schanz
More informationLarge External Fixator Delta Frame Ankle Bridge. For staged fixation of the distal tibia.
Large External Fixator Delta Frame Ankle Bridge. For staged fixation of the distal tibia. Technique Guide Part of the Large External Fixation System Large External Fixator Delta Frame Ankle Bridge Technique
More informationThe Hybrid Ring Fixator Surgical Technique
The Hybrid Ring Fixator Surgical Technique Table of contents Page Indications 4 Preoperative planning 6 Tibial plateau fracture 7 Restore articular surface and stabilize... 7 Determine wire position...
More informationLarge External Fixator Delta Frame Ankle Bridge. Using pin clamps with outrigger posts.
Large External Fixator Delta Frame Ankle Bridge. Using pin clamps with outrigger posts. Technique Guide Part of the Large External Fixation System Large External Fixator Delta Frame Ankle Bridge Technique
More informationMedium External Fixator Humeral Shaft Frame. Modular frame for upper extremity use.
Medium External Fixator Humeral Shaft Frame. Modular frame for upper extremity use. Technique Guide Part of the Medium External Fixation System MRI Information Synthes Medium External Fixation devices
More informationMedium External Fixator Pediatric Femoral Shaft Frame. Using medium multi-pin clamps.
Medium External Fixator Pediatric Femoral Shaft Frame. Using medium multi-pin clamps. Technique Guide Part of the Medium External Fixation System MRI Information Synthes Medium External Fixation devices
More informationHybrid Ring Fixator. Rapid treatment in complex, periarticular tibial fractures.
Hybrid Ring Fixator. Rapid treatment in complex, periarticular tibial fractures. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the
More information3.5 mm LCP Tibial Plateau Sets. Configuration options.
3.5 mm LCP Tibial Plateau Sets. Configuration options. Multiple trays Multiple levels Multiple options 3.5 mm LCP Tibial Plateau Sets The tibial plateau trays allow the hospital to build a custom - ized
More informationMandible External Fixator II. Provides treatment for fractures of the maxillofacial area.
Mandible External Fixator II. Provides treatment for fractures of the maxillofacial area. Lightweight single-phase system Adjustable throughout application Rigid construct using three basic components
More informationSmall External Fixator Nonspanning Wrist Frame. For the treatment of wrist fractures.
Small External Fixator Nonspanning Wrist Frame. For the treatment of wrist fractures. Technique Guide Part of the Small External Fixation System Small External Fixator Nonspanning Wrist Frame When to use
More information2.7 mm/3.5 mm LCP Distal Fibula Plate System. Part of the Synthes locking compression plate (LCP) system.
2.7 mm/3.5 mm LCP Distal Fibula Plate System. Part of the locking compression plate (LCP) system. Anatomically contoured Multiple screw options for fixedangle support Coaxial holes minimize screw head
More informationSmall External Fixator Wrist Spanning Frame. For the treatment of wrist fractures.
Small External Fixator Wrist Spanning Frame. For the treatment of wrist fractures. Technique Guide Part of the Small External Fixation System Small External Fixator Wrist Spanning Frame When to use The
More informationTechnique Guide. Adjustable Distal Radius Fixator. Part of the Synthes External Fixation Systems.
Technique Guide Adjustable Distal Radius Fixator. Part of the Synthes External Fixation Systems. Table of Contents Introduction Adjustable Distal Radius Fixator 2 Indications 3 Surgical Technique Configure
More informationTechnique Guide. 3.5 mm LCP Low Bend Medial Distal Tibia Plates. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Low Bend Medial Distal Tibia Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Low Bend Medial Distal Tibia Plates
More informationLow-Profile Wrist Fixator. For stabilization of fractures of the distal radius.
Low-Profile Wrist Fixator. For stabilization of fractures of the distal radius. Technique Guide Part of the External Fixation System Low-Profile Wrist Fixator Indications Intended for stabilization of
More informationPediatric LCP Plate System. For osteotomies and fracture fixation of the proximal and distal femur.
Pediatric LCP Plate System. For osteotomies and fracture fixation of the proximal and distal femur. Angular stability Intraoperative correction and flexibility Universal design Indications The Pediatric
More informationTechnique Guide. 3.5 mm LCP Olecranon Plates. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Olecranon Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Olecranon Plates 2 AO Principles 3 Indications 3 Clinical
More informationTechnique Guide. 3.5 mm LCP Low Bend Medial Distal Tibia Plate Aiming Instruments. Part of the 3.5 mm LCP Percutaneous Instrument System.
Technique Guide 3.5 mm LCP Low Bend Medial Distal Tibia Plate Aiming Instruments. Part of the 3.5 mm LCP Percutaneous Instrument System. Table of Contents Introduction 3.5 mm LCP Low Bend Medial Distal
More informationTechnique Guide. 2.7 mm/3.5 mm LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 2.7 mm/3.5 mm LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 2.7 mm/3.5 mm LCP Distal Fibula Plates 2 AO Principles
More informationCompact Distal Radius System. Consolidated solution for Distal Radius Plating Systems
Compact Distal Radius System. Consolidated solution for Distal Radius Plating Systems Designed to allow customized system configurations Variable Angle (VA) and Locking Compression Plate (LCP ) options
More informationBasic Trocar System. Basic transbuccal instrumentation system for simplified intraoral plate and screw application.
Basic Trocar System. Basic transbuccal instrumentation system for simplified intraoral plate and screw application. Lightweight, ergonomic design Allows placement of three screw sizes Size-specific, colorcoded
More informationLCP Anterior Ankle Arthrodesis Plates. Part of the Synthes Locking Compression Plate (LCP) System.
LCP Anterior Ankle Arthrodesis Plates. Part of the Synthes Locking Compression Plate (LCP) System. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction
More informationSterile-Packaged Large External Fixator Kits. For treatment of long bone and pelvic fractures that require external fixation.
Sterile-Packaged Large External Fixator Kits. For treatment of long bone and pelvic fractures that require external fixation. Large External Fixator Ankle Frame Kit Large External Fixator Trauma Kit Large
More informationLCP Distal Femur Plates. Shape based on Distal Femur LISS Plate design.
LCP Distal Femur Plates. Shape based on Distal Femur LISS Plate design. Preshaped plate Round threaded holes in plate head Combi holes in plate shaft LCP Distal Femur Plates Plates The LCP Distal Femur
More informationPediatric LCP Hip Plate. For osteotomy and trauma applications in the proximal femur.
Pediatric LCP Hip Plate. For osteotomy and trauma applications in the proximal femur. Angular stability Intraoperative correction and flexibility Universal design Pediatric LCP Hip Plate The Pediatric
More informationTechnique Guide. The Distraction Osteogenesis Ring System. Intra-articular distal tibia frame.
Technique Guide The Distraction Osteogenesis Ring System. Intra-articular distal tibia frame. Table of Contents Introduction The Distraction Osteogenesis Ring System 2 MRI Information 4 AO Principles 5
More informationTechnique Guide. The Distraction Osteogenesis Ring System. Nonarticular tibia frame.
Technique Guide The Distraction Osteogenesis Ring System. Nonarticular tibia frame. Table of Contents Introduction The Distraction Osteogenesis Ring System 2 AO Principles 4 Indications 5 Surgical Technique
More informationFor Small-Statured Adults and Pediatric Patients. Medium External Fixator Basic Modular Frame
For Small-Statured Adults and Pediatric Patients Medium External Fixator Basic Modular Frame Surgical Technique MRI Information DePuy Synthes Medium External Fixation devices are labeled MR Conditional
More informationTechnique Guide. SureLock Distal Targeting Device. C-arm guided targeting for trochanteric fixation nail.
Technique Guide SureLock Distal Targeting Device. C-arm guided targeting for trochanteric fixation nail. Table of Contents Introduction SureLock Distal Targeting Device 2 Surgical Technique Preoperative
More information2.4 mm LCP Radial Head Plates. Part of the Synthes LCP Distal Radius Plate System.
2.4 mm LCP Radial Head Plates. Part of the Synthes LCP Distal Radius Plate System. Technique Guide Instruments and Implants approved by the AO Foundation Table of Contents Introduction 2.4 mm LCP Radial
More informationLarge External Fixator Modular Knee Bridge
Using Multi-pin Clamps Large External Fixator Modular Knee Bridge Surgical Technique Large External Fixator Modular Knee Bridge DePuy Synthes Large External Fixation devices are labeled MR Conditional
More informationThe CerviFix System. Including the StarLock Components. CerviFix Clamp and Screw. StarLock Clamp and Screw
The CerviFix System Including the StarLock Components CerviFix Clamp and Screw StarLock Clamp and Screw The CerviFix System The CerviFix System is a comprehensive set of implants, including clamps, screws,
More informationLCP Periprosthetic System. Part of the Synthes locking compression plate (LCP) system.
LCP Periprosthetic System. Part of the Synthes locking compression plate (LCP) system. 4.5 mm LCP curved broad plates 5.0 mm periprosthetic locking screws Orthopaedic cable components LCP Periprosthetic
More informationMini External Fixator
Stabilize the Phalanges and Metacarpals Mini External Fixator Surgical Technique Table of Contents Introduction Mini External Fixator 2 Indications 4 Surgical Technique Technique Overview 5 Product Information
More information2.4 mm LCP Volar Column Distal Radius Plates. Part of the 2.4 mm LCP Distal Radius System.
2.4 mm LCP Volar Column Distal Radius Plates. Part of the 2.4 mm LCP Distal Radius System. 12 anatomically shaped volar plates Multiple screw options for fixedangle support to articular surface Combi holes
More informationLCP Medial Distal Tibia Plate, without Tab. The Low Profile Anatomic Fixation System with Angular Stability and Optimal Screw Orientation.
LCP Medial Distal Tibia Plate, without Tab. The Low Profile Anatomic Fixation System with Angular Stability and Optimal Screw Orientation. Technique Guide LCP Small Fragment System Table of Contents Introduction
More informationMandible External Fixator II. Provides treatment for fractures of the maxillofacial area.
Mandible External Fixator II. Provides treatment for fractures of the maxillofacial area. Technique Guide This publication is not intended for distribution in the USA. Instruments and implants approved
More informationTechnique Guide. TomoFix Osteotomy System. A comprehensive plating system for stable fixation of osteotomies around the knee.
Technique Guide TomoFix Osteotomy System. A comprehensive plating system for stable fixation of osteotomies around the knee. Table of Contents Introduction TomoFix Osteotomy System 2 AO Principles 4 Indications
More informationThoracolumbar Anterior Compression (TAC) System. Allows distraction, compression, and lateral fixation of the lower thoracic and lumbar spine.
Thoracolumbar Anterior Compression (TAC) System. Allows distraction, compression, and lateral fixation of the lower thoracic and lumbar spine. Technique Guide Instruments and implants approved by the AO
More informationTechnique Guide. 4.5 mm LCP Proximal Tibia Plates. Part of the Synthes LCP Periarticular Plating System.
Technique Guide 4.5 mm LCP Proximal Tibia Plates. Part of the Synthes LCP Periarticular Plating System. Table of Contents Introduction 4.5 mm LCP Proximal Tibia Plates 2 AO Principles 4 Indications 5 Surgical
More informationSpinal Correction FRA Spacer System. For use with the Small Stature FRA Spacer and the FRA Spacer.
Spinal Correction FRA Spacer System. For use with the Small Stature FRA Spacer and the FRA Spacer. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction
More informationTechnique Guide. 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Proximal Humerus Plate 2 AO Principles
More informationTechnique Guide. IMF Screw Set. For intermaxillary fixation.
Technique Guide IMF Screw Set. For intermaxillary fixation. Table of Contents Introduction IMF Screw Set 2 Indications and Contraindications 3 Surgical Technique Preparation 4 Insert IMF Screw 6 Insert
More informationThoracolumbar Spine Locking Plate (TSLP) System. A low-profile plating system for anterior stabilization of the thoracic and lumbar spine.
Thoracolumbar Spine Locking Plate (TSLP) System. A low-profile plating system for anterior stabilization of the thoracic and lumbar spine. Technique Guide Instruments and implants approved by the AO Foundation
More informationSurgical Technique. 3.5mm and 4.5mm Lateral Proximal Tibia Locking Plates
Surgical Technique 3.5mm and 4.5mm Lateral Proximal Tibia Locking Plates PERI-LOC Periarticular Locked Plating System 3.5mm and 4.5mm Lateral Proximal Tibia Locking Plate Surgical Technique Contents Product
More informationSurgical Technique. Anterolateral and Medial Distal Tibia Locking Plates
Surgical Technique Anterolateral and Medial Distal Tibia Locking Plates PERI-LOC Periarticular Locked Plating System Anterolateral and Medial Distal Tibia Locking Plates Surgical Technique Contents Product
More informationTechnique Guide. 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology.
Technique Guide 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology. Table of Contents Introduction 2.4 mm Variable Angle LCP
More informationMedium External Fixator Delta Frame Ankle Bridge
For Small-Statured Adults Medium External Fixator Delta Frame Ankle Bridge Surgical Technique MRI Information DePuy Synthes Medium External Fixation devices are labeled MR Conditional according to the
More informationTechnique Guide. Midface Distractor System. For the temporary stabilization and gradual lengthening of the cranial or midfacial bones.
Technique Guide Midface Distractor System. For the temporary stabilization and gradual lengthening of the cranial or midfacial bones. Table of Contents Introduction Midface Distractor System 2 Indications
More information3.5 mm Locking Attachment Plate
For Treatment of Periprosthetic Fractures 3.5 mm Locking Attachment Plate Surgical Technique Table of Contents Introduction 3.5 mm Locking Attachment Plate 2 Indications 4 Surgical Technique Preparation
More informationTechnique Guide. Self-Drilling Schanz Screws. Designed to optimize the bone/pin interface.
Technique Guide Self-Drilling Schanz Screws. Designed to optimize the bone/pin interface. Self-Drilling Schanz Screws The self-drilling Schanz screw has been specifically designed to optimize the bone/pin
More information3.5 mm LCP Extra-articular Distal Humerus Plate
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique Table of Contents Introduction 3.5 mm LCP Extra-articular Distal Humerus
More informationMonolateral External Fixation System for Trauma and Orthopaedics
MEFiSTO Monolateral External Fixation System for Trauma and Orthopaedics Surgical Technique Original Instruments and Implants of the Association for the Study of Internal Fixation AO/ASIF MEFiSTO Table
More informationThe Distraction Osteogenesis Ring System
Nonarticular tibia frame The Distraction Osteogenesis Ring System Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes
More informationSurgical Technique. Distal Radius and Foot
Surgical Technique Distal Radius and Foot JET-X BAR Unilateral Fixator Distal Radius and Foot Surgical Technique Contents Design Features...2 Distal Radius Surgical Technique Indications...10 Surgical
More informationLCP Anterolateral Distal Tibia Plate 3.5. The low profile anatomic fixation system with optimal plate placement and angular stability.
LCP Anterolateral Distal Tibia Plate 3.5. The low profile anatomic fixation system with optimal plate placement and angular stability. Technique Guide LCP Small Fragment System Table of Contents Introduction
More informationLCP Anterolateral Distal Tibia Plate 3.5. The low profile anatomic fixation system with optimal plate placement and angular stability.
LCP Anterolateral Distal Tibia Plate 3.5. The low profile anatomic fixation system with optimal plate placement and angular stability. Technique Guide LCP Small Fragment System Table of Contents Introduction
More informationLarge Distractor Femur
Fracture Reduction and Provisional Stabilization Large Distractor Femur Surgical Technique Table of Contents Introduction Standard Femoral Distraction 2 Large Distractor System 4 Surgical Technique Prepare
More information3.5 MM VA-LCP PROXIMAL TIBIA PLATE SYSTEM
3.5 MM VA-LCP PROXIMAL TIBIA PLATE SYSTEM Part of the DePuy Synthes Variable Angle Periarticular Plating System SURGICAL TECHNIQUE TABLE OF CONTENTS INTRODUCTION 3.5 mm VA-LCP Proximal Tibial Plate 2 AO
More informationTechnique Guide. 6.5 mm Midfoot Fusion Bolt. For intramedullary fixation of the medial column of the foot.
Technique Guide 6.5 mm Midfoot Fusion Bolt. For intramedullary fixation of the medial column of the foot. Table of Contents Introduction 6.5 mm Midfoot Fusion Bolt 2 AO Principles 4 Indications 5 Surgical
More informationTransFx External Fixation System Large and Intermediate Surgical Technique
TransFx External Fixation System Large and Intermediate Surgical Technique TransFx External Fixation System Large and Intermediate Surgical Technique 1 Surgical Technique For TransFx External Fixation
More informationSimply Complete. VA-LCP Elbow Plating System.
Simply Complete. VA-LCP Elbow Plating System. Building on success Founded upon the established principles of Synthes LCP technology and the first generation elbow plates, the Variable Angle LCP Elbow Plating
More informationFemur Frame. The Distraction Osteogenesis Ring System
Femur Frame The Distraction Osteogenesis Ring System Surgical Technique Table of Contents Introduction The Distraction Osteogenesis Ring System 2 MRI Information 4 AO Principles 5 Indications 6 Surgical
More informationTechnique Guide. Epoca Revision Instrument Set. For extraction and revision of Epoca shoulder implants.
Technique Guide Epoca Revision Instrument Set. For extraction and revision of Epoca shoulder implants. Table of Contents Introduction Epoca Revision Instrument Set 2 Implantation of a Long or Extra-long
More information2.4 mm Variable Angle LCP Intercarpal Fusion System. Variable angle locking technology for mediocarpal partial arthrodesis.
2.4 mm Variable Angle LCP Intercarpal Fusion System. Variable angle locking technology for mediocarpal partial arthrodesis. Technique Guide Instruments and implants approved by the AO Foundation Table
More informationLCP Medial Proximal Tibial Plate 3.5. Part of the Synthes small fragment Locking Compression Plate (LCP) system.
LCP Medial Proximal Tibial Plate 3.5. Part of the Synthes small fragment Locking Compression Plate (LCP) system. Technique Guide This publication is not intended for distribution in the USA. Instruments
More informationLag Screw Device Intended for symphyseal fracture fixation of the mandible
Lag Screw Device Intended for symphyseal fracture fixation of the mandible SUrgicaL TecHNiqUe Lag Screw Device Intended for symphyseal fracture fixation of the mandible Simplifies the lag screw fixation
More informationThe Distraction Osteogenesis Ring System
Nonarticular Tibia Frame The Distraction Osteogenesis Ring System Surgical Technique Table of Contents Introduction The Distraction Osteogenesis Ring System 2 MRI Information 4 AO Principles 5 Indications
More informationKnee spanning solutions
Knee spanning solutions System features Indications Intended to be used on adults or pediatric patients as required for fracture fixation (open or closed); post-traumatic joint contracture which has resulted
More informationTransFx External Fixation System Large and Intermediate Surgical Technique
TransFx External Fixation System Large and Intermediate Surgical Technique Choice, Simplicity, Transition TransFx External Fixation System Large and Intermediate Surgical Technique 1 Surgical Technique
More informationTechnique Guide. LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system.
Technique Guide LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction LCP Distal Fibula Plates 2 AO Principles 4 Indications 5 Surgical Technique
More informationLarge External Fixator Traveling Traction
Used to Correct Angular Deformity Large External Fixator Traveling Traction Surgical Technique Large External Fixator Traveling Traction DePuy Synthes Large External Fixation devices are labeled MR Conditional
More information4.5 mm LCP Medial Proximal Tibia Plates
Part of the DePuy Synthes LCP Periarticular Plating System 4.5 mm LCP Medial Proximal Tibia Plates Surgical Technique Table of Contents Introduction 4.5 mm LCP Medial Proximal Tibia Plates 2 AO Principles
More information2.7 mm/3.5 mm LCP Distal Fibula Plate
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 2.7 mm/3.5 mm LCP Distal Fibula Plate Surgical Technique Table of Contents Introduction 2.7 mm/3.5 mm LCP Distal Fibula Plates 2 AO Principles
More informationTrephine System. Principle-based anterior lumbar interbody fusion.
Trephine System. Principle-based anterior lumbar interbody fusion. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Trephine System 2 AO Principles
More informationThe Wrist Fusion Set. Stainless Steel and Titanium TECHNIQUE GUIDE. Instruments and implants approved by the AO Foundation
The Wrist Fusion Set Stainless Steel and Titanium TECHNIQUE GUIDE Instruments and implants approved by the AO Foundation Three Plate Options Stainless Steel or Titanium* Standard Bend Stainless Steel [242.510]
More informationTrochanter Stabilization Plate for DHS Implants
Extends DHS Plate Construct to Help Stabilize Greater Trochanter Trochanter Stabilization Plate for DHS Implants Surgical Technique Table of Contents Introduction Trochanter Stabilization Plate for DHS
More informationClinical. Solutions. Synthes Solutions. Foot and Ankle.
Clinical Solutions Foot and Ankle. Foot and Ankle. Fractures of the tibial shaft Fractures of the distal fibula Fractures of the distal tibia Fractures and osteotomies of the calcaneus Arthrodesis Fractures,
More informationThe Distraction Osteogenesis Ring System
Intra-articular Distal Tibia Frame The Distraction Osteogenesis Ring System Surgical Technique Table of Contents Introduction The Distraction Osteogenesis Ring System 2 MRI Information 4 AO Principles
More informationPeriarticular Aiming Arm Instruments for LCP Proximal Tibial Plate 4.5/5.0. Part of the LCP Periarticular Aiming Arm Instrument System (large).
Technique Guide Periarticular Aiming Arm Instruments for LCP Proximal Tibial Plate 4.5/5.0. Part of the LCP Periarticular Aiming Arm Instrument System (large). Image intensifier control Warning This description
More informationLCP Proximal Radius Plates 2.4. Plates for radial head rim and for radial head neck address individual fracture patterns of the proximal radius.
Technique Guide LCP Proximal Radius Plates 2.4. Plates for radial head rim and for radial head neck address individual fracture patterns of the proximal radius. Table of Contents Introduction LCP Proximal
More informationMatrixRIB. Stable fixation of normal and osteoporotic ribs.
MatrixRIB. Stable fixation of normal and osteoporotic ribs. Technique Guide CMF Matrix Table of Contents Introduction MatrixRIB 2 AO Principles 4 Indications 5 Surgical Technique Patient Positioning 5
More informationPart of the DePuy Synthes Locking Compression Plate (LCP ) System. 3.5 mm LCP Medial Proximal Tibia Plates
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Medial Proximal Tibia Plates Surgical Technique Table of Contents Introduction 3.5 mm LCP Medial Proximal Tibia Plates 2 AO
More informationLCP Medial Proximal Tibial Plate 3.5. Part of the Synthes small fragment Locking Compression Plate (LCP) system.
LCP Medial Proximal Tibial Plate 3.5. Part of the Synthes small fragment Locking Compression Plate (LCP) system. Surgical Technique This publication is not intended for distribution in the USA. Instruments
More informationDistal Radius Plate Instrument and Implant Set. Discontinued December 2017 DSUS/TRM/0916/1063(1)
Distal Radius Plate Instrument and Implant Set Surgical Technique Discontinued December 2017 DSUS/TRM/0916/1063(1) The Distal Radius Plates Indications For fixation of fractures and osteotomies, including
More informationTechnique Guide. LCP Proximal Femoral Hook Plate 4.5/5.0. Part of the LCP Periarticular Plating System.
Technique Guide LCP Proximal Femoral Hook Plate 4.5/5.0. Part of the LCP Periarticular Plating System. Table of Contents Introduction Features and Benefits 2 AO ASIF Principles 4 Indications 5 Surgical
More informationZimmer MIS Periarticular 3.5mm Proximal Tibial Locking Plate
Zimmer MIS Periarticular 3.5mm Proximal Tibial Locking Plate Surgical Technique The Science of the Landscape Zimmer MIS Periarticular 3.5mm Proximal Tibial Locking Plate Surgical Technique 1 Zimmer MIS
More informationMEFiSTO. Monolateral External Fixation System for Trauma and Orthopaedics.
MEFiSTO. Monolateral External Fixation System for Trauma and Orthopaedics. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation.
More information3.5 mm LCP Olecranon Plates
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Olecranon Plates Surgical Technique Table of Contents Introduction 3.5 mm LCP Olecranon Plates 2 AO Principles 3 Indications
More informationUSS Variable Axis Screw (VAS) System. For posterior fixation of the lumbar spine.
USS Variable Axis Screw (VAS) System. For posterior fixation of the lumbar spine. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction USS Variable Axis
More informationCSLP Quick Lock Screws. Preassembled expansionhead screw and locking screw for use with Cervical Spine Locking Plates (CSLP).
CSLP Quick Lock Screws. Preassembled expansionhead screw and locking screw for use with Cervical Spine Locking Plates (CSLP). Technique Guide Instruments and implants approved by the AO Foundation Table
More informationSurgical Technique. Targeter Systems Overview
Surgical Technique Targeter Systems Overview PERI-LOC Locked Plating System Targeter Systems Overview Table of contents Product overview... 2 Introduction... 2 Indications... 2 Design features and benefits...
More informationFor the Treatment of Wrist Fractures. Small External Fixator Nonspanning Wrist Frame
For the Treatment of Wrist Fractures Small External Fixator Nonspanning Wrist Frame Surgical Technique Small External Fixator Nonspanning Wrist Frame DePuy Synthes Small External Fixation devices are labeled
More informationMandible External Fixator II
Provides Treatment for Fractures of the Mandible Mandible External Fixator II Surgical Technique Table of Contents Introduction Mandible External Fixator II 2 AO Principles 4 Indications 5 MRI Information
More informationSurgical Technique. CONQUEST FN Femoral Neck Fracture System
Surgical Technique CONQUEST FN Femoral Neck Fracture System Table of Contents Introduction... 3 Indications... 3 Product Overview... 4 Surgical Technique... 5 Patient Positioning... 5 Reduce the Fracture...
More informationTITANIUM TIBIAL NAIL SySTEM
TITANIUM TIBIAL NAIL SySTEM Solid and Cannulated Nails SURGICAL TEChNIqUE Table of contents Introduction Indications 2 Preoperative Implant Selection 6 Surgical Technique Instruments for Opening the Tibia
More information3.5 mm LCP Low Bend Medial Distal Tibia Plate Aiming Instruments
Part of the 3.5 mm LCP 3.5 mm LCP Low Bend Medial Distal Tibia Plate Aiming Instruments Surgical Technique TABLE OF CONTENTS INTRODUCTION 3.5 mm LCP Low Bend Medial Distal Tibia Plate 2 Aiming Instruments
More informationDISTRACTION PRODUCT OVERVIEW. For a wide variety of facial applications
DISTRACTION PRODUCT OVERVIEW For a wide variety of facial applications DISTRACTION PRODUCT OVERVIEW. STRONG, MODULAR, VERSATILE CRANIOFACIAL DISTRACTION External Midface Distractor Distraction of the maxilla,
More informationOBSOLETED. LCP Medial Distal Tibia Plate, without Tab. The Low Profile Anatomic Fixation System with Angular Stability and Optimal Screw Orientation.
LCP Medial Distal Tibia Plate, without Tab. The Low Profile Anatomic Fixation System with Angular Stability and Optimal Screw Orientation. Surgical Technique LCP Small Fragment System This publication
More information6.5 mm midfoot fusion bolt
6.5 mm midfoot fusion bolt For intramedullary fixation of the medial column of the foot SurgIcal technique Table of Contents Introduction 6.5 mm Midfoot Fusion Bolt 2 AO Principles 4 Indications 5 Surgical
More information