Thoracolumbar Spine Locking Plate (TSLP) System. A low-profile plating system for anterior stabilization of the thoracic and lumbar spine.
|
|
|
- Gloria Shaw
- 5 years ago
- Views:
Transcription
1 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
2 Table of Contents Introduction Thoracolumbar Spine Locking Plate (TSLP) System 2 AO Principles 4 Indications 5 Surgical Technique Decompress 6 Select Plate 7 Prepare to Implant Plate 8 Prepare Screw Hole 9 Measure for Screw Length 10 Insert Screws 11 Final Tightening 12 Optional Graft Screw Technique 13 Product Information Instruments 15 Set List 18 Image intensifier control Synthes Spine
3 Thoracolumbar Spine Locking Plate (TSLP) System The Thoracolumbar Spine Locking Plate (TSLP) is a versatile, low-profile plating system indicated for anterior stabilization of the thoracic and lumbar spine (T1 L5). The system provides a 4.5 mm construct profile, plate lengths from 40 mm to 109 mm in 3 mm increments, 5.5 mm cancellous locking screws, and instrumentation designed to simplify construct placement. 2 Synthes Spine Thoracolumbar Spine Locking Plate (TSLP) System
4 Plates Low profile (4.5 mm) Narrow AP width fits small vertebral bodies and minimizes surgical exposure and soft tissue disruption Precontoured to conform to the anatomy and restore normal spinal alignment Multiple screw hole locations Lengths in 3 mm increments (40 mm 109 mm) Convergent screw orientation maximizes resistance to construct pullout Conical screw holes allow ±5 angulation during screw insertion Made of titanium alloy (Ti -6Al -7Nb) for increased stiffness 5º 5.5 mm Titanium Cancellous Locking Screws Dual core thread design Constant outer diameter optimizes pullout strength Core diameter transition results in cortical and cancellous bone-specific threads Threads on conical screw head lock to the plate and create a fixed-angle construct Blunt, threaded tip Self-tapping design Cortical inner core diameter Transition Cancellous inner core diameter Constant outer diameter Synthes Spine 3
5 AO Principles In 1958, the AO ASIF formulated four basic principles, which have become the guidelines for internal fixation. 1 They are: Anatomic reduction Stable internal fixation Preservation of blood supply Early, active mobilization The fundamental aims of fracture treatment in the limbs and fusion of the spine are the same. A specific goal in the spine is returning as much function as possible to the injured neural elements. 2 AO Principles as Applied to the Spine 3 Anatomic alignment Restoration of normal spinal alignment to improve the biomechanics of the spine. Stable internal fixation Stabilization of the spinal segment to promote bony fusion. Preservation of blood supply Creation of an optimal environment for fusion. Early, active mobilization Minimization of damage to the spinal vasculature, dura, and neural elements, which may contribute to pain reduction and improved function for the patient. 1. M.E. Muller, M. Allgöwer, R. Schneider, and H. Willenegger: Manual of Internal Fixation, 3rd Edition. Berlin; Springer-Verlag Ibid. 3. M. Aebi, J.S. Thalgott, and J.K. Webb. AO ASIF Principles in Spine Surgery. Berlin; Springer-Verlag Synthes Spine Thoracolumbar Spine Locking Plate (TSLP) System
6 Indications The TSLP System is indicated for use via the lateral or anterolateral surgical approach in the treatment of thoracic and thoracolumbar (T1 L5) spine instability resulting from fracture (including dislocation and subluxation), tumor, degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), scoliosis, kyphosis, lordosis, spinal stenosis, or a failed previous spine surgery. Warnings: This device is not approved for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic, or lumbar spine. This device is not intended or expected to be the only mechanism of support for the spine. Regardless of the etiology of the spinal pathology for which implantation of this system was chosen, it is the expectation and requirement that a spinal fusion or arthrodesis be planned and obtained. Without solid biological support provided by spinal fusion, the device cannot be expected to support the spine indefinitely and may fall in any of several modes including bone-metal interface failure, screw fracture, or bone failure. Contraindications: Use of the Ti Thoracolumbar Spine Locking Plate (TSLP) System is contraindicated when: 1. There is active systemic infection, infection localized to the site of the proposed implantation, or when the patient has demonstrated allergy or foreign body sensitivity to any of the implant materials. 2. Severe osteoporosis may prevent adequate fixation and thus preclude the use of this or any other orthopaedic implant. 3. Metastatic tumors are present in the adjacent vertebral bodies. 4. Conditions that may place excessive stresses on bone and implants, such as severe obesity or degenerative disease are relative contraindications. The decision whether to use these devices under such conditions must be made by the physician taking into account the risks versus the benefits to the patient. Use of these implants is relatively contraindicated in patients whose activity, mental capacity, mental illness, alcoholism, drug abuse, occupation, or lifestyle may interfere with their ability to follow postoperative restrictions and who may place undue stresses on the implant during bony healing and may be at a higher risk of implant failure. Synthes Spine 5
7 Decompress 1 Decompress Perform the corpectomy/discectomy and decompress the neural elements as needed. 2 Implant graft or spacer Implant the graft or spacer device. Pack autograft or allograft material around the spacer as needed. 6 Synthes Spine Thoracolumbar Spine Locking Plate (TSLP) System
8 Select Plate 3 Select plate Instrument Measuring Forceps Use the measuring forceps to determine plate length. Select the proper plate. The labeled plate length is the overall length of the plate. Read measurement here 4 Verify size and position Instruments Threaded Drill Guide Construct Holder Assemble a threaded drill guide into one of the threaded screw holes in the plate. Insert the construct holder into the threaded drill guide and position the plate over the desired site. Position the plate so that the curve of the plate best follows the spinal curvature. Using the plate as a template, remove any bony protuberances that prevent the plate from sitting flush on the vertebral bodies, and determine which holes will be used to secure the plate to the vertebral bodies. Synthes Spine 7
9 Prepare to Implant Plate 5 Prepare to implant plate Instrument Threaded Drill Guide Attach threaded drill guides to all the selected screw holes. 6 Position plate Instruments Temporary Fixation Pins Detachable Temporary Fixation Pins Driver Position the plate anterolaterally on the spinal column, ensuring that all screws will be placed into vertebral bodies. Lag the plate to the bone by inserting temporary fixation pins, or detachable temporary fixation pins attached to the driver, through the threaded drill guides. Light impaction on the fixation pin may be necessary to break the cortex. To improve visibility, the construct holder and associated threaded drill guide can now be removed. 8 Synthes Spine Thoracolumbar Spine Locking Plate (TSLP) System
10 Prepare Screw Hole 7 Prepare screw hole Instruments Threaded Drill Guide Applicator Awl Insert the threaded drill guide applicator into one of the open threaded drill guides. The drill guide applicator will serve as a guide for the awl. Insert the awl through the drill guide applicator and perforate the bony cortex of the vertebral body. Light impaction may be necessary. The awl handle will stop at the top of the drill guide applicator when it is fully inserted. The awl creates a 20 mm deep hole. Note: The awl may also be used directly through the threaded drill guide. In this case the awl creates a 23 mm deep hole. Using the drill guide applicator, loosen the threaded drill guide and remove the awl/threaded drill guide applicator/ threaded drill guide assembly in one step. Tip: Prior to removal of the assembly, retract the awl until the etched line on the shaft is visible (approximately 30 mm). The tip of the awl will be withdrawn inside the drill guide applicator to protect the soft tissue during removal. Synthes Spine 9
11 Measure for Screw Length 8 Measure for screw length Instrument Depth Gauge Insert the depth gauge through the screw hole and push it through the cancellous bone to the desired depth. The depth gauge reading indicates the appropriate screw length. 9 Select screw Instruments mm Hexagonal Screwdriver, self-retaining mm Hexagonal Screwdriver Shaft Ratchet T-Handle Holding Sleeve Using the self-retaining 3.5 mm hexagonal screwdriver or the 3.5 mm hexagonal screwdriver shaft, ratchet T-handle, and holding sleeve, select the appropriate screw. Note: Screw length is measured from the beginning of the bone thread to the tip of the screw. 10 Synthes Spine Thoracolumbar Spine Locking Plate (TSLP) System
12 Insert Screws 10 Insert screws Insert the screw until the screw head engages the plate. Repeat steps 7 10 to insert the second screw. Note: It is recommended that the maximum screw length used in the anterior screw holes is 33 mm. 11 Remove temporary fixation pins Remove the temporary fixation pin(s) and then the threaded drill guide(s) using the drill guide applicator. Follow steps 8 10 to measure and insert the appropriate bone screws. Note: After removing a temporary fixation pin, use of the awl is not required before screw insertion. Remove any remaining drill guides. Synthes Spine 11
13 Final Tightening 12 Final tightening Instruments mm Hexagonal Screwdriver Shaft Torque Limiting Handle (7 Nm) For final tightening, use the 3.5 mm hexagonal screwdriver shaft with the torque limiting handle (7 Nm). 12 Synthes Spine Thoracolumbar Spine Locking Plate (TSLP) System
14 Optional Graft Screw Technique 13 Drill for graft screw Instruments Threaded Drill Guide mm Drill Bit Attach a threaded drill guide to the desired graft screw location. Using the 3.3 mm drill bit through the threaded drill guide, drill a hole into the graft. The 3.3 mm drill bit creates a 22 mm deep hole. Remove the threaded drill guide. 14 Tap for graft screw Instruments Ratchet T-Handle Tap for 5.5 mm Cancellous Locking Screws Use the tap for 5.5 mm cancellous locking screws and the ratchet T-handle to tap the drilled hole. Note: Take care to keep the tap centered in the threaded screw hole. Synthes Spine 13
15 Optional Technique continued 15 Insert graft screw Instrument Torque Limiting Handle Insert the graft screw into the tapped hole until the screw head locks to the plate. Use the torque limiting handle for final tightening. 14 Synthes Spine Thoracolumbar Spine Locking Plate (TSLP) System
16 Instruments Conical Extraction Screw, for 5.5 mm Locking Screws Handle, with quick coupling Depth Gauge Torque Limiting Handle, quick release mm Hexagonal Screwdriver, self-retaining Measuring Forceps Ratchet T-Handle Synthes Spine 15
17 Instruments continued Threaded Drill Guide Applicator Threaded Drill Guide Awl Temporary Fixation Pin mm Hexagonal Screwdriver Shaft, self-retaining mm Drill Bit, quick coupling, 248 mm 16 Synthes Spine Thoracolumbar Spine Locking Plate (TSLP) System
18 Construct Holder Tap for 5.5 mm Cancellous Locking Screws Holding Sleeve mm Hexagonal Screwdriver Shaft Driver, for Detachable Temporary Fixation Pin Detachable Temporary Fixation Pin Synthes Spine 17
19 Thoracolumbar Spine Locking Plate Instrument and Titanium Implant Set ( ) Graphic Case Graphic Case for Thoracolumbar Spine Locking Plate Instrument and Implant Set Instruments Conical Extraction Screw, for 5.5 mm locking screws, 2 ea Handle, with quick coupling Depth Gauge Torque Limiting Handle, quick release mm Hexagonal Screwdriver, self-retaining, 2 ea Measuring Forceps Ratchet T-Handle Threaded Drill Guide Applicator, cannulated, 2 ea Threaded Drill Guide, 6 ea Awl, for 3.3 mm hole Temporary Fixation Pin, 2 ea mm Hexagonal Screwdriver Shaft, self-retaining mm Drill Bit, quick coupling, 248 mm Construct Holder Tap for 5.5 mm Cancellous Locking Screws, 248 mm Holding Sleeve mm Hexagonal Screwdriver Shaft Driver, for Detachable Temporary Fixation Pin Detachable Temporary Fixation Pin, 4 ea. 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 DJ Synthes Spine Thoracolumbar Spine Locking Plate (TSLP) System
20 Implants 5.5 mm Titanium Cancellous Locking Screws, 4 ea. Thread Length mm mm mm mm mm mm mm mm mm mm mm mm mm Titanium Thoracolumbar Spine Locking Plates Length mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm Synthes Spine 19
21 Synthes Spine 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 J4903-E
CSLP 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
Thoracolumbar 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
USS 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
Trephine 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
TSLP Thoracolumbar Spine Locking Plate
Anterior thoracolumbar spine locking plate TSLP Thoracolumbar Spine Locking Plate Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use
Technique 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
Technique 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
The 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,
Occipital Cervical Fusion System. Implants and instruments designed to optimize fixation to the occiput.
Occipital Cervical Fusion System. Implants and instruments designed to optimize fixation to the occiput. Technique Guide and implants approved by the AO Foundation Table of Contents Introduction Occipital
Technique Guide. T-PAL. Transforaminal posterior atraumatic lumbar spacer system.
Technique Guide T-PAL. Transforaminal posterior atraumatic lumbar spacer system. Table of Contents Introduction T-PAL 2 AO Principles 4 Indications and Contraindications 5 Surgical Technique Preparation
Synex System TECHNIQUE GUIDE. An expandable vertebral body replacement device
Synex System TECHNIQUE GUIDE An expandable vertebral body replacement device Original Instruments and Implants of the Association for the Study of Internal Fixation AO ASIF Synex System Overview The Synex
Zero-P Instruments and Implants. Zero-profile anterior cervical interbody fusion (ACIF) device.
Zero-P Instruments and Implants. Zero-profile anterior cervical interbody fusion (ACIF) device. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Zero-P
Luminary ALIF. Disc preparation and implant insertion instruments.
Luminary ALIF. Disc preparation and implant insertion instruments. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Luminary ALIF 2 AO Principles 4
2.4 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
3.5 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
VECTRA-T SURGICAL TECHNIQUE. The Translational Anterior Cervical Palate System. This publication is not intended for distribution in the USA.
VECTRA-T The Translational Anterior Cervical Palate System This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE Image intensifier control This description alone does not provide
Technique Guide. ARCH Laminoplasty System. Dedicated System for Open-door Laminoplasty.
Technique Guide ARCH Laminoplasty System. Dedicated System for Open-door Laminoplasty. Table of Contents Introduction Overview 2 AO ASIF Principles 4 Indications and Contraindications 5 Product Information
Technique 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
Replacement Device A modular expandable radiolucent vertebral body replacement system
XRL Vertebral Body Replacement Device A modular expandable radiolucent vertebral body replacement system SURGICAL TECHNIQUE TABLE OF CONTENTS Introduction XRL System 2 AO Principles 5 Indications and Contraindications
2.7 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
Spinal 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
ARCH Laminoplasty System. Dedicated System for Open-door Laminoplasty.
ARCH Laminoplasty System. Dedicated System for Open-door Laminoplasty. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation.
Technique 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
Compact 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
A Fusion of Versatility, Performance and Ease.
MATRIX Spine System. Degenerative and Deformity. System Guide A Fusion of Versatility, Performance and Ease. Instruments and implants approved by the AO Foundation The MATRIX Spine System is a universal
Technique 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
Technique 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
Technique 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
T-PAL Spacer System. Transforaminal posterior atraumatic lumbar spacer system.
T-PAL Spacer System. Transforaminal posterior atraumatic lumbar spacer system. One instrument, one technique Accommodates both open and MIS approaches A PEEK implant that works with patient anatomy Streamlined
2.4 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
Basic 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
Table of Contents.
surgical technique The Ambassador TM Anterior Cervical Plate System is a versatile system of implants and instruments with a variety of sizes to provide optimal anatomic compatibility. The integrated cam
Technique Guide. ECD Expandable Corpectomy Device. Continuously Expandable Vertebral Body Replacement for Tumour Cases.
Technique Guide ECD Expandable Corpectomy Device. Continuously Expandable Vertebral Body Replacement for Tumour Cases. Table of Contents Introduction Overview 2 AO ASIF Principles 4 Indications and Contraindications
MatrixRIB. 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
ECD EXPANDABLE CORPECTOMY DEVICE Continuously Expandable Vertebral Body Replacement for Tumour Cases
ECD EXPANDABLE CORPECTOMY DEVICE Continuously Expandable Vertebral Body Replacement for Tumour Cases Instruments and implants approved by the AO Foundation. This publication is not intended for distribution
3.5 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
Low Bend Distal Tibia Plates
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Low Bend Medial Distal Tibia Plates Surgical Technique Table of Contents Introduction 3.5 mm LCP Low Bend Medial Distal Tibia
Dual-Opening USS. For deformity correction.
Dual-Opening USS. For deformity correction. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Dual-Opening USS 2 AO Principles 4 Indications 5 Preoperative
3.5 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
USS Variable Axis Screw
USS Variable Axis Screw Polyaxial side-opening pedicle screw Surgical technique Original Instruments and Implants of the Association for the Study of Internal Fixation AO/ASIF USS Variable Axis Screw
ACP. Anterior Cervical Plate System SURGICAL TECHNIQUE
ACP Anterior Cervical Plate System SURGICAL TECHNIQUE ACP TABLE OF CONTENTS INTRODUCTION 4 INDICATIONS AND CONTRAINDICATIONS 5 WARNINGS AND PRECAUTIONS 6 IMPLANT DESCRIPTION 7 INSTRUMENTS 10 SURGICAL
Technique Guide. Cranial Clamps with Application Instrument. Quick and stable fixation of cranial bone flaps following a craniotomy.
Technique Guide Cranial Clamps with Application Instrument. Quick and stable fixation of cranial bone flaps following a craniotomy. Table of Contents Introduction Cranial Clamps with Application Instrument
Pediatric 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
Technique 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
CSLP-Cervical Spine Locking Plate
For anterior, cervical fixation CSLP-Cervical Spine Locking Plate Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes
TELEFIX SURGICAL TECHNIQUE. Implant system for the anterior stabilization of the thoracolumbar spine
TELEFIX Implant system for the anterior stabilization of the thoracolumbar spine Instruments and implants approved by the AO Foundation. This publication is not intended for distribution in the USA. SURGICAL
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. Technique Guide LCP Small Fragment System Table of Contents Introduction
LCP 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
Royal Oak Cervical Plate System
Royal Oak Cervical Plate System Manufactured by Nexxt Spine, Inc. Royal Oak Cervical Plate System INTRODUCTION FEATURES AND BENEFITS Table of Contents SURGICAL TECHNIQUE Step 1. Patient Positioning Step
3.5 mm LCP Clavicle Hook Plates
Part of the Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Clavicle Hook Plates Surgical Technique Table of Contents Introduction 3.5 mm LCP Clavicle Hook Plates 2 AO Principles 4 Indications
The Versatile Polyaxial Solution for the Universal Spine Systems. USS II Polyaxial. Surgical Technique
The Versatile Polyaxial Solution for the Universal Spine Systems USS II Polyaxial Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use
2.4 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
The Locking Calcaneal Plate Instrument and Implant Sets
Part of the DePuy Synthes Locking Compression Plate (LCP ) System The Locking Calcaneal Plate Instrument and Implant Sets Surgical Technique Table of Contents Introduction Locking Calcaneal Plate 2 AO
Technique 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
Technique Guide. ArcoFix. Anterior-only reduction plate.
Technique Guide ArcoFix. Anterior-only reduction plate. Table of Contents Introduction ArcoFix 2 AO Principles 4 Indications and Contraindications 5 Surgical Technique Preoperative Planning 6 Insert ArcoFix
Technique 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
Technique Guide. Small Fragment Locking Compression Plate (LCP) System. Stainless steel and titanium.
Technique Guide Small Fragment Locking Compression Plate (LCP) System. Stainless steel and titanium. Table of Contents Introduction Small Fragment Locking Compression Plate (LCP) System 2 AO Principles
low ProfIle neuro PlaTIng system
low ProfIle neuro PlaTIng system surgical TeChnIque Table of Contents Introduction Low Profile Neuro Cranial Plating System 2 Surgical Technique Technique 5 Product Information Low Profile Neuro Plates
3.5 mm LCP Distal Humerus Plates
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Distal Humerus Plates Surgical Technique Table of Contents Introduction 3.5 mm LCP Distal Humerus Plates 2 AO Principles 4 Indications
Technique 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
Pediatric 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
Technique Guide. Zero-P VA. Variable angle zero-profile anterior cervical interbody fusion (ACIF) device.
Technique Guide Zero-P VA. Variable angle zero-profile anterior cervical interbody fusion (ACIF) device. Image intensifier control Warning This description alone does not provide sufficient background
Table of contents. Introduction. Features and Benefits 2. AO Principles 4. Indications and Contraindiactions 5. Implants 6. Productinformation
Technique Guide CerviFix. Modular tension band system for posterior fixation of the occipito - cervical spine, upper and lower cervical spine, and upper thoracic spine. Table of contents Introduction
3. Insert Tocar Sleeves Insert the NCB tissue protection sleeve assembly 1.6 to 10mm through a skin incision (Fig. 38).
NCB Proximal Humerus Plating System Surgical Technique 19 2. Temporary Plate Fixation The plate can be temporary fixed to the bone with 1.6mm K-wire through the proximal cannulated fixation screw of the
SURGICAL TECHNIQUE GUIDE TRESTLE. Anterior Cervical Plating System
SURGICAL TECHNIQUE GUIDE TRESTLE Anterior Cervical Plating System 2 SURGICAL TECHNIQUE GUIDE SURGICAL TECHNIQUE GUIDE System Features Large window enables visualization of graft site and end plates Screw
LCP 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
LCP Low Bend Medial Distal Tibia Plates 3.5 mm. Anatomic plates with low profile head for intra- and extraarticular fractures.
LCP Low Bend Medial Distal Tibia Plates 3.5 mm. Anatomic plates with low profile head for intra- and extraarticular fractures. Surgical Technique This publication is not intended for distribution in the
Technique 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
Part 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
Technique Guide. Compact 2.0 LOCK Mandible. The locking system for the mandible.
Technique Guide Compact 2.0 LOCK Mandible. The locking system for the mandible. Table of Contents Introduction Compact 2.0 LOCK Mandible 2 AO Principles 4 Indications and Contraindications 5 Surgical
Lag 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
LCP 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
LCP 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
ARCH Laminoplasty System
Dedicated System for Open-door Laminoplasty ARCH Laminoplasty System Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes
VA-LCP Anterior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.
Technique Guide VA-LCP Anterior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. Table of Contents Introduction VA-LCP Anterior
2.4 mm Variable Angle LCP Volar Extra-Articular Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology.
Technique Guide 2.4 mm Variable Angle LCP Volar Extra-Articular Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology. Table of Contents Introduction 2.4
2.7 mm/3.5 mm VA-LCP Anterior Clavicle Plates. Part of the Synthes modular clavicle plate system.
2.7 mm/3.5 mm VA-LCP Anterior Clavicle Plates. Part of the Synthes modular clavicle plate system. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction 2.7
3.5 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
2.7 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
Long Volar Plates for Diaphyseal-Metaphyseal Radius Fractures LCP. Dia-Meta Volar Distal Radius Plates. Surgical Technique
Long Volar Plates for Diaphyseal-Metaphyseal Radius Fractures LCP Dia-Meta Volar Distal Radius Plates Surgical Technique Table of Contents Introduction LCP Dia-Meta Volar Distal Radius Plates 2 AO Principles
Solitaire Anterior Spinal System
Surgical Technique Solitaire Anterior Spinal System Independent Stabilization for the Anterior Column Available in Titanium and Contents Introduction... Page 1 Design Features... Page 2 Instruments...
CERVIFIX Modular tension band system for posterior fixation of the occipito cervical spine, upper and lower cervical spine, and upper thoracic spine
CERVIFIX Modular tension band system for posterior fixation of the occipito cervical spine, upper and lower cervical spine, and upper thoracic spine PRODUCT OBSOLETED 30th June 2017 DSEM/SPN/1215/0387(1)
The 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]
LCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.
Technique Guide LCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. Table of Contents Introduction LCP Superior Clavicle
Medium 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
Technique Guide. Universal Spinal System (USS). Designed to achieve the goals of scoliosis surgery.
Technique Guide Universal Spinal System (USS). Designed to achieve the goals of scoliosis surgery. Table of Contents Introduction Universal Spinal System 2 AO ASIF Principles of Internal Fixation 3 Indications
Medium 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
Visit our website on www.biotech-medical.com The DLP - Dorso-Lumbar Polyaxial Screw System has been designed to address the pathologies of the thoracolumbar spine. The DLP System contains a wide range
DOUBLE/TRIPLE PELVIC OSTEOTOMY PLATES For Treating Coxofemoral Joint Instability and Subluxation in Immature Dogs
DOUBLE/TRIPLE PELVIC OSTEOTOMY PLATES For Treating Coxofemoral Joint Instability and Subluxation in Immature Dogs Instruments and implants approved by the AO Foundation. This publication is not intended
LCP 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
Oracle Spacer. A PEEK spacer for lateral lumbar interbody fusion.
Oracle Spacer. A PEEK spacer for lateral lumbar interbody fusion. Anatomic shape Self-distracting nose Large central canal Instruments and implants approved by the AO Foundation Oracle Spacer The Oracle
Technique 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
3.5 mm Clavicle Hook Plates
A Single Solution for Lateral Clavicle Fractures and Acromioclavicular Joint Dislocations 3.5 mm Clavicle Hook Plates Surgical Technique Discontinued December 2017 DSUS/TRM/1016/1126(1) Table of Contents
Technique 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
LCP 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
3.5 mm LCP Superior and Superior Anterior Clavicle Plates. Part of the Synthes modular clavicle plate system.
3.5 mm LCP Superior and Superior Anterior Clavicle Plates. Part of the Synthes modular clavicle plate system. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction
XRL A modular expandable radiolucent vertebral body replacement system
XRL A modular expandable radiolucent vertebral body replacement system This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE Table of Contents Introduction XRL 2 AO Spine Principles
Augmentable Pedicle Screws for Osteoporotic Bone. Perforated Click X. Surgical Technique
Augmentable Pedicle Screws for Osteoporotic Bone Perforated Click X Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes
LCP 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
3.5 mm LCP Hook Plate
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Hook Plate Surgical Technique Table of Contents Introduction 3.5 mm LCP Hook Plate 2 AO Principles 4 Indications 5 Clinical