Clinical. Solutions. Synthes Solutions. Foot and Ankle.

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1 Clinical Solutions Foot and Ankle.

2 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, osteotomies, nonunions, replantations and fusions of small bones and small bone fragments of the foot Note: For complete indications for use, please refer to product-specific labeling.

3 AO Classification Distal tibia 43 Malleolar fractures 44 A1 A2 A3 A1 A2 A3 B1 B2 B3 B1 B2 B3 C1 C2 C3 C1 C2 C3

4 Biomaterials DBX Allograft bone void filler Demineralized bone matrix paste, putty and mix Osteoinductive potential* chronos Synthetic bone void filler ß-tricalcium phosphate granules Norian SRS Synthetic bone void filler Calcium phosphate cement * It is unknown how the osteoinductive potential, measured in the athymic mouse model or the alkaline phosphatase assay, will correlate with clinical performance in human subjects. Power Tools Electric Pen Drive Compact drive with specific attachments for a wide range of applications Ergonomic drive unit with powerful motor Extensive range of attachments and cutting tools Small Battery Drive Light, handy and versatile Variable speed with oscillating drilling Durable and powerful batteries or power adapter Easy to use, highly functional Updated product support materials can be found at

5 Clinical Solutions Foot and Ankle Plates and Screws External Fixation LCP Distal Fibula Plates Posterolateral and lateral distal fibula plates Coaxial distal holes for locking and/or cortex screws Recess for screwheads to create a lowprofile construct Combi holes accept 3.5 mm locking screws, 3.5 mm cortex screws and 4.0 mm cancellous bone screws LCP Distal Tibia Plates Anterior, posterior, anterolateral and medial distal tibia plates Tapered tip for submuscular insertion Distal locking screws provide support for articular surface LCP Anterior Ankle Arthrodesis Plate Combi holes in plate shaft for locking/ non-locking flexibility Distal elongated DCU holes for screw angulation and bone purchase 2.4 mm/2.7 mm VA-LCP Forefoot/ Midfoot System Anatomic- and procedure-specific plates Variable angle and cortex screws Compression Small Fragment LCP System System merges locking screw technology with conventional plating techniques 3.5 mm LCP straight, reconstruction, one-third tubular, T-, and oblique plates 3.5 mm locking and cortex screws 2.7 mm cortex and 4.0 mm cancellous screws Mini Fragment LCP System 2.0 mm, 2.4 mm and 2.7 mm straight, condylar and T-plates Low-profile: designed to reduce soft tissue irritation LCP Pilon Plate Can be cut and contoured for anatomic fit May be placed on anterior, medial, anteromedial or anterolateral distal tibia Locking Foot Module 2.4 mm/2.7 mm anatomic locking implants for the foot Contourable for precise screw placement and fit Used with Mini Fragment LCP System Locking Calcaneal Plate Versatile : 15 holes address multiple fracture patterns Tabs provide support for anterior process and plantar fragments 6.5 mm Midfoot Fusion Bolt Solid bolt, highly resistant to bending and shear loads Headless, for complete countersinking Surgeon-controlled compression Modular Foot System Modules for 2.0 mm/2.4 mm, 2.7 mm and 3.5 mm/4.0 mm plates and screws Anatomy-specific implants designed for foot procedures Intramedullary Nails Dynamic Locking Screw Anatomic- and procedure-specific plates Cortex screws 3.7 mm size available for use with small fragment plates Cannulated Screws (2.4 mm, 3.0 mm, 3.5 mm, 4.0 mm, 4.5 mm, 6.5 mm, 7.0 mm and 7.3 mm) High thread-to-core ratio for pullout resistance Reverse cutting threads for removal Headless Compression Screws (2.4 mm, 3.0 mm, 4.5 mm and 6.5 mm) Surgeon-controlled compression Self-drilling and self-tapping Tibial Nail EX Anatomical bend facilitates nail insertion Advanced proximal and distal locking options for increased stability Dual-core locking screw design for optimized bone purchase End cap to secure most proximal locking screw for fixed-angle construct Distraction Osteogenesis Ring System Transfixion wires and external fixation pins attached to rings Modular, allows multiple frame options Allows angular corrections, lengthening and compression Large and Medium External Fixation Modular system Intra-system compatibility Clamp functionalities allow customized frames Small External Fixation Modular system Intra-system compatibility Multiplanar adjustment with single tightening point Mini lengthening apparatus Note: The Locking Compression Plates (LCP) have combination locking and compression holes (Combi holes). The Combi holes allow placement of standard and cancellous bone screws in one side and threaded conical locking screws on the opposite side of each hole. LCP Metaphyseal Plates 3.5 mm and 4.5 mm/3.5 mm versions Thinner profile on one end allows contouring and designed to reduce soft tissue irritation Holes in thin end angle 11º toward center allowing locking screws into metaphysis Selected devices may be offered by Synthes as MR Safe or MR Conditional. Refer to individual device labeling for MRI conditions. Hindfoot Arthrodesis Nail EX Lateral bend allows insertion through lateral column of calcaneus Increased surface area of spiral blade optimizes load distribution in the calcaneus Option for screw extension into cuboid and navicular to aid in advanced fusions Updated product support materials can be found at

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