A locking plate system that expands a surgeon s options in trauma surgery. Zimmer NCB Plating System
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1 A locking plate system that expands a surgeon s options in trauma surgery Zimmer NCB Plating System
2 The Power of Choice The power of having true intraoperative options is at your fingertips. Using standard techniques, the NCB Plating System delivers the ability to confidently target cortical and cancellous screws with polyaxial freedom and to lock the screws, if desired, at any time during the procedure. For effective implant placement, Zimmer Minimally Invasive Solutions TM (MIS TM ) Guides help you insert plates sub-muscularly while keeping the incision to a minimum.
3 8 alternately opposed targeting of Diaphyseal screws MIS Technique The MIS Guides allow for percutaneous targeting of screws and, thus, smaller incisions. The radiolucent guides permit inserting of plates sub-muscularly to help reduce stripping and damage to soft tissues. Metadiaphyseal fractures can be left undisturbed and bridged for biologic healing. Diaphyseal screws are angled at 8 in an alternating pattern to resist pull-out and reduce stress-risers. In addition the screws are kept away from prosthetics and other implants. In the Distal Femur MIS Guide the metaphyseal screws are allowed 30 of freedom, where it is needed. The Proximal Humerus MIS Guide divergently targets metaphyseal screws. This allows for reduced risk of pull-out and addresses most fracture patterns. Proximal Humeral MIS Guide Distal Femur MIS Guide Non-Contact Bridging Anatomically shaped plates help facilitate Non-Contact Bridging Spacers of 1mm, 2mm, and 3mm can be used interoperatively to hold the plate off the bone. When the plate is locked, the spacers can be removed and the construct acts like an internal fixator. Keeping the plate off the bone can reduce the potential for periosteal damage and periosteum blood supply impairment. 1mm spacer 2mm spacer 3mm spacer Spacers hold plate off the bone
4 Ordering Information NCB Distal Femur Plate Set ( ) NCB Distal Femur Plate, Right, 5h, 167mm NCB Distal Femur Plate, Right, 9h, 246mm NCB Distal Femur Plate, Right, 13h, 324mm NCB Distal Femur Plate, Left, 5h, 167mm NCB Distal Femur Plate, Left, 9h, 246mm NCB Distal Femur Plate, Left, 13h, 324mm 2 NCB Distal Femur Screw Set ( ) Screws 14mm to 50mm are available in 2mm increments Screws 50mm to 85mm are available in 5mm increments XX NCB Cortical Screw, 5.0 X 14 85mm, Self-tapping XX NCB Cancellous Screw, 5.0 X 50 85mm XX Cortical Screw, 3.5 X 50 85mm, Self-tapping NCB Locking Screw Cap NCB Screw Hole Insert NCB Spacer, 1mm NCB Spacer, 2mm NCB Spacer, 3mm 2 NCB Distal Femur Standard Instruments ( ) Kirschner Wire, 2.0mm NCB DF Case Lid NCB DF Case Base NCB DF Instruments Insert NCB DF Plate Insert NCB DF Screw Caddy NCB Drill Bit, 4.3mm X 145mm 0* NCB Drill Bit, 4.3mm X 195mm NCB Depth Gauge, Large, <110mm NCB Drill Guide, 2.5mm NCB Drill Guide, 4.3mm NCB Torque Screwdriver, 3.5 Hex, 248mm, 6Nm 0* NCB DF Torque Screwdriver, 3.5 Hex, 280mm, 6Nm NCB Tap, 5.0mm X 145mm NCB Locking Screw Cap Clip Double Drill Guide, 2.5, 3.5, 4.0mm Screw-holding Forceps, Self-holding Depth Gauge, Small, 3.5/4.0mm < T Handle Q/C Drill Bit, 2.5mm X 180mm Q/C Tap, 3.5mm Q/C Countersink, 3.5/4.0mm Q/C 0* Small Hex Screwdriver, 2.5mm Holding Sleeve 1 *optional NCB Distal Femur MIS Instruments ( ) Assembly Pin NCB-DF Drill Bit, 4.3mm X 300mm NCB-DF Depth Gauge, Large, <110mm NCB-DF MIS Screwdriver, 3.5mm Hex NCB-DF Screwdriver Shaft Q/C, 3.5mm Hex NCB-DF Tap, 5.0mm X 250mm NCB-DF Soft Tissue Sleeve, 10/8.2mm NCB-DF Drill Guide, 8.2/4.3mm NCB-DF Trocar, 4.3mm NCB-DF Targeting Device - Right NCB-DF Targeting Device - Left NCB-DF Connection Bolt NCB-DF Stabilization Bolt NCB-DF Safety Lock Pin NCB-DF MIS Instrument Tray 1 NCB Proximal Humerus Plate Set ( ) NCB Proximal Humerus Plate, 4h, 79.5mm NCB Proximal Humerus Plate, 5h, 93mm NCB T Minus Plate, 52mm NCB Cerclage Wire, 115mm 2 NCB Proximal Humerus Screw Set ( ) Screws 20mm to 50mm are available in 2mm increments XX NCB Cortical Screw, 4.0 X 20 50mm, Self-tapping XX NCB Cancellous Screw, 4.5 X 30 50mm XX NCB Cann Cortical Screw, 4.0 X 20 50mm, Self-tapping XX NCB Cann Cancellous, 4.5 X 30 50mm NCB Locking Screw Cap NCB Screw Hole Insert NCB Spacer, 1mm NCB Spacer, 2mm NCB Spacer, 3mm XX Cortical Screw, 3.5 X 20 40mm 4 NCB Proximal Humerus Standard Instruments ( ) Kirschner Wire, 2.0mm X 150mm, Threaded Tip NCB-PH Case Lid NCB-PH Case Base NCB-PH Instrument Tray NCB-PH Plate Insert NCB-PH Screw Caddy NCB-PH Insert Tray-empty NCB Drill Guide, 3.3mm NCB Drill Bit, 3.3mm X 195mm Q/C NCB Locking Screw Cap Clip NCB-PH Torque Screwdriver, 3.5mm Hex, 248mm, 4Nm NCB Depth Gauge, Large, <110mm Forceps With Serrated Jaws 0* Bone-holding Forceps 0* Small Hex Screwdriver, 2.5mm Double Drill Guide, 2.5, 3.5, 4.0mm Screw-holding Forceps, Self-holding Depth Gauge, Small, 2.7, 3.5, 4.0mm Drill Bit, 2.5mm X 110mm Q/C Tap, 3.5mm Q/C Countersink, 3.5/4.0mm Q/C 0* T Handle Q/C Wire-bending Forceps Wire Cutter 1 *optional NCB Proximal Humerus MIS Instruments ( ) Cleaning Wire, 1.6mm NCB-PH Guide Wire, 1.6mm X 190mm, Threaded Tip NCB-PH Handle for Targeting Device NCB-PH Targeting Guide NCB-PH Connection Screw for Targeting Device NCB-PH Guide Fixation Screw NCB-PH Soft Tissue Sleeve, 10/8.0mm NCB-PH Drill Guide, 2.0/3.3mm NCB-PH Drill Guide, 3.3/1.6mm NCB-PH Trocar, 1.6mm NCB-PH Cannulated Depth Gauge NCB-PH Measuring Device for Cannulated Screws NCB Cannulated Hex Driver, 3.5mm NCB-PH MIS Instrument Tray NCB-PH MIS Screw Caddy 1
5 Polyaxial (Screw Choices) The NCB Screw is secured with a locking cap that permits a range of 0 15 off-center, or a 30 cone of polyaxiality. Cortical and cancellous screws can be used in traditional methods lagging fragments or preventing rotation. These screws can be locked immediately after insertion, after other screws have been inserted, or not at all. With the ability to lock the construct after all screws have been inserted, screw directions can be adjusted interoperatively without having to unlock the construct. Because the locking cap is not inserted with power equipment, the risk of cold-welding and cross-threading is reduced. Cap screw used to lock screw in place 0 15 angle of insertion 30 cone of polyaxiality NCB Cannulated Cortical Screw NCB Cannulated Cancellous Screw NCB Distal Femur plate postoperative radiographs NCB Proximal Humerus plate postoperative radiographs
6 Total Teamwork Total Support The Zimmer Institute, in true teamwork with the surgeon, provides hands-on training and transfer of knowledge to bring the benefits of minimally invasive surgery to joint replacement patients ML Printed in USA 2006 Zimmer, Inc. Contact your Zimmer representative or visit us at
A locking plate system that expands a surgeon s options in trauma surgery. Zimmer NCB Plating System
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