Simply 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 System has the following features: Designed to reduce the risk of soft tissue irritation by taking into account the poor soft tissue coverage of the elbow, thereby improving the plate profile with an anatomical plate contour and enabling the screw heads to sit flush in the plate hole. Offers simplicity and adaptability: variable angle locking technology combines the simplicity of the established LCP screw insertion technique with the possibility of adapting screw angulations. Adaptability is enhanced during screw insertion by offering predefined screw angles while allowing +/-15 off-axis angulation, if needed. Responds to the specifics of proximal ulna fractures by recognizing the particular biomechanical requirements of each fracture type and therefore offering specific implants with optimized shapes and screw configurations. Provides multiple distal humerus plate configurations including parallel and perpendicular plating, allowing surgeons to choose their preferred solution. improving patient care.

Designed to reduce the risk of soft tissue irritation Poor soft tissue coverage of the elbow makes the area prone to implant prominence. The VA-LCP Elbow Plating System is designed to help reduce the risk of soft tissue irritation through focused improvements to the implant design and profile. Plate design Contoured metaphyseal plate profile, together with rounded edges and an improved anatomical plate fit help reduce the prominence of the construct without compromising stability. 1 2 Plate-screw interface designed for minimal screw-head prominence 2.7 mm variable angle locking screw: recess for screwhead minimizes screw prominence. 2.7 mm variable angle locking screws give the surgeon the ability to create a fixed-angle construct with the freedom of +/-15 off-axis screw angulation. This enables the surgeon to: Adapt screw angulations to patient anatomy Capture specific fracture fragments Adjust screw trajectory after plate bending Position screws precisely to avoid joint penetration 2.7 mm low-profile metaphyseal compression screw: Low-profile alternative to a cortex screw Pulls the plate to the bone. Fully threaded, therefore not intended to generate interfragmentary compression Same thread as a variable angle locking screw or locking screw Can be replaced with a locking screw after plate-to-bone compression has been achieved 2.7 mm metaphyseal screw Cross-section of the VA-LCP Distal Humerus Plate, medial (1) and the LCP Distal Humerus Plate, medial (2) at the level of the medial epicondyle. 2.7 mm cortex screw

2.7 mm/3.5 mm VA-LCP Elbow Plates Variable angle screw holes Recess for screwhead minimizes screw prominence to create a low-profile construct when used at the nominal angle. Screws can also be angled within a 30 cone around the central axis of the plate hole. Olecranon plates Designed to treat various olecranon fracture patterns Combi Holes Accept 3.5 mm locking, 3.5 mm cortex and 4.0 mm cancellous bone screws Reconstruction plate segments Allow additional contouring of plates to fit patient anatomy Limited-contact shaft profile Limits plate-to-bone contact to reduce impairment of blood supply Suture holes and undercuts Allow passage of suture needles through the undercut after plate application Metaphyseal Screw Options Features variable angle locking holes that accept 2.7 mm variable angle locking, 2.7 mm metaphyseal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered end for submuscular plate insertion which may help to preserve tissue viability Rounded plate profile Minimizes the risk for soft tissue irritation

Three Types of Olecranon Plates Proximal ulna plates enable the surgeon to address the specific biomechanical requirements of each fracture pattern while minimizing irritations of the adjacent soft tissue. Proximal Olecranon Plate Olecranon Plate Extra-articular Proximal Ulna Plate 2 1 3 2 3 1 2 1 1 Long proximal extension and more proximal screw options secure small olecranon fragments; designed to help neutralize the forces of the triceps muscle. 2 Notches designed to minimize interference with the triceps tendon. 3 Reduced shaft thickness minimizes plate prominence. Available in 2 holes 1 Proximal extension with multiple screw options secures the olecranon; designed to help neutralize the forces of the triceps muscle. 2 Multiple screws target and stabilize the coronoid. 3 Intermediate shaft thickness Available in 2, 4, 6, and 8 holes 1 Minimized proximal extension designed to avoid interference with the triceps tendon. 2 Shaft strength at least equivalent to 3.5 mm LCP plate Available in longer shaft lengths, including 6, 8, 10, and 12 holes

Choose your preferred plate configuration Perpendicular Plate configurations The VA-LCP Elbow Plating System offers three main double-plating configurations for the distal humerus. VA-LCP Distal Humerus Plates The plates offer multiple screw configurations for the medial and lateral columns, and the articular block. 1 Medial Plate The standard medial column plate for both perpendicular and parallel plating configurations. 2 Extended Medial Plate The extension buttresses the medial epicondyle and includes an ascending screw that stabilizes the medial column. Perpendicular, with support 3 Lateral Plate The lateral plate for the parallel-plating configuration that allows long screws into the trochlea from lateral to medial. 4 Posterolateral Plate The posterolateral plate for the perpendicular-plating configuration with screws targeting the capitellum. 3 5 Posterolateral Plate, with lateral support The screws from the lateral support target the articular block. Parallel 2 1 5 4

Simply Complete Synthes products are a combination of Lateral Distal Humerus Plate Posterolateral Distal Humerus Plate innovation and surgeon partnerships. A dedicated, global surgeon team was integral to the design of this system through extensive consultation and participation in several cadaver workshops. Surgeon interviews and feedback determined the key components necessary for the Synthes VA-LCP Elbow System. ONE Synthes 2.7 mm/3.5 mm VA-LCP Elbow System that is simply complete 180 plating option shown with Medial and Lateral Distal Humerus Plates Olecranon Plate 105 Surgeons interviewed globally to identify clinical features Dedicated, global surgeon development team provided extensive consultation on the complete system Medial Distal Humerus Plate Proximal Olecranon Plate Extra-articular Proximal Ulna Plate 250 Constructs tested in both materials (SS and TI). Static and Fatigue testing completed using biomechanical elbow model.* Testing on file at Synthes. Bench tests do not necessarily reflect clinical performance. 120 Skeletal specimens were analyzed to create anatomic precontoured design 78 Total implant options with the two longest lengths available sterile Extended Medial Distal Humerus Plate

2.7 mm/3.5 mm VA-LCP Elbow System Plates 2.7 mm/3.5 mm VA-LCP Proximal Olecranon Plates 0X.107.002,.102: 2 holes, 73 mm, right and left 2.7 mm/3.5 mm VA-LCP Olecranon Plates 0X.107.202.206: 2, 4 and 6 holes, right 0X.107.302.306: 2, 4 and 6 holes, left 0X.107.208S,.308S*: 8 holes, sterile, right and left 2.7 mm/3.5 mm VA-LCP Extra-articular Proximal Ulna Plates 0X.107.406.412: 6, 8, 10 and 12 holes, right 0X.107.506.512: 6, 8, 10 and 12 holes, left 2.7 mm/3.5 mm VA-LCP Posterolateral Distal Humerus Plates with Lateral Support 0X.117.003.009: 3, 4, 7 and 9 holes, right 0X.117.103.109: 3, 4, 7 and 9 holes, left 0X.117.011S,.013S*: 11 and 13 holes, sterile, right 0X.117.111S,.113S*: 11 and 13 holes, sterile, left 2.7 mm/3.5 mm VA-LCP Medial Distal Humerus Plates 0X.117.401.406: 1, 2, 4 and 6 holes, right 0X.117.501.506: 1, 2, 4 and 6 holes, left 0X.117.408S,.410S*: 8 and 10 holes, sterile, right 0X.117.508S,.510S*: 8 and 10 holes, sterile, left 2.7 mm/3.5 mm VA-LCP Extended Medial Distal Humerus Plates 0X.117.601.606: 1, 2, 4 and 6 holes, right 0X.117.701.706: 1, 2, 4 and 6 holes, left 0X.117.608S,.610S*: 8 and 10 holes, sterile, right 0X.117.708S,.710S*: 8 and 10 holes, sterile, left 2.7 mm/3.5 mm VA-LCP Lateral Distal Humerus Plates 0X.117.801.807: 1, 2, 5 and 7 holes, right 0X.117.901.907: 1, 2, 5 and 7 holes, left 0X.117.809S,.811S*: 9 and 11 holes, sterile, right 0X.117.909S,.911S*: 9 and 11 holes, sterile, left 2.7 mm/3.5 mm VA-LCP Posterolateral Distal Humerus Plates 0X.117.203.209: 3, 4, 7 and 9 holes, right 0X.117.303.309: 3, 4, 7 and 9 holes, left 0X.117.211S,.213S*: 11 and 13 holes, sterile, right 0X.117.311S,.313S*: 11 and 13 holes, sterile, left Screws 2.7 mm Metaphyseal Screws, self-tapping, with T8 StarDrive recess 0X.118.510.570: 10 mm 70 mm (2 mm increments) Also Available 02.118.575S 02.118.580S 2.7 mm Metaphyseal Screws, self-tapping, with T8 StarDrive recess, 75 mm, sterile 2.7 mm Metaphyseal Screws, self-tapping, with T8 StarDrive recess, 80 mm, sterile 2.7 mm Variable Angle Locking Screws, self-tapping, with T8 StarDrive recess 0X.211.010.060: 10 mm 60 mm (2 mm increments) X = 2: Stainless Steel X = 4: Titanium (Ti-6Al-7Nb) *Available sterile only

Synthes USA 1302 Wrights Lane East West Chester, PA 19380 Telephone: (610) 719-5000 To order: (800) 523-0322 Fax: (610) 251-9056 Synthes (Canada) Ltd. 2566 Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) 567-0440 To order: (800) 668-1119 Fax: (905) 567-3185 www.synthes.com 2012 Synthes, Inc. or its affiliates. All rights reserved. Combi, LCP and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 6/12 J11618-A