Zimmer Small Fragment Universal Locking System

Similar documents
Zimmer Small Fragment Universal Locking System. Surgical Technique

Zimmer MIS Periarticular 3.5mm Proximal Tibial Locking Plate

Zimmer Periarticular Distal Lateral Fibular Locking Plates. Surgical Technique IMAGE TO COME. Designed to optimize placement and fixation

Technique Guide. LCP Proximal Femoral Hook Plate 4.5/5.0. Part of the LCP Periarticular Plating System.

Zimmer Periarticular Proximal Humeral Locking Plate

LCP Medial Distal Tibia Plate, without Tab. The Low Profile Anatomic Fixation System with Angular Stability and Optimal Screw Orientation.

SMV Scientific Bone Plate and Screw System Surgical Technique

Zimmer MIS Periarticular Distal Femoral Locking Plate

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 Plate Aiming Instruments. Part of the 3.5 mm LCP Percutaneous Instrument System.

Technique Guide. Small Fragment Locking Compression Plate (LCP) System. Stainless steel and titanium.

LCP Medial Proximal Tibial Plate 4.5/5.0. Part of the Synthes LCP periarticular plating system.

Small Fragment Locking Compression Plate (LCP ) System

Surgical Technique. Targeter Systems Overview

Surgical Technique. Anterolateral and Medial Distal Tibia Locking Plates

PediLoc 3.5mm and 4.5mm Contour Femur Plate Surgical Technique

LCP Anterolateral Distal Tibia Plate 3.5. The low profile anatomic fixation system with optimal plate placement and angular stability.

Technique Guide. 4.5 mm LCP Proximal Tibia Plates. Part of the Synthes LCP Periarticular Plating System.

PediLoc 3.5mm and 4.5mm Bowed Femur Plate Surgical Technique

A locking plate system that expands a surgeon s options in trauma surgery. Zimmer NCB Plating System

OBSOLETED. LCP Medial Distal Tibia Plate, without Tab. The Low Profile Anatomic Fixation System with Angular Stability and Optimal Screw Orientation.

A locking plate system that expands a surgeon s options in trauma surgery. Zimmer NCB Plating System

Technique Guide. 3.5 mm LCP Olecranon Plates. Part of the Synthes locking compression plate (LCP) system.

Surgical Technique. Clavicle Locking Plate

LCP Anterolateral Distal Tibia Plate 3.5. The low profile anatomic fixation system with optimal plate placement and angular stability.

Technique Guide. 2.7 mm/3.5 mm LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system.

Technique Guide. 3.5 mm LCP Proximal Tibia Plate. Part of the Synthes Small Fragment LCP System.

Low Bend Distal Tibia Plates

Small Fragment Plating System. Securing optimal fixation through locked and compression plating technology

LCP Medial Proximal Tibial Plate 3.5. Part of the Synthes small fragment Locking Compression Plate (LCP) system.

LCP Low Bend Medial Distal Tibia Plates 3.5 mm. Anatomic plates with low profile head for intra- and extraarticular fractures.

Small Fragment Plating System

3.5 mm LCP Low Bend Medial Distal Tibia Plate Aiming Instruments

Anatomic Talus Plate Module

Surgical Technique. Distal Humerus Locking Plate

NCB Distal Femur System. Surgical Technique

Surgical Technique. Cannulated Angled Blade Plate 3.5 and 4.5, 90

Surgical Technique. Olecranon Locking Plate

Surgical Technique. 3.5mm and 4.5mm Lateral Proximal Tibia Locking Plates

Technique Guide. TomoFix Osteotomy System. A comprehensive plating system for stable fixation of osteotomies around the knee.

Surgical Technique. Locking Small Fragment Overview

Technique Guide. Small Fragment Locking Compression Plate (LCP) System. Stainless Steel and Titanium.

Cannulated Angled Blade Plate 3.5 and 4.5, 90.

WINSTA-C. Clavicle Plating System

Periarticular Aiming Arm Instruments for LCP Proximal Tibial Plate 4.5/5.0. Part of the LCP Periarticular Aiming Arm Instrument System (large).

LCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.

Instrument and Implant for wrist fracture

Technique Guide. LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system.

3.5 MM VA-LCP PROXIMAL TIBIA PLATE SYSTEM

Surgical Technique. Calcaneal Locking Plate

Conventus CAGE PH Surgical Techniques

Femur. Monoaxial Locking Plate System. Operative Technique. Distal Lateral Femur Universal Holes Targeting Instrumentation.

Surgical Technique International Version. Clavicle Locking Plate

Technique Guide. Locking Attachment Plate. For treatment of periprosthetic fractures.

Distal Ulnar Locking Plate

VA-LCP Anterior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.

Surgical Technique. Proximal Humerus Locking Plate

3.5 mm Locking Attachment Plate

LCP Condylar Plate 4.5/5.0. Part of the LCP Periarticular Plating System.

3.5 mm LCP Olecranon Plates

2.7 mm/3.5 mm LCP Distal Fibula Plate

Technique Guide. 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system.

Distal Radius Plate Instrument and Implant Set. Discontinued December 2017 DSUS/TRM/0916/1063(1)

LCP Proximal Radius Plates 2.4. Plates for radial head rim and for radial head neck address individual fracture patterns of the proximal radius.

3. Insert Tocar Sleeves Insert the NCB tissue protection sleeve assembly 1.6 to 10mm through a skin incision (Fig. 38).

LCP Distal Tibia Plate

Surgical Technique. Lower Extremity Plates and Straight Plates

2.4 mm Variable Angle LCP Volar Extra-Articular Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology.

COMPACT ANKLE FRACTURE SYSTEM

Surgical Technique. CONQUEST FN Femoral Neck Fracture System

Long Volar Plates for Diaphyseal-Metaphyseal Radius Fractures LCP. Dia-Meta Volar Distal Radius Plates. Surgical Technique

TABLE OF CONTENTS. 2 (8144 Rev 2)

2.7 mm/3.5 mm Variable Angle LCP. Ankle Trauma System

Mandible External Fixator II. Provides treatment for fractures of the maxillofacial area.

3.5 mm LCP Extra-articular Distal Humerus Plate

Large Fragment LCP Instrument and Implant Set

Olecranon Locking Plate II

Surgical Technique International Version

3. PATIENT POSITIONING & FRACTURE REDUCTION 3 8. DISTAL GUIDED LOCKING FOR PROXIMAL NAIL PROXIMAL LOCKING FOR LONG NAIL 13

AxSOS Locking Plate System

The Flower Medial Column Fusion Plate

4.5 mm LCP Condylar Plate Aiming Instruments

LCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.

4.5 mm VA-LCP. Part of the Variable Angle Periarticular Plating System

4.5 mm LCP Medial Proximal Tibia Plates

Technique Guide. 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology.

3.5 mm LCP Hook Plate

LCP Distal Humerus Plates

Locking Radial Head Plates

PROXIMAL TIBIAL PLATE

AcUMEDr. FoREARM ROD SYSTEM

LCP Condylar Plate 4.5/5.0. Part of the LCP Periarticular Plating System.

Technique Guide. DCP and LC-DCP Systems. Dynamic Compression Plates (DCP) and Dynamic Compression Plates with Limited Bone Contact (LC-DCP).

System. Humeral Nail. Surgical Technique

NCB Large Fragment System. Surgical Technique

AxSOS. Locking Plate System. Operative Technique. Small Fragment Basic Fragment

VERTEX SELECT. surgical technique. adjustability. Flexibility. adaptability. Reconstruction System

AcUMEDr. Locking Proximal Humeral Plate. PoLARUSr PHPt

Transcription:

Zimmer Small Fragment Universal Locking System Surgical Technique Flexibility and compatibility in one system

Zimmer Small Fragment Universal Locking System Zimmer Small Fragment Universal Locking System Surgical Technique Table of Contents Introduction Indications for Use Plate Features Locking Screw Features Fixation Principles 5 Standard Plating 5 Locked Plating 5 Combined Plating 5 Surgical Technique Required Instrumentation Preoperative Preparation Fracture Reduction Plate Selection Plate Positioning Screw Insertion 7 Buttress Plate 7 Locking Screws 8 MIS Insertion Technique 9 Wound Closure Postoperative Treatment Implant Removal Order Information

Zimmer Small Fragment Universal Locking System Introduction The Zimmer Universal Locking System (ULS) includes straight and formed plates that will accommodate standard cortical and cancellous screws, along with new locking screws (screws that have threaded heads which enable them to be threaded into plate holes). The ULS plates resemble standard plates, but have figure-8 shaped holes which will accommodate standard or locking screws on either side of the hole. As a result, the plate can be used, depending upon the fracture situation, as a compression plate, a locked internal fixator or as an internal fixation system combining both techniques. With a slightly different philosophy of use and modified surgical techniques, these plates provide more fixation options and, often, better fixation in many difficult fractures. Outer jellybean provides dual compression capability The Zimmer Universal Locking System enables the surgeon to: Treat fractures using compression plating techniques with standard cortical or cancellous screws Apply the implant as an internal fixator to bridge highly comminuted zones while providing stable fixation Utilize both standard and locking screws in the same construct Apply bi-directional axial compression within the construct Place the plate on the bone based on the fracture pattern or type, rather than on the plate design Apply the plate submuscularly, with or without a guide Utilize unicortical locking fixation as necessary Utilize existing Periarticular Locking screws and instrumentation, and Zimmer Plates and Screws screws and instrumentation. Note: The Universal Locking System includes many different plate types and can be utilized for treatment of a large number of fracture types. As a result, this surgical technique does not deal with any specific fracture type. Inner figure-8 threaded portion provides locking capability at either end of the hole Please refer to standard orthopaedic texts, the OTA, and other special literature for more specific fracture treatment options.

Zimmer Small Fragment Universal Locking System Indications for Use The Universal Locking Plate System is indicated for temporary internal fixation and stabilization of osteotomies and fractures, including: Comminuted fractures Supracondylar fractures Extra-articular fractures Fractures in osteopenic bone Nonunions Malunions The Zimmer.5mm Universal Locking System includes:.5mm Locking Dual Compression Plates Locking One-Third Tubular Plates.5mm Locking Reconstruction Plates.5mm Locking T-Plates.5mm Oblique Locking T-Plates.5mm Locking Screws.5mm Cortical Screws.0mm Cancellous Screws The Zimmer.7mm Universal Locking System includes:.7mm Locking Dual Compression Plates Locking One-Quarter Tubular Plates.7mm Locking Reconstruction Plates.7mm Locking T-Plates.7mm Locking L-Plates.7mm Oblique Locking L-Plates.7mm Locking Screws.7mm Cortical Screws Plate Features 80 of longitudinal screw angulation of transverse screw angulation Uniform hole spacing along the length of the plate Load/compression and neutral screw positions The Universal Locking Plates have combination locking and compression holes creating a figure-8 shaped plate hole. The ULS hole allows placement of standard cortical screws, cancellous screws or locking screws on either side of each hole..7mm.9mm.5mm Hole.7mm Hole

Zimmer Small Fragment Universal Locking System Locking Screw Features Double-lead threads (Double the shaft thread pitch) Shallow thread profile compared to traditional screws Self-Tapping Head and shaft advance at same rate into plate and bone.5mm Locking Screw.7mm Locking Screw The locking plate design does not require compression between the plate and bone to accommodate loading. Therefore, purchase of the screw in the bone can be achieved with a thread profile that is shallower than that of traditional screws. The shallow thread profile, in turn, allows for screws with a large core diameter to accommodate loading with improved bending and shear strength. Screw head is designed to create nearly flush profile on the plate to decrease soft tissue irritation All screws are self-tapping to aid ease of insertion Double-lead screw head thread is double the screw shaft thread pitch. Screws will advance at same rate into the plate and as into the bone. Double-lead thread allows for maximum thread capture in thin plate sections Screws are machined from cold worked --5 stainless steel for improved fatigue strength as compared to conventional cold worked L stainless steel. Screw lengths sized for uni-cortical as well as bi-cortical screw fixation.

Zimmer Small Fragment Universal Locking System Fixation Principles Standard Plating Anatomic Reduction of the Fracture Fragments Rigid Fixation Preservation of the soft tissues and blood supply to the bone Early movement of the patient Screws tighten plate to bone to generate compression Screw threads in bone are under a load applied intraoperatively Patient loads (weight and movement) add to the amount of preload on the bone/plate/screw construct May assist with reduction and alignment during placement Plate relies on absolute stability for primary healing Locked Plating Anatomic reduction of the articular surface Stable fixation Careful handling and preservation of the soft tissues and blood supply to the bone Early movement of the patient Screws lock to plate Screws inserted into bone with minimal axial preload No stress in the system (bone or plate) prior to patient loads Plate is not compressed to bone reducing constriction of blood supply Does not reduce or align the fracture during its placement Plate acts as a splint relies on relative stability for secondary healing and callus formation A long plate and adequate spacing between the locking screws is required for use as a bridge-plate. The longer the plate the better The main biomechanical and, resulting clinical benefits of locked internal fixators are: The plate and screws form one stable system in which the stability of the fracture depends on the stiffness of the construct. Locking the screw into the plate ensures angular and axial stability, eliminating the possibility for screw toggling or loosening which in turn reduces the risk of postoperative loss of fixation. Locking screws do not rely on plate/ bone compression, but function similarly to multiple small angled blade plates. In osteopenic bone, comminuted fractures, and other areas where traditional screw fixation may be compromised, the ability to lock screws into a fixed angle construct is imperative. Improved biology for healing bridging the fracture with a locked construct does not compress the periosteum, or disrupt the fracture hematoma, thereby improving chances for fracture healing. Combined Plating utilizing two biomechanical principles interfragmentary compression and bridging techniques Note: If lag screw fixation is necessary for any fragment, the lag screw must be inserted before inserting locking screws into that fragment. Reduce the fracture Use lag screws to restore articular anatomy Use cortical or cancellous screws to draw the plate to the surface of the bone Insert locking screws - locking screws lock the plate to the bone regardless of whether or not the fragments are reduced Note: In comminuted fractures, it may not always be possible or desirable to achieve anatomic reduction of the fracture. Combined plating is used most effectively for: Articular fractures with comminuted fracture extension into the diaphysis Segmental fractures which include one simple fracture pattern and one comminuted fracture pattern

Zimmer Small Fragment Universal Locking System Surgical Technique Required instrumentation.5mm Zimmer Universal Locking System Set or.7mm Zimmer Universal Locking System Set In addition, the following sets may be used:.0mm Zimmer Cannulated Screw Set.5mm/.0mm Zimmer Cannulated Screw Set Herbert or Herbert/Whipple Screw Sets Preoperative Preparation After assessing the fracture radiographically and preparing a preoperative plan, place the patient in the appropriate position on a radiolucent table. Be sure that the fluoroscope can be positioned to visualize the fracture in the both the lateral and anterior/posterior (A/P) views. Fracture Reduction It is imperative that accurate reduction of any articular fracture be obtained prior to and maintained during application of the Universal Locking plates. Plate Selection The plates are available in a variety of lengths and sizes similar to the Zimmer Small Fragment System. If necessary, x-ray templates are available to help determine plate length and configuration. Plate Positioning One or more Cannulas may be threaded into the plate for use as an insertion handle or plate positioning handle (Fig. ). Fig. Standard Plate Holding Forceps or the Plate Reduction Instrument may be used for temporary plate fixation. The Plate Reduction Instrument is designed to aid in minor varus-valgus and translation corrections prior to screw placement (Fig. ). Fig. The Plate Reduction Instrument can be used for: MINOR varus-valgus adjustment (<5 ) Translational adjustments Stabilization of plate orientation with respect to the bone during insertion of the first screws MINOR alignment of segmental fragments To use the Plate Reduction Instrument, make a stab incision at the desired location. Insert the Percutaneous Sleeve and Trocar through the Jig and soft tissues ensuring that contact is made with the surface of the plate. Remove the Trocar. Pass the Reduction Spin Knob over the distal portion of the Plate Reduction Instrument until it engages with the fine threads approximately halfway up the shaft of the instrument. Spin the knob until it is positioned close to the quick connect end of the instrument. Insert the Plate Reduction Sleeve through the Percutaneous Sleeve and thread it into the plate. Next insert the Reduction Instrument through the Reduction Sleeve and into the bone fragment by hand or under power to the appropriate depth. Rotating the Spin Knob clockwise will cause it to contact the top of the Reduction Sleeve and in turn, draw the plate and bone together. Monitor progress using C-Arm images. Stop when desired reduction is achieved. Note: Do NOT force tightening of the Reduction Spin Knob against the Reduction Sleeve as this may damage the instrument. If excessive force is required, soft tissue or other bone fragments may be causing interference with the reduction, or fracture reduction may have been lost. Re-check the position of the bone fragments, and repeat the process of reducing the fracture if necessary prior to continued use of the Plate Reduction Instrument. WARNING: Contouring or bending the plate at a threaded hole may deform the threaded hole and cause incompatibility with the Locking Screw in that hole.

Zimmer Small Fragment Universal Locking System Screw Insertion Determine whether standard Cortical, Cancellous, or Locking Screws will be used. Any combination of screws may be used. Use the appropriate Dual Compression Drill Guide for (eccentric) Dynamic Compression or Neutral (buttress) insertion of Cortical or Cancellous Screws (Fig. ). Dynamic Compression (eccentric) insertion of a standard screw (Arrow toward the fracture) (Fig. ). Gold Neutral insertion of a standard screw Fig. 5 Green Fig. Note: Do NOT attempt to insert more than one screw into each figure-8 shaped hole. Fig. The GOLD end of the Drill Guide produces a hole that is 0.75mm off-center and away from the fracture, so that when the screw is tightened, the bone moves relative to the plate and the fracture is compressed. After insertion of one compression screw, additional compression using an additional eccentric screw is possible. If the screw is to be inserted in neutral (GREEN) position, the hole is 0.mm off-center which theoretically adds a small amount of compression even in the neutral position (Fig. 5). Buttress Plate If the plate is intended to be used as a BUTTRESS, the Cannula serves as the drill guide to place the screw in the opposite end of the hole. This will prevent any gliding of the plate relative to the bone.

Zimmer Small Fragment Universal Locking System Locking Screws Note: If lag screw fixation or compression of the plate to the bone is necessary for any fragment, the lag screw must be inserted before inserting locking screws into that fragment. Insert the Drill Bit through the Cannula and drill to the appropriate depth. Remove the Drill Bit and the Cannula (Fig. 9 & 0). Do NOT attempt to place screws or cannulas in the positions shown below: in directly adjacent positions in the holes simultaneously in both sides of the figure-8 shaped hole Thread the appropriate Standard Cannula into the first plate hole to be used for provisional fixation (Fig. ). The Cannula Inserter may be used to tighten the Cannula if necessary. Insert the appropriate K-Wire through the Cannula to the desired depth (Fig. 7). Fig. 7 Follow the same procedure to place another K-wire. Fig. 9 Fig. 0 Fig. 8 Fig. Thread a Drill Cannula (either.0mm or.7mm as appropriate) into the plate hole where you want to place the first locking screw (Fig. 8).

Zimmer Small Fragment Universal Locking System Insert the Small Depth Gauge to determine screw length (for.5mm screws up to 0mm in length. For longer.5mm screws, use the Percutaneous Depth Gauge. For all.7mm Screws use the.7mm Locking Screw Depth Gauge) (Fig. ). MIS Insertion Technique Note: The Plate Insertion Guide will target the entire length of a.5mm plate holes or less in length, and a.7mm plate holes or less in length (Fig. ). Longer plates will require that the Plate Insertion Guide be repositioned or an additional incision be made to visualize and target the additional holes. Slide the plate submuscularly and keep the end of the plate in contact with the bone to ensure proper placement. Insert a Drill Tip Guide Wire through each of the Cannulas to the appropriate depth (Fig. ). Check plate placement visually and fluoroscopically to ensure that it is positioned correctly on the bone. Fig. Note: To ensure complete bicortical penetration of the screw tip, ADD mm mm to the screw length measurement. Note: A screwdriver shaft can be used to loosely insert the screw under power, but the final seating must be accomplished by hand to avoid crossthreading of the screw in the plate hole or breakage of the screw or driver. Repeat this process to insert additional locking screws. Make a final check of the limb alignment and fracture reduction. Then make sure that all locking screws are securely tightened before closing. Fig. WARNING: Contouring or bending the plate at or near a threaded hole may deform the threaded hole and cause incompatibility with the instruments and Locking Screws. Attach the Plate Insertion Guide to the appropriate plate using two (.0mm or.7mm) Percutaneous Cannulas with Cannula Nuts inserted through the two ROUND holes at the end of the device (Fig. ). Finger tighten the Cannula Nuts to secure the Guide to the plate. The Plate Insertion Guide may be attached at any point along the length of the straight plates. Fig. When these wires are satisfactory, and depending upon the fracture fragments and reduction requirements, adjust the plate position, if necessary. Make a small incision at the location of the last hole at the opposite end of the plate and carefully dissect the tissues down to the bone. Insert the appropriate Percutaneous Sleeve, Trocar, and Cannula through the soft tissues until they contact the surface of the plate (Fig. 5). Fig. Fig. 5

0 Zimmer Small Fragment Universal Locking System Remove the Trocar and thread the.7mm or.0mm Percutaneous Cannula into the appropriate position in the plate hole. Finger tighten the Cannula Nut (Fig. & 7). Insert a Guide Wire through the Cannula to the appropriate depth. Check plate position. The Plate Reduction Instrument (Fig. 8) can be used for: MINOR varus-valgus adjustment (<5 ) Translational adjustments Stabilization of plate orientation with respect to the bone during insertion of the first screws MINOR alignment of segmental fragments To use the Plate Reduction Instrument, make a stab incision at the desired location. Insert the Percutaneous Sleeve and Trocar through the Plate Insertion Guide and soft tissues ensuring that contact is made with the surface of the plate (Fig. 9). Remove the Trocar. Pass the Reduction Spin Knob over the distal portion of the Plate Reduction Instrument until it engages with the fine threads approximately half-way up the shaft of the instrument. Spin the knob until it is positioned close to the quick connect end of the instrument (Fig. 0). Fig. Fig. 9 Fig. 7 Fig. 8 Fig. 0 Insert the Plate Reduction Sleeve through the Percutaneous Sleeve and thread it into the plate. Next insert the Reduction Instrument through the Reduction Sleeve and into the bone fragment by hand or under power to the appropriate depth. Rotating the Spin Knob clockwise will cause it to contact the top of the Reduction Sleeve and in turn, draw the plate and bone together. Monitor progress using C-Arm images. Stop when desired reduction is achieved.

Zimmer Small Fragment Universal Locking System Note: Do NOT force tightening of the Reduction Spin Knob against the Reduction Sleeve as this may damage the instrument. If excessive force is required, soft tissue or other bone fragments may be causing interference with the reduction, or fracture reduction may have been lost. Re-check the position of the bone fragments, and repeat the process of reducing the fracture if necessary prior to continued use of the Plate Reduction Instrument. Remove the first Guide Wire. Cortical Screws To insert a Cortical Screw, use the appropriate Percutaneous Drill Bit and drill to the appropriate depth. Remove the Drill Bit, loosen the Cannula Nut, and remove the Cannula. Use the appropriate Percutaneous Depth Gauge to measure for screw length. Note: The Depth Gauges are used to measure both Cortical and Locking Screw lengths. Tapping is not typically necessary as the flutes of the screws are self-tapping, but if the bone is dense, the near cortex may be tapped using the.5mm Percutaneous ZPS Screw Tap. Insert the appropriate Cortical screw using the.5mm Hex Percutaneous Screwdriver Bit under power. Repeat this procedure to insert additional Cortical Screws. Locking Screws To insert a Locking Screw, use the appropriate Percutaneous Drill Bit and drill to the appropriate depth. Remove the Drill Bit, loosen the Cannula Nut, and remove the Cannula. Use the appropriate Percutaneous Depth Gauge to measure for screw length. Note: If lag screw fixation or compression of the plate to the bone is necessary for any fragment, the lag screw must be inserted before inserting locking screws into that fragment. Note: A screwdriver shaft may be used to loosely insert the screws under power, but the final seating MUST be accomplished by hand to avoid crossthreading of the screws in the plate holes or failure of the screws or driver. Use the.5mm Hex Percutaneous Screwdriver Bit with the 00-8-05-0 Phenolic Handle to final tighten the screws (Fig. ). Note: Secure the PLATE INSERTION GUIDE to the PLATE in at least two locations, one proximally and one distally using Percutaneous Sleeves, Cannulas and Cannula Nuts to maintain the position of the PLATE INSERTION GUIDE relative to the PLATE. DO NOT remove these until fixation is stable and nearly complete. Removal of the proximal and distal Cannulas and Cannula Nuts will cause the Plate Insertion Guide to shift, and may result in the inability to thread additional Cannulas into the plate holes. Note: To ensure complete bicortical penetration of the screw tip, ADD mm mm to the screw length measurement. Repeat this procedure to insert additional locking screws. Tapping is not typically necessary as the flutes of the screws are self-tapping, but if the bone is dense, the near cortex may be tapped using the.5mm or.7mm Percutaneous Locking Screw Tap. BE SURE THAT ALL LOCKING SCREWS ARE SECURELY TIGHTENED. Make a final check of the limb alignment and fracture reduction. Then make sure that ALL LOCKING SCREWS ARE SECURLY TIGHTENED by hand before closing. Loosen all remaining Cannula Nuts and remove the Sleeves, Cannulas, and the Plate Insertion Guide. Fig.

Zimmer Small Fragment Universal Locking System Wound Closure Use the appropriate method for surgical closure of the incisions. Postoperative Treatment Postoperative treatment with Universal Locking Plates does not differ from conventional internal fixation procedures. Implant Removal To remove locking screws, unlock all screws from the plate and then remove the screws completely.

Zimmer Small Fragment Universal Locking System Order Information 00-8-05-0 All.5mm Universal Locking System Instruments 00-80-0-5.5mm Drill Bit 00-80-0-5.5mm Drill Bit 00-808-05-0.5mm/.5mm Double Drill Sleeve 00-8-05-00 QC T Handle 00-8-05-0 QC Handle 00-8-0-5.5mm Tap 00-8-00-00 Screw Forceps 00-8-05-00.5mm Hex Standard Screwdriver, with Handle 00-8-05-0 Screw Holding Sleeve 00-8-008-00 Hohmann Retractor 00-8-05-00 Hohmann Retractor 00-8-00-00 Periosteal Elevator 00-8-00-00 Reduction Forceps 00-8-00-00 Reduction Forceps 00-8-007-00 Reduction Forceps 00-8-0-0 Reverse self-centering bone forceps 00-87-00-00 Sharp Hook 00-8-05-05.5mm Universal Locking System Compression Drill Guide 00-8-05-5 Universal Locking System.5mm Standard Drill 00-80-00-0 Small Depth Gauge, for.7mm.5mm and.0mm Screws up to 0mm in length 00-89-00-00 Bending Iron, Left for.7mm and.5mm Plates 00-89-00-00 Bending Iron, Right for.7mm and.5mm Plates 00-90-0-5 K-Wire.5mm Diax 50mm, Trocar point, one end 00-90-0-5 K-Wire.mm Diax 50mm, Trocar point, one end 00-90-00-5 K-Wire.0mm Diax 50mm, Trocar point, one end box of box of box of 00-7-07-00 Cleaning Stylet 00-7-07-00 Cleaning Brush 00-0-0-0.5mm/.7mm Plate Reduction Instrument 00-0-0-0.5mm/.7mm Plate Reduction Sleeve 00-0-0-0 Plate Reduction Spin Knob 00-0-00-7.7mm Standard Cannula 00-0-0-.mm Standard Cannula 00-80-00-0 Small Depth Gauge for screws up to 0mm in length 00-8-05-0 Handle, Q-C, Phenolic 00-0-080-00 Torque Limiting Attachment 00-0-088-00.5mm/.7mm Cannula Inserter 00-0-5-5.5mm Locking Screw Tap 00-0-5-5.5mm Hex Standard Screwdriver 00-0-05-7.7mm Standard Drill 00-8-090-00.5mm ULS Instrument Case 00-0-05-7.7mm Per Cannula 00-0-0-.mm Perc Drill Tip Guide Wire 0 00-0-05-5.5mm Locking Screw Perc Depth Gauge 00-0-050-5.5mm Perc Locking Screw Tap 00-0-05-5.5mm Perc ZPS Screw Tap 00-0-07-5.5mm Hex Perc Screwdriver 00-0-088-0.5/.7mm Perc Cannula Inserter 00-0-09-08.5mm/.7mm Perc Cannula Sleeve 00-0-09-09.5mm/.7mm Perc Trocar 00-0-70-7.7mm Perc Drill 00-88-09-00.5mm/.7mm Universal Locking System MIS Hole Indicator 00-8-0- ULS.mm Perc Cannula 00-8-050-00.5mm Universal Locking System Plate Insertion Guide 00-8-70-5 Universal Locking System.5mm Perc Drill (= box of 5)

Zimmer Small Fragment Universal Locking System 00-8-05-.5mm ULS Standard Instruments 00-80-0-5.5mm Drill Bit 00-808-05-0.5mm/.5mm Double Drill Sleeve 00-80-00-0 Small Depth Gauge 00-8-05-00 QC T Handle 00-8-0-5.5mm Tap 00-8-00-00 Screw Forceps 00-8-05-00.5mm Hex Standard Screwdriver, w/handle 00-8-05-0 Screw holding sleeve 00-8-008-00 Hohmann Retractor 00-8-05-00 Hohmann Retractor 00-8-00-00 Periosteal Elevator 00-8-00-00 Reduction Forceps 00-8-00-00 Reduction Forceps 00-8-007-00 Reduction Forceps 00-8-0-0 Self-centering Bone Forceps 00-87-00-00 Sharp Hook 00-89-00-00 Bending Iron, Left for.7mm and.5mm Plates 00-89-00-00 Bending Iron, Right for.7mm and.5mm Plates 00-8-05-05.5mm Universal Locking System Compression Drill Guide 00-8-05-5 Universal Locking System.5mm Standard Drill 00-90-0-5 K-Wire.5mm DiaX50mm, Trocar Point, One End 00-90-0-5 K-Wire.mm DiaX50mm, Trocar Point, One End 00-90-00-5 K-Wire.0mm DiaX50mm, Trocar Point, One End 00-80-0-5 Drill Bit, QC.5mm Dia, 0mm Length box of box of box of 00-8-05-.5mm ULS Locking Instruments 00-7-07-00 Cleaning Stylet 00-7-07-00 Cleaning Brush 00-0-0-0.5mm/.7mm Plate Reduction Instrument 00-0-0-0.5mm/.7mm Plate Reduction Sleeve 00-0-0-0 Plate Reduction Spin Knob 00-0-00-7.7mm Standard Cannula 00-0-0-.mm Standard Cannula 00-0-080-00 Torque Limiting Attachment 00-0-088-00.5mm/.7mm Cannula Inserter 00-0-5-5.5mm Locking Screw Tap 00-0-5-5.5mm Hex Standard Screwdriver 00-8-05-0 QC Handle 00-0-05-7.7mm Standard Drill 00-8-090-00.5mm ULS Instrument Case 00-8-05-.5mm ULS MIS Instruments 00-0-05-7.7mm Perc Cannula 00-0-0-.mm Perc Drill Tip Guide Wire 0 00-0-05-5.5mm Locking Screw Perc Depth Gauge 00-0-050-5.5mm Perc Locking Screw Tap 00-0-05-5.5mm Perc ZPS Screw Tap 00-0-07-5.5mm Hex Perc Screwdriver 00-0-088-0.5/.7mm Perc Cannula Inserter 00-0-09-08.5mm/.7mm Perc Cannula Sleeve 00-0-09-09.5mm/.7mm Perc Trocar 00-0-70-7.7mm Perc Drill 00-88-09-00.5mm/.7mm Universal Locking System MIS Hole Indicator 00-8-0- ULS.mm Perc Cannula 00-8-050-00.5mm Universal Locking System Plate Insertion Guide 00-8-70-5 Universal Locking System.5mm Perc Drill (= box of 5)

Zimmer Small Fragment Universal Locking System 5 00-8-05-.5mm ULS Standard and Locking Instruments 00-7-07-00 Cleaning Stylet 00-7-07-00 Cleaning Brush 00-0-0-0.5mm/.7mm Plate Reduction Instrument 00-0-0-0.5mm/.7mm Plate Reduction Sleeve 00-0-0-0 Plate Reduction Spin Knob 00-0-00-7.7mm Standard Cannula 00-0-0-.mm Standard Cannula 00-0-080-00 Torque Limiting Attachment 00-0-088-00.5mm/.7mm Cannula Inserter 00-0-5-5.5mm Locking Screw Tap 00-0-5-5.5mm Hex Standard Screwdriver 00-0-05-7.7mm Standard Drill 00-80-0-5 Drill Bit, QC.5mm Dia, 0mm Length 00-80-0-5.5mm Drill Bit 00-808-05-0.5mm/.5mm Double Drill Sleeve 00-80-00-0 Small Depth Gauge, for.7mm.5mm and.0mm Screws up to 0mm in length 00-8-05-00 QC T Handle 00-8-05-0 Handle Q-C, Phenolic 00-8-0-5.5mm Tap 00-8-00-00 Screw Forceps 00-8-05-00.5mm Hex Standard Screwdriver, w/handle 00-8-05-0 Screw holding sleeve 00-8-008-00 Hohmann Retractor 00-8-05-00 Hohmann Retractor 00-8-00-00 Periosteal Elevator 00-8-00-00 Reduction Forceps 00-8-00-00 Reduction Forceps 00-8-007-00 Reduction Forceps 00-8-0-0 Self-centering Bone Forceps 00-87-00-00 Sharp Hook 00-89-00-00 Bending Iron, Left for.7mm and.5mm Plates 00-89-00-00 Bending Iron, Right for.7mm and.5mm Plates 00-8-05-05.5mm Universal Locking System Compression Drill Guide 00-8-05-5 Universal Locking System.5mm Standard Drill 00-90-0-5 K-Wire.5mm DiaX50mm, Trocar Point, One End 00-90-0-5 K-Wire.mm DiaX50mm, Trocar Point, One End 00-90-00-5 K-Wire.0mm DiaX50mm, Trocar Point, One End 00-8-090-00.5mm ULS Plate/Screw/Instrument Case box of box of box of 00-9-05-0.5mm Zimmer Universal Locking Plates 00-9-00-.5mm Locking Reconstruction Plate, Straight, Hole, 0mm 00-9-00-.5mm Locking Reconstruction Plate, Straight, Hole, 5mm 00-9-005-.5mm Locking Reconstruction Plate, Straight, 5 Hole, mm 00-9-00-.5mm Locking Reconstruction Plate, Straight, Hole, 79mm 00-9-007-.5mm Locking Reconstruction Plate, Straight, 7 Hole, 9mm 00-9-008-.5mm Locking Reconstruction Plate, Straight, 8 Hole, 05mm 00-9-009-.5mm Locking Reconstruction Plate, Straight, 9 Hole, 8mm 00-9-00-.5mm Locking Reconstruction Plate, Straight, 0 Hole, mm 00-9-0-.5mm Locking Reconstruction Plate, Straight, Hole, mm 00-9-0-.5mm Locking Reconstruction Plate, Straight, Hole, 57mm 00-9-00-07.5mm Locking Dual Compression Plate, Hole, 5mm 00-9-005-07.5mm Locking Dual Compression Plate, 5 Hole, mm 00-9-00-07.5mm Locking Dual Compression Plate, Hole, 79mm 00-9-007-07.5mm Locking Dual Compression Plate, 7 Hole, 9mm 00-9-008-07.5mm Locking Dual Compression Plate, 8 Hole, 05mm 00-9-009-07.5mm Locking Dual Compression Plate, 9 Hole, 8mm

Zimmer Small Fragment Universal Locking System 00-9-00-07.5mm Locking Dual Compression Plate, 0 Hole, mm 00-9-0-07.5mm Locking Dual Compression Plate, Hole, 57mm 00-9-0-07.5mm Locking Dual Compression Plate, Hole, 8mm 00-9-05-0.5mm Locking T-Plate, Hole Head, 5 hole Shaft, 7mm Length 00-9-0-0.5mm Locking T-Plate, Hole Head, hole Shaft, 85mm Length 00-9-0-05.5mm Locking T-Plate, Oblique, Hole Head, hole Shaft, Left, 5mm Length 00-9-0-05.5mm Locking T-Plate, Oblique, Hole Head, Hole Shaft, Left, mm Length 00-9-0-0.5mm Locking T-Plate, Oblique, Hole Head, hole Shaft, Right, 5mm Length 00-9-0-0.5mm Locking T-Plate, Oblique, Hole Head, hole Shaft, Right, mm Length 00-9-005-0 Locking One-Third Tubular Plate, 5 Hole, 8mm 00-9-00-0 Locking One-Third Tubular Plate, Hole, 8mm 00-9-007-0 Locking One-Third Tubular Plate, 7 Hole, 9 mm 00-9-008-0 Locking One-Third Tubular Plate, 8 Hole,07 mm 00-9-00-0 Locking One-Third Tubular Plate, 0 Hole, mm 7-9-05-0.5mm Zimmer Universal Locking Plates, 7-9-00-.5mm Locking Reconstruction Plate, Straight, Hole, 0mm, 7-9-00-.5mm Locking Reconstruction Plate, Straight, Hole, 5mm, 7-9-005-.5mm Locking Reconstruction Plate, Straight, 5 Hole, mm, 7-9-00-.5mm Locking Reconstruction Plate, Straight, Hole, 79mm, 7-9-007-.5mm Locking Reconstruction Plate, Straight, 7 Hole, 9mm, 7-9-008-.5mm Locking Reconstruction Plate, Straight, 8 Hole, 05mm, 7-9-009-.5mm Locking Reconstruction Plate, Straight, 9 Hole, 8mm, 7-9-00-.5mm Locking Reconstruction Plate, Straight, 0 Hole, mm, 7-9-0-.5mm Locking Reconstruction Plate, Straight, Hole, mm, 7-9-0-.5mm Locking Reconstruction Plate, Straight, Hole, 57mm, 7-9-00-07.5mm Locking Dual Compression Plate, Hole, 5mm, 7-9-005-07.5mm Locking Dual Compression Plate, 5 Hole, mm, 7-9-00-07.5mm Locking Dual Compression Plate, Hole, 79mm, 7-9-007-07.5mm Locking Dual Compression Plate, 7 Hole, 9mm, 7-9-008-07.5mm Locking Dual Compression Plate, 8 Hole, 05mm, 7-9-009-07.5mm Locking Dual Compression Plate, 9 Hole, 8mm, 7-9-00-07.5mm Locking Dual Compression Plate, 0 Hole, mm, 7-9-0-07.5mm Locking Dual Compression Plate, Hole, 57mm, 7-9-0-07.5mm Locking Dual Compression Plate, Hole, 8mm, 7-9-05-0.5mm Locking T-Plate, Hole Head, 5 hole Shaft, 7mm Length, 7-9-0-0.5mm Locking T-Plate, Hole Head, hole Shaft, 85mm Length, 7-9-0-05.5mm Locking T-Plate, Oblique, Hole Head, hole Shaft, Left, 5mm Length, 7-9-0-05.5mm Locking T-Plate, Oblique, Hole Head, Hole Shaft, Left, mm Length, 7-9-0-0.5mm Locking T-Plate, Oblique, Hole Head, hole Shaft, Right, 5mm Length, 7-9-0-0.5mm Locking T-Plate, Oblique, Hole Head, hole Shaft, Right, mm Length, 7-9-005-0 Locking One-Third Tubular Plate, 5 Hole, 8mm, 7-9-00-0 Locking One-Third Tubular Plate, Hole, 8mm, 7-9-007-0 Locking One-Third Tubular Plate, 7 Hole, 9mm, 7-9-008-0 Locking One-Third Tubular Plate, 8 Hole,07mm, 7-9-00-0 Locking One-Third Tubular Plate, 0 Hole, mm,

Zimmer Small Fragment Universal Locking System 7 Part Number Description Optional.5mm Plates, 7-9-0-.5mm Locking Reconstruction Plate, Hole, 7-9-0-.5mm Locking Reconstruction Plate, Hole, 7-9-05-.5mm Locking Reconstruction Plate, 5 Hole, 7-9-0-.5mm Locking Reconstruction Plate, Hole, 7-9-08-.5mm Locking Reconstruction Plate, 8 Hole, 7-9-00-.5mm Locking Reconstruction Plate, 0 Hole, 7-9-0-.5mm Locking Reconstruction Plate, Hole, 7-9-0-07.5mm Locking Dual Compression Plate, Hole, 7-9-00-07.5mm Locking Dual Compression Plate, 0 Hole, 7-9-00-0 Locking One-Third Tubular Plate, Hole, 7-9-00-0 Locking One-Third Tubular Plate, Hole, 7-9-0-0 Locking One-Third Tubular Plate, Hole, 7-9-0-0 Locking One-Third Tubular Plate, Hole, 00-8-05-0.5mm Universal Locking Screws 00-59-0-5.5mm Locking Screw mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-08-5.5mm Locking Screw 8mm Lng 00-59-00-5.5mm Locking Screw 0mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-08-5.5mm Locking Screw 8mm Lng 00-59-00-5.5mm Locking Screw 0mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-08-5.5mm Locking Screw 8mm Lng 00-59-00-5.5mm Locking Screw 0mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-0-5.5mm Locking Screw mm Lng 00-59-08-5.5mm Locking Screw 8mm Lng 00-59-050-5.5mm Locking Screw 50mm Lng 00-59-05-5.5mm Locking Screw 5mm Lng 00-59-05-5.5mm Locking Screw 5mm Lng 00-59-05-5.5mm Locking Screw 5mm Lng 00-59-058-5.5mm Locking Screw 58mm Lng 00-59-00-5.5mm Locking Screw 0mm Lng 00-59-05-5.5mm Locking Screw 5mm Lng 00-59-070-5.5mm Locking Screw 70mm Lng 00-59-075-5.5mm Locking Screw 75mm Lng 00-59-080-5.5mm Locking Screw 80mm Lng 00-59-085-5.5mm Locking Screw 85mm Lng 00-59-090-5.5mm Locking Screw 90mm Lng

8 Zimmer Small Fragment Universal Locking System 00-8-05-5.5mm Universal Locking System Cortical Screws 00-85-00-0.5mm Cortical Screws 0mm Long, 00-85-0-0.5mm Cortical Screws mm Long, 00-85-0-0.5mm Cortical Screws mm Long, 00-85-0-0.5mm Cortical Screws mm Long, 00-85-08-0.5mm Cortical Screws 8mm Long, 00-85-00-0.5mm Cortical Screws 0mm Long, 00-85-0-0.5mm Cortical Screws mm Long, 00-85-0-0.5mm Cortical Screws mm Long, 00-85-0-0.5mm Cortical Screws mm Long, 00-85-08-0.5mm Cortical Screws 8mm Long, 00-85-00-0.5mm Cortical Screws 0mm Long, 00-85-0-0.5mm Cortical Screws mm Long, 00-85-0-0.5mm Cortical Screws mm Long, 00-85-0-0.5mm Cortical Screws mm Long, 00-85-08-0.5mm Cortical Screws 8mm Long, 00-85-00-0.5mm Cortical Screws 0mm Long, 00-85-05-0.5mm Cortical Screws 5mm Long, 00-85-050-0.5mm Cortical Screws 50mm Long, 00-85-055-0.5mm Cortical Screws 55mm Long, 00-85-00-0.5mm Cortical Screws 0mm Long, 00-85-05-0.5mm Cortical Screws 5mm Long, 00-85-070-0.5mm Cortical Screws 70mm Long, 00-85-075-0.5mm Cortical Screws 75mm Long, 00-85-080-0.5mm Cortical Screws 80mm Long, 00-8-05-0.5mm Universal Locking System.0mm Cancellous Screws 00-80-00-00.0mm Cancellous Screws 0mm Lng, 00-80-0-00.0mm Cancellous Screws mm Lng, 00-80-0-00.0mm Cancellous Screws mm Lng, 00-80-0-00.0mm Cancellous Screws mm Lng, 00-80-08-00.0mm Cancellous Screws 8mm Lng, 00-80-00-00.0mm Cancellous Screws 0mm Lng, 00-80-0-00.0mm Cancellous Screws mm Lng, 00-80-00-00.0mm Cancellous Screws 0mm Lng, 00-80-05-00.0mm Cancellous Screws 5mm Lng, 000-80-050-00.0mm Cancellous Screws 50mm Lng, 00-80-055-00.0mm Cancellous Screws 55mm Lng, 7-8-05-0.5mm Universal Locking Screws, 7-59-0-5.5mm Locking Screw mm 7-59-0-5.5mm Locking Screw mm 7-59-0-5.5mm Locking Screw mm 7-59-08-5.5mm Locking Screw 8mm 7-59-00-5.5mm Locking Screw 0mm 7-59-0-5.5mm Locking Screw mm 7-59-0-5.5mm Locking Screw mm 7-59-0-5.5mm Locking Screw mm 7-59-08-5.5mm Locking Screw 8mm 7-59-00-5.5mm Locking Screw 0mm 7-59-0-5.5mm Locking Screw mm 7-59-0-5.5mm Locking Screw mm 7-59-0-5.5mm Locking Screw mm 7-59-08-5.5mm Locking Screw 8mm 7-59-00-5.5mm Locking Screw 0mm 7-59-0-5.5mm Locking Screw mm 7-59-0-5.5mm Locking Screw mm 7-59-0-5.5mm Locking Screw mm

Zimmer Small Fragment Universal Locking System 9 7-59-08-5.5mm Locking Screw 8mm 7-59-050-5.5mm Locking Screw 50mm 7-59-05-5.5mm Locking Screw 5mm 7-59-05-5.5mm Locking Screw 5mm 7-59-05-5.5mm Locking Screw 5mm 7-59-058-5.5mm Locking Screw 58mm 7-59-00-5.5mm Locking Screw 0mm 7-59-05-5.5mm Locking Screw 5mm 7-59-070-5.5mm Locking Screw 70mm 7-59-075-5.5mm Locking Screw 75mm 7-59-080-5.5mm Locking Screw 80mm 7-59-085-5.5mm Locking Screw 85mm 7-59-090-5.5mm Locking Screw 90mm 7-8-05-5.5mm Universal Locking System Cortical Screws, 7-85-00-0.5mm Cortical Screws 0mm Long,, 7-85-0-0.5mm Cortical Screws mm Long,, 7-85-0-0.5mm Cortical Screws mm Long,, 7-85-0-0.5mm Cortical Screws mm Long,, 7-85-08-0.5mm Cortical Screws 8mm Long,, 7-85-00-0.5mm Cortical Screws 0mm Long,, 7-85-0-0.5mm Cortical Screws mm Long,, 7-85-0-0.5mm Cortical Screws mm Long,, 7-85-0-0.5mm Cortical Screws mm Long,, 7-85-08-0.5mm Cortical Screws 8mm Long,, 7-85-00-0.5mm Cortical Screws 0mm Long,, 7-85-0-0.5mm Cortical Screws mm Long,, 7-85-0-0.5mm Cortical Screws mm Long,, 7-85-0-0.5mm Cortical Screws mm Long,, 7-85-08-0.5mm Cortical Screws 8mm Long,, 7-85-00-0.5mm Cortical Screws 0mm Long,, 7-85-05-0.5mm Cortical Screws 5mm Long,, 7-85-050-0.5mm Cortical Screws 50mm Long,, 7-85-055-0.5mm Cortical Screws 55mm Long,, 7-85-00-0.5mm Cortical Screws 0mm Long,, 7-85-05-0.5mm Cortical Screws 5mm Long,, 7-85-070-0.5mm Cortical Screws 70mm Long,, 7-85-075-0.5mm Cortical Screws 75mm Long,, 7-85-080-0.5mm Cortical Screws 80mm Long,, 7-8-05-0.5mm Universal Locking System.0mm Cancellous Screws, 7-80-00-00.0mm Cancellous Screws 0mm Lng,, 7-80-0-00.0mm Cancellous Screws mm Lng,, 7-80-0-00.0mm Cancellous Screws mm Lng,, 7-80-0-00.0mm Cancellous Screws mm Lng,, 7-80-08-00.0mm Cancellous Screws 8mm Lng,, 7-80-00-00.0mm Cancellous Screws 0mm Lng,, 7-80-0-00.0mm Cancellous Screws mm Lng,, 7-80-00-00.0mm Cancellous Screws 0mm Lng,, 7-80-05-00.0mm Cancellous Screws 5mm Lng,, 7-80-050-00.0mm Cancellous Screws 50mm Lng,, 7-80-055-00.0mm Cancellous Screws 55mm Lng,,

0 Zimmer Small Fragment Universal Locking System 00-88-07-0 All.7mm Universal Locking System Instruments 00-7-07-00 Cleaning Stylet 00-7-07-00 Cleaning Brush 00-0-0-.mm Perc Drill Tip Guide Wire 0 00-0-050-7.7mm Perc Locking Screw Tap 00-0-05-7.7mm Perc ZPS Screw Tap 00-0-07-5.5mm Hex Perc Screwdriver 00-0-080-00 Torque Limiting Attachment 00-0-09-.5mm/.7mm Perc Cannula Nut 00-0-5-7.7mm Locking Screw Tap 00-0-5-5.5mm Hex Standard Screwdriver 00-0-75-0.0mm Standard Drill 00-0-0-0.0mm Perc Drill 00-80-00-0 Drill Bit, QC.0mm Dia, 00mm Length 00-80-00-7.7mm Drill Bit 00-808-07-0.7mm /.0mm Double Drill Sleeve 00-8-05-00 QC T Handle 00-8-05-0 QC Handle 00-8-00-7.7mm Tap 00-8-00-00 Screw Forceps 00-8-05-00.5mm Hex Standard Screwdriver, w/handle 00-8-008-00 Hohmann Retractor 00-8-05-00 Hohmann Retractor 00-8-00-00 Periosteal Elevator 00-8-00-00 Reduction Forceps 00-8-00-00 Reduction Forceps 00-8-007-00 Reduction Forceps 00-8-0-0 Self-centering Bone Forceps 00-87-00-00 Sharp Hook 00-89-00-00 Bending Iron, Left for.7mm and.5mm Plates 00-89-00-00 Bending Iron, Right for.7mm and.5mm Plates 00-88-00-0.7mm Universal Locking System Depth Gauge 00-88-0-0.5mm/.7mm Plate Reduction Instrument 00-88-0-0.7mm Universal Locking System Plate Reduction Sleeve 00-88-0-0 Plate Reduction Spin Knob 00-88-0-0.0 mm Universal Locking System Standard Cannula 00-88-0-0 Universal Locking System.0mm Perc Cannula 00-88-07-05.7mm Universal Locking System Compression Drill Guide 00-88-05-0.7mm Universal Locking System Screw Holding Sleeve 00-88-050-00.7m Universal Locking System Plate Insertion Guide 00-88-09-00.5mm/.7mm Universal Locking System Perc Hole Indicator 00-88-09-08.7mm Universal Locking System Perc Sleeve 00-88-09-09.7mm Universal Locking System Perc Trocar 00-88-095-00.7mm ULS Plate/Screw/Instrument Case 00-90-0-5 K-Wire.5mm DiaX50mm, Trocar Point, One End 00-90-0-5 K-Wire.mm DiaX50mm, Trocar Point, One End 00-90-00-5 K-Wire.0mm DiaX50mm, Trocar Point, One End (= box of 5) box of box of box of 00-88-07-.7mm Universal Locking Standard Instruments 00-80-00-0 Drill Bit, QC.0mm Dia, 00mm Length 00-80-00-7.7mm Drill Bit 00-808-07-0.7mm /.0mm Double Drill Sleeve 00-8-05-00 QC T Handle 00-8-00-7.7mm Tap 00-8-00-00 Screw Forceps 00-8-05-00.5mm Hex Standard Screwdriver, w/handle 00-8-008-00 Hohmann Retractor 00-8-05-00 Hohmann Retractor 00-8-00-00 Periosteal Elevator 00-8-00-00 Reduction Forceps 00-8-00-00 Reduction Forceps 00-8-007-00 Reduction Forceps 00-8-0-0 Self-centering Bone Forceps 00-87-00-00 Sharp Hook 00-89-00-00 Bending Iron, Left for.7mm and.5mm Plates

Zimmer Small Fragment Universal Locking System 00-89-00-00 Bending Iron, Right for.7mm and.5mm Plates 00-88-00-0.7mm Universal Locking System Depth Gauge 00-88-07-05.7mm Universal Locking System Compression Drill Guide 00-88-05-0.7mm Universal Locking System Screw Holding Sleeve 00-90-0-5 K-Wire.5mm DiaX50mm, Trocar Point, One End 00-90-0-5 K-Wire.mm DiaX50mm, Trocar Point, One End 00-90-00-5 K-Wire.0mm DiaX50mm, Trocar Point, One End box of box of box of 00-88-07-.7mm Universal Locking Instruments 00-7-07-00 Cleaning Stylet 00-7-07-00 Cleaning Brush 00-0-5-7.7mm Locking Screw Tap 00-0-5-5.5mm Hex Standard Screwdriver 00-0-75-0.0mm Standard Drill 00-0-080-00 Torque Limiting Attachment 00-88-0-0.5mm/.7mm Plate Reduction Instrument 00-88-0-0.7mm Universal Locking System Plate Reduction Sleeve 00-88-0-0 Plate Reduction Spin Knob 00-88-0-0.0mm Universal Locking System Standard Cannula 00-8-05-0 QC Handle 00-88-095-00.7mm ULS Plate/Screw/Instrument Case 00-88-07-.7mm Universal Locking System MIS Instruments 00-0-0-.mm Perc Drill Tip Guide Wire 0 00-0-050-7.7mm Perc Locking Screw Tap 00-0-05-7.7mm Perc ZPS Screw Tap 00-0-07-5.5mm Hex Perc Screwdriver 00-0-09-.5mm/.7mm Perc Cannula Nut 00-0-0-0.0mm Perc Drill 00-88-00-0.7mm Universal Locking System Depth Gauge 00-88-0-0.5mm/.7mm Plate Reduction Instrument 00-88-0-0.7mm Universal Locking System Plate Reduction Sleeve 00-88-0-0 Plate Reduction Spin Knob 00-88-0-0 Universal Locking System.0mm Perc Cannula 00-88-050-00.7mm Universal Locking System Plate Insertion Guide 00-88-09-00.5mm/.7mm Universal Locking System Perc Hole Indicator 00-88-09-08.7mm Universal Locking System Perc Sleeve 00-88-09-09.7mm Universal Locking System Perc Trocar (= box of 5)

Zimmer Small Fragment Universal Locking System 00-88-07-.7mm ULS Standard and Locking Instruments 00-7-07-00 Cleaning Stylet 00-7-07-00 Cleaning Brush 00-0-080-00 Torque Limiting Attachment 00-0-5-7.7mm Locking Screw Tap 00-0-5-5.5mm Hex Standard Screwdriver 00-0-75-0.0mm Standard Drill 00-80-00-0 Drill Bit, QC.0mm Dia, 00mm Length 00-80-00-7.7mm Drill Bit 00-808-07-0.7mm /.0mm Double Drill Sleeve 00-8-05-00 QC T Handle 00-8-05-0 QC Handle 00-8-00-7.7mm Tap 00-8-00-00 Screw Forceps 00-8-05-00.5mm Hex Standard Screwdriver, w/handle 00-8-008-00 Hohmann Retractor 00-8-05-00 Hohmann Retractor 00-8-00-00 Periosteal Elevator 00-8-00-00 Reduction Forceps 00-8-00-00 Reduction Forceps 00-8-007-00 Reduction Forceps 00-8-0-0 Self-centering Bone Forceps 00-87-00-00 Sharp Hook 00-89-00-00 Bending Iron, Left for.7mm and.5mm Plates 00-89-00-00 Bending Iron, Right for.7mm and.5mm Plates 00-88-00-0.7mm Universal Locking System Depth Gauge 00-88-0-0.5mm/.7mm Plate Reduction Instrument 00-88-0-0.7mm Universal Locking System Plate Reduction Sleeve 00-88-0-0 Plate Reduction Spin Knob 00-88-0-0.0mm Universal Locking System Standard Cannula 00-88-07-05.7mm Universal Locking System Compression Drill Guide 00-88-05-0.7mm Universal Locking System Screw Holding Sleeve 00-88-095-00.7mm ULS Plate/Screw/Instrument Case 00-90-0-5 K-Wire.5mm DiaX50mm, Trocar Point, One End 00-90-0-5 K-Wire.mm DiaX50mm, Trocar Point, One End 00-90-00-5 K-Wire.0mm DiaX50mm, Trocar Point, One End box of box of box of 00-98-07-0.7mm Zimmer Universal Locking Plates 00-98-00-07.7mm Locking Dual Compression Plate, Hole, mm 00-98-00-07.7mm Locking Dual Compression Plate, Hole, 9mm 00-98-00-07.7mm Locking Dual Compression Plate, Hole, 7mm 00-98-007-07.7mm Locking Dual Compression Plate, 7 Hole, 8mm 00-98-008-07.7mm Locking Dual Compression Plate, 8 Hole, 95mm 00-98-009-07.7mm Locking Dual Compression Plate, 9 Hole, 07mm 00-98-00-07.7mm Locking Dual Compression Plate, 0 Hole, 8mm 00-98-0-07.7mm Locking Dual Compression Plate, Hole, mm 00-98-0-07.7mm Locking Dual Compression Plate, Hole, 87mm 00-98-00-0.7mm Locking T-Plate, Hole Head, hole Shaft, 9mm 00-98-005-0.7mm Locking T-Plate, Hole Head, 5 hole Shaft, mm 00-98-007-0.7mm Locking L-Plate, Hole Shaft, Left, 9mm 00-98-008-0.7mm Locking L-Plate, Hole Shaft, Right, 9mm 00-98-009-0.7mm Locking L-Plate, Hole Shaft, Oblique, Left, mm 00-98-00-0.7mm Locking L-Plate, Hole Shaft, Oblique, Right, mm 00-98-07-0.7mm Locking L-Plate, 5 Hole Shaft, Left, mm

Zimmer Small Fragment Universal Locking System 00-98-08-0.7mm Locking L-Plate, 5 Hole Shaft, Right, mm 00-98-09-0.7mm Locking L-Plate, 5 Hole Shaft, Oblique, Left, 5mm 00-98-00-0.7mm Locking L-Plate, 5 Hole Shaft, Oblique, Right, 5mm 00-98-00-.7mm Locking Reconstruction Plate Straight, Hole, 9mm 00-98-008-.7mm Locking Reconstruction Plate, Straight, 8 Hole, 5mm 00-98-00-.7mm Locking Reconstruction Plate, Straight, 0 Hole, 8mm 00-98-0-.7mm Locking Reconstruction Plate, Straight, Hole, 97mm 00-98-0-.7mm Locking Reconstruction Plate, Straight, Hole, mm 00-98-0-.7mm Locking Reconstruction Plate, Straight, Hole, 9mm 00-98-00-0 Locking One-Quarter Tubular Plate, Hole, mm 00-98-00-0 Locking One-Quarter Tubular Plate, Hole, 7mm 00-98-005-0 Locking One-Quarter Tubular Plate, 5 Hole, 59mm 00-98-00-0 Locking One-Quarter Tubular Plate, Hole, 70mm 00-98-007-0 Locking One-Quarter Tubular Plate, 7 Hole, 8mm 00-98-008-0 Locking One-Quarter Tubular Plate, 8 Hole, 9mm 7-98-07-0.7mm Zimmer Universal Locking Plates, 7-98-00-07.7mm Locking Dual Compression Plate, Hole, mm, 7-98-00-07.7mm Locking Dual Compression Plate, Hole, 9mm, 7-98-00-07.7mm Locking Dual Compression Plate, Hole, 7mm, 7-98-007-07.7mm Locking Dual Compression Plate, 7 Hole, 8mm, 7-98-008-07.7mm Locking Dual Compression Plate, 8 Hole, 95mm, 7-98-009-07.7mm Locking Dual Compression Plate, 9 Hole, 07mm, 7-98-00-07.7mm Locking Dual Compression Plate, 0 Hole, 8mm, 7-98-0-07.7mm Locking Dual Compression Plate, Hole, mm, 7-98-0-07.7mm Locking Dual Compression Plate, Hole, 87mm, 7-98-00-0.7mm Locking T-Plate, Hole Head, hole Shaft, 9mm, 7-98-005-0.7mm Locking T-Plate, Hole Head, 5 hole Shaft, mm, 7-98-007-0.7mm Locking L-Plate, Hole Shaft, Left, 9mm, 7-98-008-0.7mm Locking L-Plate, Hole Shaft, Right, 9mm, 7-98-009-0.7mm Locking L-Plate, Hole Shaft, Oblique, Left, mm, 7-98-00-0.7mm Locking L-Plate, Hole Shaft, Oblique, Right, mm, 7-98-07-0.7mm Locking L-Plate, 5 Hole Shaft, Left, mm, 7-98-08-0.7mm Locking L-Plate, 5 Hole Shaft, Right, mm, 7-98-09-0.7mm Locking L-Plate, 5 Hole Shaft, Oblique, Left, 5mm, 7-98-00-0.7mm Locking L-Plate, 5 Hole Shaft, Oblique, Right, 5mm, 7-98-00-.7mm Locking Reconstruction Plate Straight, Hole, 9mm, 7-98-008-.7mm Locking Reconstruction Plate, Straight, 8 Hole, 5mm, 7-98-00-.7mm Locking Reconstruction Plate, Straight, 0 Hole, 8mm, 7-98-0-.7mm Locking Reconstruction Plate, Straight, Hole, 97mm, 7-98-0-.7mm Locking Reconstruction Plate, Straight, Hole, mm, 7-98-0-.7mm Locking Reconstruction Plate, Straight, Hole, 9mm, 7-98-00-0 Locking One-Quarter Tubular Plate, Hole, mm, 7-98-00-0 Locking One-Quarter Tubular Plate, Hole, 7mm, 7-98-005-0 Locking One-Quarter Tubular Plate, 5 Hole, 59mm, 7-98-00-0 Locking One-Quarter Tubular Plate, Hole, 70mm, 7-98-007-0 Locking One-Quarter Tubular Plate, 7 Hole, 8mm, 7-98-008-0 Locking One-Quarter Tubular Plate, 8 Hole, 9mm,

Zimmer Small Fragment Universal Locking System Also available Only 7-88-005-07.7mm Locking Dual Compression Plate, 5 Hole, 7-98-08-.7mm Locking Reconstruction Plate, 8 Hole, 7-98-00-.7mm Locking Reconstruction Plate, 0 Hole, 7-98-00-.7mm Locking Reconstruction Plate, 0 Hole, 00-88-07-0.7mm Universal Locking Screws 00-88-008-0.7mm Locking Screw 8mm Lng 00-88-00-0.7mm Locking Screw 0mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-08-0.7mm Locking Screw 8mm Lng 00-88-00-0.7mm Locking Screw 0mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-08-0.7mm Locking Screw 8mm Lng 00-88-00-0.7mm Locking Screw 0mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-08-0.7mm Locking Screw 8mm Lng 00-88-00-0.7mm Locking Screw 0mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-0-0.7mm Locking Screw mm Lng 00-88-08-0.7mm Locking Screw 8mm Lng 00-88-050-0.7mm Locking Screw 50mm Lng 00-88-055-0.7mm Locking Screw 55mm Lng 00-88-00-0.7mm Locking Screw 0mm Lng 00-88-07-5.7mm Universal Locking System Cortical Screws 00-87-00-0.7mm Cortical Screws mm Lng, 00-87-007-0.7mm Cortical Screws 7mm Lng, 00-87-008-0.7mm Cortical Screws 8mm Lng, 00-87-009-0.7mm Cortical Screws 9mm Lng, 00-87-00-0.7mm Cortical Screws 0mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-08-0.7mm Cortical Screws 8mm Lng, 00-87-00-0.7mm Cortical Screws 0mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-08-0.7mm Cortical Screws 8mm Lng, 00-87-00-0.7mm Cortical Screws 0mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-08-0.7mm Cortical Screws 8mm Lng, 00-87-00-0.7mm Cortical Screws 0mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-05-0.7mm Cortical Screws 5mm Lng, 00-87-0-0.7mm Cortical Screws mm Lng, 00-87-08-0.7mm Cortical Screws 8mm Lng, 00-87-050-0.7mm Cortical Screws 50mm Lng,

Zimmer Small Fragment Universal Locking System 5 7-88-07-0.7mm Universal Locking Screws, 7-88-008-0.7mm Locking Screw 8mm 7-88-00-0.7mm Locking Screw 0mm 7-88-0-0.7mm Locking Screw mm 7-88-0-0.7mm Locking Screw mm 7-88-0-0.7mm Locking Screw mm 7-88-08-0.7mm Locking Screw 8mm 7-88-00-0.7mm Locking Screw 0mm 7-88-0-0.7mm Locking Screw mm 7-88-0-0.7mm Locking Screw mm 7-88-0-0.7mm Locking Screw mm 7-88-08-0.7mm Locking Screw 8mm 7-88-00-0.7mm Locking Screw 0mm 7-88-0-0.7mm Locking Screw mm 7-88-0-0.7mm Locking Screw mm 7-88-0-0.7mm Locking Screw mm 7-88-08-0.7mm Locking Screw 8mm 7-88-00-0.7mm Locking Screw 0mm 7-88-0-0.7mm Locking Screw mm 7-88-0-0.7mm Locking Screw mm 7-88-0-0.7mm Locking Screw mm 7-88-08-0.7mm Locking Screw 8mm 7-88-050-0.7mm Locking Screw 50mm 7-88-055-0.7mm Locking Screw 55mm 7-88-00-0.7mm Locking Screw 0mm 7-88-07-5.7mm Universal Locking System Cortical Screws, 7-87-00-0.7mm Cortical Screws mm Lng,, 7-87-007-0.7mm Cortical Screws 7mm Lng,, 7-87-008-0.7mm Cortical Screws 8mm Lng,, 7-87-009-0.7mm Cortical Screws 9mm Lng,, 7-87-00-0.7mm Cortical Screws 0mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-08-0.7mm Cortical Screws 8mm Lng,, 7-87-00-0.7mm Cortical Screws 0mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-08-0.7mm Cortical Screws 8mm Lng,, 7-87-00-0.7mm Cortical Screws 0mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-08-0.7mm Cortical Screws 8mm Lng,, 7-87-00-0.7mm Cortical Screws 0mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-05-0.7mm Cortical Screws 5mm Lng,, 7-87-0-0.7mm Cortical Screws mm Lng,, 7-87-08-0.7mm Cortical Screws 8mm Lng,, 7-87-050-0.7mm Cortical Screws 50mm Lng,,