Trauma Hoffmann II Compact External Fixation System Modular System for Upper Extremity Foot
Introduction In 1938, Raoul Hoffmann, a surgeon from Geneva, Switzerland, designed a revolutionary External Fixation System. The basic features of this system were its modular design and the ability to reduce fractures or to make post operative corrections to the alignment of fragments in three planes with the frame in situ. The Hoffmann II Compact 1 has built upon these principles, and today is the gold standard in modular external fixation. Certainly, the Hoffmann II family of products is unmatched in its ease-of-use, versatility, and patient comfort. You will find in the following pages the benefits and advantages of the Hoffmann II Compact, and how the system will help patients heal and return to their normal lives. 10. 1. Pin to Rod Coupling 9. 2. Rod to Rod Coupling 3. Tube to Rod Coupling 6. 8. 7. 1. 2. 4. Ø5mm/Ø8mm Rod to Rod Coupling 5. Peri-Articular Pin Clamp 6. 30 Angled Post 7. 4-Hole Pin Clamp 3. 8. Apex Self-Drilling Pins 9. Semi-Circular Curved Rod 5. 4. 10. 5mm Connecting Rods 11. 11. Compression/Distraction Tube 1 Hoffmann II Compact Design Surgeons Dr. Gernot Asche, Andy Burgess M.D., Prof. Franz Burny, Mr. Charles M. Court-Brown, Prof. Erkki O. Karaharju, Loren Latta Ph.D., Prof. David Seligson M.D., Dr. Gregory Zych M.D. 2
Features & Benefits Versatility and Ease-of-Use are the keys to an effective external fixator. The Hoffmann II Compact gives the option to build a variety of joint-bridging and non-bridging frames with simple, modular components. You have the choice to place the pins and build the frame which is best suited to each individual case. You have complete control of the system to make it do what you want it to do. With the patented Snap-Fit Technology, stable frame building is simple, and it is possible to reduce the fracture, make post-operative corrections, and treat soft-tissue damage with the frame in situ. You can click on and click off couplings and rods as your treatment requires. Light-Weight and Advanced component materials create a Low- Profile, Radiolucent Frame which adds to patient comfort and fracture healing management. You can make the frame as rigid or elastic as you see necessary. The components are Color-Coded and there are just a handful of High Quality Instruments in the system. This makes the Hoffmann II Compact very manageable in the Operating Room. Sterile-Packed Procedural Kits are available which makes the system Ready when you are. 3
Features & Benefits With full Independent Pin Placement, you can easily build a frame to treat fractures close to a joint, capture fracture fragments, or to stay clear of damaged soft-tissue areas. Related Stryker Products The system can be used together with other Stryker systems to give the surgeon the Full Package of fracture treatment. Kirschner Wires Hoffmann II Micro External Fixation System SPS Small Fragment Plating System 4
Relative Indications & Contraindications Relative Indications Due to its versatility, the Hoffmann II Compact System is indicated for fixation of fractures in the upper extremity and the foot. It is particularly suited for the following indications: Distal Radius Fractures (intra or extra-articular) Fractures of the Foot Other indications including: Osteotomies Paediatric Fractures Fractures with Severe Soft-Tissue Damage Relative Contraindications If uncertainty exists with regard to the anatomic location of the neurovascular structures due to posttraumatic destruction, the device should be used with extreme caution. Under these circumstances, the pins should be inserted under direct vision. The presence of extensive internal fracture fixation devices Pre-emptive medical condition Bone Pathology 5
Components The Hoffmann II Compact System offers two types of clamps in order to build the right frame for the right indication. The standard 4-Hole Pin Clamp is designed to build a variety of frames. The modularity of the system allows you to build different frames using the same basic components. The Peri-Articular Clamp is designed to treat extra-articular fractures of the distal radius. The clamp allows Ø3mm half-pins to be inserted parallel to the radial joint. This frame then allows early joint mobility during fracture healing. It is also possible to bridge the joint with the Peri-Articular Clamp as shown here. This frame is used as additional fracture support when also using limited internal fixation. 6
Components The system also includes four different types of couplings. All of the couplings are designed with the patented Snap-Fit mechanism which allows complete versatility of the frame. The Pin to Rod Coupling connects Ø3mm or Ø4mm Apex Pins to a rod. This feature can be used to capture a fracture segment, to build a frame using completely independent pin placement, or to build a peri-articular frame by using them in combination with a Curved Rod. The Ø5mm Rod to Rod Coupling connects Ø5mm rods together or a rod to a post. It can be used to build any standard frame. It can also be added to an assembled frame to help build a more stable construct if needed. The Ø5mm/Ø8mm Rod to Rod Coupling allows you to connect a Ø5mm rod from the Hoffmann II Compact System to the Ø8mm rod of the Hoffmann II System. This could be helpful in the ankle/ foot area where bridging to the foot is necessary, or to connect a humerus frame to a radius frame. The Tube to Rod Coupling connects a Ø15mm Compression/ Distraction Tube to a Ø5mm rod or post. 7
Components The Hoffmann II Compact System offers connecting rods and tubes in different materials from which the surgeon can choose. Carbon Fiber Rods offer radiolucency and relative elasticity with a lightweight construct. Stainless Steel Rods can be used if high frame rigidity is required. Semi-Circular Curved Rods are also available in stainless steel. Periarticular frames can be built using this component. It is sometimes necessary to compress or distract a fracture site. The Compression/Distraction Tube allows the surgeon to fine-tune the osteosynthesis either intra- or postoperatively. 8
Ordering Information - Components REF Description Hoffmann II Compact Components 4940-2-020 4-Hole Pin Clamp for Ø3 and Ø4mm pins 4940-2-200 Peri-Articular Pin Clamp for Ø3mm pins 4940-1-010 Rod to Rod Coupling for Ø5mm rods or posts 4940-1-020 Pin to Rod Coupling for Ø5mm rods or posts/ø3-4mm pins 4940-1-058 Rod to Rod Coupling for Ø8mm rods or posts/ø5mm rods or posts 4940-1-100 Tube to Rod Coupling for Ø15mm tube/ø5mm rods or posts 4940-2-120 Straight Post Ø5mm 4940-2-140 30 Angled Post Ø5mm 9
Ordering Information - Components REF Description Length mm Hoffmann II Compact Ø5mm Rods and Ø15mm Tube 5049-5-505 Carbon Connecting Rod 65 5049-5-510 Carbon Connecting Rod 100 5049-5-515 Carbon Connecting Rod 150 5049-5-520 Carbon Connecting Rod 200 5049-5-525 Carbon Connecting Rod 250 5049-5-530 Carbon Connecting Rod 300 5049-5-065 Stainless Steel Connecting Rod 65 5049-5-100 Stainless Steel Connecting Rod 100 5049-5-150 Stainless Steel Connecting Rod 150 5049-5-200 Stainless Steel Connecting Rod 200 5049-5-250 Stainless Steel Connecting Rod 250 5049-5-300 Stainless Steel Connecting Rod 300 L 5049-7-018 Semi-Circular Curved Rod - Stainless Steel 111 (L) 5049-7-020 Semi-Circular Curved Rod - Stainless Steel 146 (L) 4940-0-015 Compression/Distraction Tube 10
Ordering Information - Instruments REF Description Hoffmann II Compact Instruments 4940-9-010 Stabilization/Reduction Wrench 4920-9-020 Thumbwheel 4940-9-030 5mm Wrench/Ø3-4mm Pin Driver 5150-9-005 5mm Spanner Wrench 4940-9-923 Storage Case Lid 4940-9-922 Storage Case Insert 4940-9-921 Storage Case Base 11
Joint Replacements Trauma Spine Micro Implants Orthobiologics Instruments Interventional Pain Navigation Endoscopy Communications Imaging Patient Handling Equipment EMS Equipment Stryker Trauma AG Bohnackerweg 1 CH-2545 Selzach Switzerland www.trauma.stryker.com The information presented in this brochure is intended to demonstrate a Stryker product. Always refer to the package insert, product label and/or user instructions before using any Stryker product. Surgeons must always rely on their own clinical judgement when deciding which products and techniques to use with their patients. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Products referenced with designation are trademarks of Stryker. Products referenced with designation are registered trademarks of Stryker. Literature Number: 5075-1-500 LOT B2205 Copyright 2005 Stryker Printed in Germany