distal radius locking plate system - stryker meded · 2 variax distal radius locking plate system...
TRANSCRIPT
Operative Technique
• Anatomical & Universal Volar Plates
• Dorsal Plates
• Fragment Specific Plates
• XXL Anatomical Volar Plates
VariAxDistal Radius Locking Plate System
Han
d &
Wri
st
Hand & Wrist
2
Variax Distal Radius Locking Plate System
This publication sets forth detailed recommended procedures for using Stryker Osteosynthesis devices and instruments.
It offers guidance that you should heed, but as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required.
A workshop training is recommended prior to first surgery.
All non-sterile devices must be cleaned and sterilized before use. Follow the appropriate instructions for use (IFU). For additional informa-tion please refer to the instructions in our reprocessing guide (L24002000). Multi-component instruments must be disassembled for cleaning. Please refer to the corresponding assembly/disassembly instructions.
See package insert (90-03200, 90-01953) for a complete list of potential adverse effects, contrain-dications, warnings and precautions. The surgeon must discuss all relevant risks, including the finite lifetime of the device, with the patient, when necessary.
Warning: Fixation Screws:Stryker Osteosynthesis bone screws are not approved or intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, tho-racic or lumbar spine.
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Page
1. Indications, Precautions & Contraindications 5
Intended Use 5
Precautions 5
Indications 5
Contraindications 5
2. Features and Benefits 6
3. Overview 8
Plate Options 8
Screw/Peg Options 8
4. Operative Technique 11
Anatomical Volar Plate 11
Universal Volar Plate 13
Dorsal Plate 15
Lateral Distal Radius Plate 17
Aiming Block 18
Ordering Information – Plates 20
Ordering Information – Cross Pin Screws 23
Ordering Information – T7 Drive Screws 25
Ordering Information – Instruments 27
Ordering Information – Plate Trials 28
Complementary Products 30
Contents
4
Indications, Precautions & Contraindications
The VariAx Distal Radius Plating System represents the Next Generation of Bone Fixation for your Distal Radius Fracture Needs.
PrecautionsStryker Osteosynthesis systems have not been evaluated for safety and use in MR environment and have not been tested for heating or migration in the MR environment, unless specified otherwise in the product labeling.
Contraindications• Inadequate bone quantity and
quality.• Patients with active infections.• Patients with metal allergies and
foreign body sensitivity.• Severely non-compliant patients with
mental or neurological conditions who are unwilling or incapable of following postoperative care instructions.
• Patients with limited blood supply or insufficient quality or quantity of bone.
• Patients with unstable physical and/or mental health conditions.
Indications Compression, intra-articular and extra-articular fractures, and displaced fractures. Following additional indications apply only for the XXL Volar Distal Radius Plates: Osteotomies, non-unions, and malunions.
Intended Use The VariAx Distal Radius Locking System including the XXL Volar Distal Radius Plates is intended for internal fixation of small bone fractures, primarily including distal radius fractures.
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Features and Benefits
-15° +15° locking capability
Fixation of radial styloid with 2 screws
System Features
• Comprehensive Plating System Providing Anatomical Volar and Dorsal, Universal Volar and Fragment Specific Solutions.
• Anatomical Volar Plate Encourages articular support with Locking screws & pegs, promotes buttressing to the volar lunate facet and stable fixation of radial styloid fragments with two screws.
• XXL Anatomical Volar Plates Extra long volar plates are needed for cases where the metaphyseal comminution extends to the radial shaft. They follow the curvature of the bone as it extends toward the proximal end of the radius. 4 lengths: right, left, standard and narrow plates are offered.
• Fixed Angle Drill Guide Helps to assure placement of screws & pegs in a pre-determined angle.
• Polyaxial Drill Guide Allows locking with an additional angulation of ±15 degrees in any hole on the plate, except the oblong hole in the shaft.
• Range of 2.0mm to 2.7mm Locking and Non-Locking screws & pegs offering intraoperative solutions for different fracture fixation requirements. All pegs and screws may be used in any round hole in the plate.
• Anodization Type II
6
Features and Benefits
T7 Drive and Cross-Pin Screw Head Designs
Both screw head designs allow axial stability, friction fit screw retention, and easy screw pick up from screw rack.
SmartLock** Locking Technology
• Patented SmartLock Locking Technology Encourages “locked” screw to plate interface due to combination of Grade II - Ti Plates and Grade V - Ti Screws & Pegs.
• SmartLock Locking Screws & Pegs Designed with threads on the underside of the screw head, to engage the circular “lip” within any hole on the plate, except the oblong hole in the shaft.
• One-step Locking Can be achieved by simply inserting a Locking Screw or Peg within the polyaxial locking range of ±15 degrees, without the need for further steps.
Aiming Block and Scaled Drill bits
• The Aiming Block provides a simple option for screw placement with pre-determined screw trajectories.
• The Aiming Block accommodates the variable angle* drill guide, allowing for single-step drilling and screw length determination without the need for a separate depth gauge.
• Screws can be implanted through the Aiming Block while it is attached to the plate.
• The Joystick handle allows for easy manipulation, fixation and removal of plate and Aiming Block assembly.
• The Joystick handle can be removed after initial fixation of the Aiming Block to allow for accessible working environment.
• K-Wire holes approximate the trajectories of the distal screws.
T7 Drive
Cross-Pin
Left Right
Scaled drill bits provide another option for screw length measurement and allow for one step drilling and measuring.
* When used through the Aiming Block, the variable angle drill guide will only allow for screws to be placed in pre-determined screw trajectories.
** The SmartLock Technology is patented (US 6, 322, 562; DE 43 43 117) by Professor Dietmar Wolter, Hamburg, Germany.
7
Overview
2.7mm Locking
Screw
2.3mmLocking
Screw
Screw/Peg Options2.0mmSmooth Locking
Peg
2.3mmNon-
LockingScrew
2.7mmNon-
LockingScrew
2.7mmPartialThread
Non-LockingScrew
2.7mmPartial ThreadLocking
Screw
Plate Options
Cross-PinT7 Drive
Locking ScrewLocking Screw
Bone ScrewBone Screw
Note: • Locking and Non-Locking
screws can be used in any round hole.
• To avoid disengagement of the screwdriver blade from the screw during insertion, axial pressure is recommended.
Universal Volar Plates
Dorsal Plates Lateral
DR PlateDorsal Medial
DR PlateLeft
Right
XXL Anatomical Volar Plates
Anatomical Volar Plates
Note: Plates are not scaled to size.
8
Overview
15° distal15° lateral
12° proximal
5° proximal
5° proximal
18° distal12° lateral
0°
0°
18° distal12° lateral
15° distal15° lateral
10° proximal
5° proximal
0°
Pre-determined Screw Pattern
SmartLock Polyaxial Drill Guide (56-01250)
Allows for ±15 degrees of custom angulation and may be used for more complex fractures. A lip on the drill sleeve will engage and allow toggling in the hole. The range in which the drill guide toggles will create a 30-degree cone and every angle in this range will be a locking position. This may allow the surgeon to aim where the screw/peg should be placed. Also, depending on the placement of the plate, there may be a need to angle a screw/peg out of the fracture line.
Note: First fully engage the drill guide in the hole and then aim the drill in the desired direction.
Note: Using one of the provided drill guides for screw hole preparation is mandatory. Not using a drill guide may lead to drilling out of specified locking range and compromise the locking capabilities.
Fixed Angle Drill Guide (56-01255)
This drill guide can be used to help ensure placement of screw options at a fixed angle. It is designed to fit in the pre-tilted lips within the holes on the plate by simply pressing the drill guide into the hole.
Note: In order to prevent toggling, this
drill guide is designed to fit very tightly into the holes of the plate. When utilizing this instrument follow the same trajectory of the pre-tilted lips to facilitate its placement.
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Depth Gauges
Silver (62-00016); Black (62-00018)
A choice of 2 Depth Gauge designs allows for a reliable screw measurement depending on surgeon preference.
2.3mm Drill Guide/K-Wire Guide (56-01260)
The K-Wire guide provides an option to assess potential screw positions by inserting a 1.1mm K-Wire prior to any drilling or screw insertion. By using the same technique, this K-Wire guide offers the same 30-degree locking cone as the SmartLock Polyaxial Drill Guide. It may also be utilized to provide temporary fixation to smaller fragments, while catching these with adjacent locking screws.
The 2.3mm drill guide can be used as an overdrill to lag 2.3mm screws if compression is desired or as a pilot hole for 2.7mm screws if the insertion is hindered. This drill guide can only be used in a fixed angle.
Overview
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Anatomical Volar Plate
2. The FCR tendon is retracted ulnarly and dissection is carried down through the floor of the FCR sheath.
1. An incision is made approximately 5-8cm long just radial to the FCR tendon. If more exposure is necessary, the incision can be extended radially at 45 degrees along the wrist flexion creases.
3. The Pronator Quadratus muscle is identified and dissected in its entirety off of the volar surface of the radius as an ulnarly based flap.
4. The insertion of the Brachioradialis may be released.
Operative Technique
5. The fracture is visualized and reduced.
6. The use of external traction, and/or the use of K-Wires for temporary fixation may be helpful. The use of AP/Lateral fluoroscopy is helpful to determine correct fracture reduction and plate position.
7. Choose the appropriate implant according to patient anatomy and fracture pattern.
8. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid inserting screws or pegs into the joint.
9. Zebra striped K-Wires and/or Olive K-Wires can be used for temporary fixation while evaluating the placement of the plate.
10. The first pilot hole should be drilled in the oblong gliding hole using the appropriate drill guide.
11. Use the depth gauge to determine screw length.
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Note: In hard, cortical bone a 2.3mm cortical drill bit (60-23341) or the 2.7mm tap (62-27010) may be used to insert the 2.7mm screw to help reduce the risk of screw breakage during insertion.
Anatomical Volar Plate
Operative Technique
12. A non-locking screw is placed in the oblong gliding hole but not completely tightened to allow adjustment of the plate in distal or proximal directions.
13. After confirmation of the correct positioning of the anatomic volar plate by use of fluoroscopy, tighten the first screw.
14. Once the position of the plate has been determined, it is time to decide which drill guide to use based upon preference and/or fracture pattern.
15. Using the desired drill guide, repeat drilling, measuring and placement of screws/pegs in the distal holes.
16. Place locking or non-locking screws in the proximal end of the plate.
17. Verify proper placement of screws/pegs by use of fluoroscopy to ensure that neither penetrate the joint.
18. Close the incision.
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Operative Technique
1. An incision is made approximately 5-8cm long directly over the FCR tendon. If more exposure is necessary, the incision can be extended radially at 45 degrees along the wrist flexion creases.
2. The FCR tendon is retracted ulnarly and dissection is carried down through the floor of the FCR sheath.
3. The Pronator Quadratus muscle is identified and dissected in its entirety off of the volar surface of the radius as an ulnarly based flap.
4. The insertion of the Brachioradialis may be released.
5. The fracture is visualized.
6. The fracture is reduced. The use of external traction, and/or the use of K-Wires for temporary fixation could be helpful.
7. The plate should be placed slightly below the distal edge of the distal radius to avoid inserting screws or pegs into the joint. The use of AP/Lat fluoroscopy is helpful to determine correct fracture reduction and plate position.
8. K-Wires can be used for temporary fixation.
9. The first pilot hole should be drilled in the oblong gliding hole using the appropriate drill guide.
10. Measure the depth of the hole to determine screw length.
11. The screw is placed in the oblong gliding hole but not completely tightened to allow adjustment of the plate in distal or proximal directions.
Universal Volar Plate
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Operative Technique
12. After confirmation of the correct positioning of the volar plate by use of fluoroscopy, tighten the first screw.
13. Repeat drilling, measuring and placing of screws/pegs in the distal holes of the plate. The position and number of screws applied depends on the type of fracture.
14. Place the bone or locking screws in the proximal end of the plate.
15. Verify proper placement of screws and pegs by use of fluoroscopy to ensure that neither penetrates the joint.
16. Close the incision.
Universal Volar Plate
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1. Longitudinal incision is made just ulnar to Lister’s tubercle at the distal radius region.
2. Dissection is performed down to the extensor retinaculum. The third compartment is opened and the extensor pollicis longus is displaced radially.
3. The second compartment wrist extensors are subperiosteally elevated radially and the fourth compartment is subperiosteally elevated ulnarly. The terminal branches of the posterior interosseous nervemay be excised for pain reduction.
4. The fracture is reduced. The use of an external traction device and/or K-Wires for temporary fixation may be helpful.
5. If necessary, adapt the plate for correct anatomical position. Removal of Lister's Tubercle might be necessary.
6. The plate should be placed slightly below the distal edge of the distal radius to avoid inserting screws/pegs into the joint. Correct positioning of the plate should be confirmed by use of fluoroscopy. The first pilot hole should be drilled in the oblong gliding hole.
Dorsal Plate
7. Measure the depth of the hole to determine screw length.
8. The screw is placed in the oblong gliding hole but not completely tightened to allow adjustment of the plate in a distal or proximal direction.
Operative Technique
15
Operative Technique
9. Confirm proper plate positioning by use of fluoroscopy and then tighten the first screw.
Note: Screw length may need to be
changed after plate is fully seated on bone.
10. Repeat drilling, measuring, and placing of screws/pegs into the distal holes of the plate. The position and number of screws applied depends on the type of fracture.
11. Place bone or locking screws in the proximal end of the plate.
12. Confirm correct placement by use of fluoroscopy.
13. Verify proper placement of screws and pegs by use of fluoroscopy to ensure that they do not penetrate the joint.
14. Close the incision.
Dorsal Plate
16
Lateral Distal Radius Plate
Operative Technique
1. An incision is made along the radial column.
2. Care must be taken to avoid injury to the superficial branch of the radial nerve.
3. The first dorsal compartment is released. The tendons are retracted volarly.
4. The fracture should be reduced and stabilized with a K-Wire placed from the distal radial styloid and aimed dorsal and proximal.
Note: Fragment specific plates should
not be used in isolation.
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Operative Technique
Lateral Distal Radius Plate5. The plate is slipped over the K-Wire
and placed along the radial column.
6. A cortical screw placed in the oblong hole will compress the plate to the shaft, and by pulling the plate proximally will compress the fracture site.
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Operative Technique
Lateral Distal Radius Plate7. The 3 in 1 K-Wire bender/cutter/
inserter is used to bend K-Wires distally.
8. It is recommended only one K-Wire be placed distally at a time in order to make proper use of the bender/cutter/inserter instrument.
9. After insertion, the tamp and mallet can be used to further insert the K-Wires.
10. K-Wires and screws can be placed in conjunction for more rigid fixation.
11. The incision is closed.
19
Operative Technique
Aiming Block
1. Choose Aiming Block that corresponds to the plate that will be used (left/right, narrow/standard). Place peg on underside of block into shaft hole on plate.
2. Remove joystick from tray.
a. Insert the joystick into fixation pin and tighten black grasping sleeve onto fixation pin (Turn Clockwise).
b. Turn the silver knob on the joystick counter-clockwise to open fixation pin (approx 2 turns).
c. Pull joystick upward to remove pin assembly from tray.
3. The surgeon should choose which hole to place the pin in the block to mount the Aiming Block to the plate. Any hole may be used, except the most distal radial styloid hole because that hole has no slot to accommodate the tab on the pin. Then align the tab on the fixation pin with the slot on the Aiming Block as shown in the highlighted area.
4. Place joystick / fixation pin assembly though Aiming Block and into the plate.
* The wings on the underside of the pin must be closed in order for the pin to fit through the hole in the plate.
5. Verify that the fixation pin protrudes from the bottom of the plate.
* If the pin does not fully protrude through the plate, slowly turn the joystick counterclockwise to close the pin. As the wings on the pin close, you will hear a click to verify the pin is fully through the plate.
6. Turn the joystick knob clockwise to spread the wings on the pin and tighten Aiming Block to plate (approx 2 turns).
Attention: Fixation pin should not be overly
tightened as this may damage the threads on the pin. Only moderate effort is needed. (Finger tighten only).
Attention: Once the block is mounted to
the plate, verify the alignment by passing a K-Wire through the K-Wire holes. This should be done prior to mounting the block to the bone.
a. b. c.
20
Operative Technique
Aiming Block
10. Drill through drill guide. The scale on drill bit can be used to determine appropriate screw length.
Attention: To prevent damage to Aiming
Block and/or plate, the variable angle drill guide must be used.
11. Measure depth with depth gauge and choose appropriate screw. Ensure that tip of measuring gauge is fully seated onto the plate.
12. Screw can be inserted through Aiming Block. Confirm screw placement under fluoroscopy.
7. The joystick may be used to help position the plate on the bone. After plate is positioned, remove the joystick by loosening the black grasping sleeve from the fixation pin (counter clockwise).
Caution: Aiming Block cannot be used with
plates that have been intra- operatively contured or bent.
8. K-Wires may be used through the plate / block assembly for temporary fixation.
9. The variable angle drill guide can be used in any hole to drill for the pre-determined trajectory.
21
13. Removal of Aiming Block
a. Attach joystick to fixation pin by tightening black grasping sleeve. (clockwise)
b. Turn joystick knob counter- clockwise to open fixation pin. (approx 2 turns)
14. Remove joystick / fixation pin assembly from Aiming Block.
15. Remove Aiming Block from plate. If necessary a screw can be placed in hole used for fixation of the Aiming Block. Ensure that all screw heads are fully seated onto the plate and fully tightened.
Optional Steps:
Under fluoroscopy, the K-Wire will approximate the trajectory of the adjacent screw on the ulnar side.
Note: There is no K-Wire hole to
approximate the distal most radial styloid screw.
Note: Left block is shown.
Operative Technique
Aiming Blocka. b.
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Ordering Information – Plates
AnATOmICAL VOLAR PLATeS
Length Profile Height REF Description mm mm
54-25384 Anatomical Volar DR Plate
Narrow, Right 56 2
54-25374 Anatomical Volar DR Plate
Narrow, Left 56 2
54-25386 Anatomical Volar DR Plate
Standard, Right 56 2
54-25376 Anatomical Volar DR Plate
Standard, Left 56 2
54-25385 Anatomical Volar DR Plate
Narrow, Right, Long 76 2
54-25375 Anatomical Volar DR Plate
Narrow, Left, Long 76 2
54-25387 Anatomical Volar DR Plate
Standard, Right, Long 76 2
54-25377 Anatomical Volar DR Plate
Standard, Left, Long 76 2
Length Profile Height REF Description mm mm
54-25394 Universal Volar DR Plate
Narrow, Short 53 2
54-25396 Universal Volar DR Plate
Standard, Short 53 2
54-25398 Universal Volar DR Plate
Wide, Short 53 2
54-25395 Universal Volar DR Plate
Narrow, Long 73 2
54-25397 Universal Volar DR Plate
Standard, Long 73 2
54-25399 Universal Volar DR Plate
Wide, Long 73 2
54-25391 Universal Volar DR Plate
Narrow, XLong 94 2
54-25392 Universal Volar DR Plate
Standard, XLong 94 2
54-25393 Universal Volar DR Plate
Wide, XLong 94 2
UnIVeRSAL VOLAR PLATeSUnIVeRSAL VOLAR PLATeS
23
Ordering Information – Plates
XXL AnATOmICAL VOLAR PLATeS
Profile Height Profile Height Length Distal Shaft REF Description mm mm mm
54-25420 XXL Volar DR Plate, Stand, LE (15 holes) 189 2 3
54-25422 XXL Volar DR Plate, Stand, RI (15 holes) 189 2 3
54-25424 XXL Volar DR Plate, Stand, LE (11 holes) 145 2 3
54-25426 XXL Volar DR Plate, Stand, RI (11 holes) 145 2 3
54-25428 XXL Volar DR Plate, Stand, LE (8 holes) 100 2 3
54-25430 XXL Volar DR Plate, Stand, RI (8 holes) 100 2 3
54-25432 XXL Volar DR Plate, Stand, LE (5 holes) 74 2 3
54-25434 XXL Volar DR Plate, Stand, RI (5 holes) 74 2 3
54-25436 XXL Volar DR Plate, Narrow, LE (15 holes) 189 2 3
54-25438 XXL Volar DR Plate, Narrow, RI (15 holes) 189 2 3
54-25440 XXL Volar DR Plate, Narrow, LE (11 holes) 145 2 3
54-25442 XXL Volar DR Plate, Narrow, RI (11 holes) 145 2 3
54-25444 XXL Volar DR Plate, Narrow, LE (8 holes) 100 2 3
54-25446 XXL Volar DR Plate, Narrow, RI (8 holes) 100 2 3
54-25448 XXL Volar DR Plate, Narrow, LE (5 holes) 74 2 3
54-25450 XXL Volar DR Plate, Narrow, RI (5 holes) 74 2 3
Note: Plate Trials for the determination
of size intra-operatively are available on page 24. * They can be ordered single sterile-packed by placing a “S” at the end of the Cat. Nr.
24
Ordering Information – Plates
* Formerly labelled as “Radial Column Plate”** Formerly labelled as “Ulnar Column Plate
FRAGmenT SPeCIFIC PLATeS
DORSAL PLATeS
Length Profile Height REF Description mm mm
54-25290 Dorsal DR Plate
Standard, Right 60 1.5
54-25291 Dorsal DR Plate
Standard, Left 60 1.5
54-25292 Dorsal DR Plate
Wide, Right 60 1.5
54-25293 Dorsal DR Plate
Wide, Left 60 1.5
54-25294 Dorsal DR Plate
Standard, Right, XLong 81 1.5
54-25295 Dorsal DR Plate
Standard, Left, XLong 81 1.5
54-25296 Dorsal DR Plate
Wide, Right, XLong 81 1.5
54-25297 Dorsal DR Plate
Wide, Left, Xlong 81 1.5
Length Profile Height REF Description mm mm
54-25400 Lateral DR Plate, Short* 44 1
54-25401 Lateral DR Plate, Long* 57 1
54-25402 Dorsal Medial DR Plate, Short, Right** 40 1
54-25403 Dorsal Medial DR Plate, Short, Left** 40 1
54-25404 Dorsal Medial DR Plate, Long, Right** 53 1
54-25405 Dorsal Medial DR Plate, Long, Left** 53 1
Note: Fragment specific plates should
not be used in isolation.
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Ordering Information – Plate Trials
AnATOmICAL VOLAR PLATe TRIALS DORSAL PLATe TRIALS
FRAGmenT SPeCIFIC PLATe TRIALSXXL AnATOmICAL VOLAR PLATe TRIALS
UnIVeRSAL VOLAR PLATe TRIALS
REF Description
54-25384T Volar DR Trial,
Narrow, Right, Short
54-25374T Volar DR Trial,
Narrow, Left, Short
54-25386T Volar DR Trial,
Standard, Right, Short
54-25376T Volar DR Trial,
Standard, Left, Short
REF Description
54-25290T Dorsal DR Trial,
Standard, Right
54-25291T Dorsal DR Trial,
Standard, Left
54-25292T Dorsal DR Trial,
Wide, Right
54-25293T Dorsal DR Trial,
Wide, Left
REF Description
54-25400T Lateral DR Trial, Short
54-25402T Dorsal Medial DR Trial,
Short, Right
54-25403T Dorsal Medial DR Trial,
Short, Left
REF Description
54-25440T XXL Volar DR Trial, Narrow,
LE (11 holes)
54-25442T XXL Volar DR Trial,
Narrow, RI (11 holes)
54-25444T XXL Volar DR Trial,
Narrow, LE (8 holes)
54-25446T XXL Volar DR Trial, Narrow,
RI (8 holes)
REF Description
54-25394T Volar DR Trial,
Narrow, Short
54-25396T Volar DR Trial,
Standard, Short
54-25395T Volar DR Trial,
Narrow, Long
54-25397T Volar DR Trial,
Standard, Long
26
X-RAY TemPLATeS
REF Description
56-01410 Volar DR Aiming Block, narrow, right
56-01510 Volar DR Aiming Block, narrow, left
56-01610 Volar DR Aiming Block, standard, right
56-01710 Volar DR Aiming Block, standard, left
56-01210 VariAx DR Aiming Block Fixation Pin
56-01310 Variax DR Aiming Block Fixation Joystick
29-13125 Variax DR Aiming Block, Tray Insert
mARKeRS
AImInG BLOCKS
Ordering Information – Plate Trials
REF Description
50-23501 Marker - Locking Screws 2.3mm
50-27500 Marker - Locking Screws 2.7mm
50-20501 Marker - Locking Pegs 2.0mm
50-23001 Marker - Bone Screws 2.3mm
50-27000 Marker - Bone Screws 2.7mm
50-27001 Marker - PT Bone Screws 2.7mm
50-27501 Marker - PT Locking Pegs 2.7mm
50-23502 Marker - 2.3mm
REF Description
62-90004 X-Ray Template XXL Volar
DR Plates (Scale 1:1)
62-90005 X-Ray Template XXL Volar DR Plates (Scale 1.15:1)
27
Ordering Information – Cross-Pin Screws
2.7mm PARTIALLY THReADeD LOCKInG SCReWS
Ti Length REF mm
52-20616E 16
52-20618E 18
52-20620E 20
52-20622E 22
52-20624E 24
52-20626E 26
2.0mm LOCKInG PeGS 2.7mm LOCKInG SCReWS
Ti Length REF mm
52-27610E 10
52-27612E 12
52-27614E 14
52-27616E 16
52-27618E 18
52-27620E 20
52-27622E 22
52-27624E 24
52-27626E 26
Ti Length REF mm
52-27716E 16
52-27718E 18
52-27720E 20
52-27722E 22
52-27724E 24
52-27726E 26
For the 2.0mm Locking Pegs, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
2.3mm LOCKInG SCReWS
Ti Length REF mm
52-23610E 10
52-23612E 12
52-23614E 14
52-23616E 16
52-23618E 18
52-23620E 20
52-23622E 22
52-23624E 24
52-23626E 26
52-23628E 28
52-23630E 30
52-23632E 32
52-23634E 34
52-23636E 36
52-23638E 38
For the 2.3mm Locking Screws, please use the following 1.9mm drill ref: 60-19140, 60-19340 and 60-19440.
For the 2.7mm Locking Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
For the 2.7mm Partially Threaded Locking Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
28
Ordering Information – Cross-Pin Screws
2.3mm nOn-LOCKInG SCReWS 2.7mm PARTIALLY THReADeD nOn-LOCKInG SCReWS
Ti Length REF mm
52-23010E 10
52-23012E 12
52-23014E 14
52-23016E 16
52-23018E 18
52-23020E 20
52-23022E 22
52-23024E 24
52-23026E 26
52-23028E 28
52-23030E 30
52-23032E 32
52-23034E 34
52-23036E 36
52-23038E 38
Ti Length REF mm
52-27116E 16
52-27118E 18
52-27120E 20
52-27122E 22
52-27124E 24
52-27126E 26
For the 2.3mm Screws, please use the following 1.9mm drill ref: 60-19140, 60-19340 and 60-19440.
2.7mm nOn-LOCKInG SCReWS
Ti Length REF mm
52-27010E 10
52-27012E 12
52-27014E 14
52-27016E 16
52-27018E 18
52-27020E 20
52-27022E 22
52-27024E 24
52-27026E 26
For the 2.7mm Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
For the 2.7mm Partially Threaded Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
REF Description
62-27010 Tap for 2.7mm Screws, Hex
62-27011 Tap for 2.7mm Screws, AO
62-27007 Screwdriver Blade, Self-Retaining, Cross-Pin, Hex
DRILL BITS
Drill Drill End Diameter AO Stryker Dental
1.9mm 60-19340 60-19140 60-19440 2.0mm 60-20385 60-20185 60-20485 2.3mm 60-23341 60-23141 60-23441
TWIST DRILLS, TAP AnD BLADe
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Ordering Information – T7 Drive Screws
Ti Length REF mm
53-20616E 16
53-20618E 18
53-20620E 20
53-20622E 22
53-20624E 24
53-20626E 26
2.0mm LOCKInG PeGS 2.7mm LOCKInG SCReWS
Ti Length REF mm
53-27610E 10
53-27612E 12
53-27614E 14
53-27616E 16
53-27618E 18
53-27620E 20
53-27622E 22
53-27624E 24
53-27626E 26
For the 2.0mm Locking Pegs, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
For the 2.7mm Locking Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
Ti Length REF mm
53-23610E 10
53-23612E 12
53-23614E 14
53-23616E 16
53-23618E 18
53-23620E 20
53-23622E 22
53-23624E 24
53-23626E 26
53-23628E 28
53-23630E 30
53-23632E 32
53-23634E 34
53-23636E 36
53-23638E 38
For the 2.3mm Locking Screws, please use the following 1.9mm drill ref: 60-19140, 60-19340 and 60-19440.
2.7mm PARTIALLY THReADeD LOCKInG SCReWS 2.3mm LOCKInG SCReWS
Ti Length REF mm
53-27716E 16
53-27718E 18
53-27720E 20
53-27722E 22
53-27724E 24
53-27726E 26
For the 2.7mm Partially Threaded Locking Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
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Ordering Information – T7 Drive Screws
2.3mm nOn-LOCKInG SCReWS 2.7mm PARTIALLY THReADeD nOn-LOCKInG SCReWS
Ti Length REF mm
53-23210E 10
53-23212E 12
53-23214E 14
53-23216E 16
53-23218E 18
53-23220E 20
53-23222E 22
53-23224E 24
53-23226E 26
53-23228E 28
53-23230E 30
53-23232E 32
53-23234E 34
53-23236E 36
53-23238E 38
Ti Length REF mm
53-27116E 16
53-27118E 18
53-27120E 20
53-27122E 22
53-27124E 24
53-27126E 26
For the 2.3mm Screws, please use the following 1.9mm drill ref: 60-19140, 60-19340 and 60-19440.
For the 2.7mm Partially Threaded Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
2.7mm nOn-LOCKInG SCReWS
Ti Length REF mm
53-27210E 10
53-27212E 12
53-27214E 14
53-27216E 16
53-27218E 18
53-27220E 20
53-27222E 22
53-27224E 24
53-27226E 26
For the 2.7mm Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
TWIST DRILLS, TAP AnD BLADe
REF Description
62-27010 Tap for 2.7mm Screws, Hex
62-27011 Tap for 2.7mm screws, AO
62-27015 Screwdriver Blade, Self-Retaining, T7, Hex
62-27016 Screwdriver Blade, compatible with Capture Sleeve, T7, Hex
45-27030 Capture Sleeve for 2.3mm & 2.7mm T7 screws
DRILL BITS Drill Drill End Diameter AO Stryker Dental
1.9mm 60-19340 60-19140 60-19440 2.0mm 60-20385 60-20185 60-20485 2.3mm 60-23341 60-23141 60-23441
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Ordering Information – Instruments
K-WIReS
* Order Quantity: Packages of 5** Order Quantity: Packages of 10
InSTRUmenTATIOn
InSTRUmenTATIOn
REF Description
62-20290 Screwdriver Ratcheting Handle
56-01250 Polyaxial Drill Guide
2.3mm/2.7mm
56-01255 Fixed Angle Drill Guide
2.3mm/2.7mm
56-01260 2.3mm Overdrill and K-Wire
Guide
64-20117 Plate Bending Pliers
64-20118 K-Wire Bending Pliers
64-20129 Forceps with Grasping Lips
REF Description
07-3060 Lobster Bone Holding Forceps
07-30111 Lewin Bone Holding Forceps,
Sharp Tip
07-10006 Elevator, Double sided,
Narrow&Wide, Hohmanns
07-10021 Elevator, Double sided,
Strong&Light Curved
07-10175 Bone Hook
43-09830 Mallet (250g)
64-00011 Tamp
REF Description
62-00018 VariAx Distal Radius Depth
Gauge for 2.3/2.7 mm Screws,
black
62-00016 Depth Measuring Gauge
REF Description
56-40281 K-Wire with Olive Stop, 1.4mm *
07-40281 K-Wire, 1.1x160mm **
DePTH GAUGeS
STeRILIzInG COnTAIneR
ImPLAnT mODULe
REF Description
29-27001 VariAx Distal Radius Locking
Implant & Recessed Screw
Module* Module
* Recessed Screw Module to be used with
Self-Retaining Blades (62-27015 - T7 Blade
or 62-27007 – Cross-Pin Blade)
29-27005 VariAx Distal Radius Implant
Module, Compatible with
Capture Sleeve*
* 45-27030 Capture Sleeve for 2.3mm &
2.7mm T7 screws. (Capture Sleeve to be
used with 62-27016 – Screwdriver Blade)
29-27002 Inlay for Anatomical Volar Distal
Radius Plates
29-27003 Inlay for Universal Volar Distal
Radius Plates
29-27004 Inlay for Volar Anatomical XXL
DR Plates
REF Description
29-13012 VariAx Lid for Sterilizing
Container
29-13013 Sterilizing Container, Half-size,
w/o VariAx Lid
29-13114 VariAx Distal Radius Plating
Instrument Tray
29-13024 Inlay for Universal Volar Distal
Radius Plates
32
Now Stryker Osteosynthesis offers you a wide variety of solutions for the treatment of Upper Extremity & Hand Injuries.
TwinFix
KnifeLight
Hoffmann II micro Lengthener Hoffmann II Compact mRI Profyle and VariAx Hand
T2 Humeral nail
T2 Proximal Humeral nailAsnis III 4.0 Cannulated ScrewsAxSOS Proximal Humeral Plate
33
notes
This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery.
The information presented is intended to demonstrate a Stryker product. A surgeon must always refer to the package insert, product label and/or instructions for use, including the instructions for Cleaning and Sterilization (if applicable), before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area.
Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Asnis, AxSOS, Hoffmann, Knifelight, SmartLock, Stryker, S2, T2, TwinFix, VariAx. All other trademarks are trademarks of their respective owners or holders.
The products listed above are CE marked.
Literature Number: 90-07800 Rev 8
Copyright © 2012 Stryker
Manufactured by:
Stryker Leibinger GmbH & Co. KGBötzinger Straße 41D-79111 FreiburgGermany
www.osteosynthesis.stryker.com
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