low profi le, angular stable fixation for ulna …synthes.vo.llnwd.net/o16/llnwmb8/us mobile/synthes...

Low Profi le, Angular Stable Fixation for Ulna Shortening Osteotomies

2.7 mm LCP® Ulna Osteotomy SystemSurgical Technique

Image intensifier control

Introduction

Surgical Technique

Transverse Osteotomy

Oblique Osteotomy

Product Information

2.7 mm LCP Ulna Osteotomy System 3

AO Principles 5

Indications 6

Preparation 7

Patient Position and Approach 8

Position Drill Template 9

Position Compression/Distraction Instrument 11 (Optional)

Technique A: Transverse Osteotomy • Perform Transverse Osteotomy 15• Reduction and Plate Placement – Apply Plate 17

– Cortex Screw Insertion 18 – Locking Screw Insertion 20

Technique B: Oblique Osteotomy • Perform Oblique Osteotomy 21• Reduction and Plate Placement – Apply Plate 23

– Cortex Screw Insertion 24 – Lag Screw Insertion 26 – Locking Screw Insertion 28

Final Locking 29

Implant Removal 30

Implants 31

Instruments 33

Set Lists 37MR Information The 2.7 mm LCP Ulna Osteotomy System has not been evaluated for safety and compatibility in the MR environment. It has not been tested for heating, migration or image artifact in the MR environment. The safety of the 2.7 mm LCP Ulna Osteotomy System in the MR environment is unknown. Scanning a patient who has this device may result in patient injury.

2.7 mm LCP® Ulna Osteotomy System Surgical Technique DePuy Synthes 1

TABLE OF CONTENTS

INTRODUCTION Introduction

INTRODUCTION

2.7 MM LCP® ULNA OSTEOTOMY SYSTEM Low profi le, angular stable fi xation for ulna shortening osteotomies

Low profi le, angular stable plates• Low profi le plates with rounded edges and tapered

ends help minimize the risk of soft tissue irritation• Plate hole confi guration allows for both transverse

and oblique osteotomy cut• Symmetric plate design for easy application

• Stable fi xation with 2.7 mm locking and cortex screws with StarDrive™ T8 Recess

• Two plate lengths (6-hole and 8-hole)• Available in stainless steel and titanium alloy (TAN)

Drill templates• For predrilling of plate fi xation holes before osteotomy

cut to ensure correct rotational alignment• Saw guide provides guidance to oblique osteotomies• Available for shortening of 2.0 mm, 2.5 mm, 3.0 mm,

4.0 mm, and 5.0 mm

Parallel saw blades• Available for transverse and oblique osteotomy cuts in

fi ve different widths for 2 mm, 2.5 mm, 3 mm, 4 mm, and 5 mm shortening

• For precise parallel osteotomies• Compatible with Small Battery Drive with Oscillating

Saw Attachment


Central three-part Combi holes for fl exible screw placement• Lag screw (Figure 1)• Neutral cortex screw (Figure 2)• Locking screw (Figure 3)

Locking holes and locking portions of the Combi holes accept 2.7 mm locking screws.

The Dynamic Compression Unit (DCU) of the Combi holes accept 2.7 mm cortex screws.

Compression/distraction instrument• For Kirschner wires up to 2.0 mm diameter• To aid in reduction and compression of the cut bone ends• Two fi xation options on each side of the osteotomy• Allows for compression and distraction• Can be used in combination with drill templates• Can be used without drill template for shortenings greater

than 5 mm

1

2

3

2.7 mm diameter locking screw

2.7 mm diameter cortex screw

2.7 mm LCP Ulna Osteotomy System Low profi le, angular stable fi xation for ulna shortening osteotomies

2 DePuy Synthes 2.7 mm LCP® Ulna Osteotomy System Surgical Technique

AO PRINCIPLES

1

4

2

3

4_Priciples_03.pdf 1 05.07.12 12:08

4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique

AO PRINCIPLES

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation1, 2.

1 Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991.

2 Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management. 2nd ed. Stuttgart, New York: Thieme. 2007.

Anatomic reductionFracture reduction and fixation to restore anatomical relationships.

Early, active mobilizationEarly and safe mobilization and rehabilitation of the injured part and the patient as a whole.

Stable fixationFracture fixation providing abso-lute or relative stability, as required by the patient, the injury, and the personality of the fracture.

Preservation of blood supplyPreservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation.1,2

Anatomic reductionFracture reduction and fixation to restore anatomical relationships.

Early, active mobilizationEarly and safe mobilization and rehabilitation of the injured part and the patient as a whole.

Stable fixationFracture fixation providing absolute or relative stability, as required by the patient, the injury, and the personality of the fracture.

Preservation of blood supplyPreservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.

1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation. 3rd ed. Berlin, Heidelberg, New York: Springer-Verlag; 1991.

2. Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management. 2nd ed. Stuttgart New York: Thieme; 2007.


INDICATIONS

The 2.7 mm LCP® Ulna Osteotomy System is indicated for fixation of fractures, osteotomies, nonunions, replantations, and fusions of small bones and small bone fragments, including osteopenic bone, in the ulna. The 2.7 mm LCP Ulna Osteotomy System is indicated for use in both adults and adolescents (12-21 years) in which growth plates have fused, or in which growth plates will not be crossed by screw fixation.


Surgical Technique

SURGICAL TECHNIQUE

PREPARATION

1Preoperative planning

Complete preoperative radiographic assessment andpreoperative planning is essential, especially in cases ofsecondary impaction.

Contralateral x-rays allow determination of the necessaryamount of shortening.

The 2.7 mm LCP Ulna Osteotomy Plate is intended to be placed on the volar flat surface of the ulna, just proximal to the pronator quadratus muscle. It is recommended to place the plate between the distal and the middle third of the ulnar shaft.

Alternative plate placement, i.e. on the dorsal aspect, is also possible.

The plate may be contoured for proper placement on the bone. To preserve the strength of the plate, avoid repetitive bending.

Required set

01.011.900/ 2.7 mm LCP Ulna Osteotomy System 01.011.901 (Stainless Steel or Titanium)


2Approach

Make a longitudinal incision to approach the volar side of the ulna.

Precaution: Take care not to damage the dorsal sensory branch of the ulnar nerve.

PATIENT POSITION AND APPROACH

1Position patient

Place the patient in a supine position with the forearm positioned on a hand table in full supination and the shoulder in 90° abduction. The use of a tourniquet and magnifying loops is recommended.


POSITION DRILL TEMPLATE

1Apply drill template

Instruments

02.111.902.01 2.0 mm Kirschner Wire, with drill tip, 100 mm

02.111.903.01 2.0 mm Kirschner Wire, with drill tip, 150 mm

Drill Templates, for 2.7 mm LCP Ulna Osteotomy Plate 03.111.900 for 2.0 mm shortening 03.111.901 for 2.5 mm shortening 03.111.902 for 3.0 mm shortening 03.111.903 for 4.0 mm shortening 03.111.904 for 5.0 mm shortening

Choose the appropriate drill template according to the intended amount of shortening.

Position the drill template on the bone and fix it bicortically with the 2.0 mm Kirschner wires with drill tip. Two lengths of Kirschner wires are available. For the fixation of the drill template at both ends, start distally and use 100 mm Kirschner wires (02.111.902.01 ➊ ➋) to avoid space constraints when inserting the third, 150 mm Kirschner wire (02.111.903.01 ➌).

The circular laser markings on the Kirschner wires can be used as a guide for insertion depth: the first marking indicates insertion depth of 10 mm, the second marking indicates 15 mm (reading at the edge of the drill template).

Precaution: Do not start drilling before Kirschner wire tip is in contact with the bone. Avoid off-axis insertion of the Kirschner wire.

15 mm10 mm

DistalProximal

1 23


Notes • Make sure the drill template is correctly oriented

proximally and distally according to the etchings.• The shape of the drill template is identical to the

shape of the 6-hole 2.7 mm LCP Ulna Osteotomy Plate (02.111.900/04.111.900).

• Ensure that the drill template lies centrally on the bone for proper plate placement.

• Confirm the placement of the drill template under imaging.

• Both ends of the drill template should sit flush on the bone when inserting the Kirschner wires. Otherwise, the plate may need to be bent to fit the patient’s anatomy.

• In case the ulnar bone is slightly convex, the drill template may not sit flush on the bone and could tilt. If the template is tilting, ensure that the distal end is kept flush on the bone when inserting the Kirschner wires.

Position Drill Template

Flush

Proximal tilt


POSITION COMPRESSION/DISTRACTION INSTRUMENT (OPTIONAL)

2Apply compression/distraction instrument

Instruments

03.111.907 Compression/Distraction Instrument

02.111.902.01 2.0 mm Kirschner Wire with drill tip, length 100 mm, Stainless Steel

02.111.903.01 2.0 mm Kirschner Wire with drill tip, length 150 mm, Stainless Steel

If additional stabilization is desired, apply the compression/distraction instrument prior to performing the osteotomy cut.

Notes• Before using the compression/distraction instrument,

ensure that the screw nuts are loosened.• Be sure that the Kirschner wires used for fixation

of the compression/distraction instrument do not collide with the wires used for fixation of the drill template.

Position and fix the compression/distraction instrument with the 100 mm 2.0 mm Kirschner wires (02.111.902.01) in the inner part of the clamps (A). Tighten the nuts clockwise to retain the Kirschner wires.➊ For additional fragment support and rotational control, insert the 150 mm 2.0 mm Kirschner wires (02.111.903.01) in the outer part of the clamps (B).

Notes• Both tips of the compression/distraction instrument

should be in contact with the bone.• Adjust the position of the clamps to allow for

adequate working space by turning the spindle.➋

AB A B

➋

➊

➊


Position Compression/Distraction Instrument (Optional)

15 mm10 mm

For an oblique cut, it might be necessary to remove the saw guide to apply the compression/distraction instrument. The cut can be marked before the compression/distraction instrument is applied.

The circular laser markings on the Kirschner wires can be used as approximate indication for insertion depth: the first marking indicates insertion depth 10 mm, the second marking 15 mm (reading at the cut-out edge of the compression/distraction instrument).

Perform the osteotomy cut. If more workspace is needed, the compression/distraction instrument can be positioned further away from the bone. For proper alignment, check exact position prior to moving the compression/distraction instrument.

After removal of the drill template, distract/reduce the bone ends by turning the knob on the spindle. Distraction might be helpful to check for bone residues that could impede complete closure of the gap.


Position Compression/Distraction Instrument (Optional)

Freehand application: The compression/distraction instrument can also be used freehand (without the use of the drill template) and for osteotomy cuts larger than 5 mm.


Transverse Osteotom

y

TRANSVERSE OSTEOTOMY

TECHNIQUE A: TRANSVERSE OSTEOTOMYPERFORM TRANSVERSE OSTEOTOMY

1Perform transverse osteotomy

Instruments for transverse (90°) osteotomy cut

Parallel Saw Blades, 90° parallel cut, sterile 532.081S 2.0 mm shortening 532.082S 2.5 mm shortening 532.083S 3.0 mm shortening 532.084S 4.0 mm shortening 532.085S 5.0 mm shortening

Optional instrument

399.99 Reduction Forceps, with serrated jaw, ratchet, 144 mm

Choose an appropriate parallel saw blade for transverse osteotomy (90°) and intended amount of shortening. Be sure that the parallel saw blade and the drill template are intended for the same amount of shortening. Before starting the osteotomy, ensure that the parallel saw blade spacer is in the correct position, away from the coupling part.

Precautions• Protect the soft tissue behind the far cortex.• Avoid applying excessive force while making the

osteotomy cut.• Always irrigate during sawing to avoid excessive

heating. During use, excessive heating can lead to thermal necrosis of the bone of soft tissue burns.

• Make sure that the cut is always perpendicular to the long axis of the bone.

Align the parallel saw blade with the transverse parallel markings on the drill template and perform the osteotomy cut. The markings on the drill template indicate the correct positioning of the saw blade.

Perform the osteotomy with the drill template in contactwith the bone and the parallel saw blade in motion. Do not shift the direction of the saw blade once cut has been started. Once cutting has been started, advancement of the saw blade may be easier when the drill template is slid away from the bone by 2-3 mm.

Transverse cut


Technique A: Transverse OsteotomyPerform Transverse Osteotomy

Note: Before starting the osteotomy, ensure that the spacer of the parallel saw blade is in the correct position, away from the coupling part.

Option: To avoid shifting of the drill template due to vibration, it may be provisionally fixed with reduction forceps.


Technique A: Transverse Osteotomy

REDUCTION AND PLATE PLACEMENTAPPLY PLATE

2Remove drill template and reduce

Instrument


Remove the drill template. Reduce the osteotomy using a reduction clamp.

Note: If using the compression/distraction instrument, turn spindle clockwise, either by hand or with StarDrive T8 Screwdriver, to reduce the osteotomy. Keep compression/distraction instrument in place to hold reduction. Distraction might be helpful to check for bone residues that could impede complete closure of the gap.

3Apply plate

Place plate over Kirschner wires with most proximal and distal wires sitting within the dynamic compression unit (DCU) of the Combi holes.

Distal Proximal


Technique A: Transverse OsteotomyReduction and Plate Placement

CORTEX SCREW INSERTION

4Insert cortex screws

Instruments

03.111.005 Depth Gauge for 2.0 mm, 2.4 mm, and 2.7 mm screws

03.111.038 Handle with Quick Coupling

314.453 StarDrive Screwdriver Shaft, T8, 55 mm or 314.467 StarDrive Screwdriver Shaft, T8, 105 mm


Optional instrument

311.26 Tap for 2.7 mm Cortex Screws, 100 mm

Remove the distal Kirschner wire closest to the osteotomy (1). Measure screw length and insert appropriate 2.7 mm diameter cortex screw using a StarDrive T8 Screwdriver. Fully tighten screw in a neutral position within the DCU. Repeat with most distal Kirschner wire (2 and 3) (Figure A).

Before removing the proximal Kirschner wire, fix the plate in position with the forceps.

Remove the Kirschner wire proximal to the osteotomy, measure the screw length and insert the appropriate 2.7 mm cortex screw. Remove the forceps when tightening the screw and apply compression to the osteotomy until completely closed.

123

A


Technique A: Transverse OsteotomyReduction and Plate PlacementCortex Screw Insertion

Notes • The screw hole for the third cortex screw (proximal

to the osteotomy) is located in eccentric position of the oblong Combi hole. Tightening of this screw will apply compression to the osteotomy.

• In especially hard ulnar bone, the use of a tap may be necessary.

• Insertion of the eccentric screw may be facilitated by slightly loosening the cortex screws distally.

• Make sure that the osteotomy gap is completely closed.


Technique A: Transverse OsteotomyReduction and Plate Placement

LOCKING SCREW INSERTION

5Insert locking screws

Instruments



310.534 2.0 mm Drill Bit, with depth mark, quick coupling, 110 mm

314.453 StarDrive Screwdriver Shaft, T8, 55 mmor314.467 StarDrive Screwdriver Shaft, T8, 105 mm

323.061 2.0 mm Threaded Drill Guide, with depth gauge

Optional instrument

03.111.906 Tap for 2.7 mm Locking Screws, 100 mm

Insert the threaded drill guide into the most distal locking hole until fully seated (Figure A).

Using the 2.0 mm diameter drill bit, drill to the desired depth.

Note: In especially hard ulnar bone, the use of a tap (03.111.906) may be necessary.

Measure the screw length either by using the scale on thedrill guide or with a depth gauge (Figure B).

Insert the appropriate 2.7 mm locking screw manually with a StarDrive T8 Screwdriver (Figure C).

Note: Do not yet fully tighten the screw. For fi nal locking of locking screws, see Final Locking.

Insert additional locking screws as needed.

A

B C


Oblique O

steotomy

OBLIQUE OSTEOTOMY

TECHNIQUE B: OBLIQUE OSTEOTOMYPERFORM OBLIQUE OSTEOTOMY

1Perform oblique osteotomy

Instruments for Oblique (45°) Osteotomy Cut

Parallel Saw Blades, 45° cut, sterile 532.091S 2.0 mm shortening 532.092S 2.5 mm shortening 532.093S 3.0 mm shortening 532.094S 4.0 mm shortening 532.095S 5.0 mm shortening

Optional instruments

03.111.905 Saw Guide, for 2.7 mm LCP Ulna Osteotomy Plate


511.776 Torque Limiting Attachment, 0.8 Nm, quick coupling

314.467 Screwdriver Shaft, StarDrive, T8, 105 mm

03.110.005 Handle for Torque Limiting Attachment

Choose the appropriate parallel saw blade for an oblique osteotomy (45°) and intended amount of shortening. Align the parallel saw blade with the oblique parallel markings on the drill template and perform the cut. The markings on the drill template indicate the correct positioning of the saw blade. Attach the saw guide to the drill template (1).

Precautions:• To indicate the correct angle for the 45° oblique cut, a

saw guide can be mounted on the drill template (1).• Make sure that the cut is always perpendicular to the

long axis of the bone.• Protect the soft tissue behind the far cortex.• Avoid applying excessive force while making the

osteotomy cut.• Irrigate during sawing to avoid excessive heating.

1 2

Notes:• Do not shift direction of the saw blade once cut has

been started.• In oblique osteotomy use the screwdriver together with

the 0.8 Nm Torque Limiter to tighten the screw (2). To untighten the screw, use the screwdriver only without the torque limiter.


Note: Before starting the osteotomy, ensure that the spacer of the parallel saw blade is in the correct position, away from the couping part. Be sure that the parallel saw blade and the drill template are intended for the same amount of shortening. With the drill template in contact with the bone and the parallel saw blade in motion, create the osteotomy. To avoid shifting of the drill template due to vibration, it may be provisionally fixed with reduction forceps. Once cutting has been started, advancement of the saw blade may be easier when the drill template is slid away from the bone by 2-3 mm.

Technique B: Oblique OsteotomyPerform Oblique Osteotomy


Technique B: Oblique Osteotomy

REDUCTION AND PLATE PLACEMENTAPPLY PLATE

2Remove drill template and reduce

Instrument


Remove the drill template. Reduce the osteotomy using a reduction clamp.

Note: If using the compression/distraction instrument, turn spindle clockwise, either by hand or with StarDrive T8 Screwdriver, to reduce the osteotomy. Keep compression/distraction instrument in place to hold reduction. Distraction might be helpful to check for bone residues that could impede complete closure of the gap.

3Apply plate

Place plate over Kirschner wires with most proximal and distal wires sitting within the dynamic compression unit (DCU) of the Combi holes.

Distal Proximal


Technique B: Oblique OsteotomyReduction and Plate Placement

CORTEX SCREW INSERTION

4Insert cortex screws

Instruments





Remove the distal Kirschner wire closest to the osteotomy. Measure screw length and insert appropriate 2.7 mm diameter cortex screw using a StarDrive T8 Screwdriver. Fully tighten screw in a neutral position within the DCU. Repeat with most distal Kirschner wire (Figure A).

Before removing the proximal Kirschner wire, fix the plate in position with the forceps.

Remove the Kirschner wire proximal to the osteotomy, measure the screw length and insert the appropriate 2.7 mm cortex screw. Remove the forceps when tightening the screw and apply compression to the osteotomy until fully closed.

123

A


Technique B: Oblique OsteotomyReduction and Plate PlacementCortex Screw Insertion

Notes • The screw hole for the third cortex screw (proximal

to the osteotomy) is located in eccentric position of the oblong Combi hole. Tightening of this screw will apply compression to the osteotomy.

• In especially hard ulnar bone, the use of a tap may be necessary.

• Insertion of the eccentric screw may be facilitated by slightly loosening the cortex screws distally.



LAG SCREW INSERTION

5Insert lag screw

Instruments



310.26 2.7 mm Drill Bit, quick coupling, 100 mm


323.26 2.7 mm Universal Drill Guide

Overdrill the near cortex using the 2.7 mm universal drill guide and the 2.7 mm drill bit (Figure A).

Drill the threaded hole using the 2.0 mm end of the 2.7 mm universal drill guide and the 2.0 mm drill bit (Figure B).

Measure the screw length using the depth gauge (Figure C).

A

B

C


Technique B: Oblique OsteotomyReduction and Plate PlacementLag Screw Insertion

Select and insert the correct length 2.7 mm diameter cortex screw as a lag screw using the StarDrive T8 Screwdriver Shaft and the handle with quick coupling.



LOCKING SCREW INSERTION

5Insert locking screws

Instruments






Optional instrument


Insert the threaded drill guide into the most distal locking hole until fully seated (Figure A).

Using the 2.0 mm diameter drill bit, drill to the desired depth.

Note: In especially hard ulnar bone, the use of a tap (03.111.906) may be necessary.

Measure the screw length either by using the scale on thedrill guide or with a depth gauge (Figure B).

Insert the appropriate 2.7 mm locking screw manually with a StarDrive T8 Screwdriver (Figure C).

Note: Do not yet fully tighten the screw to lock. For final locking of locking screws, see Final Locking.

Insert additional locking screws as needed.

A

B C


FINAL LOCKING

Perform final locking of 2.7 mm locking screws

Instruments



511.776 Torque Limiting Attachment, 0.8 Nm, quick coupling*

Use the 0.8 Nm torque limiting attachment (TLA) for final tightening of the 2.7 mm locking screws

The TLA attaches to the blue handle for torque limiters and a StarDrive T8 Screwdriver Shaft.

The TLA ensures consistent insertion torque to provide uniform plate-screw interface and prevents overtightening of the locking screws. With this final locking step, the screws are securely locked into the plate.

Note: When performing the final locking step, the TLA should always be used.

If the torque limiter releases prior to final locking, the use of a tap is recommended.

* Recalibration of the torque limiter: DePuy Synthes Companies recommends annual servicing and inspection by the original manufacturer. The torque limiter has to be sent to your DePuy Synthes Companies repair center annually for calibration. The user accepts the responsibility for this annual calibration.


IMPLANT REMOVAL

Instruments


314.453 StarDrive Screwdriver Shaft, T8, 105 mmor314.467 StarDrive Screwdriver Shaft, T8, 55 mm

To remove locking screws, fi rst unlock all screws from the plate; then remove the screws completely from the bone.

The last screw removed should be a non-locking screw on the shaft. This will prevent the plate from spinning while the locking screws are removed.

Transverse

Oblique


Product Information

PRODUCT INFORMATION

IMPLANTS

2.7 mm LCP Ulna Osteotomy Plates◊

Stainless Steel Titanium Holes Length (mm)

02.111.900 04.111.900 6 62

02.111.901 04.111.901 8 76

◊ Available nonsterile or sterile-packed. Add “S” to product number to order sterile product.


Implants

2.7 mm Cortex Screws, self-tapping, with T8 StarDrive Recess

Stainless Steel Titanium Length (mm)

202.870 402.870 10

202.872 402.872 12

202.874 402.874 14

202.876 402.876 16

202.878 402.878 18

202.880 402.880 20

202.882 402.882 22

202.884 402.884 24

202.886 402.886 26

202.888 402.888 28

202.890 402.890 30

2.7 mm Locking Screws, self-tapping, with T8 StarDrive Recess


202.208 402.208 8

202.209 402.209 9

202.210 402.210 10

202.211 402.211 11

202.212 402.212 12

202.213 402.213 13

202.214 402.214 14

202.216 402.216 16

202.218 402.218 18

202.220 402.220 20

202.222 402.222 22

202.224 402.224 24


INSTRUMENTS

Drill Templates Shortening Shortening Distance Distance (mm) (mm)

03.111.900 2.0 03.111.903 4.0

03.111.901 2.5 03.111.904 5.0

03.111.902 3.0


03.111.005 Depth Gauge for 2.0 mm, 2.4 mm, and 2.7 mm screws, measuring range up to 40 mm


2.0 mm Kirschner wire, with drill tip02.111.902.01 100 mm02.111.903.01 150 mm

03.111.905 Saw Guide, for 2.7 mm LCP Ulna Osteotomy System







314.467 StarDrive Screwdriver Shaft, T8, 105 mm


Instruments


Instruments

314.468 Holding Sleeve for StarDrive Screwdriver Shaft, T8 (314.467)







Parallel Saw Blades for LCP Ulna Osteotomy Plate, sterile

Shortening Osteotomy Distance Angle (mm)

532.081S Transverse (90°) 2.0

532.082S Transverse (90°) 2.5

532.083S Transverse (90°) 3.0

532.084S Transverse (90°) 4.0

532.085S Transverse (90°) 5.0

Shortening Osteotomy Distance Angle (mm)

532.091S Oblique (45°) 2.0

532.092S Oblique (45°) 2.5

532.093S Oblique (45°) 3.0

532.094S Oblique (45°) 4.0

532.095S Oblique (45°) 5.0


Instruments

2.7 MM LCP ULNA OSTEOTOMY SYSTEMStainless Steel (01.111.900) and Titanium (01.111.901)

Graphic Case, Module and Trays60.111.900 2.7 mm LCP Ulna Osteotomy Graphic Case

60.111.901 2.7 mm LCP Ulna Osteotomy System Implant Module

60.111.902 Plate Block for 2.7 mm LCP Ulna Osteotomy System

60.111.903 1⁄3 Instrument Tray for 2.7 mm LCP Ulna Osteotomy System

60.111.904 2⁄3 Instrument Tray for 2.7 mm LCP Ulna Osteotomy System

Instruments02.111.902.01 2.0 mm Kirschner wire, with drill tip,

100 mm length

02.111.903.01 2.0 mm Kirschner wire, with drill tip, 150 mm length


03.111.005 Depth Gauge for 2.0 mm, 2.4 mm and 2.7 mm screws, measuring range up to 40 mm


Drill Templates

Shortening Shortening Distance Distance (mm) (mm)

03.111.900 2.0 03.111.903 4.0

03.111.901 2.5 03.111.904 5.0

03.111.902 3.0

03.111.905 Saw Guide, for 2.7 mm LCP Ulna Osteotomy System








314.468 Holding Sleeve, for StarDrive Screwdriver Shaft, T8 (314.467)






For detailed cleaning and sterilizationinstructions, please refer towww.synthes.com/cleaning-sterilization orsterilization instructions, if provided.


2.7 mm LCP Ulna Osteotomy System Stainless Steel (01.111.900) and Titanium (01.111.901)

Implants2.7 mm LCP Ulna Osteotomy Plates◊

Stainless Steel Titanium Holes Length (mm)

02.111.900 04.111.900 6 62

02.111.901 04.111.901 8 76

2.7 mm Cortex Screws, self-tapping, with T8 StarDrive Recess


202.870 402.870 10

202.872 402.872 12

202.874 402.874 14

202.876 402.876 16

202.878 402.878 18

202.880 402.880 20

202.882 402.882 22

202.884 402.884 24

202.886 402.886 26

202.888 402.888 28

202.890 402.890 30

2.7 mm Locking Screws, self-tapping, with T8 StarDrive RecessStainless Steel Titanium Length (mm)

202.208 402.208 8

202.209 402.209 9

202.210 402.210 10

202.211 402.211 11

202.212 402.212 12

202.213 402.213 13

202.214 402.214 14

202.216 402.216 16

202.218 402.218 18

202.220 402.220 20

202.222 402.222 22

202.224 402.224 24

◊ Available nonsterile or sterile-packed. Add “S” to catalog number to order sterile product.


Also Available Instruments312.24 2.7 mm/2.0 mm Double Drill Sleeve


Osteotomy Shortening Angle Distance (mm)

532.081S Transverse (90°) 2.0

532.082S Transverse (90°) 2.5

532.083S Transverse (90°) 3.0

532.084S Transverse (90°) 4.0

532.085S Transverse (90°) 5.0


Osteotomy Shortening Angle Distance (mm)

532.091S Oblique (45°) 2.0

532.092S Oblique (45°) 2.5

532.093S Oblique (45°) 3.0

532.094S Oblique (45°) 4.0

532.095S Oblique (45°) 5.0

Required Sets for Use with Parallel Saw Blades105.954 Small Battery Drive with 14.4 V Battery

Pack Set

or105.955 Small Battery Drive Set

2.7 mm LCP Ulna Osteotomy System Stainless Steel (01.111.900) and Titanium (01.111.901)


Limited Warranty and Disclaimer: DePuy Synthes products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed.

Please also refer to the package insert(s) or other labeling associated with the devices identified in this surgical technique for additional information.

CAUTION: Federal Law restricts these devices to sale by or on the order of a physician.

Some devices listed in this surgical technique may not have been licensed in accordance with Canadian law and may not be for sale in Canada. Please contact your sales consultant for items approved for sale in Canada.

Not all products may currently be available in all markets.

© DePuy Synthes 2014-2017. All rights reserved.DSUS/TRM/0514/0063(2) 4/17 DV

Synthes USA, LLC 1101 Synthes AvenueMonument, CO 80132

Manufactured or distributed by:Synthes USA Products, LLC 1302 Wrights Lane EastWest Chester, PA 19380

To order (USA): 800-523-0322 To order (Canada): 855-946-8999

Note: For recognized manufacturer, refer to the product label.

www.depuysynthes.com

low profi le, angular stable fixation for ulna …synthes.vo.llnwd.net/o16/llnwmb8/us mobile/synthes...

Documents