Synthes USA1302 Wrights Lane EastWest Chester, PA 19380Telephone: (610) 719-5000To order: (800) 523-0322Fax: (610) 251-9056

Synthes (Canada) Ltd.2566 Meadowpine BoulevardMississauga, Ontario L5N 6P9Telephone: (905) 567-0440To order: (800) 668-1119Fax: (905) 567-3185

© 2012 Synthes, Inc. or its affiliates. All rights reserved. Combi, LCP and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 6 /12 J11618-A

www.synthes.com

Simply Complete. VA-LCP ElbowPlating System.

Responds to the specifics of proximal ulna fractures byrecognizing the particular biomechanical requirements ofeach fracture type and therefore offering specific implantswith optimized shapes and screw configurations.

Provides multiple distal humerus plate configurationsincluding parallel and perpendicular plating, allowingsurgeons to choose their preferred solution.

…improving patient care.

Building on success…Founded upon the established principles of Synthes LCPtechnology and the first generation elbow plates, the VariableAngle LCP Elbow Plating System has the following features:

Designed to reduce the risk of soft tissue irritation bytaking into account the poor soft tissue coverage of the elbow,thereby improving the plate profile with an anatomical platecontour and enabling the screw heads to sit flush in the plate hole.

Offers simplicity and adaptability: variable angle lockingtechnology combines the simplicity of the established LCPscrew insertion technique with the possibility of adapting screw angulations. Adaptability is enhanced during screwinsertion by offering predefined screw angles while allowing +/-15° off-axis angulation, if needed.

1 2

Cross-section of the VA-LCP Distal Humerus Plate, medial (1) and the LCP DistalHumerus Plate, medial (2) at the level of the medial epicondyle.

Plate design

Contoured metaphyseal plate profile, together with roundededges and an improved anatomical plate fit help reduce theprominence of the construct without compromising stability.

Poor soft tissue coverage of the elbow makes the area proneto implant prominence. The VA-LCP Elbow Plating System isdesigned to help reduce the risk of soft tissue irritation throughfocused improvements to the implant design and profile.

Plate-screw interface designed forminimal screw-head prominence

2.7 mm variable angle locking screw: recess for screw-head minimizes screw prominence.

2.7 mm variable angle locking screws give the surgeon theability to create a fixed-angle construct with the freedom of+/-15° off-axis screw angulation. This enables the surgeon to:– Adapt screw angulations to patient anatomy– Capture specific fracture fragments – Adjust screw trajectory after plate bending– Position screws precisely to avoid joint penetration

2.7 mm low-profile metaphyseal compression screw:– Low-profile alternative to a cortex screw – Pulls the plate to the bone. Fully threaded, therefore not

intended to generate interfragmentary compression – Same thread as a variable angle locking screw or locking

screw – Can be replaced with a locking screw after plate-to-bone

compression has been achieved

2.7 mm metaphyseal screw

2.7 mm cortex screw

Designed to reduce therisk of soft tissue irritation

Limited-contact shaft profileLimits plate-to-bone contact to reduce impairment of blood supply

Tapered plate tipTapered end for submuscularplate insertion which may helpto preserve tissue viability

Reconstruction plate segmentsAllow additional contouring of plates to fit patient anatomy

Combi HolesAccept 3.5 mm locking, 3.5 mmcortex and 4.0 mm cancellousbone screws

Variable angle screw holesRecess for screwhead minimizes screw prominence to create a low-profile construct when used at the nominalangle. Screws can also be angled within a 30° conearound the central axis of the plate hole.

Rounded plate profile Minimizes the risk for softtissue irritation

Suture holes and undercutsAllow passage of suture needles through the undercut after plate application

Metaphyseal Screw OptionsFeatures variable angle locking holes that accept2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mmcortex screws

Olecranon platesDesigned to treat various olecranonfracture patterns

2.7 mm/3.5 mm VA-LCP Elbow Plates

Proximal ulna plates enable the surgeon to address the specific biomechanical requirements of each fracture pattern while minimizingirritations of the adjacent soft tissue.

1 Long proximal extension and moreproximal screw options secure small olecranon fragments; designed tohelp neutralize the forces of the triceps muscle.

2 Notches designed to minimize interference with the triceps tendon.

3 Reduced shaft thickness minimizesplate prominence.

Available in 2 holes

1 Proximal extension with multiplescrew options secures the olecranon;designed to help neutralize theforces of the triceps muscle.

2 Multiple screws target and stabilizethe coronoid.

3 Intermediate shaft thickness

Available in 2, 4, 6, and 8 holes

1 Minimized proximal extension designed to avoid interference withthe triceps tendon.

2 Shaft strength at least equivalent to3.5 mm LCP plate

Available in longer shaft lengths, including 6, 8, 10, and 12 holes

Proximal Olecranon Plate Olecranon Plate Extra-articular Proximal Ulna Plate

1

2

31

2

23

1

Three Types of Olecranon Plates

VA-LCP Distal Humerus Plates

The plates offer multiple screw configurations for the medialand lateral columns, and the articular block.

1 Medial PlateThe standard medial column plate for both perpendicularand parallel plating configurations.

2 Extended Medial PlateThe extension buttresses the medial epicondyle and includes an ascending screw that stabilizes the medial column.

3 Lateral PlateThe lateral plate for the parallel-plating configuration thatallows long screws into the trochlea from lateral to medial.

4 Posterolateral PlateThe posterolateral plate for the perpendicular-plating configuration with screws targeting the capitellum.

5 Posterolateral Plate, with lateral supportThe screws from the lateral support target the articularblock.

Choose your preferred plateconfiguration

Plate configurations

The VA-LCP Elbow Plating System offers threemain double-plating configurations for the distalhumerus.

Perpendicular

Perpendicular, with support

Parallel

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3

45

Simply CompleteSynthes products are a combination of

innovation and surgeon partnerships.

A dedicated, global surgeon team was

integral to the design of this system

through extensive consultation and par-

ticipation in several cadaver workshops.

Surgeon interviews and feedback deter-

mined the key components necessary for

the Synthes VA-LCP Elbow System.

Surgeons interviewed globally toidentify clinical features

105

120Skeletal specimens were analyzed tocreate anatomic precontoured design

78Total implant options with the twolongest lengths available sterile

250Constructs tested in both materials(SS and TI). Static and Fatigue testingcompleted using biomechanical elbow model.*

Dedicated, global surgeon develop-ment team provided extensive consultation on the complete system

Lateral DistalHumerus Plate

PosterolateralDistal HumerusPlate

OlecranonPlate

Extra-articularProximal UlnaPlate

ProximalOlecranonPlate

Testing on file at Synthes. Bench tests do not necessarilyreflect clinical performance.

180° plating option shownwith Medial and LateralDistal Humerus Plates

Medial Distal Humerus Plate

Extended MedialDistal Humerus Plate

ONE Synthes 2.7 mm/3.5 mm VA-LCP Elbow System that is simply complete

Plates2.7 mm/3.5 mm VA-LCP Proximal Olecranon Plates0X.107.002, .102: 2 holes, 73 mm, right and left

2.7 mm/3.5 mm VA-LCP Olecranon Plates0X.107.202–.206: 2, 4 and 6 holes, right0X.107.302–.306: 2, 4 and 6 holes, left0X.107.208S, .308S*: 8 holes, sterile, right and left

2.7 mm/3.5 mm VA-LCP Extra-articular Proximal Ulna Plates0X.107.406–.412: 6, 8, 10 and 12 holes, right0X.107.506–.512: 6, 8, 10 and 12 holes, left

2.7 mm/3.5 mm VA-LCP Posterolateral Distal Humerus Plateswith Lateral Support0X.117.003–.009: 3, 4, 7 and 9 holes, right0X.117.103–.109: 3, 4, 7 and 9 holes, left0X.117.011S, .013S*: 11 and 13 holes, sterile, right0X.117.111S, .113S*: 11 and 13 holes, sterile, left

2.7 mm/3.5 mm VA-LCP Posterolateral Distal Humerus Plates0X.117.203–.209: 3, 4, 7 and 9 holes, right0X.117.303–.309: 3, 4, 7 and 9 holes, left0X.117.211S, .213S*: 11 and 13 holes, sterile, right0X.117.311S, .313S*: 11 and 13 holes, sterile, left

2.7 mm/3.5 mm VA-LCP Elbow System

2.7 mm/3.5 mm VA-LCP Medial Distal Humerus Plates0X.117.401–.406: 1, 2, 4 and 6 holes, right0X.117.501–.506: 1, 2, 4 and 6 holes, left0X.117.408S, .410S*: 8 and 10 holes, sterile, right0X.117.508S, .510S*: 8 and 10 holes, sterile, left

2.7 mm/3.5 mm VA-LCP Extended Medial Distal HumerusPlates0X.117.601–.606: 1, 2, 4 and 6 holes, right0X.117.701–.706: 1, 2, 4 and 6 holes, left0X.117.608S, .610S*: 8 and 10 holes, sterile, right0X.117.708S, .710S*: 8 and 10 holes, sterile, left

2.7 mm/3.5 mm VA-LCP Lateral Distal Humerus Plates0X.117.801–.807: 1, 2, 5 and 7 holes, right0X.117.901–.907: 1, 2, 5 and 7 holes, left0X.117.809S, .811S*: 9 and 11 holes, sterile, right0X.117.909S, .911S*: 9 and 11 holes, sterile, left

Screws2.7 mm Metaphyseal Screws, self-tapping, with T8 StarDrive recess0X.118.510–.570: 10 mm–70 mm

(2 mm increments)

2.7 mm Variable Angle Locking Screws, self-tapping, with T8 StarDrive recess0X.211.010–.060: 10 mm–60 mm

(2 mm increments)

Also Available02.118.575S 2.7 mm Metaphyseal Screws, self-tapping,

with T8 StarDrive recess, 75 mm, sterile02.118.580S 2.7 mm Metaphyseal Screws, self-tapping,

with T8 StarDrive recess, 80 mm, sterile

X = 2: Stainless SteelX = 4: Titanium (Ti-6Al-7Nb)*Available sterile only

Synthes USA1302 Wrights Lane EastWest Chester, PA 19380Telephone: (610) 719-5000To order: (800) 523-0322Fax: (610) 251-9056

Synthes (Canada) Ltd.2566 Meadowpine BoulevardMississauga, Ontario L5N 6P9Telephone: (905) 567-0440To order: (800) 668-1119Fax: (905) 567-3185

© 2012 Synthes, Inc. or its affiliates. All rights reserved. Combi, LCP and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 6 /12 J11618-A

www.synthes.com

Simply Complete. VA-LCP ElbowPlating System.