2.7 mm/3.5mm variable angle lcp elbow system · 2.7 mm variable angle locking, 2.7 mm metaphy-seal,...

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2.7 mm/3.5mm Variable Angle LCP ® Elbow System

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Page 1: 2.7 mm/3.5mm Variable Angle LCP Elbow System · 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered

2.7 mm/3.5mm Variable Angle LCP® Elbow System

Page 2: 2.7 mm/3.5mm Variable Angle LCP Elbow System · 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered

Founded upon the established principles of DePuy Synthes LCP System technology and the first generation elbow plates, the Variable Angle LCP Elbow Plating System has the following features:

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

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

Responds to the specifics of proximal ulna fractures by recognizing the particular biomechanical requirements of each fracture type and therefore offering specific implants with optimized shapes and screw configurations.

Provides multiple distal humerus plate configurations including parallel and perpendicular plating, allowing surgeons to choose their preferred solution.

Building on success…

…improving patient care.

Page 3: 2.7 mm/3.5mm Variable Angle LCP Elbow System · 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered

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.

Designed to reduce therisk of soft tissue irritation

11618A_VA ElbowMktgBro_- 6/26/12 1:49 PM Page 2

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

11618A_VA ElbowMktgBro_- 6/26/12 1:49 PM Page 3

Poor soft tissue coverage of the elbow makes the area prone to implant prominence. The VA LCP® Elbow Plating System is designed to help reduce the risk of soft tissue irritation through focused improvements to the implant design and profile.

Plate design

Contoured metaphyseal plate profile, together with rounded edges and an improved anatomical plate fit may help reduce the prominence of the construct without compromising stability.

Plate-screw interface designed forreduced screwhead prominence

2.7 mm variable angle locking screw: recess for screwhead reduces screw prominence.

2.7 mm variable angle locking screws give the surgeon the ability 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 penetration1

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

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

2.7 mm metaphyseal screw

2.7 mm cortex screw

Designed to reduce the risk of soft tissue irritation

1 2

Page 4: 2.7 mm/3.5mm Variable Angle LCP Elbow System · 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered

2.7 mm/3.5 mm VA LCP System Elbow Plates

Metaphyseal Screw OptionsFeatures variable angle locking holes that accept 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws

Tapered plate tipTapered end for submuscular plate insertion which may help to preserve tissue viability

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

Reconstruction plate segmentsAllows additional contouring of plates to fit patient anatomy

Combi HolesAccepts 3.5 mm locking, 3.5 mm cortex and 4.0 mm cancellous bone screws

Olecranon platesDesigned to treat various olecranon fracture patterns

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

Rounded plate profilePotentially helps reduce the risk for soft tissue irritation

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

Page 5: 2.7 mm/3.5mm Variable Angle LCP Elbow System · 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered

2

2

1

1

1 Reduced proximal extension designed to avoid interference with the triceps tendon.

2 Shaft strength at least equivalent to 3.5 mm LCP Plate

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

1 Proximal extension with multiple screw options secures the olecranon; designed to help neutralize the forces of the triceps muscle.

2 Multiple screws target and stabilize the coronoid.

3 Intermediate shaft thickness

Available in 2, 4, 6, and 8 holes

1

2

3

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

2 Notches designed to reduce interference with the triceps tendon.

3 Reduced shaft thickness decreases plate prominence.

Available in 2 holes

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

Three Types of Olecranon Plates

Proximal Olecranon Plate Olecranon Plate Extra-articular Proximal Ulna Plate

Page 6: 2.7 mm/3.5mm Variable Angle LCP Elbow System · 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered

2 1

5 4

3

Plate configurations

The VA LCP Elbow Plating System offers three main double-plating configurations for the distal humerus.

Perpendicular

Perpendicular, with support

Parallel

Choose your preferred plate configuration

VA LCP System Distal Humerus Plates

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

1 Medial Plate The standard medial column plate for both perpendicular and parallel plating configurations.

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

3 Lateral Plate The lateral plate for the parallel-plating configuration that allows long screws into the trochlea from lateral to medial.

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

5 Posterolateral Plate, with lateral support The screws from the lateral support target the articular block.

Page 7: 2.7 mm/3.5mm Variable Angle LCP Elbow System · 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered

VA LCP Elbow Plating SystemDePuy Synthes 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 participation in several cadaver workshops. Surgeon interviews and feedback determined the key components necessary for the DePuy Synthes VA LCP Elbow Plating System.

Extra-articular Proximal Ulna Plate

Proximal Olecranon Plate

Olecranon Plate

Extended Medial Distal Humerus Plate

Medial Distal Humerus Plate

180º plating option shownwith Medial and LateralDistal Humerus Plates

PosterolateralDistal HumerusPlate

ONE

Mechanical test constructs in stainless steel and titanium evaluated2

250Dedicated, global surgeon development team provided extensive consultation on the complete system

Total VA LCP System plate options

156

DePuy Synthes 2.7 mm/3.5 mm VA LCP Elbow Plating System

Skeletal specimens were analyzed to create precontoured anatomic fi t3,4

120

Page 8: 2.7 mm/3.5mm Variable Angle LCP Elbow System · 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered

11618A_VA ElbowMktgBro_- 6/26/12 1:52 PM Page C3

Plates2.7 mm/3.5 mm VA LCP System Proximal Olecranon Plates 0X.107.002, .102: 2 holes, 73 mm, right and left

2.7 mm/3.5 mm VA LCP System Olecranon Plates 0X.107.202–.206: 2, 4 and 6 holes, right 0X.107.302–.306: 2, 4 and 6 holes, left 0X.107.208S, .308S*: 8 holes, sterile, right and left

2.7 mm/3.5 mm VA LCP System Extra-articular Proximal Ulna Plates 0X.107.406–.412: 6, 8, 10 and 12 holes, right 0X.107.506–.512: 6, 8, 10 and 12 holes, left

2.7 mm/3.5 mm VA LCP System Posterolateral Distal Humerus Plates with Lateral Support0X.117.003–.009: 3, 4, 7 and 9 holes, right0X.117.103–.109: 3, 4, 7 and 9 holes, left 0X.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 System Posterolateral Distal Humerus Plates 0X.117.203–.209: 3, 4, 7 and 9 holes, right 0X.117.303–.309: 3, 4, 7 and 9 holes, left 0X.117.211S, .213S*: 11 and 13 holes, sterile, right 0X.117.311S, .313S*: 11 and 13 holes, sterile, left

2.7 mm/3.5 mm VA LCP System Medial Distal Humerus Plates 0X.117.401–.406: 1, 2, 4 and 6 holes, right 0X.117.501–.506: 1, 2, 4 and 6 holes, left 0X.117.408S, .410S*: 8 and 10 holes, sterile, right 0X.117.508S, .510S*: 8 and 10 holes, sterile, left

2.7 mm/3.5 mm VA LCP System Extended Medial Distal Humerus Plates0X.117.601–.606: 1, 2, 4 and 6 holes, right0X.117.701–.706: 1, 2, 4 and 6 holes, left 0X.117.608S, .610S*: 8 and 10 holes, sterile, right 0X.117.708S, .710S*: 8 and 10 holes, sterile, left

2.7 mm/3.5 mm VA LCP System Lateral Distal Humerus Plates 0X.117.801–.807: 1, 2, 5 and 7 holes, right 0X.117.901–.907: 1, 2, 5 and 7 holes, left 0X.117.809S, .811S*: 9 and 11 holes, sterile, right 0X.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.

2.7 mm/3.5 mm VA LCP Elbow Plating System

Page 9: 2.7 mm/3.5mm Variable Angle LCP Elbow System · 2.7 mm variable angle locking, 2.7 mm metaphy-seal, 2.7 mm locking, 2.7 mm cortex and 2.4 mm cortex screws Tapered plate tip Tapered

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

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

Some devices listed in this brochure 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 2019. All rights reserved.126111-191022 DSUS 11/19 DV

Manufactured by:Synthes USA, LLC 1101 Synthes AvenueMonument, CO 80132

To order (USA): 800-523-0322 To order (Canada): 844-243-4321

jnjmedicaldevices.com

1. Windchill reports 0000060618/0000060619. 2. Test Reports on File: MT11-565, MT11-631, MT11-632, MT11-633,

MT11-600, MT11-601, MT11-602, MT11-518, MT11-566, MT11-585, MT11-656, MT12-114.

3. DePuy Synthes Prototype Test Fit Study, Windchill# 0000060665.4. DePuy Synthes Prototype Test Fit Study, Windchill# 0000060655.