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Surgical Technique

compacT DiSTal raDiuS SySTemConsolidated distal radius solution for surgery centers

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Compact Distal Radius System Surgical Technique DePuy Synthes Select

inTroDucTion

Surgical Technique

proDucT informaTion

compact Distal radius System 3

ao principles 8

indications 9

clinical cases 10

Three-column Theory 11

preparation 12

2.4 mm lcp® Volar column Distal radius 13 plate Technique

2.4 mm Va lcp Two-column Volar Distal radius 21 plate Technique

implants 31

instruments 34

Set list 38

Table of conTenTS

Compact Distal Radius System Surgical Technique DePuy Synthes Select 3

conSoliDaTeD DiSTal raDiuS SoluTion for Surgery cenTerS

• color-coded layout for instrument identification

• lean configuration includes 3 standard layout options: locking compression plates, variable angle plates, or a combination of both

• plates are designed to accommodate various fracture patterns and the patient's anatomy

• customized systems may contain any of the Depuy Synthes Distal radius plates

• features a removable implant bin, making it easy for surgeons to visually choose the appropriate plate intraoperatively

• contains guide blocks to facilitate the insertion of screws

• includes general instruments; all instrumentation is grouped by screw size, making it easier for surgical teams to locate related components

cuSTomizeD To your neeDS

DePuy Synthes Select offers surgical device systems designed for use in the most common orthopedic and podiatric procedures performed in Ambulatory Surgery Centers (ASCs). The Select compact systems feature the same high quality DePuy Synthes Companies products used in hospitals, but combined into consolidated sets to help improve efficiency for our ASC customers.

The configuration of the compact Distal radius System allows it to either be set up as a locking compression plate (lcp®) Distal radius Set, as a Variable angle lcp (Va lcp) Distal radius Set or as a lcp and Va lcp combined Set. The lcp plates and Screws result in a fixed-angle construct to support the articular surface and obtain fixation in osteoporotic bone. additionally the variable angle technology allows placing of the screws anywhere within a 30° cone around the central axis of the plate hole.

4 DePuy Synthes Select Compact Distal Radius System Surgical Technique

compact Distal radius System

color coDinga comprehensive color coding system highlights groups of instruments and associated screw sizes/types. Drill bits, drill guides, screwdriver shafts as well as the graphic case trays and screw racks are color-coordinated to facilitate pre-, intra-, and post-operative handling of the sets.

color Screw size (mm)

Screw type Drill size (mm)Threaded hole= one color band

Drill size (mm)gliding hole= two color bands

Shaft size

purple 2.4 cortex locking/Va locking 1.8 2.4 T8

orange 2.7 cortex 2.0 2.7 T8

in addition to the color for each screw size/type a band system distinguishes the drill size for the threaded hole (= one color band) and the gliding hole (= two color bands). The one band/two band principle is also replicated on the drill guides.


The layout of instruments is focused on order of use to correlate with the surgical steps and therefore assist with the intra-operative sequence.

instruments are arranged by groups (general instruments, 2.4 mm, and 2.7 mm screw instrumentation). The handling flows from left to right and from top to bottom, e.g. general instruments are typically used first and are therefore placed on the left. hence, implant specific instruments are located on the right side in order of the surgical steps:• Drill bit• Drill guide• measuring device• Screwdriver• Tla

orDer of uSe layouT1. reDuce

3. meaSure

2. Drill

4. inSerT Screw


Rightimplant specific instruments

Leftgeneral instruments

1

2

3

4


• 2.4 mm lcp Volar column Distal radius plates (Vcp) are precontoured for anatomic fit on the volar aspect of the distal radius. multiple locking screw holes in the head of the plate provide additional fixation of the radial and intermediate columns, with screw trajectories designed to address a wide variety of fracture types. Specifically, two screws are angled to capture the radial styloid and prevent rotation of these fragments

2.4 mm lcp Volar column DiSTal raDiuS plaTeS


• 2.4 mm lcp Volar column Distal radius plates can be used for both simple and complex fracture types (ao types a2, a3, b1-b3, and c1-c3). plate placement is more distal than the extra-articular plate, but not as distal as the juxta-articular plate


2.4 mm Va lcp Two-column Volar DiSTal raDiuS plaTeS


• anatomically contoured volar distal radius plates designed to address both simple and complex fractures

• Two columns allow independent fine contouring of the radial and intermediate columns

• Variable angle lcp (Va lcp) plate holes in the head of the plate combined with variable angle locking screws offer a locked construct to support the articular surface

• Screws can be angled anywhere within a 30° cone around the central axis of the plate hole

• four columns of threads in the variable angle locking hole provide four points of threaded locking between the 2.4 mm Va lcp Two-column Volar Distal radius plate and the round shaped variable angle locking screw, forming a fixed-angle construct at the desired screw angle

30°


in 1958, the ao formulated four basic principles, which have become the guidelines for internal fixation.1 They are:

Anatomic reductionfracture reduction and fixation to restore anatomical relationships.

Stable fixationStability by fixation or splintage, as the personality of the fracture and the injury requires.

Preservation of blood supplypreservation of the blood supply to soft tissue and bone by careful handling.

Early, active mobilizationearly, active mobilization of the part and patient.

ao principleS

1 müller me, m allgöwer, r Schneider, h willenegger. manual of internal fixation. 3rd ed. berlin heidelberg new york: Springer. 1991.


2.4 mm LCP Volar Column Distal Radius Platesfor fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones.

inDicaTionS

2.4 mm Variable Angle LCP Two-Column Volar Distal Radius PlatesThe 2.4 mm lcp Variable angle Volar Distal radius plates are indicated for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures:• intra-articular fractures exiting

the epiphysis• intra-articular fractures exiting

the metaphysis• physeal crush injuries• any injuries which cause growth arrest

to the distal radius


Case 1*

2.4 mm LCP Volar Column Distal Radius Plate• 65-year-old female, fall• classification: a2,

right hand• osteopenic, ulna styloid

clinical caSeS

Case 2*

2.4 mm VA LCP Two-Column Volar DIstal Radius Plate• 7-year-old female• cause of injury: unknown

preoperative lateral view

preoperativeap view

postoperativelateral view

postoperativeap view

preoperativelateral view

preoperativeap view

postoperative lateral view20° inclined

postoperativeap view

* case studies are not necessarily predictive of results in other cases. results in other cases may vary.


The treatment of distal radius fractures requires a meticulous reconstruction of the joint surface, as well as stable internal fixation and early functional postoperative treatment. extra-articular fractures require both the restoration of the volar tilt and radial length to reduce the possibility of displacement. malalignment may result in limitations of movement, changes of load distribution and midcarpal instability, as well as increased risk of osteoarthritis in the radiocarpal joint. intra-articular fractures with articular displacement of more than 2 mm in the radiocarpal joint may result in osteoarthritis and functional impairment.

The distal radius and distal ulna form a three-column biomechanical construction:• The intermediate column is the medial part of the distal

radius, with the lunate fossa and the sigmoid notch.• The radial column is the lateral radius with the scaphoid

fossa and the styloid process.• The ulnar column is the distal ulna, the triangular

fibrocartilage and the distal radioulnar joint.

following reduction, stabilization requires optimal fixation of the intermediate column as well as the radial column. in the case of a fractured distal ulna that compromises the distal radioulnar joint, the ulnar column should be stabilized as well.

Three-column Theory

ulnar column

intermediate column

radial column


Required sets

01.119.010/ aSc Distal radius Va instrument and 01.119.013 implant Set (stainless steel or titanium) or 01.119.011/ aSc Distal radius lcp instrument and 01.119.014 implant Set (stainless steel or titanium) or 01.119.012/ aSc Distal radius Va and lcp 01.119.015 instrument and implant Set (stainless

steel or titanium)

complete the preoperative radiographic assessment and plan. Determine procedure, type of fixation, screw/plate size and implant locations to ensure proper implant selection and position.

use the appropriate method for surgical incision and exposure of the fracture as needed.

preparaTion


1Reduce fracture and position plate

Instruments

03.111.005 Depth gauge

03.119.011 2.4 mm universal Drill guide, purple

03.119.014 2.0 mm Drill bit, quick coupling, orange

03.119.018 2.7 mm universal Drill guide, orange

03.119.019 StarDrive Screwdriver Shaft T8, 105 mm purple/orange or 314.453 StarDrive Screwdriver Shaft, T8, 55 mm

292.12/ 1.25 mm Kirschner wire

292.16/ 1.6 mm Kirschner wire

310.509 1.8 mm Drill bit with depth mark, quick coupling

311.43 handle, with quick coupling, small

323.029 Threaded lcp Drill guide, 1.8 mm

323.035 1.8 mm Threaded Drill guide, short

reduce the fracture using the preferred reduction technique. The reduction method will be fracture specific.

1.25 mm or 1.6 mm K-wires can be placed through the 1.8 mm short threaded drill guide or threaded lcp Drill guide. Thread the drill guide into a locking hole and insert the K-wire.

2.4 mm lcp Volar column DiSTal raDiuS plaTe Technique


1. reduce fracture and position plate continued

for the 7-hole head 2.4 mm lcp Volar column Distal radius plate, a 1.6 mm K-wire may be inserted directly through any of the dedicated K-wire holes.

Note: When using the guide block for the 7-hole head 2.4 mm LCP Volar Column Distal Radius Plate, insert a 1.25 K-wire.

The order of screw insertion and the use of K-wires may vary depending on the fracture pattern and reduction technique.

2.4 mm lcp Volar column Distal radius plate Technique



apply the plate to fit the volar surface of the distal radius and insert a 2.4 mm or 2.7 mm cortex screw into the elongated hole in the shaft. use the 2.4 mm universal drill guide or the 2.7 mm universal drill guide for an eccentric (compression) or neutral (buttress) insertion of cortex screws. measure screw length using the depth gauge. adjust the plate position as necessary and tighten the screw with a T8 StarDrive screwdriver.

Note: Use the 1.8 mm drill bit when inserting a 2.4 mm cortex screw. Use the 2.0 mm drill bit when inserting a 2.7 mm cortex screw.

Verify plate and distal screw location with a drill bit or K-wires before inserting multiple screws.



2Insert distal screw

Instruments


03.119.019 StarDrive Screwdriver Shaft T8, 105 mm purple/orange or 314.453 StarDrive Screwdriver Shaft, T8, 55 mm





The order of screw insertion in the shaft and metaphysis may vary depending on fracture pattern and reduction technique.

Select the preferred drill guide and insert it into a 2.4 mm locking hole in the head of the plate. Drill to the desired depth with a 1.8 mm drill bit or 1.8 mm K-wire. measure correct screw length and insert a 2.4 mm locking screw or 1.8 mm lcp buttress pin.




Alternative technique when using 2.4 mm LCP Volar Column Distal Radius Plate (8-hole head)

Instruments

03.110.011 attachment Screw for guide block, T8

03.110.016/ guide block for Volar 03.110.017 column plate, 8 -hole

head, right or left

03.119.012 1.8 mm Drill guide, with measuring for guide block, purple

Select the appropriate guide block and secure it to the plate using the attachment screw (figure 1).

insert the 1.8 mm drill guide with measuring into one of the distal plate holes. ensure that the guide is firmly seated in the hole. Drill with the 1.8 mm drill bit and measure screw length directly from the gauge on the instrument (figure 2), then insert a 2.4 mm locking screw using a T8 StarDrive screwdriver (figure 3).

repeat this procedure for the remaining distal holes that will be filled (figure 4).

Notes• The notched distal edge of the

guide block and a K-wire inserted at the joint level, may facilitate plate placement

• The 1.8 mm short threaded drill guide may also be used with the guide block for 2.4 mm LCP Volar Column Distal Radius Plate, if desired


figure 1 figure 2

figure 3 figure 4


Alternative technique when using 2.4 mm LCP Volar Column Distal Radius Plate (7-hole plate)

Instruments

03.119.012 1.8 mm Drill guide with measuring for guide block, purple

03.110.028– guide blocks for Volar 03.110.029 column plates, 7-hole

head, right or left

Select the appropriate guide block for the 6- or 7-hole head 2.4 mm lcp Volar column Distal radius plate and secure it to the plate manually using the positioning screw (figure 1). if desired, insert a 1.25 mm K-wire(s) as needed to fix the plate to the bone.

insert the drill guide with measuring for guide block into one of the distal plate holes. ensure that the guide is firmly seated in the hole. Drill with the 1.8 mm drill bit and measure screw length directly from the gauge on the instrument (figure 2), then insert a 2.4 mm locking screw using a T8 StarDrive screwdriver (figure 3).

repeat this procedure for the remaining distal holes that will be filled (figure 4).

remove guide block when distal screw insertion is complete.


figure 1 figure 2

figure 3 figure 4


3Insert proximal screws

Instruments





03.119.019 StarDrive Screwdriver Shaft, T8, 105 mm purple/orange or 314.453 StarDrive Screwdriver Shaft, T8, 55 mm





Determine where 2.4 mm locking or 2.4 mm or 2.7 mm cortex screws will be used in the shaft of the volar plate. insert these screws, beginning with the most proximal screw.

Note: Use the 1.8 mm drill bit when inserting a 2.4 mm locking or 2.4 mm cortex screw. Use the 2.0 mm drill bit when inserting a 2.7 mm cortex screw.

insert the threaded lcp Drill guide into the threaded portion of the combi hole when drilling for a 2.4 mm locking screw. measure for locking screw length directly from the depth mark on the drill bit and the gauge on the lcp Drill guide window. alternatively, use the depth gauge to measure for screw length.

insert screws with a T8 StarDrive screwdriver.



4Confirm proper joint reconstruction

confirm proper joint reconstruction, screw placement, and screw length, using multiple c-arm views. To ensure that the most distal screws are not in the joint, use additional views such as 10° tilted ap, 20° inclined lateral, and 45° pronated oblique.


Straight ap 10° tilted ap

lateral 20° radial tilt


2.4 mm Va lcp Two-column Volar DiSTal raDiuS plaTe Technique

1Reduce fracture and position plate

Instruments

03.111.005 Depth gauge for 2.4 mm to 2.7 mm screws




03.119.019 StarDrive Screwdriver Shaft, T8, purple/orange or 314.453 Short StarDrive Screwdriver Shaft, T8

292.12 1.25 mm Kirschner wire

292.16 1.6 mm Kirschner wire


311.43 handle, with quick coupling

reduce the fracture using the preferred reduction technique. The reduction method will be fracture specific.

apply the plate to fit the extra-articular volar surface and insert a 2.4 mm or 2.7 mm cortex screw in the elongated hole in the plate shaft. measure screw length using the depth gauge. adjust the plate position as necessary and tighten the screw with a T8 StarDrive screwdriver.

Note: Use the 1.8 mm drill bit when inserting a 2.4 mm cortex screw. Use the 2.0 mm drill bit when inserting a 2.7 mm cortex screw.



The order of screw insertion in the shaft and metaphysis may vary depending on the fracture pattern and reduction technique.


if necessary, use 1.25 mm K-wires inserted through selected K-wire holes to temporarily fix the plate distally.

The order of screw insertion and the use of K-wires may vary depending on the fracture pattern and reduction technique.

Optional instruments

guide blocks for Two-column plates 03.111.600 6 hole, right 03.111.601 6 hole, left 03.111.700 7 hole, right 03.111.701 7 hole, left

a guide block may be attached to a two-column plate (not shown).

perform several radiographic views of the distal radius to ensure alignment and reduction.

Option: If necessary, a 1.25 mm plate reduction wire, with small stop, may be used through a K-wire hole to temporarily hold the plate to the bone and in position. Alternatively, a 1.25 mm plate reduction wire, with large stop, may be used through the DCU portion of the Combi hole.

2.4 mm Va lcp Two-column Volar Distal radius plate Technique



2Insert proximal screws

Instruments





03.119.019 StarDrive Screwdriver Shaft, T8, 105 mm, purple/orange or 314.453 Short StarDrive Screwdriver Shaft,

T8, 55 mm



323.029 Threaded lcp Drill guide

Determine where 2.4 mm variable angle locking screws or 2.4 mm or 2.7 mm cortex screws will be used in the shaft of the plate. insert these screws beginning with the most proximal screw.

Note: Use the 1.8 mm drill bit when inserting a 2.4 mm variable angle locking or 2.4 mm cortex screw. Use the 2.0 mm drill bit when inserting a 2.7 mm cortex screw.

insert the threaded lcp Drill guide into the threaded portion of the combi hole when drilling for a 2.4 mm variable angle locking screw.

measure for locking screw length directly from the depth mark on the drill bit and the gauge on the lcp Drill guide window. alternatively, use the depth gauge to measure for screw length.

insert screws with a T8 StarDrive screwdriver.



3Drill for variable angle screw distally

Instruments

03.110.010 1.8 mm universal Variable angle locking Drill guide, purple



T8, 55 mm



The 2.4 mm variable angle locking screws may be inserted in the head of the plate. use the cone-shaped end of the universal variable angle locking drill guide to drill variable angle holes at the desired angle.

The drill guide tip keys into the cloverleaf design of the Va lcp plate holes.

Note: The drill guide inserts coaxially into the hole (Figure 1). Ensure that the tip of the drill guide remains fully seated in the hole while drilling. when the universal variable angle locking drill guide is engaged in the variable angle locking hole, use the 1.8 mm drill bit to drill to the desired depth at the desired angle (figure 2).

use this guide for off-axis drillinguse this guide for fixed-angle drilling

figure 2

figure 1



figure 4

3. Drill for variable angle screw distally continued

The funnel of the drill guide allows the drill bit a total variation in angulation of 30° (figure 3).

when drilling off-axis, the drill guide should remain in place and the drill bit may be aimed in any direction within the cone.

The fixed-angle end of the 1.8 mm universal variable angle drill guide only allows the drill bit to follow the nominal trajectory of the locking hole (figure 4)

Verify the drill bit angle under c-arm to ensure the desired angle has been achieved. if necessary, drill at a different angle and verify again under c-arm.

use the depth gauge to measure for the correct screw length.

Notes • When using the cone end of the variable angle

drill guide, measurement can not be taken with the 1.8 mm drill bit with depth mark. The depth gauge must be used

• Do not use any threaded drill guide in the variable angle locking holes in the head of the plate, as it could damage the threads in the hole

figure 3

30°



3. Drill for variable angle screw distally continued

Alternative technique

Instruments

03.111.007 positioning Screw for Variable angle lcp Two-column plate guide block

03.119.012 1.8 mm Drill guide with measuring for guide block, purple

guide blocks for Two-column plates 03.111.600 6 hole, right 03.111.601 6 hole, left 03.111.700 7 hole, right 03.111.701 7 hole, left

alternatively, to insert screws at the nominal screw angle (“on-axis”), use the two-column distal radius plate guide block in combination with the drill guide.

The guide block holes are designed to accept the drill guide with measuring for guide block.

for drilling, insert the drill guide into the locking hole and drill to the desired depth using the 1.8 mm drill bit.

read the screw length directly from the laser mark on the drill bit.

alternatively, measure using the depth gauge directly through the guide block.



4Preliminary screw placement

Instruments


T8, 55 mm


insert the correct length variable angle locking screw or variable angle locking buttress pin manually, using the self-retaining T8 StarDrive screwdriver shaft and handle with quick coupling. insert the screw until the screwhead is seated in the variable angle locking hole. Do not overtighten the screw. insert additional screws as needed.

Note: When a guide block is used, the locking screw or locking buttress pin (Variable Angle LCP or Standard LCP Plate) may be inserted with a T8 StarDrive screwdriver directly through the guide block.



5Confirm proper joint reconstruction

confirm proper joint reconstruction, screw placement and screw length using multiple c-arm views. To ensure that the distal screws are not in the joint, use additional views such as a 10° dorsally tilted, 20° inclined lateral, and 45° pronated oblique view.

Straight ap 10° tilted ap

lateral 20° radial tilt



6Lock variable angle screws

Instruments

03.110.005 handle for Torque limiting attachment


T8, 55 mm

511.776 Torque limiting attachment, 0.8 nm

use the torque limiting attachment to perform the final locking step for variable angle locking screws or variable angle locking buttress pins. The torque limiting attachment attaches to the T8 StarDrive screwdriver shaft and the blue handle for torque limiting attachment.

314.453 511.776 03.110.005

press



6. lock variable angle screws continued

use of the torque limiting attachment is mandatory when engaging the screws into variable angle locking holes to ensure the appropriate amount of torque is applied.

Important: Do not lock the screws to the plate under power. Screw engagement and final locking must be done manually with the torque limiting attachment:• Only initial insertion of the variable angle locking

screws may be done using power equipment• Confirm screw position and length prior to final

tightening. Final tightening must be done manually using the 0.8 Nm torque limiting attachment

• Do not use the torque limiting attachment for screw removal


implanTS

2.4 mm Locking Screws, self-tapping, with StarDrive recess1,2 • Threaded, conical head locks securely into the

threaded holes in the plate to provide angular stability • locked screws allow unicortical screw fixation and load

transfer to the near cortex • T8 StarDrive recess mates with self-retaining screwdriver

2.4 mm Variable Angle Locking Screws, self-tapping, with StarDrive recess2

• Threaded, rounded head locks securely into the variable-angle locking holes in the plate head to provide angular stability at angles determined by the surgeon

• Threaded, rounded head locks securely into the threaded portion of combi holes in shaft, to provide angular stability

• locked screws allow unicortical screw fixation and load transfer to the near cortex

• T8 StarDrive recess mates with self-retaining screwdriver

2.4 mm Cortex Screws, self-tapping, with StarDrive recess1,2 • for use in round or combi holes• low-profile head in the plate holes • used to provide compression or neutral fixation• T8 StarDrive recess mates with self-retaining screwdriver

2.7 mm Cortex Screws, self-tapping, with StarDrive recess1,2 • for use in combi holes in the shaft of 2.4 mm

lcp Volar Distal radius plates • used to provide compression or neutral fixation • T8 StarDrive recess mates with self-retaining screwdriver

1. used with the 2.4 mm lcp Distal radius plates2. used with the 2.4 mm Variable angle lcp Distal radius platesScrews are available in 316l stainless steel or titanium alloy (Ti-6al-7nb)


1.8 mm LCP Buttress Pins, with StarDrive recess1,2 • Smooth, nonthreaded shaft profile with a blunt,

rounded tip• Threaded, conical head locks in threaded holes in

the plate, to provide angular stability• locked pins allow unicortical screw fixation and

load transfer to the near cortex• 1.8 mm diameter matches the core diameter of

a 2.4 mm locking screw• T8 StarDrive recess mates with self-retaining screwdriver

1.8 mm Variable Angle Locking Buttress Pins, with T8 StarDrive recess2

• Smooth, nonthreaded shaft profile with a blunt, rounded tip

• Threaded, rounded head locks securely into the variable-angle locking holes in the plate head, to provide angular stability at angles determined by the surgeon

• neck threads on the shaft aid in implant removal• locked pins allow unicortical screw fixation and

load transfer to the near cortex• 1.8 mm diameter matches the core diameter of

a 2.4 mm locking screw• T8 StarDrive recess mates with self-retaining screwdriver

implants

1. used with the 2.4 mm lcp Distal radius plates2. used with the 2.4 mm Variable angle lcp Distal radius platesScrews and buttress pins are available in 316l stainless steel and titanium alloy (Ti-6al-7nb).


implants

2.4 mm LCP Volar Column Distal Radius Plates• right and left designs• 7 and 8 head holes• 3 and 4 shaft holes• lengths from 45 mm to 59.5 mm

* plates are available in 316l stainless steel and commercially pure (cp) titanium.

2.4 mm Variable Angle LCP Two-Column Volar Distal Radius Plates• right and left designs• 6 and 7 head holes• 2 and 3 shaft holes• lengths from 45 mm to 55 mm


inSTrumenTS

03.110.005 handle, for torque limiting attachment

03.110.011 attachment Screw for guide block, T8

guide blocks, for volar column distal radius plate03.110.028 7 hole head, right03.110.029 7 hole head, left03.110.016 8 hole head, right03.110.017 8 hole head, left

guide blocks, for two-column plate03.111.600 6 hole head, right03.111.601 6 hole head, left03.111.700 7 hole head, right03.111.701 7 hole head, left

03.110.028 03.110.029

03.110.016 03.110.017

03.111.600 03.111.601

03.111.700 03.111.701

instruments

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




03.119.014 2.0 Drill bit



03.119.019 StarDrive Screwdriver Shaft T8, 105 mm purple/orange

instruments

292.12 1.25 mm Kirschner wire, 150 mm, trocar point

292.16 1.6 mm Kirschner wire, 150 mm, trocar point

310.509 1.8 mm Drill bit with depth mark, quick coupling, 110 mm


314.453 Short StarDrive Screwdriver Shaft, T8, self-holding, quick coupling, 55 mm

319.39 Sharp hook

323.029 Threaded lcp Drill guide, for lcp Distal radius plates



instruments

323.035 1.8 mm Threaded Drill guide, short,1.8 mm

398.41 reduction forceps with points, broad, ratchet, 132 mm

399.18 hohmann retractor, 6 mm width, small, short narrow tip, 160 mm length

399.481 periosteal elevator, 3 mm width, curved blade, round edge

399.49 hohmann retractor, for small fragments, 15 mm width, broad shank,

160 mm length

399.97 reduction forceps, with points, 130 mm length, ratchet

511.776 Torque limiting attachment, 0.8 nm, quick coupling

Variable angle anD lcp compacT DiSTal raDiuS inSTrumenT anD implanT SeT–aSc (01.119.012)

Graphic Case60.119.050 graphic case

60.119.012 Variable angle implant rack

60.119.015 lcp implant rack

Instruments03.110.005 handle, for torque limiting attachment

guide blocks, for volar column distal radius plate

03.110.028 7 hole head, right

03.110.029 7 hole head, left



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

guide blocks, for two-column plate









03.119.019 StarDrive Screwdriver Shaft T8, 105 mm purple/orange

292.12 1.25 mm Kirschner wire, 150 mm, trocar point (10/pkg.)

292.16 1.6 mm Kirschner wire, 150 mm, trocar point, (10/pkg.)

310.509 1.8 mm Drill bit with depth mark, quick coupling, 110 mm, 2 ea.

for detailed cleaning and sterilization instructions, please refer to: www.synthes.com/cleaning-sterilization in canada, the cleaning and sterilization instructions will be provided with the loaner shipments.


Variable angle compact Distal radius instrument and implant Set Stainless Steel (01.119.050) and Titanium (01.119.053)



314.453 Short StarDrive Screwdriver Shaft, T8, self-holding, quick coupling, 55 mm

314.467 StarDrive Screwdriver Shaft, T8, 105 mm

319.39 Sharp hook

323.029 Threaded lcp Drill guide, for lcp Distal radius plates, 1.8 mm, 2 ea.

323.035 1.8 mm Threaded Drill guide, short, 1.8 mm, 2 ea.

398.41 reduction forceps with points, broad, ratchet, 132 mm

399.18 hohmann retractor, 6 mm width, small, short narrow tip, 160 mm length

399.481 periosteal elevator, 3 mm width, curved blade, round edge

399.49 hohmann retractor, for small fragments, 15 mm width, broad shank,

160 mm length

399.97 reduction forceps, with points, 130 mm length, ratchet

511.776 Torque limiting attachment, 0.8 nm, quick coupling

Implants2.4 mm Variable angle lcp Two-column Volar Distal radius plates

head Shaft length Stainless steel* holes holes (mm)

02.111.620 6 2 45 right

02.111.621 6 2 45 left

02.111.630 6 3 54 right

02.111.631 6 3 54 left

02.111.720 7 2 47 right

02.111.721 7 2 47 left

02.111.730 7 3 55 right

02.111.731 7 3 55 left

2.4 mm lcp Volar column Distal radius plates


02.110.430 8 3 50.5 right

02.110.431 8 3 50.5 left

02.110.440 8 4 59.5 right

02.110.441 8 4 59.5 left

02.110.830 7 3 45 right

02.110.831 7 3 45 left

02.110.840 7 4 54 right

02.110.841 7 4 54 left

1.8 mm lcp buttress pins, 3 ea. length length Stainless steel* (mm) Stainless steel* (mm)

200.190 12 200.195 22

200.191 14 200.196 24

200.192 16 200.197 26

200.193 18 200.198 28

200.194 20

2.4 mm locking Screws, self-tapping, with T8 StarDrive recess

Stainless steel* length (mm) qty.

212.810 10 5

212.812 12 5

212.814 14 10

212.816 16 10

212.818 18 10

212.820 20 10

212.822 22 10

212.824 24 5

212.826 26 5

212.828 28 5* 316l stainless steelplates are also available in commercially pure (cp) titaniumScrews are also available in titanium alloy (Ti-6al-7nb)

Variable angle compact Distal radius instrument and implant Set Stainless Steel (01.119.050) and Titanium (01.119.053)


1.8 mm Variable angle locking buttress pins, with T8 StarDrive recess, 3 ea.

length length Stainless steel* (mm) Stainless steel* (mm)

02.210.080 10 02.210.090 20

02.210.082 12 02.210.092 22

02.210.084 14 02.210.094 24

02.210.086 16 02.210.096 26

02.210.088 18 02.210.098 28

2.4 mm Variable angle locking Screws, with T8 StarDrive recess

Stainless steel* length (mm) qty.

02.210.110 10 5

02.210.112 12 5

02.210.114 14 10

02.210.116 16 10

02.210.118 18 10

02.210.120 20 10

02.210.122 22 10

02.210.124 24 5

02.210.126 26 5

02.210.128 28 5

2.4 mm cortex Screws, self-tapping, with T8 StarDrive recess, 6 ea.


201.760 10 201.770 20

201.762 12 201.772 22

201.764 14 201.774 24

201.766 16 201.776 26

201.768 18 201.778 28

2.7 mm cortex Screws, self-tapping, with T8 StarDrive recess, 6 ea.


202.870 10 202.880 20

202.872 12 202.882 22

202.874 14 202.884 24

202.876 16 202.886 26

202.878 18 202.888 28

Accessorieslength marker push pins, 5/pkg. of 2 ea.

length length (mm) (mm)

60.116.451 blank 60.116.320 20

60.116.310 10 60.116.322 22

60.116.312 12 60.116.324 24

60.116.314 14 60.116.326 26

60.116.316 16 60.116.328 28

60.116.318 18

Screw Type push pins, 5/pkg.

60.116.503 buttress

60.116.507 cortex

60.116.513 locking

60.116.521 Variable angle locking

60.116.525 Variable angle buttress

label Sheet

60.119.003 label pack, for aSc compact Systems

* 316l stainless steelplates are also available in commercially pure (cp) titaniumScrews are also available in titanium alloy (Ti-6al-7nb)


alSo aVailable

Sets

01.119.010/ Va compact Distal radius 01.119.013 instrument and implant Set–aSc

(stainless steel and titanium)

01.119.011/ lcp compact Distal radius 01.119.014 instrument and implant Set–aSc

(stainless steel and titanium)

01.119.015 Titanium Va and lcp compact Distal radius instrument and implant Set–aSc

01.119.016/ Va implant and Screw Set 01.119.018 (stainless steel and titanium)

01.119.017/ lcp implant and Screw Set 01.119.019 (stainless steel and titanium)

Graphic Cases

60.119.000 lid, 2/3 length, for aSc compact Systems

60.119.001 instrument Tray, 2/3 length–aSc

60.119.002 guide block Tray–aSc

60.119.012 Va implant rack

60.119.013 lid for Va implant rack

60.119.014 plate Tray for Va implant rack

60.119.015 lcp implant rack

60.119.016 lid for lcp implant rack

60.119.017 plate Tray for lcp implant rack

60.119.019 lid, 2/3 length, for compact Distal radius System–aSc

Notes• 60.119.012 (VA Implant Rack) includes 60.119.013

(lid) and 60.119.014 (plate tray), and is included in the Variable Angle Compact Distal Radius Instrument and Implant Sets (01.119.010/01.119.013) and VA and LCP Compact Distal Radius Instrument and Implant Sets (01.119.012/01.119.015)

• 60.119.015 (LCP Implant Rack) includes 60.119.016 (lid) and 60.119.017 (plate tray), and is included in the LCP Compact Distal Radius Instrument and Implant Sets (01.119.011/01.119.014) and VA and LCP Compact Distal Radius Instrument and Implant Sets (01.119.012/01.119.015)

Instruments

02.111.500.10 1.25 mm plate reduction wire, threaded tip with small stop, 150 mm

02.111.501.10 1.25 mm plate reduction wire, threaded tip with large stop, 150 mm

03.111.007 positioning Screw for Variable angle lcp Two-column plate guide block

03.119.013 2.4 mm Drill bit, quick coupling 100 mm, purple

03.119.015 2.7 mm Drill bit, quick coupling 100 mm, orange

319.006 Depth gauge for 2.0 mm and 2.4 mm cortex screws

492.12 1.25 mm Titanium Kirschner wire 150 mm, trocar point

492.16 1.6 mm Titanium Kirschner wire 150 mm, trocar point


also available

lcp Distal radius plates, volar head Shaft length Stainless steel* holes holes (mm)

242.491 5 3 43 left

242.492 5 5 61 left

242.493 5 3 43 right

242.494 5 5 61 right

2.4 mm lcp Distal radius T-plates, 3 holes head Shaft length Stainless steel* holes (mm)

242.477 3 40

242.478 4 49

2.4 mm lcp Distal radius plates, straight Shaft length Stainless steel* holes (mm)

242.479 5 48

242.490 6 57

2.4 mm lcp Distal radius l-plates, 2 holes head Shaft length Stainless steel* angle holes (mm)

242.500 -90 3 40

242.501 -90 4 49

242.502 +90 3 40

242.503 +90 4 49

2.4 mm lcp Volar column Distal radius plates


02.110.330 9 3 50.5 right

02.110.331 9 3 50.5 left

02.110.340 9 4 59.5 right

02.110.341 9 4 59.5 left

02.110.350 9 5 68.5 right

02.110.351 9 5 68.5 left

02.110.450 8 5 68.5 right

02.110.451 8 5 68.5 left

02.110.730 6 3 45 right

02.110.731 6 3 45 left

02.110.740 6 4 54 right

02.110.741 6 4 54 left

02.110.750 6 5 63 right

02.110.751 6 5 63 left

02.110.850 7 5 63 right

02.110.851 7 5 63 left

2.4 mm lcp Volar Distal radius plates extra-articular


242.458 5 3 48 right

242.459 5 5 66 right

242.461 5 3 48 left

242.461 5 5 66 left

242.464 4 3 47 right

242.465 4 5 65 right

242.467 4 3 47 left

242.468 4 5 65 left

* 316l stainless steelplates are also available in commercially pure (cp) titanium


also available

2.4 mm lcp Distal radius l-plates, 3 holes head Shaft length Stainless steel* angle holes (mm)

242.504 +90 3 40

242.505 +90 4 49

242.506 -90 3 40

242.507 -90 4 49

242.508 +20 3 43

242.509 +20, 4 52

242.511 -20, 3 43

242.512 -20 4 52

2.4 mm Variable angle lcp Volar extra-articular Distal radius plates head Shaft length Stainless steel* holes holes (mm)

02.110.201 5 3 48 right

02.110.202 5 5 66 right

02.110.203 5 3 48 left

02.110.204 5 5 66 left

02.110.205 4 3 45 right

02.110.206 4 5 65 right

02.110.207 4 3 45 left

02.110.208 4 5 65 left

2.4 mm Variable angle lcp Two-column Volar Distal radius plates head Shaft length Stainless steel* holes holes (mm)

02.111.640 6 4 66 right

02.111.641 6 4 66 left

02.111.650 6 5 75 right

02.111.651 6 5 75 left

02.111.740 7 4 68 right

02.111.741 7 4 68 left

02.111.750 7 5 77 right

02.111.751 7 5 77 left

2.4 mm Va lcp Volar rim Distal radius plate head Shaft length Stainless steel* holes holes (mm)

02.115.750 6 5 57 right

02.115.751 6 5 57 left

02.115.850 7 5 57 right

02.115.851 7 5 57 left

Note: The plates for the right radius (0x.115.630 and 0x.115.640) are angled left and the plates for the left radius (0x.115.631 and 0x.115.641) are angled right.



also available

2.4 mm Variable angle lcp Dorsal Distal radius plates, radial column Shaft length Stainless steel* holes (mm)

02.115.530 5 46

02.115.540 6 57

2.4 mm Variable angle lcp Dorsal Distal radius plates, intermediate column head Shaft length Stainless steel* angle holes holes (mm)

02.115.630 +90° 2 3 41

02.115.631 -90° 2 3 41

02.115.640 +90° 2 4 49

02.115.641 -90° 2 4 49

2.4 mm Variable angle lcp Dorsal Distal radius l-plates head Shaft length Stainless steel* angle holes holes (mm)

02.115.130 +90° 2 3 37

02.115.131 -90° 2 3 37

02.115.150 +90° 2 5 51

02.115.151 -90° 2 5 51

02.115.230 +90° 3 3 37

02.115.231 -90° 3 3 37

02.115.250 +90° 3 5 51

02.115.251 -90° 3 5 51


2.4 mm Va lcp Dorsal Distal radius l-plates, oblique head Shaft length Stainless steel* angle holes holes (mm)

02.115.430 +20° 3 3 41

02.115.431 -20° 3 3 41

02.115.450 +20° 3 5 55

02.115.451 -20° 3 5 55

2.4 mm Va lcp Dorsal Distal radius T-plates head Shaft length Stainless steel* holes holes (mm)

02.115.330 3 3 37

02.115.350 3 3 51

© Depuy Synthes 2015. all rights reserved.DSuS/Trm/0515/0600 6/15 DV

Manufactured or Distributed by:Synthes USA Products, LLC1302 wrights lane eastwest chester, pa 19380 Telephone: (610) 719-5000 To order: (800) 523-0322fax: (610) 251-9056

www.depuysynthes.com

Limited Warranty and Disclaimer: DePuy Synthes Trauma 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.

WARNING: In the USA, this product has labeling limitations. See package insert for complete information.

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

Some devices listed in this technique guide 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.

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