The key in

orthopaedic

sciences

SURGICAL TECHNIQUE

DCSP L A T E

IMPLANTS & INSTRUMENTS

D C SP L A T E

Introduction

Material

C e r t i f i e d Stainless Steel according to ASTM F.138 - ISO 5832/1.

Ref. NumberStainless Steel Holes

LengthLmm

10403001001104030010021040300100310403001004104030010051040300100610403001007104030010081040300100910403001010104030010111040300101210403001013

234567891011121314

44607692108124140156172188204220236

Plate details : Designed for maximum strenght from one piece, forged.Plate thickness : 6.5 mmPlate width : 16.0 mmHole spacing : 16.0 mmScrews to be used : All holes accept diam. 4.5 mm cortical screws. End ofholes also accept diam. 6.5 mm cancellous screws. All plates are slotted to accept atension device.

95º

Please Note : This document is intended as a guide for the surgeon only. There are multipletechniques for the insertion of Modular Straight Stem (Cemented) and, as with any surgicalprocedure, a surgeon should be thoroughly trained and beware that this procedure isappropriate for the patient before proceeding.

2

Condylar plate is indicated primarly for the fixation of supracondylar fractures andfor intercondylar. T and Y fractures. There are certain occasion when a proximal femoralfractures may be treaded with the sliding condylar screw, such as a complex proximalspiral fracture.

SURGICAL TECHNIQUEIMPLANTS & INSTRUMENTS

D C SP L A T E

To be used in case of intracapsular andintercervical fractures, and some types ofinterochanteric fractures. Cannulatedto receive the guide wires with a slot to makerotation impossible. Partially threaded heavyduty lag screw for use with DHS and DCSplates. Buttress thread from providesenhanced pull-out resistance in cancellousbone. Opposing flats along shark engagewith machined flats within plate barrel toprevent rotation. Tappered tip permitseasier insertion. Thread diameter 12.5 mm,thread length 22 mm.

Ref. NumberStainless Steel

Ref. NumberTitanium

LengthLmm

1080114100110401141002104011410031040114100410401141005104011410061040114100710401141008104011410091040114101010401141011104011410121040114101310401141014104011410151040114101610401141017

50556065707580859095100105110115120125130

1080114200110401142002104011420031040114200410401142005104011420061040114200710401142008104011420091040114201010401142011104011420121040114201310401142014104011420151040114201610401142017

Provides mechanical compression atthe fracture site when used in conjuction withDHS and DCS compression lag screws. It issocket head screws.

Ref. NumberStainless Steel

Ref. NumberTitanium

LengthLmm

10808051001 3110808052001

DHS/DCS Lag Screw

DHS/DCS Compression Screw

DHS/DCS Lag Screw DHS/DCS Compression Screw

Material

C e r t i f i e d Stainless Steel according to ASTM F.138 - ISO 5832/1.

3 SURGICAL TECHNIQUEIMPLANTS & INSTRUMENTS

D C SP L A T E

Reduce the fracture. The fracture canbe temporarily stabilized with Guide Pins(Ref:10807091102) or Steinmann pins. Placethese pins so they do not interfere withsubsequent positioning of the DCS implantassembly. (See illustrations accompanyingstep 3 for proper implant positioning.) Inintercondylar fractures, the pins should bereplaced with independent 6.5 mmCancellous Bone Screws with washers.

Using the DCS Drill Guide, insert thecentral guide pin (C) parallel to the distal K-wire (A) in the A-P view, and parallel to theanterior K-wire (B) in the axial view. Do notinsert the guide pin too far medially; considerthe inclination of the medial wall of the distalfemur. In the sagittal plane, the central guidepin enters the distal femur at a point anteriorto the midline between the condyles, and inline with the shaft axis, approximately 2 cmfrom the knee joint. Confirm placement ofthe central guide pin under imageintensification. If it is not parallel to the kneejoint axis, insert a new Guide Pin.

Slide the Direct Measuring Device(Ref:10608061002) over the guide pin, anddetermine guide pin insertion depth.Calibration on the measuring device providesa direct reading.

To determine direction of the centralguide pin, flex the knee to 90°, and mark theaxis of the knee joint by placing a K-wire(Ref:10807031301) distally over the condyles(A). Place a second K-wire anteriorly over thecondyles (B).

Note: Placement of the Guide Pin determinesplacement of the DCS implant assembly.Misplacement of the guide pin can result invarus/valgus or rotational malalignment ofthe fracture fragments.

4SURGICAL TECHNIQUEIMPLANTS & INSTRUMENTS

D C SP L A T E

To calculate reaming depth, tapping depthand lag screw length, subtract 10 mm from thereading. For example:

a. Direct reading . . . . . . . . . .80 mmb. Reamer setting . . . . . . . . .70 mmc. Tapping depth (optional) . . 70 mmLag screw length . . . . . . . . . . . . . . . . 70 mm*

*If the Compression Screw will be used, allowfor additional compression of the fracture byselecting a lag screw 5 mm shorter (in this case,65 mm) and inserting it an additional 5 mm.

Assemble the DCS Triple Reamer(Ref:10610051001). Set the reamer to the correctdepth. Insert the DCS Triple Reamer into thePower Drive using the Large Quick Couplingattachment. Slide the reamer over the guidepin to simultaneously drill for the lag screw, reamfor the plate barrel, and countersink for theplate/barrel junction to the preset depth. Whenreaming in dense bone, continuously irrigatethe DCS Triple Reamer to prevent thermalnecrosis.

If necessary, use the Tap Assembly to tapto the predetermined depth, which can beseen through the window in the Guide SleeveShor t (Ref :10606125011-10606121001-10604071001).

Select the correct length DHS/DCS LagScrew and assemble the Lag Screw InsertionAssembly (Ref:10601071004-10601071003-10601071001). Slide the assembly over the guidepin and into the reamed hole. Seat the GuideSleeve Long in the hole to center and stabilizethe assembly.

Note: Keep continuous forward pressure on theDHS/DCS Wrench while advancing the lagscrew.

5 SURGICAL TECHNIQUEIMPLANTS & INSTRUMENTS

D C SP L A T E

Insert the lag screw by turning the handleclockwise until the 0 mark on the assemblyaligns with the lateral cortex. The threaded tipof the lag screw now lies 10 mm from the medialcortex. The lag screw may be inserted anadditional 5 mm in porotic bone, for increasedholding power.

Note: If a lag screw 5 mm shorter than reamingand tapping depth is used (in this case, 65 mm),insert it an additional 5 mm, until the 5 mark onthe assembly aligns with the lateral cortex.

Before removing the assembly, align thehandle so it is parallel with the femoral shaftaxis when viewed laterally. This allows properplacement of the DCS Plate onto the lag screw.

Remove the DHS/DCS Wrench andGuide Sleeve Long. Slide the appropriate DCSPlate onto the guide shaft/lag screw assembly.Loosen and remove the Coupling Screw andGuide Shaft.

Gently seat the plate with the Impactor(Ref:10607081001).

6SURGICAL TECHNIQUEIMPLANTS & INSTRUMENTS

D C SP L A T E

If the joint fragments were not previouslyreduced with independent 6.5 mm CancellousBone Screws, the DHS/DCS Compressing Screwmay be inserted into the lag screw. In poroticbone, insert the screw very carefully to avoidstripping the lag screw thread.

Further interfragmentary compressioncan be achieved by using two 6.5 mmCancellous Bone Screws through the distalround holes of the DCS Plate.

Fix the DCS Plate to the femur with 4.5 mmCortex Screws.

7 SURGICAL TECHNIQUEIMPLANTS & INSTRUMENTS

D C SP L A T E

Instruments

8

10606121001

10606125011

10610051001

10608061095

10601071003

10601071004

10608061002

10807091102

Tap for DHS & DCS Plate

Guide Sleeve Short for DHS & DCS Plate

DCS Triple Reamer

Angled Guide for DCS 95 °

Guide Shaft for DHS & DCS Plate

Coupling Screw

Measuring Device for DHS & DCS Plate

Calibrated Threaded Kirschner Wire

10601071001 Wrench Screw for DHS & DCS Plate

10601075011 Guide Sleeve Long for DHS & DCS Plate

10601071002 Coupling Screw for DHS & DCS Plate

10608061001 Drill Guide for DHS

10604071001 T-Handle with Chuck

10608061135 Angled Guide for DHS 135 °

10807031201 Trocar Kirschner Wirefor DHS & DCS Plate and Canullated Screw

10607081001 Impactor for DHS & DCS Plate

10610051002 DHS Triple Reamer

SURGICAL TECHNIQUEIMPLANTS & INSTRUMENTS

Kemalpasa Cd. 404/1 Sk. No: 3 Pinarbasi - IZMIR - TURKEYTel: +90 232 479 56 54 Fax: +90 232 479 58 27

marketing@tipsan.com.tr www.tipsan.com.tr

Revi

sion

00 /

Prin

ted

in T

URK

EY -

05/0

9 -

TIPS

AN

De

sign

The products being manufactured by TIPSAN A.S. has been certified from TÜV PRODUCT SERVICEGMBH for EC certificate (CE 0123) according to Annex II. 3 of Council Directive 93/42/EEC

concerning medical devices