2.4 mm variable angle lcp volar rim distal radius plates tg

2.4 mm Variable Angle LCP Volar RimDistal Radius Plates. For fragment-specificfracture fixation with variable anglelocking technology.

Technique Guide

Table of Contents

2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates Technique Guide Synthes

Image intensifier control

Introduction

Surgical Technique

Product Information

2.4 mm Variable Angle LCP Volar Rim 2Distal Radius Plates

AO Principles 4

Indications 5

Clinical Cases 6

Recommendations on Screw and Plate Insertion 7Screw Insertion Techniques 7Screw Type Determination 9

Preparation 10

Approach 11

Plate Insertion 12

Screw Insertion 14Cortex Screws 14Variable Angle Locking Screws 16

Postoperative Treatment 23

Implant Removal 23

Implants 24

Instruments 26

Set Lists 31

2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates. For fragment-specific fracture fixation with variable angle locking technology.

The anatomically precontoured, low-profile plates for distal volar placementare indicated for complex intra-articularand extra-articular distal radius fractures.All implants are available in stainlesssteel and titanium.

2 Synthes 2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates Technique Guide

Additional distal screw optionsEnable support of radial styloid, lunate facet and DRUJ

Low-profile constructBeveled distal edge, rounded and polished surface and countersunk screws for reduced soft tissue irritation

6

2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates Technique Guide Synthes 3

Kirschner wire holesEnable preliminary plate fixation and indicate screw orientation when using guide blocks(Figure 1)

Elongated VA Combi holeAllows accurate plate positioning and radius lengthadjustment, offering 4 mm of range with 2.7 mmcortex screws and 4.5 mm of range with 2.4 mmcortex screws (Figure 5)

Bendable tabsIf necessary, tabs can be bent to suit the individualanatomical conditions of the bone (Figure 4)

Anatomically precontouredButtressing of distal fragments due to anatomicallyprecontoured plate (Figure 2)

Variable angle lockingHoles allow up to 15° off-axis screw angulation in all directions, to address individual fracture patterns (Figure 6)

Guide blockAllows guided drilling and screw insertionin the predefined nominal angle (Figure 3)

1 2

3 4

5

AO Principles

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 thefracture and injury requires.

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

Early, active mobilizationEarly and safe mobilization of the part and the patient.


1. M.E. Müller, M. Allgöwer, R. Schneider, and H. Willenegger: Manual of Internal Fixation, 3rd Edition. Berlin: Springer-Verlag. 1991.

Indications

The 2.4 mm Variable Angle LCP Volar Rim Distal RadiusPlates are intended for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius andother 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


Clinical Cases

Case 174-year-old femalewith AO C3 fractureand distal ulna fracture

Case 243-year-old male with AO C2 fracture


Results from case studies are not predictive of results in other cases.Results in other cases may vary.

Recommendations on Screw and Plate InsertionScrew Insertion Techniques

Variable angle locking screws can be inserted using two different techniques:– Variable angle technique– Predefined nominal angle technique

Variable angle technique

Instrument

03.110.000 1.8 mm Universal Variable Angle LockingDrill Guide

Optional instrument

03.110.023 1.8 mm Universal Variable Angle LockingDrill Guide, cone

To drill variable angle holes up to 15° deviation from the nominal trajectory of the locking hole, key the tip of the universal variable angle locking drill guide into the cloverleafdesign of the VA locking hole.

Use the cone-shaped end of the VA drill guide to drill variable angle holes at the desired angle.


Cone-shaped end for off-axis drilling

03.110.000

Fixed-angle end for nominal angle drilling

Recommendations on Screw and Plate InsertionScrew Insertion Techniques

Predefined nominal angle technique

Option A: Use of fixed-angle end of VA drill guide

Instrument


Optional instrument

03.110.024 1.8 mm Universal Variable Locking DrillGuide, coaxial

The fixed-angle of the VA drill guide only allows the drill bitto follow the nominal trajectory of the VA locking hole.

Option B: Use of guide blocks

Instruments

03.110.021 1.8 mm Drill Guide with Measuring forVCP Guide Block

03.111.000 1.8 mm Drill Guide with Measuring forVariable Angle LCP Guide Block

Guide Blocks for 2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates03.115.700 6 hole head, right03.115.701 6 hole head, left03.115.800 7 hole head, right03.115.801 7 hole head, left

Fixation at the nominal angle of the locking holes in the headof the plate may be facilitated by a guide block attached tothe plate prior to plate fixation.

The guide blocks are used together with the drill guide.

Choose the guide block corresponding to the desired plate.Mount the guide block to the plate by turning the guideblock attachment screw clockwise.

Note: If using guide blocks, avoid bending the head portionof the plate.


Recommendations on Screw and Plate Insertion

Screw Type Determination


Screw type determination

Determine whether standard cortex screws or variable anglelocking screws will be used for fixation of the shaft.

VA locking holes accept:– 2.4 mm VA locking screws– 1.8 mm VA locking buttress pins – 2.4 mm locking screws (only at nominal angle)– 2.4 mm cortex screws

The compression portion (1) of elongated VA Combi holesaccepts:– 2.4 mm cortex screws– 2.7 mm cortex screws

The threaded portion (2) of elongated VA Combi holes accepts:– 2.4 mm VA locking screws – 1.8 mm VA locking buttress pins– 2.4 mm locking screws (only at nominal angle)– 2.4 mm cortex screws

VA locking screws in the distal portion of the plate may bean advantage to support the articular surface and preventloss of reduction.

The final screw placement and the use of VA locking andcortex screws are determined by the fracture pattern. Using cortex screws in the most distal screw holes is not recommended.

If a VA locking screw is inserted first, ensure that the plate isheld securely to the bone, to prevent the plate from spinningas the screw locks into the plate.

When using the predefined nominal angle technique, standardlocking screws can also be used instead of VA locking screwsin a variable angle hole.

Note: The screwhead is not completely countersunk if a cortex screw is inserted in a variable angle hole.

VA Locking hole Elongated VA Combi hole

1 2

Preparation

Required instrument sets

01.111.478/ 2.4 mm Variable Angle LCP (VA-LCP) 01.111.479 Distal Radius System Set (stainless steel or titanium)or 01.111.500/ 2⁄3 Instrument Tray for LCP and VA-LCP 01.111.501 Distal Radius Systems (stainless steel or titanium)or01.116.020 1⁄3 Instrument Tray for 2.4 mm Cortex and

VA-LCP Screws for Modular Case System

Required screw sets (unless using 01.111.478/01.111.479)

01.111.502/ 2.4 mm and 2.7 mm Variable Angle 01.111.503 Locking Screw Module for Distal Radius (stainless steel or titanium)or01.111.506/ 2.4 mm and 2.7 mm LCP and Variable 01.111.507 Angle Locking Screw Module for Distal Radius (stainless steel or titanium)or01.111.508/ 2.4 mm LCP and Variable Angle Locking 01.111.509 Screw Module for Distal Radius (stainless steel or titanium)

Select implantSelect the plate according to the fracture pattern andanatomy of the bone.

Important: Ensure the proper plate selection by verifying the L (left) or R (right) etching on the plate shaft.


Approach

Make a longitudinal incision slightly radial to the flexor carpiradialis tendon (FCR). Dissect between the FCR and the radialartery, exposing the pronator quadratus. Detach the pronatorquadratus from the lateral border of the radius and elevate ittoward the ulna.

Important: Leave the volar wrist capsule intact to avoiddevascularization of the fracture fragments and destabilizationof the volar wrist ligaments.


2Position plate

Optional instruments

02.111.500.10 1.25 mm Plate Reduction Wire, threadedtip, with small stop, 150 mm

02.111.501.10 1.25 mm Plate Reduction Wire, threadedtip, with large stop, 150 mm

292.12 1.25 mm Kirschner Wire, 150 mm, trocar tip

Apply the plate to fit the volar surface. If necessary, insert a1.25 mm Kirschner wire through the desired Kirschner wirehole to temporarily fix the plate.

Option: Plate reduction wiresIf necessary, a 1.25 mm plate reduction wire, with small stop,may be used through a K-wire hole to temporarily hold theplate to the bone, and in position.

Alternatively, a 1.25 mm plate reduction wire, with largestop, may be used through the DCU portion of the Combihole.

Note: The plate reduction wires and Kirschner wires are single-use items, do not reuse.

Plate Insertion

1Reduce fractureReduce the fracture under radiographic imaging and, ifnecessary, fix with Kirschner wires or reduction forceps.The reduction method will be fracture-specific.


Optional technique: Contour plate

Instrument

329.12 Bending Pliers, 140 mm, for 1.5 mm and2.0 mm plates

If necessary, bend the tabs of the plate to suit anatomicalconditions as indicated. Avoid repetitive bending.

Technique tip: Use nonserrated bending pliers to preserve theplate’s smooth finish.

Note: The design of the plate holes allows a certain degreeof deformation. However, if threaded holes are significantlydeformed, locking may be compromised.

Important: If using guide blocks, avoid bending the headportion of the plate.


Screw InsertionCortex Screws

1Drill for cortex screw

Instruments: 2.4 mm cortex screws

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

323.202 2.4 mm Universal Drill Guide

Instruments: 2.7 mm cortex screws

310.19 2.0 mm Drill Bit, quick coupling, 100 mm


Using the universal drill guide, drill through the nonthreadedportion of the elongated Combi hole.

– For 2.4 mm cortex screws, use the 2.4 mm universal drillguide with the 1.8 mm drill bit.

– For 2.7 mm cortex screws, use the 2.7 mm universal drillguide with the 2.0 mm drill bit.


3Insert cortex screw

Instruments

311.43 Handle with quick coupling

314.467 StarDrive Screwdriver Shaft, T8, 105 mm

Optional instrument

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

Insert the self-tapping cortex screw using a T8 StarDrivescrewdriver. Adjust the plate position as necessary andtighten the screw.


2Determine screw length

Instrument

03.111.005 Depth Gauge for 2.0 mm, 2.4 mm, and2.7 mm screws

Determine screw length with the depth gauge.

Screw Insertion

Variable Angle Locking Screws

1Drill Option A: Variable angle technique—Using VA drill guide with cone

Instruments


310.509 1.8 mm Drill Bit with depth mark, quickcoupling, 110 mm

Optional instrument

03.110.023 2.4 mm Variable Angle Locking Drill Guide,cone

Insert and lock the VA drill guide tip into the cloverleaf designof the VA locking hole.

Use the 1.8 mm drill bit to drill to the desired depth at thedesired angle.

The cone of the drill sleeve allows the drill bit to be angledup to 15° around the central axis of the locking hole.

To achieve the desired angle, verify the drill bit angle byusing radiographic imaging. If necessary, drill at a differentangle and verify again by using radiographic imaging.

Technique tip: The previously inserted Kirschner wire can be used to reference for the screw angulation by using radi-ographic imaging.



Option B: Nominal angle technique—Using VA locking drill guide

Instruments


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

Optional instrument

03.110.024 1.8 mm Variable Angle Locking Drill Guide,coaxial

The fixed-angle end of the drill guide only allows the drill bitto follow the nominal trajectory of the locking hole.

Use the 1.8 mm drill bit to drill to the desired depth.

Read the screw length directly from the laser mark on thedrill bit. Alternatively, use the depth gauge to determine thescrew length.

Screw InsertionVariable Angle Locking Screws


Option C: Nominal angle technique—Using guiding blocks


03.110.021 1.8 mm Drill Guide with Measuring forGuide Block

Guide Blocks for 2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates03.115.700 6 hole head, right03.115.701 6 hole head, left03.115.800 7 hole head, right03.115.801 7 hole head, left

Use the volar rim distal radius plate guide block in combination with the drill guide with measuring for guide block.

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

Read the screw length directly from the laser mark on thedrill bit. Alternatively, use the depth gauge through the guideblock to determine the screw length.


2Determine screw length

Instrument

03.111.005 Depth Gauge for 2.0 mm, 2.4 mm, and2.7 mm screws

Determine the screw length with the depth gauge (Figure1).

If the guide block is being used, measure directly through theguide block (Figure 2).

1

2



3Insert VA locking screws

Instruments



Optional instrument

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

Insert the 2.4 mm VA locking screws or 1.8 mm VA lockingbuttress pins manually with the StarDrive screwdriver andtighten only until the screwhead is fully seated in thelocking hole.

When using the predefined nominal angle technique, standard2.4 mm locking screws can be used instead of VA lockingscrews.

Do not fully tighten the screw. This allows the screws to be easily removed and repositioned, if necessary, before final locking.

Technique tip: When a guide block is used, the lockingscrew (VA-LCP or standard LCP) or buttress pin (VA-LCP orstandard LCP) may be inserted directly through the guideblock with a T8 StarDrive screwdriver.


4Ensure proper joint reconstructionConfirm proper joint reconstruction, screw placement, and screw length, using multiple radiographic views. To ensure that the screws are not in the joint, use additional views such as a 10° dorsally tilted, 20° inclined lateral, and 45° pronated oblique view.



5Lock variable angle screws

Instruments

03.110.005 Handle for Torque Limiting Attachment


511.776 Torque Limiting Attachment, 0.8 Nm, quick coupling

Optional instrument


Use the 0.8 Nm torque limiting attachment (TLA) for finaltightening of the 2.4 mm VA locking screws or 1.8 mm VAlocking buttress pins.

The TLA attaches to the blue handle for torque limiting attachment, and a T8 StarDrive screwdriver shaft.

The TLA ensures maximum strength of the plate-screw inter-face and prevents overtightening of the VA locking screws orVA locking buttress pins. With this final locking step, thescrews are securely locked into the plate (Figure 2).

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

2

1


Implant removal

Instruments





314.468 Holding Sleeve, for StarDrive ScrewdriverShaft, T8

To remove locking screws, first unlock all screws from theplate; then remove the screws completely from the bone.

The last screw removed should be a nonlocking screw on the shaft. This prevents the plate from spinning when locking screws are removed.

Postoperative Treatment and Implant Removal

Postoperative treatmentPostoperative treatment with VA locking compression platesis the same as conventional internal fixation procedures.

Note: Due to the distal placement, plate removal may be aconsideration once the bone healing process is complete.


ImplantsPlates

2.4 mm VA-LCP Volar Rim Distal Radius Plate, 6 hole head◊

Shaft Length Stainless Steel Titanium Holes (mm)

02.115.750 04.115.750 5 57 right

02.115.751 04.115.751 5 57 left

2.4 mm VA-LCP Volar Rim Distal Radius Plate, 7 hole head◊

Shaft Length Stainless Steel Titanium Holes (mm)

02.115.850 04.115.850 5 57 right

02.115.851 04.115.851 5 57 left

◊ Available nonsterile and sterile-packed. Add “S” to product number for sterile product.


Implants

Screws

2.4 mm Variable Angle Locking Screws – For use in VA locking holes – Self-tapping, StarDrive recess– Lengths from 8 mm to 30 mm– Available in stainless steel or titanium alloy*

Important: For final locking the 0.8 Nm torque limiting attachment is required.

2.4 mm Cortex Screws – For use in round or Combi holes– Self-tapping, StarDrive recess– Lengths from 6 mm to 30 mm– Available in stainless steel or titanium alloy*

2.4 mm Locking Screws**– For use in VA locking holes but only in the predefined

nominal angle– Self-tapping, StarDrive recess– Lengths from 6 mm to 30 mm– Available in stainless steel or titanium alloy*


2.7 mm Cortex Screws**– For use in elongated Combi holes– Self-tapping, StarDrive recess– Lengths from 6 mm to 30 mm– Available in stainless steel or titanium alloy*

1.8 mm Variable Angle Locking Buttress Pins**– For use in VA locking holes– StarDrive recess– Lengths from 8 mm to 30 mm– Available in stainless steel or titanium alloy*


* Implant-quality 316L stainless steel or titanium alloy (Ti-6Al-7Nb)** Optional

Instruments




03.111.005 Depth Gauge for 2.0 mm, 2.4 mm, and2.7 mm Screws

03.115.700 Guide Block for 2.4 mm VA-LCP Volar RimDistal Radius Plate, 6 hole head, right

03.115.701 Guide Block for 2.4 mm VA-LCP Volar Rim Distal Radius Plate, 6 hole head, left

03.115.800 Guide Block for 2.4 mm VA-LCP Volar RimDistal Radius Plate, 7 hole head, right

03.115.801 Guide Block for 2.4 mm VA-LCP Volar RimDistal Radius Plate, 7 hole head, left


292.12 1.25 mm Kirschner Wire, 150 mm, trocar point

310.509 1.8 mm Drill Bit with depth mark, quickcoupling, 110 mm







Instruments

Optional

02.111.500.10 Plate Reduction Wire, 1.25 mm, withthread, with Small Stop, length 150 mm

02.111.501.10 Plate Reduction Wire, 1.25 mm, withthread, with Large Stop, length 150 mm



03.110.021 1.8 mm Drill Guide with Measuring forVCP Guide Block


310.19 2.0 mm Drill Bit, quick coupling, 100 mm



Sizing Template for 2.4 mm VA-LCP Volar Rim DistalRadius Plate, 6 hole head

Length (mm)

03.115.750 57 right

03.115.751 57 left

Sizing Template for 2.4 mm VA-LCP Volar Rim DistalRadius Plate, 7 hole head

Length (mm)

03.115.850 57 right

03.115.851 57 left

Instruments

Also Available


2.4 mm Variable Angle LCP (VA-LCP) Volar Rim Distal Radius Plate Module SetStainless Steel (01.115.486) and Titanium (01.115.487)

Graphic Case60.111.486 Module Bin, 1⁄2 Length, 1⁄2 Height, for

VA-LCP Volar Rim Plates

Note: This bin is not included as part of sets 01.111.478 or01.111.479. This bin is to be housed in the Plate ModuleShell (60.111.485), and should be combined with other distalradius plate bins and/or auxiliary bins (listed in “Also Avail-able Section”) to create a complete module.

Instruments Guiding Blocks for 2.4 mm VA-LCP Volar

Rim Distal Radius Plate

03.115.700 6 hole head, right

03.115.701 6 hole head, left

03.115.800 7 hole head, right

03.115.801 7 hole head, left

Implants 2.4 mm Variable Angle LCP Volar Rim

Distal Radius Plates ◊

Head Shaft Length Stainless Steel Titanium Holes Holes (mm)

02.115.750 04.115.750 6 5 57 right

02.115.751 04.115.751 6 5 57 left

02.115.850 04.115.850 7 5 57 right

02.115.851 04.115.851 7 5 57 left

Note: For additional information, please refer to package insert.

For detailed cleaning and sterilization instructions, please refer tohttp://www.synthes.com/sites/NA/MedicalCommunity/Pages/Cleaning_and_Sterilization.aspxor to the below listed inserts which will be included in the shipping container:—Processing Synthes Reusable Medical Devices—Instruments, Instrument Trays and Graphic

Cases—DJ1305—Processing Non-sterile Synthes Implants—DJ1304


2.4 mm Variable Angle LCP (VA-LCP) Distal Radius SystemStainless Steel (01.111.478) and Titanium (01.111.479)

Graphic Cases and Trays60.116.001 Graphic Case, Full Length, 4 bay

for Modular Graphic Case System

60.111.471 2⁄3 Instrument Tray for LCP and VA-LCP Distal Radius Systems

60.111.472 1⁄3 Instrument Tray for Distal Radius, Forceps and Bending Pliers

60.111.473 1⁄3 Instrument Tray for Distal Radius, Retractors, Hook and Elevators

Instruments02.111.500.10 1.25 mm Plate Reduction Wire, threaded tip

with small stop, 150 mm, 1 pkg. of 10 ea.

02.111.501.10 1.25 mm Plate Reduction Wire, threaded tipwith large stop, 150 mm, 1 pkg. of 10 ea.

03.110.000 1.8 mm Universal Variable Ankle LockingDrill Guide


03.110.007 StarDrive Screwdriver, T8

03.110.021 1.8 mm Drill Guide with Measuring forGuide Block



03.111.005 Depth Gauge for 2.4 to 2.7 mm Screws

03.111.007 Positioning Screw for Variable Angle LCPTwo-Column Plate Guide Block

Drill Bits, quick coupling, 100 mm

310.19 2.0 mm

310.26 2.7 mm

310.509 1.8 mm

310.530 2.4 mm

311.43 Handle, with quick coupling

314.453 Short StarDrive Screwdriver Shaft, T8, 55 mm


314.468 Holding Sleeve, for StarDrive ScrewdriverShaft, T8

319.39 Sharp Hook


Includes implant sets:Stainless Steel Titanium

01.111.461 01.111.462 2.4 mm Variable Angle LCP(VA-LCP) Two-Column VolarDistal Radius Plate Set

01.111.480 01.111.481 2.4 mm Variable Angle LCP(VA-LCP) NarrowTwo-Column Volar DistalRadius Plate Set

01.111.482 01.111.483 2.4 mm Variable Angle LCP(VA-LCP) Extra-ArticularDistal Radius Plate Set

01.111.486 01.111.487 Screw Set for 2.4 mmVariable Angle LCP (VA-LCP)Distal Radius System

01.115.000 01.115.001 2.4 mm Variable Angle LCP(VA-LCP) Dorsal DistalRadius Plate Module Set

323.029 Threaded LCP Drill Guide



324.084 1.25 mm K-wire Insert

329.12 Bending Pliers, 140 mm, for 1.5 mm and 2.0 mm plates

398.41 Reduction Forceps with Points, broad, ratchet,132 mm

398.95 Termite Forceps, 90 mm length

399.18 Hohmann Retractor, 6 mm width, small, shortnarrow top, 160 mm length

399.48 Periosteal Elevator, 3 mm width, curved blade,straight edge

399.481 Periosteal Elevator, 3 mm width, curved blade,round edge

399.97 Reduction Forceps, with points, 130 mmlength, ratchet


Kirschner Wires, 150 mm, trocar point, 1 pkg. of 10 ea.Stainless Steel* Titanium** 02.110.300 04.110.300 1.8 mm292.12 492.12 1.25 mm292.16 492.16 1.6 mm

60.116.054 Module Adapters, 4 pkg. of 2 ea.

Assembled on both ends of any 1-high module to preventmovement when housed in the module bay of the followinggraphic cases: 60.116.001, 60.116.003, 60.116.004,60.116.005, 60.116.006

* 316L stainless steel** Titanium alloy (Ti-6Al-4V)


Also Available. For use with Modular Graphic Case System.

Graphic Cases and Accessories60.116.001 Graphic Case, Full Length, 4 Bay

60.116.003 Graphic Case, Full Length, One High

60.116.004 Graphic Case, 2⁄3 Length, 4 Bay

60.116.005 Graphic Case, 2⁄3 Length, 2 Bay

60.116.006 Graphic Case, 2⁄3 Length, One High

60.116.014 Support Screws for Trays and Screw Racks,for use with Full Length Modular GraphicCases

60.116.015 Lid, Full Length for Modular Graphic CaseSystem

60.116.016 Lid, 2⁄3 Length for Modular Graphic CaseSystem

Instrument Trays60.111.471 2⁄3 Length Instrument Tray for LCP and

VA-LCP Distal Radius Systems


60.111.473 1⁄3 Instrument Tray for Distal Radius,Retractors, Hook and Elevators

60.116.114 1⁄3 Length Auxiliary Tray

60.116.020 1⁄3 Length Instrument Tray for 2.4 mmCortex and Variable Angle Screws

Plate Module and Bins60.116.052 Module Shell for Plate Trays and Auxiliary

Trays, for Modular Graphic Case System

60.116.200 Auxiliary Bin, full length, full height

60.116.203 Auxiliary Bin, ½ length, ½ height

Module Bins ½ length, ½ height

60.111.481 For 6 hole head, volar column plates




60.111.478 Narrow 6 Hole Head, Two-Column Plates

60.111.479 6 Hole Head, Two-Column Plates

60.111.480 7 Hole Head, Two-Column Plates

Screw Module, Screw Blocks, and Accessories60.116.050 Screw Module Shell, for Modular Graphic

Case System

60.116.051 Lid for Screw Module Shell

60.116.058 2.4 mm Screw Block for Screw ModuleShell

60.116.059 2.7 mm Screw Block for Screw ModuleShell

60.116.013 Assembly Screws, for Screw Module Shell (5 pkg.)

Label Sheets60.111.475 Graphic Case Label Sheet for Distal Radius

Systems

60.116.554 Label Pack, for 2.4 mm screws andinstruments for Modular Graphic CaseSystem

60.116.555 Label Pack, for 2.7 mm screws andinstruments for Modular Graphic CaseSystem

Screw Type Push Pins (5 each)60.116.452 Blank

60.116.503 Buttress

60.116.507 Cortex

60.116.513 Locking

60.116.521 VA Locking

Length Marker Push Pins (5 each) Length Length (mm) (mm)

60.116.451 Blank 60.116.318 18

60.116.306 6 60.116.320 20

60.116.308 8 60.116.322 22

60.116.310 10 60.116.324 24

60.116.312 12 60.116.326 26

60.116.314 14 60.116.328 28

60.116.316 16 60.116.330 30


01.111.484/ 2.4 mm LCP and VA-LCP Distal Radius01.111.485 Instrument Set* (stainless steel or titanium)

Instrument Tray Sets01.111.500/ 2⁄3 Instrument Tray, for LCP and Variable01.111.501 Angle LCP Distal Radius Systems (stainless steel or titanium)

01.116.020 1⁄3 Instrument Tray for 2.4 mm Cortex and Variable Angle Locking Screws


01.111.517 1⁄3 Instrument Tray for Distal Radius,Retractors, Hook and Elevators

Screw Rack Set01.111.486/ Screw Set for 2.4 mm Variable Angle LCP01.111.487 (VA-LCP) Distal Radius System

(stainless steel or titanium)

Screw Module Sets01.111.502/ 2.4 mm and 2.7 mm Variable Angle01.111.503 Locking Screw Module for Distal Radius


01.111.504/ 2.4 mm and 2.7 mm LCP Screw Module,01.111.505 for Distal Radius (stainless steel or titanium)

01.111.506/ 2.4 mm and 2.7 mm LCP and Variable01.111.507 Angle Locking Screw Module, for Distal

Radius (stainless steel or titanium)

01.111.508/ 2.4 mm LCP and Variable Angle Locking01.111.509 Screw Module, for Distal Radius


* Includes 60.116.001 Graphic Case

Plate Module with Bin Sets01.111.510/ 2.4 mm Variable Angle LCP Two-Column01.111.511 Plate Module, with Bins


01.111.512/ 2.4 mm LCP Volar Column Plate Module,01.111.513 with Bins (stainless steel or titanium)

01.111.514/ 2.4 mm Two-Column and Volar Column01.111.515 Plate Module, with Bins


Synthes (USA)1302 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

© 2011 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. 11/11 J10270-C

www.synthes.com

2.4 mm variable angle lcp volar rim distal radius plates tg

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