Foot and Ankle. The Next Generation in. Repair and Reconstruction Technology. Interosseous Fixation - Trauma. Interosseous Fixation - TightRope System

Transcription

1 The Next Generation in Foot and Ankle Repair and Reconstruction Technology Interosseous Fixation - Trauma Interosseous Fixation - TightRope System Intraosseous Ligament & Tendon Fixation Joint Decompression Osteochondral Resurfacing Small Bone Fixation Soft Tissue Fixation Arthroereisis Small Bone Arthroscopy FiberWire Suture

2 The Arthrex Difference Since 1984 Arthrex has been a privately held corporation committed to one thing: providing the finest quality products and educational services to meet the special needs of surgeons and their patients. Arthrex is dedicated to creative product development and medical education with an experienced, devoted team of professionals who are truly committed to continuing this long-term tradition. New product innovation in less invasive surgery is the heart and soul of Arthrex, which has resulted in the development of over 5,000 products for arthroscopic and minimally invasive orthopaedic surgical procedures. Our goal is to make technically demanding surgical procedures easier, safer and reproducible. Your trust in Arthrex products means you are backed by a company committed to uncompromising quality and constant product innovation while providing you with the most competent technical customer support in the industry.

3 BioComposite TM Implant Technology BioComposite implant material composed of ß-TCP/PLDLA or PLLA offers the same benefits of the bioabsorbable material, with the addition of 15% Beta tricalcium phosphate. Studies suggest that early bone formation can be connected to the favorable osteoconductive and bioresorbable properties within ß-TCP. BioComposite choices can be found in the Tenodesis Screw System and SutureTak anchor line. Intraosseous Ligament and Tendon Fixation Arthrex is a leader in intraosseous soft tissue fixation with years of success in the knee and shoulder markets. The patented Bio-Tenodesis TM Screw System is a breakthrough technology that enables the surgeon to tension and attach tendon or tendon graft directly to bone inside a predrilled socket. Suture Anchors Suture anchors provide the highest attachment strength possible, making technically demanding procedures simpler, safer, and more reproducible. The bioabsorbable anchors are made of PLDLA (poly(l-lactide-co-d, L-lactide)), PLLA ((poly)l-lactide) or BioComposite (PLDLA/Beta tricalcium phosphate). They maintain strength during the critical 12-week soft tissue healing phase and then undergo resorption. All anchors are preloaded with FiberWire suture, which is stronger than standard polyester or absorbable sutures. The Arthrex anchor line includes the new knotless 2.5 mm PushLock Anchor, and Achilles SutureBridge TM Convenience Pack. FiberWire FiberWire, a suture made of ultra-high molecular weight polyethylene (UHMWPE) and polyester, braided over a UHMWPE core, has made a significant improvement in foot and ankle surgery. FiberWire is stronger than standard polyester suture in straight pull and knot strength testing. FiberWire s high strength characteristics, along with significantly increased abrasion-resistance, give the surgeon confidence during knot tying and early motion. The TightRope Syndesmosis Repair Kit is a proven alternative to metal screw fixation, which often requires a second surgery to remove. The new Mini TightRope, the next evolution of this technology, is revolutionizing bunion surgery. Surgeon Education The most important aspect to the Arthrex difference is the emphasis we place on surgeon education. We have dedicated six convenient state-of-the-art wet lab facilities in the United States exclusively for surgeon education. In addition to scheduled Saturday courses, we are able to accommodate the individual needs of surgeons for weekday labs in the Naples facility or labs in Manhattan, Tracy and Los Angeles, California; Vail, Colorado; and Scottsdale, Arizona. All labs are equipped with the latest equipment and technical assistance to provide visiting surgeons with the best educational experience possible. The Arthrex Difference

4 Table of Contents Interosseous Fixation - Trauma Ankle Fracture Management System 1-3 Interosseous Fixation - TightRope System TightRope Fixation System 4 TightRope Syndesmosis Buttress Plate Kit 4 Mini TightRope Fixation System 5 Mini TightRope FT 6 Intraosseous Ligament & Tendon Fixation Achilles SutureBridge and SpeedBridge 7 PARS Achilles Jig System 8 Tenodesis Screw System 9 Disposable Tenodesis Screw System 10 QuickPass Tendon Shuttle 11 Small Bone Fixation - Metal Arthroereisis LPS Screw Set 12 LPS Opening Wedge Osteotomy 13 LPS Cotton Plates 14 Distal Tibia Osteotomy System 15 Lapidus Plates 16 Midfoot Plating Module for H-Plates and Lapidus Plate 16 H-Plates 17 Low Profile MTP Plate TM and Screws 18 LPS 4.5 mm/5.5 mm Jones Fracture Screw 19 LPS 6.7 mm Cannulated Lag Screw 20 Bone Graft Harvester 21 QuickFix TM Small Metal Staple 22 Plaple System 22 Compression Staple 23 ProStop and ProStop Plus 24

5 Small Bone Fixation - Bioabsorbable Trim-It TM Screw System Sets 25 Trim-It Screw System 26 Trim-It Spin Pin TM PIPJ Arthrodesis Fixation 27 Trim-It Drill Pin Osteotomy Fixation Kit 28 3 mm/3.5 mm Bio-Compression Screw 29 Soft Tissue Fixation 2.5 mm PushLock Knotless Suture Anchor 30 Small Joint Bio-Corkscrew FT mm Small Joint Bio-Corkscrew Suture Anchor 31 BioComposite SutureTak and Bio-SutureTak - Micro, Mini and Small Joint 32 Micro, Mini, and 3.5 mm Corkscrew FT 33 Titanium Small Joint Corkscrew Suture Anchor 34 Small Bone FASTak TM Suture Anchor 34 Joint Decompression/Osteochondral Resurfacing Single Use OATS for Small Joint 35 AnaToemic Proximal Phalanx Hemiprosthesis 36 Ankle Arthroscopy Ankle Arthroscopy Set 37 Noninvasive Ankle Distractor, Strap and Small Joint Limb Holder 38 Ankle GPS Targeting Drill Guide 39 Micro SutureLassos TM 39 Arthrex BLURR and Bone Cutters 40 Disposable Small Joint Shaver Blades and Burrs 40 Arthrex CoolCut Radio Frequency Ablation 40 FiberWire Suture FiberLoop 41 FiberWire 42 FiberStick TM, TigerStick and FiberSnare 42 Small Bone Fixation Overview Charts Small Bone Suture and Anchor Chart FiberWire, FiberLoop and FiberWire Scissor Chart Table of Contents

6 Ankle Fracture Management System Ankle fractures are frequently complicated by variables out of the surgeon s control. The amount of comminution, degree of osteoporosis, location of the fracture, and size of the patient can all lead to challenging obstacles. The Ankle Fracture Management System was developed to be the most comprehensive set available for the treatment of these common injuries. Improved basic small fragment implants and instrumentation, anatomic plates, and locking screw technology, allow for confident and effective treatment of the majority of fracture patterns. This set was designed to give the surgeon the armamentarium to more effectively address any patient/injury pattern encountered. Significant time and research were invested to develop anatomic plates, with specific emphasis placed on determining the appropriate angle of the locked screws. This allows for easier and faster implantation, while negating the need for more expensive variable-angle locking plates and screws. Included in the set are a variety of fracture specific plates, engineered to address even the most difficult fracture patterns. These consist of Third Tubular Locking Plates, 3.5 mm Reconstruction Plates, Locking Medial Hook Plates, Locking Lateral Hook Plates, and Complex Fibular Fracture Plates. All plates designed for use on the fibula have modifications that allow for easier use of either the TightRope or syndesmotic screws for stabilization of associated ligamentous injuries. Interosseous Fixation Trauma Ankle Fracture Management System (AR-8943S) includes: Ankle Fracture Implant & Instrument Set Case Guide Wire w/trocar Tip, 1.35 mm x 150 mm Guide Wire, threaded trocar tip, 1.35 mm x 150 mm Drill Bit, cannulated, 2.6 mm Drill Guide, 2.6/1.35 mm Depth Device, cannulated Countersink, cannulated, 4 mm Bone Tap, cannulated, 4 mm Bone Reduction Forceps, curved, pointed Bone Tap, cancellous, 4 mm Countersink for 3.5 mm & 4 mm Screws Screwdriver, T10 Hexalobe Screwdriver, T15 Hexalobe, cannulated Screwdriver, T15 Hexalobe Holding Sleeve for 2.7, 3.5 and 4 mm Screws QC Handle, cannulated AO QC Handle, cannulated, ratcheting Drive Shaft, QC, T10 Hexalobe Drive Shaft, T15 Hexalobe, cannulated, QC Drill Bit, 3.5 mm Drill Bit, graduated, 2.5 mm Drill Guide, 3.5 mm/2.5 mm Bone Tap, 3.5 mm Depth Guide, low profile, 2.7/3.5/4 mm Drill Bit, graduated, 2 mm Drill Guide, threaded, low profile, 2.7 mm Drill Guide, threaded, low profile, 3.5 mm Bending Iron, Plate Freer Elevator Periosteal Elevator, 6 mm, Curved Blade Sharp Hook Cup Curette, straight shaft, 100 mm Hohmann Retractor, 8 mm Hohmann Retractor, 15 mm Lobster Claw Weber Clamp Screw Forceps BB-Tak Drill Sleeve Insert, 2.5 mm Tamp for Hook Plates Drill Bit, 2.5 mm Drill Guide, 2 mm/3 mm Drill Bit, 3 mm Drill Bit, graduated, 2.5 mm Drill Guide, locking, 3.5 mm Aiming Guide, Locking Distal Fibula Plate, Right Aiming Guide, Locking Distal Fibula Plate, Left Aiming Guide, Locking Lateral Hook Plate Plate Hexalobe Driver, T15 AR-8943C AR AR AR AR AR AR AR AR AR-8940T AR-4162 AR AR AR AR AR-13221AOC AR-8737RH AR-8944DH AR AR AR AR AR-8935T AR AR AR AR AR AR AR AR AR-8661 AR AR AR AR AR-8941F AR AR AR AR AR AR AR AR AR AR AR AR-8941DH 1 Locking Distal Fibula Plate

7 Locking Distal Fibula Plate Locking Third Tubular Plate Locking Straight Plate Locking Medial Hook Plate Locking Lateral Hook Plate Interosseous Fixation Trauma 2

8 Ankle Fracture Management Plates & Screws Plates: Locking Distal Fibula Plate, 4H, right AR-8943BR-04 Screws: Low Profile Locking Screw, 2.7 mm x 10 mm Locking Distal Fibula Plate, 5H, right AR-8943BR-05 Low Profile Locking Screw, 2.7 mm x 12 mm Locking Distal Fibula Plate, 6H, right AR-8943BR-06 Low Profile Locking Screw, 2.7 mm x 16 mm Locking Distal Fibula Plate, 8H, right AR-8943BR-08 Low Profile Locking Screw, 2.7 mm x 18 mm Locking Distal Fibula Plate, 4H, left AR-8943BL-04 Low Profile Locking Screw, 2.7 mm x 20 mm Locking Distal Fibula Plate, 5H, left AR-8943BL-05 Low Profile Locking Screw, 2.7 mm x 22 mm Locking Distal Fibula Plate, 6H, left AR-8943BL-06 Low Profile Locking Screw, 2.7 mm x 24 mm Locking Distal Fibula Plate, 8H, left AR-8943BL-08 Low Profile Locking Screw, 2.7 mm x 26 mm AR-8827L-10 AR-8827L-12 AR-8827L-16 AR-8827L-18 AR-8827L-20 AR-8827L-22 AR-8827L-24 AR-8827L-26 Locking Third Tubular Plate Locking Straight Plate, 4H Locking Straight Plate, 6H Locking Straight Plate, 7H Locking Straight Plate, 8H Locking Straight Plate, 10H Locking Straight Plate, 12H Locking Medial Hook Plate, 3H Locking Medial Hook Plate, 5H Locking Medial Hook Plate, 7H Locking Third Tubular Plate, 4H Locking Third Tubular Plate, 5H Locking Third Tubular Plate, 6H Locking Third Tubular Plate, 7H Locking Third Tubular Plate, 8H Locking Third Tubular Plate, 10H Locking Third Tubular Plate, 12H Locking Lateral Hook Plate Plate, 3H Locking Lateral Hook Plate Plate, 5H Locking Lateral Hook Plate, 7H AR-8943C-04 AR-8943C-06 AR-8943C-07 AR-8943C-08 AR-8943C-10 AR-8943C-12 AR-8943H-03 AR-8943H-05 AR-8943H-07 AR-8943T-04 AR-8943T-05 AR-8943T-06 AR-8943T-07 AR-8943T-08 AR-8943T-10 AR-8943T-12 AR-8943TH-03 AR-8943TH-05 AR-8943TH-07 Low Profile Cortical Screw, 3.5 mm x 10 mm Low Profile Cortical Screw, 3.5 mm x 12 mm Low Profile Cortical Screw, 3.5 mm x 14 mm Low Profile Cortical Screw, 3.5 mm x 16 mm Low Profile Cortical Screw, 3.5 mm x 18 mm Low Profile Cortical Screw, 3.5 mm x 20 mm Low Profile Cortical Screw, 3.5 mm x 22 mm Low Profile Cortical Screw, 3.5 mm x 24 mm Low Profile Cortical Screw, 3.5 mm x 26 mm Low Profile Cortical Screw, 3.5 mm x 28 mm Low Profile Cortical Screw, 3.5 mm x 30 mm Low Profile Cortical Screw, 3.5 mm x 35 mm Low Profile Cortical Screw, 3.5 mm x 40 mm Low Profile Cortical Screw, 3.5 mm x 45 mm Low Profile Cortical Screw, 3.5 mm x 50 mm Low Profile Cortical Screw, 3.5 mm x 55 mm Low Profile Cortical Screw, 3.5 mm x 60 mm Low Profile Locking Screw, 3.5 mm x 10 mm Low Profile Locking Screw, 3.5 mm x 12 mm Low Profile Locking Screw, 3.5 mm x 14 mm Low Profile Locking Screw, 3.5 mm x 16 mm Low Profile Locking Screw, 3.5 mm x 18 mm Low Profile Locking Screw, 3.5 mm x 20 mm AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR AR-8835L-10 AR-8835L-12 AR-8835L-14 AR-8835L-16 AR-8835L-18 AR-8835L-20 Low Profile Cancellous Screw, 4 mm x 10 mm Low Profile Cancellous Screw, 4 mm x 12 mm Low Profile Cancellous Screw, 4 mm x 14 mm Low Profile Cancellous Screw, 4 mm x 16 mm Low Profile Cancellous Screw, 4 mm x 18 mm Low Profile Cancellous Screw, 4 mm x 20 mm Low Profile Cancellous Screw, 4 mm x 22 mm Low Profile Cancellous Screw, 4 mm x 24 mm AR AR AR AR AR AR AR AR Interosseous Fixation Trauma Locking Lateral Hook Plate Aiming Guide Low Profile Cannulated Screw, Short Thread, 4 mm x 30 mm AR-8840C-30 Low Profile Cannulated Screw, Short Thread, 4 mm x 35 mm AR-8840C-35 Low Profile Cannulated Screw, Short Thread, 4 mm x 40 mm AR-8840C-40 Low Profile Cannulated Screw, Short Thread, 4 mm x 45 mm AR-8840C-45 Low Profile Cannulated Screw, Short Thread, 4 mm x 50 mm AR-8840C-50 Low Profile Cannulated Screw, Short Thread, 4 mm x 55 mm AR-8840C-55 Low Profile Cannulated Screw, Short Thread, 4 mm x 60 mm AR-8840C-60 Low Profile Cannulated Screw, Long Thread, 4 mm x 30 mm AR-8840CL-30 Low Profile Cannulated Screw, Long Thread, 4 mm x 35 mm AR-8840CL-35 Low Profile Cannulated Screw, Long Thread, 4 mm x 40 mm AR-8840CL-40 Low Profile Cannulated Screw, Long Thread, 4 mm x 45 mm AR-8840CL-45 Low Profile Cannulated Screw, Long Thread, 4 mm x 50 mm AR-8840CL-50 Low Profile Cannulated Screw, Long Thread, 4 mm x 55 mm AR-8840CL-55 Low Profile Cannulated Screw, Long Thread, 4 mm x 60 mm AR-8840CL-60 Optional Screws: Low Profile Cancellous Screw, 3 mm x 10 mm Low Profile Cancellous Screw, 3 mm x 12 mm Low Profile Cancellous Screw, 3 mm x 14 mm Low Profile Cancellous Screw, 3 mm x 16 mm Low Profile Cancellous Screw, 3 mm x 18 mm Low Profile Cancellous Screw, 3 mm x 20 mm Low Profile Cancellous Screw, 3 mm x 22 mm Low Profile Cancellous Screw, 3 mm x 24 mm Low Profile Cancellous Screw, 3 mm x 26 mm Low Profile Cancellous Screw, 3 mm x 28 mm Low Profile Cancellous Screw, 3 mm x 30 mm AR AR AR AR AR AR AR AR AR AR AR Distal Fibula Plate Aiming Guide Accessories: Screw Caddy for 3 mm Screws Washer, 7 mm AR-8943C-30 AR-8870W 3

9 TightRope Fixation System The TightRope Syndesmosis provides fixation of syndesmosis disruptions with or without associated ankle fractures. The TightRope is comprised of a #5 FiberWire loop tensioned and secured between metallic buttons to provide physiologic stabilization of the ankle mortise. Advantages: Weight-bearing may be commenced earlier than with screw fixation, as cyclic loading does not promote device failure Biomechanical testing and clinical trials have shown equivalent strength and improved patient outcome with the TightRope technique Demonstrates fatigue life over two times that of standard metal screws* The TightRope obviates the need for a second procedure for removal Eliminates broken screw complications Indication: Syndesmosis reduction of the ankle TightRope Syndesmosis Repair Kits: TightRope Plus Syndesmosis Repair Kit, titanium TightRope Plus Syndesmosis Repair Kit, stainless steel Accessories: Cannulated Drill Bit, 3.5 mm Guidewire, TightRope Syndesmosis Repair, 1.2 mm AR-8920CDS AR-8921CDS AR-8920DC AR-8920P TightRope Syndesmosis Technique *data on file LT0426 TightRope Syndesmosis Buttress Plate Kit TightRope Plus includes an added pull-through suture to ease flipping of the medial button The disposable TightRope Syndesmosis Buttress Plate (SBT Kit) features a four-hole, contoured, titanium plate, to be used as a buttress for ankle syndesmotic repairs with or without fracture. The plate has two inner holes that custom fit the Round Button of the TightRope and two outer holes that accept two 3.5 mm x 14 mm nonlocking screws. The kit comes with everything the surgeon needs to complete the syndesmotic fixation. Interosseous Fixation TightRope System Syndesmosis Buttress Plate Kit (AR-8947DS) includes: SBT Plate, 43 mm length TightRope, titanium LPS Screw 3.5 mm x 14 mm, qty. 2 Drill, Pin Tip, 2.5 mm Drill Bit, 3.5 mm Screwdriver, T15 4

10 Mini TightRope Fixation System The Mini TightRope is a low profile system designed to correct a number of forefoot deformities including hallux valgus, Lisfranc disruptions, Tailor s bunion and hallux varus. Comprised of #2 FiberWire and two stainless steel buttons, this device is improves foot and ankle patient care with its strength and versatility. The Mini TightRope is sterile and packaged with a cannulated 2.7 mm Drill and 1.1 mm Guidewire for convenience and ease of use. Lisfranc Ligament Repair Bunion/Bunionette Advantages: IM angle correction without osteotomy Maintains metatarsal length Preserves blood supply to metatarsal head Increases potential for earlier rehab and return to activities Distal and proximal dual placements for added security Prevents delayed union, nonunion and malunion seen with osteotomies Lisfranc Advantages: Allows physiologic micro-motion No need for routine removal Reduces broken screw complications Distal Hallux Valgus Correction Hallux Varus Advantages: Simplified technique Strength to maintain correction over time b Hallux Varus Mini TightRope Disposables Repair Kit (AR-8911DS) includes: (a) Interosseous Fixation TightRope System Cannulated Drill Bit, 2.7 mm Round Button, 5.5 mm Oblong Button, 2.6 mm x 8 mm TightRope Lead Needle, 1.6 mm Guidewire, 1.1 mm Suture Passing Wire Mini TightRope 1.1 mm Disposables Kit (AR-8914DS) includes: Suture Passing K-wire, 1.1 mm Ruler Suture Passing Wire, 8 inch #2 FiberWire Oblong Buttons, 2.6 mm Mini TightRope with Driver Kit (AR-8913DS) includes: (b) Button Inserter Assembly (5.5 mm Round Button, 2.6 mm Oblong Button, #2 FiberWire (blue), 38 long, and Button Inserter) Guidewire, 1.2 mm Cannulated Drill Bit, 2.7 mm Accessory: Buttress Plate for Mini TightRope Suture Passing K-wire, 1.1 mm (for use with the 1.1 mm Mini TightRope) Multimedia: Hallux Valgus Correction: Osteotomy Sparing Repair using Mini TightRope by George B. Holmes, Jr., M.D. Forefoot Surgical Techniques using the Mini TightRope and PIP Arthrodesis by Gerard Bourke, M.D.; J. Chris Coetzee, M.D.; Kris DiNucci, D.P.M; George B. Holmes, Jr., M.D. Comprehensive Foot & Ankle Repair Surgical Techniques by J.Chris Coetzee, M.D. AR-8914P AR-8914K DVD-1092 DVD-1102 DVD-1103 a 1.1 mm Hallux Valgus Repair 2.7 mm Hallux Valgus Repair Comprehensive Solutions for Forefoot and Midfoot Surgery LB Lisfranc Repair Hallux Varus Repair

11 Mini TightRope FT The Mini TightRope FT, now available in metal, was developed to offer surgeons a new technique for the correction of the intermetatarsal angle (IMA) for hallux valgus. As is with the standard Mini TightRope placed distally, the Mini TightRope FT can support correction of the IMA if used proximally along the 1st metatarsal. The Mini TightRope FT uses a fully-threaded Corkscrew FT, FiberWire and a stainless steel Cup Button. The proximally placed anchor/suture button construct will support reduction of the intermetatarsal angle, while allowing soft tissue remodeling and stabilization. The Mini TightRope FT has other applications such as Lisfranc ligament repair and syndesmotic trauma fixation of the dorsal distal radioulnar ligament (DRUL) disruptions. Advantages: Minimally invasive dorsal medial single incision Anchor construct stabilizes the metatarsal cuneiform joint and acts as a backstop to help prevent recurrence of the deformity IM angle correction with or without an osteotomy. Can be used with a distal osteotomy in cases of larger IM angles or semi-rigid deformities Now Available in Metal 3.5 mm Titanium Mini TightRope FT (AR-8917DS) includes: 3.5 mm Corkscrew FT Suture Anchor with one #0 FiberWire (blue), 48 long, with button Drill for 3.5 mm Mini TightRope FT Drill, 2.5 mm Inserter with Handle Guidewire w/trocar Tip, 1.2 mm Mini TightRope FT Repair Kit (AR-8912DS), sterile, includes: Bio-Corkscrew FT, 4.5 mm Cannulated Drill Bit for Mini TightRope Mini TightRope FT Drill Bit Driver for Mini TightRope FT Mini TightRope FT Punch/Tap, 4.5 mm Cup Button, 7.8 mm Guidewire, TightRope Syndesmosis Repair, 1.2 mm Accessory: Mini TightRope Cannulated Tap, 4.5 mm Metal Mini TightRope FT AR-1927BU-45 AR-8911DC AR-8912DC AR-8912DU AR-8912T AR-8912 AR-8920P AR-8912TC Metal Mini TightRope Mini TightRope FT (Optional: Distal Chevron) Interosseous Fixation TightRope System Mini TightRope FT Punch/Tap and Cannulated Tap Hallux Valgus 6

12 Achilles SutureBridge and SpeedBridge Insertional calcific Achilles tendinosis is a painful and frequently disabling condition. While most patients with insertional Achilles tendinosis can be managed nonoperatively, those patients who do not respond to conservative treatment may require decompression and debridement of the diseased tendon. The literature has described numerous operative approaches for reattachment of the Achilles tendon and for an associated tendon transfer of the flexor hallucis longus (FHL) for augmen-tation. While Arthrex provides means of fixation for both, the reattachment of the tendon is the focus of this technique. The SutureBridge is a novel concept in Achilles reattachment, following debridement. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. This four-anchor construct enables a greater area of compression for the Achilles tendon on the calcaneus, improving stability and possibly allowing for earlier return to normal activities. Achilles SutureBridge Convenience Pack (AR-8927BNF-CP) includes: Bio-Corkscrew FT, 4.5 mm x 15 mm, w/two #1 FiberWire and Tapered Needles, qty. 2 Bio-PushLock, 3.5 mm x 14 mm, qty. 2 Punch/Tap for 4.5 mm Bio-Corkscrew FT Drill Guide for 3.5 mm Bio-PushLock Drill for 3.5 mm Bio-PushLock Intraosseous Fixation Ligament & Tendon Achilles SpeedBridge Convenience Pack (AR-8928BC-CP) includes: BioComposite SwiveLock Screw, qty. 2, 4.75 x 15 mm FiberTape Needle Assembly, blue, qty. 1* FiberTape Needle Assembly, white/black, qty. 1* Drill, 3.5 mm Drill Guide Punch/Tap for 4.75 mm SwiveLock Optional Accessories: Bio-Corkscrew FT Punch, reusable Punch/Tap for Bio-Corkscrew FT PushLock Punch, 3.5 mm Multimedia: SutureBridge Achilles Repair by Ned Amendola, M.D. Achilles SutureBridge Surgical Technique Achilles SpeedBridge Surgical Technique *use with BioComposite SwiveLock Screw Bio-Corkscrew FT AR-1927PB AR-1927CTB AR-1926P DVD-1097 LT0460 LT0463 Consider These Surgical Procedures: Haglund s Retrocalcaneal Exostosis Chronic Achilles Tendinosis Peak Load Comparison* 500 Achilles SutureBridge Achilles SpeedBridge 400 Load (N) Bio-PushLock SutureBridge *data on file Two-Anchor 7

13 PARS Achilles Jig Repair System Percutaneous Achilles Repair System for Acute Midsubstance Achilles Ruptures Achilles tendon ruptures are common in the elite and recreational athlete and most often occur in the noninsertional region of the tendon complex. Most surgeons will elect to treat these injuries surgically, to lessen the risk for rerupture, while providing the opportunity for a quicker recovery and convenient rehabilitation. Historically, open techniques have been utilized for repair of the rupture but can be complicated by wound-healing issues and infection. This percutaneous and minimally invasive technique minimizes this concern. The PARS provides the opportunity for consistently reliable capture of the proximal and distal aspects of the Achilles tendon and utilizes color-coded FiberWire suture. The anatomically contoured guide is nondisposable, while the suture and passing needles come packaged in one convenient kit. The system provides the option of transverse or locking sutures, or both. The locking option allows the surgeon to incorporate a locked FiberWire suture on both ends of the ruptured tendon. This results in a stronger repair than just passing transverse sutures across the tendon like other minimally invasive devices on the market. The colored sutures offer a more organized approach to identifying and securing matched pairs. The healed tendon achieves a more natural contour, unlike the typical hypertrophic tendon resulting from open repair. This minimally invasive technique is ideal for the middleaged individual, where there may be a heightened concern for wound-healing issues. Advantages: Minimal incision reduces risk of wound complications Provides the ability to create a locking stitch Specialized suture kits eight pieces of different colored FiberWire Easy suture management Reusable device with numbered, easy to follow steps Pars Achilles Jig Set (AR-8860S) includes: PARS Achilles Jig AR -8860J Cannulated Driver Handle with AO Connection AR AOC PARS Achilles Jig Suture Kit (AR-8860DS) includes: Two #2 FiberWire, (white), 38 Two #2 FiberWire, (blue), 38 Two #2 TigerWire, (white/black), 38 Two #2 FiberWire, with loops, (blue), 40 Two 1.6 mm straight needles with Nitinol loops PARS Achilles Jig System Technique LT0464 PARS Locking Stitch Intraosseous Fixation Ligament & Tendon PARS Achilles Jig 8

14 Tenodesis Screw System Now available in BioComposite, the Tenodesis Screw System provides the most technologically advanced interference fixation, while eliminating transosseous tunnels in tendon repairs and ligament reconstruction. BioComposite implant material composed of ß-TCP and PLLA offers the same benefits of the bioabsorbable material, with the addition of 15% Beta tricalcium phosphate.* Studies suggest that early bone formation can be connected to the favorable osteoconductive and bioresorbable properties within ß-TCP. With a comprehensive product line including BioComposite, PLLA, PEEK and titanium, the system provides superior and immediate fixation for foot and ankle indications such as flatfoot reconstruction (FDL), chronic Achilles reconstruction (FHL), and lateral ankle reconstruction. Intraosseous Fixation Ligament & Tendon Bio-Tenodesis Screw Master Set (AR-1675S) includes: Cannulated Drill, 4 mm AR-1204L Cannulated Drill, 4.5 mm AR L Cannulated Headed Reamers, 5-10 mm AR Tear Drop Handle w/suture Cleat AR-2001BT Driver for 10 mm Tenodesis Screws AR-1540DB Driver for 10 mm and 12 mm Tenodesis Screws AR-1670DB Driver for Tenodesis Screws AR-1350D Driver for 23 mm Bio-Tenodesis Screws AR-1570DB Bio-Tenodesis Screw Instrumentation Case AR-1675C Optional: 6.7 mm Low Profile Screw System Tenodesis Module AR-8967S (for calcaneal osteotomies) * reference studies Now in BioComposite Implants: BioComposite Tenodesis Screw w/handled inserter, 3 mm x 8 mm AR-1530BC BioComposite Tenodesis Screw, 4 mm x 10 mm AR-1540BC BioComposite Tenodesis Screw, 4.75 mm x 15 mm AR-1547BC BioComposite Tenodesis Screw, 5.5 mm x 15 mm AR-1555BC BioComposite Tenodesis Screw, 6.25 mm x 15 mm AR-1562BC BioComposite Tenodesis Screw, 7 mm x 23 mm AR-1570BC BioComposite Tenodesis Screw, 7 mm x 10 mm AR-1670BC BioComposite Tenodesis Screw, 8 mm x 12 mm AR-1680BC BioComposite Tenodesis Screw, 8 mm x 23 mm AR-1580BC BioComposite Tenodesis Screw, 9 mm x 23 mm AR-1590BC Tenodesis Screw, 5.5 mm x 15 mm, titanium AR Tenodesis Screw, 4.75 mm x 15 mm, titanium AR Bio-Tenodesis Screw w/handled inserter, 3 mm x 8 mm AR-1530B Bio-Tenodesis Screw, 4 mm x 10 mm AR-1540B Bio-Tenodesis Screw, 4.75 mm x 15 mm AR-1547B Bio-Tenodesis Screw, 5.5 mm x 15 mm AR-1555B Bio-Tenodesis Screw, 6.25 mm x 15 mm AR-1562B Bio-Tenodesis Screw, 7 mm x 23 mm AR-1570B Bio-Tenodesis Screw, 7 mm x 10 mm AR-1670B Bio-Tenodesis Screw, 8 mm x 12 mm AR-1680B Bio-Tenodesis Screw, 8 mm x 23 mm AR-1580B Bio-Tenodesis Screw, 9 mm x 23 mm AR-1590B PEEK Tenodesis Screw w/handled inserter, 3 mm x 8 mm AR-1530PS PEEK Tenodesis Screw, vented, 4 mm x 10 mm AR-1540PS PEEK Tenodesis Screw, vented, 4.75 mm x 15 mm AR-1547PS PEEK Tenodesis Screw, vented, 5.5 mm x 15 mm AR-1555PS PEEK Tenodesis Screw, vented, 6.25 mm x 15 mm AR-1562PS PEEK Tenodesis Screw, vented, 7 mm x 10 mm AR-1670PS PEEK Tenodesis Screw, vented, 7 mm x 23 mm AR-1570PS PEEK Tenodesis Screw, vented, 8 mm x 12 mm AR-1680PS PEEK Tenodesis Screw, vented, 8 mm x 23 mm AR-1580PS PEEK Tenodesis Screw, vented, 9 mm x 23 mm AR-1590PS Disposables: Bio-Tenodesis Disposables Kit Small Diameter Bio-Tenodesis Disposables Kit Bio-Tenodesis Disposables Kit for 3 mm x 8 mm screw Optional Accessories: Bio-Tenodesis Tap, 4 mm x 10 mm Bio-Tenodesis Tap, 5.5 mm x 15 mm Bio-Tenodesis Tap, 4.75 mm x 15 mm Bio-Tenodesis Tap, 6.25 mm x 15 mm Bio-Tenodesis Tap, 7 mm x 23 mm Bio-Tenodesis Tap, 7 mm x 10 mm Bio-Tenodesis Tap, 8 mm x 12 mm AR-1676DS AR-1677DS AR-1530DS AR-1540T AR-1555T AR-1547T AR-1562T AR-1570T AR-1670T AR-1680T Multimedia: Bio-Tenodesis Animation DVD-1093 Comprehensive Foot & Ankle Surgical Technique DVD-1103 Techniques for Tendon Transfer in Foot & Ankle Reconstruction using Bio-Tenodesis Fixation by Thomas Clanton, M.D. DVD-1064 Lateral Ankle Reconstruction, Ankle Arthroscopy and Talar OATS by Nicholas Abidi, M.D. DVD-1107 NEW! Tenodesis Technique Series Tenodesis Brochure PEEK screws are now vented! LB0005 LB BioComposite Titanium PLDLA PEEK

15 Lateral Ankle Reconstruction Disposable Tenodesis Screw System The Tenodesis Screw product line now includes a disposable driver/screw option for ease of use and simplified OR stocking. Used in conjunction with the AR-1676C or AR-1677C series disposable drills and the AR-1676DS or 1677DS disposable accessory kits, customers will now be able to stock a complete disposable tenodesis system for distal extremity applications. The preloaded white disposable driver comes complete with a 5.5 mm x 15 mm Bio-Tenodesis Screw and #2 FiberWire suture positioned in loop form at the tip of the driver. In case multiple screws are required for one procedure, the white driver is compatible with both the 4.75 mm and 6.25 mm size screws sold separately. The disposable drills (AR-1676C or 1677C series) are cannulated and sized specifically to work in combination with the AR-1555DS driver, and accessory kit. This series of 4 mm, 4.5 mm, 5 mm, 5.5 mm, 6 mm and 6.5 mm drills can be purchased separately sterile and single use. Bio-Tenodesis Cannulated Drill FDL Tendon Transfer Disposable Tenodesis System: Disposable Tenodesis Driver with 5.5 mm screw and #2 FiberWire AR-1555DS FHL Tendon Transfer Flexor to Extensor Transfer (2nd toe) Disposable Cannulated Drills (accepts 2.4 mm K-wires): Cannulated Drill, 5 mm Cannulated Drill, 5.5 mm Cannulated Drill, 6 mm Cannulated Drill, 6.5 mm Disposable Cannulated Drills (accepts 1.5 mm K-wires): Cannulated Drill, 4 mm Cannulated Drill, 4.5 mm Cannulated Drill, 5 mm Cannulated Drill, 5.5 mm Bio-Tenodesis Disposables Kit (AR-1676DS) includes: 2.4 mm Short Guide Pin w/eyelet, Suture Passing Wire, #2 FiberLoop w/straight Needle, two #2 FiberWire, two 2-0 FiberWire, Skin Marking Pen, Ruler Small Diameter Bio-Tenodesis Disposables Kit (AR-1677DS) includes: 1.5 mm Short Guide Pin w/eyelet, Suture Passing Wire, 0 FiberWire, 0 TigerWire, 2-0 FiberWire, 2-0 FiberLoop Skin Marking Pen, Ruler AR-1676C-50 AR-1676C-55 AR-1676C-60 AR-1676C-65 AR-1677C-40 AR-1677C-45 AR-1677C-50 AR-1677C-55 Bio-Tenodesis Disposables Kit for 3 mm x 8 mm Screw (AR-1530DS) includes: #2 FiberSnare, #2 FiberWire, 26 inches (green) stiffened w/closed loop,12 inches AR-7209SN #2 FiberLoop w/straight Needle AR-7234 Compatible Screws: Bio-Tenodesis Screw, 4.75 mm Bio-Tenodesis Screw, 6.25 mm Bio-Tenodesis Screw, 5.5 mm x 15 mm Tenodesis Screw, titanium, 4.75 mm x 15 mm Tenodesis Screw, titanium, 5.5 mm x 15 mm PEEK Tenodesis Screw, 5.5 x 15 mm PEEK Tenodesis Screw, 4.75 mm x 15 mm PEEK Tenodesis Screw, 6.25 mm x 15 mm BioComposite Tenodesis Screw, 4.75 mm x 15 mm BioComposite Tenodesis Screw, 5.5 mm x 15 mm BioComposite Tenodesis Screw, 6.25 mm x 15 mm Multimedia: Bio-Tenodesis Animation Comprehensive Foot & Ankle Surgical Technique by, J. Chris Coetzee, M.D. Techniques for Tendon Transfer in Foot & Ankle Reconstruction using Bio-Tenodesis Fixation by Thomas Clanton, M.D. Lateral Ankle Reconstruction, Ankle Arthroscopy and Talar OATS by Nicholas Abidi, M.D. NEW! Tenodesis Technique Series Tenodesis Brochure AR-1547B AR-1562B AR-1555B AR AR AR-1555PS AR-1547PS AR-1562PS AR-1547BC AR-1555BC AR-1562BC DVD-1093 DVD-1103 DVD-1064 DVD-1107 LB0005 LB0505 Intraosseous Fixation Ligament & Tendon Disposable Tenodesis Driver Bio-Tenodesis Disposables Kit (AR-1676DS) 10

16 QuickPass Tendon Shuttle Designed to ease the passage of tendon grafts through bone tunnels, these tendon passers reduce surgical steps and save valuable surgical time. While the nose of the tendon passers is thin for easy navigation through a tunnel, the back end opens up to accept the tendon. Once the tendon is introduced, the nylon mesh constricts around it and increases its hold under tension, much like a finger trap. QuickPass Tendon Shuttle, 2.5 mm x 16 cm, small QuickPass Tendon Shuttle, 3.5 mm x 22 cm, large Tenodesis Technique Series AR-8090S AR-8090L LB0005 Intraosseous Fixation Ligament & Tendon QuickPass Tendon Shuttle QuickPass Tendon Shuttle with tendon 11

17 LPS Screw Set The Low Profile System (LPS) now includes a complete screw and instrument set primarily for forefoot applications. The LPS 2 mm/2.3 mm/3 mm screw set includes the 2 mm and 3 mm QuickFix snap-off Screws, the 2.3 mm cannulated, and solid screws along with the new 3 mm cannulated partially threaded screws. The system of screws and instruments is the complete system for making operating in the forefoot as easy as possible. The instrument and screw caddy is ergonomically designed for space conscious OR suites, but comes fully loaded with all the instruments necessary to tackle any osteotomy about the forefoot and even some midfoot applications. The square instrument tray is only 9.5 inches wide and 2 inches deep and includes a screw system with four low profile fixation options. We have all forefoot fixation options covered. LPS Forefoot Screw Instrument Set (AR-8932S) includes: LPS Forefoot Screw Instrument Case AR-8932C 3 mm Partially Threaded Instruments: Drill Guide 1.1 mm/2 mm Cannulated Drill Bit, 2 mm Depth Device/Countersink,.045 Guidewire Driver, 2.5 mm Hex, Cannulated Screw Forceps AO QC Handle, cannulated, ratcheting Depth Guide AR-8933G AR C AR AR-8933D AR-8941F AR-8737RH AR-8930G QuickFix Screw Instruments: Screw Driver Shaft, 2 mm AR-8930D Screw Driver Shaft, 3 mm AR-8931D 1.3 mm Drill Bit, for 2 mm Screw AR-8930D-13 2 mm Drill Bit, for 3 mm Screw, (Trim-It) AR QuickFix 2 mm Cutter AR-8930R QuickFix 3 mm Cutter AR-8931R 2.3 mm LPS Screw-Cannulated and Noncannulated Instruments: Cannulated Drill Bit, 1.7 mm AR DC Drill Bit, 1.7 mm AR D Drill Bit, 2.3 mm AR D Depth Gauge, mini AR-13120G-2 Depth Device/Countersink,.034 Guidewire AR Drill Guide, low profile AR-13220DG Screwdriver with AO AR Cannulated Screwdriver AR-13223C Threaded Guidewire, 0.86 mm AR-13240KT Bone Reduction Forceps w/teeth AR-4160FT Consider These Surgical Procedures: 2 mm QuickFix, 3 mm QuickFix, or 2.3 mm Solid/Cannulated Screws Weil Osteotomy, Tailor s Bunion, Chevron/Austin, Ludloff, MTP Plate Fixation, Proximal Hallux Valgus Correction, Midshaft 1st Metatarsal Osteotomies, Akin, Metatarsal Fractures, Interphalangeal Joint Fusion 3 mm Cannulated Screw Cross screw fixation for Lapidus procedure or 1st MTP Fusion, secondary screw for failed hallux valgus correction QuickFix Screw, 3 mm x 15 mm, light blue QuickFix Screw, 2 mm x 11 mm, magenta Cannulated Lag Screw, 2.3 mm Cannulated Screw, 3 mm Full Thread Screw, 2.3 mm Implants (not included in set, order separately): QuickFix Screw, 1 mm increments, 2 mm x 10 mm - 14 mm AR QuickFix Screw, 2 mm increments, 3 mm x 13 mm - 19 mm AR Implants (not included in set, order separately): Screw, partially threaded, cannulated, 3 mm x 10 mm - 36 mm AR PT - 36PT Implants (not included in set, order separately): 2.3 mm Lag Screw, cannulated, 10 mm - 30 mm AR-13120T-10C - 30C 2.3 mm Full Thread Screw, solid, 10 mm - 30 mm AR-13120T Disposables (not included in set, order separately): Guidewire, 1.1 mm Guidewire,.86 mm AR-8932K AR-13240K Small Bone Fixation Metal QuickFix Screw System LSO451 12

18 LPS Opening Wedge Osteotomy (Low Profile Plate and Screw System) While requiring minimal dissection, these low profile plates provide excellent stability and durability. By using a spacer on the plate to maintain correction, the system offers a technique that is fast, effective and reproducible. Rigid Fixation - May enable earlier weight-bearing than with traditional screw fixation Maintains Length and Correction - The plate addresses the shortening and dorsal migration common to other cuts and means of fixation Straightforward Technique - Simplified cut and instrumentation make for a quick procedure Customized Correction - With wedge sizes ranging from 0-7 mm, a surgeon can generate between 0 and 21º of correction (3º per millimeter on average) Minimal Soft Tissue Irritation - At.5 mm thick, patients may never know it s there Small Bone Fixation Metal Actual Size of 2.3 mm Cannulated Lag Screw, 2.3 mm Full Thread Screw and 3 mm Plate Low Profile Plate and Screw System (AR-13240S) includes: Drill Guide for Titanium Cortical Screws AR-13220DG Depth Measuring Device AR-13120G-2 Osteotomes, 5 mm, 10 mm and 12 mm AR ,10 and 12 Hohmann Retractor, qty. 2 AR Cannulated Driver Handle w/ao Connection AR-13221AOC* Screwdriver w/ao Connection, 1.5 mm Hex AR Osteotomy Distractor AR BB-Tak, qty. 2 AR Drill Bit, 1.7 mm diameter AR D Drill Bit, 2.3 mm diameter AR D Cannulated Countersink w/ao Connection, 2.3 mm AR-13220C Countersink, 2.3 mm AR Bone Tap w/ao Connection AR-13222T Opening Wedge Trial AR-13200MT Cannulated Drill w/ao Connection, 1.7 mm, qty. 2 AR DC* Cannulated Driver Shaft w/ao Connection, 1.5 mm, qty. 2 AR-13223C* Cannulated Depth Device AR-13120G-3* Guidewire, 0.86 mm, qty. 6 AR-13240K** Threaded Guidewire, 0.86 mm, qty. 6 AR-13240KT** Bone Clamp AR-4160FT Low Profile Plate and Screw Set Instrumentation Case AR-13241C Plates, titanium: Low Profile L-Plate, flat AR-13200M LP Metatarsal Opening Wedge Plate, 2 mm - 7 mm left AR-13200M-02L - 07L LP Metatarsal Opening Wedge Plate, 2 mm - 7 mm right AR-13200M-02R - 07R 13 Consider These Surgical Procedures: Hallux Valgus Repair Osteotomies of the First Ray Medial Cuneiform Osteotomy (Cotton Procedure) Tailor s Bunion Correction Lesser Metatarsal Fixation of Fractures and Osteotomies Screws, titanium: Full Thread Screws, solid, 2.3 mm x 10 mm to 30 mm AR-13120T-10 to 30 Lag Screws, cannulated, 2.3 mm x 10 mm to 30 mm AR-13120T-10C to 30C Multimedia: Proximal 1st Metatarsal Osteotomy featuring the LPS Opening Wedge System by Paul Shurnas, M.D., and Mark Easley, M.D. LPS Plate Surgical Technique * instruments for 2.3 mm cannulated screws **should accompany set, sold separately DVD-1082 LT0430

19 LPS Cotton Osteotomy Plates Designed to make opening wedge osteotomies of the cuneiform easier and more stable, these plates provide exact correction and a low profile design to minimize soft tissue irritation. As an addition to the Forefoot Osteotomy Module, these plates expand what surgeons can do with this comprehensive set. Exact Correction - Flat, 2, 4, 6 and 8 mm wedges enable exact correction of the deformity Low Profile - At 0.5 mm thick, patients may never feel the plate Versatile - Design allows for dorsal or medial placement, depending on type of correction desired Convenient - Complete instrumentation set makes procedures easier and quicker Flat Cotton Plate AR Cotton Plate, 2 mm AR Cotton Plate, 4 mm AR Cotton Plate, 6 mm AR Cotton Plate, 8 mm AR Consider These Surgical Procedures: Cotton Osteotomy Medial OW Osteotomy to Correct HV Other Osteotomies of the Foot Small Bone Fixation Metal 14

20 Distal Tibia Osteotomy Plates Indicated for the treatment of isolated ankle joint malalignment, a series of specifically designed opening and closing wedge distal tibia osteotomy plates provide a variety of surgical options for safe, reliable and reproducible corrections. Performed through a small incision, this low profile plate design provides a reliable means to gauge correction and stabilize the osteotomy. Low Profile - Minimal soft tissue dissection and prominence aid in patient recovery and satisfaction Straightforward Procedure - Uses standard opening wedge osteotomy instrumentation Uses Standard and 4 mm stainless steel screws Cortical Screws - Easy OR application Distal Tibial Opening Wedge Osteotomy Plate, 5 mm Distal Tibial Opening Wedge Osteotomy Plate, 6 mm Distal Tibial Opening Wedge Osteotomy Plate, 7 mm Distal Tibial Opening Wedge Osteotomy Plate, 8 mm Distal Tibial Opening Wedge Osteotomy Plate, 9 mm Distal Tibial Opening Wedge Osteotomy Plate, 10 mm Distal Tibial Closing Wedge Osteotomy Plate AR-13200D-05 AR-13200D-06 AR-13200D-07 AR-13200D-08 AR-13200D-09 AR-13200D-10 AR-13200DC Small Bone Fixation Metal Consider These Surgical Procedures: Ankle Fracture Stainless Steel Screws (see page 3 for full list) Realignment of the Distal Tibia EVANS Calcaneal Osteotomy Calcaneocuboid Distraction Arthrodesis 15

21 Lapidus Plate (Low Profile Plate and Screw System) Designed to provide excellent fixation for a lapidus procedure, the Lapidus Plate offers the foot and ankle surgeon an anatomically contoured and configured option for procedures in the midfoot. This addition to the low profile plating system allows the surgeon the choice of placing a lag screw across the TMT joint, or placing locking or nonlocking screws in the other plate holes. Locking Option - The two proximal and most distal holes allow the surgeon to choose a fixedangle locking or variable-angle nonlocking option, depending on the needs of the patient Compression Option - The inner slot can accomodate an interfragmentary screw or generate compression when drilled eccentrically in arthrodesis applications Minimized Profile - Low profile plates and screw heads reduce soft tissue irritation and the need for removal Anatomic Contour - Optimizes construct strength, simplifies surgical technique and reduces soft tissue irritation Anodized Finish - Dramatically improves smoothness Screw Options mm cortical, 3.5 mm cortical locking and 4 mm cancellous Plate: Lapidus Plate AR-8941 Midfoot Plating Module for H-Plates and Lapidus Plate This module of the Low Profile Plating System houses the Lapidus and H-Plates, along with the 3.5 mm cortical, 3.5 mm cortical locking and 4 mm cancellous screws. The instrumentation for these implants is straightforward and easy to use, assisting the surgeon with distraction, provisional fixation and other elements of the procedure. Screws and Disposable: Low Profile Screw, titanium, 3.5 mm x 14 mm - 44 mm AR Low Profile Screw, titanium, 4 mm x 14 mm - 44 mm AR Locking Screw, titanium, 3.5 mm x 14 mm - 44 mm AR-8935L Guidewire,.062 inch AR-8941K Midfoot Plating Module Set (AR-8941S) includes: Cannulated Driver Handle w/ao Connection Osteotomy Distractor BB-Tak Drill Bit, 2.5 mm Drill Bit, 3.5 mm Drill Bit, 4 mm Bone Reduction Forceps w/teeth Depth Device, small Bending Iron Bending Pliers Hexalobe Driver, T15 Drill Guide, 3.5 x 4 mm, metal screws Drill/Depth Guide, locking Osteotome, short, 10 mm Osteotome, short, 12 mm Hohmann Retractor, 8 mm x 16 cm Countersink, 3.5/4 screws Tap, 3.5 mm Tap, 4 mm Low Profile System Instrument Case Screw Holding Forceps AR-13221AOC AR AR-13226* AR AR AR AR-4160FT AR-4166 AR-8941BI AR-8941BP AR-8941DH AR-8941G AR-8941GL AR AR AR AR-4162 AR-8935T AR-8940T AR-8941C AR-8941F Ultimate Load-to-Failure Newtons Arthrex LPS Lapidus Plate Two 4 mm Solid Crossed Screws * data on file Small Bone Fixation Metal Midfoot Plating System Surgical Technique LT0433 Multimedia: Comprehensive Foot & Ankle Repair Surgical Technique by J. Chris Coetzee, M.D. DVD *should accompany set, order separately Midfoot Plating Module 16

22 H-Plates Designed to provide excellent fixation for fusions and osteotomies, these plates offer the foot and ankle surgeon a comprehensive option for procedures in the midfoot. These additions to the Low Profile Plating System come with and without wedge blocks, and in a variety of lengths to fixate lateral column lengthenings, calcaneocuboid arthrodesis, talonavicular arthrodesis and other less common procedures. Left or Right Slants - Fits a variety of indications Wedge Option - Wedges save OR time and eliminate the need to harvest a tricortical wedge from the iliac crest Locking Option - The outermost holes allow the surgeon to choose a fixed-angle locking or variable-angle nonlocking option, depending on the needs of the patient Compression Option - The inner slots generate compression when drilled eccentrically in arthrodesis applications Minimized Profile - Low profile plates and screw heads reduce soft tissue irritation and the need for removal Anatomic Contour - Optimizes construct strength, simplifies surgical technique and reduces soft tissue irritation Evans Osteotomy Screw Options mm cortical, 3.5 mm cortical locking and 4 mm cancellous Plates, flat: H-Plate, 38 mm x 16 mm, large, left H-Plate, 38 mm x 16 mm, large, right H-Plate, 34 mm x 16 mm, medium, left H-Plate, 34 mm x 16 mm, medium, right H-Plate, 28 mm x 16 mm, small, left H-Plate, 28 mm x 16 mm, small, right AR-8942L-L AR-8942R-L AR-8942L-M AR-8942R-M AR-8942L-S AR-8942R-S Small Bone Fixation Metal Plates, wedge: H-Plate, 38 mm x 16 mm, 10 mm wedge, left H-Plate, 38 mm x 16 mm, 10 mm wedge, right H-Plate, 36 mm x 16 mm, 8 mm wedge, left H-Plate, 36 mm x 16 mm, 8 mm wedge, right H-Plate, 34 mm x 16 mm, 6 mm wedge, left H-Plate, 34 mm x 16 mm, 6 mm wedge, right Midfoot Plating System Surgical Technique AR-8942L-10 AR-8942R-10 AR-8942L-08 AR-8942R-08 AR-8942L-06 AR-8942R-06 LT0433 Locking for Stability Nonlocking for Reduction and Compression Consider These Surgical Procedures: Lateral Column Lengthening Midfoot Fusions Option: H-Plate fixation of Talonavicular and Calcaneocuboidal Joints Low Profile Screw, 3.5 mm Low Profile Screw, 4 mm Low Profile Screw, locking, 3.5 mm 17

23 Low Profile MTP Plate and Screws More than a plate, this is a complete system for joint preparation and fixation for the treatment of severe hallux rigidus and other MTP pathologies. Whether used in primary or revision cases, this system enables surgeons to reduce, compress and lock the 1st metatarsal phalangeal joint in the ideal position for arthrodesis. Anatomic Plate Design mm titanium plate is anatomically designed with 8º of dorsiflexion and 5º of valgus Concave/Convex Reamers - Facilitate quick and accurate joint preparation 3 mm QuickFix and Fully Threaded Screws - Enhanced ease of use in reducing the plate to bone as snap-off screws 3 mm Cannulated Screw - As crossed screws or in conjunction with the plate, these lag screws provide excellent compression with a low profile head 3 mm Locking Screws - Create greater stability in varying bone quality Forefoot Fusion Module Implants: Low Profile MTP Plate, contoured, standard, left AR-8944CL-S Low Profile MTP Plate, contoured, standard, right AR-8944CR-S Low Profile MTP Plate, contoured, long, left AR-8944CL-L Low Profile MTP Plate, contoured, long, right AR-8944CR-L Low Profile MTP Plate, contoured, short, left AR-8944CL-P Low Profile MTP Plate, contoured, short, right AR-8944CR-P Low Profile MTP plate, straight, standard AR-8944-S Low Profile MTP plate, straight, long AR-8944-L Low Profile MTP plate, straight, short AR-8944-P QuickFix Screw, yellow, 3 mm x 13 mm AR QuickFix Screw, light blue, 3 mm x 15 mm AR QuickFix Screw, aqua, 3 mm x 17 mm AR QuickFix Screw, bronze, 3 mm x 19 mm AR Low Profile FT Screws, cortical, 3 mm x 10 mm - 24 mm AR Low Profile Screws, cortical, locking, 3 mm x 10 mm - 24 mm AR-8933L Cannulated Screws, 3 mm x 18 mm - 40 mm AR PT - 40PT Forefoot Fusion Module Instruments (AR-8944S): Metatarsal Reamer, 14 mm - 22 mm AR-8944MR Phalangeal Reamer, 14 mm - 22 mm AR-8944PR Circular Reamer, 16 mm - 22 mm AR-8944MC Hohmann Retractor AR McGlamry Elevator AR-8944M Screw Driver Shaft, 3 mm AR-8931D Depth Guide (QuickFix Screws) AR-8930G Drill Bit, 2 mm AR Driver Shaft, T10 hexalobe AR-8944DH Drill/Depth Guide, 3 mm locking AR-8944GL K-wire,.062, 1.6 mm AR-8941K* Guidewire,.045 x AR-8933K * Guidewire, w/ Double Trocar tip,.045 x AR-8933KD* Drill Bit, 2 mm, cannulated AR C Drill Bit, 3 mm, cannulated AR C Drill Guide 1.1/2 mm AR-8933G Countersink AR-8933CS Cannulated Depth Guide AR-8944DG Driver, 2.5 mm Hex, cannulated AR-8933D Screw Forceps AR-8941F Bending Iron AR-8941BI Bending Pliers AR-8941BP Driver Handle, AO AR-13221AOC BB-Tak AR-13226* Cannulated AO Adapter AR-4160AOC Forefoot Tray AR-8944C Screw Caddy AR-8944C-SC Cutting Sleeve, 3 mm AR-8931R Short Standard Circular Reamer Long Low Profile MTP Plates Low Profile Screw, locking, 3 mm Cannulated Screw, 3 mm Low Profile MTP Straight Plates Short Standard Long Metatarsal and Phalangeal Reamer Small Bone Fixation Metal MTP Fixation System Surgical Technique LT0457 Multimedia: 1st MTP Hallux Metatarsal Joint Fusion Utilizing the MTP Plate by Troy S. Watson, M.D. DVD-1110 *sold separately QuickFix Screw, 3 mm x 15 mm, light blue Low Profile FT Screw, 3 mm 18