Implant Extraction Guide Module One & Two

Size: px
Start display at page:

Download "Implant Extraction Guide Module One & Two"

Transcription

1 Implant Extraction Set Implant Extraction Guide Module One & Two 1

2 Contents Page 1. Introduction 3 Introduction 3 Features and Benefits 3 Contraindications 3 2. Product Description 4 3. Technical Details 6 Screws 6 Condyle Screws 6 Cannulated Screws 7 Damaged Screw Head 7 Broken Screws 8 Plates 9 Broken Cannulated Screws 10 Lag Screw 11 IM Nails 13 Broken IM Nails Additional Information 15 HydroSet 15 References 15 This publication sets forth detailed recommended procedures for using Stryker Osteosynthesis devices and instruments. Ordering Information Instruments 16 It offers guidance that you should heed, but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required. A workshop training is required prior to first surgery. See package insert (L ) for a complete list of potential adverse effects, contraindications, warnings and precautions. The surgeon must discuss all relevant risks, including the finite lifetime of the device, with the patient, when necessary. Warning: All bone screws referenced in this document here are not approved for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine. 2

3 Introduction Introduction Hardware removal occurs for four reasons: 1. Elective removal. 2. Removal secondary to symptoms. 3. Removal for infection. 4. During revision procedures. The most challenging are typically points 3 and 4 as the hardware maybe broken and / or tissue planes distorted. In addition, there is frequently no bail out because the hardware must be removed in order to revise the fixation for a non-union or to address infection. Although considered easy and straightforward by patients, hardware removal is almost always more challenging than the insertion of the implants ¹. Specialty instruments can significantly facilitate hardware removal while minimizing damage to the surrounding bone/soft-tissue. Stryker has developed a comprehensive set of instruments / techniques to assist the surgeon with these challenging issues, regardless of the indication or timing. Additionally, stripped screws and stripped IM Nails proximal threads (used for removal) may rise surgical difficulty and should be treated together. It has evolved from our extensive clinical experience with trauma devices, as well as from the collaboration with experienced surgeons worldwide. Module One includes instrumentation for the removal of internal fixation systems and associated screws. Conical and Spreading Tip Screwdrivers are provided in varying sizes for the safe removal of torx, hex, and cannulated screws. Nail and Lag Screw removal is facilitated through the availability of different sized Adaptors and Conical Extraction Rods that are easily assembled. Module Two contains extraction instruments for the removal of stripped and / or broken screws and implants. Stryker Extraction System is a single instrument platform that can be used for various extraction methods according to each individual case, in a minimally invasive operating procedure, allowing for the removal of almost any Stryker Trauma implants. It may also be compatible with non- Stryker implants*. Features and Benefits Versatility: Removal of standard, broken and / or stripped nails, plates and screws Multiple extraction methods Universal Instruments Compatible for use with other manufactures implants* Single Instrument Platform Simplified surgical technique Contraindications Cold welded screws require cutting tools for metal to remove the screws. The extraction set does not feature carbide drills or other cutting tools to remove cold welded screws. Nails Lag Screw Screws Stryker Extraction System is a set of instrumentation developed to meet the surgeons need for implant extraction. The System consist of two modules for the removal of almost any Stryker Trauma implant, as well as many non- Stryker plates, nails, and screws*. Since broken hardware can often be identified on preoperative radiographs, but may also be encountered unexpectedly during an operation, Stryker recommends having both modules present in the operating room to facilitate surgical procedures and to reduce operative time. HydroSet * Stryker can only recommend use of the extractor instruments with its own products. Application of the instruments to competitive products or to Stryker products that have been altered may be possible but has not been validated. Where competitive products are mentioned in this document this is solely to indicate where application of the extractor instruments appears possible due to similar design or dimensions, and Stryker does not guarantee that the extractor instruments demonstrated herein will work in any cases where competitive products are used, or in cases where Stryker products have been altered. As a precaution, make sure to have other standard instruments available in case the tolerances of the implants do not match the tolerances of the extractor tool. Instruments 1. J Am Acad Orthop Surg 2006;14: Hardware Removal: Indications and Expectations Matthew L. Busam, MD, Robert J. Esther, MD, MSc, William T. Obremskey, MD, 3

4 Product Description Article Stryker Systems Teardrop handle, AO-medium For AO medium bits: - Screwdriver bits - Crowndrills (Trephines) - Conical extractors male/female Screwdriver Bit 2.5 (conical) For 2.5mm Hex Screws: T2 Hum Compression; Asnis III 4.0; Numelock 4.5; ISO 2.7; ISO 3.5; ISO 4.0 Screwdriver Bit 3.5 (conical) For 3.5mm Hex Screws: 4 and 5mm Locking Screws (T2, S2, Gamma3, IC etc.); T2/S2 End Caps; T2/S2 Fem/Tib Compr. Screws; TLN all Screws; T2 Recon Set Screws 3.7 and 4.6mm Locking Screws G&K; Asnis III 5.0; Numelock 6.5; ISO 4.5; ISO 6.5 Screwdriver Bit 4 (conical) Set Screws for Gamma, Gamma3, Gamma Ti, Dyax-A, AP, AP-J; Proximal Plugs for Gamma, Gamma Ti, Dyax, Dyax-A, AP, AP-J Screwdriver Bit 5 For 5mm Hex Screws: 6.28mm Locking Screws; Asnis III 6.5 and 8.0 and T2/S2 Recon Lag Screws Screwdriver Bit 6.3 For 6.3mm Hex Screws: T2/S2 Condyle Screws Screwdriver Bit 8 G&K SCN Condyle Screws; Gamma3 End Caps Screwdriver Bit T 8 (Torx) AxSOS 3.0 Screwdriver Bit T 15 (Torx) AxSOS 4.0 Screwdriver Bit T 20 (Torx) ALTA 3.7mm Locking Screws; AxSOS 5.0 Screwdriver Bit T 25 (Torx) ALTA 5mm Locking Screws, Lag Screws and Caps Conical Extractor, male, left hand, small Asnis III 4.0 (left hand driving) for diameter range 1 2.5mm Conical Extractor, male, left hand, 2.5 (left hand driving, for damaged hex 2.5mm and diameter range 2.3 4mm) Conical Extractor, male, left hand, 3.5 (left hand driving, for damaged hex 3.5mm and diameter range 3.3 4mm) Conical Extractor, male, left hand, 4 (left hand driving, for damaged hex 4mm and diameter range mm) Conical Extractor, male, left hand, 5 (left hand driving, for damaged hex 5mm and diameter range mm) Crowndrill 3 (bonedrill for broken Screws with diameter range =< 3mm) Crowndrill 4 (bonedrill for broken Screws with diameter range =< 4mm) Crowndrill 5 (bonedrill for broken Screws with diameter range =< 5mm) Crowndrill 6.5 (bonedrill for broken Screws with diameter range =< 6.5mm) Crowndrill 8 (bonedrill for broken Screws with diameter range =< 8mm) Crowndrill 10 (bonedrill for broken Screws with diameter range =< 10mm) Crowndrill 12 (bonedrill for broken Screws with diameter range =< 12mm) Conical Extractor, female, left hand, 3 (left hand driving, for broken Screws with diameter range =<3mm) Conical Extractor, female, left hand, 4 (left hand driving, for broken Screws with diameter range =<4mm) Conical Extractor, female, left hand, 5 (left hand driving, for broken Screws with diameter range =<5mm) Conical Extractor, female, left hand, 6.3 (left hand driving, for broken Screws with diameter range =<6.3mm) Screws: T2 Hum Compression; Asnis III 4.0; ISO 2.7; ISO 3.5; ISO 4.0 Screws: 4 and 5mm Locking Screws (T2, S2, Gamma3, IC etc.); T2/S2 End Caps; T2/S2 Fem/Tib Compr. Screws; TLN all Screws; T2 Recon Set Screw 3.7 and 4.6mm Locking Screws G&K; Asnis III 5.0; ISO 4.5; ISO 6.5 Set Screws for Gamma, Gamma3, Gamma Ti, Dyax-A, AP, AP-J; Proximal Plugs for Gamma, Gamma Ti, Dyax, Dyax-A, AP, AP-J 6.28mm Locking Screws; Asnis III 6.5 and 8.0 and T2/S2 Recon Lag Screws n/a n/a n/a n/a n/a n/a n/a ISO 2.7 Screws, Ulna Locking Screws T2/S2 4mm Locking Screws, G&K 3.7mm Locking Screws, ISO Screws 3.5 and 4.0, ALTA 3.7mm Locking Screws 5mm Locking Screws (T2, S2, Gamma3, IC, ALTA etc.); ISO Srews mm Locking Screws 4

5 Product Description Article Stryker Systems Teardrop handle, AO-medium, cannulated (including Rotation Rod) for AO medium bits: Spreading Screwdriver Spreading Screwdriver Bit mm Locking Screws; Asnis III 6.5 and 8.0 and T2/S2 Recon Lag Screws Spreading Screwdriver Bit 6.3 T2/S2 Condyle Screws Spreading Screwdriver Bit 8 G&K SCN Condyle Screws; Gamma3 End Caps Punches 2.7 for broken Screws with diameter range =<3mm Punches 3.7 for broken Screws with diameter range from 3 4mm Punches 5 for broken Screws with diameter range >4mm Forceps, small for damaged Screws, broken Screws with diameter <9mm Forceps, large for damaged Screws, broken Screws with diameter >9mm Conical Extraction Rod 6 Extraction of nails using proximal Nail End: T2 Humeral Conical Extraction Rod 8 Extraction of nails using proximal Nail End: Humerus Seidel, T2 Proximal Humeral, T2 Humeral, Alta Humeral, TLN (M7),SCN (M8), Alta Femoral & Tibial, Zickel, IC Femoral & Tibial, T2/S2 Tibial & Femoral Antegrade/Retrograde Conical Extraction Rod 10 Extraction of nails for the proxmal Nail End: Gamma3, Dyax-A, all G&K Nails (Fem, Tib, SFN, STN, SCN) Conical Extraction Rod 13 Extraction of nails using proximal Nail End: Gamma, Gamma Ti, Dyax, AP, AP-J Extraction Hook, small Extraction of cannulated nails with inner diameter mm: G&K, Gamma3 (Ti), Seidel, IC, SCN, TLN, T2/S2 Extraction Hook, large Extraction of cannulated nails with inner diameter =>5.6mm: Gamma, Gamma3 (StSt), Dyax, Dyax-A, AP, AP-J, G&K, IC, SCN, Kuentscher Nails Extraction Instrument Lag Screw Consisting of Handle and Extraction Rod. To be used with the threaded rod and nut for the Lag screw extraction Nut Fastens the Extraction Rod to the threaded rods and Connectors Threaded Rod M7 Threaded into Lag screw (Gamma/Dyax-A), fastens connection between Extraction Rod and Connectors Threaded Rod M5 Threaded into Lag screw (Omega), fastens connection between Extraction Rod and Connectors Threaded Rod M4 Threaded into Lag screw (OHS/OCS), fastens connection between Extraction Rod and Connectors Spanner SW17 Serves for larger torque transmission of the Extraction Instrument Lag Screw Connector, Gamma Connector, Gamma U-Blade Connector, Gamma3 U-Blade Connector, Dyax-A Connector, Gamma3 Connector, Omega and Omega plus Connector, OHS/OCS Sharp Hook (Optional) Osteotome (Optional) Outer Introducer (Optional) Inner Introducer (Optional) Extractor (Optional) Emergency Inner Extractor (Optional) Extractor Handle (Optional) Outer Extractor (Optional) Inner Extractor (Optional) Fits onto the specific Lag Screws, over the threaded Rod, and connects with the Extraction Instrument Lag Screw Removes from bone material Removes from bone material Hansson Pin Hansson Pin Hansson Pin Hansson Pin Hansson Twin Hook Hansson Twin Hook Hansson Twin Hook T-Handle, AO-medium (Optional) for AO medium bits: Screwdriver Screw removal, conical - Crowndrill - Screw extraction, conical Screwdriver 2.5 Seidel Humerus Spreading Screw (Standard Seidel instrument) Caution: Implants can be subject to change. This can impact the compatibility of extraction instruments. It is therefore required to start the implant extraction with a complete Extraction Set in order to have access to alternative instruments. 5

6 Technical Details Screws Screws After identifying screw type and diameter, extract the screws with the appropriate screwdriver bit by turning the screwdriver counterclockwise. To avoid damaging the screw, make sure the screwdriver is in line with the screw axis and fully inserted. Screwdriver Bits (hex) Screwdriver Bits (torx) Partially threaded screw removal (e.g. Asnis III screws, T2 Recon Lag Screws) is facilitated by using the spreading screwdriver bits and cannulated handle. For spreading screwdriver instructions see Condyle Screw removal below. Solid Teardrop Handle Stryker offers a wide variety of hex (standard, conical, spreading) and torx screwdrivers. Check the available type and size on the Ordering Information page. Condyle Screws For T2/S2 Condyle Screw removal, assemble the necessary screwdrivers: The 6.3hex Screwdriver Bit with the Solid Teardrop Handle (for the nut) and the 6.3hex Spreading Screwdriver bit with the Cannulated Teardrop Handle (in combination with the Rotation Rod) as shown in the illustration. Screwdriver Bit Solid Teardrop Handle Spreading Screwdriver Bit Teardrop Handle (cannulated) Rotation Rod Make sure to tighten the Rotation Rod until the tip of the screwdriver spreads firmly and fully into the screw head. A screwdriver needs to be inserted from each side of the Condyle Screw using one to stabilize the Nut and the Spreading Screwdriver to loosen and extract the Condyle Screw. If necessary, use the Spreading Screwdriver to remove the Nut in a second step. The Condyle Screw is extracted by turning the Screwdriver in a counterclockwise direction. 6

7 Technical Details Cannulated Screws Never use a worn or damaged screwdriver to remove Asnis screws. Reverse cutting flutes are present for this reason. It is recommended that the Solid Screwdriver be used for Screw removal. The Solid Screwdriver applies greater torque and will reduce the potential for damaging the hexagonal tip on the Screwdriver. Strong bone formation around the implant has been seen in the pediatric cases using partially threaded screws. Spreading Screwdriver Bit Solid Teardrop Handle Screwdriver Bits (hex) Teardrop Handle (cannulated) Rotation Rod This may lead to difficult implant removal with an increased risk of screw head breakage or stripping of screw hexagonal head. If the oblique direction of the screw (approximately 135 to the shaft) is not changed, then the reverse flutes are not in an opportune position to cut the cortex. If the screw head is placed under traction and the angle of the screw is brought to a perpendicular position relative to the bone, cutting the cortex will progress and facilitate screw removal. Caution: Be sure to use the Solid Screwdriver in combination with the appropriate sized screwdriver bits or the cannulated screwdriver with the Spreading Screwdriver Bits. Proceed as described above. Screws Damaged Screw Head Screw stripping is commonly caused by slippage of a screwdriver that is not correctly aligned with the screw axis and/or fully seated. This can occur either during insertion or, more commonly, during attempted screw removal. The appropriate sized Conical Extractor (based on the size of the Conical Extractor (male) Solid Teardrop Handle Forceps for Screw Removal Slotted Hammer screw head hex / torx) is inserted firmly into the screw head. Lightly tapping the Conical Extractor with a Slotted Hammer may be tried if purchase is not initially obtained with manual pressure. It is at the surgeons discretion if and how hard to use the hammer. Assemble the selected Conical Extractor (male) with the Teardop- Handle and turn it counter-clockwise while applying pressure in line with the screw axis, extracting the screw at the same time. If the screw does not come completely out, the Foreceps can be used to complete the extraction. 7

8 Technical Details Broken Screws Screws In case of a Broken Screw Shaft: Step 1: Remove the screw head portion in order to gain access to the remaining part of the screw shaft. The screw head can be removed with the appropriate screwdriver as described on page 6. Step 2: Use the Drift Punch to extract the remaining part of the screw. If difficulties are encountered with the above process, overdrill the remaining part of the screw with a Crowndrill before proceeding with the Drift Punch. In case of a Torn off Screw Head: Step 1: Overdrill the remaining part of the screw with a Crowndrill. Use another Crowndrill, one size larger, in order to create space for the female Conical Extractor/Drift Punch. It may be necessary to start with light pressure on the crowndrill in order to avoid the drill walking on the cortex surface before applying additional pressure to penetrate the bone. Light tapping with the Slotted Hammer may be required. It remains at the surgeons` own discretion if and how hard to use the Slotted Hammer. Alternatively, the optional Countersink (6 or 8mm) can be used to create a path for the Crowndrill. Step 2: Remove the remaining part of the screw with the Conical Extractor, (female) if the screw is broken close to the first cortex or with the help of a Drift Punch if the screw is broken close to the second cortex. This procedures can also be applied to broken IM locking screws. Screwdriver Bit Drift Punches Slotted Hammer Crowndrill (Trephine) Forceps for Screw Removal Conical Extractor (female) Solid Teardrop Handle Broken screw shaft - Step 1 Broke screw shaft - Step 2 Torn-off screw head - Step 1 Torn-off screw head - Step 2 8

9 Technical Details Plates To remove any plate, first extract all screws by using the appropriate size Screwdriver Bits. Remove the plate by using a regular forceps. Screws The development of locking plate technology has lead to cold welding of screws to the plates. In this case, cutting tools for metal have to be used for the removal of the screws. In order to protect the soft tissue from excessive heat and metal debris accumulation, irrigation and suction should be used in combination with cutting tools. Warning: If screws are cold welded to the plate, carbide drills may be required. The extraction set does not feature carbide drills or any other instruments to remove cold welded screws. Solid Teardrop Handle Crowndrill (Trephine) Screwdriver Bit Solid Teardrop Handle Forceps 9

10 Technical Details Screws Broken Cannulated Screws To remove the torn-off head: Step 1: Select the appropriate Spreading Screwdriver Bit. Attach Cannulated Teardrop Handle. Insert Rotation Rod through the top of the Teardrop Handle. Insert tip into the screw head and turn Rotation Rod to engage and remove screw head. To remove remaining screw body (parts): Step 2: Insert the Conical Extractor (male) and extract the remaining screw body turning the Conical Extractor in a counter-clockwise fashion. Spreading Screwdriver Bit Conical Extractor (male) Teardrop Handle (cannulated) Crowndrill (Trephine) Conical Extractor (female) Rotation Rod If Steps 1 and 2 are unsuccessfully for screw removal: Step 3: Overdrill the shaft using the Crowndrill. Step 4: Use a Conical Extractor (female) for screw removal. If the attempt for screw removal is not successful, follow the standard procedure for broken screw removal describes on page 8. Cannulated Screw Removal - Method A - Step 1 Cannulated Screw Removal - Method A - Step 2 Cannulated Screw Removal - Method B - Step 1 Cannulated Screw Removal - Method B - Step 2 10

11 Technical Details Lag Screw An incision is made over the proximal end of the nail. The End Cap, if used, is removed using the appropriate Screwdriver Bit followed by removal of the Set Screw using the 4.0mm Screwdriver as shown in the image below 1. Screwdriver Bit 4.0mm Threaded Rod Solid Teardrop Handle Make a small incision through the old scar distal to the greater trochanter to expose the end of the Lag Screw. The Threaded Rod is then threaded and tightened into the end of the Lag Screw 2. For Gamma Implants: At first, position the K-Wire through the Lag Screw. Then, the Threaded Rod is inserted over the K-Wire (when used for Gamma) and tightened into the end of the Lag Screw. Remove the K-Wire, if used. Lag Screw

12 Technical Details Lag Screw (continued) Connector Threaded Rod Extraction Rod and Nut Check that ingrowth does not obstruct secure engagement of the Extraction Device, otherwise the implant or the instrument may be damaged and extraction will be more difficult. Slide the appropriate Connector over the Threaded Rod before adding the Extraction Rod & Nut as shown in the picture 3. Lag Screw 3 4 Wrench 8/10mm, standard Note: In this Technical Guide the Gamma3 Lag Screw is selected as an example to demonstrate Lag Screw removal. However, different Connectors are available for other implants including a Lag Screw. See details on the ordering information page. Finish assembly of the Lag Screw Extraction Device by tightening the Nut 4 and attaching the T-Handle 5 in a final step as shown in the picture. Handle The Lag Screw is extracted by turning counterclockwise direction 6. Spanner 17mm standard Use the 17mm Spanner if higher forces are required for the removal of the Lag Screw

13 Technical Details IM Nails When removing an IM nail, it is helpful to identify the nail brand and its diameter in order to choose the correct instrumentation. Conical Extraction Rod Universal Rod Strike Plate Sliding Hammer Slotted Hammer Caution: Special care must be taken to check if the nail moves offcenter from the entry point when screws are removed. Any attempt to remove a nail that is off-center may result in fractures of the distal condylar region. The End Cap, if used, is removed using a Screwdriver. If bone ingrowth obstructs access to the nail, use of either a Crowndrill, pick (not supplied), or currette (not supplied) may provide access. Universal Rod Sliding Hammer or use the Slotted Hammer Remove the distal/proximal screw with the appropriate Screwdriver Bit. Do not take out the screws of the driving end until the Conical Extraction Rod is attached to the top of the nail in order to avoid rotation. Insert the Conical Extraction Rod into the driving end of the nail. Lightly hammer the Conical Extractor in order to fully engage the cutting flutes. Nails Strike Plate Conical Extraction Rod Connect the Strike Plate and the Universal Rod either adding the Sliding or Slotted Hammer as shown in the picture. Remove now the remaining locking screws before using either Hammer to remove the nail. Step 1 Step 2 13

14 Technical Details Broken IM Nails Removal of broken IM nails is particularly challenging. Stryker developed a system that can be used for the removal of many cannulated IM nails. Remove the distal screw with the appropriate Screwdriver Bit. Do not take out the proximal screws until you have attached the Conical Extraction Rod to the top of the nail in order to avoid rotation. Conical Extraction Rod Universal Rod Sliding Hammer Strike Plate Extraction Hook An incision is made over the proximal end of the nail. The End Cap, if used, is removed using a Screwdriver. If bone ingrowth obstructs the access to the nail, the use of either a Chisel / Pick (not provided) or a Crowndrill will facilitate removal. Connect the Universal Rod and the Strike Plate to the Extraction Rod (center of page) either adding the Sliding or the Slotted Hammer. Universal Rod Step 1: Insert the nail Extraction Device into the proximal end of the nail, tightening it as firm as possible. Remove the proximal screws before using either Hammer to remove the nail end. Nails Sliding Hammer Strike Plate Step 2: After removal of the proximal nail end, exchange the Conical Extraction Rod for the Extraction Hook (as shown to the left). Insert Extraction Hook into the cannulation of the nail fragment. Step 3: Under fluoroscopy, verify that the Hook has passed through the nail end. Make sure that the Hook takes a hold at the end of the nail before pulling to remove it. Extraction Hook Step 4: Use the Sliding or the Slotted Hammer to pull out the remaining part of the nail. Broken IM Nails - Step 1 Broken IM Nails - Step 2 Broken IM Nails - Step 3 Broken IM Nails - Step 4 14

15 Additional Information HydroSet HydroSet is an injectible self-setting calcium phosphate cement indicated to fill bony voids or gaps of the skeletal system (i.e. extremities, craniofacial, spine, and pelvis). These defects may be surgically created or osseous defects created from traumatic injury to the bone. HydroSet is indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. HydroSet cured in situ provides an open void/gap filler that can augment provisional hardware (e.g. K-Wires, Plates, Screws) to help support bone fragments during the surgical procedure. The cured cement acts only as a temporary support media and is not intended to provide structural support during the healing process. Carefully read the IFU, the specific indications and the contraindications. REF Description HydroSet 3cc HydroSet 5cc HydroSet 10cc HydroSet 15cc References J Am Acad Orthop Surg 2006; 14: Hardware Removal: Indications and Expectations Matthew L. Busam, MD, Robert J. Esther, MD, MSc, William T. Obremskey, MD HydroSet 15

16 Ordering Information - Instruments REF Description Tray Module 1 (Generic Sterilization and Storage Tray) Module 1 Fully loaded Universal Screw Extraction Devices Screwdriver Bits conical, hex. 2.5mm Screwdriver Bits conical, hex. 3.5mm Screwdriver Bits conical, hex. 4.0mm Screwdriver Bits, hex. 5.0mm Screwdriver Bits, hex. 6.3mm Screwdriver Bits, hex. 8.0mm Screwdriver Bits, Torx T Screwdriver Bits, Torx T Screwdriver Bits, Torx T Screwdriver Bits, Torx T Spreading Screwdriver Bit, hex. 5.0mm Spreading Screwdriver Bit, hex. 6.3mm Spreading Screwdriver Bit, hex. 8.0mm Teardrop Handle, solid Cannulated Teardrop Handle Rotation Rod used with Cannulated Teardrop Handle Universal Nail Extraction Device Conical Extraction Rod, standard 6mm Conical Extraction Rod, standard 7/8mm Conical Extraction Rod, 10mm Conical Extraction Rod, male, 13mm Wrench 8 /10mm, standard Strike Plate, standard Sliding Hammer Universal Rod Slotted Hammer, standard Universal Lag Screw Extraction Device Connector Gamma Connector Gamma U-Blade Connector Gamma3 U-Blade Connector Gamma Connector Dyax-Asiatic Connector Omega Connector OHS /OCS Threaded Rod Gamma etc Threaded Rod Omega Threaded Rod OHS /OCS Spanner 17mm standard Instruments Extraction Instrument Lag Screw Nut 16

17 Ordering Information - Instruments REF Description Universal Emergency Screw Extraction Devices Tray Module 2 (Generic Sterilization and Storage Tray) Module 2 Fully Loaded Conical Extractor, male, small Conical Extractor, male, 2.5mm Conical Extractor, male, 3.5mm Conical Extractor, male, 4.0mm Conical Extractor, male, 5.0mm Crowndrill (Trephine), 3.0mm Crowndrill (Trephine), 4.0mm Crowndrill (Trephine), 5.0mm Crowndrill (Trephine), 6.5mm Crowndrill (Trephine), 8.0mm Crowndrill (Trephine), 10.0mm Crowndrill (Trephine), 12.0mm Conical Extractor, female, 3.0mm Conical Extractor, female, 4.0mm Conical Extractor, female, 5.0mm Conical Extractor, female, 6.3mm Drift Punch, 2.7mm Drift Punch, 3.7mm Drift Punch, 5.0mm Teardrop Handle, solid Extraction Hook (can also be stored in Module 1), small Extraction Hook (can also be stored in Module 1), large Forceps for Screw Removal, small Forceps for Screw Removal, large Optional Instruments Module 1 & Sharp Hook, Removal from bone material Osteotome, Removal from bone material Countersink 6mm, Preparing the cortex Countersink 8mm, Preparing the cortex Outer Introducer, Hansson Pin Inner Introducer, Hansson Pin Extractor, Hansson Pin Emergency Inner Extractor, Hansson Pin Extractor Handle, Hansson Twin Hook Outer Extractor, Hansson Twin Hook Inner Extractor, Hansson Twin Hook T-Handle, AO-medium, for AO medium bits: screwdriver - screw removal, conical - crowndrill - screw extraction, conical Screwdriver 2.5, Seidel Humerus Spreading Screw Gamma3 U-Blade Extractor Instruments * Please ask your Stryker sales representative for further information. 17

18 Notes 18

19 Notes 19

20 Stryker Trauma GmbH Prof.-Küntscher-Strasse 1 5 D Schönkirchen Germany This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. The information presented in this brochure is intended to demonstrate a Stryker product. Always refer to the package insert, product label and/or user instructions including the instructions for Cleaning and Sterilization (if applicable) before using any Stryker products. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Stryker, Alta, Asnis, AxSOS, G&K, Gamma, IC Nails, Küntscher Nails, Numelock, OHS&OCS, S2, SCN, Seidel, T2, TLN, Zickel. All other trademarks are trademarks of their respective owners or holders. The products listed above are CE marked. Swemac Orthopaedics AB owns the following trademark: Hansson. Wacker-Chemie GmbH owns the following trademark: Elastosil. Literature Number : B LOT D4809 Copyright 2009 Stryker

Technique Guide. Screw Removal Set. Instruments for removing Synthes screws.

Technique Guide. Screw Removal Set. Instruments for removing Synthes screws. Technique Guide Screw Removal Set. Instruments for removing Synthes screws. Table of Contents Introduction Screw Removal Set 2 Surgical Technique Preoperative Planning and Preparation 6 Removal of Intact

More information

Femur. Omega3 System. 95 Supracondylar Plate. Operative Technique. Distal Femur Axially Stable Locking Option

Femur. Omega3 System. 95 Supracondylar Plate. Operative Technique. Distal Femur Axially Stable Locking Option Femur Omega3 System 95 Supracondylar Plate Operative Technique Femur Fractures Distal Femur Axially Stable Locking Option Contents Introduction, Potential Features & Benefits 3 Relative Indications & Contraindications

More information

NCB Distal Femur System. Surgical Technique

NCB Distal Femur System. Surgical Technique NCB Distal Femur System Surgical Technique NCB Distal Femur System Surgical Technique 3 Surgical Technique NCB Distal Femur System Table of Contents Introduction 4 Indications 8 Preoperative Planning

More information

Zimmer Periarticular Elbow Locking Plate System

Zimmer Periarticular Elbow Locking Plate System Zimmer Periarticular Elbow Locking Plate System Surgical Technique The Right Solutions for Fractures Around the Elbow Disclaimer This document is intended exclusively for physicians and is not intended

More information

Technique Guide. DHS/DCS Dynamic Hip and Condylar Screw System. Designed to provide stable internal fixation.

Technique Guide. DHS/DCS Dynamic Hip and Condylar Screw System. Designed to provide stable internal fixation. Technique Guide DHS/DCS Dynamic Hip and Condylar Screw System. Designed to provide stable internal fixation. Table of Contents Introduction Dynamic Hip Screw (DHS) 2 Dynamic Condylar Screw (DCS) 3 Indications

More information

Aesculap Veterinary Orthopaedics. Targon VET Interlocking Nail

Aesculap Veterinary Orthopaedics. Targon VET Interlocking Nail Aesculap Veterinary Orthopaedics Targon VET Interlocking Nail Flexibility Stability Dynamics The Targon VET is based on new, technology which reverses the known principles of interlocking nails. The rotation-stabilising

More information

Phoenix Retrograde Femoral Nail System Featuring CoreLock Technology. Surgical Technique

Phoenix Retrograde Femoral Nail System Featuring CoreLock Technology. Surgical Technique Phoenix Retrograde Femoral Nail System Featuring CoreLock Technology Surgical Technique Contents Introduction... Page 1 Indications... Page 2 Design Features... Page 3 Surgical Technique... Page 6 Product

More information

Zimmer Periarticular Proximal Tibial Locking Plate

Zimmer Periarticular Proximal Tibial Locking Plate Zimmer Periarticular Proximal Tibial Locking Plate Surgical Technique The Science of the Landscape Zimmer Periarticular Proximal Tibial Locking Plate 1 Table of Contents Introduction 2 Locking Screw Technology

More information

Drill Bits for Screw Removal. Part of the Synthes screw removal system.

Drill Bits for Screw Removal. Part of the Synthes screw removal system. Drill Bits for Screw Removal. Part of the screw removal system. Drill into stainless steel, instrument steel, or titanium Remove locking screws Single use, sterile-packed Drill Bits Intended use High speed

More information

Catalog Trauma 2011. Implants. Instruments. Sets. Instruments and implants approved by the AO Foundation

Catalog Trauma 2011. Implants. Instruments. Sets. Instruments and implants approved by the AO Foundation Catalog Trauma 2011 Implants Sets and implants approved by the AO Foundation Bone Forceps Set 5-1 105.90 Bone Forceps Set 305.75 Bone Forceps Set Graphic Case With graphic outlines, autoclavable, perforated,

More information

Staple Fixation System. Implants Instruments Applications

Staple Fixation System. Implants Instruments Applications Staple Fixation System Implants Instruments Applications Contents Introduction 3 Instrument Use - Universal Inserter 4 Instrument Use - Universal Rod 5 Ordering Information - Implants 6 Ordering Information

More information

Technique Guide. Norian SRS Fast Set Putty. Calcium phosphate bone void filler.

Technique Guide. Norian SRS Fast Set Putty. Calcium phosphate bone void filler. Technique Guide Norian SRS Fast Set Putty. Calcium phosphate bone void filler. TableofContents Introduction Norian SRS Fast Set Putty 2 Indications and Contraindications 3 Basic Science 4 Surgical Technique

More information

Technique Guide. Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures.

Technique Guide. Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures. Technique Guide Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures. Table of Contents Introduction Titanium Trochanteric Fixation Nail System 2 Biomechanical

More information

Zimmer Small Fragment Universal Locking System. Surgical Technique

Zimmer Small Fragment Universal Locking System. Surgical Technique Zimmer Small Fragment Universal Locking System Surgical Technique Zimmer Small Fragment Universal Locking System 1 Zimmer Small Fragment Universal Locking System Surgical Technique Table of Contents Introduction

More information

VariAx Distal Radius Locking Plate System. Anatomical & Universal Volar Plates Dorsal Plates Fragment Specific Plates

VariAx Distal Radius Locking Plate System. Anatomical & Universal Volar Plates Dorsal Plates Fragment Specific Plates VariAx Distal Radius Plate System Anatomical & Universal Volar Plates Dorsal Plates Fragment Specific Plates System Module The NEW VariAx Distal Radius Plating System represents the Next Generation of

More information

DRAFT. Triathlon TS Knee System. Surgical Protocol. Version 1

DRAFT. Triathlon TS Knee System. Surgical Protocol. Version 1 DRAFT Version 1 Triathlon TS Knee System Table of Contents Acknowledgments..........................................................2 Tibial Canal Preparation....................................................4

More information

Posterior Referencing. Surgical Technique

Posterior Referencing. Surgical Technique Posterior Referencing Surgical Technique Posterior Referencing Surgical Technique INTRO Introduction Instrumentation Successful total knee arthroplasty depends in part on re-establishment of normal lower

More information

Zimmer Natural Nail System. Cephalomedullary Nail Surgical Technique STANDARD

Zimmer Natural Nail System. Cephalomedullary Nail Surgical Technique STANDARD Zimmer Natural Nail System Cephalomedullary Nail Surgical Technique STANDARD Zimmer Natural Nail System Cephalomedullary Nail Surgical Technique - Standard 1 Zimmer Natural Nail System Cephalomedullary

More information

V-TEK IVP System 2.7 System 4.0

V-TEK IVP System 2.7 System 4.0 V-TEK IVP System Ankle 2.7 Fix System 4.0 Surgical Technique Surgical Technique Titanium osteosynthesis system for tibio-talar and tibio-talo-calcaneal fusion SECTION 1 Ankle Fix System 4.0 Titanium osteosynthesis

More information

Synergy. Low Back Surgical Technique. Spinal Systems. Developed in conjunction with J. Abbott Byrd III, M.D. Biologic & Structural Innovation

Synergy. Low Back Surgical Technique. Spinal Systems. Developed in conjunction with J. Abbott Byrd III, M.D. Biologic & Structural Innovation Spinal Systems Surgical Technique Synergy IQ Low Back Surgical Technique Developed in conjunction with J. Abbott Byrd III, M.D. Universal system Modular packaging maximizes screw options Low-profile design

More information

Technique Guide. 3.5 mm LCP Clavicle Hook Plates. Part of the Synthes locking compression plate (LCP) system.

Technique Guide. 3.5 mm LCP Clavicle Hook Plates. Part of the Synthes locking compression plate (LCP) system. Technique Guide 3.5 mm LCP Clavicle Hook Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Clavicle Hook Plates 2 AO Principles 4 Indications

More information

Expert LFN. Lateral Femoral Nail.

Expert LFN. Lateral Femoral Nail. Expert LFN. Lateral Femoral Nail. Surgical Technique EXPERT Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image intensifier

More information

Technique Guide. 3.5 mm and 4.5 mm Curved Locking Compression Plates (LCP). For minimally invasive osteosynthesis.

Technique Guide. 3.5 mm and 4.5 mm Curved Locking Compression Plates (LCP). For minimally invasive osteosynthesis. Technique Guide 3.5 mm and 4.5 mm Curved Locking Compression Plates (LCP). For minimally invasive osteosynthesis. Table of Contents Introduction 3.5 mm and 4.5 mm Curved Locking Compression 2 Plates (LCP)

More information

Surgical technique. End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue.

Surgical technique. End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue. Surgical technique End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue. Table of contents Indications and contraindications 3 Implants 4 Instruments 4 Preoperative planning

More information

The information contained in this document is intended for healthcare professionals only.

The information contained in this document is intended for healthcare professionals only. The information contained in this document is intended for healthcare professionals only. Dall-Miles Cabling System Dall-Miles Recon and Trauma Cable System Trochanteric Reattachment Using the Trochanteric

More information

The information contained in this document is intended for healthcare professionals only.

The information contained in this document is intended for healthcare professionals only. The information contained in this document is intended for healthcare professionals only. Monogram Total Knee Instruments Modular Rotating Hinge Knee System Keel Baseplate Using Monogram IM Revision Instruments

More information

KnifeLight. Carpal Tunnel Ligament Release. Operative Technique

KnifeLight. Carpal Tunnel Ligament Release. Operative Technique KnifeLight Carpal Tunnel Ligament Release Operative Technique Contents Page 1. Features & Benefits 3 Intended Use and Indications 3 Contraindications 3 Features & Benefits 3 2. Operative Technique 4 Antegrade

More information

PERIPROSTHETIC IMPLANTS

PERIPROSTHETIC IMPLANTS PERIPROSTHETIC IMPLANTS PRODUCT OVERVIEW CLINICAL SOLUTIONS Periprosthetic fractures present unique challenges, such as how to gain fixation when the medullary canal is occupied. Special techniques and

More information

TwinFix Cannulated Compression Screw

TwinFix Cannulated Compression Screw TwinFix Cannulated Compression Screw Leibinger Solutions for Hand Surgery Procedural Guide TwinFix Sterilization, Organization, Storage 29-12020 Profyle MODULAR Sterilizing Container 29-40162 TwinFix Implant

More information

Orthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery.

Orthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery. Orthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by

More information

SALVATION. Fusion Bolts and Beams SURGICAL TECHNIQUE

SALVATION. Fusion Bolts and Beams SURGICAL TECHNIQUE SALVATION Fusion Bolts and Beams SURGICAL TECHNIQUE Contents Chapter 1 4 Introduction Chapter 2 4 Intended Use Chapter 3 4 Device Description 4 Fusion Beams 5 Fusion Bolts Chapter 4 5 Preoperative Planning

More information

Technique Guide. VersiTomic. Michael A. Rauh, MD. Anterior Cruciate Ligament Reconstruction

Technique Guide. VersiTomic. Michael A. Rauh, MD. Anterior Cruciate Ligament Reconstruction Technique Guide VersiTomic Anterior Cruciate Ligament Reconstruction Michael A. Rauh, MD The opinions expressed are those of Dr. Rauh and are not necessarily those of Stryker VersiTomic Anterior Cruciate

More information

TFN Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures.

TFN Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures. TFN Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures. Surgical Technique This publication is not intended for distribution in the USA. Instruments and

More information

Technique Guide. Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system.

Technique Guide. Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system. Technique Guide Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction Large Fragment LCP Instrument and Implant Set

More information

TRIGEN TAN and FAN Intramedullary Nails

TRIGEN TAN and FAN Intramedullary Nails Surgical Technique TRIGEN TAN and FAN Intramedullary Nails Surgical Technique Table of Contents Indications...2 TRIGEN TAN and FAN Case Examples...3 Design Features: TAN...4 Implant Specifications: TAN...5

More information

OptiLock Periarticular Plating System For Proximal Tibial Fractures. Pre-Launch Surgical Technique

OptiLock Periarticular Plating System For Proximal Tibial Fractures. Pre-Launch Surgical Technique OptiLock Periarticular Plating System For Proximal Tibial Fractures Pre-Launch Surgical Technique Contents Introduction... Page 1 Indications & Fracture Classifications... Page 4 Design Features... Page

More information

NCB Periprosthetic Femur Plate System. Surgical Technique

NCB Periprosthetic Femur Plate System. Surgical Technique NCB Periprosthetic Femur Plate System Surgical Technique NCB Periprosthetic Femur System Surgical Technique 3 Table of Contents Introduction 4 System Features and Benefits 9 Indications and Contraindications

More information

Spine. Xia Precision System. Surgical Protocol. Cannulated screw system. Minimally invasive posterior approach. LITe. Less Invasive Technologies

Spine. Xia Precision System. Surgical Protocol. Cannulated screw system. Minimally invasive posterior approach. LITe. Less Invasive Technologies Spine Xia Precision System Surgical Protocol Cannulated screw system Minimally invasive posterior approach LITe Less Invasive Technologies Xia Precision System Surgical Protocol Table of Contents Acknowledgments........................................................3

More information

Foot and Ankle Technique Guide Proximal Inter-Phalangeal (PIP) Fusion

Foot and Ankle Technique Guide Proximal Inter-Phalangeal (PIP) Fusion Surgical Technique Foot and Ankle Technique Guide Proximal Inter-Phalangeal (PIP) Fusion Prepared in consultation with: Phinit Phisitkul, MD Department of Orthopedics and Rehabilitation University of Iowa

More information

Technique Guide. Reamer/Irrigator/Aspirator (RIA). For intramedullary reaming and bone harvesting.

Technique Guide. Reamer/Irrigator/Aspirator (RIA). For intramedullary reaming and bone harvesting. Technique Guide Reamer/Irrigator/Aspirator (RIA). For intramedullary reaming and bone harvesting. Table of Contents Introduction Reamer/ Irrigator/ Aspirator (RIA) 2 Indications 4 Surgical Technique Preparation

More information

TRIGEN INTERTAN Intertrochanteric Antegrade Nail Surgical Technique. Table of Contents

TRIGEN INTERTAN Intertrochanteric Antegrade Nail Surgical Technique. Table of Contents Surgical Technique TRIGEN INTERTAN Intertrochanteric Antegrade Nail Surgical Technique As described by: Andreas H. Ruecker, MD Thomas A. Russell, MD Roy W. Sanders, MD Paul Tornetta, MD Table of Contents

More information

Lentur Cable System. Surgical Technique

Lentur Cable System. Surgical Technique Lentur Cable System Surgical Technique Contents Introduction... Page 1 System Design Features And Benefits... Page 2 Implants... Page 3 Instrumentation... Page 4 Surgical Technique... Page 5 Single Cable...

More information

Technique Guide. Orthopaedic Cable System. Cerclage solutions for general surgery.

Technique Guide. Orthopaedic Cable System. Cerclage solutions for general surgery. Technique Guide Orthopaedic Cable System. Cerclage solutions for general surgery. Table of Contents Introduction The Orthopaedic Cable System 2 Indications 4 Contraindications 4 Surgical Technique Cerclage

More information

Cable System. For Orthopaedic Trauma Surgery.

Cable System. For Orthopaedic Trauma Surgery. Cable System. For Orthopaedic Trauma Surgery. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image intensifier

More information

Guidance for implant removal. Straumann Dental Implant System

Guidance for implant removal. Straumann Dental Implant System Guidance for implant removal Straumann Dental Implant System The ITI (International Team for Implantology) is academic partner of Institut Straumann AG in the areas of research and education. ContentS

More information

Exeter. Surgical Technique. V40 Stem Cement-in-Cement. Orthopaedics

Exeter. Surgical Technique. V40 Stem Cement-in-Cement. Orthopaedics Exeter Orthopaedics V40 Stem Cement-in-Cement Surgical Technique Exeter V40 Stem Cement-in-Cement Surgical Technique Table of Contents Indications and Contraindications...2 Warnings and Precautions...2

More information

Knotilus TM. Anchor Instability Repair. Technique Guide

Knotilus TM. Anchor Instability Repair. Technique Guide Knotilus TM Anchor Instability Repair Technique Guide Instability Repair Using the Knotilus TM Anchor Introduction While the shoulder has more mobility than any other joint in the body, it is also the

More information

TABLE OF CONTENTS. Surgical Technique 2. Indications 4. Product Information 5. 1. Patient Positioning and Approach 2

TABLE OF CONTENTS. Surgical Technique 2. Indications 4. Product Information 5. 1. Patient Positioning and Approach 2 Surgical Technique TABLE OF CONTENTS Surgical Technique 2 1. Patient Positioning and Approach 2 2. Intervertebral Device Implanted 2 3. Buttress Plate Selection 2 4. Awl Insertion 2 5. Screw Insertion

More information

ACTIV ANKLE DISTAL AND DIAPHYSEAL FIBULA INNOVATION MEANS MOTION

ACTIV ANKLE DISTAL AND DIAPHYSEAL FIBULA INNOVATION MEANS MOTION ACTIV ANKLE DISTAL AND DIAPHYSEAL FIBULA POLYAXIAL LOCKING FIXATION DUALTEC SYSTEM II Precontoured implants Polyaxiality of 20 2 surgical approaches : lateral and posterolateral ACTIV ANKLE The ACTIV ANKLE

More information

M/DN Femoral Interlocking & Recon Nail Intramedullary Fixation Surgical Technique

M/DN Femoral Interlocking & Recon Nail Intramedullary Fixation Surgical Technique M/DN Femoral Interlocking & Recon Nail Intramedullary Fixation Surgical Technique M/DN Femoral Interlocking & Recon Nail Intramedullary Fixation 1 Surgical Techniques for Fixation of Femoral Fractures

More information

Technique Guide. 2.7 mm/3.5 mm Variable Angle LCP Ankle Trauma System. Part of the Synthes variable angle locking compression plate (VA-LCP) system.

Technique Guide. 2.7 mm/3.5 mm Variable Angle LCP Ankle Trauma System. Part of the Synthes variable angle locking compression plate (VA-LCP) system. Technique Guide 2.7 mm/3.5 mm Variable Angle LCP Ankle Trauma System. Part of the Synthes variable angle locking compression plate (VA-LCP) system. Table of Contents Introduction 2.7 mm/3.5 mm Variable

More information

NCB Proximal Humerus System. Surgical Technique

NCB Proximal Humerus System. Surgical Technique NCB Proximal Humerus System Surgical Technique NCB Proximal Humerus System Surgical Technique 3 Surgical Technique NCB Proximal Humerus System Table of Contents Introduction 4 Cable Fixation Options 5

More information

Self-blocking thread reduces risk of set-screw loosening. Small screw head accommodates 40 angle variation

Self-blocking thread reduces risk of set-screw loosening. Small screw head accommodates 40 angle variation MonoPoly PRODUCT INFORMATION the Implant Designed to meet Signus high standard of quality, the MonoPoly system offers a large selection of implants: mono- and -polyaxial screws in a diverse range of sizes

More information

OptiLock Upper Extremity Plating System Proximal Humeral Plates

OptiLock Upper Extremity Plating System Proximal Humeral Plates Surgical Technique OptiLock Upper Extremity Plating System Proximal Humeral Plates Featuring SphereLock Technology Anatomical plate contouring and diverging showerhead splay of bone screws allow plate

More information

TABLE OF CONTENTS. Indications and Contraindications 3. Features and Benefits 4. Ease of connection 4 Stable fixation concept 5

TABLE OF CONTENTS. Indications and Contraindications 3. Features and Benefits 4. Ease of connection 4 Stable fixation concept 5 Surgical Technique TABLE OF CONTENTS Indications and Contraindications 3 Features and Benefits 4 Ease of connection 4 Stable fixation concept 5 Surgical Technique Steps 6 Identification and preparation

More information

Expert R/AFN. Retrograde/Antegrade Femoral Nail.

Expert R/AFN. Retrograde/Antegrade Femoral Nail. Expert R/AFN. Retrograde/Antegrade Femoral Nail. Surgical Technique EXPERT Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation

More information

Adult Forearm Fractures

Adult Forearm Fractures Adult Forearm Fractures Your forearm is made up of two bones, the radius and ulna. In most cases of adult forearm fractures, both bones are broken. Fractures of the forearm can occur near the wrist at

More information

ACCORD Cable System. Surgical technique completed in conjunction with: Robert Barrack, MD St. Louis, Missouri. Paul Di Cesare, MD New York, New York

ACCORD Cable System. Surgical technique completed in conjunction with: Robert Barrack, MD St. Louis, Missouri. Paul Di Cesare, MD New York, New York Surgical Technique Innovations in Hip Surgery 2 ACCORD Cable System Surgical technique completed in conjunction with: Robert Barrack, MD St. Louis, Missouri Paul Di Cesare, MD New York, New York Fares

More information

QUICK REFERENCE GUIDE. One-step fracture fixation. The Fragment Fixation System

QUICK REFERENCE GUIDE. One-step fracture fixation. The Fragment Fixation System 16 One-step fracture fixation The Fragment Fixation System GENERAL PRINCIPLES Thread Diameter Shaft Diameter Small 1.2 mm 1.5 mm Medium 1.6 mm 2.0 mm Large 2.2 mm 3.0 mm Three shaft diameter/thread diameter

More information

Synapse System. An enhanced set of instruments and implants for posterior stabilization of the upper spine.

Synapse System. An enhanced set of instruments and implants for posterior stabilization of the upper spine. Synapse System. An enhanced set of instruments and implants for posterior stabilization of the upper spine. Technique Guide 100º Instruments and implants approved by the AO Foundation Table of Contents

More information

TransFx External Fixation System Large and Intermediate Surgical Technique

TransFx External Fixation System Large and Intermediate Surgical Technique TransFx External Fixation System Large and Intermediate Surgical Technique TransFx External Fixation System Large and Intermediate Surgical Technique 1 Surgical Technique For TransFx External Fixation

More information

BONE PRESERVATION STEM

BONE PRESERVATION STEM TRI-LOCK BONE PRESERVATION STEM Featuring GRIPTION Technology SURGICAL TECHNIQUE IMPLANT GEOMETRY Extending the TRI-LOCK Stem heritage The original TRI-LOCK Stem was introduced in 1981. This implant was

More information

Achilles Tendon Repair, Operative Technique

Achilles Tendon Repair, Operative Technique *smith&nephew ANKLE TECHNIQUE GUIDE Achilles Tendon Repair, Operative Technique Prepared in Consultation with: C. Niek van Dijk, MD, PhD KNEE HIP SHOULDER EXTREMITIES Achilles Tendon Repair, Operative

More information

4052 Slimplicity Tech final_layout 1 6/29/15 3:29 PM Page 2 Surgical Technique

4052 Slimplicity Tech final_layout 1 6/29/15 3:29 PM Page 2 Surgical Technique Surgical Technique TABLE OF CONTENTS Slimplicity Anterior Cervical Plate System Overview 2 Indications 2 Implants 3 Instruments 4 Surgical Technique 6 1. Patient Positioning and Approach 6 2. Plate Selection

More information

Technique Guide. 4.5 mm LCP Proximal Femur Plates. Part of the Synthes Periarticular LCP Plating System.

Technique Guide. 4.5 mm LCP Proximal Femur Plates. Part of the Synthes Periarticular LCP Plating System. Technique Guide 4.5 mm LCP Proximal Femur Plates. Part of the Synthes Periarticular LCP Plating System. Table of Contents Introduction 4.5 mm LCP Proximal Femur Plates 2 AO Principles 4 Indications 5 Surgical

More information

chronos BOne VOid Filler Beta-Tricalcium Phosphate (b-tcp) bone graft substitute

chronos BOne VOid Filler Beta-Tricalcium Phosphate (b-tcp) bone graft substitute chronos BOne VOid Filler Beta-Tricalcium Phosphate (b-tcp) bone graft substitute chronos Bone Void Filler Osteoconductive Resorbable Synthetic chronos Granules and Preforms are synthetic, porous, osteoconductive,

More information

Trabecular Metal Femoral Component. Surgical Technique

Trabecular Metal Femoral Component. Surgical Technique Trabecular Metal Femoral Component Surgical Technique INTRO Trabecular Metal Femoral Component Surgical Technique Introduction The Persona Trabecular Metal Femoral Component is designed to unite stable

More information

Expert TN. Tibial Nail.

Expert TN. Tibial Nail. Expert TN. Tibial Nail. Surgical Technique Expert Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image intensifier

More information

MINI FRAGMENT SYSTEM. Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW

MINI FRAGMENT SYSTEM. Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW MINI FRAGMENT SYSTEM Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW TABLE OF CONTENTS INTRODUCTION Mini Fragment System 2 PRODUCT INFORMATION Plates 4 Screws 6

More information

Expert ALFN. Adolescent Lateral Femoral Nail.

Expert ALFN. Adolescent Lateral Femoral Nail. Expert ALFN. Adolescent Lateral Femoral Nail. Surgical Technique EXPERT Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation.

More information

CoNGRUENT RADIAL HEAD PLATE

CoNGRUENT RADIAL HEAD PLATE Mayo Clinic CoNGRUENT RADIAL HEAD PLATE Since 1988 Acumed has been designing solutions to the demanding situations facing orthopedic surgeons, hospitals and their patients. Our strategy has been to know

More information

.org. Femur Shaft Fractures (Broken Thighbone) Types of Femoral Shaft Fractures

.org. Femur Shaft Fractures (Broken Thighbone) Types of Femoral Shaft Fractures Femur Shaft Fractures (Broken Thighbone) Page ( 1 ) Your thighbone (femur) is the longest and strongest bone in your body. Because the femur is so strong, it usually takes a lot of force to break it. Car

More information

Zimmer FuZion Instruments. Surgical Technique (Beta Version)

Zimmer FuZion Instruments. Surgical Technique (Beta Version) Zimmer FuZion Surgical Technique (Beta Version) INTRO Surgical Technique Introduction Surgical goals during total knee arthroplasty (TKA) include establishment of normal leg alignment, secure implant fixation,

More information

Aesculap Spine S 4 Cervical System. Posterior Occipital Cervical Thoracic Fixation System

Aesculap Spine S 4 Cervical System. Posterior Occipital Cervical Thoracic Fixation System Aesculap Spine S 4 Cervical System Posterior Occipital Cervical Thoracic Fixation System S 4 Cervical System The S 4 Cervical System offers maximum versatility through its wide range of implant selection

More information

Zimmer MOST Options System

Zimmer MOST Options System Zimmer MOST Options System Surgical Technique Modular Options for Severe Bone Loss and Trauma Zimmer MOST Options System Surgical Technique 1 MOST Options System Surgical Technique Table of Contents Introduction

More information

Zimmer Persona Adverse Events Reported to FDA Through 3/27/2015

Zimmer Persona Adverse Events Reported to FDA Through 3/27/2015 Event Description: IT IS REPORTED THAT THE PATIENT WAS REVISED DUE TO GROSS ASEPTIC LOOSENING. Manufacturer 1822565-2015- 00224 PERSONA STEMMED CEMENTED TIBIAL COMPONENT 2/23/15 1/21/15 Injury Narrative:

More information

Elo Touch Solutions Wall-mounting Kit for the 5501L IDS Touchmonitors

Elo Touch Solutions Wall-mounting Kit for the 5501L IDS Touchmonitors Installation Manual Elo Touch Solutions Wall-mounting Kit for the 5501L IDS Touchmonitors SW602206 Rev B Table of Contents Chapter 1: Safety Warning... 3 Chapter 2: Kit Contents... 4 Included in Kit...

More information

Depending on which elastic support you have you can secure the V2 power unit to the following seat bracket tubes: EXTERNAL DIAMETER 27.

Depending on which elastic support you have you can secure the V2 power unit to the following seat bracket tubes: EXTERNAL DIAMETER 27. ASSEMBLY 1 - EPS V2 POWER UNIT (SOLUTION 5) 1.1 - POSITIONING INSIDE THE SEAT TUBE WITH ELASTIC SUPPORT IN THE SEAT BRACKET TUBE Depending on which elastic support you have you can secure the V2 power

More information

ABOUT US. The Complete and Comprehensive solution for implants! Edison Medical. Edison Medical s Quality Strategy:

ABOUT US. The Complete and Comprehensive solution for implants! Edison Medical. Edison Medical s Quality Strategy: IMPLANTS CATALOG ABOUT US Edison Medical The Complete and Comprehensive solution for implants! Edison Medical Ltd. is engaged in the import, export, marketing and distribution of dental Implants and other

More information

HIP FRACTURE SYSTEMS OPERATIVE TECHNIQUE

HIP FRACTURE SYSTEMS OPERATIVE TECHNIQUE HIP FRACTURE SYSTEMS OPERATIVE TECHNIQUE 1 T R O C H A N T E R I C G A M M A L O C K I N G N A I L CONTENTS THE TROCHANTERIC GAMMA LOCKING NAIL 4 INDICATIONS AND DESIGN FEATURES 6 COMPLETE OPERATING GUIDE

More information

LCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.

LCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. LCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. Surgical Technique This publication is not intended for distribution

More information

MatrixNEURO. The next generation cranial plating system.

MatrixNEURO. The next generation cranial plating system. MatrixNEURO. The next generation cranial plating system. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Table

More information

Step-by-step instructions:

Step-by-step instructions: Spark plug thread repair for Ford Triton cylinder heads Step-by-step instructions: Identification Installation Verification Specifically designed and tested for 4.6L, 5.4L, and 6.8L 2 and 4 valve heads,

More information

Versa-Fx II Femoral Fixation System Surgical Techniques

Versa-Fx II Femoral Fixation System Surgical Techniques Versa-Fx II Femoral Fixation System Surgical Techniques Versa-Fx II Femoral Fixation System Surgical Techniques 1 Surgical Technique For Fixation Of Intertrochanteric and Supracondylar Fractures of the

More information

Modular Sternal Cable System. Flexibility and strength in sternal closure and repair.

Modular Sternal Cable System. Flexibility and strength in sternal closure and repair. Modular Sternal Cable System. Flexibility and strength in sternal closure and repair. Multiple closure options Stable fixation in all configurations Improved strength and flexibility compared to wire Modular

More information

DARCO MRS. Locked Plating System for Reconstructive Rearfoot Surgery

DARCO MRS. Locked Plating System for Reconstructive Rearfoot Surgery DARCO MRS Locked Plating System for Reconstructive Rearfoot Surgery DARCO MRS Locked plating system for reconstructive rearfoot surgery System Basics The DARCO MRS plating system for the rearfoot has been

More information

CLAW II. Polyaxial Compression Plating System SURGIC A L T ECHNIQUE

CLAW II. Polyaxial Compression Plating System SURGIC A L T ECHNIQUE CLAW II Polyaxial Compression Plating System SURGIC A L T ECHNIQUE Contents Chapter 1 2 3 3 3 Chapter 2 4 4 7 Chapter 3 8 8 8 8 8 8 8 9 11 11 11 Chapter 4 12 Introduction Intended Use Indications Contraindications

More information

ASSEMBLY, INSTALLATION, AND REMOVAL OF CONTACTS AND MODULES

ASSEMBLY, INSTALLATION, AND REMOVAL OF CONTACTS AND MODULES ASSEMBLY, INSTALLATION, AND REMOVAL OF CONTACTS AND MODULES FOR 50 OHM COAXIAL CONTACTS AND MODULES TABLE OF CONTENTS SECTION 1 RECEIVER CONTACT ASSEMBLY INSTRUCTIONS SECTION 2 ITA CONTACT ASSEMBLY INSTRUCTIONS

More information

LCP Compact Foot/Compact Hand.

LCP Compact Foot/Compact Hand. LCP Compact Foot/Compact Hand. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Table of contents Indications 2

More information

ORTHODONTIC MINI IMPLANTS Clinical procedure for positioning. Orthodontics and Implantology

ORTHODONTIC MINI IMPLANTS Clinical procedure for positioning. Orthodontics and Implantology ORTHODONTIC MINI IMPLANTS Clinical procedure for positioning Orthodontics and Implantology 2 All rights are reserved. Any reproduction of the present publication is prohibited in whole or in part and by

More information

PELVIC AND ACETABULAR PLATING

PELVIC AND ACETABULAR PLATING PELVIC AND ACETABULAR PLATING RATIONALE The newly developed Matta Pelvic Set is designed for the most common indications in surgical treatment of pelvic and acetabular fractures. The extremely complex

More information

Cable System. For Orthopaedic Trauma Surgery.

Cable System. For Orthopaedic Trauma Surgery. Cable System. For Orthopaedic Trauma Surgery. Ergonomically designed instruments Multifunctional Easy and safe surgical technique Cable System. For Orthopaedic Trauma Surgery. Description Application The

More information

INSTALLATION AND OPERATING INSTRUCTIONS For Model GL1 Gate Locks

INSTALLATION AND OPERATING INSTRUCTIONS For Model GL1 Gate Locks Securitron Magnalock Corp. www.securitron.com ASSA ABLOY, the global leader Tel 800.624.5625 techsupport@securitron.com in door opening solutions INSTALLATION AND OPERATING INSTRUCTIONS For Model GL1 Gate

More information

Arthroscopic Shoulder Instability Repair Using the SUTUREFIX ULTRA Suture Anchor and SUTUREFIX ULTRA Instrumentation System

Arthroscopic Shoulder Instability Repair Using the SUTUREFIX ULTRA Suture Anchor and SUTUREFIX ULTRA Instrumentation System *smith&nephew SHOULDER TECHNIQUE GUIDE Arthroscopic Shoulder Instability Repair Using the SUTUREFIX ULTRA Suture Anchor and SUTUREFIX ULTRA Instrumentation System KNEE HIP SHOULDER EXTREMITIES Arthroscopic

More information

Technique Guide. 3.5 mm LCP Superior and Superior Anterior Clavicle Plates. Part of the Synthes modular clavicle plate system.

Technique Guide. 3.5 mm LCP Superior and Superior Anterior Clavicle Plates. Part of the Synthes modular clavicle plate system. Technique Guide 3.5 mm LCP Superior and Superior Anterior Clavicle Plates. Part of the Synthes modular clavicle plate system. Table of Contents Introduction 3.5 mm LCP Clavicle Plates Superior and Superior

More information

Zimmer PSI Knee System For Use with Persona The Personalized Knee System Surgical Technique

Zimmer PSI Knee System For Use with Persona The Personalized Knee System Surgical Technique Zimmer PSI Knee System For Use with Persona The Personalized Knee System Surgical Technique TOC Zimmer PSI Knee Surgical Technique Zimmer PSI Knee Surgical Technique Table of Contents Intra-Operative Guide

More information

FRONT BUMPER INSTALLATION INSTRUCTIONS 2007-2011 DODGE / MERCEDES SPRINTER

FRONT BUMPER INSTALLATION INSTRUCTIONS 2007-2011 DODGE / MERCEDES SPRINTER Aluminess Products Inc 9402 Wheatlands Ct. #A Santee, CA 92071 619-449-9930 FRONT BUMPER INSTALLATION INSTRUCTIONS 2007-2011 DODGE / MERCEDES SPRINTER Please read before beginning Stainless steel hardware

More information

INSTALLATION INSTRUCTIONS for Bifold Doors (JII103)

INSTALLATION INSTRUCTIONS for Bifold Doors (JII103) Thank you for selecting JELD-WEN products. Attached are JELD-WEN s recommended installation instructions for premium composite, hollow and solid core molded Bifold Doors. Bifolds are designed for fast

More information

SURGICAL TECHNIQUE FIGURE 1

SURGICAL TECHNIQUE FIGURE 1 SURGICAL TECHNIQUE UNI-Elbow Radio Capitellum System Surgical Technique 1 SURGICAL TECHNIQUE 2 Incision The patient is placed under a general or a regional anesthesia. The extremity is prepped and draped

More information

Expert HAN. Expert Hindfoot Arthrodesis Nail.

Expert HAN. Expert Hindfoot Arthrodesis Nail. Expert HAN. Expert Hindfoot Arthrodesis Nail. Surgical Technique Expert Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation.

More information