Technique Guide. LCP Compact Hand. The modular hand system.

Transcription

1 Technique Guide LCP Compact Hand. The modular hand system.

2 Image intensifier control Warning This description alone does not provide sufficient background for direct use of the instrument set. Instruction by a surgeon experienced in handling these instruments is highly recommended. Reprocessing, Care and Maintenance of Synthes Instruments For general guidelines, function control and dismantling of multi-part instruments, please refer to:

3 Table of Contents Introduction LCP Compact Hand 2 AO Principles 4 Indications 5 Surgical Techniques Preparation 6 Fracture Reduction and Plate Contouring 7 Screw Insertion 11 Cortex Screws 12 Locking Screws 18 Implant Removal 23 Tips 24 Product Information Implants Compact Hand 1.0/ Instruments Compact Hand 1.0/ Implants LCP Compact Hand Instruments LCP Compact Hand Implants LCP Compact Hand Instruments LCP Compact Hand Implants LCP Compact Hand Instruments LCP Compact Hand Sets 42 Standard Instrument Set for LCP Compact Hand 43 LCP Compact Hand Technique Guide Synthes 1

4 LCP Compact Hand. The modular hand system. Adaptable Locking Plates for Various Indications The modular LCP Compact Hand System offers a wide range of anatomical and adaptable plates. All implants are available in titanium and stainless steel. LCP Compact Hand implants are intended for the following indications: Compact Hand 1.0/1.3 Fixation of small fragments Avulsion fractures and fractures of distal and middle phalanges LCP Compact Hand 1.5 Fractures, osteotomies and arthrodeses of the phalanges and metacarpals Replantations and reconstructions of the phalanges and metacarpals LCP Compact Hand 2.0 Fractures of the phalanges, metacarpals, wrist bones and distal radius (double-plate technique) Osteotomies and arthrodeses of the interphalangeal joints LCP Compact Hand 2.4 Fractures of the metacarpals, wrist bones and distal radius (double-plate technique) Osteotomies and arthrodeses on the hand Low profile plates and fully countersunk screws Anatomically precontoured Rotation Correction Plate LCP combi-hole Minimizes soft tissue irritation. Minimizes need for bending. Allows intraoperative inspection of the reduction and correction of the rotational axis. Intraoperative choice between compression and angular stable locking. 2 Synthes LCP Compact Hand Technique Guide

5 Part of the LCP Compact Hand System 4 modules, 5 dimensions: Adaptable plates for different indications Complete range of implants 1.0 mm 1.3 mm 1.5 mm (new locking) 2.0 mm (locking) 2.4 mm (locking) Broad range of non-locking, locking and LCP plates to address various fracture patterns. The use of locking screws allows creating a fixed-angle construct, which is particularly advantageous in osteopenic bone or in fractures near the joint. LCP Compact Hand Technique Guide Synthes 3

6 AO Principles In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation. 1,2 Those principles, as applied to the LCP Compact Hand system, are: Anatomic reduction Anatomic plate profile assists in reduction and facilitates restoration anatomical relationships. Stable fixation The combination of conventional and locking screws offers optimum fixation regardless of bone density. Locking screws create a fixed-angle construct, providing angular stability. Preservation of blood supply Limited-contact plate design reduces plate-to-bone contact and helps to preserve the periosteal blood supply. Tapered ends for submuscular plate insertion preserve tissue viability. Early, active mobilization Early mobilization per standard AO technique creates an environment for bone healing, expediting a return to optimal function. 1 Müller ME, Allgöwer M, Schneider R, Willenegger H (1995) Manual of Internal Fixation. 3rd, expanded and completely revised ed Berlin, Heidelberg, New York: Springer 2 Rüedi TP, Buckley RE, Moran CG (2007) AO Principles of Fracture Management. 2nd expanded ed Stuttgart, New York: Thieme 4 Synthes LCP Compact Hand Technique Guide

7 Indications Compact Hand 1.0/1.3 General: Fixation of small fragments Avulsion fractures and fractures of the distal and middle phalanges Straight plate: Shaft fractures of phalanges Strut plate: Comminuted fractures and replantations of middle or proximal phalanges T-plate and Y-plate: Condylar fractures of phalanges Single cortex screws: Capturing of fragments with lag screw technique LCP Compact Hand 1.5 Fracture fixation of the phalanges and metacarpals Osteotomies Arthrodeses Replantations and reconstructions of phalanges and metacarpals, particularly in osteopenic bone LCP Compact Hand 2.0 Fractures of the phalanges, metacarpals and wrist bones Osteotomies and arthrodeses of the interphalangeal joints Fractures of distal radius (double-plate technique) Subcapital radial head fractures LCP Compact Hand 2.4 Fractures of the metacarpal and wrist bones Fractures of distal radius (double-plate technique) Osteotomies and arthrodeses on the hand Subcapital radial head fractures LCP Compact Hand Technique Guide Synthes 5

8 Preparation 1 Select implant Select the plates according to the fracture pattern and anatomy of the bone. Notes This surgical technique describes the application of the LCP Compact Hand system using a Locking Condylar Plate 1.5. The plates of the LCP Compact Hand Module 1.5 are available either with or without short drill sleeves preassembled to the plate. Plates with preassembled drill sleeves are available sterile only. 6 Synthes LCP Compact Hand Technique Guide

9 Fracture Reduction and Plate Contouring 1 Reduce fracture Reduce the fracture under image intensification and, if necessary, fix with Kirschner wires or reduction forceps. The reduction method is fracture-specific. 2 Trim plate Instrument Bending/Cutting Pliers Trim the plate to the desired length using bending/cutting pliers. Remove the burrs. LCP Compact Hand Technique Guide Synthes 7

10 Fracture Reduction and Plate Contouring 3 Contour plate 1 Instruments Pliers, flat-nosed, pointed, for Plates 1.0 to 2.4 For LCP Compact Hand Bending Pin for LCP Plates 1.5, with thread For LCP Compact Hand Bending Pin for LCP Plates 2.0, with thread For LCP Compact Hand Bending Pin for LCP Plates 2.4 and 2.7, with thread If necessary, contour the plate to suit the anatomical conditions. 2 Standard plates Use bending pins for LCP Plates and thread the pins into the screw holes to contour the plate. (1) The plate can also be bent using two flat nosed pliers. (2) 8 Synthes LCP Compact Hand Technique Guide

11 Preassembled plates (LCP Compact Hand 1.5 only) Use the non-threaded ends of the bending pins over the short threaded drill sleeves. (3) 3 Note: If possible, bend the plate between the locking/lcp holes. Do not deform the threaded part of the holes or overbend the plate as this may adversely affect insertion of locking screws. Avoid repetitive bending of the plate. LCP Compact Hand Technique Guide Synthes 9

12 Fracture Reduction and Plate Contouring 4 Position plate 1 Instrument Reduction Forceps with Points, ratchet lock, length 130 mm Position the plate over the reduced fracture and, if necessary fix provisionally with Kirschner wires or reduction forceps. (1) Preassembled plates (LCP Compact Hand 1.5 only) When using reduction forceps with points on a preassembled plate, insert one branch of the forceps in the cannulation of the short drill sleeve to secure the plate to the bone. (2) Optional Instrument Holding Forceps with Swivel Foot, for Plates 1.3 to 2.4, speed lock When using the holding forceps with swivel foot to hold the plate, remove the drill sleeves from the surrounding holes so that the holding forceps sit flush on the plate Synthes LCP Compact Hand Technique Guide

13 Screw Insertion Determine screw type Depending on the individual case, cortex and/or locking screws may be inserted. Determine where locking screws and where cortex screws will be used. The final screw placement and the use of locking and cortex screws are determined by the fracture pattern. 1 2 LCP combi-hole: Cortex screw in the compression portion (1), locking screw in the threaded portion of the hole (2) If a locking screw is inserted first, ensure that the plate is held securely to the bone to prevent the plate from spinning as the screw locks into the plate. Option If angularly-stable buttress pins are used, one screw per bone fragment must be inserted additionally. Locking hole: Cortex or locking screw Note: For further details regarding the application of LCP systems consult the corresponding technique guide ( ). Compression hole: Cortex screw only Elongated compression hole: Cortex screw only Locking screw Cortex screw LCP Compact Hand Technique Guide Synthes 11

14 Screw Insertion Cortex Screws 1 Pre-drill screw hole for cortex screw Instruments For Compact Hand 1.0/ Double Drill Guide 1.3/ Drill Bit 1.0 mm, length 46/34mm, 2-flute, for Mini Quick Coupling Drill Bit 1.3 mm, length 46/34 mm, 2-flute, for Mini Quick Coupling For LCP Compact Hand Double Drill Guide 1.5/1.1, for No Drill Bit 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling Drill Bit 1.5 mm, length 65/50 mm, 2-flute, for Mini Quick Coupling, Stainless Steel For LCP Compact Hand Universal Drill Guide Drill Bit 1.5 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling Drill Bit 2.0 mm, length 67/55 mm, 2-flute, for Mini Quick Coupling For LCP Compact Hand Universal Drill Guide Drill Bit 1.8 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling Drill Bit 2.4 mm, length 80/66 mm, 2-flute, for Mini Quick Coupling 12 Synthes LCP Compact Hand Technique Guide

15 Standard plates Drill the screw hole using the drill bit and the corresponding drill guide / drill sleeve. (1) 1 Use the following drill diameter for the threaded respectively the gliding hole: Threaded hole Gliding hole Compact Hand Compact Hand Compact Hand Compact Hand When using a LCP hole, drill the screw hole either neutrally or off-centre (compression). Preassembled plates (LCP Compact Hand 1.5 only) Drill the screw hole using the short LCP drill sleeves that are preassembled to the plate. To drill for a cortex screw in an angle other than 90 to the plate, use the double drill guide. Before using the double drill guide, remove the short drill sleeve. (2) 2 LCP Compact Hand Technique Guide Synthes 13

16 Screw Insertion Cortex Screws 2 Determine screw length of cortex screw 1 Instruments For Compact Hand 1.0/ Depth Gauge for Screws 1.3 to 1.5 mm, measuring range up to 24mm For LCP Compact Hand Depth Gauge for Screws 1.3 to 1.5 mm, measuring range up to 24 mm For LCP Compact Hand Depth Gauge for Screws 2.0 and 2.4 mm, measuring range up to 40 mm For LCP Compact Hand Depth Gauge for Screws 2.0 and 2.4 mm, measuring range up to 40 mm Standard plates Determine the screw length with the corresponding depth gauge. (1) 14 Synthes LCP Compact Hand Technique Guide

17 Preassembled plates (LCP Compact Hand 1.5 only) Screw length may be measured either with of without the short drill sleeve assembled to the plate (2, 3). When measured directly through the drill sleeve, subtract 5 mm from the reading to account for the drill sleeve. (3) 2 3 LCP Compact Hand Technique Guide Synthes 15

18 Screw Insertion Cortex Screws 3 Insert cortex screw 1 Instruments For Compact Hand 1.0/ Screwdriver Shaft 1.3, cruciform, with Holding Sleeve, length 62 mm, for Mini Quick Coupling Handle, medium, with Mini Quick Coupling For LCP Compact Hand Screwdriver Shaft, Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling Handle, medium, with Mini Quick Coupling For LCP Compact Hand Screwdriver Shaft Stardrive 2.0, with Holding Sleeve, length 66 mm, for Mini Quick Coupling Handle, medium, with Mini Quick Coupling For LCP Compact Hand Screwdriver Shaft, Stardrive, T8, self-holding Handle with Quick Coupling, length 110 mm Standard plates Insert the self-tapping cortex screw using the corresponding screwdriver. (1) 16 Synthes LCP Compact Hand Technique Guide

19 Preassembled plates (LCP Compact Hand 1.5 only) Remove preassembled short drill sleeves. A tray which can serve as a tool to help removing the short drill sleeves from the screwdriver is optionally available. (2) 2 Insert the self-tapping cortex screw using the corresponding screwdriver. (3) 3 Notes It is recommended to count the short LCP drill sleeves to ensure they are all removed before closure. Find tips regarding how to properly pick-up screws with Stardrive recess on page 24. LCP Compact Hand Technique Guide Synthes 17

20 Screw Insertion Locking Screws 1 Pre-drill screw hole for locking screw 1 Instruments For LCP Compact Hand LCP Drill Sleeve 1.5, for Drill Bits 1.1 mm Drill Bit 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling For LCP Compact Hand LCP Drill Sleeve 2.0, with Scale, for Drill Bits 1.5 mm with marking Drill Bit 1.5 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling For LCP Compact Hand LCP Drill Sleeve 2.4, with Scale up to 30 mm, for Drill Bits 1.8 mm Drill Bit 1.8 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling 2 Standard plates Drill screw hole through the LCP drill sleeve using the appropriately sized drill bit. (1) Preassembled plates (LCP Compact Hand 1.5 only) Drill the screw hole using the short LCP drill sleeves that are preassembled to the plate. (2) 18 Synthes LCP Compact Hand Technique Guide

21 2 Determine screw length of locking screw 1 Instruments For LCP Compact Hand Depth Gauge for Screws 1.3 to 1.5 mm, measuring range up to 24 mm For LCP Compact Hand LCP Drill Sleeve 2.0, with Scale, for Drill Bits 1.5 mm with marking Depth Gauge for Screws, 2.0 and 2.4 mm, measuring range up to 40 mm For LCP Compact Hand LCP Drill Sleeve 2.4, with Scale up to 30 mm, for Drill Bits 1.8 mm Depth Gauge for Screws, 2.0 and 2.4 mm, measuring range up to 40 mm Standard plates Determine the screw length either with the corresponding depth gauge (1) or with the LCP drill sleeve (LCP Compact Hand 2.0/2.4, marking on drill bit). (2) 2 When using the LCP drill sleeve check the length directly on the scale of the drill sleeve. Then remove the drill sleeve. LCP Compact Hand Technique Guide Synthes 19

22 Screw Insertion Locking Screws Preassembled plates (LCP Compact Hand 1.5 only) Screw length may be measured either with of without the short drill sleeve assembled to the plate. When measured directly through the drill sleeve, subtract 5 mm from the reading to account for the drill sleeve. (3) 3 20 Synthes LCP Compact Hand Technique Guide

23 3 Insert locking screw 1 Instruments For LCP Compact Hand Screwdriver Shaft, Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling Handle, medium, with Mini Quick Coupling For LCP Compact Hand Screwdriver Shaft Stardrive 2.0, with Holding Sleeve, length 66 mm, for Mini Quick Coupling Handle, medium, with Mini Quick Coupling Torque Limiter, 0.4 Nm, with AO/ASIF Quick Coupling For LCP Compact Hand Screwdriver Shaft, Stardrive, T8, self-holding Handle with Quick Coupling, length 110 mm Torque Limiter, 0.8 Nm, with AO/ASIF Quick Coupling Standard plates Insert the self-tapping locking screw using the corresponding screwdriver shaft and the appropriate handle. (1) LCP Compact Hand Technique Guide Synthes 21

24 Screw Insertion Locking Screws Preassembled plates (LCP Compact Hand 1.5 only) Remove preassembled short drill sleeves. Insert the self-tapping locking screw using the corresponding screwdriver. (2) 2 A tray which can serve as a tool to help removing the short drill sleeves from the screwdriver is optionally available. Note: It is recommended to count the short LCP drill sleeves to ensure they are all removed before closure. LCP Compact Hand 2.0/2.4 For mechanical insertion use the corresponding torque limiting attachment. The torque limiter prevents over-tightening and ensures that the locking screws are securely locked into the plate. Use manual locking to perform the final locking step for 2.0 mm and 2.4 mm locking screws. Mechanical insertion is not recommended. 22 Synthes LCP Compact Hand Technique Guide

25 Implant Removal To remove the plate, first unlock all screws then definitely remove them in a second step. If the screws are not unlocked before removal the plate may rotate while the last screw is being removed and cause soft tissue damage. LCP Compact Hand Technique Guide Synthes 23

26 Tips Pick-up screws with Stardrive recess without holding sleeve Select the screw and position the corresponding screwdriver perpendicular to the screw. Pick-up the screw by applying slight axial pressure. Make sure that the screwdriver remains perpendicular during screw extraction. Pick-up screws with holding sleeve All screws can also be picked-up with help of the corresponding holding sleeves. Slide the holding sleeve onto the screwdriver, until it clicks into place. With the holding sleeve jaws open, mount the appropriate screw onto the screwdriver, then push the holding sleeve until it secures the screw. Note: The holding sleeve covers the head of the screw. 24 Synthes LCP Compact Hand Technique Guide

27 Implants Compact Hand 1.0/1.3 Plates Adaption Plate 1.3, straight X T-Adaption Plate 1.3 X Shaft 8, head X Shaft 8, head Y-Adaption Plate 1.3 X Shaft 8, head 3 37 Strut Plate 1.3 X X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 25

28 Implants Compact Hand 1.0/1.3 Screws Cortex Screws 1.0 mm, self-tapping Art. No. Length (mm) X X X X X X X X X Cortex Screws 1.3 mm, self-tapping Art. No. Length (mm) X X X X X X X X X X X X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 26 Synthes LCP Compact Hand Technique Guide

29 Instruments Compact Hand 1.0/ Double Drill Guide 1.3/ Drill Bit 0.8 mm, length 40/16 mm, 2-flute, for Mini Quick Coupling Drill Bit 1.0 mm, length 46/34 mm, 2-flute, for Mini Quick Coupling Drill Bit 1.3 mm, length 46/34 mm, 2-flute, for Mini Quick Coupling Countersink 1.3 to 2.0, length 50 mm, for Mini Quick Coupling Screwdriver Shaft 1.3, cruciform, with Holding Sleeve, length 62 mm, for Mini Quick Coupling Screwdriver Shaft 1.0, cruciform, with Holding Sleeve, length 62 mm, with Mini Quick Coupling LCP Compact Hand Technique Guide Synthes 27

30 Implants LCP Compact Hand 1.5 Plates LCP Plate 1.5, straight 0X X Locking Plate 1.5, straight 0X X Locking T-Plate 1.5 0X Shaft 8, head X Shaft 8, head Locking Strut Plate 1.5 0X Right X Left 8 23 Locking Y-Plate 1.5 0X Shaft 8, head 3 47 Locking Condylar Plate 1.5 0X Shaft 6, head 2 36 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 28 Synthes LCP Compact Hand Technique Guide

31 Plates, with Preassembled Short Drill Sleeves LCP Plate 1.5, straight 0X S X S 6 36 Locking Plate 1.5, straight 0X S X S Locking T-Plate 1.5 0X S Shaft 8, head X S Shaft 8, head Locking Strut Plate 1.5 0X S Right X S Left 8 23 Locking Y-Plate 1.5 0X S Shaft 8, head 3 47 Locking Condylar Plate 1.5 0X S Shaft 6, head 2 36 Note: The plates with preassembled short drill sleeves are available sterile only. X= 2: Stainless Steel X = 4: Titanium LCP Compact Hand Technique Guide Synthes 29

32 Implants LCP Compact Hand 1.5 Screws Cortex Screw Stardrive, 1.5 mm, self-tapping Art. No. Length (mm) 0X X X X X X X X X X X X X X X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 30 Synthes LCP Compact Hand Technique Guide

33 Locking Screw Stardrive, 1.5 mm, self-tapping Art. No. Length (mm) 0X X X X X X X X X X X X X X X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 31

34 Instruments LCP Compact Hand LCP Drill Sleeve 1.5, for Drill Bit 1.1 mm Bending Pin for LCP Plates 1.5, with thread Drill Bit 1.1 mm, lengths 75/61 mm, 2-flute, for Mini Quick Coupling Drill Bit 1.5 mm, length 65/50 mm, 2-flute, for Quick Coupling, Stainless Steel Countersink for Screws 1.3 and 1.5 mm, Stainless Steel Double Drill Guide 1.5/1.1, for No Screwdriver Shaft Stardrive 1.5, with Holding Sleeve length 66 mm, for Mini Quick Coupling Drill Bits are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 32 Synthes LCP Compact Hand Technique Guide

35 Implants LCP Compact Hand 2.0 Plates LCP Plate 2.0, straight X X X X X X Adaption Plate 2.0 X LCP Condylar Plate 2.0 X Shaft 7, head 2 54 LCP Rotation Correction Plate 2.0 X Shaft 4, head 2 34 X Shaft 5, head 2 40 LCP T-Plate 2.0 X Shaft 7, head X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 33

36 Implants LCP Compact Hand 2.0 LCP Adaption Plate Art No. Holes Length (mm) X LCP T-Adaption Plate 2.0 Art No. Shaft holes Head holes X LCP Y-Adaption Plate 2.0 Art No. Shaft holes Head holes X Mini Condylar Plate 2.0 Art No. X pin left X pin left Mini H-Plate Art No. Holes X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 34 Synthes LCP Compact Hand Technique Guide

37 Screws Cortex Screw Stardrive, 2.0 mm, self-tapping Art. No. Length (mm) X X X X X X X X X X X X X X X X X X X X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 35

38 Implants LCP Compact Hand 2.0 Locking Screw Stardrive, 2.0 mm, self-tapping Art. No. Length (mm) X X X X X X X X X X X X X X X X X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 36 Synthes LCP Compact Hand Technique Guide

39 Instruments LCP Compact Hand Bending Pin for LCP Plates 2.0, with thread LCP Drill Sleeve 2.0, with Scale, for Drill Bits 1.5 mm with marking Universal Drill Guide Drill Bit 1.5 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling Drill Bit 2.0 mm, length 67/55 mm, 2-flute, for Mini Quick Coupling Countersink 1.5 to 2.4, length 52 mm, for Mini Quick Coupling Screwdriver Shaft Stardrive 2.0, with Holding Sleeve, length 66 mm, for Mini Quick Coupling LCP Compact Hand Technique Guide Synthes 37

40 Implants LCP Compact Hand 2.4 Plates LCP Plate 2.4, straight X X X X X X Adaption Plate 2.4 X LCP T-Plate 2.4 X Shaft 7, head 3 57 LCP Condylar Plate 2.4 X Shaft 7, head 2 59 LCP Adaption Plate 2.4 X LCP T-Adaption Plate 2.4 Art. No. Shaft holes Head holes X LCP Y-Adaption Plate 2.4 Art. No. Shaft holes Head holes X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 38 Synthes LCP Compact Hand Technique Guide

41 Screws Cortex Screw Stardrive, 2.4 mm, self-tapping Art. No. Length (mm) X X X X X X X X X X X X X X X X X X X X X X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 39

42 Implants LCP Compact Hand 2.4 Locking Screw Stardrive, 2.4 mm, self-tapping Art. No. Length (mm) X X X X X X X X X X X X X X X X X Optional Buttress Pin (head LCP 2.4) 1.8 mm Art No. Length (mm) X X X X X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 40 Synthes LCP Compact Hand Technique Guide

43 Instruments LCP Compact Hand Bending Pin for LCP Plates 2.4 and 2.7, with thread LCP Drill Sleeve 2.4, with Scale up to 30 mm, for Drill Bits 1.8 mm Universal Drill Guide Drill Bit 1.8 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling Drill Bit 2.4 mm, length 80/66 mm, 2-flute, for Mini Quick Coupling Screwdriver Shaft, Stardrive, T8, self-holding Countersink 1.5 to 2.4, length 52 mm, for Mini Quick Coupling LCP Compact Hand Technique Guide Synthes 41

44 Sets Compact Hand 1.0/1.3 (Titanium Implants) Compact Hand 1.0/1.3 (Stainless Steel Implants) LCP Compact Hand 1.5 (Titanium Implants) LCP Compact Hand 1.5 (Stainless Steel Implants) LCP Compact Hand 2.0 (Titanium Implants) LCP Compact Hand 2.0 (Stainless Steel Implants) LCP Compact Hand 2.4 (Titanium Implants) LCP Compact Hand 2.4 (Stainless Steel Implants) Standard Instrument Set for LCP Compact Hand Aditional Instrument Set for Compact Hand 42 Synthes LCP Compact Hand Technique Guide

45 Standard Instrument Set for LCP Compact Hand Handle, medium, with Mini Quick Coupling Handle with Quick Coupling, length 110 mm Depth Gauge for Screws 1.3 to 1.5 mm, measuring range up to 24 mm Depth Gauge for Screws 2.0 and 2.4 mm, measuring range up to 40 mm Pliers, flat-nosed, pointed, for Plates 1.0 to Holding Forceps for Cortex Screws 1.0 to 2.4 mm Bending/Cutting Pliers LCP Compact Hand Technique Guide Synthes 43

46 Standard Instrument Set for LCP Compact Hand Optional Handle, lockable, with Mini Quick Coupling Handle, small, with Mini Quick Coupling Handle, large, with Mini Quick Coupling Holding Forceps for Plates 1.0 to Torque Limiter, 0.8 Nm, with AO/ASIF Quick Coupling Torque Limiter, 0.4 Nm, with AO/ASIF Quick Coupling 44 Synthes LCP Compact Hand Technique Guide

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48 04/ Synthes, Inc. or its affiliates Subject to modification Synthes and Stardrive are trademarks of Synthes, Inc. or its affiliates All technique guides are available as PDF files at Ö öAAƒä version AA