Building on Success. Variable Angle LCP Locking Technology.
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1 Building on Success. Variable Angle LCP Locking Technology.
2 Building on Success 2.7 mm/3.5 mm Variable Angle LCP Lateral Distal Humerus Plate The launch of the Synthes Locking Compression Plate (LCP) System represented an important milestone in patient care. With the LCP system, locking screw technology was merged with conventional plating techniques. Since then, our locking compression plates have delivered successful clinical outcomes for patients all over the world. 2.7 mm/3.5 mm Variable Angle LCP Extended Medial Distal Humerus Plate As an innovator and market leader in locked plating technology for over ten years, Synthes offers the Variable Angle LCP (VA-LCP) locking technology as another clinical milestone. The Evolution of Plating Technology Round Screw Hole Dynamic Compression Plate Limited Contact Dynamic Compression Less Invasive Stabilization Locking Compression Plate (LCP) Variable Angle Locking Compression Variable Angle LCP Combi Hole Cortical or cancellous screws can be angled through the plate (DCP) Hole Screw can be inserted eccentrically for axial compression Screw placed in the inclined area of the plate hole will move the underlying bone Plate (LC-DCP) Hole Screw can be inserted eccentrically for axial compression Compression from either side of the hole Allows cortical or cancellous screws to be angled through the plate Limited-contact plate undercuts reduce the System (LISS) Hole Round locking hole for fixed angle locking Functions as an internal fixator. Plate is not compressed against the bone, reducing impairment Combi Hole Combines dynamic compression with fixed angle locking Threaded hole section for locking screws Dynamic compression hole for conventional screws Plate (VA-LCP) Hole Four columns of threads provide four points of locking between the VA-LCP plate and the variable angle screw, forming a fixedangle construct at the desired screw angle Screws can be angled anywhere within a 30 cone around the central axis of the plate Combines a dynamic compression hole with a variable angle locking screw hole Provides flexibility of selecting either axial compression or variable angle locking in the same hole horizontally in relation to contact area between bone and plate to of blood supply hole the plate reduce impairment of blood supply Compression in only Plate design with undercuts provides uniform one direction stiffness and improves contourability
3 Designed for Stability Benefits of Variable Angle Locking Four columns of threads provide four points of threaded locking between the plate and screw, offering increased stability Strength Comparison (cantilever bend testing) Mechanical tests show that the 2.4 mm Variable Angle LCP construct provides strength at least equivalent to the Synthes standard 2.4 mm LCP construct. 1 Maximum Force (% of stainless steel LCP) 100% 80% 60% 40% 20% 0% Variable angle locking screws provide the ability to create a fixed-angle construct while also allowing the surgeon the freedom to choose the screw trajectory. A fixed-angle construct provides advantages in osteopenic bone or multi-fragmentary fractures. With Synthes Variable Angle LCP locking screw technology, screw angulation is unlimited within a cone of 30 around the central axis of the plate hole. Variable angle locking enables optimal screw positioning and offers many benefits, allowing the surgeon to: Target fragments with high-quality bone, especially in patients with osteopenic bone Adjust screw direction after bending the plate Position screw precisely to avoid joint penetration Redirect screw position to avoid existing implants, prostheses or independent lag screws Adapt screw position to accommodate varied patient anatomy and capture fracture fragments Synthes LCP (titanium) Synthes Variable Angle LCP (stainless steel) Synthes LCP (stainless steel) Synthes 2.4 mm Variable Angle LCP plating has been shown to be 32-60% stronger than similar competitive variable angle plating systems. 1 Maximum Force (% of stainless steel LCP) 100% 80% 60% 40% 20% 0% Competitor 1 Variable Angle Locking (titanium) Competitor 2 Variable Angle Locking (titanium) Synthes Variable Angle LCP (titanium) Synthes LCP (stainless steel) 1 Mechanical test data on file at Synthes. Cantilever tests performed at nominal angulation using 2.4 mm stainless steel screws. 2.4 mm/2.7 mm Variable Angle LCP Forefoot/Midfoot System Note: Bench test results do not necessarily reflect clinical performance.
4 2.4 mm Variable Angle LCP Two-Column Distal Radius Plate First TMT (Tarsometatarsal) Fusion Plate, 2.4 mm/2.7 mm Variable Angle LCP Forefoot/Midfoot System 2.4 mm Variable Angle LCP Intercarpal Fusion Plate Focus on Simplicity Variable angle locking is achieved without the use of bushings, end caps, additional implants, or multiple technique steps. Other variable angle plating systems require thread-tapping of the plate or insertion of end caps, which increase the number of steps in the clinical procedure. The Synthes platform of Variable Angle LCP plates is based on a common approach to implant design and instrumentation, reducing complexity and ensuring a familiar technique. Locking is facilitated with a simple technique using the Synthes torque limiting attachment (TLA). The TLA serves an important role; it ensures maximal strength of the plate-screw interface and prevents overtightening of the screw.
5 4.5 mm Variable Angle LCP Curved Condylar Plate Variable Angle LCP Locking Technology Variable Angle LCP Hole Four columns of threads in locking hole provide four points of locking between the VA-LCP plate and the variable angle locking screw, forming a fixed-angle construct at the desired screw angle Variable Angle LCP Combi Hole Many of the variable angle plates feature a variable angle Combi hole that combines a dynamic compression hole with a variable angle locking screw hole. This provides the flexibility of selecting either axial compression or variable angle locking in the same hole Variable Angle LCP Elongated Combi Hole Elongated Combi hole aids in reduction and plate positioning, providing more versatility for the surgeon Variable Angle LCP Locking Holes accept: Variable Angle Locking Screws Threaded, spherical screw head profile Rounded shape facilitates various angles in the plate Self-retaining StarDrive recess for improved torque transmission and increased resistance to stripping Locking Screws Threaded conical screw head profile For use in variable angle locking holes in the predefined nominal angle Cortex Screws Can be used for traditional compression and fixation
6 Quality Instruments for Performance Cone-shaped drill guides feature a compact design and allow quick alignment to the plate Locking is facilitated with a simple technique using the Synthes torque limiting attachment (TLA) Compression forceps in the 2.4 mm/2.7 mm Forefoot/ Midfoot System provide a streamlined method of compression Plate reduction wires with stop temporarily hold plate to the bone Reduction forceps in the 2.7 mm/3.5 mm VA-LCP Elbow System aid in reduction
7 Expanded Options Most Synthes Variable Angle LCP plates are available in both stainless steel and titanium alloy. 2.7 mm/3.5 mm Variable Angle LCP Olecranon Plate Low-profile fixation 2.7 mm/3.5 mm Variable Angle LCP Anterior Clavicle Plate Recess for screwheads minimizes screw prominence and creates a low-profile construct Rounded plate profile helps reduce soft tissue irritation 2.7 mm Metaphyseal Screws are an alternative to cortex screws with a low-profile head 2.4 mm/2.7 mm Variable Angle LCP Forefoot/Midfoot System
8 Wide Range of Applications With a portfolio of more than 270 different variable angle plates, Synthes offers solutions for a range of applications: Clavicle Distal humerus Olecranon Volar and dorsal distal radius Hand Distal femur Proximal tibia Foot Variable Angle LCP screws are available in 2.4 mm, 2.7 mm, and 5.0 mm sizes. Quality Manufacturing Synthes manufacturing facilities maintain high standards through modern production methods and high-tech machinery while following environmental, safety and compliance regulations. 2.4 mm Variable Angle LCP Dorsal Distal Radius Plates
9 Synthes USA 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) Synthes, Inc. or its affiliates. All rights reserved. Combi, LCP, LC-DCP and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 7/12 J10765-C
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