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

Transcription

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

24 LPS 4.5 mm/5.5 mm Jones Fracture Screw The workhorse of the foot and ankle reconstruction, the LPS 4.5 mm Cannulated Lag Screw is ideal for fractures and fusions of the lower extremity. With a lower profile head and deeper threads than a traditional AO screw, the LPS 4.5 mm purchases bone better and keeps a lower profile. This is a benefit in the foot and ankle where weight-bearing loads are significant, and soft tissue coverage may be minimal. Low Profile Head - Almost 1 mm shorter than a traditional AO 4.5 mm screw, while still using a 3.5 mm hex Better Pull-out - 25% better than a standard AO 4.5 mm screw Deeper Threads - Using a 1.6 mm guide pin allows the threads to be deeper than a standard AO screw Self-Drilling/Tapping - Speed up the insertion process Small Bone Fixation Metal The 5.5 mm low profile Jones Fracture Screw is designed to provide excellent stability for the stresses found at the base of the 5th metatarsal. Whether used for acute fractures or chronic nonunions, this screw is designed to provide stout IM fixation for healing this difficult sports injury. Increased Shaft Diameter - For greater resistance to the micro-motion that may lead to the nonunions common for this pathology Solid Titanium Design - For greater strength against bending loads Cortical Thread Design - For excellent purchase in the cortical shaft of the 5th metatarsal Bullet Nose Tip - For guidance down the IM canal of the 5th metatarsal Low Profile Head - To minimize soft tissue irritation in this area of minimal coverage and high shoe pressures Improved Instruments - For guidance down IM canal of the 5th metatarsal Complete Set - Housed with the 4.5 and 6.7 mm screws for a complete solution LPS 4.5/5.5/6.7 mm Screw Instrument Set (AR-8946S) includes: (All products listed on the following page are included in AR-8946S) 4.5 mm/5.5 mm Screw System Screws and Washer: Cannulated Lag Screws, 4.5 mm x mm (partially threaded) Low Profile Screws, 4.5 mm x mm (fully threaded) Solid Lag Screws, 5.5 mm x mm Washer, 10 mm 4.5 mm Instruments: Cannulated Depth Device, 3/4.5 mm Driver, 3.5 mm Hex, Cannulated (Mini Hudson) Cannulated Drill Bit, 3 mm (Mini Hudson) Cannulated Drill Bit, 4.5 mm (Mini Hudson) Countersink (Mini Hudson) Fixed Handle Cannulated Countersink, 4.5 mm Drill Guide, 3.4/4.5 mm (Trim-It) Depth Device, large Tap, cannulated, 4.5 mm (Mini Hudson) Guidewire,.062, 1.6 mm 5.5 mm Instruments: Pin Tip Drill, 4 mm Pin Tip Drill, 5.5 mm Bone Tap, 5.5 mm Hex Driver, solid, 3.5 mm hex Hex Driver, cannulated, 3.5 mm hex Drill Bit, cannulated, 4 mm Drill Bit, cannulated, 5.5 mm Drill Guide, 1.6 mm/4 mm Guidewire,.062, 1.6 mm AR PT to 80PT AR FT to 80FT AR PT to 65PT AR-8945W AR-8944DG AR-8967D AR C AR C AR-8945CS AR-8945CSF AR-4164G AR-4167 AR-8945TC AR-8941K AR PD AR PD AR-8955T AR-8955D AR-8967D AR-8955C-40PD AR-8955C-55PD AR-8955G AR-8941K* Pull-out Strength Comparison* Arthrex, 4.5 mm LPS Screw 4.5 mm AO Screw Newtons Jones Fracture Screw *data on file 4.5 mm x 38 mm Partially Threaded 4.5 mm x 38 mm Fully Threaded 5.5 mm x 60 mm Partially Threaded 19 Midfoot Plating System Technique *should accompany set, order separately LT0432

25 LPS 6.7 mm Cannulated Lag Screw Working closely with a team of top foot and ankle surgeons, Arthrex reduced the head profile by 1 mm and increased the thread purchase, providing a superior bite. This increased pull-out by 30% in comparison to a standard AO screw. This makes the screw ideal for the high demand, low coverage applications in the foot. The 6.7 mm screws are available with 4.5 and 5.5 mm screws in a comprehensive set that includes a subtalar/ ankle targeting guide for improved accuracy. A limited set of Medial Calcaneal Osteotomy appropriate lengths (40-60 mm) of 6.7 mm LPS Screws is also available in a tandem tray with the Tenodesis System as a complete solution for flatfoot reconstruction. Low Profile Head - 1 mm shorter than a traditional AO 6.5 mm screw, while still using a 3.5 mm hex Better Pull-out - 30% better than a standard AO 6.5 mm screw Deeper Threads - Using a 2.4 mm guide pin allows the threads to be deeper than a standard AO screw Longer Threads -18 mm and 28 mm thread lengths are designed specifically for the foot/ankle Self-Drilling/Tapping - Speed up the insertion process Assisted Targeting - Parallel and C-Ring Pin Guides enable quick and accurate placement LPS 4.5/5.5/6.7 mm Screw Instrument Set (AR-8946S) includes: (All products listed on previous page are included in AR-8946S) 6.7 mm Screw System Screws and Washer: Cannulated Lag Screws, 6.7 mm x mm 18 mm thread length AR Cannulated Lag Screws, 6.7 mm x mm 28 mm thread length AR mm Low Profile Screw System Tenodesis Module AR-8967S Washer, 13 mm AR-8967W 6.7 mm Instruments: Parallel Pin Guide, adjustable C-Ring Pin Guide Cannulated Depth Device, 6.7 mm Drill Guide, 4 mm/6.7 mm Drill Bit, 4 mm, cannulated Drill Bit, 6.7 mm, cannulated Hudson Adapter Cannulated Countersink, 4.5 mm/6.7 Fixed Handle Cannulated Countersink, 6.7 mm Cannulated Tap, 6.7 mm Driver, 3.5 mm Hex, cannulated Ratcheting Screwdriver Handle Depth Device, large Tear Drop Handle Low Profile Screw System Instrumentation Case Guidewire w/trocar Tip,.094 Guidewire w/trocar Tip, nonthreaded, 12, qty. 6 Guidewire w/trocar Tip, threaded, 12, qty. 6 Guidewire w/trocar Tip, threaded, 8, qty. 6 AR-8967PG AR-8967CG AR-8967DG AR-8967G AR C AR C AR-1416 AR-8945CS AR-8967CSF AR-8967TC AR-8967D AR-1999 AR-4167 AR-2001 AR-8946C AR-8967K* AR-8967K-12* AR-8967KT-12* AR-8967KT* 6.7 mm LPS Screw (18 mm thread) 6.7 mm LPS Screw (28 mm thread) Pull-out Strength Comparison* Arthrex 6.7 mm 2.3 mm core-to-thread differential Small Bone Fixation Metal 6.7 mm Low Profile Screw System LT *should accompany set, order separately Newtons Arthrex, 6.7 mm LPS Screw mm AO Screw AR-8946S 0 *data on file 20

26 Bone Graft Harvester The new Bone Graft Harvester is a complete set for obtaining bone graft for all types of fusions and osteotomies. The reusable Cannulated Coring Reamers and the variety of sizes make it simple and straightforward to secure bone graft from any potential area. Included in the set are 6 mm, 8 mm, 10 mm, (12 mm is optional) reamers with Collard Pins. Bone Graft Harvester Set (AR-8900BGS) includes: Collard Pin, 6 mm Cannulated Coring Reamer, 6 mm Collard Pin, 8 mm Cannulated Coring Reamer, 8 mm Collard Pin, 10 mm Cannulated Coring Reamer, 10 mm Reamer Handle and Pin Puller Chuck Key Optional: Collard Pin, 12 mm Cannulated Coring Reamer, 12 mm AR-8900CP AR-8900CR AR-8901CP AR-8901CR AR-8902CP AR-8902CR AR-1415 AR-8241 AR-8903CP AR-8903CR Reamer Handle and Chuck Key Small Bone Fixation Metal Cannulated Coring Reamers Collard Pins Bone Graft Harvester Case 21

27 QuickFix Small Staple System The QuickFix Small Staple and Plaple Systems enable the surgeon to perform a wedge osteotomy of the first phalanx (Akin or Moberg) quickly and efficiently. Both implants are made of stainless steel and provide excellent fixation and strength while remaining low profile. The ergonomically designed instrument sets can be purchased separately or combined. The Holder/Impactor is unique in that it allows the surgeon to easily grab the implants out of the tray, place into the pilot hole(s), and impact into the bone with one piece of instrumentation. The QuickFix staples are designed with 10.5 mm barbed legs, are 1 mm in diameter and 8 and 10 mm wide. Implants are ordered separately. Small Staple Implants & Disposables: Small Staple, 8 mm x 10.5 mm leg length AR-8708 Small Staple, 10 mm x 10.5 mm leg length AR-8710 Guidewire, 1.2 mm AR-8005K Guidewire, 1 mm AR-8708K QuickFix Small Staple System (AR-8708S) includes: Drill Guide for Small Staple AR-8708G Impactor for Small Staple AR-8708H Tamp for Small Staple AR-8708T QuickFix Small Staple Instrument Case AR-8708C QuickFix Small Staple Tamp QuickFix Holder/Impactor QuickFix Staple System Surgical Technique LT0449 QuickFix Small Staple System Plaple System The Plaple comes in 12,15 and 20 mm bridge lengths and accommodates a 2.3 mm stainless steel cortical screw. Screws range in lengths from 8 24 mm in 2 mm increments. Metaphyseal fixation is readily achieved with the staple leg, whereas the stainless steel 2.3 mm screw provides unicortical or bicortical fixation of the adjacent diaphyseal bone. Designed for ease of use, instrumentation has been developed to be simple and straightforward, providing the surgeon the flexibility they need in an OR setting. The Plaple Set includes the case and instrumentation for both the Plaple and QuickFix Staple. Implants are ordered separately. Plaple Instrument Set (AR-8714S) includes: Drill Guide Mini Depth Guide Screwdriver with Handle, 1.5 mm Hex Bone Reduction Forceps Impactor for Plaple Impactor for Small Staple Tamp for Small Staple Drill Guide for Small Staple Drill Bit, 1.7 mm Drill Bit, 2 mm Plaple Instrument Case AR-13220DG AR-13120G-2 AR-8714D AR-4160FT AR-8714H AR-8708H AR-8708T AR-8708G AR D AR AR-8714C Implants & Disposables: Plaple, 12 mm Plaple, 15 mm Plaple, 20 mm LPS Screw, SS, 2.3 mm x 8 mm LPS Screw, SS, 2.3 mm x 10 mm LPS Screw, SS, 2.3 mm x 12 mm LPS Screw, SS, 2.3 mm x 14 mm LPS Screw, SS, 2.3 mm x 16 mm LPS Screw, SS, 2.3 mm x 18 mm LPS Screw, SS, 2.3 mm x 20 mm LPS Screw, SS, 2.3 mm x 22 mm LPS Screw, SS, 2.3 mm x 24 mm Small Staple, 8 mm x 10.5 mm leg length Small Staple, 10 mm x 10.5 mm leg length Guidewire, 1.2 mm Guidewire, 1 mm AR-8714 AR-8715 AR-8716 AR AR AR AR AR AR AR AR AR AR-8708 AR-8710 AR-8005K AR-8708K Plaple Implant Caddy (fits inside Plaple Instrument Case AR-8714C) Small Bone Fixation Metal AR-8714S includes all QuickFix Staple Instrumentation Plaple-Akin Surgical Technique LTO484 Plaple Instrument Set 22

28 Compression Staple The Compression Staple is the first cannulated compression staple system on the market, facilitating quick, easy, and accurate staple placement with less soft tissue disruption. The system includes graduated guidewires for ensuring appropriate leg length, cannulated drills for predrilling (if required), and a low profile staple bridge for minimal soft tissue irritation. The comprehensive instrument set is ergonomically designed and is easy to use. Cannulation - From predrills to graduated guidewires, this easy-to-use system offers a less cumbersome technique without the need for a positioning jig or complicated instrumentation Compression - Strong compression between bone fragments; final compressed staple bridge is less than 12 mm, enabling multiple staples to be placed at one site if needed Bending Stiffness to 3 times the bending stiffness of the Charlotte Compression Staple* Pull-out Strength - Two times the pull-out strength of the Charlotte Compression Staple* with the 2 and 3 mm predrills Staple Options - Five different staple sizes with leg lengths of 10, 15, and 20 mm and interaxis distances of 10, 15, and 20 mm Small Bone Fixation Metal Staple 10I x 10L Compression Staple 10I x 15L Compression Staple 15I x 10L Compression Staple 15I x 15L Compression Staple 20I x 20L Compression Staple Compression Staple Instrument Set (AR-8003S) includes: 10I Tamp, Compression Staple 15I Tamp, Compression Staple 20I Tamp, Compression Staple Cannulated Drill Bit, 2 mm Cannulated Drill Bit, 3 mm Screw Holding Forceps Guidewire, threaded, 1.2 mm x 70 mm Distractor, Compression Staple Compression Staple Template Compression Staple Instrument Case Compression Staple Surgical Technique *data on file **should accompany set, order separately Compression Tamp AR AR AR AR AR AR-8003T AR-8004T AR-8005T AR-8005D-20 AR-8005D-30 AR-8941F AR-8005K** AR-8005D AR-8003G AR-8003C LT0480 Compression Staple Instrument Set 23

29 ProStop and ProStop Plus The ProStop Arthroereisis Subtalar Implant is intended to assist in treating the hyperpronated foot by stabilizing the subtalar joint. It is intended to block forward, downward, and medial displacement of the talus, thereby limiting excessive eversion of the hindfoot. The ProStop subtalar implant is also designed to be used as an adjunct in conjunction with other corrective procedures, including posterior tibial tendon reconstruction, FDL tendon transfers and the medial displacement calcaneal osteotomy. Using a small incision and blunt guidewire, the ProStop is inserted into the tarsal canal, between the calcaneus and talus. The conical shape of the ProStop mimics tarsal canal anatomy for improved fit and resistance to implant migration, while the soft thread design supports better implant to bone contact. The color-coded and laser marked instrumentation is easy to use and comes with trial sizers on their own shaft. The concave back end offers the surgeon easier access with a guidewire in the event the implant requires removal. Implants are available in titanium and PLLA materials. ProStop Instrumentation Set (AR-4200S) includes: ProStop Arthroereisis Instrumentation Case ProStop Arthroereisis Driver, 3.5 mm Tear Drop Handle ProStop Arthroereisis Guide Pin, 2 mm, qty. 2 ProStop Starter Dilator, 4.75 mm ProStop Arthroereisis Sizer, 7 mm ProStop Arthroereisis Sizer, 8 mm ProStop Arthroereisis Sizer, 9 mm ProStop Arthroereisis Sizer, 10 mm ProStop Arthroereisis Sizer, 11 mm ProStop Arthroereisis Sizer, 12 mm ProStop Arthroereisis Extraction Tamp ProStop Plus Instrumentation Set (AR-4200SB) includes: ProStop Plus Set ProStop Plus Tray ProStop Plus T15 Hexalobe Driver, 14 mm ProStop Plus T15 Hexalobe Driver, 16 mm ProStop Starter Dilator, 4.75 mm ProStop Plus Guide Pin,.054 AR-4200C AR-4201 AR-2001 AR-4202 AR-4203D AR AR AR AR AR AR AR-4205 AR-4200SB AR-4200CB AR-4201DB-14 AR-4201DB-16 AR-4203D AR-4206 Small Bone Arthroereisis Implants: ProStop Arthroereisis Implant, 7 mm x 12 mm ProStop Arthroereisis Implant, 8 mm x 14 mm ProStop Arthroereisis Implant, 9 mm x 14 mm ProStop Arthroereisis Implant, 10 mm x 14 mm ProStop Arthroereisis Implant, 11 mm x 16 mm ProStop Arthroereisis Implant, 12 mm x 16 mm ProStop Plus Arthroereisis Implant, 8 mm x 14 mm ProStop Plus Arthroereisis Implant, 9 mm x 14 mm ProStop Plus Arthroereisis Implant, 10 mm x 14 mm ProStop Plus Arthroereisis Implant, 11 mm x 16 mm ProStop Plus Arthroereisis Implant, 12 mm x 16 mm AR AR AR AR AR AR AR-4208B-14 AR-4209B-14 AR-4210B-14 AR-4211B-16 AR-4212B-16 ProStop ProStop Plus Accessories: ProStop Dilator, 8 mm ProStop Dilator, 9 mm ProStop Dilator, 10 mm ProStop Dilator, 11 mm ProStop Dilator, 12 mm AR-4203D-08 AR-4203D-09 AR-4203D-10 AR-4203D-11 AR-4203D-12 Multimedia: ProStop Correction of Posterior Tibial Tendon Dysfunction DVD-1091 ProStop for Correction of Posterior Tibial Tendon Dysfunction Brochure LB

30 Trim-It Screw System Sets Trim-It Osteotomy Screw Fixation Disposables Kit (AR-4161DS) includes: Trim-It Fixation Screw, 2.7 mm x 30 mm Drill Bit, 2 mm, pin tip Trim-It Instrumentation Master Set (AR-4160S) includes: Small Bone Fixation Bioabsorbable Trim-It Instrumentation Set, Common: Small Handle w/ao Connection Cannulated AO Adapter Bone Reduction Forceps with Teeth Depth Gauge, Small Trim-It Screw 2.7 mm, 3.5 mm and 4.5 mm Instrument Tray Tear Drop Handle with AO connection Trim-It 2.7 mm Instrumentation (AR-4161S-2): Drill Bit, 2 mm Drill Bit, 2.7 mm Countersink, 2.7 mm Driver Shaft, 2.7 mm Drill Guide, 2 mm/2.7 mm Screw Cutting Guide, 2.7 mm Bone Tap, 2.7 mm Trim-It 3.5 mm Instrumentation (AR-4162S): Drill Bit, 2.6 mm Drill Bit, 3.5 mm Countersink, 3.5 mm Driver Shaft, 3.5 mm Drill Guide, 2.6 mm/3.5 mm Screw Cutting Guide, 3.5 mm Bone Tap, 3.5 mm Trim-It 4 mm Instrumentation (AR-4163S): Drill Bit, 2.4 mm Drill Bit, 4 mm Countersink, 4 mm Driver Shaft, 4 mm Drill Guide, 2.4 mm/4 mm Screw Cutting Guide, 4 mm Bone Tap, 4 mm Trim-It 4.5 mm Instrumentation (AR-4164S): Drill Bit, 3.4 mm Drill Bit, 4.5 mm Countersink, 4.5 mm Driver Shaft, 4.5 mm Drill Guide, 3.4 mm/4.5 mm Screw Cutting Guide, 4.5 mm Bone Tap, 4.5 mm Cannulated Depth Gauge Disposable: Guide Wire,.045 AR-2001AOT AR-4160AOC AR-4160FT AR-4166 AR-4160C AR-2001AO AR AR AR-4161 AR-4161DB AR-4161G AR-4161J AR-4161TB AR AR AR-4162 AR-4162DB AR-4162G AR-4162J AR-4162TB AR AR AR-4163 AR-4163DB AR-4163G AR-4163J AR-4163TB AR AR AR-4164 AR-4164DB AR-4164G AR-4164J AR-4164TB AR-4168 AR-8933K Medializing Calcaneal Osteotomy with 4.5 mm Trim-It Screw 2.7, 3.5, 4 and 4.5 mm Trim-It Screw System Set with Instrumentation Cases Accessories: Hot Loop Cutter, sterile, single use Bone Cutting Forceps AR-4160HC AR-1367F Consider These Surgical Procedures: Medializing Calcaneal Osteotomy Achilles Reattachment 25

31 Trim-It Screw System The Trim-It Screws are bioabsorbable PLLA screws that can be intraoperatively trimmed to length, facilitating improved surgical accuracy. The Trim-It Instrumentation Sets include the necessary instruments needed to drill, measure depth, tap and properly cut-to-size and retaper the tip of the 2.7 mm, 3.5 mm, 4 mm and 4.5 mm Trim-It screws. The surgical technique follows standard fixation principles. Implants: Trim-It Fixation Screw, 2.7 mm x 30 mm AR-4161B Trim-It Fixation Screw, 3.5 mm x 40 mm AR-4162B Trim-It Fixation Screw, 4 mm x 50 mm AR-4163B Trim-It Fixation Screw, 4.5 mm x 60 mm, cannulated AR-4164B 1.1 mm K-wire AR-8933K Actual Sizes Trim-It Osteotomy Screw Fixation Disposables Kit (AR-4161DS) includes: Trim-It Fixation Screw, 2.7 mm x 30 mm Drill Bit, 2 mm, pin tip K-wire, 1.5 mm Accessories: Hot Loop Cutter Trim-It Cutter Trim-It Screw System Brochure Trim-It Screw Sell Sheet Consider These Surgical Procedures: Hallux Valgus Correction Midfoot Reconstruction Metatarsal Fusions Ankle Fractures Osteochondral Fixation AR-4160HC AR-4170 LB0435 LS0417 Trim-It Cutter Screw Cutting Guide Small Bone Fixation Bioabsorbable Lisfranc Syndesmosis Proximal Closing Wedge 26

32 Trim-It Spin Pin PIPJ Arthrodesis Fixation The Trim-It Spin Pin offers the surgeon the advantage of exact sizing of PIPJ implants every time, without leaving pin material across the DIPJ or countersinking. The PLLA Trim-It Spin Pin takes the guesswork out of pin placement for PIP joint fusions. The Trim-It Spin Pin s laser marked metal trocar tip acts as a drill and measuring device, providing for an exact fit of the bioabsorbable implant. Advantages: Exact sizing every time Distal pin migration minimized due to mobile DIP joint Enables anatomic positioning of the toe after implantation ( flexed toe fusion ) Superior shear strength vs. other absorbable pins Indication: Arthroplasty fusion of the phalanges and metacarpals Small Bone Fixation Bioabsorbable Trim-It Spin Pin (AR-4156DS) includes: 2.0 mm x 100 mm implant Disposable Ruler Trim-It Spin Pin Instrument Set (AR-4156S) includes: Bone Cutting Forceps K-wire for Trim-It Spin Pin, qty. 2 Tamp Mosquito Forceps Trim-It Spin Pin Instrumentation Case Multimedia: Hammertoe PIP Joint Arthrodesis by Gerard Bourke, M.D. Forefoot Surgical Techniques using the Mini TightRope and PIP Arthrodesis by Gerard Bourke, M.D.; J. Chris Coetzee, M.D.; Kris DiNucci, D.P.M; George B. Holmes, Jr., M.D. Comprehensive Foot & Ankle Repair Surgical Techniques by J. Chris Coetzee, M.D. Trim-It Spin Pin Surgical Technqiue DVD-1098 DVD-1102 DVD-1103 LT0459 Standard Fusion Flexed Toe Fusion Trim-It Spin Pin Instrument Set 27

33 Bunion Repair Trim-It Drill Pin Osteotomy Fixation Kit Pin placement made easier! By using a standard quick-connect pin driver, the surgeon can now drill and place the pin in one step. The bioabsorbable portion of the pin is seated in the pin driver during the drilling phase. The metal tip (2 mm) is drilled past the far cortex and cut off with the Bone Cutting Forceps or Hot Loop Cutter. In cases of extra hard bone stock, or if using the 1.5 mm Trim-It Drill Pin, a metal predrill pin K-wire is used to create a pilot hole. Once the pin placement is complete, countersink below the skin and bone surface. Advantages: Enables anatomic positioning of toe after implantation ( flexed toe fusion ) Superior shear strength compared to other absorbable pins* Quick and easy placement techniques 1.5 mm pin seats in any standard wire driver (accepting inches) 2 mm pin seats in any standard pin driver (accepting inches) Bioabsorbable Advantages: Radiolucency No need for removal Closer to the elastic modulus of bone 2 mm Pin with Metal Tip 1.5 mm Pin Trim-It Drill Pin Disposables Kit (AR-4152DS) includes: 2 mm x 100 mm absorbable pin with metal tip K-wire Manual Insertion Instruments: Guide Sleeve and Bone Tamp Single Implant (sold without kit): Trim-It Drill Pin Trim-It Drill Pin Disposables Kit (AR-4151DS) includes: 1.5 mm x 100 mm absorbable pin without metal tip K-wire Manual Insertion Instruments: Guide Sleeve and Bone Tamp AR-4152B Small Bone Fixation Bioabsorbable PIP Arthroplasty Accessories: Hot Loop Cutter, sterile Bone Cutting Forceps Trim-It Cutter Multimedia: Surgical Techniques for use with 2 mm Trim-It Drill Pin by Luke Cicchinelli, D.P.M. Forefoot Surgical Techniques using the Mini TightRope and PIP Arthrodesis by Gerard Bourke, M.D.; J. Chris Coetzee, M.D.; Kris DiNucci, D.P.M.; and George B. Holmes, Jr., M.D. Trim-It Drill Pin Surgical Technique Trim-It Drill Pin Sell Sheet Manual Insertion Instruments Bone Tamp AR-4160HC AR-1367F AR-4170 DVD-1083 DVD-1102 LB0440 LS0441 Consider These Surgical Procedures: Bunionectomy Proximal Interphalangeal Resection/Arthroplasty Fixation of Chondral Fragments Metatarsal Fusions Guide Sleeve *data on file 28

34 3 mm/3.5 mm Bio-Compression Screw For fracture and osteotomy fixation in periarticular applications, this screw offers interfragmentary compression and a headless profile to promote healing. Produced from solid enhanced PLLA and designed for excellent thread-to-bone contact, the Bio-Compression Screw provides excellent strength during insertion and healing. Eliminates - Metal screw removal, screw head impingement, imaging scatter Self-compressing - Using a stepped thread pitch and a taper, this screw draws two fragments together without the need to overdrill/lag the proximal piece Headless & Absorbable - With zero prominence above the cortex and zero image on x-ray, this is as close to a natural repair as possible Straightforward Instrumentation - A simple low cost set ensures proper drill depth and tapping with no guesswork Fixation of small bone fragments - Femoral condyle, patella, talus, metatarsals, radial head, navicular, and metacarpals Consider These Surgical Procedures: Metatarsal Osteotomies OCD of the Knee and Talus Scaphoid Fractures Phalangeal and Carpal Fusions Radial Head Fractures Small Bone Fixation Bioabsorbable 3 mm Bio-Compression Screw Instrumentation Set (AR-5025S) includes: Bio-Compression Screw Driver, noncannulated AR-5025DB Small Handle w/ao Connection AR-2001AOT Bio-Compression Screw Dilator Tap, 20 mm AR-5025TB Bio-Compression Screw Driver Guide, 20 mm AR-5025G Bio-Compression Screw Drill Bit, 20 mm AR-5025TD Bio-Compression Cannulated Dilator Tap, 16 mm AR-5025TBC-16 Bio-Compression Cannulated Dilator Tap, 18 mm AR-5025TBC-18 Bio-Compression Cannulated Dilator Tap, 20 mm AR-5025TBC Bio-Compression Cannulated Dilator Tap, 22 mm AR-5025TBC-22 Bio-Compression Cannulated Dilator Tap, 24 mm AR-5025TBC-24 Bio-Compression Cannulated Dilator Tap, 26 mm AR-5025TBC-26 Bio-Compression Screw Cannulated Drill Bit, 16 mm AR-5025TDC-16 Bio-Compression Screw Cannulated Drill Bit, 18 mm AR-5025TDC-18 Bio-Compression Screw Cannulated Drill Bit, 20 mm AR-5025TDC Bio-Compression Screw Cannulated Drill Bit, 22 mm AR-5025TDC-22 Bio-Compression Screw Cannulated Drill Bit, 24 mm AR-5025TDC-24 Bio-Compression Screw Cannulated Drill Bit, 26 mm AR-5025TDC-26 Bone Reduction Forceps AR-4160FT Cannulated Depth Device AR-5025DG Guidewire w/trocar Tip,.045 AR-5025K Bio-Compression Screw Instrumentation Case AR-5025C Implants: Bio-Compression Screw, mm x 16 mm Bio-Compression Screw, mm x 18 mm Bio-Compression Screw, mm x 20 mm Bio-Compression Screw, mm x 22 mm Bio-Compression Screw, mm x 24 mm Bio-Compression Screw, mm x 26 mm Bio-Compression Screws, mm x 16 mm 26 mm AR-5025B-16 AR-5025B-18 AR-5025B-20 AR-5025B-22 AR-5025B-24 AR-5025B mm Bio-Compression Screw Instrumentation Set (AR-5026S) includes: Bio-Compression Screw (Hexalobe) Driver, cannulated AR-5026DB Small Handle w/ao Connection AR-13221AOC Cannulated Depth Device AR-5025DG Bio-Compression Screw Driver Guide, C-Ring, 20 mm AR-5026G Bio-Compression Dilator Tap, 16 mm AR-5026TBC-16 Bio-Compression Dilator Tap, 18 mm AR-5026TBC-18 Bio-Compression Dilator Tap, 20 mm AR-5026TBC-20 Bio-Compression Dilator Tap, 22 mm AR-5026TBC-22 Bio-Compression Dilator Tap, 24 mm AR-5026TBC-24 Bio-Compression Dilator Tap, 26 mm AR-5026TBC-26 Bio-Compression Dilator Tap, 28 mm AR-5026TBC-28 Bio-Compression Dilator Tap, 30 mm AR-5026TBC-30 Bio-Compression Dilator Tap, 32 mm AR-5026TBC-32 Bio-Compression Screws mm 5.2 mm Bio-Compression Screw Tapered Drill Bit, 16 mm AR-5026TDC-16 Bio-Compression Screw Tapered Drill Bit, 18 mm AR-5026TDC-18 Bio-Compression Screw Tapered Drill Bit, 20 mm AR-5026TDC-20 Bio-Compression Screw Tapered Drill Bit, 22 mm AR-5026TDC-22 Bio-Compression Screw Tapered Drill Bit, 24 mm AR-5026TDC-24 Bio-Compression Screw Tapered Drill Bit, 26 mm AR-5026TDC-26 Bio-Compression Screw Tapered Drill Bit, 28 mm AR-5026TDC-28 Bio-Compression Screw Tapered Drill Bit, 30 mm AR-5026TDC-30 Bio-Compression Screw Tapered Drill Bit, 32 mm AR-5026TDC-32 Bone Reduction Forceps w/ Teeth AR-4160FT Bio-Compression Screw Instrumentation Case AR-5026C Implants: Bio-Compression Screw, mm x 16 mm AR-5026B-16 Bio-Compression Screw, mm x 18 mm AR-5026B-18 Bio-Compression Screw, mm x 20 mm AR-5026B-20 Bio-Compression Screw, mm x 22 mm AR-5026B-22 Bio-Compression Screw, mm x 24 mm AR-5026B-24 Bio-Compression Screw, mm x 26 mm AR-5026B-26 Bio-Compression Screw, mm x 28 mm AR-5026B-28 Bio-Compression Screw, mm x 30 mm AR-5026B-30 Bio-Compression Screw, mm x 32 mm AR-5026B-32 Disposables: (may be used with both sets) Hot Loop Cutter AR-4160HC Guidewire w/trocar Tip,.045 AR-5025K Bio-Compression Screw Brochure LB0436 Bio-Compression Screw Surgical Technique LT0436 Dilator Tap Noncannulated Driver Drill Guide (cannula) Cannulated Driver 29 Tapered Drill Bit w/handle

35 2.5 mm PushLock Knotless Suture Anchor The 2.5 mm PushLock Suture Anchor provides a secure means of knotless fixation in foot and ankle applications. Accommodating two strands of either size 0 or 2-0 FiberWire, this two-piece anchor enables a no-profile repair that is quick and straightforward. The 2.5 mm PushLock uses a PEEK eyelet to place the sutures at the bottom of a drill hole, allowing the surgeon to tension precisely by hand and lock the sutures in place by impacting the tak portion of the anchor. Both the high strength radiolucent PEEK and the absorbable PLLA 2.5 mm PushLock optimize tissue tension and fixation without knot tying. Actual Sizes PushLock Implants: Bio-PushLock, 2.5 mm PEEK PushLock, 2.5 mm AR-8825B AR-8825P PushLock Instrumentation: Mini SutureTak Disposables Kit AR-1322DSC (Disposable Punch for soft bone, 1.8 mm and 2 mm drills for harder bone, drill guide) 2-0 FiberWire, 18 inches w/tapered Needle 17.9 mm 3/8 circle AR FiberWire, 38 inches w/tapered Needle 22.2 mm 1/2 circle AR mm PushLock Knotless Anchor Surgical Technique LT0475 Soft Tissue Fixation Consider These Surgical Procedures: MPJ Capsular Reattachment Peroneal Retinacular Repair Brostrom Ligament Repair 30

36 Small Joint Bio-Corkscrew FT This fully threaded anchor provides excellent holding power with purchase through the cortical and into the cancellous bone of the calcaneus and tarsal bones. The Bio-Corkscrew FT also minimizes suture abrasion with the recessed suture eyelet for the two strands of #1 FiberWire preloaded into the anchor. Fully Threaded for Improved Pull-out Strength - Full length bone purchase provides extra security Preloaded with Two Needles and FiberWire - Providing excellent strength in a smaller size, this nonabsorbable, braided polyblend suture is preloaded for convenience Simple Instrumentation - While a tap may be used in hard bone, the Bio-Corkscrew Punch is usually sufficient for preparing the bone. A shorter inserter handle is designed specifically for use in the foot and ankle. Proven Material - The Bio-Corkscrew is manufactured from bioabsorbable PLDLA amorphous copolymer Actual Size Small Joint Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm w/two #1 FiberWire, one #1 TigerWire and two Diamond Point Needles, 26.2 mm 1/2 circle AR-8927BNF Soft Tissue Fixation Required Instrumentation: Bio-Corkscrew Punch, 5 mm AR-1920PB Bio-Corkscrew Cutting Punch, 5 mm AR-1920CPB Cutting Tap for Bio-Corkscrew FT AR-1927CTB 5 mm Cutting Punch 5 mm Cutting Tap 5.5 Suture Anchor Fully-seated Anchor 3.7 mm Small Joint Bio-Corkscrew Suture Anchor This bioabsorbable soft tissue anchor maximizes pull-out strength in softer cancellous and osteopenic bone. The Bio-Corkscrew virtually eliminates suture abrasion with its suture eyelet, which is also large enough to be reloaded with four #2 sutures if desired. Cancellous Thread for Improved Pull-out Strength - Deep cancellous threads provide security in soft bone Preloaded with Two Needles and FiberWire - Providing excellent strength in a smaller size, this nonabsorbable, braided polyblend suture is preloaded for convenience Simple Instrumentation - While a tap may be used in hard bone, the Bio-Corkscrew Punch is usually sufficient for preparing the bone. A shorter inserter handle is designed specifically for use in the foot and ankle. Proven Material - The Bio-Corkscrew is manufactured from bioabsorbable PLDLA amorphous copolymer Actual Size Small Joint Bio-Corkscrew Suture Anchor, 3.7 mm x 17.9 mm w/0 FiberWire and two Diamond Point Needles, 22.2 mm 1/2 circle AR-1923BNF Bio-Corkscrew Punch/Tap Combo, 3.7 mm AR-1920PTB-37 Consider These Surgical Procedures: Peroneal Retinacular Repair Brostrom Ligament Repair Achilles Tendon Repair Tendon Transfers First MTPJ Capsular Reattachment Kidner Haglund s 31

37 BioComposite SutureTak and Bio-SutureTak Micro, Mini and Small Joint This family of unique push-in suture anchors allows for a straightforward insertion and a flexible nonabrading suture eyelet. Predrill, tap the anchor into place and secure the soft tissues with the preloaded FiberWire with needles. With less damage to the cortex than competitive barbed anchors, and forgiving suture-on-suture eyelet interface, the SutureTak family provides clear advantages. Excellent Cortical Purchase - With ridges along their entire length, these anchors provide superior pull-out in harder cortical bone Minimized Suture Abrasion - The suture-on-suture eyelet interface avoids the type of wear that can occur between an anchor and suture Preloaded with Two Needles and FiberWire - Providing excellent strength in a smaller size, this nonabsorbable, braided polyblend suture is preloaded for convenience Straightforward Technique - Simple, shorter instrumentation and technique create a reliable and quick procedure Proven Material - The Bio-SutureTak is manufactured from bioabsorbable PLDLA amorphous copolymer. The BioComposite SutureTak is manufactured from PLDLA and ß-TCP (Beta tricalcium phosphate). Micro SutureTak: 2.4 mm x 6.5 mm (includes 1.5 mm suture eyelet) w/2-0 FiberWire and two Tapered Needles, 17.9 mm 3/8 circle Micro Bio-SutureTak w/needles Micro BioComposite SutureTak w/needles Micro SutureTak Disposables Kit Mini SutureTak: 2.4 mm x 8.5 mm (includes 1.5 mm suture eyelet) w/ 2-0 FiberWire and two Tapered Needles, 17.9 mm 3/8 circle Mini Bio-SutureTak w/needles Mini BioComposite SutureTak w/needles Mini SutureTak Disposables Kit AR-1320BNF AR-1320BCNF AR-1320DSC AR-1322BNF AR-1322BCNF AR-1322DSC Brostrom Repair Medial Capsulorrhaphy Hallus Valgus Bio-SutureTak Disposables Kit Soft Tissue Fixation Small Joint SutureTak: 3 mm x 14 mm (includes 1.5 mm suture eyelet) w/#1 FiberWire and two Cutting Needles, 26.2mm 1/2 circle Small Joint Bio-SutureTak w/needles Small Joint BioComposite SutureTak w/needles Small Joint SutureTak Disposables Kit Short Spear (for Bio-FASTak and Bio-SutureTak) Short Spade Tip Drill AR-8934BNF AR-8934BCNF AR-8934DSC AR-1326G AR-1256 Actual Size of Micro 2.4 mm BioComposite SutureTak Consider These Surgical Procedures: Actual Size of Mini 2.4 mm BioComposite SutureTak MPJ Capsular Reattachment Brostrom Ligament Repair Peroneal Retinacular Repair Actual Size of Small Joint 3 mm BioComposite SutureTak Mini BioComposite SutureTak 32

38 Micro, Mini, and 3.5 mm Corkscrew FT The Micro, Mini, and 3.5 mm Corkscrew FT Suture Anchors are designed with a fully threaded length to create maximum cortical purchase in smaller bones. Using an internal drive mechanism and suture eyelet, these titanium anchors enable surgeons to secure threads in the best bone - the cortex. Fully Threaded - For maximum cortical purchase Convenient - Predrill the cortex with included K-wire and insert the anchor Preloaded with 2-0 FiberWire - For superior strength and handling ease Preloaded with Smaller Tapered Needles - To save surgical time Micro Corkscrew FT Suture Anchor, 2.2 mm x 4 mm w/2-0 FiberWire and two tapered needles 17.9 mm 3/8 circle w/k-wire AR-1318FT Mini Corkscrew FT Suture Anchor, 2.7 mm x 7 mm w/2-0 FiberWire and two tapered needles 17.9 mm 3/8 circle w/k-wire AR-1319FT Soft Tissue Fixation 3.5mm Corkscrew FT Suture Anchor, 3.5 mm x 10 mm w/#1 FiberWire and two tapered needles 26.5 mm 1/2 circle w/k-wire for hard bone (anchor is self-drilling/tapping) AR-1915FT 3.5 mm Corkscrew FT Micro Corkscrew FT, 2.2 mm x 4 mm Mini Corkscrew FT, 2.7 mm x 7 mm Pull-out Strength Comparison* Arthrex Micro FT Mitek Micro QA mm Corkscrew FT, 3.5 mm x 10 mm Arthrex Mini FT Newtons 50 Mitek Mini QA 0 Micro Mini *data on file 33

39 Titanium Small Joint Corkscrew Suture Anchor Designed for maximum purchase and holding power in softer cancellous bone, the Small Joint Corkscrew offers a small inner diameter and large cancellous thread design. These self-drilling anchors start easy and hold strong in the calcaneus and tarsal bones for a variety of soft tissue repairs. Cancellous Thread for Improved Pull-out Strength - Deep cancellous threads provide security in soft bone and provide a path for removal if needed Preloaded with Two Needles and FiberWire - Providing excellent strength in a smaller size, this nonabsorbable, braided polyblend suture is preloaded for convenience Straightforward Technique - A short inserter and self-drilling design create a reliable and quick procedure with no additional instrumentation needed Actual Sizes Small Joint Corkscrew Suture Anchor, 3.5 mm x 15 mm, titanium w/0 FiberWire and two Diamond Point Needles, 22.2 mm 1/2 circle AR-1915SNF Small Joint Corkscrew Suture Anchor, 5 mm x 15 mm, titanium w/two #1 FiberWire, one #1 TigerWire and two Diamond Point Needles, 26 mm 1/2 circle AR-1920SNF Small Bone FASTak Suture Anchor With significantly more holding power than Nitinol arc barbed suture anchors, threaded suture anchors reduce the risk of tissue separation due to anchor slip. The titanium Small Bone FASTak Suture Anchor eliminates the need for predrilling, while creating an excellent point of fixation. Threaded for Improved Pull-out Strength - Not only do threaded anchors provide more security than barbed anchors, but they also provide a path for removal if needed Preloaded with Two Needles and FiberWire - Providing excellent strength in a smaller size, this nonabsorbable, braided polyblend suture is preloaded for convenience Straightforward Technique - A short inserter and self-drilling design create a reliable and quick procedure with no additional instrumentation needed Achilles Actual Size Soft Tissue Fixation Small Bone FASTak Suture Anchor, 2.4 mm x 7.5 mm w/handled inserter and 2-0 FiberWire and two Tapered Needles, 17.4 mm 3/8 circle AR SF Consider These Surgical Procedures: Brostrom Achilles Repair and Reattachment Medial Reconstruction Kidner Posterior Tibial Tendon Advancement Brostrom Lateral Ankle Stabilization Medial Capsulorrhaphy 1st Metatarsal 34

40 Joint Decompression Osteochondral Resurfacing Single Use OATS for Small Joint The Small Joint Osteochondral Autograft Transfer System (OATS) is a sterile, single use set for the removal of osteochondral defects and transfer of autograft plugs to replace the defect. The set includes everything needed to perform this procedure on either the talus or the metatarsals. The defect at the recipient site is drilled out using the guide pin and cannulated drill. The graft plug is harvested from a donor site to a controlled depth just longer than the depth of the drill hole at the recipient site. The graft plug is then trimmed to length and press-fit into the recipient site with an extruder and/or tamp. Cartilage Replaces Cartilage - Whether harvesting from the patient or an allograft, the patient will have a natural bearing surface Straightforward Reliable Technique - The well-documented success of the OATS procedure is in large part due to the ease of use of this set Sterile, Single Use Set - Ensures that all the necessary instruments are present and ready Single Use OATS Set, 6 mm Single Use OATS Set, 8 mm Single Use OATS Set, 10 mm OATS for the Foot and Ankle Surgical Technique AR S AR S AR S LT0414 Metatarsal and Talar OATS Consider These Surgical Procedures: Osteochondral Resurfacing of the Talus and Metatarsals 35

41 AnaToemic Proximal Phalanx Hemiprosthesis Hallux rigidus and limitus are debilitating conditions that usually affect an older population, but can affect younger patients in a number of situations. The phalangeal AnaToemic Prosthesis is an ideal option in these cases where a joint sparing procedure is preferable to arthrodesis and an immediate gain in ROM is desired. 2.4 mm Profile Head - Requires minimal resection of the phalanx Grit-Blasted Phalangeal Surface - Promotes bony ongrowth without revision headaches Phalangeal Reamers - Creates a perfectly congruent mating surface for the prosthesis Pilot Punch - Accurately and reliably puts the prosthesis where the surgeon wants it Cobalt-Chrome - Smooth and hard to minimize the chance of osteophytes recurrence Straightforward Technique - Simplified instrumentation minimizes guesswork and maximizes consistency Implants: AnaToemic Prosthesis, 17 mm AnaToemic Prosthesis, 18.5 mm AnaToemic Prosthesis, 20 mm AnaToemic Prosthesis, 21.5 mm AnaToemic Prosthesis, 23 mm AnaToemic Instrument Set (AR-9500S) includes: AnaToemic Saw Blade AnaToemic Case AnaToemic Driver AnaToemic Sizer, small AnaToemic Sizer, medium AnaToemic Sizer, large AnaToemic Reamer, 17 mm AnaToemic Reamer, 18.5 mm AnaToemic Reamer, 20 mm AnaToemic Reamer, 21.5 mm AnaToemic Reamer, 23 mm AnaToemic Trial, 17 mm AnaToemic Trial, 18.5 mm AnaToemic Trial, 20 mm AnaToemic Trial, 21.5 mm AnaToemic Trial, 23 mm AnaToemic K-wire, 2.8 mm AnaToemic Punch AR AR AR AR AR AR-9500B AR-9500C AR-9500D AR-9500G-S AR-9500G-M AR-9500G-L AR-9500R-170 AR-9500R-185 AR-9500R-200 AR-9500R-215 AR-9500R-230 AR-9500T-170 AR-9500T-185 AR-9500T-200 AR-9500T-215 AR-9500T-230 AR-9528 AR-9500P Joint Decompression Osteochondral Resurfacing AnaToemic Surgical Technique LT0468 Consider These Surgical Procedures: Hallux Rigidus Hallux Limitus 36

42 Ankle Arthroscopy AR AR AR-8661 Ankle Arthroscopy Set This set of instruments was designed for the foot and ankle surgeon to alleviate the need to borrow awkward instruments from larger joint sets and offer a comprehensive solution for ankle arthroscopy. This complete set of instruments includes ring-handled graspers and punches, as well as curettes, osteotomes, elevators and Chondro Picks for the daily work of the ankle arthroscopist. In addition to the standard instrumentation, this unique set is available with the optional GPS System to pinpoint K-wire and screw placement.* Specialty instruments for OCD carving and elevation are also available in the set. Appropriate Sizing for Small Joints - Ring-handled instruments have 2.75 mm diameters. The other instruments are sized and designed specifically for distal extremity applications. Innovative Design - One of a kind designs, like the optional GPS system and specialized OCD instruments provide a complete and unique offering to the ankle arthroscopist Complete Set for the OR - The tray holds all of the commonly used instruments, so there is no need to pull multiple sets Quality Construction - Ring-handled instruments use friction-free Teflon bearings and come with a lifetime warranty against manufacturing defects Ankle Arthroscopy Set (AR-8655S) includes: Small Joint Osteotome, angled up Small Joint Osteotome, straight Small Joint Osteotome, straight, large Punch, slender, ø2.7 mm, straight shaft Punch, large ø2.75 mm, straight shaft Grasper, pointed straight tip, ø2.75 mm, straight shaft w/sr Handle Grasper, pointed straight tip, ø2.75 mm, 15 up curved shaft w/sr Handle Graduated Black Probe, 2.5 mm tip Cobb Elevator, 9 mm width Cup Curette, large, straight shaft, 100 mm Cup Curette, small, straight shaft, 100 mm Cup Curette, small angle, straight shaft, 100 mm Curette, large ring, straight shaft, 100 mm Curette, small reverse angle ring, straight shaft, 100 mm Curette, angled ring, straight shaft, 100 mm Curette, straight ring, straight shaft, 100 mm OCD Elevator Blade OCD Carving Blade Drill Guide Small Joint Arthroscopy Instrumentation Case AR AR AR-1771 AR AR AR-11700SR AR-11710SR AR AR AR-8661 AR AR AR-8663 AR AR AR AR AR AR AR-8655C Chondro Pick Set AR AR Chondro Pick Set (AR-8655SP) includes: Chondro Pick, straight, 30 tip Chondro Pick, straight, 60 tip Chondro Pick, concave, 90 tip AR AR AR-8671 AR AR AR AR-8663 AR AR AR-11700SR Ankle Arthroscopy Set AR *Case will accommodate optional GPS targeting guide in bottom tray AR-11710SR 37 AR-1771

43 Noninvasive Ankle Distraction Strap and Small Joint Limb Holder The Noninvasive Ankle Distractor is designed to provide ankle distraction in a simple and effective manner. With the large tensioning wheel the surgeon can easily increase or decrease the desired tension during diagnostic or surgical arthroscopy procedures. The quick snap-on and-off Clark Rail Adapter make attachment and rough tensioning of the device simple and hassle free. A complete arthroscopy set-up is achieved when used in conjunction with the Small Joint Limb Holder and ankle strap. The Ankle Arthroscopy Distraction Strap is used in conjunction with the Noninvasive Ankle Distractor. It is made of strong nylon strapping material with soft nonslip foam pads for patient comfort and secure hold. This easy-to-use, one-size-fits-all device offers effective traction and grip, which gives the surgeon a distinct advantage over current distraction. Noninvasive Ankle Distractor Ankle Distraction Strap, nylon (to be used with AR-1713) Ankle Distraction Strap, cotton, waistband (for use without the Ankle Distractor) Small Joint Limb Holder Foam Insert for Small Joint Limb Holder, qty. 5 AR-1713 AR-1712 AR-1710 AR-1506 AR-1507 Small Joint Limb Holder Ankle Arthroscopy Limb Positioner Brochure LB0202 Ankle Distraction Strap Distractor 38

44 Ankle Arthroscopy GPS Targeting Drill Guide Available as an adjunct to the Ankle Arthroscopy Set or as a stand-alone instrument set, the GPS Targeting Drill Guide offers the ability to precisely place Kirschner wires for ankle arthrodesis using cannulated screws, retrograde drilling of osteochondral lesions, as well as a multitude of other applications where precise K-wire placement is desired. The sturdy aluminum frame offers a lightweight and precise instrument capable of rotating, while allowing pinpoint placement of 1.1 mm,1.6 mm and 2.4 mm K-wires. A variety of patterns from a single hole to a 2, 3, and 4-hole pattern in the 1.1 mm and 1.6 mm sizes are available. For hard to reach areas in the curved talus, they are easily pinpointed using either the straight Indicator pin or the curved Talar Dome Indicator. GPS Targeting Drill Guide Set (AR-8655GS) includes: GPS Targeting Drill Guide AR-8655G Indicator, straight AR-8655G-01 Indicator, Talar Dome AR-8655G-09 Guide Sleeve, Single Bore, 1.6 mm AR-8655G-02 Guide Sleeve, Double Bore, 1.6 mm AR-8655G-03 Cannula, 1.6 mm AR-8655G-04 Guide Sleeve, Single Bore, 1.1 mm AR-8655G-05 Guide Sleeve, Double Bore, 1.1 mm AR-8655G-06 Cannula, 1.1 mm Cannula, 2.4 mm T-handle K-wire, 1.1 mm K-wire, 1.6 mm K-wire, 2.4 mm GPS Targeting Drill Guide Case AR-8655G-07 AR-8655G-10 AR-8655G-08 AR-8655K-11 AR-8655K-16 AR-8967K AR-8655GC AR-8655GS Micro SutureLassos These 6-inch long cannulated stainless steel shafts facilitate easier repair of soft tissue tears and tendon shuttling in the foot and ankle. All three models are preloaded with a braided Nitinol suture shuttle to enable placement of both simple and mattress stitches. The Micro SutureLassos taper from 16-gauge at the base of the ergonomic handle to 20-gauge along the last 20 mm to the tip. Micro SutureLasso, minor bend Micro SutureLasso, major bend Micro SutureLasso, straight TFCC SutureLasso Mini Suture Hook Micro SutureLasso Retriever AR-8701 AR-8702 AR-8703 AR-8704 AR-8705 AR-8701SR AR-8701 AR-8702 AR-8703 AR-8704 AR-8701SR AR

45 Arthrex BLURR and Bone Cutters The BLURR is an APS II Shaver System attachment designed to rapidly remove both tissue and bone during arthroscopic surgical procedures, such as ankle arthrodesis, soft tissue resection, and osteophyte removal, acting as both shaver blade and burr in one device. The BLURR s double cutting flutes are sharp enough to cleanly cut a variety of soft tissue, while its tip profile easily removes even the hardest bone. And its unique evacuation method makes intraarticular tissue and bone debris removal fast and virtually clog-free. The BLURR making operative site preparation so fast, it s a blurr... The Bone Cutters are designed for aggressive general tissue debridement when run in oscillate mode and bone when run in forward direction. BLURR Bone Cutter, 3.8 mm Bone Cutter, 4 mm AR-8500BL AR-8380BC AR-8400BC Disposable Small Joint Shaver Blades and Burrs Bone Cutter AR-8380BC Made with the same attention to detail as their larger counterparts, the disposable small joint shaver blades and burrs provide outstanding performance in bone and tissue resection applications. The disposable small joint shaver blades and burrs can be used in all APS II shaver handpieces and can be inserted with the cutting window in the up or down orientation. Arthrex CoolCut SJ Blades and Burrs: Sabre, SJ, 2 mm x 7 cm Sabre, SJ, 3 mm x 7 cm Dissector, SJ, 3 mm x 7 cm Oval Burr, SJ, 10-Flute, 3 mm x 7 cm Round Burr, SJ, 8-Flute, 3 mm x 7 cm Handpieces: Shaver Handpiece, Foot Control (gray) Shaver Handpiece, Hand Control (gray) AR-7200SR AR-7300SR AR-7300DS AR-7300OBT AR-7300RBE AR-8330F AR-8330H Arthrex CoolCut Series Shaver Blades and Burrs Chart LRO657 Shaver Handpiece Arthrex BLURR Sabre AR-7300 Dissector AR-7300DS Oval Burr AR-7300OBT Round Burr AR-7300RBE Small Bone Arthroscopy Arthrex CoolCut Radio Frequency Ablation The new line of CoolCut radio frequency devices features an innovative ergonomic handle with finger-touch controls. The 90 versions have a unique shape that allows for maximum extension from the tip of the elec-trode to the shaft of the device, while still fitting through a 5 mm cannula. The new CoolCut shaft coating facilitates easy insertion through both working cannulas and subcutaneous tissue. The pioneering design of the CoolCut electrode tips makes it possible to operate the CoolCut series at extremely low power settings, thereby increasing patient safety without sacrificing performance. The reduction of the power requirements also allows for the absence of a ceramic ring surrounding the electrode face, reducing the size of the tip which aids in reaching target tissue in anatomically tight spaces. OPES Electrosurgical Generator OPES Electrosurgical Generator Stand Small Joint CoolCut Ablation Wands: CoolCut SJ Ball CoolCut SJ Ball 45 CoolCut SJ 45 CoolCut SJ 90 AR-9600 AR-9600D AR-9808SJ AR-9808SJ-45 AR-9809SJ-45 AR-9809SJ-90 Additional Instruments and Accessories: Arthrex Pencil Kit AR-9610 OPES Electrosurgical Generator Bipolar Footswitch AR-9600FB OPES Electrosurgical Generator Monopolar Footswitch AR-9600FM Arthrex CoolCut Radio Frequency Ablation Brochure LB0670 Ablators 40

46 FiberLoop FiberLoop is the perfect suture option for multi-strand tendon repairs. These small diameter looped FiberWire products allow for strong multi-strand flexor and extensor tendon repairs, while reducing tendon damage from multiple needle passes. FiberLoop is available with multiple needle options to prevent cutting suture while stitching. AR FiberWire Suture 4-0 FiberLoop, 6 (white) w/tapered Needle, 12.7 mm 1/2 circle AR FiberLoop, 10 (white) w/tapered Needle, 12.7 mm 1/2 circle AR FiberLoop, 6 (blue) w/tapered Needle, 17.9 mm 3/8 circle AR FiberLoop, 10 (blue) w/tapered Needle, 17.9 mm 3/8 circle AR FiberLoop, 30 (blue) w/diamond Point Needle, 48 mm 1/2 circle AR FiberLoop, 24 (blue) w/diamond Point Needle, 26.2 mm 3/8 circle AR FiberLoop, 30 (blue) w/diamond Point Straight Needle, 64.8 mm AR #2 FiberLoop, 20 (blue) w/straight Needle, 76 mm needle w/7 mm loop AR-7234 #2 TigerLoop, 20 (white/green) w/tigerwire, w/straight Needle, 76 mm needle w/7 mm loop AR-7234T #2 FiberLoop, 20 (blue) w/curved Needle, 1/2 circle AR-7234C SpeedWhip w/fiberloop Technique LT0135 AR AR AR Actual Sizes SpeedWhip Tendon Preparation Technique with FiberLoop Biomechanical Data Load (N) Nylon Mean gap Ultimate forces Prolene Ethibond FiberWire Stainless Steel Consider These Surgical Procedures: Four-strand tendon repairs using different suture materials.* *data on file FiberLoop Achilles Tendon Repair Lateral Ligament Suture Repair Most other Soft Tissue and Tendon Repairs of the Foot & Ankle 41

47 FiberWire FiberWire suture is constructed of a multi-stranded long chain ultra-high molecular weight polyethylene (UHMWPE) core with a braided jacket of polyester and UHMWPE. FiberWire is stronger than similar sized generic suture with superior feel, tie ability and lower knot profile. FiberWire is the ideal suture for most orthopaedic foot and ankle procedures, whether used in conjunction with suture anchors or for tenodesis applications and tendon repairs. The FiberWire Scissor facilitates easier cutting of FiberWire. 2-0 FiberWire, 18 w/tapered Needle, 26.5 mm 1/2 circle AR-7242 #2 FiberWire, 38 w/tapered Needle, 26.5 mm 1/2 circle AR FiberWire, 18 w/tapered Needle, 17.9 mm 3/8 circle AR FiberWire, 38 AR FiberWire, 18 w/diamond Point Needle, 26.2 mm 3/8 circle AR FiberWire, 18 w/tapered Needle, 15 mm 3/8 circle AR FiberWire, 18 w/reverse Cutting Needle, 16.3 mm 3/8 circle AR FiberWire, 18 w/diamond Point Needle, 18.7 mm 3/8 circle AR FiberWire, 18 w/tapered Needle, 12.3 mm 3/8 circle AR FiberWire, 18 w/reverse Cutting Needle, 11.9 mm 3/8 circle AR FiberWire, 18 w/diamond Point Needle, 18.7 mm, 3/8 circle AR FiberWire, 38 (blue), w/tapered Needle, 22.2 mm 1/2 circle AR FiberWire, 38 (blue), w/diamond Point Needle, 22.2 mm 1/2 circle AR-7251 FiberWire Scissor, small AR AR-7242 AR-7200 AR-7220 AR-7225 AR AR AR-7228 AR AR AR-7248 FiberWire FiberWire Suture FiberWire Chart FiberWire Brochure LR0235 LB0235 AR-7250 AR-7251 Actual Sizes FiberStick, TigerStick and FiberSnare The stiff waxed end of the FiberStick and TigerStick allows convenient and easy advancement through most cannulated instruments or spinal needles, alleviating the need for a monofilament suture or wire suture shuttle. FiberStick and TigerStick come with a thin plastic tube which protects the stiffened suture end until use. FiberStick, #2 FiberWire, 50 (blue), one end stiffened, 12 TigerStick, #2 TigerWire, 50 (white/black), one end stiffened, FiberStick, 2-0 FiberWire, 50 (blue), one end stiffened, 12 #2 FiberSnare, #2 FiberWire, 26 (green), one strand stiffened w/closed loop, 12 AR-7209 AR-7209T AR-7222 AR-7209SN Consider These Surgical Procedures: Achilles Tendon Repair Lateral Ligament Suture Repair Most other Soft Tissue and Tendon Repairs of the Foot & Ankle Radial Head Fractures FiberSnare FiberStick 42

48 Small Bone Fixation Options Headless Headed and Trim-to-Length Cannulated Solid LPS Titanium Screws Absorbable PLLA Screws Thread Diameter Product Description Primary Indications Screw Length Shaft Type 2 mm QuickFix Weil and Akin Osteotomies mm (x 1 mm) 3 mm QuickFix Chevron/Austin and MTP Plate mm (x 2 mm) 2.3 mm LPS Proximal Opening Wedge Plate and Chevron 3 mm LPS Chevron/Austin and MTP Plate 3.5 mm LPS Lapidus, H-Plates and Midfoot Fixation 4 mm LPS Lapidus, H-Plates and Midfoot Fixation 5.5 mm LPS Jones Fracture Screw 2.3 mm LPS Chevron, Akin, and Weil 3 mm LPS MTP Fusion and Malleolar Fx Hallux Valgus 4.5 mm LPS Talonavicular Fusion, Malleolar Fx and Jones Fx 4.5 mm LPS Talonavicular Fusion, Malleolar Fx and Jones Fx 6.7 mm LPS MCO, LCL, Ankle, Subtalar and Triple Arthrodesis mm (x 2 mm) mm (x 2 mm) mm (x 2 mm) mm (x 2 mm) mm (x 5 mm) mm (x 2 mm) mm (x 2 mm) mm (x 5 mm) mm (x 5 mm) mm (x 5 mm) Solid Solid Solid Solid Solid Solid Solid Cannulated Cannulated Cannulated Cannulated Cannulated Thread Diameter Product Description Primary Indications Screw Length Shaft Type 2.7 mm TRIM-IT Chevron and other Bunion Corrections 30 mm Solid 3.5 mm TRIM-IT Forefoot and Midfoot Fixation 40 mm Solid 4 mm TRIM-IT Lisfranc Repair and Kidner w/washer 50 mm Solid 4.5 mm TRIM-IT BCS 3 mm BCS 3.5 mm BCS MCO, Malleolar Fx Syndesmosis 60 mm Cannulated OCD, Bunion Correction, Elbow Fx, and Finger DIP OCD, Bunion Correction, Elbow Fx, and Midfoot Fusions mm (x 2 mm) Solid (16-32 mm) (x 2 mm) Cannulated Absorbable Pins Thread Diameter Product Description Primary Indications Total Pin Length Implant Grade SS Tip 1.5 mm TRIM-IT Drill Pin Hammertoe 100 mm None 2 mm TRIM-IT Drill Pin Hammertoe, Chevron, Boxer s Fx and Finger DIP 100 mm 10 mm 2 mm TRIM-IT Spin Pin Hammertoe 100 mm 25 mm marked 43

49 Thread Type Thread Length Self-Drilling Self Tapping Driver Size and Type Guidewire Part Number Set Cortical Full Yes Yes Snap-off/3-Prong - AR to 14 QuickFix Set, LPS Forefoot Fusion Module Cortical Full Yes Yes Snap-off/3-Prong - AR to 19 QuickFix Set, LPS Forefoot Fusion Module Cortical Full No Yes 1.5 mm Hex - AR-13120T-10 to 30 LPS Forefoot Osteotomy Module Cortical Full No Yes T-10 Hexalobe - AR to 24 LPS Forefoot Osteotomy Module Cortical Full No Yes T-15 Hexalobe - AR to 44 LPS Midfoot Module Cancellous Full No Yes T-15 Hexalobe - AR to 44 LPS Midfoot Module Cortical 1/3 No Yes 3.5 mm Hex - AR PT to 65PT LPS Cannulated Screw Set Small Bone Fixation Options Cortical 1/3 Yes Yes 1.5 mm Hex.034 AR-13120T-10C to 30C LPS Forefoot Osteotomy Module Cancellous 1/3 Yes Yes 2.5 mm Hex.045 Cortical 1/3 Yes Yes 3.5 mm Hex.062 Cortical Full Yes Yes 3.5 mm Hex.062 Cancellous 18 & 28 mm Yes Yes 3.5 mm Hex.096 AR PT to 50PT AR PT to 80PT AR FT to 80FT AR to AR to LPS Forefoot Fusion Module LPS Cannulated Screw Set LPS Cannulated Screw Set LPS Cannulated Screw Set, Tenodesis + Set Thread Type Thread Length Expected 100% Expected Life Driver Size and Type Guidewire Part Number Set Cortical Full 6 months 2-5 years 2.0 mm Hex - AR-4161B TRIM-IT Screw System Cortical Full 6 months 2-5 years 2.5 mm Hex - AR-4162B TRIM-IT Screw System Cancellous Full 6 months 2-5 years 2.5 mm Hex - AR-4163B TRIM-IT Screw System Cortical Full 6 months 2-5 years 3.5 mm Hex.045 AR-4164B TRIM-IT Screw System Hybrid Stepped 6 months 2-5 years T-6 Hexalobe.045 AR-5025B-16 to 26 3 mm Bio-Compression System Hybrid Stepped 6 months 2-5 years T-6 Hexalobe.045 AR-5026B-16 to mm Bio-Compression System (cannulated) Breakaway Expected Included Predrill Expected Life Driver Type Part Number Set Length 100% Strength Diameter months 2-5 years Wire Driver 1.45 mm months 2-5 years Pin Driver 1.9 mm AR-4151DS/ AR-4151B AR-4152DS/ AR-4152B TRIM-IT Disposables Kit TRIM-IT Disposables Kit - 45 mm 6 months 2-5 years Pin Driver None AR-4156DS TRIM-IT Spin Pin Instrument Set Screw Reference Chart LR

50 FiberWire, FiberLoop and FiberWire Scissor FiberWire, FiberLoop and Anchors Suture Size Suture Length Description Needle Dimensions Cat Number Actual Size 2-0 (3 metric) 18 inches FiberWire, 1 strand (blue) w/tapered Needle (heavy duty) 26.5 mm 1/2 circle AR (3 metric) 18 inches FiberWire, 1 strand (blue) w/tapered Needle 17.9 mm 3/8 circle AR (3 metric) 38 inches FiberWire, 1 strand (blue) - AR (2 metric) 18 inches FiberWire, 1 strand (blue) w/diamond Point Needle 26.2 mm 3/8 circle AR (2 metric) 18 inches FiberWire, 1 strand (blue) w/tapered Needle 15 mm 3/8 circle AR (2 metric) 18 inches FiberWire, 1 strand (blue) w/reverse Cutting Needle 16.3 mm 3/8 circle AR (1.5 metric) 18 inches FiberWire, 1 strand (white) w/diamond Point Needle 18.7 mm 3/8 circle AR (1.5 metric) 18 inches FiberWire, 1 strand (blue) w/diamond Point Needle 18.7 mm 3/8 circle AR (1.5 metric) 18 inches FiberWire, 1 strand (blue) w/tapered Needle 12.3 mm 3/8 circle AR (1.5 metric) 18 inches FiberWire, 1 strand (blue) w/reverse Cutting Needle 11.9 mm 3/8 circle AR (3.5 metric) 38 inches FiberWire, 1 strand (blue) w/tapered Needle 22.2 mm 1/2 circle AR (3.5 metric) 38 inches FiberWire, 1 strand (blue) w/diamond Point Needle 22.2 mm 1/2 circle AR (1.5 metric) 12 inches FiberLoop, 1 strand (white) w/tapered Needle 12.7 mm 1/2 circle AR (1.5 metric) 20 inches FiberLoop, 1 strand (white) w/tapered Needle 12.7 mm 1/2 circle AR (1.5 metric) 12 inches FiberLoop, 1 strand (blue) w/tapered Needle 17.9 mm 3/8 circle AR (1.5 metric) 20 inches FiberLoop, 1 strand (blue) w/tapered Needle 17.9 mm 3/8 circle AR (3 metric) 30 inches FiberLoop, 1 strand (blue) w/diamond Point Needle 48 mm 1/2 circle AR too large to show 2-0 (3 metric) 24 inches FiberLoop, 1 strand (blue) w/diamond Point Needle 26.2 mm 3/8 circle AR (3 metric) 30 inches FiberLoop, 1 strand (blue) w/diamond Point Straight Needle 64.8 mm AR too large to show - - FiberWire Scissor, small - AR

51 LR0235 FiberWire Small Bone Suture Anchors with FiberWire & Needles Suture Size # of Sutures Description Disposable Kit Anchor Dimensions Cat Number Actual Size 2-0 (3 metric) 1 Micro Bio-SutureTak AR-1320DSC 2.4 mm x 6.5 mm AR-1320BNF 2-0 (3 metric) 1 Mini Bio-SutureTak AR-1322DSC 2.4 mm x 8.5 mm AR-1322BNF 2-0 or 0 recommended mm Bio-PushLock AR-1322DSC 2.5 mm x 8 mm AR-8825B 2-0 or 0 recommended mm PEEK PushLock AR-1322DSC 2.5 mm x 8 mm AR-8825P 1 (4 metric) 1 Bio-SutureTak w/needles AR-8934DSC 3 mm x 14 mm AR-8934BNF 2-0 (3 metric) 1 Micro BioComposite SutureTak AR-1320DSC 2.4 mm x 6.5 mm AR-1320BCNF 2-0 (3 metric) 1 Mini BioComposite SutureTak AR-1322DSC 2.4 mm x 8.5 mm AR-1322BCNF FiberWire, FiberLoop and Anchors LB0450N Foot and Ankle Catalo 1 (4 metric) 1 BioComposite SutureTak w/needles AR-8934DSC 3 mm x 14 mm AR-8934BCNF 0 (3.5 metric) 2 Bio-Corkscrew w/needles Reusable Tap 3.7 mm x 17.9 mm AR-1923BNF 1 (4 metric) 2 Bio-Corkscrew FT Suture Anchor Reusable Tap 5.5 mm x 15 mm AR-8927BNF 2-0 (3 metric) 1 Micro Corkscrew FT Suture Anchor mm x 4 mm AR-1318FT 2-0 (3 metric) 1 Mini Corkscrew FT Suture Anchor mm x 7 mm AR-1319FT 1 (4 metric) mm Corkscrew FT Suture Anchor mm x 10 mm AR-1915FT 2-0 (3 metric) 1 Small Bone FASTak Suture Anchor Self-drilling 2.4 mm x 7.5 mm AR SF 0 (3.5 metric) 2 Corkscrew Suture Anchor Self-drilling 3.5 mm x 12 mm AR-1915SNF 1 (4 metric) 2 Corkscrew Suture Anchor Self-drilling 5 mm x 15 mm AR-1920SNF 22 46

52 U.S. PATENT NOS. 5,620,448; 5,749,875; 5,964,783; 5,919,196; 6,117,162; 6,214,031; 6,511,499; 6,544,281; 6,591,581; 6,592,588; 6,652,563; 6,716,234; 6,780,115; 6,823,871; 6,916,333; 6,991,636; 7,029,490; 7,147,651; 7,195,634; 7,226,469; 7,235,091; 7,329,264; 7,329,272 and PATENTS PENDING 2011, Arthrex Inc. All rights reserved. LB0450N