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

Technique Guide LCP Compact Hand. The modular hand system.

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

Table of Contents Introduction LCP Compact Hand 2 AO Principles 4 Indications 5 Surgical Techniques Preparation 6 Fracture Reduction and Plate Contouring 7 Screw Insertion 11 Cortex Screws 12 Locking Screws 18 Implant Removal 23 Tips 24 Product Information Implants Compact Hand 1.0/1.3 25 Instruments Compact Hand 1.0/1.3 27 Implants LCP Compact Hand 1.5 28 Instruments LCP Compact Hand 1.5 32 Implants LCP Compact Hand 2.0 33 Instruments LCP Compact Hand 2.0 37 Implants LCP Compact Hand 2.4 38 Instruments LCP Compact Hand 2.4 41 Sets 42 Standard Instrument Set for LCP Compact Hand 43 LCP Compact Hand Technique Guide Synthes 1

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

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

AO Principles In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation. 1,2 Those principles, as applied to the LCP Compact Hand system, are: Anatomic reduction Anatomic plate profile assists in reduction and facilitates restoration anatomical relationships. Stable fixation The combination of conventional and locking screws offers optimum fixation regardless of bone density. Locking screws create a fixed-angle construct, providing angular stability. Preservation of blood supply Limited-contact plate design reduces plate-to-bone contact and helps to preserve the periosteal blood supply. Tapered ends for submuscular plate insertion preserve tissue viability. Early, active mobilization Early mobilization per standard AO technique creates an environment for bone healing, expediting a return to optimal function. 1 Müller ME, Allgöwer M, Schneider R, Willenegger H (1995) Manual of Internal Fixation. 3rd, expanded and completely revised ed. 1991. Berlin, Heidelberg, New York: Springer 2 Rüedi TP, Buckley RE, Moran CG (2007) AO Principles of Fracture Management. 2nd expanded ed. 2002. Stuttgart, New York: Thieme 4 Synthes LCP Compact Hand Technique Guide

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

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

Fracture Reduction and Plate Contouring 1 Reduce fracture Reduce the fracture under image intensification and, if necessary, fix with Kirschner wires or reduction forceps. The reduction method is fracture-specific. 2 Trim plate Instrument 391.962 Bending/Cutting Pliers Trim the plate to the desired length using bending/cutting pliers. Remove the burrs. LCP Compact Hand Technique Guide Synthes 7

Fracture Reduction and Plate Contouring 3 Contour plate 1 Instruments 347.901 Pliers, flat-nosed, pointed, for Plates 1.0 to 2.4 For LCP Compact Hand 1.5 03.114.003 Bending Pin for LCP Plates 1.5, with thread For LCP Compact Hand 2.0 329.921 Bending Pin for LCP Plates 2.0, with thread For LCP Compact Hand 2.4 329.922 Bending Pin for LCP Plates 2.4 and 2.7, with thread If necessary, contour the plate to suit the anatomical conditions. 2 Standard plates Use bending pins for LCP Plates and thread the pins into the screw holes to contour the plate. (1) The plate can also be bent using two flat nosed pliers. (2) 8 Synthes LCP Compact Hand Technique Guide

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

Fracture Reduction and Plate Contouring 4 Position plate 1 Instrument 399.970 Reduction Forceps with Points, ratchet lock, length 130 mm Position the plate over the reduced fracture and, if necessary fix provisionally with Kirschner wires or reduction forceps. (1) Preassembled plates (LCP Compact Hand 1.5 only) When using reduction forceps with points on a preassembled plate, insert one branch of the forceps in the cannulation of the short drill sleeve to secure the plate to the bone. (2) Optional Instrument 398.819 Holding Forceps with Swivel Foot, for Plates 1.3 to 2.4, speed lock When using the holding forceps with swivel foot to hold the plate, remove the drill sleeves from the surrounding holes so that the holding forceps sit flush on the plate. 2 10 Synthes LCP Compact Hand Technique Guide

Screw Insertion Determine screw type Depending on the individual case, cortex and/or locking screws may be inserted. Determine where locking screws and where cortex screws will be used. The final screw placement and the use of locking and cortex screws are determined by the fracture pattern. 1 2 LCP combi-hole: Cortex screw in the compression portion (1), locking screw in the threaded portion of the hole (2) If a locking screw is inserted first, ensure that the plate is held securely to the bone to prevent the plate from spinning as the screw locks into the plate. Option If angularly-stable buttress pins are used, one screw per bone fragment must be inserted additionally. Locking hole: Cortex or locking screw Note: For further details regarding the application of LCP systems consult the corresponding technique guide (036.000.019). Compression hole: Cortex screw only Elongated compression hole: Cortex screw only Locking screw Cortex screw LCP Compact Hand Technique Guide Synthes 11

Screw Insertion Cortex Screws 1 Pre-drill screw hole for cortex screw Instruments For Compact Hand 1.0/1.3 312.133 Double Drill Guide 1.3/1.0 513.005 Drill Bit 1.0 mm, length 46/34mm, 2-flute, for Mini Quick Coupling 513.035 Drill Bit 1.3 mm, length 46/34 mm, 2-flute, for Mini Quick Coupling For LCP Compact Hand 1.5 312.140 Double Drill Guide 1.5/1.1, for No. 311.150 03.114.007 Drill Bit 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling 310.141 Drill Bit 1.5 mm, length 65/50 mm, 2-flute, for Mini Quick Coupling, Stainless Steel For LCP Compact Hand 2.0 323.200 Universal Drill Guide 2.0 310.507 Drill Bit 1.5 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling 513.140 Drill Bit 2.0 mm, length 67/55 mm, 2-flute, for Mini Quick Coupling For LCP Compact Hand 2.4 323.202 Universal Drill Guide 2.4 310.508 Drill Bit 1.8 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling 317.871 Drill Bit 2.4 mm, length 80/66 mm, 2-flute, for Mini Quick Coupling 12 Synthes LCP Compact Hand Technique Guide

Standard plates Drill the screw hole using the drill bit and the corresponding drill guide / drill sleeve. (1) 1 Use the following drill diameter for the threaded respectively the gliding hole: Threaded hole Gliding hole Compact Hand 1.3 1.0 1.3 Compact Hand 1.5 1.1 1.5 Compact Hand 2.0 1.5 2.0 Compact Hand 2.4 1.8 2.4 When using a LCP hole, drill the screw hole either neutrally or off-centre (compression). Preassembled plates (LCP Compact Hand 1.5 only) Drill the screw hole using the short LCP drill sleeves that are preassembled to the plate. To drill for a cortex screw in an angle other than 90 to the plate, use the double drill guide. Before using the double drill guide, remove the short drill sleeve. (2) 2 LCP Compact Hand Technique Guide Synthes 13

Screw Insertion Cortex Screws 2 Determine screw length of cortex screw 1 Instruments For Compact Hand 1.0/1.3 319.003 Depth Gauge for Screws 1.3 to 1.5 mm, measuring range up to 24mm For LCP Compact Hand 1.5 319.003 Depth Gauge for Screws 1.3 to 1.5 mm, measuring range up to 24 mm For LCP Compact Hand 2.0 319.005 Depth Gauge for Screws 2.0 and 2.4 mm, measuring range up to 40 mm For LCP Compact Hand 2.4 319.005 Depth Gauge for Screws 2.0 and 2.4 mm, measuring range up to 40 mm Standard plates Determine the screw length with the corresponding depth gauge. (1) 14 Synthes LCP Compact Hand Technique Guide

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

Screw Insertion Cortex Screws 3 Insert cortex screw 1 Instruments For Compact Hand 1.0/1.3 314.413 Screwdriver Shaft 1.3, cruciform, with Holding Sleeve, length 62 mm, for Mini Quick Coupling 311.012 Handle, medium, with Mini Quick Coupling For LCP Compact Hand 1.5 03.114.009 Screwdriver Shaft, Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling 311.012 Handle, medium, with Mini Quick Coupling For LCP Compact Hand 2.0 314.676 Screwdriver Shaft Stardrive 2.0, with Holding Sleeve, length 66 mm, for Mini Quick Coupling 311.012 Handle, medium, with Mini Quick Coupling For LCP Compact Hand 2.4 314.467 Screwdriver Shaft, Stardrive, T8, self-holding 311.430 Handle with Quick Coupling, length 110 mm Standard plates Insert the self-tapping cortex screw using the corresponding screwdriver. (1) 16 Synthes LCP Compact Hand Technique Guide

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

Screw Insertion Locking Screws 1 Pre-drill screw hole for locking screw 1 Instruments For LCP Compact Hand 1.5 03.114.001 LCP Drill Sleeve 1.5, for Drill Bits 1.1 mm 03.114.007 Drill Bit 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling For LCP Compact Hand 2.0 323.034 LCP Drill Sleeve 2.0, with Scale, for Drill Bits 1.5 mm with marking 310.507 Drill Bit 1.5 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling For LCP Compact Hand 2.4 323.029 LCP Drill Sleeve 2.4, with Scale up to 30 mm, for Drill Bits 1.8 mm 310.508 Drill Bit 1.8 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling 2 Standard plates Drill screw hole through the LCP drill sleeve using the appropriately sized drill bit. (1) Preassembled plates (LCP Compact Hand 1.5 only) Drill the screw hole using the short LCP drill sleeves that are preassembled to the plate. (2) 18 Synthes LCP Compact Hand Technique Guide

2 Determine screw length of locking screw 1 Instruments For LCP Compact Hand 1.5 319.003 Depth Gauge for Screws 1.3 to 1.5 mm, measuring range up to 24 mm For LCP Compact Hand 2.0 323.034 LCP Drill Sleeve 2.0, with Scale, for Drill Bits 1.5 mm with marking 319.005 Depth Gauge for Screws, 2.0 and 2.4 mm, measuring range up to 40 mm For LCP Compact Hand 2.4 323.029 LCP Drill Sleeve 2.4, with Scale up to 30 mm, for Drill Bits 1.8 mm 319.005 Depth Gauge for Screws, 2.0 and 2.4 mm, measuring range up to 40 mm Standard plates Determine the screw length either with the corresponding depth gauge (1) or with the LCP drill sleeve (LCP Compact Hand 2.0/2.4, marking on drill bit). (2) 2 When using the LCP drill sleeve check the length directly on the scale of the drill sleeve. Then remove the drill sleeve. LCP Compact Hand Technique Guide Synthes 19

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

3 Insert locking screw 1 Instruments For LCP Compact Hand 1.5 03.114.009 Screwdriver Shaft, Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling 311.012 Handle, medium, with Mini Quick Coupling For LCP Compact Hand 2.0 314.676 Screwdriver Shaft Stardrive 2.0, with Holding Sleeve, length 66 mm, for Mini Quick Coupling 311.012 Handle, medium, with Mini Quick Coupling 511.777 Torque Limiter, 0.4 Nm, with AO/ASIF Quick Coupling For LCP Compact Hand 2.4 314.467 Screwdriver Shaft, Stardrive, T8, self-holding 311.430 Handle with Quick Coupling, length 110 mm 511.776 Torque Limiter, 0.8 Nm, with AO/ASIF Quick Coupling Standard plates Insert the self-tapping locking screw using the corresponding screwdriver shaft and the appropriate handle. (1) LCP Compact Hand Technique Guide Synthes 21

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

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

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

Implants Compact Hand 1.0/1.3 Plates Adaption Plate 1.3, straight X21.312 12 48 T-Adaption Plate 1.3 X21.333 Shaft 8, head 3 35.5 X21.334 Shaft 8, head 4 35.5 Y-Adaption Plate 1.3 X21.335 Shaft 8, head 3 37 Strut Plate 1.3 X21.320 8 19 X21.321 8 19 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 25

Implants Compact Hand 1.0/1.3 Screws Cortex Screws 1.0 mm, self-tapping Art. No. Length (mm) X00.526 6 X00.527 7 X00.528 8 X00.529 9 X00.530 10 X00.531 11 X00.532 12 X00.534 13 X00.534 14 Cortex Screws 1.3 mm, self-tapping Art. No. Length (mm) X00.686 6 X00.687 7 X00.688 8 X00.689 9 X00.690 10 X00.691 11 X00.692 12 X00.693 13 X00.694 14 X00.695 15 X00.696 16 X00.698 18 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 26 Synthes LCP Compact Hand Technique Guide

Instruments Compact Hand 1.0/1.3 312.133 Double Drill Guide 1.3/1.0 316.385 Drill Bit 0.8 mm, length 40/16 mm, 2-flute, for Mini Quick Coupling 513.005 Drill Bit 1.0 mm, length 46/34 mm, 2-flute, for Mini Quick Coupling 513.035 Drill Bit 1.3 mm, length 46/34 mm, 2-flute, for Mini Quick Coupling 310.882 Countersink 1.3 to 2.0, length 50 mm, for Mini Quick Coupling 314.413 Screwdriver Shaft 1.3, cruciform, with Holding Sleeve, length 62 mm, for Mini Quick Coupling 314.481 Screwdriver Shaft 1.0, cruciform, with Holding Sleeve, length 62 mm, with Mini Quick Coupling LCP Compact Hand Technique Guide Synthes 27

Implants LCP Compact Hand 1.5 Plates LCP Plate 1.5, straight 0X.114.002 4 23 0X.114.004 6 36 Locking Plate 1.5, straight 0X.114.003 6 29 0X.114.005 12 59 Locking T-Plate 1.5 0X.114.006 Shaft 8, head 3 44.5 0X.114.007 Shaft 8, head 4 44.5 Locking Strut Plate 1.5 0X.114.010 Right 8 23 0X.114.009 Left 8 23 Locking Y-Plate 1.5 0X.114.013 Shaft 8, head 3 47 Locking Condylar Plate 1.5 0X.114.014 Shaft 6, head 2 36 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 28 Synthes LCP Compact Hand Technique Guide

Plates, with Preassembled Short Drill Sleeves LCP Plate 1.5, straight 0X.114.502S 4 23 0X.114.504S 6 36 Locking Plate 1.5, straight 0X.114.503S 6 29 0X.114.505S 12 59 Locking T-Plate 1.5 0X.114.506S Shaft 8, head 3 44.5 0X.114.507S Shaft 8, head 4 44.5 Locking Strut Plate 1.5 0X.114.510S Right 8 23 0X.114.509S Left 8 23 Locking Y-Plate 1.5 0X.114.513S Shaft 8, head 3 47 Locking Condylar Plate 1.5 0X.114.514S Shaft 6, head 2 36 Note: The plates with preassembled short drill sleeves are available sterile only. X= 2: Stainless Steel X = 4: Titanium LCP Compact Hand Technique Guide Synthes 29

Implants LCP Compact Hand 1.5 Screws Cortex Screw Stardrive, 1.5 mm, self-tapping Art. No. Length (mm) 0X.214.106 6 0X.214.107 7 0X.214.108 8 0X.214.109 9 0X.214.110 10 0X.214.111 11 0X.214.112 12 0X.214.113 13 0X.214.114 14 0X.214.115 15 0X.214.116 16 0X.214.118 18 0X.214.120 20 0X.214.122 22 0X.214.124 24 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 30 Synthes LCP Compact Hand Technique Guide

Locking Screw Stardrive, 1.5 mm, self-tapping Art. No. Length (mm) 0X.214.006 6 0X.214.007 7 0X.214.008 8 0X.214.009 9 0X.214.010 10 0X.214.011 11 0X.214.012 12 0X.214.013 13 0X.214.014 14 0X.214.015 15 0X.214.016 16 0X.214.018 18 0X.214.020 20 0X.214.022 22 0X.214.024 24 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 31

Instruments LCP Compact Hand 1.5 03.114.001 LCP Drill Sleeve 1.5, for Drill Bit 1.1 mm 03.114.003 Bending Pin for LCP Plates 1.5, with thread 03.114.007 Drill Bit 1.1 mm, lengths 75/61 mm, 2-flute, for Mini Quick Coupling 310.141 Drill Bit 1.5 mm, length 65/50 mm, 2-flute, for Quick Coupling, Stainless Steel 310.971 Countersink for Screws 1.3 and 1.5 mm, Stainless Steel 312.140 Double Drill Guide 1.5/1.1, for No. 311.150 03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve length 66 mm, for Mini Quick Coupling Drill Bits are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 32 Synthes LCP Compact Hand Technique Guide

Implants LCP Compact Hand 2.0 Plates LCP Plate 2.0, straight X47.344 4 31 X47.345 5 38 X47.346 6 45 X47.347 7 52 X47.348 8 59 X47.360 10 73 Adaption Plate 2.0 X43.091 12 71 LCP Condylar Plate 2.0 X47.349 Shaft 7, head 2 54 LCP Rotation Correction Plate 2.0 X47.354 Shaft 4, head 2 34 X47.355 Shaft 5, head 2 40 LCP T-Plate 2.0 X47.615 Shaft 7, head 3 52.5 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 33

Implants LCP Compact Hand 2.0 LCP Adaption Plate Art No. Holes Length (mm) X47.362 12 81.26 LCP T-Adaption Plate 2.0 Art No. Shaft holes Head holes X47.351 7 2 LCP Y-Adaption Plate 2.0 Art No. Shaft holes Head holes X47.350 7 3 Mini Condylar Plate 2.0 Art No. X43.610 pin left X43.620 pin left Mini H-Plate Art No. Holes X43.480 4 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 34 Synthes LCP Compact Hand Technique Guide

Screws Cortex Screw Stardrive, 2.0 mm, self-tapping Art. No. Length (mm) X01.356 6 X01.357 7 X01.358 8 X01.359 9 X01.360 10 X01.361 11 X01.362 12 X01.363 13 X01.364 14 X01.366 16 X01.368 18 X01.370 20 X01.372 22 X01.374 24 X01.375 26 X01.376 28 X01.377 30 X01.378 32 X01.379 34 X01.381 38 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 35

Implants LCP Compact Hand 2.0 Locking Screw Stardrive, 2.0 mm, self-tapping Art. No. Length (mm) X01.876 6 X01.877 7 X01.878 8 X01.879 9 X01.880 10 X01.881 11 X01.882 12 X01.883 13 X01.884 14 X01.886 16 X01.888 18 X01.890 20 X01.892 22 X01.894 24 X01.896 26 X01.898 28 X01.900 30 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 36 Synthes LCP Compact Hand Technique Guide

Instruments LCP Compact Hand 2.0 329.921 Bending Pin for LCP Plates 2.0, with thread 323.034 LCP Drill Sleeve 2.0, with Scale, for Drill Bits 1.5 mm with marking 323.200 Universal Drill Guide 2.0 310.507 Drill Bit 1.5 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling 513.140 Drill Bit 2.0 mm, length 67/55 mm, 2-flute, for Mini Quick Coupling 310.880 Countersink 1.5 to 2.4, length 52 mm, for Mini Quick Coupling 314.676 Screwdriver Shaft Stardrive 2.0, with Holding Sleeve, length 66 mm, for Mini Quick Coupling LCP Compact Hand Technique Guide Synthes 37

Implants LCP Compact Hand 2.4 Plates LCP Plate 2.4, straight X47.364 10 83.6 X47.375 5 43.6 X47.377 7 59.6 X47.648 8 68 X47.674 4 36 X47.676 6 52 Adaption Plate 2.4 X49.912 12 72 LCP T-Plate 2.4 X49.615 Shaft 7, head 3 57 LCP Condylar Plate 2.4 X49.679 Shaft 7, head 2 59 LCP Adaption Plate 2.4 X47.366 12 87.9 LCP T-Adaption Plate 2.4 Art. No. Shaft holes Head holes X49.670 7 2 LCP Y-Adaption Plate 2.4 Art. No. Shaft holes Head holes X49.669 7 3 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 38 Synthes LCP Compact Hand Technique Guide

Screws Cortex Screw Stardrive, 2.4 mm, self-tapping Art. No. Length (mm) X01.756 6 X01.757 7 X01.758 8 X01.759 9 X01.760 10 X01.761 11 X01.762 12 X01.763 13 X01.764 14 X01.766 16 X01.768 18 X01.770 20 X01.772 22 X01.774 24 X01.776 26 X01.778 28 X01.780 30 X01.782 32 X01.784 34 X01.786 36 X01.788 38 X01.790 40 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. LCP Compact Hand Technique Guide Synthes 39

Implants LCP Compact Hand 2.4 Locking Screw Stardrive, 2.4 mm, self-tapping Art. No. Length (mm) X12.806 6 X12.807 7 X12.808 8 X12.809 9 X12.810 10 X12.811 11 X12.812 12 X12.813 13 X12.814 14 X12.816 16 X12.818 18 X12.820 20 X12.822 22 X12.824 24 X12.826 26 X12.828 28 X12.830 30 Optional Buttress Pin (head LCP 2.4) 1.8 mm Art No. Length (mm) X00.190 12 X00.191 14 X00.192 16 X00.193 18 X= 2: Stainless Steel X = 4: Titanium Implants are available non-sterile or sterile packed. Add suffix S to article number to order sterile product. 40 Synthes LCP Compact Hand Technique Guide

Instruments LCP Compact Hand 2.4 329.922 Bending Pin for LCP Plates 2.4 and 2.7, with thread 323.029 LCP Drill Sleeve 2.4, with Scale up to 30 mm, for Drill Bits 1.8 mm 323.202 Universal Drill Guide 2.4 310.508 Drill Bit 1.8 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling 317.871 Drill Bit 2.4 mm, length 80/66 mm, 2-flute, for Mini Quick Coupling 314.467 Screwdriver Shaft, Stardrive, T8, self-holding 310.880 Countersink 1.5 to 2.4, length 52 mm, for Mini Quick Coupling LCP Compact Hand Technique Guide Synthes 41

Sets 182.480 Compact Hand 1.0/1.3 (Titanium Implants) 182.483 Compact Hand 1.0/1.3 (Stainless Steel Implants) 01.114.104 LCP Compact Hand 1.5 (Titanium Implants) 01.114.102 LCP Compact Hand 1.5 (Stainless Steel Implants) 01.110.014 LCP Compact Hand 2.0 (Titanium Implants) 01.110.012 LCP Compact Hand 2.0 (Stainless Steel Implants) 01.110.024 LCP Compact Hand 2.4 (Titanium Implants) 01.110.022 LCP Compact Hand 2.4 (Stainless Steel Implants) 01.110.003 Standard Instrument Set for LCP Compact Hand 182.475 Aditional Instrument Set for Compact Hand 42 Synthes LCP Compact Hand Technique Guide

Standard Instrument Set for LCP Compact Hand 311.012 Handle, medium, with Mini Quick Coupling 311.430 Handle with Quick Coupling, length 110 mm 319.003 Depth Gauge for Screws 1.3 to 1.5 mm, measuring range up to 24 mm 319.005 Depth Gauge for Screws 2.0 and 2.4 mm, measuring range up to 40 mm 347.901 Pliers, flat-nosed, pointed, for Plates 1.0 to 2.4 347.985 Holding Forceps for Cortex Screws 1.0 to 2.4 mm 391.962 Bending/Cutting Pliers LCP Compact Hand Technique Guide Synthes 43

Standard Instrument Set for LCP Compact Hand Optional 03.100.000 Handle, lockable, with Mini Quick Coupling 311.011 Handle, small, with Mini Quick Coupling 311.013 Handle, large, with Mini Quick Coupling 347.981 Holding Forceps for Plates 1.0 to 2.4 511.776 Torque Limiter, 0.8 Nm, with AO/ASIF Quick Coupling 511.777 Torque Limiter, 0.4 Nm, with AO/ASIF Quick Coupling 44 Synthes LCP Compact Hand Technique Guide

04/2011 30100279 Synthes, Inc. or its affiliates Subject to modification Synthes and Stardrive are trademarks of Synthes, Inc. or its affiliates All technique guides are available as PDF files at www.synthes.com/lit Ö036.000.028öAAƒä 0123 036.000.028 version AA