HLS
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Implants trauma Hand Locking Plates System

CAUTION: Federal Law (USA) restricts this device to sale by or on the order of a board certified physician. WARNING: If there is no sufficient bone healing, wrong or incomplete postoperative care, plate might break. All ITS plates are preformed anatomically as a matter of principle. If adjustment of the plate to the shape of the bone is required, this is possible by carefully bending gently in one direction once. Particular care is required when bending in the region of a plate hole, as deformation of the plate may lead to a failure of the locking mechanism. The plate must not be buckled or...

1. Introduction P. 5 Preface P. 6 Screws P. 6 Properties P. 7 Plate types P. 8 Indications & Contraindications 2. Surgical Technique P. 8 Time of operation P. 10 HLS Plate 2 T-Shape 1.0mm P. 10 Reduction P. 10 Placement of the screws P. 12 Postoperative treatment P. 12 Explantation 3. Information P. 13 Locking P. 13 Dotize® P. 14 Order list P. 18 Reconditioning Manual

Preface The HLS - Hand Locking Plates System from I.T.S. is a proven osteosynthesis system with various plate types for different fractures of the hand. The special feature of these implants is the free choice of screw placement. The user is able to set any desired screw in any hole either locking or non-locking screw (except in the compression hole). The free choice of screw angulation (+/- 15°, see page 13) provides an advantage in fracture treatment, especially in the case of complex fractures.

Spiral Drill, D=1.1mm, L=60mm, AO Connector Spiral Drill, D=1.8mm, L=100mm, AO Connector Spiral Drill, D=1.5mm, L=85mm, AO Connector Properties Properties of the material: • Plate material: Titanium • Material of screws: TiAl6V4 ELI • Easier removal of the implant after the fracture has healed • Improved fatigue strength of the implant • Reduced risk of cold welding • Reduced risk of inflammation and allergy • Multi-directional Locking • Minimization of soft tissue irritation due to anatomical plate design • Various plate types and lengths • Plate strengths: 1.0mm & 1.5mm • Sliding hole...

Plate types

Indications, Contraindications & Time of operation Indications: The intended use of the ITS. HLS - Hand Locking Plates System is to draw two or more aligned bone fragments together to facilitate healing in an adult patient. The ITS. HLS - Hand Locking Plates System is indicated for use in fracture fixation of: • • • • • • the phalanges the metacarpal bones the carpal bones for arthrodesis for corrective osteotomies and for subcapital radial head fractures Existing infections in the fracture zone and operation area Common situations that do not allow osteosynthesis With advanced osteoporosis...

Surgical Technique

HLS Plate 2 T-Shape 1.0mm Example of use of a HLS Plate 2 T-Shape 1.0mm on metacarpal bone V. Reduction • Temporary fixation of the fracture parts using forceps • Subsequent control under fluoroscopy Placement of the screws Use the spiral drill to drill through the drill guide, D=1.2/1.9mm (62211) (bore diameter depends on the choice of screw - see page 6). Determine appropriate length using the depth gauge (9-110).

Then insert one of the four screwtypes with the Torque-Shank screwdriver, T5x80, AO Connector (54101-80). Afterwards the remaining plate holes are filled, with either locking or non-locking screws. Subsequent control of plate position under fluoroscopy.

Postoperative treatment • Elevation and preventative edema measures on the day of the operation • Free weightbearing according to symptoms and stipulations of the operating surgeons Explantation • Removal is possible, if desired by the patient. This is facilitated by the fact that, due to different materials of plate and screws, cold welding never occurs. • The problem of cold welding was resolved by using a special surface treatment (for further information see page 13).

Locking Functionality of Locking: • Screw material (TiAlV) is slightly harder than plate material (Titanium Grade 2) • Screw head forms thread into the plate (no cutting) ± 15° and Locking No pre threading No cold welding No debris You can re-set the screw up to 3 times Dotize® Chemical process - anodization in a strong alkaline solution* Type III anodization Dotize Type II anodization + Film becomes an interstitial part of the titanium - Implant surface remains sensitive to: Chipping Peeling Discoloration Type - III - No visible cosmetic effect Dotize® Type - II Ti-Oxid Anodization Type II...

Order list HLS Plate, Straight Individual 21502 HLS Plate, Straight 1.0mm, 4-hole HLS Plate, Straight 1.0mm, 5-hole HLS Plate, Straight 1.0mm, 6-hole HLS Plate, Straight 1.0mm, 8-hole HLS Plate, Straight 1.0mm, 10-hole HLS Plate, Straight 1.5mm, 4-hole HLS Plate, Straight 1.5mm, 5-hole HLS Plate, Straight 1.5mm, 6-hole HLS Plate, Straight 1.5mm, 8-hole HLS Plate, Straight 1.5mm, 10-hole HLS Plate, 2 T-Shape 1.0mm, 2-hole HLS Plate, 2 T-Shape 1.0mm, 3-hole HLS Plate, 2 T-Shape 1.0mm, 4-hole HLS Plate, 2 T-Shape 1.5mm, 2-hole HLS Plate, 2 T-Shape 1.5mm, 3-hole HLS Plate, 2 T-Shape 1.5mm,...

HLS Plate, L-Shape, Left 21516 HLS Plate, L-Shape, Right 21515 HLS Plate, Square 1.0mm 21517 HLS Plate, Square 1.5mm, Small HLS Plate, Square 1.5mm, Large HLS Plate, Square 1.5mm, X-Large Locking Stabilization Screw, D=1.5mm, L=5mm Locking Stabilization Screw, D=1.5mm, L=6mm Locking Stabilization Screw, D=1.5mm, L=7mm Locking Stabilization Screw, D=1.5mm, L=8mm Locking Stabilization Screw, D=1.5mm, L=9mm Locking Stabilization Screw, D=1.5mm, L=10mm Locking Stabilization Screw, D=1.5mm, L=11mm Locking Stabilization Screw, D=1.5mm, L=12mm Locking Stabilization Screw, D=1.5mm, L=13mm Locking...

Order list Cortical Screw, D=1.8mm, L=13mm 32151-13 Cortical Screw, D=1.8mm, L=14mm 32151-14 Cortical Screw, D=1.8mm, L=15mm 32151-15 Cortical Screw, D=1.8mm, L=16mm 32151-16 Cortical Screw, D=1.8mm, L=18mm 32151-18 Cortical Screw, D=1.8mm, L=20mm 32151-20 Cortical Screw, D=1.8mm, L=22mm 32151-22 Cortical Screw, D=1.8mm, L=24mm 32151-24 Cortical Screw, D=1.8mm, L=26mm 32151-26 Drill Guide, D=1.2/1.9mm 62211 Spiral Drill, D=1.1mm, L=60mm, AO Connector Spiral Drill, D=1.5mm, L=185mm, AO Connector Spiral Drill, D=1.8mm, L=100mm, AO Connector Depth Gauge 9-110 AO Handle 53013 Torque-Shank,...