ACTIV ANKLE DISTAL AND DIAPHYSEAL FIBUL A MEDIAL MALLEOLUS P OLYAXIAL LOCKING FIXATION Precontoured implants P olyaxiality of 20° 2 surgical approaches: lateral and posterolateral Medial malleolus fixation

A CT I V A NK L E Indications: The ACTIV ANKLE range is intended for the fixation of fractures, osteotomies and pseudarthroses of the distal and the diaphyseal fibula, for the fixation of fractures of the medial malleolus and for the syndesmotic repair in adults. Contra-indications: • Serious vascular deterioration, bone devitalization. • Pregnancy. • Acute or chronic local or systemic infections. • Lack of musculo-cutaneous cover, severe vascular deficiency touching the focus. • Insufficient bone quality preventing the correct insertion of the screws into the bone. • Muscular deficit, neurological...

T ECHNI C A L FE AT U R E S A PRECONTO UR ED IMPLA NT OPTIMAL ANATOMICAL CONGRUENCE PLATE BENDING The design of this implant is the result of a proprietary stateof-the-art mapping technology to establish the optimized congruence between the plate and the bone. T he diaphyseal part of the fibula can vary from one patient to the other. In the case of long plates, it is possible to bend the diaphyseal part of plates at each appropriate area using bending irons (ANC542) for an optimal fit to the bone anatomy, following the instructions below: > ending is only possible in the areas intended for this...

S U R GI C A L T ECHNI Q U E PL ACEMENT OF THE LATERAL PL ATE PRELIMINARY REDUCTION OF THE FRACTURE WITH A SCREW Reamer Remark: As an osteosynthesis screw used alone cannot bear weight and resist shear stresses, a plate should be used to allow early mobilization. 1. Reduce and temporarily maintain the fracture with bone reduction forceps (ANC504), making sure not to hinder the subsequent positioning of the screw. Drill with the Ø2.7 mm drill bit (ANC089C) using the guide gauge 1 (ANC191). The drilling should be perpendicular to the line of fracture. 2. When a lag effect is desired, over-drill...

Remark: The fixation steps remain unchanged for Narrow (RTSLNx) or Posterolateral plates (RTxQ1). 11. For the diaphyseal fixation, drill using the guide gauge (ANC186) and insert the Ø3.5 mm locking screws (SOT3.5Lxx). For the Ø3.5 mm cortical screws (CT3.5Lxx) insertion, repeat this procedure using the guide gauge (ANC191) 2 . FINAL RESULT NB: To ease the insertion of the Ø3.5 mm locking screws (SOT3.5Lxx), use the reamer part of the 2-in-1 instrument (ANC083C) to widen the first cortex previously drilled. (2) In the case of a bicortical fixation, the drilling depth can be checked on the length...

LATERAL STANDARD PLATES Ref. Description RTGLS1 Lateral plate for distal fibula - Standard Left - Size 1 - L75 mm RTDLS1 Lateral plate for distal fibula - Standard Right - Size 1 - L75 mm RTGLS2 Lateral plate for distal fibula - Standard Left - Size 2 - L97 mm RTDLS2 Lateral plate for distal fibula - Standard Right - Size 2 - L97 mm RTGLS3 Lateral plate for distal fibula - Standard Left - Size 3 - L128 mm RTDLS3 Lateral plate for distal fibula - Standard...

-) 02.8 MM SCREWS NON LOCKING SCREWS* Description 02.8 mm locking screw -02.8 mm locking screw -02.8 mm locking screw -02.8 mm locking screw -02.8 mm locking screw -02.8 mm locking screw -02.8 mm locking screw -02.8 mm locking screw - SDT2.8L10 SDT2.8L12 SDT2.8L14 SDT2.8L16 SDT2.8L18 SDT2.8L20 SDT2.8L22 SDT2.8L24 * Green anodized. -) 03.5 MM SCREWS Golden anodized. mm non locking screw mm non locking screw mm non locking screw mm non locking screw mm non locking screw mm non locking screw mm non locking screw mm non locking screw ■ L10 mm ■ L12 mm ■ L14 mm ■ L16 mm ■ L18 mm L20 mm ■ L22 mm ■...

ANC046C 02.0 mm non-threaded guide gauge for 02.8 mm screws 1 ANC082E 2.0 mm quick coupling hexagonal prehensor screwdriver 1 ANC088C 02.0 mm quick coupling drill bit - L125 mm 2 ANC089C 02.7 mm quick coupling drill bit - L125 mm 2 ANC107 2.5 mm quick coupling hexagonal non prehensor screwdriver 1 ANC124 Length gauge for 03.5 mm cortical screws 1 ANC186 02.7 mm threaded guide gauge for 03.5 mm screws 2 ANC191 02.7 mm non-threaded bent guide gauge for 03.5 mm screws 1 ANC252 Fast drilling guide for RTGLSx plates 1 ANC253 Fast drilling...