Stratum Foot Plating System

Indications and Contraindications INDICATIONS: The Nextremity Solutions Stratum Foot Plating System is a plate and screws construct indicated for fixation of fractures, osteotomies, non-unions, malunions and fusions of small bones and small bone segments, particularly in osteopenic bone. CONTRAINDICATIONS: • Patient conditions including insufficient quantity or quality of bone. • Blood supply limitations and previous or active infections that may inhibit healing. • Surgical procedures other than for the indications listed. • Patients with conditions that limit their ability or willingness to...

Stratum Foot Plating System The Stratum Foot Plating System is the next generation of anatomic locking plates that addresses osteotomies, mal-unions, non-unions, fractures, and fusions in the forefoot, midfoot, and hindfoot. The system expands on the features of A.L.P.S.® Total Foot System and includes new innovative technology. The system contains 11 distinctive plate types (49 plates) along with 6 screw families (2.7, 3.5 & 4.0 mm). It also comes with a complete set of sterile implants and instruments, creating ease of use and efficiency for customers.

Stratum Foot Plating System A Symphony for Foot and Ankle RepairTM Single Lisfranc Fusion Plates Medial Column Fusion (MCF) Plates Straight Plates Talonavicular Joint Fusion (TN) Plates Peanut Plates

Lapidus Plates (1st TMT Joint Fusion) Double Lisfranc Fusion Plates Calcaneocuboid Joint Fusion (CC) Plates Naviculocuneiform Joint Fusion (NC) Plates

Stratum Foot Plating System Plate Features: Tine Technology Stratum plates are made of Ti-6Al-4V ELI (Type 2 Anodized Titanium Alloy) Hands-Free Technique • Plate templates allow for pre-drilling of tine holes on one side of joint or fracture • No provisional K-wires required to hold plate in position once tines are inserted • Tines prevent plate from shifting once inserted • Three points of fixation in small footprint • Ability to manipulate small bones and/or segments of bone once tines are inserted Compression Through Tines • Joint can be compressed through tines, not screws, via tension band...

Stratum Foot Plating System Plate Features: Compression Ramps Up to 3.5mm of Linear Compression • Surgeon dials in compression based on tactile response Bicortical Compression • Bicortical fixation with threaded wire prior to start of compression • Compression driven at the level of the plate mitigating moment forces on joint Pre-Assembled on Plate • Removable compression ramp allows for low-profile plate designs • Tabbed design allows for easy rem

Stratum Foot Plating System Plate Features: Alignment Caps Low Profile Alignment Caps with Tapered Edge • Easily slips under soft tissue • Pre-assembled to plates Quick Connection to Drill Tube • No thread-on requirement • Protects integrity of plate threads Drill Tube Doubles as Alignment Cap Removal Instrument • Allows to load screw on driver while removing Alignment Cap • Alignment Caps removed quickly and easily • Guides co-axial drilling to reduce cross-t

Stratum Foot Plating System Plate Features: In-Situ Contouring Plate Benders • Easily thread into plate after Alignment Caps are removed • Allows for in-situ contouring • Protects threads from deforming during plate bending • Two different lengths to allow for optimal grip when benders are in close proximity to one anoth

Stratum Foot Plating System Screw Options The Stratum Foot Plating System comes with a variety of screw options. The system uses sterile locking, non-locking, and multi-directional locking screws. Due to the design of the plate itself, variable-angle locking and non-locking screws can be used in any of the screw holes, with the exception of the slotted hole, which requires a 3.5mm nonlocking screw. This versatility allows for multiple screw combinations based on surgeon preference. The Cobalt Chrome Multi-Directional Locking Screw allows for off-axis screw direction based on patient anatomy or...

Stratum Foot Plating System Sterile/Disposable Instrument Kits Sterile/Disposable Instrument Kits • • • • • All components in kits are pre-sterilized Instrumentation has never been used, damaged, or worn prior to surgery Time and cost savings as sterilization before surgery is no longer necessary Complete sets at delivery minimizes time at the back table Plate templates are attached to the underside of each instrument kit lid Lapidus Instrument Kit Standard Instrument Kit Torque Limiting Handle 2NM Drill Bit 3.5mm Calibrated Drill with Sl

Stratum Foot Plating System Dorsal-Medial Lapidus Plates The Standard Small and Large Lapidus plates sit next to the anterior tibialis tendon with all screw holes visible. Due to the variation of patient anatomies, the Dorsal-Medial Lapidus plates were designed to provide visibility to all screw holes in the event that the anterior tibialis tendon of the patient is advanced distally. The Dorsal-Medial Lapidus plate is positioned beneath the tendon with the screw hole sitting on the other side of the tendon to ensure visibility of the screw hole. Dorsal-Medial Lapidus Plate Standard Lapidus Plate...