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UltOS™ Foot Plating System

UltOS™  Foot Plating System
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UltOS™ Foot Plating System

Product catalog summary
UltOS™ Foot Plating System Overview
The UltOS™ Foot Plating System is designed for foot surgeries, offering a range of color-coded plates and screws for easy identification. It includes 2.7mm and 3.5mm diameter locking and non-locking screws, and a 3.5mm cannulated screw for additional compression.

Material and Design
The system uses Titanium alloy (Ti-6Al-4V) for its strength and biocompatibility. Plates and screws are low-profile and anatomically contoured to minimize soft tissue irritation. A T8 Torx Drive enhances torque transmission for secure screw insertion.

Instrumentation and Techniques
The system includes instruments for efficient use, such as a compression distraction device for controlled compression or distraction of the osteotomy site. Features like positional locking and convergent screw axis improve fixation.

System Range
The system offers twelve types of plates for various surgeries, including Lapidus, Metatarsophalangeal, and Tarsal Fusion plates, accommodating both 2.7mm and 3.5mm screws.

Surgical Procedures
General procedures emphasize avoiding excessive torque during screw insertion. Detailed steps for metatarsophalangeal fusion include joint preparation and plate positioning.

Key Recommendations
  • Use appropriate drill guides and sizes for screw insertion.
  • Ensure proper plate contouring to match anatomical structures.
  • Utilize the compression distraction device for precise adjustments.
  • Follow guidelines for metatarsophalangeal fusion for desired valgus correction.

Compression & Distraction
The Compression Distraction Device (CDD) reduces the joint before screw insertion and plate locking. It accepts 1.8mm and 2.0mm K-Wires for stability.

Proximal and Distal Screw Insertion
Evaluate the plate profile and use plate benders if necessary. Drill according to screw size, ensuring the screw head is flush with the plate.

Stabilising the Fusion Construct
Remove the CDD and temporary fixation pins, then place screws in all remaining positions.

Across Joint Compression
A 3.5mm cannulated compression screw is included for additional joint compression.

Lapidus Surgical Procedure
This procedure corrects hallux valgus deformity using an anatomically contoured Lapidus Plate.

Opening Wedge Surgical Procedure
Used for proximal osteotomies, the Opening Wedge Plates offer high corrective power.

Medial Displacement Calcaneal Osteotomy Procedure
The Calcaneal Step Plates provide rotational stability with a 3.5mm cannulated screw.

Product Overview
Ortho Solutions Ltd manufactures non-sterile orthopedic plates for foot and ankle surgeries, including rearfoot reconstruction and tarsal fusion.

Product Specifications
  • Rearfoot Recon Plate: 14-hole, non-sterile.
  • Tarsal Fusion Plates: Available in 12mm, 14mm, and 16mm, non-sterile.
  • Calcaneal Step Plates: Available in 8mm, 10mm, and 12mm, non-sterile.
  • Lapidus Plates: Available in 0mm, 2mm, 4mm, and 6mm for both left and right, non-sterile.
  • Opening Wedge Plates: Available in 0mm, 2.5mm, 3mm, 4mm, 5mm, and 7mm, non-sterile.

Company Information
Ortho Solutions Ltd is based in the UK with offices in the USA and Australia. Contact details are provided for sales inquiries.

Additional Information
The document is proprietary to Ortho Solutions Ltd, with trademarks for the OS and OxBridge logos. It is marked as Issue 2, dated October 2015.
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Catalog excerpts

UltOS™  Foot Plating System-1

UltOS™ Foot Plating System One System. Multiple Options. Design Rationale & Surgical Technique Specialist Extremities

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UltOS™  Foot Plating System-2

UltOS™ Foot Plating System Design Rationale Plate and Screws Low Profile Plates and Screws Anatomically contoured low profile plates and screws to minimise the likelihood of soft tissue impingement and irritation. Colour Coded The plates and screws are colour coded for easier identification during the surgical procedure. Flexible Screw and Plate Combination Each plate can accept either 2.7mm or 3.5mm locking, or non locking screws ensuring a plate and screw construct that best suits the anatomy and clinical indications. Torx Drive The plates and screws are made from Titanium alloy (Ti-6Al-4V). The...

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UltOS™  Foot Plating System-3

Instrumentation Parallel Compression and Distraction Controlled parallel compression, or distraction, of the osteotomy site can be achieved, independent of the plate, with the use of the compression distraction device. Controlled Compression or Distraction A graduated scale on the device ensures that the level of compression or distraction can be measured and controlled. Positional Locking The thumb screw ensures that the bone fragments can be stabilised in position prior to securing with the plate and screws. Stable and Secure Positioning 1. Compression Slot Compression slot to enhance apposition...

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UltOS™  Foot Plating System-4

UltOS™ Foot Plating System System Range The system offers a comprehensive range of twelve types of plate for elective forefoot, midfoot and hindfoot surgical procedures. Calcaneal Step Plate Rearfoot Reconstruction Plate Opening Wedge Osteotomy Plate Arthrodesis Wedge Plate Opening Wedge Locking Plate General Fusion ‘T’ Plate General Fusion ‘X’ Plate General Fusion Plate Lapidus Plate Metatarsophalangeal Plate Tarsal Fusion Plate Universal Locking Plate / UltOS™ Foot Plating System Design Rationale & Surgical Technique / V. 1

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UltOS™  Foot Plating System-5

System Range - Screws A range of 2.7mm and 3.5mm locking and non locking screws are available. Any screw can be utilised in any plate. The 3.5mm cannulated compression screw can be used independently across the osteotomy site to provide additional compression and stability where required. Value without compromise

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UltOS™  Foot Plating System-6

UltOS™ Foot Plating System System Range - Plates Lapidus Plate Product Description Part Number Lapidus Plate 0mm Left Lapidus Plate 0mm Right Lapidus Plate 2mm Left Lapidus Plate 2mm Right Lapidus Plate 4mm Left Lapidus Plate 4mm Right Lapidus Plate 6mm Left Lapidus Plate 6mm Right Metatarsophalangeal Plate Product Description Part Number MTP Plate Large Left MTP Plate Large Right MTP Plate Medium Left MTP Plate Medium Right MTP Plate Small Left MTP Plate Small Right MTP Plate Extra Small Left MTP Plate Extra Small Right Opening Wedge Plate Product Description Part Number Opening Wedge Plate...

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UltOS™  Foot Plating System-7

Opening Wedge Locking Plate Product Description Part Number Opening Wedge Locking Plate 0mm Opening Wedge Plate Locking 3mm Opening Wedge Plate Locking 4mm Opening Wedge Plate Locking 5mm Opening Wedge Plate Locking 6mm Opening Wedge Plate Locking 7mm General Fusion Straight Plate Product Description Part Number General Fusion Straight Plate 2 Hole General Fusion Straight Plate Hole General Fusion T Plate Product Description General Fusion T Plate 3 Hole General Fusion T Plate 6 Hole General Fusion T Plate 4 Hole Value without compromise Part Number

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UltOS™  Foot Plating System-8

UltOS™ Foot Plating System System Range - Plates General Fusion ‘X’ Plate Product Description Part Number General Fusion X Plate L General Fusion X Plate M General Fusion X Plate S General Fusion X Plate XS Rearfoot Reconstruction Plate Product Description Part Number Rearfoot Recon Plate 6 Hole Rearfoot Recon Plate 8 Hole Rearfoot Recon Plate 14 Hole Tarsal Fusion Plate Product Description Part Number Tarsal Fusion Plate 12mm Tarsal Fusion Plate 14mm Tarsal Fusion Plate 16mm / UltOS™ Foot Plating System Design Rationale & Surgical Technique / V. 1

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UltOS™  Foot Plating System-9

Universal Locking Plate Product Description Part Number Universal Locking Plate 12mm Universal Locking Plate 16mm Universal Locking Plate 20mm Universal Locking Plate 24mm Universal Locking Plate 30mm Arthrodesis Wedge Plate Product Description Part Number Arthrodesis Wedge Plate 0mm Arthrodesis Wedge Plate 2mm Arthrodesis Wedge Plate 4mm Arthrodesis Wedge Plate 6mm Arthrodesis Wedge Plate 8mm Calcaneal Step Plate Product Description Calcaneal Step Plate 8mm Calcaneal Step Plate 12mm Calcaneal Step Plate 10mm Value without compromise Part Number

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UltOS™  Foot Plating System-10

UltOS™ Foot Plating System Surgical Techniques 1. General Surgical Procedure Instrumentation System The comprehensive instrumentation system is presented as a single set for improved efficiency and ease of use. The top tray of the set contains the preparation instruments for the plate specific procedures. The bottom tray holds the non sterile implants, or trial plates. Implants are also available sterile packed. Screw Insertion All plate offerings within the Ultos™ System accept all 2.7mm and 3.5mm non locking and locking screw formats. NOTE: Applying excessive torque during screw insertion is...

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UltOS™  Foot Plating System-11

Drill Guides When using on-axis locking screws with the plates, thread the appropriate drill guide into the corresponding plate position and use the designated drill size: 2.7mm screws use 2.0mm drill OS200020LC 3.5mm screws use 2.5mm drill OS200025LC The drill guides can be stabilised during drilling with the Drill Guide Holder OS328005-NS. Ensure the drill guides mate properly and are seated correctly on the plate ensuring the correct, predetermined hole trajectory. Both 2.7mm and 3.5mm drill guides are available in long and short versions allowing them to be used simultaneously without interference....

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UltOS™  Foot Plating System-12

UltOS™ Foot Plating System Screw Length Screw length is determined with the depth gauge (OS328101- NS). Locate the depth gauge in the appropriate plate position and depress the plunger. The hook on the distal tip of the plunger should hook on the wall of the far cortex. The appropriate screw length can be directly read off the scale on the measuring device. Parallel Compression and Distraction* The Compression and Distraction Device (CDD) has been specifically designed for foot and ankle procedures for forefoot and midfoot / hindfoot procedures. Both compression and distraction, in a parallel...

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*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.