Ortholox® Periprosthetic Plate & Screw Solutions Ortholox® Locking Periprosthetic Support Proximal Femur Cable-Plate, 4.5/5.0mm

TABLE OF CONTENTS Introduction: Ortholox® Locking Periprosthetic Plate Systems 3 Introduction: Ortholox® Locking Periprosthetic Support Proximal Femur Cable-Plate 4 Surgical Technique: Ortholox® Locking Periprosthetic Support Proximal Femur Cable-Plate 5 Surgical Technique: Locking Attachment Plate 8 Surgical Technique: Ortholox® UHMWPE Orthopedics Cerclage Bands and Button Implant 10 Ordering Info: Implants 11 Ordering Info: Instruments 15

Ortholox® Locking Periprosthetic Plate Systems are designed for temporary fixation to ensure stability and union of traumatic fractures, periprosthetic fractures, osteotomies performed during prosthesis revision or iatrogenic fractures. Ortholox® Locking Periprosthetic Plate Systems are compatible with Ortholox® UHMWPE Cerclage Band System thanks to its Plate-Band Button Implant and in combination; they assist in keeping the displaced bone fragments together Ortholox® Locking Periprosthetic Plate System Ortholox® Locking Periprosthetic Plate System is capable of addressing: − complex fractures...

INTRODUCTION Ortholox® Locking Periprosthetic Support Proximal Femur Cable-Plate - 4.5/5.0mm Ortholox® Locking Periprosthetic Support Proximal Femur Cable-Plate 4.5/5.0mm is part of the Ortholox® Locking Periprosthetic Plate System, which brings alternative solution for periprosthetic fractures. Locking Periprosthetic Support Proximal Femur Cable-Plate is a Titanium Alloy (Ti-6Al-4V) plate. The proximal part of the plate is pre-shaped to fit the lateral anatomy of the Trochanter Major. Six fixation holes in the head of the plate provide optimum rotational stability towards the femoral head and...

SURGICAL TECHNIQUE Ortholox® Locking Periprosthetic Support Proximal Femur Cable-Plate - 4.5/5.0mm Patient Position Place the patient in the supine or lateral position on a radiolucent surgical table according to the surgeon's preference and fracture pattern. If using a fracture table, place the foot on the side of the fracture in a foot holder or use a skeletal traction pin to provide traction. The unaffected leg is positioned down and away from the affected leg or placed in a leg holder. Check the length and rotation of the affected leg compared with the unaffected leg. Rotate the C-arm to...

SURGICAL TECHNIQUE Ensure the position of the plate with the help of fluoroscopy. Insert the Drill Sleeve 4.5mm into the designated hole ‘A’ on the plate. Insert the Positioning Wire Sleeve into the Drill Sleeve. Insert the 2.5mm Positioning Wire into the bone in a controlled manner with a surgical drill. Always ensure that at least two 2.5mm Positioning Wires are inserted into the proximal femur before proceeding with screw placement. Hole ‘A’ serves as the designated reference point for correct plate positioning within the proximal fragment and initial Positioning Wire placement. The Drill...

Step 10 Inserting Shaft Screws If necessary, fracture reduction is performed with a nonlocking cortical screw to assist reduction over the plate. The screw hole is drilled with a 3.2mm Drill Bit using a 3.2mm Drill Sleeve. The screw length is measured with the Depth Gauge for Large Screws. The screw of the appropriate size is inserted into the screw hole with the Screw Holder Clip. The screw is inserted using the Quick Coupling Handle and Screwdriver Shaft f/Large Screws and the distal fragment is reduced proximally. If necessary, additional compression is provided by applying a nonlocking cortical...

SURGICAL TECHNIQUE Locking Attachment Plate If displaced bone fragments exist, Locking Attachment Plate (LAP) can be used to capture the fragment. To place Locking Attachment Plate on the Ortholox® Locking Periprosthetic Support Proximal Femur CablePlate - 4.5/5.0mm, first the Inner Screw is inserted into the locking plate hole with a SW2.5 screwdriver. Place Locking Attachment Plate and find best position by sliding axially over the Proximal Femur Cable-Plate Instruments N/A Ortholox Screwdriver Shaft f/Small Screws Ortholox Quick Coupling Handle f/Screwdriver Shaft To fix LAP to the Ortholox®...

SURGICAL TECHNIQUE Locking Attachment Plate Check the length of the hole by using Depth Gauge . f/Small Screws. Screws can be inserted using surgical motor by using Ortholox® Screwdriver Shaft. However final tightening must be done manually by using Ortholox® Torque Limiting Handle-1.5Nm. A “click” sound should be heard when optimal tension achieved Screw placement is completed by following the same procedure for all other holes deemed necessary. Ortholox Depth Gauge f/Small Screws Ortholox Screwdriver Shaft f/Small Screws Ortholox Torque Limiting Handle for Screwdriver Shaft - 1.5Nm Locking...

SURGICAL TECHNIQUE Ortholox® UHMWPE Orthopedics Cerclage Bands and Button Implant If needed, Ortholox® UHMWPE Orthopedics Cerclage Bands can also be used with Ortholox® Locking Periprosthetic Plates by placing Button Implant to the appropriate screw hole. There is a rectangular recess on the tip of the Screwdriver for Button Implant where the implant will be seated and a mark on it indicating the direction of the button implant’s band/cable hole. The implant is placed on the tip of the Screwdriver for Button Implant as shown in the picture. Ortholox Screwdriver f/Button Implant Ortholox Quick...

ORDERING INFO Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal Ortholox Locking Periprosthetic Support Proximal...