Introduction Butterfly Growth Plate System consists double articulated plates and non-threaded locking screws. The stress on the screws supported by the plate thanks to the articulated design. By using non-threaded locking screws, the epiphyseal damage is minimized. Indications Features Instruments Plate Extraction Indications Butterfly Growth Plate has many patologycal indications. It is used for posttraumatic, metabolic, neuromuscular, idiopathic and congenital pathologies. It is preferred for long bone deformities and corrections of inequal legs. Warning: This descriptive catalog is not sufficient...

Features Butterfly Growth Plate is available in two sizes, 13 and 16 mm depending on the distance between the screw holes. The system is produced by biocompatible Titanium alloy. 16 mm plate with 2 and 4 holes options are available. Butterfly Growth Plate has a durable structure against to the force for hemiepiphysiodesis applications. It can be applied with a precise and simple surgical technique which provides an easy adaptation to different bone morphologies. The hinged structure of the system ensures that the plate is fully aligned with the bone surface, providing an ideal positioning on...

Length Measuring Device K-Wire Sleeve Threaded Drill Sleeve 3.2X65 mm Plate Holder Kirschner Wire Trocar Point 1.2X150 mm

Screw Extractor Cannulated Screw Driver Quick Tip 2.5X Ø 5 X130 mm Soft Screw Driver Quick Small Bone Hammer Small With Slotted End

Surgical Technique The deformity is seen under fluroscopy and skin incision is made with a 3 cm incision. The periosteum is reached after crossing the muscle and fascia. It should be very careful not to damage the periosteum. In order to prevent damage to the perichondral ring, a 1.2 X 150 mm K-wire is used to detect localization under fluoroscopy. K-Wire placed to the pyhsis. The plate is positioned over the K-Wire by passing through the hole in the center of the plate. It should be taken into consideration that the plate should be centered on the AP and Lateral radiographs.

Butterfly Growth Plate is positioned centrally to growth plate and screws sent parallel or angled. The Peg Screws should be longerthan 1/3 of the growth plate. Threaded end of 3.2X65 mm Drill Sleeve is attached to plate, the other end to Plate holder. After the plate localization is provided, K-Wires are sent by inserting K-Wire Guide into the Drill Guide. The length of the screws are determined by using the Length Measuring Device over the K-Wires. K-Wire Guide

*optional A guide entrance hole is drilled by 3.2 mm Cannulated Drill through the K-Wire for Peg Screws. Cannulated Drill The Peg Screw is inserted to the Cannulated Screwdriver and sent by the help of the Hammer.

Screw heads are locked to the plate by turning the Screwdriver. After the K-Wires are pulled out, it must be checked that there is no space between the plate and the bone. The space between plate and bone may cause screw breakage in the follow-up period. The metaphysis and epiphysis detection of the Screws are checked for the last time One plate may be applied for each physisis. After the fixation process is completed, bleeding control is provided with tourniquet application. Skin and fascia plans are carefully closed and the subcutaneous and skin are closed. Immobilization on next day is not...

Plate Extraction The patients are checked 3 months period. The angles of the mechanical axes and joints are measured by the X-ray. After the measured values are neutral, the plate is removed and the growth is continued normal. The threaded head of the Peg screws is recovered by rotating the screw head with the normal screwdriver. There is an extractor designed for removing the Butterfly Growth Plate and Peg Screws. The threaded section of the Extractor is attached to the threaded section of the Peg Screws. The Extractor is retracted and the screw is removed. During removal, the Hammer With Slotted...

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description BUTTERFLY PLATE 2 HOLES (TI) 13 MM BUTTERFLY PLATE 2 HOLES (TI) 16 MM BUTTERFLY PLATE 4 HOLES (TI) 16 MM LOCK. CANN. PEG SCREW (TI) Ø3.5X20 MM LOCK. CANN. PEG SCREW (TI) Ø3.5X22 MM LOCK. CANN. PEG SCREW (TI) Ø3.5X24 MM LOCK. CANN. PEG SCREW (TI) Ø3.5X26 MM LOCK. CANN. PEG SCREW (TI) Ø3.5X28 MM LOCK. CANN. PEG SCREW (TI) Ø3.5X30 MM LOCK. CANN. PEG SCREW (TI) Ø3.5X35 MM LOCK. CANN. PEG SCREW (TI) Ø3.5X40 MM LOCK.CANNULATED SCREW TI 4X20 MM LOCK.CANNULATED SCREW TI 4X22 MM LOCK.CANNULATED SCREW TI 4X24 MM LOCK.CANNULATED SCREW TI 4X26 MM LOCK.CANNULATED SCREW TI 4X28 MM LOCK.CANNULATED...