TDM TRAUMA Surgical Technique Guide SNOWMAN Plate & Screw System Guided Growth for Angular Correction Copyright (C) 2023 TDM Co., Ltd. All Rights Reserved. Reliable Quality, Credible Performance

Snowman Plate & Screw System TDM Principle Basic Plus One------------------------------------------------------------- 1 Product Introduction Snowman Plate Description 2 Snowman Plate FAQs------------------------------------------------------- 3 Surgical Technique 8 Step Surgical Technique Guide------------------------------------------- 6 ■ Placing Epiphyseal / Metaphyseal Guide Pin ---------------------------- 7 ■ Determining Screw Length 7 ■ Inserting Snowman Screw 8 ■ Guide Pin Removal and Final Confirmation---------------------------- 9 Ordering Information Snowman Plate -------------------------------------------------------------10...

Product Introduction Snowman Plate FAQs PRODUCT INTRODUCTION ? Snowman Plate FAQs Snowman Plate Description The TDM Snowman Plate is an implant that induces natural and safe guided growth for deformities in pediatric patients. Performed under minimal invasion and a simple surgical procedure, the Snowman Plate allows immediate weight bearing as well as fast post-operative recovery. While the plate mildly suppresses one side of the physis (growth plate), the other side grows naturally, restoring limb alignment and leading to successful deformity correction. Key Features ▪ No direct pressure is...

Warning and Precautions Indications for Use / Contraindication The TDM implant is a single use device and must never be reused. Reuse of this device could result in failure of the device to perform as intended and could cause harm to the patient and/or user. Only a trained physician with knowledge of orthopedic procedures should use this device. Pre-operative and operating procedures, including knowledge of surgical techniques and proper selection and placement of the device, are important considerations in the successful utilization of this device. The patient must be aware of temporary limitations...

Surgical Technique SURGICAL TECHNIQUE First, assemble Protection Sleeve, Drill Guide, and Pin Guide. Then place it in the designated position. 8 Step Surgical Technique Guide Localize and insert a 1.5mm Guide Pin into the physis (growth plate) via fluoroscopic imaging. ＊ The size of the plate is determined according to the height and location of the physis. Always keep in mind that the top priority during the procedure is to avoid any contact with the physis. Drill Guide Protection Sleeve Insert the Epiphyseal Guide Pin through previously the assembled components. Insertion of the Metaphyseal...

6 Take out the Pin Guide from the previously assembled instruments (Protection Sleeve, w Drill Guide, and Pin Guide). Then, using the Drill Guide, drill to the desired depth that corresponds to the selected screw’s length. Aided with fluoroscopy, remove Guide Pins and ensure whether the screws are fully seated and if there are any gaps existing between the bone-screw-bone interface. Insert Snowman Screw into the pre-drilled ephiphyseal and metaphyseal plate holes. Surgical Technique Summary O Localizing Guide Pin © Plate positioning © Instrument assembly © Placing Epiphyseal / Metaphyseal Guide...

904-41103 Drill Guide, Radiolucent ■ N/A 904-41106 Direct Measuring Device ■ N/A Cannulated Screw Driver ■ HEX 3.5 mm 904-45008 1 Screw Driver Shaft (Cannulated 1 / Solid 2) ■ HEX 3.5 mm 904-45010 2 904-98101P Container for Snowman Plate & Screw, Outer Cover 904-98102A Container for Snowman Plate & Screw, Outer Body 904-98108A Container for Snowman Plate & Screw, Screw Rack 904-50012 Cannulated Quick Chuck ■ N/A Snowman Plate & Screw System

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