Large Fragments 5.0 LOCKING PLATE SYSTEMSurgical Technique Locking and Cortex Screws Limited Contact Profile Manufactured in titanium H6AI4V-ELI Approved by U.S. FOOD & DRUG ADMINISTRATION 5.0 Locking Plate System Code 08090001 5.0 Locking Plate System 1

General Surgical Technique …………………………………… 6

Large Fragments 5.0 Locking Plate System www.arzzt.com Manufactured in titanium Ti6AI4V-ELI Condylar Buttress Locking Plate ► Available for left and right femurs ► All plate is Low contact. Design reduces plate to-bone contact, limiting vascular trauma ► 7 distal holes for 5.0 locking screws. ► Proximal holes with 5 to 13 combination locking/compression holes ► The plate holes accept 5.0 mm locking screws in the threaded portion and 4.5 mm cortex screws in the compression portion ► 3 distal holes for 2.0 mm Kirschner wires ► "Tapered end" for submuscular plate insertion, improving tissue viability...

Large Fragments 5.0 Locking Plate System www.arzzt. com Broad/Heavy Locking Plate ► Plate with 5 to 16 combination locking/compression holes ► Holes in both ends for 2.0 mm Kirschner wires ► Limited contact Profile. Design reduces plate to-bone contact, limiting vascular trauma ► "Tapered end" for submuscular plate insertion, improving tissue viability. ► The plate holes accept 5.0 mm locking screws in the threaded portion and 4.5 mm cortex screws in the compression portion INDICATIONS: Indicated for extra-articular and simple intra-articular femur bone fractures diaphyseal fractures of the femur....

Large Fragments 5.0 Locking Plate System www. a rzzt. com Manufactured in titanium Ti6AI4V-EU Proximal Tibia Locking Plate ► Limited contact profile. Design reduces plate to-bone contact, limiting vascular trauma ► 5 proximal holes for 5.0mm locking screws ► Available for left and right tibias ► Plate with 5 to 13 combination locking/compression holes ► Distal holes accept 5.0 mm locking screws in the threaded portion and 4.5 mm cortex screws in the compression portion ► 1 proximal hole for 2.0 mm Kirschner wires ► "Tapered end" for submuscular plate insertion, improving tissue viability. INDICATIONS:...

General Surgical Technique Screw Insertion All plates holes accept 5.0 mm locking screws in the threaded portion and 4.5 mm cortex screws in the compression portion If a combination of locking and cortex screws is planned, a cortex screw should be used first to pull the plate to the bone. If a locking screw is used first, care should be taken to ensure that the plate is held securely to the bone to keep the plate from rotating off the bone as the screw is locked into the plate. Plates have holes for 2.0 mm Kirschner wires to secure them. Note: A power drilling machine or drill bit handle is not...

Insert cortex screws Instruments 07013105 3.5 mm Drill Bit, with depth mark 07080114 Large Depth Gauge 07031105 3.5/4.5 Double Drill Guide Use the 3.5/4.5 Double Drill Guide for an eccentric ( compression ) or neutral (buttress ) insertion of cortex screws. Use the 3.5 mm drill bit with depth mark for 4.5mm screws to drill to the desired depth. Use the depth gauge to measure for screw lengths. 2 Insert locking screws Instruments 5.0 StarDrive Screwdriver with torque 4.0 mm Drill Bit, with depth mark Large Depth Gauge 5.0mm Drill Guide 5.0 Locking Plate System 7

Large Fragments 5.0 Locking Plate System www.arzzt.com Screw the threaded 5.0mm drill guide for 5.0mm screws into a locking hole until it is fully seated. Use the 4.0mm drill bit depth mark for 5.0mm screws to drill to the desired depth. Determine screw length Remove the drill guide Use the depth gauge to measure the screw length Insert screw Insert locking screws manually with a T8 StarDrive screwdriver. Carefully tighten the locking screw. Excessive force is not necessary to lock the screw to the plate. 5.0 Locking Plate System 8

Position Patient Complete de preoperative radiographic assessment and prepare the preoperative plan. Determine plate lenght and instruments to be used. Position the patient supine on a radiolucent operating table. Viewing the bone under fluoroscopy in both the lateral and AP views is necessary. Make an incision according to the fracture site and pattern Supine Position 5.0 Locking Plate System 9

Condylar Buttress Locking Plate Instruments 07013105 07023104 07080114 01014104 Reduce fracture and position plate 3.5 mm Drill Bit, with depth mark Solid Screwdriver Large Depth Gauge 2.0mm Kirschner Wire Reduce the fracture using the preferred reduction technique. The reduction method will be fracture specific. Apply the plate to fit the Condyle and Femoral Surface and insert a 4.5mm cortex screw into the most distal long hole in the shaft, following the method described in the General Technique section. Adjust the plate position as necessary, and tighten the screw. Insert Kirschner Wires using...

Insert Distal Screws Instruments 07013107 4.0 mm Drill Bit, with depth mark 07022107 5.0 StarDrive Screwdriver with torque 07080114 Large Depth Gauge The order of screw insertion in the shaft and me-taphysis may vary depending on fracture pattem and reduction technique. Insert the 5.0mm drill guide with measuring into one of the distal plate holes. Ensure that the guide is firmly seated in the hole. Drill with the 4.0mm drill bit and measure screw length with the depth gauge, then insert a 5.0mm locking screw using a TB StarDrive screwdriver. Repeat this procedure for the remaining distal holes...

Large Fragments 5.0 Locking Plate System www. a rzzt. com Insert remaining proximal screws Instruments 07013105 3.5 mm Drill Bit, with depth mark 7013107 4.0 mm Drill Bit, with depth mark 07022107 5.0 StarDrive Screwdriver with torque 7080114 Large Depth Gauge 07031105 3.5/4.5 Double Drill Guide Determine where the 5.0mm locking or 4.5 mm cortex screws will be used in the shaft of the plate. Following the steps described in the General Technique section, insert these screws, beginning with the most proximal screw. 5.0 Locking Plate System 12