Small Fragments 3.5 LOCKING PLATE SYSTEM
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Small Fragments 3.5 LOCKING PLATE SYSTEMSurgical Technique Locking and Cortex Screws Limited Contact Profile Manufactured in titanium Ti6AI4V-ELI Approved by U.S. FOOD & DRUG ADMINISTRATION 3.5 Locking Plate System Code 08070001 3.5 Locking Plate System 1

General Surgical Technique …………………………………… 8

Introduction Manufactured in titanium Ti6AI4V-ELI Forearm Locking Plate ► Plate with 5 to 12 combination locking/compression holes ► Holes in both ends for 2.0 mm Kirschner wires ► "Tapered end" for submuscular plate insertion, improving tissue viability. ► The plate holes accept 2.7mm and 3.5 mm ock-ing screws in the threaded portion and 3.5 mm cortex screws and 4.0 mm cancellous bone screws in the compression portion. INDICATIONS: Extra-articular and simple intra-articular medial radius and ulna bone fractures diaphyseal fractures of the radius and ulna. 3.5 Locking Plate System 3

Introduction Manufactured in titanium Ti6AI4V-EU Proximal Humerus Locking Plate ► Pseudarthroses in the proximal humerus ► Osteotomies in the proximal humerus ► Anatomically Shaped ► 8 proximal screw holes for 3.5mm locking screws ► 1 proximal screw hole for 3.5 cortex or 4.0 cancellous screw ► 3.5 Cortex, 3.5 Locking or 4.0 Cancellous Screws for distal holes ► 13 Proximal holes for 2.0 mm Kirschner wires INDICATIONS: Dislocated two-, three-, and four-fragment fractures of the proximal humerus, including fractures involving osteopenic bone 3.5 Locking Plate System 4

Introduction Manufactured in titanium Ti6AI4V-EU Wrist Surgery Locking Plate ► Available for left and right distal radius ► Shaft with 4 to 6 locking holes with one dynamic orifice for 3.5 mm cortex, or 4.0 mm cancellous bone screws ► 5 Distal locking holes accept 2.7 mm locking, 3.5 mm locking ► 3 distal holes for 1.6 mm Kirschnerwires ► The shaft holes accept 2.7mm and 3.5 mm locking screws in the threaded portion and 3.5 mm cortex screws and 4.0 mm cancellous bone screws in the compression portion INDICATIONS: Temporary fixation, correction or stabilization in the radius anatomical...

Introduction Manufactured in titanium Ti6AI4V-EU Distal Tibia Locking Plate ► Limited contact profile. Design reduces plate to-bone contact, limiting vascular trauma ► Available for left and right tibias ► Shaft with 6 to 12 combination locking/compression holes ► 8 Distal locking holes accept 3.5 mm locking ► Shaft 3.5 locking, 3.5 mm cortex, or 4.0 mm cancellous bone screws in the compression portion ► Proximal and distal holes for 2.0 mm Kirschner wires ► Distal tab for optional medial malleolus screw accepts 3.5 mm locking, 2.7 mm locking. The tab can bend, contour or cut if required. ►...

Small Fragments 3.5 Locking Plate System www.arzzt. com INDICATIONS: Extra-articular and simple intra-articular distal fibula bone fractures: Diaphyseal fractures of the fibula, metaphyseal fractures of the fibula. 3.5 Locking Plate System 7

General Surgical Technique 2.7 mm and 3.5 mm Locking Screw Screw Insertion All plates holes accept 2.7mm and 3.5mm locking screws in the threaded portion and 3.5 mm cortex screws in the compression portion. 4.0 cancellous screws may be used for fixation of poor quality or metaphyseal bone. 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...

1 Insert cortex or cancellous screws Instruments 07012106 2.7 mm Drill Bit, with depth mark 07012107 3.2 mm Drill Bit, with depth mark 07080113 Short Depth Gauge 07031104 2.7/3.2 Double Drill Guide Use the 2.7/3.2 Double Drill Guide for an eccentric ( compression ) or neutral (buttress ) insertion of cortex screws. Use the 2.7 mm drill bit with depth mark for 3.5mm cortex screws and 3.2mm drill bit with depth mark for 4.5mm cancellous screws to drill to the desired depth. Insert locking screws 07012104 2.0 mm Drill Bit, with depth mark 07012106 2.7 mm Drill Bit, with depth mark 07022106 3.5...

Small Fragments 3.5 Locking Plate System www.arzzt. com Screw the threaded 2.7mm drill guide for 2.7mm screws and the 3.5mm drill guide for 3.5mm screws into a locking hole until it is fully seated. Use the 2.0mm drill bit with depth mark for 2.7mm screws and a 2.7mm drill bit with depth mark for 3.5mm 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...

Position Patient Complete de preoperative radiographic assessment and prepare the preoperative plan. Determine plate lenght and instruments to be used. The following positions are recommended for each plate on a radiolucent operating table. Fowler's Position Proximal Humerus Locking Plate 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 With Extended Arm on Operating Side Table Forearm Locking Plate Wrist Surgery Locking Plate With Leg on Operating Table Distal Tibia Locking Plate...

Reduce fracture and position plate 07012106 2.7 mm Drill Bit, with depth mark 07012107 3.2 mm Drill Bit, with depth mark 07080113 Short Depth Gauge 07031104 2.7/3.2 Double Drill Guide Reduce the fracture using the preferred reduction technique. The reduction method will be fracture specific. Apply the plate to fit the bone Surface and insert a 3.5mm 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 a power operated drill into...