LCP Compact Hand 1.5. Instrument and implant module.

LCP Compact Hand 1.5. Instrument
and implant module.
Surgical Technique
This publication is not intended for
distribution in the USA.
Table of Contents
Introduction
Surgical Technique
LCP Compact Hand 1.5
2
AO Principles
4
Intended Use and Indications
5
Preparation6
Implantation8
Implant Removal
Product Information
17
Screws18
Plates20
Plates, with Preassembled Short LCP Drill Sleeves
21
Instruments22
Sets MRI Information
24
25
Image intensifier control
This description alone does not provide sufficient background for direct use
of DePuy Synthes products. Instruction by a surgeon experienced in handling
these products is highly recommended.
Processing, Reprocessing, Care and Maintenance
For general guidelines, function control and dismantling of m
­ ulti-part
instruments, as well as processing guidelines for i­mplants, please contact your
local sales representative or refer to:
http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance
For general information about reprocessing, care and maintenance of Synthes
reusable devices, instrument trays and cases, as well as processing of Synthes
non-sterile implants, please consult the Important Information leaflet
(SE_023827) or refer to:
http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance
LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 1
LCP Compact Hand 1.5. Instrument and
implant module.
Adaptable Locking Plates for
Various Indications
LCP Plate 1.5, straight
Locking Plate 1.5, straight
Locking T-Plate 1.5
Locking Strut Plate 1.5
Locking Y-Plate 1.5
Locking Condylar Plate 1.5
Minimized soft tissue
irritation
Option for preassembled drill
sleeves
Locking or non-locking screw
option
Low profile plates with rounded edges
and highly polished surface to minimize
soft tissue irritation.
All plates are available either
with or without short drill sleeves
preassembled.
Self-tapping screws with low-profile
screw head sit flush with the plate.
Coaxial locking holes and LCP holes
­accept both, cortex and locking screws.
2 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique
Part of the LCP Compact Hand System
4 modules, 5 dimensions:
–– Adaptable plates for different indications
–– Complete range of implants
1.0 mm
1.3 mm
1.5 mm (new locking)
2.0 mm (locking)
2.4 mm (locking)
–– Broad range of non-locking, locking and LCP plates to
­address various fracture patterns
–– The use of locking screws allows creating a fixed-angle
­construct, which is particularly advantageous in osteopenic
bone or in fractures near the joint
LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 3
AO Principles
AO PRINCIPLES
In 1958, the AO formulated four basic principles, which have
1,2
In
1958, the guidelines
AO formulated
four basic
principles,
which
become
for internal
fixation
.
have become the guidelines for internal fixation1, 2.
4_Priciples_03.pdf
1
05.07.12
Anatomic
Anatomic reduction
Fracture reduction
reduction and
Fracture
and fixation
fixation to
to restore
anatomical
relationships.
restore
anatomical
relationships.
1
Early, active mobilization
Early,
mobilization
Early and
and safe mobilization
Early
mobilizationand
and
rehabilitation
of
the
injured
part
rehabilitation the injured partand
the patient
as a whole.
and
the patient
as a whole.
4
1
Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal
Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991.
2
Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management.
2nd ed. Stuttgart, New York: Thieme. 2007.
Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation.
3rd ed. Berlin, Heidelberg, New York: Springer. 1991.
2
Rüedi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 2nd ed.
Stuttgart, New York: Thieme. 2007.
1
4
DePuy Synthes Expert Lateral Femoral Nail Surgical Technique
4 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique
2
3
12:08
fixation
Stable fixation
Fracture
Fracture fixation
fixationproviding
providingabsolute
abso- or
relative
stability,stability,
as required
lute or relative
as by the
­prequired
atient, the
and thethe
personality
by injury,
the patient,
injury,
of
thethe
fracture.
and
personality of the
fracture.
Preservation
Preservationof
of blood
blood supply
supply
Preservation
Preservationof
ofthe
theblood
bloodsupply
supply
to
soft
tissues
and
bone
by
to soft tissues and bone bygentle
reduction
techniques
and careful
gentle reduction
techniques
and
handling.
careful handling.
Intended Use and Indications
Intended Use
LCP Compact Hand 1.5 Implants are intended for temporary
fixation, correction or stabi­lization of bones in anatomical
region of the hand.
Indications
–– Fracture fixation of the phalanges and metacarpals
–– Osteotomies
–– Arthrodeses
–– Replantations and reconstructions of phalanges and metacarpals, particularly in osteopenic bone
LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 5
Preparation
LCP Compact Hand 1.5 (LCP, Locking straight and Locking Condylar Plates)
Preoperative planning
LCP Plate 1.5, straight
AP View
Holes
4
6
0X.114.002
0X.114.004
Length
23 mm
36 mm
Ö034.000.570_AA@ä
Lateral View
Locking Plate 1.5, straight
AP View
Holes
6
12
0X.114.003
0X.114.005
Length
29 mm
59 mm
Head
2 Holes
0X.214.006–024 Locking Screw Stardrive  1.5 mm,
self-tapping, length 6–24 mm
0
0X.214.106–124 Cortex Screw Stardrive  1.5 mm,
self-tapping, length 6–24 mm
6 10 15 20 24
0
© 01/2010 Synthes, Inc. or its affiliates
Shaft
6 Holes
0X.114.014
All rights reserved
AP View
Lateral View
Synthes and LCP are trademarks of Synthes, Inc. or its affiliates
Locking Condylar Plate 1.5
6 10 15 20 24
10
20
30
40
50
60
70
80
90
x=2: Stainless Steel
x=4: Titanium
100 mm
For use only with the Original AO System of
Instruments and Implants
30100117
1.15 Magnification
0
Synthes GmbH
Eimattstrasse 3
CH-4436 Oberdorf
www.synthes.com
034.000.570 AA
Complete the preoperative radiographic assessment and
­prepare the preoperative plan. Use the x-ray templates for
LCP Compact Hand 1.5 (Art. Nos. 034.000.570/575) to
­determine the length of the plate and the position of the
screws.
Lateral View
1
LCP Compact Hand 1.5 (Locking T-, Strut and Y-Plates)
AP View
Lateral View
Locking T-Plate 1.5
0X.114.006
Shaft
Head
8 Holes 3 Holes
Shaft
Head
8 Holes 4 Holes
0X.114.007
0X.114.010
Holes
8 oblique right
AP View
Synthes and LCP are trademarks of Synthes, Inc. or its affiliates
Lateral View
Locking Y-Plate 1.5
0X.214.006–024 Locking Screw Stardrive  1.5 mm,
self-tapping, length 6–24 mm
0
All rights reserved
Shaft
Head
8 Holes 3 Holes
0X.214.106–124 Cortex Screw Stardrive  1.5 mm,
self-tapping, length 6–24 mm
6 10 15 20 24
0
© 01/2010 Synthes, Inc. or its affiliates
0X.114.013
6 10 15 20 24
1.15 Magnification
0
10
20
30
40
50
60
For use only with the Original AO System of
Instruments and Implants
6 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique
70
80
90
100 mm
x=2: Stainless Steel
x=4: Titanium
Synthes GmbH
Eimattstrasse 3
CH-4436 Oberdorf
www.synthes.com
034.000.575 AA 30100117
Holes
8 oblique left
0X.114.009
Ö034.000.575_AAwä
AP View
Lateral View
Locking Strut Plate 1.5, oblique-angled left and right
2
Select implant
Required sets
01.114.104
or
01.114.102
01.110.003
LCP Compact Hand 1.5
(Titanium Implants)
LCP Compact Hand 1.5
(Stainless Steel Implants)
Standard Instrument Set for
LCP Compact Hand
The plates of the LCP Compact Hand Module 1.5 are
available either with or without short drill sleeves preassembled to the plate. The plates with preassembled drill sleeves
are available sterile only.
Select the plate according to the fracture pattern and the
anatomy of the patient.
Notes:
– This technique guide describes the application of the
LCP Compact Hand 1.5 system using a Locking Condylar
Plate 1.5.
– Familiarity with the use of LCP plates or instruction from
an experienced surgeon is recommended (see LCP Locking
Compression Plate technique guide 036.000.019).
LCP Compact Hand 1.5
Surgical Technique
DePuy Synthes
7
Implantation
1
Reduce fracture
Reduce the fracture under image intensifier control and,
if necessary, fix with Kirschner wires or reduction forceps.
The reduction method will be fracture-specific.
2
Trim plate
Instrument
391.962
Bending/Cutting Pliers
Trim the plate to the desired length using the bending/
cutting pliers and remove the burrs.
Note: If the bending/cutting pliers are used on a plate
with preassemble drill sleeves, the drill sleeves must first be
removed from the plate.
8 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique
3
1
Contour plate
Instruments
03.114.003
Bending Pin for LCP Plates 1.5,
with thread
347.901
Pliers, flat-nosed, pointed,
for Plates 1.0 to 2.4
If necessary, contour the plate to suit anatomical conditions.
Non-preassembled plates
Use the bending pins for LCP Plates and thread the pins into
the screw holes to contour the plate. (1)
The plate can also be bent using two flat nosed pliers.
Preassembled plates
Use the non-threaded ends of the bending pins over the
short threaded drill sleeves. (2)
2
Precautions:
–– If possible, bend the plate between the locking/
LCP holes. Do not deform the threaded part of the holes
or over-bend the plate during bending as this may adversely a­ ffect insertion of locking screws.
–– Reverse bending or use of the incorrect instrumentation
for bending may weaken the plate and lead to premature
plate failure (e.g. breakage). Do not bend the plate beyond what is required to match the anatomy.
LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 9
Implantation
4
1
Position plate
Instrument
399.970
Reduction Forceps with Points, ratchet lock
Position the plate over the reduced fracture and, if necessary,
fix provisionally with Kirschner wires or reduction forceps. (1)
When using reduction forceps with points on a ­preassembled­
plate, insert one branch of the forceps in the cannulation
of the short drill sleeve to secure the plate to the bone. (2)
Optional instrument
398.819
Holding Forceps with Swivel Foot,
for Plates 1.3 to 2.4, speed lock
When using the holding forceps with swivel foot to hold
the plate, remove the drill sleeves from the surrounding
holes so that the holding forceps sit flush on the plate.
11 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique
2
5
Determine screw type
Depending on the individual case, cortex screws and/or
­locking screws may be inserted. Determine where locking
screws will be used.
The LCP and the locking holes accept both, cortex and locking screws. The elongated hole only accepts cortex screws.
If a locking screw is inserted first, ensure that the plate is
held securely to the bone to prevent the plate from spinning
as the screw locks into the plate.
LCP hole (cortex or locking screw)
Locking hole (cortex or locking screw)
The final screw placement and the use of locking and cortex
screws is determined by the fracture pattern.
Elongated hole (cortex screw only)
LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 11
Implantation
6A
Insert screws in non-preassembled plate
Insert locking screw
1
Instruments
03.114.001
LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm
03.114.007
Drill Bit B 1.1 mm, length 75/61 mm,
2-flute, for Mini Quick Coupling
319.003
Depth Gauge for Screws B 1.3 to 1.5 mm,
measuring range up to 24 mm
03.114.009
Screwdriver Shaft Stardrive 1.5, with
Holding Sleeve, length 66 mm, for Mini
Quick Coupling
311.012
Handle, medium,
with Mini Quick Coupling
2
Optional instrument
03.114.002
Screwdriver Shaft, Stardrive 1.5, T4, short,
self-holding, for Mini QuickCoupling
Pre-drill the hole for a 1.5 mm locking screw using the
1.1 mm drill bit and the LCP drill sleeve 1.5. (1)
Determine the screw length with the corresponding depth
gauge. (2)
Insert the screw manually with the screwdriver shaft with
holding sleeve and the handle with mini quick coupling. (3)
11 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique
3
Insert cortex screw
1
Instruments
312.140
Double Drill Guide 1.5/1.1
03.114.007
Drill Bit B 1.1 mm, length 75/61 mm,
2-flute, for Mini Quick Coupling
310.141
Drill Bit B 1.5 mm, length 65/50 mm,
2-flute, for Quick Coupling, Stainless Steel
319.003
Depth Gauge for Screws B 1.3 to 1.5 mm,
measuring range up to 24 mm
03.114.009
Screwdriver Shaft Stardrive 1.5, with
Holding Sleeve, length 66 mm, for Mini
Quick Coupling
311.012
Handle, medium,
with Mini Quick Coupling
2
Optional instrument
03.114.002
Screwdriver Shaft, Stardrive 1.5, T4, short,
self-holding, for Mini QuickCoupling
Pre-drill the hole for a 1.5 mm cortex screw with the 1.1 mm
drill bit using the double drill guide. To drill a gliding
hole, use the 1.5 mm drill bit with the double drill guide. (1)
To adjust the plate position, a 1.5 mm cortex screw can
be inserted in the non-threaded elongated hole (in T-, Y- and
Condylar Plate). Insert the 1.5 mm cortex screw, adjust the
plate position if necessary and tighten the screw.
Determine the screw length with the corresponding depth
gauge. (2)
LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 11
Implantation
Insert the screw manually with the screwdriver shaft with
holding sleeve and the handle with mini quick coupling. (3)
11 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique
3
6B
Insert screws in plate with preassembled short
drill sleeves
1
Instrument
03.114.007
Drill Bit B 1.1 mm, length 75/61 mm,
2-flute, for Mini Quick Coupling
310.141
Drill Bit B 1.5 mm, length 65/50 mm,
2-flute, for Quick Coupling,
Stainless Steel
312.140
Double Drill Guide 1.5/1.1
03.114.009
Screwdriver Shaft Stardrive 1.5, with
Holding Sleeve, length 66 mm, for Mini
Quick Coupling
311.012
Handle, medium,
with Mini Quick Coupling
2
Optional instrument
03.114.002
Screwdriver Shaft, Stardrive 1.5, T4, short,
self-holding, for Mini Quick Coupling
Pre-drill the screw hole using the short LCP drill sleeves
that are preassembled to the plate. To drill for a cortex screw
in an angle other than 90° to the plate, use the double
drill guide. Before using the double drill guide, remove the
short drill sleeve. (1, 2, 3)
3
Note: Screw length may be measured either with or without the short drill sleeve assembled to the plate.
When measured directly through the drill sleeve, subtract
5 mm from the reading to account for the drill sleeve. (3)
LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 11
Implantation
Insert the screw manually with the screwdriver shaft with
holding sleeve and the handle with mini quick coupling. (4)
4
Notes:
–– Remove all preassembled short drill sleeves before closure.
Use the self-retaining T4 screwdriver shaft or the screwdriver shaft with holding sleeve and the handle with mini
quick coupling to unscrew them from the plate (5, 6).
A tray which can serve as a tool to help remove the short
drill sleeves from the screwdriver is optionally available.
–– It is recommended to count the short LCP drill sleeves to
ensure they are all removed before closure.
5
6
11 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique
Implant Removal
Instruments
03.114.009
Screwdriver Shaft Stardrive 1.5, with
Holding Sleeve, length 66 mm, for Mini
Quick Coupling
311.012
Handle, medium,
with Mini Quick Coupling
Optional instrument
03.114.002
Screwdriver Shaft, Stardrive 1.5, T4, short,
self-holding, for Mini Quick Coupling
To remove the implants, first unlock all locking screws before
removing them completely. Otherwise, the plate may rotate
and damage the soft tissue.
LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 11
Screws
Cortex Screw Stardrive, B 1.5 mm,
self-tapping
– Used to provide compression or neutral fixation
– Low-profile head sits flush in the plate holes
Art. No.
Length (mm)
0X.214.106
6
0X.214.107
7
0X.214.108
8
0X.214.109
9
0X.214.110
10
0X.214.111
11
0X.214.112
12
0X.214.113
13
0X.214.114
14
0X.214.115
15
0X.214.116
16
0X.214.118
18
0X.214.120
20
0X.214.122
22
0X.214.124
24
X = 2: Stainless Steel
X = 4: TAN
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
18
DePuy Synthes LCP Compact Hand 1.5
Surgical Technique
Locking Screw Stardrive, B 1.5 mm, self-tapping
– Threaded, conical head locks securely in combi- and
locking hole of the plate to provide angular stability
– Locked screws allow monocortical screw fixation and
load transfer to the near cortex
Art. No.
Length (mm)
0X.214.006
6
0X.214.007
7
0X.214.008
8
0X.214.009
9
0X.214.010
10
0X.214.011
11
0X.214.012
12
0X.214.013
13
0X.214.014
14
0X.214.015
15
0X.214.016
16
0X.214.018
18
0X.214.020
20
0X.214.022
22
0X.214.024
24
X = 2: Stainless Steel
X = 4: TAN
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
LCP Compact Hand 1.5
Surgical Technique
DePuy Synthes
19
Plates
LCP Plate 1.5, straight
Holes
Length (mm)
0X.114.002
4
23
0X.114.004
6
36
Locking Plate 1.5, straight
Holes
Length (mm)
0X.114.003
6
29
0X.114.005
12
59
Holes
Length (mm)
0X.114.006
Shaft 8, head 3
44.5
0X.114.007
Shaft 8, head 4
44.5
Locking T-Plate 1.5
Locking Strut Plate 1.5
Holes
Length (mm)
0X.114.010
Right
8
23
0X.114.009
Left
8
23
Locking Y-Plate 1.5
0X.114.013
Holes
Length (mm)
Shaft 8, head 3
47
Locking Condylar Plate 1.5
0X.114.014
Holes
Length (mm)
Shaft 6, head 2
36
X = 2: Stainless Steel
X = 4: Pure Titanium (CP4)
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
20
DePuy Synthes LCP Compact Hand 1.5
Surgical Technique
Plates, with Preassembled
Short LCP Drill Sleeves
LCP Plate 1.5, straight
Holes
Length (mm)
0X.114.502S
4
23
0X.114.504S
6
36
Locking Plate 1.5, straight
Holes
Length (mm)
0X.114.503S
6
29
0X.114.505S
12
59
Holes
Length (mm)
0X.114.506S
Shaft 8, head 3
44.5
0X.114.507S
Shaft 8, head 4
44.5
Locking T-Plate 1.5
Locking Strut Plate 1.5
Holes
Length (mm)
0X.114.510S
Right
8
23
0X.114.509S
Left
8
23
Locking Y-Plate 1.5
0X.114.513S
Holes
Length (mm)
Shaft 8, head 3
47
Locking Condylar Plate 1.5
0X.114.514S
Holes
Length (mm)
Shaft 6, head 2
36
X = 2: Stainless Steel
X = 4: Pure Titanium (CP4)
Note: The plates with preassembled short drill sleeves are
available sterile only.
LCP Compact Hand 1.5
Surgical Technique
DePuy Synthes
21
Instruments
03.114.001
LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm
03.114.003
Bending Pin for LCP Plates 1.5, with thread
03.114.007
Drill Bit B 1.1 mm, length 75/61 mm,
2-flute, for Mini Quick Coupling
03.114.009
Screwdriver Shaft Stardrive 1.5, with
Holding Sleeve, length 66 mm, for Mini
Quick Coupling
310.141
Drill Bit B 1.5 mm, length 65/50 mm,
2-flute, for Quick Coupling, Stainless Steel
310.971
Countersink for Screws B 1.3 and 1.5 mm,
Stainless Steel
312.140
Double Drill Guide 1.5/1.1
319.003
Depth Gauge for Screws B 1.3 to 1.5 mm,
measuring range up to 24 mm
311.012
Handle, medium, with
Mini Quick Coupling
Drill Bits are available non-sterile or sterile packed. Add suffix ”S” to article
number to order sterile product.
22
DePuy Synthes LCP Compact Hand 1.5
Surgical Technique
Additional instruments
391.962
Bending/Cutting Pliers
347.901
Pliers, flat-nosed, pointed,
for Plates 1.0 to 2.4
399.970
Reduction Forceps with Points, ratchet lock
398.819
Holdig Forceps with Swivel Foot,
for Plates 1.3 to 2.4, speed lock
Optional
03.114.008
Drill Bit B 1.1 mm, for Stryker Coupling
310.143
Drill Bit B 1.5 mm, for Stryker Coupling
03.114.002
Screwdriver Shaft, Stardrive 1.5, T4, short,
self-holding, for Mini Quick Coupling
LCP Compact Hand 1.5
Surgical Technique
DePuy Synthes
23
Sets
01.114.104 LCP Compact Hand 1.5 (Titanium Implants)
01.114.102 LCP Compact Hand 1.5 (Stainless Steel Implants)
Module
Module
68.114.001 Module LCP Compact Hand 1.5, with Lid, without Contents
68.114.001 Module LCP Compact Hand 1.5, with Lid, without Contents
Implants
Implants
04.214.006 – Locking Screw Stardrive B 1.5 mm, self-tapping, length
04.214.015 6 mm to 15 mm, Titanium Alloy (TAN), 1 mm increments
02.214.006 – Locking Screw Stardrive B 1.5 mm, self-tapping, length
02.214.015 6 mm to 15 mm, Stainless Steel, 1 mm increments
04.214.016 – Locking Screw Stardrive B 1.5 mm, self-tapping,
04.214.024 length 16 mm to 24 mm, Titanium Alloy (TAN),
2 mm increments
02.214.016 – Locking Screw Stardrive B 1.5 mm, self-tapping,
02.214.024 length 16 mm to 24 mm, Stainless Steel, 2 mm increments
04.214.106 – Cortex Screw Stardrive B 1.5 mm, self-tapping,
04.214.115 length 6 mm to 15 mm, Titanium Alloy (TAN),
1 mm increments
04.214.116 – Cortex Screw Stardrive B 1.5 mm, self-tapping,
04.214.124 length 16 mm to 24 mm, Titanium Alloy (TAN),
2 mm increments
04.114.002 LCP Plate 1.5, straight, 4 holes, length 23 mm, Pure Titanium
04.114.003 Locking Plate 1.5, straight, 6 holes, length 29 mm,
Pure Titanium
04.114.004 LCP Plate 1.5, straight, 6 holes, length 36 mm, Pure Titanium
04.114.005 Locking Plate 1.5, straight, 12 holes, length 59 mm,
Pure Titanium
04.114.006 Locking T-Plate 1.5, shaft 8 holes, head 3 holes, Pure Titanium
04.114.007 Locking T-Plate 1.5, shaft 8 holes, head 4 holes, Pure Titanium
04.114.009 Locking Strut Plate 1.5, 8 holes, oblique angled, left,
Pure Titanium
04.114.010 Locking Strut Plate 1.5, 8 holes, oblique angled, right,
Pure Titanium
04.114.013 Locking Y-Plate 1.5, shaft 8 holes, head 3 holes, Pure Titanium
04.114.014 Locking Condylar Plate 1.5, shaft 6 holes, head 2 holes,
Pure Titanium
Instruments
310.141
Drill Bit B 1.5 mm, length 65/50 mm, 2-flute,
for Quick Coupling, Stainless Steel
02.214.106 – Cortex Screw Stardrive B 1.5 mm, self-tapping,
02.214.115 length 6 mm to 15 mm, Stainless Steel, 1 mm increments
02.214.116 – Cortex Screw Stardrive B 1.5 mm, self-tapping,
02.214.124 length 16 mm to 24 mm, Stainless Steel, 2 mm increments
02.114.002 LCP Plate 1.5, straight, 4 holes, length 23 mm, Stainless Steel
02.114.003 Locking Plate 1.5, straight, 6 holes, length 29 mm, Stainless Steel
02.114.004 LCP Plate 1.5, straight, 6 holes, length 36 mm, Stainless Steel
02.114.005 Locking Plate 1.5, straight, 12 holes, length 59 mm,
Stainless Steel
02.114.006 Locking T-Plate 1.5, shaft 8 holes, head 3 holes, Stainless Steel
02.114.007 Locking T-Plate 1.5, shaft 8 holes, head 4 holes, Stainless Steel
02.114.009 Locking Strut Plate 1.5, 8 holes, oblique angled, left,
Stainless Steel
02.114.010 Locking Strut Plate 1.5, 8 holes, oblique angled, right,
Stainless Steel
02.114.013 Locking Y-Plate 1.5, shaft 8 holes, head 3 holes, Stainless Steel
02.114.014 Locking Condylar Plate 1.5, shaft 6 holes, head 2 holes,
Stainless Steel
Instruments
310.141
Drill Bit B 1.5 mm, length 65/50 mm, 2-flute,
for Quick Coupling, Stainless Steel
310.971
Countersink for Screws B 1.3 and 1.5 mm, Stainless Steel
312.140
Double Drill Guide 1.5/1.1, for No. 311.150
310.971
Countersink for Screws B 1.3 and 1.5 mm, Stainless Steel
03.114.001 LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm
312.140
Double Drill Guide 1.5/1.1, for No. 311.150
03.114.003 Bending Pin for LCP Plates 1.5, with thread
03.114.001 LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm
03.114.003 Bending Pin for LCP Plates 1.5, with thread
03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute,
for Mini Quick Coupling
03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm,
for Mini Quick Coupling
Optional
310.143
Drill Bit B 1.5 mm, for Stryker Coupling
03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding,
for Mini Quick Coupling
03.114.008 Drill Bit B 1.1 mm, for Stryker Coupling
60.114.004 Tray for LCP Drill Sleeves 1.5, short
22 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique
03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute,
for Mini Quick Coupling
03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm,
for Mini Quick Coupling
Optional
310.143
Drill Bit B 1.5 mm, for Stryker Coupling
03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding,
for Mini Quick Coupling
60.114.004 Tray for LCP Drill Sleeves 1.5, short
03.114.008 Drill Bit B 1.1 mm, for Stryker Coupling
03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding,
for Mini Quick Coupling
MRI Information
Torque, Displacement and Image Artifacts according
to ASTM F 2213-06, ASTM F 2052-06e1 and
ASTM F 2119-07
Non-clinical testing of worst case scenario in a 3 T MRI
system did not reveal any relevant torque or displacement
of the construct for an experimentally measured local spatial
gradient of the magnetic field of 3.69 T/m. The largest image
­artifact extended approximately 169 mm from the construct
when scanned using the Gradient Echo (GE). Testing was
­conducted on a 3 T MRI system.
Radio-Frequency-(RF-)induced heating according to
ASTM F 2182-11a
Non-clinical electromagnetic and thermal testing of worst
case scenario lead to peak temperature rise of 9.5 °C
with an average temperature rise of 6.6 °C (1.5 T) and a
peak temperature rise of 5.9 °C (3 T) under MRI Conditions
­using RF Coils (whole body averaged specific absorption rate
[SAR] of 2 W/kg for 6 minutes [1.5 T] and for 15 minutes
[3 T]).
Precautions: The above mentioned test relies on non-clini­cal testing. The actual temperature rise in the patient will
­depend on a variety of factors beyond the SAR and time of
RF application. Thus, it is recommended to pay particular
­attention to the following points:
–– It is recommended to thoroughly monitor patients under­
going MR scanning for perceived temperature and/or pain
sensations.
–– Patients with impaired thermoregulation or temperature
­sensation should be excluded from MR scanning proce­dures.
–– Generally, it is recommended to use a MR system with
low field strength in the presence of conductive implants.
The employed specific absorption rate (SAR) should be
reduced as far as possible.
–– Using the ventilation system may further contribute to
reduce temperature increase in the body.
LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 22
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All surgical techniques are available as PDF files at
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© DePuy Synthes Trauma, a division of Synthes GmbH. 2016. All rights reserved. 036.001.038 DSEM/TRM/0815/0439(1) 05/16
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