LCP Compact Hand. The modular hand system.

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LCP Compact Hand. The modular
hand system.
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite Cvr2
Image intensifier control
Warning
This description alone does not provide sufficient background for direct use of
the instrument set. Instruction by a surgeon experienced in handling these
instruments is highly recommended.
Reprocessing, Care and Maintenance of
Synthes Instruments
For general guidelines, function control and dismantling of multi-part instruments,
please refer to: www.synthes.com/reprocessing
0X6.000.028_AA 25.05.11 07:11 Seite 1
Table of Contents
Introduction
Surgical Techniques
Product Information
LCP Compact Hand
2
AO Principles
4
Indications
5
Preparation
6
Fracture Reduction and Plate Contouring
7
Screw Insertion
– Cortex Screws
– Locking Screws
11
12
18
Implant Removal
23
Tips
24
Implants Compact Hand 1.0/1.3
25
Instruments Compact Hand 1.0/1.3
27
Implants LCP Compact Hand 1.5
28
Instruments LCP Compact Hand 1.5
32
Implants LCP Compact Hand 2.0
33
Instruments LCP Compact Hand 2.0
37
Implants LCP Compact Hand 2.4
38
Instruments LCP Compact Hand 2.4
41
Sets
42
Standard Instrument Set for LCP Compact Hand
43
LCP Compact Hand
Technique Guide
Synthes
1
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LCP Compact Hand. The modular
hand system.
Adaptable Locking Plates for
Various Indications
The modular LCP Compact Hand System offers a wide range
of anatomical and adaptable plates. All implants are available
in titanium and stainless steel.
LCP Compact Hand implants are intended for the following
indications:
Compact Hand 1.0/1.3
– Fixation of small fragments
– Avulsion fractures and fractures of distal and middle
phalanges
LCP Compact Hand 1.5
– Fractures, osteotomies and arthrodeses of the phalanges
and metacarpals
– Replantations and reconstructions of the phalanges and
metacarpals
LCP Compact Hand 2.0
– Fractures of the phalanges, metacarpals, wrist bones and
distal radius (double-plate technique)
– Osteotomies and arthrodeses of the interphalangeal joints
LCP Compact Hand 2.4
– Fractures of the metacarpals, wrist bones and distal radius
(double-plate technique)
– Osteotomies and arthrodeses on the hand
Low profile plates and
fully countersunk screws
Anatomically
precontoured
Minimizes soft tissue
irritation.
Minimizes need for bending.
2
Synthes
LCP Compact Hand
Technique Guide
Rotation Correction Plate
LCP combi-hole
Allows intraoperative inspection of the reduction and
correction of the rotational
axis.
Intraoperative choice
between compression and
angular stable locking.
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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
Technique Guide
Synthes
3
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AO Principles
In 1958, the AO formulated four basic principles, which have
become the guidelines for internal fixation.1, 2 Those
principles, as applied to the LCP Compact Hand system, are:
Anatomic reduction
Anatomic plate profile assists in reduction and facilitates
restoration anatomical relationships.
Stable fixation
The combination of conventional and locking screws offers
optimum fixation regardless of bone density. Locking screws
create a fixed-angle construct, providing angular stability.
Preservation of blood supply
Limited-contact plate design reduces plate-to-bone contact
and helps to preserve the periosteal blood supply. Tapered
ends for submuscular plate insertion preserve tissue viability.
Early, active mobilization
Early mobilization per standard AO technique creates an
environment for bone healing, expediting a return to optimal
function.
1
Müller ME, Allgöwer M, Schneider R, Willenegger H (1995) Manual of Internal
Fixation. 3rd, expanded and completely revised ed. 1991. Berlin, Heidelberg,
New York: Springer
2
Rüedi TP, Buckley RE, Moran CG (2007) AO Principles of Fracture Management.
2nd expanded ed. 2002. Stuttgart, New York: Thieme
4
Synthes
LCP Compact Hand
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite 5
Indications
Compact Hand 1.0/1.3
General:
– Fixation of small fragments
– Avulsion fractures and fractures of the distal and
middle phalanges
Straight plate:
– Shaft fractures of phalanges
Strut plate:
– Comminuted fractures and replantations of middle or
proximal phalanges
T-plate and Y-plate:
– Condylar fractures of phalanges
Single cortex screws:
– Capturing of fragments with lag screw technique
LCP Compact Hand 1.5
– Fracture fixation of the phalanges and metacarpals
– Osteotomies
– Arthrodeses
– Replantations and reconstructions of phalanges and
metacarpals, particularly in osteopenic bone
LCP Compact Hand 2.0
– Fractures of the phalanges, metacarpals and wrist bones
– Osteotomies and arthrodeses of the interphalangeal joints
– Fractures of distal radius (double-plate technique)
– Subcapital radial head fractures
LCP Compact Hand 2.4
– Fractures of the metacarpal and wrist bones
– Fractures of distal radius (double-plate technique)
– Osteotomies and arthrodeses on the hand
– Subcapital radial head fractures
LCP Compact Hand
Technique Guide
Synthes
5
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Preparation
1
Select implant
Select the plates according to the fracture pattern and
anatomy of the bone.
Notes
– This surgical technique describes the application of the
LCP Compact Hand system using a Locking Condylar
Plate 1.5.
– The plates of the LCP Compact Hand Module 1.5 are
available either with or without short drill sleeves
preassembled to the plate. Plates with preassembled drill
sleeves are available sterile only.
6
Synthes
LCP Compact Hand
Technique Guide
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Fracture Reduction and
Plate Contouring
1
Reduce fracture
Reduce the fracture under image intensification and, if
necessary, fix with Kirschner wires or reduction forceps.
The reduction method is fracture-specific.
2
Trim plate
Instrument
391.962
Bending/Cutting Pliers
Trim the plate to the desired length using bending/cutting
pliers. Remove the burrs.
LCP Compact Hand
Technique Guide
Synthes
7
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Fracture Reduction and Plate Contouring
3
1
Contour plate
Instruments
347.901
Pliers, flat-nosed, pointed, for
Plates 1.0 to 2.4
For LCP Compact Hand 1.5
03.114.003
Bending Pin for LCP Plates 1.5, with thread
For LCP Compact Hand 2.0
329.921
Bending Pin for LCP Plates 2.0, with thread
For LCP Compact Hand 2.4
329.922
Bending Pin for LCP Plates 2.4 and
2.7, with thread
If necessary, contour the plate to suit the anatomical
conditions.
2
Standard plates
Use 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. (2)
8
Synthes
LCP Compact Hand
Technique Guide
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Preassembled plates
(LCP Compact Hand 1.5 only)
Use the non-threaded ends of the bending pins over the
short threaded drill sleeves. (3)
3
Note: If possible, bend the plate between the locking/LCP
holes. Do not deform the threaded part of the holes or overbend the plate as this may adversely affect insertion of locking screws. Avoid repetitive bending of the plate.
LCP Compact Hand
Technique Guide
Synthes
9
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Fracture Reduction and Plate Contouring
4
1
Position plate
Instrument
399.970
Reduction Forceps with Points,
ratchet lock, length 130 mm
Position the plate over the reduced fracture and, if necessary
fix provisionally with Kirschner wires or reduction forceps. (1)
Preassembled plates
(LCP Compact Hand 1.5 only)
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.
10
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LCP Compact Hand
Technique Guide
2
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Screw Insertion
Determine screw type
Depending on the individual case, cortex and/or locking
screws may be inserted. Determine where locking screws and
where cortex screws will be used.
The final screw placement and the use of locking and cortex
screws are determined by the fracture pattern.
LCP combi-hole:
Cortex screw in the compression portion (1), locking
screw in the threaded
portion of the hole (2)
1
2
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.
Locking hole:
Cortex or locking screw
Option
If angularly-stable buttress pins are used, one screw per bone
fragment must be inserted additionally.
Note: For further details regarding the application of
LCP systems consult the corresponding technique guide
(036.000.019).
Compression hole:
Cortex screw only
Elongated compression
hole:
Cortex screw only
Locking screw
Cortex screw
LCP Compact Hand
Technique Guide
Synthes
11
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Screw Insertion
Cortex Screws
1
Pre-drill screw hole for cortex screw
Instruments
For Compact Hand 1.0/1.3
312.133
Double Drill Guide 1.3/1.0
513.005
Drill Bit 1.0 mm, length 46/34mm,
2-flute, for Mini Quick Coupling
513.035
Drill Bit 1.3 mm, length 46/34 mm,
2-flute, for Mini Quick Coupling
For LCP Compact Hand 1.5
312.140
Double Drill Guide 1.5/1.1,
for No. 311.150
03.114.007
Drill Bit 1.1 mm, length 75/61 mm,
2-flute, for Mini Quick Coupling
310.141
Drill Bit 1.5 mm, length 65/50 mm,
2-flute, for Mini Quick Coupling,
Stainless Steel
For LCP Compact Hand 2.0
323.200
Universal Drill Guide 2.0
310.507
Drill Bit 1.5 mm, with marking,
length 96/82 mm, 2-flute, for
Mini Quick Coupling
513.140
Drill Bit 2.0 mm, length 67/55 mm,
2-flute, for Mini Quick Coupling
For LCP Compact Hand 2.4
323.202
Universal Drill Guide 2.4
310.508
Drill Bit 1.8 mm, with marking,
length 96/82 mm, 2-flute, for
Mini Quick Coupling
317.871
Drill Bit 2.4 mm, length 80/66 mm,
2-flute, for Mini Quick Coupling
12
LCP Compact Hand
Synthes
Technique Guide
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Standard plates
Drill the screw hole using the drill bit and the corresponding
drill guide / drill sleeve. (1)
1
Use the following drill diameter for the threaded respectively
the gliding hole:
Threaded hole
Gliding hole
Compact Hand 1.3
1.0
1.3
Compact Hand 1.5
1.1
1.5
Compact Hand 2.0
1.5
2.0
Compact Hand 2.4
1.8
2.4
When using a LCP hole, drill the screw hole either neutrally
or off-centre (compression).
Preassembled plates
(LCP Compact Hand 1.5 only)
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. (2)
2
LCP Compact Hand
Technique Guide
Synthes
13
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Screw Insertion
Cortex Screws
2
Determine screw length of cortex screw
Instruments
For Compact Hand 1.0/1.3
319.003
Depth Gauge for Screws 1.3 to 1.5 mm,
measuring range up to 24mm
For LCP Compact Hand 1.5
319.003
Depth Gauge for Screws 1.3 to 1.5 mm,
measuring range up to 24 mm
For LCP Compact Hand 2.0
319.005
Depth Gauge for Screws 2.0 and
2.4 mm, measuring range up to 40 mm
For LCP Compact Hand 2.4
319.005
Depth Gauge for Screws 2.0 and
2.4 mm, measuring range up to 40 mm
Standard plates
Determine the screw length with the corresponding depth
gauge. (1)
14
Synthes
LCP Compact Hand
Technique Guide
1
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Preassembled plates
(LCP Compact Hand 1.5 only)
Screw length may be measured either with of without the
short drill sleeve assembled to the plate (2, 3). When measured directly through the drill sleeve, subtract 5 mm from the
reading to account for the drill sleeve. (3)
2
3
LCP Compact Hand
Technique Guide
Synthes
15
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Screw Insertion
Cortex Screws
3
1
Insert cortex screw
Instruments
For Compact Hand 1.0/1.3
314.413
Screwdriver Shaft 1.3, cruciform,
with Holding Sleeve, length 62 mm,
for Mini Quick Coupling
311.012
Handle, medium,
with Mini Quick Coupling
For LCP Compact Hand 1.5
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
For LCP Compact Hand 2.0
314.676
Screwdriver Shaft Stardrive 2.0,
with Holding Sleeve, length 66 mm,
for Mini Quick Coupling
311.012
Handle, medium,
with Mini Quick Coupling
For LCP Compact Hand 2.4
314.467
Screwdriver Shaft, Stardrive, T8,
self-holding
311.430
Handle with Quick Coupling,
length 110 mm
Standard plates
Insert the self-tapping cortex screw using the corresponding
screwdriver. (1)
16
Synthes
LCP Compact Hand
Technique Guide
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Preassembled plates
(LCP Compact Hand 1.5 only)
Remove preassembled short drill sleeves. A tray which can
serve as a tool to help removing the short drill sleeves from
the screwdriver is optionally available. (2)
Insert the self-tapping cortex screw using the corresponding
screwdriver. (3)
2
3
Notes
– It is recommended to count the short LCP drill sleeves to
ensure they are all removed before closure.
– Find tips regarding how to properly pick-up screws with
Stardrive recess on page 24.
LCP Compact Hand
Technique Guide
Synthes
17
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Screw Insertion
Locking Screws
1
Pre-drill screw hole for locking screw
1
Instruments
For LCP Compact Hand 1.5
03.114.001
LCP Drill Sleeve 1.5, for Drill Bits 1.1 mm
03.114.007
Drill Bit 1.1 mm, length 75/61 mm,
2-flute, for Mini Quick Coupling
For LCP Compact Hand 2.0
323.034
LCP Drill Sleeve 2.0, with Scale,
for Drill Bits 1.5 mm with marking
310.507
Drill Bit 1.5 mm, with marking,
length 96/82 mm, 2-flute,
for Mini Quick Coupling
For LCP Compact Hand 2.4
323.029
LCP Drill Sleeve 2.4, with Scale up to
30 mm, for Drill Bits 1.8 mm
310.508
Drill Bit 1.8 mm, with marking,
length 96/82 mm, 2-flute,
for Mini Quick Coupling
Standard plates
Drill screw hole through the LCP drill sleeve using the
appropriately sized drill bit. (1)
Preassembled plates
(LCP Compact Hand 1.5 only)
Drill the screw hole using the short LCP drill sleeves that are
preassembled to the plate. (2)
18
Synthes
LCP Compact Hand
Technique Guide
2
0X6.000.028_AA 25.05.11 07:11 Seite 19
2
Determine screw length of locking screw
1
Instruments
For LCP Compact Hand 1.5
319.003
Depth Gauge for Screws 1.3 to 1.5 mm,
measuring range up to 24 mm
For LCP Compact Hand 2.0
323.034
LCP Drill Sleeve 2.0, with Scale,
for Drill Bits 1.5 mm with marking
319.005
Depth Gauge for Screws, 2.0 and
2.4 mm, measuring range up to 40 mm
For LCP Compact Hand 2.4
323.029
LCP Drill Sleeve 2.4, with Scale up to
30 mm, for Drill Bits 1.8 mm
319.005
Depth Gauge for Screws, 2.0 and
2.4 mm, measuring range up to 40 mm
2
Standard plates
Determine the screw length either with the corresponding
depth gauge (1) or with the LCP drill sleeve (LCP Compact
Hand 2.0/2.4, marking on drill bit). (2)
When using the LCP drill sleeve check the length directly on
the scale of the drill sleeve. Then remove the drill sleeve.
LCP Compact Hand
Technique Guide
Synthes
19
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Screw Insertion
Locking Screws
Preassembled plates
(LCP Compact Hand 1.5 only)
Screw length may be measured either with of 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)
20
Synthes
LCP Compact Hand
Technique Guide
3
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3
Insert locking screw
1
Instruments
For LCP Compact Hand 1.5
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
For LCP Compact Hand 2.0
314.676
Screwdriver Shaft Stardrive 2.0,
with Holding Sleeve, length 66 mm,
for Mini Quick Coupling
311.012
Handle, medium,
with Mini Quick Coupling
511.777
Torque Limiter, 0.4 Nm,
with AO/ASIF Quick Coupling
For LCP Compact Hand 2.4
314.467
Screwdriver Shaft, Stardrive, T8,
self-holding
311.430
Handle with Quick Coupling,
length 110 mm
511.776
Torque Limiter, 0.8 Nm,
with AO/ASIF Quick Coupling
Standard plates
Insert the self-tapping locking screw using the corresponding
screwdriver shaft and the appropriate handle. (1)
LCP Compact Hand
Technique Guide
Synthes
21
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Screw Insertion
Locking Screws
Preassembled plates
(LCP Compact Hand 1.5 only)
Remove preassembled short drill sleeves. Insert the self-tapping locking screw using the corresponding screwdriver. (2)
A tray which can serve as a tool to help removing the short
drill sleeves from the screwdriver is optionally available.
Note: It is recommended to count the short LCP drill sleeves
to ensure they are all removed before closure.
LCP Compact Hand 2.0/2.4
For mechanical insertion use the corresponding torque
limiting attachment.
The torque limiter prevents over-tightening and ensures that
the locking screws are securely locked into the plate.
Use manual locking to perform the final locking step for
2.0 mm and 2.4 mm locking screws. Mechanical insertion is
not recommended.
22
Synthes
LCP Compact Hand
Technique Guide
2
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Implant Removal
To remove the plate, first unlock all screws then definitely
remove them in a second step. If the screws are not
unlocked before removal the plate may rotate while the last
screw is being removed and cause soft tissue damage.
LCP Compact Hand
Technique Guide
Synthes
23
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Tips
Pick-up screws with Stardrive recess
without holding sleeve
Select the screw and position the corresponding screwdriver
perpendicular to the screw.
Pick-up the screw by applying slight axial pressure.
Make sure that the screwdriver remains perpendicular during
screw extraction.
Pick-up screws with holding sleeve
All screws can also be picked-up with help of the corresponding holding sleeves.
Slide the holding sleeve onto the screwdriver, until it clicks
into place. With the holding sleeve jaws open, mount the
appropriate screw onto the screwdriver, then push the holding sleeve until it secures the screw.
Note: The holding sleeve covers the head of the screw.
24
Synthes
LCP Compact Hand
Technique Guide
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Implants Compact Hand 1.0/1.3
Plates
Adaption Plate 1.3, straight
Art. No.
Holes
Length (mm)
X21.312
12
48
T-Adaption Plate 1.3
Art. No.
Holes
Length (mm)
X21.333
Shaft 8, head 3
35.5
X21.334
Shaft 8, head 4
35.5
Y-Adaption Plate 1.3
Art. No.
Holes
Length (mm)
X21.335
Shaft 8, head 3
37
Strut Plate 1.3
Art. No.
Holes
Length (mm)
X21.320
8
19
X21.321
8
19
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
LCP Compact Hand
Technique Guide
Synthes
25
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Implants Compact Hand 1.0/1.3
Screws
Cortex Screws 1.0 mm, self-tapping
Art. No.
Length (mm)
X00.526
6
X00.527
7
X00.528
8
X00.529
9
X00.530
10
X00.531
11
X00.532
12
X00.534
13
X00.534
14
Cortex Screws 1.3 mm, self-tapping
Art. No.
Length (mm)
X00.686
6
X00.687
7
X00.688
8
X00.689
9
X00.690
10
X00.691
11
X00.692
12
X00.693
13
X00.694
14
X00.695
15
X00.696
16
X00.698
18
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
26
Synthes
LCP Compact Hand
Technique Guide
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Instruments Compact Hand 1.0/1.3
312.133
Double Drill Guide 1.3/1.0
316.385
Drill Bit 0.8 mm, length 40/16 mm,
2-flute, for Mini Quick Coupling
513.005
Drill Bit 1.0 mm, length 46/34 mm,
2-flute, for Mini Quick Coupling
513.035
Drill Bit 1.3 mm, length 46/34 mm,
2-flute, for Mini Quick Coupling
310.882
Countersink 1.3 to 2.0, length 50 mm,
for Mini Quick Coupling
314.413
Screwdriver Shaft 1.3, cruciform,
with Holding Sleeve, length 62 mm,
for Mini Quick Coupling
314.481
Screwdriver Shaft 1.0, cruciform,
with Holding Sleeve, length 62 mm,
with Mini Quick Coupling
LCP Compact Hand
Technique Guide
Synthes
27
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Implants LCP Compact Hand 1.5
Plates
LCP Plate 1.5, straight
Art. No.
Holes
Length (mm)
0X.114.002
4
23
0X.114.004
6
36
Locking Plate 1.5, straight
Art. No.
Holes
Length (mm)
0X.114.003
6
29
0X.114.005
12
59
Art. No.
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
Art. No.
Holes
Length (mm)
0X.114.010 Right
8
23
0X.114.009 Left
8
23
Locking Y-Plate 1.5
Art. No.
Holes
Length (mm)
0X.114.013
Shaft 8, head 3
47
Locking Condylar Plate 1.5
Art. No.
Holes
Length (mm)
0X.114.014
Shaft 6, head 2
36
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
28
Synthes
LCP Compact Hand
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite 29
Plates, with Preassembled Short Drill Sleeves
LCP Plate 1.5, straight
Art. No.
Holes
Length (mm)
0X.114.502S
4
23
0X.114.504S
6
36
Locking Plate 1.5, straight
Art. No.
Holes
Length (mm)
0X.114.503S
6
29
0X.114.505S
12
59
Art. No.
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
Art. No.
Holes
Length (mm)
0X.114.510S Right
8
23
0X.114.509S Left
8
23
Locking Y-Plate 1.5
Art. No.
Holes
Length (mm)
0X.114.513S
Shaft 8, head 3
47
Locking Condylar Plate 1.5
Art. No.
Holes
Length (mm)
0X.114.514S
Shaft 6, head 2
36
Note: The plates with preassembled short drill sleeves are
available sterile only.
X = 2: Stainless Steel
X = 4: Titanium
LCP Compact Hand
Technique Guide
Synthes
29
0X6.000.028_AA 25.05.11 07:11 Seite 30
Implants LCP Compact Hand 1.5
Screws
Cortex Screw Stardrive, 1.5 mm,
self-tapping
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: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
30
Synthes
LCP Compact Hand
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite 31
Locking Screw Stardrive, 1.5 mm,
self-tapping
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: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
LCP Compact Hand
Technique Guide
Synthes
31
0X6.000.028_AA 25.05.11 07:11 Seite 32
Instruments LCP Compact Hand 1.5
03.114.001
LCP Drill Sleeve 1.5, for Drill Bit 1.1 mm
03.114.003
Bending Pin for LCP Plates 1.5, with thread
03.114.007
Drill Bit 1.1 mm, lengths 75/61 mm,
2-flute, for Mini Quick Coupling
310.141
Drill Bit 1.5 mm, length 65/50 mm,
2-flute, for Quick Coupling, Stainless Steel
310.971
Countersink for Screws 1.3 and 1.5 mm,
Stainless Steel
312.140
Double Drill Guide 1.5/1.1, for
No. 311.150
03.114.009
Screwdriver Shaft Stardrive 1.5,
with Holding Sleeve length 66 mm,
for Mini Quick Coupling
Drill Bits are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
32
Synthes
LCP Compact Hand
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite 33
Implants LCP Compact Hand 2.0
Plates
LCP Plate 2.0, straight
Art. No.
Holes
Length (mm)
X47.344
4
31
X47.345
5
38
X47.346
6
45
X47.347
7
52
X47.348
8
59
X47.360
10
73
Adaption Plate 2.0
Art. No.
Holes
Length (mm)
X43.091
12
71
LCP Condylar Plate 2.0
Art. No.
Holes
Length (mm)
X47.349
Shaft 7, head 2
54
LCP Rotation Correction Plate 2.0
Art. No.
Holes
Length (mm)
X47.354
Shaft 4, head 2
34
X47.355
Shaft 5, head 2
40
Art. No.
Holes
Length (mm)
X47.615
Shaft 7, head 3
52.5
LCP T-Plate 2.0
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
LCP Compact Hand
Technique Guide
Synthes
33
0X6.000.028_AA 25.05.11 07:11 Seite 34
Implants LCP Compact Hand 2.0
LCP Adaption Plate
Art No.
Holes
Length (mm)
X47.362
12
81.26
LCP T-Adaption Plate 2.0
Art No.
X47.351
Shaft holes
7
Head holes
2
LCP Y-Adaption Plate 2.0
Art No.
X47.350
Shaft holes
7
Head holes
3
Mini Condylar Plate 2.0
Art No.
X43.610
pin left
X43.620
pin left
Mini H-Plate
Art No.
X43.480
Holes
4
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
34
Synthes
LCP Compact Hand
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite 35
Screws
Cortex Screw Stardrive, 2.0 mm,
self-tapping
Art. No.
Length (mm)
X01.356
6
X01.357
7
X01.358
8
X01.359
9
X01.360
10
X01.361
11
X01.362
12
X01.363
13
X01.364
14
X01.366
16
X01.368
18
X01.370
20
X01.372
22
X01.374
24
X01.375
26
X01.376
28
X01.377
30
X01.378
32
X01.379
34
X01.381
38
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
LCP Compact Hand
Technique Guide
Synthes
35
0X6.000.028_AA 25.05.11 07:11 Seite 36
Implants LCP Compact Hand 2.0
Locking Screw Stardrive, 2.0 mm,
self-tapping
Art. No.
Length (mm)
X01.876
6
X01.877
7
X01.878
8
X01.879
9
X01.880
10
X01.881
11
X01.882
12
X01.883
13
X01.884
14
X01.886
16
X01.888
18
X01.890
20
X01.892
22
X01.894
24
X01.896
26
X01.898
28
X01.900
30
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
36
Synthes
LCP Compact Hand
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite 37
Instruments LCP Compact Hand 2.0
329.921
Bending Pin for LCP Plates 2.0, with thread
323.034
LCP Drill Sleeve 2.0, with Scale,
for Drill Bits 1.5 mm with marking
323.200
Universal Drill Guide 2.0
310.507
Drill Bit 1.5 mm, with marking,
length 96/82 mm, 2-flute,
for Mini Quick Coupling
513.140
Drill Bit 2.0 mm, length 67/55 mm,
2-flute, for Mini Quick Coupling
310.880
Countersink 1.5 to 2.4, length 52 mm,
for Mini Quick Coupling
314.676
Screwdriver Shaft Stardrive 2.0,
with Holding Sleeve, length 66 mm,
for Mini Quick Coupling
LCP Compact Hand
Technique Guide
Synthes
37
0X6.000.028_AA 25.05.11 07:11 Seite 38
Implants LCP Compact Hand 2.4
Plates
LCP Plate 2.4, straight
Art. No.
Holes
Length (mm)
X47.364
10
83.6
X47.375
5
43.6
X47.377
7
59.6
X47.648
8
68
X47.674
4
36
X47.676
6
52
Adaption Plate 2.4
Art. No.
Holes
Length (mm)
X49.912
12
72
LCP T-Plate 2.4
Art. No.
Holes
Length (mm)
X49.615
Shaft 7, head 3
57
LCP Condylar Plate 2.4
Art. No.
Holes
Length (mm)
X49.679
Shaft 7, head 2
59
LCP Adaption Plate 2.4
Art. No.
Holes
Length (mm)
X47.366
12
87.9
LCP T-Adaption Plate 2.4
Art. No.
X49.670
Shaft holes
7
Head holes
2
LCP Y-Adaption Plate 2.4
Art. No.
X49.669
Shaft holes
7
Head holes
3
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
38
Synthes
LCP Compact Hand
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite 39
Screws
Cortex Screw Stardrive, 2.4 mm,
self-tapping
Art. No.
Length (mm)
X01.756
6
X01.757
7
X01.758
8
X01.759
9
X01.760
10
X01.761
11
X01.762
12
X01.763
13
X01.764
14
X01.766
16
X01.768
18
X01.770
20
X01.772
22
X01.774
24
X01.776
26
X01.778
28
X01.780
30
X01.782
32
X01.784
34
X01.786
36
X01.788
38
X01.790
40
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
LCP Compact Hand
Technique Guide
Synthes
39
0X6.000.028_AA 25.05.11 07:11 Seite 40
Implants LCP Compact Hand 2.4
Locking Screw Stardrive, 2.4 mm,
self-tapping
Art. No.
Length (mm)
X12.806
6
X12.807
7
X12.808
8
X12.809
9
X12.810
10
X12.811
11
X12.812
12
X12.813
13
X12.814
14
X12.816
16
X12.818
18
X12.820
20
X12.822
22
X12.824
24
X12.826
26
X12.828
28
X12.830
30
Optional
Buttress Pin (head LCP 2.4) 1.8 mm
Art No.
Length (mm)
X00.190
12
X00.191
14
X00.192
16
X00.193
18
X = 2: Stainless Steel
X = 4: Titanium
Implants are available non-sterile or sterile packed.
Add suffix “S” to article number to order sterile product.
40
Synthes
LCP Compact Hand
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite 41
Instruments LCP Compact Hand 2.4
329.922
Bending Pin for LCP Plates 2.4 and 2.7,
with thread
323.029
LCP Drill Sleeve 2.4, with Scale up to
30 mm, for Drill Bits 1.8 mm
323.202
Universal Drill Guide 2.4
310.508
Drill Bit 1.8 mm, with marking,
length 96/82 mm, 2-flute, for Mini Quick
Coupling
317.871
Drill Bit 2.4 mm, length 80/66 mm,
2-flute, for Mini Quick Coupling
314.467
Screwdriver Shaft, Stardrive, T8,
self-holding
310.880
Countersink 1.5 to 2.4, length 52 mm, for
Mini Quick Coupling
LCP Compact Hand
Technique Guide
Synthes
41
0X6.000.028_AA 25.05.11 07:11 Seite 42
Sets
182.480
Compact Hand 1.0/1.3
(Titanium Implants)
182.483
Compact Hand 1.0/1.3
(Stainless Steel Implants)
01.114.104
LCP Compact Hand 1.5
(Titanium Implants)
01.114.102
LCP Compact Hand 1.5
(Stainless Steel Implants)
01.110.014
LCP Compact Hand 2.0
(Titanium Implants)
01.110.012
LCP Compact Hand 2.0
(Stainless Steel Implants)
01.110.024
LCP Compact Hand 2.4
(Titanium Implants)
01.110.022
LCP Compact Hand 2.4
(Stainless Steel Implants)
01.110.003
Standard Instrument Set for
LCP Compact Hand
182.475
Aditional Instrument Set for
Compact Hand
42
LCP Compact Hand
Synthes
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite 43
Standard Instrument Set for
LCP Compact Hand
311.012
Handle, medium,
with Mini Quick Coupling
311.430
Handle with Quick Coupling,
length 110 mm
319.003
Depth Gauge for Screws 1.3 to 1.5 mm,
measuring range up to 24 mm
319.005
Depth Gauge for Screws 2.0 and
2.4 mm, measuring range up to 40 mm
347.901
Pliers, flat-nosed, pointed,
for Plates 1.0 to 2.4
347.985
Holding Forceps for Cortex Screws
1.0 to 2.4 mm
391.962
Bending/Cutting Pliers
LCP Compact Hand
Technique Guide
Synthes
43
0X6.000.028_AA 25.05.11 07:11 Seite 44
Standard Instrument Set for
LCP Compact Hand
Optional
03.100.000
Handle, lockable,
with Mini Quick Coupling
311.011
Handle, small, with Mini Quick Coupling
311.013
Handle, large, with Mini Quick Coupling
347.981
Holding Forceps for Plates 1.0 to 2.4
511.776
Torque Limiter, 0.8 Nm,
with AO/ASIF Quick Coupling
511.777
Torque Limiter, 0.4 Nm,
with AO/ASIF Quick Coupling
44
LCP Compact Hand
Synthes
Technique Guide
0X6.000.028_AA 25.05.11 07:11 Seite Cvr3
All technique guides are available as PDF files at
www.synthes.com/lit
0123
version AA
Ö036.000.028öAAƒä
036.000.028
04/2011
30100279
© Synthes, Inc. or its affiliates
Subject to modification
Synthes and Stardrive are trademarks of Synthes, Inc. or its affiliates
0X6.000.028_AA 25.05.11 07:11 Seite Cvr4