2.4 mm Variable Angle LCP Volar Rim
Distal Radius Plates. For fragment-specific
fracture fixation with variable angle
locking technology.
Technique Guide
Table of Contents
Introduction
Surgical Technique
Product Information
2.4 mm Variable Angle LCP Volar Rim
Distal Radius Plates
2
AO Principles
4
Indications
5
Clinical Cases
6
Recommendations on Screw and Plate Insertion
Screw Insertion Techniques
Screw Type Determination
7
7
9
Preparation
10
Approach
11
Plate Insertion
12
Screw Insertion
Cortex Screws
Variable Angle Locking Screws
14
14
16
Postoperative Treatment
23
Implant Removal
23
Implants
24
Instruments
26
Set Lists
31
Image intensifier control
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates.
For fragment-specific fracture fixation with variable angle locking technology.
The anatomically precontoured, lowprofile plates for distal volar placement
are indicated for complex intra-articular
and extra-articular distal radius fractures.
All implants are available in stainless
steel and titanium.
Low-profile construct
Beveled distal edge, rounded and polished surface
and countersunk screws for reduced soft tissue irritation
Additional distal screw options
Enable support of radial styloid, lunate facet and DRUJ
2
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
1
2
3
4
5
6
Kirschner wire holes
Enable preliminary plate fixation and indicate
screw orientation when using guide blocks
(Figure 1)
Anatomically precontoured
Buttressing of distal fragments due to anatomically
precontoured plate (Figure 2)
Guide block
Allows guided drilling and screw insertion
in the predefined nominal angle (Figure 3)
Bendable tabs
If necessary, tabs can be bent to suit the individual
anatomical conditions of the bone (Figure 4)
Elongated VA Combi hole
Allows accurate plate positioning and radius length
adjustment, offering 4 mm of range with 2.7 mm
cortex screws and 4.5 mm of range with 2.4 mm
cortex screws (Figure 5)
Variable angle locking
Holes allow up to 15° off-axis screw angulation
in all directions, to address individual fracture
patterns (Figure 6)
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
3
AO Principles
In 1958, the AO formulated four basic principles, which
have become the guidelines for internal fixation.1 They are:
Anatomic reduction
Fracture reduction and fixation to restore anatomical
relationships.
Stable fixation
Stability by fixation or splintage, as the personality of the
fracture and injury requires.
Preservation of blood supply
Preservation of the blood supply to soft tissue and bone
by careful handling.
Early, active mobilization
Early and safe mobilization of the part and the patient.
1. M.E. Müller, M. Allgöwer, R. Schneider, and H. Willenegger:
Manual of Internal Fixation, 3rd Edition. Berlin: Springer-Verlag. 1991.
4
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Indications
The 2.4 mm Variable Angle LCP Volar Rim Distal Radius
Plates are intended for fixation of complex intra- and extraarticular fractures and osteotomies of the distal radius and
other small bones in adults, skeletally mature adolescents,
and the following adolescent distal radius fractures:
–
–
–
–
intra-articular fractures exiting the epiphysis
intra-articular fractures exiting the metaphysis
physeal crush injuries
any injuries which cause growth arrest to the distal radius
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
5
Clinical Cases
Case 1
74-year-old female
with AO C3 fracture
and distal ulna
fracture
Case 2
43-year-old male
with AO C2 fracture
Results from case studies are not predictive of results in other cases.
Results in other cases may vary.
6
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Recommendations on Screw and Plate Insertion
Screw Insertion Techniques
Variable angle locking screws can be inserted using two
different techniques:
– Variable angle technique
– Predefined nominal angle technique
Cone-shaped end for
off-axis drilling
Fixed-angle end for
nominal angle drilling
03.110.000
Variable angle technique
Instrument
03.110.000
1.8 mm Universal Variable Angle Locking
Drill Guide
Optional instrument
03.110.023
1.8 mm Universal Variable Angle Locking
Drill Guide, cone
To drill variable angle holes up to 15° deviation from the
nominal trajectory of the locking hole, key the tip of the
universal variable angle locking drill guide into the cloverleaf
design of the VA locking hole.
Use the cone-shaped end of the VA drill guide to drill
variable angle holes at the desired angle.
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
7
Recommendations on Screw and Plate Insertion
Screw Insertion Techniques
Predefined nominal angle technique
Option A: Use of fixed-angle end of VA drill guide
Instrument
03.110.000
1.8 mm Universal Variable Angle Locking
Drill Guide
Optional instrument
03.110.024
1.8 mm Universal Variable Locking Drill
Guide, coaxial
The fixed-angle of the VA drill guide only allows the drill bit
to follow the nominal trajectory of the VA locking hole.
Option B: Use of guide blocks
Instruments
03.110.021
1.8 mm Drill Guide with Measuring for
VCP Guide Block
03.111.000
1.8 mm Drill Guide with Measuring for
Variable Angle LCP Guide Block
03.115.700
03.115.701
03.115.800
03.115.801
Guide Blocks for 2.4 mm Variable Angle
LCP Volar Rim Distal Radius Plates
6 hole head, right
6 hole head, left
7 hole head, right
7 hole head, left
Fixation at the nominal angle of the locking holes in the head
of the plate may be facilitated by a guide block attached to
the plate prior to plate fixation.
The guide blocks are used together with the drill guide.
Choose the guide block corresponding to the desired plate.
Mount the guide block to the plate by turning the guide
block attachment screw clockwise.
Note: If using guide blocks, avoid bending the head portion
of the plate.
8
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Recommendations on Screw and Plate Insertion
Screw Type Determination
Screw type determination
Determine whether standard cortex screws or variable angle
locking screws will be used for fixation of the shaft.
1
VA locking holes accept:
– 2.4 mm VA locking screws
– 1.8 mm VA locking buttress pins
– 2.4 mm locking screws (only at nominal angle)
– 2.4 mm cortex screws
VA Locking hole
2
Elongated VA Combi hole
The compression portion (1) of elongated VA Combi holes
accepts:
– 2.4 mm cortex screws
– 2.7 mm cortex screws
The threaded portion (2) of elongated VA Combi holes
accepts:
– 2.4 mm VA locking screws
– 1.8 mm VA locking buttress pins
– 2.4 mm locking screws (only at nominal angle)
– 2.4 mm cortex screws
VA locking screws in the distal portion of the plate may be
an advantage to support the articular surface and prevent
loss of reduction.
The final screw placement and the use of VA locking and
cortex screws are determined by the fracture pattern.
Using cortex screws in the most distal screw holes is not
recommended.
If a VA 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.
When using the predefined nominal angle technique, standard
locking screws can also be used instead of VA locking screws
in a variable angle hole.
Note: The screwhead is not completely countersunk if a
cortex screw is inserted in a variable angle hole.
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
9
Preparation
Required instrument sets
01.111.478 /
01.111.479
or
01.111.500 /
01.111.501
or
01.116.020
2.4 mm Variable Angle LCP (VA-LCP)
Distal Radius System Set
(stainless steel or titanium)
⁄3 Instrument Tray for LCP and VA-LCP
Distal Radius Systems (stainless steel or
titanium)
2
⁄3 Instrument Tray for 2.4 mm Cortex and
VA-LCP Screws for Modular Case System
1
Required screw sets (unless using 01.111.478 / 01.111.479)
01.111.502 /
01.111.503
or
01.111.506 /
01.111.507
or
01.111.508 /
01.111.509
2.4 mm and 2.7 mm Variable Angle
Locking Screw Module for Distal Radius
(stainless steel or titanium)
2.4 mm and 2.7 mm LCP and Variable
Angle Locking Screw Module for Distal
Radius (stainless steel or titanium)
2.4 mm LCP and Variable Angle Locking
Screw Module for Distal Radius
(stainless steel or titanium)
Select implant
Select the plate according to the fracture pattern and
anatomy of the bone.
Important: Ensure the proper plate selection by verifying
the L (left) or R (right) etching on the plate shaft.
10
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Approach
Make a longitudinal incision slightly radial to the flexor carpi
radialis tendon (FCR). Dissect between the FCR and the radial
artery, exposing the pronator quadratus. Detach the pronator
quadratus from the lateral border of the radius and elevate it
toward the ulna.
Important: Leave the volar wrist capsule intact to avoid
devascularization of the fracture fragments and destabilization
of the volar wrist ligaments.
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
11
Plate Insertion
1
Reduce fracture
Reduce the fracture under radiographic imaging and, if
necessary, fix with Kirschner wires or reduction forceps.
The reduction method will be fracture-specific.
2
Position plate
Optional instruments
02.111.500.10
1.25 mm Plate Reduction Wire, threaded
tip, with small stop, 150 mm
02.111.501.10
1.25 mm Plate Reduction Wire, threaded
tip, with large stop, 150 mm
292.12
1.25 mm Kirschner Wire, 150 mm,
trocar tip
Apply the plate to fit the volar surface. If necessary, insert a
1.25 mm Kirschner wire through the desired Kirschner wire
hole to temporarily fix the plate.
Option: Plate reduction wires
If necessary, a 1.25 mm plate reduction wire, with small stop,
may be used through a K-wire hole to temporarily hold the
plate to the bone, and in position.
Alternatively, a 1.25 mm plate reduction wire, with large
stop, may be used through the DCU portion of the Combi
hole.
Note: The plate reduction wires and Kirschner wires are
single-use items, do not reuse.
12
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Optional technique: Contour plate
Instrument
329.12
Bending Pliers, 140 mm, for 1.5 mm and
2.0 mm plates
If necessary, bend the tabs of the plate to suit anatomical
conditions as indicated. Avoid repetitive bending.
Technique tip: Use nonserrated bending pliers to preserve the
plate’s smooth finish.
Note: The design of the plate holes allows a certain degree
of deformation. However, if threaded holes are significantly
deformed, locking may be compromised.
Important: If using guide blocks, avoid bending the head
portion of the plate.
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
13
Screw Insertion
Cortex Screws
1
Drill for cortex screw
Instruments : 2.4 mm cortex screws
310.509
1.8 mm Drill Bit with depth mark,
quick coupling, 110 mm
323.202
2.4 mm Universal Drill Guide
Instruments : 2.7 mm cortex screws
310.19
2.0 mm Drill Bit, quick coupling, 100 mm
323.26
2.7 mm Universal Drill Guide
Using the universal drill guide, drill through the nonthreaded
portion of the elongated Combi hole.
– For 2.4 mm cortex screws, use the 2.4 mm universal drill
guide with the 1.8 mm drill bit.
– For 2.7 mm cortex screws, use the 2.7 mm universal drill
guide with the 2.0 mm drill bit.
14
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
2
Determine screw length
Instrument
03.111.005
Depth Gauge for 2.0 mm, 2.4 mm, and
2.7 mm screws
Determine screw length with the depth gauge.
3
Insert cortex screw
Instruments
311.43
Handle with quick coupling
314.467
StarDrive Screwdriver Shaft, T8, 105 mm
Optional instrument
314.453
Short StarDrive Shaft, T8, self-holding,
quick coupling, 55 mm
Insert the self-tapping cortex screw using a T8 StarDrive
screwdriver. Adjust the plate position as necessary and
tighten the screw.
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
15
Screw Insertion
Variable Angle Locking Screws
1
Drill
Option A: Variable angle technique—
Using VA drill guide with cone
Instruments
03.110.000
1.8 mm Universal Variable Angle Locking
Drill Guide
310.509
1.8 mm Drill Bit with depth mark, quick
coupling, 110 mm
Optional instrument
03.110.023
2.4 mm Variable Angle Locking Drill Guide,
cone
Insert and lock the VA drill guide tip into the cloverleaf design
of the VA locking hole.
Use the 1.8 mm drill bit to drill to the desired depth at the
desired angle.
The cone of the drill sleeve allows the drill bit to be angled
up to 15° around the central axis of the locking hole.
To achieve the desired angle, verify the drill bit angle by
using radiographic imaging. If necessary, drill at a different
angle and verify again by using radiographic imaging.
Technique tip: The previously inserted Kirschner wire can
be used to reference for the screw angulation by using radiographic imaging.
16
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Option B: Nominal angle technique—
Using VA locking drill guide
Instruments
03.110.000
1.8 mm Universal Variable Angle Locking
Drill Guide
310.509
1.8 mm Drill Bit with depth mark,
quick coupling, 110 mm
Optional instrument
03.110.024
1.8 mm Variable Angle Locking Drill Guide,
coaxial
The fixed-angle end of the drill guide only allows the drill bit
to follow the nominal trajectory of the locking hole.
Use the 1.8 mm drill bit to drill to the desired depth.
Read the screw length directly from the laser mark on the
drill bit. Alternatively, use the depth gauge to determine the
screw length.
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
17
Screw Insertion
Variable Angle Locking Screws
Option C: Nominal angle technique—
Using guiding blocks
Optional instruments
03.110.021
03.115.700
03.115.701
03.115.800
03.115.801
1.8 mm Drill Guide with Measuring for
Guide Block
Guide Blocks for 2.4 mm Variable Angle
LCP Volar Rim Distal Radius Plates
6 hole head, right
6 hole head, left
7 hole head, right
7 hole head, left
Use the volar rim distal radius plate guide block in
combination with the drill guide with measuring for
guide block.
For drilling, insert the drill guide into the locking hole and
drill to the desired depth using the 1.8 mm drill bit.
Read the screw length directly from the laser mark on the
drill bit. Alternatively, use the depth gauge through the guide
block to determine the screw length.
18
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
2
1
Determine screw length
Instrument
03.111.005
Depth Gauge for 2.0 mm, 2.4 mm, and
2.7 mm screws
Determine the screw length with the depth gauge (Figure1).
If the guide block is being used, measure directly through the
guide block (Figure 2).
2
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
19
Screw Insertion
Variable Angle Locking Screws
3
Insert VA locking screws
Instruments
311.43
Handle with quick coupling
314.467
StarDrive Screwdriver Shaft, T8, 105 mm
Optional instrument
314.453
Short StarDrive Screwdriver Shaft, T8,
self-holding, quick coupling, 55 mm
Insert the 2.4 mm VA locking screws or 1.8 mm VA locking
buttress pins manually with the StarDrive screwdriver and
tighten only until the screwhead is fully seated in the
locking hole.
When using the predefined nominal angle technique, standard
2.4 mm locking screws can be used instead of VA locking
screws.
Do not fully tighten the screw. This allows the screws to
be easily removed and repositioned, if necessary, before
final locking.
Technique tip: When a guide block is used, the locking
screw (VA-LCP or standard LCP) or buttress pin (VA-LCP or
standard LCP) may be inserted directly through the guide
block with a T8 StarDrive screwdriver.
20
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
4
Ensure proper joint reconstruction
Confirm proper joint reconstruction, screw placement, and
screw length, using multiple radiographic views. To ensure
that the screws are not in the joint, use additional views such
as a 10° dorsally tilted, 20° inclined lateral, and 45° pronated
oblique view.
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
21
Screw Insertion
Variable Angle Locking Screws
5
Lock variable angle screws
1
Instruments
03.110.005
Handle for Torque Limiting Attachment
314.453
Short StarDrive Screwdriver Shaft, T8,
self-holding, quick coupling, 55 mm
511.776
Torque Limiting Attachment, 0.8 Nm,
quick coupling
Optional instrument
314.467
StarDrive Screwdriver Shaft, T8, 105 mm
2
Use the 0.8 Nm torque limiting attachment (TLA) for final
tightening of the 2.4 mm VA locking screws or 1.8 mm VA
locking buttress pins.
The TLA attaches to the blue handle for torque limiting
attachment, and a T8 StarDrive screwdriver shaft.
The TLA ensures maximum strength of the plate-screw interface and prevents overtightening of the VA locking screws or
VA locking buttress pins. With this final locking step, the
screws are securely locked into the plate (Figure 2).
Note: When performing the final locking step, the TLA
should always be used.
22
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Postoperative Treatment and Implant Removal
Postoperative treatment
Postoperative treatment with VA locking compression plates
is the same as conventional internal fixation procedures.
Note: Due to the distal placement, plate removal may be a
consideration once the bone healing process is complete.
Implant removal
Instruments
311.43
Handle with quick coupling
314.453
Short StarDrive Screwdriver Shaft, T8,
self-holding, quick coupling, 55 mm
Optional instruments
314.467
StarDrive Screwdriver Shaft, T8, 105 mm
314.468
Holding Sleeve, for StarDrive Screwdriver
Shaft, T8
To remove locking screws, first unlock all screws from the
plate; then remove the screws completely from the bone.
The last screw removed should be a nonlocking screw
on the shaft. This prevents the plate from spinning when
locking screws are removed.
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
23
Implants
Plates
2.4 mm VA-LCP Volar Rim Distal Radius Plate,
6 hole head ◊
Shaft Length
Stainless Steel
Titanium
Holes (mm)
02.115.750
04.115.750
5
57
right
02.115.751
04.115.751
5
57
left
2.4 mm VA-LCP Volar Rim Distal Radius Plate,
7 hole head ◊
Shaft Length
Stainless Steel
Titanium
Holes (mm)
02.115.850
04.115.850
5
57
right
02.115.851
04.115.851
5
57
left
◊ Available nonsterile and sterile-packed. Add “S” to product number for sterile product.
24
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Implants
Screws
2.4 mm Variable Angle Locking Screws
– For use in VA locking holes
– Self-tapping, StarDrive recess
– Lengths from 8 mm to 30 mm
– Available in stainless steel or titanium alloy*
Important: For final locking the 0.8 Nm torque limiting
attachment is required.
2.4 mm Cortex Screws
– For use in round or Combi holes
– Self-tapping, StarDrive recess
– Lengths from 6 mm to 30 mm
– Available in stainless steel or titanium alloy*
2.4 mm Locking Screws**
– For use in VA locking holes but only in the predefined
nominal angle
– Self-tapping, StarDrive recess
– Lengths from 6 mm to 30 mm
– Available in stainless steel or titanium alloy*
Important: For final locking the 0.8 Nm torque limiting
attachment is required.
2.7 mm Cortex Screws**
– For use in elongated Combi holes
– Self-tapping, StarDrive recess
– Lengths from 6 mm to 30 mm
– Available in stainless steel or titanium alloy*
1.8 mm Variable Angle Locking Buttress Pins**
– For use in VA locking holes
– StarDrive recess
– Lengths from 8 mm to 30 mm
– Available in stainless steel or titanium alloy*
Important: For final locking the 0.8 Nm torque limiting
attachment is required.
* Implant-quality 316L stainless steel or titanium alloy (Ti-6Al-7Nb)
** Optional
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
25
Instruments
03.110.000
1.8 mm Universal Variable Angle Locking
Drill Guide
03.110.005
Handle for Torque Limiting Attachment
03.111.005
Depth Gauge for 2.0 mm, 2.4 mm, and
2.7 mm Screws
03.115.700
Guide Block for 2.4 mm VA-LCP Volar Rim
Distal Radius Plate, 6 hole head, right
03.115.701
Guide Block for 2.4 mm VA-LCP Volar Rim
Distal Radius Plate, 6 hole head, left
03.115.800
Guide Block for 2.4 mm VA-LCP Volar Rim
Distal Radius Plate, 7 hole head, right
03.115.801
Guide Block for 2.4 mm VA-LCP Volar Rim
Distal Radius Plate, 7 hole head, left
26
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Synthes
Technique Guide
292.12
1.25 mm Kirschner Wire, 150 mm,
trocar point
310.509
1.8 mm Drill Bit with depth mark, quick
coupling, 110 mm
311.43
Handle with quick coupling
314.453
Short StarDrive Screwdriver Shaft, T8,
self-holding, quick coupling, 55 mm
314.467
StarDrive Screwdriver Shaft, T8, 105 mm
323.202
2.4 mm Universal Drill Guide
511.776
Torque Limiting Attachment, 0.8 Nm,
quick coupling
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
27
Instruments
Optional
02.111.500.10
Plate Reduction Wire, 1.25 mm, with
thread, with Small Stop, length 150 mm
02.111.501.10
Plate Reduction Wire, 1.25 mm, with
thread, with Large Stop, length 150 mm
03.110.021
1.8 mm Drill Guide with Measuring for
VCP Guide Block
03.110.023
1.8 mm Variable Angle Locking Drill Guide,
cone
03.110.024
1.8 mm Variable Angle Locking Drill Guide,
coaxial
28
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Synthes
Technique Guide
310.19
2.0 mm Drill Bit, quick coupling, 100 mm
323.26
2.7 mm Universal Drill Guide
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
29
Instruments
Also Available
Sizing Template for 2.4 mm VA-LCP Volar Rim Distal
Radius Plate, 6 hole head
Length (mm)
03.115.750
57
right
03.115.751
57
left
Sizing Template for 2.4 mm VA-LCP Volar Rim Distal
Radius Plate, 7 hole head
Length (mm)
03.115.850
57
right
03.115.851
57
left
30
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Synthes
Technique Guide
2.4 mm Variable Angle LCP (VA-LCP) Volar Rim Distal Radius Plate Module Set
Stainless Steel (01.115.486) and Titanium (01.115.487)
Graphic Case
60.111.486
Module Bin, 1⁄2 Length, 1⁄2 Height, for
VA-LCP Volar Rim Plates
Note: This bin is not included as part of sets 01.111.478 or
01.111.479. This bin is to be housed in the Plate Module
Shell (60.111.485), and should be combined with other distal
radius plate bins and/or auxiliary bins (listed in “Also Available Section”) to create a complete module.
Instruments
Guiding Blocks for 2.4 mm VA-LCP Volar
Rim Distal Radius Plate
03.115.700
6 hole head, right
03.115.701
6 hole head, left
03.115.800
7 hole head, right
03.115.801
7 hole head, left
Implants
2.4 mm Variable Angle LCP Volar Rim
Distal Radius Plates ◊
Stainless Steel
Titanium
Head
Holes
Shaft
Holes
Length
(mm)
02.115.750
04.115.750
6
5
57
right
02.115.751
04.115.751
6
5
57
left
02.115.850
04.115.850
7
5
57
right
02.115.851
04.115.851
7
5
57
left
Note: For additional information, please refer to package insert.
For detailed cleaning and sterilization instructions, please refer to
http://www.synthes.com/sites/NA/MedicalCommunity/Pages/Cleaning_and_Sterilization.aspx
or to the below listed inserts which will be included in the shipping container:
—Processing Synthes Reusable Medical Devices—Instruments, Instrument Trays and Graphic
Cases—DJ1305
—Processing Non-sterile Synthes Implants—DJ1304
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
31
2.4 mm Variable Angle LCP (VA-LCP) Distal Radius System
Stainless Steel (01.111.478) and Titanium (01.111.479)
Graphic Cases and Trays
60.116.001
Graphic Case, Full Length, 4 bay
for Modular Graphic Case System
60.111.471
⁄3 Instrument Tray for LCP and VA-LCP
Distal Radius Systems
60.111.472
⁄3 Instrument Tray for Distal Radius,
Forceps and Bending Pliers
60.111.473
⁄3 Instrument Tray for Distal Radius,
Retractors, Hook and Elevators
Instruments
02.111.500.10
2
1
1
1.25 mm Plate Reduction Wire, threaded tip
with small stop, 150 mm, 1 pkg. of 10 ea.
02.111.501.10
1.25 mm Plate Reduction Wire, threaded tip
with large stop, 150 mm, 1 pkg. of 10 ea.
03.110.000
1.8 mm Universal Variable Ankle Locking
Drill Guide
03.110.005
Handle for Torque Limiting Attachment
03.110.007
StarDrive Screwdriver, T8
03.110.021
1.8 mm Drill Guide with Measuring for
Guide Block
03.110.023
1.8 mm Variable Angle Locking Drill Guide,
cone
03.110.024
1.8 mm Variable Angle Locking Drill Guide,
coaxial
03.111.005
Depth Gauge for 2.4 to 2.7 mm Screws
03.111.007
Positioning Screw for Variable Angle LCP
Two-Column Plate Guide Block
310.19
2.0 mm
310.26
2.7 mm
310.509
1.8 mm
310.530
2.4 mm
311.43
Handle, with quick coupling
314.453
Short StarDrive Screwdriver Shaft, T8, 55 mm
314.467
StarDrive Screwdriver Shaft, T8, 105 mm
314.468
Holding Sleeve, for StarDrive Screwdriver
Shaft, T8
319.39
Sharp Hook
Drill Bits, quick coupling, 100 mm
32
Synthes
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
323.029
Threaded LCP Drill Guide
323.202
2.4 mm Universal Drill Guide
Includes implant sets:
Stainless Steel Titanium
323.26
2.7 mm Universal Drill Guide
01.111.461
01.111.462
324.084
1.25 mm K-wire Insert
329.12
Bending Pliers, 140 mm, for 1.5 mm and
2.0 mm plates
01.111.480
01.111.481
398.41
Reduction Forceps with Points, broad, ratchet,
132 mm
398.95
Termite Forceps, 90 mm length
01.111.482
01.111.483
399.18
Hohmann Retractor, 6 mm width, small, short
narrow top, 160 mm length
399.48
Periosteal Elevator, 3 mm width, curved blade,
straight edge
01.111.486
01.111.487
399.481
Periosteal Elevator, 3 mm width, curved blade,
round edge
01.115.000
01.115.001
399.97
Reduction Forceps, with points, 130 mm
length, ratchet
511.776
Torque Limiting Attachment, 0.8 Nm,
quick coupling
2.4 mm Variable Angle LCP
(VA-LCP) Two-Column Volar
Distal Radius Plate Set
2.4 mm Variable Angle LCP
(VA-LCP) Narrow
Two-Column Volar Distal
Radius Plate Set
2.4 mm Variable Angle LCP
(VA-LCP) Extra-Articular
Distal Radius Plate Set
Screw Set for 2.4 mm
Variable Angle LCP (VA-LCP)
Distal Radius System
2.4 mm Variable Angle LCP
(VA-LCP) Dorsal Distal
Radius Plate Module Set
Kirschner Wires, 150 mm, trocar point, 1 pkg. of 10 ea.
Stainless Steel* Titanium**
02.110.300
04.110.300
1.8 mm
292.12
492.12
1.25 mm
292.16
492.16
1.6 mm
60.116.054
Module Adapters, 4 pkg. of 2 ea.
Assembled on both ends of any 1-high module to prevent
movement when housed in the module bay of the following
graphic cases: 60.116.001, 60.116.003, 60.116.004,
60.116.005, 60.116.006
* 316L stainless steel
** Titanium alloy (Ti-6Al-4V)
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
33
Also Available. For use with Modular Graphic Case System.
60.116.003
Graphic Case, Full Length, One High
Screw Module, Screw Blocks, and Accessories
60.116.050
Screw Module Shell, for Modular Graphic
Case System
60.116.004
Graphic Case, 2⁄3 Length, 4 Bay
60.116.051
Lid for Screw Module Shell
60.116.005
Graphic Case, ⁄3 Length, 2 Bay
60.116.058
60.116.006
Graphic Case, ⁄3 Length, One High
2.4 mm Screw Block for Screw Module
Shell
60.116.014
Support Screws for Trays and Screw Racks,
for use with Full Length Modular Graphic
Cases
60.116.059
2.7 mm Screw Block for Screw Module
Shell
60.116.013
Assembly Screws, for Screw Module Shell
(5 pkg.)
Graphic Cases and Accessories
60.116.001
Graphic Case, Full Length, 4 Bay
2
2
60.116.015
Lid, Full Length for Modular Graphic Case
System
60.116.016
Lid, 2⁄3 Length for Modular Graphic Case
System
Label Sheets
60.111.475
Graphic Case Label Sheet for Distal Radius
Systems
Instrument Trays
2
⁄3 Length Instrument Tray for LCP and
60.111.471
VA-LCP Distal Radius Systems
60.116.554
Label Pack, for 2.4 mm screws and
instruments for Modular Graphic Case
System
60.111.472
⁄3 Instrument Tray for Distal Radius,
Forceps and Bending Pliers
60.116.555
60.111.473
⁄3 Instrument Tray for Distal Radius,
Retractors, Hook and Elevators
Label Pack, for 2.7 mm screws and
instruments for Modular Graphic Case
System
60.116.114
1
60.116.020
⁄3 Length Instrument Tray for 2.4 mm
Cortex and Variable Angle Screws
1
1
⁄3 Length Auxiliary Tray
1
Screw Type Push Pins (5 each)
60.116.452
Blank
60.116.503
Buttress
60.116.507
Cortex
Plate Module and Bins
60.116.052
Module Shell for Plate Trays and Auxiliary
Trays, for Modular Graphic Case System
60.116.513
Locking
60.116.521
VA Locking
60.116.200
Auxiliary Bin, full length, full height
60.116.203
Auxiliary Bin, ½ length, ½ height
Length Marker Push Pins (5 each)
Length
(mm)
Length
(mm)
60.116.451
60.116.318
18
6
60.116.320
20
60.116.308
8
60.116.322
22
60.116.310
10
60.116.324
24
60.116.312
12
60.116.326
26
60.116.314
14
60.116.328
28
60.116.316
16
60.116.330
30
Module Bins ½ length, ½ height
60.111.481
For 6 hole head, volar column plates
60.111.482
For 7 hole head, volar column plates
60.111.483
For 8 hole head, volar column plates
60.111.484
For 9 hole head, volar column plates
60.111.478
Narrow 6 Hole Head, Two-Column Plates
60.111.479
6 Hole Head, Two-Column Plates
60.111.480
7 Hole Head, Two-Column Plates
34
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Synthes
60.116.306
Technique Guide
Blank
01.111.484/
01.111.485
2.4 mm LCP and VA-LCP Distal Radius
Instrument Set* (stainless steel or titanium)
Instrument Tray Sets
2
⁄3 Instrument Tray, for LCP and Variable
01.111.500/
01.111.501
Angle LCP Distal Radius Systems
(stainless steel or titanium)
01.116.020
⁄3 Instrument Tray for 2.4 mm Cortex
and Variable Angle Locking Screws
01.111.516
⁄3 Instrument Tray for Distal Radius,
Forceps and Bending Pliers
01.111.517
⁄3 Instrument Tray for Distal Radius,
Retractors, Hook and Elevators
1
1
Plate Module with Bin Sets
01.111.510/
2.4 mm Variable Angle LCP Two-Column
01.111.511
Plate Module, with Bins
(stainless steel or titanium)
01.111.512/
01.111.513
2.4 mm LCP Volar Column Plate Module,
with Bins (stainless steel or titanium)
01.111.514/
01.111.515
2.4 mm Two-Column and Volar Column
Plate Module, with Bins
(stainless steel or titanium)
1
Screw Rack Set
01.111.486/
Screw Set for 2.4 mm Variable Angle LCP
01.111.487
(VA-LCP) Distal Radius System
(stainless steel or titanium)
Screw Module Sets
01.111.502/
2.4 mm and 2.7 mm Variable Angle
01.111.503
Locking Screw Module for Distal Radius
(stainless steel or titanium)
01.111.504/
01.111.505
2.4 mm and 2.7 mm LCP Screw Module,
for Distal Radius
(stainless steel or titanium)
01.111.506/
01.111.507
2.4 mm and 2.7 mm LCP and Variable
Angle Locking Screw Module, for Distal
Radius (stainless steel or titanium)
01.111.508/
01.111.509
2.4 mm LCP and Variable Angle Locking
Screw Module, for Distal Radius
(stainless steel or titanium)
* Includes 60.116.001 Graphic Case
2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates
Technique Guide
Synthes
35
Synthes (USA)
1302 Wrights Lane East
West Chester, PA 19380
Telephone: (610) 719-5000
To order: (800) 523-0322
Fax: (610) 251-9056
© 2011 Synthes, Inc. or its affiliates. All rights reserved.
Synthes (Canada) Ltd.
2566 Meadowpine Boulevard
Mississauga, Ontario L5N 6P9
Telephone: (905) 567-0440
To order: (800) 668-1119
Fax: (905) 567-3185
Combi, LCP and Synthes are trademarks of Synthes, Inc. or its affiliates.
www.synthes.com
Printed in U.S.A.
11/11
J10270-C