MAXLOCK EXTREME ™ ™ Universal, MTP, TMT, ™ ORTHOLINK , & Y-Shaped Plates SURGIC A L T ECHNIQUE Contents Surgical Techniques Universal Plates 3 MTP Plates 7 TMT Plates 11 ORTHOLINK™ Plates 15 Y-Shaped Plates 19 Implants and Instruments 23 Proper surgical procedures and techniques are the responsibility of the medical professional. The following guidelines are furnished for information purposes only. Each surgeon must evaluate the appropriateness of the procedures based on his or her personal medical training and experience. Prior to use of the system, the surgeon should refer to the product package insert for complete warnings, precautions, indications, contraindications and adverse effects. Package inserts are also available by contacting Wright Medical. Please contact your local Wright representative for product availability. 2 Surgical Technique Step 1 The surgical site is prepared and the fusion or fracture site is reduced and temporarily stabilized by the surgeon’s preferred technique. Step 2 Choose an appropriately sized universal plate based on size and type of indication. Care must be taken not to scratch or notch the implants throughout the procedure. CAUTION: In pediatric patients, avoid crossing the growth plate with any implants. Step 3 If necessary, use the plate bending irons or plate bending pliers to contour the plate to the bone surface. When using the plate bending irons, use your thumbs to apply pressure to the top while pulling apart at the bottom. Use the top slots to concave the plate and the bottom slots to convex the plate. Each bend should be in one direction only. Reverse or over bending may cause reduced fatigue life. Avoid excessive bending through the locking holes. If the plate is contoured through the locking holes, a nonlocking screw is recommended to avoid crossthreading of the locking screw. Step 4 The plate is placed with the two “ears” on one side of the fracture/osteotomy and the other two “ears” are placed on the opposite side of the fracture. Note that when using the plates with center slots, they may be placed on either side of the fracture. The plate may be temporarily held in place with standard plate holding forceps, 1.1 mm k-wires (through k-wire holes) or olive wires (through locking holes or compression slots). 3 Step 5 Determine the appropriate size and type of screw to be used. The screw holes in the plates are compatible with a variety of screw options. Non-locking screw options include 2.7 mm, 3.5 mm, and 4.0 mm. Non-locking screws may be used in either threaded holes or compression slots. Fixedangle locking screws are offered in 3.5 mm diameter and may be used only in threaded holes. 3.5 mm variable-angle locking screws may also be used; however, the optional variable screw caddy must be available at the time of surgery. Reference the variable-angle locking screw technique guide (MXE-801-016) if variable-angle locking screws are desired. Screw diameter is chosen based on indication and surgeon preference; a combination of screws may be used in the same plate. Five drill bits are provided in the system: 1.9 mm (gold), 2.4 mm (magenta) and 2.7 mm (aqua) diameters. The 1.9 mm bit is to be used in conjunction with 2.7 mm screws, the 2.4 mm bit is to be used in conjunction with the 3.5 mm screws, and the 2.7 mm drill bit is to be used in conjunction with the 4.0 mm screws. A 3.5 mm (double-banded magenta) and a 4.0 mm (double-banded aqua) drill bit are also found in the system and can be utilized for lagging the 3.5 mm and 4.0 mm screws. Step 6 Note: Use only the screws and instruments provided with the MAXLOCK™ EXTREME™ system with these plates. When drilling for non-locking screws, use the drill guide handle with the appropriate drill guide tip. The drill guide tips are color-coded to match the appropriate drill bit and screw diameter. When drilling for a fixed-angle locking screw, either the 2.4 mm Fixed Drill Guide or the 2.4 mm Keyway Drill Guide should be used. The fixed drill guide threads into the locking hole to provide the proper angle for drilling. To use the keyway drill guide, align the lobes on the tip of the guide with the lobes in the threaded hole. Press into the plate while drilling to ensure proper alignment. 4 Step 7 Drill to the desired depth. Note: Take care to not move the plate after drilling for a locking hole in order to maintain the proper pilot hole alignment and prevent locking screw cross-threading. Step 8 Use only the provided depth gauge to determine screw length. For all screws used throughout the procedure, verify the screw length using the length gauge on the screw caddy. Use the HEXSTAR™ driver to insert the screw into the hole and drive the screw. Note: The depth gauge reading corresponds to the working length of the screw (from distal tip to underneath the screw head). Step 9 Non-locking screws placed in the compression slots can be used to generate inter-fragmentary compression in the direction of the slot. The direction of the slot is indicated by an arrow on the plate. In order to generate compression by utilizing the compression slot, first fix the plate on one side of the fusion site. This can be done using a fixed-angle locking screw or a nonlocking screw with bicortical purchase through a locking hole. Step 10 Align the arrow on the offset drill guide tip with the arrow on the plate and drill into the slot. The drill hole should be located in the region of the slot farthest away from the fusion site. Note: If an offset drill guide is not available, use the centered drill guide to drill a hole in the region of the slot farthest away from the fusion site, or at the tail end of the arrow. 5 Step 11 Insert a non-locking screw bi-cortically. Note: If maximum compression is desired it is advised to use a 4.0 mm screw. Step 12 Tighten the screw into the slot to generate compression. Note: The amount of compression can be modulated from 2 mm (maximum) to 0 mm by drilling into a region of the slot closer to the fusion slot. The slot may be utilized with no compression if the non-locking screw is placed in the neutral side of the slot (region closest to the fusion site). Step 13 When a lag technique is desired, use either the 3.5 mm drill bit (double-banded magenta) or the 4.0 mm drill bit (double-banded aqua) with the corresponding double-banded drill guide to over-drill the gliding hole. Note: Do not over-torque the screws. Step 14 Verify correct placement of plate and screws with fluoroscopy. Close soft tissues as required by the operative procedure and surgeon preferred technique. 6 Surgical technique Step 1 Prepare the MTP joint for fusion using the surgeon’s preferred technique. Care should be taken to remove any excessive bony prominences to avoid excessive dorsal flexion of the fused joint. Step 2 Select the appropriate MTP fusion plate. Standard, Narrow and Revision plates are available for right and left foot procedures. The plates are pre-contoured to provide 10 degrees of valgus and 5 degrees of dorsiflexion. CAUTION: In pediatric patients, avoid crossing the growth plate with any implants. Step 3 If necessary, use the plate bending irons or plate bending pliers to contour the plate to the bone surface. When using the plate bending irons, use your thumbs to apply pressure to the top while pulling apart at the bottom. Use the top slots to concave the plate and the bottom slots to convex the plate. The plate bending pliers may be used to adjust the “ears” of the plate to better fit the bone surface. Each bend should be in one direction only. Reverse or over bending may cause reduced fatigue life. Avoid excessive bending through the locking holes. If a plate is contoured through the locking holes, a non-locking screw is recommended to avoid cross-threading of a locking screw. 7 Step 4 The plate may be provisionally fixed using the included olive wires. Ideally, at least one wire will be used on either side of the fusion site. Step 5 Determine the appropriate size and type of screw to be used. The screw holes in the plates are compatible with a variety of screw options. Non-locking screw options include 2.7 mm, 3.5 mm, and 4.0 mm. Non-locking screws may be used in either threaded holes or compression slots. Fixedangle locking screws are offered in 3.5 mm diameter and may be used only in threaded holes. 3.5 mm variable-angle locking screws may also be used; however, the optional variable screw caddy must be available at the time of surgery. Reference the variable-angle locking screw technique guide (MXE-801-016) if variable-angle locking screws are desired. Screw diameter is chosen based on indication and surgeon preference; a combination of screws may be used in the same plate. Five drill bits are provided in the system: 1.9 mm (gold), 2.4 mm (magenta) and 2.7 mm (aqua) diameters. The 1.9 mm bit is to be used in conjunction with 2.7 mm screws, the 2.4 mm bit is to be used in conjunction with the 3.5 mm screws, and the 2.7 mm drill bit is to be used in conjunction with the 4.0 mm screws. A 3.5 mm (double-banded magenta) and a 4.0 mm (double-banded aqua) drill bit are also found in the system and can be utilized for lagging the 3.5 mm and 4.0 mm screws. Note: Use only the screws and instruments provided with the MAXLOCK™ EXTREME™ system with these plates. 8 Step 6 When drilling for non-locking screws, use the drill guide handle with the appropriate drill guide tip. The drill guide tips are color-coded to match the appropriate drill bit and screw diameter. When drilling for a fixed-angle locking screw, either the 2.4 mm Fixed Drill Guide or the 2.4 mm Keyway Drill Guide should be used. The fixed drill guide threads into the locking hole to provide the proper angle for drilling. To use the keyway drill guide, align the lobes on the tip of the guide with the lobes in the threaded hole. Press into the plate while drilling to ensure proper alignment. Step 7 Drill to the desired depth. Note: Take care to not move the plate after drilling for a locking hole in order to maintain the proper pilot hole alignment and prevent locking screw cross-threading. Step 8 Use only the provided depth gauge to determine screw length. For all screws used throughout the procedure, verify the screw length using the length gauge on the screw caddy. Use the HEXSTAR™ driver to insert the screw into the hole and drive the screw. Note: The depth gauge reading corresponds to the working length of the screw (from distal tip to underneath the screw head). Step 9 In order to generate compression across the fusion site, place at least two screws in the distal portion of the plate. Insert both screws before fully tightening the first to avoid shifting of the plate. 9 Step 10 Drill an appropriately sized pilot hole through the proximal end of the compression slot and remove any provisional fixation from the proximal end of the plate. Note: If compression is not desired, drill the screw hole in at the distal end of the compression slot, nearest to the fusion sight. Step 11 Insert a non-locking screw into the pilot hole in the slot. Note: If maximum compression is desired it is advised to use a 4.0 mm screw. Step 12 Tighten the screw into the slot to generate compression. As the screw is tightened, it will drive compression toward the fusion site. Step 13 Fill the remaining screw holes as desired. Step 14 Verify correct placement of plate and screws with fluoroscopy. Close soft tissues as required by the operative procedure and surgeon preferred technique. 10 Step 1 Prepare the TMT joint for fusion using the surgeon’s preferred technique. Care should be taken to remove any excessive bony prominences. Step 2 Choose the appropriately sized TMT plate. The plates are available in flat/contoured, small/ standard, and right/left configurations. CAUTION: In pediatric patients, avoid crossing the growth plate with any implants. Step 3 If necessary, use the plate bending pliers to contour the plate to the bone surface. Each bend should be in one direction only. Reverse or over bending may cause reduced fatigue life. Avoid excessive bending through the locking holes. If a plate is contoured through the locking holes, a non-locking screw is recommended to avoid cross-threading of a locking screw. Step 4 Place the plate over the TMT joints with the compression slots located distally. Fix the plate with an olive wire in one of the compression slots. 11 Step 5 Determine the appropriate size and type of screw to be used. The screw holes in the plates are compatible with a variety of screw options. Non-locking screw options include 2.7 mm, 3.5 mm, and 4.0 mm. Non-locking screws may be used in either threaded holes or compression slots. Fixed-angle locking screws are offered in 3.5 mm diameter and may be used only in threaded holes. 3.5 mm variable-angle locking screws may also be used; however, the optional variable screw caddy must be available at the time of surgery. Reference the variable-angle locking screw technique guide (MXE-801-016) if variable-angle locking screws are desired. Screw diameter is chosen based on indication and surgeon preference; a combination of screws may be used in the same plate. Five drill bits are provided in the system: 1.9 mm (gold), 2.4 mm (magenta) and 2.7 mm (aqua) diameters. The 1.9 mm bit is to be used in conjunction with 2.7 mm screws, the 2.4 mm bit is to be used in conjunction with the 3.5 mm screws, and the 2.7 mm drill bit is to be used in conjunction with the 4.0 mm screws. A 3.5 mm (double-banded magenta) and a 4.0 mm (double-banded aqua) drill bit are also found in the system and can be utilized for lagging the 3.5 mm and 4.0 mm screws. Note: Use only the screws and instruments provided with the MAXLOCK™ EXTREME™ system with these plates. Step 6 When drilling for non-locking screws, use the drill guide handle with the appropriate drill guide tip. The drill guide tips are color-coded to match the appropriate drill bit and screw diameter. When drilling for a fixed-angle locking screw, either the 2.4 mm Fixed Drill Guide or the 2.4 mm Keyway Drill Guide should be used. The fixed drill guide threads into the locking hole to provide the proper angle for drilling. To use the keyway drill guide, align the lobes on the tip of the guide with the lobes in the threaded hole. Press into the plate while drilling to ensure proper alignment. 12 Step 7 Drill to the desired depth in a proximal hole. Note: Take care to not move the plate after drilling for a locking hole in order to maintain the proper pilot hole alignment and prevent locking screw cross-threading. Step 8 Use only the provided depth gauge to determine screw length. For all screws used throughout the procedure, verify the screw length using the length gauge on the screw caddy. Use the HEXSTAR™ driver to insert the screw into the hole and drive the screw. Note: The depth gauge reading corresponds to the working length of the screw (from distal tip to underneath the screw head). Step 9 Repeat Steps 7-8 for the other proximal hole. Note: Insert both screws before fully tightening the first to avoid shifting of the plate. Step 10 In order to generate compression across the fusion site, remove the olive wire and any other provisional fixation from the plate. Drill the appropriately sized pilot hole at the distal end of the compression slot. Note: If compression is not desired, drill the screw hole in at the proximal end of the compression slot. 13 Step 11 Insert a non-locking screw into the pilot hole in the slot. As the screw is tightened it will drive compression toward the fusion site. Note: If maximum compression is desired it is advised to use a 4.0 mm screw. Step 12 Repeat Step 11 for the second compression slot. Step 13 Verify correct placement of plate and screws with fluoroscopy. Close soft tissues as required by the operative procedure and surgeon preferred technique. 14 Step 1 The surgical site is prepared and the fusion or fracture site is reduced and temporarily stabilized by the surgeon’s preferred technique. Step 2 Select the appropriate plate to ensure the holes on the plate span the fracture or fixation site. Five plate sizes are available: Short, Standard, Long, Three-hole and Standard Locking. CAUTION: In pediatric patients, avoid crossing the growth plate with any implants. Step 3 If necessary, use the plate bending pliers to contour the plate to the bone surface. Each bend should be in one direction only. Reverse or over bending may cause reduced fatigue life. Avoid excessive bending through the locking holes. If a plate is contoured through the locking holes, a non-locking screw is recommended to avoid cross-threading of a locking screw. Step 4 The plate may be temporarily held in place using the included olive wires. 15 Step 5 Determine the appropriate size and type of screw to be used. The screw holes in the plates are compatible with a variety of screw options. Non-locking screw options include 2.7 mm, 3.5 mm, and 4.0 mm. Non-locking screws may be used in either threaded holes or compression slots. Fixed-angle locking screws are offered in 3.5 mm diameter and may be used only in threaded holes. 3.5 mm variable-angle locking screws may also be used; however, the optional variable screw caddy must be available at the time of surgery. Reference the variable-angle locking screw technique guide (MXE-801-016) if variable-angle locking screws are desired. Screw diameter is chosen based on indication and surgeon preference; a combination of screws may be used in the same plate. Five drill bits are provided in the system: 1.9 mm (gold), 2.4 mm (magenta) and 2.7 mm (aqua) diameters. The 1.9 mm bit is to be used in conjunction with 2.7 mm screws, the 2.4 mm bit is to be used in conjunction with the 3.5 mm screws, and the 2.7 mm drill bit is to be used in conjunction with the 4.0 mm screws. A 3.5 mm (double-banded magenta) and a 4.0 mm (double-banded aqua) drill bit are also found in the system and can be utilized for lagging the 3.5 mm and 4.0 mm screws. Note: Use only the screws and instruments provided with the MAXLOCK™ EXTREME™ system with these plates. Step 6 When drilling for non-locking screws, use the drill guide handle with the appropriate drill guide tip. The drill guide tips are color-coded to match the appropriate drill bit and screw diameter. When drilling for a fixed-angle locking screw, either the 2.4 mm Fixed Drill Guide or the 2.4 mm Keyway Drill Guide should be used. The fixed drill guide threads into the locking hole to provide the proper angle for drilling. To use the keyway drill guide, align the lobes on the tip of the guide with the lobes in the threaded hole. Press into the plate while drilling to ensure proper alignment. 16 Step 7 In order to generate compression across the fusion site, first fix the plate on one side of the fusion site. This can be done using a 3.5 mm fixed-angle locking screw. Drill to the desired depth. Note: Take care to not move the plate after drilling for a locking hole in order to maintain the proper pilot hole alignment and prevent locking screw cross-threading. Step 8 Use only the provided depth gauge to determine screw length. For all screws used throughout the procedure, verify the screw length using the length gauge on the screw caddy. Use the HEXSTAR™ driver to insert the screw into the hole and drive the screw. Note: The depth gauge reading corresponds to the working length of the screw (from distal tip to underneath the screw head). Step 9 Remove any provisional fixation from the plate and drill the appropriate pilot hole at the end of the compression slot farthest away from the fusion or fracture. Note: If compression is not desired, drill the screw hole in the area of the slot closest to the fusion or fracture site. Step 10 Insert a non-locking screw bi-cortically. Note: If maximum compression is desired it is advised to use a 4.0 mm screw. 17 Step 11 Tighten the screw into the slot to generate compression. Note: Do not over-torque the screws. Step 12 Verify correct placement of plate and screws with fluoroscopy. Close soft tissues as required by the operative procedure and surgeon preferred technique. 18 Step 1 The surgical site is prepared and the fusion or fracture site is reduced and temporarily stabilized by the surgeon’s preferred technique. Step 2 Select the desired Y-plate from the set. Plates are offered in Alpha and Beta designations. CAUTION: In pediatric patients, avoid crossing the growth plate with any implants. Step 3 If necessary, use the plate bending irons or plate bending pliers to contour the plate to the bone surface. When using the plate bending irons, use your thumbs to apply pressure to the top while pulling apart at the bottom. Use the top slots to concave the plate and the bottom slots to convex the plate. Each bend should be in one direction only. Reverse or over bending may cause reduced fatigue life. Avoid excessive bending through the locking holes. If a plate is contoured through the locking holes, a nonlocking screw is recommended to avoid crossthreading of a locking screw. Step 4 The plate may be temporarily held in place using the included olive wires. 19 Step 5 Determine the appropriate size and type of screw to be used. The screw holes in the plates are compatible with a variety of screw options. Non-locking screw options include 2.7 mm, 3.5 mm, and 4.0 mm. Non-locking screws may be used in either threaded holes or compression slots. Fixed-angle locking screws are offered in 3.5 mm diameter and may be used only in threaded holes. 3.5 mm variable-angle locking screws may also be used; however, the optional variable screw caddy must be available at the time of surgery. Reference the variable-angle locking screw technique guide (MXE-801-016) if variable-angle locking screws are desired. Screw diameter is chosen based on indication and surgeon preference; a combination of screws may be used in the same plate. Five drill bits are provided in the system: 1.9 mm (gold), 2.4 mm (magenta) and 2.7 mm (aqua) diameters. The 1.9 mm bit is to be used in conjunction with 2.7 mm screws, the 2.4 mm bit is to be used in conjunction with the 3.5 mm screws, and the 2.7 mm drill bit is to be used in conjunction with the 4.0 mm screws. A 3.5 mm (double-banded magenta) and a 4.0 mm (double-banded aqua) drill bit are also found in the system and can be utilized for lagging the 3.5 mm and 4.0 mm screws. Note: Use only the screws and instruments provided with the MAXLOCK™ EXTREME™ system with these plates. Step 6 When drilling for non-locking screws, use the drill guide handle with the appropriate drill guide tip. The drill guide tips are color-coded to match the appropriate drill bit and screw diameter. When drilling for a fixed-angle locking screw, either the 2.4 mm Fixed Drill Guide or the 2.4 mm Keyway Drill Guide should be used. The fixed drill guide threads into the locking hole to provide the proper angle for drilling. To use the keyway drill guide, align the lobes on the tip of the guide with the lobes in the threaded hole. Press into the plate while drilling to ensure proper alignment. 20 Step 7 In order to generate compression across the fusion site, first fix the plate by using two screws in the “ears” of the plate. Note: Take care to not move the plate after drilling for a locking hole in order to maintain the proper pilot hole alignment and prevent locking screw cross-threading. Step 8 Drill to the desired depth. Use only the provided depth gauge to determine screw length. For all screws used throughout the procedure, verify the screw length using the length gauge on the screw caddy. Use the HEXSTAR™ driver to insert the screw into the hole and drive the screw. Insert both screws before fully tightening the first to avoid shifting of the plate. Note: The depth gauge reading corresponds to the working length of the screw (from distal tip to underneath the screw head). Step 9 Remove any provisional fixation from the plate and drill the appropriate pilot hole at the end of the compression slot farthest away from the fusion or fracture. Note: If compression is not desired, drill the screw hole in the area of the slot closest to the fusion or fracture site. Step 10 Insert a non-locking screw bi-cortically. Note: If maximum compression is desired it is advised to use a 4.0 mm screw. 21 Step 11 Tighten the screw into the slot to generate compression. Note: Do not over-torque the screws. Step 12 Verify correct placement of plate and screws with fluoroscopy. Close soft tissues as required by the operative procedure and surgeon preferred technique. 22 Ordering Information Implants and Instruments PLATES Universal Plates Description Part # Slotless Alpha Plate MXL-002-0A Slotless Beta Plate MXL-002-0B 1-Hole Alpha Plate MXL-002-1A 1-Hole Beta Plate MXL-002-1B 2-Hole Alpha Plate MXL-002-2A 2-Hole Beta Plate MXL-002-2B 3-Hole Alpha Plate MXL-002-3A 3-Hole Beta Plate MXL-002-3B 4-Hole Straight Plate MXL-002-4 4-Hole Alpha Plate MXL-002-4A 4-Hole Beta Plate MXL-002-4B 6-Hole Straight Plate MXL-002-6 7-Hole Alpha Plate MXL-002-8A 8-Hole Straight Plate MXL-002-8 10-Hole Alpha Plate MXL-002-10A MTP Plates Description Part # Narrow Left Plate MTP-002-SLN Standard Left Plate MTP-002-SL Revision Left Plate MTP-002-RL Narrow Right Plate MTP-002-SRN Standard Right Plate MTP-002-SR Revision Right Plate MTP-002-RR TMT Plates Description Part # 1-2 Small Left Plate TMT-002-12SL 1-2 Small Right Plate TMT-002-12SR 1-2 Standard Left Plate TMT-002-12ML 1-2 Standard Right Plate TMT-002-12MR 2-3 Small Left Plate TMT-002-23SL 2-3 Small Right Plate TMT-002-23SR 2-3 Standard Left Plate TMT-002-23ML 2-3 Standard Right Plate TMT-002-23MR 23 PLATES ORTHOLINK™ Plates Description Part # Small Plate MFT-002-PS 2 Hole Locking Plate MFT-002-PMLKG Standard Plate MFT-002-PM Large Plate MFT-002-PL 3-Hole Standard Plate MFT-002-PMX Y-Plates 24 Description Part # Y-Plate MFT-002-Y Y-Plate Beta MFT-002-YB Olive Wire MFT-040 ø1.1 mm K-Wire MFT-040-11-SS SCREWS 2.7 mm Non-Locking Screws Description Part # ø2.7 × 8 mm Non-locking Screw MFT-011-27-08 ø2.7 × 10 mm Non-locking Screw MFT-011-27-10 ø2.7 × 12 mm Non-locking Screw MFT-011-27-12 ø2.7 × 14 mm Non-locking Screw MFT-011-27-14 ø2.7 × 16 mm Non-locking Screw MFT-011-27-16 ø2.7 × 18 mm Non-locking Screw MFT-011-27-18 ø2.7 × 20 mm Non-locking Screw MFT-011-27-20 ø2.7 × 22 mm Non-locking Screw MFT-011-27-22 ø2.7 × 24 mm Non-locking Screw MFT-011-27-24 ø2.7 × 26 mm Non-locking Screw MFT-011-27-26 ø2.7 × 28 mm Non-locking Screw MFT-011-27-28 ø2.7 × 30 mm Non-locking Screw MFT-011-27-30 3.5 mm Non-Locking Screws Description Part # ø3.5 × 8 mm Non-locking Screw MFT-011-35-08 ø3.5 × 10 mm Non-locking Screw MFT-011-35-10 ø3.5 × 12 mm Non-locking Screw MFT-011-35-12 ø3.5 × 14 mm Non-locking Screw MFT-011-35-14 ø3.5 × 16 mm Non-locking Screw MFT-011-35-16 ø3.5 × 18 mm Non-locking Screw MFT-011-35-18 ø3.5 × 20 mm Non-locking Screw MFT-011-35-20 ø3.5 × 22 mm Non-locking Screw MFT-011-35-22 ø3.5 × 24 mm Non-locking Screw MFT-011-35-24 ø3.5 × 26 mm Non-locking Screw MFT-011-35-26 ø3.5 × 28 mm Non-locking Screw MFT-011-35-28 ø3.5 × 30 mm Non-locking Screw MFT-011-35-30 ø3.5 × 32.5 mm Non-locking Screw MFT-011-35-325 ø3.5 × 35 mm Non-locking Screw MFT-011-35-35 ø3.5 × 37.5 mm Non-locking Screw MFT-011-35-375 ø3.5 × 40 mm Non-locking Screw MFT-011-35-40 ø3.5 × 42.5 mm Non-locking Screw MFT-011-35-425 ø3.5 × 45 mm Non-locking Screw MFT-011-35-45 ø3.5 × 47.5 mm Non-locking Screw MFT-011-35-475 ø3.5 × 50 mm Non-locking Screw MFT-011-35-50 25 SCREWS 3.5 mm Fixed Angle Locking Screws Description Part # ø3.5 × 8 mm Fixed Angle Locking Screw MFT-021-35-08 ø3.5 × 10 mm Fixed Angle Locking Screw MFT-021-35-10 ø3.5 × 12 mm Fixed Angle Locking Screw MFT-021-35-12 ø3.5 × 14 mm Fixed Angle Locking Screw MFT-021-35-14 ø3.5 × 16 mm Fixed Angle Locking Screw MFT-021-35-16 ø3.5 × 18 mm Fixed Angle Locking Screw MFT-021-35-18 ø3.5 × 20 mm Fixed Angle Locking Screw MFT-021-35-20 ø3.5 × 22 mm Fixed Angle Locking Screw MFT-021-35-22 ø3.5 × 24 mm Fixed Angle Locking Screw MFT-021-35-24 ø3.5 × 26 mm Fixed Angle Locking Screw MFT-021-35-26 ø3.5 × 28 mm Fixed Angle Locking Screw MFT-021-35-28 ø3.5 × 30 mm Fixed Angle Locking Screw MFT-021-35-30 ø3.5 × 32.5 mm Fixed Angle Locking Screw MFT-021-35-325 ø3.5 × 35 mm Fixed Angle Locking Screw MFT-021-35-35 ø3.5 × 37.5 mm Fixed Angle Locking Screw MFT-021-35-375 ø3.5 × 40 mm Fixed Angle Locking Screw MFT-021-35-40 ø3.5 × 42.5 mm Fixed Angle Locking Screw MFT-021-35-425 ø3.5 × 45 mm Fixed Angle Locking Screw MFT-021-35-45 4.0 mm Non-Locking Screws 26 Description Part # ø4.0 × 8 mm Non-locking Screw MFT-011-40-08 ø4.0 × 10 mm Non-locking Screw MFT-011-40-10 ø4.0 × 12 mm Non-locking Screw MFT-011-40-12 ø4.0 × 14 mm Non-locking Screw MFT-011-40-14 ø4.0 × 16 mm Non-locking Screw MFT-011-40-16 ø4.0 × 18 mm Non-locking Screw MFT-011-40-18 ø4.0 × 20 mm Non-locking Screw MFT-011-40-20 ø4.0 × 22 mm Non-locking Screw MFT-011-40-22 ø4.0 × 24 mm Non-locking Screw MFT-011-40-24 ø4.0 × 26 mm Non-locking Screw MFT-011-40-26 ø4.0 × 28 mm Non-locking Screw MFT-011-40-28 ø4.0 × 30 mm Non-locking Screw MFT-011-40-30 ø4.0 × 32.5 mm Non-locking Screw MFT-011-40-325 ø4.0 × 35 mm Non-locking Screw MFT-011-40-35 ø4.0 × 37.5 mm Non-locking Screw MFT-011-40-375 ø4.0 × 40 mm Non-locking Screw MFT-011-40-40 ø4.0 × 42.5 mm Non-locking Screw MFT-011-40-425 ø4.0 × 45 mm Non-locking Screw MFT-011-40-45 ø4.0 × 47.5 mm Non-locking Screw MFT-011-40-475 ø4.0 × 50 mm Non-locking Screw MFT-011-40-50 ø4.0 × 55 mm Non-locking Screw MFT-011-40-55 ø4.0 × 60 mm Non-locking Screw MFT-011-40-60 INSTRUMENTS Description Part # Plate Bending Pliers MXS-051 Bending Irons MXL-050 60 mm Depth Gauge CAT-059-60 ø2.4 mm Fixed Guide w/ Depth Gauge MFT-071-24-FDG ø2.4 mm Keyway Drill Guide MFT-071-24-KG Ratcheting Handle DRV-057 Non-Ratcheting Handle HEXSTAR™ Driver – Tapered MFT-057 MXS-056-T ø1.9 mm Drill Bit MFT-072-19 ø2.4 mm Drill Bit MFT-072-24 ø2.7 mm Drill Bit MFT-072-27 ø3.5 mm Lag Drill Bit MFT-072-35 ø4.0 mm Lag Drill Bit MFT-072-40 Drill Guide Handle MFT-171 ø1.9 mm Centered Guide Tip MFT-171-19-C ø1.9 mm Offset Drill Guide Tip MFT-171-19-O ø2.4 mm Centered Guide Tip MFT-171-24-C ø2.4 mm Offset Drill Guide Tip MFT-171-24-O ø2.7 mm Centered Guide Tip MFT-171-27-C ø2.7 mm Offset Drill Guide Tip MFT-171-27-O ø3.5 mm Centered Guide Tip MFT-171-35-C ø4.0 mm Centered Guide Tip MFT-171-40-C 27 1023 Cherry Road Memphis, TN 38117 800 238 7117 901 867 9971 www.wright.com 10801 Nesbitt Avenue South Bloomington, MN 55437 888 867 6437 952 426 7600 www.tornier-us.com ™Trademarks and ®Registered marks of Wright Medical Group N.V. or its affiliates. ©2016 Wright Medical Group N.V. or its affiliates. All Rights Reserved. MXE 801-001 Rev B ECN 160603 13-Apr-2016
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