Locking Reconstruction and Mini Plate System. Contourable in three dimensions.

Transcription

1 Locking Reconstruction and Mini Plate System. Contourable in three dimensions. Technique Guide Veterinary

2 Table of Contents Introduction Locking Reconstruction and Mini Plate System 2 Surgical Technique Preparation 5 Contour Plate 6 Position Plate 6 Insert Screws 7 Product Information Implants 9 Instruments 13 Modules and Accessories 15 Also Available 16 Locking Reconstruction and Mini Plate System Technique Guide Synthes

3 Locking Reconstruction and Mini Plate System. Contourable in three dimensions. 2.0 mm Mini Plate and 2.4 mm Titanium Locking Reconstruction Plate System for the mandible and maxilla: Provides locked or nonlocked self-tapping options Low-profile plating system Titanium implants The Locking Design: Increases construct stability Decreases risk of screw back-out and subsequent loss of reduction Screws are self-tapping Special double-lead threads engage and lock into the threaded plate holes * Ti-6AI-7Nb 2 Synthes Locking Reconstruction and Mini Plate System Technique Guide

4 2.0 mm Locking Screws and Plates 2.0 mm Locking Screws PlusDrive recess* Improves retention with screwdriver blade Reduces stripping and cam-out Provides off-axis screw placement ability Color-coding assists in locking screw size identification: 2.0 mm locking screw is blue Emergency screw available in cases of stripped screws Conical double-lead locking threads 0.75 mm pitch PlusDrive Recess 2.0 mm Cortex 2.0 mm Locking 2.4 mm Emergency Threaded plate holes accept both nonlocking and locking 2.0 mm PlusDrive screws. Nonlocking screws allow a maximum of of angulation from central axis. 2.0 mm Plates One screw size (2.0 mm) fits all 2.0 mm locking plate options Four profiles accommodate a wide range of indications Design facilitates rapid three-dimensional contouring for improved anatomic fit Manufactured from commercially pure titanium for biocompatibility Black dot etched on plate identifies extra large plate 1.0 Mini 1.25 Intermediate 1.5 Large 2.0 Extra Large ** Data on file at Synthes Locking Reconstruction and Mini Plate System Technique Guide Synthes 3

5 2.4 mm Locking Screws and Plates 2.4 mm and 3.0 mm Locking Screws Cruciform recess Color-coding assists in locking screw size identification: 2.4 mm locking screw is purple, the 3.0 mm locking screw is aqua Cruciform Recess 2.4 mm Locking 2.4 mm Cortex 3.0 mm Locking (can be used as an emergency screw) 2.4 mm Plates Choice of 2.4 mm and 3.0 mm locking screws or 2.4 mm cortex screws Closely spaced holes optimize fixation in minimal bone space Design facilitates rapid three-dimensional contouring for improved anatomic fit Profile: 2.5 mm thick and 8 mm width Commercially pure titanium for biocompatibility 4 Synthes Locking Reconstruction and Mini Plate System Technique Guide

6 Preparation 1 Expose and reduce fracture After completing the preoperative plan, expose the fracture or osteotomy site. Reduce as required. 2 Select and prepare implants Instrument Plate Cutting Forceps for 1.5 mm 2.7 mm plates* Select the appropriate plate depending on the indication. Orient the plate so the topside (indicated by laser etch) is facing out. Cut to length, if necessary.. * Also available Locking Reconstruction and Mini Plate System Technique Guide Synthes 5

7 Contour Plate 3 Contour the plate Instrument Combination Bending Pliers Contour the plate to match the anatomy. Note: When using the combination bending pliers for twoplane bending, the in-plane bend must be performed first in accordance with the etching on the instrument. Out-of-plane bending (shown) should be performed second. Out-of-plane bending 4 Position the plate Instrument Plate Holding Forceps* Place the plate over the fracture of osteotomy site. Use the plate holding forceps to secure the plate to the bone, if desired. * Also available 6 Synthes Locking Reconstruction and Mini Plate System Technique Guide

8 Insert Screws 5 Drill the first hole Instruments for 2.0 mm plates mm Threaded Drill Guide mm Drill Bit mm Universal Drill Guide Instruments for 2.4 mm plates mm Threaded Drill Guide, for 2.4 mm locking screws mm Threaded Drill Guide, for 3.0 mm locking screws mm Drill Bit mm Drill Bit Select the appropriate drill guide (universal or threaded) based on which screws are being used. When a locking screw is placed, a threaded drill guide must be used for guiding the drill bit in the proper direction. The universal drill guide is used to place cortex screws. Note: If both locking and cortex screws are used in the plate, the following precautions are necessary: 1. Because cortex screws pull the bone to the plate, contouring of the plate is required at the screw hole(s) in which cortex screws are placed. 2. If cortex screws are used in combination with locking screws, cortex screws must be inserted and fully tightened prior to inserting locking screw(s). When treating fractures of the maxilla and mandible, accurate plate contouring is preferred regardless of what screws are used, as it improves the stability of the fixation and ensures that the implants lay adjacent to the bone. Note: Photo shows drill guides and ; however, the set includes the instruments referenced on page 13. Locking Reconstruction and Mini Plate System Technique Guide Synthes 7

9 Insert Screws 6 Measure for screw length Instrument for 2.0 mm/2.4 mm plates Depth Gauge Use depth gauge to measure screw length. 7 Insert screw Instrument for 2.0 mm plates mm/2.0 mm PlusDrive Screwdriver, self-retaining Instrument for 2.4 mm plates mm Cruciform screwdriver with holding sleeve Insert the proper length 2.0 mm, 2.4 mm or 3.0 mm locking or 2.0 mm or 2.4 mm cortex screw through the plate and tighten until secure. Technique tips for PlusDrive screws: To engage the PlusDrive recess screw on the screwdriver blade, align the blade over the PlusDrive recess and slowly rotate it until the blade drops into the recess. Firmly press the blade to fully seat it in the screw. To disengage the PlusDrive recess screw, gently rock the screwdriver blade side-to-side to release the blade from the screw head. 8 Drill and place the remaining screws. 8 Synthes Locking Reconstruction and Mini Plate System Technique Guide

10 2.0 mm Titanium Plates VPT mm Titanium Mini Locking Plate (1.0 mm thick), 4 holes, narrow VPT mm Titanium Mini Locking Plate (1.0 mm thick), 6 holes, narrow VPT mm Titanium Mini Locking Plate (1.0 mm thick), 20 holes, adaption VPT mm Titanium Intermediate Locking Plates (1.25 mm thick), 6 holes VPT mm Titanium Intermediate Locking Plates (1.25 mm thick), 12 holes VPT mm Titanium Large Locking Plates (1.5 mm thick), 3x3 holes VPT mm Titanium Large Locking Plates (1.5 mm thick), 6 holes Locking Reconstruction and Mini Plate System Technique Guide Synthes 9

11 2.0 mm Titanium Plates VPT mm Titanium Large Locking Plates (1.5 mm thick), 12 holes VPT mm Titanium Large Locking Plates (1.5 mm thick), 20 holes VPT mm Titanium Extra-Large Locking Plates (2.0 mm thick), 12 holes VPT mm Titanium Extra-Large Locking Plates (2.0 mm thick), 20 holes 10 Synthes Locking Reconstruction and Mini Plate System Technique Guide

12 Titanium Screws for 2.0 mm Locking Reconstruction Plates 2.0 mm Titanium Locking Screw Total Length (mm) VST VST VST VST VST mm Titanium Cortex Screw, self-tapping, PlusDrive Total Length (mm) VST VST mm Titanium Cortex Screw, Coarse Pitch, self-tapping, PlusDrive Total Length (mm) VST VST VST VST VST mm Titanium Emergency Screw, PlusDrive Total Length (mm) VST VST VST VST Locking Reconstruction and Mini Plate System Technique Guide Synthes 11

13 2.4 mm Titanium Implants 2.4 mm Locking Reconstruction Plates Total Length (mm) VPT VPT mm Titanium Cortex Screw, self-tapping, cruciform recess Total Length (mm) VST VST VST VST VST VST VST VST VST mm Titanium Locking Screw, self-tapping, cruciform recess Total Length (mm) VST VST VST VST VST VST VST VST mm Titanium Locking Screw, self-tapping, cruciform recess Total Length (mm) VST VST VST VST VST VST VST VST Synthes Locking Reconstruction and Mini Plate System Technique Guide

14 Instruments Instruments for screw insertion for 2.0 mm plates: mm Drill Bit, quick coupling, 110 mm mm Drill Bit Screwdriver Handle with hex coupling mm LCP Solid Threaded Drill Guide, for 2.0 mm locking screws mm/2.0 mm PlusDrive Screwdriver Blade, self-retaining, hex coupling, 96 mm mm Universal Drill Guide Locking Reconstruction and Mini Plate System Technique Guide Synthes 13

15 Instruments Instruments for screw insertion for 2.4 mm plates: mm Drill Bit, quick coupling, 100 mm mm Drill Bit, quick coupling, 100 mm mm Universal Drill Guide mm threaded drill guide, short, for locking reconstruction plate (for 2.4 mm locking screws) mm threaded drill guide, short, for locking reconstruction plate (for 3.0 mm locking screws) Instrument for both 2.0 mm and 2.4 mm plates: Depth Gauge for Mini Screws Instruments for plate cutting and contouring: Plate Cutting Forceps for 1.5 mm 2.7 mm plates Combination Bending Pliers Bending Templates For 2.0 mm Titanium Mini Locking Plates: holes, adaption holes, narrow For 2.0 mm Titanium Intermediate Plates: holes holes For 2.0 mm Large and Extra Large Plates: holes x 3 holes For 2.4 mm Locking Reconstruction Plates: holes, straight 14 Synthes Locking Reconstruction and Mini Plate System Technique Guide

16 Modules and Accessories Modules and Accessories Graphic Case, 2/3 length, 1 high Auxiliary Tray, 2/3 length, ½ width Screw Module Shell mm Screw Block for screw module shell Screw Module Auxiliary Bin, 2/3 length mm / 3.0 mm Screw Block for screw module shell Label Pack for Vet Screws Screw Module Auxiliary Bin, 1/3 length Screw Length Markers/Screw Type Markers Screw length markers and screw type markers are used to label the contents of screw modules. All markers are available in 5 packs. Screw Type Markers Cortex Locking mm Locking mm Locking mm Cortex Screw Length Markers Screw Length Markers for 5 mm 24 mm For detailed cleaning and sterilization instructions, please refer to: In Canada, the cleaning and sterilization instructions will be provided with the Loaner shipments. Locking Reconstruction and Mini Plate System Technique Guide Synthes 15

17 Also Available Also Available mm Threaded Drill Guide, long, for 2.0 mm Locking Plates mm Drill Guide, for 2.0 mm Locking Plates mm Threaded Drill Guide for 2.0 mm Locking Plates (small head) mm/2.0 mm PlusDrive ScrewDriver, self-retaining mm/2.0 mm PlusDrive ScrewDriver Blade, self-retaining, 96 mm mm/2.0 mm PlusDrive ScrewDriver Blade, self-retaining, 76 mm mm/2.0 mm ScrewDriver Blade, self-retaining, PlusDrive Depth Gauge for 2.0 mm and 2.4 mm screws mm Threaded Drill Guide, short, for 2.0 mm Locking Plates Plate Holding Forceps 16 Synthes Locking Reconstruction and Mini Plate System Technique Guide

18 Synthes USA 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) Synthes, Inc. or its affiliates. All rights reserved. PlusDrive, StarDrive and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 1/13 J11696-A