Leibinger Stryker Hand or Foot Set PDF
Leibinger Stryker Hand or Foot Set PDF
Leibinger Stryker Hand or Foot Set PDF
Plating System
Operative Technique
The Stryker Hand Plating System was The Profyle Hand Standard Plating Indications
developed with one thing in mind, to Module builds upon the strong
be recognized as one of the most foundation of the Profyle, which has Intended for use in internal fixation
comprehensive mini fragment fixation been in the market since 1994. of small bones including the hand
systems available today. It is a non-locking plate and screw and wrist.
module for 1.2mm, 1.7mm and
It consists of two modules: 2.3mm implant sizes. Contraindications
Inadequate bone quantity.
The VariAx Hand Locking Plate This is a truly comprehensive plating Patients with active infections.
Module is a plating system which system which offers you the locking
Patients with metal allergies and
offers the benefits of variable angled and non-locking options necessary
foreign body sensitivity.
locking plates and screws for 1.7mm to treat a full range of hand and wrist
and 2.3mm implant sizes. fractures which present daily. Severely non-compliant patients
with mental or neurological
conditions who are unwilling or
incapable of following postoperative
care instructions.
Patients with limited blood supply
Patients with unstable physical and/or
mental health conditions.
2
Features & Benefits
Comprehensive
Plate Range
Offers many choices to treat virtually
any fracture.
Pre-contoured
Plate Designs
Less need for bending, which may
reduce OR time.
Advanced Screw
Design
ONE-STEP SCREW PICK UP.
The cross pin head helps guide the
screwdriver blade for proper
blade/screw alignment and does not
require grasping sleeves.
ROUNDED, LOW-PROFILE
SCREW HEADS.
No screw head prominence even at
the maximum locking screw
angulation. This may reduce the risk
of soft tissue irritation.
Modular Tray
Design
The storage system enables you to
create a personalized system to fit your
surgical needs.
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Features & Benefits
Color Code
System
Color coding of plates, screws, and
appropriate instruments helps identify
the components quickly during surgery.
Comprehensive
Reduction
Instruments
Designed by Hand surgeons, these
tools facilitate fracture reduction and
soft tissue management.
Emergency Screws
These screws are available in three
different sizes depending on the
diameter of the initial screw used.
Emergency screws are useful when
initial fixation is not achieved due to
poor or failed screw purchase
(i.e. osteoporotic bone) and a slightly
larger diameter screw might be needed.
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Operative Technique
General Overview
Bending
In most cases, the pre-contoured plate
will fit without the need for further
bending. However, should additional
bending of the plate be required the
Plate Bending Pliers (REF 62-21723)
should be used.
Cutting
There might be occasions where cutting
the plate is required.
When this is necessary, use the Cutting
Pliers (REF 62-20125) and take care that
the text This Side Up is facing toward
the ceiling so that you can read it.
Measurement
Precise screw measurement is
important in hand surgery.
To accommodate your preference,
the depth gauges can be utilized in
a single or two-handed mode.
Also for your convenience, it has
four scales which you can read from
for your measurement.
Checking Screw
Length
After measuring and selecting the
appropriate screw length, always
measure the length of the screw
before implantation.
Note: If using the grasping sleeves,
a black marking on the tension
plier indicates where screw
measurement should be read.
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VariAx Hand Locking Plate Module
Indications
2.3mm M Locking Plate Inlay 2.3mm M Standard Plate Inlay 2.3mm M Compression Plate Inlay
1.7mm S Locking Plate Inlay 1.7mm S Locking/Standard Plate Inlay Generic Inlay
1
The VariAx Hand Locking Module must include three inlays
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Features & Benefits
Locking Plates
and Screws
SmartLock Technology adds stability
to the plate/screw construct which
may help to treat severely comminuted
fractures, fractures near the joint,
or fractures with poor bone quality.
Type II Anodization
Dedicated
Metacarpal 5
Locking Plate
This anatomically shaped plate is
tailored to treat the most common
fracture in the Hand.
The oblong holes allow you to properly
position the plate in relation to the
joint, while the locking feature may
provide the stability needed to support
the metaphyseal region.
Bending
Unlike many locking plates in the
market, these plates can be contoured
to the shape of the bone at any given
point on the plate by using the
dedicated bending pliers.
2
Baumann A., Zander, N. Ti6A14V with Anodization
Type II: Biological and Biomechanical Effects,
March 2005
7
Features & Benefits
Locking or
NonLocking
You Choose
The circular holes in the locking plates
provide an option for locking and
non-locking screws.
Based on the surgical requirements,
you choose whether to lock or not3.
SmartLock
Technology
Patented SmartLock Locking
Technology4
SmartLock
Technology
-10 +10
Allows locking with angulation of 10
degrees without the need for dedicated
aiming blocks or threaded drill guides.
If you chose to change the angle, it is
possible to unlock, redirect, and lock
the screw up to 3 times.
3
Oblong holes do not lock
4
The SmartLock Technology is patented
(US 6, 322, 562; DE 43 43 117)
by Professor Dietmar Wolter, Hamburg Germany
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Operative Technique
General Overview
Polyaxial Locking
Drill Guide
All holes, except the oblong holes, can
be used for polyaxial locking provided
the locking drill guide is used. A lip on
the drill sleeve will engage and allow
toggling in the hole. The range in
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Operative Technique
1.4mm Drill
Plate Benders
1.9mm Drill
Plate Benders
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Operative Technique
Step 1
Select an appropriate sized implant.
Note: The 1.7mm VariAx Locking
Plates are not indicated for
use on the metacarpals.
Step 3
Place the appropriate Locking Drill
Guide in the hole of the plate and aim
the appropriate drill in the desired
position. This drill guide will not
allow for drilling past 10 degrees.
Note: This drill guide must be used
20 locking cone with all locking plates for
application of bone screws
and locking screws.
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Operative Technique
Step 4
Measure for the length of the screw
and then insert the proper locking
screw.
Bone screws can also be used in any
holes if desired
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Operative Technique
Metacarpal 5 Plate
This anatomically shaped plate is available in left and right versions and can
be stored in the 2.3mm Locking Inlay.
Step 1
Select the appropriate implant.
Step 3
Place the 2.3mm Locking Drill Guide
(REF 62-51723) in the gliding hole
and drill bi-cortically using the 1.9mm
drill.
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Operative Technique
Step 4
Measure for the length of the screw
Step 5
Insert the proper length 2.3mm bone
screw 90%. Adjust the plate on the
lengthwise axis. Once the plate is in
proper position, final tightening of the
bone screw is required.
Step 6
Drill the remaining holes using the
2.3mm Locking Drill Guide and the
1.9mm drill. Keep in mind, like all
VariAx Hand Locking Plates, that
Locking or Bone Screws can be used
in the remaining holes.
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Operative Technique
Rotation Plates
The Rotation Plate is available
as a VariAx Hand Locking Plate
or as a Profyle Hand Standard Plate
for use with 2.3mm or 1.7mm screws.
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Operative Technique
Step 1
Select an appropriate sized implant.
Step 2
Two Screws are placed in to the
lengthwise gliding holes, but are not
fully tightened.
The screw in the lengthwise gliding
holes should be placed proximally or
distally to adjust the deviation in the
lengthwise direction.
Step 3
The next screw is placed in the to
the horizontal gliding hole and is not
fully tightened.
The screw in the horizontal gliding
hole should be positioned radial or
ulnar depending on the rotational
failure of the fracture.
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Operative Technique
Step 6
Now adjust the rotational deviation.
Once the horizontal axis in aligned,
the screw can be tightened.
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Operative Technique
Step 7
After precise reduction, all other
screws will be placed in the remaining
holes to fixate the plate.
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Profyle Hand Standard Plating Module
Indications
5
The Proflye Hand Standard Plating Module
must include three inlays
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Operative Technique
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Operative Technique
Lag Screws
Tip: Color coded indicators are located on the screw field of the Profyle Hand
and VariAx Hand Modules to help identify the drill combinations used for
lag technique of each screw size.
Step 1
Drill the near cortex.
Step 2
Drill through the gliding hole to the
far cortex.
Step 3
Countersink or apply washer. Measure
for the length of the screw and then
insert the proper bone screw.
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Operative Technique
22
Operative Technique
Step 1
Select an appropriate sized implant.
Step 2
Cut and/or Contour the plate
if necessary.
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Operative Technique
Step 4
Measure for the length of the screw.
Step 5
The first bone screw should be
fully inserted.
Step 6
Continue drilling with the appropriate
Standard Drill Guide for the remaining
holes and insert bone screws.
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Operative Technique
Step 1
Select an appropriate sized implant.
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Operative Technique
Step 3
Measure for the length of the screw
and fully insert the 2.3mm bone screw.
Step 4
Apply the appropriate Compression
Drill Guide in the hole closest to the
fracture on the opposite side of
stabilizing screw.
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Operative Technique
Step 5
As the screw is tightened, compression
can be observed.
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Ordering Information - Implants
1.2MM XS PROFYLE HAND STANDARD PLATES 1.7MM S VARIAX HAND LOCKING PLATES
PROFILE HEIGHT 0.55MM PROFILE HEIGHT 1.0MM
REF Description REF Description
57-05101 4 Hole, Straight Plate 57-10304 4 Hole, Straight
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Ordering Information - Implants
2.3MM M PROFYLE HAND STANDARD PLATES 2.3MM L PROFYLE HAND COMPRESSION PLATES
PROFILE HEIGHT 1.0MM PROFILE HEIGHT 1.3MM
REF Description REF Description
57-10101 4 Hole, Straight Plate 57-13402 4 Hole, Straight Plate, Compression
57-10102 4 Hole, Straight Plate with Bar 57-13405 5 Hole, Straight Plate, Compression
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Ordering Information - Implants
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Ordering Information - Implants
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Ordering Information - Implants
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Ordering Information - Implants
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Ordering Information - Instruments
60-10422 1.0mm x 22mm, Dental End 01-08115 Self-Retaining Plate Forceps, Angled
60-14126 1.4mm x 27mm, Stryker End 62-51217 Standard Drill Guide 1.2mm/1.7mm
60-14426 1.4mm x 27mm, Dental End 62-52323 Compression Drill Guide 2.3 M/2.3 L
60-19126 1.9mm x 27mm, Stryker End 62-51723 Polyaxial Locking Drill Guide,
1.7mm/2.3mm
60-19326 1.9mm x 27mm, AO End
62-12111 1.2mm Depth Gauge
60-19426 1.9mm x 27mm, Dental End
62-17231 1.7mm/2.3mm Depth Gauge
60-25126 2.5mm x 26mm, Lag Drill for 2.3mm
Screws, Stryker End 62-21723 Plate Benders for all plates
60-25326 2.5mm x 26mm, Lag Drill for 2.3mm 62-20125 Plate Cutter for all plates
Screws, AO End
60-25426 2.5mm x 26mm, Lag Drill for 2.3mm 60-80140 Burr for smoothing rough edges
Screws, Dental End after cutting- Stryker End.
REF Description
60-80112 1.2mm Countersink, Stryker End
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Ordering Information - Instruments
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Ordering Information - Instruments
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Notes
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Notes
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Notes
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Stryker Osteosynthesis
Btzinger Strae 41
79111 Freiburg
Germany
www.osteosynthesis.stryker.com
1275
The information presented in this brochure is intended to demonstrate a Stryker product. Always refer
to the package insert, product label and/or user instructions before using any Stryker product. Surgeons must always rely
on their own clinical judgment when deciding which products and techniques to use with their patients. Products may
not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual
markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in
your area.