LCP Pediatric Hip Plate 2.7. For proximal femoral osteotomies.synthes.vo.llnwd.net/o16/LLNWMB8/INT Mobile/Synthes International... · LCP Pediatric Hip Plate 2.7. For proximal femoral

LCP Pediatric Hip Plate 2.7.For proximal femoral osteotomies.

Technique Guide

This publication is not intended fordistribution in the USA.

Instruments and implants approved by the AO Foundation.

Image intensifier control

WarningThis description alone does not provide sufficient background for direct use ofthe product. Instruction by a surgeon experienced in handling this product ishighly recommended.

Reprocessing, Care and Maintenance of Synthes InstrumentsFor general guidelines, function control and dismantling of multi-part instruments,please refer to: www.synthes.com/reprocessing

LCP Pediatric Hip Plate 2.7 Technique Guide DePuy Synthes 1

Table of Contents

Introduction

Surgical Technique

Product Information

Bibliography

LCP Pediatric Hip Plate System 2

AO Principles 4

Foreword 5

Indications 6

Clinical Cases 7

Preoperative Planning 9

Patient Positioning and Approach 12

Positioning Wire Insertion 13 Proximal Screws 18

Osteotomy 20

Proximal Fixation 21

Reduction 26

Distal Fixation 27

Postoperative Treatment 28

LCP Pediatric Hip Plate 2.7 29Implants 29Instruments 30Instruments for LCP and VA-LCP Plates 2.4 33Modules 34

LCP Pediatric Hip Plate System 36Implants 36

41

LCP Pediatric Hip Plate 2.7.For proximal femoral osteotomies.

LCP Pediatric Hip Plate System

2 DePuy Synthes LCP Pediatric Hip Plate 2.7 Technique Guide

The LCP Pediatric Hip Plates are an innovative concept con-sisting of the LCP Pediatric Hip Plates 2.7, 3.5 and 5.0.

LCP Pediatric Hip Plates cover treatment options for stable fixation of varus and valgus deformities as well as rotationosteotomies and proximal femoral fracture treatment.

The highly successful Locking Compression Plate (LCP) tech-nology, which has enjoyed great success in adult surgery overrecent years, has been incorporated into this system dedi-cated to pediatrics.

For more information about the available plate sizes andtheir corresponding screw angles, please refer to page 36.

Varus plate 5.0Varus plate 2.7


In comparison to conventional blade/plate systems, the LCPPediatric Hip Plates have four main advantages:

Angular stabilityReduces the risk of primary and secondary loss of correction.In the majority of cases involving older pediatric patients ex-ternal splintage is no longer necessary. For the LCP PediatricHip Plate 2.7, external splintage, such as a spica, is recom-mended as the plate is small and the infant non-compliant.

Easy and safe surgical techniqueInitial plate positioning with Kirschner wires rather than using a chisel allows easy adjustment with less bone damage.

MedializationFor LCP Pediatric Hip Plates 3.5 and 5.0 there is the possibil-ity of additional medialization, which means that just oneoff-set is required for each plate size.

Low profileThe low profile plate design and locking construct allow lessmuscle disruption and reduce the risk of soft tissue irritation.

LCP Pediatric Hip Plate SystemThe LCP Pediatric Hip Plates have a universal design for theleft and right femur. They have the following main character-istics, which ensure excellent fixation in the bone:– LCP Pediatric Hip Plates 3.5 and 5.0 have three neck

screws in the proximal part and combi-holes for locking orcortex screws in the distal part

– LCP Pediatric Hip Plate 2.7 has two neck screws in theproximal part and combi-holes for locking or cortexscrews in the distal part

Valgus plate 5.0

Features and Benefits

AO Principles

Stable fixationThe fixation of the LCP plate with angular stable screws re-duces the risk of loss of correction in osteotomies intra- andpostoperatively.

Preservation of blood supplyThe features of the child periosteum allow blood supply tobe preserved even if the periosteum is elevated.

Early mobilizationThe use of LCP implants allows an early and active mobiliza-tion, including cast-free postoperative management (Pediatric Hip Plates 3.5 and 5.0) in younger and handicappedchildren where appropriate. For the LCP Pediatric Hip Plate2.7, external splintage, such as a spica, is recommended asthe plate is small and the infant non-compliant.


Foreword

For many years, the angled blade plates, devised by Dr Müller,were the standard implants used by the AO school of surgeons. They combine implant strength with an excellenthold in the bone but some surgeons have found them difficult to insert.

The LCP Pediatric Hip Plate 2.7 is versatile, easy to insert andreproduces the strength and hold of the angled blade plates.Proximal screw placement is always preceded by guide wireinsertion while locking screws provide the necessary rigidity.External splintage, such as a spica, is recommended as theplate is small and the infant non-compliant.

This surgical technique describes the steps and principles in-volved when using the LCP Pediatric Hip Plate 2.7 to performa typical varus osteotomy in combination with external or in-ternal rotation. Further, the flexibility of the system allowsthe surgeon to adapt the osteotomy to the patient.


Indications

The LCP Pediatric Hip Plate system consists of indication spe-cific plates. This surgical technique focuses on the LCP Pedi-atric Hip Plate 2.7 and describes a varus osteotomy of theproximal femur.

The LCP Pediatric Hip Plate 2.7 is intended for use in infantsup to three years, depending on body weight and bone qual-ity.

Indications:– Neglected dislocation of the hip in combination with open

reduction– Developmental coxa valga– Severe hip dysplasia

Important: Ensure that the plate selected has a neck/screw angle which corresponds to preoperative planning.


Case 1*

18 month old girl, with severe dysplasia and subluxation ofthe right hip. Intraoperative arthrogram in AP view and ab-duction with 35° internal rotation shows good head posi-tioning.

An intertrochanteric osteotomy was performed with a LCPPediatric Hip Plate 2.7, 110°. Postoperative x-rays show goodcontainment after correction of varisation and 30° externalrotation. External splintage, such as a spica, was applied asthe plate is small and the infant non-compliant.

* Images courtesy of: Theddy F. Slongo, MD Children's University Hospital Bern,Switzerland.

Preoperative, AP view

Preoperative, AP view in abduction

Postoperative, Lateral view

Postoperative, AP view

Clinical Cases


Case 2*

18 month old girl with neglected dislocation of the left hip.The left hip had a 150° preoperative CCD angle. An open re-duction was performed in combination with an inter-trochanteric osteotomy, which reduced the CCD angle to115° (34° correction angle) in combination with 30° externalrotation correction. The osteotomy was fixed using a LCP Pe-diatric Hip Plate 2.7, 110°.

Postoperative x-rays show good correction and centralizationof the hip in AP and lateral views.

6 weeks postoperative follow-up shows no loss of reduction,no plate or screw loosening and good callus formation.

* Images courtesy of: Dr Geoff Donald, MD Royal Children’s Hospital, Brisbane,Queensland, Australia.

Follow up 6 weeks, AP view Follow up 6 weeks, Lateral view

Postoperative, AP view Postoperative, Lateral view

Preoperative, AP view Preoperative, AP view, in abduction

Clinical Cases


4

3

2

11Determine correction anglePreoperative planning is vital for proximal femoral osteo -tomies. Although there are different ways of planning, theyare all designed to achieve the same result.

The first step is to decide on the desired final position afterosteotomy, in particular the neck/shaft angle that is to beachieved.

Options:1) Take an AP pelvis x-ray (1).2) Take an AP pelvis x-ray in abduction and with internal rota-

tion to assess the cover (2).3) Create a blueprint to assess the correction that will

achieve cover. (3)4) Choose a target neck/shaft angle based on the patient’s

pathology (4).

2Select plateThe angle of the plate should be close to that of the desiredneck/shaft angle. The offset of the 100° and 110° LCP Pedi-atric Hip Plates for varus deformities makes them ideal forvarus osteotomies.

Preoperative Planning


3Determine point of reference

The femoral shaft or neck can be used as a reference whileplanning and later inserting the positioning Kirschner wire.

a) Shaft referencingTo calculate the correction angle, subtract the desiredneck/shaft angle from the initial pathological neck/shaft angle.

For example:Current pathological neck/shaft angle: 150°Desired neck/shaft angle: 120°Correction angle: 30°

To calculate the insertion angle of the positioning Kirschnerwire using the aiming block and the positioner for aimingblock on the shaft, add together the newly calculated correc-tion angle and the plate angle.

For example:110° Plate angle + 30° correction angle = 140°Insert positioning Kirschner wire at 140° to the shaft

b) Neck referencingThe positioning Kirschner wire is inserted at an angle to thefemoral neck. To calculate the insertion angle of the position-ing Kirschner wire using the aiming block and positioner foraiming block, subtract the plate angle from the desiredneck/shaft angle.

For example:Desired neck/shaft angle: 130°Plate angle: 110°Insert positioning Kirschner wire at 20° to the femoral neck

Preoperative Planning


C

A

D

B

1

2

4Plate Type

This surgical technique focuses on the LCP Pediatric Hip Plate2.7 and describes a varus osteotomy of the proximal femurusing a LCP Pediatric Hip Plate 2.7, 110° (corresponds to im-plant Art. No. 02.108.301).

The surgical technique refers to screw holes using the desig-nation as marked in this picture.

A: Neck screwB: Calcar screwC and D: Positioning Kirschner wires1 and 2: LCP or cortex shaft screws


1Position patientPosition the patient in a supine or lateral position. A radiolu-cent table is recommended for the supine position.

2ApproachUse a standard lateral approach for the proximal femur.

Patient Positioning and Approach


1Localize trochanteric epiphysis and determineanteversion

Instrument

292.790 Kirschner Wire � 2.0 mm with threaded tip, length 150/15 mm, Stainless Steel

Place the Kirschner wire on the ventral aspect of the femoralneck to determine the anteversion. Align the Kirschner wirewith the central line of the femoral neck.

Note: Carefully position the Kirschner wire to avoid interfer-ence with the positioner for aiming block.

Positioning Wire Insertion


2

12Insert positioning Kirschner wires in holes C and D

Instruments

292.650 Guide Wire � 2.0 mm with threaded tip with trocar, length 230 mm, Stainless Steel

03.108.033 Aiming Block for Screws � 2.7 mm, for LCP Pediatric Hip Plates 2.7

03.108.034 Positioner for Aiming Block, for LCP Pediatric Hip Plates 2.7

313.302 Screwdriver Stardrive, SD8, cylindrical, with Groove, shaft � 3.5 mm

Set the calculated positioning Kirschner wire angle (see“Preoperative Planning“ section) on the positioner for aimingblock and tighten the Stardrive screw (1).

Slide the aiming block over the positioner for aiming block(2).



4

3The wing of the positioner for aiming block must be placedparallel to the proximal femoral shaft in AP and lateral view.The positioner for aiming block and the two front spikes ofthe aiming block must be in contact with the femur (3).

The entry points for the positioning Kirschner wires are10 –15 mm distal to the trochanteric epiphysis in AP view.

Note: If there is extreme coxa valga, the positioner for aim-ing block must be placed more distally to prevent the neckscrew from perforating the piriformis fossa.

Insert the positioning Kirschner wires in holes C and D paral-lel to the anteversion Kirschner wire in the lateral/axial view,such that they define the middle third of the femoral neck (4).


5

6

Begin with the posterior positioning Kirschner wire to avoidinterference with the anteversion wire (5). Once this wire isin place the anteversion wire can be removed. Then insertthe positioning Kirschner wire in the anterior hole (6).

To avoid slippage of the positioner for aiming block, do notremove the positioning Kirschner wires until the top neckscrew is in place.

All subsequent steps refer to the positioning Kirschner wires,therefore their exact position is crucial.

Tip: Use the 230 mm wire to reduce the risk of interferencewith the power tool.

Tip: To facilitate insertion, center-punch the surface of thebone at the entry point before inserting positioner and wire.

Note: Do not bend the Kirschner wires during insertion asthis may result in correction errors. This can occur when flex-ing the hip in lateral/axial view.

Note: If extension or flexion is required at the osteotomy, theaiming block for screws with the positioner for aiming blockhas to be rotated accordingly before insertion of the secondpositioning Kirschner wire.



Verify optimal placement of the positioning Kirschner wireswith the image intensifier in AP and lateral view.


2

1Insert Kirschner guide wires for proximal screws

Instruments


292.790 Kirschner Wire � 2.0 mm with threaded tip, length 150/15 mm, Stainless Steel

03.108.034 Positioner for Aiming Block, for LCP Pediatric Hip Plates 2.7


03.108.037 Direct Measuring Device for Kirschner Wires � 2.0 mm, length 150 mm, for LCP

Pediatric Hip Plates 2.7

Use the aiming block to insert the Kirschner guide wire inhole A (1).To ensure optimal screw length, the Kirschner wireshould not be placed closer than 5 mm from the femoralhead growth plate (2). Use image intensifier control to checkthe correct distance from the growth plate.

Note: The direct measuring device can only be used for 150 mm Kirschner wires.

Proximal Screws


Once the Kirschner guide wire has been correctly inserted inhole A, remove the positioner for aiming block and the aimingblock. The Kirschner guide wire defines the position andlength of the screw and predrills the hole for the 2.7 mmscrews.

Note: Avoid bending the positioning Kirschner wire with theaiming block while inserting the guide wire as this may resultin correction mistakes.

Tip: To remove the positioner for aiming block and the aimingblock, loosen the Stardrive screw on the positioner for aim-ing block.


1

2

3

Instrument

03.108.039 Positioner for Osteotomy, for LCP Pediatric Hip Plates 2.7

The optimal position of the osteotomy for the 2.7 mm plateis 9 mm distal to the positioning Kirschner wires in holes Cand D. Determine the distance with the corresponding endof the positioner for osteotomy (1). Hold the positioner forosteotomy against the positioning Kirschner wires and markthe distance with the oscillating saw or another sharp instru-ment on the bone (2).

Note: Prior to cutting the osteotomy insert Kirschner wiresinto the greater trochanter and the distal fragment (eitherthe shaft or the knee) to control the rotation. Even if no rota-tion is planned, it is recommended to insert the twoKirschner wires or to make a mark on the bone. This ensuresthat rotational alignment is not lost.

Perform the osteotomy in one cut perpendicular to thefemoral shaft with an oscillating saw (3). Use constant irriga-tion and cooling.

Note: If there is extreme coxa valga, the osteotomy cut hasto be 3 – 4 mm further distal, otherwise the distance for thecalcar screw is too short.

Osteotomy


2

1

3

Proximal Fixation

1Position Plate

Instruments

03.108.036 LCP Drill Sleeve 2.7, for Drill Bits � 2.0 mm, for LCP Pediatric Hip Plates 2.7

03.108.039 Positioner for Osteotomy, for LCP Pediatric Hip Plates 2.7



Fixation in the proximal neck/head fragment must always beperformed with locking screws. Ensure that the lockingscrews are at least 5 mm away from the growth plate of thefemoral head.

Insert the drill sleeve into hole A. Tighten the drill sleeve withthe wrench for the positioner for osteotomy (2). Slide theplate over the two Kirschner wires (1).

Note: If the plate stands off the proximal fragment too much,remove a small bone wedge from the lateral cortex near theosteotomy.

Tip: Hold the femoral neck/head fragment with forceps tak-ing care not to disturb the plate positioning or manipulatethe Kirschner wires. This provides better handling of theproximal fragment and greater rotational stability (3).


2Determine femoral neck screw length

Instrument



Use the direct measuring device to determine the screwlength by measuring the insertion depth of the Kirschnerguide wire (1,2).

Remove the drill sleeve and the Kirschner guide wire fromhole A. If necessary, use the wrench at one end of the posi-tioner for osteotomy.

Note: The correct screw length can only be determined if thedirect measuring device is used with the 150 mm Kirschnerwire.

Proximal Fixation


3Insert femoral neck screw in hole A

Instruments

511.776 Torque Limiter, 0.8 Nm, with AO/ASIF Quick Coupling

313.304 Screwdriver Shaft Stardrive, SD8, cylindrical, with Groove, shaft � 3.5 mm, for AO/ASIF Quick Coupling


03.110.005 Handle for Torque Limiters 0.4/0.8/1.2 Nm

Insert the screw in hole A.

Option A – Manual insertionTo insert the locking screw manually, attach the handle fortorque limiter to the torque limiter and insert the screwdrivershaft. Insert the locking screw, and lock it in the plate. Theoptimum torque is reached after one click.

Option B – Insertion with a power toolTo insert the locking screw using a power tool, pick up thelocking screw and insert it into the plate hole until the screwhead is slightly above the plate. Do not fully tighten thescrew with the power tool. Uncouple the power tool, mountthe handle and manually tighten the screw. The optimumtorque is reached after one click.


1

2

4Insert calcar screw in hole B

Instruments

323.062 Drill Bit � 2.0 mm, with double marking, length 140/115 mm, 3-flute, for Quick Coupling


03.503.036 Depth Gauge for MatrixMANDIBLE, measuring range from 6 to 40 mm



314.467 Screwdriver Shaft, Stardrive, SD8, self-holding


Mount the drill sleeve onto hole B (1) and use the drill bit � 2.0 mm to drill a bicortical hole for the calcar screw (2).Remove the drill sleeve and determine the screw length withthe depth gauge.

Proximal Fixation


3

4

Insert the screw in hole B (3).

Then remove the positioning Kirschner wires in holes C andD (4).


Instrument

399.098 Reduction Forceps, toothed, soft lock, length 194 mm

For optimal fixation, the plate must be aligned parallel withthe femoral shaft axis in AP and lateral views. Once the plateis aligned, secure it with the reduction forceps.

Important: If the plate is not aligned parallel to the femoralshaft axis in AP view, it can lead to variations of the plannedneck/shaft CCD angle.

Tip: The alignment can be facilitated with forceps fixed onthe proximal part. This serves as a handle during the reposi-tioning of the osteotomy.

Reduction


1

2

Instruments


03.503.036 Depth Gauge for MatrixMANDIBLE, measuring range from 6 to 40 mm


311.430 Handle with Quick Coupling, length 110 mm


03.108.037 Direct Measuring Device for Kirschner Wires � 2.0 mm, length 150 mm, for LCP Pediatric Hip Plates 2.7

323.062 Drill Bit � 2.0 mm, with double marking, length 140/115 mm, 3-flute, for Quick Coupling

323.260 Universal Drill Guide 2.7

The LCP Pediatric Hip Plate 2.7 is a combi-hole plate, there-fore either locking or cortex screws can be used in the shaft.

Screw the LCP drill sleeve into the LCP portion of hole 1 untilit is completely gripped by the thread. Drill the screw hole us-ing the drill bit � 2.0 mm (1). Remove the drill sleeve. Determine the screw length with the depth gauge and insertthe screw.

Repeat this step for screw insertion in hole 2 (2).

Note: When cortex screws � 2.7 mm are inserted, the uni-versal drill guide 2.7 can be used. Drill threaded holes withthe drill bit � 2.0 mm and measure the screw length withthe depth gauge.

Note: Cortical screws cannot safely be inserted after a lock-ing screw has been used in the distal fragment.

Distal Fixation


External splintage, such as a spica, is recommended as theplate is small and the infant non-compliant. Frequently thisplate will be used in combination with other procedures thatrequire immobilization, such as open fracture reduction.

Note: A hip spica in abduction allows a release of stress onthe muscles.

Postoperative Treatment


Cortex screws, self-tapping, Stainless Steel

Locking screws, self-tapping, Stainless Steel

202.870 – Cortex Screws Stardrive � 2.7 mm,202.969 lengths 10 – 60 mm

202.206 – Locking Screws Stardrive � 2.7 mm202.260 (head LCP 2.4), lengths 6 – 60 mm

Screws

LCP Pediatric Hip Plate 2.7Implants

Plates

02.108.300 LCP Pediatric Hip Plate 2.7, 100°,width 12 mm, length 46 mm



All implants are available non-sterile or sterile packed. Add suffix "S" to the articlenumber to order sterile products.


LCP Pediatric Hip Plate 2.7

Instruments


03.108.034 Positioner for Aiming Block, for LCPPediatric Hip Plates 2.7

03.108.036 LCP Drill Sleeve 2.7, for Drill Bits � 2.0 mm,for LCP Pediatric Hip Plates 2.7

03.108.037 Direct Measuring Device for KirschnerWires � 2.0 mm, length 150 mm, for LCPPediatric Hip Plates 2.7

03.108.039 Positioner for Osteotomy, for LCP PediatricHip Plates 2.7

292.790 Kirschner Wire � 2.0 mm with threadedtip, length 150/15 mm, Stainless Steel

292.650 Guide Wire � 2.0 mm with threaded tipwith trocar, length 230 mm, Stainless Steel


333.060 Positioning Plate, triangular, length 45 mm,90°/50°/40°



03.503.036 Depth Gauge for MatrixMANDIBLE,measuring range from 6 to 40 mm

313.300 Combined Holding Sleeve for CortexScrews Stardrive � 2.4/2.7 mm, SD8, for Screwdriver Shafts � 3.5 mm

313.301 Holding Sleeve for LCP Screws Stardrive� 2.4/2.7 mm (head LCP 2.4), SD8,for Screwdriver Shafts � 3.5 mm

313.302 Screwdriver Stardrive, SD8, cylindrical,with Groove, shaft � 3.5 mm

313.304 Screwdriver Shaft Stardrive, SD8, cylindrical,with Groove, shaft 3.5 mm, for AO/ASIF Quick Coupling


399.091 Bone Holding Forceps, self-centering,soft lock, length 191 mm

399.098 Reduction Forceps, toothed, soft lock,length 194 mm

LCP Pediatric Hip Plate 2.7Instruments


511.776 Torque Limiter, 0.8 Nm, with AO/ASIFQuick Coupling

03.110.005 Handle for Torque Limiters 0.4/0.8/1.2 Nm

323.062 Drill Bit � 2.0 mm, with double marking,length 140/115 mm, 3-flute, for QuickCoupling

311.430 Handle with Quick Coupling,length 110 mm


Instruments for LCP and VA-LCP Plates 2.4

314.467 Screwdriver Shaft, Stardrive, SD8,self-holding

323.260 Universal Drill Guide 2.7


68.108.032 Modular Tray for LCP Pediatric Plates 2.7,size 1/2, without Contents, Vario CaseSystem

682.735 Rack for Locking Screws � 2.7 mm (headLCP 2.4), for Insert No. 682.733

682.736 Rack for Cortex Screws � 2.7 mm, for Insert No. 682.733

684.060 Lid for Modular Tray, size 1/2


Modules

Module for implants, 2.7

68.108.041 Modular Tray for Instruments for LCPPediatric Plates 2.7, size 1/2, withoutContents, Vario Case System

684.060 Lid for Modular Tray, size 1/2

Module for instruments, 2.7

68.111.460* Tray for Instruments for LCP and VA-LCPPlates 2.4, size 1/4, without Lid, withoutContents

68.000.102 Lid for Modular Tray, size 1/4

*Tray also contains 2.7 instrumentation. The 2.4 instrumentation is not required forthis surgical technique.


68.108.044 Labelling Clip for Instruments for LCPPediatric Plates 2.7, Vario Case System

68.108.035 Labelling Clip for LCP Pediatric Plates 2.7,Vario Case System

Labelling clips


LCP Pediatric Hip Plate SystemImplants

Product range of LCP Pediatric PlatesThe product range consists of different plate sizes:– LCP Pediatric Hip Plates 2.7– LCP Pediatric Hip Plates 3.5 and 5.0– LCP Pediatric Condylar Plates 3.5 and 5.0– Available sterile or unsterile packed

For proximal femurPlates for varus osteotomies (2.7, 3.5 and 5.0)The plates are available with screw angles of 100°, 110° or130° and 2 (2.7) or 3 (3.5 / 5.0) distal fixation screws.

Plates for valgization osteotomies (3.5 and 5.0)The plates are available with a screw angle of 140° and 3distal fixation screws.

Plates for fractures and derotation osteotomies(3.5 and 5.0)The plates are available with a screw angle of 130° and 3, 5or 7 distal fixation screws.

For distal femur Plates for fractures and deformities (3.5 and 5.0)The plates are available with a screw angle of 90° and 3, 5 or7 distal fixation screws.

Overview of available technique guides:– LCP Pediatric Hip Plate 3.5 and 5.0 for varus osteotomies

(Art. No.036.001.073)– LCP Pediatric Hip Plate 2.7 for varus osteotomies

(Art. No.036.001.060)– LCP Pediatric Hip Plate 3.5 and 5.0 for fractures / derota-

tional osteotomies (Leaflet) (Art. No. 036.001.063)– LCP Pediatric Hip Plate Straight Valgus 3.5 and 5.0 for

valgus osteotomies (Art. No. 036.001.057)– LCP Pediatric Condylar Plate 3.5 and 5.0 for supracondylar

deformities and fractures (Art. No. 036.001.065)


Plate for valgization osteotomy

02.108.316 LCP Pediatric Hip Plate 3.5, 140°, straight, width 19 mm, length 70 mm


02.108.326 LCP Pediatric Hip Plate 5.0, 140°, straight, width 23 mm, length 90 mm

For proximal femurPlates for varus osteotomies




02.108.301 LCP Pediatric Hip Plate 2.7, 110°, width 12 mm, length 46 mm







Plates for fractures and derotation osteotomies










For distal femurPlates for fractures and deformities

02.108.410 LCP Pediatric Condylar Plate 3.5, 90°,width 19 mm, length 75 mm, 3 shaft holes








Screw overview

Cortex screws, self-tapping, Stainless Steel

202.866 – Cortex Screws Stardrive � 2.7 mm,202.969 lengths 6 – 60 mm

204.816 – Cortex Screws � 3.5 mm,204.860 lengths 16 – 60 mm

02.200.016 – Cortex Screws Stardrive � 3.5 mm,02.200.070 lengths 16 – 70 mm

214.818 – Cortex Screws � 4.5 mm,214.870 lengths 18 – 70 mm

Locking screws, self-tapping, Stainless Steel

202.206 – Locking Screws Stardrive � 2.7 mm 202.260 (head LCP 2.4), lengths 6 – 60 mm

213.016 – Locking Screws � 3.5 mm,213.060 lengths 16 – 60 mm

212.104 – Locking Screws Stardrive � 3.5 mm,212.124 lengths 16 – 60 mm

213.318 – Locking Screws � 5.0 mm,213.375 lengths 18 – 75 mm

212.203 – Locking Screws Stardrive � 5.0 mm,212.224 lengths 18 – 75 mm




Bibliography

Hefti F et al. Kinderorthopädie in der Praxis. Berlin, Heidel-berg, New York: Springer. 1998.

Müller ME. Die hüftnahen Femurosteotomien. 2. Auflage.Stuttgart: Thieme. 1971.

Müller ME, M Allgöwer, R Schneider, H Willenegger. Manualof Internal Fixation. 3rd, expanded and completely revised ed.Berlin, Heidelberg, New York: Springer. 1995.

Morrissy RT, SL Weinstein. Atlas of Pediatric Orthopedic Surgery. Philadelphia: Williams & Wilkins. 2001.

Rüedi TP, RE Buckley, CG Moran. AO Principles of FractureManagement. 2nd expanded edition. Stuttgart, New York:Thieme. 2007.


Synthes GmbHEimattstrasse 34436 OberdorfSwitzerlandTel: +41 61 965 61 11Fax: +41 61 965 66 00www.depuysynthes.com 0123

This publication is not intended for distribution in the USA.

All surgical techniques are available as PDF files at www.synthes.com/lit ©

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Documents

LCP Pediatric Hip Plate 2.7. For proximal femoral osteotomies.synthes.vo.llnwd.net/o16/LLNWMB8/INT Mobile/Synthes International... · LCP Pediatric Hip Plate 2.7. For proximal femoral