SpeedTip CCS 5.0, 7 · Use of CCS 5.0 and CCS 7.0 Preoperative X-rays Patient: female, 54 years old Distinctive flexible pes planovalgus malposition with tibial posterior tendon insufficiency

APTUS®

PRODUCT INFORMATION

SpeedTip® CCS5.0, 7.0 Cannulated Compression Screws

Contents3 SpeedTip CCS 5.0, 7.0 - Cannulated Compression Screws

4 Examples of Use

5 Technology, Screw Features

7 Double Arthrodesis

9 Lateralizing Calcaneal Sliding Osteotomy

11 Lapidus Arthrodesis

13 Clinical Examples

17 Storage

19 Ordering Information

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Bibliography

1. Adam Hart, MD, Edward J. Harvey, MD, Louis-Philippe Lefebvre, MSc, François Barthelat, PhD, Reza Rabiei, PhD, Paul A. Martineau, MD Insertion Profiles of 4 Headless Compression Screws J Hand Surg Am. 2013 Sep 25 ; 38 (9):1728-1734

2. Ahmet Karakasli, MD, Onur Hapa, MD, Mehmet Erduran, MD, Cemal Dincer, MD, Berivan Cecen, PhD , Hasan Havitcioglu, MD Mechanical Comparison of Headless Screw Fixation and Locking Plate Fixation for Talar Neck Fractures The Journal of Foot & Ankle Surgery Volume 54 (2015), Issue 5, Pages 905-909

2 | SpeedTip CCS 5.0, 7.0 - Cannulated Compression Screws

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Medartis, APTUS, MODUS, TriLock, HexaDrive and SpeedTip are registered trademarks of Medartis AG / Medartis Holding AG, 4057 Basel, Switzerland

SpeedTip CCS 5.0, 7.0 - Cannulated Compression Screws | 3

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SpeedTip CCS 5.0, 7.0 Cannulated Compression Screws

A new generation of self-drilling and self-tappingcannulated screws

SpeedTip CCS * 5.0, 7.0 cannulated compression screws feature innovative technologies including the high quality of

the screw threads. The patented SpeedTip polygonal geometry in the screw tip and head, the tapered shaft, in combination

with the precision manufacturing of the thread, reduce the torque required to insert the screws. This makes it easier

for the surgeon and reduces the number of surgical steps. The optimized cutting tip enables the screw to cut and purchase

extremely well in the bone, thus reducing the potential risk of bone fragment displacement.

Interfragmentary compression by means of CCS

* Cannulated Compression Screw

5.0

5.0

5.0

5.0

5.0

7.0

7.0


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Examples of Use

Shoulder

Fractures of the proximal humerus

Elbow

Fractures of the distal humerus

Knee

Fractures

• Proximal tibia

• Distal femur

Foot

Fractures, arthrodesis and osteotomies

• Upper ankle joint

• Lower ankle joint

• Midfoot

• Hindfoot

The operating surgeon is solely responsible for choosing the appropriate implant for the specific case.

• Two screw sizes for treating a wide variety of indications• Easy to use


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Contact surfacefor screw retention

(red)

Contact surfacefor torque transmission(blue)

Technology, Screw FeaturesSpeedTip® polygonal geometry and HexaDrive®

Optimized cutting tip

Medartis thread Competitor’s thread

SpeedTip polygonal geometry

Technology

• Patented SpeedTip thread design

- Screws can be inserted directly without pre-drilling

- Reduced risk of bone fragment displacement thanks to the excellent cutting behavior

- Effortless insertion - the polygonal tip pushes bone debris aside

• Self-tapping screws with precise and sharp thread

• Patented HexaDrive screw head design

- HexaDrive interface with self-holding properties between screw and screwdriver

- Increased torque transmission

- Simplified screw pick-up due to patented self-holding technology

SpeedTip Standard screw


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Screw features and clinical benefits

• Substantially less effort required to insert screws due to:

- optimized cutting geometry

- SpeedTip in the screw tip

- precise, sharp thread

- tapered shaft

- SpeedTip in the screw head

• Self-drilling screw design

- Fewer surgical steps

- Easy to use

• Large thread surfaces

- Compression also in bone with lower bone density

- Improved purchase in cortical and cancellous bone

• Partially threaded screws

- For the use as compression screw

- Choice of short and long distal threads for interfragmentary application in a wide variety of indications

• Fully threaded screws

- For the use as set screw (without compression effect)

- Provides additional purchase in the bone

• Innovative technology and outstanding thread properties• Cannulated and self-drilling screw design• Excellent cutting behavior and low insertion torque reduce the

risk of bone fragment displacement

SpeedTip in screw head

SpeedTip in screw tip

Tapered shaft

Optimized cutting geometry


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Double ArthrodesisApplication illustrated on a clinical case by C. Plaass, Germany

Diagnosis

A female patient with painful pes planovalgus associated with stage 2b tibial posterior tendon insufficiency.

Treatment

Double arthrodesis (talo-navicular and talo-calcaneal) and fixation with two talo-calcaneal CCS 7.0 screws and two talo-navicular CCS 5.0 screws.

Results

Reliable fusion, painfree weight-bearing foot in good position.


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Tapered shaft for reduction of

the insertion torque

SpeedTip requires less effort

during screw insertionSpeedTip technology

also in the screw head

Thread design focused on

achieving a good compressionSharp and precise thread

Screw Features


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Lateralizing Calcaneal Sliding OsteotomyApplication illustrated on a clinical case by V. Valderrabano, Switzerland

Diagnosis

Painful anteromedial upper ankle joint degeneration and residual pes cavovarus on the left foot following triplanar calcaneal osteotomy (staple fixation) and metatarsal I osteotomy.

Treatment

Removal of osteosynthesis material from the calcaneus, valgizing lateral calcaneal sliding osteotomy, ventral cheilectomy of the upper ankle joint, deltoid ligament release on the left foot.

Results

Four months postoperatively the patient was painfree, able to fully bear weight and able to work again.


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Large thread surfaces for

improved purchase in the bone

Screw Features

Fully threaded screw for additional purchase

in the bone without compression effect


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Lapidus ArthrodesisApplication illustrated on a clinical case by C. Plaass, Germany

Diagnosis

A female patient with hallux valgus and hindfoot valgus associated with TMT-1 instability

Treatment

Arthrodesis of the TMT-1 joint with CCS 5.0 as lag screw and plantar Medartis APTUS TMT-1 fusion plate to correct malalignment and instability. Correction of the hindfoot valgus by means of a medializing calcaneal osteotomy using CCS 7.0.

Results

Pain-free foot that can bear weight, restoration of the anatomical shape of the foot.


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Optimized plate shape allows for soft

tissue protective approach and reduces

intraoperative plate bending*

*Plaass et al: «Placement of Plantar Plates for Lapidus Arthrodesis Anatomical Considerations».Seven plantar plate designs were analyzed on 29 anatomic specimens with regard to plate position towards the tibialis anterior tendon, general platedesign as well as the necessity of further bending. The APTUS TMT-1 plantar fusion plate achieved the best result.

Choice of short or long distal thread

Clinical benefits of SpeedTip CCS 5.0, 7.0

• No prominent osteosynthesis materials such as plates or screw heads over the sensitive dorsum of the foot

Clinical advantages of the TMT-1 Plantar Fusion Plate

• Early partial weight-bearing possible and minimization of soft tissue trauma*

• Plate positioning minimizes overlapping with the insertion of the tibialis anterior tendon*

• Anatomical plate shape makes bending almost unnecessary*


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Clinical ExamplesFoot and ankle joints

Case 2 - Talo-navicular arthrodesis

Case 1 - Midfoot

Postoperative X-raysTMT-IV arthrodesis with APTUS 2.8 TriLock Grid plateTMT-V arthrodesis with CCS 5.0

X-rays 3 months postoperativelyReliable healing and good positionUse of CCS 5.0 screws

Preoperative X-raysPatient: male, 45 years oldOld seized partial Lisfranc luxation

Preoperative X-raysPatient: female, 54 years oldIsolated talo-navicular osteoarthritis

Clinical cases published with the kind permission of: G. Rappold, Austria (1) | C. Plaass, Germany (2).


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Case 3 - Midfoot

Postoperative X-raysPercutaneous temporary transfixation until cast removal: three CCS 5.0fully threaded screws as set screws for correct spacing of the individual jointspaces and one CCS 5.0 compression screw for stabilizing the fractured MT IVwith simultaneous articular transfixation

Case 5 - Planovalgus correction

X-rays 3 months postoperativelyDouble calcaneal osteotomy and Cotton osteotomyUse of CCS 5.0 and CCS 7.0

Preoperative X-raysPatient: female, 54 years oldDistinctive flexible pes planovalgus malposition with tibial posteriortendon insufficiency.

Case 4 - Lapidus arthrodesis

X-rays 4 months postoperativelyLapidus arthrodesis and correction with APTUS 6-hole plate and CCS 5.0

Preoperative X-raysPatient: female, 47 years oldHallux valgus with enlarged intermetatarsal angle

Preoperative X-raysPatient: male, 24 years oldLisfranc luxation injury and metatarsal IV fracture

Clinical cases published with the kind permission of: G. Rappold, Austria (3) | C. Plaass, Germany (4, 5).


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Clinical cases published with the kind permission of: C. Plaass, Germany (6) | V. Valderrabano, Switzerland (7).

Case 7 - Double arthrodesis

Preoperative X-rays (AP, Saltzman and lateral)Patient: female, 78 years old

X-rays 4 months postoperativelyUse of CCS 5.0 and CCS 7.0

Preoperative X-raysPatient: female, 75 years oldTalo-navicular osteoarthritis and partial navicular necrosis

X-rays 5 months postoperativelyHealed arthrodesisUse of CCS 5.0 and CCS 7.0

Case 6 - Double arthrodesis


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Preoperative X-raysPatient: male, 38 years oldComminuted calcaneal bone fracture type Sanders IV

Postoperative X-rayPercutaneous screw fixationThree CCS 7.0, fully threaded

Case 9 - Calcaneus fracture

X-rays 3 months postoperativelyReliable consolidation of the arthrodesis in good position of the foot using three CCS 7.0

Preoperative X-raysPatient: female, 38 years oldPosttraumatic osteoarthritis of the upper ankle joint secondary to open pilon tibial fracture

Case 10 - Arthrodesis of the upper ankle joint

Postoperative X-rayUse of three CCS 7.0

Preoperative X-rayPatient: male, 54 years oldOsteoarthritis in the lower ankle joint with calcaneal bone cysts

Case 8 – Interpositional arthrodesis (dorsal approach)

Dorsal approach

Clinical cases published with the kind permission of: E. Orthner, Austria (8) | G. Rappold, Austria (9) | C. Plaass, Germany (10).


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Storage• Compact systems

• Streamlined organization of implants and instruments• Easy to handle

SpeedTip CCS 5.0 System

Configuration with one case

Configuration with two cases


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Configuration with two cases

SpeedTip CCS 7.0 System

5.0 mm

5.7 mm


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Ordering Information

Short Thread

5.0 Cannulated Compression Screws,Self-Drilling, HexaDrive 15Material: Titanium alloy (ASTM F136)

Long Thread

Scale 1:1

5.0 mm

5.7 mmLength Distal Thread Length Art. No. STERILE Pieces / Pkg

24 mm 9 mm A-8210.24/1 A-8210.24/1S 1

26 mm 9 mm A-8210.26/1 A-8210.26/1S 1

28 mm 9 mm A-8210.28/1 A-8210.28/1S 1

30 mm 9 mm A-8210.30/1 A-8210.30/1S 1

32 mm 9 mm A-8210.32/1 A-8210.32/1S 1

34 mm 9 mm A-8210.34/1 A-8210.34/1S 1

36 mm 10 mm A-8210.36/1 A-8210.36/1S 1

38 mm 10 mm A-8210.38/1 A-8210.38/1S 1

40 mm 11 mm A-8210.40/1 A-8210.40/1S 1

45 mm 11 mm A-8210.45/1 A-8210.45/1S 1

50 mm 12 mm A-8210.50/1 A-8210.50/1S 1

55 mm 12 mm A-8210.55/1 A-8210.55/1S 1

60 mm 13 mm A-8210.60/1 A-8210.60/1S 1

65 mm 13 mm A-8210.65/1 A-8210.65/1S 1

70 mm 14 mm A-8210.70/1 A-8210.70/1S 1

Length Distal Thread Length Art. No. STERILE Pieces / Pkg

30 mm 12 mm A-8211.30/1 A-8211.30/1S 1

32 mm 13 mm A-8211.32/1 A-8211.32/1S 1

34 mm 14 mm A-8211.34/1 A-8211.34/1S 1

36 mm 14 mm A-8211.36/1 A-8211.36/1S 1

38 mm 15 mm A-8211.38/1 A-8211.38/1S 1

40 mm 16 mm A-8211.40/1 A-8211.40/1S 1

45 mm 18 mm A-8211.45/1 A-8211.45/1S 1

50 mm 20 mm A-8211.50/1 A-8211.50/1S 1

55 mm 22 mm A-8211.55/1 A-8211.55/1S 1

60 mm 24 mm A-8211.60/1 A-8211.60/1S 1

65 mm 26 mm A-8211.65/1 A-8211.65/1S 1

70 mm 28 mm A-8211.70/1 A-8211.70/1S 1


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7.0 mm

7.7 mm

Short Thread

7.0 Cannulated Compression Screws,Self-Drilling, HexaDrive 25Material: Titanium alloy (ASTM F136)

Long Thread

7.0 mm

7.7 mm

Scale 1:1


40 mm 12 mm A-8410.40/1 A-8410.40/1S 1

45 mm 12 mm A-8410.45/1 A-8410.45/1S 1

50 mm 13 mm A-8410.50/1 A-8410.50/1S 1

55 mm 13 mm A-8410.55/1 A-8410.55/1S 1

60 mm 14 mm A-8410.60/1 A-8410.60/1S 1

65 mm 14 mm A-8410.65/1 A-8410.65/1S 1

70 mm 15 mm A-8410.70/1 A-8410.70/1S 1

75 mm 15 mm A-8410.75/1 A-8410.75/1S 1

80 mm 16 mm A-8410.80/1 A-8410.80/1S 1

85 mm 17 mm A-8410.85/1 A-8410.85/1S 1

90 mm 18 mm A-8410.90/1 A-8410.90/1S 1

95 mm 19 mm A-8410.95/1 A-8410.95/1S 1

100 mm 20 mm A-8410.100/1 A-8410.100/1S 1

105 mm 21 mm A-8410.105/1 A-8410.105/1S 1

110 mm 22 mm A-8410.110/1 A-8410.110/1S 1

120 mm 24 mm A-8410.120/1 A-8410.120/1S 1

130 mm 26 mm A-8410.130/1 A-8410.130/1S 1

140 mm 28 mm A-8410.140/1 A-8410.140/1S 1


40 mm 16 mm A-8411.40/1 A-8411.40/1S 1

45 mm 18 mm A-8411.45/1 A-8411.45/1S 1

50 mm 20 mm A-8411.50/1 A-8411.50/1S 1

55 mm 22 mm A-8411.55/1 A-8411.55/1S 1

60 mm 24 mm A-8411.60/1 A-8411.60/1S 1

65 mm 26 mm A-8411.65/1 A-8411.65/1S 1

70 mm 28 mm A-8411.70/1 A-8411.70/1S 1

75 mm 30 mm A-8411.75/1 A-8411.75/1S 1

80 mm 32 mm A-8411.80/1 A-8411.80/1S 1

85 mm 34 mm A-8411.85/1 A-8411.85/1S 1

90 mm 36 mm A-8411.90/1 A-8411.90/1S 1

95 mm 38 mm A-8411.95/1 A-8411.95/1S 1

100 mm 40 mm A-8411.100/1 A-8411.100/1S 1

105 mm 42 mm A-8411.105/1 A-8411.105/1S 1

110 mm 44 mm A-8411.110/1 A-8411.110/1S 1

120 mm 48 mm A-8411.120/1 A-8411.120/1S 1

130 mm 52 mm A-8411.130/1 A-8411.130/1S 1

140 mm 56 mm A-8411.140/1 A-8411.140/1S 1


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5.0 Cannulated Fully Threaded Screws,Self-Drilling, HexaDrive 15Material: Titanium alloy (ASTM F136)

7.0 Cannulated Fully Threaded Screws, Self-Drilling, HexaDrive 25Material: Titanium alloy (ASTM F136)

Fully Threaded Fully Threaded

CCS Twist Drills, Cannulated

Art. No. STERILE System Size Length Shaft End Pieces / Pkg

A-8000.03 A-8000.03S 5.0 3.1 mm 177 mm AO Quick Coupling 1A-8001.01 A-8001.01S 7.0 4.8 mm 265 mm AO Large Quick Coupling 1

A-8000.03

A-8001.01

CCS Countersinks, Cannulated

A-8000.04 A-8001.02

Scale screws 1:1Scale instruments 1:2

7.0 mm

5.0 mm

5.7 mm 7.7 mmLength Art. No. STERILE Pieces / Pkg

24 mm A-8212.24 / 1 A-8212.24/1S 1

26 mm A-8212.26 / 1 A-8212.26/1S 1

28 mm A-8212.28 / 1 A-8212.28/1S 1

30 mm A-8212.30 / 1 A-8212.30/1S 132 mm A-8212.32 / 1 A-8212.32/1S 134 mm A-8212.34 / 1 A-8212.34/1S 136 mm A-8212.36 / 1 A-8212.36/1S 138 mm A-8212.38 / 1 A-8212.38/1S 140 mm A-8212.40 / 1 A-8212.40/1S 145 mm A-8212.45 / 1 A-8212.45/1S 150 mm A-8212.50 / 1 A-8212.50/1S 155 mm A-8212.55 / 1 A-8212.55/1S 160 mm A-8212.60 / 1 A-8212.60/1S 165 mm A-8212.65 / 1 A-8212.65/1S 170 mm A-8212.70 / 1 A-8212.70/1S 1

Length Art. No. STERILE Pieces / Pkg

40 mm A-8412.40 / 1 A-8412.40/1S 1

45 mm A-8412.45 / 1 A-8412.45/1S 1

50 mm A-8412.50 / 1 A-8412.50/1S 1

55 mm A-8412.55 / 1 A-8412.55/1S 160 mm A-8412.60 / 1 A-8412.60/1S 165 mm A-8412.65 / 1 A-8412.65/1S 170 mm A-8412.70 / 1 A-8412.70/1S 175 mm A-8412.75 / 1 A-8412.75/1S 180 mm A-8412.80 / 1 A-8412.80/1S 185 mm A-8412.85 / 1 A-8412.85/1S 190 mm A-8412.90 / 1 A-8412.90/1S 195 mm A-8412.95 / 1 A-8412.95/1S 1

100 mm A-8412.100 / 1 A-8412.100/1S 1105 mm A-8412.105 / 1 A-8412.105/1S 1110 mm A-8412.110 / 1 A-8412.110/1S 1120 mm A-8412.120 / 1 A-8412.120/1S 1130 mm A-8412.130 / 1 A-8412.130/1S 1140 mm A-8412.140 / 1 A-8412.140/1S 1

Art. No. STERILE System Size Length Shaft End Pieces / Pkg

A-8000.04 A-8000.04S 5.0 4.1 mm 117 mm AO Quick Coupling 1A-8001.02 A-8001.02S 7.0 5.8 mm 135 mm AO Large Quick Coupling 1


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K-Wires, Stainless Steel

trocar

trocar / threaded

A-5040.42

A-5044.42

1:1

1:1

Depth Gauges

A-8000.27

A-8001.27

Trocars

Art. No. System Size Description Length Pieces / Pkg

A-8000.24 5.0 for A-8000.23 84 mm 1A-8001.24 7.0 for A-8001.23 85 mm 1

A-8000.24 A-8001.24

K-Wire Guides


A-8000.25 5.0 for A-8000.23 80 mm 1A-8001.25 7.0 for A-8001.23 81 mm 1

A-8000.25 A-8001.25


A-8000.27 5.0 for K-wire with length 200 mm 193 mm 1A-8001.27 7.0 for K-wire with length 250 mm 223 mm 1

Art. No. STERILE System Size Description Length Thread Length Pieces / Pkg

A-5040.42 5.0 1.6 mm trocar 200 mm 10A-5040.42/1S 5.0 1.6 mm trocar 200 mm 1

A-5044.42 5.0 1.6 mm trocar/threaded 200 mm 10 mm 10A-5044.42/1S 5.0 1.6 mm trocar/threaded 200 mm 10 mm 1

A-5040.74 7.0 2.2 mm trocar 250 mm 10A-5040.74/1S 7.0 2.2 mm trocar 250 mm 1

A-5044.74 7.0 2.2 mm trocar/threaded 250 mm 10 mm 10A-5044.74/1S 7.0 2.2 mm trocar/threaded 250 mm 10 mm 1


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Art. No. System Size Length for Shaft End Pieces / Pkg

A-8000.20 5.0 151 mm AO Quick Coupling 1A-8001.10 7.0 171 mm AO Large Quick Coupling 1

Handles, Cannulated

A-8000.20 A-8001.10

Screwdriver Blades, Cannulated

Art. No. System Size Interface Length Shaft End Pieces / Pkg

A-8000.21 5.0 HD15 120 mm AO Quick Coupling 1A-8001.11 7.0 HD25 160 mm AO Large Quick Coupling 1

A-8000.21 A-8001.11

Protection Sleeves

Art. No. System Size Length Shaft End Pieces / Pkg

A-8000.23 5.0 97 mm AO Quick Coupling 1A-8001.23 7.0 116 mm AO Large Quick Coupling 1

A-8000.23 A-8001.23

Cleaning Styluses

Art. No. System Size Length Pieces / Pkg

A-8000.12 5.0 1.6 mm 222 mm 1A-8001.12 7.0 2.3 mm 291 mm 1

A-8000.12

A-8001.12

Scale 1:2

APTUS-02000001_v2 / © 2019-06, Medartis AG, Switzerland. All technical data subject to alteration.

Disclaimer: This information is intended to demonstrate the Medartis portfolio of medical devices. A surgeon must always rely on her or his own professional clinical judgement when deciding whether to use a particular product when treating a particular patient. Medartis is not giving any medical advice. The devices may not be available in all countries due to registration and / or medical practices. For further questions, please contact your Medartis representative (www.medartis.com). This information contains CE-marked products.For US only: Federal law restricts this device to sale by or on the order of a physician.

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Documents

SpeedTip CCS 5.0, 7 · Use of CCS 5.0 and CCS 7.0 Preoperative X-rays Patient: female, 54 years old Distinctive flexible pes planovalgus malposition with tibial posterior tendon insufficiency