Surgical Technique - synthes.vo.llnwd.netsynthes.vo.llnwd.net/o16/LLNWMB8/INT Mobile/Synthes International/Product Support... · – Fractures of distal radius (double-plate technique)

LCP Compact Hand. The modular hand system.

Surgical Technique

This publication is not intended for distribution in the USA.

Instruments and implants approved by the AO Foundation.

Image intensifier control

This description alone does not provide sufficient background for direct use of DePuy Synthes products. Instruction by a surgeon experienced in handling these products is highly recommended.

Processing, Reprocessing, Care and MaintenanceFor general guidelines, function control and dismantling of multi-part instruments, as well as processing guidelines for implants, please contact your local sales representative or refer to:http://emea.depuysynthes.com/hcp/reprocessing-care-maintenanceFor general information about reprocessing, care and maintenance of Synthes reusable devices, instrument trays and cases, as well as processing of Synthes non-sterile implants, please consult the Important Information leaflet (SE_023827) or refer to: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance

LCP Compact Hand Surgical Technique DePuy Synthes 1

Table of Contents

Introduction LCP Compact Hand 2

AO Principles 4

Intended Use and Indications 5

Surgical Techniques Preparation 6

Fracture Reduction and Plate Contouring 7

Screw Insertion 11 – Cortex Screws 12 – Locking Screws 18

Implant Removal 23

Additional Information 24

Product Information Implants Compact Hand 1.0/1.3 25

Instruments Compact Hand 1.0/1.3 27

Implants LCP Compact Hand 1.5 28

Instruments LCP Compact Hand 1.5 32





Sets 42

Standard Instrument Set for LCP Compact Hand 43

MRI Information 45

2 DePuy Synthes LCP Compact Hand Surgical Technique

Low profile plates and fully countersunk screws

Anatomically precontoured Rotation Correction Plate LCP combi-hole

Minimizes soft tissue irritation.

Minimizes need for bending. Allows intraoperative inspec-tion of the reduction and correction of the rotational axis.

Intraoperative choice between compression and angular stable locking.

LCP Compact Hand. The modular hand system.

Adaptable Locking Plates for Various Indications

The modular LCP Compact Hand System offers a wide range of anatomical and adaptable plates. All implants are available in titanium and stainless steel.

LCP Compact Hand implants are intended for the following indications:

Compact Hand 1.0/1.3 – Fixation of small fragments – Avulsion fractures and fractures of distal and middle

phalanges

LCP Compact Hand 1.5 – Fractures, osteotomies and arthrodeses of the phalanges

and metacarpals – Replantations and reconstructions of the phalanges and

metacarpals

LCP Compact Hand 2.0 – Fractures of the phalanges, metacarpals, wrist bones and

distal radius (double-plate technique) – Osteotomies and arthrodeses of the interphalangeal joints

LCP Compact Hand 2.4 – Fractures of the metacarpals, wrist bones and distal radius

(double-plate technique) – Osteotomies and arthrodeses on the hand


Part of the LCP Compact Hand System

4 modules, 5 dimensions: – Adaptable plates for different indications – Complete range of implants

1.0 mm 1.3 mm 1.5 mm (new locking) 2.0 mm (locking) 2.4 mm (locking)

– Broad range of non-locking, locking and LCP plates to address various fracture patterns.

– The use of locking screws allows creating a fixed-angle construct, which is particularly advantageous in osteopenic bone or in fractures near the joint.

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4

2

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4_Priciples_03.pdf 1 05.07.12 12:08

4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique

AO PRINCIPLES

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation1, 2.

1 Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991.

2 Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management. 2nd ed. Stuttgart, New York: Thieme. 2007.

Anatomic reductionFracture reduction and fixation to restore anatomical relationships.

Early, active mobilizationEarly and safe mobilization and rehabilitation of the injured part and the patient as a whole.

Stable fixationFracture fixation providing abso-lute or relative stability, as required by the patient, the injury, and the personality of the fracture.

Preservation of blood supplyPreservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.


AO Principles

1 Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation. 3rd ed. Berlin, Heidelberg, New York: Springer. 1991.

2 Rüedi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 2nd ed. Stuttgart, New York: Thieme. 2007.

Stable fixationFracture fixation providing absolute or relative stability, as required by the patient, the injury, and the personality of the fracture.

Anatomic reductionFracture reduction and fixation to restore anatomical relationships.

Early, active mobilizationEarly and safe mobilization and rehabilitation of the injured part and the patient as a whole.

Preservation of blood supplyPreservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation1,2.


Intended Use and Indications

Intended Use LCP Compact Hand Implants are intended for temporary fixation, correction or stabi lization of bones in anatomical region of the distal radius and hand

IndicationsCompact Hand 1.0/1.3General: – Fixation of small fragments – Avulsion fractures and fractures of the distal and

middle phalangesStraight plate: – Shaft fractures of phalanges

Strut plate: – Comminuted fractures and replantations of middle or

proximal phalanges T-plate and Y-plate: – Condylar fractures of phalanges

Single cortex screws: – Capturing of fragments with lag screw technique

LCP Compact Hand 1.5 – Fracture fixation of the phalanges and metacarpals – Osteotomies – Arthrodeses – Replantations and reconstructions of phalanges and

metacarpals, particularly in osteopenic bone

LCP Compact Hand 2.0 – Fractures of the phalanges, metacarpals and wrist bones – Osteotomies and arthrodeses of the interphalangeal joints – Fractures of distal radius (double-plate technique) – Subcapital radial head fractures

LCP Compact Hand 2.4 – Fractures of the metacarpal and wrist bones – Fractures of distal radius (double-plate technique) – Osteotomies and arthrodeses on the hand – Subcapital radial head fractures


1Select implant

Select the plates according to the fracture pattern and anat-omy of the bone.

Notes: – This surgical technique describes the application of the

LCP Compact Hand system using a Locking Condylar Plate 1.5.

– The plates of the LCP Compact Hand Module 1.5 are available either with or without short drill sleeves preassembled to the plate. Plates with preassembled drill sleeves are available sterile only.

Preparation


1Reduce fracture

Reduce the fracture under image intensification and, if necessary, fix with Kirschner wires or reduction forceps. The reduction method is fracture-specific.

2Trim plate

Instrument

391.962 Bending/Cutting Pliers

Trim the plate to the desired length using bending/cutting pliers. Remove the burrs.

Fracture Reduction and Plate Contouring

1

2


3Contour plate

Instruments

347.901 Pliers, flat-nosed, pointed, for Plates 1.0 to 2.4

For LCP Compact Hand 1.5

03.114.003 Bending Pin for LCP Plates 1.5, with thread


329.921 Bending Pin for LCP Plates 2.0, with thread


329.922 Bending Pin for LCP Plates 2.4 and 2.7, with thread

If necessary, contour the plate to suit the anatomical conditions.


Standard platesUse bending pins for LCP Plates and thread the pins into the screw holes to contour the plate. (1)

The plate can also be bent using two flat nosed pliers. (2)

3


Preassembled plates (LCP Compact Hand 1.5 only)Use the non-threaded ends of the bending pins over the short threaded drill sleeves. (3)

Precautions: – If possible, bend the plate between the locking/LCP holes.

Do not deform the threaded part of the holes or over-bend the plate as this may adversely affect insertion of locking screws. Avoid repetitive bending of the plate.

– Reverse bending or use of the incorrect instrumentation for bending may weaken the plate and lead to premature plate failure (e.g. breakage). Do not bend the plate be-yond what is required to match the anatomy.

1

2


4Position plate

Instrument

399.970 Reduction Forceps with Points, ratchet lock, length 130 mm

Position the plate over the reduced fracture and, if necessary fix provisionally with Kirschner wires or reduction forceps. (1)

Preassembled plates (LCP Compact Hand 1.5 only)When using reduction forceps with points on a preassembled plate, insert one branch of the forceps in the cannulation of the short drill sleeve to secure the plate to the bone. (2)

Optional Instrument

398.819 Holding Forceps with Swivel Foot, for Plates 1.3 to 2.4, speed lock

When using the holding forceps with swivel foot to hold the plate, remove the drill sleeves from the surrounding holes so that the holding forceps sit flush on the plate.


21


Locking screw Cortex screw

Screw Insertion

Determine screw typeDepending on the individual case, cortex and/or locking screws may be inserted. Determine where locking screws and where cortex screws will be used.

The final screw placement and the use of locking and cortex screws are determined by the fracture pattern.

If a locking screw is inserted first, ensure that the plate is held securely to the bone to prevent the plate from spinning as the screw locks into the plate.

OptionIf angularly-stable buttress pins are used, one screw per bone fragment must be inserted additionally.

Note: For further details regarding the application of LCP systems consult the corresponding technique guide (DSEM/TRM/0115/0278).

LCP combi-hole: Cortex screw in the com-pression portion (1), locking screw in the threaded portion of the hole (2)

Locking hole: Cortex or locking screw

Compression hole: Cortex screw only

Elongated compression hole: Cortex screw only


Screw Insertion Cortex Screws

1Pre-drill screw hole for cortex screw

Instruments

For Compact Hand 1.0/1.3

312.133 Double Drill Guide 1.3/1.0

513.005 Drill Bit B 1.0 mm, length 46/34mm, 2-flute, for Mini Quick Coupling

513.035 Drill Bit B 1.3 mm, length 46/34 mm, 2-flute, for Mini Quick Coupling


312.140 Double Drill Guide 1.5/1.1, for No. 311.150

03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling

310.141 Drill Bit B 1.5 mm, length 65/50 mm, 2-flute, for Mini Quick Coupling, Stainless Steel


323.200 Universal Drill Guide 2.0

310.507 Drill Bit B 1.5 mm, with marking, length 96/82 mm, 2-flute, for Mini Quick Coupling






1

2


Standard platesDrill the screw hole using the drill bit and the corresponding drill guide / drill sleeve. (1)

Use the following drill diameter for the threaded respectively the gliding hole:

B Threaded hole B Gliding hole

Compact Hand 1.3 1.0 1.3




When using a LCP hole, drill the screw hole either neutrally or off-centre (compression).

Preassembled plates (LCP Compact Hand 1.5 only)Drill the screw hole using the short LCP drill sleeves that are preassembled to the plate. To drill for a cortex screw in an angle other than 90° to the plate, use the double drill guide. Before using the double drill guide, remove the short drill sleeve. (2)

1


2Determine screw length of cortex screw

Instruments


319.003 Depth Gauge for Screws B 1.3 to 1.5 mm, measuring range up to 24mm


319.003 Depth Gauge for Screws B 1.3 to 1.5 mm, measuring range up to 24 mm


319.005 Depth Gauge for Screws B 2.0 and 2.4 mm, measuring range up to 40 mm



Standard platesDetermine the screw length with the corresponding depth gauge. (1)

Screw InsertionCortex Screws

2

3


Preassembled plates (LCP Compact Hand 1.5 only)Screw length may be measured either with of without the short drill sleeve assembled to the plate (2, 3). When meas-ured directly through the drill sleeve, subtract 5 mm from the reading to account for the drill sleeve. (3)

1


3Insert cortex screw

Instruments


314.413 Screwdriver Shaft 1.3, cruciform, with Holding Sleeve, length 62 mm, for Mini Quick Coupling

311.012 Handle, medium, with Mini Quick Coupling


03.114.009 Screwdriver Shaft, Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling



314.676 Screwdriver Shaft Stardrive 2.0, with Holding Sleeve, length 66 mm, for Mini Quick Coupling



314.467 Screwdriver Shaft, Stardrive, T8, self-holding

311.430 Handle with Quick Coupling, length 110 mm

Standard platesInsert the self-tapping cortex screw using the corresponding screwdriver. (1)

Screw InsertionCortex Screws

2

3


Preassembled plates (LCP Compact Hand 1.5 only)Remove preassembled short drill sleeves. A tray which can serve as a tool to help removing the short drill sleeves from the screwdriver is optionally available. (2)

Insert the self-tapping cortex screw using the corresponding screwdriver. (3)

Notes: – It is recommended to count the short LCP drill sleeves to

ensure they are all removed before closure. – Find tips regarding how to properly pick-up screws with

Stardrive recess on page 24.

1

2


Screw Insertion Locking Screws

1Pre-drill screw hole for locking screw

Instruments


03.114.001 LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm

03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling


323.034 LCP Drill Sleeve 2.0, with Scale, for Drill Bits B 1.5 mm with marking



323.029 LCP Drill Sleeve 2.4, with Scale up to 30 mm, for Drill Bits B 1.8 mm


Standard platesDrill screw hole through the LCP drill sleeve using the appropriately sized drill bit. (1)

Preassembled plates (LCP Compact Hand 1.5 only)Drill the screw hole using the short LCP drill sleeves that are preassembled to the plate. (2)

1

2


2Determine screw length of locking screw

Instruments





319.005 Depth Gauge for Screws, B 2.0 and 2.4 mm, measuring range up to 40 mm



319.005 Depth Gauge for Screws, B 2.0 and 2.4 mm, measuring range up to 40 mm

Standard platesDetermine the screw length either with the corresponding depth gauge (1) or with the LCP drill sleeve (LCP Compact Hand 2.0/2.4, marking on drill bit). (2)

When using the LCP drill sleeve check the length directly on the scale of the drill sleeve. Then remove the drill sleeve.

3


Preassembled plates(LCP Compact Hand 1.5 only)Screw length may be measured either with of without the short drill sleeve assembled to the plate. When measured directly through the drill sleeve, subtract 5 mm from the reading to account for the drill sleeve. (3)

Screw InsertionLocking Screws

1


3Insert locking screw

Instruments


03.114.009 Screwdriver Shaft, Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling





511.777 Torque Limiter, 0.4 Nm, with AO/ASIF Quick Coupling





Standard platesInsert the self-tapping locking screw using the corresponding screwdriver shaft and the appropriate handle. (1)

2


Preassembled plates (LCP Compact Hand 1.5 only)Remove preassembled short drill sleeves. Insert the self-tap-ping locking screw using the corresponding screwdriver. (2)

A tray which can serve as a tool to help removing the short drill sleeves from the screwdriver is optionally available.

Note: It is recommended to count the short LCP drill sleeves to ensure they are all removed before closure.

LCP Compact Hand 2.0/2.4For mechanical insertion use the corresponding torque limiting attachment.

The torque limiter prevents over-tightening and ensures that the locking screws are securely locked into the plate.

Use manual locking to perform the final locking step for 2.0 mm and 2.4 mm locking screws. Mechanical insertion is not recommended.

Screw InsertionLocking Screws


Implant Removal

To remove the plate, first unlock all screws then definitely remove them in a second step. If the screws are not unlocked before removal the plate may rotate while the last screw is being removed and cause soft tissue damage.


Pick-up screws with Stardrive recess without holding sleeveSelect the screw and position the corresponding screwdriver perpendicular to the screw.

Pick-up the screw by applying slight axial pressure.

Make sure that the screwdriver remains perpendicular during screw extraction.

Pick-up screws with holding sleeveAll screws can also be picked-up with help of the correspon-ding holding sleeves.

Slide the holding sleeve onto the screwdriver, until it clicks into place. With the holding sleeve jaws open, mount the appropriate screw onto the screwdriver, then push the hold-ing sleeve until it secures the screw.

Note: The holding sleeve covers the head of the screw.

Additional Information


Implants Compact Hand 1.0/1.3

Plates

Adaption Plate 1.3, straight

Art. No. Holes Length (mm)

X21.306 6 23

X21.312 12 48

T-Adaption Plate 1.3


X21.333 Shaft 8, head 3 35.5

X21.334 Shaft 8, head 4 35.5

Y-Adaption Plate 1.3


X21.335 Shaft 8, head 3 37

Strut Plate 1.3


X21.320 8 19

X21.321 8 19

X = 2: Stainless SteelX = 4: Titanium

Implants are available non-sterile or sterile packed. Add suffix “S” to article number to order sterile product.


Screws

Cortex Screws B 1.0 mm, self-tapping

Art. No. Length (mm)

X00.526 6

X00.527 7

X00.528 8

X00.529 9

X00.530 10

X00.531 11

X00.532 12

X00.533 13

X00.534 14

Cortex Screws B 1.3 mm, self-tapping


X00.686 6

X00.687 7

X00.688 8

X00.689 9

X00.690 10

X00.691 11

X00.692 12

X00.693 13

X00.694 14

X00.695 15

X00.696 16

X00.698 18

Implants Compact Hand 1.0/1.3




Instruments Compact Hand 1.0/1.3

312.133 Double Drill Guide 1.3/1.0




310.882 Countersink 1.3 to 2.0, length 50 mm, for Mini Quick Coupling

314.413 Screwdriver Shaft 1.3, cruciform, with Holding Sleeve, length 62 mm, for Mini Quick Coupling

314.481 Screwdriver Shaft 1.0, cruciform, with Holding Sleeve, length 62 mm, with Mini Quick Coupling


Implants LCP Compact Hand 1.5

Plates

LCP Plate 1.5, straight


0X.114.002 4 23

0X.114.004 6 36

Locking Plate 1.5, straight


0X.114.003 6 29

0X.114.005 12 59

Locking T-Plate 1.5


0X.114.006 Shaft 8, head 3 44.5

0X.114.007 Shaft 8, head 4 44.5

Locking Strut Plate 1.5


0X.114.010 Right 8 23

0X.114.009 Left 8 23

Locking Y-Plate 1.5


0X.114.013 Shaft 8, head 3 47

Locking Condylar Plate 1.5


0X.114.014 Shaft 6, head 2 36




Plates, with Preassembled Short Drill Sleeves



0X.114.502S 4 23

0X.114.504S 6 36

Locking Plate 1.5, straight


0X.114.503S 6 29

0X.114.505S 12 59

Locking T-Plate 1.5


0X.114.506S Shaft 8, head 3 44.5

0X.114.507S Shaft 8, head 4 44.5

Locking Strut Plate 1.5


0X.114.510S Right 8 23

0X.114.509S Left 8 23

Locking Y-Plate 1.5


0X.114.513S Shaft 8, head 3 47

Locking Condylar Plate 1.5


0X.114.514S Shaft 6, head 2 36

Note: The plates with preassembled short drill sleeves are available sterile only.



Screws

Cortex Screw Stardrive, B 1.5 mm,self-tapping


0X.214.106 6

0X.214.107 7

0X.214.108 8

0X.214.109 9

0X.214.110 10

0X.214.111 11

0X.214.112 12

0X.214.113 13

0X.214.114 14

0X.214.115 15

0X.214.116 16

0X.214.118 18

0X.214.120 20

0X.214.122 22

0X.214.124 24





Locking Screw Stardrive, B 1.5 mm, self-tapping


0X.214.006 6

0X.214.007 7

0X.214.008 8

0X.214.009 9

0X.214.010 10

0X.214.011 11

0X.214.012 12

0X.214.013 13

0X.214.014 14

0X.214.015 15

0X.214.016 16

0X.214.018 18

0X.214.020 20

0X.214.022 22

0X.214.024 24




Instruments LCP Compact Hand 1.5

03.114.001 LCP Drill Sleeve 1.5, for Drill Bit B 1.1 mm

03.114.003 Bending Pin for LCP Plates 1.5, with thread

03.114.007 Drill Bit B 1.1 mm, lengths 75/61 mm, 2-flute, for Mini Quick Coupling

310.141 Drill Bit B 1.5 mm, length 65/50 mm, 2-flute, for Quick Coupling, Stainless Steel

310.971 Countersink for Screws B 1.3 and 1.5 mm, Stainless Steel

312.140 Double Drill Guide 1.5/1.1, for No. 311.150

03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve length 66 mm, for Mini Quick Coupling

Drill Bits are available non-sterile or sterile packed. Add suffix “S” to article number to order sterile product.



Plates



X47.344 4 31

X47.345 5 38

X47.346 6 45

X47.347 7 52

X47.348 8 59

X47.360 10 73

Adaption Plate 2.0


X43.091 12 71

LCP Condylar Plate 2.0


X47.349 Shaft 7, head 2 54

LCP Rotation Correction Plate 2.0


X47.354 Shaft 4, head 2 34

X47.355 Shaft 5, head 2 40

LCP T-Plate 2.0


X47.615 Shaft 7, head 3 52.5




LCP Adaption Plate

Art No. Holes Length (mm)

X47.362 12 81.26

LCP T-Adaption Plate 2.0

Art No. Shaft holes Head holes

X47.351 7 2

LCP Y-Adaption Plate 2.0

Art No. Shaft holes Head holes

X47.350 7 3

Mini Condylar Plate 2.0

Art No.

X43.610 pin left

X43.620 pin left

Mini H-Plate

Art No. Holes

X43.480 4





Screws

Cortex Screw Stardrive, B 2.0 mm, self-tapping


X01.356 6

X01.357 7

X01.358 8

X01.359 9

X01.360 10

X01.361 11

X01.362 12

X01.363 13

X01.364 14

X01.366 16

X01.368 18

X01.370 20

X01.372 22

X01.374 24

X01.375 26

X01.376 28

X01.377 30

X01.378 32

X01.379 34

X01.381 38







X01.876 6

X01.877 7

X01.878 8

X01.879 9

X01.880 10

X01.881 11

X01.882 12

X01.883 13

X01.884 14

X01.886 16

X01.888 18

X01.890 20

X01.892 22

X01.894 24

X01.896 26

X01.898 28

X01.900 30





329.921 Bending Pin for LCP Plates 2.0, with thread









Plates





X47.364 10 83.6

X47.375 5 43.6

X47.377 7 59.6

X49.677 8 68

X49.674 4 36

X49.676 6 52

Adaption Plate 2.4


X49.912 12 72

LCP T-Plate 2.4


X49.615 Shaft 7, head 3 57

LCP Condylar Plate 2.4


X49.679 Shaft 7, head 2 59

LCP Adaption Plate 2.4


X47.366 12 87.9

LCP T-Adaption Plate 2.4

Art. No. Shaft holes Head holes

X49.670 7 2

LCP Y-Adaption Plate 2.4

Art. No. Shaft holes Head holes

X49.669 7 3


Screws

Cortex Screw Stardrive, B 2.4 mm, self-tapping


X01.756 6

X01.757 7

X01.758 8

X01.759 9

X01.760 10

X01.761 11

X01.762 12

X01.763 13

X01.764 14

X01.766 16

X01.768 18

X01.770 20

X01.772 22

X01.774 24

X01.776 26

X01.778 28

X01.780 30

X01.782 32

X01.784 34

X01.786 36

X01.788 38

X01.790 40







X12.806 6

X12.807 7

X12.808 8

X12.809 9

X12.810 10

X12.811 11

X12.812 12

X12.813 13

X12.814 14

X12.816 16

X12.818 18

X12.820 20

X12.822 22

X12.824 24

X12.826 26

X12.828 28

X12.830 30



Buttress Pin (head LCP 2.4) B 1.8 mm

Art No. Length (mm)

X00.190 12

X00.191 14

X00.192 16

X00.193 18

Optional




329.922 Bending Pin for LCP Plates 2.4 and 2.7, with thread







Sets

01.114.104 LCP Compact Hand 1.5 (Titanium Implants)

01.114.102 LCP Compact Hand 1.5 (Stainless Steel Implants)

182.480 Compact Hand 1.0/1.3 (Titanium Implants)

182.483 Compact Hand 1.0/1.3 (Stainless Steel Implants)





01.110.003 Standard Instrument Set for LCP Compact Hand

182.475 Aditional Instrument Set for Compact Hand


Standard Instrument Set for LCP Compact Hand





347.901 Pliers, fl at-nosed, pointed, for Plates 1.0 to 2.4

347.985 Holding Forceps for Cortex Screws B 1.0 to 2.4 mm

391.962 Bending/Cutting Pliers


03.100.000 Handle, lockable, with Mini Quick Coupling

311.011 Handle, small, with Mini Quick Coupling

311.013 Handle, large, with Mini Quick Coupling

347.981 Holding Forceps for Plates 1.0 to 2.4



Optional

Standard Instrument Set for LCP Compact Hand


MRI Information

Torque, Displacement and Image Artifacts according to ASTM F 2213-06, ASTM F 2052-06e1 and ASTM F 2119-07Non-clinical testing of worst case scenario in a 3 T MRI system did not reveal any relevant torque or displacement of the construct for an experimentally measured local spatial gradient of the magnetic field of 3.69 T/m. The largest image artifact extended approximately 169 mm from the construct when scanned using the Gradient Echo (GE). Testing was conducted on a 3 T MRI system.

Radio-Frequency-(RF-)induced heating according to ASTM F 2182-11aNon-clinical electromagnetic and thermal testing of worst case scenario lead to peak temperature rise of 9.5 °C with an average temperature rise of 6.6 °C (1.5 T) and a peak temperature rise of 5.9 °C (3 T) under MRI Conditions using RF Coils (whole body averaged specific absorption rate [SAR] of 2 W/kg for 6 minutes [1.5 T] and for 15 minutes [3 T]).

Precautions: The above mentioned test relies on non-clini - cal testing. The actual temperature rise in the patient will depend on a variety of factors beyond the SAR and time of RF application. Thus, it is recommended to pay particular attention to the following points: – It is recommended to thoroughly monitor patients under-

going MR scanning for perceived temperature and/or pain sensations.

– Patients with impaired thermoregulation or temperature sensation should be excluded from MR scanning proce - dures.

– Generally, it is recommended to use a MR system with low field strength in the presence of conductive implants. The employed specific absorption rate (SAR) should be reduced as far as possible.

– Using the ventilation system may further contribute to reduce temperature increase in the body.

0123

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Not all products are currently available in all markets.

This publication is not intended for distribution in the USA.

All surgical techniques are available as PDF files at www.depuysynthes.com/ifu ©

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Documents

Surgical Technique - synthes.vo.llnwd.netsynthes.vo.llnwd.net/o16/LLNWMB8/INT Mobile/Synthes International/Product Support... · – Fractures of distal radius (double-plate technique)