OptiLock® Periarticular Plating System For Distal Femoral ... - Intermedic


Can be used in larger patients as truss load sharing screws for support of subchondral bone ... Staggered plate .... STEP 9: Insert Truss Locking Bone Screws.

OptiLock® Periarticular Plating System For Distal Femoral Fractures Surgical Technique

Contents Introduction..................................................... Page 1 Indications And Contraindications.................... Page 6 Design Features............................................... Page 7 Surgical Technique.......................................... Page 8 Ordering Information........................................ Page 17 Further Information.......................................... Page 21

Introduction The OptiLock Periarticular Plating System utilizes unique patent pending SphereLock ™ Technology. This advanced implant/ instrumentation design allows for effective and efficient anatomic fixation of distal femoral fractures. The OptiLock Periarticular Plating System offers both left and right distal lateral femoral pre-contoured, titanium alloy plates for optimizing fixation of simple and complex condylar fractures of the femur.

Lateral Plates The anatomically contoured distal lateral femoral plate is available in 3-hole increments from 3 to 18 holes, ranging from 122-386 mm in length for right and left distal femurs. For easy

Complete anatomic restoration is facilitated through

recognition, the left distal lateral plates are colored light blue

precise anatomic contouring, multiple bone screw

and the right plates are colored gold.

options, and proper plate positioning on the lateral aspect of the distal femur.

1

Introduction (Continued) Locking Bone Screws

The 5.0 mm self-drilling locking bone screws are available in 14mm, 18mm, 26mm, 40 mm and 55-85 mm in 10 mm increments.

A unique, patent pending aspect of the OptiLock Periarticular Plating System is application of either locking or non-locking bone screws through any threaded hole of the plates. By design, the screw head for each diameter screw is seated virtually flush to

• 14 mm (Flat nose only) • 18 mm (Flat nose and self-drilling)

the plate surface. This allows for maximum flexibility in choice

• 26mm

of screw diameter with minimal hardware prominence, which

• 40mm

minimizes potential for irritation or impingement of soft tissue. The 3.5 mm locking bone screws range in lengths from 10mm-95mm. • 10-20 mm in 2.0 mm increments • 20-40 mm in 4.0 mm increments

• 55-85 in 10 mm increments The 5.5 mm self-drilling cannulated locking bone screws range in length from 25-95 mm in 5.0 mm increments for precise application over a 2.0 mm x 25 cm K-wire. The 5.5 mm outer diameter size may be considered ideal for a metaphyseal application in the distal femur.

• 40-95 mm in 5.0 mm increments The 4.5 mm locking bone screws range in lengths from 14mm-95mm. • 14-20 mm in 2.0 mm increments • 20-40 mm in 4.0 mm increments • 40-95 mm in 5.0 mm increments

2

Non-Locking Bone Screws 5.5 mm Non-locking The 3.5 mm non-locking bone screws range in lengths from 8.0mm-95mm.

5.5 mm Locking

• 8.0-60 mm in 2.0 mm increments • 60-95 mm in 5.0 mm increments The 4.5 mm non-locking bone screws range in lengths

5.0 mm Locking, Self-Drilling

4.5 mm Non-Locking

from 14mm-95mm. • 14-60 mm in 2.0 mm increments

4.5 mm Locking

• 60-95 mm in 5.0 mm increments 3.5 mm Locking The 5.5 mm self-drilling cannulated non-locking bone screws range in length from 40-95 mm in 5.0 mm increments for precise

3.5 mm Non-Locking

application over a 2.0 mm x 25 cm K-wire. With a wide variety of sizes of locking and non-locking bone screws and locking bone screw trajectories, the OptiLock Periarticular Plating System sets a new standard for internal fixation of distal femoral fractures, effectively meeting the discriminating preferences of surgeons to produce desired patient outcomes.

3

Introduction (Continued) Outer Diameter

Drill Bit Size

Suggested Application

5.5 mm Self-Drilling,

Cat. # 27555: 4.5mm

Used in the condyles of the distal femur. Cannulated over a 2.0 mm guide

Cannulated Non-Locking

Cat. # 27585: 5.5 mm (Lag) wire. A 5.5 mm drill bit allows for a lag technique to be used with the plate

5.5 mm Self-Drilling,

Cat. # 27550: 4.8mm

Used in the condyles of the distal femur. Cannulated over a 2.0 mm guide

Cannulated Locking

wire. Can be used in larger patients as truss load sharing screws for support



of subchondral bone

5.0 mm Self-Drilling Locking

Used in the condyles of the distal femur or in diaphyseal bone for a locked,

Cat. # 27557: 4.3mm



unicortical approach

5.0 mm Self-Drilling Locking, Cat. # 27557: 4.3mm

For use through the distal femoral plate’s threaded screw holes

Flat Nose

Used for periprosthetic fractures

4.5 mm Non-locking

Used in cortical bone of the distal femur through any plate threaded bone

Cat. # 27565: 3.2mm



screw hole for lagging fixation; may be applied in metaphysis or diaphysis of



distal femur through any plate threaded bone screw hole for lagging fixation

4.5 mm Locking

Primarily used in cortical bone. May be used in distal femoral metaphyseal

Cat. # 27560: 3.8mm



bone in smaller patients

3.5 mm Non-Locking

Cat. # 27575: 2.5mm

May be used for fragment capture, manipulation, and lagging



Cat. # 27562: 3.5 mm (Lag) Primarily used in proximal/distal tibial plate applications

3.5 mm Locking

Cat. # 27570: 2.7mm

Used in cortical bone

2.7 mm Non-Locking

Cat. # 27580: 2.0mm

Primarily used in distal tibial plate applications



Used for lagging fragments

2.7 mm Locking

Cat. # 27580: 2.0mm

Primarily used in distal tibial plate applications

2.0 mm Non-Locking

Cat. # 27582: 1.5 mm

Apply through K-wire holes for additional lagging fixation

While Biomet suggests specific bone screw sizes for specific applications, the surgeon is the ultimate decision maker for applying appropriate bone screw sizes and types based on clinical need.

4

2.0 mm Non-Lock; thread pitch is .020mm

5.5 mm Cannulated Non-Lock; thread pitch is 1.75mm

5.5 mm Cannulated Lock; thread pitch is 1.25mm

5.0 mm Self-Drilling Lock; thread pitch is 1.0mm

5.0 mm Self-Drilling Lock, Flat Nose; thread pitch is 1.0mm

4.5 mm Non-Lock; thread pitch is 1.75mm

4.5 mm Lock; thread pitch is .080mm

3.5 mm Non-Lock; thread pitch is 1.25mm

3.5 mm Lock; thread pitch is .080mm

2.7 mm Non-Lock; thread pitch is 1.0 mm

2.7 mm Lock; thread pitch is 1.0 mm

5

Indications And Contraindications INDICATIONS The OptiLock Periarticular Plating System is intended for fixation of fractures and osteotomies. The System is intended for buttressing multifragment distal femur fractures including: supracondylar, intra-articular and extraarticular condylar fractures, fractures in normal or osteopenic bone and nonunions and malunions. The System is intended for the treatment of non-unions, malunions and fractures of the proximal tibia, including simple, comminuted lateral wedge, depression, medial wedge, bicondylar, combinations of lateral wedge and depression and fractures with associated shaft fractures. Supracondylar Femoral Fractures

The System is intended to buttress Metaphyseal fractures of the medial tibial plateau, split-type fractures of the medial tibial plateau, medial split fractures with associated depressions and split of depression fractures of the medial tibia plateau. Also for use in the fixation of osteopenic bone and fixation of nonunions and malunions of the medial proximal tibia and tibial shaft. The System is indicated for the fixation of fractures of the distal tibia including, but not limited to, ankle fractures, periarticular, intra-articular and distal tibia fractures with a shaft extension, malleolar and distal fibular fractures. Patient selection factors to be considered include: 1. Need for alignment and stabilization of bone fractures, 2. Ability and willingness of the patient to follow postoperative care instructions until healing is complete, and 3. A good nutritional state of the patient.

Supracondylar Femoral Fractures

CONTRAINDICATIONS 1. Active infection. 2. Patient conditions including blood supply limitations, and insufficient quantity or quality of bone. 3. Patients with mental or neurologic conditions who are unwilling or incapable of following postoperative care instructions or materials. 4. Foreign body sensitivity. Where material sensitivity is suspected, testing is to be completed prior to implantation of the device.

Distal Femoral Shaft Fracture

Extra Articular

Unicondylar

6

Design Features Providing Optimized Solutions For A Variety Of Distal Femoral Fractures • Lateral plates are composed of titanium alloy and offer strength and anatomic contouring for application to the distal femur • Color-coded implants and instruments make the OptiLock Periarticular Plating System easy to use, which enable intraoperative efficiencies

• Staggered plate holes promote increased stability and greater protection against screw pullout

Patent Pending SphereLock Technology

• Double radius of curvature –r1 = 2.41m and at hole #11, r2 =.76m– incorporated into 15 and 18-hole plate designs to aid in proper anatomic restoration

• Locking bone screw trajectories produce rafting support of subchondral bone with combined “Truss” load sharing bone screws to protect from varus collapse

• Wide variety of bone screw sizes (2.0, 2.7, 3.5, 4.5, 5.0 and 5.5mm) • Locking and non-locking bone screw types

• Patent pending slotted carbon fiber jig may be used independent of its head for an accurate, intraoperatively efficient minimal invasive approach to distal femoral plate application

7

Surgical Technique STEP 1: Patient Positioning—Standard Approach

Minimal Invasive Approach: Lateral Plate

The patient should be placed in the supine position on a

Full Jig Application: A minimal invasive approach is made

radiolucent table. A wedge pillow or prop of the surgeon’s choice

possible with provision of a radiolucent targeting jig.

will suffice to raise the affected leg above the contralateral side, providing a position for a good lateral x-ray. Confirm that

The head of the jig seats and locks to the metaphyseal head of

unobstructed anterior-posterior and lateral radiographic images

the plate with soft tissue and drill guides, which can be affixed

are obtainable. Prep and drape in the usual orthopedic fashion

to both the head and tail of the jig for optimized and reproducible

with the appropriate lower extremity exposed.

bone screw targeting accuracy.

If temporary external fixation was not previously applied, then use

NOTE: Make sure all connections are all hand tight with

manual traction or skeletal distraction (ligamentotaxis) to obtain

screwdriver after initial alignment has been obtained.

gross metaphyseal alignment.

B

C

A

F

E

D

H G

Truss Locking Bone Screw H­oles

8

I. After removing cap from the lock wire guide jig (Cat. # 26928), thread the shaft into screw hole D, which has three dimples surrounding it.

Jig Head Pins

II. Insert lock wire guide jig into the corresponding jig head hole identified in he middle of the jig head pins (hole D). III. Thread cap of lock wire guide jig back on to the shaft and tighten down using the butt end of the drill guide’s long handle (Cat. # 26935). IV. To complete the assembly, align the jig tail pins with the dimples on the jig head.

Jig Tail Pins

9

Surgical Technique (Continued) STEP 2: Skin Incision—Standard Approach

STEP 3: Standard Approach—Reduction And

External Fixation

A curved or straight anterolateral incision is recommended. The initial skin incision is made mid-line at the knee, lateral

Prior to reducing the articular surface, external fixation may be

parapatellar region and then perform a lateral parapatellar

applied to help facilitate visualization and reduction of the joint. In

arthrotomy. Coagulation of any bleeders may be necessary.

the case of open fractures, external fixation - such as a Pin-to-Bar fixator – may already have been applied to allow for treatment of

Proximal Jig Head Application: A less invasive approach can be

soft tissue trauma.

performed for those cases amenable to this technique. A short, oblique incision is made just slightly distal to the lateral condyle and extended proximally 8cm. Exposure of the lateral surface of the distal femur is performed with a periosteal elevator. The knee joint can be exposed, if needed, via a minimal dissection and sub-meniscal arthrotomy where needed. The proximal targeting is minimally invasive with the use of the OptiLock jig in a periosteal sparing approach. The distal aspect of the jig locks to the metaphyseal head of the plate. With this setup preoperatively and under fluoroscopic image guidance, the outrigger locking guide can be percutaneously inserted and locked with minimal soft tissue dissection for proximal interlocking.

Low profiling jig head allows surgeons to easily identify locked screw trajectories for efficient locked drill guide application to plate. NOTE: The low profile jig head is designed to be slightly loose, even after the tightening the constrained bolt to the plate. This does not adversely affect application.

10

Articular Reduction

STEP 4: Preliminary Plate Position

In displaced intraarticular fractures, the priority of reducing the

Determine the appropriate length of the distal femoral plate via x-ray

articular surface must occur before periarticular plate application.

measurement or by inserting the plate up the lateral side of the

This may be accomplished by temporarily securing articular

femur, using it as a template and checking length radiographically.

fragments with reduction forceps and/or by applying K-wires (2.0 mm

Provisionally apply a K-wire through the distal hole in the center of

x 250mm) – Cat. # 27590 threaded or Cat. # 27591 non-threaded.

the head of the plate, parallel to the knee joint.

Once temporarily reduced, 3.5mm, 4.5 mm or 5.5 mm non-locking bone screws may be utilized for compression independently outside of the plate as needed or be utilized within the metaphyseal head of the periarticular plate. These lag screws may be inserted through any of the threaded plate holes. Regardless of the approach, the placement of a lag screw should be based upon a preoperative plan, so that locking bone screw trajectories are avoided. Standard Approach—Reduction Reduce the fracture using manual traction or skeletal distraction (ligamentotaxis) to obtain gross metaphyseal alignment. For holding reduction, apply K-wires and clamp and verify under

NOTE: By using the jig head attached to the plate, this will

fluoroscopic imaging.

give you a true trajectory across the condyle for the K-wire. Use the Z-1 hole.

Standard Approach—Reduction Holding Once in good position, prepare to apply a lag screw (3.5 mm nonlocking screw recommended) through the very distal posterior aspect of the distal femur and verify with fluoroscopic imaging. Be certain to verify that the position does not encroach on the intracondylar notch. Over-drill the near cortex to the fracture site, then use the appropriate core diameter calibrated drill bit to drill through the opposite side of the fracture to the contralateral cortex. Apply the selected non-locking bone screw for intrafragmentary fixation. At this time, a second reduction may be applied via ligamentotaxis and provisional external fixation applied.

11

Surgical Technique (Continued) STEP 5: Plate Position Using specific anatomic benchmarks, mount the plate on the intact or reconstructed distal femur. Do not yet attempt to reduce the distal portion of the plate to the femoral diaphysis. If this is done, the trajectories for the proximal screws may be altered. On the lateral C-arm position (posterior aspect of the medial and lateral femoral condyles overlapping), the proper position for the plate is such that the anterior border of the plate parallels the anterior border of the femoral diaphysis. The proximal/distal location of the plate is such that the posterior proximal hole should be at the level of the lateral joint line. Based on the preoperative plan, a free hand technique can be used by taking the selected lateral distal femoral plate (usual

Prior to proceeding, confirm the placement of the plate head to the

length is 3-4 cortical screws distal to the fracture) and affix the

metaphysis. The following should be confirmed under fluoroscopy.

locking drill guides into the five most proximal threaded plate holes and the truss hole. When this is done prior to insertion, the threading of the sleeves is much easier without soft tissue interference. Under power and fluoroscopic image guidance, insert a 2.0 mm x 250 mm K-wire through both distal holes making sure on the lateral view the plate is aligned appropriately. Once the distal aspect of the plate is secured, secure the proximal aspect of the plate to prevent rotation. Since the OptiLock Periarticular Plating System is a multiplanar locked plate, the positioning is paramount

• K-wires are inserted in the subchondral bone and are confirmed extra articular in planar fluoroscopy and clinical inspection (sub-meniscal arthrotomy) • The plate is positioned correctly on the lateral femur by using bi-planar fluoroscopy • The plate shaft is aligned with the diaphysis according to AP and lateral radiographs, which ultimately determines final flexion/extension reduction • The plate is correctly positioned on the femur and is affixed to the bone using K-wires distally and proximally to keep alignment during bone screw insertion

prior to locking.

12

STEP 6: Reducing Proximal Shaft To Femur

STEP 7: Insert Distal Bone Screws

Reduce the distal femoral component to the diaphysis by

I. The plate position must be secured on the lateral aspect

temporarily securing the plate to the femoral shaft with bone

of the distal femur with the K-wires, prior to inserting the first

forceps. At this point, rotation of the extremity must be confirmed

bone screw.

via clinical examination.

II. Advance the K-wire until it reaches the medial cortex when

Once acceptable rotation has been achieved, the plate must be

III. If the plate inadvertently shifts from the desired position

inserting convergent bone screws. maneuvered for compressing or distracting to the acceptable

during bone screw insertion, then all guide wires must be

anatomic length. For complex intraarticular fracture patterns,

removed and reinserted using the locking drill guides.

it may not be desired or possible to anatomically reduce the

This countermeasure enables the bone screw to easily lock

fracture. Additionally, the OptiLock temporary fixation device may

into the plate threaded screw hole.

be used to reduce fragments. Care must be taken to ensure that the distal bone screws are out of the joint. Visual inspection of multi/planar fluoroscopy is performed to ensure that locked bone screws do not angle toward or penetrate the joint. Multi-angular locking trajectories in the OptiLock distal femoral periarticular plate, offers a unique element of stability to the fracture construct. The effective “pull out” forces are well countered by these multi-planar locked screws

The locking threaded screw holes in the central proximal aspect of the periarticular plate generate converging bone screw trajectories for improved pullout strength. When using locking bone screws longer than 60mm, it is possible that the converging bone screws may meet in the subchondral bone. Therefore, accurate determination of bone screw length is crucial. This is accomplished by sliding the depth gauge over the K-wire that extends beyond the locked drill guide. All locking bone screws should be tightened for a secure fit into the periarticular plate. A power drill combined with the torque-limiting device provided in the set may also be utilized to definitively set the screws in the plate.

13

Surgical Technique (Continued) STEP 8: Insert 4.5 mm Bi-cortical Or 5.0 mm Uni-Cortical Locking Bone Screws According to clinical requirement or to surgeon preference, 4.5 mm or 5.5 mm locking bone screws may be inserted into the distal threaded holes along the plate shaft. After drilling, bone screw length may be measured off of the drill bit, with the assistance of fluoroscopy and/or depth gauge.

An irrigation method requiring a Trocar, Cat. # 26929, a Soft Tissue Sleeve, Cat. # 26910, and an irrigation Cooling Cap, Cat. # 26950. Then an IV extension tubing with the end cut off and a 60cc syringe The 5.0 mm self-drilling, locking bone screws may be used

can be attached to the Cooling Cap. This can be used to irrigate

in diaphyseal bone, if desired or required. No drilling prior

the bone surface while drilling the 5.0 mm screws to prevent

to insertion is necessary.

overheating.

14

STEP 9: Insert Truss Locking Bone Screws

Optional: Distal Femoral Jig Tail Only Application “Retro Targeting”

Affix desired locking drill guide to the two oblique angled threaded plate holes (J&K) and drill with the corresponding 4.0 mm drill bit.

The OptiLock Periarticular Plating System offers a retro targeting

Measure the appropriate bone screw length under fluoroscopic

approach, whereby the carbon fiber jig tail can be used independent

image guidance, directly off of the calibrated drill bit and/or depth

of the jig head. This allows for unobstructed visualization of the

gauge. The purpose of the Truss bone screw is:

distal femur with freehand locking and percutaneous “retro jig” use for bone screw locking. Once a stab incision is made, at least two

1. To aid in load sharing on the medial side of the metaphysis;

drill guides and two soft tissue guides are locked into the plate. The

2. To protect from varus collapse; and

carbon fiber jig tail is then attached and locked into place by the

3. To resist “pull out” of the plate bone construct.

soft tissue guides. Proceed with drilling and insertion of screws.

Alternatively, the 4.5mm, 5.0mm, or 5.5 mm locking bone screws may be used as Truss bone screws.

15

Surgical Technique (Continued) STEP 10: Standard Approach—Fluoroscopic

Image Confirmation

Confirm fixation under fluoroscopic image guidance in both the AP and lateral planes. Close incision.

Post Op

2.5 Months Post Op

16

Ordering Information Complete Set Catalog Numbers Catalog # Description

Qty.

27571

Tap 3.5 mm Lock Screw

2

27576

Tap 3.5 mm Non-Lock Screw

2

26560A/B Instrument/Screw Tray-Fully Packed

1

22875

Fixed AO Handle

1

26562A/B Distal Femoral Tray-Fully Packed

1

22880

Ratcheting AO Handle

1

Total sets required for distal femoral plate applications

2

22842

AO Driver For 2.0 mm Screw

2

22855

AO Drill Adaptor

1

Instruments Catalog # Description

Qty.

26245-01 Femoral Plate Left LD Jig Head

1

26245-02 Femoral Plate Left LD Jig Tail

1 1

26550

Instrument/Screw Tray

1

26246

26552

Distal Femoral Tray

1

27245-01 Femoral Plate Right LD Jig Head

1

Femoral Plate Left Low Profile Jig

26910

Soft Tissue Guide

4

27245-02 Femoral Plate Right LD Jig Tail

1

26914

2.7 mm Lock Drill Guide Long

2

27246

1

26916

3.8 mm Lock Drill Guide Long

2

Total Instrumentation

26918

4.8 mm Lock Drill Guide Long

2

Femoral Plate Right Low Profile Jig

68

26919

2.0 mm Wire Sleeve Long Lock

2

Distal Femoral Plates

26921

2.5 mm Drill Guide Long

2

Catalog # Description

26922

2.7 mm Drill Guide Long

2

26232

Left, Lateral Distal Femur 3H-122mm

2

26923

3.2 mm Drill Guide Long

2

26234

Left, Lateral Distal Femur 6H-174mm

2

Qty.

26924

3.8 mm Drill Guide Long

2

26236

Left, Lateral Distal Femur 9H-227mm

2

26925

4.5 mm Drill Guide Long

2

26238

Left, Lateral Distal Femur 12H-281mm

2

26926

4.8 mm Drill Guide Long

2

26240

Left, Lateral Distal Femur 15H-333mm

2

26927

5.5 mm Drill Guide Long

2

26242

Left, Lateral Distal Femur 18H-386mm

2

26928

Lock Wire Guide Jig

2

27232

Right, Lateral Distal Femur 3H-122mm

2

26929 Trocar

2

27234

Right, Lateral Distal Femur 6H-174mm

2

26930

Depth Gage (10 mm To 110 mm Range)

1

27236

Right, Lateral Distal Femur 9H-227mm

2

26935

Drill Guide Long Handle

2

27238

Right, Lateral Distal Femur 12H-281mm

2

26939

2.0 mm Wire Guide Non Lock

2

27240

Right, Lateral Distal Femur 15H-333mm

2

26940

Wire Depth Gage Long

1

27242

Right, Lateral Distal Femur 18H-386mm

2

26950

Cooling Cap

2

Total Plates 24

26960

1.5/2.0 mm Drill Guide

2

26970

AO Torque Limiting Coupler

1

26980

TF Sleeve

2

27505

3.5 mm Hex Driver Shaft AO

2

27510

3.5 mm Hex Driver Shaft AO Cannulated

2

27561

Tap 4.5 mm Lock Screw

2

27566

Tap 4.5 mm Non-Lock Screw

2

17

Ordering Information (Continued) Bone Screws Catalog # Description

Qty.

27770

3.5 mm x 70 mm Locking Screws

3

27775

3.5 mm x 75 mm Locking Screws

3

26510

2.0 mm x 10 mm Non-Locking Screws

3

27780

3.5 mm x 80 mm Locking Screws

3

26512

2.0 mm x 12 mm Non-Locking Screws

3

27785

3.5 mm x 85 mm Locking Screws

3

26514

2.0 mm x 14 mm Non-Locking Screws

3

27790

3.5 mm x 90 mm Locking Screws

3

26516

2.0 mm x 16 mm Non-Locking Screws

3

27795

3.5 mm x 95 mm Locking Screws

3

26518

2.0 mm x 18 mm Non-Locking Screws

3

26520

2.0 mm x 20 mm Non-Locking Screws

3

Catalog # Description

26522

2.0 mm x 22 mm Non-Locking Screws

3

26708

3.5 mm x 8 mm Non-Locking Screws

3

26524

2.0 mm x 24 mm Non-Locking Screws

3

26710

3.5 mm x 10 mm Non-Locking Screws

3

Qty.

26526

2.0 mm x 26 mm Non-Locking Screws

3

26712

3.5 mm x 12 mm Non-Locking Screws

3

26528

2.0 mm x 28 mm Non-Locking Screws

3

26714

3.5 mm x 14 mm Non-Locking Screws

3

26530

2.0 mm x 30 mm Non-Locking Screws

3

26716

3.5 mm x 16 mm Non-Locking Screws

3

26532

2.0 mm x 32 mm Non-Locking Screws

3

26718

3.5 mm x 18 mm Non-Locking Screws

3

26534

2.0 mm x 34 mm Non-Locking Screws

3

26720

3.5 mm x 20 mm Non-Locking Screws

3

26536

2.0 mm x 36 mm Non-Locking Screws

3

26722

3.5 mm x 22 mm Non-Locking Screws

3

26538

2.0 mm x 38 mm Non-Locking Screws

3

26724

3.5 mm x 24 mm Non-Locking Screws

3

26726

3.5 mm x 26 mm Non-Locking Screws

3

Catalog # Description

Qty.

26728

3.5 mm x 28 mm Non-Locking Screws

3

27708

3.5 mm x 8.0 mm Locking Screws

3

26730

3.5 mm x 30 mm Non-Locking Screws

3

27710

3.5 mm x 10 mm Locking Screws

3

26732

3.5 mm x 32 mm Non-Locking Screws

3

27712

3.5 mm x 12 mm Locking Screws

3

26734

3.5 mm x 34 mm Non-Locking Screws

3

27714

3.5 mm x 14 mm Locking Screws

6

26736

3.5 mm x 36 mm Non-Locking Screws

3

27716

3.5 mm x 16 mm Locking Screws

6

26738

3.5 mm x 38 mm Non-Locking Screws

3

27718

3.5 mm x 18 mm Locking Screws

6

26740

3.5 mm x 40 mm Non-Locking Screws

3

27720

3.5 mm x 20 mm Locking Screws

6

26742

3.5 mm x 42 mm Non-Locking Screws

3

27724

3.5 mm x 24 mm Locking Screws

3

26744

3.5 mm x 44 mm Non-Locking Screws

3

27728

3.5 mm x 28 mm Locking Screws

3

26746

3.5 mm x 46 mm Non-Locking Screws

3

27732

3.5 mm x 32 mm Locking Screws

3

26748

3.5 mm x 48 mm Non-Locking Screws

3

27736

3.5 mm x 36 mm Locking Screws

3

26750

3.5 mm x 50 mm Non-Locking Screws

3

27740

3.5 mm x 40 mm Locking Screws

3

26752

3.5 mm x 52 mm Non-Locking Screws

3

27745

3.5 mm x 45 mm Locking Screws

3

26754

3.5 mm x 54 mm Non-Locking Screws

3

27750

3.5 mm x 50 mm Locking Screws

3

27755

3.5 mm x 55 mm Locking Screws

3

27760

3.5 mm x 60 mm Locking Screws

3

27765

3.5 mm x 65 mm Locking Screws

3

18

Catalog # Description

Qty.

Catalog # Description

Qty.

26756

3.5 mm x 56 mm Non-Locking Screws

3

26814

4.5 mm x 14 mm Non-Locking Screws

3

26758

3.5 mm x 58 mm Non-Locking Screws

3

26816

4.5 mm x 16 mm Non-Locking Screws

3

26760

3.5 mm x 60 mm Non-Locking Screws

3

26818

4.5 mm x 18 mm Non-Locking Screws

3

26765

3.5 mm x 65 mm Non-Locking Screws

3

26820

4.5 mm x 20 mm Non-Locking Screws

3

26770

3.5 mm x 70 mm Non-Locking Screws

3

26822

4.5 mm x 22 mm Non-Locking Screws

3

26775

3.5 mm x 75 mm Non-Locking Screws

3

26824

4.5 mm x 24 mm Non-Locking Screws

3

26780

3.5 mm x 80 mm Non-Locking Screws

3

26826

4.5 mm x 26 mm Non-Locking Screws

3

26785

3.5 mm x 85 mm Non-Locking Screws

3

26828

4.5 mm x 28 mm Non-Locking Screws

3

26790

3.5 mm x 90 mm Non-Locking Screws

3

26830

4.5 mm x 30 mm Non-Locking Screws

3

26795

3.5 mm x 95 mm Non-Locking Screws

3

26832

4.5 mm x 32 mm Non-Locking Screws

3

26834

4.5 mm x 34 mm Non-Locking Screws

3

Qty.

26836

4.5 mm x 36 mm Non-Locking Screws

3

Catalog # Description 27814

4.5 mm x 14 mm Locking Screws

2

26838

4.5 mm x 38 mm Non-Locking Screws

3

27816

4.5 mm x 16 mm Locking Screws

2

26840

4.5 mm x 40 mm Non-Locking Screws

3

27818

4.5 mm x 18 mm Locking Screws

2

26842

4.5 mm x 42 mm Non-Locking Screws

3

27820

4.5 mm x 20 mm Locking Screws

4

26844

4.5 mm x 44 mm Non-Locking Screws

3

27824

4.5 mm x 24 mm Locking Screws

4

26846

4.5 mm x 46 mm Non-Locking Screws

3

27828

4.5 mm x 28 mm Locking Screws

4

26848

4.5 mm x 48 mm Non-Locking Screws

3

27832

4.5 mm x 32 mm Locking Screws

4

26850

4.5 mm x 50 mm Non-Locking Screws

3

27836

4.5 mm x 36 mm Locking Screws

4

26852

4.5 mm x 52 mm Non-Locking Screws

3

27840

4.5 mm x 40 mm Locking Screws

4

26854

4.5 mm x 54 mm Non-Locking Screws

3

27845

4.5 mm x 45 mm Locking Screws

4

26856

4.5 mm x 56 mm Non-Locking Screws

3

27850

4.5 mm x 50 mm Locking Screws

4

26858

4.5 mm x 58 mm Non-Locking Screws

3

27855

4.5 mm x 55 mm Locking Screws

4

26860

4.5 mm x 60 mm Non-Locking Screws

3

27860

4.5 mm x 60 mm Locking Screws

4

26865

4.5 mm x 65 mm Non-Locking Screws

3

27865

4.5 mm x 65 mm Locking Screws

4

26870

4.5 mm x 70 mm Non-Locking Screws

3

27870

4.5 mm x 70 mm Locking Screws

4

26875

4.5 mm x 75 mm Non-Locking Screws

3

27875

4.5 mm x 75 mm Locking Screws

4

26880

4.5 mm x 80 mm Non-Locking Screws

3

27880

4.5 mm x 80 mm Locking Screws

2

26885

4.5 mm x 85 mm Non-Locking Screws

3

27885

4.5 mm x 85 mm Locking Screws

2

26890

4.5 mm x 90 mm Non-Locking Screws

3

27890

4.5 mm x 90 mm Locking Screws

2

26895

4.5 mm x 95 mm Non-Locking Screws

3

27895

4.5 mm x 95 mm Locking Screws

2

19

Ordering Information (Continued) Catalog # Description

Qty.

Catalog # Description

Qty.

25914

5.0 mm x 14 mm SD Locking Screw, Flat Nose 3

26460

5.5 mm x 60 mm Cannulated Lag Screw

2

25918

5.0 mm x 18 mm SD Locking Screw, Flat Nose 3

26465

5.5 mm x 65 mm Cannulated Lag Screw

2

25818

5.0 mm x 18 mm SD Locking Screw

4

26470

5.5 mm x 70 mm Cannulated Lag Screw

2

25826

5.0 mm x 26 mm SD Locking Screw

12

26475

5.5 mm x 75 mm Cannulated Lag Screw

2

25840

5.0 mm x 40 mm SD Locking Screw

4

26480

5.5 mm x 80 mm Cannulated Lag Screw

2

25855

5.0 mm x 55 mm SD Locking Screw

4

26485

5.5 mm x 85 mm Cannulated Lag Screw

2

25865

5.0 mm x 65 mm SD Locking Screw

2

26490

5.5 mm x 90 mm Cannulated Lag Screw

2

25875

5.0 mm x 75 mm SD Locking Screw

2

26495

5.5 mm x 95 mm Cannulated Lag Screw

2

25885

5.0 mm x 85 mm SD Locking Screw

2

Total Bone Screws

Catalog # Description

Qty.

578

Disposables

27425

5.5 mm x 25 mm Locking Screws

3

Catalog # Description

Qty.

27430

5.5 mm x 30 mm Locking Screws

3

26981

Unicortical TF Shaft 3.5mm

2

27435

5.5 mm x 35 mm Locking Screws

3

26982

Bicortical TF Shaft 3.5mm

2

27440

5.5 mm x 40 mm Locking Screws

3

27550

4.8 mm Cannulated Drill Bit AO (5.5 Lock)

2

27445

5.5 mm x 45 mm Locking Screws

3

27555

4.5 mm Drill Bit AO (5.5 Non-Lock)

2

27450

5.5 mm x 50 mm Locking Screws

3

27557

4.3 mm Drill Bit AO (5.0 Lock Self-Drilling)

2

27455

5.5 mm x 55 mm Locking Screws

3

27560

3.8 mm Drill Bit AO (4.5 Lock)

2

27460

5.5 mm x 60 mm Locking Screws

3

27562

3.5 mm Drill Bit AO (3.5 Non-Lock)

2

27465

5.5 mm x 65 mm Locking Screws

3

27565

3.2 mm Drill Bit AO (4.5 Non-Lock)

2

27470

5.5 mm x 70 mm Locking Screws

3

27570

2.7 mm Drill Bit AO (3.5 Lock)

2

27475

5.5 mm x 75 mm Locking Screws

3

27575

2.5 mm Drill Bit AO (3.5 Non-Lock)

2

27480

5.5 mm x 80 mm Locking Screws

3

27582

1.5 mm Drill Bit AO (2.0 Non-Lock)

2

27485

5.5 mm x 85 mm Locking Screws

3

27585

5.5 mm Cannulated Drill Bit AO (5.5 Lag)

2

27490

5.5 mm x 90 mm Locking Screws

3

5.5 mm x 95 mm Locking Screws

3

27590 2.0 mm x 250 mm Threaded Guide Wire, Single

5

27495

27591 2.0 mm x 250 mm Non-Threaded Guide Wire, Single

5

Total Disposables

36

20

Further Information This brochure describes the surgical technique used by Michael

For further information, please contact the Customer Service

S. Sirkin, M.D., Douglas R. Dirschl, M.D. and Bharat M. Desai,

Department at:

M.D. Biomet Trauma, as the manufacturer of this device, does not practice medicine and does not recommend this product or any

Biomet Trauma

specific surgical technique for use on any individual patient. The

56 East Bell Drive

surgeon who performs any implant procedure is responsible for

P.O. Box 587

determining the appropriate product(s) and utilizing the appropriate

Warsaw, Indiana 46581-0587

technique(s) for said implantation in each individual patient.

800.348.9500 x 1501 www.biomet.com

21

All trademarks herein are the property of Biomet, Inc. or its subsidiaries unless otherwise indicated. This material is intended for the sole use and benefit of the Biomet sales force and health care professionals. It is not to be redistributed, duplicated or disclosed without the express written consent of Biomet. For product information, including indications, contraindications, warnings, precautions and potential adverse effects, see the package insert and Biomet’s website.

Responsible Manufacturer Biomet, Inc. P.O. Box 587 56 E. Bell Drive Warsaw, Indiana 46581-0587 USA ©2013 Biomet Orthopedics • Form No. BMET0356.0 • REV011513

www.biomet.com

Rx only.

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