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Technique Guide
Veterinary
0X6.000.995_AB 01.10.12 12:10 Seite Cvr2
0X6.000.995_AB 01.10.12 12:10 Seite 1
Table of Contents
Plates 4
Screws 6
Fixation Principles 8
Screw Insertion 14
Set Lists 21
Warning
This description alone does not provide sufficient background for direct use of
the instrument set. Instruction by a surgeon experienced in handling these
instruments is highly recommended.
Features
– Equipment for LC-DCP and DCP plating systems
– Can be upgraded to LCP system
– Cases are organized in general order of use
– Compact case sizes fit most tabletop autoclaves
– Plate case stores a full range of 2.7, 3.5, and 3.5 Broad
DCP, LC-DCP or LCP plates
– Includes auxiliary bins for storing additional equipment
Features
– Dedicated equipment designed for LCP plating
– Locking instruments fit in the Graphic Case for Small
Fragment Instrument Set (690.591)
– All cases are organized in general order of use
– Compact case sizes fit most tabletop autoclaves
Plates
Uniform stiffness
– Allows smooth contouring of the plate to the bone
– Protects the plate from localized high bending stress,
because of the even distribution of stresses over a long
distance along the plate DCP
Bibliography
1. Gasser, R., and S.M. Perren, "Parametric Numerical Design Optimization of
Internal Fixation Plates", 7th Meeting of the European Society of Biomechanics,
Aarhus (Denmark), 1990.
2. Klaue, K. and S.M. Perren. Unconventional Shapes of the Plate Cross-Section in
Internal Fixation: The Trapezoid Plate. Long Term Study of Bone Reaction in Sheep
Tibiae. Davos, Switzerland: Laboratory for Experimental Surgery, AO/ASIF, 1990.
Screws
Cortex Screws
– For bicortical fixation in diaphyseal bone
– Self-tapping screws are standard in all sets
– Non-self-tapping screws are also available
Locking Screws
– Use with the Locking Compression Plate (LCP)
– Conical, double-lead machine thread on the head locks
into the threaded combi-hole or stacked combi-hole in the
plate
– Create a fixed-angle construct
– Large core diameter provides improved bending and
shear strength
– Stardrive recess provides improved torque transmission
to the screw, while retaining the screw without the use of
a holding sleeve
Screw fixation
Bicortical cortex screw fixation is the traditional method of 1
compressing a plate to the bone. Friction between the plate
and bone maintains stability. Therefore, bicortical screws
require two cortices of fixation to achieve stability (1).
Warning:
– Synthes implants and instruments are manufactured with
proprietary processes that produce superior products to
those created by conventional manufacturing processes.
Though other companies may be able to estimate the Syn-
thes general product design, Synthes product dimensions
are proprietary. The precision design of Synthes products
is very important for long-term product function and opti-
mal fit between implants.
– Only the finest quality materials are used to manufacture
Synthes implants. The metals Synthes uses have been sci-
entifically proven to be of the best biocompatibility and
quality available today.
– With these features and qualities, the mixing of Synthes
implants with the implants from other companies is not
recommended. The overall performance may be compro-
mised due to differences in design, chemical composition,
mechanical properties, and quality.
– Given these qualities are trade-secret, no competitor of
Synthes can make a genuine claim “the same as Synthes.”
Combining implants from other companies with Synthes
implants could reduce product performance. Conse-
quently, it is strongly recommended to not mix parts from
different manufacturers.
Fixation Principles
Poor-quality bone
In poor-quality bone, screws cannot be tightened sufficiently
to obtain the compression and friction needed to withstand
the loading. This can result in loosening of the screws and
loss of stability and reduction.
Fixation Principles
Dynamic compression
Once the metaphyseal fragment has been fixed with locking
screws, the fracture can be dynamically compressed using
standard screws in the DCU portion of the combi-hole (9).
Preparation
1
Plate selection
Required sets
Preparation
2
Contouring
329.890
Instruments
Note: The LCP plate holes have been designed to accept some
degree of deformation. When bending the plate, place the
bending irons on two consecutive holes. This ensures that
the threaded holes will not be distorted. Significant distortion
of the locking holes will reduce locking effectiveness. Please
refer to the AO Principles of Fracture Management in the
Dog and Cat,1 AO Principles of Fracture Management,2 and
AO Manual of Fracture Management – Internal Fixators.3
1
Johnson.
2
Rüedi.
3
Wagner.
3 1
Reduction and temporary plate placement
Instruments
Screw Insertion
4
Screw insertion
Instruments
Use the 2.5 mm drill bit through the 3.5 mm universal drill
guide to predrill the bone.
The universal drill guides are the only drill guides which
function in all Synthes plate holes. When a cortex or cancel-
lous bone screw is used, a universal drill guide should be
used to guide the drill bit. If the screw is intended to achieve
interfragment compression, the universal drill guide should
be placed in the load position, as shown. If the screw is
intended to hold the plate, the universal drill guide should
2
be placed in the neutral position.
Neutral position
Neutral position is achieved by placing the universal drill
guide in the eccentric position, then compressing the drill
guide body into the hole, which will shift the drill guide
into the neutral position as shown (2).
gap
Screw Insertion
Screw the LCP drill sleeve into an LCP plate hole until fully
seated (3).
Warning: Do not try to bend the plate using the LCP drill
sleeve because damage may occur to the plate hole threads.
Use the 2.8 mm drill bit to drill to the desired depth (4).
Remove the LCP drill sleeve and use the depth gauge to
determine screw length (5).
Insert the locking screw under power using the torque limiter
and Stardrive screwdriver shaft (6). 6
Postoperative treatment
Postoperative treatment with locking compression plates
does not differ from conventional internal fixation proce-
dures.
Implant removal
Featured Instruments
The drill sleeve threads into locking plates for correct align-
ment of locking screws with plate holes. The drill sleeve cen-
ters a drill bit to ensure perpendicular drilling, and permits
proper mating of locking screws to the threaded portion of
the combi-hole.
Notes:
– To prevent cross-threading, turn the LCP drill sleeve coun-
terclockwise until a slight click is noticed, and then turn it
clockwise. If properly aligned, threads should engage
within a quarter-turn.
– The LCP drill sleeve can also be used intraoperatively as a
reference for visualizing the angle at which the locking
screws engage in the bone.
Featured Instruments
Also available
511.773 Torque Limiter, 1.5 Nm, for AO/ASIF
Quick Coupling
– For use with 3.5 mm locking screws
Graphic Case
690.591 Graphic Case for Instrument Set Small
Fragments, without Contents
Instruments
310.210 Drill Bit ⭋ 2.0 mm, length 125/100 mm,
2-flute, for Quick Coupling
310.250 Drill Bit ⭋ 2.5 mm, length 110/85 mm,
2-flute, for Quick Coupling
310.260 Drill Bit ⭋ 2.7 mm, length 100/75 mm,
2-flute, for Quick Coupling
310.350 Drill Bit ⭋ 3.5 mm, length 110/85 mm,
2-flute, for Quick Coupling
310.890 Countersink 3.5
311.260 Tap for Cortex Screws ⭋ 2.7 mm,
length 100/33 mm Shown with both 103.501 and 103.502 set combined
311.320 Tap for Cortex Screws ⭋ 3.5 mm,
length 110/50 mm
311.430 Handle with Quick Coupling,
length 110 mm
311.440 T-Handle with Quick Coupling
312.200 Triple Drill Guide 2.0, with 3 holes
312.240 Double Drill Guide 2.7/2.0
312.280 Double Drill Guide 3.5/2.5
312.300 Drill Sleeve Insert 3.5/2.5, length 42 mm
314.020 Screwdriver, hexagonal, small,
with Holding Sleeve
314.030 Screwdriver Shaft, hexagonal, small, VW1203.15.10 Kirschner Wire ⭋ 1.25 mm with trocar tip,
⭋ 2.5 mm length 150 mm, Stainless Steel,
319.010 Depth Gauge for Screws ⭋ 2.7 to 4.0 mm, pack of 10 units
measuring range up to 60 mm VW2003.15.10 Kirschner Wire ⭋ 2.0 mm with trocar tip,
319.970 Screw Forceps, self-holding, length 85 mm length 150 mm, Stainless Steel,
323.260 Universal Drill Guide 2.7 pack of 10 units
323.360 Universal Drill Guide 3.5
329.040 / Bending Irons for Plates 2.4 to 3.5,
Note: Small Fragment Instrument Set (103.503) consists of
329.050 length 145
Small Fragment Standard Instrument Set (103.501), with
graphic case, and Small Fragment Locking Instrument Set
(103.502).
Screw Rack
690.593 Small Fragment Standard Screw Rack
Standard Screws
Cortex Screws ⭋ 2.7 mm, self-tapping, 6 each
Length (mm) Length (mm)
VS205.008 8 VS205.016 16
VS205.010 10 VS205.018 18
VS205.012 12 VS205.020 20
VS205.014 14 Lid not shown
Cancellous Bone Screws ⭋ 4.0 mm, fully threaded (rack will Cancellous Bone Screws ⭋ 4.0 mm, partially threaded,
hold four each 10 – 40 mm screws, two each 45 mm and (rack will hold four each 10 – 40 mm screws, two each
50 mm screws) 45 mm and 50 mm screws)
Length (mm) Length (mm) Length (mm)
VS403.010 10 VS403.040 40 VS404.010 – 10 – 50
VS403.012 12 VS403.045 45 VS404.050
VS403.014 14 VS403.050 50 VS404.055 – 55 – 60*
VS403.032 32 VS403.055 55* VS404.060
VS403.036 36 VS403.060 60*
Graphic Case
690.511 Graphic Case for Small Fragment Plate Set,
without Contents
Implants
LC-DCP Plates 2.7
Length Length
Holes (mm) Holes (mm)
VP3031.06 6 55 VP3031.10 10 91
VP3031.08 8 73 VP3031.12 12 109
Also Available
LC-DCP Plates 2.7
Length Length
Holes (mm) Holes (mm)
VP3031.04 4 37 VP3031.11 11 100
VP3031.05 5 46 VP3031.14 14 127
VP3031.07 7 64 VP3031.16 16 145
VP3031.09 9 82
Instruments
310.288 Drill Bit ⭋ 2.8 mm, length 165 mm, 310.288
for AO/ASIF Quick Coupling
312.648 LCP Drill Sleeve 3.5, for Drill Bits ⭋ 2.8 mm
313.353 Drill Sleeve 2.7, for Aiming Arm
312.648
No. 313.354, for DHP
314.116 Screwdriver Shaft Stardrive 3.5, T15,
self-holding, for AO/ASIF Quick Coupling
313.353
314.467 Screwdriver Shaft, Stardrive, T8,
self-holding
324.023 Bending Pin for LCP Plates 3.5,
314.116
with thread, length 100 mm
324.024 Instrument for temporary reduction
314.467
Also Available
314.115 Screwdriver Stardrive 3.5, T15
324.023
314.468 Holding Sleeve for Screws Stardrive
⭋ 2.4 mm, T8, for Screwdriver Shafts
⭋ 3.5 mm, for No. 314.467
511.773 Torque Limiter, 1.5 Nm, 324.024
for AO/ASIF Quick Coupling
511.776 Torque Limiter, 0.8 Nm,
with AO/ASIF Quick Coupling
314.115
VW1605.15.10 Kirschner Wire ⭋ 1.6 mm with threaded
tip, length 150 mm, Stainless Steel,
pack of 10 units
314.468
Screw Rack
690.592 Small Fragment Locking Screw Rack
Implants
Locking Screws ⭋ 2.7 mm, self-tapping, 2 each
(rack will hold 6 each)
Length (mm) Length (mm)
VS206.012 12 VS206.022 22
VS206.014 14 VS206.024 24
VS206.016 16 VS206.026 26 Lid not shown
VS206.018 18 VS206.028 28
VS206.020 20
Also Available
Locking Screws ⭋ 2.7 mm, self-tapping (rack will hold 6 each)
Length (mm) Length (mm)
VS206.010 10 VS206.034 34
VS206.030 30 VS206.036 – 36
VS206.032 32 VS206.050 50*
Graphic Case
690.511 Graphic Case for Small Fragment Plate Set,
without Contents
Implants
LCP Plates 2.7
Length Length
Holes (mm) Holes (mm)
VP4031.06 6 54 VP4031.10 10 90
VP4031.08 8 72 VP4031.12 12 108
Also Available
LCP Plates 2.7
Length Length
Holes (mm) Holes (mm)
VP4031.04 4 36 VP4031.09 9 81
VP4031.05 5 45 VP4031.14 14 126
VP4031.07 7 63 VP4031.16 16 144
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All technique guides are available as PDF files at
Ö036.000.995öAB9ä
036.000.995 version AB rev. 1 10/2012 35100072 © Synthes, Inc. or its affiliates Subject to modifications Synthes, LCP and Stardrive are trademarks of Synthes, Inc. or its affiliates