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LCP Hand 1.5 Synthes

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0% found this document useful (0 votes)
815 views28 pages

LCP Hand 1.5 Synthes

Uploaded by

Mark Sharon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LCP Compact Hand 1.5.

Instrument
and implant module.

Surgical Technique

This publication is not intended for


distribution in the USA.
Table of Contents

Introduction LCP Compact Hand 1.5 2

AO Principles 4

Intended Use and Indications 5

Surgical Technique Preparation6

Implantation8

Implant Removal 17

Product Information Screws18

Plates20

Plates, with Preassembled Short LCP Drill Sleeves 21

Instruments22

Sets  24

MRI Information 25

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 Maintenance


For general guidelines, function control and dismantling of m ­ ulti-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-maintenance
For 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 1.5  Surgical Technique  DePuy Synthes    1


LCP Compact Hand 1.5. Instrument and
implant module.

Adaptable Locking Plates for


Various Indications

LCP Plate 1.5, straight

Locking Plate 1.5, straight

Locking T-Plate 1.5

Locking Strut Plate 1.5

Locking Y-Plate 1.5

Locking Condylar Plate 1.5

Minimized soft tissue Option for preassembled drill Locking or non-locking screw
irritation sleeves option

Low profile plates with rounded edges All plates are available either Self-tapping screws with low-profile
and highly polished surface to minimize with or without short drill sleeves screw head sit flush with the plate.
soft tissue irritation. preassembled. Coaxial locking holes and LCP holes
­accept both, cortex and locking screws.

2    DePuy Synthes  LCP Compact Hand 1.5  Surgical Technique


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

LCP Compact Hand 1.5  Surgical Technique  DePuy Synthes    3


AO Principles

AO PRINCIPLES

In 1958, the AO formulated four basic principles, which have


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

4_Priciples_03.pdf 1 05.07.12 12:08

Anatomic
Anatomic reduction fixation
Stable fixation
Fracture reduction
Fracture reduction and
and fixation
fixation to Fracture
Fracture fixation
fixationproviding
providingabsolute
abso- or
to restore
restore anatomical
anatomical relationships.
relationships. relative stability,stability,
lute or relative as required
as by the
­prequired
atient, theby injury, and thethe
the patient, personality
injury,
1 2 of
andthethe
fracture.
personality of the
fracture.

Early,
Early, active mobilization
mobilization Preservationof
Preservation of blood
blood supply
supply
Early and
Early and safe mobilization
mobilizationand
and 4 3 Preservation
Preservationof ofthe
theblood
bloodsupply
supply
rehabilitation the injured partand
rehabilitation of the injured part to
to soft tissues and bone bygentle
soft tissues and bone by
the patient
and as a whole.
the patient as a whole. reduction techniques
gentle reduction and careful
techniques and
handling.
careful handling.

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.

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.

4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique


4    DePuy Synthes  LCP Compact Hand 1.5  Surgical Technique
Intended Use and Indications

Intended Use
LCP Compact Hand 1.5 Implants are intended for temporary
fixation, correction or stabi­lization of bones in anatomical
region of the hand.

Indications
–– Fracture fixation of the phalanges and metacarpals
–– Osteotomies
–– Arthrodeses
–– Replantations and reconstructions of phalanges and meta-
carpals, particularly in osteopenic bone

LCP Compact Hand 1.5  Surgical Technique  DePuy Synthes    5


Preparation

1 LCP Compact Hand 1.5 (LCP, Locking straight and Locking Condylar Plates)

Preoperative planning LCP Plate 1.5, straight

Lateral View
Complete the preoperative radiographic assessment and

AP View
­prepare the preoperative plan. Use the x-ray templates for Holes Length

LCP Compact Hand 1.5 (Art. Nos. 034.000.570/575) to


0X.114.002 4 23 mm
0X.114.004 6 36 mm

­determine the length of the plate and the position of the Locking Plate 1.5, straight

Lateral View
screws.

Ö034.000.570_AA@ä
AP View
Holes Length
0X.114.003 6 29 mm
0X.114.005 12 59 mm

Locking Condylar Plate 1.5

Synthes and LCP are trademarks of Synthes, Inc. or its affiliates


Lateral View
AP View

All rights reserved


Shaft Head
0X.114.014 6 Holes 2 Holes

0X.214.006–024 Locking Screw Stardrive  1.5 mm, 0X.214.106–124 Cortex Screw Stardrive  1.5 mm,

© 01/2010 Synthes, Inc. or its affiliates


self-tapping, length 6–24 mm self-tapping, length 6–24 mm

0 6 10 15 20 24 0 6 10 15 20 24

1.15 Magnification

30100117
x=2: Stainless Steel

034.000.570 AA
0 10 20 30 40 50 60 70 80 90 100 mm x=4: Titanium Synthes GmbH
Eimattstrasse 3
For use only with the Original AO System of CH-4436 Oberdorf
Instruments and Implants www.synthes.com

LCP Compact Hand 1.5 (Locking T-, Strut and Y-Plates)

Locking T-Plate 1.5


Lateral View
AP View

Shaft Head Shaft Head


0X.114.006 8 Holes 3 Holes 0X.114.007 8 Holes 4 Holes

Locking Strut Plate 1.5, oblique-angled left and right


Lateral View
AP View

Ö034.000.575_AAwä

Holes Holes
0X.114.009 8 oblique left 0X.114.010 8 oblique right

Locking Y-Plate 1.5


Lateral View

Synthes and LCP are trademarks of Synthes, Inc. or its affiliates


AP View

Shaft Head
0X.114.013 8 Holes 3 Holes
All rights reserved

0X.214.006–024 Locking Screw Stardrive  1.5 mm, 0X.214.106–124 Cortex Screw Stardrive  1.5 mm,
self-tapping, length 6–24 mm self-tapping, length 6–24 mm
© 01/2010 Synthes, Inc. or its affiliates

0 6 10 15 20 24 0 6 10 15 20 24

1.15 Magnification
034.000.575 AA 30100117

x=2: Stainless Steel


0 10 20 30 40 50 60 70 80 90 100 mm x=4: Titanium Synthes GmbH
Eimattstrasse 3
For use only with the Original AO System of CH-4436 Oberdorf
Instruments and Implants www.synthes.com

6    DePuy Synthes  LCP Compact Hand 1.5  Surgical Technique


2
Select implant

Required sets

01.114.104 LCP Compact Hand 1.5


(Titanium Implants)
or
01.114.102 LCP Compact Hand 1.5
(Stainless Steel Implants)

01.110.003 Standard Instrument Set for


LCP Compact Hand

The plates of the LCP Compact Hand Module 1.5 are


available either with or without short drill sleeves preassem-
bled to the plate. The plates with preassembled drill sleeves
are available sterile only.

Select the plate according to the fracture pattern and the


anatomy of the patient.

Notes:
– This technique guide describes the application of the
LCP Compact Hand 1.5 system using a Locking Condylar
Plate 1.5.
– Familiarity with the use of LCP plates or instruction from
an experienced surgeon is recommended (see LCP Locking
Compression Plate technique guide 036.000.019).

LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 7


Implantation

1
Reduce fracture

Reduce the fracture under image intensifier control and,


if necessary, fix with Kirschner wires or reduction forceps.
The reduction method will be fracture-specific.

2
Trim plate

Instrument

391.962 Bending/Cutting Pliers

Trim the plate to the desired length using the bending/


cutting pliers and remove the burrs.

Note: If the bending/cutting pliers are used on a plate


with preassemble drill sleeves, the drill sleeves must first be
removed from the plate.

8    DePuy Synthes  LCP Compact Hand 1.5  Surgical Technique


3
1
Contour plate

Instruments

03.114.003 Bending Pin for LCP Plates 1.5,


with thread

347.901 Pliers, flat-nosed, pointed,


for Plates 1.0 to 2.4

If necessary, contour the plate to suit anatomical conditions.

Non-preassembled plates
Use the 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.

Preassembled plates
Use the non-threaded ends of the bending pins over the
2
short threaded drill sleeves. (2)

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 during bending as this may ad-
versely a­ ffect insertion of locking screws.
–– 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.

LCP Compact Hand 1.5  Surgical Technique  DePuy Synthes    9


Implantation

4
1
Position plate

Instrument

399.970 Reduction Forceps with Points, ratchet lock

Position the plate over the reduced fracture and, if necessary,


fix provisionally with Kirschner wires or reduction forceps. (1)

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 2


the plate, remove the drill sleeves from the surrounding
holes so that the holding forceps sit flush on the plate.

11    DePuy Synthes  LCP Compact Hand 1.5  Surgical Technique


5
Determine screw type

Depending on the individual case, cortex screws and/or


­locking screws may be inserted. Determine where locking
screws will be used.

The LCP and the locking holes accept both, cortex and lock-
ing screws. The elongated hole only accepts cortex screws.
LCP hole (cortex or locking screw) Locking hole (cortex or locking screw)
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.

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

Elongated hole (cortex screw only)

LCP Compact Hand 1.5  Surgical Technique  DePuy Synthes    11


Implantation

6A
Insert screws in non-preassembled plate

Insert locking screw


1

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

319.003 Depth Gauge for Screws B 1.3 to 1.5 mm,


measuring range up to 24 mm

03.114.009 Screwdriver Shaft Stardrive 1.5, with


Holding Sleeve, length 66 mm, for Mini
Quick Coupling

311.012 Handle, medium,


with Mini Quick Coupling 2

Optional instrument

03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short,


self-holding, for Mini QuickCoupling

Pre-drill the hole for a 1.5 mm locking screw using the


1.1 mm drill bit and the LCP drill sleeve 1.5. (1)

Determine the screw length with the corresponding depth


gauge. (2)

Insert the screw manually with the screwdriver shaft with


holding sleeve and the handle with mini quick coupling. (3)
3

11    DePuy Synthes  LCP Compact Hand 1.5  Surgical Technique


Insert cortex screw
1

Instruments

312.140 Double Drill Guide 1.5/1.1

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 Quick Coupling, Stainless Steel

319.003 Depth Gauge for Screws B 1.3 to 1.5 mm,


measuring range up to 24 mm

03.114.009 Screwdriver Shaft Stardrive 1.5, with


Holding Sleeve, length 66 mm, for Mini
Quick Coupling 2

311.012 Handle, medium,


with Mini Quick Coupling

Optional instrument

03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short,


self-holding, for Mini QuickCoupling

Pre-drill the hole for a 1.5 mm cortex screw with the 1.1 mm
drill bit using the double drill guide. To drill a gliding
hole, use the 1.5 mm drill bit with the double drill guide. (1)

To adjust the plate position, a 1.5 mm cortex screw can


be inserted in the non-threaded elongated hole (in T-, Y- and
Condylar Plate). Insert the 1.5 mm cortex screw, adjust the
plate position if necessary and tighten the screw.

Determine the screw length with the corresponding depth


gauge. (2)

LCP Compact Hand 1.5  Surgical Technique  DePuy Synthes    11


Implantation

Insert the screw manually with the screwdriver shaft with


holding sleeve and the handle with mini quick coupling. (3) 3

11    DePuy Synthes  LCP Compact Hand 1.5  Surgical Technique


6B
1
Insert screws in plate with preassembled short
drill sleeves

Instrument

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 Quick Coupling,
Stainless Steel

312.140 Double Drill Guide 1.5/1.1

03.114.009 Screwdriver Shaft Stardrive 1.5, with


Holding Sleeve, length 66 mm, for Mini 2
Quick Coupling

311.012 Handle, medium,


with Mini Quick Coupling

Optional instrument

03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short,


self-holding, for Mini Quick Coupling

Pre-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. (1, 2, 3)
3

Note: Screw length may be measured either with or with-


out 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)

LCP Compact Hand 1.5  Surgical Technique  DePuy Synthes    11


Implantation

Insert the screw manually with the screwdriver shaft with


holding sleeve and the handle with mini quick coupling. (4) 4

Notes:
–– Remove all preassembled short drill sleeves before closure.
Use the self-retaining T4 screwdriver shaft or the screw-
driver shaft with holding sleeve and the handle with mini
quick coupling to unscrew them from the plate (5, 6).
A tray which can serve as a tool to help remove the short
drill sleeves from the screwdriver is optionally available.
–– It is recommended to count the short LCP drill sleeves to
ensure they are all removed before closure.

11    DePuy Synthes  LCP Compact Hand 1.5  Surgical Technique


Implant Removal

Instruments

03.114.009 Screwdriver Shaft Stardrive 1.5, with


Holding Sleeve, length 66 mm, for Mini
Quick Coupling

311.012 Handle, medium,


with Mini Quick Coupling

Optional instrument

03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short,


self-holding, for Mini Quick Coupling

To remove the implants, first unlock all locking screws before


removing them completely. Otherwise, the plate may rotate
and damage the soft tissue.

LCP Compact Hand 1.5  Surgical Technique  DePuy Synthes    11


Screws

Cortex Screw Stardrive, B 1.5 mm,


self-tapping

– Used to provide compression or neutral fixation


– Low-profile head sits flush in the plate holes

Art. No. Length (mm)


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

X = 2: Stainless Steel
X = 4: TAN

Implants are available non-sterile or sterile packed.


Add suffix “S” to article number to order sterile product.

18 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique


Locking Screw Stardrive, B 1.5 mm, self-tapping

– Threaded, conical head locks securely in combi- and


locking hole of the plate to provide angular stability
– Locked screws allow monocortical screw fixation and
load transfer to the near cortex

Art. No. Length (mm)


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

X = 2: Stainless Steel
X = 4: TAN

Implants are available non-sterile or sterile packed.


Add suffix “S” to article number to order sterile product.

LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 19


Plates

LCP Plate 1.5, straight


Holes Length (mm)
0X.114.002 4 23
0X.114.004 6 36

Locking Plate 1.5, straight


Holes Length (mm)
0X.114.003 6 29
0X.114.005 12 59

Locking T-Plate 1.5


Holes Length (mm)
0X.114.006 Shaft 8, head 3 44.5
0X.114.007 Shaft 8, head 4 44.5

Locking Strut Plate 1.5


Holes Length (mm)
0X.114.010 Right 8 23
0X.114.009 Left 8 23

Locking Y-Plate 1.5


Holes Length (mm)
0X.114.013 Shaft 8, head 3 47

Locking Condylar Plate 1.5


Holes Length (mm)
0X.114.014 Shaft 6, head 2 36

X = 2: Stainless Steel
X = 4: Pure Titanium (CP4)

Implants are available non-sterile or sterile packed.


Add suffix “S” to article number to order sterile product.

20 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique


Plates, with Preassembled
Short LCP Drill Sleeves

LCP Plate 1.5, straight


Holes Length (mm)
0X.114.502S 4 23
0X.114.504S 6 36

Locking Plate 1.5, straight


Holes Length (mm)
0X.114.503S 6 29
0X.114.505S 12 59

Locking T-Plate 1.5


Holes Length (mm)
0X.114.506S Shaft 8, head 3 44.5
0X.114.507S Shaft 8, head 4 44.5

Locking Strut Plate 1.5


Holes Length (mm)
0X.114.510S Right 8 23
0X.114.509S Left 8 23

Locking Y-Plate 1.5


Holes Length (mm)
0X.114.513S Shaft 8, head 3 47

Locking Condylar Plate 1.5


Holes Length (mm)
0X.114.514S Shaft 6, head 2 36

X = 2: Stainless Steel
X = 4: Pure Titanium (CP4)

Note: The plates with preassembled short drill sleeves are


available sterile only.

LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 21


Instruments

03.114.001 LCP Drill Sleeve 1.5, for Drill Bits 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, length 75/61 mm,


2-flute, for Mini Quick Coupling

03.114.009 Screwdriver Shaft Stardrive 1.5, with


Holding Sleeve, length 66 mm, 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

319.003 Depth Gauge for Screws B 1.3 to 1.5 mm,


measuring range up to 24 mm

311.012 Handle, medium, with


Mini Quick Coupling

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

22 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique


Additional instruments

391.962 Bending/Cutting Pliers

347.901 Pliers, flat-nosed, pointed,


for Plates 1.0 to 2.4

399.970 Reduction Forceps with Points, ratchet lock

398.819 Holdig Forceps with Swivel Foot,


for Plates 1.3 to 2.4, speed lock

Optional

03.114.008 Drill Bit B 1.1 mm, for Stryker Coupling

310.143 Drill Bit B 1.5 mm, for Stryker Coupling

03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short,


self-holding, for Mini Quick Coupling

LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 23


Sets

01.114.104 LCP Compact Hand 1.5 (Titanium Implants) 01.114.102 LCP Compact Hand 1.5 (Stainless Steel Implants)

Module Module
68.114.001 Module LCP Compact Hand 1.5, with Lid, without Contents 68.114.001 Module LCP Compact Hand 1.5, with Lid, without Contents
Implants Implants
04.214.006 – Locking Screw Stardrive B 1.5 mm, self-tapping, length 02.214.006 – Locking Screw Stardrive B 1.5 mm, self-tapping, length
04.214.015 6 mm to 15 mm, Titanium Alloy (TAN), 1 mm increments 02.214.015 6 mm to 15 mm, Stainless Steel, 1 mm increments
04.214.016 – Locking Screw Stardrive B 1.5 mm, self-tapping, 02.214.016 – Locking Screw Stardrive B 1.5 mm, self-tapping,
04.214.024 length 16 mm to 24 mm, Titanium Alloy (TAN), 02.214.024 length 16 mm to 24 mm, Stainless Steel, 2 mm increments
2 mm increments 02.214.106 – Cortex Screw Stardrive B 1.5 mm, self-tapping,
04.214.106 – Cortex Screw Stardrive B 1.5 mm, self-tapping, 02.214.115 length 6 mm to 15 mm, Stainless Steel, 1 mm increments
04.214.115 length 6 mm to 15 mm, Titanium Alloy (TAN), 02.214.116 – Cortex Screw Stardrive B 1.5 mm, self-tapping,
1 mm increments 02.214.124 length 16 mm to 24 mm, Stainless Steel, 2 mm increments
04.214.116 – Cortex Screw Stardrive B 1.5 mm, self-tapping, 02.114.002 LCP Plate 1.5, straight, 4 holes, length 23 mm, Stainless Steel
04.214.124 length 16 mm to 24 mm, Titanium Alloy (TAN),
2 mm increments 02.114.003 Locking Plate 1.5, straight, 6 holes, length 29 mm,
Stainless Steel
04.114.002 LCP Plate 1.5, straight, 4 holes, length 23 mm, Pure Titanium
02.114.004 LCP Plate 1.5, straight, 6 holes, length 36 mm, Stainless Steel
04.114.003 Locking Plate 1.5, straight, 6 holes, length 29 mm,
Pure Titanium 02.114.005 Locking Plate 1.5, straight, 12 holes, length 59 mm,
Stainless Steel
04.114.004 LCP Plate 1.5, straight, 6 holes, length 36 mm, Pure Titanium
02.114.006 Locking T-Plate 1.5, shaft 8 holes, head 3 holes, Stainless Steel
04.114.005 Locking Plate 1.5, straight, 12 holes, length 59 mm,
Pure Titanium 02.114.007 Locking T-Plate 1.5, shaft 8 holes, head 4 holes, Stainless Steel

04.114.006 Locking T-Plate 1.5, shaft 8 holes, head 3 holes, Pure Titanium 02.114.009 Locking Strut Plate 1.5, 8 holes, oblique angled, left,
Stainless Steel
04.114.007 Locking T-Plate 1.5, shaft 8 holes, head 4 holes, Pure Titanium
02.114.010 Locking Strut Plate 1.5, 8 holes, oblique angled, right,
04.114.009 Locking Strut Plate 1.5, 8 holes, oblique angled, left, Stainless Steel
Pure Titanium
02.114.013 Locking Y-Plate 1.5, shaft 8 holes, head 3 holes, Stainless Steel
04.114.010 Locking Strut Plate 1.5, 8 holes, oblique angled, right,
Pure Titanium 02.114.014 Locking Condylar Plate 1.5, shaft 6 holes, head 2 holes,
Stainless Steel
04.114.013 Locking Y-Plate 1.5, shaft 8 holes, head 3 holes, Pure Titanium
Instruments
04.114.014 Locking Condylar Plate 1.5, shaft 6 holes, head 2 holes,
Pure Titanium 310.141 Drill Bit B 1.5 mm, length 65/50 mm, 2-flute,
for Quick Coupling, Stainless Steel
Instruments
310.971 Countersink for Screws B 1.3 and 1.5 mm, Stainless Steel
310.141 Drill Bit B 1.5 mm, length 65/50 mm, 2-flute,
for Quick Coupling, Stainless Steel 312.140 Double Drill Guide 1.5/1.1, for No. 311.150

310.971 Countersink for Screws B 1.3 and 1.5 mm, Stainless Steel 03.114.001 LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm

312.140 Double Drill Guide 1.5/1.1, for No. 311.150 03.114.003 Bending Pin for LCP Plates 1.5, with thread

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
03.114.003 Bending Pin for LCP Plates 1.5, with thread
03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm,
03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling
for Mini Quick Coupling
Optional
03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm,
for Mini Quick Coupling 310.143 Drill Bit B 1.5 mm, for Stryker Coupling

Optional 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding,


for Mini Quick Coupling
310.143 Drill Bit B 1.5 mm, for Stryker Coupling
60.114.004 Tray for LCP Drill Sleeves 1.5, short
03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding,
for Mini Quick Coupling 03.114.008 Drill Bit B 1.1 mm, for Stryker Coupling

03.114.008 Drill Bit B 1.1 mm, for Stryker Coupling 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding,
for Mini Quick Coupling
60.114.004 Tray for LCP Drill Sleeves 1.5, short

22    DePuy Synthes  LCP Compact Hand 1.5  Surgical Technique


MRI Information

Torque, Displacement and Image Artifacts according


to ASTM F 2213-06, ASTM F 2052-06e1 and
ASTM F 2119-07
Non-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 2182-11a
Non-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.

LCP Compact Hand 1.5  Surgical Technique  DePuy Synthes    22


© DePuy Synthes Trauma, a division of Synthes GmbH. 2016.  All rights reserved.  036.001.038 DSEM/TRM/0815/0439(1) 05/16

Synthes GmbH
Eimattstrasse 3 Not all products are currently available in all markets.
4436 Oberdorf
Switzerland This publication is not intended for distribution in the USA.
Tel: +41 61 965 61 11
Fax: +41 61 965 66 00 All surgical techniques are available as PDF files at
www.depuysynthes.com www.depuysynthes.com/ifu 0123

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