LCP Hand 1.5 Synthes
LCP Hand 1.5 Synthes
Instrument
and implant module.
Surgical Technique
AO Principles 4
Implantation8
Implant Removal 17
Plates20
Instruments22
Sets 24
MRI Information 25
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.
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.
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)
AO PRINCIPLES
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.
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
1 LCP Compact Hand 1.5 (LCP, Locking straight and Locking Condylar Plates)
Lateral View
Complete the preoperative radiographic assessment and
AP View
prepare the preoperative plan. Use the x-ray templates for Holes Length
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
0X.214.006–024 Locking Screw Stardrive 1.5 mm, 0X.214.106–124 Cortex Screw Stardrive 1.5 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
Ö034.000.575_AAwä
Holes Holes
0X.114.009 8 oblique left 0X.114.010 8 oblique right
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
Required sets
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).
1
Reduce fracture
2
Trim plate
Instrument
Instruments
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.
4
1
Position plate
Instrument
Optional instrument
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.
6A
Insert screws in non-preassembled plate
Instruments
Optional instrument
Instruments
Optional instrument
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)
Instrument
Optional instrument
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
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.
Instruments
Optional instrument
X = 2: Stainless Steel
X = 4: TAN
X = 2: Stainless Steel
X = 4: TAN
X = 2: Stainless Steel
X = 4: Pure Titanium (CP4)
X = 2: Stainless Steel
X = 4: Pure Titanium (CP4)
Drill Bits are available non-sterile or sterile packed. Add suffix ”S” to article
number to order sterile product.
Optional
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
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
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