For Proximal Femur
130º Angled Blade Plate
Quick Reference Chart
130° Angled Blade Plate. Quick reference chart for proximal femur.
1
Determine anteversion and
plate direction
Insert the first Kirschner wire to
determine the anteversion of the
femoral neck axis. Place the wire
below the anterior ridge running along
the front of the intertrochanteric area
and drive it into the head (about
130 ° angle).
Drive a second K-wire into the greater
trochanter (predrilling with the 2.0 mm
drill bit in dense bone) parallel to the first
wire in the coronal plane, and parallel
to the upper edge of the 50° triangular
positioning plate (180°–130° = 50°)
placed on the femur along the lateral
cortex. The second wire should achieve
a tip apex distance of less than 2 cm and
indicates the direction of plate insertion.
Remove the first K-wire. Verify position
with C-arm.
Precautions:
– Poorly defined anteversion or entry
point may cause the blade to emerge
posteriorly from the femoral neck.
– Kirschner wires are single-use items,
do not re-use.
2
Create slot for chisel
Place the 130° drill guide on the lateral
cortex, midway between the anterior
and posterior surfaces of the femoral
shaft. Drill through one of the holes with
a 4.5 mm drill bit. Leaving that drill bit
in place, use a second 4.5 mm drill bit
to drill through the two remaining holes.
Remove the drill guide and drill bits.
Using the router, connect the three holes
to create a slot. With a 16 mm chisel,
bevel the distal rim to avoid shattering
of the cortex.
130º Angled Blade Plate Quick Reference Chart DePuy Synthes 1
130° Angled Blade Plate. Quick reference chart for proximal femur. continued
3
Insert chisel
Set the chisel guide at 50°, and insert
the chisel parallel to the K-wire in both
planes. The flap of the chisel guide
must remain in line with the long axis
of the femur. Use the slotted hammer
to maintain the rotational alignment of
the chisel. When the desired depth is
reached, remove the guide and use the
slotted hammer to remove the chisel.
Bevel the lower end of the channel
entrance to better seat the plate radius.
4
Insert plate
Tighten the selected plate in the inserter-
extractor as close to the shoulder as
possible. The handle must be horizontally
aligned with the blade. Push the plate
into the prepared channel by hand
and insert with light hammer blows.
Remove the inserter-extractor.
Use the impactor to complete seating
of the plate.
130º Angled Blade Plate Quick Reference Chart DePuy Synthes 2
130° Angled Blade Plate. Quick reference chart for proximal femur. continued
5
Secure plate
Predrill the most proximal shaft hole
with a 3.2 mm drill bit and measure
for screw length. Tap, if necessary. Fix
the plate to the bone with a 4.5 mm
cortex screw.
Insert the remaining 4.5 mm screws
using the same technique. Remove
the Kirschner wire and perform final
tightening of screws.
Precaution: Achieving medial buttress
is essential proximal and distal.
130º Angled Blade Plate Quick Reference Chart DePuy Synthes 3
Osteotomy
This description explains the steps for osteotomies.
Osteotomy Angled Blade Plates are used with the
same instruments as the previously described Angled
Blade Plates.
Preoperative planning
Preoperative planning is of particular importance before
performance of corrective osteotomies, because they are
the only way the surgeon can check preoperatively the
result of the osteotomy as well as the three-dimensional
concept of the procedure.
The principle of preoperative planning is similar as for
fracture treatment. The surgical technique is based on
the blade angle, which defines the final varus/valgus
correction as the blade is inserted along the axis of the
femoral neck in the proximal femur. Depending on the
correction, determine the appropriate osteotomy plate
by blade length, angle, and displacement.
Note: The blade channel is always prepared before the
osteotomy is performed.
Precaution: The preoperatively predetermined angles
must be followed exactly during operation.
130º Angled Blade Plate Quick Reference Chart DePuy Synthes 4
Osteotomy continued
Procedure
1
1. With
a Kirschner wire the anteversion of the neck of
the femur is defined. Parallel to the triangular guide
plate (eg, 60°) the Guide Wire is inserted. This wire
parallel to the femoral neck axis is indicating the
blade direction.
2. After
drilling a 2-mm hole about 5 mm distal to the
site of the planned osteotomy, a Kirschner wire is
inserted. Two additional Kirschner wires may be
inserted in derotation osteotomies to mark the
necessary correction.
3. A
bout 20 mm above the site of the planned 2
osteotomy and far to the front, the cortex is opened
with a chisel for insertion of the plate. The seating
chisel is then inserted into the center of the neck,
parallel to the Guide Wire, to a depth of 40–50 mm.
The flap of the chisel guide is parallel to the femoral
shaft. The chisel is then withdrawn 10–20 mm to
facilitate later removal.
130º Angled Blade Plate Quick Reference Chart DePuy Synthes 5
Osteotomy continued
4. The femur is transected at right angles to the shaft
with an oscillating bone saw. 5 5b
5. With
the seating chisel as a handle, the proximal
fragment is tipped upward. Starting from the middle
of the osteotomy, another cut (5b) is made parallel to
the seating chisel, and the excised wedge is removed.
6. A
fter removal of the seating chisel the selected plate
is inserted into the precut channel. The plate may be
clamped to the shaft with a reduction forceps.
6
7. T he tension device is fixed to the femur and tightened
to achieve compression.
8. T he plate is screwed to the femoral shaft. The tension
device is removed.
130º Angled Blade Plate Quick Reference Chart DePuy Synthes 6
Product Information
Instruments
MR Information
292.20 2.0 mm Kirschner Wire The 130º Angled Blade Plates System has not been evaluated for safety and
310.19 2.0 mm Drill Bit compatibility in the MR environment. They have not been tested for heating, migration
or image artifact in the MR environment. The safety of the 130º Angled Blade Plates
310.31 3.2 mm Drill Bit System in the MR environment is unknown. Scanning a patient who has this device
310.44 4.5 mm Drill Bit may result in patient injury.
314.26 Large Hexagonal Screwdriver, long
332.01 Triple Drill Guide, fixed angle of 130° Image intensifier control
332.06 Router, quick coupling
332.09 Chisel Guide, with adjustable handle
332.12 Seating Chisel, 320 mm length
332.16 Inserter-Extractor
332.20 Slotted Hammer
332.21 Impactor
333.060 90°/50°/40° Triangular Positioning Plate
399.42 Hammer, 500 grams
399.54 Chisel Handle
399.56 Chisel Blade, 16 mm width
Implants
130° Angled Blade Plates
Blade Blade
Length Length
Holes (mm) Holes (mm)
238.36 4 50 238.60 6 50
238.38 4 60 238.62 6 60
238.40 4 100 238.64 6 70
238.41 4 105 238.66 6 80
238.42 4 110 238.68 6 90
238.44 4 70 238.94 9 70
238.45 4 75 238.96 9 80
238.46 4 80 238.98 9 90
238.47 4 85 238.24 12 70
238.48 4 90 238.26 12 80
238.49 4 95 238.28 12 90
Note: For additional information, please refer to the
package insert or www.e-ifu.com.
For detailed cleaning and sterilization instructions, please
refer to www.depuysynthes.com/hcp/cleaning-sterilization
or sterilization instructions, if provided in the
instructions for use.
130º Angled Blade Plate Quick Reference Chart DePuy Synthes 7
Limited Warranty and Disclaimer: DePuy Synthes products are sold with a limited warranty to the original purchaser against defects in workmanship
and materials. Any other express or implied warranties, including warranties of merchantability or fitness, a e hereby disclaimed.
Please also refer to the package insert(s) or other labeling associated with the devices identified in this quick reference chart for additional information.
CAUTION: Federal Law restricts these devices to sale by or on the order of a physician.
Some devices listed in this technique guide may not have been licensed in accordance with Canadian law and may not be for sale in Canada. Please
contact your sales consultant for items approved for sale in Canada.
Not all products may currently be available in all markets.
Manufactured or distributed by:
Synthes USA Products, LLC Synthes USA, LLC Synthes GmbH
1302 Wrights Lane East 1101 Synthes Avenue Luzernstrasse 21
West Chester, PA 19380 Monument, CO 80132 4528 Zuchwil, Switzerland
To order (USA): 800-523-0322
To order (Canada): 844-243-4321
Note: For recognized manufacturer, refer to the product label.
www.depuysynthes.com
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DSUS/TRM/1116/1226 Rev B 05/21 DV
