Calcaneus Plate 3.5 Surgical Technique

Locking Compression Technology by aap

Calcaneus Plate 3.5 Surgical Technique

Disclaimer This surgical technique is exclusively intended for medical professionals, especially physicians, and therefore may not be regarded as a source of information for non-medical persons. The description of this surgical technique does not constitute medical advice or medical recommendations nor does it convey any diagnostic or therapeutic information on individual cases. Therefore, the attending physician is fully responsible for providing medical advice to the patient and obtaining the informed consent of thepatient which this surgical technique does not supersede. The description of this surgical technique has been compiled by medical experts and trained staff of aap Implantate AG with utmost diligence and to the best of their knowledge. However, aap Implantate AG excludes any liability for the completeness, accuracy, currentness, and quality of the information as well as for material or immaterial damages arising from the use of this information.

aap Implantate AG Lorenzweg 5 • 12099 Berlin • Germany

1

Content

Surgical Technique LOQTEQ® VA Calcaneus Plate 3.5

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 • Material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 • Indications /Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 • Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 • Processing (Sterilization & Cleaning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 • Features & Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Surgical Technique LOQTEQ® Calcaneus Plate 3.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 • Preoperative planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 • Patient positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 • Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 • Preparing the plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 • Reduction and primary fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 • Insertion of locking screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 • Insertion of non-locking screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Explantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 General information concerning the use of adjustable locking screws . . . . . . . . . . . .12 Implants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18


2 Surgical Technique LOQTEQ® VA Calcaneus Plate 3.5

Introduction

State-of-the-art locked plating systems allow anatomical reduction with permanent retention in accordance with the fixateur interne principle. They represent the gold standard in fracture treatment, particularly in cases with reduced bone quality and in the stabilization of comminuted fractures. The LOQTEQ® anatomical plating system from aap combines angular stability and adjustability with state-of-the-art plate de-sign. The LOQTEQ® Calcaneus Plate 3.5 is characterized by an advanced and universal design, allowing it to dovetail perfectly into the LOQTEQ® implant system. With its profile height of just 1.6 mm, the Calcaneus Plate reduces the risk of skin and soft tissue irritation. The plate is available in two different lengths and designs as well as a right and left version for each. It is also available as a component of a complete fracture set or a modular complement to the Small Fragment Set. The LOQTEQ® Calcaneus Plate 3.5 is pre-contured to the anatomy of the anterior process of the calcaneus, the posterior joint facet, and the calcaneal tubercle. This minimizes the intraoperative contouring required and helps with the reduction of complex fractures. The plate holes in the LOQTEQ® Calcaneus Plate 3.5 are positioned to align with areas of thick, cortical bone. In com-bination with multi-directional locking screws (±15°) it is possible to produce a stable restoration and minimize the loss of re-duction. The locking plate system, based on the “fixateur interne” concept, preserves the reduction result permanently and allows early functional mobilization. It represents the current standard in fracture treatment, especially in combination with reduced bone quality and when stabilizing comminuted fractures.

Material The LOQTEQ® implants and instruments are made from high-quality materials which have been used successfully in medical technology for decades. The LOQTEQ® Calcaneus Plate 3.5 is made of pure titanium and the corresponding screws of a titanium alloy. The surface of the LOQTEQ® Calcaneus Plate 3.5 is finished with type II anodization (Dotize®). All materials employed comply with national and international standards. They are characterized by good biocompatibility, a high degree of safety against allergic reactions and good mechanical properties. LOQTEQ® screws also boast a shiny, highly polished surface. Indications/Contraindications Indications For fractures and osteotomies of the calcaneus, including, but not limited to • extra-articular, intra-articular • Joint depression • Tongue type • Severely comminuted fractures Absolute Contraindications • Infection or inflammation (localized or systemic) • Allergies against the implant material • Acute and chronic osteomyelitis at or close to the surgical field • High anesthesia risk patients • Severe soft tissue swelling impacting normal wound healing • Insufficient soft tissue coverage • Fractures in children and adolescents with epiphyseal plates not yet ossified • Peripheral vascular disease • Severe neurovascular insufficiency

Introduction


3Surgical Technique LOQTEQ® VA Calcaneus Plate 3.5

Intended Use

The plate and screw implants of the system LOQTEQ® VA Calcaneus Plate 3.5 are intended for temporary fixation, correction or stabilization of the calcaneus. Implants are intended for single use on human bone.

Processing (Sterilization & Cleaning) aap markets unsterilized products which are appropriately labeled and must be appropriately processed before use (see Instructions for Use, chapter “Processing of products”). Never use damaged implants or implants from damaged packaging.

Features & Benefits

• Low profile with rounded edges minimizes soft tissue irritation

• Variable angled locking with a range of ±15° off-axis in

all plates holes, allows indication specific plate fixation • Typ II anodization (Dotize®) for smooth surfaces,

increased strength, and minimized risk of cold-welding* • Anatomical design of plate corresponds to anatomical

shape of the calcaneus • Screwdrivers T15 facilitate screw insertion with self-

holding properties and efficient torque transmission • ø3.5 mm standardized screw diameter reduces the size

of the instrument set and simplifies their use • Bendable elements facilitate the intraoperative

contouring of the plate if necessary • Easy access to the sustentaculum tali thanks to 3 srew

positions below the posterior surface of the joint • Optimal treatment of classic fracture lines and early

patient mobility thanks to the stable zone between the anterior process of the calcaneus and the posterior facet fragment

Sustentaculum tali


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Surgical Technique


60mm

60mm

70mm

70mm

Preoperative planning • Evaluation of the type of fracture based on an X-ray/CT scan and selection of the appropriate plate length and screw

position. The Calcaneus Plate is available in a right and left version in lengths of 60 mm and 70 mm each. Optionally, it is also available without the proximal hole.

Patient positioning • The patient is positioned on his/her side with

the foot supported on a bolster. Alternatively, the patient is positioned prone with the foot hanging over the table edge.

Approach • The extended lateral approach is standard.

The vertical section of this L-shaped incision extends between the Achilles tendon and the posterior edge of the fibula. The plantar incision follows the transition to the ridged skin. The incision is performed vertically down to the bone. A thick flap of soft tissue is dissected from the periosteum along the surface of the bone. The soft tissue flap can be retracted away from the surgical field using K-wires.


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Surgical Technique


Preparing the plate INSTRUMENTS ART.-NO.Bending pliers for narrow plates IP 2505-00Bending Stick for LOQTEQ® round hole 3.5 IU 8166-04

• Thanks to the anatomical design of the Calcaneus Plate, it does not re-quire contouring. Should contouring of the plate prove necessary, it can be done using bending pliers and pins. Ideally, only the tabs of the plates should be contoured.

NOTE:

Anatomically pre-contoured plates minimize the need for intra -operative bending. If necessary, the plates may be contoured with the bending irons.

CAUTION:

Anatomically preformed plates should not be bent where possible. If plates are adapted to anatomical bone structures, the implants should not be bent back and forth repeatedly and excessively as this may result in implant failure. Damage caused by sharp edges should be avoided when bending. Locking plates should in prin ciple be bent in the area between the holes only. Bending plates along locking holes may impair or even abolish their function completely. If angular stability is compromised by bending, a non-locking screw should be used.

CAUTION:

The screwdriver Duo is not intended for screwing the bending pins into the plate.

NOTE:

The screwdriver Duo facilitates manual unscrewing of the bending pins.


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Surgical Technique


• First, the fragments should be removed from the typical impactation. This can be done by opening out the lateral wall with a (sharp) hook.

• The reduction of the facet fragments is then performed from medial to

lateral. Following reduction of the medial facet fragment (in the case of non-displaced sustentaculum fragment), the lateral facet fragment is repositioned against the sustentaculum fragment congruent to the joint to the articular surface of the talus.

• The fragments are temporarily joined to each other using K-wires. The

reduction is checked with an examining hook, arthroscopically, or via X-ray.

• This is followed by reduction of the tubercle fragments to the central

fragment (posterior facet fragment and sustentaculum fragment) to compensate for truncations, varus misalignment or malrotation.

• The lateral surface of the calcaneus is always level, except for the

trochlea. The anterior process fragment should follow the line of the tubercle and corpus.

• Fit the remaining fragments to the lateral wall. Checking the angle of

Gissane once the reduction is complete is recommended. Insertion of the screws begins with the posterior facet fragment. A cannulated screw can be inserted into the sustentaculum tali parallel to the subtalar articular surface.

NOTE:

Hindfoot varus must be avoided. The neutral or slightly valgus position of the hindfoot should always be monitored.

• The plate is positioned directly below the subtalar joint.

Reduction and primary fixation INSTRUMENTS ART.-NO.K-wire with trocar point, ø1.6, L 150 NK 0016-15


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Surgical Technique


• The Calcaneus Plate only features variable-angle round lockingholes, which can be inserted with locking screws 3.5 (blue). An Angulation of up to 15° in all directions starting from the predefined angle (0°) is possible.

CAUTION:

When using locking screws at variable angles, a deviation of more than 15° from the respective axis of the plate hole should be avoided as it may prevent the screws from locking correctly into the plate and may result in screw loosening.

NOTE:

If a combination of non-locking and locking screws is used, the non-locking screws must be inserted first.

• The threaded drill guide 0° (blue) can be used for drilling at the prede-fined angle.

CAUTION:

The screwdriver duo is not intended for screwing the drill guide into the plate.

• The drilling and the positioning of screws inserted in the predetermined

angle (0°) can be checked in advance by inserting a K-wire with the aid of the drill guide (blue) and a reduction sleeve. The K-wire indicates the position of the screw under fluoroscopy.

• As an alternative to the depth gauge, the stop ring can also be used to

measure the drilling depth. The precise drilling depth is read off the drill in the open area of the stop ring. Select a shorter screw when drilling into the far cortex.

Insertion of locking screws

Drill in predetermined angle (0°) INSTRUMENTS ART.-NO.Drill guide for round hole LOQTEQ® 3.5, I-ø 2.8, blue IU 8166-20Reduction sleeve for K-wire ø1.6 IU 8166-16K-wire with trocar point, ø1.6, L 150 NK 0016-15Twist drill ø2.7, L 150, coil 50, quick coupling, scaled, single use IU 7427-16-1UTwist drill ø2.7, L 220, coil 50, quick coupling, scaled, single use IU 7427-23-1UStop ring for depth measurement, SF IU 8166-06


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Surgical Technique


Drill in variable angle (±15°) INSTRUMENTS ART.-NO.Drill guide LOQTEQ® VA with thread, drill ø2.7, 0° to 15° IU 8166-70Drill guide LOQTEQ® VA w. handle, drill ø2.7, 0°-15°, short IU 8166-60K-wire with trocar point, ø1.6, L 150 NK 0016-15Twist drill ø2.7, L 150, coil 50, quick coupling, scaled, single use IU 7427-16-1UTwist drill ø2.7, L 220, coil 50, quick coupling, scaled, single use IU 7427-23-1U

• Two drill guides are offered for drilling at a variable angle (±15°): a funnel-

shaped threaded guide and a guide with handle for free choice of angle. • Insert the variable angle drill guide (±15°) in a round hole and drill in

at the required angle. • In order to ensure the precise screwing in of the funnel-shaped drill

guide in the central axis of the locking hole (predefined angle 0°), as less pressure as possible should be exerted during insertion.

CAUTION:

Avoid exerting pressure on the drill guide during insertion to ensure screwing it in along the central axis of the locking plate hole (predetermined angle 0°). Mind the maximum angulation of 15° when using the variable angle drill guide with handle.

• Remove the drill guide and then determine the length of the screw with the depth gauge for 3.5 mm screws.

NOTE:

The screwdriver duo facilitates manual removal of the drill guide. • Replace any locking screw that fails to lock into the variable-angle

locking plate hole! • Loosely insert a LOQTEQ® cortical screw 3.5 mm (blue) of the appropriate

length with screwdriver T15 and finally tighten the screw with the torque limiter 2.0 Nm. With an audible and sensible click of the torque limiter the optimal locking is achieved.

CAUTION:

The torque limiter must be used as soon as the screw head reaches the thread in the plate hole.

• Follow these instructions to insert screws in the plate holes in the shaft

according to the fracture pattern. Finally check whether all screw heads are flush and verify the results with fluoroscopic imaging. Incorrectly positioned screws or screws in the wrong lengths should be replaced.

CAUTION:

Screws inserted in the area of the plate close to the joint must not pierce the articular surfaces. The reduction is checked with an ex-amining hook, arthroscopically, or via X-ray.

NOTE:

Before fixation of the plate to the bone, it can be contoured using the bending pliers. In that case, observe the contouring instructions on page 5. Once the plate is fixed to the bone, the tabs can still be bent using the bending sticks.


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Surgical Technique


Screw Insertion INSTRUMENTS ART.-NO.Depth gauge for screws ø3.5-4.0, up to L 90 IS 7904-20Screwdriver Duo, T15, quick coupling IU 7825-56Large handle, cannulated, quick coupling IU 7706-00Handle with quick coupling, with torque limiter 2.0 Nm IU 7707-20Bending Stick for LOQTEQ® round hole 3.5 IU 8166-04


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Surgical Technique


• For insertion of a cortical screw 3.5 mm (gold), use the double drill guide and twist drill to drill to the desired depth. Then determine the length of the screw using the depth gauge and insert a screw of appropriate length.

• In combination with a Small Fragment Set, the standard screws

SK 3512-xx-2 or SK 3514-xx-2 are recommended. • The cancellous screw 4.0 mm can be inserted both through and outside

of the plate. The double drill guide and the drill bit ø2.7 are provided for such drilling.

• The cancellous screw 4.0 mm, optionally with a washer, can be used for

the placement of lag screws outside of the plate. • Cannulated screws 2.0 – 5.8 mm can be requested in a separate set.

Insertion of non-locking screws INSTRUMENTS ART.-NO.Double drill guide ø2.7/3.5, with spring aided centering IU 8116-60Twist drill ø2.7, L 150, coil 50, quick coupling, scaled, single use IU 7427-16-1UDepth gauge for screws ø3.5-4.0, up to L 90 IS 7904-20Screwdriver Duo, T15, quick coupling IU 7825-56Large handle, cannulated, quick coupling IU 7706-00

Explantation

INSTRUMENTS ART.-NO.Explantation screwdriver T15, round handle IU 7811-15

NOTE: The screwdrivers T15 in the set (IU 7825-56) are self-retaining and should not be used for screw explantation.

• Use the corresponding explantation screwdriver for safe removal of a

screw. Explantation screwdrivers are not self-retaining, penetrate further into the screw head and thus permit a higher torque when removing screws. They are not included in the set as standard and must be ordered separately.

• Place an incision using the old scar. Manually undo all screws and

sequentially remove them. After manually unlocking all screws, removal may be performed using a power tool.


11Surgical Technique LOQTEQ® VA Calcaneus Plate 3.5


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General Informationon variable locking screw fixations


• A locked plate-screw connection in the preferred or fixed angle offers the highest stability. Any constraints in terms of the flexibility of the treatment, e.g. the fixation of fragments that are difficult to reach, are reduced thanks to the variable locking (multidirectional) screw fixation.

• Multidirectional or variable locking systems allow the screws to be

inserted at an angle of up to 15° in all directions around the respective central axis (0°) of the plate hole. Angles larger than this can prevent the screws from locking/screwing into the plate hole, which can lead to the screws working loose. Therefore, variable locking should be used in exceptional cases only.

• Always bear in mind that any deviation from the preferred angle (0°)

will lead to screw heads that protrude to a greater or lesser extent; this can result in damage to nerves and soft tissue.

• Drill guides for round locking holes in the head section of the plates

should be used in connection with the respective aiming device. This ensures the correct engagement of the instruments at the fixed angle and prevents a loss of stability.

• Drilling without the corresponding drill guide (hand drilling) can result

in damage to the plate hole and should therefore generally be avoided. • When using the funnel-shaped drill guide to drill at a variable angle

(±15°), it must be taken into account that applying excessive pressure when inserting drill guides in a plate hole can lead to the drill guide deviating from the fixed angle. A drilled hole within the 30° cone is then no longer guaranteed. The plate and/or instrument thread can also be damaged. The drill guide can be effortlessly inserted in an axially correct position with minimum pressure and a quarter turn in the counterclockwise direction.


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General Informationon variable locking screw fixations


• To avoid damaging the thread, the LOQTEQ® VA drill guide with handle must be directly positioned in the plate hole. An angle of 15° may not be exceeded here either.

• Excessive drilling, e.g. to correct a screw alignment, should be avoided

in bones of poor quality in particular. • The locking screw must be replaced if it fails to lock into the variable

locking plate hole. • A screw may be repositioned up to 3 times at a variable angle, depending

on the bone quality and the degree of angulation. The greater the deviation from the preferred angle, the greater the deformation of the thread on the screw head, in particular once fully screwed into the plate. For this reason, it is recommended that a new screw should be used each time. A non-locking screw should be used in cases where the thread in the plate hole is damaged.

• The optimum screw alignment provided by the preferred angles

changes if there is a deviation from the preferred angle or the plate is bent. To prevent screws from colliding, the positions of the screws in such cases should be regularly checked under fluoroscopy and corrected as required.

• Finally, all locking screws must be manually tightened using the torque

limiter. Information on the required torque can be found in the respective surgical techniques and the instructions for use (IFU). Exception: LOQTEQ® VA Distal Radius 2.5. A torque limiter is not used in this set.


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Implants & Instruments



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Implants


LOQTEQ® VA Calcaneus Plate 3.5

HOLES LENGTH LEFT RIGHT(mm)

14 60 PF 3512-60-2 PF 3511-60-214 70 PF 3512-70-2 PF 3511-70-2

LOQTEQ® VA Calcaneus Plate 3.5 without tab

HOLES LENGTH LEFT RIGHT(mm)

13 60 PF 3514-60-2 PF 3513-60-213 70 PF 3514-70-2 PF 3513-70-2


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Implants


LOQTEQ® Cortical Screw 3.5, small head, T15, self-tapping

L 10 SK 3526-10-2*L 12 SK 3526-12-2*L 14 SK 3526-14-2*L 16 SK 3526-16-2*L 18 SK 3526-18-2*L 20 SK 3526-20-2*L 22 SK 3526-22-2L 24 SK 3526-24-2L 26 SK 3526-26-2L 28 SK 3526-28-2L 30 SK 3526-30-2L 32 SK 3526-32-2L 34 SK 3526-34-2L 36 SK 3526-36-2L 38 SK 3526-38-2L 40 SK 3526-40-2L 42 SK 3526-42-2L 45 SK 3526-45-2L 50 SK 3526-50-2L 55 SK 3526-55-2L 60 SK 3526-60-2*L 65 SK 3526-65-2*L 70 SK 3526-70-2*

Cortical Screw 3.5, T15, self-tapping

L 10 SK 3514-10-2*

L 12 SK 3514-12-2*

L 14 SK 3514-14-2*

L 16 SK 3514-16-2*

L 18 SK 3514-18-2*

L 20 SK 3514-20-2*

L 22 SK 3514-22-2

L 24 SK 3514-24-2

L 26 SK 3514-26-2

L 28 SK 3514-28-2

L 30 SK 3514-30-2

L 32 SK 3514-32-2

L 34 SK 3514-34-2

L 36 SK 3514-36-2

L 38 SK 3514-38-2

L 40 SK 3514-40-2

L 42 SK 3514-42-2*

L 45 SK 3514-45-2*

L 50 SK 3514-50-2*

L 55 SK 3514-55-2*

L 60 SK 3514-60-2*

L 65 SK 3514-65-2*

L 70 SK 3514-70-2* * Not included in the set, must be ordered separately


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Implants


Cancellous Screw 4.0, small head, T15, full thread

L 10 SP 4035-10-2*L 12 SP 4035-12-2*

L 14 SP 4035-14-2*L 16 SP 4035-16-2*L 18 SP 4035-18-2*L 20 SP 4035-20-2*L 22 SP 4035-22-2*L 24 SP 4035-24-2*L 26 SP 4035-26-2*L 28 SP 4035-28-2*L 30 SP 4035-30-2*L 32 SP 4035-32-2*L 34 SP 4035-34-2*L 36 SP 4035-36-2*L 38 SP 4035-38-2*L 40 SP 4035-40-2L 42 SP 4035-42-2L 45 SP 4035-45-2L 50 SP 4035-50-2L 55 SP 4035-55-2L 60 SP 4035-60-2L 65 SP 4035-65-2*L 70 SP 4035-70-2*

Washer, I-ø4.4, O-ø8.0, Titanium

SU 0448-00-2

Cancellous Screw 4.0, small head, T15

L 10 TL 5 SP 4030-10-2*L 12 TL 5 SP 4030-12-2*L 14 TL 5 SP 4030-14-2*L 16 TL 6 SP 4030-16-2*L 18 TL 7 SP 4030-18-2*L 20 TL 8 SP 4030-20-2*L 22 TL 9 SP 4030-22-2*L 24 TL 10 SP 4030-24-2*L 26 TL 12 SP 4030-26-2*L 28 TL 14 SP 4030-28-2*L 30 TL 14 SP 4030-30-2*L 32 TL 14 SP 4030-32-2*L 34 TL 14 SP 4030-34-2*L 36 TL 14 SP 4030-36-2*L 38 TL 14 SP 4030-38-2*L 40 TL 14 SP 4030-40-2L 42 TL 15 SP 4030-42-2L 45 TL 15 SP 4030-45-2L 50 TL 15 SP 4030-50-2L 55 TL 16 SP 4030-55-2L 60 TL 16 SP 4030-60-2L 65 TL 16 SP 4030-65-2*L 70 TL 16 SP 4030-70-2*

Cannulated screws 2.0 – 5.8 mm can be requested in a separate set.

* Not included in the set, must be ordered separately


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Instruments


Handle quick coupling, with torque limiter 2.0Nm IU 7707-20

Screwdriver Duo, T15, quick coupling IU 7825-56

Bending pliers for narrow plates IP 2505-00

Large handle quick coupling, cannulated IU 7706-00

Twist drill quick coupling ø2.7, L 150, coil 50, scaled, single use IU 7427-16-1UTwist drill quick coupling ø2.7, L 220, coil 50, scaled, single use IU 7427-23-1U

Depth gauge for screws ø3.5 - 4.0, up to L 90 IS 7904-20

Chisel straight, 10mm, L 140 IU 3014-10Chisel bended, 13mm, L 200 IU 3020-13


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Instruments

Double drill guide ø2.7 / 3.5, with spring aided centering IU 8116-60

Drill guide LOQTEQ® VA with handle, drill ø2.7, 0° to 15°, short IU 8166-60

Drill guide LOQTEQ® VA with thread, drill ø2.7, 0° to 15° IU 8166-70

Caddy for K-wire L 200 IC 0006-20K-wire with trocar point, ø1.6, L 150 NK 0016-15

Reduction sleeve for K-wire ø1.6 IU 8166-16

Drill guide for round hole LOQTEQ® 3.5, I-ø 2.8, blue IU 8166-20

Bending Stick for LOQTEQ® round hole 3.5 IU 8166-04

Stop ring for depth measurement, SF IU 8166-06



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Notes

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aap Implants Inc. 260 Peachtree Street NW • Suite 2200 Atlanta • GA 30303 USA

Phone +1 678-942-3791 e-Fax +1 877-373-0637

[email protected] www.aap-implants.com

Subject to technical modifications, errors and misprints.

© aap Implantate AG WP 5OP130 US/2103-1

aap Implants Inc. 260 Peachtree Street NW • Suite 2200 Atlanta • GA 30303 USA

Phone +1 678-942-3791 e-Fax +1 877-373-0637

[email protected] www.aap-implants.com W

P 5O

P130

US

/210

3-1

Documents

Calcaneus Plate 3.5 Surgical Technique