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For Fixation of Small Bones and Small Bone Fragments
2.4 mm and 3.0 mm Headless Compression ScrewsSurgical Technique
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 1
Introduction
Surgical Technique
Product Information
Table of Contents
2.4 mm and 3.0 mm Headless Compression Screw 2
Technique Overview 4 AO Principles 5
Indications 6
Scaphoid Fixation 7
First Metatarsal Osteotomy 14
Screw Removal 20
Implants 21
Instruments 25
Set Lists 28
MR Information The Headless Compression Screws System has not been evaluated for safety and compatibility in the MR environment. It has not been tested for heating, migration or image artifact in the MR environment. The safety of the Headless Compression Screws System in the MR environment is unknown. Scanning a patient who has this device may result in patient injury.
Image intensifier control
2 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
The 2.4 mm Self-Drilling, Self-Tapping, Cannulated Headless Compression Screw
T8 StarDriveTM Recess 3.1 mm cortical thread (double thread*)
2.0 mm shaft
2.4 mm cancellous thread (single thread*)
Implant quality 316L stainless steel
Titanium alloy Ti-6Al-7Nb
Short thread
1.1 mm guide wire
Self-drilling and self-tapping flutes
Self-drilling and self-tapping flutes
Long thread
* Threads are of equal lead (i.e. they advance the same distance for each revolution)
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 3
The 3.0 mm Self-Drilling, Self-Tapping, Cannulated Headless Compression Screw
T8 StarDrive Recess
* Threads are of equal lead (i.e. they advance the same distance for each revolution)
3.5 mm cortical thread (double thread*)
2.0 mm shaft
3.0 mm cancellous thread (single thread*)
Implant quality 316L stainless steel
Titanium alloy Ti-6Al-7Nb
Short thread
1.1 mm guide wire
Self-drilling and self-tapping flutes
Self-drilling and self-tapping flutes
Long thread
4 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
Technique Overview
1 Insert screw
Thread the head of the headless compression screw into the tip of the compression sleeve. Insert the screw into the bone using the compression sleeve construct.
2 Compress
The tip of the compression sleeve acts as a conventional lag screw head. When the tip of the compression sleeve contacts the bone, the fracture gap is closed and compressed as with a lag screw.
3 Countersink
Following compression of the fracture, hold the compression sleeve stationary and use the screwdriver to advance the screw head into the bone.
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 5
AO Principles
1
4
2
3
4_Priciples_03.pdf 1 05.07.12 12:08
4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique
AO PRINCIPLES
In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation1, 2.
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.
Anatomic reductionFracture reduction and fixation to restore anatomical relationships.
Early, active mobilizationEarly and safe mobilization and rehabilitation of the injured part and the patient as a whole.
Stable fixationFracture fixation providing abso-lute or relative stability, as required by the patient, the injury, and the personality of the fracture.
Preservation of blood supplyPreservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.
In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation.1,2
Anatomic reductionFracture reduction and fixation to restore anatomical relationships.
Early, active mobilizationEarly and safe mobilization and rehabilitation of the injured part and the patient as a whole.
Stable fixationFracture fixation providing absolute or relative stability, as required by the patient, the injury, and the personality of the fracture.
Preservation of blood supplyPreservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.
1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation. 3rd ed. Berlin, Heidelberg, New York: Springer-Verlag; 1991.
2. Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management. 2nd ed. Stuttgart New York: Thieme; 2007.
6 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
Synthes 2.4 mm Headless Compression Screws are indicated for fixation of fractures and nonunions of small bones and small bone arthrodeses, including scaphoid fractures; intra-articular fractures of the tarsals, metatarsals, carpals and metacarpals; bunionectomies and osteotomies; arthrodeses of small joints (e.g. phalanges); fractures of the patella, ulna and radial styloid.
Synthes 3.0 mm Headless Compression Screws are intended for fixation of intra-articular and extra-articular fractures and nonunions of small bones and small bone fragments; arthrodeses of small joints; bunionectomies and osteotomies, including scaphoid and other carpal bones, metacarpals, tarsals, metatarsals, patella, ulnar styloid, capitellum, radial head and radial styloid.
Indications
Scaphoid nonunion Scaphoid fracture
Carpal fusion DIP fusion
Calcaneal and talar fractures Bunionectomy
Toe fusion Radial styloid fracture
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 7
This surgical technique describes a volar approach procedure. Depending on the type and location of the fracture, a dorsal approach to the scaphoid may be preferred. The same surgical steps apply.
1Insert guide wire
Instruments
292.622, 1.1 mm Guide Wire (threaded or nonthreaded) 292.623
312.151 2.0 mm/1.1 mm Double Drill Sleeve
Reduce fragments with a 1.1 mm guide wire and the 2.0 mm/1.1 mm double drill sleeve using image intensification. Insert the wire from distal-radial to proximal-ulnar until the tip is anchored into the far cortex. Ensure the guide wire lies along the central axis of the scaphoid in the frontal and sagittal planes.
Note: Using a pen-style rather than a pistol-grip drive unit may facilitate the insertion of the 1.1 mm guide wire. Insert the guide wire in 10 mm to 15 mm increments to minimize the possibility of bending the wire.
Precaution: Do not forcefully insert the guide wire. This may cause it to bend.
Scaphoid Fixation
8 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
Scaphoid Fixation
2Drill trapezium (optional)
Instruments
03.226.003 4.8 mm Cannulated Trapezium Drill
03.226.005 4.8 mm Trapezium Drill Sleeve
311.43 Handle, with quick coupling
If the foot process of the trapezium is prominent, it can be removed with the 4.8 mm cannulated trapezium drill to ensure central placement of the screw.
Slide the trapezium drill through the 4.8 mm trapezium drill sleeve and over the guide wire to the trapezium. Carefully drill the trapezium by hand to remove interfering bone. Use image intensification to ensure the trapezium drill does not damage the scaphoid.
Note: Do not forcefully insert the trapezium burr since this may damage the guide wire.
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 9
Scaphoid Fixation
3Measure screw length
Instrument
03.226.002 Measuring Device
Slide the tapered end of the measuring device over the guide wire to the bone.
The reading on the measuring device at the end of the guide wire indicates the screw length which will place the screw tip at the tip of the guide wire.
To choose the appropriate screw length, subtract approximately 2 mm to account for fracture gap compression and the desired countersinking depth.
When selecting the shaft thread length, ensure that all threads are past the fracture line during the compression stage.
Note: Only use the guide wire in its original length to ensure correct measurement.
Correctly selected thread lengthShaft thread is past the fracture line during compression.
Incorrect thread lengthShaft thread is in the fracture gap. Compression of the fracture gap is not possible.
Note: If there is no good bone quality in the distal part of the bone, the distal screw thread can strip-out if too much compression is applied.
4Drill (optional)
Instruments
310.221 2.0 mm Cannulated Drill Bit
312.151 2.0 mm/1.1 mm Double Drill Sleeve
The self-drilling flutes of the headless compression screw make predrilling unnecessary in most cases. Predrilling is recommended in dense bone and in arthrodeses, as the axial force necessary for inserting self-drilling screws could temporarily distract the fragments.
Place the 2.0 mm/1.1 mm double drill sleeve with the 2.0 mm cannulated drill bit over the guide wire. Drill, using image intensification if necessary.
Note: To prevent the guide wire from backing out during drilling, do not over-drill at the tip of the wire, and remove the drill bit slowly. To ensure the guide wire stays in place, do not use the drill in reverse. Before drilling and after measuring, the wire may be advanced into the distal radius to assure retention after drilling.
Precaution: Avoid forcefully advancing or bending the drill bit as this may cause the drill bit to break. Do not advance the drill bit beyond the wire. When drilling is complete, slowly pull the drill bit straight out while running the power tool in “forward mode” to ensure the guide wire stays in place.
10 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
Scaphoid Fixation
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 11
Scaphoid Fixation
5Pick up screw
Instruments
03.226.000 Compression Sleeve for 3.0 mm Headless Compression Screw
03.266.016 Compression Sleeve for 2.4 mm Headless Compression Screw
Twist the compression sleeve over the head thread of the screw to remove it from the screw rack.
Optional instrument
319.97 Screw Forceps
Alternatively, use the screw forceps to pick up the screw from the rack and thread it into the compression sleeve.
12 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
Scaphoid Fixation
6Insert screw and compress
Instruments
03.226.000 Compression Sleeve for 3.0 mm Headless Compression Screw
03.226.006 Compression Sleeve Handle
03.226.016 Compression Sleeve for 2.4 mm Headless Compression Screw
Slide the compression sleeve handle into the back of the compression sleeve.
Insert the screw over the guide wire and thread it into the bone by turning the compression sleeve.
Tighten the compression sleeve until the fracture gap is closed and compressed.
Precaution: Take care not to over-tighten the screw as the threads may strip. Use a two-finger technique to tighten the screw. If the thread strips (noticeable through decreased resistance while tightening), some of the compression will be lost. When the screw is countersunk, the thread will purchase the bone again, thus reducing the danger of postoperative screw loosening. If loss of compression makes screw removal necessary, follow the instructions on page 20.
Note: Use image intensification to check that the entire shaft thread is beyond the fracture line. Otherwise no compression can be achieved.
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 13
7Insert screw head
Instruments
03.226.000 Compression Sleeve for 3.0 mm Headless Compression Screw
03.226.004 Cannulated StarDrive Screwdriver Shaft, T8, quick coupling
03.226.016 Compression Sleeve for 2.4 mm Headless Compression Screw
311.43 Handle, with quick coupling
Remove the compression sleeve handle from the compression sleeve. Slide the cannulated StarDrive Screwdriver shaft through the compression sleeve into the recess of the screw.
Implant the head thread by turning the screwdriver clockwise. Hold the compression sleeve stable to prevent rotation, while slightly pressing the compression sleeve on the bone.
Color markingsThe color markings on the screwdriver shaft indicate the position of the screw in the bone:
n When the green mark is flush with the top of the compression sleeve, the screw is fully threaded into the compression sleeve and the screwdriver tip is seated in the recess of the screw
n When the yellow mark is flush with the top of the compression sleeve, the top of the screw is flush with the bone surface
n When the red mark is flush with the top of the compression sleeve, the screw is 2 mm below the bone surface
Check final screw position with image intensification.
Remove and discard the guide wire.
Note: If the screw is inserted at an angle, it must be countersunk further than the yellow mark so that it does not project from the surface.
Scaphoid Fixation
Hold
Hold
14 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
First Metatarsal Osteotomy
The following is a simplified description of the first metatarsal osteotomy (Austin Osteotomy). It is an example to illustrate a use of the headless compression screw in the foot.
1Perform osteotomy
Remove the bunion on the medial side of the first metatarsal, and perform a chevron osteotomy with a saw blade.
2Move distal fragment
Slide the distal fragment in the lateral direction.
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 15
3Insert guide wire
Instruments
292.622, 1.1 mm Guide Wire (threaded or nonthreaded) 292.623
312.151 2.0 mm/1.1 mm Double Drill Sleeve
While monitoring with the image intensifier, advance the 1.1 mm guide wire through the 2.0 mm/1.1 mm double drill sleeve from proximal-dorsal to distal-plantar through the osteotomy, until the thread tip is anchored in the far cortex.
Precaution: Do not forcefully insert the guide wire. This may cause it to bend.
4Measure screw length
Instrument
03.226.002 Measuring Device
Slide the tapered end of the measuring device over the guide wire to the bone.
The reading on the measuring device at the end of the guide wire indicates the screw length which will place the screw tip at the tip of the guide wire.
To choose the appropriate screw length, subtract approximately 2 mm to account for osteotomy gap compression and the desired countersinking depth.
When selecting the shaft thread length, ensure that all threads will be past the osteotomy line during the compression stage.
Note: The position of the osteotomy line determines the thread length.
First Metatarsal Osteotomy
16 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
First Metatarsal Osteotomy
5Drill (optional)
Instruments
310.221 2.0 mm Cannulated Drill Bit
312.151 2.0 mm/1.1 Double Drill Sleeve
The self-drilling flutes of the headless compression screw make predrilling unnecessary in most cases. However, predrilling is recommended in dense bone and in arthrodeses, as the axial force necessary for inserting self-drilling screws could temporarily distract the fragments.
Place the 2.0 mm/1.1 mm double drill sleeve and the 2.0 mm cannulated drill bit over the guide wire. Drill, using image intensification if necessary.
Precaution: Avoid forcefully advancing or bending the drill bit as this may cause the drill bit to break. Do not advance the drill bit beyond the wire. When drilling is complete, slowly pull the drill bit straight out while running the power tool in “forward mode” to ensure the guide wire stays in place.
6Pick up screw
Instruments
03.226.000 Compression Sleeve for 3.0 mm Headless Compression Screw
03.226.016 Compression Sleeve for 2.4 mm Headless Compression Screw
Twist the compression sleeve over the head thread of the screw to remove it from the screw rack.
Optional instrument
319.97 Screw Forceps
Alternatively, use the screw forceps to pick up the screw from the rack and thread it into the compression sleeve.
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 17
First Metatarsal Osteotomy
7Insert screw and compress
Instruments
03.226.000 Compression Sleeve for 3.0 mm Headless Compression Screw
03.226.006 Compression Sleeve Handle
03.226.016 Compression Sleeve for 2.4 mm Headless Compression Screw
Slide the compression sleeve handle into the back of the compression sleeve.
Insert the screw over the guide wire and thread into the bone by turning the compression sleeve.
Tighten the compression sleeve until the osteotomy is compressed.
Precaution: Take care not to over-tighten the screw as the threads may strip. Use a two-finger technique to tighten the screw. If the thread strips (noticeable through decreased resistance while tightening), some of the compression will be lost. When the screw is countersunk, the thread will purchase the bone again, thus reducing the danger of postoperative screw loosening.
If loss of compression makes screw removal necessary, follow the instructions on page 20.
Note: Use image intensification to check that the shaft thread is beyond, and not across, the osteotomy site. Otherwise no compression can be achieved.
18 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
First Metatarsal Osteotomy
8Insert screw head
Instruments
03.226.000 Compression Sleeve for 3.0 mm Headless Compression Screw
03.226.004 Cannulated StarDrive Screwdriver Shaft, T8, quick coupling
03.226.016 Compression Sleeve for 2.4 mm Headless Compression Screw
314.43 Handle, with quick coupling
Remove the compression sleeve handle from the compression sleeve. Slide the cannulated StarDrive Screwdriver shaft through the compression sleeve into the recess of the screw.
Implant the head thread by turning the screwdriver clockwise. Hold the compression sleeve stable to prevent rotation, while slightly pressing the compression sleeve on the bone.
Color markingsThe color markings on the screwdriver shaft indicate the position of the screw in the bone:
n When the green mark is flush with the top of the compression sleeve, the screw is fully threaded into the compression sleeve and the screwdriver tip is seated in the recess of the screw
n When the yellow mark is flush with the top of the compression sleeve, the top of the screw is flush with the bone surface
n When the red mark is flush with the top of the compression sleeve, the screw is 2 mm below the bone surface
Check final screw position with image intensification.
Remove and discard the guide wire.
Note: If the screw is inserted at an angle, it must be countersunk further than the yellow mark so that it does not project from the surface.
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 19
First Metatarsal Osteotomy
9Remove protruding bone
Remove the projecting bone of the proximal fragment with a saw blade.
20 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
Screw Removal
Instruments
03.226.000 Compression Sleeve for 3.0 mm Headless Compression Screw
03.226.004 Cannulated StarDrive Screwdriver Shaft, T8
03.226.016 Compression Sleeve for 2.4 mm Headless Compression Screw
311.43 Handle, with quick coupling
314.467 StarDrive Screwdriver Shaft, T8
To remove the headless compression screw, use a T8 StarDrive Screwdriver shaft.
If the screw threads are stripped, however, use the following procedure:
Twist the compression sleeve over the head thread, and insert the screwdriver through the compression sleeve into the StarDrive Recess of the screw. If necessary, expose the StarDrive Recess and part of the head thread using a hook, hollow reamer, or curette. Remove the screw by simultaneously pulling on the compression sleeve and turning the screwdriver counterclockwise.
Note: If necessary, expose the recess and part of the head thread with a hollow reamer or preferred method.
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 21
2.4 mm Headless Compression Screws, short threadShaft thread (T) approximately 20% of screw length (L)
Stainless Length Thread Steel Titanium (mm) length (mm)02.226.209 04.226.209 9 4 02.226.210 04.226.210 10 4 02.226.211 04.226.211 11 4 02.226.212 04.226.212 12 4 02.226.213 04.226.213 13 4 02.226.214 04.226.214 14 4 02.226.215 04.226.215 15 4 02.226.216 04.226.216 16 4 02.226.217 04.226.217 17 4 02.226.218 04.226.218 18 4 02.226.219 04.226.219 19 4 02.226.220 04.226.220 20 4 02.226.221 04.226.221 21 4 02.226.222 04.226.222 22 4 02.226.223 04.226.223 23 4 02.226.224 04.226.224 24 5 02.226.225 04.226.225 25 5 02.226.226 04.226.226 26 5 02.226.227 04.226.227 27 6 02.226.228 04.226.228 28 6 02.226.229 04.226.229 29 6 02.226.230 04.226.230 30 7 02.226.232 04.226.232 32 7 02.226.234 04.226.234 34 8 02.226.236 04.226.236 36 9 02.226.238 04.226.238 38 9 02.226.240 04.226.240 40 10
L
T2 mm
Implants
22 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
Implants
2.4 mm Headless Compression Screws, long threadShaft thread (T) approximately 40% of screw length (L)
Stainless Length Thread Steel Titanium (mm) length (mm)02.226.317 04.226.317 17 602.226.318 04.226.318 18 602.226.319 04.226.319 19 702.226.320 04.226.320 20 702.226.321 04.226.321 21 802.226.322 04.226.322 22 802.226.323 04.226.323 23 802.226.324 04.226.324 24 802.226.325 04.226.325 25 802.226.326 04.226.326 26 1002.226.327 04.226.327 27 1002.226.328 04.226.328 28 1002.226.329 04.226.329 29 1002.226.330 04.226.330 30 1202.226.332 04.226.332 32 1202.226.334 04.226.334 34 1402.226.336 04.226.336 36 1402.226.338 04.226.338 38 1602.226.340 04.226.340 40 16
L
T2 mm
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 23
Implants
3.0 mm Headless Compression Screws, short threadShaft thread (T) approximately 20% of screw length (L)
Stainless Length Thread Steel Titanium (mm) length (mm)02.226.010 04.226.010 10 402.226.011 04.226.011 11 402.226.012 04.226.012 12 402.226.013 04.226.013 13 402.226.014 04.226.014 14 402.226.015 04.226.015 15 402.226.016 04.226.016 16 402.226.017 04.226.017 17 402.226.018 04.226.018 18 402.226.019 04.226.019 19 402.226.020 04.226.020 20 402.226.021 04.226.021 21 402.226.022 04.226.022 22 402.226.023 04.226.023 23 402.226.024 04.226.024 24 502.226.025 04.226.025 25 502.226.026 04.226.026 26 502.226.027 04.226.027 27 602.226.028 04.226.028 28 602.226.029 04.226.029 29 602.226.030 04.226.030 30 702.226.032 04.226.032 32 702.226.034 04.226.034 34 802.226.036 04.226.036 36 902.226.038 04.226.038 38 902.226.040 04.226.040 40 10
L
T2 mm
24 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
3.0 mm Headless Compression Screws, long threadShaft thread (T) approximately 40% of screw length (L)
Stainless Length Thread Steel Titanium (mm) length (mm)
02.226.116 04.226.116 16 502.226.117 04.226.117 17 602.226.118 04.226.118 18 602.226.119 04.226.119 19 702.226.120 04.226.120 20 702.226.121 04.226.121 21 802.226.122 04.226.122 22 802.226.123 04.226.123 23 802.226.124 04.226.124 24 802.226.125 04.226.125 25 802.226.126 04.226.126 26 1002.226.127 04.226.127 27 1002.226.128 04.226.128 28 1002.226.129 04.226.129 29 1002.226.130 04.226.130 30 1202.226.132 04.226.132 32 1202.226.134 04.226.134 34 1402.226.136 04.226.136 36 1402.226.138 04.226.138 38 1602.226.140 04.226.140 40 16
L
T2 mm
Implants
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 25
Instruments
03.226.000 Compression Sleeve for 3.0 mm Headless Compression Screw
03.226.002 Measuring Device
03.226.003 4.8 mm Cannulated Trapezium Drill, quick coupling
03.226.004 Cannulated StarDrive Screwdriver Shaft, T8, quick coupling
03.226.006 Compression Sleeve Handle
03.226.005 4.8 mm Trapezium Drill Sleeve
03.226.016 Compression Sleeve for 2.4 mm Headless Compression Screw
26 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
292.623 1.1 mm Nonthreaded Guide Wire, 150 mm length
310.221 2.0 mm Cannulated Drill Bit, quick coupling, 150 mm
311.43 Handle, with quick coupling
312.151 2.0 mm/1.1 mm Double Drill Sleeve
314.467 StarDrive Screwdriver Shaft, T8
319.291 1.25 mm Cleaning Brush
292.622 1.1 mm Threaded Guide Wire, 150 mm length
Instruments
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 27
Instruments
319.97 Screw Forceps
398.408 Freer Elevator
398.409 Scaphoid Elevator
Also Available
03.226.007 2.0 mm Drill Guide with Stop
03.226.008 Measuring Device for Drill Guide with Stop
319.292 1.1 mm Cleaning Stylet
28 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
2.4 mm Headless Compression Screw SetsStainless Steel (01.226.042) and Titanium (01.226.044)
Screw Rack60.226.024 Screw Rack for 2.4 mm Headless Compression Screws (with lid)
Implants in set 01.226.04202.226.209– 2.4 mm Headless Compression Screws,
02.226.240 short thread, 9 mm–40 mm, 2 ea.
02.226.317– 2.4 mm Headless Compression Screws, 02.226.340 long thread, 17 mm–40 mm, 2 ea.
Implants in set 01.226.04404.226.209– 2.4 mm Titanium Headless Compression 04.226.240 Screws, short thread, 9 mm–40 mm, 2 ea.
04.226.317– 2.4 mm Titanium Headless Compression 04.226.340 Screws, long thread, 17 mm–40 mm, 2 ea.
Also Available60.226.025 Lid for Screw Rack for 2.4 mm Headless Compression Screw
03.266.016 Compression Sleeve for 2.4 mm Headless Compression Screw
Compression sleeve fits here
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 29
3.0 mm Headless Compression Screw SetsStainless Steel (01.226.062) and Titanium (01.226.064)
Screw Rack60.226.006 Screw Rack for 3.0 mm Headless Compression Screws (with lid)
Implants in set 01.226.06202.226.010– 3.0 mm Headless Compression Screws, 02.226.040 short thread, 10 mm–40 mm, 2 ea.
02.226.116– 3.0 mm Headless Compression Screws, 02.226.140 long thread, 16 mm–40 mm, 2 ea.
Implants in set 01.226.06404.226.010– 3.0 mm Titanium Headless Compression 04.226.040 Screws, short thread, 10 mm–40 mm, 2 ea.
04.226.116– 3.0 mm Titanium Headless Compression 04.226.140 Screws, long thread, 16 mm–40 mm, 2 ea.
Also Available60.226.010 Lid for Screw Rack for 3.0 mm Headless Compression Screws
30 DePuy Synthes 2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique
2.4 mm and 3.0 mm Headless Compression Screw Instrument Set (01.226.022)
Graphic Case60.226.022 2.4 mm and 3.0 mm Headless Compression
Screw Graphic Case
Instruments03.226.000 Compression Sleeve for 3.0 mm Headless Compression Screw
03.226.002 Measuring Device
03.226.003 4.8 mm Cannulated Trapezium Drill
03.226.004 Cannulated StarDrive Screwdriver Shaft, T8, 2 ea.
03.226.005 4.8 mm Trapezium Drill Sleeve
03.226.006 Compression Sleeve Handle
03.226.016 Compression Sleeve for 2.4 mm Headless Compression Screw
292.622 1.1 mm Threaded Guide Wire, 150 mm, 10 ea.
292.623 1.1 mm Nonthreaded Guide Wire, 150 mm, 10 ea.
310.221 2.0 mm Cannulated Drill Bit, quick coupling, 150 mm, 2 ea.
311.43 Handle, with quick coupling
312.151 2.0 mm/1.1 mm Double Drill Sleeve
314.467 StarDrive Screwdriver Shaft, T8
319.291 1.25 mm Cleaning Brush
319.292 1.1 mm Cleaning Stylet
319.97 Screw Forceps
398.408 Freer Elevator
398.409 Scaphoid Elevator
Also Available03.226.007 2.0 mm Drill Guide with Stop
03.226.008 Measuring Device for Drill Guide with Stop
60.226.006 Screw Rack for 3.0 mm Headless Compression Screw (with lid)
60.226.023 2.4 mm and 3.0 mm Headless Compression Screw Graphic Case Lid
60.226.024 Screw Rack for 2.4 Headless Compression Screw (with lid)
Note: For additional information, please refer to package insert.
For detailed cleaning and sterilizationinstructions, please refer towww.synthes.com/cleaning-sterilization orsterilization instructions, if provided.
2.4 mm and 3.0 mm Headless Compression Screws Surgical Technique DePuy Synthes 31
2.4 mm and 3.0 mm Headless Compression Screw Instrument and Implant Sets Stainless Steel (01.226.032) and Titanium (01.226.034)
01.226.032 2.4 mm and 3.0 mm Headless Compression Screw Instrument and Implant Set
Set consists of:
01.226.042 2.4 mm Headless Compression Screw Implant Set
01.226.062 3.0 mm Headless Compression Screw Implant Set
01.226.022 2.4 mm and 3.0 mm Headless Compression Screw Instrument Set
01.226.034 2.4 mm and 3.0 mm Headless Compression Screw Instrument and Titanium Implant Set
Set consists of:
01.226.044 2.4 mm Headless Compression Screw Titanium Implant Set
01.226.064 3.0 mm Headless Compression Screw Titanium Implant Set
01.226.022 2.4 mm and 3.0 mm Headless Compression Screw Instrument Set
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, are hereby disclaimed.
Please also refer to the package insert(s) or other labeling associated with the devices identified in this surgical technique for additional information.
CAUTION: Federal Law restricts these devices to sale by or on the order of a physician.
Some devices listed in this surgical technique 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.
© DePuy Synthes 2006–2017. All rights reserved.DSUS/TRM/0916/1087 5/17 DV
Synthes USA, LLC 1101 Synthes AvenueMonument, CO 80132
Manufactured or distributed by:Synthes USA Products, LLC 1302 Wrights Lane EastWest Chester, PA 19380
To order (USA): 800-523-0322 To order (Canada): 855-946-8999
Note: For recognized manufacturer, refer to the product label.
www.depuysynthes.com
