VariAx - OTC Switzerlandotc-switzerland.ch/resources/VariAx_distal_radius_e.pdf5 Introduction The VariAx Distal Radius Plating System represents the Next Generation of Bone Fixation

Operative Technique• Anatomical & Universal Volar Plates• Dorsal Plates• Fragment Specific Plates• XXL Anatomical Volar Plates

VariAx Distal Radius Locking Plate System

Hand &

Wri

st

Hand & Wrist

2

This publication sets forth detailed recommended procedures for using Stryker Osteosynthesis devices and instruments.

It offers guidance that you should heed, but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required.

A workshop training is recommended prior to first surgery.

All non-sterile devices must be cleaned and sterilized before use. Follow the instructions provided in our reprocessing guide (L24002000). Multi-component instruments must be disassembled for cleaning. Please refer to the corresponding assembly/disassembly instructions.

See package insert (90-0320, 90-01953) for a complete list of potential adverse effects, contraindications, warnings and precautions. The sur-geon must discuss all relevant risks, including the finite lifetime of the de-vice, with the patient, when necessary.

Warning: Fixation Screws:Stryker Osteosynthesis bone screws are not approved or in-tended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, tho-racic or lumbar spine.

3

Variax Distal Radius Locking Plate System

This operative technique was developed with Richard Rogachefsky, MD.

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Page

1. Introduction 5

2. Overview 7

Plate Options 7

Screw / Peg Options 7

3. SmartLock Locking Technology Overview 8

4. Operative Technique 10

Anatomical Volar Plate 10

Universal Volar Plate 12

Dorsal Plate 14

Lateral Distal Radius Plate 16

Ordering Information – Plates 17

Ordering Information – Cross Pin Screws 20

Ordering Information – T7 Drive Screws 22

Ordering Information – Instruments 24

Ordering Information – Plate Trials 25

Contents

5

Introduction

The VariAx Distal Radius Plating System represents the Next Generation of Bone Fixation for your Distal Radius Fracture Needs.

Intended Use

The VariAx Distal Radius Locking System incl. the XXL Volar Distal Radius Plates is intended for use in internal fixations of the small bone fractures, primarily including distal radius fractures.

Indications

Compression fractures, intra-articular and extra-articular fractures, displaced fractures. Following additional indications apply only for the XXL Volar Distal Radius Plates: Osteotomies, non-unions and mal-unions.

Contraindications

•Inadequatebonequantityandquality•Patientswithactiveinfections.•Patientswithmetalallergiesand

foreign body sensitivity.•Severelynon-compliantpatientswith

mental or neurological conditions who are unwilling or incapable of following postoperative care instructions.

•Patientswithlimitedbloodsupplyor insufficient quality or quantity of bone.

•Patientswithunstablephysicaland/or mental health conditions.

Precautions

Stryker Osteosynthesis systems have not been evaluated for safety and compatibility in MR environment and have not been tested for heating or migration in the MR environment, unless specified otherwise in the prod-uct labeling or respective operative technique.

-15° +15°

* Baumann A., Zander, N. “Ti6A14V with Anodization Type II: Biological and Biomechanical Effects”, March 2005.

** The SmartLock Technology is patented (US 6, 322, 562; DE 43 43 117) by Professor Dietmar Wolter, Hamburg, Germany.

System Features

•Comprehensive Plating System Providing Anatomical Volar and Dorsal, Universal Volar and Fragment Specific Solutions.

•XXLAnatomicalVolarPlates Extra long volar plates are needed for cases where the metaphyseal comminution extends to the radial shaft, they follow the curvature of the bone as it extends toward the proximal end of the radius. 4 lenghts, right, left, standard and narrow plates are offered.

•FixedAngleDrillGuide Assures placement of screws & pegs in a pre-determined angle.

•PolyaxialDrillGuide Allows locking with an additional angulation of ±15 degrees in any hole on the plate, except the oblong hole in the shaft.

•AnatomicalVolarPlate Encourages articular support with Locking screws & pegs, provides buttressing to the volar lunate facet and stable fixation of radial styloid fragments with two screws.

•Fullrangeof2.0mmto2.7mmLocking and Non-Locking screws & pegs Offering intraoperative solutions for different fracture fixation requirements.

•AnodizationTypeII* Increases the strength of all VariAx Distal Radius Locking Plates and reduces the incidence of tissue adherence.

6

Introduction

T7 Drive and Cross-Pin Screw Head Designs

Both screw head designs allow axial stability, friction fit screw retention, and easy screw pick up from screw rack.

SmartLock** Locking Technology

•Patented SmartLock Locking Technology Encourages “locked” screw to plate interface due to combination of Grade II - Ti Plates and Grade V - Ti Screws & Pegs.

•SmartLock Locking Screws & Pegs Designed with threads on the underside of the screw head, which upon insertion engage the circular “lip” within any hole on the plate, except the oblong hole in the shaft.

•One-step Locking Is achieved by simply inserting a Locking Screw or Peg within the polyaxial locking range of ±15 degrees, without the need for further steps.

* Baumann A., Zander, N. “Ti6A14V with Anodization Type II: Biological and Biomechanical Effects”, March 2005.

** The SmartLock Technology is patented (US 6, 322, 562; DE 43 43 117) by Professor Dietmar Wolter, Hamburg, Germany.

7

Overview

2.7mm Locking

Screw

2.3mmLocking

Screw

Screw/Peg Options

2.0mmSmooth Locking

Peg

2.3mmNon-

LockingScrew

2.7mmNon-

LockingScrew

2.7mmPartialThread

Non-LockingScrew

2.7mmPartial ThreadLocking

Screw

Plate Options

Cross-PinT7 Drive

Locking ScrewLocking Screw

Bone ScrewBone Screw

Note:• LockingandNon-Lockingscrews can be used in any round hole.• Toavoiddisengagementofthe screwdriver blade from the screw during insertion, axial pressure is recommended.

Universal Volar Plates

Dorsal Plates Lateral

DR PlateDorsal Medial

DR PlateLeft

Right

XXL Anatomical Volar Plates

Anatomical Volar Plates

Note: Plates are not scaled to size.

8

SmartLock Locking Technology Overview

15° distal15° lateral

12° proximal

5° proximal

5° proximal


0°

0°



10° proximal

5° proximal

0°

Pre-determined Screw Pattern

• SmartLock Polyaxial Drill Guide (56-01250) Allows for ±15 degrees of custom angulation and may be used for more complex fractures. A lip on the drill sleeve will engage and allow toggling in the hole. The range in which the drill guide toggles will create a 30 degrees cone and every angle in this range will be a locking position. This may allow for the surgeon to aim where the screw/peg should be placed. Also, depending on the placement of the plate, there may be a need to angle a screw/peg out of the fracture line.

• Fixed Angle Drill Guide (56-01255) This drill guide will ensure the same placement of screw options in every case and therefore does not allow the flexibility of choosing an angle. It is designed to fit in the pre-tilted lips within the holes on the plate by simply pressing the drill guide in to the hole.

Note: In order to prevent toggling, this drill guide is designed to fit very tightly into the holes of the plate. When utilizing this instrument follow the same trajectory of the pre-tilted lips to facilitate its placement.

Note: First fully engage the drill guide in the hole and then aim the drill in the desired direction.

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• Depth Gauges Silver (62-00016); Black (62-00018) A choice of 2 Depth Gauge designs is offered that allows for a reliable screw measurement even when using one handed technique.

Note: Using one of the provided drill guides for screw hole preparation is mandatory. Not using a drill guide may lead to drilling out of specified locking range and severely compromise the locking capabilities.

• 2.3mm Drill Guide/K-Wire Guide (56-01260) The K-Wire guide provides an option to assess potential screw positions by inserting a 1.1mm K-Wire prior to any drilling or screw insertion. By using the same technique, this K-Wire guide offers the same 30 degrees locking cone as the SmartLock Polyaxial Drill Guide. It may also be utilized to provide temporary fixation to smaller fragments, while catching these with adjacent locking screws. The 2.3mm drill guide can be used as an overdrill to lag 2.3mm screws if compression is desired or as a pilot hole for 2.7mm screws if the insertion is hindered. This drill guide can only be used in a fixed angle.

SmartLock Locking Technology Overview

10

Anatomical Volar Plate

2. The FCR tendon is retracted ulnarly and dissection is carried down through the floor of the FCR sheath. This exposes the FCR muscle belly, which may be retracted ulnarly as well.

1. An incision is made approximately 8cm long just radial to the FCR tendon. If more exposure is necessary, the incision can be extended radially at 45 degrees along the wrist flexion creases.

3. The Pronator Quadratus is identified and dissected in its entirety off of the volar surface of the radius as an ulnarly based flap.

4. The insertion of the Brachioradialis may be released.

Operative Technique

5. The fracture is visualized and reduced.

6. The use of external traction, and/or the use of K-Wires for temporary fixation may be helpful. If necessary, bone graft materials may be used as an adjunct to the plate to provide an optimal bone void filler. The use of AP/Lateral fluoroscopy is helpful to determine correct fracture reduction and plate position.

7. Choose the appropriate implant according to patient anatomy and fracture pattern.

8. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid inserting screws or pegs into the joint.

9. Zebra striped K-Wires and/or Olive K-Wires can be used for temporary fixation while evaluating the placement of the plate.

10. The first pilot hole should be drilled in the oval gliding hole using the appropriate drill guide.

11. Use the depth gauge to determine screw length.

11

Note: If the insertion of the 2.7mm screw is hindered, it is recommended to use the 2.7mm tap (62-27010) or the 2.3mm cortical drill bit (60-23341) to reduce the risk of screw breakage during insertion.

Anatomical Volar Plate

Operative Technique

12. A non-locking screw is placed in the oval gliding hole but not completely tightened to allow adjustment of the plate in distal or proximal directions.

13. After confirmation of the correct positioning of the anatomic volar plate by use of fluoroscopy, tighten the first screw.

14. Once the position of the plate has been determined, it is time to decide which drill guide to use based upon preference and/or fracture pattern.

15. Using the desired drill guide, repeat drilling, measuring and placement of screws/pegs in the distal holes.

16. Place locking or non-locking screws in the proximal end of the plate.

17. Verify proper placement of screws/pegs by use of fluoroscopy to ensure that neither penetrate the joint.

18. Close the incision.

12

Operative Technique

1. An incision is made approximately 8cm long directly over the FCR tendon. If more exposure is necessary, the incision can be extended radially at 45 degrees along the wrist flexion creases.

2. The FCR tendon is retracted ulnarly and dissection is carried down through the floor of the FCR sheath. This exposes the FCR muscle belly, which may be retracted ulnarly as well.

3. The Pronater Quadratus is identified and dissected in its entirety off of the volar surface of the radius as an ulnarly based flap.

4. The insertion of the Brachioradialis may be released.

5. The fracture is visualized.

6. The fracture is reduced. The use of external traction, and/or the use of K-Wires for temporary fixation could be helpful.If necessary, bone graft materials may be used as an adjunct to the plate to provide an optimal bone void filler.

7. The plate should be placed slightly below the distal edge of the distal radius to avoid inserting screws or pegs into the joint. The use of AP/Lat fluoroscopy is helpful to determine correct fracture reduction and plate position.

8. K-Wires can be used for temporary fixation.

9. The first pilot hole should be drilled in the oval gliding hole using the appropriate drill guide.

10. Measure the depth of the hole to determine screw length.

11. The screw is placed in the oval gliding hole but not completely tightened to allow adjustment of the plate in distal or proximal directions.

Universal Volar Plate

13

Operative Technique

12. After confirmation of the correct positioning of the volar plate by use of fluoroscopy, tighten the first screw.

13. Repeat drilling, measuring and placing of screws/pegs in the distal holes of the plate. The position and number of screws applied depends

on the type of fracture.

14. Place the bone or locking screws in the proximal end of the plate.

15. Verify proper placement of screws and pegs by use of fluoroscopy to ensure that neither penetrates the joint.


Universal Volar Plate

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Operative Technique

1. Longitudinal incision is made just ulnar to Lister’s tubercle at the distal radius region.

2. Dissection is performed down to the extensor retinaculum. The third compartment is opened and the extensor pollicis longus is displaced radially.

3. The second compartment wrist extensors are subperiosteally elevated radially and the fourth compartment is subperiosteally elevated ulnarly. The dorsal interosseous nerve might be cut off for pain reduction.

4. The fracture is reduced. The use of an external traction device and/or K-Wires for temporary fixation may be helpful. If necessary, bone graft materials may be used as an adjunct to the plate to provide an optimal bone void filler.

5. If necessary, adapt the plate for correct anatomical position. Removal of tuberculum listeri might be necessary.

6. The plate should be placed slightly below the distal edge of the distal radius to avoid inserting screws/pegs into the joint. Correct positioning of the plate should be confirmed by use of fluoroscopy. The first pilot hole should be drilled in the oval gliding hole.

Dorsal Plate

7. Measure the depth of the hole to determine screw length.

8. Check the screw length on the measuring scale of the implant module (optional).

9. The screw is placed in the oval gliding hole but not completely tigh-tened to allow adjustment of the plate in a distal or proximal direction.

15

Operative Technique

10. Confirm proper plate positioning by use of fluoroscopy and then tighten the first screw.

11. Repeat drilling, measuring, and placing of screws/pegs into the distal holes of the plate. The position and number of screws applied depends on the type of fracture.

12. Place bone or locking screws in the proximal end of the plate.

13. Confirm correct placement by use of fluoroscopy.

14. Verify proper placement of screws and pegs by use of fluoroscopy to ensure that neither penetrates the joint.


Dorsal Plate

16

Lateral Distal Radius Plate

Operative Technique

1. Incision is made along the radial column.

2. Care must be taken to avoid injury to dorsal sensory branch of the radial nerve.

3. First dorsal compartment is freed from dorsal to volar to allow plate placement.

4. Plate is placed along the radial column.

5. Screws or distal K-Wires can be placed for fixation options.

6. The 3 in 1 K-Wire bender/cutter/inserter is used to place K-Wires distally.

7. It is recommended only one K-Wire be placed distally at a time in order to make proper use of the bender/cutter/inserter instrument.

8. After insertion, the tamp and mallet can be used to further insert the K-Wires.

9. K-Wires and screws can be placed in conjunction for more rigid fixation.

10. The incision is closed.

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Note:Plate Trials for the determination of size intra-operatively are available on page 16.

Ordering Information – Plates

The Variax Distal Radius Plating System incorporates plate designs originating from the Matrix Distal Radius Plating System developed by Stryker in conjunction with Richard Rogachefsky, MD.

* They can be ordered single sterile-packed by placing a “S” at the end of the Cat. Nr.

AnATOmICAL VOLAR PLATeS* REF Description Length Thickness mm mm

54-25384 Anatomical Volar DR Plate

Narrow, Right 56 2


Narrow, Left 56 2


Standard, Right 56 2


Standard, Left 56 2


Narrow, Right, Long 76 2


Narrow, Left, Long 76 2


Standard, Right, Long 76 2


Standard, Left, Long 76 2

UnIVeRSAL VOLAR PLATeS* REF Description Length Thickness mm mm

54-25394 Universal Volar DR Plate

Narrow, Short 53 2


Standard, Short 53 2


Wide, Short 53 2


Narrow, Long 73 2


Standard, Long 73 2


Wide, Long 73 2


Narrow, XLong 94 2


Standard, XLong 94 2


Wide, XLong 94 2

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XXL AnATOmICAL VOLAR PLATeS*

REF Description Length Thickness mm mm

54-25420 2.7mm XXL Volar DR Plate, Stand, LE (15 holes) 189 3

54-25422 2.7mm XXL Volar DR Plate, Stand, RI (15 holes) 189 3







54-25436 2.7mm XXL Volar DR Plate, Narrow, LE (15 holes) 189 3

54-25438 2.7mm XXL Volar DR Plate, Narrow, RI (15 holes) 189 3







Note:Plate Trials for the determination of size intra-operatively are avail-able on page 16.

The Variax Distal Radius Plating System incorporates plate designs originating from the Matrix Distal Radius Plating System developed by Stryker in conjunction with Richard Rogachefsky, MD.

* They can be ordered single sterile-packed by placing a “S” at the end of the Cat. Nr.

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Note:Plate Trials for the determination of size intra-operatively are avail-able on page 16.


* They can be ordered single sterile-packed by placing a “S” at the end of the Cat. Nr.** Formerly labelled as “Radial Column Plate”*** Formerly labelled as “Ulnar Column Plate

FRAgmenT SPeCIFIC PLATeS*

DORSAL PLATeS*


54-25290 Dorsal DR Plate

Standard, Right 60 1.5


Standard, Left 60 1.5


Wide, Right 60 1.5


Wide, Left 60 1.5


Standard, Right, XLong 81 1.5


Standard, Left, XLong 81 1.5


Wide, Right, XLong 81 1.5


Wide, Left, Xlong 81 1.5


54-25400 Lateral DR Plate, Short** 44 1

54-25401 Lateral DR Plate, Long** 57 1

54-25402 Dorsal Medial DR Plate, Short, Right*** 40 1

54-25403 Dorsal Medial DR Plate, Short, Left*** 40 1

54-25404 Dorsal Medial DR Plate, Long, Right*** 53 1

54-25405 Dorsal Medial DR Plate, Long, Left*** 53 1

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Ordering Information – Cross-Pin Screws

Note: They can be ordered single sterile-packed by placing a “S” at the end of the Cat. Nr.All Drills may be ordered sterile by replacing “60” by “91-” in their respective Cat.Nr.

2.7 mm PARTIALLy THReADeD LOCkIng SCReWS

Ti Length REF mm

52-20616 16

52-20618 18

52-20620 20

52-20622 22

52-20624 24

52-20626 26

2.0mm LOCkIng PegS 2.7mm LOCkIng SCReWS

Ti Length REF mm

52-27610 10

52-27612 12

52-27614 14

52-27616 16

52-27618 18

52-27620 20

52-27622 22

52-27624 24

52-27626 26

Ti Length REF mm

52-27716 16

52-27718 18

52-27720 20

52-27722 22

52-27724 24

52-27726 26

For the 2.0mm Locking Pegs, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

2.3mm LOCkIng SCReWS

Ti Length REF mm

52-23610 10

52-23612 12

52-23614 14

52-23616 16

52-23618 18

52-23620 20

52-23622 22

52-23624 24

52-23626 26

52-23628 28

52-23630 30

52-23632 32

52-23634 34

52-23636 36

52-23638 38

For the 2.3mm Locking Screws, please use the following 1.9mm drill ref: 60-19140, 60-19340 and 60-19440.


For the 2.7mm Partially Threaded Locking Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

21

Ordering Information – Cross-Pin Screws

Note: They can be ordered single sterile-packed by placing a “S” at the end of the Cat. Nr.All Drills may be ordered sterile by replacing “60” by “91-” in their respective Cat.Nr.

2.3mm nOn-LOCkIng SCReWS 2.7mm PARTIALLy THReADeD nOn-LOCkIng SCReWS

Ti Length REF mm

52-23010 10

52-23012 12

52-23014 14

52-23016 16

52-23018 18

52-23020 20

52-23022 22

52-23024 24

52-23026 26

52-23028 28

52-23030 30

52-23032 32

52-23034 34

52-23036 36

52-23038 38

Ti Length REF mm

52-27116 16

52-27118 18

52-27120 20

52-27122 22

52-27124 24

52-27126 26

For the 2.3mm Screws, please use the following 1.9mm drill ref: 60-19140, 60-19340 and 60-19440.

2.7mm nOn-LOCkIng SCReWS

Ti Length REF mm

52-27010 10

52-27012 12

52-27014 14

52-27016 16

52-27018 18

52-27020 20

52-27022 22

52-27024 24

52-27026 26


For the 2.7mm Partially Threaded Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

REF Description

60-23141 2.3mm, Stryker shaft end

60-23341 2.3mm, AO shaft end

60-23441 2.3mm, Dental shaft end







62-27010 Tap for 2.7mm Screws

62-27007 2.3mm/2.7mm, Cross-Pin Blade

TWIST DRILLS, TAP AnD BLADe

22

Ordering Information – T7 Drive Screws

Note: They can be ordered single sterile-packed by replacing “E” by “S” at the end of the Cat. Nr.All Drills may be ordered sterile by replacing “60” by “91-” in their respective Cat.Nr.

Ti Length REF mm

53-20616E 16

53-20618E 18

53-20620E 20

53-20622E 22

53-20624E 24

53-20626E 26

2.0mm LOCkIng PegS 2.7mm LOCkIng SCReWS

Ti Length REF mm

53-27610E 10

53-27612E 12

53-27614E 14

53-27616E 16

53-27618E 18

53-27620E 20

53-27622E 22

53-27624E 24

53-27626E 26

For the 2.0mm Locking Pegs, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.


2.3mm LOCkIng SCReWS

Ti Length REF mm

53-23610E 10

53-23612E 12

53-23614E 14

53-23616E 16

53-23618E 18

53-23620E 20

53-23622E 22

53-23624E 24

53-23626E 26

53-23628E 28

53-23630E 30

53-23632E 32

53-23634E 34

53-23636E 36

53-23638E 38


2.7 mm PARTIALLy THReADeD LOCkIng SCReWS

Ti Length REF mm

53-27716E 16

53-27718E 18

53-27720E 20

53-27722E 22

53-27724E 24

53-27726E 26

For the 2.7mm Partially Threaded Locking Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

23

Ordering Information – T7 Drive Screws

Note: They can be ordered single sterile-packed by replacing “E” by “S” at the end of the Cat. Nr.All Drills may be ordered sterile by replacing “60” by “91-” in their respective Cat.Nr.

2.3mm nOn-LOCkIng SCReWS 2.7mm PARTIALLy THReADeD nOn-LOCkIng SCReWS

REF Description










62-27010 Tap for 2.7mm Screws

62-27015 Screwdriver Blade, T7

TWIST DRILLS, TAP AnD BLADe

Ti Length REF mm

53-23210E 10

53-23212E 12

53-23214E 14

53-23216E 16

53-23218E 18

53-23220E 20

53-23222E 22

53-23224E 24

53-23226E 26

53-23228E 28

53-23230E 30

53-23232E 32

53-23234E 34

53-23236E 36

53-23238E 38

Ti Length REF mm

53-27116E 16

53-27118E 18

53-27120E 20

53-27122E 22

53-27124E 24

53-27126E 26


For the 2.7mm Partially Threaded Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

2.7mm nOn-LOCkIng SCReWS

Ti Length REF mm

53-27210E 10

53-27212E 12

53-27214E 14

53-27216E 16

53-27218E 18

53-27220E 20

53-27222E 22

53-27224E 24

53-27226E 26


24

Ordering Information – Instruments

InSTRUmenTATIOn

REF Description

07-30600

07-30111

07-10006

07-10021

07-10175

43-09830

64-00011

Lobster Bone Holding Forceps

Lewin Bone Holding Forceps,

Sharp Tip

Elevator, Double sided,

Narrow&Wide, Hohmanns

Elevator, Double sided,

Strong&Light Curved

Bone Hook

Mallet (250g)

Tamp

BOne ReDUCTIOn InSTRUmenTS

29-27001

29-27002

29-27003

29-27004

VariAx Distal Radius

Locking Implant Module,

double-sized

Inlay for Anatomical Volar

Distal Radius Plates

Inlay for Universal Volar

Distal Radius Plates

Inlay for Volar Anatomical

XXL DR Plates

REF Description

ImPLAnT mODULe

29-13012

29-13013

29-13114

29-13024

VariAx Lid for Sterilizing

Container

Sterilizing Container, Half-

size, w/o VariAx Lid

VariAx Distal Radius Plating

Instrument Tray

VariAx Distal Radius Bone

Reduction Tray

REF Description

STeRILIzIng COnTAIneR

56-40281

07-40281

K-Wire with Olive Stop *

K-Wire, 1.1x160mm **

k-WIReSREF Description

* Order Quantity: Packages of 5** Order Quantity: Packages of 10

DePTH gAUgeS

REF Description

62-00018

62-00016

VariAx Distal Radius Depth

Gauge for 2.3/2.7 mm Screws,

black

Depth Measuring Gauge

REF Description

62-20290 Screwdriver Ratcheting Handle

56-01250 Polyaxial Drill Guide

2.3mm/2.7mm

56-01255 Fixed Angle Drill Guide

2.3mm/2.7mm

56-01260 2.3mm Overdrill and K-Wire

Guide

64-20117 Plate Bending Pliers

64-20118 K-Wire Bending Pliers

64-20129 Forceps with Grasping Lips

25

Ordering Information – Plate Trials

REF Description

54-25384T Volar DR Trial, Narrow, Right, Short

54-25374T Volar DR Trial, Narrow, Left, Short

54-25386T Volar DR Trial, Standard, Right, Short

54-25376T Volar DR Trial, Standard, Left, Short

54-25440T

54-25442T

54-25444T

54-25446T

XXL Volar DR Trial,

Narrow, LE (11 holes)

XXL Volar DR Trial,

Narrow, RI (11 holes)

XXL Volar DR Trial,

Narrow, LE (8 holes)

XXL Volar DR Trial,

Narrow, RI (8 holes)

REF Description

AnATOmICAL VOLAR PLATe TRIALS

UnIVeRSAL VOLAR PLATe TRIALS

DORSAL PLATe TRIALS

XXL AnATOmICAL VOLAR PLATe TRIALS

REF Description

54-25394T Volar DR Trial, Narrow, Short

54-25396T Volar DR Trial, Standard, Short

54-25395T Volar DR Trial, Narrow, Long

54-25397T Volar DR Trial, Standard, Long

FRAgmenT SPeCIFIC PLATe TRIALS

REF Description

54-25400T Lateral DR Trial, Short

54-25402T Dorsal Medial DR Trial, Short, Right

54-25403T Dorsal Medial DR Trial, Short, Left

REF Description

54-25290T Dorsal DR Trial, Standard, Right

54-25291T Dorsal DR Trial, Standard, Left

54-25292T Dorsal DR Trial, Wide, Right

54-25293T Dorsal DR Trial, Wide, Left

26

X-RAy TemPLATeS

62-90004

62-90005

62-90002

62-90003

62-90000

62-90001

X-Ray Template XXL Volar DR

Plates (Scale 1:1)

X-Ray Template XXL Volar DR

Plates (Scale 1.15:1)

X-Ray Template Volar DR Plates

(Scale 1.15:1)

X-Ray Template Dorsal DR Plates

(Scale 1.15:1)

X-Ray Template Volar DR Plates

(Scale 1:1)

X-Ray Template Dorsal DR Plates

(Scale 1:1)

REF Description

REF Description

50-23501 Marker - Locking Screws 2.3mm

50-27500 Marker - Locking Screws 2.7mm

50-20501 Marker - Locking Pegs 2.0mm

50-23001 Marker - Bone Screws 2.3mm

50-27000 Marker - Bone Screws 2.7mm

50-27001 Marker - PT Bone Screws 2.7mm

50-27501 Marker - PT Locking Pegs 2.7mm

50-23502 Marker - 2.3mm

mARkeRS

Ordering Information – Plate Trials

27

Complementary Products

Now Stryker Osteosynthesis offers you a wide variety of solutions for the treatment of all your Upper Extremity & Hand Injuries.

TwinFix

knifeLight

Hoffmann II micro Lengthener

Hoffmann II Compact mRI

Profyle and VariAx Hand

T2 Humeral nail

T2 Proximal Humeral nailAsnis III 4.0 Cannulated ScrewsAxSOS Proximal Humeral Plate

This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery.

The information presented is intended to demonstrate a Stryker product. A surgeon must always refer to the package insert, product label and/or instructions for use, including the instructions for Cleaning and Sterilization (if applicable), before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Asnis, AxSOS, Hoffmann II Compact MRI, Hoffmann II Micro, KnifeLight, Profyle Modular, Stryker, TwinFix, T2, VariAx. All other trademarks are trademarks of their respective owners or holders.

The products listed above are CE marked.

Literature Number: 90-07800 Rev 61/11

Copyright © 2011 Stryker

Manufactured by:

Stryker Leibinger GmbH & Co. KGBötzinger Straße 41D-79111 FreiburgGermany

www.osteosynthesis.stryker.com1275

1275

Documents

VariAx - OTC Switzerlandotc-switzerland.ch/resources/VariAx_distal_radius_e.pdf5 Introduction The VariAx Distal Radius Plating System represents the Next Generation of Bone Fixation