Hand & Wrist
VariAx
Distal Radius Locking
Plate System
Hand & Wrist
Operative Technique
•
•
•
•
Anatomical & Universal Volar Plates
Dorsal Plates
Fragment Specific Plates
XXL Anatomical Volar Plates
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, 9001953) for a complete list of potential
adverse effects, contraindications,
warnings and precautions. The surgeon must discuss all relevant risks,
including the finite lifetime of the device, with the patient, when necessary.
Warning:
Fixation Screws:
Stryker Osteosynthesis bone
screws are not approved or intended for screw attachment or
fixation to the posterior elements
(pedicles) of the cervical, thoracic or lumbar spine.
2
Variax Distal Radius Locking Plate System
This operative technique was developed
with Richard Rogachefsky, MD.
3
Contents
1.Introduction
2.Overview
Plate Options
Screw / Peg Options
3.
SmartLock Locking Technology Overview
4. Operative Technique
Anatomical Volar Plate Universal Volar Plate
Dorsal Plate
Lateral Distal Radius Plate
4
Ordering Information – Plates
Ordering Information – Cross Pin Screws
Ordering Information – T7 Drive Screws
Ordering Information – Instruments
Ordering Information – Plate Trials
Page
5
7
7
7
8
10
10
12
14
16
17
20
22
24
25
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, intraarticular and extra-articular fractures,
displaced fractures. Following
additional indications apply only for
the XXL Volar Distal Radius Plates:
Osteotomies, non-unions and malunions.
Contraindications
•Inadequate bone quantity and quality
•Patients with active infections.
•Patients with metal allergies and
foreign body sensitivity.
•Severely non-compliant patients with
mental or neurological conditions
who are unwilling or incapable
of following postoperative care
instructions.
•Patients with limited blood supply
or insufficient quality or quantity of
bone.
•Patients with unstable physical and/
or mental health conditions.
System Features
• Comprehensive Plating System
Providing Anatomical Volar
and Dorsal, Universal Volar and
Fragment Specific Solutions.
• XXL Anatomical Volar Plates
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.
• Fixed Angle Drill Guide
Assures placement of screws & pegs
in a pre-determined angle.
• Polyaxial Drill Guide
Allows locking with an additional
angulation of ±15 degrees in any hole
on the plate, except the oblong hole
in the shaft.
• Anatomical Volar Plate
Encourages articular support with
Locking screws & pegs, provides
buttressing to the volar lunate facet
and stable fixation of radial styloid
fragments with two screws.
• Full range of 2.0mm to 2.7mm
Locking and Non-Locking screws &
pegs
Offering intraoperative solutions
for different fracture fixation
requirements.
• Anodization Type II*
Increases the strength of all VariAx
Distal Radius Locking Plates and
reduces the incidence of tissue
adherence.
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 product labeling or respective operative
technique.
* B
aumann A., Zander, N. “Ti6A14V with
Anodization Type II: Biological and
Biomechanical Effects”, March 2005.
** T
he SmartLock Technology is patented (US 6,
322, 562; DE 43 43 117) by Professor Dietmar
Wolter, Hamburg, Germany.
5
-15°
+15°
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.
* B
aumann A., Zander, N. “Ti6A14V with
Anodization Type II: Biological and
Biomechanical Effects”, March 2005.
** T
he SmartLock Technology is patented (US 6,
322, 562; DE 43 43 117) by Professor Dietmar
Wolter, Hamburg, Germany.
6
Overview
Plate Options
Right
Left
Anatomical Volar Plates
Universal Dorsal
Volar Plates Plates
Lateral
DR Plate
Dorsal Medial
DR Plate
Note:
Plates are not scaled to size.
XXL Anatomical Volar Plates
Screw/Peg Options
2.0mm
Smooth
Locking
Peg
2.3mm 2.7mm
Locking Locking
Screw
Screw
2.7mm
Partial
Thread
Locking
Screw
2.3mm
NonLocking
Screw
2.7mm
2.7mm
NonPartial
Locking
Thread
Screw Non-Locking
Screw
T7 Drive
Cross-Pin
Locking Screw
Locking Screw
Bone Screw
Bone Screw
Note:
• Locking and Non-Locking screws
can be used in any round hole.
• To avoid disengagement of the
screwdriver blade from the screw
during insertion, axial pressure is
recommended.
7
SmartLock Locking Technology Overview
• 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.
18° distal
12° lateral
0°
10° proximal
18° distal
12° lateral
0°
15° distal
15° lateral
5° proximal
5° proximal
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.
15° distal
15° lateral
12° proximal
0°
5° proximal
Pre-determined Screw Pattern
• S martLock 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.
Note:
First fully engage the drill guide
in the hole and then aim the drill
in the desired direction.
8
SmartLock Locking Technology Overview
• 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.
• 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.
9
Operative Technique
Anatomical Volar Plate
1. A n 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.
2. T
he 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. T
he Pronator Quadratus is
identified and dissected in its
entirety off of the volar surface of
the radius as an ulnarly based flap.
5. The fracture is visualized and
reduced.
7. C
hoose the appropriate implant
according to patient anatomy and
fracture pattern.
9. Z
ebra striped K-Wires and/or Olive
K-Wires can be used for temporary
fixation while evaluating the
placement of the plate.
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.
8. T
he 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.
10
4. T
he insertion of the Brachioradialis
may be released.
10. T
he 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.
Operative Technique
Anatomical Volar Plate
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.
17. Verify proper placement of screws/
pegs by use of fluoroscopy to ensure
that neither penetrate the joint.
16. Place locking or non-locking screws
in the proximal end of the plate.
18. Close the incision.
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.
11
Operative Technique
Universal Volar Plate
1. A n 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. T
he 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. T
he Pronater Quadratus is
identified and dissected in its
entirety off of the volar surface of
the radius as an ulnarly based flap.
5. The fracture is visualized.
7. T
he 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.
9. T
he first pilot hole should be
drilled in the oval gliding hole
using the appropriate drill guide.
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.
8. K
-Wires can be used for temporary
fixation.
12
4. T
he insertion of the Brachioradialis
may be released.
10. M
easure 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.
Operative Technique
Universal Volar Plate
12. A
fter confirmation of the correct
positioning of the volar plate by
use of fluoroscopy, tighten the first
screw.
14. P
lace the bone or locking screws in the proximal end of the plate.
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.
16. C
lose the incision.
15. V
erify proper placement of screws and pegs by use of fluoroscopy to ensure
that neither penetrates the joint.
13
Operative Technique
Dorsal Plate
1. Longitudinal incision is made just
ulnar to Lister’s tubercle at the
distal radius region.
2. D
issection is performed down to
the extensor retinaculum. The
third compartment is opened and
the extensor pollicis longus is
displaced radially.
3. T
he 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.
6. T
he 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.
7. M
easure the depth of the hole to
determine screw length.
5. If necessary, adapt the plate for
correct anatomical position.
Removal of tuberculum listeri
might be necessary.
14
8. C
heck the screw length on the
measuring scale of the implant
module (optional).
9. T
he 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.
Operative Technique
Dorsal Plate
10. C
onfirm 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.
13. Confirm correct placement by use of fluoroscopy.
14. V
erify proper placement of screws and pegs by use of fluoroscopy to ensure
that neither penetrates the joint.
15. C
lose the incision.
12. P
lace bone or locking screws in the
proximal end of the plate.
15
Operative Technique
Lateral Distal Radius Plate
1. Incision is made along the radial
column.
3. F
irst dorsal compartment is freed
from dorsal to volar to allow plate
placement.
4. P
late is placed along the radial
column.
2. Care must be taken to avoid injury
to dorsal sensory branch of the
radial nerve.
5. Screws or distal K-Wires can be
placed for fixation options.
6. T
he 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. A
fter 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. T
he incision is closed.
16
Ordering Information – Plates
Anatomical Volar Plates*
REF
Description
Length
mm
Thickness
mm
54-25384
Anatomical Volar DR Plate
Narrow, Right
56
2
54-25374
Anatomical Volar DR Plate
Narrow, Left
56
2
54-25386
Anatomical Volar DR Plate
Standard, Right
56
2
54-25376
Anatomical Volar DR Plate
Standard, Left
56
2
54-25385
Anatomical Volar DR Plate
Narrow, Right, Long
76
2
54-25375
Anatomical Volar DR Plate
Narrow, Left, Long
76
2
54-25387
Anatomical Volar DR Plate
Standard, Right, Long
76
2
54-25377
Anatomical Volar DR Plate
Standard, Left, Long
76
2
Universal Volar Plates*
REF
Description
Note:
Plate Trials for the determination
of size intra-operatively are
available on page 16.
Length
mm
Thickness
mm
54-25394
Universal Volar DR Plate
Narrow, Short
53
2
54-25396
Universal Volar DR Plate
Standard, Short
53
2
54-25398
Universal Volar DR Plate
Wide, Short
53
2
54-25395
Universal Volar DR Plate
Narrow, Long
73
2
54-25397
Universal Volar DR Plate
Standard, Long
73
2
54-25399
Universal Volar DR Plate
Wide, Long
73
2
54-25391
Universal Volar DR Plate
Narrow, XLong
94
2
54-25392
Universal Volar DR Plate
Standard, XLong
94
2
54-25393
Universal Volar DR Plate
Wide, XLong
94
2
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.
17
Ordering Information – Plates
XXL Anatomical VOLAR Plates*
REF
Description
Note:
Plate Trials for the determination
of size intra-operatively are available on page 16.
Length
mm
Thickness
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
54-25424
2.7mm XXL Volar DR Plate,
Stand, LE (11 holes)
145
3
54-25426
2.7mm XXL Volar DR Plate,
Stand, RI (11 holes)
145
3
54-25428
54-25430
2.7mm XXL Volar DR Plate,
Stand, LE (8 holes)
2.7mm XXL Volar DR Plate,
Stand, RI (8 holes)
100
3
100
3
54-25432
54-25434
2.7mm XXL Volar DR Plate,
Stand, LE (5 holes)
2.7mm XXL Volar DR Plate,
Stand, RI (5 holes)
74
3
74
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
54-25440
54-25442
2.7mm XXL Volar DR Plate,
Narrow, LE (11 holes)
2.7mm XXL Volar DR Plate,
Narrow, RI (11 holes)
145
3
145
3
54-25444
54-25446
2.7mm XXL Volar DR Plate,
Narrow, LE (8 holes)
2.7mm XXL Volar DR Plate,
Narrow, RI (8 holes)
100
3
100
3
54-25448
2.7mm XXL Volar DR Plate,
Narrow, LE (5 holes)
74
3
54-25450
2.7mm XXL Volar DR Plate,
Narrow, RI (5 holes)
74
3
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.
18
Ordering Information – Plates
Dorsal Plates*
REF
Description
Length
mm
Thickness
mm
54-25290
Dorsal DR Plate
Standard, Right
60
1.5
54-25291
Dorsal DR Plate
Standard, Left
60
1.5
54-25292
Dorsal DR Plate
Wide, Right
60
1.5
54-25293
Dorsal DR Plate
Wide, Left
60
1.5
54-25294
Dorsal DR Plate
Standard, Right, XLong
81
1.5
54-25295
Dorsal DR Plate
Standard, Left, XLong
81
1.5
54-25296
Universal Volar DR Plate
Wide, Right, XLong
81
1.5
54-25297
Dorsal DR Plate
Wide, Left, Xlong
81
1.5
Fragment Specific Plates*
REF
Description
Note:
Plate Trials for the determination
of size intra-operatively are available on page 16.
Length
mm
Thickness
mm
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
* 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
19
Ordering Information – Cross-Pin Screws
2.7mm Locking Screws
2.0mm Locking Pegs
Ti REF
Length
mm
Ti REF
Length
mm
52-20616
52-20618
52-20620
52-20622
52-20624
16
18
20
22
24
52-20626
26
52-27610
52-27612
52-27614
52-27616
52-27618
52-27620
52-27622
52-27624
52-27626
10
12
14
16
18
20
22
24
26
For the 2.0mm Locking Pegs, please use the following
2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
For the 2.7mm Locking Screws, please use the following
2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
2.3mm Locking Screws
2.7 mm Partially Threaded Locking Screws
Ti REF
Length
mm
52-2361010
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.
Note:
They can be ordered single sterilepacked 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.
20
Ti REF
52-27716
52-27718
52-27720
52-27722
52-27724
52-27726
Length
mm
16
18
20
22
24
26
For the 2.7mm Partially Threaded Locking Screws, please
use the following 2.0mm drill ref: 60-20185, 60-20385 and
60-20485.
Ordering Information – Cross-Pin Screws
2.3mm Non-Locking Screws
2.7mm Partially Threaded Non-Locking Screws
Ti REF
Length
mm
Ti REF
Length
mm
52-23010
52-23012
52-23014
52-23016
52-23018
52-23020
52-23022
52-23024
52-23026
52-23028
52-23030
52-23032
52-23034
52-23036
52-23038
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
52-27116
52-27118
52-27120
52-27122
52-27124
16
18
20
22
24
52-27126
26
For the 2.7mm Partially Threaded Screws, please use
the following 2.0mm drill ref: 60-20185, 60-20385 and
60-20485.
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
Twist Drills, Tap and Blade
Ti REF
Length
mm
52-27010
52-27012
52-27014
52-27016
52-27018
52-27020
52-27022
52-27024
52-27026
10
12
14
16
18
20
22
24
26
REFDescription
60-23141 2.3mm, Stryker shaft end
60-23341 2.3mm, AO shaft end
60-23441 2.3mm, Dental shaft end
60-20185 2.0mm, Stryker shaft end
60-20385 2.0mm, AO shaft end
60-20485 2.0mm, Dental shaft end
60-19140 1.9mm, Stryker shaft end
60-19340 1.9mm, AO shaft end
60-19440 1.9mm, Dental shaft end
62-27010 Tap for 2.7mm Screws
62-27007 2.3mm/2.7mm, Cross-Pin Blade
For the 2.7mm Screws, please use the following 2.0mm
drill ref: 60-20185, 60-20385 and 60-20485.
Note:
They can be ordered single sterilepacked 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.
21
Ordering Information – T7 Drive Screws
2.0mm Locking Pegs
2.7mm Locking Screws
Ti REF
Length
mm
Ti REF
Length
mm
53-20616E
53-20618E
53-20620E
53-20622E
53-20624E
16
18
20
22
24
53-20626E
26
53-27610E
53-27612E
53-27614E
53-27616E
53-27618E
53-27620E
53-27622E
53-27624E
53-27626E
10
12
14
16
18
20
22
24
26
For the 2.0mm Locking Pegs, please use the following
2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
For the 2.7mm Locking Screws, please use the following
2.0mm drill ref: 60-20185, 60-20385 and 60-20485.
2.3mm Locking Screws
2.7 mm Partially Threaded Locking Screws
Ti REF
Length
mm
53-23610E10
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
For the 2.3mm Locking Screws, please use the
following 1.9mm drill ref: 60-19140, 60-19340 and
60-19440.
Note:
They can be ordered single sterilepacked 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.
22
Ti REF
Length
mm
53-27716E
53-27718E
53-27720E
53-27722E
53-27724E
53-27726E
16
18
20
22
24
26
For the 2.7mm Partially Threaded Locking Screws, please
use the following 2.0mm drill ref: 60-20185, 60-20385 and
60-20485.
Ordering Information – T7 Drive Screws
2.3mm Non-Locking Screws
2.7mm Partially Threaded Non-Locking Screws
Ti REF
Length
mm
Ti REF
Length
mm
53-23210E
53-23212E
53-23214E
53-23216E
53-23218E
53-23220E
53-23222E
53-23224E
53-23226E
53-23228E
53-23230E
53-23232E
53-23234E
53-23236E
53-23238E
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
53-27116E
53-27118E
53-27120E
53-27122E
53-27124E
16
18
20
22
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.
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
Twist Drills, Tap and Blade
Ti REF
Length
mm
53-27210E
53-27212E
53-27214E
53-27216E
53-27218E
53-27220E
53-27222E
53-27224E
53-27226E
10
12
14
16
18
20
22
24
26
For the 2.7mm Screws, please use the following 2.0mm
drill ref: 60-20185, 60-20385 and 60-20485.
Note:
They can be ordered single sterilepacked 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.
23
REF
Description
60-23141
60-23341
60-23441
60-20185
60-20385
60-20485
60-19140
60-19340
60-19440
62-27010
62-27015
2.3mm, Stryker shaft end
2.3mm, AO shaft end
2.3mm, Dental shaft end
2.0mm, Stryker shaft end
2.0mm, AO shaft end
2.0mm, Dental shaft end
1.9mm, Stryker shaft end
1.9mm, AO shaft end
1.9mm, Dental shaft end
Tap for 2.7mm Screws
Screwdriver Blade, T7
Ordering Information – Instruments
Instrumentation
Implant Module
REF Description
62-20290
REFDescription
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
29-27001
VariAx Distal Radius
Locking Implant Module,
double-sized
29-27002
Inlay for Anatomical Volar
Distal Radius Plates
29-27003
Inlay for Universal Volar
Distal Radius Plates
29-27004
Inlay for Volar Anatomical
XXL DR Plates
Sterilizing Container
Bone Reduction Instruments
REFDescription
REFDescription
07-30600
Lobster Bone Holding Forceps
07-30111
Lewin Bone Holding Forceps,
Sharp Tip
07-10006
Elevator, Double sided,
Narrow&Wide, Hohmanns
07-10021
Elevator, Double sided,
Strong&Light Curved
07-10175
Bone Hook
43-09830
Mallet (250g)
64-00011
29-13012
VariAx Lid for Sterilizing
Container
29-13013
Sterilizing Container, Halfsize, w/o VariAx Lid
29-13114
VariAx Distal Radius Plating
Instrument Tray
29-13024
VariAx Distal Radius Bone
Reduction Tray
Tamp
K-Wires
Depth Gauges
REFDescription
56-40281
K-Wire with Olive Stop *
07-40281
K-Wire, 1.1x160mm **
* Order Quantity: Packages of 5
** Order Quantity: Packages of 10
24
REFDescription
62-00018
VariAx Distal Radius Depth
Gauge for 2.3/2.7 mm Screws,
black
6200016
Depth Measuring Gauge
Ordering Information – Plate Trials
Anatomical Volar Plate TRIALs
dorsal Plate TRIALs
REF Description
REF Description
54-25384T Volar DR Trial,
Narrow, Right, Short
54-25290T Dorsal DR Trial,
Standard, Right
54-25374T Volar DR Trial,
Narrow, Left, Short
54-25291T Dorsal DR Trial,
Standard, Left
54-25386T Volar DR Trial,
Standard, Right, Short
54-25292T Dorsal DR Trial,
Wide, Right
54-25376T Volar DR Trial,
Standard, Left, Short
XXL Anatomical volar Plate trials
REFDescription
54-25440T
54-25442T
54-25293T Dorsal DR Trial,
Wide, Left
fragment specific Plate trials
REF Description
XXL Volar DR Trial,
Narrow, LE (11 holes)
54-25400T Lateral DR Trial, Short
XXL Volar DR Trial,
Narrow, RI (11 holes)
54-25444T
XXL Volar DR Trial,
Narrow, LE (8 holes)
54-25446T
XXL Volar DR Trial,
Narrow, RI (8 holes)
54-25402T Dorsal Medial DR Trial,
Short, Right
54-25403T Dorsal Medial DR Trial,
Short, Left
UNIVERSAL 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
25
Ordering Information – Plate Trials
X-RAY TEMPLATES
REF
62-90004
62-90005
62-90002
62-90003
62-90000
62-90001
Description
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)
Markers
REF Description
50-23501
50-27500
50-20501
50-23001
50-27000
50-27001
50-27501
50-23502
Marker - Locking Screws 2.3mm
Marker - Locking Screws 2.7mm
Marker - Locking Pegs 2.0mm
Marker - Bone Screws 2.3mm
Marker - Bone Screws 2.7mm
Marker - PT Bone Screws 2.7mm
Marker - PT Locking Pegs 2.7mm
Marker - 2.3mm
26
Complementary Products
Now Stryker
Osteosynthesis
offers you a
wide variety of
solutions for
the treatment of
all your Upper
Extremity & Hand
Injuries.
T2 Humeral Nail
TwinFix
KnifeLight
Profyle and VariAx Hand
Hoffmann II Micro Lengthener
Hoffmann II Compact MRI
AxSOS Proximal Humeral Plate
Asnis III 4.0 Cannulated Screws
27
T2 Proximal Humeral Nail
Manufactured by:
1275
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.
1275
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 6
1/11
Copyright © 2011 Stryker
Stryker Leibinger GmbH & Co. KG
Bötzinger Straße 41
D-79111 Freiburg
Germany
www.osteosynthesis.stryker.com