0% found this document useful (0 votes)
178 views33 pages

HPS STG

Download as pdf or txt
Download as pdf or txt
Download as pdf or txt
You are on page 1/ 33

hand plating system

Table of Contents
hand plating system

System Overview
• 1.2mm Module ........................................................................................................ 2

• 1.6mm Module ........................................................................................................ 4

• 2.0mm Module ........................................................................................................ 6

• 2.4mm Module ........................................................................................................ 8

• Cannulated Module ............................................................................................ 10

• Hand Fusion Module ......................................................................................... 12

• Instruments ................................................................................................................. 14

Surgical Technique
• Plating - General ................................................................................................... 18

• Plating - Dual Compression .......................................................................... 21

• Plating - Cannulated Screw .......................................................................... 22

• Plating - Subcondylar Plate .......................................................................... 23

• Screw Fixation - Lag Screws ....................................................................... 24

• Screw Fixation - Cannulated ...................................................................... 25

• Hand Fusion ............................................................................................................... 27


1.2mm
Module

Plates

333-1201 1.2mm 6 Hole Straight Plate 333-1206 1.2mm 3 x 8 T Plate

333-1202 1.2mm 12 Hole Straight Plate 333-1207 1.2mm 4 x 8 T Plate

333-1203 1.2mm Y Plate 333-1208 1.2mm Offset Grid Plate, Left

333-1204 1.2mm L Plate, Left 333-1209 1.2mm Offset Grid Plate, Right

333-1205 1.2mm L Plate, Right

Screws

331-12XX 1.2mm x 4mm – 18mm Fully Threaded Screw

332-12XX 1.2mm x 6mm-18mm Lag Screw

page 2
1.2mm
Module

Instruments

320-1061 HPS™ 1.2mm Screw & Plate Module

320-1210 1.0mm Drill, Manual


320-1410 1.0mm Drill, J-Latch
320-1610 1.0mm Drill, Quick Release

320-1213 1.3mm Drill, Manual


320-1413 1.3mm Drill, J-Latch
320-1613 1.3mm Drill, Quick Release

320-1001 1.2mm/1.6mm Plate Holding TAK™

320-1011 1.2mm/1.6mm Plate Holding Threaded TAK™

320-1009 1.2mm/1.6mm Countersink, Manual

320-1112 1.2mm Screwdriver Shaft, Manual

320-1512 1.2mm Screwdriver Sleeve

page
pg 3
1.6mm
Module

Plates

333-1601 1.6mm 6 Hole Straight Plate, Locking 333-1607 1.6mm 4 x 8 T Plate, Locking

333-1602 1.6mm 12 Hole Straight Plate, Locking 333-1608 1.6mm Offset Grid Plate, Left, Locking

333-1603 1.6mm Y Plate, Locking 333-1609 1.6mm Offset Grid Plate, Right, Locking

333-1604 1.6mm L Plate, Left, Locking 333-1611 1.6mm Condylar Plate, Left, Locking

333-1605 1.6mm L Plate, Right, Locking 333-1612 1.6mm Condylar Plate, Right, Locking

333-1606 1.6mm 3 x 8 T Plate, Locking 333-1620 1.6mm Subcondylar Plate, Locking

333-1651 1.6mm 6 Hole Straight Plate, Locking, TiA* 333-1652 1.6mm Subcondylar Plate, Locking, TiA*
*Cannot be cut with HPS Plate Cutter

Screws

330-16xx 1.6mm x 6mm - 24mm Fully Threaded Screw, Angled Locking 308-16xx 1.6mm x 6mm - 24mm Lag Screw

331-16xx 1.6mm x 6mm - 24mm Fully Threaded Screw

page 4
1.6mm
Module

Instruments

320-1062 HPS™ 1.6mm Screw & Plate Module

320-1213 1.3mm Drill, Manual


320-1413 1.3mm Drill, J-Latch
320-1613 1.3mm Drill, Quick Release

320-1216 1.6mm Drill, Manual


320-1416 1.6mm Drill, J-Latch
320-1616 1.6mm Drill, Quick Release

320-1001 1.2mm/1.6mm Plate Holding TAK™

320-1011 1.2mm/1.6mm Plate Holding Threaded TAK™

320-1009 1.2mm/1.6mm Countersink, Manual

320-1116 1.6mm Screwdriver Shaft, Manual

320-1516 1.6mm Screwdriver Sleeve

page
pg 5
2.0mm
Module

Plates

333-2001 2.0mm 6 Hole Straight Plate, Locking 333-2010 2.0mm Subcondylar Plate, Locking

333-2002 2.0mm 12 Hole Straight Plate, Locking


333-2011 2.0mm Condylar Plate, Left, Locking

333-2003 2.0mm Y Plate, Locking 333-2012 2.0mm Condylar Plate, Right, Locking

333-2004 2.0mm L Plate, Left, Locking


333-2013 2.0mm Z Plate, Locking

333-2005 2.0mm L Plate, Right, Locking


333-2020 2.0mm 4 Hole Straight LCDCP*

333-2006 2.0mm 2 x 8 T Plate, Locking


333-2021 2.0mm 6 Hole Straight LCDCP*

333-2007 2.0mm 3 x 8 T Plate, Locking 333-2022 2.0mm 8 Hole Straight LCDCP*

333-2008 2.0mm Offset Grid Plate, Left, Locking 333-2051 2.0mm 6 Hole Straight Plate, Locking, TiA*

333-2009 2.0mm Offset Grid Plate, Right, Locking 333-2052 2.0mm Subcondylar Plate, Locking, TiA*

*Cannot be cut with HPS Plate Cutter

page 6
2.0mm
Module

Screws

330-20xx 2.0mm x 6mm - 36mm Fully Threaded Screw, 302-20xx 2.0mm x 6mm - 36mm Lag Screw
Angled Locking

331-20xx 2.0mm x 6mm - 36mm Fully Threaded Screw

Instruments

320-1063 HPS™ 2.0mm Screw & Plate Module

320-1215 1.5mm Drill, Manual


320-1415 1.5mm Drill, J-Latch
320-1615 1.5mm Drill, Quick Release
320-1715 1.5mm Drill, Quick Release, Short

320-1220 2.0mm Drill, Manual


320-1420 2.0mm Drill, J-Latch
320-1620 2.0mm Drill, Quick Release
320-1720 2.0mm Drill, Quick Release, Short

320-1002 2.0mm/2.4mm Plate Holding TAK™

320-1012 2.0mm/2.4mm Threaded Plate Holding TAK™

320-1010 2.0mm/2.4mm Countersink, Manual

320-1120 2.0mm Screwdriver Shaft, Manual

320-1520 2.0mm Screwdriver Sleeve

page
pg 7
2.4mm
Module

Plates

333-2401 2.4mm 6 Hole Straight Plate, Locking 333-2410 2.4mm Subcondylar Plate, Locking

333-2402 2.4mm 12 Hole Straight Plate, Locking 333-2411 2.4mm Condylar Plate, Left, Locking

333-2403 2.4mm Y Plate, Locking 333-2412 2.4mm Condylar Plate, Right, Locking

333-2404 2.4mm L Plate, Left, Locking 333-2413 2.4mm Z Plate, Locking

333-2405 2.4mm L Plate, Right, Locking 333-2420 2.4mm 4 Hole Straight LCDCP*

333-2406 2.4mm 2 x 8 T Plate , Locking 333-2421 2.4mm 6 Hole Straight LCDCP*

333-2407 2.4mm 3 x 8 T Plate , Locking 333-2422 2.4mm 8 Hole Straight LCDCP*

333-2408 2.4mm Offset Grid Plate, Left, Locking 333-2451 2.4mm 6 Hole Straight Plate, TiA*

333-2409 2.4mm Offset Grid Plate, Right, Locking 333-2452 2.4mm Subcondylar Plate, TiA*

*Cannot be cut with HPS Plate Cutter

page 8
2.4mm
Module

Screws

330-24xx 2.4mm x 6mm - 36mm Fully Threaded Screw, 306-24xx 2.4mm x 6mm - 36mm Lag Screw
Angled Locking

331-24xx 2.4mm x 6mm - 36mm Fully Threaded Screw 330-1818 1.8mm x 18mm Locking Buttress Pin

Instruments

320-1064 HPS™ 2.4mm Screw & Plate Module

320-1220 2.0mm Drill, Manual


320-1420 2.0mm Drill, J-Latch
320-1620 2.0mm Drill, Quick Release
320-1720 2.0mm Drill, Quick Release, Short

320-1224 2.4mm Drill, Manual


320-1424 2.4mm Drill, J-Latch
320-1624 2.4mm Drill, Quick Release

320-1002 2.0mm/2.4mm Plate Holding TAK™

320-1012 2.0mm/2.4mm Threaded Plate Holding TAK™

320-1010 2.0mm/2.4mm Countersink, Manual

320-1124 2.4mm Screwdriver Shaft, Manual

320-1524 2.4mm Screwdriver Sleeve

page
pg 9
Cannulated
Module

K-Wire

316-0133 .028” x 4” K-Wire

316-0107 .035” x 4” K-Wire


316-0119 .035” x 4” K-Wire, Double Trocar

316-0003 .045” x 4” K-Wire


316-0123 .045” x 4” K-Wire, Double Trocar

Screws

319-20xx 2.0mm x 6mm - 36mm Cannulated Lag Screw 317-20xx 2.0mm x 10mm - 36mm Cannulated Headless Screw

319-24xx 2.4mm x 6mm - 36mm Cannulated Lag Screw 317-24xx 2.4mm x 10mm - 36mm Cannulated Headless Screw

317-30xx 3.0mm x 10mm - 36mm Cannulated Headless Screw

page 10
Cannulated
Module

Instruments

320-1055 HPS™ Cannulated Screw Module

316-0116 1.7mm Cannulated Drill, Long, Manual


316-0014 1.7mm Cannulated Drill, Long, Quick Release

316-0322 2.4mm Proximal Cortex Drill, Manual


316-0323 2.4mm Proximal Cortex Drill, Quick Release

316-0005 2.3mm Cannulated Drill, Manual


316-0015 2.3mm Cannulated Drill, Quick Release

316-0317 2.9mm Proximal Cortex Drill, Manual

316-0035 2.0/2.4/3.0/4.0mm Cannulated Drill Guide

316-0101 2.0/2.4mm Cannulated Screw Countersink

316-0135 HPS Dual Cannulated Depth Gauge

316-0310 2.0/2.4mm Headless Tri-lobe Driver, Cannulated, Tapered, Manual


316-0308 2.0/2.4mm Headless Tri-lobe Driver, Tapered, Manual

316-0311 3.0/4.0mm Headless Driver, Cannulated, Tapered, Manual


316-0309 3.0/4.0mm Headless Driver, Solid, Tapered

316-0102 2.0/2.4mm Cannulated Driver, Manual

316-0039 2.0/2.4/3.0/4.0mm Cannulated Screw Remover


page 11
Hand Fusion
Module

2.0mm Fusion Screws* 2.4mm Fusion Screws*

334-20xx 2.0 x16 - 32mm Fusion Screw 334-24xx 2.4 x 20 - 36mm Fusion Screw

Hand Fusion Plates*

333-1614 1.6mm Fusion Plate


333-2014 2.0mm Fusion Plate

K-Wire

316-0107 .035 x 4” K-Wire Single Trocar

316-0119 .035” x 4” K-Wire Double Trocar

316-0003 .045 x 4” K-Wire Single Trocar

316-0123 .045 x 4” K-Wire Double Trocar

Patent Pending*
page 12
Hand Fusion
Module

Instruments

320-1040 Goniometer
320-1065 HPS™ Hand Fusion Screw & Plate Module

316-1046 Depth Gauge

316-1041 20°/25° Fusion Reamer


316-1042 30°/35° Fusion Reamer
316-1043 40°/45° Fusion Reamer
316-1044 50°/55° Fusion Reamer 316-1045-03 K-Wire Guide

316-1045 K-Wire Guide

316-1017 1.7mm Drill, Quick Release


316-0917 1.7mm Drill, Manual

316-1020 2.0mm Drill, Quick Release


316-0920 2.0mm Drill, Manual

316-1120 2.0mm Fusion Screw Driver Stem

316-1124 2.4mm Fusion Screw Driver Stem

page 13
General Instrumentation Tray

320-1050 HPS™ Instrument Tray 320-1060 HPS™ Two Instrument Tray

Bone and Soft Tissue Management


Selected to aid in fracture realignment and positioning

320-1020 6mm Hohmann Retractor


320-1021 8mm Hohmann Retractor

320-1022 3mm Periosteal Elevator, Straight Edge


320-1023 3mm Periosteal Elevator, Curved Edge

320-1024 Sharp Hook

320-1017 Reduction Forceps

320-1019 Termite Forceps

320-1018 Reduction Forceps, K-wire Guide

page 14
General Instrumentation Tray
Plate Altering
Designed to easily alter plates to fit varying patient anatomy.

320-1015 Universal Plate Cutter

320-1016 Plate Benders

Plate Holding
intended to facilitate implantation by temporarily securing the plate to the bone

320-1032 On Bone Plate Holder

320-1033 Plate Holding Forcep, Swivel Foot

page 15
General Instrumentation Tray
Screw Insertion
Precise instrumentation for adequate fixation

320-1003 1.2mm Fully Threaded Screw Drill Guide


320-1004 1.6mm Fully Threaded Screw Drill Guide
320-1005 2.0mm Fully Threaded Screw Drill Guide
320-1006 2.4mm Fully Threaded Screw Drill Guide

320-1013 1.2/1.6mm Screw Depth Gauge


320-1014 2.0/2.4mm Screw Depth Gauge

316-0048 Ratchet Screwdriver Handle

316-0049 Swivel Screwdriver Handle

220-0027 Small Grasping Forceps


page 16
Instrument Tips
• Plate Holding Taks in plate modules can be inserted into plate holes with a wire pin driver to
temporarily fixate plate.
• Plate Holding Forcep and On Bone Plate Holders are available to help stabilize plate.

• Screwdriver shafts are self retaining. Insert Screwdriver straight with force to engage head of
screw. To remove driver tip from screw, rock it slightly from side to side and lift.
• Use Driver Sleeve to protect soft tissue during screw insertion when necessary and to provide
stability while driving in longer screws.
• Countersinks are provided for use when placing a headed screw outside a plate. They are
recommended in cases of dense bone to create recess for head of screw.
• Proximal Cortex Drills are provided for use with Headless Cannulated Screws. They are
recommended to create a larger pilot hole for trailing end of screw.
• Cannulated Depth Gauge has two sides. “On Plate” side has a flat tip and is designed to hit
surface of plate. “On Bone” side is pointed to allow for accurate measurements at any position.
• Hand Fusion Depth Gauge is double sided and calibrated for 2.0mm or 2.4mm fusion screw holes.

• Universal Plate Cutter


• Place last needed hole around appropriately sized post.

• Pull plate slightly so it grasps post.

• Hold plate securely with one hand and squeeze handles to cut plate.

• Silicone on cutting tip will hold unused part of plate.

• Remove any plate pieces from silicone before proceeding.

• Inspect plate for burrs and remove using file located on top of instrument.

• If cutting pins or tines, use middle section of Universal Plate Cutter marked with black circle.

• K-wires .045” (1.2mm) or smaller can be cut using tip of Universal Plate Cutter.
surgical technique

hand plating system

Plating
General
Preparation

1 Expose and reduce fracture or osteotomy site

Plate Preparation and Positioning

2
Select plate
Select appropriate plate size and configuration.

3
Cut plate
If necessary plates may be cut using universal plate
cutter, unless noted with * on pages 4-8.

4 Contour plate
Plates are precontoured to anatomically fit bone. If further
contouring is necessary, plate benders may be used.
NOTE: Bending plate multiple times may weaken
plate and could result in implant failure.

page 18
Plating
General

5 Position plate
Position plate over fracture or osteotomy. Use plate
holding TAKs™ for temporary fixation during procedure.

Screw Preparation and Insertion

6 Determine desired screw type


Angled locking, non-locking, lag, or cannulated lag.

Steps 7-10 are for angled locking, non-locking and


lag Screws. Directions for using cannulated lag screws
and compression holes on pages 21-22.

7 Drill
Select appropriate color coded drill guide and insert
into plate hole nearest fracture or osteotomy site.
Determine desired angle of screw placement. Ensure
that screws do not converge.
Drill a pilot hole using the appropriate pilot drill size.
Note: Use irrigation when drilling. Fluoroscopy is
recommended during drilling. In cases of soft bone
drilling with smaller drill (from module 1 size down) is
recommended.

plate size angled locking


ranges

1.6mm + 22°

2.0mm + 18°

2.4mm + 17°

While screw heads are designed to sit flush with plate,


screw head prominence will vary at severe angles.
Screw head prominence can cause soft tissue irritation.
Angled-locking screws will lock at any angle that drill
guide will allow when fully inserted into plate hole.
Please refer to chart for locking angle ranges.

page 19
Plating
General

8 Measure
Insert depth gauge until it passes through distal
cortex. Retract stem until lip catches against bone to
determine measurement.

Screw Insertion

9 Select & insert


Select desired screw diameter and length. Verify
screw length with gauge on block. Insert screw into
plate hole at desired angle to fixate plate onto bone.
Fluoroscopy is recommended during screw insertion
to ensure correct length and angulation.

NOTE: When inserting angled locking screws at


maximum angles stop inserting screw when head has
engaged plate hole. Continuing to drive screw may
cause screw to go through plate. Locking screws and
plate holes can be used up to 3 times.

10 Repeat steps 6-9 for angled locking,


non-locking and solid core lag screws until all
necessary holes are filled.

Close

11 Close treatment site using standard closure techniques

page 20
Plating
Dual Compression
Using Dual Compression Holes
1.6mm, 2.0mm and 2.4mm plates contain dual-compression holes, allowing for compression regardless
of plate orientation.

Anchor Screw

1

Select hole
Begin with compression holes closest to fracture line.
Compression hole

2

Position drill guide
Place drill guide eccentrically farthest from fracture.

3 Drill

4 Measure

5

Partially insert screw
Do not engage the plate with the screw head.

Compression Screw

6

Prepare Compression
Follow steps 1-4 for compression hole opposite fracture.

7


Fully insert screw
Fully insert screw until head sits in center of
compression hole.

Final Compression

8 Return to first screw and tighten

9

Insert remaining screws following the general plating technique.
NOTE: 1mm of compression is available with each
compression hole. If only 1mm is needed, fully insert a
screw on one side of the fracture and follow compression
instructions for second screw (Steps 6-7).

page
pg 21
Plating
Cannulated Screw
Using Cannulated Lag Screws in a plate
If using a cannulated lag screw through a plate, it must be inserted first before any other screw. Only one cannulated
lag screw can be used per plate.

1 Insert K-wire
Insert .035” K-wire through center of desired hole,
perpendicular to fracture or place plate over kwire
already in place. 1.2mm drill guide for 1.0mm pilot drill
can be used as K-wire guide.
NOTE: Do not bend K-wire when inserting into bone.

2 Measure
Slide plate side of cannulated depth gauge over K-wire
until tip bottoms out on plate; end of K-wire
indicates screw length required. Subtract for any
anticipated interfragmentary compression resulting
from screw insertion.

3 Drill
HPS cannulated screws are self drilling and self tapping,
but drilling is recommended in cases of dense bone.
If drilling is desired or necessary, select 1.7mm
cannulated drill and use 2.0/2.4mm drill guide
located in the cannulated block to drill pilot hole.

4 Insert screw
Select diameter and length of screw needed. Verify
screw length with gauge on block. Insert cannulated
screw over K-wire through plate hole to fixate plate
onto bone and compress the fracture.

5 Remove and discard K-wire.

6 Fill remaining screw holes with solid core screws.

page 22
Plating
Subcondylar Plate
The Subcondylar Plate
The subcondylar plate is designed with a 12° bend in order to sit below the condyles. The 12° bend allows screws
to be placed at broader angles in order to fixate the fracture.

1 Place plate
Position the plate proximal to the condyle.

2 Insert positioning screw


Subcondylar plate has a positioning hole
to aid in precise placement. Drill accentrically, furthest
from plate bend. Measure and insert screw. Do not fully
seat head of screw.

Positioning hole

3 Insert screws into bent part of plate


Follow steps 6-9 from general plating technique.

4 Tighten screw in positioning hole

5 Fill remaining screw holes. Following


general plating instructions

Alternative Condylar Blade Plates are available in 1.6mm, 2.0mm and 2.4mm for indications in
which lateral condylar support and pins/tines are necessary. Instructions for implantation of condylar plates
are as follows:
Drill and measure depth, starting with pin/tine holes first. The 1.6mm and 2.0mm plates have tines
that insert into condyle of bone next to screw. The 2.4mm plates have an angled-locking pin. Cut
pin/tine to desired length using middle section of plate cutter marked by a dark circle.

page 23
Screw Fixation
Lag Screws
Compression with Lag Screws
Lag screws are provided for applications where compression across the fracture line by a screw is advantageous.
Overdrills are also provided to create a gliding hole in the proximal fragment to achieve a lag effect with a
fully threaded screw. To achieve compression, the screw must be placed perpendicular to the fracture line, and
threads must pass into the distal fragment.

1 Drill
Create pilot hole using the appropriate color coded drill
guide and the appropriate pilot drill.

2 Countersink
Countersink to create a recess for screw head.
NOTE: If using a lag screw through a plate, countersink
is not needed.

3 Measure

4 Insert screw
Select appropriate screw diameter and length. Verify
length with gauge on block. Insert screw into hole
perpendicular to fracture/osteotomy. Repeat steps 2 – 5
for additional screw placement.

5 Close the treatment site using standard


closure techniques

page 24
Screw Fixation
Cannulated Screws
Cannulated Compression Screws - Headed and Headless
HPS has 2.0mm and 2.4mm headed cannulated and 2.0mm, 2.4mm and 3.0mm headless cannulated
compression screws. Headless screws provide between 1-2mm of compression. Tapered tri-lobe
driver stems allow headless screws to be inserted below the surface of the bone.

Screw Preparation

1 Insert K-wire
Insert the K-wire to the appropriate depth under
fluoroscopy. Do not bend the K-wire when placing it in
the bone.

2 Measure
Slide on bone side of cannulated depth gauge over
K-wire until tip bottoms out on bone; end of K-wire
will indicate screw length required. Subtract
appropriately for any anticipated interfragmentary
compression resulting from screw insertion.

3 Drill (optional)
HPS cannulated screws are self drilling and self
tapping, but drilling is recommended in cases of
dense bone. If drilling is desired or necessary,
select the appropriate cannulated drill and use the
cannulated drill guide located in the cannulated
block to drill a pilot hole.
NOTE: Use irrigation when pilot drilling.

page 25
Screw Fixation
Cannulated

4 Countersink or Proximal Cortex Drill


Countersinking is recommended when using a
cannulated lag screw to create the required recess in
the bone.

Proximal cortex drill is recommended when using


headless screws to create a pilot hole for trailing end
of screw.

Insert Screw

5 Insert screw
Select screw diameter and length. Verify screw length
with gauge on block. Place screw over K-wire and
use the screwdriver to drive cannulated screw into
bone until desired compression is achieved. Headless
screws will provide 1-2mm of compression.

6 Remove and discard K-wire

7 Repeat steps 1-6 for additional screw


placement

Closure

8 Close the treatment site using standard


closure techniques

page 26
Hand Fusion
Hand Fusion
Hand fusion allows for stable fixation of a joint at a natural resting angle between 20-55°. It combines the
locking plate stability from HPS with the compression provided by the headless screws.

Joint Preparation

1 Expose joint
Make incision on dorsal surface of
proximal bone of PIP joint.

2 Remove damaged joint surfaces


Using goniometer for reference, position joint
at desired angle (between 20-55 degrees) and
create osteotomy cuts. Distal bone should be cut
perpendicular to dorsal surface; proximal bone
cut will determine angle of fusion. Cup and
cone configuration can also be used.

3 Create guide channel in distal canal


From center of joint, drive Ø.045” x 4”
K-wire into distal bone axially to create a
guide channel.

NOTE: In soft bone where drilling for fusion screw
will not be needed, Ø.035” x 4” K-wire can be used
to create a smaller channel. Do not bend k-wire
when inserting into bone.

page
pg 27
Hand Fusion

4 Remove K-wire from


distal bone

5
Place K-wire to determine plate
placement
From center of joint, drive Ø.045” x
4” K-wire into proximal bone through
dorsal cortex at desired angle.

6 Confirm fusion angle


Retrograde K-wire into channel of distal
bone, re-attaching joint. Use goniometer
to confirm angle.

NOTE: Measuring the angle of the K-wire in the


proximal bone relative to the dorsal surface will
also determine fusion angle.

page 28
Hand Fusion

Plate Placement

7 Create a recess in proximal bone for


placement of plate
Select appropriate reamer based on
angle of fusion desired. Place reamer
over K-wire and ream using power, until
top distal edge contacts surface of
bone.

8 Place Fusion Plate


Remove k-wire for direct access to the proximal
holes. Select appropriate size fusion plate for
fixation of joint. Cut and bend plate as needed
using appropriate instrumentation from HPS
instrument tray. Place plate in divet created by
reamer with transfix hole distal on bone.

9 Fixate plate to proximal bone


Follow Screw Preparation and Insertion steps in
HPS Surgical Technique (page 17-18) to insert one
locking, non-locking or lag screw from
appropriate HPS module into shaft of plate.

• 1.6 plates use screws from


green 1.6 HPS module
• 2.0 plates use screws from
purple 2.0 HPS module

NOTE: Do not place screw in hole in barrel of plate


prior to placing Fusion Screw.

page
pg 29
Hand Fusion

10 Position bones for fusion


Insert Ø.035 K-wire through transfix hole
and position bones for fusion. Check
positioning under fluoroscopy if desired.

NOTE: Fusion screw WILL NOT fit over Ø.045


K-wire previously used.

11 Measure
Slide cannulated depth gauge over K-wire
until tip reaches plate; end of K-wire
will indicate screw length required.

12 Drill (optional)
If drilling is desired, slide drill guide over K-wire
into transfix hole. Drill hole using appropriate drill
size. Fusion screws are self-drilling and self-tapping
but drilling is recommended in dense bone.

NOTE: Use irrigation when drilling. Fluoroscopy is


recommended during drilling. Failure to use
drill guide may inhibit ability to lock screw in
plate.

13 Select Fusion Screw


Select appropriate Fusion screw diameter and
length from Hand Fusion module, 2.0mm screw
for 1.6 plate and 2.4mm screw for 2.0 plate.
Verify screw length with gauge on block.

page 30
Hand Fusion
Insert Fusion Screw

14 Insert Fusion Screw


Reduce joint; insert screw over K-wire into transfix
hole to compress joint and lock it into plate.
NOTE: Firmly hold distal bone when inserting screw
to prevent malrotation prior to compression and
locking of screw into plate.
Optional Screws:
If solid core screw is desired, use standard screws
in 2.0 HPS module for transfix hole in 1.6 fusion
plate, and standard screws in 2.4 HPS module for
transfix hole in 2.0 fusion plate. Follow Screw
Preparation and Insertion steps in HPS Surgical
Technique Guide. (page 17-18)

15 Fill remaining screw holes


Repeat step 9 to place additional screws until all
necessary holes are filled.

NOTE: If necessary, use only NON-LOCKING


screws in hole in barrel of plate.

Close

16 Place parallel K-wire or screw across joint


if needed for anti-rotation. Close.

MCP and DIP Joints


The OsteoMed Hand Fusion System is approved for use in bone fusion and arthrodesis of phalanges
and metacarpals. Fusion angles range between 20 and 55, and may be too extreme for the DIP joint. If
choosing to fuse the DIP or MCP joint, follow the surgical technique for the PIP Joint.

WARNING: In patients with a large intramedullary canal, the diameter length of the Fusion screw provided
may not provide adequate compression of the MCP joint.

page
pg 31
OSTEOMED
3885 Arapaho Rd.
Addison, TX 75001
Customer Service: 800.456.7779
Outside the U.S.: 001.972.677.4600
Fax: 800.390.2620
Fax Outside the U.S.: 001.972.677.4709
E-mail: customer.service@osteomed.com
www.osteomed.com
p/n 030-1616 Rev.C

You might also like