0000003514 00000 n Remove any bony fragments from the distal tibiofibular joint.

0000000016 00000 n

+91 99116 55555 Info@vastortho.com 0 ���NӒ ]}||�d3$K�2��T 0000016348 00000 n %%EOF Use a depth gauge to determine the length of the screw. 0000024182 00000 n Prevents projection of the screw head, when the screw must be inserted at an acute angle. This website also uses Open Source Software (OSS) provided by LiveChat to provide customer support. 0000101586 00000 n 0000093866 00000 n h��[m�����ɇ�xk�T�T%)��'�޲�MQ�h������ZQW�?�; �4wgH.��}����n�`��i4��33�ͬI��Y6��0�+����U&�lr�2i�bh���U�&�ڐ����voj\��r�rQj[����}k#��ŷ6r�Z|k���Zm�ֆ�r�q���k�J���a�oZj.�ښ�mԆjk��!

0000044847 00000 n In twisting injuries of the ankle which result in a high fibular fracture (Lauge-Hansen pronation external rotation injuries) there is a disruption of the syndesmosis.

Malleolar Screws available in TI & SS. 0000045347 00000 n The shaft holes accept 3.5 mm locking screws in the threaded portion and 3.5 mm cortex screws, 4.0 mm cortex screws and 4.0 mm cancellous bone screws in the compression portion; Distal tab for optional medial malleolus screw accepts 3.5 mm locking, 2.7 mm cortex,3.5 mm cortex, 4.0 mm cortex Join from wherever you are in the world. The foot position during positioning screw placement should be … If the fibula is displaced, make sure it is properly reduced. If the positioning screw does not follow the drill hole precisely, displacement of the fibula is possible.

If the syndesmosis is disrupted, the fibula needs to be held in the correct position in relation to the tibia whilst the ligaments heal. West Coast Medical Resources, LLC. 0000093825 00000 n 419.890) Washer, spherical Prevents projection of the screw

Tap the fragment only with the 4.0 mm tap and protection sleeve. It may also be injured in some transsyndesmotic fractures. 0000103173 00000 n

Cannulated Screw Washer Height (a) Width (b) Depth Art. © 1997-2020 WestCMR. in-stock orders received before 4pm est shipped same day.

Following plating of a multifragmentary fracture, or when a high fibular fracture has not been fixed, postoperative CT or MRI, to assess the rotation of the fibula at the level of the syndesmosis of both ankles, is strongly advised. All products sold by WestCMR are in-date. H�tWˮ%� ܟ����H�Ë؉���Ydm�L. Insert a 3.5 mm cortex screw, leaving the screwhead approxi- mately 2 mm–4 mm above the bone. 0000002797 00000 n If the fragment is too small for 4.0 mm screw fixation, use a 2.0 mm cortex screw or suture the fragment to the periosteum of the anterior tibia. 0000002362 00000 n 68.122.020 Modular Insert 2/3, for Modular Screw Rack for Screws 3.5/4.0 mm or 68.122.060 Modular Insert 1/3, for Modular Screw Rack for Screws …

%PDF-1.6 %���� The instability of the ankle joint is treated with two positioning screws after exploring the syndesmotic complex and achieving perfect reduction of the distal tibiofibular joint. Load Time 0.05 seconds • System time 2020-10-14 13:32:59.

Reduction must be anatomical.

Sign in to add this product to your favorites! Fix the reduction with a K-wire, if necessary. In Stock! �D�[ l��{F�X-Ӭ%Ƃws��S߹x ����)�"���L]�;=�2��Nu��a�ۘ�8�c��t���s#o ���6neB�JQX[V�����V�cɭ/�M�8�7��ZFu������@{���CɃ�%9�Ѥv��X��A�]��o֢��.=B��20�0RF��"��6F�������O)1�����R�v�x��Y�H��x��cI�m���`+�m��z�8�Z�3��^Pl��W�=���jf��9����hV���y�m�i����[Qq��3��m�\�=��� >�X�^�;>��r�)���ʿ�����1��䭡�͹xmZ�PӍj��Q?��n��$�"m�UOr+�6�;[C�o ���So�� -9�I��e@��H��������Ԝ? LCP Distal Fibula Plates Surgical Technique DePuy Synthes 7 Modular screw rack All screws are available in a modular screw rack which can be arranged as needed. 0000098521 00000 n As this screw is not intended to act as a compressive lag screw, the thread must be tapped in both fibula and tibia.

Ships Today! ?�9/��s+$��EIQL̀}� �,v�S6d�~��%������蘹��J���z�)�.�|z��#(�RD��ᰦ%��i�����Z\?_'��[D��-����0\��h E�ĈY!R��a��� �:��Q( �I� “WestCMR” and “WestCMR Surgical Surplus Marketplace” are trademarks of

$30.63 each - Synthes Screws # 215.025 - Synthes 4.5mm Malleolar Screw / 25mm '4����t�?���q}�F��g�������֗��g\��Yo�����Wo?�P�٫���Mw����v/ڸ��6n�i�;����H78����HW�#�M����ݕv�u_�Yߝigo�Y����Φ�P;��G�l�.���t��Y۝jg]����ݭv6t��Y鎵��{�Φ�Z;��o�l�ε���޵����κ�_;뻃�l����]lgc���M��v6w/����l�L������v�uO�Y�]mgC�����l+�fX�n6�o/֍��{us�x�~�Y,�]�u����^��Qq���������L���]�/7������]��J�u�Ze���輸q�^��|v����/_�RY>_]\,���ɿ��P��6����5�����z~y�Y��7�W���&wf������YU+{�-�Nt�Yw�WW��������������b]U?y�����Ō@ �@ �@ �Oڦ�a�2جq�(c����+3lcT ��o~��xK��N�!3f���[�wt;{e$��M��Խ�;���)�tG�q���Rlm꾦njꎦng�^���s� �W�

As this screw is not intended to act as a compressive lag screw, the thread must be tapped in both fibula and tibia. 1384 0 obj <> endobj 0000056733 00000 n

0000130841 00000 n If the fragment is large enough, lag screw fixation can be used. Confirm reduction under image intensification in both planes. 6.5/7.0/7.3 X19.952 22 …

Restoring length, axis and rotation of the fibula.

endstream endobj 1385 0 obj <>/Metadata 291 0 R/Names 1386 0 R/PageLabels 282 0 R/Pages 286 0 R/StructTreeRoot 293 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1386 0 obj <> endobj 1387 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 3/Thumb 257 0 R/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 1388 0 obj <> endobj 1389 0 obj <>stream A-Z Ortho 917 Lone Oak Rd Suite 1000 Eagan, MN 55121 Info@m-p-r.com Call 800.524.5194 Proud to offer products made in the USA. Support Screw for Cannulated Screw 3.0 Outside diameter 5.5 mm, core diameter 4.25 mm, length 3 mm, with cannulation and hexagonal socket 3.2 mm (219.890. 0000098562 00000 n December 3-6, 2020, Hip periprosthetic fracture module is now online, whether and in which circumstances one or two screws should be used, whether the syndesmosis positioning screw(s) should penetrate one or both cortices of the tibia, whether and when the screw(s) should be removed, whether the screw(s) are better placed through or adjacent to a plate on the fibula. 0000096386 00000 n Test for antero-posterior translation of the fibula by pushing and pulling the fibula with the fingers, or a bone hook. After stabilization of all fractures as appropriate, the stability and reduction of the syndesmotic complex must be assessed.

DePuy Synthes is a part of the Johnson & Johnson family of companies and offers a comprehensive portfolio of orthopaedic and neuro products, including: We use cookies for Google Analytics and session tracking for your secure shopping experience. endstream endobj 1421 0 obj <>/Filter/FlateDecode/Index[293 1091]/Length 58/Size 1384/Type/XRef/W[1 2 1]>>stream

0000001101 00000 n Plate and screw osteosynthesis has been established and clinically beneficial for quite some time. 0000046102 00000 n 0000009858 00000 n West Coast Medical Resources   |  Serving the surgical community since 1997. Insert cortex screws continued Apply compression outside the plate using a bone holding forceps and the 3.5 mm cortex screw. 0000099848 00000 n h���A ���[�&o\��3vg�3I�����sx��9��2��}� ��� 0000085349 00000 n 0000032228 00000 n

4.5mm Malleolar Screws are designed to be used for fracture fixation of small fragments in cancellous bone. no. 0000159072 00000 n

O,Pb��,��^�X��W��ݪ%_*�P���և�P0�\��/���eR( b K�r�T���Q,�δ��w �Xe�[��� `�U`��z�#����^�(Hm���8D���A~���������/�q��N���X�y��g�o�5���z�5���9�L�6����� �u �d�� z�E�E=���\z�x��m@�&8)�ę�F��b�� �2�Gģ�98 A)��Pb������kQ���hȿ�,('f�#��qx��4x���/6��\J���M�� ���;�f�aF�O�� '��k���2�y�����ax��ʉ;�����X��{]R�v6j�u�dp٪�hM��2Dr��>}am� 0 �P2u 0000085390 00000 n Carefully … 0000009971 00000 n 0000051373 00000 n If reduction in the anterior-posterior direction is not anatomical, the congruity of the tibio-talar joint in the lateral view is not perfect, ie, the joint lines are not perfectly aligned. trailer Paulo Barbosa, Felix Bonnaire, Kodi Kojima. 0000003399 00000 n Tap the thread and insert a 3.5 mm or 4.5 mm cortex screw. 4.5mm Malleolar Screws are designed to be used for fracture fixation of small fragments in cancellous bone.

1317 0 obj <>stream 0000099807 00000 n

1422 0 obj <>stream 0000045627 00000 n Carefully maintain the position of the fibula when inserting the screw.

Restoration of length, axis and rotation of the fibula are of primary concern. The Synthes LCP Proximal Tibia Plate is intended for treatment of non-unions, malunions, and fractures of the proximal tibia, including simple, comminuted, lateral wedge, depression, ... early, functional mobilization.

startxref Use a small bone hook to pull the lateral malleolus distally if necessary, until perfect congruence of the distal tibiofibular joint is achieved. Thread drill sleeves 2.7 securely into two of the most distal locking screw holes and use them as handles for percutaneous insertion. 0000095149 00000 n Tighten the previously inserted 3.5 mm cortex screw in the middle elongated combi-hole of the plate. Malleolar Screws available in TI & SS. Not sold to individuals. 68.122.020 Modular Insert 2/3, for Modular Screw … WestCMR does not represent or claim any relationship to the respective companies or their equipment or products, names are used for reference only. Check rotation, length and antero-posterior translation of the fibula, by intraoperative radiology and/or direct visual inspection of the syndesmosis. All products sold by WestCMR are in-date. Some surgeons prefer two small fragment screws as syndesmotic screws, especially in high fibular fractures, such as the Maisonneuve injury. 6. In this case suture it to the fibular periosteum. Measure the depth. Use a small bone hook to pull the fibula laterally to examine the syndesmotic complex.

120x Synthes Various Screws 4x 1.5mm Cortex Screw 9mm, MN#: ... MN#: 214.030 1x 4.5mm Cortex Screw 48mm, MN#: 214.048 4x 4.5mm Malleolar Screw 55mm, MN#: 215.055 5x 2.7mm Cortex Screw … g]jc$Cf?��aF���#�?E�6�c�hFǾKnG�W;��F}ܹ���qfH#y�.��5{��Tr����ftȢ;��;�ޟ7-A�u������C�ٻٽ������7O��.

0000075663 00000 n synthes 215.025: each.

Once satisfactory reduction and hold with screws has been confirmed, the K-wire is removed. Malleolar Screws available in TI & SS. All Trademarks & Logos belong to their respective owners. <<7EE03255C331B249A10BA679C4CC85FD>]/Prev 828288/XRefStm 2362>> The AO-ASIF group recommends tension-band wiring for small avulsion type fractures of the medial malleolus that are unacceptable for screw fixation as well as for osteoporotic bone. Insert the plate through the incision.

Accompanying fractures are fixed thereafter.

All rights reserved. Reduce the fragment with a small dental hook and preliminarily fix it with a 1.0 mm K-wire. hޜT{P�U?w]pa�uy- ��U@ ��PW(2"`W@gY�V���.B�,Bh5��*m��Z�t2yU��Q���Pi������Νs�=��y|w> `�� D

0000101627 00000 n 0000096427 00000 n

Check position and reduction under image intensification and compare with corresponding images of the uninjured ankle. 0000002760 00000 n Drill bits, drill guides, screwdriver shafts as well as the graphic case trays and screw racks are color-coordinated to facilitate

1384 39

+91 99116 55555 Info@vastortho.com xref Compare with the uninjured ankle.

If the fibular fracture was treated with a plate at this level, the screw may be placed through a hole in the plate. WestCMR does not provide advice, training, or clinical support. The foot position during positioning screw placement should be in neutral. synthes 4.5mm malleolar screw 25mm.

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