Technique Guide. 3.7 mm Cannulated Locking and Conical Screws. For use in the metaphyseal area of 3.5 mm LCP plates.

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1 Technique Guide 3.7 mm Cannulated Locking and Conical Screws. For use in the metaphyseal area of 3.5 mm LCP plates.

2 3.7 mm Cannulated Locking and Conical Screws Features Self-drilling, self-tapping tip Locking screwhead securely locks the screw to the plate to make a fixed-angle construct Locking screws are fully threaded Conical screwhead allows compression of the bone to the plate Conical screws are partially threaded T15 StarDrive recess is self-retaining Lengths available: 10 mm 60 mm (2 mm increments) 65 mm 95 mm (5 mm increments) Indications For fixation of fractures, osteotomies, and nonunions of the clavicle, scapula, olecranon, humerus, radius, pelvis, tibia, and fibula, particularly in osteopenic bone. Synthes 3.7 mm Cannulated Locking and Conical Screws Technique Guide

3 Surgical Technique 1 Insert wire guide Instrument mm Wire Guide Thread the 1.6 mm wire guide into the locking hole of the metaphyseal area of a plate. 2 Place guide wire Instrument mm Drill Tip Guide Wire Insert the 1.6 mm drill tip guide wire to the desired depth. Confirm the position of the guide wire with the image intensifier, if necessary. 3 Determine screw length Instrument Direct Measuring Device Use the direct measuring device to determine the appropriate screw length. Synthes

4 Surgical Technique continued 4 Remove wire guide Instruments Cannulated StarDrive Screwdriver, T mm Wire Guide mm Drill Tip Guide Wire Remove the wire guide, leaving the guide wire in place. The cannulated T15 StarDrive screwdriver may be used, if necessary. 5 Insert locking screw Instruments mm Cannulated Drill Bit Cannulated StarDrive Screwdriver, T mm Drill Tip Guide Wire Insert the cannulated locking screw over the guide wire. Perform final locking of the screw manually. Notes: In hard bone, the 3.2 mm cannulated drill bit may be used to penetrate the near cortex. If required, lag screw reduction of a fragment must be accomplished before inserting locking screws into the fragment. Lag screw reduction can be accomplished using conical screws. Replace conical screws with locking screws after reduction is complete, to obtain a locked construct. Synthes 3.7 mm Cannulated Locking and Conical Screws Technique Guide

5 Instruments Direct Measuring Device Cannulated StarDrive Screwdriver Shaft, T mm Cannulated Drill Bit Cannulated StarDrive Screwdriver, T mm Wire Guide mm Drill Tip Guide Wire Synthes

6 3.7 mm Cannulated Locking and Conical Screw Set ( ) Graphic Case Graphic Case, complete, for 3.7 mm Cannulated Locking and Conical Screws (includes 2 screw racks and instrument tray) Instruments Direct Measuring Device Cannulated StarDrive Screwdriver Shaft, T15, self-retaining, quick coupling, 1.7 mm cannulation, 150 mm mm Cannulated Drill Bit, quick coupling, 170 mm, 1.7 mm cannulation, 2 ea Cannulated StarDrive Screwdriver, T15, 1.7 mm cannulation mm Cleaning Brush mm Cleaning Stylet mm Wire Guide, 4 ea mm Drill Tip Guide Wire, 150 mm, 12 ea. Implants 3.7 mm Cannulated Locking Screws, fully threaded Stainless Steel Length (mm) Qty mm Cannulated Locking Screws, fully threaded continued Stainless Steel Length (mm) Qty Note: For additional information, please refer to package insert. For detailed cleaning and sterilization instructions, please refer to or to the below listed inserts, which will be included in the shipping container: Processing Synthes Reusable Medical Devices Instruments, Instrument Trays and Graphic Cases DJ1305 Processing Non-sterile Synthes Implants DJ1304 Synthes 3.7 mm Cannulated Locking and Conical Screws Technique Guide

7 Implants continued 3.7 mm Cannulated Conical Screws, partially threaded Stainless Length Thread Length Steel (mm) (mm) Qty Also Available Tray for 3.7 mm Cannulated Locking Screws 510 mm x 250 mm Screw Rack Graphic Case Lid Instrument Tray Replacement Lid, 510 mm x 250 mm, for Graphic Cases Single Level Graphic Case Base, 510 mm x 250 mm Also Available Screw Rack Graphic Case Lid Instrument Tray Synthes

8 Synthes (USA) 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) Synthes, Inc. or its affiliates. All rights reserved. LCP and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 7/12 J8362-C