Hudson-Quick-Lock Adapter für Jacobs Bohrfutterhandgriff

Finished Product

AR-1416

AR-1999

AR-2001

AR-4164G

AR-4167

Cannulated Depth Device for 3.0 mm/4.5 mm Cannulated Screws

Kanülierter Tiefenmesser für Low Profile Screw 3.0 / 4.5 mm

Cannulated Depth Device for 3.0 mm /4.5 mm Cannulated Screws

Dispositivo de medición de profundidad canulado para tornillos canuladosde Ø 3 mm/4.5 mm

Dispositivo de profundidade canulado para parafusos canulados de 3 mm/4.5 mm

AR-8944DG

Kanülierter Senkbohrer für 4.5 mm Schrauben

AR-8945CSF

Gewindeschneider, kanüliert, 4.5 mm kanülierte Schrauben AR-8945-xxPT

Terraja para hueso, Ø 4.5 mm (Hudson mini)

Macho de rosca ósseo, 4.5 mm (mini Hudson)

AR-8945TC

Low Profile Screw Instrument Case, 4.5 / 6.7 mm

Low Profile Screw, Systemcontainer 4.5/5.5/6.7 mm Instrumentarium

Low Profile Screw, System 4.5/5.5/6.7 mm Instrument Case

Caja de instrumental para sistema Low Profile Screw de Ø 4.5 mm/5.5 mm/6.7 mm

Parafuso de baixo perfil, caixa de instrumentos sistema 4.5 mm/5.5 mm/6.7 mm

AR-8946C

Bohrhülse, 1.6 / 4.0 mm, für AR-8955-xxPT

AR-8955G

Kanülierter Senkbohrer für 6.7 mm Schrauben

AR-8967CSF

Driver, 3.5 mm Hex Cannulated (Mini Hudson)

Schraubendreheraufsatz, 3.5 mm Hex, kanüliert (Mini Hudson), für AR-8967-xxxx

Driver, 3.5 mm Hex, Cannulated (Mini Hudson)

Destornillador hexagonal de 3.5 mm, canulado (Hudson mini)

Chave, 3.5 mm sextavada, canulada (mini Hudson)

AR-8967D

Cannulated Depth Device for 6.7 mm Cannulated Screws

Kanülierter Tiefenmesser für 6.7 mm Low Profile Screw AR-8967-xxxx

Cannulated Depth Device for 6.7 mm Cannulated Screws

Dispositivo de medición de profundidad canulado para tornillos canuladosde Ø 6.7 mm

Dispositivo de profundidade canulado para parafusos canulados de 6.7 mm

AR-8967DG

Bohrhülse für AR-8945-xxPT und AR-8967-xxxx

AR-8967G

Parallel Pin Guide, Adjustable, 2.4 mm

Parallel Führungspin, verstellbar, 2.4 mm

Guía paralela de aguja, ajustable, Ø 2.4 mm

cavilha de guia paralela, ajustável, 2.4 mm

AR-8967PG

Kanülierter Gewindeschneider, 6.7 mm (Mini Hudson), für Low Profile Schrauben AR-8967-xxxx

Terraja para hueso, Ø 6.7 mm (Hudson mini)

Macho de rosca ósseo, 6.7 mm (mini Hudson)

AR-8967TC

Low Profile Screw Instrument Set, 4.5 / 6.7 mm

Low Profile Screw Instrumentarium, 4.5 / 5.5 / 6.7 mm

Low Profile Screw System 4.5 / 5.5 / 6.7 mm

AR-8946S

Foot and Ankle

Procedure

Calcaneal fractures are typically the result of high-energy mechanisms such as a fall from a height or an automobile accident. Arthrex offers many solutions for these injuries, including:
<ul>
 <li>Calcaneal Fracture Management System (Includes perimeter and percutaneous plates)</li>
 <li>5.0/7.0 mm Compression FT Screws</li>
 <li>4.5/6.7 mm LPS Cannulated Screws</li>
 <li>Trim-It™ Pins - Bioabsorbable PLLA Pins</li>
</ul>

Anand Vora, MD, (Chicago, IL) presents the Calcaneal Fracture Percutaneous Plate Animation. The Calcaneal Fracture Percutaneous Plates feature unique attachable percutaneous guides. There are five different low profile variable angle locking plate designs with tapered end to aid in insertion.

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video

Calcaneal Fracture Percutaneous Plate

Anand Vora, MD, (Chicago, IL) presents the Calcaneal Fracture Perimeter Plate animation. The Calcaneal Fracture Perimeter Plates are low profile, titanium and variable angle locking. There are four sizes available with left and right specific perimeter plates designed to treat any calcaneal fracture classification.

Calcaneal Fracture Perimeter Plate

The Calcaneal Fracture System is an all-inclusive system of plates, screws and instrumentation designed to treat all classifications of calcaneal fractures. The calcaneal fracture system is comprised of seventeen different low-profile titanium plates with locking and nonlocking options. This all-inclusive system allows for anatomically specific fracture fixation ability.

application/pdf

Calcaneal Fracture System Surgical Technique I Calcaneal Fracture System02 Arthrex Calcaneal Fracture System The calcaneal fracture system includes all plates, screws, and instrumentation needed to treat calcaneal fractures with 17 different low-profile titanium plates with locking and nonlocking options. The percutaneous plates include guides to facilitate the sinus tarsl approach if used. Applications: ■ Extra- and intra-articular calcaneal fractures ■ Tongue-type calcaneal fractures ■ Joint depression calcaneal fractures ■ Comminuted calcaneal fractures Features: ■ Plates – four different sizes (XS, S, M, L) of left and right perimeter plates and five different percutaneous plates, also in left and right, designed to fit the anatomy and contour of the calcaneus and address all calcaneal fracture patterns ■ Low profile – strong 1.35 mm-thick locking perimeter and percutaneous plates for conformability and less soft-tissue irritation ■ Calcaneal-specific instrumentation – plate cutter, Schanz pins, keyless chuck T-handle, and calcaneal- specific elevators all within the set ■ Variable-angle locking – up to 15° with 3.5 mm screws ■ Multiple screw options – 3.5 mm cortical, 3.5 mm variable-angle locking (VAL), 4.0 mm cancellous, and 4.0 mm cannulated screws Preoperative Preoperative Postoperative Postoperative Calcaneal Fracture System I 03 Calcaneal Fracture Perimeter Plates Four sizes of perimeter plates, left and right designs Large Medium Small X-Small Large Medium Small X-Small Posterior tab can be bent over tuberosity Profile thickness 1.35 mm Titanium for strength and contourability 15˚ of VAL in all round screw holes Threaded holes accept: • 3.5 mm cortical screws • 3.5 mm VAL screws • 4.0 mm cancellous screws • 4.0 mm cannulated screws Nonlocking oblong hole to target the sustentaculum Anterior cluster of holes I Calcaneal Fracture System04 Calcaneal Fracture Percutaneous Plates Four sizes of percutaneous plates, left and right designs Low-profile T-plate Tapered end to minimize soft-tissue irritation Percutaneous drill guide 15˚ of VAL in all round screw holes Profile thickness 1.35 mm Radiolucent percutaneous guide Attachment screw Nonlocking oblong hole to target the sustentaculum Calcaneal Fracture System I 05 Calcaneal Fracture Perimeter Plate Technique In Situ Contouring If the plate needs to be contoured, thread the locking drill guides or the bending guides into a screw hole and use them as benders. Fracture Reduction Calcaneal-specific instrumentation such as Sayre and key elevators may be used to reduce the fragments. A Schanz pin with an AO connection can be placed into the calcaneal tuberosity to provide traction and manipulate the tuberosity from its angulated and translated position. Plate Selection Select the appropriate calcaneal fracture perimeter plate to match the bony anatomy. Place the plate at the appropriate position on the lateral calcaneal wall with BB-Tak anchors or K-wires for temporary fixation. Screw Insertion Place a nonlocking or cannulated screw inferior to the articular surface of the posterior facet from lateral to medial to the sustentacular fragment or “constant fragment.” This screw can be placed outside the plate or through the oblong hole in the plate depending on surgeon preference. Nonlocking Screws: 1. Nonlocking screws should be placed first to indirectly reduce the plate to the calcaneus. 2. Drill through the 2.5 mm drill guide with the 2.5 mm drill bit. 3. Measure for screw length using the screw depth device. 4. Insert the appropriate 3.5 mm or 4.0 mm screw with the T15 driver. 1 32 4 I Calcaneal Fracture System06 Calcaneal Fracture Perimeter Plate Technique VAL Screws With Fixed-Angle Guide 1. Thread the 3.5 mm threaded drill guide into the desired plate hole and drill using the 2.5 mm drill bit. The screw will be perpendicular to the plate. 2. Read the corresponding screw length from the laser line on the drill. Alternatively, the screw depth device can be used to determine the screw length. 3. Insert the appropriate 3.5 mm locking screw with the T15 driver. Verify plate and screw placement with fluoroscopy using lateral, A/P, and axial heel views. VAL Screws With VAL Guide 1. Place the 3.5 mm VAL guide into the appropriate plate hole and prepare a hole with the 2.5 mm drill bit. The VAL guide will allow up to 15°. 2. Measure for screw length using the screw depth device. 3. Insert the appropriate 3.5 mm locking screw. 65b 5a Calcaneal Fracture System I 07 Calcaneal Fracture Percutaneous Plate Technique Fracture Reduction Calcaneal-specific instrumentation such as Sayre and key elevators may be used for the reduction. A Schanz pin with an AO connection can be placed into the calcaneal tuberosity to provide traction and manipulate the tuberosity from its angulated and translated position. Plate Selection Select the appropriate calcaneal fracture percutaneous plate to match the bony anatomy. Place the plate at the appropriate position on the lateral calcaneal wall. Secure the plate with BB-Tak anchors or K-wires for temporary fixation. Screw Insertion A nonlocking or cannulated screw should be placed inferior to the articular surface of the posterior facet from lateral to medial to the sustentacular fragment or “constant fragment.” This screw can be placed outside the plate or through the oblong hole in the plate depending on surgeon preference. 1. Nonlocking screws should be placed first to indirectly reduce the plate to the calcaneus. 2. Drill through the 2.5 mm drill guide with the long 2.5 mm drill bit. 3. Measure for screw length using the screw depth device. 4. Insert the appropriate 3.5 mm or 4.0 mm screw. 1 2 3 I Calcaneal Fracture System08 Calcaneal Fracture Percutaneous Plate Technique Variable-Angle Locking Screws 1. Thread the 3.5 mm VAL guide into the appropriate plate hole and drill with the 2.5 mm drill bit. The VAL guide will allow up to 15° angle. 2. Measure for screw length using the screw depth device. 3. Insert the appropriate 3.5 mm locking screw. Verify plate and screw placement with fluoroscopy using lateral, A/P, and axial heel views. Locking Screws 1. Thread the 3.5 mm threaded drill guide into the desired plate hole and drill using the 2.5 mm-long drill bit. 2. Read the corresponding screw length from the laser line on the drill. Alternatively, the screw depth device can be used to determine the screw length. 3. Insert the 3.5 mm locking screw through the guide. 4 Calcaneal Fracture System I 09 Percutaneous Guide The percutaneous calcaneal guide provides a means for locating, drilling, measuring, and inserting screws. The percutaneous guide is connected to the corresponding plate through the attachment screw with a clockwise quarter-turn through the hole anterior to the oblong hole. The plate should be attached to the calcaneus with a 3.5 mm nonlocking screw, BB-Tak, or K-wire. Attach the locking percutaneous drill guide through the percutaneous calcaneal guide. The skin can be marked for percutaneous insertion of screws. Optional: Percutaneous Guides I Calcaneal Fracture System10 Ordering Information Calcaneal Fracture Set (AR-8950S-04) Product Description Item Number Schanz Pin, self-drilling, 5 mm AR-8954-01 Schanz Pin Handle (tri-flat keyless chuck) AR-8954-02 Plate Cutter, Hercules style AR-8954-03 Sayre Elevator AR-8954-05 Key Elevator, ⅜ in wide AR-8954-06 Drill Guide, VAL, 3.5 mm AR-8935GV Drill Guide, VAL, locking, 3.5 mm AR-8935GVN CFS Tray Insert, calcaneus instruments AR-8950C-32 Percutaneous Plate and Drill Guides (AR-8950S-05) Product Description Item Number Guide, perc-calc ant process calcaneal plate, standard, left AR-8954-08 Guide, perc-calc ant process calcaneal plate, standard, right AR-8954-09 Guide, perc-calc ant process calcaneal plate, long, left AR-8954-10 Guide, perc-calc ant process calcaneal plate, long, right AR-8954-11 Guide, perc-calc anterior process/posterior tuberosity calcaneal plate, standard, left AR-8954-12 Guide, perc-calc anterior process/posterior tuberosity calcaneal plate, standard, right AR-8954-13 Guide, perc-calc anterior process/posterior tuberosity calcaneal plate, long, left AR-8954-14 Guide, perc-calc anterior process/posterior tuberosity calcaneal plate, long, right AR-8954-15 Attachment Screw, perc-calc guide AR-8954-16 Joystick, perc-calc guide AR-8954-17 Drill Guide, perc, threaded, locking, 3.5 mm AR-8954-18 Depth Device, nonlocking AR-8954-19 VAL Guide, 3.5 mm AR-8935GV VAL Guide, locking, 3.5 mm AR-89335GVN Plate Caddy, 3.5 mm AR-8950C-33 Caddy, calc FX plates and instruments AR-8950C-34 Percutaneous Plates Product Description Item Number Calcaneal Fracture Percutaneous Plate, anterior process/ posterior tuberosity, standard, left AR-8954YL-S Calcaneal Fracture Percutaneous Plate, anterior process posterior tuberosity, standard, right AR-8954YR-S Calcaneal Fracture Percutaneous Plate, anterior process/ posterior tuberosity, long, left (a) AR-8954YL-L Calcaneal Fracture Percutaneous Plate, anterior process/ posterior tuberosity, long, right AR-8954YR-L Calcaneal Fracture Percutaneous Plate, anterior process, standard, left AR-8954ML-S Calcaneal Fracture Percutaneous Plate, anterior process, standard, right AR-8954MR-S Calcaneal Fracture Percutaneous Plate, anterior process, long, left AR-8954ML-L Calcaneal Fracture Percutaneous Plate, anterior process, long, right AR-8954MR-L Low Profile T-Plate, 3.5 mm, 4 hole AR-8954MT Perimeter Plates Product Description Item Number Calcaneal Fracture Perimeter Plate, x-small, left AR-8954PL-XS Calcaneal Fracture Perimeter Plate, small, left AR-8954PL-S Calcaneal Fracture Perimeter Plate, medium, left AR-8954PL-M Calcaneal Fracture Perimeter Plate, large, left AR-8954PL-L Calcaneal Fracture Perimeter Plate, x-small, right AR-8954PR-XS Calcaneal Fracture Perimeter Plate, small, right AR-8954PR-S Calcaneal Fracture Perimeter Plate, medium, right AR-8954PR-M Calcaneal Fracture Perimeter Plate, large, right AR-8954PR-L Disposables Product Description Item Number BB-Tak AR-13226 BB-Tak, threaded AR-13226T Schanz Pin, 5 mm, self-drilling, 150 mm AR-8954-01 Guidewire w/ Trocar Tip, 0.062 in (1.6 mm), qty. 3 AR-8941K Guidewire w/ Trocar Tip, threaded, 0.062 in (1.6 mm), qty. 3 AR-8941KT Guidewire w/ Trocar Tip, nonthreaded, 0.094 in (2.4 mm) × 8 in, qty. 4 AR-8967K 3.5 mm/4.0 mm Screws (AR-8950C-10) Product Description Item Number Low Profile Cortical Locking Screw, Ti, 3.5 mm × 14 mm-60 mm, qty. 4 AR-8935L-14 – 60 Low Profile Cortical Screw, Ti, 3.5 mm × 14 mm-60 mm, qty. 4 AR-8935-14 – 60 Low Profile Cancellous Screw, Ti, 4 mm-60 mm, qty. 4 AR-8940-14 – 60 Low Profile Cancellous Screw, Ti, cannulated, short, threaded, 4 mm × 14 mm-60 mm, qty. 4 AR-8740-14PTS – 60PTS Calcaneal Fracture System I 11 Calcaneal Fracture System Complementary Products Compression FT Screw System ■ 5.0 mm Large Compression FT Screws (20 mm-50 mm, 2 mm increments/55 mm-90 mm, 5 mm increments) ■ 7.0 mm X-Large Compression FT Screws (35 mm-120 mm, 5 mm increments/125 mm-140 mm, 5 mm increments, sterile only) Large Cannulated Screws ■ 4.5 mm Fully and Partially Threaded Cannulated Screws (20 mm-80 mm) ■ 6.7 mm Fully and Partially Threaded Cannulated Screws (40 mm-120 mm) Orthobiologics ■ BoneSync™ Calcium Phosphate Cement ■ Quickset™* Calcium Phosphate Bone Cement ■ StimuBlast®** Demineralizd Bone Matrix Trim-It Drill Pin® ■ Absorbable K-wires that can be used to stabilize the fractures without the need for removal *Quickset is a registered trademark of Graftys, S.A. **StimuBlast a registered trademark of AlloSource Calcaneal Fracture Plates and Instruments Module — AR-8905S-05 Calcaneal Fracture Instrument Set — AR-8950S-04 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. View U.S. patent information at www.arthrex.com/corporate/virtual-patent-marking © 2020 Arthrex, Inc. All rights reserved. | www.arthrex.com | LT1-0495-EN_C

Calcaneal Fracture System

Calcaneal Fracture Reduction Using KreuLock™ Locking Compression Screws

Jorge I. Acevedo, MD, (Royal Palm Beach, FL) demonstrates an open reduction internal fixation of a calcaneal fracture using the sinus tarsi approach with the Arthrex® Percutaneous Calcaneal Fracture System. The Percutaneous Calcaneal Fracture Plates feature nine plate options and include percutaneous guides to aid in the insertion.

Calcaneal Fracture ORIF with Percutaneous Calcaneal Fracture Plate

J. Chris Coetzee, MD, (Edina, MN) demonstrates his technique for repairing a comminuted calcaneal fracture. Dr. Coetzee describes the pertinent anatomy, reduction and surgical fixation utilizing Arthrex® Calcaneal Fracture System and FlexiGRAFT® demineralized cancellous sponge &amp; cortical fibers. The Arthrex Calcaneal Fracture System contains 17 different plating options and calcaneal fracture specific instrumentation.
FlexiGRAFT® is owned by LifeNet Health.