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P R O D U C T IN F O RM AT I O NArthrodesisSystem2.0 / 2.3, 2.5APTUS Hand / Wrist
2 Arthrodesis System 2.0 / 2.3, 2.5Contents3A Well-Designed Arthrodesis System for the Carpal Bones and Wrist4Treatment Concept62.0 / 2.3 TriLock STT Fusion Plate82.0 / 2.3 TriLock Four Corner Fusion Plates102.5 TriLock RSL Fusion Plates122.5 TriLock Wrist Fusion Plates – Fusion without arthrodesis of the carpometacarpal joint142.5 TriLock Wrist Fusion Plates – Radiocapitate wrist arthrodesis162.5 TriLock Total Wrist Fusion Plates18Technology, Biomechanics, Screw Features20Storage21Ordering Information31BibliographyFor further information regarding the APTUS product line visit:www.medartis.comMedartis, APTUS, MODUS, TriLock, HexaDrive and SpeedTip are registered trademarks of Medartis AG/Medartis Holding AG, 4057 Basel, Switzerland www.medartis.com
Arthrodesis System 2.0 / 2.3, 2.5 3A Well-Designed ArthrodesisSystem for the Carpal Bones andWristFreedom from pain, mobility and stability are basicby wrist fusion plates (WF) that avoid fusion of theprerequisites for trouble-free hand function. If “normalcarpometacarpal joint, thereby allowing the physiologicalfunctioning” of the hand is no longer possible, for examplemovements in this joint to be preserved.due to serious post-traumatic or degenerative osteoarthritis orrheumatoid arthritis, this greatly limits the quality of life ofThe APTUS Wrist Arthrodesis System 2.0 / 2.3, 2.5, withthe person concerned. As a last resort for enabling this patientits well-designed plate portfolio in combination with theto lead a pain-free everyday life with the maximum possiblemultidirectional and angular stable TriLock locking technology,freedom of movement, a partial or total arthrodesis of theenables stable fixation of the required patient specificaffected joints is very often performed.arthrodesis of the carpal bones and wrist, respectively.The APTUS Wrist Arthrodesis System 2.0 / 2.3, 2.5 offers acomprehensive portfolio of plates for meeting the individualneeds of patients.The system includes specifically developed plates for fourcorner fusion (4CF) and fusion of the scaphoid, trapezium andtrapezoid (STT). Plates are also available for radioscapholunatefusion (RSL) and for total wrist fusion (TWF), supplemented www.medartis.com
4 Arthrodesis System 2.0 / 2.3, 2.5Treatment ConceptThe table below lists typical clinical findings which can be treated with the implants of the APTUS Hand / WristArthrodesis System 2.0 / 2.3, 2.5.Bones to fixate Scaphoid Trapezium Trapezoid Capitate Hamate Triquetrum Lunate Radius Scaphoid Lunate Radius Scaphoid -4760.12A-4760.13A-4760.14Examples of typical clinical findings in which at the physician's discretion an arthrodesis may be indicated. Osteoarthritis betweenscaphoid-trapezium-trapezoid Necrosis of the lunate bone Scapholunate ligamentdissociation (SLAC)* For small wrists www.medartis.com O steoarthritis between radius,scaphoid and potentiallymidcarpal joint D egenerative and post-traumatic osteoarthritis in theradiocarpal joint
Arthrodesis System 2.0 / 2.3, 2.5 5Bones to fixate Radius Scaphoid Lunate Capitate Trapezoid Radius Capitate Radius Scaphoid Lunate Capitate Metacarpal -4760.04A-4760.05A-4760.06**Examples of typical clinical findings in which at the physician's discretion an arthrodesis may be indicated. Osteoarthritis in theradiocarpal and midcarpaljoint; physiological movementin the carpometacarpal joint ismaintained O steoarthritis following proximalrow carpectomy O steoarthritis following failedpartial arthrodesis (Four CornerFusion) Post-traumatic deformity Osteoarthritis in the radiocarpal and midcarpal joint; includingcomplete fusion of the carpometacarpal joint Post-traumatic deformity Rheumatic diseases Spastic deformity Tumor** For small wrists and following proximal row carpectomy www.medartis.com
6 Arthrodesis System 2.0 / 2.3, 2.52.0 / 2.3 TriLockSTT Fusion PlatePartial arthrodesis for stabilization of the radial columnClinical Benefits Specifically developed plate 2.0 / 2.3 for fusion ofscaphoid, trapezium and trapezoid (STT) Compression and stable fixation of the carpal bones– Screw holes for compression of the carpal bones beingfused using cortical screws or for angular stablefixation using TriLock screws– Two screws can be inserted in each carpal bone Concave shape of the plate and the reamer– Minimal bone removal– Easy handling without intraoperative tilting of the plate www.medartis.com
Arthrodesis System 2.0 / 2.3, 2.5 7Plate Features TriLock – multidirectionalangular stability of 15 in all directionsCompression of the carpal bonesusing three cortical screws Rounded edges and a smoothsurface for soft tissue protectionAngular stable fixation of the carpalbones using three TriLock screws Specifically designed reamerfor the plate The plate is compatible withthe screws and instruments of theAPTUS Hand System 2.0 / 2.3Concave shapeA-4660.15Scale 1:1Intraoperative X-raysResult after partial arthrodesis with the STTFusion platePostoperative X-raysClinical case published with the kind permission of: Arnold-Peter Weiss, Providence, USA www.medartis.com
8 Arthrodesis System 2.0 / 2.3, 2.52.0 / 2.3 TriLockFour Corner Fusion PlatesMidcarpal arthrodesis through compression andangular stable lockingClinical Benefits Specifically developed plates for fusion of capitate,hamate, triquetrum and lunate– 4CF plate, for example for medium to large wrists– Small 4CF plate, for example for small wrists Compression and stable fixation of the carpal bones– Inner screw holes for compression of the carpal bonesbeing fused using cortical screws (optional for small 4CF plate)– Outer screw holes for angular stable fixation usingTriLock screws– At least two screws can be inserted in each carpal bone Concave shape of the plates and the corresponding reamers– Minimal bone removal– Easy handling without intraoperative tilting of the plates www.medartis.com
Arthrodesis System 2.0 / 2.3, 2.5 9Compression of the carpalbones using four corticalscrewsPlate Features Four Corner Fusion plates in two sizes to meetindividual anatomical requirements TriLock – multidirectional angular stabilityof 15 in all directions*Angular stable fixationof the carpal bones usingeight TriLock screws Rounded edges and a smoothsurface for soft tissue protection4 fixation holes Specifically designed reamers for each plate8 locking holes The plates are compatible with thescrews and instruments of theAPTUS Hand System 2.0 / 2.3Concave shapeA-4660.10Preoperative X-raysA-4660.11Scale 1:1Result after midcarpal arthrodesis with the 4CFplate. Three screws in each of the carpal bonescapitate, hamate, triquetrum and lunate (1 x corticalscrew, 2 x TriLock screws).Postoperative X-raysClinical case published with the kind permission of: Arnold-Peter Weiss, Providence, USA* E xception: Inner screw holes of the 4CF plate (A-4660.10) www.medartis.com
10 Arthrodesis System 2.0 / 2.3, 2.52.5 TriLock RSL Fusion PlatesRadiocarpal arthrodesis from volar or dorsalClinical Benefits Volar and dorsal plates for fusion of radius,scaphoid and lunate (RSL) Physiological motion in the midcarpal jointis maintained Anatomical plate designs for simpleintraoperative use Two screws can be inserted in each carpal bone Double shaft design provideshigh rotational stability Low plate profile of 1.6 mmFailed volar fixation with intraarticular screwposition, pronounced joint displacement andSL gap widening www.medartis.comRadiocarpal partial arthrodesis with the volar RSLFusion platePostoperative X-rays with precise positioning of thelunate and removed distal pole of the scaphoid
Arthrodesis System 2.0 / 2.3, 2.5 11Plate Features TriLock – multidirectional angular stability of 15 in all directions and in each screw hole* Minimal screw head protrusion thanks tointernal locking contour Consistent screw diameter of 2.5 mm forintraoperative simplicity Oblong hole for variable plate positioningand to facilitate axial compression Rounded edges and a smooth surfacefor soft tissue protection Plates are compatible with the screwsand instruments of the APTUS WristRadius System 2.5Intraoperative X-rays of the arthrodesis with the dorsal RSL Fusion plateClinical case published with the kind permission of: Alfons Erdmann, Cologne, Germany* Exception: oblong hole www.medartis.com
12 Arthrodesis System 2.0 / 2.3, 2.52.5 TriLock Wrist Fusion PlatesFusion without arthrodesis of thecarpometacarpal jointClinical Benefits Fusion of radiocarpal and midcarpal joint without arthrodesisof the carpometacarpal joint Physiological motion in the carpometacarpal joint is maintained Plate with long bend, for example for medium to large wrists Plate with short bend, for example for small wrists or forarthrodesis following proximal row carpectomy Numerous screw holes for angular stable fixation ofvarious carpal bones Two pre-angled screw holes for cortical screwsallow for additional fixation of scaphoid and lunateor bone graft Double shaft design provides high rotational stability Offset screw alignment in the shaft area toavoid screw collisions www.medartis.com
Arthrodesis System 2.0 / 2.3, 2.5 13Plate Features TriLock – multidirectional angular stability of 15 in all directions and in each screw hole* Rounded edges and a smooth surfacefor soft tissue protection Consistent screw diameter of 2.5 mm forintraoperative simplicity K-wire holes to assist with temporary plate fixation Plates are compatible with the screws and instrumentsof the APTUS Wrist Radius System 2.5 Oblong hole for variable plate positioningand to facilitate axial compressionLong bendA-4760.01Preoperative X-raysShort bendScale 1:1A-4760.02Result after arthrodesis using the Wrist Fusionplate with long bendPostoperative X-raysClinical case published with the kind permission of: Hermann Krimmer, Ravensburg, Germany* Exception: oblong hole and pre-angled screw holes for cortical screws www.medartis.com
14 Arthrodesis System 2.0 / 2.3, 2.52.5 TriLock Wrist Fusion PlatesRadiocapitate wrist arthrodesisClinical Benefits Fusion of the intermediate column – especially followingproximal row carpectomy – without arthrodesis of thecarpometacarpal joint Physiological motion in the carpometacarpal jointis maintained Plate with long bend, for example for medium to large wrists Plate with short bend, for example for small wrists www.medartis.com
Arthrodesis System 2.0 / 2.3, 2.5 15Plate Features TriLock – multidirectional angular stability of 15 in all directions and in each screw hole* Chamfered edges and a smooth surface for soft tissueprotection Consistent screw diameter of 2.5 mm forintraoperative simplicity K-wire holes to assist with temporary plate fixation Plates are compatible with the screws and instrumentsof the APTUS Wrist Radius System 2.5 Oblong hole for variable plate positioning andto facilitate axial compressionLong bendShort bendA-4760.07Painful osteoarthritis 6 years after proximal row carpectomy (PRC)A-4760.08Scale 1:1Postoperative X-rays of the fusion of radius and capitate using the Wrist Fusionplate with short bendClinical case published with the kind permission of: Radek Kebrle, Vysoke, Czechia* Exception: oblong hole www.medartis.com
16 Arthrodesis System 2.0 / 2.3, 2.52.5 TriLock Total Wrist Fusion PlatesTotal wrist arthrodesisClinical Benefits Fusion of radiocarpal, midcarpal and carpometacarpal joint Plate with long bend, for example for medium to large wrists Plate with short bend, for example for small wrists or for arthrodesisfollowing proximal row carpectomy Straight plate for fusion in slight flexion, for examplein rheumatoid arthritis Offset screw arrangement reduces the risk of axial bonesplitting in the metacarpal area Multiple screw holes for angular stable fixationof various carpal bones www.medartis.com
Arthrodesis System 2.0 / 2.3, 2.5Plate Features 17 Oblong hole for variable plate positioning andto facilitate axial compression TriLock – multidirectional angular stability of 15 in all directions and in each screw hole* Minimal screw head protrusion – especially in themetacarpal area – thanks to internal locking contour Chamfered edges and a smooth surface forsoft tissue protection K-wire holes to assist with temporary plate fixation Plates are compatible with the screws and instrumentsof the APTUS Wrist Radius System 2.5 Consistent screw diameter of 2.5 mm forintraoperative simplicityWithoutbendA-4760.04Destroyed wrist and ankylosis followingsynovitisLongbendA-4760.05Intraoperative image of the plate positionShortbendScale 1:1A-4760.06Postoperative X-rays of the fusion using the TotalWrist Fusion plate with short bendClinical case published with the kind permission of: Radek Kebrle, Vysoke, Czechia* Exception: oblong hole www.medartis.com
18 Arthrodesis System 2.0 / 2.3, 2.5Technology, Biomechanics, ScrewFeaturesMultidirectional and angular stable TriLock locking technologyTriLock TechnologyLockingLocked Patented TriLock locking technology – multidirectionallocking of the screw in the plate–– Spherical three-point wedge-locking–– Friction locking through radial bracing of the screw headin the plate – without additional tensioning components Screws can pivot freely by 15 in all directions foroptimal positioningTriLock locking technology – multidirectional lockingof the screw in the plate Intraoperative fine-tuning capabilities TriLock screws can be re-locked in the same screw hole atindividual angles up to three times Minimal screw head protrusion thanks to internal lockingcontour No cold welding between plate and screwsTriLock screwscan be re-lockedup to three timesVariable angleof 15 Minimal screw head protrusion www.medartis.com
Arthrodesis System 2.0 / 2.3, 2.5 19Biomechanics Internal fixator principle–– Stable plate-screw construct allows forthe bridging of unstable zonesLoad-free zoneScrew Features Patented HexaDrive screw head design–– HexaDrive interface with self-holding propertiesbetween screw and screwdriver–– Increased torque transmission–– Simplified screw pick-up due to patentedself-holding technology Soft tissue protection due to smooth screw head design Atraumatic screw tip offers soft tissue protection wheninserting screws bicortically Increased torsional, bending and shear stability dueto conical core Precision cut thread profile for sharpness andself-tapping properties Double threaded TriLock screws reduce screw insertion timeContact surface for screwretention (red)Contact surface for torquetransmission (green)Double threadLow screw headdesignConical core www.medartis.com
20 Arthrodesis System 2.0 / 2.3, 2.5Storage Modular concept Compact system and clear configuration Easy to use Lightweight components Validated cleaning and sterilization of the implantsAPTUS Arthrodesis Set 2.0 / 2.3APTUS Arthrodesis Set 2.5 www.medartis.com
Arthrodesis System 2.0 / 2.3, 2.5 21Ordering Information2.0 / 2.3 TriLock STT Fusion Plate, Dorsal Material: Titanium (ASTM F67)Plate thickness: 1.4 mm12.4 mmA-4660.15Art. No.A-4660.15STERILEA-4660.15SHolesPieces / Pkg6 (3 3)12.0 / 2.3 TriLock Four Corner Fusion Plates, Dorsal Material: Titanium (ASTM F67)Plate thickness : 1.4 mm14.5 mm12.5 mm14.5 mm12.5 mmA-4660.10Art. 660.11SScale 1:1DescriptionsmallHolesPieces / Pkg12 (4 8)18 (4 4)1 www.medartis.com
22 Arthrodesis System 2.0 / 2.3, 2.52.5 TriLock RSL Fusion Plates, Dorsal Material: Titanium (ASTM F67)Plate thickness: 1.6 mm50 mm28 mmA-4760.11A-4760.12Art. No.DescriptionHolesPieces / ght111STERILE2.5 TriLock RSL Fusion Plates, Volar Material: Titanium (ASTM F67)Plate thickness: 1.6 mm42 mm26 mmA-4760.13Art. No.A-4760.14DescriptionHolesPieces / ght101 www.medartis.comSTERILEScale 1:1
Arthrodesis System 2.0 / 2.3, 2.5 232.5 TriLock Wrist Fusion Plates, Dorsal Material: Titanium (ASTM F67)Plate thickness: 2.4 mm23 mm59 mm66 mm22 mmA-4760.01Art. No.A-4760.02DescriptionHolesPieces / PkgA-4760.01A-4760.01Slong bend191A-4760.02A-4760.02Sshort bend181STERILE2.5 TriLock Wrist Fusion Plates, Dorsal, Radiocapitate Material: Titanium (ASTM F67)Plate thickness: 1.8–2.6 mm14 mm61 mm67 mm14 mmA-4760.07Art. No.A-4760.08DescriptionHolesPieces / PkgA-4760.07A-4760.07Slong bend121A-4760.08A-4760.08Sshort bend121Scale 1:1STERILE www.medartis.com
24 Arthrodesis System 2.0 / 2.3, 2.52.5 TriLock Total Wrist Fusion Plates, Dorsal Material: Titanium (ASTM F67)Plate thickness: 1.8–2.6 mm16 mm16 mmA-4760.04Art. No.110 mm116 mm116 mm16 mmA-4760.05A-4760.06DescriptionHolesPieces / 5Slong bend161A-4760.06A-4760.06Sshort bend161 www.medartis.comSTERILEScale 1:1
Arthrodesis System 2.0 / 2.3, 2.52.0 Cortical Screws, HexaDrive 6 Length 2.0 mmArt. No.Material: Titanium alloy (ASTM F136)Pieces / PkgArt. No.Pieces / Pkg6 mmA-5400.06/1A-5400.06/1S1A-5400.0657 mmA-5400.07/1A-5400.07/1S1A-5400.0758 mmA-5400.08/1A-5400.08/1S1A-5400.0859 mmA-5400.09/1A-5400.09/1S1A-5400.09510 mmA-5400.10/1A-5400.10/1S1A-5400.10511 mmA-5400.11/1A-5400.11/1S1A-5400.11512 mmA-5400.12/1A-5400.12/1S1A-5400.12513 mmA-5400.13/1A-5400.13/1S1A-5400.13514 mmA-5400.14/1A-5400.14/1S1A-5400.14515 mmA-5400.15/1A-5400.15/1S1A-5400.15516 mmA-5400.16/1A-5400.16/1S1A-5400.16517 mmA-5400.17/1A-5400.17/1S1A-5400.17518 mmA-5400.18/1A-5400.18/1S1A-5400.18519 mmA-5400.19/1A-5400.19/1S1A-5400.19520 mmA-5400.20/1A-5400.20/1S1A-5400.205STERILE2.0 TriLock Screws, HexaDrive 6 Length 2.0 mm 25Art. No.Material: Titanium alloy (ASTM F136)Pieces / PkgArt. No.Pieces / Pkg6 mmA-5450.06/1A-5450.06/1S1A-5450.0657 mmA-5450.07/1A-5450.07/1S1A-5450.0758 mmA-5450.08/1A-5450.08/1S1A-5450.0859 mmA-5450.09/1A-5450.09/1S1A-5450.09510 mmA-5450.10/1A-5450.10/1S1A-5450.10511 mmA-5450.11/1A-5450.11/1S1A-5450.11512 mmA-5450.12/1A-5450.12/1S1A-5450.12513 mmA-5450.13/1A-5450.13/1S1A-5450.13514 mmA-5450.14/1A-5450.14/1S1A-5450.14516 mmA-5450.16/1A-5450.16/1S1A-5450.16518 mmA-5450.18/1A-5450.18/1S1A-5450.18520 mmA-5450.20/1A-5450.20/1S1A-5450.205STERILE2.3 Cortical Screws, HexaDrive 6 LengthArt. No.Material: Titanium alloy (ASTM F136)Pieces / PkgArt. No.Pieces / Pkg8 mmA-5500.08/1A-5500.08/1S1A-5500.08510 mmA-5500.10/1A-5500.10/1S1A-5500.10512 mmA-5500.12/1A-5500.12/1S1A-5500.12514 mmA-5500.14/1A-5500.14/1S1A-5500.14516 mmA-5500.16/1A-5500.16/1S1A-5500.165STERILE 2.3 mmScale 2:1 www.medartis.com
26 Arthrodesis System 2.0 / 2.3, 2.52.5 Cortical Screws, HexaDrive 7 Material: Titanium alloy (ASTM F136)Length 2.5 mmPieces / PkgArt. No.Pieces / Pkg8 mmArt. No.A-5700.08/1A-5700.08/1S1A-5700.08510 mmA-5700.10/1A-5700.10/1S1A-5700.10511 mmA-5700.11/112 mmA-5700.12/1A-5700.12513 mmA-5700.13/114 mmA-5700.14/1A-5700.14515 mmA-5700.15/116 mmA-5700.16/1A-5700.16/1S1A-5700.16518 mmA-5700.18/1A-5700.18/1S1A-5700.18520 mmA-5700.20/1A-5700.20/1S1A-5700.20522 mmA-5700.22/1A-5700.22/1S1A-5700.22524 mmA-5700.24/1A-5700.24/1S1A-5700.24526 mmA-5700.26/1A-5700.26/1S1A-5700.26528 mmA-5700.28/1A-5700.28/1S1A-5700.28530 mmA-5700.30/1A-5700.30/1S1A-5700.30532 mmA-5700.32/1A-5700.32/1S1A-5700.32534 .12/1S11A-5700.14/1S112.5 TriLock Screws, HexaDrive 7 Material: Titanium alloy (ASTM F136)Length 2.5 mm www.medartis.comPieces / PkgArt. No.Pieces / Pkg8 mmArt. No.A-5750.08/1A-5750.08/1S1A-5750.08510 mmA-5750.10/1A-5750.10/1S1A-5750.10512 mmA-5750.12/1A-5750.12/1S1A-5750.12514 mmA-5750.14/1A-5750.14/1S1A-5750.14516 mmA-5750.16/1A-5750.16/1S1A-5750.16518 mmA-5750.18/1A-5750.18/1S1A-5750.18520 mmA-5750.20/1A-5750.20/1S1A-5750.20522 mmA-5750.22/1A-5750.22/1S1A-5750.22524 mmA-5750.24/1A-5750.24/1S1A-5750.24526 mmA-5750.26/1A-5750.26/1S1A-5750.26528 mmA-5750.28/1A-5750.28/1S1A-5750.28530 mmA-5750.30/1A-5750.30/1S1A-5750.30532 mmA-5750.32/1A-5750.32/1S1A-5750.32534 mmA-5750.34/1A-5750.34/1S1A-5750.345STERILEScale 1:1
27Arthrodesis System 2.0 / 2.3, 2.5Twist Drills 1.6 mmA-3410A-3420A-3430Art. No.STERILESystem SizeStopLengthDrill Shaft EndPieces / PkgA-3410A-3410S2.025 mm87 mmDental1A-3420A-3420S2.025 mm87 mmStryker J-Latch1A-3430A-3430S2.025 mm81 mmAO Quick Coupling1Twist Drills 2.0 mmA-3713A-3723A-3733Art. No.STERILESystem SizeStopLengthDrill Shaft EndPieces / PkgA-3713A-3713S2.540 mm97 mmDental1A-3723A-3723S2.540 mm97 mmStryker J-Latch1A-3733A-3733S2.540 mm91 mmAO Quick Coupling12.0 / 2.3 Reamersfor A-4660.10A-3630A-3631for A-4660.11A-3635for A-4660.15Art. No.STERILE DescriptionLengthShaft EndPieces / PkgA-3630A-3630S17 mmfor Four Corner Fusion Plate (A-4660.10)87 mmAO Quick Coupling1A-3631A-3631S15 mmfor Four Corner Fusion Plate, small (A-4660.11) 80.5 mmAO Quick Coupling1A-3635A-3635S13 mmfor STT Fusion Plate (A-4660.15)AO Quick Coupling1Scale 1:180.5 mm www.medartis.com
28 Arthrodesis System 2.0 / 2.3, 2.5K-Wires, Stainless SteelA-5040.41Art. 2S DescriptionLengthPieces / Pkg1.2 mmtrocar150 mm101.2 mmtrocar150 mm21.6 mmtrocar150 mm101.6 mmtrocar150 mm2K-Wires, Stainless SteelA-5042.41Art. 2S DescriptionLengthPieces / Pkg1.2 mmlancet150 mm101.2 mmlancet150 mm21.6 mmlancet150 mm101.6 mmlancet150 mm2Olive K-Wires, Stainless Steel1.6 mm1:110 mmA-5045.4160 mmArt. No.STERILEA-5045.41/1A-5045.41/2SA-5045.41/4 1.6 mm1.6 mm1.6 mmLengthThread LengthPieces / Pkg60 mm60 mm60 mm10 mm10 mm10 mm124K-Wire DispenserArt. No.System SizeLengthPieces / PkgA-6010.161.6185 mm1 www.medartis.comScale 1:2
Arthrodesis System 2.0 / 2.3, 2.5 29Drill GuidesA-2722A-2020Art. No.System SizeDescriptionLengthPieces / PkgA-20202.0/2.3centric, excentric149 mm1A-27222.5scaled114 mm1Art. No.System SizeDescriptionLengthPieces / PkgA-27262.5self-holding, scaled34 mm1LengthPieces / Pkg151 mm1149 mm1151 mm1149 mm1Drill SleeveDepth GaugesA-2032A-2730Art. No.System .5Descriptioncaliper (spare part)caliper (spare part)Screwdrivers, Self-HoldingA-2610HD6A-2710HD7Art. No.System SizeInterfaceLengthPieces / PkgA-26102.0/2.3HD6153 mm1A-27102.5HD7166 mm1Scale 1:2 www.medartis.com
30 Arthrodesis System 2.0 / 2.3, 2.5Handle with Quick ConnectorArt. No.DescriptionFor Shaft EndLengthPieces / PkgA-2073with twist capAO Quick Coupling124 mm1Screwdriver Blade, Self-Holding1:1A-2013HD7Art. No.System SizeInterfaceShaft EndLengthPieces / PkgA-20132.5/2.8HD7AO Quick Coupling75 mm1Plate and Screw Holding ForcepsArt. No.DescriptionLengthPieces / PkgA-2060angled148 mm1Plate Bending PliersArt. No.System SizeDescriptionLengthPieces / PkgA-20472.0 – 2.8with pins158 mm1 www.medartis.comScale 1:2
Arthrodesis System 2.0 / 2.3, 2.5 31BibliographyWei, D.H. and Feldon, P.Total Wrist Arthrodesis: Indicationsand Clinical OutcomesJ Am Acad Orthop Surg, 2017.25(1): p. 3–11.McGuire, D.T. and Bain, G.I.Radioscapholunate fusionJ Wrist Surg, 2012.1(2): p. 135–40.Koehler, S., et al.Wrist arthrodesis with a fixed-angle,“low-profile” fusion plate withoutcarpometacarpal joint fixationOper Orthop Traumatol, 2017.29(5): p. 416–430. German.Quadlbauer, S., et al.Volar Radioscapholunate Arthrodesisand Distal Scaphoidectomy AfterMalunited Distal Radius FracturesJ Hand Surg Am, 2017.42(9): p. 754.e1–754.e8.Rancy, S.K., et al.Nonspanning Total Wrist Arthrodesiswith a Low-Profile Locking PlateJ Wrist Surg, 2018.7(2): p. 127–132.Krimmer, H.Teil- und Totalarthrodesen amHandgelenk.2014, Springer Berlin Heidelberg.Woehl, R., et al.3D analysis of Osteosynthesesmaterial using semi-automated CTsegmentation: a case series of a 4corner fusion plateBMC Musculoskelet Disord, 2018.19(1): p. 52.Chaudhry, T., et al.Four corner fusion using amultidirectional angular stablelocking plateWorld J Orthop, 2016.7(8): p. 501–6.Hernekamp, J.F., et al.Four-corner fusion: comparison ofpatient satisfaction and functionaloutcome of conventional K-wiretechnique vs. a new locking plateArch Orthop Trauma Surg, 2016.136(4): p. 571–8.Pauchard, N., et al.Dorsal locking plates versus staplesin four-corner fusion: a comparativeclinical and radiological studyOrthop Traumatol Surg Res, 2014.100(6): p. 593–7.Watson, H.K., et al.Scaphotrapeziotrapezoidarthrodesis: a follow-up study.J Hand Surg Am. 2003.28(3): p. 397–404.Passin, S., et al.Biomechanical Testing of a NewTotal Wrist Arthrodesis Plate2015, Stuttgart, New York: Thieme. www.medartis.com
WRIST-08000001 v5 / 2019-04, Medartis AG, Switzerland. All technical data subject to alteration.M A N U FA C T U R E R & H E A D Q U A R T E R SMedartis AG Hochbergerstrasse 60E 4057 Basel / SwitzerlandP 41 61 633 34 34 F 41 61 633 34 00 www.medartis.comSUBSIDIARIESAustralia Austria Brazil France Germany Japan Mexico New Zealand Poland UK USAFor detailed information regarding our subsidiaries and distributors, please visit www.medartis.comDisclaimer: This information is intended to demonstrate the Medartis portfolio of medical devices. A surgeon must always rely on her or his own professional clinicaljudgement when deciding whether to use a particular product when treating a particular patient. Medartis is not giving any medical advice. The devices may not beavailable in all countries due to registration and / or medical practices. For further questions, please contact your Medartis representative (www.medartis.com). Thisinformation contains CE-marked products.For US only: Federal law restricts this device to sale by or on the order of a physician.
6 Arthrodesis System 2.0 / 2.3, 2.5 Æ www.medartis.com Clinical Benefits Specifically developed plate 2.0 / 2.3 for fusion of scaphoid, trapezium and trapezoid (STT) Compression and stable fixation of the carpal bones – Screw holes for compression of the carpal bones being fused usi
