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Ostheosynthesis cannulated screw for small fragments. - Biotech ortho

Ostheosynthesis cannulated screw for small fragments. - Biotech ortho

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V17<br />

<strong>Ostheosynthesis</strong> <strong>cannulated</strong><br />

<strong>screw</strong> <strong>for</strong> <strong>small</strong> <strong>fragments</strong>.


V17 Protocol (Phalanx fracture)<br />

1. Fracture reduction<br />

a<br />

b<br />

a<br />

b<br />

Reduce the fracture and hold with the<br />

reduction clamp.<br />

Measure <strong>screw</strong> length from the reduction clamp.<br />

b<br />

2. K-wire insertion<br />

a<br />

a Place the K-wire guide into the barrel of the<br />

reduction clamp.<br />

b<br />

b<br />

Insert a 0.7mm K-wire and secure it into the<br />

opposite cortex<br />

3. Screw insertion<br />

c<br />

a<br />

b<br />

c<br />

a<br />

Remove the K-wire guide from the barrel.<br />

Slide the appropriate length <strong>screw</strong> and driver over the wire.<br />

Drive the <strong>screw</strong> through the barrel of the reduction clamp<br />

b<br />

4. Compression<br />

a<br />

a Drive the <strong>screw</strong> until its head is flush with the near<br />

cortex .<br />

b Remove the K-wire and reduction clamp .


V23, VC30, VC35 Protocol (Scaphoid fracture)<br />

b<br />

a<br />

1. K-wire insertion<br />

a<br />

Reduce a displaced fracture.<br />

b Per<strong>for</strong>ate the two cortex with a second k-wire, that will guide the positionning<br />

of the <strong>screw</strong> and avoid any risk of <strong>fragments</strong> rotation.<br />

At that point, the distal extremity is at the level of the distal.<br />

2. Measure<br />

It is recommended that fluoroscopy is used to confirm drill depth and <strong>screw</strong> length<br />

3. Drilling<br />

b<br />

b<br />

a<br />

a<br />

b<br />

Place the K-wire gauge<br />

on contact with the<br />

proximal cortex .<br />

Measure the <strong>screw</strong> lenght.<br />

a<br />

b<br />

a<br />

Introduce the appropriate drill<br />

over the guide wire .<br />

Screw lenght can also be checked<br />

directly from the drill, as soon as<br />

contact with the opposite cortex is<br />

made and be<strong>for</strong>e per<strong>for</strong>ating it.<br />

4. Countersink 5. Screw insertion<br />

a<br />

a<br />

a<br />

Prepare the external cortex with<br />

the <strong>cannulated</strong> countersink<br />

through the cartilage so the<br />

<strong>screw</strong> head will be flush.<br />

a<br />

The two K-wires stil in place,<br />

insert the <strong>screw</strong> with the<br />

<strong>cannulated</strong> <strong>screw</strong>driver.<br />

6. Compression<br />

a<br />

a<br />

Drive <strong>screw</strong> until head is<br />

flush with near cortex.<br />

The <strong>screw</strong> head must not go past<br />

the cartilage.<br />

b<br />

Remove the K-wires.


Illustrations <strong>for</strong> in<strong>for</strong>mation.<br />

The drill, countersink and <strong>screw</strong>driver<br />

shaft have a color coded ring that<br />

corresponds to the <strong>screw</strong> diameter it<br />

serves.<br />

Screw Length K-wire Drill Countersink<br />

Screwdriver<br />

V 17<br />

V23<br />

VC 30<br />

VC 35<br />

From 8 to 14 mm<br />

1 mm increment.<br />

Ø 1.7 mm<br />

From 10 to 20 mm<br />

2 mm increment.<br />

From 20 to 28 mm<br />

1 mm increment.<br />

Ø 2.3 mm<br />

Ø 3.0 mm<br />

Ø 3.5 mm<br />

NB: No 27 mm length.<br />

From 10 to 20 mm<br />

2 mm increment.<br />

From 20 to 26 mm<br />

1 mm increment.<br />

From 26 to 32 mm<br />

2 mm increment.<br />

From 14 to 20 mm<br />

2 mm increment.<br />

From 20 to 26 mm<br />

1 mm increment.<br />

From 26 to 32 mm<br />

2 mm increment.<br />

From 35 to 45 mm<br />

5 mm increment.<br />

BR 070<br />

BR 080<br />

BR 120<br />

BR 120<br />

Self drilling<br />

FT 230<br />

FT 310C<br />

FT<br />

350C<br />

FR 170<br />

FR 230<br />

FR 300C<br />

FR 350C<br />

TV 170<br />

TV 230<br />

TV 300C<br />

TV 300C<br />

Further in<strong>for</strong>mation<br />

The K-wire guide GB 070 is to be used<br />

exclusively with the V17.<br />

The good lenght <strong>screw</strong> can be checked with the<br />

K-wire gauge JD 000.<br />

K-wire diameter can be checked with the<br />

K-wire diameter gauge PB 000.<br />

O R T H O P A E D I C I M P L A N T S<br />

305, Allées de Craponne<br />

13300 Salon de Provence<br />

France<br />

Tél. : 33 (0)4 90 44 60 60<br />

Fax : 33 (0)4 90 44 60 61<br />

www.biotech-international.com<br />

info@biotech-international.com<br />

0459<br />

TO - 0103OMNITECHHAND - rév.00 - 12/2011 - EN

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