AxSOS Extremity Plating System Operative Technique - Stryker

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Indications & Contraindications Indications Fractures of the metaphysis and/or the diaphysis of the following: · One Third Tubular Plates: Fibula, metetarsals, metacarpals. · Compression Plate: Radius, ulna, distal tibia, fibula, distal humerus. · Reconstruction Plates: Humerus, pelvis. · The AxSOS Plus Locking Plate System is intended for use in long bone fracture fixation, including but not limited to fractures of the humerus and distal radius. Asnis III Cannulated Screws are indicated for fracture fixation of small and long bones and of the pelvis. Precautions Stryker Osteosynthesis systems have not been evaluated for safety and use in MR environment and have not been tested for heating or migration in the MR environment, unless specified otherwise in the product labeling. Contraindications The physician’s education, training and professional judgement must be relied upon to choose the most appropriate device and treatment. Conditions presenting an increased risk of failure include: • Any active or suspected latent infection or marked local inflammation in or about the affected area. • Compromised vascularity that would inhibit adequate blood supply to the fracture or the operative site. • Bone stock compromised by disease, infection or prior implantation that can not provide adequate support and/or fixation of the devices. • Material sensitivity, documented or suspected. • Obesity. An overweight or obese patient can produce loads on the implant that can lead to failure of the fixation of the device or to failure of the device itself. • Patients having inadequate tissue coverage over the operative site. • Implant utilization that would interfere with anatomical structures or physiological performance. • Any mental or neuromuscular disorder which would create an unacceptable risk of fixation failure or complications in postoperative care. • Other medical or surgical conditions which would preclude the potential benefit of surgery. Warning This publication sets forth detailed recommended procedures for using Stryker Osteosynthesis devices and instruments. It offers guidance that you should heed, but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required. A workshop training is recommended prior to first surgery. All non-sterile devices must be cleaned and sterilized before use. Follow the instructions provided in our reprocessing guide (L24002000). Multi-component instruments must be disassembled for cleaning. Please refer to the corresponding assembly/ disassembly instructions. See package insert (V15011 and V15013) for a complete list of potential adverse effects, contraindications, warnings and precautions. The surgeon must discuss all relevant risks, including the finite lifetime of the device, with the patient, when necessary. Warning: Fixation Screws: Stryker Osteosynthesis bone screws are not approved or intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine. Caution Federal law (U.S.A.) restricts this device to sale by or on the order of a licensed physician. 10
Operative Technique AxSOS Compression Plates The AxSOS Small and Basic Fragment Systems function in the same general operative manner as the SPS Small and Basic Fragment Systems in the conventional non-locking mode. The procedure below illustrates how to convert an AxSOS Plate Hole from a compression mode to an un-locked mode. AxSOS Compression Plates or SPS Compression Plates The AxSOS Compression Plate should not be confused with the SPS Compression Plate. The standard SPS Plate cannot be locked, and therefore should not be used with Locking Screws, Locking Inserts, or Cable Plugs. The AxSOS Compression Plate can be used both in compression and/or locking mode. Each system has its own Reference Numbers, and there are 2 visible differences between the plates. The AxSOS plate has a “matte” finish, while the SPS plate has a “polish” finish. Second, the plates have different tapers at the plate ends as illustrated in (Fig. 1). SPS Compression Plate AxSOS Compression Plate Fig. 1 Bending If the plate is used in a fully locked mode, plate bending is not recommended due to possible hole deformity and inability of Locking Insert placement. AxSOS Compression Plates Cortical Screws Locking Screws Small Fragment 3.5mm 4.0mm If the plate is used in a hybrid mode (compression with appropriate cortical screws and locking screws), the plate should only be bent at the level of the fracture line between the compression holes. Hybrid Mode Screw Insertion When using the plate in a hybrid mode, it is essential to insert the Cortical Screws for axial compression before inserting any Locking Screws. 11
Page 1 and 2: Shoulder Elbow AxSOS Extremity Plat
Page 3 and 4: Contents Page 1. Introduction 4 2.
Page 5 and 6: Features & Benefits Tray Layout Cas
Page 7 and 8: Features & Benefits AxSOS 4.0 Compr
Page 9: Features & Benefits Asnis III 4.0mm
Page 13 and 14: Operative Technique AxSOS Compressi
Page 15 and 16: Operative Technique 1/3 Tubular Pla
Page 17 and 18: Ordering Information - Plates 3.0mm
Page 19 and 20: Ordering Information - Screws 3.0mm
Page 21 and 22: Ordering Information - AxSOS Instru

AxSOS Extremity Plating System Operative Technique - Stryker

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