AxSOS Extremity Plating System Operative Technique - Stryker

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Operative Technique Asnis III 4.0mm The Asnis III Cannulated Screw System is intended for fracture fixation of small and long bones and of the pelvis. The system is not intended for spinal use. Step One: Insert Guide Wire Using the ø1.4/2.7mm double drill guide, insert a ø1.4 x 150mm Guide Wire to the appropriate depth. Use image intensification to control reduction and Guide Wire placement. Place additional guide wires as necessary. Remove the double drill guide. Note: In dense bone, puncturing the cortex with the ø1.4 x 150mm drill bit to initiate the wire may reduce heat build-up and/or deflection of the wire. Alternative: Substitute the ø1.4 x 150mm Guide Wire with a ø1.4 x 150mm drill bit. Throughout the procedure it is possible to interchange the Guide Wire and drill bit. Option: A parallel drill guide is available for parallel placement of Guide Wire. Optional: Countersink or Washer? Where soft tissue coverage is minimal, use of the countersink to further recess the low profile screw head may be beneficial. In bone where the cortex is thin, washers can be applied to spread the load of the screw head over a greater area. Note: The countersink design does not require pre-drilling. Step 2: Measure for Screw Length Slide the direct measuring gauge over the ø1.4 x 150mm Guide Wire. The direct measuring gauge measures direct to the tip of the Guide Wire. This allows the final screw position to correspond with the initial tip position of the Guide Wire. Select appropriate screw length. Length adjustment is particularly important if the tip is near an articular surface. Note: Care should be taken to ensure the direct measuring gauge tip engages the bone when a reading is taken. Step 3: Insert Screw Using the cannulated screwdriver with Elastosil® handle and the screw holding sleeve, insert the selected screw over the Guide Wire. Release the screw holding sleeve prior to final tightening. Remove screwdriver and screw holding sleeve. Note: The thread of the Asnis screw is designed for insertion in cancellous bone. If it used in cortical bone tapping is required prior to screw insertion. Always verify both Guide Wire and screw position with periodic image intensification. Step 3: Verify Final Reduction Verify the final position of the screw. Remove and discard the Guide Wire. Repeat as necessary for additional screws. 16
Ordering Information – Plates 3.0mm 1/3 Tubular Plates (Locking) 3.0mm 1/3 Tubular Plates (Non-Locking) Stainless Steel Holes Length REF mm 427062S 2 24 427063S 3 37 427064S 4 50 427065S 5 63 427066S 6 76 427067S 7 89 427068S 8 102 427070S 10 128 427072S 12 154 Stainless Steel Holes Length REF mm 430202 2 25 430203 3 38 430204 4 51 430205 5 64 430206 6 77 430207 7 90 430208 8 103 430210 10 129 430211 11 142 430212 12 155 430213 13 168 430214 14 181 4.0mm Reconstruction Plates 4.0mm Waisted Compression Plates Stainless Steel Holes Length REF mm 427034S 4 48 427035S 5 60 427036S 6 72 427037S 7 84 427038S 8 96 427039S 9 108 427040S 10 120 427042S 12 144 427044S 14 168 427046S 16 192 427048S 18 216 427050S 20 240 427052S 22 264 Stainless Steel Holes Length REF mm 427002S 2 32 427003S 3 45 427004S 4 58 427005S 5 71 427006S 6 84 427007S 7 97 427008S 8 110 427009S 9 123 427010S 10 136 427011S 11 136 427012S 12 149 427014S 14 188 427016S 16 214 427018S 18 240 427020S 20 222 17
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 and 10: Features & Benefits Asnis III 4.0mm
Page 11 and 12: Operative Technique AxSOS Compressi
Page 13 and 14: Operative Technique AxSOS Compressi
Page 15: Operative Technique 1/3 Tubular Pla
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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