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Solutions for the Wrist - Stryker

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<strong>Solutions</strong> <strong>for</strong> <strong>the</strong> <strong>Wrist</strong><br />

Variax, Matrix, TwinFix, SPS,<br />

Asnis III, Hoffmann® II<br />

Compact, HydroSet,<br />

KnifeLight, CORE Micro System


Introduction<br />

The Distal Radius<br />

and Carpals<br />

Fractures of <strong>the</strong> Distal Radius and<br />

Carpals account <strong>for</strong> over 20% of all<br />

fractures annually. These fractures also<br />

afflict <strong>the</strong> young and old alike.<br />

Additonally, surgeons are treating a<br />

large number of repetitive stress<br />

disorders. For this reason, today’s<br />

surgeons need many treatment options<br />

in order to effectively rehabilitate <strong>the</strong>ir<br />

patients.<br />

<strong>Stryker</strong>® realizes this need, and<br />

through continued innovation, offers a<br />

full line of implants and instruments<br />

dedicated to <strong>the</strong> treatment fractures<br />

and disorders of <strong>the</strong> wrist.<br />

2


Plating Systems<br />

VariAx Polyaxial<br />

Locking Plate<br />

System<br />

The VariAx Distal Radius Plating<br />

System represents <strong>the</strong> next generation<br />

of bone fixation <strong>for</strong> virtually all of<br />

your Distal Radius fracture needs. It is<br />

designed to offer a comprehensive<br />

selection of plates, screws, pegs and<br />

unique instrumentation necessary to<br />

maintain <strong>the</strong> stability of <strong>the</strong> distal<br />

radius lesion, while providing your<br />

surgical staff a user-friendly module<br />

layout.<br />

Left<br />

Anatomical<br />

Volar Plates<br />

Right<br />

Universal<br />

Volar Plates<br />

Dorsal<br />

Plates<br />

Radial<br />

Column<br />

Plates Ulnar<br />

Column<br />

Plates<br />

Plates<br />

All plates are made of pure titanium,<br />

and <strong>the</strong>y are treated with Type 2<br />

Annodisation to limit tissue adherence.<br />

Each hole is capable of 15° locking<br />

screw trajectory in any direction. The<br />

2mm profile height of <strong>the</strong> plate<br />

provides added strength to <strong>the</strong><br />

plate/screw construct.<br />

Screws<br />

2.0mm<br />

Smooth<br />

Locking<br />

2.3mm<br />

Locking<br />

2.7mm<br />

Locking<br />

2.7mm<br />

Partial Thread<br />

Locking<br />

2.3mm<br />

Non-<br />

Locking<br />

2.7mm 2.7mm<br />

Non- Partial Thread<br />

Locking Non-Locking<br />

All screws are made of a titanium alloy,<br />

and are offered in both 2.3mm and<br />

2.7mm diameters in locked and nonlocked<br />

designs. 2.0mm Locking Pegs<br />

are also offered in <strong>the</strong> system.<br />

3


Plating Systems<br />

Matrix SmartLock<br />

Polyaxial Locking<br />

Plate System<br />

The Matrix SmartLock System<br />

combines polyaxial locking with a lowprofile<br />

plate design. With a 1.5mm<br />

profile height, <strong>the</strong>se pure titanium<br />

plates provide a locking screw<br />

trajectory of 10° in any direction.<br />

Screw Options<br />

Simple instrumentation and product<br />

offering is <strong>the</strong> key to this system.<br />

Hospital inventory costs can be<br />

minimised. The system carries 2.7mm<br />

screws in locking and non-locking<br />

versions, as well as a 3.0mm cancellous<br />

screws.<br />

Plate profile<br />

height 1.5 mm<br />

2.7 mm 2.7 mm 3.0 mm<br />

Locking Screw Bone Screw Cancellous Bone Screw<br />

SPS Conventional<br />

Plating System<br />

When faced with more simple fracture<br />

patterns and good quality bone,<br />

locking plates could be a costly and<br />

unnecessary treatment option.<br />

<strong>Stryker</strong>®’s SPS Conventional Small<br />

Fragment Plating System offers T-<br />

Plates and Oblique T-Plates <strong>for</strong> use in<br />

<strong>the</strong> Distal Radius. Titanium and<br />

Stainless Steel versions are available.<br />

4


Cannulated Screw Systems<br />

Asnis III<br />

Cannulated<br />

Screw System<br />

Cannulated screws are one <strong>the</strong> most<br />

used treatment options in orthopedics<br />

today. From <strong>the</strong> Foot to <strong>the</strong> Pelvis to<br />

<strong>the</strong> Forearm, cannulated screws are<br />

indispensable in treating a variety of<br />

fractures. In <strong>the</strong> Distal Radius region,<br />

a 4mm screw may be used to lag a<br />

fractured Radial Styloid. Using<br />

standard compression techniques, <strong>the</strong><br />

fracture can be reduced and<br />

maintained with minimal internal<br />

fixation.<br />

TwinFix 3.2mm<br />

Cannulated<br />

Compression<br />

Screw<br />

The most commonly fractured carpal<br />

bone is <strong>the</strong> Scaphoid. <strong>Stryker</strong>® offers a<br />

unique solution <strong>for</strong> this fracture in <strong>the</strong><br />

TwinFix. This device is designed with<br />

two independent screw threads which<br />

provide controlled compression to <strong>the</strong><br />

fracture site. With simple<br />

instrumentation and a variety of<br />

lengths, <strong>the</strong> TwinFix offers a smart<br />

solution <strong>for</strong> treating scaphoid<br />

fractures.<br />

5


External Fixation and HA Bone Substitute<br />

Hoffmann ® II<br />

Compact<br />

If <strong>the</strong> soft tissues or fracture pattern<br />

calls <strong>for</strong> an External Fixator, <strong>the</strong><br />

Hoffmann® II Compact could be <strong>the</strong><br />

treatment of choice. With <strong>the</strong> patented<br />

Snap Fit couplings and <strong>the</strong> Apex® self<br />

drilling half pins, this system is one of<br />

<strong>the</strong> leading External Fixation systems<br />

in <strong>the</strong> market today. And with <strong>the</strong><br />

MRI version of <strong>the</strong> Hoffmann® II<br />

Compact, this fixator can be used<br />

safely in an MRI environment up to<br />

3.0 Tesla.<br />

HydroSet<br />

Injectable HA<br />

Bone Substitute<br />

Fracture gaps are often seen in<br />

comminuted Distal Radius fractures.<br />

Some surgeons prefer to use bone<br />

substitutes to fill <strong>the</strong>se gaps. <strong>Stryker</strong>®<br />

offers an innovative HA Bone<br />

Substitute with HydroSet .<br />

The injectable self-setting calcium<br />

phosphate material allows <strong>the</strong> surgeon<br />

to fill bone voids or gaps of <strong>the</strong> skeletal<br />

system (i.e., extremities, craniofacial,<br />

spine, and pelvis). These defects may<br />

be surgically created or osseous defects<br />

created from traumatic injury to <strong>the</strong><br />

bone.<br />

HydroSet is delivered in 3, 5, 10, or<br />

15cc quantities. 3cc and 5cc are<br />

normally suitable <strong>for</strong> voids in <strong>the</strong><br />

Distal Radius.<br />

6


Instrumentation<br />

KnifeLight -<br />

Instrument <strong>for</strong><br />

Minimal Invasive<br />

Carpal Tunnel<br />

Ligament Release<br />

Carpal Tunnel Syndrome is a common<br />

repetitive stress disorder which affects<br />

up to 10% of <strong>the</strong> population today.<br />

<strong>Stryker</strong>® offers a product which treats<br />

this painful disorder in a minimally<br />

invasive surgical approach.<br />

The KnifeLight combines a surgical<br />

blade with a light in its handle which<br />

allows visualization of soft tissues.<br />

CORE Micro<br />

System<br />

Small bone surgery requires special<br />

solutions. There<strong>for</strong>e <strong>the</strong> CORE system<br />

is an ideal solution. The electrical<br />

system consists of manifold<br />

components which can be configured<br />

individually.<br />

+ Powerful drilling, cutting and<br />

burring<br />

+ Versatile applications<br />

+ Simple operation of <strong>the</strong> console<br />

and components<br />

7


Trauma, Extremities & De<strong>for</strong>mities<br />

Biologics<br />

Surgical Products<br />

Neuro & ENT<br />

<strong>Stryker</strong> Trauma AG<br />

Bohnackerweg 1<br />

CH-2545 Selzach<br />

Switzerland<br />

www.osteosyn<strong>the</strong>sis.stryker.com<br />

The in<strong>for</strong>mation presented in this brochure is intended to demonstrate a <strong>Stryker</strong> product. Always refer to <strong>the</strong> package<br />

insert, product label and/or user instructions be<strong>for</strong>e using any <strong>Stryker</strong> product. Surgeons must always rely on <strong>the</strong>ir own<br />

clinical judgment when deciding which products and techniques to use with <strong>the</strong>ir patients. Products may not be available<br />

in all markets. Product availability is subject to <strong>the</strong> regulatory or medical practices that govern individual markets. Please<br />

contact your <strong>Stryker</strong> representative if you have questions about <strong>the</strong> availability of <strong>Stryker</strong> products in your area.<br />

<strong>Stryker</strong> Corporation or its subsidiary owns <strong>the</strong> registered trademark: <strong>Stryker</strong><br />

<strong>Stryker</strong> Corporation or its subsidiary owns, uses or has applied <strong>for</strong> <strong>the</strong> following trademarks: Asnis, VariAx, Hoffmann,<br />

Compact, Apex, HydroSet<br />

Literature Number: 982326<br />

LOT A4206<br />

Copyright © 2006 <strong>Stryker</strong><br />

Printed in Switzerland

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