AxSOS Extremity Plating System Operative Technique - Stryker

Shoulder 

Elbow 

AxSOS 

Extremity Plating System 

(Small Fragment Solutions) 

Operative Technique 

Hand & 

Wrist 

Tibia 

• Compression Plate 

• 1/3 Tubular Standard Plate 

• 1/3 Tubular Locking Plate 

• Recon Plate 

• Distal Radius Plate 

• Proximal Humerus Plate 

• 4.0mm Cannulated Screws 

Foot & 

Ankle

AxSOS Extremity Plating System 

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 considerthe 

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. 

2

Contents 

Page 

1. Introduction 4 

2. Features & Benefits 5 

3. Indications & Contraindications 10 

4. Operative Technique 11 

Ordering Information – Plates 17 

Ordering Information – Screws 19 

Ordering Information – AxSOS Instruments 20 

3

Introduction 

The AxSOS locking plate system 

design is based on clinical input from 

an international panel of experienced 

surgeons, data from literature, and both 

practical and biomechanical testing. 

The anatomical shape, the fixed screw 

trajectory, and high surface quality 

take into account the current demands 

of clinical physicians for appropriate 

fixation, high fatigue strength, 

and minimal soft tissue damage. 

3mm Distal Radius Plate 

4mm Proximal Humeral Plate 

3mm Locking Insert 

4mm Recon Plate 

4mm Locking Insert 

3mm 

1/3 Tubular 

Locking Plate 

3.5mm 

1/3 Tubular 

Standard Plate 

4mm 

Compression 

Plate 

4

Features & Benefits 

Tray Layout 

Cases and Trays 

The AxSOS Extremity Plating System 

consists of four individual trays 

containing a wide assortment of plates, 

screws, and reduction instruments. 

The tray inserts are color coded and 

organized to offer modularity for storage 

and sterilization. 

Level 1 

Contains commonly used compression, 

reconstruction, 1/3 tubular, specialized 

periarticular locking plates for the distal 

radius and proximal humerus, as well as 

Asnis III 4.0 Cannulated Screw instruments. 

Level 2 

Contains instrumentation such as 

aiming blocks, drill guides, drill bits, 

screwdrivers and measuring gauges for 

SPS and 4.0 Locking Plate Systems. 

Level 3 

Contains additional instrumentation 

such as aiming blocks, drill guides, drill 

bits, screwdrivers, measuring gauges, 

as well as bending and reduction 

instruments for SPS and 3.0 Locking 

Plate Systems. 

Screw Rack contains 2.7mm & 3.5mm 

cortical screws, 4.0mm fully threaded 

& partially threaded cancellous screws, 

3.0mm & 4.0mm locking screws and 

4.0mm Asnis cannulated screws. 

Level 4 

Contains additional reduction 

instruments and a compartment for 

additional implants and instruments 

allowing for further set customization. 

System Color Scheme 

Green: 4.0mm Asnis 

Tan: SPS Non-Locking 

Orange: 4.0mm AxSOS Locking 

White: 3.0mm AxSOS Locking 

5


AxSOS Periarticular Plates 

Proximal Humerus (4mm) 

K-Wire / Suture Holes 

• Primary/temporary 

plate and fracture fixation 

• Suturing 

Distal Volar Radius (3mm) 

Monoaxial Holes 

• Allow axially stable screw placement, 

bringing stability to construct 

Unthreaded Freedom Holes 

• Freehand placement of screws 

• Lag screw possibility 

Anatomically Contoured 

• Little or no bending required. 

• Designed to provide soft tissue 

coverage 

Shaft Holes - Standard or Locking 

• Compression, neutral or buttress 

fixation 

• Accept standard SPS screws 

• Accept Locking Insert for axially 

stable screws 

• Pre-drilled Locking Holes allow 

axially stable screw placement 

‘Waisted’ Plate Shape 

• Uniform load transfer. 

Rounded & Tapered Plate End 

• Designed to help facilitate sliding 

of plates sub-muscularly 

Aiming Block 

• Designed to help provide accurate 

placement of the Drill Sleeve 

• Provides attachment point for Plate 

Insertion Handle 

Innovative Locking Screw Design 

• Screw is guided into plate. 

6


AxSOS 4.0 Compression Plates 

Compression and/or Locking Plate 

Option 

• The Locking Inserts and Locking 

Screws convert a standard compression 

hole to a locking hole. 

‘Waisted’ Plate Shape 

• Uniform load transfer. 

Equal Hole Spacing 

• Greater operative flexibility for screw 

and plate placement. 

Standard or Locking Holes 

• Compression, neutral or buttress 

fixation 

• Accept standard 3.5/4.0mm 

SPS screws 

• Accept Locking Insert for AxSOS 

4.0mm locking screws 

K-Wire and Reduction Holes 

• Enhanced primary/temporary plate 

and fracture fixation. 

Innovative Locking Screw Design 

• Screw is guided into plate 

Low Screw Head Profile 

• Designed to provide adequate 

soft tissue coverage. 

Rounded and Tapered Plate Ends 

• Designed to help facilitate sliding 

of plates sub-muscularly 

7


Reconstruction & 1/3 Tubular Plates 

4mm Reconstruction Plate 

Annealed Stainless Steel 

• The reconstruction plates are 

made of annealed stainless steel, 

which facilitates three-dimensional 

bending of the plate for an anatomical 

fit. 

Threaded Locking Holes 

• Plate holes accept a self tapping locking 

screw to help provide adequate stability 

to the plate/screw construct. 




1/3 Tubular 

Locking Plate 

1/3 Tubular 

Standard Plate 

Threaded Locking Holes 

• Plate holes accept a self tapping 

locking screw to help provide adequate 

stability to the plate/screw construct. 




8


Asnis III 4.0mm 

The Asnis III Cannulated Screw System 

is designed to assist surgical outcomes 

while simplifying procedures. 

The system incorporates several unique 

features intended to enhance screw 

placement, insertion and removal as 

follows: 

Low Profile Screw Head 

Stainless Steel (316LVM) 

• Compatibility with current steel 

systems. 

• Clinical Historical Use 

Packaging 

• Implants individually sterile packaged. 

Shaft and Core Diameter Equal 

Reverse Cutting Flute 

• To facilitate removal. 

Thread Choice 

• Implants available with both partial 

and fully threaded options. 

Self-Drilling/Tapping Design 

Large Diameter Guide Wires 

• To provide more precise screw 

placement. 

9

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


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. 


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



Option 1: Locking Insert 

Application 

If an AxSOS Plate is used in a locking 

mode, pre-operative insertion of 

Locking Inserts is recommended. 

A Locking Insert (4.0mm - REF 370002) 

is attached to the Locking Insert Inserter 

(4.0mm - REF 702762) and placed into 

the chosen hole(s) of the plate (Fig. 2). 

Ensure that the Locking Insert is 

properly placed. The Inserter should 

then be removed (Fig. 3). Do not place 

Locking Inserts with the Drill Sleeve. 

Fig. 2 Fig. 3 

Locking Screw Insertion 

Locking Screws can be placed in plate 

holes provided there is a pre-placed 

locking insert. The appropriate Drill Sleeve 

is threaded into the Locking Insert to 

ensure initial fixation of the Locking Insert 

into the plate. This may also 

facilitate subsequent screw placement. 

A 3.1mm (for 4.0 screws) Drill Bit is used 

to drill through both cortices. Avoid any 

angulation or excessive force on the drill, 

as this could dislodge the Locking Insert. 

The screw measurement is then taken. 

The appropriate sized Locking Screw 

is then inserted. Locking Screws should 

initially be inserted manually to ensure 

proper alignment. If the Locking Screw 

thread does not immediately engage the 

plate thread, reverse the screw a few turns 

and re-insert the screw once 

it is properly aligned. 

To avoid cold welding of the Locking 

Screws it is strictly recommended to 

perform final tightening of the Locking 

Screws with the Solid Screwdriver 

together with the Torque Limiting 

Attachment and T-Handle. 

This procedure is repeated for all holes 

chosen for locked fixation. 

Note: 

Do not apply force or push the 

screw through the locking hole. 

By turning the locking screw, it will 

be pulled through the plate. 

Doing otherwise may damage the 

screw and/or plate. 

Locking Insert Extraction 

Should removal of a Locking Insert be 

required for any reason, then the 

following procedure should be used. 

Thread the central portion (A) of the 

Locking Insert Extractor (4.0mm - REF 

702767, not included in the Extremity 

plating System) into the Locking Insert 

that you wish to remove until it is fully 

seated. Then turn the outer sleeve/collet 

(B) clockwise until it pulls the Locking 

Insert out of the plate (Fig. 5). The 

Locking Insert must then be discarded, 

as it cannot be reused. 

Note: 

Dense cortical bone should be 

tapped after initial drilling. 

Solid Screwdriver 

Torque Limiter 

Fig. 4 – 4.0mm Instruments for Final Tightening 

B 

A 

Fig. 5 

12 

T-Handle



Option 2: Intra–Operative 

Locking Insert Application 

(Items used in this technique are not 

included in the Extremity Plating System) 

If desired, a Locking Insert can be applied 

in a compression hole in the shaft of 

the plate intra-operatively by using the 

Locking Insert Forceps (REF 702968 or 

702969), Centering Pin (REF 702673 or 

702674), Adaptor for Centering Pin (REF 

702675), and Guide for Centering Pin 

(REF 702671 or 702672). 

First, the Centering Pin is inserted 

through the chosen hole using the 

Adaptor and Guide (Fig. 1). 

It is important to use the Guide as this 

centers the core hole for Locking Screw 

insertion after the Locking Insert is 

applied. After inserting the Centering Pin 

bi-cortically, remove the Adaptor and 

Guide. 

Second, place a Locking Insert on the end 

of the Forceps and slide the instrument 

over the Centering Pin until resistance is 

felt. Then, push the button on the forceps 

body to further position the Locking 

Insert down to the hole. Last, apply the 

Locking Insert by triggering the forceps 

handle. Push the button on the Forceps 

once again to remove the device (Fig. 2). 

At this time, remove the Centering Pin. 

Fig. 1 

Fig. 2 

13


AxSOS Reconstruction Plates 

Clear identification and classification of 

the fracture should first be established 

using proper imaging methods. 

The appropriate anatomical reduction 

should be carried out before any 

definitive fixation. 

Step 1 – Bending 

Since the holes in the plate are threaded, 

it is important to bend only between 

the holes. Bending the holes will cause a 

deformation which may cause the screw 

to not properly seat in the hole. 

Three types of bending may be 

performed on the plates with the 

bending irons (Fig. 1). 

X-Ray Templates are available to help 

choose the length of the plate intra 

operatively. Bending Templates are 

available to help determine the proper 

bend of the plate. 

Step 2 – Primary Plate Fixation 

After the proper implant has been 

selected and bent accordingly, the plate 

is temporarily fixed to the bone using 

K-Wires and/or reduction forceps 

(Fig. 2). 

Fig. 1 – Rotational Bending 

Fig. 1a – Anterior Posterior 

Bending 

Fig. 1b – Medial Lateral 

Bending 

Step 3 – Locking Fixation 

The AxSOS Reconstruction Plates 

act only in the locking mode. Screw 

“Lagging” is not possible through the 

plate. If Lagging is desired, use an 

independent lag screw, and note that the 

lag screw must not interfere with screw 

trajectory of the locking screws in the 

plate. 

Using the appropriate Drill Sleeve 

(4.0mm – REF 702707 ) and ø3.1 Drill Bit 

(4.0mm – REF 702742), drill the hole on 

each side of the fracture line. 

Measure the depth of the hole using the 

Depth Gauge (REF 702884), and insert 

the screws using the Solid Screwdriver 

(4.0mm – REF 702747) and Screw Holding 

Sleeve (4.0mm – REF 702732) (Fig. 3). 

Final tightening of Locking Screws 

should always be performed manually 

using the Torque Limiting Attachment 

(4.0mm – REF 702750 ) together with the 

Solid Screwdriver (4.0mm – REF 702753) 

and the T-Handle (4mm – REF 702427). 

Repeat the above technique until all 

desired holes in the plate are filled 

(Fig. 4). 

Fig. 2 – K-Wire Fixation 

Fig. 4 

14 

Fig. 3 – Screw Insertion


1/3 Tubular Plates 

Clear identification classification of 

the fracture should first be established 

using proper imaging methods. 

The appropriate anatomical reduction 

should be carried out before any 

definitive fixation. 

Due to a good anatomical fit, the most 

common indication for the 1/3 Tubular 

Plate is a fracture of the fibula. 

Step 1 – Bending 

Since the holes in the 1/3 tubular plate are 

threaded, it is important to bend only 

between the holes. Bending the holes will 

cause a deformation which may cause 

the screw to not properly seat in the hole 

(See Step 1 of the Reconstruction Plate 

Operative Technique). 

Step 2 – Primary Plate Fixation 

After the proper implant has been 

selected, the plate is temporarily fixed to 

the bone using K-Wires and /or 

reduction forceps (Fig. 1). 

Step 3 – Locking Fixation 

Using the Drill Sleeve (REF 702706) and 

ø2.3 Drill Bit (REF 702741), 

drill the hole on each side of the 

fracture line. 

Measure the depth of the hole using 

the Depth Gauge (REF 702883), 

and insert the screws using the Torque 

Limiting Screwdriver (REF 702759) 

and Screw Holding Sleeve (REF 702731) 

(Fig. 2). 

Repeat the above technique until all 

desired holes in the plate are filled. 

Fig. 1 – K-Wire Fixation 

Fig. 2 – Screw Insertion 

15


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 


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 


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 


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

Ordering Information – Plates 

4.0mm Proximal Humerus Plates 

Stainless Steel Plate Shaft Locking Locking 

REF Length Holes Holes Holes 

Left Right mm Metaphyseal Shaft 

437103 437123 86 3 7 1 

437105 437125 112 5 7 2 

437108 437128 150 8 7 4 

3.0mm Distal Volar Radius Plates 

Stainless Steel Plate Shaft Locking 

REF Length Holes Holes 

Left Right mm 

436003 436023 60 3 4 

436004 436024 71 4 4 

436006 436026 93 6 4 

436008 436028 115 8 4 

436010 436030 136 10 4 

3.0mm Locking Insert 

Stainless Steel Description 

REF 

370001 3.0mm Small Fragment 

Locking Insert 

4.0mm Locking Insert 


REF 

370002 4.0mm Small Fragment 

Locking Insert 

18

Ordering Information – Screws 

3.0mm Locking Screw 

Self-Tapping, T15 Drive 

Stainless Steel Screw 

REF Length mm 

371008 8 

371010 10 

371012 12 

371014 14 

371016 16 

371018 18 

371020 20 

371022 22 

371024 24 

371026 26 

371028 28 

371030 30 

4.0mm Locking Screw, 

Self-Tapping,T15 Drive 


REF Length mm 

371514 14 

371516 16 

371518 18 

371520 20 

371522 22 

371524 24 

371526 26 

371528 28 

371530 30 

371532 32 

371534 34 

371536 36 

371538 38 

371540 40 

371542 42 

371544 44 

371546 46 

371548 48 

371550 50 

371555 55 

371560 60 

2.7mm Cortical Screw 

Self-Tapping, 2.5mm Hex Drive 


REF Length mm 

349608 8 

349610 10 

349612 12 

349614 14 

349616 16 

349618 18 

349620 20 

349622 22 

349624 24 

349626 26 

349628 28 

349630 30 

Available up to 40mm screw length as standard 

items and up to 60mm as special order items with 

longer lead times. 

3.5mm Cortical Screw 

Self-Tapping, 2.5mm Hex Drive 


REF Length mm 

338610 10 

338612 12 

338614 14 

338616 16 

338618 18 

338620 20 

338622 22 

338624 24 

338626 26 

338628 28 

338630 30 

338632 32 

338634 34 

338636 36 

338638 38 

338640 40 

338642 42 

338644 44 

338646 46 

338648 48 

338650 50 

338655 55 

338660 60 

Available up to 120 mm screw length as 

standard items. 

4.0mm Cancellous Screw 

Partial Thread 2.5mm, Hex Drive 


REF Length mm 

345510 10 

345512 12 

345514 14 

345516 16 

345518 18 

345520 20 

345522 22 

345524 24 

345526 26 

345528 28 

345530 30 

345532 32 

345534 34 

345536 36 

345538 38 

345540 40 

345545 45 

345550 50 

345555 55 

345560 60 

Available up to 100mm screw length as 


4.0mm Cancellous Screw 

Full Thread, 2.5mm Hex Drive 


REF Length mm 

345410 10 

345412 12 

345414 14 

345416 16 

345418 18 

345420 20 

345422 22 

345424 24 

345426 26 

345428 28 

345430 30 

345432 32 

345434 34 

345436 36 

345438 38 

345440 40 

345445 45 

345450 50 

345455 55 

345460 60 

Available up to 100mm screw length as 


4.0mm Asnis III Cannulated Screw 

Partial Thread, 2.5mm Hex Drive 

Stainless Steel Screw Stainless Steel Screw 

REF Length mm REF Length mm 

325014S 14 325036S 36 

325016S 16 325038S 38 

325018S 18 325040S 40 

325020S 20 325042S 42 

325022S 22 325044S 44 

325024S 24 325046S 46 

325026S 26 325048S 48 

325028S 28 325050S 50 

325030S 30 325055S 55 

325032S 32 325060S 60 

325034S 34 

Washer 


REF 

390018 7mm Washer 

390019 9mm Washer 

19

Ordering Information – AxSOS Instruments 

REF 

Description 

3mm Small Fragment Locking Instruments 

702727 Distal Radius Aiming Block, Left 

702726 Distal Radius Aiming Block, Right 

702726-2 Spare Set Screw for Distal Radius Aiming Block 

702741 Drill Ø2.3mm x 125mm 

702771 Tap Ø3.0mm x 130mm 

702731 Screw Holding Sleeve 

702706 Drill Sleeve 

702883 Direct Depth Gauge for 3.0mm Locking Screws 

702761 Locking Insert Inserter 3.0mm 

702759 Torque Limiter Screwdriver T8/3.0mm 

4mm Small Fragment Locking Instruments 

702971 Aiming Block, Proximal Humerus, Left 

702970 Aiming Block, Proximal Humerus, Right 

702970-2 Spare Set Screw for Humerus Aiming Block 

702742 Drill Ø3.1mm x 204mm 

702772 Tap Ø4.0mm x 140mm 

702747 Screwdriver T15, L200mm 

702753 Solid Screwdriver T15, L115mm 

702732 Screw Holding Sleeve 

702707 Drill Sleeve 

702884 Direct Depth Gauge for 4.0mm Locking Screws 

702750 Universal Torque Limiter 4Nm / 4.0mm 

702762 Locking Insert Inserter 4.0mm 

702427 T-Handle Small, AO Fitting 

20

Ordering Information – AxSOS Instruments 

REF 

Description 

SPS Standard Instruments 

700346 Drill Bit 2.0mm x 125mm, AO 




702801 Tap 2.7mm x 125mm, AO 

702802 Tap 3.5mm x 125mm, AO 

702803 Tap 4.0mm x 125mm, AO 

702811 Countersink for 2.7/3.5/4.0mm screws 

702427 Elastosil T-Handle - Small 

702428 Elastosil Straight Handle - Small 

702416 Double Drill Guide 2.0/2.7mm 

702418 Double Drill Guide 2.5/3.5mm 

702821 Parallel Drill Guide 

702822 Drill Sleeve Handle 

702825 Drill Sleeve 2.5mm Neutral 

702829 Drill Sleeve 2.5mm Compression 

702831 Drill Sleeve 2.5mm Buttress 

702875 Depth Gauge 0-70mm for Screws 2.7/3.5/4.0mm, Titanium 

702841 Screwdriver Hex 2.5mm for Standard Screws L200mm 

702485 Solid Screwdriver Hex 2.5mm for Standard Screws L115mm 

702490 Screwdriver Holding Sleeve for Screws 3.5/4.0mm 

702489 Holding Sleeve for Screwdrivers (Screw head Ø5.0mm) 

702428 Elastosil Straight Handle - Small 

710302 Bending Template (8 Hole Reconstruction Plate) 

710303 Bending Template (18 Hole Reconstruction Plate) 

710305 Bending Template (8 Hole Compression Plate) 

710306 Bending Template (18 Hole Compression Plate) 

900106 Screw Forceps 

390157 K-Wires 1.25mm x 150mm 

390164 K-Wires 1.6mm x 150mm (optional) 

390192 K-Wires 2.0mm x 150mm 

4.0mm Asnis Instruments 

702478 2.5mm Cannulated Hex Screwdriver 

702482 2.5mm Cannulated Hex Shaft Screwdriver 

702449 2.7mm Cannulated Drill Bit 

702465 Double Drill Guide 

702473 Cannulated Countersink 

702492 Cleaning Stylet 

702499 Measuring Guide 

702459 Threaded Guidewire, 1.4mm X150mm 

Cases and Trays 

902885 Metal Base - Instruments 

902886 Lid for Base - Instruments 

902887 Instrument Tray 1 (Top) 

902888 Instrument Tray 2 (Middle) 

902889 Instrument Tray 3 (Bottom) 

902890 Screw Rack with Lid 

902891 Silicon Mat 

902893 Lid for Screw Rack 

902894 Silicon Bracket 

990249 Fully Kitted Set 

990250 Upgrade Set 

Reduction Instruments 

700151 Hook 

700153 Ball Spike 

702901 Bending Iron 

702931 Repositioning Forceps - L175 

702926 Repositioning Forceps - L130 

702932 Lobster Claw 

700664 Hohmann Retractor 6mm 

700665 Hohmann Retractor 8mm 

700666 Periosteal and Freer Elevator 

21

Manufactured by: 

Stryker Trauma AG 

Bohnackerweg 1 

CH - 2545 Selzach 

Switzerland 

www.osteosynthesis.stryker.com 

This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own 

professional clinical judgment when deciding whether to use a particular product when treating a particular patient. 

Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product 

before using it in surgery. 

The information presented is intended to demonstrate a Stryker product. A surgeon must always refer to the 

package insert, product label and/or instructions for use, including the instructions for Cleaning and Sterilization 

(if applicable), before using any Stryker product. Products may not be available in all markets because product 

availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker 

representative if you have questions about the availability of Stryker products in your area. 

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following 

trademarks or service marks: Asnis, AxSOS, Stryker. All other trademarks are trademarks of their respective owners or 

holders. 

The above listed products are CE marked 

Literature Number US: LAXSF-OT Rev 3 

Literature Number OUS: 982372 Rev 0 

Copyright © 2012 Stryker 

Distributed by: 

Stryker 

325 Corporate Drive 

Mahwah, NJ 07430 

t: 201 831 5000 

www.stryker.com

AxSOS Extremity Plating System Operative Technique - Stryker

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