AxSOS Distal Lateral Femur Threaded Shaft Holes ... - Stryker

Operative Technique
Step 6 – Primary Plate Fixation – Proximal (Optional)
The proximal end of the plate can
now be secured. This can be achieved
through one of four methods:
• A K-Wire inserted in the shaft
K-Wire holes
• A 4.5mm Cortex Screw using
the standard technique
• A 5.0mm Locking Screw in the
pre-threaded locking holes or with
a Locking Insert in the standard holes
(see step 8 – Shaft Fixation)
• The Temporary Plate Holder (REF
702776) in the last unthreaded shaft
hole
Using a 3.2mm Drill (REF 700357)
and Double Drill Guide (REF 702417),
drill a core hole through both cortices
in the first unthreaded hole above the
most proximal fracture line.
The length is then measured using
the Depth Gauge for standard screws
(REF 702877) and an appropriate
Self- Tapping 4.5mm Cortical Screw
is then inserted using the Screwdriver
(REF 702843) (Fig. 12).
Alternatively, the Temporary Plate
Holder can be used.
In addition to providing temporary
fixation, the Plate Holder pushes the
plate to the bone. Also, it has
a selfdrilling, self-tapping tip for
quick insertion into cortical bone.
To help prevent thermal necrosis
during the drilling stage, it is
recommended that this device
is inserted by hand.
Once the device has been inserted
through the far cortex, the threaded
outer sleeve/collet is turned clockwise
until the plate is in contact with the
bone (Fig. 13). The core diameter
of this instrument is 3.3mm to
allow a 4.5mm Cortical Screw to be
subsequently inserted in the same
shaft hole.
Note:
A Locking Screw and Locking
Insert should not be used in the
hole where the Temporary Plate
Holder is used.
Fig. 12
Fig. 13
14