LISS Distal Femur - Synthes

More documents

Recommendations

Info

A Insertion of Self-Drilling, Monocortical Locking ScrewsTighten the screw manually with the torque-limiting screwdriver.After one click, the optimum torque is reached.Insert a stopper into the LISS insertion guide after screwinsertion.Notes− To reduce the risk of stripping the screw head do not lockthe screws at full speed. This can make it difficult to removethe implant.− In order to achieve an excellent interface between screwand bone and to prevent a medial migration of the bone,use the power tool without high axial forces (3 to 5 kg).− To prevent heat necrosis, it is important to cool the screwwith saline solution during the drilling procedure throughthe drill sleeve.− If the screw is difficult to insert or stops advancing prior tolocking to the plate, remove the screw and clean the cuttingflutes using a Kirschner wire. The screw can be reusedif the socket has not been damaged.− Should the screwdriver be difficult to remove afterinsertion, disconnect it from the power tool and removethe drill sleeve. After reconnecting the screwdriver to thepower tool, withdraw the screwdriver from the screw.24 Synthes LISS DF Technique Guide
B Insertion of Self-Tapping, BicorticalLocking Screws1Make stab incisionInstruments324.022 Drill Sleeve for LISS Insertion Guide324.027 Trocar, length 162 mm, for No. 324.022Make a stab incision and insert the trocar through the drillsleeve for LISS insertion guide.2Predrill screw holeInstruments324.007 Drill Sleeve 7.2/4.3, length 130 mm310.423 Drill Bit 4.3 mm, length 280 mmRemove the trocar and thread the drill sleeve 7.2/4.3 into theplate hole through the drill sleeve for LISS insertion guide.Carefully drill the screw hole using the 4.3 mm drill bit.Synthes 25
Page 3: Table of ContentsIntroductionLess I
Page 7 and 8: IndicationsIndicationsLCP DF is ind
Page 9 and 10: Case 2Male, 76 years old, isolatedf
Page 11 and 12: Preoperative screw-length selection
Page 13 and 14: Preparation1Prepare required setsSe
Page 15 and 16: 3Assemble the insertion instruments
Page 17 and 18: 4Reduce the fractureIn an intra-art
Page 19 and 20: Once the plate is properly aligned
Page 21 and 22: Alternative techniqueInstruments324
Page 23 and 24: 1Make stab incisionInstruments324.0
Page 25: 3Insert self-drilling locking screw
Page 29 and 30: 4Insert self-tapping locking screws
Page 31 and 32: C Insertion of Self-Tapping Locking
Page 33 and 34: 4Insert self-tapping locking screws
Page 35 and 36: Implant RemovalInstruments324.011 L
Page 37 and 38: TipsIf the reduction of the fractur
Page 39 and 40: ImplantsLCP DF 4.5/5.0Stainless ste
Page 41 and 42: Instruments324.011 LISS Insertion G
Page 43 and 44: Optional instruments324.048 Aiming
Page 45 and 46: Locking Screws 5.0 mm and Standard
Page 48: Synthes GmbHEimattstrasse 3CH-4436

LISS Distal Femur - Synthes

Create successful ePaper yourself

Delete template?

Save as template?