3.5 mm LCP® Distal Humerus Plates

Part of the DePuy Synthes Locking Compression Plate (LCP

) System

3.5 mm LCP

Distal

Humerus Plates

Surgical Technique

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 1

Introduction

Surgical Technique

Product Information

Table of Contents

3.5 mm LCP Distal Humerus Plates 2

AO Principles 4

Indications 5

Preparation 6

Summary of Surgical Technique 7

Reduce Fracture 8

Select Posterolateral Plate 9

Apply Posterolateral Plate With Lateral Support 10

Alternative Technique: 13

Apply Posterolateral Plate Without Support

Apply Medial Plate 14

Insert Screws in Plate Shafts 16

Optional Techniques with 18

Position and Compression Device

Postoperative Treatment 21

Implant Removal 21

Implants 22

Instruments 24

Set List 26

Image intensiﬁer control

MR Information

The 3.5 mm LCP Distal Humerus Plates System has not been evaluated for safety and

compatibility in the MR environment. It has not been tested for heating, migration or

image artifact in the MR environment. The safety of the 3.5 mm LCP Distal Humerus

Plates System in the MR environment is unknown. Scanning a patient who has this

device may result in patient injury.

2 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

3.5 mm LCP Distal Humerus Plates

Plate features

– Thirty (30) posterolateral and medial plates allow implant

placement to address the individual fracture pattern.

– Plates are precontoured for anatomical t.

– Combi holes allow xation with locking screws in the

threaded section for angular stability, and cortex screws in

the dynamic compression unit (DCU) section for compression.

A xed-angle construct provides advantages in osteopenic

bone or multifragment fractures where traditional screw

purchase is compromised.

– Choice of ve lengths of each plate type eliminates the

need to cut plates.

– Posterolateral plates offer xation of the capitulum with

three distal screws.

Two-plate technique for distal humerus fractures

Increased stability can be gained from two-plate xation

of distal humerus fractures. The two-plate construct creates

a girder-like structure which strengthens the xation.

The posterolateral plate functions as a tension band during

elbow exion, and the medial plate supports the medial side

of the distal humerus.

1. Thomas P. Rüedi, et al, ed. AO Principles of Fracture Management,

New York: Thieme, 2000. p. 315.

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 3

Additional features

– Limited-contact design shaft with 3, 5, 7, 9, and 14

Combi holes

– The shaft holes accept 3.5 mm locking screws* in the

threaded portion or 3.5 mm cortex screws*, 4.0 mm

cortex screws** or 4.0 mm cancellous bone screws*

in the compression portion

– Available for left and right humeri

– Made of 316L stainless steel or commercially pure titanium

– Three distal locking holes accept 2.7 mm locking screws

or 2.4 mm cortex screws

– Posterolateral plate with lateral support offers the option

for two additional screws placed lateral to medial

3.5 mm LCP

Extra-articular Distal Humerus Plates are

also available.

3.5 mm LCP Posterolateral Distal

Humerus Plates, with support

3.5 mm LCP Posterolateral Distal

Humerus Plates

3.5 mm LCP Medial Distal

Humerus Plates

* Available in the Small Fragment LCP Instrument and Implant Set (105.434 or 145.434)

**Available in the stainless steel Modular Foot Set (105.100)

†

Please refer to 3.5 mm LCP Extra-articular Distal Humerus Plate specic literature.

3.5 mm LCP Extra-articular

Distal Humerus Plates

†

3.5 mm LCP Distal Humerus Plates

4 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

AO Principles

4_Priciples_03.pdf 1 05.07.12 12:08

4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique

AO PRINCIPLES

In 1958, the AO formulated four basic principles, which

have become the guidelines for internal ﬁxation

1, 2

Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal

Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991.

Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management.

2nd ed. Stuttgart, New York: Thieme. 2007.

Anatomic reduction

Fracture reduction and ﬁxation to

restore anatomical relationships.

Early, active mobilization

Early and safe mobilization and

rehabilitation of the injured part

and the patient as a whole.

Stable fixation

Fracture ﬁxation providing abso-

lute or relative stability, as

required by the patient, the injury,

and the personality of the

fracture.

Preservation of blood supply

Preservation of the blood supply

to soft tissues and bone by

gentle reduction techniques and

careful handling.

In 1958, the AO formulated four basic principles, which

have become the guidelines for internal xation.

1, 2

Anatomic reduction

Fracture reduction and xation to

restore anatomical relationships.

Early, active mobilization

Early and safe mobilization and

rehabilitation of the injured part

and the patient as a whole.

Stable xation

Fracture xation providing absolute

or relative stability, as required by

the patient, the injury, and the

personality of the fracture.

Preservation of blood supply

Preservation of the blood supply

to soft tissues and bone by gentle

reduction techniques and

careful handling.

1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation.

3rd ed. Berlin, Heidelberg, New York: Springer-Verlag; 1991.

Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management.

2nd ed. Stuttgart New York: Thieme; 2007.

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 5

Indications

The 3.5 mm LCP Distal Humerus

Plates

The 3.5 mm LCP Distal Humerus Plates

are indicated for intra-articular fractures

of the distal humerus, comminuted

supracondylar fractures, osteotomies,

and nonunions of the distal humerus.

The 3.5 mm LCP Extra-articular

Distal Humerus Plates

The 3.5 mm LCP Extra-articular Distal

Humerus Plates are indicated for fractures

of the distal humerus.

6 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Preparation

Radial

nerve

Ulnar

nerve

Incision

site

Ulnar

nerve

Radial

nerve

Patient position

The lateral decubitus position is usually

chosen. In severe C3 fractures, the

fully prone position can be used if

the patient is otherwise t. The arm

is rested on a padded bar allowing

elbow exion of 120°.

Approach

Fractures are approached through a

slightly curved posterior incision just

radial to the olecranon. The ulnar nerve

is identied; it may need to be isolated

and elevated at the ulnar epicondyle.

For comminuted fractures, a distally

pointed chevron olecranon osteotomy

exposes the fracture best and allows

stable xation.

Note: For information on xation

principles using conventional and locked

plating techniques, please refer to the

Small Fragment Locking Compression

Plate (LCP) System Technique Guide.

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 7

Summary of Surgical Technique

Summary of surgical technique

– Reduce articular surface

– Determine plate length and placement

– Choose 3.5 mm LCP Posterolateral Plate with or without

lateral support

– Bend plates if necessary

– Verify plate placement with 2.0 mm K-wires

– Apply posterolateral plate: insert rst screw in elongated

shaft hole, then insert distal screws

– Apply medial plate: insert rst screw in elongated shaft

hole, then insert distal screws

– Use 3.5 mm locking screws or 3.5 mm cortex screws

to x the shafts of the posterolateral and medial plates

Required set

105.434 Small Fragment LCP Instrument and

Implant Set

145.434 Small Fragment LCP Instrument and

Titanium Implant Set

8 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Reduce Fracture

Reduce fracture and x temporarily

For C-type fractures, reduce the articular fragments of the

distal block under image intensication and use K-wires

and/ or pointed reduction forceps for temporary xation.

Temporarily x the distal block to the shaft using K-wires

and/ or forceps in both columns to ensure that the anatomy

of the distal humerus is restored. Ensure that K-wires or

forceps will not interfere with subsequent plate placement.

If necessary, reduce the articular surface using lag screws.

Note: LCP Locking Screws are not suitable for reduction, since

they cannot effect compression. The fracture must therefore

be reduced before inserting locking screws.

Precaution: If the plate is long, the radial nerve needs to be

elevated off the back of the humerus and the plate placed

underneath. Otherwise, the radial nerve rarely needs to be

identied by more than palpation and almost never needs

to be isolated or elevated with these fractures.

Determine plate length

Choose plate lengths that offer sufcient xation proximal to

the fracture lines. To prevent extensive diaphyseal stress, it is

recommended that the medial and lateral plates are not the

same length. For example, use a 5-hole medial plate with a

7-hole posterolateral plate.

Note: To achieve sufcient stability for early mobilization, use

the two-plate technique described on page 2.

Precaution: For fractures extending into the shaft always

use both dorsolateral and medial plates to have sufcient

strength, especially when using 9 or 14 hole plates.

Note: Use the AO preoperative planner template to determine

appropriate plate length. Templates are available for all three

plates: 3.5 mm LCP Posterolateral Distal Humerus Plate with

lateral support, 3.5 mm LCP Posterolateral Distal Humerus

Plate without support, and 3.5 mm LCP Medial Distal

Humerus Plate.

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 9

Select Posterolateral Plate

Select 3.5 mm LCP Posterolateral Plate with or

without support

For the posterolateral side, choose the type of implant to

be used. The posterolateral plates allow screw insertion in

a posterior-anterior direction. The plate with lateral support

allows additional screw insertion through the lateral epicondyle

in a lateral-medial direction.

Note: On very small humeri, the support may protrude

extensively over the lateral epicondyle, in which case the

use of the plate without support is recommended.

Bend the plate

Instruments

329.04 Bending Irons, for 2.7 mm and 3.5 mm plates

and

329.05

329.15 Bending Pliers

Due to varying patient anatomy, slight bending may be

necessary for the posterolateral and medial plates. Contour

plates as needed using the bending irons. Alternatively,

bending pliers may be used.

Bending the lateral support ange of the posterolateral plate

is not recommended since it may alter the screw trajectory

or prevent the use of a screw in the distal part of the lateral

plate, due to screw collision.

Precaution: If only cortex screws are used, the plates must

be congruent with the surface of the bone and bending may

be required. Bending should be limited to the region of

the Combi holes.

10 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Apply Posterolateral Plate with Lateral Support

Determine placement of posterolateral plate

Instruments

292.20 2.0 mm Kirschner Wire, 150 mm

323.061 2.0 mm Threaded Drill Guide, with Depth

Gauge

Position the plate on the posterolateral aspect of the distal

humerus with the distal spoon-shape portion covering the

nonarticulating part of the capitulum, and with the lateral

support extending over the most protruding tip of the lateral

epicondyle, just proximal to the lateral collateral ligament

insertion. Ensure that the shaft portion is positioned at a

safe distance from the olecranon fossa.

The position of the plate should allow distal screw insertion

through the lateral ange to reach far into the trochlea. Screw

trajectory may be visualized with the 2.0 mm threaded drill

guide and a K-wire.

Preliminary xation of the plate shaft to the bone

Instruments

310.25 2.5 mm Drill Bit, quick coupling

311.43 Handle, with quick coupling

314.02 Small Hexagonal Screwdriver, with Holding

Sleeve

314.03 Small Hexagonal Screw driver Shaft

323.36 3.5 mm Universal Drill Guide

511.776 Torque Limiting Attachment, 0.8 Nm

After reducing the fracture, apply the plate and insert a 3.5 mm

cortex screw through the DCU portion of the elongated

Combi hole using the universal drill guide and the 2.5 mm

drill bit to predrill both cortices.

Insert the screw using the small hexagonal screwdriver for

manual insertion or the small hexagonal screw driver shaft

with a power drive or a handle. Do not tighten the screw.

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 11

Insert distal screws

Note: If a combination of cortex and locking screws is used,

a cortex screw should be inserted rst to pull the plate to

the bone.

Insert 2.4 mm cortex screw

Instruments

310.510 1.8 mm Drill Bit

323.202 2.4 mm Universal Drill Guide

Use the 2.4 mm universal drill guide with the 1.8 mm drill

bit for the threaded hole and the 2.4 mm drill bit for the

gliding hole. Determine the length of the screw by using

the depth gauge.

Insert 2.7 mm locking screw

Instruments

311.43 Handle with quick coupling

314.467 StarDrive

Screwdriver Shaft, T8

314.468 Holding Sleeve, for StarDrive Screwdriver Shaft

319.006 Depth Gauge, for 2.0 mm and 2.4 mm screws

323.061 2.0 mm Threaded Drill Guide, with Depth Gauge

323.062 2.0 mm Drill Bit with depth mark

511.776 Torque Limiting Attachment, 0.8 Nm

Screw the 2.0 mm threaded drill guide into one of the

threaded holes of the distal part of the plate and predrill a

hole with the 2.0 mm drill bit. Check the depth of the drill

bit under image intensication. Determine the length of

the screw by using the scale on the drill guide. If a single

marking is visible on the drill bit, the scale from 0 mm– 30 mm

applies; if a double marking is visible, the scale from

34 mm– 60 mm applies.

Precaution: Screws directed towards the joint must be a

little shorter than the measured length.

Apply Posterolateral Plate with Lateral Support

12 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

The depth gauge may also be used to establish approximate

screw length.

Note: Whenever possible, locking screws should be inserted

under power using the torque limiting attachment. The audible

“click” will notify the surgeon that the maximum torque value

has been reached and that power insertion is completed.

After screw insertion using the torque limiting attachment,

always check that the screws are fully inserted by hand

tightening them.

Warning: Never insert locking screws under power unless

using a torque limiting attachment.

Use the holding sleeve, for StarDrive Screwdriver Shaft,

if necessary. Repeat for all distal holes to be used.

Precautions:

– In the distal portion of the posterolateral plate, pay close

attention to the posterior to anterior screw holes during

drilling and screw insertion. Conrm screw placement and

length with image intensication during movement of the

elbow to ensure screws are not exiting through the joint.

– When inserting screws under power, nal tightening should

be done using manual screwdriver and Torque Limiter.

Apply Posterolateral Plate with Lateral Support

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 13

Alternative Technique: Apply Posterolateral Plate Without Support

Determine plate placement

Note: When using the posterolateral plate without support,

it is important to reduce and x the distal block with lag screws

according to the AO Principles of Fracture Management.

Reduce the distal block to the shaft using K-wires and reduction

forceps for temporary xation.

Preliminary xation of the plate shaft to the bone

After reducing the fracture, apply the plate and insert a

3.5 mm cortex screw through the DCU portion of the

elongated Combi hole (see page 10).

Insert distal screws (see page 11)

3. T. Rüedi, p.314.

14 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Apply Medial Plate

Position the plate

Instruments

292.20 2.0 mm Kirschner Wire, 150 mm

323.061 2.0 mm Threaded Drill Guide, with Depth

Gauge

Position the medial plate on the medial ridge and slightly

dorsal to the intermuscular septum, with the distal tip reaching

down to the insertion of the medial collateral ligament.

Distal screws should reach as far as possible into the bone.

Choose a plate position that allows the longest possible screws.

If necessary, bend the distal part of the plate to ensure optimal

position of the long screws through the articular block.

Note: Small adjustments in the position of the medial plate

impact the nal direction of the screws and will inuence

the choice of screw lengths.

Use the 2.0 mm threaded drill guide with depth gauge and

a K-wire to determine the optimal position of the plate.

Preliminary xation of the plate to the bone

After reducing the fracture, apply the plate and insert a

self-tapping 3.5 mm cortex screw through the DCU portion

of the elongated Combi hole (see page 10).

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 15

Fix the distal part of the plate to the bone

Use a procedure similar to that for the posterolateral plate to

insert the locking or cortex screws (see page 11 for details).

Precautions:

– Careful drilling is necessary as collision with the screws of

the posterolateral plate may occur. In case of collision stop

drilling and use adequate screw for xation. Use other

available holes for application of more screws.

– It is recommended to use minimum one screw on the

medial side and one screw on the lateral side which cross

the distal block. Screw length should be 40–60 mm

depending on the size of the humerus.

Apply Medial Plate

16 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Insert Screws in Plate Shafts

Fix the shaft of the posterolateral plate

Instruments

310.25 2.5 mm Drill Bit, quick coupling

310.288 2.8 mm Drill Bit, quick coupling

312.648 2.8 mm Threaded Drill Guide

314.116 StarDrive Screwdriver Shaft, T15

319.01 Depth Gauge, for 2.7 mm and small screws

323.36 3.5 mm Universal Drill Guide

511.770 Torque Limiting Attachment, 1.5 Nm

511.773 Torque Limiting Attachment, 1.5 Nm,

quick coupling

After xing the distal portion of the posterolateral and medial

plates, determine where locking or cortex screws will be used

in the shaft of the posterolateral plate. Use 3.5 mm locking

screws or 3.5 mm cortex screws to x the shaft of the plate

to the bone.

Note: If a combination of cortex and locking screws is used,

a cortex screw should be inserted rst to pull the plate to

the bone.

3.5 mm cortex screws

If compression is required, use the 3.5 mm universal drill

guide in compression mode and, with the 2.5 mm drill bit,

predrill both cortices. Use the depth gauge to determine

the cortex screw length. Insert the cortex screw.

3.5 mm locking screws

For 3.5 mm locking screws, screw the 2.8 mm threaded drill

guide into a Combi hole until fully seated. Drill to desired

depth using the 2.8 mm drill bit and remove the drill guide.

Use the depth gauge to determine screw length. Insert

locking screw.

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 17

Fix the shaft of the medial plate

Determine where locking or cortex screws will be used in the

shaft of the medial plate. Insert these screws as described on

page 14.

Note: In the surgical report, please mention the StarDrive

Recess in both the 2.7 mm locking screw and 2.4 mm cortex

screw. This will remind the surgeon to have a StarDrive

Screwdriver available if the implants are removed.

Insert Screws in Plate Shafts

18 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Optional Techniques with Position and Compression Device

Position and compression device (PCD),

for 3.5 mm LCP Distal Humerus Plates

– For easy application of distal screws

– Clear indication of exit point of screws

– Allows compression across the articular surface

– Includes length measurement

– Additionally available instrument

– For use with posterolateral plate

– Can be used to insert independent 3.5 mm cortex

screws on distal humerus

Note: For easier insertion of the drill sleeve, loosen the

connection screw in the aiming block, thread the drill sleeve

into the plate hole and tighten the connection screw.

Use the PCD to place a locking screw through the plate

Instruments

313.351 Insertion Guide, left, for Position and

Compression Device

313.352 Insertion Guide, right, for Position and

Compression Device

313.353 Drill Sleeve, for 2.0 mm Drill Bit for Position

and Compression Device

313.354 Position and Compression Device

313.355 2.7 mm Insert, for Position and

Compression Device

314.115 StarDrive Screwdriver, T15

323.062 2.0 mm Drill Bit with depth mark

Using the T15 StarDrive Screwdriver, screw the insertion

guide to the posterolateral plate with support.

Place the posterolateral plate in its approximate position

on the bone and x it with a 3.5 mm cortex screw inserted

through the DCU portion of the elongated hole.

Insertion guide is

attached to plate

through this hole

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 19

Place the 2.7 mm insert into the PCD (as shown).

Orient the PCD on the bone so that the insert can be placed

through the holes in the insertion guide, and advance the

medial spindle to secure it to the bone.

Place the 2.0 mm drill sleeve through the 2.7 mm insert

and secure it into the threaded plate hole. Use the 2.0 mm

drill bit to drill through the drill sleeve.

Option

K-wires through the insertion guide may be used for

temporary xation.

Tighten the spindle to compress the distal block. The point

of bone contact marks the exit point of the screw inserted

through the plate.

Optional Techniques with Position and Compression Device

20 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Check the trajectory of the screw to ensure good xation

in the bone. Read screw length from the spindle to choose

the appropriate screw length. Using a screw 2 mm to 5 mm

shorter than the indicated length will provide a safety margin

to the articular surface. Remove the drill sleeve.

Insert the 2.7 mm locking screw through the 2.7 mm insert.

Remove the PCD.

Use the PCD to place an independent 3.5 mm cortex

screw

Instruments

310.25 2.5 mm Drill Bit, quick coupling

313.354 Position and Compression Device

313.356 3.5 mm Insert, for PCD

313.357 Drill Sleeve, for 2.5 mm Drill Bit for PCD

319.01 Depth Gauge, for 2.7 mm and small screws

Place the 3.5 mm insert into the PCD. Place the drill sleeve

for 2.5 mm drill bit through the insert.

Position the spindle of the PCD on the medial side of the

trochlea and tighten the spindle to compress. The point

of bone contact marks the exit point of the screw inserted

through the hole of the plate.

Use the 2.5 mm drill bit to drill through the drill sleeve. Read

screw length from the spindle. The depth gauge may also be

used to determine screw length. Remove the drill sleeve and

insert a 3.5 mm cortex screw through the 3.5 mm insert.

Remove the PCD.

Optional Techniques with Position and Compression Device

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 21

Postoperative Treatment and Implant Removal

Postoperative treatment

Postoperative treatment with locking plates does not

differ from conventional internal xation procedures.

Implant removal

To remove locking screws, unlock all screws from the plate,

then remove the screws completely from the bone. This

prevents simultaneous rotation of the plate when unlocking

the last locking screw.

22 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Screws Used with the 3.5 mm LCP Distal Humerus Plates

Stainless steel and titanium

4.0 mm Cancellous Bone Screws

Found in the Small Fragment LCP System

– May be used in the DCU portion of the Combi holes

in the plate shaft or in round locking holes

– Compress the plate to the bone or create axial compression

– Fully or partially threaded shaft

3.5 mm Locking Screws

Found in the Small Fragment LCP System

– Create a locked, xed-angle screw/ plate construct

– Fully threaded shaft

– Self-tapping tip

– Used in the locking portion of the Combi holes

or in round locking holes

3.5 mm Cortex Screws

Found in the Small Fragment LCP System

– May be used in the DCU portion of the Combi holes

in the plate shaft or in round locking holes

– Compress the plate to the bone or create axial compression

– Fully threaded shaft

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 23

2.7 mm Locking Screws, self-tapping, with

T8 StarDrive Recess

– Same low-prole head size as 2.4 mm locking screws

– Threaded, conical head locks securely into the plate

to provide angular stability

– Locked screws allow unicortical screw xation and

load transfer to the near cortex

– StarDrive Recess mates with self-retaining screwdriver

and provides improved torque transmission

– 10 mm to 60 mm lengths (2 mm increments)

2.7 mm Cortex Screws

Found in the Small Fragment LCP System

– May be used in the distal locking holes

– Compress the plate to the bone

– Fully threaded shaft

2.4 mm Cortex Screws, self-tapping, with

T8 StarDrive Recess

– For use in distal round holes to provide compression

or neutral xation

– StarDrive Recess mates with self-retaining screwdriver

and provides improved torque transmission

– 10 mm to 40 mm lengths (2 mm increments)

Note: For more information on xation principles using

conventional and locked plating techniques, please refer

to the Small Fragment Locking Compression Plate (LCP)

Technique Guide.

Stainless steel screws are made of implant quality 316L stainless steel

Titanium screws are made of titanium alloy, Ti-6Al-7Nb

Screws Used with the 3.5 mm LCP Distal Humerus Plates

Stainless steel and titanium

24 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Instruments

310.510 1.8 mm Drill Bit, quick coupling, 100 mm

310.530 2.4 mm Drill Bit, quick coupling, 100 mm

314.467 StarDrive Screwdriver Shaft, T8, 105 mm

314.468 Holding Sleeve, for 314.467

319.006 Depth Gauge, for 2.0 mm and 2.4 mm screws

312.910 Guiding Block, for 3.5 mm LCP Olecranon

Plate, right

312.911 Guiding Block for 3.5 mm LCP Olecranon

Plate, left

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 25

323.202 2.4 mm Universal Drill Guide

399.98 Reduction Forceps, with points, 205 mm

length, ratchet

511.776 Torque Limiting Attachment, 0.8 Nm,

quick coupling

323.061 2.0 mm Threaded Drill Guide,

with Depth Gauge

323.062 2.0 mm Drill Bit with depth mark,

quick coupling, 140 mm

Instruments

26 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

Graphic Cases

690.415 3.5 mm LCP Elbow System Graphic Case

Plate Set

690.417 3.5 mm Titanium LCP Elbow System Graphic

Case Plate Set

690.479 Retrot Kit for 3.5 mm Titanium LCP Elbow

System Graphic Case

Instruments

310.510 1.8 mm Drill Bit, quick coupling, 100 mm,

2 ea.

310.530 2.4 mm Drill Bit, quick coupling, 100 mm,

2 ea.

312.910 Guiding Block for 3.5 mm LCP Olecranon

Plate, right

312.911 Guiding Block for 3.5 mm LCP Olecranon

Plate, left

314.467 StarDrive Screwdriver Shaft, T8, 105 mm

314.468 Holding Sleeve, for 314.467

319.006 Depth Gauge, for 2.0 mm and 2.4 mm screws

323.061 2.0 mm Threaded Drill Guide, with Depth

Gauge, 2 ea.

323.062 2.0 mm Drill Bit with depth mark, quick

coupling, 140 mm, 2 ea.

323.202 2.4 mm Universal Drill Guide

399.98 Reduction Forceps, with points, 205 mm

length, ratchet

511.776 Torque Limiting Attachment, 0.8 Nm,

quick coupling

3.5 mm LCP Elbow System

Stainless steel (01.104.000) and Titanium (01.104.004)

Note: For additional information, please refer to the

package insert or www.e-ifu.com.

For detailed cleaning and sterilization instructions, please

refer to www.depuysynthes.com/hcp/cleaning-sterilization

or sterilization instructions, if provided in the instructions

for use.

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes 27

Implants

2.4 mm Cortex Screws, self-tapping, with T8 StarDrive Recess,

2 ea.

Stainless Steel Titanium Length (mm)

201.760 401.760 10

201.762 401.762 12

201.764 401.764 14

201.766 401.766 16

201.768 401.768 18

201.770 401.770 20

201.772 401.772 22

201.774 401.774 24

201.776 401.776 26

201.778 401.778 28

201.780 401.780 30

201.782 401.782 32

201.784 401.784 34

201.786 401.786 36

201.788 401.788 38

201.790 401.790 40

2.7 mm Locking Screws, self-tapping, with T8 StarDrive Recess,

3 ea.

Stainless Steel Titanium Length (mm)

202.210 402.210 10

202.212 402.212 12

202.214 402.214 14

202.216 402.216 16

202.218 402.218 18

202.220 402.220 20

202.222 402.222 22

202.224 402.224 24

202.226 402.226 26

202.228 402.228 28

202.230 402.230 30

202.232 402.232 32

202.234 402.234 34

202.236 402.236 36

202.238 402.238 38

202.240 402.240 40

202.242 402.242 42

202.244 402.244 44

202.246 402.246 46

202.248 402.248 48

202.250 402.250 50

202.255 402.255 55

202.260 402.260 60

3.5 mm LCP Elbow System

Stainless steel (01.104.000) and Titanium (01.104.004)

28 DePuy Synthes 3.5 mm LCP

Distal Humerus Plates Surgical Technique

3.5 mm LCP Medial Distal Humerus Plates

Stainless

Steel Titanium Description Length (mm)

241.282 441.282 3 holes, right 58

241.283 441.283 3 holes, left 58

241.284 441.284 5 holes, right 83

241.285 441.285 5 holes, left 83

241.286 441.286 7 holes, right 110

241.287 441.287 7 holes, left 110

241.288 441.288 9 holes, right 136

241.289 441.289 9 holes, left 136

241.304 441.304 14 holes, right 201

241.305 441.305 14 holes, left 201

3.5 mm LCP Olecranon Plates

Stainless

Steel Titanium Description Length

(mm)

236.502 436.502 2 holes, right 86

236.503 436.503 2 holes, left 86

236.504 436.504 4 holes, right 112

236.505 436.505 4 holes, left 112

236.506 436.506 6 holes, right 138

236.507 436.507 6 holes, left 138

236.508 436.508 8 holes, right 164

236.509 436.509 8 holes, left 164

236.510 436.510 10 holes, right 189

236.511 436.511 10 holes, left 189

236.512 436.512 12 holes, right 215

236.513 436.513 12 holes, left 215

3.5 mm LCP Hook Plates, 2 each

Stainless

Steel Titanium Length (mm)

02.113.103 04.113.103 62

Required Set

105.434 Small Fragment LCP Instrument and Implant

Set

145.434 Small Fragment LCP Instrument and Titanium

Implant Set

Implants continued

3.5 mm LCP Posterolateral Distal Humerus Plates

Stainless

Steel Titanium Description Length (mm)

241.262 441.262 3 holes, right 65

241.263 441.263 3 holes, left 65

241.264 441.264 5 holes, right 90

241.265 441.265 5 holes, left 90

241.266 441.266 7 holes, right 116

241.267 441.267 7 holes, left 116

241.268 441.268 9 holes, right 142

241.269 441.269 9 holes, left 142

241.300 441.300 14 holes, right 208

241.301 441.301 14 holes, left 208

3.5 mm LCP Posterolateral Distal Humerus Plates,

with lateral support

Stainless

Steel Titanium Description Length (mm)

241.272 441.272 3 holes, right 65

241.273 441.273 3 holes, left 65

241.274 441.274 5 holes, right 90

241.275 441.275 5 holes, left 90

241.276 441.276 7 holes, right 116

241.277 441.277 7 holes, left 116

241.278 441.278 9 holes, right 142

241.279 441.279 9 holes, left 142

241.302 441.302 14 holes, right 208

241.303 441.303 14 holes, left 208

3.5 mm LCP Extra-Articular Distal Humerus Plates

Stainless

Steel Description Length (mm)

02.104.006 6 holes, right 158

02.104.008 8 holes, right 194

02.104.010 10 holes, right 230

02.104.026 6 holes, left 158

02.104.028 8 holes, left 194

02.104.030 10 holes, left 230

3.5 mm LCP Elbow System

Stainless steel (01.104.000) and Titanium (01.104.004)

3.5 mm LCP

Distal Humerus Plates Surgical Technique DePuy Synthes

313.351 Insertion Guide, left, for Position and

Compression Device

313.352 Insertion Guide, right, for Position and

Compression Device

313.353 Drill Sleeve for 2.0 mm Drill Bit, for Position

and Compression Device

313.354 Position and Compression Device, for Distal

Humerus Plates

313.355 2.7 mm Insert, for Position and Compression

Device

313.356 3.5 mm Insert, for Position and Compression

Device

690.416 Screw Rack, for LCP Distal Humerus Plate Set

Graphic Case

690.418 Screw Rack, for Titanium LCP Distal Humerus

Plate Set Graphic Case

3.5 mm Titanium LCP Extra-Articular Distal Humerus Plates

Description Length (mm)

04.104.006S 6 holes, right 158

04.104.008S 8 holes, right 194

04.104.010S 10 holes, right 230

04.104.026S 6 holes, left 158

04.104.028S 8 holes, left 194

04.104.030S 10 holes, left 230

Also Available

Limited Warranty and Disclaimer: DePuy Synthes products are sold with a limited warranty to the original purchaser against defects in workmanship

and materials. Any other express or implied warranties, including warranties of merchantability or tness, are hereby disclaimed.

Please also refer to the package insert(s) or other labeling associated with the devices identied in this surgical technique for additional information.

CAUTION: Federal Law restricts these devices to sale by or on the order of a physician.

Some devices listed in this technique guide may not have been licensed in accordance with Canadian law and may not be for sale in Canada. Please

contact your sales consultant for items approved for sale in Canada.

Not all products may currently be available in all markets.

DSUS/TRM/1016/1132 Rev B 05/21 DV

Synthes USA, LLC

1101 Synthes Avenue

Monument, CO 80132

Manufactured or distributed by:

Synthes USA Products, LLC

1302 Wrights Lane East

West Chester, PA 19380

To order (USA): 800-523-0322

To order (Canada): 844-243-4321

Note: For recognized manufacturer, refer to the product label.

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Synthes GmbH

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