Targeter Systems Overview

Surgical Technique

Targeter Systems Overview

71181819 REV0 PERILOC TARGETER ST.indd 1 3/31/11 1:49 PM


1

Nota Bene

The technique description herein is made available to the healthcare professional to illustrate the treatment for the uncomplicated procedure. In the final analysis, the preferred treatment is the individual surgeon’s decision, which addresses the needs of the specific patient.

Table of contents

Product overview ................................................................................... 2Introduction ............................................................................................. 2Indications ............................................................................................... 2Design features and benefits .................................................................. 3

Large Fragment Targeter Systems

Implant overview ................................................................................... 5

Surgical techniqueFracture reduction ................................................................................... 7Ball Spike Reduction Clamp .................................................................... 84.5mm Lateral Distal Femur Locking Plate ............................................. 94.5mm Lateral Proximal Tibia Locking Plate ........................................... 12

Screw insertion ...................................................................................... 154.5mm Cortex Screws/4.5mm Locking Screws/ 6.5mm Partially Threaded Cancellous Screws ....................................... 165.7mm Cannulated Screws ..................................................................... 17

Small Fragment Targeter Systems

Implant overview ................................................................................... 19

Surgical techniqueFracture reduction ................................................................................... 21Ball Spike Reduction Clamp .................................................................... 223.5mm Lateral Proximal Tibia Locking Plate ........................................... 233.5mm Medial Distal Tibia Locking Plate ................................................ 26

Screw insertion ...................................................................................... 303.5mm Cortex Screws/3.5mm Locking Screws/ 4.0mm Cancellous Screws ..................................................................... 31

Catalog information .............................................................................. 32

PERI-LOC™ Locked Plating System

Targeter Systems Overview


2

Product overview

IndicationsThe PERI-LOC Periarticular Locked Plating System can be used for adult and pediatric patients, as well as patients with osteopenic bone. PERI-LOC plates and screws are indicated for fixation of pelvic, small and long bone fractures, including those of the tibia, fibula, femur, pelvis, acetabulum, metacarpals, metatarsals, humerus, ulna, radius, calcaneus and clavicle.

Disposable components and implants in the PERI-LOC Locked Plating System are for single use only.

Introduction The PERI-LOC™ Periarticular Locked Plating

System from Smith & Nephew offers the advantages of locked plating with the flexibility and the benefits of traditional plating in one system. Offering both locking and non-locking screw options, the PERI-LOC system can provide a construct that resists angular (eg, varus/valgus, rotational and axial) collapse while simultaneously acting as an effective aid to fracture reduction.

A simple and straightforward instrument set features standardized drill bits and color-coded instrumentation, making PERI-LOC efficient and easy to use.

Radiolucent Targeter Systems are available for the following four plates in the PERI-LOC system:

• 4.5mm Lateral Distal Femur Locking Plate

• 4.5mm Lateral Proximal Tibia Locking Plate


• 3.5mm Medial Distal Tibia Locking Plate

These targeters allow surgeons to use percutaneous, or minimally invasive, techniques to preserve the soft tissue envelope during the surgical procedure.


3

Design features and benefitsRadiolucent base The targeters in the PERI-LOC™ Periarticular Locked Plating System feature a radiolucent base that allows for a clear lateral view under fluoroscopy.

Unique, versatile screw hole design All plates in the PERI-LOC system feature a unique screw hole that was designed to be used in a variety of applications at the surgeon’s discretion. Each screw hole accepts both locking and non-locking screw options and allows for up to 1mm of axial compression, distraction or translation per hole. The unique design of our screw hole supports customized screw configurations to optimally treat each specific fracture.

Streamlined, color-coded instrumentationThe PERI-LOC Targeter systems have been designed to minimize confusion during the procedure. Side specific instruments are color-coded to reduce the chance of misuse. Coordinating drill guides and drill bits are color-coded for ease of use.

This drawing illustrates the radiolucency of the PERI-LOC™ Targeter.


Large Fragment Targeter Systems Radiolucent Targeters are available for the

following two large fragment plates:

• 4.5mm Lateral Distal Femur Locking Plate



5

Implant overview

4.5mm Lateral Distal Femur Locking Plate

• Beveled tip assists with submuscular insertion

• Radiolucent targeter available for percutaneous technique

• Anatomically designed with 90 inch (2.28 meter) radius anterior bow

• Periarticular recesses allow for easy placement of lag screws in strategic locations around and independent of the implant for reduction of the articular surface

• Available in 6, 8, 10, 13, 16 and 19 hole configurations (155-399mm)

Plate dimensions

Profile thickness of head 3.6mm

Width of head 36.0mm

Profile thickness of shaft 4.8mm

Width of shaft 17.6mm

Shaft hole spacing 18.0mm

Specification overview


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4.5mm Lateral Proximal Tibia Locking Plate



• Plate head has 5° posterior tilt and is contoured to match the lateral proximal tibia

• Plate shaft has 3° bend to match diaphysis of tibia

• Proximal suture holes for meniscal repair or K-wire placement for positioning

• Proximal periarticular recesses allow for easy placement of independent lag screws for reduction of the articular surface in subchondral fashion


Plate dimensions








Reduction Forceps*Reduction Forceps with Ratchet, 205mm

7117-0044

Reduction Forceps with Ratchet-Bowed, 205mm

7117-3370

Reduction Forceps with Points, Broad

7117-3377

Reduction Forceps with Serrated Jaw

7117-3378

Ball Spike Reduction Clamp, Medium

7117-1212

Ball Spike Reduction Clamp, Large

7117-1213

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Fracture reductionArticular fracture components must be anatomically reduced prior to plate application and screw insertion. Reduction aids should be placed so as not to interfere with final plate placement. Reduce and provisionally secure fragments using:

Surgical technique

Note If K-wires are to be inserted through the K-wire holes on a PERI-LOC™ Large Fragment Plate for the purpose of provisional fixation, it is recommended that 2.0mm wires be used. The Targeter K-wire can be placed through a Large Fragment Targeter K-wire Guide (7117-3384).

K-wires2.0mm x 350mm for Targeter 7117-3381

* Located in the PERI-LOC Forceps Set and the PERI-LOC VLP™ Periarticular Reduction Forceps Set

Note Provisional Fixation Pins may be inserted on power, but should always be seated manually in order to avoid stripping of the threads and loss of purchase. Bicortical purchase of the provisional fixation pin will decrease the chance of stripping and pull-out.

Provisional Fixation Pins3.5mm x 18mm for Targeter 7117-34163.5mm x 40mm for Targeter 7117-3408


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Ball Spike Reduction Clamp*Assemble either the 15mm or 25mm Spiked Washer (7117-1220, 7117-1221) to the Ball Spike Reduction Clamp by pushing the tip of the clamp into the washer until it snaps on.

Care should be taken when handling the clamps and spiked washers to avoid the sharpened tips.

If the Ball Spike Reduction Clamp is to be used with a plate, insert one of the tips into the desired plate hole and engage the other tip with the bone on the opposite cortex. If using a spiked washer on the far-side clamp tip, ensure that the spikes are against bone. Consideration for the spiked washer should be given in osteopenic or comminuted bone.

15mm Spiked Washer

Medium Ball Spike Reduction Clamp

* Located in the PERI-LOC™ VLP™ Periarticular Reduction Forceps Set


9

4.5mm Lateral Distal Femur Locking PlatePlate selection Following fracture reduction, select the 4.5mm Lateral Distal Femur Locking Plate that best accommodates patient anatomy and fracture pattern. In general, a longer plate allows for better mechanical advantage over a shorter plate. An allowance for five screw holes above the most proximal aspect of the fracture is recommended when selecting a plate length.

Note The PERI-LOC™ 4.5mm Lateral Distal Femur Locking Plate Preoperative Template (7118-1635) is available to assist with preoperative radiographic planning.

4.5mm Distal Femur Targeter assembly Assemble to targeter base, handle and plate on the back table as shown below. Check the plate alignment by inserting a screw guide through the base, targeting the most proximal hole of the plate. Insert a drill guide through the screw guide and ensure that it threads into the plate. Remove this drill guide and screw guide and proceed with plate insertion.


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Plate insertionInsert the plate between the muscle and the periosteum keeping the proximal end of the plate against the femur during insertion. Use intraoperative image intensifier or direct visualization to confirm plate balance on the femoral shaft.

Plate positioningPosition the plate by matching the contour of the plate to the distal portion of the lateral femur. Insert a Large Fragment Targeter Screw Guide (7117-3397) with the red color-coded 3.5mm Drill Guide (7117-3382) into one of the distal holes. Tighten the screw guide to the base and tighten the red drill guide to the plate. Insert a 3.5mm x 40mm Targeter Provisional Fixation Pin (7117-3408) through the drill guide. Be careful not to over tighten the Provisional Fixation Pin as extreme torque may cause the threads to strip.


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Obtain sagittal alignment of fracture and confirm with a lateral radiograph.

To access the most proximal hole, insert a screw guide with a Targeter Trocar (7117-3404) through a small stab incision until the screw guide reaches the plate and locks into the base.

Remove the trocar and insert a red drill guide, threading it into the plate.

Center the plate on the lateral aspect of the femur and apply a 3.5mm x 18mm Targeter Provisional Fixation Pin (7117-3416) in the most proximal hole.

If further reduction of the distal portion of the diaphyseal fracture is required, center the plate on the distal diaphyseal fracture fragment and provisionally fix the plate close to the fracture by repeating the previous step. Obtain final confirmation of fracture alignment and implant position.

Insert a screw guide through any of the distal holes, securing it to the base. Insert the blue color-coded 2.0mm K-wire Locking Guide Insert (7117-3384) which accepts the 2.0mm x 350mm K-wire (7117-3381). This K-wire can be redirected if necessary until it is parallel to the joint in the AP view. Loosening of the Provisional Fixation Pins may be necessary to redirect the K-wire parallel to the joint.

For correct coronal alignment, the K-wire (guide wire) must be parallel to the joint in the AP view.


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4.5mm Lateral Proximal Tibia Locking PlatePlate selection Following fracture reduction, select the 4.5mm Lateral Proximal Tibia Locking Plate that best accommodates patient anatomy and fracture pattern. In general, a longer plate allows for better mechanical advantage over a shorter plate. An allowance for five screw holes below the most distal aspect of the fracture is recommended when selecting a plate length.

Note The PERI-LOC™ 4.5mm Lateral Proximal Tibia Locking Plate Preoperative Template (7118-1636) is available to assist with preoperative radiographic planning. Use caution when using the 16 hole version of this plate to not damage the superficial peroneal nerve.

4.5mm Lateral Proximal Targeter assembly Assemble to targeter base, handle and plate on the back table as shown below. Check the plate alignment by inserting a screw guide through the base, targeting the most distal hole of the plate. Insert a drill guide through the screw guide and ensure that it threads into the plate. Remove this drill guide and screw guide and proceed with plate insertion.


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Plate insertionInsert the plate between the muscle and the periosteum keeping the distal end of the plate against the tibia during insertion.

Plate positioningPosition the plate by matching the contour of the plate to the proximal portion of the lateral tibia. Insert a Large Fragment Targeter Screw Guide (7117-3397) with the red color-coded 3.5mm Drill Guide (7117-3382) into one of the proximal holes. Tighten the screw guide to the base and tighten the red drill guide to the plate. Insert a 3.5mm x 40mm Targeter Provisional Fixation Pin (7117-3408) through the drill guide. Be careful not to over tighten the Provisional Fixation Pin as extreme torque may cause the threads to strip.


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Obtain sagittal alignment of fracture and confirm with a lateral radiograph. When a sagittal split is present, reduction can be obtained with either clamps or lag screws, outside or through the plate.

To access the distal hole, insert a screw guide with a Targeter Trocar (7117-3404) through a small stab incision until the screw guide reaches the plate and locks into the base.

Remove the trocar and insert a red drill guide, threading it into the plate.

Center the plate on the lateral aspect of the tibia and apply a 3.5mm x 18mm Targeter Provisional Fixation Pin (7117-3416) in the most proximal hole.

If further reduction of the proximal portion of the diaphyseal fracture is required, center the plate on the proximal diaphyseal fracture fragment and provisionally fix the plate close to the fracture by repeating the previous step. Obtain final confirmation of fracture alignment and implant position.

Insert a screw guide through any of the proximal holes, securing it to the base. Insert the blue color-coded 2.0mm K-wire Locking Guide Insert (7117-3384) which accepts the 2.0mm x 350mm K-wire (7117-3381). This K-wire can be redirected if necessary until it is parallel to the joint in the AP view. Loosening of the Provisional Fixation Pins may be necessary to redirect the K-wire parallel to the joint.

For correct coronal alignment, the K-wire (guide wire) must be parallel to the joint in the AP view.


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Screw insertion

The choice of screws, and their order and configuration, is a decision to be made by the individual surgeon depending on the patient’s circumstances and needs. Smith & Nephew does not recommend any particular screw insertion order or configuration of the various types of screws available in the system.


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4.5mm Cortex Screws/ 4.5mm Locking Screws/ 6.5mm Partially Threaded Cancellous ScrewsInsert the Large Fragment Targeter Screw Guide (7117-3397) with Targeter Trocar (7117-3404) through a small stab incision until the screw guide reaches the plate and locks into the base.

Remove trocar and insert a red color-coded 3.5mm Drill Guide (7117-3382) and thread into the plate.

DrillDrill to the desired depth using a 3.5mm Targeter Drill Bit (7117-3402).

Measure Measure for screw length by reading the exposed calibrations off of the 3.5mm Targeter Drill Bit.

Screw insertion Remove the drill guide and insert the appropriate length screw by hand using the T25 Self Retaining Screwdriver (7117-3619) and the Large Screwdriver Handle (7117-3547).


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5.7mm Cannulated ScrewsInsert the Large Fragment Targeter Screw Guide (7117-3397) with Targeter Trocar (7117-3404) through a small stab incision until the screw guide reaches the plate and locks into the base.

Remove trocar and insert a blue color-coded 2.0mm K-wire Guide (7117-3384) and thread into the plate.

Guide wire insertion Insert a 2.0mm x 350mm K-wire (7117-3381) through the guide to the desired depth.

Drill (optional)In areas of increased bone density, it may be beneficial to drill prior to screw insertion. This may be done with the 4.5mm Cannulated Drill Bit (7117-3444) by drilling over the guide wire to the desired depth.

Measure Slide the 5.7mm Cannulated Depth Gauge (7117-3332) over the guide wire until it rests against the 2.0mm K-wire Guide. Measure for screw length by reading the calibrations on the depth gauge.

Screw insertion Remove the K-wire Guide and insert the appropriate length 5.7mm Cannulated Screw using the 3.5mm Cannulated Hex Driver until just before the screw head engages with the plate. Remove and discard the guide wire.


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Small Fragment Targeter Systems Radiolucent Targeters are available for the

following two small fragment plates:


• 3.5mm Medial Distal Tibia Locking Plate


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Implant overview




• Plate head has 5° posterior tilt and is contoured to match the lateral proximal tibia

• Plate shaft has 3° bend to match diaphysis of tibia

• Proximal periarticular recesses allow for easy placement of independent lag screws for reduction of the articular surface

• Proximal suture holes for meniscal repair or K-wire placement for positioning

• Available in 4, 6, 8, 10 and 13 hole configurations (73-187mm)

Plate dimensions








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3.5mm Medial Distal Tibia Locking Plate


• Distal K-wire holes for provisional fixation and to assist with joint surface reduction


• Anatomically contoured to match the distal tibia


Plate dimensions








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Reduction Forceps*Reduction Forceps with Ratchet, 205mm

7117-0044

Reduction Forceps with Ratchet-Bowed, 205mm

7117-3370

Reduction Forceps with Points, Broad

7117-3377

Reduction Forceps with Serrated Jaw

7117-3378

Ball Spike Reduction Clamp, Medium

7117-1212

Ball Spike Reduction Clamp, Large

7117-1213

Note If K-wires are to be inserted through the K-wire holes on a PERI-LOC™ Small Fragment Plate for the purpose of provisional fixation, it is recommended that 1.6mm wires be used. The Targeter K-wire can be placed through a Small Fragment Targeter 1.6mm K-wire Guide (7117-3421).

Note Provisional Fixation Pins may be inserted on power, but should always be seated manually in order to avoid stripping of the threads and loss of purchase. Bicortical purchase of the provisional fixation pin will decrease the chance of stripping and pull-out.

Provisional Fixation Pins2.7mm x 18mm for Targeter 7117-34062.7mm x 40mm for Targeter 7117-3438

Fracture reductionArticular fracture components must be anatomically reduced prior to plate application and screw insertion. Reduction aids should be placed so as not to interfere with final plate placement. Reduce and provisionally secure fragments using:

Surgical technique

* Located in the PERI-LOC Forceps Set and the PERI-LOC VLP™ Periarticular Reduction Forceps Set

K-wires1.6mm x 260mm for Targeter 7117-3381


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Ball Spike Reduction Clamp*Assemble either the 15mm or 25mm Spiked Washer (7117-1220, 7117-1221) to the Ball Spike Reduction Clamp by pushing the tip of the clamp into the washer until it snaps on.

Care should be taken when handling the clamps and spiked washers to avoid the sharpened tips.

If the Ball Spike Reduction Clamp is to be used with a plate, insert one of the tips into the desired plate hole and engage the other tip with the bone on the opposite cortex. If using a spiked washer on the far-side clamp tip, ensure that the spikes are against bone. Consideration for the spiked washer should be given in osteopenic or comminuted bone.

15mm Spiked Washer

Medium Ball Spike Reduction Clamp

* Located in the PERI-LOC™ VLP™ Periarticular Reduction Forceps Set


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3.5mm Lateral Proximal Tibia Locking PlatePlate selection Following fracture reduction, select the 3.5mm Lateral Proximal Tibia Locking Plate that best accommodates patient anatomy and fracture pattern. In general, a longer plate allows for better mechanical advantage over a shorter plate. An allowance for five screw holes below the most distal aspect of the fracture is recommended when selecting a plate length.

Note The PERI-LOC™ 3.5mm Lateral Proximal Tibia Locking Plate Preoperative Template (7118-1638) is available to assist with preoperative radiographic planning.

3.5mm Lateral Proximal Targeter assembly Assemble to targeter base, handle and plate on the back table as shown below. Check the plate alignment by inserting a screw guide through the base, targeting the most distal hole of the plate. Insert a drill guide through the screw guide and ensure that it threads into the plate. Remove this drill guide and screw guide and proceed with plate insertion.


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Plate insertionInsert the plate between the muscle and the periosteum keeping the distal end of the plate against the tibia during insertion.

Plate positioningPosition the plate by matching the contour of the plate to the proximal portion of the lateral tibia. Insert a Small Fragment Targeter Screw Guide (7117-3419) with the orange color-coded 2.7mm Drill Guide (7117-3420) into one of the proximal holes. Tighten the screw guide to the base and tighten the orange drill guide to the plate. Insert a 2.7mm x 40mm Targeter Provisional Fixation Pin (7117-3406) through the drill guide. Be careful not to over tighten the Provisional Fixation Pin as extreme torque may cause the threads to strip.


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Obtain sagittal alignment of fracture and confirm with a lateral image or direct visualization. When a sagittal split is present, reduction can be obtained with either clamps or lag screws, outside or through the plate.

To access the distal hole, insert a screw guide with a Targeter Trocar (7117-3422) through a small stab incision until the screw guide reaches the plate and locks into the base.

Remove the trocar and insert an orange drill guide, threading it into the plate.

Center the plate on the lateral aspect of the tibia and apply a 2.7mm x 18mm Targeter Provisional Fixation Pin (7117-3438) in the most proximal hole.

If further reduction of the proximal portion of the diaphyseal fracture is required, center the plate on the proximal diaphyseal fracture fragment and provisionally fix the plate close to the fracture by repeating the previous step. Obtain final confirmation of fracture alignment and implant position.

Insert a screw guide through any of the proximal holes securing it to the base. Insert the blue color-coded 1.6mm K-wire Locking Guide Insert (7117-3421) which accepts the 1.6mm x 260mm K-wire (7117-3381). This K-wire can be redirected if necessary until it is parallel to the joint in the AP view. Loosening of the Provisional Fixation Pins may be necessary to redirect the K-wire parallel to the joint.

For correct coronal alignment, the K-wire must be parallel to the joint in the AP view.


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3.5mm Medial Distal Tibia Locking PlatePlate selection Following fracture reduction, select the 3.5mm Medial Distal Tibia Locking Plate that best accommodates patient anatomy and fracture pattern. In general, a longer plate allows for better mechanical advantage over a shorter plate. An allowance for five screw holes above the most proximal aspect of the fracture is recommended when selecting a plate length. The plate should be balanced well with the proximal and distal holes over cortical bone.

Note The PERI-LOC™ 3.5mm Medial Distal Tibia Locking Plate Preoperative Template (7118-1639) is available to assist with preoperative radiographic planning. Additionally, there are left and right Medial Distal Tibia Titanium Templates (7117-0521, 7117-0522) located in the PERI-LOC Template Tray to assist with intraoperative plate selection.


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3.5mm Medial Distal Tibia Targeter assembly The Locking Post Assembly for the Medial Distal Tibia is designed with a special left-hand thread. To assemble the plate to the handle, first ensure that the outer sleeve of the locking post assembly is oriented in a way that it is resting against the back of the inner sleeve (away from the threads that thread into the plate). Next, insert the locking post assembly through the handle into the most distal anterior hole (superior to the two K-wire holes) using the 4.7mm Ball Hexdriver and turning to the right. Next, hand tighten the outer sleeve by turning it to the left as far as it will go, being careful not to disengage the inner sleeve threads from the plate. Ensure that the construct is still tight by using the 4.7mm Ball Hexdriver and turning the Locking Post Assembly to the right.

Check the plate alignment by inserting a screw guide through the base, targeting the most proximal hole of the plate. Insert a drill guide through the screw guide and ensure that it threads into the plate. Remove this drill guide and screw guide and proceed with plate insertion.

Locking Post As-sembly


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Plate insertion Insert the plate between the muscle and the periosteum keeping the proximal end of the plate against the tibia during insertion.

Plate positioning Position the plate by matching the contour of the plate to the distal portion of the medial tibia. Insert a K-wire Guide (7117-3421) in either of the holes proximal to the thumb screw and insert a 1.6mm x 260mm K-wire (7117-3300). Check the alignment of the plate to the distal tibia and confirm with radiograph.


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Obtain sagittal alignment of fracture and confirm with a lateral radiograph.

Upon confirming alignment, insert the orange color-coded 2.7mm Drill Guide (7117-3420) into adjacent hole in base and insert a 2.7mm x 40mm Provisional Fixation Pin (7117-3406).

To access the proximal hole, insert a Small Fragment Targeter Screw Guide (7117-3419) with a Targeter Trocar (7117-3422) through a small stab incision until the screw guide reaches the plate and locks into the base. Remove the trocar and insert an orange drill guide, threading it into the plate.

Confirm a centered sagittal position of the plate with lateral fluoroscopic radiographs, and insert a 2.7mm x 18mm Provisional Fixation Pin (7117-3438) through the drill guide into the most proximal hole.


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Screw insertion

The choice of screws, and the order and configuration is a decision to be made by the individual surgeon depending on the patient’s circumstances and needs. Smith & Nephew does not recommend any particular screw insertion order or configuration of the various types of screws available in the system.


31

3.5mm Cortex Screws/ 3.5mm Locking Screws/ 4.0mm Cancellous ScrewsInsert the Small Fragment Targeter Screw Guide (7117-3419) with Targeter Trocar (7117-3422) through a small stab incision until the screw guide reaches the plate and locks into the base.

Remove trocar and insert an orange color-coded 2.7mm Drill Guide (7117-3420) and thread into the plate.

DrillDrill to the desired depth using a 2.7mm Targeter Drill Bit (7117-3418).

Measure Measure for screw length by reading the exposed calibrations off of the 2.7mm Drill Bit.

Screw insertion Remove the drill guide and insert the appropriate length screw by hand using the T20 Self Retaining Screwdriver (7117-3617) and the Large Screwdriver Handle (7117-3547).

Note Final seating of a 3.5mm Locking Screw should be performed using the 2.0Nm Torque Limiter Adapter (7117-3622) found in the PERI-LOC™ Small Fragment Instrument Tray.


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Catalog information – Large fragment implants

Cat. No. Description Qty

7180-0006 6Hole,155mm,Left 1

7180-0008 8Hole,193mm,Left 1

7180-0010 10Hole,230mm,Left 1

7180-0013 13Hole,286mm,Left 1

7180-0016 16Hole,342mm,Left 0

7180-0019 19Hole,399mm,Left 0

7180-0106 6Hole,155mm,Right 1

7180-0108 8Hole,193mm,Right 1

7180-0110 10Hole,230mm,Right 1

7180-0113 13Hole,286mm,Right 1

7180-0116 16Hole,342mm,Right 0

7180-0119 19Hole,399mm,Right 0

7112-9401 SmallOuterCase 1

7112-9402 LidforOuterCase 1

7117-0323 4.5mmLateralDistalFemurPlateTray 1

PERI-LOC™ 4.5mm Lateral Distal Femur Plate Set SetNo.7181-0121


7180-0204 4Hole,94mm,Left 1

7180-0206 6Hole,130mm,Left 1

7180-0208 8Hole,165mm,Left 1

7180-0210 10Hole,201mm,Left 1

7180-0213 13Hole,255mm,Left 0

7180-0216 16Hole,309mm,Left 0

7180-0304 4Hole,94mm,Right 1

7180-0306 6Hole,130mm,Right 1

7180-0308 8Hole,165mm,Right 1

7180-0310 10Hole,201mm,Right 1

7180-0313 13Hole,255mm,Right 0

7180-0316 16Hole,309mm,Right 0

7112-9401 SmallOuterCase 1

7112-9402 LidforOuterCase 1

7117-0320 4.5mmLateralProximalTibiaPlateTray 1

PERI-LOC 4.5mm Lateral Proximal Tibia Plate Set SetNo.7181-0020


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PERI-LOC™ Large Fragment Screw Set – T25 SetNo.7181-0470



7112-9400 Large Outer Case, 4.8mm 1

7112-9402 Lid for Outer Cases 1

7114-3110 10.0mm OD Washer 6

7114-3113 13.0mm OD Washer 6

7117-0355 5.7mm Cannulated Locking Screw, Caddy 1

7117-0363 Tray 1

7117-0701 4.5mm T25 Cortex Screw, Caddy 1

7117-0703 4.5mm T25 Locking Screw, Caddy 1

7117-0705 6.5mm T25 Cancellous Screw, Caddy 1

*Sterile


7382-6014 14mm 4

7382-6016 16mm 4

7382-6018 18mm 4

7382-6020 20mm 6

7382-6022 22mm 6

7382-6024 24mm 6

7382-6026 26mm 6

7382-6028 28mm 6

7382-6030 30mm 10

7382-6032 32mm 10

7382-6034 34mm 10

7382-6036 36mm 10

7382-6038 38mm 10

7382-6040 40mm 10

7382-6042 42mm 6

7382-6044 44mm 4

7382-6046 46mm 4

7382-6048 48mm 4

7382-6050 50mm 4

7382-6052 52mm 4

7382-6054 54mm 4

7382-6056 56mm 4


7382-6058 58mm 4

7382-6060 60mm 4

7382-6062 62mm 4

7382-6064 64mm 4

7382-6066 66mm 4

7382-6068 68mm 4

7382-6070 70mm 4

7382-6072 72mm 4

7382-6074 74mm 4

7382-6076 76mm 4

7382-6078 78mm 4

7382-6080 80mm 4

7382-6085 85mm 4

7382-6090 90mm 2

7382-6095 95mm 2

7382-6100 100mm 2

7380-6105* 105mm 0

7380-6110* 110mm 0

7380-6115* 115mm 0

7380-6120* 120mm 0

7380-6125* 125mm 0

7380-6130* 130mm 0

4.5mm Self-tapping T25 Cortex Screw


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5.7mm Cannulated Locking Screw


7182-8020 20mm 3

7182-8025 25mm 3

7182-8030 30mm 3

7182-8035 35mm 3

7182-8040 40mm 3

7182-8045 45mm 3

7182-8050 50mm 3

7182-8055 55mm 5

7182-8060 60mm 5

7182-8065 65mm 5

7182-8070 70mm 5


7182-8075 75mm 5

7182-8080 80mm 5

7182-8085 85mm 3

7182-8090 90mm 3

7182-8095 95mm 3

7182-8100 100mm 3

7180-8105* 105mm 0

7180-8110* 110mm 0

7180-8115* 115mm 0

7180-8120* 120mm 0

PERI-LOC™ Large Fragment Screw Set – T25 (continued)

4.5mm Self-tapping T25 Locking Screw


7382-7010 10mm 4

7382-7012 12mm 4

7382-7014 14mm 4

7382-7016 16mm 4

7382-7018 18mm 4

7382-7020 20mm 6

7382-7022 22mm 6

7382-7024 24mm 6

7382-7026 26mm 6

7382-7028 28mm 6

7382-7030 30mm 10

7382-7032 32mm 10

7382-7034 34mm 10

7382-7036 36mm 10

7382-7038 38mm 10

7382-7040 40mm 10

7382-7042 42mm 6

7382-7044 44mm 4

7382-7046 46mm 4

7382-7048 48mm 4

7382-7050 50mm 4

7382-7052 52mm 4

7382-7054 54mm 4


7382-7056 56mm 4

7382-7058 58mm 4

7382-7060 60mm 4

7382-7062 62mm 4

7382-7064 64mm 4

7382-7066 66mm 4

7382-7068 68mm 4

7382-7070 70mm 4

7382-7072 72mm 4

7382-7074 74mm 4

7382-7076 76mm 4

7382-7078 78mm 4

7382-7080 80mm 4

7382-7085 85mm 4

7382-7090 90mm 2

7382-7095 95mm 2

7382-7100 100mm 2

7380-7105* 105mm 0

7380-7110* 110mm 0

7380-7115* 115mm 0

7380-7120* 120mm 0

7380-7125* 125mm 0

7380-7130* 130mm 0

*Sterile


35

Catalog information – Large fragment instruments

5.7mm Cannulated Depth Gauge for TargeterCat. No. 7117-3332

2.0mm K-wire Guide for TargeterCat. No. 7117-3384

2.0mm x 350mm K-wire for TargeterCat. No. 7117-3381

Large Fragment Screw Guide for TargeterCat. No. 7117-3397

4.5mm Locking Post AssemblyCat. No. 7117-3398

Drill Guides for Targeter

4.5mm Distal Femur Targeter Handles

Cat. No. Description

7117-3382 3.5mm

7117-3383 4.5mm


7117-3400 Left (Green)

7117-3401 Right (Red)


7382-8150 50mm 2

7382-8155 55mm 2

7382-8160 60mm 2

7382-8165 65mm 2

7382-8170 70mm 2

7382-8175 75mm 2

7382-8180 80mm 2

6.5mm T25 Cancellous Screw, Partially Threaded


7382-8185 85mm 2

7382-8190 90mm 2

7382-8195 95mm 2

7382-8200 100mm 2

7180-8205* 105mm 0

7180-8210* 110mm 0


36

Catalog information – Large fragment instruments

Large Screwdriver HandleCat. No. 7117-3547

T25 Self-retaining Screwdriver Shaft for TargeterCat. No. 7117-3619

Lateral Distal Femur Targeter Base

4.5mm Lateral Proximal Tibia Handle

4.5mm Lateral Proximal Tibia Base


7117-3440 Left

7117-3441 Right


7117-3414 Left

7117-3415 Right


7117-3442 Left

7117-3443 Right

3.5mm Cannulated Hexdriver ShaftCat. No. 7117-3434

4.5mm Base Hole PlugCat. No. 7117-3436

4.5mm Trocar for TargeterCat. No. 7117-3404

4.7mm Hexdriver Shaft for TargeterCat. No. 7117-3410

Drill Bits for Targeter

Provisional Fixation Pins for Targeter


7117-3402 3.5mm

7117-3403 4.5mm

7117-3444 4.5mm Cannulated


7117-3408 3.5mm x 40mm

7117-3416 3.5mm x 18mm


37

Catalog information – Large fragment trays

Distal Femur Targeter Set – T25Set No. 7181-0413


7112-9401 Small Outer Case, 2.4mm 1


7117-0321 4.5mm Lateral Distal Femur Targeter Tray 1

7117-0692 4.5mm Targeter Over-Label Kit 1

7117-3332 5.7mm Cannulated Depth Gauge 1

7117-3382 Targeter 3.5mm Drill Guide 4


7117-3384 Targeter Large Fragment K-wire Guide 2

7117-3397 Targeter Large Fragment Screw Guide 4

7117-3398 4.5mm Targeter Lock Post Assembly 2

7117-3430 3.5mm Targeter Medial Distal Tibia Handle, Right 1

7117-3400 Targeter 4.5mm Distal Femur Handle, Left 1

7117-3401 Targeter 4.5mm Distal Femur Handle, Right 1

7117-3404 Targeter 4.5mm Trocar 2

7117-3410 Targeter 4.7mm Hexdriver Shaft 2

7117-3434 Targeter 3.5mm Large Fragment Can Hexdriver 2

7117-3436 Targeter 4.5mm Base Plug 10

7117-3440 Targeter 4.5mm Lateral Distal Femur Base, Left 1

7117-3441 Targeter 4.5mm Lateral Distal Femur Base, Right 1

7117-3547 Large Screwdriver Handle 1

7117-3619 T25 Self-retaining Screwdriver with Quick Connect, 203mm 2


38

Catalog information – Large fragment trays


7117-3381 2.0mmx350mmK-wireforTargeter 6

7117-3402 3.5mmDrillBitforTargeter 2

7117-3403 4.5mmDrillBitforTargeter 2

7117-3408 3.5mmx40mmProvisionalFixationPinforTargeter 2

7117-3416 3.5mmx18mmProvisionalFixationPinforTargeter 2

7117-3444 4.5mmCannulatedDrillBitforTargeter 2

PERI-LOC™ Large Fragment Targeter Disposables Set SetNo.7181-0111

4.5mm Lateral Proximal Tibia Targeter Set – T25Set No. 7181-0415


7112-9401 Small Outer Case, 2.4 1


7117-0322 4.5mm Lateral Proximal Tibia Targeter Tray 1


7117-3332 5.7mm Cannulated Depth Gauge 1



7117-3384 Targeter Large Fragment K-wire Guide 2

7117-3397 Targeter Large Fragment Screw Guide 4

7117-3398 4.5mm Targeter Lock Post Assmbly 2



7117-3414 Targeter 4.5mm Lateral Proximal Tibia Handle, Left 1

7117-3415 Targeter 4.5mm Lateral Proximal Tibia Handle, Right 1

7117-3434 Targeter 3.5mm Large Fragment Cannulated Hexdriver 2


7117-3442 Targeter 4.5mm Lateral Proximal Tibia Base, Left 1

7117-3443 Targeter 4.5mm Lateral Proximal Tibia Base, Right 1


7117-3619 T25 Self-retaining Screwdriver with Quick Connect, 203mm 2


39

Cat. No. Description Set Qty

7180-1006 6Hole,134mm,Left 1

7180-1008 8Hole,160mm,Left 1

7180-1010 10Hole,185mm,Left 1

7180-1013 13Hole,223mm,Left 1

7180-1106 6Hole,134mm,Right 1

7180-1108 8Hole,160mm,Right 1

7180-1110 10Hole,185mm,Right 1

7180-1113 13Hole,223mm,Right 1

3.5mm Medial Distal Tibia Locking Plate

Cat. No. Description Set Qty

7180-0404 4Hole,73mm,Left 1

7180-0406 6Hole,98mm,Left 1

7180-0408 8Hole,123mm,Left 1

7180-0410 10Hole,149mm,Left 1

7180-0413 13Hole,187mm,Left 0

7180-0504 4Hole,73mm,Right 1

7180-0506 6Hole,98mm,Right 1

7180-0508 8Hole,123mm,Right 1

7180-0510 10Hole,149mm,Right 1

7180-0513 13Hole,187mm,Right 0

PERI-LOC™ Proximal Tibia Plate Set SetNo.7181-0030

Included in the 3.5mm Distal Tibia/Calcaneal Plates SetSet No. 7181-0040


Catalog information – Small fragment implants


40


Small Fragment Screw SetSet No. 7181-0420

2.7mm T15 Cortex Screws, Self-tapping

2.7mm T15 Locking Screws, Self-tapping

Cat No. Description Qty

7382-3010 10mm 4

7382-3012 12mm 4

7382-3014 14mm 4

7382-3016 16mm 4

7382-3018 18mm 2

7382-3020 20mm 2

7382-3022 22mm 2

7382-3024 24mm 2

7382-3026 26mm 2

7382-3028 28mm 2

7382-3030 30mm 2

7382-3032 32mm 2

7382-3034 34mm 2


7382-2310 10mm 6

7382-2312 12mm 6

7382-2314 14mm 6

7382-2316 16mm 6

7382-2318 18mm 6

7382-2320 20mm 6

7382-2322 22mm 3

7382-2324 24mm 3

7382-2326 26mm 3

7382-2328 28mm 3

7382-2330 30mm 3

7382-2332 32mm 3


7382-3036 36mm 2

7382-3038 38mm 2

7382-3040 40mm 4

7382-3042 42mm 4

7382-3044 44mm 4

7382-3046 46mm 4

7382-3048 48mm 4

7382-3050 50mm 4

7382-3055 55mm 4

7382-3060 60mm 2

7380--3065 65mm 0

7380--3070 70mm 0


7382-2334 34mm 3

7382-2336 36mm 3

7382-2338 38mm 3

7382-2340 40mm 6

7382-2342 42mm 6

7382-2344 44mm 6

7382-2346 46mm 6

7382-2348 48mm 6

7382-2350 50mm 6

7382-2355 55mm 6

7382-2360 60mm 3


41


3.5mm T20 Cortex Screws, Self-tapping

3.5mm T20 Locking Screws, Self-tapping


7382-4010 10mm 8

7382-4012 12mm 8

7382-4014 14mm 8

7382-4016 16mm 8

7382-4018 18mm 8

7382-4020 20mm 4

7382-4022 22mm 4

7382-4024 24mm 4

7382-4026 26mm 4

7382-4028 28mm 4

7382-4030 30mm 4

7382-4032 32mm 4

7382-4034 34mm 4

7382-4036 36mm 4

7382-4038 38mm 4

7382-4040 40mm 4

7382-4042 42mm 4


7382-5010 10mm 8

7382-5012 12mm 8

7382-5014 14mm 8

7382-5016 16mm 8

7382-5018 18mm 8

7382-5020 20mm 4

7382-5022 22mm 4

7382-5024 24mm 4

7382-5026 26mm 4

7382-5028 28mm 4

7382-5030 30mm 4

7382-5032 32mm 4

7382-5034 34mm 4

7382-5036 36mm 4

7382-5038 38mm 4

7382-5040 40mm 4

7382-5042 42mm 4


7382-4044 44mm 4

7382-4046 46mm 4

7382-4048 48mm 4

7382-4050 50mm 4

7382-4055 55mm 4

7382-4060 60mm 4

7380-4065 65mm 0

7380-4070 70mm 0

7380-4075 75mm 0

7380-4080 80mm 0

7380-4085 85mm 0

7380-4090 90mm 0

7380-4095 95mm 0

7380-4100 100mm 0

7380-4105 105mm 0

7380-4110 110mm 0


7382-5044 44mm 4

7382-5046 46mm 4

7382-5048 48mm 4

7382-5050 50mm 4

7382-5055 55mm 4

7382-5060 60mm 4

7380-5065 65mm 0

7380-5070 70mm 0

7380-5075 75mm 0

7380-5080 80mm 0

7380-5085 85mm 0

7380-5090 90mm 0

7380-5095 95mm 0

7380-5100 100mm 0

7380-5105 105mm 0

7380-5110 110mm 0

Washer


7114-3107 7.0mm Outer Diameter 6


42

4.0mm Cancellous Screw SetSet No. 7181-5200

4.0mm T20 Cancellous Screws, Fully Threaded

4.0mm T20 Cancellous Screws, Partially Threaded


7382-5210 10mm 2

7382-5212 12mm 2

7382-5214 14mm 2

7382-5216 16mm 2

7382-5218 18mm 2

7382-5220 20mm 2

7382-5222 22mm 2

7382-5224 24mm 2

7382-5226 26mm 2

7382-5228 28mm 2

7382-5230 30mm 2

7382-5232 32mm 2

7382-5234 34mm 2

7382-5236 36mm 2


7382-5310 10mm 2

7382-5312 12mm 2

7382-5314 14mm 2

7382-5316 16mm 2

7382-5318 18mm 2

7382-5320 20mm 2

7382-5322 22mm 2

7382-5324 24mm 2

7382-5326 26mm 2

7382-5328 28mm 2

7382-5330 30mm 2

7382-5335 35mm 2

7382-5340 40mm 2


7382-5238 38mm 2

7382-5240 40mm 2

7382-5245 45mm 2

7382-5250 50mm 2

7382-5255 55mm 2

7382-5260 60mm 2

7380--5265 65mm 0

7380--5270 70mm 0

7380--5275 75mm 0

7380--5280 80mm 0

7380--5285 85mm 0

7380--5290 90mm 0

7380--5295 95mm 0

7380--5300 100mm 0


7382-5345 45mm 2

7382-5350 50mm 2

7382-5355 55mm 2

7382-5360 60mm 2

7380-5365 65mm 0

7380-5370 70mm 0

7380-5375 75mm 0

7380-5380 80mm 0

7380-5385 85mm 0

7380-5390 90mm 0

7380-5395 95mm 0

7380-5400 100mm 0

4.0mm Cancellous Screw CaddiesCat. No. Description Qty

7117-0680 4.0mm Cancellous Screw Caddy 1

7117-0681 4.0mm Cancellous Screw Caddy Lid 1



43

Catalog information – Small fragment instruments

4.7mm Hexdriver Shaft for TargeterCat. No. 7117-3410

Small Fragment Screw Guide for TargeterCat. No. 7117-3419

2.7mm Drill Guide for TargeterCat. No. 7117-3420

1.6mm K-wire Guide for TargeterCat. No. 7117-3421

3.5mm Targeter TrocarCat. No. 7117-3422

3.5mm Locking Post AssemblyCat. No. 7117-3424

3.5mm Base Hole PlugCat. No. 7117-3437

1.6mm x 260mm K-wire for TargeterCat. No. 7117-3300

2.7mm Drill Bit for TargeterCat. No. 7117-3418

MDT Locking Post AssemblyCat. No. 7117-3632

3.5mm Lateral Proximal Tibia Targeter Base

3.5mm Medial Distal Tibia Targeter Base

3.5mm Medial Distal Tibia Targeter Handle


7117-3425 Left

7117-3426 Right


7117-3431 Left

7117-3432 Right



7117-3430 Right (Red)


44

3.5mm Lateral Proximal Tibia Targeter Handle



7117-3428 Right (Red)

Provisional Fixation Pins for Targeter


7117-3406 2.7mm x 40mm

7117-3438 2.7mm x 18mm

Large Screwdriver HandleCat. No. 7117-3547

T20 Self-retaining Screwdriver Shaft for TargeterCat. No. 7117-3617

Catalog information – Small fragment instruments


45

Catalog information – Small fragment trays

3.5mm Lateral Proximal Tibia Targeter Set – T20Set No. 7181-0404




7117-0334 3.5mm Lateral Proximal Tibia Targeter Tray 1



7117-3419 Targeter 3.5mm Screw Guide 4

7117-3420 Targeter 3.5mm for 2.7mm Drill Guide 4

7117-3421 Targeter 1.6mm K-wire Guide 2

7117-3422 3.5mm Targeter Trocar 2

7117-3424 3.5mm Targeter Lock Post Assembly 4

7117-3425 3.5mm Targeter Lateral Proximal Tibia Base, Left

1


7117-3426 3.5mm Targeter Lateral Proximal Tibia Base, Right

1

7117-3427 3.5mm Targeter Lateral Proximal Tibia Handle, Left

1

7117-3428 3.5mm Targeter Lateral Proximal Tibia Handle, Right

1


7117-3486 3.5mm Targeter 3.5mm Self-retaining Hexdriver

1


7117-3617 T20 Self-retaining Screwdriver with Quick Connect, 165mm

2

Medial Distal Tibia Targeter Set – T20Set No. 7181-0403




7117-0325 3.5mm Distal Tibia Targeter Tray 1



7117-3419 Targeter 3.5mm Screw Guide 4

7117-3420 Targeter 3.5mm 2.7mm Drill Guide 4

7117-3421 Targeter 1.6mm K-wire Guide 2


7117-3429 3.5mm Targeter Medial Distal Tibia Handle, Left

1

7117-3430 3.5mm Targeter Medial Distal Tibia Handle, Right

1


7117-3431 3.5mm Targeter Medial Distal Tibia Base, Left

1

7117-3432 3.5mm Targeter Medial Distal Tibia Base, Right

1


7117-3632 MDT Locking Post Assembly 2

7117-3486 3.5mm Targeter Self-retaining Hexdriver 1


7117-3617 T20 Self-retaining Screwdriver with Quick Connect, 165mm

2

3.5mm Targeter Pin Wire Drill SetSet No. 7181-0107

Description Qty

7117-3300 K-wire 1.6mm x 260mm 6

7117-3406 2.7mm PF Pin, 40mm 2

Description Qty

7117-3418 2.7mm Drill Bit 2

7117-3438 2.7mm PF Pin, 18mm 2


© 2011 Smith & Nephew, Inc. All rights reserved.7118-1819 REV0 04/11

OrthopaedicsSmith & Nephew, Inc.7135 Goodlett Farms ParkwayCordova, TN 38016USA

Telephone: 1-901-396-2121Information: 1-800-821-5700Orders/Inquiries: 1-800-238-7538

www.smith-nephew.com

™Trademark of Smith & Nephew. Reg. US Pat. & TM Off.


Date post:	11-Feb-2017
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