NCB® Distal Femur System Surgical Technique NCB Femoral

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NCB® Distal

Femur System

Surgical Technique

3

NCB® Distal Femur System – Surgical Technique

Surgical Technique

NCB Distal Femur System Table of Contents

Introduction 4

Indications 8

Preoperative Planning 8

Contraindications 8

Patient Positioning 8

Sample Cases 9

Open Technique

Incision 11

Reposition 11

Optional: Bone Spacers 12

Insertion of the NCB Plate 12

Insertion of the NCB Screws 13

Tips and Tricks 16

MIS Technique*

Incision 17

Aiming Arm Assembly for Insertion 17

Insertion of the NCB Plate 17

Reduction of the Metaphyseal Bone Part 18

Insertion of the NCB Screws in the Shaft Part 20

Implant Removal 23

Ordering Information

Implants 24

Graphic Case 27

Standard Instruments 28

MIS Instruments 30

Planning Aid 32

*MIS Minimally Invasive Solutions™ Technique by Zimmer

4NCB® Distal Femur System – Surgical Technique

Introduction

The NCB DF System (Non-Contact

Bridging for the Distal Femur) Plate is

an optimal solution for the treatment of

complex fractures at the distal femur.

The system allows for polyaxial screw

placement with subsequent screw

locking for im proved stability especially

within osteopenic bone. Before locking,

the screws can act as lag screws and

be used for fracture reduction; a benefit

which is not offered with standard

locking systems.

In the locked mode NCB DF Plate acts

as an internal fixator without contact

between the plate and the bone surface

reducing the risk of periosteal blood

supply impairment.

The surgical technique is based on the

well-known standard plate osteo-

synthesis technique and in a last step

all screws can be locked and be made

angular stable. The instrumentation

includes a fully radiolucent targeting

device for a minimal-invasive surgical

technique (MIS).

Materials: NCB Plates and Screws are made

of Ti6Al4V, ISO 5832-3, ASTM F136; the 3.5 mm

cortical screw self tapping is made of Ti6Al7Nb,

ISO 5832-11, ASTM F1295.

Locking cap  8 mm

Spacer 1 to 3 mm Blind screw

Self-tapping screws:

Double lead thread for fast screw insertion

in cortical bone.

 5.0 mm NCB cortical screws L= 14–100 mm

 5.0 mm NCB cancellous screws L= 50–100 mm

 5.0 mm NCB MotionLoc® screws L= 30–60 mm

 3.5 mm cortical screw L= 50–85 mm

Polyaxial screw placement with

subsequent locking option for

optimal system stability. Possible

fracture reduction with a lag screw

Non-Contact Bridging

ostesynthesis reduces the

risk of periosteal blood

impairment

Anatomically contoured

plate. Forged titanium

alloy for better mechanical

strength

Non

Contact

Implants sizes (5–9–13 holes)

and types (left/right)

Angular stability of one NCB

Locked Screw

F

6 Nm

Fastening torque

F

225

N (Newton)

(SD±10N)

Self-tapping screws:

Double lead thread for fast screw insertion

5

NCB® Distal Femur – Surgical Technique 5

NCB® Distal Femur System – Surgical Technique

Cable Fixation Options

The following products from the Zimmer®

Cable-Ready® Cable Grip

System are compatible with the NCB

Distal Femur System:

See data sheet REF 97-2232-015-00 for

more specific instructions.

Cable Fixation with

Hex Button

Cable Fixation Options Cable Fixation with

Cable Button

NCB Locking Plate

Cable Button, 2.5mm, Hex Drive

• Sterile

• Material: Ti6Al4V

REF 47-2232-060-00 Color: Gold*

REF 47-2232-060-01 Color: Blue

Application

This Cable Button is threaded

directly into the NCB Plate hole to

provide a positioning point for

the Cable.

Instructions

To insert, use the 2.5mm hex

screwdriver to thread the cable

button into the plate hole. Do not

fully tighten to allow the slots in

the button to align with the cable.

To remove, use the 2.5mm hex

screwdriver to unthread the cable

button from the plate hole.

Hex Button, 3.5mm

• Sterile

• Material: C.P. Titanium

REF 00-2232-002-35

Application

This Hex Button fits into the

standard hex in the screw head

(3.5mm hex). Therefore, it can

be inserted into the NCB Screw

head, or into the NCB Locking

Cap.

Note: The Hex button is incom-

patible with the 2.5mm Hex of

the Cortical self-tapping screws

(REF 02.03131.0xx)

Cable Assembly Cerclage,

1.8mm

• Sterile

• Material: CoCr

REF 00-2232-002-28

REF 00-2232-004-18

* Not available in Europe, Middle East and Africa.

6NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

MIS Radiolucent Targeting

Device

MIS* operation technique with a fully

radiolucent targeting device.

*MIS Minimally Invasive Solutions Technique by Zimmer

Targeting device and plate assembly

7

NCB® Distal Femur – Surgical Technique

Divergent Screw Alignment

The targeting device ensures divergent

screw alignment for increased pull-out

resistance in the metaphysial and

diaphysial region.

NCB® Distal Femur System – Surgical Technique

Divergent screws alingnment achieved using

the targeting device

8NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

Indications

The NCB Polyaxial Locking Plate System is

indicated for temporary internal fixation

and stabilization of fractures and osteoto-

mies of long bones.

Note: The NCB Distal Femur Plate from

the NCB Polyaxial Locking Plate System is

specifically designed for the distal femur.

Preoperative Planning

Prior to surgery, it is recommended to

conduct preoperative planning using the

X ray template (REF 06.01240.000).

Contraindications

• All concomitant diseases that may

impair the fixation of the implant and/

or the success of the intervention.

• Lack of bone substance or poor bone

quality which makes stable seating

of the implant impossible.

• Acute or chronic, local or systemic

infections.

• Allergy to the implanted material.

• Severe muscular, neural or

vascular diseases that endanger

the extremities involved.

Patient Positioning

Lay the patient in supine position on a

radiolucent table. Support the knee, but

allow the leg to move freely. Make sure

that a true lateral X ray of the femur can

be obtained in this position. Avoid strong

traction and a completely extended

knee because forces of the gastrocnemius

muscle will generate hyperextension of

the distal fragment.

To lessen the forces of the gastrocne

mius,

flex the leg approximately 20–40°.

X ray template REF 06.01240.000

9

NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

AP view preoperative AP view postoperative

Lateral view postoperative

Lateral view showing ‘non contact’

of the plate

Sample Cases

Case 1: Extra-articular fracture

10 NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

Case 2: Intra-articular fracture

Lateral view preoperative AP view preoperative

Lateral view postoperative AP view postoperative

11

NCB® Distal Femur System – Surgical Technique

Open Technique

Incision

A lateral incision is recommended. The

skin incision starts at Gerdy’s tubercle and

goes on in a proximal direction to expose

the fracture zone. The muscles are left

attached to the fracture fragments

for optimal blood supply. Do not strip

the periosteum.

Reposition

For intra-articular fracture an arthrotomy

is performed to anatomically reduce the

joint line.

Temporarily fix the bone fragments with

2.0 mm K-wires (REF 290.20.280). Make

sure that the K-wires do not interfere with

the location of the plate.

Temporary stabilization of the fracture

Incision

11

12 NCB® Distal Femur System – Surgical Technique

Optional:

Bone Spacers

Two bone spacers should be used

in the diaphysis to avoid the contact

of the plate with the bone surface

reducing the risk of periosteal blood

supply impairment. The spacers

are available in sizes of 1 mm, 2 mm

or 3 mm (REF 02.03150.311 to .313).

The blue 2 mm spacer is usually used.

Insert the adequate bone spacers

into the plate before plate insertion.

Note: The bone spacers are single use

only. The spacers can be removed after

locking of the screws.

Insertion of the NCB Plate

Insert the plate between the vastus

lateralis muscle and the periosteum.

Keep the proximal end in continous

contact with the bone surface during

insertion. Place the distal end of the

plate against the lateral condyle.

Note: The plate is anatomically shaped

and does reach far distally close to the

cartilage – bone interface.

Temporarily fix the plate with 2.0 mm

K-wires (REF 290.20.280) at both ends

of the plate.

3 mm

2 mm

1 mm

Bone spacers for non contact bridging

Temporary plate fixation

13

NCB® Distal Femur System – Surgical Technique

Insertion of the NCB Screws

Three screw types are offered with the NCB

System. Cancellous screws preferably for the

epi- and metaphysis as well as cortical bone

screws which are optimal for placement in the

diaphysis. Surgical technique (

REF

97-3161-

002-00 or 97-3161-004-00)* has specific

instructions for the NCB MotionLoc Screw.

Cancellous Screws

1. For cancellous screws place the NCB Drill

Guide 2.5 mm (REF 02.00024.010) into the

plate hole and point into the direction of the

screw axis.

Note: Press the drill guide into the plate hole

in a perpendicular start position and tilt it

into the needed direction. The drill guide

needs to be in constant contact with the

bottom ring of the hole. The guide limits the

possible angular range of 30° for placing a

locked NCB Screw. Always use the drill guide

since it prevents to choose an excessive screw

angle and failure of subsequent locking.

2. Drill with the 2.5 mm drill bit

(REF 103.25.180). In case of good bone

quality it is recommended to drill the cortex

with a 4.3 mm drill bit. Take away the drill

sleeve for this purpose.

Optionally the 95° guide

(REF 02.00024.234/02.00024.235) can

be used for distal screw placement.

Note: Right and left versions are available.

The 95° guide is fixed to the plate using the

DF plate connection bolt for the targeting

device (REF 02.00024.073). Place the appro-

priate NCB Drill Guide through one of the

holes of the 95° guide and into the plate

hole. Drill with the corresponding 2.5 mm or

4.3 mm drill bit. Repeat for the other hole in

the 95° guide.

3. The appropriate screw length is

determined with the NCB Depth Gauge

(REF 02.00024.005)

Drilling

Determine the screw length

Use the NCB drill guide to avoid

an angular inclination >30

°

13

* 97-3161-002-00 is for countries where NCB MotionLoc screws are approved to be used with only

NCB plates and 97-3161-004-00 is for countries where NCB MotionLoc screws are approved to

be used with both NCB as well as NCB Periprosthetic plates. See NCB MotionLoc package insert

for approved plate/MotionLoc screw combinations.

14 NCB® Distal Femur System – Surgical Technique

4. Insert the NCB Cancellous Screws

using the NCB Screwdriver, (REF

02.00024.023) and apply compression.

Cancellous screws are partially threaded

and can be used for compression.

In the epiphyseal and metaphyseal area

screws should be tightened to reduce

the fracture and to obtain close contact

between the plate and the bone in order

to buttress the fracture.

5. Remove the K-wire after screw insertion.

6. To lock the screw insert the locking

cap (REF 02.03150.300) and tighten the

cap with the NCB Torque Screwdriver,

6Nm (REF 02.00024.021) until a clicking

sound is heard.

Note: Always use the torque screwdriver

to tighten the locking caps and make

sure not to tilt the screwdriver during its

usage.

Not to do so could damage the hex

drive of the cap and might complicate

later extraction of the implant.

Use the NCB Screw Driver to tighten the screw and apply compression

Insert the locking cap

15

NCB® Distal Femur System – Surgical Technique

Cortical Screws

1. If an NCB cortical screw is used, use

the NCB Drill Guide (REF 02.00024.011)

and drill with the drill bit 4.3 mm

(REF 02.00024.002). Drill through both

cortices. In the case of hard cortical

bone, tap the cortex with the tapper

(REF 02.00024.050).

2. Insert the NCB Screw using the

NCB Screwdriver, (REF 02.00024.023).

3. To lock the screw proceed as for the

cancellous screws: insert the locking cap

(REF 02.03150.300) and tighten the cap

with the NCB Torque Screw driver, 6Nm

(REF 02.00024.021) until a clicking sound

is heard.

4. In the diaphyseal area bone spacers

are used to prevent close contact. After

locking of the screws the spacers should

be removed.

For the placement of the additional

screws proceed as above.

Drilling

Insert the cortical screw

Final plate fixation (example)

15

16 NCB® Distal Femur System – Surgical Technique

Tips and Tricks

The polyaxiality of the system allows

some varus/valgus correction during

surgery.

For this purpose insert four screws as

shown in the figure without tightening

the screws. Place the two distal screws

anterior and posterior.

Now the fracture can be reduced by

rotation around the bone axis of the

proximal fragment and varus/valgus

correction of the distal fragment.

Confirm satisfying alignment with the

image intensifier and lock the screws

using the locking caps.

Afterwards complete the

osteosynthesis by adding additional

screws where needed.

When inserting locking caps, turn the

screw driver counter clockwise initially.

The threads of the cap and the plate

will “click”, indicating

that the cap is

properly aligned and less

likely to cross-

thread when turned clockwise.

Varus/valgus corrections

17

NCB® Distal Femur System – Surgical Technique

MIS Technique*

Incision

A lateral incision is recommended if a

simple articular or extra-articular fracture

is current. The skin incision starts at

Gerdy’s tubercle and extends approxi-

mately 80 mm in a proximal direction.

The muscles are left attached to the

fracture fragments for optimal blood

supply. Do not strip the periosteum. For

intra-articular fracture an arthrotomy

is performed to anatomically reduce the

joint line.

Before insertion of the plate anatomically

reduce the intra-articular fracture and

fix it with a 3.5 mm cortical screw

or a 2.0 mm K-wire. Make sure they

do not interfere with the position of

the plate and locking screws. Predrill

3.5mm cortical screw with 2.5mm

drill bit (103.25.180) using screwdriver

(109.01.020).

Targeting Device Assembly

for Insertion

Attach the NCB DF Targeting Device

left (REF 02.00024.071) for a left NCB

Plate and the right targeting device

(REF 02.00024.070) for a right

plate. Screw the two connection bolts

(REF 02.00024.073) into the NCB

Plate and tighten them with the hex

screwdriver.

Insertion of the NCB Plate

1. Insert the plate between the vastus

lateralis muscle and periosteum.

Keep the proximal end of the plate in

close contact with the bone during

insertion. Place the distal end of the

plate onto the lateral condyle.

*MIS Minimally Invasive Solutions Technique by Zimmer

Incision

Temporary stabilization of the fracture

Insert the connection bolt

Insert the plate

17

18 NCB® Distal Femur System – Surgical Technique

2. Make a stab incision at the most

proximal plate hole. Screw the NCB

Stabilization Bolt (REF 02.00024.074)

into the NCB Plate.

3. Adjust the correct distance between

the targeting device and the plate by

pushing the targeting device along the

stabilization bolt and securing the

correct distance with the NCB Safety

Lock Pin (REF 02.00024.076). The safety

locking pin needs to be inserted from

the anterior side.

Reduction of the Metaphyseal

Bone Part

1. Insert a 2.0 mm Kirschner wire

(REF 290.20.280) through the distal end

of the plate for temporary reposition

of the condyles.

Insert the stabilization bolt

Insert the NCB Safety Locking Pin from the anterior

side

Temporary reposition of the condyles

19

NCB® Distal Femur System – Surgical Technique

2. For placing a NCB Cancellous

Screw drill with the 2.5 mm drill bit

(REF 103.25.180) and the NCB Drill

Guide (REF 02.00024.010).

3. Insert an NCB Cancellous Screw and

apply compression if needed.

4. Repeat drilling and insert a second

NCB Cancellous Screw. Repeat the

procedure if more screws are required,

then lock the screws with locking caps

(REF 02.03150.300).

Then adjust length and rotation under

image intensifier and insert the proxi-

mal K-wire.

Note: Only the most distal screws can

be locked if the targeting device is on.

The other screws in the joint area need

to be locked when the targeting device

is off at the end of the operation.

Use the NCB Drill Guide

Insert cancellous screw

Insert additional cancellous screw

19

20 NCB® Distal Femur System – Surgical Technique

Insertion of the NCB Screws in

the Shaft Part

Start with placing a proximal screw close

to the fracture site.

1. Make a stab incision to access the

plate hole. Insert the NCB Trocar, drill

guide and protection sleeve assembly

(REF 02.00024.060 to .062).

2. Screw the drill guide into

the plate hole.

3. Screw the protection sleeve into

the targeting device. The sleeve will be

in direct contact with the plate.

Insert tissue protection sleeves

Screw the drill guide into the plate

Screw the protection sleeve into the targeting device

21

NCB® Distal Femur System – Surgical Technique

4. Remove the trocar and drill using

the 4.3 mm drill bit (REF 02.00024.003 )

for the 5 mm NCB Screw.

The scaling on the drill bit can be used

to determine the screw length.

5. Alternatively, determine the screw

length using the NCB Depth Gauge

(REF 02.00024.006).

6. Remove the drill guide and

insert the appropriate screw using

the NCB Hexagonal Screwdriver

(REF 02.00024.023). The screw can

be used for repositioning of a fragment.

Drill the screw hole

Mesure the screw length

Insert the screw into the bone shaft

21

22 NCB® Distal Femur System – Surgical Technique

7. For locking of the screw insert the

locking cap (REF 02.03150.300) and

tighten the cap with the NCB Torque

Screwdriver, 6Nm (REF 02.00024.021)

until a clicking sound is heard.

Note: Always use the torque screwdriver

to tighten the locking cap and make

sure not to tilt the screwdriver during its

usage.

Not to do so could damage the hex

drive of the screw and might complicate

later extraction of the implant.

8. Repeat step 1 to 7 to insert additional

screws.

9. To place a screw at the most proximal

end exchange the NCB Stabilization

Bolt with the NCB Trocar, drill guide and

protection sleeve assembly. Drill using

the 4.3 mm drill bit (REF 02.00024.003)

for the 5mm NCB Screw and lock

the screw with the NCB Locking Cap

as described above.

Insert the locking cap on top of the screw

Insert additional screws

Exchange the stabilization bolt with the protection

sleeve assembly

23

NCB® Distal Femur System – Surgical Technique

10. Remove the aiming arm if addition-

al screws need to be placed at the posi-

tion where the aiming arm is attached.

Insert the screws as described in the

open technique (page 15).

Place additional NCB Cancellous Screws

in the joint area if needed.

Implant Removal

To remove the NCB DF Plate, first remove

all locking caps. Then loosen all the

NCB Bone Screws without completely

removing them (this prevents rotation

of the bone plate when removing

the last screw). After that completely

remove all bone screws.

Final plate fixation (example)

23

24 NCB® Distal Femur System – Surgical Technique

Ordering Information

Implants***

NCB® Femur Plate, left

Ti6Al4V

Quantity* Holes mm REF

1 5 167 02.03260.105

1 9 246 02.03260.109

1 13 324 02.03260.113

NCB® Femur Plate, right

Ti6Al4V

Quantity* Holes mm REF

1 5 167 02.03260.005

1 9 246 02.03260.009

1 13 324 02.03260.013

NCB® Locking Cap

Ti6Al4V

Quantity*  mm mm REF

15 8 3.5 02.03150.300

NCB® Blind Screw

Ti6Al4V

Quantity*  mm mm REF

5 8 3.5 02.03150.310

NCB® Spacer

(red, blue, green)

Ti6Al4V

Quantity* L mm mm Color REF

2 1 3.5 red 02.03150.311

2 2 3.5 blue 02.03150.312

2 3 3.5 green 02.03150.313

31.6

20

L

16

5.7

* Indicates the quantity in the standard graphic case.

*** Sterile products are also available. For a complete list of available sterile products, please contact your sales representative.

3.9

M 8 x 0.75

Materials: NCB Plates and Screws are made of

Ti6Al4V, ISO 5832-3, ASTM F136; the cortical

screw self tapping is made of Ti6Al7Nb,

ISO 5832-11, ASTM F1295.

31.6

20

L

16

5.7

L4.2

M 8 x 0.75

25

NCB® Distal Femur System – Surgical Technique

* Indicates the quantity in the standard graphic case.

** Available sterile only

25

NCB® Screw, self-tapping

Ti6Al4V

Quantity* L mm  mm mm REF

2 14 5.0 3.5 02.03150.014

2 16 5.0 3.5 02.03150.016

2 18 5.0 3.5 02.03150.018

2 20 5.0 3.5 02.03150.020

2 22 5.0 3.5 02.03150.022

2 24 5.0 3.5 02.03150.024

2 26 5.0 3.5 02.03150.026

2 28 5.0 3.5 02.03150.028

2 30 5.0 3.5 02.03150.030

2 32 5.0 3.5 02.03150.032

2 34 5.0 3.5 02.03150.034

2 36 5.0 3.5 02.03150.036

2 38 5.0 3.5 02.03150.038

2 40 5.0 3.5 02.03150.040

2 42 5.0 3.5 02.03150.042

2 44 5.0 3.5 02.03150.044

2 46 5.0 3.5 02.03150.046

2 48 5.0 3.5 02.03150.048

– 50 5.0 3.5 02.03150.050

– 55 5.0 3.5 02.03150.055

– 60 5.0 3.5 02.03150.060

– 65 5.0 3.5 02.03150.065

– 70 5.0 3.5 02.03150.070

– 75 5.0 3.5 02.03150.075

– 80 5.0 3.5 02.03150.080

– 85 5.0 3.5 02.03150.085

– 90 5.0 3.5 02.02150.090**

– 95 5.0 3.5 02.02150.095**

– 100 5.0 3.5 02.02150.100**

NCB® Cancellous Screw, 32mm

Ti6Al4V

Quantity* L mm  mm mm REF

2 50 5.0 3.5 02.03152.050

2 55 5.0 3.5 02.03152.055

2 60 5.0 3.5 02.03152.060

2 65 5.0 3.5 02.03152.065

2 70 5.0 3.5 02.03152.070

2 75 5.0 3.5 02.03152.075

2 80 5.0 3.5 02.03152.080

2 85 5.0 3.5 02.03152.085

– 90 5.0 3.5 02.02152.090**

– 95 5.0 3.5 02.02152.095**

– 100 5.0 3.5 02.02152.100**

Cortical Screw, self-tapping

Ti6Al7Nb

Quantity* L mm  mm mm REF

1 50 3.5 2.5 02.03131.050

1 55 3.5 2.5 02.03131.055

1 60 3.5 2.5 02.03131.060

1 65 3.5 2.5 02.03131.065

1 70 3.5 2.5 02.03131.070

1 75 3.5 2.5 02.03131.075

1 80 3.5 2.5 02.03131.080

1 85 3.5 2.5 02.03131.085

6.2

4.2

5

L

1.75

6

3.5

2.5

L

1.25

2.9

6.2

5

4.4

L

1.75 32

26 NCB® Distal Femur – Surgical Technique

NCB® MotionLoc® Screws, self-tapping

5.0 mm Cortical, Ti6Al4V, Non Sterile

See surgical technique (REF 97-3161-002-00 or 97-3161-004-00)** for more specific instructions.

Item Number  mm L mm mm

02.03161.030 5.0 30 3.5

02.03161.032 5.0 32 3.5

02.03161.034 5.0 34 3.5

02.03161.036 5.0 36 3.5

02.03161.038 5.0 38 3.5

02.03161.040 5.0 40 3.5

02.03161.042 5.0 42 3.5

02.03161.044 5.0 44 3.5

02.03161.046 5.0 46 3.5

02.03161.048 5.0 48 3.5

02.03161.050 5.0 50 3.5

02.03161.052 5.0 52 3.5

02.03161.054 5.0 54 3.5

02.03161.056 5.0 56 3.5

02.03161.058 5.0 58 3.5

02.03161.060 5.0 60 3.5

Compatible Zimmer Products with the NCB Distal Femur System

See data sheet REF 97-2232-015-00 for more specific instructions.

REF sterile Description

47-2232-060-00*

NCB Polyaxial Locking Plate Cable Button, Gold, 2.5mm Hex Drive, Material: Ti6Al4V

47-2232-060-01

NCB Polyaxial Locking Plate Cable Button, Blue, 2.5mm Hex Drive, Material: Ti6Al4V

00-2232-002-35 Hex Buttons, 3.5mm Hex, Material: C.P. Titanium

00-2232-002-28 Cable-Ready Cable Assembly Cerclage, ∅ 1.8mm, L. 914mm, Material: CoCr

00-2232-004-18 Cable-Ready Cable Assembly Cerclage, ∅ 1.8mm, L. 635mm, Material: CoCr

* Not available in Europe, Middle East and Africa.

** 97-3161-002-00 is for countries where NCB MotionLoc screws are approved to be used with only NCB

plates and 97-3161-004-00 is for countries where NCB MotionLoc screws are approved to be used with

both NCB as well as NCB Periprosthetic plates. See NCB MotionLoc package insert for approved plate/

MotionLoc screw combinations.

27

NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

Graphic Case

NCB® DF Plate standard graphic case

for open technique (with content)

REF

ZS02.00024.600

NCB® Graphic Case for Femur

(empty)

REF

02.00024.610

NCB® DF Plate graphic case

modul instruments

REF

02.00024.603

NCB® DF Plate graphic case

modul implants

REF

02.00024.604

NCB® DF Plate graphic case

modul screw rack

REF

02.00024.605

NCB® DF Plate graphic case, lid

REF

02.00024.601

NCB® DF Plate graphic case, base (inox)

REF

02.00024.602

28 NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

NCB® Drill Bit, with quick coupling

Quantity* L mm  REF

– 145 4.3 02.00024.001

1 195 4.3 02.00024.002

Standard Instruments

NCB® Drill Guide

Quantity*  REF

1 2.5 02.00024.010

NCB® Drill Guide

Quantity*  REF

1 4.3 02.00024.011

NCB® Locking Screw Holder for 3.5

hexagonal screwdriver

Quantity* L mm  REF

— 95 5.0 02.00024.121

NCB® Torque Screwdriver, 6 Nm

Quantity* L mm  REF

1 280 3.5 02.00024.021

NCB® Measuring Device

Quantity* L mm  REF

1 110 5.0/4.5/4.0 02.00024.005

NCB® Tap for quick coupling

Quantity* L mm  REF

1 145 5.0 02.00024.050

Two-flut. drill bit, with quick coupling

Quantity* L mm l  REF

1 180 154 2.5 103.25.180

l

L

T-handle, with quick coupling

Quantity* REF

1 100.90.210

Depth gauge small for screws

Quantity* L mm  REF

1 110 3.5/4.0 100.90.025

Screw forceps self-holding

Quantity* REF

1 100.90.005

Double drill guide

Quantity*  REF

1 2.5/3.5/4.0 100.40.035

*Indicates the quantity in the standard graphic case.

29

NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

Countersink, for quick coupling

Quantity*  REF

— 3.5/4.0 108.01.035

95° Drill Guide

Quantity* REF

— Right 02.00024.234

— Left 02.00024.235

Holding sleeve for small hexagonal

screwdrivers

Quantity* REF

1 109.01.060

Small hexagonal screwdriver without

holding sleeve, hexagonal 2.5 mm

Quantity* REF

1 109.01.020

Tap for quick coupling

Quantity* L mm  REF

1 110 3.5 106.35.110

L

Kirschner wire, Stainless Steel

Quantity* L mm  REF

5 280 2.0 290.20.280

*Indicates the quantity in the standard graphic case.

30 NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

MIS Instruments

NCB® DF Plate graphic case module MIS

instruments, includes additional

instruments for the MIS technique

(with content)

Quantity** REF

1 ZS02.00024.650

NCB® DF Plate graphic case module MIS

instruments (no content)

Quantity** REF

1 02.00024.606

NCB® DF Plate Drill Bit 4.3

Quantity** L mm REF

1 300 02.00024.003

NCB® DF Plate Measuring Device

Quantity** REF

1 02.00024.006

Assembly pin

Quantity** REF

1 02.00002.001

**Indicates the quantity in the MIS graphic case module.

NCB® DF Plate Hexagonal Screwdriver for

femur SW 3.5

Quantity** L mm REF

1 275 02.00024.023

NCB® DF Plate Hexagonal Screwdriver

Shaft SW 3.5

Quantity** L mm REF

1 180 02.00024.024

31

NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

NCB® DF Plate Connection Bolt for

targeting device

Quantity** L mm REF

2 144 02.00024.073

NCB® Safety Lock Pin for targeting

device for femur

Quantity** REF

2 02.00024.076

NCB® DF Stabilization Bolt

for targeting device

Quantity** L mm REF

1 153 02.00024.074

NCB® DF Plate Soft Tissue Protection

Sleeve

Quantity**  REF

2 10.0/8.2 02.00024.060

NCB® DF Plate Drill Guide

Quantity**  REF

1 8.2/4.3 02.00024.061

NCB® DF Plate Taps for quick coupling

Quantity** L mm  REF

1 250 5.0 02.00024.051

NCB® DF Plate Trocar

Quantity**  REF

1 4.3 02.00024.062

NCB® DF Plate Targeting Device for plates

Quantity** Side REF

1 right 02.00024.070

1 left 02.00024.071

**Indicates the quantity in the MIS graphic case module.

32 NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

Planning Aid

X ray template REF 06.01240.000

33

NCB® Distal Femur – Surgical Technique

Notes

34 NCB® Distal Femur – Surgical TechniqueNCB® Distal Femur System – Surgical Technique

Notes

Contact your Zimmer representative or visit us at www.zimmer.com

Copyright 2015 by Zimmer GmbH Subject to change without notice e

Lit.No. 06.01221.012 – Ed. 2015-08

Disclaimer

This documentation is intended exclusively for physicians and is not intended for laypersons.

Information on the products and procedures contained in this document is of a general nature and does not represent

and does not constitute medical advice or recommendations. Because this information does not purport to constitute

any diagnostic or therapeutic statement with regard to any individual medical case, each patient must be examined and

advised individually, and this document does not replace the need for such examination and/or advice in whole or in part.

Please refer to the package inserts for important product information, including, but not limited to, contraindications,

warnings, precautions, and adverse effects.