Zimmer ITST® Intertrochanteric Subtrochanteric Fixation System Abbreviated Surgical Technique ITST Intertroch Subtroch

2016-04-01

: Pdf Zimmer Itst Intertroch Subtroch Abbreviated Surgical Technique Zimmer_ITST_Intertroch_Subtroch_Abbreviated_Surgical_Technique 3 2016 pdf

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Zimmer® ITST®
Intertrochanteric/
Subtrochanteric
Fixation System
Abbreviated
Surgical Technique
ITST® System Abbreviated
Surgical Technique
2Guide Wire
Placement
Attach the 3.0mm Bulb-tipped
Guide Wire to the Wire Grip
T-Handle. Insert the guide wire
through the cannulated awl past
the fracture site. Pass the wire to
the distal epiphyseal scar.
Place the cannulated awl at
the selected starting point
and confirm its position in
both the A/P and lateral
planes on C-arm. Advance the
cannulated awl through the
greater trochanter to the lesser
trochanter location.
1Creating the
Entry Portal
7Lag Screw
Positioning 8Lag Screw
Preparation
Lag Screw
Bushing
Stop Assembly is
flush against the
Lag Screw Bushing
Lag Screw Reamer
Stop Assembly
Inferior
Lag Screw
Position
Superior
Anti-rotation
Screw Position
The projected path of the Lag Screw into the Femoral
Head should be assessed using the C-arm. This may
be verified using the Screw Position Outrigger (A/P)
and the 3.2mm Threaded Guide Pin (Lateral) as
illustrated.
Insert Lag Screw Pin Bushing and Lag Screw
Bushing together into the inferior screw hole in the
Targeting Guide. Drill the Guide Pin to the level of the
subchondral bone of the femoral head. Measurement
designates the correct length of the Lag Screw to be
implanted. Under power, advance the reamer until the
Stop Assembly stops against the Lag Screw Bushing.
Monitor progress of the reamer using the C-arm.
Gold
to Gold
Reamer
Head
Indications
The ITST Intramedullary Nail is indicated for
use in a variety of femoral fractures, such as:
• Subtrochanteric Fractures
• Intertrochanteric Fractures
• Comminuted Fractures
• Segmental Fractures
• Fractures with Bone Loss
• Proximal and Distal Fractures
• Nonunions
WARNING: The surgeon should be aware that use in
osteoporotic bone or improper placement
of the nail-screw construct could increase the risk of
failure or cut out of the implant.
Trochanteric
Reamer
3Measure
(For Long Nails Only) 4Reaming
Connect the 2 piece Nail Length Gauge. Slide the
gauge over the Guide Wire and measure.
For long Nails, ream the medullary
canal to 1mm greater than the
diameter of the chosen Nail size.
Ream trochanteric region to
17mm in diameter to
accommodate the implant
using the Trochanteric
Reamer. Ream to the
level of the lesser
trochanter.
NOTE: If the GUIDE WIRE
becomes lodged within
the reamer, use the WIRE
GRIP T-Handle to push the
GUIDE WIRE back into the
IM canal.
9Lag Screw Insertion with
ITST Compression Device
Proximal
Targeting
Guide
Indicator
Line
Thread the appropriate
Lag Screw securely to the
Lag Screw Compression
Device T-Handle. Insert Lag
Screw to within 5mm of the
subchondral bone, monitoring
the Lag Screw advancement
with the C-arm. Rotate the Lag
Screw Compression Device
T-Handle such that one of the
four etched lines is in line
with the etched line on the
Proximal Targeting Guide. If
intra operative compression of
the fracture is desired, begin
advancing the Compressor
clockwise against the Lag
Screw Bushing.
Lag Screw Compressor
Compression
Retainer
Compression
Device T-Handle
10aDistal Screw
Fixation – 180mm
/ Short Nails
Assemble appropriate Bushings into the ITST
Targeting Guide. Drill, measure and insert
appropriate sized screws.
ITST Global
Nails 180mm Diameter Distal Screw Drill Size
10mm Nail 4.5mm Screw 3.7mm Drill
11mm Nail 5.5mm Screw 5.0mm Drill
12mm Nail 5.5mm Screw 5.0mm Drill
13mm Nail 5.5mm Screw 5.0mm Drill
14mm Nail 5.5mm Screw 5.0mm Drill
15mm Nail 5.5mm Screw 5.0mm Drill
Wrench/
Driver
Guide Pin
Lag Screw
Bushing
5Nail
Assembly 6Nail Insertion
Select the appropriate size ITST Femoral Nail. Slide
the ITST Locking Bolt through the barrel in the ITST
Proximal Targeting Guide and secure.
Check lag and distal screw holes for correct
instrument assembly. Nail may be inserted by hand.
Locking Bolt
Proximal
Targeting Guide
Correct Alignment:
arrow to arrow
ITST Global Nails
300mm-500mm
10mm Nail 4.5mm Screw 3.7mm Drill
11mm Nail 5.5mm Screw 5.0mm Drill
12mm Nail 5.5mm Screw 5.0mm Drill
13mm Nail 5.5mm Screw 5.0mm Drill
14mm Nail 5.5mm Screw 5.0mm Drill
Incorrect
Correct
10b
Distal Screw Fixation
– Long Nails
Freehand Technique
11Completion
Neutral Cap* (5mm Shown)
Sliding Cap* (0mm Shown)
Locking Cap* (15mm Shown)
Insert the appropriate Nail Cap:
Neutral Nail Cap, Sliding Nail Cap,
or Locking Nail Cap with the Nail
Cap Inserter. Tighten until
fully seated.
* All Nail Caps are
available in 0, 5, 10, 15,
and 20mm head heights.
Zimmer ITST Intertrochanteric/Subtrochanteric Fixation System
ITST Implant Ordering Information
Prod. No. Description Size
00-2257-000-07 ITST Asia Set
(contains the following)
00-2256-180-10 Univ L/R Fem IM Nail 10mmDX18cm
00-2256-180-11 Univ L/R Fem IM Nail 11mmDX18cm
00-2256-180-12 Univ L/R Fem IM Nail 12mmDX18cm
00-2256-180-13 Univ L/R Fem IM Nail 13mmDX18cm
00-2256-180-14 Univ L/R Fem IM Nail 14mmDX18cm
00-2256-180-15 Univ L/R Fem IM Nail 15mmDX18cm
00-2257-000-05 ITST Global Short Set
(contains the following)
00-2257-180-10 Univ L/R Fem IM Nail 10mmDX18cm
00-2257-180-11 Univ L/R Fem IM Nail 11mmDX18cm
00-2257-180-12 Univ L/R Fem IM Nail 12mmDX18cm
00-2257-180-13 Univ L/R Fem IM Nail 13mmDX18cm
00-2257-180-14 Univ L/R Fem IM Nail 14mmDX18cm
00-2257-180-15 Univ L/R Fem IM Nail 15mmDX18cm
00-2257-000-06 ITST Global Long Set
(contains the following)
00-2257-300-00 Left Fem IM Nail 10mmDX30cm
00-2257-300-01 Left Fem IM Nail 11mmDX30cm
00-2257-300-02 Left Fem IM Nail 12mmDX30cm
00-2257-300-03 Left Fem IM Nail 13mmDX30cm
00-2257-300-04 Left Fem IM Nail 14mmDX30cm
00-2257-300-10 Right Fem IM Nail 10mmDX30cm
00-2257-300-11 Right Fem IM Nail 11mmDX30cm
00-2257-300-12 Right Fem IM Nail 12mmDX30cm
00-2257-300-13 Right Fem IM Nail 13mmDX30cm
00-2257-300-14 Right Fem IM Nail 14mmDX30cm
00-2257-320-00 Left Fem IM Nail 10mmDX32cm
00-2257-320-01 Left Fem IM Nail 11mmDX32cm
00-2257-320-02 Left Fem IM Nail 12mmDX32cm
00-2257-320-03 Left Fem IM Nail 13mmDX32cm
00-2257-320-04 Left Fem IM Nail 14mmDX32cm
00-2257-320-10 Right Fem IM Nail 10mmDX32cm
00-2257-320-11 Right Fem IM Nail 11mmDX32cm
00-2257-320-12 Right Fem IM Nail 12mmDX32cm
00-2257-320-13 Right Fem IM Nail 13mmDX32cm
00-2257-320-14 Right Fem IM Nail 14mmDX32cm
00-2257-340-00 Left Fem IM Nail 10mmDX34cm
00-2257-340-01 Left Fem IM Nail 11mmDX34cm
00-2257-340-02 Left Fem IM Nail 12mmDX34cm
00-2257-340-03 Left Fem IM Nail 13mmDX34cm
00-2257-340-04 Left Fem IM Nail 14mmDX34cm
00-2257-340-10 Right Fem IM Nail 10mmDX34cm
00-2257-340-11 Right Fem IM Nail 11mmDX34cm
00-2257-340-12 Right Fem IM Nail 12mmDX34cm
00-2257-340-13 Right Fem IM Nail 13mmDX34cm
00-2257-340-14 Right Fem IM Nail 14mmDX34cm
00-2257-360-00 Left Fem IM Nail 10mmDX36cm
00-2257-360-01 Left Fem IM Nail 11mmDX36cm
00-2257-360-02 Left Fem IM Nail 12mmDX36cm
00-2257-360-03 Left Fem IM Nail 13mmDX36cm
00-2257-360-04 Left Fem IM Nail 14mmDX36cm
00-2257-360-10 Right Fem IM Nail 10mmDX36cm
00-2257-360-11 Right Fem IM Nail 11mmDX36cm
00-2257-360-12 Right Fem IM Nail 12mmDX36cm
00-2257-360-13 Right Fem IM Nail 13mmDX36cm
00-2257-360-14 Right Fem IM Nail 14mmDX36cm
00-2257-380-00 Left Fem IM Nail 10mmDX38cm
00-2257-380-01 Left Fem IM Nail 11mmDX38cm
00-2257-380-02 Left Fem IM Nail 12mmDX38cm
00-2257-380-03 Left Fem IM Nail 13mmDX38cm
00-2257-380-04 Left Fem IM Nail 14mmDX38cm
00-2257-380-10 Right Fem IM Nail 10mmDX38cm
00-2257-380-11 Right Fem IM Nail 11mmDX38cm
00-2257-380-12 Right Fem IM Nail 12mmDX38cm
00-2257-380-13 Right Fem IM Nail 13mmDX38cm
00-2257-380-14 Right Fem IM Nail 14mmDX38cm
00-2257-400-00 Left Fem IM Nail 10mmDX40cm
00-2257-400-01 Left Fem IM Nail 11mmDX40cm
00-2257-400-02 Left Fem IM Nail 12mmDX40cm
00-2257-400-03 Left Fem IM Nail 13mmDX40cm
00-2257-400-04 Left Fem IM Nail 14mmDX40cm
00-2257-400-10 Right Fem IM Nail 10mmDX40cm
00-2257-400-11 Right Fem IM Nail 11mmDX40cm
00-2257-400-12 Right Fem IM Nail 12mmDX40cm
00-2257-400-13 Right Fem IM Nail 13mmDX40cm
00-2257-400-14 Right Fem IM Nail 14mmDX40cm
00-2257-420-00 Left Fem IM Nail 10mmDX42cm
00-2257-420-01 Left Fem IM Nail 11mmDX42cm
00-2257-420-02 Left Fem IM Nail 12mmDX42cm
00-2257-420-03 Left Fem IM Nail 13mmDX42cm
00-2257-420-04 Left Fem IM Nail 14mmDX42cm
00-2257-420-10 Right Fem IM Nail 0mmDX42cm
00-2257-420-11 Right Fem IM Nail 11mmDX42cm
00-2257-420-12 Right Fem IM Nail 12mmDX42cm
00-2257-420-13 Right Fem IM Nail 13mmDX42cm
00-2257-420-14 Right Fem IM Nail 14mmDX42cm
00-2257-440-00 Left Fem IM Nail 10mmDX44cm
00-2257-440-01 Left Fem IM Nail 11mmDX44cm
00-2257-440-02 Left Fem IM Nail 12mmDX44cm
Prod. No. Description Size
00-2257-440-03 Left Fem IM Nail 13mmDX44cm
00-2257-440-04 Left Fem IM Nail 14mmDX44cm
00-2257-440-10 Right Fem IM Nail 10mmDX44cm
00-2257-440-11 Right Fem IM Nail 11mmDX44cm
00-2257-440-12 Right Fem IM Nail 12mmDX44cm
00-2257-440-13 Right Fem IM Nail 13mmDX44cm
00-2257-440-14 Right Fem IM Nail 14mmDX44cm
00-2257-460-00 Left Fem IM Nail 10mmDX46cm
00-2257-460-01 Left Fem IM Nail 11mmDX46cm
00-2257-460-02 Left Fem IM Nail 12mmDX46cm
00-2257-460-03 Left Fem IM Nail 13mmDX46cm
00-2257-460-04 Left Fem IM Nail 14mmDX46cm
00-2257-460-10 Right Fem IM Nail 10mmDX46cm
00-2257-460-11 Right Fem IM Nail 11mmDX46cm
00-2257-460-12 Right Fem IM Nail 12mmDX46cm
00-2257-460-13 Right Fem IM Nail 13mmDX46cm
00-2257-460-14 Right Fem IM Nail 14mmDX46cm
00-2257-480-00 Left Fem IM Nail 10mmDX48cm
00-2257-480-01 Left Fem IM Nail 11mmDX48cm
00-2257-480-02 Left Fem IM Nail 12mmDX48cm
00-2257-480-03 Left Fem IM Nail 13mmDX48cm
00-2257-480-04 Left Fem IM Nail 14mmDX48cm
00-2257-480-10 Right Fem IM Nail 10mmDX48cm
00-2257-480-11 Right Fem IM Nail 11mmDX48cm
00-2257-480-12 Right Fem IM Nail 12mmDX48cm
00-2257-480-13 Right Fem IM Nail 13mmDX48cm
00-2257-480-14 Right Fem IM Nail 14mmDX48cm
00-2257-500-00 Left Fem IM Nail 10mmDX50cm
00-2257-500-01 Left Fem IM Nail 11mmDX50cm
00-2257-500-02 Left Fem IM Nail 12mmDX50cm
00-2257-500-03 Left Fem IM Nail 13mmDX50cm
00-2257-500-04 Left Fem IM Nail 14mmDX50cm
00-2257-500-10 Right Fem IM Nail 10mmDX50cm
00-2257-500-11 Right Fem IM Nail 11mmDX50cm
00-2257-500-12 Right Fem IM Nail 12mmDX50cm
00-2257-500-13 Right Fem IM Nail 13mmDX50cm
00-2257-500-14 Right Fem IM Nail 14mmDX50cm
Nail Caps
00-2259-007-00 ITST 1-Piece Slide Nail Cap 0mm
00-2259-007-05 ITST 1-Piece Slide Nail Cap 5mm
00-2259-007-10 ITST 1-Piece Slide Nail Cap 10mm
00-2259-007-15 ITST 1-Piece Slide Nail Cap 15mm
00-2259-007-20 ITST 1-Piece Slide Nail Cap 20mm
00-2259-008-00 ITST 1-Piece Lock Nail Cap 0mm
00-2259-008-05 ITST 1-Piece Lock Nail Cap 5mm
00-2259-008-10 ITST 1-Piece Lock Nail Cap 10mm
00-2259-008-15 ITST 1-Piece Lock Nail Cap 15mm
00-2259-008-20 ITST 1-Piece Lock Nail Cap 20mm
00-2259-009-00 ITST One-Piece NTRL Nail Cap 0mm
00-2259-009-05 ITST One-Piece NTRL Nail Cap 5mm
00-2259-009-10 ITST One-Piece NTRL Nail Cap 10mm
00-2259-009-15 ITST One-Piece NTRL Nail Cap 15mm
00-2259-009-20 ITST One-Piece NTRL Nail Cap 20mm
00-2257-000-09 Anti-Rotation Screws
(contains the following)
00-2257-060-65 ITST Anti-Rotate Screw 6.5mmDX60mm
00-2257-065-65 ITST Anti-Rotate Screw 6.5mmDX65mm
00-2257-070-65 ITST Anti-Rotate Screw 6.5mmDX70mm
00-2257-075-65 ITST Anti-Rotate Screw 6.5mmDX75mm
00-2257-080-65 ITST Anti-Rotate Screw 6.5mmDX80mm
00-2257-085-65 ITST Anti-Rotate Screw 6.5mmDX85mm
00-2257-090-65 ITST Anti-Rotate Screw 6.5mmDX90mm
00-2257-095-65 ITST Anti-Rotate Screw 6.5mmDX95mm
00-2257-100-65 ITST Anti-Rotate Screw 6.5mmDX100mm
00-2257-105-65 ITST Anti-Rotate Screw 6.5mmDX105mm
00-2257-110-65 ITST Anti-Rotate Screw 6.5mmDX110mm
ITST Asia Lag Screws
00-2256-002-27 Asia 1-Piece Lag Screw 11mm X 70mm
00-2256-002-30 Asia 1-Piece Lag Screw 11mm X 75mm
00-2256-002-32 Asia 1-Piece Lag Screw 11mm X 80mm
00-2256-002-35 Asia 1-Piece Lag Screw 11mm X 85mm
00-2256-002-37 Asia 1-Piece Lag Screw 11mm X 90mm
00-2256-002-40 Asia 1-Piece Lag Screw 11mm X 95mm
00-2256-002-42 Asia 1-Piece Lag Screw 11mm X 100mm
00-2256-002-45 Asia 1-Piece Lag Screw 11mm X 105mm
00-2256-002-47 Asia 1-Piece Lag Screw 11mm X 110mm
00-2256-002-50 Asia 1-Piece Lag Screw 11mm X 115mm
00-2256-002-52 Asia 1-Piece Lag Screw 11mm X 120mm
ITST STD Lag Screws
00-2259-001-27 1-Piece Lag Screw 11mm X 70mm
00-2259-001-30 1-Piece Lag Screw 11mm X 75mm
00-2259-001-32 1-Piece Lag Screw 11mm X 80mm
00-2259-001-35 1-Piece Lag Screw 11mm X 85mm
00-2259-001-37 1-Piece Lag Screw 11mm X 90mm
00-2259-001-40 1-Piece Lag Screw 11mm X 95mm
00-2259-001-42 1-Piece Lag Screw 11mm X 100mm
00-2259-001-45 1-Piece Lag Screw 11mm X 105mm
00-2259-001-47 1-Piece Lag Screw 11mm X 110mm
00-2259-001-50 1-Piece Lag Screw 11mm X 115mm
00-2259-001-52 1-Piece Lag Screw 11mm X 120mm
Prod. No. Description
00-2258-000-02 ITST Short Nail Instrument Set
(includes all of the following listed below)
00-2258-005-00 ITST Short Nail Instrument Case
00-2237-053-00 Wire Grip T-Handle
00-2237-061-00 Long Cannulated Awl
00-2255-028-00 Pin Wrench (1 only)
00-2255-038-00 T-Handle
00-2255-060-00 Perc Trochanteric Reamer
00-2258-050-00 ITST Taper Reamer
00-2258-051-01 Locking Bolt Extractor
00-2258-051-02 Locking Bolt Inserter
00-2258-053-00 (Lag) Screw Position Outrigger
00-2258-067-00 3.2mm Threaded Guide Pin (Qty: 3)
00-2258-090-00 ITST Cannula
00-2258-091-00 ITST Centering Bushing
00-2258-092-01 Linked Nail Cap Inserter
00-2258-096-00 U-Joint Sleeve
00-5791-049-00 Screw Inserter Adapter
00-2255-013-00 T-Handle HxHD Screwdriver (3.5mm)
00-2258-051-00 Locking Bolts (Qty: 2)
00-2258-052-01 ITST Targeting Guide
00-2258-054-00 Threaded Guide Pin Bushing
00-2258-056-00 ITST Lag Screw Bushing
00-2258-057-00 Cannulated Depth Gauge
00-2258-058-00 Lag Screw Reamer
00-2258-059-00 Lag Screw Tap
00-2258-062-00 Stop Assembly (Qty: 2)
00-2258-068-32 ITST 3.2 Bushing
00-2258-068-50 ITST 5.0mm Drill Bushing
00-2258-068-80 ITST 8.0mm Screw Bushing (Qty: 2)
00-2258-069-50 ITST 5.0mm Femoral Drill
00-2258-097-00 ITST Lag Screw Compression Device
00-2258-000-03 ITST Accessory Instrument Set
(includes all of the following listed below)
00-2258-010-00 ITST Accessory Instrument Case
00-2237-043-00 5.0mm T-Handle Screwdriver
00-2237-062-00 Long Threaded Driver
00-2237-064-00 Nail Length Gauge
00-2255-015-01 Wand Insert
00-2255-015-02 Wand Set Screw
00-2255-015-03 Wand Handle
00-2255-018-00 Distal Screw Depth Gauge (short)
00-2255-033-37 3.7mm Distal Trocar Drill (Qty: 2)
00-2255-033-50 5.0mm Distal Trocar Drill (Qty: 2)
00-2255-034-00 Reduction Finger
00-2258-068-37 ITST 3.7mm Drill Bushing
00-2258-069-37 ITST 3.7mm Drill
00-2258-071-45 ITST 4.5mm Screw Tap
00-2258-072-00 ITST Screw Depth Gauge (long)
00-2258-077-00 Driver Extension
00-2258-078-00 Driver Extension Bolt (Qty: 1)
Optional ITST Instrumentation
00-4816-060-00 Straight Ball Spike Pusher
00-4817-011-00 Medium Bone Hook (Shoulder Hook)
00-2258-092-00 ITST One-Piece Nail Cap Inserter
00-2258-092-01 ITST Linked Nail Cap Inserter
00-2258-097-00 ITST Lag Screw Compression Assembly
(Note: 00-2258-097-00 includes:
Compression Device T-Handle, Compressor,
Compression Retainer.)
00-2258-097-01 Compression Retainer (Replacement Part)
00-2258-000-01 ITST Asia Instrument Set*
(set includes all instruments and case)
00-2258-050-01 ITST Asia Taper Reamer
00-2258-052-02 ITST Asia Targeting Guide
Contact your Zimmer representative or visit us at www.zimmer.com
97-2257-009-00 Rev. 2 7-29-15 Printed in USA ©2015 Zimmer, Inc.
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 advise in whole or in part.
Please refer to the package inserts for important product information, including, but not limited to, indications,
contraindications, warnings, precautions, and adverse effects.
The CE mark is valid only if it is also printed on the product label.
Cortical Screws
Prod. No. Description
00-2253-020-45 Cortical Screw 4.5mmDX20mm
00-2253-022-45 Cortical Screw 4.5mmDX22.5mm
00-2253-025-45 Cortical Screw 4.5mmDX25mm
00-2253-027-45 Cortical Screw 4.5mmDX27.5mm
00-2253-030-45 Cortical Screw 4.5mmDX30mm
00-2253-032-45 Cortical Screw 4.5mmDX32.5mm
00-2253-035-45 Cortical Screw 4.5mmDX35mm
00-2253-037-45 Cortical Screw 4.5mmDX37.5mm
00-2253-040-45 Cortical Screw 4.5mmDX40mm
00-2253-042-45 Cortical Screw 4.5mmDX42.5mm
00-2253-045-45 Cortical Screw 4.5mmDX45mm
00-2253-047-45 Cortical Screw 4.5mmDX47.5mm
00-2253-050-45 Cortical Screw 4.5mmDX50mm
00-2253-052-45 Cortical Screw 4.5mmDX52.5mm
00-2253-055-45 Cortical Screw 4.5mmDX55mm
00-2253-057-45 Cortical Screw 4.5mmDX57.5mm
00-2253-060-45 Cortical Screw 4.5mmDX60mm
00-2253-062-45 Cortical Screw 4.5mmDX62.5mm
00-2253-065-45 Cortical Screw 4.5mmDX65mm
00-2253-067-45 Cortical Screw 4.5mmDX67.5mm
00-2253-070-45 Cortical Screw 4.5mmDX70mm
00-2253-072-45 Cortical Screw 4.5mmDX72.5mm
00-2253-075-45 Cortical Screw 4.5mmDX75mm
00-2253-077-45 Cortical Screw 4.5mmDX77.5mm
00-2253-080-45 Cortical Screw 4.5mmDX80mm
00-2253-082-45 Cortical Screw 4.5mmDX82.5mm
00-2253-085-45 Cortical Screw 4.5mmDX85mm
00-2253-087-45 Cortical Screw 4.5mmDX87.5mm
00-2253-090-45 Cortical Screw 4.5mmDX90mm
00-2253-020-55 Cortical Screw 5.5mmDX20mm
00-2253-022-55 Cortical Screw 5.5mmDX22.5mm
00-2253-025-55 Cortical Screw 5.5mmDX25mm
00-2253-027-55 Cortical Screw 5.5mmDX27.5mm
00-2253-030-55 Cortical Screw 5.5mmDX30mm
00-2253-032-55 Cortical Screw 5.5mmDX32.5mm
00-2253-035-55 Cortical Screw 5.5mmDX35mm
Prod. No. Description
00-2253-037-55 Cortical Screw 5.5mmDX37.5mm
00-2253-040-55 Cortical Screw 5.5mmDX40mm
00-2253-042-55 Cortical Screw 5.5mmDX42.5mm
00-2253-045-55 Cortical Screw 5.5mmDX45mm
00-2253-047-55 Cortical Screw 5.5mmDX47.5mm
00-2253-050-55 Cortical Screw 5.5mmDX50mm
00-2253-052-55 Cortical Screw 5.5mmDX52.5mm
00-2253-055-55 Cortical Screw 5.5mmDX55mm
00-2253-057-55 Cortical Screw 5.5mmDX57.5mm
00-2253-060-55 Cortical Screw 5.5mmDX60mm
00-2253-062-55 Cortical Screw 5.5mmDX62.5mm
00-2253-065-55 Cortical Screw 5.5mmDX65mm
00-2253-067-55 Cortical Screw 5.5mmDX67.5mm
00-2253-070-55 Cortical Screw 5.5mmDX70mm
00-2253-072-55 Cortical Screw 5.5mmDX72.5mm
00-2253-075-55 Cortical Screw 5.5mmDX75mm
00-2253-077-55 Cortical Screw 5.5mmDX77.5mm
00-2253-080-55 Cortical Screw 5.5mmDX80mm
00-2253-082-55 Cortical Screw 5.5mmDX82.5mm
00-2253-085-55 Cortical Screw 5.5mmDX85mm
00-2253-087-55 Cortical Screw 5.5mmDX87.5mm
00-2253-090-55 Cortical Screw 5.5mmDX90mm
00-2253-092-55 Cortical Screw 5.5mmDX92.5mm
00-2253-095-55 Cortical Screw 5.5mmDX95mm
00-2253-097-55 Cortical Screw 5.5mmDX97.5mm
00-2253-100-55 Cortical Screw 5.5mmDX1000m

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