Trauma Next Generation in Repair and Reconstruction 2021
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Trauma Next Generation in Repair and Reconstruction 2021
treatment of chondral lesions, syndesmosis repair, forefoot fractures, ankle fracture with syndesmosis rupture, bunionnette, arthrodesis, mini comprehensive fixation system, metal screws, posterior tibialis, hand & wrist, loose bodies, hand/wrist fracture repair, distal radius, osteochondral lesion, achilles repair, foot sprain, ankle fusion plating, ankle osteoarthritis, le fracture, ankle fusion, metatarsus primus varus, ankle fracture, cuneiform fractures, fractures, arthroscopy, wedge osteotomy, impinge
Extracted Text
Trauma Next Generation in Repair and Reconstruction | 2021 Helping Surgeons Treat Their Patients BetterTM Since its inception, Arthrex has been committed to one mission: Helping Surgeons Treat Their Patients Better. We are strategically focused on constant product innovation through scientific research, surgeon collaboration and medical education to make less invasive surgical p rocedures simple, safer, and more reproducible. Each year, we develop more than 1000 new innovative products and procedures to advance minimally invasive orthopedics worldwide. Arthrex has always remained a privately held company, which allows for the rapid evaluation of new technologies and ideas and the freedom to develop products and techniques that truly make a difference without economic considerations or compromise. Our experienced team of dedicated professionals represents a shared passion and commitment to delivering uncompromising quality to the health care providers who use our products and the millions of patients whose lives we impact. The medical significance of our contributions serves as our primary benchmark of success and will continue into the future as the legacy of Arthrex. Table of Contents Shoulder..................................................................................................... 05 Hand and Wrist......................................................................................... 19 Hip and Femur.......................................................................................... 29 Knee............................................................................................................. 39 Foot and Ankle......................................................................................... 59 Imaging and Resection........................................................................... 97 Orthobiologics.......................................................................................... 119 Soft Tissue................................................................................................. 137 Table of Contents I 03 Shoulder Proximal Humeral Plating System.......................................................................... 06 Humeral Nail System................................................................................................. 08 Clavicle Plate and Screw System .......................................................................... 10 Low-Profile AC Implant.............................................................................................. 12 Dog BoneTM Button...................................................................................................... 12 AC TightRope� Implant............................................................................................. 13 Twin Tail TightRope Implant.................................................................................... 13 AC InternalBraceTM Ligament Repair...................................................................... 14 AC Joint Master Set................................................................................................... 15 FiberTape� Cerclage System.................................................................................. 16 Shoulder I 05 Proximal Humeral Plating System New! (a) (b) (c) The ALPHA plate is a unique anatomical side-specific plate with a proximal contour that allows for sparing of the deltoid insertion and avoidance of dissection/softtissue stripping at the subdeltoid space. Helps to avoid postoperative adhesions/stiffness and promotes preservation of the vascular supply to the bone. Preserves native deltoid insertion for cases that require future conversion to a reverse shoulder prosthesis. Secondary distal contour creates an optimal structure for fractures with shaft extension. The ALPHA's proprietary dual-curvature design creates a near 90� opposition from proximal cluster and anterior shaft, providing for superior torsional stability (available in longer plates only). � The secondary curvature allows for a more anterior position of the distal plate, avoiding the superior flare of the lateral epicondyle of the humerus for fixation of distal fractures. Convergent proximal screw pattern allows for increased spread in the humeral head while creating an intramedullary strut to resist excessive settling or subsidence of the humeral head fragment. Shaft suture holes facilitate biceps tenodesis. The proximal humeral plate is available in a distalfitting, limited-impingement 130� configuration, or a more proximal fracture-buttressing 95� construct. Five plate lengths are offered, ranging from 3- to 14-hole constructs. The system features 4 mm cancellous locking screws in the proximal cluster and 3.5 mm locking or nonlocking cortical screws for distal fixation in the shaft. Proximal Humeral Plate Main Tray Product Description Instruments Trocar Tip Guidewire, 2.0 mm � 150 mm Cortical Tap, 3.5 mm, AO Style Calibrated Drill, AO style, 2.5 mm � 95 mm Calibrated Drill, long, 2.5 mm � 130 mm Calibrated Step Drill, AO style, 3.5/2.5 mm � 130 mm Cancellous Tap, 3.5 mm, AO style Screw Sheath Drill Guide, nonlocking/locking, 2.5 mm Drill Guide, 2.5 mm Drill Guide, 2.5 mm Drill Guide, 3.5 mm T15 Driver, AO style Screw Gripper, 3.5 mm/4.0 mm screws Hex Driver, 2.5 mm Solid T15 Screwdriver Hex Driver, 5.0 mm T15 Screwdriver, large Hudson Ratcheting Small Axial Handle, AO quick connect, cannulated Proximal Screw Depth Gauge Hook Tip Depth Gauge, locking/nonlocking Alignment Guide, proximal humeral plate Bolt, T15, alignment guide, proximal humeral plate Proximal Humeral Plate Case Assembly Item Number 0102-150 0226-100 0237-100 0250-000 0254-000 0255-200 0316-100 0318-100 0324-200 0327-000 0331-000 0432-400 0433-000 0448-000 0448-300 5001-000 0452-200 5026-100 0522-100 0523-100 1250-200 1251-200 9912-100 06 I Shoulder Proximal Humeral Plating System (Cont.) Proximal Humeral Plate Main Tray (Cont.) Product Description Implants Proximal Humeral Plate, 3-hole Proximal Humeral Plate, 5-hole Proximal Humeral Plate, 8-hole Proximal Humeral Plate, 11-hole Proximal Humeral Plate, 14-hole Cortical Screw, 3.5 mm � 20 mm-32 mm (2 mm increments), 35 mm, 40 mm, 45 mm Cortical Locking Screw, 3.5 mm � 20 mm-36 mm (2 mm increments) Cortical Bone Screw, 3.5 mm � 20 mm-32 mm (2 mm increments), 35 mm, 40 mm, 45 mm Cortical Screw, double lead lock, 3.5 mm � 20 mm-36 mm (2 mm increments) Cancellous Locking Screw, fully threaded, 4.0 mm � 22 mm-60 mm (2 mm increments), 65 mm, 70 mm Cancellous Locking Screw, partially threaded, 4.0 mm � 22 mm-60 mm (2 mm increments), 65 mm, 70 mm Item Number 3012-003 3012-005 3012-008 3012-011 3012-014 8010-200-450 8014-200-360 8110-020-045 8114-020-036 8124-022-070 8128-022-070 Proximal Humeral Plate Expansion Kit Product Description Instruments Alignment Guide Locking Bolt, proximal humeral plate Alignment Guide, 95� PHP Alignment Guide, ALPHA plate, left Alignment Guide, ALPHA plate, right AOS Proximal Humeral Plate Expansion Kit Tray Guide Pin, 1.5 mm Implants 95� Proximal Humeral Plate, 3-hole 95� Proximal Humeral Plate, 5-hole ALPHA Plate, left, 4-hole ALPHA Plate, left, 5-hole ALPHA Plate, left, 7-hole ALPHA Plate, left, 11-hole ALPHA Plate, left, 14-hole ALPHA Plate, left, 16-hole ALPHA Plate, left, 18-hole ALPHA Plate, right, 4-hole ALPHA Plate, right, 5-hole ALPHA Plate, right, 7-hole ALPHA Plate, right, 11-hole ALPHA Plate, right, 14-hole ALPHA Plate, right, 16-hole ALPHA Plate, right, 18-hole Item Number 1251-200 1288-000 1296-000 1297-000 9941-000 0109-150 3022-003 3022-005 3024-004 3024-005 3024-007 3024-011 3024-014 3024-016 3024-018 3025-004 3025-005 3025-007 3025-011 3025-014 3025-016 3025-018 Shoulder I 07 Humeral Nail System The Arthrex Humeral Nail System consists of both short and long intramedullary nails. The 15 cm short nail is best suited for simple two-part fractures of the proximal humerus involving the surgical neck of the humerus and for proximal third humeral fractures without comminution. The long humeral nail is primarily intended for humeral shaft fractures, which are inherently not prone to varus malposition. 6� proximal bend facilitates nail insertion with an incision just medial to the rotator cuff insertion Threaded proximal holes in every nail eliminate screw back out Self-reaming tip allows for less bone disruption at the entry site and decreases OR time (short nail) 5 mm of compression is achieved intraoperatively through the jig, allowing for exact and reproducible compression (long nail) Humeral Nail System Product Description Instruments Straight Awl, cannulated Entry Reamer, cannulated, 10.5 mm Flexible Shaft Reamer Head, 6.0 mm Reamer Head, 6.5 mm Reamer Head, 7.0 mm Reamer Head, 7.5 mm Reamer Head, 8.0 mm Reamer Head, 8.5 mm Reamer Head, 9.0 mm Reamer Head, 9.5 mm Reamer Head, 10.0 mm Drill Guide, green, 2.5 mm Drill Guide, gold, 3.5 mm Drill Guide, blue, distal, 3.0 mm Driver, hex Driver, hex, flexible, 2.5 mm T-Handle Screw Gripper Screw Driver, hex, 2.5 mm Screw Driver, hex, 3.5 mm Guidewire Gripper, 2.0 mm / 3.0 mm Depth Gauge, hook tip Depth Gauge, ball tip, proximal Screw Sheath Distal Sheath Drill Guide, 2.9 mm Screw Trochar Extractor Lateralizer Reduction Tool Impactor Pad Combination Wrench Targeting Module Insertion Guide Locking Bolt Humeral Nail Case New! Item Number 0218 0221 0222 0223-060 0223-065 0223-070 0223-075 0223-080 0223-085 0223-090 0223-095 0223-100 0307 0309 0314 0407 0418 0411 0413 0416 0417 0419 0513 0517 0601 0602 0604 0607 0803 0806 0807 0808-100 0813 1228-100 1230 1231 9903-100 08 I Shoulder Humeral Nail System (Cont.) Product Description Nails Proximal Humeral Nail, 8 mm � 15 cm Humeral Nail, 7 mm � 20 cm Humeral Nail, 7 mm � 22.5 cm Humeral Nail, 7 mm � 25 cm Humeral Nail, 7 mm � 27.5 cm Humeral Nail, 7 mm � 30 cm Humeral Nail, 8 mm � 20 cm Humeral Nail, 8 mm � 22.5 cm Humeral Nail, 8 mm � 25 cm Humeral Nail, 8 mm � 27.5 cm Humeral Nail, 8 mm � 30 cm Humeral Nail, 9 mm � 20 cm Humeral Nail, 9 mm � 22.5 cm Humeral Nail, 9 mm � 25 cm Humeral Nail, 9 mm � 27.5 cm Humeral Nail, 9 mm � 30 cm Item Number 1170-150 1171-200 1171-225 1171-250 1171-275 1171-300 1172-200 1172-225 1172-250 1172-275 1172-300 1173-200 1173-225 1173-250 1173-275 1173-300 Product Description Screws Cancellous Screw, 5.0 mm � 25 mm-60 mm (5 mm increments) Cortical Screw, 3.5 mm � 17.5 mm-40 mm (2.5 mm increments) End Cap, 2 mm End Cap, 5 mm Fracture Reduction Screw Disposables Guide Pin, 3.2 mm Guidewire w/ Trocar Tip, 2.0 mm Guidewire, ball nose, 2.0 mm Drill Bit, calibrated, green, 2.5 mm Drill Bit, calibrated, gold, 3.5 mm Drill Bit, short, 2.9 mm Tap, cortical, 3.5 mm Drill Bit, calibrated, blue, 3.0 mm New! Item Number 8022-025-060 8010-175-400 1074-020 1074-050 1175-000 0100 0102-500 0103-800 0217-100 0220-100 0224-100 0226 0230 Shoulder I 09 Clavicle Plate and Screw System Clavicle Plating System (AR-2650S) Product Description Instruments Driver Handle w/ AO, cannulated Positioning Handle, distal clavicle plate Plate Bending Pliers Verbrugge Forceps w/ Pivoting Jaw Drill, screw guide, distal clavicle plate Drill Screw Drive Shaft, hexalobe, solid Drive Shaft, hexalobe, long Drill/Screw Guide Sleeve, 2.7 mm locking screws, qty.2 Screw Depth Indicator, 2.7 mm Step Drill For 2.5 mm Fragment Screw, qty. 2 Screwdriver, T8 hexalobe Driver, hexalobe, T15 Drill Guide, 2.6 mm / 1.35 mm Bone Reduction Forceps, curved, pointed, qty. 2 Item Number AR-13221AOC AR-2659 AR-2660 AR-2662 AR-2664L AR-2664R AR-2665-T10 AR-2666-T15 AR-2668 AR-2670 AR-2752 AR-8916-22 AR-8941DH AR-8943-03 AR-8943-07 Product Description Screwdriver, T10 hexalobe Screwdriver, T15 hexalobe Holding Sleeve for 2.7 mm, 3.5 mm and 4.0 mm screws Drill Guide, 3.5 mm/2.5 mm Depth Device, 2.7 mm/3.5 mm /4.0 mm screws Drill Guide, threaded, 2.7 mm, qty. 2 Bending Iron Plate, qty. 2 Freer Elevator Periosteal Elevator, curved blade, 6 mm Sharp Hook Hohmann Retractor, 15 mm Lobster Claw, qty. 2 Drill Guide, threaded, 3.5 mm Locking Bending Guide, 3.5 mm, qty. 2 Clavicle Plating System Instrument Case Item Number AR-8943-08 AR-8943-10 AR-8943-11 AR-8943-14 AR-8943-15 AR-8943-17 AR-8943-18 AR-8943-19 AR-8943-20 AR-8943-21 AR-8943-22 AR-8943-23 AR-8943-26 AR-8954-07 AR-2650C 10 I Shoulder Clavicle Plate and Screw System (Cont.) Product Description Item Number Plates � Clavicle Fracture Plates, Central Third, Stainless Steel (a) Large Curve, 86 mm, left (a) AR-2650CL (b) Large Curve, 86 mm, right (g) AR-2650CR Medium Curve, 93 mm, left (b) AR-2651CL (c) Medium Curve, 93 mm, right (h) AR-2651CR Small Curve, 98 mm, left (c) AR-2652CL (d) Small Curve, 98 mm, right (i) AR-2652CR (e) Medium Curve, 120 mm, left (d) AR-2653CL Medium Curve, 120 mm, right (j) AR-2653CR (f) X-small Curve, 87 mm, left (e) AR-2654CL X-small Curve, 87 mm, right (k) AR-2654CR (g) Small Curve, 76 mm, left (f) AR-2655CL (h) Small Curve, 76 mm, right (l) AR-2655CR Clavicle Fracture Plate, straight, 7h (m) AR-2680ST (i) Plates � Distal Third Plates (j) 22�, 70 mm, left (n) AR-2622DL 22�, 70 mm, right (o) AR-2622DR (k) Small, 70 mm, left (q) Small, 70 mm, right (p) Medium, 100 mm, left (s) AR-2656-DL (l) AR-2656-DR AR-2657-DL (m) Medium, 100 mm, right (r) Large, 126 mm, left (t) AR-2657-DR AR-2658DL-10 (n) Large, 126 mm, right (u) Distal Clavicle Button, qty. 4 AR-2658DR-10 (o) AR-2658 Screws, Stainless Steel* (p) Fragment Screws, hexalobe, 2.5 mm � AR-2665-10H- 10 mm-24 mm 24H (q) Low Profile Screws, 2.7 mm � 10 mm � 24 mm AR-8827-10-24 Low Profile Locking Screws, 2.7 mm � 10 mm-24 mm AR-8827L-10-24 (r) Low Profile Screws, cancellous, fully threaded, AR-8830-10-24 3.0 mm � 10 mm-24 mm (s) Low Profile Screws, cortical, 3.5 mm � 10 mm-30 mm AR-8835-10-30 Low Profile Screws, locking, 3.5 mm � 8 mm-24 mm AR-8835L-8-24 (t) Low Profile Screws, cancellous, AR-8840-10-24 4.0 mm � 10 mm-24 mm Disposables BB-Tak, qty. 4 (u) AR-13226 Guidewire, .062 in, qty. 4 AR-2663 Drill Bit, calibrated, 2.0 mm, qty. 2 AR-8943-16 Drill Bit, calibrated, 2.5 mm, qty. 2 AR-8943-13 Drill Bit, 2.7 mm distal locking screws, qty. 2 AR-2669 *All screws come in 2 mm increments Literature Product Description Clavicle Plate and Screw System Surgical Technique Inventory Control Form: Clavicle Plate System (AR-2650S) Item Number LT1-0255-EN LF1-0255-EN Shoulder I 11 Low-Profile AC Implant Dog BoneTM Button The Low-Profile AC implant and Dog BoneTM button combine to form a strong, low-profile device optimized for the stabilization of acute AC joint separations. This dual construct features two independent tensionable TightRope� sutures preassembled into a clavicle insert and a Dog Bone button that attaches separately to the suture loops after they are passed antegrade through the 3 mm bone tunnels. Low-Profile AC Implant Kit Product Description Low-Profile AC Implant Kit Includes knotless AC implant, Dog Bone button, 3 mm drill, SutureLassoTM SD wire loop, and 5.1 mm cannulated reamer Low-Profile AC Implant 5.1 mm Cannulated Reamer w/ Stop Item Number AR-2371 AR-2370 AR-2374 Required Instruments and Disposables Product Description Acromioclavicular Joint Master Set SutureLasso SD Wire Loop, 5/box Cannulated Drill for AC Repair, 3 mm Item Number AR-2255MS AR-4068-05SD AR-2257D-30 Literature Product Description Low-Profile AC Repair System Item Number LT1-00059-EN The precontoured, titanium Dog Bone button allows the use of Knotless TightRope technology or multiple FiberTape� sutures for AC joint reduction. The buttons are attached to the Low-Profile AC TightRope implant or FiberTape sutures independently; only suture material will be passed through the clavicle and coracoid tunnels, allowing the repair to be completed through smaller tunnels. Acute AC Repair Kit Product Description Acute AC Repair Kit Includes Dog Bone button preloaded onto FiberTape and TigerTapeTM Loops, free Dog Bone button, 3 mm cannulated drill, and nitinol suture-passing wire Dog Bone Button FiberTape Loop TigerTape Loop Item Number AR-2271 AR-2270 AR-7275 AR-7275T Required Instruments and Disposables Product Description Acromioclavicular Joint Master Set SutureLasso SD Wire Loop, 5/box Cannulated Drill for AC Repair, 3 mm Cannulated Drill for AC Repair, 2.4 mm Item Number AR-2255MS AR-4068-05SD AR-2257D-30 AR-2257D-24 Optional Product Description Clavicle Button Coracoid Button Clavicle Washer Item Number AR-2257-01 AR-2257-02 AR-2258-03 Literature Product Description AC Repair - Dog Bone Button Surgical Technique Item Number LT1-0531-EN 12 I Shoulder AC TightRope� Implant Twin Tail TightRope Implant This implant allows surgeons to easily reconstruct acute AC joint separations in a minimally invasive manner, either open or arthroscopic, using a 4-strand continuous loop of #5 FiberWire� suture interlaced between 2 titanium buttons. AC TightRope Repair Kit Product Description AC TightRope Repair Kit Includes AC TightRope implant, suture-passing wire, and knot pusher Item Number AR-2257 Required Instruments Product Description AC Joint Reconstruction Master Set Item Number AR-2255MS Required Disposable Product Description 2.4 mm Drill Tip Guide Pin Item Number AR-1250L Optional Disposables Product Description SutureLassoTM SD Wire Loop, 5/box Button Inserter Item Number AR-4068-05SD AR-2262 This implant features two independent clavicle button tails and is designed to help reduce and stabilize the AC joint for open, acute AC injuries. Product Description Twin Tail TightRope Implant Required Instruments Product Description Drill Tip Guide Pin, 2.4 mm Cannulated Drill, 4.5 mm Cannulated Long Drill, 4 mm Button Inserter SutureLasso SD Suture Passer, crescent or Micro SutureLasso Suture Passer, minor bend Optional Instruments Product Description Guide Pin Sleeve Item Number AR-2264 Item Number AR-1250L AR-1204.5L AR-1204LX AR-2262 AR-4068C AR-8701 Item Number AR-2255CG-02 Shoulder I 13 AC InternalBraceTM Ligament Repair The InternalBrace procedure combined with CC ligament fixation may help limit posterior displacement of the clavicle. A 5 mm offset guide can help drill the acromion and clavicle anteriorly. The guide accepts both the existing 3.5 mm SwiveLock� drill and the 4.75 mm SwiveLock drill. Product Description 5 mm Offset Guide for AC InternalBrace Procedure Twist Drill for 4.75 mm SwiveLock Anchor Drill for 3.5 mm SwiveLock Anchor, sterile BioComposite SwiveLock C Anchor, 4.75 mm � 19.1 mm BioComposite SwiveLock Anchor, 3.5 mm � 15.8 mm FiberTape Suture, 2 mm, 7 in (blue), each end tapered to #2 FiberWire� suture Item Number AR-2276-05 AR-2276D AR-2325D-ST AR-2324BCC AR-2325BCC AR-7237-7 14 I Shoulder AC Joint Master Set The Acromioclavicular Joint Reconstruction System contains the instrumentation necessary to complete the acute and chronic AC joint repair techniques. AC Joint Reconstruction System (AR-2255MS) Product Description Cannulated Drill, 4 mm Cannulated Drill, 4.5 mm Cannulated Headed Reamer, 5 mm Cannulated Headed Reamer, 5.5 mm Cannulated Headed Reamer, 6 mm Cannulated Headed Reamer, 6.5 mm ACL Guide Frame Handle Assembly AC Guide, left AC Guide, right Fixed Guide Guide Pin Sleeve, 2.4 mm Clavicle Drill Positioner Drill Stop Drill Sleeve, 3 mm AC Tenodesis Screw Driver Coracoid Graft Passer, left Coracoid Graft Passer, right AC GraftRope Graft Sizer Forked Probe AC Joint Instrumentation Case Item Number AR-1204L AR-1204.5L AR-1405 AR-1405.5 AR-1406 AR-1406.5 AR-1510H AR-2254L AR-2254R AR-2255CG-01 AR-2255CG-02 AR-2255CG-03 AR-2255CG-04 AR-2255CG-05 AR-2255D AR-2256L AR-2256R AR-2265 AR-6002 AR-2255MC Optional Product Description Guide Arm, left Guide Arm, right AC Drill Guide Assembly Item Number AR-2253L AR-2253R AR-2273 Shoulder I 15 FiberTape� Cerclage System (a) (b) The FiberTape cerclage system consists of specially designed FiberTape sutures, a passing needle, passing hooks, and a tensioner. The system is designed to replace standard cable and wire systems commonly used in upper and lower extremity trauma, arthroplasty, and sternal closure indications. 100% radiolucent � no radiographic interference from cerclage No concerns of metal mismatch with adjacent implants No sharp ends or broken wires to potentially harm the patient or medical staff No metal debris migration or concerns of metallosis Disposables Product Description Passing Needle, medium FiberTape Cerclage Disposable Tensioner FiberTape Cerclage Straight Passer, medium, disposable FiberTape Cerclage Straight Passer, large, disposable FiberTape Cerclage Trochanteric Passer, disposable FiberTape Cerclage Offset Passer, left, disposable FiberTape Cerclage Offset Passer, right, disposable, FiberTape Cerclage Straight Passer, small, disposable Item Number AR-7816 AR-7820 AR-7821 AR-7822 AR-7823 AR-7824L AR-7824R AR-7825 Literature Product Description FiberTape Cerclage System Surgical Technique FiberTape Cerclage System Surgical Technique Item Number LT1-00163-en-US LT1-00130-EN Product Description FiberTape Cerclage (blue) With TigerLinkTM Suture Shuttle and Loader TigerTape Cerclage (white/black) With FiberLinkTM Suture Shuttle and Loader Item Number AR-7268 AR-7268T FiberTape Cerclage Tensioner Set Includes (AR-7830S) Product Description Tensioner, reusable (a) Tensioner Ratcheting Handle Cerclage Straight Passing Hook, medium Cerclage Straight Passing Hook, large Cerclage Trochanteric Passing Hook, large Cerclage Left Offset Passing Hook Cerclage Right Offset Passing Hook Cerclage Curved Passing Hook Cerclage Blunt Passing Hook, medium Cerclage Blunt Passing Hook, large, Non-ratcheting Handle FiberTape Cerclage Instrument Case Item Number AR-7800 AR-7801 AR-7831 AR-7832 AR-7833 AR-7834L AR-7834R AR-7835 AR-7836 AR-7837 AR-2003NR AR-7830C Optional Product Description FiberWire� Scissor Item Number AR-11796 Trusted biomechanical performance and strong fixation Cerclage Ultimate Load (N)1,2 4500 4000 3500 3000 2500 2000 1500 1000 500 0 18G Stainless 1.6 mm CoCr Steel Wire Cable FiberTape Cerclage References 1. Arthrex, Inc. Data on file (APT 3197). Naples, FL; 2017. 2. Arthrex, Inc. Data on File (APT 04426). Naples, FL; 2019. Low-profile tapes lay flat under or above plating 16 I Shoulder Shoulder I 17 Hand and Wrist Wrist Plating System.................................................................................................. 20 Fragment-Specific Plating........................................................................................ 22 Mini Comprehensive Fixation System (CFS) � Hand and Foot..................... 23 Mini Comprehensive Fixation System (1.4 mm and 1.6 mm)......................... 24 Mini Comprehensive Fixation System (2.0 mm) ............................................... 25 Mini Comprehensive Fixation System (2.4 mm) ............................................... 26 Small External Fixation System.............................................................................. 27 Hand and Wrist I 19 Wrist Plating System Two dedicated radial styloid screws Graft window for fragment manipulation and bone grafting Extended slotted hole for plate positioning Contoured for tendon safety K-wires mimic screw trajectory to assess position relative to the joint Multiple fixed and variable angle screw options are available Locking and nonlocking options in shaft Dedicated ulnar fragment support PEEK Aiming Guide Fixed Angle Drill Sleeves Variable Angle Drill Guide The Wrist Plating System provides a comprehensive solution for distal radius fracture management. Narrow, standard, and wide plates are available in multiple shaft lengths. A variety of screw fixation options, aiming guides, and instrumentation allows for customizing according to the surgeon's needs and the complexity of the fracture. Wrist Plating System (AR-8916S) Product Description Wrist Plating System Case Aiming Guides Aiming Guide, narrow, right Aiming Guide, narrow, left Aiming Guide, standard, right Aiming Guide, standard, left Aiming Guide, wide, right Aiming Guide, wide, left Instrumentation for 2.4 mm VAL and Cortical Screws Drill Bit, graduated, 1.7 mm Drill Guide, VAL, 2.4 mm Drill Guide (Aiming Guide), 2.4 mm Drill Guide, threaded, locking, 2.4 mm � 40 mm Drill Sleeve, 1.7 mm Depth Probe (Drill Guide), 2.4 mm Depth Guide, 2.4 mm screws Drive Shaft, T8 hexalobe, self-retaining, QC Screwdriver, T8 hexalobe, solid Item Number AR-8916C AR-8916-03 AR-8916-04 AR-8916-01 AR-8916-02 AR-8916-20 AR-8916-15 AR-8916-14 AR-8916-21 AR-8916-09 AR-8950-04 AR-8916-18 AR-8916-08 AR-13120G-02 AR-8916-27 AR-8916-22 Product Description Instrumentation for 3.5 mm Locking and Cortical Screws Drill Guide, threaded, 3.5 mm � 30 mm Drill Sleeve, 2.5 mm Drill Bit, graduated, 2.5 mm Plate Elevator, threaded, 3.5 mm � 30� Depth Guide, 3.5 mm screws Drive Shaft, T15 hexalobe, solid, QC Screwdriver, T15 hexalobe Item Number AR-8916-07 AR-8963-06 AR-8916-06 AR-8916-12 AR-8943-15 AR-8941DH AR-8943-10 20 I Hand and Wrist Wrist Plating System (Cont.) Product Description Instrumentation Plate Bending Iron Torque-Limiting Screwdriver for 2.4 mm Locking Screws Ratcheting Handle, QC, cannulated Screw Holding Sleeve, 2 mm/2.4 mm Screw Holding Sleeve, 2.7 mm, 3.5 mm, and 4 mm Freer Elevator Sharp Hook Hohmann Retractor, 8 mm Hohmann Retractor, 15 mm Screw Holding Forceps, self-retaining Drill Guide, 2.5 mm/1.7 mm Bone Reduction Forceps w/ teeth Periosteal Elevator, 6 mm, curved blade Lobster Claw Plates Volar Distal Radius Plate, narrow, right, 3H Volar Distal Radius Plate, narrow, left, 3H Volar Distal Radius Plate, narrow, right, 5H Volar Distal Radius Plate, narrow, left, 5H Volar Distal Radius Plate, narrow, right, 7H Volar Distal Radius Plate, narrow, left, 7H Item Number AR-8916-10 AR-8916TL-011 AR-8950RH AR-8920H AR-8943-11 AR-8943-19 AR-8943-21 AR-13120 AR-8943-22 AR-8941F AR-8916-23 AR-4160FT AR-8943-20 AR-8943-23 AR-8916VNR-03 AR-8916VNL-03 AR-8916VNR-05 AR-8916VNL-05 AR-8916VNR-07 AR-8916VNL-07 Product Description Sterile Plates Volar Distal Radius Plate, standard, right, 3H Volar Distal Radius Plate, standard, left, 3H Volar Distal Radius Plate, standard, right, 5H Volar Distal Radius Plate, standard, left, 5H Volar Distal Radius Plate, standard, right, 7H Volar Distal Radius Plate, standard, left, 7H Volar Distal Radius Plate, wide, right, 3H Volar Distal Radius Plate, wide, left, 3H Volar Distal Radius Plate, wide, right, 5H Volar Distal Radius Plate, wide, left, 5H Volar Distal Radius Plate, wide, right, 7H Volar Distal Radius Plate, wide, left, 7H 2.4 mm Screws VAL Screw, titanium, locking, 2.4 mm � 8 mm-34 mm VAL Near Cortex Screw, titanium, locking, 2.4 mm � 8 mm-34 mm Cortex Screw, titanium, 2.4 mm � 8 mm-34 mm (2 mm increments) 3.5 mm Screws Locking Screw, titanium, 3.5 mm � 10 mm-20 mm Cortical LPS Screw, titanium, 3.5 mm � 10 mm-14 mm Cortical LPS Screw, titanium, 3.5 mm � 16 mm-20 mm Item Number AR-8916VSR-03S AR-8916VSL-03S AR-8916VSR-05S AR-8916VSL-05S AR-8916VSR-07S AR-8916VSL-07S AR-8916VWR-03S AR-8916VWL-03S AR-8916VWR-05S AR-8916VWL-05S AR-8916VWR-07S AR-8916VWL-07S AR-8724V-08 � 34 AR-8916VNC-08 � 34 AR-8916CX24-08 � 34 AR-8735L-10 � 20 AR-8735-10 � 14 AR-8735-16 � 20 Hand and Wrist I 21 Fragment-Specific Plating (a) (b) (c) (d) (e) The Fragment-Specific System caddy offers plates that are tailored to the specific fracture encountered. The plates address all 3 columns; a spanning plate is also included for highly comminuted distal radius fractures. The dorsal L-plates can be used in conjunction with the radial styloid plate to address the radial and intermediate columns independently. The volar hook plate can be used for volar rim fractures that are too distal to be captured by the volar distal radius plate. Fragment-Specific System (AR-8916FS) Product Description Titanium Fragment-Specific System Base and Lid Instrumentation Drill Guide, parallel, volar hook plate, 1.7 mm Pliers, needlenose, qty. 2 Plates (to be used in conjunction with AR-8916S) 2.4 mm 2H L-Plate, Ti, right, 5H (e) 2.4 mm 2H L-Plate, Ti, left, 5H Wrist Spanning Plate, Ti (a) 2.4 mm Radial Styloid Plate, 5H (d) Volar Hook Plate, 4H (b) Volar Hook Plate, 6H Dorsal Distal Radius Plate, standard, right, 4H (c) Dorsal Distal Radius Plate, standard, left, 4H Dorsal Distal Radius Plate, narrow, right, 4H Dorsal Distal Radius Plate, narrow, left, 4H Ulnar Styloid Plate (f) Disposables Guidewire w/ Trocar Tip, 1.35 mm BB-Tak Pin, 1.6 mm, qty. 2 Item Number AR-8916C-21 AR-8916-26 AR-8916-24 AR-8952ML-05R AR-8952ML-05L AR-8916SPN AR-8916RSTY-05 AR-8916VH-04 AR-8916VH-06 AR-8916DSR-04 AR-8916DSL-04 AR-8916DNR-04 AR-8916DNL-04 AR-8956-01 AR-8943-01 AR-13226 (f) Literature Product Description Titanium Volar Distal Radius Plating System Surgical Technique Comprehensive Fragment Specific Wrist Plating Solutions Surgical Technique Wrist Plating System Brochure Item Number LT1-0416-EN LT1-00080-EN LB1-0416-EN Optional Instrumentation for the Wrist Plating System (AR-8916S) Product Description Instrumentation Plate Distractor Locking Post 3.5 mm Cortex Screw Post Distractor Caddy Item Number AR-8916-19 AR-8916-13 AR-8916DCS-18 AR-8916C-25 22 I Hand and Wrist Mini Comprehensive Fixation System (CFS) � Hand and Foot Mini CFS Cases Product Description Mini CFS Instrument Case Mini CFS Implant Caddy Case Mini CFS Instrument Upper Tray Item Number AR-18700C AR-18700CS-01 AR-18700CS-02 The Mini Comprehensive Fixation System consists of titanium, variable-angle locking, low-profile plates and screws designed for osteotomies, fusions, and fractures of small bones. 1.0 mm, 1.4 mm and 1.6 mm (hand and wrist) 2.0 mm and 2.4 mm (hand, wrist, foot and ankle) Features and Benefits: 56 Plating options Universal straight, T-, Wide T-, V-, and Y-plates Reinforced straight and T-plates Unique bridge, cage, and triangle plates Variable-angle locking holes Compression holes 1.0/1.4/1.6/2.0/2.4 mm Screws Color-coded modules with intuitive instrumentation Curved plate cutter Superior screw-holding sleeve Extended 2.5 Compression FT screws for intramedullary fracture fixation Extended 3.5 Compression FT screws for intramedullary fixation 1.4 mm Module 10 plates 6 mm-16 mm screws 2.0 mm Module 18 plates 6 mm-40 mm screws Mini Comprehensive Fixation System (AR-18700FS) Product Description Instruments Depth Device, 1.4 mm/1.6 mm Depth Device, 2.0 mm/2.4 mm Plate Cutter Torque Limiting Adaptor, AO Termite Forceps, qty. 2 Handle, mini AO Handle, jewelers knob, mini AO Torque-Limiting Handle Reduction Forceps, pointed Reduction Forceps, toothed Verbugge Plate-Holding Forceps Screw-Holding Forceps, self-retaining Lobster Clamp, mini Lobster Clamp, radiolucent Ikuta Clamp Perc Pin Clamp Hohmann Retractor, double-ended, qty. 2 Pliers, needlenose, qty. 2 Freer Elevator Periosteal Elevator, curved blade, 6 mm Sharp Hook Item Number AR-18700-27 AR-18700-35 AR-18700-28 AR-18700-39 AR-18700-40 AR-18700-44 AR-18700H AR-8916TL-011 AR-18700-45 AR-18700-52 AR-18700-48 AR-8941F AR-18700-46 AR-18700-49 AR-18700-47 AR-8737-57 AR-18700-53 AR-8916-24 AR-8943-19 AR-8943-20 AR-8943-21 Mini Comprehensive Fixation System, 1.0 mm (AR-18700S-10) Product Description Instruments Driver Shaft, 1.0 mm Depth Device, 1.0 mm Holding Sleeve, 1.0 mm Screws, Titanium Low Profile Screws, cortical, 1.0 mm � 6 mm-14 mm Disposables Drill Bit, solid, .75 mm Guidewire With Trocar Tip, .028 mm (.7 mm), qty. 6 Item Number AR-18700-03 AR-18700-04 AR-18700-05 AR-18710-06-14 AR-18700-01 AR-18700-02 1.6 mm Module 11 plates 6 mm-24 mm screws 2.4 mm Module 17 plates 6 mm-40 mm screws Hand and Wrist I 23 Mini Comprehensive Fixation System (CFS) � Hand and Foot (1.4 mm and 1.6 mm) Mini Comprehensive Fixation System, 1.4 mm (AR-18700S-14) Product Description Instruments Drill Guide, 1.1 mm/1.4 mm Driver Shaft, T4, self-retaining, mini AO, qty. 2 Countersink, solid, 1.4 mm Holding Sleeve, 1.4 mm Depth/Drill Guide, 1.4 mm Driver Shaft, T4, non-retaining, mini AO Parallel Drill Guide, hook plate, 1.4 mm Locking Bending Guide, 1.4 mm, qty. 2 Drill Guide, VAL, cone-shaped, 1.4 mm Mini CFS Caddy w/ Lid, 1.0 mm/1.4 mm Plates, Titanium, 1.4 mm Straight Plate, 6-hole, qty. 2 Straight Plate, 10-hole Y-Plate, 6-hole Y-Plate, 8-hole Triangle Plate, 8-hole Z-Plate, 10-hole Hook Plate Cage Plate, 2 x 5 hole T-Plate, 8-hole, qty. 2 Bridge Plate, straight, 6-hole Screws, Titanium Low Profile Screws, cortical, 1.4 mm � 6 mm-16 mm VAL Screw, 1.4 mm � 6 mm-16 mm Disposables Drill Bit, mini AO, calibrated, 1.1 mm, qty. 2 Drill Bit, mini AO, 1.4 mm, qty. 2 Guidewire w/ Trocar Tip, 1.1 mm, qty. 6 BB-Tak, small, qty. 4 Item Number AR-18700-08 AR-18700-09 AR-18700-10 AR-18700-11 AR-18700-18 AR-18700-29 AR-18700-32 AR-18700-43 AR-18700-59 AR-18700C-14 AR-18714P-03 AR-18714P-07 AR-18714P-10 AR-18714P-12 AR-18714P-18 AR-18714P-20 AR-18714P-21 AR-18714P-22 AR-18714P-27 AR-18714P-29 AR-18714-06-16 AR-18714V-06-16 AR-18700-06 AR-18700-07 AR-18700-30 AR-18700-34 Mini Comprehensive Fixation System, 1.6 mm (AR-18700S-16) Product Description Instruments Drill Guide, 1.2 mm/1.6 mm Driver Shaft, T6, self-retaining, mini AO, qty. 2 Countersink, solid, 1.6 mm Holding Sleeve, 1.6 mm Depth/Drill Guide, 1.6 mm Driver Shaft, T6, non-retaining, mini AO Locking Bending Guide, 1.6 mm/2.0 mm, qty. 2 Parallel Drill Guide, hook plate, 1.6 mm VAL Drill Guide, cone-shaped, 1.6 mm Mini CFS Caddy w/ Lid, 1.6 mm Plates, Titanium, 1.6 mm Straight Plate, 6-hole, qty. 2 Straight Plate, 10-hole Y-Plate, 6-hole Y-Plate, 8-hole T-Plate, 8-hole, qty. 2 Z-Plate, 10-hole Cage Plate, 2 x 5 hole Hook Plate Triangle Plate, 8-hole Bridge Plate, straight, 6-hole Rotation Correction Plate Screws, Titanium Low Profile Screws, cortical, 1.6 mm � 6 mm-16 mm Low Profile Screws, cortical, 1.6 mm � 18 mm -24 mm (2 mm increments) VAL Screws, 1.6 mm � 6 mm-16 mm VAL Screws, 1.6 mm � 18 mm-24 mm (2 mm increments) Disposables Drill Bit, mini AO, calibrated, 1.2 mm, qty. 2 Drill Bit, mini AO, 1.6 mm, qty. 2 Guidewire w/ Trocar Tip, qty. 6 BB-Tak, small, qty. 4 Item Number AR-18700-14 AR-18700-15 AR-18700-16 AR-18700-17 AR-18700-19 AR-18700-23 AR-18700-26 AR-18700-31 AR-18700-60 AR-18700C-16 AR-18716P-03 AR-18716P-07 AR-18716P-10 AR-18716P-12 AR-18716P-18 AR-18716P-20 AR-18716P-21 AR-18716P-22 AR-18716P-27 AR-18716P-29 AR-18716P-30 AR-18716-06-16 AR-18716-18-24 AR-18716V-06-16 AR-18716V-18-24 AR-18700-12 AR-18700-13 AR-18700-33 AR-18700-34 24 I Hand and Wrist Mini Comprehensive Fixation System (CFS) � Hand and Foot (2.0 mm) Mini Comprehensive Fixation System, 2.0 mm (AR-18700S-20) Product Description Instruments Driver Shaft, T6, self-retaining, mini AO, qty. 2 Drill Guide, 1.5 mm/2.0 mm Driver Shaft, T6, non-retaining, mini AO Countersink, solid, 2.0 mm Holding Sleeve, 2.0 mm Locking Bending Guide, 1.6 mm/2.0 mm, qty. 2 Depth/Drill Guide, 1.6 mm/2.0 mm VAL Drill Guide, cone-shaped, 2.0 mm Mini CFS Caddy w/ Lid, 2.0 mm Plates, Titanium, 2.0 mm Straight Plate, 6-hole, qty. 2 Straight Plate, 10-hole Y-Plate, 6-hole Y-Plate, 8-hole T-Plate, 6-hole, qty. 2 T-Plate, 8-hole, qty. 2 Straight Plate, 6-hole, reinforced Straight Plate, 8-hole, reinforced T-Plate, 6-hole, reinforced T-Plate, 8-hole, reinforced V-Plate, 6-hole V-Plate, 10-hole T-Plate, wide, 6-hole T-Plate, wide, 10-hole T-Plate, rotation correction, 5-hole Cage Plate, 2 � 5 hole Triangle Plate, 8-hole Bridge Plate, straight, 6-hole Item Number AR-18700-15 AR-18700-22 AR-18700-23 AR-18700-24 AR-18700-25 AR-18700-26 AR-18700-37 AR-18700-61 AR-18700C-20 AR-18720P-03 AR-18720P-07 AR-18720P-10 AR-18720P-12 AR-18720P-17 AR-18720P-19 AR-18720P-24 AR-18720P-26 AR-18720P-31 AR-18720P-33 AR-18720P-37 AR-18720P-41 AR-18720P-43 AR-18720P-47 AR-18720P-48 AR-18720P-49 AR-18720P-54 AR-18720P-55 Product Description Screws, Titanium Low Profile Screws, cortical, 2.0 mm � 6 mm-16 mm Low Profile Screws, cortical, 2.0 mm � 18 mm-40 mm (2 mm increments) VAL screws, 2.0 mm � 6 mm-16 mm VAL screws, 2.0 mm � 18 mm-40 mm (2 mm increments) Disposables Drill Bit, 1.5 mm, qty. 2 Drill Bit, mini AO, 2.0 mm, qty. 2 Guidewire w/ Trocar Tip, 1.6 mm, qty. 6 BB-Tak, small, qty. 4 Item Number AR-18720-06-16 AR-18720-18-40 AR-18720V-06-16 AR-18720V-18-40 AR-18700-20 AR-18700-21 AR-18700-51 AR-18700-34 Intramedullary Fracture Fixation - Extended 2.5 Compression FT screws Product Description 2.5 Micro Compression FTTM Mini CFS Caddy Insert Instruments Hex, compression FT driver, 1.5 mm Depth Device, small compression FT Disposables Drill Bit, compression FT, calibrated, 2.2 mm Guidewire w/ Trocar Tip, 0.86 mm 2.5 Micro Compression FTTM Screws 2.5 Micro Compression FT Screw, 36 mm 2.5 Micro Compression FT Screw, 40 mm 2.5 Micro Compression FT Screw, 46 mm 2.5 Micro Compression FT Screw, 50 mm Item Number AR-18700C-20-1 AR-8737-37 AR-8737-51 AR-8737-58 AR-8737-39 AR-8725-36H AR-8725-40H AR-8725-46H AR-8725-50H Hand and Wrist I 25 Mini Comprehensive Fixation System (CFS) � Hand and Foot (2.4 mm) Mini Comprehensive Fixation System, 2.4 mm (AR-18700S-24) Product Description Instruments Holding Sleeve, 2.4 mm Driver Shaft, T8, self-retaining, AO, qty. 2 Driver Shaft, T8, non-retaining, AO Depth/Drill Guide, 2.4 mm VAL Drill Guide, cone-shaped, 2.4 mm Drill Guide, 1.7 mm/2.5 mm Countersink, 2.4 mm Locking Bending Guide, 2.4 mm, qty. 2 Mini CFS Caddy w/ Lid, 2.4 mm Plates, Titanium, 2.4 mm Straight Plate, 6-hole, qty. 2 Straight Plate, 10-hole T-Plate, 6-hole, qty. 2 T-Plate, 8-hole Straight Plate, 6-hole, reinforced Straight Plate, 8-hole, reinforced V-Plate, 6-hole V-Plate, 10-hole T-Plate, wide, 6-hole T-Plate, wide, 10-hole Bridge Plate, straight, 6-hole Triangle Plate, 8-hole T-Plate, 6-hole, reinforced T-Plate, 8-hole, reinforced Y-Plate, 6-hole Y-Plate, 8-hole Cage Plate, 2 � 5 hole Screws, Titanium Low Profile Screws, cortical, 2.4 mm � 6 mm-16 mm Low Profile Screws, cortical, 2.4 mm � 18 mm-40mm (2 mm increments) VAL Screws, 2.4 mm � 6 mm-16 mm VAL Screws, 2.4 mm � 18 mm-50 mm (2 mm increments) Item Number AR-18700-38 AR-18700-54 AR-18700-55 AR-18700-57 AR-18700-62 AR-8916-05 AR-8950-01 AR-8950-08 AR-18700C-24 AR-18724P-03 AR-18724P-07 AR-18724P-10 AR-18724P-12 AR-18724P-17 AR-18724P-19 AR-18724P-23 AR-18724P-27 AR-18724P-29 AR-18724P-33 AR-18724P-34 AR-18724P-39 AR-18724P-42 AR-18724P-44 AR-18724P-49 AR-18724P-51 AR-18724P-54 AR-18724-06-16 AR-18724-18-40 AR-18724V-06-16 AR-18724V-18-50 Product Description Disposables Guidewire w/ Trocar Tip, 1.6 mm, qty. 6 BB-Tak, small, qty. 4 Item Number AR-18700-71 AR-18700-34 Intramedullary Fracture Fixation - Extended 3.5 Compression FT screws Product Description 3.5 Mini Compression FTTM Mini CFS Caddy Insert Instruments T10 Hexalobe Driver for 3.5 Compression Ft Depth Device, small compression FT Disposables Drill Bit, Compression FT, calibrated, 3.2 mm Guidewire w/ Trocar Tip, 0.45 in 3.5 Mini Compression FTTM Screws 3.5 Mini Compression FT Screw, 36 mm 3.5 Mini Compression FT Screw, 40 mm 3.5 Mini Compression FT Screw, 46 mm 3.5 Mini Compression FT Screw, 50 mm Item Number AR-18700C-20-1 AR-8737-38 AR-8737-51 AR-8737-50 AR-8737-41 AR-8730-36H AR-8730-40H AR-8730-46H AR-8730-50H Multimedia Product Description Mini CFS � Mini Comprehensive Fixation System, animation Posterior Malleolus Fracture Repair Using the Mini Comprehensive Fixation System 2.4 mm, surgical technique video, presented by Eric Tan, MD Medial Mallous Fracture Repair Using the Mini Comprehensive Fixation System video, presented by Eric W. Tan, MD Talus Fracture Repair With the Mini CFS Fixation System, Surgical Technique Video, Presented by Thomas G. Harris, MD Navicular Fracture Repair With the Mini CFS 2.0 mm Cage Plate Mini CFS Foot and Ankle, Presented by Thomas G. Harris, MD, video Item Number AN1-000214-en-US VID1-000627-en-US VID1-000628-en-US VID1-000629-en-US VID1-000630-en-US VID1-000873-en-US 26 I Hand and Wrist Small External Fixation System New! The Arthrex Small External Fixation System is a comprehensive tray that allows surgeons to use the set on all small bones in the body, with particular emphasis on wrist fractures. The pins and clamps in the set can also be used with the larger Arthrex ArthroFX� external fixation system when addressing large and small bone injuries concurrently. The Small External Fixation System consists of: 2.0 mm and 3.0 mm pins with varying overall lengths and thread lengths 5.0 mm carbon fiber rods ranging in length from 50 mm to 300 mm Multi-pin and single pin clamps Small External Fixation System Product Description Instruments Small External Fixation Clamp, 5 mm Small Multi-Pin Clamp qty. 2 Multi-Pin Clamp, Extension Three-Pin Small Multi-Pin Clamp, qty. 3 Half Pin, threaded, 2.0 mm � 10 mm � 55 mm Half Pin, threaded, 2.0 mm � 10 mm � 75 mm Half Pin, threaded, 2.0 mm � 15 mm � 55 mm Half Pin, threaded, 2.0 mm � 15 mm � 75 mm Half Pin, threaded, 2.0 mm � 20 mm � 75 mm Half Pin, threaded, 3.0 mm � 10 mm � 75 mm Half Pin, threaded, 3.0 mm � 15 mm �100 mm Half Pin, threaded, 3.0 mm � 20 mm � 75 mm Half Pin, threaded, 3.0 mm � 20 mm � 100 mm Half Pin, threaded, 3.0 mm � 20 mm � 140 mm Item Number 1400-000 1406-000 1407-000 1409-000 1410-055 1410-075 1411-055 1411-075 1412-075 1414-075 1415-100 1416-075 1416-100 1416-140 Product Description Half Pin, threaded, 3.0 mm � 25 mm � 75 mm Half Pin, threaded, 3.0 mm � 25 mm � 100 mm Half Pin, threaded, 3.0 mm � 25 mm � 140 mm Multi-Pin Clamp, bent post Multi-Pin Clamp, straight post Multi-Pin Clamp, bolt Nut, Small External Fixation System Parallel Fixation Nut Guide Pin, 1.5 mm Pin Caps, qty. 4 Drill, calibrated, AO, 1.5 mm � 110 mm Drill, calibrated, AO, 2.0 mm � 110 mm Drill Guide, 1.5 mm/2 mm Drill Guide, multi-pin clamp Drill Guide, multi-pin clamp, thread-in Wrench, AO, /3 16 in - in Wrench, T-handle, /3 16 in Wrench, T-handle, in Implants Carbon Fiber Rod, 5 mm � 50 mm Carbon Fiber Rod, 5 mm � 75 mm Carbon Fiber Rod, 5 mm � 100 mm Carbon Fiber Rod, 5 mm � 125 mm Carbon Fiber Rod, 5 mm � 150 mm Carbon Fiber Rod, 5 mm � 200 mm Carbon Fiber Rod, 5 mm � 250 mm Carbon Fiber Rod, 5 mm � 300 mm Item Number 1417-075 1417-100 1417-140 1421-000 1422-000 1423-000 1425-000 1428-000 0109-150 1426-000 4001-000 4002-000 03430-000 0357-000 0358-000 5007-000 5009-000 5013-000 1181-050 1181-075 1181-100 1181-125 1181-150 1181-200 1181-250 1181-300 Hand and Wrist I 27 Hip and Femur Arthrex Trochanteric Nail......................................................................................... 30 7.0 mm Titanium Cannulated Screw System...................................................... 34 Arthrex Femoral Nail--Antegrade and Retrograde.......................................... 35 Hip and Femur I 29 Arthrex Trochanteric Nail The Arthrex trochanteric nail is a next-generation hip nail that addresses the remaining shortcomings of current systems. It consists of three nail types--short nails, long nails, and the innovative ES nail. Telescoping Lag Screw--The Arthrex telescoping lag screw allows for controlled, self-contained collapse within the lag screw. Other lag screws are designed to slide within the nail during the healing process, which can cause the lateral end of the lag screw to protrude into the patient's soft tissue, causing irritation and/or bursitis. Some cases even require a second surgery for hardware removal. ES Nail Option--The ES nail combines the mechanical advantages of a long nail with the ease of a short nail. It doubles the torsional rigidity compared to a distally locked, long nail and provides more rigidity than an unlocked long trochanteric nail.1 It extends through the isthmus of the bone, which can reduce distal tip stress risers, potential "pendulum" effects, and risks of periprosthetic fractures associated with short nails. The ES hole is easily targeted through the nail jig without the need for perfect circles or additional attachments or devices. Biological Augmentation--The system allows for the delivery of orthobiologics (BoneSyncTM cement, Angel� platelet-rich plasma, AlloSyncTM Pure, etc) through the lag screw and instrumentation. Advanced Instrumentation--System instruments are designed to reduce surgical pain points and surgical workflow. Some examples include locking the lag screw through the inserter (no set screw required), captured distal 5.0 mm screws, calibrated drill bits, and jig removal through the more lateral impactor hole. Reference 1. Severns AE. Stress analysis of the AOS extended short trochanteric nail vs. the short and long trochanteric nails. Advanced Orthopaedic Solutions Test Report T0209; September 2006. Arthrex Trochanteric Nail Product Description Instruments Obturator, 3.6 mm Cannulated Curved Awl T-Handle, silicone, blue Adjustable Stop Pin Guide, locking assembly, 3.2 mm A/R Drill Guide, locking assembly, 5.0 mm Distal Drill Guide, locking assembly, 4.0 mm Telescoping Lag Screw Inserter Item Number 0227-000 0256-200 0261-000 0312-200 0313-100 0315-100 0454-100 Product Description Capturing Rod Assembly Locking Tool Assembly Lag Screw Lag Screw Capturing Rod Lag Screw Inserter, trochanteric nail Compression Sleeve, lag screw inserter Screw Driver Handle, cannulated, silicone, Hudson T-Handle, cannulated, Hudson female/J-Hall connect Quick Connect, cannulated, Hudson female/J-Hall Hex Screw Driver, 3.5 mm Hex Screw Driver, cannulated, 5.0 mm Ball Hex Driver, large Hudson, 9/32 in Hex Driver, cannulated, 9/32 in Screw Capturing Rod, short Screw Capturing Rod, long Guidewire Gripper Silicone Palm Handle, 3/16 square quick connect Guide Pin Depth Gauge Hook Tip Depth Gauge, trochanteric nail Obturator, 3.2 mm pin guide Lag Screw Sheath Obturator, 5.0 mm A/R drill guide A/R and Distal Sheath, locking Obturator, drill guide 4.0 mm Soft Tissue Protector, quick connect, Hudson Reduction Tool Impactor Pad Combination Wrench New! Item Number 0455-100 0456-100 0462-100 0463-300 0465-300 0467-100 0468-100 0469-100 0471-000 0472-000 0474-000 0475-000 0476-000 0477-000 0481-100 0486-100 0506-000 0531-000 0616-000 0617-300 0620-000 0621-100 0622-000 0623-000 0817-000 0826-000 0828-000 30 I Hip and Femur Arthrex Trochanteric Nail (Cont.) Product Description Instruments (Cont.) Targeting Module Insertion Guide Locking Bolt Humeral Nail Case Ball Spike Impactor Rod Extractor Bolt Lag Screw Removal Tool Lag Screw Extraction Tool, capturing rod Lag Screw Extraction Tool, capturing rod nut Radiolucent Targeting Arm, 125� trochanteric nail Radiolucent Targeting Arm, 130� trochanteric nail Locking Bolt, radiolucent insertion guide Trochanteric Nail Instrument Case Reamers Flexible Reamer Shaft Reamer Head, 9 mm Reamer Head, 9.5 mm Reamer Head, 10 mm Reamer Head, 10.5 mm Reamer Head, 11 mm Reamer Head, 11.5 mm Reamer Head, 12 mm Reamer Head, 12.5 mm Reamer Head, 13 mm Reamer Head, 13.5 mm Reamer Head, 14 mm Reamer Head, 14.5 mm Reamer Head, 15 mm Reamer Head, 15.5 mm Reamer Head, 16.5 mm Monobloc Reamer, forward cutting, 8.0 mm (Hudson) Lower Extremity Reamer Case Implants Product Description Short Nails Trochanteric Nail, 9 mm � 20 cm � 125 Trochanteric Nail, 10 mm � 20 cm � 125 Trochanteric Nail, 11 mm � 20 cm � 125 Trochanteric Nail, 12 mm � 20 cm � 125 Trochanteric Nail, 13 mm � 20 cm � 125 Trochanteric Nail, 9 mm � 20 cm � 130 Trochanteric Nail, 10 mm � 17cm � 130 Trochanteric Nail, 10 mm � 20 cm � 130 Trochanteric Nail, 11 mm � 20 cm � 130 Trochanteric Nail, 12 mm � 20 cm � 130 Trochanteric Nail, 13 mm � 20 cm � 130 Item Number 0856-100 0857-100 0858-200 1267-100 0817-000 0826-000 0828-000 0856-100 0857-100 0858-200 1267-100 1268-100 1269-000 9914-000 0233-000 0234-090 0234-095 0234-100 0234-105 0234-110 0234-115 0234-120 0234-125 0234-130 0234-135 0234-140 0234-145 0234-150 0234-155 0234-165 0251-080 9918-100 Item Number 1029-200 1030-200 1031-200 1032-200 1033-200 1034-200 1040-170 1040-200 1036-200 1041-200 1037-200 Product Description ES Nails ES Trochanteric Nail, left, 10 mm � 30 cm � 125 ES Trochanteric Nail, left, 10 mm � 33 cm � 125 ES Trochanteric Nail, left, 10 mm � 36 cm � 125 ES Trochanteric Nail, left, 10 mm � 39 cm � 125 ES Trochanteric Nail, left, 10 mm � 42 cm � 125 ES Trochanteric Nail, left, 11 mm � 30 cm � 125 ES Trochanteric Nail, left, 11 mm � 33 cm � 125 ES Trochanteric Nail, left, 11 mm � 36 cm � 125 ES Trochanteric Nail, left, 11 mm � 39 cm � 125 ES Trochanteric Nail, left, 11 mm � 42 cm � 125 ES Trochanteric Nail, right, 10 mm � 30 cm � 125 ES Trochanteric Nail, right, 10 mm � 33 cm � 125 ES Trochanteric Nail, right, 10 mm � 36 cm � 125 ES Trochanteric Nail, right, 10 mm � 39 cm � 125 ES Trochanteric Nail, right, 10 mm � 42 cm � 125 ES Trochanteric Nail, right, 11 mm � 30 cm � 125 ES Trochanteric Nail, right, 11 mm � 33 cm � 125 ES Trochanteric Nail, right, 11 mm � 36 cm � 125 ES Trochanteric Nail, right, 11 mm � 39 cm � 125 ES Trochanteric Nail, right, 11 mm � 42 cm � 125 ES Trochanteric Nail, left, 10 mm � 30 cm � 130 ES Trochanteric Nail, left, 10 mm � 33 cm � 130 ES Trochanteric Nail, left, 10 mm � 36 cm � 130 ES Trochanteric Nail, left, 10 mm � 39 cm � 130 ES Trochanteric Nail, left, 10 mm � 42 cm � 130 ES Trochanteric Nail, left, 11 mm � 30 cm � 130 ES Trochanteric Nail, left, 11 mm � 33 cm � 130 ES Trochanteric Nail, left, 11 mm � 36 cm � 130 ES Trochanteric Nail, left, 11 mm � 39 cm � 130 ES Trochanteric Nail, left, 11 mm � 42 cm � 130 ES Trochanteric Nail, right, 10 mm � 30 cm � 130 ES Trochanteric Nail, right, 10 mm � 33 cm � 130 ES Trochanteric Nail, right, 10 mm � 36 cm � 130 ES Trochanteric Nail, right, 10 mm � 39 cm � 130 ES Trochanteric Nail, right, 10 mm � 42 cm � 130 ES Trochanteric Nail, right, 11 mm � 30 cm � 130 ES Trochanteric Nail, right, 11 mm � 33 cm � 130 ES Trochanteric Nail, right, 11 mm � 36 cm � 130 ES Trochanteric Nail, right, 11 mm � 39 cm � 130 ES Trochanteric Nail, right, 11 mm � 42 cm � 130 Item Number 1020-305 1020-335 1020-365 1020-395 1020-425 1022-305 1022-335 1022-365 1022-395 1022-425 1021-305 1021-335 1021-365 1021-395 1021-425 1023-305 1023-335 1023-365 1023-395 1023-425 1066-305 1066-335 1066-365 1066-395 1066-425 1058-305 1058-335 1058-365 1058-395 1058-425 1067-305 1067-335 1067-365 1067-395 1067-425 1059-305 1059-335 1059-365 1059-395 1059-425 Hip and Femur I 31 Arthrex Trochanteric Nail (Cont.) Product Description ES Nails (Special Order) ES Trochanteric Nail, left, 12.5 mm � 30 cm � 125 ES Trochanteric Nail, left, 12.5 mm � 33 cm � 125 ES Trochanteric Nail, left, 12.5 mm � 36 cm � 125 ES Trochanteric Nail, left, 12.5 mm � 39 cm � 125 ES Trochanteric Nail, right, 12.5 mm � 33 cm � 125 ES Trochanteric Nail, right, 12.5 mm � 36 cm � 125 ES Trochanteric Nail, right, 12.5 mm � 39 cm � 125 ES Trochanteric Nail, right, 12.5 mm � 42 cm � 125 ES Trochanteric Nail, left, 12.5 mm � 30 cm � 130 ES Trochanteric Nail, left, 12.5 mm � 33 cm � 130 ES Trochanteric Nail, left, 12.5 mm � 36 cm � 130 ES Trochanteric Nail, left, 12.5 mm � 39 cm � 130 ES Trochanteric Nail, left, 12.5 mm � 42 cm � 130 ES Trochanteric Nail, right, 12.5 mm � 30 cm � 130 ES Trochanteric Nail, right, 12.5 mm � 33 cm � 130 ES Trochanteric Nail, right, 12.5 mm � 36 cm � 130 ES Trochanteric Nail, right, 12.5 mm � 39 cm � 130 ES Trochanteric Nail, right, 12.5 mm � 42 cm � 130 ES Nails (Special Order) ES Trochanteric Nail, left, 14 mm � 30 cm � 130 ES Trochanteric Nail, left, 14 mm � 33 cm � 130 ES Trochanteric Nail, left, 14 mm � 36 cm � 130 ES Trochanteric Nail, left, 14 mm � 39 cm � 130 ES Trochanteric Nail, left, 14 mm � 42 cm � 130 ES Trochanteric Nail, right, 14 mm � 30 cm � 130 ES Trochanteric Nail, right, 14 mm � 33 cm �130 ES Trochanteric Nail, right, 14 mm � 36 cm � 130 ES Trochanteric Nail, right, 14 mm � 39 cm � 130 ES Trochanteric Nail, right, 14 mm � 42 cm � 130 Long Trochanteric Nails Trochanteric Nail, left, 10 mm � 33 cm � 125 Trochanteric Nail, left, 10 mm � 36 cm � 125 Trochanteric Nail, left, 10 mm � 39 cm � 125 Trochanteric Nail, left, 10 mm � 42 cm � 125 Trochanteric Nail, left, 11 mm � 30 cm � 125 Trochanteric Nail, left, 11 mm � 33 cm � 125 Trochanteric Nail, left, 11 mm � 36 cm � 125 Trochanteric Nail, left, 11 mm � 39 cm � 125 Trochanteric Nail, left, 11 mm � 42 cm � 125 Trochanteric Nail, right, 10 mm � 33 cm � 125 Trochanteric Nail, right, 10 mm � 36 cm � 125 Trochanteric Nail, right, 10 mm � 39 cm � 125 Trochanteric Nail, right, 10 mm � 42 cm � 125 Trochanteric Nail, right, 11 mm � 30 cm � 125 Item Number 1120-305 1120-335 1120-365 1120-395 1121-335 1121-365 1121-395 1121-425 1122-305 1122-335 1122-365 1122-395 1122-425 1123-305 1123-335 1123-365 1123-395 1123-425 1068-305 1068-335 1068-365 1068-395 1068-425 1069-305 1069-335 1069-365 1069-395 1069-425 1020-330 1020-360 1020-390 1020-420 1022-300 1022-330 1022-360 1022-390 1022-420 1021-330 1021-360 1021-390 1021-420 1023-300 (a) (b) (c) Product Description Trochanteric Nail, right, 11 mm � 33 cm � 125 Trochanteric Nail, right, 11 mm � 36 cm � 125 Trochanteric Nail, right, 11 mm � 39 cm � 125 Trochanteric Nail, right, 11 mm � 42 cm � 125 Trochanteric Nail, left, 10 mm � 30 cm � 130 Trochanteric Nail, left, 10 mm � 33 cm � 130 Trochanteric Nail, left, 10 mm � 36 cm � 130 Trochanteric Nail, left, 10 mm � 39 cm � 130 Trochanteric Nail, left, 10 mm � 42 cm � 130 Trochanteric Nail, left, 11 mm � 30 cm � 130 Trochanteric Nail, left, 11 mm � 33 cm � 130 Trochanteric Nail, left, 11 mm � 36 cm � 130 Trochanteric Nail, left, 11 mm � 39 cm � 130 Trochanteric Nail, left, 11 mm � 42 cm � 130 Trochanteric Nail, right, 10 mm � 30 cm � 130 Trochanteric Nail, right, 10 mm � 33 cm � 130 Trochanteric Nail, right, 10 mm � 36 cm �130 Trochanteric Nail, right, 10 mm � 39 cm � 130 Trochanteric Nail, right, 10 mm � 42 cm � 130 Trochanteric Nail, right, 11 mm � 30 cm � 130 Trochanteric Nail, right, 11 mm � 33 cm �130 Trochanteric Nail, right, 11 mm � 36 cm � 130 Trochanteric Nail, right, 11 mm � 39 cm � 130 Trochanteric Nail, right, 11 mm � 42 cm � 130 Long Trochanteric Nails (Special Order) Trochanteric Nail, left, 12.5 mm � 30 cm � 130 Trochanteric Nail, left, 12.5 mm � 33 cm � 130 Trochanteric Nail, left, 12.5 mm � 36 cm � 130 Trochanteric Nail, left, 12.5 mm � 39 cm � 130 Trochanteric Nail, left, 12.5 mm � 42 cm � 130 Trochanteric Nail, right, 12.5 mm � 30 cm � 130 Trochanteric Nail, right, 12.5 mm � 33 cm � 130 Trochanteric Nail, right, 12.5 mm � 36 cm � 130 Trochanteric Nail, right, 12.5 mm � 39 cm � 130 Trochanteric Nail, right, 12.5 mm � 42 cm � 130 Item Number 1023-330 1023-360 1023-390 1023-420 1050-300 1050-330 1050-360 1050-390 1050-420 1058-300 1058-330 1058-360 1058-390 1058-420 1051-300 1051-330 1051-360 1051-390 1051-420 1059-300 1059-330 1059-360 1059-390 1059-420 1122-300 1122-330 1122-360 1122-390 1122-420 1123-300 1123-330 1123-360 1123-390 1123-420 32 I Hip and Femur Arthrex Trochanteric Nail (Cont.) Product Description Lag Screws Solid Locking Lag Screw, 10.5 mm � 70 mm (b) Solid Locking Lag Screw, 10.5 mm � 75 mm Solid Locking Lag Screw, 10.5 mm � 80 mm Telescoping Lag Screw, 10.5 mm � 85 mm (a) Telescoping Lag Screw, 10.5 mm � 90 mm Telescoping Lag Screw, 10.5 mm � 95 mm Telescoping Lag Screw, 10.5 mm � 100 mm Telescoping Lag Screw, 10.5 mm � 105 mm Telescoping Lag Screw, 10.5 mm � 110 mm Telescoping Lag Screw, 10.5 mm � 115 mm Telescoping Lag Screw, 10.5 mm � 120 mm Telescoping Lag Screws, left (c) Telescoping Lag Screw, left, 10.5 mm � 85 mm Telescoping Lag Screw, left, 10.5 mm � 90 mm Telescoping Lag Screw, left, 10.5 mm � 95 mm Telescoping Lag Screw, left, 10.5 mm � 100 mm Telescoping Lag Screw, left, 10.5 mm � 105 mm Telescoping Lag Screw, left, 10.5 mm � 110 mm Telescoping Lag Screw, left, 10.5 mm � 115 mm Telescoping Lag Screw, left, 10.5 mm � 120 mm Anti-Rotation Screws Cancellous A/R Screw, 5.0 mm � 60 mm Cancellous A/R Screw, 5.0 mm � 65 mm Cancellous A/R Screw, 5.0 mm � 70 mm Cancellous A/R Screw, 5.0 mm � 75 mm Cancellous A/R Screw, 5.0 mm � 80 mm Cancellous A/R Screw, 5.0 mm � 85 mm Cancellous A/R Screw, 5.0 mm � 90 mm Cancellous A/R Screw, 5.0 mm � 95 mm Cancellous A/R Screw, 5.0 mm � 100 mm Cancellous A/R Screw, 5.0 mm � 105 mm Distal Screws Captured Cortical Screw, 5.0 mm � 20 mm Captured Cortical Screw, 5.0 mm � 22 mm Captured Cortical Screw, 5.0 mm � 24 mm Captured Cortical Screw, 5.0 mm � 26 mm Captured Cortical Screw, 5.0 mm � 28 mm Captured Cortical Screw, 5.0 mm � 30 mm Captured Cortical Screw, 5.0 mm � 32 mm Captured Cortical Screw, 5.0 mm � 34 mm Captured Cortical Screw, 5.0 mm � 36 mm Captured Cortical Screw, 5.0 mm � 38 mm Captured Cortical Screw, 5.0 mm � 40 mm Captured Cortical Screw, 5.0 mm � 42 mm Captured Cortical Screw, 5.0 mm � 44 mm Captured Cortical Screw, 5.0 mm � 46 mm Captured Cortical Screw, 5.0 mm � 48 mm Captured Cortical Screw, 5.0 mm � 50 mm Item Number 1094-070 1094-075 1094-080 1099-085 1099-090 1099-095 1099-100 1099-105 1099-110 1099-115 1099-120 1192-085 1192-090 1192-095 1192-100 1192-105 1192-110 1192-115 1192-120 8021-060 8021-065 8021-070 8021-075 8021-080 8021-085 8021-090 8021-095 8021-100 8021-105 8001-020 8001-022 8001-024 8001-026 8001-028 8001-030 8001-032 8001-034 8001-036 8001-038 8001-040 8001-042 8001-044 8001-046 8001-048 8001-050 Product Description Captured Cortical Screw, 5.0 mm � 55 mm Captured Cortical Screw, 5.0 mm � 60 mm Captured Cortical Screw, 5.0 mm � 65 mm Captured Cortical Screw, 5.0 mm � 70 mm Captured Cortical Screw, 5.0 mm � 75 mm Captured Cortical Screw, 5.0 mm � 80 mm Captured Cortical Screw, 5.0 mm � 85 mm Captured Cortical Screw, 5.0 mm � 90 mm Captured Cortical Screw, 5.0 mm � 95 mm Captured Cortical Screw, 5.0 mm � 100 mm Captured Cortical Screw, 5.0 mm � 105 mm Captured Cortical Screw, 5.0 mm � 110 mm Captured Cortical Screw, 5.0 mm � 115 mm Captured Cortical Screw, 5.0 mm � 120 mm Captured Cortical Screw, 5.0 mm � 65 mm Captured Cortical Screw, 5.0 mm � 70 mm Captured Cortical Screw, 5.0 mm � 75 mm Captured Cortical Screw, 5.0 mm � 80 mm Captured Cortical Screw, 5.0 mm � 85 mm Captured Cortical Screw, 5.0 mm � 90 mm Captured Cortical Screw, 5.0 mm � 95 mm Captured Cortical Screw, 5.0 mm � 100 mm Captured Cortical Screw, 5.0 mm � 105 mm Captured Cortical Screw, 5.0 mm � 110 mm Captured Cortical Screw, 5.0 mm � 115 mm Captured Cortical Screw, 5.0 mm � 120 mm End Caps Captured Bullet Tip End Cap, 1 mm Captured Bullet Tip End Cap, 5 mm Captured Bullet Tip End Cap, 10 mm Locking End Cap, Captured, trochanteric nail, 1 mm Anti-Rotation Set Screw Disposables Guide Pin, 3.2 mm � 330 mm Guide Pin, 3.2 mm � 381 mm Calibrated Step Drill, 5.0 mm Drill, AO style, 4.0 mm � 165 mm Calibrated Drill, AO style, 4.0 mm � 280 mm Cortical Tap, large Hudson, 5.0 mm Activation Tool Ball Nose Guidewire, sterile, 3.0 mm � 900 mm Item Number 8001-055 8001-060 8001-065 8001-070 8001-075 8001-080 8001-085 8001-090 8001-095 8001-100 8001-105 8001-110 8001-115 8001-120 8001-065 8001-070 8001-075 8001-080 8001-085 8001-090 8001-095 8001-100 8001-105 8001-110 8001-115 8001-120 1047-019 1047-059 1047-109 1048-019 1085-000 S0100-000 S0100-381 S0209-200 S0210-200 S0219-100 S0260-000 S0457-000 0101-900S Literature Product Description Trochanteric Nail System Surgical Technique Item Number LT1-000203-en_US Hip and Femur I 33 7.0 mm Titanium Cannulated Screw System The 7.0 mm Titanium Cannulated Screw System features an extensive range of sizes intended for fracture fixation in the hip, pelvis, and extremities. The system consists of one tray that contains the screws and necessary instrumentation. System Features: Low-profile screw head for reduced soft-tissue irritation. Screws are made of Ti6Al4V titanium alloy Made of CT- and MRI-compatible materials. Reverse-cutting flute facilitates removal. Self-drilling/tapping design for efficient cutting. Larger 3.2 mm diameter, threaded-tip guide pin for improved stability and ease of insertion. New! 7.0 mm Titanim Cannulated Screw System Product Description Item Number Instruments Obturator, 3.6 mm 0227-000 Tap, cannulated, cancellous, T-Handle, 7.0 mm 0241-100 Drill, cannulated, small Hudson, 5.0 mm adapter 0243-000 Screw Countersink, 7.0 mm 0262-000 Pin Guide, 3.2 mm 0319-000 Drill Guide, 5.0 mm 0320-000 Parallel Pin Guide, bullet nose, 3.2 mm 0322-000 Hex Driver, cannulated, small Hudson adapter, 5.0 mm 0429-000 T-Handle, ratcheting comfort, cannulated 0430-100 Handle, ratcheting, large axial, cannulated, small Hudson 0431-100 Adaptor, large hudson male, small female hudson 0443-100 Screw Depth Gauge, cannulated 0517-000 Pin Guide, trocar, 3.2 mm 0614-000 Screw Sheath, assembly 0615-000 Cannulated Screw Tray, 7.0 mm 9913-000 7.0 mm Screws, Cannulated, Cancellous 20 mm thread, 7.0 mm � 30 mm-130mm 8040- 30-130 36 mm thread, 7.0 mm � 45 mm-130 mm 8041-45-130 Full thread, 7.0 mm � 30 mm-130 mm 8042-30 -130 Flat Washer, 7.0 mm 8039-000 Disposables Guide Pin, 3.2 mm � 330 mm S0100-000 Extractor, easy out 0815-000 34 I Hip and Femur Arthrex Femoral Nail--Antegrade and Retrograde New! The Arthrex femoral nail is targeted for use in intramedullary fixation of fractures of the femur. The unique screw configuration, with both an antegrade and retrograde nail, provides versatility and diversity. Its innovative features offer superior solutions for femoral fractures. Arthrex Femoral Nailing Product Description Instruments Impactor Rod Extractor Bolt Impactor Pad, long Locking Knob, insertion guide, tibial nail Locking Collet, targeting module, tibial nail Antegrade Targeting Module, femoral nail system Antegrade Option, antegrade targeting guide Locking Bolt, antegrade nail Retrograde Targeting Guide Retrograde Targeting Guide, arch Retrograde Targeting Guide, 22 cm extension Locking Bolt, retrograde femoral nail Driver Locking Collet, retrograde femoral nail Femoral Nail Instrument Set #2 Awl T-Handle, silicone blue, cannulated, curved Entry Reamer, femoral nail, cannulated, 13.5 mm Tap, calibrated, cancellous, 6.0 mm Cortical Tap, calibrated, cortical, 6.5 mm Obturator, 3.6 mm Pin Guide, 3.2 mm Pin Guide, soft tissue protector, 3.2 mm Drill Guide, 4.0 mm Drill Guide, 6.0 mm Screw Driver Handle, cannulated, silicone, Hudson T-Handle, cannulated, Hudson female/J-Hall connect Item Number 0826-000 0828-000 0835-000 1239-100 1242-100 1271-300 1272-000 1273-100 1280-000 1281-000 1283-000 1284-000 1285-000 9924-000 0256-200 0266-000 0271-000 0272-000 0273-000 0335-000 0338-000 0337-000 0339-000 0467-000 0468-000 Product Description Quick Connect, cannulated, Hudson female/J-Hall Driver, ball hex, large Hudson, 9/32" Guidewire Gripper Compression Hex Driver, Hudson, antegrade, 5.0 mm Power Hex Screw Driver, 5.0 mm Power Capturing Rod, 5.0 mm Power Hex Screw Driver, short, 5.0 mm Power Capturing Rod, short, 5.0 mm Distal Depth Gauge Depth Gauge, hook tip, trochanteric nail Guide Pin Depth Gauge, femoral nail Guidewire Depth Gauge, femoral nail Drill Guide, obturator, 4.0 mm Screw Sheath Obturator, 3.2 mm Soft Tissue Protector, Hudson quick connector Obturator, 6.0 mm Ball Spike Reduction Tool, curved Square Quick Connect Assembly Femoral Nail Instrument Set #1 Item Number 0469-000 0474-000 0481-100 0487-000 0488-200 0489-100 0491-100 0492-100 0514-200 0531-000 0534-000 0535-000 0622-000 0624-000 0625-000 0634-100 0635-000 0817-000 0831-000 0834-000 9922-000 Hip and Femur I 35 Arthrex Femoral Nail (Cont.) Product Description Antegrade Femoral Nails, Left Antegrade Femoral Nail, left, 9 mm � 30 cm�46 cm Antegrade Femoral Nail, left, 10 mm � 30 cm�46 cm Antegrade Femoral Nail, left, 11 mm � 30 cm�46 cm Antegrade Femoral Nail, left, 12 mm � 30 cm�46 cm Antegrade Femoral Nail, left, 13 mm � 30 cm�46 cm Antegrade Femoral Nail, left, 14 mm � 30 cm�46 cm Antegrade Femoral Nail, left, 14 mm � 30 cm�46 cm Antegrade Femoral Nails, Right Antegrade Femoral Nail, right, 9 mm � 30 cm�46 cm Antegrade Femoral Nail, right, 10 mm � 30 cm�46 cm Antegrade Femoral Nail, right, 11 mm � 30 cm�46 cm Antegrade Femoral Nail, right, 12 mm � 30 cm�46 cm Antegrade Femoral Nail, right, 13 mm � 30 cm�46 cm Retrograde Femoral Nails Retrograde Femoral Nail, 10 mm � 26 cm�42 cm Retrograde Femoral Nail, 11 mm � 26 cm�42 cm Retrograde Femoral Nail, 12 mm � 26 cm�42 cm Retrograde Femoral Nail, 13 mm � 26 cm�42 cm Supracondylar Femoral Nail, 10 mm � 22 cm Supracondylar Femoral Nail, 11 mm � 22 cm Supracondylar Femoral Nail, 12 mm � 22 cm Supracondylar Femoral Nail, 13 mm � 22 cm Item Number 1308-030-046 1310-030-046 1312-030-046 1314-030-046 1316-030-046 1318-030-046 1319-030-046 1309-030-046 1311-030-046 1313-030-046 1315-030-046 1317-030-046 1340-026-042 1341-026-042 1342-026-042 1343-026-042 1344-022 1345-022 1346-022 1347-022 Product Description Implants End Cap, antegrade nail, 5 mm End Cap, antegrade nail, 10 mm Locking End Cap, recon lock, antegrade nail, 0 mm End Cap, antegrade nail, 0 mm Screw Spacer/Compression Bolt, femoral nails End Cap, retrograde femoral nail, 1 mm End Cap, retrograde femoral nail, 5 mm End Cap, retrograde femoral nail, 10 mm Condyle Fixation Nut, retrograde femoral nail Fixation Screw Washer, retrograde femoral nail Fixation Nut Washer, retrograde femoral nail Captured Screws 5.0 mm Cortical Lengths: 30 mm�50 mm (2 mm increments) 5.0 mm Cortical Lengths: 55 mm�100 mm (5 mm increments) 6.5 mm Cortical, fully threaded Lengths: 30 mm�120 mm (5 mm increments) 6.0 mm Cancellous, partially threaded Lengths: 30 mm�120 mm (5 mm increments) 6.5 mm Cancellous, fully threaded Lengths: 30 mm�120 mm (5 mm increments) Disposables Drill, large Hudson, cannulated, 5.5 mm Drill, AO, 4.0 mm � 165 mm Drill, AO, calibrated, 4.0 mm � 280 mm Drill, AO, calibrated, sterile, 5.5 mm Step Drill, AO, calibrated, sterile, 4.8 mm/6.0 mm Guide Pin, 3.2 mm � 330 mm Tap, large Hudson, cortical, 5.0 mm Item Number 1322-005 1322-010 1323-000 1324-000 1326-000 1339-001 1339-005 1339-010 1348-000 1349-000 1351-000 8001-030-50 8001-055-100 8059-030-120 8061-030-120 8065-030-120 0232-100 S0210-200 S0219-100 S0288-200 S0289-100 S0100-000 S0260-000 36 I Hip and Femur Hip and Femur I 37 Knee Titanium Proximal Tibia Plating System............................................................... 40 SuturePlateTM II Patella Fracture Repair System ................................................ 42 Patella Fracture Set.................................................................................................... 44 Mesh Plate for Patella Fracture.............................................................................. 45 RAMP Lesion Meniscus Repair............................................................................... 47 Knee ScorpionTM Suture Passer............................................................................... 47 Meniscal Root Repair Kits........................................................................................ 48 Meniscal Root Marking Hook.................................................................................. 48 FiberStitchTM All-Inside Meniscal Repair................................................................ 49 ZoneNavigatorTM System........................................................................................... 50 Mini SutureTape........................................................................................................... 50 Collateral Ligament Reconstruction Set.............................................................. 51 Medial Collateral Ligament (MCL) Augmentation............................................. 52 FiberTag� TightRope� Implant................................................................................ 52 ACL TightRope II Implant.......................................................................................... 53 SwiveLock� ACL Repair Kit...................................................................................... 53 FastThreadTM BioComposite Interference Screw............................................... 54 FastThread PEEK Interference Screw................................................................... 55 ACL ToolBox Instrumentation Set.......................................................................... 56 Knee I 39 Titanium Proximal Tibia Plating System The Titanium Proximal Tibia Plating System builds onto the Titanium Lower Extremity Plating System (ankle and distal tibia) with the addition of lateral and posteromedial proximal tibia plating options, plateauspecific instruments, and longer screws. All plates accept 4.0 mm fixed-angle locking, 3.5 mm variableangle locking, 3.5 mm cortical, 4.0 cancellous, 2.7 mm variable-angle locking, and 2.7 mm cortical screws. A single screwdriver can be used for all screw sizes. Variable-angle capabilities in all holes Snap-in guides save time when drilling nominal-angle locking screws Variable-angle drill guide allows percutaneous screw insertion through the sleeve Lateral Plate Plating can be performed using the carbon fiber percutaneous jig for a minimally invasive technique. K-wire holes throughout the plate assist provisional placement and fracture reduction Multiple length options: 2 holes through 14 holes Posteromedial Plate Plate wraps from posterior to medial to facilitate the incision Available in 4-, 5-, and 8-hole lengths New! Titanium Proximal Tibia Plates Product Description Proximal Lateral Tibia Plate, left, 2-hole Proximal Lateral Tibia Plate, left, 3-hole Proximal Lateral Tibia Plate, left, 5-hole Proximal Lateral Tibia Plate, left, 8-hole Proximal Lateral Tibia Plate, left, 11-hole Proximal Lateral Tibia Plate, left, 14-hole Proximal Lateral Tibia Plate, right, 2-hole Proximal Lateral Tibia Plate, right, 3-hole Proximal Lateral Tibia Plate, right, 5-hole Proximal Lateral Tibia Plate, right, 8-hole Proximal Lateral Tibia Plate, right, 11-hole Proximal Lateral Tibia Plate, right, 14-hole Proximal Posteromedial Tibia Plate, left, 4-hole Proximal Posteromedial Tibia Plate, left, 5-hole Proximal Posteromedial Tibia Plate, left, 8-hole Proximal Posteromedial Tibia Plate, right, 4-hole Proximal Posteromedial Tibia Plate, right, 5-hole Proximal Posteromedial Tibia Plate, right, 8-hole Item Number 3081-002 3081-003 3081-005 3081-008 3081-011 3081-014 3082-002 3082-003 3082-005 3082-008 3082-011 3082-014 3085-004 3085-005 3085-008 3086-004 3086-005 3086-008 Titanium Proximal Tibia Screws Product Description Item Number Instruments Proximal Tibial Plate Tray 9955-000 Screws 4.0 mm Fixed Angle Locking Screws (FAL), 10 mm-38 mm (2 mm increments) 8094-010-038 Screw, 3.5 mm � 20 mm-100 mm (2 mm increments) 8100-020-100 VAL Screw, 3.5 mm � 65 mm-100 mm (5 mm increments) 8088-065-100 Instruments Titanium Proximal Tibial Screw Caddy 9957-000 Titanium Proximal Tibia Instruments Product Description Instruments Targeting Drill Guide, �2.8 mm Fixed Angle Drill Guide, �2.8 mm Hook Tip Depth Gauge Screw Sheath Depth Gauge Unicortical Depth Gauge Targeting Screw Sheath Targeting Arm Obturator King Tong Forceps Soft Tissue Elevator Reduction Forceps Calibrated Drill, �2.8 mm, proximal Calibrated Drill, �2.8 mm, distal Attachment Bolt Item Number 0380-000 0381-000 0550-000 0552-000 0553-000 0660-000 0661-000 0916-000 0917-000 0918-000 4032-000 4040-000 4916-000 40 I Knee Titanium Proximal Tibia Plating System (Cont.) Titanium Proximal Tibia Instruments Product Description Instruments (Cont.) Targeter Alignment Lock/�2.8 mm Drill Guide Targeter Alignment Lock/�1.5 mm Pin Guide Targeting Arm Distal Alignment Post Targeting Arm Distal Alignment Lock Targeting Arm, proximal, tibia plate, small bend, left Targeting Arm, proximal, tibia plate, small bend, right Hex Driver, AO style, 5 mm Capturing T10 Driver Wrench, targeting sheath Driver, targeter sheath Titanium Proximal Tibial Instrument Tray Disposables Guide Pin, �1.5 mm Calibrated Drill, �2.8 mm, proximal Calibrated Drill, �2.8 mm, distal Item Number 4914-000 4915-000 4918-000 4919-000 4920-000 4921-000 5001-000 5042-000 5040-000 5044-000 9956-000 0109-230 4032-000 4040-000 Titanium Lower Extremity Instruments (Optional) Product Description Item Number Hook Plate Drill Guide 0347-000 Drill Guide, 1.9 mm 0348-000 Drill Guide, 2.8 mm 0349-100 Snap-In Drill Guide, 2.8 mm 0352-100 Snap-In Drill Guide, 1.9 mm 0354-000 Drill Guide, 3.5 mm 0355-000 Parallel Pin Guide, 1.5 mm 0356-000 Guide Pin Depth Gauge 0541-000 Hook Tip Depth Gauge, Ankle Plate System 0543-000 Screw Sheath 0643-000 Forceps, lobster claw, serrated 0819-000 Plate Holding Forceps 0824-200 Temporary Fixation Pin Compression Wheel 0832-100 Bending Iron, ankle plates 0843-100 Small Frag Bone Pick, 6 in 0900-000 Bone Reduction Forceps, curved, pointed, long ratchet 0901-100 Mini Hohmann Retractor, 6.5 in, 8 mm blade width 0903-000 Mini Hohmann Retractor, 6 in broad tip, 15 mm blade width 0904-000 Suture Passing Dissector 0906-000 Lamina Spreader, ankle plates 0907-000 Queen Tong Forceps 0908-000 Prince Tong Forceps 0909-000 Elevator, 5 mm periosteal 0911-100 Elevator, 10 mm periosteal 0912-100 Countersink 4006-000 T15 Cannulated Screwdriver 5014-000 Captured T10 Screwdriver 5015-100 Fixed Small Axial Handle, AO quick connect 5017-100 Product Description Screw Gripper Power Torque Limiting Adapter, 1.7 mm, AO style Captured T10 Screwdriver, short Ratcheting Torque Limiting Handle, 1.7 mm, AO style Plate Bending Tool Titanium Lower Extremity Instrument Tray Disposables 1.5 mm Guide Pin, nonthreaded 1.5 mm Guide Pin, fast-threaded Temporary Fixation Pin Drill, 1.9 mm Drill, 2.8 mm Cannulated Drill, 2.8 mm Cortical Tap (AO Style), 2.7 mm Cortical Tap (AO Style), 3.5 mm Drill, 3.5 mm Quick Drill, 2.8 mm Quick Drill, 1.9 mm Cortical Tap (AO Style), 4.0 mm Item Number 5022-000 5023-000 5025-100 5027-000 9127-000 9937-000 0109-150 0120-150 0121-000 4008-000 4009-100 4010-100 4023-000 4024-100 4025-000 4027-000 4028-000 4029-000 Titanium Lower Extremity Screws Product Description Instruments Titanium Lower Extremity Screw Tray Implants Small Fragment Washer Cannulated Headless Compression Screw, 1/4 thread, 3.5 mm � 20 mm-60 mm (2 mm increments) Cannulated Headless Compression Screw, 1/2 thread, 3.5 mm � 20 mm-60 mm (2 mm increments) Screw, 2.4 mm � 10 mm-40 mm (2 mm increments) Screw, 2.7 mm � 10 mm-50 mm (2 mm increments) Screw, 3.5 mm � 10 mm-50 mm (2 mm increments), 55 mm, 60 mm Screw, fully threaded, 4.0 mm � 14 mm-50 mm (2 mm increments), 55 mm, 60 mm Screw, partially threaded, 4.0 mm � 18 mm-50 mm (2 mm increments), 55 mm, 60 mm Variable Angle Locking Screw, 2.7 mm � 10 mm-50 mm (2 mm increments) Variable Angle Locking Screw, 3.5 mm � 10 mm-50 mm (2 mm increments), 55 mm, 60 mm Cannulated Screw, partially threaded, 4.0 mm � 34 mm-50 mm (2 mm increments), 55 mm, 60 mm Item Number 9938-000 3075-000 0354-000 0355-000 8082-010-040 8083-010-050 8084-014-060 8085-014-060 8086-018-060 8087-010-050 8088-010-060 8096-034-060 Knee I 41 SuturePlateTM II Patella Fracture Repair System New! SuturePlateTM II Patella Fracture Repair System consists of a titanium locking plate using 3.0 mm variable-angle locking (VAL) screws from the CFS system or KreuLockTM screw system. Suture holes in the plate provide points for soft-tissue reattachment or ligament bracing. In addition to the plate, QuickFixTM 4.0 mm cannulated screws can be used to apply compression through certain fragments. Patella Star Set (AR-13070TS) Product Description Instruments Patella SuturePlate II Trial Arrow Patella SuturePlate II Trial Star, small Patella SuturePlate II Trial Star, medium Patella SuturePlate II Trial Star, large Patella SuturePlate II Trial Star, pole fracture, small Patella SuturePlate II Trial Star, pole fracture, medium Patella SuturePlate II Trial Star, pole fracture, large Patella SuturePlate II Arrow, sterile Patella SuturePlate II Star, small, sterile Patella SuturePlate II Star, medium, sterile Patella SuturePlate II Star, large, sterile Patella SuturePlate II Star Plate Pole Fracture, small, sterile Patella SuturePlate II Star Plate Pole Fracture, medium, sterile Patella SuturePlate II Star Plate Pole Fracture, large, sterile Item Number AR-13070A-T AR-13070S-T AR-13070M-T AR-13070L-T AR-13070S-P-T AR-13070M-P-T AR-13070L-P-T AR-13070A-S AR-13070S-S AR-13070M-S AR-13070L-S AR-13070S-P-S AR-13070M-P-S AR-13070L-P-S Screws Product Description VAL Screw, Ti, 3 mm � 10 mm-40 mm, qty. 4 Compression Screws QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 40 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 42 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 44 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 46 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 48 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 50 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 52 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 54 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 56 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 58 mm QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 60 mm Optional (not included in the screw caddy) QuickFix Screw, cannulated shaft, cancellous, titanium, 4 mm � 28 mm-38 mm Item Number AR-8933V-10 � 40 AR-8740-40PTS AR-8740-42PTS AR-8740-44PTS AR-8740-46PTS AR-8740-48PTS AR-8740-50PTS AR-8740-52PTS AR-8740-54PTS AR-8740-56PTS AR-8740-58PTS AR-8740-60PTS AR-8740-28PTS to 38PTS 42 I Knee SuturePlateTM II Patella Fracture Repair System (Cont.) New! Instruments, 3 mm System Product Description Patella Repositioning Clamp Positioning Handle Bending Guide, locking, 3 mm Trim-ItTM Depth Gauge, small Driver for 3 mm Locking Screws, T10 hexalobe Drill Bit, 2 mm Drill Guide, locking, threaded, 3 mm Handle QC, ratcheting, cannulated Weber Clamp Bone Reduction Forceps, curved, pointed, qty. 2 Item Number AR-13055 AR-14024 AR-8950-09 AR-4166 AR-8944DH AR-8944-22 AR-8950-07 AR-8950RH AR-8943-24 AR-8943-07 Instruments (for QuickFixTM screws) Product Description Guidewire, with trocar tip, � 1.35 mm Depth Guide, cannulated, 4 mm Drill Guide, 2.6 mm/1.35 mm Drill Bit, cannulated, 2.6 mm, qty. 2 Driver Shaft, for QuickFix screws, cannulated, T15 hexalobe Holding Sleeve, for 2.7 mm, 3.5 mm, and 4 mm screws Item Number AR-8737-01 AR-8737-10 AR-8943-03 AR-8943-02 AR-8943-12 AR-8943-11 Disposables Product Description K-Wire, 1.6 mm � 150 mm BB-Tak, threaded BB-Tak Item Number AR-14016 AR-13226T AR-13226 Literature Product Description Patella SuturePlate II Fracture Management Surgical Technique Item Number LT1-000206-en-US Multimedia Product Description SuturePlate II Patella Fracture Repair System, animation Item Number AN1-000279-en-US Knee I 43 Patella Fracture Set (a) The innovative Patella Fracture Set comprehensively addresses patella fractures. Once the 4.0 mm blunt-tip cannulated lag screws are placed, FiberTape� suture on a specially designed 5 inch needle can easily be passed through the screws, allowing tension-band fixation. The screw's smooth tip was specifically designed to avoid cutting the suture. This construct has been shown to be stronger than traditional K-wire with cerclage wire constructs.1 This convenient set also includes the tools needed to perform traditional repairs with K-wires and cerclage wire, as well as sternal wire drivers, Weber clamps, drill guides, and stout wire cutters. Unique to this set is an adjustable parallel offset guide, a C-ring drill guide with an incorporated measurement device, and a cerclage wire passer to effectively pass wire through the quad and patellar tendons. Patella Fracture Set (a) (AR-5050S) Product Description Patella Fracture Set Case 4.0 mm Blunt-Tip Cannulated Lag Screws, 24 mm-60 mm FiberTape Suture w/ Needle, 17 in Item Number AR-5050C AR-5051-24 � 60 AR-7237-17LN Reference 1. Arthrex, Inc. Data on file (APT-03733). Naples, FL; 2018. 44 I Knee Mesh Plate for Patella Fracture The Arthrex mesh plate is available in standard and short lengths. Surgeons have the ability to cut the plate in order to size and fit the specific fracture needs. Bending irons can be used to contour the plate to the patient's specific anatomy. The stainless steel plates use 2.7 mm locking and nonlocking screws, while the titanium plates use 3.0 mm locking and non-locking screws. The areas between screw fixation can be used as reattachment points for soft tissue or ligament bracing. In addition to the plate, a 4.0 mm blunt-tipped cannulated lag screw can be used to apply compression to patellar fragments. New! Mesh Plating System, Stainless Steel (AR-8957S) Product Description Instruments Trim-ItTM Depth Gauge, small Bending Pliers, qty. 2 Screw Holding Forceps, self-retaining Bone Reduction Forceps, curved, pointed, qty. 2 Bending Iron Plate, qty. 2 Weber Clamp Drill Bit, 2 mm, qty. 2 Drill Bit, 2.7 mm Drill Guide, 2.0 mm/2.7 mm Driver, T10 hexalobe, qty. 2 Drill Guide, locking, threaded, 3 mm, qty. 2 Locking Bending Guide, 3 mm, qty. 2 Handle QC, ratcheting, cannulated Plate Cutter, curved cut Plate Cutter, straight cut Instrument Case Plates Mesh Plate, short Mesh Plate, long Screws, Stainless Steel Low Profile Screws, cortical, 2.7 mm � 10 mm-50 mm (2 mm increments) Low Profile Locking Screws, 2.7 mm � 10 mm-50 mm (2 mm increments) Item Number AR-4166 AR-8941BP AR-8941F AR-8943-07 AR-8943-18 AR-8943-24 AR-8944-22 AR-8827D-01 AR-8827D-02 AR-8944DH AR-8950-07 AR-8950-09 AR-8950RH AR-8957-05 AR-8957-06 AR-8957C AR-8957-04 AR-8957-02 AR-8827-10 � 50 AR-8827L-10 � 50 Knee I 45 Mesh Plate for Patella Fracture (Cont.) Mesh Plating System, Titanium (AR-8957TS) Product Description Item Number Instruments Trim-ItTM Depth Gauge, small AR-4166 Drill Guide, VAL, 3 mm AR-8933GV Drill Guide, VAL, 3 mm, qty. 4 AR-8933GVN Bending Pliers, qty. 2 AR-8941BP Screw Holding Forceps, self-retaining AR-8941F Bone Reduction Forceps, curved, pointed, qty. 2 AR-8943-07 Bending Iron Plate, qty. 2 AR-8943-18 Weber Clamp AR-8943-24 Drill Guide, 2.0 mm/3.0 mm AR-8943-31 Drill Bit, 2.0 mm, qty. 2 AR-8944-22 Driver, T10 hexalobe, qty. 2 AR-8944DH Drill Bit, 3.0 mm AR-8950-05 Drill Guide, locking, threaded, 3 mm, qty. 2 AR-8950-07 Locking Bending Guide, 3 mm, qty. 2 AR-8950-09 Handle QC, ratcheting, cannulated AR-8950RH Plate Cutter, curved cut AR-8957-05 Plate Cutter, straight cut AR-8957-06 Instrument Case AR-8957TC Plates Mesh Plate, short Mesh Plate, long AR-8957-03 AR-8957-01 Screws, Titanium Low Profile Screws, cortical, Ti, 3.0 mm � 10 mm-50 mm AR-8933-10 � 50 (2 mm increments) VAL Screws, Ti, 3 mm � 10 mm-40 mm, qty. 4 AR-8933V-10 � 40 Patella Fracture Set (AR-5050S) Product Description Patella Fracture Set Case 4.0 mm Blunt-Tip Cannulated Lag Screws, 24 mm-60 mm FiberTape Suture w/ Needle, 17 in Instruments Over-the-Wire Depth Gauge AO Pull Release Ratcheting Driver Sternal Wire Driver Small Weber Clamp, long throw Patellar Measurement Device Drill Guide, 2.0 mm/1.6 mm Stout Wire Cutter, 9 in Pliers, medium length Passer, cerclage wire, bent Parallel Drill Guide, patella fracture Patella Fracture Instrument Case Screw Holding Forceps, self-retaining Drill Bit, cannulated, 2.6 mm Drill Guide, 2.6 mm/1.35 mm Bone Tap, cannulated, 2.6 mm Screwdriver, T15 hexalobe, cannulated Holding Sleeve for 2.7 mm, 3.5 mm, and 4.0 mm screws Driver, cannulated, QC, T15 hexalobe Depth Device, 2.7 mm/3.5 mm/4.0 mm, low-profile Freer Elevator Sharp Hook Weber Clamp New! Item Number AR-5050C AR-5051-24 � 60 AR-7237-17LN AR-5050-02 AR-5050-03 AR-5050-04 AR-5050-05 AR-5050-06 AR-5050-07 AR-5050-08 AR-5050-09 AR-5050-10 AR-5050-11 AR-5050C AR-8941F AR-8943-02 AR-8943-03 AR-8943-06 AR-8943-09 AR-8943-11 AR-8943-12 AR-8943-15 AR-8943-19 AR-8943-21 AR-8943-24 46 I Knee RAMP Lesion Meniscus Repair A RAMP lesion is a disruption of the meniscotibial ligament and the posteromedial meniscus in the meniscocapsular zone. The lesion is commonly associated with ACL injuries and is often misdiagnosed.1 Disruption of the posterior horn of the medial meniscus could lead to excessive forces within the knee joint and surrounding structures. The QuickPassTM SutureLassoTM suture passer is preloaded with a 2-0 FiberStickTM suture and offered with a left or right 25� curve and a 1.5 mm tip. Product Description QuickPass SutureLasso Suture Passer, 25�, curved right QuickPass SutureLasso Suture Passer, 25�, curved left Item Number AR-6068-25R AR-6068-25L Reference 1. Peltier A, Lordin TD, Lustig S, Servien E, Maubisson L, Neyret P. Posteromedial tears may be missed during anterior cruciate ligament reconstruction. Arthroscopy. 2015;31(4):691-698. doi:10.1016/j arthro.2014.12.003 Knee ScorpionTM Suture Passer The low-profile Knee Scorpion suture passer allows access in tight recesses of the knee for passing 0 or 2-0 FiberWire� suture. Ergonomically designed for one-handed use, the Knee Scorpion suture passer adds simplicity to suture passing, efficiently passing and retrieving suture in one step. Achieve a variety of suture configurations for soft-tissue repair and fixation using the Knee Scorpion suture passer. Product Description Knee Scorpion Suture Passer Knee Scorpion Needle Accessories Product Description Knot Pusher/Suture Cutter (Disposable) Measurement Probe 2-0 Knot Pusher Item Number AR-12990 AR-12990N Item Number AR-5815 AR-13920P AR-1296D Knee I 47 Meniscal Root Repair Kits Complete transtibial meniscal root repairs with the convenient Meniscal Root Repair Kit, which contains an 8 mm � 3 mm PassPort ButtonTM cannula and a Knee ScorpionTM needle for passing 2-0 and 0 FiberWire� suture with the Knee ScorpionTM suture passer. Various suture configurations are possible with 2-0 FiberStickTM and 0 FiberLinkTM and TigerLinkTM sutures. Prepare the bone socket and create the transtibial tunnel using the 6 mm FlipCutter� II reamer. Secure the repair with a 4.75 mm BioComposite SwiveLock� anchor. Product Description Meniscal Root Repair Kit w/ BioComposite SwiveLock Anchor Knee Scorpion Needle FlipCutter II Reamer, 6 mm PassPort Button Cannula, 8 mm � 3 cm 2-0 FiberStick Suture, qty. 2 SutureLassoTM Needle w/ Nitinol Passing Wire 0 FiberLink Suture, 0 TigerLink Suture BioComposite SwiveLock Anchor, 4.75 mm � 19.1 mm Spade-Tip Drill Bit SwiveLock Anchor Tap, for hard bone Meniscal Root Repair Kit w/ PEEK SwiveLock Anchor Knee Scorpion Needle FlipCutter II Reamer, 6 mm PassPort Button Cannula, 8 mm � 3 cm 2-0 FiberStick Suture, qty. 2 SutureLasso Needle w/ Nitinol Passing Wire 0 FiberLink Suture, 0 TigerLink Suture PEEK SwiveLock Anchor, 4.75 mm � 19.1 mm Spade-Tip Drill Bit SwiveLock Anchor Tap, for hard bone Meniscal Root Repair Kit Knee Scorpion Needle FlipCutter II Reamer, 6 mm PassPort Button Cannula, 8 mm � 3 cm Two 2-0 FiberStick Sutures 2-Hole Suture Button, 3.5 mm SutureLasso Needle w/ Nitinol Passing Wire Two 0 FiberLink Sutures Item Number AR-4550BC AR-4550P AR-4550 Meniscal Root Marking Hook The meniscal root marking hook offers adjustable, posterior tibia-referencing root repair for transosseous bone preparation with the FlipCutter� II drill. The "overthe-back" hook and ratcheting drill sleeve provide 2-point fixation and guided stability during drilling. The locking mechanism aids with insertion into the joint and the low-profile design avoids intact anatomy, while allowing arthroscopic visualization of the repair site. The guide offers 3 offsets for bone socket preparation: 5 mm, 7.5 mm, or 10 mm from the posterior tibia. The guide can be rotated for optimal tunnel position and subsequent knotless fixation with a SwiveLock� anchor. Product Description Locking Guide Meniscal Root Marking Hook Item Number AR-1610LG AR-1610MR 48 I Knee FiberStitchTM All-Inside Meniscal Repair (a) (b) (c) (d) The FiberStitch implant is an innovative all-inside meniscal repair system that replaces hard PEEK implants with soft suture sheaths. The implant sheaths are secured in a double-mattress configuration with 2-0 coreless FiberWire� suture. The ergonomic handle is designed for single-handed implant delivery and active implant deployment technology minimizes needle exposure beyond the meniscus, eliminating the need to past-point the needle. Optimized curves: FiberStitch delivery system offers 4 different curves to accommodate various meniscus tear configurations: 12� up curve; straight; 12� reverse curve; and 24� up curve. Low-profile suture implants: The low-profile suture implants replace traditional hard PEEK plastic anchors. Low-profile 2-0 coreless FiberWire suture prevents tissue cut-through and minimizes friction against articular cartilage.1 One-handed deployment: The ergonomic handle and easy implant deployment wheel allows true one-handed implant delivery. Active implant deployment: The implants are deployed from the tip of the needle, reducing needle exposure beyond the meniscus and the need to past point the delivery needle. Adjustable depth stop: The integrated depth stop can be set with a single hand. Convenient markings in 2 mm increments allow setting adjustments from a minimum of 10 mm to a maximum of 18 mm. Product Description FiberStitch Implant (a) FiberStitch Implant, reverse curve (b) FiberStitch Implant, straight (c) FiberStitch Implant, 24� curve (d) Knot Pusher/Suture Cutter w/ Portal Skid Knot Pusher/Suture Cutter Portal Skid Meniscal Dart Probe 2-0 Suture Cutter, straight 2-0 Suture Cutter, 15� up curve Item Number AR-4570 AR-4570R AR-4570S AR-4570-24 AR-5845 AR-5815 AR-4505 AR-4008 AR-11790 AR-11791 Reference 1. Bisson LJ, Manohar LM, Wilkins RD, et al. Influence of suture material on the biomechanical behavior of suture-tendon specimens: a controlled study in bovine rotator cuff. Am J Sports Med. 2008;36(5):907-912. doi:10.1177/0363546508314793 Knee I 49 ZoneNavigatorTM System (a) (d) (b) (c) The ZoneNavigator system precisely places suture for inside-out meniscus repair. Three interchangeable cannulas are available to reach any portion of the meniscus for passing vertical or horizontal mattress sutures on the superior or inferior aspect of the meniscus. The ergonomic handle controls needle advancement in 1 cm increments. Suture Product Description 2-0 Mini SutureTape Meniscus Repair Needles, qty. 2 2-0 FiberWire� Suture Meniscus Repair Needles, small, qty. 2 Item Number AR-7523 AR-7223SM Mini SutureTape Product Description ZoneNavigator System Handle ZoneNavigator System Anterior Cannula (a) ZoneNavigator System Cannula, left posterior (b) ZoneNavigator System Cannula, right posterior (c) Needle Catcher (d) Item Number AR-7900 AR-7905 AR-7910L AR-7910R AR-6660 The 2-0 Mini SutureTape meniscus repair needles are made of standard-length stainless steel with a 38 inch length. The 0.9 mm Mini SutureTape disperses the compressive force across a larger area compared to round suture. This allows surgeons to perform standard inside-out meniscus repair with all the benefits of FiberWire suture and SutureTape. Product Description 2-0 Mini SutureTape Meniscus Repair Needles 2-0 Mini SutureTape, no needles Item Number AR-7523 AR-7521 2-0 FiberWire Meniscus Repair Needles Product Description 2-0 FiberWire Suture Meniscus Repair Needles, qty. 2 2-0 FiberWire Suture Meniscus Repair Needles, small, qty. 2 Item Number AR-7223 AR-7223SM 2-0 FiberLinkTM and TigerLinkTM SutureTape Product Description FiberLink SutureTape, 0.9 mm, white/black TigerLink SutureTape, 0.9 mm, white/black Item Number AR-7559 AR-7559T 50 I Knee Collateral Ligament Reconstruction Set The Collateral Ligament Reconstruction Set allows for precision-based, biomechanically validated anatomic reconstructions of individual components and main structures of the posterolateral and medial knee. For minimally invasive and open techniques performed during fibular-based reconstructions, use the unique fibular marking hook, which tightly contours the fibular head and enables surgeons to get around anatomic structures while placing the 8 mm-diameter paddle. This marking hook was designed specifically to fit onto the fibular attachment of the popliteofibular ligament (PFL). The tibial marking hook was designed for posterolateral and medial/posteromedial tibia-based reconstructions. The ergonomic, 8 mm-diameter paddle provides tactile feedback upon entry into the posterior popliteal sulcus and confirms the zebra guide pin's exit point during posterolateral corner reconstructions. Increase the efficiency of anatomic tunnel drilling using the parallel drill guide, which reduces divergent tunnels and allows precision placement at multiple incremental distances for medial and lateral femoral-based reconstructions. Collateral Ligament Reconstruction Set (AR-5500S) Product Description Fibular Marking Hook Tibial Collateral Marking Hook Femoral Collateral Marking Hook Parallel Drill Guide Collateral Ligament Retractor Drill Sleeve, 2.4 mm Collateral Ligament Rasp RetroConstructionTM Drill Guide Handle Cannulated Drill, 6 mm Cannulated Drill, 7 mm Cannulated Drill, 8 mm Cannulated Drill, 9 mm Cannulated Drill, 10 mm Graft Sizing Block Item Number AR-5500 AR-5501 AR-5502 AR-5503 AR-5504 AR-5505 AR-5506 AR-1510H AR-1206L AR-1207L AR-1208L AR-1209L AR-1214L AR-1886 Accessories Product Description Zebra Guide Pin, 2.4 mm, open eyelet ACL TightRope� Drill Pin II, 4 mm, open eyelet Tunnel Notcher for Bio-Interference Screw #2 FiberLoop� Suture w/ Straight Needle #2 FiberStickTM Suture, 50 in (blue), one end stiffened, 12 in Item Number AR-1250Z AR-1595T AR-1845 AR-7234 AR-7209 Implants Product Description FiberTag� TightRope� Implant FiberTag TightRope ABS Implant TightRope II RT Implant w/ Deploying Suture TightRope II RT Implant w/ FiberTape� Suture for InternalBraceTM Technique ACL BioComposite SwiveLock� Fixation Kit ACL PEEK SwiveLock Fixation Kit TightRope II ABS Implant TightRope II ABS Implant, open TightRope ABS Button, round, concave, 11 mm Item Number AR-1588RTT AR-1588TNT AR-1588RT-2J AR-1588RT-IB AR-1593-BC AR-1593-P AR-1588TN-20 AR-1588TN-21 AR-1588TB-3 FastThreadTM BioComposite Interference Screws Product Description 6 mm � 20 mm Screws (used with 6 mm driver) 7 mm-10 mm � 20 mm Screws 7 mm-12 mm � 30 mm Screws Item Number AR-4020C-06 AR-4020C-07 � 10 AR-4030C-07 � 12 Literature Product Description Collateral Ligament Brochure Item Number LB1-0127-EN Knee I 51 Medial Collateral Ligament (MCL) Augmentation MCL Implant System for InternalBrace Repair Product Description MCL Implant System for InternalBrace Repair BioComposite SwiveLock Anchor, 4.75 mm � 15 mm, qty. 2 Shoehorn Cannula Cannulated Drill Bit, 4.5 mm Guide Pins, 2.4 mm � 8 in, qty. 2 SwiveLock Punch/Tap, 4.75 mm, disposable FiberTape Suture, 17 in #2 FiberWire Suture, qty. 2 Item Number AR-5511-CP The MCL implant system for InternalBraceTM repair consists of a 2 mm-wide FiberTape� suture that spans the distance between 2 knotless SwiveLock� anchors to augment, or enhance, primary MCL repairs. FiberTape sutures have been used for 10 years in more than 1.5 million tendon or ligament-bridging repairs.1 Reference 1. Arthrex, Inc. LA1-0237-EN. Naples, FL; 2009. FiberTag� TightRope� Implant The FiberTag TightRope implant facilitates attachment of single-stranded grafts to the ACL TightRope RT and ABS implants. FiberTag suture is integrated into the TightRope implant for a strong, consistent connection between the suture and TightRope loop. A simplified suturing technique, along with innovative packaging and the new GraftClamp instrument, make graft preparation fast and reproducible. Product Description ACL TightRope With FiberTag Suture ACL TightRope With FiberTag Suture, ABS GraftClamp Graft Preparation Instrument Item Number AR-1588RTT AR-1588TNT AR-2386T 52 I Knee ACL TightRope� II Implant As the first adjustable-loop cortical suspensory fixation implant to use a flat SutureTape design, the new ACL TightRope II implant offers better handling characteristics and is more resistant to graft abrasion or tissue pull-through than traditional round sutures.1 Engineered for precise graft tensioning, the adjustableloop mechanism allows for incremental retensioning of the graft construct after the implants have been secured on the cortex. The redesigned cortical button now incorporates a proprietary knotless fifth locking mechanism, increasing strength and resistance to cyclic displacement.2 Product Description Implants ACL TightRope� II RT w/ Deploying Sutures ACL TightRope II RT for InternalBraceTM Technique BTB TightRope II w/ Deploying Sutures BTB TightRope II for InternalBrace Technique TightRope II ABS Implant TightRope II ABS Implant, open ABS Buttons Concave TightRope ABS Button 11 mm, round Concave TightRope ABS Button 14 mm, round Concave TightRope ABS Button 20 mm, round Item Number AR-1588RT-2J AR-1588RT-IB AR-1588BTB-2J AR-1588BTB-IB AR-1588TN-20 AR-1588TN-21 AR-1588TB-3 AR-1588TB-4 AR-1588TB-5 References 1. Arthrex, Inc. Data on file (LA1-00038-EN_B). Naples, FL; 2017. 2. Arthrex, Inc. Data on file (APT-G01155). Munich, Germany; 2020. SwiveLock� ACL Repair Kit Product Description ACL SwiveLock� Anchor Repair Kit 8 mm � 30 mm PassPort ButtonTM Cannula 2.4 mm Crown-Tip Drill Guide 2.4 mm Cannulated Drill w/ SutureLassoTM Suture Passer SD Loop #2 TigerWire� Suture #2 FiberWire� Suture 4.75 mm SwiveLock Anchor Punch/Tap (2x) BioComposite SwiveLock Anchor, 4.75 mm � 19.1 mm SwiveLock Anchor 4.75 mm � 19.1 mm w/ Extended Length FiberTape� Loop Item Number AR-1594 Over the past decade, there has been a renewed interest in primary repair as a potential treatment for certain patterns of ACL rupture. Primary ACL repair, performed through an arthrotomy, was largely abandoned by the mid-1990s due to unpredictable and inconsistent clinical outcomes. However, careful analysis of the older data reveals that certain subgroups, especially patients with proximal tears and good to excellent tissue quality, had better clinical outcomes than the group as a whole.1 Product Description 2.4 mm Cannulated Drill w/ SutureLasso Suture Passer SD Loop Item Number AR-1594D-24 Reference 1. van der List JP, DiFelice GS. Role of tear location on outcomes of open primary repair of the anterior cruciate ligament: a systematic review of historical studies. Knee. 2017;24(5):898-908. doi:10.1016/j.knee.2017.05.009 Knee I 53 FastThreadTM BioComposite Interference Screw (a) (b) FastThread BioComposite interference screws are a completely new design with a prominent leading and large thread pitch to facilitate screw engagement and advancement. Vented sidewalls and screw geometry decrease material by 22% without losing insertion or fixation strength.1 The cannulation and fenestrations in the screw design allow for bony ingrowth and channeling of biologic growth factors during healing.1 The screws, which come in 20 mm and 30 mm lengths, offer excellent strength on insertion and have been biomechanically tested.2 FastThread BioComposite Interference Screws Product Description 6 mm � 20 mm (used with 6 mm driver) 7 mm-10 mm � 20 mm Screws 7 mm-12 mm � 30 mm Screws (a) Item Number AR-4020C-06 AR-4020C-07 � 10 AR-4030C-07 � 12 Drivers for 6 mm � 20 mm Screws Product Description Fixed Handle Driver Quick Connect Driver Shaft Item Number AR-4019D AR-4019D-1 Drivers for 7 mm-12 mm Screws Product Description Fixed Handle Driver for 20 mm and 30 mm Screws Quick Connect Driver for 20 mm and 30 mm Screws Fixed Handle Driver for 20 mm Screws Only Quick Connect Driver for 20 mm Screws Only (b) Flexible Shaft Quick Connect Driver for 20 mm Screws Only Nonratcheting Screwdriver Handle Ratcheting Screwdriver Handle Item Number AR-1996CD AR-1996CD-1 AR-4020D AR-4020D-1 AR-4020DF AR-1999NR AR-1999 Taps Product Description Fixed Handle Taps, 6 mm-10 mm Quick Connect Tap Shafts, 6 mm-10 mm Flexible Quick Connect Tap Shafts, 6 mm-10 mm Item Number AR-4020HT-06 � 10 AR-4020T-06 � 10 AR-4020TF-06 � 10 References 1. Arthrex, Inc. LA1-00096-EN. Naples, FL; 2018. 2. Arthrex, Inc. LA1-00097-EN. Naples, FL; 2018. 54 I Knee FastThreadTM PEEK Interference Screw (a) (b) The PEEK family of FastThread interference screws allows for insertion similar to metal screws by eliminating the need to tap. Faster insertion: Prominent leading thread and large thread pitch facilitate screw engagement and advancement Strength: Optimized screw threads improve pullout strength compared to longer screws of the same diameter1 Graft protection: Thread design minimizes friction against the graft while the rounded end protects the graft at the aperture (20 mm screws are packaged with an insertion sheath) PEEK-OPTIMA� material: Affords advantages of metal screw insertion qualities but without visible hardware on imaging2 FastThread PEEK Interference Screws Product Description 6 mm � 20 mm (used with 6 mm driver) 7 mm-10 mm � 20 mm screw (a) 7 mm-12 mm � 30 mm screw Item Number AR-4020P-06 AR-4020P-07 � 10 AR-4030P-07 � 12 Drivers for 6 mm � 20 mm Screws Product Description Fixed Handle Driver Quick Connect Driver Shaft Item Number AR-4019D AR-4019D-1 Drivers for 7 mm-12 mm Screws Product Description Fixed Handle Driver for 20 mm and 30 mm Screws Quick Connect Driver for 20 mm and 30 mm Screws Fixed Handle Driver for 20 mm Screws Only Quick Connect Driver for 20 mm Screws Only (b) Flexible Shaft Quick Connect Driver for 20 mm Screws Only Nonratcheting Screwdriver Handle Ratcheting Screwdriver Handle Item Number AR-1996CD AR-1996CD-1 AR-4020D AR-4020D-1 AR-4020DF AR-1999NR AR-1999 Taps Product Description Fixed Handle Taps, 6 mm-10 mm Quick Connect Tap Shafts, 6 mm-10 mm Flexible Quick Connect Tap Shafts, 6 mm-10 mm Item Number AR-4020HT-06 � 10 AR-4020T-06 � 10 AR-4020TF-06 � 10 Screw Insertion Kit Product Description Interference Screw Insertion Kit, w/ dilator and 1.1 mm trocar-tip guidewire Trocar-Tip Guidewire, 1.1 mm, w/o dilator Item Number AR-1249TK AR-1249T References 1. Arthrex, Inc. LA1-00099-EN_A. Naples, FL; 2018. 2. Wilde J, Bedi A, Altchek DW. Revision anterior cruciate ligament reconstruction. Sports Health. 2014;6(6):504-518. doi:10.1177/1941738113500910 Knee I 55 ACL ToolBox Instrumentation Set The ACL ToolBox fits the needs of most modern ACL reconstructions. The streamlined, 3-layer case contains all the reusable instruments necessary for completing most common ACLR procedures and includes an open "pin mat" area for additional instruments. The toolbox contains the RetroConstructionTM drill guide set with commonly used ACL marking hooks. Multiple drill sleeves are included for all techniques and can be used with standard 2.4 mm pins, 3 mm RetroDrill� pins, and 3.5 mm FlipCutter� reamers. ACL ToolBox (AR-1900S) Product Description Item Number Hook Probe 3.4 mm Tip w/ 5 mm Markings AR-10010 Side-Release RetroConstruction Handle AR-1510HR Drill Sleeve for Side-Release Handle, 2.4 mm, ratcheting AR-1510FD-24 Drill Sleeve for Side-Release Handle, 3.0 mm, ratcheting AR-1510FD-30 Stepped Drill Sleeve for Side-Release Handle, ratcheting AR-1510FS-7 Cannulated Drill, 8 mm AR-1208L Cannulated Drill, 9 mm AR-1209L Cannulated Drill, 10 mm AR-1214L Cannulated Drill, 11 mm AR-1217L Parallel Guide Sleeve, 2.4 mm pins AR-1245L Offset Drill Guide, 3.5 mm AR-1246-1 Offset Drill Guide Pin, 3.5 mm AR-1246-3 Tunnel Plug for 8 mm-12 mm Drill Holes AR-1258 Semitendinosus Stripper, 7 mm AR-1278L Pigtail Hamstring Tendon Stripper, 5 mm, open end AR-1278P Tunnel/Notchplasty Rasp AR-1282 Cannulated Headed Reamers, 8 mm-11 mm AR-1408 � AR-1411 Reamer Handle and Pin Puller AR-1415 Graft Harvesting Retractor AR-1420 Femoral ACL Marking Hook, curved AR-1510F-01 Footprint Femoral ACL Guide, left AR-1510FL Footprint Femoral ACL Guide, right AR-1510FR Tibial ACL Marking Hook for RetroConstruction Drill Guide AR-1510T RetroScrew� Driver, thin AR-1586R Guide Pin Sleeve, 2.4 mm AR-1204F-24I Obturator, 3.5 mm AR-1204F-OB Transportal ACL Guide, 6 mm offset Transportal ACL Guide, 7 mm offset AR-1800-06 AR-1800-07 Transtibial Femoral ACL Drill Guide, 7 mm Transtibial Femoral ACL Drill Guide, 6 mm AR-1801 AR-1804 Reusable Obturator for Tibial Tunnel Cannula AR-1807 Graft Harvesting Cutting Guides, 8.5 mm, 9.5 mm, and 10.5 mm AR-1809, 10, and 11 Notchplasty and Graft Harvesting Osteotome, 5 mm AR-1830 Tunnel Notcher AR-1844 Graft Sizing Block, 4.5 mm-12 mm holes (0.5 mm increments) AR-1886 56 I Knee ACL ToolBox Instrumentation Set (Cont) Product Description Quick Connect BioComposite Interference Screwdriver Cannulated Screwdriver Shaft for Delta Bio-Interference Screw Cannulated Screwdriver Shaft, 3.5 mm hex, �5.5 mm � 17 cm BioComposite Interference Screw Taps, 7 mm-10 mm, quick connect Ratcheting Screwdriver Handle Parallel Graft Knife Handle Chuck Key ACL Cruciate ToolBox Instrumentation Case Optional Product Description Drill Tip Guide Pin, 3.5 mm (predrill pin for FlipCutter reamer) RetroConstructionTM Marking Hook for Tibial ACLR, 52.5� (for RetroDrill pin) Tibial ACL Drill Guide, pin tip Universal Instrument Case Item Number AR-1996CD-1 AR-1997D AR-1998 AR-1998CT-07 � 10 AR-1999 AR-2285H AR-8241 AR-1900C Item Number AR-1250F AR-1510R AR-1510GT AR-1817C Knee I 57 Foot and Ankle FibuLock� Fibular Nail System .............................................................................. 60 Ankle Fracture Management System................................................................... 62 Posterolateral Fibula Plates � Stainless Steel ................................................. 66 Titanium Ankle Fracture System............................................................................ 67 Syndesmosis TightRope� XP Implant System................................................... 69 Syndesmosis TightRope XP Buttress Plate Implant System.............................. 70 Distal Tibia System..................................................................................................... 71 Titanium Pilon Fracture Plating System............................................................... 73 ArthroFX� External Fixation System..................................................................... 76 Arthrex Tibial Nail....................................................................................................... 77 Mini Comprehensive Fixation System (CFS)--Hand and Foot...................... 79 Mini Comprehensive Fixation System (1.4 mm and 1.6 mm)......................... 80 Mini Comprehensive Fixation System (2.0 mm) ............................................... 81 Mini Comprehensive Fixation System (2.4 mm) ............................................... 82 KreuLockTM Screw System, Titanium...................................................................... 83 KreuLock Screw System, Stainless Steel............................................................. 85 Compression FT Screw System (Micro, Mini, and Standard)......................... 86 Compression FT Screw System (5.0 mm Large and 7.0 mm X-Large)........ 88 Primary Pilon Fusion System................................................................................... 90 Calcaneal Fracture System...................................................................................... 91 Lisfranc Fixation System With InternalBraceTM Technique............................... 93 5th Metatarsal Fracture System............................................................................. 94 Foot and Ankle I 59 FibuLock� Fibular Nail System The FibuLock fibular nail is a novel solution for addressing ankle fractures using a minimally invasive technique that may reduce the risk of wound complications associated with ORIF.1 The innovative talons are a unique feature that provides proximal fixation to maintain length, alignment, and rotation of the fracture. Minimally invasive All-inside ankle fracture Innovative proximal fixation Compatible with the Syndesmosis TightRope� XP implant Left- and right-specific Reference 1. Walton DM, Adams SB, Parekh SG. Intramedullary fixation for fractures of the distal fibula. Foot Ankle Int. 2016;37(1):115-123. doi:10.1177/1071100715622392 Fibulock Fibular Nail System (AR-8973S) Product Description Item Number Instruments Outrigger Targeting Guide AR-8973-01 Outrigger Compression Screw Guide AR-8973-02 Hub Attachment Screw AR-8973-03 Impactor Cap AR-8973-04 Compression Driver AR-8973-05 Tissue Protector, double-sided AR-8973-06 Drill Guide Sleeve AR-8973-07 Drill Guide, 2 mm AR-8973-08 Drill Bit, syndesmosis, 2.5 mm, qty. 2 AR-8973-25 Drill Guide, syndesmosis, 2.5 mm AR-8973-09 Drill Bit, syndesmosis TightRope implant, 3.7 mm, qty. 2 AR-8973-37 Drill Guide, syndesmosis TightRope implant, 3.7 mm AR-8973-10 FibuLock Hexalobe Driver, T10, qty. 2 AR-8973-11 FibuLock Hexalobe Driver, T15, cannulated, qty. 2 AR-8973-12 Fracture Finger/Guidewire Inserter AR-8973-13 Implant Insertion Guide AR-8973-14 Parallel Drill Guide, 1.6 mm AR-8973-15 FibuLock Nail Tray Insert AR-8943C-FN Implants Fibula Nail, left, 3.0 mm � 130 mm AR-8973L-30-130 Fibula Nail, right, 3.0 mm � 130 mm AR-8973R-30-130 Fibula Nail, left, 3.0 mm � 180 mm AR-8973L-30-180 Fibula Nail, right, 3.0 mm � 180 mm AR-8973R-30-180 Fibula Nail, left, 3.8 mm � 130 mm AR-8973L-38-130 Fibula Nail, right, 3.8 mm � 130 mm AR-8973R-38-130 Fibula Nail, left, 3.8 mm � 180 mm AR-8973L-38-180 Fibula Nail, right, 3.8 mm � 180 mm AR-8973R-38-180 Low Profile Screws, Stainless Steel Nonlocking, cortical, 2.7 mm � 12 mm-24 mm (2 mm increments) Nonlocking, cortical, 3.5 mm � 14 mm-60 mm (2 mm increments), 65 mm, 70 mm, 75 mm, 80 mm Short Thread, cannulated, 4.0 mm � 40 mm-50 mm (2 mm increments), 55 mm, 60 mm Disposable Washer, 7 mm AR-8827-12 � 24 AR-8835-14 � 80 AR-8840C-40 � 60 AR-8870W 60 I Foot and Ankle FibuLock� Fibular Nail System (Cont.) FibuLock Removal Kit, sterile Product Description Removal Screw Strike Plate Deactivator Item Number AR-8973RK FibuLock Implant System, Sterile Product Description Actuation Driver Proximal Reamer, cannulated, 3.2 mm Distal Reamer, cannulated, 6.2 mm Drill, 2 mm Guidewire, spade tip, 1.1 mm � 22 in Guidewire, 1.6 mm � 12 in, qty 2 End Cap Optional Reamer, long, cannulated, sterile, 3.2 mm Reamer, cannulated, sterile, 4.0 mm Reamer, long, cannulated, sterile, 4.0 mm Item Number AR-8973DS AR-8973-32LS AR-8973-40S AR-8973-40LS Literature Product Description Item Number FibuLock Fibular Nail System Surgical Technique Guide LT1-00099-EN Multimedia Product Description FibuLock, animation FibuLock Fibular Nail Talon Deployment, animation FibuLock Nail Removal, animation FibuLock Optional Fracture Compression Technique, animation Ankle Fracture Surgical Stabilization Using the FibuLock Nail, Presented by Charles J. Jordan, MD, video Trimalleolar Ankle Fracture Repair Using the FibuLock Nail, Presented by John T. Riehl, MD, video Comminuted Ankle Fracture Repair Using the FibuLock Nail, Presented by Thomas G. Harris, MD, video Weber C Ankle Fracture Stabilization Using the FibuLock Nail, Presented by Christopher R. Boone, MD, video Item Number AN1-00284-EN AN1-00285-EN AN1-00286-EN AN1-00373-EN VID1-01356-EN VPT1-00996-EN VPT1-01073-EN VPT1-01049-EN Foot and Ankle I 61 Ankle Fracture Management System The Ankle Fracture Management System was developed to be the most comprehensive set available for the treatment of ankle fractures. All fibula plates are engineered to work seamlessly with our proven Syndesmosis TightRope� implants. The set includes 3.5 mm locking one-third tubular plates, 3.5 mm locking straight plates (reconstruction plates), and fracturespecific plates - locking medial hook plates, locking lateral hook plates, and anatomic distal fibular plates. The system can also be customized to include the FibuLock� fibular nail (a minimally invasive surgical solution for ankle fractures), posterolateral fibula plates, and/or 2.7 mm cortical screws depending on the surgeon's preferences. Ankle Fracture Management System (AR-8943S) Product Description Item Number Instruments for 2.7 mm and 3 mm Screws Screwdriver, T10 hexalobe AR-8943-08 Drive Shaft, T10 hexalobe, QC AR-8944DH Drill Guide, threaded, low profile, 2.7 mm, qty. 2 AR-8943-17 Drill Guide, 2.7 mm/2 mm AR-8827D-02 Drill Guide, 3 mm/2 mm AR-8943-31 Disposables Drill Bit, graduated, 2 mm, qty. 2 AR-8943-16 Drill Bit, 2.7 mm AR-8827D-01 Drill Bit, 3 mm, qty. 2 AR-8943-36 Instruments for 3.5 mm Cortical, Locking, 4 mm Cancellous Screws Bone Tap, cancellous, 4 mm AR-8940T Countersink for 3.5 mm/4 mm screws AR-8950-03 Screwdriver, T15 hexalobe AR-8943-10 Hexalobe driver, T15 AR-8941DH Drill Guide, 3.5 mm/2.5 mm AR-8943-14 Bone Tap, 3.5 mm AR-8935T Drill Guide, locking, 3.5 mm, qty. 2 AR-8943-43 Drill Sleeve Insert, 2.5 mm AR-8943-27 Disposables Drill Bit, 3.5 mm, qty. 2 AR-4160-35 Drill Bit, laser-marked at 3.5 in, graduated, 2.5 mm, qty. 2 AR-8943-42 Drill Bit, 2.5 mm, qty. 2 AR-8943-30 Instruments for 4 mm Cannulated Screws Drill Guide, 2.6 mm/1.35 mm AR-8943-03 Depth Device, cannulated AR-8943-04 Driver, T15 hexalobe, cannulated AR-8943-09 Drive Shaft, QC, T15 hexalobe, cannulated AR-8943-12 Bone Tap, cannulated, 4 mm AR-8943-06 Countersink, cannulated, 4 mm AR-8943-05 Parallel Drill Guide, 2.6 mm/1.35 mm AR-8943-41 Disposables Drill Bit, cannulated, 2.6 mm, qty. 2 AR-8943-02 62 I Foot and Ankle Ankle Fracture Management System (Cont.) Product Description Item Number Instruments Bone Reduction Forceps, curved, pointed, qty. 2 AR-8943-07 Holding Sleeve for 2.7 mm, 3.5 mm, and 4 mm screws AR-8943-11 Driver Handle w/ AO Connection, cannulated AR-13221AOC Handle, ratcheting, QC, cannulated AR-8950RH Depth Device, low profile, 2.7 mm/3.5 mm/4 mm AR-8943-15 Bending Iron, qty. 2 AR-8943-18 Freer Elevator AR-8943-19 Periosteal Elevator, curved blade, 6 mm AR-8943-20 Sharp Hook, qty. 2 AR-8943-21 Cup Curette, straight shaft, 100 mm AR-8661 Hohmann Retractor, 8 mm AR-13210 Hohmann Retractor, 15 mm AR-8943-22 Lobster Claw, qty. 2 AR-8943-23 Weber Clamp AR-8943-24 Screw Holding Forceps AR-8941F Aiming Guide, locking distal fibula plate, right Aiming Guide, locking distal fibula plate, left Aiming Guide, locking lateral hook plate AR-8943-33 AR-8943-34 AR-8943-35 Tamp for Hook Plates AR-8943-28 Ankle Fracture System Instrument Case AR-8943C Disposables Guidewire w/ Trocar Tip, threaded, 0.053 in (1.35 mm � 150 mm), qty. 6 Guidewire w/ Trocar Tip, 0.053 in (1.35 mm � 150 mm), qty. 6 Guidewire w/ Trocar Tip, 0.062 in (1.6 mm � 150 mm), qty. 6 AR-8943-38 AR-8943-01 AR-8941K Guidewire w/ Trocar Tip, 0.078 in (2 mm � 130 mm), qty. 6 AR-8945K Traction Post, threaded, 3.5 mm AR-8970JD-35S BB-Tak, qty. 2 AR-13226 BB-Tak, threaded, qty. 2 AR-13226T Washer, 7 mm, qty. 6 AR-8870W Product Description Optional Sizing Template Syndesmosis Clamp Syndesmosis Clamp Lid Verbrugge Forceps Drill Sleeve, 2 mm Drill Guide Sleeve Caddy Bending Guide, Locking, 3.5 mm Screw Caddy, 2.7 mm Screw Caddy, 3.0 mm Ankle Fracture Screw Case (auxiliary) Two-Hole Buttress Plate, stainless steel Item Number AR-8943BT AR-8943-44 AR-8943-44C AR-8943-39 AR-8943-32 AR-8943C-32 AR-8954-07 AR-8827C-10 AR-8943C-30 AR-8943C-31 AR-8959-01S Foot and Ankle I 63 Ankle Fracture Management System (Cont.) (a) (b) (c) (d) Ankle Fracture Management Plates Product Description Plates Locking Distal Fibula Plate, 4H, right Locking Distal Fibula Plate, 5H, right (a) Locking Distal Fibula Plate, 6H, right Locking Distal Fibula Plate, 8H, right Locking Distal Fibula Plate, 4H, left Locking Distal Fibula Plate, 5H, left Locking Distal Fibula Plate, 6H, left Locking Distal Fibula Plate, 8H, left Locking Straight Plate, 4H Locking Straight Plate, 6H Locking Straight Plate, 7H (c) Locking Straight Plate, 8H Locking Straight Plate, 10H Locking Straight Plate, 12H Locking Medial Hook Plate, 3H Locking Medial Hook Plate, 5H (e) Locking Medial Hook Plate, 7H Locking Third Tubular Plate, 4H Locking Third Tubular Plate, 5H Locking Third Tubular Plate, 6H Locking Third Tubular Plate, 7H (b) Locking Third Tubular Plate, 8H Locking Third Tubular Plate, 10H Locking Third Tubular Plate, 12H Locking Lateral Hook Plate, 3H Locking Lateral Hook Plate, 5H (d) Locking Lateral Hook Plate, 7H Plates � Special Order Nonlocking Third Tubular Plate, 6H Nonlocking Third Tubular Plate, 7H Nonlocking Third Tubular Plate, 8H Locking Distal Fibula Plate, 10H, right, sterile Locking Distal Fibula Plate, 12H, right, sterile Locking Distal Fibula Plate, 14H, right, sterile Locking Distal Fibula Plate, 10H, left, sterile Locking Distal Fibula Plate, 12H, left, sterile Locking Distal Fibula Plate, 14H, left, sterile Item Number AR-8943DR-04 AR-8943DR-05 AR-8943DR-06 AR-8943DR-08 AR-8943DL-04 AR-8943DL-05 AR-8943DL-06 AR-8943DL-08 AR-8943C-04 AR-8943C-06 AR-8943C-07 AR-8943C-08 AR-8943C-10 AR-8943C-12 AR-8943H-03 AR-8943H-05 AR-8943H-07 AR-8943T-04 AR-8943T-05 AR-8943T-06 AR-8943T-07 AR-8943T-08 AR-8943T-10 AR-8943T-12 AR-8943TH-03 AR-8943TH-05 AR-8943TH-07 AR-8943TNL-06 AR-8943TNL-07 AR-8943TNL-08 AR-8943DR-10S AR-8943DR-12S AR-8943DR-14S AR-8943DL-10S AR-8943DL-12S AR-8943DL-14S (e) 64 I Foot and Ankle Ankle Fracture Management System (Cont.) Ankle Fracture Set Screw Caddy (AR-8943C-SC) (included in the AR-8943S) Product Description Low Profile Screws, Stainless Steel 2.7 mm Locking Lengths: 10 mm-26 mm (2 mm increments) 3.0 mm Cancellous Lengths: 10 mm-30 mm (2 mm increments) 3.5 mm Cortical Lengths: 10 mm-30 mm (2 mm increments), 35 mm-60 mm (5 mm increments) 3.5 mm Locking Lengths: 10 mm-20 mm (2 mm increments) 4.0 mm Cancellous, fully threaded Lengths: 10 mm-24 mm (2 mm increments) 4.0 mm Cannulated, short thread Lengths: 30 mm-60 mm (5 mm increments) Item Number AR-8827L-10 � 26 AR-8830-10 � 30 AR-8835-10 � 60 AR-8835L-10 � 20 AR-8840-10 � 24 AR-8840C-30 � 60 Ankle Fracture/Distal Tibia Screw System (AR-8943C-31) Optional Auxiliary Tray Product Description Item Number Low Profile Screws, Stainless Steel 2.7 mm Cortical Lengths: 10 mm-60 mm (2 mm increments) 2.7 mm Locking Lengths: 10 mm-60 mm (2 mm increments) 3.0 mm Cancellous Lengths: 10 mm-30 mm (2 mm increments) 3.5 mm Cortical Lengths: 10 mm-60 mm (2 mm increments), 65 mm-80 mm (5 mm increments) AR-8827-10 � 60 AR-8827L-10 � 60 AR-8830-10 � 30 AR-8835-10 � 80 3.5 mm Locking Lengths: 10 mm-40 mm (2 mm increments), 45 mm, 50 mm 4.0 mm Cancellous, fully threaded Lengths: 10 mm-50 mm (2 mm increments), 55 mm, 60 mm 4.0 Cannulated, Short Thread Lengths: 30 mm-50 mm (2 mm increments), 55 mm, 60 mm 4.0 mm Cannulated, Long Thread Lengths: 30 mm-50 mm (2 mm increments), 55 mm, 60 mm AR-8835L-10 � 50 AR-8840-10 � 60 AR-8840C-30 � 60 AR-8840CL-30 � 60 Other Implants and Instruments Drill Sleeve for 2.7 mm Locking Screws AR-8943-32 Drill Sleeve for 3.5 mm Locking Screws AR-8963-06 Literature Product Description Ankle Fracture Management System Surgical Technique Guide Fracture Management Brochure Item Number LT1-00109-EN LB1-0020-EN Multimedia Product Description Item Number Ankle Fracture Management System, animation AN1-00127-EN Lateral Hook Plate, animation AN1-00037-EN Medial Hook Plate, animation AN1-00038-EN Ankle Fixation With the Arthrex Ankle Set, Presented VPT1-00995-EN by John Riehl, MD, video Foot and Ankle I 65 Posterolateral Fibula Plates � Stainless Steel Anatomic and straight stainless steel posterolateral fibula plates can be added to the Ankle Fracture Management System. They come standard in the Distal Tibia Plating System. Posterolateral plating techniques can aid in fracture reduction of spiral fibula fractures and potentially reduce hardware removal as plates are placed posteriorly on the fibula and not directly lateral where there is less soft-tissue coverage. The caddy also includes small, low-profile straight plates for reducing small fracture fragments on the fibula or tibia. Posterolateral Fibula Plate Caddy (AR-8943C-PC-01) (fits inside AR-8943S) Product Description Plates Posterolateral Distal Fibula Plate, 4H Posterolateral Distal Fibula Plate, 5H Posterolateral Distal Fibula Plate, 6H (a) Posterolateral Distal Fibula Plate, 8H Posterolateral Anatomic Distal Fibula Plate, 4H, left Posterolateral Anatomic Distal Fibula Plate, 6H, left Posterolateral Anatomic Distal Fibula Plate, 8H, left Posterolateral Anatomic Distal Fibula Plate, 10H, left Posterolateral Anatomic Distal Fibula Plate, 4H, right Posterolateral Anatomic Distal Fibula Plate, 6H, right Posterolateral Anatomic Distal Fibula Plate, 8H, right (b) Posterolateral Anatomic Distal Fibula Plate, 10H, right Straight Plate, 2H, 2.7 mm Straight Plate, 3H, 2.7 mm Straight Plate, 4H, 2.7 mm Straight Plate, 5H, 2.7 mm (c) Item Number AR-8963PLL-04 AR-8963PLL-05 AR-8963PLL-06 AR-8963PLL-08 AR-8963APLL-04 AR-8963APLL-06 AR-8963APLL-08 AR-8963APLL-10 AR-8963APLR-04 AR-8963APLR-06 AR-8963APLR-08 AR-8963APLR-10 AR-8963RM-02 AR-8963RM-03 AR-8963RM-04 AR-8963RM-05 (a) (b) (c) 66 I Foot and Ankle Titanium Ankle Fracture System 30� Variable Angle Locking The ankle fracture portfolio continues to expand with the addition of our titanium plates. Plate options include locking third tubular plates, 3.5 mm reconstruction plates, locking distal fibula plates, hook plates, and posterolateral distal fibula plates. The fibula plates are designed for use with the Syndesmosis TightRope� XP implant and includes an oblong hole in the proximal shaft of the plate. The distal fibula plate also allows 3.0 mm variable-angle locking screws distally and suture eyelets for the addition of the AITFL InternalBraceTM technique. Titanium Ankle Fracture System (AR-9943S) Product Description Instruments for 3 mm and 3.5 mm Screws Drill Guide, locking, 3.5 mm, qty. 2 Drill Guide, 3.5 mm/2.5 mm Drill Guide, 3.0 mm/2.0 mm Drill Guide, threaded, 2.7 mm, qty. 2 Drill Guide, VAL, 3.0 mm Drill Guide, VAL, 3.0 mm, qty. 2 Drill Sleeve Insert, 2.5 mm Depth Device, cannulated Countersink, cannulated, 4.0 mm Bone Tap, 3.5 mm Driver Shaft, cannulated, QC, T15 hexalobe Driver, T10 hexalobe Driver, T15 hexalobe Screwdriver, T10 hexalobe Screwdriver, T15 hexalobe, cannulated Screwdriver, T15 hexalobe Disposables Drill Bit, calibrated, 2.0 mm qty. 2 Drill Bit, calibrated, 2.5 mm, qty. 2 Drill Bit, 2.5 mm, qty. 2 Drill Bit, 3.0 mm, qty. 2 Drill Bit, 3.5 mm, qty 2 Item Number AR-8943-43 AR-8943-14 AR-8943-31 AR-8943-17 AR-8933GV AR-8933GVN AR-8943-27 AR-8943-04 AR-8943-05 AR-8935T AR-8943-12 AR-8944DH AR-8941DH AR-8943-08 AR-8943-09 AR-8943-10 AR-8943-16 AR-8943-42 AR-8943-30 AR-8943-36 AR-4160-35 Product Description Instruments for 4.0 mm LPS Cannulated Screws Drill Guide, 2.6 mm /1.35 mm Drill Guide, 2.6 mm/1.35 mm Bone Tap, 4.0 mm Bone Tap, cannulated, 4.0 mm Disposables Drill Bit, cannulated, 2.6 mm, qty. 2 Guidewire w/ Trocar Tip, threaded, 1.35 mm, qty. 6 Guidewire w/ Trocar Tip, 1.35 mm, qty. 6 Instruments Hohmann Retractor, 8 mm Hohmann Retractor, 15 mm Driver Handle w/ AO connection, cannulated Cup Curette, straight shaft, 100 mm long Screw Holding Forceps, self-retaining Depth Device, 2.7 mm/3.5 mm/4.0 mm screws Countersink, 3.5 mm/4.0 mm Bone Reduction Forceps, curved, pointed, qty. 2 Handle, QC, ratcheting, cannulated Holding Sleeve for 2.7 mm, 3.5 mm, and 4.0 mm screws Bending Iron, qty. 2 Freer Elevator Periosteal Elevator, curved blade, 6 mm Sharp Hook Lobster Claw, qty. 2 Weber Clamp Tamp for Hook Plates Ankle Fracture System Instrument Case, titanium Optional Titanium Pilon Distal Fibula and Hook Plate Caddy Two-Hole Buttress Plate, Ti Item Number AR-8943-03 AR-8943-41 AR-8940T AR-8943-06 AR-8943-02 AR-8943-38 AR-8943-01 AR-13210 AR-8943-22 AR-13221AOC AR-8661 AR-8941F AR-8943-15 AR-8950-03 AR-8943-07 AR-8700RH AR-8943-11 AR-8943-18 AR-8943-19 AR-8943-20 AR-8943-21 AR-8943-23 AR-8943-24 AR-8943-28 AR-9943C AR-9943C-PC-01 AR-8959-02S Foot and Ankle I 67 Titanium Ankle Fracture System (Cont.) Product Description Item Number Plates Locking Distal Fibula Plate, Ti, 4H, right AR-9943BR-04 Locking Distal Fibula Plate, Ti, 5H, right AR-9943BR-05 Locking Distal Fibula Plate, Ti, 6H, right AR-9943BR-06 Locking Distal Fibula Plate, Ti, 8H, right AR-9943BR-08 Locking Distal Fibula Plate, Ti, 10H, right AR-9943BR-10 Locking Distal Fibula Plate, Ti, 12H, right AR-9943BR-12 Locking Distal Fibula Plate, Ti, 14H, right AR-9943BR-14 Locking Distal Fibula Plate, Ti, 4H, left AR-9943BL-04 Locking Distal Fibula Plate, Ti, 5H, left (a) AR-9943BL-05 Locking Distal Fibula Plate, Ti, 6H, left AR-9943BL-06 Locking Distal Fibula Plate, Ti, 8H, left AR-9943BL-08 Locking Distal Fibula Plate, Ti, 10H, left AR-9943BL-10 Locking Distal Fibula Plate, Ti, 12H, left AR-9943BL-12 Locking Distal Fibula Plate, Ti, 14H, left AR-9943BL-14 Locking Straight Plate, Ti, 4H AR-9943C-04 Locking Straight Plate, Ti, 6H (b) AR-9943C-06 Locking Straight Plate, Ti, 7H AR-9943C-07 Locking Straight Plate, Ti, 8H AR-9943C-08 Locking Straight Plate, Ti, 10H AR-9943C-10 Locking Straight Plate, Ti, 12H AR-9943C-12 Locking Third Tubular Plate, Ti, 4H AR-9943T-04 Locking Third Tubular Plate, Ti, 5H AR-9943T-05 Locking Third Tubular Plate, Ti, 6H (c) AR-9943T-06 Locking Third Tubular Plate, Ti, 7H AR-9943T-07 Locking Third Tubular Plate, Ti, 8H AR-9943T-08 Locking Third Tubular Plate, Ti, 10H AR-9943T-10 Locking Third Tubular Plate, Ti, 12H AR-9943T-12 Two-Hole Buttress Plate, Ti AR-8959-02S Posterolateral Distal Fibula Plate, Ti, 4H AR-9963PLL-04 Posterolateral Distal Fibula Plate, Ti, 5H AR-9963PLL-05 Posterolateral Distal Fibula Plate, Ti, 6H (d) AR-9963PLL-06 Posterolateral Distal Fibula Plate, Ti, 8H AR-9963PLL-08 Posterolateral Distal Fibula Plate, Ti, 10H AR-9963PLL-10 Posterolateral Anatomic Distal Fibula Plate, Ti, 4H, right AR-9963APLR-04 Posterolateral Anatomic Distal Fibula Plate, Ti, 6H, right (f) AR-9963APLR-06 Posterolateral Anatomic Distal Fibula Plate, Ti, 8H, right AR-9963APLR-08 Posterolateral Anatomic Distal Fibula Plate, Ti, 10H, right AR-9963APLR-10 Posterolateral Anatomic Distal Fibula Plate, Ti, 4H, left AR-9963APLL-04 Posterolateral Anatomic Distal Fibula Plate, Ti, 6H, left (e) AR-9963APLL-06 Posterolateral Anatomic Distal Fibula Plate, Ti, 8H, left AR-9963APLL-08 Posterolateral Anatomic Distal Fibula Plate, Ti, 10H, left AR-9963APLL-10 Locking Medial Hook Plate, Ti, 3H AR-9943H-03 Locking Medial Hook Plate, Ti, 5H (g) AR-9943H-05 Locking Medial Hook Plate, Ti, 7H AR-9943H-07 Locking Lateral Hook Plate, Ti, 3H AR-9943TH-03 Locking Lateral Hook Plate, Ti, 5H (h) AR-9943TH-05 Locking Lateral Hook Plate, Ti, 7H AR-9943TH-07 Screws, Titanium* *All screws come in 2 mm increments. VAL, 3 mm � 10 mm-26 mm AR-8933V-10 � 26 Low Profile Screws (LPS), 3 mm � 10 mm-30 mm AR-8933-10 � 30 Low Profile Screws (LPS), 3.5 mm � 10 mm-60 mm Low Profile Screws (LPS), locking, 3.5 mm � 10 mm-20 mm Low Profile Screws (LPS), 4 mm � 10 mm-24 mm QuickFixTM Screws, cannulated, cancellous, 4 mm � 30 mm-60 mm AR-8935-10 � 60 AR-8935L-10 � 20 AR-8940-10-24 AR-8740-30PTS � 60PTS Product Description Disposables BB-Tak, threaded, qty. 2 BB-Tak, qty. 2 Guidewire, 1.6 mm, qty. 6 Guidewire With Trocar Tip, 1.5 mm, qty. 6 Washer, 7 mm, qty. 6 Item Number AR-13226T AR-13226 AR-8941K AR-8945K AR-8740W Multimedia Product Description Trimalleolar Ankle Fracture Dislocation Surgical Technique, Presented by Andre J. Pagliaro, MD, video Item Number VID1-01454-EN (a) (b) (c) (d) (e) (f) (g) (h) 68 I Foot and Ankle Syndesmosis TightRope� XP Implant System The Syndesmosis TightRope XP implant system features a unique delivery mechanism that allows the surgeon to insert the implant without pulling a needle through the medial skin. The Syndesmosis TightRope XP implant system gives the user control to flip the medial oblong button below the skin for less soft-tissue interposition. Advantages: Improved reduction compared to syndesmosis screws1 Improved maintenance of reduction compared to syndesmosis screws2 Improved patient outcomes compared to syndesmosis screws3 No need for routine removal Syndesmosis TightRope XP Implant System, Stainless Steel Product Description Drill Guide XP Drill Bit, solid, 3.7 mm Drill Bit, cannulated, 3.7 mm XP Suture Tensioning Handles, qty. 2 Syndesmosis TightRope XP Inserter Guidewire w/ Trocar Tip, 0.049 in Guidewire Sleeve Item Number AR-8925SS References 1. Naqvi GA, et al. Am J Sports Med. 2012;40(12):2828-2835. doi:10.1177/0363546512461480 2. Cottom JM, et al. J Foot Ankle Surg. 2009;48(6):620-630. doi:10.1053/j. jfas.2009.07.013 3. Laflamme M, et al. J Orthop Trauma. 2015;29(5):216-223. doi:10.1097/ BOT.0000000000000245 Syndesmosis TightRope XP Implant System, Titanium Product Description Drill Guide XP Drill Bit, solid, 3.7 mm Drill Bit, cannulated, 3.7 mm XP Suture Tensioning Handles, qty. 2 Syndesmosis TightRope XP Inserter Guidewire w/ Trocar Tip, 0.049 in Guidewire Sleeve Item Number AR-8925T Optional Product Description Syndesmosis Probe Item Number AR-8925P Literature Product Description Syndesmosis TightRope XP Implant System Surgical Technique Guide Item Number LT1-00082-EN Multimedia Product Description Item Number Syndesmosis TightRope XP Implant System, animation Syndesmosis Repair Featuring the Syndesmosis TightRope XP Implant System, Presented by Thomas G. Harris, MD, video AN1-00289-EN VPT1-00946-EN Syndesmosis TightRope XP Implant System, Presented by Lorenzo Gamez, MD, video Syndesmosis TightRope� XP Implant, Presented by Benjamin Maxson, DO, video Syndesmosis Repair Utilizing the Knotless TightRope Implant System, Presented by John Riehl, MD, video VPT1-00941-EN VID1-0006345-en-US VID1-00934-EN Ankle Fracture ORIF Utilizing the Syndesmosis TightRope Fixation, Presented by J. Chris Coetzee, MD, video What Is the Most Effective Implant for Reduction and Fixation of the Syndesmosis?, Presented by Kaitlin C. Neary, MD, video VID1-00606-EN VID1-000205-EN Syndesmosis TightRope� XP Implant, Presented by VID1-0006345- Benjamin Maxson, DO, video en-US Foot and Ankle I 69 Syndesmosis TightRope� XP Buttress Plate Implant System 17.5 mm New! The Syndesmosis TightRope XP Buttress Plate Implant System is designed to treat syndesmotic injuries of the ankle. It features a unique syndesmosis plate with an 17.5 mm distance between the holes to disperse the force of the Syndesmosis TightRope XP implants over the fibula. The thinner profile of the plate and additional BB-Tak holes allow for a minimally invasive placement of the plate. Two titanium TightRope XP implants are included in the system, along with the appropriate drills, guidewires, and BB-Taks. Syndesmosis TightRope XP Buttress Plate Implant System Product Description Syndesmosis TightRope XP Implant, Ti, qty. 2 Two-Hole Plate, Ti BB-Tak, threaded, qty. 2 Guidewire Drill Guide Drill Bit, cannulated, 3.7mm Drill Bit, solid, 3.7mm TightRope Guidewire Sleeve Item Number AR-8959TDS Individual Syndesmosis TightRope Plates Product Description Two-Hole Plate, stainless steel, sterile Two-Hole Plate, titanium, sterile Item Number AR-8959-01S AR-8959-02S Literature Product Description Syndesmosis TightRope XP Buttress Plate Implant System Surgical Technique Item Number LT1-000161en-US Multimedia Product Description Item Number Dual Syndesmosis TightRope Implant System, animation AN1-00151-EN Managing High Ankle Sprains With Syndesmosis TightRope Fixation System, Presented by Norman E. Waldrop III, MD, video Dual Syndesmosis TightRope Implant System, Presented by Norman E. Waldrop III, MD, video VID1-00996-EN VID1-01228-EN 70 I Foot and Ankle Distal Tibia System (a) (b) (c) The Arthrex Distal Tibia Plating System was designed for the versatile treatment of distal tibia fractures. It includes anterolateral, medial, anterior, and posterior distal tibia plates and two designs of posterolateral fibula plates. The implants allow a high-density 2.7 mm screw fixation distally while still providing strength with 3.5 mm screws proximally. Particular attention was placed on maintaining a low-profile design by optimizing contour and fit to minimize soft-tissue irritation. The included color-coded instrumentation facilitates minimally invasive or open techniques. Distal Tibia System (AR-8963S) Product Description Instruments Wire Sleeve Insert, 1.35 mm (Top-Hat) Drill Guide, threaded, 2.7 mm Depth Device for 1.35 mm Top-Hat Depth Device, 2.7 mm/3.0 mm/3.5 mm/4.0 mm Bone Tap, 3.5 mm � 100 mm Torque Limiting Attachment Insertion Handle, QC, 2.7 mm Submuscular Tissue Elevator, QC Medial Distal Tibia Plate Template Anterolateral Distal Tibia Plate Template Distal Tibia Set Case Straight Plate Caddy With Lid Item Number AR-8963-03 AR-8963-08 AR-8963-09 AR-8963-01 AR-8963-02 AR-8963TL-01 AR-8963-07 AR-8963-10 AR-8963-11 AR-8963-12 AR-8963C AR-8963C-02 Product Description Plates Medial Distal Tibia Plate, 4H, left Medial Distal Tibia Plate, 6H, left Medial Distal Tibia Plate, 8H, left (b) Medial Distal Tibia Plate, 10H, left Medial Distal Tibia Plate, 12H, left Medial Distal Tibia Plate, 14H, left Medial Distal Tibia Plate, 16H, left Medial Distal Tibia Plate, 4H, right Medial Distal Tibia Plate, 6H, right Medial Distal Tibia Plate, 8H, right Medial Distal Tibia Plate, 10H, right Medial Distal Tibia Plate, 12H, right Medial Distal Tibia Plate, 14H, right Medial Distal Tibia Plate, 16H, right Anterolateral Distal Tibia Plate, 4H, left Anterolateral Distal Tibia Plate, 6H, left Anterolateral Distal Tibia Plate, 8H, left Anterolateral Distal Tibia Plate, 10H, left Anterolateral Distal Tibia Plate, 12H, left Anterolateral Distal Tibia Plate, 14H, left Anterolateral Distal Tibia Plate, 16H, left Anterolateral Distal Tibia Plate, 18H, left Anterolateral Distal Tibia Plate, 4H, right Anterolateral Distal Tibia Plate, 6H, right Anterolateral Distal Tibia Plate, 8H, right Anterolateral Distal Tibia Plate, 10H, right (a) Anterolateral Distal Tibia Plate, 12H, right Anterolateral Distal Tibia Plate, 14H, right Anterolateral Distal Tibia Plate, 16H, right Anterolateral Distal Tibia Plate, 18H, right Posterior Distal Tibia Plate, 3H Posterior Distal Tibia Plate, 5H (c) Posterior Distal Tibia Plate, 7H Posterior Distal Tibia Plate, 9H Item Number AR-8963ML-04 AR-8963ML-06 AR-8963ML-08 AR-8963ML-10 AR-8963ML-12 AR-8963ML-14 AR-8963ML-16 AR-8963MR-04 AR-8963MR-06 AR-8963MR-08 AR-8963MR-10 AR-8963MR-12 AR-8963MR-14 AR-8963MR-16 AR-8963AL-04 AR-8963AL-06 AR-8963AL-08 AR-8963AL-10 AR-8963AL-12 AR-8963AL-14 AR-8963AL-16 AR-8963AL-18 AR-8963AR-04 AR-8963AR-06 AR-8963AR-08 AR-8963AR-10 AR-8963AR-12 AR-8963AR-14 AR-8963AR-16 AR-8963AR-18 AR-8963P-03 AR-8963P-05 AR-8963P-07 AR-8963P-09 Foot and Ankle I 71 Distal Tibia System (Cont.) (d) (e) (f) (g) Literature Product Description Distal Tibia Plating System Surgical Technique Guide Item Number LT1-00027-EN Multimedia Product Description Anterolateral Distal Tibia Plate, animation Pilon Fracture With Anterolateral and Posterior Distal Tibia Fracture Plating System, Presented by Jesse Doty, MD, video Pilon Fracture Surgical Stabilization Using the Distal Tibia Plates, Presented by Charles J. Jordan, MD, video Item Number AN1-00168-EN VID1-00825-EN VID1-01446-EN Product Description Item Number Anterior Distal Tibia Plate, 3H Anterior Distal Tibia Plate, 5H (e) Anterior Distal Tibia Plate, 7H Anterior Distal Tibia Plate, 9H AR-8963A-03 AR-8963A-05 AR-8963A-07 AR-8963A-09 Posterolateral Distal Fibula Plate, 4H Posterolateral Distal Fibula Plate, 5H Posterolateral Distal Fibula Plate, 6H (f) Posterolateral Distal Fibula Plate, 8H AR-8963PLL-04 AR-8963PLL-05 AR-8963PLL-06 AR-8963PLL-08 Posterolateral Anatomic Distal Fibula Plate, 4H, left Posterolateral Anatomic Distal Fibula Plate, 6H, left Posterolateral Anatomic Distal Fibula Plate, 8H, left Posterolateral Anatomic Distal Fibula Plate, 10H, left Posterolateral Anatomic Distal Fibula Plate, 4H, right Posterolateral Anatomic Distal Fibula Plate, 6H, right Posterolateral Anatomic Distal Fibula Plate, 8H, right (g) Posterolateral Anatomic Distal Fibula Plate, 10H, right AR-8963APLL-04 AR-8963APLL-06 AR-8963APLL-08 AR-8963APLL-10 AR-8963APLR-04 AR-8963APLR-06 AR-8963APLR-08 AR-8963APLR10 Straight Plate, 2H, 2.7 mm Straight Plate, 3H, 2.7 mm Straight Plate, 4H, 2.7 mm Straight Plate, 5H, 2.7 mm (d) AR-8963RM-02 AR-8963RM-03 AR-8963RM-04 AR-8963RM-05 Screws Use screws in the Ankle Fracture/Distal Tibia Screw System (AR-8943C-31) See entire list on p. 65 Disposables Guidewire w/ Trocar Tip, 1.35 mm, qty. 6 AR-8963-04 Drill Bit, calibrated, long, 2.0 mm AR-8963-05 72 I Foot and Ankle Titanium Pilon Fracture Plating System The Titanium Pilon Fracture Plating System is a comprehensive distal tibia plating system. The system offers a wide variety of plating options with short to extra-long plate lengths available. This plating system accepts both 2.7 mm and 3.5 mm cortical and variableangle locking screws, based on surgeon preference and patient needs. The plating system includes options for the following approaches: Anterolateral Medial Anterior Posterior T-Plates Oblique T-Plates L-Plates This system is a great complement for surgeons who prefer titanium plates and screws and can be paired with the Arthrex Titanium Ankle Fracture System to help plate the fibula. New! Titanium Pilon Fracture Plating System Product Description Instruments Guide Pin, 1.5 mm � 230 mm Guide Pin, fast threaded, 1.5 mm Temporary Fixation Pin, ankle plate Countersink Drill Guide, Hook Plate Drill Guide, Ankle Plate, 1.9 mm Drill Guide, 2.8 mm Drill Guide, snap-in, 2.8 mm Drill Guide, snap-in, 1.9 mm Drill Guide, 3.5 mm Drill Guide, impactor, lite hook plate Drill Guide, snap-in, lite plates, 2.8 mm Drill Guide, snap-in, lite plates, 1.9 mm Targeting Drill Guide, 2.8 mm Drill Guide, fixed angle, 2.8 mm Depth Gauge, drill pin, ankle plate Depth Gauge, hook tip, ankle plate Depth Gauge, hook tip Depth Gauge, hook tip, distal Depth Gauge, unicortical Screw Sheath Screw Sheath, targeting Obturator Forceps, lobster claw, serrated Forceps, plate holding Fixation Pin, temp, compression wheel Bending Iron, ankle plate Bending Iron, ankle plate Bending Iron, lite plate Bone Pick, 6 in Reduction Forceps, long ratchet Mini Hohmann Retractor, 8 mm blade Hohmann Retractor, 15 mm blade Suture Passing Dissector Lamina Spreader, ankle plate Queen Tong Forceps Prince Tong Forceps Elevator, periosteal, 5 mm Elevator, periosteal, 10 mm King Tong Forceps Elevator Reduction Forceps, angled Targeting Alignment Post Targeter Alignment Lock Targeter Alignment Post Attachment Bolt Parallel Drill Guide, 1.5 mm Targeter Alignment Lock Item Number 0109-230 0120-150 0121-000 4006-000 0347-000 0348-000 0349-100 0352-100 0354-000 0355-000 0369-000 0370-000 0371-000 0380-000 0381-000 0541-000 0543-000 0550-000 0552-000 0553-000 0643-000 0660-000 0661-000 0819-000 0824-200 0832-100 0843-000 0843-100 0859-000 0900-000 0901-100 0903-000 0904-000 0906-000 0907-000 0908-000 0909-000 0911-000 0912-000 0916-000 0917-000 0918-000 4914-000 4915-000 4918-000 4916-000 0356-000 4919-000 Foot and Ankle I 73 Titanium Pilon Fracture Plating System (Cont.) Product Description Instruments (Cont.) Targeting Arm, tibia plate, left Targeting Arm, tibia plate, right Driver, cannulated, T15 Captured Screwdriver, T10 Handle, axial, fixed, small, cannulated Handle, axial, fixed, small, A/O quick connect Screw Gripper Power Torque-Limiting Adaptor, 1.7 Nm Screwdriver, short, T10 Torque-Limiting Handle, ratcheting, 1.7 Nm Wrench, targeter sheath Driver, T10 Driver, targeter sheath Ankle Plate Contouring Tool Lower Extremity Instrument tray Lower Extremity Screw Tray Lower Extremity Plates Tray Lite Tray Proximal Tibia Plate Tray Proximal Tibia Instrument Tray Proximal Tibia Screw Tray Plates Medial Pilon Plate, short, 13H, left Medial Pilon Plate, medium, 17H, left Medial Pilon Plate, long, 21H, left Medial Pilon Plate, short, 13H, left Medial Pilon Plate, medium, 17H, right Medial Pilon Plate, long, 21H, right Item Number 4920-000 4921-000 5014-000 5015-100 5017-000 5017-100 5022-000 5023-000 5025-100 5027-000 5040-000 5042-000 5044-000 9127-000 9937-000 9938-000 9939-000 9948-000 9955-000 9956-000 9957-000 3031-013 3031-017 3031-021 3032-013 3032-017 3032-021 Product Description Plates (Cont.) Anterolateral Distal Tibia Plate, short, 15H, left Anterolateral Distal Tibia Plate, medium, 19H, left Anterolateral Distal Tibia Plate, long, left, 23H Anterolateral Distal Tibia Plate, short, right, 15H Anterolateral Distal Tibia Plate, medium, right, 19H Anterolateral Distal Tibia Plate, long, right, 23H Anterior Distal Tibia Plate, short, 11H Anterior Distal Tibia Plate, long, 13H Anterior Cortical Rim Plate, 5H Posterior Distal Tibia Plate, left Posterior Distal Tibia Plate, right Distal Hook Plate, short, 3H Distal Hook Plate, medium, 5H Distal Hook Plate, long, 7H Lateral Distal Fibula Plate, XS, left, 10H Lateral Distal Fibula Plate, short, left, 12H Lateral Distal Fibula Plate, XS, right, 10H Lateral Distal Fibula Plate, short, right, 12H Lateral Distal Fibula Plate, long, right, 15H Lateral Distal Fibula Plate, long, left, 15H Posterolateral Distal Fibula Plate, short, left, 9H Posterolateral Distal Fibula Plate, long, left, 12H Posterolateral Distal Fibula Plate, short, right, 9H Posterolateral Distal Fibula Plate, long, right, 12H Semi-Tubular Plate, 3H Semi-Tubular Plate, 5H Semi-Tubular Plate, 7H Semi-Tubular Plate, 9H Semi-Tubular Plate, 11H Straight Plate, 3H Straight Plate, 5H Straight Plate, 7H Straight Plate, 9H Straight Plate, 11H T-Plate, 2 � 3H T-Plate, 2 � 5H T-Plate, 3 � 3H T-Plate, 3 � 5H Oblique Plate, 3 � 3H, left Oblique T-Plate, 3 � 5H, left Oblique Plate, 3 � 3H, right Oblique Plate, 3 � 5H, right L-Plate, 3 � 2H, left L-Plate, 3 � 4H, left L-Plate, 3 � 2H, right L-Plate, 3 � 4H, right Washer, small fragment 74 I Foot and Ankle New! Item Number 3035-015 3035-019 3035-023 3036-015 3036-019 3036-023 3039-011 3039-013 3040-005 3041-009 3042-009 3043-003 3043-005 3043-007 3051-010 3051-012 3052-010 3052-012 3052-015 3051-015 3053-009 3053-012 3054-009 3054-012 3060-003 3060-005 3060-007 3060-009 3060-011 3061-003 3061-005 3061-007 3061-009 3061-011 3062-005 3062-007 3063-006 3063-008 3064-006 3064-008 3065-006 3065-008 3066-005 3066-007 3067-005 3067-007 3075-000 Titanium Pilon Fracture Plating System (Cont.) New! Product Description Plates (Cont.) Lite Distal Hook Plate, 4H Lite Distal Hook Plate, 6H Lite Distal Hook Plate, 8H Lite Semi-Tubular Plate, 3H Lite, Semi-Tubular Plate, 5H Lite Semi-Tubular Plate, 7H Lite Semi-Tubular Plate, 9H Lite Semi-Tubular Plate, 11H Lite Semi-Tubular Plate, 13H Lite Semi-Tubular Plate, 15H Lite Semi-Tubular Plate, 17H Lite Straight Plate, 3H Lite Straight Plate, 5H Lite Straight Plate, 7H Lite Straight Plate, 9H Lite Straight Plate, 11H Lite Straight Plate, 3H Lite Straight Plate, 15H Lite Straight Plate, 17H Lite T-Plate, 2 � 3H Lite T-Plate, 2 � 5H Lite T-Plate, 3 � 3H Lite T-Plate, 3 � 5H Lateral Proximal Tibia Plate, left, 2H Lateral Proximal Tibia Plate, left, 3H Lateral Proximal Tibia Plate, left, 5H Lateral Proximal Tibia Plate, left, 8H Lateral Proximal Tibia Plate, left, 11H Lateral Proximal Tibia Plate, left, 14H Lateral Proximal Tibia Plate, right, 2H Item Number 3043-904 3043-906 3043-908 3060-903 3060-905 3060-907 3060-909 3060-911 3060-913 3060-915 3060-917 3061-903 3061-905 3061-907 3061-909 3061-911 3061-913 3061-915 3061-917 3062-905 3062-907 3063-906 3063-908 3081-002 3081-003 3081-005 3081-008 3081-011 3081-014 3082-002 Product Description Plates (Cont.) Lateral Plate, right, 3H Lateral Plate, right 5H Lateral Plate, right, 8H Lateral Plate, right, 11H Lateral Plate, right, 14H Postmedial Plate, left, 4H Postmedial Plate, left, 5H Postmedial Plate, left, 8H Postmedial Plate, right, 4H Postmedial Plate, right, 5H Postmedial Plate, right, 8H Screws 2.7 mm Nonlocking, 2.7 mm � 10 mm-50 mm (2 mm increments) 3.5 mm Nonlocking, 3.5 mm � 10 mm-50 mm (2 mm increments) 3.5 mm Nonlocking, 3.5 mm � 55 mm-60 mm 4.0 mm Nonlocking, 4.0 mm � 14 mm-50 mm (2 mm increments) 4.0 mm Nonlocking, 4.0 mm � 55 mm-60 mm 4.0 mm Partially Threaded, 4.0 mm � 18 mm-50 mm (2 mm increments) 4.0 mm Partially Threaded, 4.0 mm � 55 mm-60 mm 2.7 mm VAL, 2.7 mm � 10 mm-50 mm (2 mm increments) 3.5 mm VA, 3.5 mm � 10 mm-50 mm (2 mm increments) 3.5 mm VAL , 3.5 mm � 55 mm-60 mm 3.5 mm Workhorse Screw, 3.5 mm � 20 mm-50 mm (2 mm increments) 3.5 mm Workhorse Screw, 3.5 mm � 55 mm-60 mm Disposables Drill, 1.9 mm Drill, 2.8 mm Drill, cannulated, 2.8 mm Tap, cortical, A/O, 2.7 mm Tap, cortical, A/O, 3 mm Tap, cortical, A/O, 3.5 mm Drill, calibrated, A/O, 3.5 mm Drill, quick , 2.8 mm Drill, quick, 1.9 mm Tap, cortical, A/O, 4.0 mm Drill, proximal, calibrated, 2.8 mm Drill, distal, calibrated, 2.8 mm Item Number 3082-003 3082-005 3082-008 3082-011 3082-014 3085-004 3085-005 3085-008 3086-004 3086-005 3086-008 8083-010-050 8084-010-050 8084-055-060 8085-014-050 8085-055-060 8086-018-050 8086-055-060 8087-010-050 8088-010-050 8088-055-060 8100-020-050 8100-055-060 4008-000 4009-100 4010-100 4023-000 4024-000 4024-100 4025-000 4027-000 4028-000 4029-000 4032-000 4040-000 Foot and Ankle I 75 ArthroFX� External Fixation System The ArthroFX Large External Fixation System was designed to give surgeons a simple, efficient, and cost-effective solution for temporary or definitive fixation. The system consists of: 11 mm carbon fiber rods 6 mm transfixation pins 4 mm and 5 mm Schanz pins Large combination clamps and multi-pin clamps with rod attachments ArthroFX External Fixation System (AR-8964S) Product Description Instruments Drill Guide Handle Universal Chuck w/ T-Handle Ratchet Wrench, 11 mm, qty. 2 Multi-Driver Adapter, qty. 2 6-Position Drill Guide Handle Trocar, long, 3.5 mm, qty. 2 Trocar, short, 3.5 mm, qty. 2 Drill Sleeve, long, 3.5 mm, qty. 2 Drill Sleeve, short, 3.5 mm, qty. 2 Drill Sleeve, threaded, long, 5 mm, qty. 2 Drill Sleeve, threaded, short, 5 mm, qty. 2 Multi-Driver w/ T-Handle ArthroFX Case Disposables Drill Bit, 3.5 mm Item Number AR-8964-17 AR-8964-20 AR-8964-21 AR-8964-19 AR-8964-18 AR-8964-16 AR-8964-15 AR-8964-12 AR-8964-11 AR-8964-14 AR-8964-13 AR-8964-23 AR-8964C AR-8964-10 Product Description Implants/Instruments (to be ordered separately) Large Combination Clamp, qty. 24 Multi-Pin Clamp, large, qty. 2 Rod Attachment, large multi-pin clamp, qty. 4 Attachment arm, straight, qty. 4 Carbon Fiber Rod, 11 mm � 100 mm, qty. 4 Carbon Fiber Rod, 11 mm � 150 mm, qty. 4 Carbon Fiber Rod, 11 mm � 200 mm, qty. 4 Carbon Fiber Rod, 11 mm � 250 mm, qty. 4 Carbon Fiber Rod, 11 mm � 300 mm, qty. 4 Carbon Fiber Rod, 11 mm � 350 mm, qty. 4 Carbon Fiber Rod, 11 mm � 400 mm, qty. 4 Carbon Fiber Rod, 11 mm � 450 mm, qty. 4 Carbon Fiber Rod, 11 mm � 500 mm*, qty. 4 Schanz Screw, 4 mm � 125 mm, qty. 4 Schanz Screw, 4 mm � 150 mm, qty. 4 Schanz Screw, 5 mm � 175 mm, qty. 4 Schanz Screw, 5 mm � 200 mm, qty. 4 Schanz Screw, 5 mm � 250 mm, qty. 2 Transfixation Pin, 6 mm � 225 mm, qty. 3 Transfixation Pin, 6 mm � 300 mm, qty. 3 End Cap, Screws, qty. 20 *Special order Item Number AR-8964-07 AR-8964-08 AR-8964-09 AR-8964-27 AR-8964R-100 AR-8964R-150 AR-8964R-200 AR-8964R-250 AR-8964R-300 AR-8964R-350 AR-8964R-400 AR-8964R-450 AR-8964R-500 AR-8964-01 AR-8964-02 AR-8964-03 AR-8964-04 AR-8964-24 AR-8964-05 AR-8964-06 AR-8964-22 Literature Product Description ArthroFX External Fixation System Brochure Item Number LB1-00058-EN Multimedia Product Description ArthroFX External Fixation System, animation Delta Frame With the ArthroFX External Fixation System, Presented by Charles J. Jordan, MD, video External Fixation of Pilon Fracture Using the ArthroFX System, Presented by John Riehl, MD, video Ankle Spanning Delta Frame, Presented by Todd Oliver, MD, video ArthroFX System, Distal Tibia and Fibula Plates, Presented by Andrew Rosenbaum, MD, video Item Number AN1-00243-EN VID1-01469-EN VPT1-00998-EN VID1-00752-EN VPT1-00928-EN 76 I Foot and Ankle Arthrex Tibial Nail The Arthrex Tibial Nail System is designed to provide intramedullary fixation for various types of fractures, malunions, and nonunions of the tibia. The system uses one instrumentation tray that allows for either a parapatellar approach or suprapatellar approach. The nail system features the following: Most distal screw cluster on the market: three distal screws at 5 mm, 13 mm, and 21 mm from the end of the nail Three proximal screw options, including a dynamic slot for compression or static positioning Threaded screw holes to maintain screw position in the two proximal static holes and the distal AP hole Up to 8 mm of intraoperative or postoperative compression Flexible suprapatellar sheath to minimize pressure on the patella Diameters: 8, 9, 10, 11 mm (12 and 13 mm available by special order) Lengths: 27 cm-39 cm by 1.5 cm increments 10� proximal Herzog bend and 3� distal bend to facilitate implantation New! Arthrex Tibial Nail Product Description Instruments T-Handle, curved awl, silicone blue, cannulated Obturator, 3.6 mm Pin Guide, entry tube, 3.2 mm 4.0 mm Distal Drill Guide, distal, locking assembly, qty. 2 Pin Guide, suprapatellar T-Handle, cannulated, hudson female/J-hall connect Screw Capturing Rod, short Guidewire Gripper Ball Hex Driver, cannulated Depth Gauge, calibrated shaft, proximal hook tip Depth Gauge, distal Guidewire Depth Gauge, tibial Guidewire Depth Gauge, suprapatellar tibial Depth Gauge, hook tip, assembly, short Entry Tube, 13 mm A/R and Distal Sheath, locking, qty. 2 Obturator Drill Guide, 4 mm Sheath Handle Assembly, suprapatellar Impactor Pad Reduction Tool, tibial nail Insertion Guide, low profile, tibial nail Insertion Guide Locking Bolt, tibial nail, qty. 2 Reduction Bolt, insertion guide, tibial nail Targeting Module, tibial nail Locking Knob, insertion guide, tibial nail, qty. 2 Locking Collet, targeting module, tibial nail, qty. 3 Tibial Insertion Guide, extended Locking Bolt, tibial insertion guide, extended, qty. 2 Reduction Bolt Extended Insertion Guide, tibia nail Reamer Shaft Extension, large Hudson Tibial Nail Case Assembly Tibial Nail Screw Case Assembly Tibial Nail Instrument Case Assembly Tibial Nail Case, 12 mm-13 mm Item Number 0256-200 0273-000 0310-000 0315-100 0346-100 0468-000 0476-000 0481-100 0494-000 0507-100 0514-200 0520-000 0520-100 0525-000 0612-100 0621-100 0622-000 0641-000 0837-000 0838-000 1235-100 1236-000 1237-000 1238-100 1239-100 1242-100 1255-000 1256-000 1257-000 4012-100 9904-001 9904-020 9920-000 9904-0012 Foot and Ankle I 77 Arthrex Tibial Nail (Cont.) Product Description Nails Tibial Nail, 8 mm � 27 cm Tibial Nail, 8 mm � 28.5 cm Tibial Nail, 8 mm � 30 cm Tibial Nail, 8 mm � 31.5 cm Tibial Nail, 8 mm � 33 cm Tibial Nail, 8 mm � 34.5 cm Tibial Nail, 8 mm � 36 cm Tibial Nail, 8 mm � 37.5 cm Tibial Nail, 8 mm � 39 cm Tibial Nail, 9 mm � 27 cm Tibial Nail, 9 mm � 28.5 cm Tibial Nail, 9 mm � 30 cm Tibial Nail, 9 mm � 31.5 cm Tibial Nail, 9 mm � 33 cm Tibial Nail, 9 mm � 34.5 cm Tibial Nail, 9 mm � 36 cm Tibial Nail, 9 mm � 37.5 cm Tibial Nail, 9 mm � 39 cm Tibial Nail, 10 mm � 27 cm Tibial Nail, 10 mm � 28.5 cm Tibial Nail, 10 mm � 30 cm Tibial Nail, 10 mm � 31.5 cm Tibial Nail, 10 mm � 33 cm Tibial Nail, 10 mm � 34.5 cm Tibial Nail, 10 mm � 36 cm Tibial Nail, 10 mm � 37.5 cm Tibial Nail, 10 mm � 39 cm Tibial Nail, 11 mm � 27 cm Tibial Nail, 11 mm � 28.5 cm Tibial Nail, 11 mm � 30 cm Tibial Nail, 11 mm � 31.5 cm Tibial Nail, 11 mm � 33 cm Tibial Nail, 11 mm � 34.5 cm Tibial Nail, 11 mm � 36 cm Tibial Nail, 11 mm � 37.5 cm Tibial Nail, 11 mm � 39 cm Tibial Nail, 12 mm � 27 cm Tibial Nail, 12 mm � 28.5 cm Tibial Nail, 12 mm � 30 cm Tibial Nail, 12 mm � 31.5 cm Tibial Nail, 12 mm � 33 cm Tibial Nail, 12 mm � 34.5 cm Tibial Nail, 12 mm � 36 cm Tibial Nail, 12 mm � 37.5 cm Tibial Nail, 12 mm � 39 cm Tibial Nail, 13 mm � 27 cm 78 I Foot and Ankle Item Number 1108-270 1108-285 1108-300 1108-315 1108-330 1108-345 1108-360 1108-375 1108-390 1109-270 1109-285 1109-300 1109-315 1109-330 1109-345 1109-360 1109-375 1109-390 1110-270 1110-285 1110-300 1110-315 1110-330 1110-345 1110-360 1110-375 1110-390 1111-270 1111-285 1111-300 1111-315 1111-330 1111-345 1111-360 1111-375 1111-390 1112-270 1112-285 1112-300 1112-315 1112-330 1112-345 1112-360 1112-375 1112-390 1113-270 New! Product Description Tibial Nail, 13 mm � 28.5 cm Tibial Nail, 13 mm � 30 cm Tibial Nail, 13 mm � 31.5 cm Tibial Nail, 13 mm � 33 cm Tibial Nail, 13 mm � 34.5 cm Tibial Nail, 13 mm � 36 cm Tibial Nail, 13 mm � 37.5 cm Tibial Nail, 13 mm � 39 cm Screws Captured Cortical Screw, 5 mm � 24 mm-50 mm, (2mm Increments) Captured Cortical Screw, 5 mm � 55 mm-80 mm, (5 mm Increments) Captured Cortical Screw, 4.2 mm � 25 mm-50 mm, (5 mm Increments) End Caps and Accessories (Tibial Nail) End Cap, 5 mm End Cap, 10 mm End Cap, compression Spacer, static locking Disposables Guidewire w/ Trocar Tip, 2 mm � 300 mm Entry Reamer, tibial nail, cannulated, 12.0 mm Suprapatellar Tibial Entry Sheath Guide Pin, 3.2 mm � 330 mm, sterile Drill, AO Style, 4 mm � 165 mm, sterile Drill, calibrated, AO, 4 mm � 280 mm, sterile Drill, AO, 3.2 mm � 165 mm, sterile Guidewire, ball nose, sterile, 3 mm Screw Driver, hex, cannulated, 5 mm Extractor, easyout Item Number 1113-285 1113-300 1113-315 1113-330 1113-345 1113-360 1113-375 1113-390 8001-024-050 8001-055-080 8002-025-050 1115-050 1115-100 1116-000 1117-000 0102-300 0228-100 0642-000 S0100-000 S0210-200 S0219-100 S0229-000 0101-900S 0472-000 0812-100 Literature Product Description Tibial Nail System Surgical Technique Guide Item Number LT1-000211-en-US Mini Comprehensive Fixation System (CFS)--Hand and Foot The Mini Comprehensive Fixation System consists of titanium, variable-angle locking, low-profile plates and screws designed for osteotomies, fusions, and fractures of small bones. 1.0 mm, 1.4 mm and 1.6 mm (hand and wrist) 2.0 mm and 2.4 mm (hand, wrist, foot and ankle) Features and Benefits: 56 Plating options Universal straight, T-, Wide T-, V-, and Y-plates Reinforced straight and T-plates Unique bridge, cage, and triangle plates Variable-angle locking holes Compression holes 1.0/1.4/1.6/2.0/2.4 mm screws Color-coded modules with intuitive instrumentation Curved plate cutter Superior screw-holding sleeve Extended 2.5 Compression FT screws for intramedullary fracture fixation Extended 3.5 Compression FT screws for intramedullary fixation 1.4 mm Module 10 plates 6 mm-16 mm screws 1.6 mm Module 11 plates 6 mm-24 mm screws 2.0 mm Module 18 plates 6 mm-40 mm screws 2.4 mm Module 17 plates 6 mm-40 mm screws Mini CFS Cases Product Description Mini CFS Instrument Case Mini CFS Implant Caddy Case Mini CFS Instrument Upper Tray Item Number AR-18700C AR-18700CS-01 AR-18700CS-02 Mini Comprehensive Fixation System (AR-18700FS) Product Description Instruments Depth Device, 1.4 mm/1.6 mm Depth Device, 2.0 mm/2.4 mm Plate Cutter Torque Limiting Adaptor, AO Termite Forceps, qty. 2 Handle, mini AO Handle, jewelers knob, mini AO Torque-Limiting Handle Reduction Forceps, pointed Reduction Forceps, toothed Verbugge Plate-Holding Forceps Screw-Holding Forceps, self-retaining Lobster Clamp, mini Lobster Clamp, radiolucent Ikuta Clamp Perc Pin Clamp Hohmann Retractor, double-ended, qty. 2 Pliers, needlenose, qty. 2 Freer Elevator Periosteal Elevator, curved blade, 6 mm Sharp Hook Optional Mini AO to AO Adapter Item Number AR-18700-27 AR-18700-35 AR-18700-28 AR-18700-39 AR-18700-40 AR-18700-44 AR-18700H AR-8916TL-011 AR-18700-45 AR-18700-52 AR-18700-48 AR-8941F AR-18700-46 AR-18700-49 AR-18700-47 AR-8737-57 AR-18700-53 AR-8916-24 AR-8943-19 AR-8943-20 AR-8943-21 AR-18700-87 Foot and Ankle I 79 Mini Comprehensive Fixation System (CFS) � Hand and Foot (1.4 mm and 1.6 mm) Mini Comprehensive Fixation System, 1.4 mm (AR-18700S-14) Product Description Instruments Drill Guide, 1.1 mm/1.4 mm Driver Shaft, T4, self-retaining, mini AO, qty. 2 Countersink, solid, 1.4 mm Holding Sleeve, 1.4 mm Depth/Drill Guide, 1.4 mm Driver Shaft, T4, non-retaining, mini AO Parallel Drill Guide, hook plate, 1.4 mm Locking Bending Guide, 1.4 mm, qty. 2 Drill Guide, VAL, cone-shaped, 1.4 mm Mini CFS Caddy w/ Lid, 1.0 mm/1.4 mm Plates, Titanium, 1.4 mm Straight Plate, 6-hole, qty. 2 Straight Plate, 10-hole Y-Plate, 6-hole Y-Plate, 8-hole Triangle Plate, 8-hole Z-Plate, 10-hole Hook Plate Cage Plate, 2 x 5 hole T-Plate, 8-hole, qty. 2 Bridge Plate, straight, 6-hole Screws, Titanium Low Profile Screws, cortical, 1.4 mm � 6 mm-16 mm VAL Screw, 1.4 mm � 6 mm-16 mm Disposables Drill Bit, mini AO, calibrated, 1.1 mm, qty. 2 Drill Bit, mini AO, 1.4 mm, qty. 2 Guidewire w/ Trocar Tip, 1.1 mm, qty. 6 BB-Tak, small, qty. 4 Item Number AR-18700-08 AR-18700-09 AR-18700-10 AR-18700-11 AR-18700-18 AR-18700-29 AR-18700-32 AR-18700-43 AR-18700-59 AR-18700C-14 AR-18714P-03 AR-18714P-07 AR-18714P-10 AR-18714P-12 AR-18714P-18 AR-18714P-20 AR-18714P-21 AR-18714P-22 AR-18714P-27 AR-18714P-29 AR-18714-06-16 AR-18714V-06-16 AR-18700-06 AR-18700-07 AR-18700-30 AR-18700-34 Mini Comprehensive Fixation System, 1.6 mm (AR-18700S-16) Product Description Item Number Instruments Drill Guide, 1.2 mm/1.6 mm AR-18700-14 Driver Shaft, T6, self-retaining, mini AO, qty. 2 AR-18700-15 Countersink, solid, 1.6 mm AR-18700-16 Holding Sleeve, 1.6 mm AR-18700-17 Depth/Drill Guide, 1.6 mm AR-18700-19 Driver Shaft, T6, non-retaining, mini AO AR-18700-23 Locking Bending Guide, 1.6 mm/2.0 mm, qty. 2 AR-18700-26 Parallel Drill Guide, hook plate, 1.6 mm AR-18700-31 VAL Drill Guide, cone-shaped, 1.6 mm AR-18700-60 Mini CFS Caddy w/ Lid, 1.6 mm AR-18700C-16 Plates, Titanium, 1.6 mm Straight Plate, 6-hole, qty. 2 AR-18716P-03 Straight Plate, 10-hole AR-18716P-07 Y-Plate, 6-hole AR-18716P-10 Y-Plate, 8-hole T-Plate, 8-hole, qty. 2 Z-Plate, 10-hole Cage Plate, 2 x 5 hole Hook Plate Triangle Plate, 8-hole Bridge Plate, straight, 6-hole AR-18716P-12 AR-18716P-18 AR-18716P-20 AR-18716P-21 AR-18716P-22 AR-18716P-27 AR-18716P-29 Rotation Correction Plate AR-18716P-30 Screws, Titanium Low Profile Screws, cortical, 1.6 mm � 6 mm-16 mm Low Profile Screws, cortical, 1.6 mm � 18 mm -24 mm (2 mm increments) VAL Screws, 1.6 mm � 6 mm-16 mm VAL Screws, 1.6 mm � 18 mm-24 mm (2 mm increments) Disposables AR-18716-06-16 AR-18716-18-24 AR-18716V-06-16 AR-18716V-18-24 Drill Bit, mini AO, calibrated, 1.2 mm, qty. 2 AR-18700-12 Drill Bit, mini AO, 1.6 mm, qty. 2 AR-18700-13 Guidewire w/ Trocar Tip, qty. 6 AR-18700-33 BB-Tak, small, qty. 4 AR-18700-34 80 I Foot and Ankle Mini Comprehensive Fixation System (CFS) � Hand and Foot (2.0 mm) Mini Comprehensive Fixation System, 2.0 mm (AR-18700S-20) Product Description Instruments Driver Shaft, T6, self-retaining, mini AO, qty. 2 Drill Guide, 1.5 mm/2.0 mm Driver Shaft, T6, non-retaining, mini AO Countersink, solid, 2.0 mm Holding Sleeve, 2.0 mm Locking Bending Guide, 1.6 mm/2.0 mm, qty. 2 Depth/Drill Guide, 1.6 mm/2.0 mm VAL Drill Guide, cone-shaped, 2.0 mm Mini CFS Caddy w/ Lid, 2.0 mm Plates, Titanium, 2.0 mm Straight Plate, 6-hole, qty. 2 Straight Plate, 10-hole Y-Plate, 6-hole Y-Plate, 8-hole T-Plate, 6-hole, qty. 2 T-Plate, 8-hole, qty. 2 Straight Plate, 6-hole, reinforced Straight Plate, 8-hole, reinforced T-Plate, 6-hole, reinforced T-Plate, 8-hole, reinforced V-Plate, 6-hole V-Plate, 10-hole T-Plate, wide, 6-hole T-Plate, wide, 10-hole T-Plate, rotation correction, 5-hole Cage Plate, 2 � 5 hole Triangle Plate, 8-hole Bridge Plate, straight, 6-hole Item Number AR-18700-15 AR-18700-22 AR-18700-23 AR-18700-24 AR-18700-25 AR-18700-26 AR-18700-37 AR-18700-61 AR-18700C-20 AR-18720P-03 AR-18720P-07 AR-18720P-10 AR-18720P-12 AR-18720P-17 AR-18720P-19 AR-18720P-24 AR-18720P-26 AR-18720P-31 AR-18720P-33 AR-18720P-37 AR-18720P-41 AR-18720P-43 AR-18720P-47 AR-18720P-48 AR-18720P-49 AR-18720P-54 AR-18720P-55 Product Description Screws, Titanium Low Profile Screws, cortical, 2.0 mm � 6 mm-16 mm Low Profile Screws, cortical, 2.0 mm � 18 mm-40 mm (2 mm increments) VAL screws, 2.0 mm � 6 mm-16 mm VAL screws, 2.0 mm � 18 mm-40 mm (2 mm increments) Disposables Drill Bit, 1.5 mm, qty. 2 Drill Bit, mini AO, 2.0 mm, qty. 2 Guidewire w/ Trocar Tip, 1.6 mm, qty. 6 BB-Tak, small, qty. 4 Item Number AR-18720-06-16 AR-18720-18-40 AR-18720V-06-16 AR-18720V-18-40 AR-18700-20 AR-18700-21 AR-18700-51 AR-18700-34 Intramedullary Fracture Fixation - Extended 2.5 Compression FT screws Product Description 2.5 Micro Compression FTTM Mini CFS Caddy Insert Instruments Hex, Compression FT driver, 1.5 mm Depth Device, small compression FT Disposables Drill Bit, compression FT, calibrated, 2.2 mm Guidewire w/ Trocar Tip, 0.86 mm 2.5 Micro Compression FTTM Screws 2.5 Micro Compression FT Screw, 36 mm 2.5 Micro Compression FT Screw, 40 mm 2.5 Micro Compression FT Screw, 46 mm 2.5 Micro Compression FT Screw, 50 mm Item Number AR-18700C-20-1 AR-8737-37 AR-8737-51 AR-8737-58 AR-8737-39 AR-8725-36H AR-8725-40H AR-8725-46H AR-8725-50H Foot and Ankle I 81 Mini Comprehensive Fixation System (CFS) � Hand and Foot (2.4 mm) Mini Comprehensive Fixation System, 2.4 mm (AR-18700S-24) Product Description Instruments Holding Sleeve, 2.4 mm Driver Shaft, T8, self-retaining, AO, qty. 2 Driver Shaft, T8, non-retaining, AO Depth/Drill Guide, 2.4 mm VAL Drill Guide, cone-shaped, 2.4 mm Drill Guide, 1.7 mm/2.5 mm Countersink, 2.4 mm Locking Bending Guide, 2.4 mm, qty. 2 Mini CFS Caddy w/ Lid, 2.4 mm Plates, Titanium, 2.4 mm Straight Plate, 6-hole, qty. 2 Straight Plate, 10-hole T-Plate, 6-hole, qty. 2 T-Plate, 8-hole Straight Plate, 6-hole, reinforced Straight Plate, 8-hole, reinforced V-Plate, 6-hole V-Plate, 10-hole T-Plate, wide, 6-hole T-Plate, wide, 10-hole Bridge Plate, straight, 6-hole Triangle Plate, 8-hole T-Plate, 6-hole, reinforced T-Plate, 8-hole, reinforced Y-Plate, 6-hole Y-Plate, 8-hole Cage Plate, 2 � 5 hole Screws, Titanium Low Profile Screws, cortical, 2.4 mm � 6 mm-16 mm Low Profile Screws, cortical, 2.4 mm � 18 mm-40 mm (2 mm increments) VAL Screws, 2.4 mm � 6 mm-16 mm VAL Screws, 2.4 mm � 18 mm-50 mm (2 mm increments) Item Number AR-18700-38 AR-18700-54 AR-18700-55 AR-18700-57 AR-18700-62 AR-8916-05 AR-8950-01 AR-8950-08 AR-18700C-24 AR-18724P-03 AR-18724P-07 AR-18724P-10 AR-18724P-12 AR-18724P-17 AR-18724P-19 AR-18724P-23 AR-18724P-27 AR-18724P-29 AR-18724P-33 AR-18724P-34 AR-18724P-39 AR-18724P-42 AR-18724P-44 AR-18724P-49 AR-18724P-51 AR-18724P-54 AR-18724-06-16 AR-18724-18-40 AR-18724V-06-16 AR-18724V-18-50 82 I Foot and Ankle Product Description Disposables Guidewire w/ Trocar Tip, 1.6 mm, qty. 6 BB-Tak, small, qty. 4 Item Number AR-18700-71 AR-18700-34 Intramedullary Fracture Fixation - Extended 3.5 Compression FT screws Product Description 3.5 Mini Compression FTTM Mini CFS Caddy Insert Instruments T10 Hexalobe Driver for 3.5 Compression Ft Depth Device, small compression FT Disposables Drill Bit, compression FT, calibrated, 3.2 mm Guidewire w/ Trocar Tip, 0.45 in 3.5 Mini Compression FTTM Screws 3.5 Mini Compression FT Screw, 36 mm 3.5 Mini Compression FT Screw, 40 mm 3.5 Mini Compression FT Screw, 46 mm 3.5 Mini Compression FT Screw, 50 mm Item Number AR-18700C-20-1 AR-8737-38 AR-8737-51 AR-8737-50 AR-8737-41 AR-8730-36H AR-8730-40H AR-8730-46H AR-8730-50H Multimedia Product Description Mini CFS Plates � Foot & Ankle, animation Mini CFS � Mini Comprehensive Fixation System, animation Posterior Malleolus Fracture Repair Using the Mini Comprehensive Fixation System 2.4 mm surgical technique video, Presented by Eric Tan, MD Medial Mallous Fracture Repair Using the Mini Comprehensive Fixation System video, Presented by Eric W. Tan, MD Talus Fracture Repair With the Mini CFS Fixation System, surgical technique video, Presented by Thomas G. Harris, MD Navicular Fracture Repair With the Mini CFS 2.0 mm Cage Plate Mini CFS Foot and Ankle, Presented by Thomas G. Harris, MD, video Item Number AN1-000098-en-US AN1-000214-en-US VID1-000627-en-US VID1-000628en-US VID1-000629en-US VID1-000630en-US VID1-000873en-US KreuLockTM Screw System, Titanium New! The KreuLock locking compression screws combine the proven technology of the Headless Compression FT screws with a locking screw head to provide compression along the screw for treatment of fractures or fusions. They will also bring the plate to the bone. Variable-Stepped Thread Pitch � the screw tip's wider thread pitch enters the bone faster than trailing threads, gradually compressing the fragments as the screw is advanced Locking Head � mates with existing plates Individual screw and instrument modules for each screw family Available in titanium and stainless steel KreuLock Screw System (AR-8787CLS) Product Description KreuLock Compression Screw Case Ratcheting Handle, AO QC Screw Holding Forceps, self-retaining Item Number AR-8787CLC AR-8700RH AR-8941F KreuLock Screw System, 2.4, VAL, Ti (AR-8724VCLS) Product Description Instruments Profile Drill, VAL, 2.4 mm Drill Guide, locking, 2.4 mm, qty. 2 Drill Guide, 1.7 mm / 2.5 mm Drill Guide, VAL, 2.4 mm Drill Guide, VAL, locking, 2.4 mm, qty. 2 Depth Device, 2.4 mm Driver, T8, solid, qty. 2 KreuLock Compression Screw Caddy Accessories KreuLock Compression Screw Caddy Lid Implants (order separately) KreuLock Compression Screws, Ti, 2.4 mm � 10 mm-40 mm (2 mm increments) Item Number AR-8724VD-01 AR-8950-04 AR-8916-05 AR-8724GV AR-8724GVN AR-13120G-2 AR-8916-27 AR-8724VCLC AR-8724VCLC-01 AR-8724VCL-10 - 40 Disposables Product Description Drill Bit, 1.7 mm, qty 2 Drill Bit, 2.4 mm BB-Tak, threaded, qty 2 BB-Tak, qty 2 Item Number AR-8916-14 AR-4160-24 AR-13226T AR-13226 KreuLock Screw System, 3.0 VAL, Ti (AR-8933VCLS) Product Description Instruments Profile Drill, VAL, 3.0 mm Drill Guide, 2.0 mm/3.0 mm Drill Guide, locking, 3.0 mm, qty. 2 Drill Guide, VAL, 3.0 mm Drill Guide, locking, VAL, 3.0 mm, qty 2 Driver, T10, solid, qty 2 Depth Device, 3.0 mm KreuLock Compression Screw Caddy Accessories KreuLock Compression Screw Caddy Lid Implants (order separately) KreuLock Compression Screws, Ti, 3.0 mm � 12 mm-40 mm (2 mm increments) Item Number AR-8933VD-01 AR-8943-31 AR-8950-07 AR-8933GV AR-8933GVN AR-8944DH AR-4166 AR-8933VCLC AR-8933VCLC-01 AR-8933VCL-12 - 40 Disposables Product Description Drill Bit, 2.0 mm, qty 2 Drill Bit, 3.0 mm BB-Tak, threaded, qty 2 BB-Tak, qty 2 Item Number AR-8944-22 AR-8950-05 AR-13226T AR-13226 Foot and Ankle I 83 KreuLockTM Screw System, Titanium (Cont.) KreuLock Screw System, 3.0, Hybrid, VAL, Ti (AR-8933HVCLS) Product Description Instruments Profile Drill, hybrid, VAL, 3.0 mm Drill Guide, hybrid, locking, 3.0, qty 2 Drill Guide, hybrid, VAL, locking, 3.0, qty 2 Drill Guide, 2.6 mm/1.35 mm Driver, T10, solid, qty 2 Depth Device, hybrid, 3.0 mm/3.5 mm KreuLock Compression Screw Caddy Accessories KreuLock Compression Screw Caddy Lid Implants (Order Separately) KreuLock Compression Screws, hybrid, VAL, Ti, 3 mm � 12 mm-60 mm (2 mm increments) Item Number AR-8933HVD-01 AR-8933HGL AR-8933HGV AR-8943-03 AR-8944DH AR-8943-15 AR-8933HVCLC AR-8933HVCLC-01 AR-8933HVCL-12 - 60 Disposables Product Description Drill Bit, 2.5 mm, qty 2 BB-Tak, threaded, qty 2 BB-Tak, qty 2 Item Number AR-8933HD AR-13226T AR-13226 New! KreuLock Screw System, 3.5, Ti (AR-8935CLS) Product Description Instruments Profile Drill 3.5 mm Driver, T15, solid, qty 2 Drill Guide, locking, 3.5 mm, qty 2 Depth Device, 3.5 mm Drill Guide, 2.6 mm/1.35 mm KreuLock Compression Screw Caddy Accessories KreuLock Compression Screw Caddy Lid Implants (Order Separately) KreuLock Compression Screws, Ti, 3.5 mm � 12 mm-60 mm (2 mm increments) Item Number AR-8935D-01 AR-8941DH AR-8943-43 AR-8943-15 AR-8943-03 AR-8935CLC AR-8935CLC-01 AR-8935CL-12 - 60 Disposables Product Description Drill Bit, 2.5 mm, qty 2 Drill Bit, 3.5 mm BB-Tak, threaded, qty 2 BB-Tak, qty 2 Item Number AR-8943-42 AR-4160-35 AR-8970-09T AR-8970-09 84 I Foot and Ankle KreuLockTM Screw System, Stainless Steel KreuLock Screw System (AR-8787CLS) Product Description KreuLock Compression Screw Case Ratcheting Handle, AO QC Screw Holding Forceps, self-retaining Item Number AR-8787CLC AR-8700RH AR-8941F KreuLock Screw System, 2.7, SS (AR-8827CLS) Product Description Instruments Profile Drill, 2.7 mm Drill Guide, locking, 2.7 mm, qty 2 Drill Guide, locking, long, 2.7 mm, qty 2 Drill Guide, 2.7 mm/2.0 mm Driver, T10, solid, qty 2 Screwdriver, T10 KreuLock Compression Screw Caddy Accessories KreuLock Compression Screw Caddy Lid Implants (order separately) KreuLock Compression Screws, SS, 2.7 mm � 10 mm-60 mm (2 mm increments) Item Number AR-8827D-03 AR-8943-17 AR-8963-08 AR-8827D-02 AR-8944DH AR-8943-08 AR-8827CLC AR-8827CLC-01 AR-8827CL-10 - 60 Disposables Product Description Drill Bit, 2.0 mm, qty 2 Drill Bit, long, 2.0 mm, qty 2 Drill Bit, 2.7 mm, qty 2 BB-Tak, threaded, qty 2 BB-Tak, qty 2 Item Number AR-8943-16 AR-8963-05 AR-8827D-01 AR-13226T AR-13226 New! KreuLock Screw System, 3.5 SS (AR-8835CLS) Product Description Instruments Profile Drill, 3.5 mm Drill Guide, locking, 3.5 mm, qty 2 Screwdriver, T15 Driver, T15, solid, qty 2 Depth Device, 2.7 mm/3.5 mm/4.0 mm KreuLock Compression Screw Caddy Accessories KreuLock Compression Screw Caddy Lid Implants (order separately) KreuLock Compression Screws, SS, 3.5 mm � 12 mm-50 mm (2 mm increments) Item Number AR-8935D-01 AR-8943-43 AR-8943-10 AR-8941DH AR-8943-15 AR-8835CLC AR-8835CLC-01 AR-8835CL-12 - 50 Disposables Product Description Drill Bit, 2.5 mm, qty 2 BB-Tak, threaded, qty 2 BB-Tak, qty 2 Item Number AR-8943-42 AR-8970-09T AR-8970-09 Foot and Ankle I 85 Compression FT Screw System (2.5 Micro, 3.5 Mini, and 4.0 Standard) The cannulated titanium 2.5 Micro, 3.5 Mini, and 4.0 Standard Compression FT headless screws can be used for a wide range of indications in the lower (a) extremities. They are intended for intra-articular and extra-articular fractures and nonunions of small (b) bones and small bone fragments; arthrodesis of small joints; and bunionectomies and osteotomies. The variable-stepped pitch headless design reduces profile (c) complications, provides compression, and allows for simplified insertion. Key Features and Benefits: Variable-Stepped Thread Pitch � the screw tip's wider thread pitch enters the bone faster than trailing threads, gradually compressing the fragments as the screw is advanced Headless � the titanium screws can be implanted intra-articularly and extra-articularly with minimal risk of impingement or soft-tissue irritation Self-Drilling and Self-Tapping � 2 sets of cutting flutes facilitate insertion Multiple Size Options � the screws are available in 2.5, 3.5, and 4.0 Cannulation � assists in accurate placement for both percutaneous and open indications Hexalobe recess in 3.5 and 4.0 Compression FT screws provide improve torque transmission. Note: 2.5 screw has 1.5 mm hex driver. Available in titanium alloy Compression FT Screw System (AR-8738S) Product Description Item Number Instruments Depth Device AR-8737-51 Obturator for Drill Guide AR-8737-44 Percutaneous Drill Guide AR-8737-43 Screwdriver Handle, ratcheting AR-8950RH Guidewire Plunger AR-8737-56 Screw Holding Forceps AR-8941F Percutaneous Pin Clamp AR-8737-57 Compression FT Screw System Instrument Case AR-8738C 2.5 Micro Compression FTTM Screw Instruments Driver, cannulated, 1.5 mm hex Driver, solid, 1.5 mm hex AR-8737-37 AR-8737-45 Profile Drill, Micro AR-8737-46 Parallel Drill Guide AR-8737-48 Screw Extractor/Trephine AR-8737-59 3.5 Mini Compression FTTM Screw Instruments Driver, T10 hexalobe, cannulated AR-8737-38 Driver, T10 hexalobe, solid AR-8950SD-10 Profile Drill, Mini AR-8737-47 Parallel Drill Guide AR-8737-49 Screw Extractor/Trephine AR-8737-59 4.0 Standard Compression FT Screw Instruments Driver, T10 hexalobe, cannulated AR-8737-38 Driver, T10 hexalobe, solid AR-8950SD-10 Profile Drill, standard AR-8737-54 Parallel Drill Guide AR-8737-55 Screw Extractor/Trephine AR-8737-60 Implants 2.5 Micro Compression FT Screws* (a) 8 mm-14 mm (1 mm increments) 16 mm-50 mm (2 mm increments) 3.5 Mini Compression FTTM Screws* (b) 12 mm-60 mm (2 mm increments) 4.0 Standard Compression FT Screws (c) 16 mm-60 mm (2 mm increments) AR-8725-08H � 14H AR-8725-16H � 50H AR-8730-12H � 60H AR-8740-16H � 60H *2.5 Micro and 3.5 Mini Compression FT screws and instrumentation are also available in the QuickFixTM Cannulated Screw Set (AR-8737S). 86 I Foot and Ankle Compression FT Screw System (2.5 Micro, 3.5 Mini, and 4.0 Standard) (Cont.) Optional Product Description Compression FT Screw System Caddy, common instruments Compression FT Screw System Caddy, Micro Compression FT Screw System Caddy, Mini Compression FT Screw System Caddy, Standard Item Number AR-8738C-01 AR-8738C-02 AR-8738C-03 AR-8738C-04 Literature Product Description Arthrex Compression FT Screw System Brochure The Arthrex Compression FT Screw Product and Technique Highlights Arthrex Reference Chart for Compression FT Screws Item Number LB1-0487-EN LS1-0487-EN LR1-000005-en-US Disposables (not included in set) Product Description Item Number 2.5 Micro Compression FTTM Screws Drill Bit, straight, cannulated, 2 mm AR-8737-34 Drill Bit, straight, cannulated, 2.2 mm (hard bone option) AR-8737-58 Guidewire w/ Trocar Tip, 0.034 in (0.86 mm), laser-marked AR-8737-39 Guidewire w/ Double Trocar Tip, 0.034 in (0.86 mm), laser-marked AR-8737-39KD Guidewire w/ Trocar Tip, threaded, 0.034 in (0.86 mm), laser-marked AR-8737-40 3.5 Mini Compression FTTM Screws Drill Bit, straight, cannulated, 2.7 mm AR-8737-35 Guidewire w/ Trocar Tip, 0.045 in (1.1 mm), laser-marked AR-8737-41 Guidewire w/ Double Trocar Tip, 0.045 in (1.1 mm), laser-marked AR-8737-41KD Guidewire w/ Trocar Tip, threaded, 0.045 in (1.1 mm), laser-marked AR-8737-42 4.0 Standard Compression FT Screws Drill Bit, straight, cannulated, 3.2 mm AR-8737-50 Guidewire w/ Trocar Tip, 0.045 in (1.1 mm), laser-marked AR-8737-41 Guidewire w/ Double Trocar Tip 0.045 in (1.1 mm), laser-marked AR-8737-41KD Guidewire w/ Trocar Tip, threaded, 0.045 in (1.1 mm), laser-marked AR-8737-42 Multimedia Product Description Compression Screw - Chevron, animation Triple Arthrodesis for Cavus Foot Utilizing 6.7 mm LPS Cannulated Screws, StimuBlast, 4.0 Standard Compression FT Screws and Double Compression Plate, Presented by Anand Vora, MD, video Arthroscopic Ankle Fusion With Compression FT Screws, Presented by Ryan Rigby, DPM, video Item Number AN1-00030-EN VID1-00265-EN VID1-000755-en-US Foot and Ankle I 87 Compression FT Screw System (5.0 mm Large and 7.0 mm X-Large) (a) (b) Hexalobe T15 Hexalobe T25 The fully threaded, headless, titanium 5.0 mm large and 7.0 mm X-large screws provide surgeons the ability to achieve zero-profile, stable fixation with optimized compression. This completes the Compression FT family of screws, which now offers 5 diameters (2.5, 3.5, 4.0, 5.0, and 7.0 mm) and 91 unique screw lengths to fit various orthopedic applications throughout the foot and ankle. Advantages: Variable-stepped thread pitch � the screw tip's wider thread pitch enters the bone faster than trailing threads, gradually compressing the fragments as the screw is advanced Headless � minimal risk of impingement or soft-tissue irritation Multiple size options � 5.0 mm (24 lengths from 20 mm to 90 mm) and 7.0 mm (22 lengths from 35 mm to 140 mm) Cannulation � assists in accurate placement Compression FT Screw System (AR-8750S) Product Description Item Number Instruments Depth Device AR-8750-01 Percutaneous Drill Guide AR-8750-02 Guidewire Plunger AR-8737-56 Screw Holding Forceps AR-8941F Sharp Hook AR-8943-21 5.0 mm/7.0 mm Compression FT Instrument Case AR-8750C Instruments for 5.0 mm Large Compression FT Screws Driver, T15 hexalobe, ISO, cannulated, qty. 2 AR-8750-03 Driver, T15 hexalobe, ISO, solid AR-8750-06 Guidewire Sleeve, 1.6 mm AR-8750-07 Soft Tissue Protector, 1.6 mm AR-8750-08 Drill Sleeve, 5.0 mm large AR-8750-12 Screwdriver Handle, ratcheting, AO, cannulated AR-8970RH Trephine/Extractor, 5.0 mm large AR-8750-11 Instruments for 7.0 mm X-Large Compression FT Screws Driver, T25 hexalobe, ISO, cannulated, qty. 2 AR-8770-01 Driver, T25 hexalobe, ISO, solid AR-8770-04 Guidewire Sleeve, 2.4 mm AR-8770-05 Soft Tissue Protector, 2.4 mm AR-8770-06 Drill Sleeve, 7.0 mm X-large AR-8770-09 Screwdriver Handle, ratcheting, tri-lobe axial handle AR-8770RH Screwdriver Handle, ratcheting, tri-lobe T-handle AR-8770TH Trephine/Extractor, 7.0 mm X-large AR-8770-08 Implants 5.0 mm Large Compression FT Screws (a) 20 mm-50 mm (2 mm increments) 55 mm-90 mm (5 mm increments) AR-8750-20H � 50H AR-8750-55H � 90H 7.0 mm X-Large Compression FT Screws (b) 35 mm-120 mm (5 mm increments) 125 mm-140 mm (5 mm increments)* AR-8770-35H � 120H AR-8770-125HS � 140HS *Available outside of set sterile-packed. 88 I Foot and Ankle Compression FT Screw System (5.0 mm Large and 7.0 mm X-Large) (Cont.) Additional Screw Caddies (Optional) Product Description Compression Screw Caddy, 5.0 mm large Compression Screw Caddy, 7.0 mm X-large Item Number AR-8750C-SC-01 AR-8750C-SC-02 Literature Product Description Item Number The Arthrex 5.0 mm and 7.0 mm Compression FT Screws Product and Technique Highlights 5.0 mm Large and 7.0 mm X-Large Compression FT Screw System Surgical Technique Guide LS1-00063-EN LT1-00096-EN Disposables (not included in set) Product Description 5.0 mm Disposable Instruments Guidewire w/ Trocar Tip, 0.062 in (1.6 mm), qty. 6 Guidewire w/ Trocar Tip, threaded, 0.062 in (1.6 mm), qty. 6 Profile Drill, 5.0 mm large Drill Bit, straight, cannulated, 3.2 mm, qty. 2 Drill Bit, straight, cannulated, long, 3.2 mm Drill, cannulated, 3.7 mm Drill, cannulated, long, 3.7 mm Easy-Out, large Compression FT 7.0 mm Disposable Instruments Guidewire w/ Trocar Tip, 0.094 in (2.4 mm), qty. 6 Guidewire w/ Trocar Tip, threaded, 0.094 in (2.4 mm), qty. 6 Profile Drill, 7.0 mm X-large Drill Bit, straight, cannulated, 5 mm, qty. 2 Drill, cannulated, 5.2 mm Easy-Out, X-large Compression FT Item Number AR-8750K AR-8750KT AR-8750-05 AR-8750-04 AR-8750-09 AR-8750-13 AR-8750-14 AR-8750-10 AR-8770K AR-8770KT AR-8770-03 AR-8770-02 AR-8770-10 AR-8770-07 Foot and Ankle I 89 Primary Pilon Fusion System New! The Arthrex Primary Pilon Fusion System has been designed for treatment of distal tibia fractures that require not only fracture reduction but also primary ankle arthrodesis. Severe damage to tibiotalar (TT) joint results in posttraumatic arthritis, pain, stiffness, and the need for secondary surgeries. The Primary Pilon Fusion System provides another option to address these severe fracture patterns with primary TT arthrodesis of the articular surface to avoid secondary surgery and chronic pain. Anterolateral and posterior approaches, depending on the fracture pattern, allow for fracture management, lengthy bridging techniques, anatomic implants, and fracture-specific locking configurations. Primary Pilon Fusion System (AR-8963FS) Product Description Screwdriver, T15 hexalobe Drill Guide, 3.5/2.5 mm Drill Guide, locking, 3.5 mm Countersink, 3.5/ 4.0 mm Depth Device, 3.5/4.0 mm Chisel, straight, 14 mm Chisel, curved, 14 mm Chisel, curved, 7mm Chisel, straight, 7 mm Cup Curette, 9 mm Lag Drill Guide, 3.5 mm / 2.5 mm Percutaneous Insertion Handle, 4.5 mm Driver, T15 hexalobe, 6 in, AO, qty. 2 Driver, T15 hexalobe, 6 in, straight, AO, qty. 2 Primary Pilon Fusion Case Item Number AR-8943-10 AR-8943-14 AR-8943-43 AR-8950-03 AR-8963-13 AR-8963-14 AR-8963-15 AR-8963-16 AR-8963-17 AR-8963-18 AR-8963-21 AR-8963-24 AR-8963-25 AR-8963-26 AR-8963C-03 Note: The Primary Pilon Fusion System is used in conjunction with the Ankle Fusion Plating System (AR-8970S-67 or -70) Product Description Plates Anterolateral Pilon Fusion Plate, 5H, left Anterolateral Pilon Fusion Plate, 7H, left Anterolateral Pilon Fusion Plate, 9H, left Anterolateral Pilon Fusion Plate, 12H, left Anterolateral Pilon Fusion Plate, 5H, right Anterolateral Pilon Fusion Plate, 7H, right Anterolateral Pilon Fusion Plate, 9H, right Anterolateral Pilon Fusion Plate, 12H, right Posterior Pilon Fusion Plate, 5H Posterior Pilon Fusion Plate, 7H Posterior Pilon Fusion Plate, 9H Posterior Pilon Fusion Plate, 12H Sterile Plates Anterolateral Pilon Fusion Plate, 15H, left Anterolateral Pilon Fusion Plate, 18H, left Anterolateral Pilon Fusion Plate, 15H, right Anterolateral Pilon Fusion Plate, 18H, right Posterior Pilon Fusion Plate, 15H 3.5 mm Screws, Low-Profile, Ti 3.5 mm � 20 mm-60 mm (2 mm increments) 3.5 mm � 65 mm-80mm (5 mm increments) 3.5 mm � 90 mm-120 mm (10 mm increments) 3.5 mm Screws, Low-Profile, Ti, Locking 3.5 mm � 20 mm-50 mm (2 mm increments) 3.5 mm � 55 mm-60 mm (5 mm increments) Disposables Drill Bit, 3.5 mm, qty. 2 Drill Bit, 2.5 mm, qty. 2 Guidewire, drill tip, 3.0 mm, qty. 4 Drill Bit, calibrated, long, 3.0 mm Bone Tap Item Number AR-8963ALF-05 AR-8963ALF-07 AR-8963ALF-09 AR-8963ALF-12 AR-8963ARF-05 AR-8963ARF-07 AR-8963ARF-09 AR-8963ARF-12 AR-8963PF-05 AR-8963PF-07 AR-8963PF-09 AR-8963PF-12 AR-8963ALF-15S AR-8963ALF-18S AR-8963ARF-15S AR-8963ARF-18S AR-8963PF-15S AR-8935-20-60 AR-8935-65-80 AR-8935-90-120 AR-8935L-20-50 AR-8935L-55 -60 AR-4160-35 AR-8963-19 AR-8963-20 AR-8970-30L AR-8963-23 90 I Foot and Ankle Calcaneal Fracture System Anatomically Designed Plates--17 plate options in one system Percutaneous Guides--corresponding drill guides for minimally invasive sinus tarsi incisions Low Profile--1.35 mm variable-angle locking plates Variable-Angle Locking--15� in any direction Calcaneal-Specific Instruments--plate cutter, Schanz pins, keyless chuck T-handle, and elevators Calcaneal Fracture Set (AR-8950S-04) Product Description Schanz Pin, self-drilling, 5 mm, qty. 4 Schanz Pin Handle (tri-flat keyless chuck) Plate Cutter, Hercules style Sayre Elevator Key Elevator, in wide Drill Guide, VAL, 3.5 mm Drill Guide, VAL, locking, 3.5 mm, qty. 2 CFS Tray Insert, calcaneus instruments Item Number AR-8954-01 AR-8954-02 AR-8954-03 AR-8954-05 AR-8954-06 AR-8935GV AR-8935GVN AR-8950C-32 Percutaneous Plate and Drill Guides (AR-8950S-05) Product Description Guide, perc-calc ant process calcaneal plate, standard, left Guide, perc-calc ant process calcaneal plate, standard, right Guide, perc-calc ant process calcaneal plate, long, left Guide, perc-calc ant process calcaneal plate, long, right Guide, perc-calc anterior process/posterior tuberosity calcaneal plate, standard, left Guide, perc-calc anterior process/posterior tuberosity calcaneal plate, standard, right Guide, perc-calc anterior process/posterior tuberosity calcaneal plate, long, left Guide, perc-calc anterior process/posterior tuberosity calcaneal plate, long, right Attachment Screw, perc-calc guide Joystick, perc-calc guide Drill Guide, perc, threaded, locking, 3.5 mm Depth Device, nonlocking VAL Guide, 3.5 mm VAL Guide, locking, 3.5 mm, qty. 2 Caddy, calc FX plates and instruments Item Number AR-8954-08 AR-8954-09 AR-8954-10 AR-8954-11 AR-8954-12 AR-8954-13 AR-8954-14 AR-8954-15 AR-8954-16 AR-8954-17 AR-8954-18 AR-8954-19 AR-8935GV AR-89335GVN AR-8950C-34 Percutaneous Plates Product Description Calcaneal Fracture Percutaneous Plate, anterior process/ posterior tuberosity, standard, left Calcaneal Fracture Percutaneous Plate, anterior process posterior tuberosity, standard, right Calcaneal Fracture Percutaneous Plate, anterior process/ posterior tuberosity, long, left (a) Calcaneal Fracture Percutaneous Plate, anterior process/ posterior tuberosity, long, right Calcaneal Fracture Percutaneous Plate, anterior process, standard, left Calcaneal Fracture Percutaneous Plate, anterior process, standard, right Calcaneal Fracture Percutaneous Plate, anterior process, long, left Calcaneal Fracture Percutaneous Plate, anterior process, long, right Low Profile T-Plate, 3.5 mm, 4 hole Item Number AR-8954YL-S AR-8954YR-S AR-8954YL-L AR-8954YR-L AR-8954ML-S AR-8954MR-S AR-8954ML-L AR-8954MR-L AR-8954MT Perimeter Plates Product Description Calcaneal Fracture Perimeter Plate, x-small, left Calcaneal Fracture Perimeter Plate, small, left Calcaneal Fracture Perimeter Plate, medium, left Calcaneal Fracture Perimeter Plate, large, left Calcaneal Fracture Perimeter Plate, x-small, right Calcaneal Fracture Perimeter Plate, small, right Calcaneal Fracture Perimeter Plate, medium, right Calcaneal Fracture Perimeter Plate, large, right Item Number AR-8954PL-XS AR-8954PL-S AR-8954PL-M AR-8954PL-L AR-8954PR-XS AR-8954PR-S AR-8954PR-M AR-8954PR-L Foot and Ankle I 91 Calcaneal Fracture System (Cont.) Disposables Product Description Item Number BB-Tak, qty. 2 AR-13226 BB-Tak, threaded, qty. 2 AR-13226T Schanz Pin, 5 mm, self-drilling, 150 mm AR-8954-01 Guidewire w/ Trocar Tip, 0.062 in (1.6 mm), qty. 3 AR-8941K Guidewire w/ Trocar Tip, threaded, 0.062 in (1.6 mm), AR-8941KT (a) qty. 3 Guidewire w/ Trocar Tip, nonthreaded, 0.094 in AR-8967K (2.4 mm) � 8 in, qty. 4 Literature Product Description Calcaneal Fracture Management System Surgical Technique Innovative Treatment Solutions for Calcaneal Fractures Product and Technique Highlights Item Number LT1-0495-EN LS1-0454-EN Multimedia Product Description Calcaneal Fracture Percutaneous Plate, animation Calcaneal Fracture Perimeter Plate, animation Calcaneal Fracture ORIF Using the Arthrex Perimeter Plate, Presented by John D. Adams, MD, video Calcaneal Fracture Surgical Stabilization Using the Calcaneal Fracture Plate System, Presented by Charles Jordan, MD, video Calcaneal Fractures: Extensile vs Percutaneous Surgical Treatment, Presented by Jorge I. Acevedo, MD, video Calcaneal Fracture Surgical Repair With Calcaneal Fracture Plating System, Presented by J. Chris Coetzee, MD, video Calcaneal Fracture ORIF With Percutaneous Calcaneal Fracture Plate Surgical Technique, Presented by Jorge I. Acevedo, MD, video Calcaneal Fracture ORIF With Arthrex Calcaneal Fracture Plate Utilizing Arthrex QuicksetTM* and FlexiGRAFT� Surgical Technique, Presented by Mark D. Campbell, MD, video Calcaneal Fracture ORIF Using the Arthrex Perimeter Plate, Presented by John D. Adams, MD, video Item Number AN1-00080-EN AN1-00093-EN VID1-000753-en VID1-01354-EN VID1-01196-EN VID1-00618-EN VID1-00204-EN VID1-00114-EN VID1-000753-en *Quickset is a trademark of Graftys, S.A. FlexiGRAFT is a trademark of LifeNet Health. 92 I Foot and Ankle Lisfranc Fixation System With InternalBraceTM Technique Lisfranc Fixation With InternalBrace Repair Product Description PEEK SwiveLock Suture Anchor, 4.75 mm FiberTape Suture, collagen-coated, with button Drill Bit, cannulated, 3.5 mm Drill Guide Suture Passing Wire, 1.6 mm, qty. 2 Item Number AR-1698-CP Additional Part Numbers for Supplemental Fixation Technique Product Description DX SwiveLock Anchor, PEEK, w/ closed eyelet, 3.5 mm � 13.5 mm Item Number AR-8979P The Lisfranc Fixation System is a novel technique used to repair Lisfranc ligament injuries. This technique uses a 1.6 mm tapered guidewire through the Lisfranc articular surface. An oblong button loaded with collagen-coated 2 mm FiberTape� suture is placed on the 2nd metatarsal and passed through the intraosseous Lisfranc complex. The FiberTape suture is secured with a 4.75 mm SwiveLock� anchor in the medial cuneiform. Advantages: No second surgery for hardware removal or broken screws Micromotion similar to Lisfranc ligament to accelerate biological healing1,2 May cause less joint disruption than a screw Knotless technique References 1. Hart DP, Dahners LE. Healing of the medial collateral ligament in rats. The effects of repair, motion, and secondary stabilizing ligaments. J Bone Joint Surg Am. 1987;69: 1194-1199. 2. Walsh S, Frank C, Shrive N, Hart D. Knee immobilization inhibits biomechanical maturation of the rabbit medial collateral ligament. Clin Orthop Relat Res. 1993;297: 253-261. 3.5 mm � 13.5 mm DX SwiveLock Anchor Disposables Kit Product Description Drill Guide w/ Depth Stop Drill Bit, solid, 3.0 mm Drill Bit, solid, 3.4 mm Tap for DX SwiveLock Anchor Item Number AR-8979DS Multimedia Product Description Item Number Lisfranc Fracture Dislocations: Approaches for Stability, VID1-01197-EN Presented by Thomas G. Harris, MD, video Lisfranc Injury Repair With Lisfranc InternalBrace Ligament Augmentation, Presented by Eric Giza, MD, video VPT1-00729-EN Lisfranc ORIF With InternalBrace Ligament Augmentation, Presented by Eric Giza, MD, video VPT1-00577-EN Lisfranc Repair With InternalBrace Ligament Augmentation Implant System, Presented by Lorenzo Gamez, MD, video VPT1-00937-EN Lisfranc Repair With InternalBrace Ligament VPT1-00942-EN Augmentation, Presented by Lorenzo Gamez, MD, video Lisfranc Injury Repair With Lisfranc InternalBraceTM VID1-000030-EN Ligament Augmentation, Presented by Kirk McCullough, MD, video Literature Product Description Lisfranc InternalBrace Ligament Augmentation Implant System Surgical Technique Guide Item Number LT1-00105-EN Foot and Ankle I 93 5th Metatarsal Fracture System (a) (c) (d) (e) The uniquely designed 5th Metatarsal Fracture System provides surgeons with a variety of screw and plate options to efficiently and effectively treat complex 5th metatarsal fractures. Solid Screw Robust 4.5 mm, 5.5 mm, and 6.0 mm diameters Cannulated Instruments Strength of a solid screw while providing cannulated drills and taps for accurate placement and efficiency Low-Profile Head Designed to minimize soft-tissue irritation Anatomic Hook Plate Designed to fit the 5th metatarsal base with variableangle locking and nonlocking screws for revisions or complex fractures 5th Metatarsal Fracture System (AR-8956S) Product Description Instruments Drill Guide, VAL, 2.4 mm Drill Guide, 1.7/2.4 mm Drill Guide, 2.0 mm Drill Guide, 3.5 mm Drill Guide, 4.5 mm Drill Guide, 5.5 mm Drill Guide, 6.0 mm Drill/Depth Guide, locking, 2.4 mm, qty. 2 Depth Guide, mini Depth Device, cannulated, for Jones screws Bone Reduction Forceps, curved, pointed Plate Cutter Tamp Hex Driver, 3.5 mm, qty. 2 Hudson Adapter Holding Sleeve Screwdriver Handle, QC, ratcheting, cannulated, qty. 2 Screwdriver Handle, ratcheting, AO handle, mini, cannulated Driver, T8 hexalobe, self-retaining Bone Tap, cannulated, 4.5 mm Bone Tap, cannulated, 5.5 mm Bone Tap, cannulated, 6.0 mm Instrument Case Plates Universal 5th Metatarsal Hook Plate, qty. 2 (b) 5th Metatarsal Hook Plate, long, left 5th Metatarsal Hook Plate, long, right (a) 2.4 mm Screws Cortex Screw, Ti, 2.4 mm � 8 mm - 32 mm VAL Screw, Ti, 2.4 mm � 8 mm - 32 mm Item Number AR-8724GV AR-8916-05 AR-8956G-20 AR-8956G-35 AR-8956G-45 AR-8956G-55 AR-8956G-60 AR-8950-04 AR-13120G-2 AR-8956-12 AR-8943-07 AR-8956-10 AR-8956-08 AR-8955D AR-1416 AR-8920H AR-8950RH AR-1999 AR-8916-27 AR-8956C-45T AR-8956C-55T AR-8956C-60T AR-8956C AR-8956-01 AR-8956L-02 AR-8956R-03 AR-8724-08 � 32 AR-8724V-08 � 32 94 I Foot and Ankle 5th Metatarsal Fracture System (Cont.) (a) (b) Product Description Jones Screws 4.5 mm Partially Threaded, low-profile Ti screw, 4.5 mm � 40 mm-65 mm (5 mm increments) (c) 5.5 mm Partially Threaded, low-profile Ti screw, 5.5 mm � 40 mm-65 mm (5 mm increments) (d) 6.0 mm Partially Threaded, low-profile Ti screw, 6.0 mm � 40 mm-65 mm (5 mm increments) (e) Disposables Drill, 1.7 mm, short, qty. 2 Drill, 1.7 mm, long, qty. 2 Pin Tip Drill, 3.5 mm, qty. 2 Pin Tip Drill, 4.0 mm, qty. 2 Drill, cannulated, 3.5 mm, qty. 2 Drill, cannulated, 4.0 mm, qty. 2 Guidewire With Trocar Tip, .062 in (1.6 mm), qty. 6 Guidewire, .045 in (1.1 mm), qty. 6 Guidewire With Trocar Tip, .078 in (2.0 mm), qty. 6 BB-Tak, qty. 2 BB-Tak, threaded, qty. 2 Optional 5th Metatarsal Screw and Plate Caddy Item Number AR-9045-40PT � 65PT AR-9055-40PT � 65PT AR-9060-40PT � 65PT AR-1201-7D AR-8916-14 AR-8956-35PD AR-8956-40PD AR-8956C-35PD AR-8956C-40PD AR-8941K AR-8933K AR-8956K-01 AR-13226 AR-13226T AR-8956C-SC Literature Product Description 5th Metatarsal Fracture System Surgical Technique Arthrex Treatment Options for Jones Fracture Product and Technique Highlights Item Number LT1-0462-EN LS1-0462-EN Multimedia Product Description Arthrex Jones Screw, animation 5th Metatarsal Hook Plate, animation Jones Fracture Nonunion Repair Using 5th Metatarsal Hook Plate, Presented by Norman E. Waldrop III, MD, surgical technique video Jones Fracture Product Demonstration, Presented by Norman E. Waldrop III, MD, video Management of Fifth Metatarsal Fractures, Presented by Terrence M. Philbin, DO, video Jones Fracture Surgical Repair 5th Metatarsal Fracture System, Presented by Anand Vora, MD, surgical technique video Talus and Jones Fracture Surgical Stabilization, Presented by David I. Pedowitz, MD, video Item Number AN1-00056-EN AN1-00057-EN VID1-01229-EN VID1-01231-EN VPT1-00903-EN VPT1-00383-EN VPT1-01075-EN Foot and Ankle I 95 Imaging and Resection DrillSaw Highspeed 200TM and DrillSaw Mini 300TM Power Systems............ 98 DrillSaw Sports 400TM Power System.................................................................... 102 DrillSaw Max 600TM Power System......................................................................... 106 Service and Support.................................................................................................. 110 NanoScopeTM Operative Arthroscopy System.................................................... 111 NanoScopeTM Console................................................................................................ 112 Patient Prep Kit Components.................................................................................. 112 NanoScopeTM Handpiece Kit..................................................................................... 113 NanoScope High-Flow Sheath Kit......................................................................... 113 NanoScope Arthroscopy Hand Instruments...................................................... 114 Nano Arthroscopy Cannulas................................................................................... 115 Outflow Cannulas....................................................................................................... 115 Percutaneous Insertion Kit....................................................................................... 116 Mobile Cart................................................................................................................... 117 Imaging and Resection I 97 DrillSaw Highspeed 200TM and DrillSaw Mini 300TM Power Systems (c) (d) (a) (c) Cost-effective, modular system for small bone applications. Compatible with versatile attachments for: � Drilling (e) � Reaming � Sawing � Wire/pin driving � Burring (f) Minimal weight with maximum power output Well-balanced, intuitive design Product Description MIS Instrument Case Item Number AR-8880C DrillSaw Highspeed 200TM Set (AR-200) Product Description Instruments DrillSaw Highspeed 200 Set Console (a) Motor w/ Cable 0-15,000 rpm (b) Foot Pedal (c) Motor Support Item Number AR-200C AR-200M OEM06202400 OEM06177800 (g) Product Description Handpiece AR-300 (d) Lithium-Ion Battery Pack for AR-300 (e) Aseptic Transfer Kit for AR-300 (f) Battery Housing for AR-300 (g) Item Number AR-300 AR-300L AR-300ATK AR-300LBH 98 I Imaging and Resection DrillSaw Highspeed 200TM and DrillSaw Mini 300TM Power System Accessories Product Description Note Item Number Universal battery charger for AR-300, AR-400, and AR-600 batteries The charger will be delivered without charging bays. AR-400UBC Charging bay for AR-600L and AR-300L 2 charging bays delivered per order; charger can support 4 charging bays at a time. AR-400UBC-3 DrillSaw Mini 300 instrument tray Note: Tray holds 1 handpiece, 2 battery housings, 2 aseptic transfer kits, 8 attachments. AR-300C Handle for AR-200M AR-200H DrillSaw Highspeed 200TM and DrillSaw Mini 300TM Power System Attachments Description Item Number Connection RPM Note Sagittal saw attachment AR-300SAG AR-300 15,000* Arthrex small-bone sawblades CPM Reciprocating saw attachment AR-300SR Round and flat shaft 15,000* AR-300 flat shaft or standard round CPM shaft (�3.17 mm connection) High-speed burring attachment AR-300B Round shaft 15,000* Round shaft connection: CPM �2.35 mm (Dental connection) Drill attachment small AO AR-300DAO-2 Small AO 1300 Small AO connection drills up to �6 mm Drill keyed, Jacobs chuck AR-300DJ 0-4 mm 1300 Drills up to �6 mm Medium speed burring attachment AR-300B-2 Round shaft 2750 Round shaft connection: �2.35 mm (Dental connection) Drill keyless chuck AR-300DK30 0-3 mm 2750 Accommodates fittings up to 3 mm, drills up to 4 mm Drill keyless chuck AR-300DK45 Green = drill (1300 rpm), Blue = drill (2750 RPM) *Cuts Per Minute 2-4.5 mm 2750 Accommodates fittings up to 4.5 mm, drills up to 4 mm 100 I Imaging and Resection DrillSaw 200 and DrillSaw Mini 300TM Power System Attachments Description Item Number Connection Reamer attachment AO AR-300RAO Standard AO RPM Note Standard AO connection drills 500 up to �8 mm, reamer up to �20 mm Reamer keyed chuck AR-300RJ 0-4 mm Accommodates fittings up to 500 �4 mm drills up to �8 mm reamer up to �20 mm Wire driver attachment AR-300WD16 0.6-1.6 mm 2750 Recommended application: pins 0.6-1.6 mm Pin driver attachment AR-300PD24 1.2-2.4 mm 1300 Recommended application: pins 1.2-2.4 mm Offset attachment AR-300CA Cannulated adapter AR-200CA Red = Reaming (500 RPM) Replacement Parts: AR-300KEY: Replacement key for Jacobs chuck Arthrex AR-300 connection Speed based on attachment connected Offset adapter for all attachments Arthrex AR-200 Connection Based on speed of attachment Offset adapter for wire and pin driver Imaging and Resection I 101 DrillSaw Sports 400TM Power System Cost-effective, modular system for sports arthroscopy and trauma applications. Compatible with versatile attachments for: � Drilling � Reaming � Sawing � Wire/pin driving Custom texture for improved gripping capability in the wet sports arthroscopy environment Small form factor for enhanced balance and comfort Powered by lithium-ion technology for increased battery run time and cycle life Product Description Handpiece AR-400 (a) Lithium-ion battery pack for AR-400 (b) Aseptic transfer kit for AR-400 (c) Battery housing for AR-400 (d) Item Number AR-400 AR-400UB AR-400-ATK-1 AR-400UBH-1 (a) 102 I Imaging and Resection (b) (c) (d) Accessories Product Description Note Item Number Universal battery charger for AR-300, AR-400, and AR-600 batteries The charger will be delivered AR-400UBC without charging bays. Charging bay for AR-400UB 2 charging bays delivered per order; charger can support 4 charging bays at a time. AR-400UBC-4 DrillSaw Sports 400TM instrument case, 1 handpiece Tray holds 1 handpiece, 2 battery housings, 2 aseptic transfer kits, 1 wire/pin driver, 8 attachments. AR-400AC-1 Imaging and Resection I 103 Attachments Description Sagittal saw attachment Item Number AR-400SAG Connection RPM Note Arthrex small bone saw blades 23,000* CPM Arthrex small bone saw blades Burr attachment 2.35 mm AR-400B Round shaft 21,500 CPM Round shaft J-latch and dental 2.35 mm AR-400JLD 5300 J-latch and round shaft CPM Round shaft Drill attachment small AO AR-400DAO Small AO 1330 Small AO fitting Drill keyless chuck 0.6-7.4 mm AR-400DK74 0.6 mm to 7.4 mm 1330 Accommodates fittings up to �7.4 mm Drill Jacobs chuck 0-4 mm AR-400DJ40 0 mm to 4 mm 1330 Accommodates fittings up to �4 mm Drill keyed chuck AR-400DJ74 0 mm to 7.4 mm 1330 Accommodates fittings up to �7.4 mm Drill attachment � Zimmer/Hudson AR-400DZH Zimmer and Hudson 1330 Drill attachments: Zimmer and Hudson Drill attachment � Trinkle AR-400DT Trinkle 1330 Trinkle fittlng only Drill attachment � Harris AR-400DHA Blue = Drill (1300 RPM) *Cuts per minute 104 I Imaging and Resection Harris 1330 Drill attachments: Harris Attachments Description Item Number Adapter for radiolucent angular drive AR-400ARL Connection RPM Note 1330 Adapter for radiolucent angular drive from Synthes Pin driver attachment AR-400PD 0 mm to 3.2 mm 1330 Accommodates pins and wires from 0.6 mm to 3.2 mm Reamer attachment Zimmer/Hudson style AR-400RZH Zimmer and Hudson 330 Reamer attachments: Zimmer and Hudson Reamer attachment large AO AR-400RAOP Large AO 330 Reamer attachments: large AO Reamer attachment Hudson AR-400RHU Hudson Reamer attachments: Hudson (DePuy 330 Synthes) Reamer Jacobs chuck 0 mm to 7.4 mm AR-400RJ74 0 mm to 7.4 mm Accommodates fittings up 330 to �7.4 mm Reamer Jacobs chuck hybrid 0 mm to 7.4 mm AR-400RJH74 0 mm to 7.4 mm Accommodates fittings up 330 to �7.4 mm Reamer attach style DHS (Dynamic Hip AR-400DHS DHS Screw) Blue = Drill (1300 RPM), Red = Reaming (330 RPM) Replacement Parts: AR-300KEY: Replacement key for Jacobs chuck up to 4.0 mm AR-600KEY: Replacement key for Jacobs chucks up to 7.4 mm 330 DHS style (Dynamic Hip Screw) Imaging and Resection I 105 DrillSaw Max 600TM Power System Cost-effective, modular system for arthroplasty, trauma, and sports arthroscopy applications. Compatible with versatile attachments for: � Drilling � Reaming � Sawing � Wire/pin driving Powerful performance with 160 inch�pounds (18 Nm) of reaming torque Powered by lithium-ion technology for increased battery run time and cycle life Product Description Handpiece AR-600 (a) Lithium-ion battery pack for AR-600 (b) Aseptic transfer kit for AR-600 (c) Battery housing for AR-600 (d) Item Number AR-600 AR-600L AR-600ATK AR-600LBH (b) (a) (c) (d) 106 I Imaging and Resection Accessories Product Description Note Item Number Universal battery charger for AR-300, AR-400, and AR-600 batteries The charger will be delivered without charging bays. AR-400UBC Charging bay for AR-600L and AR-300L 2 charging bays delivered per order; charger can support 4 charging bays at a time. AR-400UBC-3 DrillSaw Max 600TM instrument case, 1 handpiece Tray holds 1 handpiece, 1 battery housing, 1 aseptic transfer kit, 2 wire/pin drivers, 10 attachments. AR-600C DrillSaw Max 600 instrument case, 2 handpieces Tray holds 2 handpieces, 1 battery housing, 1 aseptic transfer kit, 2 wire/pin drivers, 12 attachments. AR-600C-3 Imaging and Resection I 107 Attachments Description Saw attachment � sagittal Item Number AR-600SAG Connection RPM Note AR-600 sagittal blades 13,000* Saw blade connection Arthrex CPM AR-600 Saw attachment � sagittal AR-600SAGMIS Saw attachment � sagittal for AR-300 blades AR-600SAGS Arthrex AR-600SAGMIS blades 13,000* Minimally invasive sagittal saw blade CPM connection Arthrex AR-600SAGMIS 13,000* Small bone saw blades Arthrex small bone saw blades CPM Saw attachment � reciprocating AR-600SR Arthrex 13,000* CPM Arthrex reciprocating saw blades Drill attachment � small AO AR-600DAO Small AO Small AO connection drills up 950 to �12 mm Drill keyless chuck AR-600DK 0 mm to 7.4 mm Accommodates fittings up to 950 �7.4 mm, drills up to �12 mm Drill attachment � AO/Trinkle style AR-600DAOT AO/Trinkle 950 AO/Trinkle connection drills up to �12 mm Drill attachment � Zimmer/Hudson style AR-600DZH Zimmer and Hudson 950 Drill attachments: Zimmer and Hudson Drill attachment � large AO AR-600DAOP Large AO 950 Drill attachments: large AO Drill Jacobs chuck AR-600DJ 0 mm to 7.4 mm 950 Accommodates fittings up to �7.4 mm, drills up to �12 mm Drill attachment � Hudson style Blue = Drill (950 RPM) *Cuts per minute AR-600DHU Hudson 950 Drill attachments: Hudson style 108 I Imaging and Resection Attachments Description Item Number Reamer attachment Zimmer/Hudson style AR-600RZH Connection RPM Note Zimmer and Hudson 200 Reamer attachments: Zimmer and Hudson Reamer attachment large AO AR-600RAOP Large AO 200 Reamer attachments: large AO Reamer attachment Hudson AR-600RHU Hudson 200 Reamer attachments: Hudson style Reamer Jacobs chuck AR-600RJ 0 mm to 7.4 mm 250 Accommodates fittings up to �7.4 mm Reamer keyless chuck AR-600ORK 0 mm to 7.4 mm Accommodates fittings up 250 to �7.4 mm Reamer attachment style DHS AR-600DHS Wire driver attachment AR-600WD-2 Pin driver attachment AR-600PD-2 Wire/pin driver attachment AR-600PD-3 DHS 250 DHS style (Dynamic Hip Screw) 0.6 mm to 1.6 mm 1.6 mm to 4 mm 0.8 mm to 4 mm Accommodates wires from 0.6 mm to 1.6 mm 950 Accommodates pins from 1.6 mm to 4 mm Accommodates pins and wires from 950 0.8 mm to 4 mm Adapter for radiolucent angular drive AR-600ARL Arthrex 950 Adapter for radiolucent angular drive from Synthes Sternum adapter AR-600SRS Red = Reaming (200/250 RPM) Replacement Parts: AR-600KEY: Replacement key for Jacobs chuck Arthrex N/A Use with AR-600SR Imaging and Resection I 109 Service and Support Service you can rely on... We understand that patients rely on you every day--and that you rely on your equipment. You have purchased the most innovative world-class imaging devices available, and you always expect them to be ready. As your strategic partner, you can rely on Arthrex to provide quality products and service to help surgeons treat their patients better. Arthrex Armor Premium Distal Extremity Protection For customers who want the service benefits they have for their Synergy equipment extended to other equipment, the Arthrex Armor Premium Distal Extremity Protection is available. Arthrex Armor Titanium Protection Our most comprehensive level of protection to resolve and prevent possible technical challenges, Titanium Protection includes all the benefits of the Premium level, such as 24/7 remote technical support provided by our Technical Assistance Center. This tier also includes a trained Arthrex agency personnel on location to provide immediate technical support. With an Arthrex Armor Technology Protection plan you will: Save money and ensure against costly, unbudgeted repairs Reduce downtime with advance replacement products Receive in-house Arthrex-certified replacement parts Choose from flexible agreement and payment terms Arthrex Armor offers customizable service plan levels to meet all your product and service needs. Arthrex Armor Core Protection Our baseline service level, Arthrex Armor Core Protection, provides as-needed support that is billed on on a per-incident basis. Arthrex Armor Plus Protection For customers looking to better forecast their operational budget, the Arthrex Armor Plus Protection plan is a welcome benefit that offers prepaid per-incident billing. Arthrex Armor Premium Protection Available for Synergy imaging equipment and Synergy software, Arthrex Armor Premium Protection plan provides total protection against product issues and incidental damage. Why Arthrex? As the designer for the Arthrex family of products, we use high-quality, Arthrex-certified components to provide the highest standard of service designed to keep your equipment in excellent working condition over time. For maximum uptime and highest quality performance, we are the logical choice for service replacements and after-sale care. Contact Information Please contact us at ServiceAgreements@arthrex.com for any questions or requests regarding our service offerings. Warranty Policy For all warranty information, including disclaimers, exclusions, terms, conditions, and related provisions, refer to the "Arthrex U.S. Product Warranty" section of the Arthrex, Inc. website, found at www.arthrex.com/ corporate/arthrex-us-product-warranty. 110 I Imaging and Resection NanoScopeTM Operative Arthroscopy System The 1.9 mm NanoScope system is a medical-grade, allin-one, needle-size operative arthroscopy system that features a disposable camera with chip-on-tip image sensor technology. The portable system allows the surgeon to perform minimally invasive arthroscopy during preoperative, intraoperative, and postoperative phases of care � with the NanoScope system as the main arthroscope or as an adjunct to a conventional arthroscope. Arthrex helped to pioneer operative arthroscopy and is once again the pioneer of nano-operative arthroscopy. Our 2 mm diameter Nano arthroscopy hand instruments for tissue palpation, resection, extraction, and repair fit through the small NanoCannula with 3.4 mm outer diameter. Moreover, the NanoScope system provides a new supplement to MRI imaging, second-look arthroscopy, and image-guided injections that can be placed precisely under video image control. The NanoScope High-Flow Sheath Kit comes sterile packaged with a straight sheath and pre-bent sheath option. The increased flow rate at the distal tip allows for improved visualization and increased joint distention for more advanced procedures in operative settings. The angled sheath allows for the rotation of the sensor at 10� for more traditional viewing angles. Benefits of the NanoScope System for Fractures: Ease of set up Peel packed, on the shelf, all of the time, always available After-hour case access to visualization equipment Mobile console. Carry in, power on, plug in, and go Don't need fluid pumps/arthroscopy trays, shavers, etc (can be flushed with syringes) Less technical skill, training, and knowledge required by the surgeon and operating room staff Minimally invasive, maximum information Doesn't require the maintenance of regular scope equipment Patients love to see pictures. They can understand their pathology much better and they understand their potential for arthritis and a lesser outcome when they can see the damage Imaging and Resection I 111 NanoScopeTM Console Portable control unit--including documentation and data management 13'' touch screen monitor Rechargeable battery-powered Medical-grade device (a) Ethernet, USB, and HDMI ports--wireless network capabilities Integrated microphone The NanoScope system combines the latest technologies in small imaging sensors, LED lighting, and image management with an intuitive control unit. Product Description NanoScope Console (a) Item Number AR-3200-0030 Patient Prep Kit Components (4) 30 cc syringes 10 cc syringe w/ 25 ga needle 1 IV bag adapter 11 blade mini scalpel Disposable floor drape 2 sterile towels 1 elastic bandage (b) Product Description Item Number NanoScope Arthroscopy Patient Prep Kit (b) 74312-01M 112 I Imaging and Resection NanoScopeTM Handpiece Kit Components: NanoScope handpiece 1 sharp obturator 1 blunt obturator 2 inflow cannulas (2.2 mm outer diameter) 2 fluid stopcocks Product Description NanoScope Handpiece Kit, single use (b) NanoScope High-Flow Sheath Kit (b) NanoScope handpiece features: Single-use sterile camera 1.9 mm scope diameter 0� direction of view 120� field of view Integrated LED light source Lightweight (55 g) and well balanced Item Number AR-3210-0040 Features: Straight 3.4 mm sheath with rigid sharp obturator 10� Pre-bent 3.4 mm sheath with flexible blunt obturator Tapered luer for cut and gravity tube sets Sterile-packaged pouch Product Description NanoScope High-Flow Sheath Kit Hardened metal for more rigid/durable feel Increased flow rate at the distal tip for improved visualization and distension Most efficient when using resection blades and burrs <4 mm Item Number AR-3210-0041 Imaging and Resection I 113 NanoScopeTM Arthroscopy Hand Instruments (e) (a) Harnessing 20 years of excellence, Arthrex has engineered the next generation of instruments for diagnostic, resection, and extraction procedures. The NanoProbe is an articulating, retractable hook probe used for diagnostic procedures. The NanoBiter, NanoScissor, and NanoGrasper are small arthroscopic soft-tissue resection instruments. Just 2 mm in diameter, they are designed for atraumatic insertion through tight joint spaces. These instruments are sharp and engineered to efficiently resect meniscal tissue and other soft-tissue structures. Nano Arthroscopy Hand Instruments, 130 mm Working Length, 2 mm Diameter, Single-Use Sterile Pack Product Description NanoBiter, straight (a) NanoBiter 15� up (b) NanoGrasper, straight (c) NanoScissor, straight (d) NanoProbe, retractable (e) Item Number AR-10911D-1 AR-10922D-1 AR-10913D-1 AR-10915D-1 AR-10100N Nano Arthroscopy Hand Instruments, 70 mm Working Length, 2 mm Diameter, Single-Use Sterile Pack Product Description NanoBiter, straight NanoBiter 15� up NanoGrasper, straight NanoScissor, straight Item Number AR-10901D-1 AR-10902D-1 AR-10903D-1 AR-10905D-1 114 I Imaging and Resection Product Description NanoBiter Punch (a) Product Description NanoBiter Punch, 15� up (b) Product Description NanoGrasper (c) Product Description NanoScissor (d) Product Description NanoProbe, retractable (e) Nano Arthroscopy Cannulas 1.5 cm (a) 3 cm (b) 4 cm (c) 5 cm (d) 7 cm (e) The Nano arthroscopy cannula features a flexible plastic dam to prevent fluid loss. The cannula is designed to facilitate the insertion of the NanoProbe and Nano resection and excision hand instruments as well as small-diameter shaver blades. The included TegadermTM* skin adhesive is placed over the NanoCannula to maintain cannula position during instrument removal. NanoCannula and Cannulated Obturator, 2.7/3.4 mm, Single-Use Sterile Pack, Tegaderm Product Description NanoCannula, 1.5 cm length (a) NanoCannula, 3 cm length (b) NanoCannula, 4 cm length (c) NanoCannula, 5 cm length (d) NanoCannula, 7 cm length (e) Item Number AR-1090C-15-1 AR-1090C-30-1 AR-1090C-40-1 AR-1090C-50-1 AR-1090C-70-1 *Tegaderm is a trademark of 3M Medical. Outflow Cannulas The outflow cannula can be inserted through the NanoCannula for aspiration of fluid and resected soft tissue. It connects to syringes or suction tubing. (f) Outflow Cannula, 2.4 mm, Single-Use Sterile Pack (g) Product Description Item Number Outflow Cannula, 7 cm length (f) Outflow Cannula, 10 cm length (g) AR-1090S-70-1 AR-1090S-100-1 Imaging and Resection I 115 Percutaneous Insertion Kit Spinal Needle-Stylet Cannulated Obturator 2.7 mm NanoCannula Product Description Percutaneous insertion kit for cannula insertion and measuring the appropriate cannula length (includes calibrated 17 gauge spinal needle stylet and 1.1 mm guidewire) Item Number AR-1090PK-1 Cannula Insertion Recommendations 1. Insert calibrated needle stylet. 2. Measure appropriate cannula length. 3. Remove stylet and insert guidewire through needle. 4. Remove the needle, keeping guidewire in place. 5. Insert cannula and obturator over the guidewire into the joint space. 6. Remove guidewire and obturator, keeping cannula in place. 7. Add Tegaderm transparent film dressing adhesive for hands-free usage, to prevent cannula fallout. Laser Etching for Cannula Length 18-gauge guidewire for direct cannula insertion 116 I Imaging and Resection Mobile Cart Product Description MSK Mobile Cart NanoScopeTM Console Mount DualWaveTM Cart Accessory Mount Item Number AR-3502-CRT ATX-2601 AR-6841 5010-1500 Imaging and Resection I 117 Orthobiologics Arthrex ACP� Double-Syringe System................................................................. 122 Angel� cPRP System for PRP Formulation.......................................................... 123 Angel cPRP System ................................................................................................... 124 Bone Marrow Aspiration .......................................................................................... 125 BioCartilage� Extracellular Matrix......................................................................... 126 Cartiform� Viable Osteochondral Allograft........................................................ 127 ArthroCellTM Cellular Bone Graft.............................................................................. 128 AlloSyncTM Pure Demineralized Bone Matrix....................................................... 129 AlloSync Expand......................................................................................................... 130 AlloSync Cancellous Cubes.................................................................................... 130 AlloSync Putty, Gel, and Paste................................................................................ 131 BoneSyncTM Putty and Strips.................................................................................... 132 BoneSync Fast-Setting, Drillable Calcium Phosphate Cement ................... 133 QuicksetTM Calcium Phosphate Cement............................................................... 134 BioXpressTM Graft Delivery Device......................................................................... 135 JumpStart� Antimicrobial Wound Dressing........................................................ 136 JumpStart FlexEFitTM Antimicrobial Wound Dressing....................................... 137 Energel� Wound Hydrogel ..................................................................................... 137 Orthobiologics I 119 Arthrex ACP� Double-Syringe System (a) (b) (c) (d) There has been increased interest in autologous blood products for use in a number of orthopedic therapies. The main effects of platelet-rich plasma are thought to be caused by growth factors released from the platelets, which may play a beneficial role within these therapies. The Arthrex ACP (autologous conditioned plasma) system allows for rapid and efficient concentration of platelets and growth factors from autologous blood for use at the treatment site The unique double-syringe design allows for convenient and safe handling, as the whole preparation process takes place in a closed system The Arthrex ACP system is affordable and easy to use, and it has a quick procedure time when compared to other PRP devices White blood cells, specifically neutrophils, are NOT concentrated within the ACP system. These cells can be detrimental to the healing process owing to release of degradative proteins and reactive oxygen species1,2 Product Description ACP/Double Syringe With Cap (a) Series I ACP Blood Draw Kit (c) Series II ACP Blood Draw Kit (d) Centrifuge Bucket Bucket Spacer Counterbalance Arthrex Biologics Cart (b) (compatible with both Angel� and ACP Centrifuge Systems) Item Number ABS-10010S ABS-10011 ABS-10012 00389-129-000K 03-1-0001-0097K 03-1-0001-0098K ABS-10027 ABS-10100 References 1. Scott A, Khan KM, Roberts CR, Cook JL, Duronio V. What do we mean by the term "inflammation"? A contemporary basic science update for sports medicine. Br J Sports Med. 2004;38(3):372-380. doi:10.1136/bjsm.2004.011312 2. Jiang N, Tan NS, Ho B, Ding JL. Respiratory protein-generated reactive oxygen species as an antimicrobial strategy. Nat Immunol. 2007;8(10):1114-1122. doi:10.1038/ni1501 120 I Orthobiologics The Arthrex ACP double-syringe system is used to facilitate the safe and rapid preparation of autologous platelet-rich plasma (PRP) from a small sample of blood at the patient's point of care. The PRP can be mixed with autograft and allograft bone prior to application to an orthopedic surgical site as deemed necessary by the clinical use requirements. Angel� cPRP System for PRP Formulation What sets the Angel cPRP system apart from the competition is technology. Using a proprietary platelet sensor and one-button automation to prepare customized PRP formulations, the Angel cPRP system can deliver platelet concentrations up to 18� baseline with adjustable leukocyte concentrations. Proprietary platelet sensor system Adjustable platelet concentrations Adjustable WBC concentrations Flexible processing volume, 40 mL to 180 mL Each processing kit can process 3 cycles of up to 180 mL on the same patient Programmable and capable of storing up to 30 custom processing protocols Closed system, delivers PRP, PPP, and RBCs into separate, sterile compartments Product Description Angel System Centrifuge Angel System Centrifuge, refurbished Angel Kit Angel PRP Kit Arthrex Biologics Cart Item Number ABS-10060 ABS-10060R ABS-10063 ABS-10061T ABS-10100 Orthobiologics I 121 Angel� cPRP System (b) (c) (a) (d) Angel cPRP System Platelet Concentration (K/L) Nucleated Cell Concentration (K/L) Hematopoietic Cell Con- Total Neutrophils (�106) centration (K/L) BMA 87.7 � 6.4 24.5 � 15.6 0.002 � 0.001 612.1 BMC 787.0 � 317.6 240.5 � 186.6 0.081 � 0.056 132.9 Increase Above Baseline ~9� ~10� ~33� 80% Greater than 80% recovery of the hematopoietic cell lines with an 80% reduction in the undesirable neutrophil cell content. Data from Arthrex, Inc. Data on file (APT-02569). Naples, FL; 2018. Technology is what sets the Angel cPRP system apart from the competition. The Angel cPRP system uses proprietary sensor technology and one-button automation to deliver customized PRP concentrate. The Angel cPRP system is the only device that can provide PRP concentrate from BMA with adjustable cellular levels. Bone marrow is a rich source of platelets, nucleated cells, and progenitor cells. Proprietary platelet sensor system Adjustable platelet concentrations Adjustable WBC concentrations Programmable � can store up to 30 custom processing protocols Each processing kit can process 3 cycles of up to 180 mL on the same patient Flexible processing volume, 40 mL to 180 mL Closed system; delivers PRP, PPP and RBCs into separate, sterile compartments In vitro culture expansion of progenitor cells over 96 hours1 48 hours 96 hours Product Description Angel System Centrifuge (a) Angel System Centrifuge, refurbished Angel cPRP System With Aspiration Kit (with ACD-A) (b) Angel cPRP System With Powered Aspiration Kit (with ACD-A) (c) Arrow� OnControl�* System Sterile Procedure Tray (d) Arrow OnControl Power Driver With Cradle Arthrex Biologics Cart Item Number ABS-10060 ABS-10060R ABS-10062T ABS-10062D 9403-VC-006 9401 ABS-10100 Reference 1. Arthrex, Inc. Data on file (APT-05220). Naples, FL; 2021. *Arrow and OnControl are registered trademarks of Teleflex, Inc. 122 I Orthobiologics Bone Marrow Aspiration Bone marrow-stimulating techniques, like abrasion and microfracturing, have been advocated for over 20 years.1 Bone marrow is a source of stem cells and progenitor cells that differentiate into a variety of tissues (eg, bone, cartilage, tendon, ligament, fat, muscle, nerve). There has also been discussion that bone marrow stem cells have a role in the maintenance and repair of several other tissues.2 Because of the plasticity exhibited by bone marrow, a number of studies have investigated the benefits of bone marrow used: Through microfracturing into a collagen matrix for treatment of osteochondral defects2 With grafts to treat tibial nonunions3,4 For tendon graft-to-bone interface in rabbit models at early time points5,6 For spinal fusion in a rabbit model7 With growth factors for the treatment of large bony defects in animals8 With porous ceramic scaffolds implanted in human femoral defects with positive results8 Bone marrow aspirate (BMA) provides a cell suspension that can be readily processed intraoperatively for immediate implantation. BMA is commonly withdrawn from the iliac crest, but it can also be aspirated from the femur and humerus. BMA can be injected directly to a repair site, localizing a specific volume of BMA to support and facilitate healing. Bone Aspiration Kit The Bone Aspiration Kit is a convenient, sterile combination of instruments useful for aspirating bone marrow arthroscopically. Product Description Bone Aspiration Kit 1 Bone Marrow Aspiration Needle 1 Syringe, 60 mL 1 Prep Tray Item Number AR-1101DS References 1. Knutsen G, Engebretsen L, Ludvigsen TC, et al. Autologous chondrocyte implantation compared with microfracture in the knee. J Bone Joint Surg Am. 2004;86-A(3):455-464. 2. Kramer J, B�hrnsen F, Lindner U, et al. In vivo matrix-guided human mesenchymal stem cells. Cell Mol Life Sci. 2006;63(5):616-626. doi:10.1007/s00018-005-5527-z 3. Hernigou PH, Poignard A, Beaujean F, Rouard H. Percutaneous autologous bone marrow grafting for nonunions: influence of the number and concentration of progenitor cells. J Bone Joint Surg Am. 2005;87(7):1430-1437. doi:10.2106/ JBJS.D.02215 4. Connolly JF, Guse R, Tiedeman J, Dehne R. Autologous marrow injection as a substitute for operative grafting of tibial nonunions. Clin Orthop Relat Res. 1991;(266):259-270. 5. Lim JK, Hui J, Li L, Thambyah A, Goh J, Lee EH. Enhancement of tendon graft osteointegration using mesenchymal stem cells in a rabbit model of anterior cruciate ligament reconstruction. Arthroscopy. 2004;20(9):899-910. doi:10.1016/j. arthro.2004.06.035 6. Ouyang HW, Goh JC, Lee EH. Use of bone marrow stromal cells for tendon graft-tobone healing: histological and immunohistochemical studies in a rabbit model. Am J Sports Med. 2004;32(2):321-327. doi:10.1177/0095399703258682 7. Choi LS, Ma R, Zeng Q, et al. Bone marrow aspirate with or without platelet concentrates as a bone graft substitute for posterolateral spinal fusion: a randomized, controlled study using an animal model. 52nd Annual Meeting of the Orthopaedic Research Society. 2006. Paper No: 1742. 8. Pountos I, Jones E, Tzioupis C, McGonagle D, Giannoudis PV. Growing bone and cartilage: the role of mesenchymal stem cells. J Bone Joint Surg (Br). 2006;88B:421-426. doi:10.1302/0301-620X.88B4 Orthobiologics I 123 BioCartilage� Extracellular Matrix BioCartilage extracellular matrix was designed to provide a reproducible, simple, and inexpensive method to augment traditional marrow stimulation procedures. There is scientific evidence to support the premise that a dehydrated, allograft-cartilage scaffold used as an adjunct to marrow stimulation may improve the degree and quality of tissue healing within a properly prepared articular cartilage defect.1,2 Primate study indicates repopulation of the defect with hyaline-like cartilage at 12 weeks.3 BioCartilage extracellular matrix is an injectable cartilage-scaffold paste that can fill a cartilage defect subsequent to marrow stimulation. Difficult-to-reach focal defects can be treated open or arthroscopically with a unique delivery system. BioCartilage allograft contains the extracellular matrix that is native to articular cartilage, including key components such as type II collagen (Figure 1), proteoglycans (Figure 2), and additional cartilaginous growth factors The principle of BioCartilage extracellular matrix is to serve as a scaffold over an articular cartilage defect to provide a tissue network that can potentially signal autologous cellular interactions Marrow elements will fill the cartilage lesion and interact with the scaffold created by BioCartilage extracellular matrix instead of the lesion being expected to create its own fibrin scaffold, as typically anticipated from a marrow stimulation procedure Product Description BioCartilage Extracellular Matrix, 0.75 cc BioCartilage Extracellular Matrix, 1 cc Mixing and Delivery Kit, large joint Mixing and Delivery Kit, small joint Mixing and Delivery Kit, hip joint Item Number ABS-1007-BC ABS-1010-BC ABS-1000-L ABS-1000-S ABS-1000-H Accessories Product Description PowerPickTM XL Microfracture Instrument, 45�, 6 mm depth Item Number AR-8150PX-45 References 1. Cheng NC, Estes BT, Awad HA, Guilak F. Chondrogenic differentiation of adiposederived adult stem cells by a porous scaffold derived from native articular cartilage extracellular matrix. Tissue Eng Part A. 2009;15(2):231-241. doi:10.1089/ten. tea.2008.0253 2. Chadha N, Dang A, Sampson E, et al. Porous cartilage-derived matrix scaffolds for repair of articular cartilage defects. ORS. 2012; Poster No. 0735. 3. Malinin T, Temple HT, Carpenter EM. Induction of regeneration of articular cartilage defects by freeze-dried particulate cartilage allografts. ICRS. 2009 meeting; poster presentation. Figure 1. Immunohistochemistry staining for type II collagen.* 124 I Orthobiologics Figure 2. Toluidine blue stain highlighting proteoglycan content.* *The tissue was stained after the dehydration step. Cartiform� Viable Osteochondral Allograft Cartiform* allograft is a cryopreserved osteochondral allograft composed of viable chondrocytes, chondrogenic growth factors, and extracellular matrix proteins. While maintaining an intact cartilage structure (Figure 1), the bony portion of the osteochondral allograft is minimal and the graft is porated to offer unique handling characteristics and simple fixation techniques. Cartiform viable osteochondral allograft is recovered with minimal bone and porated for a variety of reasons: The minimal bone and pores impart flexibility to the allograft The pores increase the surface area and allow for the proprietary cryopreservative solution to preserve chondrocyte viability The pores facilitate enhanced growth factor release from Cartiform viable osteochondral allograft Cartiform viable osteochondral allograft combines the safety and success of traditional fresh stored osteochondral allografts with ease of use, as the graft is trimmable and flexible to match any lesion size and contour. Stored in a proprietary cryopreservative solution, Cartiform viable osteochondral allograft is readily available and is stored at -80 � 5o C. (Figure 2).1 Product Description Cartiform Viable Osteochondral Allograft, 10 mm disc (a) Cartiform Viable Osteochondral Allograft, 12 mm � 19 mm Cartiform Viable Osteochondral Allograft, 20 mm disc Cartiform Viable Osteochondral Allograft, 20 mm � 25 mm Cartiform Templates Cartiform Scorer, 10 mm Cartiform Scorer, 20 mm Cartiform Scorer, 12 mm � 19 mm Cartiform Scorer, 12 mm � 25 mm Item Number ABS-1101-10 ABS-1102-19 ABS-1101-20 ABS-1102-250 ABS-1100-T ABS-1101-10S ABS-1101-20S ABS-1102-19S ABS-1102-25S Reference 1. Arthrex, Inc. and Osiris Therapeutics, Inc. LA1-00007-EN_A. Naples, FL; 2015 (a) Fixation of Cartiform viable osteochondral allograft in the trochlea is achieved with the Knotless SutureTak� percutaneous insertion kits. Superficial Transitional Radial Osseous Figure 1. Structural organization of Cartiform allograft. Cartiform viable osteochondral allograft preserves the microstructure of 3 distinct cartilage zones (superficial, transitional, and radial) and an osseous layer as evident on histological staining (H&E). Cartiform viable osteochondral allograft may be trimmed to fit the articular cartilage lesion. Templates and scorers are available to aid in preparation of the graft and recipient site. Figure 2. Live (green) and dead (red) cell staining of Cartiform unit post-thaw after 2.7 years storage at -80� C, 70% cell viability. Orthobiologics I 125 ArthroCellTM Cellular Bone Graft Viable Bone Matrix ArthroCell viable cellular bone allograft contains cellular, scaffold, and gel components derived from human bone. The cellular component consists of mesenchymal stem cells, osteoprogenitor cells, and pluripotent cells. A nonimmunogenic cellular bone matrix intended for use as a bone void filler for bone defects, fusions, and nonunion orthopedic applications Osteogenic, osteoconductive, and osteoinductive potential Final product is moldable for ease of use and optimal handling Novel cryoprotectant (DMSO-free) and noncytotoxic Convenient: stored in a cryogenic freezer (-65�C) for up to 2 years Product Description ArthroCell Viable Bone Graft, 2.5 cc ArthroCell Viable Bone Graft, 5.0 cc Mixing Delivery Syringe, 14 cc Item Number ABS-2009-02 ABS-2009-05 ABS-2000 Gel Microparticulate Bone Cell Vial 126 I Orthobiologics AlloSyncTM Pure Demineralized Bone Matrix AlloSync Pure demineralized bone matrix can be used in an arthroscopic environment. AlloSync Pure osteoinductive demineralized bone matrix is derived from 100% human allograft bone with no extrinsic carriers. When prepared, AlloSync Pure resists irrigation and can be used in a fluid environment. The clinician can control the handling properties of AlloSync Pure bone matrix, which includes decreasing the viscosity for injectable applications or increasing the viscosity to add autograft and/or allograft. The proprietary rice-shape fiber technology used to process AlloSync Pure bone matrix increases the osteoinduction and osteoconductive surface area to accelerate cellular ingrowth.1 Derived from 100% demineralized cortical bone without any extrinsic carriers Poststerilization, every lot is tested in vivo to ensure osteoinductivity Demineralization process preserves native bone morphogenetic proteins (BMPs) and growth factors Product Description AlloSync Pure, 1 cc AlloSync Pure, 2.5 cc AlloSync Pure, 5 cc AlloSync Pure, 10 cc Item Number ABS-2010-01 ABS-2010-02 ABS-2010-05 ABS-2010-10 Resists irrigation Histologically proven to contain all 5 elements of bone formation, including new bone, bone marrow, osteocytes, chondrocytes, and cartilage postimplantation at 28 days1 May be hydrated with bone marrow concentrate (BMC), platelet-rich plasma (PRP), blood, saline, or other cellular components Sterile to device grade standards (10-6) and stored at ambient temperature Bone Marrow Osteoblasts Provided in a ready-to-use mixing jar 4 sizes available 5-year shelf life Reference 1. CellRight Technologies, LLC. Data on file (ConCelltrate� 100 histology and in-vitro alkaline phosphate induction assay). Universal City, TX; 2017. Bone Marrow Cartilage Chondrocytes AlloSync Pure Demineralized Bone Matrix Osteoblasts Osteoid/New Bone Osteoblasts Osteocytes PURE AlloSync Pure demineralized bone matrix histology Chondrocytes Cartilage Osteoblasts Osteocytes Osteoid/New Bone Bone Marrow AlloSync Pure Demineralized Bone Matrix Orthobiologics I 127 AlloSyncTM Expand AlloSync Expand is 100% demineralized cortical fibers with specific geometry that provides exceptional handling and controlled expansion. These fibers come preloaded in a syringe that allows for consistent hydration of the graft with biologic fluids, such as PRP or BMC. Features and Benefits Consists of 100% demineralized cortical bone fibers Provides a scaffold for cellular attachment and proliferation Graft will expand and improve fill during hydration Sterile to device-grade standards (10-6 SAL) Ambient temperature storage AlloSync Expand demineralized cortical fibers Ordering Information Product Description AlloSync Expand, 1 cc AlloSync Expand, 2.5 cc AlloSync Expand, 5 cc AlloSync Expand, 10 cc Item Number ABS-2017-01 ABS-2017-02 ABS-2017-05 ABS-2017-10 Entangled fibers create a 3D interconnected matrix to promote cell migration and fusion. AlloSync Cancellous Cubes The AlloSync cancellous cubes provide an osteoconductive scaffold for bone ingrowth and allow for remodeling with the patient's own bone. AlloSync cancellous cubes are available in 15 cc and 30 cc quantities. 100% cancellous bone Cube size is 5-10 mm Ambient temperature storage Sterile (SAL 10-6) Product Description Cancellous Cubes, 15 cc Cancellous Cubes, 30 cc Item Number ABS-2900-15 ABS-2900-30 128 I Orthobiologics AlloSyncTM Putty, Gel, and Paste AlloSync Bone Products Provide Osteoinductive and Osteoconductive Properties Osteoinduction � signaling molecules such as bone morphogenetic proteins (BMPs) that aid in cell differentiation down osteoblastic pathways Every lot of demineralized bone matrix (DBM) is tested for osteoinductive potential, using either an in vitro assay or in vivo model Osteoconduction � scaffolding from DBM particles for osteoblasts to form new bone Additional scaffolding properties are provided in AlloSync cancellous bone with the addition of cancellous bone chips (a) (b) Comparison of Two DBMs Superior Handling Characteristics via the ReversePhase Medium (RPM) Carrier RPM is an inert, biocompatible copolymer consisting of polypropylene oxide and polyethylene oxide Material is flowable at room temperature and thickens to become more viscous at body temperature RPM allows the DBM graft to be moldable and packed into any defect size or shape AlloSync bone products will resist irrigation and can be used in a fluid environment without the fear of graft migration, unlike some other DBMs AlloSync Bone Products Offer Ease of Use and Terminal Sterility Provided as a ready-to-use, off-the-shelf product that requires no thawing or premixing preparation Terminal sterilization using electron beam results in a sterility assurance level (SAL) of 10-6 � process is not harmful to the DBM or its bioactivity Room temperature storage AlloSync bone products are indicated for orthopedic applications as filler for gaps or voids that are not intrinsic to the stability of the bony structure. AlloSync bone products are indicated to be packed gently into bony gaps in the skeletal system as a bone graft extender (extremities, spine, and pelvis) and as bony void filler of the extremities and pelvis. These defects may be surgically created or result from traumatic injury to the bone. RPM Carrier Glycerol Carrier 5 Minutes Immersion Time Product Description AlloSync DBM Putty Putty, 1 cc (a) Putty, 2.55 cc Putty, 5 cc Putty, 10 cc AlloSync DBM Gel Gel, 1 cc (b) Gel, 5 cc Gel, 10 cc AlloSync CB DBM Putty Putty, 5 cc Putty, 10 cc AlloSync CB DBM Paste Paste, 1 cc Paste, 3 cc Paste, 8 cc Cancellous Crushed, 5 cc Item Number ABS-2012-01 ABS-2012-02 ABS-2012-05 ABS-2012-10 ABS-2013-01 ABS-2013-05 ABS-2013-10 ABS-2014-05 ABS-2014-10 ABS-2015-01 ABS-2015-03 ABS-2015-08 27715005 Orthobiologics I 129 BoneSyncTM Putty and Strips The blend of 20% type I collagen and 80% highly purified beta-tricalcium phosphate (�-TCP) in the BoneSync putty and strips provides an osteoconductive material for bone regeneration. It was developed to resemble the composition and pore structure of natural human bone.1 Benefits of the Collagen-Engineered Matrix in Orthopedic Applications Specifically engineered to provide a scaffold with porosity Facilitates incorporation of cells in bone marrow aspirate and tissue cells during the healing process2 BoneSync cement's collagen is composed of highly purified type-I collagen, the most abundant type of collagen found in bone Purification and biocompatibility minimizes the potential for immune response BoneSync Strip Product Description Strip, 10 cc (100 � 25 � 4 mm) Strip, 15 cc (100 � 25 � 6 mm) BoneSync Putty Product Description Putty, 2.5 cc Putty, 5 cc Putty, 10 cc Putty, 15 cc References 1. Mataragas, N. Radiographic analysis of fusion success with Integra Collagen Ceramic Matrix, as compared to autograft use, in posterolateral lumbar spine arthrodesis. Integra Life Sciences Corp. Data on file. 2010. 2. Geiger M, Li RH, Friess W. Collagen sponges for bone regeneration with rhBMP-2. Adv Drug Deliv Rev. 2003;55:1613-1629. Item Number ABS-3310 ABS-3315 Item Number ABS-3202 ABS-3205 ABS-3210 ABS-3215 130 I Orthobiologics BoneSyncTM Fast-Setting, Drillable Calcium Phosphate Cement BoneSync calcium phosphate cement is a fast-setting, synthetic bone void filler that sets within 5-8 minutes, depending on whether it's prepared with saline, blood, or bone marrow. BoneSync bone void filler is provided in a self-contained mixing and delivery system to decrease preparation time and improve delivery BoneSync cement may be mixed with saline, blood, or bone marrow aspirate BoneSync cement is fast setting to allow immediate supplemental fixation or to add strength to the surgical repair site Following curing, BoneSync cement is drillable to assist fracture repair and fixation Final product expands to improve contact forces with surrounding bone and/or plates or screw fixation (a) BoneSync Kit Package (a) Product Description BoneSync Cement, 3 cc BoneSync Cement, 5 cc BoneSync Cement, 10 cc (2 � 5 cc kit) Item Number ABS-3103 ABS-3105 ABS-3105-2 Indications for Use BoneSync cement is indicated to fill bony voids or gaps of the skeletal system (ie, extremities and pelvis). These defects may be surgically created or they may be osseous defects from traumatic injury to the bone. BoneSync cement is indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. When cured in situ, BoneSync cement provides an open void/gap filler that can augment provisional hardware (eg, K-wires, plates, screws) to help support bone fragments during the surgical procedure. The cured cement acts only as a temporary support media and is not intended to provide structural support during the healing process. BoneSync cement resorbs and is replaced by bone during the healing process. Orthobiologics I 131 QuicksetTM Calcium Phosphate Cement Quickset* cement is a macroporous, injectable, hardening, resorbable bone cement provided in an easy-to-use, closed mixing system. Composition The mixing system is a dual-chambered syringe containing a powder and mixing liquid The powder chamber contains a mixture of calcium phosphates and an organic polysaccharide polymer � the polysaccharide is a highly biocompatible polymer that optimizes the viscosity, cohesiveness, and macroporosity The mixing liquid consists of a sodium phosphate solution that facilitates the setting time (crystallization) of the cement The end product is a calcium-deficient apatite very similar to the mineral phase of bone iBalance� HTO Pilon Fracture Physical and Chemical Properties Global porosity of 70% � Microporosity (<10 �m): 88% � Mesoporosity (10 �m-100 �m): 2% � Macroporosity (>100 �m): 10% Porosity is present by the time it reaches complete hardening (24 hours after implantation) Mechanical compressive strength of 24 MPa (24 hours after implantation) Excellent cohesiveness, which prevents "wash-out" by biological fluids No shrinkage during crystallization Nonexothermic reaction Radiopaque Preparation Mixing time (room temperature): 2 minutes Injection time (room temperature): 2 minutes Initial setting time (body temperature): 8 minutes � Time it takes for the product to no longer be flowable. Manipulation during this time period is not recommended, as it will affect the crystallization process and final strength characteristics. Complete hardening (body temperature): 24 hours Calcaneus Fracture QuickSet Product Description Arthrex Quickset Cement, 5 cc Arthrex Quickset Cement, 8 cc Arthrex Quickset Cement, 16 cc Item Number ABS-3005 ABS-3008 ABS-3016 Quickset cement is intended for bony voids or defects that are not intrinsic to the stability of the bony structure. Quickset cement is intended to be placed or injected into bony voids or gaps of the skeletal system (ie, the extremities and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides bone void filler that resorbs and is replaced with bone during the healing process. Arthrex Quickset cement is available in the US as a convenience kit containing Arthrex Quickset cement, a cannula, and a delivery gun. *Quickset is a trademark of Graftys, S.A. 132 I Orthobiologics BioXpressTM Graft Delivery Device The BioXpress graft delivery device is designed for targeted delivery of hydrated allograft, autograft, or synthetic bone graft materials to an orthopedic surgical site, while maximizing material utilization. (a) Product Description Item Number Blunt Tip Cannula, 10 cm (a) ABS-10053-10 Angled Tip Cannula, 10 cm (b) ABS-10053-10-45 (b) Blunt Tip Cannula, 15 cm ABS-10053-15 Angled Tip Cannula, 15 cm ABS-10053-15-45 Orthobiologics I 133 JumpStart� Antimicrobial Wound Dressing JumpStart Dressing Powered by V.DoxTM* Technology JumpStart dressings are provided on an ultra-thin, lightweight, polyester substrate and contain laser-cut fenestrations to allow easy passage of wound exudate into the absorbent layer or a secondary dressing. The flexible design easily contours to the body. JumpStart dressings may be applied directly over sutures, staples, Steri-StripsTM, and liquid skin adhesives. The dot matrix pattern of embedded microcell batteries generate microcurrents on the dressing surface in the presence of a conductive medium, such as sterile saline, waterbased gel, or wound exudate. JumpStart Contact Layer Dressing Dressing Size (in) 1 � 1 Fenestrated 1.5 � 8 1.5 � 10 2 � 2 2 � 5 3 � 3 4 � 4 8 � 8 12 � 12 Qty/Box 10 10 10 10 10 10 10 1 1 Item Number ABS-4001 ABS-4005 ABS-4006 ABS-4002 ABS-4025 ABS-4003 ABS-4004 ABS-4008 ABS-4012 JumpStart Composite Dressing Adhesive Size (in) 2.5 Diameter 4.0 Diameter 4 � 4 5 � 6 4.5 � 10 6 � 11.5 4.4 � 9.6 4.2 � 7.5 Dressing Size (in) 1.0 Diameter 1.0 Diameter 2 � 2 1.5 � 5 1.5 � 7 2 � 9 1.5 � 6.5 1.4 � 4.5 Qty/Box 10 10 5 5 5 5 5 5 Item Number ABS-4054 ABS-4056 ABS-4053 ABS-4051 ABS-4052 ABS-4050 ABS-4057 ABS-4058 *V.Dox is a trademark of Vomaris Innovations, Inc. Steri-Strip is a trademark of 3M. Reference 1. Nuccitelli R. A role for endogenous electric fields in wound healing. Curr Top Dev Biol. 2003;58:1-26. 134 I Orthobiologics When skin is wounded, a change in electric potential occurs. The physiologic microcurrents contribute to healing.1 JumpStart dressing employs embedded microcell batteries that generate an electric field designed to mimic the body's own physiologic electric fields. ANTIMICROBIAL WOUND DRESSING JumpStart� FlexEFitTM Antimicrobial Wound Dressing JumpStart FlexEFit antibacterial wound dressing features a patented design that enables it to link and build to universally fit virtually any incision length and curvature with just one product. Pad Dimensions 1.5 � 4.5 (in) 3.8 � 11.4 (cm) Adhesive Dimensions 2.5 � 6.3 (in) 6.3 � 16 (cm) Qty/Box 5 10 Item Number ABS-4060-05 ABS-4060-10 References 1. Kim H, Makin I, Skiba J, et al. Antibacterial efficacy testing of a bioelectric wound dressing against clinical wound pathogens. Open Microbiol J. 2014;8:15-21. doi:10.2174/1874285801408010015 2. Banerjee J, Ghatak P, Roy S, et al. Silver-zinc redox-coupled electroceutical wound dressing disrupts bacterial biofilm. PLoS One. 2015:1-15. doi:10.1371/journal. pone.0119531 Reduce risk of infection Kills a broad spectrum of pathogens, including multidrug-resistant and biofilm-forming bacteria1-3 Disrupts existing biofilm infection and prevents biofilm from forming, in preclinical studies4 Prevents bacterial growth, with sustained antibacterial impact for up to 7 days5 Demonstrates improved antibacterial impact versus silver dressings2 3. Kim H, Izadjoo M. Antibiofilm efficacy evaluation of a bioelectric dressing in mono- and multi-species biofilms. J Wound Care. 2015;24 Suppl 2:S10-S14. doi:10.12968/jowc.2015.24.Sup2.S10 4. Barki K, Das A, Dixith S, et al. Electric field based dressing disrupts mixedspecies bacterial biofilm infection and restores functional wound healing. Ann Surg. 2019;269(4):756-766. doi:10.1097/SLA.0000000000002504 5. Vomaris Innovations, Inc. Data on file, report #SLM090512CMC01F Energel� Wound Hydrogel Use Energel* wound hydrogel to activate JumpStart's microcell batteries: Sterile, water-soluble gel formulated to maintain a moist wound environment and provide moisture to a dry wound Double-packaged sterile for use in the operating room Optimally sized for single use (7.5 g) Maintains JumpStart conductivity for up to 7 days Product Description Energel Wound Hydrogel Qty/Box 10 Arthrex Part No. AGL-L075-10 *Energel is a trademark of Vomaris Innovations, Inc. Orthobiologics I 135 136 I Soft Tissue Soft Tissue DX FiberTak� Suture Anchors................................................................................. 138 InternalBraceTM Ligament Repair............................................................................. 139 DX SwiveLock� Anchors.......................................................................................... 141 PushLock� Knotless Suture Anchors.................................................................... 143 BioComposite SutureTak� Anchors--Micro, Mini, and Small Joint.............. 144 3.5 mm Corkscrew� FT Anchors (Nano, Micro, and Mini)............................... 146 Anchors Reference Chart......................................................................................... 147 Soft Tissue I 137 DX FiberTak� Suture Anchors New! The FiberTak DX soft anchor offers several advantages compared to other suture anchors. Bone removal is minimized prior to implantation because the FiberTak DX soft anchor requires only a 1.35 mm or 1.6 mm bone tunnel. The anchor is ideal for any soft-tissue repair about the foot and ankle and maintains a very high pullout strength considering the small profile of the anchor itself.1 DX FiberTak Suture Anchor Product Description DX FiberTak SutureTape Suture Anchor w/ 1.3 mm SutureTape, and Tapered Point Needles, 26.2 mm � circle DX FiberTak Suture Anchor w/ #1 FiberWire� Suture and Diamond Point Needles, 26.2 mm � circle Item Number AR-8990ST AR-8990 DX FiberTak Disposables Kit Product Description Guidewire, 1.35 mm Guidewire, 1.6 mm FiberTak Drill Sleeve Item Number AR-8990DS Reference 1. Arthrex, Inc. Data on file (APT 2831, APT 3339, APT 03508). Naples, FL; 2004-2017. 2. Arthrex, Inc. Data on file (APT-2793 and APT-1786). Literature Product Description Distal Extremity Anchors Brochure Item Number LB1-0412-EN Multimedia Product Description Item Number Anchor Insertion, animation AN1-00078-EN FiberTak Instability Repair, animation AN1-00147-EN DX FiberTak Soft Anchor for Brostr�m Repair With InternalBrace Ligament Augmentation, animation Complex Deltoid Ligament, case presentation by Robert Anderson, MD, video AN1-00283-EN VID1-001045-en-US Deltoid Repair Using the DX FiberTak Anchor With SutureTape, Presented by Robert Anderson, MD, video Deltoid Ligament Reconstruction Utilizing the Arthrex TightRope and Pre-sutured Allograft, Surgical Technique, Presented by George Lian, MD, video VID1-001047-en-US VID1-00242-en-US Pull-out Strength2 50 40 30 42 lb 41 lb 20 10 0 1.35 mm 3.0 mm FiberTak SutureTak 138 I Soft Tissue InternalBraceTM Ligament Repair 2.0 InternalBrace ligament repair is a simple technique that may be used to overcome the shortcomings of the Brostrom repair. Standard repair augmented with the InternalBrace procedure does not violate normal tissue and helps protect the ligament repair while it matures, allowing early mobility during recovery and a quicker return to activity as published in peer-reviewed clinical evidence.1-3 Surgical versatility--more size/material options Talus offset guide--reproducible anatomic placement Radiopaque marker and laser-line window on SwiveLock� driver Biologically advantageous--collagen-coated FiberTape� suture and JumpStart� antimicrobial dressing References 1. Kulwin R, Watson TS, Rigby R, Coetzee JC, Vora A. Traditional modified Brostrom vs suture tape ligament augmentation. Foot Ankle Int. 2021. doi:10.1177/1071100720976071 2. Martin KD, Andres NN, Robinson WH. Suture tape augmented Brostrom procedure and early accelerated rehabilitation. Foot Ankle Int. 2021;42(2):145-150. doi:10.1177/1071100720959015 3. Coetzee JC, Ellington JK, Ronan JA, Stone RM. Functional results of open Brostr�m ankle ligament repair augmented with a suture tape. Foot Ankle Int. 2018;39 (3):304-310. doi:10.1177/1071100717742363 BioComposite Plus Ligament Repair System for InternalBrace Surgical Technique Product Description Item Number BioComposite SwiveLock With Collagen-Coated FiberTape Suture, 4.75 mm BioComposite SwiveLock Anchor, 4.75 mm Drill, 3.4 mm Drill, cannulated, 3.4 mm Drill, 4.0 mm Drill Guide With Metal Insert for Talus Drill Guide With Metal Insert Bone Tap Guidewire With Trocar Tip Guidewire Sleeve Suture Passing Wire Free Needle JumpStart Single-Layer Dressing, 2 in � 5 in AR-1789J-CP BioComposite Ligament Repair System for InternalBrace Surgical Technique Product Description BioComposite SwiveLock Anchor With Collagen-Coated FiberTape Suture, 4.75 mm BioComposite SwiveLock Anchor, 3.5 mm Drill, 2.7 mm Drill, cannulated, 2.7 mm Drill, 3.4 mm Drill, cannulated, 3.4 mm Drill Guide With Metal Insert for Talus Drill Guide With Metal Insert Bone Tap Guidewire With Trocar Tip Guidewire Sleeve Suture Passing Wire Free Needle JumpStart Single-Layer Dressing, 2 in � 5 in Item Number AR-1788J-CP PEEK Implant System for InternalBrace Repair Product Description PEEK SwiveLock Anchor With Collagen-Coated FiberTape Suture, 4.75 mm PEEK SwiveLock Anchor, 3.5 mm Drill, 2.7 mm Drill, cannulated, 2.7 mm Drill, 3.4 mm Drill, cannulated, 3.4 mm Drill Guide With Metal Insert for Talus Drill Guide With Metal Insert Bone Tap Guidewire With Trocar Tip Guidewire Sleeve Suture Passing Wire Free Needle JumpStart Single-Layer Dressing, 2 in � 5 in Item Number AR-1788PJ-CP Mini PEEK Implant System for InternalBrace Repair Product Description PEEK SwiveLock Anchor With Collagen-Coated FiberTape Suture, 3.5 mm PEEK SwiveLock Anchor, 3.5 mm Drill, 2.7 mm Drill, cannulated, 2.7 mm Drill, 3.4 mm Drill Guide With Metal Insert for Talus Drill Guide With Metal Insert Bone Tap Guidewire With Trocar Tip Guidewire Sleeve Suture Passing Wire Free Needle JumpStart Single-Layer Dressing, 2 in � 5 in Item Number AR-1787PJ-CP Soft Tissue I 139 InternalBraceTM Ligament Repair (Cont.) Optional Instruments Product Description Drill Bit, 4.0 mm Bone Tap, cannulated, AO, 3.5 mm Bone Tap, cannulated, AO, 4.75 mm Item Number AR-1788-40S AR-1788T-35S AR-1788T-475S Implant System With Collagen-Coated FiberTape� Suture for InternalBrace Repair Product Description BioComposite SwiveLock� Anchor With #2 Collagen-Coated FiberTape Suture, 4.75 mm BioComposite SwiveLock Anchor, 3.5 mm Guidewire With Trocar Tip, 1.35 mm Drill Bit, cannulated, 2.7 mm Drill Bit, 2.7 mm Punch/Tap for 3.5 mm SwiveLock Anchor Drill Bit, 3.4 mm Punch/Tap for 4.75 mm SwiveLock Anchor Drill Guide Two Free Needles Suture Passing Wire Item Number AR-1688-CP Literature Product Description Brostrom Repair With InternalBrace Ligament Augmentation and DX FiberTak� Anchors Surgical Technique Brostrom Repair With InternalBrace 2.0 Ligament Augmentation Product and Technique Highlights Spring Ligament Repair With InternalBrace 2.0 Ligament Augmentation Product and Technique Highlights InternalBrace Ligament Augmentation (Ankle Instability) Surgeon Success InternalBrace Ligament Augmentation (Ankle Instability) Scientific Updates Item Number LT1-000160-EN FL1-000121-en-US FL1-000131-en-US LL1-00003-EN LL1-00004-EN Multimedia Product Description InternalBrace 2.0 Ligament Augmentation, animation InternalBrace Ligament Augmentation Repair � "The Body's Internal Seat Belt," animation Brostrom Lateral Ankle Repair With InternalBrace, Presented by James McWilliam, MD, surgical technique video InternalBrace Ligament Augmentation for Spring Ligament in Flatfoot Reconstruction, Presented by Michael Aynardi, MD, video InternalBrace Ligament Augmentation Repair Helps a Firefighter Get Back to Work, video Item Number AN1-000059-en-US AN1-00250-EN VID1-000636-en-US VID1-000026-EN VID1-01216-EN 140 I Soft Tissue DX SwiveLock� Anchors (a) (b) (c) Specifically designed for the small bones in the hand and wrist, the 2.5 mm titanium Nano SwiveLock anchor is 7 mm in length, contains a PEEK eyelet and titanium anchor body, and will allow surgeons to perform ligament repairs augmented with the InternalBraceTM surgical technique in the phalanges and elsewhere. This anchor was designed to be used with 1.3 mm SutureTape suture used in conjunction with FiberWire� suture. Graft cannot be used with this anchor. The 3.5 mm PEEK DX SwiveLock anchor is offered in 2 lengths, 13.5 mm and 8.5 mm. These all-PEEK anchors boast a high insertion strength and will hold up in the strongest of bone.1 The 3.5 mm SwiveLock anchors are a great option for acute repair of ATFL and deltoid ligament injuries. Both the 13.5 mm and 8.5 mm length anchor options are available in convenient disposables kits that include multiple drill bits depending on the bone quality, drill guides, and bone taps. 2.5 mm Nano SwiveLock Anchor Product Description Nano SwiveLock Anchor, 2.5 mm � 7 mm (a) Item Number AR-8998T 2.5 mm � 7 mm Nano SwiveLock Anchor Disposables Kit Product Description Guidewires w/ Trocar Tip, 1.1 mm, qty. 2 Drill guide, 2.4 mm Drill, cannulated, 2.0 mm (soft bone) Drill, cannulated, 2.2 mm (hard bone) Item Number AR-8998DS 3.5 mm PEEK SwiveLock Anchors Product Description DX SwiveLock SL Anchor, PEEK, w/ forked tip eyelet, 3.5 mm � 8.5 mm (b) DX SwiveLock Anchor, PEEK, w/ closed eyelet, 3.5 mm � 13.5 mm (c) Item Number AR-8978P AR-8979P 3.5 mm � 8.5 mm DX SwiveLock SL Anchor Disposables Kit Product Description Guidewires, 1.35 mm, qty. 3 Drill, cannulated, 3.0 mm (for suture constructs) Drill, cannulated, 3.5 mm (for graft constructs) Drill Guide w/ Depth Stop Item Number AR-8978DS-01 3.5 mm � 13.5 mm DX SwiveLock Anchor Disposables Kit Product Description Drill Guide w/ Depth Stop Drill Bit, solid, 3.0 mm Drill Bit, solid, 3.4 mm Tap for DX SwiveLock Anchor Item Number AR-8979DS Literature Product Description Distal Extremity Anchors Brochure Item Number LB1-0412-EN Multimedia Product Description Anchor Insertion, animation Collateral Ligament Repair Using the Nano SwiveLock Anchor, Presented by Damon C. Adamany, MD, video Item Number AN1-00078-EN VID1-000637-en Soft Tissue I 141 DX SwiveLock� Anchors (Cont.) The 4.75 DX SwiveLock Anchor provides a versatile option for soft-tissue fixation in the foot and ankle as an additional anchor for Kidner procedures or the InternalBraceTM procedure. 4.75 mm � 16 mm PEEK DX SwiveLock Anchor Product Description DX SwiveLock Anchor, 4.75 mm � 16 mm (a) Item Number AR-8980P-1 4.75 mm � 16 mm DX SwiveLock Anchor Cannulated Disposables Kit (a) Product Description Drill Guide w/ Depth Stop Drill Bit, cannulated, AO, 3.4 mm Bone Tap, cannulated, 4.75 mm Guidewire Item Number AR-8980DSC 4.75 mm � 16 mm DX SwiveLock Anchor Disposables Kit Product Description Drill Guide w/ Depth Stop Drill Bit, AO, 3.4 mm Bone Tap, 4.75 mm Item Number AR-8980DS Optional Instruments Product Description Drill Bit, cannulated, sterile, 4.0 mm Drill Bit, sterile, 4.0 mm Item Number AR-8980-01S AR-8980-02S 142 I Soft Tissue PushLock� Knotless Suture Anchors (a) (b) (c) The BioComposite PushLock suture anchors provide a secure means of knotless fixation in the foot and ankle. Accommodating 2 strands of FiberWire� suture, this 2-piece anchor enables a no-profile repair that is quick and straightforward. The PushLock anchor uses a PEEK eyelet to place the sutures at the bottom of a drill hole, allowing surgeons to tension the sutures in place by impacting the tak portion of the anchor. The high-strength radiolucent PEEK absorbable biocomposite PushLock anchors optimize tissue tension and fixation without knot tying. 2.5 mm Mini PushLock Anchors Product Description BioComposite PushLock Anchor, 2.5 mm � 8 mm (a) PEEK PushLock Anchor, 2.5 mm � 8 mm (b) Item Number AR-8825BC AR-8825P Mini SutureTak� Anchor Disposables Kit Product Description Drill Bit, 1.8 mm (for softer bone) Drill Bit, 2 mm (for harder bone) Drill Guide Punch (for soft bone) Item Number AR-1322DSC 2.9 mm BioComposite PushLock Anchor Product Description BioComposite PushLock Anchor, 2.9 mm � 12.5 mm (c) Item Number AR-8923BC 2.9 mm BioComposite PushLock Anchor Disposables Kit Product Description Drill Guide Drill Bit, 2.8 mm (soft bone) Drill Bit, 2.9 mm (hard bone) Punch (for soft bone) Item Number AR-8923DSC Accessories (necessary for procedure, order separately) Product Description 2-0 FiberWire Suture w/ Tapered Needle, 18 in, blue, 17.9 mm circle 0 FiberWire Suture w/ Tapered Needle, 38 in, blue, 22.2 mm � circle Item Number AR-7220 AR-7250 Literature Product Description 2.5 mm PushLock Knotless Suture Anchor Surgical Technique Distal Extremity Anchors Brochure Item Number LT1-0475-EN LB1-0412-EN Multimedia Product Description Anchor Insertion, animation Item Number AN1-00078EN Soft Tissue I 143 BioComposite SutureTak� Anchors--Micro, Mini, and Small Joint Micro SutureTak Anchor Product Description Item Number Micro BioComposite SutureTak Anchor, 2.4 mm � 6.5 mm AR-1320BCNF (includes 1.5 mm suture eyelet) w/ 2-0 FiberWire� suture and 2 tapered needles, 17.9 mm circle Micro SutureTak Disposables Kit Product Description Drill Bit, 1.8 mm (softer bone) Drill Bit, 2 mm (harder bone) Punch Drill Guide Item Number AR-1320DSC Micro 2.4 mm BioComposite SutureTak Anchor Mini 2.4 mm BioComposite SutureTak Anchor Small Joint 3 mm BioComposite SutureTak Anchor This family of unique "push-in" suture anchors allows for straightforward insertion and a flexible nonabrading suture eyelet. Excellent Cortical Purchase--with ridges along their entire length, these anchors provide superior pull-out in harder cortical bone1 Minimized Suture Abrasion--the suture-on-suture eyelet interface avoids the type of wear that can occur between an anchor and suture Straightforward Technique--simple, shorter instrumentation and technique create a reliable and quick procedure Mini BioComposite SutureTak Anchor Product Description Item Number Mini BioComposite SutureTak Anchor w/ Needles, 2.4 mm � 8.5 mm (includes 1.5 mm suture eyelet) w/ 2-0 FiberWire� suture and 2 tapered needles, 17.9 mm circle AR-1322BCNF Mini BioComposite SutureTak Anchor Disposables Kit Product Description Drill Bit, 1.8 mm (for softer bone) Drill Bit, 2 mm (for harder bone) Punch Drill Guide Item Number AR-1322DSC Reference 1. Arthrex, Inc. Data on file (APT 2277). Naples, FL; 2013. 144 I Soft Tissue BioComposite SutureTak� Anchors � Micro, Mini, and Small Joint (Cont.) Small Joint SutureTak Anchors Product Description Small Joint BioComposite SutureTak Anchor w/ Needles, 3 mm � 14 mm w/ one 1.3 mm SutureTape and 2 tapered needles, 26.2 mm � circle Small Joint BioComposite SutureTak Anchor w/ Needles, 3 mm � 14 mm w/ two 0.9 mm SutureTape and 4 tapered needles, 26.2 mm � circle Item Number AR-8934BCST AR-8934BCST-2 Small Joint SutureTak Anchors Product Description Item Number Small Joint BioComposite SutureTak Anchor AR-8934BCNF-00 w/ Needles, 3 mm � 14 mm w/ two #0 FiberWire sutures and 4 diamond point needles, 22.2 mm � circle Small Joint BioComposite SutureTak Anchor AR-8934BCNF w/ Needles, 3 mm � 14 mm w/ one #1 FiberWire suture and 2 diamond point needles, 26.2 mm � circle Small Joint SutureTak Disposables Kit Product Description Drill Guide Step Drill Bit, 2.4 mm (soft bone) Step Drill Bit, 2.5 mm (hard bone) Item Number AR-8934DSC SutureTak Anchor Instrument Set (AR-1321GS) Product Description Drill Bit (Micro), 1.8 mm Drill Bit (Mini), 1.8 mm Drill Bit (Micro), 2 mm Drill Bit (Mini), 2 mm Drill Bit (Small Joint), 2.4 mm Punch, Micro SutureTak anchor Punch, Mini SutureTak anchor Reusable Drill Guide, SutureTak anchor Item Number AR-1320D-18 AR-1322D-18 AR-1320D-20 AR-1322D-20 AR-8934D AR-1320P AR-1322P AR-1320G Literature Product Description Distal Extremity Anchors Brochure Item Number LB1-0412-EN Multimedia Product Description Anchor Insertion, animation Item Number AN1-00078-EN Soft Tissue I 145 3.5 mm Corkscrew� FT Anchors (Nano, Micro, and Mini) (a) (b) (c) (d) The Nano, Micro, Mini, and 3.5 mm Corkscrew FT suture anchors are designed with a fully threaded length to create maximum cortical purchase in smaller bones. Using an internal drive mechanism and suture eyelet, these titanium anchors enable surgeons to secure threads in the best bone--the cortex. Newtons Pull-out Strength Comparison1 150 100 50 0 Nano Micro Mini Arthrex Corkscrew FT anchors DePuy Mitek Micro QuickAnchors Product Description Item Number Nano Corkscrew FT Anchor w/ 3-0 FiberWire� suture and needles, 1.35 mm soft-bone K-wire (silver), w/ laser mark 1.6 mm hard-bone K-wire (gold), w/ laser mark (a) AR-1317FT Micro Corkscrew FT Suture Anchor, 2.2 mm � 4 mm w/ 4-0 FiberWire suture and 2 tapered needles, 12.3 mm circle w/ K-wire (b) Micro Corkscrew FT Suture Anchor, 2.2 mm � 4 mm w/ 2-0 FiberWire sutures and 2 tapered needles, 17.9 mm circle w/ K-wire Mini Corkscrew FT Suture Anchor, 2.7 mm � 7 mm w/ 2-0 FiberWire sutures and 2 tapered needles, 17.9 mm circle w/ K-wire (c) AR-1318FT-40 AR-1318FT AR-1319FT 3.5 mm Corkscrew FT Suture Anchor, 3.5 mm � 10 mm w/ two #0 FiberWire sutures and 2 tapered needles, 26.5 mm � circle w/ K-wire for hard bone (anchor is selfdrilling/tapping) (d) AR-1915FT 3.5 mm Corkscrew FT Suture Anchor, 3.5 mm � 10 mm w/ one #1 FiberWire sutures and 2 tapered needles, 26.5 mm � circle w/ K-wire for hard bone (anchor is self-drilling/tapping) AR-1915FT-2 Literature Product Description Distal Extremity Anchors Brochure Item Number LB1-0412-EN Multimedia Product Description Anchor Insertion, animation Item Number AN1-00078-EN Reference 1. Arthrex, Inc. Data on file (APT 1122, 1222, 2277, 2757). Naples, FL; 2008-2016. 146 I Soft Tissue Anchors Reference Chart Nano Anchor Anchor Product Number Inner Dimension Outer Dimension Suture Size Number of Sutures Drill Size Nano SwiveLock� Anchor AR-8998T 1.8 mm 2.5 mm � 7 mm Up to SutureTape N/A 2.0 mm and 2.2 mm Nano Corkscrew� FT Anchor AR-1317FT 1.1 mm � 5 mm 1.7 mm � 5 mm 3-0 One with needles 1.35 mm and 1.6 mm Material Titanium Titanium Drill Included No (order AR-8998DS) Yes Micro Anchors Anchor Product Number Inner Dimension Outer Dimension Suture Size Number of Sutures Drill Size Material Drill Included Micro Corkscrew FT Anchor AR-1318FT-40 1.6 mm � 4 mm 2.2 mm � 4 mm 4-0 One with needles 1.1 mm and 1.7 mm Titanium Yes Micro Corkscrew FT Anchor AR-1318FT 1.6 mm � 4 mm 2.2 mm � 4 mm 2-0 One with needles 1.1 mm and 1.7 mm Titanium Yes Micro BioComposite SutureTak� Anchor AR-1320BCNF 1.8 mm � 6.5 mm 2.4 mm � 6.5 mm 2-0 One with needles 1.8 mm and 2.0 mm Biocomposite No (order AR-1320DSC) Mini Anchors Anchor DX FiberTak� Suture DX FiberTak Suture Anchor Anchor DX FiberTak Suture Anchor Mini BioComposite SutureTak Anchor Mini BioComposite PushLock� Anchor Mini PEEK PushLock Mini Corkscrew FT Anchor Anchor Product Number Inner Dimension Outer Dimension Suture Size AR-8990 N/A N/A #1 AR-8990ST N/A N/A 1.3 mm SutureTape AR-8990ST-2 N/A N/A 0.9 mm SutureTape AR-1322BCNF 1.8 mm � 8.5 mm 2.4 mm � 8.5 mm 2-0 AR-8825BC AR-8825P AR-1319FT 1.5 mm � 8 mm 1.5 mm � 8 mm 2.0 mm � 7 mm 2.5 mm � 8 mm 2.5 mm � 8 mm 2.7 mm � 7 mm Two of either 2-0 or 0 Two of either 2-0 or 0 2-0 suture suture Number of Sutures One with needles One with needles Two with needles One with needles N/A N/A One with needles Drill Size Material 1.35 mm and 1.6 mm UHMWPE 1.35 mm and 1.6 mm UHMWPE 1.35 mm and 1.6 mm UHMWPE 1.8 mm and 2.0 mm Biocomposite 1.8 mm and 2.0 mm Bio 1.8 mm and 2.0 mm PEEK 1.8 mm and 2.2 mm Titanium Drill Included No (order AR-8990DS) No (order AR-8990DS) No (order AR-8990DS) No (order AR-1322DSC) No (order AR-1322DSC) No (order AR-1322DSC) Yes Medium Anchors Anchor BioComposite PushLock Anchor Product Number Inner Dimension Outer Dimension Suture Size Number of Sutures Drill Size AR-8923BC 2.3 mm � 12 mm 2.9 mm � 12 mm Two of either 2-0 or 0 suture* N/A 2.8 and 2.9 mm Small Joint BioComposite SutureTak AR-8934BCST 2.2 mm � 14 mm 3 mm � 14 mm 1.3 mm SutureTape One with needles 2.4 mm Small Joint BioComposite SutureTak AR-8934BCST-2 2.2 mm � 14 mm 3 mm � 14 mm 0.9 mm SutureTape Two with needles 2.4 mm Small Joint BioComposite SutureTak Anchor AR-8934BCNF-00 2.2 mm � 14 mm 3 mm � 14 mm 0 Small Joint BioComposite SutureTak Anchor AR-8934BCNF 2.2 mm � 14 mm 3 mm � 14 mm #1 Two with needles 2.4 mm One with needles 2.4 mm Corkscrew FT Anchor Corkscrew FT Anchor AR-1915FT 2.5 mm � 10 mm 3.5 mm � 10 mm 0 Two with needles 2.3 mm K-wire AR-1915FT-2 2.5 mm � 10 mm 3.5 mm � 10 mm #1 One with needles 2.3 mm K-wire Material Biocomposite BioComposite BioComposite Biocomposite Biocomposite Titanium Titanium Drill Included No (order AR-8923DSC) No (order AR-8934DSC) No (order AR-8934DSC) No (order AR-8934DSC) No (order AR-8934DSC) Yes Yes Medium Anchors Anchor Product Number DX SwiveLock� SL Anchor (forked eyelet) AR-8978P Inner Dimension Outer Dimension Suture Size Number of Sutures 2.7 mm � 8.5 mm 3.5 mm � 8.5 mm Up to one 2.5 mm graft N/A Drill Size 3.0 mm and 3.5 mm DX SwiveLock Anchor (closed eyelet) AR-8979P 2.7 mm � 13.5 mm 3.5 mm � 13.5 mm 0 or larger N/A 3.0 mm and 3.4 mm Large Anchors Anchor BioComposite Corkscrew FT Anchor Product Number Inner Dimension Outer Dimension Suture Size AR-8927BC 3.4 mm � 15 mm 4.5 mm � 15 mm #1 Number of Sutures Drill Size One with needles 3.5 mm Drill, Tap Material Drill Included PEEK No (order AR-8978DS-01) *Sold separately. PEEK No (order AR-8979DS) Material Drill Included Biocomposite No (order AR-8927DSC) Soft Tissue I 147 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience, and should conduct a thorough review of pertinent medical literature and the product's directions for use. Postoperative management is patient-specific and dependent on the treating professional's assessment. Individual results will vary and not all patients will experience the same postoperative activity level and/or outcomes. View U.S. patent information at www.arthrex.com/corporate/virtual-patent-marking InternalBrace surgical technique is intended only to support the primary repair and is not intended as a replacement for the standard of care using biologic augmentation in a primary repair. InternalBrace surgical technique is intended only for soft-tissue-to-bone fixation and is not cleared for bone-to-bone fixation. arthrex.com � 2021 Arthrex, Inc. All rights reserved. LB1-000242-en-US_C