Hand Plates 1.5 2 2.4 Synthes

LCP Compact Hand.
The modular
hand system.
Surgical Technique
This publication is not intended for

distribution in the USA.
Instruments and implants

approved by the AO Foundation.
Image intensifier control
This description alone does not provide sufficient background for direct use
of DePuy Synthes products. Instruction by a surgeon experienced in handling
these products is highly recommended.
Processing, Reprocessing, Care and Maintenance

For general guidelines, function control and dismantling of m ulti-part
instruments, as well as processing guidelines for implants, please contact your
local sales representative or refer to:
http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance
For general information about reprocessing, care and maintenance of Synthes
reusable devices, instrument trays and cases, as well as processing of Synthes
non-sterile implants, please consult the Important Information leaflet
(SE_023827) or refer to:
http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance
Table of Contents
Introduction LCP Compact Hand2
AO Principles4
Intended Use and Indications5
Surgical Techniques Preparation6
Fracture Reduction and Plate Contouring7
Screw Insertion11
– Cortex Screws 12
– Locking Screws 18
Implant Removal23
Additional Information24
Product Information Implants Compact Hand 1.0/1.325
Instruments Compact Hand 1.0/1.327
Implants LCP Compact Hand 1.528
Instruments LCP Compact Hand 1.532
Sets42
Standard Instrument Set for LCP Compact Hand43
MRI Information 45
LCP Compact Hand Surgical Technique DePuy Synthes 1

LCP Compact Hand. The modular
hand system.
Adaptable Locking Plates for

Various Indications
The modular LCP Compact Hand S ystem offers a wide range

of anatomical and adaptable plates. All implants are available
in titanium and stainless steel.
LCP Compact Hand implants are intended for the following

indications:
Compact Hand 1.0/1.3

–– Fixation of small fragments
–– Avulsion fractures and fractures of distal and middle
phalanges
LCP Compact Hand 1.5

–– Fractures, osteotomies and arthrodeses of the phalanges
and metacarpals
–– Replantations and reconstructions of the phalanges and
metacarpals

–– Fractures of the phalanges, metacarpals, wrist bones and
distal radius (double-plate technique)
–– Osteotomies and arthrodeses of the interphalangeal joints

–– Fractures of the metacarpals, wrist bones and distal radius
(double-plate technique)
–– Osteotomies and arthrodeses on the hand
Low profile plates and Anatomically

fully countersunk screws precontoured Rotation Correction Plate LCP combi-hole
Minimizes soft tissue Minimizes need for bending. Allows intraoperative inspec- Intraoperative choice
irritation. tion of the reduction and between compression and
correction of the rotational angular stable locking.
axis.
2 DePuy Synthes LCP Compact Hand Surgical Technique

Part of the LCP Compact Hand System
4 modules, 5 dimensions:
–– Adaptable plates for different indications
–– Complete range of implants
1.0 mm
1.3 mm
1.5 mm (new locking)
2.0 mm (locking)
2.4 mm (locking)
–– Broad range of non-locking, locking and LCP plates to

address various fracture patterns.
–– The use of locking screws allows creating a fixed-angle
construct, which is particularly advantageous in osteopenic
bone or in fractures near the joint.

AO Principles
AO PRINCIPLES
In 1958, the AO formulated four basic principles, which have

In 1958, the guidelines
become AO formulated four basic
for internal principles,
fixation1,2
. which
have become the guidelines for internal fixation1, 2.
4_Priciples_03.pdf 1 05.07.12 12:08
Anatomic
Anatomic reduction fixation
Stable fixation
Fracture reduction
Fracture reduction and
and fixation
fixation to Fracture
Fracture fixation
fixationproviding
providingabsolute
abso- or
to restore
restore anatomical
anatomical relationships.
relationships. relative stability,stability,
lute or relative as required
as by the
prequired
atient, theby injury, and thethe
the patient, personality
injury,
1 2 of
andthethe
fracture.
personality of the
fracture.
Early,
Early, active mobilization
mobilization Preservationof
Preservation of blood
blood supply
supply
Early and
Early and safe mobilization
mobilizationand
and 4 3 Preservation
Preservationof ofthe
theblood
bloodsupply
supply
rehabilitation the injured partand
rehabilitation of the injured part to
to soft tissues and bone bygentle
soft tissues and bone by
the patient
and as a whole.
the patient as a whole. reduction techniques
gentle reduction and careful
techniques and
handling.
careful handling.
1
Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal
Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991.
2
Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management.
2nd ed. Stuttgart, New York: Thieme. 2007.
1
Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation.
3rd ed. Berlin, Heidelberg, New York: Springer. 1991.
2
Rüedi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 2nd ed.
Stuttgart, New York: Thieme. 2007.
4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique

Intended Use and Indications
Intended Use
LCP Compact Hand Implants are intended for temporary
fixation, correction or stabilization of bones in anatomical
region of the distal radius and hand
Indications
Compact Hand 1.0/1.3
General:
–– Fixation of small fragments
–– Avulsion fractures and fractures of the distal and
middle phalanges
Straight plate:
–– Shaft fractures of phalanges
Strut plate:
–– Comminuted fractures and replantations of middle or
proximal phalanges
T-plate and Y-plate:
–– Condylar fractures of phalanges
Single cortex screws:
–– Capturing of fragments with lag screw technique

–– Fracture fixation of the phalanges and metacarpals
–– Osteotomies
–– Arthrodeses
–– Replantations and reconstructions of phalanges and
metacarpals, particularly in osteopenic bone

–– Fractures of the phalanges, metacarpals and wrist bones
–– Osteotomies and arthrodeses of the interphalangeal joints
–– Fractures of distal radius (double-plate technique)
–– Subcapital radial head fractures

–– Fractures of the metacarpal and wrist bones
–– Fractures of distal radius (double-plate technique)
–– Osteotomies and arthrodeses on the hand
–– Subcapital radial head fractures

Preparation
1
Select implant
Select the plates according to the fracture pattern and anat-

omy of the bone.
Notes:
–– This surgical technique describes the application of the
LCP Compact Hand system using a Locking Condylar
Plate 1.5.
–– The plates of the LCP Compact Hand Module 1.5 are
available either with or without short drill sleeves
preassembled to the plate. Plates with preassembled drill
sleeves are available sterile only.

Fracture Reduction and
Plate Contouring
1
Reduce fracture
Reduce the fracture under image intensification and, if

necessary, fix with Kirschner wires or reduction forceps.
The reduction method is fracture-specific.
2
Trim plate
Instrument
391.962 Bending/Cutting Pliers
Trim the plate to the desired length using bending/cutting

pliers. Remove the burrs.

Fracture Reduction and Plate Contouring
3
1
Contour plate
Instruments
347.901 Pliers, flat-nosed, pointed, for

Plates 1.0 to 2.4
For LCP Compact Hand 1.5
03.114.003 Bending Pin for LCP Plates 1.5, with thread
329.921 Bending Pin for LCP Plates 2.0, with thread
329.922 Bending Pin for LCP Plates 2.4 and

2.7, with thread
If necessary, contour the plate to suit the anatomical

conditions.
Standard plates
Use bending pins for LCP Plates and thread the pins into the
screw holes to contour the plate. (1)
The plate can also be bent using two flat nosed pliers. (2)

Preassembled plates
(LCP Compact Hand 1.5 only) 3
Use the non-threaded ends of the bending pins over the
short threaded drill sleeves. (3)
Precautions:
–– If possible, bend the plate between the locking/LCP holes.
Do not deform the threaded part of the holes or over-
bend the plate as this may adversely affect insertion of
locking screws. Avoid repetitive bending of the plate.
–– Reverse bending or use of the incorrect instrumentation
for bending may weaken the plate and lead to premature
plate failure (e.g. breakage). Do not bend the plate be-
yond what is required to match the anatomy.

Fracture Reduction and Plate Contouring
4
Position plate 1
Instrument
399.970 Reduction Forceps with Points,

ratchet lock, length 130 mm
Position the plate over the reduced fracture and, if necessary

fix provisionally with Kirschner wires or reduction forceps. (1)
Preassembled plates
(LCP Compact Hand 1.5 only)
When using reduction forceps with points on a preassembled
plate, insert one branch of the forceps in the cannulation of
the short drill sleeve to secure the plate to the bone. (2)
Optional Instrument
398.819 Holding Forceps with Swivel Foot,

for Plates 1.3 to 2.4, speed lock
When using the holding forceps with swivel foot to hold the 2
plate, remove the drill sleeves from the surrounding holes so
that the holding forceps sit flush on the plate.

Screw Insertion
Determine screw type LCP combi-hole:

Depending on the individual case, cortex and/or locking Cortex screw in the com-
screws may be inserted. Determine where locking screws pression portion (1), locking
and where cortex screws will be used. screw in the threaded
portion of the hole (2)
The final screw placement and the use of locking and cortex 1 2
screws are determined by the fracture pattern.
If a locking screw is inserted first, ensure that the plate is

held securely to the bone to prevent the plate from spinning
as the screw locks into the plate.
Locking hole:
Option
Cortex or locking screw
If angularly-stable buttress pins are used, one screw per bone
fragment must be inserted additionally.
Note: For further details regarding the application of

LCP systems consult the corresponding technique guide
(DSEM/TRM/0115/0278).
Compression hole:
Cortex screw only
Elongated compression
hole:
Cortex screw only
Locking screw Cortex screw

Screw Insertion
Cortex Screws
1
Pre-drill screw hole for cortex screw
Instruments
For Compact Hand 1.0/1.3
312.133 Double Drill Guide 1.3/1.0
513.005 Drill Bit B 1.0 mm, length 46/34mm,

2-flute, for Mini Quick Coupling
513.035 Drill Bit B 1.3 mm, length 46/34 mm,

312.140 Double Drill Guide 1.5/1.1,

for No. 311.150
03.114.007 Drill Bit B 1.1 mm, length 75/61 mm,


2-flute, for Mini Quick Coupling,
Stainless Steel
323.200 Universal Drill Guide 2.0
310.507 Drill Bit B 1.5 mm, with marking,

length 96/82 mm, 2-flute, for
Mini Quick Coupling


length 96/82 mm, 2-flute, for
Mini Quick Coupling


Standard plates
Drill the screw hole using the drill bit and the corresponding 1
drill guide / drill sleeve. (1)
Use the following drill diameter for the threaded respectively

the gliding hole:

B Threaded hole B Gliding hole
Compact Hand 1.3 1.0 1.3
When using a LCP hole, drill the screw hole either neutrally
or off-centre (compression).
Preassembled plates
Drill the screw hole using the short LCP drill sleeves that are
preassembled to the plate. To drill for a cortex screw in an
angle other than 90° to the plate, use the double drill guide. 2
Before using the double drill guide, remove the short drill
sleeve. (2)

Screw Insertion
Cortex Screws
2
1
Determine screw length of cortex screw
Instruments
319.003 Depth Gauge for Screws B 1.3 to 1.5 mm,

measuring range up to 24mm

measuring range up to 24 mm
319.005 Depth Gauge for Screws B 2.0 and

2.4 mm, measuring range up to 40 mm

Standard plates
Determine the screw length with the corresponding depth
gauge. (1)

Preassembled plates
Screw length may be measured either with of without the
short drill sleeve assembled to the plate (2, 3). When meas
ured directly through the drill sleeve, subtract 5 mm from the
reading to account for the drill sleeve. (3)

Screw Insertion
Cortex Screws
3
1
Insert cortex screw
Instruments
314.413 Screwdriver Shaft 1.3, cruciform,

with Holding Sleeve, length 62 mm,
for Mini Quick Coupling
311.012 Handle, medium,

with Mini Quick Coupling
03.114.009 Screwdriver Shaft, Stardrive 1.5, with

Holding Sleeve, length 66 mm,

314.676 Screwdriver Shaft Stardrive 2.0,


314.467 Screwdriver Shaft, Stardrive, T8,

self-holding
311.430 Handle with Quick Coupling,

length 110 mm
Standard plates
Insert the self-tapping cortex screw using the corresponding
screwdriver. (1)

Preassembled plates
Remove preassembled short drill sleeves. A tray which can
serve as a tool to help removing the short drill sleeves from
the screwdriver is optionally available. (2)
Insert the self-tapping cortex screw using the corresponding

screwdriver. (3) 3
Notes:
–– It is recommended to count the short LCP drill sleeves to
ensure they are all removed before closure.
–– Find tips regarding how to properly pick-up screws with
Stardrive recess on page 24.

Screw Insertion
Locking Screws
1
1
Pre-drill screw hole for locking screw
Instruments
03.114.001 LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm
03.114.007 Drill Bit B 1.1 mm, length 75/61 mm,

323.034 LCP Drill Sleeve 2.0, with Scale,

for Drill Bits B 1.5 mm with marking

length 96/82 mm, 2-flute,
323.029 LCP Drill Sleeve 2.4, with Scale up to

30 mm, for Drill Bits B 1.8 mm
310.508 Drill Bit B 1.8 mm, with marking, 2

Standard plates
Drill screw hole through the LCP drill sleeve using the
appropriately sized drill bit. (1)
Preassembled plates
Drill the screw hole using the short LCP drill sleeves that are
preassembled to the plate. (2)

2
1
Determine screw length of locking screw
Instruments


319.005 Depth Gauge for Screws, B 2.0 and


319.005 Depth Gauge for Screws, B 2.0 and

2
Standard plates
Determine the screw length either with the corresponding
depth gauge (1) or with the LCP drill sleeve (LCP Compact
Hand 2.0/2.4, marking on drill bit). (2)
When using the LCP drill sleeve check the length directly on
the scale of the drill sleeve. Then remove the drill sleeve.

Screw Insertion
Locking Screws
Preassembled plates
Screw length may be measured either with of without the
short drill sleeve assembled to the plate. When measured
directly through the drill sleeve, subtract 5 mm from the
reading to account for the drill sleeve. (3)

3
1
Insert locking screw
Instruments
03.114.009 Screwdriver Shaft, Stardrive 1.5,




511.777 Torque Limiter, 0.4 Nm,

with AO/ASIF Quick Coupling

self-holding

length 110 mm

Standard plates
Insert the self-tapping locking screw using the corresponding
screwdriver shaft and the appropriate handle. (1)

Screw Insertion
Locking Screws
Preassembled plates
Remove preassembled short drill sleeves. Insert the self-tap-
ping locking screw using the corresponding screwdriver. (2)
A tray which can serve as a tool to help removing the short

drill sleeves from the screwdriver is optionally available.
Note: It is recommended to count the short LCP drill sleeves

to ensure they are all removed before closure.
LCP Compact Hand 2.0/2.4

For mechanical insertion use the corresponding torque
limiting attachment.
The torque limiter prevents over-tightening and ensures that

the locking screws are securely locked into the plate.
Use manual locking to perform the final locking step for

2.0 mm and 2.4 mm locking screws. Mechanical insertion is
not recommended.

Implant Removal
To remove the plate, first unlock all screws then definitely

remove them in a second step. If the screws are not
unlocked before removal the plate may rotate while the last
screw is being removed and cause soft tissue damage.

Additional Information
Pick-up screws with Stardrive recess

without holding sleeve
Select the screw and position the corresponding screwdriver
perpendicular to the screw.
Pick-up the screw by applying slight axial pressure.
Make sure that the screwdriver remains perpendicular during

screw extraction.
Pick-up screws with holding sleeve

All screws can also be picked-up with help of the correspon
ding holding sleeves.
Slide the holding sleeve onto the screwdriver, until it clicks

into place. With the holding sleeve jaws open, mount the
appropriate screw onto the screwdriver, then push the hold-
ing sleeve until it secures the screw.
Note: The holding sleeve covers the head of the screw.

Implants Compact Hand 1.0/1.3
Plates
Adaption Plate 1.3, straight

Art. No. Holes Length (mm)
X21.306 6 23
X21.312 12 48
T-Adaption Plate 1.3

X21.333 Shaft 8, head 3 35.5
X21.334 Shaft 8, head 4 35.5
Y-Adaption Plate 1.3

X21.335 Shaft 8, head 3 37
Strut Plate 1.3

X21.320 8 19
X21.321 8 19
X = 2: Stainless Steel

X = 4: Titanium
Implants are available non-sterile or sterile packed.

Add suffix “S” to article number to order sterile product.

Implants Compact Hand 1.0/1.3
Screws
Cortex Screws B 1.0 mm, self-tapping

Art. No. Length (mm)
X00.526 6
X00.527 7
X00.528 8
X00.529 9
X00.530 10
X00.531 11
X00.532 12
X00.533 13
X00.534 14
Cortex Screws B 1.3 mm, self-tapping

X00.686 6
X00.687 7
X00.688 8
X00.689 9
X00.690 10
X00.691 11
X00.692 12
X00.693 13
X00.694 14
X00.695 15
X00.696 16
X00.698 18

X = 4: Titanium


Instruments Compact Hand 1.0/1.3
312.133 Double Drill Guide 1.3/1.0



310.882 Countersink 1.3 to 2.0, length 50 mm,




Plates
LCP Plate 1.5, straight

0X.114.002 4 23
0X.114.004 6 36
Locking Plate 1.5, straight

0X.114.003 6 29
0X.114.005 12 59
Locking T-Plate 1.5

0X.114.006 Shaft 8, head 3 44.5
0X.114.007 Shaft 8, head 4 44.5
Locking Strut Plate 1.5

0X.114.010 Right 8 23
0X.114.009 Left 8 23
Locking Y-Plate 1.5

0X.114.013 Shaft 8, head 3 47
Locking Condylar Plate 1.5

0X.114.014 Shaft 6, head 2 36

X = 4: Titanium


Plates, with Preassembled Short Drill Sleeves

0X.114.502S 4 23
0X.114.504S 6 36
Locking Plate 1.5, straight

0X.114.503S 6 29
0X.114.505S 12 59
Locking T-Plate 1.5

0X.114.506S Shaft 8, head 3 44.5
0X.114.507S Shaft 8, head 4 44.5
Locking Strut Plate 1.5

0X.114.510S Right 8 23
0X.114.509S Left 8 23
Locking Y-Plate 1.5

0X.114.513S Shaft 8, head 3 47
Locking Condylar Plate 1.5

0X.114.514S Shaft 6, head 2 36
Note: The plates with preassembled short drill sleeves are

available sterile only.

X = 4: Titanium

Screws
Cortex Screw Stardrive, B 1.5 mm,

self-tapping
0X.214.106 6
0X.214.107 7
0X.214.108 8
0X.214.109 9
0X.214.110 10
0X.214.111 11
0X.214.112 12
0X.214.113 13
0X.214.114 14
0X.214.115 15
0X.214.116 16
0X.214.118 18
0X.214.120 20
0X.214.122 22
0X.214.124 24

X = 4: Titanium


Locking Screw Stardrive, B 1.5 mm,
self-tapping
0X.214.006 6
0X.214.007 7
0X.214.008 8
0X.214.009 9
0X.214.010 10
0X.214.011 11
0X.214.012 12
0X.214.013 13
0X.214.014 14
0X.214.015 15
0X.214.016 16
0X.214.018 18
0X.214.020 20
0X.214.022 22
0X.214.024 24

X = 4: Titanium


03.114.001 LCP Drill Sleeve 1.5, for Drill Bit B 1.1 mm
03.114.003 Bending Pin for LCP Plates 1.5, with thread
03.114.007 Drill Bit B 1.1 mm, lengths 75/61 mm,


2-flute, for Quick Coupling, Stainless Steel
310.971 Countersink for Screws B 1.3 and 1.5 mm,

Stainless Steel
312.140 Double Drill Guide 1.5/1.1, for

No. 311.150
03.114.009 Screwdriver Shaft Stardrive 1.5,

with Holding Sleeve length 66 mm,
Drill Bits are available non-sterile or sterile packed.


Plates

X47.344 4 31
X47.345 5 38
X47.346 6 45
X47.347 7 52
X47.348 8 59
X47.360 10 73
Adaption Plate 2.0

X43.091 12 71
LCP Condylar Plate 2.0

X47.349 Shaft 7, head 2 54
LCP Rotation Correction Plate 2.0

X47.354 Shaft 4, head 2 34
X47.355 Shaft 5, head 2 40
LCP T-Plate 2.0

X47.615 Shaft 7, head 3 52.5

X = 4: Titanium


LCP Adaption Plate

Art No. Holes Length (mm)
X47.362 12 81.26
LCP T-Adaption Plate 2.0

Art No. Shaft holes Head holes
X47.351 7 2
LCP Y-Adaption Plate 2.0

Art No. Shaft holes Head holes
X47.350 7 3
Mini Condylar Plate 2.0

Art No.
X43.610 pin left
X43.620 pin left
Mini H-Plate
Art No. Holes
X43.480 4

X = 4: Titanium


Screws

self-tapping
X01.356 6
X01.357 7
X01.358 8
X01.359 9
X01.360 10
X01.361 11
X01.362 12
X01.363 13
X01.364 14
X01.366 16
X01.368 18
X01.370 20
X01.372 22
X01.374 24
X01.375 26
X01.376 28
X01.377 30
X01.378 32
X01.379 34
X01.381 38

X = 4: Titanium



self-tapping
X01.876 6
X01.877 7
X01.878 8
X01.879 9
X01.880 10
X01.881 11
X01.882 12
X01.883 13
X01.884 14
X01.886 16
X01.888 18
X01.890 20
X01.892 22
X01.894 24
X01.896 26
X01.898 28
X01.900 30

X = 4: Titanium


329.921 Bending Pin for LCP Plates 2.0, with thread






Plates

X47.364 10 83.6
X47.375 5 43.6
X47.377 7 59.6
X49.677 8 68
X49.674 4 36
X49.676 6 52
Adaption Plate 2.4

X49.912 12 72
LCP T-Plate 2.4

X49.615 Shaft 7, head 3 57
LCP Condylar Plate 2.4

X49.679 Shaft 7, head 2 59
LCP Adaption Plate 2.4

X47.366 12 87.9
LCP T-Adaption Plate 2.4

Art. No. Shaft holes Head holes
X49.670 7 2
LCP Y-Adaption Plate 2.4

Art. No. Shaft holes Head holes
X49.669 7 3

X = 4: Titanium


Screws

self-tapping
X01.756 6
X01.757 7
X01.758 8
X01.759 9
X01.760 10
X01.761 11
X01.762 12
X01.763 13
X01.764 14
X01.766 16
X01.768 18
X01.770 20
X01.772 22
X01.774 24
X01.776 26
X01.778 28
X01.780 30
X01.782 32
X01.784 34
X01.786 36
X01.788 38
X01.790 40

X = 4: Titanium



self-tapping
X12.806 6
X12.807 7
X12.808 8
X12.809 9
X12.810 10
X12.811 11
X12.812 12
X12.813 13
X12.814 14
X12.816 16
X12.818 18
X12.820 20
X12.822 22
X12.824 24
X12.826 26
X12.828 28
X12.830 30
Optional
Buttress Pin (head LCP 2.4) B 1.8 mm

Art No. Length (mm)
X00.190 12
X00.191 14
X00.192 16
X00.193 18

X = 4: Titanium


329.922 Bending Pin for LCP Plates 2.4 and 2.7,

with thread


length 96/82 mm, 2-flute, for Mini Quick
Coupling


self-holding


Sets
182.480 Compact Hand 1.0/1.3

(Titanium Implants)
182.483 Compact Hand 1.0/1.3

(Stainless Steel Implants)
01.114.104 LCP Compact Hand 1.5

(Titanium Implants)


(Titanium Implants)


(Titanium Implants)

01.110.003 Standard Instrument Set for

LCP Compact Hand
182.475 Aditional Instrument Set for

Compact Hand

Standard Instrument Set for
LCP Compact Hand


length 110 mm


347.901 Pliers, flat-nosed, pointed,

for Plates 1.0 to 2.4
347.985 Holding Forceps for Cortex Screws

B 1.0 to 2.4 mm
391.962 Bending/Cutting Pliers

Standard Instrument Set for
LCP Compact Hand
Optional
03.100.000 Handle, lockable,

311.011 Handle, small, with Mini Quick Coupling
311.013 Handle, large, with Mini Quick Coupling
347.981 Holding Forceps for Plates 1.0 to 2.4



MRI Information
Torque, Displacement and Image Artifacts according

to ASTM F 2213-06, ASTM F 2052-06e1 and
ASTM F 2119-07
Non-clinical testing of worst case scenario in a 3 T MRI
system did not reveal any relevant torque or displacement
of the construct for an experimentally measured local spatial
gradient of the magnetic field of 3.69 T/m. The largest image
artifact extended approximately 169 mm from the construct
when scanned using the Gradient Echo (GE). Testing was
conducted on a 3 T MRI system.
Radio-Frequency-(RF-)induced heating according to

ASTM F 2182-11a
Non-clinical electromagnetic and thermal testing of worst
case scenario lead to peak temperature rise of 9.5 °C
with an average temperature rise of 6.6 °C (1.5 T) and a
peak temperature rise of 5.9 °C (3 T) under MRI Conditions
using RF Coils (whole body averaged specific absorption rate
[SAR] of 2 W/kg for 6 minutes [1.5 T] and for 15 minutes
[3 T]).
Precautions: The above mentioned test relies on non-clini-

cal testing. The actual temperature rise in the patient will
depend on a variety of factors beyond the SAR and time of
RF application. Thus, it is recommended to pay particular
attention to the following points:
–– It is recommended to thoroughly monitor patients under
going MR scanning for perceived temperature and/or pain
sensations.
–– Patients with impaired thermoregulation or temperature
sensation should be excluded from MR scanning proce-
dures.
–– Generally, it is recommended to use a MR system with
low field strength in the presence of conductive implants.
The employed specific absorption rate (SAR) should be
reduced as far as possible.
–– Using the ventilation system may further contribute to
reduce temperature increase in the body.

© DePuy Synthes Trauma, a division of Synthes GmbH. 2016. All rights reserved. 036.000.028 DSEM/TRM/0815/0478(1) 05/16
Synthes GmbH
Eimattstrasse 3 Not all products are currently available in all markets.
4436 Oberdorf
Switzerland This publication is not intended for distribution in the USA.
Tel: +41 61 965 61 11
Fax: +41 61 965 66 00 All surgical techniques are available as PDF files at
www.depuysynthes.com www.depuysynthes.com/ifu 0123

Hand Plates 1.5 2 2.4 Synthes

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Hand Plates 1.5 2 2.4 Synthes

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LCP Compact Hand.

This publication is not intended for

Instruments and implants

Processing, Reprocessing, Care and Maintenance

Introduction LCP Compact Hand2

Intended Use and Indications5

Surgical Techniques Preparation6

Fracture Reduction and Plate Contouring7

Product Information Implants Compact Hand 1.0/1.325

Instruments Compact Hand 1.0/1.327

Implants LCP Compact Hand 1.528

Instruments LCP Compact Hand 1.532

Implants LCP Compact Hand 2.033

Instruments LCP Compact Hand 2.037

Implants LCP Compact Hand 2.438

Instruments LCP Compact Hand 2.441

Standard Instrument Set for LCP Compact Hand43

LCP Compact Hand Surgical Technique DePuy Synthes 1

Adaptable Locking Plates for

The modular LCP Compact Hand S­ ystem offers a wide range

LCP Compact Hand implants are intended for the following

Compact Hand 1.0/1.3

LCP Compact Hand 1.5

LCP Compact Hand 2.0

LCP Compact Hand 2.4

Low profile plates and Anatomically

2 DePuy Synthes LCP Compact Hand Surgical Technique

–– Broad range of non-locking, locking and LCP plates to

LCP Compact Hand Surgical Technique DePuy Synthes 3

In 1958, the AO formulated four basic principles, which have

4_Priciples_03.pdf 1 05.07.12 12:08

4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique

LCP Compact Hand 1.5

LCP Compact Hand 2.0

LCP Compact Hand 2.4

LCP Compact Hand Surgical Technique DePuy Synthes 5

Select the plates according to the fracture pattern and anat-

6 DePuy Synthes LCP Compact Hand Surgical Technique

Reduce the fracture under image intensification and, if

391.962 Bending/Cutting Pliers

Trim the plate to the desired length using bending/cutting

LCP Compact Hand Surgical Technique DePuy Synthes 7

347.901 Pliers, flat-nosed, pointed, for

For LCP Compact Hand 1.5

03.114.003 Bending Pin for LCP Plates 1.5, with thread

For LCP Compact Hand 2.0

329.921 Bending Pin for LCP Plates 2.0, with thread

For LCP Compact Hand 2.4

329.922 Bending Pin for LCP Plates 2.4 and

If necessary, contour the plate to suit the anatomical

8 DePuy Synthes LCP Compact Hand Surgical Technique

LCP Compact Hand Surgical Technique DePuy Synthes 9

399.970 Reduction Forceps with Points,

Position the plate over the reduced fracture and, if necessary

398.819 Holding Forceps with Swivel Foot,

11 DePuy Synthes LCP Compact Hand Surgical Technique

Determine screw type LCP combi-hole:

If a locking screw is inserted first, ensure that the plate is

Note: For further details regarding the application of

Locking screw Cortex screw

LCP Compact Hand Surgical Technique DePuy Synthes 11

For Compact Hand 1.0/1.3

312.133 Double Drill Guide 1.3/1.0

513.005 Drill Bit B 1.0 mm, length 46/34mm,

Introduction LCP Compact Hand2

Intended Use and Indications5

Surgical Techniques Preparation6

Fracture Reduction and Plate Contouring7

Product Information Implants Compact Hand 1.0/1.325

Instruments Compact Hand 1.0/1.327

Implants LCP Compact Hand 1.528

Instruments LCP Compact Hand 1.532

Implants LCP Compact Hand 2.033

Instruments LCP Compact Hand 2.037

Implants LCP Compact Hand 2.438

Instruments LCP Compact Hand 2.441

Standard Instrument Set for LCP Compact Hand43

The modular LCP Compact Hand S ystem offers a wide range