VariAx

Foot & Ankle

KnifeLight Foot Locking Plate

Carpal Tunnel Ligament Release
System
Operative Technique

Operative Technique
Trauma and Deformity Correction
Polyaxial Locking Technology
Comprehensive Calcaneal
Fracture Plates
Foot & Ankle
VariAx Foot Locking Plate System

This publication sets forth detailed

recommended procedures for using
Stryker Osteosynthesis devices and
instruments.

It offers guidance that you should

heed, but, as with any such technical
guide, each surgeon must consider
the particular needs of each patient
and make appropriate adjustments
when and as required.

A workshop training is required prior

to first surgery.

All non-sterile devices must be

cleaned and sterilized before use.
Follow the instructions provided in
our reprocessing guide (L24002000).
Multi-component instruments must
be disassembled for cleaning. Please
refer to the corresponding assembly/
disassembly instructions.

See package insert (90-0330 &

90-01961) for a complete list
of potential adverse effects,
contraindications, warnings and
precautions. The surgeon must
discuss all relevant risks, including
the finite lifetime of the device, with
the patient, when necessary.

Warning:
Fixation Screws:
Stryker Ostreosynthesis bone
screws are not approved or
intended for screw attachment or
fixation to the posterior elements
(pedicles) of the cervical,
thoracic or lumbar spine.
2
Contents

Page
1. Introduction 4
Features and Benefits 4
2. Overview 6
Plate Options 6
Screw Options 6
3. Indications, Precautions & Contraindications 7
Indications 7
Precautions 7
Contraindications 7
4. Operative Technique 8
Planning and Preparation 8
Joint Alignment 9
Stabilization, Provisional Plate Placement 9
Plate Hole Configurations 11
Preparation for Screw Insertion 12
Screw Insertion 15
Final Tightening 15
Optional: Washers 16

Ordering Information Implants 17

Ordering Information Instruments 21

3
Introduction

The VariAx Foot Locking Plate System
represents a new generation of implant
technology for foot surgery. The
reconstruction and fixation of bones
in the foot can now be accomplished
by means of the patented SmartLock
polyaxial locking mechanism. This
powerful feature allows a surgeon
to insert polyaxial Locking or Non-
locking screws at variable angles with
respect to the plate, so that they can
be targeted to address the location
and geometry of a given fracture
or osteotomy. Each plate can be
configured with a combination of
locking and/or non-locking screws
which satisfy the intraoperative
requirements of a particular case,
without constraint or reliance on any
pre-existing plate designs.

Features and Benefits

Complete Plating System Anodization Type II
Multiple indication based plate
designs are included in the VariAx
Foot Locking Plate System, which are
engineered to address specific foot
trauma and deformity indications.
Polyaxial Drill Guide
Allows placement of Locking Screws
at a variable angle (up to 15).
Low Profile Plate Design and
Reduced Screw Head Prominence
Each plate is designed to minimize
soft tissue irritation by having a
low profile design (1mm 1.5mm
thickness). Furthermore, the screws
are designed to have minimal head
prominence when fully inserted in a
plate, which further reduces the risk
of irritation.
Two Dedicated Calcaneal Plate
Designs
The VariAx Foot Locking Plate
System offers two distinct calcaneal
plate designs, each incorporating
a different design philosophy. The
mesh design provides surgeons
with an extremely low profile plate
that can be easily contoured, and
has many screw placement options.
The standard plate design provides
surgeons with a strong plate that can
be easily contoured to the superior
surface of the calcaneus.

Full-Range of 2.7mm and 3.5mm

Locking and Non-Locking Screws
Offers intraoperative solutions
to cover a broad range of clinical
situations.

Efficient T7 or T10 Screw Head

Design
All VariAx Foot Locking Plate System
screws are designed with either a T7
head (for 2.7mm screws), or a T10
head (for 3.5mm screws). This screw
head design facilitates efficient force
transmission from the screwdriver
blade to the screw, and reduces the
risk of screw head stripping.

4
Introduction

Patented Polyaxial Locking

Technology
Each screw is made of titanium alloy
(Grade V), which is slightly harder
than the plates, which are made from
commercially pure titanium (Grade
II). When a locking screw is used, the
thread in the head of the harder screw
reshapes the softer titanium used in
the plate, thus creating a secure form-
fitting geometry. This process results
in a solid, locked connection between
the head of the screw, and the plate.

One-Step Locking
Achieved by simply inserting a
locking screw within the polyaxial
locking range of 15, without the
need for further steps.

-15 +15 Compression and Locking in One-

Step
As a screw is inserted and tightened
into an oval compression hole,
compression can be achieved. If a
locking screw is used, the screw can
then be locked into the plate in a
single step.

Deluxe or Basic Configurations

The VariAx Foot Locking Plate
System is available in two renditions:
a Deluxe configuration, and a Basic
configuration. The Deluxe set
contains every implant design, while
the Basic set includes a selection with
plates most commonly needed for
foot surgery.

Modular System Design

The modular instrumentation system
is designed for seamless integration of
other products from the Stryker Foot
Solutions portfolio.

Color Coding of Instruments

The instruments are color coded to
facilitate ease-of-use during surgery.

The SmartLock Locking Technology is patented (US

6,322,562; DE 43 43 117; EP 1 143 867) by Professor
Dietmar Wolter, Hamburg, Germany.

5
Overview

Plate Options

T-Plate Curved Plate

Broad Straight L-Plate

Plate

Rectangular Oblique
Plate T-Plate

H-Plate 3-D Plate

Calcaneus Standard Plate Calcaneus Mesh Plate

Screw Options
2.7mm 3.5mm
2.7mm Non- 3.5mm Non-
Locking Locking Locking Locking

Smaller plate holes fit 2.7mm screws

Larger plate holes fit 3.5mm screws

6
Indications, Precautions & Contraindications
Indications
The VariAx Foot Locking Plate System
is indicated for use in internal fixation,
reconstruction or arthrodeses of small
bones, including those in the forefoot,
midfoot, and hindfoot. The physicians
education, training and professional
judgment must be relied upon to
choose the most appropriate device
and treatment option.
Examples of Applications
1st Metatarsal Phalangeal Joint
(MPJ) Arthrodesis, with or without
interpositional bone graft
Proximal Osteotomy of Metatarsals
1-5
Lapidus Fusion
Lisfranc Arthrodesis
Isolated Lisfranc Arthrodesis,
Metatarsal Cuneiform Joint (MCJ)
1-5
Metatarsal Fractures
Talo-Navicular (TN) Arthrodesis
Calcaneal-Cuboid (CC) Arthrodesis
Calcaneus Fractures
The table below lists several common surgical foot indications, together with the VariAx Foot implants that are suggested to
treat these indications.
Implant
Examples of
Applications
1st MPJ Arthrodesis , with or without
Interpositional Bone Graft
Proximal Osteotomy of MT 1 - 5
Lapidus Fusion
Lisfranc Arthrodesis
Isolated Lisfranc Arthrodesis, MCJ 1-5
Metatarsal Fractures
TN Arthrodesis
CC Arthrodesis
Calcaneal Fractures
Precautions
Stryker Osteosynthesis systems have
not been evaluated for safety and use
in MR environment and have not been
tested for heating or migration in the
MR environment, unless specified
otherwise in the product labeling or
respective operative technique.
Contraindications
Inadequate bone quantity and
quality.
Patients with active infections.
Patients with metal allergies and
foreign body sensitivity.
Severely non-compliant patients with
mental or neurological conditions
who are unwilling or incapable
of following postoperative care
instructions.
Oblique T-Plate
Curved Plate
x x
x x
x x
x x
x x
Patients with limited blood supply
or insufficient quality or quantity of
bone.
Patients with unstable physical and/
or mental health conditions.
Obesity. An overweight or obese
patient can produce loads on the
implant that can lead to failure of the
fixation of the device or to failure of
the device itself.
Patients having inadequate tissue
coverage over the operative site.
Bone stock compromised by disease,
infection or prior implantation that
can not provide adequate support
and/or fixation of the devices.
Other medical or surgical conditions
which would preclude the potential
benefit of surgery.
Calcaneus Standard Plate
Calcaneus Mesh Plate
Broad Straight Plate
Rectangular Plate
3-D Plate
H-Plate
L-Plate
T-Plate
x x x x
x x
x x x x
x x
x x
x x x x
x x
x x
x x
7
Operative Technique
The Operative Technique listed
below is designed to provide a general
overview on the instruments and
procedure required to implant a
VariAx Foot Plate.

Planning and Preparation

Clear identification and classification
of the fracture, osteotomy, or fusion
site should first be established
preoperatively using the appropriate
methods and visualization.
Appropriate surgical incisions are
performed to expose the implantation
site, and an osteotomy can then be
performed if necessary. The Coughlin
Reamer System can then be used to
prepare the articular surfaces, prior
to fixation with certain VariAx Foot
Plates. Use the appropriate size of
reamer according to the diameter of
the joint surface.

Optional: Joint Preparation

in Metatarsophalangeal
Arthrodesis using Coughlin
Small Joint Reamers

The convex phalangeal reamer is

used to prepare a concave surface.
The reamers are available in sizes
10-18mm, however, it is important
that the same sized metatarsal and
phalangeal reamers are used (Fig. 1).
A 1.4mm K-Wire (REF 45-80200) is
driven into the center of the proximal
phalanx, and advanced approximately
1.5cm. The phalangeal reamer is
placed over the
K-Wire, and the phalangeal surface is Fig. 1
reamed creating a concave surface. The
reamer and K-Wire are then removed.

Note:
Because the amount of reaming
should be limited, apply low
speed and be careful not to
apply excessive pressure to avoid
damage to the fusion surface.
Provide cooling with saline
irrigation. All reamers should be
checked prior to use.

A K-Wire is then centered on the

prepared metatarsal surface and
driven in a proximal direction (Fig.
2) approximately 1.5cm. The same Fig. 2
size barrel reamer is then placed

8
Operative Technique

over the K-Wire, and the metatarsal

metaphysis is reduced to a cylinder
of constant dimension. The barrel
reamer is removed, and debris and
excess bone fragments are removed in
a circumferential fashion. Adequate
retraction of soft tissues is important
throughout the joint preparation
process (Fig. 3). Finally, the same
sized concave reamer is then used to
prepare a convex surface to match the
proximal phalanx.

Fig. 3

Joint Alignment
By creating cup-shaped surfaces, any
desired alignment may be achieved
(Fig. 4) . The desired alignment is
typically valgus of 15 to 20 and
dorsiflexion of 20 to 30 (in reference
to the metatarsophalangeal axis and
neutral rotation). The cup-shaped
surfaces allow any one of these
dimensions to be changed without
altering another dimension. (For
example, rotation may be changed
without affecting dorsiflexion or
valgus.).

Fig. 4

Stabilization, Provisional Plate Placement

Establish primary stabilization of the
fracture, osteotomy, or fusion site,
using the included 1.4mm K-Wires
(REF 45-80200).

VariAx Foot Plates can be removed

from the plate tray and handled using
the Forceps with Grasping Lips (REF
64-20129) (Fig. 5).

Fig. 5
9
Operative Technique

Most VariAx Foot Plates include

K-Wire holes that are designed to
accommodate 1.4mm Trocar Tipped
K-Wires (Fig. 6), for use in temporarily
stabilizing the plates to bone.
The K-Wire Cutting Pliers (REF
45-80020) (Fig. 7) can be used to cut
the K-Wires to the desired length.
This instrument includes a silicon
inlay which prevents the cut end of a
K-Wire from being ejected from the
instrument.

Fig. 6

Fig. 7

Although some VariAx Foot Plates

are pre-contoured (Fig. 8), additional
contouring of the plates is possible
using the Plate Bending Pliers (REF
45-80010).

Note:
Excessive plate bending may
lead to failure of the locking
mechanism, and is not re-
commended. The Plate Bending
Pliers are designed to only be used
in circular holes, and must not be
used inside oval holes. Fig. 8

10
Operative Technique

Plate Hole Configurations

Important:

1. Each

round screw hole in a
VariAx Foot Plate is designed to
3.5 mm
accomodate a specific size of screw
- the smaller holes accomodate
2.7mm screws, and the larger
holes accomodate 3.5mm screws.
These screws and holes are NOT
interchangeable - a 3.5mm screw
must not be used in a 2.7mm screw
hole, and a 2.7mm screw must not
be used in a 3.5mm screw hole.

2.7 mm

2. S ome VariAx Foot Plates include

oval locking compression holes,
which are designed to accomodate
a specific size of screw - the
smaller oval holes accomodate
2.7mm screws, and the larger oval
holes accomodate 3.5mm screws.
no lip
These screws and holes are NOT
compression hole
interchangeable - a 3.5mm screw
must not be used in a 2.7mm
lip
compression hole, and a 2.7mm
screw must not be used in a 3.5mm
compression hole.
lip
compression hole The oval holes allow for the active
compression of different bone
no lip segments along the long axis of an oval
hole. In a compression hole, a drill hole
can be created in an eccentric position
in the part of the oval hole that has
no lip. As the screw is tightened, the
screwhead glides into the area of the
hole that has a lip. If a locking screw is
used, the screw can then be locked into
the plate in a single step.

Note:
If the complete compression of
two bone fragments takes place
before a locking screw has been
able to fully glide into the area of
an oval locking hole that has a lip,
locking may not be possible.

11
Operative Technique

Preparation for Screw Insertion

A Drill Guide must first be placed into
a corresponding plate screw hole (in a
plate), prior to pre-drilling a pilot hole.
The Drill Guide for Circular Locking
Holes (REF 45-80001) must be used in
circular holes.
This instrument has two ends: one
end is designed only to be used when
pre-drilling for 2.7mm screws (and is
indicated with black lines), and the
other end is designed only to be used
when pre-drilling for 3.5mm screws
(and is indicated by yellow lines).

The Drill Guide is designed to limit

drilling to a 15 angle with respect to
the plate. Drilling at an angle greater
then 15 may prevent locking from
taking place, and is not recommended.

If drilling through an oval com-

pression hole, the Drill Guide for Oval
Compression Holes (REF 45-80005)
must be used.
This drill guide has two ends: one
end is designed only to be used when
pre-drilling for 2.7mm screws (and is
indicated with black lines), and the
other end is designed only to be used
when pre-drilling for 3.5mm screws
(and is indicated by yellow lines).
This drill guide is marked showing an
eccentric position of the drill hole with
respect to the plate screw hole.

Compression is only possible in one

direction, and the drill guide must
be positioned such that the drill hole
will be created on the side of the oval
compression hole which does not have
a locking lip.

Note:
Drill guides should always fit
securely within a screw hole a
mismatch between the drill guide
and the plate hole indicates that
the wrong dimension drill guide
has been chosen.

The Drill Guide for Oval

Compression Holes must be
placed at a 90 angle to the plate,
and cannot be angulated.

12
Operative Technique

Preparation for Screw Insertion

Use the appropriate twist drill to create
a pilot hole through the drill guide.
The twist drills are color coded to
match the color associated with the
drill guide: the 2.7mm drill guide has
a black line on it, which matches the
black line on the 2.0mm Twist Drill
(REF 45-27010, which is used to pre-
drill for 2.7mm screws). Similarly, the
3.5mm drill guide has a yellow line on
it, which matches the yellow line on
the 2.6mm Twist Drill (REF 45-35010,
which is used to pre-drill for 3.5mm
screws).

Measure the depth of the predrilled

hole using the appropriate depth
gauge. For 2.7mm screw holes, use the
Depth Measuring Gauge for 2.7mm
Screws (REF45-27001). For 3.5mm
screw holes, use the Depth Measuring
Gauge for 3.5mm Screws (REF 45-
35001). As with the twist drills and
drill guides, the depth gauges are
color-coded with black or yellow lines
(to be used to measure 2.7mm or
3.5mm screws, respectively). Always
measure the depth of the predrilled
hole by inserting the depth gauge first
through the plate, and then into the
predrilled hole. The depth gauges are
designed to measure for bicortical
screws only, and the hook of the depth
gauge must be hooked onto the surface
of the opposite cortex. The sleeve of
the depth gauge must be fully inserted
into the respective plate hole prior to
measuring. Failure to measure without
a plate will result in a false reading.

Although the locking and non-locking

screws found in the VariAx Foot
System are self-tapping, there may be
certain circumstances when the use
of a tap may be desired. For 2.7mm
screw holes, use the Tap for 2.7mm
Screws (REF45-27005), and for 3.5mm
holes, use the Tap for 3.5mm Screws
(REF 45-35005). The taps are similarly
color coded black (2.7mm), and yellow
(3.5mm).

13
Operative Technique

Preparation for Screw Insertion

Assemble the appropriate Screwdriver
Blade (with AO fitting) with the Screw-
driver Handle, Revolving/Rigid, AO
(REF 45-85000).

Please note: the black coded Screw-

driver Blade, AO, T7 (REF 45-27015) is
used to insert 2.7mm screws, and the
yellow coded Screwdriver Blade, AO,
T10 (REF 45-35015) is used to insert
3.5mm screws. Begin by pushing
the AO quick-connect sleeve towards
the body of the Screwdriver Handle,
insert the screwdriver blade into the
AO quick-connect coupling, and then
release the sleeve.

Holding sleeves for screws can be

used to securely attach a screw to the
screw-driver during screw insertion.
The yellow coded Holding Sleeve for
3.5mm Screws (REF 45-35030), and the
black coded Holding Sleeve for 2.7mm
Screws (REF 45-27030) are used for
3.5mm, or 2.7mm screws, respectively.
Assemble the appropriate holding slee-
ve and slide it over the screwdriver until
it engages, as shown (Fig. 9).
Fig. 9

Push the holding sleeve back so that the

tip of the screwdriver becomes visible.
Engage the screwdriver tip with the
head of the chosen screw, then push the
Holding Sleeve forward, as shown (Fig.
10). The holding sleeve will engage
with the head of the screw, firmly hol-
ding it in place. The screw can then be
removed securely from the screw rack, Fig. 10
and the screw can be inserted into the
plate.

14
Operative Technique

Screw Insertion
Insert the screw into the predrilled
hole using the screwdriver assembly.

Prior to final tightening, as the screw

head approaches the plate, draw the
holding sleeve back from the screw
head, and remove the screwdriver
from the screw. Final tightening is not
recommended until all desired screws
have been provisionally inserted into
a plate.

Repeat drilling, measuring, and

placement of locking or non-locking
screws in the remaining holes, as
required. Always remember to use the
appropriate sized drill guide.

Final Tightening
The highly efficient T7 interface (for
2.7mm screws) and T10 interface (for
3.5mm screws) facilitates effective
transmission of torque from the
screwdriver blade to the screw.
Accordingly, applying excessive
torque during screw insertion is not
recommended, and may result in
damage to the screwdriver blade.

Verify proper placement of screws by

use of fluoroscopy to ensure that there
is no penetration of joint spaces.

Note:
The screwdriver handle contains a
switch which allows the metal and
plastic segments of the handle to
either independently rotate, or to
be rigidly locked together. When
performing final tightening,
the switch on the screwdriver
handle must be in the fully-locked
position (in which the position of
the switch is closest to the base of
the handle).

15
Operative Technique

Optional: Washers
VariAx Foot non-locking screws can
also be used as independent implants,
separate from a plate. If indicated,
non-locking screws can also be used
together with a washer, to increase
the surface contact area between the
head of a screw, and bone. For 3.5mm
screws, use a Washer for 3.5mm Screws
(REF 40-35900), and for 2.7mm
screws, use a Washer for 2.7mm Screws
(REF 40-27900).

16
Ordering Information Implants

3.5mm LOCKING SCREWS REF Description

40-35610 (S) Locking Screw, T10, 3.5 10mm

40-35612 (S) Locking Screw, T10, 3.5 12mm
40-35614 (S) Locking Screw, T10, 3.5 14mm
40-35616 (S) Locking Screw, T10, 3.5 16mm
40-35618 (S) Locking Screw, T10, 3.5 18mm
40-35620 (S) Locking Screw, T10, 3.5 20mm
40-35622 (S) Locking Screw, T10, 3.5 22mm
40-35624 (S) Locking Screw, T10, 3.5 24mm
40-35626 (S) Locking Screw, T10, 3.5 26mm
40-35628 (S) Locking Screw, T10, 3.5 28mm
40-35630 (S) Locking Screw, T10, 3.5 30mm
40-35632 (S) Locking Screw, T10, 3.5 32mm
40-35634 (S) Locking Screw, T10, 3.5 34mm
40-35636 (S) Locking Screw, T10, 3.5 36mm
40-35638 (S) Locking Screw, T10, 3.5 38mm
40-35640 (S) Locking Screw, T10, 3.5 40mm
40-35642 (S) Locking Screw, T10, 3.5 42mm
40-35644 (S) Locking Screw, T10, 3.5 44mm
40-35646 (S) Locking Screw, T10, 3.5 46mm
40-35648 (S) Locking Screw, T10, 3.5 48mm
40-35650 (S) Locking Screw, T10, 3.5 50mm
40-35655 (S) Locking Screw, T10, 3.5 55mm
40-35660 (S) Locking Screw, T10, 3.5 60mm
40-35665 (S) Locking Screw, T10, 3.5 65mm
40-35670 (S) Locking Screw, T10, 3.5 70mm

2.7mm LOCKING SCREWS

REF Description

40-27608 (S) Locking Screw, T7, 2.7 8mm
40-27610 (S) Locking Screw, T7, 2.7 10mm
40-27612 (S) Locking Screw, T7, 2.7 12mm
40-27614 (S) Locking Screw, T7, 2.7 14mm
40-27616 (S) Locking Screw, T7, 2.7 16mm
40-27618 (S) Locking Screw, T7, 2.7 18mm
40-27620 (S) Locking Screw, T7, 2.7 20mm
40-27622 (S) Locking Screw, T7, 2.7 22mm
40-27624 (S) Locking Screw, T7, 2.7 24mm
40-27626 (S) Locking Screw, T7, 2.7 26mm
40-27628 (S) Locking Screw, T7, 2.7 28mm
40-27630 (S) Locking Screw, T7, 2.7 30mm
40-27632 (S) Locking Screw, T7, 2.7 32mm
40-27634 (S) Locking Screw, T7, 2.7 34mm
40-27636 (S) Locking Screw, T7, 2.7 36mm
40-27638 (S) Locking Screw, T7, 2.7 38mm
40-27640 (S) Locking Screw, T7, 2.7 40mm
40-27645 (S) Locking Screw, T7, 2.7 45mm
40-27650 (S) Locking Screw, T7, 2.7 50mm

17
Ordering Information Implants

3.5mm NON-LOCKING SCREWS REF Description

40-35010 (S) Bone Screw, T10, 3.5 10mm
40-35012 (S) Bone Screw, T10, 3.5 12mm
40-35014 (S) Bone Screw, T10, 3.5 14mm
40-35016 (S) Bone Screw, T10, 3.5 16mm
40-35018 (S) Bone Screw, T10, 3.5 18mm
40-35020 (S) Bone Screw, T10, 3.5 20mm
40-35022 (S) Bone Screw, T10, 3.5 22mm
40-35024 (S) Bone Screw, T10, 3.5 24mm
40-35026 (S) Bone Screw, T10, 3.5 26mm
40-35028 (S) Bone Screw, T10, 3.5 28mm
40-35030 (S) Bone Screw, T10, 3.5 30mm
40-35032 (S) Bone Screw, T10, 3.5 32mm
40-35034 (S) Bone Screw, T10, 3.5 34mm
40-35036 (S) Bone Screw, T10, 3.5 36mm
40-35038 (S) Bone Screw, T10, 3.5 38mm
40-35040 (S) Bone Screw, T10, 3.5 40mm
40-35042 (S) Bone Screw, T10, 3.5 42mm
40-35044 (S) Bone Screw, T10, 3.5 44mm
40-35046 (S) Bone Screw, T10, 3.5 46mm
40-35048 (S) Bone Screw, T10, 3.5 48mm
40-35050 (S) Bone Screw, T10, 3.5 50mm
40-35055 (S) Bone Screw, T10, 3.5 55mm
40-35060 (S) Bone Screw, T10, 3.5 60mm
40-35065 (S) Bone Screw, T10, 3.5 65mm
40-35070 (S) Bone Screw, T10, 3.5 70mm

2.7mm NON-LOCKING SCREWS

REF Description

40-27008 (S) Bone Screw, T7, 2.7 8mm

40-27010 (S) Bone Screw, T7, 2.7 10mm
40-27012 (S) Bone Screw, T7, 2.7 12mm
40-27014 (S) Bone Screw, T7, 2.7 14mm
40-27016 (S) Bone Screw, T7, 2.7 16mm
40-27018 (S) Bone Screw, T7, 2.7 18mm
40-27020 (S) Bone Screw, T7, 2.7 20mm
40-27022 (S) Bone Screw, T7, 2.7 22mm
40-27024 (S) Bone Screw, T7, 2.7 24mm
40-27026 (S) Bone Screw, T7, 2.7 26mm
40-27028 (S) Bone Screw, T7, 2.7 28mm
40-27030 (S) Bone Screw, T7, 2.7 30mm
40-27032 (S) Bone Screw, T7, 2.7 32mm
40-27034 (S) Bone Screw, T7, 2.7 34mm
40-27036 (S) Bone Screw, T7, 2.7 36mm
40-27038 (S) Bone Screw, T7, 2.7 38mm
40-27040 (S) Bone Screw, T7, 2.7 40mm
40-27045 (S) Bone Screw, T7, 2.7 45mm
40-27050 (S) Bone Screw, T7, 2.7 50mm

18
Ordering Information Implants

PLATES REF Description

40-15011 (S) Curved Plate, 4 holes

40-15012 (S) Curved Plate, 5 holes, Right

40-15013 (S) Curved Plate, 5 holes, Left

40-15014 (S) Curved Plate, 6 holes

40-15021 (S) H-Plate, Small

40-15022 (S) H-Plate, Medium

40-15023 (S) H-Plate, Large

40-15031 (S) Rectangular Compression Plate, size 1

40-15032 (S) Rectangular Locking Plate, size 2

40-15033 (S) Rectangular Compression Plate, size 2

40-15041 (S) Broad Straight Plate, Short

40-15042 (S) Broad Straight Plate, Medium

40-15043 (S) Broad Straight Plate, Long

40-15061 (S) 3-D Plate, Left

40-15062 (S) 3-D Plate, Right

40-15071 (S) Oblique T-Plate, Left

40-15072 (S) Oblique T-Plate, Right

40-15081 (S) T-Plate

40-15091 (S) L-Plate, Left

40-15092 (S) L-Plate, Right

40-10102 (S) Calcaneus Mesh Plate, Small

40-10104 (S) Calcaneus Mesh Plate, Medium

40-10106 (S) Calcaneus Mesh Plate, Large

40-10112 (S) Calcaneus Standard Plate, Small

40-10114 (S) Calcaneus Standard Plate, Medium

40-10116 (S) Calcaneus Standard Plate, Large

19
Ordering Information Implants

WASHERS REF Description

40-35900 (S) Washer for 3.5mm screw

40-27900 (S) Washer for 2.7mm screw

TRIALS REF Description

40-10102T Calcaneus Mesh Trial, Small

40-10104T Calcaneus Mesh Trial, Medium
40-10106T Calcaneus Mesh Trial, Large
40-10112T Calcaneus Standard Trial, Small
40-10114T Calcaneus Standard Trial, Medium
40-10116T Calcaneus Standard Trial, Large
40-15011T Curved Trial, 4 Holes
40-15012T Curved Trial, 5 Holes, Right
40-15013T Curved Trial, 5 Holes, Left
40-15014T Curved Trial, 6 Holes
40-15021T H-Trial, Small
40-15022T H-Trial, Medium
40-15023T H-Trial, Large
40-15031T Rectangular Compression Trial, Size 1
40-15032T Rectangular Locking Trial, Size 2
40-15033T Rectangular Compression Trial, Size 2
40-15041T Broad Straight Trial, Short
40-15042T Broad Straight Trial, Medium
40-15043T Broad Straight Trial, Long
40-15061T 3-D Trial, Left
40-15062T 3-D Trial, Right
40-15071T Oblique T-Trial, Left
40-15072T Oblique T-Trial, Right
40-15081T T-Trial
40-15091T L-Trial, Left
40-15092T L-Trial, Right

20
Ordering Information Instruments

REF Description

Instruments

45-27005 (S) Tap for 2.7mm Screws, AO, 50mm

45-35005 (S) Tap for 3.5mm Screws, AO, 70mm

45-27001 Depth Measuring Gauge for 2.7mm Screws

45-35001 Depth Measuring Gauge for 3.5mm Screws

45-80001 Drill Guide for Circular Locking Holes

45-80005 Drill Guide for Oval Compression Holes

45-27015 Screwdriver Blade, AO, T7

45-35015 Screwdriver Blade, AO, T10

45-85000 Screwdriver Handle, Revolving/Rigid, AO

45-35030 Holding Sleeve for 3.5mm screws

45-27030 Holding Sleeve for 2.7mm screws

45-80010 Plate Bending Pliers

45-80020 K-Wire Cutting Pliers (max 1.6mm)

64-20129 Forceps with Grasping Lips

Twist Drills

45-27010 (S) Drill, 2.0mm 102mm, WL50mm, AO-Shaft

45-35010 (S) Drill, 2.6mm 122mm, WL70mm, AO-Shaft

21
Ordering Information Instruments

REF Description

Instruments

45-80030 Joint Distraction Forceps

29-13462 Accessory Tray

45-27020(S) Overdrill for 2.7mm Screws, AO Fitting optional

45-35020(S) Overdrill for 3.5mm Screws, AO Fitting

45-80040(S) Countersink for Screws 2.7/3.5mm, AO Fitting

45-80002 Drill Guide for 2.7mm Independant Lag Screw

45-80003 Drill Guide for 3.5mm Independant Lag Screw

29-31460 Instrument / Accessory Tray

29-31008 Customizable Screw Rack without Markers optional

45-35002 VariAx Depth Gauge for 2.7/3.5mm Screws, black

22
Ordering Information Instruments

K-WIRES & STEINMANN PINS

REF Description

45-80100 (S) K-Wire, Fully Threaded, 1.6mm 200mm

45-80200 (S) K-Wire, Smooth, 1.4mm 100mm

45-80300 (S) Steinmann Pin, Smooth, 2.5mm 100mm

COUGHLIN SMALL JOINT REAMERS Diameter

REF Type of Reamer (mm)
6514-7-210 Concave 10
6514-7-212 Concave 12
6514-7-214 Concave 14
6514-7-216 Concave 16
6514-7-218 Concave
18

6514-7-310 Convex 10
6514-7-312 Convex 12
6514-7-314 Convex 14
6514-7-316 Convex 16
6514-7-318 Convex 18

6514-7-410 Barrel 10
6514-7-412 Barrel 12
6514-7-414 Barrel 14
6514-7-416 Barrel 16
6514-7-418 Barrel 18

45-80200 K-Wire, Smooth, 1.4mm 100mm

29-33400 Coughlin Reamer Tray

29-32401 Generic Stryker Foot Solutions Lid

Note:
The Coughlin Reamer tray does not fit inside the Basic Set configuration;
it only fits inside the Deluxe Set configuration (the 4-Level Foot Solutions
container with the VariAx Foot modules) if and only if no other modules are
included. If other modules are included, the generic lid is required.
23
Ordering Information Instruments

REF Description

Modules And Trays

29-35000 Sterilization Container, 3 levels

29-13009 Sterilization Container, 4 levels

29-35200 Stryker Foot Container Lid - Half Size

29-31400 VariAx Foot Instrument Tray

29-31007 Drawer for Screw Racks

29-31000 Deluxe Plate Module (includes Lid)

29-31021 Inlay for Recon and Trauma Plates

29-31022 Inlay for Calcaneus Plates

29-31004 Screw Rack for 3.5 Locking Screws (includes Lid)

29-31005 Screw Rack for 3.5 Bone Screws (includes Lid)

29-31006 Screw Rack for 2.7 Screws (includes Lid)

29-31050 Basic Plate Module (includes Lid)

29-31052 Inlay 1 for Basic Plate Module

29-31053 Inlay 2 for Basic Plate Module

29-50000 Inlay Generic

Miscellaneous

45-80000 Spring for Holding Sleeve

29-31013 Lid for Screw Rack

29-31012 Lid for Deluxe Plate Module

29-31051 Lid for Basic Plate Module

24
Ordering Information Instruments

REF Description

Screw markers

52-00010 Screw Length Marker for 10mm

52-00012 Screw Length Marker for 12mm

52-00014 Screw Length Marker for 14mm

52-00016 Screw Length Marker for 16mm

52-00018 Screw Length Marker for 18mm

52-00020 Screw Length Marker for 20mm

52-00022 Screw Length Marker for 22mm

52-00024 Screw Length Marker for 24mm

52-00026 Screw Length Marker for 26mm

52-00028 Screw Length Marker for 28mm

52-00030 Screw Length Marker for 30mm

52-00032 Screw Length Marker for 32mm

52-00034 Screw Length Marker for 34mm

52-00036 Screw Length Marker for 36mm

52-00038 Screw Length Marker for 38mm

52-00040 Screw Length Marker for 40mm

52-00042 Screw Length Marker for 42mm

52-00044 Screw Length Marker for 44mm

52-00046 Screw Length Marker for 46mm

52-00048 Screw Length Marker for 48mm

52-00050 Screw Length Marker for 50mm

52-00055 Screw Length Marker for 55mm

52-00060 Screw Length Marker for 60mm

52-00065 Screw Length Marker for 65mm

52-00070 Screw Length Marker for 70mm

25
Notes

26
Notes

27
 Stryker Leibinger GmbH & Co. KG
Btzinger Strae 41
D-79111 Freiburg
Germany

www.osteosynthesis.stryker.com

This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her
own professional clinical judgment when deciding whether to use a particular product when treating a particular
patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any par-
ticular product before using it in surgery. The information presented in this brochure is intended to demonstrate a
Stryker product. Always refer to the package insert, product label and/or user instructions including the instructions
for Cleaning and Sterilization (if applicable) before using any Stryker products. Products may not be available in all
markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please
contact your Stryker representative if you have questions about the availability of Stryker products in your area.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following
trademarks or service marks: Stryker, SmartLock and VariAx. All other trademarks are trademarks of their respective
owners or holders.

The products listed above are CE marked.

Literature Number: 90-07805

LOT E3410

Copyright 2010 Stryker