WRIST-01030001 Distal Radius System 2.5 Step by Step PDF

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SU R GI C A L T EC HNI Q UE – S T E P BY S T E P

Distal
Radius System
2.5

APTUS®
Wrist
2  |   Distal Radius System 2.5

Contents
 3 Introduction
  3 Product Materials
 3 Indications
 3 Contraindications
  3 Color Coding
  3 Possible Combination of Plates and Screws
 3 Symbols
  4 Treatment Concept
  5 Instrument Application
  5 General Instrument Application
  5 Plate Holding and Positioning

5 Plate Bending

8 Cutting

9 Drilling
11 Assigning the Screw Length
12 Screw Pick-Up
13 Specific Instrument Application
13 Drill Guide Blocks
15 Instrument for Restoration of the Volar Tilt
16 Surgical Techniques
16 General Surgical Techniques
16 Lag Screws
17 Distal Two-Row Screw Allocation
18 Specific Surgical Techniques
18 Hook Plates
19 TriLock Lunate Facet Plates
20 TriLock Distal Radius Rim Plates
21 XL Plates with TriLockPLUS
22 TriLock Locking Technology
22 Correct Application of the TriLock Locking Technology
23 Correct Locking (± 15°) of the TriLock Screws in the Plate
24 Appendix
24 Implants and Instruments

For further information regarding the APTUS product line visit:


www.medartis.com/products

Medartis, APTUS, MODUS, TriLock, HexaDrive and SpeedTip are registered trademarks of Medartis AG / Medartis Holding AG, 4057 Basel, Switzerland

 www.medartis.com/products/aptus/wrist
Distal Radius System 2.5  |   3

Introduction
Product Materials Color Coding
All APTUS implants are made of pure titanium (ASTM F67, System Size Color Code
ISO 5832-2) or titanium alloy (ASTM F136, ISO 5832-3). APTUS 2.5 purple
All of the titanium materials used are biocompatible, APTUS 1.5 green
corrosion-resistant and non-toxic in a biological environment.
K-wires are made of stainless steel (ASTM F 138); Plates and Screws
instruments are made of stainless steel, PEEK, aluminum Special implant plates and screws have their own color:
or titanium. Implant plates gold Fixation plates
Implant plates blue TriLock plates (locking)
Implant screws gold Cortical screws (fixation)
Indications Implant screws blue TriLock screws (locking)
Implant screws silver TriLock Express screws (locking)
APTUS Radius
Implant screws green SpeedTip screws (self-drilling)
• Intra- and extra-articular fractures

• Correction osteotomies Possible Combination of Plates and


Screws
Plates and screws can be combined within one system size:
APTUS Ulna
• Management of fractures and osteotomies of the ulna
2.5 TriLock Plates
2.5 Cortical Screws, HexaDrive 7
Contraindications 2.5 TriLock Screws, HexaDrive 7
2.5 TriLock Express Screws, HexaDrive 7
• Pre-existing or suspected infection at or near the
implantation site
1.5 Fixation Plates
• Known allergies and / or hypersensitivity to implant materials 1.5 SpeedTip Screws, HexaDrive 4
• Inferior or insufficient bone quality to securely anchor
the implant
Symbols
• Patients who are incapacitated and/or uncooperative during
the treatment phase HexaDrive

• Growth plates are not to be blocked with plates and screws

See Instructions for Use


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4  |   Distal Radius System 2.5

Treatment Concept
The table below lists the most common surgical wrist indications which can be treated with the Distal Radius System 2.5 implants.

Plate Type

* * * * * *
Fracture Type

A1

A2

A3

B1.1

B1.2

B1.3

B2

B3

C1

C2

C3

Volar lunate facet fragment

Avulsed small distal


fragments

Diaphyseal-metaphyseal
fracture

Correction osteotomy

Primary recommendation The above-mentioned information is a recommendation only. The operating surgeon is solely responsible for the choice of the suitable
implant for the specific case.
Recommendation

Possible * Soft tissue protecting plate position along the watershed line to be respected, according to Soong et al.
(Soong et al.; Volar locking plate implant prominence and flexor tendon rupture; J Bone Joint Surg Am. 2011; 93: 328 – 335)

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Distal Radius System 2.5  |   5

Instrument Application
General Instrument Application

Plate Holding and Positioning


The TriLock end of the plate holding and positioning
instrument (A-2750) can be locked in the TriLock contour of
the plate. It facilitates positioning, moving and holding the
implant on the bone and can be used with all TriLock 2.5
plate holes.

The other end of the plate holding and positioning instrument


is used to pick up the hook plate in order to position it on the
bone.

A-2750
2.5 Plate Holding and Positioning Instrument

Plate Bending
If required, the TriLock volar fracture plates, the volar frame
plates, the dorsal radius plates, the small fragment plates,
the lunate facet plates and the distal ulna plates can be bent
with the plate bending pliers (A-2047). The plate bending
pliers have two different pins to protect the locking holes of
flat and curved plates during the bending process.
A-2047
2.0 – 2.8 Plate Bending Pliers, with Pins

The labeled side of the plate must always face upwards when
inserting the plate into the bending pliers.

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6  |   Distal Radius System 2.5

When bending a flat plate (distal radius plates), the plate


bending pliers must be held so that the letters «F – FLAT
PLATE THIS SIDE UP» are legible from above. This ensures
that the plate holes are not damaged.

Notice
When bending a curved plate (distal ulna plates), the letters
«C – CURVED PLATE THIS SIDE UP» must be legible from
above. This ensures that the plate holes are not damaged.

Notice
While bending, the plate must always be held at two adjacent
holes to prevent contour deformation of the intermediate
plate hole.

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Distal Radius System 2.5  |   7

Caution
Do not bend the plate by more than 30°. Bending the plate
further may deform the plate holes and may cause the plate
to break postoperatively.

Caution
Repeatedly bending the plate in opposite directions may
cause the plate to break postoperatively.
Always use the provided plate bending pliers to avoid
damaging the plate holes. Damaged plate holes prevent
correct and secure seating of the screw in the plate and
increase the risk of system failure.

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8  |   Distal Radius System 2.5

Cutting
If required, the plate cutting pliers (A-2046) can be used to
cut the TriLock small fragment plates, the volar frame plates,
the dorsal radius plates as well as K-wires up to a diameter of
1.8 mm.

A-2046
1.2 – 2.8 Plate Cutting Pliers

Ensure that there are no remaining plate segments in the


cutting pliers (visual check). Insert the plate from the front
into the open cutting pliers. Always ensure that the labeled
side of the plate is facing upwards. Hold the implantable
plate segment with your hand during and after cutting.

Recommendation
To facilitate the insertion of the plate, support the cutting
pliers slightly with your middle finger.

You can visually check the desired cutting line through the
cutting window in the head of the pliers (see figure). Always
leave enough material on the rest of the plate to keep the
adjacent hole intact.

Notice
Always cut the plate holes individually. If two plate holes
need to be cut off, two cutting procedures are necessary.

Shorten the K-wires by inserting the wire through the opening


located on the side of the plate cutting pliers. Cut the wire by
pressing the pliers.

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Distal Radius System 2.5  |   9

Drilling
Color-coded twist drills are available for every APTUS system
size. All twist drills are color-coded via a ring system. A-3713

System Size Color Code


A-3723
APTUS 2.5 purple

A-3733

Core Hole Drills = one colored ring

There are two different types of twist drills for the system
size 2.5: The core hole drills are characterized by one colored A-3711

ring, the gliding hole drills (for lag screw technique) are
characterized by two colored rings.
A-3721

A-3731

Gliding Hole Drills = two colored rings

The twist drill must always be guided through a drill guide.


This prevents damage to the screw hole and protects the
surrounding tissue from direct contact with the drill. The drill
guide also serves to limit the pivoting angle. A-2722
2.5 Drill Guide, Scaled

A-2721
2.5 Drill Guide for Lag Screws

A-2726
2.5 Drill Sleeve, Self-Holding

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10  |   Distal Radius System 2.5

After positioning the plate, insert the drill guide and the twist
drill into the screw hole. In the APTUS system, the drill is
guided by the drill shaft and not the drill flute.

You can read the required screw length at the scale of the
drill guide (A-2722) or the self-holding drill sleeve (A-2726)
in connection with the black markings on the drill shaft of
twist drills (A-3713, A-3723 or A-3733).

Notice
The double-ended drill guide for lag screws (A-2721) is used
only to perform the classic lag screw technique according to
AO / ASIF.

The self-holding drill sleeve (A-2726) can be locked with a


clockwise turn in the TriLock holes of the plate (no more than
± 15°). It thus performs all of the functions of a drill guide
without the need to be held.

Caution
For TriLock plates ensure that the plate holes are pre-drilled
with a pivoting angle of no more than ± 15°. For this purpose,
the drill guides show a limit stop of ± 15°. A pre-drilled
pivoting angle of > 15° no longer allows the TriLock screws to
correctly lock in the plate.

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Distal Radius System 2.5  |   11

Assigning the Screw Length


The depth gauge (A-2730) is used to assign the ideal screw A-2730
length for use in monocortical or bicortical screw fixation. 2.5 Depth Gauge

Retract the slider of the depth gauge.


The depth gauge caliper has a hooked tip that is either
inserted to the bottom of the hole or is used to catch the far
cortex of the bone. When using the depth gauge, the caliper
stays static, only the slider is adjusted.

To assign the screw length, place the distal end of the slider
onto the implant plate or directly onto the bone.

When using the lag screw technique, place the distal end of
the slider directly onto the bone.

The ideal screw length for the assigned drill hole can be read
on the scale of the depth gauge.

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12  |   Distal Radius System 2.5

Screw Pick-Up
The screwdrivers (A-2310, A-2710) and the screwdriver blade A-2710
2.5 Screwdriver, HD7, Self-Holding
(A-2013) feature the patented HexaDrive self-holding system.

A-2013
2.5 / 2.8 Screwdriver Blade, HD7, AO

A-2073
Cannulated Handle with Quick Connector, AO

A-2310
1.2 / 1.5 Screwdriver, HD4, Self-Holding

To remove the screws from the implant container, insert the


appropriately color-coded screwdriver perpendicularly into the
screw head of the desired screw and pick up the screw with
axial pressure.

Notice
The screw will not hold without axial pressure!
Vertically extract the screw from the compartment. The screw
is held securely by the blade. If self-retention between
screwdriver and screw cannot be achieved despite being
picked up correctly, usually the screw has already been
picked up before. This may lead to a permanent deformation
of the self-retaining area of the HexaDrive inside the screw
head. In this case, a new screw has to be used.

Check the screw length and diameter at the scale of the


measuring module. The screw length is determined at the
end of the screw head.

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Distal Radius System 2.5  |   13

Specific Instrument Application


Drill Guide Blocks
The drill guide blocks serve to rapidly and accurately position
the screws in connection with the corresponding TriLock
plates. The drill guide blocks are adapted to the distal area of
the plates (A-4750.61 – 64, A-4750.101– 112,
left right
A-4750.123 – 126 and A-4750.145– 146). There is no danger
of drill channels crossing during the drilling process. (Example)

The drill guides (A-2722 or A-2726), the depth gauge Drill Guide Block Plates
(A-2730) as well as two K-wires with a diameter of up to
A-2727.01 A-4750.101 / 103
1.6 mm can be used together with the drill guide block. You
can drill, measure and insert the screws through the holes of A-2727.02 A-4750.102 / 104
the attached drill guide block. A-2727.03 A-4750.105 / 107

A-2727.04 A-4750.106 / 108

A-2727.05 A-4750.109 / 111

A-2727.06 A-4750.110 / 112

A-2727.13 A-4750.123 / 125

A-2727.14 A-4750.124 / 126

A-2723.01 A-4750.61 / 63

A-2723.02 A-4750.62 / 64

A-2727.23 A-4750.145

A-2727.24 A-4750.146

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14  |   Distal Radius System 2.5

Fixing and detaching the drill guide block


Markings are
The drill guide block is clicked onto the plate, while the perpendicular
markings of the drill guide block and the rotating element are to each other
perpendicular to each other.

Gap
almost
closed

Use the screwdriver A-2710 (or A-2073, A-2013) to turn the


rotating element anchored in the drill guide block by a
quarter rotation in a clockwise or counter-clockwise direction,
until the drill guide block expands and is firmly locked with
the plate.

The marking on the drill guide block and the marking on the
rotating element will form a single line. Markings form
a single line

After all screws have been fixed in the distal area of the
plate, the drill guide block can be removed in reverse
sequence.

Gap open

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Distal Radius System 2.5  |   15

Instrument for Restoration of the Volar Tilt


Preparing the instrument
The 2.5 instrument for restoration of the volar tilt (A-2794)
can only be used together with the correction plates
(A-4750.11-12, A-4750.15-20) and the ADAPTIVE plates
(A-4750.61-64, A-4750.101-112). A-2794
2.5 Instrument for Restoration of the Volar Tilt

Position the laser marking of the guide wire at the required


correction angle.

Positioning the instrument


Insert and lock (with a clockwise turn) the instrument into the
appropriate screw hole.

Correction plates: Insert the instrument into the second


screw hole proximal to the oblong hole.
ADAPTIVE plates: Insert the instrument into the screw hole
just proximal to the oblong hole.

Fixating the plate


After the appropriate incision, the distal aspect of the plate
has to be positioned as close as possible to the watershed line.

Fix the plate distally with the mounted instrument with at


least two blue TriLock screws. To avoid collision with the
mounted instrument during drilling, choose the screw holes Correction Plates ADAPTIVE Plates
accordingly.

Remove the plate with the mounted instrument.


Example with 22°
Make the osteotomy.

Final fixation of the plate with the mounted instrument in the


pre-drilled distal holes.

Remove the instrument and insert additional screws distally.

Recommendation
For ideal results, place at least three blue TriLock screws into 22°
the most distal row and two blue TriLock screws into the
second distal row.

The distal fragment is reduced by aligning the proximal end


of the plate shaft.

Continue the fixation by placing a gold cortical screw into the


oblong hole. Complete the fixation of the plate shaft with
screws of which at least one should be a blue TriLock screw
(distally to the oblong hole).

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16  |   Distal Radius System 2.5

Surgical Techniques
General Surgical Techniques

Lag Screws
1. Drilling the gliding hole
Drill the gliding hole (∅ 2.6 mm) using the twist drill with two
purple rings in combination with the correspondingly marked
end of the drill guide (A-2721, two purple bars). Drill at a
right angle to the fracture line.

Recommendation
Do not drill further than to the fracture line.

2. Drilling the core hole


Insert the end of the drill guide (one purple marking) into the
gliding hole and use the twist drill for core holes (one purple
ring) to drill the core hole (∅ 2.0 mm).

3. Compressing the fracture


Compress the fracture with the corresponding cortical screw.

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Distal Radius System 2.5  |   17

4. Optional steps before compression


If required, use the countersink (A-3830) to create a recess
in the bone for the screw head.

Recommendation
Use the handle (A-2073) instead of a power tool.

Distal Two-Row Screw Allocation


During application on the distal radius, ensure that screws
are inserted in two rows at the distal end of the plate. This
not only increases stability, but also provides the best
possible subchondral support of the radiocarpal joint. Drill
the two distal screw rows as subchondrally as possible, which
automatically leads to the screws crossing over.

We recommend inserting at least three TriLock screws into


the most distal row and two TriLock screws into the second
distal row.

For a stable fixation of distal ulna fractures, ensure that at


least three TriLock screws are set distally to the fracture line
and at least two proximally. A distal orientation of the screw
from the second distal row permits subchondral support of
the ulnar head.

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18  |   Distal Radius System 2.5

Specific Surgical Techniques

Hook Plates 1.5 Hook Plates

A-4200.40  A-4200.41

1. Picking up the plate


Pick up the hook plate (A-4200.40, A-4200.41) with the
holding and positioning instrument (A-2750) at the middle
bar with slight axial pressure.

2. Positioning the plate


Press the hooks against the avulsed fragment and reconstruct
the original anatomy.

3. Fixating the plate


Insert the SpeedTip screws  1.5 mm (without pre-drilling)
and fix the avulsed fragment.

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Distal Radius System 2.5  |   19

TriLock Lunate Facet Plates


1. Positioning the plate
Hold the ulnar small fragment with the pre-bent hooks
of the TriLock lunate facet plate (A-4750.37, A-4750.38).

2. Attaching soft tissue


For additional soft tissue attachment, the suture holes in the
plate (hole diameter = 1.3 mm) can be used.

Caution
Do not insert K-wires into the suture holes.

3. Fixating the plate


Drill, assign the screw length and insert the screw (see
chapter «Drilling» and «Assigning the Screw Length»). Start
with the cortical screw in the oblong hole. Repeat these steps
with the remaining plate holes.

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20  |   Distal Radius System 2.5

TriLock Distal Radius Rim Plates A

1. Positioning the plate B max. 35°

Bend the flaps of the distal radius rim plate


(A-4750.145, A-4750.146) using the round end of the K-wire
(A-5040.41, A-5042.41). Do not bend the flaps by more
than 35°.

Caution
The flaps can be bent once. Bending of the flaps in opposite
directions may cause the plate to break postoperatively.

A B

2. Fixating the plate


Insert two SpeedTip screws  1.5 mm (without pre-drilling)
to fixate the fragment. The screw holes can also be used for
soft tissue fixation by means of a suture (hole diameter =
1.7 mm).

Drill, assign the screw length and insert the screw (see
chapter «Drilling» and «Assigning the Screw Length»). Start
with the cortical screw in the oblong hole. Repeat these steps
with the remaining plate holes.

Recommendation
The drill guide blocks (A-2727.23, A-2727.24) can be used
along with the distal radius rim plates (A-4750.145,
A-4750.146) for fast and precise positioning of the screws
(see chapter «Drill Guide Blocks»).

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Distal Radius System 2.5  |   21

XL Plates with TriLock PLUS


TriLockPLUS allows for 1 mm compression and angular stable
locking in one step.

For this technique, a TriLock screw, the 2.5 / 2.8 drill guide


TriLockPLUS (A-2026) as well as the XL plates (A-4750.75-
80) containing TriLockPLUS holes are required. The TriLockPLUS
holes and the corresponding end of the drill guide (A-2026)
are both marked with an arrow sign « » indicating the
direction of the compression.

1. Positioning the drill guide in the plate


Following the direction of the compression, insert the
2.5 / 2.8 drill guide TriLockPLUS (A-2026) perpendicular to a
XL plate (A-4750.75-80). The arrow sign on the drill guide
and the plate both indicate the direction of the compression.

Caution
Correct compression in the following steps is only achieved if
the drill guide is inserted in a 90° angle into the XL plate.

2. Drilling through the TriLockPLUS drill guide


Use the twist drill for core holes (one purple ring) to drill
through the drill guide TriLockPLUS up to the far cortex.

3. Inserting the screw and locking in final position


Insert a TriLock screw into the pre-drilled hole. Final position
is reached when the screw has locked into the TriLock screw
hole.

Caution
TriLockPLUS holes can also be used as conventional TriLock
holes allowing for multidirectional (± 15°) and angular stable
locking with TriLock screws or for the insertion of cortical
screws. For conventional drilling, use the respective side of
the 2.5 drill guide (A-2026, A-2722, A-2726), see also
chapter «Drilling».

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22  |   Distal Radius System 2.5

TriLock® Locking Technology


Correct Application of the TriLock Locking Technology
The screw is inserted through the plate hole into a pre-drilled occurs (section «B» in the diagram). Finally the actual locking
canal in the bone. An increase of the tightening torque will be is initiated (section «C» in the diagram) as a friction connection
felt as soon as the screw head gets in contact with the plate is established between screw and plate when tightening firmly.
surface.
The torque applied during fastening of the screw is decisive for
This indicates the start of the «Insertion Phase» as the screw the quality of the locking as described in section «C» of the
head starts entering the locking zone of the plate (section «A» diagram.
in the diagram). Afterwards, a drop of the tightening torque

Rotational Angle α

Locking Torque MLock


Torque M

Insertion Torque MIn

Insertion
Phase Release Locking
A B C

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Distal Radius System 2.5  |   23

Correct Locking (± 15°) of the TriLock Screws in the Plate


Visual inspection of the screw head projection provides an reached the locking position. In this case, the screw has to be
indicator of correct locking. Correct locking has occurred only retightened to obtain full penetration and proper locking. In
when the screw head has locked flush with the plate surface case of poor bone quality a slight axial pressure might be
(Fig. 1 and 3). necessary to achieve proper locking.

However, if there is still a noticeable protrusion (Fig. 2 and 4), Do not overtighten the screw, otherwise the locking function
the screw head has not completely entered the plate and cannot be guaranteed anymore.

Correct: LOCKED Incorrect: UNLOCKED

Figure 1 Figure 2

Correct: LOCKED Incorrect: UNLOCKED

Figure 3 Figure 4

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24  |   Distal Radius System 2.5

Appendix
Implants and Instruments
For detailed ordering information, please refer to the APTUS Ordering Catalog, also available at www.medartis.com

Plates Screws, K-Wires RCI Instruments


Art. No. Art. No. Art. No. Art. No. Art. No. Art. No. Art. No.
A-4200.40 A-4750.53 A-4750.145 A-5040.21 A-5750.08 A-3711 A-2013
A-4200.41 A-4750.54 A-4750.146 A-5040.41 A-5750.08/1 A-3713 A-2026
A-4700.70 A-4750.55 S-4750.65 A-5042.21 A-5750.10 A-3721 A-2046
A-4700.70/1 A-4750.56 S-4750.66 A-5042.41 A-5750.10/1 A-3723 A-2047
A-4750.01 A-4750.57 S-02071.3.141 A-5210.08/1 A-5750.12 A-3731 A-2060
A-4750.02 A-4750.58 S-02071.3.142 A-5210.08 A-5750.12/1 A-3733 A-2070
A-4750.03 A-4750.61 S-02071.3.143 A-5210.10/1 A-5750.14 A-3830 A-2073
A-4750.04 A-4750.62 S-02071.3.144 A-5210.10 A-5750.14/1 A-5045.41/1 A-2310
A-4750.05 A-4750.63 S-02071.3.57 A-5210.12/1 A-5750.16 A-5045.41/4 A-2710
A-4750.06 A-4750.64 S-02071.3.58 A-5210.12 A-5750.16/1 S-3724 A-2721
A-4750.07 A-4750.71 S-02071.3.84 A-5210.14/1 A-5750.18 S-3733 A-2722
A-4750.08 A-4750.72 S-02071.3.85 A-5210.14 A-5750.18/1 A-2723.01
A-4750.09 A-4750.73 A-5700.08 A-5750.20 A-2723.02
A-4750.10 A-4750.74 A-5700.08/1 A-5750.20/1 A-2726
A-4750.11 A-4750.75 A-5700.10 A-5750.22 A-2727.01
A-4750.12 A-4750.76 A-5700.10/1 A-5750.22/1 A-2727.02
A-4750.13 A-4750.77 A-5700.11/1 A-5750.24 A-2727.03
A-4750.14 A-4750.78 A-5700.12 A-5750.24/1 A-2727.04
A-4750.15 A-4750.79 A-5700.12/1 A-5750.26 A-2727.05
A-4750.16 A-4750.80 A-5700.13/1 A-5750.26/1 A-2727.06
A-4750.17 A-4750.91 A-5700.14 A-5750.28 A-2727.13
A-4750.18 A-4750.92 A-5700.14/1 A-5750.28/1 A-2727.14
A-4750.19 A-4750.101 A-5700.15/1 A-5750.30 A-2727.23
A-4750.20 A-4750.102 A-5700.16 A-5750.30/1 A-2727.24
A-4750.21 A-4750.103 A-5700.16/1 A-5750.32 A-2730
A-4750.22 A-4750.104 A-5700.18 A-5750.32/1 A-2730.1
A-4750.23 A-4750.105 A-5700.18/1 A-5750.34 A-2750
A-4750.24 A-4750.106 A-5700.20 A-5750.34/1 A-2794
A-4750.31 A-4750.107 A-5700.20/1 A-5755.14 A-2795
A-4750.32 A-4750.108 A-5700.22 A-5755.14/1 A-7001
A-4750.33 A-4750.109 A-5700.22/1 A-5755.16 A-7002
A-4750.34 A-4750.110 A-5700.24 A-5755.16/1 A-7003
A-4750.35 A-4750.111 A-5700.24/1 A-5755.18 A-7004
A-4750.36 A-4750.112 A-5700.26 A-5755.18/1 A-7005
A-4750.37 A-4750.123 A-5700.26/1 A-5755.20 A-7006
A-4750.38 A-4750.124 A-5700.28 A-5755.20/1 A-7007
A-4750.41 A-4750.125 A-5700.28/1 A-5755.22 A-7008
A-4750.42 A-4750.126 A-5700.30 A-5755.22/1 A-7009
A-4750.43 A-4750.131 A-5700.30/1 A-5755.24 A-7010
A-4750.44 A-4750.132 A-5700.32 A-5755.24/1 A-7011
A-4750.50 A-4750.133 A-5700.32/1 A-7012
A-4750.51 A-4750.134 A-5700.34 A-7013
A-4750.52 A-4750.135 A-5700.34/1 S-02071.19
S-02071.4.1.9

 www.medartis.com/products/aptus/wrist
WRIST-01030001_v9 / © 2018-03, Medartis AG, Switzerland. All technical data subject to alteration.

M A N U FA C T U R E R   &   H E A D Q U A R T E R S
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P +41 61 633 34 34  |  F +41 61 633 34 00  | www.medartis.com

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For detailed information regarding our subsidiaries and distributors, please visit www.medartis.com

Disclaimer: This information is intended to demonstrate the Medartis portfolio of medical devices. A surgeon must always rely on her or his own professional clinical
judgement when deciding whether to use a particular product when treating a particular patient. Medartis is not giving any medical advice. The devices may not be
available in all countries due to registration and / or medical practices. For further questions, please contact your Medartis representative (www.medartis.com). This
information contains CE-marked products.
For US only: Federal law restricts this device to sale by or on the order of a physician.

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