Dsustrm01150505-1 Va Hand TG

VARIABLE ANGLE LOCKING
HAND SYSTEM
For fragment-specific fracture fixation with
variable angle locking and locking technology
SURGICAL TECHNIQUE
TABLE OF CONTENTS
INTRODUCTION Variable Angle Locking Hand System Overview 2
AO Principles 5
Indications6
Featured Plates & Technique Highlights 7
Screws in the System 18
Featured Instruments 20
SURGICAL TECHNIQUE Preoperative Planning and Reduction 27
Lag Screw Insertion (Optional) 29
Prepare and Insert Plate 37
Insert Screw 50
Implant Removal 51
PRODUCT INFORMATION Implants54
Instruments63
Graphic Cases 70
Set Lists 77
Image intensifier control
Variable Angle Locking Hand System Surgical Technique DePuy Synthes Companies

VARIABLE ANGLE LOCKING HAND SYSTEM OVERVIEW
The DePuy Synthes Variable Angle Locking Hand System

consists of plates that are anatomic, procedure-specific,
and available in both stainless steel and titanium.
The Variable Angle Locking Hand System offers

instrumentation to aid in:
x fracture reduction
x provisional fixation
x plate adaptation
x construct creation
Designed for the Surgeon and Patient

A dedicated, global surgeon team was integral to the
design of this system through extensive consultation and
participation in multiple design labs. Surgeon interviews,
design and development meetings, and collaboration
with key opinion leaders determined the clinical
components necessary for the DePuy Synthes Variable
Angle Locking Hand System. DePuy Synthes Companies
are dedicated to improving patient care.
System Snapshot
• Extensive system of anatomically precontoured plates
• First to the market with 1.3 mm locking screws for
hand plating1
• Forceps that aid in fracture reduction and lag screw
application
• Forceps that aid in plate fixation
• Self-retaining screwdrivers
• Plates available in 316L stainless steel and titanium
• Color-coded instruments
1
DePuy Synthes Companies market analysis of leading
orthopaedic companies, conducted May 2015.
2 DePuy Synthes Companies Variable Angle Locking Hand System Surgical Technique

Variable Angle Locking Hand System Overview
SYSTEM TECHNOLOGY
Variable Angle Locking Technology
1.5 mm and 2.0 mm plates feature variable angle locking
coaxial holes. Four columns of threads in the variable angle
locking hole provide four points for threaded locking
between the plate and the Variable Angle Locking Screw
to create a fixed-angle construct at the desired screw angle.
x 1.5 mm variable angle plate holes accept:
– 1.5 mm variable angle locking screws
– 1.5 mm cortex screws
– 1.5 mm locking screws. These screws can only
be used on-axis
x 2.0 mm variable angle plate holes accept:
– 2.0 mm variable angle locking screws
– 2.0 mm locking screws. These screws can only be
used on-axis
x Variable Angle Locking Screws can be angled anywhere
within a 30° cone
x 1.5 mm and 2.0 mm cortex screws can be used in the
plate positioning slots, if present, for traditional
compression and fixation
Locking Technology
• 1.3 mm plates feature locking, coaxial holes. Fully
threaded locking holes provide threaded locking
between the plate and the locking screw to create
a fixed-angle construct
• 1.3 mm locking plate holes accept:
– 1.3 mm locking screws
Variable Angle Locking Hand System Surgical Technique DePuy Synthes Companies 3

Variable Angle Locking Hand System Overview
SYSTEM FEATURES
FEATURES BENEFITS
Extensive range of implant options Accommodates a variety of fractures and
patient sizes
Anatomically contoured plates Designed with contour to adapt to bony
anatomy
Plates designed for lateral and direct Accommodates plate placement to help
dorsal application avoid tendon insertion points
Low-profile, anatomically precontoured Designed to reduce soft tissue irritation
plates
Recessed screw heads Designed to sit flush with the plate surface
Variable Angle Locking Technology Offers screw placement options in a variety
of fragment patterns and around the joint
Provides fixed angle stability for
metaphyseal and osteopenic bone
Elongated plate holes Facilitate plate positioning
Modular, color-coded system Aids in clear identification of instruments
for Operating Room staff and Central
Processing
Facilitates proper instrumentation usage
by size
Comprehensive instrumentation Aids surgeon in all aspects of procedure:
plate adaption, provisional fixation, and
bone preparation
Implants offered in both stainless steel Allows options for surgeon preference and
and titanium patient need
T4 and T6 self-retaining screwdriver Aid in screw handling, measuring, and
shafts delivery
Hex coupling screwdriver handle Ergonomic connection mechanism in a
handle design that disassembles for
cleaning
Reduction Forceps Aids reduction and lag screw application
via forceps
Plate Holding Forceps Holds plate intraoperatively

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

have become the guidelines for internal fixation.1, 2
InThose
1958,principles are:
the AO formulated four basic principles, which
have become the guidelines for internal fixation1, 2.
4_Priciples_03.pdf 1 05.07.12 12:08
Anatomicreduction
Anatomic reduction Stable
Stablefixation
fixation
Fracture reduction and fixation
Fracture reduction and fixation to
to Fracture
Fracturefixation
fixationproviding
providingabsolute
abso-
restore anatomical relationships.
restore anatomical relationships. or relative stability, as required
lute or relative stability, as by
the patient, the injury, and the
required by the patient, the injury,
1 2 personality of the fracture.
and the personality of the
fracture.
Early,
Early,active
active mobilization Preservationof ofblood
bloodsupply
supply
Early
Early and
and safe
mobilization
safe mobilization
mobilization andand 4 3 Preservation
Preservationofofthe
Preservation theblood
bloodsupply
supply
rehabilitation
rehabilitation of the injured part
of the injured part to soft tissues and bone by
to soft tissues and bone by gentle
and
andthe
the patient
patient as
as aa whole.
whole. gentle reduction
reduction techniques
techniques and and
careful handling.
careful handling.
1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation.

3rd ed. Berlin, Heidelberg, New York: Springer; 1991.
1
2. Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management.
Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal
2nd ed. Stuttgart, New York: Thieme; 2007.
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.
INDICATIONS
The DePuy Synthes Variable Angle Locking Hand System

is intended for fracture fixation of the hand and other
small bones and small bone fragments, in adults and
adolescents (12–21 years) particularly in osteopenic bone.
System indications include the following:

• Open reduction and internal fixation of fractures,
mal-unions, and non-unions
• Following excision of benign bone tumors
• Replantations and reconstructions
• Arthrodeses of joints involving small bones
• Osteotomies, including deformity correction such as
rotation, lengthening, shortening
• Pathological fractures, including impending pathologic
fractures
Caution: When using this system to treat skeletally

immature patients, physiological status of the physes
and individual stature of the patient should be
assessed before considering treatment options as
damage to the physes may occur, leading to potential
growth arrest.
MR SAFETY INFORMATION
These devices have not been evaluated for safety and
compatibility in the MR environment. The devices have not
been tested for heating or migration in the MR environment.

FEATURED PLATES & TECHNIQUE HIGHLIGHTS
The plates contained in this section are featured implants

of the DePuy Synthes Variable Angle Locking Hand
System. Refer to the product information section for a
complete list of all plate configurations offered as part
of this system.
Phalangeal Head Plate Available sizes:

Designed with an anatomic contour and hole configuration Left Right
to facilitate fixation of fractures of the middle and proximal 1.3 mm 02.130.157 02.130.156
phalangeal head. 04.130.157 04.130.156
x Elongated hole for adjustment of plate position 1.5 mm 02.130.257 02.130.256
x Ulnar or radial plate placement 04.130.257 04.130.256
x Curved plate designed to follow the natural curve of
the phalanx 02 = Stainless Steel
x Screw configuration in the head is designed to span 04 = Titanium
the attachment of the collateral ligament
x Available in Right and Left orientations
x Designed for periarticular fractures and articular
fractures of the distal phalanx Left
Right
Surgical Approach
Ulnar Radial
Right Hand
Right Plate Left Plate
Left Hand
Left Plate Right Plate

Featured Plates & Technique Highlights
When implanting this plate, the following screw order

1
placement is suggested.
x Place a cortex screw in the elongated hole (1), leaving

the screw slightly loose. Screw placement is at the
midaxial line. Place plate prior to the K-wire so that the
cortex screw can be positioned at the midaxial line
x Provisionally fix the condyles. Place a K-wire in the center
of the condyle, so the wire is located between the two 2
distal holes (2). The K-wire should be placed in the center
of the axis of the joint. K-wire placement is relative to 3
the fan-shaped, central collateral ligament. Note that
the footprint of the ligament is larger than the center of
the axis. Make small adjustments to K-wire placement
to avoid intra-articular placement of screws, while still
creating a stable construct. Variations in K-wire placement
are at surgeon’s discretion, considering periarticular tissue
and fracture size. For 1.3 mm plates, use a 0.6 mm
K-wire. For 1.5 mm plates, use a 0.8 mm K-wire 4
x Adjust the plate along the bone shaft, as necessary, so
that the K-wire abuts the plate. Tighten the cortex
screw in the elongated hole
x Place a screw in most distal hole (3)
x Place screw in most volar hole (4)
x Confirm placement and depth of screws under
radiographic imaging
x Place remaining screws in the head and plate shaft,
depending on fracture pattern
Refer to surgical technique section for general plate and

screw application techniques where this suggested screw
insertion order can be applied.

Phalangeal Base Plate Available sizes:

Designed with an anatomic contour and hole configuration 1.3 mm 1.5 mm 2.0 mm
to facilitate fixation of fractures at the base of the middle 02.130.154 02.130.254 02.130.354
and proximal phalanx. 04.130.154 04.130.254 04.130.354
x Elongated hole for adjustment of plate position
x Lateral or dorsal placement 02 = Stainless Steel
x Designed for metaphyseal transverse, oblique, or 04 = Titanium
comminuted fractures of the phalanx
1
2
x Place cortex screw in elongated hole (1), leaving screw
slightly loose. Check alignment and adjust plate as
necessary
x Tighten screw in the elongated hole
x Place a Variable Angle Locking Screw in one of the
head holes (2). For 1.3 mm plates, place a locking
screw. Confirm screw placement and depth under
x Place remaining screws in the head and plate shaft as
needed, depending on fracture pattern

screw application techniques where this suggested order
can be applied.

Condylar Plate Available sizes:

Straight plate with hole configuration designed to 1.5 mm 2.0 mm
facilitate fixation of the middle and proximal phalanx, 02.130.255 02.130.355
and the metacarpals. 04.130.255 04.130.355
x Lateral or dorsal placement 02 = Stainless Steel
x Designed for metaphyseal transverse, oblique, or 04 = Titanium
comminuted fractures of the phalanx and metacarpals
1
Position the head of the plate on the condyles.
2

screw slightly loose. Check alignment and adjust plate,
as necessary
x Tighten the screw in the elongated hole. Place a
Variable Angle Locking Screw in one of the head holes
(2). Confirm screw placement and length using
needed, depending on fracture pattern

can be applied.
First Metacarpal Plate, Dorsal Available sizes:

Designed with an anatomic contour and hole configuration 1.5 mm 2.0 mm
to facilitate fixation in fractures of the base of the first 02.130.263 02.130.363 02 = Stainless Steel
metacarpal. 04.130.263 04.130.363 04 = Titanium
x Dorsal placement on the first metacarpal with the wide
2
end of the plate placed proximally
x Three 1.0 mm K-wire holes accept k-wires, 1.0 mm or
3
smaller, for provisional fixation
x 4 variable angle screw holes in head designed to
facilitate capture of fracture fragments
1 Proximal Distal
x 1.5 mm Variable Angle Locking Plate has higher
strength than a 2.0 mm non-locking straight plate*
Position plate on the metacarpal. During plate placement,

consider the curve in the base of the metacarpal.
Place a K-wire in any of the three K-wire holes, if needed,

to hold the plate in place and obtain provisional fixation
of the fragments around the joint (1).

x Place cortex screw in the elongated hole (2), leaving
the screw slightly loose. Adjust plate position, as
necessary. Tighten cortex screw in the elongated hole
x Place a Variable Angle Locking Screw in the most
proximal, metaphyseal head hole (3). The screw in the
most proximal head hole is placed first since it is closest
to the joint. Confirm screw placement and length
under radiographic imaging
needed, depending on the fracture pattern

can be applied.
*Benchtop testing may not be indicative of clinical performance. Testing on file at

DePuy Synthes Companies. Testing was completed comparing the 1.5 mm First
Metacarpal Plate, Dorsal to the DePuy Synthes 2.0 mm non-locking straight plate.

First Metacarpal Plate, Lateral Available size:

Designed with a shape and hole configuration to facilitate 1.5 mm Left Right
fixation in fractures of the first metacarpal. This plate is 02.130.265 02.130.264
designed to be contoured to fit the dorsal and radial 04.130.265 04.130.264
periarticular surfaces.
x Elongated hole for adjustment of plate position. 02 = Stainless Steel
Elongated hole is positioned on the shaft 04 = Titanium
x Designed for palmar approach to the first metacarpal
x Lateral placement on the first metacarpal (radiopalmar)
x Plate adaptation is recommended to ensure correct fit 2 2
of plate to the bone (see technique section related to
plate contouring)
x Available in Left and Right orientations
x Y-shape with contourable arms to fit varying anatomy 1 1
and address fracture fragments Left Right
x Designed for T- or Y-shaped fractures in the sagittal 2 2
plane and comminuted intra-articular fractures of the
base of the first metarcarpal
Placement of the plate is fracture-dependent. When

implanting this plate, the following screw order and
x Ensure plate is contoured to fit anatomy, prior to
implantation. The more contoured arm of the plate is
positioned so that it wraps around the bone palmarly.
This contoured arm follows the curve of the shaft of
the plate
x Place a Variable Angle Locking Screw in the arms of the
plate (2). Confirm screw placement and length under
x Place remaining screws in the plate, depending on
fracture pattern

can be applied.
Metacarpal Neck Plate Available size:

Designed with an anatomic contour and hole configuration 1.5 mm
to facilitate fixation of the head and neck of the 02.130.268 02 = Stainless Steel
metacarpals. 04.130.268 04 = Titanium
x MC V: ulnar placement 2
x MC II-IV: dorsolateral placement
1
x 1.0 mm K-wire hole accepts K-wires 1.0 mm or smaller,
for provisional fixation 3
x 4 diverging screws for secure fixation
x Designed for unstable subcapital and comminuted
head and neck fractures of the metacarpals

x Additionally, a K-wire can be placed in the K-wire hole
(2) in the distal portion of the plate to hold the plate in
place, as necessary
x Place a Variable Angle Locking Screw in the either of
the most distal holes of the plate head (3). Avoid
wire and screw interference when placing screws in
a variable angle hole. If necessary, the K-wire can
be bent slightly to facilitate placement of the Variable
Angle drill guide into a plate hole in the head of
the plate

x Confirm screw placement and length under

x Place remaining screws in the plate, depending on
fracture pattern. Fracture pattern will dictate the order
of screw placement

can be applied.
Variable angle screws at nominal angle in head of plate.
Variable angle screws at 15° angulation in head of plate.
Rotation Correction Plate Available sizes:

Designed with an anatomic contour and hole 1.5 mm 2.0 mm
configuration to facilitate fixation of the metacarpals 02.130.266 02.130.366 02 = Stainless Steel
and phalanges. 04.130.266 04.130.366 04 = Titanium
x Elongated transverse hole for intraoperative
adjustment of the reduction, including correction
of the fragment rotation of the bone, if necessary.
Elongated hole allows 2.5 mm of travel 1
x Design of the plate head facilitates contouring to
the anatomy of the condyles
2
x Designed for fractures and osteotomies of the
metacarpals and phalanges

x Position the plate with the T-shaped section of the
plate near the joint
x Insert 2 Variable Angle Locking Screws into the
T-shaped section of the plate (1), ensuring that the
elongated hole (2) is on the side of the osteotomy
away from the joint, near a section of intact bone.
Confirm screw placement and length under
x Adjust the position of the bone
x Place a cortex screw into the elongated transverse
hole (2), leaving the screw loose. Release and tighten
the cortex screw while adjusting plate position, as
necessary
x Check result of repositioning with the wrist at
maximum extension. Tighten cortex screw
x Place remaining screws distal or proximal to the
elongated transverse hole. Confirm screw placement
and depth using radiographic imaging


can be applied.
Fracture Plate Available sizes:

Designed for indirect reduction techniques where bridging 1.5 mm 2.0 mm
or in-situ reduction is desired. 02.130.267 02.130.367 02 = Stainless Steel
x Allows adjustment of rotation and angulation before 04.130.267 04.130.367 04 = Titanium
fixed angle construct is applied. Consistent with AO
indirect reduction techniques of external fixation1,2
x Two elongated holes for intra-operative correction in 2
2 planes
x Dorsal placement
x Staggered shaft 1
x Designed for crushed, multifragmented, and/or
periarticular fractures of the metacarpals and phalanges

x Insert a cortex screw into the head of the plate (1) into
the condyle, ensuring that the elongated hole (2) is on
the side of the osteotomy away from the joint, near a
section of intact bone. Provisional fixation in either
adjacent hole may be helpful
x Correct the position of the bone. Place a cortex screw
in the elongated transverse hole (2)
x Continue to adjust the position of the bone, as necessary
x Check result of repositioning
x Place remaining screws distal or proximal to the
elongated transverse hole

can be applied.
1. Müller ME, Allgöwer M, Schneider R, Willenegger H. 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.

SCREWS IN THE SYSTEM
1.3 mm Screws
1.3 mm Locking Screws
• Only for on-axis insertion in the locking holes
• Threaded, conical head locks securely into the
locking hole
• Self-retaining,T4 STARDRIVE Recess
• Self-tapping tip facilitates insertion
1.3 mm Cortex Screws

• Can be used in locking holes to compress the plate
to the bone
• Self-retaining,T4 STARDRIVE Recess
1.5 mm Screws
1.5 mm Variable Angle Locking Screws
• Threaded, rounded head locks securely into the
variable angle locking hole
• Purple, color-coded head to easily distinguish as
Variable Angle Locking Screw
• Self-retaining, T4 STARDRIVE Recess
• Blunt self-tapping tip

• Can be used in the variable angle locking holes to
compress the plate to the bone
Also Available
• 1.5 mm Locking Screws only used on-axis –
Compatible with 1.5 mm Variable Angle Locking Plates
Screws in the System
2.0 mm Screws
2.0 mm Variable Angle Locking Screws
• Threaded, rounded conical head locks securely into
the locking hole
• Purple, color-coded head to easily distinguish as a
Variable Angle Locking Screw
• Blunt, self-tapping tip

• Can be used in the variable angle locking holes to
compress the plate to the bone
Also Available
• 2.0 mm Locking Screws only used on-axis –
Compatible with 2.0 mm Variable Angle Locking Plates

FEATURED INSTRUMENTS
Reduction Forceps (03.130.291)

This instrument is designed to hold reduced metacarpal
and phalangeal bone fragments in place, while allowing
insertion of a lag screw through the barrel of the forceps.
Colors on the drill sleeves indicate the screw size and
color bands indicate the threaded and gliding hole.
Plate Holding Forceps (03.130.280)

The Plate Holding Forceps is designed to hold the plate in
the desired position against the bone.
x The ball on the upper portion of the jaws inserts
through the plate hole to the bone, and the lower arm
is inserted beneath the soft tissue against the underside
of the bone
x The forceps can then be closed to the desired tightness
to hold the plate, and is designed to remain in place
after the handles are released
Featured Instruments
Plate Holder (03.130.130)

The Plate Holders are designed to hold the plates.
• The arms are squeezed together and inserted into a
single plate hole. Once the arms are released, they
hold the plate via tension
• The arms of the plate holders can also be placed in
two adjacent holes
The forceps can also be used to hold the outside edges

of the plate. If used to hold the outside of the plate,
releasing the arms of the holder will allow the plate
to disengage.
Alternative Instrument
03.503.034 Mini Plate Holder, Long

Plate Cutter for 1.3 mm to 2.0 mm Plates (03.130.271)

The Plate Cutter for Plates is designed to cut all
plates within the Variable Angle Locking Hand System.
• A rasp for manual deburring is provided on the plate
cutter head, if deburring is needed after cutting
Plate Cutter, In-Line for 1.3 mm Locking,

1.5 mm VA Locking, and 2.0 mm VA Locking Plates
(03.130.270)
The Plate Cutter, In-Line for Plates is designed to cut plates
with straight shafts within the Variable Angle Locking Hand
System.
• Variable Angle locking and locking plate holes are
inserted over the insertion posts to hold the plate
in place
• A rasp for manual deburring feature is provided on the
plate cutter head, if deburring is needed after cutting
Bending Pliers (03.130.260, 03.130.261)

Bending Pliers facilitate additional contouring of the
plates, if necessary.
Bending Pins (03.130.140)

Bending Pins facilitate additional contouring of 1.3 mm
plates, if necessary.

Screwdriver Handle with Hex Coupling (03.130.005)

The design of the handle reduces the likelihood of rolling
on a flat surface.
The hex coupling provides a one-step, reliable connection

when inserting the screwdriver shaft.
The screwdriver handle disassembles into three pieces for

cleaning and sterilization. The three parts include the hex
coupling with spring, the shaft, and the handle.
STARDRIVETM Screwdriver Shafts

(03.130.010, 03.130.020)
Self-retaining screwdrivers aid in screw handling,
measuring, and delivery. 1.3 mm and 1.5 mm screws
feature a T4 STARDRIVE Recess. The tip of the T4
Screwdriver is gold-colored. 2.0 mm screws feature a
T6 STARDRIVE Recess.
Variable Angle Locking Double Drill Guide

with Cone (03.130.220, 03.130.320)
The double drill guide with cone is designed for variable
angle technique and nominal angle technique.
Variable Angle Nominal Angle (Coaxial)
Variable angle technique using the cone-shaped end. Nominal angle technique using the fixed-angle
end marked “coaxial.”

Variable Angle Locking Double Drill Guide—

Freehand (03.130.221, 03.130.321)
The double drill guide – freehand is designed for variable
angle technique and nominal angle technique.
Variable angle technique using the variable Nominal angle technique using the fixed-angle
angle end, which allows freehand angulation end marked “coaxial.”
of the drill bit.
PREOPERATIVE PLANNING AND REDUCTION
1
Preparation
Complete preoperative radiographic assessment and
preoperative planning.
Select the implant according to the fracture pattern and

anatomy of the bone.
Note: Ensure the proper plate selection is available,

including L (left) or R (right) plates. Left plates are
designed for the left hand. Right plates are designed
for the right hand. For clarification on right and left
Phalangeal Head Plate application, see information
on Page 7.

Preoperative Planning and Reduction
2
Reduce Fracture
Instruments
292.06 0.6 mm Kirschner Wire, 70 mm, trocar

point, (stainless steel)
292.08/492.08 0.8 mm Kirschner Wire, 70 mm, trocar

point (stainless steel or titanium)
292.10/492.10 1.0 mm Kirschner Wire, 150 mm, trocar

point (stainless steel or titanium)
292.12/492.12 1.25 mm Kirschner Wire, 150 mm,

trocar point (stainless steel or titanium)
Reduction Forceps
319.39.96 Sharp Hook
Reduce fracture under imaging using Kirschner wires or

reduction forceps if necessary. The reduction method will
depend on patient anatomy and fracture pattern.
Optional Instrument
03.130.291 Reduction Forceps for 1.3 to 2.0 mm

Screws/Soft Lock
LAG SCREW INSERTION (OPTIONAL)
Lag Screw Insertion – Reduction Forceps
1
Select a Drill Sleeve and Drill Bit
Lag screws may be inserted using the Reduction Forceps
(03.130.291). The associated drill sleeves and drill bits use
a color-coded stripe system. The colors on the drill sleeves
and drill bits correspond to the screw size. A single stripe
indicates that the drill sleeve or drill bit is used for a
threaded hole; a double stripe indicates that the drill
sleeve or drill bit is used for a gliding hole.
Screw Size Color Coding Drill Sleeve Drill Bit for Drill Sleeve Drill Bit for
for for Threaded Hole for Gliding Hole
Instruments Threaded Hole (One Color Stripe)* Gliding Hole (Two Color Stripes)*
1.3 mm Yellow
1.0 mm 1.0 mm 1.3 mm 1.3 mm

03.130.292 03.130.294
1.5 mm Red
1.1 mm 1.1 mm 1.5 mm 1.5 mm

03.130.293 03.130.295
2.0 mm Blue
1.5 mm 1.5 mm 2.0 mm 2.0 mm

03.130.296 03.130.297
*Drill bits are available with various couplings, including Mini Quick Coupling, K-wire,
and J-Latch.

Lag Screw Insertion (Optional)
Lag Screw Insertion—Reduction Forceps
2
Assemble Drill Sleeve to Forceps
Press the drill sleeve into the barrel of the Reduction
Forceps so that the sleeve is fully seated and a click
is felt.
3
Attach the Reduction Forceps to the Bone
Once in place, close the Reduction Forceps to the desired
tightness. The forceps is designed to remain in place after
the handles are released.
4 Gliding Hole
Drill Threaded and Gliding Hole
Threaded Hole
Threaded Hole: Using the drill sleeve, drill the far

fragment using a drill bit for the threaded hole.
Gliding Hole: Using the drill sleeve, drill the near cortex,
so that the thread of the screw does not obtain purchase.
Drill so that the lag screw is perpendicular to the

fracture plane.
An alternative technique is to drill for the gliding hole

first and then drill for the threaded hole.

5
Countersink (Optional)
Remove the Drill Sleeve from the forceps. Attach the
Countersink (03.130.215) to the Screwdriver Handle.
Countersink, if desired.
6
Measure
Insert the Depth Gauge (03.130.250) through the barrel
of the forceps, to determine the screw length needed.
The Depth Gauge is designed for one-handed use.
The black line indicates the screw length.
Optional Technique: Use the scale on the back of the

Depth Gauge to measure for screw length.
Note: The depth gauge consists of 2 pieces and is

designed to be disassembled for cleaning. Slide the
tip of the hook so it is fully inside the black outer
body. Press the tab on the back of the sliding hook
and remove it from the black outer body.

7
Insert Cortex Screw
Instruments
03.130.010 STARDRIVE Screwdriver Shaft, T4,

50 mm, Self-Retaining, Hex Coupling

03.130.005 Screwdriver Handle with Hex Coupling
Assemble the screwdriver shaft to the Screwdriver Handle.
For 1.3 mm and 1.5 mm screws, use the T4 STARDRIVE

screwdriver shaft (03.130.010, with yellow and red
bands). The tip of the T4 screwdriver is gold-colored.
For 2.0 mm screws, use the T6 STARDRIVE screwdriver

shaft (03.130.020, with blue band).
The screwdriver and screws are designed to be self-retaining.

To attach the screw to the screwdriver, position the
screwdriver directly in line with the screw with no tilting.
Ensure that the screwdriver tip engages the star-shaped

recess in the screw. It may be necessary to rotate the
screwdriver up to a quarter turn to fully align the star-shaped
screwdriver tip into the screw recess. In addition, a tactile
sensation may be noticed when the screwdriver shaft is
fully aligned with the screw recess. Apply firm axial pressure
downwards to ensure that the screw is fully seated before
removing the screw from the implant module. Remove the
screw from the implant module in a straight vertical position.
Using the screwdriver, place the screw on the scale of the

implant module, to confirm the length of the screw.
Insert the screw through the barrel of the reduction forceps.

Note: Prior to sterilization of the Reduction Forceps,
Confirm screw placement under radiographic imaging. Soft Lock, add one drop of DePuy Synthes
Once the screw has been inserted, remove the forceps Autoclavable Oil (519.97) to instrument joints
from the bone. and ratchet mechanisms.
LAG SCREW INSERTION — DOUBLE DRILL SLEEVE
(OPTIONAL)
Instruments
03.130.125 1.3 mm/1.0 mm Double Drill Sleeve,

for 1.3 mm Cortex Screws/Yellow
03.130.225 1.5 mm/1.1 mm Double Drill Sleeve for

1.5 mm Cortex Screws/Red
03.130.325 2.0 mm/1.5 mm Double Drill Sleeve for

2.0 mm Cortex Screws/Blue
For 1.3 mm, 1.5 mm, and 2.0 mm cortex screws used as
independent lag screws, use a double-ended drill sleeve
and corresponding drill bit. Drill bits and drill guides are
color-coded. Drill bits are available with several different
couplings (see item listing). Etch lines on drill bits are
spaced 5 mm apart.
A K-wire may be used through the double drill sleeve.
Screw Size Color Coding Double Drill Sleeve Drill Bit For Drill Bit for
for Threaded Hole Gliding Hole
Instruments (One Color Stripe)* (Two Color Stripes)*
1.3 mm Yellow
03.130.125 1.0 mm 1.3 mm
1.5 mm Red
03.130.225 1.1 mm 1.5 mm
2.0 mm Blue
03.130.325 1.5 mm 2.0 mm
*Drill bits are available with various couplings, including Mini Quick Coupling,
K-wire, and J-Latch.

Lag Screw Insertion — Double Drill Sleeve
(Optional)
For 1.0 mm cortex screws used as independent lag

screws, use a .76 mm drill bit (green band) or 0.8 mm
drill bit (green band) and 1.0 mm drill bit. Insert the
screws using the 1.0 mm Cruciform Screwdriver Blade
with Spring Holding Sleeve (314.482).
Instruments
316.286 0.76 mm Drill Bit, mini quick coupling

with 6 mm stop

with 8 mm stop

with 10 mm stop

with 12 mm stop

with 14 mm stop
03.130.000 0.8 mm Drill Bit, K-wire attachment,

for threaded hole, 64 mm
316.494 0.8 mm Drill Bit, Stryker J-Latch, for

threaded hole, 56 mm
316.385 0.8 mm Drill Bit, Mini Quick Coupling,

for Threaded Hole, 40 mm
314.482 1.0 mm Cruciform Screwdriver Blade

with Spring Holding Sleeve,
Hex Coupling
PREPARE AND INSERT PLATE
1
Trim Plate
Instrument
03.130.271 Plate Cutter for 1.3 mm - 2.0 mm Plates
If desired, plate cutters can be used to adjust the length of

the plate. The Plate Cutter (03.130.271) is designed to cut
all plates within the Variable Angle Locking Hand System.
Important: To prevent sharp edges from causing soft

tissue irritation, place the plate top side up on the
cutters to ensure any sharp edges will angle towards
the underside of the plate.
Trim the plate to the desired length using the cutters,

and remove any burr by using the rasp on the side of
the cutters.
The Plate Cutter creates a straight cut.

Prepare and Insert Plate
Optional Instrument
Cut portion
03.130.270 Plate Cutter, In-line for 1.3 mm Locking, of plate
1.5 mm VA Locking, and 2.0 mm
VA Locking Plates
The Plate Cutter, In-Line (03.130.270) is designed to cut

plates with straight shafts within the Variable Angle
Locking Hand System.
Note: When using the Plate Cutter, In-Line, insert the

plate top side up in its respective color coded area
on the cutter. This is to ensure that the plate holes
are protected during cutting. Insert the plate so that
the section of the plate to be implanted is located on
the side that is color-coded. Ensure that the plate is
correctly inserted on the post.
This cutter is designed to be used to cut straight shafts of

plates within the Variable Angle Locking Hand System.
Note: The Plate Cutter is designed with 2 silicone

inserts in the jaws to hold the cut segment of the plate
after cutting. The Plate Cutter, In-Line, is designed
with 1 silicone insert. Remove the silicone insert(s)
prior to cleaning and sterilization.
The Plate Cutter, Inline, creates a cut with a rounded profile.

Remove any burr by using the rasp on the side of the
cutters.
2
Contour Plate (Optional)
If necessary, contour the plate to fit the patient’s anatomy.
Instruments
03.130.260 Plate Bending Pliers for 1.3 mm

Locking and 1.5 mm and 2.0 mm
Variable Angle Locking Plates, Right
03.130.261 Plate Bending Pliers for 1.3 mm

Variable Angle Locking Plates, Left
03.130.140 Plate Bending Pins for 1.3 mm

Locking Plates
Bend using adjacent holes in the plate.

Orient the benders so the side etched “UP” is facing up,
with the top of the plate also facing up.
Precaution: Avoid reverse bends and sharp bends

(sharp bends include a single out-of-plane bend
between 2 adjacent holes of >30°). Reverse or sharp
bends may weaken the plate and lead to premature
plate failure.

The Plate Bending Pins (03.130.140) are designed to be

used with the 1.3 mm locking plates.
Bend adjacent holes in the plates.
Precaution: Avoid reverse bends and sharp bends

(sharp bends include a single out-of-plane bend
between two adjacent holes of >30°). Reverse or
sharp bends may weaken the plate and lead to
premature plate failure.
3
Position Plate
Instruments
292.06 0.6 mm Kirschner Wire, 70 mm,

trocar point
(stainless steel)
292.08/ 0.8 mm Kirschner Wire, 70 mm,

492.08 trocar point
(stainless steel or titanium)
292.10/ 1.0 mm Kirschner Wire, 150 mm,

492.10 trocar point
(stainless steel or titanium)
399.97.96 Reduction Forceps, with points,

Ratchet, 130 mm
398.95.96 Termite Forceps, 90 mm
398.41.96 Reduction Forceps, with points,

Broad-Ratchet
Position the plate over the reduced fracture using the

preferred positioning method. Either K-wires or forceps
may be used to hold the plate in place. K-wires can be
used in the plate K-wire holes, if present.

Optional Instrument
03.130.280 Plate Holding Forceps, Soft Lock
As an alternative, the Plate Holding Forceps may be used

to hold the plate to the bone. Insert the ball portion
through a plate hole to the bone. The curved arm wraps
around the underside of the bone through the incision.
Close the forceps to the desired tightness to hold the

plate. The forceps is designed to remain in place after the
handles are released.
Precaution: When using the Plate Holding Forceps,

avoid the tendons and avoid applying excessive
pressure.
Note: Prior to sterilization of the Plate Holding

Forceps, Soft Lock, add one drop of DePuy Synthes
Autoclavable Oil (519.97) to instrument joints and
ratchet mechanisms.
For more information, refer to the Featured Instrument section.
4
Determine Screw Type
Depending on the individual case, cortex screws or
Variable Angle Locking/locking Screws may be inserted.
Locking or cortex screws can be used in any of the screw
holes, with the exception of the nonthreaded elongated
hole, if present.
The elongated hole is designed for adjustment of plate

position. The elongated hole accepts cortex screws only.
Leave the cortex screw slightly loose in the elongated hole
while adjusting plate position, as necessary. Tighten the
cortex screw once plate placement has been confirmed.
If a combination of locking and cortex screws is planned,

a cortex screw should be inserted first to pull the plate to
the bone. If a locking screw is inserted first, ensure that
the plate is held securely to the bone, to avoid spinning
the plate as the screw is locked in place.

5
Drill
Instruments
For 1.3 mm Screws
03.130.100 1.0 mm Drill Bit, K-wire Attachment,

03.130.101 1.0 mm Drill Bit, Stryker J-Latch,

03.130.102 1.0 mm Drill Bit, Mini Quick Coupling,

For 1.5 mm Screws

03.130.201 1.1 mm Drill Bit, Stryker J-Latch, for

Threaded Hole, 65 mm

For 2.0 mm Screws

03.130.301 1.5 mm Drill Bit, Stryker J-Latch, for

threaded Hole, 83 mm

Select a drill bit based on the size of the screw. Drill bits Screw Size Drill Bit Size/Color Code
are color-coded to the size of the associated screw.
1.3 mm 1.0 mm - Yellow
Note: The fracture pattern will dictate the optimal
screw placement.
1.5 mm 1.1 mm - Red
Fracture pattern will determine the order of screw insertion.
In all cases, make sure the plate is in the correct position
and flush with the bone. If placing a plate on the condyle, 2.0 mm 1.5 mm - Blue
be cognizant of reducing and restoring the articular surface.
6 Verify the drill bit angle and depth under radiographic

Select a Drill Guide and Drilling Technique imaging to ensure the desired angle has been achieved.
Variable Angle Locking Double Drill Guide—with If necessary, drill at a different angle and verify again under
Cone (03.130.220, 03.130.320) imaging.
Variable Angle Locking Screws can be inserted using Precaution: Avoid redrilling, especially in
2 different techniques, depending on which end of osteopenic bone.
the drill guide is used:
Variable angle technique using the cone-shaped end. Nominal angle technique using the fixed-angle
Fully insert the variable angle end of the drill guide into Fully insert the coaxial end of the drill guide into the
the Variable Angle Locking hole. When drilling, the tip of Variable Angle Locking hole and drill.
the drill guide should remain fully seated in the hole
Drill the hole with the drill bit at the desired angle within
the cone by positioning the drill bit.
Precaution: When using the variable angle end of the

guide, it is important to not angulate more than 15°
from the central axis of the screw hole. Over angulation
could result in difficulty locking the screw.

Drill for Variable Angle Screws—Freehand Verify the drill bit angle and depth under radiographic
imaging to ensure the desired angle has been achieved.
Variable Angle Locking Double Drill Guide—
Freehand (03.130.221, 03.130.321)
If necessary, drill at a different angle and verify again under
imaging. Avoid redrilling, especially in osteopenic bone.
Variable Angle Locking Screws can be inserted using
2 different techniques, depending on which end of the
drill guide is used:
Variable Angle Nominal Angle
Variable angle technique using the variable angle. Nominal angle technique using the fixed-angle
Fully insert the variable angle end of the drill guide into Fully insert the coaxial end of the drill guide into the
the Variable Angle Locking hole. Variable Angle Locking hole and drill.
Drill the hole with the drill bit at the desired angle by
positioning the drill guide in the hole.
Precaution: When using the variable angle end of the

guide, it is important to not angulate more than 15°
from the central axis of the screw hole. Over angulation
could result in difficulty locking the screw.
A 1.0 mm Threaded Drill Guide (03.130.120) is available

for use with only the 1.3 mm plates.
The drill guide allows drilling in the nominal position in

the locking hole.
Use a Double Drill Guide (03.130.125, 03.130.225, or

03.130.325) to drill for cortex screws through the plate.

7
Determine Screw Length
Use the Depth Gauge (03.130.250) to determine screw
length. Screw length is indicated by the black line.
See pages 32–33 for additional technique information for the Depth Gauge.
8
Insert Screw
Instruments


Assemble the screwdriver shaft to the screwdriver handle.
1.3 mm and 1.5 mm Screws are inserted with a T4

STARDRIVE Screwdriver (yellow and red bands). The tip
of the screwdriver is gold-colored.
2.0 mm Screws are inserted with a T6 STARDRIVE

Screwdriver (blue band).
The screwdriver and screws are designed to be self-retaining.

To attach the screw to the screwdriver, position the
screwdriver directly in line with the screw, with no tilting.
Ensure that the screwdriver tip engages the star-shaped

recess in the screw. It may be necessary to rotate the
screwdriver up to a quarter turn to fully align the star-shaped
screwdriver tip into the screw recess. In addition, a tactile
sensation may be noticed when the screwdriver shaft is
fully aligned with the screw recess. Apply firm axial pressure
downwards to ensure that the screw is fully seated before
removing the screw from the implant module. Remove the
screw from the implant module in a straight vertical position.
Using the screwdriver, place the screw on the scale of

the implant module, to confirm the length of the screw.
Insert screw.

INSERT SCREW
When inserting screws, use a two-finger tightening

technique.
For Variable Angle Locking and Locking Screws, confirm

screw placement and length under radiographic imaging
prior to final tightening.
For Variable Angle Locking and Locking Screws, screw

insertion is complete when the screw is flush to the plate.
Confirm screw position and depth under radiographic

imaging.
Precaution: Avoid penetrating the articular surface.
Postoperative Treatment
Postoperative treatment with locking plates or variable
angle locking plates does not differ from conventional
internal fixation procedures.
IMPLANT REMOVAL
If removal of the implant is necessary, the following

instructions are suggested.
1
Preoperative Planning
To ensure that the appropriate screw removal instruments
are obtained, the surgeon should have the following
information before implant removal:
x Implant type
x Time of implantation
x Material (steel, titanium)
x Recess geometry and dimension of screws
x Any visible damage to the implant (eg, broken
screw shaft)
2
Clean Recess
Instrument
Before removing screws, clean the screw recess. Free the

screw recess from ingrown bone and tissue using the
sharp hook to ensure the screwdriver can be fully
inserted. Check the condition and the geometry of the
recess of the exposed screwhead.

Implant Removal
3
Implant Removal
Instruments

Hex Coupling


Optional Set
01.240.001 Screw Removal Set
To remove locking screws, first unlock all screws from the

plate; then remove the screws completely from the bone.
The last screw removed should be a nonlocking screw on

the shaft. This prevents the plate from spinning when
locking screws are removed.
Note: To remove broken screws or screws with

a damaged screw recess, please refer to the
DePuy Synthes Screw Removal Set Technique
Guide (J8569) for removal instructions.
SUMMARY TABLE INSTRUMENTS
Screw Size
1.0 mm Cortex 1.3 mm Cortex 1.5 mm Cortex 2.0 mm Cortex
Gliding Hole
Gliding Hole
(Two Stripes) 1.0 mm 1.3 mm 1.5 mm 2.0 mm
Threaded Hole
Threaded Hole
Drill Bit (One Stripe) 0.76 mm 1.0 mm 1.1 mm 1.5 mm
Double Drill
Guide for 03.130.125 03.130.225 03.130.325
n/a
Drill Guide Cortex Screws (1.3 mm/1.0 mm) (1.5 mm/1.1 mm) (2.0 mm/1.5 mm)
For Variable Angle Locking or Cortex Screws through the plate
1.0 mm Cortex 1.3 mm Locking or 1.5 mm Variable Angle 2.0 mm Variable Angle
Cortex Screws Locking or Cortex Screws Locking or Cortex Screws
n/a
Drill Bit 1.0 mm 1.1 mm 1.5 mm
Variable Angle
Double Drill
Guide— 03.130.220 03.130.320
with Cone n/a (1.1 mm) (1.5 mm)
Variable Angle
Drill Guide Double Drill
Guide— 03.130.221 03.130.321
Freehand (1.1 mm) (1.5 mm)
n/a n/a
Threaded
Drill Guide 03.130.120
Double Drill n/a

Guide for 03.130.125 03.130.225 03.130.325
Cortex Screws (1.3 mm/1.0 mm) (1.5 mm/1.1 mm) (2.0 mm/1.5 mm)
Cruciform
Screwdriver 314.482 T4 STARDRIVE - 03.130.010 T6 STARDRIVE - 03.130.020
Depth Gauge 03.130.250

IMPLANTS
1.3 mm Locking Plates – 316 Stainless Steel and

TiCP Titanium
Plate Thickness: 0.75 mm
Stainless
Steel Titanium
02.130.150 04.130.150 1.3 mm Locking Straight
Plate, 6 Holes
02.130.151 04.130.151 1.3 mm Locking Straight

Plate,12 Holes
02.130.152 04.130.152 1.3 mm Locking T-Plate,

3 Holes Head,
5 Holes Shaft
02.130.153 04.130.153 1.3 mm Locking Y-Plate,

3 Holes Head,
5 Holes Shaft
02.130.154 04.130.154 1.3 mm Locking

Phalangeal Base Plate,
2 Holes Head,
5 Holes Shaft
02.130.156 04.130.156 1.3 mm Locking

Phalangeal Head Plate, Right

02.130.157 04.130.157 1.3 mm Locking

Phalangeal Head Plate, Left

02.130.158 04.130.158 1.3 mm Locking Strut Plate,

8 Holes, Oblique, Right


8 Holes, Oblique, Left

02.130.161 04.130.161 1.3 mm Locking Web Plate,

14 Holes
Implants
1.5 mm Variable Angle Locking Plates –

316L Stainless Steel and TiCP Titanium
Plate Thickness: 1.0 mm
Stainless
Steel Titanium
02.130.250 04.130.250 1.5 mm Variable Angle Locking
Straight Plate, 6 Holes

Straight Plate, 12 Holes

T-Plate, 3 Holes Head,
7 Holes Shaft

Y-Plate, 3 Holes Head,
7 Holes Shaft

2 Holes Head, 6 Holes Shaft

Condylar Plate, 2 Holes Head,
6 Holes Shaft



Strut Plate, 8 Holes,
Oblique, Right

Oblique, Left

Strut Plate, 12 Holes

Web Plate, 14 Holes

Implants
Stainless
Steel Titanium
Box Plate, 4 Holes
02.130.263 04.130.263
1.5 mm Variable Angle Locking
First Metacarpal Plate,
Dorsal
02.130.264 04.130.264
Lateral, Right
02.130.265 04.130.265
Lateral, Left

02.130.266 04.130.266
Rotation Correction Plate,
6 Holes
02.130.267 04.130.267
Fracture Plate, 6 Holes
02.130.268 04.130.268
Metacarpal Neck Plate
Implants
2.0 mm Variable Angle Locking Plates, 316L

Stainless Steel and TiCP Titanium
Place Thickness: 1.3 mm
Stainless
Steel Titanium
02.130.350 04.130.350 2.0 mm Variable Angle
Locking Straight Plate, 6 Holes

Locking Straight Plate,
12 Holes

Locking T-Plate,
3 Holes Head,
7 Holes Shaft

Locking Y-Plate,
3 Holes Head,
7 Holes Shaft

Locking Phalangeal Base Plate,

Locking Condylar Plate,

Locking Strut Plate, 12 Holes

Locking Box Plate, 4 Holes

Locking First Metacarpal Plate,
Dorsal

Locking Rotation Correction
Plate, 6 Holes

Locking Fracture Plate, 6 Holes

SCREWS
1.0 mm Cortex Screws, Self-Tapping,

Cruciform
316L Stainless Steel and TiCP Titanium
Stainless Steel Titanium Length (mm)
200.526 400.526 6
200.527 400.527 7
200.528 400.528 8
200.529 400.529 9
200.530 400.530 10
200.531 400.531 11
200.532 400.532 12
200.533 400.533 13
200.534 400.534 14

Screws

T4 STARDRIVE Recess
316L Stainless Steel and Titanium*

02.130.004 04.130.004 4
02.130.005 04.130.005 5
02.130.006 04.130.006 6
02.130.007 04.130.007 7
02.130.008 04.130.008 8
02.130.009 04.130.009 9
02.130.010 04.130.010 10
02.130.011 04.130.011 11
02.130.012 04.130.012 12
02.130.013 04.130.013 13
02.130.014 04.130.014 14
02.130.015 04.130.015 15
02.130.016 04.130.016 16
02.130.018 04.130.018 18

1.3 mm Locking Screws, Self-Tapping,
T4 STARDRIVE Recess
02.130.104 04.130.104 4
02.130.105 04.130.105 5
02.130.106 04.130.106 6
02.130.107 04.130.107 7
02.130.108 04.130.108 8
02.130.109 04.130.109 9
02.130.110 04.130.110 10
02.130.111 04.130.111 11
02.130.112 04.130.112 12
02.130.113 04.130.113 13
02.130.114 04.130.114 14
02.130.115 04.130.115 15
02.130.116 04.130.116 16
02.130.118 04.130.118 18

*Ti-6Al-7Nb

Screws

T4 STARDRIVE Recess
02.214.104 04.214.104 4
02.214.105 04.214.105 5
02.214.106 04.214.106 6
02.214.107 04.214.107 7
02.214.108 04.214.108 8
02.214.109 04.214.109 9
02.214.110 04.214.110 10
02.214.111 04.214.111 11
02.214.112 04.214.112 12
02.214.113 04.214.113 13
02.214.114 04.214.114 14
02.214.115 04.214.115 15
02.214.116 04.214.116 16
02.214.118 04.214.118 18
02.214.120 04.214.120 20
02.214.122 04.214.122 22
02.214.124 04.214.124 24
*Ti-6Al-7Nb
Screws
1.5 mm Variable Angle Locking Screws,

Self-Tapping, T4 STARDRIVE Recess
02.130.204 04.130.204 4
02.130.205 04.130.205 5
02.130.206 04.130.206 6
02.130.207 04.130.207 7
02.130.208 04.130.208 8
02.130.209 04.130.209 9
02.130.210 04.130.210 10
02.130.211 04.130.211 11
02.130.212 04.130.212 12
02.130.213 04.130.213 13
02.130.214 04.130.214 14
02.130.215 04.130.215 15
02.130.216 04.130.216 16
02.130.218 04.130.218 18
02.130.220 04.130.220 20
02.130.222 04.130.222 22
02.130.224 04.130.224 24
*Ti-6Al-7Nb

Screws

T6 STARDRIVE Recess
201.356.97 401.356.97 6
201.357.97 401.357.97 7
201.358.97 401.358.97 8
201.359.97 401.359.97 9
201.360.97 401.360.97 10
201.361.97 401.361.97 11
201.362.97 401.362.97 12
201.363.97 401.363.97 13
201.364.97 401.364.97 14
201.365.97 401.365.97 15
201.366.97 401.366.97 16
201.368.97 401.368.97 18
201.370.97 401.370.97 20
201.372.97 401.372.97 22
201.374.97 401.374.97 24
2.0 mm Variable Angle Locking Screws,

Self-Tapping, T6 STARDRIVE Recess
02.130.306 04.130.306 6
02.130.307 04.130.307 7
02.130.308 04.130.308 8
02.130.309 04.130.309 9
02.130.310 04.130.310 10
02.130.311 04.130.311 11
02.130.312 04.130.312 12
02.130.313 04.130.313 13
02.130.314 04.130.314 14
02.130.315 04.130.315 15
02.130.316 04.130.316 16
02.130.318 04.130.318 18
02.130.320 04.130.320 20
02.130.322 04.130.322 22
02.130.324 04.130.324 24
*Ti-6Al-7Nb
INSTRUMENTS



for Gliding Hole, 60 mm






Instruments






Instruments
03.130.120 1.0 mm Threaded Drill Guide, for

1.3 mm Locking Plates
03.130.125 1.3 mm / 1.0 mm Double Drill Sleeve,

for 1.3 mm Cortex Screws, Yellow
03.130.130 Plate Holder, for 1.3 mm to

2.0 mm Plates
03.130.140 Plate Bending Pin, for 1.3 mm Locking

Plates
03.130.220 1.1 mm Variable Angle Locking Double

Drill Guide, With Cone, for 1.5 mm
Variable Angle Locking Plates

Drill Guide, Freehand, for 1.5 mm

for 1.5 mm Cortex Screws, Red

Drill Guide, With Cone, for 2.0 mm


for 2.0 mm Cortex Screws, Blue

Instruments
03.130.250 Depth Gauge for 1.3 mm, 1.5 mm,

and 2.0 mm Screws
03.130.215 Countersink for 1.3 mm, 1.5 mm,

and 2.0 mm Screws
03.130.260 Plate Bending Pliers, for 1.3 mm

Variable Angle Locking Plates, Right
03.130.261 Plate Bending Pliers, for 1.3 mm

Variable Angle Locking Plates, Left
03.130.271 Plate Cutter for 1.3 mm, 1.5 mm, and

2.0 mm Plates
03.130.280 Plate Holding Forceps, Soft Lock
03.130.291 Reduction Forceps for 1.3 mm to

2.0 mm Screws, Soft Lock
Instruments
03.130.292 1.0 mm Drill Sleeve, Yellow, for

Reduction Forceps 03.130.291
03.130.294 1.3 mm Drill Sleeve, Yellow, for

Reduction Forceps 03.130.291
03.130.293 1.1 mm Drill Sleeve, Red, for Reduction

Forceps 03.130.291
03.130.295 1.5 mm Drill Sleeve, Red, for Reduction

Forceps 03.130.291
03.130.296 1.5 mm Drill Sleeve, Blue, for Reduction

Forceps 03.130.291
03.130.297 2.0 mm Drill Sleeve, Blue, for Reduction

Forceps 03.130.291

Instruments

Hex Coupling
0.76 mm Drill Bits, mini quick coupling

316.286 with 6 mm stop
In Stainless Sets
292.06 0.6 mm Kirschner Wire w/Trocar Point
70 mm, 10 each
70 mm, 10 each
150 mm, 10 each
150 mm, 10 each
In Titanium Sets
492.08 0.8 mm Ti Kirschner Wire w/Trocar Point
70 mm, 10 each
150 mm, 10 each
150 mm, 10 each
Instruments
398.41.96 Reduction Forceps with Points,

Broad-Ratchet
399.97.96 Reduction Forceps with Points, Ratchet,

130 mm
399.18.96 Small Hohmann Retractor, 6 mm,

Short Narrow Tip, 160 mm
399.19.96 Small Hohmann Retractor, 8 mm

399.481 Periosteal Elevator, 3 mm width,

curved blade, round edge

VARIABLE ANGLE LOCKING HAND SYSTEM
GRAPHIC CASES
Graphic Cases*
60.130.000 1/3 Instrument Tray, Standard Instruments,
for the Variable Angle Locking Hand System
60.130.001 1/3 Instrument Tray, Cutting and Bending

Instruments, for the Variable Angle
Locking Hand System
60.130.002 1/3 Instrument Tray, Reduction

Locking Hand System
*Graphic cases shown with instruments, available separately.
For detailed cleaning and sterilization instructions, please refer to

www.synthes.com/cleaning-sterilization or sterilization instructions, if provided.
Variable Angle Locking Hand System
Graphic Cases
60.130.013 1.3 mm Locking Implant and Instrument

Module with 1.0 mm Screws
60.130.213 Compact Set Plate Bin for 1.3 mm
Locking Implant and Instrument Module
60.130.313 Standard Set Plate Bin for 1.3 mm
Locking Implant and Instrument Module
60.130.013
60.130.213
60.130.313

Graphic Cases
60.130.015 1.5 mm Variable Angle Locking Implant

and Instrument Module
Variable Angle Locking Implant and
Instrument Module
Instrument Module
60.130.015
60.130.215
60.130.315
Graphic Cases
60.130.020 2.0 mm Variable Angle Locking Implant

and Instrument Module
Instrument Module
Instrument Module
60.130.020
60.130.220
60.130.320
60.130.201 Graphic Case, Full Length, 2-High for


ALSO AVAILABLE
60.130.004 K-Wire Insert for Instrument Tray for

VA Locking Hand System

60.130.005 Drill Insert Module for Reduction Forceps
03.130.291
60.116.114 1/3 Length Auxiliary Tray
03.130.000 0.8 mm Drill Bit K-wire Attachment,



Also Available




03.130.270 Plate Cutter, In-line for 1.3 mm Locking

and 1.5 mm and 2.0 mm Variable Angle
Locking Plates
03.130.277 Silicone Insert for In-line Plate Cutter

03.130.270
03.130.279 Silicone Insert for Plate Cutter

03.130.271

Also Available
03.503.034 Mini Plate Holder
316.494 0.8 mm Drill Bit, Stryker J-Latch,

for threaded hole, 56 mm
316.385 0.8 mm Drill Bit, Mini Quick Coupling,


6 mm Stop, 44.5 mm
8 mm Stop, 44.5 mm
12 mm Stop, 44.5 mm
14 mm Stop, 44.5 mm
VA LOCKING HAND INSTRUMENT AND IMPLANT SET—STANDARD
STAINLESS STEEL (01.131.100) AND TITANIUM (01.131.101)
VA LOCKING HAND INSTRUMENT AND IMPLANT SET—COMPACT
STAINLESS STEEL (01.130.225) AND TITANIUM (01.130.235)
Graphic Cases
60.130.000 1/3 Instrument Tray, Standard Instruments,
for the Variable Angle Locking Hand System
60.130.001 1/3 Instrument Tray, Cutting and Bending

Locking Hand System
60.130.002 1/3 Instrument Tray, Reduction

Locking Hand System
Screw Length Markers

Item Length Item Length
Number (mm) Number (mm)
304.104 4 60.116.313 13
304.105 5 60.116.314 14
60.116.306 6 60.116.315 15
60.116.307 7 60.116.316 16
60.116.308 8 60.116.318 18
60.116.309 9 60.116.320 20
60.116.310 10 60.116.322 22
60.116.311 11 60.116.324 24
60.116.312 12
Item Number For detailed cleaning and sterilization instructions, please refer to
60.116.451 Blank www.synthes.com/cleaning-sterilization or sterilization instructions, if provided.

VA Locking Hand Instrument and Implant Set—Standard
Stainless Steel (01.131.100) and Titanium (01.131.101)
Standard Sets
01.131.100 VA Locking Hand Instrument and
Implant Set—Standard
01.131.101 VA Titanium Locking Hand Instrument
and Implant Set—Standard
Instrument and Implant Modules Included:

60.130.013 1.3 mm
60.130.015 1.5 mm
60.130.020 2.0 mm
Implant Bins Included:

60.130.313 1.3 mm
60.130.315 1.5 mm
60.130.320 2.0 mm
VA Locking Hand Instrument and Implant Set—Compact
Compact Sets
01.130.225 VA Locking Hand Instrument and
Implant Set—Compact
01.130.235 VA Titanium Locking Hand Instrument
and Implant Set—Compact
Instrument and Implant Modules Included:

60.130.013 1.3 mm
60.130.015 1.5 mm
60.130.020 2.0 mm
Implant Bins Included:

60.130.213 1.3 mm
60.130.215 1.5 mm
60.130.220 2.0 mm

Instruments 03.130.225 1.5 mm / 1.1 mm Double Drill Sleeve,

03.130.100 1.0 mm Drill Bit, K-wire Attachment, for 1.5 mm Cortex Screws, Red
for Threaded Hole, 75 mm 03.130.321 1.5 mm Variable Angle Locking Double
03.130.102 1.0 mm Drill Bit, Mini Quick Coupling, Drill Guide, Freehand, for 2.0 mm
for Threaded Hole, 61 mm Variable Angle Locking Plates
03.130.110 1.3 mm Drill Bit, K-wire Attachment, 03.130.325 2.0 mm / 1.5 mm Double Drill Sleeve,
for Gliding Hole, 60 mm for 2.0 mm Cortex Screws, Blue
03.130.112 1.3 mm Drill Bit, Mini Quick Coupling, 03.130.250 Depth Gauge for 1.3 mm, 1.5 mm,
for Gliding Hole, 46 mm and 2.0 mm Screws
03.130.200 1.1 mm Drill Bit, K-wire Attachment, 03.130.215 Countersink for 1.3 mm, 1.5 mm,
for Threaded Hole, 70 mm and 2.0 mm Screws
03.130.202 1.1 mm Drill Bit, Mini Quick Coupling, 03.130.260 Plate Bending Pliers, for 1.3 mm
for Threaded Hole, 56 mm Locking and 1.5 mm and 2.0 mm
03.130.210 1.5 mm Drill Bit, K-wire Attachment, Variable Angle Locking Plates, Right
for Gliding Hole, 62 mm 03.130.261 Plate Bending Pliers, for 1.3 mm
03.130.212 1.5 mm Drill Bit, Mini Quick Coupling, Locking and 1.5 mm and 2.0 mm
for Gliding Hole, 48 mm Variable Angle Locking Plates, Left
03.130.300 1.5 mm Drill Bit, K-wire Attachment, 03.130.271 Plate Cutter for 1.3 mm, 1.5 mm,
for Threaded Hole, 88 mm and 2.0 mm Plates
03.130.302 1.5 mm Drill Bit, Mini Quick Coupling, 03.130.280 Plate Holding Forceps, Soft Lock
for Threaded Hole, 74 mm 03.130.291 Reduction Forceps for 1.3 mm to
03.130.310 2.0 mm Drill Bit, K-wire Attachment, 2.0 mm Screws, Soft Lock
for Gliding Hole, 71 mm 03.130.292 1.0 mm Drill Sleeve, Yellow, for
03.130.312 2.0 mm Drill Bit, Mini Quick Coupling, Reduction Forceps 03.130.291
for Gliding Hole, 57 mm 03.130.294 1.3 mm Drill Sleeve, Yellow, for
03.130.005 Screwdriver Handle with Hex Coupling Reduction Forceps 03.130.291
03.130.010 STARDRIVE Screwdriver Shaft, T4, 50 mm, 03.130.293 1.1 mm Drill Sleeve, Red, for
Self-Retaining, Hex Coupling, 2 each Reduction Forceps 03.130.291
03.130.020 STARDRIVE Screwdriver Shaft, T6, 50 mm, 03.130.295 1.5 mm Drill Sleeve, Red, for
Self-Retaining, Hex Coupling, 2 each Reduction Forceps 03.130.291
03.130.120 1.0 mm Threaded Drill Guide, for 03.130.296 1.5 mm Drill Sleeve, Blue, for
1.3 mm Locking Plates Reduction Forceps 03.130.291
03.130.125 1.3 mm / 1.0 mm Double Drill Sleeve, 03.130.297 2.0 mm Drill Sleeve, Blue, for
for 1.3 mm Cortex Screws, Yellow Reduction Forceps 03.130.291
03.130.130 Plate Holder, for 1.3 mm to 314.482 1.0 mm Cruciform Screwdriver Blade
2.0 mm Plates with Spring Holding Sleeve,
03.130.140 Plate Bending Pin, for 1.3 mm Locking Hex Coupling
Plates, 2 each
0.76 mm Drill Bits, mini quick coupling


398.41.96 Reduction Forceps with Points,
Broad-Ratchet
399.97.96 Reduction Forceps with Points, Ratchet,
130 mm
399.18.96 Small Hohmann Retractor, 6 mm,
399.19.96 Small Hohmann Retractor, 8 mm
399.481 Periosteal Elevator, 3 mm width,
curved blade, round edge
In Stainless Steel Sets

70 mm, 10 each
70 mm, 10 each
150 mm, 10 each
150 mm, 10 each
In Titanium Sets
70 mm, 10 each
150 mm, 10 each
150 mm, 10 each

Implants
1.3 mm Locking Plates – 316 Stainless Steel or 1.5 mm Variable Angle Locking Plates –
TiCP Titanium 316L Stainless Steel or TiCP Titanium
Stainless Stainless
Steel Titanium Steel Titanium
02.130.150 04.130.150 1.3 mm Locking Straight 02.130.250 04.130.250 1.5 mm Variable Angle Locking
Plate, 6 Holes* Straight Plate, 6 Holes*
02.130.151 04.130.151 1.3 mm Locking Straight 02.130.251 04.130.251 1.5 mm Variable Angle Locking
Plate,12 Holes Straight Plate, 12 Holes
02.130.152 04.130.152 1.3 mm Locking T-Plate, 02.130.252 04.130.252 1.5 mm Variable Angle Locking
3 Holes Head, 5 Holes Shaft T-Plate, 3 Holes Head,
7 Holes Shaft
02.130.153 04.130.153 1.3 mm Locking Y-Plate,
3 Holes Head, 5 Holes Shaft 02.130.253 04.130.253 1.5 mm Variable Angle Locking
Y-Plate, 3 Holes Head,
02.130.154 04.130.154 1.3 mm Locking
7 Holes Shaft
2 Holes Head, 5 Holes Shaft 02.130.254 04.130.254 1.5 mm Variable Angle Locking
02.130.156 04.130.156 1.3 mm Locking Phalangeal
Head Plate, Right
02.130.157 04.130.157 1.3 mm Locking Phalangeal
Condylar Plate, 2 Holes Head,
Head Plate, Left
6 Holes Shaft
8 Holes, Oblique, Right
8 Holes, Oblique, Left
02.130.161 04.130.161 1.3 mm Locking Web Plate,
14 Holes*
Oblique, Right

Oblique, Left

Strut Plate, 12 Holes

Web Plate, 14 Holes*
*Not included in Compact Sets.
1.5 mm Variable Angle Locking Plates – 2.0 mm Variable Angle Locking Plates, 316L
316L Stainless Steel or TiCP Titanium (continued) Stainless Steel or TiCP Titanium
Stainless Stainless
Steel Titanium Steel Titanium
02.130.263 04.130.263
1.5 mm Variable Angle Locking 02.130.350 04.130.350 2.0 mm Variable Angle Locking
First Metacarpal Plate, Dorsal Straight Plate, 6 Holes*
02.130.264 04.130.264
1.5 mm Variable Angle Locking 02.130.351 04.130.351 2.0 mm Variable Angle
First Metacarpal Plate, Locking Straight Plate,
Lateral, Right* 12 Holes
02.130.265 04.130.265
First Metacarpal Plate, Locking T-Plate,
Lateral, Left* 3 Holes Head, 7 Holes Shaft
02.130.266 04.130.266
Rotation Correction Plate, Locking Y-Plate,
6 Holes* 3 Holes Head, 7 Holes Shaft
02.130.268 04.130.268
Metacarpal Neck Plate Locking Phalangeal Base Plate,

Locking Condylar Plate,

Locking Strut Plate, 12 Holes

Locking First Metacarpal Plate,
Dorsal

Locking Rotation Correction
Plate, 6 Holes*
*Not included in Compact Sets.

1.0 mm Cortex Screws, Self-Tapping, Cruciform, 2 each 1.3 mm Locking Screws, Self-Tapping, T4 STARDRIVE Recess,
316L Stainless Steel or TiCP Titanium 4 each
316L Stainless Steel or Titanium*
200.526 400.526 6 Stainless Steel Titanium Length (mm)
200.527 400.527 7 02.130.104 04.130.104 4
200.528 400.528 8 02.130.105 04.130.105 5
200.529 400.529 9 02.130.106 04.130.106 6
200.530 400.530 10 02.130.107 04.130.107 7
200.531 400.531 11 02.130.108 04.130.108 8
200.532 400.532 12 02.130.109 04.130.109 9
200.533 400.533 13 02.130.110 04.130.110 10
200.534 400.534 14 02.130.111 04.130.111 11
02.130.112 04.130.112 12
1.3 mm Cortex Screws, Self-Tapping, T4 STARDRIVE Recess, 02.130.113 04.130.113 13
4 each 02.130.114 04.130.114 14
316L Stainless Steel or Titanium* 02.130.115 04.130.115 15
Stainless Steel Titanium Length (mm) 02.130.116 04.130.116 16
02.130.004 04.130.004 4 02.130.118 04.130.118 18
02.130.005 04.130.005 5
02.130.006 04.130.006 6 1.5 mm Cortex Screws, Self-Tapping, T4 STARDRIVE Recess,
02.130.007 04.130.007 7
02.130.008 04.130.008 8 Stainless Steel Titanium Length (mm) Qty
02.130.009 04.130.009 9 02.214.104 04.214.104 4 2
02.130.010 04.130.010 10 02.214.105 04.214.105 5 2
02.130.011 04.130.011 11 02.214.106 04.214.106 6 4
02.130.012 04.130.012 12 02.214.107 04.214.107 7 4
02.130.013 04.130.013 13 02.214.108 04.214.108 8 6
02.130.014 04.130.014 14 02.214.109 04.214.109 9 6
02.130.015 04.130.015 15 02.214.110 04.214.110 10 6
02.130.016 04.130.016 16 02.214.111 04.214.111 11 6
02.130.018 04.130.018 18 02.214.112 04.214.112 12 6
02.214.113 04.214.113 13 6
02.214.114 04.214.114 14 6
02.214.115 04.214.115 15 4
02.214.116 04.214.116 16 4
02.214.118 04.214.118 18 4
02.214.120 04.214.120 20 4
02.214.122 04.214.122 22 4
02.214.124 04.214.124 24 4
*Ti-6Al-7Nb
1.5 mm Variable Angle Locking Screws, Self-Tapping, 2.0 mm Cortex Screws, Self-Tapping, T6 STARDRIVE Recess
T4 STARDRIVE Recess 316L Stainless Steel or Titanium*
Stainless Steel Titanium Length (mm) Qty
Stainless Steel Titanium Length (mm) Qty 201.356.97 401.356.97 6 4
02.130.204 04.130.204 4 2 201.357.97 401.357.97 7 4
02.130.205 04.130.205 5 2 201.358.97 401.358.97 8 4
02.130.206 04.130.206 6 4 201.359.97 401.359.97 9 4
02.130.207 04.130.207 7 4 201.360.97 401.360.97 10 6
02.130.208 04.130.208 8 6 201.361.97 401.361.97 11 6
02.130.209 04.130.209 9 6 201.362.97 401.362.97 12 6
02.130.210 04.130.210 10 6 201.363.97 401.363.97 13 6
02.130.211 04.130.211 11 6 201.364.97 401.364.97 14 6
02.130.212 04.130.212 12 6 201.365.97 401.365.97 15 6
02.130.213 04.130.213 13 6 201.366.97 401.366.97 16 4
02.130.214 04.130.214 14 6 201.368.97 401.368.97 18 4
02.130.215 04.130.215 15 4 201.370.97 401.370.97 20 4
02.130.216 04.130.216 16 4 201.372.97 401.372.97 22 4
02.130.218 04.130.218 18 4 201.374.97 401.374.97 24 4
02.130.220 04.130.220 20 4
02.130.222 04.130.222 22 4 2.0 mm Variable Angle Locking Screws, Self-Tapping,
02.130.224 04.130.224 24 4 T6 STARDRIVE Recess
Stainless Steel Titanium Length (mm) Qty
02.130.306 04.130.306 6 4
02.130.307 04.130.307 7 4
02.130.308 04.130.308 8 4
02.130.309 04.130.309 9 4
02.130.310 04.130.310 10 6
02.130.311 04.130.311 11 6
02.130.312 04.130.312 12 6
02.130.313 04.130.313 13 6
02.130.314 04.130.314 14 6
02.130.315 04.130.315 15 6
02.130.316 04.130.316 16 4
02.130.318 04.130.318 18 4
02.130.320 04.130.320 20 4
02.130.322 04.130.322 22 4
02.130.324 04.130.324 24 4
*Ti-6Al-7Nb

ALSO AVAILABLE SETS
Sets
01.131.013 1.3 mm Locking Hand Instrument and Implant
Module Set—Standard
01.131.113 1.3 mm Titanium Locking Hand Instrument
and Implant Module Set—Standard
01.131.015 1.5 mm VA Locking Hand Instrument and
Implant Module Set—Standard
01.131.115 1.5 mm Titanium VA Locking Hand
Instrument and Implant Module Set—Standard
Implant Module Set—Standard
01.131.120 2.0 mm Titanium VA Locking Hand Instrument
and Implant Module Set—Standard

Implant Module Set—Compact
01.130.115 1.5 mm Ti VA Locking Hand Instrument and
01.130.013 1.3 mm Locking and 1.0 mm Instrument and
01.130.113 1.3 mm Ti Locking and 1.0 mm Instrument and
01.130.120 2.0 mm Ti VA Locking Hand Instrument and
01.130.210 1/3 Instrument Tray/Standard, for VA Locking

Hand System Set
01.130.211 1/3 Instrument Tray/Cutting and Bending, for
VA Locking Hand System Set
01.130.212 1/3 Instrument Tray/Reduction, for VA Locking
Hand System Set
Limited Warranty and Disclaimer: DePuy Synthes Trauma products are sold with a limited warranty to the original purchaser against defects in
workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed.
WARNING: In the USA, this product has labeling limitations. See package insert for complete information.
CAUTION: Federal Law restricts these devices to sale by or on the order of a physician.
CAUTION:Some devices listed in this technique guide may not have been licensed in accordance with Canadian law and may not be for sale in Canada.
Please contact your sales consultant for items approved for sale in Canada.
Synthes USA Products, LLC Synthes USA, LLC

1302 Wrights Lane East 1101 Synthes Avenue
West Chester, PA 19380 Monument, CO 80132
USA USA
Note: For recognized manufacturer, refer to the product label.
To order (USA): (800) 523-0322

To order (Canada): (800) 946-8999
www.depuysynthes.com
© DePuy Synthes 2015. All rights reserved.

DSUS/TRM/0115/0505(1) 10/15 DV

Dsustrm01150505-1 Va Hand TG

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VARIABLE ANGLE LOCKING

INTRODUCTION Variable Angle Locking Hand System Overview 2

Featured Plates & Technique Highlights 7

Screws in the System 18

SURGICAL TECHNIQUE Preoperative Planning and Reduction 27

Lag Screw Insertion (Optional) 29

Prepare and Insert Plate 37

PRODUCT INFORMATION Implants54

Image intensiﬁer control

Variable Angle Locking Hand System Surgical Technique DePuy Synthes Companies

The DePuy Synthes Variable Angle Locking Hand System

The Variable Angle Locking Hand System offers

Designed for the Surgeon and Patient

2 DePuy Synthes Companies Variable Angle Locking Hand System Surgical Technique

Variable Angle Locking Hand System Surgical Technique DePuy Synthes Companies 3

4 DePuy Synthes Companies Variable Angle Locking Hand System Surgical Technique

In 1958, the AO formulated four basic principles, which

4_Priciples_03.pdf 1 05.07.12 12:08

1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation.

The DePuy Synthes Variable Angle Locking Hand System

System indications include the following:

Caution: When using this system to treat skeletally

6 DePuy Synthes Companies Variable Angle Locking Hand System Surgical Technique

The plates contained in this section are featured implants

Phalangeal Head Plate Available sizes:

Right Plate Left Plate

Left Plate Right Plate

Variable Angle Locking Hand System Surgical Technique DePuy Synthes Companies 7

When implanting this plate, the following screw order

x Place a cortex screw in the elongated hole (1), leaving

Refer to surgical technique section for general plate and

8 DePuy Synthes Companies Variable Angle Locking Hand System Surgical Technique

Phalangeal Base Plate Available sizes:

Refer to surgical technique section for general plate and

Variable Angle Locking Hand System Surgical Technique DePuy Synthes Companies 9

Condylar Plate Available sizes:

When implanting this plate, the following screw order

Refer to surgical technique section for general plate and

First Metacarpal Plate, Dorsal Available sizes:

Position plate on the metacarpal. During plate placement,

Place a K-wire in any of the three K-wire holes, if needed,

When implanting this plate, the following screw order

Refer to surgical technique section for general plate and

*Benchtop testing may not be indicative of clinical performance. Testing on file at

Variable Angle Locking Hand System Surgical Technique DePuy Synthes Companies 11

First Metacarpal Plate, Lateral Available size:

Placement of the plate is fracture-dependent. When

Refer to surgical technique section for general plate and

Metacarpal Neck Plate Available size:

When implanting this plate, the following screw order

Variable Angle Locking Hand System Surgical Technique DePuy Synthes Companies 11

x Confirm screw placement and length under

Refer to surgical technique section for general plate and

Variable angle screws at nominal angle in head of plate.

Variable angle screws at 15° angulation in head of plate.

Rotation Correction Plate Available sizes:

When implanting this plate, the following screw order

Variable Angle Locking Hand System Surgical Technique DePuy Synthes Companies 11

Refer to surgical technique section for general plate and

Fracture Plate Available sizes:

When implanting this plate, the following screw order

Refer to surgical technique section for general plate and

1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal

INTRODUCTION Variable Angle Locking Hand System Overview 2

Featured Plates & Technique Highlights 7

Screws in the System 18

SURGICAL TECHNIQUE Preoperative Planning and Reduction 27

Lag Screw Insertion (Optional) 29

Prepare and Insert Plate 37

PRODUCT INFORMATION Implants54

1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation.

*Benchtop testing may not be indicative of clinical performance. Testing on file at

1. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal