Variable Angle Hand Locking System Campbell MD
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Variable Angle Locking Hand System for Fracture Repair and Deformity Correction
Variable Angle Locking Hand System for Fracture Repair and Deformity Correction
Commonly Used Devices
Commonly Used Devices
Variable Angle Locking Hand System Plates Chart
Phalangeal Head Plate
Designed with an anatomic contour and hole configuration to facilitate fixation of fractures of the middle and proximal phalangeal head. Elongated hole for adjustment of plate position. Ulnar or radial plate placement. Curved plate designed to follow the natural curve of the phalanx. Screw configuration in the head is designed to span the attachment of the collateral ligament. Available in Right and Left orientations. Designed for periarticular fractures and articular fractures of the distal phalanx.
Phalangeal Base Plate
Designed with an anatomic contour and hole configuration to facilitate fixation of fractures at the base of the middle and proximal phalanx. Elongated hole for adjustment of plate position. Lateral or dorsal placement. Designed for metaphyseal transverse, oblique, or comminuted fractures of the phalanx.
Condylar Plate
Straight plate with hole configuration designed to facilitate fixation of the middle and proximal phalanx, and the metacarpals. Elongated hole for adjustment of plate position. Lateral or dorsal placement. Designed for metaphyseal transverse, oblique, or comminuted fractures of the phalanx and metacarpals.
First Metacarpal Plate, Dorsal
Designed with an anatomic contour and hole configuration to facilitate fixation in fractures of the base of the first metacarpal. Elongated hole for adjustment of plate position. Dorsal placement on the first metacarpal with the wide end of the plate placed proximally. Three 1.0 mm K-wire holes accept K-wires, 1.0 mm or smaller, for provisional fixation. 4 variable angle screw holes in head designed to facilitate capture of fracture fragments.
Rotation Correction Plate
Designed with an anatomic contour and hole configuration to facilitate fixation of the metacarpals and phalanges. 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. Design of the plate head facilitates contouring to the anatomy of the condyles. Designed for fractures and osteotomies of the metacarpals and phalanges.
Fracture Plate*
Designed for indirect reduction techniques where bridging or in-situ reduction is desired. Allows adjustment of rotation and angulation before fixed angle construct is applied. Consistent with AO indirect reduction techniques of external fixation.1,2 Two elongated holes for intraoperative correction in 2 planes. Dorsal placement. Staggered shaft. Designed for crushed, multi-fragmented, and/or periarticular fractures of the metacarpals and phalanges.

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. Self-tapping tip facilitates insertion.

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.

1.5 mm Cortex Screws
Can be used in the variable angle locking holes to compress the plate to the bone. Self-retaining, T4 STARDRIVE™ Recess. Self-tapping tip facilitates insertion.
Also Available
1.5 mm Locking Screws only used on-axis – Compatible with 1.5 mm Variable Angle Locking Plates

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. Self-retaining, T6 STARDRIVE™ Recess. Blunt, self-tapping tip.
Also Available
1.5 mm Locking Screws only used on-axis – Compatible with 1.5 mm Variable Angle Locking Plates.

2.0 mm Cortex Screws
Can be used in the variable angle locking holes to compress the plate to the bone. Self-retaining, T6 STARDRIVE™ Recess. Self-tapping tip facilitates insertion.
Also Available
2.0 mm Locking Screws only used on-axis – Compatible with 2.0 mm Variable Angle Locking Plates

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.
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.
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.

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.

Plate Holder with Plate
The arms of the plate holders can also be placed in two adjacent holes.

Plate Holder with Plate 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.

Plate Holder with Plate Outside Edges

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 Close Up

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)

Screwdriver Handle with Hex Coupling Exploded View
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.

STARDRIVE™ 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 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 Nominal Angle Freehand
Summary Table Instruments Chart
ADDITIONAL INFORMATION ON INSTRUMENTS, IMPLANTS, AND SCREWS CAN BE FOUND IN THE SURGICAL TECHNIQUE DOCUMENT