SURGICAL TECHNIQUE

TOMOFIX

MEDIAL

DISTAL FEMUR PLATE

For closed-wedge varus

femoral osteotomies

SURGICAL TECHNIQUE

TOMOFIX

MEDIAL

DISTAL FEMUR PLATE

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies

TABLE OF CONTENTS

Image intensiﬁer control

INTRODUCTION

SURGICAL TECHNIQUE

PRODUCT INFORMATION

TOMOFIX

Medial Distal Femur Plate 2

AO Principles 4

Indications 5

Preparation 6

Perform Osteotomy 9

Position and Fixation of the Plate 14

Wound Closure 20

Implant Removal 21

Implants 22

Instruments 24

Set List 29

2 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

The DePuy Synthes Trauma TOMOFIX Medial Distal Femur (MDF)

Plate is designed according to Locking Compression Plate

(LCP

Implant) principles.

TOMOFIX MEDIAL DISTAL FEMUR PLATE

FOR CLOSED-WEDGE VARUS FEMORAL OSTEOTOMIES

TOMOFIX Medial High

Tibia Plate

• For open- and closed-

wedge osteotomies

• Available in standard and

small versions

TOMOFIX Medial Distal

Femur Plate

• For closed-wedge

osteotomies

• Plates available in right

and left versions

TOMOFIX Lateral High

Tibia Plate

• For open- and closed-

wedge osteotomies

• Plates available in right

and left versions

TOMOFIX Lateral Distal

Femur Plate

• For open- and closed-

wedge osteotomies

• Plates available in right

and left versions

The TOMOFIX Medial Distal Femur Plate is a part of the comprehensive TOMOFIX Osteotomy System

Low-proﬁ le design

Rounded surface and edges

reduce the risk of soft-tissue irritation

Anatomically precontoured

• Curved plate shaft allows for

screws’ trajectory to pass

centrally through the medullary

canal of the femur

• Contour of plate neck and head

facilitates plate placement and

reduces prominence

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 3

TOMOFIX Medial Distal Femur Plate

For closed-wedge varus femoral osteotomies

Interface for Articulated Tension Device

Enables compression of the osteotomy gap

The COMBI hole in the LCP Implant

combines dynamic compression with

ﬁ xed-angle locking

• 4.5 mm Ti Cortex Screws accepted in

the Dynamic Compression Unit (DCU)

• 5.0 mm Ti Locking Screws accepted

in the threaded locking portion

Four ﬁ xed-angle locking

holes distally

Facilitate stable support of

the condyles with 5.0 mm

Ti Locking Screws

Connection points for guiding block

Aids in maintaining proper

alignment of the threaded

drill guides

4 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

AO PRINCIPLES

In 1958, the AO formulated 4 basic principles which

have become the guidelines for internal ﬁxation.

They are:

Anatomic reduction

Fracture reduction and ﬁxation to restore

anatomic relationships.

Stable ﬁxation

Stability by ﬁxation or splintage, as the personality

of the fracture and the injury require.

Preservation of blood supply

Preservation of the blood supply to soft tissue and

bone by careful handling.

Early, active mobilization

Early and safe mobilization of the part and patient.

1. Müller ME, Allgöwer M, Schneider R, and Willenegger H:

Manual of Internal Fixation. 3rd Ed. Berlin, Germany: Springer-Verlag; 1991.

INDICATIONS

As part of the DePuy Synthes Trauma TOMOFIX Osteotomy

System, the TOMOFIX Medial Distal Femur Plate is indicated

for closed-wedge osteotomies, ﬁ xation of fractures, and

malalignment caused by injury or disease, such as

osteoarthritis of the medial distal femur.

TOMOFIX Osteotomy

System, the TOMOFIX Medial Distal Femur Plate is indicated

for closed-wedge osteotomies, ﬁ xation of fractures, and

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 5

Warning: This device is not approved for screw

attachment or ﬁ xation to the posterior elements

(pedicles) of the cervical, thoracic, or lumbar spine.

MR INFORMATION

These devices have not been evaluated for safety and

compatibility in the MR environment. They have not been

tested for heating, migration, or image artifact in the

MR environment.

6 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

PREPARATION

Prepare implant

Instruments

TOMOFIX Guiding Block, for Medial Distal

Femur Plate,

03.120.068 Right

03.120.069 Left

323.042 4.3 mm Threaded LCP Drill Guide

Select the appropriate implant and corresponding

guiding block.

Snap the guiding block onto the distal portion of the plate

and use it to maintain proper alignment while inserting the

4 drill guides.

Remove the guiding block.

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 7

Position patient

Place the patient in a supine position. Visualization of

the hip, knee, and ankle joint with the image intensiﬁ er

is necessary. Lower the contralateral leg at the hip joint to

facilitate access to the medial distal femur. Draping should

allow exposure of the iliac crest to permit intraoperative

checking of the leg axis.

Preparation

8 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

Preparation

Approach

With the knee in extension, make an anteromedial

longitudinal incision, starting 10 cm above the patella and

ending in the upper third of the patella. This incision can be

used again during subsequent surgeries (ie, endoprosthesis).

Incise the subcutaneous tissue and dissect the fascia of the

vastus medialis muscle. Elevate the muscle and dissect as

far as necessary from the intermuscular septum.

At the distal end of the incision, expose the medial patello-

femoral ligament. Incise the ligament and the distal insertion

of the vastus medialis muscle to facilitate mobilization of the

muscle. Expose the intermuscular septum near the condyles.

Incise the septum close to the bone and parallel to the

femoral shaft. Use a curved rasp to separate the soft tissue

of the back of the knee from the distal femur, to allow the

use of a wide, blunt-tipped Hohmann retractor behind

the femoral shaft.

Important: Use of a blunt Hohmann retractor is very

important for protecting the neurovascular structures.

Use the Hohmann retractor to expose the anteromedial

aspect of the supracondylar region of the femur.

Expose the shaft proximally so that the TOMOFIX

MDF Plate can be positioned safely.

If the plate is used for fracture ﬁxation, proceed to the

“Position and Fixation of the Plate” chapter.

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 9

PERFORM OSTEOTOMY

Determine position of osteotomy

Instrument

292.699 2.0 mm Kirschner Wire, threaded spade

point tip, 280 mm

Determine the position of the osteotomy by placing the

TOMOFIX MDF Plate directly on the anteromedial distal femur.

Due to the ﬁxed-angle construct of the plate, it is not

necessary to achieve a perfect ﬁt. However, it is important

to ensure that the distal screws do not penetrate the

condyles dorsally.

Plan a biplanar osteotomy with the transverse plane

perpendicular to the dorsal and the medial cortex. The

transverse osteotomy cuts should pass through 3/4 of the

bone leaving the ventral 1/4 intact, and end 5 –10 mm before

the lateral cortical bone, leaving a lateral hinge. The coronal

cut must ascend anteriorly at 90˚ – 110˚ and should exit the

anterior cortex after 2–5 cm. The transverse osteotomy

should be located under the solid region of the plate with

the head screws positioned distal of the osteotomy.

Important: Direction and localization of the

osteotomy are important for primary stability.

To achieve a high level of stability, make sure

that the transverse osteotomy

• is isosceles (L1= L2). This ensures full cortical

contact after closing the osteotomy.

• is oblique. This maximizes the contact surface.

• runs from the medial metaphyseal area into the

lateral condyle as blood supply and biomechanical

circumstances are most suitable in this area.

L1= L2

2–5 cm

1/4

3/4

90°–110°

•

10 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

Perform Osteotomy

Using the image intensiﬁer, choose the hinge point of the

osteotomy just proximal to the upper margin of the lateral

femur condyles 5 –10 mm from the lateral cortex. Insert 2

Kirschner wires aimed to coincide at the hinge point. The

distance between the Kirschner wires at the entry point is

according to the preoperative planning which is checked

using a ruler. Insert 2 Kirschner wires parallel to the

ﬁrst ones.

Important: In order to monitor the rotation when

closing the osteotomy, place 2 parallel Kirschner

wires where the plate will be positioned. One

Kirschner wire should be placed in the proximal

segment and the other should be placed in the distal

segment. Alternatively, longitudinal marks can be

made on the medial shaft and on the condyles.

Tip: To allow better access to the osteotomy, the

Kirschner wires can be shortened, while keeping

enough length to facilitate wire removal.

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 11

Perform Osteotomy

Perform osteotomy

Instrument

292.699 2.0 mm Kirschner Wire, threaded spade

point tip, 280 mm

Perform the transverse osteotomy cuts in the dorsal 3/4 of

the bone, parallel to the inserted Kirschner wires. The wires

will then act as a guide for the saw. Perform the osteotomies

with an oscillating saw, protecting the soft tissues dorsally

with a retractor and constantly cooling the saw blade.

Perform the ascending osteotomy cut in the ventral 1/4 of

the bone with a thinner saw blade, protecting the soft tissue

with a retractor and constantly cooling the saw blade.

Caution: Always use a new saw blade, as the use of

a blunt saw blade may lead to heat necrosis of the

bone and surrounding soft tissue.

Remove the wedge and check that any residual bone

fragments have been removed from the osteotomy before

closing. If the bone is very hard, weaken the lateral cortical

bone with a 2.5 mm drill bit or a Kirschner wire.

12 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

Perform Osteotomy

Alternative Technique

Single Plane Osteotomy

Perform the osteotomy by marking the planned wedge

removal with Kirschner wires (check the Kirschner wire

placement radiographically before cutting). The wires serve

as a guide for the saw. End the osteotomy 5–10 mm before

the lateral cortex, leaving a lateral hinge and removing a

medially based wedge. Perform the osteotomy with an

oscillating saw, protecting the soft tissue with a Hohmann

retractor and constantly cooling the saw blade.

Remove the wedge; check that any residual bone fragments

have been removed from the osteotomy. If the bone is very

hard, weaken the lateral cortex with a 2.5 mm drill bit.

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 13

Close osteotomy

Instrument

03.108.030 Alignment Rod

03.108.031 Stand for Alignment Rod

03.108.032 Small Stand for Alignment Rod

Close the osteotomy carefully by applying continuous

pressure to the lateral lower limb while stabilizing the knee

joint region. This may take several minutes.

The osteotomy gap can then either be held closed by manual

compression or with two crossed Kirschner wires, based on

the ﬁnal plate position.

Check the corrected mechanical axis with the image

intensiﬁer; position the alignment rod between the center

of the femoral head and the center of the ankle joint.

The projected axis line passes either centrally or medially

through the center of the knee joint, depending on the

preoperative plan.

Note: For more information regarding the Alignment

Rod, please refer to the Alignment Rod Technique

Guide (J9529).

Perform Osteotomy

14 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

POSITION AND FIXATION OF THE PLATE

Position implant

Instruments

292.699 2.0 mm Kirschner Wire, threaded spade

point tip, 280 mm

324.168 2.0 mm TOMOFIX Guide Sleeve

Position the TOMOFIX MDF Plate anteromedially on the distal

femur using the 4 distal pre-mounted drill guides so that the

solid plate segment bridges the osteotomy and the implant

shaft is parallel to the femoral shaft.

Insert the 2.0 mm TOMOFIX Guide Sleeve into the most distal

and anterior 4.3 mm threaded drill guide. Temporarily secure

the plate by inserting a Kirschner wire through the guide

sleeve and drill guide assembly.

Caution: Check the plate position and trajectory

of the Kirschner wire under the image intensiﬁer.

The Kirschner wire must not exit the condyles

posteriorly. Palpate the condyles posteriorly to

conﬁrm that the Kirschner wire did not exit the

condyles. If necessary, modify the plate position

or sagittal tilt.

To maintain alignment of the plate along the shaft of the

femur during distal plate ﬁxation, a second Kirschner wire

may be inserted through the second most proximal screw

hole in the plate shaft.

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 15

Insert distal locking screws

Instruments

310.430 4.3 mm Drill Bit, quick coupling, 221 mm

314.152 3.5 mm Hexagonal Screwdriver Shaft,

self-retaining

319.10 Depth Gauge, for large screws

324.052 3.5 mm Torque-Limiting Screwdriver,

self-retaining

Drill through the drill sleeves and measure for screw length

using the calibrated 4.3 mm drill bit or by removing the drill

sleeve and measuring with the depth gauge.

Note: The calibrated drill bit is read at the bottom

of the slider, the point closest to the drill guide.

Remove the drill sleeves. Insert screws in the three distal

holes not occupied by the Kirschner wire. Remove the

Kirschner wire and replace with a locking screw. Insert the

longest possible ﬁxed-angle, self-tapping locking screws

while ensuring the screws do not protrude beyond the

lateral cortex.

Using the image intensiﬁer, ensure the screws do not

penetrate the intercondylar notch prior to ﬁnal tightening

of the screws.

Important:

• Screws may be inserted using power; however,

ﬁnal seating and tightening should be done

manually.

• Lock the screws manually with the torque-limiting

screwdriver. When a click is heard, the optimum

torque has been reached.

If the plate is used for fracture ﬁxation, proceed to Step 4,

“Proximal ﬁxation.”

Position and Fixation of the Plate

16 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

Position and Fixation of the Plate

Compress osteotomy

Instruments

310.31 3.2 mm Drill Bit, quick coupling, 145 mm

314.152 3.5 mm Hexagonal Screwdriver Shaft,

self-retaining

319.10 Depth Gauge, for large screws

323.500 5.0 mm/4.5 mm LCP Universal Drill Sleeve

324.052 3.5 mm Torque-Limiting Screwdriver,

self-retaining

Compress the osteotomy gap by eccentrically inserting a

self-tapping 4.5 mm titanium cortex screw into the DCU

portion of the ﬁrst COMBI hole proximal to the osteotomy.

The screw should be aimed perpendicular or slightly

proximal to the plate to achieve compression. This

compression is particularly important if the lateral

femoral cortex fractured when closing the osteotomy.

Important: The 4.5 mm titanium cortex screw used

for compression of the osteotomy gap may be

inserted using power; however, ﬁnal seating should

be done manually.

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 17

Position and Fixation of the Plate

* Also available

Alternative Instrument

321.12* Articulated Tension Device

Alternatively, the articulated tension device can be used

in the most proximal hole to close the osteotomy gap and

obtain interfragmentary compression. This technique

requires additional soft tissue dissection.

18 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

Position and Fixation of the Plate

Proximal ﬁxation

Instruments

310.31 3.2 mm Drill Bit, quick coupling, 145 mm

314.152 3.5 mm Hexagonal Screwdriver Shaft,

self-retaining

323.500 5.0 mm/4.5 mm LCP Universal Drill Sleeve,

with 4.3 mm drill bit

324.052 3.5 mm Torque-Limiting Screwdriver,

self-retaining

Insert unicortical, self-tapping locking screws into the

remaining shaft holes from distal to proximal.

Note: In cases requiring increased stability, such as

poor bone quality, the use of bicortical screws may

be indicated.

To pierce the medial femoral cortex, insert the 3.5 mm

hexagonal screwdriver shaft into the hex recess of the

Universal Drill Sleeve. Center the 4.3 mm drill bit in the

locking portion of the COMBI hole to ensure proper

engagement of the ﬁxed-angle, self-drilling locking screws.

Important:

• Screws may be inserted using power; however,

ﬁnal seating and tightening should be done

manually.

• Lock the screws manually with the torque-limiting

screwdriver. When a click is heard, the optimum

torque has been reached.

Insert the locking screws using power initially and then

perform the ﬁnal tightening using the Torque-Limiting

Screwdriver.

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 19

Replace cortex screw

Instruments

310.430 4.3 mm Drill Bit, quick coupling, 221 mm

314.152 3.5 mm Hexagonal Screwdriver Shaft,

self-retaining

319.10 Depth Gauge, for large screws

323.042 4.3 mm Threaded LCP Drill Guide

324.052 3.5 mm Torque-Limiting Screwdriver,

self-retaining

Remove the cortex screw. Insert a 4.3 mm threaded drill

guide into the threaded part of the COMBI hole and drill

with the 4.3 mm drill bit. Measure for length and insert a

bicortical, self-tapping locking screw.

Important:

• Screws may be inserted using power; however,

ﬁnal seating and tightening should be done

manually.

• Lock the screws manually with the torque-limiting

screwdriver. When a click is heard, the optimum

torque has been reached.

Prior to ﬁnal tightening, verify the correction and the position

of the implant with the image intensiﬁer.

Tip: The addition of a lateral implant should be

considered in cases of rotational osteotomies or

when the lateral hinge breaks.

Position and Fixation of the Plate

20 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

WOUND CLOSURE

Conﬁrm implant position

Check the result of the correction and the position of the

implant using the image intensiﬁer and the alignment rod.

Wound closure

Close the arthrotomy, reattach the medial patellofemoral

ligament and the partially released distal insertion of the

vastus medialis muscle on the patella.

Close the wound layer by layer.

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 21

IMPLANT REMOVAL

Set

01.240.001 Screw Removal Set

The 5.0 mm titanium locking head screws and 4.5 mm

titanium cortex screws included in the TOMOFIX Instrument

and Implant Set have a 3.5 mm hex recess. If needed, the

tools included in the Screw Removal Set may be used to

facilitate implant removal.

22 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

IMPLANTS–PLATES

The TOMOFIX Medial Distal Femur (MDF) Plate is designed

according to the principles of the Locking Compression Plate

(LCP Implant). In the distal section, there are 4 threaded

holes, the directions of which are adapted to the anatomy of

the supracondylar femur. There are 2 COMBI holes and 2

locking holes in the proximal section. Right and left versions

allow for accurate positioning of the anteromedial section of

the distal femur and secure anchorage of the locking screws

in the femoral condyles.

04.120.550 Titanium TOMOFIX Medial Distal Femur Plate,

4 holes, right

04.120.551 Titanium TOMOFIX Medial Distal Femur Plate,

4 holes, left

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 23

IMPLANTS–SCREWS

5.0 mm Titanium Locking Head Screws

• Self-tapping tip

• Creates a locked, ﬁxed-angle screw-plate construct

• Threaded conical head

• Fully threaded shaft

5.0 mm Titanium Locking Head Screws

• Self-drilling tip

• Creates a locked, ﬁxed-angle screw-plate construct

• Threaded conical head

• Fully threaded shaft

4.5 mm Titanium Cortex Screws

• Self-tapping tip

• Compresses the osteotomy gap

• May be used in the nonthreaded DCU portion of the

COMBI holes in the plate shaft

The following screws are compatible with the plates found

in the TOMOFIX Osteotomy System:

24 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

INSTRUMENTS

312.46 4.5 mm / 3.2 mm Double Drill Sleeve

312.48 4.5 mm/3.2 mm Insert Drill Sleeve

292.699 2.0 mm Kirschner Wire, threaded spade

point tip, 280 mm

310.243 2.5 mm Drill Tip Guide Wire, 200 mm,

trocar point

310.31 3.2 mm Drill Bit, quick coupling,

145 mm

310.430 4.3 mm Drill Bit, quick coupling,

221 mm

311.44 T-Handle, with quick coupling

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 25

Instruments

312.924 TOMOFIX Guiding Block,

for Medial High Tibia, small

312.926 TOMOFIX Guiding Block,

for Medial High Tibia

312.930 TOMOFIX Guiding Block,

for Lateral High Tibia, right

312.931 TOMOFIX Guiding Block,

for Lateral High Tibia, left

312.932 TOMOFIX Guiding Block,

for Lateral Distal Femur, right

03.120.068 TOMOFIX Guiding Block for Medial Distal

Femur Plate, right

03.120.069 TOMOFIX Guiding Block for Medial Distal

Femur Plate, left

26 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

Instruments

314.152 3.5 mm Hexagonal Screwdriver Shaft,

self-retaining

319.10 Depth Gauge, for large screws

323.042 4.3 mm Threaded LCP Drill Guide

323.500 5.0 mm/4.5 mm LCP Universal Drill Sleeve,

with 4.3 mm Drill Bit

324.052 3.5 mm Torque-Limiting Screwdriver,

self-retaining

324.168 2.0 mm TOMOFIX Guide Sleeve

312.933 TOMOFIX Guiding Block,

for Lateral Distal Femur, left

Instruments

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 27

395.000 TOMOFIX Bone Spreader

395.001 TOMOFIX Osteotomy Gap Measuring

Device

399.097 Bone Spreader with 8 mm blade, medium

handle, soft ratchet

TOMOFIX Osteotomy Chisels

397.992 10 mm width

397.993 15 mm width

397.994 20 mm width

397.995 25 mm width

03.108.030 Alignment Rod

413.309 5.0 mm Titanium Spacer, 2 mm

03.108.032 Small Stand for Alignment Rod

03.108.031 Stand for Alignment Rod

28 DePuy Synthes Companies TOMOFIX Medial Distal Femur Plate Surgical Technique

Graphic Case

60.120.050 TOMOFIX Instrument and Titanium

Implant Set Graphic Case

Instruments

02.108.200 3.0 mm Drill Tip Guide Wire with Threads,

230 mm

03.108.030 Alignment Rod

03.108.031 Stand for Alignment Rod

03.108.032 Small Stand for Alignment Rod

292.699 2.0 mm Kirschner Wire, threaded spade

point tip, 280 mm, 10 ea.

310.243 2.5 mm Drill Tip Guide Wire, 200 mm,

trocar point, 10 ea.

310.31 3.2 mm Drill Bit, quick coupling, 145 mm, 2 ea.

310.430 4.3 mm Drill Bit, quick coupling, 221 mm, 2 ea.

311.44 T-Handle, with quick coupling

312.46 4.5 mm/3.2 mm Double Drill Sleeve

312.48 4.5 mm/3.2 mm Insert Drill Sleeve

TOMOFIX Guiding Blocks

03.120.068 for Medial Distal Femur Plate, right

03.120.069 for Medial Distal Femur Plate, left

312.924 for Medial High Tibia Plate, small

312.926 for Medial High Tibia Plate

312.930 for Lateral High Tibia Plate, right

312.931 for Lateral High Tibia Plate, left

312.932 for Lateral Distal Femur Plate, right

312.933 for Lateral Distal Femur Plate, left

314.152 3.5 mm Hexagonal Screwdriver Shaft,

self-retaining, 2 ea.

319.10 Depth Gauge, for large screws

323.042 4.3 mm Threaded LCP Drill Guide, 4 ea.

323.500 5.0 mm/4.5 mm LCP Universal Drill Sleeve,

with 4.3 mm Drill Bit

324.052 3.5 mm Torque-Limiting Screwdriver,

self-retaining

324.168 2.0 mm TOMOFIX Guide Sleeve

395.000 TOMOFIX Bone Spreader

395.001 TOMOFIX Osteotomy Gap Measuring Device

TOMOFIX INSTRUMENT AND IMPLANT SET

(01.108.000)

For detailed cleaning and sterilization instructions, please refer to:

www.synthes.com/cleaning-sterilization

In Canada, the cleaning and sterilization instructions will be provided with

the Loaner shipments.

◊

Available nonsterile or sterile-packed. Add “S” to product number to order sterile product.

TOMOFIX Osteotomy Chisels

397.992 10 mm width

397.993 15 mm width

397.994 20 mm width, 2 ea.

397.995 25 mm width

399.097 Bone Spreader with 8 mm blade, medium

handle, soft ratchet

413.309 5.0 mm Titanium Spacer, 2 mm, 3 ea.

Implants

5.0 mm Titanium Locking Head Screws, self-tapping, 3 ea.

Length (mm) Length (mm)

413.324 24 413.346 46

413.326 26 413.348 48

413.328 28 413.350 50

413.330 30 413.355 55

413.332 32 413.360 60

413.334 34 413.365 65

413.336 36 413.370 70

413.338 38 413.375 75

413.340 40 413.380 80

413.342 42 413.385 85

413.344 44 413.390 90

5.0 mm Titanium Locking Head Screw, self-drilling, 6 ea.

Length (mm)

413.426 26

4.5 mm Titanium Cortex Screws, self-tapping, 2 ea.

Length (mm) Length (mm)

414.824 24 414.840 40

414.826 26 414.842 42

414.828 28 414.844 44

414.830 30 414.846 46

414.832 32 414.848 48

414.834 34 414.850 50

414.836 36 414.852 52

414.838 38

440.831 Titanium TOMOFIX Medial High Tibia Plate,

small, 4 holes, 112 mm, 2 ea.

440.834 Titanium TOMOFIX Medial High Tibia Plate,

4 holes, 115 mm, 2 ea.

440.843 Titanium TOMOFIX Lateral High Tibia Plate,

3 holes, right, 102 mm

440.853 Titanium TOMOFIX Lateral High Tibia Plate,

3 holes, left, 102 mm

440.864 Titanium TOMOFIX Lateral Distal Femur Plate,

4 holes, right, 141 mm

440.874 Titanium TOMOFIX Lateral Distal Femur Plate,

4 holes, left, 141 mm

04.120.550

◊

Titanium TOMOFIX Medial Distal Femur Plate,

4 holes, right, 113.5 mm

04.120.551

◊

Titanium TOMOFIX Medial Distal Femur Plate,

4 holes, left, 113.5 mm

Also Available

292.21 2.0 mm Kirschner Wire with trocar point,

285 mm, 10/pkg.

292.76 2.5 mm Kirschner Wire with 15 mm thread

trocar point, 200 mm, 10/pkg.

321.12 Articulated Tension Device, with gauge,

span 20 mm

511.771 Torque-Limiting Attachment, 4 Nm

60.120.054 Label Sheet for TOMOFIX Medial Distal Femur

Plate and Guide Block

TOMOFIX Instrument and Implant Set (01.108.000)

TOMOFIX Medial Distal Femur Plate Surgical Technique DePuy Synthes Companies 29

DSUS/TRM/0914/0242 4/15 DV

CAUTION: Federal Law Restricts These Devices To Sale By Or On The Order Of A Physician.

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.

Legal manufacturer (Canada):

Synthes (Canada) Ltd.

2566 Meadowpine Boulevard

Mississauga, Ontario L5N 6P9

Telephone: (905) 567-0440

To order: (800) 668-1119

Fax: (905) 567-3185

Manufactured by (United States):

Synthes USA Products, LLC

1302 Wrights Lane East

West Chester, PA 19380

Telephone: (610) 719-5000

To order: (800) 523-0322

Fax: (610) 251-9056