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Orthofix ABS contents

Upper Extremity

HAND

FracturesFractures

1A.1 Fracture of the shaft of the 5th metacarpal (M400 series).

1A.2 Fracture of the distal (subcapital) region of the 5th metacarpal (M400 series).

1A.3 Proximal intra-articular fracture of the 1st metacarpal (M400 series).

1A.4 Fracture of the proximal phalanx of the index finger (M400 series).

1A.5 Distal intra-articular fracture of the 2nd or 5th (illustrated) metacarpal (M100 series); 3mm screws, or threaded wires may be used.

1A.6 Fixation of a phalangeal fracture with the Fragment Fixation System.

1A.7 Reattachment of avulsed tendon in mallet finger, using the Fragment Fixation System.

Joint stiffnessJoint stiffness

1A.8 Articulated distraction of the 2nd or 5th (illustrated) metacarpal for long-standing joint stiffness (M100 series); 3mm screws, or threaded wires may be used.

Correction of deformityCorrection of deformity

1A.9 (a) Deformity of proximal phalanx showing section of bone to be removed. (b) Following removal of wedge of bone and stabilization with minifixator (M400 series).

1A.10 (a) Deformity of proximal phalanx showing section of bone to be removed. (b) Following removal of wedge of bone and stabilization with the Fragment Fixation System.

Non unionNon union

1A.11 Aseptic or infected non union of a metacarpal treated by compression with minifixator (M400 series).

Soft tissueSoft tissue

1A.12 Soft tissue contracture of the first web space treated by distraction with the minifixator (M400 series).

1A.13 Soft tissue contracture of the first web space treated by distraction with the M100 series. Note: One screw and a screw shaft in each clamp.

LengtheningLengthening

1A.14 Lengthening of 1st metacarpal by callotasis in a patient with amputation of the thumb; M400 series.

1A.15 Lengthening of the 1st metacarpal by callotasis in a patient with amputation of the thumb (M100 series).

1A.16 Lengthening of the 1st metacarpal by callotasis in a patient with amputation of the thumb (M100 series). Image shows use of a T-Clamp where space is limited.

Bone lossBone loss

1A.17 Bone transport to fill a defect in the second metacarpal; M400 series. Arrow shows the direction of movement of the middle clamp.

WRIST

FracturesFractures

1B.1 (a) Unstable, intra-articular distal radius fracture (37000 series). (b) Optional ulna outrigger to prevent pronation/supination.

1B.2 Unstable, intra-articular distal radius fracture. Image shows use of Fragment Fixation System Implants to stabilize fragments.

1B.3 Unstable, intra-articular distal radius fracture (RadioLucent Wrist Fixator).

1B.4 Unstable, intra-articular distal radius fracture (31000 series). For use in large or unreliable patients.

1B.5 Unstable, intra-articular distal radius fracture (Galaxy Fixation™ system).

1B.6 Unstable, intra-articular distal radius fracture (Galaxy Fixation™ system)

1B.7 Extra-articular fracture of distal radius (Galaxy Fixation™ system).

1B.8 Extra-articular fracture of distal radius (Galaxy Fixation™ system)

1B.9 Comminuted intra-articular fracture of the distal radius treated with a volar plate (Contours VPS-2)

1B.10 Comminuted intra-articular fracture of the distal radius treated with a volar plate (Contours VPS-3).

1B.11 Extra-articular fracture of distal radius (37000 series with RadioLucent Wrist Clamp).

1B.12 Extra-articular fracture of distal radius (37000 series with T-Clamp).

1B.13 Extra-articular fracture of distal ulna (M400 series).

Correction of deformityCorrection of deformity

1B.14 (a) Deformity of distal radius; partial osteotomy with fixator (37000 series) in place. (b) Acute correction with bone graft filling the gap. (c) Progressive correction by hemicallotasis, with newly formed callus filling the gap.

Soft tissueSoft tissue

1B.15 (a) Radial Club Hand. M2 Multiplanar MiniRail in place. (b) Gradual correction achieved.

FOREARM

FracturesFractures

1C.1 Fracture of radial and/or ulnar diaphysis (Galaxy Fixation™ system).

1C.2 Fracture of radial and/or ulnar diaphysis (31000 series).

1C.3 Fracture of radial and/or ulnar diaphysis (RadioLucent Wrist Fixator).

1C.4 Fracture of radial and/or ulnar diaphysis (37000 series). Inset shows fracture of radial head stabilized with the Fragment Fixation System.

1C.5 Radial and/or ulnar diaphysis fracture in children treated with Galaxy Fixation™ system.

LengtheningLengthening

1C.6 (a) Short radius; osteotomy performed. (b) Lengthening (M100 series).

1C.7 (a) Short ulna; osteotomy performed. (b) Lengthening (M400 series).

1C.8 Lengthening of radial diaphysis (55000 series).

1C.9 Lengthening of ulnar diaphysis (55000 series).

1C.10 Ulna lengthening over an ender nail with M100 series.

Bone lossBone loss

1C.11 Bone loss in ulna, treated by bone transport with 55000 series fixator.

1C.12 Bone loss in radius treated by bone transport with 55000 series fixator.

ELBOW

Fracture/dislocationFracture/dislocation

1D.1 (a) Stabilized with the Galaxy Elbow Fixation System. Caution: radial nerve. (b) Elbow fixator with the Elbow Motion Unit in place.

1D.2 (a) Fracture and/or dislocation of the elbow. (b) Elbow fixator in place with Extended Range Clamp for ulnar screws. Caution: radial nerve.

Correction of deformityCorrection of deformity

1D.3 Cubitus varus in a child. (a) Eight-Plate in place. (b) Deformity corrected with the eight-Plate through guided growth.

Following removal of an infected prosthesisFollowing removal of an infected prosthesis

1D.4 Use of the Elbow Fixator as an interim measure to maintain movement following removal of an infected prosthesis and prior to joint replacement. Caution: radial nerve.

FusionFusion

1D.5 Elbow fusion; 90000 series with Torbay Garches Clamp for ulna. Caution: radial nerve.

Stiff elbowStiff elbow

1D.6 (a) Stiff, impacted elbow joint with limited motion. (b) Initial distraction with Elbow Distractor Unit. Humeral screws are inserted in the humeral distractor clamp and temporary ulnar screws in the ulnar distractor clamp. (c) Galaxy Elbow Hinge Fixator in place; joint distracted and locked in maximum flexion for 1-3 days. (d) After this period mobilization is allowed with the Elbow Motion Unit in place.

1D.7 (a) Stiff, impacted elbow joint with limited motion. (b) Initial distraction with ProCallus Fixator with Straight Clamp on humeral screws and T-Clamp on temporary proximal ulnar screws. (c) Elbow Fixator in place; joint distracted and mobilized after rest period. (d) Post-operative range of movement increased immediately following operation and further by physiotherapy.

Joint revisionJoint revision

1D.8 Cemented Elbow revision, cement removal.

HUMERUS

FracturesFractures

1E.1 Proximal humeral fracture treated with Galaxy Fixation™ Shoulder system. Caution: nerves.

1E.2 Proximal humeral fracture treated with Contours PHP. Caution: nerves.

1E.3 Proximal humeral fracture in children or small adults; 31000 series with T-Clamp proximally. Caution: nerves.

1E.4 Proximal humeral fracture; XCaliber Fixator with T-Clamp proximally. Caution: nerves.

1E.5 Proximal humeral fracture; 90000 series with Torbay Garches Clamp proximally. Caution: nerves.

1E.6 Proximal humeral fracture; 90000 series with Metaphyseal Clamp proximally. A T-Clamp could also be used. Caution: nerves.

1E.7 Proximal humeral fracture stabilized with the Centronail Titanium Humeral Nailing System (Proximal Humeral Nail).

1E.8 Proximal humeral fracture stabilized with the Centronail Titanium Humeral Nailing System (Proximal Humeral Nail Long).

1E.9 Reconstruction of the humeral head using the Fragment Fixation System.

1E.10 Fracture of the humeral shaft stabilized using the Prefix2 Fixator (92000 series); Prefix2 fixator MRI Conditional. Caution: radial nerve, open procedure for distal screws.

1E.11 Humeral diaphysis fracture in children or small adults treated with Galaxy Fixation™ system. Caution: nerves.

1E.12 Humeral diaphysis fracture in children treated with Galaxy Fixation™ system. Caution: nerves

1E.13 Humeral shaft fracture treated with the Centronail Titanium Humeral Nailing System (Standard Humeral Nail). Antegrade insertion

1E.14 Humeral shaft fracture treated with the Centronail Titanium Humeral Nailing System (Standard Humeral Nail). Retrograde insertion

1E.15 Humeral shaft fracture (XCaliber Fixator). Caution: radial nerve, open procedure for distal screws.

1E.16 Humeral shaft fracture (90000 series). Caution: radial nerve, open procedure for distal screws.

1E.17 Epicondylar fracture stabilized with the Fragment Fixation System.

1E.18 Humeral shaft fracture (31000 series). Caution: radial nerve, open procedure for distal screws.

Correction of deformityCorrection of deformity

1E.18 (a) Midshaft deformity of humerus in children or small adults with fixator (31000 series) applied. Caution: radial nerve, open procedure for distal screws. (b) Osteotomy and correction of deformity.

1E.19 (a) Midshaft deformity of humerus with fixator (90000 series) applied. Caution: radial nerve, open procedure for distal screws. (b) Osteotomy and correction of deformity.

1E.20 Angular deformity of humerus; Limb Reconstruction System with Acute Correction Template. (a) Clamp Template on rail and acute correction template at end of rail. Caution: radial nerve, open procedure for all screws. (b) Osteotomy and correction of deformity; definitive fixator in place.

1E.21 (a) Midshaft deformity of the humerus in children; Radiolucent Wrist Fixator applied. Caution: radial nerve, open procedure for distal screws. (b) Osteotomy and correction of deformity.

FracturesFractures

1E.1 Proximal humeral fracture treated with Galaxy Fixation™ Shoulder system. Caution: nerves.

1E.2 Proximal humeral fracture treated with Contours PHP. Caution: nerves.

1E.3 Proximal humeral fracture in children or small adults; 31000 series with T-Clamp proximally. Caution: nerves.

1E.4 Proximal humeral fracture; XCaliber Fixator with T-Clamp proximally. Caution: nerves.

1E.5 Proximal humeral fracture; 90000 series with Torbay Garches Clamp proximally. Caution: nerves.

1E.6 Proximal humeral fracture; 90000 series with Metaphyseal Clamp proximally. A T-Clamp could also be used. Caution: nerves.

1E.7 Proximal humeral fracture stabilized with the Centronail Titanium Humeral Nailing System (Proximal Humeral Nail).

1E.8 Proximal humeral fracture stabilized with the Centronail Titanium Humeral Nailing System (Proximal Humeral Nail Long).

1E.9 Reconstruction of the humeral head using the Fragment Fixation System.

1E.10 Fracture of the humeral shaft stabilized using the Prefix2 Fixator (92000 series); Prefix2 fixator MRI Conditional. Caution: radial nerve, open procedure for distal screws.

1E.11 Humeral diaphysis fracture in children or small adults treated with Galaxy Fixation™ system. Caution: nerves.

1E.12 Humeral diaphysis fracture in children treated with Galaxy Fixation™ system. Caution: nerves

1E.13 Humeral shaft fracture treated with the Centronail Titanium Humeral Nailing System (Standard Humeral Nail). Antegrade insertion

1E.14 Humeral shaft fracture treated with the Centronail Titanium Humeral Nailing System (Standard Humeral Nail). Retrograde insertion

1E.15 Humeral shaft fracture (XCaliber Fixator). Caution: radial nerve, open procedure for distal screws.

1E.16 Humeral shaft fracture (90000 series). Caution: radial nerve, open procedure for distal screws.

1E.17 Epicondylar fracture stabilized with the Fragment Fixation System.

1E.18 Humeral shaft fracture (31000 series). Caution: radial nerve, open procedure for distal screws.

Correction of deformityCorrection of deformity

1E.18 (a) Midshaft deformity of humerus in children or small adults with fixator (31000 series) applied. Caution: radial nerve, open procedure for distal screws. (b) Osteotomy and correction of deformity.

1E.19 (a) Midshaft deformity of humerus with fixator (90000 series) applied. Caution: radial nerve, open procedure for distal screws. (b) Osteotomy and correction of deformity.

1E.20 Angular deformity of humerus; Limb Reconstruction System with Acute Correction Template. (a) Clamp Template on rail and acute correction template at end of rail. Caution: radial nerve, open procedure for all screws. (b) Osteotomy and correction of deformity; definitive fixator in place.

1E.21 (a) Midshaft deformity of the humerus in children; Radiolucent Wrist Fixator applied. Caution: radial nerve, open procedure for distal screws. (b) Osteotomy and correction of deformity.

Non unionNon union

1E.22 Non union of the humeral shaft in children and small adults treated by compression using the 31000 series. Caution: radial nerve, open procedure for distal screws.

1E.23 Non union of humeral shaft treated by compression, using the 90000 series. Caution: radial nerve, open procedure for distal screws.

1E.24 Non union of the humeral shaft treated by compression, using the 55000 series. Caution: radial nerve, open procedure for all screws.

1E.25 Humeral non union treated with the Centronail Titanium Humeral Nailing System. Caution: axillary and radial nerves.

LengtheningLengthening

1E.26 (a) Short humeral diaphysis; Limb Reconstruction System (55000 series) in place; osteotomy performed. (b) Lengthening. Caution: radial nerve, open procedure for all screws.

Correction of deformity with lengtheningCorrection of deformity with lengthening

1E.27 Midshaft deformity in a short humerus; Limb Reconstruction System with Acute Correction Template. (a) Clamp template on rail and acute correction template at end of rail. (b) Osteotomy and correction of deformity; definitive fixator in place. (c) Lengthening at site of original deformity. Caution: radial nerve, open procedure for all screws.

Bone lossBone loss

1E.28 Bone loss in humerus, treated by bone transport with 55000 series. Caution: radial and axillary nerves; open procedure for all screws.

Joint revisionJoint revision

1E.29 Cemented Shoulder revision, cement removal.

Pelvis and Hip

PELVIS

Fractures and disruptionsFractures and disruptions

2A.1 Fracture dislocation of the pelvis. Iliac crest application of the Galaxy Fixator. Laparotomy possible with fixator in place. Use of HA-coated screws is recommended.

2A.2 Fracture dislocation of the pelvis. Hybrid application (one screw anterior and one in the iliac crest). Use of HA-coated screws is recommended.

2A.3 Iliac crest application of the Pelvic Fixator Long Body with Ball-jointed Modules for Independent Screw Placement. Laparotomy possible with fixator in place. (a) Viewed from above. (b) Lateral view. Use of HA-coated screws is recommended.

2A.4 Fracture dislocation of the pelvis; anterior stabilization. Anterior application of the Pelvic Fixator Short Body with T-Clamps. Laparotomy possible with fixator in place. Use of HA-coated screws is recommended.

2A.5 Fracture dislocation of the pelvis; anterior stabilization. Anterior application (31000 series). Laparotomy possible with fixator in place. Use of HA-coated screws is recommended.

2A.6 Anterior application of the Prefix2 Fixator.

2A.7 Iliac crest application of the Prefix2 Fixator.

2A.8 Fracture dislocation of the pelvis. Anterior application with Galaxy Fixation™ system. Use of HA-coated screws is recommended.

HIP

Acetabular fracturesAcetabular fractures

2B.1 Acetabular fracture disimpacted using the Galaxy Fixation™ system. When other injuries prevent internal fixation.

2B.2 Acetabular fracture disimpacted using the Pelvic Fixator long body. When other injuries prevent internal fixation.

2B.3 Acetabular fracture disimpacted using the Prefix2 Fixator. When other injuries prevent internal fixation.

Articulated distractionArticulated distraction

2B.4 Articulated distraction of the hip joint; ProCallus Fixator (90000 series) with Articulated Body and T-Clamp (or Trauma Garches Clamp, see inset) for pelvic screws. Use of HA-coated screws in the pelvis is recommended.

FusionFusion

2B.5 Hip fusion using the ProCallus Fixator (90000 series) with Trauma Garches Clamp (or T-Clamp) for the pelvic screws. Use of HA-coated screws is recommended.

2B.6 Hip fusion (31000 series) with the Small Blue DAF T-Clamp for the pelvic screws. Use of HA-coated screws is recommended.

Fusion with concomitant femoral lengtheningFusion with concomitant femoral lengthening

2B.7 Hip fusion and concomitant femoral shaft lengthening using the 53000 series in combination with the Trauma Garches Clamp (or T-Clamp). Use of HA-coated screws is recommended.

2B.8 Hip fusion and concomitant femoral shaft lengthening using the 55000 series in combination with the Small Blue DAF T-Clamp. Use of HA-coated screws is recommended.

Joint revisionJoint revision

2B.9 Cemented hip revision, cement removal.

2B.10 Aid of uncemented prosthesis removal.

Lower Extremity

FEMUR

FracturesFractures

3A.1 Pertrochanteric fracture treated with PC.C.P. (Percutaneous Compression Plate).

3A.2 Pertrochanteric fracture treated using the Pertrochanteric Fixator. Use of HA-coated screws is recommended.

3A.3 Pertrochanteric fracture treated with Veronail, short model. Parallel configuration with sliding cephalic screws: indicated in 31.A1 and 31.A2 fractures according to the AO Classification.

3A.4 Pertrochanteric fracture treated with Veronail, short model. Convergent configuration with locked convergent cephalic screws: indicated in 31.A3 fractures according to the AO Classification.

3A.5 90000 series with Angled Clamp proximally. Use of HA-coated screws in proximal clamp is recommended.

3A.6 Centronail Titanium Universal Femoral Nailing System with Recon screws.

3A.7 Pertrochanteric and Shaft Fracture treated with Veronail, long model. Parallel configuration with sliding cephalic screws: indicated in 31.A1 and 31.A2 fractures according to the AO Classification.

3A.8 Pertrochanteric and Shaft Fracture treated with Veronail, long model. Convergent configuration with locked convergent cephalic screws: indicated in 31.A3 fractures according to the AO Classification.

3A.9 Fracture of the femoral shaft; stabilized using the XCaliber Fixator (91000 series).

3A.10 Fracture of the femoral shaft; stabilized using the 90000 series with an additional screw for the unstable third fragment, in a screw holder attached to one of the bone screws.

3A.11 Fracture of the femoral shaft stabilized using the Galaxy Fixation™ system.

3A.12 Fracture of the femoral shaft temporarily stabilized using the Prefix2 Fixator (92000 series).

3A.13 Fracture of the femoral shaft treated with the Centronail Titanium Universal Femoral Nailing System. Antegrade insertion.

3A.14 Fracture of the femoral shaft treated with the Centronail Titanium Universal Femoral Nailing System. Retrograde insertion.

3A.15 Distal femoral fracture treated with the Centronail Titanium Supracondylar and Retrograde Nailing System.

3A.16 Distal femoral fracture stabilized using the XCaliber Fixator (91000 series) with the T-Clamp distally.

3A.17 Distal femoral fracture stabilized using the 90000 series with the Metaphyseal Clamp distally.

3A.18 Distal femoral fracture stabilized using the 90000 series with the T-Clamp distally.

3A.19 Distal femoral fracture stabilized using the 90000 series with the Torbay Garches Clamp distally.

3A.20 Fracture of the femoral shaft stabilised using the Galaxy Fixation™ system.

3A.21 Femural diaphysis fracture in children treated with Galaxy Fixation™ system system.

Correction of deformityCorrection of deformity

3A.22 Angular (valgus) deformity distal femur; Paediatric LRS with LRS Straight Clamp Template for Acute Correction. (a) Straight Clamp on rail and Acute Correction Template at end of rail. (b) Osteotomy and correction of deformity; definitive fixator in place. Use of HA-coated screws is recommended.

3A.23 Angular (valgus) deformity distal femur; LRS ADVanced with Acute Correction Template. (a) Straight Clamp on rail and Acute Correction Template at end of rail. (b) Osteotomy and correction of deformity; definitive fixator in place. Use of HA-coated screws is recommended.

3A.24 Rotational deformity of femur; LRS ADVanced with Acute Correction Templates. (a) Acute Correction template on rail and Rotational Correction Template offset from the rail. (b) Osteotomy and correction of deformity; 53000 fixator in place. Use of HA-coated screws is recommended.

3A.25 (a) Diaphyseal deformity of femur; 90000 series fixator in place. (b) Osteotomy and correction of deformity. Use of HA-coated screws is recommended.

3A.26 Valgus deformity distal femur; LRS ADVanced with Micrometric Swivelling Clamp. (a) 53000 series fixator in place with Micrometric Swivelling Clamp distally and Translation Clamp proximally. (b) Osteotomy and correction of angular deformity and translation. Use of HA-coated screws is recommended.

3A.27 Varus deformity of proximal femur; LRS ADVanced with Multiplanar Clamp. (a) 53000 series fixator in place with Multiplanar Clamp proximally; osteotomy performed. (b) Initial lengthening by Callotasis to stretch soft tissues slowly. (c) Acute shortening and angular correction by callus manipulation. Use of HA-coated screws is recommended.

3A.28 Distal valgus deformity. (a) TL-HEX in place. (b) Progressive correction of deformity.

3A.29 Distal valgus deformity. (a) TrueLok Fixator in place. (b) Progressive correction of deformity.

3A.30 Valgus deformity of distal femur; ProCallus Fixator with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) 90000 series fixator in place; osteotomy performed. (b) Progressive correction of deformity by hemicallotasis. Use of HA-coated screws is recommended.

LengtheningLengthening

3A.31 (a) Short femur; LRS ADVanced (53000 series) in place. (b) Osteotomy. (c) Monofocal lengthening. Use of HA-coated screws is recommended.

3A.32 (a) Very short femur. LRS ADVanced in place. (b) Proximal and distal osteotomies. (c) Simultaneous lengthening at each osteotomy site; middle clamp locked to rail, proximal and distal clamps moved in direction of the arrows. Inset shows Micrometric Swivelling Clamp which can be used instead of a Straight Clamp at either end for adult applications. Use of HA-coated screws is recommended.

3A.33 (a) Short femur. Stabilization with an intramedullary nail. Interlocking screws proximally, only. Midshaft osteotomy. LRS ADVanced (53000 series) in place. (b) Lengthening at osteotomy site with middle clamp locked to the rail. (c) Lengthening complete; nail locked distally and fixator removed. Use of HA-coated screws is recommended.

Correction of deformity with lengtheningCorrection of deformity with lengthening

3A.34 Distal valgus deformity in a short femur; LRS ADVanced with Micrometric Swivelling Clamp. (a) 53000 series fixator in place with Micrometric Swivelling Clamp distally. (b) Distal osteotomy; distal clamp loosened; acute correction of deformity. Caution: Correct translation. (c) Lengthening at proximal osteotomy site. Use of HA-coated screws is recommended.

3A.35 Proximal varus deformity in a short femur. LRS ADVanced with Multiplanar Clamp. (a) 53000 series fixator in place with Multiplanar Clamp proximally; osteotomy performed and initial lengthening by callotasis to stretch soft tissues. (b) Acute shortening and correction by callus manipulation, and completion of lengthening. Use of HA-coated screws is recommended.

3A.36 Distal valgus deformity in a short femur; LRS ADVanced with Acute Correction Template. (a) Straight Clamp on rail and Acute Correction Template at end of rail. (b) Osteotomy and correction of deformity; definitive fixator in place. (c) Lengthening to restore original bone length. Use of HA-coated screws is recommended.

3A.37 Short femur with diaphyseal deformity or non union. (a) LRS ADVanced (53000 series) fixator in place with Micrometric Swivelling Clamp distally. (b) Distal osteotomy; distal clamp loosened; acute correction of deformity, Caution: Correct translation. Compression of non union between middle and distal clamps. Proximal osteotomy for lengthening. (c) Lengthening at proximal osteotomy site. Use of HA-coated screws is recommended.

Correction of deformity following lengtheningCorrection of deformity following lengthening

3A.38 Correction of a varus deformity of the distal femur which has occurred during lengthening with the LRS ADVanced. (a) Angular deformity following lengthening procedure; the distal clamp of 53000 series fixator is a Micrometric Swivelling Clamp. (b) Deformity corrected by acute shortening and callus manipulation. Use of HA-coated screws is recommended. Note: When a Paediatric Swivelling Clamp is sed, it should be applied only for correction of the deformity. Do not lengthen with the Paediatric Swivelling Clamp.

3A.39 Varus deformity of the proximal femur following lengthening; the LRS ADVanced with the Multiplanar Clamp. (a) Angular deformity following lengthening. (b) Acute shortening and correction of deformity by callus manipulation. Use of HA-coated screws is recommended.

Bone lossBone loss

3A.40 Large proximal or distal defect, with or without loss of length. (a) Large distal defect in the femur; LRS ADVanced (53000 series) in place. Proximal metaphyseal osteotomy. (b) Middle segment moved distally until docking occurs. (c) Optional additional lengthening proximally, if indicated. Use of HA-coated screws is recommended.

3A.41 Large central bony defect. (a) LRS ADVanced (53000 series) in place. (b) Proximal and distal metaphyseal osteotomies performed. (c) Simultaneous proximal and distal transport until segments meet. Use of HA-coated screws is recommended.

3A.42 Large peripheral bony defect. (a) LRS ADVanced (53000 series) in place. (b) Two osteotomies performed in the longer bone segment. (c) Simultaneous proximal transport with both middle clamps moved proximally until gap closed. Use of HA-coated screws is recommended.

3A.43 (a) Small distal defect in the femur. LRS ADVanced (53000 series) in place. (b) Immediate compression between middle and distal clamps; proximal osteotomy. (c) Lengthening at proximal osteotomy site until length restored. Use of HA-coated screws is recommended.

Major soft tissue defectsMajor soft tissue defects

3A.44 (a) Fracture with major soft tissue defect and denuded bone, or non union with osteomyelitis and soft tissue necrosis. LRS ADVanced (53000 series) in place. (b) Debridement and resection of sufficient bone to allow soft tissue closure. Stabilization distally between middle and distal clamps. Proximal metaphyseal osteotomy. (c) Distraction between proximal and middle clamps to restore original bone length. Use of HA-coated screws is recommended.

KNEE

FracturesFractures

3B.1 Articular fracture of the distal femur stabilized using the Galaxy Fixation™ system.

3B.2 Articular fracture of the distal femur temporarily stabilized using the Prefix2 Fixator (92000 series) crossing the knee.

3B.3 Articular fracture of the distal femur temporarily stabilized using the Prefix2 Fixator (92000 series)­­ crossing the knee. Image shows use of Multi-screw clamps.

3B.4 Articular fracture of the distal femur stabilized using the TrueLok Fixator.

3B.5 Articular fracture of the distal femur stabilized using the Sheffield Ring Fixator with Reduction Bars connecting two rings.

3B.6 Articular fracture of the distal femur stabilized using the Sheffield Ring Fixator with Threaded Bars connecting two rings.

3B.7 Articular fracture of distal femur. Minimal internal fixation with the Fragment Fixation System to stabilize the fragments. Used in conjunction with additional external fixation where indicated.

3B.8 Articular fracture of the proximal tibia treated with the XCaliber Hybrid Fixator (91000 series).

3B.9 Articular fracture of the proximal tibia treated with the Sheffield Ring Fixator. Also shows use of an orthogonal screw in the tibia.

3B.10 Articular fracture of the proximal tibia treated with TL-HEX Trauma

3B.11 Articular fracture of the proximal tibia treated with the TrueLok Fixator.

3B.12 Articular fracture of the proximal tibia treated with the TrueLok Fixator, crossing the knee to protect the fracture repair.

3B.13 Articular fracture of the proximal tibia temporarily stabilized using the Galaxy Fixation™ system crossing the knee.

3B.14 Articular fracture of the proximal tibia treated with the TrueLok fixator, crossing the knee to protect the fracture repair by LRS ADVanced Knee Hinge Clamp.

3B.15 Articular fracture of the proximal tibia treated with the Sheffield Ring Fixator, crossing the knee to protect the fracture repair by LRS ADVanced Knee Hinge Clamp.

3B.16 Floating knee treated with a Centronail Titanium Tibial Nail and a Centronail Titanium Supracondylar Nail inserted through a single incision.

3B.17 Fractured patella treated using the Fragment Fixation System.

Correction of deformityCorrection of deformity

3B.19 Knee deformity in a child treated with 2 eight-Plates through guided growth.

3B.20 Knee deformity in a child treated with quad-Plate through guided growth.

3B.21 Fixed flexion contracture of the knee. (a) 2 anterior eight-Plates in place. (b) Deformity corrected by anterior hemiephysiodesis.

Joint distractionJoint distraction

3B.22 Articulated distraction of the knee (arthrodiatasis) with the TrueLok Fixator. For free movement of the knee, the anterior Threaded Bar should be disconnected from one ring.

FusionFusion

3B.23 Knee fusion with the TrueLok Fixator.

3B.24 Knee fusion with the Procallus Fixator (90000 series). In poor quality bone, two fixators can be used, one applied anteriorly as shown, and one laterally. Use of HA-coated screws is recommended.

Prevention of subluxationPrevention of subluxation

3B.25 Prevention of knee subluxation with the LRS ADVanced, during lengthening of the femur. Use of HA-coated screws is recommended.

Knee dislocationKnee dislocation

3B.26 Knee dislocation treated with LRS ADVanced Knee Hinge and rail on the femur. Application with Sheffield Ring Fixator.

3B.27 Knee dislocation treated with LRS ADVanced Knee Hinge and rail on the femur. Application with TrueLok Fixator.

Joint revisionJoint revision

3B.28 Cemented Knee revision, cement removal.

3B.29 Aid of uncemented prosthesis removal.

TIBIA

FracturesFractures

3C.1 Fracture of the proximal tibia treated with the TrueLok Fixator.

3C.2 Fracture of the proximal tibia treated with the Fragment Fixation System.

3C.3 Fracture of the proximal tibia treated with XCaliber Fixator (91000 series) with T-Clamp.

3C.4 Diaphyseal fracture of the tibia treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.5 Fracture of the tibial shaft treated with Galaxy Fixation™ system.

3C.6 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series).

3C.7 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series). Image shows use of the Multi-screw clamp.

3C.8 Fracture of the tibial shaft treated with TL-HEX.

3C.9 Diaphyseal fracture treated with TL-HEX Trauma

3C.10 Fracture of the tibial diaphysis treated with TrueLok Fixator.

3C.11 Fracture of the tibial diaphysis treated with the XCaliber Fixator (91000 series).

3C.12 Fracture of the tibial diaphysis treated with the Procallus Fixator (90000 series).

3C.13 Segmental fracture of the tibial diaphysis treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. The middle segment is stabilised using a UNYCO screw in a Galaxy Large Clamp attached to the connecting rod. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.14 Large unstable, segmental fracture of the tibial shaft; stabilized using the XCaliber Fixator (91000 series) with a T-Clamp for the proximal segment and an additional screw in the central segment.

3C.15 Large unstable, segmental fracture of the tibial shaft; stabilized using the Procallus Fixator (90000 series) with a Metaphyseal Clamp for the proximal segment and an additional screw in the central segment.

3C.16 Long diaphyseal segmental fracture, stabilized using the TrueLok Fixator.

3C.17 Long diaphyseal segmental fracture, stabilized using the Sheffield Ring Fixator.

3C.18 Long diaphyseal segmental fracture of the tibial shaft stabilized using the Centronail Titanium Tibial Nailing System.

3C.19 Tibial Fracture treated with TrueLok and rapid adjust struts.

3C.20 Distal tibial fracture stabilized using the XCaliber Fixator (91000 series) with the T-Clamp distally.

3C.21 Distal tibial fracture stabilized using the Procallus Fixator (90000 series) with the Metaphyseal Clamp distally. The T-Clamp or Torbay Garches Clamp can be used as an alternative to Metaphyseal Clamp.

3C.22 Tibial diaphysis fracture in children treated with Galaxy Fixation™ system.

3C.23 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system.

3C.24 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system and TL-HEX.

3C.25 Articular fracture of the proximal tibia in children treated with Galaxy Fixation™ system and TL-HEX.

Correction of deformityCorrection of deformity

3C.22 Varus deformity of proximal tibia. (a) LRS ADVanced in place with Multiplanar Clamp proximally; osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. (c) Acute shortening and angular correction by callus manipulation.

3C.23 Varus deformity of proximal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

3C.24 Varus or valgus deformity of the proximal tibia. (a) LRS ADVanced with OF-Garches T-Clamp attachment proximally, mounted anteriorly on proximal tibia; complete osteotomy performed. (b) Initial lengthening to free bone ends, prior to angular correction. (c) Progressive angular correction.

3C.25 Valgus deformity of tibial diaphysis. (a) LRS ADVanced in place with Micrometric Swivelling Clamp distally and Translation Clamp proximally osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. Acute shortening and angular correction by callus manipulation.

3C.26 Proximal Tibial Deformity. (a) TL-HEX in place. (b) Progressive correction.

3C.27 Oblique deformity of the tibial shaft. (a) TL-HEX in place. (b) Gradual Correction.

3C.28 Varus deformity of the tibial diaphysis treated with the TrueLok Fixator with Threaded Bars.

3C.29 Varus deformity of distal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

FracturesFractures

3C.1 Fracture of the proximal tibia treated with the TrueLok Fixator.

3C.2 Fracture of the proximal tibia treated with the Fragment Fixation System.

3C.3 Fracture of the proximal tibia treated with XCaliber Fixator (91000 series) with T-Clamp.

3C.4 Diaphyseal fracture of the tibia treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.5 Fracture of the tibial shaft treated with Galaxy Fixation™ system.

3C.6 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series).

3C.7 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series). Image shows use of the Multi-screw clamp.

3C.8 Fracture of the tibial shaft treated with TL-HEX.

3C.9 Diaphyseal fracture treated with TL-HEX Trauma

3C.10 Fracture of the tibial diaphysis treated with TrueLok Fixator.

3C.11 Fracture of the tibial diaphysis treated with the XCaliber Fixator (91000 series).

3C.12 Fracture of the tibial diaphysis treated with the Procallus Fixator (90000 series).

3C.13 Segmental fracture of the tibial diaphysis treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. The middle segment is stabilised using a UNYCO screw in a Galaxy Large Clamp attached to the connecting rod. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.14 Large unstable, segmental fracture of the tibial shaft; stabilized using the XCaliber Fixator (91000 series) with a T-Clamp for the proximal segment and an additional screw in the central segment.

3C.15 Large unstable, segmental fracture of the tibial shaft; stabilized using the Procallus Fixator (90000 series) with a Metaphyseal Clamp for the proximal segment and an additional screw in the central segment.

3C.16 Long diaphyseal segmental fracture, stabilized using the TrueLok Fixator.

3C.17 Long diaphyseal segmental fracture, stabilized using the Sheffield Ring Fixator.

3C.18 Long diaphyseal segmental fracture of the tibial shaft stabilized using the Centronail Titanium Tibial Nailing System.

3C.19 Tibial Fracture treated with TrueLok and rapid adjust struts.

3C.20 Distal tibial fracture stabilized using the XCaliber Fixator (91000 series) with the T-Clamp distally.

3C.21 Distal tibial fracture stabilized using the Procallus Fixator (90000 series) with the Metaphyseal Clamp distally. The T-Clamp or Torbay Garches Clamp can be used as an alternative to Metaphyseal Clamp.

3C.22 Tibial diaphysis fracture in children treated with Galaxy Fixation™ system.

3C.23 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system.

3C.24 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system and TL-HEX.

3C.25 Articular fracture of the proximal tibia in children treated with Galaxy Fixation™ system and TL-HEX.

Correction of deformityCorrection of deformity

3C.22 Varus deformity of proximal tibia. (a) LRS ADVanced in place with Multiplanar Clamp proximally; osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. (c) Acute shortening and angular correction by callus manipulation.

3C.23 Varus deformity of proximal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

3C.24 Varus or valgus deformity of the proximal tibia. (a) LRS ADVanced with OF-Garches T-Clamp attachment proximally, mounted anteriorly on proximal tibia; complete osteotomy performed. (b) Initial lengthening to free bone ends, prior to angular correction. (c) Progressive angular correction.

3C.25 Valgus deformity of tibial diaphysis. (a) LRS ADVanced in place with Micrometric Swivelling Clamp distally and Translation Clamp proximally osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. Acute shortening and angular correction by callus manipulation.

3C.26 Proximal Tibial Deformity. (a) TL-HEX in place. (b) Progressive correction.

3C.27 Oblique deformity of the tibial shaft. (a) TL-HEX in place. (b) Gradual Correction.

3C.28 Varus deformity of the tibial diaphysis treated with the TrueLok Fixator with Threaded Bars.

3C.29 Varus deformity of distal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

FracturesFractures

3C.1 Fracture of the proximal tibia treated with the TrueLok Fixator.

3C.2 Fracture of the proximal tibia treated with the Fragment Fixation System.

3C.3 Fracture of the proximal tibia treated with XCaliber Fixator (91000 series) with T-Clamp.

3C.4 Diaphyseal fracture of the tibia treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.5 Fracture of the tibial shaft treated with Galaxy Fixation™ system.

3C.6 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series).

3C.7 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series). Image shows use of the Multi-screw clamp.

3C.8 Fracture of the tibial shaft treated with TL-HEX.

3C.9 Diaphyseal fracture treated with TL-HEX Trauma

3C.10 Fracture of the tibial diaphysis treated with TrueLok Fixator.

3C.11 Fracture of the tibial diaphysis treated with the XCaliber Fixator (91000 series).

3C.12 Fracture of the tibial diaphysis treated with the Procallus Fixator (90000 series).

3C.13 Segmental fracture of the tibial diaphysis treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. The middle segment is stabilised using a UNYCO screw in a Galaxy Large Clamp attached to the connecting rod. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.14 Large unstable, segmental fracture of the tibial shaft; stabilized using the XCaliber Fixator (91000 series) with a T-Clamp for the proximal segment and an additional screw in the central segment.

3C.15 Large unstable, segmental fracture of the tibial shaft; stabilized using the Procallus Fixator (90000 series) with a Metaphyseal Clamp for the proximal segment and an additional screw in the central segment.

3C.16 Long diaphyseal segmental fracture, stabilized using the TrueLok Fixator.

3C.17 Long diaphyseal segmental fracture, stabilized using the Sheffield Ring Fixator.

3C.18 Long diaphyseal segmental fracture of the tibial shaft stabilized using the Centronail Titanium Tibial Nailing System.

3C.19 Tibial Fracture treated with TrueLok and rapid adjust struts.

3C.20 Distal tibial fracture stabilized using the XCaliber Fixator (91000 series) with the T-Clamp distally.

3C.21 Distal tibial fracture stabilized using the Procallus Fixator (90000 series) with the Metaphyseal Clamp distally. The T-Clamp or Torbay Garches Clamp can be used as an alternative to Metaphyseal Clamp.

3C.22 Tibial diaphysis fracture in children treated with Galaxy Fixation™ system.

3C.23 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system.

3C.24 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system and TL-HEX.

3C.25 Articular fracture of the proximal tibia in children treated with Galaxy Fixation™ system and TL-HEX.

Correction of deformityCorrection of deformity

3C.22 Varus deformity of proximal tibia. (a) LRS ADVanced in place with Multiplanar Clamp proximally; osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. (c) Acute shortening and angular correction by callus manipulation.

3C.23 Varus deformity of proximal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

3C.24 Varus or valgus deformity of the proximal tibia. (a) LRS ADVanced with OF-Garches T-Clamp attachment proximally, mounted anteriorly on proximal tibia; complete osteotomy performed. (b) Initial lengthening to free bone ends, prior to angular correction. (c) Progressive angular correction.

3C.25 Valgus deformity of tibial diaphysis. (a) LRS ADVanced in place with Micrometric Swivelling Clamp distally and Translation Clamp proximally osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. Acute shortening and angular correction by callus manipulation.

3C.26 Proximal Tibial Deformity. (a) TL-HEX in place. (b) Progressive correction.

3C.27 Oblique deformity of the tibial shaft. (a) TL-HEX in place. (b) Gradual Correction.

3C.28 Varus deformity of the tibial diaphysis treated with the TrueLok Fixator with Threaded Bars.

3C.29 Varus deformity of distal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

FracturesFractures

3C.1 Fracture of the proximal tibia treated with the TrueLok Fixator.

3C.2 Fracture of the proximal tibia treated with the Fragment Fixation System.

3C.3 Fracture of the proximal tibia treated with XCaliber Fixator (91000 series) with T-Clamp.

3C.4 Diaphyseal fracture of the tibia treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.5 Fracture of the tibial shaft treated with Galaxy Fixation™ system.

3C.6 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series).

3C.7 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series). Image shows use of the Multi-screw clamp.

3C.8 Fracture of the tibial shaft treated with TL-HEX.

3C.9 Diaphyseal fracture treated with TL-HEX Trauma

3C.10 Fracture of the tibial diaphysis treated with TrueLok Fixator.

3C.11 Fracture of the tibial diaphysis treated with the XCaliber Fixator (91000 series).

3C.12 Fracture of the tibial diaphysis treated with the Procallus Fixator (90000 series).

3C.13 Segmental fracture of the tibial diaphysis treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. The middle segment is stabilised using a UNYCO screw in a Galaxy Large Clamp attached to the connecting rod. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.14 Large unstable, segmental fracture of the tibial shaft; stabilized using the XCaliber Fixator (91000 series) with a T-Clamp for the proximal segment and an additional screw in the central segment.

3C.15 Large unstable, segmental fracture of the tibial shaft; stabilized using the Procallus Fixator (90000 series) with a Metaphyseal Clamp for the proximal segment and an additional screw in the central segment.

3C.16 Long diaphyseal segmental fracture, stabilized using the TrueLok Fixator.

3C.17 Long diaphyseal segmental fracture, stabilized using the Sheffield Ring Fixator.

3C.18 Long diaphyseal segmental fracture of the tibial shaft stabilized using the Centronail Titanium Tibial Nailing System.

3C.19 Tibial Fracture treated with TrueLok and rapid adjust struts.

3C.20 Distal tibial fracture stabilized using the XCaliber Fixator (91000 series) with the T-Clamp distally.

3C.21 Distal tibial fracture stabilized using the Procallus Fixator (90000 series) with the Metaphyseal Clamp distally. The T-Clamp or Torbay Garches Clamp can be used as an alternative to Metaphyseal Clamp.

3C.22 Tibial diaphysis fracture in children treated with Galaxy Fixation™ system.

3C.23 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system.

3C.24 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system and TL-HEX.

3C.25 Articular fracture of the proximal tibia in children treated with Galaxy Fixation™ system and TL-HEX.

Correction of deformityCorrection of deformity

3C.22 Varus deformity of proximal tibia. (a) LRS ADVanced in place with Multiplanar Clamp proximally; osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. (c) Acute shortening and angular correction by callus manipulation.

3C.23 Varus deformity of proximal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

3C.24 Varus or valgus deformity of the proximal tibia. (a) LRS ADVanced with OF-Garches T-Clamp attachment proximally, mounted anteriorly on proximal tibia; complete osteotomy performed. (b) Initial lengthening to free bone ends, prior to angular correction. (c) Progressive angular correction.

3C.25 Valgus deformity of tibial diaphysis. (a) LRS ADVanced in place with Micrometric Swivelling Clamp distally and Translation Clamp proximally osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. Acute shortening and angular correction by callus manipulation.

3C.26 Proximal Tibial Deformity. (a) TL-HEX in place. (b) Progressive correction.

3C.27 Oblique deformity of the tibial shaft. (a) TL-HEX in place. (b) Gradual Correction.

3C.28 Varus deformity of the tibial diaphysis treated with the TrueLok Fixator with Threaded Bars.

3C.29 Varus deformity of distal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

FracturesFractures

3C.1 Fracture of the proximal tibia treated with the TrueLok Fixator.

3C.2 Fracture of the proximal tibia treated with the Fragment Fixation System.

3C.3 Fracture of the proximal tibia treated with XCaliber Fixator (91000 series) with T-Clamp.

3C.4 Diaphyseal fracture of the tibia treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.5 Fracture of the tibial shaft treated with Galaxy Fixation™ system.

3C.6 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series).

3C.7 Fracture of the tibial shaft temporarily stabilized using the Prefix2 Fixator (92000 series). Image shows use of the Multi-screw clamp.

3C.8 Fracture of the tibial shaft treated with TL-HEX.

3C.9 Diaphyseal fracture treated with TL-HEX Trauma

3C.10 Fracture of the tibial diaphysis treated with TrueLok Fixator.

3C.11 Fracture of the tibial diaphysis treated with the XCaliber Fixator (91000 series).

3C.12 Fracture of the tibial diaphysis treated with the Procallus Fixator (90000 series).

3C.13 Segmental fracture of the tibial diaphysis treated temporarily with Galaxy UNYCO Diaphyseal Tibia frame and monocortical screws. The middle segment is stabilised using a UNYCO screw in a Galaxy Large Clamp attached to the connecting rod. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3C.14 Large unstable, segmental fracture of the tibial shaft; stabilized using the XCaliber Fixator (91000 series) with a T-Clamp for the proximal segment and an additional screw in the central segment.

3C.15 Large unstable, segmental fracture of the tibial shaft; stabilized using the Procallus Fixator (90000 series) with a Metaphyseal Clamp for the proximal segment and an additional screw in the central segment.

3C.16 Long diaphyseal segmental fracture, stabilized using the TrueLok Fixator.

3C.17 Long diaphyseal segmental fracture, stabilized using the Sheffield Ring Fixator.

3C.18 Long diaphyseal segmental fracture of the tibial shaft stabilized using the Centronail Titanium Tibial Nailing System.

3C.19 Tibial Fracture treated with TrueLok and rapid adjust struts.

3C.20 Distal tibial fracture stabilized using the XCaliber Fixator (91000 series) with the T-Clamp distally.

3C.21 Distal tibial fracture stabilized using the Procallus Fixator (90000 series) with the Metaphyseal Clamp distally. The T-Clamp or Torbay Garches Clamp can be used as an alternative to Metaphyseal Clamp.

3C.22 Tibial diaphysis fracture in children treated with Galaxy Fixation™ system.

3C.23 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system.

3C.24 Articular fracture of the proximal tibia treated with Galaxy Fixation™ system and TL-HEX.

3C.25 Articular fracture of the proximal tibia in children treated with Galaxy Fixation™ system and TL-HEX.

Correction of deformityCorrection of deformity

3C.22 Varus deformity of proximal tibia. (a) LRS ADVanced in place with Multiplanar Clamp proximally; osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. (c) Acute shortening and angular correction by callus manipulation.

3C.23 Varus deformity of proximal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

3C.24 Varus or valgus deformity of the proximal tibia. (a) LRS ADVanced with OF-Garches T-Clamp attachment proximally, mounted anteriorly on proximal tibia; complete osteotomy performed. (b) Initial lengthening to free bone ends, prior to angular correction. (c) Progressive angular correction.

3C.25 Valgus deformity of tibial diaphysis. (a) LRS ADVanced in place with Micrometric Swivelling Clamp distally and Translation Clamp proximally osteotomy performed. (b) Initial lengthening by callotasis to stretch soft tissues slowly. Acute shortening and angular correction by callus manipulation.

3C.26 Proximal Tibial Deformity. (a) TL-HEX in place. (b) Progressive correction.

3C.27 Oblique deformity of the tibial shaft. (a) TL-HEX in place. (b) Gradual Correction.

3C.28 Varus deformity of the tibial diaphysis treated with the TrueLok Fixator with Threaded Bars.

3C.29 Varus deformity of distal tibia; 90000 series with Self-Aligning Body and Torbay Garches Clamp, which may be used as an alternative to the T-Clamp included in the Self-Aligning Articulated Body Assembly Kit 90035. (a) Osteotomy performed with fixator in place. (b) Gradual correction by hemicallotasis.

Non unionNon union

3C.30 Non union of tibial shaft treated by stabilization with compression using the XCaliber Fixator (91000 series).

3C.31 Non union of tibial shaft treated by stabilization and compression using the LRS ADVanced (53000 series).

3C.32 Non union of distal tibia using the Sheffield Ring Fixator.

LengtheningLengthening

3C.33 (a) Short tibia; LRS ADVanced (53000 series) in place; metaphyseal osteotomy performed. (b) Monofocal lengthening. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.

3C.34 Short tibia lengthened with TrueLok Fixator.

3C.35 (a) Very short tibia. LRS ADVanced (53000 series) in place; proximal and distal osteotomies. (b) Simultaneous lengthening at each osteotomy site.

3C.36 (a) Very short tibia. LRS ADVanced (53000 series) in place; proximal and distal osteotomies. (b) Simultaneous lengthening at each osteotomy site. Use of Micrometric Swivelling Clamp, which can be used at either end of the adult rail, to correct any varus or valgus occurring during lengthening. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.

3C.37 (a) Short tibia. Intramedullary nail in situ. Locking screws proximally, only. Midshaft osteotomy. LRS ADVanced (53000 series) in place. (b) Lengthening at osteotomy site. (c) Lengthening complete; nail locked distally and fixator removed. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.

Correction of deformity with lengtheningCorrection of deformity with lengthening

3C.38 Antecurvatum and rotational diaphyseal deformity in a short tibia; LRS ADVanced with Acute Correction Templates. (a) 53000 series fixator being applied. Note offset position of Rotational Correction Template relative to Angular Correction Template at end of rail. (b) Osteotomy and correction of deformity; definitive fixator in place. (c) Lengthening to restore original bone length. Caution: Resect at least 1 cm of fibula. Peroneal nerve: no acute correction which might stretch nerve.

3C.39 Rotational diaphyseal deformity (15°) in a short tibia treated with the Sheffield Ring Fixator with Translation Rotation Hinges. Lengthening in progress.

3C.40 Diaphyseal deformity in a short tibia. (a) 53000 fixator in place with Micrometric Swivelling Clamp distally; osteotomies: proximal for lengthening, distal for correction. (b) Distal: initial lengthening to stretch soft tissues slowly. Acute shortening and angular correction by callus manipulation. Proximal: lengthening by callotasis after normal waiting period. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw. Peroneal nerve: no acute correction of valgus deformity.

3C.41 Valgus deformity of proximal tibia. (a) LRS ADVanced (53000 series) in place with Multiplanar Clamp proximally; osteotomy performed. (b) Initial lengthening to stretch soft tissues slowly. (c) Acute shortening and angular correction by callus manipulation. Further lengthening as needed. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw. Peroneal nerve: no acute correction of valgus deformity, unless preceded by gradual lengthening and acute shortening.

3C.42 Proximal varus or valgus deformity in a short tibia; LRS ADVanced (53000 series) with OF-Garches T-Clamp. (a) Complete osteotomy performed. Initial lengthening in line of deformity. (b) Progressive correction of angulation with further lengthening as needed. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw. Peroneal nerve: no acute correction of valgus deformity.

3C.43 Distal valgus and antecurvatum deformity in a short tibia. (a) TrueLok Fixator in place with wire-bearing rings. Distal osteotomy for progressive correction of deformity; proximal osteotomy for lengthening. Caution: Resect at least 1 cm of fibula. (b) Correction and lengthening.

Bone lossBone loss

3C.44 (a) Large distal defect in the tibia; LRS ADVanced (53000 series) in place. Proximal metaphyseal osteotomy. (b) Middle segment moved distally until docking occurs. (c) Optional additional lengthening proximally if indicated. Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.

3C.45 (a) Large central bony defect; LRS ADVanced (53000 series) in place. (b) Proximal and distal osteotomies. (c) Simultaneous proximal and distal transport until gap closed. Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.

3C.46 (a) Large peripheral bony defect; LRS ADVanced (53000 series) in place. (b) Two osteotomies performed in the longer bone fragment. (c) Simultaneous proximal transport with both internal clamps moved proximally until gap closed. Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.

3C.47 (a) Small distal defect in the tibia. LRS ADVanced (53000 series) in place. (b) Immediate compression distally between middle and distal clamps; proximal osteotomy. (c) Lengthening at proximal osteotomy site until length restored. Caution: Remove segment of fibula at least 1 cm longer than defect. Distal syndesmosis screw.

3C.48 Bone loss treated with TrueLok Fixator. (a) Distal defect in the tibia; TrueLok Fixator in place. Proximal metaphyseal osteotomy. (b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated. Caution: Where lengthening is involved, resect at least 1 cm of fibula.

Major soft tissue defectsMajor soft tissue defects

3C.49 Fracture with major soft tissue defect and denuded bone, or non union with osteomyelitis and soft tissue necrosis. (a) Fracture with major soft tissue defect and denuded bone. LRS ADVanced (53000 series) in place. (b) Debridement and resection of sufficient bone to allow soft tissue closure. Stabilization distally between middle and distal clamps. Proximal metaphyseal osteotomy. (c) Distraction between proximal and middle clamps to restore original bone length. Caution: Remove segment of fibula at least 1 cm longer than defect; distal syndesmosis screw. The TrueLok Fixator may also be used for this indication.

ANKLE

FracturesFractures

3D.1 Distal tibial articular fracture stabilized using the TrueLok Fixator with rapid adjust struts.

3D.2 Distal tibial articular fracture stabilized using the Sheffield Ring Fixator with rings connected by Threaded Bars. One wire-bearing ring for the distal fracture and one ring with the Sheffield Clamp for the diaphyseal screws. In severe pilon fractures, a foot ring can be added with hinges to stabilize the ankle joint and mobilize it when possible.

3D.3 Distal articular fracture treated with XCaliber Hybrid Fixator (91000 series).

3D.4 Distal tibial articular fracture treated with XCaliber Ankle Fixator (91000 series).

3D.5 Distal tibial articular fracture; 90000 with RadioLucent Ankle Clamp distally, and Fragment Fixation System Implants as minimal internal fixation to restore joint surface. Inset shows washer used in conjunction with Fragment Fixation System.

3D.6 Distal tibial fracture treated temporarily with UNYCO tibia frame and monocortical screws in the tibia. Ankle stabilization is achieved with bicortical screws in conjunction with Galaxy Fixation™ system. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3D.7 Distal tibial fracture treated temporarily with Galaxy UNYCO on the tibia and Galaxy Fixation components in the foot.

3D.8 Distal tibial fracture treated temporarily with Galaxy UNYCO exclusively.

3D.9 Distal tibial fracture temporarily stabilized with the Galaxy Fixation™ system, using a transfixing pin in the calcaneus.

3D.10 Distal tibial fracture temporarily stabilized with the Galaxy Fixation™ system, using two screws: one in the calcaneus and one in cuboid or os calcis.

3D.11 Distal tibial fracture temporarily stabilized with the Prefix2 Fixator (92000 series), using a transfixing pin in the calcaneus.

3D.12 Distal tibial fracture temporarily stabilized with the Prefix2 Fixator (92000 series), using two screws: one in the calcaneus and one in cuboid or os calcis.

3D.13 Distal tibial fracture temporarily stabilized with the Galaxy Fixation™ system, using a transfixing pin in the calcaneus.

Correction of deformityCorrection of deformity

3D.13 Ankle valgus in a child. a) Eight-Plate in place. b) Deformity corrected with eight-Plate through guided growth.

FracturesFractures

3D.1 Distal tibial articular fracture stabilized using the TrueLok Fixator with rapid adjust struts.

3D.2 Distal tibial articular fracture stabilized using the Sheffield Ring Fixator with rings connected by Threaded Bars. One wire-bearing ring for the distal fracture and one ring with the Sheffield Clamp for the diaphyseal screws. In severe pilon fractures, a foot ring can be added with hinges to stabilize the ankle joint and mobilize it when possible.

3D.3 Distal articular fracture treated with XCaliber Hybrid Fixator (91000 series).

3D.4 Distal tibial articular fracture treated with XCaliber Ankle Fixator (91000 series).

3D.5 Distal tibial articular fracture; 90000 with RadioLucent Ankle Clamp distally, and Fragment Fixation System Implants as minimal internal fixation to restore joint surface. Inset shows washer used in conjunction with Fragment Fixation System.

3D.6 Distal tibial fracture treated temporarily with UNYCO tibia frame and monocortical screws in the tibia. Ankle stabilization is achieved with bicortical screws in conjunction with Galaxy Fixation™ system. Note: Galaxy UNYCO Diaphyseal Tibia Sterile Kit is indicated for tibial fractures extending from about 8 cm below the knee to about 7 cm above the ankle joint.

3D.7 Distal tibial fracture treated temporarily with Galaxy UNYCO on the tibia and Galaxy Fixation components in the foot.

3D.8 Distal tibial fracture treated temporarily with Galaxy UNYCO exclusively.

3D.9 Distal tibial fracture temporarily stabilized with the Galaxy Fixation™ system, using a transfixing pin in the calcaneus.

3D.10 Distal tibial fracture temporarily stabilized with the Galaxy Fixation™ system, using two screws: one in the calcaneus and one in cuboid or os calcis.

3D.11 Distal tibial fracture temporarily stabilized with the Prefix2 Fixator (92000 series), using a transfixing pin in the calcaneus.

3D.12 Distal tibial fracture temporarily stabilized with the Prefix2 Fixator (92000 series), using two screws: one in the calcaneus and one in cuboid or os calcis.

3D.13 Distal tibial fracture temporarily stabilized with the Galaxy Fixation™ system, using a transfixing pin in the calcaneus.

FusionFusion

3D.14 Ankle fusion (tibio-talar). ProCallus Fixator (90000 series) with Torbay Garches Clamp distally for screws in talus (a, a1 in inset). The Straight Clamp may also be used distally, with one screw in the talus and one screw in the calcaneus (b, b1 in inset) for subtalar/tibio-talar double fusion.

3D.15 Ankle fusion with TrueLok Fixator and TL RockerRail

3D.16 Ankle fusion with the Orthofix ankle arthrodesis nail (77000 series).

3D.17 Ankle fusion using TL-HEX frame and TL RockerRail. To stabilize the bone segment fixation, the TL-HEX ring is connected to TL ring creating a double-ring block. The foot plate is preferably secured with two olive wires in the calcaneus and two olive wires in the metatarsals. A further fixation of the talus using two crossing olive wires is suggested to prevent subtalar joint compression. A TL half ring attached anteriorly to the foot plate is recommended to add stability to the frame.

FracturesFractures

3E.1 Calcaneal fracture treated with Calcaneal Fixator.

3E.2 Calcaneal fracture treated with TrueLok Fixator.

3E.3 Fracture of the shaft of the first metatarsal (M400 series). An M100 series fixator could also be used.

3E.4 Proximal fracture of first metatarsal (M400 series). An M100 series fixator could also be used.

3E.5 Distal intra-articular fracture of the first metatarsal (M100 series).

Correction of deformityCorrection of deformity

3E.6 Midfoot Deformity corrected with TrueLok and Rapid Adjust Struts.

3E.7 Equinus deformity treated with TrueLok Fixator.

3E.8 Equinus foot deformity treated with TL-HEX. To stabilize the bone segment fixation, the TL-HEX ring is connected to TL ring creating a double-ring block. Note: this construct usually requires 2 ultra-short struts posteriorly.

3E.9 (a) Deformity of proximal phalanx showing section of bone to be removed. (b) Following removal of wedge of bone and stabilization with Minifixator (M400 series).

3E.10 Axial deviation of the calcaneus treated with the M100 series. (a) M121 in place; osteotomy performed. (b) Progressive correction of deformity. Inset shows lateral view.

Non unionNon union

3E.11 Aseptic or infected non union of a metatarsal treated by compression with Minifixator (M400 series). An M100 series fixator could also be used.

LengtheningLengthening

3E.12 Lengthening of a metatarsal; M400 series with Lengthening Bar and Compression-Distraction Nut. An M100 series fixator could also be used.

3E.13 Metatarsal lengthening (M100 series).

Bone lossBone loss

3E.14 Bone transport to fill a defect in the first metatarsal; M400 series with 3 clamps on a Lengthening Bar. Arrow shows the direction of movement of the middle clamp.

Joint stiffnessJoint stiffness

3E.15 Articulated distraction of the first metatarso-phalangeal joint for long-standing joint stiffness (Hallux Rigidus) using an M100 series fixator.

Complex foot deformityComplex foot deformity

3E.16 Complex Foot Deformity treated with TrueLok Fixator.

3E.17 Club Foot deformity treated with TL-HEX. The tibial block is connected to the hindfoot 5/8 ring using posts at right angles to each other.

3E.18 Lisfranc foot deformity corrected using a TL-HEX frame without crossing the ankle joint.

3E.19 Complex foot deformity treated with TL-HEX Miter construct. This frame consists of two TL-HEX stacked frames sharing the central ring and allows to correct the hindfoot and forefoot separately.

Operative techniques

Ankle Arthrodesis using the TrueLok Ring Fixation System
Contours PHP Proximal Humeral Plate
Distal Tibial and Pilon Fractures
Eight-Plate and Quad-Plate Operative Technique
Flexible Reamer System (Femur and Tibia)
Galaxy Fixation System - Lower Extremities
Galaxy Fixation System - Upper Extremities
Galaxy UNYCO: Diaphyseal Tibia Sterile Kit
Galaxy Unyco Ankle Bridging Operative Technique
General Principles Limb Lengthening and Deformity with TrueLok Ring Fixation System
General Principles of TL-HEX Frame Assembly
Humeral Flexible Reamer System
Intramedullary Skeletal Kinetic Distractor: Femoral Surgical Technique
Intramedullary Skeletal Kinetic Distractor: Tibial Surgical Technique
Knee Hinge
LRS ADVanced
Limb Reconstruction System - Part A: General Principles
Limb Reconstruction System - Part B: Correction of Deformities
OSCAR Ultrasonic Arthroplasty Revision
Orthofix Calcaneal External Fixator
Orthofix External Fixation: Basic Considerations
Orthofix Veronail Trochanteric Nail
PORD DEVICE - Posterior Reduction Device for Hip and Femoral Fractures
Pelvic Applications - Fractures and Disruptions of the Pelvic Ring
TL-HEX Software User's Guide V1.4
TL-HEX Software User's Guide V1.5
The Ankle Arthrodesis Nail
The Centronail Titanium Humeral Nailing System
The Centronail Titanium Supracondylar and Retrograde Nailing System
The Centronail Titanium Tibial Nailing System
The Centronail Titanium Universal Femoral Nailing System
The Gotfried PC.C.P for Percutaneous Compression Plating of Pertrochanteric Hip Fractures
The Pennig Dynamic Wrist Fixator
The Prefix2 Fixator
The Ring Fixation System - Part A: The Hybrid Fixator
The Ring Fixation System - Part B: The Sheffield Ring Fixator - Standard Trauma Applications
The Ring Fixation System - Part C: Limb Reconstruction and Complex Trauma
Treatment of Fractures and Deformities in Small Bones
VPS-2 OpTech
VPS-3 OpTech

Quick reference guides

Arthrodesis - Joint Fusion
Arthrodiatasis (Articulated Joint Distraction)
Diaphyseal and Metaphyseal Fractures - The ProCallus Fixator (90000 Series)
Distal Tibial and Pilon Fractures with the RadioLucent Ankle Clamp
Eight-Plate: Ankle Valgus after Left Ankle Fracture
Eight-Plate: Developmental Neurologic Fixed Knee Flexion
Eight-Plate: Developmental of Neurological Ankle Valgus
Galaxy Unyco Quick User's Guide
Galaxy Unyco Quick User's Guide
Limb Reconstruction System
One-Step Fracture Fixation - The Fragment Fixation System
Pelvic Applications - Fractures and Disruptions of the Pelvic Ring
TL-HEX Quick User's Guide V1.4
The Elbow Fixator - Part A: Acute Trauma
The Elbow Fixator - Part B: Post-Traumatic Stiffness
The MiniRail System - Part A: Hand Applications
The MiniRail System - Part B: Foot Applications
The MiniRail System - Part C: M2 MultiPlanar MiniRail
The Orthofix Hybrid Fixation System
The Orthofix Pertrochanteric Fixator
The Pennig Dynamic Wrist Fixator - Extra-articular Application with the RadioLucent Wrist Clamp
The Pennig Dynamic Wrist Fixator - Trans-articular Application
The RadioLucent Wrist Fixator
The XCaliber Articulated Ankle Fixator
The XCaliber Bone Screws
The XCaliber Hybrid Fixator
The XCaliber Meta-Diaphyseal Fixator
Treatment of Fractures and Deformities in Small Bones - The Pennig Minifixator

Videos

Centronail Tibia
Contours PHP
Distal Femoral & Tibial Osteotomy for TL-Hex Application
Equinus Deformity Correction
Extra-articular Application with the RadioLucent Wrist Clamp
Galaxy Fixation
Galaxy UNYCO
Orthofix Extremity Fixation. Experience Passion.
Pin Site Care
Struts Adjustment with TL-HEX
TL-HEX
TL-HEX Application for Blount's Disease
TL-HEX Application for Charcot Foot
TL-HEX Application for Miter Frame
TL-HEX Strut Exchange
TL-HEX Trauma
The Gotfried PC.C.P - Surgical Video
The Orthofix Ankle Arthrodesis Nail
The Orthofix Elbow Fixator - Part A: Acute Trauma
The Orthofix Elbow Fixator - Part B: Post-Traumatic Stiffness
The Orthofix Fragment Fixation System
The Orthofix Pelvic Fixator
The Treatment of Fractures and Deformities in Small Bones
The XCaliber Articulated Ankle Clamp
The XCaliber Hybrid Fixator
The XCaliber Meta-Diaphyseal Fixator
Veronail
eight-Plate

Instructions for use

CV-1001 - Contours VPS - Volar Plating System (Bone Plate)
Contours VPS-3 Volar Plating System (bone plate)
PI_OTS-B - Addendum Leaflet
PI_OTS_E0 - Orthofix OsteoTite Bone Screws With Hydroxyapatite Coating
PQ_EPL - eight-Plate Guided Growth System (Bone Plate)
PQ_EXF - Orthofix External Fixation System
PQ_FRS - Flexible Reamer System
PQ_GAL_PART1-2 - Orthofix Galaxy Fixation System
PQ_INF - Orthofix Internal Fixation System
PQ_ISP - Orthofix Fixation System Medical Devices
PQ_LRS_ADV - Orthofix Limb Reconstruction System
PQ_MCS - Orthofix Galaxy UNYCO Diaphyseal Tibia Kit
PQ_OSC - OSCAR - Ultrasonic Arthroplasty Revision
PQ_PCP - The Gotfried Percutaneous Compression Plate (PC.C.P.)
PQ_PFX - Orthofix Prefix2
PQ_PHP - Orthofix Contours PHP Proximal Humeral Plate System
PQ_PIN - Centering Pin Kit
PQ_SCR - Orthofix Bone Screws for External Fixation System
PQ_SUO - Risks Due to the Re-Use of "Single Use" Device
PQ_TLH - TL-HEX TrueLok Hexapod System (TL-HEX)
PQ_TLK - TrueLok External Fixation System
PQ_TLS - TrueLok External Fixation System TrueLok Screws
PQ_TNP - Orthofix Titanium Nailing System
PQ_TTN - Orthofix Titanium Trochanteric Nailing System
PQ_UNY - Orthofix Galaxy UNYCO System
PQ_VPS - Contours VPS Volar Plating System (bone plate) - Sterile version
PQ_WTN - TrueLok Wire Tensioner

Catalogues

PXGEN_AdultLRS
PXGEN_BoneScrews
PXGEN_Centronail
PXGEN_Elbow
PXGEN_FFS
PXGEN_FlexReam
PXGEN_Galaxy
PXGEN_GuidedGrowth
PXGEN_ISKD
PXGEN_LRSAdv
PXGEN_Minirail
PXGEN_OSCAR3
PXGEN_PCCP
PXGEN_PHP
PXGEN_PaedLRS
PXGEN_Pelvic
PXGEN_PennigMini
PXGEN_PennigWrist
PXGEN_Pertrochanteric
PXGEN_Prefix2
PXGEN_ProCallus
PXGEN_RadiolWrist
PXGEN_Sheffield
PXGEN_SmallDAF
PXGEN_StainlessAnte
PXGEN_StainlessRetro
PXGEN_TL-HEX
PXGEN_TrueLok
PXGEN_UNYCO
PXGEN_VPS
PXGEN_VPS3
PXGEN_Veronail
PXGEN_XCaliber