Surgical Technique

Wrist Plates
2
Table of contents
Overview..........................................................................................4
Screw Options ................................................................................ 5
Volar Plate Options (Titanium/Stainless)........................................ 6
Dorsal Plate Options........................................................................7
Drill Guide Options.......................................................................... 8
Plate Modification..........................................................................10
Fracture Reduction........................................................................10
Plate Placement............................................................................. 11
Distal Radius Volar...........................................................................11
Distal Radius Dorsal........................................................................ 12
Intermediate Column...................................................................... 13
Radial Column................................................................................. 14
Distal Ulna....................................................................................... 15
Guide Block....................................................................................16
Screw Insertion..............................................................................18
2.4mm Cortex Screws.................................................................... 19
2.4mm Locking Screws/1.8mm Locking Pegs............................... 21
3.5mm Cortex Screws................................................................... 23
3.5mm Locking Screws................................................................. 24
Closure..........................................................................................25
Catalog Information.......................................................................... 26

Note
The technique description herein is made available to the healthcare professional to illustrate the suggested treatment for
the uncomplicated procedure. In the final analysis, the preferred treatment is that which addresses the needs of the patient.
Overview
The EVOS™ WRIST Plating System offers a comprehensive selection of plates intended
to treat any unstable distal radius and ulna fractures that can be addressed through
dorsal and volar approaches.
• Low-profile implants • Intuitive instrumentation
• Variable-angle locking technology

The following technique is for informational and educational purposes only. It is not intended to
serve as medical advice. It is the responsibility of treating physicians to determine and utilize the
appropriate products and techniques, according to their own clinical judgment, for each of their
patients. For more information on the EVOS WRIST Plating System, including its Indications for
Use, contraindications, cleaning, sterilization and product safety information, please refer to the
product’s label and the Instructions for Use packaged with the product.

4   EVOS Wrist Surgical Technique

 Screw Options
Overview
Titanium

1.8mm 2.4mm 3.5mm

Locking Peg Cortex Locking Cortex Locking

Thread diameter 1.7mm 2.4mm 2.4mm 3.5mm 3.5mm

Head diameter 3.8mm 3.8mm 3.7mm 5.6mm 5.4mm

Core diameter 1.7mm 1.7mm 1.7mm 2.4mm 2.4mm

Thread pitch 0 1mm 1mm 1.2mm 1.2mm

Driver T7 T7 T7 T15 T15

Screw lengths 10-24mm 8-24mm 8-24mm 10-16mm 10-16mm
(1mm increments) (1mm increments) (1mm increments) (1mm increments) (1mm increments)
26-30mm 26-30mm 26-30mm 18-20mm 18-20mm
(2mm increments) (2mm increments) (2mm increments) (2mm increments) (2mm increments)

Stainless

1.8mm 2.4mm 3.5mm

Locking Peg Cortex Locking Cortex Locking

Thread diameter 1.7mm 2.4mm 2.4mm 3.5mm 3.5mm

Head diameter 3.8mm 3.8mm 3.7mm 5.6mm 5.4mm

Core diameter 1.7mm 1.7mm 1.7mm 2.4mm 2.4mm

Thread pitch 0 1mm 1mm 1.2mm 1.2mm

Driver T7 T7 T7 2.5mm Hex 2.5mm Hex

Screw lengths 10-24mm 8-24mm 8-24mm 10-16mm 10-16mm
(1mm increments) (1mm increments) (1mm increments) (1mm increments) (1mm increments)
26-30mm 26-30mm 26-30mm 18-20mm 18-20mm
(2mm increments) (2mm increments) (2mm increments) (2mm increments) (2mm increments)

EVOS Wrist Surgical Technique  5

Overview
Plate Options
Volar Plates

Titanium Stainless

Volar Standard Volar Wide Volar Standard Volar Wide

For cortex screws only

Guide block screw in hole,
cortex screws only

Left/Right Specific Yes Yes Yes Yes

Profile thickness of head 1.6mm 1.6mm 1.6mm 1.6mm

Profile thickness of shaft 1.6mm 1.6mm 1.6mm 1.6mm

Width of shaft 8.5mm 8.5mm 8.5mm 8.5mm

Shaft hole spacing 7.5mm 7.5mm 7.5mm 7.5mm

Volar Tilt 24° 24° 24° 24°

Length 3H 48mm 3H 48mm 3H 48mm 3H 48mm

options 4H 56mm 4H 56mm 4H 56mm 4H 56mm
5H 81mm 5H 83mm 5H 76mm 5H 78mm
7H 105mm 7H 105mm 7H 100mm 7H 100mm
10H 141mm

6   EVOS Wrist Surgical Technique

 Plate Options
Overview
Dorsal Distal Radius and Distal Ulna Plates

Titanium

Standard Wide Intermediate Radial Column Ulna

Column

Left/Right Specific Yes Yes Yes Yes Yes

Profile thickness of head 1.5mm 1.5mm 1.5mm 1.5mm 1.2mm

Profile thickness of shaft 1.5mm 1.5mm 1.5mm 1.5mm 1.2mm

Width of shaft 8.5mm 8.5mm 7.0mm 7.0mm 7.4mm

Shaft hole spacing 7.5mm 7.5mm 7.0mm 7.0mm 6.0mm

Length options 3H 56mm 3H 58mm 4H 54mm 4H 57mm 7H 56mm

EVOS Wrist Surgical Technique  7

Overview
Drill Guide Options
1.8mm/2.4mm Drill Guide Module Titanium

Drill guides Technique Variable- Threaded Non-threaded Drill

angle holes holes holes

Ti 1.8mm Fixed Angle and On/Off Axis

Variable Angle Drill Guide -Cortex Screw
-Locking Screw
-Peg
P 1.8mm

Ti 1.8mm Fixed Angle On Axis

Tabbed Drill Tower -Cortex Screw
-Locking Screw
-Peg
P 1.8mm

Ti 1.8mm Fixed Angle and On/Off Axis

Conical Drill Guide -Cortex Screw
-Locking Screw
-Peg
P 1.8mm

1.8mm/2.4mm Drill Guide Module Stainless

Drill guides Technique Variable- Threaded Non-threaded Drill

angle holes holes holes

1.8mm Fixed Angle and On/Off Axis

Variable Angle Drill Guide -Cortex Screw
-Locking Screw
-Peg
P 1.8mm

1.8mm Drill Guide Tower Short On Axis

-Cortex Screw
-Locking Screw
-Peg P 1.8mm

1.8mm Fixed Angle and On/Off Axis

Conical Drill Guide -Cortex Screw
-Locking Screw
-Peg
P 1.8mm

8   EVOS Wrist Surgical Technique

 Drill Guide Options
Overview
3.5mm Drill Guide Module Titanium

Drill guides Technique Outside Variable- Threaded holes Non-threaded Drill

of plate angle holes holes

2.5mm Variable Angle Drill Guide On/Off Axis

- Cortex Screw
- Locking Screw
- Peg P* P* 2.5mm

*Axial Compression
-Cortex Screw

2.5mm Locking Drill Guide Short On Axis

-Cortex Screw
-Locking Screw
P 2.5mm

3.5mm Drill Guide Module Stainless

Drill guides Technique Outside Variable- Threaded holes Non-threaded Drill

of plate angle holes holes

2.5mm Variable Angle Drill Guide On/Off Axis

- Cortex Screw
- Locking Screw
- Peg P* P* 2.5mm

*Axial Compression
-Cortex Screw

2.5mm Locking Drill Guide Short On Axis

-Cortex Screw
-Locking Screw
P 2.5mm

EVOS Wrist Surgical Technique  9

Plate Modification
Plate Modification
Minor plate contouring can be accomplished by
using the plate bending irons.

Note: Plate contouring can affect the functionality

of the locking mechanism. Avoid bending or
contouring directly over a hole that will eventually
be used for a locking screw.

Note: 2.4mm plate bending rods are available in

the EVOS™ Wrist Titanium set to aid in contouring
dorsal plates before being fixed to bone.
Fracture Reduction

Fracture Reduction
Articular fracture components must be anatomically
reduced prior to plate application and screw insertion.
Reduction aids should be placed so as not to interfere
with final plate placement. Reduce and provisionally
secure fragments using K-Wires or reduction forceps.
Hohmann retractors are provided within the set and
should be utilized to protect soft tissue structures.
K-Wires:
• 1.4mm Trocar Tip K Wire, 100mm
• 1.6mm Trocar Tip K-Wire, 150mm
Reduction Forceps:
• Reduction Forceps with Points, Broad
• Reduction Forceps with Serrated Jaw

10   EVOS Wrist Surgical Technique

 Volar Distal Radius
Plate Placement
Distal Radius Volar Plates
Place the plate with its assembled guide
block into the wound and onto the affected
distal radius.
Fluoroscopy should be utilized to verify
screw path placement during drilling of
the distal cluster of screws in the plate to
prevent joint penetration.

EVOS Wrist Surgical Technique  11

Plate Placement
Dorsal Distal Radius

Distal Radius Dorsal Plates

Position the plate on the dorsal side of the distal
radius. Verify plate positioning under fluoroscopy.
Fluoroscopy should be utilized to verify screw path
placement during drilling of the distal cluster of
screws in the plate to prevent joint penetration.

12   EVOS Wrist Surgical Technique

 Intermediate Column
Plate Placement
Intermediate Column Plate
Position the plate on the intermediate column
region of the dorsal side of the distal radius. Verify
plate positioning under fluoroscopy.
Fluoroscopy should be utilized to verify screw path
placement during drilling of the distal cluster of
screws in the plate to prevent joint penetration.

EVOS Wrist Surgical Technique  13

Plate Placement
Radial Column

Radial Column Plate

Position the plate on the radial column region of

the dorsal side of the distal radius. Verify plate
positioning under fluoroscopy.
Fluoroscopy should be utilized to verify screw path
placement during drilling of the distal cluster of
screws in the plate to prevent joint penetration.

14   EVOS Wrist Surgical Technique

 Distal Ulna
Plate Placement
Distal Ulna Plate
Position the plate on the ulnar side of the
distal ulna close to the ulnar head. Verify plate
positioning under fluoroscopy.
Fluoroscopy should be utilized to verify screw
path placement during drilling of the distal cluster
of screws in the plate to prevent joint penetration.

EVOS Wrist Surgical Technique  15

Guide Block
Guide Block
Guide Block Assembly
Once the proper plate has been selected, identify
the corresponding Guide Block and remove it from
the tray. Lay the Guide Block on the distal end of
the plate and thread the thumb screw of the
Guide Block into the plate.
Select the plate width and length that will best
accommodate the patient’s anatomy and
fracture pattern.

Note: Do not remove thumb screw from Guide

Block for tray processing. If thumb screw
disengages from Guide Block, it can be threaded
back onto the Guide Block.

Note: Ensure the Guide Block selected is in the

correct position in tray. Guide blocks are numbered
and must be in the corresponding tray area
matching the numbered guide block.

Note: Silver and Note: Solid colored

colored guide blocks guide blocks are to be
are to be used with used with the 3 and 4
the 5, 7, and 10 hole hole plates (standard
plates (titanium) and and wide).
5 and 7 hole plates
(stainless).

Guide Block Removal

Once distal screw cluster is complete, use the
T7 Self-Retaining Driver to turn the Plate Holder
counter-clockwise and subsequently remove the
Guide Block from the Plate.

Provisional Plate Placement

The Plate has been designed with a variety of
1.4mm K-wire holes to assist with plate positioning.
A wire driver should be used to advance the
provided 1.4mm K-wires through the plate to
provisionally position it on the bone.

16   EVOS Wrist Surgical Technique

 Guide Block
Distal Screw Preparation
The Guide Block combined with the locking
mechanism offers users the options of fixed,
predesigned screw trajectories through the use of
the Fixed Angle Drill Guide or variable-angle screw
trajectories by using the Variable Angle Drill Guide.
Note: It is still possible to misplace screws into the
radiocarpal joint using the variable-angle capability
of the plate even when the K-wires appear to be
well placed. Always confirm safe screw placement
with fluoroscopy.
Note: The Guide Block limits screw trajectories to
a 30º cone or 15º in any direction when using the
Variable Angle Drill Guide. Screw angles should not
exceed this in order for the locking mechanism to
work properly. Additionally, exceeding 15º off axis
may cause unacceptable screw head prominence.
Note: Regardless of which drill guide is used
(Fixed Drill Guide or Variable Angle Drill Guide),
fluoroscopy should always be used to confirm
safe drill placement due to the variability of patient
anatomy and fracture patterns.
Insert the tip of the Fixed or Variable Angle Drill
Guide into the desired hole and drill accordingly with
the 1.8mm Drill.
Note: When inserting drill guide into guide block
with close proximity to K-wire, surgeon may need to
bend K-wire out of the way.

T7 Holding Sleeve
The T7 Holding Sleeve is only compatible with the T7
linear driver with AO quick connect. First, connect
the T7 linear driver to quick connect handle. Second,
slide the holding sleeve onto the driver (Wide end
first) until it clicks. Align the driver tip with the screw
head and proceed to slide the holding sleeve down,
until it captures. Proceed to screw in as normal until
you encounter interference with guide block or plate,
upon which you will pull back the T7 holding sleeve
and finish tightening. To remove holding sleeve,
put thumb on back end of holding sleeve closest
to handle, pull back sleeve and push with
thumb simultaneously.

EVOS Wrist Surgical Technique  17

Screw Insertion
Screw Insertion

The choice of screws, and the order and

configuration, is a decision to be made by the
individual surgeon depending on the patient’s
circumstances and needs. Smith & Nephew does
not recommend any particular screw insertion order
or configuration of the various types of screws
available within the EVOS™ System.
Non-Locking screws for the EVOS System may
be used outside the plate to assist with articular
reduction or inter-fragmentary compression and
through the plate to fix the plate to bone.

18   EVOS Wrist Surgical Technique

 Screw Insertion
2.4mm Cortex
Screw Insertion
The 2.4mm Cortex Screws in the system may be
used either through a 2.4mm plate screw hole or
independently for fracture reduction.

Drill
• Option 1: Independent of a plate: Position
the variable angle side of the 1.8mm Variable-
Angle/Fixed-Angle Drill Guide to the bone and
drill to the desired depth using the 1.8mm Short
Drill Bit.

• Option 2: Lag screw technique: Position the

2.4mm Over-Drill to the bone and drill through
the near cortex creating a gliding hole for the
2.4mm screws. Insert the variable angle side
of the 1.8mm Variable-Angle/Fixed-Angle Drill
Guide into the hole that was just drilled to
ensure correct trajectory of the pilot-hole. Drill
to the desired depth using the 1.8mm Short
Drill Bit.

• Option 3: Through a plate: The 1.8mm

Variable-Angle/Fixed-Angle Drill Guide is
double sided. The variable angle side should
be used if one intends to place the screw
off-axis through the plate. The fixed angle side
should be used if one intends to place the
screw to the nominal trajectory of the variable-
angle hole. Determine the appropriate side
of the Variable-Angle/Fixed-Angle Drill Guide
and insert it into the desired screw hole. When
drilling off axis, ensure the tip of the drill guide
engages with the tabbed hole. Drill to the
desired depth using the 1.8mm Short Drill Bit.
Note: Conical Drill Guide can be used without the
guide block.

EVOS Wrist Surgical Technique  19

Screw Insertion
2.4mm Cortex
Countersink (optional)
If the screw is being used independently,
countersinking the screw head may be desired to
lower the screw head prominence on the bone.
To countersink, attach the countersink for 2.4mm
screws to the Quick Coupling Handle and
prepare the bone surface by inserting the top
into the predrilled hole and turning the
countersink clockwise.

Measure
Measure for screw length by taking a direct reading
from the 2.4mm Screw Depth Gauge.
Alternatively, 1.8mm Short Drill Bits are calibrated and
can be measured off of the back of the fixed-angle
side of the 1.8mm Variable-Angle/Fixed-Angle
Drill Guide.

Tap (optional)
The 2.4mm screws are self-tapping. However, in
areas of dense cortical bone, tapping the bone may
be desired prior to screw insertion. Tap by using the
2.4mm Tap. This should be performed manually by
using the Quick Coupling Handle.

Screw Insertion
Insert the appropriate length 2.4mm Cortex Screw
using the T7 Self-Retaining Screwdriver. Final
tightening should be performed by hand with the T7
Fixed-Handle Driver.
Note: To prevent the Self-Retaining Driver from
disengaging from the screw, axial pressure should
be applied.

20   EVOS Wrist Surgical Technique

 Screw Insertion
2.4mm Locking/ 1.8mm Locking Pegs
Screw Insertion
The 2.4mm Locking Screws/1.8mm Pegs can be used in both
threaded and variable-angle holes within 2.4mm plates.
2.4mm Locking Screws/1.8mm Pegs can be angled and
locked up to 15° in any direction in 2.4mm variable-angle
holes.
Note: It is not recommended to engage the variable-angle
locking mechanism more than two times during screw
insertion. Also, repeated use or damage to variable-angle
locking tabs can cause:
• Screws to not lock to plate
• Screws to pass through plate

Drill
• Through a plate:
− For variable angle tabbed holes: The 1.8mm Variable-
Angle/Fixed-Angle Drill Guide Stainless is double
sided. The variable angle side should be used if one
intends to place the screw off-axis through the plate.
The fixed angle side should be used if one intends
to place the screw to the nominal trajectory of the
variable-angle hole. Determine the appropriate side
of the Variable-Angle/Fixed-Angle Drill Guide and
insert it into the desired screw hole. When drilling off
axis, ensure the tip of the drill guide engages with the
tabbed hole. Drill to the desired depth using the 1.8mm
Short Drill Bit.
Note: Conical Drill Guide to be used without the guide block.

EVOS Wrist Surgical Technique  21

Screw Insertion
2.4mm Locking/ 1.8mm Locking Pegs
Measure
Measure for screw length by taking a direct
reading from the 2.4mm Screw Depth Gauge.

Tap (optional)
The 2.4mm screws are self-tapping. However, in
areas of dense cortical bone, tapping the bone
may be desired prior to screw insertion. Tap by
using the 2.4mm Tap. This should be performed
manually by using the Quick Coupling Handle.

Screw insertion
Insert the appropriate length 2.4mm Locking
Screw/1.8mm Pegs using the T7 Self-Retaining
Screwdriver. Final tightening should be performed
using a two finger technique to avoid loss of
reduction, stripping of screw head or damage
to the screwdriver. When using locking screws,
a moderate amount of downward force should
be applied as the locking threads of the screw
engage the tabs of the plate. Once the locking
screw engages the plate, only a half turn is
needed to lock the screw into the plate.
Note: To prevent the Self-Retaining Driver from
disengaging from the screw, axial pressure
should be applied.

22   EVOS Wrist Surgical Technique

 Screw Insertion
3.5mm Cortex
Screw Insertion
3.5mm Cortex Screws can be angled
up to 20° in any direction in 3.5mm
fixed angle holes.

Drill
• Option 1: Through a plate (Neutral Mode)
− Fixed-Angle Threaded Holes: Thread in the
2.5mm Fixed-Angle Drill Guide into the desired
screw hole and drill to the desired depth using
the 2.5mm Drill.

− Non-threaded holes: Position the Variable-

Angle Drill guide vertically into the desired screw
hole and drill to the desired depth using the
2.5mm Drill.

• Option 2: Through a plate (Compression Mode)

− Fixed-Angle Threaded Holes/Non-threaded
holes: Position the 2.5mm Variable-Angle Drill
Guide into the desired screw hole. To gain axial
compression, position the drill guide so that it
is against the wall of the hole furthest from the
fracture. Drill to the desired depth using the
2.5mm Drill.

Measure
• Measure for screw length by taking a direct reading
from the 3.5mm Screw Depth Gauge.

• Measure for screw length by taking a direct reading

from the 2.5mm Drill Bit when using the Variable
Angle Drill Guide or Fixed-Angle Drill Guide.

Screw Insertion
Insert the appropriate length screw using the 2.5mm
Self-Retaining Screwdriver (Stainless Set) or the T15
Self-Retaining Driver (Titanium Set). Final tightening
should be performed by hand using the 2.5mm
Fixed-Handle Driver (Stainless Set) or the T15 Driver
Fixed Handle (Titanium Set).
Note: To prevent the Self-Retaining Driver from
disengaging from the screw, axial pressure should
be applied.

EVOS Wrist Surgical Technique  23

Screw Insertion
3.5mm Locking 3.5mm Locking Screws can be locked through the
plate in a fixed-angle through 3.5mm threaded holes.

Drill
• Option 1: Through a plate
− Fixed-Angle Threaded Holes: Thread in the
2.5mm Fixed-Angle Drill Guide into the desired
screw hole and drill to the desired depth using
the 2.5mm Drill.

Measure
• Measure for screw length by taking a direct reading
from the 3.5mm Screw Depth Gauge.

• Measure for screw length by taking a direct reading

from the 2.5mm Drill Bit when using the Variable
Angle Drill Guide or Fixed-Angle Drill Guide.

Screw Insertion
Insert the appropriate length screw using the 2.5mm
Self-Retaining Screwdriver (Stainless Set) or the T15
Self-Retaining Driver (Titanium Set). Final tightening
should be performed by hand using the 2.5mm
Fixed-Handle Driver (Stainless Set) or the T15 Driver
Fixed Handle (Titanium Set).
Note: To prevent the Self-Retaining Driver from
disengaging from the screw, axial pressure should
be applied.

24   EVOS Wrist Surgical Technique

 Screw Insertion
Closure
Closure

Obtain final anterior-posterior and lateral

radiographic images to confirm patient implant
position and fracture reduction. Wound
closure follows standard technique.
Note: Care should be taken during dissection
and reconstruction of soft tissue to reduce the
occurrence of soft tissue adherence and/or
tissue irritation.

EVOS Wrist Surgical Technique  25

Catalog Information
Tray/Implants
Cat. Item Description Qty
Trays
71158130 EVOS™ WRIST Volar Distal Radius Titanium Tray 1
71158131 EVOS WRIST Volar Distal Radius Titanium Tray Lid 1
71158132 EVOS WRIST 1.8/2.4mm Ti Screw Caddy With Lid 1
71158133 EVOS WRIST 3.5mm Ti Screw Caddy With Lid 1
71158134 EVOS WRIST Volar Distal Radius Titanium Plate Tray 1
71170430 EVOS WRIST Volar Distal Radius Stainless Steel Tray 1
71170431 EVOS WRIST Volar Distal Radius Stainless Steel Tray Lid 1
71170432 EVOS WRIST Stainless 1.8/2.4mm Screw Caddy With Lid 1
71170433 EVOS WRIST Stainless 3.5mm Screw Caddy With Lid 1
71170434 EVOS WRIST Volar Distal Radius Stainless Steel Plate Tray 1
71158135 EVOS WRIST Dorsal Distal Radius and Distal Ulna Titanium Tray 1
71158136 EVOS WRIST Dorsal Distal Radius and Distal Ulna Titanium Tray Lid 1
Volar Titanium Plates
71158103 EVOS Distal Radius Volar Plate 3H Left Standard Titanium 48mm 1
71158203 EVOS Distal Radius Volar Plate 3H Right Standard Titanium 48mm 1
71158303 EVOS Distal Radius Volar Plate 3H Left Wide Titanium 48mm 1
71158403 EVOS Distal Radius Volar Plate 3H Right Wide Titanium 48mm 1
71158104 EVOS Distal Radius Volar Plate 4H Left Standard Titanium 56mm 1
71158204 EVOS Distal Radius Volar Plate 4H Right Standard Titanium 56mm 1
71158304 EVOS Distal Radius Volar Plate 4H Left Wide Titanium 56mm 1
71158404 EVOS Distal Radius Volar Plate 4H Right Wide Titanium 56mm 1
71158105 EVOS Distal Radius Volar Plate 5H Left Standard Titanium 81mm 1
71158205 EVOS Distal Radius Volar Plate 5H Right Standard Titanium 81mm 1
71158305 EVOS Distal Radius Volar Plate 5H Left Wide Titanium 83mm 1
71158405 EVOS Distal Radius Volar Plate 5H Right Wide Titanium 83mm 1
71158107 EVOS Distal Radius Volar Plate 7H Left Standard Titanium 105mm 1
71158207 EVOS Distal Radius Volar Plate 7H Right Standard Titanium 105mm 1
71158307 EVOS Distal Radius Volar Plate 7H Left Wide Titanium 105mm 1
71158407 EVOS Distal Radius Volar Plate 7H Right Wide Titanium 105mm 1
71158110 EVOS Distal Radius Volar Plate 10H Left Standard Titanium 141mm 1
71158210 EVOS Distal Radius Volar Plate 10H Right Standard Titanium 141mm 1
Volar Stainless Plates
72468103 EVOS Distal Radius Volar Plate 3H Left Standard 48mm 1
72468203 EVOS Distal Radius Volar Plate 3H Right Standard 48mm 1
72468303 EVOS Distal Radius Volar Plate 3H Left Wide 48mm 1
72468403 EVOS Distal Radius Volar Plate 3H Right Wide 48mm 1
72468104 EVOS Distal Radius Volar Plate 4H Left Standard 56mm 1
72468204 EVOS Distal Radius Volar Plate 4H Right Standard 56mm 1
72468304 EVOS Distal Radius Volar Plate 4H Left Wide 56mm 1
72468404 EVOS Distal Radius Volar Plate 4H Right Wide 56mm 1
72468105 EVOS Distal Radius Volar Plate 5H Left Standard 76mm 1
72468205 EVOS Distal Radius Volar Plate 5H Right Standard 76mm 1
72468305 EVOS Distal Radius Volar Plate 5H Left Wide 78mm 1
72468405 EVOS Distal Radius Volar Plate 5H Right Wide 78mm 1
72468107 EVOS Distal Radius Volar Plate 7H Left Standard 100mm 1
72468207 EVOS Distal Radius Volar Plate 7H Right Standard 100mm 1
72468307 EVOS Distal Radius Volar Plate 7H Left Wide 100mm 1
72468407 EVOS Distal Radius Volar Plate 7H Right Wide 100mm 1

*Add “N” to end of implant CI for Non-Sterile.

26   EVOS Wrist Surgical Technique

 Implants
Catalog Information
Cat. Item Description Qty
Dorsal Titanium Plates
71158503 EVOS™ Dorsal Radius Plate 3H Left Standard Titanium 56mm 1
71158603 EVOS Dorsal Radius Plate 3H Right Standard Titanium 56mm 1
71158504 EVOS Dorsal Radius Plate 3H Left Wide Titanium 58mm 1
71158604 EVOS Dorsal Radius Plate 3H Right Wide Titanium 58mm 1
71158505 EVOS Dorsal Intermediate Column Plate 4H Left Titanium 54mm 1
71158605 EVOS Dorsal Intermediate Column Plate 4H Right Titanium 54mm 1
71158506 EVOS Dorsal Radial Column Plate 4H Left Titanium 57mm 1
71158606 EVOS Dorsal Radial Column Plate 4H Right Titanium 57mm 1
71158507 EVOS Distal Ulna Plate 7H Left Titanium 56mm 1
71158607 EVOS Distal Ulna Plate 7H Right Titanium 56mm 1
Titanium Screws
73391910 EVOS Titanium 1.8mm x 10mm Locking Peg T7 5
73391911 EVOS Titanium 1.8mm x 11mm Locking Peg T7 5
73391912 EVOS Titanium 1.8mm x 12mm Locking Peg T7 5
73391913 EVOS Titanium 1.8mm x 13mm Locking Peg T7 5
73391914 EVOS Titanium 1.8mm x 14mm Locking Peg T7 5
73391915 EVOS Titanium 1.8mm x 15mm Locking Peg T7 5
73391916 EVOS Titanium 1.8mm x 16mm Locking Peg T7 5
73391917 EVOS Titanium 1.8mm x 17mm Locking Peg T7 5
73391918 EVOS Titanium 1.8mm x 18mm Locking Peg T7 5
733-1919 EVOS Titanium 1.8mm x 19mm Locking Peg T7 5
73391920 EVOS Titanium 1.8mm x 20mm Locking Peg T7 5
73391921 EVOS Titanium 1.8mm x 21mm Locking Peg T7 5
73391922 EVOS Titanium 1.8mm x 22mm Locking Peg T7 5
73391923 EVOS Titanium 1.8mm x 23mm Locking Peg T7 5
73391924 EVOS Titanium 1.8mm x 24mm Locking Peg T7 5
73391926 EVOS Titanium 1.8mm x 26mm Locking Peg T7 5
73391928 EVOS Titanium 1.8mm x 28mm Locking Peg T7 5
73391930 EVOS Titanium 1.8mm x 30mm Locking Peg T7 5
74402408 VLP™ Titanium 2.4mm x 8mm Cortex Screw T7 Self-Tapping 5
74402409 VLP Titanium 2.4mm x 9mm Cortex Screw T7 Self-Tapping 5
74402410 VLP Titanium 2.4mm x 10mm Cortex Screw T7 Self-Tapping 5
74402411 VLP Titanium 2.4mm x 11mm Cortex Screw T7 Self-Tapping 5
74402412 VLP Titanium 2.4mm x 12mm Cortex Screw T7 Self-Tapping 5
74402413 VLP Titanium 2.4mm x 13mm Cortex Screw T7 Self-Tapping 5
74402414 VLP Titanium 2.4mm x 14mm Cortex Screw T7 Self-Tapping 5
74402415 VLP Titanium 2.4mm x 15mm Cortex Screw T7 Self-Tapping 5
74402416 VLP Titanium 2.4mm x 16mm Cortex Screw T7 Self-Tapping 5
74402417 VLP Titanium 2.4mm x 17mm Cortex Screw T7 Self-Tapping 5
74402418 VLP Titanium 2.4mm x 18mm Cortex Screw T7 Self-Tapping 5
74402419 VLP Titanium 2.4mm x 19mm Cortex Screw T7 Self-Tapping 5
74402420 VLP Titanium 2.4mm x 20mm Cortex Screw T7 Self-Tapping 5
74402421 VLP Titanium 2.4mm x 21mm Cortex Screw T7 Self-Tapping 5
74402422 VLP Titanium 2.4mm x 22mm Cortex Screw T7 Self-Tapping 5
74402423 VLP Titanium 2.4mm x 23mm Cortex Screw T7 Self-Tapping 5
74402424 VLP Titanium 2.4mm x 24mm Cortex Screw T7 Self-Tapping 5
74402426 VLP Titanium 2.4mm x 26mm Cortex Screw T7 Self-Tapping 5
74402428 VLP Titanium 2.4mm x 28mm Cortex Screw T7 Self-Tapping 5
74402430 VLP Titanium 2.4mm x 30mm Cortex Screw T7 Self-Tapping 5
74412408 VLP Titanium 2.4mm x 8mm Locking Screw T7 Self-Tapping 5
74412409 VLP Titanium 2.4mm x 9mm Locking Screw T7 Self-Tapping 5
74412410 VLP Titanium 2.4mm x 10mm Locking Screw T7 Self-Tapping 5
74412411 VLP Titanium 2.4mm x 11mm Locking Screw T7 Self-Tapping 5
74412412 VLP Titanium 2.4mm x 12mm Locking Screw T7 Self-Tapping 5
74412413 VLP Titanium 2.4mm x 13mm Locking Screw T7 Self-Tapping 5
74412414 VLP Titanium 2.4mm x 14mm Locking Screw T7 Self-Tapping 5
74412415 VLP Titanium 2.4mm x 15mm Locking Screw T7 Self-Tapping 5
74412416 VLP Titanium 2.4mm x 16mm Locking Screw T7 Self-Tapping 5
74412417 VLP Titanium 2.4mm x 17mm Locking Screw T7 Self-Tapping 5

*Add “N” to end of implant CI for Non-Sterile.

EVOS Wrist Surgical Technique  27

Catalog Information
Implants Cat. Item Description Qty
Titanium Screws
74412418 VLP™ Titanium 2.4mm x 18mm Locking Screw T7 Self Tapping 5
74412419 VLP Titanium 2.4mm x 19mm Locking Screw T7 Self Tapping 5
74412420 VLP Titanium 2.4mm x 20mm Locking Screw T7 Self Tapping 5
74412421 VLP Titanium 2.4mm x 21mm Locking Screw T7 Self Tapping 5
74412422 VLP Titanium 2.4mm x 22mm Locking Screw T7 Self Tapping 5
74412423 VLP Titanium 2.4mm x 23mm Locking Screw T7 Self Tapping 5
74412424 VLP Titanium 2.4mm x 24mm Locking Screw T7 Self Tapping 5
74412426 VLP Titanium 2.4mm x 26mm Locking Screw T7 Self Tapping 5
74412428 VLP Titanium 2.4mm x 28mm Locking Screw T7 Self Tapping 5
74412430 VLP Titanium 2.4mm x 30mm Locking Screw T7 Self Tapping 5
75403510 EVOS™ Titanium 3.5mm x 10mm Cortex Screw T15 Self Tapping 5
75403511 EVOS Titanium 3.5mm x 11mm Cortex Screw T15 Self Tapping 5
75403512 EVOS Titanium 3.5mm x 12mm Cortex Screw T15 Self Tapping 5
75403513 EVOS Titanium 3.5mm x 13mm Cortex Screw T15 Self Tapping 5
75403514 EVOS Titanium 3.5mm x 14mm Cortex Screw T15 Self Tapping 5
75403515 EVOS Titanium 3.5mm x 15mm Cortex Screw T15 SelfTapping 5
75403516 EVOS Titanium 3.5mm x 16mm Cortex Screw T15 Self Tapping 5
75403518 EVOS Titanium 3.5mm x 18mm Cortex Screw T15 Self Tapping 5
75403520 EVOS Titanium 3.5mm x 20mm Cortex Screw T15 Self Tapping 5
75413511 EVOS Titanium 3.5mm x 10mm Locking Screw T15 Self Tapping 5
75413511 EVOS Titanium 3.5mm x 11mm Locking Screw T15 Self Tapping 5
75413512 EVOS Titanium 3.5mm x 12mm Locking Screw T15 Self Tapping 5
75413513 EVOS Titanium 3.5mm x 13mm Locking Screw T15 Self Tapping 5
75413514 EVOS Titanium 3.5mm x 14mm Locking Screw T15 Self Tapping 5
75413515 EVOS Titanium 3.5mm x 15mm Locking Screw T15 Self Tapping 5
75413516 EVOS Titanium 3.5mm x 16mm Locking Screw T15 Self Tapping 5
75413518 EVOS Titanium 3.5mm x 18mm Locking Screw T15 Self Tapping 5
75413520 EVOS Titanium 3.5mm x 20mm Locking Screw T15 Self Tapping 5
Stainless Screws
72411810 EVOS 1.8mm x 10mm Locking Peg T7 5
72411811 EVOS 1.8mm x 11mm Locking Peg T7 5
72411812 EVOS 1.8mm x 12mm Locking Peg T7 5
72411813 EVOS 1.8mm x 13mm Locking Peg T7 5
72411814 EVOS 1.8mm x 14mm Locking Peg T7 5
72411815 EVOS 1.8mm x 15mm Locking Peg T7 5
72411816 EVOS 1.8mm x 16mm Locking Peg T7 5
72411817 EVOS 1.8mm x 17mm Locking Peg T7 5
72411818 EVOS 1.8mm x 18mm Locking Peg T7 5
72411819 EVOS 1.8mm x 19mm Locking Peg T7 5
72411820 EVOS 1.8mm x 20mm Locking Peg T7 5
72411821 EVOS 1.8mm x 21mm Locking Peg T7 5
72411822 EVOS 1.8mm x 22mm Locking Peg T7 5
72411823 EVOS 1.8mm x 23mm Locking Peg T7 5
72411824 EVOS 1.8mm x 24mm Locking Peg T7 5
72411826 EVOS 1.8mm x 26mm Locking Peg T7 5
72411828 EVOS 1.8mm x 28mm Locking Peg T7 5
72411830 EVOS 1.8mm x 30mm Locking Peg T7 5
72402408 EVOS 2.4mm x 8mm Cortex Screw T7 Self Tapping 5
72402409 EVOS 2.4mm x 9mm Cortex Screw T7 Self Tapping 5
72402410 EVOS 2.4mm x 10mm Cortex Screw T7 Self Tapping 5
72402411 EVOS 2.4mm x 11mm Cortex Screw T7 Self Tapping 5
72402412 EVOS 2.4mm x 12mm Cortex Screw T7 Self Tapping 5
72402413 EVOS 2.4mm x 13mm Cortex Screw T7 Self Tapping 5
72402414 EVOS 2.4mm x 14mm Cortex Screw T7 Self Tapping 5
72402415 EVOS 2.4mm x 15mm Cortex Screw T7 Self Tapping 5
72402416 EVOS 2.4mm x 16mm Cortex Screw T7 Self Tapping 5
72402417 EVOS 2.4mm x 17mm Cortex Screw T7 Self Tapping 5
72402418 EVOS 2.4mm x 18mm Cortex Screw T7 Self Tapping 5
72402419 EVOS 2.4mm x 19mm Cortex Screw T7 Self Tapping 5
72402420 EVOS 2.4mm x 20mm Cortex Screw T7 Self Tapping 5
72402421 EVOS 2.4mm x 21mm Cortex Screw T7 Self Tapping 5

*Add “N” to end of implant CI for Non-Sterile.

28   EVOS Wrist Surgical Technique

 Implants/Instruments
Catalog Information
Cat. Item Description Qty
Stainless Screws
72402422 EVOS™ 2.4mm x 22mm Cortex Screw T7 Self Tapping 5
72402423 EVOS 2.4mm x 23mm Cortex Screw T7 Self Tapping 5
72402424 EVOS 2.4mm x 24mm Cortex Screw T7 SelfT apping 5
72402426 EVOS 2.4mm x 26mm Cortex Screw T7 Self Tapping 5
72402428 EVOS 2.4mm x 28mm Cortex Screw T7 Self Tapping 5
72402430 EVOS 2.4mm x 30mm Cortex Screw T7 Self Tapping 5
72412408 EVOS 2.4mm x 8mm Locking Screw T7 Self Tapping 5
72412409 EVOS 2.4mm x 9mm Locking Screw T7 Self Tapping 5
72412410 EVOS 2.4mm x 10mm Locking Screw T7 Self Tapping 5
72412411 EVOS 2.4mm x 11mm Locking Screw T7 Self Tapping 5
72412412 EVOS 2.4mm x 12mm Locking Screw T7 Self Tapping 5
72412413 EVOS 2.4mm x 13mm Locking Screw T7 Self Tapping 5
72412414 EVOS 2.4mm x 14mm Locking Screw T7 Self Tapping 5
72412415 EVOS 2.4mm x 15mm Locking Screw T7 Self Tapping 5
72412416 EVOS 2.4mm x 16mm Locking Screw T7 Self Tapping 5
72412417 EVOS 2.4mm x 17mm Locking Screw T7 Self Tapping 5
72412418 EVOS 2.4mm x 18mm Locking Screw T7 Self Tapping 5
72412419 EVOS 2.4mm x 19mm Locking Screw T7 Self Tapping 5
72412420 EVOS 2.4mm x 20mm Locking Screw T7 Self Tapping 5
72412421 EVOS 2.4mm x 21mm Locking Screw T7 Self Tapping 5
72412422 EVOS 2.4mm x 22mm Locking Screw T7 Self Tapping 5
72412423 EVOS 2.4mm x 23mm Locking Screw T7 Self Tapping 5
72412424 EVOS 2.4mm x 24mm Locking Screw T7 Self Tapping 5
72412426 EVOS 2.4mm x 26mm Locking Screw T7 Self Tapping 5
72412428 EVOS 2.4mm x 28mm Locking Screw T7 Self Tapping 5
72412430 EVOS 2.4mm x 30mm Locking Screw T7 Self Tapping 5
72403510 EVOS 3.5mm x 10mm Cortex Screw T7 Self Tapping 5
72403511 EVOS 3.5mm x 11mm Cortex Screw T7 Self Tapping 5
72403512 EVOS 3.5mm x 12mm Cortex Screw T7 Self Tapping 5
72403513 EVOS 3.5mm x 13mm Cortex Screw T7 Self Tapping 5
72403514 EVOS 3.5mm x 14mm Cortex Screw T7 Self Tapping 5
72403515 EVOS 3.5mm x 15mm Cortex Screw T7 Self Tapping 5
72403516 EVOS 3.5mm x 16mm Cortex Screw T7 Self Tapping 5
72403518 EVOS 3.5mm x 18mm Cortex Screw T7 Self Tapping 5
72403520 EVOS 3.5mm x 20mm Cortex Screw T7 Self Tapping 5
72413510 EVOS 3.5mm x 10mm Locking Screw T7 Self Tapping 5
72413511 EVOS 3.5mm x 11mm Locking Screw T7 Self Tapping 5
72413512 EVOS 3.5mm x 12mm Locking Screw T7 Self Tapping 5
72413513 EVOS 3.5mm x 13mm Locking Screw T7 Self Tapping 5
72413514 EVOS 3.5mm x 14mm Locking Screw T7 Self Tapping 5
72413515 EVOS 3.5mm x 15mm Locking Screw T7 Self Tapping 5
72413516 EVOS 3.5mm x 16mm Locking Screw T7 Self Tapping 5
72413518 EVOS 3.5mm x 18mm Locking Screw T7 Self Tapping 5
72413520 EVOS 3.5mm x 20mm Locking Screw T7 Self Tapping 5
General Instruments - Titanium Set
71158045 DRAD™ Volar Guide Block 3 Hole And 4 Hole Left Standard 1
71158047 D-RAD Volar Guide Block 3 Hole And 4 Hole Right Standard 1
71158046 D-RAD Volar Guide Block 3 Hole And 4 Hole Left Wide 1
71158048 D-RAD Volar Guide Block 3 Hole And 4 Hole Right Wide 1
71158049 D-RAD Volar Guide Block 5 Hole 7 Hole And 10 Hole Left Standard 1
71158051 D-RAD Volar Guide Block 5 Hole 7 Hole And 10 Hole Right Standard 1
71158050 D-RAD Volar Guide Block 5 Hole 7 Hole Left Wide 1
71158052 D-RAD Volar Guide Block 5 Hole 7 Hole Right Wide 1
71158090 EVOS Distal Radius Ti 1.8mm Fixed Angle And Variable Angle Drill Guide 1
7115-8091 EVOS Distal Radius Ti 1.8mm Fixed Angle Tabbed Drill Tower 1
71161014 Trocar Tip Wire 1.4mm x 100mm 6
71158092 EVOS Distal Radius Ti 1.8mm Drill Ao Qc 2
74462410 VLP™ MINI MOD™ 2.4mm Overdrill Ao Qc 2
71175023 EVOS SMALL 2.5mm Drill w/AO QC, Short 2
71158072 Depth Gauge For 1.8mm Pegs And 2.4mm Screws 1

*Add “N” to end of implant CI for Non-Sterile.

EVOS Wrist Surgical Technique  29

Catalog Information
Instruments
*Add “N” to end of implant CI for Non-Sterile.
Cat. Item Description Qty
General Instruments - Titanium Set
71175069 EVOS™ Small 3.5mm Depth Gauge, Short 1
71174927 T7 Driver Shaft w/AO QC 1
74462414 Fixed Handle T7 Driver 1
71158074 T15 Self Retaining Driver Shaft With Quick Connect 120mm 2
71158075 T15 Driver Fixed Handle 1
71175028 EVOS 3.5mm Tap w/AO QC 1
71175031 EVOS 3.5mm Countersink w/AO QC 1
71174969 Countersink 2.4mm Screws w/ AO QC 1
71174916 2.4mm Tap w/AO QC 1
71101530 Freer Elevator 1
71170097 Periosteal Elevator – 6mm Curved 1
71170043 Sharp Hook 1
71173378 Rdce Frcps w/Srrtd Jw 1
71158076 D-RAD™ Plate Bending Irons 2
71161016 PERI-LOC™ K-Wire 1.6mm x 150mm Length Trocar Point 6
71173369 Hohmann Retractor – Bent 8mm Width 2
71175110 EVOS Distal Radius 2.5mm Variable Angle Drill Guide 1
71173377 Reduction Forceps w/Points, Broad 2
71174988 T7 Holding Sleeve 1
71158400 EVOS Distal Radius Ti 1.8mm Fixed Angle and Conical Drill Guide 1
71170015 Quick Coupling Handle 1
71177031 EVOS Distal Radius 2.5mm Locking Drill Guide Short 1
71158093 T7 LINEAR DRIVER SHAFT W/AO QC 1
71158099 2.4mm 4 Tab Titanium Plate Bending Rod 2
General Instruments - Stainless Set
71158045 D-RAD™ Volar Guide Block 3 Hole And 4 Hole Left Standard 1
71158047 D-RAD Volar Guide Block 3 Hole And 4 Hole Right Standard 1
71158046 D-RAD Volar Guide Block 3 Hole And 4 Hole Left Wide 1
71158048 D-RAD Volar Guide Block 3 Hole And 4 Hole Right Wide 1
71158049 D-RAD Volar Guide Block 5 Hole 7 Hole And 10 Hole Left Standard 1
71158051 D-RAD Volar Guide Block 5 Hole 7 Hole And 10 Hole Right Standard 1
71158050 D-RAD Volar Guide Block 5 Hole 7 Hole Left Wide 1
71158052 D-RAD Volar Guide Block 5 Hole 7 Hole Right Wide 1
71158070 D-RAD 1.8mm Fixed Angle And Variable Angle Drill Guide 1
71175109 EVOS Distal Radius 1.8mm Drill Guide Tower Short 1
71161014 Trocar Tip Wire 1.4mm x 100mm 6
71158092 EVOS Distal Radius Ti 1.8mm Drill AO QC 2
74462410 VLP™ MINI-MOD 2.4mm Overdrill AO QC 2
71175023 EVOS SMALL 2.5mm Drill W/AO QC, Short 2
71158072 Depth Gauge For 1.8mm Pegs And 2.4mm Screws 1
71175069 EVOS Small 3.5mm Depth Gauge, Short 1
71174927 T7 Driver Shaft w/AO QC 1
71174926 Fixed Handle T7 Driver 1
71175073 2.5mm Hex Driver Shaft Short 2
71175111 EVOS Distal Radius 2.5mm Fixed Handle Tapered Hex Driver 1
71175028 EVOS 3.5mm Tap w/AO QC 1
71175031 EVOS 3.5mm Countersink w/AO QC 1
71174969 Countersink 2.4mm Screws w/AO QC 1
71174916 2.4mm Tap w/AO QC 1
71101530 Freer Elevator 1
71170097 Periosteal Elevator-6mm Curved 1
71170043 Sharp Hook 1
71173378 RDCE FRCPS w/Srrtd Jw 1
71158076 D-RAD Plate Bending Irons 2
71161016 PERI-LOC K-Wire 1.6mm x 150mm Length Trocar Point 6
71173369 Hohmann Retractor - Bent 8mm Width 2
71175110 EVOS Distal Radius 2.5mm Variable Angle Drill Guide 1
71173377 Reduction Forceps W/Points, Broad 2
71174988 T7 Holding Sleeve 1
71170015 Quick Coupling Handle 1
71158401 EVOS Distal Radius SST 1.8mm Fixed Angle and Conical Drill Guide 1
71177031 EVOS Distal Radius 2.5mm Locking Drill Guide Short 1
71174985 T7 Linear Driver Shaft w/AO QC 1

30   EVOS Wrist Surgical Technique

 Sets
Catalog Information
Cat. Item Description Qty
Set BOMs
71410260N EVOS™ Volar Distal Radius – Titanium Set 1
71410261N EVOS Volar Distal Radius – Stainless Set 1
71410262 EVOS Dorsal Plate Set - Sterile 1
71410262N EVOS Dorsal Plate Set 1
71410266 EVOS Volar Distal Radius Titanium Implant Set – Sterile 1
71410267 EVOS Volar Distal Radius Stainless Implant Set – Sterile 1
71410268 EVOS Volar Distal Radius Titanium Instrument Set 1
71410269 EVOS Volar Distal Radius Stainless Instrument Set 1

EVOS Wrist Surgical Technique  31

Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets.
Please contact your Smith & Nephew representative or distributor if you have questions about the availability of Smith & Nephew products in your area.

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Smith & Nephew, Inc. www.smith-nephew.com

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All trademarks are acknowledged. 15761 V5 71081171 REVD 06/22