2.

4 mm Variable Angle LCP Distal

Radius System. For fragment-specific
fracture fixation with variable angle
locking technology.

Technique Guide
Table of Contents

Introduction 2.4 mm Variable Angle LCP Distal Radius System 2

AO Principles 4

Indications 5

Clinical Cases 6

Surgical Technique Three-Column Theory 7

Preoperative Planning 8

Surgical Technique 10

Product Information Implants 21

Instruments 26

Set Lists 32

IMPORTANT: This device has not been evaluated for safety

and compatibility in the MR environment. This device has not
been tested for heating or migration in the MR environment.

Image intensifier control

Synthes
2.4 mm Variable Angle LCP Distal Radius System.
For fragment-specific fracture fixation with variable angle locking technology.

Plate features
19.5 mm 22 mm 25.5 mm
Three head sizes accommodate
patient anatomy.
– Narrow
6-hole head (19.5 mm)
– Standard
6-hole head (22 mm)
7-hole head (25.5 mm)
– Anatomically contoured volar distal
radius plates designed to address both
simple and complex fractures
– Variable angle LCP (VA-LCP) holes
in the head of the plate combined
with variable angle locking screws
offer a locked construct to support
the articular surface and reduce the
need for bone graft
– Manufactured in stainless steel
and titanium

Variable angle locking

– Screws can be angled anywhere
within a 30° cone around the central
axis of the plate hole (Figure 1) 15°
– Four columns of threads in the 15°
variable angle locking hole provide
four points of threaded locking Figure 2
between the VA-LCP plate and the
variable angle locking screw, forming
a fixed-angle construct at the desired
screw angle (Figure 3)
– The head of the 2.4 mm variable
angle locking screw has a rounded
shape to facilitate various angles
Figure 1
within the locking hole (Figure 4)
Figure 3

Figure 4

2 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
2.4 mm Variable Angle LCP Two-Column Volar Distal Radius Plate

Two columns allow independent fine contouring of the radial Choice of 2-hole, Combi holes allow fixed-angle locking screw
and intermediate columns 3-hole or 4-hole shaft fixation with angular stability in the threaded
section, or compression with cortex screws in
the nonthreaded section
Anatomic shape fits
close to the volar
ridge with rounded
edges to minimize
soft tissue irritation

Specific screw holes

for fixation of radial
styloid and support
of lunate facet and
distal radioulnar joint

Elongated Combi hole for plate

Kirschner wire holes for positioning and radius length
preliminary plate fixation adjustment

Dedicated hole for guide block

positioning screw

Radial column
Available left or right, with 6-hole
Intermediate column or 7-hole head configuration

2.4 mm Variable Angle LCP Volar Extra-Articular Distal Radius Plate

Choice of 3-hole Combi holes allow fixed-angle locking screw

or 5-hole shaft fixation with angular stability in the threaded
section, or compression with cortex screws in
the nonthreaded section

Plate footprint is
identical to the
2.4 mm LCP extra-
articular volar distal
radius plate

Elongated Combi hole for plate

positioning and radius length
adjustment
Available left or right,
with 4-hole or 5-hole head
configuration

Synthes 3
AO Principles

In 1958, the AO formulated four basic principles, which

have become the guidelines for internal fixation.1 Those
principles, as applied to the 2.4 mm Variable Angle LCP
Distal Radius System, are:

Anatomic reduction
The use of variable angle locking technology allows fragment
specific fixation by providing the flexibility to lock screws in
trajectories that can diverge from the central axis of the plate
hole. Variable screw angles provide fixation options for a
variety of fracture patterns.

Stable fixation
Variable angle locking screws create a locked construct,
providing angular stability.

Preservation of blood supply

Limited-contact plate reduces plate-to-bone contact, limiting
vascular trauma. Additionally, locked plates do not require
close contact with the bone.

Early, active mobilization

Early mobilization per standard AO technique creates
an environment for bone healing, expediting a return
to optimal function.

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

Manual of Internal Fixation, 3rd Edition. Berlin: Springer-Verlag. 1991.

4 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
Indications

The 2.4 mm Variable Angle LCP Distal Radius Plates are

indicated for fixation of complex intra- and extra-articular
fractures and osteotomies of the distal radius and other
small bones.

Synthes 5
Clinical Cases

Case 1
77-year-old female,
cause of injury: unknown

Preoperative AP Preoperative lateral Postoperative AP Postoperative lateral,

20° inclined

Case 2
47-year-old female,
cause of injury: hit by horse

Preoperative AP Preoperative lateral Postoperative AP Postoperative lateral

6 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
Three-Column Theory

The treatment of distal radius fractures requires a meticulous

reconstruction of the joint surface, as well as stable internal
fixation and early functional postoperative treatment. Extra-
articular fractures require both the restoration of the volar tilt
and radial length to reduce the possibility of displacement.
Malalignment may result in limitations of movement, changes
of load distribution and midcarpal instability, as well as
increased risk of osteoarthritis in the radiocarpal joint. Intra-
articular fractures with articular displacement of more than
2 mm in the radiocarpal joint may result in osteoarthritis and
functional impairment.

The distal radius and distal ulna form a three-column

biomechanical construction: 2
– The intermediate column is the medial part of the distal
radius, with the lunate fossa and the sigmoid notch.
– The radial column is the lateral radius with the scaphoid
fossa and the styloid process.
– The ulnar column is the distal ulna, the triangular
fibrocartilage and the distal radioulnar joint.
VA-LCP two-column volar distal radius plate allows both fixation and buttressing
of the two columns of the distal radius.
Following reduction, stabilization requires optimal fixation of
the intermediate column as well as the radial column. In the
case of a fractured distal ulna that compromises the distal Radial column

radioulnar joint, the ulnar column should be stabilized as well. Intermediate column

Ulnar column

2. D.A. Rikli, P. Regazzoni: “Fractures of the distal end of the radius treated
by internal fixation and early function. A preliminary report of 20 cases.”
J Bone Joint Surg [Br] 78 (4): 588 – 592. 1996.

Synthes 7
Preoperative Planning

Nominal screw trajectories for variable angle LCP two-column volar distal
radius plates with 7 head holes

85°
81°
85°
A
B C C
A A
B 25° B
C

6°
10°
14°

Radial column screws

90°

D
D
25°

0°

Central screw

96°
99°
92°
E F E
G F
25° G

E
G
F
4°
1°
4°

Intermediate column screws

8 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
Nominal screw trajectories for variable angle LCP volar extra-articular
distal radius plates

100°
90°
80°

25°

15° 7.5°
5°
5°

Nominal screw angles

Synthes 9
Surgical Technique

1
Preparation

Required set

01.111.478 / 2.4 mm Variable Angle LCP (VA-LCP) Distal

01.111.479 Radius System Set (stainless steel or titanium)

Alternative sets

01.110.045 / 2.4 mm LCP Distal Radius System Figure 1

01.110.046 (stainless steel or titanium)

01.110.070 / 2.4 mm Variable Angle LCP Distal Radius

01.110.071 Instrument and Implant Set (stainless steel
or titanium)

01.111.484 / 2.4 mm LCP and Variable Angle LCP (VA-LCP)

01.111.485 Distal Radius Instrument Set (stainless steel
or titanium)

Make a longitudinal incision slightly radial to the flexor carpi

radialis tendon (FCR) (Figure 1). Dissect between the FCR and
Figure 2
the radial artery, exposing the pronator quadratus (Figure 2).
Detach the pronator quadratus from the lateral border of the
radius and elevate it toward the ulna (Figure 3).

Important: Leave the volar wrist capsule intact to avoid

devascularization of the fracture fragments and destabilization
of the volar wrist ligaments.

Note: For information on fixation principles using conventional

and locked plating techniques, please refer to the Small
Fragment Locking Compression Plate (LCP) System
Technique Guide.

Figure 3

10 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
2
Reduce fracture and position plate

Instruments

03.111.005 Depth Gauge for 2.4 mm to 2.7 mm screws

310.19 2.0 mm Drill Bit, quick coupling

310.509 1.8 mm Drill Bit with depth mark,

quick coupling

311.43 Handle, with quick coupling

314.453 Short StarDrive Screwdriver Shaft, T8, 55 mm

or
314.467 StarDrive Screwdriver Shaft, T8, 105 mm

323.202 2.4 mm Universal Drill Guide

323.26 2.7 mm Universal Drill Guide

Alternative instruments

319.006 Depth Gauge, for 2.0 mm and 2.4 mm screws

319.01 Depth Gauge, for 2.7 mm screws

Reduce the fracture using the preferred reduction technique.

The reduction method will be fracture specific.

Apply the plate to fit the extra-articular volar surface and

insert a 2.4 mm or 2.7 mm cortex screw in the elongated
hole in the plate shaft. Measure screw length using the
depth gauge. Adjust the plate position as necessary and
tighten the screw with a T8 StarDrive screwdriver.

Note: Use the 1.8 mm drill bit when inserting a 2.4 mm cortex
screw. Use the 2.0 mm drill bit when inserting a 2.7 mm
cortex screw.

The order of screw insertion in the shaft and metaphysis may

vary depending on the fracture pattern and reduction technique.

Verify plate and distal screw location with a drill bit or K-wires
before inserting multiple screws.

Synthes 11
Surgical Technique

2. Reduce fracture and position plate continued

If necessary, use 1.25 mm K-wires inserted through selected
K-wire holes to temporarily fix the plate distally.

The order of screw insertion and the use of K-wires may vary
depending on the fracture pattern and reduction technique.

Optional instruments

02.111.500.10 1.25 mm Plate Reduction Wire, threaded

tip with small stop, 150 mm

02.111.501.10 1.25 mm Plate Reduction Wire, threaded

tip with large stop, 150 mm

Guide Blocks for Two-Column Plates, narrow

03.111.500 6 hole, right
03.111.501 6 hole, left

Guide Blocks for Two-Column Plates

03.111.600 6 hole, right Options for preliminary Kirschner wire fixation
03.111.601 6 hole, left
03.111.700 7 hole, right
03.111.701 7 hole, left

A guide block may be attached to a two-column plate

(not shown).

Perform several radiographic views of the distal radius to

ensure alignment and reduction.

Option
If necessary, a 1.25 mm plate reduction wire, with small stop,
may be used through a K-wire hole to temporarily hold the
plate to the bone and in position. Alternatively, a 1.25 mm
plate reduction wire, with large stop, may be used through
the DCU portion of the Combi hole.

12 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
3
Insert proximal screws

Instruments

03.111.005 Depth Gauge for 2.4 mm to 2.7 mm screws

310.19 2.0 mm Drill Bit, quick coupling

310.509 1.8 mm Drill Bit with depth mark,

quick coupling

311.43 Handle, with quick coupling

314.453 Short StarDrive Screwdriver Shaft, T8, 55 mm

314.467 StarDrive Screwdriver Shaft, T8, 105 mm

319.006* Depth Gauge, for 2.0 mm and

2.4 mm screws

319.01* Depth Gauge, for 2.7 mm screws

323.029 Threaded LCP Drill Guide

323.202 2.4 mm Universal Drill Guide

323.26 2.7 mm Universal Drill Guide

Determine where 2.4 mm variable angle locking screws or

2.4 mm or 2.7 mm cortex screws will be used in the shaft
of the plate. Insert these screws beginning with the most
proximal screw.

Note: Use the 1.8 mm drill bit when inserting a 2.4 mm

variable angle locking or 2.4 mm cortex screw. Use the 2.0 mm
drill bit when inserting a 2.7 mm cortex screw.

Insert the threaded LCP drill guide into the threaded portion
of the Combi hole when drilling for a 2.4 mm variable angle
locking screw.

Measure for locking screw length directly from the depth mark
on the drill bit and the gauge on the LCP drill guide window.

Alternatively, use the depth gauge to measure for screw length.

Insert screws with a T8 StarDrive screwdriver.

* Also available

Synthes 13
Surgical Technique

4
Drill for variable angle screw distally

Instruments

03.110.000 1.8 mm Universal Variable Angle

Locking Drill Guide
Use this guide for fixed-angle drilling Use this guide for off-axis drilling
03.111.005 Depth Gauge, for 2.4 mm to 2.7 mm screws

310.509 1.8 mm Drill Bit with depth mark,

quick coupling

311.43 Handle, with quick coupling

314.453 Short StarDrive Screwdriver Shaft, T8, 55 mm

or
314.467 StarDrive Screwdriver Shaft, T8, 105 mm

Optional instruments

03.110.023 1.8 mm Variable Angle Locking Drill Guide,

cone

03.110.024 1.8 mm Variable Angle Locking Drill Guide,

Figure 1
coaxial

The 2.4 mm variable angle locking screws may be inserted

in the head of the plate. Use the cone-shaped end of the
universal variable angle locking drill guide to drill variable
angle holes at the desired angle.

Alternatively, use the 1.8 mm variable angle drill guide, cone.

The drill guide tip keys into the cloverleaf design of the
VA-LCP holes.

Note: The drill guide inserts coaxially into the hole (Figure 1).
Ensure that the tip of the drill guide remains fully seated in
the hole while drilling.

When the universal variable angle locking drill guide is Figure 2

engaged in the variable angle locking hole, use the 1.8 mm
drill bit to drill to the desired depth at the desired angle
(Figure 2).

14 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
The funnel of the drill guide allows the drill bit a total
variation in angulation of 30° (Figure 3).

When drilling off-axis, the drill guide should remain in place

and the drill bit may be aimed in any direction within the cone.

The fixed-angle end of the 1.8 mm universal variable angle

drill guide, or the 1.8 mm variable angle drill guide, coaxial,
only allows the drill bit to follow the nominal trajectory of
the locking hole (Figure 4)

Verify the drill bit angle under C-arm to ensure the desired
angle has been achieved. If necessary, drill at a different
angle and verify again under C-arm.

Use the depth gauge to measure for the correct screw length.

Notes:
When using the cone end of the variable angle drill guide,
measurement can not be taken with the 1.8 mm drill bit with 30°
depth mark. The depth gauge must be used.
Figure 3

Do not to use any threaded drill guide in the variable angle

locking holes in the head of the plate, as it could damage
the threads in the hole.

Figure 4

Synthes 15
Surgical Technique

4. Drill for variable angle screw distally continued

Alternative technique

Instruments

03.110.021 1.8 mm Drill Guide with Measuring for

Guide Block

03.111.007 Positioning Screw for Variable Angle LCP

Two-Column Plate Guide Block

Guide Blocks for Two-Column Plates, narrow

03.111.500 6 hole, right
03.111.501 6 hole, left

Guide Blocks for Two-Column Plates

03.111.600 6 hole, right
03.111.601 6 hole, left
03.111.700 7 hole, right
03.111.701 7 hole, left

Alternatively, to insert screws at the nominal screw angle

(“on-axis”), use the two-column distal radius plate guide
block in combination with the drill guide.

The guide block holes are designed to accept the drill guide
with measuring for guide block.

For drilling, insert the drill guide into the locking hole and
drill to the desired depth using the 1.8 mm drill bit.

Read the screw length directly from the laser mark on the
drill bit.

Alternatively, measure using the depth gauge directly through

the guide block.

Note: For the direction of predefined screw angles, refer

to page 8 or 9.

16 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
5
Preliminary screw placement

Instruments

311.43 Handle, with quick coupling

314.453 Short StarDrive Screwdriver Shaft, T8, 55 mm

or
314.467 StarDrive Screwdriver Shaft, T8, 105 mm

Insert the correct length variable angle locking screw or variable

angle locking buttress pin manually, using the self-retaining
T8 StarDrive screwdriver shaft and handle with quick coupling.
Insert the screw until the screwhead is seated in the variable
angle locking hole. Do not overtighten the screw. Insert
additional screws as needed.

Note: When a guide block is used, the locking screw or

locking buttress pin (variable angle LCP or standard LCP) may
be inserted with a T8 StarDrive screwdriver directly through
the guide block.

Synthes 17
Surgical Technique

6
Confirm proper joint reconstruction
Confirm proper joint reconstruction, screw placement and
screw length using multiple C-arm views. To ensure that the
distal screws are not in the joint, use additional views such
as a 10° dorsally tilted, 20° inclined lateral, and 45° pronated
oblique view.

18 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
7
Lock variable angle screws

Instruments

03.110.005 Handle for Torque Limiting Attachment

314.453 511.776 03.110.005
314.453 Short StarDrive Screwdriver Shaft, T8, 55 mm
or
314.467 StarDrive Screwdriver Shaft, T8, 105 mm

511.776 Torque Limiting Attachment, 0.8 Nm

Alternative instrument

03.110.002* Torque Limiting Attachment, 1.2 Nm

Use the torque limiting attachment to perform the final

locking step for variable angle locking screws or variable angle
locking buttress pins. The torque limiting attachment attaches
to the T8 StarDrive screwdriver shaft and the blue handle
for torque limiting attachment.

* Also available

Synthes 19
Surgical Technique

7. Lock variable angle screws continued

The torque limiting attachment ensures maximum strength
of the plate-screw interface and prevents overtightening
of the variable angle screws. With this final locking step,
the screws are securely locked into the plate.

Note: When performing the final locking step, the TLA

should always be used.

8
Close incision
Use the appropriate method for surgical closure of the incision.

20 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
Screws Used with the 2.4 mm Variable Angle Distal Radius Plates
Stainless Steel and Titanium

2.4 mm Variable Angle Locking Screws, self-tapping,

with StarDrive recess
– Threaded, rounded head locks securely into the variable-
angle locking holes in the plate head to provide angular
stability at angles determined by the surgeon
– Threaded, rounded head locks securely into the threaded
portion of Combi holes in shaft, to provide angular stability
– Locked screws allow unicortical screw fixation and load
transfer to the near cortex
– 8 mm to 30 mm lengths (2 mm increments)

2.4 mm Locking Screws, self-tapping, with StarDrive recess

– Threaded, conical head locks securely into the threaded
portion of the Combi holes in the plate to provide
angular stability
– Locked screws allow unicortical screw fixation and load
transfer to the near cortex
– 6 mm to 30 mm lengths (2 mm increments)

2.4 mm Cortex Screws, self-tapping, with StarDrive recess

– For use in round or Combi holes
– Low-profile head in the plate holes
– Used to provide compression or neutral fixation
– 6 mm to 30 mm lengths (2 mm increments)

2.7 mm Cortex Screws, self-tapping, with StarDrive recess

– For use in Combi holes
– Used to provide compression or neutral fixation
– 10 mm to 30 mm lengths (2 mm increments)

1.8 mm Variable Angle Locking Buttress Pins, with T8

StarDrive recess
– Smooth, nonthreaded shaft profile with a blunt, rounded tip
– Threaded, rounded head locks securely into the variable-
angle locking holes in the plate head, to provide angular
stability at angles determined by the surgeon
– Neck threads on the shaft aid in implant removal
– Locked pins allow unicortical screw fixation and load transfer
to the near cortex
– 1.8 mm diameter matches the core diameter of a 2.4 mm
locking screw
– 8 mm to 30 mm lengths (2 mm increments)

Screws are made of implant-quality 316L stainless steel or titanium alloy (Ti-6Al-7Nb)

Synthes 21
2.4 mm Variable Angle LCP Volar Extra-Articular Distal Radius Plates

Left plates

02.110.203 / 02.110.204 / 02.110.207 / 02.110.208 /

04.110.203 04.110.204 04.110.207 04.110.208

Right plates

02.110.201 / 02.110.202 / 02.110.205 / 02.110.206 /

04.110.201 04.110.202 04.110.205 04.110.206

Part numbers beginning with “02” indicate 316L stainless steel plates.
Part numbers beginning with “04” indicate commercially pure (CP) titanium plates.

22 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
2.4 mm Variable Angle LCP Two-Column Volar Distal Radius Plates, Narrow

Left plates

02.111.521/ 02.111.531/ 02.111.541/ 02.111.551/

04.111.521 04.111.531 04.111.541 04.111.551

Right plates

02.111.520 / 02.111.530 / 02.111.540 / 02.111.550 /

04.111.520 04.111.530 04.111.540 04.111.550

Part numbers beginning with “02” indicate 316L stainless steel plates.
Part numbers beginning with “04” indicate commercially pure (CP) titanium plates.

Synthes 23
2.4 mm Variable Angle LCP Two-Column Volar Distal Radius Plates

Left plates

02.111.621/ 02.111.631/ 02.111.641/ 02.111.651/

04.111.621 04.111.631 04.111.641 04.111.651

02.111.721/ 02.111.731/ 02.111.741/ 02.111.751/

04.111.721 04.111.731 04.111.741 04.111.751

Part numbers beginning with “02” indicate 316L stainless steel plates.
Part numbers beginning with “04” indicate commercially pure (CP) titanium plates.

24 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
Right plates

02.111.620 / 02.111.630 / 02.111.640 / 02.111.650 /

04.111.620 04.111.630 04.111.640 04.111.650

02.111.720 / 02.111.730 / 02.111.740 / 02.111.750 /

04.111.720 04.111.730 04.111.740 04.111.750

Part numbers beginning with “02” indicate 316L stainless steel plates.
Part numbers beginning with “04” indicate commercially pure (CP) titanium plates.

Synthes 25
Selected Instruments from the 2.4 mm Variable Angle LCP (VA-LCP)
Distal Radius System
Stainless Steel (01.111.478) and Titanium (01.111.479)

02.111.500.10 1.25 mm Plate Reduction Wire, threaded

tip with small stop, 150 mm

02.111.501.10 1.25 mm Plate Reduction Wire, threaded

tip with large stop, 150 mm

03.110.000 1.8 mm Universal Variable Angle Locking

Drill Guide

03.110.005 Handle for Torque Limiting Attachment

03.110.007 StarDrive Screwdriver, T8

03.110.021 1.8 mm Drill Guide with Measuring for

Guide Block

03.110.023 1.8 mm Variable Angle Locking Drill Guide,

cone

26 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
03.110.024 1.8 mm Variable Angle Locking Drill Guide,
coaxial

03.111.005 Depth Gauge for 2.4 mm to 2.7 mm Screws

03.111.007 Positioning Screw for Variable Angle LCP

Two-Column Plate Guide Block

Guide Blocks for Two-Column Plate,

6 hole head, narrow
03.111.500 right
03.111.501 left

Guide Blocks for Two-Column Plate,

6-hole head
03.111.600 right
03.111.601 left

Guide Blocks for Two-Column Plate,

7-hole head
03.111.700 right
03.111.701 left

310.19 2.0 mm Drill Bit, quick coupling

310.26 2.7 mm Drill Bit, quick coupling, 100 mm

Synthes 27
Selected Instruments from the 2.4 mm Variable Angle LCP (VA-LCP) Distal Radius System
Stainless Steel (01.111.478) and Titanium (01.111.479)

310.509 1.8 mm Drill Bit with depth mark,

quick coupling

310.530 2.4 mm Drill Bit with depth mark,

quick coupling

311.43 Handle, with quick coupling

314.453 Short StarDrive Screwdriver Shaft, T8, 55 mm

314.467 StarDrive Screwdriver Shaft, T8, 105 mm

314.468 Holding Sleeve, for StarDrive Screwdriver

shaft, T8

319.39 Sharp Hook

28 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
323.029 Threaded LCP Drill Guide

323.202 2.4 mm Universal Drill Guide

323.26 2.7 mm Universal Drill Guide

324.084 1.25 mm K-wire Insert

329.12 Bending Pliers, 140 mm, for 1.5 mm and

2.0 mm plates

329.922 Bending Pin, for 2.4 mm locking plates

398.41 Reduction Forceps with Points, broad, rachet,

132 mm

Synthes 29
Selected Instruments from the 2.4 mm Variable Angle LCP (VA-LCP) Distal Radius System
Stainless Steel (01.111.478) and Titanium (01.111.479)

398.95 Termite Forceps, 90 mm length

399.18 Hohmann Retractor, 6 mm width, curved

blade, straight edge

399.48 Periosteal Elevator, 3 mm width, curved blade,

straight edge

399.481 Periosteal Elevator, 3 mm width, curved blade,

round edge

399.97 Reduction Forceps, with points, 130 mm

length, rachet

511.776 Torque Limiting Attachment, 0.8 Nm,

quick coupling

30 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
Also Available

03.110.002 Torque Limiting Attachment, 1.2 Nm

03.110.022 StarDrive Screwdriver Shaft, T8, with

hexagonal coupling, for ratcheting handle

311.023.97 Ratcheting Screwdriver Handle

319.006 Depth Gauge, for 2.0 and 2.4 mm screws,

measures up to 50 mm

319.01 Depth Gauge, for 2.7 mm screws

Synthes 31
2.4 mm Variable Angle LCP (VA-LCP) Two-Column Volar Distal Radius Plate Set
Stainless Steel (01.111.461) and Titanium (01.111.462)

Module
60.111.461 Module for 2.4 mm Variable Angle LCP
Two-Column Volar Distal Radius Plate

Implants
2.4 mm Variable Angle LCP Two-Column Volar Distal
Radius Plates, right
Head Shaft Length
Stainless Steel* Titanium** Holes Holes (mm)
02.111.620 04.111.620 6 2 45
02.111.630 04.111.630 6 3 54
02.111.640 04.111.640 6 4 66
02.111.650 04.111.650 6 5 75
02.111.720 04.111.720 7 2 47
02.111.730 04.111.730 7 3 55
02.111.740 04.111.740 7 4 68
02.111.750 04.111.750 7 5 77

2.4 mm Variable Angle LCP Two-Column Volar Distal

Radius Plates, left
Head Shaft Length
Stainless Steel* Titanium** Holes Holes (mm)
02.111.621 04.111.621 6 2 45
02.111.631 04.111.631 6 3 54
02.111.641 04.111.641 6 4 66
02.111.651 04.111.651 6 5 75
02.111.721 04.111.721 7 2 47
02.111.731 04.111.731 7 3 55
02.111.741 04.111.741 7 4 68
02.111.751 04.111.751 7 5 77

* 316L stainless steel

** Commercially pure (CP) titanium
Note: For additional information, please refer to package insert.
For detailed cleaning and sterilization instructions, please refer to
http://us.synthes.com/Medical+Community/Cleaning+and+Sterilization.htm
or to the below listed inserts, which will be included in the shipping container:
– Processing Synthes Reusable Medical Devices — Instruments, Instrument Trays
and Graphic Cases — DJ1305
– Processing Non-sterile Synthes Implants — DJ1304

32 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
2.4 mm Variable Angle LCP (VA-LCP) Narrow Two-Column Volar Distal Radius
Plate Set
Stainless Steel (01.111.480) and Titanium (01.111.481)

Module
60.111.465 Implant Module for 2.4 mm VA-LCP
Two-Column Volar Distal Radius Plate,
Narrow

Implants
2.4 mm Variable Angle LCP Two-Column Volar Distal
Radius Plate, narrow, right
Head Shaft Length
Stainless Steel* Titanium** Holes Holes (mm)
02.111.520 04.111.520 6 2 42
02.111.530 04.111.530 6 3 51
02.111.540 04.111.540 6 4 63
02.111.550 04.111.550 6 5 72

2.4 mm Variable Angle LCP Two-Column Volar Distal

Radius Plates, narrow, left
Head Shaft Length
Stainless Steel* Titanium** Holes Holes (mm)
02.111.521 04.111.521 6 2 42
02.111.531 04.111.531 6 3 51
02.111.541 04.111.541 6 4 63
02.111.551 04.111.551 6 5 72

* 316L stainless steel

** Commercially pure (CP) titanium

Synthes 33
2.4 mm Variable Angle LCP (VA-LCP) Extra-Articular Distal Radius Plate Set
Stainless Steel (01.111.482) and Titanium (01.111.483)

Module
60.111.467 Module for VA-LCP Volar Extra-Articular
Distal Radius Plate

Implants
2.4 mm Variable Angle LCP Volar Extra-Articular Distal
Radius Plates, right
Head Shaft Length
Stainless Steel* Titanium† Holes Holes (mm)
02.110.201 04.110.201 5 3 47
02.110.202 04.110.202 5 5 65
02.110.205 04.110.205 4 3 47
02.110.206 04.110.206 4 5 65

2.4 mm Variable Angle LCP Volar Extra-Articular Distal

Radius Plates, left
Head Shaft Length
Stainless Steel* Titanium† Holes Holes (mm)
02.110.203 04.110.203 5 3 47
02.110.204 04.110.204 5 5 65
02.110.207 04.110.207 4 3 47
02.110.208 04.110.208 4 5 65

* 316L stainless steel

† titanium alloy (Ti-6Al-7Nb)

34 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
Screw Set for 2.4 mm Variable Angle LCP (VA-LCP) Distal Radius System
Stainless Steel (01.111.486) and Titanium (01.111.487)

Screw Rack
60.111.469 Screw Rack for 2.4 mm Variable Angle LCP
(VA-LCP) Distal Radius System Graphic Case

Implants
1.8 mm Variable Angle Locking Buttress Pins, with
T8 StarDrive recess
Stainless Steel* Titanium† Length (mm) Qty.
02.210.078 04.210.078 8 3
02.210.080 04.210.080 10 3
02.210.082 04.210.082 12 3
02.210.084 04.210.084 14 3
02.210.086 04.210.086 16 6
02.210.088 04.210.088 18 6
02.210.090 04.210.090 20 6
02.210.092 04.210.092 22 6
02.210.094 04.210.094 24 6
02.210.096 04.210.096 26 6
02.210.098 04.210.098 28 3
02.210.100 04.210.100 30 3

2.4 mm Variable Angle Locking Screws, with T8 StarDrive

recess
Stainless Steel* Titanium† Length (mm) Qty.
02.210.108 04.210.108 8 5
02.210.110 04.210.110 10 5
02.210.112 04.210.112 12 5
02.210.114 04.210.114 14 10
02.210.116 04.210.116 16 10
02.210.118 04.210.118 18 15
02.210.120 04.210.120 20 15
02.210.122 04.210.122 22 15
02.210.124 04.210.124 24 10
02.210.126 04.210.126 26 10
02.210.128 04.210.128 28 5
02.210.130 04.210.130 30 5

* 316L stainless steel

† titanium alloy (Ti-6Al-7Nb)

Synthes 35
Screw Set for 2.4 mm Variable Angle (VA-LCP) Distal Radius System
Stainless Steel (01.111.486) and Titanium (01.111.487)

Implants continued

2.4 mm Cortex Screws, self-tapping, with T8 StarDrive

recess, 3 ea.
Stainless Steel* Titanium† Length (mm)
201.756 401.756 6
201.758 401.758 8
201.760 401.760 10
201.762 401.762 12
201.764 401.764 14
201.766 401.766 16
201.768 401.768 18
201.770 401.770 20
201.772 401.772 22
201.774 401.774 24
201.776 401.776 26
201.778 401.778 28
201.780 401.780 30

2.7 mm Cortex Screws, self-tapping, with T8 StarDrive

recess, 3 ea.
Stainless steel* Titanium† Length (mm)
202.870 402.870 10
202.872 402.872 12
202.874 402.874 14
202.876 402.876 16
202.878 402.878 18
202.880 402.880 20
202.882 402.882 22
202.884 402.884 24
202.886 402.886 26
202.888 402.888 28
202.890 402.890 30

* 316L stainless steel

† titanium alloy (Ti-6Al-7Nb)

36 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
2.4 mm Variable Angle LCP (VA-LCP) Distal Radius System
Stainless Steel (01.111.478) and Titanium (01.111.479)

Graphic Cases and Trays

60.116.001 Graphic Case, Full Length, 4 bay
for Modular Graphic Case System
60.111.471 2 / 3 Instrument Tray for LCP and VA-LCP
Distal Radius Systems
60.111.472 1 / 3 Instrument Tray for Distal Radius,
Forceps and Bending Pliers
60.111.473 1 / 3 Instrument Tray for Distal Radius,
Retractors, Hook and Elevators

Instruments
02.111.500.10 1.25 mm Plate Reduction Wire, threaded
tip with small stop, 150 mm, 1 pkg.of 10 ea.
02.111.501.10 1.25 mm Plate Reduction Wire, threaded
tip with large stop, 150 mm, 1 pkg.of 10 ea.
03.110.000 1.8 mm Universal Variable Angle Locking
Drill Guide
03.110.005 Handle for Torque Limiting Attachment
03.110.007 StarDrive Screwdriver, T8
03.110.021 1.8 mm Drill Guide with Measuring for
Guide Block
03.110.023 1.8 mm Variable Angle Locking Drill Guide,
cone
03.110.024 1.8 mm Variable Angle Locking Drill Guide,
coaxial
03.111.005 Depth Gauge for 2.4 to 2.7 mm Screws
03.111.007 Positioning Screw for Variable Angle LCP
Two-Column Plate Guide Block

Drill Bits, quick coupling, 100 mm

310.19 2.0 mm
310.26 2.7 mm
310.509 1.8 mm
310.530 2.4 mm

311.43 Handle, with quick coupling

314.453 Short StarDrive Screwdriver Shaft, T8, 55 mm
314.467 StarDrive Screwdriver Shaft, T8, 105 mm
314.468 Holding Sleeve, for StarDrive Screwdriver
Shaft, T8
319.39 Sharp Hook

Synthes 37
2.4 mm Variable Angle LCP (VA-LCP) Distal Radius System
Stainless Steel (01.111.478) and Titanium (01.111.479)

Instruments continued Includes implant sets:

323.029 Threaded LCP Drill Guide Stainless Steel Titanium
323.202 2.4 mm Universal Drill Guide 01.111.461 01.111.462 2.4 mm Variable Angle LCP
(VA-LCP) Two-Column Volar
323.26 2.7 mm Universal Drill Guide
Distal Radius Plate Set
324.084 1.25 mm K-wire Insert
01.111.480 01.111.481 2.4 mm Variable Angle LCP
329.12 Bending Pliers, 140 mm, for 1.5 mm and (VA-LCP) Narrow Two-
2.0 mm plates Column Volar Distal Radius
398.41 Reduction Forceps with Points, broad, ratchet, Plate Set
132 mm 01.111.482 01.111.483 2.4 mm Variable Angle LCP
398.95 Termite Forceps, 90 mm length (VA-LCP) Extra-Articular
399.18 Hohmann Retractor, 6 mm width, small, short Distal Radius Plate Set
narrow top, 160 mm length 01.111.486 01.111.487 Screw Set for 2.4 mm
Variable Angle LCP (VA-LCP)
399.48 Periosteal Elevator, 3 mm width, curved blade,
Distal Radius System
straight edge
399.481 Periosteal Elevator, 3 mm width, curved blade,
round edge
399.97 Reduction Forceps, with points, 130 mm
length, ratchet
511.776 Torque Limiting Attachment, 0.8 Nm,
quick coupling

Kirschner Wires, 150 mm, Trocar point, 1 pkg. of 10 ea.

Stainless Steel* Titanium**
02.110.300 04.110.300 1.8
292.12 492.12 1.25
292.16 492.16 1.6

* 316L stainless steel

** titanium alloy (Ti-6Al-4V)

38 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
Also Available

03.110.002 Torque Limiting Attachment, 1.2 Nm 60.110.038 Screw Rack for 2.4 mm LCP Distal Radius
03.110.022 StarDrive Screwdriver Shaft, T8 with System Graphic Case
hexagonal coupling for ratcheting handle 60.111.462 Module Lid for VA-LCP Two-Column Volar
311.023.97 Ratcheting Screwdriver Handle Distal Radius Plate Module
319.006 Depth Gauge, for 2.0 mm and 2.4 mm 60.111.466 Module Lid for VA-LCP Two-Column Volar
screws Distal Radius Plate, Narrow
319.01 Depth Gauge, for 2.7 mm screws 60.111.468 Module Lid for VA-LCP Volar Extra-Articular
Distal Radius Plate
Sizing Templates, for 2.4 mm Variable Angle 60.111.470 Screw Rack Lid for 2.4 mm VA-LCP Distal
LCP Two-Column Volar Distal Radius Plate Radius System Graphic Case
03.111.530 / Narrow, 6-hole head (right and left) 60.111.474 1.8 mm Short Threaded Drill Guide and
03.111.531 Measuring Device Module
03.111.630 / 6-hole head (right and left) Module fits into auxiliary bin on the
03.111.631 2/3 instrument tray. This module houses
03.111.730 / 7-hole head (right and left) instruments used with only LCP implants.
03.111.731 Module houses 03.110.006, 03.110.020,
and 323.035
60.116.015 Graphic Case Lid, Full Length, 4 bay for
Modular Graphic Case System
60.116.054 Module Adapters
Assembled on both ends of either a
1-high short length module, or a 1-high
long length module to prevent movement
when housed in the garage section of the
60.116.001 graphic case

Synthes 39
Alternate Sets

2.4 mm LCP and Variable Angle LCP (VA-LCP) Distal

Radius Instrument Set
Stainless Steel (01.111.484) and Titanium (01.111.485)

Note: Distal Radius Implant modules and screw sets are

ordered separately

2.4 mm LCP Distal Radius System

Stainless Steel (01.110.045) and Titanium (01.110.046)
60.110.037 Graphic Case for 2.4 mm LCP Distal Radius
System
60.110.038 Screw Rack for 2.4 mm LCP Distal Radius
System Graphic Case

40 Synthes 2.4 mm Variable Angle LCP Distal Radius System Technique Guide
2.4 mm Variable Angle LCP Distal Radius System
Instrument and Implant Set
Stainless Steel (01.110.070) and Titanium (01.110.071)
60.110.070 Variable Angle LCP Distal Radius Instrument
and Implant Module
60.110.071 Variable Angle LCP Distal Radius Instrument
and Implant Module Lid

60.110.072 Module Upgrade Kit for the 2.4 mm VA-LCP

Two-Column Volar Distal Radius Plate
(for use with 01.110.070 and 01.110.071)

Synthes 41
 Synthes (USA) Synthes (Canada) Ltd.
1302 Wrights Lane East 2566 Meadowpine Boulevard
West Chester, PA 19380 Mississauga, Ontario L5N 6P9
Telephone: (610) 719-5000 Telephone: (905) 567-0440
To order: (800) 523-0322 To order: (800) 668-1119
Fax: (610) 251-9056 Fax: (905) 567-3185 www.synthes.com

© 2008 Synthes, Inc. or its affiliates. All rights reserved. Combi, LCP and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 5/10 J8301-E