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Locking Compression Plate

SURGICAL TECHNIQUE MONOLOC


LCP System

KANGHUI MEDICAL INNOVATION CO.,LTD

Headquarters
Add:1-8,Tianshan Road,XinBei Zone,
Changzhou,Jiangsu,China 213022
Tel: +86-519-85195556
Fax: +86-519-85195551
http://www.kanghui-international.com

Shanghai Office
Add:Room 1211-1220,No.1399,Jinqiao Road,
Pudong District,Shanghai,China 200129
Tel: +86-21-50319916-8898
Fax: +86-21-50312913
MONOLOC
Surgical Technique

CONTENTS
INTRODUCTION 01

INDICATIONS 01

FEATURES & BENEFITS 02

INSTRUMENTS & IMPLANTS 05

OPERATIVE TECHNIQUE

Plate selection 13

Contouring 13

Reduction and temporary plate placement 13

Screw insertion 14

Insertion of a cortex or cancellous bone screw 14

Neutral insertion of a conventional screw in Compression hole 14

Dynamic compression, eccentric insertion


15
of a cortex screw in Compression hole

Neutral insertion of a conventional screw in locking hole 15

Insertion of the Locking Screws 16

Pull the Bone to the Plate Using Screw Holding Sleeve. 18

Postoperative treatment 20

Implant removal 20
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The unique locking hole design

The LCP plate allow placement of


conventional cortex and cancellous
bone screws on the compression hole

Separate holes
Locking Hole & Compression Hole

The Separate holes allow placement of


conventional bone screws for compression or
locking screws for tightening
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INSTRUMENTS

Small Fragments Locking Compression Plates Instruments Set

05 06
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Large Fragments Locking Compression Plates Instruments Set

07 08
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09 10
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IMPLANTS

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OPERATIVE TECHNIQUE Screw insertion

Determine whether conventional cortex screws, cancellous bone screws or locking screws
Plate selection will be used for fixation. A combination of all may be used. If a combination of cortex,
cancellous and locking screws is used, a conventional screw should be used first to pull
the plate to the bone. If a locking screw is used first, care should be taken to ensure that
The plates are available in various lengths and configurations similar to the Synplate ®
the plate is held securely to the bone to avoid spinning of the plate about the bone as the
Conventional Plate Set. If necessary, use a bending instruments to determine plate
locking screw is tightened to the plate.
length and configuration.

Contouring Insertion of a cortex or cancellous bone screw

Use the bending instruments to contour the Locking Compression Plate to the
anatomy.The plate holes have been designed to accept some degree of deformation. When Use the 4.5 mm or 3.5mm Universal Drill Guide for an eccentric (compression) or neutral
bending the plate, place the bending irons on two consecutive holes. This ensures that the (buttress) insertion of cortex screws. The 4.5 mm or 3.5mm LC-DCP Drill Guide and DCP
threaded holes will not be distorted. Significant distortion of the locking holes will reduce Drill Guide are not suitable for use with LCP plates.
locking effectiveness.*

* More times contouring is not allowed.

Neutral insertion of a conventional screw in Compression hole

Reduction and temporary plate placement


When pressing the universal drill guide into the DCU
The plate may be temporarily held in place with standard plate holding forceps. The portion of the Compression hole, it will center itself and allow
middle of the plate should be positioned over the fracture site if compression of the neutral predrilling.
fracture fragments is desired. Alternatively, the Drill Guide can be used as an aid to
position the plate on the bone.

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Dynamic compression, eccentric insertion of a cortex screw in Compression Insertion of the Locking Screws
hole

The locking screw is not a lag screw. Use nonlocking screws when requiring a precise
To drill a hole for dynamic compression, place the universal drill guide eccentrically at the
anatomical reduction (e.g., joint surfaces) or interfragmentary compression. Before
edge of the DCU portion of the Compression hole, without applying pressure. Tightening of the
inserting the first locking screw, perform anatomical reduction and fix the fracture with lag
cortex screws will result in dynamic compression corresponding to that of DCP plates.
screws, if necessary. After the insertion of locking screws, an anatomical reduction will no
longer be possible without loosening the locking screw.

A
Screw the appropriate Threaded Drill Guide for 3.5
mm, 5.0mm or 6.5mm screws into an LCP locking
hole until fully seated. Do not try to bend the plate
using the Threaded Drill Guide because damage
may occur to the threads.

A
Neutral insertion of a conventional screw in locking hole

When pressing the universal drill guide into the unique design locking hole, it will center
itself and allow neutral predrilling. B
Use the appropriate Drill Bit (2.8 mm for 3.5 mm
screws, 4.3 mm for 5.0 mm screws and 5.8mm for
6.5mm cannulated screws) to drill to the desired
depth.

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Insertion of the Locking Screws (CONTINUED) Pull the Bone to the Plate Using Screw Holding Sleeve

C Remove the drill guide. A Insert the Screwdriver into the Screw Holding Sleeve.

D Use the Depth Gauge to determine screw length.

B Push the sleeve downwards to the screw head and


hold the locking screw.
A

E
Insert the locking screw and finally tighten using the Torque Limiting Screwdriver. The
screw is securely locked to the plate when a “click” is heard. Never use power C Tighten the locking screw until the bone is pulled to
the Locking Plate at desired place.
equipment to seat the locking screws into the plate without a Torque Limiting Screwdrive.

E
C

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LCP

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