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800-828-4639
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Phone: (903) 295-2196
Fax: (903) 295-0730 IMEX™ CUSTOMER ACCOUNT NUMBER:
Toll Free: 800-828-4639
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Terms and Conditions
Hours:
Monday-Friday, 8:00 am to 5:00 pm Central Time. Same-day shipping on orders placed before
3:00 pm. Shipment of emergency orders available after 3:00 pm.
Terms:
Visa and MasterCard accepted. Domestic U.S. accounts can establish an open account with
Net 30 day terms.
Export orders require prepayment prior to shipment. Visa, MasterCard, and wire transfers are
acceptable. All duties and taxes are the responsibility of the recipient.
Freight:
Continental U.S. orders exceeding $150.00 will be shipped standard “ground” freight
at no charge. Overnight, Two-Day Air, Three-Day Air, etc. are available on request and
invoiced as selected by customer.
Returns:
Returns must be within 30 days of invoice date for full credit. Items returned after 30 days
and up to 60 days are subject to a 20% restocking fee. In order to maintain product integrity,
no returns will be accepted after 60 days. Returned items must be in original container and
accompanied by invoice or packing list. All returns are subject to quality inspection prior to
credit being issued. In order to ensure proper credit, please call prior to return for complete
return authorization.
Order Information:
To order by telephone, call 800-828-4639 or 903-295-2196. Order by fax at 903-295-0730.
To order by mail, please send your order to IMEX™ Veterinary, Inc., 1001 McKesson Drive,
Longview, TX 75604. E-mail orders with complete documentation to imexdesk@imexvet.com.
To expedite an accurate, timely delivery of your order please indicate part numbers and quantities
with all orders. We have many versions of similar pins and components, and part numbers
eliminate confusion that can occur with descriptive terminology.
Exact address information, contact name, phone number, and fax number are necessary. Any
additional information (VAT, brokerage, etc.) should be clearly documented with the order. Fax
numbers and e-mail addresses will assist in rapid fulfillment of orders.
Part specifications are subject to change should clinical and research data indicate.
Prices are subject to change.
Conversions:
Charts in this catalog often list inch (fractional) and metric dimensions. In such cases, the
dimension that is actually manufactured is listed, and the corresponding converted dimension
is referenced as “approximate” or in parenthesis. For example: 1/8” (3.2mm) indicates that the
dimension is a true 1/8” and is approximately 3.2mm.
ii 1-800-828-4639 • www.imexvet.com
External Skeletal Fixation Pins
History of ESF Pins. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Miniature INTERFACE™ Fixation Half-pins, Miniature Stick-pins NEW . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
INTERFACE™ Fixation Half-pins - Standard Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
INTERFACE™ NP (No Point) Fixation Half-pins - Standard Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
CENTERFACE™ Fixation Full-pins - Standard Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
CENTERFACE™ NP (No Point) Fixation Full-pins - Standard Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . 45
INTERFACE™ Fixation Half-pins - CANCELLOUS Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
CENTERFACE™ Fixation Full-pins - CANCELLOUS Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
SCAT™ Fixation Half-pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Smooth ESF Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Radiographic Overlays, Pin Caps, ESF Pin Ordering Guide and IM Pin Gage/Scale NEW . . . . . . . . . . . . 49
Joint Stabilization
Suture Anchors
Introduction to Suture Anchors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Suture Anchors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Suture Anchor Drivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Suture Anchor Caddy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Suture Anchor Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Suture Anchor Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Suture Anchor Clinical Case Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58-61
Hip Luxation
Introduction to Toggle Pin Method of Coxofemoral Luxation Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Universal Aiming Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Universal Aiming Device Drill Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Toggle Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Polypropylene Suture Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Suture Passer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Hip Luxation Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Instructions for Toggle Pin Method of Coxofemoral Luxation Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
iv 1-800-828-4639 • www.imexvet.com
SK™ External Skeletal
Fixation System
The SK™ External Skeletal Fixation System
The SK™ ESF System is designed to simplify the application and management of external skeletal fixators. The
SK™ ESF clamp supports use of positive thread pins directly through the primary clamp bolt, allows the surgeon
to easily add a fixation clamp after the fact as needed, and provides the freedom to utilize a great variety of
fixation pin diameters and styles. In addition, the SK™ ESF System supports sleeved pre-drilling and targeting
of fixation pins. Traditional KE frames and new KE-like frames typically depend on complex frame geometries,
connecting rod augmentation, and/or multiple full-pins to achieve adequate frame strength. In contrast, the SK™
ESF System features dramatically improved connecting rods that make use of simpler frames a clinical reality.
The SK™ ESF System dramatically changed standard concepts of veterinary ESF by placing less emphasis on
full-pins and frame complexity while promoting biological technique and safe pin corridor philosophy to reduce
patient morbidity. By-products of simple frame constructs include: economy of hardware, reduced operative time,
and less required instrumentation. The SK™ ESF System is available in three sizes; mini, small, and large.
The user-friendly design of the SK™ single clamp allows for pre-drilling as well as placement of positive thread
pins through the pin-gripping clamp bolt. This eliminates the difficulty historically associated with the use of
positive profile threaded pins. The gripping mechanism of the SK™ ESF clamp allows a variety of different pin
sizes and types to be utilized at the surgeon’s discretion. The split nature of the SK™ clamp allows quick and
easy addition or removal of a clamp without requiring frame disassembly. Simple wrenches are the only required
instrumentation; however, optional drill sleeves are available to simplify pre-drilling.
The secondary bolt should be viewed as a second pair of hands to be utilized to position and hold clamps in place
while aiming drill bits, drilling, and placing pins. When one becomes comfortable utilizing the secondary bolt as
an assistant it becomes very easy to reduce fractures and apply frames. The secondary bolt converts an empty
clamp into both a drill guide and a targeting device. While the mechanical properties of the SK™ ESF System
allow minimal use of full-pins, they can be easily targeted without additional expensive instrumentation.
Simple frames, the ability of clamps to effectively grip a wide range of different pin diameters, and the need
for minimal instrumentation make the SK™ ESF System the most economical ESF choice. Reduced use of
full-pins minimizes pin tracts and related morbidity while simplifying staged disassembly and post-operative care.
Most importantly, use of half-pins instead of full-pins encourages and facilitates optimal pin centering and use of
safe pin corridors.
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SK™ External Skeletal
Fixation System
Isolated connecting rod testing does not tell the entire story. Actual testing of ESF frame models confirms that
frame simplification can be accomplished by incorporating strong connecting rods. Typical ESF frames were
constructed of large SK™ components with medium pins as well as medium KE components with medium
pins. By comparing frames with equivalent geometries and identical pins, the actual impact of the connecting
rod on mechanical performance can be seen (Bronson, D.G., Ross, J.D., Welch, R.D., Proceedings of Veterinary
Orthopaedic Society Annual Meeting, 1999). Recently published mechanical testing of currently available
veterinary ESF devices confirms the ability of larger diameter connecting rods to allow clinical use of simpler frame
geometries (White, D.T., Bronson, D.G., Welch, R.D.: A Mechanical Comparison of Veterinary External Skeletal
Fixation Systems. Veterinary Surgery 32:507-514, 2003).
The goal of the SK™ ESF System is not to generate ever-increasing frame stiffness, but to achieve clinically
appropriate strength while using simple, patient friendly frames.
1 Axial Compression
The large SK™ Type l-a frame exceeds the
strength of the KE Type l-a, KE Type l-b
and the modified Type II KE (one full-pin
per fragment and the balance half-pins).
The large SK™ Type I-b provides 60% of
the axial strength and stiffness of the most
complex KE frame (Type lll).
2 Cranio-Caudal Bending
The large SK™ Type l-a frame exceeds all
KE frames except the Type lll.
3 Medio-Lateral Bending
Comparable Type l-a and l-b frames have
an approximate fourfold increase in strength
when constructed utilizing the large SK™
rods.
The small SK™ clamp is designed to utilize 2.0mm to 4.0mm pin shanks in positive or negative thread pin designs.
This means that 2.0mm shank, small, small-plus, and medium INTERFACE™ half-pins and CENTERFACE™
full-pins in standard thread versions can be utilized directly through the clamp. Medium, positive thread pins in
cancellous versions (3/16” thread diameter) will not pass directly through the small SK™ clamp, but the shank can
be effectively gripped. Cancellous pins are usually placed as one of the original pins in the frame and the clamp
applied to the pin; therefore, use of medium cancellous pins is simple. The small SK™ clamp can grip pins with
4mm shanks; however, as a practical matter, pins that large belong on a larger clamp and rod.
The large SK™ clamp is designed to handle 3.0mm shank, medium, medium-plus, and large ESF pins, both
positive and negative thread pin designs. These sizes of INTERFACE™ and CENTERFACE™ fixation pins can be
applied directly through the clamp bolt, with the exception of the large cancellous version of positive thread pins
- which are usually placed prior to application of clamp and rod. The maximum pin shank that can be held by
and passed directly through the large SK™ clamp bolt is 3/16” (4.8mm). Human pins in the range of 3.0mm to
4.5mm can also be utilized.
I never utilize large ESF pins - only small and medium. Why should I consider the large
SK™ ESF System?
Frame simplification results in reduced surgery time and hardware cost. The medium 1/8” (3.2mm) pin has
certainly been the workhorse over a variety of different patient sizes and readily functions with small and large
SK™ ESF clamps. While the medium KE device is capable of supporting fracture healing in large and giant
breeds, the resulting frames are typically very complex and hardware-intensive. While any device can be pushed
to support larger patients, it is easier, quicker, and less expensive to construct a simpler frame of stronger
components. This is especially true with fractures of the humerus and femur where Type I-b, Type II, and Type III
frames are not possible. Staged disassembly or rod downsizing can address potential concerns about excess
frame stability.
4 1-800-828-4639 • www.imexvet.com
SK™ External Skeletal
Fixation System
Tell me more about the economics of simple SK™ frames.
Full-pins cost more than half-pins and require a clamp on each end. For example, a 6 pin, Type II ESF frame will
require 12 clamps and two rods, while an 8 pin, Type I-b frame will require only 8 clamps and two rods. An even
larger rod device might function in the same case as a 6 pin, Type I-a frame requiring only 6 clamps and a single
rod. The 8 pin, Type 1-b frame will be easy to destabilize to a 4 pin, Type I-a if desired, and the large SK™ Type
I-a frame can be easily downsized to a small SK™ rod and clamps if desired. The lack of need for aiming devices,
torque wrenches, and rod augmentation further reduces cost of ownership and use.
Why are carbon fiber rods and titanium rods choices with the small SK™ fixator?
The 6.3mm carbon fiber rod is about the strength of the medium KE rod, and the 6.3mm titanium rod is just less than
twice the strength of the medium KE rod. Since either rod is much stronger than the small KE rod, the lightweight,
radiolucent carbon rod is virtually always used when pin choices are 2.0mm shank, small, or small-plus diameters.
When medium pins are selected, less challenging, lighter weight patients may utilize carbon rods. On lower limbs,
Type I-b or Type II minimal frames will extend the upper weight range for carbon rods. For larger patients with
medium pins, the added strength of titanium rods is advantageous, especially if attempting to simplify frames or in
most fractures involving the humerus or femur. At some point, more complex frames need to be built or large SK™
ESF rods should be utilized. Both carbon and titanium rods are in the small SK™ starter kit, but customers usually
re-order their ultimate preference. Differences in strength can be utilized as part of a plan for staged disassembly
or rod downsizing.
Why are carbon fiber and aluminum rods available for the large SK™ ESF System?
For the most part, aluminum rods are merely a back-up material for large SK™ rods in the unlikely event that carbon
material is temporarily unavailable. Due to the 9.5mm diameter, both are much stronger than corresponding medium
and even large KE rods and can serve to simplify the ESF method quite well. Down-staging from 9.5mm carbon
to 9.5mm aluminum in the large SK™ is not typical and less likely to be beneficial as compared to downsizing to a
small SK™ rod.
All SK™ ESF System connecting rods are stocked in length increments of 50mm. The variety of lengths available
should greatly reduce the need for cutting rods.
The small SK™ 6.3mm titanium external rod is the only rod other than the mini stainless steel rod that can be
bent for this purpose. It is quite difficult to bend and is best bent prior to sterilization using a vise and two hand
chucks. Plate benders can also be utilized. A different strategy must be used with large IMEX™ SK™ clamps
because carbon fiber composite rods cannot be contoured. Readily constructed circular/SK™ hybrid frames,
stable double clamps, and other alternatives to rod bending usually result in fixation superior to contoured rod
frames.
What is a simpler and more stable method of forming an adjustable articulation using
SK™ components?
A popular technique that has been successful for spanning joints with all sizes of SK™ frames is the utilization of
modified single SK™ clamps to form an adjustable articulation that is quite secure. The SK™ single clamp body
is comprised of two different parts (see page 1 for SK™ ESF clamp design): a B-1 body part that is placed on
the side closest to the pin-gripping portion of the primary bolt with a threaded hole for the secondary bolt, and a
B-2 body part that is placed on the opposite side with a smooth hole for the secondary bolt. Modified clamps for
transarticular articulations are built with two B-2 body parts, two primary (pin-gripping) bolts, and two nuts. The
articulation is built with two of these modified clamps and two short pieces of appropriate size IM pin stock or KE
rod. The angle of this articulation is adjustable, and can be used to the surgeon’s advantage when a transarticular
fixator is employed in the management of Achilles tendon repairs.
For a highly comminuted, unstable fracture in a medium/large dog, large SK™ frame components and medium
INTERFACE™ and CENTERFACE™ pins might be used to construct the initial frame. At approximately six weeks
after surgery when staged disassembly is appropriate, small SK™ components can be substituted for large SK™
components as one method of reducing the support provided by the frame.
6 1-800-828-4639 • www.imexvet.com
SK™ External Skeletal
Fixation System
In addition to removing frame elements (i.e. conversion of a Type II or a Type I-b to a Type I-a), carbon fiber
composite rods can be substituted for titanium rods as part of the staged disassembly of a small SK™ fixator. If
one considers only Type I-a frames, the following very general guidelines can serve as a starting point:
These recommendations are general guidelines only. On radius/ulna fractures, it is often prudent to consider the
use of a Type I-b frame when unsure. With tibial fractures, also consider the use of a Type I-b frame or a minimal
Type II. With fractures of the humerus/femur, it is best to use larger frame elements when unsure. These more
aggressive strategies will increase the potential need for staged disassembly but will support early weight bearing
and function.
If one begins with a simple Type I-a frame, as is frequently possible using the SK™ ESF System, the previously
listed options for staged disassembly are not applicable; however, two alternate strategies can be utilized. If
reduction in pin number might jeopardize adequate pin bone interfaces; substituting a smaller, more flexible
external rod for a larger, stronger one becomes a very attractive option to decrease the stiffness of a Type I frame
(e.g. removal of large SK™ clamps and a 9.5mm carbon fiber composite rod and replacing them with small SK™
clamps and a 6.3mm titanium rod). While not truly a disassembly, rod downsizing does achieve the purpose of
transferring a greater percentage of the load-bearing forces back to the bone and across the healing callus. A
variation of this concept when utilizing the small SK™ device with 6.3mm titanium rods, is to replace the titanium
rod with the less rigid carbon fiber composite rod of the same diameter. While not “downsizing” the connecting
rod, this method does achieve a similar planned decrease in rigidity and might be useful in dogs when initial
construction utilized medium fixation pins.
Since each SK™ clamp is designed to grip a wide range of pin diameters, and there is an overlap zone between
the different sizes of fixation pins gripped by the different SK™ clamp sizes, it is frequently possible to construct
the initial fixator with the larger clamps and rods and replace these components at about six weeks with those one
size smaller. This wide range of pin shank diameters that can effectively be gripped with the SK™ clamp makes
utilization of “overlapping pin zones” with the SK™ device particularly beneficial.
Please Specify Part Numbers When Ordering 7
SK™ ESF Q & A
Not all fixator frames will require staged disassembly. In particular, young patients tend to produce bony callus rapidly
and need or benefit less often from staged disassembly. All patients will benefit from early fracture stability which
promotes fracture zone debridement, revascularization, and early callus formation. Only after these stages occur
will the potential benefits of decreased rigidity become pertinent. With several options for converting more complex
frames to less complex frames, or downstaging larger stronger rods to smaller less rigid ones, it is prudent to initially
use the stronger choice with a staged exit strategy available. In skeletally mature canine patients, the optimal time
period for initiating staged disassembly appears to be at about 6 weeks after surgery.
2. Staged Disassembly Strategies Relative to Size of Pins Used to Build SK™ Fixator
This chart indicates what pins are conducive to staged frame downsizing when utilizing small or large SK™ ESF
frames for initial construction. When performing this type of destabilization, pins are already in place when clamps
and rods are exchanged. Since positive thread pins do not need to pass through the clamp, the range of pins
amenable to this form of staged disassembly is greater than that of initial frame construction.
1 2
SK™ Constructs
Miniature
Small SK™ Constructs
SK™ Constructs
Large
Diagrams 1 and 2 borrowed with permission from: Toombs, J. P. update on the SK™ External Fixation System: Components, Instrumentation, and Application
Techniques. In Proceedings of the 2nd Korean External Skeletal Fixation Course. 2004:22-55.
8 1-800-828-4639 • www.imexvet.com
SK™ External Skeletal
Fixation System
Basic Application Steps
Do the basic application steps of the SK™ ESF device differ from the KE device?
No, the basic application steps are the same; however, using SK™ components makes frame construction much
easier due to the ability to add or subtract clamps at any time and place multiple pin sizes directly through the
pin-gripping bolt. In addition, the secondary bolt is designed to hold the clamp in place during pre-drilling and
pin placement thus assuring that pins are accurately placed through the pre-drilled hole.
Replacement Components
Individual components of the SK™ clamp are available in case of loss or damage.
Part No. Description
10 1-800-828-4639 • www.imexvet.com
SK™ External Skeletal
Fixation System
1/8” (3.2mm) STAINLESS
STEEL HYBRID Rods - 4mm Thread
The major, smooth portion of this rod supports mini SK™ clamps with its 1/8” (3.2mm) diameter. One end of the
rod has 4mm threads so it can be coupled with components of the IMEX™ Miniature Circular ESF System. Hybrid
frames utilize circular ESF technology for very small fracture segments without the complexity of a complete
circular ESF frame. Additional use of paired spherical nuts and washers will allow post-operative manipulation to
fine-tune reduction. Easily cut to alter overall length. Please see page 20 for introduction to Hybrid External
Skeletal Fixation and page 36 for Miniature Circular External Skeletal Fixation components.
Part No. Overall Length
307.125 5” (125mm)
Drill Bits
Pre-drilling a pilot hole before fixation pin insertion optimizes the security of
threaded pins. Each IMEX™ fixation pin has an optimum drill bit size.
Please see page 52 for details and part numbers.
Drill Sleeves
Designed for through-the-clamp pre-drilling with SK™ single clamps, but can be an
effective drill sleeve for a variety of applications. Available for use with mini SK™
clamps are 1.5mm and 2.0mm sizes.
Part No. Corresponding Drill Bit SK™ Clamp
NEW
SIZE 34015 1.5mm Mini
NEW
SIZE
34020 2.0mm Mini
10 300.000 Mini SK™ Single Clamps* 1 34020 Drill Sleeve/ESF for 2.0mm Bit
2 300.999 Mini SK™ Double Clamps* 1 4.50003 7mm Combination Wrench
2 24200 1/8” x 2” Stainless Steel Rods 1 4.50004 7mm Angled Socket Wrench
2 24300 1/8” x 3” Stainless Steel Rods 1 32020 2.0mm StickTite™ Drill Bit
2 24400 1/8” x 4” Stainless Steel Rods 8 15020 INTERFACE™ 2.0mm Pins
2 24500 1/8” x 5” Stainless Steel Rods 4 20020 CENTERFACE™ 2.0mm Pins
2 24600 1/8” x 6” Stainless Steel Rods 6 03062 Miniature INTERFACE™ 0.062” Half-pins
* U.S. Patent # 5,921,985 Complimentary radiographic overlays available with purchase - upon request.
NEW MINI SK™ ESF Starter Kit with No Point ESF Pins Part No. 300.SKTNP
Similar to the mini SK™ ESF starter kit, with 2.0mm INTERFACE™ and CENTERFACE™ No Point ESF pins
substituted. See pages 43 and 45 for No Point ESF pins.
When assembled with special right-handed and left-handed threaded rods, the Mini SK™ distraction/compression
body functions as a linear distraction or compression device compatible with mini SK™ ESF clamps and pins.
Uses to date include: femoral/humeral lengthening over a nail, lengthening of tibia or radius/ulna using type
I-b or type II frames, fracture compression, and treatment of non-unions. The device also has potential for use
with fracture reduction. This unit uses the same 7mm wrenches used with Mini SK™ ESF clamps and is clearly
marked to indicate turn direction for compression or distraction. Since potential torsional instability exists, it is
recommended that type I-a frames only be utilized in conjunction with an IM nail or rod. Order left-hand and
right-hand rods separately. Rods can be cut to length if desired.
One end of this unit accepts a right-hand rod, part number 307.090. The opposite end accepts
a left-hand rod, part number 307.070L, thus enabling the assembly to function as a distraction
or compression device. Uses to date include: femoral/humeral lengthening over nail, type II
and type I-b distraction, fracture compression, and a variety of custom frame uses. Body unit
is clearly marked for rod type and distraction direction. Stainless steel.
NEW Right-Hand Rod for Mini Distraction Body Part No. 307.090
Utilized to couple with the right-hand end of the mini SK™ distraction body. Overall length of
90mm includes approximately 15mm of threads. Smooth rod diameter supports mini SK™
ESF clamps. Rod length can be cut to fit patient anatomy and for adjusting distractor body
location. Stainless steel.
NEW Left-Hand Rod for Mini Distraction Body Part No. 307.070L
Similar in design to 307.090 above, but features left-handed threads to couple with the left-
hand end of the mini SK™ distraction body. Overall length of 68mm includes approximately
11mm of left-hand thread. Each rod is marked with a double band to distinguish it from a
right-hand rod. Can be cut to length if desired. Stainless steel.
➢
Right-hand rod
12 1-800-828-4639 • www.imexvet.com
SK™ External Skeletal
Fixation System
Small SK™ ESF System Components
Replacement Components
Individual components of the SK™ clamp are available in the event of loss or
damage.
Drill Bits
Pre-drilling a pilot hole before fixation pin insertion optimizes the security of
threaded pins. Each IMEX™ fixation pin has an optimum drill bit size.
Please see page 52 for details and part numbers.
Drill Sleeves
Designed for through-the-clamp pre-drilling with SK™ single clamps, but can be an
effective drill sleeve for a variety of applications. These 2.3mm and 3.1mm versions
are available for use with small SK™ clamps.
Part No. Corresponding Drill Bit Alternative Drill Bit SK™ Clamp
34023 2.3mm 2.0mm Small
34031 3.1mm 2.7mm Small or Large
14 1-800-828-4639 • www.imexvet.com
SK™ External Skeletal
Fixation System
6.3mm TITANIUM HYBRID Rods - 6mm Thread
The major, smooth portion of this rod supports small SK™ clamps with its 6.3mm diameter. One end of the rod
has 6mm threads so it can be coupled with components of the IMEX™ Circular ESF System. Simple hybrid
frames of one ring coupled to a traditional ESF device are possible. Hybrid frames utilize circular ESF technology
for very small fracture segments without the complexity of a complete circular ESF frame. Additional use of paired
spherical nuts and washers will allow post-operative manipulation to fine-tune reduction. These rods are available
in length increments of 50mm to 250mm overall length. The threaded portion is approximately 25mm in length.
Please see page 24 for small SK™ Hybrid External Skeletal Fixation Starter Kit.
Part No. Overall Length Part No. Overall Length
NEW SMALL SK™ ESF Starter Kit with No Point ESF Pins Part No. 400.SKTNP
Identical to the small SK™ ESF starter kit, with No Point ESF pins substituted for traditional trocar-pointed ESF
pins. See pages 43 and 45 for No Point ESF pins.
Please Specify Part Numbers When Ordering 15
Small SK™ Distraction/Compression Body and Rods
SK™ Range of Motion Hinge
➢ “L” indicating
Small SK™ Distraction Body Left-Hand Rods left-hand rod
407.150L 150mm
NEW Small SK™ Range of Motion (ROM™) Hinge Part No. 430.000
ROM™ hinges by IMEX™ are lockable, transarticular hinges that also allow
ranges of motion in controlled increments. Controlled remobilization of a joint is
possible as is rehabilitation of tendon/ligament injuries. The small ROM™ hinge
utilizes standard small SK™ hybrid rods as a modular component allowing the
surgeon to customize lengths to the anatomy of the patient. See page 66-67
for details.
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SK™ External Skeletal
Fixation System
Large SK™ ESF System Components
Replacement Components
Individual components of the SK™ clamp are available in the event of loss or
damage.
➢ Recommended
Large SK™ CARBON FIBER Connecting Rods, 9.5mm Diameter Choice
Available in 50mm length increments from 50mm to 350mm. Tremendous rod strength compared to traditional
KE type rods. Carbon fiber rods offer near radiolucency to simplify radiographic imaging and are by far the most
popular. The large 9.5mm carbon fiber SK™ rods are nearly three times stronger than large 5/16” KE aluminum
rods and approximately 7 times stronger than medium KE stainless steel rods.
18 1-800-828-4639 • www.imexvet.com
SK™ External Skeletal
Fixation System
Drill Sleeves
Designed for through-the-clamp pre-drilling with the SK™ single clamps, but
can be an effective drill sleeve for a variety of applications. These 3.1mm and
3.9mm versions are available for use with large SK™ clamps.
Part No. Corresponding Drill Bit Alternative Drill Bit SK™ Clamp
34031 3.1mm 2.7mm Small or Large
34039 3.9mm 3.5mm Large
Drill Bits
Pre-drilling a pilot hole before fixation pin insertion optimizes the security of threaded pins. Each IMEX™ fixation
pin has an optimum drill bit size. Please see page 52 for details and part numbers.
NEW LARGE SK™ ESF Starter Kit with No Point ESF Pins Part No. 500.SKTNP
Identical to the large SK™ ESF starter kit, with No Point ESF pins substituted for traditional trocar-pointed ESF
pins. See pages 43 and 45 for No Point ESF pins.
Circular fixators typically utilize fine wires placed under tension instead
of normal diameter half-pins and full-pins. When loaded, fine wires
under tension behave in a non-linear fashion demonstrating low
stiffness early, but increasing in stiffness as loading becomes greater.
This non-linear stiffness is considered the basis of the Ilizarov method,
and some consider it to enhance the fracture healing process.
What are common situations where hybrid external fixators might be utilized?
Since use of small diameter wires allows capture of small bone fragments, hybrid ESF frames are popular for
fixation of fractures with a short juxta-articular bone fragment where standard ESF pins or bone plating might be
difficult. In addition, many referral practices are finding hybrid frames very useful for correction of selected growth
deformities.
Are small diameter wires always utilized across the ring when hybrid frames are constructed?
No, especially when repairing juxta-articular fractures of the distal humerus or distal femur it is common to use
standard full-pins and half-pins. In these locations it is difficult to obtain wire divergency because of the patient
anatomy. When wires do not have divergency, less stability is achieved. Attempts to increase wire divergency
in these locations results in unacceptable soft-tissue morbidity. Standard threaded pins work well in these
locations.
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Skeletal Fixation System
Hybrid SK™ External
What is the difference between “stopper” or “olive” wires and smooth wires?
Small diameter wires are not threaded and therefore are subject to micromotion. When four or more smooth
wires are used with good divergency, stability is adequate. When wire number is reduced or divergency is not
adequate, surgeons choose to place stopper wires to reduce micromotion and enhance stability. Stopper wires
have a centrally located expanded bead designed for placement against the bone. Most situations where hybrid
frames are chosen will benefit from the added security provided by stopper wires.
What size SK™ linear ESF components can be used to construct hybrid frames?
Mini, small, and large SK™ clamps can be utilized to construct hybrid frames. The SK™ ESF System is the most
modular fixator available to veterinary surgeons and all sizes were designed to be modular. The small SK™ is the
most commonly used hybrid frame due to it’s ability to cover a wide patient range. Several new components are
now available to expand the versatility of the mini SK™ hybrid frame. Large SK™ hybrid frames are not often
utilized unless one needs ESF pins larger than size medium.
What are some other mechanical considerations to consider with hybrid frames?
True circular ESF frames are built with three or four threaded rods spanning the length of the involved bone and
supporting the ring in several places. Hybrid frames often mimic a type I-a or type I-b frame and only support
the ring at one or two locations. With 35mm, 45mm, or 50mm rings, a single support area may result in a stable
frame. When larger rings are used or unstable scenarios are encountered, it is necessary to use struts or additional
sidebars to stabilize the ring in two or more locations.
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Skeletal Fixation System
Hybrid SK™ External
Large 9.5mm TITANIUM HYBRID Rods - 6mm Thread
The major, smooth portion of this rod supports large SK™ clamps with its 9.5mm diameter. One end of the rod
has 6mm threads so it can be coupled with components of the IMEX™ Circular ESF System. Simple hybrid
frames of one ring coupled to a traditional ESF device are possible. Hybrid frames utilize circular ESF technology
for very small fracture segments without the complexity of a complete circular ESF frame. Additional use of paired
spherical nuts and washers will allow post-operative manipulation to fine-tune reduction. These hybrid rods can
be used with the small Hybrid ESF Starter Kit and are available in length increments of 50mm to 350mm overall
length. The threaded portion is approximately 25mm in length. These rods are NOT the same as large ROM™
hinge rods (8mm threads).
• Attaches easily to a 50mm, 66mm, 84mm or 118mm ring with two-6mm x 16mm
hex bolts and 6mm hex nuts. Third hole can be utilized for additional
hardware placement.
• Rod-gripping element provides a secure fit for 6.3mm rods while allowing for 65º
of adjustment. Accepts smooth, standard small SK™ ESF titanium or carbon fiber rods.
• Rod-gripping bolts are alternately tightened using a lag effect to secure rod.
NEW Mini SK™ Hybrid ESF Starter Kit* Part No. MHYSKT
Qty. Part No. Description Qty. Part No. Description
2 307.125 3.2mm x 125mm Hybrid Rod 16 4.30006 4mm Hex Nut, Stainless
1 4.13501 35mm x 2.4mm Full Ring 6 4.30008 4mm Flat Washer, Stainless
1 4.14501 45mm x 2.4mm Full Ring 4 4.70007 4mm Spherical Nut
1 4.14504 45mm x 2.4mm Stretch Ring 4 4.70008 4mm Spherical Washer
6 4.30001 Cannulated/Slotted Wire Fixation Bolt, 4mm 4 300.003 4mm x 8mm Hex Bolt
6 4.30005 Slotted Wire Fixation Washer, 4mm 6 4.40002 1.0mm x 125mm Stopper Wire
1 4.70005 One-Hole Post, Mini
* Mini SK™ components and instrumentation required for above kit.
For complete information on the components listed above, please see page 11 of the linear ESF section and pages 36-39 of
the circular ESF section.
24 1-800-828-4639 • www.imexvet.com
Kirschner-Ehmer (KE) External Skeletal Fixation
In spite of limiting mechanical properties and the necessity for complex frames, the
Kirschner-Ehmer fixator has a well-documented history in veterinary orthopaedics.
Kirschner-Ehmer (KE)
continues to produce this fixator. However, the necessary frame complexity and
hardware requirements make the KE device less favorable economically, mechanically,
and clinically than the SK™ System by IMEX™. It is highly recommended that SK™
components be given priority for initial inventory or upgrade purposes.
SMALL KE Components
Utilizes 1/8” diameter stainless steel external rods and accepts 3/32” and 5/64” fixation pin shanks. Some consider
1/16” pins acceptable if proper patient selection is considered. Clamps, bolts, and nuts are stainless steel.
Wrench flats are 1/4”.
MEDIUM KE Components
Utilizes 3/16” diameter stainless steel external rods and accepts 1/8” and 7/64” shank fixation pins. Clamps, nuts,
and bolts are stainless steel. Wrench flats are 5/16”. The medium KE device is considered the workhorse of the
KE sizes due to its application to a wide variety of patients; however, application to medium and large patients
requires the use of full-pins and complicated frames to achieve consistent patient management with minimum
morbidity. Additionally, medium KE rods work well for making articulations with SK™ single clamps in large SK™
ESF frames. Many surgeons include medium KE rods in their large SK™ kit for this purpose.
Most veterinary surgeons are acquainted with the Ilizarov method of circular external skeletal fixation for limb
lengthening and correction of angular limb deformities. While circular external skeletal fixators have been of great
interest to the veterinary surgeon, devices available to date have been too expensive or poorly designed. In
addition, most circular fixators have been very difficult to manage on an out-patient basis.
The goal of IMEX™ Veterinary, Inc.’s Circular External Skeletal Fixation System is to provide the veterinary surgeon
with a functional and affordable circular external skeletal fixator that meets the following criteria:
Most importantly, a system designed for out-patient limb lengthening and correction of growth deformities must
be designed to simplify daily out-patient manipulations to the degree required to ensure accurate daily corrections
with minimal patient morbidity.
Developed in conjunction with a group of veterinary surgeons, bioengineers, and M.D.s at a leading research
center, the IMEX™ Circular ESF System meets the criteria. Daily manipulations are performed around a patented
(U.S. Patent # 5,968,043) Zero Tolerance/Zero Motion system that is patient- and owner-friendly. The IMEX™
Circular External Skeletal Fixation System is designed to be compatible with the SK™ ESF System by IMEX™,
thus providing a simple, cost-effective method of hybrid frame construction.
Successful application of the circular ESF method requires training and experience. However, once well-versed
with the system, surgeons will realize tremendous biological and mechanical control over many limb deformity
and fracture scenarios.
Mechanical attributes and user friendliness have made the IMEX™ Circular ESF System a popular choice among
private referral surgeons and academic institutes worldwide.
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Circular Fixator Applications
Full Rings
Basic building blocks of the IMEX™ Circular ESF System.
5/8 Rings
Can be closed with 1/3 arch. Typically used alone to avoid anatomical
constraints.
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Stretch Rings
Popular around hock and elbow to allow range of motion without
a larger ring diameter being used. Can be closed with a 1/3 ring
if desired.
Spinal Arches
A structural element for the IMEX™ Circular ESF System. The large
radius of the spinal arch allows temporary or permanent placement
of fine wire or hybrid frames along the spine for reduction or repair
of spinal injuries. Often used with part number 2.80001 (small SK™
clamps for 6mm threaded rod).
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Bolts, Nuts, Washers
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Angular Distraction Components & Fixation Wires
Fixation Wires
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Circular ESF Starter Kits
Quantity Quantity
Starter/Fracture Kit Deluxe Kit Part No. Description
Part No. 2.00001 Part No. 2.00000
- 3 2.15001 50mm x 3.2mm Full Ring
3 3 2.16601 66mm x 3.2mm Full Ring
3 3 2.18401 84mm x 4.75mm Full Ring
- 3 2.11181 118mm x 6.3mm Full Ring
- 1 2.15002 50mm x 3.2mm 5/8 Ring
1 1 2.16602 66mm x 3.2mm 5/8 Ring
1 1 2.18402 84mm x 4.75mm 5/8 Ring
- 1 2.11182 118mm x 6.3mm 5/8 Ring
- 2 2.15003 50mm x 3.2mm 1/3 Ring Arch
- 2 2.16603 66mm x 3.2mm 1/3 Ring Arch
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Threaded Rods, Bolts, Nuts, Washers
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PART NO. DESCRIPTION
4 4.13501 35mm x 2.4mm Full Ring 18 4.30004 Cannulated/Slotted Wire Fixation Bolt
3 4.14501 45mm x 2.4mm Full Ring 6 4.30005 Slotted Wire Fixation Washer
1 4.14504 45mm x 2.4mm Stretch Ring 50 4.30006 4mm Hex Nut, Stainless
3 4.26050 4mm x 50mm Threaded Rod 12 4.30008 4mm Flat Washer, Stainless
3 4.26075 4mm x 75mm Threaded Rod 2 4.50003 7mm Combination Wrench
3 4.26100 4mm x 100mm Threaded Rod 8 4.40002 1.0mm x 125mm Stopper Wire
2 4.70005 One-Hole Post, Mini 4 300.003 4mm x 8mm Hex Bolt
2 4.60001 Angular Hinge Assembly
Other popular additions to the Mini Circular ESF Starter Kit includes:
4.50004 7mm Angled Socket Wrench 4.70007 Spherical Nuts, 4mm
4.50005 7mm Double Wrench (for nylon nuts) 4.70008 Spherical Washers, 4mm
4.70001 Nylon Zero Tolerance Nut, 4mm 307.125 3.2mm x 125mm Hybrid Rod
Veterinary external skeletal fixation developed around the Kirschner-Ehmer ESF clamp and began with the use of
smooth fixation pins typically fashioned from trocar pointed Steinmann pins. Veterinary surgeons quickly
discovered the necessity of threaded ESF pins and began to utilize partially threaded Steinmann pins as ESF
pins. However, these pins often broke at the thread/non-thread junction and they were not considered to have
adequate fatigue strength for veterinary patients. Fully threaded IM pins were then tried in an effort to eliminate
the stress riser between the threaded and smooth portions of Steinmann pins, but were deemed not to be of
adequate bending strength.
Kirschner Medical then provided the veterinary surgeon with the Ellis™ pin (Kirschner Medical, Timonium, MD).
The Ellis™ pin was basically a partially threaded IM pin with a very short length of thread. Theoretically, the short
thread length would result in the thread/non-thread junction being placed in the medullary cavity and would thus
be shielded from cyclic loading and fatigue failure. The resulting application would result in only the far cortex being
engaged with threads and the near cortex being engaged by the smooth portion of the pin. Reports of fatigue
failure were reduced but not eliminated. The near cortex was potentially stripped as the threaded/non-threaded
junction passed through the wall of the bone, and potential for premature pin loosening was considerable.
Veterinary surgeons then began to search human orthopaedic catalogs for strong pins of appropriate diameter
to function with the Kirschner-Ehmer clamp used in many veterinary practices. The Turner Hip Pin (Zimmer) and
the Centrally Threaded Traction Pin (Synthes) were two human pins that made their way into veterinary literature.
A unique feature of these two human threaded pins is the presence of raised (“positive” or “rolled on”) threads.
Clinical performance of these pins was considered excellent, and the “positive thread” design was considered
responsible for good fatigue performance combined with adequate bending strength. These pins also provided
threaded engagement for both bone cortices. Drilling of a pilot hole for placement of an ESF pin (pre-drilling) then
became recognized as highly beneficial in veterinary patients.
The reported performance of these human pins (two cortex, positive thread ESF pins) led to their popularity in
veterinary referral centers, but limited size availability and the high cost of human implants restricted widespread
use of these pins in veterinary patients. IMEX™ Veterinary, Inc. was founded to produce these pins in a variety
of sizes appropriate to existing veterinary fixation devices. The resulting INTERFACE™ fixation half-pins and
CENTERFACE™ fixation full-pins became available; sized for the small, medium, and large KE clamps at a cost only
slightly more than that of single cortex, negative threaded pins. To complement the full versatility of SK™ ESF
clamps, INTERFACE™ and CENTERFACE™ pins of intermediate sizes (2.0mm, small-plus, 3.0mm and
medium-plus) are available as well. IMEX™ offers more pin diameters, lengths, and thread choices than any
other veterinary orthopaedic company.
Due to the popularity of these threaded pins, IMEX™ now has a selection of more than sixty ESF pins available
to the veterinary surgeon, and remains the world leader in veterinary ESF pin technology. Due to the long history
of the KE clamp, the terms “small, medium, and large” typically refer to pin shanks of 3/32”, 1/8” and 5/32”
respectively.
IMEX™ INTERFACE™ and CENTERFACE™ fixation pins do not feature the thread profile of a bone screw but are
designed with the unique environmental and mechanical differences between a bone screw and ESF pin being
taken into design consideration. This design stresses long-term performance of the pin-bone interface over acute
performance.
All IMEX™ ESF pins are produced from the highest quality, human implant grade 316LVM material.
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Miniature IMEX™ INTERFACE™ Fixation
Half-pins
These small pins are K-wire size versions of our popular
INTERFACE™ fixation half-pins.
Most commonly used with acrylic frame fixators on toy breeds, avian
patients, and small exotic pets, these pins have trocar points on both
the smooth and threaded ends. The central area of the pin shank is
factory-roughened to enhance the interface between the acrylic
frame and pin. This central area is not a thread, and attempts to use
this implant as a full-pin are contraindicated. Nomenclature is based
on the smooth shank diameter.
External Skeletal
*** 03094 2.0mm 3/32” (2.4mm) 0.115” 0.7” (17mm) 3” (75mm) 1
Fixation Pins
* Drill bit recommendations are based on availability of drill bits in these sizes. Referenced drill bits are standard sizes available from human
orthopaedic companies. A K-wire or drill bit one size smaller than the pin’s shank size can also be utilized for pre-drilling.
** 03062 and 03078 are popular with the Mini SK™ and Acrylic / Epoxy ESF frames.
*** 03094 has the same shank as the small INTERFACE™ fixation half-pin but has a smaller thread profile. This pin is less frequently used
with long bone fractures but finds more routine use with acrylic and pin ESF frames applied to mandibular fractures.
* L = Extended Length
15020 (2.0mm shank) is the largest pin recommended for the MINI SK™ ESF Clamp. 15020 (2.0mm shank) and
15030 (3.0mm shank) are particularly advantageous with European fixator systems that utilize 2.0mm and 3.0mm
fixation pins.
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INTERFACE™ NP (No Point) Fixation Half-pins
Standard (cortical) Thread Profile
INTERFACE™ NP fixation half-pins lack the trocar point found on standard INTERFACE™ pins. Pre-drilling is
required for pin placement. As with application of any ESF pin, attention should be given to proper pin alignment
with the pre-drilled hole. Use of the SK™ ESF clamp’s secondary bolt will keep the clamp and drill hole
oriented. In addition, liberal soft tissue release and retraction will simplify pin placement by allowing visualization.
Absence of a trocar reduces opportunity for morbidity created by a trocar point remaining in soft tissue. This
trocar-free pin is also safer for the operating surgeon. The lack of a trocar point makes this pin less expensive
than trocar pointed INTERFACE™ pins. Lengths, diameters, and recommended drill bits are common with
standard INTERFACE™ pins. IMEX™ pin and drill charts can be used for trocar and no point (NP) versions.
External Skeletal
Fixation Pins
SMALL-PLUS
15764NP 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 1-1/8” (28mm) 4-1/4” (110mm)
1576LNP* 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 2” (50mm) 6” (150mm)
MEDIUM
15180NP 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 1-1/4” (31mm) 4-1/2” (115mm)
1518LNP* 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 2” (50mm) 6” (150mm)
MEDIUM-PLUS
15964NP 9/64” (3.5mm) 3.5mm 4.3mm 1-3/8” (35mm) 5-1/4” (130mm)
1596LNP* 9/64” (3.5mm) 3.5mm 4.3mm 2-1/8” (54mm) 7” (175mm)
LARGE
15532NP 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 1-1/2” (38mm) 6” (150mm)
1553LNP* 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 2-1/4” (57mm) 8” (200mm)
* L = Extended Length
15020NP (2.0mm shank) is the largest pin recommended for the Mini SK™ ESF clamp, and is particularly
advantageous with European fixator systems that utilize 2.0mm fixation pins.
* L = Extended Length
20020 (2.0mm shank) is the largest pin recommended for the Mini SK™ ESF clamp. 20020 (2.0mm shank) and
20030 (3.0mm shank) are particularly advantageous with European fixator systems that utilize 2.0mm and 3.0mm
fixation pins.
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CENTERFACE™ NP (No Point) Fixation Full-pins
Standard (cortical) Thread Profile
CENTERFACE™ NP fixation full-pins lack the trocar point found on standard CENTERFACE™ pins. Pre-drilling
is required for pin placement. Lack of a trocar point makes this pin less expensive than trocar pointed
CENTERFACE™ pins, and potential for injury to the surgeon or patient during pin placement is reduced. Lengths,
diameters, and recommended drill bits are common with standard CENTERFACE™ pins. IMEX™ pin and drill
charts can be used for trocar and no point (NP) versions. When pre-drilling, this should be the centrally threaded
pin of choice.
External Skeletal
SMALL-PLUS
Fixation Pins
20764NP 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 1” (25mm) 4-1/2” (115mm)
2076LNP* 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 1-3/8” (35mm) 6-1/2” (165mm)
MEDIUM
20180NP 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 1-1/4” (30mm) 5” (125mm)
2018LNP* 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 1-3/4” (45mm) 7” (175mm)
MEDIUM-PLUS
20964NP 9/64” (3.5mm) 3.5mm 4.3mm 1-3/8” (35mm) 5-1/2” (140mm)
2096LNP* 9/64” (3.5mm) 3.5mm 4.3mm 2” (50mm) 7-1/2” (190mm)
LARGE
20532NP 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 1-1/2” (38mm) 6” (150mm)
2053LNP* 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 2-1/4” (57mm) 8” (200mm)
* L = Extended Length
20020NP (2.0mm shank) is the largest pin recommended for the MINI SK™ ESF clamp. 20020NP (2.0mm shank)
is particularly advantageous with European fixator systems that utilize 2.0mm fixation pins.
IMEX™ INTERFACE™ fixation half-pins with cancellous thread profile feature a deep thread with larger pitch than
standard thread INTERFACE™ fixation pins. These pins have proven particularly effective in soft metaphyseal
bone application where adequate bone stock is present to support the increased thread diameters. Acceptable
locations include the proximal tibia, the distal femur, and the proximal humerus ONLY. Pre-drilling is very important.
These pins are contraindicated in diaphyseal bone, in the radius or ulna, and in the hard bone of the humeral
condyle.
* L = Extended Length
NOTE: 16316 and 1631L have larger shanks than corresponding large KE standard thread profile pins.
Rarely is more than one cancellous pin used per long-bone fracture.
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CENTERFACE™ Fixation Full-pins
Cancellous Thread Profile
IMEX™ CENTERFACE™ fixation full-pins with cancellous thread profile feature a deep thread with larger thread
pitch than standard thread CENTERFACE™ fixation full-pins. These pins have proven particularly effective in
metaphyseal bone application where adequate bone stock is present to support the increased thread diameters.
Acceptable locations include the proximal tibia and the distal femur ONLY. Pre-drilling is very important. These
pins are contraindicated in diaphyseal bone, in the radius or ulna, and in the hard bone of the humeral condyle.
SMALL
21332 3/32” (2.4mm) 2.3mm 9/64” (3.5mm) 3/4” (20mm) 4” (100mm)
2133L* 3/32” (2.4mm) 2.3mm 9/64” (3.5mm) 1” (25mm) 6” (150mm)
MEDIUM
21180 1/8” (3.2mm) 3.1mm 3/16” (4.8mm) 1-1/4” (32mm) 5-1/2” (140mm)
2118L* 1/8” (3.2mm) 3.1mm 3/16” (4.8mm) 1-3/4” (45mm) 7” (175mm)
External Skeletal
Fixation Pins
LARGE
21316 3/16” (4.8mm) 4.7mm 1/4” (6.3mm) 2” (50mm) 6” (150mm)
2131L* 3/16” (4.8mm) 4.7mm 1/4” (6.3mm) 2-1/2” (63mm) 8” (200mm)
* L = Extended Length
NOTE: 21316 and 2131L have larger shanks than corresponding large KE standard thread profile pins.
Rarely is more than one cancellous pin used per long-bone fracture.
These pins are similar in design to the Ellis™ pin (Kirschner Medical) and were originally designed for use with
the corresponding small and medium KE clamps. With the advent of modern ESF systems and the availability of
inexpensive INTERFACE™ and CENTERFACE™ fixation pins, use of these pins is rapidly declining.
Surgeons performing TPLO surgery may find SCAT™ pins useful for temporary attachment of the alignment jig
during the procedure, or may prefer a 3/32” or 1/8” Trocar/Trocar Partial Thread IM Pin.
These pins are similar to a single trocar smooth intramedullary pin and have typically been called half-pins, but
are used as half-pins and full-pins. With the availability of modern ESF systems and economical INTERFACE™
and CENTERFACE™ fixation pins, use of these pins is rapidly declining. If a fixator needs to be in place for an
extremely short period of time (e.g. Type I-a transarticular fixator for protection of a reduced elbow luxation), these
pins may provide sufficient short-term stability; otherwise, threaded ESF pins should be used.
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ESF Pin Overlays, Caps, Gage & Guide
19
1-800-828-4639
18
ESF Pin Overlay 15LAY
PART NUMBER SHAFT DIAMETER RECOMMENDED DRILL BIT THREAD DIAMETER THREAD LENGTH OVERALL LENGTH
17
2.0 MM
15020 2.0mm 2.0mm 2.5mm 20mm 95mm
15020
16
2.0mm shaft diameter
* 15332 3/32" (2.4mm) 2.3mm 1/8" (3.2mm) 1" (25mm) 4" (100mm)
15
SMALL
* 1533L 3/32" (2.4mm) 2.3mm 1/8" (3.2mm) 1-1/4" (31mm) 6" (150mm)
14
15332 and 1533L
Durable, transparent radiographic ESF pin overlays feature actual size images of
2.4mm shaft diameter
13
15764 7/64" (2.8mm) 2.7mm 9/64" (3.5mm) 1-1/8" (28 mm) 4-1/4" (110mm)
SMALL PLUS
12
standard thread INTERFACE™ half-pins. When placed directly on the view box,
15764 and 1576L
1576L 7/64" (2.8mm) 2.7mm 9/64" (3.5mm) 2" (50mm) 6" (150mm) 2.8mm shaft diameter
11
3.0 MM
15030 3.0mm 3.0mm 3.5mm 30mm 110mm
10
15030
9
3.0mm shaft diameter
* 15180 1/8" (3.2mm) 3.1mm 5/32" (4.0mm) 1-1/4" (31mm) 4-1/2" (115mm)
they are utilized in choosing proper pin diameters and determining if standard
MEDIUM
8
* 1518L 1/8" (3.2mm) 3.1mm 5/32" (4.0mm) 2" (50mm) 6" (150mm)
7
15180 and 1518L
3.2mm shaft diameter
6
MEDIUM PLUS
5
1596L 9/64" (3.5mm) 3.5mm 4.3mm 2-1/8" (54mm) 7" (175mm) 15964 and 1596L
3.5mm shaft diameter
4
drill bit diameters and part numbers are included. Keep a set at your view box
* 15532 5/32" (4.0mm) 3.9mm 3/16" (4.8mm) 1-1/2" (38mm) 6" (150mm)
3
LARGE
* 1553L 5/32" (4.0mm) 3.9mm 3/16" (4.8mm) 2-1/4" (57mm) 8" (200mm) 15532 and 1553L
2
4.0mm shaft diameter
1
for easy reference.
* Standard KE sizes Add NP to part numbers (except 15030) to order No Point Pins
Trocar Point No Point
0 cm
Magnification = 100%
1001 McKesson Drive, Longview, Texas 75604 • 903-295-2196 • fax 903-295-0730 • www.imexvet.com • imexdesk@imexvet.com
19
NEW ESF Pin Overlay
18
PART NUMBER SHAFT DIAMETER RECOMMENDED DRILL BIT THREAD DIAMETER THREAD LENGTH OVERALL LENGTH
20LAY
17
20020 2.0mm 2.0mm 2.5mm 15mm 95mm
2.0 MM
20020
16
2.0mm shaft diameter
* 20332 3/32" (2.4mm) 2.3mm 1/8" (3.2mm) 3/4" (19mm) 4" (100mm)
15
SMALL
* 2033L 3/32" (2.4mm) 2.3mm 1/8" (3.2mm) 1" (25mm) 6" (150mm) 20332 and 2033L
14
2.4mm shaft diameter
Durable, transparent radiographic ESF pin overlays feature actual size images of
13
20764 7/64" (2.8mm) 2.7mm 9/64" (3.5mm) 1" (25 mm) 4-1/2" (115mm)
SMALL PLUS
12
20764 and 2076L
standard thread CENTERFACE™ full-pins. When placed directly on the view box,
2076L 7/64" (2.8mm) 2.7mm 9/64" (3.5mm) 1-3/8" (35mm) 6-1/2" (165mm) 2.8mm shaft diameter
11
20030 3.0mm 3.0mm 3.5mm 28mm 120mm
3.0 MM
10
20030
9
3.0mm shaft diameter
* 20180 1/8" (3.2mm) 3.1mm 5/32" (4.0mm) 1-1/4" (30mm) 5" (125mm)
they are utilized in choosing proper pin diameters and determining if standard
MEDIUM
8
* 2018L 1/8" (3.2mm) 3.1mm 5/32" (4.0mm) 1-3/4" (45mm) 7" (175mm)
7
20180 and 2018L
3.2mm shaft diameter
20964 9/64" (3.5mm) 3.5mm 4.3mm 1-3/8" (35mm) 5-1/2" (140mm)
6
MEDIUM PLUS
or extended length pins will be required at given pin locations. Recommended
5
2096L 9/64" (3.5mm) 3.5mm 4.3mm 2" (50mm) 7-1/2" (190mm) 20964 and 2096L
3.5mm shaft diameter
4
* 20532 5/32" (4.0mm) 3.9mm 3/16" (4.8mm) 1-1/2" (38mm) 6" (150mm)
drill bit diameters and part numbers are included. Keep a set at your view box
3
LARGE
* 2053L 5/32" (4.0mm) 3.9mm 3/16" (4.8mm) 2-1/4" (57mm) 8" (200mm) 20532 and 2053L
2
4.0mm shaft diameter
1
* Standard KE sizes Add NP to part numbers (except 20030) to order No Point Pins
0 cm
Magnification = 100%
1001 McKesson Drive, Longview, Texas 75604 • 903-295-2196 • fax 903-295-0730 • www.imexvet.com • imexdesk@imexvet.com
External Skeletal
Fixation Pins
NEW Pin Caps
Autoclavable pin caps for protecting IM pin and ESF pin points during autoclave
and storage. Also covers cut ends of external fixation pins, protecting owners
and patients during bandage changes.
Part No. Diameter Accepted Pin Sizes
CAPBLACK 2.0mm 5/64” (2.0mm)
CAPWHITE 3/32” (2.4mm) 3/32” and 7/64”
CAPBLUE 1/8” (3.2mm) 1/8” and 9/64”
CAPGRAY 5/32” (4.0mm) 5/32” and 3/16”
These pins along with related drill bits and taps are designed for lower limb application in large animal patients.
Typically, fiberglass casting is used to incorporate the pins and hoof. New for 2008, large animal trasfixation pins
feature three chuck flats on the blunt end for securing the pin in a Jacobs chuck. Pins are of CENTERFACE™
fixation full-pin design but are commonly utilized with transfixation casting. Pre-drilling and tapping are required.
Please see page 52 for drill bits.
These premium drill bits feature a special point geometry designed to engage the periosteum and prevent
drill bits from “walking” or skidding at the beginning of the drilling process. This point geometry is
especially beneficial when hole placement is critical and with freehand drilling applications. Compared to other drill bits,
StickTite™ bits are much easier to start and drill accurately when not drilling perpendicular to the bone.
50 1-800-828-4639 • www.imexvet.com
Miscellaneous Pins and Rods
Miscellaneous Pins
TPLO Reduction Pins
These pins are designed for use as temporary osteotomy reduction pins during application of TPLO plates. Pins
feature a long threaded length and a single trocar point with two diameters available. Stainless steel.
Fully-threaded rods designed to provide additional stability during the repair of unilateral or bilateral sacro-iliac
luxations and sacral fractures. Often used in addition to lag screws and can be combined with other implants.
Available in 3.2mm, 4.0mm, and 4.7mm diameters with a single trocar point. Paired nuts can be applied to
each end to provide secure, locked fixation. A short length of non-threaded area is available to eliminate thread
damage when applying a Jacobs chuck. Stainless steel.
These premium drill bits feature a special point geometry designed to engage the periosteum and prevent drill
bits from “walking” or skidding at the beginning of the drilling process. StickTite™ point geometry is especially
beneficial when hole placement is critical and with freehand drilling applications. Compared to other drill bits,
StickTite™ bits are much easier to start and drill accurately when not drilling perpendicular to the bone.
In order to support ESF pin pre-drilling through drill sleeves Part No. Diameter Length
and with double rod drilling techniques, IMEX™ drill bits are 32020 2.0mm 120mm
considerably longer than standard bone plating drill bits. 32020L * 2.0mm 175mm
Surgeons must be aware of this length and avoid side pressures
32023 2.3mm 125mm
resulting in drill bit flexion and bowing– especially when not
32025
using drill sleeves. StickTite™ drill bits are designed to drill with 2.5mm 135mm
minimal forward pressure and if forced into the opposite bone 32025L * 2.5mm 175mm
wall, they will engage rapidly with potential for damage to the 32027 2.7mm 140mm
bit. The sharp cutting geometry will also attempt to cut or grab 32027L * 2.7mm 175mm
when hitting screws or pins – resulting in damaged drill bits. 32031 3.1mm 150mm
If cutting into a pin or screw is likely, it is recommended that
32032 3.2mm 155mm
standard ESF drill bits be used. All IMEX™ drill bits can be cut
shorter if the additional length is not desired. 32035 3.5mm 160mm
32035L * 3.5mm 175mm
*Extra length StickTite™ drill bits are commonly used with 32039 3.9mm 165mm
interlocking nail systems. Used with care, these drill bits NEW 32062 6.2mm 180mm
SIZE
tend to drill accurately through the drill sleeve and the
targeting jig of the interlocking nail system.
ESF drill bits are made of hardened stainless steel in diameters appropriate for pre-drilling of standard KE size
INTERFACE™ and CENTERFACE™ ESF pins, large cancellous ESF pins, and IMEX™ 6.3mm shank large animal
transfixation pins.
Part No. Description Recommended ESF Pins
33023 2.3mm x 5” Small 3/32” pin shanks
33031 3.1mm x 6” Medium 1/8” pin shanks
33039 3.9mm x 6.25” Large 5/32” pin shanks
33047 4.7mm x 6.75” Large Cancellous and 4.8mm shank, large animal transfixation pins
33062 6.2mm x 7” 6.3mm shank, large animal transfixation pins
Drill Sleeves
Designed for through-the-clamp pre-drilling with SK™ single clamps, but can be an effective drill sleeve for a
variety of applications.
Part No. Corresponding Drill Bit Alternative Drill Bit SK™ Clamp
NEW 34015 1.5mm 1.1mm Mini
SIZE
52 1-800-828-4639 • www.imexvet.com
Steinmann Intramedullary Pins
Trocar/Trocar Smooth pins feature a trocar point on each end of a smooth pin.
Trocar/Trocar Partial Thread pins feature a trocar point on both ends. One end includes approximately one inch
of threaded length.
* 1018L and 1053L “long” versions are commonly utilized as an IM pin with the added length used for tie-in with external
skeletal fixators.
Inquire about our ability to produce custom diameter and length intramedullary pins and k-wire.
Orthopaedic Wire
IM Pins, K-Wire
Steinmann Intramedullary Pin Starter Kits
Pin kits contain an assortment of standard size K-wires and IM pins in an autoclavable cloth bag with labeled
pockets for the various sizes. Available in smooth and partial thread.
Smooth IM Pin Starter Kit with IM Pin Bag Part No. 10SKT
6 each K-wires: .035” x 6” | .045” x 6” | .062” x 6”
2 each Trocar/Trocar Smooth IM Pins: 1/16” x 9” | 5/64” x 9” | 3/32” x 9”
7/64” x 9” | 1/8” x 9” | 9/64” x 9” | 5/32” x 9” | 3/16” x 12” | 1/4” x 12”
1 each Cloth IM Pin Bag, Autoclavable
Partial Thread IM Pin Starter Kit with IM Pin Bag Part No. 11SKT
6 each K-wires: .035” x 6” | .045” x 6” | .062” x 6”
2 each Trocar/Trocar Partial Thread IM Pins: 1/16” x 9” | 5/64” x 9” | 3/32” x 9”
7/64” x 9” | 1/8” x 9” | 9/64” x 9” | 5/32” x 9” | 3/16” x 12” | 1/4” x 12”
1 each Cloth IM Pin Bag, Autoclavable
K-Wire
Trocar points on each end of a small diameter smooth pin. Six wires per package: 6” or 9” lengths.
Autoclavable Spool
Free Roll
54 1-800-828-4639 • www.imexvet.com
Pin and Wire Accessories
Autoclavable cloth bag with labeled pockets for the various sizes of IM pins
and K-wires. Double reinforced bottom fold. Included with purchase of IM pin
starter kits.
Autoclavable. Utilized with power drill adapter to provide a sterile field when
using a non-sterile drill. Fits IMEX™ surgery drills and a variety of smaller
hardware store-type drills. Not suitable for larger drills with expanded handles.
External Fixator /
Instrument Organizer Bag Part No. 30007
An autoclavable cloth organizer bag for many ESF components and instruments,
regardless of size. Many customers segregate fixation pins and small
components by size into marked syringe cases to place into this bag.
Stainless steel ruler calibrated in inches and centimeters, with holes for sizing
K-wires, ESF pins and IM pins from 0.035” to 1/4”. Also sizes drill bits.
56 1-800-828-4639 • www.imexvet.com
Suture Anchors
Often termed tissue anchors or bone anchors, these implants are practical alternatives to bone tunnels, screw-
washer combinations, and other methods of attaching soft tissue to bone. Anchors are easy to use in locations
where bone tunnels are not readily placed and represent a smaller profile than screw/washer combinations.
Developed in conjunction with several referral surgical facilities, the anchors and related suture materials should be
considered temporary fixation devices that allow tissue to heal to its original location, protect primary soft tissue
repairs during the early phases of healing, or facilitate the formation of fibrous tissue to assist in maintaining joint
stability. IMEX™ suture anchors are threaded implants designed to maximize implant/bone interface by being
screwed into bone. Pre-drilling is required; however, the anchors are self-tapping.
Recommended drill bit diameters are 2.7mm for the 4.0mm anchor and 3.5mm for the 4.7mm anchors. Smaller
drill bits can be utilized in soft, juvenile bone locations if desired. In very dense bone, slightly larger drill bits might
be considered. The use of StickTite™ drill bits enhances accuracy of drill hole locations. The suture anchor’s
square drive-head with cross-hole is approximately 2.0mm in height.
Suture Anchors
Suture anchors are screwed into bone to act as insertion points for sutures used in
reconstruction of ligaments, joint capsules and tendons.
For size reference only, 4.0mm anchors will hold most brands of 60# nylon leader, and
4.7mm anchors will hold most brands of 80# nylon leader. Many other suture types
and sizes are frequently used depending on the surgeon’s preference.
Recommended
Part No. Diameter Length Hole Dimension Drill Bit
60-40-06 4.0mm 6mm 1.1mm 2.7mm
60-40-10 4.0mm 10mm 1.1mm 2.7mm
60-47-06 4.7mm 6mm 1.3mm 3.5mm
60-47-10 4.7mm 10mm 1.3mm 3.5mm
58 1-800-828-4639 • www.imexvet.com
Suture Anchor Clinical Case Examples
Anchor-Orthopaedic Wire-Polymethylmathacrylate-Acetabular
Fracture Repair
Articular fractures should be anatomically reduced and rigidly fixed. With acetabular
fracture repair, it is often difficult to contour available bone plates to maintain accurate,
anatomic alignment as screws are tightened into the plate. In other words, if the plate
is nearly contoured, initial screw application will appear accurate; however, as additional
screws are placed and tightened, any error in plate contour will result in translation of
the bone and loss of reduction. To overcome the difficulty of plate contouring, special
acetabular plates have been developed. In addition, reconstruction plates have been
utilized in larger canine patients. Recent reports (Lewis, et al: Veterinary Surgery. 1997
May-Jun; (3):223-34) have outlined an alternate procedure for repair of acetabular
fractures in small animal patients. Specifically, bone screws or similar devices are placed Courtesy of Dave Crouch, DVM
along the dorsal acetabular rim and are connected with orthopaedic wire. The fracture
is held in reduction while PMMA is applied over the implant/wire composite frame.
The PMMA conforms to the surface of the bone and strength is achieved because
the composite structure is held in place by the threaded implants. Anchors may be
beneficial when used for this technique, as they provide excellent bone purchase while
allowing for easy retention of the orthopaedic wire in the eyelet. It is important to note
that to date, this method has been used in relatively small patients.
60 1-800-828-4639 • www.imexvet.com
anchors as a portion of their CCL repair in challenging patients. Do not purchase suture anchors as the sole
method of extracapsular repair of cruciate disease; however, selected adjunct use of these anchors may simplify
and enhance cruciate repairs.
Summary
Many customers want specific recommendations regarding suture material type and size. Due to the widespread
variations in patient size, underlying pathology, and presence or absence of infection, specific recommendations
cannot be made. However, feedback to date indicates that about 50% of cases have utilized monofilament
sutures, while the other 50% have utilized braided materials. In human surgery, there are dozens of suture anchors
available, and many are pre-loaded with braided suture material. Large diameter, monofilament nylon fishing line
has been popularized in veterinary medicine and may be appropriate in demanding situations such as repair of
CCL deficient stifles in large, active patients. However, this stiff line is not conducive to acute bends at anchors
and is difficult to handle. Current 4.7mm anchors will support use of most brands of 80 pound monofilament nylon
leader and #2 -#4 braided materials. Number 5 braided materials may be difficult to utilize if the material of choice
tends to fray significantly when cut. Popular monofilament materials also include Prolene and Ethilon in sizes
“0” and “2.” Consider the difference between a closed tear of carpal collateral ligament that undergoes primary
repair and prosthetic ligament support compared to a deep shearing injury loss of the same ligament in a similar
patient. The shearing injury is less stable, but being open and contaminated may lead one to utilize monofilament
material for repair. Size of material selected is dependent on patient size. Braided material tends to have better
handling and tying characteristics, is more conducive to sudden direction change, and is generally stronger than
monofilament material. However, in veterinary medicine, both have been associated with fistulous tracts. Use of
higher quality braided material and improved aseptic techniques seem to be leading to increased use of braided
suture material in veterinary surgery. Newer monofilament, non-absorbable sutures show promise as well.
Stabilization
Joint
Introduction
There are a number of currently popular surgical methods for maintaining reduction of coxofemoral luxations that
include: the toggle pin method, ilio-femoral sutures to limit external rotation of the hip, and caudo-distal transposition
of the greater trochanter. Each of these methods depends on the joint capsule and associated muscles for acute,
and especially for long-term maintenance, of joint stability. If the joint capsule is severely traumatized and not
conducive to primary repair, some surgeons elect to perform a capsulorrhaphy or dorsal suture augmentation of
the joint capsule. With any of the just mentioned surgical methods for stabilization of hip luxations, it is important
to remember that the use of sutures and anchors must be considered temporary solutions until the joint capsule
and periarticular soft tissue can heal. As such, patients with poor hip conformation are not good candidates for
these methods of repair and should be considered for salvage procedures, such as FHNE or THR.
The toggle pin method of maintenance of coxofemoral luxations has been around many years. Commercially
available toggle pins, IMEX™ Polypropylene Suture Buttons, and the IMEX™ Universal Aiming Device have simplified
the method and increased its popularity. This method places a strand (or multiple strands) of suture material in a
location that mimics the normal origin and insertion of the round ligament of the femoral head, which is torn when
the hip is traumatically luxated. This anatomic positioning of suture material is relatively straightforward and visually
demarcated in the hip, and perhaps is partially responsible for the logic and popularity of the method. Different suture
materials and sizes are used based on the surgeon’s preference. IMEX™ customers use both monofilament and
braided suture materials. Braided material is popular with customers who desire strength and knot security and
tends to bend acutely around anchors or toggles better than monofilament suture material. Typical sizes include
#2 and #5. Prolene®, Ethilon® and monofilaments are popular with customers who desire a relatively inert
material, and common examples include monofilament fishing leader in 40 lb., 60 lb., and 80 lb. tests.
A high quality, adjustable aiming device for pre-drilling and pin placement. While
commonly used for coxofemoral luxation repair with the toggle pin method, this
instrument can also be used for many other applications including: lag screw
repair of condylar fractures, placement of calcaneo-tibial screws for repair of
Achilles tendons, and lag screw fixation of femoral neck fractures. A variety
of screw-in-place drill guides are available to support many drill bit diameters.
One single hole drill guide of your choice is included with the purchase of the
IMEX™ Universal Aiming Device.
Screw-in-place drill guides can be easily interchanged, and seven drill guide PN# 50016D
diameters are available. All drill guides can be purchased independently as
needed.
PN# 50045
Part No. Drill Diameter Part No. Drill Diameter
50023 2.3mm/2.0mm 50039 3.9mm
50025 2.5mm 50045 4.5mm
50031 3.1mm 50016D 1.6mm x 2 holes
50035 3.5mm/3.2mm
62 1-800-828-4639 • www.imexvet.com
The Toggle Pin Method of Coxofemoral Luxation Repair
Toggle Pins
Two diameters are available for repair of coxofemoral luxations. The cross-
hole sizes are compatible with most commonly used sizes of monofilament
suture material. Depending on the size of suture used, the required drill
bit may be approximately the same size as the toggle pin or up to 1-2
millimeters larger (to allow for large suture.) The blunt end of a suture
passer can be used to assist with final passage of the toggle pin through
the acetabular wall. Stainless steel.
Polypropylene
Suture Buttons Part No. 55100S
These two-hole suture buttons are used at the lateral femur to simplify
suture tie-off when performing the toggle pin method of coxofemoral
reduction. Approximately 6.5mm x 14mm. The 2.0mm hole diameter can
accommodate virtually all large suture materials. Pre-packaged sterile.
Similar to a large sewing needle with an eye, this suture passer is designed
to be a very economical method of pulling suture down the femoral neck.
The passer diameter is 3.2mm. With suture included, it is often necessary
to utilize a 3.5mm or larger pilot hole. This instrument is most useful when
utilizing soft-pliable suture material, while stiffer monofilament materials are
usually pushed through the femoral hole by hand. The blunt end is also
utilized to “pop” the toggle pin through the acetabular component.
Figure 2: The aiming device is used to drill a femoral tunnel for the suture.
The aiming device is placed so the tunnel is drilled from the subtrochanteric
area of the lateral femur to the fovea capitis of the femoral head. It is helpful
to have a surgical assistant at this time. The 3.5mm drill bit is the most Figure 2
common drill bit utilized and also the minimum hole diameter used with the
suture passer. When drilling of the femoral tunnel is nearly complete, it is
advisable to remove the aiming device and complete the drill hole by hand.
This eliminates potential damage to the drill bit.
Figure 3: The suture used for repair is passed once through the hole in the
toggle pin creating a simple loop. The toggle pin is held at one end using
large needle holders, Kelly forceps, or a similar instrument. The suture is Figure 3
pulled tight along the sides of the toggle pin so each strand seats within the
toggle pin grooves. The toggle pin is then visually started into the acetabular
drill hole and inserted as far as the instrument will allow. The instrument is
removed, and the blunt end of the IMEX™ suture passer is used to push the
toggle pin completely through the acetabular drill hole. (If this step seems
to require excess force, it is likely that the acetabular drill hole is not large
enough to accommodate the diameter of the toggle pin-suture combination
used.)
Figure 4a: The ends of the suture are spread and tensioned to pull the toggle
pin tight against the medial wall of the acetabulum. The toggle pin is tested
for secure seating within the pelvic canal. The suture is then pushed or pulled
through the femoral canal to exit the lateral femur. The suture is tensioned
while the femoral head is reduced into the acetabulum. Figure 4a
Figure 4b: Appropriate reduction is verified and the ends of the suture
are tied over another toggle pin or a suture button as shown in figure 4b.
Alternatively, another small bone tunnel can be drilled in the lateral aspect
of the femur to allow one of the suture strands to be passed through and
then tied to the opposite strand. The hip should be appropriately reduced Figure 4b
and firmly seated; however, do not over-tighten the suture by placing excess
tension on it. This will adversely effect hip joint range of motion and will cause
the suture to fail prematurely.
64 1-800-828-4639 • www.imexvet.com
Spiked Bone Washers and Universal Aiming Device
Most commonly used for re-attaching avulsed soft tissue to bone. The 6.0mm
spiked bone washers function with 2.0mm and 2.7mm bone screws. The
11mm spiked bone washers function best with 3.5mm, 4.0mm cancellous,
or 4.5mm bone screws and will function with some brands of 2.7mm bone
screws. Implant quality Stainless steel. 11mm Spiked
6mm Spiked Bone Washer
Part No. Diameter Recommended Bone Screws Bone Washer
56006 6.0mm 2.0mm, 2.7mm
56011 11.0mm 3.5mm, 4.0mm, 4.5mm
A high quality, adjustable aiming device for pre-drilling and pin placement.
While commonly used for coxofemoral luxation repair with the toggle pin
method, this instrument can also be used for many other applications
including: lag screw repair of condylar fractures, placement of calcaneo-tibial
screws for repair of Achilles tendons, and lag screw fixation of femoral
neck fractures. Please see page 62 for interchangeable drill guides.
Stabilization
Joint
A recent development in transarticular external fixation (TESF) is the release of two sizes of a range of motion
(ROM™) hinge. These hinges combine an adjustable joint angle into a lockable TESF hinge that can allow a
variable range of motion as selected by the surgeon. Previous versions of this device have been utilized in research
projects and have made their way into clinical use. Each size ROM™ hinge features a multi-toothed locking nut
that allows the surgeon to lock-in any desired starting position or “normal standing angle.” The opposite end
of the ROM™ hinge body features a central flat that determines the locked position, and two adjacent arcs that
allow for a variable degree of motion to be dialed in as desired. The ability to progressively increase the allotted
range of motion during the healing period is unique to the IMEX™ ROM™ hinge and can be utilized or ignored
depending on patient management requirements.
ROM™ hinges are modular by design and the hinge rods are easily interchanged to accommodate different limb
length and patient anatomy. To change rods, loosen the corresponding nut or nuts and unscrew the rod from its
mating hinge pin. This can usually be done by hand, but a pair of pliers can be used if needed. Since the hinge
pin is held in position by the rod, it must be positioned before screwing in the replacement rod. Rod insertion into
the hinge pin can be achieved from one direction only; therefore, it is necessary to seat the hinge pin properly to
ensure correct rod insertion.
HEX NUT
HEX NUT
NYLON NUT
HYBRID ROD
66 1-800-828-4639 • www.imexvet.com
Small 6.3mm TITANIUM HYBRID Rods, 6mm Thread
Small SK™ titanium hybrid rods are commonly utilized to construct hybrid ESF
frames but are also a modular assembly element of the small SK™ ROM hinge.
Length increments from 50mm to 250mm are available allowing custom modification
of small ROM™ hinges. See page 22 for part numbers and length choices.
68 1-800-828-4639 • www.imexvet.com
2008 Price List
24200 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 2” (50mm) .................... 2.60
24300 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 3” (75mm) .................... 2.80
24400 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 4” (100mm) .................. 2.90
24500 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 5” (125mm) .................. 2.95
24600 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 6” (150mm) .................. 3.05
307.125 1/8” (3.2mm) Mini Hybrid Rod 4mm Thread x 5” (125mm) ....................... 7.05
S MALL SK™
400.SKT SK™ Small Starter Kit ....................................................................... 580.00
400.SKTNP SK™ Small No Point ESF Pin Starter Kit ............................................ 575.00
400.000 SK™ Small ExFix SINGLE Clamp Complete .......................................... 16.00
400.999 SK™ Small ExFix DOUBLE Clamp Complete ........................................ 17.50
400.001 SK™ Small ExFix Pin-gripping Clamp Bolt .............................................. 8.95
400.002 SK™ Small ExFix Clamp Body Pair ........................................................ 7.75
400.003 SK™ Small Hex Bolt M5x10mm ............................................................. 1.50
400.004 SK™ Small Hex Nut 5mm (8mm wrench) ............................................... 1.00
406.050 SK™ Small Carbon Fiber Rod 6.3mm x 50mm ....................................... 3.95
406.100 SK™ Small Carbon Fiber Rod 6.3mm x 100mm ..................................... 6.95
406.150 SK™ Small Carbon Fiber Rod 6.3mm x 150mm ..................................... 9.65
406.200 SK™ Small Carbon Fiber Rod 6.3mm x 200mm ................................... 12.10
406.250 SK™ Small Carbon Fiber Rod 6.3mm x 250mm ................................... 15.20
407.050 6.3mm Titanium Hybrid Rod 6mm Thread x 50mm ................................. 9.50
407.075 6.3mm Titanium Hybrid Rod 6mm Thread x 75mm ............................... 10.65
407.100 6.3mm Titanium Hybrid Rod 6mm Thread x 100mm ............................. 11.85
407.150 6.3mm Titanium Hybrid Rod 6mm Thread x 150mm ............................. 12.95
407.200 6.3mm Titanium Hybrid Rod 6mm Thread x 200mm ............................. 17.50
407.250 6.3mm Titanium Hybrid Rod 6mm Thread x 250mm ............................. 18.90
409.050 6.3mm Titanium Hybrid Rod 5mm Thread x 50mm ............................... 11.45
409.100 6.3mm Titanium Hybrid Rod 5mm Thread x 100mm ...... Used with ...... 12.95
European Small
409.150 6.3mm Titanium Hybrid Rod 5mm Thread x 150mm ...... Bone Fixator ...... 13.65
409.200 6.3mm Titanium Hybrid Rod 5mm Thread x 200mm ............................. 18.40
409.250 6.3mm Titanium Hybrid Rod 5mm Thread x 250mm ............................. 19.50
L ARGE SK™
500.SKT SK™ Large Starter Kit ....................................................................... 645.00
500.SKTNP SK™ Large No Point ESF Pin Starter Kit ............................................ 640.00
500.000 SK™ Large ExFix SINGLE Clamp Complete ......................................... 18.50
500.999 SK™ Large ExFix DOUBLE Clamp Complete ........................................ 19.00
500.001 SK™ Large ExFix Pin-gripping Clamp Bolt ........................................... 10.05
500.002 SK™ Large ExFix Clamp Body Pair ........................................................ 8.10
2.30006 Hex Nut 6mm (10mm wrench)................................................................ 1.00
2.30007 Hex Bolt 6mm x 12mm .......................................................................... 2.00
506.050 SK™ Large Carbon Fiber Rod 9.5mm x 50mm ....................................... 4.95
506.100 SK™ Large Carbon Fiber Rod 9.5mm x 100mm ..................................... 5.85
506.150 SK™ Large Carbon Fiber Rod 9.5mm x 150mm ..................................... 6.95
506.200 SK™ Large Carbon Fiber Rod 9.5mm x 200mm ..................................... 8.20
506.250 SK™ Large Carbon Fiber Rod 9.5mm x 250mm ..................................... 9.35
506.300 SK™ Large Carbon Fiber Rod 9.5mm x 300mm ................................... 11.25
506.350 SK™ Large Carbon Fiber Rod 9.5mm x 350mm ................................... 12.30
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2008 Price List
507.050 9.5mm Titanium Hybrid Rod 6mm Thread x 50mm ............................... 18.20
507.075 9.5mm Titanium Hybrid Rod 6mm Thread x 75mm ............................... 19.75
507.100 9.5mm Titanium Hybrid Rod 6mm Thread x 100mm ............................. 19.95
507.150 9.5mm Titanium Hybrid Rod 6mm Thread x 150mm ............................. 20.95
507.200 9.5mm Titanium Hybrid Rod 6mm Thread x 200mm ............................. 23.25
507.250 9.5mm Titanium Hybrid Rod 6mm Thread x 250mm ............................. 25.95
507.300 9.5mm Titanium Hybrid Rod 6mm Thread x 300mm ............................. 30.25
507.350 9.5mm Titanium Hybrid Rod 6mm Thread x 350mm ............................. 37.95
24200 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 2” (50mm) .................... 2.60
24300 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 3” (75mm) .................... 2.80
24400 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 4” (100mm) .................. 2.90
24500 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 5” (125mm) .................. 2.95
24600 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 6” (150mm) .................. 3.05
MEDIUM KE
25000 KE Medium ExFix SINGLE Clamp Complete ......................................... 16.25
25999 KE Medium ExFix DOUBLE Clamp Complete ........................................ 21.50
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2008 Price List
2.80001 Small SK™ Clamp for 6mm Threaded Rod ........................................... 18.00
MINIATURE CIRCULAR
EXTERNAL SKELETAL FIXATION SYSTEM (Page 36-39)
4.00001 IMEX™ Miniature Circular Fixation Starter Kit ...................................... 558.00
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2008 Price List
32020L StickTite™ Drill Bit, Extended Length 2.0mm x 175mm ....................... 36.25
32025L StickTite™ Drill Bit, Extended Length 2.5mm x 175mm ........................ 36.25
32027L StickTite™ Drill Bit, Extended Length 2.7mm x 175mm ........................ 36.25
32035L StickTite™ Drill Bit, Extended Length 3.5mm x 175mm ........................ 36.25
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2008 Price List
50000 Universal Aiming Device (Single Hole Drill Guide Included) ................... 297.00
50023 Universal Aiming Device Drill Guide 2.3mm .......................................... 23.00
50025 Universal Aiming Device Drill Guide 2.5mm ........................................... 23.00
50031 Universal Aiming Device Drill Guide 3.1mm ........................................... 23.00
50035 Universal Aiming Device Drill Guide 3.5mm ........................................... 23.00
50039 Universal Aiming Device Drill Guide 3.9mm .......................................... 23.00
50045 Universal Aiming Device Drill Guide 4.5mm .......................................... 23.00
50016D Universal Aiming Device Drill Guide 1.6mm/2 Hole ............................... 39.00
78 1-800-828-4639 • www.imexvet.com
2008 Price List